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Home My WebLink AboutCOHOE LT 3.vk.a5IL 051- tS Municipality of Anchorage t) U oo (fin On -Site Water and Wastewater Section - (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT JUN 0 OSP211411 015-051-15 Permit Number: PID Number: Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 9 Upgrade Name Robert Whitney and Holly Brooks ABSORPTION FIELD El Deep Trench ❑Wide Trench El Bed ❑ Mound Site Address 9330 Strutz Ave Anchorage AK 99507 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Cohoe 3 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 200'+ TANK X Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1000 Gal. Surface Water 100'+ Material Number of compartments Lot Line 10'+ NA HDPE 2 Foundation 10'+ LIFT STATION Manufacturer Capacity Remarks ALL PVC IS SCHEDULE 40 & CONFORMS TO ASTM 3034 Gal. No water observed in excavation during construction Alarm location Electrical installed by PIPE MATERIAL House to tank PVCTank to PVC drainfield Installer A+ HOME SERVICES Drainfield CO/MT PVC Inspector ANSON MOXNESS, PE BENCH MARK (Assumed elevation) 100' ft Inspection 1s' 5112/22Location and description dates: 2 nd r m th Front Door Frame 3 4 ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp OF lot, Conditional Approval: Date ��P:••''••�j. Ar �; All AIF 4 �•...9th �'••i �-�. . ....� SQN MOXNESS .-C� AF Septic System®� N cE-totio6:� Approved �I n Date / Z C y•,. ♦� t%TA Note: thi approval does not include well permit requirements. k W,=*iii•• (Rev 05/02/18) 25 0 25 50 75 100 125 150 SCALE. 1' = 50 FT NOTE: THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROH ON-SITE VIATER AND WASTE 111A TER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. NOTE. COHOE SUBDIVISION IS SERVED BY A COMMUNITY WATER SYSTEM Gp� INSTALLED NEW FOUNDATION CLEANOUT INSTALLED NEW 1000 GALLON HDPE SEPTIC TANK CONNECTED TO DRAIN FIELD ABANDONED EXISTING SEPTIC TANK PER MOA CODE REQUIREMENTS 4 FEET COVER DOUBLE L14 I'll CONNECT TO EXIST DRAINFIELD 1000 GALLON HDPE TANK FOUNDATION CLEANOUT ** "It �� . OF.. .•X\P,.••••' AV Al � 49th .....*.......................................... i.......,....1......it��:...... r ANSON MOXNESS �= NO. CE -103906 ��= s _ BENCH MARK FRONT DOOR FRAME �•,� � V4 VA ASSUMED ELEVATION 100 FEET ANSON MOXNESS PE COHOE LOT 3 SEPTIC TANK ASBUIL T 2439 DOUGLAS DR ANCHORAGE AK 99517 ROBERT WHITNEY & HOLLY BROOKS DATE.' JULY 14 2023 (907) 242 5995 9330 STRUTZ AVE ANCHORAGE, AK 99507 SHEET: 1 1 GRID: 2436 PERMIT #- 17SP211411 PID # 015-051-15 COH17ELT3-ASB.DVG COHOE SID _ _ I �d SWING TIES A B I F.C.O. C 28.5' 10.0' I a0, LOT 2 S. T. M. H. D 35.0" 14.0' I I �a S. T. C. 0. E 38.0" 20.0' I u DBL. C. 0. F 39.5' 22.0' I PERSON PALACE LOT 1 A �I I 3 BDRM SFR Area c� �JS — �� I LOT 4 Septic. (> Area do 25 0 25 50 75 100 125 150 SCALE. 1' = 50 FT NOTE: THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROH ON-SITE VIATER AND WASTE 111A TER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. NOTE. COHOE SUBDIVISION IS SERVED BY A COMMUNITY WATER SYSTEM Gp� INSTALLED NEW FOUNDATION CLEANOUT INSTALLED NEW 1000 GALLON HDPE SEPTIC TANK CONNECTED TO DRAIN FIELD ABANDONED EXISTING SEPTIC TANK PER MOA CODE REQUIREMENTS 4 FEET COVER DOUBLE L14 I'll CONNECT TO EXIST DRAINFIELD 1000 GALLON HDPE TANK FOUNDATION CLEANOUT ** "It �� . OF.. .•X\P,.••••' AV Al � 49th .....*.......................................... i.......,....1......it��:...... r ANSON MOXNESS �= NO. CE -103906 ��= s _ BENCH MARK FRONT DOOR FRAME �•,� � V4 VA ASSUMED ELEVATION 100 FEET ANSON MOXNESS PE COHOE LOT 3 SEPTIC TANK ASBUIL T 2439 DOUGLAS DR ANCHORAGE AK 99517 ROBERT WHITNEY & HOLLY BROOKS DATE.' JULY 14 2023 (907) 242 5995 9330 STRUTZ AVE ANCHORAGE, AK 99507 SHEET: 1 1 GRID: 2436 PERMIT #- 17SP211411 PID # 015-051-15 COH17ELT3-ASB.DVG EIER N 89'59'00" E 140 07' rn Fnd out of Pos. v (Not Held) Q. Land Services, LLC LEGEND „ •i is . ,,, . , ,. .ir •c vv `u..�;; SURVEYING, MAPPING, LAND PLANNING, GIS No 4. c,” FarpointAK.com • (907) 522-7770 • survey@farpointak.com O Septic Lid �,+0` •',c`�''; Gravel Drive.-, " „,.;i , SURVEY CERTIFICATION: FARPOINT has conducted a physical Elec Trans. I survey of the subject property, the improvements situated ❑EP Elec. Pedestal Alaska (Plat 70-169) - ❑cP Cable Pedestal pCovered , 'hovered ,;. J the existence of any easements, covenants, or restrictions which do not appear on the Plat used for this survey. NOTE: RDER No: v SCALE: Entry 26.2 Entry i 1"=30' R1A Under no circumstances should any data hereon be used for DRAWN: CHECKED: GRID No: FB BOOK/PAGE: HE ME I SW2437 165/9 construction or for the establishing of property lines. 12.2 33.6 M ' o o :. ry 10.2'/ rn 0 0 Shed on Sled 10' x 16' 4--I W to NOTES cn v Two Story House Wali 70.0' Retaining N Stone FO -1 N 89'59'00" E 140.07' 1. Bearings and distances are record per referenced plat unless otherwise noted. 