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HomeMy WebLinkAboutEATON PARK LT 1Eaton Park Lot 1 #051-492-52 Municipality of Anchorage Development Services Department Building Safety Division On Site Water and. Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page of www.ci.anchorage.ak.us- (907) 343 -7904 - ON -SITE WASTEWATER' DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO50230 PID Number: 051-492-52 Name: LH construction, Inc Wastewater System: ✓❑ New [I Upgrade Address: 12130 Regency Drive, Suite 201 Eagle River, AK 99577 ABSORPTION' FIELD Phone: 522-1616 Number of Bedmoma: Four D Deep Trench id Shallow Trench D Bed ❑ Mound Cl Other LEGAL' DESCRIPTION, .Soil Rating: Total Depth from original grade: 5-6 .8 GPDfFh Ft. Block: Lot: 1 Subdivision: Eaton Park + Depth to pipe bottom from original grace: Gravel depth beneath pipe: 4-5 Ft. 1 Ft Township: Range: Section: :. Fill added above original grade: Gravel Length: 1-2 Ft. 56 Ft. Well: ✓❑ New. Upgrade -. Gravel width: Number of lines; Distance between line s: 15 FL 4 3.6 Ff. Gassigcation (Pmade, A, B, C): Tvlai Depth: Cased to: ;Total absorption area: Pipe Material: Private 204 Ft. 204' Ft. : 840 Ft. ASTM D3034 PVC Driller Date Drilled: Static Water Level: .Installer. Data Installed: Sullivan Water Wells 6/12/06 140 F LH Construction, Inc, 10I11/06 - Yield: Pump Sa[at Casing Height Above Ground: TANK 25 GPM 163 Ft. 2 Ft SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding. 3ulolicIPnvate :Manuraaurer. Capacity. From Tank Field- Station Tank Sewer Line '. Anchorage Tank 1,250 Gal. -Material: Number of Compartments: Well >100' >100' N/A NIA >25' Steel Two (2) Smfacewater >100' >100' NIA N/A LIFT STATION ¢a: manuracturar Lot Line >5! T" NIA N/A Gel. :.Pump on' level at 'Pump off level at: High water alar at: Foundation >5' >10' NIA N/A in. In. In. '. Pump Make &Model ElecVical Inspections performed by. curtain Drain None Noted Remarks: See Lot Line Waiver. BENCH. MARK Location and Description: Garage Slab Assumed Elevation: 100.0 Fl. Inspections performed by: A. W. Murfif /Anderson Dates: let 10/11/2006 40t Of ,4 #' 2 n 7/zo/2oo6si A.Q:'�'•s'F'1 Development Services Department Approval* ¢gay *� Conditional Approval Date: ........................ .... MICHAEL E. ANDERSON +� J . CE -4381 �i��}� Reviewed and approved by: �C Date: 'Z O iROF� 0 *�►"� Permit No.: SWO50230 Lot 1 Lot 1 Z 0 O Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 8ragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report WYNTER I PARK SUgD.. N 89'59'27"E 178.75' 15' TELECOM & ELECTRIC EASEMENT Lot I 0.92 Acres 40,008 s.f. 5 Four Bedroom Home p0 Lot 2 Page 2 of 3 PID No. 051-492-52 -PLAN AS -BUILT - SCALE 1' = 50' Note: Alternate Site is an Advantex Treatment System. A B S1 31.9' 25.7' S2 35.4' 31.8' C4 46.4' 47.9' C5 43.6' 83.2' M1 41.8' 65.3' o C8 54.2' 90.6' S2 C4 o0 S1 W m Mh ! Alt Site 10'x29 TH TFP Lot 2 C5 C8 -PLAN AS -BUILT - SCALE 1' = 50' Note: Alternate Site is an Advantex Treatment System. 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. SWO50230' U 99.3' Grade PROFILE No Scale Page 3 of 3 PID No. 051-49252 99.2 y U UU UGall.0 FLO g U 98.0 99.05 100.0 Drainfield: Rock I 2' Sand Fitter og n 93.86 —87.0 No Groundwater 56' (Bed Length) AS -BUILT 91.0 Arctic hump & Well Inc. - Jim Sullivan, CPI PO Box 770197 ontc sm' -: Eagle River, AK 99577 (907)688-2510 (907)258--2510 (907):745-2510 anw(aleci.net Pump! fnstalTat on! Log Well Drilling Permit Number: SW060182 Parcel Identification Number: 051-492-52 Legal' Description:Eaton Park Lot:1 Block: Pump Installation Date: 8-24-07 Date of Issue: 6-28-06 PropertyOwner Name & Address: LIf construction 12130 Regency DR #201 P.M. AV 00;77 Pump Intake Depth Below Top of Well Casing: 183. Feet Pump Manufacturer's Name:. Dempster Pump Model:MBF2-75-S2 Pump Size:3/4 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name: Martinson Pitless Adapter Installer: Arctic Pump & Well, Inc. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments:: Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page I of 1 �Certitie� rf��i g tog by DOC CC. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 TELEPHONE 688-2759 OWNER OF LAND: j",A CQ.^° BORE rIOLE DATA ADDRESS: LEGAL DESCRIPTION: LA e12) A�/zr `' a o i DATE: r PERMIT NUMBER: ^`_ 't^ 2 ":R Date of Issues TAX IDENTIFICATION NUMBER: R Is well located at approved permit location? 134rl§�s U No Method of Drilling: a a`ir rotary 7 cable'tool Depth of well: ^' !, ^f -°i Casing Type T'^ Wall Thickness '`3 `' inches Diameter inches, depth.6 ` "tI feet Liner Type: Casing Stickup Above Ground: Static Water Level: ` '' feet :Recover Rate: ` gpm Method of Testing: y Well Intake Opening Type: G -Sp end U open hole U Screened; Start feet Stopped feet U•Perforations Startfe t ,Mopped. . r.