Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
DE SPIRITO LT 3
* SIS- C) a-aw I o Municipality of Anchorage Page I of 3 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: SW9901 to/ PIDNumber:.Q/S'cga'/O Name: �uc1'17-i% k//LSoI/ Wastewater System: O New Z Upgrade Address: f1cA 9CT A ABSORPTION FIELD 9 99 iG Phone: ".3 O (� No. of Bedrooms: Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Soil Rating: I Total Depth from original grade: • GPD/Sq, . Ft. 'FT Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe S Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: .� I Ft. t' J o Ft. �)I`OfkeW OUpgrade Gravel width: S Number of lines: / Distance between lines: 0?• Ft. Ft. Classification (Priva B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. Sao So. Ft. STik d30311 /D Driller. Date Drilled: Static Water Level: Installer. 7W EES Date Installed: Ft. Yield: Pump Set at: Cass ht Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES C5 Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift HoldingPublic/Private Man factures Capacity in gallons: From Tank Field Station Tank Sewer Lines 9r_ OPA GE /AHK 00 WeIF goo+ loot _ _ r Joo f Material: STECL Number of Compartments: Watee 1ooa ioo4 LIFT STATION Lot I/p Size In gallons: Manufa Line Foundation S. 0 i� D "Pump on" level at: "Pump off" level at: High water alarm at: Curtain Ng N h, k v a &Jsj Pump Make & Model Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: -rs AA AT Pe Ig A. Assumed Elevation: 00Ft S & S ENGINEERING Oates:1 b / C)$ Inspections performed briosa Eagle JRI% r tmP Qe.a Ne- SL'A „ • Eagle Rivers Alaska 99577 2nd '711C 12 $ +,Ae7l a i<OBERT C `COWAN Q l� ; Cl •8801 ({��� Department of Health and Human Services approval �� � Reviewed and approved by: Date: 72-013 (Rev. 9/91) MOA 25 PERMrr N0. SW9801 61 I PAGE 2 OF _ Municipalit of Anchora e DEPARTMENT OF HEATH AND HUNfAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Te�I hone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3 DE SPIRITO LOT 2 NEW TRENCH ALT. SITE EXISTING TRENCH P.I.D. NO. 015-082-10 MARYLAND SUBDIVISION 10' UTILITY EASEMENT r� �� 11 ii MT1b STH 1 1661 L LJ DBL1 ST' DBL2 / ST4 LEIT 3 NEW 500 GALLON SEPTIC TANK EXISTING 1000 GALLON SEPTIC TANK Hp SE BERM )STI �- DIVERTER VALVE SCALE 1- - 1� i�06ERT C. COWAN CE -8801 / PERMIT N0. SW980161 PAGE 3 OF 3 Municipalit of Anchora e DEPARTMENT OF HEATH AND HUNAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3 DE SPIRITO P.I.D. No. 015-082-10 FCOJ7.0 5.0 ST113.5 ST221.0 DV 23.0ST336.0 ST4 57.5 39.0 DBL1 57.5 39.5 DBL2 57.5 40.0 C01 57.0 42.5 MT1 58.0 46.5 CO2 5 6 . MT2 56—.57-65.0 ST.3 STN FINAL GRADE MTl COI 93.1' MT2 CO2 COI - 93' CO2 = 91.5' INSULATION NEN COI - 88.3' 90.1 500 GAL 89 9. CO2 88.2' SEPTIC S TANK MT1 - 83.2' MT2 - 83' NO RATER FOUND 78.5' B.O.H. SCALE 1' w 40' C> a9 �w+..w:w.w A i ROBERT C. COWAN ��f CE - 8801 Permit Number: SW980161 Parcel ID: 015-082-10 Design Engineer: 0003 S & S Engineering Owner Name: Judith Wilson Owner Address: 6701 E 99TH AVE ANCHORAGE. AK 99516-6521 This permit Is for the construction of: 0 Disposal Field M Septic Tank F-] Holding Tank F] Privy M Private Well M Water Storage Legal Description: DE SPIRITO LT 3 Site Address: 006701 99TH AVE E Lot Size: 49514 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special provisions. Received By: ^aJ2 Date: 6 % 1' f qg, Issued By: 1 C �`% Date: MUNICIPALITY OF ANCHORAGE (O' 1s Department of Health and Human Services %1 On -Site Services Program Q 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 7. it. - 1.9 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 09, 1998 Expiration Date: Jun 09, 1999 Permit Number: SW980161 Parcel ID: 015-082-10 Design Engineer: 0003 S & S Engineering Owner Name: Judith Wilson Owner Address: 6701 E 99TH AVE ANCHORAGE. AK 99516-6521 This permit Is for the construction of: 0 Disposal Field M Septic Tank F-] Holding Tank F] Privy M Private Well M Water Storage Legal Description: DE SPIRITO LT 3 Site Address: 006701 99TH AVE E Lot Size: 49514 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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 DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-4744 ( 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. 5. The following special provisions. Received By: ^aJ2 Date: 6 % 1' f qg, Issued By: 1 C �`% Date: I S& HEALTH AUTHORITY APPROVALS May 20, 1998 ROBERT C. COWAN, P.E. CIVIL ENGINEERS (907) 6942979 FAX (907) 6941211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 SEWERMATER Anchorage, AK 99519 MAIN EXTENSIONS REFERENCE: Lot 3; Despirito Subdivision SEWER&WATER Request you issue a permit to upgrade the septic system serving the four bedroom INSPECTION house on the referenced property. A test hole was excavated and a percolation test Nvas performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. ENGINEERING STUDIES ANDREPORTS At the time of excavation 5/9/98, no ground water was encountered in the test hole. After seven day ground tater monitoring the monitoring tube was found to be dry. WELL INSPECTION Attached is the proposed upgrade design. aFLOW TEST We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. SITE PLANS If you require additional information, please contact us. Sincerely, r�oeslGN /9 SOILTEST Robert C. Cowan, P.E. RCC/gk PERCOLATION Enclosures TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 Woo �ra .