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Home My WebLink AboutSPRING HILLS ESTATES #1 BLK 1 LT 5Spring Hills Estates #1 Block 1 Lot 5 #015-051-75 C: E L 0 _0 'n CU O cn CL O (n C: '00 -40) A > C5 Jill NO o r_ to'l LO 03 -C (D (L5 E 0 W co C4 0 0 Z Q) CL 0 0 LO x 0 C"i LO 7.1 'V-pto Q) C11 CL 0 m LO m C11 LLI S) x ,cn LLI 7, tK- Lrs rL 00 'NJ ui cocxM 17 1 —I 10 Lo % co (Ld 'o CL Lo co '-- L Ur, — — — — — — r— — — — — — — :z b04 lugw@SD3 Aunn ,OL ,29-6Z2 M.6Z,-VO.OS GAIjC] jal!dnp -0 c :3 :T,- E a) N J 0 0 0 0 cn < LZ cn CL 0 0 z t2i v q 'a Cd Com 4-j v V-4 ;--q oq C) o co (D m -q* to 04 ON o 0 co 04 to C� U 3:: C-4 U) 47 ED 0 0 L E -o :3 Q) a) (D a) 0 E p 0 Q) 0 0 -0 c :3 :T,- E a) N J 0 0 0 0 cn < LZ cn CL 0 0 z t2i v q 'a Cd Com 4-j v V-4 ;--q oq C) o co (D m -q* to 04 ON o 0 Inspection Report_7-1-12.doc tA Municipality of Anchorage Community Development Department Page f1jr/�2 On -Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 • hftp://www.muni.org/onsite - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP161087 PID Number: 015-051-75 ❑ New Z Upgrade Name: Hyon Joo & Erik Olson ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 4601 Golden Spring Circle ❑ Other Phone Number of Bedrooms Soil Rating Total depth from anginal grade 4 GPD/SF Ft LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Spring Hills Estates #1 1 5 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 Holding Seer w Total absorption area Number of trenches Dist. between trenches From Tank Field LM Station Tank Line Ft' FI Well 121.9 100+ N/A N/A 25+ TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank — Capacity I 1500cal Surface Water 100+ 100+ N/A N/A Material Steel Number of compartments Lot Line 33.6 10+ NIA N/A NA Foundation 16.1 10+ NIA N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A Gal. Pump on level at Pump off level at High water alarm at RemarksTank upgrade only in. in. n Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank Tankto 3034 drainfield 3034 Installer Arctic Terra Drenfield CO/MT 3034 Inspector Pannone Engineering Services BENCH MARK (Assumed elevation) 100ft Inspection1+ 5/3/2016 Location and description dates: 2- Bottom of Trim 3'" q, COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL - - - i Conditional Approval: Date r~(�!.... Q�j',, - - - - - - - $even fi. nnrilinle 1 81414- .' Approv Date- P ,Idly, _ r Inspection Report_7-1-12.doc tA 1 E1 w EI 0 v� 01 ah IFI I 1 �I wl 1 NO WELLS W/I 100 TO WEST OF PROPERTY A REMOVED 1250Q SEPTIC TANK PER MOA CODE INSTALLED 1500g 10GA SEPTIC TANK W/ DCO AFTER TANK r REPAIRED LINE BETWEEN FCO AND TANK M / 1 -140.7 1B f33.6 Ti 121_e / `DCO T2 48R q > I SFD WELL E a .0 OLDEN SPRING `CIR L— ---\ ---- t 1 — _10'Util Esm 98th Ave w I WELL E) €_ EL 98 2 0 .. z e.e / w V` N EN IjO�G SEPTIS TANK / A 2. PROFILE rt 17.4 22.4 T2 27.0 30.1 NOTES: PANNONE ENG SVC, LLC Date2 sr6 RECORD DRAWING P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 Scale 1" = 50' ••••• •••• P.I.D. NO SPRING HILLS ESTATES #1 81 L5 015-051-75 DRAWN JRL ERIK OLSON & HYON J00 °1°" CE 8149 O""O11° PERMIT NO. .;�} 4601 GOLDEN SPRING CIR OSP161087 fS,i`T' ANCHORAGE, AK 99507 sheet 2 OF On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP161087 