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Home My WebLink AboutWYNTER PARK #1 BLK 2 LT 25Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 Page I of 1 ON-SITE WASTEWATER INSPECTION REPORT OSP1 61267 PID Number: 05149226 Permit Number: Dwelling: nE Single Family (SF) El Duplex (D) F1 Multiple (SF and/or D) Project: n New FEJ Upgrade Name: SKIS HOLDINGS ABSORPTION FIELD Deep Trench El Shallow Trench n Bed n Mound Address 21046 FROSTY DRIVE El Other Phone Number of Bedrooms Soil Rating Total depth from original grade LEGAL DESCRIPTION Depth to pipe invert from original grade Ft Gravel depth beneath pipe -- Ft. Subdivision Block Lot WYNTER PARK #1 B2 L25 Fill added above original grade Ft.,-- Gravel length Ft, Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES Tol Septic Absorption Holding Sewer Lift Station Total absorption area Number of trenches Dist. between trenches From Tank Field Fank Line Ft2 Ft. TANK 9 Septic [:] S.T.E.P. El Holding Other Well Manufacturer ANCHORAGETANK Capacity 11000 Gal. Surface Water 1 +100 Material STEEL Number of compartments 2 Lot Line +5 NA LIFT STATION Foundation +5 Manufacturer Capacity Curtain Drain Pump on level at Pump off level at High water alarm at Remarks OLD TANK ABANDONED PER MOA in. in. in. REQUIREMENTS Pump make and model Electrical Inspections performed by Tank to OWNER INSTALL DrainfieldUNK CO/MT3034 Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation)+ 100 ft Inspection 11,10/5/16 nd Location and description dates: 2 FOUNDATION 3rd COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer',s Stamp Conditional Approval: Date 49 ES G RAL Approved 0 Date |nspvnUunRepoo-S-1-1zdoo / / / / / / / / / WYNTER PARK SU8#1 LOT 25 BLOCK 2 EXISTING 5x39 LEACHRELD TO REMAIN NEW 1000 GALLON / MOA APPROVED SEPTIC TANK. LEGEND OUT * MONITOR TUBE M TEST HOLE WYNTER PARK SUB#1 LOT 26 BLOCK 2 SCHEMATIC ELEVATION - SCALE: NTS LEGAL DESCRIPTION: WYNTER PARK #1 BLOCK 2 LOT 25 C&M ENGINEERING SERVICES OWNER: SKG HOLDINGS DATE: 11 /12 )RAWN: CBJ REF: 907-854-5558 SEPTIC RECORD DRAWING (~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME -- PHO-N ~ ~,N EW MAILING ADDRESS LEGAL DESCRIPTION ~ Well Absorptio~ area /~ Dwelling PERMIT Manufacturer ~ Liq, in gallons iF HOMEMADE: Inside length Width Liquid depth ~O~ DISTANCE TO: Well ~ Dwelling PERMIT NO. _ O ~ ~ Manufscturer Material Liquid capacity in gallons Foundation / Nearest lot line ~ PERMITNO. [~ ~ of ' s~ Trench wi th Top of ~ile to finish ~ra~e ~aterial ~eneath tile Total effective a~sorp{io rea OTHER ,,, ...... 7~013, Rev, 3/78) CH I'-,.I--'._~. l' TIE PERMIT NO. ( 8;;;.::t075~ ) RPPL. I CRNT LOCRT I ON LEGRL II'"IU~'-.II ][ C: ][, 'FILI 7'"T' f.Z"F DEPFIRTMENT OF HEBLTH FIND ENVIRONMENTFll`-. PROTECTION 825 '"L' STREET., RNCFIOR. BGI:-.., FIK. 9S~50t 264-4?20 SE. EIb. lIE F~ Ir='E F'P,1 I ]- JIM MC:BLL. RSTER L2.5 B::" WYNTER PRRK GEM DELIVER. Y, BNCFIORRGE 995~.0- 278.-458:1. LOT SIZE 9~DD~9. SQUFIRE FEET TYPE OF SOIL BBSORPTION SYSTEM IS: TRENCM I'"IRXIMUM NUMBER OF' BEDROOMS SOIL RRTING (SQ FT?BR)= t25 'THE REQUIRED SIZE OF THE SOIL 8BSORPTION SYSTEM IS: [:,EF"TH= -~" L E I'qlHS-r ~-~ = 2~-~, ~-]~ g~:~ R Fi%-' E L [:,EPTH:: 5 'FI'IE LENGTH DIMENSION IS TFIE LENGTH '::IN FEET) OF THE TRENCH OR DRRINFIEL[:'. THE DEPTH OF F~ TRENCFI OF;'. PIT IS 'rilE DISTFINCE BETWEEN THE SURFFICE OF THE GROUND FIND ]"HE BOTTOM OF THE E2',CRVFITION (IN FEET). 'FWERE IS NO SET HIDI"FI FOR TRENC:FIEES. THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRBVEL BETWEEN THE OUTFf:ILL PIPE BND THE: BOTTOM OF THE E.