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Home My WebLink AboutTUSTAMENA TERRACE LT 7AT Lot 7A #017-381-5 DEPAKI~,OF ENVIRONI~AL CoNsERvATiON' CONSTRUCTION ~ OPERATION CERTIFICATE ' '- ' ... :.. · FOK . · DOMESTIC W~.STE'WATER DISPOSAL SYSTEMS '.:?" domestic wastewa~r disposal system '.'"'. have been reviewed and are I-I ""' d(' "" ¢ondiUon~llZ approv see n_~¢hed condMo~ , n, If constmctlon bas not started [thin two years of the approYal date, this certificate is v~id ~d new plans and specifications must be submitted for review and approval before construction. .~,, ' B. APPROVED CHANGE ORDERS Change (conlz~ order number or descriptiv? reference) C. APPROVAL TO OPERATE .: .The 'APPROYAL TO OPERATE" s~lon must be co'~plcted and signed by the Department before this system is made available Theco~,uctionofthc ~,--'~O~ FO~.~5~/~ ,,~ ~,~ domesficwastewaterdisposalsystemwa~complcted The ~ is hereby granted interim approval to operate for 90 days following the complctlon date. A.~uih/record... dn~wln~s,., submitted to...the. Deparlment, or an Inspection by thc D~pariment, ha~ conf~med that the domestic ~ ~ sys .t~m was ~ in ~ conformance ~th the approved plans. The system Is hereby granted A. APPROVAL TO CONSTRUCT Plans for [he conm'~ctino or modification of C,,/,,~ .~ STATE OF ALASKA DEPARTMENt, OF ENVIRONMENTAL CONSERVATION CONSTRUCTION AND OPERATION CERTIFICATE £OR PUBLIC WATER SYSTEMS F-] approved.. [] conditonally approved (see attached'conditinns)i BY public water system located in Alaska, submitted in accordance with 18 AAC 80.300 have been reviewed and are . If constt'uct|on has not s~ncd within two year~ of thc approval date, ~.is certificate is void and new plans and specifications must be submitted for rcvlcw and approval before construction. ' B. APPROVED CHANGE ORDERS Change (contract order number or descriptive reference): Approved by: · Date: C. APPROVAL TO OPERATE .Tae "APPROVAL TO, OPERATE' section must be completed and signed by the DeparU~ent before this system is made available public water system was completed on~ (date). The ~stem is hereby granted Interim oppr~val to operate for 90 days following completion date. aY · DATI?- As-buih/rccord drawings, submitted to thc Dcp~ent, or au inspection by thc Deparonent, have cool'u'meal that the system was constructed according to the approved plans, The system is hereby granted final approval to operate. , Dislrlbutlon: !. Rctaln original for project file 2. Make copies for distribution L GENERAL · STATE OFALASKA' , il' DEPARTMENT OF ENVIRONbl ENTAL"CONSERVATIbN APPLICATION FOR ON-SrTE WATER AND SEWER SYSTEM APPROVAL ' ' OR DOCUMENTATION OF SYSTEbI INSTALLATION ' IlL V,'ATER SUPPLY gYSTEM Sou~ of W~.r m~l C _o,~*. _ ~.~ {~ ill ~ ~ly) Ilol~g T~ ~ ~ Well ~ h ~ ~i~ of ~ well ~g ~ ~ 12' ~ ~ ~ a ~ ~I ~ well ~ ~It~ ~ ~ well h ~ d~ away ~ ~ ~ ~ ~g wi~ a ~di~ of 10 f~ of~ well c~ing? b well wire ergl~l in coaduh? Oaz*Ddllod, , I De~ of Well (F,.0 ' ~i~ ~ ~ ~ Well ~in~ ~ e~ of~ Fotl~ S~ of C~i~ti~: ~i~lotd~lX~ ~ ~ //9/ ~ SO0 ' C~S~loldmg~j~//~/ C~Sew~j~t~lOC S & S ENGINEERING .' ..'.':: of Wit.' SuFply Sy,~c.m J rrfl~t of War. (~ elf ~t ~ly) I Yield ~foMtlable) ~Ra~ (ffa~ilabh Wain. S~mpk T~m by:. (N.me) Wt~r S~ml~k R~ul~t: 17034 Eagle River Loop Road No.204 Eagle KIver, Alaska Sampler J J~J B.u~et E] Oovemf~ Of~dd ~ota: *~tu~t ~ Itlgn~d k~v a Cer~fi~d Inttotltr. Prof~,ior.~l Engtne~r. D_r~ tta~. or ~°¥0 / L4.4C,.~4 K~ 4.4, 0 j°", /~ , / e s; ISe¢ic T~ T)TeAl~nu facturer Box 1..~69, ST,XR I~OIJ'TE flk A.~'CHORAGE~. ALASI~A 99~02 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF. DRILLED AT THE RATE OF' 5'77. OO PER FOOT, PROPERTY OWNER £~. ,~/c¢ Bond LOCATION OF WELL SITF '~' '7 /~" Su~. DRILLER 400 Ciau~ o~ 2~,o~ .Dr'"' WELL LOG: 0 .... 3~' 35---£4' 158-2.35 ' 2-35--293' 9/'3--400' 1/2 ~"'£t cotrv~q · t;v:e ,tod: [.,zoa 360 to 400 t'ee,t-. 