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HomeMy WebLinkAboutLANDES LANDING LT 2BOnsite File Lanaw. L.And I son LO eG in is Mmk I � M,U-Se 3 tie Formerly Landes Landing Lot 2Q ^e� Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 A Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: Sk %0(),7) .9(00/ PID Number: ��;� ""� 3'-a0 Name: Wastewater System: M/New ❑ Upgrade Address , ll roti O I li'` A 11 ht ll i ABSORPTION FIELD Phone: No. of Bedrooms: Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound E) Other LEGAL DESCRIPTION Soil Rating Ic2) Total Depth from original grade: 10 GPD/SqrW. Lot: Block: II Subdivis��i//ppn: r( R o el u ` ` `lLl Pty`i�� C�r� r lA fl r�.V� Ti'1 n rl.i uv5 Depth to pipe bottom from original grade: - Ft. Gravel depth beneath pipe % Ft. Township: n Range: Section: ry Fill added above original grade: Gravel length: 3 J :z: Ft. � Ft. .�/� WELL: NNew El Upgrade Gravel width: � Number of lines: Distance between lines: Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: Ft. Ft. 3d.2 SQ. FL oc� L Driller: I Date rifled: Static Water Level: Installer: / Date Inst fled: /"7, q 30 Ft. G r e-c'LD Yield:nn _ a5 Pump Set at: / Casing Height Above Ground: TANK GPM UU'J7® Ft. Ft. SEPARATION DISTANCES _ Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: �— mclt-1 -r4 f Capacity in gallons: Y' /tomen From Tank Field Station Tank Sewer Lines / 5 0 Well- J�J I f' ! is, Material: / / 1 ��• L. Number of Compartments: Surface Water y �I) LIFT STATION Lot I' 1 Size in gallons: Manufacturer: Line >5O y,y ?) Foundation 5' 5f 15' "Pump on" level at: "Pump off' level at: High water alarm at: Curtain Pump Make & Model Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: r, Assumed Elevation: C?.V J� Et ENGINEER'S SEAL Inspections performed by: S Dates: 1st 2nd ­111g& ,)-Ult- Departmentof Heal and M@ Services approval / Reviewed and approved by: ti Date: 72-013 (Rev. 9/91) MOA 25 tj i I I I 25 I 0 25 50 75 100 125 150 SCALE. I` = 50 FT. I REPLACEMENT TRENCH SWING TIES AB AC BC AD I BD AE BE AF BF I w� 49th PEN SPURKLAND No. CE -2225 d 56 FT 33 25 39 30 50.5 61.5 20 51 2nd. REPLACEMT. i i I 1 I I I DRIVEWAY I 'l� P /MARY TRENCH I TOTAL LENGTH 38 FT TOTAL DEPTH 10 FT ROCK DEPTH 7 FT 1250 GAL. SEPTIC TANK I'.'.' E A .RE DE /AL, SINGLE FAMILY D B'a ENCH M K4+'+'+'•'•'•'4' Well /— I I LOT 2 LANDES LANDING iuoorry 3ruMNLHrvu r.t. Y' 7.03 W 15TH. AVENUE SEC. 2 3N 1 712N R' SEPTIC SYSTEM AS BUILT ANCH. AK. 99501 GARY LANDES DATE: JULY 28, 1996 (907) 279-3916 11 3500 OWALLEY ROAD SHEET: 2/3 GRID: 2635 m n G A Z n Clean Out Monitor 5 0 STANDARD c a TRENCHES: V P' Vide SCALE 38' Long a 10 Deep 0 o�' OF .....,q�� 1♦♦♦ 7' Sewer rock 3 �;'''•� 3' Cover .e s ♦♦ �;° IP50 gal Septic tank w 49th 0 10 s �t;pr Clean �(,/t n, S 0.�...:................... '� TOB N SPURKL AND �0 O ♦♦Cf �� NO. CE -2225 gyp' =moi ♦♦ -% ,+� ESr�e���•�• Cleanouts -. A Monitor z \ i 951 90t '— 1=fiE(11=fi1-11­7=1T711 = I I� T—III—III— II—III—IL II—III—I III II: 11-11110 T_I—I W—]—I III —I I1= ]_ lE 0.51 /E 90.74 Mira f i 4 iE 86.6 79.6 79.6 7.0 Ft of Sep is Rock 6 I250 gal, septic tank NV SCALE 75.10 BENCH MARK. LOP BLOCK ASSUMED ELEV 100,00 TOBBEN SPURKLAND P.E. 7 C 7 LOT 8 SEC. /.,1, TI21V�T 77�� 16eJIl SEPTIC SYSTEM AS BUILT 203 \415th Ave , GARY LANDES DATE: JULY 28, 1996 Anchorage Ak 99501 5500 O'MALLEY ROAD SHEET; 3 3 GRID: L9635 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960072 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. OWNER NAME:LANDES WESLEY K & BEVERLY R OWNER ADDRESS:3400 OMALLEY RD ANCHORAGE, AK. 99516 PARCEL ID:01527320 LEGAL DESCRIPTION: T12N R3W SEC 21 LT 8 LOT SIZE: 192970 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 5/10/96 EXPIRATION DATE: 5/10/97 kA ) 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: TRENCH MUST FOLLOW CONTOUR, SHOW ALT. SITE ON ASBUILT AND SUBMIT WITH INSPECTION(ZtW097? RECEIVED P ISSUED BY: DATE: (a "/0." DATE: 661M l( 4110%i 203 W 15th. Avenue, Suite 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 SEPTIC SYSTEM DESIGN LOT 2 LANDES LANDING (LOT 8 SEC. 21, T12N R3V) Gary Landes No Ground Water or Impervious Layer to 16 ft. Use Standard Trench Soil Rating. 