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JO VON LT 6
Jo Von Lot 6 #014-131-33 Municipality of Ancho] Tient S' Mrtrmn Development Services Division On -Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSVIS1026 COSA#:OSCIS1165 Permit#: PID#: 014431-33 Legal Description: Jo Von, Lot 6 Engineer: Anderson Engineerina Applicant: Raviene H. Graves Your request for a waiver of the required 100 feet horizontal separation from the absorption field on Jo Von Lot 5 to the private well on Jo Von Lot 6 has been approved. The approved separation distance is 84 feet. , Your request for a waiver of the required 50 feet horizontal separation (prior to 1983) from the public sewer trunk to the private well has been approved. The approved separation distance is 41 feet. This waiver approval applies to the existing improvements only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. 0 Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. Adjacent properties are not affected by this waiver. ........-.a...r.....,.................. .-........................... ...-........�.. - Waiver is Gra ted: X Waiver is not Grante Date : l Approved by: ••am.eof. Reviewer ........................................ r.u...• ..Y........................ April 21, 2015 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Attention: On Site Services Engineer Subject: Lot 6, Jo Von Subdivision Separation Distance Waiver Well to Absorption Pit Dear On Site Services Engineer: The well on the subject lot was constructed in 1971 approximately 2 years after the septic system was installed on Lot 5. At the time of installation Municipal Code required a 100' separation distance from the well to the absorption pit. Details concerning the placement of the well at its current location are unknown, but the well is only 84' from the edge of the absorption pit on Lot 5. A waiver must be obtained before a Certificate of On Site System Approval (COSA) can be issued for Lot 6. We are therefore requesting a waiver be issued allowing the well to remain in its current location. The well is more than 125' deep with casing the entire depth. The only well log available from the area indicates the well is drilled through what appears to be impermeable clay with gravel and silty clay layers through at least 45' of the depth. The aquifer level is not encountered until 123' below the ground level where the pump is placed. The static water level was found at 50' below the surface. The original ground surface on the lot slopes from the well and toward the absorption pit at an approximate 2% slope. We assume the water gradient slopes away from the well at a slope similar the original ground surface. A recent water quality test taken from the well indicated.only a slight amount of nitrate content (.40 mg/L). The absence of nitrates would indicate no contamination of the well water from septic effluent from either the septic tank or the absorption pit on Lot 5. No coliform or bacteria was found in the water further indicating contamination is not present in the well. ADEC POINT ANALYSIS Bottom of pit to Highest Water Table — 40' 5.0 Points Soil Absorption Type — Clay and Sand Equal 4.50 Points Permeability — Silt or Sandy Clay 2.00 Points Lot 6, Jo Von Subdivision April 21, 2015 Page 2 of 2 Water Table Gradient - +2% 3.50 Points Horizontal Separation — 84' 2.36 Points TOTAL POINTS 17.36 Almost sure to be free from any form of contamination from household sewage. Attached are the well log, water quality results and other drawings showing the proximity of the existing septic system to the well. We hereby request the waiver be issued and the Certificate of On Site System Approval (COSA) be approved. The sewer main fronting the property was constructed in 1983 one year after the well was placed. The main is only 41' from the well. It uncertain whether AWWU ever applied or was granted a waiver allowing the main to be less than 75' from the well. We are therefore requesting the waiver be granted. The sewer main is constructed of 8" Ductile Iron Pipe Class 50. It is thought to be in good condition based on maintenance records from the area. It is located at 8' to 10' below grade which is approximately 115' above the pumping level of the well. We again refer to the water quality results from the well. Little or no contamination is present in the well water indicating the proximity of the sewer main has no adverse impact on the well. We therefore recommend the waiver be issued allowing the well to be 41' from the sewer main. Sincerely, %�",cn Michael E. Anderson, P.E. 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()-jF—N :NOISIAI(Ians + VVICK ARCA DVRV" f7 HEALTH DEPARTMENT NO 750 !r, 327 EAGLE ST ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM .��r�S� MAILING NAME t�51 ADDRESS -5'Z —d -5--4 PHONES LOCATION �G�' d/G'/� Jr LEGAL DESCRIPTION✓ SEPTIC TANK S%G NUMBER OF DISTANCE FROM WELL ���'� MATERIAL COMPARTMENTS LIQUID CAPACITY �--�� GALLONS INSIDE LENGTH INSIDE WIDTH `-- DEGPTH �— SEEPAGE SYSTEM SEEPAGE PIT NUMBER OF PITS OUTSIDE DIAMETER ' OR WIDTH LENGTH DEPTH Z2 LINING MATERIAL -LOG ly��/lDISTANCE FROM WELI/G/a r'�d��L��� BUILDING FOUNDATION NEAREST LOT LINE �' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)© SQ FT TILE DRAIN FIELD TOTAL LENGTH DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE OF LINES NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH FECTIVE ABSORP N AREA SO FT LENGTH OF EACH LINE DEPTH TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN ABOVE /�c TILE 110i�rli�/�4��a%�'D �, DISTANCE FROM L_ WATER WELL TYPE DEPTHJBUILDING FOUNDATION SAMPLE NEAREST NEAREST SEPTIC SEEPAGE�. OTHER LOT LINE SEWER LINE " ! ,TANK v , SYSTEM y`' ,CESSPOOL SOURCES_ DIAGRAM OF SYSTEM DISTANCES r o� DSF f z g frf J� rJ' /�r/✓f�s °fir;... 