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SUN SHINE ACRES LT 3
Sun Shine Acres Lot 3 #017-401-37 51"0' 1 11 JUL 2 7 2012 Community Development Department Page I of,3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT it Number: 05P IZIOB_+ PID Number: OG -401-34 ❑ New 0 Upgrade STEPPAN RUST $Sol SPENDLOVE DR„ANC-HORAG-E, AV, SU11 SN 3SORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ® Bed ❑ Mound F1 Other 4 0,(3 GPD/SF Depth to pipe invert from original grade 3 L5 SEPARATION SEPARATION DISTANCES To From Septic Tank Absorption Field Lift Station Holding Tank Sewer Line Well (00't IU0`r IOD'+ A/A 251+ Surface Water loot I00r+ loo'+ NA in. Lot Line 51+/VA ORENc.0 NA Foundation (p,+ lot 10t+ /VA (Assumed elevation) Curtain Drain 550`4. 50'+ 50'+ A//_1 Remarks EX15 T JNG SEPTIC TANK A3ANDor, Pert MOA REQS, EX15TtN6- PRAiN RECD ConAEa6Eo VIA VALVC 1N LIFi 5TATIorn, Installer _ CC .tSAAi.S c.XCAVAT/NG' Inspector LAR$ SP LAND BE 15 Ft. 3 Von area Number of tre STEEL_ T_ .13 -,a3 depth beneath pipe 0.5 length 50 T.E.P. ❑ Holdinq ❑ Other LA fJC616RA6rE TANk 1500 Gal. p on level at Pump off level at High water alarm at 25 qL1 22 I in. in. in. D make and model Electrical Inspections performed by ORENc.0 MOA E MATERIAL HousetotankTankto 303`i dminfield 9c( HD Drainfield 5c� qcl CO/MT F610 NCH MARK (Assumed elevation) 100 It 4RK Inspection - x Location and description dates: t (c r3 12 2 G $ i 2- t- 11 ii 3`d G/9112- f 6orro'"� SicliNG- 5VJ Vouse COP-Nea2 COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL r �Eq20KkXTnP Approval: Approved Date Date O F *�. fn•, SPURKLAND:�t s 2� SWING TIES A B C F. C. 0. D 14.7' 10.3' C.O. £ 4.2' 27.7' f ST. aO. F 7.1' 30.3' 4- S T. C.O. G 15.3' 37. P S T. MH. H 17.2' DF. MT. 1 24.4' 11.0' 9 OF. MT. J 36.7' 32.2' INSTALLED 4 -BEDROOM SEPTIC SYSTEM DF. MT. K 40.4' 56.6' 1500 GALLON STEP TANK p DF. MT. M 48.6' 68.1' LENGTH 50 FEET / / NCH MARK ® A" WIDTH 15 FEET 1( I(l fl TOTAL £XCAVTTON DEPTH 3 FEET COARSE SAND I FOOT I(l SEWER ROCK 0.5 FEET I(l COVER INSULATION FEET MIN.BO�Ob3g�x I!/ LOT 3 LOT 2 D S�OoF ABANDONED EXISTING SEPTIC ® 0 TANK PER MOA REQUIREMENTS A / C til �1 9 PQ K�C� /a /.o�, J THIS �'`� •rO� 1 TOP 35%+ SLOrt �rrrr 10 UTIL ESMT N SPENDLEVE DRIVE NOTE. THIS 1S NOT A SURVEYED PLAT. WELL & SEPTIC •••.......• •••• •••• ••• 0 LOCATIONS TAKEN FROM ON -SD£ WATER AND WAST£ WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE ....... "' "" "' 'i APPROXIMATE. -•A SPURKLAND A 0 CE -11500 AV �� ': x Ar 25 0 25 50 75 I00125 Iso 1�'••.} it �?�...���.•• SCALE 1' = 50 FT. SPURKLAND ENGINEERING SUN SHINE ACRES LT 3 SEPTIC SYSTEM ASBUILT 203 W ISTH. AVENUE ELAINE RUST DATE.- JUNLY 12, 2012 50 X 15' BED, N, TS 15' Wide 50' Long 30' Exca va tion Depth (bgs) 1' Foot Filter Sand 0.5' Rock (effective) 2' Insulation NO SCALE Monitor O Sat Barrie LL N. TS -7 E<Ev.=9f 2' ` H2o ELEv=91.2' 1500 GALLON STEP TANK a5 ft of Septic Rock 1 ft filter sand Effective B.O.N. EL£V.=87.2' NO SCALE Obi HOUSE CORNER. ASUMUEO ELEV. 100' SPURKLAND ENGINEERING 0 SEPTIC SYSTEM DESIGN 203 W15th Ave ELAINE RUST I I DATE: JULY 12, 2012 A7ncho rage Ak 99501 8801 SPENOLOVE DR., ANCHORAGE, AK 99516 SHEET+ 1/2 GRID: 2841 d PERMIT j OSPI21087 PARCEL ID / 017-401-37 SUNSHINEACRESUO.DWG O S b w m v 0 M a, 0 s zo M Q Q 2' Insula tion TEST HOLE 12 £LEV.=98' ELEV =97.2" 1500 gal Septic tank 3 O t 6 0, V 214 a 3 L2 6 Ln w L, t ELEV.=95.7' Sat Barrie LL N. TS -7 E<Ev.=9f 2' ` H2o ELEv=91.2' 1500 GALLON STEP TANK a5 ft of Septic Rock 1 ft filter sand Effective B.O.N. EL£V.=87.2' NO SCALE BENCH MARK BOTTOM SIDING SW HOUSE CORNER. ASUMUEO ELEV. 100' SPURKLAND ENGINEERING SUNSHINE ACRES LOT 3 SEPTIC SYSTEM DESIGN 203 W15th Ave ELAINE RUST I I DATE: JULY 12, 2012 A7ncho rage Ak 99501 8801 SPENOLOVE DR., ANCHORAGE, AK 99516 SHEET+ 1/2 GRID: 2841 PERMIT j OSPI21087 PARCEL ID / 017-401-37 SUNSHINEACRESUO.DWG 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: OSP121087 Tax Code Number: 01740137000 Work Type: Septic Upgrade Permit Effective Dates: May 25, 2012 to May 25, 2013 Design Engineer: SPURKLAND ENGINEERING Subdivision: SUN SHINE ACRES Site Legal Address: SUN SHINE ACRES LT 3 G:2841 Owner/Address: RUST STEPHEN T & ELAINE M 8801 SPENDLOVE DR ANCHORAGE AK 995163359 Site Mailing Address: 8801 SPENDLOVE DR, Anchorage Lot Size in Sq Ft: 208173 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: -21/12- Issued 9/iZ MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 011-401-37 Propertyowner(s) EIAIN6 %15T Dayphone SSq-194y Mailing address �?N SPEN0l0UC- D(. Anuaozac AK 11516 Site address SAME Legal description (Sub'd., Block & Lot) sun &Av4e Aca5 LOT J Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms q THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial ❑ Absorption Field Septic Tank Upgrade Holding Tank F] Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. property owner or Permit/Rush Fees: 536. co Date of Payment: 5jl8j2- Receipt Number: nn 225-6 Permit No. O's P to 102 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GAl3ui1dingl0n SiteTorms\Client FormsTermit App_010411.doc (Rev. 1/11) Environmental Consulting and Design SEPTIC SYSTEM DESIGN Sunshine Acres Lot 3 Municipality of Anchorage May 14, 2012 Development Services Department On Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, Alaska 99519 Subject: Septic System Installation Permit 8801 Spendlove Dr. Ladies and Gentlemen: I am writing to request a well and septic system installation permit for the above referenced property. The existing septic system is no longer functioning adequately. The proposed system will serve a 4 -bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: Groundwater observed to a depthMeet Belo and surface (5/3/2012). fo per "•�� Soil Rating. From Testhole 4/26/12 1.3 min/in = 0.8 gal per sq.ft/day 4.7min/in = 0.8 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 150/ 0.8=187.5sq.ft. Total area required: 187.5 x 4 = 750 sqft System: We are proposing a 1500 gallon STEP tank followed by a bed absorption field. The absorption field will be 50 feet long and 15 feet wide and contain 0.5 feet (750 sq.ft. effective) of sewer rock. One foot of coarse filter sand will be placed in the bottom of the excavation. Soils: Test holes were excavated on April 26th, 2012. See the attached soil logs. Ground water Monitoring will continue through construction of the septic system. Groundwater was observed at a depth of 7 feet below ground surface on May 3, 2012. Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. 