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Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: DEC PID Number: 018-201-38
Dwelling: ❑� Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: 0 New ❑ Upgrade
Name: ABSORPTION FIELD
Darren & Robin Lovelace-Smith
Address ❑� Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
14210 Specking Rd, Anchorage, AK 99515 0 Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
4 1.2 (Assumed) GPD/SF 14.6 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot 5.7 Ft. 8.9 Ft.
Sunset Hills B 3 Fit added above original grade Gravel length
Township Range Section 0 Ft. 46 Ft.
Gravel width Beds: Number of Lines Distance between lines
SEPARATION DISTANCES 3 Ft. - - Ft.
To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches
From
Tank Field Lift Station Tank Line 819 Ft2 1 N/A Ft.
Well >100' >100' >100' NA >25' TANK E Septic ❑ S.T.E.P. ❑ Holding ❑Other
Manufacturer Capacity
Surface Water >100' >100' >100' NA Unknown 1500 Gal.
Material Number of compartments
Lot Line >5' 8" I >5' I NA Unknown Two
NA LIFT STATION
Foundation >5' >10' >5' NA
Manufacturer Capacity
Curtain Drain None Gal.
Remarks Per info provided from reports by Hank Pump on level at Pump off level at High water alarm at
Wilson, PE and Ted Moore, PE, along with in. in. in.
field observations. *Waiver is submitted. Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank Unkwn Tank to
Installer drainfield
Unknown Drainfeld CO/MT
Inspector Unknown BENCH MARK (Assumed elevation) 100.0 ft
Inspection is, Location and description
dates: 2nd
3,d 42' Finished grade above tank
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL En mp
®or, c, -.. C•lata
Conditional Approval: Date :A.*. AN
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49 n-+ a �;0
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$ai, t?rnj?, J Scia! ';CI'
Approved _ / Date ®a �s �S ••`4®r
Inspection Report_9-1-12.doc
pre,MT
x -ANDERSON ENGINEERING , 44
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November 23, 2016
Municipality of Anchorage
Development Services Dept- On-Site Water & Wastewater Program
4700 Elmore Rd
Anchorage, AK 99507
Subject: Sunset Hills Subdivision, Block B Lot 3
Septic System As-built
Dear On-Site Services Engineer:
The owners of the above mentioned lot, located at 14210 Specking Road, are pursuing a COSA
for the purpose of selling their home. Their septic system was designed and built in 1995. At the
time, the home was operating as a duplex, and therefore under the jurisdiction of the DEC.
Unfortunately, it seems that due to some miscommunication, as-builts were not completed at the
time- there is no official record that the system was built as designed and approved to operate.
The water test and well & septic adequacy tests all indicate that the system is working and
adequate for the residence. We are presenting the information that we have found in our
investigations as well as our field measurements to show that the system was built adequately.
According to the approved permit, the trench was designed to be 14' total depth, with 10'
effective depth of gravel below the pipe. It was designed to be 32' long. Field measurements in
the monitoring tube confirm a depth of 14.6'. While we obviously cannot confirm the exact
depth of the gravel and the pipe, the confirmation of the measurement gives confidence that the
cross-section of the trench is correct.
As stated, the permit was approved for construction. While we do not have the record of the test
hole and perk test, we can assume a minimum perk result from this design. The trench as
designed provided 640SF of effective absorption area, and the home is a 4-bedroom home. The
soils rating must have been at least 160 SF/bdrm in order to get approval. The original test holes
must have also been deep enough to show the required 4' separation from groundwater and 6'
from bedrock, as the design mentions this requirement. Additionally, a letter from the engineer
(1-I. Wilson, stamped and dated Sept 24, 1995) mentions that a monitor tube was checked and
installation was observed, confirming `water table and impermeable strata separation'. This is
supported by soils data from adjacent Lot 4, showing no bedrock or groundwater to 16' in two
test holes and perk rates under 5min/in; test holes from Block C Lot17 across the road, showing
similar perk rates and no bedrock or water down to 18'; and records from Lot 31 behind, which
show approved seepage pits at 12' deep.
The design specifies a 1500-gallon septic tank. This is adequate for the size of the system, and
matches the measurements taken of the vents. Of course, without digging it up we cannot verify
the material or where the tank came from, but there isn't reason to suspect in this case that it was
not installed as specified.
