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HomeMy WebLinkAboutAMANDA PLACE LT 1Amanda Place Lot 1 #015-501-31 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP 151170 PID Number: 015 501 31 Dwelling: ❑■ Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ❑■ Upgrade Name: Joe Williamson ABSORPTION FIELD ■ Dee ❑ p Trench [I Shallow Trench El Bed F-1 Mound Address 5700 O'Malley ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 0.45 GPD/SF 10 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 7 Ft. Subdivision Block Lot Amanda Place Lot 1 Fill added above original grade 0-0.5 Ft. Gravel length 120 Ft. Township Range Section Gravel width 3 Ft. Beds: Number of Lines - Distance between lines - Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 1680 Ft z 3 14 Ft. Well +100 +100 +100 _ +25 TANK ❑ Septic X S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 12000 Gal. Surface Water +100 +100 +100 _ Material Steel Number of compartments 2 Lot Line +5 +10' +5 - NA Foundation +10 +10 +10 _ LIFT STATION Manufacturer Capacity Curtain Drain - +50 - - Orenco Gal. Remarks Old Tank Disposed of Per MOA Pump on level at in. Pump off level at in. High water alarm at in. requirements Pump make and model PF 3005 Electrical Inspections performed by MOA PIPE MATERIAL House to tank 3034 drainfieldTank to 3034 Installer A+ Drainfield 3034 CO/MT3034 Inspector Charles Balzarini BENCH MARK (Assumed elevation)100 ft Inspection 15` 7/14/15 7/14/15 Location and description 2nd 3'd7/14/15 41h Garage COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp 1�ttt�\ A�.41 Conditional Approval: Date r"' .OF •S l Q�•• TH •r, CHARLES G BALZARINI / j 7 ,� x/60 CE-13854 .-_0 11 F�PROFESSI�N��r Approved ` Q Date 6 y Inspection Report_9-1-12.doc NEIGHBOR'S 100' WELL RADIUS 100' WEA - SANDY +100.0'GARAGE SLAB D 0 O DRIVEWAY FILTER FABRIC AND INSULATION, TYP / AMANDA PLACE LOT 3 (3) NEW N WIDE TRENCHES W/ T EFFECTIVE SEWER ROCK. 120 LF TOTAL 1-1/2" MANIFOLD F E PERC LOCATION NEW 2000 GAL STEP TANK W/ ORENCO PF 3005 EFFLUENT PUMP, 2" DISCHARGE LINE DECK EXISTING HOME PLAN - SCALE: 1" = EXISTING FOUNDAI �" '141 OF A�gsill �r*�P �% • CHARLES G BALZARINI 0 CE -13854 •.�Aio' il�►'�`DpROFESSIONP�'�� SWING TIES MONITOR TUBE, TYP A B C 21.8 59.9 D 76.2 113.9 E 64.9 99.4 F 69.8 97 O SEPTIC AREA 0 0 1p/ LEGEND o CLEANOUT MONITOR TUBE ® TEST HOLE SCHEMATIC SECTION LEGAL DESCRIPTION: AMANDA PLACE LOT 1 C&M ENGINEERING SERVICES OWNER: JOE WILLIAMSON DATE: 05/26/15 1 REV: 21 DRAWN: CB I REF: 907-854-5558 SEPTIC PLAN 100' MONITOR TUBE, TYP 99.7 100.2 NISHED 2.8' TESTHOLE 2 8' RADE COVER ORIG. GRADE COVER (INVERT 96.7 89.7 INVERT NO GWT 90 2 99 4 11 7/14/15 IISTRIBUTION PIPE2.8'TEFFECTIVE SEWER COVER 83.5 96.4 INVERT 89 4 SCHEMATIC SECTION LEGAL DESCRIPTION: AMANDA PLACE LOT 1 C&M ENGINEERING SERVICES OWNER: JOE WILLIAMSON DATE: 05/26/15 1 REV: 21 DRAWN: CB I REF: 907-854-5558 SEPTIC PLAN 100' Municipality of Anchorage Development Services Department On -Site Water and Wastewater Section 4700 Elmore St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Soils Log - Percolation Test Performed For: JOE WILLIAMSON Legal Description: AMANDA PLACE LOT 1 -�� of QL 1, / GINEER'S EArf j /� • CHARLES G BALZARINI . �r G,•. CE -13854 PR0FESSIONP��'�� Date Performed: 7/14/15 Township, Range, Section: Site Plan WAS GROUND WATER Depth Gross Time ENCOUNTERED? (Feet) Net Drop 1 — TOPSOIL 1- NONE AND FILL 2- _ Monitoring? 3 - E Date: NA 4:46 SM, 4- 0" SILTY SAND 4:56 BOH 5- 1-7/16" 5 6- 4:57 0 7- 0" 6 8- 5:07 1 10 9- 1-6/16" 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - -�� of QL 1, / GINEER'S EArf j /� • CHARLES G BALZARINI . �r G,•. CE -13854 PR0FESSIONP��'�� Date Performed: 7/14/15 Township, Range, Section: Site Plan WAS GROUND WATER Date Gross Time ENCOUNTERED? NO Net Drop 1 7/14/15 S IF YES, AT WHAT DEPTH? NONE L Depth to Water After o P Monitoring? NA E Date: NA 4:46 Reading Date Gross Time Net Time Depth to Water Net Drop 1 7/14/15 4:35 0 0" 0" 2 4:45 10 1-6/16" 1-6/16" 3 4:46 0 0" 0" 4 4:56 10 1-7/16" 1-7/16" 5 4:57 0 0" 0" 6 5:07 1 10 1-6/16" 1-6/16" PERCOLATION RATE 7 (minutes/inch) PERC HOLE DIAMETER 6" TEST RUN BETWEEN 4 FT AND 5 FT COMMENTS CONSTRUCTION PERC, LAST 6 READINGS SHOWN, PERFORMED FOR 1 HOUR. PERFORMED BY: CHARLES BALZARINI I CHARLES BALZARINI CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 12/29/18 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: OSP151170 Tax Code Number: 01550131000 Work Type: Septic Upgrade Permit Effective Dates: June 23, 2015 to June 22, 2016 Design Engineer: C&M ENGINEERING SERVICES Subdivision: AMANDA PLACE Site Legal Address: AMANDA PLACE LT 1 G:2537 Owner/Address: WILLIAMSON JOSEPH N 5700 O'MALLEY ROAD ANCHORAGE AK 995076857 7119//4- a'c)o Site Mailing Address: 5700 O'MALLEY RD, Anchorage Lot Size in Sq Ft: 42110 Total Bedrooms: 5 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. 7//q/-;- CO Special Provisions: 1.The test hole is to be deepened prior to construction in order to confirm that the bottom of the trench meets separation to any impermiable layer. x 2. The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. AMC 15.65.060.B.3 3. If the existing 3 bedroom system is not decommissioned but a diverter valve is used, a note must be made on the Inspection Report stating that only the system designed for 5 bedrooms shall be tested for any future COSAs. Received 7/ [q'xls Date: Issued By: i MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fa :5 A -$4B 7 On -Site Water &Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION(a/ JUN 0 9 2015 Parcel l.D.015-501-31 ti w Property owner(s) JoeSeph Williams {07— ,2 —bl Day phone �� of s e� Mailing address 5700 O'Malley Road Site address 5700 O'Malley Road Legal description (Sub'd., Block & Lot) Amanda Place Lot 1 Legal description (Township, Range & Section) Lot Size 42,110 So. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field x❑ Initial ❑ Single Family (SF) x❑ (w/wo ADU) Septic Tank EUpgrade x❑ Duplex (D) F]Holding Tank F-1Renewal 1-1 Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: none Distance: that the above information is correct. I further certify that this is in accordance with owner or autnorizea agent/ Permit/Rush Fees: 5&9 Date of Payment: Receipt Number: 0613'i'- B Permit No. 0)ly ((1D Permit App__ :- 1:,..:c. Waiver Fees: Date of Payment: Receipt Number: Waiver No. C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System modification for Amanda Place Lot 7 Dear Reviewer, The above referenced property is currently served by a failing 3 bedroom septic system. The owner would like to upgrade it to a 5 bedroom system. We are proposing to install a new 1500 gallon tank, and a new 5 bedroom shallow trench system. The old bed would be utilized as a replacement site. If the home is upgraded to 5 bedrooms, use of the old bed would require AWWTS. There is additional space on the northeast edge of the lot which may be used as a reserve septic site. Included with this letter is a permit application and design package, including plans, specifications, calculations, and soils logs. The installation of the proposed septic system will not adversely impact adjacent lots, which are served by existing well and septic systems. Changes to drainage patterns are not anticipated. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini(c)gmail. com with any questions or concerns. Sincerely, C rtes alzarini, PE MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAGE Phone: 907-343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION(./ JUN 0 9 2015 Parcel l.D.015-501-31 �w Property owner(s) Joeseph Williams q0-7- 6172 -61 22.- Day phone `` 01 h e Mailing address 5700 O'Malley Road Site address 5700 O'Malley Road Legal description (Sub'd., Block & Lot) Amanda Place Lot 1 Legal description (Township, Range & Section) Lot Size 42,110 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field x❑ Initial El Single Family (SF) x❑ (w/wo ADU) Septic Tank x❑ Upgrade 0 Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: none Distance: that the above information is correct. I further certify that this is in accordance with ile Murliicipal Colles. owner or authorized Permit/Rush Fees: 5& Date of Payment: Receipt Number: Permit No. C6(2111r) Permit App__- : :L.,:c Waiver Fees: Date of Payment: Receipt Number: Waiver No. C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Alk 99507 RE: Proposed Septic System modification for Amanda Place Lot 7 Dear Reviewer, The above referenced property is currently served by a failing 3 bedroom septic system. The owner would like to upgrade it to a 5 bedroom system. We are proposing to install a new 1500 gallon tank, and a new 5 bedroom shallow trench system. The old bed would be utilized as a replacement site. If the home is upgraded to 5 bedrooms, use of the old bed would require AWWTS. There is additional space on the northeast edge of the lot which may be used as a reserve septic site. Included with this letter is a permit application and design package, including plans, specifications, calculations, and soils logs. The installation of the proposed septic system will not adversely impact adjacent lots, which are served by existing well and septic systems. Changes to drainage patterns are not anticipated. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email egbalzarini(dgmail.com with any questions or concerns. Sincerely, C rles Balzarini, PE NV -Td OIld3S 8999-1798-L06 6301AHAS JN1833NIJN3 W'80 :d3J 1 00:NMVNO I Z A32i I 96/W/90 :31VG NOSWMIIIIM 30f :N3NMO 110130V1d VGNVWV:N0IldI80S3G 1V031 039 ONIISIX3 3H1 40 S3O031SV3 ONV H1dON AHI ONIIV30l S30 nl3NI SIHI 'N011ond1SN00 Ol MOlad SI3Sdd0 30NV1SIO NOI1VdVd3S ONV'S30tl80'W318AS InOAVI llVHS 801OVd1N00 £ '30VNIV80 lOVdNl ION IIIM W31SAS SIHI d0 NOUVllV1SNl 'W31SAS 3H1 dO.00t NIH11M 09AHASOO N31VM 33VdNnS 210 S3dOIS 3AISS30X3 ON'Z NO110n211SN0301 HOINd S3Nll A1213dOdd ONV 'IIUVU ll3M'S1NAWASV3IIV AAAHnS llVHS'6013VNIN03 -L S31ON ll3M Z 101 30V1d VONVWV 0 0 M3NV 011d3S 0 0 0 :�allo�ssa�o�doy�ll ! •• M-30 •• �d I JNINVZIV13 0 S31a. 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Nldld NOI1n91H1510.Zl L -L '.JL- H1d30 NOIIVAVOX3 N MOI A3011 213M3S 3A1103113.1 /M S3HON3211301M .£ M3N (£) 5101 30V1d VONMWV AVM3AIiJG NO113n211SN00 ONIUM 3N3d 2101VOIONI 3dOlS '� %S o 3lOH 1S31 39ni H011NOW • 1nONV3l0 o ON3031 Z l� S321: AGN' %9 NOlIV8OldX3 SIIOS IAOV HIM NOIIV01d10< No sUMnv s3alno3a 3sn-3N o121olad 1531 A0V003OV SSVd Ism W31SAS 3AH3S321 321nin3 HOd NIVW3N of (MIHNIVN0 ONIISIX3 AOL S.806H013N S3lOH IS31 ANtl 01.5 NOlIVONnOd HO 3NIl AlNAdOdd ANtl 01 AL S3dOlS d331S ANtl W021d 3dOlS-dn AS 2131VM 30Vd21ns ANtl vm8 AOL S113M 0116nd ANtl WOHd .00Z S113M 31VAI8d ANtl W06i AOL -NVH1 H31V3219 91 W31SAS 311d3S 03SOdONd 3H1 C&M ENGINEERING SERVICES Ph: 907.8545558 SPECIFICATIONS FOR ONSITE SEPTIC SYSTEM - MOA CERTIFIED INSTALLER LEGAL: AMANDA PLACE LOT 1 July, 2015 A. GENERAL 1. The septic design is for a 5 bedroom, single family residence only. 2. The site plan and drawings shall be a part of this specification. 3. The Wastewater system shall be installed by a certified installer in accordance with moa requirements. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. The engineer shall perform percolation tests and groundwater monitoring prior to finalizing design.. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environment of Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. A licensed surveyor should locate all nearby lot lines, easements, exact 100' radius from the existing and neighboring on- site wells, and any nearby surface water. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed, after construction of the Drainfield. 9. The contractor shall provide the engineer with adequate notice to perform inspections. 10. Insulate the sewer line if it passes under the driveway or parking area, with a minimum of 2" extruded board insulation, rated for burial, and on the moa approved list. B. SEPTIC TANK Cowl 1. Septic tank shall be a fiberglass or steel, 2000 -gallon tank capacity step tank of MOA approved construction. Installed to meet MOA requirements. The lift pump shall be an orenco PF 3005, or approved equal. 2. Install a foundation cleanout within 5' of the foundation. a t k uts a ee theaa d ai . A combination of soil and 2" minimum of insulation shall be placed over the tank, to prevent ponding and promote drainage. The insulation shall be rated for burial and meet moa requirements. C. DRAINFIELD The Drainfield is to be located as shown on the site plan. Notify Engineer of any changed site conditions. 