~-',CFfCBTIOI",I (IN FEET). PERMIT FIPPLICBNT HBS THE RESPONSIBILITY TO INFORM THIS DEPFIRTMENT DURING THE INSTFILLFITION INSPECTIONS OF BNY WELLS FID..IRCENT TO THIS PROPERTY FIND THE NUMBER OF RESIDENCES THBT THE WELL Nil._[_ SER'v'E. TI.-iO ( ;;='-] ]:, ][ ['-~SF'E(::T :~ C~'"~ ~- RRE R E~'=-:~-. LI ][ ~.: E-] IL']:, BRCI<FILLING OF FIN"r' S'¢STEf'I WITHOUT FINRL INSPECTION FIND FIPPROVFIL 8Y THIS DEPFIRTMENT WILL BE SUBJECT TO PROSEC:IJTION. MINIMUM DISTFINCE BETWEEN FI WELL AND 13NY ON-SITE SE.WRGE DISPOSBL SYSTEM IS t00 FEET FOR FI PRIVFITE NELL OR 150 TO 200 FEET FROM B PUBI..IC NELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTBNCE FROM FI PRI'¢FITE WELL TO FI F'RIVBTE SEWER LINE I:, '"':' FEE]' FIND 'FO ~ COMMUNIT"r' SEI4ER LINE IS 75 FEET. OTHER REQUIREMENTS MFIY FIPPL'¢. SPEC:IFICBTIONS FIND CONSTRUCTION DIFIGRFIMS FIRE FIVFIILFII=J, LE TO INSURE PROF'ER INSTBLLBTION. F'ERi~'I ][ T E::.~Fa I RES E:'E"-£:EI~"IBIER ]~:2L... :::I_'Z'~- 8 2 I CERTIFY TMRT ±: t RM FI::IMIL. IBR WITH ]'HE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MIJNICIPRLITY OF RNCHORRGE. 2.: I WILL INSTBI_L THE SYSTEM IN RCCORDFINCE WITH THE CODES. 2:: I UNDERSTFIND THRT THE ON-.S';ITE SEWER SYSTEM MFIY REQUIRE ENL.BRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ].t BEDROOMS. V4. 0 -,/ ~. . .. , ~.- / /, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST ,J~ SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 2 3 4 6 7 8 DATE PERFORMED:__(?Of SLOPE ' SITE PLAN 10,. 11 13- 14- 15- 16 17 18 19 2O WAS GROUND WATER ~}~ SL ? E ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /~///~' (minutes/inch) TEST RUN BETWEEN ~ FT AND . COMMENTS ~ ~/,~/ PERFORMED BY, ~ :', ..~,~,~ ~IA~ ~T~ CERTIFIE 72-008 (6/79) FT GREA "ANCHORAGE AREA BOR" Department of Environmental Quality 3330 C Street Anchorage, Alaska 09503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK, DESCRIPTION DISTANCE FROM WELL MANUFACTURER ~0/~¢~ J~¢~'MATERIAL. ~/e~ NUMBER OF COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY. /0~ GALLONS· SEEPAGE PIT: NUMBER OF PITS L,N,NG MATER,AL BUILDING FOUNDATION ADDITIONAL. ABSORPTION DIAMETER ,¢~ ORWIDTH /¢/, LENGTH]~""/, DEPTH ~! CRIB SIZE: DIAMETER~L~_DEPTH ~1 DISTANCE FROM: WELL NEAREST LOT LINE ~ '~ ! , TOTAL EFFECTIVE · ABSORPTION AREA (WALL AREA) ~/Z~ FT. WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION DEPTH DISTANCE FROM: NEAREST NEAREST SEPTIC SEEPAGE LOT LINE SEWER LINE TANK SYSTEM OTHER SOURCES DISAPPROVED REMARKS DISTANCES: INSTALLED BY:_ PIPE MATERIAL; LOT SLOPE: REMARKS: Form NO. EQ-031 DIAGRAM OF SYSTEM DATE App ROY ED 7/~/]~ ~.~ ~.A.A.B. GREA'I'i~R ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND s£pTIc TA.I< SIZE __/~0 T.pE,~me] or ~_Cm~'e.tesr-EP^CE A~,EA .I~E TYPE. 5 FOUNDATION TO S£EPAGE PIT 20 ft, DRA~N f~ELD ]0 ft. I~EpTIC TANK %O SEEPAGE PIt WALL ~5__ ~,~ SEPTIC TANK ~.~--. SEEPAGE PIT 2~t ..... DRAIN FIELO WAT~m~INtOSePtJCtANK 10 ft. S~EPAG~t]0 D.A~N ~i~D 10 [t. EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH IglAMETER CAST IRON SIPI~ON PIPES ON SEPTIC TANK ANO SEEPAGE PIT FITTED WITH AIRTIGHT I~EMOVABLE CAPS iDAtE~~ /_~/¢~J AppLICANT'S SIGNATURE ~-- MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-492-26-000 Legal description WYNTER PARK #1 BLK 2 LT 25 Site address 21046 FROSTY DR Chugiak AK 99567 Current property owner(s) GROSKREUTZ NOAH G Expiration Date: 10/13/2023 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: 7/13/2023 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 