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Home My WebLink AboutSTRALEY LT 3Straley Lot 3 #015-231-28 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211356 Work Type: SepticTank Upgrade Tax Code Number: 01523128000 Site Legal Address: STRALEY LT 3 G:2739 Site Mailing Address: 7241 HUFFMAN RD, Anchorage Owner: SILVERSTEIN RACHEL S Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date Expiration Date Lot Size in Sq Ft: Total Bedrooms: nt Department 9/3/2021 9/3/2022 14519 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy El . Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: Issued By: Date: KA Municipality of Anchorage P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program Ur.parrmenr. x x x x VARIANCE/WAIVER REVIEW x x x x Waiver#: OSV211059 COSA#: PID#: 015-231-28 Legal Description: StraleV Lt 3 Engineer: Mike N. Anderson Permit#: OSP211356 Your request for a waiver of the required 100 feet horizontal separation from the holding tank to the private well has been approved. The approved separation distance is 93.0 feet. In addition, the tank is approved to be 0 feet to the property line. This waiver approval applies to the proposed holding tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ■■vvvvvvvvvvvvvvvevvvevvvevvvvvevvvvvvvvevvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvI Waiver is Granted: X Waiver is not Granted: Date: Approved by: / �/ Name of Reviewer ■■ v v v v v e v v v v v v v v v v v v v e v v v v v v e v v v v v v v IN v v v v v v v v v v v v v v v v v v v v v a ■ v v v v v v v v v v v v v I **** VARIANCE/WAIVER REVIEW **** MUN161PALITY OF ANCHORAGE I Parcel I.D. 015-231-28 Property owner(s) RACHEL SHEDD Mailing address 7241 HUFFMAN RD, ANCH AK Site address SAME Legal description (Sub'd., Block & Lot) STRALEY LT 3 Day phone Legal description (Township, Range & Section) Lot Size 14519 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field F-1 Initial D Single Family (SF) E (w/wo ADU) Septic Tank D Upgrade RX Duplex (D) El Holding Tank RX Renewal F-1 Multiple Dwellings ❑ Privy F-1 (SF and/or D) Private Well El Water Storage El THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized.agent) Permit/Rush Fees:aa 5 Waiver Fees: it DateofPayment:- Date of Payment: Receipt Number: 0203-3 Receipt Number: Permit No. 0SP'a1135b Waiver No. QSV all QS GAIDevelopment ServicesTuilding Safety\On Site Water and WastewaterTormsUient FormsTermit Application.doc Sept. 3, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Holding tank Permit plus a 93’ Waiver & 0 Lot Line Waiver Legal: STRALEY LT 3 To Whom it may concern: This is a request for a septic permit to move the existing 3000 gallon holding tank to the southwest corner of the lot, see the attached site plan. We are also requesting a zero lot line waiver (south property line) and a 93’ waiver to the existing well located to the north of the proposed new tank location, see the site plan. The existing holding tank has a small pump basin which is leaking ground water and needs to be repaired or removed. We are proposing to move the tank only to the SW corner of the lot which will allow for gravity flow and keep the cover over the tank to less than the maximum required three feet. This will eliminate the pump basin and keep the system sealed better from ground water intrusion. Justification for granting of the waivers is the last COSA was done in 2014 which showed zero arsenic/nitrate levels and the well is up-gradient from the new holding tank location which has been functioning well for the last 49 years. This new holding tank relocation will not impact any of the surrounding neighbors and will provide a more leak-proof design which protects the ground water and the environment. Another rationalization is this waiver is only for a 7 feet encroachment therefore we are over 93% in compliance with the On-Site code, thus the possibility of any issues is very low. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 1"=50' PROPERTY LINE EXISTING WELL 100' RADIUS WELL -HUFFMAN ROAD- REMOVE 3,000 GALLON HOLDING TANK & PUMP BASIN STRALEY, LOT 3 SCALE: DJRDRAWN: DATE: STRALEY, LOT 3 Anchorage, Alaska RACHEL SILVERSTEIN 9/2/2021 WELL WELL SHED EXISTING HOUSE DECOMMISSIONED HOLDING TANKS STRALEY, LOT 2 STRALEY, LOT 8STRALEY, LOT 9 AMAZING GRACE, LOT 7 RELOCATED 3,000 GALLON, GRAVITY FLOW HOLDING TANK, MOA WAIVER REQUESTED93'WOOD DECK SHED 5' X 5' ELECT. EASEMENT DCOTCO FENCE Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191055 PID Number: 015-231-28 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New X Upgrade Name Rachel S. Silverstein ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 7241 Huffman Road, Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade (907) 306-7076 2 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Straley 3 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well N/A N/A N/A >100 >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 3000 Gal. Surface Water N/A N/A N/A >100 Material Number of compartments Lot Line N/A N/A N/A 0* NA Steel 1 Foundation N/A N/A N/A >10 LIFT STATION Manufacturer Of enCo Capacity Approx. 