2. The total depth of the initial drainfield excavation is to beat maximum 11' deep Bottom of excavation shall be level +/- 1.5" max. If bedrock or inconsistent soils are encountered, notify the engineer immediately. In the event of over -excavation, a moa filter sand shall be used to maintain the 6' separation distance from the bottom of each trench to the bottom of the test hole(s).The top of the sand layer shall be level, plus or minus 1.5", and raked, prior to placing sewer rock. Care shall be taken to not compact the sand. 4. A 84 inch effective layer of sewer rock is to be placed in the each trench. The effluent piping is to be set on top of this layer, buried with sewer rock, with 2" of sewer rock cover over the piping. 5. The Distribution pipe shall be 1.25" drilled sch. 40 pvc pipe conforming to ASTM D3034. 6. The complete Drainfield gravel and piping is to be covered with a geotextile filter fabric. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the drainfield. Mounded side slopes shall not to exceed 3:1. The minimum insulation thickness shall be 2". Insulation shall be moa approved and rated for burial. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200' to any community well. Design Summary: Excavation Depth: 11' Drainfield Length: 120' Gravel Depth: 7' under distribution pipe, 2" ove li[aC\IiFOOMl[cy Soil Rating: 0.45 gpd/sgft System Capacity: 5 Bedrooms e]�.11 r A , pF At .... ► 4 T �9F arlles G. "aliarini : �� ��u��ez(egi�1 7 b 3c SLOZ/£L/L :ale0 9Do :A9 oleJ Ilbs 089T :eaae uo!ldiosgelelol gouaal Molle4s ,OX,lx,M ,LX,ObX,£ :£p!a!ju!ea0 MaN gouail Molle4s (]X.IX,M ,LX,OSX,£ :Zpla!Iu!ea0 MaN gouaalMollegs (]X,IX,M ,LX,0£X,£ :Tpla!}u!eJGMaN d31SIeS OOOZ :fuel leuo!luanuoo :adAl walsAS ,-) P/fi -n 537oh� (M/ eaae uo!ldiosge paa!nbab « aoloel gouajl Mollegs) 17£0£ W1S'd 14 OU paeoganlq „Z u!w l; b 1} OZT :ad!d luanII13 usual asn :uo!lelnsul :Janos :gldad lelol glSual paa!nba8 u!w ad!d uo!ingp1s!p Molaq ;L L (a) gldap lanea8 13 £ (M) 41p!M 4ouail Ilbs L9999.999T eaae uo!ldaosge paa!nbai labs/pdS Sb•0 ales uo!leo!Iddy gouajl daa0 :adAl leuo!luanuo:) :adAl walshs ,LT of uadaa0 ssq l; 5'9L g1daa aloH lsal 4ou!/u!w z8 ales uo!lelooaad pd8 OSL asesn aaleM aq/pd8 OSI wooapaq/a8esnaaleM aq S swooapaq;o aagwnu in Lti ..� . . T 40I aoeld epuewy :90uap!sa8 suopelmlej u21saa :)i;daS SSSS -17S8 -L06 S33IAH3S ONR133NION3 WID (;;,4O-3 Performed For: Legal Description: 11- 12- 13- 14- 15- 16- u3 17- 1 s- 19- 20 - Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www. ci.anchorade. ak. us (907) 343-7904 rte: S'F�1 r*9TH •••� Soils Log - Percolation Test I � ()F—/� "i t�aC_4 ' ^-- Date Performed: F''w_c Township, Range, Section: f, 1 Fl (L I C)t�� p5s5 5M 5j�0-Y � NP 31pl'f WAS GROUND WATER Date ENCOUNTERED? !M9 ep lamer S IF YES, AT WHAT DEPTH? L Depth to water AfterP Monitoring? /1,f�it/� E Glides G. Balzarini CE-IM Reading Date Gross Time Net Time ep lamer Net Drop 0,1 q 2) o il�' �sii6 s 6% �0 6 ' PERCOLATION RATE (minweshnch) PERC HOLE DIAMETER / TEST RUN BETWEEN FT AND / FT COMMENTS 16 Pr)C-ICL--1a qtkari r® PERFORMED BY: G`{,G`L5�-L-�R'i1'1�'� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIP UIDELINES IN EFFECT ON THIS DATE. DATE: l� o MUNICIPALITY OF ANCHORAGE i DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME / �Q r-r 57�2✓2> PHONE ,< NEW �_ -- ---- 3 3 �'y ❑ UPGRADE MAILING ADDRESS — LEGAL DESCRIPTION LOCATION p NO. OF BDROOMS � V Y DISTANCE TO: ell © Absorption area 3 Z Dwelling 3 PERMIT NO. p 1—Z CL Q LU Manufacture Material L5 fe e No. of compartments Liq. capacity in gallons _� IF HOMEMADE: Inside length Width Liquid depth _�z DISTANCE TO: Well Dwelling PERMIT NO. O Z Q 2 H Manufacturer Material 1/ Li quid capacity in gallons ® J! DISTANCE TO: Well /•3Q Foundatiog / Nearest lot line PERMIT NO. (,i17 z z J LL z 1—zw/Q No. of lines Length of each line Total length of lines z Trench width •2p1 inches Distance betvv en lines % a Top of tile to finish grade /.2 A Material beneath the Total effective absorption area S'U o+� Z inches Qp i LU Length Width Depth PERMIT NO. C7 a N wa Type of crib Crib diameter Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line a Class Depth Driller Distance to lot line PERMIT NO. w_ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS Iz s SOIL TEST RAT] NG INSTALLER I REMARKS %/%f CS 6, J t W APPROVED' '25LEGAL zz 0VU"C7 -f-i r7—,>7-,) nu-^ . ���1 47 1: F-::71 L.- 1: "T'r' (--I F=* F-:� V1 CV VA'`TO FA 0 E TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = IL RATING (SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: "EA DEPARTMENT [ HEALTH AND ENVIRONMENTAL ` JTECTION THE LENGTH DIMENSION 825 'L' STREET, ANCHORAGE, HK. 99501 THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE 264-4720 AND THE BOTTOM OF THE EXCAVATION (IN FEET). 14 EE I- L_ F-1 r4 [:::-,w 1::o r -4—!H,, :1 E-Ff ��F_:'FR* r-1 l 7 - PERMIT NO. ( 810652 ) THE GRAVEL DEPTH APPLICANT TOM STEWHRT 8420 WILLQWH CIR. 333-8684 LOCATION OMHLLEY & BIRCH RD. I l---"E0F> ����I I--:- ��"I­::- �I 2_ -E -:E= LEGHL LOT/,AMANDA PLACE SUB LOT SIZE 66000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = IL RATING (SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: "EA ��������= ������� ����"= � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD. THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND 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). I l---"E0F> ����I I--:- ��"I­::- �I 2_ -E -:E= 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. P::# r -A �E-E.� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE 15 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. 