This same letter also mentions that the trench was installed as 46' long 'rather than the required
32 feet'. This is confirmed by field measurements, and indicates that the final installation was
actually conservative.
Since the house was a duplex, according to regulations at the time the well was classified as a
Class C well. That is no longer a requirement, and the well can be considered a simple private
well according to current regulations. There is no well drilling log, but there is a pump test report
dated 9/18/95 which gives some pertinent information- depth, casing depth and size, static water
level, and well yield.
All of the result of the investigation taken with the measurements in the field indicate that the
system was built as designed and is functioning properly. Attached are stamped drawings
showing the verified design. We are confident that this is sufficient for the records and for a
COSA to be issued for the home.
It appears, from the as-builted locations of the cleanouts, that a portion of the trench falls closer
than 10' to the front lot line, probably around 8'. This will not affect the neighboring lots, since it
is in the front next to the ROW, and there is sufficient distance from the actual road surface. This
trench will not cause any problems to the ROW. Therefore, we would like to request that a
waiver be issued for the distance from the trench to the front lot line.
Sincerely,
Benjamin Schiller, PE
�5 •
•.'y< '4
{ A,
it. .4ds = c
fes,\cnj3. , i Schiller ^ a
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SUNSET HILLS SUBDIVISION
BLOCK B LOT 3
1500 GALLON SEPTIC TANK
SA A B
F+ FCO 10'6" 58'
TT CO2 �� CO1 40' 85'
/ �03 .$3t TO ST1 41'10" 86'4"
6�%� coil °o'. ST2 53' 94'
,r� 9Ge CO2 54' 94'6"
4 CO3 58' 91'2"
A> CO4 71'4"_ 62'4"
N� C
„a KWWCOP, A \ MT1 69'8" 65'10'
++'ray.LOT B �\ MT1A
U
:::
'."�
\\ ,S4, \\. `: ., � 46 LF ABSORPTION TRENCH
MIN 3'WIDE
� ,(y `: . 10' EFFECTIVE DEPTH
C' .•\.ems
•
o
:35.
"� � i nnil11e
/;At•'. ..Sq 11 �� LEGEND
j*:491 '' *ll
- r PLAN AS BUILT CO — Clean Vent
O. 8enjLi11er .j
TH — Test Hole
`. . AEL 12592 .•.$y5 SCALE 1 " = 40'
+'1l\FOPROFESSIO\Vt% I'
Municipality of Anchorage Page 4 of 4
DEVEOPMENT SERVICES DEPARTMENT
4700 Elmore Road Anchorage, AK. 99519-6655-343-7904
On-Site Wastewater Disposal System or Well Inspection Report
Permit Number: PID No. 018-201-38
SUNSET HILLS SUBDIVISION
BLOCK B LOT 3
I OLL O (0 100.0(0
Ori.ina I
li!. Ground
la
1,500 Gallon
Septic Tank
94.8 94.65
91.5
M O
O 2 O
U
99.5
Original and Finished Grade
•
93.75 • ` Grainfield Rock
84.9_7
I I
46'(Trench Length)
rte_ .4`
....- ��1
fte
7H /\ •-*%
PROFILE AS-BUILT �l,y. Be in Schiller
o . AEL 12592 ••4,-41-
No
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No Scale 1'kkF'PeDP40FESSIOt
'). Municipality of Anchorage
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partmettr�s
P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.orq/Onsite
Development Services Division
On-Site Water and Wastewater Program
**** VARIANCE/WAIVER REVIEW ****
Waiver#: OSV161142 COSA#: OSC161563 Permit#:
PID#: 018-201-38
Legal Description: Sunset Hills BB L3
•
Engineer: Anderson Engineering •
Applicant: Darren and Robin Lovelace-Smith
Your request for a waiver of the required 10 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 8.0 feet.
- This waiver approval applies to the existing absorption field only. Any future upgrade to the on-
site wastewater disposal system will require all separation distances be met or another approval
from this department.
❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this
waiver.
❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected
adjacent property.
® Adjacent properties are not affected by this waiver.
Waiver is Granted: X Waiver is not Granted:
Date: //03/16. Approved by: L
Name of Revi fr
**** VARIANCE/WAIVER REVIEW ****
r..
•
•
7V15t. i •
tRI-ECHNICAL SEW-,
MIL A ENVIRONMENTAL ENGINEERING • ENERGY CONFERVATION & ANALYSR
THEODORE F. MOORE, P.E. - 14530 ECHO ST.
