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SCHROEDER EAST BLK 6 LT 14
Schroeder East Block 6 Lot 14 #050-062-34 Municipality of Anchorage :." : '.• Development Services Department Y= Building Safety Division ' •' On -Site Water and Wastewater Program, 4700 Bragaw St. P.O. Boz 196650 Anchorage, AK 99519-6550 Page/ of—? www.ci anchorage ak.us (907) 3417904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. 17 PID Number: OG2- 3 N'"" _050- Wastewater System: JRNew ❑ Upgrade AWS *,s �� -je 5C 7 ABSORPTION FIELD prvuy aver Nuns' ar of Bt amens 3 E3 Deep Trarrlt C3 $IYllpv Tranrn 19 Baa O MwFW D Dew LEGAL DESCRIPTION Sal Rn"0Tar a Daps nam orpnW 7wJe / GpDRIe FI. Bia LaslEemvon ./. EQS Dapn w P" Damn Iran 019,,* (Fav Gravel eapm Daneam ppe / Sr !d r / Ft. FI TownW p Range swian FA saaap anwa on7nY ffape 4 Gray LaM•n '7 .Z FI. G 1P Fl. Well: New Upgrade Gravn a+eln � OF NunlDr of Inas Dislana Datwaan Inas S Ft. .3 FL CMssA"bon (Pnva[a. A B. CI TarD2apn Caw to/ Two aosorpuon Wait Papa Mranal 0 FI. O Ft Q Ll F CIl G X e 410 JPV` Dnlw so IS14111a/o Dna QpW Static Wal." Ft In Dna lnalnNe 9 07 Y.WaPump 25 SWan C S3 Camp wty. Aaova Caourn r Z TANK GPM FI. +*- SEPARATION DISTANCES Pf Septic O Holding ❑ S.T E P. O Other. To Septic Absorption Lift Holding uDIIUPmate '="'•` •'Ir From TankStation Tank Sewer Line I7 G 0 WWI oo +Butace /�.1. MatWW Nu of Lonvrinanls wow `� __LIFT STATIONzaLa Lar /Qj Gal Pump on ravel 'Pump or . V H.gh watery n n in N Pump • a MaOal Elect,"Irapan parbmaa DY Cwtae, Nan Ramants BENCH MARK Loralwn era Daaa�p4on f SlIt Aawmaa NwLpn � OQ F, �/ Inspections performed by: jjQX t K/m Ei1c1. Dates: 1" S122LOnd ngVl61 is a'a .. It Development Services Department Approval i`N'*:�t�ZNC"? °•'`�s Conditional Approval Date: !'• to Ler,: Steven \Y. Ing c,! Pc 6256 ln'F•.� 'b. �' �.'w t8��•aafc•en Reviewed and approved by: Date: W Q '`V (Rn O1M) R1 1' = 40' �.�•'� A B S.T. C.❑.1 9 20 S.T.C.❑.2 16 23 D.C.O. 17 24 C❑1 50 33 MT 57 44 1' = 40' �.�•'� SCHR❑EDER EAST NOR THRIM '. ENGINEERING .. BLOCK 6 LOT 14 RECORD vo Bax 770724 a, ''•,/�L DRAWING Eagle Rlv . Alaska 99377 Op 907.694.7028 - SEPTIC SYSTEM �•� 1/22/09 2 of 3 [,:, \ § : 0 = t i 5 .. F- 0 o ¢ w | ® �q L � j ®® i b ` .c L 0ƒa R / coO U 2 )+ � �" cu ) R � L 2 $f / , � " t3 22 ° 0 )\ \ 2 " P �/ > 3 Lwli $ G $ > s� LL 6 4 } ) 3 L2 / d LL.J 2 y CL/ 0 / = t y — w £ \ J r Q LLJ � � $71< G » � u 0 I PC' w 7 } L -Y a / 2� 0 m (5 § 0) -Y 5 / Q L ea U 0 : :AN Nl e0 2 %/■ \ s e e A« ( _ � � \ ® CO �Z G 0 � } v U . / LL, / > 0 c 0 RQ^!¥ ; \ 4ij% 0 ® j 2%§ 11/02/2007 11:30 6882259 SULLIVAN certitieb ;0ritting log by ooc co. an. SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 •TELEPHONE 689-2759 OWNER OF LAND: J00 &J Jlfis,�S►5��^% TiN LEGAL DESCRIPTION: S c HR O AM -64 1254S T ajv 6 ds% %4' DATE: V-40 � -- PERMIT NUMBER: Date of IssueLJ_-QY-P_b TAX IDENTIFICATION NUMBER: ©rc - 4 Is well located at approved permit location? Method of Drilling: Mary 1] cable tool Depth of well: c:� g'Z) Casing Type 9 TEM Wali Thickness ' �� Inches Diameter In / Inches, depth _feel Liner Type: /0 O -11. Casing Stickup Above Ground: feet Static Water Level: 1 C) feet Recover Rate: _4?�pcpa 4510.ry Method of Testing: 814. O Perforations Start fe�e�tt Slopped feet Grout Type: j ; Q wJ►J'Z �Tum� e J Depth: from 0 feet, to feet Well Disinfected Upon Completion? teeth ❑ No Method of Disinfection C H"" f -I t"As Pi✓1 PAGE 01/01 0_4S.' -JZ S —,/ C -,.d-- J t' J Fer1-)to.;--j Cr 04 -Y ; 64d- SZ- CC'+4E- n rr. Dr 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. ARCTIC PUMP & WELL INC. n Jim Sullivan PO nor 770197 Eagle River, AK 99577 (907)688-2510 (907)258-2510 (907) 715-2510 anw ri eci.nct Pump Installation Log Well Drilling Permit Number: SW060367 Parcel Identification Number: 050-062-34 Date of Issue: 1 I-9-06 Legal Description:Schroeder east Property Owner Name & Address: Lot: 14 Don Shershen Block:6 POBX770567 Paolo Rk,, rQOC77 Pump Installation Date: 8-28-07 Pump Intake Depth Below Top of Well Casing:253 Feet Pump Manufacturer's Name: Dempster Pump Model:MBF2-100-S2 Pump Size:I hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Manufacturer's Name:Cambell 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 & II ell, Inc. Page I of NALYTICA GROUP Northrim Eng Attn: Steve Eng 17237 Bear Paw Circle Eagle River, AK 99577 907-694-7028 Fax: 907-693-7026 Client Sample ID: Sampling Location: Schroeder East B6 L14 Client Project: Northrim Eng Sample Matrix: Aqueous CDC k: PWSH: Residual Chlorine: Comments: Analytica International, Inc. 4307 Arctic Blvd. Anchorage, AK 99503 Phone: 907-258-2155 Fax: 907-258-6634 Report Date: 4/17/2008 Receipt Date: 4/82008 Sample Date: 4/82008 Sample Time: 12:00:OOPM Collected By: Steve E Flag Definitions: MRL = Method Reporting Limit MCL = Maximum Contaminant Limit B = Present also in Method Blank 11= Exceeds Regulatory Limit M = Matrix Interference J = Estimated Value D = Lost to Dilution .