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SUN VALLEY HEIGHTS BLK 3 LT 3
Sun Valley Heights Block 3 Lot 3 #017-062-37 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211275 PID Number: 017-062-37 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name MARY ENDACOTT ABSORPTION FIELD Site Address El Deep Trench F] Wide Trench ❑Bed ound 13221 MOUNTAIN PLACE *ANCHORAGE, AK ❑ Other Phone pNu—mler of Bedrooms Soil Rating Total depth original grade 907-677-7997 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. SUN VALLY HEIGHTS; BLOCK 3, LOT 3 Fill added above original gr Gravel length Township Range Section Ft. Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Holding Sewer Total orption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ftz Ft. Well - _ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ 100'+ GREER TANK 1500 Gal. Material Number of compartments Lot Line 51+ 51+ NA HDPE 2 Foundation 1 **10'+**� 0'+ LIFT STATION Manufacturer Capacity Remarks OLD TANK AND LIFT STATION DECOMMISSIONED PER UPC GREER TANK *500 Gal. PER CONTRACTOR *SECOND COMPARTMENT **5'+ TO POSTS Alarm location Y Electrical installed by GARAGE Co rzn c POWER LIGHTING &CONTROL PIPE MATERIAL House to tank D3034 drainfield Tank to Installer D3034 NORTHERN EXCAVATION Drainfield EXISTING CO/MTD3034 Inspector TIM ECKLUND AND GEG BENCH MARK (Assumed elevation) 100.00 ft Inspdect Sn 1s' 9/23/2021 2�d - Location and description 3`d - 4th _ BACK DOOR THRESHOLD ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp �o600p Conditional Approval: Date .:._... /................ .� p.. . ..... ...... .......... � Septic System DO .J, ffrey A. arness; Q ApprO Date©�(jr Z� �0 �s CE-1793 cOQ Note: this approval does not include well permit requirements.#neccea4o f eeo,�6� (Rev 05/02/18) PERMIT NUMBER: D DRAWING PARCEL ID NUMBER: OSP211275017-062-37 A a N\A DBL1 20.840.2 P DBL2 20.5 41.6 0o�� MH1 20.3 43.6 MH2j 19.9 47.6 "SWING TIES" TAKEN / FROM AS -BUILT SURVEY / 4•r- + / a. •4 � EXISTING HOUSE SUN 7UBLE 1 & 2 NEW 1500 GALLON GREER TANK USED AS STEP TANK; 5'+ TO SEEPAGE PIT AND POSTS FOR "SUN ROOM" ,-EXISTING SEEPAGE PIT BED PO P� / N SCALE: / 1"=40' / OF mAr ®�P'(E , 9 ....... .. ...................!, ..�r �'t: ffrey A..•arness s 0 �� ��C 7 AF 53 =r ®®i®®FQ•�.............•'�®®®® LICENSE 4m 'A"'FESS\(0 #AECC884 ENGINEERING,, SALES CONSULTING -. 3701E TUDOR ROAD. SUITE 101 • ANCHORAGE. AK 99507 • PHONE (907) 337-66179 -FAX (907) 336-3246' WEBSITE: —.9— garnePREPARED PREPARED FOR: MARY ENDACOTT PHONE NUMBER: 907-677-7997 PAGE NUMBER. 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: SUN VALLEY HEIGHTS; BLOCK 3, LOT 3 D.J.G. TYPE OF WORK: DATE: �,SEPTIC TANK RECORD DRAWINGS 10/11/2021 OF mAr ®�P'(E , 9 ....... .. ...................!, ..�r �'t: ffrey A..•arness s 0 �� ��C 7 AF 53 =r ®®i®®FQ•�.............•'�®®®® LICENSE 4m 'A"'FESS\(0 #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: OSP211275 RECORD DRAWING 017-062-37 FLOAT ACTIVATION LEVELS FROM BOTTOM OF TANK (IN INCHES) • HIGH LEVEL ALARM: 58 • OFF: 50 • ON: 56 TOP OF MANHOLE = 102.37 MH1 MH2 / TOP OF TANK AT INTLET = 94.32 INVERT OF BUNG AT INLET = NEW 1500 GREER SEPTIC TANK USED AS STEP TANK TANK HOLE WAS DRY DURING EXCAVATION - GROUNDWATER WAS NOT ENCOUNTERED SIMTECH FILTER FINAL GRADE = 101.75-102.08 TOP OF TANK AT OUTLET = 94.31 GOULDS PUMP SEPARATE LINE TO EACH FIELD ENGINEERING - SALES c- CONSULTING 3701E TUDOR ROAD, SUITE 101 ' ANCHORAGE. AK 99507' PHONE (907) 3375179' FAX (907) 33&3246' VVEBVTE:>.+ gainme,4neenn0.c PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MARY ENDACOTT 907-677-7997 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: SUN VALLEY HEIGHTS; BLOCK 3, LOT 3 D.J.G. TYPE OF WORK: DATE: PROFILE OF NEW S.T.E.P. TANK 1 10/14/2021 of i... ,- •( I1/............... .i.......... .0 f J9fifrey A. Gar�abss : 4r r ®® ��' .: C -7953 ' _�® 40, ECC884®®®R Aosopw ®a MUNICIPALITY OF ANCHORAGE On -Site Water &VVaotewotmr Program POBox 1s8soo 4ronElmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 On -Site Wastewater Disposal SystemPermit Permit Number: OSP211275 Work Type: SepticTankUpgnoda Tax Code Number: 01706237000 Site Legal Address: SUN VALLEY HEIGHTS BLK 3LT 3 G:2938 Site Mailing Address: 13221 MOUNTAIN PL, Anchorage Owner: ENOACOTTPH|LL|PC&MARY S Design Engineer: SARNESSENGINEERING GROUP LTD This permit iafor the construction of: 71 Disposal Field 2 Septic Tank M Holding Tank Privy Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms Deporcnr6t 7/14/2021 7/14/2022 41311 13 Private Well E3 Water Storage All construction shall bainaccordance 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 bycalling (SU7)343'7Q04(24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall beeither: a. Opened and Closed onthe same day, or b. Covered, sealed, and heated to prevent freezing Receive B) Issued By: 4 WNICIPALITY 01F ANCHORAGE • 15 '�J Development Services Department �`` ���r � Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICM/ELL PERMIT APPLICATION Parcel I.D. 017-062-37 Property owner(s) MARY ENDACOTT Day phone 907-677-7997 Mailing address 13221 MOUNTAIN PLACE *ANCHORAGE, AK Site address 13221 MOUNTAIN PLACE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) SUN VALLEY HEIGHTS; BLOCK 3, LOT 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: n/a 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: 4 9 2 5 Waiver Fees: Date of Payment:%z/2.