Tax Code Number: 01505175000 Work Type: SepticTank Upgrade Permit Effective Dates: May 03, 2016 to May 03, 2017 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: SPRING HILLS ESTATES #1 Site Legal Address: SPRING HILLS ESTATES #1 BILK 1 LT 5 G:2436 Owner/Address: JOO HYON & OLSON ERIK 4601 GOLDEN SPRING CIRCLE ANCHORAGE AK 995074379 Site Mailing Address: 4601 GOLDEN SPRING CIR, Anchorage Lot Size in Sq Ft: 53250 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: A 10 gauge tank is to be installed due to the proposed cover. Received Issued By BY Date: �(O Date: J� �6 MUNICIPALITY OF Community Development Department Development Services Division 6 On -Site Water & Wastewater Program Cu0 ' ANCHORAGE z Phone: 907-343-790 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-051-75 Property owner(s) Erik Olson & Hyon Joo Day phone Mailing address 4061 Golden Spring Cir, Anchorage AK 99507 Site address 4061 Golden Spring Cir, Anchorage AK 99507 Legal description (Sub'd., Block & Lot) SPRING HILLS ESTATES #1 B1 L5 Legal description (Township, Range & Section) Lot Size 53,250 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field F-1 InitialF1 Single Family (SF) 1Z (w/wo ADU) Septic Tank Upgrade 0 Duplex (D) ❑ Holding Tank ❑ 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. of properly owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: B1 �(A Permit No. awr 1 (0b$ f Permit App_.:- : : Lac, Waiver Fees: Date of Payment: Receipt Number: Waiver No. Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com 28 APRIL 2016 Subject: SPRING HILLS ESTATES #1 B1 L5 Emergency Tank Replace Permit Request Design Narrative This is a design narrative for a permit to install an upgrade 1500g Septic Tank to be issued for this property. The existing 1250g tank has settled displacing and damaging pipes placing the residence out of service. It will be removed and replaced. Currently the lot is developed. The proposed system will utilize a replacement 1250g septic tank that will be connected to the existing drain field. This lot and the surrounding lots are served by private wells. There are no wells within 100 feet of.this system. 1. Upgrade Tank Design. a. See Sheet 1 of the design package. 2. Surface Water: There is no surface water within 100 feet of the proposed septic tank. The proposed septic tank upgrade will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: The existing topography slopes from the Northwest down to the Southeast at a 1%- 3% slope. There are no steep slopes within 50' of the system and the replacement of the tank will not change the slopes in the area surrounding the system. The proposed installation will not affect the future development of the surrounding or existing lots. There are no surrounding wells within 100 feet of the proposed septic location. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 I= �I Li l � �I E UI N IwI I �I uI Q) wl dRp III NO WELLS W/I 100' TO WEST OF PROPERTY th Ave of w a REMOVE 1250g SEPTIC TANK (E) PER MOA CODE INSTALL 1500g 10GA SEPTIC TANK W/ DCO AFTER TANK 4 REPAIR LINE BETWEEN ECO AND TANK (P) M 44 _109 1 .0 I B R SED I WELL E 82.6 \ I 5 � I' 10Ut11 Esmt _ ya W W 1 0 oa GOLDEN SPRING IRCL WE EL. 98.2 yZ. � II O Z 64 Q 15WG SEPAC TANK (P) PROFILE " NOTES: PAMONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 *t 71H :* ... .. .. ... IQ }even' I �o. 0 CE 814 9 yj Date 04/28/16 EMERGENCY TANK REPLACE Scale 1" = 50' SPRING HILLS ESTATES #1 B1 15 ERIK OLSON & HYON J00 4601 GOLDEN SPRING CIR ANCHORAGE, AK 99507 P.I.D. NO -051-75 DRAWN JRL PERMIT N0. osPxxxxxx SITE PLAN Sheet 1 OF 1 o Municipality of Anchorage F` Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSPtOI14-- PID Number: _ OIS- OSI - 2-5 Name: ( q t� ar. f Jeaon Far ei � stem: Wastewater S y ❑ New Upgrade Address: 9601 Golder` :' rin Circle. j ABSORPTION FIELD �X15TI� Phone: Number of Bedrooms: ❑ Deep Trench D Shallow Trench D Bed D Mound D Other. LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPO/FI' Ff. Block: 1 Lot: 5� Cen subli� sionCS 4L� DepN to pipe bottom from original grade: Gravel depth beneath pipe: NN C q Ft. Ft. Township: Range: Section: Fill added above original grace: Gravel Length: Ft. Gravel width- Ft. Number of lines: Dis once between lines: L Well E)(►S Itr7 El New El Upgrade FL Ft. Classification (Private, A, , C): Total Depth: Cased [o: Total absorption area Pipe Material: Ft. Ft. Ftp Driller Date Drilled: Sialic Water Level: Installer:Dafe 04T eons}1 Installed: Ff. i«, 9 IS Zola Yield: Pump Set at Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 9Septic ❑ Holding ❑ S.T.E.P. ❑ Other: TO Septic Absorption Lift Holding ubiic/Pri,ate Manufacturer. Capaaty: From Tank Field Station Tank Sewer Line �rr�Q,r- Gal. It ZSJO Well IOOt} 751 Matenal: Ste el Number of Compartments: Surface Water loot} LIFT STATION Lot Line t 5 } Size: Manufacturer. Gai. Foundation 5 7 } "Pump on" level at: "Pump ofr level at: High water alarm at: in. in. in. Curtain Drain 5o it T Pump Make 8 Elsclncal Inspections performed by: Remarks: _ 1 i %n IAA k BENCH MARK q�nrio^d M06 CAL Iftturmenk Location and Description: 5 -Si,_\%' ne, 5W carne.^. Assumed Elevation: Crrny Q lop Ft. ij ` Inspections performed by: `CVW %ur R,\o n Dates: 13` g IS 2010 EngirtgKk tamp 1 �� \\ OF At It Development Services Department Approval rqP Iyrfi/� Conditional Approval Date: 49 '1 �� 4_t:7�_RS E. S flKLAND..*�, j 1 50(/y.V_i 20 X11`\ Reviewed and approved by: Date: o \OFESS`ti`~ SPRING HILL 100+ FEET FROM EXISTING WELLS A 0 q I GD C F � I I Af I SWING AES ABANDONED EXISTING ZPTIC TANK PER MOA CODE REOUIR£MENTS I L — G 28.2 32.0 17 NOTE., THIS IS NOT A SURVEYED PLAT WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. DOUBLE CLEANOUTS Jilin a ELEr TA TES #1 8 \ Lot 5 4161112EN SPRING _—_ ---- CIRCLE /—� 5 FEET COVER CaNN£Cr TIT 1250 GALLON SEPTIC TANK EXIST BRAINFIELD FaINDATIDN CLEANOUT 1 25 0 25 50 75 100 125 150 A&.....4 SCALE 1' = 50 FT DENCH MARK 0 A' ON SITE PLAN ,��www mow• ASSUMED £L£VATON 100 FELT SPURKLAND ENGINEERINGSPRING HILL ESTATES 1 BU 1 LT5 SEPTIC SYSTEM ASBUILT 203 W 15TH. AVENUE DATE.- SEPT. 20, 2010 ANCH. AK. 99501 JEANNIE FARLEIGH SHEET. 