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HomeMy WebLinkAboutBEACON HILL ESTATES LT 8 Beacon Hill Estates Lot 8 #015-092-57 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221422 PID Number: 015-092-57 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Eric Trevithick ABSORPTION FIELD ❑ Deep Trench 4] Wide Trench El Bed ❑ Mound Site Address 7511 Beacon Hill Dr ❑ Other Phone (907) 301-5359 Number of Bedrooms Four(4) Soil Rating 5.0 Total depth from original grade 5.9 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.9 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Block Lot Beacon Hill Estates 8 Fill added above original grade O Gravel length 20.0 Township Range Section Ft. Ft. Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 172 Ft2 1 n/a Ft. Well >rj0' i50' N/A N/A >25' TANK El ElS.T.E.P. ❑ Holding ❑� Other Manufacturer Advantex Capacity 1,500 Gal. Surface Water >100' > 1 00' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' 7.2'* N/A N/A NA Foundation >1 0' >1 0' N/A N/A LIFT STATION Manufacturer Orenco Capacity N/A Gal. Remarks Waiver approved for 6' separation from lot line. Trench is insulated. Alarm location Next to FCO Electrical installed by Wiring Up AK Installer PIPE MATERIAL House to tank D3034. Tank to D3034 drainfield Red Dog Excavation Drainfield D3034 CO/MT D3034 Inspector B. Schiller BENCH MARK (Assumed elevation) 100 ft Inspdection 151 8/15/23 2nd 8/16/23 Location and description 3`" 41h Western Corner Bottom of Siding ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp �4 .� °F • Conditional Approval: Date � q�111! o • 49TH — Septic System Approved Date I t Z % �•.• Benlam r�y�Schiller ��lisrF' - Cs 20 232.��� 02 ,��� llr, PROFESSION��- Note: this approval does not include well permit requirements. 1 Benjamin Schiller CE 12592R E GISTEREDPROFES S I O N A L E N GINEER 1"=20' 1500-GAL ADVANTEX FAP TANK w/ AX20 POD CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND CO3 MT2 TH#1 BEACON HILL ESTATES, LOT 8 A B FCO 6.3 MH 19.3 POD 22.9 A B CO1 28.6 MT1 30.8 CO2 41.9 MT2 40.3 12.1 13.6 14.9 14.9 15.7 23.9 22.3 FEET 0 20 40 FCOB E A C O N H I L L D R I V E 10/25/23 ADJACENT SEPTIC (WELL > 100' FROM PL) 50' WELL RADIUS BE A C O N H I L L D R I V E MT1 CO1 CO2 20LF 5-WIDE TRENCH @ 3' EFFECTIVE DEPTH UTILITY EASEMENT 50' WELL RADIUS BM PLAN AS-BUILT PERMIT # OSP221422 PID # ‭015-092-57 MH CO3 21.017.9 PROFILE AS-BUILT (NO SCALE) FC O PERMIT # OSP221422 PID # ‭015-092-57 BEACON HILL ESTATES, LOT 8 96.4 ORIGINAL & FINISH GRADE 20' DRAINFIELD ROCK MT 1 TH # 1 GROUNDWATER ENCOUNTERED AT 88.4 10/10/22 90.5 93.5 CO 1 CO 2 85.4 90.5 93.5 MT 2 Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A L E N GINEER 1500 GAL ADVANTEX FAP 2.0 TANK AX-20 FILTER POD 10/25/23 98.6MH INSULATION 94.7 89.7 AsBuilt 10/18/2023 1"=30' 0 30 60 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221422 Work Type: Septic Upgrade Tax Code Number: 01509257000 Site Legal Address: BEACON HILL ESTATES LT 8 G:2440 Site Mailing Address: 7511 BEACON HILL DR, Anchorage Owner: TREVITHICK ERIC Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: cnt O G Depai tment 10/13/2022 10/13/2023 10500 Q Disposal Field Q Septic Tank Holding Tank Privy Private Well Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weathershallbeeither: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Issued By: Date: Date: 0 f '3 Z .Zo Z Z 4 MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-092-57 Property owner(s) Eric Trevithick Day phone 907-301-5359 Mailing address PO Box 230534, Anchorage, AK 99523 Site address 7511 Beacon Hill Drive Legal description (Sub'd., Block & Lot) Beacon Hill Estates, Lot 8 Legal description (Township, Range & Section) Lot Size 10,500 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑x Initial ❑ Single Family (SF) ❑x (w/wo ADU) Septic Tank 19Upgrade ❑x Duplex (D) ElHolding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Field to property line Distance: 61 1 certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. l (Signature of property owner or authorized agent) VIA CA h Permi Rush Fees: Sys ��- 3s = �Sa Waiver F es: ate of Payment: to Z ate of Payment: lob (I )?-Z c Receipt Number: C) 0,30m V�:' Receipt Number: 0o3Cio� Permit No. C6e;�;� I`tD-a Waiver No. ®SV 2-0- 10"10 Permit App_-'- : .�.�c October 11, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Beacon Hill Estates, Lot 8 – 7511 Beacon Hill Dr Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to demolish the existing home on the property build a new 4 - bedroom home. The existing septic system is past its useful life and needs replacement, so we are submitting this permit application for the construction of a new one. The attached site plan identifies the location of the home and existing well, as well as the proposed septic location. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot slopes mildly to the west between 5-10%. There are no slopes greater than 25% within 50 feet downslope of the system. Contours are shown on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 50’ from all wells and surface water. We are proposing using the existing 34’- long trench as the alternate site (with the Advantex system). This lot is very limited in area. The new field needs to be 10’ away from the nearest trench (which has 5’ effective depth) and 10’ from the building foundation. The tank must also be 10’ from the foundation and 5’ from the trench. In order to meet those separation requirements, we request a waiver to allow the trench and tank to both be 6’ away from the front lot line at its nearest point. This will cause no difficulties for the adjacent property or for the ROW. Please refer to the attached test hole log, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221422, Curtis Townsend, 10/13/22 Municipality of Anchorage P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 s (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV221070 COSA#: Permit#:OSP221422 PID#: 015-092-57 Legal Description: Beacon Hill Estates Lot 8 Engineer: Ben Schiller Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 6.0 feet. This waiver approval applies to the proposed absorption field. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: l9 3 2•D Approved by. Name of Reviewer **** VARIANCE/WAIVER REVIEW **** 725.0730.0721.0722.0723.0724.0726.0727. 0 728.0729.0731.0732.0 Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER 1"=20' 1500-GAL ADVANTEX FAP TANK w/ AX20 POD MAINTAIN 10' FROM FOUNDATION CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND 2CO MT TH#1 BEACON HILL ESTATES, LOT 8 FEET 0 20 40 FCO NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS.BEACON HILL DRIVE9/7/22 ADJACENT SEPTIC (WELL > 100' FROM PL) 50' WELL RADIUS BEACON HILL DRIVEMT CO CO 20LF 5-WIDE TRENCH @ 3' EFFECTIVE DEPTH MAINTAIN 10' SEPARATION FROM EXISTING TRENCH AND FROM FOUNDATION UTILITY EASEMENT DECOMMISSION EXISTING SEPTIC TANK 10' MIN6.0 50' WELL RADIUS DECOMMISSION EXISTING TRENCHES & REMOVE PIPES 10' MIN ALTERNATE SITE: EXISTING 34' TRENCH, 3' WIDE, 5' EFFECTIVE DEPTH 5.0 MIN Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221422, Curtis Townsend, 10/13/22 BEACON HILLS ESATES, LOT 8 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 3' 6" 3' 3' DESIGN FACTORS:SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 8.1 MIN/IN APPLICATION RATE: 5 GPD/SF 5-WIDE TRENCH SYSTEM 1500-GAL ADVANTEX TANK W/ AX-20 POD w/ REMOTE MONITORING BOTTOM OF TRENCH: 6.0' BELOW GRADE FLOW LINE ELEVATION: 3.0' BELOW GRADE TOP OF TRENCH: 0.5' ABOVE GRADE 600 GPD / 5 GPD/SF / 5' WIDE * 0.58 RED FACTOR [3' DEEP] = 14.0 LF TRENCH REQUIRED (20 LF SPECIFIED) GEOTEXTILE FABRIC 9/10/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221422, Curtis Townsend, 10/13/22 725.0730.0721.0722.0723.0724.0726.0727. 0 728.0729.0731.0732.0LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 8.1 --- 1 2 3 GM (SILTY SANDY GRAVEL) Professional Engineers Stamp: NO Beacon Hill Estates Lot 8 9/29/2022 015-092-57 Eric Trevithick 2:03 0 2:34 3:06 6" OB 30 Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER9/24/22 PERC TEST LOCATION TECHNICIAN: INSPECTOR 4 3 16 - 8.0 10/10/22 COMMENTS: 6" DIAMETER TEST HOLE PRESOAKED PRIOR TO TESTING SITE PLAN 4 3 16 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED 030 3 12 16 3 12 16 030 3 11 16 3 11 16 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221422, Curtis Townsend, 10/13/22 1 Purni� linstaii—aiio--in PH -111) Intake Depth Below Tap of Weil Casing., V 0 feet PUAV M211Uf-1ctUrcr"s1N-awe: m PumpmodO: e�-5rstll Pump Size *f-( hP Pitless Adapter Burial Depth: feet PillEss Adapter installer: NVOI Disinfected. Upor, COMp"etion? Method of Disinfection: YesO No COMments: 1P111's Pump Installer Name: Andvqe. (,A Name & Address:, Attention: ThepunIp installer S!la:l Z`Mvidc a Pu -,--p installation lc; ta; to the D8D lvltb�n 30 da:vS of purnp installation. 