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HomeMy WebLinkAboutMOUNTAIN PARK ESTATES BLK 12 LT 8Mountain Park Estates Block 12 Lot 8 #017-391-47 Municipality of Anchorage Page 1 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SW990214 PID Number. 017-391-47 Name: Wastewater System: ■ New ❑ Upgrade WAYNE PRISON Address:ABSORPTION FIELD PO BOX 111773, ANCH, AK 99511 No. of Bedroom.' x(907) 3 )(Deep Trench a Shallow Trench a Bed a mound a mer 440-7170 LEGAL DESCRIPTION r Nwx Teed DyM ewn agbd w• 0.45 wo/s, In. 9.25-9.95 R Lot;Block;1SubdNle+an: oh b pipe beaem hem sera reaw e" aw..r e."n bwwde .r. 4.0 MOUNTAIN PARK EST. 5.25-5.91 rt fa Township: Range: — Section: — — n aided eeeiw wlyd Waft 1.0-5.0 rL ora'a Mus , 2 ® 50 100 TOTAL rt ors .rdw rewrw a ee.w owwree w.en www WELL: ■ New ❑ Upgrade 5 pL 2 "9 r< ae..eeedeen Asc Tad Dgft 265 arwd : 262 Tad .e.wpre enc: 1000 am A. Are masa ASTM D -3034/F-810 PRIVATE 0, pL DOA arts: A. loom Whew e...h b s~ KINCAID AND SONS ow 10/20-22/99 ALPINE DRILLING 8/13/991 225 m ,reds AArr aw M ced"s "dee Mer. armor* 2'+ TANK 10 rsN U.K. rt n SEPARATION DISTANCES ■Sever 11Holding 13S.T". To = M=10n station "g ye ey,e ANCHORAGE TANK a 1000 From Ibniw a ewVwbnwew Well 100'+ 100'+ + — 25'+ STEEL 2 Surface 100'+ 100'+ - - LIFT STATION Water few N oeews Yweleebeen tot Lin. 5'+ 10'+ — — M IMa et � caw awm a: Foundation 5'+ 10'+ — — Aenr ser. o.ebed e.p.dw. vwanr er Curtain Drain NONE KNOW BENCH MARK Remarks: e(SIDEWALL TO SIDEWALL) VERBAL APPROVAL GRANTED BY DHHS (DAN ROTH) DURING CONSTRUCTION. eawera, cite TOP OF GARAGE SLAB 100.00 A ENGNEE" SEAL oo��pp4 _o moi• 7 9 ' * Inspections performed by AWWC, INC. Dates:'Ist 10/20/99 •:• 2nd 10/21/99 • •• .Q 3rd 10/22/99 (1,A 'J ffr y A.Go•�•ss: Department of Health and Human Servicels. approval p0�f •. .7953 Reviewed and approved by - - ltl, loew Date: / 'Oro /eselon° �0000��6 -via ,w.... PERMITNUMBER: AS -BUILT DRAWING P17391 47 1- D NMBER: SW9 SW990214 0 � I / I I 5k r. D z 1 01 GRAVEL DRIVEWAY I I I \ A \ \ EXISTING THREE BEDROOM HOUSE FLOW. SP \ ur2'^ I I T I 1 r— —� I MTI'^ DB I I IJ03 r01 DBL1 DRAINFIELDS I/ / y� ALTERNATE SITE, WILL REQUIRE -J / I / AN INNOVATIVE SEPTIC SYSTEM / (15' x 13' REACTD( BED SITE) ALASKA WATER & WASTEWATER CONSULTANTS, INC 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK 99504 PHONE: (907) 337-8179/FAX: (907) 338-3246 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES SUBDIVISION LOT B. BLOCK 12 TYPE OF WORK. AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PREPARED FOR: PHONE NUMBER: WAYNE FRISON (907) 440-7170 DATE: DRAWN BY: SCALE: PAGE: 11/1/99 K.D.W./J.W.M. 1 = 30' 2 OF 3 / I \ / I \ ` I I I 800 GALLON PTIC TAIK .� STI A - 8 13.3 C 40.7 512 - 13.5 46.8 DBLI 13.9 49.3 DBL2 14.6 50.6 FS - 14.9 51.2 CO, 53.7 36.7 - WTI 51.9 36.2 CO2 32.3 36.2 CO3 1 61.1 1 46.8 - MT2 1 58.0 1 46.9 C04 1 47.1 1 51.5 r PERMITSW9 NUMBER: AS -BUILT DRAWING P017-391-47 SW990214 f am -99.53+1 5n \ 5f2 fOPOFf"Af - FLEf .9-cle Gj$.O FMRr Of PPE Af lLEf - 94.51 LOWER TRENCH f CRAKE - 942991.58 NSW 1000 6 U,ON %P-flC TANK 6w am - 952195.41 F=of PPE -8150(AZ.) DOrfOMOfimNai 85.69 (AVG.) TOP OF fA`•K Af OUIIEf-957#:0 /6 FURrOf PPE Af ODUf - 94.26 UPPER TRENCH Ffm am - 99.53-100.12 "TOM Of mmoi - 85.50(AV6J ALASKA WATER & WASTEWATER CONSULTANTS, INC. 8901 DEBARR ROAD. SURE 2B. ANCHORAGE. AK. 99504 PHONE (907) 337-8179/FAX: (907) 338-3248 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES SUBDIVISION; LOT 8, BLOCK 12 TYPE OF WORK: AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PREPARED FOR: .PHONE NUMBER: WAYNE FRISON (907)440-7170 DATE: DRAWN BY: SCALE: PAGE: 10/29/99 J.W.M. N.T.S. 3 OF 3 mRr OF PPE 89.61 (AVG.) ... . ... . ...... G e r y A. Gorne99.•' —7953 : p r' •���'.. .•': �� \gip 4 sr ........ • �p4o 40edpro lesstov'o\ '�40000�� 0 O m = N V) r— � Y rU� < C) L d Y C Q ~ z z .00"9 l t 3.'kk.w.w n 1MS3 1= At !00'k Cp 4 alo o Clo oja k 3Alaa 3Md'IV 9 •6 TB•d Z926 eve L06 A3AMf10 aNVi IQitl10tl7 Mtl 0►f60 666T -6L -loo >O 0,00 MUNICIPALITY OF ANCHORAGE ?� Department of Health and Human Services On -Site Services Program ^ 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 3434744 �Q M ONSITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: Jul 26, 1999 Expiration Date: Jul 25, 2000 Permit Number: SW990214 Parcel ID: 017-391-47 Legal Description: MOUNTAIN PARK ESTATES BLK 12 LT 8 Design Engineer. 