• = RL higher than MCL; target not detected TNC = Too Numerous to Count - result rejected CF = Confluent Growth - result rejected TCNG = Turbid Culture No Growth - rejected Labk: A0804085-OIA Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 92228 (Aqueous) - Membrane Filtration MF Test was conducted by. Analytica - Anchorage Bacteria, Other <MRL CFU/IOOmL 1.0 4/82008 4/82008 PL Total Coliform <MRL CFU/IOOml- 1.0 / 4/82008 4/82008 PL Labff: A0804085-OIB Analysis Method Prep Prep Analysis Parameter Result Units Flags h1RL MCL Method Date Date Analyst 200.8200.8 (Aqueous) - Family Well Water I lest was conducted by: Analyttca - lnornion Arsenic 0.642 ug/L 0.15 /0 200.8 4/162008 4/162008 GY Labk: A0804085 -01C Analysis Method Prep Prep Analysis Parameter Result Units Flags MRL MCL Method Date Date Analyst 500-NO3E (Aqueous) - Nitrate Nitrate as N <MRL mg/L Reported by: Steve Gaither, Laboratory Project Manager Test was conducted by: Analytica - Anchorage 0.10 /0 4/112008 4/112008 JK Page 1 of Page 1 of 1 Wockenfuss, Deborah M. From: northrimeng@aol.com Sent: Saturday, December 06, 2008 2:55 PM To: Wockenfuss, Deborah M. Cc: DSershen@hotmail.com Subject: Schroeder East, Block 6, Lot 14, Comment Sheet (10/31/08) Attachments: RecordDwg5.pdf Debby, The answers to your comment sheet arc: 1. A double cleanout is located immediately after the septic tank and is indicated on the attached drawing. The bed cleanout was reconfirmed on 12/6/08 & is as indicated. Cie, 2. The bed has had topsoil & was seeded. A photograph was previously submitted & a note has been added to the attached drawing. OK 3. In our previous telephone conversation I suggested moving the boulders about 4'. The bed was approved for a length of 25'& constructed at 28' length. As can be seen on the drawing, the north side of the field has about 5' of pavement over it & the south side has about 7'. We can have the boulders moved these distances. 4. The edge of the septic tank is right at the pavement interface. It does not appear that any vehicle will be driven over the tank. A bollard could be driven at the edge of the tan .iLY4u wjsh a� 5. A lot line waiver to the reserve field can be paid at the time of approval. 6. COI was rechecked on 12/6/08 & it is a cleanout. Cit._ If this meets with your approval, a hard copy can be delivered to your office. Regards -Steve Listen to 350+ music, sports, & news radio stations — including songs for the holidays — FREE while you browse. StarLListeningNow! Nuve 4be- b,'Uer., beer, {too✓ed? S� Ow baide r� Z, ye -5 vCM w/ sfe�� 12/10/2008 5hou8 privtwsy roc ci�a�yaGi? UBIWI-Tt APR 0 S 2008 Maas Morisa AS -BUILT Anchorage Recording Precinct, Alaska,_and that the improve, z._. idents-situated'thereon are within the property lines -and do not overlap or encroach on the property lying adjacent thereto, that _ no iriiprovements on pro�erty.Iying 'adjacent thereto encioach on the premises in question and thatfthere••are riti,roedways;, transmission lines or other visible easements on said property. GJ - except as -indicate d- hereon Dated at Eagle River, Alaska this I day of . M t A .r - 2009 ROBC ERT JOHNSON , SCALE: Registered Land .Surveyor No.. ;80 -LS Boz 77-_0456;: Eagle River, Alaska 99577 Phone (.907) 694,2543 . Municipality of Anchorage Development Services Department Building Safety Division Ott -Site Water and Wastcwatcr Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#:090011 PID#:050-062-34 HA/Permit# SW060099 Date Received: February 5, 2009 Legal Description: Schroeder East, Block 6 Lot 14 Engineer: Northrim Engineering Steve Eng 17237 Bear Paw Circle Eagle River, AK 99577 Applicant: Dolly Sershen Waiver Requested: 1' lot line waiver for the primary and 5' for the reserve Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: leave ... @season ... someneenewo ... somemenesons, ..... Moseenes..60 .... season.. Waiver is Granted: X List Conditions or Reasons for above: Waiver is not Granted: Date:1512 O9 By: Deb Wockenfuss Name of Reviewer r...........................agessee.......... monsoon ....... monsoon ..... 0.0 Rec#: 3551B Amount: $200 Date Paid: 21512009 Of Municipality of Anchorage I:O. Dm 19(ifi''t() • Anchora„ c, Alaska 9!)519 -(XM . 47(N) Ehnorc R(md 011im(!N)7)343.9301• rax:(SN)7) 33:1.