�. Grout Type: Volume Depth: from r 1 feet, to 67" 'D feet Well Disinfected Upon Completion? `'3�U'No Method of Disinfection:' feet Comments: DEPTH Fo To R lrf£_ eF - ^f -°i fel ��' %�pFi4i.wM` .Z �.�..+'.•' ez, els,(^-s. AW "0571 V Driller's Name `" « P 4 ATTENTION: It is the responsibility of the property owner to submit a copy of'the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. July 22, 2008' Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 9951`9 -6650 - Subject: Lot 1 Eaton Park. Subdivision Separation Distance Waiver Absorption Trench to Lot Line Dear On Site Services Engineer: The eastern edge of the absorption bed recently constructed on Lot 1, Eaton Park Subdivision was constructed within 7' of the eastern lot line. Placement of the bed in this area will not conflict with other septic systems or wells in the area Soils in the subdivision are clean well graded sand' and little or no migration of effluent is expected. We therefore recommend a waiver be issued to allow placement of the bed at 7' from the east property line. Sincerely, P� Michael E. Anderson, P.E. ,MICHAEL 6 ANDERSON . No CE -138: _ Mayor Mark Begich 7/23/2008 Municipality of Anchorage °me Mie qOTT M"Wo a P.O. Box 196650 • duchoiage, :llaslr�l 99,519-6650 • 4700 Elmore Road i° Office(907) 3438301 • Pax: (907) 343-8200 httl)://Nitivce.mmiii.org Development Services Department Department Mike Anderson Anderson Engineering P.O. Box 240773 Anchorage, Ak. 99524 Subject: Waiver Request for Eaton Park Lot 1 Waiver Request #WR080051 Parcel ID #051-492-52 HAA# 080239 Permit # 050230 Dear Engineer, Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 7.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department • Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 WR#: 080051 PID#:051-492-52 Date Received: 7/23/08 Legal Description: Eaton Park Lot 1 Engineer: Mike Anderson Waiver Review Worksheet HA#:080239 Permit#: 050230 Anderson Engineering P.O. Box 240773 Anchorage, Alk. 99524 Applicant: LH Construction Inc. Waiver Requested: 7 feet separation distance absorption field to property line. Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: ............................................................................... Waiver is Granted: t'` Waiver is not Granted: List Conditions or Reasons for above: Date: By: _ ........................................ Rec#: 57810 Amount: $175.00 Date Paid: 7/23108 ................................ March 7, 2007 Municipality of Anchorage Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street Anchorage, AK 99519-6650 Attention: Mr. Dan Roth Subject: Lots 1 and 2 Eaton Park Subdivision Fill Material Over Septic Systems Dear Dan: LH Construction has requested a fill permit to place material on Lots 1 and 2 of Eaton Park Subdivision. The attached plan sheets prepared by LanMark Engineering and Surveying show the apparent limits of the fill. A portion of the fill will be placed over the septic systems and reserve sites on each lot and contoured to improve the site drainage and overall surface of the lots. We recently inspected the lots and found septic systems in place at each location. Currently only 1' of fill is in place over the septic tanks and 1.5' of fill over the absorption trenches. A maximum of 5' of fill can be placed over the tank and before the load will exceed the manufacturer's recommendations for depth of cover. The absorption trench can be covered with 5' of material with no adverse affects. We therefore recommend the fill depth be limited to 5' unless the septic tanks currently in place are relocated to higher elevations. Care must be take to insure the cleanouts and monitor tubes which currently access the tanks and absorption trenches remain straight and level during the filling and grading process. Sincerely, Michael E. Anderson, P.E. Attachments 11/10/2006 15:47 9075626040 178.75' C,r L0t 1 0 L- N / 4 9 LANMARK PAGE 02/03 N 89°59'27"E 1093.541 FILL 1436 SOFT 1 of 2� 0.92 Acres 40,052 s.f. 0+25 f 0AMIC srAe t face so Pact NOTE: MAXIM SLOPE NOT TO MED 2:1. SLOPES WMAIM THAN 3:1 ft=mE TOP SOIL AND TO BE SMED. zs tx.s c tzs 100 FOR; IH Coastarut tion Date 10-19-06 y Scale 1" m 50,tot Legal Desert t 1 Block LanMark rrid Plot Plan aw-09 ksa—oft Aa. NW1361 2600823 EATON PARK 0930 vanguard Drive. Suite 203 Anchor n a, Alaskn 90607 SUBDIVISION prate by Field Beak (ao� see -Soso CEF I hereby certify that the property described hereon hike been surveyed �. OF f1 by me, or at my direction, and that the improvements situated. thereon are within the property lines and do not overlap or encroach on the ♦+�� ,9 , w�P,. •• •S��I property lying adjacent thereto unless otherwise shown. That no improvements on the property lying adjacent thereto encroach on the r �: M 49 TH ' premises in question and that there are no roadways, transmission 1r *; lines or other casements on said property except as shown- At.... ••�".I...... ....... It is the responaibility of the owner or builder, prior to construction, verify proposed building grade relative to finish grade and utility ,.,¢.............. °t ' :... 