�Z l Date of Payment: Receipt Number: (50�3_5L{ G Receipt Number: Permit No. 0 S P P, 1 1 Q7 5 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211275, Deb Wockenfuss, 07/14/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211275, Deb Wockenfuss, 07/14/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211275, Deb Wockenfuss, 07/14/21 Lot 2 SCALE: 1 "= 50' LOT 3 Ret. wail 0.6 OH CP U�o 9 at Shed Q S Lot 4 �5?0 sss c� Co �,,,r Manhole f ,fit a � Septic vent (typ) J 2.0 OH ° ° ° 4369 •'�'' _ r Shed cS� Fire pit [-jj--ice deck o Ret- wall �L°`Q p0 PG O QeA�� / 11\0 RECERTIFIED 6-22-21 / AS -BUILT NO CORNERS SET THIS DATE OAMAMW F•A�gl AW ��. • .S,r b�. s `? • 49th • :� fjr 100 1 �, •.&iza�elhL Walaika oo �sr�, • 8036 - LS • �6b,r j° ; 0 ssiaNrk�-� "� I hereby certify that I have performed a Mortgagee's inspection in accordance with ASKS Standards of the following described property: LOT 3 BLOCK 3 SUN VALLEY HEIGHTS 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 the 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 26th day of JULY 1972. EASEMENTS OF RECORD, OTHER THAN 1, 2_FRED WALATKA &ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED FB 21-2, pg 48-50 PLAT ARE NOT SHOWN HEREON Recert 3-12-84 BE Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 72-10, pg 17 807-248-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a cater date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright taw. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. Municipality of Anchorage a .. Development Services Department r Bufidig Safety Division • • - On-Site water and wastewater Program, 4700 S. 13mgaw St. P.O. Boz 196650 Anchorage, AK W510-66W Page Of 3 www ci.ancforags.sk.us (907)343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW060209 PID Number: 017-062-37 Phillip C. & Mary S. Endacott Wastewater System: ❑ New ❑ Upgrade 13221 Mountain PI. 99516 ABSORPTION FIELD PM leerlwd 54m 4 4 0Da.p TNrc Osasm Tare Claw ❑m. ❑oew LEGAL DESCRIPTION sm Ram Tpm DIM man orgmlaraa OpD.fle R. e 3 La 3 Sun Valle He' hts Y � Dapatb PPr eomom rmm onar� omw Wa..lokp ewwmpp. R. R Tpwmry Rare. Ba[apM1 fala0be.awa orvaw arab Cr L«,ae' R. R. Well: [3 New E3 Upgrade Oaw wbm. 14n 10Mw Daa.b nalw PL R cMaaeomn(R W. A e, cl T«M D.pm T«alab "Maw P"Maww A R.c..bw R Fel Mw Na, Dnwe S a wa.., L"Iawaa.r A+ Home Services Dat. a,«aaae 8/16/2006 (moved) R yawPu p bet K c...p l *QrA a Dltwta TANK ovM R. R SEPARATION DISTANCES OSepge ❑Hotdig ❑S.T.E.P. ❑Otter. To Septic Absorption Lift Holding rAlrwe a `°"« w� From Tank Field Station Tank Sewer une Anchorage Tank 1000 icy V.001 200+ 200+ 200+ N/A N/A YaMreL Steel H 2«ac^mpm-«IM awr.c.w.w 100'+ 100'+ 100+ N/A LIFT STATION l«Lb 69' 35' 57' N/A 500 o" . « Anchorage Tank (1987) F«ItlatbR 14' 25' 27' N/A 9wnpan-I..waL 'Poop W M'K HBn..w Wml at ti m „ ctwat Dran WA N/A N/A N/A Ptanp M. amp EMcelut W.P. p«brmae par RwnMks 12" insulation added above tank to reduce over- BENCH MARK burden. Tank moved to new location. Tank and Latamn.n. D..t.ctcr. Back door threshhold lift station were inspected and found in good Ywaon 100.00 " condition. No work performed on drainfield or crib. E l� 49TH '9 Cindy W. Ellis, P.E. a 8/16/2006 Inspections performed by: Y Dates: 1 *' t* 2n° 821/2006 ~-� Development Services Department Approval Cin Y W. Ellis Conditional Approval by:CE-losn Date: rf opw1.. Reviewed and Approved by: Date: tue) (/ 4-'111 qSp'41 T O��LF �qr Served by community water system 1250 gal Stack steel septic tank (1972) abandoned 1997 coti I \q x y0 of e � 5' minimum/ New location of 1000 gallon tank. .7 Existing 500 gal lift station (1987) Sun Valley Heights Blk 3 Lot 3 Proposed Septic Upgrade Phillip C. & Mary S. Endacott Parcel Ia. 017-062-37 Cindy W. Ellis, P.E. July 11, 2006 Scale 1 Inch - 30 ft Proposed Addition Existing 1000 gal steel septic tank (1991 to be Inspected & moi to the southwest - 5 ft any foundation. Crib (1972) 3 Concrete rings 1987 Bed O 0 .'`LOO!OJ O Watkins Engineering, Inc P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 MUNICIPALITY OFANCHOR4GE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 995IM650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 20, 2006 Expiration Date: Jul 20, 2007 Permit Number: SW060209 Parcel ID: 017-062-37 Legal Description: SUN VALLEY HEIGHTS BLK 3 LT 3 Design Engineer: 0844 WATKINS ENGINEERING Site Address: 013221 MOUNTAIN PL Owner Name: PHILLIP & MARY ENDACOTT Lot Size: 41311 SQ. FT. Owner Address: 13221 MOUNTAIN PLACE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-3150 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must 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 engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: WV b 6 Issued By / 1 _► i Date: o 61 (off' Municipality of Anchorage • �- Development Services Department Building Safety Division . ¢ - On -Site Water and Wastewater Program S. 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-062-37 Property owner(s) Phillip & Mary Endacott Day phone Mailing address 13221 Mountain Place. Anchorage Zip Code 99516 Site address same Zip Code Legal description (Sub'd., Block & Lot) Sun Valley Heights, Blk 3 Lot 3 Legal description (rownship, Range & Section) Lot Size 41.311 Sq. Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field ❑ Initial ❑ Septic Tank Q Upgrade 0 Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. P.E, (Signature of prcoerty owner or authorized agent) Permit/Rush Fees: $ ri60 Waiver Fees: Date of Payment: ZASZD61 Date of Payment: Receipt Number: S 3SZO 1v/w Receipt Number: (Rev. 11/05) Watkins Engineering, Inc. RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis®gcLnet July 14, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Sun Valley Heights, Bilk 3, Lot 3 Proposed Septic Tank Relocation To Whom It May Concern: An addition is proposed for the subject existing 4 bedroom house in Anchorage, which necessitates relocating the septic tank. There are 2 soil absorption systems serving the house, and no work is proposed on them. The existing septic system consists of a 1000 gallon steel septic tank installed in 1997, a 500 gallon lift station installed in 1987, a 1972 concrete ring crib, and a 1987 bed. The proposed addition to the house is adjacent to the 1000 gallon tank, and thus, we propose to move the tank. The tank will be visually inspected, and if it is in good condition, it will be relocated to the west. It will tie in to the existing 500 gallon lift station. If the tank is found to be unacceptable, a new 1000 gallon tank will be installed and tied in to the lift station. This lot is served by a community water system, and there are no wells within 200 ft of the septic system. There are no slope concerns. I am unaware of any adverse effect that this upgrade would have on any adjacent property's water or wastewater needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, Cindy W Ellis, P.E. President Lot 1 Lot 4 Block 2 Lot 2 Lot 3 / Served by community / water system — Sun Valley Heights Block 3 Lot 2 Lot 1 Lot 3 I I I I Lot 5 I I I I Lot Proposed Addition i i i i Lot 1 i i Lot 6 Block 5 \ Lot 7 Sun Valley Heights Blk 3 Lot 3 Proposed Septic Upgrade Phillip C. & Mary S. Endacott Parcel ID: 017-062-37 Existing Septic I I em Block 4 Watkins Engineering, Inc. Lot 3 OFA Z -\N .............. poo �. 49 TH'' Cindy W. Ellis, P.E. P.O. Box 110443 X00 ''. of a " .iosn IS ,uly 11, 443 Scale 1 inch -100 ft Phone: (9 1 07) 349-1851, Fax: ( 07) 349-1934 �T jPjr Served by community water system 2 0LPo 1250 gal Stack steel septic tank (1972) abandoned 1997 O P 1 5' minimum/ New location of 1000 gallon tank. Existing 500 gal lift station (1987) Sun Valley Heights Blk 3 Lot 3 Proposed Septic Upgrade Phillip C. & Mary S. Endacott Parcel ID-. 017-062-37 Cindy W. Ellis, RE July 11, 2006 Scale 1 Inch a 30 ft 1987 Proposed Addition Existing 1000 gal \ steel septic tank (1997 to be Inspected & mo% to the southwest - 5 ft any foundation. Crib (1972) 3 Concrete rings Q OP' '' . & 0 Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax (907) 349-1934 Municipality of Anchorage Page —1_0f 2 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S"✓ 97 ON OJ— PIONumber:_- 0170 e*Z37 Namenava E` Orf tf'a Del h Wastewater System: 0 New Q? Upgrade Ad/3 ZZ/ Min Plare AncA. Ak 995-1 ABSORPTION FIELD Ex1.r7- vnone: 3'is"- 9-91 No. of Bedrooms: ❑ Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ er LEGAL DESCRIPTION Soil Rating: Total Depth from ori' Iprode: GPD/S Ft. Lot: Block: Subdivision: 3 3 Depth to pipe bottom from origin e: Gravel in beneath pipe Sma Vlorllex h1jill Ft. Township: Range: Section: Fill added above original grade: I length: FL Ft WELL* 0 New ❑ Upgrade Gravel width: Number of 11 DSWnbeMtln fires Ft Ft. Classification (Private, A,B,C): Total Depth: I Cased To: Total • cation area: Pipe material:Ft. Ft. Driller. Date Drilled: Static Water Level: install r. ANK ONL Date installed: Ft. C i4ek!c 00rk'IIVe 12/Y/97 Yield:Pump Set at: I Using Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES LX Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lin Holding bib/Private ManufacturerCspecify In gallons: From Tank Field Station Tank Striver Uri AA(fj01-0 %a/J%r 1000! Welt Material: Number of Compartments: Surface Water Water � lOp LIFT STATION EwsT Lot Size in gallons: Manufacturer. Line tris Foundation "Pump on" level at: "Pump ore' level at: High water alarm at: 1O Curtain Pump Make S Model Electrical Inspections performed by: Drain Remarks: Tank 1AxwlrlNe,( fr a rowel BENCH MARK e,~'k CSO lTLocation and De cription: c/M &e. co-. h i Assumed Elevation: 106'. ENGINEER'S SEAL Inspections performed by: EiiL�V Ttcb S -c Dates: is 12/1/97 Art 11".1e:ee•:••... •,.•••••.:-- I`....., 2nd .' Department of Health and Human Services approval �'. cz: - :a Reviewed and approved by: a^ K4 C' I�A&W Date: 12*3/ "F7 • ,N 72-019 (Rev. belt) MOA 25 LU14 PERMIT NO: SW970405 PAGE 2 OF 2 PID NO: 01706237 L Gl LOT 3 BLOCK 3 o JP�aP� SUN VALLEY HEIGHTS OR��F _ "A„ EXISTING SWING TIES: 500 GAL. II FROM: COR. "A" COR. "B _'LTBM LIFT STA . TO:H FDN. C.O. "C" 31' 9' ;4 BDRM ,D,. HOUSE DN. C.O...D.. 25' 15' ,:: 0 0 S.T. C.O. "E" 27.5' 15. l ..�.. "G.. S.T. C.O. "F" 29' 18.5' a. DBL. C.O. "G" 31' 21.5' B.. 0 0 NEW 1000 GALLON PLAN VIEW SEPTIC TANK EXIST. SCALE: 1" = 30' ABs o BED Fl GROUND i n ELEV. 97.2' er?:: � .. ..t ; : �+' •'.',�, a. A' 1000 GALLON INV..,,•:';y ,..,y. SEPTIC TANK INV. EXIST. 91.8' e• .: ,, C,'� ' 91.6' LIFT STA L 3, BILK. 3 SUN VALLEY HTS. SEPTIC TANK REPL. AS -BUILT INSP. REPORT PROFILE VIEW NOT TO SCALE FLATTOP TECI INICAL SERVICES SCALE: AS NOTED 14530 ECIIO STREET DRAWN BY TFM ANCI IORAGE, ALASKA 99516 DECEMBER, 1997 Moi copr 3: PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970405 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:DELK DON H & LORETTA M OWNER ADDRESS:13221 MOUNTAIN PL ANCHORAGE, ALASKA 99516 PARCEL ID:01706237 LEGAL DESCRIPTION: SUN VALLEY HEIGHTS BLK 3 LT 3 LOT SIZE: 41311 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:11/25/97 EXPIRATION DATE:11/25/98 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: i2/ Z/ 92 DATE:��► , FL V,,TOP-TEC'HNIGAL SERV ESM CnU&ENVCRONAfENTALENGLNEERLNG • ENERGY CONS ERYA'noN d A.NALYS LS THEODORE F. MOORE, P.E. 14530 ECHO ST. PH: (907) 345-1355 November 21, 1997 ANCHORAGE, ALASKA 99516 M.O.A. DHHS P.O. Box 19-6650 