200 (ee,( 150 7c,.4~ l;e,z h. ou~ co.c,.O~.q MUNICIPALITY OF ANCHOEAGE DEPT. OF H-~ALT, I & '~1~1 ENVIRONMENTAl. P^oTcCI'ICqq ' ' ~' ;).vLt, ted ~ 1976 CoL 26~, 1976 --. OEO 2 9 1981 ( COST INCLUDES ALL ~BOR~ND-MAT~AL FOR COMPL~ION OF ~AID.D~I~ WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FORTHE S~M OF, THANK YOU VERY .UCH. ~ 1~7~~'~ ',~ " BERNIE C~US OF ~MPA~ ~ERVICE CHARGEOF l~a% PER MOtH Wl~ BE ~S~S~ O~ P~ M~y~r ~700 Br~w ,Anchor~, AK 99~ !9-~6~0 Pump Installation Log We]_]. DriVing Permit D~t~ of parcel Identification Number:__ JJ Property Owner Name & Addrass: .Pump lPIodel: ~.~- Pump Size I hp Pidess .kdap~er Bm4M Deg%h: / D ~t ~ethod ,:( wxsmaec~o a: IV. DIAGRAM OFSYSTEbt(S) INSTRUCTIONS FOR DIAGRAM .... · I. In a Flaa ~'w. _L~!e ~d Id~llfy ~:h ofl~e follov&~ .... :? .. a) Well ~ ~ / ~[us , UNDeVelOPeD ~ LOTSA ~ . ~ ~ ~. ~_~ - NEW TRENCHES SEPTIC TANE~ 825 "L" STREET ANCIIORAGE, ALASKA 9950'1 (907) '264 4111 January 4, 1982 Alaska USA Federal Credit Union 2600 DeBarr Rd. Anchorage, AK 99504 Permit ~ 811172 Subject: L7 Tustamena Terrace Subdivision A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for files. our If there are any further questions, please call this office at 264-4720. Sincerely, Sewer and }later Program Enclosure: Copy of Permit 825 "L' STREET, 8?4CHORAGE, RI(. 9958± 2~-,4-4720 Or'l--5 T TE sElqER PERt.11 T PERMIT ~0. ( Bill?2 > qqS. o~~l~ 8F'PLICA~'~T AK US8 FED. CREDIT U~IO 2_~00 DEBARR RD ~_///~mZ. LEGFIL L? TUSTFIMENFI ¢~'L,h_~(~¢,, J~D LOT _ E T~'F'E OF SOIL RBSORPTIOf-~ SYSTEM IS: TREe, CH ~IR',dIMIJM t.~UMBER OF BEDROOr'I$ = .~ SOIL RATIHG (SD FT?BR>= 264-2Bi2 14400 SOLIR~ I THE REQUIRE[) SIZE OF THE SOIL RBSORPTIO~ SYSTEM IS: DEPTH= 9 LENGTH= -~'¢] f~ GRR%-'EL DEPTH= 5 THE LB~GTH DIMB~SIOf. I IS THE LBIGT~H (~'~.FEET> OF IH~ ~R ~R~I~.IFIEL~. THE DEPTH OF R TRBICH OR PIT~ T~E DISTR/-~CE BETI4EBI T~SU~'RC~OF THE GROUr.~D Rr.lD THE BOTTOf,I O~TOE~EXCRVRTIOt. I (IH FEET>. ~ ~ } THERE IS HO ~ET I,~IDTH FO~REf-ICHES. '~f THE 6RRVEL DEPTH I~ THE MIf. IIMUM DEPTH OF 6RRVEL BETI,~EEf~ THE OUTFRLL PIPE Rf.~D THE BOTTOM OF THE EXCRVRTIOH (I~ PEET>. RE~LI~REB SEPTZ6 TR[-IK S~ZE= ~ 6RLLO[4S PERMIT RPPLICRr. IT HR$ THE RESPONSIBILITY TO ?~FORM THIS DEF'ART~IE~T DURI~IG THE if. ISTALLATIOf-I IHSPECTIOf.6 OF A~I'¢ [.ELLS RDJRCEHT TO THIS PROPERTY RND THE f. IUMBER OF RESIDEHCES THAT THE ~IELL ~IlLL SERVE. TI-IQ ( 2 ) I 1'4SPE[::T I Of, iS RRE REQU I RED BRC,(FILLIf',G OF R,"'¢ SYSTEM I.!ITHOLIT FIf,~AL INSPECTI~tff~"'~AHD APPROVAL BY THIS [,EPRRTblEIIT ~IILL BE SUBJECT TO PROSECUTIOt~ ~ \,) UPO~'I THE TYPE OF PUBLIC I,IELL. MIf'IIMUM DISTRt'tCE FROM R PRIVRTE ;.IELL TO R PRIVRTE ~E~ER LI~IE IS 25 FEET R~lO TO R COMr'~U~'IITY SEI,ER LI~E IS 75 FEET. OTHER REQUIREMENTS MRY RPPLM. SPECIFICRTIONS Rf'lD CO~GTRUCTIOf4 DIRGRRMS RRE RVRILRBLE TO I~ISURE PROPER INSTRLLRTIO~. F'ERr'I I T EXF' I RES DECE. I~I~R 2:--'1.. :298'1 I CERTIFY THRT l: I RM FRMILIAR' I,~ITH THE I;'.EQL;~[~.'~I S FOR OH-SITE SEI,!ERS R~4D 14ELLS RS SET FORTH BY THE MUHICIPRLITY OF RH~ORRGE. ' I 14ILL IHSTRLL THE SYSTEM I~'4 RCCORDRF~CE P)ITH THE CODES. ~: I U)'JDERSTRt'4B THRT THE Of'4-SITE SEI,ER SYSTEM ~IRY REQUIRE E~4LRRGE~IEt'4T IF THE RESIDB'~CE IS REMODELED TO It.~CLUDE t'IORE THRN 4 BEDROOM_~~ RPF -IT R~., CREDIT U~'~ I ON ............. /'., ..~-.. GREA .R ANCHORAGE AREA BORt ii Department Quality of Environmental ' 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,ON--)~ C~.~__ LEGAL DESC.IPT,ON : ~ --~~-- ~/~ SEPTIC TANK: DISTANCE ~ FROM WE LL~/~, INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPAClTY().-~O GALLONS· TILE DRAIN FIELD~ ~ ~ DISTANCE FROM WELL~)~ FOUNDATION ~ ¢ NUMBER OF LINES J DISTANCE BETWEEN LINES ABSORPTION AREA (oO(~ SQ, FT. LENGTH OF~I LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE ~ MATERIAL BENEATH TILE.