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Home My WebLink AboutSUNDI LAKE BLK 1 LT 2 Municipatity of Anchorage Page I ct 2. DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: --~'"]°°lct PID Number: C~II - 131 -07.. Name: ~,~ ~ (k}P,l~'E Wastewater System: ~New D Upgrade Address: ~.o. ~o~ t~5~o~ A~o~,A~ ~e~r ABSORPTION FIELD Phone: 5~ --5~O IN°'°fB~corns:_ ~ Deep Trench ~ Shallow Trench ~Bed ~Mound ~Other Total Depth from original grade: Township:__ ~Range: ~ ~Section: ~ Filladded above original grade:~ Ft. Gravellength: ~1 Ft. WELL: ~ New D Upgrade Gravelwidth: ~1 Numberoflines: lDistance~eenlines: Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: P~pe material: Casing Height Above Ground: Pump Set at: ' ~'.1 ~ ~. TANK SEPARATION DISTANCES ~Septic ~ Hotding ~ S.T.E.P. To Septic Absorption Lift Holding Publlc/Privat( Manufacturer: Capacity in gallons: WaIF iOO1~ i~1+ ~ ~ ~1+ Material: ~g~ NumberofCom~aHments: Sudace Water lO0I+ ~'~ -- ~ ~ LIFT STATION Lot , Size In gallons: ~ Manufacturer: ~t "Pump on" level at:~~el at; I High water alarm at: Foundation ~t~ ~ ~ Location and Description: Assumed Elevation: Inspections pedormed by: S&S ENelNEEEINe Dates: Ist %-2~-w~ .... " [~ ~ ROBERT C. COWAN Deparlmenl of Heall~and H~n Se~ice ~%~ ...... Reviewed and approved bY: Date: ~ / ~ 72~J13 (Rev. 9/91) MOA 25 ~ NO, SW970019 p~ 2 ~ 2 Municip. aUt o£ Anchor'acm DEPARTMENT OF HEAF_TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 ~Anchor*a9e, A[~skc 99519-6650~Te[ephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LOT 2, BLOCK 1, SUNDI LAKE S/D P&D. NO. 011-131-02 A B FCO 3.0' 47.5' ST1 31.0' 54.5' ST2 36.5' 57.0' DBL1 40.5' 59.5' DBL2 42.0' 60.0' C01 84.5' 82.0' MT1 80,0' 80.0' SITE \ \ \ ST1 NEW 1000 GAL SEPTIC TANK TRENCH NEW 1000 GAL. SEPTIC TANK ST2 MTi //.- FINAL GRADE~ MT1 = 90.3' CO1 /CO1 = 100.7' CO1 = 93.5' · NO WATER FOUND 84.3' B.O,H. .M-W DRILLING~ NOV 1 7 199.7 Municipality of Anchorage Dept. Health & Human Services t ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. SEWER&WATER INSPECTION ENGINEERING STUDIES ANO REPORTS WELL INSPECTION & FLOWTEST SOILTEST Date: CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED JUN 2 1997 Municipality of Anchorag. e Dept. Health & Human Servmes The septic inspections for t~e ~eferenced property were performed on ~-/D~/~7 and ~/~/~7 . Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection Report we are waiting for the Fo*~ ~ ? / ~ '~ / to be completed. If we may be of further service please contact us. Sincerely, 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 PAGE 1 OF 1 MUNICIPALITY OF 3ZNCHORAGE DEPARTMENT OF HEALTH AND HUF~AN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 kNCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970019 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:FRANK BETHARD, BETHARD CONST. OWNER ADDRESS:12801 REATA ANCHORAGE, AK. 99516 DATE ISSUED: 2/14/97 EXPIRATION DATE: 2/14/98 PARCEL ID:01113102 LEGAL DESCRIPTION: SUNDI LAKE BLK 1 LT LOT SIZE: 14900 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (iSAAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SANE DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ~ DATE: SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPOF~S WELL INSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOIL TEST ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. January 28, 1997 CIVIL ENGINEERS (607) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 2, Block 1, Sundi Lake Subdivision Request you issue a permit to drill a well and install a septic system to serve the proposed three bedroom house on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation no water was encountered in the test hole and after seven day ground water monitoring, the monitoring tube was found to be dry. This property has enough area for a future septic upgrade which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. ~owan, P.E. RCC/gk Enclosure 17034 NORTH EAGLE RIVER LOOP ' SUITE 204 · EAGLE RIVER, ALASKA 99577 SIJNDI o. 059 z~ PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: DATE PERFORMED:' ' ~4~ J/e _ ' ' ': I ownsnip, ~ange, Section: ,, 4- 5 6 7 8 9 10 11 SLOPE SITE PLAN iv~ L ~- / L. T WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? Dale: S L O 14- 15- 16- 17 18 19 20 PERCOLATION RATE ~' J (minutes/inch) PERC HOLE DIAMETER (~" TEST RUN BETWEEN ~' . FT AND ~ FT COMMENTS (.~/~/~,~zJ J'/]~?[-~ ~ ~ / 1)~/~7~ ~ ~'/~v~ ~Jt~ ~ ACCORDANCE WIT~O ~ ~L GUIDELINES IN EFFECT ON THIS DATE. DATE: / /~ ~ Reading Date Gross Net Depth to Net Time Time Water Drop '7- .~ o ~,~, ,~ T T (~ ? ~/~ A Division of DOWL, Incorporated AASHTO ACCREDITED CONSTRUCTION MATERIALS TESTING LABORATORY S & S Engineering 17034 Eagle River Loop #204 Eagle River, Alaska 99577 W.O.#A26811 May 24, 1996 Attention: Mr. Bob Cowan Subject: Particle-Size Analysis Lot 2 Blk 1 Sundi Lake Subidivision Dear Mr. Cowan: The pm~icle-size distribution of your soil was measured in the laboratory. The published methods for this test are: · AASHTO T-30, "Mechanical Analysis of Extracted Aggregate;" ASTM C 117, "Material Finer Than 75-pm (No. 200) Sieve in Mineral Aggregates by Washing;" ASTM C 136, "Sieve Analysis of Fine and Coarse Aggregates;" ASTM D 422, "Particle Size-Analysis of Soils;" AASHTO T-11, "Material Finer Than 75-gm Sieve in Mineral Aggregates;" AASHTO T-27, "Sieve Analysis of Fine and Coarse Aggregates;" AASHTO T -88, "Particle Size Analysis of Soils;" and AK DOT/PF ATM T-7, "Sieve Analysis of Fine and Coarse Aggregates." Alaska Testlab's standard procedure is in conformance with these standards, with tl~e following descriptions: · The coarse fraction of non-extracted soils is not washed unless the coarse particles appear to be significantly coated with fines; · The fine fi'action of the soil is always washed; · The plus 3-inch fraction is not routinely included in the test due to the large sample mass required for a representative sample; The estimated percentage of plus 3 inch material in the sample is shown on the test report; and · The mass of the coarse and fine test fractions are reported. The soil is classified in accordance with ASTM D 2487, "Classification of Soils for Engineering Purposes (Unified Soil Classification System)." The frost classification is identified in accordance with Crops of Engineers and Municipality of Anchorage (MOA) procedures. The test results are attached. If you have any questions regarding the test procedm'es or the results, please call. Sincerely, ALASKA TESTLAB Howard K. Weston, P.E. Technical Director 4040 B STREET · ANCHORAGE · ALASKA ~ S9503-SS99 · 907/562-2000 o FAX 907/9S~-3EI93 No. IO O,02mm Percent Passing by Weight 0 0 0 0 0 0 0 0 ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTtON & FLOWTEST ROADDESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE WASTEWATER D~SPOSAL SYSTEM DESIGN ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Lot 2, Block 1, Sundi Lake Subdivision January 28, 1997 GENERAL: The scope of this project includes the installation of a 1000 gallon septic tank and five foot wide drainfield to serve the proposed three bedroom residence for the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. e The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. EPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2e The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Se Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Lot 2, Block 1, Sundi Lake Subdivision January 28, 1997 e Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of .12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Lot 2, Block 1, Sundi Lake Subdivision January 28, 1997 MINIMU~MATERIAL SPECIFICATIONS: me Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. e The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Soli~ Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick burial polystyrene (Dow Chemical Company equal). extruded direct Styrofoam HI or Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the %200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever is required. Page Four Lot 2, Block 1, Sundi Lake Subdivision January 28, 1997 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2e The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. e The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. 2cpecially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/OWNER TO: Jim Cross Municipality Of Anchorage On Site Services Program Manager From: James White 8337 Sundi Drive Lot 2 Block 1 Sundi Sub-Division RECEIVED /V0V 1997 MUnicipality of Anchora Dept. Health & ,mR,, o- g.e ~ ...... of~rltlce8 Mr. Cross, This summer I installed a septic system in accordance with and meeting the specification of S & S Engineering. This is a owner installation system with myself being the installer. This location is my resident and is intended to serve as such, Lot 2 Block 1, Sundi Sub- Division, physical address 8337 Sundi Drive, Anchorage. My experience with heavy equipment is that of approximately five years of operating various types of loader backhoe style equipment (Case 580, Cat, and John Deer)~ My additional experience with excavation equipment consist of operating gradealls, Hitachi, and Cat. brand equipment. This equipment was use at ~,arious construction sites while working for Underwood Construction Company (not a local company). It should be noted that this septic system was constructed and inspected by S & S Engineering meeting all the required inspections of the Municipality. hire 278-2324 wk. U'd SOL~ 6ig A06 ~iN]O ONINIVNi 3~I~ ~O~J ~VgV: L L66[-~L--tL MUNICIPALITY Development Services Department " p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 011-131-02 1. GENERAL INFORMATION Complete legal description SUNDI LAKE BLOCK 1, LOT 2 Expiration Date: 2.'2 -2-0 2 Z -- Location (site address) 8337 SUNDI DRIVE, ANCHORAGE AK 99502 Current property owner(s) JIM & DIANE WHITE FAMILY TRUST.... Day phone Mailing address Real estate agent 8337 SUNDI DRIVE, ANCHORAGE, AK 99502 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ .550 Date of Payment✓�s0 Receipt Number COSA# a5G21158Q Waiver Fee $ Date of Payment Receipt Number 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 09/30/2021 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 s � �S�I� these various and dynamic characteristics and are outside the control of the evaluator of the ^� well and septic system. Therefore, any estimate of how long a system will function satisfactory ��Q: • • • • • :1 for current or future occupants or guarantee that no unseen encroachments, deficiencies or /fig•• •.9 discrepancies exist can be given by First Water Consulting & j *: -rH '.* - FWfS 6. DSD SIGNATURE I, . - '•'v Curtis Huffman System #1 Approved for bedrooms �+��F,9�s•• CE 128991�� System #2 Approved for bedrooms �ill��PROF SS10N��?� Disapproved Conditional approval for bedrooms, with the following stipulations: av\. ck� SL C v C S i �.�% W(I_ S S C� ' 1 ��<<<t OF �rrf' t VXQA !R�cl. _TLx 7��i�� V' VLA •S ` � �� AN �- I ASTr_�,�A1E o1 J JG� pR0 p�� 1 I� 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 _ Ste(�-�w�� ot-d a- i ol, Legal Description: SUNDI LAKE BLOCK 1, LOT 2 Parcel ID: 011-131-02 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 3/19/1997 Total depth 213 ft Cased to 213 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 36+ in. Date of flow test for COSA 9/28/2021 Static water level at beginning of test 58 ft. Well production at time of test 6+ gpm Comments B. TANK DATA Age of tank(s) 24 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 9/27/2021 D. ABSORPTION FIELD DATA Which system tested (date installed) 5/22/1997 ® ALL standpipes present per record drawing Total measured depth from grade 11.1 ft (max) Measured depth to pipe invert from grade 8 ft (min) ❑ N/A — pressurized field Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic 75.6 ug/L ❑ Arsenic less than MRL (ND) Collected by NES� - - Date of Sample 9/28/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 9/28/2021 Results 2 Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 460 gal New depth 1 in ® Monitor tubes go to bottom of effective. If not, state Elapsed time <5 min depth into effective 3.1' OF 3' ED ®Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons F�, Comments/Deficiencies: >, 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' IN Yes if No ft Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes _ if No ft ®Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' IN Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells >' 100 _ ®Yes if No ...Water Main >10' _ Yes if No ft Community Wells > 200' ®Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line> 10' Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' Water Service Line > 10' ® Yes if No ft Community Wells > 200' Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that l 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. ® Yes if No ft ® Yes if No .�. ' OF AL, g1�ll r/low,Q.. .. .. .... ......... Curtis Huffman �� '�C�•. CE 128991 .•��/� � ,1��F0PROFEs QAO%�d..� ft ft www.muni.org/onsite Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 211589 Subdivision: Sundi Lake Block 1 lot 2 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 24 years old. Typical replacement costs range from $9,000 to $12,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. Mailing Address P O Box 196650 *Anchorage, Alaska 99519-6, 50 *www mum org J DEVELOPMENT SERVICES DEPARTMENT � On -Site water and wastewater Section www.muni.org/onsite Arsenic Advisory Certificate of On -Site Systems Approval # SOC211589 Subdivision: Sundi Lake, Block 1, Lot 2 907-343-7904 Fax: 343-7997 A water sample revealed an arsenic concentration of 75.6 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/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. Information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailmg Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org 1k I Legend NOTE: RE %\ BEARING o� General Notes X Electric Meters )--1Telephone Pole 1. LTA Tel. Pedestal ��;f Mailbox A LE\ Elec. Pedestal -XE- Light Pole 2. tS; Septic � Deck 0 Found 11/2" ALCap 3 lw; Water Well �el" Over Head Utilities Gas Meter 0 Found 5/8" Rebar® Found 5/8" Rebar w/ YPC w �E 21Z.yc N8Y° 12 Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. This document is created by Frontier Surveys for the purpose of an as -built survey for Stevi Alford, only. This document is based on Plat No. P-112, Anchorage Recording District. Lot 2, Block 1 Sundi Lake Subdivision No. 0.6 Acres +/- (Record) 8337 Sundi Drive 2 Story Wood Frame House With Attached 3 Car Garage Disclaimer 1. This survey complies with the ASKS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. 0 12.5 25 50 Scale in Feet Z' 100' WELL RAAD��S / / ,�� O F• A��s�,,I 4 H i • • • - • - . - • • Pier M.St Bier •� i N .LS -9812 ••• '/� C�JJ, • • . 10/19/2021 `'-ROt1S� ON�� y H2O 1-2021 / lz N GE. A L U, HP, L kA, RE t-' E P, : �', 109 - D L/Al<,E - Aa A: pas. VIA -1 5A�iN1 D NP I 12 L -F LA KE Y- lz N GE. A L U, HP, L kA, RE t-' E P, : �', 109 - - Aa A: pas. A J AC, LA KE 10 Ac, lz N GE. A L U, HP, L kA, RE t-' E P, : �', 109 - - Aa pas. AC, lz N GE. A L U, HP, L kA, RE t-' E P, : �', 109 - MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section -P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# OII- !'~/ -O ~ 1. ~GENERAL INFORMATION Corn ;)lete legal description Location (site address or directions) ~ ~,~' ' Property 4, owner Mailing address ' ~'--d .. Lending agency :, Mailing address Day phone Day phone ,, Agent Day phone. Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: -'~ ~' 3. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ' lng to the legality and status of system. 4. TYPE oFWAsTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public Sewer NOTE: 72-025(Rev, l/91) Front MOA#21 If communit) wastewater system; ~)rovide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I 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. S & S ENGINEERING Name of Firm ;7034 "--'*~*~"" ' """ D,,,,,,I ~. ~l~ Address Eagle River, Alaska 99577 Engineer's signature ..... ~ Phone Date I, /,,-///¢~ 7 DHHS SIGNATURE Approved for Disapproved. Conditional approyal for bedrooms. bedrooms, with the following stipulations: Additional Comments Date///-2/ -¢7 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 DH HS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72~25(Rev. 1/~1) Back MOA#21 . Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4TJ~ Health Authority Approval Checklist LegalDescription: LOT` ;Z I~£ot,~< I $..,,vol '4/~,'Z ParcelI.D.: 0// A. WELL DATA Well type Log present {~/N) ¥~ j- .Date completed Total depth Sanitary seal (~N) IfA, B, or C, attach ADEC letter. ADEC water system number Casing height (above ground) Wires properly protected ~/N) ~ ~- 5 FROM WELL LOG Date of test ~ ~ / ~ / ~ 7 Static water level [' ''~ ~ Well production &~O '/- g.p.m. AT INSPECTION WATER SAMPLE RESULTS: Coliform Date of sample: O Nitrate Collected by: B. SEPTIC/HOLDING TANK DATA Date installed -~-/;~Jq 7 Tanksize Foundation?eanOUt (~N).~ ~'/~ J' Date of,~pumpin~ ~//'~' L ~.~,~ Pumper C. ABsORp'~'ION FIELD DATA ' }: Other bacteria S & S ENeINEERING Eagle River, Alaska 99577 ] 0 e O Number of Compartments ~, Cleanouts ~/N) ~J Depression (Y/~ /,/O High water alarm (Y/~) /v o Date::installed ,~'/.2 ~ / ~ 7 '; Soil rating~or ft2/bdrm) ). 03. System type $~/'~ ~'~' Length'. ~ ~ / / · · Width / ~ Gravel thickness below pipe ,~ Total depth Effective ~bsorption area ~ '-7 ,~ ~ Monitoring Tube present ~/N) ¥~: J Depression over field (Y~ Date of adequacy test /~/~ ~ ,-'.~' Results (Pass/Fail) For Fluid depth in absorption field before test (in.); ~er added (in.): Fluid depth ~~s.o. rption late .='- g.p.d. Peroxide tre ast 12 months) (Y/N) If yes, give date bedrooms 72-026 (Rev. 3/96)* LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pu~ High water alarm level at* ~ *Datum E. SEPARATION DISTANCES "Pump off" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/ho[ding tank on lot Absorption field on lot ) 8 o -/- Public sewer main /~ Sewer/septic service line On adjacent lots On adjacent lots '~ ~ cO Public sewer manhole/cleanout Lift station 14)O '¢ SEPARATION DISTANCES FROM SEPTIC/HOLDiNG TANK ON LOT TO: Foundation ;-~ ~' Properly line ~l Absorption field Water main/service line /0 -4 Sudaes water/drainage /OtJ '~ Wells on adjacent lots SEPARATION DISTANCE FROMASSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain Building foundation Water main/service line Driveway, parking/vehicle storage area Wells on adjacent lots ) ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal recorC~...~,~g a'~6Y~..~C4~s are in conformance with MOA HAA guidelines in effect on this date. Date il /97 HAAFee $ b/~' Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Peyment Receipt Number ' ,~I/L~ CT&E Environmental Services Inc. CT&E Ref.# Client Name Project Name/# Client Sample ID Matrix Ordered By PWSID Sample Remarks: 977021001 S & S Engineering Lot 2, Blk 1 Sundi Lake Lot 2, Blk 1 Sundi Lake Drinking Water Client PO# Printed Date/Time 11/19/97 09:37 Collected Date/Time 11/13/97 11:00 Received Date/Time 11/13/97 11:15 Technical Director: Stephen C. Ede Results PQL Units Method Allowable Prep AnaLysis Limits Date Date Init Nitrate-N Total CoLiform 0.100 U 0.100 o~/L EPA 300.0 10 max 1 OB/ 100 mt/ NO COLI $M18 9222B 11/13/97 ~CP 11/13/97 l~u