Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
SEIDLER #1 BLK 3 LT 5A
Seidler #1 Block 3 Lot 5A #050-131-88 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221456 PID Number: 050-131-88 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name KIMBERLY & JOHN PILCH ABSORPTION FIELD — EXISTING CRIB & TRENCH ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11711 BIRCH HILLS DRIVE, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot SEIDLER #1 3 5A Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ftz Ft. Well 100'+ -- 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10'+ __T7 LIFT STATION Manufacturer Capacity Gal. Remarks 3BR S.T. INSTALLED IN SAME LOCATION Alarm location Electrical installed by Installer NORTHERN EXCAVATION Tankto PIPE MATERIAL House to tank 3034 d a afield 3034 Drainfield CO/MT 3034. Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspdection 1St 11/21/22 11/22/22 Location and description 2nd 3rd 4d' TOP OF RISER / MH ON-SITE WATER AND WASTEWATER SECTION APPROVAL •-,�c.,� Conditional Approval: DateTH i Q"�`. •'' . 49- .......! .. , / Curtis Huffman CE 128991 } ��sfF' Septic System Approved - Date 23 2Q2 • . 11/22/22 . •'�C�i �1�iF�pROFESSION��.AIW Note: this approval does not include well permit requirements. (Rev u5iu2n8) PID:050-131-88 PERMIT:OSP221456 FIRST WATER CONSULTING SEIDLER #1 BLK 3, LT 5A v4 �P- . d���0 OQ' .O ao to M M O �: N.• � O M Lf) FA O��DIy� Y N »ooao< N 0 0 Iw �DDO�Oo�� 0 0 p O Y m Z c O < CO O+ L ama"Em ..0oom o Co We t MQ tNo 0. >n >nN�i0 C It 00 10YQ no N cN oO NOCII O N Mc wC O O c a 1A 10OO m 001'0o0-0 O0 z 0...-.— nz L o Lnm0Oo 00 [JI o v o+....Y oCLEaEo cE 0 0 c c " 0 ir a+> a o= m m U o x� N 0 o a o Q co c o L mzE+eoo mr A 0 O Z O II (nnL C9 m mQ Cm M 0=m«�Lo �+c t0 , 0 0 30CC4 OO_, OV E O o�oV0 00- +z +z a mcu>.c Q �0 W � V /^ 2 / �D .0, Q +� > Cy O C yUj •� >m la TO+n o O p T m w U C ? N a 9 0 C3O C X 0 0 U xlinJm9ue�E D 3 ,�/^>ctoano y}j V/ LIQ OL n n 11 O C ° rc O Niw=c+ � �� 0«v a O a�Z;Do- c+^ 0 0 caa N tmwo Eco n`0 cmiQom°O>0Z1 m eai a o 0 s O a�0 E+00 « OmpJ OcEE E v c L J L c.oEo 0 0 a 3 c am m z 0 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221456 Work Type: SepticTank Upgrade Tax Code Number: 05013188000 Site Legal Address: SEIDLER #1 BILK 3 LT 5A G:0253 Site Mailing Address: 11711 BIRCH HILLS DR, Eagle River Owner: PILCH JOHN H & KIMBERLY J Design Engineer: This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: DeI)artment 11/17/2022 11/17/2023 44478 ❑ 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 (18AAC72) and Drinking Water Regulations (18AAC80) 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 By: S S V w C_ Issued By: Date: Date: I z 3 MUNICIPALITY OF ANCHORAGE Development Services Department_ Phone: 907-343-7904 On -Site Water & Wastewater Section �` Fax: 907-343-7997 ON-SITE SEPTICANELL PERMIT APPLICATION 4$ Parcel I.D. 050-131-416 Property owner(s) JOHN & KIMBERLY PILCH Day phone Mailina address 11711 BIRCH HILL DRIVE, EAGLE RIVER, AK 99577 Site address 11711 BIRCH HILL DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) SEIDLER #1 B3, L5 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank- ElUpgrade ElDuplex (D) ElHolding Tank ❑ Renewal ElMultiple Dwellings ❑ Privy ❑ (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. re of property owner or authorized agent) Permit/Rush Fees: o2 A5 Date of Payment: 11I LI 12Z Receipt Number: �3— Permit No. Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! November 4, 2022 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: SEIDLER # 1 BLOCK 3, LOT 5 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence. The lot and area are served by private wells and will be staked by a RLS prior to construction. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221456, Curtis Townsend, 11/17/22 FIRST WATER CONSULTING SEIDLER #1 BLK 3, LT 5 DESIGN DETAILS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221456, Curtis Townsend, 11/17/22 MUNICIPALITY OF ANCHORAGE dp DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 82.5 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME..//////��. PHONLE/ 6 t �% k'i 3 cl 0XV ❑ NEW UPGRADE MAILING ADDRESS 01 Alec Isla4, LEGAL DESCRIPTION LOCATION � � G¢ NO. OF BEDROOMS Well Absorption area Dwelling U DISTANCE TO: x a ZQ Manufacturer ,C / Material PERMIT NO. _ No. of compartments w� .�� w Lin. capacity lons Inside length MEMADE: Width HO e�s Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. Z < Manufacturer Material Liquid capacity in gallons O w 2 DISTANCE TO: Well 7 /(9 Pi:-- Foundation Pj �"- Nearest lot line �_ PERMIT NO, pa LU a Z z w No. of lines / Length of each Ione Total length of lines Trench width =� �.— inches Distance between li h q F -- To of tile to finish rad P 9 g Material beneath the 1 i Total effectPi v�e,,fnbsorHt' n uea ddo Length Width Depth PERMIT NO. UJ Q I_ LU T e of crib ! NPruj __ Cr diameter ./^7— Crib depth Total effective absorption area DISTANCE TO: Building foundation Nearest lot line Class��,/ v Depth Driller Distance to lot line PERMIT NO. w DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS � — SOIL TEST RATING INSTALLER Ct I /J LS coXr_ , _ t - 13 EMAR KS d,o Gre,4%'o Ex,-71iv6 LEGAL APPROVED DATE �� 7Z--013 (Rev. 3178) / ) r" DEPHRTMENT C' HEHLTH HND ENVIRONMENTHL F 1TECTION 825 'L STREET, HNCH(DRHGE, Hl 264-4720 H::� DI 1�, "ll JE I �V> F:-." F.". y 1., 11 AE - V PERMIT NO. ( 810775 ) HPPLICHNT �UDY THOMPSON.JIM HLLIS S]01 HRCTIC BOULEV�R� 99502 �44�0501 LOCHTION BIRCH HILL DRIVE LEGHL L 5 B 2.: LOT SIZE 40000 SQUHRE FEET TYPE OF SOIL HBSORPTION SYSTEM IS� TRENCH MHXIMUM NUMBER OF BEDROOMS = ] SOIL RHTING .::Sc.:! FT/BR)=: 151 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS� 11, ����11-11 CE.'d �P.A 11— H.—N �;:::mi ���F:_V�w," If 9 E-A ����� � THE I DIMETISION IS THE LENGTH (IN RRET) OF THE TREENCH OR DRAINAELD. THE DEPTH OF H TRENCH OR PIT THE SURFH(..:E OF THE 1,..l I) RI'l E" THF: BOTTOM OF THE EXC:RVHTION (:1 hl FEET). THERE IS NO SET WIDTH FOR TR�NCHES THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETW�EN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVHTION (IN FEET) �����1 ��C'-.:: �.4 q �:11.,��� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTHL�HTION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMGET OF RI.-.:' I[>ENCES THHT THF: WELL WILL SERVE "ll I A I CIO K! Al 71 X 14.11 "..*��]]:."l lf=� —P - 1: H.-.:) r. -.11 1E.:.E E.�,". G'� 1E.: ........... ... BAC:KFILLI0[ WITHOUT FINHL INSPECTION HND HPPIROVHT BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION MINIMUM DISTF'INCE BETWEEN H WELL HND Hl,lY ON~SITE SEWHGE DISPOSHL 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE. TYPE", OF PUBLIC WELL MINIMU� DISTHNCE FROM H FIFO IVHTE WELL Ti.) H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY SEWER LINE IS 75 F�ET OTHER R�QUIR�MENTS MHY HPPLY SPECIFICHTIONS OND CONSTRUCTION DIHGRHMS HRE HVHILHB�E TO INSURE PROPER INSTHLLHTION 11: ''ll 1: F,..!! E> P-11 r. -i -D! EH: !!ELi�n�� I CERTIFY THHT 1 I HM FAMILIHR WITH THE REQUIREMENTS FOR ON—SITE SEWERS RND WELLS HS SET FORTH BY THE MUNICIPHLITY OF HNCHORHGE 2� I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES ]� I THHT THE IF THE RESI��N�� IS 1;OEMODELED TO INCLUDF: MORE THHN ] BEDROOMS. 23IGNED �.. ..... ..... .. .... ....... .... ........ ... JUDY 11001PSCOCJIM HAISCI-4 ISSUED BY ..... _..... ... ......... .......... ~-__~_..... ... .... ..... ..... DHTE `1^ |_�..... ... ..... .... V4. 0 "MUNICIPALITY OF ANCHORAGE Department Health and Environmental rotection 825 L Street, Anchorage, AK. 99501 264-4720 # # HANDWRITTEN PERMIT # R ON-SITE SEWER PERMIT---�-P(''��� Applicant: \Aa, Z Mailing Address: Location: f rG/(4 (( Phone Number: _3 yca Legal Description: L� .6 3 SP/c�/C� i Lot Size : _�-ZT, ton n Type of Soil Absorption System Is: Trench: 1/ Drainfield: _ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: _� Soil Rating(sq.ft/br) •�-4 The Required Size of the Soil Absorption System Is: DEPTH _/�� LENGTH / T__ _ GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of: the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS # 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. TWO(2) INSPECTIONS ARE REQUIRED # # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other_ requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 u 1 # I certify that: (1) T am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) 1 will install the system in accordance with codes. (3) T e and hat the on-site sewer system may require enlargement if t e r is remodeled to include more thatlf bedrooms. Signed Issued by: plicant Date: SWP/024(1/81) PERFORMED FOR: LEGAL DESCRIPTION: DEPTH (FE X SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 0 PERCOLATION TEST B25 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST 2 / 0//)0 (tJG( 41 / C% S/ L- -7- 3 %3 ivn e Itue- 1 6'4-1 4 5 \ 6 7 \` V 9 ¢— 10 11 - 12- 13- 141 15- 16- 17- 18- 19- 20 - X fy'VIL— rev } A Ar .•�. U vz�--Ro-btgrf A. Sha No. 1157.E J L� hl �V G- ZF- ! Z,$- "0/" DATE PERFORMED: ZSJO ' e/ w, 6D WATER RED? IF YES, AT WHAT DEPTH? P SLOPE SITE PLAN S — vo L O P E Reading Date Gross Time Net Time Depth to Water Net Drop I y/r 2,YJ L te 1,57 fltr PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN -� FT AND FT / PERFORMED BY:CERTIFIED B 72-008 (6/79) DATE: / MUNICIPALITY OF ANCHORAGE j • DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC ENVIRONMENTAL ENGINEERING DIVISION \ 825 L Street - Anchorage, Alaska 99501 Telephone 264-4 0 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTIO PEEP�RT NAME ` �0Lr C�Q;ri'(S.IP-�i PHONE ❑NEW MAILING ADDRESS LEGAL DESCRIPTION ( / I' - 1 Loi ~? f k'zl.?i 71 JP�PC )E_ 1V 1SIC)t't LOCATION( }� NO. OF BEDROOMS U Y" DISTANCE TO:a,'2+ Well - - �Ltsorption area a� Dwelling PERMIT NO. u Q Manufacturer n,o°o• a ri�•,��� n °•o Material No, of compartments NF Liq. capacity in yallonsIdsldeFlgr1 IF HO f I� RE)�: 0 �le� •� Width _ Liquid depth 0 Z DISTANCE TO: Well u - Ego •n ro'ie°= �n°•�� Dwel1ulg " t� PERMIT NO. O Z G T F Manufacturer ©©• :.- 9E ?c ^'"4 Material Liquid capacity in gallons O w = DISTANCE TO: Well -% ('"a+f'n ©� o° No. 0hd'a 1 3264. E 7�3 Nearest lot line PERMIT NO. .jj LL Z Q4 No. of lines Length of e h6'y�e°•o CPD °°°, Total leityt�y�`tjfnes eos� �,� \: I� Trench width inches Distance between lines I.- p'`A Top of the to finish grade t i�a.y ' eath the '�`: ?•�inches Total effective absorption area 111 (J Length Width Depth PERMIT NO. a H wa Type of crib Crib diameter Crib depth Total effective absorption area III DISTANCE TO: Well Building foundation Nearest lot line ClassZ 1 l y r Depth �SO 'oJ. Driller Distance to lot line � i PERMIT NO. w DISTANCE TO: Building foundation Sewer line — Septic tank Absorption area(s) OTHER _X- t LEGAL PIPE MATERIALS SOI L TEST RATI NG INSTALLER REMARKS :j._7 s+.,/ ¢, ,/:• �2 C-C.(lC/Tt f: c`v,'. //i,¢ — IV APPROVED DATE 72-013 (Rev. 3/78) M" i �pF pay �q icl: 1.1 ;�; 20 f of 00 EF�' DEPH�TMENT r'` HF�HLTH HND ENVI,TCTION 825STREET/ HNCHORHGE/ HK� 9� /1 264 0 PERMIT N( 1 ( 81(.`j856 ) HPPLICHNT JUDY THOMPSON % REHLTY % 8]01 ARM IC BOULEVHRD 99502 �44~0501 LOCHTION BIRCH HILLS DRIVE LEGHL L 5 8 5EIDLER S/D LOT S{ZE ]0000 SQUHRE FEET MINIMUM DISTHNCE BETWEEN H WELL HND ANY ON~SITE SEWHGE DISPOSHL SY5TEM IS 100 F�ET FOR H PRIVHTE WELL UR 150 TO 2G0 FEET FROM H PUBLIC WELL DEPENDING UPO@ THE TYPf OF PUELIC WELL MINIMUM DISTHNCE FROM H PRIVRTE WELL TO H PRIVHTE SEWER LINE IS 25 FEET HND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS RRE REQUIRED HND MUST BE RETURNED TO THE DEPHRTMENT WITHIN 70 DHYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MHY HPPLY. SPECIFICHTIOHS AND CONSTRUCTION DIHGR8MS HRE HVHILHBLE TO INSURE PROPER INSTALL HTION �������K ... � �1: IF%". rr III. ��Is, ��Q Ei'..: F' ::_'_`f �:�X_ I CERTIFY THAT J. I HM FHMILIHR WITH HND NELLS HS SET FORTH BY THE MUNICIPHLITY OF Ht-.!CI--IOf;�:Hl::�iE. 2� I WILL INSTALL THE SYSTEM IN WITH THE CODES SIGNED�~~..... ......... ~...... .... —_~�—�~�~�_—_�~~ HPPLICHNT JUDY THOMPSON % REALTY CENTER oJ ISSUED BY~�_��—�.�~~~.�_��~`�.~�~—~~��~�HTE~.�������... ..... ..... ~..... .... V40 � F���/L�YD/ MUNICIPALITY OF ANCHORAGE Department Health and Environmental rotection 825 L Street, Anchorage, AK. 99501 264-4720 # # # HANDWRITTEN PERMIT # CA,ELL) A", -GN -SITE E°WE+p P E R M I T Applicant: 0A40y I "IMP90h Mailing Address: C (Z VJI-C V30 l AV-C-�(t- _0� Iud C Location: Xo .1 �s ��ISo,U `�F4LJtL Phone Number: 7? vel -n1-0( _ Legal Description: L _J13 X 3 SEIJDIe Lot Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: Maximum Number of Bedrooms: DEPTH Size: Holding Tank: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: LENGTH GRAVEL DEPTH WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = GALLONS # # 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. ' * * * TWO(2) INSPECTIONS ARE REQUIRED # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 u 1 # I certify that: (1) 2 am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 brooms. Signed: L1J SWC -� Issued by: ,�. Applicant Date. SWP/024(1/81) �. GRE " :R ANCHORAGE AREA BO" 'IGH 4tDepartment of Environmental Quality Amy% 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM // NAME-"BDOVE MAILING ADDRESS 60' G&A Ll-II(O% PHONE LOCATION LGCe&NG LANs;LEGAL DESCRIPTION l UT t?k 9 e?119L47k X44 SEPTIC TANK: UL0I1 Y440 DISTANCE FROM WELL INSIDE LENGTH SEEPAGE PIT: NUMBER OF PITS I CC NUMBER OF MANUFACTURER_�rl�L!( �� MATERIAL ����- _COMPARTMENTS _�- INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /000 GALLONS. DIAMETER q9JAOR WIDTHS, LENGTH/ DEPTH6 �I LINING MATERIAL G _ CRIB SIZE: DIAMETER DEPTH ! DISTANCE FROM: WELL l�//r TOTAL EFFECTIVE ^� BUILDING FOUNDATION! 7 NEAREST LOT LINE ABSORPTION AREA (WALL AREA) G___619 SQ. FT. ADDITIONAL ABSORPTION WELL: / TYPE 0j`�� _CONSTRUCTION �mjwmleD DEPTH? _DISTANCE FROM: BUILDING I NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION 23 LOT LINE --,SEWER LINE -,TANK_ O SYSTEM CESSPOOL OTHER SOURCES_ APPROVED DISAPPROVED REMARKS DISTANCES: DIAGRAM OF _SYSTEM INSTALLED BY: V cp( /Atom prCU o PIPE MATERIAL: LOT SLOPE: /k1'S40 REMARKS: Form No. EQ -031 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO ���j ILLLJJJI 3330 "C" STREET ANCHORAGE, ALASKA 99503 V � TELEPHONE 274-4561 9 lee• �Ihlt{O 111X1• (p1 SEWAGE DISPOSAL SYSTEM ® APPLICATION AND PERMIT NAME OF APPLICANT `�-�rl� �/0 V MAILING ADDRESS �al� I• '••�-C� PHONE INSTALLATION LOCATION LEGAL DESCRIPTION ""� ✓ Il�Oi!.(t' V V��(It �i �^ �4�iJ. INSTALLATION OF: SEPTIC TANK SEEPAGE PIT_ _, DRAIN FIELD _, OTHER TYPE AND SIZE OF FACILITY TO BE SERVED V FINANCED THROUGH TO BE INSTALLED BY -54 ) U SOIL TEST RESULTS Dg ♦a' 1r11'i _ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE tyoo TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK 1 FOUNDATION TO SEEPAGE PIT Zn / I SEPTIC TANK TO SEEPAGE PIT WALL 1'ge_ DRAIN FIELD SEEPAGE AREA SIZE. ` ^ I wt (' TYPE t SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEARFST LOT LINE. WELL TO SEPTIC TANK /oo SEEPAGE PIT oO DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK __ SEEPAGE PIT DRAIN FIELD''//////n//��11//nn// _. SEPTIC TANK, _I_IL�`—, SEEPAGE PIT D ` DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. _! 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO KORO EGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER A -1 O GE AREA DESCRIBED S STE IS IN ACCORDANCE WITH SAID CODE. c DATE / APPLICANT'S SIGNATURE FORM NO EW- 16 DIAGRAM OF SYSTEM E NO. 28.68 AND THAT THE ABOVE INSPECTION APPOINTMENTS DATE RECEIVED� �f 5 Q\ac TIME TIME TIME: 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS DATE DATE DATE _ ❑ Two ❑ Five ❑ MULTIPLE FAMILY N Three ❑ Six INSPECTOR INSPECTOR INSPECTOR ,,, MUNICIPALITY OF ANCHORAGE MUNIICCII))PALITY OF ANCHORAGE: DEPT. & NLI-'%HEALTH DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC-rlpf�I� CNVIRONMENTAL I'f::OTECTION 825 L Street - Anchorage, Alaska 99501 • JUIN ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 F v n T"PREQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWA ES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PR 'rRTY OWNER PHONE ❑ PUBLIC UTILITY MAI NG ADD ESS C� NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PROPERTY RESIDENT (If different from above) PHONE 2, BUY R . -Vim^� PHONE ,,,_. / V_t: 1V.1 Yui MAILING ADDRESS 3. 7ING INSTITUTION PHONE MAILING DDRESS� 4. RE*tT9R{AGENT_ JS F. k\`\S0 PHONE D MAILINGADRESS �L C_ t 5. LEGAL DESCRIPTION IL_� 5 Q\ac STRE LOCATION �( lvr—\N— 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY _ ❑ Two ❑ Five ❑ MULTIPLE FAMILY N Three ❑ Six 7. WATER SUPPLY - 54 INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM @ INDIVIDUAL/ON-SITE** 19 145[ -YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED 1 INSTALLER ❑Septic Tank or ❑ Holding Tank Size: /00 6 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER p a TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sew17�oter Line Line Absorption Area to nearest Lot Line 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) [IOUCFI (1 650 nNCUC)IZ�GE. /i� r Vr= 1:�PP,�ItI'.1 b_ A 101 110!A111II AN1i'-N VI1"ALPh II-CIIUb1 January 4, 1982 Judy Thompson 8301 Arctic Blvd Anchorage, AK 99502 Permit 6 810856 Subject: L5 B3 SEIDLER S/D A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent. to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, r4 6 CJU_� � Les N. Buchholz I2. . Program Manager Sewer and Water Program Enclosure: Copy of Permit MUNICIPALITY OF ANCHORAGE of t,s,a 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. 050-131-88 Legal description SEIDLER #1 BLK 3 LT 5A Site address 11711 Birch Hills Dr Eagle River Current property owner(s) John and Kimberly Pilch Expiration Date: X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: w/fiL_ O F U S Z l 5'Z Original Certificate Date: 4/14/2023 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 X Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 COSA Application 2022 copy.doc Certificate of On-Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-131-88 Complete legal description SEIDLER #1 BLOCK 3, LOT 5A Location (site address) 11711 BIRCH HILLS DRIVE, EAGLE RIVER, AK 99577 Current property owner(s) JOHN & KIMBERLY PILCH Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: 2 Private Wells 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 __NEW SEPTIC TANK _ - See advisory if steel older than 20 years 6. ABSORPTION FIELD: AWWTS Bed Deep Trench Wide Trench Seepage Pit Waiver request for: Distance: Expedited review requested: 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 $ Waiver Fee $ Date of Payment Date of Payment COSA # Waiver # COSA Checklist 2022 copy.docx COSA Checklist Legal Description: SEIDLER #1 BLOCK 3, LOT 5A Parcel ID: 050-131-88 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA - 2 WELLS: SEE SULLIVAN REPORT & SAMPLES Well log is filed with Onsite (or attached) (S WELL) Date drilled 5/3/1974 – UNKN Total depth 150’ & UNKN Cased to 23’ & UNKN ft (S & N WELLS) Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. (Both Wells) Date of flow test for COSA 10/24/2022 Static water level at beginning of test 23.9 & 25 ft. Well production at time of test 0.07 & 0.35 gpm Water storage tank volume 500 gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative (S & N WELLS) Nitrate 4.48 & 3.59 mg/L Nitrate less than MRL(ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by SULLIVAN WATER WELLS Date 11/4/22 & 10/24/22 & 3/31/2023 – Vacant Comments _SEE ATTACHED SULLIVAN WELL FLOWS & CAN SAMPLES. SULLIVAN INSPECTED WATER STORAGE SYSTEM AND THE TWO WELLS THAT ARE BOTH CONNECTED TO THE HOUSE PER SULLIVAN. SULLIVAN ALSO TOOK NEW CAN WATER SAMPLES FROM THIS VACANT PROPERTY OF BOTH WELLS WHICH ARE NOTED ABOVE & ATTACHED WITH AN ARSENIC ANALYSIS RESULTS FORTHCOMING. B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping NEW 1000-GAL HDPE TANK Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 1981 & 1974 ALL standpipes present per record drawing Total measured depth from grade 11.4 & 12.5 ft (max) Measured depth to pipe invert from grade 7.1 ft (min) N/A – pressurized field. Per record drawings, field is insulated. 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 2000 gallons 11/1/22 date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 11/02/2022 Results Pass Fluid depth prior to test 3 & 14 in (TRENCH & CRIB) Water added 600 gal New fluid depth 6 & 14 in (CRIB STAYED AT 14”) Elapsed time <1440 min Final fluid depth DRY & 14 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 60 in (TRENCH) Effective depth used 0 in (TRENCH) Effective depth remaining 60 in (TRENCH 5’+ ED) Comments/Deficiencies: MTs (TRENCH & CRIB) & DCO AT GRADE. *PER ELEVATION SHOTS DIFFERENCE BEWTWEEN BOTTOM OF CRIB & TRENCH PIPES TO DCO INVERT IS 6.8’ & 6.6’, HOWEVER, VISUAL MEASUREMENT OF ASSUMED TOP OF TO THE BOTTOM OF CRIB SHOWS 5.5’ CRIB ED. FLUID MEASUREMENTS ON 11/22/22 SHOW TRENCH DRY & CRIB WITH 3” OF FLUID. COSA Checklist 2022 copy.docx 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 4/12/2023 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 4/12/23 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On -Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC221552 Subdivision: Seidler #1, Block: 3, Lot: 5A The combined productivity of both water wells was determined to be 0.42 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 - bedroom residence is 0.31 gallons per minute or 150 gallons per day per bedroom. Although the well production currently exceeds the minimum requirement, the production capacity can fluctuate and may be insufficient for your needs. Water storage is provided in the system. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. 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. 050-131-88 Legal description Seidler #1 Block 3 Lot 5A Site address 11711 Birch Hills Dr Eagle River AK Current property owner(s) John and Kimberly Pilch Expiration Date: 2— 2 3 Z 3 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 11/23/2022 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 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-131-88 Complete legal description SEIDLER #1 BLOCK 3, LOT 5A Location (site address) 11711 BIRCH HILLS DRIVE, EAGLE RIVER, AK 99577 Current property owner(s) JOHN & KIMBERLY PILCH Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public 0 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 NEW SEPTIC TANK - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ® Deep Trench ❑ Wide Trench ® Seepage Pit Waiver request for: Distance: Expedited review requested: ❑ 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 $ Waiver Fee $ Date of Payment if /a/ 1p a Date of Payment COSA # i 9 Q /r���`� Waiver # COSA Application 2022.doc COSA Checklist 2022.docx COSA Checklist Legal Description: SEIDLER #1 BLOCK 3, LOT 5A Parcel ID: 050-131-88 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA - 2 WELLS: SEE SULLIVAN REPORT & SAMPLES Well log is filed with Onsite (or attached) (S WELL) Date drilled 5/3/1974 – UNKN Total depth 150’ & UNKN Cased to 23’ & UNKN ft (S & N WELLS) Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. (Both Wells) Date of flow test for COSA 10/24/2022 Static water level at beginning of test 23.9 & 25 ft. Well production at time of test 0.07 & 0.35 gpm Water storage tank volume 500 gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative (S & N WELLS) Nitrate 1.21 & 2.72 mg/L Nitrate less than MRL(ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by SULLIVAN WATER WELLS Date 11/4/22 & 10/24/22 Comments _SEE ATTACHED SULLIVAN WELL FLOWS & CAN SAMPLES. SULLIVAN INSPECTED WATER STORAGE SYSTEM AND THE TWO WELLS THAT ARE BOTH CONNECTED TO THE HOUSE PER SULLIVAN. B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping NEW 1000-GAL HDPE TANK Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 1981 & 1974 ALL standpipes present per record drawing Total measured depth from grade 11.4 & 12.5 ft (max) Measured depth to pipe invert from grade 7.1 ft (min) N/A – pressurized field. Per record drawings, field is insulated. 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 2000 gallons 11/1/22 date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 11/02/2022 Results Pass Fluid depth prior to test 3 & 14 in (TRENCH & CRIB) Water added 600 gal New fluid depth 6 & 14 in (CRIB STAYED AT 14”) Elapsed time <1440 min Final fluid depth DRY & 14 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 60 in (TRENCH) Effective depth used 0 in (TRENCH) Effective depth remaining 60 in (TRENCH 5’+ ED) Comments/Deficiencies: MTs (TRENCH & CRIB) & DCO AT GRADE. *PER ELEVATION SHOTS DIFFERENCE BEWTWEEN BOTTOM OF CRIB & TRENCH PIPES TO DCO INVERT IS 6.8’ & 6.6’, HOWEVER, VISUAL MEASUREMENT OF ASSUMED TOP OF TO THE BOTTOM OF CRIB SHOWS 5.5’ CRIB ED. FLUID MEASUREMENTS ON 11/22/22 SHOW TRENCH DRY & CRIB WITH 3” OF FLUID. COSA Checklist 2022.docx 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 11/22/22 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 11/22/22 Well Water Advisory Certificate of On -Site Systems Approval # OSC221552 Subdivision: Seidler #1, Block: 3, Lot: 5A The combined productivity of both water wells was determined to be 0.42 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 - bedroom residence is 0.31 gallons per minute or 150 gallons per day per bedroom. Although the well production currently exceeds the minimum requirement, the production capacity can fluctuate and may be insufficient for your needs. Water storage is provided in the system. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address P O Box 196650 * Anchorage, Alaska 99519 6650 * www muni org , Date: 10-24-22 P.O. Box 670269 Chugiak, AK 99567 P: (907) 688-2759 F: (907) 688-2259 TO: Brent Western 11711 Birch Hills Drive Eagle River, AK 99577 Flow Test Report South Well: Resting Static: 23.9’ Max Drawdown: 131.2’ Well Yield: .07 GPM 10-25-22 North Well: Resting Static: 25’ Max Drawdown: 259’ Well Yield: .35 GPM 825 "1 "`-1 RFL ANCHORAGE, ALASKA 9950? (907) 264 4Ill GGOIi (;f. M. SULLIVAN, MAYOR OFPAH-I MENT OIM -AL."(I-1 AND ENVIRONNIi-N I Al_ PROTk=C'1 ION July 22, 1981. Judy Thompson % James F. Allison Realty Center 8301 Arctic Boulevard Anchorage, Alaska 99502 Subject: Lot. 5 Block 3 Seidler Subdivision 41 The adequacy test performed on the sewer system serving the.subject property has failed. Therefore, an upgrade will_ be required. Prior to the upgrade, a soils test will need to be obtained so that a permit can be issued by this department. If there are any further_ questions, please call. this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist. RCP/ljw cc: Alaska Bank of Commerce % Jeff 3230 C Street 99503 July 1, 1981 �1� 87.5 "L" STREET i' -J'( JIB -I_a ANCI IORAGF, ALASKA 99501 (907) 264-4111 rn '4) GLOHGE Ni. SULLIVAN, MAYOR D DAH FMENT OF HEALTH AND ENVIRONMf_NTAL. f'HO FECFION Judy Thompson James P. Allison Realty Center. 8301 Arctic Boulevard Anchorage, Alaska 99502 Subject: Lot 5 Block 3 Seidler Subdivision $1 Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. \C,(2) The top of the well. casing sealed with a sanitary seal so that it is water tight. C> K(3) The 11-2 inch line connected to the underground spring needs to be disconnected from the well. � M A cleanout to the septic tank needs to be installed above ground level. (5) The septic tank pumped with a receipt submitted to this office. I (6) An adequacy test needs to be performed on the existing JJPI-,P- P' r leaching area. This test will determine if the system is adequate according to National Standards. A listing (o(01. I_•�'�'� of private firms performing the test is enclosed. This � r11-1 report needs to be submitted to this office for our review. Please notify this office for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 2.64-4720. Sincerely, Robert C, Pratt, R.S. Associate Specialist , 4 The Realty Center AT`.PENTION: Jim Allison 8301. Arti_c Boulevard Anchorage, Alaska 99502 Dear Mr. Allison, DAVID A.SLENKAMP ROBERT A. SHAPER MECHANICAL ENGINEER �Rp,*VILENGINEER r July17,1981 1C1PPU�Y oHtiP N &�\ONA -z�is MUN DEpT. PL 0, pRpZE J [� Reference: Lot 5; Block 3; Seidler Subdivisions Judy Thompson Property A sewer system adequacy test was performed on the system .located, on the re Fe.renced property as you requested. The cleanout to Lhe septic tank was re- eritabli.shed and the septic tank was pumped and verified l.o have a C�Ipacity of 1000 gallons. The seepage pit was full of w,3ter and had to be pumped. Approximately 500 gallons of water was removed from the crib and then the system was changed with approximately 450 gallons of fresh water. After a period of 24 hours c.pproximatel.y 317 gallons had percolated out of the crib. 'It can be concluded from this test that the septic tank is adequate. However, 1 --he seepage p=it is only adequate for approximately 2 bedrooms. It will be necessary for you to upgrade the absorption area before the system can be considered adequate for the three bedroom residence located on this property. If we may be of further assistance, please do not hesitate to ca_L1. Sincerely, BERT A. SI.AF , P.I. AASIss ; cc: Alaska Bank of Commerce Municipality of Anchorage Department. of IIealtll and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 5. LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE —�/y �(,('� DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION - - 825 L Street-- Anchorage, Alaska 99501-- - - - - - - - - - - - - ENVIRONMENTAL ENGINEERING DIVISION Telephone 264.4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) daysforprocessing. - 1. PROP TY OWN R PHONE q ❑ One ❑ - Four ❑ Other MAILIN AD ESS PROPERTY RESIDENT (If different from above) --- PHONE 2. 9UYE — / PHONE-- 401�1 MAILING ADDRESS _ .UL4. 3. LENDING I STITUT ONS PHONE _ _ MAILING ADDRESS ❑ COMMUNITY 4. REA R/AGENT PHONE ❑ PUB IC UTILITY MAI LINGADDR SS 5. LEGAL DESCRIPTION 1(�r STREET LOCATION—IJ — 6. TYPE OF IDENCE NUMBER OF BEDROOMS L�1 SINGLE FAMILY ❑ One ❑ - Four ❑ Other ❑ J.wo EJ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUP INDIVIDUAL* * ATTACHWELLLOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUB IC UTILITY depth (attach log if available.) 8. SEWAGE DIS AL SYSTEM —� INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date. ❑ PUBLIC UTILITY If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 77-010(3/7Rf THIS SIDE FOR OFFICIAL USE ON L', INSPECTION APPOINTMENTS DATE RECEIVED _ TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. W7SUPPLY Lk INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM U;KDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER tic Tank or ❑ Holding Tank Size:_%dOp If Tank is homemade give dimensions: SOILS RATING 15 TYPE OF TA K MANUFACTUR �- TOTAL BSORPTION AREA 4. DISTANCES WELL T0: MATERIAL Septic/Holding Tank Abs rption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 0 APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE 02Z BY (Title) LEGAL DES RIPTIO 72-010 (Rev. 3/76) II E1R9 C1. 1 MLil 1!In P,rr,S, IP•.I G. 5024 CDRDOVn 0 BOX 6091 r ANn101?A :E, AI-ns<n 9'J502 [I I'll . 00]-2]9-0,193 n -FLY- 090?5360 r NnlAI.111i Derntnalsrs !'I. P.NN CI IS June 30, 1978 Sun Realty Box 1201 Eagle River., Alaska Attention: Peter Ostdiek R&M No. 851539 Subject: Adequacy Test on Existing Sanitary Sewer System; Lot 5, Block 3, Seidler Subdivision, Eagle River, Alaska Dear Mr. Ostdiek: At your request of June 30, 1978, we conducted a test of the septic system on the above described property. During this test the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: Liquid Level Below Top Time of Standpipe Total Gallons Added 9:45 7.7 25 9:50 7.6 75 10:00 7.4 150 10:10 7.4 150 10:20 7.5 150 10:30 7.6 150 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. If the 3 bedroom residence on the property is to house 6 people, the average load on the system can be expected to be 450 gallons per day or .31 gallons per minute. During the test, the system accepted 150 gallons in 45 minutes. This indicates an average effluent acceptance rate of approximately 3.4 gallons per minute at the time of the test. ANCHORAGE FAIRBANKS JUNI_AU VALDEZ WAJ 11.1./\ June 30, 1978 Sun Realty Page 2 Because the house on the lot is occupied, we assume that the leach field was at its normal degree of saturation. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 3 bedroom residence. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. Lynne Kosikowski Staff Geologist JMB/kky 4',/e Gary mith Pro' ct Manager C�rdbk*:*N NATER WELL DRILLERS LOG 11 DO H FILL IN ,, 4KA% Drilling Co. A �J ' DrillerL _ r L-' _p , _ Area n W iS3 3 Well Owner rno Z ._ _ Use of Well M = :L Location (address of Township, Range, s Section (if known); distance from road: . Size of Casing�LDepth of Hole_j tggeet. Cased to _ feet. Static water level .2 _;a --feet (above) (below) land surface. Finish of well (check one) Open end (j -j. Screen ( ): Perforated ( ). Describe screen or perforations:te ' Well pumping test at�jallons per min or Sours with Eeet of drawdown from static level. Remarks Date coMleted WELL LOG ,—.—Depth in feet'from Give details of formations penetrated, size of material, ground surface color, and hardness. �2toJ1 J]3. to 2 Last o � to to to to to to to to to V1 btl' 1 N }. a... qk&Nn e w f &w G 1 STATE OF ALASKA 4864 DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG Revised 08/18/2016 Drilling Started: I 1 Completed. 5 / 3 / 1974 Pump Install: I City/Borough Subdivision Block Lot Property Owner Name 8 Address Municipality of Anchorage S E I D LE R 1 B3 L5 GORE Well location: Latitude Longitude Meridian S Township 014N Range 002W Section 1 NE 1/4 of SE 1/4 of SW 1/4 of SE 1/4 BOREHOLE DATA: (from ground surface) Suggest T.M. Hanna's hydrogeologic classification system* httPs:11mv.ngwa.oM1NC`Produc0d=a 185000000BYub3AAQ Depth From To or buildings, etc.): names, 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: h ttps ;//d n r.a l as ka. goy/welts/ OR email electronic well logs to d n r. water. rep o rtp &q1 as k a. ctoy *Guide for Using the Hydrogeologlc Claaelfj"Inn System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press Drilling method.,CKir rotary, able tool,®Other _ Well use:❑Public supply,❑Domestic,❑Reinjection,❑Hydrofracking ❑ Com mercial,❑Observation/Monitoring, ❑Test/Exploratory,❑Cooling, ❑Irrigation/Agriculture,❑Grounding,❑Recharge/Aquifer Storage, ❑Heating,❑Geothermal Exploration, []Other Fluids used: Depth of hole: 150 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, pen hole, ■ Other Screen type: , Screen mesh size: Screen start: ft, Screen stop: ft, Perforated[lYesE]No Perforation description: Perf from: ft, Perf to: ft, Pert from: ft, Pert to: —ft Gravel packed❑Yes ONo 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: Was well disinfected upon completion? Yes [fl No Method of disinfection: Was water quality tested?[—]Yes F• No Water quality parameters tested: Well driller name:...... ...................................... * ............ ame:............................................................... ................ Company name:.FOSS.DRILLING Mailingaddress:.................................................................................... City: _ State: AK Zip: Phone number: ( ) - Driller's signature: Date: Anchorage Municipal Code 15.55.060(1) 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: -