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Home My WebLink AboutSNOW CREST VIEW LT 11nowcrest View Lot 11 #016-141-07 t r MUNICIPALITY OF ANCHORAGE / 1 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION \� ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME K• CIFir IG• CGnS+ PHONE 3¢9' % EW ❑UPGRADE MAILING ADDRESS S.R,s�. oX -A h� • LEGAL DESCRIPTION r V= LOCATION t.NAV' NO.OFFBBEDROOMS Well DISTANCE TO: IlQI Absorption area !Of Dwelling PERMIT N07 O O EZ W Q Manufacturer C u .7 Material No. of coits"ments N ~ Li q. ea�OOOgallons IF HOMEMADE: 1^side length Width th Liquid tlep[h 6DY DISTANCE TO: Well Dwelling PERMIT NO. D _ < S H Manufacturer Material Liquid capacity in gallons p W = DISTANCE TO: Wellf 1 Foundation Nearest lot line PEHMIT NO. W !LL Z z W No. of lines Length of ach line /► Total length ff lines o Trench width Llip inches Distance between lines F Cc f 0 Top of tile to finish grads Material beneath lila & 1 des Total oft absorption area W Length Width Depth PERMIT NO. <I- Type of crib Crib diameter Crib depth Total effective absorption area 10. W V' DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption arealsl OTHER ,SIRM •-pH eLtc. —w 1L r / PIPE MATERIALS p-�ca SOIL TEST RATING ►ao INSTALLER REMARKS ts1T �r� allo z w ± -- — I I APPROVED DATE LEGAL _c. 72-013 (Rev. 3/78) mwN I C I F'iL_I TY OF nNCH/",'FiGE DEPARTMENT Of --HEALTH AND ENVIRONMENTAL Fo,JTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 I'J1Cr 264-4720 ON -S I TE SEWER UP (3FZn E>E F}EFR l I T PERMIT NO. C 780895 ) , APPLICANT ALASKA PACIFIC CONST SRA BOX 172-P 99502 349 2708 LOCATION DAVE LANE LEGAL L11 SNOW CREST VIEW S/D LOT SIZE 9000 SQUARE FEET TYPE OF SOIL ABSORSTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SO FT/BR)= 120 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: OEF='TH= 9 LENC3TH= 3@ GRfiVEL OEF}TH= G THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE 'INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ;3 0�Ap 1K - 10 0 t TWO <2> I NSFz>ECT I ONS nFZE RFEE GlU I R Ee BRCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS at FEET FOR A PRIVATE WELL) OR TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXF} I RES F7ECEMF3ER 31� 1978 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND\THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. MW SIGNED: !!__=--_L- --------------- APPLLIICAANTT A SK CIFIC CONST �j ISSUED BY_—C71J___ _ _Ck —----DATE_1 _ _` - _ -- V3.2 BOILS LOG MUNICIPALITY OF ANCHORAGE p PeRcoLATloii V DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION' NEST, 4 . , Pouch 6650, Mchortge, Alaska 99602 2762221 SOILS LOG — PERCOLATION TEST • PERFORMED FOR Vi'C%!/(?�j/7� f'I• rP/%//7� DATE PERFORMED LEGAL DESCRIPTION: SLOPE SITE PLAN DEPTH (FEET) &r/IOza/00/Y7 OQ/c r Pat 10 2 3- WAS GROUND WATER S -.I 1_ { -I �/ 4- a Sh/ /,l ,tray Lhir7/y A�dfr/r-c/ 0 12 <<y J,z,ve%, �Orldy 9rvr�"/S,--I -- --j 5 t k L 1 I s IF YES, AT WHAT. i --i i •�- �- a L ' —'I I ` n7rist whsi� � d /:'.• 1a - Reading Date I ! t OQ/c r Pat 10 WAS GROUND WATER S -.I 1_ { -I �/ ENCOUNTERED) �� ' , ., Y� 1 i 12 {/nE' Sc�ndS 'E t k 1 F:,d• A��r IF YES, AT WHAT. i --i i •�- �- ~ ,/r. I ` n7rist whsi� � d /:'.• 1a - Reading Date Gross Time Not Time ' Depth to Water.-'Drop:i.s . Net '-"'- a OQ/c r Pat 10 WAS GROUND WATER S -.I 1_ { -I �/ ENCOUNTERED) �� ' , ., Y� 1 i 12 {/nE' Sc�ndS 'E t k 1 F:,d• A��r IF YES, AT WHAT. i --i i •�- �- ~ ,/r. ` n7rist whsi� � d /:'.• 1a - Reading Date Gross Time Not Time ' Depth to Water.-'Drop:i.s . Net '-"'- I 15- J .f 16- 6 17- 17 I f� 19 w 1 20 �✓ PERCOLATION RATE Gninuteshnch) r .. .•.. • TEST RUN BETWEEN /' FT AN / FT liar/� - i ' I1lJ /h i�/!!>%O/J ni J' .5 "��✓rll' /iinj7 , T jG�C' , .�v/Libin''• tvo LIQ/ r� ,..COMMENTS ..li t < im -PERFORMED BY: CERTIFIED BY: 7 � / ';, ••74000(77761 , i v V4, V)ATT F. � ,, ....�,. .'Y ;' +fir • j{"�,._n'^"'^.T!'•i� TO E / 7 rl•� l Gr 7SPool: K�T.4i lam;^ D ALASKA 611UR011 nTAL COnTROL SMICCS, IX Engineering 6 Enuironmental Studies JACQUELINE RHINE SELLER—JACQUELINE RHINE 11411 DAVE LANE ANCHORAGE AK 99515 50551 LEGAL:SNOW CREST VIEW IAT 11 ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE -8/22/85 8/26/85 JACQUELINE RHINE 11411 DAVE LANE ANCHORAGE AK 99515 THE TYPE OF ABSORPTION SYSTEM IS A TRENCH WITH AN AREA OF 360 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 450 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 713 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 3 BEDROOM HOME. SEPTIC TANK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1000 IS ADEQUATE FOR THIS 3 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 8/22/85 . Mit DEPT. tOFOF ANCHOR -AG: ENVIRON,NENT,,, ALIH R' OTEECFIO0 L[IO 2 f/ WJ RECEIVED 1200 West 33rd Auenue. Suite B • Anchorage, Alaska 99503 • (9071561-5040 BILL SHEFFIELD, GOVERNOR IDEPT. OF E3NvEnONRIIE3l0TAE. CONSE3EiVt9' ION Telephone: 1907) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE:?1<GQ PWS To Whom it May Concern: According to records on file in this office the y/J 7 +9,4Jt JAAAT(6(b-P Water System is in compliance with the State Drinking Water Regulations Sincerely, 87E ou BILL SHEFFIELD, GOVERNOR W w w r DEPT. OF ENVI RON MENTAL CONSERVATION % Telephone: (907) Addren: ANCHORAGE/WESTERN DISTRICT OFFICE t 437 -E- STREET, SUITE 303 ANCHORAGE, ALASKA 99501 274-2533 September 26, 1985 Alaska Environmental Control Services, Inc. 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 ATTN: Mr. Alan Wien, Engineer Technician SUBJECT: Waiver Horizontal Separation between Well and Septic System Lot 11, Snowcrest View Subdivision, Anchorage, Alaska (8621 -WA -068) Dear Mr. Wien: The Department has reviewed the subject waiver request and hereby waives the horizontal separation from the well to septic tank to 120 feet and well to absorption field to 128 feet on the subject property for a 3 -bedroom single family residence only. Sincerely, teve Eng District Engineer SE:MPL:pkk A1_ry/C/P h pq�T,yQ�iJ- CpC Fp � - P,,J� "co o n p Municipality of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ONSITE SEWER/WELL PERMIT APPLICATION NAME OF APPLICANT: f E 4. R g/Nk MAILING ADDRESS: PHONE: .INSTALLATION LOCATION: LEGAL DESCRIPTION: L // B S/1/Olrl �% V��►,x/ S' Jn METES & BOUNDS LOT SIZE:_ �O �d SO. FT. TYPE OF PERMIT: EWER UPGRADE WELL 'HANDWRITTEN (Number only) COMBINED NUMBER OF BEDROOMS: SOIL RATING: TOTAL DEPTH:_ FT. , /PIT V TRENCH---- GRAVEL DEPTH: FT. GRAINFIELD FOR UPGRADE ONLY ADD TO LENGTH AND/OR ADO GALLON TANK. FEE: COLLECTED BY: OFFICER: EXT.: 72-012 (7n7) FROM: GREATER ANCHORAGE AREA BOROUGH Department of Environmenta DEPARTMENT: Qyal_i - _ty -,,,-SUBJECT:, dater_. PrQble.tn,$/,.-SnOWCres-t— INITIATED BY: Judkins, Director Subdivis'ion ---- --------------- DATE OF MEMO: 4/?4/,73.,-----— TO: DEPARTMENT...._.._. M DATE ANSWER . ...... REQUESTED: RECEIVER: _Glenn --M1.-.1-M`cK-ee 1,-4irgmr ---------------- ----------- 04 F0,8,INFORMATION ONLY 41� FOR IMMEDIATE ACTION Q' sil FOR YOUR CONSIDERATION OTHER REQUESTED ACTION SCHEDULE ----------------- PREPARE BACK-UP INFORMATION Mn, CALL ME BEFORE YOU ANSWER 41b NEED YOUR RECOMMENDATION — ------------- - ----- ----------- ------ -- - ------- - - --- ------------ ------------------- Thi's and ------ Eac served by a separate community water system located In the center of the blocks. .. ..... .... ------- ----------------- urvey in 1968 revealed that several sewer systems were too close to the wells in each of the blocks. Letters were sent to each of the, Homowner's-Assoc1ati ons- --during -that- -y-ear-,exp-1 ai n1ng- -the problems and suggested methods of correction. We have had yearly contact with homeowners trying to sell houses in this subdivision. The situation ...has "not --been corrected because --- of -the --expense "-t,o--the ---- homeowners ,- the lack - - ------ of their bei ng.Abje to-,rai se --the,-jieeded,.-money,,.and,-the.ir,-.hope--to.--obtain-,either,-publAc-water— or sewer from Mesa Verde Subdivision to the west. Since the water systems are not approved by this department any homeowner, ate,*, g fi a ng ,throuO -a--1 oa n-, agency ,,requi ri ng. our- -approval - -III I l-not be.. successful,.,-----.,-,-.. U E ---------- W�NATIIRF GREAYER ANCHORAGE AREA �316ROUGH P~V qeo HEALTH DEPARTMENT 0 �1 \ 0 327 EAGLE STREET . P. O. BOX 966 ANCHORAGE, ALASKA 99501 ;y PHONE 272-6467 October 119 1968 ,OA_ vP Mr. William C. Wiggins Box 6-242, Annex Anchorage, Alaska 99503 SUBJECT% Snowcrest View Subd. Lots 1 -7, and 22-28 The Greater Anchorage Area Borough Health Department has inspected the water supply serving the subject lots in Snowerest View Sub- division. Presently the sewage disposal systems, which are on cesspools according to the owners, on Lots 230 240 25, 269 30 49 S, and 60 are within the protective radii of this semi-public water supply. The State of Alaska Administrative Code, Title 7, Chapter 2, Subchapter 1, requires that the following protective radii be established around semi-public(, Class A water supplies. (1) Within a 40 -foot radius of the well there is to be no contamination, i. a., sewer linos, septic tanks, seepage. area, etc. (2) All septic tanks are to be at or beyond an 80 -foot radius from the well. (3) All seepage area, in conjunction with septic tanks, is to be at or beyond a 120 -foot radius from the well. (4) All existing cesspoob are to bo at or beyond a 150 -foot radius from the well. The approval of this water supply cannot be given until the existing systems have been modified as outlined above. The owners of these 14 lots, all being part owners of this water supply, should meet and decide upon a method of correcting this condition. This Department has a compiled report of the sewage system locations on the 8 lots previously mentioned if this will assist the people in any decisions toward corrective measures. Please contact this Department for any assistance in this matter. Sincerely, DAVID R. L. DUNCAM, M. D. Medical Director BY i Role. S ;r ckland, San tartan RRS/srr AIR MAIL TO ALASKA IS FASTER Lm\A1 • MEMORANDUM TO: 1 - The rile FROM P.olf K. Strickland Sanitarian n State of Nosh DATE : 10 October 1966 SUBJECT: Snowcrest View Subdivision. On June 14 and 23, 196G, two contaminated water samples taken by Mrs. Urquhart were received from Snowcrest View Subdivision. Our first inspection of the 123 foot deep well on July 18, 1966, showed many deficiencies. The well is located in a ten -Food deep Travel floored wellhouse. Due to the high humidity, moisture was dripping from the wellhouse cover as well as all the pipes. It was noted that the well seal itself was not working properly and water from the ceiling that dripped on the seal could easily enter the well. On July 16 and August 1, 1966, a total of four contaminated water samples were collected by this office. On July 18, the people usinf•. the water from this wall were contacted and inforl.ed that their water was contaminated. Thereafter, the omers submitted several water samples to the military for testing. All the military samples were uncontaminated. After many conferences with the owners, they finally agreed to install a chlorinator on the system. The chlorinator was installed and operating on October 7, 1966. °P.S/cc TO /'//t AT / SUBJECT O L T S1.4 DATE 7 — % r� uTf�ds4/� Sif'ouil fir% T A ZfAe,n /DO _.f..ve0 d=j!.�r�,�. ,. < Redi?m s l - SEND KARTS 1 AND S WRIT GSSON INTACT 4S 469 ��, ra �sordwwv PART S WILL RE RETURNED WITH RELY DUPLICATE slr,Nce DETACH AND FILE FOR FOLLOW-UP D/D 47`74c^ 57RTz' O• sl�r.d<� G, •✓��;a,.s. (��T�� ',f7� 76 /9l( DATE SIGNED Redi?m s l - SEND KARTS 1 AND S WRIT GSSON INTACT 4S 469 ��, ra �sordwwv PART S WILL RE RETURNED WITH RELY DETACH AND FILE FOR FOLLOW-UP TO 1L.t—NiNE IAT c >iYrtweR�s� U,�w i II A7 RCF 02. 40M To AQsoeo?,o 4,1 ae P,r = Iwo" DATE RedrPm e 4S 469 GG �l EN �Pjy/J,T I* sa so..w) ~ SEND PARTS 1 AND B WITH CARBON TRJ FARE S WILL BE RETURNED WITH REPLY DETACH AND FILE FOR FOLLOW-UP /N Durrouah, - ro. HiZOO; - Fo.6%00Gmt. .9 1 7 — — --------- 7e- -7g ------ Ile --------- --- Ateve -s'-pewtf r so /� August 8, 1977 / ' r 1� Jacqueline A. Rhine Star Route A Box 161 Anchorage, Alaska 99507 Subject: Waiver Request Re4arding Well Distance to On-site Sewage Disposal Facilities Lot 11 Snowerest Subdivision Your request for a distance waiver has been received by this department. The waiver -request is denied., This decision was based.in part upon the following items: (1) The code'addreasing the distance was in effect before Jude'28,"1959. (2) The eurrent'placement=is not a short tern: situation since pubic 'sewer is not scheduled in the near future. Therefore, this department requests that the on-site sewer system serving the subject property in violation of Municipal ordinances 15.65.020 and 15.10.010 be relocated to the 120' distance separation requirement thirty (30) days from receipt of this letter. A soil test and permit are required for the upgrading. Failure to comply will result in legal action. if there are any further questions, please contact this office at 279-2511, extension 224 or 225. 41 O� `t < return recei t re ues ed yVi S h A �l J �l r • SENDER: Compl. Iles I, Z, and 1. Add roar Whom in ye "RETURN TO" span on IFetY. 1. The following service is requested (check one). Show to whom and date delivered............ ISf Show to whom, date, 3 address of delivery.. 350 RESTRICTED DELIVERY. Show to whom and date delivered ............. 