203 West 15t" Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net &"3-w& SPLIT ORO EflgoMas oimg Environmental Consulting and Design Topography: The ground level slopes down towards the south at less than 5% grade Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, Lars Spurkland, P.E. Civil Engineer 203 West 151h Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net LOT 2 -- —_ 70, LOT 2 "*3 ,rG I I 4 - LOT LOT 3 19 C'LOT ® Well � I F I � I i PENDLVEtRl9k�—Ly Well e11 III I I I I I WellLOT 1 I LOT 2 LOT 3 I I I I S # 3 vIEWiNEI�HT � IV E I I NOTE: THIS 6 NOT A SURVEYED PLAT. WELL k SEPTIC LOCATIONS TAKEN FROM ON -SIX WATER ANO WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATKINS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE I' = 100 FT SPURKLAND ENGINEERING I I SUN SHINE ACRES LT 3 I I SEPTIC SYSTEM DESIGN 203 W TH. AVENUE ANCH. AK.K.99501 ELAINE RUST DA TE.- MAY 14, 2012 (907) 279-3916 8801 SPENDLOV£ DR., ANCHORAGE, AK 99516 SHEET.- 1/3 GRID: 2841 PERMIT #OSP1110XX PID # 017-401-37 SunshlneAcresL3SC100,dwg LOT 2 INSTALL 4 -BEDROOM SEPTIC SYSTEM 1500 GALLON STEP TANK LENGTH 50 FEET ODTN 15 FEET TOTAL EXCAVTION DEPTH 3 FEET COARSE SAND I FOOT SEWER ROCK 0.5 FEET NSULATION 2 INCHES 9,�Pq � r� PQ c / I-P� LOT 3 x S�O'OF 1 1 ell / to TOP 35%+ StUrt 1 D UT/L ESMT N SPENDLOVE DRIVE 4 h NOTE: TLDS IS NOT A SURVEYED PLAT.WELL It SEPILc ••• :••••••• •••• •••• •••• • .••. •••••� LOCATIONS TAKEN FROM ON -SIT£ WATER AND WASTE WATER // DEPARTMENT DOCUMENTAAON. ALL LOCATIONS SHOWN ARE % ""''�""" ""' % APPROXAMIr..SPURKLAND f'. L.f •.• NOCE-1150 0 ti,AF 25 0 25 50 75 100 125 150 �1••• j•�"'••••'�• SCALE., 1' = 50 FT. %,11A��`�� ice••• SPURKLAND ENGINEERING SUN SHINE ACRES LT 3 SEPTIC SYSTEM DESIGN 20.3..W 15TH. AVENUE ELAINE RUST DATE.' MAY 14, 2012 PERMIT #OSP1110XX 50 X 15' BED.- N.TS 15' Wide 50' Long 3.0' Exca va tion Depth (bgs) 1' Foot Filter Sand 0.5' Rock (effective) 2' Insulation 2' Cover (rain) UVIARI IN Monitor —2, Insul a tioril- 2' Cover U - Silt Bar NTS 0,5 ft of Septic Rock Effective NO SCALE 1 ft filter sand 3 O a V O -N a 3 L? c 1500 gal Septic tank 1500 GALLON STEP TANK SPURKLAND ENGINEERING SUNSHINE ACRES LOT 3 SEPTIC SYSTEM BESI6N 203 W15th Ave ELAINE RUST DATE, MAY14, 2012 Anchorage Ak 99501 8801 SPENDLOVE DR., ANCHORAGE, AK 99516 SHEETS 3/3 GRIDS 2841 PERMIT I OSP IIIOXXX PARCEL ID / 017-401-37 SUNSHINEACRESOUDWO d d U 0 M a 0 s e M a m U O M m 'o S �D M O O —2, Insul a tioril- 2' Cover U - Silt Bar NTS 0,5 ft of Septic Rock Effective NO SCALE 1 ft filter sand 3 O a V O -N a 3 L? c 1500 gal Septic tank 1500 GALLON STEP TANK SPURKLAND ENGINEERING SUNSHINE ACRES LOT 3 SEPTIC SYSTEM BESI6N 203 W15th Ave ELAINE RUST DATE, MAY14, 2012 Anchorage Ak 99501 8801 SPENDLOVE DR., ANCHORAGE, AK 99516 SHEETS 3/3 GRIDS 2841 PERMIT I OSP IIIOXXX PARCEL ID / 017-401-37 SUNSHINEACRESOUDWO Municipality of Anchorage Development Services Department Building Safety Division y� On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www. ci.anchoraoe.ak. us (907) 343-7904 Soils Log - Percolation Test Performed For: ELAINE RUST Date Legal Description: SUNSHINE ACRES LOT 3 Township, Range, Section: 1 17 Depth r/�li_'� OITI�RNiLS /iii Silt w' LR6'gt;1L.5 0 "' �lJli;ul O'D Site Plan 4'� � C �.� 1' 1 -) WAS GROUND WATER ENCOUNTERED? YES Net Time l` I` j IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? 7' L P E 9.4 PRE-SOAKED Date: 5/3/2012 Reading Date Gross Time Net Time Depth to Water Net Drop 4/26/12 1:40 PM 0 MIN 6" DRY 4/26/12 1:48 PM 8 MIN 6" 6" DRY 4/26/12 1:56 PM . 8 MIN 6" 6" DRY 4/26/12 2:04 PM 8 MIN 6„ 6 DRY 4/26/12 2:12 PM 8 MIN 6" 6" DRY 4/26112 2:20 PM 8 MIN 6" PERCOLATION RATE 1.3 (minutrefinch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 3.5 FT AND 4.5 FT PERFORMED BY: Lars Spurkland I l r'"J� '(� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDE INES IN EFFECT ON THIS DATE. DATE: 5/4/2012 ^L0 tq5 Municipality of Anchorage Development Services Department Building Safety Division y�r Onsite Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci. anchoraoe.ak. us (907) 343-7904 Soils Log - Percolation Test Performed For: ELAINE RUST Date Perk Legal Description: SUNSHINE ACRES LOT 3 Township, Range, Section: "iHILZ Depth (Feet) 1 `ill/GRG(>,t 2 / 3- b 4- /71 GM 15 16 17 18 19 WAS GROUND WATER Date ENCOUNTERED? YES IF YES, AT WHAT DEPTH? 6' Depth to Water After 4/26/12 Monitoring? 7.5' PRE-SOAKED Date: 5/3/2012 s L 0 P E --(L, INR$t(Cg5+LJt) OO P� . 0.-.y f 49 LA S URKLAND; rmed: MAY 4,��'t���� Site Plan Reading Date Gross Time Net Time Depth to Water Net Drop 4/26/12 1:43 PM 0 MIN 18.375" 15.5" 4/26/12 1:53 PM 10 MIN 18.125" 2.875" 15.75" 4/26/12 2:03 PM 10 MIN 18.125" 2.375" 15.8125 4/26/12 2:13 PM 10 MIN 18.0625 2.3125" 15.5" 1 4/26/12 2:23 PM 10 MIN 18.5" 2.5625" 16.25 4/26112 2:33 PM 10 MIN 18.3125" 2.25" 16.1875" 4126/12 2:43 PM 10 MIN 2.1375" PERCOLATION RATE 4.7 (minute cinch) PERC HOLE DIAMETER 6 TEST RUN BETWEEN 3.5 FT AND 4.5 FT PERFORMED BY: Lars Spurkland PERFORMED IN ACCORDANCE WITH ALL STATE AND /,(x1VufAWIGLi'J CERTIFY THAT THIS TEST WAS 1 ELINES IN EFFECT ON THIS DATE. DATE: 5/4/2012 SpuTMand Enghmaerroflg Environmental Consulting and Design Single Family On-site Wastewater Disposal System Construction and Material Specifications Subject Property: Sunshine Acres Lot 3 Date: May 14, 2012 General: 1. The owner shall contract with a contractor to perform the work outlined in these specifications and plans in accordance with the attached MOA permit. There is not contractual arrangement between the contractor and the Engineer. The Engineer shall be the owner's representative and will inspect the work to document the contractors activities. Final acceptance of the contractors work rests with the owner and the MOA. 2. The scope of the project includes the procurement and installation of a 4 -bedroom on- site wastewater disposal system at the location depicted on the attached site plan drawings. The scope of the work also includes the installation of a new 1500 gallon STEP tank, a drainfield comprised of a absorption bed 15 feet wide x 50 -feet long, 3 foot deep, with 1.0 foot coarse filter sand and 0.5 feet of septic rock below the distribution piping. The location of the drain field is shown on the attached site plan drawings. The maximum depth of the field will be 2 feett below the existing ground surface. A minimum of two feet of cover is required over the drain field. In addition to the required earthen cover, 2 -inch thick, 40 psi, direct bury board foam shall be installed directly over all piping beneath the driveway and over the drain field. 3. Construction shall be in accordance with the approved site plan and design drawings and any special provisions noted on the Municipal well and/or septic permit. All materials, components, workmanship and construction practices shall comply with the Municipality of Anchorage's latest ordinances regarding wells and septic systems, as well as MOA, Development Services Department, On-site Water and Wastewater Program (DSD) policies. 4. The contractor is responsible for obtaining all underground utility locates, layout of the proposed system, and verifying and maintaining all required separation distances to lot lines, surface water, wells, steep slopes, etc. S. The property owner shall be responsible for final grading any depressions formed from settlement of backfill material. The property owner is also responsible for vegetation of all areas disturbed by septic system installation activities. 6. Contractors installing wastewater disposal systems must be certified to do so by the MOA DSD, On-site Water Wastewater Program. Property owners installing their own systems must receive advanced approval from MOA DSD prior to system installation activities. 7. The contractor shall ensure that ALL materials being used are in compliance with the most current guidelines established by the Municipality of Anchorage. Refer to "Standards and Specifications for Component Parts and Materials Used in the 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspuridand@gci.net Spar M aimd Engoimewomg Environmental Consulting and Design Construction of On-site Wastewater Disposal Systems", Dated December 2000, as provided by MOA DSD, On-site Water and Wastewater Program. Septic Tank Installation: 1. The tank shall be level and sufficiently bedded to prevent settling of shifting of the tank. 2. The sewer service line from the house to the tank shall have a minimum slope of 2% unless prior approval is obtained from the engineer. 3. The inlet and outlet lines from the tank shall be bedded in drain rock or the soil shall be sufficiently compacted to prevent future settlement of the soil. 4. Septic tank inlets, outlets and cleanouts shall be fitted with water tight couplings. S. A cleanout shall be installed 1 to 4 feet from the foundation. 6. Post tank cleanouts shall be installed per MOA requirements. Does not apply to pressurized lines. 7. In areas with high ground water, the septic tank shall be sufficiently anchored to resist buoyancy forces when there is not adequate soil cover to resist uplift force. The contractor shall refer to the engineer for direction regarding this matter. 8. The tank backfill shall be graded sufficiently to ensure positive drainage away from the tank. 9. All holding tank and lift stations shall have an audible and visible alarm inside the residence being served. 10. All lift stations shall be wired in compliance with all MOA guidelines and the Uniform Electrical Code. A municipal electrical permit and inspections must be obtained where required by the MOA. 11. The contractor shall verify that the septictank/lift station is a minimum of 100 feet from any residential water well, 150' from any class 'C' well and 200 feet from any community water wells. Additional separation distances must also be maintained. 12. The contractor shall remove or abandon the existing tank in compliance with the Uniform Plumbing Code. Drain field Construction: 1. The drain field shall be excavated to the dimensions outlined in the design drawings. If any discrepancies are noted, contact the engineer immediately for clarification. 2. The drain field shall be installed parallel to slope contours. 3. The bottom of the drain field shall be within 2" of level. If the sidewalls or bottom of the excavation become smeared, they must be raked or scarified prior to the placement of filter sand or drain rock. 4. The drain field must be a minimum of 5 feet from the test hole excavation. S. Distribution pipe is to be installed level with perforations facing downward, atop a level bed of drain field rock. Septic rock shall then be placed atop the distribution piping to provide a minimum of 2" of cover, level across the entire width and length of the trench, above the piping. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net &�_& spoMand EIMUOMOR EMO Environmental Consulting and Design 6. A silt barrier must be installed at between the final drain rock and the native soil backfill. The silt barrier shall cover the entire drain rock surface. 7. Monitor tubes must be 4" in diameter, installed in the locations depicted on the design drawings, and extend a minimum of 12" above final grade. The portion of the monitoring tube below the distribution piping must be perforated and the portion above the drain rock shall be solid. 8. Backfill over the final gravel layer must not be less than 2 feet. Insulation must be installed when the backfill depth is less that 3 feet. 9. Drain field back fill shall be mounded to prevent depressions from forming due to subsequent settlement of backfill material. 10. The contractor shall verify that the drain field is a minimum of 100 feet from any residential water well, 150' from any class V well and 200 feet from any community water wells. Additional separation distances must also be maintained. Inspections: 1. A minimum of two inspections are required by the Municipality of Anchorage. These inspections must be conducted under the supervision of a Professional Engineer licensed to practice in the State of Alaska. 2. The first inspection must be conducted after the excavation of the drain field and before the placement of any gravel. The septic tank may be set in place, but may not be backfilled. 3. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, stand pipes, cleanouts, and insulation, but before the placement of any backfill. 4. The contractor shall provide a legible copy of all field notes relating to system layout and construction to the engineer for the use in preparing the record drawings. S. The contractor shall coordinate all inspections with the Engineer. A minimum of 24 hours notice is required prior to the start of construction. If necessary, a preconstruction meeting will be held on-site. 203 West 15th Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurktand@gci.net s�p � MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION \ 825 L Street- Anchorage, Alaska 99501 Telephone 264.4720 \ SEWAGEDISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT —t—ON-SITE E NAME`S ❑ UGRADE MAILIN A q��JRESS LEGAL DESCRIPTION LOCATION a6_ NO, OF 13EDROOMS Well � Absorption ar a Dwelling (' P2Manufacturer /'t� �n MaSri (' l9 C PERMIT No. of corm -- — Liq. fy{ta�i7y,yri gallons Inside length Width /C7Y-i it IF HOMEMADE: —�L Liquid depth p X DISTANCE TO: Well ^' Dwelling PERMIT NO, a Z FQ- Manufacturer Material Liquid capacity in gallons O wS J u Z Well DISTANCE TO: �/� No. of lines Length Foundatioi Neares toz V+aae l Total I lines Trenc PERMIT f Z w of atl Mille �_ � n t of firj[h _ ( inches Distance bet�e�ry as Ill/_ Q I- Top of the to finish grade / _�r Material beneath the Total effec ve absor ion area ❑ �� ___ � inches In Length Width Depth PERMIT NO. C7_ Q F Type of crib Crib diameter Crib depth Total effective absorption area y DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. DISTANCE T0: 7 Building foundation Sewer line Septic tank Absorption area OTHER PIPEMAT51RIALS e� t .'&%t2j 4 _ t SOIL TEST'ATI N G kr L •�7%""j INSTALLER O REMARKS LyEG/FlL `pt ct T1 f -L_ [A—Pfd�7V DATE 72-0131Rev. 3/78) r )EPNRTMENT OF .....5 "L" R -=..N F_R__ H-=;1 N' J E -'- PERMIT : "F'f_E6MIT NO. 810 731 :? N;a= P':p 0100 If....R re g.:: fl E99C _I L aS I - d l HEALTH AND ENVIRONMENTAL PROTE:CITION _;TREEET', ANC:L n:n'N:RGE: Elk::. 99501 264-4720 APPLICANT ROBERT E. SMITH LOCATION SPENCd. OVE: DR. L._EGAL.. L-: SUNSHINE ACRES :S/D i_aL�L(CF. '- L...�-rr _,I.z. - ����:ar�'� s,r_:u_nIRE: FEET TYPE OF SOIL ABSORPTION SYSTEM EM >S' TRENCH /v� MAXIMUM NUMBER OF BEDROOM'.....; - Kl�") ' OIIL FAr:ENG(_i_! F I Lf.:? Er��,),'-f'-l' THE' F:Fi:TIiIF:F.F' ';L -E" r..iF= f. SOIL ABSORPTION ,_,,St 1.^ Ia_G,/x' y3{�rn'' FR n="e""""°RFL. E_ -"EFF N 11 .., TT"'IE LENGTH DIMENSION IS THE: LENGTH (IN FEIN) OF THE TRENCH OR DRAINFIEi:LD`— THE DEPTH OF A 'TRENCH OR PIT IS THE. DISTANCE BETWEEN THE SURFACE OF THE tift'Cii_IND AND THE BOTTOM OF THE EXCAVATION 0N FE E"I''j . THERE IS NO SET WIDTH FOR TRENCHES, THE GRAVEL. DEPTH :I:S THE MINIMUM DEPTH OF GRAVE:L.. BETWEEN THE OUTFALL PIPE: AND THE BOTTOM OF THE EXCAVATION CIN FEET). "i ;, iEE " .. R..:N. A:_: K eA 54 K - .E .' C _ ... 1__ 1215 CA C:`n FA L. L. C3 R•-• R n" ,' 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, _.... -r R," -N C-1 C.. ; Y _'" .E PA "S F" E.- C.-:, N..: fl. A -_A R", R 953 FA FR.. E E E"-; Ni r.": ( x M_. -fl t R«,: K BACKFILLING OF ANY SYSTEM WITHOUT" FINAL INSPECTION AND APPROVAL... BY THIS DEPARTMENT WELL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WEL_L... AND ANY ON-SITE SEWAGE DISPOSAL :SYSTEM IS 100 FEET FOR A PRIVATE. WELL OR 1.50 TO '.200 FEET FROM A PUBLIC WEL.L., DEPENDING I_JPON THE TYPE OF PUBLIC WELL. h'Cr.tdlP'1UM DISTANCE FROM A PRIVATE WELL... TO A PRIVATE: SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE: I:S; 75 FEET. klEL.L... L.l::GS ARE REQUIRED AND MUST BE; RETURNED TO M"1E: DEPARTMENT WITHIN 30 DAYS OF THE WEL.L.. COMPLETION, OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRRt'1'_: ARE: AVAILABLE T..,^ INSURE PROPER INSTALLATION. E:c• Rai : R'- --� rel A -A.... IEE _: Nr_e 1: E.- ��I E::" LE A::= Pc= r-1 E"E.: Ea-:: -3_.. � ._ - ".viu :IL E CERTIFY THAI 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND L'RL"L_L..:A AS SEF FORTH BY THE: MUNICIPALITY OF ANCHORAGE. F: I WILL INSTALL THE SY.1EhIN =iiCFa?FtCFWITH THE FCiL';Ec'L,. : I UNDERSTAND THAT THE: ON --SITE :SEWER SYSTEM MAY REQUIRE ENLARGEMENT I1 EI= THE: RESIDENCE :E..: REMODELED TO INCLUDE MORE [1_IAN. rt BEDROOMS. O -q; �j%u5' - TT/yVc 1 �Iti' Ifi iN�iG- _So /c -S '72-5/- SIGNED: ............................................ //USA_270/1ST APPLICANT ROBERT E. SMITH ��Ssr �G j� Sorest? Z>iSr�'EPEIYF=� iJ $� ��_ L 0 1374 I �' ' P ISSUED E; r'.. -........ (/�:._._ .._ �Gli ,... -.E.: AT E:.._.1 1/c'.11.... X :;i T�f.... pp ] Yw usu E9 C(/Y4 hPK LE/ V<I a fy� rlRTf`�tdT`Cxr iiF �_7;i ;�t'}r tti+[i F r},•}ff riri`9, rF74rt s PlrFr; $.-lF�;�$ ._i__ ff=Rff"--$�� e�7P� - •',=i � �•'�' °_�:E°9.•!�'i•=i' �-'�=T�^_t'•! 3: �J- , Fg-T'l. IC.,11Hr } f)e-ce " e =t}I r" SR BOX. ig9t L 9950r itis -522 Liff.619_. 1_3 ^110415H€ X -E 11:£? 5 'vo LOT SITE 209083 .;WURRI F=ET! ('YPr t3F `y13I"L >-ir3=ORPTIO" SYSTEM IS: TRFt'M_H MRX (IUJt9 kfIJ1•t ()f" ECEDROOMS = 4 .111L RAT IL,'I9 <IQ FT/QR? = 03 T; k•: R'c'GU E%:tn t !:.IF rtm- %5o v_ ,io,;i)Rp r i 13°7 1-3: C> CIF, 1-.1-I J._3!__THi`lC_v-FFg ;., =u gaF=F= .-a 17;..a C-SF7f�`i"F9 '> ff V_1rf1`a7'}7 1't•i?,r�Ia3Pt is i,Hc Laiii'm rfu cc -p --r) i>i' rw, rprr"ta_91 OR DRAENFro-L%. r13 100TH 1-t 19 FRENCH OR PIT V3 r2 -k_ e -E i 1,fEEN rHk: fJ 2}=131^1 1__t T1-# 13f'C1iJND 1=1140 IT , 1113rrOM CIF 1HE EXCAVATION QfN FFE0. rf c32 I'a NO �111' r b}I4l'H FOR t:yt: +3,?ai'` t_ L f'f'4I I'� t'ik,' tlLi}ItIiJ1 C?0ffl '_9t3igt3V0_ U.-Ule-,Fn THE 1:13jTf°1=LL PI ' 13171, Cf-tE aurrom it rw exc"'a34't1t"ioN z IN FEET). fZ!C-4'w1._3 C. 17_'I.-= 0 oC70I' r 10 1,ff?P-1I4r - T . E:: _7_:_x,!203 r x1=�#I__i pr-,FT}€T RL=F't._ f,,A 1- 2ifV THE RES03t'OlolI,II'Y C4 it"1.'-'1)11}'1 Tfif' C7r�`IafYtif�tlC ts1,fRCTN# T1� INSTALLATION INSPECTIONS 1"= HHY WEt..l_'w r`fi1.3rsVENr rt) i'HI'a 2-'Rt)r'EzrY AN':# I+r. I'PJI'BEP 13}, THffr Tt-,,= LfE1_s_ 61€i_{_ �O lI 21 1 t`$ .f'F"3_-`T- _T.; --:)P r 7 -4F cz-- f s:;�%_.l IC 9=_;t c - f7+:2;f II_LII'11i OF ANY IleS'TF11 Id€ Lrt1?l11- F NINA, tYdS3=' ISFION AND HPPRGLr13€_ E1'1! THIS 0Ep?1: rHf--1}T WILL rE '3t_f3,r:H1 r TO FRuSEGUTS1_U i'II1}11'13319 €+I'�rf9rM=ci cIF.T!I fY 67 411 ,_ i9tdCr RL'1'r !]t$ -at r> aEJ1x513 O L PO104 SYSTEM IS i ''i.10 1=>;OV ;=1'R r3 PRIVATE WELL OR 150 TO :200 FEET FROM A PUR-IC 1.F1._7- �1cPft3`c�t?N, :11? td rs 2z r'1r.� 1'1x° PIJOL IC. WELL. MINIMUM DESA9rftne FROM A PRIVATE LfE#.t_ TO ff F•.a€YATE IL -ENC €5 a F£FC AND to tt 11p1t•}lS"3I:rY'n•3:433-;x: I7v t'_ r"`�'t'E:r. 1_0135 RR, Rt:.TUIF,EO f3t'fi7 t'f1.r 1' 1_� RI rtJRI� 0 TO 1-9'� (-PlTiRffl• Nf WITHIN 30 Day'; UTifc3'. REQUIREMENTS MAY APPLY. L_I. I1 d1;Fi7'I1J7'ta i9N C-Ot{'sTt31_It::TION DIACiRAI,r5 ARE ix4'80-88Lr TO Itc1'SURE Frcf3PER IH'5THL_I,-1r€Ot1L t: If ON FANI1,EAR 46TH THE y?L131,1€i?t h#FFfT' FQR t N-'5ITs ' N&F, "a FIND R13 SET FOR f" s a1 r #_ f f13rd L 1'. L e`,"- I TY QF i-lK-H 3F;ricF— € HILL Itfsrro_t_ THEZ, SYSTEM IN 43(Trf Tt,• t`.1jot� L;. 3: d 1}p1C r �TI9hfL1 rb1fll Tf-!' ON—GI r:c 'srf V•2F¢ a5"arFll MRY Ri=1.111€fit g_FiRr; f2C PiC II' PIS 1 To -t7 '1- r:34R13!3I,Ps.Cpj-✓`3-ii'3•r• ;X}: FILI1 f1td7' "fea3c Rr (tITLt /lot ! of ;mac r1` I ISs `tl7 ';;••„11{],1 -l.X+.. ,P �tgA ._ C,:{..e_``rri tcbi _. __._.__ ] f, 1 �o ��. .. _ F { �.� (r) (SS( SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION I\ J Pouch 6850, Anchorage, Alaska 99602 276-2221 TEST SOILS LOG — PERCOLATION TEST PERFORMED FOR:�� .` �� DATE PERFORMED:,4f2[y.Z, LEGAL DESCRIPTION:,�N ,5zv/1v'z5r/ G/ti/r3a- 4 /J �' -� �d2Jd2 ,�r'i 1.�/� r--� SLPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ©)6/ &iNA/.. W,1r1 56L.7' CAr✓O AFGV 77,!914 -�Ali /C! J- s�rntrac�vr VA.i � I � WAS GROUND ENCOUNTERED? �!1 L l -- P' IF YES, AT WHAT E _ DEPTH? i [leading Date Gross Net Depth to Net Time Water Drop s±r 4q a e a . ... mS Eat I R. Barnard �. �"4 754-E (� e° �®®�R �. ae• see'° r(. �' FESSION��n 20 L� PERCOLATION RATE -(minutes/inch) TEST RUN BETWEEN FT AND --. FT COMMENTS,GFJ/✓J/t/),(gin//J PERFORMED BY: �Z2rL//J4/u .ALA)ICQ CERTIFIED 72-068 (7/76) DATE:A'W /nk/ 3BOX )13699 A Az ClUl(0RAGg.,, AILASIEKA 09502 SIX INCH WATER WELL DRILLED AND CASED OUT TO THE DEPTH OF' DRILLED AT THE RATE OF _.-L)1.00 `-_ PER FOOT. PROPERTY OWNER Ull. Boll Sm.iAh_3 t5-52 1 S.%.R. 76,97 L �,0�$0 2` 2-86L___ LOCATION OF WELL SITE_._Gt. 3 f3,ii. — SU)J, DRILLER - I3e uue C-tata6 Of Pan t Jn l U nh 1Jo)tk4 WELL LOG: 0-- -77' ILL ovehLcycdul- 1-_/u vet with con2tatie ate Rican 13 ,to 17 (eer. 17--350' Bed,,wcF. i1 n 20C%. /lo w 0c,)I, /✓toduct .on ahow.nr_ .bc fwte 300 Feet'. T- on 320 to 326 r.ee-t nh.own Cne q,( /ie e a a to rijlC W. 33' -to 342 .feet: nhowa On.e Ul�i. %ata . water, phodtnc wn. nitowa ove.z Two It. tlu,i !;01 C iltou tcl utAo intp,'ioiia to th c6e. 300 /"e1^.1 o; wct.eJt to tcull'7 bi. can,i Lg, off hottom. tc th bi 24 howL4 of ,tota.t d w - down. On(, IiOA�e subatwi jie rump, ahowtd. be .uT-,�.tattcd 15 sect o.f��, bottom. 1.6 ciatj lze�,t f-oot at 300 rest: 480 aah of tuatui ,al 2e�ehue. -,,X00, ga tes of ('o tit pAaduc�on bL a 24 houlz -ttiae fame. MUNICIPALITY OF ANCHORAGE Cort o,° 57350.00 ENVIRONMENTAL OF HEALTH &PkOT;ION 17o lLa%race fo;t wel - Seat. no Cha/toe �a2 fIIo.G (i�aLLoa. U H1g1931 RECEIVED COST' INCLUDES ALL LABOR AND MATERIAL FOR COMPLETION OF SAID DRILLING. WRITE CHECK PAYABLE TO RAMPART DRILLING WORKS FOR THE SUM OF — ''7350.00 THANK YOU VERY MUCH. BERNIE CLAUS OF RAMPART DRILLING WORKS DATE- I4L((RtAA_ $.th, 7987 0 `_- t SERVICE CHARGE O F 1%x% PER MONTH WIL E ASSGSSGD ON PA55` DUES,c O l'S. k i. r�.�M� GgPJ35Ul f iN( 1 rar,itvl 1 iT S AND sr., ANCHOIOi GE 99503 (y07) i7G-1/45 March 31, 1970 Mr, Al Bennett: 411 E. 36th Ave. Anchorage, Ai: 95503 Re: ProposK Subdivision on Spendlove Drive Subsurface Soils Investigation Dear tor. Bennett: This report presents tiie results of our soils investigation for, f.he pr000i:e! subdivision of a 20 acre parcel located on Upper DeArmoun Drive just north Spendlove Drive. The investigation was conducted on March 27 an_l March 197B, the results of this investigation are included in this report as follows: Vac"i n i t.y "lap Test We Location S'<etch and Topography Test ON logs (Sheets 1 - 4) Standard Fxpl�inatory information Drilling was accomplished utilizing'a mobile drill mounted on a flex TravK Nodwel vehicle, ownr:d and operated by Denali Drilling, Inc. Tett holes were logged and percula.ior: tests conducted by our firm. The purpose of the investigation was to provide soils data and ; evcu1aiior, characteristics for establishing the feasibility of on site d'isposai 1:rf sa,vi'Lar•y wastes utilizing seepage pits. To accomplish this, we driil<.d fors bnr'inus distributed across the site as shown on the attached. Test, holes were l;rcli-ed r one on each of the proposed lots at the probable septic tat location. AI borings were drilled to a depth of 15'. During the drilling, our engineer was present to log the holes and to obtain grab sample% for further analysis. All soils were visually classified in the field in accordance with the Unified Soil Classification System as described in the standard explanatory information attached herewith. after completion of the drilling, all holes were filled with water, After a 24-hnur period, percolation testes vwre conducted from the 4' to 10' level in accordance with the Manual for Septic Practice published by the HIS. No ground water table was evident in any of the holes it 'he time of drilling, materials were generally dry from the surface to the bottom of the hole. r Mr, Al Bennett - March 31, 1978 Page Two SI !-E GiND SOILS CONnITIJNS The site is e rectanquIar parcel, 660' wide and 1,320' long, Iocaied ;lust north of Spoi Wove Drive. The entire site slopes uniformly from northeast to southwest, n`ferirn:! an excellent southern exposure. The back half of i.hr; parcel is characterized t)y slopes averaging 35--45%. The front portion of the site slopes more gently at an average of 20-30%. However, each of the pro- posed ',i -acre lots has a bench area of one half acre or more, as identified from the tr,:c maps and field inspection, with gentler slopes of 15-20%, suit- able for building sites. Test Holes were drilled in these bench areas. Sub- surface soil: concis! mainly of slightly silty to silty sands. Perculation rates in all four holes were good, CONCLUSIONS The minimum percolation rates observed in the field for the following holes are: ,Test dole Irl 3.6 minutes/inch -lest Hole s92 - 5.2 minutes/inch Test hole I.3 - Less than 1 minute/inch Test: We #4 -- 4.9 minutes/inch On-site waste disposal systems appear feasible on all lots, We hope this is - sifficient. for your present needs. If we can offer further clarification, please do riot hesitate to contact: us. EOK:In Very truly yours, Earl G. Korynta, P.E. {{ }1.:.� � .H. -..S S1At •�.YWiiI-�'niia� HS'a9�w.ss.w. ..�.vt��. iYv5tti � 1-.V.:S4.. YF. S h1Nk S SHE !1' . aI.uS ry _ .00C11 1 j ,ra pjj0)E.f 3 t3ennett Propert✓ F@':S( HOL.F. �i(�._....._'..__.__. e6i_r_ r _ _.. CLIENT Ouster Newton___.. --.. ELEV. fOP OF - 78967 -DAI 3 Z iFS 01--- 2 r -u 2 3-- 4 _-4 6 7 10 -- i 121t--. 13 -- 14 '16 --- 17 1 20 - 21 22-- '23 . 24 - - Forest Duff Damp, Own, Organic Sandy Silt, OL Dry, Tan Silty Gravelly Sand, SM " (20-30% Silt) rab Sample Dry, Tan Silty, Gravelly Sand, SP -SM 1,10-15% Silt) No Water Table Field ferculation Rate •. less than 1 min/inch 3 4 5 6 7 1� '12 13 14 15 16 17 13 19 20 21 22 23 24 ?5 @ r- ------ ilme -- Time - . une. — — Date Date Date . �— ',Y J ('730 X ,/),1 Inspector _ Inspector — Inspector- -- —�— Comments — Conditional Approval � YYY Date :fewer Installed Permit No. Septic Tank Size Ci.e 7 D-- Holding Tank Size - Soils Rating Well To Absorption Area / / Well Log Received a� Well to Tank //0 - APPLICANT FILLS OUT LOWER HALF ONLY proporty Owner /1"092 �; �" �= --T:,,-j / 7 d- �qura >ia� it s Phone _. Melling Address Buyer �w ' Address Eroding Institution Phone — Address X�'0 3 Gv 3/ `` 4 cfiU� -� li ,�. r/��5..Z - �. Really Co. & Agent - Phone Address Legal Description— } / – — - —r—� — Street Location Typ of Residence 9 Single Family- ❑ Multiple Family No. of Bedrooms- ❑ Other — Water Supply - - X Individual ATTACH WELL LOG. A well log Is required for all wells drilled since June ❑ Community 1975. For wells_ drilled prior to that date, give well depth (attach log if. —I] Public Utility '__�-- available.)___ - Sewa a Disposal - - - - A Individual Year Individual Installed: _/y191 tility: ❑ Public Utility When Connected to Public Utility:— ❑ Holding 1-ank C1 NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE: INITIATED. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-401-37 I. GENERAL INFORMATION Expiration Date: I 2--3 d i—q Complete legal description SUN SHINE ACRES LT 3 Location (site address) 8801 SPENDLOVE DR, ANCH AK Current property owner(s) RAQUEL LEHRMANN Day phone Mailing address SAME Real estate agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic El Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ J55c) Waiver Fee $ Date of Payment —ZAZ21 Receipt Number Qorgy 2 COSA # 05621 I X72. Date of Payment Receipt Number Waiver # S. STATEMENT OF INSPECTION BY ENGINEER As certified by my seas 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864 Address 4661 NATRONA AVE ANCH AK Engineer's Printed Name MIKE N ANDERSON, P.E. Date 6-30-21 .-$ t 6. DSD SIGNATURE % ••49TH •••��1 l...: ..........� System #1 Approved for 4 bedrooms �' • • • -`• • • -• • • • • f ` �•• MICHAEL N. ANDERSCN ; 4 System #2 Approved for bedroomsCE/- 9469 Disapproved r}��� •�I��•'`"�•: ,1P 11 FES S1G�-��—; Conditional approval for bedrooms, with the following stipular tfi i's�.��� Jam, ON-SITE m% WATERTND PROGRAM \� \ Original Certificate Date: 2 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheer Legal Description: SUN SHINE ACRES LT 3 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 8/5/81 Total depth 342 ft Cased to 342 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 7/6/21 Static water level at beginning of test 80 ft. Comments B. TANK DATA Age of tank(s) 9 years Tank type/material x,"am.f Measured operating fluid level in septic tank *step ❑ Standpipes/foundation cleanout per record drawing Date of pumping JUNE 5, 2021 D. ABSORPTION FIELD DATA Which system tested (date installed) 6/8/12 ❑ ALL standpipes present per record drawing Total measured depth from grade 3 ft (max) Measured depth to pipe invert from grade 2.5 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 0 gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 017-401-37 Structure served by this system Well production at time of test 2+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 0.9 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by MNA Date of Sample 7/6/21 C. LIFT STATION ❑ Required maintenance completed Age of lift station 9 years Lift station material steel Comments: * STEP TANK PRE-SET LEVELS Adequacy test date 7/6/21 Results [✓ Passr For 4 bedrooms Fluid depth prior to test 0 in Water added 600+ gal New depth 0 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' 0 Yes Community Sewer Manhole/Cleanout > 100' ✓./ Yes if No ft Mv` Yes if No ft Neighboring Tank > 100'✓Q Yes if No ft Private Sewer/Septic Line > 25' C]✓ Yes if No ft Absorption Field on Lot? 100' Yes if No ft Holding Tank? 100' 2✓ Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' 21 Yes if No ft ✓Q Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main ? 75' Yes if No ft Q Yes if No ft From SepticlHoiding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 21 Yes if No ft Surface Water > 100'[]✓ Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200'✓CJ Yes if No ft Water Service Line > 10' ✓0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' F/� Yes if No ft Community Wells > 200' Yes if No 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 49TH ..ENO .....:...�, 10 MICHAEL N. ANDERSON �; f CE - 94#9 ft c_'I• '��fi �i �j Scale 1" = 50' Legend X Electric Meters p-) Telephone Pole X Gas Meter LT, Tel. Pedestal -ill- Light Pole ❑ Generator EL Elec. Pedestal fS; Septic G f`31/S Septic Cover Water Well General Notes 1. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. Dimensions to property lines are plus/minus 0.1ft. 2. This document is created by Frontier Surveys for the purpose of a plot plan for Dave Windsor, only. 3. This document is based on Plat No. 1979-238, Anchorage Recording District. Disclaimer 1. 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. 0 25 50 100 Scale in Feet ��•4 H , i j... ................. j Pier M. St gier �i LS -9 12 ; �0 09/16/2021 P�QC3zCE JONXV r 30' R.O.W. 2.- M139"S7'05-"w' 329. 65 ply o Or .5ca le: / "= 40 a " qq OF ,q( q!N � -All,. a •sem �� '.-499n�I'm ��, : Fred `.volotkte. o EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED 01 AT ARF MnT can MM wum=n d 12 !d AI A$ -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed aMo_rta�gee's in- spection of the following de�r ibed property:...,.— Sun -S h r V e f -t. C K6_5 Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated �a�t���AnccI.�horage, Alaska this__l�_day oL_Fe w R V 1907 FRED WALATKA & ASSOCIATES • -� Municipal,fpA- nch0rage On-SiteWatewn V(/astew ecN6gram (907) 343jn04� Certificate of On- �t8rns Approval i Parcel I.D. 017-401-37 Expiration Date: 1. GENERAL INFORMATION Complete legal description SUNSHINE ACRES LOT 3 Location (site address) 8801 SPENDLOVE DR ANCHORAGE AK Current Property owner(s) STEVEN & ELAINE RUST Day phone 339-1502 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ff] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑x Individual N Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer F-1 WaiverNariance request for: NONE Distance:_ Received by: COSA to be relea. unless otherwise requested by the engineer. ( 2s Date: 1,�7 COSA Fee $ 95"' Waiver Fee $ Date of Payment `ilkeW i Date of Payment Receipt Number �i6,4-1 tg G Receipt Number COSA # �-I �% �2 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 SPURKLAND ENGINEERING Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501 Phone 279-3916 Engineer's Printed Name LARS SPURKLAND Date 9/16/14 0F,Atj All 6. DSD SIGNATURE %5 . . ,'... Iji System #1 Approved for bedroomsLzj System #2 Approved for bedrooms 8� F,' a . SPURKLAND i 15 0100Disapproved (d q1l , ��CI'' Conditional approval for bedrooms, with the following By: /V f —c/ f Original Certificate Date: B� The un" a{ y nchorage 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet ° . .. If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: SU4HINE ACRES LOT 3 Parcel ID: 017401-37 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 815/81 Sanitary seal (Y/N) Y Total depth 342 ft. Cased to 342 ft. FROM WELL LOG Date of test 8/5/81 Static water level 42 ft. Well production 2 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate 0.847 mg/L Arsenic ND ug/L Date of sample: 9/8/14 B. SEPTICIHOLDING TANK DATA Tank Type/Material STEP/STEEL Tank size 1500 gal. Number of Compartments Foundation cleanout (YIN)/ Depression over tank (Y/N) N Date of pumping +eF+T` Pumper ISAACS PUMPING y124H C. ABSORPTION FIELD DATA Date installed 6/8/12 Soil rating (g.p.d./ft2 or ftp/bdnn) 0.8 Wires properly protected (YIN) Y Casing height (above ground) 24+ in. AT INSPECTION 9/8/14 E. 2.1 ft. 9-13-m. Collected by: ANSON MOXNESS Date installed 6/8/12 Cleanouts (Y/N) Y High water alarm (Y/N) Y System type BED Length 50 ft. Width 15 ft. Gravel below pipe 0.5 ft Total depth 3 ft. Eff. absorption area 750 fl? Monitoring tube Y Depression over field N Date of adequacy test 9/8/14 Results (Pass/Fail) PASS For e bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed 6/8/12 "Pump on" level at 25 in. Datum TOP PUMP VAULT E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons 1500 "Pump off"level at 44 Cycles tested 2+ Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 25'+ Animal containment areas 50+ Manhole/Access(Y/N) Y in. High water alarm level at 22'5 Meets alarm & circuit requirements? YES On adjacent lots100+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5'+ Water main NA Water service line 10+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water Service line 10+ Surface water 100'+(N.O.) Curtain drain 50'+ (N.O.) Wells on adjacent lots100+ F. 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. Engineer's Printed Name LARS SPURKLAND Date 9/8/14 COSA brown sheet -1 0-10-1 2.doc Absorption field 51+ Surface water 100'+ Water main NA Driveway,10'+ parking/vehicle 00, T / ....� / IA E.SPURKLAND.: 1 00 in. k-,5. MunicipalityofAnchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage. AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL /' FOR A SINGLE FAMILY DWELLING Parcel I.D.. 01-4- -1 O I - .37 COSA #SIA o cI d III Expiration Date: �J 1. GENERAL INFORIMAiION ,Complete legal description Si,ir,e �c�ea I b� 3 - .Location (site address) 1Qr�JG Current Property owners) REO Day phone Mailing acl&6ss Lending agency Day phone Mailing address Real Estate Agent Jo�,n O� µarc Day phone 751 - 0163 Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site CK 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm 5 »RK\n1. E inezr'v� Phone 2 }q.3yl b Address ID3 W. iSF4 202 t�CrG4t Ak 99Sol Engineer's Printed Name Date OFAt \\ jj S E. SPUR..<MV.n * 5. DSD SIGNATURE r Approved for t'i bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: PROGRAM "�ryitirV11 Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By. , _ Original Certificate Date: (A*, 11005) Municipality of Anchorage Development Services Department Building Safety Division _- On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Suf, $�j�a Agres Lel 3 Parcel ID: O17-gO L37 A. WELL DATA Well type Pri tt QJs'rd If A. B, or C provide PWSID # Date completed ei Sanitary seal (YIN) Total depth -2 Z`ft. Cased to 3 4 a ft. FROM WELL LOG 'S� Date of lest Static water level i2 ft. Well production a 9•p-rn• WATER SAMPLE RESULTS: olonies/100 mL Nitrate 0AC(o mg/L Coliform _c Arsenic: SAL ug/L date of sample: °9 Well Log (YIN) y Wires properly protected (YIN) X_ Casing height (above ground) 24a- in. AT INSPECTION q 36 0 3a3 n. Z.2 g.p.m. Other bacteria _�?,L colonies/100 mL Collected by: LASS 1�2241,u 1 B. SEPTIC/HOLDING TANK DATA Tank Type/Material �Sf egI/ Greer- Date installed 8124 8 IM61 Tank size 1250 ' gal. Number of Compartments -2 Cleanouts (YIN) Y Foundation cleanout (YIN) Depression over tank (YIN) N High water alarm (YIN) Date of pumping S 5 O Pumper 44 1kM� Sr+ v aue C. ABSORPTION FIELD DATA Date installed S 24 1% Soil rating (g.p.d./fe o ft=Ibdrm 150 System type Dom(, Tnncl Length q3 ft. Width 3 ft. Gravel below pipe �_ ft. Total depth 1. 5' ft. Eff. absorption area ko ft, Monitoring tube y Depression over field Date of adequacy test 5 5 Results (Pass/Fail) R,55 For, bedrooms Fluid depth in absorption field before test [e in. Water added Ln gal. New depth In. Elapsed Time: Vil min. Final fluid depth 10 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) /Von v kna- N If yes, give date Mondor' JK64! ?'AliJ7 {ill. S41kct..1 t:ovtn- s>!s a( eue. olln;nlielip D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) 'Pump on level a _ in. 'Pump off" level at in. High water alarm level in. Datum Cycles teste Meets alarm & cirt5ult requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot IOU+ On adjacent lots _ 100 4 Absorption field on tot 1001 On adjacent lots 100 r+ - Public sewer main N. A . Public sewer manhole/cleanout it/. A . r Sewer /septic service line la f Holding tank Al. A . Animal containment areas /14 0. Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 + Property line 5 + Absorption field sit Water main N, A. f Water service line 25 'F Surface water /U. D, Wells on adjacent lots 100 + SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'4- Building foundation01 t+ Water main Al. A, r Water Service line Z S t Surface water Al, 0. Driveway, parkingtvehicle storage 10 t Curtain drain /1/.O, Wells on adjacent lots ID01f F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and "' review of Municipal records that the above systems are in 0.1y'49TH.. �+ , conformance with MOA COSA guidelines in effect on this date. • Engineer's Printed Name �A(S Sidur Z.1O-v�[JR5E�. Date_Sbefoq COSA Fee $ Cl Waiver Fee $ ��V1�►�`. Date of Payment 5 / I C1 / 6 Cl Date of Payment Receipt Number _ O 1 z 9 2 Z' Receipt Number (Rev. 11105) SCS Re U# 1091698001 Client Name Tobben Spurkland P.G. Project Name/N Sun Shine Acres 1_i Client Sample ID Sun Shine Acres 1-3 Matrix Drinking Hater Sample Remarks: Parameter Metals by ICP/MS Arsenic EP200.8 Waters Department (<10) Total Nitrate Nitrite -N Microbioloav Laboratory Colony Count Total Coliform Fecal Coliform Printed Daterrinte 05/15/2009 13:52 Collected Daterrime 04102009 17:40 Received Daterrime 05/01/2009 10:45 Technical Director Stephen C. Ede Allowable Prep Analysis Results POL Units Method Container ID Limits Date Date [nit 5.02 5.00 ugR. EP200.8 C (<10) 05/06/09 05 1409 NRB 0.406 0.100 mg/L S1120450ONO3-F D (<10) 05/08,109 JD1. 0 cal'100mL SM209222B A (<200) 05101/09 ULC 0 co1/100mL SM209222D A (<I) 05.01_'09 DLC 0 col'IOOmL SN1209222D A (<I) 05/01/09 DLC Municipality of Anchorabe �•�--�� Development Services Department;'?; `✓' Building Safety Division ; u On -Site Water and Wastewater Program ` 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 01740137 COSA # OU 0641) Expiration Date: — � 0 1. GENERAL INFORMATION Complete legal description Sunshine Acres, Lot 3 Location (site address) 8801 Spendlove Drive Current Property owner(s) Robert & LaVonne Motznik Day phone 907-345-6747 E Mailing address P.O. Box 110530, Anchorage, AK 99511 Lending agency N/A Day phone Mailing address Real Estate Agent day Osborne Day phone Cell 223-2115 Mailing Address 205 E. Benson Blvd, Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site El 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system Is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm F.R. Bell & Associates Address 801 W. Fireweed Lane, suite 201, Anchorage AK 99503 Engineer's Printed Name Frank R. Bell Phone 907-274-5257 Date 10-31-2006 '- y Or• �iE1'\ 5. DSD SIGNATURE F RCCERT B LL :& Approved for bedrooms. "t`1::-. CE 2162 ••��� Disapproved. 1�\SPR `=��� Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: JR". 1 VOSI iMunicipality of Anchorage �J • Development Services Department ' Building Safety Division � On -Site Water 6 Wastewater Program S I 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muri.org/onsite (907)343-7904 CERTIFICATE OF ONSITE SYSTEMS APPROVAL CHECKLIST Legal Description: Sunshine Acres, Lot 3 Parcel ID: 017-401-37 A. WELL DATA Well type Private If A, B, or C provide PWSID # _ Date completed 8/5/81 Sanitary seal (YIN) Y Total depth 342 ft. Cased to 342 ft. FROM WELL LOG Date of test 8/05181 Static water level 28 ft. Well production 2+ 9 -p.m - WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 0.395 mg/L Arsenic: 0 mg/I Date of sample: 10/3/06 B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (YM) Y Casing height (above ground) 31 in. AT INSPECTION 10/03/06 44 ft. 6 9.p -m. Other bacteria 0 colonies/100 mL Collected by: Kurt Mckenzie Ivied by SGS) Tank Type/Material Greer / Steel Date Installed 8/19/81 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation aieanout(Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping October 2005 Pumper Roto Rooter C. ABSORPTION FIELD DATA Date installed 8/19/81 Sail rating (g.p.d./ftz or fte/bdrm) 150 Sym type Trench Length 43 ft. Width 3 ft. Gravel below pipe 7 ft. Total depth 12 ft. Eft. absorption area 602 Itz Monitoring tube Y Depression over field N Date of adequacy test 10103/08 Results (Pass/Fail) P For 4 bedrooms Fluid depth in absorption field before test -lot 3 in. Water added 600 gal. New depth •8iL.4 yin. Elapsed Time: 90 min. Final fluid depth ""t 41 in. Absorption rate >= 1000 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION NIA Date installed n/a Size in gallons n/a Manhole/Access (Y/N) n/a 'Pump on' level at n/a in. 'Pump off" level at n/a in. High water alarm level at n/a in. Datum n/a Cycles tested n/a Meets alarm & circuit requirements? n/a E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankilift station on lot 150ft Absorption field on lot 114ft Public sewer main none in area Sewer /septic service line >100ft Animal containment areas none in area On adjacent lots >100ft On adjacent bb >100ft Public sewer manhole/cleanout none in area Holding tank none in area Manure/animal excrete storage areas none in area SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 38ft Property line >Sat Absorption field 10ft Water main none in area Water service line >25ft Surface water >100ft Wells on adjacent lots >100ft SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >50ft Building foundation 30ft Water main none in area Water Service line >25ft Surface water >100ft Driveway. parking/vehicle storage >35ft Curtain drain n/a Wells on adjacent lots >I 00ft F. COMMENTS: G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Munidpa/ records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Frank R. Bell Date November 2. 2006 COSA Fee Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number i i.•A: �1t�{ *-:4919 • .•rs..rs:.s:. Jl.. F RC"ERT BELL CL 1162 :.� -- 2 — Q n Jq ,II i cci le: / 40' /VB9 OE7 I US "IV 529 0 rY S2nd /0 VC 1p NOTE: This As -bulli shalt not be used for any purpose other than financing requirements. Under no circumstances should any data hereon be used for construction or for establishing boundary or fence lines. 1)Y p� f. OF 444 tst i•��'49•.•• t"a'•.Spfrr r fit N . flea '�'••..S.......•.• °orfS10'r al �' •r EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. E f / A AS-BUILT NO CORNEHS SET THIS DATE -4- I hereby certify that 1 have performed a AlorlAace's In. spectlon or the following de ribed properly: LQ_t`_.3 -S-kn.i;tin_ c y6e5 Anchorage Ileconling Precincl,Alaska,and that the Inrprovo. menti situated thereon are within the properly linep and do hot overlap or encroach on the properly lying adjacent there• to, that no Irnprovements on property lying adjacent rherelo enrtonch on lire prrrnlres In Questlon And that lh.•re are no roadwnya, lnnsmrssian Ilnea or other visible easements on said property a=crpt ne Indicated hereon. I)alyd dal/A�ne�horege, Alaska L lhls___(_S?__daynt_ FRED WALATKA AC ASSOCIATES Engineers and surveyors • MUNICIPALITY OF ANCHORAGE Department of Health & Human Services 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. # C)�1 - Lt n\- ID HAA If V1 fit�s'� 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) SurN SYL r,�r_ Location (address or directions) (b) Property owner _ A N F = Telephone: (home) — Business Mailing Address Pr_' 06�19, (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Telephone Address 3.2 3-0 L S Telephone �� a " / q'q 2' (e) Mail the HAA to the following address: (or check here ❑, if hold for pick up.) List contact person and day phone number below: 2.. TYPE OF RESIDENCE Single -Family 3, WATER SUPPLY Number of bedrooms / 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 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72025 (Rey. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION - I 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 �n(�r`e�0.1tiA1 �>•C Telephone Address b -Z, uv-,/ ! 5 u1 Date ��� DHHS APPROVAL Approved for bedrooms Approved .— Disapproved r� � �nM I APIIY)C/1V(+.A VI Conditional Terms of Conditional Approval /) r%lly (_� 'CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 oranalyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors oromissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 A. WELL DATA 00-- V "�/ ---- " MUNICIPALITY OF ANCHORAGE (MOA) • CIPALITY CHktPAllCAuIAority Approval (HAA) � MENTAL seOhlffKK j§aN FEBRUARY 1984 343-4744 MAR 219239 RECEIVED Legal Description: L LOT 3 So?ASF} 1N E Ar,_ TI I, k3 u/ Well Classification r%s If A, B, C, D.E.C. Approved (Y/N) r Well Log Present (Y/N) _ Date Completed c)/ ' l _� Yield C� pnol— Total Depth_35_C� Cased to,Wi+_pepth of Grouting NO+'LL Static Water Level Pump Set At — ?' 3p ++ p t( Casing Height Above Ground �L1- Sanitary Seal on Casing: x (Y/N) �— Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Ni SEPARATION DISTANCES FROM WELL: qq _ To Septic/Holding Tank on Lot jd ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot _�-� �{ _ ; On Adjoining Lots el To Nearest Public Sewer Line —c 't To Nearest Public Sewer Cleanout/Manhole — K� To Nearest Sewer Service Line on Lot VyNt Water Sample Collected by T:,c. Date — /x0 If- Water Water Sample Test Results Comments SEPTIC/HOLDING TANK DATA Date Installed Size D No. of Compartments —7 '' Standpipes (Y/N) 1 u�i(7 Air -tight Caps (Y/N) _ Foundation Cleanout (Y/N) NJ Depression over Tank (Y/N) �� Date Last Pumped_ /� q b a� 5 Pumping/Maintenance Contact on File (Y/N) `+� ; for _�i Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) ►-/�,4 SEPARATION DISTANCES FROM SEPTIC/HOLDING--' EPTIC'/HOOLLDING TANK: To Water -Supply Well L -5-O-121— v To Building Foundation To Property Line' 0 To Disposal Field To Water Main/Service Line > A:S To Stream, Pond, Lake or Major Drainage Course 1Y/ Comments 72-026 (Rev. 7/88) Fw t Page 1 of 2 �J U C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 15 Type of System Desig TP, e N L 14 Date Installedg�� 1 �/ Length of Field 14 3 � 7% Width of Field Depth of Field f Z Gavel Bed Thickness Square Feet of Absortion Area �0 / Statndpipes Present (Y/N) Depression over Field (Y/N) Date of Last Adequacy Test Results of Last Adequacy Test FO' v ✓ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well 7 To Building Foundation 3 tl Lot To Property Line J; o .{ ; On Adjoining Lots To Water Main/Service Line NZXA To Cutback (if present) t41A To Stream, Pond, Lake, or Major Drainage Course "/Ar To Driveway, Parking Area, or Vehicle Storage Area .30 To Existing or Abandoned System on l o -D ..F. Comments D. LIFT STATION t4O N C Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access(Y/N) "Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent(Y/N) I certify that I have checked, verified, or conformed to all MOA and inspection. Signed Company CD kP Date Z L y Id MOA No. Receipt No. 0 5—,2–[1, q� 7 Date of Payment 3kIk7 Amount: $ /10,00 Receipt No. Pumping Cycles during Adequacy Test. HAA guidelines in effect on the date of this �`..\ Engineer's Seal v. 22 -E Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2