6-d ?,t7ZOEtZJ06 AG�dW-It P 96r--JOLj-.)UV eEc,.j:So 6� 9l.idv r3evelopment 55-arvices Department Building Safety bivision On -Site WatP-r- & Wostewater Program 4700 E1,Tjore poad P-0, Box L90,650 Mayor Ar...forage, Alv, 99507 -'-LV (907) 34-1-7904 Pump Installation Log Well Drilling N -Mit Number: Sir_ W—Dateof Date ofIssue. LE -al liescri I - 1 Purni� linstaii—aiio--in PH -111) Intake Depth Below Tap of Weil Casing., V 0 feet PUAV M211Uf-1ctUrcr"s1N-awe: m PumpmodO: e�-5rstll Pump Size *f-( hP Pitless Adapter Burial Depth: feet PillEss Adapter installer: NVOI Disinfected. Upor, COMp"etion? Method of Disinfection: YesO No COMments: 1P111's Pump Installer Name: Andvqe. (,A Name & Address:, Attention: ThepunIp installer S!la:l Z`Mvidc a Pu -,--p installation lc; ta; to the D8D lvltb�n 30 da:vS of purnp installation. 6-d ?,t7ZOEtZJ06 AG�dW-It P 96r--JOLj-.)UV eEc,.j:So 6� 9l.idv  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 LEGAL DESCRIPTION LOCATIQN , NO. OF BEDROOMS J Absomtio~ a~o~ Dwelling__ PERMIT NO. ~ DISTANCE TO: / O 0 ~ I 0 ~ ~ Manufacturer Material ~o. of compartments ~ ~ Liq. capacity in gallons, IF HOMEMADE: Inside length Width --- L.iqu~ depth  ~ Well Dwelling PERMIT NO. DISTANCE TO: ~ ~ ~ Manufacturer Material Liquid cap~city in gallons ~ Well t F~n~at3n, Ne~es1 ~ ,ine PERM,~ ~ ¢ ~ ~ DISTANCE TO: +100 ~ ~-- Top of tile~sh ~n~ ,le inches effec~ption ~ No. of lines Lengtgfjach line Total length of lines Tre~dth Distanc~t~n lines Material Total area ~ ~rade ~ inches ken,th Width De~th P[~MIT ~0. ~ ~ T~pe of crib Crib diameter Crib depth Total effective absorption area m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot Hne PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Sep~l~'c t~k~ j Absorptio~ [ ~'are~(s) OTHER P~E MATERIALS~ , ~, a ~0~ ~L~ ~ SOIL TEST RATING INSTALLER REMARKS ' ""'"""r k APPROVED ~ ~%~.% ~. - *~ DATE LEGAL .... S.-¢ L.S gmat. oD 72-013 (Rev. 3/78~ .... ........ / HENRY ~'ILSON g6OI BUDDY WERNER DR.: ANCHORAGE, AK (gO7) Construclneers, Eng s Jnc CHARLES A. LANDERS SR BOX Ig2-A, MYRTLE DR. EAGLE RIVER, AK 99577 (907) 694*gOg8 December 26, 1985 UNICIPALIT'f OF ANCHORAGE DEPT. OF HEALTH & EN,ViRONMEN'T AL pROTECTiON DEC, '2, 7 Municipality of Anchorage Div. of Environmental Health 825 L Street Anchorage, AK Gentlemen: Re Lot 8 Beacon Hill Estates When the absorption field was extended in August, 1985, 570 s.f. of trench wall area was constructed, whereas 600 s.f. of wall area was required.based' on the soil encountered and the number of bedrooms served. ~ The remaining 30 s.f. of wall area is supplied by the trench that existed at the time Q~3.upgrad~, which has 340 s.f. of e~ec~ive absorption area. Very truly yours, CONSTRUCTING ENGINEERS, INC. Henry H. Wilson ~Permit %: 821169 January 31, 1983 TO: Permit Applicant Subject: Lot 8 Beacon Ifill Estates Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any' further questions, please call this office at 264-4720. S !ncerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 PERMIT NO. r.ll_l~-~ I,] IPRLIT.T. C"F R~-~C:H£,RRGE DEPRRTMENT r .... HERLTH RND ENVIRONMENTRL ~'-'OTECTION 825 'L STREET.. RNCHORRGE, FIK. 9D 1 264-4720 Cm~-~--SITE SEL-~EE: F'EF:~-I I T' ( 821i69 ) RPPLICRNT LOCRTION L. EGRL SHIRLEY HEBTWOLE LOT 8 BERCON HILL ESTRTES SRR BOX 2071-N 99507 279-156i LOT SIZE 222222 SQURRE FEET TYF'E OF SOIL ABSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = 4 SOIL RRTING (SQ FT?BR)= i78 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: E:' E F' T H = 7 L E [-~ mS T H = :E: 9 "3 F-: R '-,-' E L E:' E P T H = 4 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURF8CE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). REL-]!U I ~:EB, '_--;EF'T-mr r: TRNK PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THBT THE WELL WILL SERVE. TL.JC, (2) I [-~;F'EC:TIC~[4--c- R~:E F~EL]!I_II ~:EE:. BRCKFILLIN6 OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILE BE SUBSECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON'SITE SEWRGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE WELL OR ±50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM B PRIVRTE WELL TO R PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRIL. RBLE TO INSURE PROPER INSTRLLRTION. PE~:hl I T E-"--'.F' I ~:E'--; [:,EC:Er4BEF-: -:~=:2L.. I CERTIFY THRT t: I BM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. · '-]: I WILL INST~LL THE SYSTEM IN RCCOR[:,RNCE WITH THE CODES. _-<: I UN[:,ERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMOE:,ELE[:, TO INCL_UDE MORE THRN 4 E:EDR00MS. ,,,..~,' SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 8:25 L. Street, Anchorage, Alaska 99501 :264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 6 7 8 9 DATE PERFORMED: SLOPE PERCOLATION TEST ¢1 SITE PLAN 10 11 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: 72-008 (6/79) WAS GROUND WATER S ENCOUNTERED? '~O L O P E' IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time (~,~;,~'.'