MUMUPAL U d Y OF A HCHOPRAGE Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section f Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051 492 26 Complete legal description WYNTER PARK #1 BLK 2 LT 25 Location (site address) 21048 FROSTY DR Current property owner(s) GROSKREUTZ 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units X Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic N Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: X Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 7 - 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 $ S o Waiver Fee $ Date of Payment / 2 �/ "L 3 Date of Payment COSA # ® S C Z 3 % 2 2 Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: 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 Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. 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 gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft 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’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F.ENGINEER’S COMMENTS 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 Phone Engineer’s Printed Name Date C&M ENGINEERING CHARLES BALZARINI, PE 6/19/23 a z/S 97 1� lip,� Q N W O I s rn J_ m N d P � � r � s` `�`_ t• J4fp �R � �LA. S` �a��.aa'} Z. N 15 M U - 'o z z W t�\WO ORNH j \li rotaNfLL E S R, W�OZNS 1�OZF-FQ ZOO >W 2NS0: Z N ~ ® S W xWCxWF-FZ-oZmm ccb U O N Z W 0 M 0 li W >�Z Z x akw U F- W l�, W O W R' p - t W O45W�OZCWJ W :RQX,z �Ome I-} MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date. March 18, 1988 GENERAL INFORMATION (MUST BE COMPLETED PRIOR 'ro SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 25; Block 2; Wynter Park~// Location (address or directions) 4925 Frosty Driv6 (b) Property Owner A', H, F,(~, Mailing Address 520 E, (c) Lending Institution Mailing Address 34th Telephone:Home Anchoraq~ Alaska Telephone Business 561-1900 (d) Re~lEstate Company and Agen!, R6/Max of Eagl6 River-- A1 Romaszews~ Address 16600 C~nt~fi~Id Drive #201 Eagi~ River, Alaska 99577 Telephone-' 694-4200 (e) Mailthe HAAtothefollowina address:or:Check here~4',ifholdforpick up, Listcontactperson and day phone numberbelow. ~ & S Engineering ~94-4~00 TYPE OF RESIDENCE Single-Family [~ Number of Bedrooms ~6 WATER SUPPLY Individual Well [] Community [] PublicJ~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite.,'J~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72~025 IRev 8/861 Front 'HJOM s,Jaeu!eue leUO!SSejoJd eql u! suo!ss!uJo Jo sJoJJe JoJ alq!suodsaJ leu s! eSBJoqou¥ jo Al!lBd!e!unjN eq/'penss! s! elBe!J!pee B eJojaq eiep azAleue Jo suoiioedsu! lonpuoe leu op SHHQ jo seeAoldLU=l 'siueuJa4nb@J ale,s pue leJepeJ u!elJeo AJS!IBS O1Jap~o u! suo!}nl!lsu! 15u!puel J!aql pue seLuoq Jo sJ@seqoJnd oh Aeeunoo e se e!ql seep SI-IH(] eq± 'e;tSBIV JO elB~9 eql UI peJe}s!eaJ Jaau!eue leuocseioJd luepuedepu! ue Aq e^oqe S LldeJ6eJed u! ue^!6 suo!leiuesaJdeJ aLI1 uodn Aluo p@seq le^oJdd¥ Alpoqin¥ q~leeH sense! (SHHQ) seo!^Jes UeLUnH pue qlleeH jo lUeLUpBdec] eSeJoqouv jo NOIJ. r~vo le^oJddV leUO)i)puo0 JO swJe.L leuollipuo3 pe^oJddBsfQ peAoJdd¥ ~ JoJ pa^oJdd¥ 'l¥^Oadd¥ SHHa '9 ~' ~-- ~'~ ~-~ c~ ¢,~ euoqdele/ ,'JNlaBBNIeNiI $ · s LU4a JO amen 'uoi~oedsu! uo loeJJe u! suo!jeln§eJ pue 'seDuBu!pJo 'eepoo e;le),S pus led!o!unw lie ql!M eoue!ldLuo3 u! s! u~8:le~e lesode!p Jo/puB Alddns JeIBM el!s-uo ~qi 'uo!ioedsu! pub UO!IB~!iSeAU! ALU LUOJJ pu8 ee[!J eOeJoqou'¢ jo /q!lBd!e!unR pau!e~qo uo!iBLuJoju! eql uo pesBq ~Bq] AJ!JeA JeqHnJ I 'u!eJeq