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Home My WebLink AboutSOUTHPARK BLK 3 LT 2South Park Block 3 Lot 2 #020-491-28 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page ( of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: 4292 041 5ZZi PID Number: 02.0 —�iQ l -2 Dwelling: Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New Xupgrade Name: NS ABSORPTION FIELD p Trench Dee El Shallow Trench El Bed El Mound Address I t 2,L4 S IH^ t v.4cw or?c� ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 /I & GPD/SF G, D Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade � /1 D Ft. Gravel depth beneath pipe 5-,D Ft. Subdivision Block Lot ,;Owt V61 Gtr v 3 % Fill added above original gradeGravel ?—,9 ^ 3 f Ft. length 5 Ft. Township Range Section Gravel width '2, O Ft. Beds: Number of Lines ( Distance between lines Ft. SEPARATION DISTANCES To Septic AbsorptionHolding Lift Station Sewer Total absorption area Number of trenches / Dist. between trenches From Tank Field Tank Line 4J,;C Ftp I �— Ft. Well A— r i TANK Septic ElS.T.E.P. ❑ Holding ❑ Other Manufacturer r r n e k 4 n IG Capacity �� V Gal. 100 I Da F 160 Surface Water I VCr I v at f Material S�tiri Number of compartments ?— Lot Line �O�f 3.Zr NA Foundation b7 wl� LIFT STATION ManufacturerCapacity Curtain Drain (.! A •�- Gal. Remarks . Pump on level at in. Pump off level High water alarm at Su r�(-Lm V'c'>a/fr inti AOnrd M&in.in. InD rtJ. pot, Pump ke and model Electrical Inspections performed by Installer PIPE MATERIA L House to tank Tank to 3�3�- dminfleld 3,31{ �( � ffu6 C( ASL, i4itJ rt fdls Pri- . Drainfield 0-� q CO/MT )t 6 Inspector �t=r { YAL,44 Pp. BENCHMARK (Assumed elevation) O�Or ft Inspection 1°� �,&4 n dates: 2" � Location and description 3" 4"' G%rd? COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL \� SOFA( 1 Conditional Approval: Date �'�*! * 49*►+ w �. .................. . MICHAEL N. ANDERSON CE- 46 f-� / P Approved p -C Date :� -� 1� OStO��\�� FES inspection nepon_a-i-lz.00w Permit No. OSP141323 Page 2 of 2 Municipality of Anchorage 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 Legal Description: SOUTHPARK BILK 3, LOT 2 PID No.: 020-491-28 MARK A B C D E Col 35 8 TC01 31 10 TCO2 38 16 CO2 40 17 CO3 41 8 C04 13 12 C05 14 11 CO6 15 12 c"30 35 MT 7 BENCH AT GARAGE SLAB NEW 1000 GALLON STEEL TANK SAME LOCATION AS EXISTING �N Cr07 \ b7 TH#( E CO C06 C05 / ASBUILT SCALE: 1"=30' col ° TCO2 / ° TCO2 CO2 / CO3 DECOMMISSIONED )RG �,: • .•.r-�� ........................................ . MICHAEL N. ANDERSON: �#-%•'•., No. E .°x+69 Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 0 Fax (907) 343-7997 hftp://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program meur S \J P J 4 Department **** VARIANCE/WAIVER REVIEW **** Waiver#: osp141362 PID#: 020-491-28 COSA#: osc141448 Permit#: Legal Description: Southpark B-3 L-2 Engineer: Mike N. Anderson Applicant: Strohmver Family Trust 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.2'6feet. LT. a�,1. . This waiver approval applies to the existing absorption field only. Any fixture upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ® Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: 9-.29-/4/ Approved by: U✓ .ter wer ............................................. ... ................... On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141323 Tax Code Number: 02049128000 Work Type: Septic Initial Permit Effective Dates: August 19, 2014 to August 19, 2015 Design Engineer: ANDERSON CONSTRUCTION & ENG'G Subdivision: SOUTHPARK Site Legal Address: SOUTHPARK BILK 3 LT 2 G:3236 Owner/Address: STROHMEYER FAMILY TRUST 16245 CHASEWOOD LN ANCHORAGE AK 995164828 Site Mailing Address: 16245 CHASEWOOD LN, Anchorage Lot Size in Sq Ft: 29544 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: z4"c Date: Issued By: Date: 4)�. Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION q4l-Z� Parcel I.D. 0?, 0 Property owner(s) Si? m ca r ✓ Day phone Mailing address ( lo2`E<- 06t,'Cw 0041 L, &* t' a Site address S w*+ a—. Legal description (Sub'd., Block & Lot) S otAi-Lt V ov t-- 1� �7 G v� Z., Legal description (Township, Range & Section) Lot Size 0 S7-F�t Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field p [� Initial ❑ Single Family (SF) IX (w/wo ADU) Septic Tank Up�rade Duplex ❑ (D) Holding Tank ❑ Rene als_ ❑ i Multiple Dwellings ❑ Privy ElV (SF and/or D) Private Well ❑ V� " I� Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: �3 (� f Waiver Fees: Date of Payment: / /n�{ Date of Payment: Receipt Number: Receipt Number: Permit No. OS PI4L3 Waiver No. Permit App_.:: '..k Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Aug 11, 2014 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: Replacement Septic System Application Legal: South Park S/D Blk 3, Lot 2 To Whom it may concern: This letter is a request for a replacement on-site septic permit. The test hole was completed in August 1, 2014 which revealed poorly graded sands (SP) with water observed at 14 feet but raised to 12 feet after the 7 day monitoring period. The perc rate was faster than 1 minute per inch but the soils have greater than 50 percent sand or sandy gravel. The old 1000 gallon tank will be replaced with a new tank but the old leach field will be decommissioned due to its encroachment into the neighboring lot. The water table elevation for the design has been raised 2 feet per the code for August therefore the bottom of the