0041 AK Water & Wastewater Consulta Site Address: 012801 ALPINE DR Owner Name: Wayne Frison Lot Size: 22555 SQ. FT. Owner Address: PO Box 111773 Total Bedrooms: 3 Permit Bedrooms: 3 Anchorage . AK 99511 - This permit is for the construction of: ❑� Disposal Field Q 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 (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 Date: 7 a (c ? By:X Date: 7-24-21 / Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers July 21, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Well Location and Septic System for Mountain Park Estates, Lot 8, Block 12 To whom it may concern: The reference property is currently undeveloped. The owner wishes to build a 3 bedroom house with and on-site septic system and a private well. Two test holes were excavated on the property and the soils are summarized as follows: 1. SOILS: Test holes #1 and #2 were excavated on November 30, 1998 and no groundwater was encountered in either hole. Test hole #1 had approximately 1.5 feet of organics and loam at the surface of the test hole followed by ML with some SM/SW pockets throughout to a depth of 17' (bottom of test hole). The soils in the upper 5 feet of the test hole appeared to be much denser than the soils beneath 5 feet deep. Two perk tests were run in test hole #1 at depths of 3.5 feet and 7 feet. The soils at 3.5' deep perked at 120 min./inch and the soils at 7' deep perked at 1 min./inch. It is our opinion that the perk test at 7 feet deep was in a SM/SW pocket and is not truly representative of the overall soil absorption. Test hole #2 was excavated to a depth of 16 feet and the soils were found to be very similar to those encountered in test hole #1. Again, two perk tests were run at depths of 3 feet and 7 feet. The shallower bench perked at a rate greater than 120 min./inch and the deeper perk absorbed water at a rate of 40 min./inch. It appears that the upper 5 feet of both test holes have soils that are much denser than the soils below. It is our intent to install the drainfields below these dense soils. 2. TRENCH DESIGN: a. Percolation Rate: 120, 1, 120+,40 minutes/inch b. Allowable Application Rate: 0.45 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 1000 ft2 f. Total Depth: 9 feet g. Effective Depth: 4 feet It. Width: 5.0 feet i. Reduction Factor: .50 i. Length: 2 @ 50' (100' total) j Effective absorption area = 1000 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The area where the proposed trenches are to go gradually slopes from east to west at approximately 5% to 10% (see attached topography drawing). In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. / In JeffrJyJA.J($amcss, P.E., M.S. NOTE: Attached is a site plan drawing, a design drawing, topography drawing, two soil logs and a 4 page constriction specification letter which are all pan of the design package for this septic system. / - 0' F� o~ga2 ��2 \ / \ LOT f0. BLOCK 9 \ MOUNTAIN PARK EST onorxrn eror 4- �6' Zl LOT 3, BLOCK 12 MOUNTAIN PARK EST. LOT 6. BLOCK 12 MOUNTAIN PARK EST. —r r $• I LOT 7, BLOCK 12 MOUNTAIN PARK EST. PROPOSED v' I 17 BEDROUSOOMsl OF AL i)/ SITE BLOCK //� LOT 9, 12 MOUNT/ N P; K EST. I \ � MOUNTAIN 1 LOT 1. BLOCK 13 MOUNTAIN PARK EST. LOT 3, BLOCK 2 ROBIN HILLS S/D / T 4. BLOCK 2 ROBIN HILLS S/D \ 1 100' \ PADUS I \ I / �cl / L� I I I I I I ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBMR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-8179/FAX: (907) 338-3246 LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES S/D, LOT 8, BLOCK 12 SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM PREPARED FOR: PHONE NUMULN: WAYNE FRISON 440-7170 7/21/99 1 J.LM 1 = 100' 1 1 OF 5 LOT 1, BLOCK 5 MOUNTAIN PARK EST. A. Corn6ss,- -7953 ; \d 0 .... a o4vx FINSTALL DBL 00 \�L \ PROPOSED 3 REDROOM I 3 1 I I I 0 1 I 1 I I I 1 I� I 1 r� 1 rco 1 b TL12+TH�__CoI I \ I I I / /PROPOSED 1000 GALLON —� I L— SEPTIC TANK i ALTERNATE SITE. WILL REQUIRE _ AN INNOVATIVE SEPTIC SYSTEM (15'/• 15' REACTEC ED SITE) 10 HE CONTRACTOR SHALL HAVE HE PROPOSED WELL LOCATION AND HE 100 FOOT j WELL RADIUS FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION I TO INSURE HE WELL WILL NOT ENCROACH ON ANY NEIGHBORING SEPTICS OR HE I PROPOSED SEPTIC SYSTEM. 1 2. HE CONTRACTOR SHALL FIELD VERIFY THAT ALL SEPARATION DISTANCES WILL BE I MET PRIOR TO ANY CONSTRUCTION. 1 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD SURE 29. ANCHORAGE. AK 99504 PHONE: (907) 737-6179/FAX: (907) 336-3246 MOUNTAIN PARK ESTATES S/D, LOT 8, BLOCK 12,, , , ' 'N ,;;,*, TYPE OF WORK: DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM .. ••• •••..•. PREPARED FOR: PHONE NUMBER: oOQ a •e tT _7953• e9B. e� WAYNE FRISON 440-7170 DRg ' , �Fa DATE: 7/21/99 DRAWN BY:J.L.M. SCALE: 1 = 30' PAGE 2 OF 2 �4�00�0fessO lo oG� � I PROPOSED TRENCHES. EXCAVATE TWO TRENCHES THAT ARE SO FEET LONG I 5 FEET WIDE BY 9 FEET U I DEEP (MAXIMUM). ADD 4 FEET OF CLEAN. WASHED SEWER DRAINROCK. I I INSTALL PARALLEL TO CONTOURS. I PROPOSED WELL( I 1 (SEE NOTES) I F -INSTALL FLOW FINSTALL DBL 00 \�L \ PROPOSED 3 REDROOM I 3 1 I I I 0 1 I 1 I I I 1 I� I 1 r� 1 rco 1 b TL12+TH�__CoI I \ I I I / /PROPOSED 1000 GALLON —� I L— SEPTIC TANK i ALTERNATE SITE. WILL REQUIRE _ AN INNOVATIVE SEPTIC SYSTEM (15'/• 15' REACTEC ED SITE) 10 HE CONTRACTOR SHALL HAVE HE PROPOSED WELL LOCATION AND HE 100 FOOT j WELL RADIUS FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION I TO INSURE HE WELL WILL NOT ENCROACH ON ANY NEIGHBORING SEPTICS OR HE I PROPOSED SEPTIC SYSTEM. 