PH: (907) 345-1355 ANCHORAGE, ALASKA 99516
June 10, 1998
ADEC Anchorage/Western Public Service Area Office
555 Cordova Street
Anchorage, AK 99501 •
RE Lot 3, Block B, Sunset.Hills S/D — 14210 Specking Avenue, Anchorage
ADEC project nos. 9521-DW-061-094 and ADEC 9521-WW-061-219
Dear Sirs:
I have been retained by Mr. Leon Windeler to provide an engineer's report on the water supply
and wastewater disposal systems serving his duplex on the above-referenced property. This was
requested because the duplex is now in the process of being sold. In researching your files I found a
4/15/95 engineer's report requesting construction approval and a 5/9/95 letter from Michael Lu granting
the construction approval. I also found a 9/24/95 letter from Mr. Windeler's engineer, Henry Wilson,
providing a post construction response to conditions and questions raised in the 5/9/95 letter. I did not
find any formal as-built drawings of the septic system or operational certificates issued by D.E.C.
Further inquiry led to the discovery of a draft DEC response dated 10/12/95 that was prepared for Mr.
Lu's signature, but apparently was then overlooked with the result that it never got sent out to Mr. Wilson.
Thus, Mr. Windeler was never made aware that your department required further information before
issuing formal operational approval. This submittal provides the desired additional information. I
understand that your office will not require payment of the $230 additional waiver fee referenced in the
Mr. Lu's draft letter.
There appears to have been some confusion regarding the proper legal description of the property.
Mr. Wilson's submittals refer to the property as being Lot 2, Block B, Sunset Hills S/D, whereas the
actual legal description should be Lot 3, Block B, Sunset Hills S/D. Because all the adjoining lots are of
the same size and shape with no clearly distinguishing features, and because the subdivision has been
truncated by the construction of the Rabbit Creek interchange on the Seward Highway, it is easy to
mistake one lot for the next. I have prepared the enclosed drawing showing the as-built configuration of
the water supply and wastewater disposal system components.
•
On June 5, 1998 I re-inspected both systems. Mr. Wilson provided complete documentation of
the construction of the water supply well and its yield in his 9/24/95 submittal. I subsequently inspected
the components of the water distribution system visible inside the duplex. The water supply line from the
well is 1" diameter copper, and the interior plumbing is '/." and '/:' copper. The plumbing appears to be
in good condition and there is no indication it has been modified in recent years. The water storage tank
is 20" diameter x 36" high, bladder type pressure tank with a calculated total volume of 50 gallons. The
water heater is a gas fired Rheem unit with an external diameter of 18" and a height of 45". The lab test
results for water samples that I collected on 5/26/98 were satisfactory, showing 0 coliform or other
bacteria per 100 ml., and 0.261 mg/I of nitrate-N.
The as-built locations of the septic system components with respect to the water supply well and
the building corners are shown on the accompanying drawing. This documents the fact that the as-built
configuration conforms to the approved 100' horizontal separation distances of the proposed design. Mr.
Wilson's signed and sealed letter dated 9/24/95 provides assurance that the system as installed maintains
the required 4-foot vertical separation from groundwater and 6 feet from impermeable material.
I trust that this submittal adequately addresses DEC's remaining concerns regarding these systems.
If so, please issue the applicable Operation Certificates. Thank you for your assistance.
• Sincerely,
re-re m_
Ted Moore, P.E.
cc: Leon Windeler
Henry Wilson
,s
•
Iff
7. • C I
$iWING TIES: Y \ LOT 17
P'/� BLOCK A,
�O
FROM: COR. "A" COR "B" COR "C" COR "0" F77
cl• .7' • \----
TO: \ / • SA
S.T.C.O. "E" 42' 86.5' \\ ��
S.T. C.O. "F" 53' 94'
TR. C.O. "G" 57.5' 91' ' 'LC
TR. M.T. "H" 69.5' 86' ;
TR. C.O. "I" 71.5' 62.5' ` . 174,.
F
WELL 28' 51' "F .LG�
I �•G• . .
MONITOR TUBE
L01 4 \•, TOTAL DEPTH
, /14 .'.----- -'-.- . (VACANT) 1500 GALLON_\ • = 14'-4" B.G.L.
