HomeMy WebLinkAboutSPRING HILLS ESTATES #1 BLK 1 LT 6 Onsite File
Spring Hills
Estates # 1
Block 1
Lot 6
#015 - 051 - 76
Municipality of Anchorage
On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP181059 PID Number: 015-051-76
Dwelling: 0 Single Family (SF) ❑ Duplex(D) ❑ Multiple(SF and/or D) Project: El New 0 Upgrade
Name: ABSORPTION FIELD
Zachary Berne & Molly Gallagher
Address ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
4600 Golden Springs Cir. Anchorage AK 99507 ❑ Other
Phone Number of Bedrooms Soil Rating Total depth from original grade
503-260-3242 3 GPD/SF Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Subdivision Block Lot Ft. Ft.
Spring Hills Estates #1 1 6 Fill added above original grade Gravel length
Township Range Section Ft. Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES Ft. Ft.
To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches
Tank Field Lift Station Tank Line
From Ft2 Ft.
Well >100' >100' N/A N/A >25' TANK g Septic 0 S.T.E.P. 0 Holding 0 Other
Manufacturer Capacity
Surface Water >100' >100' N/A N/A Anchorage Tank 1,250 Gal.
Material Number of compartments
Lot Line >5' >10' N/A N/A NA Steel 2
Foundation >10' >10' N/A N/A LIFT STATION
Manufacturer Capacity
Curtain Drain None Noted Gal.
Remarks Pump on level at Pump off level at High water alarm at
Tank Only Replaced Under This Permit.
Existing Tank Decommissioned per MOA _ in. in. in.
Code. Pump make and model Electrical Inspections performed by
PIPE MATERIAL House to tank D3034Tank to D3034
Installer drainfield
A+ Home Services Drainfield CO/MT D3034
Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft
Inspection 15` 5/08/18Location and description
dates: 3rd 4' Garage Slab
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL '+�i0t��;'1
Conditional Approval: Date .zkQ:• • *....4..a0
s*; 49� #
of
'O:MICHAEL E. ANDERSON :4 -
II,�0f�••
9•.•CLEY�3��•••:\��+0
( J44
Approved Date '/Va ,,I 1110 ��.'�
J
Inspection Report_9-1-12.doc
SPRING HILL ESTATES #1 B1 L6- 4600 GOLDEN SPRING
PERMIT # OSP181059 PID # 015-051-76
\
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LOT 5 // I I 5'GAS EASEMENT \\
10_UTILITY�ASEMEN — — — — - � \
r _ _ - - - -- -- - - I / \\ \
I- :N 0'•,o
EXISTING WELL
I . \ -issA, T
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F LOT 6
O 3-BDRM HOME /
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CCCC O - . -\
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jWELL RADIUS LOT 7
') \ NEW 1250-GAL - LOT 7
N SEPTIC TANK.
N EXISTING ABSORPTION
N REMAINS IN SERVICE.
N
N
N
EXISTING SEPTIC TANK DEC N
N
OMMISSIONED IN ACCORDANCE 'O.T N
WITH MUNICIPAL CODE. �*,<,9sro\ / —_ _ — _ \ SV1 19.1 40.1
LOT 10 < SV2 27.1 - 43.7
N \ 2C0 29.6 , 45.0
N \
/ N \
N \
N/11 \
/ \
/ \
/ —WELL RADIUS LOT 10 \
I 1
NOTE:1 I
..,..�\�\� NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE LEGEND
.��c .9.f;441q k) PROPOSED SEPTIC SYSTEM ta CO CLEANOUT
%*'49TH j\ %O ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS TA 2C0 DOUBLE CLEANOUT
/ FCO-FOUNDATION CLEANOUT
•s.E....4•;4_, PROPERTY ARE SHOWN.NO CONFLICTS WITH WELLS OR SEPTIC
nSYSTEMS. FS-FLOW SPLITTER VALVE
Michael E.Anderson : / 0 50 100
MH-MANHOLE
F • CE 4381 .•4(/ MT-MONITORING TUBE
14, 4..4 e--/A.,..t No NM FEET SV-SEPTIC VENT
tll%`FESS O 1"=50' TH-TEST HOLE
SPRING HILL ESTATES #1 B1 L6
PERMIT # OSP181059 PID # 015-051-76
0
U CO 0
- f- 99.7 - - -
- - 1 94.0
93.4 1250 GAL 93.2
l SEPTIC TANK
V
'''''''-j--
� 89.1
NOTE:
SEPTIC TANK ONLY REPLACED UNDER THIS PERMIT.