~ NEAREST LOT LINE TOTAL LENGTH OF LINES TRENCH WIDTH ~'IN. TOTAL EFFECTIVE ABOVE TILE IN. WELL:[-~ TYPE ._~-I:u~_~} CONSTRUCTION BUILDING NEAREST NEAREST FOUNDATION__ LOT LINE , SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED ' REMARKS DEPTH SEPTIC SEEPAGE TANK , SYSTEM DISTANCE FROM: DISTANCES: INSTALLED BY: I~/[k'k~ (~' SEWER LINE DEPTH: ~ ¢ PIPEMATERiALt~'~ J!~% LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE PPROVEO G.A.A.B. Form EQ-032 ..,~.~; [:'EPRRTHENT , HERLTH tint:' EN'¢IF:ONHENTF~L :FITECTION . - - 25i6 E. ru£:,OR: FiD., RN3HOR'RGE, RK. 99507 " 276-2221 ~.?IlI'N-,. [4ELI_< 76674 >RND' ,IN--SITE SE[4EF: RF F'L I L-:RNT LOL':Ff¥ I ON LEGRL IZII KE E:ON[:, NHKF-4~- ~.. LHr'E r l L7 TUSTRMENFt _-.LB 7229 LEI.)IS F'LRCE LOT SIZE ¢4 ~-r --¢.. 14400 SFJ_IRF~E FEET TYF'E OF SOIL ABSORBTION SYSTEH IS: TRENCH HR;?;I£'IUt'I NUHE:ER OF BEDROOMS = /¢~ SOIL RATIri~3 1HE F:E6!UIF:EB, SIZE OF THE SOIL ABSOF~PTION S'~'STEI'I [:.E F'T FI = 9 LE[-,,3 TH = ~~ R'...'E L C.E~TH = 5 GROUHD R[.4~¢ THE BOTTOH OF THE B'(CRVRT~ON (ZN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE ORR'eEL DEPTH IS THE r. IINIHUH DEPTH OF GRR',.,'EL E:ET~*EEN THE OUTFRLL PIPE RND THE BOTTOH OF THE B::CRVRTION (IN FEET). F-': EI;! I_l I F-: E B, SEF'T I C 1- R r-4 f--. SIZE= [',FICKFILLING OF RNY S'¢STEH WITHOLIT FINFtL INSPECTION ~NC, RF'PRO',,.'RL E:Y THIS [:,EF'RR:THENT WILL E:E SLIE:JECT TO F'ROSECUTION. l.lllllf, lIJf.1 DISTRNCE BETWEEN A WELL Arid RN',' ON-SITE SEWAGE [:,ISPOSRL SYSTEI'I IS 100 FEET FOR A PRIVRTE WELL OR 200 FEET FOP-. R PUE~LIC I.IELL I.ELL LOGS FIRE REE~UIRE[:, RN[:, HUST E:E RETUF.:NED TO THE DEPF~RTr. IENT I.IITHIN OF THE I.IELL COHF'LETION SF'ECIFICATIONS RNE:, CONSTRUCTION DIAGRRMS RRE RVRILRBLE TO INSU~:E PROPER I NSI'RLLRT I F'E~-:r.1 I T ~..'RL I D FEIF-: Or-lE ~r'ERF.: FF-:I3hl I SSI_IE I 1: FORTH B'¢ T~tE f. IUNICIF'RLIT¥ OF RNCHORRGE. 2: I WILL. INSTRLL THE S'¢STBi IN RCCORDRNCE I, IITH THE CO[ES. 2:: I UN[>E¢:STRND THRT THE ON-SITE SEWER'. SN'STEr,I MRY REOUIRE ENLRRGEMENT kESIE:,ENCE I~' TO ~;:E THAN 6 BE[:,ROOHS. - ' RFF'LICR.IT f.iT[~-~ · - E:'~ ' ~~ DFtTE ~- ~ ~-' ¢~ ISSUED ~ .......................... CERT I F'~ THRT I r4f.1 FRHILIRF.' WITH THE REQUIF;EHENTS FOR ON-SITE SB.ERS RN[) WELLS RS SET IF THE GARY PLA¥1M_R VI=NTUR S CONSULTING GEOLOGIST IBOX 476-M, STAR ROUTE A * ANCHORAGE, ALASKA 99507 · PHONE 344-7071 SOILS TEST This form reports on visual classification of soils in a backhoe excavated test pit. Test performed for Legal description L~ ~ "['u~e~= T~V~(¢ S~. Depth (feet) 0-3 3-4 ~.~-~ Soil Description Was groundwater encountered? ~S %~nat depth? ] ~ ~ Depth to I'ue'~'1'v~h ~,,~T~ ,,, '" ~ b~roqk ~0' . How determined? Respectfully submitted, Gary F; Player Consulting Geologist Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 1. GEN. ERAL-INFORMAT[ON ..Competelegald,escnptic~. Lot 7A & 8Al Location (site address or flireetions) C..urrent Property ow~.e.~l~ Mailing address .' 8720 geverly ~t11~ ~,~. Lending agency Mailing address Expiration Date: Tustamena Terrace Subdivision 5601Naknek Ln, Anchorage. AK qq~5'l~ Dayphone 5ns-828-~gn~ AZbuquerque, NH 87122 Day phone Real Estate Agent Phyllis Kruger / Pacific RimDayphone 727-8439 Mailing Address 405 W. 27th Ave. Anchorage, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. ' 2. NUMBER OF BEDROOMS: 6 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class --, Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site 3~[] .. Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of HeaIth Authority 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 Health Authority 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. NameofFirm S & S Engineering Phone 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name ]~obert C. Co.an ..Date ~'/A9 /e ~/ 5. DSD SIGNATURE ~ Approved for Disapproved. Conditional approval for bedrooms. I ( .-., .... ,,.o ~ bedrooms, with the [ollowing stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~;~ - 3 -' 0 Z./ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewatsr Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6850 www.ci.anchorage.ak, us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /.-' '-~"~/~'/*~ WELL DATA Well type cPc**¢~ Date completed Total depth ~'~o' ft. Date of test Static water level Well production WATER SAMPLE RESULTS: IfA, B, or C provide PWSID # Sanitary seal (~N) ~, ~, Cased to ~ ~ ~ ft. FROM WELL LOG /o/z~/~ ~e~o~ ft. g.p.m. Parcel ID: O I'~' Sg/-~.~ Well Log (~N) Y¢-.-~ Wires properly protected Casing height (above ground) / ~ ''~' in. AT INSPECTION ~0~~ .ft. /' / g.p,m. Coliform [2 colonies/100 mi. Arsenic: ~ mg./L Nitrate 0 · / mg.fl. Other bacteria O colonies/100 mi. Date of colie < Date:.sta,,ed Cleanouts (:~) Y~.-~ High water alarm (Y/~) ~,3e erave~ baker pipe I0, 5 / ft. Depression over field [,~ For ~ bedrooms New depth '~-lq ~n. ~/~(T.) g.p.d. If yes, give data ------- B. SEPTIC/HOLDING TANK DATA Tank Type/Me, te~l' ~:~e~/ Tank size :~ ~O gal.. ' / N~;~r of Compartments Foundation C~eanoUt~TN) ~ .i'Del~sion over tank (Y/~ Date of .~mping '7/Z~ $/0 ~' '.'"Pumper C. ABSORPT!ON FIELD DATA . . ," Total depth l~:;Ift. Eft. absorption area l"/c~b ft2 Monitoring Date of adequacy test '~/I ~ / ~ 'l Results (~'Fail) .<~,.c~ Fluid depth in ebsorption field before test ~ l~ in. Water added ~J~l gal. Elapsed Time: '/J }min. Final fluid depth ~ ~ in. ,Absorption rate >= Any rojuvenatJon troatment (past 12 mo.) (Y/N & type) ~ v~... D. LIFT STATION "Pump on" level at -~$ ~'in. Datum E. SEPARATION DISTANCES Size in gallons. 'Pump off' level at 7,~" in. Cycles tested Manhole/Access (~/N) ~'~ ~, High water alarm level at ~gl~ in. Meets alarm & circuit requirements? ~/,~ % SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /O "7 / Absorption field on lot /c~o / ~- Public sewer main ~J /~' Sewer/septic service line ~.~ r / On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation /'~' "/' Property line /o / Water main ( o ~ nu Water service line [ Wells on adjacent lots /~--'O SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / (~ ~ (- Building foundation /O Water Service line [O I Jr Surface water ./C~ Curtain drain L.]o-~C, ¥~v,~ Wells on adjacent lots /~<D //- Absorption field Surface water Water main (0 ~ (- Driveway, pa~tdng/vehirJe storage F. COMMENTS G, ENGINEER'S CERTIFICATION I certify that I have determined through field ir~pectiens and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name//LJ~,~ 4.,,~7- C'. (~o ~,~' Data HAA Fee $ Date of Payment Receipt Number (Rev. 12/O1) Waiver Fee $. Date of Payment Receipt Number SG$ Ref~ Client I~ame Project N3mc/# Client $3mple ID M~trix ~r~ple Remarks: 1044466001 S & S Engineering L?AJ~A Tustamena Terrace LTA/SA Tustamerm Terrace Drinldng Water All Date-~rimes are Alaska Stendnrd TiNe i'rinted Date/rime 07/28/2004 14:26 Collected Date/Time 07/23/2004 9:30 Received Date/Time 07/23/2004 10:00 Technical Director SteplLeh C. Ede Released ~n~v~/~ PQL Units M~t~od ~l~lc ~ AneJysis Container ID I~imi~s T~te D~te Init Waters Depar ~ent NJu'atc-N 0.100U 0.100 mg/L EPA 300.0 B (<=10) 07/23/04 JJI3 Microbioloc~, Laboratory Total Coliform 0 col/100mL S~,L?.0 9222B A (<=1) 07/23/04 DKC Z \ \ \ \ \ THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND F~ATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCEUNES. EASEMENTS OF RECORD. OIldER THAN THOSE SHOWN ON THE RECORDED PLAT, ADE NOT SHOWN HEREON. NOTE' ANY FENCELINES SHOWN ARE LOC.~TEO APPROXIMATELY AND A~E NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. AS-SUILT SURVEY NO CORNERS SET THIS DATE SCALE:I' = 40' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOTS 7A AND SA, TUSTAMENA TERRACE SUB. ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _19TH DAY OF JULY 2004 . ROBERT C. COWAN, RE. flOBEflT~ SHAFEI~ RE. July 30, 2004 CML ENGINEERS (9o7) 694-2979 FAX (9o7) 694-1211 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Reference: Lots 7A & gA; Tustamena Terrace Subdivision Dear Sirs, A septic adequacy test was performed on the referenced property on July 17, 2004. As can be seen on the attached check list, we added 519 gallons to the system. Since this is a 6 bedroom system, we would normally add 900 gallons of water, which is the daily requirement for this septic system. We were not able to add the required 900 gallons to the system in a reasonable amount of time due to the water production rate from the well. We thereby request exemption from the requirement to add 900 gallons of water to the system because it is clear that this septic system is capable of absorbing well over the daily requirement. Only one trench was tested and the absorption rate is well over the required 900 gallons per day, while the other trench has no water in it, and appears to be in near new condition. Additionally, the trench that we tested operates in the lower one quarter of the effective depth. We believe that the added expense to haul water to this location and pump it up to the septic system (since it is elevated or uphill septic), system is not justified in this instance. Please approve the attached tleahh Authority Approval. Sincerely, RCC/glc 17034 NORTH EAGLE R1'V~ R LOOP * SUITE ~M ~' EA~LE F~%'~ R. ALA.~KA 99577 TIMOTHY and DIANE KREITINGER, hereinafter referred to as Grantors, whose a.d. dress Is 8720 Beverly llills NE, Albuquerque, New Mexico 87122 owners of the land described as: . Lot gA: Tustamena Terrace, as per plat thereof recorded in the Anch(~rage Recording District .und~er pllt file number 73-23S. ' ' "~'o~wledged, hereby grants and For good and valuable consideration, Ihe receipt of which is hereby ack conveys to TIMOTtIY and DIANE KREITINGER, whose address is 8'/20 Beverly llills NE, Albuquerque, New Mexico 87122 the following easement to be used for Ingress, egress and utilities. The easement granted is described as: An easement for septic utilization over a portion of Lot 8A for use by owner ~ind tenants of Lot · Tustamena Terrace, as per plat thereof recorded in the Anchorage Recording District under plat file number 81-153, and further described as follows: , Begin at the most southeasterly corner of said lot gA. Thence, following an bearing NI0°SI'I7'E a distance of 154.25 feet; N70°$7'35"E a distance of 61.25'; S27° 06'47'E a distance of 75.67 feet to the northern most corner of Lot ?A; S49~23'S"W a distance of !~0 feet to the point of beginn.[n.gI :: '.: This easement Is for the benefit of and pertinent to Ihat land and any portion thereof described as: Lot ?A, Tustamena Terrace Grantors, their heirs, successors and assigns, agree to said ingress, egress, and utility easements and their use by TIMOTII¥ and DIANE I~REITINGER, they heirs, successors and assigns. · TI,MOTII¥ and DIANE KREITINGER and his successors in interest, s~all use the r ghts granted above.with due regard to the rights of others In their use thereof. Grantors, and tfi~lr'~bc~essors in interes~ shall not obstruct the easement in any way. Grantees and their successors in Interest acknowledge that TIMOTII¥ and DIANE KREITINGER and their successors or assigns, shall be responsible for development and/or maintenance of the easement. They will further hold the Grantor harmless from liabilities or damages resulting from their use of this easement. IN WITNESS %VllEREOF, we have hereto set our hands this ,~ day of~, 2004. Lot gA: Tustamena Terrace Lot ?A; Tustamena Terrace · '~ M ~II~(/KI~E~TIN GIH~, Grantor /~D~FA~I £ KI~ ,TI N/Gi< ~L~ Grantol~ Sub½c~'ibe~n'~l sworn]o b~ore me Subscribed and s~xorn to before me thls.~_~ day,of ,////LbV' , 2004 this ~day of//~ ,2004 ..>; . ~l~ommh~n6 ~xplre~ ~'~ f ~J~. ] ''",'~H. ''~' /-/~-- '~ ~ ~'/ '~'.hJ,n,~~ V~ ~ . ; MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Divislon of Environmental Services On-Site Services Section P.O. Box196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # ~\'"~- ~c/-\--~'~t .. HAA# 1. GENERAL INFORMATION ..