SEPTIC TANK ,• .\M11H„
/19:
a +t ,, it C.O.
�" CLEANOUT
ti„u.i"u:”"l+a�; 46'LONG SOIL "I",
� FF,t{ + t•Itt.,t ( t ABS. TRENCH'F1?1:.'it�i?i:I4' '+?';yit W. 10' SEWER GVL.
PRESSURE i1u?;I?las&-.3I`Oiiis li:.. ,I
• .
' rn.. I m,+.
TANK illia:ta !m.'P''•jiL:,::,;;
•
. ..- - :i?sul?.. QCT' •t,ia�
. . Iiiiii21Tiggilitet01, \
oo' i. : 1
•
tiii ,
, uu., .t.
',hi CLASS"C"WELL
LOT 2
. (VACANT)
LOT 31 LOT 3
BLOCK 8
'� NOTE,
WELL — • SWING TIE DISTANCES TO BUILDING
�7 ,✓ CORNERS ARE FIELD MEASURED.
/ � ORIENTATION WITH RESPECT TO
y , PROPERTY LINES IS APPROXIMATE
-• . 4 0(-er•.;O--.. '��® LOT 3, BLK. B,SUNSET HILLS SID
ND SEPTIC SYSTEM
C / m •. AS-BUILT CONFIGURATION
Q�, ••• •• � FLATTOP TECHNICAL SERVICES 1 INCH = 30 FEET
'. • e of . \ 14530 ECHO STREET DRAWN BY TFM
,- �Q �� •o• CE =3589 ,e Ar
® 'e ••• \ ANCHORAGE,ALASKA 99516 JUNE, 1998
41.
4�t �Qof���oQ NOTE. THIS IS NOTA SURVEYED PLAT.
ALL LOCATIONS SHOWN ARE APPROXIMATE
TOTPL P.06
Constructing' Engineers
Engi n'eers`Su rveyors
HENRY WILSON _ r
h5R'o
We a
�' iC k Coo )ISTRICT OFFICE Septembe�rcI, T9'45/995 a�
no W .vironmental Conservation DEPARTMENT OF '
MRONAMEMTTAL CONSEP"
vd. Suite 3-470 4tTn
9515
- zee: -Lot 2, Block B, Sunset Hill Subdivision, Section 32, T12N, R3W, S.M. - 14210
Specking Ave.; ADEC Project Nos. 9521-DW-061-094
9521-WW-061-219 `
•
Dear Mr. Lu: /a
Drinking Water System
Subsequent to your litter of May 9, 1995, a waterwell test and report was performed by
Alpine Drilling and,,Enterprises. A copy of the test data is attached for your review and
files. The test showed a yield of 9.8 gpm with very little drawdown and an immediate
recovery to-the initial static level. I interpret this to mean that the 9.8 gpm is limited by
the capacity of the pump rather than the well.
As suggested in your May 9, 1995 letter I have used a fixture count analysis as outlined in
the Uniform Plumbing Code.
Lot 2,Block B. Sunset Hills Duplex
Fixtures:
(From Table A-2) F.U.
2 Bathtubs @ 2 F.U. = 4
2 Kitchen Sinks @ 2 F.U. = 4
2 Lavatories @ 1 F.U. = 2
1 Laundry Tray @ 2 F.U. = 2
2 Toilets @ 3 F.U. = 6
18 F.U.
From Chart A-3, Demand = approx. 12 gpm. For a 20 minute peak, required yield +
storage = 240 gallons.
Yield = 9.8 gpm x 20 min = 196 gallons
Estimated Existing Storage @ 60% x 80 = 48 gallons
244 gallons
/
• Constructing Engineers
EngineOs;: Surveyors
HENRY WILSON 1:•r;;.::.:
9601 BUDDY WERNER DR.:
ANCHORAGE,AK 99516 -"
(907)346.2000 =-
Therefore, the existing pump yield and storage are adequate to meet peak demand
requirements.
Wastewater Disposal System
I. The writer monitored the installation of the wastewater disposal system. The
system was installed in compliance with the approved design, except that the
trench length installed was 46 feet rather than the required 32.feet.
2. Based on the nearby soil monitor tube installed in the test hole and conditions
observed during the installation, soils, water table and impermeable strata
separation were verified.
3. Effective depth of the trench was measured from the bottom of the distribution
lateral.