1 2. HE CONTRACTOR SHALL FIELD VERIFY THAT ALL SEPARATION DISTANCES WILL BE I MET PRIOR TO ANY CONSTRUCTION. 1 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD SURE 29. ANCHORAGE. AK 99504 PHONE: (907) 737-6179/FAX: (907) 336-3246 MOUNTAIN PARK ESTATES S/D, LOT 8, BLOCK 12,, , , ' 'N ,;;,*, TYPE OF WORK: DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM .. ••• •••..•. PREPARED FOR: PHONE NUMBER: oOQ a •e tT _7953• e9B. e� WAYNE FRISON 440-7170 DRg ' , �Fa DATE: 7/21/99 DRAWN BY:J.L.M. SCALE: 1 = 30' PAGE 2 OF 2 �4�00�0fessO lo oG� ATER & WASTEW. I SOIL LOG — PERCOLATION TEST I LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES, LOT 8, BLOCK 12 PERFORMED FOR: MIDNIGHT SUN REALTY DATE PERFORMED: 11/30/98 (lsat F_�9 ORG TEST HOLE #1 1LOAM PAGE 1 OF 2 izzzz 2 3 10- 11 0 11 12- 13- 14- 15—T 2131415 0 o°a 16 17-1B.01F 18 19 20 COMMENTS: SOIL CLAS GWJr CATIONS c_ ORG ML !i.,:�: t GP ML DENSE SILT I GM CL GC OL o e '••..•..• SW I MH '••'• SP CH '• f SM .' OH SC ML DENSE SILT W/ SOME SM/SW POCKETS & LENSES THROUGHOUT. DATE DRY DRY INC. DATE READING CLOCK TIME I WATER LEVEL NETIDROP READING (INCHES) 12/2/98 > WAS PRESO ED 4+ HOURS PRIOR TO TETING z 1 4:20 — 9 1/4' — SITE PLAN 30 1' = 100' LJ 3 5:20 — 8 3/4' 1/4' i LA 30 8 1/2' 1/4' r/ DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL NETIDROP READING (INCHES) 12/2/98 PERC. HO WAS PRESO ED 4+ HOURS PRIOR TO TETING 1 4:20 — 9 1/4' — 2 4:50 30 9' 1/4' 3 5:20 — 8 3/4' 1/4' 4 5:50 30 8 1/2' 1/4' PERCOLATION RATE 120 TEST RUIN BETWEEN 3.5 FT. PERFOMED BY ALASKA WATER do WASTEWATER I, THIS WAS PERFORM I ACCORDANCE WITH ALL DATE. DATE ZZ PERC. HOLE DIA. 6 (INCHES) CERTIFY THAT :T ON THIS ALASKA WATER & W PHONE (907) 337-6179 • FAX (907) 339-3246 SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES, LOT 8, BLOCK 12 PERFORMED FOR: MIDNIGHT SUN REALTY DATE PERFORMED: 11/30/98 (EM 16e1) ITEST HOLE #1 1 PAGE 2 OF 2 2 SOIL GIASSIFlCATIONS �.� ? GW ' __ ORG 9 10 11 12 13 14 15 16 17 31HE wv" HIRING 0111111. 1 RVA • rZA [sd lililC DEPTH TO DATE GROUNDWATER SEE PACE11 OF 2 INC. SEE PAGE 1 OF 2 DATE READING CLOCK TIME NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) 12/2/98—FILLED PERC. HOLE 3 TIMES. DRAINED OUT EACH TIME IN 10 MINUTES EXACTLY. 19� PERCOLATION RATE 1 (MINJINCH) PERC. HOLE DIA. 6 (INCHES) 20 TEST RLN BETWEEN 7.0 FT. AN 7.5 FT. COMMENTS: PERCOLATION DATA ON THIS PACE FOR LO H OLE ONLY. PERFOMED BY ALASKA WATER do WASTEWATER I.Ut1jL'CERTIFY THAT THIS WAS PERFOR D ACCORDANCE WITH ALL STA MUNICIPALGUIDELINES IN EFFECT ON THIS DATE. DATE z ALASKA WATER & I,UIL LUU — mfl%.VLAIIUI`I ILJI I LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES, LOT 8, BLOCK 12 PERFORMED FOR: MIDNIGHT SUN REALTY DATE PERFORMED: 11/30/98 (EPTH feet __=_=^_ ORG TEST HOLE #2 1 :==Z=: LOAM PAGE 1 OF 2 2 DATE DRY 11/30/98 SOIL CLASSIFICATIONS 12/7/98 PERC. HOL ' I I RS PRIOR TO TE TING GW ORG z GP ILI ML 1 4:22 — 6- GM CL 4GC 100, LJ 30 6- wm., OL 3 5:22 30 6' SW MH 5 ': ••• : SP CH t SM OH 6 �' SC 0°0 ML DENSE SILT W/ SOME SM/SW 1CKETS do LENSES THROUGHOUT. 11- 12- 13- 14-1 1121314 15 0 o°a t6 � II B.O.H 17 to 19 20 COMMENTS: DEPTH TO GROUNDWATER DATE DRY 11/30/98 DRY 12/7/98 PERC. HOL ' I I RS PRIOR TO TE TING INC. DATE / 4�, NET TIME (MINUTES) WATER LEVEL NET DROP READING (INCHES) 12/2/98 PERC. HOL ' I I RS PRIOR TO TE TING z 1 4:22 — 6- I" = 100, LJ 30 6- r� 3 5:22 30 6' DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL NET DROP READING (INCHES) 12/2/98 PERC. HOL WAS PRESO XED 4+ HOI RS PRIOR TO TE TING 1 4:22 — 6- 2 4:52 30 6- 3 5:22 30 6' PERCOLATION RATE 120+ (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 3.0 FT. AND 3.5 FT. PERFOMED BY ALASKA WATER do WASTEWATER 1. THIS WAS PERFORM9D I ACCORDANCE WITH ALL DATE. DATE: 1 • CERTIFY THAT GUIDELINES IN EFFECT ON THIS LEGAL DESCRIPTION: MOUNTAIN PARK ESTATES, LOT 8, BLACK 12 PERFORMED FOR: MIDNIGHT SUN REALTY DATE PERFORMED: 11/30/98 DEPTH TEST HOLE #2 1 PAGE 2 OF 2 2 3 4 Z O 5 !;C- 0 U 6 N N 7- 8- 9— 8 9 O N 10 � 11 N 12 V- O 13 W 14 Q 0_ 15 LLA W 16 N 17 19 20 ' COMMENTS: SOIL CLASSIFICATIONS GW — ORG WATER LEVEL NET DROP READING (INCHES) GP I Tw ML I^ GM CL GC OL °o •°•� SW 6' — MH • " •'•SP 2 2:30 30 CH SIO SM 3 2:30 OH r. qj-, SC 4 3:00 DEPTH TO DATE GROUNDWATER SEE PAGE11 OF 2 .. J-71frf-W.... SEE PAGE 1 OF 2 DATE READING CLOCK I TIME NET TIME (MINUTES) WATER LEVEL NET DROP READING (INCHES) 12/2/98 PERC. HO WAS PRESO XED 4+ HOI iRS PRIOR TOTING 1 2:00 — 6' — 2 2:30 30 5 1/4' 3/4' 3 2:30 — 6' — 4 3:00 30 5 1/4- 3/4' 5 3:00 — 6' — 6 3:30 30 5 1/4' 3/4' PERCOLATION RATE 40 (MIN./INCH) TEST RUIN BETWEEN 7.0 _ FT. AND PERFOMED BY ALASKA WATER do WASTEWATER I, `— THIS WAS PERFOR D IV ACCORDANCE WITH ALL STATE DATE. DATE: TZ HOLE