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Home My WebLink AboutTHUNDERBRUSH LT 4Thund rbrush Lo1- 4 #015-142-67 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191105 PID Number: 015-142-67 Dwelling: Q Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New © Upgrade Name John & Traci Ross ABSORPTION FIELD E] Deep Trench E] Wide Trench El Bed ❑ Mound Site Address 11421 Thunderbrush Circle ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPDISF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Thunderbrush 4 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station I Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100'+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1000 Gal. Surface Water 100,+ Material Number of compartments Lot Line 51+ NA Steel 2 Foundation 6.5 1 LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Luke Duffy Drainfield CO/MT3034 Inspector Pannone Engineering Serivices BENCH MARK (Assumed elevation) 638 ft Inspe 15` 6/21/19 7/2/2019 Location and description tion Zia 3'd 4°i Bottom House Trim Point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date 4. ...... te•;ei. F: Pnnroiac Septic System Approved Date all�od , :rL;;. ;_; .3, a,q Note: this approval does not include well permit requirements.��`�� k evv,)iuu,o/ � C) U) n 0 _3 y D I 0 = ....... co 1 O Q o�-nolIrn v Frl -<OOr Orx �7 r*i 'OCZOCr*i� O N C o nCD _y �. z Z--� D m � - O O O c'7 r -C C Z �m ;u (n _ r z L �c > m O g r z rn D r 0z n cm N � r I � c cG m i NUNDERBR_ 0 _ SH Cir / Nom- n OC y D Dr m '= o p m o \ m n \o Ds . �u'0O C, I v nm K: C) o 11 -+ m o ;0DDm mQ O y w C D m I o� �m �� z--Ii-I �' °' D Ln I _ o 7 \` { W N V o i r b r -i D - Q N -- — — — -- — — — — — — — — — — N N m D N MLn mV Z (n N N N N FF p CC) 00 cn -I,O O NOTES: PANNONE ENG SVC LLC P.O. 80X 18D7 PALMER, AK 9645 �G� REVISIONS DATE 8/l/2019 RECORD DRAWING PHONE 907 745-8200 FAX 907 745-8201 P ' EV: 20200219 SCALE THUNDERBRUSH L4 JOHN & TRACI ROSS 11421 THUNDERBRUSH CIRCLE ANCHORAGE, AK *fix ;,i "•. •• •• ••••• "tievenonrione CE I. CJS 1' 50' P.I.D. NO 015-142-67 DRAWN I ACP/JRL SITE PLAN PERMIT NO. OSP191105 HUE OF 2 Municipality Anchorage_ hpoi ae P.O. Box 196650 s 4700 Elmore Road Anchorage, Alaska 99519-6650 s (907) 343-7904 s Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section �»cnr S r. � n Ucparn»ent * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV201010 COSA#: Permit#:OSP191105 PID#: 015-142-67 Legal Description: Thunderbrush Lot 4 Engineer: Pannone Enqineerinq Services Applicant: Jonathan & Traci Ross Your request for a waiver of the required 5.0 feet horizontal separation from the septic tank to the stair support has been approved. The approved separation distance is 0.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the existing septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: gA"Date: % ��o< d Approved by: , NN Name of Reviewer **** VARIAN C E/WAIVER REVIEW **** coal -212 )02c �� 3$�,2G ill Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com January 31, 2020 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. 0. Box 196650 Anchorage, Alaska 99519 Subject: THUNDERBRUSH L4 Deck / Deck Stair Support to Tank Separation Distance. Waiver Request Ladies and Gentlemen: I am writing to request a separation distance waiver between the existing deck stair supports and the new septic tank to zero feet (0.0'). The upgrade septic tank was installed on 6/21/2019 and swing ties were taken on 7/2/2019. During the install and final inspections and when the swing ties were taken, the stairs were not present. PES received the As -Built for the property on 1/23/2020 and we noted that the stairs appeared to be over the tank. MOA code states the following. 15.65.205 8.1.d states: "For decks and stairs located more than thirty inches above grade, a septic tank shall not be located within feet of an associated deck or stair support. For decks thirty inches or less above grade, a septic tank shall not be located under an associated deck support." PES conducted a site visit to verify the final position of the stairs (see -attached photo). The centerline of the stairs lands approximately atop the spring line of the tank with the support of the stairs consisting of a section of large dimension sawn lumber. As a result this stair support creates a load (based on ASCE 7-16 LRFD Load Combinations) of 5,019lbs distributed over the three foot long (3') section of dimensional lumber. The tank is buried at a depth of nine and one-half feet (9.5') to the top of tank. Extrapolating the data found on the live load data for AASHTO H-25 loading (45,0001b axle load) the effect of this on a tank buried at 9.5' is 0.02 pounds per square inch (0.02psi) or two point eighty-eight pounds per square foot (2.88psf). This load is a minimal increase to the overall load from the soils and will not have a detrimental effect on the tank. Further, since the load from the stairs is distributed across the large Anchora ge Mailing: P.O. Box 100217, Arichorage 4{( 995!0-021.7 Palmer mailing: P.O. Box J.807, Palmer, Al: 99645 Telephone: (907; 745-3200 FAX: (907) 7,15 -?201 Page 2 of 3 timber at the base of the stairs and that load is off the center of the tank (centered on the spring line) that further mitigates from any negative effect on the tank. Finally, due to the depth of bury of the tank, should the tank fail due to age and collapse a soil -bridging effect will control and the soils surrounding the tank will maintain its shape and not collapse. Granting this waiver will not pose a threat to the safety of this lot or the surrounding lots. Please contact me if you have any comments or concerns. Sincerely, February 10, 2020 Steven R. Pannone, P.E. Owner/Civil Engineer Pah ter Mailing: P.O. Bax 1807, Palmer. AK 99645 Telephone: (907) 7=45-8200 FAY: (907) 74S-8201 Page 3 of 3 Palmner Mailing: P.0, Box 1.807, Palmer, AK 99645 Telephone: (90-7) 745-8200 FAX: (907,11 745-8201 � 1N3Y�3Sd3 111-1118 ,OL 30N33 NNll NIVH0 0 :� o •06 ]«00,t0000s l993 OZ = yJul L -37NS JINdV&D 03" ccoo C/) a. p w o I-�sn�18��a�1nHi W O � o ]<<00,-�0000s @oo ��,* ,0. -, tN �� 0►-� N N10 osp�eo .CD - n P <+DC a I Oby O oo= poD®aC Np - o OCD o(n:;u �A� o Co3� 0)Coz 7 HCD ww .. dtzj 0 N .. C)� IA , �c~u.docKa`��y� p n D> :.. O ZU�] '�'• D H Q r.• � fb M 0 9'8L L•ZZ �\ n b �7 ID !j fPD p 0,0 er+lq Y e- W m z CL CD , CT1 `* p � p ¢. O CA —1 0 Cp0am *K O O L'6L o 99 �M0C' -Dim \ aoo i N cbcyCL 0`* 0, 'm m _< S O mM0 0 D z ti o�.a o tD o CO A (Tl W rn o r z r 1 ` xKnmbco °o m co n � P,D �a 4ro w y poi _q m z —{ z f7 -� 03m m%400mo =0 -.- Z'SZ r' CD o K p 3�� c w p0Do0�+ o < m m w C Q 0 CD m 0 < CD ' rn o o gLp w 00 �d 3$ CDCD as l � 1N3Y�3Sd3 111-1118 ,OL 30N33 NNll NIVH0 0 :� o •06 ]«00,t0000s l993 OZ = yJul L -37NS JINdV&D 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 7t http://w,,vw.