~ Water Drop __- i0x3 ia ~Bfl ~ ~'~ b ~o5.5 i~ ,SH :, oq PERCOLATION RATE TEST RUN BETWEEN CERTIFIED BY: / ?H (minutes/inch) ~ ~ ~/Z_ FT FT AND .// Municipality of Anchorage DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION POUCH 6-650 ANCHORAGE, ALASKA 99501 INSPECT,~IO,~ REPORT ON ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL ADDRESS PERMIT NUMBER LEGAL DESCRIPTION ~D~ ~ ~~ PHONE(S) ~ OF ~O R O0 ~S ,~"0-0 SEPTIC TANK MANUFACTURER j~_ CAPACITY IN GALS. / MATERIAL ~ #OF COMPARTMENTS INSIDE DIMENSIONS LENGTH WIDTH DEPTH SEEPAGE SYSTEM ~,,'T I L E DRAINFIELD I NUMBER OF LINES LENGTH .EACH TOTAL LENGTH DISTANCE N LINES TRENCH. WIDTH BEPTHS: TILE TO GRADE FILL BELOW TILE FILL ABOVE TILE [] SEEPAGE TRENCH OR [] PIT WIDTH LENGTH DEPTH [] LOG CRIB [] RINGS- DIA. FILL MATERIAL DEPTH TOTAL EFFI~CTIVE PiBSORPTION AREA: ,~ Z~0 SQ. ET. WELL CLASSIFICATION DEPTH INSTALLER I PIPE MATERIAL REMARKS DATE/~] ~ '" 77 72-012 (9/77) ', DISTANCES F ROM'~~ SEPTIC SEEPAGE SEWER TANK SYSTEM LINE CESSPOOL WELL LOT / LINE /01 SYSTEM DIAGRAM LOT: BLOCK:.~ SUBDIVISION: NAME Of APPLICANT GREA 'R ANCHORAGE AREA BOF,, ,JGH ' SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PE~ ,NST^LLAT,ONLOCAT,ON 'EGAL DESCR.PT.ON Jot INSTALLATION Of: SEPTIC TANK __ ~ SEEPAGE PIT FINANCED THROUGH SOIL TEST RESULTS DRAIN field TO BE INSTALLED BY ~ COMPLETION DATE ANTICIPATED NOTE: THIS PERMIT I$ NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ FOUNDATION TO SEEPAGE PIT DRAIN FIELD DIAGRAM OF SYSTEM SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK __, SEEPAGE PIT TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRA,N ~,ELD_ /00 ' I WATER MAIN TO SEPTIC TANK -- TO river, LAKE. STREAM. , DRAIN FIELD /~) / SEEPAge PIT ALSO CONSiDer AREA WELLS. , SEEPAGE PIT __, DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CrIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUgh REGULATIONS REGARDING INSTALLATION. OR LICENSED DESIGNER I CERTIFY THAT I AM F/ DESCRIBED SYSTEM EQ-016(3-75) NO. 28-68 THAT THE ABOVE [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650. Anchorage, Alaska 99502 276-222~ SOILS LOG - PERCOLATION TEST PERCOLATION TEST LEGAL DESCRIPTION: 9 10 11 12 13 14 15 16 17 18 19 2O Lot 8, Plat 69-64, Beacon Hill Estates Subdivision. SLOPE ~ · / ~ . WAS GROUND WATER '~,-.~ ~ ,,,,~.. ~"~v... ~-- ! ENCOUNTERED? SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE / Jl~i ~/i Y~/~'h (minutes/inch) - TEST RUN RETWEEN , FT AND FT 72-008 (7/76) 'INSPECTION REPORT ON-Siii SEWAGE DISPOSAl MAILIHQADDRESS ~ : --: -' '- '~ ' ~:' ' SEPTIC TANKt L INSIDE: LENGTH-- INSIDE WIDTH LIQUID D~PTH...~IGUID SEEPAGE PIT~ ~ lINING MATERIAL~ CRIB SIZE! DIAMETER BUILDING FOUNDATION''*~l ..... NEAREST LOT LINE o~,~ , ADDITIONAL ABSORPTION TOTAl. EFFECTIVE ABSORPTION AREA (WALL ; WELL~ CONSTRUCTION BUILDING ~. NEAREST .... NEAREST FOUNDATION , LOT .LINE , ..... SEWER LINE CESSPOOL '~' , OTHER SOU~.~CES,'* , _.. . ... R_VEDAPP O DISA,-,-.OVED ,, "REMARKS,, , / -.- / / ..,.~,o.~..~t~ . . / / ~'. .u~,~,~.~.-. /,-, / ,~'!. '~,-'.,~-e:,'l,7--"~...?~?:.- LOT SLOPE~ ~,.' ' x,~,...'~. :, . ~_, , . ,t ~i / ... / / - o.,,~..&? , ~ i. '::".!~.'i"'~:'.;, GRE -'R ANCHORAGE AREA BOr O Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 ' GH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION.~/-/' //W/5';'?-J~Z MAILING ADDRESS LEGAL SEPTIC TANK: DISTANCEFRoM WELL /C:'C>(A"/,~ANUFACTURER INSIDE LENGTH INSIDE WIDTH MATERIAL. '~'~ ( / NUMBER OF COMPARTMENTS LIQUID DEPTH __ .LIQUID CAPACITY /('"~ C(~-'I GALLONS. SEEPAGE PIT: NUMBER OF PITS t DIAMETER __ OR WIDTH '~t , LINING MATERIAL/~I~:)~{'¥L~(~ CRIB SIZE: DIAMETER BUILDING FOUNDATIONd~t'l NEAREST LOT LINE ADDITIONAL ABSORPTION LENGTH g / DEPTH DEPTH~ DISTANCE FROM: WELL TOTAL EFFECTIVE . ~ ABSORPTION AREA (WALL AREA) ~>~-~" SQ. FT. WELL: TYPE/L'!C)'{/ ! tC CONSTRUCTION BUILDING NEAREST FOUNDATION __, LOT LINE CESSPOOL , OTHER SOURCES APPROVED . DISAPPROVED DEPTH DISTANCE FROM: SEPTIC SEEPAGE , TANK __ , SYSTEM NEAREST SEWER LINE REMARKS LOT SLOPE: REMARKS: / Form No. EQ~031 DIAGRAM OF SYSTEM DATE APPROVED GRE~F~J~q~~agE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREet ANCHORAGE, ALASKA 99503 TELEPHONE Z74-456 ~ IT NO. SEWAGE DISPOSAL SYSTEM APPLICATION AND PERMIT INSTALLATION LOCATION ! ~/ '"'~"' '~a t LEGal DESCriPTION ~--~/~ ~/~) ~/'//~ INSTALLATION OF: SEPTIC TANK ~/~ TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SEEPAGE Pit DRAIN FIELD TO .E INSTALLED BY OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED, BACKFILLING OF AP~Y