1 ,19 7P ef jPd �./l..�ds'Olc�' � , , v ,. _ w � .lir✓.%? ,1�3L,.Li,'.� ,dyR.• } S K n � z f y DATE r APPROVED.HEALT�ALITWY�� GREATER ANCHORAGE AREA BOROUGH 2 f�D p DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO ��"' f 3500 TUDOR ROAD POUCH 6 65-0 ANCHORAGE ALASKA 99502 TELEPHONE 279 8686 /'24 � ,SyAE /W/��®A�GE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT �o""�( ��""-�w'0 /`� MAILING ADDRESS p�5"�tq &Vy q7f PHONE 114-7771 INSTALLATION LOCATION Czoy_,;7 ani (p.l4 OAS LEGAL DESCRIPTION • (a x 116% ,Yf INSTALLATION OF SEPTIC TANK " SEEPAGE P(I�T(yA DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY tf solL TEST RESULTS tM NOTE THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION 24 HOUR NOTICE REQUIRED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT ,rA1UTHORITY WILL BEE SUBJECT TO PROSECUTION SEPTIC TANK SIZE /Ow TYPE �-""� ✓•--� SEEPAGE AREA SIZE �1 TYPE s� MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK S DIAGRAM`sIDA;► SYSTEM HEALTH AUTHORITY Sf /" OR e FOUNDATION TO SEEPAGE PIT DRAIN FIELD j 1 CERTIFY AT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO 28 68 AND THAT THE ABOVE DESCRI ED YSTEM IS IN ACCORDANCE WITH SAID CODE DATE �� APPLICANTS SIGNATURE,-- SEPTIC TANK TO SEEPAGE PIT WALL ( � c o SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE f Sa � /4i0 WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD � Joe) SEPTIC TANK �"i? SEEPAGE PIT DRAINFIELD TO RIVER LAKE STREAM 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 HEALTH AUTHORITY OR LICENSED DESIGNER j 1 CERTIFY AT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO 28 68 AND THAT THE ABOVE DESCRI ED YSTEM IS IN ACCORDANCE WITH SAID CODE DATE �� APPLICANTS SIGNATURE,-- �� Auu uts `„/ALASKA TESTLAB� Sheet of 1940 Post Road WO No Anchorage, Alaska Date _ Clientrz _0,'2 6',Q V T. H. No. FHA No. Tech. Location, Lot ,Block --,Subdivision PERCOLATION TEST DATA Depth Soil Class Fee t Visual - Unified Location Skotch 0 v: =A'nn 17a tri C-rneG Timms 1RIFt Time Dnnth to FI90 Net Drnn 0 t L� 3 4 5 6 7 0 11 Pcrcolatian --lat3 1 inut,?. rN C-rneG Timms 1RIFt Time Dnnth to FI90 Net Drnn 0 t L� 3 4 5 6 7 0 11 Pcrcolatian --lat3 1 inut,?. APPLI(L -NT FILLS OUT Property Owner l�P N !:W ER MA ONLY c � ,tt � i l �1�� 'Y ^,,,_�, Mallin g Address`` fi,Phone / Buyer zip code (...� C �' ��•` r (J/J { Address Lending Institution % Zip Code Cf � /, f� t Address <-v(" Y`S i�>L1Yl V� Phone .�lr�l!i -�°,i Realty Co S Agent Lp Code " Address ` r��"`�"`� Phone Legal Description _ (F Zip Code Street Location Type of Residence ❑ Single Family ultiple Family No of Bedrooms�� ❑ Other Water Supply [� ❑ dmdual Community ATTACH WELL LOG A well log is required for all wells drilled since June 1975 O Public Utility For wells drilled prior to that date, give well depth (attach log if available) Sewer Disposal ❑ Individual ❑ Public Utility Year Individual Installed Molding Tank When Connected to Public Utility NOTE THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED Time Time Date Date Inspector Inspector u V✓ Field Notes ( ) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY Time (� Inspectp Soils Rating Date Sewer Installed Well To Absorption Area 023(3/a2) Well to Tank 'CONDITIONS OF APPROVAL in bt)clL Time Date Inspeotdr \Jm � A -S MUNICIPALITY OF ANCHORAGE DEPT OF N°P!TH c ENVIROV)JLVTAL PROTECTION DEC 9 nom. RECEIVED Well Log Received Septic Tank Size 5 LEGAL DE CRIPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME 11ME DATE DATE DATE SINGLE FAMILY ❑ Two ❑ Five �J INSPECTOR INSPECTOR INSPECTOR 191tINIUVAL TY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIMVIRONMENTAL PPOTECTION since June 1975 For wells drilled prior to that date, give well 825 L Street - Anchorage, Alaska 99501 • MAY 2 7 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 R E C E I V D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS Complete all parts on page 1 Incomplete requests will not be processed Please allow ten (10) days for processing 1 PROP TY OWNER PHONE NOTE THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. MAILING ADDRESS Q') " PRO Y RESIDENT (If different from abo e) PHONE 2 BUYER PHONE MAILING ADDRESS 3 LENDING INSTITUTION PHONE MAILING ADDRESS 4 REALTOR/AGENT PHONE MAILING ADDRESS 5 LEGAL DE CRIPTION G< STREET LOCATION 6 TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY .re< Three ❑ Six 7 WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG A well log Is required for all wells drilled ❑ COMMUNITY since June 1975 For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log If available 1 8 SEWAGE DISPOSAL SYSTEM _—$e 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) o� Ua�� �� j � /2 010 (Rev 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1 TYPE OF RESIDENCE NUMBER OF BEDROOMS ❑ SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR ❑ SIX 2 WATER SUPPLY PERMIT NUMBER ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY Connection Verlfled LOG RECEIVED 3 SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON SITE DATEINSTALLED ,, [—]PUBLIC UTILITY I Connection Veiifled INSTALLER SOILS RATING I (Septic Tank or ❑ Holding Tank Size _�/ �` �} _ If Tank Is homemade givecllmensions TYPE OF TANK MANUFACTURER TOTAL ABSORP 1 ION AREA MATERIAL 4 DISTANCES Septic/Holding Tank Absorption Are wer Line Nearest Lot Line WELL TO — st L Absorption Area to neareot Line — 5 COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) F DISAPPROVED DATE BY T /2 010 (Rev 6/79) A Alunlicipality .Anr.hora.,r,A,,e June 4, 1981 IN I 825 "L 'STREE r ANCHORAGE, ALASKA 99501 (907) 2644111 6EORGf M SULLIVAN MAYOR WPAFMAENrOf !IFArl-IAN,il-�vVIRONNIENTALPROTECrION James C./Lynnde(.,n Knapp Box 17-381 Bag LaRe, Alaska 99687 Subject: Lot 6 Jo Von Suodivision Appy oval. for the Lndividual sewer and water facilities cannot be granted untiL the ftAlowing items have been completed - (1) The water analysis report needs to be submitted to this office from the Cheri Lab, 5633 B Street, for- our orour review. (2) The septac tank pumped witn a receipt submitted to this offices (3) An adequacy test needs to be per formed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. Th Ls iepoyt- ner-ds to be submitted to this office for our review Sincerely, Robert C. Piatt, R. S, Associate SpecLeal ist- RCP/ljw a t� December 6: 1973 U. S. Attorney General's Office 360 "K" Street Anchorage, Alaska 99501 Attention: Sam Miller Re: Lot 6, Jovon Subdivision - duplex Dear Mr. Miller: as ofe5,8wer 00 gallons (septic ystem servinthe above o tanks 10000 gal. holding sewage capacity seepage pit, 4,800 gal.) In accordance with U.S. Public Health Service Recommendations, we com- pute the sewage flow to be 60 gallons per person per day. On a weekly basis this figures to be 11260 gallons a week for three people or 2,520 gallons a week for six people. To my knowledge, pump tanks oper- ating in this area have a maximum holding capacity of 2.000 gallons. Rased on this and the fact that occupants are aware the system has to be pumped periodically and will not be running excess water, this de- partment recommend& the system be pumped bi-monthly for three people and weekly for six people. The Manual of Septic tank Practices, U S Dept of Health, Education, and Welfare, Public Health Service Publication No. 626, page 42, states: "Estimates of sewage quantities: Water consumption by an ordinary family in an apartment building may average 48 gallons Of1y water per person per day over a period of three months, but actrange from perhaps 30 gallons per person on certain days to something in excess of 80 gallons per person on days when water consumption is heaviest, as on washdays. Besides these peak flows some allowance Accord - should be made for guests. Therefore, a minimum factor of safety of Q 251 should be allowed to cover the range of variation." Acthis- ingly, where the average usage is 48 gallons per arson per day, Should be based upon a computed maximum usage of ner Berson per day. Enclosed is a copy of the State of ance which came into effect August 72.020, Paragraph b regarding publ sedes Borough connection where d 2 available. This onsibility. at least 60 gallons Alaska Wastewater Disposal 10 1973. Refer to Section Ordin- 18 AAC is sewer connections, This super - which also requires public sewer would be the property owner's re- sp If we can be of any further assistance, please do not hesitate to call Sincerely, @nv$M6nM69tfi4nt#atrol Officer CSM/ko "1. y October 19, 1973 MEMO TO FILE FROM: C. Sue McKechnie5 C i Environmental Control Officer III RE: Lot 6, Jovon Subdivision On October 18, 19739 I was called to testify at a hearing at the office of the Attorney General, Consumer Protection Section, regarding the sewer and water facilities located on the above subject lot. The present owners of Lot 6 filed a complaint against former owner of the property, Mr. Bud Allison. (Refer to complaint copy in file) The Greater Anchorage Area Borough no longer approves this sewer and water system for the following reasons: 1. A permit was taken out for a three-bedroom single family dwelling. A six -bedroom du- plex was constructed. The sewer system was not installed accordingly. 2. The sewer system is not functioning prop- erly and is being pumped on a routine basis. 3. The well does not meet former semi-publi /a well distance requirements. ko d. j ,y"nl V V vvn JOHN E. HAVELOCK 1 ATTORNEY GENERAL STATE OF ALASKA Consumer Protection Section Office of the Attorney General 360 K Street - Suite 105 Anchorage, Alaska 99501 CONSUMER COMPLAINT I wish to file a consumer complaint against the person or company named below. [Please type or Print] Your Name Lynndeen Knapp _ Today's Date 9-28-73 Home Address 2407 Lore Road Anchorage, Alaska 99507 City State Zip Code Mailing Address (if different) Horne Telephone 344-3626 Name of Person or Company Complained About St Rt A Box 478 Anchorage, Alaska Address City State Zip Code Telephone No. 344-3771 Date of'Transaction 2-24-72 Name of Sales Person Bud Allison S ame Business Telephone Bud Allison Name of Product or Type of Service Involved Duplex Were you attracted to the service or product by an advertisement? Yes If yes, when and where did you see or hear the'advertisement? Newspaper Was a written contract signed?Yes (If yes, attach original or a copy) Have you contacted a private attorney? No (If so, Please list his name) Have you complained to the company'or individual? ,yes If yes, when and what results? (Please attach copies of all written correspondence) Ouestion re,7uarding the system when we had problems --wanted to know where the vent was on'the septic tank. On the reverse side of this form, summarize your complaint. Be brief, but complete. If possible, describe events in the order in which they occurred. Include the names of all witnesses. Please attach copies of any documents which explain and support your complaint including cancelled checks, copies of advertise- ments, etc. Use an additional sheet if necessary. I hereby certify that I have read the information contained in this complaint and that all of the information I have given is true and complete to the best of my knowledge, information and belief. I further authorize the Attorney General to use this information as he deems necessary and proper. I realize a copy of this complaint may be sent to the person