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SEAVIEW HEIGHTS BLK 2 LT 6 (LT 2)
NtvDL) l�Cn hAS '"" Lor 1\?- \ D ,v ,a U11 at1t_oc6 14cmois CCL_ La 4 O� LkckLe G. GR' -ER ANCHORAGE AREA BOr UGH ;G Department of Environmental Quality .. �� 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE� DISPOSAL SYSTEM vJ NAME �� 2124_� � MAILING ADDRESS .` C: 1 PHONE.3�CC--(� ' �y LOCATION LEGAL DESCRIPTION L1" • '"� SEPTIC TANK: CiY 0.52.,9(-0 12A Oc,V..._2_ DISTANCENUMBER OF FROM WELL•¢` MANUFACTURER AS•- MATERIAL C- C2-1 COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY / 'U GALLONS. SEEPAGE PIT: / '•-?( 1")—XC0 atAk NUMBER OF PITS I DIAMETER OR WIDTH—, LENGTH_, DEPTH LINING MATERIAL C-�=we.-=-t CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL • TOTAL EFFECTIVE BUILDING FOUNDATION , NEAREST LOT LINE . ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPEQA.11- CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE /�- FOUNDATION , LOT LINE , SEWER LINE , TANKSYSTEM CESSPOOL , OTHER SOURCES • APPROVED DISAPPROVED REMARKS . DISTANCES: O `C DIAGRAM OF SYSTEM Q Q U INSTALLED BY: r _ ACO i PIPE MATERIAL: a) 64.5+ t 1 i$ , . „),- k 0 ,©; .i LOT SLOPE: - ' `�� REMARKS: tr r 1'V DATE a , hr APPROVED CIMINM-Kr' G.A.A.B. Form No. EQ-031 .B.*•.r (, : oo ,n. rn. UL µ-.) GREATER ANCHORAGE AREA BOROUGH PERMIT NO. vDEPARTMENT OF ENVIRONMENTAL QUALITYa/1no\ ti3330 "C" STREET ANCHORAGE, ALASKA 99503 "i 3 I 'fuR TELEPHONE 274-4561 ''i 00 0 ~O' SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT NAME OF APPLICANT Pl J'�1 9;//-e/ MAILING ADDRESS v�O• 5a KN' �/�PH6NE L/ `C.03 14- 1 INSTALLATION LOCATION / / fS JL]/' LEGAL DESCRIPTION L o c/ � ` .eq 0 i e� " ,11 OF: SEPTIC TANK ��/}/-QQ� SEEPAGE PIT "----- INSTALLATION DRAIINN FIELD , OTHER , TYPE AND SIZE OF FACILITY TO BE SERVED r ✓�,, ', ,7e A__,,,..,/` i FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS 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. oe SEPTIC TANK SIZE / S'4, TYPE�`� l O i - / S EP G AREA SIZE TYPE // MINIMUM DISTANCES,REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK - 5e A / 40_- ^ 1e// FOUNDATION TO SEEPAGE PIT Z , DRAIN FIELD / SEPTIC TANK TO SEEPAGE PIT WALL /- 2 � i w//f 7140-elb-e SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT L/IINE` Sa.yju p4.4/.'c sp J[`^ p e__ WELL TO SEPTIC TANK/;r4/-1 /a SEEPAGE PIT /e, le, 1...� n 1�' -Pa.ye' (6K 6 / DRAIN FIELD , ALSO CONSIDER AREA WELLS. / 4te WATER MAIN TO SEPTIC TANK . SEEPAGE PIT ) 7 C61/4 /� ����� /DRAIN FIELDfff--- !/(� 1 SEPTIC TANK, /�9 C/ , SEEPAGE PIT 1OO . DRAIN FIELD �Q 452 I" TO RIVER, LAKE. STREAM. !) de' / e9f ,�JCAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF g--4.6,,,,te.4_. (/�, !//�✓� jEXCAVATION 5 FEET INTO UNDISTURBED SOIL. a�I ^ 9 11 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ' /,.,.„7/2 if . . / G.A.A.B. OR LICENSED DESIGNER - . I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA B ROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE S -- 49-� -/ APPLICANT'S SIGNATURE`� �f/t� '-F FORM NO.E0-016 ALASKA ENVIRONMENTAL JOB Ld y 5E74'�/t13 CONTROL SERVIr 1, INC. SHEET NO. '/ OF 1200 West 33rd Avenue Suite B CALCULATED BY i"�/e-'// DATE— -/V-i4 ANCHORAGE, ALASKA 99503 Phone 561-5040 CHECKED BY DATE_—_-- — SCALE 3° 47 o �G7-40 � Io CA • eh SEPT e 1.0 7404, X40 I "- i tv � a T cRA8s/� N00. pl • AiEL L 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. 