DIA. 6 (INCHES) CERTIFY THAT :T ON THIS 1 I Zn� LCYT 1, BLDCK 13 OUNTAIN PARK EST. IWA n Mal .alum ® Municipality of Anchorage Department of Health and Human Services 825'L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Pock Mystrom http:/Avww.cl.snchorage.sk.us Mayor Permit Number: NSW 990214 Date of Issue: 7-26-99 - -Parcel Identification Number: 017-391-47 Date Started: 8_2-2-99 -Daterompleted:�-93-99 Is well located at approved permit location?J9 Yes 0 No tiop: Legal DescripMtn Park Est Blk 12 lot 8 Property Owner Name & Address: Wayne Frison PO Box 111773 Anchorage, Ak 99511 Borehole Data: Depth (ft) Method of Drilling ® air rotary ❑ cable tool Soil Type, Thickness & Water Strata From To Casing type: steel stick up 0 2 Wall Thickness: .250 inches silt 2 21 Diameter: 6 inches Depth: 200 feet gravelly cobblysilt w/b/drs 21 63 Liner Type: steel sandy silt 63 87 Diameter: 4 inches Depth: 192 to 262 feet Casing stickup above ground: 2 feet gravelly cobbly silt w/bldrs 87 256 Static water level (from ground level): 225 feet water sand & grave! 256 265 Pumping level: 10 feet after 2 hours pumping 10 gpm Recovery Rate: 10 gpm Method of Testing: airlift R E C E I V`I E D Well Intake Opening Type:, 13 1999 ® Open End ❑ Open Hole SEP ❑ Screened Start feet Stopped feet hiu c.pat,ty of Anchorage ® Perforations Start 258 feet Stopped 262 feet Grout Type: bentonite # 8 Volume: 1 bag tdepl• lth 3Human Hea Depth: Start 0 feet Stopped feet Pump: Intake Depth feet Pump size hp Brand Name Well Disinfected Upon Completion? ® Yes ❑ No Method of Disinfection: Comments: Well Driller: Alpine Drilling & Entelprisesl P.O. Box 110496 Anchorage AK 99511 ,A"m,:ax; completion and the property nwno nr tha waft AAIIAx ehall "emAAo o mall inn to tha dont of ".10% R. ilnman Cnnriroc within An Aovc nrrmmnlotinn MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 " On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel 1. D. 017-392-47 Certificate of On -Site Systems Approval Expiration Date: 1-21-2023 Legal description Mountain Park Estates Block 12 Lot 8 Site address 12815 Alpine Dr, Anchorage, AK Current property owner(s) Schlweck X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNMPAUTY OF ANCHORAGE Development Services Department 4 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 017-391-47 Complete legal description MOUNTAIN PARK ESTATES; BLOCK 12, LOT 8 Location (site address) 12815 Alpine Drive *Anchorage Current property owner(s) Vaughn Schiweck Day phone 242-0489 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑■ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: 0 Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 23 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑■ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $!Waiver Fee $ Date of Payment o a 1 as Date of Payment COSA # 0 5 e a a 15-70 Waiver # 60—iJ3L COSA Applicabon June 2022 COSA Checklist Legal Description: MOUNTAIN PARK ESTATES; BLOCK 12, LOT 8 Parcel ID: 017-391-47 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 8/13/99 Total depth 265 ft Cased to 200 It 9 Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 10/6/22 Static water level at beginning of test 224.1 ft Comments B. TANK DATA Measured operating fluid level in septic tank Date of pumping 10/29/21 ❑ Required maintenance completed, if AWWTS Comments: N/A D. ABSORPTION FIELD DATA Which system tested (date installed) 10/22/99 ❑ ALL standpipes present per record drawing Total measured depth from grade 11.0 ft (max) Measured depth to pipe invert from grade 6.83 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. 0 Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced 2008 gallons 10/6/22 date Any rejuvenation treatment (past 12 months) NONE If yes, enter date N/A Well production at time of test 6.6+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? EJ Yes IRENo Urcoliform bacteria is Negative Nitrate 3 y mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 0,Arsenic less than MRL (ND) Collected by GEG, LTD. Date 10/7/22 C!F] LIFT STATION Required maintenance complet e of lift station ars station ial ments: Adequacy test date 10/7/22 Results ®Pass Fluid depth prior to test 20 in Water added 620 gal New fluid depth 38 in Elapsed time 145 min Final fluid depth 28 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 48 in Effective depth used 28 in Effective depth remaining 20 in Comments/Deficiencies: PRE-SOAKED & TESTED WEST TRENCH ONLY - EAST TRENCH HAD 6" OF LIQUID AT THE BEGINNING OF TESTING AND LIQUID LEVEL DID NOT CHANGE THROUGHOUT PRESOAK OR TEST COSA Checklist June 2022 a� L BASO 5; q/ tlg1Z��� ASO-;-, vi^ -f "' car'. ; '1 — 6- c QHS ` .