or company I have complained of. Form 03-045 S gnat 0 SUMMARY OF COMPLAINT LPlease type or -int1 The house duplex was sold to us in Feb. 19%2. It was our understanding that it met Borough requirements for a duplex. In April 19'73 we started to have sewer problems. At first we thought it was a clogged line. Then we found out that the drainage field was full, so we had it pumped. Now we are having it pumped on the -average of every 10 days 6 15.00 a truck load. We decided to upgrade the system so I callPthe Department of Environmental Quality Control to inspect and recommend what should be done., They said there was nothing we could do as at didn't meet or there was not enough room to put in the required system for a duplex, so we would dust have to have it pumped until the public sewer came into this area. Then I said that I wondered if the system was big enough for the duplex and Mr Coad said he would check his records. Here it was found that his Bud Allison's application was for a 3 bedroom single family dwelling. He `5 � �OV4 +' NUISANCE COMPLAINT FORM 160P _Complainant's Name: J' Street Address: Y'.� Phone No.., - Box No. Description of Complaint: Name of Person Against Whom Complaint is Made: Owner of Property Where Nuisance Exists: Owner's Address: Phone No. Location of Complaint: A, /,%X i Street Address Person Receiving Complaint c �.1 ����y rd,��' Date: I certify that such statement of facts is true to the best of my belief and know- ledge. I request that the foregoing matter be investigated and that appropriate action thereafter be taken. I am willing to testify to the facts stated in the foregoing complaint in court if necessary. Complainant REPORT OF ACTION TAKEN )ate Investigated; ction Taken; - f �1���? ✓� nor' — 1 iE COMPLAINANT WAS CALLED REGARDING DISPOSITION OF COMPLAINT: LAWS Oi (%�LAJKA _j970 Y✓' Sovrco FCCS 2d RCS CSS3 352 AN ACT Relating to consumer protection Chapter No 246 BE IT ENACTED BY THE LEGISLATQP-E OF THE STATE OF ALASKA • Section 1. AS 45.50.470 - 45.50.510 are reoealea. * Sec. 2. AS 45 50 is amended by adding new sections to read A9TICLE 4. U14FAIR TIADE PRACTICES AND CONSUMER PROTECTION. Sec 45.50.471. UNLAWFUL ACTS AND PRACTICES. (a) It is unlawful for a person to (1) fraudulently convey or transfer goods cr services by representing them to be those of another, (2) falsely represent or designate the geographic origin of any goods or services, (3) cause a likelihood of confusicr or raisuna-r- standing as to the source, sponsorship, or aoDroval, or another person's affiliation, connection, or association with or certification of goods or services, (4) represert that goods or services have sDcn- sorship, approval, characteristics, ing,edients, uses, benefits, cr cuantities that they do not have or tna: a person has a spor.sorshio, approval, status, affiliation, or connection that he does rot have, (5) represent that goods are original or nei, if they are deteriorated, altered, reconoitioned, reclaired, used, secondhand, or seconds, (6) represent that goods or services are of a particular standard, quality, or grade, or that goods are of a particular style or model, if they are of another, (7) disparage the Foods, services, or husiness of another by false or r.Ssleading representation of fact, (8) advertise goods or services with intent not to sell them as advertised, (9) advertise goods or services with intent not to supply reasonable expectable public demand, unless the advertisement prominently discloses a limitation of quan- tity; (10) make false or misleading statements of fact concerning, the reasons for, existence of, or amounts of price reductions, (11) engage in any other conduct creating a like- lihood of confusion or of nisunderstandin, ana which mis- leads, deceives, or dar•ages any buyer or co^vetitor in connection witn the sale or advertisement of goods or services, (12) use or employ any deception, fraud, false pretense, false promise, misrepresentation, or kroxingly conceal, sup,)ress, or o^it any material fact with intent that others rely upon the concealment, suppression or onis- sion in connection with the Sale or advertisement of goods or services wnether or not any person has in fact been misled, aeceived or damaged; (13) fail to deliver to the customer at the tine of an installment sale of goods or se -vices, a written order, contract, or receipt setting out the name and address of the seller and the name and address of the organization which he represents, and all of the terms and conaitions of the sale, including a description of the goods or ser- vices, which shall be stated in readable, clear, and unambiguous language. (b) The unlawful acts and practices listed in (a) of this section are in addition to and do not limit the types of unlawful acts and practices actionable at common law or under other statutes of this state. (c) when a person is tried under the crimi 1 provi- sions of this chanter for engaging in an unla.rful act or practice under this chanter, it must be shown that he acted knowingly and with intent. sec. 45.50.481 E �ENPTIONS. Nothing in secs. 471 - 561 of this chapter applies to (1) an act or transaction permitted under lays administered by the state, by any regulatory board or com- mission, or officer acting under statutory authority of the state or of the United State:, (2) an act aone by the publisher, owner, agent, or employee of a newspaper, periodical or radio or television station in the publication or dissemination of an -2- V advertisement, when the owner, agent or emulojee did not have knomled— oC the fes! -r, mi^_lo_c'inv or, dccertive charact.r of tLe aavertiser2nt cr did not have a direct financi,l interest in tN_ sale or distribution