~ . Complete legal description Location (site address or directions),,~.~- /~V/,'~,u~~-~ -.-~/-- ~ e Property owner Mailing address Lending agency Mailing address Agent '/-'~-'~' /'~'~'/~"Y' Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBE. OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- . lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, p~o~'ide written confirmation from State ADEC attesting to the legality and status of system. 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. David R. DaytO~Z Name of Firm 20~tOl::~.al~S~. Phone Address Chugla~,. AI~ ~S67 Engineer's signature ./~.~/)'4~' //~''' [~/~ ~ Date ~'/~,~x/~ / DHHS SIGNATURE Approved for ~-l~-/'~/./) bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Sen4ces (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST LegalDescription: ~,r"~ ~TA,,,~vA 5,,,~o ParcelI.D. 0/'7-. A. Well Data Well lype p~ ! U ~"~ If A, B, or C, attach ADEC letter. ADEC water system number. Log present (Y/N) Y Date completed ~'13! ~//~ '"~, Driller ~',~r~-~- Total depth ~4~4) Cased to ,~ Casing height ~;~ ! Sanitary seal (Y/N) ~ Wires properly protected (Y/N) Y Date oftest Static water level Well flow Pump level1 FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer service line '~-~'"/'" AT INSPECTION g.p.m. ~.o ~-- g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Collected by: .Other bacteria ~-~,,,,.~ B. SEPTIC/HOLDING TANK DATA Date Installed tcllU Cleanouts (Y/N) High water alarm (Y/N) Date of pumping Tank size Foundation cleanout (Y/N) ~1~- Ala~ te~:t~d:~)'' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Surface water/drainage On adjacent lots I ~'o *-.Foundation Absorption field /~ .Water main/service line ~-ms (3~3). Fm-,t CONTINUED ON BACK PAGE C. UFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on' level at Manufacturer Manhole/Access (Y/N) 'Pump off' Level at .Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIF~ STATION TO: Length ~.O Total absorption area Date of ad~aqacy., test Well on lot D. ABSORPTION FIELD DATA Date installed '""~,7~'~//~,~ Width Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) On adjacent lots Soil rating (GPD/Ft=) Gravel thickness Cleanout present (Y/N) y Results (pass/fail) SEPARATION DISTANCE FROM ABSORPTION FIELD TO: .Surface water Well on lot I Z ~ To building foundation On adjacent lots Surface water Curtain drain ,/-~'~ 2"~,~'~- System type Total depth ~ / Depression over field (Y/N) ~ for ~' Bedrooms After test O, O / If yes. give date On adjacent lots /4> o V--- Property line -~ ~, 5" .To existing or abandoned system on lot ,'~,.~ ~7 C>' Cutbank n///~+. Water main/service line 2- 5"-r ! ~o-~- Driveway. parking'vehicle storage area ~'" E. ENGINEER'S CERTIFICATION I cerb'~/that I have checked, ye#fled, or confom~d to all MOA and HAA guidelines in effect on/~e of this inspection. Chugl&k, Alaska ~95~7, Signature ~ . ~. *~,., Y..;J-,;;~',,,..~,~,'.,4~.,~.. ~.. ~-ngineers Name Date , ,¢ ..... HAAFee$ /~O, ~ WaiverFee$ Date of Payment ~'/-/-- ~'.,~ Date of Payment Receipt Number ~-/.~Z',~ ~ ~" '~7 b"~'"",~ Receipt Number, 72-028 (3/93)' Back D. R. DAYTON, P.E., R.L.S. ~]8~]8~ Chugiak, Alaska 99567 20210 Donalar (907) ~[t~ ~Lg~ ~ 696-2417 June 18, 1993 1~,,~a.-~a.