�'�•' ,=-��y E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ri Yes if No ft W Yes if No ft Neighboring Tank > 100' Ota Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' ** Animal Containment > 50' Q Yes if No F Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' [j]Yes if No ft 0 Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No *5+ ft Surface Water > 100' 0 Yes if No FROM DECK POST (SEE ATTACHED PHOTO) **APPROXIMATELY 1 00'TO DRAINFIELD ON ROBIN HILL #1; B2, L4 ft ft ft ft ft G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineerinq Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gayness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system In accordance with the guidelines and regulations established by the Municipality of Anchorage and industry Q�O4 practices. The reported results describe the condition of the system/s on the date/s of the evaluation. O F Separation distances were measured to readily identifiable features. Hidden defects or encroachments may o Q exist that were not Identified during the evaluation. The operational life of all wells and septic systems depend t . upon a variety of variables, Including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not.:. /�. ....... guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regardin G the future performance of the well or septic system. GEG makes no representation whether an alternative well X .. 1 or septic system can be Installed on the property In the event either of the current systems fail to perform ! Jayfr,,ey . r adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG CE - 953 to perform the evaluation. Reliance upon the information provided in this report by any other person or party QI (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. �o°o LICENSE��eryProfessio 0 COSA Checklist -June 2022 9AEC 884 ��DOO�O��� Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' — 0 Yes if No ft Private Wells > 100' M Yes if No — C-1 r c� Water Main > 10' 0 Yes if No ft _ Community Wells > 200' © Yes if No _ Water Service Line > 10' Yes if No ft If tank or field is under driveway comment below N F. ENGINEER'S COMMENTS TANK MET CODE AT TIME OF INSTALL - ST1 IS 76" AWAY FROM DECK POST (SEE ATTACHED PHOTO) **APPROXIMATELY 1 00'TO DRAINFIELD ON ROBIN HILL #1; B2, L4 ft ft ft ft ft G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineerinq Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gayness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system In accordance with the guidelines and regulations established by the Municipality of Anchorage and industry Q�O4 practices. The reported results describe the condition of the system/s on the date/s of the evaluation. O F Separation distances were measured to readily identifiable features. Hidden defects or encroachments may o Q exist that were not Identified during the evaluation. The operational life of all wells and septic systems depend t . upon a variety of variables, Including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not.:. /�. ....... guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regardin G the future performance of the well or septic system. GEG makes no representation whether an alternative well X .. 1 or septic system can be Installed on the property In the event either of the current systems fail to perform ! Jayfr,,ey . r adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG CE - 953 to perform the evaluation. Reliance upon the information provided in this report by any other person or party QI (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. �o°o LICENSE��eryProfessio 0 COSA Checklist -June 2022 9AEC 884 ��DOO�O��� Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 221514 Subdivision: Mountain Park Estates Block 12 lot 8 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks The septic tank for this COSA / property is 23 years old. A leaking septic tank may be a source of contamination to the aquifer. Typical replacement costs range from $10,000 to $15,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of a 16 -year-old septic tank in failure and should be replaced. � � Madmg Address `P O Box 196650 * �4nchorage,Alaska 99519 6650'* www muni org _ r. Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.a.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING ra Parcel I.D. 017-391-47 COSA# c� Si. i rJ 1. GENERAL INFORMATION Expiration Date: 717.611 Z Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MOUNTAIN _PARK ESTATES; BLOCK 12 LOT 8 12815 ALPINE DRIVE *ANCHORAGE, AK 99516 CHING Yl—TU Day phone C/O AGENT 12815 ALPINE DRIVE *ANCHORAGE, AK 99516 BETH SIMPSON W/ KELLER WILLIAMS Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Day phone Day phone 865-6556 TYPE OF WASTEWATER DISPOSAL: Individual Well N 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 samples. (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, t 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. l 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 andlor wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date