630 RESTRICTED DELIVERY: Show to whom, date, and address of delivery 83f L.NB/Tjh Sewer and Water R. ARTICLE ADONSEWO To: Jacqueline Rhine Star Route A Box 161 Anchorage, Alaska 99507 3. ARTICLE DCSMPUON: L REOISTEI= NO. CERTIFIED No. INSURED NO. 02238 abtMn o4rmwbwe of address, or egaM I have received the article described above. Addressee Q TURE ' 0 AddressAuthorized agent FW014A 4. DATE OF DCLIVERY / P'OSTRAARR �• J'� ^1J. S. ADDRESS (CrnyMa enly R rp1ssAM3 6. UNABLE TO CELWER BECAUSG � Jdl 00 m CV cv, C= fi Q Z RECEIPT FOR CERTIFIED MAIL -30t (plus postage) ;• 1..-- ;:[;;: SENT TO POSTMARK OR DATE STREET AND NO. P.O., STATE AND ZIP CODE 'WTIONAL SERyICE3 10 ADDITIONAL fEES . RETURN Efhows N wham Wit date tellrKe! _. _ 3Se RECEIPT With de0wry to Addressee only..--_ 65e R• SNms N 1111011, date And woos delleered ,. 354 _ SERVICESWith dehwry to edoressee ony _...... ... SSe .. DELIVER TO ADDRESSEE ONR........ .......................... ................. _ 604 SPECIAL DELIVERY (erere sae se"vbed) -_........ ........... PS Fenn un rueu•suer w APs. 1971 NOT fOR INTERNATIONAL MAIL • caro ; 1974 0 - $l•ae 6� mac- foo'• �- � eve e, Ol Ge'11.7 c �t C04 1UNICIPALITY OF ANCHORAGE 'OUCH 6-650 %NCHORAGE, ALASKA 99502 4 AUGUST 1977 ATTN: DEPT OF HEALTH 8 ENVIRONMENTAL PROTECTION LES. N. BUCHHOLZ, R.S., SANITARIAN DEAR MR. BUCHHOLZ: THIS LETTER IS IN RESPONSE TO YOUR LETTER DATED 28 JULY 1977 REGARDING THE VIOLATION OF MY SEWER SYSTEM TO MUNCIPAL ORDI- NANCE 15.65.020 6 15.10.010. IT IS MY DESIRE TO OBTAIN A VARIANCE. THE FOLLOWING ARE SOME OF THE REASONS WHICH A FEEL A VARIANCE SHOULD BE GRANTED: THE WATER AT LOT 11, SNOWCREST SUBDIVISION HAS BEEN TESTED WITHIN THE LAST YEAR AND WAS FOUND TO BE PURE AND WITH- OUT CONTAMINATION. SOIL CONDITIONS ARE SUCH THAT IT PERMITS RAPID PERCOLATION AND EVAPORATION OF WASTE. THE SURROUNDING GROUND IS POROUS WHICH MAKES FOR AN EXCEPTIONALLY GOOD DRAINAGE FIELD. THE WELL AND SEPTIC SYSTEM WENT IN AT APPROXIMATELY THE SAME TIME AND WAS LEGAL AT THAT TIME. A MEASUREMENT WAS TAKEN BY THE MUNICIPALITY AND THE SEPTIC SYSTEM WAS FOUND TO BE 108 FT. FROM THE WELL, WHICH WOULD MAKE US ONLY 12 FT. IN VIOLATION. I FEEL THAT WITH THE SOIL CONDITIONS AND EXCEPTIONALLY GOOD DRAINAGE THERE IS NO DANGER OF CONTAMINATION OF THE COMMUNITY WELL FROM OUR SEPTIC SYSTEM. IT IS FOR THE ABOVE STATED REASONS THAT I PROPOSE WE SHOULD BE AWARDED A VARIANCE FOR THESE CHARGES OF VIOLATION. SINCERELY, J /� ��f�l.�cL�I�G u•�G JACQ'UE LINE A. RHINE l Municipality 11 r ! Anchorage July 28, 1977 ,, POUCH 6-650 ANCHORAGE, ALASKA 99502 (907) 279'2511 GEORGE M. SULLIVAN. AIA YOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 1825 •'L•' Street) Jacqualine A. Rhine Star Route A Box 161 Anchorage, Alaska 99507 Subject: Lot 11 Snowcrest Subdivision Dear Ms. Rhine: This letter is to serve as final notice regarding your sewer system violating the protective distance of the semi- public well serving part of Snowcrest Subdivision. The sewer system is in violation of Municipal Ordinance 15.65.020 and 15.10.010. As of July 28, 1977, this department has not heard from your regarding compliance. Failure to comply will result in legal action1.if compliance is not complete by August 5, t If there are any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, Les N. Buchholz, R.S. Sanitarian LNB/ljh 1977. `i II ,I ii it I iMUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION NOTICE OF VIOLATION Please take notice that the undersigned authorized ;,representative of the Director has reason to believe that :!on or about June 22, 19 77 at or near Approximate location: Lillian Lane 1 !I Name: Jacqualine A. Rhine i{ I Address: Star Route A Box 161, Anchorage, Alaska 99507 ::within the municipality of Anchorage did unlawfully Maintain and use an on-site septic system located on Lot'll ! fncrest View ubdivision. The sewer system encroaches . upon the 120' protective radius of the semi-public well service `.I a portion of Snowcrest View Subdivision. which is a separate violation of 5 15.65.020 (A) of the Anchorage Code of Ordinances each and every day such condition exists. A copy of this notice and § 15.65.020 (A) . , attached hereto and made a part of this notice, have been served upon Name: Jacqualine A. Rhine Address: Star Route A Box 161 Anchorage, Alaska 99507 either by personal service, by registered mail, or where such person cannot be found after diligent effort to do so, by posting this notice on or about the location APRnrihAA in *hiR nnrie+o_ i If the violation or violations referred to herein '!have not been corrected by July 23, ,'1977 , legal ii proceedings may be initiated as provided by law. I j Dated this 23 day of June , 19 77 41CIVAUTY OF JCHOHAGE i .'CE OETHE ��;4E -PAIA"OAHEV ij Name ,UCH 6450 Environmental Spec' 1 •t .TEIfTHAVEHUE ' ':AAGE.AIASKA ., Title NL7!]! 1{ ;I cc: Ken Norman j; Assistant Municival Attnrnoa, r"1 IN THE SUPERIOR COURT OF THE STATE OF ALASKA THIRD JUDICIAL DISTRICT ANCHORAGE, a municipal ) corporation, ) Plaintiff, ) i VS. ) JACQUALINE A. RHINE, ) / Defendant. ) No. 3AN-78-5737 CIV. PRELIMINARY INJUNCTION Plaintiff's motion for a preliminary injunction having come on for hearing September 6, 1978, with due notice to defendant and having considered the evidence, plaintiff's affidavits and complaint, plaintiff's motion for preliminary initnnetinn anA mPmnranAnm in annnnrt thPrPnf. the atatPmPntr, of Page 2 of two pages - Re �st for Approval of Individual �r & Water Facilities Legal description Comments Approved Disapproved Date a Approval,Valid for one year from date s ed Greater Anchorage Area Borough, Department of Environmental Quality -DIAGRAM OF SYSTEM 9--S_ I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ -034 (1/74) Municipality of Anchorage < On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 016-141-07 Expiration Date: jr oc )/c;- 1. GENERAL INFORMATION Complete legal description SNOW CREST VIEW S/D LOT 11 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING 11411 DAVE LANE, ANCHORAGE, AK 99515 PATRICK SCHIENEBECK Day phone 11411 DAVE LANE, ANCHORAGE, AK 99515 PETER BLANAS W/ JACK WHITE Day phone 903-1951 242-4133 Single Family (w/wo ADU) ❑ Duplex a ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 JAN 15 2014 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class A Well Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaivedVariance request for: DRAINFELD TO LOT LINE Distance 5'+ at U Received by. t?�� Date: L, IZ COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5��I Date of Payment I h to(1Ci C Receipt Number 6+$1 -SG COSA# o5C1111cbR Waiver Fee $ Date of Payment 1 J\, l I Vi CLa Receipt Number Waiver # C7S'P I `{ i b 0�1 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LlD, attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactorytest results do not guarantee future performance of the system, not do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this reportis for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confereny legal right whatsoever. 6. DSD SIGNATURE kz__� System #1 Approved for System #2 Approved for Disapproved. 3 bedrooms. bedrooms Conditional approval for bedrooms, Phone Date 337-6179 OF , CE -7963 Prof essloo1o< OF pt(rf;�1`rt Q ''9 with the following stipulatil OtJ"5iit �� . 'r—Q AND Original Certificate Date: The Mun)cip'ality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist 1� Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rcv NIRS 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: SNOW CREST VIEW S/D; LOT 11 Parcel ID: 016-141-07 A. WELL DATA Well typecOMMUNI Date completed _ Total depth ft. Date of test Static water level Well production WATER SAMPLE RE; li(�) B, or C provide PWSID# 210891 Well Log (Y/N) Sanitary seal (Y/N)— Cased to ft. FROM WELL LOG Coliform colonies/100 ml. Nitrate mg./L. Afslenic: ug./L. Date of sample: B. SEPTIC/HOLDING TANK DATA Wires properly protected (Y/N Casing height (ab round) in. AT I CTION ft. g.p.m. Collected by: Tank Type/Material SEPTIC/FIBERGLASS Date installed 9/22/1978 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 1/13/2014 Pumper ONE STOP SERVICES C. ABSORPTION FIELD DATA Date installed 9/22/1978 Soil rating (g.p.d./ft or /bdrm 120 System type TRENCH Length 30 ft. Width 4 ft. Gravel below pipe 6 ft. Total depth *11.0 ft. Eff. absorption area 360 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 1 /10/2014 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 46 in. Water added 940 gal. New depth 55 in. Elapsed Time: 115 min. Final fluid depth <41 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date — NOTE: MONITORING TUBE ONLY EXTENDS 31" INTO 72" EFFECTIVE DEPTH. TOTAL DEPTH AND LIQUID LEVELS ARE CALCULATED BASED UPON INVERT OF DRAINPIPE. WATER WAS INTRODUCED INTO DRAINFIELD UNTIL MEASURABLE LIQUID LEVEL WAS ESTABLISHED, THEN ADEQUACY TEST WAS STARTED. b D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at Cycles tested Meets alarm & circuit requirements? F: SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on Public sewer main Sewer /septic service COMMUNITY WELL On adjacent lots On adjacent lots manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: _ Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Wells on adjacent lots *120'+ Water service line 10'+ Surface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line **5'+ Building foundation 10'+ Water Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 1'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ PRIVATE/128'+ PUBLIC F. COMMENTS t"� �O" *PER A.D.E.C. —WA -068. **SEE SEPARATION COWAN, P.E. NOTE: POST TANK CLEANOUT WAS NOT LOCATED DURING INSPECTION. PIPE IS LIKELY CONCEALED BY FROZEN SOIL. G. ENGINEER'S CERTIFICATION 1 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. Engineer's Printed Name JEFFREY A. GARNESS Date (Rev. 11105) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS January 10, 2014 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Snow Crest View S/D; Lot 11, To whom it may concern: On the last C.O.S.A. for this property (9/24/2007), the distance from drainfield to lot line was reported as "approximately 9 feet'. No official waiver was requested or issued. We request that your department issue a 5 -foot+ lot line waiver from the south property line to the drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. Because this deficiency was specifically addressed and approved by this department in 2007, we request that you waive the associated fee for the drainfield to lot line waiver. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Line ely e Pres e t .S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 hftp:f/www.muni.om/Onsite Development Services Division On -Site Water and Wastewater Proaram "rent S �NA., � r e lrtment **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP141009 COSA#:OSC141008 Permit#: PID#: 016-141-07 Legal Description: Snow Crest View, Lot 11 Engineer: Garness Engineering Group Applicant: Patrick Schienebeck 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 5.0 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 non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................ ............................ ...................... I Waiver is Granted: X Waiver is not Granted: Date: d z Approved i3r 7 � ' Name of Reviewer ............................................................................. Rec#: NA Amount: $0.00 Date Paid: NA **** VARIANCE/WAIVER REVIEW **** c P **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP141009 COSA#:OSC141008 Permit#: PID#: 016-141-07 Legal Description: Snow Crest View, Lot 11 Engineer: Garness Engineering Group Applicant: Patrick Schienebeck 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 5.0 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 non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................ ............................ ...................... I Waiver is Granted: X Waiver is not Granted: Date: d z Approved i3r 7 � ' Name of Reviewer ............................................................................. Rec#: NA Amount: $0.00 Date Paid: NA **** VARIANCE/WAIVER REVIEW **** Municipality of Anchorage -� Development Services Department Building Safety Division i On -Site Water and Wastewater Program " 4700 Bragaw Street $A P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel lb. ILIi-U�+ COSA# Expiration Date: _0 7 113."GENERAL INFORMATION 'Complete legal description snow Crest View W 11 Llooation (site address) 11911 L1,4A Lan6 , An c6ra�e, AK 1-._Cutient Prope�t�i dlwner(s) Moryn Slxnlej % A83 Na itxlFncDa p y phone _' Mail'irig address __P0 J�Dy. VW M 1)14 g I 1 L)ID- j),2RL Lending agency Day phone Mailing address Real Estate Agent I Gob aror-L Day phone WO- 202 G Mailing Address Unless otherwise requested, COSA will be held by DSD /or pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site a Individual Water Storage ❑ Individual Holding tank ❑ Community Class MC " Well ($ 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 Onsite 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 engineers 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 Stale codes, ordinances, and regulations in effect at the time of Installation. Name of Firm SpurRIind inyinee�inq Address 203 W. K'14 Ave FPO, 2e3� Avec jg , AK 9950/ Engineer's Printed Name r' wr 5 SiLI %LA AM 01.1 NIL.UiM Approved for __-3 bedrooms. Disapproved. Phone 279- 31A. Date 9/4/o OF A �— �V... ...1 1 i ,�P� •� Ji " I~ ,— i • wJ.JY.f (t. Y" K 1 : LA.RSE. .'URKLAND;` 4 y 'V Ilk Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other_ By: `' Original Certificate Date: — !27 (N•v.I V05) Municipality of Anchorage Development Services Department Building Safety Division OwSke Water a Wastewater Program= 4700 Bragaw street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsits (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: ,snow (,re9T Vie.) 4 11 Parcel ID: O 1 iC - 15L / -O 7 A. WELL DATA Well type Sew. Date completed _ Total depth Date of test Static water level Well production If A. B. or C provide PWSID # 710493 Well Log (Y/N) Sanitary seal (Y/N) Cased to _= _ft. FROM WELL LOG n. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate n/O mg/L Arsenic:t_ Date of sample: Wo } B. SEPTICIHOLDING TANK DATA Tank Type/Material S I Pk,,t i Tank size.loop . gal. Number of Compartments 2 Foundation cleanout-(Y/N) J Depression over tank (Y/N) N Date of pumping Zai C. ABSORPTION FIELD DATA Wires properly protected (Y/N) — Casing height (above ground) in. AT INSPECTION n. Other bacteria Or colonies/10D mL Collected by:LW5 Dateinstalled INIS Cleanouts (Y/N) Y High water alarm (Y/N) Pumper T ssnc, Roneina serv;r. w Data installed S Soil rating (g.p.d./fe or !bol ) _2o System type Deep Ienc k Length 30 fl. Width ti n. Gravel below pipe �_ ft. Total depth -0.3 fl. _Elf. absorption area LZ ftp Monitoring tube �_ Depression over field N Date of adequacy test x'31 D} Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test O in. Water added115 gal. New depth 11 in. Elapsed Time: tO36 min. Final fluid depth Q in. Absorption rate >= Y5_0 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) _A, keoer n If yes, give date '—' D. LIFT STATION Date installed Size in gallons ManholelAecess (WN) - "Pump on level _ in. 'Pump off' level at in. High water alarm level in. Datum Cycles tested Meets alarm 8 ci requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: c. "., nk* w. I Septic tankAitt station on lot — On adjacent lots Absorption field on lot '– On adjacent lots Public sewer main Public sewer manhole/deanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation IC `+ Prop" line _ 5`� Absorption fief Water main l0 '+ Water service line 10 + Surface water Wells on adjacent lots 120 1 ADEC WPI►VER d 5+ loci + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line,[ x, Building foundation`�0+ Water main to Water Service line 101+ Surface water 1od+- 2 I r Dd'�Y. Parkirg/vehicle storage Curtain drain None QbWA, Wells on adjacent lots 120' ADU Wa iv" F. COMMENTS * n_ .1 _ ___ ..I 1 1_._ IL Int Y_ 1___1. 1 d At . _1. rP II � 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 guidelinesin effect on this date. Engineer's Printed Name��5 fW,G„O Date 911910? COSA Fee Date of Payment .7 - Waiver Fee $ Date of Payment Receipt Number o Receipt Number (Rev. 11/05) p�>k•QF A<qs 11, i A, 49TH S E. RXLANO;'ir, '4�lcea�400 t; o� ®1+0p RYA - � r'1 PLOT PLAN r�W lllillt)n1 OO.q Robert E. ' 4. .. 1+�•.I �wrY lr. rO•YrT A��r ..rti.w.._.,,._ w..,l .ff� . •j Professional Land Surveyors w R.Tr7 I _J?• I B42 E. 17 AVE. A�r.N• r r•w ..ww. r� .w• t •NA+r i1Mpf RLLM R1Mp1 MW PIMA ANCHORAGE. ALASKA YYSOI Scold:Rw. Lot S.F. RK_Plot F11. No, 11 FOUNDATION AS -MAT %• . .. .. I DO O l W. l LYp i. Iw•Al wF Y 1 ._....•... w ..-...1 r .. . f ... . r •• .. .. I Dw.R er a,.al.a ex r.rr w 1Ar r r �`i lr r.r r wrr. r.w Aww .r ww ....... . - ... � � 08 NS, / .0- I30+ N 89'52'30" W 135.00' Dat• aa"": 1 V J o GRAVEL DRIVE 40.0' 121a.+� z C6 2630 7202 FINAL STRucTtIRE AS -MALT L Wt l aA� �. rr1 AF rl l •%!•r •••••. ... ZJl •� •� Q� I to ...r.. w w r r_ r r ` n O to L4 EXISTING A �I SA Snow Crest View SURVEY TYPE ❑ HOUSE tn h C o LLQ C.O.s ASPHALT r m I Q P40.0' AS -■XT ... NO muss W1 m Cn °i 1 � o I -t o I Z C.O.s I � 1 N 89'52'30" W 135.00' 12 SURVEY CFRTFlCAToN•�•••��• Prepared by PLOT PLAN �.•P-�E:.......,••fit •, Robert E. Johns, Jr. & Assoc. 1+�•.I �wrY lr. rO•YrT A��r ..rti.w.._.,,._ w..,l .ff� . •j Professional Land Surveyors w r ..wrl,r r r w w .r. I _J?• I B42 E. 17 AVE. A�r.N• r r•w ..ww. r� .w• � {T �� ANCHORAGE. ALASKA YYSOI Scold:Rw. Lot S.F. RK_Plot F11. No, `w...�`•~ FOUNDATION AS -MAT %• . .. .. n — l W. l LYp i. Iw•Al wF Y 1 ._....•... w ..-...1 r .. . f ... . r •• .. .. bt• Su e• rb: Dw.R er a,.al.a ex r.rr w 1Ar r r �`i lr r.r r wrr. r.w Aww .r ww ....... . - ... � � 08 NS, / .0- J,^�( Dat• aa"": (kla: w.D. r� .r+. ♦ P . a 121a.+� 3-10-07 2630 7202 FINAL STRucTtIRE AS -MALT L Wt l aA� �. rr1 AF rl l •%!•r •••••. ... ZJl •� •� L•qd D«cTIPtIYD: ...r.. w w r r_ r r ` • Pr �.^^a••� ••••��Ts•••• Lot 11 :�rA.+.^� �'~ Snow Crest View SURVEY TYPE ❑ SYMBOLS idIIOAT1011 m Awm AS-0Uli ❑ MAL S1R"DnAM A•-•UlT • SFT RFBAR DRAINAGE ASPHALT ROT RAN ... A1-NLT ... LOT KAIRVET ... TD A,,,Y o FOUND REBAR �� WOOD ,ENS CONCRETE AS -■XT ... NO muss W1 I1�a ASSUMED ELEV. 4" M".. m r r7 -/.y n _-- __ IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO I ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOV . FENCES, WELLS, SEPTIC CLEANOUTS. SIDEWALKS, DRIVEWAYS. TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCAnON, ONLY. SNOW THE 0USTENCE OF ANY EASEMENTS. COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANoes AWR w. UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR TKE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE Y SPUMand EIMUNM OTNme �y ?. Environmental Consulting and Design Municipality of Anchorage September 21, 2007 Development Services Department Building Services Division On-site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Subject: COSA Snow Crest View Lot 11 On July 31, 2007 I inspected the septic system at the above referenced lot. During the inspection a septic tank clean out and the monitor tube for the drain field were located and measured. The Septic tank clean out was 8.1 feet deep and contained 44 inches of liquid. The measured depth of the monitor tube was 8.3 feet and it was dry. Water was added to the septic tank until the liquid level in the tank stabilized and liquid was observed in the monitor tube. Water began draining out of the tank at a liquid level of 48 inches. This indicated that the distribution pipe above the drain field is 4.1 feet below the ground surface, this corresponds to approximately 3.5 feet of cover over the absorption field. If you have any questions or arc in need of additional information please contact me at 279-3916. Sincerely, 1 s Spurkland, P.E. Spurkland Engineering 203 Nest 15'6 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEngngcLnet GREATER ANCHORAGE ARL(, BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA XX)= FHA CONV 2. Property Owner: Agent for seller Robert Campbell -- Polar Realty Mailing Address: 101 E. International Airport Rdl.ay Phone 272-1541 3. Name of Buyer: Robert d Edna Gabaldon Mailing Address: 30-372H Cherry Dr. ELM AFB Day Phone 753-9332 4. Name of Lending Institution: First National Bank of Anchorage Mailing Address: P.O. Box 720 99510 Phone 279-4481 ext. 234 5. Name of Realtor or Agent: Robert Campbell Polar Realty Mailing Address: 101 E. International Airport Rd'.hone 272-1541 6. Legal Description: 1.5t 11, Snowcrest View S/D Location: N/H/N Danes Lane 99502 \ House is unoccupied. Please call Mr. R. Campbell for appointment for admittance) 7. Type of Facility to be inspected: 8. Water Supply No. Bdrms. 3 Type of Supply: Public Utility Individualxac If Individual, number of dwellings presently served 1 If Individual, depth of well 9. Sewage Disposal -System Type.of System: Public Utility If Individual, date of installation Individual (on-site) Xxx 4. When conduct is prohibited by statute or i ordinance that includes the right of injunctive relief against the unlawful conduct, injunctive relief shall issue upon the showing that the statute or ordinance is being violated. u Therefore, good cause appearing, defendant, its I, officers, agents, servants, employees, and attorneys, and those persons in active concert or participation with them who receive actual notice of this order by personal service or otherwise, are hereby ordered as follows: 1. From and after thirty days of the date of this order, defendant shall cease maintaining -or using her onsite sewage system if any portion of the system lies within a 120 foot radius of the semipublic well located on Lot 11, Snowcrest View Subdivision, Anchorage, Alaska. 2. Defendant shall promptly excavate her existing onsite sewer system for inspection by plaintiff's Department of ` GREATER ANCHORAGE AREA BOROUGH i Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received F- 02 f- �S Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR v� 1. Approval requested by: Mailing Address: /DPhone: ? 7.2 i r 2. Property Owner: le'x" f �.c�y Z:12 12 Phone: Mailing Address: 3. Legal Description: �f �-t // .�,c ,� c' 4 «'T 7��1�r .l cls• 4. Location: Ni -/.4/ /��cr�/ 4c'c 5. Type of facility to be inspected No. of bedrooms_ 6. Well Data: A. Type K /. ".�. B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: Ke -A. A. Installed B. Installer C. Septic Tank: 1. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1174) Page 1 of two pages Ro /1 CR,- C, co wyr Municipality of Anchorage Development Services Department Building Safety Division / On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. —07 HAA# Expiration Date: 1. GENERAL INFORMATION l6 - IS - o?cc)S Complete legal description Lot 11• snnw-�-Aqv-�-pp• View Subdivision Location (site address or directions) 11411 Lane, Anchorage, AK 9A5o1 Current Property owner(s)ne.,e & Diene rrnrlre r Day phone 265-7511 Mailing.bddress Lending agency Mailing address Real Estate Agent Mailing Address P.O. Box 242322, Anchorage AK 99521 Grady Thomas Day phone Dayphone 727-4723 Prudiential Vista 4241 "B" Street .Anchorage. AKA9503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on. site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage 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. NameofFirmSSS Engineering Phone'694-2979 Address 17034 N. Eagle River Loop, Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robert C. Cowan Date/0-6-04 ►� -A ; ROU" c oowaN S. DSD SIGNATURE I c [..8801 _V/� Approved for �_ bedrooms. Disapproved.�rr�� Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report X Well Flow Advisory Other By: 16Q A- �1 11l.n<< Original Certificate Date: (Ror. 01,02) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 9951946650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LCI- /I j SA:OLQC* 8sr Vie w S%D Parcel ID: 'C16 -1141-05L A. WELL DATA Well type rl � If A. B. or C provide PWSID # JpUQ13 Well Log (YIN) tj A Date completed IUA Sanitary seal (YM)LA Total depth AM—ft. Cased to A) ft. FROM WELL LOG Date of test KA Static water level NN ft. Well production PA g.p.m. WATER SAMPLE RESULTS: Coliform Jk _coloniesH00mi. Nitrate _Q$_4mg.11. Arsenic: )0A mg./I. Date of sample: A9_ Wires properly protected (YIN) NA Casing height (above ground) PA in. AT INSPECTION IUp P IA ft. JOA 9.p -m. Other bacteria "A oolonies1100 ml. Collected by: NW B. SEPTICIHOLDING TANK DATA Tank Type/Material SEIG/1 Date installed vZ oZ Tank size IWO gal. Number of Compartments CleanoutsiO/N) YS� Foundation cleanout (ft) J� Depression over tank (Y& _j -X High water alarm (Y/N) iUA Date 91 pumping I b C. ABSORP 40N FIELD DATA Date installed 22 Soil rati Length ?,jl7� ft. / t Pumper ►ucHr3fGA6E (%'�sSAGc)7v+MP1� ng (9.p.d.lft fewrm) 12CJ Width Total depth ft. Eff. absorption area 32D fe System type T" rlX-i{ Gravel below pipe _0 ft. Monitoring tube i" Depression over field NO Date of adequacy test Results as Fail) For bedrooms Fluid depth in absorption field before test & in. Water addedLo) gal. New�0d/elpth in. Elapsed Time: � min. Final fluid depth _&_[/ in. Absorption rate >= �+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y(!D% type) P -X) If yes, give date 0A D. LIFT STATION Date installed 1011 Size in gallons M14 "Pump on" level at JLA in. "Pu a in. High water alarm level at N A in. Datum Cycles tested A214 Meets alarm & circuit requirements? _ LA E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot PJA A Absorption field on lot Nf} +ic" Public sewer main NA Sewer /septic service line N1� On adjacent lots KA On adjacent lots A )A Public sewer manhole/cleanout N F� Holding tank Nn SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 1 Building foundation s -t- Property line V+ Absorption field S �+ Water main jV pit Water service line 1014- Surface water 100 1 + Wells on adjacent lots /cw, ,+ *r` SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line IU l+ Building foundation I 0 t j Water main Water Service line 10 t -I' Surfacewater (Co1(t Driveway, parking/vehicle storage S Curtain drain 1.i4'Ilk' KJtxxt,$J Wells on adjacent lots 100) t -V f, F. COMMENTS 2fc `>EPT1c SE-WA)O — (.I/ue- rs 011R♦•IrU 75' OF , 100STfFWEIN AiL102 TO 1443.)K* SSE. RTrKTC-HF0 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name P049&A-r- CO wff.✓ Date_ /0 /& /oy HAA Fee $ y30- w � Waiver Fee $ _ Date of Payment 101-7 /V-/ Date of Payment Receipt Number O t `% a G l �P1M Receipt Number (Rev. 12/01) ROHM G OOWAN CE"8801 ;CPT'. Zb, IV?sr-1 ••' 10/05/2004 14:41 2728738 HILDO EN PAGE 01 t30`, Cuw4.a l0 SCALE /"'30' �9•J2' 30"£ /35,01 D R I V4 WAY ao,1 WtRS' 462AVEL'• <+ cye(owe 4 2-SrartY F,CA M E !'s ' <FX 3 Q 3 e dr••-SlweR s••.A .r p 0 C Plea SrA"b Ne✓Sts SM 0 'a o e` •riCs 01AN CR,u 4 P/PO. I- G 1 Q 67.2 ` W0 I � .•• ow —r W SrA ND PIPs.� s<W<R WoL. 9 P • Canla 1 erANa PI/E ( J T 3O,o THE INFORMATION HEREON 18 FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW EASEMENTS OF RECORD, OTHER THAN AN CONFLICTS BETWEEN EftTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS THOSE SHOWN ON THE RECORDED NOT TO BE USED FOR POSITIONING ADDITIONAL PLAT, ARE NOT SHOWN HEREON. STRUCTURES OR FENCEUNES. "ASBUILT" No oornerS set Book D9 Fmr I hereby certify that I have surveyed the tolbwhg deecrrbed property, Lot" .•. Block 1 � +( OF A0.4S 11 s• s4oW CREfr �rEW 5ae Anchorage recording district Alaska, and That Mi a,C2P•'�• •'•;t�l� ,rntprowmsnts situated thereon are whNn. the property Imes ind do not overlap or encroach on 0 R f49L►1 L *,� the property tong adjacent thereto, that no Improvements on property lying adjacent thereto ��'•'•" •" ,'Ne"•'»�'•' encroach an the premises In question and Ihaithere aro no roadways. Iransmtsslon times or other 04.406. .............» {...� '� rants Mlde'1ea ' vtaleie easements on said progeny, except M Indicated hereon. �I,'si'•. No. I30a3 i � S+ �, ro O•'•..•.••.••' � Anchorage. Alaska ". I RUMBILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION reieaho^e. (907) Address' ANCIIORACE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCMORACEj ALASKA 99501 274-2533 September 26, 1985 Alaska Environmental Control Services, Inc. 1200 West 33rd Avenue, Suite B Anchorage, Alaska 99503 ATTN: Mr. Alan Wien, Engineer Technician SUBJECT: Waiver Horizontal Separation between Well and Septic System Lot 11, Snowcrest View Subdivision, Anchorage, Alaska (8621 -WA -068) Dear Mr. Wien: The Department has reviewed the subject waiver request and hereby waives the horizontal separation from the well to septic tank to 120 feet and well to absorption field to 128 feet on the subject property for a 3 -bedroom single family residence only. SE:MPL:pkk Sincerely, teve Eng .E. District Engineer �2j� °F�pT(by 0.- Ck ASO r4 C• foe October 15, 2004 ROBERT C. COWAN. P.E. ROBERTA. SHAFER P.E. CMLENGINEERS (907) 6942979 FAX (907) 6941211 NEALTHAUTHORM APPRwALS MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 SEWERSWATER Anchorage, AK 99519-6650 MAINEXTETISIONS REFERENCE: Lot 11; Snow Crest Subdivision SEWERS WATER raPECTTON This letter is in reference to your questions about the additional, undocumented foundation cleanout, located at the rear of the house, on the above referenced property. We contacted Denali Sewer and Drain and had them run a camera to ENGINEERMSTUDEB determine where the sewer line goes, beyond this cleanout, on the east side of the AND REPORTS house. The cleanout serves as an additional plumbing connection to the home, for a washing machine, and is tied into the existing septic system. The line runs out of the east side of the house, as indicated by the location of the foundation cleanout on the raT`'fON as -built survey. From the cleanout the line goes 6 feet east, than makes a 90 degree right turn heading south for 18 feet. There the line makes another 90 degree right tum to the west and runs, 15 feet to where it connects, to the existing sewer line. The existing sewer line continues on to the septic tank. SITE PLANS We request you grant the Health Authority Approval on the referenced property. „o„aCES*N We do not anticipate any adverse effects on the adjacent property. If you require additional information, please contact us. SOCTEST Sincerely, PERCOLATION TEST ObertC*oan, P.E. RCC/ts STRUCTURALS MECNANICAL lbPECTTONS ON SRE WASTEWATER DISPOSALSISTEN DESIGN 17034 NORTH EAGLE RNER LOOP • SUITE 204 0 EAGLE RNER. ALASKA 99577 Municipality of Anchorage Development Services Department •°` �r Building Safety Division *_ Onsite Water and Wastewater Program 4700 South Bragaw St. s T, P.O. Box 196650 Anchorage, AK 9951M650 www.muni.orglonsite (907) 343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: SAS Engineerinq \U Legal description: Snowcrest View Subdivision, Lot 11 The attached paperwork has been reviewed and is being returned for the following reasons: Name of reviewer: Julie Makela. P.E. Date: 10/13/2004 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK 1 ❑ Original signature or stamp missing on _ 3 ❑ Calculation error in design. V ❑ Additional soils information needed. Ei ❑ Water monitoring results inadequate. N d ❑ Discrepancy in information submitted. _ t- ❑ Topographic information missing or inadequate. ..t ❑ Incomplete; missing o ❑ Incomplete; missing _ IV ❑ Additional adequacy test information needed. _ � ❑ Water sample unacceptable. ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. -' ❑ Well log required. �"„ ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ® Other. Please provide documentation on second foundation cleanout loci Name of reviewer: Julie Makela. P.E. Date: 10/13/2004 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality pf Anchorage: Development Services Department d Building Safety Division:,:. On -Site Water and Wastewater Program sA I { r a -4700 South Bragaw St.'-. , P.O. Box 196650:Anchorage, AK 99519-6650 www.ci.anchorage.ak.us , ,. (907) 343-7904 CERTIFICATE OF:HEALTH AUTHORITY APPROVAL FOR ASINGLE FAMILY DWELLING' - 0/033 7 Parcel l D. O f b - 141—CI-7 HAA Y1 Expiration Date: 7 - / 3 - 0 Q, 1. GENERAL INFORMATION Complete legal description LO 11 S N LAW C-9- TEE 8v i E V:'/ Location (site address or directions) 11411 I)AV'C LANE Current Property owner(s) `1 A R 1•l 10 L Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent pAM Wot.F �E t4tii4 Day phone 7l0-27(01 Mailing Address ' Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ' Individual On-site (� Individual Water Storage E]Individual Holding tank ❑ Community Class 'I All 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 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (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 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 _T_o(ob•e v4 S -1i u r'V-LAt1I'N l= Address zzo 3 W/ Is �- 0 3 Avic� INcY, Engineer's Printed Name to 5. DSD SIGNATURE L� Approved for 3 bedrooms. Disapproved. PhoneoL7Q _ Date (/ENGINE 'S! AM Conditional approval for bedrooms, with the following stipulations: _ ,r,tttrfrrrrr�,,. Y Ur q�yC �'� • WATER AND � 141�CTn lrlrr PROGRAM Additional Comments e . J ��JJJJJJJ))))))11 r Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: Original Certificate Date: %— / 3 b L (Rev. 12Co) Municipality of Anchorage • Development Services Department Building Safety Division On Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995194650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: i_OT I I . S HOufi C R E ST V Irz tis'/ Parcel ID: df(s" 141-07 A. WELL DATA ti Well type It Date completed Total depth ft. Date of test Static water level Well production It A, B, or C provide PWSID # Aid 443 Well Log (YM) Sanitary seal (YIN) _ Cased to ft. FROM WELL LOG WATER SAMPLE RESULTS: Coliform coloniesll 00 ml. Date of sample: B. SEPTIC/HOLDING TANK DATA ft. 9 -P.M. Nitrate mg.A. Collected by: Wires properly protected (YM) Casing height (above ground) tin. AT INSPECTION Other bacteria ft. g.p.m. colonies/100 ml.. Tank Type/Material 54JUSE T 1- T I e. Date installed 7 Tank size. 1000 gal. Number of Compartments Z Cleanouts (Y/N) Foundation cleanout (Y/N)//_Y_ Depression over tank (Y/N) _hL High water alarm (YM) Date of pumping LO%Zq V Pumper— Art C. ABSORPTION FIELD DATA _ Date installed Soil rating (g•p•d•/ft? or fe/bdrm) System type Length ';U ft. Width 41 ft. Gravel below pipe I7 ft. Total depth Q ft. Eft. absorption area Iglu Monitoring tube Depression over field N Date of adequacy test — Results (Pass/Fail) For 3 bedrooms Fluid depth in absorption field before test ! in. Water added !L0 gal. New depth in. Elapsed Time: -5 min. Final fluid depth IL in. Absorption rate >= `� Q g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) 1\4 '1 If yes, give date L D. LIFT STATION Date installed 'Pump on" level at _ In. Datum E. SEPARATION DISTANCES Size in gallons 'Pump :olrtale at n.Cydd SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot Absorption field on lot Public sewer main Sewer /septic service line Manhole/Access (Y/N) High water alarm level at Meets alarm 8 circuit requirements? On adjacent lots On adjacent lots Public SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: In. Building foundation -30+ Property line _UJ! Q' t Absorption field 10 Water main >;0 Water service line i 5D Surface water u% Weiss on adjacent lots > ,cQ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line IV t Building foundation -50:r Water main t4 ( A Water Service line ? I &V Surface water N 1 o Driveway, paWng/vehide storage =� Curtain drain t-410 Wells on adjacent lots Mf 1&0 F. COMMENTS G. ENGINEER'S CERTIFICATION c ••^: ��/° '•, r , I certify that I have determined through field inspections and ��' ' = = =- k'''`•'' �� c .. ........ review of Municipal records that the above systems are in c I ,� conformance with MOA HAA guidelines in effect on this date. F': ;' •° °8NO1K: "� Engineer's Printed Name (ob6" vrklast c'S �Z . •, : •.., it Data . . 's., ,..•• , ` LV�h�gs• i d ` HAA Fee $ 3Waiver Fee $ Date of Payment �a�y b/ Date of Payment Receipt Number °� - I Receipt Number (Rev. 12100) Ls/ r/ s,�exl!,FEtT ✓rcrJ r"1 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 regula- tions in effect on the date of this inspection. Name of Address IZ-av Date 8'z�6_Srs (ENGINEER SEAL) 6. DHEP Approval Approved for G -U bedrooms By Approved' Disapproved Terms�of Conditional Approval CAUTION le. Telephone SG/'�uSrO _� �. rtir. 4y o3 OF�gC%gseAQ goo .»... .tF... �s,c ; C. Reid, Jr. f �r +J"• No. 2251-E F � Conditional THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION HORITY A (DHEP) ISSUES HEALTH AUT PPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS 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 REQUIRE- MENTS. E`IPLOYEES 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. (DHEP SEAL) RR4/ej/D18 [Page 2 of 21 7-19-84 ' MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Descriptiop, (include of block, subdivision, section, township, range) Loca ioa address or erections) Name'y� L_e_14_ k/r/A& S Telephone - Ho a ,1-,330 � O Business. (b)'Applicants 'Address1/5�/� = Applicants (c) Applicant is (check one) Lending Institution ; Owner/builder ; Buyer ; Other (explain); - (d) Lending Institution -y%1c77L�t=� Telephone Address , (e) Real Estate .Co. S Agent Address , Telephone .(f) Mail the HAA to the following address: 2. Type of Residence Single -Family Multi -Family Other (describe) — Number of Bedrooms -3 3. Water Supply' Individual Well Communityz< Public 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 Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 21 n MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) v `p 27 CHECKLIST - FEBRUARY 1984 p0.7 264-4720 `�[�r 1'��/' Legal Description: RMA _ —" aF A. WELL DATA Well Classification cm55 "e"_ If A. B, C. D.E.C. Approved (9N) / Well Log Present (YDate Completed e2 Yield �J� Total Oepth— Ca d 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) /4 Depression Around Wellhead (Y/N) FNA Separation Distances from Well: 01 1114 To Septic/Holding Tank on Lot �z � ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots W14 To Nearest Public Sewer Line Cleanout/Manhole — Water Sample Collected by. Water Sample Test Results _ Comments B. SEPTIC/HOLDING TANK DATA —To Nearest Public Sewer To Nearest Sewer Service Line on Lot 4114 Date Al Date Installed J? -7-7,-17 Size 16 ' 09,44 No. of Compartments Z' Standpipes YqN) Air -light Caps Y ) Foundation Cleanout6N)/ Date Last Pumped g'LL-FS Depression over Tank (Y�J 7 A Pumping/Maintenance Contract on File (Y/N) L�I�� ; (or Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) a Separation Distances from Septic/Holding Tank: To Water -Supply Well �ZG To Property Line 9' To Water Main/Service Line / Course N/A Comments Page 1 of 2 72-026(11,64) To Building Foundation Ar To Disposal Field 140' To Stream, Pond, Lake, or Major Drainage LoY// SnicrJGfeSf ✓� C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata __ IZ4� Type of System Design Tk4✓ell Date Installed I' Length of Field -50 Width of Field — Y Depth of Field Gravel Bed Thickness G Square Feet of Absorption Area 3�0 91/ Gravel Present�N) Depression over Field (Y0V Date of Last Adequacy Test F -LZ Results of Last Adequacy Test /-Q!�/�TE- SEC ftAG" Separation Distance from Absorption Field: To Water -Supply Well — /Z 17/ To Building Foundation Sg S/ Lot Al, To Water Main/Service Line To Property Linen 10 To Existing or Abandoned System on i On Adjoining Lots SD •f - To Cutbank (if present) W -4 -- To ATo Stream/Pond/Lake/or Major Drainage Course .✓�A To Driveway_ Parking Area, or Vehicle Storage Area Comments Q9/'/eAW111 '1 LOO/ p Af,10 w D. LIFT STATION A11W4 Date Ins Size in Gallons '.Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments Oi — Dimensions Manhole/Access (Y/N) — "Pump Off' Level at •• Check Permitted Bedroom Rating Against HAA Request •• Vent(Y/N) L/.✓C during Adequacy Test. Meets MOA Icertify that Ihav hgyked, erified,orconformed toall MOA and HAA guidelines ineffect ont1m%of this inspection, Signed Date _�� OF Company /rte (�f MOA No. 9�,OL �,�e� -.0,0000.0"." I#` Receipt No. *.p Date of Payment _r91 -a7 �5S Amount:S L}�� c• LeroyCr No. 2251.E .•• Z4'0 pROFESS10Na��a�: Page 2 of 2 72026 J1 1,84j