80 Gal' Remarks *See ROW encroachment permit 2019. Grinder Pump and Vault installed pre tank. Alarm location Inside basement near SE corner of house. Electrical installed by Power lighting & Control LLC High level alarm isoperational & located in the SE corner of the basement. PIPE MATERIAL House to tankD3034 Tank to drainfield NIA Installer Isaac's Excavating Drainfield N/A CO/MTD3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspect 1s' 6/13/19 Location and description 2ion nd Bottom of siding. 3'd 4,h ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp oWw �F q� +b Conditional Approval: Date .•�P,.•••" '••qS �,. •". ♦♦ �•• �• s •; 10 ................... 0 ♦♦ :, MICHAEL E. ANDERSON Septic System ♦ �� : ,: z� ♦ s • NO. CE-4381 . �_ ♦♦�TCn�'•..,,11/19/19 - w.. Date ApproveAJ.2 .� ♦� Note: this does include e�;RaFESS\ ::••. approval not well permit requirements. ew tKev uo/uznu/ STRALEY LOT 3 PERMIT # OSP 191055 PID # 015-231-28 (NO SCALE) ?" INSULATION STRALEY, LOT 3 PERMIT # OSP191055 PID # 015-231-28 I � I EXISTING WELL � \ I \k�� LOT /� I \\\ LOT 100' WELL RADlq 100' WELL RADIUS �� (� LOT 7 / - - - \ ' AMAZING GRACE / 10' TIL&Y AS€ ENT I EXISTING W L� SHED EXISTING WELL Ey( STING HOLDING TANKS D'ECOMMISSIONED PER MOA CODE. LOT 2 > f/ NE /3000 -GAL HOLDING TANK w/ HI H LEVEL ALARM & O \ \ / I �• I SULATION TH�_/ ® MH } } GRI INDER`{DUMP \< \\ �\ C t\taMA EHGINEERIHG )r3 + PLAN AS -BUILT it .0 100 �mm FEET A B MH 19.5 17.8 SV1 20.0 21.2 SV2 22.1 26.5 SV3 24.7 30.9 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANC FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE ��-K��U K�� LOT ^� �� 8 K`k�-�K��- U ��«�� ; �� y�UT� ��1�1�� U�� 1x-��-�� PERMIT .. __' '-.___ " "�°"�=.^~^-~°^ '-`~ } | / / | ' | �x�T�m ' \ WELL � LOT 9� Tg \ 100'mEL nxolqa 1onWELLRADIUS LOT 7 AMAZING GRACE EXISTING WELL 31 gcOMMISSION EXISTING LOT OLDING TANKS PER MOA CODE LOT 2 \ \ \ � ' / vw HIPH LEVEL \ ` \_'-- INSULATION PUmlvAUL — — ----' — ----- — �— �—) — ----- — / ---�.......... PUN AS -BUILT 0 50 100 liiIim m WE FEET 111=5O A B MH 19.5 17.8 SV1 20.0 21.2 SV2 22.1 26.5 SV3 247 1 309 LEGEND CO'CLEAN OUT 2CO-DOUBLE CLEANOUT FCO-FOUNDATk]NCLEAN{ FG'FLOW SPLITTER VALVE MH'MANHOLE MT'MONITORING TUBE SV - SEPTIC VENT TH'TEST HOLE I:'6r'.8's'i111.",U �.� rsu�Li Jurrvc r i = amu• HUFFMANROAD NO CORNERS SET THIS DATE 1 i -1:T zFBYCF_RT,•' .,'ATO -/,4VE-PERFORAILE) Si,RVEY OFT.x-:FFOLLOWINGDFSCRIEE14 PRO, PER 7;r THC INFO RMATIONHrREONISFOP, TH USE OP LENDING INSTITUTIONS SPECIPICALLYTOSHOWANY ANCH:"'R4GFFcCC%.RDiNGDISTr??i:-ALASK<l.FINE)T'aATTHE CONPUCTS!iETWTENMST] NGSTRUCTURESAND PLM TEOLOT LINTS•AND/OR EASEMENTS:. AND IS VlSIPZ-E I1iPrPOVCAIE:•'VTSz77-IA7-ED:TH RV ONAx'LE M77 -DN OTTO#3I_;7S-'O�ORPOSnIONINGADOIPCi4ALSTPUCTURES.IFIPPOVEtdENTS.ORP'LNCELINES. T�-,'E, RO?cRTYL:iVES 1tVc?;VCVI_S'/u LFc:VCnOAi'}-!,+.ir7VTS EAS94ENTS OF MORO OR OT HER RIGHTS OF WAY. O R ANY ENTITY NOT ON THE RECORD PLAT ZX/ST 07 HE R 'H11 "Y' I'll ?TED- AREN"TSHO`1ii4N EON.U.._ESSNOT=D. D,y;:-;q?-„n,1CJ..rC::'A:;E..;x..ASKA i.-iJ,S' .!'J DAYOP- cn P=NCE1 0KUSEOT01)EiER,1NE Ll✓ 20 19 P20P+3{ €l' LINES OR P OSI'i IO N AODITIONAL IMPROVEMENTS. .... ....-._.... P,NY PAVING SHO'11P: HEREON hlAYfiEkPPRDXiT•1G.TE DU"t TD EXCESSIVE S. AND ICE. HOLTLAND5URVEY7NG 9309 GROVER DRIVE ;4i0+; !'9748-4 ANCHORAGE;AK 99507 August 8, 2019 MOA Development Services Dept, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Straley Lot 3 — 7241 Huffman Rd. Lot Line Waver Dear On -Site Services Engineer: The lot line was not clearly marked prior to the installation of the holding tank on this lot. Unfortunately, over half of the tank was placed over the property line. This lot line abuts the Huffman Right of Way and is a substantial distance from all septic systems in the area. Placement of the holding tank over the property line will not adversely impact adjacent properties. Sincerely, 49th o MICHAEL E. ANDERSON No .7/19 CE -43&i 3/ �I Orm.ES`�� Michael E. Anderson, P.E. Municipality of Anchorage P.O. Box 196650 a 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 e 11 t Department * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV191069 COSA#: PID#: 015-231-28 Legal Description: Straley Lot 3 Engineer: Forge Applicant: Rachel Silverstein Permit#: OSP191055 Your request for a waiver of the required 5 feet horizontal separation from the Tank to the property line has been approved. The approved separation distance is 0 feet. This waiver approval applies to the Existing Holding Tank only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ 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. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: 3 12 Z '� Approved by: C 4— �'1 Name of Reviewer POST IN A CONSPICUOUS PLACE m e n t , ALL WORK MUST BE INSPECTED o Field Inspection Request required 2 working days in advance of starting work and 2 working �. ,w days in advance for final inspeciton. Call (907) 343-8206 (voice recorder) for scheduling. Permit is not valid without the call-in and also must include the one -call ticket(utility ) utili locate number. MUNICIPALITY OF ANCHORAGE - RIGHT OF WAY DIVISION Department 4700 ELMORE ROAD' - TELEPHONE (907) 343-8240 FAX (907) 343-8250 RIGHT OF WAY PERMIT R191945 Type: Encrchmnt Status:- ''Issued Grid: SW2739' Date Applied: 07/15/2019 'Date Issued: 07/15/2019 Issued By: PWMER Construction Start Date:Last Updated: 07/15/2019 Last,Updated.Bv: PWMER Permittee: SILVERSTEIN RACHEL S Work Order -,,_,,Utility: Contact Person: Rachel Shedd (Silverstein), 907-306-7076Primary inspector Mike 'iNalters (907)343-8197 Address/Loc ;7241 HUFFMAN RD, Anchorage - @ Hillsic(e Drive' r Legal Description: STRALEY LT 3 G:2739 See reverse for requirements/remarks. 