2. Not all monumentation for this survey, may be shown on this document. 3. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 25' 25' gs11� OF. A� Con�P•,�1� . 49TH '. Robert 0. Lumpkin ��`�i•• No.10459 i 152 1l�` ROfESSIONA�`�� QP1ASK S' Farpoint Land Services, LLC LEGEND • N SURVEYING, MAPPING, LAND PLANNING, GIS Found Rebar 1 13 1 E. 7Gth Ave., Suite 101 0 Anchorage, Alaska 995 18 0 Cleanout FarpointAK.com • (907) 522-7770 • survey@farpointak.com O Septic Lid T SURVEY OF: SURVEY CERTIFICATION: FARPOINT has conducted a physical Elec Trans. , Cohoe Subdivision, [23 survey of the subject property, the improvements situated ❑EP Elec. Pedestal Alaska (Plat 70-169) thereon are within the property lines as shown.orage, ❑cP Cable Pedestal EXCLUSION NOTES: It is the owners responsibility to determine PREPARED FOR: Rob Whitney the existence of any easements, covenants, or restrictions which do not appear on the Plat used for this survey. NOTE: RDER No: DATE: SCALE: ZONING: 2 3 JUN 15,2023 1"=30' R1A Under no circumstances should any data hereon be used for DRAWN: CHECKED: GRID No: FB BOOK/PAGE: HE ME I SW2437 165/9 construction or for the establishing of property lines. MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211411 Work Type: SepticTank Upgrade Tax Code Number: 01505115000 Site Legal Address: COHOE LT 3 G:2437 Site Mailing Address: 9330 STRUTZ AVE, Anchorage Owner: WHITNEY ROBERT H & Design Engineer: MOXNESS ANSON This permit is for the construction of: Effective Date: Expiration Date: t�lcnr v 4t"IM I' t In e 11 t Lot Size in Sq Ft: Total Bedrooms: 10/13/2021 10/13/2022 9245 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: I . The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater. Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: - Date: Issued By: 14. Date: KI v H C PA L TY OF ' NCH0,: i---- Development Services Department ._ Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 015-051-15 Property owner(s) Robert Whitney & Holly Brooks Day phone Mailing address 9330 Strutz Ave Anchorage AK 99503 Site address Same Legal description (Sub'd., Block & Lot) Cohoe Lot 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank Q Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN Initial ❑ Upgrade 0 Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: TYPE OF DWELLING: Single Family (SF) 0 (w/wo AD U) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of pFoperty owner or authorized agent) Permit/Rush Fees: 2 2 5 Waiver Fees: _ Date of Payment: Date of Payment: Receipt Number: a $ �i �i Receipt Number: Permit No. 0SP21 I y i 1 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Anson Moxness, PE 2439 Douglas Dr Anchorage, AK 99517 September 20, 2021 Municipality of Anchorage Development Services Department Building Services Division On -Site Water and Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: SEPTIC TANK PERMIT APPLICATION Cohoe Lot 3 I am submitting an application to upgrade the septic tank for this lot. The existing septic tank serving the above referenced lot has been compromised and the owner would like to replace it. The owners wish to replace the existing 1000 -gallon steel tank installed in 1996 with a 1000 -gallon HDPE tank. The absorption field passed an adequacy test and is functioning well. The submittal consists of one (1) drawing showing the present improvements on the lot and the proposed improvements of the lot, of which only the septic tank is subject to this permit application. Attached is also an existing and current as built survey from 2016 in the On -Site Department's file. There have been no changes to the lot since that survey. The installation of this septic tank will not prevent wells and septic 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 tank will 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 need of additional information please contact me at 242-5995. Sincer ly, Anson Moxness, P.E. 2439 Douglas Dr, Anchorage, AK 99517 (907) 242-5995 onson.moxness@gmail.com PIERSON PALACE LOT 1 eptic�`� rea I CLNEE SID j I L LOT 2 I I�I 3 Bm I w I LOT 4 I �eptl� rea 25 0 25 50 75 140 125 150 SCALE, 1' = 50 FT. NOTE• THIS 15 NOT A SURVEYED PLAT. WELL R SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WAST£ WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. NOTE.• COW SUBMMON a SERVED BY A COMMUNITY WATER SYSTEM I , tia I ' •t..