10"folKV1 I "T- I F—EO"s ENEOCTEOFIE30K "'ROL, AL 00 53AL I CERTIFY THAI' 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. SIGNED: ---------------------------------------- APPLICANT TOM STEWHRT ^. �A '�- ISSUED BY__+-_ � _ ------- _.._� `-»�____ Y4.0 C 'RR Tt+184 T }3► ` Wtl- TH AM EN'S` I RLW4 rd TAIL PRO iF.0 T I ON a25 -'L= STREET, t&p "3Cr ; 2) 64 47220 PERMIT NO. C ',31*64.52� 8PPL I �..t7#4T TO" .8.420 3ai 3'LLCUR C I k Li:m,-Ar tg3N 1X LAY 4 8 tFq'-H RCS. Lo L33T4 RPlHW,9ACV- U LOT s TYPE 13 5.011., AGr_-lURpTIt�N SYSTEH t*;: T kCB .st^•..300 solyrrw Fee t-n4tV11 "AWR QIF Ne PeQUIRED '4 t ZE ry THE S -O rL 88,513w T i t3" ls'r Tcm IS _ .110 _ _ _ ►°4=' � _ ..s ;�* T"1-4 TBE L.Fttfa H 0ttk#twt+t;ft3N IS TW- LE OTH <IN Fam 13= TW TRUCH OR V"LIQICLO. THE DEPTH OF A M002H OR PIT V-5 TI -t o 15 t tax ecmEEN Tw- ter Tim zRiymo Am Tw- cu-)r•T13M EF TW- halt tiT 113N 4 trptFES I`), IS W SET 1410TH F13P TWt)rFIS`;. THE ejPR' - DEPTH Ca TW- M [ ti I t'ri" Gam' TH OF QRRVEL 8ETI• EN THE rW tFW- PIPE ANo TI- 8o T roti c iF THE cw tt r I on < i m FEF- T�_ I PERm r r Appi,. ii,,, r Hps Ti-�. RespoRm O IL f 1V TO rrayORM tH f S DEPARTMEW CAV yrs Tse` r ra3LLt T I sm i t ' s T f ns 'X? ANY WELL'S MJHC n f rd r! t ► PROPER.' TY t Ti#E WmeleR OF TEs I p THA f rw t o -L t4 i t, l_ 130?' TI,1.ir, + t `,t'�' �"'4b�TQM I tit t-dJT FTt*-I- itir�eTIGN t t*T4t'Wtf! BY THf's CX:pART(XNt W€tL Oe tFi:I TO ►:t �rt1 A W --UL AND Wo tN --5 S TE 15-st."K 0 t t4- . N)S T EN I ki IV30 FEET FQR n PR €%)A Tl-= WOR i5l) TO 209 FES r FRO" A P R iC M -L DEMiU Ifirs t.# rN Itlljn ()t 5 rf'*Jo-X FROM A PRfVATG WELL TO R RR I VATF L t W t 2-5 FEET Rm TO N compim I Ty L tW [•>- ?5- F8ET. tx0 L LIX6 mak;. W)7-!tl i EC) AND 1• t' �' RETURNED TO TIS cepaRTMlir N c rtl tH 0 wil 1:f= Tw 110-1- GtaT F T I t;1tt. Li mER�L 1 my 3'iF vie. 1410 CONSTRUCTION D t 4=t'`WW4 FQG *4vp IL .,F To rtr'_-%i, Ff?t� Ire rtFpA,tj T €tet t (X -R LFY DK7! IM FM I t._ i FSR PI I TN I'W W-013 [ RO-JE "i T ' FOR tJt$ - S t TF. 8t4D 6 ..t..'; R; SET F S TN BY Tt* t'Plt4 l G IFt-4-fry OF -"--"ZR(3F- 2 : t HILL Y R3 T . T '3'r"S T EM IN RX!0 aTY3#VC:d - W t TN TWE GIXC'i. 2: t TW ON -OS I TF *3&$ Slf*3 Tr M I'DW RP-*1ARC IF ME € € • ' t �t TO U -N- L tE r•IOW THM 3 SEMS. fl r4T TEWRR T 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: ?1.k A ialt41XAf'('J DATE PERFORMED: LEGAL DESCRIPTION: �i�T z RA?e-' ci npr SITE PLAN 1 2 3 4 5 6 7 8 9 1C 11 1� 1: 1� 1! 11 1' t 1 Id )4 WAS GROUND WATER ENCOUNTERED?' IF YES, AT WHAT DEPTH? S L -O P E Reading Date Gross Time Net Time Depth to Water Net Drop it [O '3 2( 20 J___ JI PERCOLATION RATE •i 1,—(minutes/inch) / n TEST RUN BETWEEN J" FT AND FT COMMENTS e2114 l0 12j Q1,1dd �f &./e U se -, fv/ PERFORMED BY: �� ' CERTIFIED BY: -- DATE: 72-008 (6/79) BY ..........................DATE $ :/. � SUBJECT ... .i.i......,1.[.aG'.T..I.�IIL.......Q.......s1 � SHEET NO.C....... )...... OF. ..... Q�...... CHKO. BY DATE e� �L T .71r..S :!.�.rl.....5?:! ....�k:T?f........ JOB NO. ..Y.�aJt3•r� ......................................................... ...,a :�.:.� f.�..................................................................... .......•...°:F..............! "9 .. ...... �° i �'o e <j //, / G,"C, /,I d via /,r<, -1/11 .1,/f� j,/e./da� �-v % d. OF 00 d1, �$es ce � e,,.npG itPea o®q ¢p pO fCIpWJ�o e� �A C Lu C. Wd, 1t. • e clJ '; a j Pdo. 22511eo PP• �'`� 61 i4t� °o-ir,P a' Peed' 1��� Well Log For...... Pr. ....... i. b........... �iA/QI1..C............................................. . Location...................................................................................................................... . Datecompleted.. 4..................................................................................... Depthof well ......... 152-.) ................................................................................ I ...... Sizeof casing .......... ir........................................................................................... Distance to water....12c� wl,.....cr lZ4G ............ 9-7/ ...................................... . Distance to water while pumping....... 9.6 ...........................................at rate of ............ �".�-.........................gallons per hour. Formation I from I to Tap SDlc.1 evl &- I Ce -4 y . I O 1 13 S"cT Ccs 6 f6L. T7002" 61 CZAY 3 Z 1 7 S< t[.7" CCAY 79 1 I � 4 EIA)E SQ40 , i cxwf , CU C- Durr 1 121 1 13 z Si 4- i 13Z 113 S srcT 1 t3C 14 G.�1,� v Z. �•�2�' ct,a �a �L�S . 1 141. 114? . 5a.uoZ �" v 1 4q 1/ S z 1 I 1 1 I I Driller DELTA DRILLING COMPANY SRA BOX 394 B ANCHORAGE, ALASKA 99507 • Municipality of Anchorage` On -Site Water and Wastewater Program (907)343-7904 $A ==r CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 015-501-31 1. GENERAL INFORMATION Complete legal description AMANDA PLACE LOT 1 Expiration Date: 17- Complete 7- Location (site address) 5700 O'MALLEY ROAD, ANCHORAGE, AK 99507 Current Property owner(s) JAMES & JOANNE PAMPERIEN Day phone Mailing address Real Estate Agent 5700 O'MALLEY ROAD, ANCHORAGE AK 99507 Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class _Well Public Water System 3 (4) -See Checklist Comments TYPE OF WASTEWATER DISPOSAL: ® Individual ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: ',i . _ Date: 47: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ `AC�0I Date of Payment L4 to,,I 1 3 C� Receipt Number 06S1�� COSA# OSfr 13122, Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 4/8/2013 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a , system will function satisfactory for current or future4! ' occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. x T14* t 6. DSD SIGNATURE F 4 It is[ System #1 Approved for 3 bedrooms. �. y System #2 Approved for bedrooms. cis Disapproved. Conditional approval for bedrooms, with the following stipulations: Original Certificate Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other cosamuesheer 10-10-12.doe D. LIFT STATION — Per 1981 inspection Date installed 811911981 Size in gallons 30 Manhole/Access (YIN) "Pump on" level at 12 in. "Pump off level at 7 in. Datum BOTTOM OF TANK Cycles tested 3 E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 751+ Sewer /septic service line 251+ Animal containment areas 50'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 51+ High water alarm level at 22 in. Meets alarm & circuit requirements? Y On adjacent lots 100'+ On adjacent lots 1004 Public sewer manhole/cleanout 1004 Holding tank 1001+ Manure/animal excrete storage areas 1004 Absorption field 5'+ Water main 10'+ Water service line 101+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 1'+ lwPill ooa2t Building foundation 10'+ Water main 104 Water Service line 101+ Surface water. 100'+ Driveway, parking/vehicle storage 104 Curtain drain 50'+(NONEKNOWN) Wells on adjacent lots 1001+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of determined through field inspections and review of Municipal records that inspections and review of Municipal records that the above systems are in Municipal records that the above systems are in conformance with MOA above systems are in conformance with MOA COSA guidelines in effect on conformance with MOA COSA guidelines in effect on this date. COSA guidelines in effect on this date. on this date. Engineer's Printed Name KENNETH M. DUFFUS Date 41812013 COSA brown sheet 10-10-12.doc 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: AMANDA PLACE LOT 1 Parcel ID: 015.501.31 A. WELL DATA Well type PRVT If A, B, or C provide PWSID # Date completed 411511981 Sanitary seal (Y/N) Y Total depth 152 ft. Cased to 152 ft. FROM WELL LOG Date of test 411511981 Static water level 97 ft. Well production 7 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate ND mg/L Arsenic: ND ug/L Date of sample: 312 912 01 3 B. SEPTIC/HOLDING TANK DATA Well Lag (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 312912013 89 ft. 3.3 g.p.m. Collected by: ARCTERRA Tank Type/Material SEPTIC / STEEL Date installed 712011981 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping 3129113 Pumper A+ C. ABSORPTION FIELD DATA Date installed 712111981 Soil rating (g.p.d./ftz or ft2lbdrm) 125 System type BED Length 40 ft. Width 20 ft. Gravel below pipe 1 ft. Total depth 3.92 ft. (Measured 3/29/13) Eff. absorption area 800 ft2 Monitoring tube Y Depression over field N Date of adequacy test 312912013 Results (Pass/Fail) PASS For 3 (4) bedrooms Fluid depth in absorption field before test 2 in. Water added 600 gal. New depth 6 in. Elapsed Time: 180 min. Final fluid depth 2 in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services i DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # LIS S 3 —3,/ HAA # �` -' 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) / Location (address or,'d.irectipns) (b) Property owner �� ,mus • �� mss'• Telephone: (home)214—2MCrBusinesseU9 2ZfO� Mailing Address', '�� O dz�/�p2 (c) Lending Institution *» Telephone Mailing Address''"' " (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following address: (or check here., if hold for pick up.) List contact person and day phone number below: 4-eCS' c o2 %7--.1'_I'T,7 2. TYPE OF RESIDENCE Single -Family Number of bedrooms 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site I% Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 "�S „mac Telephone Address PO d2�, 02 f�O 6(v 8' /✓�-i G/e r 2� a__ �/ Date &,� /FeD 6. DHHS APPROVAL Approved for 3 �8 If jW •" 491'" ���' o P �••.oe•oe• •.• 0000ie � 9 Y @6r •s•o••s ooej • LER C. RECD, JR. 1� ,1 ••o* E - 2251 • e protasiorca� .� bedrooms by Lw 0z `,/Date —,F 7L) Approved Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerifi.cated 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. 72-025 (Rev. 7/88) Back Page 2 of 2 J `1URPea� �p� NXV A- WELL DATAp V MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: R 31,) s /S' Well Classification f) f`E _'' If A, B, C, D.E.C. Approved (Y/N) Well Log Present(YJN) Date Completed �!//�J `/ Yield 9#m V—/,3190 7 /�� Total Depth Cased to ���' Depth of Grouting Q Ak%.<<�"•1. Static Water Level 77 / Pump Set At 42.,,44..w w Casing Height Above Ground 1 ' Sanitary Seal on Casing ON) Electrical Wiring in Conduit��l) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot /'091 To Nearest Edge of Absorption Field on Lot Depression Around Wellhead (Y/� ; On Adjoining Lots /601 Lufx z, s f JUM 43/ On Adjoining Lots > /061 °/ To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Z 2-i _ I Water Sample Collected by • /c c «i ; Date Water Sample Test Results G'o /. fur+-, : 0 )'V ' r2 k -.r : /VU Comments 4 /vb Vwo rk a,^ G/s-ss a P -d* B. SEPTIC/HOLDING TANK DATA Date Installed 7 &" Size l } No. of Compartments StandpipescN) Air -tight Caps JN) Depression over Tank (Yep z Foundation Cleanout/N) Date Last Pumped Pumping/Maintenance Contact on File (Y/N) � IA ; for A)/W Holding Tank High -Water Alarm (Y/N) A Temporary Holding Tank Permit (Y/N) &Z!r SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well /�' % r To Building Foundation ?,/ To Property Line x _r To Water Main/Service,Line Z� To Stream, Pond, L•akevr<[?orDrainage Course /©d _ ._A To Disposal Field 197 Comments No - ak_V4/Ac,- C wz //s ,-{ ,-K..~ Zoo ' 72-026 (Rev. 7/88) Front Page 1 Of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata '/'I/ Type of System Design se 6 Date Installed I/2=;/-ri Length of Field, Width of Field Z-0 Depth of Field Gravel Bed Thickness i Square Feet of Absortion Area 17-C L^ Statndpipes Present MN) Depression over Field (Yem Date of Last Adequacy Test V/7,/ya Results of Last Adequacy Test q de -a -i a �e SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply pp y Well �3£' To Property Line i To Building Foundation 5 % To Existing or Abandoned System on / Lot To Water Main/Service Line s ;On Adjoining Lots _ > �O To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Cutback (if present) A�1_4 �>/oo z,D Comments /h fl/1� Gass' Z4 & &C AleAr Z-, Zoo be - D. LIFT STATION I,S a Date Installed •" ���/ Dimensions X 2.N'dae pa Size in Gallons Manhole/Access ON) "Pum On" Level at Q i p "Pump Off" Level at � �'J High Water Alarm Level at Z , Vent (Y/9 Tested for > /0 Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes eN) Comments ""Check Permitted Bedroom Rating Against HAA Request" I certify that I have ch ked, verified, or conformed to all inspection. Signed Company —Gf�c Date / / l CUZ Q'O MOA and HAA guide)=2;i i0? Qn the date of this X III ��ie••..... ••.9.i: r00 �• ••• « dflleer's Seal MOA No. e i�_ Receipt No. Q Receipt No. Date of Payment`�7�10� Waiver Fee: $ / — Amount: $ l Q 0 P Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 OY C. REID, JR. �• Al •« CE - 2251 ,r E N AROMATOM.Es CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET- ANCHORAGE, ALASKA 99518 - TELEPHONE @0)5 2 2 43 FEDERAL TAX I.D. #92-0040440 Ci j �upii, w : 1, ' A, YUMA PLACE ! 90 402! as 10 0, ul III: IN L5 c, i. vecl witli SUUSZD F. C C 3. 4 INCIRiv. RECEIVED B y : LEI"' U'H Uompleetc6 -NOV 9 90 «& RtIT)ol � 1, a b a r. , i t o J"iUyj I: v o I STEHEN HIE I 'A IF c 3 I'l, c u.; 90-1720 ilia t i:w: W, r. Uiowaljic Tosted ReslAt lin-i a 1p" v L I 10 a Lilfo 1-- NID ( 0 . L 0.) 96 EG 2, .1 "), 0 1 Ilp 1. u. ROWUNE aME. A n ma J7, "';AMPLE ""OLLE"M.ID C L 'R F S. N 0 tim)o De oc-'L Abow N'A- 61 livin, GT T&i CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 562.2343 5633 B Street AKt-n P—P Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER ❑ PUBLIC WATER SYSTEM I.D.