~ TEST Legal Description: Lot 7A, Tustamena Terrace Subdivision Date of Test: June 15, 1993 Septic Tank: 1750 gallons - 2 tanks Absorption System: 60' x 4' x 5' effective depth trench Soils Rating: 150 sq. ft. per bedroom Requirements: 6 bedroom - 900 gallons per day Test: Water was run into the absorption trench while monitoring volume time, and level rise in the trench. Results: The trench accepted 940 gallons with no rise in the liquid level Conclusion: The septic system absorption trench is currently functioning adequately for a 6 bedroom home. D. R. DAYTON, P.E., R.L.S. h'6~B~B'd'x~l~ Chugiak. Alaska 99587 20210 Donal ar (907) 696-2417 June 18, 1993 WELL FLOW TEST Legal Description: Lot 7A, Tustamena Terrace Subdivision Date of Test: June 15, 1993 Well Depth: 400 ft. Static Water Level: 206 ft. Driller: Rampart Drilling Requirements: 6 Bedroom - 900 gallons per day Test: The well was pumped with the existing pump through an outside hose bib. The well was pumped until the flow rate evened out at a steady rate. It was not possible to measure the drawdown beyond the 260 ft level as the probe hung up in the wires or pipe to the pump. Results: The well produced a total of 939 gallons in 6 hours. The average yield was 2.61 gallons per minute. The yield at the steady flow rate, during the last 3 hrs., was 2.35 gallons per minute. Conclusion: The well iS currently producing adequately for a 6 bedroom home.. COMMERCIAL TESTING & ENGINEERING CO. ENVIRONMENTAL LABORATORY SERVICES Chemlab Ref.~ :93.278i-1 Client Sample ID :L7 773STAME~A SU~. Matrix :WATER REPORT of ANALYSIS 5633 S STREET ANCHORAGE, AK 995t8 TEL: (907) 562-2343 FAX: (907) 561-5301 Client Name :DAVID DAY.N, P.E. Ordered By : Project Name : ProJect~ : PWSID :UA WORK Order :67192 Report Completed :06/17/93 Collected :06/15/93 @ i0:30 hrs. Received :06/i5/93 @ 15:00 hrs. Tect~ical Director:$'t~.~HEN C~ EDE /' Sample Re~rks: ~L~rlNE SAMP~.w COt'-rY:u-.i.'L.u BY: D.R.D. QC Allowable Ext. Anal Parameter Results Qual Units method Limits Date Date Init Nitrate-N 0.10 U mg/L EPA 353.2/300.0 i0 06/16 LLH * See Special Instructions Above UA = Unavailable ** See Sample Remarks ;%bove NA = Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT = Less T~n D = Secondary dilution. GT = Greater Than ~SGS Member of the SOS Group {Soci616 G~n61'ale de Surveillance) ENVIRONMENTAL SERVICES IN ALASKA, COLORADO. UTAH. ILLINOIS, OHIO, MARYLAND, WEST VIRGINIA, NEW JERSEY, SOUTH CAROLINA unicipMity of Anchorage Department of Health and Human Services Tom Fink. 825 "L" Street Mayor P.O. BOX 196650 Anchorage, Alaska 99519-6650 August 17, 1993 Cheryl A. Brooking Hartig, Rhodes, Norman, Mahoney & Edwards 717 K Street Anchorage, AK 99501-3397 Re: Lot 7 Tustamena Subdivision Health Authority Approval Dear Ms. Brooking: In response to your August 4, 1993 letter requesting information relevant to the subject Health Authority Approval request, the following documents are attached for your review: · AMC 15.65 Wastewater Disposal Regulations, effective today. · AMC 15.65 Wastewater Disposal Regulations, effective in 1982. · AMC 15.05 General Provisions otTitle 15 Environmental Protection. Please reference section 15.05.160 pertaining to Health Authority Approvals. · Health Authority Approval Guidelines dated August 1992. Please contact me at 343-4360 ifyou have any questions. Sincerely ,. / ,~Sh~ Smith, P.£., Progra~ Manager, O~-site Services HARTIG, RHODES, NORMAN, MAHONEY & EDWARDS August 4, 1993 Anchorage ~AND DELIVER Ms. Susan Oswalt Environmental Services Division Department of Health and Human Services Municipality of Anchorage 825 L Street Anchorage, AK 99501 · · t Anchorage i~un~c~p~l~ °u:,,~n Services Dept. Health ~ ""'" Re: Lot 7, Tustamena Subdivision our File No. 4322-6 Dear Susan: As we discussed over the phone, I am sending this letter to clarify my understanding of the department's refusal to issue a health authority certificate for the sale of Lot 7 in the Tustamena Subdivision. This property was purchased in early 1982, following an agreement to purchase reached in 1981. In a letter to the Alaska USA Federal Credit Union, dated December 20, 1981, Robert A. Schafer, P.E. verified that the septic tanks had a combined capacity of 1750 gallons. The absorption trench was tested by a continuous flow of 1049 gallons of water over a period of 24 hours. The engineer verified that the system serving the existing six bedroom residence was currently functioning adequately. In addition, the Department of Health and Environmental Protection of the Municipality of Anchorage issued a certificate of inspection approving the water and sewage systems for a six bedroom residence. This certificate is dated January 26, 1982. Ms. Susan Oswalt August 5, 1993 Page 2 From these documents, there is no indication that the municipality approved or the engineer inspected based on a four bedroom residence. A certificate of Occupancy was issued by the Municipality of Anchorage, Department of Public Works, Building Division, dated August 10, 1982, stating that the structure "was in compliance with the various ordinances of the municipality regulating building construction or use." During our telephone conversation this afternoon, you stated that you were lacking an inspection report on the tank upgrade and a trench upgrade, apparently done in 1981 and 1982. You stated there was no permit or inspection done. Please explain why the certificate of inspection and other documentation are insufficient for your requirements. You stated that your office will require a soil test. Please explain what type of soil test and what results you are expecting. You asked for a construction diagram and stated that sometimes it is necessary to dig up the septic system in order to prepare a construction diagram if one is not existing already. Please cite any regulations requiring this construction diagram or the previously mentioned soil test. Please explain why you addition to the certificate of the municipality. require an inspection report in inspection indicating approval by Last month, Mr. D.R. Dayton, P.E., examined both the well and septic system. He found both to be functioning fine. Please explain, of your department addressed. as specifically as you can, the requirements that you feel .have not been sufficiently Very truly yours, HARTIG, RHODES, NORMAN MAHONEY & EDWARDS Cheryl ~. Brooking~_~ CABIsly cc: John Noraan /:~xchg\beaw~4322-66.]tr Date Date Date Comments Conditional Approval Date Sewer Instell~ Permit No. ~ptic Tank Size Holding Tank Size ~lls Rating Well TO Absorption Area Well L~ Receiv~ Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Mailing Address ///~(.//~ ~ ~ ~-~ ~ Buyer ~~ ~, ~J/~/~ ~. Address ~ ~ ~ ~ 7 /}//}~Y~ / Lending Institution~/~7/~)~ ~///~ ~ ~,/~// ~one Address Reatty ~. & Agent ~. ~ / 7~ ~/W O Phone Legal~scrlption Z T ~ ~ 7'1/ 5 ~W /// r ~ Street L~atlon /~ F/F Type of Residence ~ Single Family B Multiple Family No. of Bedr~ms ~ Other Water Supply ~ Individual A~ACH WELL LOG. A ~ell log Is requlr~ for atl wells drlll~ elnce June B ~mmunlty 1975. For ~lls Crllled prior to t~at date, give ~11 depth (attach log If B Public Utillt~ available.} Sewage D~sposal ~ Individual. Year Individual Installed: /~ ~ ~ Public Utility When ~nnected to Public Utility: ~ Holdtng Tank NOT~ THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCE~ING CAN BE INITIATED. EXCAVATION ROBERT A. SHAFER WORK CIVIL ENGINEER 694-2979 Alaska USA F~der~l Credit Union ATTENTION: Fred Smith Pouch 6613 Anchorage, Alaska 99502 Dear Mr. Smith, Reference: Lot 7: December 20, Tustame~a Subdivision 1981 MUNIcIPAlitY OF ANCHORAGE .,~ DEPT.~C~I~ALT,~ & A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tanks were pumped and verified to have a combined capacity of 1750 gallons. The absorption trench was tested by a continuous flow of 1049 gallons of water over a period of 24 hours. The sump at the end of the trench was dry both at the beginning of the test and at the conclusion of the test. It can be concluded from this test that the waste water disposal system serving the six bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. If we may be of further assistance, please do not hesitate to call. SincgNely, //RqBERT a. SHA~R, P.E. v/~s/ss' /. cc: Municipality of Anchorage Department of Health and Environmental Protection