�r:: INSTALL MW >10' FROM FOUNDATTON `';s:'`"'. ' >5' FROM STAIRS 7AAK i VA Lw IN I � ti I I/MAU NEW 1400 GALLON HOPE SEPTIC TANK I CONNECT TO DRAIN FIELD ABANDON EXISTING SUM TANK PER MOA CODE REQUIREMENTS 4 FEET OVER DIVBLE LYEAM"'-- CaWCT TO EXIST DRAMFIELD 10W GALLDN HVE TAAK BENCH MARK ASSUMED ELEYAArOH 100 FEET FOWBATMV CLEANDUT ANSON MOXNESS PE COME LOT 3 SEPTIC TANK 2439 DOUGLAS OR ANCHORAGE AK 99517 ROBERT W lmy & HOLLY BROOKS DA TE' SEPT 30 2021 907 242 5995 9330 STRUTZ AVE ANCHORAGE, AK 99307 SHEET • 1/1 GRID: 2436 PERMIT #, OSP21XXX PID # 015-051-15 CMDEL T3.DWG Municipality of Anchorage Page I of 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 W 9 60 11Y PID Number: 0 /SO 5/ 1S - Name: 4S tcc. f^ 6-u.ct rGC err1 Wastewater System: E]New ® Upgrade Address: 9334 Sfrufz. J4� J4nch 919r07 ABSORPTION FIELD i'y4sT Phone: % No. of Bedrooms: ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: GPD/S . Ft. Lot: Block: Subdivision`: Depth to pipe bottom from original grade: Gravel depth beneath pipe 3 Ca h c' a Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: Ft. Ft. WELL: f ?y as(' ❑ New ❑ Upgrade Gravel width: Number of lines: Distance between lines: Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: A Ft. Ft. SO. Ft. Driller: Date Drilled: Static Water Level: Installer: A/J r::y�CCtrrG(A,1 Date installed: a/ -7/11 Ft. Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: 1000 From Tank Field Station Tank Sewer Lines ie,—re a r Welt- :>2001 Material: SI -eel Number of Compartments: 2 SurfaceLIFT STATION N.A. Water (UO' Lot Size in gallons: Manufacturer: Line 2 O Foundation ! o "Pump on" level at: "Pump off" level at: High water alarm at: Curtain Pump Make & Model I Electrical Inspections performed by: Drain -" Remarks: n k- ,n 11 ece ee- BENCH MARK E Location and Description: !3o ff�r� b/�.'F t Jcf'CrJ o r r� v�� e ►^ rr�'I // Gte c r Assumed Elevation: Pt ENGINEER'S SEAL Inspections performed by: -1-TtL4 Tec-%. SSC. Dates: 1st 7//1 1pe 2nd ..+ v...»....»...�*�� Department of HeatlHu nervices approval " °7'D ° t 4� a c � - Date: Reviewed and approved by: 72-013 (Rev. 9/91) MOA 25 PERMIT NO: SW 960114 PAGE 2 OF 2 PID NO: 01505115 .......... :>.; CARPORT <' SHEDS LOT 3 NEW 1000 G. ; SEPTIC TANK: 3 BDRM "ID"O'E" : � E HOUSE 0 O pi T : All p____ __________- EXISTING TRENCH SWING TIES: FROM: COR. "A" COR. "B" PLAN VIEW TO: "C" FDN. C.O. 10' 28' SCALE: 1" - 30' S.T. C.O. "D" 12' 28.5' S.T. C.O. "E" 17' 30' DBL. C.O. "F" 19' 33' .'w '� a,f €4 RrrOr rr•ppsf MlM/FM*=`�8« �fa a��e a-fiiE0r"0i(E K M.'J'JRE � 2" RIGID INSULATION Y V 3d,rlaAy�, 4's W' �Vr(.�' f•, `,.._ eve' INV. 1000 GALLON INV. 94.9' GREER SEPTIC TANK 94.6' LOT 3 COHOE S/D SEPTIC SYSTEM UPGRADE PROFILE VIEW AS -BUILT INSPECTION REPORT NOT TO SCALE FLATTOP TECHNICAL SERVICES SCALE: AS NOTED 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JULY, 1996 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:SW960114 DESIGN ENGINEER:FLATTOP TECHNICAL SERVICES OWNER NAME:GUARDERAS OSCAR OWNER ADDRESS:9330 STRUTZ AVE ANCHORAGE, ALASKA 99507 PARCEL ID:01505115 LEGAL DESCRIPTION: COHOE LT 3 LOT SIZE: 9245 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED: 6/11/96 EXPIRATION DATE: 6/11/97 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: i_C'o/ /r? &K- DATE: 6-1 /3 19 ISSUED BY: CLASS "A" WELL 200'+ FROM SEPTIC TANK HOUSE LOT 2 SEPTIC ~ x SYSTEM w z z ' Q ' U O--------- J n i i CARPORT >;:'.;:<.;:.; SHEDS;:> REMOVE EXISTING i 1000 GALLON S.T. ; w LOT 3 & INSTALL NEW Z ' 3 BDRM 1000 GALLON S.T. _ HOUSE i Q O O - 6 EXISTING TRENCH z o & DBL: C..q. AFTER -S.T. REPLACE C.I. PIPE p ' LOT 4 ' DOWNSTREAM OF S.T. J WITH ASTM D-3034 ' SEPTIC HOUSE O O ' SYSTEM LOT 3, COHOE S/D SEPTIC TANK REPLACEMENT SITE PLAN FLATTOP TECHNICAL SERVICES 1 INCH= 30.FEET 14530 ECHO STREET DRAWN BY TFM ANCHORAGE, ALASKA 99516 JUNE, 1996 NOTE: THIS IS NOT A SURVEYED PLAT. ALL LOCATIONS SHOWN ARE APPROXIMATE. MUNICIPALITY OF ANCHORAGE DE iTMENT OF HEALTH AND HUMAN SER. ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name I till I kill IT, r 'a'6 G'? TANKS DISTANCES SEPTIC TO FROM/ WELL WE SEPTIC TANK ABSORPTION FIELD NA WELL Address "a�_ lrGf f Z v -e �y Phones) `-t{ Permit No. 1'5_50,fe--?7:5 No. of Bedrooms LOT LINE O LEGAL DESCRIPTION Lot Block Subdivision c C/�'o v FOUNDATION. TYPE OF SYSTEM to M Township, Range, Section Ig w AS -BUILT DIAGRAM driveway, water bodies, (Show location of well, etc.) septic system, property lines, foundation, ❑ PRIVATE I OTHER ddehtifv) Classification (A,B.C) Total Depth JCased to FT FT Installei Date Installed: REMARKS: tr 1 f %, t Scale: wit e a r dA C(Jl. l Inspectlns erformed by: go �� C� �� Date. I certify that this inspection was performed according to all Municipal and State guidelines in effe is date: T� Health Department All — Date: 72-013 (3/85) 0 WIN ENGINEER'S SEAL TANKS SEPTIC ❑ HOLDING c Manufacturer Capacity in gallons C 4t�_ Material No. of Compartments TYPE OF SYSTEM TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade FT 17 FT Fill added above original grade _ Gravel depth beneath pipe -- FT FT Gravel length _ Gravel width 5-72 FT FT Total absorption area ' C6 Distance between Imes SO FT I kh FT Number of lines Soil rating Pipe material 1, J SOFT (2 Installer Date Ins IIeCa d !