g-112 Engineer's Comments In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA - - - - DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE f/ Approved for � bedrooms. Disapproved. Conditional approval for bedrooms, with the following ON-SITE Attachments COSA Checklist X — Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: 1/� Original Certificate Date: Z,�;Z (Rev. 11105) Municipality of Anchorage z. • Development Services Department Building Safety Division .. On -Site Water 8 Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MOUNTAIN PARK ESTATES; BLOCK 12, LOT 8 Parcel ID: 017-391-47 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N A Well Log (YIN) YES Date completed 8/13/99 Sanitary seal (YIN) YES Wires properly protected (YIN) 2S Total depth 265 ft. Cased to 262 ft. Casing height (above ground) 18+ in. FROM WELL LOG Date of test 8/13/99 Static water level 225 ft. Well production t0 -9-p-m WATER SAMPLE RESULTS: Coliform) colonies/100 ml. Arsenic: /)1 Q ug./L. B. SEPTIC/HOLDING TANK DATA Nitratea_._Q_�? mg./L. Date of sample: 4/10/12 AT INSPECTION 4/10/12 189 ft. 5.35 g.p.m. Collected by: GEG, Ltd. Tank Type/Material SEPTIC/STEEL Date installed 10/20-22/99 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping Pumper A)o'g1' Jt'a Pct^ t O C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE EAST/WEST Date installed 10/20-22/99 Soil rating (g.p.d./ft2or /bdrm 0_45 System type DEEP TRENCH Length 2 ® 50 = 100 ft. Width Gravel below pipe 4 ft. Total depth*11.792*12.45 ft. Eff. absorption area 1000 ft2Monitoring tube YES Depression over field NO Date of adequacy test 4/17/12 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 10.5 0 in. Water added 1240/1200 gal. New depth 29.5/19. in. Elapsed Time: 156/120 min. Final fluid depth 28/17.5 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date - D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump ofr' level High water alarm level at in. Cycles tested Meets alarm $ circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line _ 10'+ Surface water 100'+ Driveway, parking/vehicle storage 2' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS r u (:res �n nV1 cEtiJn N`f W�� i ¢m ul/" 7' � P'e G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and p�' T review of Municipal records that the above systems are in Q"""""' """' conformance with MOA COSA guidelines in effect on this � date. 0 . j y A. ar ess:' Engineer's PrinteName JEFFREY A. GARNESS p�4 s CE -795 Datee^ea 4l%ov V��wProf e s sioo COSA Fee $ a4 q Date of Payment �aS 1/2 Receipt Number Q4 ?436 (Rev. 11105) Waiver Fee $ Date of Receipt Number Parceli.D. Municipality of Anchorage 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/onsfte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING 01739147 1. GENERAL INFORMATION �r COSA# oul fto Expiration Date: Y -,2- j ' Q_7 Complete legal description Mountain Park Estates Blk 12 Lot 8 Location (site address) 12815 Alpine Drive, Anchorage, AK 99516 Current Property owner(s) Ralphena L. Mowrey Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 12741 Alpine Drive, Anchorage, AK 99516 Day phone Usa Herrington f Dynamic Properties Day phone 646-0525 3111 C Street, Suite 100, Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well El Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site❑ Individual Holding Tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Onsite 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 Onsite 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 affoced 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 -she 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 Watkins Engineering, Inc. Phone 907-349.1851 Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy W. Ellis G. DSD SIGNATURE i� Approved for 3 bedrooms. Disapproved. Conditional approval for Date 1242007 bedrooms, with the following stipulations: rrra� i �rrru �n O 1 _111L //jJIJ)1 m), Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: ' Original Certificate Date: — C 617 (R" 1185) Municipality of Anchorage Development Services Department Building Safety Division On -She Water R Wastewater Program :. 