# PRIVATE WATER SYALANA EN-1610NMENTAL Name u�A 2-4;)668 .fe ANGF.O�iA .E, AK 99524 �6 Mailing Address City7171 State Zip Code SAMPLE DATE: L1 1/ I KW U1 Mo. Day 1 Year SAMPLE TYPE: Ik Routine ❑ Check Sample (for routine sample with lab ref. no. 1 ❑ Treated Water ❑ Special Purpose )K Untreated Water SAMPLE Time Collected NO. LOCATION Collected By 2 3 4 5 TO BE COMPLEI ED BY LABORATORY 7Anal is shows this Water SAMPLE to be: Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to Indicate reliable results. Please send new sample via special delivery mail. Date Received //Z& Time Received /000 Analytical Method: Membrane Filter * No. of colonies/100 ml. Lab Ref. No. Result* Analyst 40.4720 I ©-_ FT -1 L� I m I BACTERIOLOGICAL WATER ANALYSIS RECORD of) V READ INSTRUCTIONS Membrane Filter: Direct Count 27 Collform/100ml BEFORE Verification: LTB BSB COLLECTING SAMPLE Final Membrane Filter Results Collform/looml Reported By Date Time: '"v V a.m. p.m. TNTC = Too Numberous To Count PART ONE IF TWO OB = Other Bacteria REMAINDER TO FOLLOW 5. LEGAL DESCRIPTION VjWrwW -.0f RECEIVED Sob DivisionJ INSPECTION APPOINTMENTS TIME TIME TIME SINGLE FAMILY ❑ One ❑ Four ❑ Other a DATE I Three ❑ Six DATE DATE c) -\a -S\ ATTACH WELL LOG. A well log is required for all wells drilled - Q- _ 0" INSPECTOD depth (attach Jog if available.) INSPE A INDIVIDUAL/ON-SITE** L2ZINSPECTO ❑ PUBLIC UTILITY PAUNILIVALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIWIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 SSP 3 1981 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. PROPERTYOWNER PHONE *r GANSc4 g37 -298e MAILING ADDRESS ,?77 - 0040,;o 323- �GBy PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE s G'o w TG -3 -738 MAILING ADDRESS 3. LENDING INSTITUTION PHONE Agaxl G- 6B MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION VjWrwW o+ Pio Ft Sob DivisionJ STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY I Three ❑ Six 7. WATER SUPPLY * INDIVIDUAL* ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach Jog if available.) 8. SEWAGE DISPOSAL SYSTEM` A INDIVIDUAL/ON-SITE** / YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) -- j `r� -T C- - ct -q -tg N u 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE40F RESIDENCE Cr SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO 0/THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED .. INSTALLER ❑Septiic Tank or ❑ Holding Tank Size: . aVb I' Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank fa`I Absorption Area V" Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS ,PZAPPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE la �- 8a_1 -lo- 41�4�Y u 72-010 (Rev. 6/79) CHEMICAL & GE,. LOGICAL LABORATORIES . ALASKA, INC. TELEPHONE (907).279.4014 ANCHORAGE INDUSTRIAL CENTER 274-3364 5633 B Street u u°°°ATOR1eB Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY WATER SYSTEM: I I I , ► -] Analysis shows this Water SAMPLE to be: I.D. NO. _Satisfactory El Unsatisfactory Water System Name Phone No. ❑ Sample too long in transit; sample should r -:.`r not be over 48 hours old at examination Mailing Address to indicate reliable results. Please send new sample. City m. State Zip Code SAMPLE DATE: C_L_J Lr1—J Mo. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. 1 ❑ Treated Water ❑ Special Purpose ❑ Untreated Water SAMPLE Time Collected NO. LOCATION / r' Collected By 2 3 I I a 5 Date Received Time Received Analytical Method: Fermentation Tube O Membrane Filter Lab Ref. No. Result* Analyst l I Q] m m I *No. ofcolonies/ 100 ml. or No of '.Positive portions, 06.1220 (o) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected Source READ INSTRUCTIONS a.m. Date Received Time Received p.m. Lab. No. Presumptive 10m1 I 10ml 1 10.1 1 l oml 1 20.1 1 1.0.1 1 0.1.1 BEFORE EMB Broth 24 hours: Broth 48 hours: COLLECTING SAMPLE Multiple Tube Report: 10ml Tubes Positive/Total 10ml Portions Membrane Filter: Direct Count Coliform/300.1 Verification: LTB BOB Final Membrane Filter Results Coliform/100ml Reported By Date Time: a.m. P.m. -... ...... ... _-_-'_-'-' U / � __ _-~--_----_ WAV TH #1 • Organics I 1 2 J 4 5 "1 BROWN SANDY SILT (ML) 6 7 8 • 1 9 10 12 Silty sand with occasional sand layers (SP—SM) 13 14 15 16 NO WATER 17 18 Ralph ���/�J+�..k'.+�10'• r' a NO. 199,E o: •,K'1xi;J V! •,' SFJ "poaacn% •1'\ '.,; Vol CONTRACTING ENGINEERS & ASSOCIATES ANCHORAGE ALASKA 99502 FIELD BORING LOGS ,PROJECT: AMANDA PLACE SUBDIVISION PROJECT NO. 81_3 DATE! 3/3/81 PERFORMED BY: R. Tokela 12- 13- 14- 15- 16- 17, 18 19 20 Tx #2 ORGANICS BROWN SILT (ML) GRAVELLY SAND (SP) GRAY SANDY SILT (ML) occasional rocks SANDY GRAVEL (GM) SANDY SILT (ML) with occasional sand layers WATER CONTRACTING ENGINEERS & ASSOCIATES ANCHORAGE, ALASKA 99502 I FIELD - BORING LOGS IPROJECT' AMANDA PLACE SUBDIVISION PROJECT NO. 81=3 DATE 3/3/81 PERFORMED BY-. R. Jokela CUNTRICTINC ENGINEF QK 212 E. INTE ANCHQIRE ENCIS & ASSOC. G AND S RVEYING TIONAL AI PORT ROAD E, ALASK99502 NE W7 Preliminary Soils Report for Proposed AMANDA PLACE SUBDIVISION MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAR 10 1981 RECEIVED A preliminary soils investigation for the proposed Amanda Place Subdivision located on the SE k Section 15 T12N, R3W, S.M. (presently designated RLM lot 32) was rooducted on March 3, 1981. The purpose of the investigation was to determine the suitability of the soil to accomodate on-site sewer systems. The tract consists of 5 acres which are zoned R-6. The proposed subdivision consists of 4-1k acre lots. Two test holes were dug with a backhoe. Test hole #1 is near the lot line common to lots 1 & 2 and test hole #2 is near the lot line common to lots 3 and 4. The test holes showed a variation of soils existing in the area; ranging from silts (ML) sands (SP) and gravels (GM). No ground water was encountered. These types of soils can provide adequate on-site disposal fields if properly design- ed. We recommend that prior to installation of on-site sewage disposal fields soils investigations be made at the specific installation site. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL HEALTH CASE REVIEW WORK SHEET C7 PLATTING BOARD ❑ PLANNING & ZONING CASE NUMBER NAME S-5600 Lots 1 - 4 Amanda Place Subdivision DATE RECEIVED February 25, 1981 COMMENT TO PLANNING BY March 13, 1981 FOR MEETING OF CASE OF e --PUBLIC WATER N�VAILABLE TO PETITION AREA L�PUBLIC SEWER H"mrAVAI LABILE TO PETITION AREA REVIEWER'S COMMENTS: Ac (1W 71-014 (Rev. 2/78)- Municipality,of Anchorage Development Services Department j Building Safety Division' On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.sk.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY"APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 015-501-31 HAA#__ �o 29 2- 1. 1. GENERAL INFORMATION Expiration Date: Complete legal description AMANDA PLACE: LOT 1 Location (site address or directions) 5700 O'MALLEY ROAD ANCHORAGE AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent f A An/1,_ A v e y cE M n o Dy Day phone Day phone MICHAEL KRACH w/ COLDWELL BANKER Dayphone 265-9471 Mailing address 2525 "C" ST. ANCHORAGE AK Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 12 Individual On-site 01 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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 Health 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 less than 30 days old. (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. Note: Alaska Waterand Wastewater Consuftants, Inc. shall be pald $1525.00 at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined In the Health AuthodtyApproval Guidelines for this application, shows that the on-site water suppfyand/orwastewater disposal system /s(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein.' I further verify that based on the Information obtalned from the Municipality of Anchorage riles and from my Inyestiga tion 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 eflbd at the time of Installation. Name of Firth . ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address' 6901•DEBARR ROAD, SURE 2B • ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: in conducting this evaluation, AWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identiflable features. The operational life of all wells and septic systems depend on the Axel soils condition, groundwater /orals that may.; . fluctuate during the year, and the water usage o/the famfly being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty or future estimate of how long tha system will continue to meet the operagonai requirements of the ADEC or MOA DSD. The content of this report is for the sola benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confor any legal fight whatsoever. 5. DSD SIGNATURE ZApprovedfor-9 bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other G\Q ll .... .��y, ON-SITE •:� WATER AND WASTEWATER PROGRAM By. Lc% Original Certificate Date: $' (msw. thvo) Municipality of Anchorage , o< • "' Development Services Department Building Safety Division Or►Ske Water 6 Wastewater Program 4700 South Bragaw St. P.O. Banc 198850 Anchorage, AK 9951948850 www.ai.anchorage.ek.us (907) 3437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: AMANDA PLACE: LOT 1 Parcel ID: 015-501-31 A. WELL DATA Well type PRIVATE it A. B, or C provide PWSID# N/A Date completed 4/15/81 Sanitary seal (YM) YES Total depth 152 ft. Date of test Static water level Well production Cosedto t52 ft. FROM WELL LOG WATER SAMPLE RESULTS: 4/15/81 97 ft. 7 g.p.m. Well Log (YM) YES Wires properly protected (YM) YES Casing height (above ground) 14 in. AT INSPECTION 6/4/2001 81 ft. 3.4 g.p.m. Coliform 0 colonies/100 ml. Nitrate 0.5 mg./L. Other bacteria 0 colonies/100 ml. Date of sample: 6/6/2001 Collected by: AWWC, INC. B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL Date Installed 7/20/81 Tank Size 1250 gal. Number of Compartments 2 Cleanouts (YM) YES Foundation cleanout (YM) YES Depression over tank (YM) NO High water alarm (YM) YES Date of pumping 6/5/2001 Pumper A+ NOME SERVICES C. ABSORPTION FIELD DATA IFIELD PRESOAKED WITH 1210 GALLoNs ON 6747-25-011 Date installed 7/21/al Soil rating (g.p.d.lft'orq!!�o 125 System type BED Length 40 ft. Width 20 ft. Gravel below pipe 1 ft. Total depth 35 ft. Eft. absorption area 800 ft' Monitoring tube YES Depression over field NO Date of adequacy test 6/5/2001 Results (Pass/Fall) PASS For 2 bedrooms 3.75/3.0 12.29/11.75 Fluid depth in absorption field before test _ in. Water added 6Q0 gal. New depth _in. Elapsed Time:211 min. Final fluid depth 9/8 in. Absorption rate >= 450+ 9-p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed 8/19/81 Size in gallons 30 Manhole/Access (Y/N) YES "Pump on' level at 12 in. 'Pump off" level at 7 in. High water alarm level at 22 in. Datum BOTTOM OF TANK Cydeg tested 3 Meets alar & circuit requirements? 'YES E. SEPARATION DISTANCES 'PER t 990 H SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAiR station on lot 100'+ Absorption field on lot 100'+ Public sewer main Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout Holding SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 01,+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 5'+ Curtain drain NONE KNOWN Wells an adjacent lots 100'+ F. COMMENTS 'WAIVER REQUESTED, SEE LETTER AND ATTACHED AS -BUILT SURVEY. G. ENGINEER'S CERTIFICATION I certify that I have determined through field Inspections and e! ye review of Municipal records that the above systems are in """ .. ' .. .... conformance with MOA HAA guidelines In effect on this date. ... e r A. Gorness: ID Engineer's Printed Na a JEFFREY A. GARNESS �A -7953: Date �Dr o l asses^d HAA Fee E SintO - ov Date of Payment 1,1/140/ Receipt Number 69 10 (Rev. 1200) Waiver Fee $ $115 . o0 Date of Payment Receipt Number ALASKA WATER & WASTEWATER CONSULTANTS, INC. June 8, 2001 Coldwell Banker Properties 2525 C Street Anchorage, Alaska 99503 Attn: Michael Krach Subject: Well and Septic Evaluation on Lot 1, Amanda Place Subdivision Mr. Krach: Per your request we performed an evaluation on the well and septic system which serves the subject property. Our findings are as follows: WELL: Prior to starting the test, the static water level was 81 feet below the top of the casing (BTC). Water was pumped at an average rate of 3.6 gallons per minute for 333 minutes (1210 gallons) which caused the static water level to drop 136 feet BTC. Based upon this data, it was determined that the well produces greater than 450 gallons per day as required by MOA guidelines for a three bedroom house. SEPTIC: Given the fact that the house had been vacant