3.5 min/in = 1.2 gal per sgft. No. of Bedrooms 4 Required Area per Bedroom: 15011.2 = 125 sq.ft.. Total area required: 4 x 125 = 500 sq. ft. Finish Floor Elevation 100.00 Ground Elevation at Absorption Field 9 5 Testhole Total Depth 16 Elev. of bottom 79 Bottom trench elevation 85 Rock Depth 7 ft Top of Rock Elev. 92 Length of Trench 500 / 2x7 = 35.7 ft SYSTEM CONFIGURATION STANDARD TRENCH TOTAL LENGTH 38 FT TOTAL WIDTH 2 FT TOTAL DEPTH 10 FT ROCK DEPTH 7 FT COVER 3 FT SEPTIC TANK 1250 GAL The installation of this septic system will not prevent wells from be installed on the adjacent lots. There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots. The proposed septic system will not change the general slope of the area. There are no slopes stepper then 25% within 50 feet of the proposed septic system. The septic system will be installed parallel to the slope. Ponding and/or concentration of surface runoff will not result from this installation. T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907)279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 820 I Street Anchorage, Alaska 99501 Subject: Septic System Permit Lot 2 Landes Landing Gentlemen; March 25, 1996 Attached is an application for a septic system permit for Lot 2 of Landes Landing S/D. This is a proposed subdivision currently under review by the Municipality. Mr. Landes currently occupies a residence located on the proposed Lot 1. This residence was constructed in 1968 and is served by an undocumented well and septic system. The well is located less than 100 feet from the septic tank in a location that restricts a possible upgrade or replacement of the existing septic system. To satisfy both Municipal and State requirements, Mr. Landes intends to drill a new well on Lot 2 that will serve both Lot 1 and Lot 2. A separate application to Construct will be submitted to ADEC for this well. The existing well will be abandoned at the completion of the new well. Yours T. Spirkland P.E. Cc Keven Kleweno P.E. ADEC TMALLEY RO D il N112 LOT 9 �Q L Lor 9A o -_77— .-.- ELM LOT -A z ' CD >. L r0 9 \ Lar � L �� I � • ..: z I carr --- - � I C-3 ELM LOT 25 C 9� Lir ��.�. 1 �F /� 14#, � 4 ¢ ire,, AV #0 r..... �%�f. — ........................... .• .a'.T..❑ ....,•�V, ........�ti:.. ..... .�..: — ..PU.........�.. EN RKL �♦���:...• NO. CE -2225 ♦• \` / 75 0 75 150 225 300 375 450 SCALE- 1" = 150 LOT 2 LANDES LANDING TOBBEN SPURKLAND P.E. 203 W 15TH. AVENUE LOT 8 SEC. 21 T12N R31Y SEPTIC SYSTEM DESIGN ANCH. AK. 99501 _ GARY LANDES 5500 O'MALLEY ROAD DATE: MARCH 22, 1996 SHEET: 1/3 GRID: 2635 j xT lel I I I I I ,I, PROPOSED CLASS C WELL TvE 4 25 1 0 25 50 75 100 125 150 SERVE BOTH LOT 1 AND LOT 2 SCALE I" = SO F7. ABANDON EXIST WELL ON LOT 1 I �1 w6w�� OF q<5�� EXIST. DRIVEWAY w w�P .... ......... .: �� o. wwC j •'••• IAV S 1 AV49th �� ............................... j...r..... 0 I ff • ••'�,, PRIMARY TRENCH y Tgp I v I ,�BBEN SPURKLAND No. CE -2225 •'�_� TOTAL LENGTH 38 FT. •., w TOTAL DEPTH 10 FT 1 +� a��p�OFESSIO:�+�wREP1_ACEMENT TRENCH ROCK DEPTH 7 FT I1250 GAL. SEPTIC -TANK I Q \ I S I4 4 . PROPOSED 9-BEDR0011 RESIDENCE EXISTING BUILDING PAD LOY' 2 LANDES LANDING ITOBBEN SPURKLAND P.E. I I LOT B SEC. 21 T12N R31Y II SEPTIC SYSTEM DESIGN I 203 W 15TH. AVENUEANCGARY LANDES DATE: MARCH 22, 1996 (907) 279-3916_ AK. 99501 3500 O'MALLEY ROAD SHEET: 2/3 GRID: 2635 (9071 Mira Fi 140 7.0 Ft of Septic tandard Trenches L' Wide 38' L ong 10' Deep 7' Sewer rock 3' Co ver 14' NO SCALE Monitor Clean Out REPLACEMENT TRENCH (Yon nni if c 0 0 0 Clean Out c 0 1250 gal Septic tank c c o � a s � L° 0 q PRIMARY TRENCH OF .............. 49th ^.• TUEBEN SPURKLAND C f' •• No. CE -2225 �'•� c1� _ � ��, •.,••• • .••••••mow ,♦ � FESS�-�����' IVU JLHLL Ground ver ?k BE -NCR MARK, GARAGE FLOOR ASSUMED EL EV. 100.00 TOBBEN SPURKLAND P.E. 203 W15th Ave LOT U SEC', 21> TI2N> R3W SEPTIC SYSTEM DESIGN Anchorage Ak 99501 GARY LANDS DATE. MARCH 22, 1996 X79 -391C 3500 O'MALL£Y ROAD SHEET. 3/3 GRID: 8635 7. C �r Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST dpi h;,'�nc°°ov...� "r. •^j) C" C • h� nA I moi. ..11 6' JJ •v G .voaa nen anvv se •• z7 i nc T >bm7 spvrkland ! PERFORMED FOR: 6ptV—�-1 kNtat 5DATE PERFORM LEGAL DESCRIPTION: Lo j��a pg,^ k Township Range, :,action; SEC DQtH I cSLOPE slTa h la�i I tt'e y t LAA -id i w COMMENTS WAS GROUND WATER KNCC)tINTPRPn� PERCOLATION RATE - (minutes/inch) PERC HOLE DIAMETER 6 1( Y r TEST RUN BETWEEN FT AND b FT Y r PERFORMED BY: S I Cj CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) S IF YES, AT WHAT L -- O DEPTH? P _ E Jeplh to Water Aller Monitoring?t' _bale: Reading Date Gross Time Net Depth to Net Tlme Water Drop L� � PRS s o 3 y�o 3/ ✓ 3 PERCOLATION RATE - (minutes/inch) PERC HOLE DIAMETER 6 1( Y r TEST RUN BETWEEN FT AND b FT Y r PERFORMED BY: S I Cj CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 'v1 -VV DMILLM3, Inc, P.O. Sox 1103>8 ' 10310 Old Sdward Highway (907) 349-8535 ANCHORAGE, ALASKA 99511 Well Owner -LESLEY K.DRILLING LOG AND �_.,F,E yCRL Y R, LAI= gpES`` ` Location (address of: Townshi - '- Use of We11�1IIM,�T1L,_ LOT 2, LANpES LArIGIhIG, p' fiuz,$e Seetien, if known; Y12N, "W, SLC2I or dfstance n;ain zoa LOT B: 10935 CANG!_ STREET`---- Size of eas1n8-6__L)epth of Hole ---��• Static Water leve —62 --feet eet Screen 1�-� _ft. (ak?X2) (below) land surface. Perforated ( �-Meet Cased, ta�50. I inlsh of well (check one) open enc] ( ); ) X )t Deseribe screen or perforation_ �N/A _ We11 pumping testa 5 — �.,_ is of drawdown 8alevel poi from static level, Date of completion i Depth in feet from ground surfsee 2 ATO. 9 TO -1-8— - 2Lfi _-TO_.__lL£___ �10G TO 142 R+Q197 197 TO_ 206 —A'06 To 220 ?20 TO Z22 X22 234 234 240 240 2590 (minute) for---I-____hours With _ 1QQ WELL LOG Give details of formations penetrated, size of material, color and hardness slNc srlcK UP - n,RGgNjC TOPSDr X�; CLAYEY GLAY:_BROWN� SILTY ILT, GRAvE LY 7*7777. r, rivr,. CLAY_ GREY, SILTY, GRAVELLY ---SILr WITH GRAYLL LENSES � R ----- _ - _ _T GRAVE�'�: CLAYEY, COBBLE`( DA1�1p~ __1 JUL ',1 199 � _ CLAY�STICKY, SILTY — YMunicipality t_)ncMrne- -- -- - — uma_n Services WATERBEARING GRAVEL: SILTYe$I}� 4 C L A Y W I T H Get Y E _h ME S __-e.__•__-� � WATERBEARING GRAVEL: SILTY WATERBEARING GRAVEL; CLEAN 3--C0NTRACT()n NO— My PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW960138 DATE ISSUED: 6/24/96 DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. EXPIRATION DATE: 6/24/97 OWNER NAME:LANDES WESLEY K & BEVERLY R OWNER ADDRESS:3400 OMALLEY RD ANCHORAGE, ALASKA 99516 PARCEL ID:015273i0L9_� LEGAL DESCRIPTION: T12N R3W SEC 21 LT LOT SIZE: 192970 (SQ NUMBER OF BEDROOMS: C FT.) 