of the advertised product or service Sec. 45.50 491. REGULATIO,JS Tie co-nissioner of coranerce in accordance lith the Ad^inistrati✓e �roceour- Act (AS 44 62), ray adopt regulations interpreting a -a forms necessary for aami.nistering the provisions of secs 471 - 561 of ti,is chapter. Sec. 45.50.501. RESTRAIVIdG PROHIBITED ACTS. (a) When the attorney general has reason to believe twat a per- son has used, is using, or is about to use an act or cractice declared unladful in sec 471 of this chapter, and that proceedJnE,s %ould be in the public interest, ne ray bring an action in the name of the state against the person to restrain by injunction the use of the act or practice The actJon may be brought in the superior court in the .judicial district in which the person resides or is doing b,.siness or has his principal place of business in Alaska, or, .with the consent of the parties, in any other judicial district in the state. (b) The court may make additional orders or jud--^ents that are necessary to restore to any person in interest any money or prc,erty, real or personal, wnich ray have been acquired by means of an act or practice declares to be unlawful by sec. 471 of this chapter. Sec. 45.50.511. ASSURANCES OF VOLUWARY CO'IPLIANCE. In the administration of secs. 471 - 561 of this c^apter, the attorney general may accept an assurance of vol --tart' compliance with respect to any act or practice corside^ea to be violative of secs 471 - 561 of this canter Prem a person vho has engag-d or was about to engage in sues an act or practice. Such an assurance shall be in 4riti-7 a -d \ shall be filed +,ith and is subject to the approval of t -e superior court in the judicial district in :.hich the a! -e --ed violator resides or is doing ousiness or has nis pr_nciral place of business in Alaska. Such an assurance of vol -hart' compliance is rot considered an admission of violation for any purpose Natters closed in this way .:av at any t_ be reopened by the attorney general for further prcceeaings in the public interest, under sec. 501 of this chapter. Sec 45.50 521. t,'HEN I;'FORMATION AND EVIDENCE C0+^I- DENTIAL AND 1110'!AD'SSSIBLE (a) T�e attornev general may not release information or evidence, obtained by hir i.nr-er the provisions of secs. 471 - 561 of this chapter, to a district attorney or nis investigator or to a law enforce- ment officer for use in a criminal prosecution Tne 1^for- mation or eviaence produced by the attornev general under secs. 471 - 561 of this chapter is not au-issible in evidence in a criminal prosecution The crovisicns of this subsection do not prevent tre attorney gereral frcr a, -s - closing to a district attorney or lad enforcement officer the fact of the commission of a crime oy a person, nor aoes it prevent a district attorney or his investigator or a law enforcement officer from independently produci^g or obtaining the same or similar facts, information, or evi- dence for use in a criminal prosecution. —3— (b) Subject to the Dro✓l,ions of sec. 501(a) of this chapter, the attorncj reneral may not make public the name of a person allel-rd to -have connitted an act or Dractice declared unla,.ful in ^ec 471 of this cna_cter during; an investigation conducted t, him under secs. 471 - 561 of this chapter, nor arc the r.Icores of investl-ation or intelli- gence i fornatlon of t'e _ttorne general obtairea u,der secs 1171 - 561 of t,is c;apter consilered public records available for inscect'_on o,7 the general public, the attorney gene -al is nno ever ot Dreventea from isoulnn public statements describin- o^ arning of a course of corduct or a conspiracy which constitutes or viii constitute an unlaw- ful act or practice, wnether on a local, state, regional, or national basis. Sec 45 50 531 P9IIATE AdD CLASS ACTIONS. (a) A person wno puro�ases or 1_ases .hoods or services and there- by suffers an ascertainatle loss of money or Droperty, real or personal, as a result of anotrer person's act or practice declared unla.,ful by sec. 471 of this chanter, may bring a civil action i^ the juaicial district in anic� the seller or lessor resides or has his principal place of business or i^ doing busi-ass, to recc✓er actual damages or $200, whicnever is creator. The jury or, if the action is tried without a jury, t"e judge may, in cases of wilful violation, award uo to three times the actual damages sus- tained, and in all cases tre court may provide equitable relief it considers necessary or proper (b) A person entitled to bring an action under this section may, after investigation by and approval of the attorney ten-ral, if the Lnlawful act or cractice has caused similar injury to numerous other persons similarly situated and if he adequately represents the similarly situated persons, bring a, action on behalf of himself and other similarly injure-, aro situated persons to recover actual damages. A person nlarhinto cring an action under tnis subsection shall first sib --it to the attorney general a COPY of his proposed cc olaint, and he rav not file the complaint in court litnout t^e attorney general's approval. In an action brought urdar t�ls subsection, the court may in its discretion order, in audition to damages, injunctive or other equitable raliaf Also, in an action brougnt under this subsection, the plaintiff shall Dost bond of not less than $5,000 and w-ich is sufficient to cover costs and attorney fees which may be awarded under (g) of this section. (c) Upon commencerert of an action brought under this section the clerk of the court shall mail a copy of the complaint or other initial pleading to the attorney general and, upon entry of an order or Judgment in the action, shall mail a copy of the order or