Anchorage, AK 99519 Dear Sirs: The purpose of this letter is to provide the required design narrative in support of our application for a permit to replace a collapsing septic tank serving the 4 bedroom residence on Lot 3, Block 3, Sun Valley Heights, located at 13221 Mountain Place. A site plan and specifications are enclosed for your review. The proposed septic tank will be installed in the approximate location shown on the site plan. The topography of the lot in the area of the proposed installation is generally level. The proposed project will have no significant impact on present or future water supply and wastewater disposal systems serving adjacent properties, nor will it have any significant impact on reserved space -surface and subsurface, or on drainage. We woutd appreciate your prompt issuance of lite requested perndt, since the repairs need to be made as soon as possible. Please give me a call at 345-1355 if you have any questions on this submittal. Sincerely, Ted Moore, P.E. ,,,ulv1urAU1y Or Alvei..,....,. .4viRONMENTAL SERVICES opAsto, NOV 21 1997 RECEIVED LOT 3 BLOCK 2 'R 20V FROM CLASS "A' WELL _*-R 130' REQUIRED SEPARATION DISTANCEi FROM THIS CLASS "A" WELL ' I INSTALL NEW i 1000 GALLON OR/VF SEPTIC TANK LOT 2 LOT 4 SEPTIC SYST. IN THIS AREA INSTALL DBL C.O. & FOUNDATION C.O. BDRM LOT 3 BLOCK 3 HOUSE EXISTING SUN VALLEY HEIGHTS , € ` o o — 500 GAL. LIFT STA tt 0 7 ° ABANDON EXISTING 1250 GAL. SEP. TANK EXISTING o SOIL ABS. BED MAKE NECESSARY ELECTRICAL REPAIRS TO ENSURE LIFT STATION IS OPERATIONAL AND ALARM WORKS. NOTE: ❑ LOTS IN THIS SUBDIVISION ARE SERVED BY A CLASS "A" COMMUNITY WATER SYSTEM. THERE ARE NO PRIVATE WELLS WITHIN 100 FEET OF THE PROP. SEPTIC TANK UPGRADE. SEPTIC SYSTEM IN THIS AREA OF A4 Q. .•• ••. .yam; • � •. THEODORE/.MOORE ., CE -3589 4rIN•�•••••••N••\I i O Oe�� / i i i i i i i i 11 Flattop Technical Services 14530 Echo Street, Anchorage, AK 99516 Phone (907) 3451355 Lot 3, Block 3, Sun Valley heights 13221 Mountain Place Wastewater disposal system installation Specifications 1.0 General: 1.1 The scope of the project consists of abandoning an existing, collapsing, 1250 gallon steel septic tank and installing anew 1000 gallon replacement septic tank. Electrical repair work is also necessary to ensure that the existing lift station pump is operational and the alarm is functioning properly. 1.2 Construction shall be as depicted on the approved site plan. Minor deviations from these drawings may be allowed or required by the engineer conducting the inspections. All construction procedures and material specifications shall conform with Municipal and State requirements. All separation distances shall be in conformance with Municipal requirements, unless specifically waived. 1.3 The contractor shall be responsible to obtain any necessary utility locates, and to work around any buried utilities. 1.4 The contractor shall provide adequate cover material and rough grading over all system components to ensure that proper drainage is achieved after settlement and that there are no residual depressions. Insofar as possible the contractor shall minimize damage to trees and existing lawn areas. 1.5 Unless specifically agreed otherwise, the homeowner shall be responsible for finish grading after the soil is compacted, as well as placement of topsoil and reseeding all areas disturbed by the construction. 2.0 Septic Tank: 2.1 The existing septic tank must be properly abandoned by thoroughly pumping, removing the top and backfilling with soil. 2.2 The new 1000 gallon, 2 compartment septic tank shall be Municipally approved and shall be set level on undisturbed soil. Each compartment shall be equipped with a watertight manhole cover and a 4" cleanout. If the tank is buried less than 4 feet, it shall be insulated with 2 inches of approved burial type, rigid insulation. 2.3 All pipe connections to the tank shall be equipped with waterproof mechanical couplings. The waste line from the residence to the septic tank shall have a minimum slope of 1/4"' per foot, and the waste line between the tank and the lift station shall have a minimum slope of 1/8" per foot. A cleanout shall be installed within 5 feet of the building foundation, and a double cleanout shall be installed within 5 feet downstream of the septic tank. 3.0 Lift station: 3.1 The existing lift station shall be retained in service, however electrical repairs are necessary to ensure that the pump is working properly and that the high level alarm is functioning as designed. 4.0 Inspections: 5.1 A total of 3 engineering inspections will be required during the course of the project: (1) initial stakeout with the contractor to establish the location of the system and to discuss the plans, specifications and construction procedures, (2) after the septic tank is installed and the piping connected, but prior to backfill, and (3) after rough backfill and grading is complete. 5.2 The installer shall coordinate the timing of the inspections with the engineer sufficiently far in advance to ensure the availability of the engineer. MUNICIPALITY OF ANCHORAGE ei • ' DL .RTMENT OF HEALTH AND HUMAN SEF. ;ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES r e 7Y7/a �r. �lE Asarasa FflOM TO SEPTIC ABSORPTION WELL / TANK FIELD Z7 /t Ica,+7'ay•t l2 f P Phone(s) pe,md No Noof bedrooms WELL C FE rl✓1`. Ey f 1 JE-�t 7G - 33 20 T7eo ?3 I Z/ / rJ LEGAL DERCRIRyION LOT LINE y7 / Lot blockSuDOrvRmn 3 3 S✓n Va /% !>r FOUNDATIONv Township. Range. Section AS -BUILT DIAGRAM 1Shew location of wen, sepac system, property enes. sound.,... 7-/? AT r .YOU S'2 it _._ _ duvewavwale, bodies. etc , TANKS ❑ SEPTIC b LI-rf ❑ HOLDING blanubctuler Gapacay m gallons T_ 4 I CDC No. TYPE OF SYSTEM ❑ TRENCH IX BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom bon, wiginal glace %r• all Q FT Total deem from ongmal grace � y.,f FT � Fill adoeu above original glade l r -t se- FT Gravel depth beneath pipe n'r FT Graven Ill ver ' FT Gravel wlcm � FT Total sesorprion area ? SO FT I Distance tx-tween lines r' FT Number of tines I/ Seafaring / _ _ SOFT Pipe material /t{s eer f sib Installer fj&-e» 'e7 -C2/ Dale Installed 5-/ -3 WELLS ❑ PRIVATE ❑ OTHER (Identitvl Uaavbceliun tA.b.CI /„- OCG mvaem Tolm Depen Gases to FT FT I Data Installed. REMARKS: pi.a�.Lsr�. ez•, Life ser 11 n / blo e% /O `l FS -a pections Ped= rformed by 1. Date eeNIY That this inspection was performed according to all Municipal and Stale guidelines in effect on - date: C�A z Health Department Approval: ,�!? Date. .:,4 — 12-013 (3.85) - n ENGINEERS SEAL (ON MtPub I C I r•AL I _r N, 01= AI"ICHC3r<iaGE DE=PARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 025 L STREET, ANCHORAGE, AK 99501 264-4720 C3 P4—E3 I -T-t= E3rZWt=R fJEF-<M I: -F PERMIT NO: 070073 DATE ISSUED: 05/00/87 APPLICANT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: LORETTA DELK 13221 MOUNTAIN PLACE ANCHORAGE, AK 99516 276-3320 SUDDIVISION: SUN VALLEY HTS. SECTION: 26 TOWNSHIP: 12N 44000 (SQ.FT. OR ACRES) 4 LOT: 3 BLOCK: 3 RANGE: 3W Listed below are the options available to you in designing your septic system. Choose- the option that best fits your site. ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. Z. I will adhere to all MOA and State of Alasba requirements for the set back distances From any misting well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION 1S INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST DE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED�/f---------- DATE: A-1 g - APPLICANT: LORETPIE ISSUED BY DATE DEPTH TO PIPE BOTTOMr (F -T.) rd- yi�� �OHf/hv, G SO/(S uil'y 7e GRAVEL DEPTH (FT.) �•��- QLD T lG1tYsH TOTAL DEPTH (FT.) y�3� GRAVEL WIDTH (FT.) GRAVEL LENGTH (FT.) GRAVEL VOLUME (CU.YDS.) ZYiG Gy. TANK SIZE (GALS) �1SD yt� SOIL RATING (SQ.FT./BR) AZT, .- ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. Z. I will adhere to all MOA and State of Alasba requirements for the set back distances From any misting well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 4 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION 1S INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST DE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED�/f---------- DATE: A-1 g - APPLICANT: LORETPIE ISSUED BY DATE ^ ^ .(..E9C1�M�[-Wjj SFJ a Y Munklpality o1 Anchoragesz. �'•, DEPARTMENT OF HEALTH & HUMAN SERVICES •a- d ^ 825'L" Street, Anchorage, Alaska 99502-0650 % r SOILS LOG —PERCOLATION TEST i ' MI ! : _ w PERFORMED FOR: Oo 11 DF /,k DATE PERX� LEGAL DESCRIPTION: ( 8 Q 3 .Sun V.;, . J_, Township. Range, Section: 7/z/-)��k��1I11 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 D z" p1�o/rn:c napr boh`►M. 9 1i- ) 9,t WAS GROUND WATER ENCOUNTERED? a D IF YES, AT WHAT DEPTH? _ Ilagth to water cher Monitoring? Date: SITE PLAN . ar Ar Reeding Date Gross Net f -P 2 Wto�#4"TimeTime 14 20 IL.-{ " �' j PERCOLATION RATE �' I' (m,nulevmth) PERC MOLE DIAMETER 1a_ s � TEST RUN BETWEEN FT AND FT p COMMENTS 7//2 49 COMMENTS 752VW;T4I �on�r•�7, OY Sa.. ./f aces«,. e—1 a C /So IT9644 . Aere- adtr no elrw� t'e'of 6ra%rs {*a., G.A I e,)qa. 7' Al. PERFORMED BY: -.A�j 7 /1-1,' I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: f•�-p% 72-008 JA" 4 851 a r Municipality of Anchorage DEPARTMENT OF HEALTH 6 HUMAN: 825 "L" Street, Anchorage, Alaska 9951 `SOILS LLOG- PERCOLATION L PERFORMED FOR:' L o 1`L. /!? 'Die C. r.' LEGAL DESCRIPTION0ffti!(.. v DEPTH (FEET) 57e ss'1 2- 3- 4- 5- 6- 7 34 5 6 •' l/N��l HJ 8- 91011 9- to - 11 12- 13- 14- 15- 16- 17- 18- 19- 20 - COMMENTS 2131415161716192D COMMENTS- f q--rC -2- Range, Section: WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Mmitoring7 Due: aa. SEAL) PERCOLATION RATE 17 (minutm,Mh) PERC HOLE DIAMETER TEST RUN BETWEEN FT ANDFT PERFORMED BY: )' 2-, .l I - 4' "�• CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 6,41Z 72-008 tRev. 4,85) GREATER ANCHORAGE AREA BOROIy Department of EnvironmentalQuality�' VER ANCHORAGE AREA BOROI•'rH 3500 Tudor Road — Pouch 6.650 N? 849 Anchorage, Alaska 99502 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING SCn �G,1' u72 r3 NAME j i) nt tv S «'- iy ADDRESS 957" 7 PHONE c f f,- Y LOCATION &r fiPlrC(lfl) Rh LEGAL DESCRIPTION LRT 3 Pit- � .SluJilalLc�y%]`�� SUR_ SEPTIC TANK: /NUMBER OF DISTANCE FROM WELL �C MATERIAL STl7'K STFFL COMPARTMENTS –2 ![c- .4 /790 tz LIQUID LIQUID CAPACITY /ZS_C GALLONS. INSIDE LENGTH INSIDE WIDTH — DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH ? , LENGTH `�- L , DEPTH Y LINING MATERIAL (1, 1LICfPr7-C Zlbv S , DISTANCE FROM WELL 6Yrmin L2 -b BUILDING FOUNDATION 3 f , NEAREST LOT LINE 2O'4- . TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 715 SO. FT. TILE DRAIN FIELD: DISTANCE FROM WELL , FOUNDATION NUMBER OF LINES DISTANCE 6EIWEE WrIN ES ABSORPTION AREA �� SO. FT. LENGTH OF EACH LINE TRENCH WIDTH LENGTH IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: ✓ DISTANCE FROM WATER �. TILE— TYPE rArnm DEPTH ,BUILDING FOUNDATION. V SAMPLE , NEAREST NEAREST �/ SEPTIC SEEPAGE ,—OTHER AM"' LOT LINE , SEWER LINE—, TANXci , SYSTEM , CESSPOOL 1�, SOURCES' . 6" DIAGRAM OF SYSTEM DISTANCES: Act CAST trop IhsnILLED d JAy Ibc uaLlrnrn0 za resr. Las T Fal IL . TtSTIKI 1 DATE %nem /7 M7Z APPROVED A2112'k_ C7 6Q.lillGc,r" �I HEALTH AUIHORHY GR)4�ER ANCHORAGE AREA BOROUGF�..� DEPA LENT OF ENVIRONMEN',;L QUAD Y CASE I 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For J. COWDERY Legal Descript o-� n— Loi This Form Reports Soils— it Characteristi vev Silt Gray Clayey Silt r- Sand Mix Gray Sandy Gravel (GW), Silty Gravel and Sand in alternate seams and lenses Was Ground Water Encountered? No If Yes, At What Depth? ---- UDaiv Date Performed 4/28/72 ion Sun Valley Hts. erco ation est is�s�s•��� Reading I Date I Gross Time I Net Time IDepth to H2O I Net Dro.d rercoiation Kate Minute Proposed Insta ati7 ion: Seepage Pit X Drain Field Depth Of Inlet I Dept Two Bottom Of Pit 0 r Trenc COMMENTS: 135 sq. ft. of drainage area s required per bedroom w/bottom ring — es Performed Carlisle Y Data Certified y:r�ational Testing Svs. Inc. Date: APRIL 15 1987. SUN VALLEY HEIGHTS L3 B3 SAMPLE IDENTITY D1 PASSING *200 SIEVE: 91.60% RETAINED: 6.30% PASSING * 40 SIEVE: 97.90% RETAINED: 1.30% PASSING * 10 SIEVE: 99.20% RETAINED: 0.50% PASSING -* 4 SIEVE: 99.70% RETAINED: 0.30% PASSING 1/2 IN SIEVE: 100.00% RETAINED: 0.00% PASSING 3/4 IS SIEVE: 100.00% RETAINED: 0.00% PASSING I INCH SIEVE: 100.00% RETAINED: 0.00% PASSING 2 INCH SIEVE: 100.00% RETAINED: 0.00% PASSING 3 INCH SIEVE: 100.00% RETAINED: 0.00% THE LIQUID LIMIT IS UNKNOWN THE PLASTIC LIMIT IS L'SKNO%'N THE PLASTICITY.INDEX IS UN*K..XON:. CC IS UNKNOWN CC IS U%Kxb%\ FINE GRAINED SOILS THE SOILS ARE INORGANIC SILT.(MH) THESE SOILS HAVE A FROST CLASSIFICATION OF -F4- 0 d 0 `✓ n . •, / .• �` •P`� 40 �a•QaS4fl U o� tar •� �j'�• - 119 t'I�• � '•�• *;%Y a�tAC 49THtoo• c. 111y111)�. m. to Prolessi� ' CAI,. rle,t 4••e on /e/e a/tes p� -t4 74 leer. one or Mr -k .%oIfader Eey•tj 4 -Ale Ort • dtfcrs.e,• yr/•t � inr�i//f� AP Vo, P d7 C 'Fin .t •1 WL 11:: • ' -1 los- 1' •' ,7: • ; rY • '%/71:$ Jam/ served 1 �:m i/y well. 3'1 USE .' .. I •� 2ONE Op• , •A pR0V ep a r,:, >r.A Pi6f be d~ :�i ..'�7..Cirawn f a�.rrlte�ett='2!-F.� /� sn vL •: ::�2.� ' O - `•"118 _ ' — AS -BUILT NO CORNERS SET THIS DATE �E,•OF•,4ta►, 1 bereby catlfy that 1 love performed . tyLor T 3 spection of the following, desaibed proper • .� �- 3z_ocot- 3 sum VAIL i5 v 100 . i A jorage Recording Precinct. AlaAs i • and that the lmpeowt: ' /� • ••• •• ••• .« menta situsted thereon are vdiMn t e props J lines and do • ^a� h.d W Ice l� not overlar Or encroach on the'property )YE adjacent tbay; • t,t •• tii0• f to, that : •• smprovetnents an property ying adjacent tberet0 � .• ;.t. nr. the premises in Question and that there a! Aae sso 4� ti,,• •,••�ti'a'° transmission line-, or other %risible easements' OO sir pr�yrt y except as indicated hereon. ri , . ;t 4. C +► De:• n:horare, Alaska ::p+�d Ihi�__G—� ftiday of JCA w :Ft' i EASEUE.:TS OF RECORD, OTHER THAN TttOCE SHOWN ON THE RECORDED fl 7240 FRED WALATICA a ASStx1A1TS i Pt AT ARE NOT SHCWN HEREON, P9'/� _� Engineers andSurverors Parcel I. D.017-062-37 RU5H Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 ms Approval Expiration Date: 17-2-5 `Zo23 Certificate of On -Site Syste 1. GENERAL INFORMATION: Complete legal description Sun Valley Heights; Block 3, Lot 3 Location (site address) 13221 Mountain Place "Anchorage AK Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 4 Waiver Fee $ Date of Payment 4. TYPE OF WATER SUPPLY: Receipt Number TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class A Well ® Community El Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -65n t 3 -2,o Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number COSA # 0 5G 21 L 6 Waiver # 66 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101 -Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: it+ I In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD�SIGNATURE 1( _ System #1 Approved for bedrooms 00000pOn� #AECC884 System #2 Approved for bedrooms Disapproved p _ITYfpF�iii�� Conditional approval for bedrooms, with the following�*latio yo�: o �WA1�� ATE By: '� a—. < `'VASNp m= T;= V., JJ�"I))))1 ly,,s�.\ z . Original Certificate Date: /0 ^/S—" 2_( The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: Sun Valley Heights; Block 3, Lot 3 Parcel ID: 017-062-37 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system PUBLIC WATER - PWSID#212005 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) Date of flow test for COS Static water I beginning of test ft. B. TANK DATA Age of tank(S) NEW years Tank type/material STEPMDPE Measured operating fluid level in septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA Well production at time of test _ fl r -,- Water storage tank volume _ gallons Well disinfected iform test? ❑ Yes ❑ No ❑ C bacteria is Negative Nitrate mg/L Arsenic ug/L Collected by Date of Sample ❑ Nitrate less than MRL (ND) ❑ Arsenic less than MRL (ND) C. LIFT STATION ❑ Required maintenance completed Age of lift station NEW years Lift station material HDPE Comments: SECOND COMPARTMENT OF STEP TANK Which system tested (date installed) 51972 Adequacy test date 6/8/21 Al ALL standpipes present per record drawing Results [✓ Pass For 4 bedrooms Total measured depth from grade 16.3 It (max) Fluid depth prior to test 95 in Measured depth to pipe invert from grade N/A ft (min) Water added 648 gal ❑ N/A - pressurized field 102 New depth in ❑ Monitor tubes go to bottom of effective. If not, state 105 depth into effective *UNK Elapsed time min p ME Code -required soil cover over field Final fluid depth 95 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) Gallons introduced N/A gallons if yes, enter date N/A Comments/Deficiencies. BEDREMAINEOORYTHROUGHOUT TEST. BED MTEIEVATIONS ARE WITHIN 2 INCHES OF EACHOTHER'TOP OF SEEPAGE PIT APPEARS TO BE ABOUT 125' ABOVE BOTTOM OF SEEPAGE PIT COSA Checklist yellow sheet 0 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Yes Community Sewer Manhole/Cleanout ?11 +if ft ❑ Yes if No ft j'_—}'fls's No ft Neighboring Tank > 100' ❑ Yes if No ft Private Se is Line > 25 ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft olding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 10 ' if No ft Animal Containment > 50' ❑ Yes if No ft Yes if No ft ft Manure/Animal Excreta Storage > 100' Com ewer Main > 75' ❑ Yes if No ft ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Yes if No ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' P- Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' Q Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' Q Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' Yes if No ft Water Service Line > 10' Z Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *PER CONTRACTOR DURING CONSTRUCTION **5'+ TO POSTS FOR "SUN ROOM" G. ENGINEER'S CERTIFICATION o PF 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with �7 : ' g , MOA COSA guidelines in effect on this date. Q _J fr10 , C)E-79 2d 3 d��4 fP�o e COSA Checklist yellow sheet �Q a pro f e s si000\ #AECC884 00 G� Op 00 �Oth Ret. wal 000�p` / LOT3`: Ret. wall 0.6 OH N O 6• Shed _© jr. ts� Lot 2 SCALE: V= 50' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. h'000. fey 9? : CO ?63� Sun room a eco Manhole 2.0 OH tP Lot 4 �Qo sss 61 o� fe' Septic vent (typ) oV 0 4369 1Z {.t + Shed (501Fire pit o deck O c6 Ret.wall �2�0 5�° opo OPp �eP / `r0 OF , A4 4 t ,®,`P. • S -AW ` (/) . 49 th -7 00 010 00 le "izob�eth L. Walatka oo �� �`"�F • 8036 — ILS '� �o 0 �a�SS10t1AL•��O FB 21-5, pg 69 1 e -�—Z` t FB 21-2, pg 48-50 Recert 3-12-84 BE FB 72-10, pg 17 RECERTIFIED 9-29-21e� RECERTIFIED 6-22-21 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 3, BLOCK 3, SUN VALLEY HEIGHTS 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 the 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 26th day of JULY 1972. FRED WALATKA & ASSOCIATES, L.L.C. 907-248-1666 Engineers and Surveyors This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and Is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence, structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 343.4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILLY DWELLING Parrel I.D. # 017-062-37 HAA # 01001-7 1. GENERAL INFORMATION Complete legal description SUN VAI LEY H I .HTS SUBDIVISION: LOT 3. BLOCK 3 - Location (site . Location(site address or directions) 13721 MOUNTAIN PLACE ANCHORAGE. �AK 99516 Property owner DON & 1 ORETTA nF1 K Day phone (907) 269-0301 Mailing address 13221 AAOUNTAIN PLACE ANCHORAGE. "AK 99516 Lending agency Day phone Mailing address Agent TERRIF PISA- w PRUDENTIAL JACK WHITE Day phone (907) 563-5500' - Address 3701 C STREET ANCHORAGE AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well Community well xxx 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 xxx Holding Tank 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. 1/91) Front MOA N21 Computer Venbn Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $400.00 at, or prior to, closing for the engineering services provided. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 Ins on, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal State codes, ordinances, and regulations in effect on the date of this inspection. ff//�� Name of Firm Phone _ (907) 337-6179 Engineer's Signature �— Date In conducting this evaluation, AWwC, Inca ted fft o�Ade a thorough, conscientious engineering analysis of the system in accordance with ADE C and M A H S 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 fee tures. The operational rife of all wells and septic systems depend on the local soils condition, ground water levels Drat may fluctuate during the year, and the usage of the family being seared by the system. These conditions are outside the control c 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. AWWC, Inc. can therefore not prov/de any warranty for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. The content of this report Is for the sole benefit of the owner listed above. Arty reliance upon or use of this report by any other person or party Is not authorized, nor will It confer any legal right whatsoever. 6. DHHS SIGNATURE kf Approved for_T bedrooms Disapproved Conditional approval for Additional Comments bedrooms, with the following stipulations: 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 #21 Computer Veralon Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 OV Street, Rm 602 Anchorage, Alaska 99501 (907) 3434744 Health Authority Approval Checklist Legal Descdpilon: SUN VALLEY HEIGHTS S/D: LOT 3. BLK 3. Parcel I.D.: 017-062-37 A. WELL DATA Wen Type A K A. S, or C, attach ADEC letter. ADEC water system number 212005 Log present (YIN) Total depth Date completed FROM WELL LOG Cashlg height (above ground) Wires properly pry (YM) AT INSPECTION Date of test Static water level WellViV uctlon g.p.m. 9.p•rn. WATER SAMPLE RESULTS: m Date of sample: — Nitrate — Other bacteria — S. SEPTICIHOL.DING TANK DATA Data installed 12/4/97 Tank stee 1000 Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression (YIN) N4_ High water alarm (YIN) N/A Date of pumping 6/30/00 Pumper OLD MCDONAL.DS *BED FAILED. TESTED CRIB ONLY. CRIB PRESOAKED WITH 2260 GALLONS C. ABSORPTION FIELD DATA OF WATER ON 7/5/00. CRIB CONNECTED TO UFT STATION ON 12/26/00 AND INSTALLED DIVERTER VALVE INSIDE UFT STATION. Date instilled 5/1972 Son rating (g.p dJfi2 0l ?JE�o 135 System type CRIB/BED Length 21740' Width 21'/20' Gravel thickness below pipe 970.5' Total depth 16.5'/4.5' Efiecnve absorption area756/aw so. FT Monitoring Tube present (YIN) YES Depression over field (YIN) NO Date of adequacy test `7/6/00 Pesults (Pa66IFaln PASSED For 4 Bedrooms Fluid depth in absorption field before test (In.). 23" Immediately alter 914 gal. water added (In.): 89.5' Fluid depth 33* pns) Minutes later. 507 Absorption rate = 600+ Pero;dde t eatment (past 12 months) (YIN) N/A If yes. give date — T242e Usw. sI>asr CWVJWVV" D. LIFT STATION Onto Instilled 5/1987 Stas in gallons 500 Manhole/Access (YIN) YES 'Pump on' level at• 28" "Pump dr level or 28" High water alarm level or 'U. 'Datum B.O.T. Cycles tested E COMMUNITY WATER E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Sepgdholding tank on lot On adjacent Public sewer sewer manhole/cleanout One LIR station SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water maln/seMce One 10'+ Surface wateddralnege 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property Brie 10'+ Building foundation 10'+ Water main/service One 10'+ Surface water 100'+ Driveway, perking/vehlde storage area 10'+ Curtain drain NOME KNOWN Wells on adjacent lots 200'+ F. ENGINEER'S I celft that 14 wtfh Engineer's HAA Fee $ ? eno , �, o Date of Payment Recelpt Numbers 72-M (RW. Mr CMVU er v«WM 4rspecdons and review ems are In conformance Is date. Waiver Fee $ Date of payment Receipt Number n r^, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH d HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date Af VA(r) - c)aLo GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal DyScription (incl de lot fuc i4►. P �. Locah dress' ii (b)t�tW40a�'t`t r �taiGoaAdF1'✓'tii w 7f si4 (c) Le`kAnn4tits�(d) RelEs(�dte ani d Agent Address Telephone Telephone (e) Mail the HAA to the following address: or: Check here O, if hold for pick up. List contact person and day phone number below. 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms Business 3. WATER SUPPLY Individual Well Comm it y Public 13 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 ISI Public ❑ Community[3 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 2 72-075 tR. 6161 Front rare 198.9 Net sco-u . 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ENGINEERING FIRM PROVIDI(. INSPECTIONS, TESTS, FILE SEARCH, D. A AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verity that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. w —_- r /7 i—r7%YT Name Addre Date C . -b.2,1, ///t. ez,( So. /r 7407 y S.a• rl r /)„� 7'r .�✓lr e�. �� ri4 E t !l . . l✓ CIG r `. moo. f'. / C►>. T 7%vr {�.,. SP d J Oh . Con/0 /T/owAL 6. DHEP APPROVAL Approved for " •' bedrooms by��^'�""''' Approved Disaocroved Conditional *:4 KY G REID• JR. CE -2251 •......• � pniessiocc'� Date z� Terms of Conditional Approval fo /t�l.,ce -44r— It` CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineers work. Page 2 of 2 72-025(11184) Of P'0O'JGV'MCIPALITY OF ANCHORAGE (MOA) tllGiPP �St0r-E50HEALTH AUTHORITY APPROVAL (HAA) E711t� CHECKLIST - FEBRUARY 1984 A 1991 2844720 APR 1 RECEIV �D A. WELL DATA Well Classification ce )" rrz L'" r 4, If A, B, C, D.E.C. ApprovedrN) Well Log Present (Y/N) Date Completed Yield _ Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) _ Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA On Adjoining Lots —To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Date Installed 3'/11/77— Size 12 -Sr No. of Compartments 2 Standpipes 67N) Air -tight Caps 6N) Foundation Cleanout (Y&J Depression over Tank (Y& Date Last Pumped 7zzz8 i Pumping/Maintenance Contract on File (Y/N) "J14 ; for Holding Tank High -Water Alarm (Y/N) A) IA Temporary Holding Tank Permit (Y/N) '% Separation Distances from Septic/Holding Tank: To Water -Supply Well 1'q g To Property Line Z e To Water Main/Service Line .—.Zk Course Comments Page 1 of 2 72-026111,84) To Bwldmg Foundation To Disposal Field l x - S To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA r Soils Rating in Absorption Strata ,/•� •r le< -C Type of System Design CT"rl, Date Installed S—��� /x z Length of Field Width of Field Depth of Field Gravel Bed Thickness e7 Square Feet of Absorption Area 7 Standpipes Present(YN) Depression over Field (Y N Date of Last Adequacy Test =k Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well �q To Property Line To Building Foundation To Existing or Abandoned System on Lot A) /,Q ; On Adjoining Lots > .� To Water Main/Service Line (% To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area tl— 54 D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at _ High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments — Dimensions Manhole/Access (Y/N) _ "Pump evel at Vent(Y/N) Check Permitted Bedroom Rating Against HAA Request •' Pumping Cycles during Adequacy Test. Meets MOA I certify that rb ecl d, vgfified, or conformed to all 140A #nd HAA guidelines in effect on the date of this inspection Signed �-- Date q Company L L MOA No. _ na ✓ of pC,, Receipt No. /00/60-1 �P'rk� . •;QS+�O� DateoiPayment "ael97' 49T or * H' Amount: $ /OO.••• Page 2 of 2 72.026 a+, 84j W SILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: 19071 Addm ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE• 4-7-87 PWS I.0.N 212005 To Whom it May Concern: According to records on file in this office the SUN VALLEY 11EIGHTS NORTH Water System is in compliance with the State Drinking Water Regulations Sincerely, DIichael P. Lewis Environmental Engineer