Please advise if any other information is needed.
Sincerely,
Constructing Engineers
.,,, OFAL •Itta
fr *444 t ft
tQ'meq: MO.1732-E :7e1
4141"
by: H. H. Wilson, P.E.
Aug. 20. 19?5 OE.52 Ail P01
From ALPINE Dc ILL 907 345 [^2G2 °Dela: r7-7-2-77-94._>
E/6-dao
WAT RWELL - TEST PUMP REPORT ' )4/—s---0,5%,
a ,,
Conducted by . .% v�." 4 ..[n.�.4A �' �f/� . i
Owner �• _
tilarArt
Wall Location .-ri"" -� •� �--L r _._...—
Well Information; Ttl. D pth Depth of Casing
/1 3 Screen From —To
Casing Size - Screen Diam '`----Screen Slot '
Remarks
'- Air Lino Depth
Pump Information: Intake Dapth Pum P Sir'
Static Water Level 9 z--- _A`. Discharge / I �yS—
Pump On: Time /0 C/0 Dale /1-/V71.1-Pump 011:., •t DPM, Max. Drawdown Date B-
WATER PJE2O• FLOW WATER PIELO- FLOW REMARKS
TIME LEVEL luso OPM REMARKS TIME LEVEL TUBE GPM
/,d
ixaretr SIP
....11111111111=1111111111117 •
rs
Minillijilla .. _._
f
0 0
\ 0
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f- WILL \\
0 \\\
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VACANT LOT \\
04
PRO •SED 32' TRENCH \
PROPOSED 1600 GAL TANK \\\\
3 ♦ \\\
.‘\\ VACAN T C\ \�\\
\\\ `\ \0
\•� ` EST •
I'T'C VACANT LOT \\\\
7;(\\\ ••\.,
•
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WELL III
lC______l
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•�y�e.^.91.S.a y SITE PLAN NPTAILS
art.. of a<qap PROPOSED DATER AND WASTEWATER ABSORPTION SYSTEM
�f���t °'�r"t,� ,4� LOT 2 BLOCK H SUNSET BILLS HUDDIV[EION
j'q .r.r, �op' ?
.'* . 4. TIS 1 • =\ ' .11..* i PP.EPAPrE raw LEON a'L;nFLr._n
0. ��f inl C1T 2 S'u :a :: .
+Z•�"•"^^•""" % ANCHORAGE. ALASKA 98510
.q� bla r A�
I�0 Pesti% Je >p5,19211 ;al ar SGY E: ' ! OR4i1r eY n v
984 ¢9 CONSTRUCTION £NCINRDRS 046.-2000
9601 DTIDDY WERNER' DR
. •'!2-fs" - ANCHORAGE, -AK. 90516 2-0-95
EXHIBIT A-1
.o.�.. . ._..
0 0
. zie VNELL \\
. 4
9D VACANT LOT
PROPOSED 1800 GAL TANK PRO USED 32' TRENCH
3
VACAN OT
\0\ '\ ST PIT VACANT LOT
\\� 2
\...--R' = 100 \\\ �
,\\ VACANT LO
1
ii
; l
WELL
I1.-
------ Dennis Way
�—.1.-cro p� BM PIAN BETAB$
4 74",""j"...
�', °F p'Q<A 41a PROP OSZD VATCA SIC WASTEWATER ABSORPTION SY3TEN
r C,, a..f1�.�',7'�i, LOT a BLOCS B SUN3SC anal 9UBBtvL4lON
ew.tia
,�}( LOT B BLOCK B SUNSET BILLS
....... %
...f... ANCHORIGB, ALASKA DD5ie
d t ,naiE
1'o s bung 22 wo ;ce VI/ AMR IA P
MUM w Re
1VJ1L 'e" C0N91RUCTION SNCINEERS 544-BOOo
Flt0fN�"i1 B:AI. 0005 BUDDY WEBYER DR
*NCR MUGS, AL a1251a E-E-06
EXHIBIT' A-1
XF-diccn a_, ti —9 s
.. ....... ___..,.. ___..,_...,,,----..
0 0
•
sonic TOE, - gLLL82-
1 -----.....,,
SEWER - 100'RETRACE FPGI WATER WE,L
TRT HOLE
/ �SETYF1i LINE
.( M •U
_ IOP VIEW
0.FM101I@
WELL CASK' •
MIN P
COVER FpOftC
ABOVE 111111 . TOR TWE
GROG Hi
I
NY II
WELL COP
4LP?
j'� "I .