&:100 hup://xiriunuud.org Matt C/amen, Dc-t•clopment Senices Del)<lrtrncnt Acting 3lagor February 5, 2009 Northrim Engineering Steve Eng 17237 Bear Paw Circle Eagle River, AK 99577 Subject: Waiver Request for Schroeder East, Block 6 Lot 14 Waiver Request WR#: 090011 Parcel ID # 050-062-34 SW060099 Dear Northrim Engineering: ENT SF9 DEPARTMENT 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 1.0 foot. 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, Deb Wockenfuss Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity i Yi \�\ 01,THRUL 1 INEERING MEMO Steve Eng, PE, PH P.O. Box 770724, Eagle River AK 99577 NorthRimEng@aol.com Date: 2/3/09 Number of Pages: 1 To: Debby Wockenfuss 11IOA On -Site Services Subject: Schroeder East, Block 6, Lot 14 Telecon (1/29/09) Debby, In our conversation of 1/29/09 you indicated that you were satisfied with the record drawing information, but wanted more information on the lot line waiver request. In the summer of 2005, the MOA approved an absorption bed design at a I -foot lot line separation distance. During this time period, such approvals were common -place. Verbal discussion with the MOA plan reviewer took place concerning this issue. The lot line in question abuts a cul-de-sac and has minimal impact to other properties in the area. At the time of design there were no plans for a driveway and garage in this vicinity. A driveway built after the septic system construction exacerbated the tight lot constraints. We were recently able to relocate the driveway and relocate the reserve field to meet MOA requirements. The relocated reserve field site will require the use of an advanced treatment system if the primary field ever fails. The reserve field site also is located within the normal 10 -Coot lot line separation. There is no other development in this vicinity and the replacement site should likewise have minimal impact. The record drawing shows these bed locations. We appreciate you working with us on the driveway issue to obtain approval. We request final approval. Regards -Steve MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water b Wastewater Program 4700 South Bragaw Street P.O. Sox 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Nov 09, 2006 Expiration Date: Nov 09, 2007 Permit Number: SWO60367 Parcel ID: 050-062-34 Legal Description: SCHROEDER EAST BLOCK 6 LOT 14 Design Engineer: 0838 NORTH RIM ENGINEERING Site Address: 12515 HOPE CIRCLE Owner Name: DON SHERSHEN Lot Size: 20962 SO. FT. Owner Address: PO BOX 770567 Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER, AK 99577 - This permit is for the construction of: ❑ Disposal Field ❑ Septic 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. Received By. Issued By. Date: '(- Date: r Date: 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 www.muni.org/onsile (907)343-7904 ON-SITE SEPTICMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. I� Property owner(s) U O hf S r,9_r14rW Day phone 4/4.4 Mailing ISo,c 7 70S!' Code 99s- 7 7 GA' /U Site address a&: n99 -s 7 7 aeC L E Zip Code Legal description (Sub'd, Block & Lot) _C0 q cJ4045X A^4 s7- al- oak.. 6 ZO /q Legal description (Township, Section & Range) Lot Size Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade Tam - Renewal ❑ certify that the above information is correct. 1 further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property ownerW`authorized agent) Receipt Number: Receipt Number: (Rev. 11/05) H I�TM ENGINEERING MEMO L iJ Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907)694-7026 fax NorthRimEng@aol.com Date: 10/2/06 Number of Pages: 2 To: Joe -Geed** b ree AIOA On -Site Services/ Subject: Schroeder East, Block 6, Lot 14 Revision Impacts to adjacent properties should be minimal with the construction of a new water well. Some of the area lots are served by public water and some are served by private water wells. The area to the east is mostly undeveloped or utilized for storage. Another drawing of the area has been produced with added detail. The owner desires to construct prior to the winter season. Thanks -Steve TP iMLr:7.1 ENGINEERING Date: 9/20/06 To: Joe Goodall MEMO Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907)694-7026 fax NorthRimEng@aol.com NIOA On -Site Services Subject: Schroeder East, Block 6, Lot 14 Revision Number of Pages: 3 You previously issued Permit # SW060099 for a wastewater system. The owner has decided to drill a well instead of extending the public water line. We are submitting this revision for the well permit. Thanks -Steve SPRINGBROOK DRIVE -Y o C q C5o 1 za a Q >- NI O CL J y: O�o ON 17 *0009 a N o 00 Irl '80! U o/� : L 3 w o u, ca o 75 +� p< to E (3 v5 �0— A m ¢ n. -o a, o o Y L oO� ai. cI M If C14 ° E r = w �� , �1 Lo c�ii * 3 tn tA r N • CL cn 11 co �.