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Home My WebLink AboutMEADOW RIDGE ESTATES NORTH ADD BLK 5 LT 6Meadow Ridge Estates North Addition Block 5 Lot 6 #051-531-14 Municipality of Anchorage Page 1 of 3 Development Services Department On -She Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci,anchorage.ak.us (907) 3437904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO40038 PID Number: 051.531-14 Name: Vincent &Suzan Farris Wastewater System: New Address: 25220 Homestead Road Chu iak AK 99567 ABSORPTION FIELD Phare: Numberntliedrooms: 688-1236 Three 3 Deep Trench LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: .45 GPDIFF 11 Ft. akwk: La.. Subdivision: Depth to pipe bottom from original grade: Gravel depth bers ath pipe: 5 6 Meadow Ridge Estates North Addn. 3 Ft. 8 Ft. Township: Range: Section: Fill added above original grade: Grovel Length: 3.4 Ft. 63 Ft. Well: Existing Gravel eidth Number of linea: Distance behoen lines: 1 3 Ft. 1 Ft Classification (Private, A, B. C): Total Depth: Cased le: Total absorption area:Pipe Material: 1,008 FF ASTM 3034 PVC Driller: Data Drlllea: Stage water Leel: In er: Date meta e . Ft. Sanders & Sanders 5/2112004 Yeld: Pump Set at:Casing eight Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding lut,11UPrivate, a °hn! �aqpaoty in a ons: From Tank Field Station Tank Sewer Line Anchorage Tank 1,000 wall >100, >100, NIA NIA >25' ateria:teel S Number compartments. Two (2) Surfacewater >100' >100' NIA WA LIFT STATION — NONE ON LOT Lot Um >5' >10, WA NIA ae: Gat rer. Foundation >5' >10' NIA NIA ump on eve a -Pump eve g "ter e ann a in. in. in. None Noted Pump Make a Madel Electrical Inspecitons performed by: Curtain Drain Remarks: - BENCH MARK Location and scri ion: Front Porch Deck. Alarmed eva ion: 100.0 I'L Engineer's Stamp •♦��wtg1 •.••� OF q<e�4 �•�P�................... ♦�♦ Inspections performed by: TLK Dates: le" 512112004 49th 2nd 5@1I2U04 �• ...I .......................... fid...... Department of Health and Human Service approval %�S.NIC"AEL'E ""°ERS°" ` I =., _= / q- 17-1 ♦ J No. CE -4381 •��,I Reviewed and approved by: Ui• Date: "`s„� ��•••• Municipality of Anchorage • -� Development Services Department Building Safety Division On -Site Water and Wastewater Program - 4700 South Bragaw St. "" ` " P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: MIKE ANDERSON Legal description: MEADOW RIDGE ESTATES NORTH BL 5 LT 6 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ Calculation error in design. _ ❑ Additional soils information needed. _ ❑ Water monitoring results inadequate. _ ❑ Discrepancy in information submitted. ❑ Topographic information missing or inadequate. _ ❑ Incomplete; missing ❑ Incomplete; missing ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. _ ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ® Other. NEED TO PAY $115 EXCEPTION FEE FOR DESIGN CHANGE NEED AN ADDITIONAL TEST HOLE FOR ALTERNATE SITE. NEED A CLOSER SCALE FOR AS -BUILT SITE -PLAN SHOW SLOPES ON AS -BUILT NEED A WELL AND STORAGE PERMIT, AND WELL LOG SUBMITTED Name of reviewer: JOE GOODALL Date: 5/9/2005 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK Municipality of Anchorage Page 1 of 3 Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-W5o www.cr.ancrlorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWM038 PID Number. 051.531-14 NeM Vincent & Suzan Farris Wastewater System: New Aeaeu: 25220 Homestead Road Chu lak AK 99567 ABSORPTION FIELD 688.1 "T ee(3 r Deep Trench LEGAL DESCRIPTION so+ P�g To DoM Ian agew 7430• A5 GRaFP 11 Ft. ,�dw.ra\ 810 lotridge DOM b RP tlalan Ian agnr gr O Grew),JWM tmmwitt Rq: 5 6 Meadow Rid a Estates North Addn. 3 8 Ft. FL Tow*V: RwW Sec0arl: F9a01.o.Iwao"grwi0 Gravel Lerqur 34 Ft. 63 Ft. Well: Existing Grawl..ae. Nu a Lrw. D,nwn.Iw...n Yn... 3Fr. 1 FL cw dm (wan.. A, e. C): Tar D.M: a.a b: ar .E..... teld w " Ift,wW, 1,008 Fr ASTM 3034 PVC orYtet Doe DnIW 8wc Wow Levo. s FL Sanders & Sanders 5121/2004 v.le wnv sr alCAvg Aowe ('/ou1C. TANK C" Ft. Ft SEPARATION DISTANCES ® septic ❑ Holding ❑ S.T.E.P. ❑ Other. To I Septic Absorption LrR Holding tibiouprivare From Tank Field Station Tank Sewer Line Anchorage Tank 1,000 Ww >100, >100, N/A WA >25' Steel Two (2) s,e.o.wrw >100' >100, WA WA LIFT STATION — NONE ON LOT Laurie >5' >10, WA WA GwI Fan m >5' >10, WA WA 11nRa' w alarm in ti in ran.. b.:1 None Noted TZ;""°°" "° k-""""gn'°'""°°' Rwt BENCH MARK Front Porch Deck 100.0 FL Engineer's Stamp ��awsssy F•71 Inspections performed by: TLK Dates: 1° 512112004. •0, 49th r 2ne 5/2112004 Department of Health and Human Services approval �—�W �. �S M, HAEL E. ANDERS d � ♦ !f. No. CE-4381�'� •� Reviewed and approved by: Date: sfp` `� »�:w ot« tavd sass OrESSt��:�• 'its %% Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SWD40038 as �o oma S, 555 369 W 53.5' Ota' 55.3' $3J V 764' e m„1 9 st a u 1 q Assmsu ana M1 CS MEADOW RIDGE ESTATES LOT 6, BLOCK 5 4 MKNAEL E. ANDERSON No. CE+351 Weil OWater Storage Tank PLAN AS -BUILT SCALE 1' - 60' Page 2 of 3 PID No. 051-531-14 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 page 3 of 3 On -Site Wastewater Disposal System or Well Inspection Report Permit Number. SWO40038 TBM = PID No.: 051-531-14 4 FA, .MICHAEL E. ANDERSON PROFILE AS -BUILT 0, MO C•38, Scale: t' . 20' •��A_ Rar�::;:cN�': MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 6, BLOCK 5, MEADOW RIDGE ESTATES PERFORMED FOR:ViNCF FARRIs DATE: 5/20/2004 PROJECT No PARCEL IDjt• TECHNICIAN: T.L. KIMBROUGH DELI TEST HOLE #3 (1=0 4 AMLANDEMSM No. CE -438t } 1 OB SLOPE SITE PAN 2 3 4 ,.•. 5 • ' •' : SEE SITE PLAN 6 o 00 7 SILTY GRAVEL 8 .:•: GM �.., MEDIUM DENSE 9 10- 5% 11 •••e. 12•r 13MINUTES) • DATE IREADINGIG70SS TIME NET TIME (MINUTES) WATERN€ET DROP (INCHES) (INCHES) 14 •'.e 5/20/04 15 ' ' 1 1:15 8.5" 16-2 1:45 30 7.5" 1" .:• 3 1:46 8.5" 17 BOH 4 2:16 30 7.75" .75" 18 5 2:17 8.5" 19 6 2:47 30 7.75" .75" 20 PERCOLATION RATEa 40 (MIN/INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 4 FT. and_5 FT. WAS GROUND WATER ENCOUNTERED? NO IF YES Q WHAT DEPTH? DEPTH OF WATER AFTER MONITORING: NONE DATE OF MONITORING: 5/27/04 COMMENTS: NO IMPERMEABLE LAYERS ENCOUNTERED. TEST HOLE PRE SOAKED PRIOR TO TEST. SAME SOIL MATERIAL AS FOUND IN TEST HOLE NOS. I AND 2. TEST PERFORMED BY VETECH ENGINEERING TECHNICAL SERVICE. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 3/29/2005 03/23/2005 08:58 9076880495 LEGSNb • V0104b '74- K"AR O FOunlb 5I8- RJB W rm Ppjr,e r_� CLj to&. q) A raw aL '/z- tj�IAs ExkcTr'A a EASers�lr � 0 ` CMiLt 4�0-pZ O.` Mack REe, Dior, �` Lor br G� ^I 7S. ~ HT iLrr y RKeRs , &x^,f too sco 1 1r J� PDO DRAFTING L0 T 7 Lo r (m A ✓ MI L 3.3' SFCTwr1 ,E Fsr+r. LOT SURVEY L -Cr t: 3LDcx r. T`WbOw R�EGE ESr/rTFS Sub. xtN C d oRf ' g =Miff. ALA= BULL MOOSE SURVEYING MWW S. WFTWW 2w htfumeW . 357- F(COM 3W -W7 owwm t3( alt: of fir. 0-3o-oY- 7`4-t33 TiCtd,R2-h2 — I f"=!OD' TA►1,r. u , r � w r z .., PAGE 01 RLAL,av p� YTAlk 49TH Under ne GrcumNe„e.• 04 ld ...y dr, Jl be wed fa eo.",n.V" w (a M.UFaWng bw d..y a F... on", IKA vi N cE fihttR1g MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Boz 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Permit Number: SW040038 Legal Description:IMEADOW RIDGE ESTATES NORTH ADD BLK Date Issued: Mar 30, 2004 Expiration Date: Mar 30, 2005 Parcel ID: 051-531-14 5 LT 6" Design Engineer: 0014 Anderson Engineering Site Address: Owner Name: Vincent & Suzan Farris Lot Size: 130494 SQ. FT. Owner Address: P.O. BOX 670495 Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567 - This permit is for the construction of. ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy E] Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By Issued By Date: air' Date: 3 c) 0A Municipality of Anchorage Development Services Department ,•�•• e`,, Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION 'FOOR� jA SINGLE FAMILY DWELLING Parcel I.D. V >'I ` t '( Permit Number SW 640039 Property owner (s) Y (s) V \ 1� cA�t/l� `1 -SU 2 iti �C�'— ay phone tr tS —nL�y1 �I Mailing address (1) Mailing address (2)_r SA l )a*, ( �f Zip Code _q o Legal description (Lot, Block & Sub'd.)r s4Q�5 6UC Legal description (Section, Townshi nge) ' �Z7 (�yy1(I ��I Lot Size '"I `i Acre q.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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. (Signature of property owner or authorized agent) Permit Fees: V Date of Payment: 0�0 I0 `te(( ,, Receipt Number: t `� 1 lQ (Rev. 12100) Waiver Fees: Date of Payment: Receipt Number: l MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 Permit Number: SW030061 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Apr 02, 2003 Expiration Date: Apr 01, 2004 Parcel ID: 051-531-14 r Legal Description: MEADOW RIDGE ESTATES NORTH ADD BILK 5 LT 6, Design Engineer: 0014 Anderson Engineering Site Address: Owner Name: MM & M CONTRACTING Lot Size: 130494 SO. FT. Owner Address: P.O. BOX 670495 Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567 - This permit is for the construction of: ❑✓ Disposal Field [?] Septic Tank E] Holding Tank [:] Privy Private Well E] 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: y' 1-03 Issued By: 1434A_ Date: 7 1 1 1 o7 Municipality of Anchorage • Development Services Department Building Safety Division i On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING I Parcel I.D. D .t;-/' _'�- 3 1 Permit Number SW 030oks \ Property Mailing Day phone Mailing address'(2)// Zip Code _ Legal description (Lot, Block &Sub'dJ eadow 9,;lo i5lr / Legal descripti n (Section, Township & Range) I Lot Size 13 G q 4 Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Oni [X Well Only Sewer anyWeil ❑ Water Storage Sewer Upgrade ❑ .I THIS PROPER CONTAINS: Hot Tub ❑ Jacuzzi Swimming Pool ❑ Water Softening Unit Therapy Pool ❑ I certify that the above information is correct. I further certify that this application Single Family Dwelling and is in accordance with applicable Municipal Codes. L (Signature of property owner or authorized agent) I Permit Fees: O O Waiver Fees: Date of Payment: Date of Payment: Receipt Number: 3 ;Ll? 75'_ Receipt Number: (Rev. 17100) RG}JR II� n��iVcD 3 e is being made for a MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street i P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Apr 03, 2002 Expiration Date: Apr 03, 2003 Permit Number: SW020047 Parcel ID: 051-531-14 i Legal Description: MEADOW RIDGE ESTATES NORTH ADD ELK 5 LT 6 Design EnIgineer: 0014 Anderson Engineering Site Address: Owner Name: MM & M CONTRACTING Lot Size: 130494 SO. FT. Owner Address: P.O. BOX 670495 Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567- This permit is for the construction of. Disposes Field Q✓ Septic Tank Holding Tank ❑ Privy ❑ Private Well E] Water Storage All construction must be in accordance with: I 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 an must notify DSD at least 2 hours prior to each inspection. Provide notification by calling 1 (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either. A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. I Received By: Issued By: Date: Date:4L3 02 Municipality of Anchorage • -- Development Services Department Building Safety Division i On -Site Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 9951M650 www.ci.anchorage.akus (907)343-7904 I ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. 05-/ —/Z/ / —Permit Number lSW Property owner(s) IUB A4 a- {1/j �(0.c�f-i rt Day phone Mailing address (1 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) -A4CQ y S Legal description (Section, Township & Range) Lot Size / 30 Y? / Acres/Sg F THIS APPLICATION IS FOR: Number of Bedrooms Sewer Only Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ S I 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. j L (Signature of property owner or authorized agent) Permit Fees: - ato. 00 Waiver Fees: Date of Payment Al Receipt Number. 1 i$R �50 (Rev. 12100) Date of Payment Receipt Number. MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial j Date Issued: Apr 03, 2001 Expiration Date: Apr 03, 2002 Permit Number: SW010051 Parcel ID: 051-531-14 Legal i —v Description: f'MOW RIDGE ESTATES NORTH ADD. BLOCK 510T 6 'r• Design Engineer: 0014 Anderson Engineering Site Address: NHN HOMESTEAD ROAD Owner Name: MM & M CONTRACTING Lot Size: 130494 SQ. FT. Owner Address: P.O. BOX 670495 Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567 - This Permit is for the construction of. G✓ Disposal Field ❑� Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well E] Water Storage All construction must be In accordance with: I 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 (1SAAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907)343-7904(24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: "41F�031 Date: 4-3-01 Municipality of Anchorage • '� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907)343-7904 I ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. OSl — 5-31 -14 Permit Number SWO1005/ I Property owner(s) MM&M Contracting Day ph Ine 688.1236 Mailing address (1) P.O. Box 670495 Chugiak. AK 99567 I SfTE I Me4icgaddress(2)610 NOHFSTEI40 ROAD Zip Code U16 Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size 130494 ncres/ q.F THIS APPLICATION IS FOR: Number of Bedrooms Three (3) Sewer Only ® Well Only Sewer and Well ❑ Water Storage Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi II Swimming Pool 1:1 Water Softening Unit Therapy Pool ❑ certify that the above information is correct. I further certify that this application Single Family Dwelling and is in accordance with applicable Municipal Codes. 7/AL. - ! 41. (Signature of property owner or authorized agent) Permit Date of Payment: t;ooq@0 Receipt Number. 