judgment to the attorney general. (d) In an action brought by a person under this sec- tion, the court may awd^d, in addition to the relief pro- vided in this section, reasonable attorney fees and costs. (e) A permanent injunction or final Judgment against a person against whom an action was initiated under sec 501 of this chapter is prima facie evidence in an action -4- brought under this section that the person used or erploled an act or practice declared unlawful by sec 471 of ttis chapter. (f) No person may corpence an action under this sec- tion more than too years after he aisco✓3rs or reaso-acli should have discoaered th.it nic loss resulted from an act or practice declarea unlawful by sec 471 of this chapter. (g) If the court finds for the defcnda•.t in an action brought under this section, it may award the defenaant an amount equal to the actual costs and attorney fees }e incurred in his defense (h) Yonufacturers or sfor the action nliersofrua erchedise, the cnan- fault of hien is the basis ter, are liaole for the da -ares assessed to or suffered Q retailers charged under this chapter Sec. 45.50.541 NOT-IEGOTIABILITY OF COHSLMER PAPER. (a) If a contract for sale or lease of cors,^er goons or services on credit erterea into oetaeen a retail seller and a retail ouyer requV as or involves the execution of a promissor,, ^ote or instr_-ent or other evidence of inasoted- ness of the ouier, the note, inctrume^t or evieence of indebtedness shall ha.e p2. -tea on its face t^e cords "con- sumer paper", ana the note, instrument or cviacnce of indebtedness .rntn t..^e worns "consu-or paper" orirted on it is not a negotiable irsoru ent althin the neaning of Uniform Commercial Code (AP, 45.05). (b) Notrithstanding the absence of such a notice on a note, instrument or evidence of inaebteaness arising out of a censurer credit sale or consumer lease as uescribca In this section, an assignee of t"e rigits of the seller or lessor is subject to all claias and defenses of the buyer or lessee against the seller or ie>sor arising out of the sale or lease 4n agree-er.t to the contrary has no effect in limiting the rignts of a consumer (c) The assignee's liability under this section -ay not exceed the amount owing to tte assignee at toe time the claim or defense is asserted against the assignee Sec. 45.50.551. PENALTIES (a) A person who .iolates the terms of an injunction or restrain_ng order issued under sec. 501 of this canter spall f_afeit ana na to the state a civil penalty of not -ore than $25,000 Der tion. For the purposes of this section, the suoer_or co.rrt in a judicial district issuing an injunction retairs juris- diction, and the cause scall be continued, and in these cases the attorney ge-eral acting in the name of the state may petitior for recovery of the penalties. (b) In an action brought under sec 501 of this chapter, if the court finas that a nerson is asing or has used an act or practice declarea unla fu'_ b, sec. 47. of this chapter, the attorney general, anon petition to to_ court, may recover, on behalf of the state, a civil penalty of not more than $5,000 per violation. (c) A person who engages in a course of conduct declared unlawful by sec. 471 of this chapter is, upon —5— V �✓ S` conviction, punishable by a fine of not more than $10,000, but this subsection noes not limit any other provision of secs. 471 - 561 of this chapter. Sec. 45 50.561. DEFINITIONS. In secs. 471 - 561 of this chapter (1) "advertising" includes the attemot directly or indixectly by publication, dissemination, solici,ation, endorsement or circulation, display in any manner, including solicitation or dissemination by mail, telephone or door- to-door contacts, or in any otner way, to induce dx.rectiy or indirectly a person to enter or not enter into an obli- gation or acquire title or interest 4n any merchandise or to increase the consumption of it or to make a loan, (2) "documentary material" means the original or a copy of a book, record, report, memorandum, paper, communication, tabulation, map, cnart, photogranu, mechani- cal transcription, or other tangible document or recording, wherever situate, (3) "examination" of documentary material in- cludes the inspection, study, or coping of the material, and the taking of testimony under oath or acknowledgement in respect of documentary material or copy of it, (4) "seconds" means manufactured items having flaws or consisting of a standard quantity or quality less than the manufacturer's quality standard. —6— Approved by governor June 27, 1970 Actual effective date 'September 25, 1970 c (] Q BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION Telephone (9071 Address FACILITIES, CONSTRUCTION AND OPERATIONS 274-2533 437 E. Street Suite 200 Anchorage, Alaska 99501 July 11, 1984 Ms. Ruth S. Eresman Assistant Administrator Anchorage Water & Wastewater Utilities 3000 Arctic Boulevard Anchorage, AK 99503 j RE: Plans and Specifications Zurich LID #137 S82-12 Project #12750 Dear Ms. Eresman: Thank you for the opportunity to review the referenced documents. The project consists of some 1470 linear feet of 8 inch DIP with appur- tenant items (including special manholes for well radius protection) and other features necessary to assure a properly functioning project. This project will provide sewer mains north from Lore Road in Bern Street, Zurich Street and O'Brien Street. These plans and specifications are approved for matters of concern to this Department. Please forward copies of bid tabulations, bid award, signed construction contract and the notice to proceed with construction when availiable. Sincerely, Greg P gee v Contruction Grants Engineer iI T/mmt a r co M M c�7 O O CY) Cy) O x LB_ 0 > C: O LL 0 �= i fn f($ O N 0 E O a a) a) A 0 v Q .0 E0 U) U N ^ � r 7 ami cu O cn cn O L N .N � t 4 -+ �+ u. 