011-261-08 Legal description SEAVIEW HEIGHTS BLK Site address 8605 SOMMERS PL Expiration Date: 10/4/23 2 LT 6 (LT 2) Current property owner(s) MURRAY KASSI & RODNEY X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: M Original Certificate Date: 10/4/22 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 tUe 11 wo ; ver COSA Approvaijune 2022 Municipality of Anchorage I.Prnsartment P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 • Fax (907) 343-7997 http://Www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV221068 PID#: 011-261-08 COSA#:OSC221477 Permit#: Legal Description: SEAVIEW HEIGHTS BILK 2 LT 6 (LT 2) Engineer: Forge engineering Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the private well has been approved. The approved separation distance is 87.0 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. Waiver is Granted: X Waiver is not Granted: Date: g Approved by: G(/ Name of Reviewer **** VARIANCE/WAIVER REVIEW **** UH C I PA L�TY OF�HCH0R,,�\ GE 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. 011-261-08 Complete legal description Seaview Heights, Block 2 Lot 6 (Lot 2) Location (Site address) 8605 Sommers Place, Anchorage, AK 99502 Current property owner(s) Kassi & Rodney Murray Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS - - - —3.- TYPE OF WATER SUPPLY:-[] Private Well ❑ Private Well serving 2 -dwelling units ❑ Private Well serving 3+ dwelling units 0 Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑■ Concrete ❑ Fiberglass Age 48 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ■❑ Seepage Pit Waiver request for: Crib to neighboring well Distance: 87' q Expedited review requested: ❑ 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 $ J5 50 Date of Payment q 3 COSA# 05C Z2 -N-77 Waiver Fee $ (� Date of Payment Waiver # 05 V 22 10 6�b COSA Applicationjune 2022 COSA Checklist Legal Description: SeayieW Heights, Block 2 Lot 6 (Lot 2) Parcel ID: 011-261-08 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA I log is filed with Onsite (or attached) Date drilled — Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments B. TANK DATA Measured operating fluid level in septic tank 76" Date of pumping $/16/22* ❑ Required maintenance completed, if AWWTS Comments: *Drain Masters D. ABSORPTION FIELD DATA Which system tested (date installed) 10/28/74 ❑ ALL standpipes present per record drawing Total measured depth from grade 15.4 ft (max) Measured depth to pipe invert from grade 8.2 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced N/A gallons N/A date Any rejuvenation treatment (past 12 months) N/A If yes, enter date COSA Checklist June 2022 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arse. ug/L ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION A T'i�e ired maintenance completed ge of lift station years Lift station material Comments: Adequacy test date 4/12/22 Results ❑ Pass Fluid depth prior to test 35 in Water added 728 gal New fluid depth 40 in Elapsed time 1440 min Final fluid depth 32 in Absorption rate ' 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 72 in Effective depth used 32 in Effective depth remaining 40 in E. SEPARATION DISTANCES F Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/ I non Lot > 100' Fil Yes Community Sewer Manhole/Cleanout > 100' Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' Yes i ft Private Sewer/Septic Line > 25' n Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Tank > 100' ❑Yes if No ft Neighboring Absorption Fields > 100' Private Wells > 100' Animal Containme _ Yes if No ft n Yes if No ft ft Community Wells > 200' ❑ Yes if No 140* ft Water Service Line > 10' Manure/Animal Excreta Storage > 1 if No Community Sewer Main > 75' [:]Yes if No ft F-1 Yes if No ❑ 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' Fil Yes if No ft Surface Water > 100' R Yes if No ft Tank to Property Line > 5' [E Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' FE] Yes if No ft Private Wells > 100' ❑87'x*Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' ❑ Yes if No 140* ft Water Service Line > 10' Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Septic tank =140' from well, crib = 150' from well. DEC waiver in MOA files Crib is under driveway. Noted on approvals as far back as 1986. No problems recorded. **Well was drilled after this installation. See_ waiver_ request 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 Forge Engineering Engineer's Printed Name COSA Checklist—June 2022 Benjamin Schiller, P.E. Phone (907) 522-7773 Date 10/3/22 BenjarViSchiller i �Fc •., CE 12592AN •��`i�s A ���k�9F�pROFESS14N4�'�.