for an extended period of time, we were required (by the MOA) to presoak the drainfield prior to running the adequacy test. Before starting the presoak, the drainfield was dry. On 6/4/01, we introduced 1210 gallons into the drainfield. This caused the liquid level to rise to 4.25 inches and 4.75 inches in the two monitoring tubes. The following day the liquid level had subsided to 3.0 inches and 3.75 inches. On 6/5/01, an additional 600 gallons was added to the drainfield. This caused the level to rise to 11.75 and 12.25 inches in the monitoring tubes (the drainfield has an effective depth of 12 inches). Approximately 20 minutes after the water was shut off the liquid level subsided to 8.0 inches and 9.0 inches. Twenty-three (23) hours into the recovery period the levels had subsided to 3.5 inches and 4.5 inches. Based upon this data, it is clear that the drainfield will absorb 450 gallons per day as required by the MOA for a three (3) bedroom house. 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 • Far: (907) 338-3246 • Website: akwwc.com SEPARATION DISTANCE FROM THE DRAINFIELD TO THE PROPERTY LINE: As rt of the evaluation process, we are required to verify the separation distance from the in d to the property line. We have two surveys which were prepared by two different surveying c anies that show the locations of the drainfield monitoring tube pipes. The pipe of most concern is t i uthem pipe. According to the Lantech survey (Tom Dreyer, L.S.), the pipe appears to be as close_afeet from the west property line. According to the James Dowling survey, the same pipe is 15 fei om the property line. Because of this confusion, we will need to have a surveyor determine the dis a from the property lineto these septic system pipes. According to the MOA septic system records, southern clean-out pipe is located slightly to the east of the center of the drainfield. The same reco show the drainfield to be 20 feet wide. If this is the case, the edge of the drainfield is at least 10 fee oser to the property line than the southernmost clean-out pipe. In short, if the southernmost pipe ' closer than 10 feet to the property line, it is probable that the drainfield is slightly off of the prope In order to resolve this issue, please have a registered land surveyor verify how far i ' • rom the property line to each of the septic system pipes located near the west property line. If t are closer than 10 feet, we will need to have an excavator expose the western portion of the bed to confirm that it is completely on the property. CLOSING: If you have any questions, or require additional information, please contact us at 337-6179. M.S. _i � e) Q�' 3 r- , , e"3 CWSP'�T et e4 N:�L4d�- j 7)4�_ To 7qjr- MvsT svv_v!�`/ C -,M 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 • Far: (907) 338-3246 • Websitc: akwwc.com 01 05/31 THU 10:18 PAI 007 2701507 FORTUNE PROP. S 89958'56" W 164.86 p1 wou rmi 0 Y M war s%i.../..�.�-..�..:. .1 ftt10.t111111w tlwwn04 "• tNpgr4 w ntuktcutm "J'* M trl tpv u /^ �� tsLS7 - OW Nett '� •I•'' M t M'uM 4-o C)'MAI"LFV--•ROAn--•- 0002 i I !is 461 E, A— - SEWr BY: 6- 8- 1 1:29PM : 907 338 3246:9 1 .S.9ICA SA of Ise E. tt 4r z7 T 'Vv X/ 3 "r .raAl t� • •. dmf � ,i � •q. /. . ' • r f %`1 �� r� O V �' ' q� •S /•� 0 T i'�; 49L" 1. ...».......gqWoo ». t t � � �„`• �oawt zarl t»wnnp • �, s'., 156(5 � : r,�r • . � 'yFG •••4Nr�t� 1� r �': • �• � G1ir _i� , DfESS10M1•��� ]t.b We respon:ibnity of the owncr'to aetcrmiac 41C NOIR ' a1stew or my tuanents covenants or «tuidtoro W" do notVOWon IM rind n data ujdj bion Ftsl ASB 7 ��►-j� NTHOSE U JI- ElS6MFNrS OF RECORD, 01 HER7NA t •: Undo no elreutrtaWtea should arty dao bercon 6e SHOWN ON THE RECORDEDI'1.AT,ARE NOT • ..:r toed:for cwutnmtion or for nubitshin6 boundary or r Ulca resPonsiblity for the SHOWN HERHON. feeee.nnn. The surveyo yF,GFdR InttW V.ru.ccon only.' OD DWSCAPMONUMENT + BLOCK 0 IRON PIPE LOT • R6lARCORNERFOUND* .fid ,, — " — p - (PLATNO.:) t . Q H1J6 AND TACK ANCHORAGE RECORDING IRISTRICT , PREPARED BY: SSOCIATES�- DOWLING d'c A 1424 Hyder Street Anchorage, Aloka 99501 :1E: 4:.lu.nn QI RK ORDER: O/—c' SATE — FIELD BOOK: Ar � yt. GRID NO.: ALASKA WATER & WASTEWATER CONSULTANTS, INC. January 15, 2001 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 1, Amanda Place To whom it may concern: We request that your department issue a 1 foot lot line waiver from the west property line to the existing drainfield. Based on a survey (dated 4/2001) by James Karl Dowling, the closest of two standpipes (north most pipe) near the west lot line is 18 feet away. The inspection report (8/19/81) only shows one pipe. This pipe is on the eastem side of the centerline in the 20 foot wide bed. This means that the bed could be encroaching the 10 foot separation to the lot line. We are assuming that the bed is encroaching anywhere between two feet to nine feet. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any gyestions, please contact us at 337-6179. Thank you for your assistance. .E., M.S. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com Municipality of Anehorage George P. 11711erch, Mayor Department or Public Works Building Sodety Di-s-ision P.O. Box 19G650 • 4700 S. Brngam Strcct Anchorage, Maska 99519-GG50 • (907) 343-&301 h tqt://t��tw.ci.anchoru};c.ak.us AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey Gamess, PE 6901 De Barr Road, Suite 2B Anchorage, AK 99504 - June 18, 2001 Subject: Waiver Request forAMANDA PLACE LT I Waiver # WR010042 Lot Line Request for Parcel ID 015-501-31 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 1 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, of Poet Engineering Technician III On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services Onsite Services Waiver Review Worksheet WRM 010042 PID#: 01550131 HA#: 010292 Permit#: Date Received: 061501 Legal Description: AMANDA PLACE LT 1 Engineer. ALASKA WATER & WASTEWATER CONSULTANTS, IN 6901 Do BARR ROAD. SUITE 28 ANCHORAGE.AK, 9' Applicant: FRANK & JOYCE MOODY .......... Waiver Requested: ABSORPTION FIELD TO LOT LINE OF 1 FOOT Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other. .......... Waiver is Granted: Waiver is not Granted. List Conditions or Reasons for above: Date: G -/ 8 - o I By: �e effarVof Reviewer N....N.1 Rec#: 061501 Amount 1M Date Paid: 061501