,P .. �
/, ` � SA
#9
% .Mit'e..$.j.,
PA : Michael E.Anderson
4 PROFILE AS-BUILT 0 •
+��sF� CE 4381
c' `�.�,
?� •r NG,X (NO SCALE) kk( PROFESS\ '
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� N,,,„,,,r,. MUNICIPALITY OF ANCHORAGE o►ent
On-Site Water&Wastewater Program \o S'^
ff aftr PO Box 196650 4700 Elmore Road .aa'
, K 1 Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 �' r.
' http://www.muni.org/onsite
\� epartment
k
, cHOR t.G*'
On-Site Wastewater Disposal System Permit
Permit Number: OSP181059 Effective Date: 4/26/2018
Work Type: SepticTank Upgrade Expiration Date: 4/26/2019
Tax Code Number: 01505176000
Site Legal Address: SPRING HILLS ESTATES #1 BLK 1 LT 6 G:2436
Site Mailing Address: 4600 GOLDEN SPRING CIR, Anchorage
Owner: BERNE ZACHARY 50% & Lot Size in Sq Ft: 53196
Design Engineer: FORGE ENGINEERING Total Bedrooms: 3
This permit is for the construction of:
❑ Disposal Field 2 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: Tank shall be located so that it is no longer under the driveway, as shown on permit
drawing and as stated in narrative.
Received By: U yet in.P / Date: i 6
Issued By: Q(, }'e.'nu, , / / Date: / a 6 /8
MUNICIPALITY OF ANCHORAGE
,/ • 9 10
• 71
I I
4
Community Development Department � I 1;1 P 907-343-7904
Development Services Division 2�1$ • 907-343-7997
On-Site Water & Wastewater Program pR
�' ry
ON-SITE SEWER/WELL PERM! rb'PLICATION
0>
0162
Parcel I.D. 015-051-76
Property owner(s) Bernie Zachary & Molly Gallagher Day phone 503-260-3242
Mailing address 4600 Golden Springs Circle Anchorage, AK 99516
Site address Same
Legal description (Sub'd., Block & Lot) Spring Hill Estates #1, Block 1, Lot 6
Legal description (Township, Range & Section)
Lot Size 53,196 Sq. Ft. Number of Bedrooms Three (3)
APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING:
(®all that apply)
Absorption Field ❑ Initial ❑ Single Family (SF) I1
(w/wo ADU)
Septic Tank ❑X Upgrade ❑X Duplex (D) ❑
Holding Tank ❑ Renewal ❑
Multiple Dwellings ❑
Privy ❑ (SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A VARIANCE I 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: .2./5 Waiver Fees:
Date of Payment: y lash t Date of Payment:
Receipt Number: 0Ygc1Receipt Number:
Permit No. 05 P f 4 I Ob' Waiver No.
Permit App_ c
'� ' GE
E NGIN E E R I N G
PO BOX 240773
ANCHORAGE,AK 99524
522-7773 677-7766(FAX)
April 24, 2018
Municipality of Anchorage
Development Services Dept- On-Site Water& Wastewater Program
4700 Elmore Rd
Anchorage,AK 99507
Subject: Spring Hill Estates #1,Block 1 Lot 6— (:olden Springs Circle
Septic system design and permit application
Dear On-Site Services Engineer:
The septic tank on the subject lot has failed and must be replaced. We are submitting this permit
application for the construction of a new 1,250 gallon tank. The owner has requested the larger
tank for a possible future upgrade to the house. The existing tank will be decommissioned in
accordance with Municipal Code. The existing absorption trench will remain in service. The
attached site plan identifies the location of the home and the existing well, and the existing septic
tank and absorption trench. Well radii on the adjacent lots are also shown. No conflicts exist
between this proposed system and any other well or septic system,whether on this lot or adjacent
lots.
The new tank will be placed outside the limits of the existing driveway. Storm water drainage
will not impact this septic system.
The new septic tank will be constructed in accordance with Municipal Code. It will be a
minimum of 100' from all wells and surface water, and more than 5' away from the existing
absorption trench.
Please refer to the attached plan sheet for the septic design. If this design is followed, there will
be no adverse impacts to adjacent properties.
Sincerely,
e
•Michael E. Anderson,P.E. co:' ��A
*; 49TH *®.
Attachments
, r', •MICHAEL E. ANDERSON •
s'. CE-43) . 4:c
•
wiktpi?0 FE poa��'. '
�p
SPRING HILL ESTATES #1 B1 L6- 4600 GOLDEN SPRING
S ______------- /
/ I N
/ // 2 \\
/ I/
/ /� 5'GAS EASEMENT \
LOT 5 / ---_--�-!_-� \
10'UTILITY — J \ \
I / \ \
I– – I I
EXISTING WELL \ ��pF
D I ' . ,/ "SFMFHT o
CO I ,;
0 3-BDRM HOME LOT 6 ; �'
\ /
W • \ \ /J /
"
EXISTING 1,000 GALLON.\•.: \ /
W z S. PTIC.TANK'. ... . • . .• \/ /
%
SV �'`: ` ` J— \' —
W � ` /J \
SV /
o
NEW 1,250 GALLON SEPTIC / — _ — —
TANK WELL RADIUS LOT 7
N s•-,=°"°%°%%' /
LOT 7
\ EXISTING ABSORPTION
N TRENCH TO REMAIN IN
\ SERVICE.
\ /
N
\ /
Niai, x f/
\Nce<•,9;\ _ — —
LOT 10 kx�' -- �\
REPLACE EXISTING 1,000 GALLON // N N N N
SEPTIC TANK WITH NEW 1,250 / \\ \
GALLON TANK. DECOMMISSION N \
EXISTING TANK IN ACCORDANCE /1 \
WITH MUNICIPAL CODE. / \
/ \
/ —WELL RADIUS LOT 10
I \
I I
o.��OF 4194 NOTE:I I
�'`ay P'••• C� '�'�O PROPOSED SEPTIC SYSTEM NO SLOPES>25%WITHIN 50'OR SURFACE WATER WITHIN 100'OF THE LEGEND
49TH •••`y,. COi CLEANOUT
�•..• ••,• •�• �• -• ..... ••ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS FCO FOUNDATION CLEANOUT
/•� PROPERTY ARE SHOWN.NO CONFLICTS WITH WELLS OR SEPTIC FS FLOW SPLITTER VALVE
,,V., MICHAEL E. ANDERSON f,�s SYSTEMS.
0::-ti,,:.• E-4381 •••a`'-e 0 50 100 MH-MANHOLE
# ,c,,.••.......��`�••• 41,
FEET _SLOPES>25% MT-MONITORING TUBE
♦ ' p5 gip:e —SLOPES>46% SV-SEPTIC VENT
4 ROFESSIO ♦ „_
1'A"`v�♦ 1 -50 TH TEST HOLE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEAt_TH & ENVIRONMENTAl. PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L. Street - Anchora§e, Alaska 99501 Telepltone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE
~1~/~- (~)/' ~?/ E] UPGRADE
DEscRIPTION
I OCATION
/ff
DISTANCE TO:
Liq, capacity i
DISTAN
~- Welt
No.T- nes Lengt~-~'~acl ine
Absorption area
Foundation I
~o~
DISTANCE TO:
Width Depth
Depth
Building foundation Sewe* line
OTHER
P~PE MATERIALS
~' [ fit/C- ,
SOIL TEST RATING // ~ ,~ ~'~
NO. OF BEDROOMS
Material
Nearest
-/T, e nc~.w~ h
PERMIT NO.
No, of compartments
Liquid depth
-v,~-/.L (6&6~ / //Z ,~-I .-.'~ ~-'
=RMIT NO.
Liquid capacity in gallons
PERMIT NO.
Distance I)e~/~j~ I i n es
Total effective absorption a
PER]~41T NO.
TI Total effective absorption area
Nearest Jot line
Distance to lot line
pt 7c~ ;~n~
APPROVED
DATE
72-0~3 (Rev, 3/78)
J~./[-~/ DRILLING, Inc.
P.O, Box 10-378 · 10300 Old Seward Highway
(907) 349-8535
ANCHORAGE, ALASKA 99511
84-257
DRILLING LOG
Well Owner ])ESIC~S I~l ,~Z)I/,?~H tlIJ~ Use o£ Well Dr~nestic
Location (address of: Township, Range, Section, if known; or distance main road Lot 6 }~ock 1 SprtI~ l~lls Addit:/on #1 - ;~mhorage
Size of casing. 6" Depth of Hole__ 202 feet Cased to 201.30__feet
Static water level 1'74 ft. (h~5~7~) (below) land surface. Finish of well (check one)
Screen ( ); Perforated (),
Describe screen or perforation IxbI~e
Well pumping test at 7 _gallons per ~fl~ (minute) for. 1 hours with 100%
of drawdown from static level,
Date of completion Al~gugt 28, 1984 .
Depth in feet from
ground surface
open end (X );
WELL LOG
Give details of formations penetrated, size of material, color and hardness
0 TO__ 2
2_To · 95
95 .TO_ ,12.0
].20 TO. 160
160 .TO_ 175
175 .TO. ',!02
.TO.
.TO.
.TO.__
___TO.
_TO.
.TO.
_TO.
.TO
,TO
Casing sticlct~)
~r~ silt,7 gravel
(~ay silw. gravel
Ero~ai silt,7 gravel
Br~,ra clay w/;z~ravel
Waterbearir~,: grave_l - Lowhead
, (Y
8i4 at 97~
3--CONTRACTOR
DEF'ARTMENT OF HEAL.:TN AND ENVIRONMEIqTAL PROTECTION
825 L STREI.E]", ANCFIOFIAI3E, Al::: 91~50].
264-4720
F)I~RMI T Iq[I:
DATE I!3SLIED."
840602,
07/20/84
APPL. I CANT:
ADBRE-"SS:
CONTA[','f' PNONE:
LEGAL. DEEiCR IP:
I.,.(:1'[" SIZE::
LOT LOCATION.'
MAX BEDROOMSn
DESI£3NS IN WOOD
702i DRIFTWOOD
ANCHORAGE, AK 99502
349-80 14
SUBDIVISION: SPRING I.H:I_LS~ADDN ~1:~ LOTa 6
SECTION: 15 'T'OWNSHIP: :L2N RANGE: 5W
55196 (SQ.FT. OR ACRES)
(']OI.~DEN SPRING CIRCLE
BL. OCK: 1
I_is'Led below are 'Lhe op'Lic~ns available 't.~ you in designing your septic
system. Choose the op'Lion that best fits your site.
DEPTN 'T'O F'IPE B[]T'FOM (FT.) 4,, 0 4.0 4~ 0
GRAVEL,, DEI::'TI"~ (FT ,, ) 8,, 0 0.5 3.5
TO'¥AL DIEF"¥H (Fl".) 12.0 4,,5 7.5
GRAVEL, W I DTt4 (FI".) 2,, 5 25,, 0 5.0
GRAVEL L. ENGTH (FT.) 44.0 43.0 75.0
GRAVEL VOL.UMIE (CU.YDS.) 34.6 36.6 55.5
TANI< SIZE (GAI_.S) 1~000,,0 *'~. 1~000.() ** ~,000.,0 **
80IL RATING (SQ.F:"1% /BR) 23:[ 217 2~:[
** TANK NUST HAVE AT LEAST TWO COIdPARTIdENTS
I cer'ti fy
1. I am
'Lhat:
Famil Jar with the Pequirements fer on-site seweps and w~=lIs as ~e~t
~r'th by the Municipality oF Anchor, agra (MOA) and the State of Alaska.
2. I will in~t. all 'Lhe system in ac:cor, danc:e wi'Lb all MOA cc:~des and r, egula'l',.ic~ns,
and in compliance wi'Lb 'Liqe design cr',it, eria of this pepmit.
5. I will adhene to all IdOA and State oF Alasl<a r'equinemerlts For' the set back
distances fr'om any existing well, wastewatep dispusal syst, e~l ap publ:i.c:
!s(,~w(~l'a~i]le system on 'Lh:i,s or any adjacerlt oP i'lear'l:)y .],o'L.
4. I under's'Land that 'Lhi~ permi'L is valid Fop a maximum of 5 bedrooms and
any enlargement will r'equil'e an addi'Lional per, mi'L.
]:F A LIF]" STATION IS INSTAI...LED IN AN AREA COVERED BY MOA BUILDING CODES,
"H"IEN (1) AN I~:LEI]TRICAI..~ F'ERI~IIT AND INSPECTION MUST BE OBTAINED; (2) AS~-BI.III_TS
WILL NOT BE APPROVED WITI4OUT AN ELECTRICAL I.IqSPECTION REPORT; AND (5) THE'.
ELECTI7IC, AL WORk] MIJST BE DONE BY A LICENSED ELECTRICIAN.
Al:)E::'L.~N]' " '.' BE.:~I Glxl~C' ' - ~- IN WOOD
PERFORMED FOR:
LEGAL DESCRIPTION:
1
2
3
4
5
6
7
8
9-
10-
11
13-
14-
15-
16
17
18
19
2O
COMMENTS
PERFORMED BY:
72-008 (6/79)
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Streot, Anchorage, Alaska 99501 264-4720
SOILS LOG- PERCOLAI'ION TEST
SOtLS LOG
fo o
PERCOLATION
TEST
SLOPE
DATE PERFORMED:
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
SITE PLAN
Gross Net Depth to Net
Reading Date Time Time Water Drop
to
(minutes/inch)
PERCOLATION RATE
TEST RUN BETWEEN ~ ¢-- FT AND
/ /
•
• 18
• _� Municipality of Anchorage
On-Site Water and Wastewater Program 'xi' .
�, J�i
(907) 343-7904 ;' " " s A F E .,
= • 1.. 13 , rl
Certificate of On-Site Systems Approval
Parcel I.D. 015-051-76 Expiration Date: ° g1r
1. GENERAL INFORMATION
Complete legal description Spring Hills Estates #1 Block 1 Lot 6
Location (site address) 4600 Golden Spring Circle
Current Property owner(s) Jay Mueller Trust Day phone
Mailing address 11317 Discovery View Dr. Anchorage, AK 99515
Real Estate Agent Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well Li Individual Cl
Individual Water Storage ❑ Holding Tank n
Community Class Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: . ' t 'f'. , e Date: 9P c`))/
COSA to be released to the engineer,unless o erwise requested by he a gineer.
COSA Fee $ S2-{o— Waiver Fee $
Date of Payment II Li 111 Date of Payment
Receipt Number 0451 G Receipt Number
COSA# 0 Sc. 11 i'2-61l _ 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.
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 Phone (907) 272-8218
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone Date 7/13/2017
..OF
Akxim.l
,P , fiio ...,s...,s-- :
7 11 f1
6. DSD SIGNATURE • `,k rd
rd
System #1 Approved for bedrooms • i ••Steven• . �anno -
,• CE-8149 •��
System #2 Approved for bedrooms ���4s •
%
Disapproved �k1%, 'OFESS100 4
Conditional approval for bedrooms, with the following stipulations:
l S ,4"i'f[' \ G+v..lc I s a /l P�llr'S 6 /d
V`e&, p t Ire S 2 C Pel�''S_
•ikd �`�i(Th c C IC !''GUI/ `{=0
U vC o*A.l v • (A} trfA td fi ��
r9a(p vvt ow -0 6 e v I-,' -- : a t vA`+4 ci{-r/re.
V
/ -y I
By: _ ^ ,. )._ r A Aim Original Certificate Date: / r --l7
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work. �\ \( O
� Lt
7. ATTACHMENTS: CN-SITE �y
COSA Checklist X Nitrate Advisory `, tIVATER AND R'
Septic System Advisory Arsenic Advisory 2 WA-8_ ATER
Well Flow Advisory Other
~HOORAM 9
f;,
COSA blue sheeLr • c `�,,,c'•-n;11(��C
If more than 1 septic system is on the lot:
COSA Checklist# 1 of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description. Spring Hills Estates #1 Block 1 Lot 6 Parcel ID: 015-051-76
A. WELL DATA
Well type Private If A, B. or C provide PWSID# Well Log (Y/N) Y
Date completed 8/28/1984 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y
Total depth 202 ft. Cased to 201 .3 ftCasing height (above ground) 6+ in
FROM WELL LOG AT INSPECTION
Date of test 8/28/1984 6/21/2017
Static water level 174 ft 175 ft
Well production 7 g.p m. 6 g.p.m.
WATER SAMPLE RESULTS
Coliform NEG colonies/100 mL Nitrate 0.819 mg/L
Arsenic ND ug/L Date of sample: 6/23/2017 Collected by PES
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/SteelDate installed 9/27/1984
Tank size 1 000 gal Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N/A
Date of pumping 6/23/2017 Pumper A+ Home Services
C. ABSORPTION FIELD DATA
Date installed 9/27/1984 Soil rating (g.p.d./ft2 or ft2/bdrm) 214 SF./BDRM System type TRENCH
Length 44 ft. Width 2.5 ft. Gravel below pipe 9 ft.
Total depth 13 ft. Eff. absorption area 792 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 6/21/2017 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in. Water added 455 gal. New depth 0 in.
Elapsed Time: 75 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d.
N
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (YIN)
"Pump on" level at in. "Pump off" 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+ On adjacent lots 100+
Absorption field on lot 100+ On adjacent lots 100+
Public sewer main 75+ Public sewer manhole/cleanout 100+
Sewer/septic service line 25+ Holding tank 100+
Animal containment areas 50+ Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 100+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+ Water main 10+
Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 100+
F. COMMENTS
G. ENGINEER'S CERTIFICATION `��`"\`
pF ALAMY
�q.0) ii
I certify that I have determined through field inspections and �ffajjp' ��� 9��1
review of Municipal records that the above systems are in 0*: , ;a.�j' ,* 9
conformance with MOA COSA guidelines in effect on this date. r • • •• -'� •• -4-__
Engineer's Printed Name Steven Pannone :�teven H. 'onnone:
Date 7/13/2017 10� q�, CE-814g �,,�
COSA canary sheet_2-6-15.doc
co Lot 5 I I 'p` _ --
°° �w 251.52 � t sTD°::::'cr2-0-": "-----5'Slope
v.
COLDEN SPRING CIRCLE
S84°19 09 _ ment ——r---\:1
3 p_Utility_Ease__ _---- 1p - ' Gas Easement
o
Q ,o,,,oo '� Easement
X58 SAO
-o,P-0 O a�` Lot 6
N0 *ao
.- o So %N \ 11
M
: E '� .. �cb �F, OF• �A(gS l#1
*: 49th
o •14.,\• \• 40,
n' / • It Ili, •i
Z I— �' O 0 ., Brett A. Wilmot .ff •
o Septic vent ', 112392_ LS
AEI
J� , Q.A• ,� • • •.O y
1 111
`N . Lot 7 1%\'V �.``
N
N. AS-BUILT NO CORNERS SET THIS DATE
N
N.
is NN. I hereby certify that I have performed a Mortgagee's inspection
S7o N of the following described property: LOT 6, BLOCK 1,
u� , N SPRING HILLS ESTATES. ADDITION No. 1
N N Anchorage Recording District,Alaska,and that the
7 ���N improvements situated thereon are within the property lines
-� \ and do not overlap or encroach on the property lying
Lot 10 •us ids@ adjacent thereto,that no improvements on the property lying
adjacent thereto encroach on the premises in question and
u°/if\ that there are no roadways,transmission lines or other
N visible easements on said property except as indicated
N hereon,
N
N. Dated at Anchorage,Alaska
EASEMENTS OF RECORD,OTHER THAN .N SCALE: 1"= 40' this 5th day of JULY 2017.
THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES
Engineers and Surveyors
PLAT ARE NOT SHOWN HEREON. BEP, FB 7-4, pg 53 BE 007-248-1666)
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONMENTAL HEALTH
DEPARTMENT OF IIEALTH AND ENVIRONM]~NTAL PROTECTION
APPLICATION FOR t~LALT]:t AUTHORITY APPROV/kL CERTIFICATE
1. General Information Application Date /_~/_~_.~j~_'
(a) Legal Description (incl~ude ].ot~ block, subdivi.qion~ sections township, range)
-. . --~ , c~ ~.~ . ~ ~_~ _ =/~ · ~ . , ...... ~ ~ ~ ....
Lecation (address or directions~)~-
(b) Applicants Name '~- ///~z /--/,., , Telephone -- Ilome Business
Buye. F:l ; O~her []~ (explain);
(d) Lending Institntion ._Q :o'-i:b Telephone
Address
Address
Telephone
(f)
Mail the N~A to the following 'address:
Single-Faatily '~]
Number of Bedrooms
Individuai Well D~[
Multi-Family[_~
Other (describe)
Community L--J~ Public
Note: If community well system, must have written confi~:aation frown the State
Department of Environmental Conservation attesting to the legality and status.
S_~ ~a_g_e.. D.~i s. ~L.1
Onsite '--~--~ Public F--: Community [~ Holding 'rani,
Note: If community well system, must have written confirmation frown
the State
Department of Environmental Conservation attesting to the legality and status°
[Page 1 of 2]
5o Engineering Firm Providin_g Inspectionsz_Test__~s~ File _S~ Data and Infom~ation
As certified by my seal affixed hereto and as of the validation date showm below, I
verify that my investigation of this Health Authority Approval ~hows 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 obtain~ from the ~nicipality of ~chorage files and from my
investigation Jnd inspection, the on-site %rater supply and/or ~astewater disposal
system is in compliance ~,zlth ~[1 Municipal and State codes, ordinances, and regula~
tions in effect on the date of this inspection._
Name of Firm ~ ~ ~% i'/~ ~b ~ / ~/~..--~
Address J~/:' '~: ~ ~::~/ L~- ~; "~
Date :J~/~
.pH__E! A~r oval
Approved for
Approved
'~'<~ bedrooms 'V
Disapproved
Terms of Conditional Approval
CAUTION
Tt~ 14UNICIPALITY OF ANCHORAGE DEPAR~fENT OF I~ALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON TI{E KEPRESEMT-
ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY ~N INDEPENDENT PROFESSIONAL ENGINEER REGISTERED
IN THE STATE OF ALASKA. TIIE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE~'
MENTS. I~IPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS~ OR ~NALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. T]-~ MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SE~)
RR4/ej/D18
[]Page 2 of 2]
7-19~84
C~. d CHORAC-:
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
A4
~LL DATA
Well Classification~.~//~ //~.4/~ /
Well Lo~ P~essnt (~//
Total[ Deptk_ ,~ /~.~?~Cased to /O/, :~ /~/:~:~-~[~pth of G~outing
Static Wate~ Level _ /~/ Pum~ Set At
Casing Height Above Ground _ ~
Wi~ing in Conduit ~)
Electrical
Separation Distances f~cm Well:
To Septic/Holding Tank on Lot /~d
Sanita~.y Seal on Casing (Y/N)
Depression A~ound Wellhead
; On Adjoining Lots__z/. ~(/
TO Nearest Edge of Absorption Field on Lot//~ -/ f~'~ On Adjoining Lots /~
To Nearest Public Sewe~ Line/.. ~/////~ To ~.~a~est Public Sewe~
Cleancut/Manhole ,~////4 // To Nearest Sewe~ Service Li'ne on Lpt /0/~ __
Wate~ Sample Collected By __/~ ///?m~/AA/ __; Date___ ~F. ' o -~,~
Wate~ Sample Test Results __ ~ ~/~ e'~,:'~",;~:"/~ F
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed _/: ~?? -~:/__ Size // W'-d~-d~ No. of Ccmlpa~tr~nts .
~p~ession ove~ Ta~ (~ ~te ~st P~d_
P~ing~intenan~ Con~a~ on File (Y~.) ; f~ '
Holding Ta~ High-Wate~ Alam (~)_~ ~m~a~y Holdi~ Tank ~t (Y~)
Sep~ation Distan~s ~ ~ptic~oldlng Tank: /~,
To Water-Supply ~ll /Jd ~ ~ To ~ildin~ F~ndation
To ~o~rty Li~ ~ f~ //~2-- To Dis~sal Field
To ~ter Main/Se~vi~Li~ .~ To S~e~, Pond, ~e, ~ ~jor ~aina~
Counts
[Page 1 of 2]
2-15-84
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata .27/.'-/ Z?' /¥3~.~.,Type of System
Date Installed y--y~-~.~// /Length of Field /2zi/
Width of Field ~3 /~//w/~ ~ Depth of Field__ /.~
Gravel Bed Thick~ess ~
Square Feet of Absorption A~ea ~ ~'~ ~, Standpipes P~esent ~N)
Depression OVer Field (~ /Date of Last Adequacy Test
Results of last Adequacy Test ~ /~//~ ~
Separation Distance f~om Absorption/Field:
To Water-Supply Well/~/ ~ /~-/~-- To P~operty Line ~g/~
To Building Foundation ~/ ~
/~ /~/ To Existing or Abandoned System cn
Lot z~z//~ · ; On Adjoining Lots /COO ~
To Water Main/Service'/"" Line ~//~ To Cutbank(if present)
To. Stream/Pond/Lake/c~ Major D~/ainage Course /~ ~ ~/~ ~--~/
To D~iveway, Parking A~ea, o~ Vehicle Stc~a~e Area _-U~ D -z~
Cor~nts
De
LIFT STATION ~
Date Installed
Size in Gallons
"Pump On" Level at
High Wate~ Alarm Level at
Tested for
Eleet~ical Codes(Y/N)
Dimensions
Manhole/Access
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles du~ing Adequacy Test.
M~ets MOA
Cc~nents
** Check Permitted Bed~oc~ Rating AGainst HAA Request **
I cerbify that I have che'cked, verified, c~ confc~med to all MOA HAA Guidelines in effect
on the date of this inspection.
Company f~fz MOA No.
KB1/dS/s
[Pa~e 2 of 2]
BF~S~E, EPPS &
2220 EAST 88 AVENUE
ANCHONAGE, AK 99507
(907) 349-6451
WATER WELL TEST
Location:
Client's Name:
Address:
Initial Reading on Meter:
/-7.
GALLONS GALLONS
TIME GPM /~ VOLUME T(~AL VOLUME
Production Rate: /,~__GPM 24-Hour Capacity/. '--- Gallo~s
I0
SURVEYOR'S CERTIFICATION
I HEREBY CERTIFY THAT [ HAVE SURVEYED THE
PROPERTY DESCRIBED ON Tills PLAT ANt THE
IMPROVEMENTS glTUATED TREREON ARE LOBATED
AS BUO¥4N ON TltlS PLAT,
· ~ ~ ~ ' / .: , ~-.-~/~
LEGEND
O
LOT CORNERS
FOUNDATION
DRAINAGE ARROWS
NOTES~
L IT BHALL BE THE RESPONSIBILITY OF THE BUILDER OR OWRER TO VERIFY THAT
LO]- ~, 'BLO~ F-.. I
BESSE, EPPS A POTTS
2220 E. 88th, AVE
$49-6452 ANCHORAGE, ALASKA 99507 349-6454
DfiAWNBY, ~L~ SCAt. E, ['~ .~Ot C-C OWB. NO.
cm<.BY, /DA~E' -/~ l(o-?t DX,