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: a Lra c)e _c_s C�andl_A_ K_a� 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED B ISSUED BY: DATE: 2 6 DATE: 4�& T.SPURKLAND P.E. 203 W. 15th. AVE. SUITE 203 ANCHORAGE, ALASKA 99501 (907) 279-3916 Fax (907)-276-6013 Municipality of Anchorage Division of Environmental Health Department of Health and Social Services 8201 Street Anchorage, Alaska 99501 Subject: Well Permit Lot 2 Landes Landing Gentlemen; June 11, 1996 Attached is an application for a well permit for Lot 2 of Landes Landing S/D. A ADEC permit to construct a Class C well was issued on April 25, 1996, ADEC Project No. 9621 -DW -085-120. A septic system permit was issued by the DHSS on June 10, 1996. SW960072. It has been established that both the well and the septic system serving the existing structure on Lot 1, are in compliance with both State and Municipal regulations. This was not apparent due to snow cover and frozen ground in March. Because there are no code violations, and a replacement septic system can be installed on lot 1, without relocating the well. Mr. Landes desires to install a single family well on lot 2, at the location shown, and keep the present well on lot 1. The location of the proposed single family well does not interfere with any existing systems on the adjoining lots, nor does it prevent further development or subdividing of Lot 7. Yours T) T. Spurk and P.E. Cc Keven Kleweno P.E. ADEC Parcel LD, 015-273-75 ilp [ F 8 t,t Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Expiration Date: �D Landes Landing, Lot 2B Location (site address) 10935 Cange St. Current Property owner(s) Daniel Neumeister Day phone Mailing address Real Estate Agent 10 W. Read St. Baltimore, MD 21201 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual ❑ Individual Water Storage ❑ Holding Tank ❑ (`nm mni4v (`hec C� .,.,.. ..y .... .ell Ix 1 a (.nmmnnity ...,...,....,...� n Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: Date: COSA to be released to the engine r, a ass otherwise requested by the engineer. r COSA Fee $ 5240. u' Date of Payment la`ra(ty Receipt Number OgR1 -C7 COSA# ©Sc iqLto3& 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 (arp) 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE I-� System #1 Approved for 4 bedrooms System #2 Approved for bedrooms Disapproved Phone (907)272-8218 Date 10/5/2014 Conditional approval for bedrooms, with the following stipulations: By: Original Certificate Date: Theapof chorage 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 7 ,. If more than 1 septic system is on the lot: COSA Checklist # 1 of + Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: Landes Landing, Lot 213 Parcel ID: 015-273-75 A. WELL DATA Well type Class 'C' If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 7/13/1996 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y Total depth 250 ft. Cased to 250.62 ft. Casing height (above ground) 18+ in. Date of test Static water level Well production FROM WELL LOG 7/13/1996 133 25 ft. R WATER SAMPLE RESULTS: Coliformcolonies/100 mL Nitrate A)D mg/L Arsenic t/1) ug/L Date of sample: 12/5/2014 B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Steel AT INSPECTION 12/4/2014 161 5.4+ Collected by: PES ft. 9 - p.m - Date installed 7/18/1996 Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping 12/4/2014 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed /18/1996 Length 38 ft. Soil rating (g.p.d./ftZ or ftZ/bdrm) Width 2 1.2 GPD/SF ft. System type Deep Trench Gravel below pipe 7 ft. Total depth 10 ft. Eff. absorption area 532 ft2 Monitoring tube Y Depression over field N Date of adequacy test 12/4/2014 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 62 in. Water added 654 gal. New depth 78 in. Elapsed Time: 280 min. Final fluid depth 62 