SYSTEM WITHOUT FINAL INSPECT~DN,BY THE ~ MINIMUM DISTANCES, REQUIREMENTS / FOUNDATION TO SEPTIC TANK -- ~ / FOUNDATION TO SEEPAGE Pit__ C~U DRAIN FIELD SEPTIC TANK TO SEEPAGE Pit WALt L / SEPTIC TANK O , SEEPAGE PIT C~<U ., DRAIN FIELD TO NEAREST LOT LINE. / DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN Field SEPTIC TANK, ALSO CONSIDER AREA WELLS. ~ ., DRAIN FIELD TO RIVER, LAKE STREAM. CAST IRON INTO AND OUT OF SEPTIC TAN~J~IF} i~lT~ ~,]~__~ROS$1NG GAP OF EXCAVATION 5 FEET iNTO UNDISTURBED SOIL, 4 INCH DIAMET£R ~.A~T iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. LICEN~ DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28~68 AND THAT THE ABOVE DESCRIBED SYSTEM iS IN ACCORDANCE W~TH SAID CODE. FORM NO. EGI-Oi 6 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONNENTAL QUALITY 3330 "C" Stree'& ANCHORAGE, ALASKA 99503 Performed For Legal Description: Lot ~ Block This Form Reports Soils Log Case # Dated Performed Subdivision Percolation Test - Soil Test Must Be Logged To 4' Below Proposed Seepage System - Depth Feet Soil Characterist~ c.q N To. o; o-6- I'-i--i [- 1 1 1 14 Was Ground Water Encountered?_~__~._~ If Yes, At What Depth?__.[k._~_~.~. Reading Date Gross Time i Net Time Depth to H20 Net Drop j ....................... Percolation Rate Minu'~:e Proposed Ins).,-~-l--~'~-T'~'~r~~ Seei*ag,: Pit Drain Field Depth of Inlet ...................................... Depth to Bottom of Pit Or Trench COM~ENTS Ar . Da l:e: MUNICIPALITY OF ANCHORAGE s� Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax. 907-343-7997 Parcel I. D. 015-092-57 Certificate of On -Site Systems Approval / 7 Expiration Date: Z L'Zo 2 Legal description BEACON HILL ESTATES LT 8 Site address 7509 BEACON HILL DR Anchorage AK Current property owner(s) TREVITHICK X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: M Original Certificate Date: i �0 2 3 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory x Tank Age Advisory Arsenic Advisory Other COSA ApprovaLJune 2022 MUNICIPALITY OF ANCHORAGE 0 6 Development Services Department t? p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 4 c 1. GENERAL INFORMATION Parcel I.D. 015-092-57 Complete legal description Beacon Hill Estates Lot 8 Location (Site address) 7509 Beacon Hill Drive, Anchorage, AK 99507 Current property owner(s) Eric Treyithick 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone (907) 301-5359 3. TYPE OF WATER SUPPLY: X Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel X Plastic ❑ Concrete ❑ Fiberglass Age < 1 yr - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench 0 Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ■❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment Date of Payment COSA # 0 S G 3% so Waiver # COSA Application —June 2022 Beacon Hill Estates Lot 8 015-092-57 4.5 1973* 212* N/A 212* 5.16 18 10/19/23 Hefty Drilling 200 9/6/23 *Per muni records N/A N/A New Installation 8/15/23 5.9 2.9 N/A N/A N/A <1 Plastic New Installation New Installation > Benjamin Schiller, P.E.10/27/23 *Waiver #OSV221070 (907) 522-7773 www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC231430 Subdivision: BEACON HILL ESTATES, Block: -------, Lot: 8 A water sample revealed a nitrate concentration of 5.16 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Ma�lmg Address P O Box 196650 *Anchorage, Alaska 99519 6650 * www muniorg MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR,, AGREEMENT, herein the "AGREEMENT" made and N entered into as of this Day of OWfti �ep/ of 20 2 9 , by and between Paw C• 6-I t , herein the "OWNER," and the Municipality of Anchorage, herein the `MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as Advantex located at (legal description) Beacon Hills Estates Lot 8 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) ek✓` Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. AV Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. ee�__Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severabifily. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 ature) Date: 11 1 / /'ZO �3 name) STATE OF ALASKA ) ) THIRD JUDICIAL DISTRICT ) 5S. The foregoing instrument was acknowledged before me this 1st day of �o�u�nbe r 2 0 �3 , by Zi-eAr- A NOTARY PUBLIC FOR ALASKA My Commission expires: MUNICIPALITY: By: (signature) CiU S T o F,,,o (print name) Date: 11 Z2;7`L3 Title: CI U1 I — (rev. 05/18/2018) Page 3 of 3 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date ~-J~ GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) (b) (c) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) Property Owner ~ tyt/e ../ tJF~ t .'