�.� October 3, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Seaview Heights B2 L6 (L2) – 8605 Sommers Pl Well waiver request Dear On-Site Services Engineer: A septic permit was issued for this lot on May 24, 1974, specifying the code-required minimum separation distances from the system to adjacent wells. An inspection report for the installation was submitted and approved on October 28, 2974. However, sometime between 1983 and 1986 a well was drilled on the lot across the road (Lot 15). Records for that lot indicate that the well was drilled within 87’ of this septic system, in violation of code. The notice of violation in that file was never resolved. In order for this property to obtain a COSA, however, we are obliged to apply for a waiver from that well to this crib. Unfortunately, we do not have permission to sample the water from this neighbor’s well. An analysis for nitrates in the neighboring properties does not show any significant indication of general nitrate contamination, as shown in the following table: Legal Description: Nitrates(ug/L): Seaview Heights B2 L6 (Lot 13) 0.0 Seaview Heights B2 L6 (Lot 16) 0.50 Seaview Heights B2 L6 (Lot 4A) 0.10 In addition, here is the ADEC point analysis in support of “Contamination Unlikely”: ADEC POINT ANALYSIS (15.9 total) Bottom of Absorption Trench to Highest Water Table – 143’ 7.0 Points Soil Absorption Type – Sand and gravel w/ some silt 2.5 Points Permeability – Fine sand 1.5 Points Water Table Gradient - about level (estimated from maps) 2.9 Points Horizontal Separation – 86’ 2.0 Points The location of the well is across the street from the crib, so there is no possibility that effluent could overflow the system and run toward the well. It would instead run down the street toward West Dimond Blvd. Finally, the system has existed for over 30 years with no adverse effects to the occupants. Based on this information, we hereby request a waiver be issued for the 87’ separation between that well and this crib. Sincerely, Benjamin Schiller, PE Certificate of On -Site Systems Approval Parcel I.D. 011-261-08 1. GENERAL INFORMATION Expiration Date: S-- 30 'Z0 Z J Complete legal description SEAVIEW HEIGHTS BILK 2. LO I (o - -(7, Location (site address) 80605 SOMMERS PLACE, ANCH AK Current property owner(s) RAY SMITH Mailing address SAME Real estate agent 2. TYPE OF DWELLING: El Single Family (w/wo ADU) F-1 Duplex ❑ Multiple Dwellings (Single Family and/or Du'p 4 4. TYPE OF WATER SUPPLY: Private Well ❑ Water Storage ❑ Community Well Community Public Water System ❑ Waiver request for: Day phone Day phone 7 5)"51 A�vZ. -- 1,,14 4 y 2o, TYPE OF WASTEWATER DISPOSAL: Private Septic 0 Holding Tank 1-1 Community 1771 Public Sewer El Received by: 'e -p" Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number COSA # 65,� N/900 - Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: 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. I acknowledge that On-Site staff may visit the site to verify the information submitted. Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864 Address 4661 NATRONA AVE ANCH AK Engineer's Printed Name MIKE N ANDERSON, P.E. Date 5-29-19 • S (I r 6. DSD SIGNATURE *: 4`9TH kee System #1 Approved for 4 bedrooms % MICHAEL N. At`DERSCN Q System #2 Approved for bedrooms fa fl• aC- 9169 ••.;�. Disapproved it'eo • ?! •���, Conditional approval for bedrooms, with the following stipulatINIc.•-% Original Certificate Date: S-SO-19 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: SEAVIEW HEIGHTS BLK 2 LOT 2 Parcel ID: 011-261-08 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test gpm Date drilled Water storage tank volume gallons Total depth ft Well disinfected for coliform test? ❑ Yes ❑� No Cased to ft ❑ Coliform bacteria is Negative El Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) in. Collected by Date of flow test for COSA Date of Sample Static water level at beginning of test ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) 45 years ❑ Required maintenance completed Tank type/material CONC Age of lift station years Measured operating fluid level in septic tank 48"+ Lift station material ❑■ Standpipes/foundation cleanout per record drawing Comments: Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) 10 28 74 Adequacy test date 5"28.19 ■❑ ALL standpipes present per record drawing Results E Pass For 4 bedrooms Total measured depth from grade 9.4 ft(max) Fluid depth prior to test 1 in Measured depth to pipe invert from grade UN ft(min) Water added 600+ gal ❑ N/A—pressurized field New depth 1 in ❑� Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective El Code-required soil cover over field Final fluid depth 1 in Absorption rate 600+ gpd [' System presoaked UN (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies:CONCRETE SEEPAGE PIT CAN NOT TELL WHAT ELEVATION PIPE ENTERS SYSTEM COSA Checklist yellow sheet E. SEPARATION DISTANCES . From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout> 100' ❑Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑Yes if No ft Holding Tank > 100' ❑Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' ❑ Yes if No ft ❑Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft ❑Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ✓❑ Yes if No ft Surface Water> 100' ❑✓ Yes if No ft Property Line > 5' ✓❑ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ✓❑ Yes if No ft Private Wells > 100' E Yes if No ft Water Main > 10' ❑✓ Yes if No ft Community Wells > 200' IDYes if No *140 ft Water Service Line > 10' ❑✓ 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' ✓❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ✓❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' p Yes if No ft Private Wells > 100' ❑ Yes if No *93'5 ft Water Service Line > 10' p Yes if No ft Community Wells > 200' I✓ Yes if No ft Surface Water> 100' ✓❑ Yes if No ft F. ENGINEER'S COMMENTS * ADEC WAIVER FOR 140' FROM THE COMM. WELL, SEE MOA FILE. G. ENGINEER'S CERTIFICATION ` • OF A �s k) f:\V-...•••••,•, .•4- 1 I certify that I have determined through field inspections and review .• h. : ;► •y '0 of Municipal records that the above systems are in conformance with 4r :49TH -. • 11/4 is MOA COSA guidelines in effect on this date. 'd•••••' it SRV of t/ 4. MICHAEL N. ANDERSCN .475, e i CE- 46 •'`,� COSA Checklist yellow sheet ``,‘0,NN.N ..N—% • NOTES ` 1- 1. THIS AS-BUILT SURVEY WAS PREPARED FOR MORTGAGE - SOUTHWEST PURPOSES. RE-USE OF THIS DRAWING BY THEORIGINAL ANCHORAGE SCHOOL CLIENT OR BY OTHERS, FOR ADDITIONAL USES AT A I DISTRICT I 1 TRACT 2 LATER DATE WITHOUT THE EXPRESS CONSENT OF EDGE SURVEY & DESIGN LLC IS A VIOLATION OF FEDERAL 16 COPYRIGHT LAW. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER .. _1/PILN, SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED I Ir FOR SERVICES IN PREPARATION OF THIS PRODUCT. BLOCK 2 1 �, 2. IT IS THE RESPONSIBLILITY OF THE OWNER TO SEAVIEW HEIGHT ♦ DETERMINE THE EXISTENCE OF ANY EASEMENTS, a P-162C I40' 20' 0' 40' COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR in - J i I I 40, 1 ON THE RECORDED SUBDIVISION. THIS AS-BUILT 6.iI : SURVEY, UNDER NO CIRCUMSTANCE, SHALL BE USED `n 15 I I \ FOR CONSTRUCTION OR BOUNDARY LOCATIONS. o cq en • 3. RECORD DATA SHOWN HEREON IS PER PLAT P-162C. IL] `n U • o ss45. W LEGEND o tL- 2 900. o, TWO-STORY a o • 'Soo8, if FRAME BUILDING PROPERTY LINE oC o '�, AS-BUILT DATE 3 ` Id .... ••• a-==." ,„ I• 5-21-2019 - — ADJACENT PROPERTY LINE 1 o 3 BUILDING LINE vi o APPROX. , • __ v, ?.,3• 5 14 ;� a DRIVEWAY EXTENTS ©® 4'/0 / `` `N, `� SHED FENCE LINE (CHAIN LINK) a Z /7 /©�O.0. FENCE LINE (WOODEN) PI ...... �'� � '/`�� i� o EDGE OF CONCRETE �' , i h • J C� .23 . n^ �;' '� LOT 5C BLK 2 3 /�/�/% 9 cC.),,�� PLAT 83-99 EDGE OF GRAVEL • N64S9, STq�RS 6• �' O�; 0 55 SEPTIC CLEAN OUT o 00 ' C� -��' �7 POWER POLE IS b �O 0 e N • FOUND 5/8 REBAR 1 rn 13 • 4 m' \ SURVEYOR CERTIFICATE �,����,�� • Q ..... I HEREBY CERTIFY THAT I HAVE PERFORMED AN 4OF AL s •q , EUNYEY AND DESIGN. LLC y I AS-BUILT SURVEY ON THE PROPERTY SHOWN A!,`P.' P f-10 12501 OLD SFWARD, ANcr1ol�Ge, AK 9951 S 4A - I HEREON AND THE IMPROVEMENTS EXIST AS //Gj • •;y rl Phone (907) 344-5990 Pax(907)344-7794 P-97-20 SHOWN. FIELD SURVEY: 5/21/2019. , *. 49 TM '•* 0 AS-BUILT SURVEY - I LOT 2 BLOCK 2 SEAVIEW HEIGHTS SUBD. °' I Ryan E. -rPLAT P-162C ANCHORAGE RECORDING DIST. i - /r#1.(`' .• No. 13006-S .• /� DRAWN BY: DATE: FIELD BOOK: RYAthl':S��RE S- N fi e,F0•.5-23-19.•'5���� SM 5/23/2019 18-8 ` I PLS 13006 >>1 CHECKED a_ ��\" CHECKED BY: SCALE: SHEET: 1 I \ �` RS 1"=40" 1 OF 1 a MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services M} i DIVISION OF ENVIRONMENTAL SERVICES • 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # v//` Z/ -8 HAA # f/k9‘e)577 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2; ; Mock 2; SeavAew He..9h.b Subd.i LL4 ion (77-4e-r G) ebrXd7-4,/ 4 t Location (address or directions) 8605 Sommers P.2ace, Anchorage, Aea612.a (b) Property owner HUD Telephone : (home) Business Mailing Address #111-034791-203 (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent MARSTON PROPERTIES/Ed Tot.eey Address 4105 Tunnagain Boldevand, Anchoka-go, AtaAka 99517 Telephone 248-1717 (e) Mail the HAA to the following address: (or check here E, if hold for pick up.) List contact person and day phone number below: S R S FNOINFFRINO/h94-7979 17034 Fa9Po Riven Inv Road, quit() 904 Faa,Po Riven, AlnAlZn 99577 2. TYPE OF RESIDENCE Single-Family CZ Number of bedrooms 4 3. WATER SUPPLY Individual Well ❑ Community EX Public 0 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-siteeit Public 0 Community 0 Holding Tank 0 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025(Rev.7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 S& S ENGINEERING Telephone 6 � ' 2 97 17034 Eagle River Loop Road No.204 Address Eagle River,Alaska 99577 Date if t_5/gcoc2 ..1 44r. 1.:47� pir • - N.r. 4 Na•Sys i • •er's Seal _ ' 'i&,vi(' " yam_ ‘E • No. 1447;c ai ?caElt,s\NI• ' 6. DHHS APPROVAL Approved for bedrooms by /,- Date /2 -/2 8 Approved Disapproved Conditional Terms of Conditional Approval YN/i DEPT, Dv Es aor /94 cofr,me--Ain fi?/?/rlaG oiv 7 P of 4 ceay AgsonericAi F/ELO. CAUTION The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated 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 order to 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.7/88)Sack Page 2 of 2 • • MUNICIPALITY OF ANCHORAGE (MOA) t 4 Health Authority Approval (HAA) .• 7 MUNICIPA C> :CHO:^.AGE CHECKLIST- FEBRUARY 1984 N%` (PA 343-4744 e ENVI;ONMENTA 'VICES DWISION6'3,i‘-y-Z)e%-ivez:// Legal Description: 1--..on- 2- of L 'T to >1l 2C 1988 Cjl-IL-. Z Seti✓1 Of-A N-re,, A. WELL DATA RECEIVED Well Classification I\ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) Date Completed Yield Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot sic\Otto, ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot `‘o ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by ; Date Water Sample Test Results Comments Q- &- ' \,JP P&—'" \SSJ&S7 -2-7--eco. B. SEPTIC/HOLDING TANK DATA Date Installed 10-Z6-14 Size 11-40 No. of Compartments 1 Standpipes ON) y Air-tight Caps p/N) V Foundation Cleanout (41-7N) y Depression over Tank (Y/4 tJ Date Last Pumped 1\- 2S- Se 1-1 Pumping/Maintenance Contact on File (Y/N) lA ; for Holding Tank High-Water Alarm (Y/N) r' IA Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: ( To Water-Supply Well 1a" 3,' To Building Foundation 1s i To Property Line ,—t A" To Disposal Field 2`'' Jr- To Water Main/Service Line ,_.> t To Stream, Pond, Lake or Major Drainage Course k%x)t-1- Comments t"4- '�(--' t 7 ' 72-026(Rev.7/88)Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata J1`)V--t1P Type of System Design K:.-r---t( Date Installed t 0-- 2$--"1� ' Length of Field �Z Width of Field 1 1.--' Depth of Field to Gravel Bed Thickness 011V--t.lo, ►-1 Square Feet of Absortion Area 1..-5D fa`' Statndpipes Present/N) I Depression over Field (YitO IA Date of Last Adequacy Test 11-2-5- ea Results of Last Adequacy Test 131-1.41 -r-q-csC2---j — 3 SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well l So To Property Line 1 To Building Foundation / � To Existir1g or Abandoned System on Lot IA ; On Adjoining Lots 15 To Water Main/Service Line 1�'J- To Cutback (if present) rlIt To Stream, Pond, Lake, or Major Drainage Course 17� ' ' ' To Driveway, Parking Area, or Vehicle Storage Are V-4(--o-41 o1 C---12—A ,' 'i S;-- -, Comments -1.1••_ i'' • Ifar...► - i IllvAt'..f. - — 1 , %.r.)( m06- — i--t- '- fl c I)N - e �' 0,6m .10-_.,. ._ 1.1- - J>i.- S 4 r-x3f D. LIFT STATION J - J /-'1 lti /64, � _ Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at • • - • " Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping Cycles during - . - , .cy Test. Meets MOA Electrical Codes (Y/N) Comments **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed S&S ENGINEERING ''�+ ``` 17034 Eagle Biver Loop Road No.204 s A` Company Eagle River,Alaska 99577 ..... .....� of .0 (,., +.A Date // / r Q• . f-4` ne °g I MOA No. C r - 0.\- 3C.., ��...,,;..... • 4( if a 14 • Robert A. Cloth*• m J, J,' .e Pio. 1157-i: � <';'$:.!..... s �Receipt No. D 5�ow� /Yes/ Receipt No. ip, r S� Date of Payment //het" Waiver Fee: $ 4-whogIbt Amount: $ 170.Old Date of Payment 72-026(Rev.7/88)Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 CC /' Application Date J '?/" , 1. GENERAL INFORMATION (a) Legal Description (include I t, block, subdivision, section, township, range) S '1f z"-.i -. % 7e4) Sa. ? �� o Gal(:, Sck L Location (address or directions) S-40.--; ic,ke'VW: ??.k;er" (b) Applicant Name / ' ' f«i Telephone: Home 2-13-Z3"' Business Applicant Address St's 5009E ' h/t AC / /LA' 7i (c) Applicant is (check one): Lending Institution 0 ; Owner/builder; Buyer 0 ; Other 0 (explain); (d) Lending Institution Telephone -- Address (e) Real Estate Company and Agent Address - — Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-Family Multi-Family 0 Other Number of Bedrooms `,rl 3. WATER SUPPLY Individual Well 0 Community' Public 0 Note:If community well system,must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. • 4. SEWAGE DISPOSAL Onsite( Public 0 Community 0 Holding Tank 0 Note:If community well system,must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025(11184) Page 1 of 2 /I/ 7. E. ENGINEERING FIRM PROVIDIN_ .NSPECTIONS,TESTS, FILE SEARCH, DA..,AND INFORMATION 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 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 Ire x Telephone / .-�6/',�SfrG Address /2i LTJ .33 , 54/2"-i-E , 4%.4, Mf95-0 Date i .�� . of Az°,41' ,!•V°** ,;4tS% 4 •'49TH /N. ;s'* o 11/ r• 1-411•11 Seat,.....;.. fs\ •.• E-2251 / 4.1.9LERr 7 C. REID, JR. � 1r /ire• ‹esu `ofo 0 0,® 6. DHEP APPROVAL ,-���+- --�,� Approved for' « 4) PPbedrooms by "/•''"--`'"r Date 6 - Approved Disapproved Conditional Terms of Conditional Approval flr.)\ v,et C• - • CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025(11,84) 1. MUNICIPALITY OF ANCHORAGE(MOA) HEALTH AUTHORITY APPROVAL (HAA) MUNICIPALITY OF ANCH DEPT. OF HEALTH O&RALECKLIST- FEBRUARY 1984 ENVIRONMENTAL PROTECTION 264-4720 �e Lp-f(o/ Biu' L I Legal Description: 407-4 .5E/ MAY 2 1986 t/ri 5/J 77z-A/ 7214! 5E-c y A. WELL DATA RECEIVED te Well Classification eel/Mid/71 If A, B, C, D.E.C. Approved) NWS IQ Z/411 Well Log Present (YIN) ./A- Date Completed .✓`A Yield 'VA Total Depth 4.4 Cased t9 '`J/04 Depth of Grouting Nt0 Static Water Level 4/4 Pump Set At AJ/,4 Casing Height Above Ground A/4t Sanitary Seal on Casing (YIN) A//4 Electrical Wiring in Conduit (Y/N) /',A Depression Around Wellhead (Y/N) i/pf Separation Distances from Well: �[ / To Septic/Holding Tank on Lot * /�0 ; On Adjoining Lots A14 / To Nearest Edge of Absorption Field on Lot * /7C) ; On Adjoining Lots It To Nearest Public Sewer Line IA To Nearest Public Sewer Cleanout/Manhole 01l0 To Nearest Sewer Service Line on Lot #/a Water Sample Collected by A/f ; Date /1/17- Water Sample Test Results N/4 Comments l efr5c'Rsb ?D 57"W/hi , 5Er AbEre lv 9/vor i B. SEPTIC/HOLDING TANK DATA Date Installed AO- 7T Size 105° 6 No. of Compartments Standpipes 'N) Air-tight Cap (Y ) Foundation Cleanout ON) Depression over Tank (Y, Date Last Pumped .3`Z2"- -elto Pumping/Maintenance Contract on File (Y/N) 1,/A ; for 'J/,4 Holding Tank High-Water Alarm (Y/N) /1)/� Temporary Holding Tank Permit (Y/N) A/X • Separation Distances from Septic/Hol inq Tank: / To Water-Supply Well 4f- X90 7 To Building Foundation /. / To Property Line /0 't To Disposal Field ' ' To Water Main/Service Line //4 To Stream, Pond, Lake, or Major Drainage Course AO Comments ')f AJE7150411 M 17949/Ar. SES•" Ace / PAIz'i4 -. Page 1 of 2 72-026(11/84) LTr 54,--frot?w% C C. ABSORPTION FIELD DATA , Soils Rating in Absorption Strata ‘f/+r/`AkN Type of System Design Je/e/a Date Installed /0- 24- 71 De Length of Field �Z Width of Field /2 Depth of Field 6 • ` / Gravel Bed Thickness NA✓/ei ' Square Feet of Absorption Area 2 '5 ..../ Standpipes Presen ot ) ' Depression over Field (Y69 � � Date of Last Adequacy Test ,1-/-ge �� Results of Last Adequacy Test d /G — QEF ,L0uL7 Separation Distance from Absorption Field: To Water-Supply Well * /5'2) To Property Line /-‹ f To Building Foundation * /1$ To Existing or Abandoned System on Lot •04 ; On Adjoining Lots /5- f r To Water Main/Service Line /Q 't" To Cutbank (if present) /4 To Stream/Pond/Lake/or Major Drainage Course , in 1.1- • ADDrnoa/Ad.- f/Lc aye! To Driveway, Parking Area, or Vehicle Storage Area /'/01/.4 a o/ �? Of CR/3 . T'P OF CCIA At/a'" 9 uhe/. 7Z-5,- 7t't/9,el e j 5/ /!�f/A/T b--�6/Atltt�Pbv#, acct 44„ND sucf.►ce Comments / 4 -y- Ateiti eek$ mefri STS»t1" - SSE Akre /W11441"• D. LIFT STATION /0/A / I Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off" Level at High Water Alarm Level at Vent (Y/N) Tested for Pumping . - during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I hav ec d,v ified,or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed �� =f • v Date -5---2-1-6-6',/ Company MOA No. Si Dl- •G'�F A\X%0 11, Receipt No. 3q04 c‘4-l� AP�`••.••.•�,9�,.& AffiDate of Payment c a-eta �vj:49TH '/ \-s ' rl* : Amount: $ (DS.��• ,.,w - ;ii '� :-'dT •0 /fl/!1r$,w)7c 1/ 0.4.1 Vire ' ' ve5r �.•. ••�-. ../ • LERO C. REID, JR. 714 - we c / gouf� �� •• a -2251 _ tiros rafivait Page 2 of 2 d f/ ‘,,,,..7, A te✓ 1�4 417 �•,,�� , 4IP' 72-026(11,84) *6 - /0)&400 AsPit71 $7- s/Te ?4,1-1 St- /ahbA/!, Race,P> boF Tye #,� 4,4'il'/i�;s,, STATE OF ALASKA �, �� DEPARTMENT OF ENVIRONMENTAL CONSERVATION CONSTRUCTION ANDP � O ERATION CERTIFICATE 4F ASµ for PUBLIC WATER SYSTEMS A. APPROVAL TO CONSTRUCT Ski Plans for the construction or modification of L 0/ /- it ,//,/- (/, U/�c i z 2 ,J(N P'v%c w /-1r,•yy I S�!//)/ C./A fJ //9 // (16Z1751- 01,,r) public water system located in /47 dory c , Alaska, submitted in accordance with 18 AAC 80.100 , by .4 AU 4 _ EEv,./, ,A,,,A/ 64I^v/ Xv'vicel - have been reviewed and are ❑ approved. e% +„ X conditionally approved (see s). BY TITLE - -- - ------ DATE If construction has not started within two years of the approval date, this certificate is void and new plans and . specifications must be submitted for review and approval before construction. oN/)1 71"i//J B. APPROVED Change (contracttr &order no.or descriptive reference) Approved by Date /rl o / 4. / / J/ /-vev,eJ et Jc*,' eJ ,4 , lei Go,/,/e 4L-O/ /" 114. J yJAA.-/ /t2 Qv�4f/'//04. / t os,r o- .ie- ee fie . - / /4 J too v^c / AC J /7oriew410 ( 1"11' /` J7 )u4 ..)cft.ee wc// #41 / 7rm it 1 //o-o / / / 1/ / / f�ia �(,/C. W CC Jo . /0 J ,♦ ✓C /t^%U G o/! G Co /.. �i'/ve ,4-•A��� �oJ%,/ C. APPROVAL TO OPERATE✓ / `J The "APPROVAL TO OPERATE" section must be completed and signed by the Department before any water is made available to the public. 'The construction of the Atic Jcif✓- < C/ _ _-. public water system was completed on (date). The system is hereby granted interim approval to operate for 90 days following the completion date. BY - -- TITLE _ ------ - - ----—.- DATE As-built plans submitted during the interim approval period,or an inspection by the Department, has confirmed the system was constructed according to the approved plans. The system is hereby granted final approval to operatye.�, � Z---- - BY TITLE ✓ - --- DATE ----- — DISTRIBUTION: 1 WHITE-ENGINEER(Complete Section C) 2 YELLOW•WATER SYSTEM FILE(Complete Section C) APPLI. NT FILLS OUT UPPER HAI ONLY Property Owr.er Russell & Phyllis Backhaus Phone Mailing Address 8605 Sommer Pl., Anchorage, AK Zip Code 99502 243-5492 Buyer Cindy Kwame & Mark Riley Address 103 W. 24th Ave. , Anchorage, AK ZipCode 99503 274-0095 Lending Institution National Bank of Alaska Phone Address Pouch 7025, Anchorage, AK Zip Code 99510 265-2131 xectitocilx, Agent State of Alaska - Attention: Jerry Brandt/ROW Section Phone Dept of Transportation & Public Facilities Address Pouch 6900, Anchorage, AK Zip Code 99502 266-1632 Legal Description Lot 2, Block 6, Seaview Heights Street Location 8605 Sommer Place Type of Residence XXSingle Family 4 C Multiple Family No. of Bedrooms C Other Water Supply ❑ Individual [ i Semi-Public ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. C Community For wells drilled prior to that date, give well depth(attach log if available). C Public Utility \, �>/ Sewer Disposal 1974 =Individual Year Individual Installed: C. Public Utility When Connected to Public Utility: LT Holding Tank NOTE:THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. V , TT Time Time Time (1 Time k l l ci _1/ Date Date Date Date Inspector Inspector Inspect Inspector Y_OTh`^- AS MUNICIPALITY OF ANCHORAGE Field Notes: )_ •_ç DEPT. CF HEALTH & ENVIRONMENTAL PROTECTION Rosjefer.4 A G U- s j° r-� J U L 6 1983 ,...-4,..r.,-, w RECEIVED 7,1.11.3 i e APPROVED BE)•OOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ' CO-NDITIONAL APP AL' 4 A A4A CP-'CP-'--'- 7 DATE lfr2 nai,„„..„,/ BY: g ;Q-41°1 1) /A.0 621‘" ftJ C/L-Xtzl7.‘ 14fil Soils Rating Date Sewer Insta led Well To Absorption Area Well Log Received 1 A- \ 1 ) —1. Well to Tank Septic Tank Size /2 S 0 72023(31821