peiee!pu! eJnionJ)s jo edA1 pub eLuooJpeq elenbape pue leuoqounj 'ejes si LU e),SAS IBsods~p ~e~e~a)se~ Jo/puB Alddns JelBM e) S-UO eqi leqi s~oqs le^oJddv qilBeH s!qi Jo UO!iBe!iSeAU! ALU ]eq) A,tpeA I 'MOleq UMOqS alep UogeP!IBA eqi Jo SB pue oleJeq peXUJB leas ALU Xq peu!Peo NOI.L¥1NI~OJNI aNV ¥.12¢a 'HC)I:I~'=IS ~'llJ '~.LS=I.L '~NOI.LO:IdSNI 9NlalAOUd I~bll-I 9NII~:I:INISN:~ .g MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 . . : Well Classification Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot If A, B. C, D,E,C. Approved~;~N) "'7/ Date Completed Yield Depth of Grouting Sanitary Sea~ on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot .~c::, ~ ; On Adjoining Lots To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~:::~ h-,-~ To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC'TROEEHNG. TANK DATA Date Installed ~ O ,~ "'~-"] ¢~)"LSize Standpipes ~-'.'.~N) "~ Air-tight Capsd~N) Depression over Tank(~ ,,Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/l::toldi¢~ ~'ank: To Water-Supply Well "Z-'"'¢~O No, of Compartments ~ ~/ Foundation Cleanout (Y,~ ~ ~ //~.Date Last Pumped '¢~ ~'?..-'7~ ~ ,~5 ; for ~ ? Temporary Holding Tank Permit (Y/N) /~/.,A, __ To Building Foundation To Property Line To Water Main/Service Line Course Comments '~'~' ~ To Disposal Field ~' ! To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026 tRev 81861 Fronl C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~'"'Z---~ ~,~/'~ Date Installed Width of Field ~"' '~ ' Square Feet of Absorption Area Depression over Field (Y4~D Results of Last Adequacy Test Separation Distance from Absorption Field: Type of System Design j Length of Field Depth of Field \ Gravel Bed Thickness ~-~ Standpipes Presen~2~N) Date of Last Adequacy Test To Water-Supply Well To Building Foundation Lot To Water Main/Service Line \ ~:> lac' To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line ~,,~;:) I.~ To Existing or Abandoned System on ; On Adjoining Lots "2P'cP )'Jo- To Cutbank lif present) ~-~//A, Comments D. LIFT STATION Size in Gallon%"--~. "P,mp On" Level at-~---~ ~..~ High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~~:~n Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Eagle River, AlasKa ~// ,% Receipt No. ~ ~ ~ Page 2 of 2 72 026 fRev 8/8G) Back I~IEIPT, ~tF tEI~I~IBI®I~I~IIIM~ITA~L C@i~JgBB~¥AI~¢ 'ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 1334 / ANCHORAGE, ALASKA 99.503 STEVE COWP£Rt GOVERNOR 563-6775 DATE: March 21~_ 1988 PWSiD: 211431 To Whom it May Concern: According [o the records on file in this office, the DAWN WATER COMPANY (WVNTER PARK) Water System is in compliance with the State of Alaska Drinl(in§ Water Regulations. Please note that departmental records indicate that the public water system was installed prior to the 1978 implementation of the Alaska Drinking Water Plan Review regulations. No as-built plans have been reviewed or' approved by the department, nap are any 6ecessary. Since the system has submitted acceptable water : samples on a 'regular basis and received a satisfac[ory sanitary · supve~ evaluation by tile department, the system is acceptab]e under'tile standards in effect at the time of installation. An official "Certi'ficate to Operate" may be issued upon receiving a complete set of as-boi]t plans. Any expansion of the water system after' 1978 will require plan review and the issuance of a "Certificate o¢ Operation" permit. Sincerely, Ronald S. K~ein Enviconrrlental Pie]d Officer RSK/MPL: pi<t< cc: Mike Lewis, AOEC, Anchorage