1 have read and understand both sides of this permit. I agree to the terms and conditions; and I certify that all work will comply with federal, state, and municipal codes and regulations and the provisions of this permit. MUNICIPALITY OF ANCHORAGE -I 1 'ti° s 4' Development Services Department Right of Way Section Department THIS AGREEMENT, made this 17`" day of July, 2019, by and between Rachel Shedd and their heirs, administrators, and assigns, hereinafter called "PERMITTEE", and the Municipality of Anchorage, a municipal corporation organized and existing under its Charter and the laws of the State of Alaska, hereinafter called the "PERMITTER". WITNESSETH: WHEREAS, PERMITTEE is the owner of the following described real property: STRALEY SUBDIVISION, LOT 3, according to the official records thereof, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTER owns and/or maintains the real property more particularly described as follows: The EIGHTY FOOT RIGHT OF WAY OF HUFFMAN ROAD, immediately to the south of PERMITTEES property as shown on Plat No. 71-175, on file in the office of the District Recorder, Anchorage Recording District, Alaska, and; WHEREAS, PERMITTEE has placed a septic tank upon the referenced real property which encroaches 10.0 feet upon the PERMITTER'S Huffman Road Right of Way. NOW, THEREFORE, it is mutually agreed between the parties hereto that: 1. The PERMITTER, acting through the Director of Development Services Department, hereby grants to the PERMITTEE the privilege of allowing a septic tank to encroach 10.0 feet upon the PERMITTER'S Huffman Road Right of Way, as shown on "Attachment A," included herewith. 2. The PERMITTEE agrees forever to indemnify, defend, save and hold harmless, the Municipality, its officers and employees, from any and all lawsuits, claims or actions brought to any person for or on account of damage to property or injury, disease, illness or death of persons, including all costs and expenses incident thereto, arising wholly or in part from or in connection with the existence of, alterations, maintenance, repair, renewal, reconstruction, operation, use or removal of the encroaching septic tank, as placed upon the PERMITTER'S Huffman Road Right of Way. 3. The PERMITTEE shall not assign or transfer any of the rights granted herein to another individual or company without first notifying and securing the approval of the Director of Development Services Department. 4. This Agreement and Permit grants PERMITTEE no interest in PERMITTER'S real property whatsoever, except only the encroachment rights described herein. 5. The PERMITTER reserves the right to revoke this permit upon twenty (20) days written notice to the PERMITTEE. The PERMITTEE agrees upon such notice of revocation, to move said encroachment(s) from the Huffman Road Right of Way in which it is placed. Should the PERMITTEE refuse or fail to comply with said written notice, the PERMITTER may, without further notice to the PERMITTEE, remove or cause to be removed the encroachment(s), and the PERMITTEE hereby agrees to reimburse the PERMITTER for all costs incidental to the removal thereof. In addition to the mutual promises heretofore made, the PERMITTEE has paid the PERMITTERa one-time permit application fee of $120.00. The PERMITTER hereby waives the annual fee of $315.00. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seal the day and year first hereinabove written. GRANTEE: GRANTOR: MUNICIPALITY OF ANCHORAGE ZzRachel edd ack L. Frost, Jr. Owner VRight of Way Supervisor STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this 17`" day of July, 2019, before me, the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn as such, personally appeared Jack L. Frost, Jr., known to me to be the Right of Way Supervisor for the Municipality of Anchorage, Alaska, who executed the foregoing instrument, and he acknowledged to me that he executed said instrument as the free and voluntary act and deed of said corporation for the uses and purposes therein mentioned, and that he was authorized to execute said instrument. WITNESS my hand and official seal on the day and year first above written. NOTA Y PUBLIC in and or as My Commission Expires: DZ- 'VOTARY G PU$LIC *9 STATE OF ALASKA ) )ss - THIRD ss.THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this 4W -6 -day of , 2019, before me, the undersigned, a Notary Public in and for the State of Alas , duly commissioned and sworn as such, personally appeared Rachel Shedd, known to me to be the individual(s) named herein who executed the foregoing instrument, and she acknowledged that she did so freely and voluntarily for the used and purposes therein mentioned, and on oath stated that she was authorized to execute said instrument. WITNESS my hand and official seal on wh ,day and year first above written. NOTARY eUlAL,IC in and for Alaska My Commiss' n Expires: &Lt./Q��3 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191055 