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191105 Work Type: SepticTank Upgrade Tax Code Number: 01514267000 Site Legal Address: THUNDERBRUSH LT 4 6:2637 Site Mailing Address: 11421 THUNDERBRUSH CIR, Anchorage Owner: ROSS JONATHAN D & TRACI D Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: ,vent " S. l)cha,'Cmc-nt 4/22/2019 4/21/2020 10767 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in, Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B) Issued By: Date: it t Date: 3 UMCIPAUTY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-142-67 Property owner(s) JONATHAN & TRACI ROSS Day phone Mailing address 11421 THUNDERBRUSH CIR, ANCHORAGE AK 99516 Site address 11421 THUNDERBRUSH CIR Legal description (Sub'd., Block & Lot) THUNDERBRUSH L4 Legal description (Township, Range & Section) Lot Size 10,767 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑X Upgrade 0 Duplex (D) ElHolding Tank ❑ Renewal El 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: �QQS Waiver Fees: Date of Payment: !Y ice/ l Date of Payment: Receipt Number: Receipt Number: Permit No. _(1.5P Waiver No. Permit App_-'-:- :-.,:c Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191105, Rebecca Carroll, 04/22/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191105, Rebecca Carroll, 04/22/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191105, Rebecca Carroll, 04/22/19 Municipality of Anchorage Department of Health and Human Services Building Safety Division ~ On-Site Water and Wastewater Program, 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWSW020296 PID Number: 015-142-67 Name: .l~_ff & R,e MHckev Wastewater System: [] New [] Upgrade Address: 11421 Thunderhru.qh Circle. 998t8 ABSORPTION FIELD Phone: Number of Bedrooms: 762-4648 3 [] Deep Trench [] Shallow Trench [] Bed [] Uoued [] O~er: Soil Rating: Total Depth from originel grade: LEGAL DESCRIPTION 0.6 G.D~F~ 14.0 ~t. SIock: Lot: Subdivision: Depth to pipe boffom from original grade: Gravel depth beneath pipe: 4 Thunderbrush 10 Ft. 4.0 Township: Range: Section: Fill added above original grade: Gravel Length: 0 Ft. 101 Well: [] New [] Upgrade *~ave~: 5 Ft. Nt~beroflines:l Distance between lirles:0 Ft. Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Materiel: Existinq Ft. Ft. 505 Ft~ F81013034 PVC Driller: Data Drilled: ; Static Water Level: Instalter: Date Installed: Ft. Beek Contractin,q 8/30/2002 ~ie~: *PM ~umpSet~: Ft. C~i~g"eig~boveGr°~:Ft. TANK SEPARATION DISTANCES [] septic [] Holding [] S.T.E.P. [] Other: T~ To Septic Absorption Lift Holding ~ublic/Pdvate Manufacturer: Capeci~y: Tank Field Station Tank Sewer Line Existing Gal. We, 108 101 102 ~t~iel: ~pe~ of S,~eW~r 100+ 100+ ~ LIFT STATION Size: Manufacturer: · ot U.e 28 2 G,~ NIA Founclafio. 6 27.6 "*.rap o.'~0~ .t: "Pump off" level at: ii3. High water alarm at: in in. Curtain Drain 100+ 100+ Pump Make & Model Electrical thspe~on$ performed by: Remarks: Waiver approved 8115/02 No. WR020058 for drainfield BENCH MARK Location and Description: to property line. Exist'g tank verified and found Back Stair Assumed E~evelion: compitent. 100.0 Engineer's Stamp Inspections performed by: Pannone En,q. Svc Dates: ¢t8/29/2002 ~' -¢..' 49_T_~ "~ .................. omo 2oo2 ' s Department of Health and Hu ervices approval ~ :~,'..~ ~ Reviewed and approved by: _ ~jZ Date: 7____ 'e~d~,'.... ~_o. cE 8 PERMIT NO, SV0202~6 RECORD DRAWING P.I.D. NO, 015-142-67 WASTEWATER DISPOSAL SYSTEM . LOT 4 THUNDERBRU~H S/D ' ' ' ~ ~ i Ta 14.8 a9.5 U / ] ~ ~ c[ 4a.e 6o.a 4 / ~ ~ I ~ , ' m ~.4 5~.~ / B4 DD ED PL CE ~~E ~ /~~~~TRENCH 75LFx5'x B ~~2~] /,10,1 lO0' DF SYSTEM ~J , ~~~ 5-~IDE TRENCH ~ ,~2~T'~_~ ~ L~GLFx5'x4' EFFT'V. i3,5 T.D. ~ ~ELL ~ /~ F~QUEST LOT-LINE ~AIVER ~ , / / ~ ~ F~ 0,5 FT z ~ okXDRAINOX4-Thun erb~ush. DWO ~ PL~U ~AI~ 4U MIN/INCH ~ ~7~ee~ 1000 SF REQUIRED -~ ... "'~eA 5-VIDE DRAINFIELD SYS, 4.0' EFF. ~., ~ ".%~ ~ 100 LFx 5% 13.5' TOTAL DEPTH 49~ ~ '~ ~ REDUCTION FACTOR = 0.50 ~....~ .............. .~.._~ TOTAL AREA=500 SF ~~ ~ lO00g SEPTIC YANK ~~F~'~ PREPARED FDR~ PANNDNE ENG. SVC, LLC Jeep & Sue Nuckey P.D. BOX [0~954 '~~~,,."~ [~[ T~unN~ush Cl~c[~ ANCHORAGE, ALASKA 995~0 'e~~,~--* 762-4648 227-3522 P, 272-8218 F:x '~i~s~TM 2~3-7781 ~ATE, ~-~-oe ~ RECORD PERMIT NO: SWO202gG LOT 4 NOTE, 1) ALLWORK SHALL DE PERFORMED IN ACCORDANCE WITH, & ALL METERIALS SHALL CONFORM TO AMG15.65. 2) SEE GENERAL NOTES ON SHEET l, 3) VERIFY INTEGRITY DF TANK, INSTALL NEW BEEP BURIAL TANK IF EXISTING TANK IS LEAKING. RECORD DRA~/ING DETAILS ~/ASTEWATER ADSDRPTIDN SYSTEM' THUNDERBRUSH " _c ~ I,I ~ Ir ~ I ~ C,XWorkX~RA~INGX4-Thunde~brush. D~G I ~'"'~:-"~ ......... :'"'"a '"?~'~ PREPARED FOR. ~ ~t~v~n ~onnon~z ~ I ~/~ ~ ~z~ ~ ~ Je~ & Sue Muckey I ~*T~_ ~E~9~ .~/~ 114e1 Thunderbrush Clrde I ' ~ ~.~]~ 223-7781 1~] NV]q3 P.I.D. ND, 015-142-67 ir'N] NV3'L1 Ld P~nnone Eng. Svc., LLC P. O. BOX 108954 ANCHORAGE, ALASKA 99510 878-B8187 PHONE 8, FAX DATE, g_.S.-9 -02 l NOT TO SCALEI RECORD MUNICIPALITY OF ANCHORA GE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade e¢-2e-02 / 2 .'OOxW,o Date Issued: Aug 15, 2002 Expiration Date: Aug 15, 2003 Permit Number: SW020296 Legal Description: THUNDERBRUSH LT 4 Design Engineer: 0062 Pannone Engineering Services Owner Name: Jeff & Sue Mucky Owner Address: 11421 THUNDERBRUCH CIR ANCHORAGE, AK 99516-1728 Parcel ID: 015-142-67 Site Address: 011421 THUNDERBRUSH CIR Lot Size: 10767 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: r~ Disposal Field [] Septic Tank ~ Holding Tank [] Privy [] Private Well [] 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Municipality of Anchorage Development Services Department Building Safco/Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6620 www.ci.anchorag¢.ak.us (907) 343-7904 Waiver Review Worksheet WRO: WR020058 PID~: 0t$-142-67 HA#: Date Received: ~16102 Legal Description: Tllunderbmsh Lot 4 Engineer:. Steven R, Ppnn0ne p,E, Permit~;~t~Y(p ~o E. ~ (~ Applicant: ,)eft & Sue Muckev Waiver Requested: ,$ feet from lot line to seotlc system Criteria: Geology A. Water Table B. Soil Sorpflon C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: Waiver Is Granted: ~)~ Waiver is not Granted: List Conditions or Reasons for above: Rec~: ;):)701 Amount: $11)~,00 Date Paid: 8/$12002 George P. llSterch. Mayor Municipality of Anchorage Building Safety Division Anchorage Ali.America City 2002 8115/2002 Steven R. Pannone, PE PO Box 102954 Anchorage, AK 99510 Subject: Waiver Request for Thunderbrush Lot 4 Waiver Request #WR020058 Parcel ID #015-142-67 Permit # 8W020296 Dear Mr. Pannone: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is ,5d5' feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, ~i~il Engineer 'Ont. Site Water & Wastewater Program P.O. Box 196650 ° Anchorage, Alaslm 99519-6650 *Tclcphonc: (907) 343-8301 · Fax: (907) 343-8200 4700 South Bragaw Strcet· Anchorage, Alaslm 99507 http://~v~x~v.ci.tumh orage.ak.us Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4?00 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ek.us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-142-67 Permit Number SW Property owner(s) Jeff & Sue Muckey Day phone 762.4648 Mailing address (1)11421 Thunderbmsh Mailing address (2) Anchora,qe, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Lot 4, Thunder Brash. Legal description (Section, Township & Range) Lot Size.4-~4~ /~9'7~,'7 Acre S~.F Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool [] Well Only [] [] Water Storage [--I [] Jacuzzi [] [] Water Softening Unit [--~ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) I Permit Fees: q(.) (} d22 Date of Payment: <~/'~"/0~, Receipt Number. ~ ~'70 I ¢ (Rev. 12/00) Waiver Fees: /50 Date of Payment: Receipt Nurnber: ~ 3 '7 (..) Pannone Engineering Svc, LLC Consulting Engineers (907) 272-8218 P.O. Box 102954 Anchorage, Alaska, 99510 (907)272-8218 Fax August 14, 2002 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Gentlemen: Lot 4 Thunderbrush S/D Septic System Replacement Pe,~dt Request- Failed Septic System My fi~m was contacted to a Health