�(�,•• �yJ ���> moLlt 90,1 it a tut m' 3 % om< ego $ Cl P r J �I �� G=o a£ V i U E 100�WV^4V IWaiC Iti O N<OK W= c�iod3 zj¢a in �t� 1s�� •�� I I ~ J OZ iO:Cl N.. 31:CX of <Vi F-Z CL W Z XWW I May� z�`Lo-' zI 3 00 �aoLL) LUC HW 00 W �I WW%JZTO. O 2p F Z— 2 K Z z rn N w y� a Z a a O J J Or^ gip) WyN 0W0 V Z;ilazy W I 1-4 N to W -i cr —N Z S W Q WZ� }},,y Wzz R7< Z A th N V 2 W ►" W z� W a ^" U SJI d)6ryy^�d0 I— u3 o a (/� `! ►- 2 w W `, W K W •y' a •C u dsb H T yy< �-�OC7 Q r dN WVWi t°tO 2 S V N J ~O yo r' ROM = otio CU IAJ O ----48 > ^ NIN OI _-- W 5, - A ►w L.Er � O\ fcy n ,O ' , i y = c = Sn jobb >>3 I O_ p r W '^ I'^ W �W (z I..: to criIn I J N � o a u o. Z II II x H z V VW OZ a C7 .z Li 00 o w a '� mJ0\ W OW3J a A .r gn w H lin OLO N LO :8 0 e- O 0 til cn� � (lJ W ( y. z i. c a �a Q o�a zN N �•+i J 0(n a I aux rei�a W� p0, C N a S-IIV130 NOIS30 ,09 = „ 1 • Lam/ 1♦ ••,•• - •••y �:� ��� rjvJ ( ri •• /� • •t 1 a Municipality of Anchorage , .10 Y: 49 DEPARTMENT OF HEALTH & HUMAN SERVICES /•• •• ••••• • �—••• ��• 825 "L" Street, Anchorage, Alaska 99502-0650 ,�;?f ,...,i` -•,••„ SOILS LOG — PERCOLATION TEST1, Tr ROBERT C. COWAN %`� i, o CE .8801 ia,: PERFORMED FOR: v 0 r r H W I L. SOW DATE PERFORMED: LEGAL DESCRIPTION: LO 7- 3 p E SP1 AI T O S'/QTownship, Range, Section: rDEPTHI SLOPE SITE PLAN 2 (FEET) 0Rw44Nr c s 3 4 - 5 _ 6 _ ' G'AL FrNE. 7- 6'1/y• 8- 9 9 •= 0 10- 11 11 ` 2 12- 13- 131415 14- 15 13.0,11 . 16 17 18 19 20 0 WAS GROUND WATER N Q ENCOUNTERED? s IF YES, AT WHAT — L DEPTH? 0 P E Depth to Water Aller AR y S 6 5' Monitoring? Due Reading Date Gross Net Time Time Depth to Net Water Drop P/L .1'DAK G'AL %C 6'1/y• PERCOLATION RATE (minutesrincn) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND -7FT COMMENTS S & S ENGINEERING 19 0 PERFORMED BY17River 1,'qi CERTIFY THAT THIS EST WAS PERFORMED IN ACCORDANCE FAd#iI hIf04kJIL t ;6I PAL GUIDELINES IN EFFECT ON THIS DATE. S DATE: h q [ I V 72-008 (Rev. 4185) S& HEALTHAUTHORITY APPROVALS SEWER &WATER AWN EXTENSIONS SEWER&WATER INSPECTION ENGINEERINGSTUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PIANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN ROBERT C. COWAN, P.E. CML ENGINEERS (907) 6942979 FAX (907) 6941211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 3, De Spirito Subdivision May 18, 1998 GENERAL: 1. The scope of this project includes the installation of a 500 gallon septic tank and a four bedroom leachfield trench to serve the existing residence located on the referenced property. The existing trench will be abandoned such that it may be used in the future. The existing 1000 gallon septic tank is to be checked for integrity. If of poor integrity, it is to be pumped, crushed, and abandoned completelf and replaced with a new 1250 gallon septic tank. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 3, De Spirito Subdivision May 18, 1998 4. Septic tanks installed with less than 4 fl. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 3, De Spirito Subdivision May 18,1998 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: .O Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever applies. Page Four Lot 3, De Spirito Subdivision May 18, 1998 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER '_MUNICIPALITY OF ANCHORAGE 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 NAMEPHONE 6-77J EW ❑UPGRADE MAILING ADDRESS o / tcly Std LEGAL DESCRIPTION LOCATION C NO.OFBEDROOMS ay. DISTANCE TO:10 Wello © Absorption area Dwelling t PERMIT NO. O wQ F Manufacturer rP� Material S-F.eP T No. of compartments 11� Q) Liq. capacity in gallons C IF HOMEMADE: Inside length Width —_ Liquid depth 0 az Well DISTANCE T0 Dwelling PERMIT NO. —^- S z FQ- Manufac - Liqutd capacity in gallons O w= DISTANCE TO: Wetl I Foundation t t Nearest lot linePERMIT ( t NO. d 05 -W, Z z � ? W. No. of lines 1 Length of each line 3 �e Total length of lines Trench width inches Distance between in .s j1 r - a F¢- Top of rile to finish grade I Material beneath the __7 Total effect�sor tion area W Length Width Depth PERMIT NO. t7 ILF Wuj a Type of crib Crib iameter S;rib'tlepth T!!!!.!!ta sorption area H ISTANCE TO: Well Building foun anon Nearest lot line J J Mlkss Depth Driller Distance to PERMITN .O O W 3 DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS o 3 ti erg +r SOIL ESTRATING l J INSTALLER REMARKS i� c 1- t 42, APPROVED DATE LEGAL '_� le,4_,, a •%� t�0 L3 b-e,5a ri 7n 72-013 IW. 3/78) 6/ r+ CJ co . 1,15 0 c c c biz C4 u q Joe OF 6�6 C* C. 0: C r s 0 0 c c CU L:., cv V5 0 0 0 0 C\j 0 0 0 o .14 C) Ll. ri V) 117- 0 0 L7. r+ C4 CJ co . 1,15 0 c c c biz C4 u q Joe OF 6�6 C* C. 0: C r s 0 0 c c C4 CJ 0 c c c C4 C4 r.:: cl C4 MUt-4 I r' I F•F3LL I T'r GF F=1r40H6RA6E 3U DEPARTMENT O�"'+, EALTH AND ENVIRONMENTAL R, TECTION 825 'L• STREET. ANCHORAGE, AK. 995u_ 264-4720 t lELL Ht -IC`► 0N—�3 I TE 1—SE44ER F~ERt•1 I T PERMIT NO. f 800587 0ts. i� aA-fiU APPLICANT WESTERN ENT 4101 ARCTIC RM203 ANCH 03276-7725 LOCATION E., 99 AV. AND HOMESTEAD �1t oolDus4 LEGAL jtT. %'3::DESPRITO'.'l LOT SIZE 14903 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING (SQ FT/BP.)= 165 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E>EF}TH= 11. LENGTH= :3: f_-, 0RRVE:L_ I?EF~TH= ? THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION -CIN FEET). FR, EE: G!U I REE? 'QEF T I C TF=l tJK S I E= :lL x+100 GR L. L.iQt4_<3 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER•. OF RESIDENCES THAT THE WELL WILL SERVE. -- TW0 C Za> I t-.ISF9E:0T 10"S; t=IRE REGU I F?El> --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS ,DEPARTMENT WILL BE SUBJECT TO PROSECUTION. "MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SE14ER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T aXF' I RES} DEGEMEER T1s 1S%G0 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER, SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS rRDELED TO NCLUDE MORE THAN 3 BEDROOMS. SIGNED:-- — -- ---------?" ----- WESTERN ENT lG— v — ISSUED BY-- ---____-- __-- ----DATE--------------1 V4.0 .r Test Ilole #3 Depth in Feet From To 0.0' - 1.0' 1 . 0' .- 5.01 5.0' - 15.0' Bottom of Test Hole: Frost Line: Free Water Level: Table A /ro�) 1-70 P 17 612 February 21, 1976 Logged By: JWO Soil Description F-4, brown Organic Overburden. F-1, brown Silty Sandy Gravel, GPI, damp, maximum subrounded particle, size 2", Group C. F-2, brown Silty Sand, 561, damp, Group D. 15.0' 2.0' , Done Observed Type of Sample Depth Sample Group Uni£icd 1 5.0' G C GM 2 10.0' G D SM 3 15.0' G D S;3 Remarks: 1. Type of Sample, G=Grab, SP _ Standard Penetration. 2. Group refers to similar material, this study only. 3. General Information, see Sheet 1. 4. Frost and Textural Classification, sec Sheet 2-3. 5. Unificd Classification, see Sheet 4. t.4tc.-tropolit an C():M' ty Churt.-Il Fobruary 26, 1976 Pago �' Group B is a silty L11-avc.1.1y thaL is cati011 i -S S,'*, rilld i Ls Oit Group C iS Z1 Silt.Y! qrovol that. i-". LI), y I vw;t . .. - ---------- SLlS'1.'C'fA.jbL(.- Iwinf:3 i. -,(t (..:! f ficatioll is GII i.ild it:; ':rad.1tion j.". ol-I thret--. Group D is a. sl].L), _;incl that i: beillo rated 1.'-2 1 is un if 1 c -I a t;: J J CLI %. i c) ll j and its gradaLion Js on shcot fo"ll'. Grog) F in a sancly pilt that is. hic Illy f) ().,;I nw;r...'-pt i.1)1(. being rated F -?J It.,; till! fi cd f i. C..; . t Jon is ".1T, and its gradation is on dicot five. It is: non- plastic. Water was placed in test holes unc., ti,rongli ioii,.-, It -It tr saturate overnight, refiln!(i ii. the m.)rnitic * I w.1 t!1- ch -op in the umter level m.onit. cyt%!. (1;fr1c.11 11C)IL, Wd; ci::;!"d %'ith "'14 inch, slott, ml Pvc . Tho rates: Uic! 61-upi ':d Over 1,110 Period of all holli- v:a'..: TCSL 11ole '111 3.5 I.J rill t.c.Vi 1!. -.Il TOFA Holt, 4.0 I."i till t.i!s/ i lic-1 I T (.. s I Hol C! I A 1; Tc. .t llol-� }'4'.;.'; 1'i i Jill I wil I: - Test Holo 1:5 war in the for tiler p1;.n:.c1,' exLension of 11ain DFIVU. Ile lwi�o this is yol.: not 11-si Latu to conLacL. w-; if .iiy Vt )Y T -I v DIM, :rb M r) 7 r r r J..J 1J!!/1 % ../ 1J 11 i ll I ✓77 11 �1 1 Iin 1 1 I i er M - I , M� M • +l • r•.' ., i'ILI � S 4+ ~t•, r _ ...r.r.- '_,1�! 1 ` k •" l/rlfl•'r _y��.r•�-^"•.•_-"".._. ... .. f ."'1— i.li)'iL:C'tiir _:_�_ tc•oo�'r.l czso:.oar: � J1{,,.;i�] �,...t•'•,. 1 __ E �., r � _ 1 { % I(� 4)nti _ ....... rn 1� LO 1 Im 01 I 1� 00.7 �1 �-i •r 1 r � f ^1 Iin 1 - • r•.' n/ -"C, `_ r��-�-- •� S 4+ ~t•, r _ ...r.r.- '_,1�! 1 ` fit: O(i� •" l/rlfl•'r _y��.r•�-^"•.•_-"".._. ... .. f ."'1— i.li)'iL:C'tiir 4 ��: 1��:. J1{,,.;i�] �,...t•'•,. __ E �., r Lam,. t •w� �-i •r 1 r � f V ,� �� ao "LDS ks4 UA 0 C3 -v1 0/-) CJLA 0 Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON—SITE SYSTEMS APPROV Parcel I.D. 015-082-10 Expiration Date: 1. GENERAL INFORMATION Complete legal description DE SPIRITO; LOT 3 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 6701 East 99th `Anchorage 99516 Richard Schimshat Day phone Heidi Clement Day phone 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: 727.0816 TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community ClassWell ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Wal,.W.n.roa Received by: � - fz COSA to be raleased to the engineer. unless ethmise requested by the engineer. Distance: Date: 4/23//6 COSA Fee $ a r Waiver Fee $ Date of Payment Ot Date of Payment Receipt Number 07 4 1)9 ( Receipt Number COSA# 0`Ju'P142 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(ars) in compliance -with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 `ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In oxMudMg this evaluation, GEGpmvided an engineenng evalus6'on If weNand/ormplic syslemM aawdanw mm me guidelinesandMgulah'ons eslebUshedbythe Mmiclp81NyofA"hwage andindusbypracfices Thompwfedresultsdesrdbame coraideS oflhe systemrsm Me dalefso/Me evaluab'm. Soin ragm distance; weremeasuredlomaddyiden ifiab'e 1eahmr8 Hidden deeds or encroachments may adst Mat were not k enasted Maki the a valudim rhe opmallonat fife 01811 wells and sep6b systems depandoo a Mde"Nanablesinduding, MA not United to, mil omMYons, gmmdwalwlevels (MatmayMduefe during the year), qualiy Ofcanslnrdion(materials and workmanship), Moth, wdwussge of Me lonsy D'dng the sysm is These mnMtims un very, tmdare 0uldde the cmirel of GEG. SIMS11dwytesfremttsdonot guarantee Miss pedMnMw ofMa sys(9mS'thwelme, GEG makes no warranty(ezpremorimplieo)mgerft Me Mlumpeff m oofMewoNarsapgasyslem GEG makes no mpresenladm wheMwan allemalive weff ormplMsyslen can be lnslaNedan the pmperlyin Me eventaMMofe, coradaydems fail. The mnfanto/Misrepwtufwme sole bonefitoithepemWpadywhomiained GEG. Reflance upon the holoma6'mprovldedin this maw by myomwpwmn orpany h7duasng bmnollimlledto subuquentpmperlyp echasers, isnot aulhon'zed. M short GEGwsawws any legal duty to anyone omerMan Me persoapady who paid lwmlsmpM. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the foil owing,sM�Qons: �CiyO fr�i C��`` WATER AND Phone 337-6179 Date 16 le The Municipality orAnchorage Develop,emt Services Olvis m (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, ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 10112112) Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: DE SPIRITO; LOT 3 Parcel ID: 015-082-10 A. WELL DATA Well type PRIVATE If A, B, or C provide PW//SID# N/A Date completed 10/24/80 Sanitary seal (Y/N)L Total depth 214 ft, Cased to 174 ft. Well Log (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 10/24/80 9/1/16 Static water level 113 ft, 103.1 ft, Well production 20 g,p,m, 4.8+ g,p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate ND mg./L. Collected by: GEG, Ltd. Arsenic: ND ug./L. Date of sample: 911/16 EXISTING 1000 GALLON STEEL SEPTIC TANK IS 36 YEARS OLD B. SEPTIC/HOLDING TANK DATA AND IS APPROACHING THE END OF ITS USEFUL LIFE 7/16/98 Tank Type/Material SEPTICISTEEL Date installed 10/28180 500 1 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (YIN) N/A Date of pumping f � b Pumper A t z; C. ABSORPTION FIELD DATA" ""rVbELOW EXISTING GRADE Date installed 7/16/98 Soil rating (g.p.d./ffor /bdrm 12 System type DEEP TRENCH Length` 1 50"x` ft. Width 2.5 ft. Gravel below pipe 5 ft. Total depth ft. Eff. absorption area 500 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 911/16 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 34 in. Water added 922 gal. New depth 59 in. Elapsed Time: 135 min. Final fluid depth 55 in. Absorption _tate a= ; 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -SOUTH MT EXTENDS APPROXIMATLEY 50" BELOW INVERT -NORTH MT EXTENDS APPROXIMATLEY 64" BELOW INVERT -PIPES FOR 1980 TRENCH WERE NOT FOUND. CONDITION OF 1980 TRENCH IS UNKNOWN. D. LIFT STATION Date installed Size ingallons Manhole/Access (Y/N) "Pump on" level at - in. "Pump off' level at we er alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot 1001+ On adjacent lots 1001+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 751+ Public sewer manholetcleanout 100'+ Sewer /septic service line 25'+ Holding tank 754 Animal containment areas 50'+ Manure/animal, excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 51+ Absorption field 54 Water main 10'+Water service line 101+ Surface water 100'+ Wells on adjacent lots"100'+ ( WITH CAVEAT) SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 101+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots *1004 ( ITH CAVEAT) F. COMMENTS DRAINFIELD'IS 36 FEET AWAY FROM SLOPES >25%. APPROXIMATE ELEVATION CHANGE OF 6 FEET FROM THE TOP OF THE SLOPES TO THE Borroml LATERAL LINE FOR DRAINFIEI_61S'3.1 FEET BELOW EXISTING GRADE. DIVERTER VALVE WAS NOT LOCATED DURING SITE VISIT 'PIPES FOR 1960 TRENCH COULD NOT BE FOUND SO 100' SEPERATION -COULD NOT BE VERIFIED. G. ENGINEER'S CERTIFICATION i certify that t 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 Na a JEFFREY A. GARNESS Date �lt•�+ (Rev. 10/12/12) Municipality of Anchorage • .1 Development Services Department' *AC Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 9951M650 — www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-082-10 HAA# Q 10 5 S _ Expiration Date: :. - a O - O 1. GENERAL INFORMATION Complete legal description Lot 3- DeSni ri to Snhdi vi ei on Location. (site addressor directions) 6701 F_ UUth AnrhnrngP, AF 995II7 Current Property owner(s) Jenny & Marvin Kuentzel Mailing address same Lending agency Mailing address Real Estate Agent Mailing Address Day phone 346-2189 Day phone Day phone Unless otherwise requested, HAA will be held by DSO for pickup. �� ! r f/� �0 3 2. NUMBER OF BEDROOMS: 4 ` 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Ek Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Individual On-site Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. . 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 S & S Engineering Phone 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robert C. Cowan Date -////A//0_3 6 OF 5. DSD SIGNATURE lot ROBERT c. cowAN ,e CE -8801 �` Approved for ) bedrooms. �'0 ..M• Disapproved. Cl) �F��cSs��t`-► Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: _03 (Rev.01102) -'`-� Municipality ol'Anchorabe' Development Services Department Building Safety Division On -Site Water & Wastewater Program 4100 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HFAI_TH AUTHORITY APPROVAL CHECKLIST Legal Description: J—o r 3 D E -S n I R I r O S/ R Parcel ID:0/5-v V -/O A. WELL DATA Well type PR1Vg7C Date completed Total depth c r �/ ft. If A. B, or C provide PWSID # ' Well LogCYIN) Ye__J' Sanitary seal ON) Yk f Wires properly protected©N) Cased to 01 ft. Casing height (above ground) in. FROM WELL LOG Date of test 1 d /X y /F o Static water level 1 / 3 ft. Well production .a 0 g.p.m. WATER SAMPLE RESULTS: Coliform _. 0 colonies/100 ml. Nitrate o• 1 rng./I. AT INSPECTION 1 / /C 0 3 / 0/ ft. S.3CLrMrrtio 6y _ g.p.m: ct /�we+Or vC Arsenic: mg./I. Date of sample: /� �3q/o3 Q It/io/o3 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S it,* cr c- / s r$ 4, L Tank size /Oe s--10 gal. Number of Compartments 3 / Foundation cleanouto/N)141 Depression over tank (Ye N J Date of pumping 11 / 1 /0 3 Pumper Pam f Other bacteria 0 colonies/100 ml. Collected by: S & S ENGINEERING 17M bagle River Loop Road No. 204 Eagle River, Alaska 99577 Date installed Iola 1s fro 4 -)//c/ q V Cleanouts 6'N) y 4 f High water alarm (YA(D N O SfRvIr"C I C. ABSORPTION FIELD DATA Date installed/Soil rating (g.p.d./fe rfY/bdrm)_a System type Length S -o ft. Width ft. 7-R#N c.N Gravel below pipe ft. Total depth 10 ft. Eff. absorption area Soo ft2 Monitoring tube )i1 Depression over field • J' O Date of adequacy test If S /0 3 Results as 'Fail) For bedrooms Fluid depth in absorption field before test /0 in. Water added l3u;•gal. New depthQ in. Elapsed Time: A9 min. Final fluid depth k 3 in. Absorption rate >= %o O g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) rv'r a K ro w N If yes, give date _ D. LIFT STATION Date installed "Pump on" level at Datum in. Size in gallons "Pump off"Ievi Cycles tested High water alarm level at Meets alarm 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot TO " �'- On adjacent lots ) 0 D Absorption field on lot / 00 On adjacent lots 100 4 Public sewer main Public sewer manhole/cleanout N�A r Sewer /septic service line a s f Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation l+ Property line S + Absorption field 5 '� Water main Water service line f 01-A- Surface water /00 r f Wells on adjacent lotsr-f- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: r Property line 7 O 4- Building foundation -1 O Water main 1A i r Water Service line f D "/ Surface water 10 0 Driveway, parking/vehicle storage Curtain drain N° ^'� ti'�ow ✓ Wells on adjacent lots / DD / f - F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA 7guidelines in effect on this date. Engineer's Printed Name IC e a3 d /t ; C. Cp w jf .i Date 111, Af I9•3 HAA Fee S 3 -7 r' V Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number "c� . n .,...�Q� p; ROBERT C."COwAN f Q in. 11-11-03;17:11 ;CT and E S & S Engineering ;5615301 r 2i 2 CPO 200 W. Potter Drive Drinking Water Analysis Report for Total Coliform Bacteria Anchorage. AK 99518.1605 Tel: (907)562-2343 READ INSTRUCTIONS ONREVERSESME BEFORE COLLECTINCSAMPLE raw. ian7irAi-Kant COMPLETED BY WATER SUPPLIER o PUBLIC WATER SYSTEM I.D. # PO PRIVATE WATER SYSTEM O Send Results O Send Invoice iz034 t -g rur w•1 Mood No. 2W ax um er Ea KIY .,O.J^—itoo NVMW u u•t Addim CIV We Zip coft O SerrdRrtufts O Sendlnvoice 5 & 5 ENGINEERING 17034 EaSIO 1 c 1'6111ver, Alaska 99572 "I, --s ac `�. . , cuY Stew Zip Cadc SAMPLE DATE: Month SAMPLE TYPE: O Routine Repe,.A'Sample (for routine sample witi%1'ab ref. no.[o3.�oG1—I A ) E3 Special Purpose ' SAMPLE LOCATION D'�'-Fr(rLtTe' SID DE 0 3 Day Year O Treated Water X Untreated Water Time Collected Collected By • : f S' h Bad Co,�.tnJ • PkaePrint COMPLETED BY LABORATORY shows this Water SAMPLE to be: O Unsatisfactory Cl Sample over 30 hours old, results may be unreliable O Sample too long in transit; sample should not be over3lDhours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received 11-1c) b:s Time Received i S O 7 Analysis Began /40, Analytical Method: .,K Membrane Filter O MMO-MUG 1 • Number of colonies/100 ml. 11037283 '' 0 j3��72 181I j3�� --/� !salt• 11111TH H111IIIIIIIIIIIIIIIII11 Analyst ..«... Fbks Jun ❑ Fazed Date Time: :Client notified of unsatisfactory results: ❑ ❑ Phoned --Spokewith- Fazed Date: time: BACTERIOLOGICAL WATER ANALYSIS RECORD MMO ;MUG Result: Total Coliform F- Call* Membrane Filter: Direct Count T Colonievl oo mi Verification: LTB AGB COLIFIRM Hurt-r..N...r.v,r.cw.r Fecal Coliform Confirmation os Orhoddderid Final Memb a filter Results �a ti �tY11j zf!'�Y' Coliform/100 ml t Reported By Date Time it, = / S� hrs Comments: CT&E Environmental Services Inc_ 1200 West Potter Drive, Anchorage, AK 99518-1605 11907) 562-2343 f 19071 581-5301 W W W.39senvironmeMal com Member of the SCS Group IS0606 Glninll do Swtillonctl 11- 4-03; 5:41PM; SGS Refit 1037063001 Client Name S & S Engineering Project Name/# NA Client Sample ID Lot 3 Despirito S/D Matrix Ddnldng Water Sample Remarks: ;907 5615301 0 2/ 5 All Dates/Times are Alaska Standard Time Printed Date/time 11/04/2003 7:40 Collected Date/time 10/29/2003 14:30 Received Date/time 10/29/2003 14:40 Tecbelcat Director ®Steph Ede Released A.eK/1� Parameter Results PQL Units Method ContainerlD Allowable Prep Analysis Limits Date Date Init Waters Department Nitrate -N 0-100U 0.100 Microbiology Laboratory Total Coliform TNTC OB mg/L EPA 300.0 B (<-10) 10/29/03 JIB col/100mL SM189222B A (<=1) 10/29/03 DKC GA 10'Uiil. E�n,tJ 1 II I I ► 1 st 3 i ,10 "G""57'20 W- I G LI.75 ^l 0 Ean+ 97" Ave. ^c LEGEND O LOT CORNERS FOUNDATION DRAINAGE ARROWS ._q 'iy,`P,:••. NOTESI :• �C T...... .. I' BUILDING l Cf TIOM SHOWNN IT $HLL 89 THE ILITY 01 THE BUILDER OR OWNER 70 VERIFY THAT ORDINANCES. CL TI ALL SUBDIVISION COVE NAM TS AND ZONING /� • . •...... f. IT 12 THE RESPONSIBILITY or THE BUILDER TO VERIFY ALL ELEVATIONS WITH Andrew F. Potts RESPECT TO ALL UTILITIES. fj �•'•, No. 3514•S •Q�`�� ]. THIS PLAT REPRESENTS THE PARCEL 0/ PROPERTY DESCRIBED BELOW TAKEN l • / PROM THE RECORDED HEAT 09SCRIIINO THAT PARCEL. INSTRUN[NTS RECORO[D ,'� • PRIOR TN OR AFTER THE /VINO 0/ Tc RECORDED PLAT ARE NOi SHOWN ON Qp W' .. . '•�•ZO ..r THIS /LRT. 1%,afissloat \������ e• THE BPECIr TLI IOSTO NOW NANY CON/lICTO BETWEEN ER ETIND fTR VC TUR EIf AND • '•• PLATTEDD LOTLOT LINE] OR EASEMENTS , THE PLAT IS NOT TO B[ USED /OR RVEYOR'S CERTIFICATION ON IND ADDITIONAL STRUCTURES OR /ENC[]. i ER[BY CERTIFY THAT I HAVE SURVEYED THE DI[Ri7 DESCRIBED ON THIS PLAT Alto THE ASBUIL7 ROVUIEMTS SITUATED THEREON AAL LOCATED SHOWN ON TNI] PLAY. LOT 3 '10 THIS _Rz£nDAY or �S % •1] 8Y DE SPIR I ro SUB,c) C�// ��`' - GESS 2, EPPS Q POTTS "^^-- v 349.6452 2220 E. 88111. AVE. ANCHORAGE, ALASKA 99507 349.6454 DRAWN BYI V` FSIL SCALE. I..z 5O. C'C DWG. NO. [FIN. BY. rerL ., . � �"'�.� Location (site address or directions) 6701 E. 99th Avenue Anchorage. AK j•'`• —*'.Judith Wilson 346-3906 Property owner Day phone Mailing address 5701•E. 99th Anchorage, AK 99516 ,L'erjding agency; Day phone ,Mailing address Agent Naomi Fuller/ Vista Real Estate Day phone 562=6464. Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: If 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx 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 (R". 1N1) Front MOA #21 �' 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. If urther verify that based on the information obtained from the Mynicipality 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. S & 5 ENGINEERING Name of Firm 17034 Eagle River Loop Road No. 204 Phone 6 c) L/ g 7 Eagle River, Alaska 99577 Address En9signature��! / 7 / Engineer's ` f+ ` Date r a y 9 5 OF qt A 47 6. DHHS SIGNATURE _V Approved for FOUR bedrooms. Disapproved. Conditional approval for Additional Comments M e _ - ROBERT E CbMAN /;k- CE-8801 QCE-8801 Ar .. bedrooms, with the following stipulations: Date Z—-3/— c/8 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 orderto 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-= (R". M) Back MOA 621 RECEIVED Munic!pkQtYy-! c orage.:, JUL 24 1998 DEPARTMENT OO HEALTH & HUMAN SERV OMPAur of Arc wPA Environmental Services Division ENVIlQNM"AL seev1M ory 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: L o T 3 P4, 6/' 1 R it o Parcel I.D.: 01S— ° " —/V A. WELL DATA Well type PRI v4 r (- If A, B, or C, attach ADEC letter. ADEC water system number Log present 19 1 Y e S Date completed /40 / X v / tro Total depth 2,74 � Sanitary seal &/N) Y4%, -J FROM WELL LOG to re0 Date of test Static water level Well production r� Cased to 4 O WATER SAMPLE RESULTS: a J g.p.m. Casing height (above ground) ( / f— Wires properly protected (ON) YeS AT INSPECTION S/ 1o/°Ig t0 i '7.'s g.p.m. Coliform O Nitrate 0.1 Other bacteria Date of sample: -)/a, 1 .7 91 Collected by: S A S ENGINEERING 17034 Eagle Rivet Lool. Road No. 204 B. SEPTIC/HOLDINC.� TAyK DATA Eagle River, Alaska 99577 /o 'AV tso woo a Date installed '7 % / 6 / q Tank size V -O ° Number of Compartments ? Cleanouts Foundation deanout,(YM) Depression (YO High water alarm (Ya "' a Date of PYItipiflg K �.a'�= Pumper Ai Nom SE•tv"R S C. ABSORP ON FIELD DATA Date ir(stalled (� q Soil rating d./tt' r ttz/bdrm) T' D` System type 7 t "' H Length Width O S' Gravel thickness below pipe S Total depth I Effective absorption area S'00 trs Monitoring Tube present Depression over fielldd (YAW Date of adequacy test 144 Results (Pass/Falq For 7 bedrooms Fluid depth in absorption field before test (in.); Immediately after gal water added -lin ) Fluid depth (ins) Minutes later. Absorption rate = a.p.d. Peroxide trea_tr�r gni( 2 months) (YM) If yes; give date 72-026 (Rev. 3/98)" D. LIFT STATION Date installed Manhole/Access (YM) _ High water alarm level at" "Pump on" `Datum Size in gallons off" level at' E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 10(314- On adjacent lots 100 rt Absorption field on lot 100 + On adjacent lots l Oy Public sewer main N % A Public sewer manhole/cleanout Al /f Sewer /septic service line a S / Lift station A.) /.4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation S + Property line Absorption field Water main/service line ! e Surface water/drainage ao / t Wells on adjacent lots top SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: P"{operty.line 10 Building foundation l 0 Water main/service line r '} Surface water '100 + Driveway, parking/vehicle storage area Curtain drain N o"A- )c t-, 0 Wells on adjacent lots • 100 F. ENGINEER'S CERTIFICATION / certify that l have determined thru field inspections and review of Municipal in conformance w1M MOA o guidel es in effect on this date. Signature Engineer's Name 1e ad &0L C. C° `''4"'1 Date i/:t Y r C1 V HAA Fee $ 3 Waiver Fee $ _ Date of Payment ��� Date of Payment Receipt Number 7/ b Receipt Number 72-026 (Rev. 3196)' RQUIn Q CCh l�c�f CE - 8801 BMW] are JUL-,r-Iviu 1'i!14 Cl�.L L'_t 1010iui%Itel: CUE Environmental Services Inc. AIAL* AFAV4WAW4WAF4W&WAVAVWArWdVdWAV��40 yUr5b15:+u1 PAU/W CT&E Rcf.# 983795001 Client PDX Client Name S & S Engineering Printed DateMme 07/27/98 15:33 Project Name/N Lot 3 Despirito Collected Date/Time 07/21/98 12:15 Client Sample W Lot 3 Despirito Received Date/Time 07/21/98 15:00 Matrix Drinking Water Technical Director: Stephen C. Ede Ordered By ^, PWSiD 0 Released ByA A , 10 AF. Allowable Prep Analysis Parameter Results Pat Units Method Lfmits Data Date Init Total Coliform 0 Col/100mL s"18 92228 07/21/98 RMV Nitrate•N 0.100 U 0.100 mp/L EPA 300.0 10 max 07/22/98 07/22/98 RMV r MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIROIZENTAL HEALTH DEPARTMENT OF EEALTH AND ENVIRON`fENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE Application Date 2 rl_ 1. General Information (a) Legal Description (include lot, block, subdivision, section, township, range) Lvr 3 1) S i1/p, ITb- rn►•tn,. % /H T /24) 1: !� W �. Location (address or directions) /I .tic 11. A A (b) Applicants Name RE^17x _ k)t7Ac V? Telephone — Houe Business Applicants Address 1 (c) Applicant is (check one) Lending Ins\ tution ; Owner/builder [ ; Buyer ; Other (explain); \ jQ F.A 1_-M74� (d) Lending Institution Telephone Address (e) Real Estate Co. b Agent i Address 2702 8ELL Telephone 2.76 --2761 (f) Mail the HAA to the following address: 2. Type of Residence Single—Family Multi—Family Number of Bedrooms J 3. Water Supply Individual Well §K1 Community M Other (describe) Public ED Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite Public Community E�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) Y 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm 15E5SC--, E -1->S -r i'.�Tr 5 Telephone Address o E 8,c3t-- A VF Ave -H. Ak- OF Al ZBi� Date_ 9i���� ••;�q+C o >..M . (ENGINEER SEAL) %• • •• 6. DHEP Approval Approved for jr.e4edrooms Approved Terms of Conditional Disapproved Approval D e R Akerrell 4Q`JP•,• o.2055 -E �Vi 00 av By , - D to Conditional —� r CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENV1RONHENTAL 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 A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALITY OF ANCHORAG: DEPT. OF HEALTH & ENVIRONMENTAL PRCTECTION ,SEP 2 8 04 RECEIVED Legal Description: 2- 3 ao <<,r34 VSrV Well Classification 5/,v6LE F.t. If A, B, or Cr D.E.C. Approved(Y/N) — Well Log Present (Y/N) 9 Date Ccapleted — Yield 6.-&r, b -i Total Depth &S " .Cased to /?11.0 Depth of (routing - Static Water Level a,rl Pump Set At -- Casing Height Above Ground 1t� Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Al Separation Distances from Well: To Septic/Holding Tank on Lot 10041 On Adjoining Lots _ To Nearest Edge of Absorption Field on Lot lov+� On Adjoining Lots To Nearest Public Sewer Line MA To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected By Da alay Water Sample Test Results s.415'CAc_'ia'�L Cotents H-c•A_ 4S-Aviz, kPa, t4Tr-J)3' W47;�� wt'a4- T6�-7- AAc 7AV1A r -Pk -t'0>,- ATfC-ric%- B. SEPTIC/HOLDING TANK DATA Date Installed / 60 Size / Ono No. of Compartments Standpipes.(Y/N) Y Air -tight Caps (YM) Foundation Cleanout (YM) IV Depression over Tank (Y/N) Al Date Last Pumped 9 Pumping/Maintenance Contract on File (Y/N) IV for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) `- Separation Distances from Septic/Holding Tank: To Water -Supply Db11 I m4 To Building Foundation -/.2/ To Property Line In* To Disposal Field z S To Water Main/Service Line A, A To Stream, Pond, Lake, or Major Drainage Course NA Contents /Lr 3 0 771 [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA D. Soils Rating in Absorption Strata IType of Date Installed /o�B o Length of Field System Design r!t ac 4. 3t Width of Field 2/ Depth of Field 10 1, Gravel Bed Thickness -71 Square Fleet of Absorption Area sort Standpipes Present (Y/N) } Depression over Field (YM) N Date of Last Adequacy Zest T 2�i/Sy Results of Last Adequacy Zest 5)4775FALiO Separation Distance from Absorption Field: To Water -Supply. hell 10o*/ To Property Line loo To Building Foundation 2 64-1 To Existing or Abandoned System on Lot A, 1A ; On Adjoining Lots NJ^. To Water Main/Service Line N 1A, To Cutbank(if present) A, JF To Stream/Pond/fake/or Major Drainage Course N%a To Driveway, Parking Area, or Vehicle Storage Are .ta /A Ccanents Date Installed Size in Gallons "Pump On" Level at Dimensions Manhole/Access (Y/N) "Pmp Off" Level at High Water Alarm level at Vent (Y/N) Tested for Pumping Cycles during Adequacy Zest. Meets MOA Electrical Codes(YM) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, cr confcrmed to all MOA H4 on the date of this ins cticn. 7*4 �11 Signed �w Date .9 .. Ccapany h&-;x;c- ! e?M MOA No. KB1/d5/s L [Page 2 of 21 effect •• 4'A4yDI ... . Dale No. 2055-E ' 2-15-84 BE E, CPS & POTTS' September 27, 1984 Municipality of Anchorage Department of Health and Environmental Protection 825 "L" Street Anchorage, AK 99501 Attn: Keith Bandt Re: Adequacy Test - De Spirito Subdivision Lot 31 Anchorage Dear Mr. Bandt, On September 24, 1984, the referenced on-site lot septic tank was pumped out and approximately 1100 gallons were recovered. The following day over 450 gallons of water were pumped into the on-site leach field and the field was found to be'adequate at that time. Sincerely, Dale R. Merrell, ll�,, ��P.^^E. A� R�6L Robert P. Wessels Engineer RPW/lbs ENGINEERING, PLANNING, SURVEYING 2220 E. 88th Ave. /Anchorage, Alaska 99507/Telephone 907-349-r>4511344-1352 "Providing a quality personalized service to those building Alaska's future" OF..A 1, 4S,�.a1` le R. Merrell .:$Q, �+••. No. 2055-E V� 0�Q io?ROFES SON'�%" Location: BESSE� EPPS & POTTS 2220 EAST 88 AVENUE ANcxpAGEI AK 99507 (907) 349-6451 WATER WELL TEST (71 Date: A Subdivision: DF S.P lA X%y Lot: 3 Block: Clients Name: jr-^14X PES! -TY JV DY 017-0/v Address: 6'70 J E99 �x Tester: 2 7 w Initial Reading on Meter: 355.3 TIME GPM GALLONS 0 VOLUME GALL (M TOTAL VOLUME !o: 3fiS? 10:10 6.5 S2 �6n 47 /0:50 6 • L 70 to 6 3L'�c+a t �•- 20 G. S t'i jgh 11 : 3o b• 5 C 3 30 t SHG 6•S 65 399 :-(z 6• t3 yo NOTES: Teri& p4CAL crD *. 4151CGAL. 3 P wm - Production Rate: _,.5 GPM 24 -Hour Capacity Gallons Tim- rime Dale., Date Date Co - a- k� Inspector Inspector Inspector �V o, Comments Conditional Approval dx&"Z M) Approved Bedrooms Disapproved Cond1onal Approval Date Sewer Installed Permit No. Septic Tank Size 0 C) 16AP Holding Tank Size Solis Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner belee rt- e:Y.�a,_ Phone Mailing Address Buyer Address y4 Lending Institution ;5, 7Z�-75-77 7�,07 o, -1-2 Phone Address Realty Co. & Agent Phone Address Legal` 1ip . . i Lo 7-,3 Des /1, orc 01ro SC) Street Location 7 0 40�(e e- Wlu(- dooA Je7 --5-111 Type q1J;Wsldence 0 Single Family 0 Multiple Family No. of Bedrooms 0 Other Water ply If Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June 0 Community 1975. For wells -drilled prior to that well depth (attach log If 11 Public Utility available.) .,date,_Rlye Sews Lj Individual Year Individual Installed: 0 Public Utility When Connected to Public Utility,' El Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. M May 27, 1982 Mr. Bruce E. Garrison 6701 E. 99th Ave. Anchorage, FL; 99511 Subject: Lot 3 Despirito Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. The outer analysis report needs to be submitted to this office from the Chen Lab, 5633 B Street, for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincere Robert C. Pratt Associate rnvironnental Specialist RP117/p/Ell t.. Is 5. LEGI DEjr.RIPTION -- 3 D DATE RECEIVED ;,, INSPECTION APPOINTMENTS o TIME, TIME TIME DATE DATE DATE NUMBER OF,BEDR M S —1�-SS INSPECTOR INSPECTOR INSPECFQR V 0. MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 89501 ENVIRONMENTAL P OTECTION ENVIRONMENTAL SANITATION DIVISION MAY 1 1 1981 0* Telephone 264.4720 pp ���--���CC nn OF INDIVIDUAL WATER SEW@fiLF34 REQUEST FOR APPROVAL AND I1IV1IW DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER W ' : since June 1975. For wells drilled prior to that date, give well PHONE F w Xinc. depth (attach log if available.) MAILING ADDRESS 416 1 Aacri c i S0.3 PROPERTY RESIDENT (If different from above) ❑ PUBLIC UTILITY PHONE 2. BUYER n� NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PHONE Oh MAILING ADDRESS 3. LENDIN INSTITUTION PHONE A -c i 4 MAI LING A ESS e t4 sp aL C 4. REALTO GENT PHONE K - s �7G-4o MAILING ADDRESS 0 U Axc-_-VN',c_ 5. LEGI DEjr.RIPTION -- 3 D o a' s STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDR M [!I' SINGLE ❑ One ❑ Four ❑ Other FAMILY ❑D Two ❑ Five ❑ MULTIPLE FAMILY LIQ Three ❑ Six 7. WATER�_S�FPLY Lg INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) & SEWAGE DISPOSAL SYSTEM I!fr' INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.010 (Rev. 6/79) ZE 72010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY - 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS -� ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED rQ INSTALLER ❑SepticTankor ❑Holding Tank Size: _/ Uc�o If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL t 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 0 APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY _ 72010 (Rev. 6/79)