47W Bragaw Street P.O. Box 196650 Anchorage, AK 995196650 www.muni.orglonske (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Mountain Park Estates Bik 12 Lot 8 Parcel ID: 017-391-47 A. WELL DATA Wen type Pri It A. B, or C provide PWSID # _ Date completed 8/13/99 Sanitary seal (Y/N) Yes Total depth 285 ft. Cased to 200 ft. FROM WELL LOO Date of test 8/13/1999 Steric water level 225 ft. Wen production 10 9 -p.m. WATER SAMPLE RESULTS: Coliform 0 colordesl100 mL Nitrate 0.250 mg/L Arsenic; !0.005 mg/l Date of sample: 1/10/2007 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Steel Sptic Tank Tank size 1000 gal. Number of Compartments 2 Well Log (YM) Yes Wires property protected (Y/N) Yes Casing height (above ground) 24 in. AT INSPECTION 1/17/2007 189 ft. 5.5 9 - p.m - Other bacteria 0 colonies/100 mL Collected by: Cindy W. ERIS Date installed 10/2211999 Cleanouts (YM) Yea Foundation cleanout (Y/N) Yes Depression over tank (YIN) NO High water alarm (YM) N/A Data of pumping VIM= � Pumper Northland Pumping C. ABSORPTION FIELD DATA Dateinstalled 10/22/1999 Gbil rating (g.p.dAtl or fe/bdnn) 0A5 System type Deep Trench Length 100 ft. Width 5.0 ft. Gravel below pipe 4.0 ft. Total depth 9.2/10.0 ft. Eff. absorption area 1000 ftp Monitoring tube Yes Depression over field No Data of adequacy test V7712007 r msugs (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 4.25/�J5.5 In. y�te West 1275 ei East 1000 te 24.0/22.0 in. Elapsed Time: 120/203 min. Final fluid depth 23.0/21.0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YM 8 type) No If yes, give date D. LIFT STATION Data installed NA Size in gallons ManhoWAecesa (YIN) 'Pump on' level at _ in. 'Pump or level at _ in. High water alarm level at in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 108 Absorption field on lot 112 Public sewer main 100+ Sewer /septic service line 80+ Animal containment areas 100+ Meets slain & circuit repuvements? On adjacent lots 1100+ On adjacent lots I W+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manurelaninal excrete storage areas 100+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 13 Property line 27 Absorption field 25 Water main 100+ Water service One 80+ Surface water 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property One 11 Building foundation 32 Water main 100+ Water Service line 78 Surface water 100+ Driveway, parkinWahide storage 9 Curtain drain NA Wells on adjacent lots 100+ F. COMMENTS: Septic system has recently had lower use than usual, so a large volume of water (2278 gallons) was Into the drainfield. 0. ENGINEER'S CERTIFICATION r n 1yi I certify that l have determined through field inspections and * 49 review of Munirtgtal records that the above systems are in conformance will/ MOA COSA guddefines in effect on this date. M—Z�4ra Engineer's Printed Name Cindy W. ENS, P.E. CID Y W. Ellis CE . tog" Date 1/24/2007_..........: COSA FeeE Date of Payment Receipt Number (Rev. i1XM Walver Fee E Date of Payment Receipt Number SGS Ref.M 1070177001 Client Name Watkins Engineering Project Name/# Mountain Park Estates B 12 L 8 Client Sample ID Mountain Park Estates B 12 L 8 Matrix Drinking Water Sample Remarks: All Dates/Times are Alaska Standard Time Printed Date/Time 01/23/2007 8:28 Collected Datelfime 01/10/2007 15:30 Received DalclTime 01/102007 17:04 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Method Container ID Limits Date Date Init Metals Department I [artiness as CaCO3 149 Private Individual Jlnalvais Aluminum ND Antimony ND Arsenic ND Barium 20.1 Cadmium ND Calcium 44200 Chromium 1.07 Copper 314 Iron ND Lead 0.492 Magnesium 9300 Manganese 68.7 Phosphorus ND Chloride 3.34 Fluoride ND Potassium 949 Nitrate -N 0.250 Selenium ND Nitrite -N ND Sodium 4090 Silicon 5530 Silver ND Sulfate 23.5 Thallium ND 5.00 mg/L SN1202340D C 01/11/07 01/15/07 TK 20.0 ug/L EP200.8 C 01/11/07 01/15/07 TK 1.00 ug/L EP200.8 C (<6) 01/11/07 01/15/07 TK 5.00 ug/L EP200.8 C (<10) 01/11/07 01/15/07 TK 3.00 ug(L EP200.8 C (0000) 01/11/07 01/15/07 TK 0.500 ug/L EP200.8 C (<5) 01/11/07 01/15/07 TK 500 ug/L EP200.8 C 01/11/07 01/15/07 TK 1.00 ug/L EP200.8 C (<100) 01/11/07 01/15/07 TK 1.00 ug/L EP200.8 C (<1300) 01/11/07 01/15/07 TK 250 ug/L EP200.8 C (6300) 01/11/07 01/15/07 TK 0.200 ug(L EP200.8 C (<15) 01/11/07 01/15/07 TK 50.0 ug(L EP200.8 C 01/11/07 01/15/07 TK • 1.00 ug/L EP200.8 C (<50) 01/11/07 01/15/07 TK 200 ug/L EP200.8 C 01/11/07 01/15/07 TK 0.100 mg/L EPA 300.0 B (Q50) 01/11/07 01/11/07 1DS 0.100 mg/L EPA 300.0 B (Q) 01/11/07 01/11/07 1DS 500 ug/L EP200.8 C 01/11/07 01/15/07 TK 0.100 mg1L EPA 300.0 B (<10) 01/11/07 01/11/07 1DS 5.00 ug/L EP200.8 C (<50) 01/11/07 01/15/07 TK 0.100 mg/L EPA 300.0 B (<I) 01/11/07 01/11/07 1DS 500 ug/L EP200.8 C (Q50000) 01/11/07 01/15/07 TK 200 ug(L EP200.8 C 01/11/07 01/15/07 TK 1.00 ug/L EP200.8 C (<100) 01/11/07 01/15/07 TK 0.100 mg/L EPA 300.0 B (Q50) 01/11/07 01/11/07 JDS 1.00 ug/L EP200.8 C (Q) 01/11/07 01/15/07 TK SCS RtE# Client name Project Nnme/N Client Sample ID Matrix 1070177001 Watkins Engineering Mountain Park Estates Q 12 L 8 Mountain Park Estates D 12 L 8 Drinking Water All Dates/rimes am Alaska Standard Time PrintedDate/fime 01/23/2007 8:28 Collected Date/time 01/10/2007 15:30 Received Date/rime 01/102007 17:04 Technical Director Stephen C. Ede Allowable Prep Analysis Parameter Results PQL Units Method ContainerlD Limits Date Date Init Private Individual Analysis Total Dissolved Solids 194 10.0 mg/L SM20 2540C D (<500) 01/16/07 ACF Zinc ND 5.00 ug/l, EP200.8 C (<5000) 01/11/07 01/15/07 TK Nickel ND 2.00 ug/L EP200.8 C (<100) 01/11/07 01/15/07 TK 11CO3 Alkalinity 132 10.0 mg/L SM202320O D 01/12/07 PLW CO3 Alkalinity ND 10.0 mg/L SM202320B D 01/12/07 PLW 011 Alkalinity ND 10.0 mg/L SM202320D D 01/12/07 PLW Conductivity 280 1.00 umhos/cm SM2025IOD D 01/12/07 KP PH 8.00 0.100 p1I units EPA 150.1 D (6.5-8.5) 01/12/07 KP Alkalinity 132 10.0 mg/L SM202320B D 01/12/07 PLW Total Coliform 0 cot/100mL SM209222B A (<I) 01/10/07 DPT MEM n a r m ALPINE DRIVE w C) w o 0 N00e01'00"W 115.00 1� •Y Y•'il)�. J z D S p .1�••� i 'n n m Z o y O -p z .,i SpA C) 40 m OC in - 4 OD 0 00 to CA ' ` �;' co rA CO Fe 20.0 t . '.,,_ ;:�• `° A %-Z: O d _ .OI Go O w T . m `\\\\ ��� 0. 