Authority Approval of the septic system serving this lot. The existing trench was inundated with liquid when I arrived. The system is in failure. Two test holes were excavated on June 29, 2002 on the lot. Thesoils report and a percolation test result are attached. Ground water was monitored for seven days. No bedrock or ground water was encountered in the test hole. Two trenches will be installed to obtain the required length. The Contractor is required to slake the well radiuses to ensure separation distances. The new system will need to be installed approximately 0.5 feet off of the south property line. I request a separation waiver to lot lines to accomplish this installation.The soils encountered in the test holes require a large replacement system. Due to the constraints of soils, and small lot s~e, the replacement trench will need to be installed adjacent to the lot line. I reviewed the optionsavailable and the only option that would not require a lot line waiver is to install a lift station or aerated system to reduce the required length. These options were presented to the owner, and he elected to seek a lot line waiver. The neighboring lot is developed but will not be adversely affected. The existing septic system will remain in place. A diverter valve will be installed after the tank to separate the two fields. The lot is approximately 11,545 square feet in size. Lot 4 slopes to the west at approximately 1 percent in the area of the test holes, and then steepens to approximately 5% on the western portion of the lot. The existing septic tank will be verified and reused if found competent and replaced if leaking. The proposed installation will be located on the eastern portion of the lot. The lot is served by a private well. The proposed location is greater than 100 feet amy from existing & neighboring wells and 25 feet from the water service lines. The surrounding wells are located greater than 100 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding orexisting lots. See the attached design. Steven R. Pannone, P.E. Civil Engineer If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, :"-' ........ """4 Attachments: ,ij~ ~%.~.~.......~ H:~STEVE~WORD DOCUMENTS.50-A EAGLECREST.002.DOC PEn. IT NO~ DESIGN P.~.D. NO, 0m-142-67 WASTEWATER DISPDSAL SYSTEM LOT 4 THUNDERBRUSH S/II · ' ' ~ / iNb-hAL~ BALL reTYPE / vAdvrl 1 / BETYEEN XTHE ~T'4~ FIELDS ~ ~ , KEQUEST LOT-LiNE ~ ~ ~ m*~ .... , '~ ~~ 4' EFFT'V. 13.5~T.~, ~ ~ -,u.,. LXj~-~ /, 100' OF SYSTEM ~ I ~ ~~ / ~U~2L~xS'x4' EFFT'V. 13,5 T.~. ~ ~ELL ~ / , ~Ea~EST LOT-LINE ~AIVER Ave ~ING%4-Thunderbrush. D~~ DESIGN, ~s~l~m~ 333 SF/BR, 3 BE HOUSE ~$$~ ~ ~/ ?e~ ' 1000 SF REQUIRED ~ "X~ ~ ~oo ~r~ ~,, m.~' ~.~A~ ~rH 4g~ ~ ?~ ~UC~ION rnC~OR = O.So ...................... ......m TOTAL AREA:500 SF ~2'-~-~Z . ~ooog ~..~..~ ................... ;~-..~ PREPARED FOR~ ~.~S~even R. Pannone/~m PANNONE ENG. SVC, LLC No CE 8149 /~ Je?? & Sue Muckey P. O, BOX 102954 % · z ~ ..- ~ 114~1 Thunderbrush Circle ANCHORAGE, ALASKA 99510 'e~~%~2ee 76z-4648 227-3522 P, 27~-8218 Fax '~i~s~ ~3-7781 DATE, 8-4-0e ~ DESIGN m ~sss~ SCALE, I'=50' PFRMIT NC], LOT 4 NnTF, 1) ALLWORK SHALL BF PFRFDRMFD IN ACCDRDANC£ WITH0 & ALL METFRIAL$ SHALL CONF~RM T~ ~) ~EE ~EN~RAL NOTE~ ON ~HEET 3) VFRIFY INTEGRITY OF TANK. IN~TALL. NE~ ~EEP BURIAL TANK IF EXI~TIN~ TANK I~ LEAKINO. DESIGN DETAILS WASTEWATER ABSORPTInN SYSTEM THUNDERBRUSH Z k- W C,\~,/ork\BRA~ING\4-Thunder'loruzh,I) WG PREPARED FOR: Je~ & Sue Muckey 11421Thunderbrush Circle Anchorage, AK 99516 762-4648 223-7781 P.I.~. Nl], 015-142-67 i~] M~]13 lf~] N~]'13 NnIIt~INAO.~ W Ponnone Eng. Svc., LLC P, 0.. BDX 102954 ANCHDRAGE, ALASKA 99510 272,.-8218~ PHDNE & FAX DATI~, 8-4-0~ I ~,- .... NOT TD $CALEI u~-~u,~ PANNOI~ ENGINEERING SERVICES P.O. BOX ~029S~ A~CHOI~AGE, ~ ~510 * ~ ~8 ~ D~ON: ~ 4 ~ 8~ - ' ~1 - - Grl~' IB~T to WA~ ~ROUND WAI~R PANNO~ ENG~G SERVICES P.O. ~)X 10~9S4 ANCHORAGE, ~ ~510 I2;X]AL D~ON: Lot4~8 WA8 GROUND V/A'r~R FL=95.0 ][ P~RO[A110N RAT~ 48 t,,~/tn~ ~ HOI2: DI~U.~m~ 6 ~-?- LOCATION OF WELL STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF WATER WATER WELL RECORD 7' ~IBD~V~SION - LOT · BLOCK J LOCATION/SKETCH: DEPTHS MEASURED FRoM:l-lcasing top I-lground surface BOREHOLE DATA: Material Type and Co!o~ Depth From To SECTION SECTION WELL OWNER: ' ~ ' ME. DIAN DATE OF COMPLETION of hole: Depth of casing: r-l ground surface DEPTH TO STATIC WATER LEVEL: /* ~ ~. ft below ~ top of casing Date: ~ / /2 / ¢4_/ METHOD OF DRILLING: /~ air rotary [] cable tool [] other USE OF WELL: [~omestic' '~] irrigation [] monitor [] public supply [] other. CAS "G ST CK-UP: _.,.~ /~ ft. Oi~: ~ in. tO ft ' ~-- WELL INTAKE OPENING TYPE: ~open end g screened ~' ~ pedorated ~ open hole ~ Depths of openings: to ft SCREEN TYPE: Diam: in. Slot/Mesh Size: Length: ft GRAVEL PACK TYPE: Volume used: Depth to top: GROUT TYPE: Volume: Depth: from ft to ft DEVELOPMENT METHOD.~, Duration: PUMPING LEVEL AND YIELD: l"~ ,~v ft after / hrs pumpin~ ..~ O gpm PUMP INTAKE DEPTH: ft Horsepower: __ WELL DISINFECTED UPON COMPLETION? ~ YES [] NO CONTRACTOR INFORMATION: Regis/t~.~r~d Business Name / 7 ~i~n§ture of Autnori~e~ Respr. esentati~..__ REMARKS: PLEASE MAIL WHITE COPY OF LO~!iTO: DNR/DIV,S ON OF WATER Date PO BOX 772116 " EAGLE. RIVER AK 99577-2116 4 '' ~ -~O MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940067 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:MUCKEY JEFFERY DEAN & OWNER ADDRESS:il421 THUNDERBRUSH CIR ANCHORAGE AK 99516 DATE ISSUED: · EXPIRATION DATE: PARCEL ID:01514267 LEGAL DESCRIPTION: THUNDERBRUSH LT 4 PAGE 4/08/94 1 OF 4/08/95 2 LOT SIZE: 10767 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: PROPERTY IS CURRENTLY BEING SERVED BY A CLASS "C" WELL. THE CLASS "C" WELL WILL REVERT TO A SINGLE FAMILY WELL AND THE NEW WELL WILL SERVE THE SUBJECT PROPERTY. THE NEW WELL MUST BE LOCATED A MINIMUM OF ~100 FT. AWAY FROM ALL ON-SITE WASTE- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 WATER DISPOSAL THE LOCATION O~EW WELL~ MUST BE RECEIVED BY: ISSUED BY: SYSTEMS. A WELL LOG AND A SITE PLAN SHOWING SUBMITTED TO DHHS. DATE' DATE: PAGE 2 OF 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME~ MAI LIN G-~D DR E~SS LEGAL DESCRIPT~ LOCATION -~ ~ DISTANCE TO: i~ c/)'"'( ]"L] /~) / I- ~ Manufacturer DISTANCE TO: ] Well Dwelling D'STANOE TO: No. of lines[ I Leng~ch line -- Top of tile to fil?~_~ade Length Type of crib Width Crib diameter Foundatio Material beneath tilo Depth Crib depth DISTANCE TO: 3]ass Depth DriJler DISTANCE TO: BuiJdlng foundation Sewer line Building foundation PHONE ~[~NEW ~/~[~ [~UPGRADE IDweJling I~ I ~V i~tt~~ ~'~ Material Trench idth inches inches No. of ~,partments Liquid depth PERMIT NO. Liquid capacity in gallons Total~veCso ,ptio n a rea PERMIT NO. Total effective absorption area Nearest lot line Septic tank Absorption area{s) Distance to lot line PERMIT NO. OTHER SO, I APPROVED DATE LEGAL ~ ' ~MUNICIPALITY OF ANCHORAGE~ -"~ Departmen~ 'f Health and Environmenta ,~rotection ' ' '~- 825 ~ Street, ~chorage, AK. ~9501 * * * HANDWRITTEN PERMIT PERMIT ~ermit ~%~A~ WELL AND~ON-SITE SEWER / Phone Nu~er: Location: Legal Description: L~ ~ ~(~b~, ~_ ~[d~--..-~_ Lot Size: Type of Soil A~sorption System Is: Trench: ~ Drainfield: Seepage Bed: __ Holding Tank: Maximum Number of Bedrooms: soil Rating(sq.ft/br) Size.~/ the Soil Absorption System Is: ' DEPTH LENGTH ~ ..GRAVEL DEPTH ~ff/F~ WIDTH The length dimension is the length(in 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(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). REQUIRED SEPTIC(+~-UIT[G'~TANK SIZE = ~3~ GALLONS 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. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departmen~ will be subject to prosecution. 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 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 8 3 * * * I certify that: (1) I am 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 codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that /3~bedrooms. Ap~ca~t~ Date: SWP/024 (1/81) S &. S EI~I~!EERS~ 7125 Old Seward H~.. 'Anchorage, A~asko 99502 349-:6561 [;OILS LoG -- pEBCOLATION TEST I 2 3 4 5 6 7- 8 9 10 11 12 13 15 16 17- 19 . ~-20 - SLOPE WAS GROUND WATER ENCOUNTERED? ~.~¢t Vt~L.~ -~C~ ~b'~ Eo~ 'YES, AT WHAT Reading Date r PERCOLATION RATE SOILS LOG PERCOLATION TEST OATE PER"O"MED: SITE PLAN Gross Net Time Time TEST RUN aETWEEN ./~'O __ FT AND cOMMENTS__ PERFORMED B¥:~ ~1~"'/~ I ST~i~ CERTIFIED BY: .. = ;, ,: DATE: [ I ~&S'E,N{iINEERS. INC.I so, STAI~TED PROJF;CT NUMBER ~'~ FINISHED PRO J EC '[" TITLE LOCATION 3EOLOGIST /~,~ u CREW SITE DESCRIPTION METHOD SHEET~ OF D. GROUN0 WATER )EPTH. LOCATION DIAGRAM C4~6b~' ORGANICS GRAVEL SAND BEDROCK CLAY ~'WATER ICE S.R. SAMPLER REFUSAL A.R. AUGER REFUSAL SAMPLING METHOD SS~-).4" SPLIT SPOON W/140LB HAMMER SPs2.5"SPLIT SPOON W/340LB HAM~R ~OUNIClPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION S2S g Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: Mr. Ken Mucky DATE PERFORMED: 4/3/83 LEGAL DESCRIPTION: Lot 4, Thunderbush Subdivision S[OPE 3 Brown Overburden Tan Sandy Silt Tan Silt w/ Gravel SITE PLAN 10 11 12 ~.13 14 17 18 19 Sandy Gravel Sand Tan Silt Bottom WAS GROUND WATER S ENCOUNTERED? NO ~ P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop 1 4/3/83 11:30 0 96 1/4 0 2 " ll :40 10 01 4 3/4 3 " 11:50 20 105 1/2 9 1/4 4 " 12:00 30 [09 3/4 13 1/2 5 " 12:10 40 114 17 3/4 20 PERCOLATION RATE 2 1 / 3 ~.~'~J~utes/inch) O, · TEST RUN BETWEEN o COMMENTS Percolation test was preformed ~n hole ' 24 hours saturated for approxLmately ~{-~-~ .......... u.-t.., g · 1o MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section --' Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I. D. 015-142-67 Legal description THUNDERBRUSH LT 4 Site address 11421 THUNDERBRUSH CIR Expiration Date: 8/16/2024 Current property owner(s) WARSHAWSKY MATTHEW &WADE CARA X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date. 6/13/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaLkne 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone:907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-142-67 Complete legal description THUNDERBRUSH LOT 4 Location (site address) 11421 THUNDERBRUSH CIRCLE, ANCHORAGE, AK 99516 Current property owner(s) MATTHEW WARSHAWSKY & CARA WADE Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: Z Private Well F_J Private Well serving 2 dwelling units El Private Well serving 3+ dwelling units [_1 Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: Z Private Septic E] Private Septic serving 2 dwelling units F] Holding Tank n Community Septic or Public Sewer 5. SEPTIC TANK: [Z Steel E] Plastic F-1 Concrete R Fiberglass Age 4 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: F] AWWTS 0 Bed E] Deep Trench Z Wide Trench n Seepage Pit Waiver request for: Expedited review requested: F-1 Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Date of Payment I r zo -z COSA # SC Waiver Fee $ Date of Payment Waiver # COSA Application.doc COSA Checklist.docx COSA Checklist Legal Description: THUNDERBRUSH LOT 4 Parcel ID: 015-142-67 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 4/12/1994 Total depth 181 ft Cased to 181 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/4/2024 Static water level at beginning of test 132 ft. Well production at time of test 6 gpm Water storage tank volume NONE 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 6/3/2024 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 48” Date of pumping 8/16/23 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) 8/30/2002 ALL standpipes present per record drawing Total measured depth from existing grade 15 ft (max) Measured depth to pipe invert from grade 11.4 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 3.6’ 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 6/4/2024 Results Pass Fluid depth prior to test 21 in Water added 500 gal New fluid depth 38 in Elapsed time 1440 min Final fluid depth 20 in (Add 5” of missing ED per below) Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 48 in (MOA 4’ ED) Effective depth used 25 in (Final Fluid Depth + Missing ED) Effective depth (ED) remaining 23 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximate with 0.4’ or 5” of ED missing. 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 6’ & 10’+ Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No *3 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 MOA WAIVER OSV201010 FOR STAIR/TANK. *WR020058 FOR DRAINFIELD TO PROPERTY LINE - PER FIELD VISUAL OBSERVATIONS & STAMPED PLS AS-BUILT SURVEY & ALSO PER PREVIOUS 2021 COSA. 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 6/11/2024 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 & 6/11/24 MUNIUPALITY OF ANCHORAGE - - I Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-142-67 1. GENERAL INFORMATION Expiration Date: Complete legal description Thunderbrush L4 Location (site address) 11421 Thunderbrush Circle Current property owner(s) Mailing address Real estate agent Day phone -_vte je 2. TYPE OF DWELLING: Fx7l Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) NUMBER3. OF rr-•• Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well E Private Septic iX Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public'Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not -- guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE V System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 745-8200 Conditional approval for bedrooms, with the following stipulations: OF Almay �iir� .�� TER N140 z W A5T'r v' o J � � 1 Q By: VU`t� &A Original Certificate Date: 5 �2P-0 Q i 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 Checklist blue sheet COSA Checklist Legal Description: Thunderbrush L4 Parcel ID: 015-142-67 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 4/12/94 Total depth 181 ft Cas/ed to 181 ft S nitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA 4/29/202' Static water level at beginning of test 144.2 ft Comments B. TANK DATA Age of tank(s) 2 years Tank type/material "I's1e` Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping 62 (a D. ABSORPTION FIELD DATA Wide Trench Which system tested (date installed) 2002 RLL standpipes present per record drawing Total measured depth from grade 15.1 ft (max) Measured depth to pipe invert from grade 11.5 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 3.6 ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 5.52 gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes JqNo [Coliform bacteria is Negative Nitrate ® mg/L Nitrate less than MRL (ND) Arsenic ug/L ] Arsenic less than MRL (ND) Collected by Date of Sample 5 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 4J29`2021 Results 0 Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 17 in Elapsed time 120 min Final fluid depth 0 in Absorption rate '450 gpd Any rejuvenation treatment (past 12 months) no If yes, enter date 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' 0 Yes if No 6.5 Community Sewer Manhole/Cleanout > 100' M✓ Yes if No ft ✓M Yes if No ft Neighboring Tank > 100' P� Yes if No ft Private Sewer/Septic Line > 25'M Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' (❑✓ Yes if No ft M Yes if No ft ft If septic tank is under driveway comment below F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' M✓ 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 6.5 ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No ft Private Wells > 100'✓❑ Yes if No ft Water Main > 10'✓Q Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' F✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 3 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' Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION O1 , A(� % AV �I l certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA in this date. guidelines effect on Stever R. Pannone• CE 8149 w � ?,'• � ''%-?CFESS�i1'F � �. N.� 49 COSA Checklist yellow sheet UMMPAUTY OF ANCHORAGE PLIWS Development Services Department 1 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-142-67 1. GENERAL INFORMATION Expiration Date: 5-- 2 Complete legal description ThUnderbrush L4 Location (site address) 11421 Thunderbrush Circle Current property owner(s) Jonathan & Traci ROSS Mailing address Same Real estate agent Day phone 1 Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex r, ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic ED Water Storage ❑ Holding Tank, ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer .. ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 55D Waiver Fee $ Date of Payment A bL//ani o Date of Payment Receipt Number OqCQ XI Receipt Number COSA # 5 r Q6 �) (oiS� 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MCA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Date bedrooms, with the following stipulatlJ Original Certificate Date: -�" ^zr 2 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 Checklist blue sheet COSA Checklist Legal Description: Thunderbrush L4 Parcel ID: 015-142-67 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA Q Well log is filed with Onsite (or attached) Date drilled 1994 Total depth 181 ft Cased to 181 ft Q Sanitary seal is functioning correctly Q Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 4/16/19 Static water level at beginning of test 144.2 ft Comments B. TANK DATA Age of tank(s) 2019 years Tank type/material ""Sr"' Measured operating fluid level in septic tank 48" 0-1 Standpipes/foundation cleanout per record drawing Date of pumping n/a D. ABSORPTION FIELD DATA Wide Trench Which system tested (date installed) 2002 ❑ ALL standpipes present per record drawing Total measured depth from grade 14.5 ft (max) Measured depth to pipe invert from grade 10.5 ft (min) ❑ N/A — pressurized field 0 Monitor tubes go to bottom of effective. If ncR, state depth into effective ❑® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 5.5 gpm Water storage tank volume na gallons Well disinfected for coliform test? ❑ Yes ❑✓ No 01 Coliform bacteria is Negative Nitrate •2 mg/L ❑ Nitrate less than MRL (ND) Arsenic 5 ug/L ❑ Arsenic less than MRL (ND) Collected by Pannone Engineering Date of Sample 211412020 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 4/16/19 Results [-,/—]Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 0 in Elapsed time 100 min Final fluid depth 0 in Absorption rate '450 gpd Any rejuvenation treatment (past 12 months) no If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No 6.5 Community Sewer Manhole/Cleanout > 100' Fv Yes if No ft 7✓ Yes if No ft Neighboring Tank > 100' [✓ Yes if No ft Private Sewer/Septic Line > 25' 0✓ Yes if No ft Absorption Field on Lot > 100' r7l Yes if No ft Holding Tank > 100' 0✓ Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑✓ Yes if No ft El Yes if No ft ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Manure/Animal Excreta Storage > 100' Building Foundation > 10' Community Sewer Main > 75' F71 Yes if No ft ✓V Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No 6.5 ft Surface Water > 100' Q Yes if No ft Property Line > 5' ✓D Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' F/� Yes if No ft Water Main > 10' dQ Yes if No ft Community Wells > 200' n✓ Yes if No ft Water Service Line > 10' 2✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 21 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 3.0 ft Wells on Adjacent Lots: Water Main > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' [✓ Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet GRAPHIC SCALE.- 1.Inch = 20 Feet I®�� 10 0 10 20 40 rl S00 04 00 E 90. 0 CHAIN LINK FENCE E 1 - -k x 10' UTILITY EASEMENT C�'• Off:' Q O SEP77C 1 r'-� w LO O ltJ Z) d m F+ Er a o CJ w 1 28.2 O a! 0 (6 ,. 0.0, >,m ww r_ W t mO aa�vb� CedmoP Z c- W w N W �y,I ME > Cdr a 0trw O >-G��o�2�P, N Ci V) \ 0M O Q I-- mCdpa a 2 � 0 5 O V) P1 b CD a u� pac a a v 6.2q 319.7 i9.7 Q ui o abd��a Ln �k° O 10 amv�yc O � a Z `t -LUj, s°, 2J a f� N S d a N Q eeqy, \ CJ 00 w�'p•,�''1y 22.118.6 P q �'ado0r~ Q.Q C±J "7" y m O O. Z •� S -r O cls P a d R. P,= o = a rA Q Zm .. a E- CoO Ja- 00�� in aDo o /\�^`^�Vn �J� V w 3 u 00 •M R �s too o o C^- = W om_ Q n Q`�c0CD co (Vt��J'UZT� � U a to .- �. V CTJ C) ©@S00°04'00"E - CQ 0 - - - - - 0 CoCO ® THU�IDERBRUSN CIR �� N� � Y— .�- W F, fn 9 0 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program ~4700 South BragaW St. P.O. Box 196650 Anchorage, AK 99519-6650 wWW.muni.orglonsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-142-67 Expiration Date: GENERAL INFORMATION Complete legal description Thund(~rbrush S/D Lot 4 Location (site address or directions) 11421 Thunderbrush Circle. Anchorage. AK 99516 Current Property owner(s) Ryan & Jeaneen Barnett Day phone 349-3718 Mailing address 11421 Thunderbrush Circle, Anchorage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Beth Simpson / Dynamic Properties Mailing 'Address 3111 C St., Suite 100, Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for plckup. Day phone 727-2384 2. NUMBEROF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage I-'] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer. [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. STATEMENT OF INSPECTION BY ENGINEER As Certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority ApproVal Guidelines'for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation an'd inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Phone 349-1851 Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis Date 6~4~04 DSD SIGNATURE ~Approved for ,~ Disapproved. Conditional approval for bedrooms. '~.. CE-lO,?7 ."~,,~' · ........ : .......... -;,: bedrooms, with the following stipula~~'' Additional Comments Attachments: HAA Checklist Septic System Advisory ' Well Flow Advisory X By: Maintenance Agreements SupPlemental Engineer's Report Other Original Certificate Date: 'r7 - /" O ,ZTL_ (Rev. 01/02) Legal ,D, escription: · A. WELL DATA 'Well type Pr Date c0m'Pl~ted ..-,2.. Total d,epth 181 ft. Date '0f ~e~t · Static ~vat~r level Well proddction, ... MuniCipality of Anchorage DeveloPment Services Department ~ Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. ' . · P.'O. BOX 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 HEALTH AUTHORITY App ROVAL CHECKLIS'I Thunderbrush S/D, Lot 4 IfA, B, or C provide PWSID # - Sanitary seal (Y/N) Yes ! Cased to 181 ft. FROM WELL LOG 4-12-94 ' 132 : 30 w/178' water level WATER SAMPLE RESULTS: Colimrm ~,~ 0 colonies/100 mi, Arseni6: i] A mg./i. B, SEPTIC/HOLDING TANK DATA ..Tank TyPb/Material sme~ Tank :~ize~ 3000 gal. ~;, ! , ;. , . Foundation, Cleanout (Y/N) Y g'.p.m. Parcel ID: 015-142-67 Well Log' O'/lq) Wires properly protected {Y/Iq) Yes Casing height (abo~ve groundl 20, AT INSPECIION : 5-24-04 140 g.p.m. Nitrate. 0.177 mg./I. Date of Sam pie: ~-2n-o4 Number of Compartments 2 DepreSsion over tank (Y/~N) n Pumper Northland Pumpin[t in. Date of · 5-27-04 C. ABSORPTION FIELD DATA . ' ' Date in§talled 8/30/02 ' - Soil rating (g.p.d./ft2 or ft2/bdrmi 0.6 Len 101 ft. "' Width' 5.O ft. Other bacteria ~) colonies/100 mi. Collected by: Watkins Engineering~ Inc. Date installed '.' 10-3-83 Cleanouts (Y/Ni ,Y High water alar~ (Y/N) NA System type shallow trench - Gravel b~16w pipe 4.0 ft. 14 ft.' Eft. al~0rption area! 1010 ~. Monitoring tube Y DeP~:esslon over fle~ yes cy test, 5-24-04 -Results (Pass/Fail)' Pass ,. ! i For 3 bedrooms absorption field before test ~s/0 in. Water added 670 gal. ; { 'N~w depth ,,.~.i in. 300 'min. Final fluld depth 8/25 in." Absorption rat''5= 600 g.p.d. Total d, Dat~ (~ Elal: Any rejuver~ation treatment (past 12 mot) (Y/N & type) none If ye ;, give date De Ee LIFT STATION ~ installed 'pumi~ on" level at in. Datum SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankJiift station on lot 111 Absorption field on lot lOO.9 Public sewer main 100+ Sewer/septic service line 100; Size in gallons Manhole/Access (Y/N) "Pump ~~.._.~igh water alarm level at Cycles tested Meets alarm On adjacent lots 100+ ,~: On adjacent lots 103.0 Lot 5 Public sewer manhole/cleanout 100+ Holding tank NA in. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 6 Water main 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD .ON LOT TO: Property line 2 south / 6.5 east Water Service line 50+ Curtain'drain none known ' Property line 24 Water service line 50+ · Absorption field 18 Surface water 100+ F. COMMENTS Building foundation 25 Surface water 10(~+ ~ · Wells on adjacent 10ts 100+ water main .100+ :, ; ,, Driveway, parking/vehicle s~rage.:50+ · Waiver #WR020058 for 0.5 ft from septic to sou~ lot line. Request 5 ft from east line. Applied for enCroachment permits for util'ity easement. 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 guidelines in effect on this date. Engineer's Printed Name Cindy W. Ellis Date '6-04-04 "~' · HAA Fee $ Date of Payment Receipt Number ? 7 ~'C' ,~"" ~ (Rev. 1'2/l~;I)' Waiver Fee $ Date of Payment Receipt Number / / / / / / / 00'0~ ~.O~,'t:,OoO 1'4 'c -1 rn Z .J 0 0 0 0 00'06 /V~,,O~,'l~OoO0 N ~ ~ W 0 0 0 0 W o o © .51=o ~ o~- ,~, zO~ MUNICIPALITY OF ANCHORAGE Office of Planning, Development and Public Works Development Services Department Right of Way Division Department (907) 343-8240 Fax (907) 343-8250 --ENC~-C£tMENT PERMIT~~i2~I PLEASE PRINT Building/Land Use Permit #: Owner Name: Mailing address: (Instructions on back) Date: ROW Permit #: Physical addr~s: Phone: ~omSOffic~obile): Su~i~sion: T~~rash ~t: 4 Grid (s): 5 ~ ~ ~ ~ ~ Section: Tomship: .. ~mtion or addr~s of encroac~ent: T~ ofencroac~ent: Facsimile: Block/Tract: '"- Range: Type of drawings furnished: As-built survey? Submitted by: d}/'~ II}.~J/i,, ?.~. (PLEASE PRINT Af'q'D SIGN) Site plan? ~ Other? A one hundred fifteen dollar ($115.00) non-refundable application fee is required with the application. The three hundred dollar ($300100) encroachment permit fee is due at the time of picking up the permit and annually, thereafter. FOR USE BY THE RIGHT OF WAY PERMIT OFFICE Comments: Accepted by: /,--/~_~ Date: ~'/,,,/~,' ~~ Date: Check no.: ~p~by Zoning Plan Review: Reviewed by: ~/~jffi Date: Cash: CC: Reason denied: 1/27104 PERMIT No. SW990011 p~a[~ 2 o¥ 3 Municip.(~[i-l;...y_..oF DEPARTMENT OF HEALTHAND HUIVlAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 e_Anchor'oge, At~sk~ 99519-6650 · Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LOT 2, THUNDERBRUSH S/D P.l.g. ~o. 015-142-69 LBT 5~ I I I I ,... / i~.~7~~,~ ~. '' [ I ~DIVER~ER VALVE (DV) I I ,, , ~ ~ ~, ,{'<>>"' :" ~/~'":.:¢'L LDT E - ~'-'. · ~ '~, '.. ..,~%N~ ~ Watkins Engineering, Inc. P.O Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net June 4,2004 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Thunderbrush S/D, Lot4 To Whom It May Concern: We respectfully request a lot line waiver for the existing septic system on Thunderbrush Lot 4 to the east lot line for a separation distance of 5 ft. This system was installed in September 2002, and has been determined by a recent survey to be less than the required 10 ft from the east property line. A previous waiver (#WR 020058) was approved for the south lot line. I do not believe that this reduced separation distance will have any adverse effect on the adjacent lot to the east, Thunderbrush Lot 2. Their septic system is in the south central part of the lot, and they have 2 drainfields installed with a diverter valve. A copy of the septic as-built is attached. Thank you for consideration of this waiver request. If you have any questions or need further information, please call me at 349-1851 or 360-3389 (cell). Yours truly, FRI 09:22 F.~X 907 343 8200 Owned by ~ht Murdcipdity ~f Anc. Mr~g~. ti0A BLDG SAFEIT ANCHORAGE WATER & WASTE'WATER UTILITY "A New Standard of Excellence' Engineering Division 3000 Arctic Boulevard Anchorage, Alaska 99503-3898 fax 907.562.0824 h ~.p : /I www. a ~vu.b iz anchorage 2002 June 4, 2004 Watkins Engineering, Inc. P O Box 110443 Anchorage, Alaska 99511 Re: Thunderbrush, Lot 4 (Grid 2637) Encroachment into Easement Dear Property Owner:. The Anchorage Water & Wastewater Utility received a request from Cindy Ellis fi)r a letter addressing AWWU's position regarding the existing septic system that encroacEes into a utility easement located on the east 10' of the referenced lot. An as-built drawing with septic clean-out locations was submitted with the request. AWWU water and sanitary' sewer mains are not available to the referenced lot. AWWU is not using the utility easement and has no objection to the encroachmer~t. If you have any questions, please call me at 343-8009 or the AWVVU Planning :;ection at 564-2739. Sincerely, Hallie Stewart Engineering Technician [~oo1 Voted Best Tasting Water In Amerlcm - 199B U.S. Conference of Mayors 06/29/04 TUE 13:50 FAX 9073491934 Watklns Engr ~002 1203-22A G-2637 EN04022 015-142-67 ENCROACHMENT PERMIT Thi~ permit is between Chugach Electric Association, Inc., an Alaska non-profit electric coopcrafivc, (herein "Chugach'~, whose address/s P. O. Box 196300, Anchorage, Alaska 99519- 6300 and Ryan and Seaneen Barnett (herein "Permittc¢'~, whose address is 11421 Thundcrbrush Circle, Anchorage, Alaska 99516. 1. Easement. Chugach is the grantee or user of an cascmcnt for thc construction and maintenance of electrical facilities, as follows: Dedicated by the plat of the subdivision known as Thunderbrush Subdivision, according to . Plat Number 70-304, recorded On the 27* day of October 1970, on fflc in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement") which pcrtaln.