0.r,,. CHARLES E. FORKS connections and to determine the existence of any easements, covenants, the subdivision plat. ♦ w� ;. LS -1326 - •, J�.". or rentrtetion, which do not appear on recorded .. CP cs 1 Listed distances prevail over coaling. b )tp�OlssSls Da\�"a�,�"► Reproduction may cause distortion. 1ikOSS10��.� December 8, 2006 LH Construction 12130 Regency Drive, Suite 201 Eagle River, AK 99577 Attention: Lynn Lythgoe Subject: Lot 1, Eaton Park Subdivision Fill Material Over Septic Systems Dear Lynn: The Municipal Ordinance governing septic systems does not prevent the placement of fill over septic system absorption trenches or beds. The ordinance does state that absorption trenches or beds must be constructed in naturally occurring soils and cannot be placed in fill material. The fill material must therefore be placed in such a manner that the underlying natural soil can be easily accessed for construction of the absorption trench or bed to serve any home constructed on the lot. It is my understanding you intend to place up to 9' of fill over the absorption trench and alternate site of Lot 1, Eaton Park Subdivision. Placement of fill in this manner is acceptable. The absorption trench must be constructed in the original ground material and below the organic layer. The distribution pipe in the trench would be a minimum of 10' below the finished ground surface once the fill is in place. The total depth of the trench would be 14' below the surface assuming the trench was constructed to the configuration of a 5' wide trench with a 4' effective depth. Excavation to this depth is easily accomplished with the construction equipment available for use today. Care must be take to insure the cleanouts and monitor tubes which access the absorption trench are placed straight and level to allow easy access. The septic tank can be placed in the fill material provided it is founded on material that is properly placed and compacted to 95% of maximum theoretical density. The depth of fill placed over the tank should not exceed the manufacturer's recommendations. This depth is typically 6' to 10' depending on the thickness of the steel used to fabricate the tank. Sincerely, Michael E. Anderson, P.E. IF FIZZ I ro It / i M,qvf Na ont-cr,o.v 12/1 3/O FI p' ` PROfrRAlk /kliN/4CrER� DN-SlTF_ 4/+S7-EIu7rp MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 11 (907) 343-7904 �O ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Permit Number: SW060182 Legal Description: EATON PARK SUBDIVISION LOT 1 Design Engineer: 0009 A.W. Murfitt Company, Inc. Owner Name: L.H. CONSTRUCTION Owner Address: 12130 REGENCY DRIVE #201 EAGLE RIVER , AK 99577- Renewal Date Issued: Jun 28, 2006 Expiration Date: Jun 28, 2007 ParcelID: 051-492-52 Site Address: 24181 SKI ROAD Lot Size: 40008 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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. 5. The following special provisions. AN ADDITIONAL TESTHOLE NEEDS TO BE COMPLETED DURING CONSTRUCTION TO DETERMINE THERE IS 6 FEET VERTICAL SEPARATION FROM THE BOTTOM OF THE PROPOSED SEPTIC BED TO AN IMPERMEABLE LAYER. ADDITIONAL TEST HOLE NEEDS TO SUBMITTED WITH AS -BUILT INSPECTION REPORT. Received By: Date: 6 Issued By: Date: 6&DL Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 wvvw.muni.org/onsite (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. ofu— qq'_!� -.50? Property owner(s) L- # r Mailing address .gin G phone�� Site address c' 1 SIG -t �K)C)14D Q Zip Code Legal description (Sub'd, Block & Lot) EI]}7-LAi / /4-P'K 4 T/ Legal description (Township, Section & Range) Lot Size cl-606S Sq. Ft. THIS APPLICATION IS Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage FOR (®all that apply): Ea ❑' 171 El a FJ Number of Bedrooms THIS APPLICATION IS AN: Code` Initial ❑ Upgrade ❑ Renewal ❑ 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. C (Signature of property owner or auihKrized agent) Permit/Rush Fees: 11.E Waiver Fees: Date of Payment: 41/241&& Date of Payment: Receipt Number: ­?3�aA Receipt Number: (Rev. 11105) 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 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW050230 Legal Description: EATON PARK SUBDIVISION LOT 1 Date Issued: Jul 18, 2005 Expiration Date: Jul 18, 2006 Parcel ID: 051-492-52 Design Engineer: 0009 A.W. Murfitt Company, Inc. Site Address: 24181 SKI ROAD Owner Name: L.H. CONSTRUCTION Lot Size: 40008 SQ. FT. Owner Address: 12130 REGENCY DRIVE #201 Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER, AK 99577 - This permit is for the construction of: ❑✓ Disposal Field KSeptic Tank ❑ Holding Tank ❑Privy ❑✓ 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. 5. The following special provisions. AN ADDITIONAL TESTHOLE NEEDS TO BE COMPLETED DURING CONSTRUCTION TO DETERMINE THERE IS 6 FEET VERTICAL SEPARATION FROM THE BOTTOM OF THE PROPOSED SEPTIC BED TO AN IMPERMEABLE LAYER. ADDITIONAL TEST HOLE NEEDS TO SUBMITTED WITH AS -BUILT INSPECTION REPORT. i Received By: Date: G Issued By: ln Date: 71 i8.� ° Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. (7 /— y 9�' 3 Permit Number SW Property owner(s) L, u (�46euebmj Day phone S 2 2 —�4 (0i Mailing address (2130 Aegpoacy_ Px— (i F rAk Zip Code I? S 7 Site address Legal description (Lot, Block & Sub'd.) Loi ( z�a Oto IIag- k Legal description (Section, Township & Range) �� 9 T / SN I 1 ' I W SPct /0 Lot Size G//)�l GDV Acres/Sq.Ft. Number of Bedrooms L� 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 Dwellingaid is in accordance with applicable Municipal Codes. _ .n (Signature of property owner or`�authorized agent) Permit/Rush Fees: 7 �D ,ad y� �` Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: (Rev. 09/04) A.W. Murfitt Company_ CONSULTING ENGINEERS & TESTING 13810 Venus Way • Anchorage, Alaska 99515 • Telephone (907) 345.2737 • FAX (907) 345-3264 July 12, 2005 Municipality of Anchorage Department of Health & Human Services On -Site Services Section 4700 South Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 ATTENTION: Mr. Jim Cross, P.E. RE: Septic System Design Four Bedroom, Single Family Dwelling Lot 1, Eaton Park Subdivision NE 1/4, T15N, R1W, Sec.10, S.M., AK. LH Construction, Inc. Peters Creek, Alaska Our Job 05-394.14 Dear Mr. Cross: The referenced property represents an undeveloped 40,008 square foot parcel. The proposed four (4) bedroom, single family dwelling is shown on the attached site plan, Plate 2. Our design data is summarized in the following dialog. 1. SOILS: Attached is a copy of the soil log/percolation test data and Site Plan. The log documents a Silt (ML) soil profile to a depth of 4 feet, and then Gravel with Sand and Silt (GW -GM) to a depth of 13 feet below the ground surface. No water table was encountered with monitoring through 9/20/03. The receiving soil has a percolation rate less than one (1) minute per inch. A filter sand is required to slow the absorption rate. 2. BED DRAIN FIELD DESIGN: a. Percolation Rate: greater than 1 minute per inch with filter sand (CPP Palmer, T & J Services Wasilla). b. Allowable application Rate: 0.7 gallons/day/ft.z c. Number of Bedrooms: 4. Page 2 July 12, 2005 Lot 1 Eaton Park 05-394.14 d. Design Flow: 600 gallons per day (at 150gallons/bedroom). e. Minimum Absorption Area: 858 s.f. f. Maximum Total Depth (below original grade): 8.0 ft. (4'— 2" cover, 1.0 ft. sewer rock, 2.0 feet filter sand). g. Width: 15 ft. h. Minimum Length: 60 feet. i. Effective Absorption Area = 900 s.f. 3. SURFACE WATERS: There are no surface waters within 300 feet of the proposed septic system. There are no streams or drainages on the property. 4. TOPOGRAPHY: The septic site slopes to the northwest at 24 percent. No 25% slopes exceeding in the immediate area. 5. IMPACTS: On the basis of our site visit and the available site information, there are no current well and septic developments within 100 feet of this system. Accordingly, there will be no adverse impacts on adjacent wells or septic systems of adjacent lots when built as designed. 6. WELL and SEPTIC INSTALLATION: The well installation is to be installed by a certified well driller. The septic system designed herein shall be constructed in accordance with the most recent AMC 15.65 by an approved septic system installer. The installations shall be completed in accordance with the requirements of the On Site Well and Septic Permits. The overall Eaton Park development plan has already been submitted to DHHS but a copy is attached for information. Page 3 Lot 1 Eaton Park July 12, 2005 05-394.14 Please call our office at 345-2737 if you have any questions or need additional information. Sincerely, A.W. Murfitt Company 7 Allan W. Murfitt, P.E. Registered Civil Engineer 4977-E COPY TO: LH Construction, Inc. Mr. Mike Irving ATTACHMENTS: Percolation Test Report, Bed Drain Field Design Plate 1, Site Plan Plate 2, Soil Particle Size Distribution Report Figure 2. WYNTER .ice! (_L' PFFD'• • •r.....Q., OFES��� Lot 1 N tr rn N N '13M' TOP of a` Ra*vJ,na. PARK] B L 0 CCK Lot 1 1 SUBDIVISION 2 Lot 2 N 89'59'27"E 178.75' 15' T&E m EASEMENT N m� SEE HOUSE OF AIL S/•Z a t;F tL 9523 69.2' B w MI 4soo 4Lot .f 0.008 s.f. 63600 5 i No. 1 �S�T `•�riXaro 2�3oti __. o � � / / U DEE / P P Lot 2 HOUSE DETAIL SCALE: 1" = 30' PLOT PLAN X AS BUILT _ SCALE 1" = 50' GRID NW 1361 Project No. 05-086 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax_o��n pQ� kglanglsOalaska.net / jclanglsOalasko.net Do`�,.•• •• ••-.,q�04 I hereby certify that I have surveyed the following described property: Lot 1, EATON PARK SUBDIVISIONS �} QTH 9¢ Anchorage Recording Dt~, Alaska, and that the Improvements situated thereon aro within the properly lines and do not encroach onto the property adjacent thereto, that j no Improvements an the property lying adjacent thereto encroach on the surveyed[4-.z'i:'�•�.premises and that there are no roadways, transmission lines or other visible • G. easements on said property except as Indicated hereon. Q KENNETH LAN _ Q LS -5202 VV G Dated this the 2Ih� Day of Ju ti3 2dDS • at Anchorage, Alaska `�l ^ •. ... O oQ0 ,�1 0 N Is the responsibility of the owner to determine the existence of any easements, 2 NOTE: En SEE ENGINEERS PLANS M;1'0 0 FOR LOCATION OF WELL o AND SEPTIC. p S Mn. nj ;� 1s n� o,rer i� e cey ve ac�a g 57. ' Lot 2 LEGEND 300.4 EXISTING ELEVATION 1301.0 PROPOSED ELEVATION "6D — SURFACE DRAINAGE LE ane LOT COVERAGE = 5.9% w 477.2 MS 7 32 o � � / / U DEE / P P Lot 2 HOUSE DETAIL SCALE: 1" = 30' PLOT PLAN X AS BUILT _ SCALE 1" = 50' GRID NW 1361 Project No. 05-086 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax_o��n pQ� kglanglsOalaska.net / jclanglsOalasko.net Do`�,.•• •• ••-.,q�04 I hereby certify that I have surveyed the following described property: Lot 1, EATON PARK SUBDIVISIONS �} QTH 9¢ Anchorage Recording Dt~, Alaska, and that the Improvements situated thereon aro within the properly lines and do not encroach onto the property adjacent thereto, that j no Improvements an the property lying adjacent thereto encroach on the surveyed[4-.z'i:'�•�.premises and that there are no roadways, transmission lines or other visible • G. easements on said property except as Indicated hereon. Q KENNETH LAN _ Q LS -5202 VV G Dated this the 2Ih� Day of Ju ti3 2dDS • at Anchorage, Alaska `�l ^ •. ... O oQ0 ,�1 0 N Is the responsibility of the owner to determine the existence of any easements, 2 BUILDING T FOUN CO 5' MIN 0 0 T 5' MIN MONITOR TUBE FILTER FABRIC- N 4" PVC (D3034) SLOPE 1/4 INCH PER FT. MIN. NEW 1250 -GAL _ 2 COMPARTMENT STEEL SEPTIC TANK SYMMETRIC ABOUT C.L. MOUND BACKFILL FOR DRAINAGE SEPTIC ROCK PER MOA SPEC.'S 4' SWEEP CLEENOUTS WITH CAPS. TYP. OF TWO 4' IN 2" ' PERF. PIPE I FT. 6' 1 FILTER SAND BED 2 FT. PER MOA SPEC.'S NO GW TO 13' CLEANOUTS� (TYP) 4" x 56' PERFORATED PIPES LAID LEVEL. 4 PIPES AT 4 -FT CENTERS, PLAN 15'x 60' BED N.T.S A11 P I, VV 4', 11F 's NO 49 .... , ....y - a5ZWWL; 4"., " PLATE A. W. Murfitt Company L H Construction, Inc. encs ayAnchorage, 515 Lot 1, Eaton Park Subdivision 907 345-2737 Fax: 90 345-3624 Peters Creek, AK Job No. 05-394.14 Date: 7/11/05 Drawn: RH T _ ��/ �2' BOTH ENDS BED SECTION N.T.S —r Notes: F F I I I 1. No neighboring wells or bodies of water are 4" SWEEP I I I I TOWARDS TANK located within 100' of this proposed Y ro sed s stem. I I I 2. On -lot well to be 100' min. away from system. TEST PIT I I I I.5 FT. TYPICAL 3. System 10' min. from property line set back. (CENTER) I I I ( 4. All pipe is 4" PVC (ASTM D-3034) with 4" I I I I perforated PVC used in the wide drainfield. I 5. All distances shown on the above drawing are ® minimum for Construction of the septic system. I I I I 6. Insulation required with 4' or less cover. I I I 7. System to be installed by MOA certified 4" MT MIDDLE OF installer. FIELD. PERFORATED g Two (2) inspections are required by a I I I IN SEPTIC ROCK, Registered Civil Engineer. SOLID SECTION g g I I I ABOVE. 9. No driveways on / over septic system. mm C T — 10. Driveway is to be constructed so that it is not on / over the reserve septic area. 11. 0.92 acre site undevelbne f'v,, CLEANOUTS� (TYP) 4" x 56' PERFORATED PIPES LAID LEVEL. 4 PIPES AT 4 -FT CENTERS, PLAN 15'x 60' BED N.T.S A11 P I, VV 4', 11F 's NO 49 .... , ....y - a5ZWWL; 4"., " PLATE A. W. Murfitt Company L H Construction, Inc. encs ayAnchorage, 515 Lot 1, Eaton Park Subdivision 907 345-2737 Fax: 90 345-3624 Peters Creek, AK Job No. 05-394.14 Date: 7/11/05 Drawn: RH Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG/PERCOLATION TEST Performed For: Lang and Associates, Inc. Date Performed: 9/12/03 Legal Description: Eaton Park Subdivision Lot 1 Township, Range, Section: NE 1/4 Section 10, T15N, R1 W, S.M. SLOPE SITE PLAN T 0-.5'- Forest Litter/Organic Mat IJi ) I 2� I I 1111 .6-4 Sift, brown, with organics 3 I 4'-13' Gravel with Sand and Sift (GW -GM), gray, moist 4 , 5'-5.5' Bulk Sample for particle size analysis 5 I 1 5.5' Percolation Test 6 7i 8� I 10 11 12 WAS GROUND WATER ENCOUNTERED? -- IF YES, AT WHAT DEPTH? 