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HomeMy WebLinkAboutBEACON HILL ESTATES LT 4Beacon Hill Estates Lots 4 & 5 #015-092-50 /0 Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Re, %S SUS Parcell.D. 015-092-50 COSA# %.24 Expiration Date: 1. GENERAL INFORMATION Complete legal description _Beacon Hill Estates Lt q Location (site address) 742o Beacon Hill Dr Anchorage, Ak 995o7 Current Property owner(s) Dennis L & Kristin L Mellinger Day phone Mailing address 742o Beacon Hill Dr Anchorage, Ak 995o7 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box 100217 Anchorage, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 8/3112012 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & 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. .� %%% Jj' 4 The operational life of all wells and septic systems depend on the local soil condition, ground water t��♦ q levels that may fluctuate during the year, and the water usage of the family being served by the system. m•"""' '••..,;9♦� These conditions are outside the control of the evaluator of this system. All systems eventually fail and �s•` - �yy �1 satisfactory test results do not guarantee future performance of the system, nor do they guarantee that ° 9T there are no hidden defects or encroachments. PES can therefore not provide any warranty for future Q•••••h•• ••• ••• ••••• ••• •••h•••••� performance nor give any estimate of how long the system will continue to meet the operational .�.-.p.. ................. requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed t `:Steven R. Pannone; i above. An reliance upon or use of this report b an other person or is not authorized nor will it �1 c, ° No: CE Y P P Y Y P Party , J' � confer any legal right whatsoever. �j•. 5. DSD SIGNATURE ������ ;;� :•' V Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory _ Maintenance Agreements Supplemental Engineer's Report Other By: a Original Certificate Date: I —/ Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water & Wastewater Program s" " 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: Beacon Hill Estates Lt& Parcel ID: ois-oo2-So A. WELL DATA Well type Private Date completed 1 1 Total depth -19_q--ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (YIN) Y Cased to ro ft. FROM WELL LOG 0/24/2002 WATER SAMPLE RESULTS: ft. 6.8 g.p.m. Coliform Neo colonies/100 mL Nitrate &.94 mg/L Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) 16 in. AT INSPECTION 8131/2012 195 ft. Arsenic: ND ugll Date of sample: 8/2712012 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Date installed 9/17h97a Tank size 1290 gal. Foundation cleanout (YIN) Y Number of Compartments 2 Depression over tank (Y/N) N Date of pumping 5/22/2012 Pumper A+ Home Services C. ABSORPTION FIELD DATA Cleanouts(Y/N) High water alarm (Y/N) NIA Date installed 5117/la7a Soil rating (g.p.d./ft2 or ft2/bdrm) 200 sf br System type Crib Length a2 ft. Width 29 ft. Gravel below pipe o ft. Total depth 12 ft. Eff. absorption area Bio fl? Monitoring tube Y Depression over field N Date of adequacy test 9/21/2012 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 90 in. Water added62o gal. New depthloo in. Elapsed Time: 24o min. Final fluid depth go in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum in. Size in gallons Manhole/Access (Y/N) "Pump off" level at —in. High water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot moo+ Absorption field on lot moo+ Public sewer main 75+ Sewer /septic service line 25+ On adjacent lots moo+ On adjacent lots moo+ Public sewer manhole/cleanout moo+ Holding tank moo+ Animal containment areas moo+ Manure/animal excrete storage areas moo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation c+ Property line s± Absorption field s+ Water main mo+ Water service line mo+ Surface water moo+ Wells on adjacent lots 7o+* SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line mo+ Building foundation mo+ Water main mo+ Water Service line mo+ Surface water moo+ Driveway, parking/vehicle storage mo+ Curtain drain 50+ Wells on adjacent lots moo+ F. COMMENTS * WnivAr kQiiPr1'H_7L_rtri G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and '' Y review of Municipal records that the above systems are in A.h conformance with MOA COSA guidelines in effect on this date. �i •Steven R. Pannone; Engineer's Printed Name Steven R. Pannone. P.E. j- ° No. cE alas ' Date • COSA Fee Date of Payment Receipt Number (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-og2-50 COSA# 4501 a 1180 Expiration Date: 7— 1 1. GENERAL INFORMATION Complete legal description Beacon Hill Estates Lt 4 Location (site address) 7420 Beacon Hill Dr Anchorage, Ak 99507 Current Property owner(s) Dennis L& Kristin L Mellinger Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 742o Beacon Hill Dr Anchorage Ak 445o7 Unless otherwise requested, COSA will be held by DSD for pickup. Day phone Day phone 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Phone 272-8218 Address P.O. Box '00217Anchorage. AK ggsio Engineer's Printed Name _Steven R. Pannone. P.E. Date (0/(/12_ Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & 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 �* OF q( %* 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 �.••' • .� ♦♦♦ w satisfactory test results do not guarantee future performance of the system, nor do they guarantee that ;" 49 Tn ':'� ♦j there are no hidden defects or encroachments. PES can therefore not provide any warranty for future o.....1.. ••••• ••••• •• •• ........... j performance nor give any estimate of how long the system will continue to meet the operational — -4 .................. „ ......... ..., requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed - 6, Steven •R. Pan none I ■ above. Any reliance upon muse of this report by any other person or party is not authorized nor will it 0. No •° No. CE 8149 1 : confer any legal right whatsoever. ♦j •.•• .�'•�: 5. DSD SIGNATURE ♦♦♦♦� .......... __tApproved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: 9 Original Certificate Date: " (Rev. 11105) , Municipality of Anchorage 8„ Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Beacon Hill Estates Lt4 Parcel ID: 025-o02-90 A. WELL DATA Well type Private Date completed L Total depth Loo ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) v_ Cased to -4o ft. FROM WELL LOG 0/24/2002 WATER SAMPLE RESULTS: iA 6.8 g.p.m. Coliform Pc 9t, tcolonies/100 mL Nitrate 5,_)8 mg/L Well Log (Y/N) Wires properly protected (YIN) Y Casing height (above ground) 26 in. AT INSPECTION 5/27/2022 295 ft. m Arsenic: _LL ug/I Date of sample: -Il i:i. Collected by: ke's B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Date installed c/L71i973 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (YIN) N/A Date of pumping 9/22/203.2 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 5/3.7/3.072 Soil rating (g.p.d./ft2 or ft2/bdrm) 200 sf/br System type Crib Length 32 ft. Width ft. Gravel below pipe 9 ft. Total depth 12 ft. Eff. absorption area Bio ft2 Monitoring tube Y Depression over field N s/zl I zetZ S)OF Date of adequacytest.�cw22_ Results(Pass/Fail) Pass For -4 bedrooms Fluid depth in absorption field before test WNin. Water added620 gal. New depth -W in. O Elapsed Time: 2&omin. Final fluid depth,Te a in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date LIFT STATION Date installecT— "Pump on" level at Datum Size in gallons in. "Pump Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot zoo+ Absorption field on lot zoo+ Public sewer main 7;+ Sewer /septic service line 25+ Animal containment areas zoo+ Manhole/Access (Y/N) High water alarm level at in. Meets alarm tteauirements? On adjacent lots zoo+ On adjacent lots ioo+ Public sewer manhole/cleanout ioo+ Holding tank zoo+ Manure/animal excrete storage areas zoo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation s+ Property line; Absorption field c+ Water main zo+ Water service line zo+ Surface water ioo+ Wells on adjacent lots 7o+* SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line zo+ Building foundation zo+ Water main zo+ Water Service line zo+ Surface water zoo+ Driveway, parking/vehicle storage zo+ Curtain drain F. COMMENTS a G. ENGINEER'S CERTIFICATION Wells on adjacent lots zoo+ I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone P.E. Date t t /[ 7 COSA Fee $ Date of Payment Receipt Number Q $(o t? oZ (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number 0 No. CE 8149 Municipality of Anchorage s , Community Development Department Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 121190 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 4 of Beacon Hill Estates subdivision. This inspection revealed a nitrate concentration of 5.78 mi-lligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. 05/30/2012 09:03 8686770 APLUS M S,�R��GN7 FSU `J �e y �F4Fd 4 FUL�N�, A+ HOME SERVICES INC. 7501 E. 140th Avenue ;•�• Anchorage, Alaska 99516 345-1890 CUSTOMER Block ' ictini MPtlinr 74.20 Beacon Hill Drive Drage, Lot PAGE 01 INVOICE # 42120 DATE DESCRIPTION AMOUNT 05-22- U PMR se0c & Cdh $1 73. +CCENM ZN 1 -(^ j 00 -vq oa Please note that the price incre9se,is.dlte tbi an 11% rate increase by AW., as of Jan. Ist 246 ,� IJ Tank locateA FlwlinAfiramhnnse , 4 hese TOTAL :sq Oq REMARKS VITM1, 2mGallons Septic Leach Area Holding Tank ❑ PROBLEM AREA — CALL FOR MORE INFORMATION ❑ NEEDS TO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape ❑ Sludge buildup on bottom ❑ Jim cap missing or ❑ Cut standpipe to 1' above ground needs replacing Standpipes �2—'-N me ❑ Floater on top ❑ Needs Septictrine Municipality of Anchorage o Wmi Development Services Department �'IEVNI Building Safety Division On-Site Water and Wastewater Program ` s..... 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchcrage.ak.us (907)343-7204 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. o#S-092-9'0 HAA # k1 (-)205-13 s r Expiration Date: _ 1-7-03 1. GENERAL INFORMATION Complete legal description 1-0 fr y q S 13eepeon /A// t r/uf j Location (site address or directions) 7`/Zo ITeaco^ 14 1/ Current Property cwner(s) 6-eorge 4 4tnsc t-,, -Jhn� Mailing address Lending agency Mailing address Real Estate Agent '7Y20 Rec ron Hyff Dema x. Day phore ArcA, 99SU7-6o r3 Day phorate I z,,/Ay Fern4�dec P --"c% VsAt. Day phone 1f'/1 -90op Mailing Address q7 -q/ "L3 11 r/./ IeIACAor-675 fkc 99,fv3 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: �"_ 3. TYPE OF WATER SUPPLY:, TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Q 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 reguireo for the transfer of title (except between spouses) for properties served by a single-family on-site wasteunter 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 we!ls or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm F14;rf&,/9 Techn «ct/ Servrt'-J Phone 3 q.! - /3Ss� Address /1l9'30 Echo Sl', /9nc/io%c� 99S/l Engineer's Printed Name ?'h eocfv,-e r -too 1e Date Se7of Z-7 2uo 2 Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory ey: (R«. ouoz) �\J` : • ON-SITE •• •'• c WATER ANn m: WASTEWATER FROCRAM oma Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: 10 - 7 © Z ......... 5. DSD SIGNATURE ,. EC^CRS E .dQCR: `' Approved for — bedrooms. ., .. 35a. •. o Disapproved. ;: ;•.......•••�t>,'_' Conditional approval for bedrooms, with the following stipulations: " Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory ey: (R«. ouoz) �\J` : • ON-SITE •• •'• c WATER ANn m: WASTEWATER FROCRAM oma Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: 10 - 7 © Z Municipality of Anchorage • Development Services Department Building Safety Division On-site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorege ak.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lofs '1 # 5 (3eteoo Hit, ac Aar 4 Parcel ID: 015'-092 —Se -7 sl A. WELL DATA Wen type P✓t If A, B, or C provide PWSID # N• /+ Well Log (YIN) N Date completed =19 77 Sanitary seal (YM) P Wires Property protected (YM) _r Total depth 2 jl2 fL Cased to Casing height (above ground) 16 in. FROM WELL LOG AT INSPECTION Date of test Static water level ft 193 fl. Well production g.p.m. 6 8 -e g.p,m. WATER SAMPLE RESULTS: Coliform _oolonies/100 ml. Nitrate 3. 36 mg.A. Other bacteria 0 colonies/100 ml. Arsenic: (✓•¢. mg.A. Date of sample: JLZY /0 L Collected by. Flobar T<ch Stoc S. SEPTICMOLDING TANK DATA Tank Type/Material SC# h G /She/ a Date installed 10 /69 Tank size 1 S'41 gal.* Number of Compartments 2 �` Cleanouts (YM) y' Foundation cleanout (YIN) _&! ! 1` Depression over tank (YM) _1L High water alarm (YM) M. A. Date of pumping 5'/Z8/0Z Pumper AL r /� * ZA�/M O1I[//� of/ e-" neve pipes r 9f / //`ila4 GAIG4/U/• C. ABSORPTION FIELD DATA w t tev f+nl {c oog.4a .wr rgIftWemee Date installed 5'117/73 Sollrating (g.p.dAAe or fe/bdrm) 200 System type 4.7 Cr. i Sego, Pit. 4vRn Length 32 & Width 29 R Gravel below pipe 9 R Total depth L fL Eft. absorption area 810 fe Monitoring tube Y Depression over field Al Date of adequacy test 9 / 2 Y 10 Z. Results (Pass/Fail) Payr For_y bedrooms Fluid depth in absorption field before test 4F0 in. Water added gal. New depth fss n. Elapsed Time: I if6 min. Final fluid depth7L:j in. Absorption rate >= 6GG g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) Ala A [ k l)o c{.., If yes, give date N• A. D. LIFT STATION N A. Date installed Size in gallons I 'Pump on" level at —in. 'Pump ofr level at _ in. Datum Cycles tested E. SEPARATION DISTANCES I SEPARATION DISTANCES FROM WELL ON LOT TO: i i Manhole/Access (Y/N) _ High water alarm level at Meets alarm 3 circuit requiremergs? In. Septic tanknift station on lot = (1 O On adjacent lots _Z� t Absorption field on lot If o ' On adjacent lots (00 ' Public sewer main N • A. Public sewer manhole leanout N• A . Sewer /septic service line 7 2S Holding tank N. A. SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 2 s' Property line! s . Absorption field > Water main > r a' Water service line > ro' Surface water > 1O6 ' Wells on adjacent lots 74g, i,* J* - wa 1 r« ►S s u•&,( ►I / 2Y /B6 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 2o't {+s^ c.o• Building foundation ^ lie • Water main �> ro Water Service line > 10' Surfacewater 7 (410' Drivaway parkingivehide storage - 701 ffo^ C. a. Curtain drain ✓OA9 ceel) Wells on adjacent kits 107' fFrvd + c. o, F. COMMENTS P-cr ofil cots f ton w. Dan )T* #A (2 0SP ) f'*e P7.0 - A. ace drat %!tl rntkt!l pftp�r of t*G sere fetnk lf'C,0^ h^".d ual.d.f) oe� 0+10uvO;Vf^ 01fianttt is •clox e.hon Fr♦/ce .Qre !6..c* ion C G. ENGINEER'S CERTIFICATION r t f c l etre eu /• Ew[ f under givu.o/ Cbz , q«re A& e4,) lc• 1 certify that I have determined through field inspections and V �e+c review of Municipal records that Me above systems are in s - - r conformance with MOA HAA guidelines in effect on this date. il€' ;'.; t,`', h Engineer's Printed Name • -7-APO dory F iti0vk-e F :44"_ t t � • �. ! Date Sy.+ 2T oo 5C7 .� HAA Fee $ 3 7S Waiver Fee $ Date of Payment 9 / 30 / ZGO < Date of Payment Receipt Number 024 218 Receipt Number (Rev. 12101) 31 e. ro 0 20 4� 86 r, M 1P wu� e 3 S 3AJ 1 Z �N S j � W tt 4e V t� N _� InY 6 M Z - • Z ` r .%oust �0 iASErnc .. o�Ts It 5 so -o2 G �- t so. t4 I hereby certify that a Survey of LO1M. . _...... _, .. Subdivision was made on _DeC,•��19� _ and •.: = C •" ' . that the Improvements situated Thereon are wllnln the properly Tines and • .�, t ••'1.?�F do not overlap or encroach On the property lying adjacent thereto, that no ,'• ^ • • I ' improvements on property lying adjacent thereto encroach on the premisesIf In question and that there are no roadway$. transmission lines or other 1 j •s • , _ . ^ jJ; e •= r •�+ visible easements on 8810 properly except as Indicated hereon. Il Is the ff•� S�r� � •e.. y`• .vr--v-„V" t,1 v; responsibility of the owner to determine the existence of any easements. } 'e7L`ip. covenants• or restrictions which do not appear on the recorded Subdivision %!"r �. +; �•;r�.' pial. Under no circumstances mould any data hereon be used for �•l• •1.• �Ij rya,...$: ,.O,s. 51.�D�n; Construction or for establishing boundary orlence lines. 1 j If 1%76 �'�1�;'\1� _... Doled at Anchorage. Alaska. this d �� _._. day of ;A_ t=^ X , , '• " ' . CONSTRUCTING ENGINEERS, INC. AS— [3V1 LT SURVEY 9601 Buddy Warner Dr. Anchorage, Alaska 346-2000 694-9098 SC, laVE 10_�r SED -26-02 05:54PM FROM -CUE ENVIRONIENTAL SRV CUE Envlronmontal Services Inc. �rrrrrrr�rrrr�a►rrr� CT&EReEN 1026309UOI Client Name Flattop Technical Srv. Project Name/A Beacom Hill Est Client Sample ID Beacom Hill Est L4 & 1.5 Matrix Drinking Water PWS1D 0 Sample Rermrks. Paruneter Results Waters Department Nitrate -N 3.36 Microbiology Laboratory Total Coliform 0 I 9075615301 T-831 P.02/03 F-754 All Datesrrimes are Alaska Standard Time Printed Daterrime 09/26/2002 12:30 Collected Daterrime 0924/2002 14:15 Received Date/Time 09/24/2002 16:40 Technical Director Stephen C. Ede Released By Allowable Prep Analysis PQL Units Methal Lunns Date Dam htit 0.200 mg/L EPA 300.0 (<-10) 09/24/02 JIYI cot/I00mL SM189222B (<-1) 09/24102 KAF MUNICIPALITY OF ANCHORAGE MEMORANDUM Date T. 19 88 To: r l L TL From: Ahv 9 0 / /_/ Re: L OT 4 y SEIKO,, HILLS SEI°Ti� F,4 /I u R�• L o T- ¢ � �IW eu-, cf f)F4 (o/V HILL f // FFt U EN% 15 lV � tv1 1611T11V6 FROG �PlIVEwAy> L OT 9�F A} r vf}c&NT /vacs., �k T w�/EN 1T lS SOL 1% W E N EE)9 TU 4 r' A 7TF� T/ 0Ai 7`U E /?/G ,,4 PF_ q I s T TS � a� THRouRG/�A✓�ss, Pl? Ef Eiv TL r o U -A, F b 8� F Al, t4-4. Signed 91-015 (Rev. 1/81) GRE' -ER ANCHORAGE AREA BOP -'UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME C,14As 0 WF -L -LS MAILING ADDRESS 2-3/0 (-A 9 K Sr- PHONE 2 79 - 3 6,4 -5 LOCATION &E -ACM) HI LL 1) I_ LEGAL DESCRIPTION LOT SLAC.® Ili NIC -CS SEPTIC TANK: DISTANCE U • - Approved, NUMBER OF FROM WELL MANUFACTURER �1 �=F I�— MATERIAL STE EL COMPARTMENTS—1 INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH --LIQUID CAPACITY �� GALLONS. SEEPAGE PIT: 2-9 ' X Z.9 ' X 3 2/ r NUMBER OF PITS DIAMETER OR WIDTH_ LENGTH—, DEPTH 9 -' pp LINING MATERIAL S CRIB SIZE: DIAMETER DEPTHS DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION 2 NEAREST LOT LINE ABSORPTION AREA (WALL AREA) �3 1 Q SQ. FT. ADDITIONAL ABSORPTION WELL: P (Z() PO S F_D P f? I VA T E TYPE BUILDING FOUNDATION CESSPOOL APPROVED DISTANCES: _CONSTRUCTION NEAREST LOT LINE , OTHER SOURCES DISAPPROVED 4 INSTALLED BY: Pal (-7 PIPE MATERIAL: LOT SLOPE: S w REMARKS: 2_00 S o I I L, S 1- Form No. EQ -031 NEAREST SEWER LINE REMARKS p RR O Po5 �t Q- gpRM o _ DEPTH SEPTIC TANK_ DIAGRAM OF SYSTEM DISTANCE FROM: SEEPAGE SYSTEM C-' Zo DATE 5 -' 7 - 7 -1 APPROVED G.A.A.B. -vr ^<oE. GREATER ANCHORAGE AREA BOROUGH T N DEPARTMENT OF ENVIRONMENTAL QUALITY FERMI O. O 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 /� /�/�J C{,) /L% S - / r P � ` �INIIEO 1\M 1. �J SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT - NAME OF APPLICANT a Y`PS 13• ale- /S MAILING ADDRESS '2� - � (&!)I'HONEq-- -50 INSTALLATION LOCATION'�`Q� LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PITy DRAIN FIELD / OTHER 6 , TYPE AND SIZE OF FACILITY TO BE SERVED / M `-� L� SQ. S �•1'L�/ l C� C�•� t / -4 FINANCED THROUGH Ala ��� �� TO BE INSTALLED BY eef SOIL TEST RESULTS X/Ha c.liZ-.0 _ — NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE /L.Sa TYPE �Y¢ f 0✓ ���- SEEPAGE AREA SIZE �� TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEEPAGE PIT 20 / , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK _ SEEPAGE PIT b TO NEAREST LOT LINE. 'WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD DRAIN FIELD SEEPAGE PIT /b I? i ALSO CONSIDER AREA WELLS. SEEPAGE PIT , SEPTIC TANK, /C)n / SEEPAGE PIT /� / DRAIN FIELD TO RIVER, LAKE, STREAM, CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF - ---- ------ - - - -_. _-- _. _ _ EXCAVATION 5 FEET INTO UNDISTU RB-ED-9-UIL.- '--- - --- - - 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. / f GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATIiiOPJ.r`(i G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE e , APPLICANT'S SIGNATURE FORM NO. EQ -016 •a - A ,... eoniftuetlon gest ..Lag "One test is worth a thousand opinions" Cato TUDOR ROAD, ANCHORAGE, ALASKA 00607 • TEL[PHON[ 333-6472 Hole No. 1 Location of 'icon Hiii Subdlvisio?: Top ev round Surface Sheet ,of w.0. No. Operator jimMark Date L-2-73 Eli nt Cr.,a; jes B.1 Wells Hom,� -Seepage Pit DEPTH CLASSIPICATIOh ti 5.�` PERT SY STEM JA'I'L : LEGEND �j Silt Overburden ( ML/ Z i average depth of 3 hole' 0 �• _ �_._ __.__ ___ _.____ �. 3 Gravel 4 br _ d 4 5.00 46 Gravely Sai14 avJ-1 •�n . average depth of,__�, 6 + Sand / 7 �r Silt--Sand-Gra�rel Mi._ 8 GM'-22c`I i 9 Silt 10 11 12 13 d Gravel -Sift Mixture ( 2:- )) Clay 14 d• 15 16 Bottom of Test Hole Organic Content 17 No bedrock or waren' table 4' 18 below .int--- _ e n a e_ i t. r ZC70 sq. ft. drainage area re- 19q quired per bedroom- based on Peat 10 a 9-,1 dee c . o e: ilt overburden becomes 21 thiner and the gravely sand ZZ becomes thicker toward the Frost 234 road. 24 2 Water Table .2LJ N U 1 f:R'�.: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES • Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # o 6 09Z 5� ooa HAA # &/. ) 2 �--- 1. GENERAL INFORMATION Complete legal description L- 5 Location (site address or directions) Property owner 7L14az4, 'Z /� Day phone Mailing address --- Lending agency____- – Day phone------- Mailing hone-_ Mailing address Agent J �3ck Lk)W1 'C, Co ;. M-QyM G� Day phone.. Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4- 3. TYPE OF WATER SUPPLY: Individual well k Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site —��-- Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA B21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of -the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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 �n S vc-�;Y.� w �r-�+� Phone 346-2-000 Address Engineer's signature 6. DHHS SIGNATURE 0 Approved for / �� bedrooms. Disapproved. Conditional approval for Additional Comments Date /Z -Z/ `5 / bedrooms, with the following stipulations: 111Th 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. 1/91) Back MOA k21 Municipality of Anchorage Department of Health & Human Services M HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L4,S ��o'^ liy Sib Parcel I.D. 0l5 -()-9Z'50 000 A. WELL DATA Well type W'YPI'le If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) PJ Date completed 19-13 Driller Total depths Cased to Zit Casing height Z" Sanitary seal (Y/N) Wires properly protected (Y/N) Y Date of test Static water level Well flow Pump level FROM WELL LOn g.p.m. AT INSPECTION 12-g-9� �o ? 104' SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ! Ib, ; On adjacent lots G Z Z q 7Q � ti r � rJ �D,. g.p.m. L Absorption field on lot +100 ; On adjacent lots 4100, Public sewer main '* l� Public sewer manhole/cleanout 4120 44091c sewerervice line minor Petroleum tank WATER SAMPLE RESULTS: Coliform 0 Nitrate a' < Other bacteria 0 Date of sample: 1,L-3- 31 Collected by, Cv^S' � "`� �-ro`5 B. SEPTIC/HOLDING TANK.DATA Date installed _ Tank size I Z''� Compartments Z Cleanouts (Y/N) Y Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) N ' A ' Alarm tested (Y/N) Date of pumping 'ice (991 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot � loop On adjacent lots 69' ` a0i ) Foundation 25' N To property line +kO Absorption field 5Water main/service line 4 So Surface water/drainage +1c:joi WAIV&M vat Lta�1'3 3e N I-1�11sbs�k�s �� ,r 69' (bm) n -Z04_86) i 72-026 (Rev. 3/91) Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access ( Vent (Y/N) "Pump on" level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) _ SEPARATION DISTA ROM LIFT STATION TO: Well on On adjacent lots D. ABSORPTION FIELD DATA -7--24 (5w) Date installed (��3 3 / Soil rating ZOy s�` rL System type 5ETFW�'� PVT 1�sC�ZAi'W\f'TFA6 -P,LE Length Z91 k Z9� Width 3z� Gravel thickness i Total depth 13' ivacr Total absorption area 8 to' / -a+ 5,.6a"'+Zn' p Cleanouts present (Y/N)' Y r 1 � Depression over field (Y/N) Date of adequacy test Results (pass/fail) for 4 _ bedrooms Surface water Peroxide treatment (past 12 months) (Y/N) N If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot tl oc To building foundation On adjacent lots 4 2� Surface water Curtain drain + 10�5 On adjacent lots $6I *-Property line + 1 S' To existing or abandoned system on lot - --N C-) Cutbank 42-5 Water main/service line _ 5D Driveway, parking/vehicle storage area Ne Noel_t6VWV_ WA VVIC 690%v""v LOT3, -r069, E. ENGINEER'S CERTIFICATION I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature�'��'""' or Engineer's Name `'"/"s� • "'` 1rarlaa p Date L s IA9U. 173 •E no 22, HAA Fee $ D Date of Payment r Receipt Number 7-y 72-026 (Rev. 3/91) Back MOA 21 Waiver Fee: $ Date of Payment Receipt Number NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 Constructing Engineers 9601 Buddy Werner Drive Anchorage AK 99516 Attn: - Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: A115643 L4 & L5 Beacon Hill Water Report Date: 12/19/91 Date Arrived: 12/09/91 Date Sampled: 12/08/91 Time Sampled: 1300 Collected By: CEI Definitions MDL = Method Detection Limit B = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Date Method Parameter Units Result Flag MDL Analyzed --------------------------------------------------------------------------------------------- EPA 353.3 Nitrate -N mg/l <MDL 0.1 12/16/91 uA, (� uL- Reported By: William E. Buchan Anchorage Operations Manager