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Home My WebLink AboutMELINDA VIEW ESTATES LT 7Onsite File Melinda View Estates Lot 7 #017-092-44 Municipality of AnchorageZJ Ems, On -Site Water and Wastewater Section • (907) 343-7904 Pa N- - j of.3 ON-SITE WASTEWATER INSPECTION REPORT �0�4 Permit Number: OSP211459 PID Number: 017-092-44 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name C/O ARM SEPTIC SERVICES ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ound ❑ Other Site Address 14501 JOANNE CIRCLE *ANCHORAGE, AK Phone 907-688-9433 [Number of Bedrooms Soil Rating GPD/SF1 Total depth original grade Ft. LEGAL DESCRIPTION Depth to pipe invert from origin:,�<t. Gravel depth beneath pipe Ft. Subdivision Block Lot MELINDA VIEW ESTATES; LOT 7 Fill added above original gr a Ft. Gravel length Ft. Township Range Section _ Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Total orption area Ftz Number of trenches Dist. between trenches Ft. Well 100'.+. TANK [i Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer INFILTRATOR Capacity 1060 Gal. Surface Water 100'+I I Material Number of compartments Lot Line 51.+ NA HDPE 2 Foundation 10,+ LIFT STATION Manufacturer Capacity Remarks OLD TANK DECOMMISSIONED PER UPC PER CONTRACTOR I Gal. location �� IElectrical installed by PIPE MATERIAL House to tank D3034 Tank to D3034 Installer drainrield ARM SEPTIC SERVICES Drainfield EXISTING CO/MTD3034 Inspector GEG AND MOA BENCH MARK (Assumed elevation) 101.97 ft Inspection d1s` 11/4/2021 2nd - Location and description 3`d _ 4d' _ TOP OF MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's S amp 0060 Conditional Approval: Date 0 Septic System Approved Date Note: this approval does not include well permit requirements. (Rev 05/02/18) •. • ' �. `S`�4i ooh,` ..... ./ . �....... .J ..'....... ......... f; ey A. arness;* oU Q 9. CE —7 53 P,0 f e s °o Siond #AECC88444_, PERMIT NUMBER: PARCEL ID NUMBER: OSP211459 RECORD DRAWING 017-092-44 A I B DBL1 44.7 56.0 DBL2 45.1 55.5 MH 45.6 54.5 STI - -50.7— 58.7 DBL3 54.6 61.9 DBI -4 55.5 62.6 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO 8910 LASER DISTANCE METER. SWING -TIES To HOUSE CORNERS WERE GENERATED IN AUTOCAD 10' TEL & ELECTRICAL EASEMENT ILLI CL 0 i w w z mw zw z LU (o Lu to 6 w 3 -BEDROOM w ;t w HOUSE -i LU ci 0� -6 1`- ui -iw b I NEW IM 1060 INFILTRATOR I SEPTIC TANK w 02 1p T2 MHl TI MT1 0 EXISTING DRAINFIELD WITH NEW CLEANOUT `VDBL3&4 INSTALLED AT BOTH ENDS AND NEW MT AT SOUTHWEST END (MT2 WAS EXISTING) ED DBL1&2 —>1 10' TEL & ELECTRICAL EASEMENT MELINDA VIEW; LOT 6 "ARNESS EN"INEERINg' '"ROUP, Ltd ENGINEERING - SALES- C0NSULTING 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, AK99507' PHONE (907)337-6179- FAX (907)33a -3246 - WEBSITE: w .game ngineenng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: C/O ARM SEPTIC SERVICES 907-688-9433 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: MELINDA VIEW ESTATES; LOT 7 D.J.G. TYPE OF WORK: DATE: SEPTIC TANK RECORD DRAWINGS 11/12/2021 = 40' 4W ...... 0 ........... .......................0 0 0 .................... effrey A. Garness tz7o ## CE -7953 AV 1 2, 41P P. - LICENSE 4- R6FE #AECC884 0 It, 1% TUA lak PERMIT NUMBER: RECORD D RAW I N G PARCEL ID NUMBER: OSP211459 017-092-44 TOP OF TANK AT INLET = 98.71 INVERT OF BUNG AT INLET = 98.16 TOP OF MANHOLE = 101.97 MH i ST1 2" INSULATION PER CONTRACTOR IM -1060 2 -COMPARTMENT INFILTRATOR SEPTIC TANN FINAL GRADE = 101.92-102.03 ITPI utd ENGINEERING- SALES,, CONSULTING ,,. 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 -PHONE (907) 337-6179' FAX (907) 338.3246' WEBSITE: v .garnessenginee ng,c PREPARED FOR: HONE NUMBER: PAGE NUMBER: P C/O ARM SEPTIC SERVICES 907-688-9433 3 OF 3 LEGAL DESCRIPTION: DRAWN BY: MELINDA VIEW ESTATES; LOT 7 D.J.G. TYPE OF WORK: DATE: i,,, SEPTIC SYSTEM RECORD DRAWINGS 11/11/2021 — TOP OF TANK AT OUTLET = 98.79 INVERT OF BUNG AT OUTLET = 98.06 'iiiTlTdTiiTiI12YR[.'f ii[li1r SI 1 Jf rey A. Gayness ; 4: LICENC7-71 "`\S\` #AECC864 i Lot 7 Melinda View Estates Sub. 49,630 Sq. Ft. +/- 14501 Joanne Circle 2 Story Wood Frame House With Attached 1 Car Garage E T T S W TTE LOT 6LOT 8 10.4 18.428.636.628.4 8.26.1 12.06.21.3 6.0 10 0 ' W E L L R A D I U S 10' TEL. & ELEC. EASEMENT10' TEL. & ELEC. EASEMENT10' TEL. & ELEC. EASEMENT10' TEL. & ELEC. EASEMENT20' R.O.W. EASEMENT 10' TEL. & ELEC. EASEMENT N90° 00' 00"W 300.69'N0° 03' 59"W 165.00'N90° 00' 00"E 300.88'S0° 00' 00"E 165.00' 12.0 119.663.0 EDGE OF GRAVEL ℄ JOANNE CIRCLE30'R.O.W.GRAVEL DRIVEWAY30'R.O.W.PICKETT STREET SSSSSSSSSSCSS S SS SS SS 8.1PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. November 17th, 2021. Legend: Scale 1" = 50' Deck Septic Fence S Lot 7 Melinda View Estates Subdivision General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. ARM Septic (Mariah Campbell) 21-832 11/17/2021 84-293 3038 E T W Elec. Pedestal Water Well Tel. Pedestal x STA T E O F ALA S K A49 TH ROYEVRUSDNALLANOISSEFORP DERE T S IGER Pierre M. Stragier NO. LS-9812 11/17/2021 Satellite SC Septic Tank Riser Cover MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211459 Work Type: SepticTank Upgrade Tax Code Number: 01709244000 Site Legal Address: MELINDA VIEW ESTATES LT 7 G:3038 Site Mailing Address: 14501 JOANNE CIR, Anchorage Owner: HOSKINS RICHARD E Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date Ment �, �0 r_ :J n Department Lot Size in Sq Ft: Total Bedrooms: 10/28/2021 10/28/2022 49630 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (I8AAC72) and Drinking Water Regulations (I8AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received Issued By: Date: )— � -- 0 Date: X09 NIUNICIPALITY OF ANCHORAGE Development Senjices Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-092-44 Property owner(s) RICHARD HOSKING - C/O ARM SEPTIC SERVICES Day phone 907-688-9433 Mailing address 14501 JOANNE CIRCE *ANCHORAGE, AK Site address 14501 JOANNE CIRCLE *ANCHORAGE, AK Legal description (Sub'd., Block & Lot) MELINDA VIEW ESTATES; LOT 7 Legal description (Township,. Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 Septic Tank El Upgrade Q (w/wo AD U) Holding Tank ElRenewal ❑ Duplex (D) E] Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or aujlorized agen`.r }' �J Permit/Rush Fees: 2 Z Waiver Fees: Date of Payment: /0 Date of Payment: Receipt Number: 000"76 Receipt Number: Permit No. OS f 21 I y 59 Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTormsUient FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211459, Rebecca Carroll, 10/28/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211459, Rebecca Carroll, 10/28/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211459, Rebecca Carroll, 10/28/21 Scale 1" = 50' LOT8 Frontier Surveys, LLC Project No: 21-765 Ordered By: ARM Septic (Mariah Campbell) I Date: 10/18/2021 Plat: 84-293 1 Grid: 3038 f PICKETI-STREETd as a Nil° 03' 59"W 155.00' _ 20'R.O.W. EASEMENT _ 10' TEL. & ELEC. EASEMENT T �e x xw w ? i Lot 7 f " Melinda View Estates Sub. >< w 49,630 Sq, Ft. +/- w w 14501 Joanne Circle € j 2 Story Wood Frame Nouse uO as a i With Attached 1 Car Garage w F. F� � 9a.4x e r o 12.0 LOT 6 9.3 x� ;r f s.0 �I IC a I� wl 0 q�lO O Z \ s SO* 00'00"E 965.00• / — – – – �- – C JOANNE CIRCLE — – LT\ Tel. Pedestal –x– Fence! Satellite Z_E, Elec. Pedestal ® Deck _S; Septic ;W; Water Well EDGE OF GRAVEL General Notes: 0 25 50 100 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cast of preparing this survey. Scale In Feet3. All measurements/setbacks are to the visuallapparent building footprint, 4. All dimensions to property lines are plus/minus 0.1ft. `tttttt��►1j11 OF ALQ`.rtool 9► 4 H • .............. f i Poe M. St tkr .. = N .LY 17 r,I►� ••-. 1 011 9120 2 1 I fill t 1400 ss ofo& •�=' PROFESSIONAL SEAL This survey complies with the AS PLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. €t is the res ponsi b llity of the Owner to determine the existence of any easements. covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. I As -Built Survey of.• 1 IJ Lot 7 Melinda View Estates Subdivision 1 I, Pierre 5tragier, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on October 13th, 2021. Frontier Surveys, LLC FRONTIER* 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 1LxVB g• 907.460.1685 - info@frontiersurveys.com www.frontiersurveys.com NAME ,~ / MUNICIPALITY OF ANCHORAGE 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 EHONE D £ u,',:.,' ~ r~/~ ~,,,~' -c- r3~..?- eOl~ MAILING ADDRESS LEGAL DESCRIPTION [~NEW [~UPGRADE Lo'¢ 7 LOCATION OFt= dz ~2~'~3[I.~ ~ ~ N O J'~ ~ . Absorption are Well DISTANCE TO: ~O~ ~ Manufacturer ~0/40~ ~ ~ Liq.,capacity in gallons I ............. Inside length DISTANCE TO: We Dwelling Dw~,lling Width NO. OF BEDROOMS Fo~cJ~tion J'-'lfO POS E. L~ Liquid depth PERMIT NO, Nearest lot line Manufacturer Material Liquid capacity in gallons DISTANCE TO: Total lengt~o~i~es Well No. of lines ~ Length of I Top of tile to finish grade Trench wi,~ I '.r~.~h:: Material beneath tile Distance between lines Total e~e~/¢(~rption area Length Type of crib Width Crib diameter Depth Crib depth PERMIT NO. Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class. ~(~--~J 1-' ¢ ~'~J Depth Driller Distance to lot line PERMIT NO. Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER F~ REMARKS DATE LEGAL L? 72-013 (Rev. 3/78) Date Drilled: ~Static WaterLevel fee t WELL LOG ~t 7 Blkl Meltnda View Gallons Per Minute .... 11 Draw Down M/6 feet Type ,Material Drilled: 0 feet to Total Feet of uasing ~@ 1~1 foci to 7fi flrv3r rl.~y 7R feet to lOg"Bedro~ Hefty Drilling S.R,A. Box 1553 H Anchorage,Alaska 99507 MUNICIPALITY OF ANCI-tOR, A~E DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAY 1 8 1988 RECEIVED PERMIT DATE lhql Ib~ ih,41 ][ C]: ]E F=" *~ IL.. ][ 'T' "*,:¢' ~]]l F- Ez~ ~k,Jl ~[.-; iF.-I~ C~, IF-~:: ~gz~ ED lEE DEPAIRTMENT OF HIEAL..'TH AND ~::*l *R,F~, ....~ '",-r-c-O"T ,,,- ......... ~ ...... :~ ~,_ F,~d]c..,F..C,l,, 8~::~. I ...... TI~E,:] , .. . A,,I ..... )RAGE.. ,7~,,., ... AF'PI._ I CANT ADDREGS: I CONTACT F'HONE LEGAL. DIE !.:~ C R I F:' ,", LOT SIZE: MAX BEDROOMS: ,FEJES DEVELOF'EMENT P.O,,BOX 112009 ANCHORAGE, Al< 99511 349-8011 SL!BDIVISION: ItlEL_INDA VIEW ES'I'ATES, LOT: '7 SECTION= 55 TOWNSHIP: 12hl RANGE: 3W 49630 (SD.FT. OR ACRES) BL(]CK = NA I_isted below a~'e tl'fe C)p'kions available 'ko you i.n des:i, gr~:i, ng your septic system. Clnoose *kine Option 'Lhat best Fits yOLH' si{e. DEPTH TO PIF'E BOTTOM (FmT'.) GRAVEL DEF:'TH (F'T,,) TOTAL DEPTH (FT.) · GRAVEL WIDTH (F'T,,) .GRAVEL LENGTH (FT.) GRAVEL VOI_UME (CU. YDS,, TANK SIZE (GALS) SOIL RA'TING (SQ,,FT. /BR. 3 0 6 0 2 5 50 0 :[6 3 000 0 -*.*. ~.~ DEF'TH ]'0 F'IPE BOT'T'OM < :::'].5 FT. REDUtI~[_~.' :':'~q INSUL. AT!ON ee'~- DEF:'TH 'TO F'IF'E Boa"TOM < 4.0 Fa" ~' '-~ , ,'IA, REDUIRE A L:[F]" ~,aArlO,.° .... .~ · .~-~.-~ TANK MUST I..-IAVEE AT LEAST ,TWO COMF'AR]"ME:NTS I c:: e r' t i ,~' y. 'L h a t: 1. I am Familiap ~J. tln '~Ine r'equi'cements {'os* on..-s:i.'Le se~,~er's; and ~e].].s as s~..~t forth by the Municipa].i'Ly of Anchorag~. . <MOA) and th~ "*'*c: ,. a L e:, .... o~' Alaska. I ~ailI install, the system in .......... ~- '~ ' ac. co~ u~nc.~, t4if,h an 1 MOA ...... am-sd in compIiance with the. H..-4 .* ...... 6s=,,.gr~ cr'iteria of this pet-miT .:,.· I will adhere to a].l. MOA and State QF A].aska requirements for' '..f"' .... set back di~'kaln(:ss [t"[)lTi any exis'king **.;~tI, ~aste;~ma. tep disposal, syste~]l on pubIic sewepage system on.this om" a~]y adjac:en'k or near'by 4. I undens'kand 'Lha'.. 'Lhis per'mit Js van. id for' .a M*~.XJ. MLt~ : any enlar'gement wiI]. r. equ:i, pe an addi'Lionat per'mi{. IF A LIFT STATIOhl ].o It.L. IAJ_,=D llq AREA CO~,_.t~,_.D BY MOA ~:,H" TFIEN (1) AN EL. EC'f'F~ICAL. F'EF~MIT AND I,,Ic~F,:C]ION' ~' c* ':*' ' MUST BE (]BTAINED: WI ...... h!OT BE .A,, ROV~_D WITI...IOLJT AN ~'' ¢ .... r, i ELEECTRICA!.] WORK/tdUST/ BE DONE BY A' LICENSEED EL. EC]"Is?ICIAN. 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: LEGAL DESCRIPTION: l~[,'~J~ ~/~¢~ Loft- ?. ~rl'f I SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 c ~_~_tl~' WAS GROUND WATER L,~,~_.J~ SL ENCOUNTERED? IF YES. AT WHAT DEPTH? i~l'e~din g ..~ Gross Net Depth to Net Date Time Time Water Drop . 14 15 16 17 18 19 20- COMMENTS .~O(( '~,t~ ',,.~ PERFORMED BY: //72-008 (6/79) PERCOLATION RATE TEST RUN BETWEEN blO/~ ['-('- ~ c/' cD"~ ~-/ CERTIFIED BY: (minutes/inch) FT AND ~ FT r.~_-'('-e d ~ ALASKA eFIU -=OFImerITAL COFHROL December 21, 1984 $1~I~UI~'S, Ill(:. Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Subject: On-Site Sewage Disposal and/or Well Inspection Report During 1984, a number of septic systems have been installed and inspected, prior to the establishment of the foundation(s). AECS has contacted (or attempted to contact) the applicants concerning the installation of foundation clean-out and pipe from the foundation to the septic tank inlet. In many cases, congtruction will not resume till in the spring; therefore~ precluding any further inspections. Since the end of the year is near, with the expiration of permits, AECS is forwarding the inspection reports without a foundation cleanouts to ycur office. We understand that this will not eliminate this situation; nonetheless~ the reports reflect the actual inspected installation at this time. We recom~mand you accept these as is. The Health Authority, site evaluation for these properties can confirm the installation ef the cleanout. Conditional approval, based on required installation in the spring~ may be required during the interim. ~'~\ this office can be of further assistance, please contact us at .~' If 56!-5040. //'~.V\ Sincerely, ~.~ ~ont~omer¢ Supervisor, Environmental Department Approved By: /,Z, UN!CIPAL!TY DEPT. R EC E I',;~:= O Parcel I.D. 017-092-44 �E 8 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 5A .FET„Y t' Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Expiration Date: 6 —Z-3 -Z02-2 Complete legal description MELINDA VIEW ESTATES; LOT 7 Location (site address) 14501 Joanne Circle *Anchorage Current Property owner(s) Richard Hoskins Day phone 345-0001 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community El Water System ❑ Public Sewer ❑ WaiverNadance request for: Distance: Received by: Date. COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 59 O . Date of Payment 3/--, 322 Receipt Number_ O SZCl2 G COSA# O3C-2Z/109 Waiver Fee $ Date of Payment Receipt Number Waiver # cf- 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrev A. Garness Date: 3 )2,3 1-22- In 22 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the G C)F 1 �� evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation_ The operational life of all wells �\` �•' �� I�I and septic systems depend upon a variety of variables, including but not limited to, soil conditions, . T... groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and G' y' are outside the control of GLIS. Satisfactory test results do not guarantee future performance of the 'J - system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of • • • • • . • the well or septic system. GEG makes no representation whether an alternative well or septic system{) f lr y f, . can be installed on the property in the event either of the current systems fail to perform adequately in '!� •. 'E- 795. the future. The content of this report is for the sole benefit of the person/party that retained GEG to s c'O perform the evaluation. Reliance upon the information provided in this report by any other person or ��1 e^e'" F�c� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right , oiass+cn�a;� 6. DSD IGNATURE System #1 Approved for -Z bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the \`QvIIk(k TY(OF `#AECC884 0A1 WAT rr_ WT_AS ,:, , ,1,1 ni � g %igns' Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: MELINDA VIEW ESTATES; LOT 7 Parcel ID: 017-092-44 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 7126185 Total depth 109 ft Cased to 80 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 10/14/21 Static water level at beginning of test 51.1 ft. Comments B. TANK DATA Age of tank(s) NEW years Tank type/material SEPTIC/PLASTIC Measured operating fluid level in septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA SHALLOW TRENCH Which system tested (date installed) ""5184 NO ALL standpipes present per record drawing Total measured depth from grade 7.2 ft (max) Measured depth to pipe invert from grade 3.95 ft (min) ❑ N/A — pressurized field Well production at time of test 5.6+ gpm Water storage tank volume gallons Well 'sinfected for coliform test? ❑ Yes ❑ No Coliform bacteria is Negative Nitrate m /L g [D'f4itrate less than MRL (ND) Arsenic ug/L W -Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 2/25122 C. LIFT STATION ❑ Required maintenance completed Age of lift station ye Lift station material Adequacy test date 1011412' Results [✓] Pass For 3 bedrooms Fluid depth prior to test *24 in Water added 606 gal ElMonitor tubes go to bottom of effective. If not, state New depth -Gy in depth into effective 2.V -Z9,' Elapsed time 120 min ❑ Code -required soil cover over field Final fluid depth *26 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) W 0 date of test) Gallons introduced N/A gallons If yes, enter date 13 kA Comments/Deficiencies: 'EAST MT EXTENDS 2.01' BELOW INVERT- MEASURED 24' FLUID DEPTH ON 2125122 COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft 2] Yes if No ft Neighboring Tank > 100' El Yes if No ft Private Sewer/Septic Line > 25'E] Yes if No ft Absorption Field on Lot > 100' P-1 Yes if No ft Holding Tank > 100' [✓ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No ft M Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft n Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Yes if No ft Surface Water > 100' Q Yes if No ft Property Line > 5' [] Yes if No ft Wells on Adjacent Lots: ._ Absorption Field > 5' Yes . if No f#_. .,-...,Private Wells > 100' Q Yes .if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' Q Yes if No ft If septic tank is under driveway comment below Prom Absorption t:Ut Building Foundation > 10' to. (mease Q Yes MIMI diStance-5 if No it ft less than mquhed) If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' [] Yes if No ft Water Service Line > 10' P11 Yes if No ft Community Wells > 200' 2 Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet OF ... 4 .... . ._ . of y Gorn ss; Q 9 C-79 3 44 fP� "2 .1.2�1) d_rofessior�oo #AECC884 91) Parcel I.D. # MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 7; M~inda View Estates Location (site address or directions) 14501Joanne?¢ircle Property owner Mailing address Lending agency Mailing address Anchorage, AK 99516 Paul and Bonnie Lucca 14501Joann Circle Anchoraqe, Day phone 349-4453 fw) Bonni6 AK 99516 Day phone Agent Frank Irwin/REMAX OF ANCHORAGE Address 2600 Cordova Suite 100 Anchorage¢ AK Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: Day phone 257-0154 99503 If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX× __ Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my inves~Lgation 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. S & S ENGINEERING Name of Firm 17034 Ea~le River Loo~ Road No.~¢"~ ' Phone Eagle River, Alaska 9~577~ Address ~'"'? Engineer's signature -- DHHS SIGNATURE ~,' Approved for ~"~/.) bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in 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. 1/91) Back MOA #21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data /Y/~"L.J/L/L.,~ V'/g/,J -~5F,~/'~,~Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number '"'~~ted ~7/~--~/~-j~''- Driller H~?7-'Y Cased to cO0 t Casing height Wires properly protected ~.~N) Well type ¢/'?-II/i~'T-~ Log present ~tN) Total depth Sanitary seal (~N) FROM WELL LOG AT INSPECTION Static water level Well flow Pump level1 U~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot /00 ¢'f' ; On adjacent 10ts Absorption field on lot /(?-)C/_ ; On adjacent lots /Co r~- Public sewer main JOOJ. J -~'- J~/Z~3'~-/J ublic sewer manhole/cleanout Sewer service line ~'~' ~Y- Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate (__~,/O ,~u~,,/..~ Other bacteria Collected by: ~' Y'-~--~ B. SEPTIC,~,CLD:;.'=' TANK DATA Date installed ////-~'! Cleanouts~N) High water alarm (Y/~ Date of pumping ~/,.~ Tank size /000 ~'~L_ Compartments Foundation cleanout(~N) <'/'"~'-~ Depression (Y~ Alarm tested (Y/N) Pumper /~,/:I/~C '~ SEPARATION DISTANCES FROM SEPTIC/; ;OLD;NC, TANK TO: Well(s) on lot /~d_~/-/-'- On adjacent lots To property line /O-'~ Absorption field · Surface water/drainage /(~(/% ~ 72-026 (3/93)* Front / Foundation Water main/service line CONTINUED ON BACK PAGE C. LIFT STATION Vent (Y/N) "Pump on" level at High water alarm level Meets MOA electrical codes (Y/N) ,~ SEPARATION DIST,~46E~ROM LIFT STATION TO: On lots adjacent D. ABSORPTION FIELD DATA Date installed I I/1:/ Length 4~'~/ Width Total absorption area Manufacturer Manhole/~ .~'~Cycles teste'~ "dPump off" Level at System type Soil rating (GPD/FF) Gravel thickness Cleanout present(~N) Date of adequacy test ///~ ~,~ Results/(p~ail) Water level in absorption field before test ¢~ Peroxide treatment (past 12 months) (Y/N) /4./8,/~2~ ,//~:¢~,j/LJ If yes, give date /U/'//~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /:~)_~ To building foundation On adjacent lots Surface water Curtain drain ./,J~f, Jd' E. ENGINEER S CERTIFICATION Total depth Depression over field (Y/~ for ~>(~?'-~/¢-~--~-) Bedrooms After test On adjacent lots /"¢O ~7z- Propertyline ._,.~/¢ To existing or abandoned system on lot /~-~/~ Cutbank /q./O/.-~L~ t~'c--~cT'J~-Water main/service line Driveway, parking/vehicle storage area ---% ~'/ I certify that I have checked, verified, or conformed to afl MOA and HAA guidelines in ef~ect,,en;th~..date of this inspection. Engineer's .E~r,J~r~ee ~,iver, HAA Fee $ ,~D~P Date of Payment /?' Receipt Number ,~- Waiver Fee $ Date of Payment Receipt Number 72-026 (3/93)* Back Applicati'on Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) MUNICIPALITY OF ANCHORAGE : DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES' ' ' ' CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~::~ ~ OF ON-SITE SEWER AND W~TER FACILITY 264-4744 ' '; (b) . Property Owner '-'~L-~/'~r"- Mailing Address' ' · ''~ (d) Real Es~&tS'd;;Pa~:¢'and Agent Telephone: Home Telephone Business Address Telephone (e) Mail the HAA to the followina address: or: Check here L~, if hold for pick up. List'contact eerson and day. phone number below. --- 2. TYPE OF RESIDENCE Number· of Bedrooms -~ ...... - ..... :" ........ : ............... - .........~;,' ~ ......... WATER SUPPLY -] ~' Individual Well'~ Community [] Public [] - : Note: I(community well system, must have written conf rrnat on from.the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite~ Public [] Community [] Holding Tank [] Note: If community well system must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. - Page 1 of 2 72-025 (Rev 81861 Front 'HJO~ s,JeauCua ~euo!ssajoJ~ eql u! suo!ss!uJo JO sJoJJa .101 alq!suoasaJ lou si aSmoqouv jo Al!ledlo!un~ aql 'panss! si e~eo!J!~Jeo e e]qeq eiep ez~leue JO su o!loadsu! lonpuo3 ]au aa 8HHQ jo saaXoldtUa 's~uatuaJmba] ale,s pue leJapaj u!el~aa XJs!les al JaDJO u~ suo!lnl!lsu! 8u!pual ]!aqi pue sakuoq jo sJaseqo~na o] Xsapno3 e se s!ql saop SHHQ aq± 'eHSelV ~o ale,S aq~ u! pe~els!aaJ Jaau~Sua ]euo!ssajoJd luapuadapu! ue Aq a^oqe ~ qde~Smed J. ua^!8 suo!]e~uasaJdaJ aqi uodn ~lUO paseq le^oJddv Xlpoqln¥ qlleaH sanss! (SHHQ) sao!^JaS ueuJnH pue qlleaH jo iuetupedaQ aaeJoqouv jo Xiiled!o~un~ NOliR¥O ~eAoJddv leUO!l!puoc) Jo SLUJal euo!],!puo0 oa^oJddBs!a ~ 3aAOJfldv mJ!J jo otUeN ~{ O~ auoqdalaL ~'Q~ 'uolloadsu! s!ql to olep oql ua DaJJ9 u[ suol~elnfoJ puu 'soaueu{p]o 'sapoo o]~lS pu~ le8~o[un~ lie ql~ aoUe~ld~oo u~ s! ~o]sXs lesOds~p Jo/pu~ Xlddns Jole~ al[s-ua oq] 'uq]oadsu~ pue uoqefiqsaA~ Xm moji pu~ SOl[J aOeJOqaUV jo Alq~d~o~un~ oql moji pau}~qo uo[l~m~oju} oql ua poseq leq] ~}~JaA Joq~nj I 'u}aJaq palgo~pu~ ~Jnlon]~s ~0 odAl pu~ smooJpaq jo ~oqmnu oql alenbape pub leUqlounj 'ales si malsAs lesod~¢ JS~BMelSBM Jo)puB Xlddns Ja~BM 8~!?~0 Oql leq~ 9MOqS leAoJddv Xl!Joqlnv qlleeH siqi ~o uo!~e6!~SeAU! Xm leql XJpaA I '~olaq UMOqS e~ep uo!le~!leA e'ql ]o se pue olaJeq pax!l~e leas ~ Xq pe!jfpao sV WELL DATA Well Classification CHECKLIST - FEBRUARY 1984 Legal Description: ~'~ If A, B, C, D.E.C. Approved (Y/N) Well Log Present'N) Date Completed ~ ~..f~-~.~' Yield Total Depth ~"~ ~' Static Water Level Casing Height Above Ground Electrical Wiring in Conduit N) Separation Distances from Well: To Septic/Holding Tank on Lot Depth of Grouting Pump Set At /0~¢, ,/,j,/~ Sanitary Seal on Casing~N) Depression Around Wellhead (Y~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments /'¢-O '¢¢ ; On Adjoining Lots ./~ '¢ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on SEPTIC/HOLDING TANK DATA Date Installed /,]'/-5'~'¢ Size Standpipes (~N) Air-tight C a p s ~_~,//~N ) Depression over Tank (Y(&I~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: ! To Water-Supply Well To Property Line To Water Main/Service Line Course No. of Compartments Foundation Cleanout (Y~) Date Last Pumped ¢-~;2-*- r~'~*' ,,~/,/+' ;for 4//4, Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field /ge / To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed //- Width of Field Square Feet of Absorption Area Depression over Field (Y~)~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot /J//~ To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field Depth of Field / Gravel Bed Thickness Standpipes Prese nt~X~'q) Date of Last Adequacy Test To Property Line .3 / To Existing or Abandoned System on ; On Adjoining Lots /O To Cutbank (if present) D. LIFT STATION ~ /,r.~//J/ Dimensions Manhole/Access (Y/N) ~.~. "Pump On" Level at ~ "Pump Off" Level at High Water Alarm Level at -'""~-,..~_ Vent (Y/N) _ Tested for ____ ~ Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) ~ Comments ~-~. ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I h.,~v:¢/~ ec,~d, verif~d, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~.~2~.~' //~,~ Date Company /z~~-¢ MOA No. Receipt No. Date of Payment Page 2 of 2 72-026 (1 i/84)