13' Bottom of Hole. Depth to WaterAfter +3 Monitoring?No Water 14 15 1 1 Backhoe Test Pit I t I ' 16 4�. ., _.... S L Gross Time 1 5.25" 9/12/03 4:40 pm I I I 111.0" 1 E )ate: 9120/03 2 min 15.75" I 1 4:43 pim Reading Date Gross Time Net Depth to Nei Time Water Drop i 5.25" 9/12/03 4:40 pm 111.0" 1 4:42 pm 2 min 15.75" I 5.25" 9/12/03 4:43 pim 11.0" 1 4:45 pm 2min ISM I I i I i 1 I 20 J ( PERCOLATION RATE <. i ,. Itninuteslhch) PERC HOLE DIAMETER 6" I — I �y ( MST RUN BETWEEN 5.5 FT AND 6 FT COMMENTS PERFORMEDBY: CERTIFY THAT THIS TEST WAS PERFORMED IN q ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: FV,03 S Particle Size Distribution Report SIEVE SIZE PERCENT FINER SPEC* PERCENT PASS? (X --NO) 1.5 in. 81.5 0.75 in. 63.5 0.5 in. 50.1 0.375 in. 43.7 #4 32.7 #10 23.2 #20 16.6 #40 12.0 #60 9.0 #100 6.9 #200 5.6 (ao specification provided) Sample No.: I Source of Sample: Location: Lot 1 C le A.W. M U rfitt 1Projnect: Com CLAY Soil Description Well -graded gravel with silt and sand Atterhe Limits PL= NP L = NV P1= Coefficients D85= Dgp= 17.2 D50= 12.7 D30= 3.84 D15= 0.674 Dip= 0.302 Cu= 56.83 Cc= 2.84 Classification USCS= GW -GM AASHTO= Remarks Natural Moisture 4.90/6 Lang and Associates, Inc. Eaton Park Whaley Subdivision 3rd Addn. Date: 9/12/03 ElevJDepth: 5.5' 2 Certificate of On -Site Systems Approval Parcel I.D. 051-492-52 1. GENERAL INFORMATION Complete legal description EATON PARK LOT 1 Location (site address) 24181 SKI ROAD, CHUGIAK, AK 99567 Expiration Date: re� 1 S , )0,2 0 Current property owner(s) BERNARD & CATHLEEN KNIGHT Day phone Mailing address 24181 SKI ROAD CHUGIAK AK 99567 Real estate agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the. engineer. COSA Fee $ 55 o Date of Payment I �S Receipt Number 0 1 a COSA # OS C A� 1 5 3�0 Date: Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm ANDERSON CONSTRUCTION & ENGINEERING Phone 345-3377 Address 4661 NATRONA AVENUE, ANCHORAGE, AI< 99516 Engineer's Printed Name MICHAEL N. ANDERSON, PE Date 11/7/2019 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 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 FWrS and Anderson Construction & Engineering. 6. DSD SIGNATURE �] ./ System #1 Approved for I bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: OF,q��_X,��� �. WATER AND m= Jr*�VV.As I EWATER o P('t7 n %I ] By: Ru��� �01 n Original Certificate Date: g The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory X Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: EATON PARK LOT 1 Parcel ID: 051-492-52 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 6/12/2006 Total depth 204 ft Cased to 204 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 10/31/2019 Static water level at beginning of test 144 ft. Well production at time of test 4.8+ gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 7.29 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 10/31/2019 Comments __________________________________________________________________________________ B. TANK DATA – 10/11/2006 - 1250 GAL Age of tank(s) 13 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49 Standpipes/foundation cleanout per record drawing Date of pumping 10/31/2019 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 10/11/06 ALL standpipes present per record drawing Total measured depth from grade 7.1 ft (max) Measured depth to pipe invert from grade 5.5 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 10/31/19 Results Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 650 gal New depth 0 in Elapsed time <1 min Final fluid depth 0 in Absorption rate 600+ 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) 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 *7 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 *MOA WAIVER ON FILE 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. 11/12/19 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907-343-7904 On-Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org Nitrate Advisory Certificate of On-Site Systems Approval # OSC191536 Subdivision: Eaton Park, Lot: 1 A water sample revealed a nitrate concentration of 7.29 milligrams per liter (mg/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached “Nitrate Fact Sheet” for important information regarding nitrate. 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 Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as “blue baby” disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several “wet chemical” methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive “screening test”, and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL a�a2 Parcel I.D. 051—-52 Expiration Date: 1. GENERAL INFORMATION Complete legal description EATON PARK LOT 1 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 24181 SKI ROAD *CHUGIAK AK 99567 CARL NELSON Day phone C/O AGENT 24181 SKI ROAD *CHUGIAK AK 99567 MARY JO CUNNIFF Day phone E Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: 317-3187 TYPE OF WASTEWATER DISPOSAL: Individual Well N Individual On-site N Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment t i !!4l 13 Receipt Number G() 73 UC� COSA# (9SC r Date: Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l 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 in-estigation 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may tluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for LI, bedrooms. Phone 337-6179 Date li !- L �� At .WA A. Gprness . dt System #2 Approved for bedrooms.��lltl ((W(((( Disapproved. \-Y DF gNCyO Conditional approval for bedrooms, with the following stipulat8 . ON SITE �m \AIATER AND By: GNU ,G� Original Certificate Date: The Municipality or Ancho ge Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatation given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory raa„ iunsi Nitrate Advisory Arsenic Advisory Other r/ 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 Legal Description: EATON PARK; LOT 1 IeA'fl ZI 40973 Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 6/12/06 Sanitary seal (Y/N) YES Total depth 204 ft. Cased to 204 ft. FROM WELL LOG Date of test 6/12/06 Static water level 140 Parcel ID: 051-482-52 Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 10/24/13 133 ft, Well production 25 —9-P M. 5.17 —9-P M. WATER SAMPLE RESULTS: q Coliform U colonies/100 ml. Nitrate ,.Umg./L. Collected by: GEG. Ltd. Arsenic: NO ug./L. Date of sample: 10/24/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments E Foundation cleanout (Y/N) YES Depression over tank (YIN) NO Date of pumping ( .) Pumper S C. ABSORPTION FIELD DATA *BELOW EXISTING GRAD Date installed 10/11/06 Cleanouts (Y/N) High water alarm (Y/N) N/A Date installed 10/11/06 Soil rating (g.p.d./ft26r /bdrm 0.8 System type BED Length 56 ft. Width 15 ft. Gravel below pipe 1.00 ft, Total depth *6.00 ft. Eff. absorption arev 840 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 10/24/13 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 740 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600+ g,p.d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access(YIN) "Pump on" level at in. "Pump off" level High water alarm level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *7' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS [OU 711111112a01r7utr+L'1 G. ENGINEER'S CERTIFICATION l certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 11 hs &> (Rev. 11ro5) Municipality of Anchorage Community Development Department*R '' Development Services Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # OSC131595 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Lot 1 of Eaton Park subdivision. This inspection revealed a nitrate concentration of 5.79 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. *91 Municipality of Anchorage Development Services Department ° / Building Safety Division _ On -Site Water and Wastewater Program 4700 Elmore Road 196650 P.O. Box Anchorage, AK 99507 www.muni.org/onorg/onsite • (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING /�/1 Parcell.D. 051492.52 COSA# MOP" Expiration Date: " 02 3 - O 1. GENERAL INFORMATION Complete legal description Lot 1, Eaton Park Subdivision Location (site address) 24191 Ski Road, Chugiak AK 99567 Current Property owner(s) LH Construction, Inc. Day phone 522-1616 Mailing address 12130 Regency Drive, Suite 201 Eagle River, AK 99577 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD forpickup. 2. NUMBER OF BEDROOMS: Four (4) 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site ✓❑ Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Onsite 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. Y 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 watgr 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. • V, ) Name of Finn Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE _LzApprovedfor bedrooms. Disapproved. Date 7/22!2009 OF Aj (rj AVOHAa E ANDE a-4381 IP 7-ZL 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 Engineers Report Other By: /�• �C-2/ /Original Certificate Date: 7— C21 3 (R. 7 D05) Municipality of Anchorage Development Services Department Building Safety Division L� Onsite Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsfte (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 1, Eaton Park Subdivision Parcel ID: 051492.52 A. WELL DATA Well type Prtvete If A, B, or provide PWSID #_ Date completed 6/12/06 Sanitary seal (Y/N) Y Total depth 204 fL Cased to 204 ft. FROM WELL LOG Date of test 6/12/06 Static water level 140 R Well production 25 G.P.M. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 8.22 mg/L Arsenic: NID ugA Date of sample: 6/27/08 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1.250 gal. Number of Compartments 2 Foundation cleanout (YIN) -Y Date of pumping New Consm,etlon Well Log (YM) Y Wires properly protected (YM) Y Casing height (above ground) >18 in. AT INSPECTION R g.p.m. Other bacteria 0 colonies/100 mL Collected by: S&S Engineering Date installed 10/11/2006 Cleanouts (Y/N) Y Depression over tank (Y/N) N High water alarm (YM) N Pumper N/A C. ABSORPTION FIELD DATA Date installed 10/11106 Soil rating (g.p.d.M2 orf?/bdnn) •8 SF/BDRM Length 56 ft. Width 15 ft. System type Shallow Bed Gravel below pipe 1 ft. Total depth &e ft. Eff. absorption area 840 fe Monftoring tubeY Depression over field N Date of adequacy teat New Const Results (Pass/Fail) For_bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) •Pump on' level at _ in. 'Pump off" level at _ in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots 1100• Public sewer main NIA Public sewer manhole/cleanout N/A Sewer/septic service line >25' Holding tank N/A Animal containment areas None Manure/animal excrete storage areas None SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5' Absorption field >5' Water main NIA Water service line >10' Surface water >100, Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 7"-• Building foundation >10' Water main N/A Water Service line >10' Surface water 1100' Driveway, parking/vehicle storage 5' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: See Lot Line Waiver. G. ENGINEER'S CERTIFICATION `P:�•- •�S �y I certify that I have determined through field inspections and ;' : 491H 9, review of Municipal records that the above systems are in 0 .*{�••••�J p�•• �•'•»•• conformance with MOA COSA guidelines in effect on this date. j.N :Tif.�.i.�. �i:r5lmr�.. MICHAEL EANDet50N�� Engineers Michael E. Anderson, P.E. Printed Name # a -438f •'r-ZJ-0 V Date 7/=008 tire; ••••••••• COSA Fee $ Ji 7 • C7 7f� �C'„1 Waiver Fee $ Date of Payment 7 12-1 / O sc�3,/0Date of Payment -7 �:Z 30 S Receipt Number 77-751/o r751/O Receipt Number (Rev. I IM5) j JUL-CI-[uu0lnun) 11s11 LMMU nnU n»Uur.i[Z i■ �• Lot I I ANTER I PARK SVBo• N 89.59'270E 13' TF2LC0M k ELECTRIC MWENr a.0' x 20.0' DECK 2.0' CANTST Z krMAJ) Ui7GC40C3 Lot 2 178.75' .0' x 32' CANT Lot 1 —� PORCH Ln \ / N Lot 1 0.92 Acres P 40,008 at. '„�, • 4 ' L • WEU. 5 LW M r.uuuuui P OT—FrrAN AS BUILT Y. SCALCI_50' CRUD NW 1361 project No. 05-086 Long & Associates, inc. 11500 Daryl Avenue. Anchorage, Alaska 99515-3049 (007) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax kglangle0clasko.net / Jclangleoalaska.nst a OF A I ;hereby certify feat 1 have surveyed the following described property. Lot 1. EATON PARK SUBDIVISION (PLAT No. 2005-52) �;? '49 ��/J Aeehorage Recording Dldrlal, Alaska. and that the Improvements situated thereon an Q .............. .... ..' ...:.. YI within the property line and do not encroach onto the property adjacent thereto, that Q D no Improvements on the property lying adjacent thereto encroach on the surveyed Q Y� premises and that there are no roadways, transmission line or other visible easements on sold property except as Indloafed hereon.�.mSk't KENNETH G. Dated this theme Day of rrsr,IWeNt . Zai , at' Anchorage. Alaska It is the responsibility of the owner to determine the existence of arty easements, covenants, or rsul atlons which do not appear on the recorded subdivision plat. Sent By: L H CONSTRUCTION; 07/16/2008 19:56 9076941211 IF.T. r.% Swale Rcinsft; 5223892; Jul -18.08 12:27PM; Page 3/4 SNSENGINEERING PAGE e3/e5 Purmeter .Rnala POL Metala by ICP Id! Atseaic 'ND 5.00 SM 0.100 Colony Count 0 Total CuGfiam 0 I Fecal Coliform . 0 8G6 ReLM 1083069001 Client Nuae S S Engineering Pnjeu Name/M Lot 1 E=a Park SID (MMI Sample ID Lot 1 Eaton Park SID M.tria Drinking Watar PWSID 0 Swale Rcinsft; 5223892; Jul -18.08 12:27PM; Page 3/4 SNSENGINEERING PAGE e3/e5 Purmeter .Rnala POL Metala by ICP Id! Atseaic 'ND 5.00 SM 0.100 Colony Count 0 Total CuGfiam 0 I Fecal Coliform . 0 All Ddel/ ima are Akeka Standard Thos Printed Dardflou 07/07/2008 8:28 CcM*ctd Dat&7Iwe 0627/2008 11:50 ReceivdDateMme 062720081530 Tacaakal Dlevetar Slrph n C. ida AuwaAk Fm Analysis VaW Meewl Leatsinu ID Limits Daze Daft &%I EP200.8 C (.CIO) 06/30/08 071=8 NRE ty1 SWO 430ONO3-F B (<to) 07101108 JDZ coUl00mL 3NUD 92228 wV100mL SM20 92228 coVI00ml, SM20 92229 A (Q00) A (<I) A (<I) 0627108 DLC 06127108 DLC 0=7/08 DLC Municipality of Anchorage Development Services Department • +` Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsitc (907)343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 080239 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 1 of Eaton Park subdivision. This inspection revealed a nitrate concentration of 8.22 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval.