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EKLUTNA HEIGHTS BLK 1 LT 7A
Eklutna Heights Block 1 Lot 7A #051-062-09 Municipality of Anchorage Development Services Department s \ Building Safety Division " On -Site Water and Wastewater Program. 4700 S. Bragaw St. P.O. Box 196650 Anchorage. AK 99519{650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW010156 PID Number. 051.062-09 Nance: ID Wastewater System: []New ® Upgrade 'O BOX 670238 CHUQIAK, AK, 99567 ABSORPTION FIELD aempno: Plmn.: Manoer a a -4224 2 M 13OU Treem 10 Tread 0 a 13 Mound Wr: 0D„p Tw sd+Rneq: Taal Depth rrom agnal yraa: LEGAL DESCRIPTION 1.2 GPGIFT 8.5 Fl. lsa La: sWamecn: Depth a, me beth, elan coonai Pada: Grovel depth aaneath ppe: 1 TA EKLUTNA HEIGHTS 5.9 Ft. 2.5 FL iwvnanp: AarVe: salon: Fq+W Pada: a added aows a Greve Length: 32.0 1.5 Ft. Ft. Grave W,an: wrwff a we: anent. enw000 brs: Well: ❑ New ® Upgrade 5.0 Ft. 1 NIA FL CIUWNaton (Povate. A S. C): Taal Depth:Geed 106 m: 106 FL T" aaeapton area: 2 5'Fr Pp Mnsna: D3034 & F810 Private FL .980' D,,,,• HEFTY DRILLING Dab DrWed: 6/1412001 Suoc Wear Lava: 1 31 FL Innalbr OWNER Data Inauued: 1 611112001 v.ld:Papp Set- C*" ""r' Apove GrarrW: TANK 30 GPM 70 FL 3.5 FL SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. Septic Absorption Lift Holding PublirlPrivat a`a'Of' Anchorage Tankly 1000 Ga. Tank Field Station Tank SawerLlne Melana:NanMr acoon ffae: 100'+ 100'+ NA NA 25'+ Steel 2 100'+ 100'+ NA NA LIFT STATION 0*=noneknown 5'+ 10'+ NA NA Gal. 5'+ 10'+ NA NA -p"np on'bra at. PwnpoRovalK Hqs Wolff Offal a1:Pomp NA •50'+ NA Make & Model Elscaoal Impeaom perlamad ay. BENCH MARK -dam,. f im—Lorawn and D uh oen: CORNER OF PORCH avawn: 100 FL Engineers Stamp OF AC Inspections performed by: KND Engineering Dates: 1M 611112001 jr. •-,.„. 2nd 6112/2001 Development Services Department Approval71 a.. .'��� by: Date: 2-02,/f+fF9 •.,. Reviewed and approved .•••���.� ,; (Ra .1700) T '0 AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SWO1056 EKLUTNA HEIGHTS S/D, LOT 7A, BLOCK 1 PID#051-062-09 SEPTIC rte`` OF ALq r,1 nennc,n w. „vrr / 1 � �TCSSION�+ 7 EXISTING GRAVEL H I ld Zi 2 1000 GAL EPTIC TAMC IELD ORIGINAL GRADE SEVER ROCK SCALE: I' = 50' . f aw 72' 1 SCALE: NTS PREPARED FOR: 79.7 MYRL KIDD PO BOX 670238 CHUGIAK, AK. 99567 (907) 688-4224 FIELD BOOKS CC Tco: BDuw mt FLEMING Diu slaw-'' FLEMINC CHEOtC . KMD ASD FLEMING DAC. 6/19 M ^LL wa NW14E ACRD "'i 01019.DWC JOB ` 01019 LL1IN W ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 HEM DRILLING WATER WELL RECORD t y. 3540 AKULA• omw STATE OF ALASKA . ANCHORAGE, AK 09510 DEPARTMENT OF NATURAL RESOURES (907) 345-0593 Division of Geological C Geophysical Survey■ IS.PUNPI If available) Nr L•.$th of Deep pipe • it. e4eaelly Pbw. LOCATION Or WELL 10"46.4 Qm.lete 411hv is, U H It.) Or;INA1 Permit Ne. A.D.L. No. N• 1/life. 8091104 No. T4.eehlpNO RUys [� NHIIbA le. e6,611A iu►4=7A _.1_.r_.t_ $0 It i /t. 018TANC[ AND DIRECTION FROM ROAD INTEASICT1ON0 I8. p.lar Tog09e,me • £I-' 1 KItL-�f'10..=—t4�,t.S i. OWNER OF WELL, l Aet/t14• .� . $1,061 A40141 464 Arte Of Wall L..e,l.. n0 8,q-4 7 W ( Ox toad S. 09060606 Loo Cabo 0.k. n a.f Me10t 41 Teas •. WE L 0E►TN:'(R.41) S. DAT Of tOMTLC'"ONZ It. 0'— Teo Italie. ✓Q.Ie-50c-- `at 6 _... _. _ r ■ O Ceele bel/'-n'lery p Drlree Oliva V I ` 0Avaar 0'1,0611.4' Q8.re4 ❑Diesel - Jk T.usE9 0—made 0 Paul. iYeply 0 larv.vy jq 0Ilflaallea O#.eemla 00ammer1.11 • d 0 Teat Well 0 01ha: Y s. CAS JNG, 0 Thread W.1111 41.09• 4. le��� ll. 0.►Ih W01.h1 le../ll• 416,.. la. le�� 11. Depth lllabp it. It, FINISH of WILLI stet/Neat' 81109 Laglh: 811 bel..ft. IM4 ft. ■a.e/11114$ DIOYeI peal 10. STATIC WAT[R LIVel -j/ O Ale.. er Sate. lead I.,,... —fie Elvlpmeal ase1; IS. WATIA WILL CONTRACTOR'$ CCRTIFICATION: -1 1-, 10 a 1.1 W...4 tale p.., 110 1,.01. 1%a 6.al Nd.* 11•101JNPIND LEVEL blow line em0g0 aa4 YIELD fl. art*, `k". P..,tl—bR. w. ��. II. •flat—kra. pvmPOgr_�1•p.w. IE.GROUTINO Wall 0,461041 Y4s O No 411.,1.1: 0Nae, COmeal 0others , .n IS.PUNPI If available) Nr L•.$th of Deep pipe • it. e4eaelly Pbw. O Sabel• 13 4e, 0 cae,rmtel poll ., U RpuaRval .3�gnfTJ I8. p.lar Tog09e,me • I (] C I-.e..�:.+NeeO 684 belief; wNIT[•$I6Ia D004, ►INv •D,Illar, L I AYa Call'eme, 1, �• • 70.4 YLLto889106 f10')9na Awatiti 1 wv Tb:60 T00L-8T—N(1f V + 1 sr q1I 7 P rn MUNICIPALITY OF ANCHORAGE y''� y/Z 4P~ Development Services Department On -Site Water & Wastewater Program 61,z g P xi 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Upgrade Date Issued: Jun 04, 2001 Expiration Date: Jun 04, 2002 Permit Number: SWO10156 Legal Description: EKLUTNA HEIGHTS BLK 1 LT 7A ' Parcel ID: 051-062-09 Design Engineer: 0070 KND Engineering Site Address: Owner Name: MRYL W. & LOUISE KIDD Lot Size: 52871 SQ. FT. Owner Address: PO BOX 670238 Total Bedrooms: 2 Permit Bedrooms: 2 CHUGIAK . AK 99567-0238 This permit is for the construction of: j Disposal Field ❑✓ Septic Tank ❑ Holding Tank F� 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. G-13-0/ /%Fn' e-AaEO i"+Nrl l0 A'tove nYE G.�T,�R wEL�- TowmipS 1-ne E,+ir (T0w)4ROJ rub Korcor) 14PPI26XI.Kr4TiELj' 20 Received By: Issued By: Date: ��6 Date: / ^ A 0I 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 SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-062-09 Permit Number SWOT D /5'6 Property owner(s) Myrl Kidd Mailing address (1) PO Box 670238 Chuaiak AK 99567 Day phone 688.4224 Mailing address (2)NHN Wm6-P/RO ORIVF Zip Code Legal description (Lot, Block & Sub'd.) Ekiutna Hts Block J. Lot 7A Legal description (Section, Township & Range) Lot Size 52 871 Acres/Sq.Ft. Number of Bedrooms 2 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. of property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12100) S30p 0 9S Waiver Fees: Date of Payment: Receipt Number: MD ENGINEERING 20441 PTARMIGAN BLVD. 11/FAX (907)696-8111 May 30, 2001 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer & well permit — Eklutna Hts., Lot 7A Block 1 Gentlemen: The owner has requested we proceed forward to obtain a well and septic permit on the subject lot. On May 15, 2001 we dug one testhole for the proposed system. The results of this test are attached. We propose to install a 5' wide shallow trench for the 2 - bedroom house. Water was not encountered during the excavation or monitoring. The general slope of this lot is from east to west at a grade of approximately 3 - 6%. An individual well will serve the lot. An existing shallow well of approximately 40' deep will be properly abandoned and decommissioned and a new well drilled in the immediate vicinity. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, XND Engineering Kenneth M. Duffus, P.E. Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test A WASTEWATER DISPOSAL SYSTEM DETAILS EKLUTNA HEIGHTS S/D, LOT 7A, BLOCK 1 ,IVE EXI TING 2 p BD M HOUSE IEXISTING> TH#V2001-01 A e;S OF ALq ,14 49T9 1H* �� , Rcnnern M. uVrrw / 41 2YYY��� CE -711841 1 bfESSIOP' AIV mJ CO EXISTING SEPTXC TO BE ABANDU D PROPOSED 1000 SEPTIC TANK PR❑P❑S, MT 13-6% PREPARED FOR: MYRL KIDD PO BOX 670238 CHUGIAK, AK. 99567 (907) 688-4224 FIELD BOOKS compuno, �dnoum MI px�W:VBG STAK"m FLEMING KL1D wskftr FLEMINr, DAM: 5/30 0. OIL: GM NW14E " «i: 01019.DWG JO! ` 01019 D PRIMARY GA IELD Scale: 1'= 20' PAGE 2 OF 2 &j\1 LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-6736 WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA ., ..ruA 1 TrTcu7c cin T nT 7A ni nF'IC 1 NO POKIC VEILS WITHIN 200' OF PREPOSCD SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED NO SEPTIC SYSTEM WITHIN 200' OF PROPOSCD WELL EXCEPT AS NOTED OF / „9 �* 49TH CE -7118/ 1 \ESS100�' /' DESIGN DETAILS 2 BDRM X 150 GPD = 300 GPD 300 GPD/1.2 GPD PER SO. FT. (1.2 MIN/1N.)= 250 SO. FT (250/5'(W)) X .50(RF) (4.0' GRAVEL) a 25.0 FT. TRENCH USE 1 TRENCH - 25 (L) X 5' (W) X 4.0'(D) Total depth of system Is 7.0' From original grade. Total depth OF gravel below distribution pipe Is 4.0' . NOTES: 1. CONTRACTOR b ENGINEER TO VERIFY INTEGRITY OF SEPTIC TANK AND REPLACE AS REQUIRED. INSULATE TANK 1F <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN, 3' COVER IF REQUIRED, 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS 6 SEPTICS. PREPARED FOR: MYRL KIDD PO BOX 670238 CHUGIAK, AK. 99567 (907) 688-4224 FIELD BOOKS COMPUTED: IM"f"r. MI DRA.H: DTANP,D, FLEMING CHECKED, 1$B T:. FLEMING af: D.D. ME: CND, "DAD n[, 01019.OWG I ,oe N : 01019 Scale: 1'= 100' PAGE 1 OF 2 ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 I -8111 MD ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for. MyjI Kidd _Date Performed- 05/15/01 Project:—Eklutna Hts., Block 1, Lot 7A TEST HOLE # 2001-1 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12 13, 14 15 16 17 Depth 18- 19 - no] Org — soft, brown, moist loam - SM -brown sandy overburden w/silt GW/GP— gray sandy gravels firm density density increasing w/ depth B.O.H. SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? N/A Depth to water after monitoring? DRY Date? 05/22/01 Reading Date Gross Time Net Time Depth to Water Net Drop_ 1 5/15/01 4:00 - 9- 2 4:10 10 min 15/16 711/16" 3 + 4:11 9" - 4 4:21 10 min 17/16" 79/16" 5 4:22 9" - 6 4:32 10 min 111/16" 75/16" 7 • 4:33 9" - 8 4:43 10 min 113/16" 73/16" 9 + 4:44 - 1 9" - 10 4:54 10 min 113/16" 1 73/16" 11 4:55 9" - 12 5:05 10 min 113/16" 73/16" • Water Added Percolation Rate 1.39 (min/ in) Pere Hole Diameter 6" Test Run Between 3 feet and 4 feet 1, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. 08/02/2002 13:01 DATE: TO: 9076968111 KND RNESTMVJTS '-REFTY DRILLING 3540 A61a Dr. Anchorage, AK 99516 TELEPHONE (907) 345-0593 FAX (907)345-4700 FACSIMILE TRANSMISSION NOTE 1'iWQi� COMPANY: KIV D FAX#: (, `f b - FROM: PLEASE NOTIFY US IMMEDIATELY IF YOU DO NOT RECEIVE FAX NUMBER OF PAGES (INCLUDING THIS COVER SHEET): MEMO: Abmjt6 Kwi m¢ we -ll OAJ 'AIAmI ,f'4epS 74Yw; 'T;1).r-J 4" Wt4k �oc.li Clay 4+1 V p'llej - �4 &R -e 1, n i.e. w J / h 11#01.0 C.. 4,Siv9 �o 3- of:54e,,t /01.x44, 4-0 ddV 9 d4S y -- 6Y&4114�'d Al PAGE 02 P.01 I i i i 1 i i ULT.. i i I IdJ pRop, ,Jal wel��J I i 1 7 Jmut a00/ �e WIJA ;i L'dNet,eNs; AR.r yl 01D1 sG W;ii ae x,✓sT�Ilo� rt� Qjy 7"1,s Dw.vl� 1yyR Cede �jv Sr,Ltc nF w;fl, all AutticR..f.t M„�►✓1;tipa! I p l A1„skea- WeLste+lwrdA %�'S�DSw I A e9.k /a%• Ol�%,S aNd VOL r R�jk�,�r.�N.s, �,�� �: li a� ,►�D�,:r���� ANS zuse<<rej _4y K N D tI iPeeK,A�t lo� ML VV4 ll.dj A4 i0'd VZZb889406 f10'18'12lAW'Q6I>I Wtl GSCOS S00Z-10-Nnr Municipality of Anchorage REQUEST FOR VOUCHER CHECK FROM: Health and Human Services (DEPARTMENT) TO: MUNICIPAL CONTROLLER DATE: April 4, 1995 n37478 THIS SECTION FOR ACCOUNTS PAYABLE USE ONLY HER NO. PAYMENT m. V VENDOR NO. INVOICE DATE INVOICENO. P CHECKDATE PREP APPit 1. REQUEST THAT A MUNICIPALITY OF ANCHORAGE CHECK BE ISSUED TO: Name Eagle River Engineering Services Address PO Box 773294 Eagle River, Alaska 99577 2. THIS PAYMENT IS FOR THE FOLLOWING (SUBSTANTIATION ATTACHED): This permit application has been redrawn not allowed for new constrution. Please RA 1 R d1-ML2 ► li-►L LL, J na 9. DISPOSITION OF CHECK: (1) YdCMAILTOPAYEE (2) D MAIL TO PAYEE WrATTACHMENT (3) D NOTIFY PAYEE TO PICKUP IN TREASURY Phos, No for review since a holding tank is refund the following refund. aL-xL.hAS AUTHORIZED USE ONLY (6) D NOTIFY DEPARTMENT EMPLOYEE WHEN CHECK IS READY IN FINANCE Na": Crg. No.: PIKxw No: tons ©©110©IBM 1E©rF111111!®®IIIIIIIIoF ■11111111111111111111111®IIIe1®11111111�� X1111111111111111111111®®1111®111111111 �11111111111111111111161111111111111111� ■11111111111111111111111®111l1111111111�� ■11111111111111111111111111111®11111111�� X111111111111111111111111111®1111111111 5. TOTAL AMOUNT OF CHECK �§ 6. SIGNATURES i Employee one No. Approving Authority 7. INSTRUCTIONS a. To be used only when payment cannot be made by purchase order. Irani expense report. b,"I authorization or petty cash. b. Must be approved by department head unless eppro"I authority is delegated In accordance with Policy and Procedure 24-7- c. Retain carbon copy for your tile. •D.oM (R.r.2Nt) MOA a1S Izb-q MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Sewer/Well Permit Application o5 It .— OCA Z— 09 •NOTE- Appkation"t be 81100 an WMpleleb SINGLE FAMILY DWELLING Pa.tN ke d'Utq Number Property Owner Name rs�n IA LES AA Day Phone �9y 5/95 Mailing Address PC � � 07 (O 9 r CHUG/ip,� /71v7ip Code 9 9 SG "7 Legal Description 5ef. n .- ...- Lot -Size 52, $r% Awe50 F7. Inspections will be conducted by l N T) Number of Bedrooms: Approved Engineering Firm (ON or Uj Municipality (permit fee included) � Does your house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool, Jacuzzi, G 2 or Water Softener Unit? ^/,4— If yes. which one? i Sewer Well 2�/__ Sewer Upgrade Well Only This application is for. Sewer Only and I certify that the above Information is correct. I further certify that this application is being made for a Single Family Dwelling and in accordance with applicable Municipal codes. ¢ Imp Fees: �q� �� Receipt # ZL ,� Permit # 72-012 IF" 10M) Municipality of Anchorage • -� DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Services Division Telephone: 343-4744 —•---- ON-SITE SERVICES FEE DOCUMENTATION Date Paid: NamePaye5 (Name o�Check) p G (Off of Check) _ Legal Description(s): Type of Payment: (Indicate Amount Paid) '/ LIQ dT) Health Authority: Excavator Permit: _ Sewer & Well Permit: Engineer Permit: Well Permit: ;•0 4, 4M Pumper Permit: Sewer Permit: 3 96 rOO Well Driller Permit: _ Copy Request: 72.00e (Rev. 10187) — Tank Manufacturer. (Waste Treatment) DISTRIBUTION: OS -00740 Permit Number. Receipt #: N O / Check#: 6' 3 7 ,- p WAIVERS: Lot Line: Well to Tank: Well to Field Field to Surface Water Tank to Surface Water WHITE—MASTER FILE CANARY—PROGRAM FILE 03-30-1995 09*54AM i FROM E.R. Engineering Svcs. TO Eagle River Engineering Services P.O. Bos 773294 Eagle River, AS 99577 3434786 P.01 694-5195 FAX 6943297 i To: . Jim Cross, P.E. Date: March 30, 1995 I Manages, On -Site Services i Municigahty of Anchorage Re: Mdutna Heights Uot 7A, Blk 1 343-4786 fax wen & septic system permit application (refund I Message: i . � I Dear Mr. Cross: 1 At the request of our client, Ms. Cindy Strickland, we are requesting a refund bf the $440 permit fee which accompanied our March 9, 1995 application. If you have ant questions please call our office at 694-5195. j SinCetrly, I ���Louis Butes, P.E. j , Total number, of pages I lneluding this cover sheet - If If you have any questions or if you are mussing any pages please can us at 694-5195. I I i I � I { cg\wpwlx60\wpDOCS\1995\94-022A.LTR III TOTAL P.01 Louis Butera, P.E. Registered Civil Engineer March 9, 1995 Jim Cross, P.E. Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Eklutna Heights Lot 7A, Blk 1 Narrative & Holding Tank Application Dear Mr. Cross: The proposed holding tank and well installation will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large. 2. Immediate neighboring septic systems are all +30' distance. There is no development on the adjacent lots to the east, south and west. 3. The lot has been proven to be unsuitable for conventional septic system use, therefore a holding tank is specified. 4. The lot is considered a developable wetland area and fill will be placed to allow a driveway surface. We did not observe any standing water in this fall when we began our initial investigation. A permit has been obtained for wetlands development. Drainage will not be affected and is not a major consideration in our design due to the holding tank design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \C:\ W P W I N 60\W PDO CS\ 1995\94-0'_'2A. N AR RECEIVED MAR 131995 Munic;pality of Anchorage Dept. Health & Human Services P.O. Box 77329.1 • Eagle River, Alaska 99577 • Telephone (907) 694-5195 • Fax (907) 694-3297 SPECIFICATIONS FOR ON-SITE HOLDING TANK SYSTEM LEGAL: Eklutna Heights Lot 7A, Blk 1 A. GENERAL 1. The wastewater plan is for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health requirements. 4. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage requirements. 5. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 6. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. B. HOLDING TANK 1. The holding tank excavation is to be over -excavated 1' depth and backfilled with compacted NFS Type II soil. 2. The tank is to be anchored by four, 2,200 lb. concrete blocks, two on each side of tank with 'h" galvanized cable straps over the tank. Each pair of blocks located at 1/3 the length of tank from each end of the tank. These blocks are available at Klondike Concrete. 3. The tank is to be installed level. 4. The tank is to be a tank that is approved by the Municipality of Anchorage with corrosion prevention standard, for septic tank as per Uniform Plumbing code. 5. Holding tank must have two -six (6) inch diameter standpipes with airtight caps to provide pumping access. The standpipe must extend at least twelve (12) inches above the surface of the ground. 6. Holding tank must have a watertight manhole to provide access to the interior of the tank. The manhole must be at least twenty (20) inches in diameter. 7. A holding tank must be equipped with a high water alarm which registers both visually and audibly Iasi& the dwelling. The alarm must be positioned to allow at least three hundred (300) gallons per bedroom of additional storage after the alarm has been activated. 8. Alarm and wiring to be to Municipality of Anchorage code. 9. The tank is to be installed with 4' of unsaturated earth cover. BEDROOM CAPACITY = 3 HOLDING TANK SIZE = 2,000 gallons minimum Twenty-four (24) hours notice required for all inspections. C:\W PMN60\W PDOCS\1995\94-022A.SPC I S 33' I NO DEVELOPMENT NO SURFACE WATER _ENN dY ® - TEST HOLE • - MONITOR TUBE 0 - SEWER CLEANOUT - WELL +mow - PROPOSED LEACHFIELD - — - - EASEMENT WELL (Sc SEPTIC SITE PLAN LEGAL: EKLUTNA HEIGHTS, LOT 7A BLK 1 OWNER: STRICKLAND CONTRACTOR: N/A JOB # 94-022 DATE: 3/09/95 SCALE 1" = 60' EACLE RIVER ENGINEERING SERVICES P.O. Box EAGLE RIVERER,, A AIC. 99577 (907) 694-5195 FAX: (907) 694-3297 * :49TH �c LOUIS A. BUTERA W CE -6736 leo 1 k% U PRCFESSIOlk Municipality of Anchorage a DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST it G .QENGINEER'S SEAt1" P 1° III, ' ^Ttt •;;t ply `<9 Loots A. euteto I�F�••e CE -473S •�V� kta vPROFr•:510y:,;� PERFORMED FOR: Cr.,/y Gross Net Date Time Time DATEPERFORMED: 3�1-9r SOA K �%i�r+Tti+ Nrr L 7A Zr Township, Range. Section: %l SA/ T 1-er 5'rO6 LEGAL DESCRIPTION: SLOPE SITE PLAN T S 1 2- 3- 4-- 5-- 6- 7 3456 8 9 — 10 11 _.l 12 13- 14- 15- 16- 17- 18- 19- 2o4 3 14151617181920 COMMENTS Pc rT� 7,s..Y� Gfeq S,lj;t;vC./y WAS GROUND WATER ENCOUNTERED? Ale B/o✓d C/•y IF YES, AT WHAT �A DEPTH? I Depth Is Water Mer Mwterma7 --2 Bele 3 p e Reading Gross Net Date Time Time Depth to Water Net Drop SOA K 1 T 1-er 5'rO6 2 T S I 2 PERCOLATION RATE (mmutesnncn) PERC HOLE DIAMETER r TEST RUN BETWEEN 6 FT AND 7 FT PERFORMED BY: E �� 5 — I/�`'L'� CERTIFY THAT THIS TEST WAS PERFORMED IN v ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 72-M (Rev. 4,85) STRICKLAND BUS SER _ TEL:688-0832_ Mar 09.95 15:30 No .054 P.01 Municipality s -bud of Anchorage ,r P.O.11,« 1!)6650 AaxJn rugc:. A4ibk4 09519-CtZ0 Tdcphme: (!107) 34347w; t Rick 4pimm, Mayor nrrAirnw*vr nl+ cmi witw Y PIANNIV(i ANI(IH �T,l dll NIL\T March 2,1995 Ms. Cynthia Strickland P.O. Box 670769 Chugiak, AK 99567 Subject: General Permit Dear Ms �i land: Enclosed please find a copy of your authorized General Permit for your project on Lot 7A, Block 1, Eklutna Heights Subdivision. ThLq permit Is good for one year. If, after one year, you have not placed the fill authorized herein, you must reapply for a new permit Please notify me of your Land Use Permit number once you have obtained that authorization. Please call me (343-4994) should you require additional information. Thank you for your cooperation. Sincerely, d4��A Thede Tobish Senior Planner STRICKLAND BUS SER '.. TFI.:688-OS32 Mar 09.95 15:30 No.054 P.02 STRICKLA0 BUS ;F.? ILL:(88-CSS2 Fib .95 10:22 Nn.052 P.02 �.. FCB-3a-�r�. J3•i7 NQi MID <<I67IN LLPT P. c" 4ED Q n a 93•11 93-12 93-13 93.14 Neil r APPLICAN ADORSSS: 604 PROPERTY OW.NERt AUTHORIZED REPRESENTA'T1VE: CROjACT iOCATION'' (//Iadude k9W dexription and Towrohtp, Range, Section): 'eCtt r3 PumPof —Z tr_ WKTLAND UMTS f /3 MMCIPAL I xPte, -g. PROJECT DESCR=QN (Putpoae of VK- Vmn'be Aetiviry. nodding Types, etc.) - T3 ti.tuF d,0 QoZib?eJ 4..11/7 L �� u _ -/nvq 4 & 51c S40 " LS PRQJECT ODNfifs'['E_ �WiTit� 1t�1' ZOHIN,C�� 1/� FILL AMOUNTS fqblg vgoh) doom: DeWatiemlr�oia� nrorg�wics.s�. v-aac—pumps lom6.r Pau eaarart.tptoc►i caaaneUeb► pvn.aiav 4 AMOUNTOP WETLAND 01, F LLTYP14Is): SOURCE OF FW - TOTAL ACA6AOE OF SrM PRIED- TOTAL R IEDTOTAL WETLANDS ACRES B7 ""- WETLAND ACREAGE EXCAVATED: wsn.A.%JD ACRES LAND CLEARED: PMUOD OF FILL 14.ACEKRN T: PERIOD OF CONSTRUCTION: STP.ICKLPID BUS SER STRICKLAND BU; sER .? T3-24-1495 M:t18 TEL:E3E-0?32 •EL:6y3-0632 M On CMD PnIIN DEPT Mar 09.95 15:32 No.054 P.03 Feb : 95 1022 No.052 P.03 'Che f0119wing inftumetkne shall be submitted, if applicable. for Municipal Review: 1 • ✓-/y VIC NrrY MAP' pm*t boundaries delineated onMwtieipal wetland Maps) 2 ._SL SITE PLAN .. (2) oopiM may be 6112" X l i", mutt include: a. Scale (talaimum 1"= 10(') 74- b. North Arrow P.83 c L-QCWOa of waw bodies and/or "A" or "B" wgtands` This iZE t �, tuo St 1g1t1� ue� ta)tttty d Site And Bldg. layout, loea60A of drainage attletorts. iufri m=rum. etc. vM.,MAMON DY� T be Sub'W.rrm 3. GRADiNO AND DRAINAGH PLAN (atiaiaunm 100' malAvoi if t� 4. PLAN. ineludlag maitdeaaace pim (MOP Cond(tloa 011) ce-OV..r•M. UM CMC CONUMQNS 411"F �t1EaESwIjdc r, Al. LIST At cOJVDMONS PEW=(by ApplkxW): DZfTMHF/VERIFYHOW EACH GP COMMON IS MAT (by A10A Stofn: U ADZ �y- (MOA Staf . STRICKLAND BUS SEP. TEL:688-0532 o�wa�n�Nnu VW; SER TEL:o88-0832 rm ,:-19" 16739 rat MOR TWVS MJ*NINO 811-7ht"5 ft:" KA a -to Wtt•IIN DEPT Mar 09.95 15:32 No.054 P.04 Feb .95 17:26 Nr1.061 P.01 To 96880932 P.01 P." � :.• . � �., , . yr :. .. .. 1 REASON pc* DffiAAL: 1 ..1' 1 YAI :1 11• 1 t 17• Y / �:r 1 70711E P.@1 .r... r.+ r...,. �.n.r ... � .......,.. r v... ...... ............ ..... ...�.....r..,..I <..... .. �... �ra....4.ry :�iti.la►„j •waY.4i MV.YYt.Y✓'•�...�1•�.�RI.I..rr7..�.. .. STRICKLAND BUS SEP. TEL:638-0332 Mar 09.95 15:33 No.054 P.05 KU-NICIPALM OF ANCHORAGE VERII.IC.ITION OF SPECIAL CONDITIONS GENERAL PERlrtrrS 93-10.93-11,93-12.93-13.93-14 NOTE: Jluniapai surf vviil cge.K all that atypia: NA and explanations will be tuned ahem Condition is not Npuc3blc. as necessary. I. -ZThcse GP's do not apply to speeulatitr fills. Project meets clearly demonstratec need Is Mumci al Buddi " --"� ,, t�,. and/or Fill P.rnitlsJ included in application'!�A�,,fl.. Pcr�tj'M: rc� 2- ✓ GPs eo not apply to Projects for disposal of excess materials. e.g, road proiects. Fill quantity• and height must comply with Public Works Building Safety. _. Fill amounts do nut exceed amount specified by the N10A in GP certification. 4.Applicant has demonstrated minitruiation of wetland fill. as per NI. 5. No equipment shall be operated, stored, or serviced on adjacent wetlands. 6. --26o borrow material may be taken from estuaries, riverine. "A" or "B" wetlands for any GP action. 7. / GP actions shall not impact adJacent estuarine, riverine, or "A" or "B" wetlands by causing ponding, drainage, siltation. or inadvertent fill. Culverts. buffer zones, or other methods may be required to ensure compliance. 8. ✓ Permittee aerces to execute construction/maintenance of this work, including special measures imposed on the permit. to redur_'site-specific impacts consistent with the Chapter 4. Table 2 Management Strateeies of the anchorage Wetlands ,Management Plan. 9. A& A minimum 65' waterbody setback shall be maintained In wetlands along streams and waterbodies. A 100' setback shall be required from any stream/waterbody that is listed in "An Atlas to the Catalog of Waters Important for Spawning. Rearing. or Migration of Anadromous Fishes". Other setbacks shall be required for site-specific casco, as outlined In Chapter 4, Table 2 Management Strategies of the Anctlymity Wet It Is Manaverttent Plan. Waterbody setbacks shell be measured from the ordinary high mark of each waterbody. Mechanized land clearing, excavation. or discharge of fill proposed in a setback area requires either an Individual 404 of Nationwide Permit from the Corps. if one portion of a proposal roquirea an Individual 404 Permit. the entire project shall be considered and the STRICKLSND BUS SEP. TEL:688-0832 Mar 09.95 15:33 No.054T 6 General Permns :=ail not apply. mechanized land : i:xDoes this anon include fill. escacauon. or rt^�,g hin ;q or ••B•• ••t cilands. Waterbodics or setbacks. Orin transitional huft'ers — L>� If yes. this action requires an lndit ideal Permit. 10. • M A 15' transitional huffer shall be maintained between anv GP fills and adjacent a c etiands: a Z5' transingnal buffer shall be mainwined between any GP fills and adjacent \" wetlands, Any activity within these buffers shrill require an Individual 404 or -Nationwide Permit from the Corps. If one part of the proicct requires and d the C 404 Permit for the buffer area the entire project shall be considered and the GPs shall not be used. Transitional buffers shall be treated as the adjacent higher value wetland. !I.({ex s Ops till and disturbed areas shall protection. such as landscaping or planting and mainttsini be ggiven Sup a cover. to ent Prevent erosion. All after projedsoils shall be revegctated as soon as practicable but no later than one year after project completion. Successful revegetation includes stem densities no less than 33% of existing natural densities at the end of one growing season. If revcgetaion is not successful, remedial meawres, such as new plantings shall be undertaken. Natural revegaation is acceptable if the trite will revegetatetin itself within the next growing seasonand appropriate eroslon control measures are employed. Additional remedial measures may be required if revegetation is not successful after two growing seasons. r 12.1 The activity shall notjeopardiu the continued existence of a threatened or endangered species. as identified under the Endangered Specfcs Act, or endanger the critical habitat of such species. 13. f% Any till proposal. construction acuons, or borrow action within 660' of aBald Eagle nest will require a written waiver from the L'SFWS for it to be covemd in these GPs. This does not absolve the applicant from responsibilities to protect Bald Eagles under provisions of the Eagle Protection Act. 14. ✓'(hese Cps do not apply in areas or for activities covered under a Nationwide Permit. 15. ✓ No fill shall be authorized under these GPs if it consist of unsuitable materials, e.g. trash. debris, trees, stumps. car bodies. and all rill sham ui free of toxics, as defined by Alaska law and the Toxic pollutatnts UsL If contaminated soils are discovered during the activity, all wont $}tall cease and the Alaska Dept. of Environmental Cuoservation shall be contacted. Y.�n,.• , W. J. .a. �M�IYrw•..Yw��.+ww.�IF1.�Me�•. w•.�.t.wwl.Awr..r.n.•r ... ... STRICKLAND BUS SEF. TEL:61s-01,:32 Mar 09.g5 15:33 No.054 P.07 16. ✓ All activities shall be consistent with applicable water quality standards pursuant to the Crean Water Act. the \larine Protection. Research ane Sanctuaries Act of 1972 and pursuant to State and local law%. 17. ✓ When the activity involves discharge of any pollutant into lVaters of the U.S.. the action shall be modified. us necessary, to conform with rtviscd and/or existing water quality standards. 18. & Methods shall be implemented to filter or settle out suspended sediments from all construction -related wastewater prior to its direct or indirect discharge into any natural waterbody and/or wetlands. Prior to construction. a silt fence shall be installed on a tine parallel to and within S' of the proposed fill's toe of slope, within all areas of the wetlands centatning standing water that is connected to any natural waterbody. Silt fences shall remain in place until the fill has been stabilized against erosion. 19. —I-Vk Stormwater collection design plans. including sedimentation basins, associated with the proposal shall be approved by the Alaska Dept of Environmental Conservation or its designee prior to system construction of 0 discharge. Systems serving single family residences shall be approved by the MOA prior to fill placement. 20. -& Design plans for on-site sewage systems serving a multi -family residence or commercial structure to be placed In wetlands or in association with the GP fill must be approved by :DEC prior to placement. • Irxwl S_•.. rr 21. � GPs shall not apply to any action or use which would involve storage or use of hazardous materials or substances (as defined in Resource Recovery and Conservation, and the Comprehensive Environmental Response. Compensation and Liability Acts) as pan of the principal purpose. 22. The hydrologic analysis required in many of the Chapter 4. Table 2 Management Strategies, shall be commensurate with the probability of hydrologic Impacts to areas not directly impacted by the GP fills. Applications forstttall fills proposed in atlas in which there is no t water movement shall not require a hydro/logic analysis. WA/ iS 47— &,,,16 222 23. v AU activities identified and audwrized by the GPs shall be consistent with the tams and conditions of the GPs. Activities not specifically identified and authorized by the ON shall constitute noncompliance with terms and conWtions of the GPs and a violation of the Clean Water Act. Any action truly be suspended If It is fn rmncornpffance with GP conditions. ��k'-LIATAA 14 -FS / �R II LiA DATE: TO: HEFTY DRILLING 3540 Akula Dr. Anchorage, AK 99516 TELEPIIONE (907) 345-0593 FAX (907)3454700 FACSIMILE TRANSMISSION NOTE 9R,. -U4 We's�e,)w COMPANY: KN 1) FAX#: FROM: PLEASE NOTIFY US IMMEDIATELY IF YOU DO NOT RECEIVE FAX NUMBER OF PAGES (INCLUDING THIS COVER SHEET): MENTO: Abpuc vm,--v� o9- we.11 ou MEP -1 ,off+e.pS 14 b'el) ; easy% Ww� fd9Re l,OI-Z. W 1 (h f�0%e plKq" ��oFJir�.� �A.siuy 44D .2' balru� �Roltuc� L�+J�I � J- 5��j PIAT �at��r Cis%may P.01 I iCau41 I��MR/N�If16 �K�wUgl� 61 w d" �J Fl UNW�PAUTY of ANCHORAGE Development Services Department 1 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-062-09 Expiration Date: 1. GENERAL INFORMATION Complete legal description EKLUTNA HEIGHTS BLOCK 1,LOT 7A Location (site address) 21817 SONGBIRD DRIVE, CHUGIAK, AK 99567 Current property owner(s) ROBERT & KIMMBERLEY BILISKO Day phone Mailing address Real estate agent PO BOX 671849, CHUGIAK. AK 99567 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 2 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: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ cl , 5O Co- UID, 5U Co- UD Waiver Fee $ Date of Payment�-: y — Zd Date of Payment Receipt NumberZ�4/2-I 3 Receipt Number COSA #5 GZOI�� Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 7/23/2020 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 First Water Consulting & FWH 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for Z- bedrooms bedrooms °�\'is�l i g�P TM e: 49 _ ....:* rI • •.. Curtis Huffman E 128991 60,-•.C7,/23/zOPO-*\§§ w ��iF�PROFESSI��A4-� bedrooms, with the following stipulations: `, vVAST'`W-ATFP �Pr t'NOGRAM By: Original Certificate Date: -7-3d —weo The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other XOMIX41114m3fm Legal Description: EKLUTNA HEIGHTS BLOCK 1 LOT 7A Parcel ID: 051-062-09 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 6/14/2001 Total depth 106 ft Cased to 106 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 7/21/2020 Static water level at beginning of test 35 ft. Well production at time of test 5.1 gpm Comments B. TANK DATA Age of tank(s) 19 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 7/21/20 D. ABSORPTION FIELD DATA Structure served by this system Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® Nc ® Coliform bacteria is Negative Nitrate 3.35 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by F Date of Sample 7/21/2020 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Which system tested (date installed) 6/11/2001 Adequacy test date 7/21/2020 ® ALL standpipes present per record drawing Results M Pass For 2 bedrooms Total measured depth from grade 8_1 ft (max) Fluid depth prior to test 11 in Measured depth to pipe invert from grade 5.7 ft (min) Water added 330 gal ❑ N/A — pressurized field New depth 20 in ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 2.4' INTO THE 2.5' ED Elapsed time 1430 min ® Code -required soil cover over field Final fluid depth 9 in ❑ System presoaked Absorption rate 300+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies:FW'CS ,7 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 Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Surface Water > 100' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5' ft Surface Water > 100' ft ft ft ft ft ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No. Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® 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 If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATIONOF A ,,,�� I certify that I have determined through field inspections and review ,� Q��' • �� of Municipal records that the above systems are in conformance get;•. • .'� ��� with MOA COSA guidelines in effect on this date.: f , . , .': • • Curtis Huffman CE 128991c�iv�� T PF ' • .7/23/2029 4P Am- ft li' orl„ d- Ahrlr — Municipality of Anchorage led Development Services Department Building Safety Division Onsite Water and Wastewater Program . • ; 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel LD 051-06 -0-4 COSA # Dkb- lad Expiration Date: 6 — 3 0— O G 1. GENERAL INFORMATION Complete iegai •• Current Property owner(s) Myrl Kidd Day phoneG88-4 94 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: —2- 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank ❑ Community Onsite ❑ 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 Onsite 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 1CND ENCINFFRIN , IN( Phone 1i96-61 1 1 Address -20441 PTARMIGAN R VD , FAf I F RIVFRy AK 99977 Engineer's Printed Name KENNETH M DI1FFlIS Date- 03/23/2006 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, KND can not give any estimate of how long a � OF q�q��' system will function satisfactory for current or future occupants or can KND guarantee that no unseen �.�P,.••"�'•'•••.• S encroachments, deficiencies or discrepancies exist. JLI'?:'• ••,fy�/- 5. DSD SIGNATURE __JZ Approved for 2- bedrooms. 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:b4� Original Certificate Date: 3 — 3 O' 06 ,R. 4Alms) Municipality of Anchorage Development Services Department 46— Building Safety Division On-site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995198650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description, EKLUTNA HFIGHTc LOT 7e BLOCK 1 Parcel ID: 051 -062-09 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # Well Log (YM) Y Date completed 6/14/01 Sanitary seal (Y/N)Y Wires property protected (Y/N)Y Total depth _tO6 ft. Cased to Casing height (above ground) 36 In. FROM WELL LOG AT INSPECTION Date of test 6/14/01 S/3/2006 Static water level 31 ft. 31 ft. Well production 30 g.p.m. 4.88 g.p.m. WATER SAMPLE RESULTS: Coliform _k-colonies/100mL Nitrate 1.98 mall Other bacteria 0 oolonies/100 mL Arsenic: -RD rgA Date of sampip' 2/23/06 Collected by; KhO Fn/im�n_g.Inc e. SEPTICIHOLDING TANK DATA Tank Type/Material,:Sotie/Steel Date Installed 6/11/01 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YIN) tl High water alarm (YIN) A -Date of pumping ,2%q/__ro6 Pumper ,ijj C. ABSORPTION FIELD DATA Date installed 6/11/01 Soil rating (g•p.d•W or fe/bdrm) J2, System type Shallow Trench Length .,I. ft. Width rL_ ft. Gravel below Pipe I&A Total depth 1„: ft. Eft. absorption area 250 fe Monitoring tube Y Depression over field N Date of adequacy test I/q/06 Results (Pass/Fail) Pass For Z— bedrooms Fluid depth in absorption fleld before test 3.6 In. Elapsed Time: -0 min. Final fluid depthA&Z in. Water added'420 gal. New depth 8.4 in. Absorption rate >= ann+ 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 (Y/N) "Pump one level at—in. 'Pump off" level at n. High water alarm level at in. Datum Cycles tested Mesta alarm d circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1001+ Absorption field on lot 1001+ Public sewer main 75'+ Sewer /septic service line 25'+ On adjacent lots 10 0 + On adjacent lots 10 0' + Public sewer manhole/cleanout 00'+ Holding tank 11001+ Animal containment areas 50'+ Manure/animal excrete storage areas 10 0 1 + SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation _ 5'+ Property line 5 ' + Absorption field 5 ' + Water main 10'+ Water service line 10 1 + Surface water 10 0 1 + Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line _ 101+ Building foundation _LO'+ Water main 109+ Water Service line 101+ Surface water —L00—L±. Driveway, paMfolvehi de storage 10 1 + Curtain drain 50'+ Wells on adjacent lots 1100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I ced/fy that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineers Printed Name KENNETH M DIFF Ic k,k`V) -W W Date 0/23/2006 wbA I-ee 6430.00 Date of Payment—�sm/a4 Receipt Number gso`n q (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number �4E Sr ' ltv fA' H s R F 't Q \` p q TF 4 f(ST'''9 Sh�A F C�4 k., R o \. 4 fMj e 0)&Z,-/ (34) - pb \ \Ct ELEC \ 'aa• \ y EXISTING b \ A HOUSE m rar SE 43.3' nJ • , tr � VENTS d \ea pDRpL CAS GRAVEL D/W GRA JOF r`— -JOHN L SCHULLER- F. SC 0 m r LS -10408 M SONGBIRD DRIVE (THUNDERBIRD STREET) ANCHORAGE RECORDING DISTRICT ASBUILT OF: EKLUTNA IIEIGHTS LOT 7A BLK 1 PLAT 69-19 SURVEY CERTIFICATION: 1. John L Schuller have conducted a physical survey of chis pro as shown on this drawing and that the improvements situa� Led thereon arc within the property lines and no encroachments exist other than noted. EXCLUSION NOTES:It is the owners responsibility to determine the existence of do not appear on thr ecorded subdiv subdivision covenants. or which 06-009r",■n',A,'S ` , NW 1481 MHUDENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER$ AK 99577-8736 (907)868-3791/FAX (907)868-3793 . r in IL � N■0D Zm / I `•�Z Z e Sf.a i nK t`m to ® N4 Q t0 WELL W N O—trm GO Jm In O0a GRA JOF r`— -JOHN L SCHULLER- F. SC 0 m r LS -10408 M SONGBIRD DRIVE (THUNDERBIRD STREET) ANCHORAGE RECORDING DISTRICT ASBUILT OF: EKLUTNA IIEIGHTS LOT 7A BLK 1 PLAT 69-19 SURVEY CERTIFICATION: 1. John L Schuller have conducted a physical survey of chis pro as shown on this drawing and that the improvements situa� Led thereon arc within the property lines and no encroachments exist other than noted. EXCLUSION NOTES:It is the owners responsibility to determine the existence of do not appear on thr ecorded subdiv subdivision covenants. or which 06-009r",■n',A,'S ` , NW 1481 MHUDENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER$ AK 99577-8736 (907)868-3791/FAX (907)868-3793