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U) El - CL cu 0 -0 El 0 tol 2: aL) CL 0 2 co co 0 0 CL L- n 0 coCL Z U) a)E w LL o r. j:j LU 0 >, < 0 4) N aui L- 0 Fj E V5 0. > U) U)-0 CO cu 0 LU El a) -j LU (D =3 0 >, LU a) rL 1 0- Q U) z L - z 0 10 Cl) LU LL LLa) a) 0 0 U a. (1) LU LU 0 a. aCL (D Cl) 0 LLJ 0) < m < a0) co 0- > cli M et ui ca x w m 0 LL L- a) cz cu LL * 4- 0 cu r) COSA Checklist WELL ONLY.docx COSA Checklist Legal Description: JO VON LOT 6 Parcel ID: 014-131-33 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 *1971 Total depth *137 ft Cased to *>40 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 3/16/2024 Static water level at beginning of test 42 ft. Well production at time of test 2 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.664 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 3/18/2024 Comments *PER MOA RECORD FILE. FLOW TOTAL DEPTH WAS TO 92’ PER ACOUSTIC SOUNDER AND WHERE AUDIO OBSERVATIONS WITH FLOW APPEARED TO BE AT THE PUMP DEPTH. MOA DOCS SHOW TOTAL WELL DEPTH OF 137’. B. TANK DATA – PUBLIC SEWER Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA - PUBLIC SEWER Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. 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) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist WELL ONLY.docx 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’ Yes if No NA ft Neighboring Tank > 100’ Yes if No ***50+ ft Absorption Field on Lot > 100’ Yes if No NA ft Neighboring Absorption Fields > 100’ Yes if No **84+ ft Community Sewer Main > 75’ Yes if No **50+ ft Community Sewer Manhole/Cleanout > 100’ Yes if No **41+ ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS **MOA OSV151025 ISSUED PREVIOUSLY & LOT IS SERVED BY PUBLIC SEWER WITH AWWU DOCS IN THE MOA FILE. ***THE WELL WAS INSTALLED PER CODE AT TIME OF 1971 DRILLING THAT ONLY REQUIRED A 50’ SEPARATION. 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 03/18/2024 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 03/18/24 • Municipality of Anchorage ° T U On -Site Water and Wastewater Program _ - = (907) 343-7904 F T CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 014-131-33 1. GENERAL INFORMATION Complete legal description Jo Von Lot 6 Location (site address) 2407 Lore Rd Anchorage, AK Expiration Date: _/0 - 5-"z C_ Current Property owner(s) Flavio Cardoso Day phone Mailing address Real Estate Agent 2407 Lore Rd Anchorage, AK 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ® Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 6 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual ❑ Individual Well ® Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class Well ❑ Public Sewer Public Water System ❑ Waiver/Variance request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date of Payment 6 Receipt Number o?D2 2 o`7�91G Date: Date of Payment Receipt Number COSA # 0 5C �2 21'31 '1 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 6/28/22 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a *r.�ritzM4 system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen ��j�`t,,..•••...,�t�+ encroachments, deficiencies or discrepancies exist. t , '••;ti, f 6. DSD SIGNATURE f��:...-"�- �.. ,.' ..�I.....a• /�=;KENNE H �JFj'USI iu i XN System #1 Approved for bedrooms. �j�% : E t , Aw System #2 Approved for bedrooms. #� F���rz 2;.,��.``�+'' Disapproved. Conditional approval for bedrooms, with the following stiV(WaMgff(((, \IY OF ,q i ON-SITE `9 WATER AND �' �..` Original Certificate Date: 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc Legal Description: Jo Von Lot 6 If more than 1 septic system on lot: COSA Checklist # A. WELL DATA * PER MOA RECORD DATA Well log is filed with Onsite (or attached) Date drilled * 1971 Total depth *125+ ft Cased to * >40 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 17 in. Date of flow test for COSA 6/9/22 Static water level at beginning of test 49 ft. Comments B. DATA AWWU SERVICE Age of tank(s) years Tank type/material Measured operating flu�in ❑ Standpipes/foundation cleanout per Date of pumping tank &I Parcel ID: 014-131-33 Of Structure served by this system Well production at time of test 2.2 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes No Coliform bacteria is Negative Nitrate 0.74 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 10 Arsenic less than MRL (ND) Collected by Arcterra Consulting Date of Sample 6/9/22. IFT STATION ❑ Requir aintenance completed Age of lift station years Lift station material Comments: D. BSORPTION FIELD DATA Which s tem tested (date installed) Ade acy test date ❑ ALL stan ' es present per record drawing Results Pass For bedrooms Total measured d th from grade ft (max) Fluid depth pr to test in Measured depth to pip ' vert from grade ft (min) Water added gal ❑ N/A — pressurized f► New depth in ❑ Monitor tubes go to bottom effective. If not, state depth into effective Elapsed time min ❑ Code -required soil cover over field Final fluid depth in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prig o Any rejuvenation treatment (past 12 month date of test) Gallons introduced gallons Comments/Deficiencies- If yes, enter date COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No NA ft ❑ Yes if No ** 41 ft Neighboring Tank > 100' ❑ Yes if No ** >50 ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NA ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Water Service Line > 10' ❑ Yes Animal Containment > 50' ® Yes if No ft ❑ Yes if No ** 84 ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ** >50 ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) BuiIding�� inns > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft Property Line > 5' L� N-_ ft Wells on Adjacent Lots: Absorption Field > 5' ❑Y�Sif No ft ---�?riyat� e Welis > 100' El Yes if No ft Water Main > 10' El Yes if No ft Community Wells? Yes if�No ft Water Service Line > 10' ❑ Yes if No ft If septic tank is under driveway comment b�-- From Absorption Field on Lot to: (Please enter distances if less than required) Building1=vttion >10' ❑ Yes if No ft If absorption field is under driveway comment below Property Line > 10' if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No "` fN Private Wells > 100' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft Commun le Is > 200' ❑ Yes if No ft Surface Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS **WAIVER Issued OSV151025 Lot served by AWWU Public Sewer G. ENGINEER'S CERTIFICATION 804`x' � ', ,. '4* I certify that l have determined through field inspections and reviewAr ;• •, of Municipal records that the above systems are in conformance with ,: MOA COSA guidelines in effect on this date. NEEM COSA Checklist yellow sheet ,r A • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 - s Certificate of On -Site Systems Approval Parcel I.D. 014-131-33 Expiration Date: 7-,2,7-1 1. GENERAL INFORMATION Complete legal description JO Von, Lot 6 Location (site address) 2407 Lore Road, Anchorage, AK 99507 Current Property owner(s) Raylene H. Graves Day phone_ Mailing address 2407 Lore Road, Anchorage, AK 99507 Real Estate Agent 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) Fxj Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone WaiverNariance request for: Well to Absorption Pit Received by:v��" Date: COSA to be released to the engineer, unless otherwise requested by the engineer. - - - COSA Fee $ Waiver Fee $ l pf Date of Payment ulzzlls cis- Date of Payment Receipt Number og n S Receipt Number Vy t0 3111 COSA # 0 -c 15 L I ('O`J Waiver #— OSV 15162 ' SIX 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Q Individual ❑ Individual Water Storage ❑ . Holding Tank, ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer WaiverNariance request for: Well to Absorption Pit Received by:v��" Date: COSA to be released to the engineer, unless otherwise requested by the engineer. - - - COSA Fee $ Waiver Fee $ l pf Date of Payment ulzzlls cis- Date of Payment Receipt Number og n S Receipt Number Vy t0 3111 COSA # 0 -c 15 L I ('O`J Waiver #— OSV 15162 ' 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Phone 522-7773 Date 4/22/2015 s.� �,4oaaeAna•.$u u/o.. •w... 6. DSD Sl ATURE System #t Approved for !� bedrooms ��� �� munA9r&M ANo rsoa .� nH System #2 Approved for .� bedrooms®�f��°•.1��t>�m ° Disapproved 04 pROFESSI;* Conditional approval for bedrooms, with the following stipulations: 2—TheBy. Original Certificate Date: - 22— The Municipalit of Af.M orage Development Services Division (DSD) issues Ceitificatas of On -Site Systems Approval (COSA) based only - - upon the representations given in paragraph 5 by an independent professional civil engineer registered in: theState or Alaska. The Municipality of Anchorage is hot responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS. COSA Checklist X Septic System Advisory_ Well Flow Advisory COSA biue.heet_r Nitrate Advisory Arsenic Advisory . Other If more than I septic system is on the lot: COSA Checklist # of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Jo Von, Lot 6 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 1971 Sanitary seal (Y/N) Y Total depth 125+ ft. Cased to >40 ft. FROM WELL LOG Date of test Static water level ft. Well production g. p. m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate .4 mg/L Arsenic ND ug/L Date of sample: 4/3/15 B. SEPTIC/HOLDING TANK DATA AWWU Sewer System Tank Type/Material Tank size gal. Number of Compartments Foundation cleanout (YIN) _ Depression over tank (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Parcel ID: 014-131-33 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) >12 in. AT INSPECTION 4/8/15 50 ft. 2.5 g.p.m. Collected by: Anderson Engrg. Date installed Cleanouts (Y/N) High water alarm (Y/N) Date installed Soil rating (g.p.d./ftp or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. ' Eff. absorption area ft2 Monitoring tube Depression over field Date of adequacy,test Results (Pass/Fail)- For _ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed _ "Pump on" level at Datum No Add On Manhole - Gravity Flow to Absorption Trench. _ Size in gallons in. "Pump off' level at in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on Absorption field on lot _ Public sewer main of NA NA 41'* Sewer /septic service line >25' Animal containment areas >50' SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Water main Water service line Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Manhole/Access (YIN) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots >50' On adjacent lots 84'** Public sewer manhole/cleanout >100' Holding tank N/A Manure/animal excrete storage areas >100' Absorption field Surface water Property line Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots in. F. COMMENTS *AWWU Sewer Main Constructed After Well. **See Well to Absorption Pit Waiver. Lot is Served by AWWU Sewer Sytem. 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 Michael E. Anderson, P.E. Date 4/21/2015 COSA brown sheet_10-10-12.doc 0 �% MICHAEL E. ANDERSON :Z J. .� CE -4381 :`Z® i� f� F,9 ....... NORTH 90.00' 0 0 ui 0 w z o a O — V) • m � > 0 o 0 m � � � 0 v 0 n w e O J m ot t Z z c Q O N J o CL II O Ln � W WJ U ti O H J J W ,00.06 HI?JON 1312J1S Hn12jnz SS SS uiIDW J@MGS dl4 „8 *44. �..• AV /.� !tel amwexr xaws� oo: S • U 1 :/ ON: J •