11
^ �\. .ei50MTFD rot
HTLL55 4DAPTER I
[TPAGE TPPNCN
WOE VIEW
MITS OF EXCAVATION
"•
�4:MIN.PATCHCOVER FABRIC.
ROE VIEW
bWITH
'EFFECTIVE
ORAIN,GRAVEL�. 4'19N TO WATER TABLE
s'MIN TO OEDROCP
END VIEW
ti -.�••a45lq' SITE PLAN DETAILS
.�3.OF 1.4441 it PROPOSED WATER AND PASTEWATCR ABSORPTION SYSTEM
4 7't ����•A.(g yp�,9'f8, LOT a BLOCK B SUNSET HILLS SUBDIVISION
•
41/�.ipT NN'}�, ' �T fi e. PPEPART-n FOE: ISO); IrTNBECro
ms.
���~ ANCHORAGE, ALASKA` 99618
NM um f
,f wA,Jmm 21:IAS4 ' ••• W:I DRAWN RV NAP
•,h � AL �N y
I• CONSTRUCTION ENGINEERS 518-4000
EeTz _ 0601 BUDDY WERNER DR
2•/Z.' l^ ANCHORAGE, AK. $5f4 2-8-95
EXHIBIT B
0
SEPARATION DISTANCE WAIVER
1. WATER TABLE
Static level of welt= 92'
Bottom of Proposed trench= 14
78'
Point Value 5,85
2. SOIL SORBTION
Three available area wall logs indicate variable soils, The fines are a mixture of sand and silt
An average of the point valves for
sand with a small amount of clay=2.5
silt =3.5
Average Point Value=3.0
3. PERMPABLILITY
An average of the point vlues for f
silt =2.0
fine sand =1.5
Average Point Vatuel.75
4, WATER TABLE GRADIENT
100 ' Hyd. Gradient-12%
-10=1.2
12 i�.. -20=0.7
1I « 0.5 Point Value=1.10
5. HORIZONTAL SEPARATION
Proposed new system approximately 100' Point Value 3.00
Total Point Value 14.7
Conclusion: No bacteriological pollution possible but chemibal pollution possible but unlikely
from household chemicals.
77 of�an�
.n 'n•• ; 3p3
0'61 A 41e tv a,
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M0.1n2-e 1471
4/4\ /s1wa3.1911Va
is-?s
•
's ..:"e unicipality of Anchorage „07, e�,°
''<
. "
”
ZOn-Site Water and Wastewater Program a ®(907) 343-7904 SA Cry
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 018-201-38 Expiration Date: `i °'
1. GENERAL INFORMATION
Complete legal description SUNSET HILLS BLOCK B, LOT 3
Location (site address) 14210 SPECKING AVENUE,ANCHORAGE,AK 99516
Current Property owner(s) BIG CHEESE INVESTMENTS, LLC Day phone
Mailing address 9400 ATELIER DRIVE,ANCHORAGE,AK 99507
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY:
Individual
Individual Well El
Holding Tank ❑
Individual Water Storage ❑
Community ❑
Community Class Well ❑ ❑
Public Sewer
Public Water System ❑
WaiverNariance request for: Distance:
Received by: ��4" 17 I,l -it d Date: 001
COSA to be released to the engineer,unless otherw/---
ed by the engineer.
COSA Fee $ 62 (e — Waiver Fee $
Date of Payment (p-EZ6—tr._,45— Date of Payment
Receipt Number 011 3it Receipt Number
COSA# 06CI$1213
Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577
Engineer's Printed Name KENNETH M.DUFFUS Date 6/22/2018
THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED
WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with
ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested.
The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface,changes inland use,
local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the
system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the
control of the evaluator of the well and septic system. Therefore,ArcTerra can not give any estimate of how long a system will function
satisfactory for current or future occupants or can ArcTerra guarantee that no unseen -.16:41\\66,.ii
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encroachments,deficiencies or discrepancies exist. -4 , OF AL`�s÷1
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6. DSD SIGNATURE .. _ �'"
System #1 Approved for tli bedrooms. 4 ,;ENh T �c /
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System #2 Approved for bedrooms. `r;�� s v�`'1
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Disapproved. ‘,1...N\-411:11P-
Conditional
``-411fConditional approval for bedrooms, with the following stipulations:
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B tM Original Certificate Date:
By:
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 XNitrate Advisory
Septic System Advisory Arsenic Advisory:. ..