~ to the following described real property: The East Ten Feet (E 10') of Lot 4, Thunderbrush SUbdivision, according to Plat Number 70-304, recorded on the 27* day of October 1970, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska. Pennittee acknowledges the validity of the Easement. Permittee warrants and represents that Permittee is the owner of the fee simple interest in the land subject to the Easement and the following described real property to which the Easement is adjacent: Lot 4, Thunderbrush Subdivision, according to Plat Number 70-304, recorded on the 27t~ day of October 1970, on file in the office of the Distric~ Recorder, Anchorage Recording District, Seward Meridian, Alask% (herein "Parcel"). Encroachment Permit - Page 1 of 4 06/20/04 TIlE 13:51 FAX 9073491934 Watklns Engr ~003 2. Encroachment. Permittee proposes to continue thc existence of the following improvement(s) on or within the real property subject to said Easement: septic system leach f'dcd and two standpipes within said Easement, (herein "Encroachment'). 3. ..Permit,. Chugach hereby authorizes Permit"tee to continue the existence of the Encroachment in its proposed location subject to the covenants set forth in thi_q permit.' 4. Indemnification. Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in anyway from the continuation of the Encwachment. .. 5. No Expansion or Increase. Permittee .qhall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent ofChugach. Chugach has no obligation to provide su,h consent. 6. No Interest in Real Estate Acquirexl_. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach for purposes of the common law doctrine ofadversepossession. 'this permit creates no interest in the real property subject to the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Pcgmitte¢ shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If such payment i$ not made within thirty 00) days of written demand for same, Chugach may terminate this permit in accordance with paragraph 9, below. 8. Covenants Running with the Land. The obligations of the Peimittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the l'ermittee's interest in the land subject to the Easement and shall benefit the Easement.. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination iff a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. Encroachment Permit - Page 2 of 4 06/29/04 TUE 13:51 FAX 9073491934 Watklns Engr ~004 b. The Encroachment is damaged by any means to an extent of mom than thirty percent (30%) of its replacement cost at thc time of destruction. c. Pcrmittec fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, ifnot sooner terminated by Chugach, expke forty (40) years from the.date hereof. 11. .Entire Agreement. This written permit constitutes the entire s~eernent between .thc parties with respect to thc subject matter hereof and supersedes all other prior or contemporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of thc permit shall be effective unless in writing and signed by all oftheparties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. PER.MTrTEE Engineering Services Division Encroachment Permit - Page 3 of 4 06/29/0A TUE 13:$~ FAX 9073491934 Wa~Rlns l~gr ~005 STATE OF ALASKA ) )s~: THIRD JUDICIAL DISTRICT ) 2004, by The foregoing instrument was acknowledged before me this .2~ day of CJ L,~'k.~'--.- , ~ (PRINT NAMES.OF PERMITTEE/S) ,,'"~.4'I' ~'"'--- il ~ f~ ~ -'..':,.~...'.~. '-"/- ::. /1 [ ,/I / { A J ~z - : -~, ':'.' '. ?_ .._...,-.,,_~. -. ,_ ,_~.. ~....,.._~ _. _ ~¢'~u~ j..~ fo~ the st~ o~('~. ~ -~~ ~A ........ . '~"~ '%,, o"*' -'2'. ' STATE OF ALASKA THIRD JUDICIAL DISTRICT The foregoing instrument was acknowledged before me this _ day of _ _, 2004, by Director, Engineering Services Division of Chugach Electric Association, Inc., an Alaska corporation, on behalf of the corporation. Notary Public in and for the State of Alaska My commission expires: AFl'ER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Encroachment Peri'nit - Page 4 of 4 06/29/04 TUE 13:52 FAX 9073491934 Watklns Ensr ~006 June 21, 2004 Watldns Engineering, Inc. Cindy W. Ellis, P.E- P.O. Box 110443 Anchorage, AK 99511 Dear Ms. Ellis Sub.~cct to your agreement to indemnify thc company as set forth belo~v,' GCI Cable Inc. of Alaska has no objection to the septic' system encroaching into the ] 0' utility easement on thc.cast property line of Lot 4, Thundcrbrush Subdivision, known as 11421 Thunderbrush Circlc in Anchorage city grid 2637. This letter of non-objection in no way precludes CCI Cable from full use and cnjoyment of any rights it may have within any portion of thc utility easement and or the right-of- way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to .myself' at the address below. Kurt J. Anderson Sr. Manager, OSP Design & Construction Date 5151 Fairbanks Street · Anchorage, Alaska 99503 · 907/868-5600 06/29/04 TUE 13:52 FAX 9073491934 ' Watklns Engr ~007 ACSI A~aska Communications Sy~ms June 7, 200,$ Ms. Cindy Ellis Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511 ACS has no objection to the encroachment of the existing septic' system into a platted easement located on Lot 4, Thunderbrush Subdivision, as depicted on the as-built drawing sul~tted. Anceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the follow~n~ stipulations: ACS will be held harmless, now and forever, for any damages or inj%~ry =o 8/~y person or property as a result of this encroachment. Any ACS facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ACS. Any costs incurred nece=sitated by =hi= property owner. by ACS for speclal encroachment will be construction borne by the All applicable safety code regulations will be observed and maintained. 'This le:cer of non-objection will in no way preclude AC.S from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, Out, Plant Engineering AC&P~ ~ GS\lc\L, \ ~ngin~r \Co rte sDo\Nonob~ ec\Thunderbush DATE: 600 Telephone Avenue Anchorage, Alaska 995036091 tel g07.$64.1000 www. acsalaska.corn 06/29/04 TUE 13:52 FAX 9073491934 Watklns Engv' ~008 6/1/2004 ENSTAR Natural Ga** Company nng uepanrnent 401 E. In{ernelJonal A)'rpo~. R~d P. O, Box 190288 Anchorage, Ah~ska f~9519-0288 (9O7) 334-7743 FAX (907~ 562-OO53 Watkins Engineering, In¢ Cindy W. Ellis PO Box 110443 Anchorage, AK 99511 Re: Letter of Non-objection in regards to Ryan & Jeaneen Barnett Grid: 2637 To whom it may concern: ENSTAR Natural Gas Company has no objection to a septic cleanout encroachment into the Ten Feet (10 ft) utility easement situated on the east property line of Lot 4, Thunderbrush Subdivision according to Plat Number 70-304. 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: ENSTAR will be held harmless, now and forever for any damages or Injury to any person or property as a result of this encroachment. Any ENSTAR facility damaged or destroyed, as a result of thls encroachment will be repaired at no cost to ENSTAR. Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the property owner. All applicable safety code regulations will be observed and maintained. This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. ENSTA~ral 'G~s cc. File 06/29/04 TI.rE 13:52 FAZ 9073491934 Watklns £ngr ~009 .... -- June 16, 2004 Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511 Attention: Cindy W. Ellis, P.E., President Subject: Encroachment Permit for Septic System Lot 4, Thunderbrush Subdivision NE¼ of Section 22, T12N, R3W, .q.M., Alaska Grid 2637, EN04022 Dear Ms. Ellis: Enclosed is the Encroachment Permit yourequested for the septic system within the easement area on the east I0 feet of the above referenced property. Please review thc Encroachment Permit. If'the conditions are agreeable, have thc owners, Ryan and Seaneen Barnett, sign the document where indicated, have it properly notarized, and ~etum it to this office for full execution and recordation. Chugach will have this document recorded. Ifyou would like a conformed copy of the recorded document, please include $2.00 for the State Recorders' fee. The check should be made payable to Chugach Electric Association, Inc. A self-addressed, stamped envelope is enclosed for the return of the signed and notarized Encroachment Permit and the check for the conformed copy fCC. Also enclosed for your information are Chugaeh's ElectricalFacility Clearance Requirements and What is an Easement? handouts and a Locate Call Center card. II'you have any questions, do not hesitate to call me at 762-4735. Sincerely, Susan Truskett, SR/WA Right-of-Way Agent 1211I Enclosure cc: Ryan and Jeaneen Barnett, 11421 Thunderbmsh Circle, Anchorage, Alaska 99516 ChuDa.ch Electric Association, Inc. .5601Minnesulu D, lve', P.O. 8ox 190300, Anchorase, Ata$1~o 99519-6300 , 19071563'~'494 /"ax (9071562.002,Y * (800) 478.7494 www. cfiugachel~..tric.com * Ido~cfiugachelectttc, com 06/29/04 TUE 13:53 FAX 9073491934 Watklns Engr ~010 ANCHORAGE WATER & WASTEWATER UTILITY #A New Standard of Excellence' Oz~d vy thc Munidpalihd of Anc. horag~ Engineering Division 3000 .Arctic Boulevard Anchorage, Alaska 99503-3898 fax 907.562.0824 h £tp d/www, a wwu.b i z June 4, 2004 Watkins Engineering, Inc. P O Box 110443 Anchorage, Alaska 99511 Anchorage 2002 ~&~k Be~,ich, Re: Thunderbrush, Lot 4 (Grid 2637) Encroachment into Easement Dear Property Owner:, The Anchorage Water & Wastewater Utility received a request from Cindy Ellis for a letter addressing AWWU's position regarding the existing septic system that encroaches into a utility easement located on the east 10' of the referenced lot. An as-built drawing with septic clean-out locations was submitted with the request. AWWU water and sanitary sewer mains are not available to the referenced lot. AWWU is not using the utility easement and has no objection to the encroachment. If you have any questions, please call me at 343-8009 or the AWWU Planning Section at 564-2739. Sincerely, Hallie Stewart Engineering Technician Voted Best Tasting Water in America - 1998 U.S. Conference of Mayor~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street 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. 015-142-67 GENERAL INFORMATION ComPlete legal description Lot 4 Thunderbrush SID Expiration Date: /2/Zo,/¢"z._.- Location (site address or directions) 1142'1 Thunderbrush Circle Current Property owner(s). Jeff & Sue Muckey Mailing address '1'1421 Thunderbrush Circle, 99516 Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: NUMBER OF BEDROOMS: 3 Day phone 762-4648 Day phone Day phone TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. 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. ~Re~. 11/99) 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 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 site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Enq. Svc. Phone 272-8218 Address P.O. Box 102954. Anch. AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 911512002 careering analysis o£thc ~,.'stem in accordance ~th MOA DHHS Guidelines & Regulations. Tl~e reported results describe the performance of the system under thc conditions encountered at thc time of thc test, and separation distances measured to readily idenfifiablc fcaturcs. Thc operational life of all wells and septic s?stems depend on thc local soil condition, groand water levels that may fluctuate during the year, and the water usage of the family being sen'ed by the ~'stem. These conditions are outside the control of the evaluator of this ~'stem. Ali ~tems evenm'ally fail and satisfactory, test results do not guarantee ~? ................... future performance of the system, nor do thO' guarantee that there are no hidden defects or encroachments. PES can therefore not pro',idc anw~'arrann' for future performance nor give any estimate o£ how long the · · ' · ' . ' contm.e to mee the oVera.ona rcq ,rem or the AD C or D HS. conten of ** ....' this report is for the sole benefit ofthe owner listed above. Any reliance upon or use ofdus report by any other person or party is not authorized nor will it confer any legal fight whatsoever. DHHS SIGNATURE / Approved for ,'~ - Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow 'Advisory Expiration (Rev. X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Reissue Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.al~us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: .. [.4 THUNDERBRUSH A. WELL DATA Well type PRIVATE Date completed 4/12/1994 Total depth, 181 ft Date of test Static water level Well production 30 WATER SAMPLE RESULTS: Coliform ~ colonies/100 mi Date of sample: qltt SEPTIC/HOLDING TANK DATA Tank T~:~aterial STEEL Parcel I.D.: 0t5-t42-67 If A, B, or C provide PWSID # Well Log YES Sanitary seal YES Wires properly protected YES Cased to t81 ft Casing height (above ground) 2 FROM WELL LOG AT INSPECTION 4/t2J1994 611fil2002 132 fl 133 gp.m 6+ g.p.m Nitrate ~ mg/I Collected by: ~ Date installed 1013/1983 Tank size 1000 Cleanouts Y Foundation cleanout Y Date of pumping 6/.612002 Pumper ANCH CESSPOOL ABSORPTION FIELD DATA Date installed 813012002 Soil rating (g.p.d./ft2 or ft2/bdrm) 0,6 Length 101 fl Width 5 fl in. Other bacteria'--'~--- colonies/lO0 mi Arsenic ~ mg/1 gal Number of Compartments 2 Depression over tank N High water alarm NIA System type 5-WIDE Gravel below pipe 4 ft Total depth 1.~4 ft Effective absoq3tiofl area 505 ft2 Monitoring tube Y Depression over field N_._ Date of adequacy test Results (Pass/Fail~[/NEW~ For _3 bedrooms Fluid depth in absorption field before test in Water added gal. New depth in. Elapsed Time: rain Final fluid depth in Absorption rate >= g.p.d. Any rejuvenation treatment (pest 12 mo.) (YIN & type) If yes, give date (Rev. 11/99) LIFT STATION Date installed 'Pump on' level at Datum Manhole/Access ~ in 'High water alarm level at in Meets alarm & cimuit requirements? E, SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station (~n lot 108 On adjacent lots 100+ Absorption field on lot t01 On adjacent lots 100+ Public sewer main NIA ' ' Public sewer manhole/cleanout NIA Sewer/septic service line 102 Holding tank 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 6 Property line 2,7 Absorption field 18 Water main N/A Water service line 65 Surface water 100+ Drainage, 100+ Wells on adjacent lots 148 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line. 2' SEE WAIVER Building foundation 27.6 Water main NIA Water Service line ,55 Surface water 100+ Driveway, parking/vehicle storage 55 Curtain drain 50+ Wells on adjacent lots 117.8 F. COMMENTS Waiver No. 020058 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 guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone, P.E. Date 9-15-02 Date of Payment 9 / ?(~/~-- Receipt Number c:~5~ / (Rev. 11/99) Lo! 5 Lot I PL~_N.____ ASBUILT~ SCALE ~' · ~o' -- ,~- _ · Assoc'-' - - - GRID. I~e~ I~. ~ 15~ Dali Aven e, Anchor Reglsfered Land Su~eyo~ ~)522-~76 ~one age, =em~ f~ I have .U~d ~- - ~U~) 522--4625 Fax ~UNDERBRUSH Su~"/~e ~lo~ng ~mge R~O~ng Di~-~:[~~ ~o. 70-~4) ~ me ~_. ~ .~ I/nfl o.d . ~P~m.,,,. I o~er'~' ,~ Pm~'~ and ~"~ ~ ~la~--~ fl~ on ~ ~ the t~ .... ~ a8 In~ ~on. ne which do nor o~ ...... ~1~ ? o~ ~e