Work Type: Septic Upgrade Tax Code Number: 01523128000 Site Legal Address: STRALEY LT 3 G:2739 Site Mailing Address: 7241 HUFFMAN RD, Anchorage Owner: FORGE ENGINEERING Design Engineer: FORGE ENGINEERING This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank Q Holding Tank ❑ Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ��»ent s yy Department 4/16/2019 4/15/2020 14519 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: 9,j hdid4,i, a31��le-d. Date: L Date: 2 MUNICIPALITY OF ANCHORAGE Community Development Department -r Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-231-28 Property owner(s) Rachel S. Silverstein Mailing address 7241 Huffman Road Anchorage AK 99516 Site address 7241 Huffman Rd. Day phone (907) 306-7076 Legal description (Sub'd., Block & Lot) Straley Lot 3 Legal description (Township, Range & Section) Lot Size 14,519 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank ❑ Upgrade ❑X Duplex ❑ (D) Holding Tank ❑X Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: _g22s • to Waiver Fees: Date of Payment: 0_411--311 q Date of Payment: Receipt Number:_ r) 62�6i D Receipt Number: Permit No. Os 1�:l 9 i o S S Waiver No. Permit App_::- : . -..:c March 12, 2019 MOA Development Services Dept, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Straley Lot 3 — 7241 Huffman Rd. Septic System Design Dear On -Site Services Engineer: 6789 MANY 1 1 2019 68L The owner of Lot 3, Straley Subdivision intends to replace the two holding tanks on the property as they are at or near the end of their useful life. The tanks have been in place since 1979 and were required due to percolation rates of the underlying soils which exceeded 120 minutes per inch. We are submitting this permit application for the upgrade to the holding tank septic system. The attached site plan identifies the location of the home as well as the existing well and existing and proposed holding tank site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. Wells on this and adjacent lots are shown. The new holding tank will be a minimum of 100' from all wells and surface water, and more than 5' away from property lines. Please refer to the attached plan and profile;pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, P.E. STRALEY, LOT 3 � � I I I EXISTING \ WELL �k�� LOT �� I �� LOT 1 00'WELL RADII 1 00'WELL RADIUS LOT 7 - - -AMAZING GRACE I 0' TIL Y AS`€ ENT 1II \ J I EXISTING W L SHED III I / EXISTING WEL! J > I I II I COMMISSION EXISTING \ LOT 2 > / 1 Lv / OLDING TANKS PER MOA CODE II INS ALL NEW 3000 -GAL HOLDING T�JIK w/ HIGH LEVEL ALARM & XI-ATION - \��----F �PUM V UL GR19DERVUMP < < \� \ \� I "F�--MANf 7/ E N G I N E E R I N G iV \\ 11 �' NOTE: I L DO NOT EXCEED 3'6" OF L \ \ COVER OVER HOLDING TANK. 1 - - � l� NOTE: ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. 0 50 100 FEET V=50' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE m z ` J mom' "0 nn Z� C ODO=� '-0 >> OGS Oa) r= C m -a -I Ls. D D X Z O X D = rQ ' m ITI r Z 0 r'I O z x. < r, -, D -< O O iZ O n ic- D>- D C) =� �< _ m p O D c0 o Z X C m� om -o o -I �m zo m M '°m T p D � SEWAGE HOLDING TANK z � o z STANDARD CONFIGURATION ANCHORAGE TANK M 2723 RAMPART DRIVE o :,.c D � tD 07 V Of Ut ? W N N —� —� Z p 0 0 0 0 0 0 0 C 7 � 0 U f 0 � 0000000000000 O O O O O O O O O O O O N m W N D r NNNN—`-PJ W CJ�N � 07 UtN N N N N N a f' co co f0 tD(OtDC' 01NO IW a a N N N W co co au 00 0o O 0) i i O+ G� Cit I c01D a a a N N a a N a m z ` J mom' "0 nn Z� C ODO=� '-0 >> OGS Oa) r= C m -a -I Ls. D D X Z O X D = rQ ' m ITI r Z 0 r'I O z x. < r, -, D -< O O iZ O n ic- D>- D C) =� �< _ m p O D c0 o Z X C m� om -o o -I �m zo m M '°m T p D � SEWAGE HOLDING TANK z � o z STANDARD CONFIGURATION ANCHORAGE TANK M 2723 RAMPART DRIVE o :,.c ANCHORAGE, ALASKA ,PA o\ (907) 272-3543 4 SOILS LOG AND PERCOLATION TEST E N G I N E E R I N G LEGAL DESCRIPTION: STRALEY, LOT 3 PERFORMED FOR: RACHEL SILVERSTEIN DATE: 4-L+-19 PROJECT No.: PARCELID#: PROPERTY ID TECHNICIAN: L. TIDWELL DEPTH TEST HOLE 1 (feet) 1 2 3 4 G • 7 8 9 1 11 12 13 14 1 1 17 18 19 2 ORGANIC FILL SILT WITH SAND & GRAVEL (ML) ' • MORE DENSE W/DEPTH i SITE PLAN SEE SITE PLAN .' • READING WAS GROUND WATER ENCOUNTERED? NO NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) IF YES a WHAT DEPTH? - L ' 1:00 DEPTH OF WATER AFTER MONITORING: - LS 2 DATE OF MONITORING: - P 4 0 3 E ' SILT (ML) DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO WATER (INCHES) NET DROP (INCHES) 4/4 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 1:00 4 2 1:30 30 4 0 3 1:31 4 4 2:01 30 4 0 5 2:02 4 6 2:32 30 4 0 PERCOLATION RATE:>120 (MIN/INCH) PERC. HOLE DIA. CINCHES) TEST RUN BETWEEN: 4 FT. and 5 FT. COMMENTS: PERCOLATION RATE IS >120 MINUTES PER INCH. \\ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION •f� ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME'y/�� I 1 r rO PHONE Y49 LR ONEW UPGRADE MAILING ADiDRESS &) LEGAL DESCRIPTION 1, 3 l e S ` LOCATION NO. OF BED jQOMS �j use DISTANCE TO: Well Absotftqtrea Dwelbn PERMIT NO. EQ W1. ManufacturerMaterial No. of compartments Liq. capacity in IF HOMEMADE: Inside length Width Liquid depth b y DISTANCE T0: Well 7 r Dwelling �O i PERMIT NO. 7 9 D3 /S 0Vz F Manufacturer Mat eri Liqui c�a�ty in allo s O NCETO: Well Foundation Nearest lot tine PERMIT NO. L u Z 2 W No. of lines Length of each line Total length of lines Trench width Inches Distance between lines 1" f Top of tile to finish grad Material beneath tile inches Total effective absorp area W Length Width Depth PERMIT . l7 u!— W � Type of crib Crib diameter Cri th Total effective absorptio ea W DISTANCE TO: Well Building foundat Nearestlot 1' .r Cla - Depth Driller once to lot line PERMIT NO. W DISTANCE T0: Building foundation Sewer line ter"cT"* 97 f Absorption areals) OTHER PIPE TERIA S SOIL TEST RATING AsoO INSTALLER r REMARKS q ...� r tit- ail 0 n 2M.�vv Ali 1 IDI i PA io ILL APPHO ED DATE LEGAL -711,/79 72-013 .v. 3/781 > MUN I C:: I F= nL_ I TY OF= nN0HOF:Zn0E: " DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET. ANCHORAGE, AK. 99501 264-4720 ON—SITE SEWER UF�'OFZnr>E PERM PERMIT NO. < 790315 ) APPLICANT. BLAINE P. GncLAO. SRA BOX 5 349 4940 LOCATION UPPER HUFFMAN LEGAL L3 STRRLEY S/D LOT SIZE 19000 SQUARE FEET TYPE OF SOIL RBSORBTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF BEDROOMS - 3 SOIL RATING CSO FT?BR)- 0 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: OEF?TH— 0 LENC3THm 0 C3RIF VEL_ E>EF>TH— 0 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THE TRENCH W I E> -r" 3:S 0. 000 F=EET THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REGbU I REO SEF=>T I C TFiNK S I ZEA 2000 C3FILLONS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWO <2a> I NSF='ECT I ONS FIRE REGEU I REO --- BACKFILLING 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 100 FEET FOR A PRIVATE WELL] OR 150 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. F}ERM I T EXP I RES dE0EM0ER 31 , 19 r�S I CERTIFY THAT 1: 1 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. SIGNED ISSUED BY PPLICANT BLAINE P. GROUP U V3. 2 • ' t �( SOILS LOG ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST PERCOCATION • 'I Pouch 6.650, Anchorage, Alaska 99602 276-2221 SOILS LOG - PERCOLATION TEST rf PERFORMED FOR:�1/SGyor7<� eatlallr*7 DATE PERFORMED: �UHe /7, /979 owner / Blaine oru/o LEGAL DESCRIPTION: Lol .3 Slr0/CY .Sabel/y. (NN/ eoi: /l x4mael -e AM/s/de) SLOPE SITE PLAN DEPTH r - (FEET) 1 ML brown /oan cared — tr 07e/n/c5 — �- 2 3 4M /qn—�- rounded 7(v gn9u/or 4 si cobbles sray si/iy coarse sones 5 �✓� /an si/i /apses i— N — — 6 dense -Ion s/Yt/y 7 4M rave/ w� subonya/af �� r an9u/ar. 8~401 Cobb/es _ _ 1 /� and na 401 dcw/Sees 9 t/p 2'f . - sorree I nelnor G/Qy• --. f/�riyj�snan �oa0 10 !--�-� WAS GROUND WATER S 11 SM d/jGpn�n NOCIS ENCOUNTERED? � Q. 12 C' send - 140n 76 IF YES, AT WHAT 13 4A'i dolt see y -Ion sd/y DEPTH? 9na✓e/ 14 %¢n/ dgo,<h 15- 16- 17- 18- 19- Reading 516171819 Reading Date Gross Time Net Time Depth to Water Net Drop 9•'a /0 Art;% 0.08 , /0:08 /O nein• O. Ib /O: /8 /O nein. O.OG /O: 28 /O Min. O.O I nelnor G/Qy• --. f/�riyj�snan �oa0 10 !--�-� WAS GROUND WATER S 11 SM d/jGpn�n NOCIS ENCOUNTERED? � Q. 12 C' send - 140n 76 IF YES, AT WHAT 13 4A'i dolt see y -Ion sd/y DEPTH? 9na✓e/ 14 %¢n/ dgo,<h 15- 16- 17- 18- 19- Reading 516171819 Reading Date Gross Time Net Time Depth to Water Net Drop 9•'a /0 Art;% 0.08 , /0:08 /O nein• O. Ib /O: /8 /O nein. O.OG /O: 28 /O Min. O.O /0:38 20 ' PERCOLATION RATE � /33 (minutes/inch) TEST RUN BETWEEN // FT AND .Z FT PERFORMED B CERTIFIED BY: DATE: '4 L se 72 008 (7/76) r+ June 20, 1979 Les Buchholz, Senior Environmental Specialist RE: Lot 3 Straley Subdivision Requesting a holding tank Because of the 133 percolation rate of the soils on the above mentioned lot we would like to request that a holding tank permit be issued. There is an existing house, well and sewer system that has failed. Sincerely, n `'- (� Ellsworth Excavating for Blaine Gorup U ' loo �� „�= C a...r' �� Sm-ri.eor� �:30��/zl MUNICIPALITY OF ANCHORAGE EEA DEPT. C: I A!i't i ��: OF HEALTH & ENVIRONMENTAL PROTECTIONVI20?;:�'CNT:+! �QION DEPARTMENT STREET LOCATION 876 L Street • Anchorage, Airka 89601 • 79 PAR,, 719. NUMBER OF BEDROOMS ENVIRONMENTAL ENGINEERING DIVISION SINGLE FAMILY Telephone 264.4720 RECEIVE D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete ell parts on page 1. Incomplete requests; will not be proceerd. Please allow ten 110) days for processing. 1. PROPERTY OWNER INDIVIDUAL' PH 3 iy� !� y � since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY MAILING ADDRESS �f INDIVIDUAL/ON-SITE" PROPERTY RESIDENT (If different from Wove) 11 41 ❑ PUBLIC UTILITY PHONE NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 2. BUYER PHONE k/ MAILING ADDRESS 3. LENDING INSTITUTI ir 727 PONE �� K G c� MAILING ADDRESS ,.p 4. REALTOR/AGENT TONE MAILING ADDRESS S. LEGAL DESCRIPTIO STREET LOCATION S. TYPE OF RESIDENCE NUMBER OF BEDROOMS 1:1 One ❑ Four [3 Other SINGLE FAMILY Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE" "If individual/on-site,date_ Cz-j installationade test is is is ❑ PUBLIC UTILITY over two (2) years old an adequacy requ ed ystem over o (2) arsold If system by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-01013/78 THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED , TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY Will NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLICUT4LITY- Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑SepticTankor ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area w Seer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS L,yLY, APPROVED FOR �_ BEDROOMS C�ONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED 111 A DATE BY Title LEGAL DESCRIPTION rcyrry �nev. orrol oa 1t� *A. Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-- 23/ Expiration Date: 2' v1_� T -f 1. GENERAL INFORMATION Complete legal description S `-+ R r+ r Lu 3 Location (site address) 7'L `t N 'am e,., Current Property owner(s) r k s w , l= BZc. Day phone Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) US MI TMA L Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) MAR 2 S 2014 3. NUMBER OF BEDROOMS: Z-- 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual ❑ Individual Water Storage ! ; Holding TanK ITLSI", Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: aAj f Date: }l --z '-( COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $_ S 2 (0 Waiver Fee $ Date of Payment 312-S-1Jt-i c Date of Payment Receipt Number 2S�I Jib' Receipt Number COSA# 05e-)LFII1O Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm A41 z ka ori rS oyf Phone 7 2 -T -V %, io 4 Address �(0 fo ! /�✓a r ti .� Engineer's Printed Name 1%11i C- -� Date 6. DSD SIGNATURE fj 9 System #1 Approved for bedrooms. ..... >.. • • , , System #2 Approved for bedrooms. Disapproved.67. Conditional approval for bedrooms, with the following stipulat'trn ✓ By: LL� 1 Original Certificate Date: The Minn' al�ofoA`n chorage 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 Septic System Advisory Well Flow Advisory COSA blue sheet A-12.doc Nitrate Advisory Arsenic Advisory Other 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: 'J • vat l -r a Lu }- Parcel ID: C`7( A. WELL DATA Well type n w z If A, B, or C provide PWSID # _----� Well Log (YIN) Y Date completed _,-K Z Sanitary seal (Y/N) Y Wires properly protected (Y/N) Total depth -LT—e ft. Cased to eft. Casing height (above ground) / in. FROM WELL LOG AT INSPECTION Date of test )2� / Static water level - 75 g. Z g• Well production g.p.m. 9•P•m. WATER SAMPLE RESULTS: Coliform —0—colonies/100 mL Nitrate i mg/L / Arsenic ug/L Date of sample: ?'� / Collected by: MA , B.OLDING ANK DATA Tank Type/Material S(c G l Date installed 7 Tank size 2�M gal. Number of Compartments Z Cleanouts (Y/N) Y Foundation cleanout (Y/N) Depression over tank (YIN) High water alarm (Y/N) Date of pumping Z / Pumper 1 5 1 Q e S Pa„, C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm)System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption ar ft2 Monitoring tube _ Depression over field _ Date of adequacy test Results (Pass/Fail) For _ bedrooms Fluid depth in ab on field before test in. Water added gal. New depth in. Elaps ime: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "P eve Datum /. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tankAift station on lot Absorption field on lot Public sewer main Sewer /septic service line r 2 s 4 - Animal containment areas C90 F OLDING ANK ON LOT TO: atin. High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots On adjacent lots I V d r F Public sewer manhole/cleanout Holding tank -:zS r f Manureianimal excrete storage areas r Building foundation r f Property line /D 1 Absorption field 14W 'XI Water main N Water service line Surface water ! 1-,� p r F r Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Water Service line F. COMMENTS G. ENGINEER'S CERTIFICATION Building foundation Wells on adjacent lots I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name flroV1ePl A(A&eVAee7 Date— at-in. ate COSA brown sheet -10-1 0-12.doc main Driveway, paddngrvehicle storage � `°r, ° •• Carp °•` y=s 1i A • MICHAEL N. ANDERSEN_ a.a+ 'r ^� B�°58�0O rah/ //lo,00 If i tzm'r ------- �____ w r1 au oWeLL v Piro r. > -3- N L-1"T6 N &9'.5B'oo'W �~� 114 ee, HUFFMAN Rd . i . OF /it �,l�J1 _ N, i� ��,••.... �� X19. • .kms i -4- Q AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: Lo T 3, $7 -RALE_ y 5uaz)/V/ 5/oa Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this ZG A, da f MAY 20 0L EASEMENTS OF RECORD. OTHER THAN I y o THOSE SHOWN H OWN HEREON. ttiwt. BE FRED WALATKA & ASSOCIATES PLAT ARE NOT SHTHE RECORDED (907) 246-1666 Engineers and Surveyors N > -3- N L-1"T6 N &9'.5B'oo'W �~� 114 ee, HUFFMAN Rd . i . OF /it �,l�J1 _ N, i� ��,••.... �� X19. • .kms i -4- Q AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: Lo T 3, $7 -RALE_ y 5uaz)/V/ 5/oa Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this ZG A, da f MAY 20 0L EASEMENTS OF RECORD. OTHER THAN I y o THOSE SHOWN H OWN HEREON. ttiwt. BE FRED WALATKA & ASSOCIATES PLAT ARE NOT SHTHE RECORDED (907) 246-1666 Engineers and Surveyors ,- - Municipality of Anchorage �� ►� Development Services Department Building Safety Division r On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650.. Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-231-28 1. GENERAL INFORMATION COSA# 0_5C,101'35Z_ Expiration Date: 3 -° 4 4 y- / 1 Complete legal description Straley Subdivision, Lot 3 Location (site address) 7241 Huffman Road Anchorage, AK 99516 Current Property owner(S) Todd and Chantell Moffoletto Mailing address Lending agency Mailing address 7430 Chalet Court Anchorage, AK 99507 Day phone Day phone Reals6t6 Agent C.--084 irr� l �� Day phone 2`�'2 �' [ l Mailing Addre $1,.„ Unless otherwise re44bsted, COSA will be held by DSD for pickup. 2. NUMBER OF `B'EDROOMS: Two (2) 3.' TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: IndividUal"Well✓❑ Individual On-site ❑ Individual Water Storage ❑ Individual Holding Tank 5(� Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Phone 522-7773 Date 12/7/2010 OF 44%1jtt C,.•.• I 49th• : �, ? MICHAEL E. ANDERSON ti j 5. DSD SIGNATURE �'0 s`•., No. CE -4381 �� Approved for bedrooms.0°o,o1`p;;sS\CJ' Disapproved. Conditional approval for bedrooms, .with the following stipulations: :. PROGRAM moi, �`1 1111)1►) ►)99)I Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other BY vll AT Original Certificate Dater (Rev. 11105) aAkTi aht -of Anchorage Devellopment Services :Department Building Safety Division On -Site Water & Wastewater Program s " $" 4700,Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE'SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 3,, Straley Subdivision Parcel. ID: 415-231-28 A. WELL DATA Well type Private If A B, or C provide. PWSID # Well Log (Y/N) Y Date completed 6/1972 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 128 ft. Cased to 29 ft. Casing height (above ground) >18 in. . FROM WELL LOG. AT INSPECTION Dateof test 8/6/72 'li to Static water level 28 W611 production 59.p.m. ` : t g,p.m. WATER SAMPLE RESULTS: Coliform D _colonies/100 mL Nitrate C>..t mg/L Other bacteria o colonies/106 mL Arsenic: mg/I Date of sample: 12/2/10 Collected by: A. Harala } B. � SEPTIC/HOLDING TAJW DATA Holding/Steel Tank Type/Material Date instal... 7/12/1979 nk'size 2 - 2,000 gal.', ` Number of Compartments 1 Each Cleanouts (Y/N) Y � - Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alar- (Y/N) Date of pumping 3 a Pumper Gni v_.n�ls c - 6r01Ge C. ABSGRPTIGN F:IELD,I ATA Date 'installed Soil rating: (g.p.d.tft2 or ftz/bdrm) System type Length ft. Width ft. Gravel below .pipe ft. Total depth ft Eff. absorption area ft2 . Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water addedgal: New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p..d. ,Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date Municipality of Anchorage • Development Services Department Building Safety Division Onsite 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. 015-231.28 HAA # Expiration Date: 7— 1 { — 6 s 1. GENERAL INFORMATION Complete legal description _Lot 3. Stralev Subdivision Location (site address or directions) 7241 Huffman Road Current Property owner(s) Lod Berger Day phone 344-6788 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 7241 Huffman Road Anchorage. AK 99516 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Three 3 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: ® Individual On-site ❑ ❑ individual Holding tank ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 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 afrured 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 Anderson Engineering Phone 522.7773 Address P 0 Box 240773 Anchorage AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 41612005 '`1 49th F_ iwrcxsw 5. DSD SIGNATURE 1/ Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: os— (P.. 12M) S (P..12M) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program ' " • " 4700 South Bragaw SL P.O. Box 196850 Anchorage, AK 99519-6650 www.cLanchorage.sk.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legai Description: Lot 3. Mlev Subdivision Parcel ID: 015231.26 A. WELL DATA well type fit? If A, B, or C provide PWSID # _ Well Log (Y/N) Y Date completed Iia Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth -J jLfL Cased m —9 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of lest Mon 011M Static water level 28 R 26.6 ft. Well production 5 9.p -m. 6.1 g.p.m. WATER SAMPLE RESULTS: Coliform _A_colonles/l00 mL Nitrate 10 mg.A. Other bacteria _L ooionies/100 ml. Date of sample: 4M12005 Collected by: AN B. SEPTIC/HOLDING TANK DATA Tank Type/Material HoldinalSteel Date installed Tf12l1979 Tank size 2 x 2.000 gal. Number of Compartments j Clearwuts (Y/N) Y Foundation cleanout (Y/N)1X Depression over tank (Y/N) y High water alarm (Y/N) Y Date of pumping 4118005 Pumper Alaska Pumping C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d.e or fl Abdrm) _ System type Length ft. Width R Gravel below pipe ft Total depth _ it Eff. absorption areafl Monitoring tube _ Depression over field Date of adequacy lest Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Data installed 'Pump on' level at _ in. Datum Size in gallons 'Pump ofr level at _ in. Cycles tested Manhole/Access (YIN) High water alar level at Meets alarm 6 circuft requirements? in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankilift station on lot WA On adjacent lots MW Absorption field on lot WA On adjacent lots >1W Public sewer main WA Public sewer manhole/cleanout WA Sewer /septic service line >2S Holding tank >75' – SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >S Property lineW Absorption field–WA— Water ieldWAWater main WA Water service line >10' Surface water MW Wells on adjacent lots >1W SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water Service line Surface water Driveway parkingIvehicle nOfee Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION `„•�C�' VF ' 1 cattily that I have determined through field inspections and : ' 49th N o- review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. S �{�"•iaoen c wacrtsvi Engineers Printed Name Michael c Anderson P.E. Na CE -4= Data 4MM it HAA Fee u Walver Fee $ Date of Payment `r'6 ��'r Date of Payment Receipt Number -7 7 Receipt Number (Rev. 12MM IN MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Mkt Division of Environmental Services _ On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519.6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D. # 015-231-28 HAA # 1. GENERAL INFORMATION Complete legal description STRALEY SUBDIVISION- I OT 3 Location (site address or directions) 7941 F HI IFFMAN owner RIAINF GORUPD.