� WELLS ❑ PRIVATE I OTHER ddehtifv) Classification (A,B.C) Total Depth JCased to FT FT Installei Date Installed: REMARKS: tr 1 f %, t Scale: wit e a r dA C(Jl. l Inspectlns erformed by: go �� C� �� Date. I certify that this inspection was performed according to all Municipal and State guidelines in effe is date: T� Health Department All — Date: 72-013 (3/85) 0 WIN ENGINEER'S SEAL PERMIT NO: DATE ISSUED: APPLI[A NT: ADDRESS: CONTACT PHONE: LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: 9`1 1L.J PA .1 C_.]': 1 F:" 0--h t_ 1 1F '%` CJ F- 04 Itq VA (3 F;� 04 C_-1', E..: DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 ��/�J�� FR ][ �� Ain - SUBDIVISION: ' ~~~ SUBDIVISION: COHOE " LOT: 3- BLOCK: NA SECTION: 14 TOWNSHIP: 12M RANGE: 3W 9240 (SQ. FT. OR ACRES) 850578 09/11/85 HOWARD J. WILLIAMSON 9330 STRUTZ AVE. ANCHORAGE, AK 99507 346-1734 Listed below are the options available to you in designing your septic system. Chooee ,the option that best {its your site. -T- FR EF_: V4K�FA b4� pa"t DEPTH TO PIPE BOTTOM (FT.) 9.0 GRAVEL DEPTH (FT.) 6.0 TOTAL DEPTH (FT.) 15.0 GRAVEL WIDTHAFT.) 2.5 --- ---» ~~ GRAVEL LENGTH (FT.) 108.0 GRAVEL VOLUME(CU.YDq.) 65.0 TANK SIZE (GALS) 1,000.0 ** SOIL RATING (SQ.FT./BR) 431 ` ** GRAVEL. LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** 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. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. 1 understand that this Permit is valid for a maximum or 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL YORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED / \u APPLICANT HO J. *~ILLIAMSON ISSUED BY DATE: DATE: ` ~ 19 COMMENTS >� "'� G � L (- � L7� • Depth • (ENGINEER'S u 9vay ENCOUNTERED? i IIAK e IF YES, AT WHAT Municipality of Anchorage DEPTH? DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: d o-a'(� �GtP,D� DATE PERFORMED: LEGAL DESCRIPTION: L p� �p� &e _5(,t Township, Range, Section: 7-IdA' e-3 Q,' C �7 Pf ��j�j SLOPE SITE PLAN 2 N 3 4 5 M L !!SM'MY 4a -'r -rr i ':iZ, g- r / 17— e o- 7 8- Q 19 COMMENTS >� "'� G � L (- � L7� Depth • WAS GROUND 9vay ENCOUNTERED? i IIAK IF YES, AT WHAT DEPTH? ■■■■■■■■■■ ®®®® Depth • • . PERCOLATION RATE 5' 5'9,6 (minutes/inch) PERC HOLE DIAMETER TFRT RI IN RFTWFFN -7, 7 FT ANI) 47e!5—r.7 PERFORMED BY: � � I91==L04=:f CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) GREk t ANCHORAGE AREA BOR' SH ►�� Department of Environmental Quality 3500 Tudor Road Anchorage, Alaska 99507 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME �� ) ililfillin.S'll� MAILING ADDRESS 7'9426 PHONE ' �'�2 LOCATION 'S—MU i`-- OAL bPf Abbbli r A) LEGAL DESCRIPTION AjpyL -q 017/10z Sub, SEPTIC TANK: DISTANCE NUMBER OF FROM WELL(Mln. MANUFACTURER' fLlk I.Std',1 60 . MATERIAL Sim Ul- 1'76-&? COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH J LIQUID CAPACITY /006 GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER ----OR WIDTH -2/ /� , DEPTH li ' LINING MATERIAL i�' /� CRIB SIZE: DIAMETERtA DEPTH DISTANCE FROM: WELL t'Y /Vl TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE_ . ABSORPTION AREA (WALL AREA) -480 SQ. FT. ADDITIONAL ABSORPTION WELL TYPE ('411217741W Ly CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL j OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: P17I'PC k- L_xc PIPE MATERIAL: 014 0111 - )POAf LOT SLOPE: REMARKS: Form PW -026 DEPTH NEAREST SEPTIC SEWER LINE TANK— REMARKS ANK_ REMARKS DATE V i ROM: l7 �� DIAGRAM OF SYSTEM f'�C,Pcu�_D _tpric e f�[0"0 • 2 N APPROVED 424UJ 0 A&-4f12!_c l _' G.A.A.B. GRE,k i -ER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. -- 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE, ALASKA 99502 TELEPHONE 279.6666 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT �%L//7�CiV V !il/��J�/.rLV/'L. �L �K . ®T.� MAILING ADDRESS PHONEi?!:� INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF; SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER , TYPE AND SIZE OF FACILITY TO BE SERVEDFi9�ff��jf/!%%LG`/�z'4/.e� FINANCED THROUGH v- TO BE INSTALLED BY SOIL TEST RESULTS NOTE: THIS PERMIT 18 1I0T VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED - 'o<F FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE 7137 / TYPE JL4 -_FG+ SEEPAGE AREA SIZE G�I TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK .J FOUNDATION TO SEEPAGE PIT - �G/ DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK, SEEPAGE PIT, DRAIN FIELD TO NEAREST LOT LINE. R WELL TO SEPTIC TANK " SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK �U SEEPAGE PIT /G DRAIN FIELD SEPTIC TANK,, SEEPAGE PIT �/^, DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIS CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS, GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. eJ `e- - - 1 0 � r HEALTH AUTHORITY OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-66 AND THAT THE ABOVE DESCRIBED SYSTEM IIS IN ACCORDANCE WITH SAID CODE. DATE f�� L� - APPLICANT'S SIGNATURE 07,1 a MUNICIPALITY OF ANCHORAGE Development Services Department bra Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-051-15 Legal description COHOE LT 3 Site address 9330 