~ ,"~d~-[(.Telephone: Home ' .'~.~ L( ~, _ ~3 ~ ~/ Business Mailing Address ~ ¼.7 ¢~ ~,t..~ ._ ~,, ~ ¢:-C ("~.,',-,~'~ C.~ ,../ Lending Institution ~ ~ -~_~.__~ ~%~. ~, % 4,--¢.'.-.~. (-.4'_ Telephone Mailing Address /..fCC ._b-- ~ , ~ C.-~ ~ (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the followino address: or: Check here bCf, if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family Number of Bedrooms WATER SUPPLY Individual Well E;}' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite []-/'Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 fRev 8/86/ Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~"~0/~ 1/ ~'~ f~- ~ ~ Telephone ~ ~' ¢' '~ o~ ~ Address ~0[ ¢"~,~'OJc~y ~.,2. v'vle~, ~r ~I/IC..I,/~'' tX~C¢(-- '¢/'~S/~ Date DHHS APPROVAL Approved for "~'°'*'~ ~'~ Approved bedrooms by Disapproved Conditional Date Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 CRev 8'861 Back MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 MUNICIPALITY OF ANCHOJ~A~'~ DEPT. C)I: HEALTH & i:NVIRONMENTAL PROTECTION 1987 Legal Description: ('- ~ ~-- .Si3 '/- ..... WELL DATA Well Classification Well Log Present (Y/N) Total Depth ~.- / ''z''e Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) 7 Separation Distances from Well: To Septic/Holding Tank on Lot ~ /'00 To Nearest Edge of Absorption Field on Lot '4' ! O 0 r If A, B, C, D.E.C. Approved (Y/N) Date Completed /~-'~ 7~ Yield Depth of Grouting Pump Set At '~-O¢~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots ~ To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Commegts ~ ~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~- .5"'0 ;Date J 'Z"- I ~"" -- ~' ('~ SEPTIC/HOLDING TANK DATA Date Installed ~/"~"~ Standpipes (Y/N) 7 Depression over Tank (Y/N) Size ~ _ S'OO No. of Compartments ~ Air-tight Caps (Y/N) Y Foundation Cleanout (Y/N) P") Date Last Pumped ), Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~ /~' Separation Distances from Septic/Holding Tank: To Water-Supply Well 't- I~ O To Property Line 4, ~ ~' To Water Main/Service Line ~' ,~ 5" Course ~ / O 0 ; for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field *-I' ! To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIEbD DATA Soils Rating in AbsOrption Strata Width of Field ~ '~ Square Feet of Absorption Area Depression over Field (Y/N) '/V/ i. Results of Last Adequacy Test ~ Separation Distance from Absorption Field: To Water-Supply Well ~/4)0 Y 5 Type of System Design Length of Field ,,~ Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Building Foundation .,4. /4::3 · Lot To Water Main/Service Line To Stream/Pond/Lal~e/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments t To Property Line ~ To Existing or Abandoned System on ; On Adjoining Lots ,c? 0 /---~ To Cutbank (if present) ~.M ~ D. LIFT STATION /C/OT' [,25 ~-~ " p On" Level at . ~'~,~__ "Pump Off" Level at ~ High Water Alarm Level at -~""'~~~____ Tested for ~ ~-----"~ ~les during Adequacy Test. Meets MOA Electrical Codes (y/N) ~~ Comments .~'"~"~"'"~ ~ Receipt No. Date of Payment Amount: $ Page 2 of 2 ** Check Permitted Bedroom Rating Against HAA Request ** I certify t h aJJ,/h,~e r_~h~c~kett, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~//f'~/"/~-~/~'"~""--" Date ~-' ~ /~ 72-026 (11/84) INVOICE Alpine Drilling & Enterprises Domestic -- Commercial 11~ Pump & Water S ~stems P.O Box 110496 · Job Name I Loc..~atlon i~nchorage, Alaska 99511 ~'~'-// ~ ,~907) 345-0202 2078 Thank You S,G.ATURE ~ OI (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work.) TERMS: ACCOUNTS PAYABLE AT lOTH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. TO: ._~.~-~-~'~'-I. I ~ ~,-, ~ - QUANTITY! BESC~IPTION AMOUNT · ,, LABOR ~ HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR .AY THIS AMOUNT RECEIVED ' :,'"' .~.':,. '- . '~'- · "_ ". - , ' t ~ -" . ~ , , ~ COL~G~"'~:~ .::i~,~ ,~I~ ~EcTE~ TyPE ~DF ' . ~le ~ec~e~ .i.D..,. NO. (.,LIC'SY~). ~. "v,* .'-'. , C,RCLE ~%~ 'C~CK .E OR ~RE ~ I ~ M ~ II I I -- I I ' I I mA B *" ' ' ~ ~le tOO long tn transit. ..... SY "~ ' ~ ~' ~ ~' ~ ~1'1 ( S~1. s~uld not be over 30 hours. $~S~ ADO~SS m m ~ ~ S~le ~cet~ed too l~e ~. ~ek , . ~ Leaked out fl&~¢~{~ 0 Insufficient info.arSon provided. , Please read instructions on fo~. LOCATION ~RE ~LE WAS COLLECTED ~ ~ Other (Specify) ,' (CHECK ~LY ONE THIS COLU~) , DATE I~- L6-~ TIME ~RINKING WATER ~CHLORINATED AHALYTICAL HETHOD: /CHECK TREAT~NT ~ FILTERED ~ ~UNTREATED OR OTHER~'~BRAflE FILTER ~W SOURCE NATER ~ FERHE~TATIOH TUBE ~ OTHER(Specify) Date & Time Started IS THIS SABLE A CHECK SAMPLE TO A PREVIOUS NON-CONFORMING;SAMPLE? Date & Time Completed ~ ~ YES ~ PREVIOUS COLLECTION ~TE .... ANALYSIS REQUESTED (IF OTHER THAN TOTAL COLI~ORH) ~BO~TORY RESULTS Anmlyst . ~x~ SEND REPORT TO:(PRINT FU~L NAME.ADDRESS AND.ZIP CQDE ~ Othe~ Bacteria ADDRESS ~¢0/ ~O~O~ ~~¢~ ~ ~ Confluent Growth B TNTC CITY ~ O ~ 'STATE ~ ~ ZIP ~ aTZSaaORY ~aTXSFACTORY ~C~RIOL~ICAL ~TER ANALYSIS RECORD FOR ~B USE ONLY ~mbrane Filter: Direct Count ~ Coltfo~/100ml Verification: LIB BGB ~ ~UNICIP~LI~ OF ANCR~mbrane Filter Results Colifo~/lOOml ~L COLIFO~ O~R ENVIRONMENTAL PRO~U By ~ ~te ..... , . ~ ~, ' Time .?;- '~" ~.; .~ ' A~. 'APPLIC 'XlT FILLS OUT UPPER HAl. ONLY Owne Buyer Address ~, ~, -- ¢,,_~ ~,~.,...~ ~ Zip Code Lending Institution. , -- ~ ~ t / ~ Phone Address ~ . Realty Co. & A~nt Phone Address ~?, ~ Zip Code Legal Descript~n ~ Street Locati~ Type of Resi~nce ~ingle Family ~ Multiple Family No. of Bedroo~ ~ Other Water Supply lndividual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~ Individual Year Indiv~ual Installed: ~ HoldingPUblic UtilitYTank ~~ J~ C When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time ~(~.~ ~. 'r_~ L.~ Date Date Date ~'~ ~-~2~:~''~ ~O- Insp~tor Insp~tor Insp~tor Inspirer ( ~ APPROVED BEDROOMS *CONDITIONS OF APPROVAL (~) DISAPPROVED ( ) CONDITIONAL APP~V~L* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received ~--33 CD Well to Tank Septic T~k Size 72.023 (3/82) June 15, 19,~2 .Jave and Shirley Heatwole GRA ¥!,ox 2071-N Ancborege, At{ 99507 Subjec~t: Lot ~ t'~eacon i~!ill EstAtes Approval for the indivi,'~ual sewer .~n~] water facilities cannot be granted until the following iteD~s have been co~plete<'~: ° ~' The to~ of 'the well easing seal. e(]. with a sanitary ~1. so that it is wster tight. lq.w_pose~,~ electrical v;ires to the well head are in violation of the ~,~unicipality of Anchorage codes and must be eDcase~] in conduit. q]~,~ water analysis report needs to be submitted to this office fro~ the Chem Lab, 5633 E Street, for our review. ,~ub~.]~,_te~l to 'this septic t~nk pumped ~ith a receipt '~ ~ deDart~:~nt. An adequacy test nee~s to be performed on the existinQ' leaching area. Th~s test will determine if the system is ade¢~uate according to ~,~ational ~tan~],ards. A ]_i~ting of private firms perfor~ning the test is enclose~. 59~i,s report nee,i~s to be submitted to this office for our review. The application shows 'the number of be~]roo~ns exceeds the number the on-site sewer system was originally designe~] for. An upgrade wi].]. 'be required. Prior to any upgrade, permit nee~ls to be issued from this ~epartment. Dave and q ' ,_h~r].ey Heatwole June 15, 19~2 Page Two Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further ~.uestions, please call this office at 264-4720. Sincerely, Enclosure RP133/p/E!t Robert C. Pratt Associate Environmental Specialist Department of Environmental Quality Street, Anchorage, Alaska 99503 274-4561 Date Received February 28, 1977 Time of Inspection lO:31)~.m.A / Date of Inspection3-1-V Tues REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WA/ER FACILITIES FOR RCP Cony. 1. Approval requested by: First National Bank of Anchorage Mailing Address: Post Office Box 720 Phone: 276-6300 x 572 2. Property Owner: Lansing M. & Shirley J. Smith Phone: 349-1182 Mailing Address: Star Route A Box 71-N 99507 4. 5. 6. Legal Description: Location: See directions on back Lot 8 Beacon Hills Subdivision Type of facility to be inspected Single Family Well Data: ,¢ A. Type Individual B. Depth C. Construction 7. Sewage Disposal System: A. Installed · C. Septic Tank: ~o D. Seepage Pit: E. Disposal Field: Total length of lines ~//~ D. Bacterial Analysis 17~ ~ B. Installer /'~/~ 1. Size /~O~ 2. Manufacturer ]. Absorption Area ~~ '~ Absorption area · , , Sewer Lines Other contamination Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 (1/74) Page I of two pages Page 2 of two pages - k t for Approval of Individual S r & Water Facilities Legal Description Lot 8 B~conHills Subdivision Comments Approved Disapproved Date Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES F£B 2 b 1977 RECEIVED 1. Type of Inspection: CMRO VA FHA 2. Property Owner: SMITH~ Lansing M. & Shirley J. Mailing Address: SM Box 71N Anchorage, Ak. Day Phone: 99507 CONV x 349~i182 3. Name of Buyer: HEATWOLE, David A. & Shirley J. Mailing Address: 2440 Placi~a Del ¢lavel Day Phone: Tucson, Ariz. 4. Name of Lending Institution: The Fir,~t National Mailing Address: P.O. Box 720 Anchorage 995111~hone: 5. Name of Realtor or Agent: Robert Rink~ Marston Real Estate Mailing Address: 6. Legal Description: Lot 8 Beacon Hills Estates Rank of Anchorage 276-6300 x572 Phone: 274-1797 Location: 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Single Family Residence No. Bdrms. 4 Public Utility Individual Well If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) Septic 72-003(3/76) MUNICIPALIT~ OF ANCHORAGE DEPT, Oi I;'/,[.Ti~ ~, ENVIRONMFi-II^L p~<©]l CTION F E8 2 8 19/7 RECE!. ED ~{ary Ann Dodge 2/24/77 April 5, 1977 Mr. Lansing Smith Star Route A Box 71N Anchorage, Alaska 99507 Subject: Lot 8 Beacon Hills Subdivision The percolation test performed on your sewer system failed to meet the adequacy test. Therefore, an upgrade will be necessary. Your request is for a four (4) bedroom dwelling. The septic tank installed is a 1,000 gallon tank, which is only good for a three (3) bedroom dwelling. Therefore, you will need to add another 500 gallon tank to your existing 1,000 gallon tank. Before any construction begins a permit must be obtained from this department. Monies can be escrowed to complete the upgrade by June 1, 1977. If there are any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, Robert C. Pratt, R.S. Sanitarian RC?/lJh cc: First National Bank of Anchorage Post Office Box 720 99510 April 28, 1977 First National Bakk of ~noho=age Mortgage Loan Section Post Office Box 720 Anchorage, Alaska 99~10 Attention -' Dave Fran Subjects Lot 8 Beaco~ Hills Subdivisio~ Per your request the adequacy test conducted on the above subject propertyts on-site sewer system result~/ in the following data: Absorption rate - 357gallons per day Requirements - ~ (2} ~droom - 300 gallons per day Three-'-.(~).~)edroom - 450 gallons 9er Say Four (4} be.droom - 600 gallons per day If thtfe areaany further questions, please contact this office at 279-2511, extension 224 or 22.5. Sincerely, Les N. Buchholz, R.S. Sanitarian L,~/lJh GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "¢" Street, Anchorage, Alaska 99503 274-4561 Date Received e 4. 5. 6. Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF Approval'requested by: ~~, ~~ ~. Mailing Address: ~ ~ ~. ~ ~. Phone: Property Owner: ~ ~ ~~.~y~_~ Phone: Mailing Address: Legal Description: Location: Type of fa~be inspected No. of bedrooms / B. Depth ~// Wel 1 Data A. Type ~-,~-- C. Construction · D. Bacterial Analysis Sewage Disposal System: ~<~/~]~ ' A. Installed /q.7~ ? B. Installer ,/ C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Size /~O~/~ 2. Manufacturer / Absorption Area ,~0 ~ 2. Material Total length of lines Distances: A. Well to: Septic tank l~! , Absorption area Nearest lot line m-~l~" o ~ , Other contamination B. Foundation to septic tank ~' , Absorption area C. Absorption area to nearest lot line ~ Sewer Lines ~ EQ-034 (1/74) Page 1 of two pages ~e 2 of two pages -Request for Approval of Individual ,er & Water Facilities Legal Description Approved ~~.~'-- Disapproved ~pproval Valid for one year from date signed Date Greater Anchorage Area Borou§h, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES Name of Lending Institution: Mailing Address;: Name of Realtor or Mailing Address: 1. Type of Inspection: CMRO VA FHA 2. Property Owner: ~ Mailing Address: ~,[~,.B~., ~Z~,_ ~., ~ Day Phone 3. Name of Buyer: . ~S~ ~, ~ ~t~ ~, DaS Phone ~ ~ %~ ~_ Phone 5. Agent: ~ ~, ~ ~ Phone Legal Description: Location: ~ ~ ~- ~ Type of Facility to be inspected: ~Q~ . No. ,Bdrms , Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) LQ-037 (1/74) PLAT NO. 69-64 BEACON HILL ESTATES LOT 8 10,500 S.F. • SEPTIC SYSTEM •p. � S � ` 7 1 "=20' SLOPE = 2.9% 4 \104*54' R=50.00' REVISED 8/12/2022 ADDED EXISTING WELL AND SEPTIC SYSTEM. ELEVATIONS BASED ON MOA AERIAL TOPO. PLOT PLAN I I HEREBY CERTIFY THAT I HAVE SURVEYED l'ss WEL?4po X2'9 !. ,V 00 0 amu. ,*,S.■0if# 1 0 F � �40;�P •....•q<q ♦ '� : :`sof # i *:• 49TH j 10 m : Jeffery A. Gastaldi : •a• . •. LS-6091Air �'� '•, 8/12/2022 qN 44 LVQ' ••�10S1,`s�** THE PROPERTY DEPICTED ABOVE AND THAT GASTALDI LAND THE PROPOSED IMPROVEMENTS AND DRAINAGE SURVEYING, LLC PATTERNS ARE AS SHOWN HEREON. IT IS THE JEFF A. GASTALDI, R.L.S. 2000 E. DOWLING RD., SUITE 8 RESPONSIBILITY OF THE OWNER, PRIOR TO ANCHORAGE, ALASKA 99507 CONSTRUCTION, TO VERIFY THE PROPOSED PHONE 248-5454 BUILDING LOCATION ON LOT, BUILDING GR ID DATE DIMENSIONS, GRADE AND UTILITY CONNECTIONS, SW2440 7/15/2022 AND TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS F . B . 06 N o. WHICH DO NOT APPEAR ON THE RECORDED BHE8 SUBDIVISION PLAT. l'ss WEL?4po X2'9 !. ,V 00 0 amu. ,*,S.■0if# 1 0 F � �40;�P •....•q<q ♦ '� : :`sof # i *:• 49TH j 10 m : Jeffery A. Gastaldi : •a• . •. LS-6091Air �'� '•, 8/12/2022 qN 44 LVQ' ••�10S1,`s�**