(907) 345-5186 Mailinn address 7741 F_ HUFFMAN RQ_ ANCHORAGE- AK 99516 Lending agency Mailing address Day phone Agent PEGGY KELLY Day phone (907) 000-0000 Address C/ DYNAMIC PROPFF FS 3111 •C• ST ANCHORAGE AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: Individual well xx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding Tank xx Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1191) Front MOA #21 Computer Version Note. Alaska Water and Wastewater Consultants, Inc. shall be paid 5400.00 at, or prior to, closing for the engineering services provided. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my Investigation and Inspe n, the on-site water supply and/or wastewater disposal system Is in compliance with all Mun16P PState codes, ordinances, and regulations in effect on the date of this inspection. ; Name of Firm Phone —(907) 337-6179 Engineer's Signature ` Date In conducting this evaluation, AWWC, Inc.ll np a to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MO HH uldelines & 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, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of 0000aoopp the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. e ' AV=, Inc. can therefore not provide any warranty for future estimate of how long the Gj�rl system will continue to meet the operational requirements of the ADEC or MOA DHHS. p ....... „ The content of this report is for the sole benefit of the owner listed above. Any % reliance upon cruse of this report by any other person or party is not authorized,�... ..i ... .... nor will it confer any legal right whatsoever. �� - ffrg A. Go ess., 6. DHHS SIGNATURE Approved for a bedrooms — Disapproved Conditional approval for Additional Comments 0 bedrooms, with the following stipulations: Date — %- O O The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending Institutions in 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. 1191) Back MOA 921 Computer Version .. - . ------ --- -- RECEIVED Municipality of Anchorage SEP 0 5 2000 .r DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUNICIPALITY OF AN 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (t1EAflp7R4lER EWAL tiMCES Health Authority Approval Checklist Legal Description: STRALEY SUBDIVISION; LOT 3 Parcel I.D.: 015-231-28 A. WELL DATA WON Type PRIVATE If A. B, or C, attach ADEC letter. ADEC water system number N/A Log present (Y/N) Date completed 8/6/72 Total depth 128' Cased to 29' Casing height (above ground) 18"+ Sanitary seal (YIN) YES Wires property p (YM) YES FROM WELL LOG Data of tat 8/6/72 Static water level 28' Well production 5 g.p.m. AT INSPECTION 5/25/00 7.0 g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate 0.500 ma/L Other bacteria 0 Date of sample: 8/28/2000 Collected by: A.W.W.C.. INC. B. SEPTICfHOLDING TANK DATA Date installed 7/12/79 Tank size 2 x 2000 Number of Compartments 2 Cleanouts (Y/N)YES Foundation deanout (Y/N) YES Depression (YM) NO High water alarm (Y/N) YES Date of Pumping 5/2000 Pumper ANCHORAGE CESSPOOL C. ABSORPTION FIELD DATA Data installed Sop rating (g.p.d.R12 or fl21?bdum) System Length Width Gravel thickness below pipe Effective absorption area Date of adequacy test Fluid depth in absorption Reid Monitoring Tube depth Depression over field (YIN) For Immediately atter gal. water added (in.): Fluid depth (Ins) Minutes later. Absorption rate = t3ePe a treatment (past 12 months) (YIN) If yes, give date note FW. 3W t WV" VWWM D. LIFT STATION Date Installed Stns Manhole/Access High water alarm level ar 'Datum "Pump off" level or E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septldholding tank on lot 75'+ On adjacent kits 100'+ Absorption field on lot N/A On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/deanout N/A Sewedseptic service One 25'+ Lift station N/A SEPARATION DISTANCES FROM UPc=HOLDING TANK ON LOT TO: Foundation 5'+ Propel One 5'+ Absorption field N/A Water maln/service One 10'+ Surface wateddralnege 100'+ Wells on adjacent kits 75'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line Building foundation Surface water Drlvew Curtain ill F. ENGINEER'S CE Fl 0 1 germ that / h d to fic /d inspections and review ofMunidper s a si stems are In conformance with MOA Auld fl this date. Slgnatura Engineer's Name „/ L I f1EFFREY A. GARNESS Date HAA Fee S 3 e-0 . 4-75 Date of Payment 27 — G —619 Recelpt Number �?sa (IL{;21 72-M M v. 3Mr CwVuOer Vergm parking/vehicle storage area Wells on a Waiver Fee Date of Payment Receipt Number