� .. �1 N ♦�f61S*: 0,900 os co N' Lb•09l 3.. 3 0 N ZW a ^• r �W of m ~ Z e ZW n$ W 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 9951M650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Northkim Engineering Legal description: Schroeder East, Block 6 Lot 14 The attached paperwork has been reviewed and Is being returned for the following reasons: Original signature or stamp missing on _ Calculation error in design. _ Additional soils information needed. _ Water monitoring results inadequate. _ Discrepancy in information submitted. Topographic information missing or inadequate. Incomplete; missing Incomplete; missing Additional adequacy test information needed. _ Water sample unacceptable. _ Measured/proposed distances/dimensions missing. Io/p+u'd c� J�'n/ �/ 3 �TCfMfC✓G -Ilictf- Y�ere_ 4S Ce,,ieern lhcti- -tUe Gu•it retdt,us, --+a;1 stake %4e' lo/ fc 4t. eRyi Cl^cfc ✓t/e/Jq b%G Locations of all soils, percolation and water monitoring tests not shown. Proposed system too deep for soils information submitted. _ Well log required. Omission in narrative. _ Insufficient fill over tank or field. Other. 1. The site plan shall show the location of all wells within 200 feet of the subject and adjacent properties. 2. Please provide a narrative description of probable impacts to adjacent propgrties. Name of reviewer. Deb Wockenfuss Date: 9/26/06 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK R„TI- ISM E( GINEERING Date: 10/18/06 MEMO Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907) 694-7026 fax NorthRimEng@aol.com To: Debby Wockenfuss NIOA On -Site Services Subject: Schroeder East, Block 6, Lot 14 Addition Debby, Number of Pages: 2 The adjacent lot to the east of Lot 14 has available space for on-site systems. The attached drawing depicts the space available. The owner desires to construct prior to the winter season. Thanks -Steve 4 �THRIM tENPINEERING Date: 11/2/06 MEm08U 112 RQ EDE® Steve Eng, PE, PH 17237 Bear Paw Circle, Eagle River AK 99577 (907) 694-7028 tel (907)694-7026 fax NorthRimEng@aol.com To: Debby Wockenfuss NIDA On -Site Services Subject: Schroeder East, Block 6, Lot 14 Addition Debby, Number of Pages: 2 I made a composite of the two drawings & rechecked the well location. The adjacent lot to the east of Lot 14 has available space for on-site systems. The attached drawing depicts the space available. The owner desires to construct prior to the winter season. Thanks -Steve IF SUPE !.R E® 2 HOf? THRIM a. I �. yam: ►. t9>2i of E 17237 Bear Paw Circle IZ 86°51'30"E Eagle Rlwr. Alaska 99377 ao a �C �� w 'Vol,128.44 F I 5 l o Of m Droposed I $�l.nader bus' Jell Site \ R100, OCD L0I IO O O O O m I O An x`2at Es1n1 IA S860 1'30"E M :. E 132.00 r7 w W M p ftl N Ln 3A 6 00 Eo 0�l ^� i 16 \y Septic Area 12 Served By Public Water �6�og9 AO ti� tk Storm Drain DvI 1 j 'ps /J IN Served By - N U1 Public Water R=50 J �1/ -4 VACANT o �1 O�Storm Drain moo` 16 a Mnnhole rn` S O ' VACANT p 1 S So n` O 4J �� 4g, torm Drain NIS E Sepc SYstOet, ?7 (f�H o,9 4 anhol � W,15 i� Propd94"e F I I 1 E F Septic I P^chao01�O System LIN^ i �;ca 1 ��� o Septl 00 I I•r� ,V Are 0. : w �•G, (99-64 C) tof t SIII .,p ,�! f o o t so\o IoQ„ I F 7• I i �� nP m, � ,�• r' 7 {V78 10x2 rA `may 67589°41'24"" �PtE.?c, ER EAST 0ORTHP.IM ,: AREA PLAN EPJGWEERII/G' '... BLOCK 6, LOT 14 17257 Bear Paw Circle • Cagle Rlrer, Alasko 99377 oc-ew i ), = 60 907.690 7028 WELL PERMIT------ . _9/20/06 12 of..2 Septic System Construction DESIGN NOTES: Does Not Preclude Adjoining 1. Total Depth of Trench is 1'. Lots From Sanitation Improvements. 2. Sewer Service Line minimum 2% slope. 3. Bed is Minimum 10' from Lot Line & Replacement Bed. 4. Lot 14 To Be Served by Private Water Well. CHECK SEPARATION DISTANCE TO AREA WELLS PRI❑R TO EXCAVATION >s>>:::::::<> Pr. ssure Bed �o M o S Alternate Si 1909St 12 0 G 1 J T.H. r Proposed �- 3-BdrM o e �r 0 w o ReU ase o �, Co Slte \ o ° R1 R10 C:) Measur ep�a�rc Well Distant 'T- Drilll I r7 � di ' 125. 