1/1 GRID: 2436 (907) 279-3916 1 4601 GOLDEN SPRING CIRCLE, ANCHORAGE, AK 99516 0SP101147 PID # 015-051-75 SpringHi((Estotes#1BIL50, On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101147 Tax Code Number: 01505175000 Work Type: Septic Upgrade Permit Effective Dates: August 13, 2010 to August 13, 2011 Design Engineer: SPURKLAND ENGINEERING Subdivision: SPRING HILLS ESTATES #1 Site Legal Address: SPRING HILLS ESTATES #1 BLK 1 LT 5 G:2436 Owner/Address: FARLEIGH RICHARD M & JEANNE G 4601 GOLDEN SPRING CIR ANCHORAGE AK 995074379 Site Mailing Address: 4601 GOLDEN SPRING CIR, Anchorage Lot Size in Sq Ft: 53250 Total Bedrooms: 4 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. P5 Received Issued By: 11) Municipality of Anchorage • Develc'pment Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I. D. 015 -OSI - Property Mailing Site address — SRmP y phone Syto- 1055 Code 795((o Code Legal description (Sub'd., Block &Lot) spl og Bill c4As "I iilk 1 Lo Legal description (Township, Range & Section) Lot Size Sq. Ft. THIS APPLICATION IS FOR (® all 1 Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage Number of Bedrooms apply): THIS APPLICATION IS AN: Initial ® Upgrade ❑ Renewal I certify that the above information is correct. I further certify that this application is being made for a Sinrgie Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: �1 _ Waiver Fees: Date of Payment: Receipt Number: b i 3 S ! Receipt Number: (Rev. 11105) Municipality of Anchorage Development Services Departmen Building Services Division On-site Water and Wastewater Pri 4700 Bragaw Street P.O. Box 196650 Anchorage, AK Subject: SEPTIC SPRING Ladies and Gentlemen: Environmental Consulting and Design 19-6650 PERMIT APPLICATION ESTATES #1 BLOCK 1 LOT 5 August 4, 2010 We are submitting an application to upgrade the septic tank for this lot. The existing septic tank serving the above referenced property is 26 years old and the owner would like to replace it. The submittal consists of one (1) drawing showing the present t improvements on the lot and the proposed improvements of the lot, of which only the septic tank is subject to this permit application. There are no wells within one hundred feet of the proposed replacement site. The installation of this'septic tank will not prevent wells and sepiic systems from being installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses within 100 feet of the proposed septic tank location. The proposed septic tanklwill not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or are in heed of additional information please contact me at 279-3916. .E. 203 West 15th Avenue §suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (907) 276-6013, SpurklandEng@gci.net I I SPRING HILL ESTATES #1 I I \ I INSTALL NEW 1250 GALLON STEEL SEPTIC TANK 100+ FELT FROM EXIS17NG W£L�LS \ NO 5+ FEET FROM EXISTING TRENCH I \ j I I ti \ ABANDON — Lot S PER MOA— — — — _ SEPTIC TANK PER MOA CODE REQUIREMENTS _ I_ GL — _ — — — OTE: THIS 15—NOT A SURVEYED PLAT. {YELL A SEPTIC 7CARON5 TAXfN ;ROM ON-SITE WATER AND WASTE WATER� EPARTMUT DOCUMENTATIOM.. ALL LOCATIONS SNdWN ARE PPROXIMATE. DOUBLE 4 FEET COVER NCLEANOUTS FDUNBATICK CL£ANDUT i CONNECT TU 1250 GALLON SEPTIC TANK EXIST DRAINFIELD 25 0 25 50 75 1 100 125 SCALE 1- = 50 FSG DEN SPRING CIRCLE 203SPURKLANU tNGINEEKING I I SPRANG HILL ESTATES #1 BLK I LT5 I I S TH. AVENUE EPTIC SYSTEM DESIGN 203 W 15DATE AUGUST 4, 2010 ANCH. AK. 99501 JEANNIE FARLEIGH SHEET. 1/1 GRID: 2436 (907) 279-3916 4601 GOLDEN SPRING CIRCLE,ANCHORAGE, AK 99516 PERMIT # SV090XXX PID # 0.$5-051-75 Spr/ngHillEstates#1DILSDI • MUNICIPALITY OF ANCHORAGE - w DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ®NEW 1ly ❑UPGRADE MAILING ADDRESS -7c)2-i iJ iriLU, S' C 6- At' 59S-6?_ LEGAL DESCRIPTION its i3Kj SPR A/ f-LLS12/V Lk) SES 1, LOCATION t NO. OF BEDROOMS &OL.OE SPAIIV& /JA. Well _ Absorption area t Dwelling PERMIT NO. Uye DISTANCE TO: f3 T' IFS.% I?'$ PROPOSE® i Q Manufacturer nn �ry Material No. of compartments N Liqj capacity in gallons �8 IF HOMEMADE: Inside length Width Liquid depth OJGz DISTANCE TO: Well Dwelling �. PERMIT NO,` _ F Manufacturer J "Material Liquid capacity in gallons DISTANCE TO: Well �.� Foundation Nearest lot line PERMIT NO. w= -�. _ j IL Z No. of lines Length of each line Total length of lines Trench width Distance between lines 1- ¢ inches ' F Top of the to finish grade Material beneath tile Total effective absorption area inches C7 (� Length 3o I Width 161 Depth '11,5 1 - PERMIT NO. V 1 t ul Type of crib Crib diameter Crib depth Total effective absorption area y DISTANCE TO: Well -0T IN Building foundation R6 PCI S E 0 Nearest lot line y 1 J ClassDepth • Driller Distance to lot line PERMIT NO. J T— `- a' � DISTANCE TO: Buildin foundation 9 Sewer line _i Septic tank' Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING t` �� ov u •ria INSTALLER 6 II REMARKST�z f 1 C' I' FASRbc a SED S7 5 PecTeD BV ' 'Tv 1{,v 'S APPROVED DATE LEGAL Sw � �6/31164 L I. SrXflu C_ i�4L4 "f int r3�:" 5EL 141 "72-013 (Rev. 3/78) 7 "OW 0 � ik 'P, OF 'HJEAL*H 0 ENV 'on Ron .0EPAR 840605 /23 /84 DESIGN' IN WOOD ESSI 7021 DRIFTWOOD - ANCHORAGE, AK 99502 '.:CQNTAGT- PHONES. 349'8014 v;"!:1 "ceptify that - with the requirements -,far, �:o �'*Qrth by tMe�Munlci.paljty of Anchorage (MOAY and the State bf,A'14", nstal I --t�he- system i n accqr dance, Kith X&J-1 MPA� cqde*��,.an in.compliance,Kith the design criteria of this 'permit. Wi I I adherb, to, alj MOA ,Ind State of, Alaska- Pqqu�4 P '_ist4jncvs from any 6xisting well, wastewater disposa sy -W�sewepage system on: this, or arty adj,acent cw n"Fkb n E I F T r q*V ION, IS INEkTA IL AT eb IN', AN- ARE �L - I - EA CPVERED,,0Y �MQA- BU, auaa"AE LEGAL RIPS EST SECTIONS WNSH I P i 12N - RANGE. 3W t�CJT -SIZEt 57,�5O� (SO. FT_ OR-, ACIRES)r. JI ..MAX BEDROOM$ Li*ted beAqw, are the options_avallable� to, you., in desvivaipw Y04A" V1,11,�_OY-OtIM6 ICboolze the? option -that best, -fit s your site. 44, Zk c-DIMNTWTO PIPE BOTTOM (FT. 4.0 4�0 DEPTH (FT� 'AL 3.0 0.5 T IOEPTI+,.�*T. 7.0 4.5 VF4 WIDTH (FT;) 2.5 14.'0 LkNGTH. (FT.) 43.0 28.0 3 , ORA -VE, (CU.YDS.) 13.9 14.5 T", K -4-1 Z E (GALS) 10000.0 V.009. 0 OIL RATING (SO. FT�,�BR) 85 85 TAW -MUST HAVE AT, LEAST. TWUZOMPARTMENTEj 7 - - - - - - - - ---- - -- v;"!:1 "ceptify that - with the requirements -,far, �:o �'*Qrth by tMe�Munlci.paljty of Anchorage (MOAY and the State bf,A'14", nstal I --t�he- system i n accqr dance, Kith X&J-1 MPA� cqde*��,.an in.compliance,Kith the design criteria of this 'permit. Wi I I adherb, to, alj MOA ,Ind State of, Alaska- Pqqu�4 P '_ist4jncvs from any 6xisting well, wastewater disposa sy -W�sewepage system on: this, or arty adj,acent cw n"Fkb n E I F T r q*V ION, IS INEkTA IL AT eb IN', AN- ARE �L - I - EA CPVERED,,0Y �MQA- BU, auaa"AE z - • i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: i a �Ajr j 1 LEGAL DESCRIPTION: 9Tr t4ift ll�l-�/Kati• E�T� SLOPE 17 18 19 D I-- CYq[ir11c �a� � Com! l^1 C If.'n g ,ltf pe4ec? at 11 tTxes -- S4 wer C.)) Cc a to S-- 'j 85 e X— /�' SOILS LOG PERCOLATION TEST DATE PERFORMED: �J i SITE PLAN Reading WAS GROUND WATER, Ip S Net Time /�' ENCOUNTERED? �V L CIPALITY OF ANCHORAGE O DEPT. OF HEALTH & s- at P RONMENTAL PROTECTION IF YES, AT WHAT E /d7 DEPTH? .u2 'JUI201984 pp, Le RECEIVED Reading Date ✓.Aj Gross Time i/ if 7/ 1f1 Net Time /�' Depth to Water 39 73 Net Drop — .oL rLil /d s- at o r l2oi /d7 �g .u2 20 PERCOLATION RATE (minutes/inch) / TEST RUN BETWEEN � FT AND If?— FT rSFT COMMENTS / /7Z- /7 ;s v -{C a� iiS+ 117 C9 42 .5 12 r/J `% 6 .v'S -�a 6ti ✓YiSv.'{Z d/F '76 i a- , t PERFORMED BY: /rrrTT �.v-w/ me+.S%e4rn-z CERTIFIEDBY: D/ 72-008 (6/79) 't /� )I 85-141 M _W DRILLING, Inc. • MUNICIPALITY OF ANCHORAGE P.O. Box 10.378 • 10300 Old Seward Highway DEPT. OF HEALTH & (907) 349.8535 ENVIRONMENTAL PROTECTION ANCHORAGE, ALASKA 99511 _-- DRILLING LOG R E C E 1 V F Well Owner DESIGNS IN WOOD/Sam lIill ' ` L L of W •11�oDmeatic Location (address of: Township, Range, Section, if known; or distance main road Lot 5 D10cl- 1 Spring Hills Addition i1 - Anrhoragn Size of casing-----k!--Depth of Hole---2-2-2---feet Cased to 221' feet Static water level 190 ft, (06ir) (below) land surface. Finish of well (check one) open end ( X ) Screen ( ); Perforated Describe screen or perforation None Well pumping test atm—gallons per (ft=) (minute) for 1 3/4 hours with 1009 ft, of drawdown from static level,' Date of Depth in feet from ground surface ----0—TO 2 8 TO 133 133 TO 137 137 TO 142 142 TO 152 152 TO 197 197 rn 205 205 TO211 211 TO 222 --TO- O 0- O WELL WELL LOG penetrated, size of ENVIRONMENTAL PROTECTION dUL 9 1985 - Dense Silty Sandy gravel w/water N W WA Certified Cgn r^e or Certificate No's. 814 & 973 3—CONTRACTOR Parcel I.D. 015-051-75 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 s> f E r. n Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: / - st "I �t Complete legal description SPRING HILL ESTATES #1 BLOCK 1 LOT 5 Location (site address) 4601 GOLDEN SPRINGS CIR., ANCHORAGE, AK 99516 Current Property owner(s) JEANNE & RICK FARLEIGH Day phone Mailing address Real Estate Agent JULIE ERICKSON Day phone 242-9282 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual ED Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: NONE Distance: --- Received by: f(L� Date: ID COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ `J qQ Waiver Fee $ Date of Payment 4136L8 Date of Payment Receipt Number O 59J�� Receipt Number COSA# 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 SPURKLAND ENGINEERING Address 203 W. 25TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND Phone 279-3916 Date 4Ql i. "x. LA •SPURKLAND;ur 6. DSD SIGNATURE �/� �%•, t5 0 , System #1 Approved for bedrooms"0 P�+ PR System #2 Approved for bedrooms i\\\ ` `0` Disapproved Conditional approval for bedrooms, with the following stipulations: By: t/ . Original Certificate Date: Thema li o nchorage Development Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the representations given in paragraph 5 by anindependent 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f '.- t If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: SPRING HILLS ESTATES #1 BLOCK 1 LOT 5 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # _ Date completed 2/5/1985 Sanitary seal (Y/N) Y Total depth 222 ft. Cased to 221.5 ft. FROM WELL LOG Date of test 2/5/1985 Static water level 190 Well production 7_5 is Parcel ID: 015-051-75 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 9/11/13 180 aw ft. g.p.m. WATER SAMPLE RESULTS: Coliform ...colonies/100 mL Nitrate mg/L Arsenic ND ug/L Date of sample: 9/11/13 Collected by: LARS SPURKLAND B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 9/15/2010 Tank size 1250 gal. ' Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YIN)I Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 6/2Z 6 3 Pumper ISAAC'S PUMPING SERVICE C. ABSORPTION FIELD DATA Date installed 10/31/198 Soil rating (g.p.d./ft2 or ftz/bdrm) 85 System type BED Length 30 ft. Width 16 ft. Gravel below pipe 0'5 ft. Totaldepth 6 6 ft. Eff. absorption area 480 ftp Monitoring tube Y Depression over field N Date of adequacy test 9111113 Results (Pass/Fail) PASS For 4_bedrooms Fluid depth in absorption field before test 0 in. Water added 0 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600 9 p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date _ D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off" level at Datum E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 25'+ Animal containment areas 50+ Manhole/Access (Y/N) _ in. High water alarm level at - Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manurelanimal excrete storage areas100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Water main NA Water service line 10'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50,+ Wells on adjacent lots100 + F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name LARS SPURKLAND Date 9/23/13 COSA brown sheet_10-10-12.doc Absorption field 5_+ Surface water 100'+ Water main NA Driveway, parking/vehicle storage1D in. <<G.OF• A(QS fit 9 y 49TH ;. S RKLAND. // �' 11 0 w ti rvw s Ho i m AS URTSURVEY 1"=30' DEN DRING CIRCLE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT S. BLOCK 1, SPRING HILLS ESTATES NO. 1 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND ND VISIBLE ENCROACHMENTS .IST OTHER THAN NOTED. DATED AT ANCHORAGE,AIASKA THIS _27TH_ DAY OF SEPTEMBER 2813. iLA�SLY VEYLN6 12Ji0. £B "1-,, .A.E 5155 NSfi513 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdi/vision, section, township, ange) Location -(address or directions) (b) Applicants Name. __._/ - /,4 Telephone --Home Business Applicants Address,! (c) Applicant is (check one) Lending Institution ; Owner/builder ; Buyer 1:7 ; Other �7_ (explain); (d) Lending Institution x��L�S% /�U�c�� /�rv7� Telephone Address !Zl/ t1�/111�f (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: ("V#01) , J4/?0/ J %i�1ti� a✓ �'cil� z?z i i�E'-ice rti�=x�D 2. Type of Residence Single -Family Multi -Family Other (describe) Number of Bedrooms%�`� 3. Water -Supply Individual Well Community Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsitey Public Community Holding Tank Note: If community well system, must have written confirmation .from the State Department of Environmental Conservation attesting to the legality and status. (Page I of 2) • 0 5. Engineering Firm Providing Inspections, Tests, File Search Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date _-this inspection. Name of Fi Telephone Date CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 (Page 2 of 2] 7-19-84 (ENGINEER SEAL) s CI •�/ Dole R. M ;• rrell 6. DHEP Approval FI u� o, No. 2056-E ��9�• ' • •,„o N �- A�OFEcS;UyP Approved for bedrooms By L r Approved_ Disapproved Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 (Page 2 of 2] 7-19-84 MUNICIPALITY OF ANCHOP,AC� • DEPT, OF HEALT}I R ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL ( HAA) RECEIVED CHECKLIST - FEBRUARY 1984 A. TELL DATA Legal Description:.=;:-E/,�,_5 Well Classifications ,,.,,,,,,,,,z/ If A, B, or C, D.E.C. A�pprov�ed(Y/N) Well Log Present YEN) Date Ccup� ted Z ---5-- << f ~/ Yield Total Depth Z2� Cased to z� Depth of Grouting Static Water Level /j e-- Pump Set At Casing Height Above Ground � Sanitary Seal on Casin - Y ) Electrical Wiring in ConduitdltN) Depression Around Wellhead ( 7 Separation Distances frcn Well: To Septic/Holding Tank on Lot f'-7 On Adjoining Lots To Nearest Edge of Absorption Field on Lot ,� On Adjoining Lots /`C f— To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected By Zj , / ,,,fwl//A Date Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed G Size G am' No. of Ccmpartments z Standpipes /N) Air -tight Cap Y%N) Foundation Cleanout Y. ) Depression over Tank ( )- Date Last Pumped 1:i: Pumping/Maintenance Contract on File (YM) for Holding Tank High -Water Alarm (Y/N)Temporary Holding Tank Permit (YIN) Separation Distances from Septic/Holding Tank: To Water -Supply 4Qb11/"/�� To Building Foundation /f: / To Property Line° -7�— To Disposal Field /� _f To Water Main/Service Line ��_ To Stream, Pond, Lake, cr Major Drainage Course /G c=— Com ants [Page 1 of 21 2-15-84 0 C ABSORPTION FIELD DATA 0 Soils Rating in Absorption -Strata Type of System Design1 r Date Installed /c %/ /� Length of Field _Z, Width of Field % Depth of Field Gravel Bed Thickness Square Feet of Absorption Area �%`�' _5,.� Standpipes Presen /N) Depression over Field ( Date of Last Adequacy Test Results of Last Adequacy est Separation Distance from Absorption Field: To Water -Supply Well /ri / To Property Line / To Building Foyndation z_ ,� To Existing or Abandoned System cn Lot �� f On Adjoining Lots To Water Main/Service Line To Cutbank(if resent) "I/ To Stream/Pond/Lake/or Major Drainage Course�— To Driveway, Parking Area, or Vehicle Storage Area it /�— Comalents D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes(Y/N) Commnts Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (YIN) Pumping Cycles during Adequacy Test. Meets MOA ** 6Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, cr conformed to all MOA HAA on the date of this inspection. I Signed Company KBl/d5/s [Page 2 of 21 Date MOA No. in effect / 4 tRS Dole P. Merrell 'A e, No. 2055-E 2-15-84