system will be at elevation -6 feet. No open water exists within 100 feet of the proposed design. The lot has a slope great than 25 percent but its uphill of the proposed leach field. This system will not impact any of the neighbors systems due to community water from AW WU. Please call me if you have any questions. Sincerelyzpv ' Michael N. Anderson, P.E. DESIGN CRITERIA: MOUND OVER (TH#1) RADE 3 BDRM X 150 = 450 GPD SOILS = /1.0 = 450 GPD 1,0 ORG FILTER FABRIC 450 GA/10 = 45' -1'0 0 PIPE (1) TRENCH USP 6.0' DEEP 5.0' EFFECTIVE 2.0' WIDE 45' LONG 14 CLASS 'C' WELL, 200' RADIUS—/I 1 11 �i II I I II � 2.0' I \ SOUTHPARK 1 I I SOUTHPARK\ \ BLOCK 3, LOT 11 (BLOCK 3. LOT 3 \ \ II I PROPERTY LINE- S \\ EXITING WATER SERVICE SOUTHPARK BLOCK 4, LOT 4 1 \ \ \ SOUTHPARK3,LOT BLOCK 3, LOT 2 \ \ \ — _ _ T Septic Design Prepared for NIC STRHOMEYER I�T f EXISTING HOUSE \ \ PROPERTY UNE \ BLOCK ARK 3. PLOT 12 \ \ AREA SOUTHPARK \ \\ BLOCK 3, LOT 1 \ SOUTH PARK, BLOCK 3, LOT 2 Anchorage, Alaska Michael N. Anderson, P.E. DATE: 8/4/2014 4661 NATRONA AVE DRAWN: DJR ANCHORAGE, ALASKA 99516 (907) 345-3377 / FAX: (907) 345-1391 SCALE: 1"=100' ROCK BY AWWU 49 TH ' 91 '.MICHAEL N. ANDERSON.-` j.S. �� No. CE 9469 :°�C. \ v / \ \ BLOCK 3 PLOT 11 SOUTHPARK \ \ BLOCK 3, LOT 3 EXISTING 3 BED NE ROOM HOUSE hi EXISTING WATER SERVICE EXISTING \ WATER MAIN SOUTHPARK 4, 4, LOT 4 l S 1 L ---J_ J�',I PROPERTY LINE \ EXISTING SEPTIC TANK TO BE DECOMMISSIONED BY UPC AND REPLACED W/ NEW 1000 GALLON STEEL TANK EXISTING SEPTIC TO BE ABANDONED IN-PLACE SOUTHPARK \ BLOCK 3, LOT 12 \ \ \ yV i RECORDED EXISTING \\ ENCROACHMENT \\ \ SLOPE > 20% UPHILL \ \ OF THE NEW DESIGN \ \ SOUTHPARK \ \ BLOCK 3, LOT 1 \ \ — — — — — — — — — — _ — -- \ Septic Design Prepared for NIC STRHOMEYER SOUTHPARK, BLOCK 3, LOT 2 Anchorage, Alaska Michael N. Anderson,, P.E. DATE: 4661 NATRONA AVE DRAWN: ANCHORAGE, ALASKA 99516 (907) 345-3377 / FAX: (907) 345-1391 SCALE: i 49 �............ .... . '.MICHAEL N. ANDERSON. 8/4/2014 A #� No. E 469 DJR ��\• •�R�•.ai 1.=50' ��■,_ __o Municipality of Anchorage Development Services Department Building Safety Division a♦ .a,�,e On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.cj.anchoraQe.ak.us (907) 343-7904 Soils Log - Percolation Test Performed For: Al r/ 'ri-Ict) PA 4 Y Y Date Perk Legal Description: 570W- k 1&14.. R 3 L. (;'- 'Z— Township, Range, Section: trCey (lJq ON; S 1- 9- Date WAS GROUND WATER ENCOUNTERED? 10- Depth to Water t r• 8 IF VES, AT WHAT DEPTH? L Depth to Water Aker! 0 P 11- Monitoring? ('li E 12- Date: !! 16- 17- 18- 19- 20- OFA :49TH '• ••. 1 . I...•.......• MICHAEL N. ANDLRSON 'ck CE -9469 7 Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop 10or)Pr !f tC Lit r (1 PERCOLATION RATE (minuleynch) PERC HOLE DIAMETER S� TEST RUN BETWEEN_ FT AND 1-f _FT COMMENTS San a, � 4�-p % ^ (eo 2 PERFORMED BY: r'{ A(AI CERTIFY THAT THIS TEST W S PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: V/11 MUNICIPALITY OF ANCHORAGE �® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION \ 825 L Street - Anchorage, Alaska 99507 Telephone 264-4720 \ ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE /(ry'�� nEw ❑ UPGRADE MAILIN ADD ESS o LEGAL D SC PTION ern= LOCATION _ ^ ' 'Ojv6/_J� NO. OF B3 S U DISTANCE TO:v Well � � Absorp ��. ey Dwelling PERMW _Y N~ Manufacturer Materi/ No. of compartments Liq.ya .ty_ig gallons IF HOMEMADE: Inside length Width Liquid depth Y J (7z DISTANCE TO: Well Dwelling PERMIT NO. O z F Manufacturer Material Liquid capacity in gallons w= DISTANCE TO: Well Foundati % Nearest lot I"ne C"7L PER NO. / � w z 2W F No. of lines Length oSe V, Total len ,liryes f Trench wi tlr -3t CO inches Distanc�L� en lines 7j,/ Q P O Top of tile to finish grade .c, 4/ Material beneath rile �7 / / inches Total a tiv rption area w Length Width Depth PERMIT NO. Q F W d Type of crib Crib diameter Crib depth Total effective absorption area - ti DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS R.� SOIL TEST RAI NG - INSTALLER ^ REMARKS v AP ROVED DATE LEGAL 72-01_V(Rev. 3/78) 1 -" C\ DEPARTMENT HEALTH AND ENVIF'ONMENTAL)TEC-TION0�ns „ 825 K' STREET, ANCHORAGE, AK.. 99501 -I-E0 IE= C ^-A E= F' ° I_ EHl Fi? fwl I T PERMIT NO. < 010744 y APPLICANT CARIBOU INVESTMENTS INC: 619 E. 5TH AVE. 27E. -0u000 LOCATION SOUTHPARK LEGAL L2 63 SOUTHPARK NN& 00MOOe %§01800LUT SIZE 2954' SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM I S : TRENCH MAXIMUM NUMBER OF BEDROOMS. = - =OIL RATING (50 FTIBR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I S : THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD, THE DEPTH OF A TRENCH OR FIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND iND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). FQ Imo_. CA LJ I" FZ K I_> E000"7- I (7 T A=A 04l< I - F=. _ 187A 10) CD Ch F=A L_ L_ ATA PA -_ PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. _ u -T-41 F=A FR EE Ff ;_:: E= #C .0 _IL Fi" E. R_� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL. BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM I • 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC: WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENT'S MAY APPLY. =•PECIFICATIONS• AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS '=ET FORTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. -: I UNDERSTAND THAT THE ON -_•ITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUyD_E MORE THAN 3 BEDROOMS. SIGNED: ---d�LQ ___�/_! �� J ----- y - APPLICANT CARIBOU INVESTMENTS INC. ISSUED BY V4. 0 j 1 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: �a /�/L7oL� 1f'7VGSTi'7G/4 CS ��r DATE PERFORMED: LEGAL DESCRIPTION: LOT tai' �L '2 li �..ry ��_s�t Cii ice. fJ/alit /GAJ SLOPE SITE PLAN DEPTH D.5 10 Date tJuxs�l� Net Time Depth to Water Net Drop Z�12 TEST RUN BETWEEN d • ; a N2a FT AND ��cP„ •° o. 1516-E 3 Zym/nu> CC¢aTs �ra✓a//rr 4 1�5 5W 6 7 8- IF YES, AT WHAT 9- 9 DEPTH? 13- 3 10 Aznq/ 14- 15- 16 Date Gross Time Net Time Depth to Water Net Drop TEST RUN BETWEEN d • ; a N2a FT AND ��cP„ •° o. 1516-E WAS GROUND WATER S ENCOUNTERED? 0 E IF YES, AT WHAT DEPTH? 13- 3 141516 a31y� <o"nf c� TGy f/�O/G 17 18 19 Reading Date Gross Time Net Time Depth to Water Net Drop TEST RUN BETWEEN d • ; a N2a FT AND ��cP„ •° o. 1516-E m 20 PERCOLATION RATE vp .......... ( Tc��° Q lames B. Rocorls .. TEST RUN BETWEEN d • ; a N2a FT AND ��cP„ •° o. 1516-E COMMENTS PERFORMED BY 72-008 (6/79) CERTIFIED TE: �—lG — �� DEPARTMENT QW—HEALTH AND ENVIRONMENTAL OnQTECTION 325 `V STREET, ANCHORAGE, AK:. 95 x 264-4720 •� e=A F' -A — I -F sE= E= 1_4 En F° F = E_' F=° Pl 1 '7 - PERM IT T - PERMIT NO. is 810449 49 ? MY APPLICANT CARIBOU INVEST. 619TH E. 5TH AVE. 276-0000 6'00OCi LOCATION CHASE WOOD LANE LEGAL LOT 2 BLK: 3 SOUTH PK J-13Er LOT 'SIZE 22178 SQUARE FEET TYPE OF .COIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = <: SOIL RATING (SQ FT/BR= 150 THE REQUIRED SIDE OF THE SOIL ABSORPTION SYSTEM IS: THE LENGTH DIMENSION I= THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE is NO SET TH FOR TRENCHES. THE GRAVE DEPTTHE MINIM�2EUt9 A OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE: E:OT"fQti �THE EXCA':'FI N (IN FEET). Fes' CA A.—A :C 6 'EIl:e _°�F° I A o 0-1-6 i4K w � 2"Ev== O.G AE AGA A3F?L—E—C3tA"_= PERMIT APPLI-At - THE: F:ESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE IPdSThILL"fi"FIOtd I d' 'ECTiOt�S OF Rtd'r' I,dELL'=zilidT TO THISPROPERTY AND THE NUMBER OF RE >ENCF_'S THAT THE WELT 4II _ .ERti;'E. BACKFILLING OF ANY SYSTEM W HOU FINAL INSPE! ION IND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PF:SECATION. MINIMUM DISTANCE BETWEEN A BELL AND -•r' ON—=IT..- ' EbaAi•_ DISPOSAL SYSTEM IS 1C, 0 FEET FOR A PRIVATE WELL 0. -:0 T! � 200 FEET F - A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC: WELL. MINIMUM DISTANCE FROM A PRIVATE WE TO A PRI 'A TO A COMMUNITY _EWER LINE: IS +5 FEET. OTHER F:: - -,IR .t9EtdT5 MAY FIFF'L's'.SPECIFICATION: AVAIL.ABL TO INSURE PRL/ER INSTALLATION. ��- I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQ- RE NTS FOR ON -S FORTH BY THE MUNICIPALIT's OF Al JR G-., I WILL INSTALL THE SYS, Ai _0, 1 r�"":E TH 1 d I UNDERSTAND THAT THE ON-, ITE SEtt ER : r 09 RESIDENCE I' . REMODELED TO INCLUDE MORE THAN SIGNED: --------------------------- APPLICANT CARIBOU INVEST. ISSUED BY '3 SEWER LINE IS 25 FEET AND ON DIAGRAMS ARE AND WELLS AS SET ENLARGEMENT IF THE V4. 0 "IC-cst2!` tPRIOcto ]i+€vE5T. 9197" E. :VTH RVE. a?6-6-RE?Ct T I O(J CHFLS4 HOOD L_RNE LOT 2 PLP c 5ZL11H PK 5 -VE: LOT SIZE :21 -re- f..QuFBF:fr FEET OF SC:IL SVS.TEM IS.- IREMCH 11LIM ULW.EF; OF PEf>R'OOMS S (Sri F-WMI ->- It -0 i) LEQUIRED SIDE OF 7HE. Somali SYTMEM IS: `4 F -"I-" I f f I. -E LENGTH DIPIEL-JOU IS, THE LENGTH (IN FEET) OF IHE IRENCH OR DRRINFIELP. f' DEPTH OF R TRENCH OR FIT IS 7HE DISTRUCE BETWEEN THE SURFHC:€ OF THE j +EIUD f14D THE €UITC0 OF IM €XiT'4YMION (IPt FEET). f -vRw 3s. No sz LlI -m FOR, i r rw:m E, (j4E GRAVEL bEPI i IS Tfi€ LtIP1IPR,M DEPW OF {fRRAL OBTW€€Fi T3E� ��R�fl i 41FE } THE BOTTOM OF IRE EMFLVFiTICg4 (IN FEF13. IT f€f'F`L.)GF44T MR$ THE KESF'E445.-IPILMY TC! INFORM ILLRTIMI INSPEE:TJOUS OF ffNY WELLS RL*'RCENT TO .-P, OF RFZIDENMFm THRT THF NEU HILL EZPYL. 1-41-71 ° I L f 7 fYC3 OF 4ENT HILL THIS DEPffFJMEMT L+L11i]tdas THE RNY SY IEP1 W17HOUT FJNfifs RW RE SLe-J€C:T TO FRf SZC-JJT ] Cat -J. F�:fEti4CtIF� a ED- 8PPROYSL. DY THIS 114 DISTRWE BETWEEN R WELL fiND RdY ON-SITE S -EW OE DJ -C;4 05S9L 5-Y�-•TtM IS EET FOR CL f#FI4'r'fTE WELL DR TO e FEET FROM Ff PUBLIC: HELL DEPEWING ME. IWE OF PUE-LIC- NEL L. ILIM DISTWCE FPCIM R PRIME JELL '10 ff PRIVRTE SZJ EF' LINE IS 25 FEET RfD C€aMi'4MUTY SEW€R LINE ]<• Y• FEET, Rf CiSR€t�€iiTn P1iii` faF`PLY. -'%f'ECIFICA'()Ot-J'S RND C1-41ETPLiC=TI€N DJRj7jRFfMS FIRE .RPL€ TO JiSVRF- PROPER, INS-TRLI.RTIOU IE FZ E Ez� C.=�I•�I�'e=�_ `ems.. �* #"L 'ZTIF`s' THFiT { RM i:RMILIRR WITH THF REQUIREMNIS FOR Cant--s•ITE SEWKS RW WELL. M. _eT )3 BY THE HUNICIPRLITY OF fiNCCHEaRFttE- } HILL INS.TftLL THE SYSTEM IN RCCORDMIC:E W31H THE; CODES- LltdtMST#I-D THAT THE ON -SITE -SEWER SYSTEM KAY RE€UIPE RFF i I GFit4i CtTRI • -tu INVEST, -- LOT 2, BLOCK 3 Soils and Ground Wat_ Test Pits 5 and 34 were excavated on the edge of the plateau close to the northeast property line. These pits found granular soils with no ground water. Borings 4-4 and 3-3 Located on Lots 4 and 3 encountered layered gravelly silty soils and clean sand and gravel layers. The sand, and gravel layers are quite permeable. Soil conditions may change significantly over short distances. Location of septic _system The preferred septic system location is in the southwestern portion of the lot. Design Absorption Area Percolation tests were performed on Boring 4-4 and 3-3. The percolation rate for 3-3 was one-half minute per inch and 4--4 was two minutes per inch. Based on these testas and the soil conditions encountered by Test Pit 5, it is recommended that the drain field be designed for an absorption area of 140square feet per bedroom. jSO I Test hole #5 De tli in Feet From To 0.0' - 0.51 0.5' - 2.5' 2.5' - 8.0' 8.0' - 12.0' Bottom of Test Hole: Frost Line: Free Water Level: Bemar_ks: �l Table A WAv WO PA18753 Logged By: client Date: 10-28-78 Soil Description Organic Mat. Silty Sandy Gravel with slight organic content F-1 — GM, damp. Silty Sante Gravels, GM - F-1, damp. Coarse Gravelly Sands, SP - NFS, damp. 12.0' None Observed None Observed Test Hole Logged By Client Verified by Alaska Testlab Test Hole #34 Depth in Feet From To 0~0' ~ 0.5' 9~5' ~ 12.0' Table A WO ~A18753 Logged By: J.D. Mack Date: ~-10-79 Soil Description Topsoil. Clean coarse Sand Gravels with clean Sand layers, cobbles to 12", GP/GW, NFS, damp. ~gm of Test Hole: Frost Line: ~e9 Water Level: 12.0' None Observed None Observed .,I •'�1 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 ® n Certificate of On -Site Systems Approval Parcel I.D. (92o —`{ Expiration Date: 1. GENERAL INFORMATION Complete legal description Sc9kk Pulckr 9 3 L� Z__ Location (site address) (0 E1 -4's- C V�u<(r�Wav — G0 Kz=- Current Property owner(s) Iq t'v S �,(0 lv) � -c. c, z ✓- Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: Day phone [K Single Family (w/wo ADU)e t ElDuplex 1 11Multiple. Dwellings (Single Family an, p ex) AUG 3. NUMBER OF BEDROOMS: 'j 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Yl Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System Public Sewer ❑ Waiver/Variance request for: I 'u 4 - Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $_ �9 • 'rin Date of Payment tr/ -L -e (/ Receipt Number tDa�3u% COS A'# 056JILf �0 MA Date: Waiver Fee $ 2 /'T -I" Date of Payment Xl �v)hy Receipt Number I S -p -7, -3 y Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below; I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm 1,41 l4 A(itt tieVer l Pt • Phone Address z-fu(o ( 9a.�-rvnrL Av 4G? -- Engineer's Printed Name tfltbzc I LYvso2 Date z7 l .,. a . a1 Ce .a �+' X97 '` •• � l� 6. DSD SIGNATURE 0'. ......p System #1 Approved for � bedrooms 4.. ... ::.. �a � ,rlcHAe,.N ANoeasofv :-k-r° CE94 9 f�% System System #2 Approved for bedrooms . Disapproved ifpr• •Z��; t�P Mill 00 Conditional approval for bedrooms, with the following stipulatAiS��` By: o Original Certificate Date: The nici ry 6f A horage 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. F�_Afilr1MyonfIT) tA11110 COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet ! c If more than 1 septic system is on the lot: . COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: S (7u i- (nPvy (f. G3 Lt Z Parcel ID: Q 2 CO— L(q 2 A. WELL DATA Well type / If A, B, or C provide PWSID # W W 1.1 Well Log (Y/N) Date completed Sanitary seal (Y/N) f Wires properly protected (Y/N) / Total depth eft. Cased to �ft. Casing height (above ground) i in. FROM WELL LOG AT INSPECTION Date of test Static water level ft, Well production 9 -P.M. WATER SAMPLE RESULTS: Coliform colourt m Nitrate Arsenic ug1L Date of sampl B. SEPTIC/HOLDING TANK DATA Collected by: ft. g.p.m. Tank Type/Material. P ( Date installed �Iz Tank size t Ol„ . gal. Number of Compartments 2_ Cleanouts (YIN) Foundation r_IaanQuf /V/IJ)Y rlpprecSlCn ny=r tank /VJ I-IiOaa. ,, i,._ NiN, Date of pumping h( 7 Pumper C. ABSORPTION FIELD DATA Date installed21 t f Soil rating (g.p.d./ft2 or ft2/bdrm) System type �?r Length +tel 9 _�Tft. Width 2, U ft. Gravel below pipe 5"& ft. Total depth_ ft. Eff. absorption area �ft Monitoring tube '�__ Depression over field Date of adequacy test tt *AA— Results (Pass/Fail) / For' bedrooms Fluid depth in absorption field before test /in. Water added —� gal. New depth % in. Elapsed Time: Amin. Final fluid depth Win. Absorption rate >' r-- g,p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date �_ D. LIFT STATION Date installed Z_ "Pump on" Ie at/t in. in gallons n ManholelAf�s (YIN) off levei�at i_ _ in. Hig"ater alarm`I@vel at � Z \ in. E. SEPARATION DISTANCES WELL ON LOT TO:*-�<- .c O" P-1 t w °A°��///�Z✓ Septic tanklgt- talion on lot Absorption field on lot Public sewer main Sewer /septic service line 7 Animal containment areas /_( U 0 t it I Meets alar & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/ leanout t4 Holding tank - Manure/animal excrete storage areas t -� SEPTIC/HOMDFRG TANK Ot}I LOTTO: I AD(J*�, r_/ Building foundation Property line / Absorption field r tt ((� Water main ! L9 D '�- Water service line 50 "� Surface water V0 Wells on adjacent lots 100 ABSORPTION FIELD ON LOT TO: r Property line �/ 4-V Building foundation /0,9 4- Water Service line 1- '�- Surface water l U 0 r -/- Curtain drain V o Kr Wells on adjacent lots /CEJ aovlc� F. COR111VIEVITIS Water main C!�-o Driveway, parking/vehicle storage G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Nameh � K d� -7 Date 8 �,�`t COSA brown sheet_10-10-12.doc ow H `r. r -��• MICHAEL/FN. ANDERSCN IaanaffG mmso nm: oxv. (A =) rxaroYn BURZMG maw ^ ZNING NSMCT QS. FRUIT BLINDING SEIBAO( OO 9GE BIIILLYHC YIBA(Yf Ib:AR WILOIG SETSMX 3 X00 0� OS cDo o`O 6 70 5 5D 2 Po 0 49.S,ak EXISTING Z HOUSE o \ �' ....................... ' C,0:5' 'n s y�a SGL o C. s 35°N A6 O S6G 0 UNDER NO CIRCUMSTANCES SHOULD AN AS—BUILT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. LOT SURVEY SURVEY TYPE SYMBOLS ❑ FOUNDATION AS -BUILT wropsn • SET REBAR � s ASPHALT ❑ FlNAL STRUCTURE AS -BUILT ❑ PLAN -BUILT SURVEY TOPOGRAPHY �t� DRAINAGE 0 FOUND REBARw''<'::... e--E—s� WOOD FENCE � CONCRETE PLOT ... AS ... LOT ... AS -BUILT ... NO CORNERS SET RECERTIFlCATION AS -BUILT ... NO CORNERS SET 00 Y ASSUMED ELEV. -)( K X- METAL FENCE ® WOOD DECK PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION rr�q\1 OF 147, Prepared by Robert E. Johns, Jr. & Assoc. PLOT PLAN Melt crtlPyMat lhanPhyVS,mdMed Me lot Naw, me emvLeE nre°n, me Mat �o�� •••' "'••• ` �. r_•',.•• Professional Land Surveyors wr .mm > ruhne.e m a M. b. aan>. t. M. �vJ Iy I ••••••; 1700 Brink Drive. ANCHORAGE, ALASKA 99504 .nox°^iWw me ml10� aI h....m m.a. Mu ane carte... • •` Rec. Lot S.F. Rec. Plat File No. FOUNDATION AS—BUILT I. Ra E JMna &. hw y a f' Bwl 1 Af- BUNtwwya.M. 49th •'` ,s•&}y ' ; Scale: 1 T, — 40, Date Surveyed: Drawn b . Y Checked byM1 ^waa�dN fwnealWi MI•lot ane Matta W. •••^ •••••••••• •OHN •••• •�•••••` �� „ 08/21/14 REJ A K J'V' a.nn.wn. ma HrmnaUan a. e..n h.r... w. Trve and as .,waa,n. u aw .1 . ," ROSER .JOHN , JR. � i � Date Drawn: Grid: W.O. J� 08/21/14 3236 14-404 ANAL STRUCTURE AS—BUILT I, RMw! E rau,A &. hw.ey °way Mat •. 4t21 -s :` G�°s a, •, ,� > � �. fo '•., •.•' �� Legal Description: MI. 10 d th M. M. � ea P •••............. y°A .• Lot 2 Block 3 mo w.ma do ^Mem m�uB.wm aM 4... oo6 Nit •1 rofessiond �'�.� �. SOUTH PARK Michael N. Anderson, P.E. Civil/Structural Engineering & Construction 4661 Natrona Avenue Anchorage, Alaska 99516 Phone 345-3377 Fax 345-1391 Aug 27, 2014 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-784 Re: Septic system waiver request. Legal: Southpark Subd. Bkl 3, Lot 2 To Whom it may concern: This is a request for a 2'waiver into the 10 set -back along the south property line. The new trench clean out CO6 (see site plan) located on the south end of the trench is only 8.2 feet from the property line. The granting of this waiver will not impart any of the surrounding properties. Please call me if you have any questions. Sincerely r Michae N. Anderson, P.E. VAP-mioOTA L Aug 27, 2014 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-784 Re: Septic system lot line waiver notification Legal: Southpark Subd. Bkl 3, Lot 2 To Whom it may concern: This letter is my declaration that I have been notified of the encroachment of the septic trench on the above referenced lot into the 10 foot set -back along the south property. Please call me if you have any questions. Sincerel Ric and remaine 16251 Chasewood Lane Anch, Ak 99516 �1 K Subscribed and acknowledged before me this day of (%1 or pefsorlp authorized' by statute to take ick PUBiIC..':.* Municipality of Anchorage U �Zulzea •. -.• Development Services Department o ^': �a 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 o Parcel I.D. _e>20 — x'/9/ --2-8 COSA # 09 (0 Expiration Date: 1. GENERAL INFORMATION Complete legal description 4 e t 2r $ /oc 4 3� Sou 141gor44 S /_b Location (site address) _ I S 2YS Chwa &. Pcoee L-w^e Current Property owner(s) JG fl7 of A r Ch << Day phone 7 Y 8 - ('� a =-3 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address (6245' C/iastc ,coa Ln_. Ancyio.uc►c•. /;fit 995'161 .. Day phone _FS 60 144.—k Sa�zmcf Day phone Unless otherwise requested, COSA will be held by DSD for pickup. (' tr ea (I o `w"Ge, (2 $Y8 -00 2i 2. NUMBER OF BEDROOMS: 3 3. -TYPE OF WATER SUPPLY: -----TYPE OF WASTEWATER DISPOSAL": --- — "-- Individual Well ❑ Individual Water Storage ❑ Community Class A Well Public Water System ❑ Individual On-site 10 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite 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 Ede (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. 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 TicAn : ee / sic Phone 3 Ys - t 3 S'S - Address 1•1.5730 6cAc, Rd.y i}nc6,y /}k 99,-10 Engineer's Printed Name . `11`1+to Cie, -t F. ee Date t / I&/ 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Y : TNcODOR: F, k.00Re J� Ga CC -3599 2 4.- 7. Conditional approval for bedrooms, with the following stipulations: Additional Comments ASTFWATER : PROGRAM ••mnnml• Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By:— 4�� / w,—original Certificate Date: (P• . 11105) Municipality of Anchorage •. Development Services Department _ Building Safety Division t ' On -Site Water & 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 CHECKLIST Legal Description: duh 2.0 $_ /IC 3: sa c. /1. r 01 F- to S /p Parcel 1D: 040-401-.2.& A. WELL DATA Well type�� Date completed _ Total depth I. Date of test Static water level If A, B, or C provide PWSID # '213M_ _ Weil Log (YIN) Sanitary seal (Y/N) _ Wires properly protected (YM) Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION — ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic:' _ mgll Date of sample: B. SEPTIC/HOLDING TANK DATA Other bacteria _ Collected by: _ ft. g.p.m. colonies/100 mL „_. Tank Type/Material See t -i a / s/ -e r Date installed 816 /81 Tank size t 0 gal. Number of Compartments '2 ? Cleanouts (YM) `l Foundation cleanout (Y/N) i Depression over tank (Y/N)' k High water alarm (Y/N) N• A . Date of pumping" '1 ! 1/ / 08 Pumper Nor 11,lano: ' Pw -"j2,;,j C. ABSORPTION FIELD DATA Date Installed f /6/61 Soil rating (g.p.dJftZ or fI2/t drm) rlS f Sys(em type Trtoc-4) 13 Length 29 ft. Width 3 it. Gravel below pipe 7 ft. Total depth I I ft. z Eff. absorption area 17S f1 2 Monitoring tube `L Depression over field Date of adequacy test 1 / Ir / 08 Results (Pass/Fail) Pnrr For 3 bedrooms Fluid depth in absorption field before test N4C in. Water added8! 7 gal. New depthADC3hi. Elapsed Timer min. Final fluid depth "In. Absorption rate >_ 'ISO g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No ge If yes, give date N• �_ D. LIFT STATION Date installed • - Size in gallons - 'Pump on' level at _ in. `Pump off" level at _ in. Datum Cycles tested E. SEPARATION DISTANCES Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? in. SEPARATION DISTANCES FROM WELL ON LOT TO: IV -A. uwko. ryfA'^', Septic tank/lift station on Absorption field on lot Public sewer main Sewer /septic service line Animal containment areas On adjacent tots On adjacent lots Public sewer manhole/cleanout Holding tank Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation go Property line 70' Absorption field iS 1 Water main > 1401 Water service line ':p !o • Surface water > 1061 Wells on adjacent lots > 2-00 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line O Building foundation '0 2S' • Water main > t0' Water Service line 7 t �' Surface water > I ao • Driveway, parkingtvehicle storage el W.CA f Curtain drain Non4f Sfen Wells on adjacent lots > 7-c.Pc. / F. COMMENTS 110' t.• 1•(/0/11///' /' Olt 14,U �� .c�,. ,^ `. 1'.:'`•, G. ENGINEER'S CERTIFICATION T;•�,•';; C rTn .� �'� ; Q a .....................5... 1 certify that I have determined through field inspections and review of Municipal records'th'at 'the above systems are In •............••••••••.- conformance with MOA COSA guidelines in effect on this date. Engineers Printed Name TAda,4116►e P• M�o•�G :'��:6•' �''"',' DateJam. !y, ZGoB COSA Fee $ y3O Waiver Fee $ 17S Date of Payment ate/ Le IO$ Date of Payment Receipt Number 319 IS, ReceiptlJumber (Rev. 11/05) . _ .. 9� /90 ASBUILT-NO CORNERS SET THIS DATE. I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROZCHMENfi EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR. RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. N vl% 0 s, SCALES 0 DATE4 / /o GRID: FB: S�7P DRAWN: 0�1f ffff.H f 0" 'FLATTOP TECHNICAL SERVICES . �. 'L :•Ips t oia,(�n ... ., ��.. - .�.. � �. � - , CIVIL & ENVIRONMENTAL ENGINEERING • ENERGY CONSERVATION & ANALYSIS TED MOORE, P.E. 14530 ECHO CANYON ROAD PH./FAX: (907)345-1355 J 15, 2008 ANCHORAGE, AK 99516 January E -Mail: tgmoore@gcl.net ry MOA DSD On -Site Services P.O. Box 196650 Anchorage, AK 99519-6650 Dear Sirs : By means of this letter we are requesting issuance of a waiver allowing the existing soil absorption system on Lot 2, Block 3, Southpark S/D to be re -approved in its existing location 0 feet from the property line common with Lot 1, Block 3. An as -built survey of the property is enclosed along with copies of recorded easement documents and other relevant documentation from your files. When the soil absorption trench was constructed and approved back in 1981 the Municipal inspector reported in error that it was located 10'+ from the property line. The 1995 11AA application also reported in error that the system was 10'+ from the property line, but an as -built survey prepared in conjunction with the sale of the property at that time noted the fact that the monitor tube for the trench actually encroaches 2.9 feet beyond the property line onto Lot 1. The owners of the two lots entered into an easement agreement at that time allowing continued use and maintenance of the system and that easement was officially recorded on 10/27/95 (see printout from Recorder's Office). A recent adequacy test of the system determined that it is still functioning adequately for the residence on Lot 2. The system is located approximately 30 feet from the absorption trench presently serving the residence on Lot 1, so there is no problem related to the proximity of the two systems. Because all lots in this subdivision are served by a community water system there are few restrictions on potential replacement systems for Lot 1, so granting the requested waiver should not significantly compromise the ability to upgrade the system on Lot 1 in the future. Please give me a call if you have any questions on this request. Sincerely, zcw 7"011 Ted Moore, P.E. cc: James Riehle Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragaak.us (907)343-7904 Waiver Review Worksheet WR#:80 0002 PID#: 020.491-28 HA#: 800 Permit#: Date Received: 1116108 Legal Description: Southpark Block 3 Lot 2 Engineer. Theodore Moore Flattop Technical Svc, 14530 Echo Canyon Rd., Anch., Alk. 99516 Applicant: James Riehle Waiver Requested: Zero feet separation distance absorption field to property Ilne. Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: ........................f...................................................... Waiver is Granted: ✓ Waiver is not Granted: List Conditions or Reasons for above: Date:_ By: 4--� Name �of Reviewer ................................................. as...... Mae., ... ........esesse Rec#: 1116108 Amount: 175.00 Date Paid: 1116108 Municipality of Anchorage '+g I:O. [WX VXi;74I S.\ncl�um�!i, .\Ianka !k6i19M614i )- 47(X) lilmurc INN - f111ice:(!X)7)313-KX11• Im:(!X)7)3Y3-RL(X)lit i Mayor J1ark Bggich Development Semices Department 1/18/2008 Ted Moore Flattop Technical Svc. - 14530 Echo Dr., Anch.,Ak. 99516 Subject: Waiver Request for Southpark Block 3 Lot 2 Waiver Request #WR080002 Parcel ID #020491-28 HAA# 080016 Dear Engineer, Ueparuncnt 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 0.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, r�� /� �� Jeffrey W. Poet Engineering Technician On -Site Water & Wastewater Program Community, Security, Prosperity 810nnsIocp2, �EMENTA`` R This Easement A betwvran Richant L. TrernaPr G�� Ag� man and James R. Rjla (•Riehl. mark•) h n� this DO (with Dixon and Riehfe cog Dixon jr �. � �n S. �o —� day of October 1995 by antl Cv actively referred to sa • On' (Ce•�" "Dixon-) the O%cial Plat A. mple bve to t -ranf" owns foe tied Irldw Plat t4 of Judicial D strf� f �B++irdened P 8O$5l. Block records3of the K SUBOtytSlON, accord accord 8. Dixon owns tee ro9e Recording b strict, T hird ung to Plat No. 80.85 records a"� to Lot Two !2). Block Th Kaska (Benefited ParceP) and has Contracteme d R fee i3). hSO ecordin0 District TPaRK SUBD1ySlON the BeneSted Parcel Judictet District State of C to Riehl.. within. Part of the septic system the Burdened Parcel. which serves the Benefited Parcel encroaches on!o, and hes easement for theCe n^�OBcM1nd mertt of tee desire to enter krto @itis septic sysbrn Agreement to Provide Grantee wdh an CortfainadOOW, HEREFORE. in sideration = partes agree as folio": of the foregoing and the covenants and conchtions 1. easernen. X11. The recitals set forth salve are made a part of this A9reernent 2 GrantOrgrants Parcels rrgins ere � d ned Parcel r Mitto thext q extern that ft aePsells WW �°Ya to Grantee a system encroaches onto fhe °xdened 3. Burdened of ma septic systemGrantee agrees that Gran "°Placed. the Grantee shall Perould 1p rr� �� which se all cos septic system wholly within thlede Serves tee aarMefrted s c' nstruction and repak Perform such recons a Grantor xp D n Qrtaande is A9reelac MOnt alit such n wayra��stnxted or the replacement nehParcel be Place Grantor fWml.ss home er replacement a bMuted easemet Grnt over Bach reconstitution « attornaY'3 fees 1 connection with i Provided Mapans nt" sho ice° lnik defend Burdened Puca! to rePlaCemenL ) "carred in ate, Coats, all Cha a • . and Gabilitles and hold ' ns n9 iron" or as a resuff of (lnduding feasonable such reconstruction or Alaska Department of Natural Resources Recorder's Office UCC Online Filing Page I of 2 Recorders Office Search • UCC Search Natural Resources F Recorder's Office Alaska Department of Natural Resources State of Alaska > Natural Resources Search Menu I Name Search I Date Search I Plat Number Search I Survey Search I MTRS Search I Subdivision Search I No Plat Su Document Number Search I Document Type Search I Book and Page Search I Doc.Input/UnverifiedStatus See Index Codes Recorders Office - Document Display Selected Document: 1995-051805-0 In District: 301 - ANCHORAGE Cannot view images? Image Unavai Document Year: 1995 Number: 051805 Suf. 0 District: 301 - ANCHORAGE Date Recorded: 10/27/1995 Time: 09:51 AM Book: 2851 Page: 21 Pages: 5 Index: NIS - MISCELLANEOUS Desc: EASEMENT AGREEMENT Grantor - TREMAINE RICHARD L Grantee - DIXON DEAN E JR Grantee - DIXON KAREN S Grantee - RIEHLE JAMES R Location: Lot: 1 Block: 3 Plat: 80-65 Location: Lot:2 Block:3 Plat: 80-65 All information has been displayed Back UCC documents will be shown as active or Inactive. Active does not necessarily mean effective. A Wildcard reference means It does not tie to an active filing. Name Search I Date Search I Plat Number Search I Survey search I MTRS Search I Subdivision Search I No Plat Subdivision Searc Document Number Search I Document Type Search I Book and Page Search I Doc.InpuVUnverifiedStatus Recorder's Office Home Page I UCC Central Home Page I Dept.of Natural Resources Home Page Last updated on 01111/2008. NOTICE: Documents are entered in nonsequential batches. Temporary document number gaps may exi current data. http://w-"-%,.,.dnr.state.ak.uslrecorderslsagfDocDisplay.cfm?SclectedDoc=19950518050&District... 1/11/08 • .�MUNICIPALITY OF ANCHORAGE ��A DEPARTMENT OF HEALTH & HUMAN SERVICES A Division of Environmental Services}1 On -Site Services Section onh' P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # — C S7 — �t 1. GENERAL INFORMATION 2. 3. 4. HAA# "�"'.,� =(i_'LIt-� Complete legal description I. Zr T�Lcc- l-- �3 .So�)Tf TW—P1 Location (site address or directions) Property owner D,ro Oay phone 3YS —SYS Mailingaddress Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup NUMBER OF BEDROOMS: ___# � --�t� TYPE OF WATER SUPPLY: Individual well Community well — Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site — Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. /2-025(Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 Phone r= - Address P, Engineer's signatureJt - ---- Date - 6. DHHS SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for Additional Comments bedrooms, with the following stipulations: Date r The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUNICIPALITY OF ANCHO 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) §Wt ENTAL SERVICES DI OCT 16 1995 Health Authority Approval Checklist RECEIVED Legal Description: Lo -r 2E $f r oc IC.z rl Pi ey- Parcel 1.D.: 02b -®5G— el(o A. WELL DATA Well type _P Log present (YIN) Total depth Sanitary seal (YIN) If A, B, or C, attach ADEC letter. ADEC water system number Z 13 Date completed Cased to FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: B. SEPTIC/HOLDING TANK DATA Casing height (above ground) Wires properly protected (YIN) Collected by: AT INSPECTION Other bacteria g.p.m. Date installed PLL - 6 -Rt Tank size t Z5p Number of Compartments Z Cleanouts (YIN) `( Foundation cleanout (Y/N) 1 Depression (Y/N) N High water alarm (Y/N) Date of Pumping /o-((- ¢ Pumper Not THEA �� C. ABSORPTION FIELD DATA Date installed B -(D-81 Soil rating (g.p.d./ft2 or f 2/bdrm) (Z 5 System type 2) T - Length Z 4 Width 3(0 Gravel thickness below pipe - t Total depth I -Z- Effective Effective absorption area qob� Monitoring Tube present(Y/N) Y Depression over field (Y/N) N Date of adequacy test I &— 11- 45 Results (Pass/Fail) 1>Aac For *3 bedrooms Fluid depth in absorption field before test (in.); - O -'Immediately after gal. water added (in.): OAU - O— -e P-5 (I Y40 w) Fluid depth 'at -5 (ins.) Minutes later: /0 Absorption rate = 60&-k g.p.d. Peroxide treatment (past 12 months) (Y/N) /t/ 0 If yes, give date D. LIFT STATION Date installed Manhole/Access (YIN) High �tcstcd e E. SEPARATION DISTANCES Size in level at* " Punip off' level at* *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Oil adjacent lots Absorption field oil lot Public sewer main Sewer /septic service line On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: t Building foundation _ 8 Properly line 10-t- Absorption field 1,51 Water main/service line 2,Y t Surface water/drainage 1001- Wells on adjacent lots '''IA SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation Surface water . O 6 Water maintservice line Driveway, parking/vehicle storage area Curtain drain . 4 Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review ofAhmicipal in conformance with NLOA HAA guidelines in effect on this date. Signature � Engineer's Name STC?o c�-nJ Date /6 ^ 6S- 4 "F HAA Fec $ 306' oy Waiver Fee $ Date of Payment 10 - I U -`00 Date of Payment Receipt Number � Jj 3g°v 1 / Receipt Number Rev. 8/95 OSS: haa.wk.doc 5` Property line (_ 00r..T---- rp '. 00 Spy "yl�• FQaven It. Panntmu Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska 99514 (907)272-8218 SEPTIC SYSTEM ADAE UACY TEST Legal: Lot 2, Block 3 South Park Location: 16245 Chasewood Ln Owner: Ms. Karen Henderson -Dixon Residence: 4 Bedroom, Single Family Septic System: From Municipal Records: Tank: 1250 Gallon, Greer Absorption System: Trench Length: 29' Total Depth: 13' Absorption Area: 375 s.f. Eff. Depth 7' Soil Rating: 125 sf/br Installation Date: 8-6-81 Date of Pumping: October 11, 1995. By Northland Pumping Date of Test: October 11, 1995 Test Procedure: System was inspected and measured. Tank was found with 6 feet of cover. Liquid depth was measured to be 4 inches. A single clean-out/monitor tube was found. The monitor tube had a total depth of 91 inches. A black substance was noticed at the bottom of the clean-out. It was obvious that the lower five to six feet of the monitor tube was clogged with this black substance. The substance was relatively dry. No fluid was detected. Water was added to the system at a rate of 3 g.p.m. The water levels in the tank and monitor tube was monitored. Six hundred gallons of water was added over a three and one half hour period. The level in the monitor tube rose from no fluid to 27.5 inches deep, Approximately two inches above the lateral invert.. The level stabilized at that depth. Fluid levels were monitored in the tank. The fluid depth remained a constant four inched in the tank. The system was allowed to absorb the liquid fora period of ten minutes after the 600 gallons of water was added. A six inch drop in fluid level was noted during this period. Twenty four hours later the water was monitored again. There was no indication of water in the stand pipe. TESTS RESULTS: This system meets the code requirements of the Municipality of Anchorage. This system is 14 years old and appears to operating in the last 15% of its usefulness. The operational life of all 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. We can therefore not give any estimate of how lorft�tem well continue to meet ;., the operational requirements of the Municipality and State. Submitted by, StevengRannone, P.E. -DA�tz APPOINTMENTS` FIS- INSPECTION - TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR INDIVIDUAL* * ATTACH WELL LOG. A well lag is required for all wells drilled -- MUNICIPALITY OF ANCHORAGE DEPT. OF H' ALJI I & P.:OTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROT ECTI"VI RONMENTAL 825 L Street - Anchorage, Alaska 99501 • 2 1901 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE l MAI LING ADDRESS I( -.f ':7 PROPERTY RESIDENT (If different from above/) 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE ,/. MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS - 5. LEGAL DESCRIPTION 6A STREET LOCATION - 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS El El EJ I(- SINGLE FAMILY ❑ Two ❑- Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well lag is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 6 INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 72-010 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE 0PESINGLE FAMILY ❑ MULTIPLE FAMILY OF BEDROOMS E:1 ONE ❑ TWO __-THREE e THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY � Q� PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3�. /SEyVAGE DISPOSAL SYSTEM %INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED q �/ d INSTALLER G� eptic Tank or ❑ Holding Tank Size: /Y "Cb If Tank is homemade give dimensions: SOILS RATING _ TYPE OF TA MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS FV APPROVED FOR _ BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE � /Z BY ;/ Cj-e 72-010 72-010 (Rev. 6/79)