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed Size in gallo Manhole/Access (Y/N) "Pump on" level atPumpoff" level at in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 50+ On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 110+ Water Service line 10+ Curtain drain 50+ F. COMMENTS Surface water 100+ Wells on adjacent lots 100+ Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ 5 CStM 0A s ��t p2ox-NIv1 e �Y –2,5rTs L' c �.yu -Al �c G. ENGINEER'S CERTIFICATION 1 certifythat 1 have determined through field inspections and review of Municipal records that the above systems are in ---M ' TH *� conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone fl—.Ie've'n k aurone - 12/5/2014 ��� CE -8149 Date �h; iL. ,. G COSA brown sheet -1 0-10-1 2.doc Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. .015-203-14 ' COSA# Oq C36A Expiration Date: 1. GENERAL INFORMATION Complete legal descripti Location (site address) Current Property owner(s) Iles L4+Kle4 Day phone 34y' 1/5.0 Mailing address Lending agency Mailing address Day phone Real Estate Agent 5e -v be, /3 r Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site 0 Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. was (DI S. OL (off 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the 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 SDVA16A &9irwrino Phone 279-79/fo Address Engineer's Printed Name 5. DSD SIGNATURE L-`� Approved for Disapproved. bedrooms. Date /O 0 ��•QF A.Cq`ll LARS E.E. SPU�� 1% 5 0 i Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: / O — z % — O (Rev. 7705) Municipality of Anchorage e Development Services Department Building Safety Division ' --- On -Site Water & Wastewater Program ' • ' " 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: LAOL &nd,ru (.or 2 C� Parcel ID: 015-Z73-;& A. WELL DATA Well type Res If A, B, or C provide PWSID # = Well Log (YIN) Dale completed Sanitary seal (Y/N) Wires property protected (YIN) y Total depth X50 ft. Cased to 250 ft. Casing height (above ground) 12 + in. FROM WELL LOG Date of test JL. 14 13 M& Static water level Gnitnown It. Well production 25 g.p.m. WATER SAMPLE RESULTS: Coliform _0_cotonies/100 mL Nitrate MD 'mg/L Arsenic: AID ug/L date of sample: B. SEPTIC/HOLDING TANK DATA � TankType/Material nc�,Ora -rant,1- Site) Tank size 1250 gal. Number of Compartments AT INSPECTION J41y-� 911001 1 b6 n. i , g.p.m. Other bacteria colonies/100 mL Collected by: LA'S S�uL�larc' Date Installed 1� 19Y(o Cleanouts (Y/N) Foundation cleanout (Y/N) y Depression over tank (Y/N)/✓ High water alarm (Y/N) Date of pumping 10 9 04 Pumper Ai Stfui ty C. ABSORPTION FIELD DATA Date installed ri 1446 Soil rating (..d./it)r ftt/bdrm) 1.2 System type DEEP Tend Length 3g ft. Width 2 ft. Gravel below pipe ft. Total depth ft. Eff. absorption area 5 ft', Monitoring tube Depression over field N Date of adequacy test Results (Pass/Fail) 9A15 For -i— bedrooms Fluid depth in absorption field before test 20 in. Water added 900 gal. New depth 54 in. Elapsed Time: Lmin. Final fluid depth 3a in. I' Absorption rate >= b00 g.p.d. Any rejuvenation treatment (past 12 me.) (Y/N & type) Mune kAown If yes, give date D. LIFT STATION Date installed Size In gallons Manhole/Access (Y/N) 'Pump on' level a In. 'Pump off' level at in. High water alarm level in. Datum Cycles tested Meets alarm & circu equirements9 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100r + Public sewer main NIA r Sewer /septic service line Z 5 + On adjacent lots (OD + On adjacent lots 1001t- Public 00rtPublic sewer manhole/cleanout NIA Holding tank /V/A Animal containment areas 50+ Manure/animal excrete storage areas ICD + SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: r Building foundation 5+ Property line 5t Water main A11A Water service line _ Wells on adjacent lots IDOrt Absorption field 5 t r ID +• Surface water 100't SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line IOr+ Building foundation 10 a Water main N�A Water Service line 110r+ Surface water 100x+ Driveway. parkingIvehicle storage 10 + Curtain drain 50+ Wells on adjacent lots IDD rt F. COMMENTS ,`v....... G. ENGINEER'S CERTIFICATION - A,-'.0. (I I certify that I have determined through field inspections and 49TH � ; , , �, review of Municipal records that the above systems are in 10 i conformance with MOA COSA guidelines in`` effect on this date. a KLA\7.4v j Engineer's Printed Name Leys ua.R` a+�cS ((' � 2 U 0 Date lol}loy I11 Z) COSA COSA Fee $ Waiver Fee $ Date of Payment 1`40ZVD" Date of Payment Receipt Number �� �l Receipt Number (Rev. 11105) 30' I "QO `'•. LS -9020 3400 O'MALLEY RD O<J�°ap LOT 1 ��OO0000� Landes Landing Subdivision Plat 96-39 (D� N89'59'21"W 299.88' R}� Call xr I C x 8 i N89'59'21"W 199.00' I o I I CENTERLINE ' LOT .7 OF ACCESS 194,669tsq.ft AGREEMENT - I I I of b I o ml LOT 2A LOT 28 I+ `° o > 1 I� CI 45,590 Sq.Ft. 53,399 Sq.Ft. Im as :. co 07 co �p z I of 10935 CANGE ST I> w _ • ~I I(A �_ I �I IZ q (A fes^ I to ' ::.m. CLI I Ct I o I Z r � y°fq >:I 52.0 I Y I to I i it I 30' L----------- ----J 110.00' 10' T&E EASEMENT 189.85' S89'59'21"E 299.97'(R) LOT 4 g 11015 CANGE ST 9 LOT 25 T12N R3W Sec 21, o -- Lot 25 N1/2 Nt/2 NOTE: 1 t7 • . • 1) TMS DRAVANO IS NOT TO BE MODIFIED FOR USE AS A PLOT PLAN. V v Qj D 0 2 A As -Built of e>.Londes Family Investments Lot 213, Landes Landing Subdivision (Plat Legend: Found septic standp4e 0 2009-29, A.R.D.) & 3/e-1te w/cAPp 5/r RB O water'w.a ® Lot 7, T12N R3W Section 21 a25• AL -MON. �11aNUuo1T 40 ill pd; X— existence I eny easements. oovenonte, or restrictions wnsn do not appear on the rKereon be used plot NOTE: Under no dra lshing ee L& should any data Mnan be used for oanetOJ d for ataWlehlnq property hose. LAND & CONSTRUCTION SURVEYORS—PLANNERS—ENGINEERS SURA CERymeATION: LANTEat has conducted a phydcd survey of this prowy as 440 West Benson Boulevard, Suite 200 Phone: 562-5291 thw oJ" MN the ppan ropwtyBines mthat no�encro encroachments exist Othw Anchorage. Alaska 99503 Fax: 561-6626 than noted. Plat: 2009-29 loft SW2635 oats October 09, 2009 Drawn Bx TH worh order 2007S11 jftft. - sade 1"-50' lChaded By JMZ OCT -20-2009 TUE 01:14 P11 ULLT 7113 V 907 762 4952 P.001 ENCROACHMENT PERMIT 1203-21A G-2635 EN09049 015-273-75 This permit is between Chugach Electric Association, Inc., an Alaska non-profit electric cooperative, (herein "Chugach"), whose address is P. 0. Box 196300, Anchorage, Alaska 99519 and Landes Family Investments (herein "Permittee'), whose address is P.O. Box 190107, Anchorage, Alaska 99519. 1. Easernept. Chugach is the grantee or user of an easement for the construction and maintenance of electrical facilities, as follows: Dedicated by the plat of the subdivision known as Landes Landing Subdivision, according to Plat Number 2009-29, recorded on the 61h day of April 2009, on file in the office of the .^ District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Easement'l which pertains to the following described teal property: The East Ten Feet (E 101) of Lot Two "B" (2B), Landes Landing Subdivision, according to Plat Number 2009-29, recorded on the a day of April 2009, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, Pcrmittee acknowledges the validity of the Easement. Permittee warrants and represents that Permince is the owner of the fee simple interest in the land subject to the Easement and the following described teal property to which the Easement is adjacent: Lot Two "B" (2B), Landes Landing Subdivision, according to Plat Number 2009-29, recorded on the 6"' day of April 2009, on file in the office of the District Recorder, Anchorage Recording District, Seward Meridian, Alaska, (herein "Parcel") Encroachment Permit - Page 1 of 4 OCT -20-2009 TUE 01:14 PM WHOM 21 901 162 4852 P. 002 2. Encroachment. Permittee has constructed or purchased the following improvements on or within the real property subject to said Easement: A water well, that encroaches approximately Two Feet (2') into said Easement for a distance of approximately One Foot (1'), (herein "Encroachment"). 3. E=h. Chugach hereby authorizes Permittee to continue the existence of the Encroachment in its existing location subject to the covenants set forth in this permit. 4. Indemnification Permittee shall indemnify and hold Chugach harmless from any claims for personal injury, property damage or other loss arising in any way from the continuation of the Encroachment. 5. No Expansion or Increase. Permittee shall not in any way expand or increase the extent to which the Encroachment occupies any of the real property encumbered by the Easement without the prior written consent of Chugach. Chugach has no obligation to provide such consent. 6. No Interest in Real Estate Acquired. Permittee hereby acknowledges that the Encroachment and any additions thereto, even if in violation of this permit, has not and shall not in the future give rise to any interest or estate in the real property subject to the Easement or any other /—'s real property. Without in any way limiting the foregoing, Permittee acknowledges that the Encroachment is not adverse to any interest of Chugach and its continuation is entirely with the permission of Chugach forpurposes of the common law doctrine of adverse possession. This permit creates no interest in the real property subject to. the easement. 7. Modification of Utility Facilities. If the electric utility facilities located within the Easement are upgraded, added to, replaced or reconstructed, Permittee shall pay that portion of Chugach's total costs for such modification which is reasonably attributable to accommodating or preserving the Encroachment. If suchpayment is not made within thirty (30) days of written demand for same, Chugach may terminate this permit In accordance with paragraph 9, below. 8. Covenants Runnina with the Land. The obligations of the Permittee arising from this permit shall be covenants running with the land which shall burden the Parcel and the Permittee's interest in the land subject to the Easement and shall benefit the Easement. 9. Termination. Chugach may terminate this permit after the giving of thirty (30) days written notice of such termination if: a. The Encroachment is enlarged, increased or extended within the real property affected by the Easement. Encroachment Permit - Page 2 of 4 OCT -20-2009 TUE 01:14 PM 0 L SD 10 11 9C7 182 4852 eo-1 b. The Encroachment is damaged by anymeans to an extent of more than thirtypereent (30%) of its replacement cost at the time of destruction. C. permittee fails to make the payment described in paragraph 7, above. 10. Term. This permit shall, if not sooner terminated by Chugach, expire forty (40) years from the date hereof. 11. Entire Agreement. This written permit constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all other prior or contdmporaneous agreements, oral or written, between the parties. No modifications, amendments, deletions, additions or alterations of the permit shall be effective unless in writing and signed by all of the parties hereto. CHUGACH ELECTRIC ASSOCIATION, INC. By:1-- „ f Hong Nguyen; bistor ec Distribution Engineering Date: _ _ /o fTa!y PEILN=EE sy .t0 Beverly Felaides Landes Family Investments Date: /U —.;70—e 9 Wesley K. Landes Landes Family Investments Date: /p —070 —O r1 e-` Encroachment permit - page 3 of 4 P. 003 OCT -20-2009 TUE 01:14 Pit CIU70SErPM 11 9C1 162 4852 STATE OF ALASKA ) ss: TRIRD JUDICIAL DISTRICT ) r^ The foregoing instrument was acknowledged before me this leo f ti, day of 2009, by ze'.:jC" , NAMES) OF PEItSON(S) SIGNING DOCUMENT STATE OF ALASKA NOTARY PUBLIC Stephen L. Howe WCwnlulon EVIroa Feb 18. 2012 STATE OF ALASKA ) ) ss: THIRD JUDICIAL DISTRICT ) Notary Public in and for the State of Alaska My commission expires: '2, t'B 12� The foregoing instrument was acknowledged before me this__ en K day of bcf n 5{-r 2009, by Director, Distribution Engineering oP ChugacIPElcaric Association, Inc., an Alaska corporation, on behalf of the corporation. STATE OF ALASKA NOTARY PUBLIC Stephen L. Howe 'Ly g„rtmladon EVkee Fob 18, 2012 AFTER RECORDING RETURN TO: Chugach Electric Association, Inc. P.O. Box 196300 Anchorage, Alaska 99519-6300 Notary Public in and for the State of Alasl My commission expires: 2 1 , 2 Encroachment Permit - Page 4 of 4 r^ . P. 004 r^ October 16, 2009 Lars Spurkland, P.E. Spurkland Engineering 203 W. 15a' Avenue Anchorage, AK 99501 Dear Lars Spurkland, Subject to your agreement to indemnify the company as set forth below, GCI Communication Corp has no objection to the well encroaching the telecommunications and electric easement located at the west property line of Lot 2B, Landis Landings Subdivision, otherwise known as 10935 Cange Street, city grid 2635. This letter of non -objection in no way precludes GCI Communication Corp from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of-way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI Communication Corp harmless, now and forever, for any damage, costs, expense (including reasonable attorneys fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to myself at the address below. Sincerely, Accqi� cvj��� Markus Kofoid OSP Design Engineer GCI Communication Corp 5151 Fairbanks St. Anchorage, AK 99503 907-868-6168 Office 907-868-8580 Fax /DZ/,P/o CP' Date ACSIM Alaska Communications Systems October 21, 2009 Landes Family Investments Attn: Wesley K. Landes & Beverly R. Landes PO Box 190107 Anchorage, Alaska 99519 ACS has no objection to the encroachment of well into the platted T&E Easement on the eastern boundary of lot 28 of the Landes Landing Subdivision, otherwise known as 10935 Cange Street as depicted on the drawings submitted. Acceptance, (your signature below), and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: ACS will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any ACS facility damaged or destroyed as a result of this encroachment will be repaired at no cost to ACS. 3. Any costs incurred by ACS for special construction necessitated by this encroachment will be bome by the property owner. 4. All applicable safety code regulations will be observed and maintained. 5. This letter of non -objection will in no way preclude ACS from full use and enjoyment of its rights within any portion of its right-of-way. Please sign both copies, retain one copy for your use and return the other to ACS. Si rely, Larry m' ,Actin oreman Al a Communications Systems utside Plant Engineering, MS#14 600 Telephone Ave. Anchorage, AK 99503 ACCEPTANCE SIGNATURE: DATE: ' `L2 � Grid SWC 2635 L'E w,WCO MSPOWONOBECM1]1BBarnC�Ooc 600 Telephone Avenue Anchorage, Alaska 99503-6091 tel 907.563.8000 toll free 800.808.8083 www.acsalaska.com