STRUTZ AVE Expiration Date: 7/14/24 Current property owner(s) WHITNEY ROBERT H &BROOKS HOLLY A X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 7/14/23 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 015-051-15 Complete legal description COHOE Lot 3 Location (site address) 9330 Strutz Ave Anchorage AK 99507 Current property owner(.) Rob Whitney, Holly Brooks 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units 0 Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel V Plastic ❑ Concrete ❑ Fiberglass Age 1 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑® Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: NSA Distance: Expedited review requested: ❑ By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 570' Date of Payment Waiver Fee $ Date of Payment COSA # �� S C— 3 ,Z 3 ( Waiver # COSA Application_ June 2022 CSA Checklist Legal Description: COHOE LOT 3 Parcel ID: 015-051-15 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 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) in. Date of flow test for COSA Static water level at beginning of test ft. Comments Property Served by PWSID: 212924 B. TANK DATA Measured operating fluid level in septic tank 48 Date of pumping 6/29/23 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 9/17/1985 0 ALL standpipes present per record drawing Total measured depth from grade 17 ft (max) Measured depth to pipe invert from grade 9 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. 0 Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) No If yes, enter date Comments/Defici COSA Checklist June 2022 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 6/27/23 Results Q Pass Fluid depth prior to test 29 in Water added 450 gal New fluid depth 47 in Elapsed time 1,200 min Final fluid depth 29 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 96 in Effective depth used 29 in Effective depth remaining 67 in . Second compartment and double cleanouts located under wood cover in lawn as located in the septic tank installation as built E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' ❑m Yes if No ft Community Sewer Manhole/Cleanout > 100' ❑Yes if No ft ❑Yes if No Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' [:]Yes if No Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No Neighboring Absorption Fields > 100' *Waiver issued 3/1/16 Animal Containment > 50' ❑ Yes if No Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft ❑ Yes if No ■❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Fields) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑■ Yes if No 8 ft Surface Water > 100' ❑■ Yes if No Tank to Property Line > 5' ❑m Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No 5** ft Private Wells > 100' El Yes if No Water Main > 10' ❑■ Yes if No ft Community Wells > 200' ■❑ Yes if No Water Service Line > 10' E Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *Waiver issued 3/1/16 ** Waiver issued at time of installation ft ft ft ft ft ft ft ft G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm 4,�_qlv At Lu % tf 1' F Phone `<< / " 1,/ l � j �") Engineer's Printed Name _ zzj y /l 6X AIDS S Date -LLL 2",� COSA Checklist—June 2022 OF A,mew i �gs�ll 49- �.. ............. ANSON J. MOXNESS•:� ^�.•. No. CE -1 3906 .•4 .I1I`IPZ '+� 1, pROFEWM�A�� n4 Municipality of Anchorage r' On -Site Water and Wastewater Program` (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 015-051-15 Expiration Date: 1. GENERAL INFORMATION Complete legal description COHOE; LOT 3 Location (site address) 9330 Strutz Ave *Anchorage 99507 Current Property owner(s) Adam Bartlett Day phone 632-9220 Mailing address Real Estate Agent Cecelia Nims Day phone 230-0099 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class _ Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ WaiverNariance request for: Nom" �Y �, i �nt'� P f rJ� 40}G�r�v,� i�o 0- Oistance:'WA S ' ce f Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ { Date of Payment c t�t (p Receipt Number 6�oI�J�G COSA# OACa�— Date: 3/ 211 & Waiver Fee $ r44S Date of Payment 9J ( 1 ) 1 �- Receipt Number 6393aG Waiver # bSV I �0 I bl�0 S. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Garness Engineering Group, Ltd. (GEG) Phone (907) 337-6179 Address 3701 E. Tudor Road Suite 101, Anchorage AK 99507-1259 J Engineer's Printed Name Jeffrey A. Garness Date 17/ 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 on 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. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SIGNATURE System #1 Approved for Is bedrooms -12 System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, OF /We" j' ON-SITE-, WATER AND o WASTEWATER o PROGRAM j with the following stip bions: Q\: �F/VT .gF_PN Original Certificate Date: Z-_-2 _f C�-> 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 CASA blue sheet &1-12.doc If more than 1 septic system Is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of. On -Site Systems Approval Checklist Legal Description: COHOE; LOT 3 A. WELL DATA Parcel ID: 015-051-15 Well type A If A, B, or C provide PWSID# 212924 Well Log (YIN) Date completed Sanitary seal (Y/N)_ Wires properly protected (YM Total depth ft. Cased to ft. Casing height (ab round) in. FROM WELL LOG AT I &TION Date of test Static water level ft. ft. Well production ::ig.p.m. g.p.m. WATER SAMPLE RES Coliform colonies/100 mi. Nitrate mg./L. Collected by: Coliform ugJL. Date of sample: B. SEP71CIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 7/11/1996 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES . Foundation cleanout (Y/N) YES Depression over tank (Y/N)N3 High water alarm (Y/N) N/A Date of pumping 2/10/2016 Pumper MCDONALD'S PUMPING, SERVICE C. ABSORPTION FIELD DATA OBELOW EXISTING GRADE Date installed 9/17/1985 Soil rating (g.p.d.lfeo /bd 431 System type DEEP TRENCH Length 83 ft. Width 2.5 ft. Gravel below pipe 8 ft. Total depth *17 ft. Eff. absorption area 1328 fe Monitoring tube YES Depressionoverfield NO Date of adequacy test 7/16/2015 Results (Pass/Fail) PASS Fora 3 bedrooms Fluid depth in absorption field before test 43 in. Water added 645 gal. New depth 54 in. Elapsed Time: 110 min. Final fluid depth 43 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date ( F. COMMENTS *ASSUMED BASED ON WATER LINE LOCATEBY ONE STOP SERVICES. THERE IS NO CLEANOUT AT THE NORTH END OF THE TRENCH. **UNKNOWN, BUT ASSUMED TO BE 10'+. ***PER MOA RECORDS (9/19/1985). ****SEE ATTACHED WAIVER REQUEST. 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 JEFFREY A. GARNESS Date Z (Rev. eros) 71 4V D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on' level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm & requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON COMMUNITY WELL LOTTO: °P Septic tank/lift station on lot On adjacent lots I (U Y) Absorption field on lot On adjacent lots t11h999� Public sewer main Public sewer manhole/cleanout 2 0 J Sewer /se ' ervice line Holding tank l% al containment areas Manurelanimal excrete storage areas J SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Ir a Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1004 PVT & 2004 PUBLIC SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ***5' Building foundation ****8' Water main ** Water service line *10'+ Surface water 100'+ Driveway, parking/vehicle storage 0'+ (ASSUMED) Curtain drain NONE KNOWN Wells on adjacent lots 100'+ PVT & 200'+ PUBLIC ( F. COMMENTS *ASSUMED BASED ON WATER LINE LOCATEBY ONE STOP SERVICES. THERE IS NO CLEANOUT AT THE NORTH END OF THE TRENCH. **UNKNOWN, BUT ASSUMED TO BE 10'+. ***PER MOA RECORDS (9/19/1985). ****SEE ATTACHED WAIVER REQUEST. 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 JEFFREY A. GARNESS Date Z (Rev. eros) 71 4V GARNESS ENGINEERING GROUP, Ltd CIVIL& ENVIRONMENTAL ENGINEERS February 29, 2016 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, AK 99519-6650 (907)343-7904 Ref: Cohoe; Lot 3 To whom it may concern: The existing septic system was installed on the subject property on 9/17/85. The sump is approximately 9.5 feet away from the foundation of the existing home. Per the 1985 inspection report, the drainfield is approximately 2.5 feet wide resulting in a separation distance of approximately 8.25 feet. Below are a list of justifications as to why a waiver should be granted for this encroachment. Encroachment has existed for 32 years. The basement is approximately 5 feet below grade, however, the top of drainrock (in the drainfield) is approximatley 9 feet below grade. The drainfield would have to be surcharged by approximately 3' and backing up into the basement plumbing before it could laterally migrate over and into the basement. At this time, we request that your department grant a waiver for a separation distance of 8' from the foundation to drainfield. If you have any questions, please contact Jeff Gayness or Rob Campbell at (907) 337-6179. .S. 3701 E. Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com EEO Munici of Anch a U � QN epartinent F'W **** , OF , A4�5�,� • 49th W 00 { ......J... e�'.q^•:�r'cG �ti c716tiGGo•o � c }s 3255 - S SCALE: 1"=30' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. F9 77-1, pg 6 REVISED 2-10-16,2-17-16 RECERTIFIED 6-04-15 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Moitgagee,s inspection of the following described property: I.QT 3 COHOE SUBDIVISION Anchorage Recording District, Alaska, and that the improvements situated thereon ara within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the propery, lying adjacent thereto encroach on the promises in question and that there are no roadways, transmission. !i^es or other visible easements on said property except as indicated hereon. Datod ^a( AnCi70ray'Q Alaska this 16th day or February , 1971. FRED WALATKA & ASSOCIATES BE (907-248-1666) Engineers and