43 V W �^ 0 gUP! 1 f Sgv o w4 10' UTILITY EASEMENT • � � r0 1 N 8 Q NOOe00'33"E 115.00 5H a R N 8OeLot 4, Robin Hills Subd. o N N 0 Municipality of Anchorage `\4• �jj; �'r"� Development Services Department -� y Building Safety Division On -Site Water 8 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 �7 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 017-391-47 HAA# 1. GENERAL INFORMATION Expiration Date: Complete legal description MOUNTAIN PARK ESTATES SUBDIVISION; LOT S. BLOCK 12 Community Class Well ❑ Public Water System Location (site address or directions) 12815 ALPINE DRIVE • ANCHORAGE. AK 99516 Current Property owner(s) WAYNE FRISON Day phone 351-9680 Mailing address 12815 ALPINE CIRCLE • ANCHORAGE, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 samples. (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 engineers work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid 3 O at, or prior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certt'rred by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority 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 riles 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKW WC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKW WC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the ownerlisted above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ✓ Approved for bedrooms. Disapproved. Phone 337-6179 Date _644 Zz Conditional approval for bedrooms, with the fllowing stipulat&j AND HAA Checklist Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By:_ Original Certificate Date: (aw.IMI) Municipality of Anchorage • Development Services Department Building Safety Division Onsite Water & Wastewater Program 47W South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.66W www.d.anehorage.ek.us (907)943.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: MOUNTAIN PARK FST. S/D: LOT 8, BLOCK 12, Parcel ID: 017-391-47 A. WELL DATA Well type PRIVATE If A. B, or C provide PWSID# N/A Date completed 8/13/1999 Sanitary seal (Y/N) YES Total depth 265 ft. Cased to 262 ft. FROM WELL LOG Date of test 8/13/1999 Static water level 225 ft. Well production 10 — 9 -p.m - WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 0.2 mgJL. Well Log (Y/N) YES Wires property protected (YIN) YES Casing height (above ground) 24+ in. AT INSPECTION 7/29/02 231 ft. 5.58 g.p.m. Other bacteria 0 colonies/100 ml. Arsenic: N/A mg./L. Date of sample: 7/29/2002 Collected by: AKWWC, INC. B. SEPTICIHOLDING TANK DATA Tank Type/Material STEEL Date installed 10/22/99 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation deanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 7/29/2002 Pumper DENALI SEWER do DRAIN C. ABSORPTION FIELD DATA PRELDW DIVING TRENCH I / TRENCH II Date installed 10/22/99 Sod rating .p.d. ft%dnn) 0.45 System type DUAL TRENCH Length 100 (2 O 501ft. Width 5 ft. Gravel below pipe 4 ft. Total depth •1 is 1o•7sft. EH. absorption area 1000 ft' Monitoring lube YES Depression over field NO Date of adequacy test 7/31/2002 Results (Pass/Fail) PASS For 3 bedrooms 18f ••84 / 27.75/ Fluid depth in absorption field before test 7_775 in. Water added 564 gal. New depth 17.0 in. 252/ 26.5/ Elapsed Time: 365 min. Final fluid depth 16• in. Absorption rate >= 450+ g,p.d. Any rejuvenation treatment (past 12 mo.) (YIN 6 type) NONE KNOWN If yes, give date — ••1210 TOTAL GALLONS D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size in gallons High water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankilift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhoie/deanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property Ilse 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingtvehide storage 7'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I cer* that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed' /Iya� JEFFREY A. GARNESS Date e/y /oa HAA Fee $ 315 -- Date of Payment gqs�8�(a l ©d Receipt Number 2323, (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number .00'Ctt 3..C9.00.o0 n *INS3 1ILLn .Ot co r 9 f00 / 2 7 i• ���jjj o chz clo �t e CIO G1C r� a M.,OO.t0.00 N anNa 3NIdny F L 1• Iola 0926 S.z 406 A3Amns ONvi IQla,18a,0 Ma, 80160 6661-6L-170 ��Atfj 5,ys Ari E,?±4i t4