112p„E I 87 N7 9 3,g�S69°41'2 R10 °Well ---------------- :•'�� �•.. SCHR❑EDER EAST NORTHRIM y�P ENGINEERING *.49Ri:*: BLOCK 6 LOT 14 17237 Bear Pow Circle• --------------”----- Eagle Riv . Alaska 99577 907.694.7028 •- WELL SITE 1' S.T.E.P. Tank 1' = 40' PLAN LAYOUT DoN: 9/20/06 1 of 2 Septic Area Served By Public Water ? i I ��s�Be 6f torn Drain Z VjS, Collectlon of Sr.S, I� col I"' ,FS 7 4 ^I Served By.0 N I ^I Public Water 01— R=50 boIW 01 j torVACn Dral I CP Mnnhole IM va c p 1' JACANT \Sept6ic sten 4 27 ( M 094 I torn i � Pro op' I Sml� Sep I sten i I `50 r v I Septi /1 0 I oI bR100-,1 '� 10 VA i i N7 1 \PC. t Zoe C`' 125 � .Zp•E I er 7 `hor� 1 � We l \ \6\ It, NORTHRIM"' ENGINEERING *' 77237 Bear Paw Ciral ........., w.. M Eagle River, Alaska 99377 907.694.7028 "•' 11 UNDEVELOPED 1 SCHR❑EDER EAST BLOCK 6, LOT 14 AREA PLAN: WELL PERMIT bate. -- - 10/2/06 3EE1 of 3 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: May 18, 2006 Expiration Date: May 18, 2007 Permit Number: SWO60099 Parcel ID: 050-062-34 Legal Description: SCHROEDER EAST BLOCK 6 LOT 14 Design Engineer: 0838 NORTH RIM ENGINEERING Site Address: 12515 HOPE CIRCLE Owner Name: DON SHERSHEN Lot Size: 20962 SO. FT. Owner Address: PO BOX 770567 Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577 - This permit Is for the construction of: ❑✓ Disposal Field E Septic 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. Received Issued Date: c//7/66 Date: 5V'9/0("' 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 SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING �6`' e1, o % Parcel I.D. e) 50 -plea - M Permit Number SW ZD Property owner(s) DON Day phone 2 3U ^ 0 pU O Mailing addressnn Po (30)e77a5C 7 Zip Code !-S %7 7 Site address /or'V_!� f'lopE C/RcI.F Zip Code 9ps ? 7 Legal description (Lot, Block & Sub'd.) Sc fn ro ec Fcs 7 Vnak Lao" Lq Legal description (Section, Township & ange) Lot Size X q10' Acres/ q.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only Well Only ❑ Sewer and Well �❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner orgZhorized agent) Permit/Rush Fees: L11,P • Waiver Fees: Date of Payment: /a0 iilC Date of Payment: Receipt Number. Irigy j Receipt Number. (Rev. 09/04) 1 �C2TH- ENGWER�NG Schroeder East, Block 6, Lot 14 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a planned 3 -bedroom, single family home. Due to the presence of water @ 8' depth, a S.T.E.P. tank (lift station) will be required. A new 1250 gallon S.T.E.P. tank, manufactured by Anchorage Tank & Welding per Orenco Systems specifications will be installed. This lot is about 0.5 acres in size as are neighboring lots. No adverse impacts are expected from development. The residence will connected to public water. Utility easements will not be encroached upon. A soil tests found suitable soil for this area; silty gravel, not dense, and with adequate separation to groundwater. The system utilized an elevated 15' x 25' pressurized bed. An application rate of 1.2 GPD/FP. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • Install two compartment, 1250 gallon S.T.E.P. tank, conforming to Anchorage Tank & Welding/Orenco Systems Specifications. • Watertight couplings on inlet & outlet • 5' minimum between the tank and bed. 10' to property lines. • 3' of cover is required for trench or insulate. • Tank & solid pipe must be set on well compacted, stable soil • 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line. • All cleanouts must extend to at least ground level • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron • Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from drain - rock • Drain rock to be''/2 inch to 2 % inch screened. Drain rock to be distributed uniformly throughout the trench. • Distribution pipe shall be 1.25" Schedule 40 PVC w/ 1/8" orifices @ 27" on center. • Force main shall be 1.25" Schedule 40 PVC, conforming to Anchorage Tank & Welding/Orenco Systems specifications. Force main burial to be 4' minimum. • Silt barrier (filter fabric) to be installed above the drain rock • Smeared trench sides must be raked or scarified before drain rock placement • Backfill over drain rock must not be less than 24" & I" insulation. • The finish grade must be mounded to promote drainage over the bed • Insulation must be placed over any pipe installed under driveways or parking areas • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, PVC Schedule 40. • Sewer Service Line is minimum 2% slope • Septic Tank to be pumped every two years or when required • Insulation board shall be extruded direct burial polystyrene (Dow Styrofoam Ill or equal Septic System Construction DESIGN NOTES: Does Not Preclude Adjoining 1. Total Depth of Trench is 1'. Lots From Sanitation Improvements. 2. Sewer Service Line minimum 2% slope. 3. Bed is Minimum 10' from Lot Line & Replacement Bed. 4. Lot 14 To Be Served by Public Water System. CHECK SEPARATI❑N DISTANCE TO AREA WELLS PRIOR TO EXCAVATI❑N °F'4r� SCHR❑EDER EAST NORTHRIM y~a9 ENGINEERING • BLOCK 6 LOT 14 17237 Bear Pow Circle ww W.'• Eagle River. AlaSka 99377 dddyyy 907.694.7028 S.T.E.P. SYSTEM S.T.E.P. Tank V = 4 0' PLAN LAYOUT wtr. 5/15/06 11 of 3 16 r Septic 6016 ��O^ O V Area 10X ! '� AnCh� 1 12 Esmt N 1•Y/ \86 5� CpServed By Public Water lip ! e 9 AD '1.5 su' .4T O� Storm Drain ,N ectionIto n., LO ''s 13 � Served By OI" O N 1 Public Water Q; R=50 bD IIJ oxVACANT O torm Drain Jam` 16 a Manhole I- VACANT torm ,,5•Sept c SYstOean 4 27 //909y anhol Drnln E i t0*2 1 �6 Proe E I i , n0( Esm F, Septic J M%c s01�o ^ System i CO Septi Do I Are of G�•% �p A WED CIO I UI a `r c^jq O C:,I \ JO�n 10 O Ln �\ m Milli �e i0i 12`-' �l,Zp•E I 194 10x25 rpa 23.67589°41'24"" AOGha s t.k — RK WEST �— NORTHRIM yam" ' � .• � f AREA PLAN ENGINEERIPIG BLOCK 4, LOT 6 172,37 Bear Pow circle •• •' - • 60 , j Eagle River, Alosko 99377 ate..: r 1 = 907.69.7028 ••••••• REVISI❑N�� --- 5/16/06 1/4 w w 3x 0 C=% LOw O O Z Z 22 00 w .. Q a vi CL CL Li L LLJ 61 fw > a f f U 3 rQZ Z Z o i f L U d �N z.Z. 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L,J Ll.j N F— Q N 3 i FIR S❑ILS LOG - PERC❑LATI❑N TEST �r' Imo- Date Performed: 7/11/05 7AII Performed For: Don Sershen Legal Description: Schroeder East S/D Block 6 Lot 14 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 — 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - 21 - DEPTH (FEET) Organic GM Silty Gravel Location See Drawing Groundwater? Yes Depth 10' 10/16/05 Monitor After Monitoring. 5.25' Date: 5/15/06_ After Monitoring. 8'— Date: _10/16/05 Comments:Presoaked # Date Gross Time Net Time Depth Net Drop 1 7/18 0 -- 11' -- 2 7/18 2 2 min 13' 2' 3 7/18 5 -- 10' -- 4 7/18 7 2 min 12' 2- 5 7/18 10 -- 10' -- 6 7/18 12 2 min 12' 2' Percolation Rate 1 min./Inch Perc Hole Diameter 6' Test Run Between 2' and 3' Performed By NorthRim Eng, I ;;;- CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE. DATE: 11/1/05 NOR THRIM y�".• TESTH❑LE LOG ..�9m T. H. 1 ENGINEERING •• i 17257 Beor Pow Ctrelea''••'t Eagle River. Alaska 99577-o� ; '� 907.694.7028 GEOTECHNICAL- 5/15/06 oa1e: 1 • bTI-.�IM ENGINEERING NcirthRim Engineering 17237 Bear Pow Circle Eagle River, AK 99577 907.694.7028 February 20, 2006 MOA On -Site Water & Wastewater Program ATT: Joe Goodall 4700 Bragaw St Anchorage, AK 99519 RE: Septic System Design Revision, Schroeder East S/D, Block 6, Lot 14 Dear Joe: Here is a more detailed site plan. The test hole was monitored through the fall high water period. We would prefer a permit now in order to construct this spring. If there is need for additional information or clarification please give me a call. Sincere) Steve Eng, PE, PFI Design Revision 16 Septic "O )s �v Area 10X Anvh3 12 Eurt NAV/ Served By Public Water � I a I ,Storm r Drain 1 ay I I 202' , `� � �� Qn �•� S� io Ion ILI) Served By !y o N 13 INI Public Water R=50 bo !� �u1 ox *J VACANT Io VP'. � 16 a �o VACANT rn 4 ��SSo Z� n1 �5•E Sept l SYstean �27 a�' �19�9It I i, 11 *2E %0 16� Se F I I c smt e •�c Ptl iP��ha `�j0 System � I I `co Septi Area w UI ac `./ o om _ T0. 10& I \ J N N7 f�ti so\ \ y0r a ec 125 0.,E I N7tj t'1 tOtihoc\ � ^n.g 23,61589°41'24"" NORTHRIM y OF AQ RK WEST ENGINEERING .'491li.S{�� I BL❑CK 4, LOT 6 AREA PLAN 772J7 Bear Pow Circl .. .•h — - --_ Eagle Rlv . Alaska 99577 o rr/dddyyy it - 60� 907.690.7028 �........REVISI❑N � •�- MT: 2/20/06 1/4 tTF-�1�_ ENGINEERING Northitim Engineering 17237 Bear Paw Circle Eagle River, AK 99577 907.694.7020 January 20, 2006 MOA On -Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: Septic System Design, Schroeder East S/D, Block 6, Lot 14 A new septic system is being planned for an established neighborhood. The design is for an elevated bed with lift station. Lot size in this area is about %: acre for most properties. Public water serves most lots. Most of the neighboring lots are developed. This site should not negatively impact any of the other area lots. The slope is relatively flat. Please review the wastewater system design for the new single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Sincerely, t`�Seve Eng, PE, PH Design Enclosures DESIGN NOTES: 1. Total Depth of Trench is 3'. Septic System Construction Does Not Preclude Adjoining Lots From Sanitation Improvements. 2. Sewer Service Line minimum 2% slope. 3. Bed is Minimum 10' from Lot Line & Replacement Bed. 4. Lot 14 To Be Served by Public Water System. CHECK SEPARATI❑N DISTANCE TO AREA WELLS PRI❑R TO EXCAVATION r 0 co Uj 0 to bo 0 a Well 20i e1 35.87 01,n 73.6 ssure Bed to ?� F .H. M ternate Si 0 Z 1250113 I 1 �-I =I I P Nj E Proposed 3-Bdrm °41'2 — AS , OF NORTHRIM 9 y ENGINEERING 17237 Bear Pow Circle Eagle River. Alaska 99577 •, a -n 907.694.7028 SCHR❑EDER EAST BLOCK 6 LOT 14 S.T.E.P. SYSTEM S.T.E.P. Tank I{ 1' = 40' PLAN LAYOUT wt.: 1/17/06 1 of 3 5 `m m 70 N m 3 V A td M d bd CIO r c-) O I C-) 70 71� O m U% d m r 0 —I D V) d �. D N O A i o n o m D O L) h Z A A ^ (Pp O O 3 < ...r o Z P 3 o C O M 3 !Z I N O 3 C+ 0 t) N Z IA N N C to to x m P a- m P 3 77 C) N A 3 O C C+ O�UI� W N Y C N Sp M �� �mIDM rrlh (D M --I �'O+� n '3P • S< 3 bd n cl- n � Q- P hP no w _ ozz�r-otn 3 -O 3 O W 3 _ NN �O N Nx p C+ 3 '3 (D Q P �3 h 3:3 C O N C:tA3s0 nh - P N'0 n L U m O< Z3ET n N QOp Q 3 `sro Z�3 � Dh()C)Z 3Z O O 3 on<p.+ zslon0 t0 S '} 3 m m,� Q o 0 oyh P_ 3T NP3 p !2: N 3y0 D h Z Z rn a < to < n Z 2 Z Z 3 3 3 3 W C Cto O 3 3 I Q I r) v v :i7 ;o A D •--I --I i �rr, C3 .r i7zzz foo: w L) mx A cC O Ztl D ' M A 5' E' O M 3 !Z I N O 3 C+ 0 t) N Z IA N N C to to x m P a- m P 3 77 C) N A 3 O C C+ O�UI� W N Y C N Sp M �� �mIDM rrlh (D M --I �'O+� n '3P • S< 3 bd n cl- n � Q- P hP no w _ ozz�r-otn 3 -O 3 O W 3 _ NN �O N Nx p C+ 3 '3 (D Q P �3 h 3:3 C O N C:tA3s0 nh - P N'0 n L U m O< Z3ET n N QOp Q 3 `sro Z�3 � Dh()C)Z 3Z O O 3 on<p.+ zslon0 t0 S '} 3 m m,� Q o 0 oyh P_ 3T NP3 p !2: N 3y0 D h Z Z rn a < to < n Z 2 Z Z 3 3 3 3 W C Cto O 3 3 I Q I r) v v :i7 ;o A D •--I --I i �rr, C3 .r i7zzz foo: w L) mx A cC O Ztl D ' M A V O�umZ vav2 0) o to o {a o U m Oo �o do FAIT M -D 70cn N CN X 70 V) M C N N 77 Cil fTl V td iM Md 3 \I bd w r n � _ 7K 0 UN d m rlr � D A C N I I C3'I r3 3 O 3 O� h O W Q O n A h O L1 0 0 c 3 Q E P C+ N z m t) N n C+ N d 'O l v v z M -4 e 0 P O 5 z -Tl :O 0 O Z1 A 3 X O D Z m 0 0 r ^ D H, y, � m N C O z h A O 20 (V 3 UI £ m � r tr 0 z 0 CN -1 N dri m O N \ M M A -4 '1 z C-) N rD N V 3 O 3 h O Z 7 0 na N N 'O C-) m 0 .Z7 m 3 D z cn IV UI v n N x m d CD f O X HT1 C-) m rD V .A W Nr d m cnwry-0c) c :5, ho N z - z 0 3 S rip m Q to Q< O1-0 � Q h N fdp I� \f S h QQ SV NUI 07 Q 3 tt7\N h n C f Z O �0 T h 3 3 j N Q �3 zo N � Lr� p SOILS LOG — PERCOLATION TEST aTHR M Date Performed: 7/11/05 NEERING Performed For: Don Sershen Legal Description: Schroeder East S/D Block 6 Lot 14 1 - 2 - 3 - 4- 5 - 6 - 7 - 8 - 9 - 10 - 11 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - 21 - DEPTH (FEET) Organic G M Silty Gravel �v 10/16/05 Monitor Location See Drawing Groundwater? Yes Depth 10' Water Depth AP+cr Mnnl+nrinn. A' nntP: 10/16/05 0 Date Gross Time Net Time Depth Net Drop 1 7/18 0 11' 2 7/18 2 2 Min 13' 2' 3 7/18 5 -- 10' -- 4 7/18 7 2 Min 12' 2' 5 7/18 10 -- 10' -- 6 7/18 12 2 min 12' 2' Percolation Rate 1 min./inch Perc Hole Diameter 6' Test Run Between 2' and 3' Comments:Presoaked Performed By NnrthRim Eng, I Performed in Accordance with A ON THIS DATE. DATE: 11/1/05 CERTIFY THAT THIS TEST WAS State/Municipal Guidelines in Effect OF NORTHRIM*�9m ._* TESTHOLE LOG ENGINEERING •••• •••• • T. H. Z 17237 Boor Pow Circle Eagle River. Alaska 99377 air • I - 907.694.7028 GEOTECHNICAL — 1 11/1/05 1 Municipality of Anchorage �/! '-•\ Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: NORTH RIM ENG Legal description: SCHROEDER EAST BLOCK 6 LOT 14 The attached paperwork has been reviewed and is being returned for the following reasons: ❑ Original signature or stamp missing on _ ❑ Calculation error in design. _ ❑ Additional soils information needed. _ ❑ Water monitoring results inadequate. _ ❑ Discrepancy in information submitted. _ ❑ Topographic information missing or inadequate. ❑ Incomplete; missing _ ❑ Incomplete; missing _ ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. ❑ Measured/proposed distances/dimensions missing. _ ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ® Other. -THE SITE PLAN NEED TO SHOW MEASURED DISTANCES TO ALL WASTEWATER DISPOSAL SYSTEMS, WELLS SURFACE WATER OR DRAINAGE COURSES, ROADS, PROPERTY LINES AND STRUCTURES WITHIN 200 FEET OF THE LOCATION OF ANY EXISTING OR PROPOSED ON-SITE WASTEWATER DISPOSAL SYSTEMS. -NEED TO DO GROUNDWATER MONITORING THROUGH MAY 15TH. THE RESULTS OF GROUNDWATER TESTING MUST BEAR ORIGINAL SIGNATURE AND STAMP OF ENGINEER. 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The minimum well productivity required under (AMC 15.55) for a 2 -bedroom residence is 0.21 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ;' A��5Q�* Lot 14, Block 6 Schroeder Subdivision 20,982 Sq. Ft. 12515 Hope Circle 1 Story Wood Frame House With Attached 1 Car Garage T T S S E G M.H. 26.2 38.366.1 10.358.9 41.938.6W50.0 R.O.W.N02° 08' 30"W 180.47L =4 6 .2 7 R =5 0 .0 0N 5 5 ° 0 9 ' 4 0 " W 1 1 9 . 9 0 N04° 30' 10"E 108.00S78° 11' 2 0 " W 1 2 5 . 0 0 24.2 48.224.2 13.812.4 21.912.412.440.08.0 6.28.1 100' WELL R A DI U SPAVED DRIVEWAYCONNEXGREENHOUSE LOT 13 LOT 15 LOT 3 LOT 4 HOPE CIRCLE MANHOLE 10' UTILITY EASEMENT20' UTILIT Y E A S E M E N T S S Frederic W. Wagner NO. L.S.-9946 PROFESSIONAL SEAL Date:Frontier Surveys, LLC Project No: 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 As-Built Survey of: www.frontiersurveys.com Frontier Surveys, LLC I, Frederic Wagner, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on Plat:Grid:Ordered By: 907.460.1686 - info@frontiersurveys.com This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. July 12th, 2019. Legend: Scale 1" = 30'STA T E O F ALA S K A49 TH ROYEVRUSDNALLANOISSEFORP DERE T S IGER 8/2/2019 Lot 14, Block 6 Schroeder Subdivision General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. All dimensions to property lines are plus/minus 0.1ft. Nicole Isler 19-269 7/12/2019 71-298 N/A Gas Meter Electric Meter/Outside Power Deck Sewer C/O Water Valve Telephone Pole Fence Mailbox Overhead Utility Light Pole S G E Tel. Ped.MBT E Elec. Ped. W Water Well Concrete Municipality of Anchorage t Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. 050-062-34 COSA # OSC L ;2 l lab Expiration Date: Elzz.//-2 1. GENERAL INFORMATION Complete legal description SCHROEDER EAST BLOCK 6, LOT 14 Location (site address) 12515 HOPE CIR., EAGLE RIVER AK 99577 Current Property owner(s) DARLENE SERSHEN Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 12515 HOPE CIR., EAGLE RIVER AK 99577 Day phone ROGER BRILEY Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the. number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 868.3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 04/24/12 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a Aft A system will function satisfactory for current or future _ occupants or can ArcTerra guarantee that no unseen+` ' encroachments, deficiencies or discrepancies exist. . 5. DSD SIGNATURE �7 Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: COSA Checklist X Arsenic Advisory Septic System Advisory Well Flow Advisory 1� Nitrate Advisory Maintenance Agreements Supplemental Engineer's Report Other By: QOriginal Certificate Date:_Z /Z (Rev. 11105) Municipality of Anchorage • '�" Development Services Department Building Safety Division On -Site Water and Wastewater Program s ^ 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: SCHROEDER EAST BLOCK 6, LOT 14 Parcel ID: 050-062-34 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID # Date completed 6/4/200 Sanitary seal (Y/N) Y Total depth 280 ft. Cased to 64 ft. FROM WELL LOG Date of test 6/4/07 Static water level 10 ft. Well production 0.42 g.p.m. WATER SAMPLE RESULTS: Well Log (YM) Y Wires properly protected (Y/N) Y Casing height (above ground) 24 in. AT INSPECTION 4/11/2012 Coliform NEG colonies/100mL Nitrate 0.166 mg/L Arsenic: ND mg/I Date of sample: 4/11/2012 Collected by: ArcTerra B. SEPTIC/HOLDING TANK DATA Tank Type/Matedal Septic/Steel Date installed 9/28/200 Tank size 1000 gal. ft. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (YM) N Date of pumping 11/1/2011 Pumper Sanitary C. ABSORPTION FIELD DATA Date installed 9/2812007 Soil rating (g.p.d./ft2 or ft /bdrm)1.2 System type Bed Length 28 ft. Width 18 ft. Gravel below pipe 1 ft. Total depth 3.5 ft. (Measured 4/11/12) Eff. absorption area 504 ftZ Monitoring tube Y Depression over field N Date of adequacy test 4/11/12 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 6 in. Elapsed Time: 55 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (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'+ Absorption field on lot 1001+ Public sewer main 751+ Sewer/septic service line 251+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 1001+ Public sewer manhole/cleanout 100'+ Holding tank 1001+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Property line 5'+ Absorption field 51+ Water main 10'+ Water service line 30'+ Surface water 1001+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 1' Building foundation 1or+ Water main Water Service line 10'+ Surface water 1001+ Driveway, parking/Vehicle storage 101+ Curtain drain 501+ (None Known) Wells on adjacent lots loo'+ F. COMMENTS G. ENGINEER'S CERTIFICATION l certify that !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. c Engineers Printed Name KENNETHM.DUFFUS41104, '- Date 4/24/2012 COSA Fee $490.00 Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number i --Z Municipality of Anchorage a. • Development Services Department; Building Safety Division $A £TY 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 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC121128 During a recent COSA on-site inspection and test of the potable water supply well on Block 6, Lot 14 of Schroeder subdivision, the well's productivity was determined to be .45 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval.