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" 0 �a � 0 0:�: coz a: cc z= o<cj :;�o 0 z LU com ou 222, Z CL (,)� 0 CJ)w LLJ DCL Crz # I J t T' z • r Tom_ —_ —� r - - - 'i } —� •doad iV HJLd3C] 103NNOO NIVN iV Hid3C] 103NNOO A311V y :.18 C]3103dSNI :S1N3WW0O :N011b'OOl 103NNOO :Nlb'W AdAi-PNIVIN� 3ZIS sinONV310IS31OHNVW IOMINOO d0 NOIIV3OI MOHS H3 NS 3NII 331AU3S HEIM3S :lo, I :>1301a " ry I HiHON 31VOICINI NOISIAMIMIS 3 F l� , ' # l € ' 1. a s tr #� • r} ,[ + ] ' f. �� } + �C'Ik{ 1e� +! ' ;"{ *i�j► ; _ .*, i" + ' "Ta x t •r * y i !:'m. yF sir. tin4 r t � { ip.. � f . TAX CODE No. K.-.29ris MUNICIPALITY PROPERTY: Name Plat No. Subdqg p Residential ❑ Commerial OF ANCHORAGE — SEWER Address Industrial No. of units GRID Na0000- goo 0 6 000 � 3 UTILITY Acct No -F... ' 3(oo? 7ea ff�d Block CONNECT Main Tap ❑ 4n Property ❑ P e r mit No. .,Size Type Drawing No. Size Main Type Depth at Connect I nsu I a tio n El Cleanouts Type Connect Agent Inspector Date Comments Connect Location. ASSESSMENTS: L.I.D. No........Private Dev. No.- .-,Subd. Agreement ❑ Sewer Agreement ❑ No. -----iPTE* ❑ Rol! No._.._. DYE TESTO Positive ❑ Negative (2L/ N.S.A. ❑ Date Page No. _ _ M.H. No. nit Billing It e l oV Cycle STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG Revised 08/18/2016 Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______ City/Borough Subdivision Block Lot Property Owner Name & Address Well location: Latitude Longitude Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4 BOREHOLE DATA: (from ground surface) Suggest T.M. Hanna’s hydrogeologic classification system* https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD Depth From To Drilling method:  Air rotary,  Cable tool,  Other Well use:  Public supply,  Domestic,  Reinjection,  Hydrofracking  Commercial,  Observation/Monitoring,  Test/Exploratory,  Cooling,  Irrigation/Agriculture,  Grounding,  Recharge/Aquifer Storage,  Heating,  Geothermal Exploration,  Other Fluids used: Depth of hole: __________ ft Casing stickup: ___________ft Casing type: __________ Casing thickness: _________ inches Casing diameter: _________ inches Casing depth: __________ ft Liner type: _________ Depth: _____ ft Diameter: _____inches Note: Well intake opening type:  Open end,  Open hole, Other Screen type: _________, Screen mesh size: ____________ Screen start: ________ ft, Screen stop:________ ft, Perforated  Yes  No Perforation description: Perf from: ________ ft, Perf to: _______ft, Perf from: ________ ft, Perf to: ________ ft Gravel packed  Yes  No Gravel start: ______ ft , Gravel stop:______ ft Note: Static water (from top of casing): _______ ft on____/____/_____ Artesian well  Pumping level & yield: ______ feet after _____ hours at _____ gpm Method of testing:__________________________________________ Development method:______________ Duration: ____________ Recovery rate: _________ gpm Grout type: _________________ Volume __________________ Depth: From ___________________ft, To ___________________ft Final pump intake depth: __________ ft Model: _______________ Pump size: _____________ hp Brand name: __________________ Include description or sketch of well location (include road names, buildings, etc.): Was well disinfected upon completion?  Yes  No Method of disinfection: Was water quality tested?  Yes  No Water quality parameters tested: Well driller name: .................................................................................. Company name: ................................................................................... Mailing address: .................................................................................... City: __________________________ State: AK Zip: ___________ Phone number: (________) ________- ______ Driller’s signature: Date: ______/______/_________ Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require that a copy of this well log be submitted to the Development Services Department/City within 30 days of well completion. City Permit Number: _____________________________ Date of Issue: _____/____/_________ Parcel Identification Number: ______-_______-________ *Guide for Using the Hydrogeologic Classification System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a copy of the well log be submitted to the Department of Natural Resources within 45 days of well completion. Well logs may be submitted using the online well log reporting system available at: https://dnr.alaska.gov/welts/ OR email electronic well logs to dnr.water.reports@alaska.gov North Municipality of Anchorage Yellow till gravel 013N n 27 B & B DRILLING 83 n 98 L01 003W n NE 102 -149.783325 78 Sand silt 61.186634000000026 78 JOHN W MORGESTER , SE 0 102 B7 106 Sand 37 10683 8 NW 37 Yellow clay-gravel S 198 1962 n 26 n n Water sand gravel SE Gray clay-gravel BURLWOOD TERRACE 98 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 007-082-07 Certificate of On -Site Systems Approval Expiration Date: Legal description BURLWOOD TERRACE BLK 4 LT 1 Site address 3700 LYNN DR Anchorage AK 99508 Current property owner(s) MORGESTER JH TRUST X The On-site system(s) is/are approved for 2 bedrooms Conditional approval for Comments or advisories: M bedrooms, with the following stipulations: Original Certificate Date: 8/28/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval June 2022 MUNICIPALITY OF ANCHORAGE 4i Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION .Sr Parcel I.D. 007-082-07 Complete legal description Burlwood Terrace Block 4 Lot 1 Location (site address) 3700 Lynn Dr. Anchorage, AK Current property owner(s) Morgester JH Trust Day phone 2. ON-SITE SYSTEMS SIZED FOR 2 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ® Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 1 Waiver Fee $ Date of Payment g��3�23 Date of Payment COSA # 0 S C 2 3 g Waiver # OS V 3 Q`- COSA Application—June 2022 Legal Description: Burlwood Terrace Block 4 Lot 1 Parcel ID: 007-082-07 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA © Well log is filed with Onsite (or attached) Date drilled 8/26/62 Total depth 108* ft Cased to 108* ft ❑✓ Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 36 in. Date of flow test for COSA 8/22/23* Well production at time of test 11+* gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ✓❑ N © Coliform bacteria is Negative Nitrate mg/L © Nitrate less than MRL (ND) Arsenic 7.97 ug/L ❑ Arsenic less than MRL (ND) Collected by Areterra Consulting Static water level at beginning of test 46* ft. Date 7/13/23 Comments *Sullivan Water Wells report attached TA Measured operating flujdTevei-it�-s�tic tank Date of pumping ❑ Required maintenance completed, if AWWTS Comments: ABSORPTION FIELD DATA Which tem tested (date installed) ❑ ALL standp_ s present per record drawing Total measured depth m grade ft (max) Measured depth to pipe inve om grade ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insula ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced _gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comm COSA Checklist June 2022 C. LIFT STATION ❑ Required maintenance completed cqee of lift station years Lift station Comments: Adequacy test date Results ❑ Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd QLD STATUS — POST RECOVERY depth (per record drawings) Effective depAtkused in Effective depth In in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' if No ft ❑ Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft 0 Yes if No Neighboring Tank > 100' F/❑ Yes if No ft Private Sewer/Septic Line > 25'�/❑ Yes if No Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50' 0 Yes if No 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No 45 ft Q Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water olding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundatlo _ 10' Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' ❑ Yes if No ft ❑ i No ft ❑ Yes if No ❑ Yes if No ft ❑ Yes if No ft Surface Water > 100' Wells on Adjacent Lots: Private Wells > 100' Is > 200' If tank or field is under d ft ft ft ft ft ❑ Yes if No ft ❑ Yes if No ft ❑ Yes if No ft F. ENGINEER'S COMMENTS Waiver requested for distance to 45' between existing well and AWWU sewer line in Lynn Drive. below G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Arcterra Consulting phone (907)-696-6111 Engineer's Printed Name Kenneth Duffus Date /_�f &Z,,2. Z2 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist COSA Checklist June 2022 �\ Municipality of Anchorage P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV231043 PID#: 007-082-07 COSA#: OSC231318 Legal Description: Burlwood Terrace Block 4 Lot 1 Engineer: Ken Duffus, PE Your request for a waiver of the required 75' horizontal separation from the sewer main to the well has been approved. The approved separation distance is 45'. This waiver approval applies to the existing well only. Any future upgrade to the on-site water systems will require all separation distances be met or another approval from this department ❑The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: 2 2 Approved b : pp Y Name of Reviewer **** VARIANCE/WAIVER REVIEW **** ARCTERRA CONSULTING, INC 20441 Ptarmigan Blvd. Eagle River, AK 99577 Office (907) 696-6111, Fax (907) 868-3793 August 28, 2023 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Public Sewer Line to Well Separation Waiver– BURLWOOD TERRACE BLK 4 LOT 1 In the process of obtaining a COSA for the sale of this property we have established the separation distance between the public sewer line in Lynn Dr. well on this lot to be 45 feet. We are requesting a waiver be issued for the public sewer line well of 45 feet. The private well on this lot was drilled and completed on August 26, 1962, seven years prior to the sewer line. We have contacted AWWU Field Services for information on the sewer line constructed in Lynn Drive in 1969 and as-built Sept. 29, 1969. AWWU cannot produce any information showing that they received a waiver from this well during the project. The water samples on 7/13/23 show nitrates and Coliform bacteria as non- detectable. The existing topography of the site slopes away from the well casing which has been raised to 3’above grade. The public sewer line is 8” A.C. piping buried approximately 17’ below grade in this area. The original well log shows “Yellow till gravel” in the top 37’ of soil with gray clay-gravel and yellow clay-gravel layers between 83’ to 102’ with a total well depth of 106 feet. We do not expect there to be any adverse effects to the existing well or this septic system operations in the existing location. If you have any questions, please contact me at 696 - 6111/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, P.E. Attachments: SGS Laboratory Analysis Report Lang As-built 0 0 M I I I b fD SYDNIE KAY STREET ► *14164' WOODEN POST do CHAIN—UNK FENCE (TYPICAL) ti 8.2' x 12 -2' - SHED x Lot 1 9,000 s.f. 75-s' -S 150' 1 ASPHALT PAVEMENT 10.1' X 10,1' x SHED 1 STORY �` Q RESIDENCE cn TAPERED DECKS f N 85'5,3'W 150' CV Lot 2 0 X4.9' x 4.a' WOODEN BOXI Z J MORTGAGE SURVEY X SCALE—!:.-= 30' GRID SW 173_7 Project No. 23-350/A1 11500 Daryl Avenue. Anchorage, Alaska 99515-3049 Lang & Associates, inC. (907) 522-6476 Phone 4�� (907) 522-4625 Fax �4 OF A nlvL,°ga4 Professional Land Surveyors kelongsurvey.com � (� a jonothandlongsurvey.com I hereby certify that I have surveyed the following described property: LOT 1. BLOCK 4, THE BURLWOOD TERRACE {Plat No. P-271) Anchorage Recording Distriat, Alaska, and that this Mortgage Location Survey is a representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and Is subject to any Inaccuracies that a subsequent boundary survey may disclose. The Information contained hereon shall not be used to establish any fence. structure, or other Improvements. t-{,, Dated this the = Day of - ' at Anchorage, Alaska It Is the responsibility of the owner to determine the existence of any easements. covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 From:Metcalf, Christine Elizabeth.Metcalf@awwu.biz Subject:RE: Customer Dea Duffus Date:August 28, 2023 at 12:14 PM To :dea@arcterra.net Cc:AWWU Eng Planning planning@awwu.biz,Vinson, Timothee G.Timothee.Vinson@awwu.biz Hello Dea, After a thorough review of the micro5ilm for the sewer lateral project 5ile for 1964 Burlwood Terrace/Castle Heights Lateral Improvement District (LID) No. 4, I did not 5ind a well waiver for the project included. Regards, E. Christine Metcalf Assessments Anchorage Water & Wastewater Utility Direct: 907-564-2712 christine.metcalf@awwu.biz From: Vinson, Timothee G. <Timothee.Vinson@awwu.biz> Sent: Friday, August 25, 2023 4:08 PM To: AWWU Eng Planning <planning@awwu.biz> Subject: Customer Dea Duffus Dea is looking for a well radius waiver for when the sewer lateral was installed on Lynn Dr. The clients well is at 3700 Lynn Dr. Dea can be reached at 907-242-4911. Thank you. Timothee Vinson Engineering Technician II Anchorage Water & Wastewater Utility Office: 907-564-2762 Timothee.vinson@awwu.biz SYDNIE KAY STREET M 30.0' f~ I W Z J MORTGAGE SURVEY X SCALE 1' = 30, GRID SW 1737 Project No. 23-350/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax 4q�aQ����� Professional Land Surveyors kenOlangsurvey.com v OF A jonothanOlongsurvey.com��'' o-"` .`S'.0�0 I hereby certify that I have surveyed the following described property: 0 LOT 1, BLOCK 4. THE BURLWOOD TERRACE (Plat No. P-271) * 49 rN • • • •'::� 4p Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a �' representation of the conditions that were found on the date the survey was performed. 0 This survey does not constitute a boundary survey and is subject to any Inaccuracies • • • • • • • • • • • • • • • • • • • that a subsequent boundary survey may disclose. The information contained hereon shall )p. KENN G a G not be used to establish any fence, structure, or other improvements. YQ� 'j�'-- 2�Q''p� ' .5201. a�G Dated this the Day of at Anchorage, Alaska p4 A • • 0� �n� �tssroNA►- It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 ��.r L.- S 89'53'E 1150' WOODEN POST & CHAIN—LINK FENCE ASPHALT PAVEMENT {TYPICAL} N '. x 10.1 a i0.1' SHED 8.2' x 12.2' r ' SHED k . 28.0' Lot 1 43.9' 9,000 S.f. e 1 STORY N RESIDENCE `+ N 75.6' 4J.9' TAPERED DECK N 89'53'W 150' 4.8' x 4.8' WOODEN H0X N r Lot 2 A M 30.0' f~ I W Z J MORTGAGE SURVEY X SCALE 1' = 30, GRID SW 1737 Project No. 23-350/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax 4q�aQ����� Professional Land Surveyors kenOlangsurvey.com v OF A jonothanOlongsurvey.com��'' o-"` .`S'.0�0 I hereby certify that I have surveyed the following described property: 0 LOT 1, BLOCK 4. THE BURLWOOD TERRACE (Plat No. P-271) * 49 rN • • • •'::� 4p Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a �' representation of the conditions that were found on the date the survey was performed. 0 This survey does not constitute a boundary survey and is subject to any Inaccuracies • • • • • • • • • • • • • • • • • • • that a subsequent boundary survey may disclose. The information contained hereon shall )p. KENN G a G not be used to establish any fence, structure, or other improvements. YQ� 'j�'-- 2�Q''p� ' .5201. a�G Dated this the Day of at Anchorage, Alaska p4 A • • 0� �n� �tssroNA►- It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 ��.r L.- Date: 8/22/23 P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Dea, Arc Terra Consulting, inc. The pit abandonment, well head extension and flow test has been completed at 3700 Lynn Dr. The flow test results are as follows: STATIC : 46’ DRAW-DOWN: 23.9’ YIELD: 11+ GPM CASING STICKUP: 3’ PITLESS DEPTH: 12’ PUMP DEPTH: 92’ TOTAL DEPTH: 108’ Sincerely, Chancey Dietrich