0( P12 (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number. of is being made for a ANDERSON :ENGINEERING P.O. BOX -240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) March 22, 2001 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 6, Block 5, Meadowridge Estates Subdivision North Addition Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer. The owner of Lot 6, Block 5, Meadowridge Estates Subdivision North Addition intends to construct a new three-bedroom home on the lot. The lot is currently vacant and is served by a community water system. We are hereby applying for a permit to construct a new septic system on the lot to serve the new home. The attached Site Plan and backup documentation identify the location and configuration of the new septic system and the parameters used in the design. It also shows the location of the alternate site and the water service line. The lot is nearly 3.5 acres in surface area. Existing drainage patterns are shown and will not be altered by the development of the lot. Substantial grading has taken place in the past as site preparation for a new church. Two test holes were placed at the proposed location for the new absorption trench and revealed gravel with varying degrees of silt. Some angular rock was found, but did not appear in segregated lenses. No groundwater was noted in the test holes during excavation and none was noted during the monitoring period. We are therefore proposing to place a 3' wide by 63' long absorption by 8' effective depth absorption trench to treat the septic effluent. The pipe will be placed at 3' below the existing ground surface and the total depth of the trench will bell'. A minimum of 3' of cover will be placed over the bed to prevent frost penetration and possible freezing. The ground surface on the lot slopes as shown on the attached Site Plan with steep grades from east to west. The area for the new absorption trench, however, is fairly flat. The new trench will be constructed parallel to the contours of the surface in conformance with Municipal requirements. Grading will be accomplished to assure surface drainage is away from the new trench. The existing drainage pattern on the lot will not be affected during development. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The subdivision is currently Lot 6, Block 5, Meadowridge Estates March 22, 2001 Page Two served by a community water system. 1 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, ws�nso�; 4 Michael E. Anderson, P.E. = ` 0K A �S�s Attachments S* 491y ?, MICHAEL E. [ANDE]:ON * o-7 43 CE -81 v��J =2 Ido M N 7 :ia 10 s•.: 9,.e2 1 J11/1 ,4 JII 11 -' �i9IITR9Ta'9t — — — 7,a.S8 9,.e2 1 J11/1 ,4 JII -' �i9IITR9Ta'9t — — — 7,a.S8 i 1 WS.CO _ 627_ ------------ � e.00 2.188 Court - OG E1.1. — i (1tS89-'35'20Ct / S89.5vts-w 20a2.397S-,j,7 AREA MAP SCALE 111 =100' 589.34'18•w THIS PROJECT OF 4,�1 % , c, J r 040-L 10 9 : MICHAEL E. ANDERSCN.r� v CE -4381 ♦�/f14 `CeaESo see''+•: fn �� O � a10 O 1� ] i A V N � � N ao H m /,� 63' X 3' Wide X 18' Ef eZ7tLe Dept] Q B�c�rs° 1,000 -Gal .�g i Tank I TH1 m 1 I Alternate Sitei LOT 6, BLOCK 5, MEADOWRIDGE ESTATES SUBDIVISION NORTH ADDITION SITE PLAN SCALE 1" = 80' 491H fN O p........ .. ........... to 'o A, MICHAEL B. ANDEMN:`� I�`�� • CE -4381 1`;1PR0 `vim LOT 6, BLOCK 5, MEADOWRIDGE ESTATES SUBDIVISION NORTH ADDITION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home Deep Trench System Perc. Rate: 48 Min./Inch 1,000 Gallon Septic Tank Application Rate: .45 GPD/SF 8' Drainfield Rock 3 Bedrooms X 150 GPD 1.45 GPD/SF = 1,000 SF of Absorption Area 1,000 SF/16SF/LF = 62.5 LF Trench Length Therefore: Construct an Absorption Trench 63' in Length by 3' Wide With 8' of Drainfield Rock Beneath the Distribution Lateral. Distribution Lateral to Be Placed 3' Below Existing Ground. Total Depth of Trench to Be 11' from Existing Surface. Mound Over Trench If Necessary to Provided Minimum Cover of 3'. 2'-6u 6'• Natural Backfill Geotextile Fabric 4" Perforated PVC (Slots Down) 3' TYPICAL DEEP TRENCH SECTION (NO SCALE) NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 10' Separation From Lot Line. Minimum 4' Separation From Groundwater. Minimum 10' Separation From Water Service Line. Minimum 50' Separation From Break In Grade >25% ld sp?•�7±'.t � .tee OF ,G(��;� �S J�, ti4� 4a TH s .� o:uc M10iAEL EE�5CN. •y o CE 4331 • • is Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST Performed For. MM&M Contracting Date Performed: Legal Description: IMF Block S Meadowridge Fstatec Subdivision SLOPE SITE PLAN OG/OL GM TESTHOLE NO, 1 Gravel with Silt Angular Rock Bottom of Hole Was Groundwater Encountered? No If Yes, What Depth? Depth to Water After Monitoring None Date: 7011510 Is \�•�r••~\~ elf s 49 .�..yy'��....yy ....... P : MICHAEL E. ANCER"t4 y dal CE - 4321 dsem. .•..,„ I Q4Cf0 pT��i:SS1Q�� o 10/16/00 a04iaia►'� I See Site Plan Reading Date Gross Time Net Time Depth To Water Net Drop 1 21 -Oct 10:22 1.13" 2 10:52 30 1.75" 62" 3 11:22 30 2.38" .63" 4 11:52 30 3" .63" I Perc. Rate: 48 MinAnch Perc. Hole Diameter: 6" Test Run Between 5 Ft. and 6 Ft. Comments: Test Hole Presoaked Prior to Percolation Test. Performed By: Mike Anderson, I, Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 3/22/01 Municipality of Anchorage Department of Health & Human Services 825 L Street, Anchorage, AK 99502-0650 SOILS LOG - PERCOLATION TEST i i Performed For. MMRM Contractina Date Performed: i Legal Description: iota Blocks Meadowridge Estates Subdivision St OPF SITE PLAN OG/01- GM G/OLGM TESTHOLE NO, 2 Gravel with Silt Angular Rock Bottom of Hole Was Groundwater Encountered? No If Yes, What Depth? Depth to Water After Monitoring None Date:>!/2 15/01 4191H �,r.\ n•. 100 *.MICHAEL E. ANLE]SCN p J : CE .4331 ' O,�tfaF� � • • l �a+'�J ,O4dPRO�ts ESS% � V 10/16/00 See Site Plan Reading Date Gross Time Net Time Depth To Water Net Drop 1 21 -Oct 1 10:25 .75" 2 10:55 30 1.5" .75" 3 11:25 30 2.13" .63" 4 11:55 30 2.75" .63" Perc. Rate: 48 Min./Inch Perc. Hole Diameter. 6" Test Run Between 5 Ft. and 6 Ft. Comments: Test Hole Presoaked Prior to Percolation Test. Performed By: Mike Anderson, I, Michael E. Anderson Certify That This Test Was Performed In Accordance With All State and Municipal Guidelines In Effect On This Date: 3122101 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 6, BLOCK 5, MEADOWRIDGE ESTATES SUBDIVISION GENERAL: 1. The scope of this project includes the procurement and placement of a new 1,000 gallon septic tank at the location shown on the site plan. Work also includes the construction of a new 63' long X 3' wide X 8' effective depth absorption trench at the location shown. The distribution line in the trench will be placed at 3' below the existing ground surface. Total depth of the trench will be 11' below the existing ground surface. All components of the septic syystem must be placed a minimum of 10' from the water service line to be constructed on the lot. I 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all u Iderground utility locates and for the layout of the septic system and verification of the location of all lot lines. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for I revegetation of affected areas unless specifically agreed otherwise. 1 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system Installation. SEPTIC TANK INSTALLATION i 1. A new 1,000 gallon septic tank must be be procured from an approved source and installed at the location shown. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. i 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. I 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. Lot 6, Block 5, Meadowridge Estates Subdivision March 22, 2001 Page 2 of 3 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trenches to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). Lot 6, Block 5, Meadowridge Estates Subdivision March 22, 2001 Page 3 of 3 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 1 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first' inspection must be conducted after the excavation of trenches, beds or';pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. i The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. ' OM -W DRILLING, INC. DRILLING LOG Well Owner Kenneth 'Bert Use of Well T) --m - Location (address of: Township, Range, Section, if known; or distance main road Lot 6, Block 5, Meadow P,idac 3states Size of casing �epth of Hole 580' reef Cased to 98 feet Static water level 90' ft. (alo � (below) land surface. Finish of well (check one) open end ( >0;r) Screen ( ); Perforated ( ). Describe screen or perforation Well pumping test at 3/4 gallons per>iour) (minute) for--l---hours with t nn�- vft. of drawdown from static level. Date of completion 10/6/76 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness Casincg Stickun 2 TO 10 _Silty Gravei 10 TO 11 Boulder 11 TO 12 Boulderi., 12 TO 21 Silty Gravel 21 TO 23 Boiilcler 23 TO 32 Broken rock 32 TO 38 Broken rock' R el all _'.l ,"., 33TO fi0 .-. Silty Gravel 90 TO 520 Small Bedrock, Brown, Grecn and Grav — Mater Seaps in TO Sporatic Fractures TO TO TO TO 2 — STATE " 0 & E EN044 VEERI NG & DEVEL OPI -0- NT CO. box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333.5240 Russell Oyster - fad E//is. 694.2774 Civil Engineering ; • 333-5240 :. Soils Er Foundations Surveying Land Development-, -` SOIL LOG f Performed for: Name Mr. Kenneth Wert Tel. No. 688_2113 Mailing Address: Star Route Box 1105 Chugiak. Alaska 99567 Legal Description: Lot 6 Block 5 Meadow Ridge Estates Subd. North Edition Pit '#4 Depth (feet) Soil Characteristics 0 1 ML — 275 Sq ftC Silt with roots arra organics. 2 tr 3 Y_ 4 Silty gravel y Very loose talus rock with 2" to 6e very common., 6 GM = 225 Sq.'ft. ' Rock angular to subangular in nearly point to point contact with all'voids filled with silts. 8 Very loose arra low density soil structure. 9 10 " 11 12 Bottom of pit <. 0, Ground Water Encountered: Yes No %" If yes, what depth Proposed Installation: Seepage Pit Drain Field Ccilments:-- Pit Approx. 3' x 81 in plan area. All sides of pit logoed the same. No bedrock was evident in the immediate area. I would not expect to encounter proundwater within 30 feet of the surface in the general area of this pit. Performed by: =},.,,o• �,,.. Date: 25 March 1974 COSA Checklist Legal Description: MEADOW RIDGE ESTATES NORTH ADD B5, L6 Parcel ID: 051-531-14 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA – COMMUNITY CLASS “A” WATER Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample Comments DAWN WATER SYSTEM WELL & WATER STORAGE TANK ON PROPERTY. B. TANK DATA Age of tank(s) 16 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49” Standpipes/foundation cleanout per record drawing Date of pumping 5/28/2020 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 5/21/2004 ALL standpipes present per record drawing Total measured depth from grade 12.5 ft (max) Measured depth to pipe invert from grade 5.3 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective 7.1’ INTO THE 8’ ED Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 5/21/2020 Results Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 750 gal New depth 1 in Elapsed time <1 min Final fluid depth 0 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) NA COMMUNITY “A” WELL 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 From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ 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 septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft 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 If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No 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. 7/25/2020 Parcel I.D. 051-531-14 A i Municipality of Anchorage r. On -Site Water and Wastewater Program (907)343-7904 SUBM11 Certificate of On -Site Systems Approval W 2 3 2D Expiration Date: 1. GENERAL INFORMATION to'" Complete legal description Meadow Ridge Estates North, Block 5, Lot 6 Location (site address) 25220 Homestead Road Chugiak, AK 99567 Current Property owner(s) Mailing address Real Estate Agent Vincent & Suzann Farris Day phone P.O. Box 672012 Chugiak, AK 99567 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: Three Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class A Well 1XI Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for Distance: Received by: Date: f o. Z �. 17 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ �Juo /3)� �_a/ — ° ��'�'C Waiver Fee $ Date of Payment ly�2�✓/f �{ G Date of Payment Receipt Number (jt (b� 011 Receipt Number COSA # 6t�(—1 q 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. 1 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 6. DSD/SIGNATURE ^� V System #1 Approved for J bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Phone 522-7773 Date 10 W4. OF,114 �P49 T"* � �®¢m EJ,A{>jD c,N 1-4381 see** ®' bedrooms, with the following st p'ulalons ®sem By: ,j �',� Original Certificate Date: /0 —23 -IJV- The Municipality of An¢ rage Development Services Division (DSD) issues Certificates of Onsite 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 isnot 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 COSH blue sheet r . c If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist AJI Legal Description: Meadow Ridge Estates North, Block 5, Lot 6 A. WELL DATA Well type Class A Date completed Total depth ft. Date of test Static water level Well production If A, B, or C provide PWSID # 211431 Sanitary seal (Y/N) Cased to ft. FROM WELL LOG Parcel ID: 051-531-14 Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION ft. ft. g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 5/21/2004 Tank size 1,000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (YIN) N Date of pumping 8/29/2012 Pumper Sanitary Pumpers **Tank Was Not Pumped. No Sludge Noted. Home Has Only Been Partially Used in the Last Two Years. C. ABSORPTION FIELD DATA Date installed 5121/04 Soil rating (g.p.d./ft2 orftz/bdrm) `45 GPD/SF System type Deep Trench Length 63 ft. Width 3 ft. Gravel below pipe 8 ft. Total depth 11-12 ft. Eff. absorption area 11008ftz Monitoring tube Y Depression over field N Date of adequacy test 10/16/14 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 450 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date. D. LIFT STATION Date installed "Pump on" level at Datum No Add On Manhole - Gravity Flow to Absorption Trench. Size in gallons Manhole/Access (Y/N) in. "Pump off' level at in. High water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5 Property line >5' Water main > 0 Water service line 0 Wells on adjacent lots >200' ABSORPTION FIELD ON LOTTO: Property line >10' Building foundation >10' Water Service line >10 Surface water ?100 Curtain drain None Noted Wells on adjacent lots >200' Absorption field >5' Surface water > 100' Water main N/A Driveway, parking/vehicle storage F. COMMENTS Lot is Served by Class A Water System. Water Tank Located on Lot is Part of the Dawn Water System. "Absorption Trench Pre Soaked with 2,000 Gallons of Water 24 Hours Prior to Adequacy Test. House has Been Vacant for an Extended Period of Time. G. ENGINEER'S CERTIFICATION I certify that i have determined through field inspections and .s4�F,1141e review of Municipal records that the above systems are in . ..• ••A� e. �> conformance with MOA COSA guidelines in effect on this date. �s'�00 Engineer's Printed Name Michael E. Anderson, P. E.: 4 ••�: SQA Date 10/23/14 %.............. • • ..:,..® 0 �e%.MICHAEL I- ANDERSON gO I` sjS• CE -4381 =�P 9®' ili `R COSA brown sheet 10-10-12.doc CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-531-14 1. GENERAL INFORMATION COSA # OC,�C 1 a13 Expiration Date: Complete legal description Lot 6, Block 5, Meadow Ridge Estates Subdivision North Addition Location (site address) 25220 Homestead Road Chugiak, AK 99567 Current Property owner(s) Vincent and Suzan Farris Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P.O. Box 672012 Chugiak, AK 99567 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Three (3) 3. TYPE OF WATER SUPPLY: Individual Well Municipality of Anchorage Development Services Department Individual Water Storage Building Safety Division Community, Class Well On -Site Water and Wastewater Program Public Water System 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. 051-531-14 1. GENERAL INFORMATION COSA # OC,�C 1 a13 Expiration Date: Complete legal description Lot 6, Block 5, Meadow Ridge Estates Subdivision North Addition Location (site address) 25220 Homestead Road Chugiak, AK 99567 Current Property owner(s) Vincent and Suzan Farris Mailing address Lending agency Mailing address Real Estate Agent Mailing Address P.O. Box 672012 Chugiak, AK 99567 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Three (3) 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community, Class Well ❑ Public Water System ❑✓ Day phone Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site ❑✓ Individual Holding Tank ❑ Community On-site ❑ 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 Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. F(016 49m *r 5. DSD SIGNATURE �+ �sf .• w" "'y u: d ��Approved for bedrooms. ,i;R`aa� AP Disapproved. 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 _(/ v Q Original Certificate Date: (Rev 11105) Municipality of Anchorage �• Development Services Department Building Safety Division 1 i On -Site Water & 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 CHECKLIST Legal Description: Lot 6, Block 5, Meadow Ridge Estates Subdivision North Addition Parcel ID: 051-531-14 A. WELL DATA Well type Class A If A. B, or C provide PWSID # 211431 Well Log (YIN) Date completed _ Sanitary seal (YIN) _ Wires properly protected (YIN) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m. 9-P m WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Other bacteria colonies/100 mL Arsenic: _ mg/I Date of sample: _ Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 5/21/2004 Tank size 1,000 gal. Number of Compartments Two Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N Date of pumping 8/29/2012 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed 5/21/2004 Soil rating (g.p.d./ftp or ft2/bdrm) A5 GPD/SF System type Deep Trench Length 63 ft. Width 3 ft. Gravel below pipe 8 ft. Total depth 11-12 ft. Eff. absorption area 1,008 ft Monitoring tube Y Depression over field N Date of adequacy test 8122/12 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 450 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at_ in. "Pump off' level at _ in. High water alarm level at Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas _ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5_ Absorption field >5' Water main NIA Water service line >to' Surface water >100' Wells on adjacent lots >200' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main >10' Water Service line >10' Surface water >100' Driveway, parking/vehicle storage >25' Curtain drain None Noted Wells on adjacent lots >200' F. COMMENTS: Lot is Served by Class A Water System. Water Tank Located on Lot is Part of the Dawn Water System. G. ENGINEER'S CERTIFICATION 1 certify that t 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 Michael E. Anderson, P.E. Date 101712009 COSA Fee $ LAC) Date of Payment Receipt Number hDiO OJaG, (Rev. it/05) Waiver Fee $ _ Date of Payment Receipt Number a�A,;: . 49m s in. AUCIM IL AMMON f AV C5*4381 .•��a"� MEADOW LOT Home .C7 ;• �� r 49th •': MICHAEL E. ANDERSON No, CE -4381 Municipality of Anchorage Page 2 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 Permit Number: SW040038 PID No. 051-531-14 RID"' ESTATES "'5'23 6, LOCK 5 \ 130,94 S.F. � 1 i Abandoned Well 1 Water Tank 1 (Serves Dawn Water System) �TH3 A I B St 58.5 35.9' S2 63.6' 41.8' C4 55.3' 53.7' C5 138.1' 76.4' M 1 135.6-171.3 NOTE: No Slopes >25% Within 50' of Septic System. PLAN AS BUILT SCALE V = 60' LEGEND S1 - Septic Vent CO - Clean Out M1 - Monitor Tube TH - Test Hole FCO - Foundation Cleanout ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX MEMORANDUM DATE: August 28, 2012 TO: Jeff Poet FROM: Mike Anderson, P.E. SUBJECT: Lot 6, Block 5, Meadow Ridge Estates North Subdivision As -Built Report The inspection report for this lot was apparently never finally approved. I was unaware of this until recently when we were requested to complete the Certificate of On Site System Approval. My responses to Joe Goodall's comments made on May 9, 2005 are as follows: ' I1' No exception fee is necessary as the final design is identical to the original design. The actual location of the house changed from the initial permit issuance. The file shows the permit was renewed at least twice before the septic system was finally constructed. The original design and permit were completed in 2001. Construction was completed in 2004. �j )2 . Test Hole No. 3 was completed and submitted to the City. The entire alternate site falls within the 30' radius of Test Hole No. 3. �r1. The Site Plan has been drawn to a 1"=60' scale. 4 No slopes on the property exceed 20% and most are less than 10%. Substantial grading and revegetation has taken place on the lot since the septic system was constructed. It is not necessary to show the slopes on the Site Plan. 5. The storage tank belongs to the Dawn Water System and not to the property owner. The abandoned well is also the responsibility of the Dawn Water System. Water is provided to the lot by the Dawn Public Water System. L) 6. The house has only three bedrooms. The Municipality unilaterally changed the tax assessment in May of this year to 4 bedrooms. An appraisal verifying the number of bedrooms is attached. MUNICIPALITY OF ANCHORAGE PLATTING AUTHORITY RESOLUTION NO. 2000-14 (Amended( ANCIIORAGE RECORDING DISTRICT A RESOLUTION APPROVING THE REMOVAL OF THE 100 -FOOT AND 200 -FOOT WELL RADII AND DELETION OF PLAT NOTE S ON PLAT 74.133 FOR LOT 6. BLOCK 5, MEADOW RIDGE EF—" TES SUBDIVISION, NORTH ADDITION LOCATED IN THE SW ''A OF SECTION 2, T15N. F I M„ ALASKA. WHEREAS, a request has been received from the Rugged Cross Tabernacle to remove the 100 -foot and 200 -Coot well radii shown on Plat 74-133 and to delete Plat Note S that states, 'Within 100` radius orwell there shall be no source of contamination, and all portions of sewer systems except case iron pipe with leaded & caulked joints shall be outside of the 200' radius Iine' that applies to Lot 6- Block S. Meadow Ridge. Estates subdivision. North Addition, located in the SW 'd+ of Section 2, TI5N, RIW, S.M., Alaska, and WHEREAS, notices were published, posted and mailed and a public hearing was held on July 19, 2000. f— es it Vit? G:lN .i nt O giro C:) o 0 NOW, THEREFORE, BE IT RESOLVED by the Platting Authority that: 1, The Platting Board makes the following findings of fact. a. The well radii were platted for a proposed community well that was to serve the North Addition to Meadow Ridge Subdivision. The well was drilled, but found not to produce sufficient. water. The well has never been operational either as a community well or as a private well b. The Dawn Development Corporation owns the public water system that. serves the 21 residertia: lots in Meadow Ridge Subdivision, - North Addition, The water distribution system is gravity -ted with a holding tank located on lot 6. An easement allows access to the water well and storage tank located on Lot 6. This easement for access to the water well and storage tank; as well as for maintenance purposes, was granted to the Meadow Ridge Estates Subdivision Homeowners Association and recorded .April 2, 1991 at Book 2138, Page 188. The access easement will not be affected by removing the well radii. C. The Board found that there is no need for thr well radii and the plat note referring to the well radii as the well is not and has never functioned as either a community or a private well due to the low yields obtained during the original pumping tests. 2. Passed ane' approved by the Platting Authority thi 19tl' day of July 2000. This resolution ainends Resolution 2000-14 vI rtird, 8 4(00 at Book 3680, Page 318. f J r1, 2f'y1-y.rvL. Stfsan Fison, Secretary RIM" munalp.iIY4t' *^' iXpi, t:amnlum�. ,gnfir+rblpn,np r:6, ikn trGie AlmAlc Kr, hx •✓' omtNSn n� Mbfnr9nrrlr�l2<xn Don F Chair Case S-10618