Well Flow Advisory Other
COSA blue sheet_10-1012.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system _
Certificate of On-Site Systems Approval Checklist
Legal Description: SUNSET HILLS BLOCK B, LOT 3 Parcel ID: 018-201-38
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID# Well Log (Y/N) N
Date completed 1964(CIRCA) Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 173 ft. Cased to 40+ ft. Casing height (above ground) 12+ in.
FROM WEU-4G—PUMP REPORT AT INSPECTION
Date of test _ 9/18/1995 _ 6/20/2018
Static water level 92 ft. 95 ft.
Well production 9.8 - g.p.m. 6.3 —_ g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate r J 7 -1 mg/L
Arsenic: 112 ug/L Date of sample: 6/21/2018 Collected by: ARCTERRA
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/UNKNOWN(STEEL ASSUMED) Date installed 6/1995
Tank size _ 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping 6/19/2018 Pumper ONE STOP
C. ABSORPTION FIELD DATA
Date installed 6/1995 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2(ASSUMED) System type TRENCH
Length 46 ft. Width -3 ft. Gravel below pipe 8.9 ft.
Total depth 14.4 ft. (Measured 6/20/18) Eff. absorption area 819 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 6/20/18 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 41 _ in. Water added 940 gal. New depth 64 in.
Elapsed Time: 1410 min. Final fluid depth 39 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 Size in gallons Manhole/Access(Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm &circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 100'+
Sewer/septic service line 25'+ Holding tank 100'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 8'(2016 WAIVER) Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+
F. COMMENTS
VACANT SYSTEM PRESOAKED PER CODE PRIOR TO TESTING.
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 COSA guidelines in effect on this date. or-47s OF ALS
Engineer's Printed Name KENNETH M.DUFFUS
�
Date 6/2212018 F * �TH
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COSA canary sheet_2-6-15.doc ��' joil
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II: Municipality of Anchorage 'P'
t On-Site Water and Wastewater Program a
(907) 343-7904 s;f t-g vl^' ;3'-
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Certificate of On-Site Systems Approval
la NOV 1 8 2013 I=
018-201-38-000 /-
Parcel
l.D. Ex iration Date: 2 /Z 7 /.:
1. GENERAL INFORMATION ' u
Complete legal description Sunset Hills. Sub, Block B Lot 3
Location (site address) 14210 Specking Ave
Current Property owner(s) Darren & Robin Lovelace Smith Day phone
Mailing address 14210 Specking Ave, Anchorage, AK 99515
Real Estate Agent Jonathan Lindsay Day phone 907-301-7653
2. TYPE OF DWELLING:
E Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual.Well E Individual 0
Individual Water Storage ❑ Holding Tank ❑
•Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: /lb U //LL( p.( / Wt ya/!/?,QJ Date: /(/a3ge,
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 5a .00 Waiver Fee $ 2.) Jf"
Date of Payment H l //i'Vac Date of Payment 11/7,..544Receipt Number 09 ,9,2- Receipt Number 01'54OCr
COSA# OotI( I51P3 Waiver# 05V) 6 )142
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Anderson Engineering Phone 907-522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Benjamin Schiller Date 11/18/2016
eatnt
sv ,`rr OF
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6. DSD SIGNATURE '. ,
x System #1 Approved for LI bedrooms g.w. •
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System #2 Approved for bedrooms A,�1i o. CE- 25 2 ,t 7
weir •.,,le vy// .=
Disapproved •' :. ®�+ Opt__ fSt„"�•`r`=
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description: Sunset Hills Sub, Block B Lot 3 Parcel ID:018-201-38-000
A. WELL DATA
Well type Individual If A, B, or C provide PWSID# Well Log (Y/N) N
Date completed C. 1964 ( ) Sanitary seal (Y/N) Y Wires properly protected (Y/N)
Total depth 1 73 ft. Cased to 1 73 ft. Casing height(above ground) 12 in.
PonP etfoe-c
FROM WELL LOC AT INSPECTION
Date of test 9/18/95 11/1/16
Static water level 92 ft. 58.4 ft.
Well production 9.8 g.p.m. 6.0 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL Nitrate 0.39 mg/L •
Arsenic ND ug/L Date of sample: 1 0/20/16 Collected by: Anderson Engineering
B. SEPTIC/HOLDING.TANK DATA
Tank Type/Material Septic/UnknownDate installed June 1995
Tank size 1500 gal. Number of Compartments� Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N
Date of pumping
11/16/16 .. Pumper.Around-The-Clock Pumping
C. ABSORPTION FIELD DATA
Date installed Jun.95 Soil rating (g.p.d./ft2 or ft2/bdrm) 1.2(ASSUMED) System type Trench
Lenge t ft:,fA Jc Width ft. Gravel below pipe ft.
4
, ' 1`4 6 . cis � 819 2 Y N
Total"depth . ft. i,,•Eff:absorption area ft Monitoring tube Depression over field
'11/1/1''6 Pass 4
Date of adequacy test - L. Results(Pass/Fail) For_bedrooms
Fluid depth'in"absorption field before test 87.5 in. Water added 600 gal. New depth-92 in.
Elapsed Time:.75 min' Final fluid depth 89 in. Absorption rate >_ >600 g p d
NAny re1 uveiiation treatment (past 12 mo.) (Y/N & type) _ If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access(Y/N)
"Pump on" level at in. "Pump off' level at in. High water alarm level at in.
Datum Cycles tested Meets alarm &circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
i >100'
Septic tank/lift station on lot 1 On adjacent lots
Absorption field on lot >100On adjacent lots 100'
Public sewer main >75 Public sewer manhole/cleanout >1��
Sewer/septic service line >25' Holding tank >75
Animal containment areas >50 Manure/animal excrete storage areas >1��
SEPTIC/HOLDING TANK ON LOT TO:
>5' >5' >5'
Building foundation Property line Absorption field
100'
Water main >1Water service line >1 Surface water >
Wells on adjacent lots >100'
ABSORPTION FIELD ON LOT TO:
81*
Property line Building foundation >10 Water main10' >10
100'
Water Service line > Surface water > Driveway, parking/vehicle storage >10'
Curtain drain None Noted Wells on adjacent lots >100'
F. COMMENTS
*Waiver application has been submitted
G. ENGINEER'S CERTIFICATIONX44. OF.ge eo
1 certify that I have determined through field inspections and amrarAy:.411 t
'4:11_ -0
review of Municipal records that the above systems are in m T 5.conformance with MOA COSA guidelines in effect on this date. e ; 9 u •: r '
Benjamin Schiller, P.E. r o
Engineer's Printed Namegrim
11/23/2016 0 :71'.1201,, " Schiller; ,
Date ®8W,5(. C :91 m
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NOTE:
THERE ARE MINOR SURVEY DISCREPANCIES
THROUGHOUT THIS SUBDIVISION. THE CORNERS
SHOW HEREON WERE USED TO COMPUTE THE EASTERLY
CORNERS AT RECORD DISTANCE/BEARING.
AS—BUILT SURVEY 1 " = 30 '
_ \- NO CORNERS SET THIS DATE
o OF q �4Q SURVEY ORDERS]BY:
KEMN TAYL.ORL \ ENO. mr PIPE @ I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY
a5k --. 716An REMAX PROVERTES law CORNER LOT 3 OF THE FOLLOWING DESCRIBED PROPERTY( • . O LOT 3, BLOCK B, SUNSET HILLS SUB.
'`.'. �O
/ :49 TH �� '.A OOO THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE
y� CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS:AND ISTHE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN
0 � '-"'�A � � EASEMENTS OF RECORD,OTHER THAN THOSE APPEARING ON THE RECORD PLAT d-- NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, SARE NOT SHOWN EXISTROTHER THANOPERTY E NOTED.S AND VISIBLE ENCROACHMENTS
� v DATED AT ANCHORAGE,ALASKA THIS _15TH DAY OF
O m Q NO EON(UNLE55INDICATED)
O,p : c NOVEMBER , 2016.
SHANE A.HOLT : O NOTE FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE OO4m� ..'•. LS-6914 ' p`0 PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS.
OC
R,- y ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. HOLT LAND SURVEYING
1� l�ofessiona\ `2Coo ANCN R09 O E,AKDRIVE
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440����00 13466, FB 179-72 345-5513