Surveyors Lot 2 I 25 N8905910n"E 140.07 s eo Gravet driveway p Lot 4C IDffS5t011Y Lot 3 i p p = CO ock wall _ - W!1i m26.0 LIJ CC) 1<. �, T bVp°aretwei LIU oN = Lot 4D CD o IQeptic vents U) N89059'00"E 140.07 Lot 4 25 OF , A4�5�,� • 49th W 00 { ......J... e�'.q^•:�r'cG �ti c716tiGGo•o � c }s 3255 - S SCALE: 1"=30' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. F9 77-1, pg 6 REVISED 2-10-16,2-17-16 RECERTIFIED 6-04-15 AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Moitgagee,s inspection of the following described property: I.QT 3 COHOE SUBDIVISION Anchorage Recording District, Alaska, and that the improvements situated thereon ara within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the propery, lying adjacent thereto encroach on the promises in question and that there are no roadways, transmission. !i^es or other visible easements on said property except as indicated hereon. Datod ^a( AnCi70ray'Q Alaska this 16th day or February , 1971. FRED WALATKA & ASSOCIATES BE (907-248-1666) Engineers and Surveyors 0 N 11 241 TV E all 3228, �> ' 33 41 3 11V ti3 ` may' 4G' s8' s 5c 615, 6 4 �o 5 �: 17, 241 TV E all 3228, �> ' 33 41 35 ' 11V ti3 ` may' 4G' s8' 5c 615, SO' t.. ,2 Vey Sex G,G s MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I. D. # O S ' OSI - 167 HAA # Q 1. GENERAL INFORMATION Complete legal description _ l.at 3. Cohoe S /D Location (site address or directions) 9330 Sfr&4tz Property owner Os ccc r lruarore r al Day phone Mailing address P. o. l3ax Z3OZ6/ 99s -ib •02GI J Lending agency Cbz Day phone 26.3 -0 700 Mailing address t2/ ru, F+rewee of 4,a,?e A"cyvnczgP Act 99S-03 Agent hfa✓'cioc kJh,�ca..�� !/,S,�c Reul Esfale Day phone 2 V Address y 2 Y Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well Community well ✓' Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ( 0,1 F le W. D off -d 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site ✓ Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA e21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm r1& 6602 eco n( cc.0 seevt'e u Phone Syr- 13SS Address LYS30 Ecl-►o Engineer's signature Date i ey' 19, X99 61 No fe. Af tAe }-( rme o f He sed /4 c oLcle-Fuae-,yfir fJ cc pat -'het/ y /o ctca e W61 -d nokea! which r^csf-ricf-ece fhe r f -e of v1c e_JWh�.,enf o•.fSo�F f*e Sep �rc fV'7 k "'4 fht money sAo-lct be ec[raov Invu fl¢a�C' 0__� r'eQair b (ocli--nq C of 1996 6. DHHS, SIGNATURE Approved for bedrooms. Disapproved. Y 0 oaaa°Yar •Y'aisYua°°�r�3ia o {1 e�'iHE0004:E F. ;'-CORE: . %^ �y°O°e•Yo as°„ r�t}41 Conditional approval for bedrooms, with the following stipulations: Additional Comments By: Date 4 — / 7— 9.� 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. 1/91) Back MOA #21 MUNIC:IPALI I Y of AN(: WNAGE ENVIRONMENTAL SERVICES D1V1S*N APR Q 9 1996 Municipality of Anchorage e DEPARTMENT OF HEALTH & HUMAN SERVICES RECEIVE Environmental Services Division lik 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: i. o f .3 . Co A ae -S /1) Parcel I.D.: A. WELL DATA Well type C taus *A'-- If A, B, or C, attach ADEC letter. ADEC water system number 21 Z 9'Z y Log present (Y/N) Date completed Total depth Cased to Casing height (above ground) Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed 8/2I / 72 Tank sizelNumber of Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y/1) N Depression (Y/N) N High water alarm (Y/1) N• A. Date of Pumping 6 Pumper -'Sea ere-r C. ABSORPTION FIELD DATA Date installed 9 / 17 / 6.5" Soil rating (g.p.d.M2 or ft2/bdrm) 5131 13' System type 7're4C 4 Length 83' Width T. S' Gravel thickness below pipe 8 Total depth 17 ` Effective absorption area 13 28 Cl' Monitoring Tube present(Y/1) Y Depression over field (Y/N) N Date of adequacy test 1-113 / 96 Results (Pass/Fail) Pass - For 3 bedrooms Fluid depth in absorption field before test (in.); Sr Immediately afiter g}� gal. water added (in.): -7 3/8 Fluid depth 7 2 431(ins.) Minutes later: H3 nr;,-) Absorption rate = ? KSO g.p.d. Peroxide treatment (past 12 months) (Y/N) N&Ae iCnuuwn af"Ifyes, give date N. A-. D. LII'T STATION N • R . Date installed Manhole/Access (Y/1) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: "Pump off' level at* Septic/holding tank on lot N. 4. ; On adjacent lots N. 4. Absorption field on lot N. A. ; On adjacent lots N. A. Public sewer main Al. + . Public sewer manhole/cleanout Sewer /septic service line N • 4- Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: N. 4- N. A• Building foundation S Property line 2 S Absorption field 2o' Water main/service line A 10' Surface water/drainage 5 t oo ' Wells on adjacent lots '239' /v Clet" "A" SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation !! Property Line 5 Water main/service line 7 to' Surface water > too, Driveway, parking/vehicle storage area t' Curtain drain None Seen Wells on adjacent lots > 20o' AV c/arrr %9" we0 F. ENGINEER'S CERTIFICATION * l lavers o S ia�n eo( .R f t�h+,r o!r' i%+lfr� /t a►f*�h 1 certify that 1 have determined thru field inspections and review of Municipal records t a systems are in conformance with MOA HAA guidelines in effect on this date. See nate aniAR, �rf►ca le !y am Signature V- �T Engineer's Name Ae. a& re /= llroc.2rt Date /4r ri / } / q 9 6 HAA Fee $ X300 Date of Payment 44 /47 l G Receipt Number 7217J Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number r " e.I s �ileeiKn�g•geAl+Hare�4�;'= sine• •:;r, r: i THEOUO;,� F, "hGORB 0 CE - 350 ` _ i9 u MUNICIPALITY OF ANCHORAGE DEPARTmENT OF HEALTH AND ENVIRONMENTAL eHOTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date —1'--� 7- 1. GENERAL INFORMATION (a) legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Names t �� arra`° `OC t Telephone: Home _-�_�e_ �3 Business _ -- cc.c�i � Applicant Address`e-r _% r�� • �_ L_l _> t: —� ---- ----- - (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder, ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address -- - - —— ---- -- _--_.-- ----— (e) Real Estate Company and Agent __—____..�__---._-------------_--- Address _. - — --- ---- --- - -- - --- Tele ph o n e ---- ---- --- - -- (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-Familypr/Multi-Family ❑ Other Number of Bedrooms 3. WATER SUPPLY Individual Well ❑ Community4Public ❑ 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 OnsiteA 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. Eli1 1 of 72-025 (11/84) .:,maa.mi ,esausixroneanAtrmwn _ __ 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this; Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ��C^ c>G t -Telephone Address t ` << Gl � Date __� _`� 7 �� 6. DHEP APPRO A Approved for __.--_— bedrooms by Approved —__— — Disapproved Conditional _� Terms of Conditional Approval �� a:s p. a ®•��,y� 96 04 •o N •m" ��NN m• ..•m..••.•• •=o�NO� C. Reid,J.m vp �4�k�P WESS1��Po"'� CAUTION flit) Mun0polity of Anchoiago Doi,mtrnont of HoWth anti Lnvirunniontal 11toloction (I)FIIJI) issuvt3 tionith Authority Approval cortificatos basrld solely upon they roplosontations givon in paragraph S abovo by an inkilopondent piofossional ongineor registered in the? Stato of Alaska, Thee DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy curtain fedoral and state require ants. Empioyoos of DHEP do not conduct inspections or +knelyxe data before a certificates is issue tt, The Municipality of Anchoreagea is not responsible for orrors or omissions in th�r *fessiortell engineer's work, u M104 i � ofa A Ec ALASKA MUII�OnC�1RAL COnTROL SRUS, InC. S d Engineerinq 6 Enuironmental Studies 1200 West 33rd Auenue. Suite 13 • Anchoraqe, Alaska 99503 • (901) 561-5040 TO " ..,�/► 1... .... ..... r DATE SUBJECT r?5,:!�/ ...... rle o" err i MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) Q E P 1819 CHECKLIST FEBRUARY 1984 264-4720 Legal Description: 3- E ! yo"` D ��• A. WELL DATA Well Classification e_'nGGr&i+ulrlr If A, B, C, D.E.C. Approver YN) Well Log Present (Y/N) — — Date Completed Yield f14 Total. Depth &_ Cased to —LiLL _ Depth of Grouting Static Water Level Pump Set At Casing Height Above..G'rourid J Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) to Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot /t/� ; On Adjoining Lots /G To Nearest: Edge of Absorption Field on Lot ; On Adjoining Lots To Nearest Public Sewer,Une /I�� To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date/ Date Installed 72Size No. of Compartments Standpipes/N) Air -tight Caps (Y ) Foundation Cleanout (Y/� _ Depression over Tank (YR Date Last Pumped 2_�&_ 8 5— Pumping/Maintenance Pumping/Maintenance Contract on File (Y/N) ; for Holding Tank High -Water Alarm (Y/N) " Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: r To Water -Supply Well % goo To Building Foundation :] To Property Line 2751 Fro'— 5=40 To Disposal Field /6 / To Water Main/Service Line �`� To Stream, Pond, Lake, or Major Drainage Course f Comments Pagel of 2 72-026(11/84) C. ABSORPTION FIELD DATA Rnils Rstinn in Ahcnrntinn Rtrntn f J / Tvnc of Cvetcm r)neinn Date Installed Length of Field `� r r � Width of Field Depth of Field Gravel Bed Thickness `a Square Feet of Absorption Area ?> Standpipes Present aN) Depression over Field (YOI Results of Last Adequacy Test Date of Last Adequacy Test IV,4 Separation Distance from Absorption Field: / i ��**^�,, To Water -Supply Well (:,7 T-�d To Property Line N 8 (�/ r To Building Foundation To Existing or Abandoned System on Lot ; On Adjoining Lots JP 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 r 6�l17rcovlU Comments L' C�_ a�vPv s oUat&4 P 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 Off" Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have the ed, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed A=::—_ Date 17" /.7- S !;- Company Company /��L S �L�c MOA No. Receipt No.a- Date of Payment Q gs Amount: $ Page 2 of 2 72-026 (11/84) Seal