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HomeMy WebLinkAboutCORINNE LT 1Corinne Lot 1 #051-302-54 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Dwelling: K Single Family (SF) El with ADU El Duplex (D) M Two Single Family Project: 171 New W Upgrade Name El Deep Trench n Wide Trench IOM Bed El Mound Site Address 18739 MONASTERY DRIVE, EAGLE RIVER, AK 99577 El Other Phone of Bedrooms Soil Rating Total depth from original grade LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot CORRINE I Fill added above original grade SEE DWG. Ft. Gravel length 43 Ft. Township Range Section - Gravel width 20 Ft. Beds: Number of Lines 4 Distance between lines 5 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From — Tank Field Tank Line 860 Ft2 - Ft. Well EXIST. N/A VA_10_(_�_Septic E] S.T.E.P. 171 Holding El Other Manufacturer Manufacturer Capaci Surface Water EXIST. 1001+ Gal. E IS f compartments Lot Line EXIST. 10'+ NA :!aterial ATION Foundation FEXIST. i 10'+ Manufacturer c Remarks *HOUSE CURRENTLY 3-BEDROOMS, BUT Gal. SEPTIC SYSTEM SIZED FOR 4-BEDROOMS Alarm location Ele ailed by Installer PIPE MATERIAL House to tank EXISTING Tankto D3034 drainfield Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 117.36 It Inspection 1st 10/17/23 10/18/23 dates: 2nd Location and description 3'd 10/19/23 4 1h BOTTOM OF SIDING NEAR POINT B ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date Note: this approval does not include well permit requirements. P,Ofess!Of' ,~~~°='�J NUMBER: PARCEL ID NUMBER: RECORD DRAWING I 051-302-54 LOCATION OF WATER LINE FROM PROFESSIONAL WATER LOCATE MARKINGS CORNERS WERE GENERATED IN AUTOCAD. :� :,•.' =; •:':_ ' EY BOX LOCATIONS 4 :t-•: __ -- ASSUMED WATER LINE LOCATION 1 '�,". �'•' i��' NOTE: PER THE CONTRACTOR, THE OLD DRAINFIELD AND OLD PUMP VAULT ( - •�• .s 1. ` �.' % •:.` "- /� WERE DECOMMISSIONED PER UPC. 1901 :' •'% +:•" / EXISTING 3 BEDROOM �•• :''•' ' : *' A I B HOUSE (SEPTIC SIZED • '.+ •'�~ DBL1 20.4 8.3 l:. �•,•.:• F�S F A B DBL2 21.0 9.2 C04 106.1 122.1 ST1 21,9 10.9 C05 111.4 127.4 \ GEG TH#2LU ST2 27.7 25.4 MT2 112.8 128.9 :z DBL3 33.4 33.8 MT3 97.1 119.2 DBL4 34.7 35.5 C06 96.1 12 0. 1 // //�THp, EXISTING 2,000 -GALLON C01 1103.9 1 116.0 C07 102.9 124.7 _ MT1 95.0 110.5 C08 108.1 129.9 NEW DOUBLE CO2 96.5 112.1 C09 111.4 134.3 , CO3 101.0 116.8 MT4 112.8 128.9 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE LOCATION OF WATER LINE FROM PROFESSIONAL WATER LOCATE MARKINGS CORNERS WERE GENERATED IN AUTOCAD. :� :,•.' =; •:':_ ' EY BOX LOCATIONS 4 :t-•: __ -- ASSUMED WATER LINE LOCATION 1 '�,". �'•' i��' NOTE: PER THE CONTRACTOR, THE OLD DRAINFIELD AND OLD PUMP VAULT ( - •�• .s 1. ` �.' % •:.` "- /� WERE DECOMMISSIONED PER UPC. 1901 :' •'% +:•" / EXISTING 3 BEDROOM �•• :''•' ' : *' DECOMMISIONED HOUSE (SEPTIC SIZED • '.+ •'�~ DRAINFIELD FOR 4 -BEDROOMS l:. �•,•.:• F�S APROXIMATE yr LOCATION Iw 3$ Ul T s u) LU • .: • .. f \ \ GEG TH#2LU I� �!• \ \ NEW DRAINFIELD \�� NEW DOUBLE CLEANOUTS :z 10 ': •; \\; _ �t \ // //�THp, EXISTING 2,000 -GALLON l w _----- --L STEEL SEPTIC TANK. �� / INSTALLED ON 5/8/2015. I p _ ILL NEW DOUBLE ��----------�`` iN \ CLEANOUTS , • _.` - �� (DBL3 & DBL4) � RESERVE DRAINFIELD SITE. ♦\ �� AWWTS REQURIED. THE BOTTOM OF •. ASSUMED LOCATION // THE DRAINFROCK/TOP OF THE •.� OF POSSIBLE 1981 \ // SAND FILTER MUST BE 2+ FEET ,�; s' ' SUBSURFACE DRAIN \ / \/ ABOVE ANY COMPONENT �\ . •. _ NO OUTFALL \ (DRAINROCK OR DRAINPIPE) OF THE I \ ASSUMED SUBSURFACE DRAIN. I \ s • •.. ..100 •" -FOOT WELL RADIUS LOCATION) � r / (GENERAL N 100 -FOOT WELL RADIUS % \\ (PER SURVEY) \ I \1 SCALE: I v_ "&'&w\\ OF •`'�E GARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING_ --- 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, ALASKA • PHONE (907) 3376179' WEBSITE: w .gamessengineenng.wm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CHARLEY & CHERYL PEYTON 907-862-3211 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: CORRINE S/D; LOT 1 1 J.L.M. TYPE OF WORK: RECORD DRAWING OF DRAINFIELD UPGRADE DATE: KLVISt 12/4/2023 '.. * .. .... ......... * v' �.... I y A Ga ess ' W ■ ��♦.,Q�O.Pi z. of 2c4V ROFE LICENSE IIIIIIIII'llks •••• #AECC884 PERMIT NUMBER: PARCEL ID NUMBER: OSP231294 RECORD DRAWING 051-302-54 MT2 COS C04 C08 FILTER FABRIC FINAL GRADE = 96.53-96.78 CO3 ELEVATION OF ORIGINAL GRADE AT HIGHEST POINT = 95.90 CO2 MT1 GEG C06 MT3 TH#2 OF BOTTOM ENGINEERING * SALES,- CONSULTING --mommmmm-w-mom 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, ALASKA - PHONE (907) 337.6179 - WESSITE: ww .gamenengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: CHARLEY & CHERYL PEYTON 907-862-3211 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: CORRINE S/D; LOT 1 J.L.M. TYPE OF WORK: DATE: RECORD DRAWING OF DRAINFIELD UPGRADE 10/23/2023 10/16/203 = 83.40 4 'P �1��J, 7. �? C 7953 �"i 1�AV ► p Fi LICENSEE`er •`• #AECC884 '*�\"* MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231294 Work Type: SepticTank Upgrade Tax Code Number: 05130254000 Site Legal Address: CORINNE LT 1 G:0654 Site Mailing Address: 18739 MONASTERY DR, Eagle River Owner: PEYTON CHARLEY S & CHREYL G Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Disposal Field Holding Tank ❑ Privy Effective Date: Expiration Date: Dei,iti-tinent 9/14/2023 9/13/2024 Lot Size in Sq Ft: 49494 Total Bedrooms: .13f y ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing co 0-1 M3 D, i t liLct -/v " f`fl� 17 IOlt I-/26�3 Received By:(rL 5 �=D I C (E— C Date:Issued By: Date: Z MUNICIPALITY -OF ANCHORAGE Development Services Department ` Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-302-54 Property owners) CHARLEY & CHERYL PEYTON nay phone 907-862-3211 Mailing address 18739 MONASTERY DRIVE, EAGLE RIVER, AK 99577 Site address 18739 MONASTERY DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) CORRINE S/D; LOT 1 Legal description (Township, Range & Section) Lot Size Sq. Ft Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field Initial ❑ Single Family (SF) ❑ PbWP'VA=T-(w/wo Upgrade X ❑ ADU) Duplex (D) ❑ Holding Tank El Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: X22 5 Waiver Fees: Date of Payment: ! 2v 2 3 Date of Payment: Receipt Number: Receipt Number: Permit No. 0SP23 122c4 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc C. 0 GARNESS ENGINEERING R U , Ltd. �- ENGINEERING 4 SALES - CONSULTING_.a ti.=� October 11, 2023 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Change Order Request from Permit # OSP231294 to include the installation of a drainfield upgrade for Corrine; Lot 1 To whom it may concern: On September 14/2023, a permit (#OSP231294) was issued to replace a pump vault for the referenced property. The area for the proposed pump vault was excavated and found there to be groundwater. Based upon the elevation of the groundwater, the 1981 drainfield is in or encroaching upon groundwater. The pump vault was not installed, and we proceeded with excavating test holes to design a drainfield upgrade since the drainfield encroached upon groundwater. Two test holes have been excavated and the soil logs are attached. We are proposing to continue to use the existing 2000 -gallon septic tank (installed in 2015) and install new gravity flow line to a new bed type drainfield, downhill from the tank. See the attached site plan, design drawing, and detail drawing for the specifications for the proposed upgrade. The new drainfield has been sized to meet the needs of a 4 -bedroom residence, The septic tank is adequately sized for a 4 -bedroom residence. We are requesting an expedited review of this change order so that the contractor can proceed with the installation and the owners can obtain a COSA for the sale of the home. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. A A JeYrrey prn�s P.E., M.S. Presid n" . t / 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com C_J t --j- a - THE DEPICTION OF ALL STRUCTURES SHOWN ON ADJACENT PROPERTIES ARE APPROXIMATE IN REGARD TO CONFIGURATION/LOCATION AND MAY BE BASED SOLELY ON PUBLICLY AVAILABLE MOA GIS RECORDS. THE LOCATION OF ALL WELLS AND SEPTIC SYSTEMS SHOWN ARE APPROXIMATE AND MAY BE BASED SOLELY ON INFORMATION OBTAINED FROM PUBLICLY AVAILABLE MOA ONLINE RECORDS AND/OR ASBUILT SURVEYS PROPOSED I (:SEPTIC DMNFIELD, ARaD SEE DESIGN, PAGE 2 OF 3--\ Tl 5N, RlW, SEC 30, NW4, NE4, NW4, SW4 SERVED BY MARANATHA WATER UTILITIES ­GEG TH#2 EXI�TIR(�-, T-1 // /� ---------- CORRINE LOT 2 SERVED BY MARANATHA MARANATHA WATER UTILITIES i 0-,-> .-4 3BEDROOM ; <I HOUSE NORTH LOT 66A MARANATHA NORTH LOT 66B SERVED BY MARANATHA SEPTIC -ESI " GN, WATER UTILITIES Syi SYSTEf�,-,/Z GEG T41-, SEE DES P PAGE 2 OF 3 RESERVE SITE T15N, R1 W, SEC 30, SW4, NE4, NW4, SW4 I I 100'WELL RADIO GENERALL < ARMSTRONG -JOHNSON MELINDA LOT A LOT a. Lu cl) c_q A MELIVDA LOT B I N A A 0" IEL��RA RADIUS SCALE: RACL E� N Z;lE—N _E T", CSEPTIC100' 11 AREA SCALE: 1"= 100' -----------4_--------------- AW # Air 01 (3Tp 1 A R Niff"d S S 'El N G-1 I N vEl VE R I N tff G R u L t d s ........... . ......... ............ ... ENGINEERING SALES, CONSULTING 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE. ALASKA- PHONE (907) 337.6179' WEBSITE. �.gamessenqineeMgmm 0 .. .... .. . ......... ... .... ..... 0 PREPARED FOR: 0 V3 . . PHONE NUMBER: PAGE NUMBER: 0 i -n— I. rey Ga ess 06) i o ' 7 _4�Ar CHARLEY & CHERYL PEYTON 907-862-3211 1 OF # CE '9 -Z�_ A' PROJECTiLEGAL DESCRIPTION: DRAWN BY: 'IFAr CORRINE S/D; LOT 1 J.L.M. ....... ....... TYPE OF WORK- Rnp DATE: REVISED %F SITE PLAN FOR PROPOSED PUMP STATION UPGRADE LICE SE klkjkjL 10/11/2023 #AEC 1114% DESIGN CRITERIA: NUMBER OF BEDROOMS: 3 (4) GALLONS PER DAY (GPD): 450 (600) PERCOLATION RATE/S: <1 MINUTES/INCH ALLOWABLE APP. RATE: 0.7 GPD/SQ.FT. MINIMUM DRAINFIELD SQ.FT.: 643 (857) DRAINFIELD DESIGN: MAX. DEPTH: 7 -FEET (AT HIGHEST POINT) WIDTH: 20 -FEET LENGTH: 43 -FEET M.O.A. APPROVED SAND FILTER: 2.2 FEET EFFECTIVE: 0.5 -FEET ACTUAL SQ.FT.: 860 GEG, Ltd. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. NOTE: CONTOUR ARE 2 -FOOT INTERVAL AND WERE OVERLAYED ON TI jIS DRAWING FROM THE LAVENDER SURVEY AND MAPPING'S 10/7/2023 AS -BUILT SURVEY NOTE: CONTRACTOR MUST HAVE THE NEIGHBORING 100 -FOOT WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION NOTE: CONTRACTOR MUST HAVE THE WATER SERVICE LINE TO THE ADJACENT /APPROXIMATE LOCATION OF WATER LINE FOR PROPERTY PROFESSIONALLY LOCATED / PROFESSIONAL WATER LOCATE MARKINGS PRIOR TO CONSTRUCTION . I • 1 •.*' '''`�. �/%` �!"� � � OIC / 1 \ \\\ GEG PROPOSED DRAINFIELD. RESERVE DRAINFIELD CRITERIA: NUMBER OF BEDROOMS: 4 GALLONS PER DAY (GPD): 600 PERCOLATION RATES: <1 MINUTES/INCH ALLOWABLE APP. RATE: '4.0 GPD/SQ.FT. MINIMUM DRAINFIELD SQ.FT.: 150 *FOR CAT II AWWTS RESERVE DRAINFIELD DESIGN: MAX. DEPTH: 7 -FEET (AT HIGHEST POINT) WIDTH: 5 -FEET LENGTH: 30 -FEET M.O.A. APPROVED SAND FILTER: 2.2 FEET EFFECTIVE: 0.5 -FEET ACTUAL SQ.FT.: 150 Y. , EXISTING 3 BEDROOM HOUSE (SEPTIC SIZED / 7,�1 ( _ FOR 4 -BEDROOMS 'B ALOCATIONS ASSUMED WATER LINE LOCATION ATER %9 BE )N GRO ;r IP EOM11ISSIONED _�/�--_---� /L NEW DOUBLE V CLEANOUTS INSTALLED �, / / � EXISTING 2,OOD-GALLON _`r —J _----J �J�?�----- j✓� /� /� / % ; ; STEEL SEPTIC TANK. �__ INSTALLED ON 502015. SEE DESIGN CRITERIA EXISTING PUMP VAULT TO BE L/ % / j SEPTIC SIZED FOR REMOVED COMPLETELY AND / .. 4 -BEDROOMS AND DETAIL NEW GRAVITY LINE WITH DRAWING. PAGE 3 OF 3 DOUBLE CLEANOUTS INSTALLED AFTER EXISTING SEPTIC TANK / • S \� 1WELL RADIUS 100 -FOOT WELL RADIUS (GENE T •J';,.� '; / / (GENERAL LOCATION) (GENERAL LOCATION) / \1t �—RESERVE DRAINFIELD SITE � SEE RESERVE DESIGN CRITERIA \� AN I \\ L%I = 40' I I I T Ltd , T 4 ..................... ENGINEERING - SALES CONSULTING 110 / ..� 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, ALASKA •PHONE (907) 3375170 WEBSITE mvw gamessengneenng mm .f ... .......................... _ PREPARED FOR: PHONE NUMBER PAGE NUMBER: ; : • •. 8f@ G Hess CHARLEY & CHERYL PEYTON 907-862-3211 2 OF 3 ®1 CE -79 3 • '���'�o PROJECT/LEGAL DESCRIPTION: DRAWN BY_ oe I J I o CORRINE S/D; LOT 1J.L.M. ®1'pFp'�"'•••• ., ®o TYPE OF WORK: DATE: REVISED LICENSE ®®�OFESS1 o. DESIGN OF DRAINFIELD UPGRADE 10/11/2023 #AECC8B4 It'll J w 0 0 N iq ill in V) N nj ------ --- – — �o �---------------- 1 � I I 1 I I I I 1 I I I I I I I I i I I F- I w LU 0 ®®®++�,U®oma Iti ®®� m ••N•.�L�®® lAV L Mza— M ' ®® N 6Lij 5 ♦ y' V ® � � • �—:--sem,: � o s wo ��,1 �= 'REGI.•+ � w �o W WW= z Z C) rz� i� < Q C7 e�Y $ m L w �M WN (f)o c m M W 5;r. 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TUDOR ROAD, SUITE 101 ' ANCHORAGE, ALASKA' PHONE (907) 337.6179WEBSITE: www.gamessengineedng.mm SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: CORRINE SID, LOT 1 PERFORMED FOR: CHARLEY & CHERYL PEYTON DATE: 9/26/2023 DEPTH (feet) ORGANICS TEST HOLE #1 1 WITH ROOTS 2 3 4 5 6 • P 9/26/2023 10.6' %/% mum • (LOOSE) <2.5 MINUTES i//iI 6 - 0/16" 3 6" 4 <2.5 MINUTES 0 - 0/16" 6 - 0/16" 5 - 6" 9 <2.5 MINUTES 0 - 0/16" 6 - 0/16" �-1�T i'• w� 12 B.O.H. 13 14 15 16 17 18 19 SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER • 10.5' 9/26/2023 10.6' %/% mum • `•'� a i 1 I"""'I <2.5 MINUTES i//iI 6 - 0/16" 3 6" DEPTH TO GROUNDWATER DATE 10.5' 9/26/2023 10.6' 9/27/2023 10.6' 10/3/2023 2 <2.5 MINUTES SITE P ��o P�' P� 4,� QN SCALE: 1" = 100' DATE READING NET TIME WATER LEVEL READING (INCHES) NET DROP (INCHES) 9/27/2023 1 - 6" - 2 <2.5 MINUTES 0 - 0/16" 6 - 0/16" 3 6" 4 <2.5 MINUTES 0 - 0/16" 6 - 0/16" 5 - 6" 6 <2.5 MINUTES 0 - 0/16" 6 - 0/16" PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6. (INCHES) TEST RUN BETWEEN 3.5 FT. AND 4.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ® NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS:- PERFORMED OMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: GA RNESS ENGINEERING GROUP, Ltd. ENGINEERING �. SALES � CONSULTING 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, ALASKA • PHONE (907) 337-6179 • WEBSITE: vm v.gamessengineerinp.com SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: CORRINE S/D, LOT 1 PERFORMED FOR: CHARLEY & CHERYL PEYTON DATE: 10/4/2023 DEPTH (feet) ORGANICS TEST HOLE #2 1 MIXED WITH GM (DISTURBED) E c 10 11 12 13 14 15 16 17 18 19 20 SOIL ORGANICS•. CLASSIFICATIONS 14' 10/4/2023 WITH ROOTS GP 111111111 IiHlll!11 GM%//%CL 10/11/2023 0 - 0/16" 6 - 0/16" I 00 0 SWIIIIIIIIIMH - 4 ////.CH 0 - 0/16" 6 - 0/16" SM�'.�i� • 6" SC 6 GP (LOOSE) DEPTH TO GROUNDWATER DATE 14' 10/4/2023 13' 10/6/2023 12.5' 10/9/2023 12.5' 10/11/2023 SITE P DATE READING NET TIME WATER LEVEL READING (INCHES) NET DROP (INCHES) 10/4/2023 1 - 6" - 2 <1.5 MINUTES 0 - 0/16" 6 - 0/16" 3 6" - 4 <1.5 MINUTES 0 - 0/16" 6 - 0/16" 5 6" - 6 <1.5 MINUTES 0 - 0/16" 6 - 0/16" PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.0 FT. AND 5.0 FT. A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ® NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY GEG, Ltd. I, JEFFREY A. 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M CD Q1 Z co m 0 w ¢ O w W �- a -W = U) W a z�L o } U I L p F Z ww U p I I r ~ in J m in ¢ m - ¢ 0 O II w J Q U 0 WoW LOW UO Z F- O m I¢ 004 NQo�Zw M Q 0 oV ai�,fll-=w� m I H HZwmQw N N Q ZZW(wnco� Q Lij O U O o co U) m tL Z m� atnwQ OZ (no mQZjEz5 M }J N p Z Wf'I-wJ0 N 't �t Zw �Ln�Fmw \ to II OpaQwpow= 0 3 ;- •-_ �cw°'oo z W 1-U �Ixw0UO Q i< ¢_��of(=n 0 0 iapecucn R-i--iz.eoc Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. - P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: _(�S�I�j /I� ( PID Number: 051-302-54 ❑ New ❑✓ Upgrade Name: Sherriiyn Ihde ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 18739 Monastery Dr. ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision - Block Lot Corrine 1 Ft. Ft. Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Ft Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Fel I Ft. Well 200+ N/A N/A N/A NIA TANK EDSeptic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 2,000GaI. Surface water 100+ N/A N/A NIA Material Number of compartments Lot Line 46.7 N/A N/A N/A Steel 2 NA Foundation 10.7 N/A NIA N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ NIA N/A NIA Gal. RemarksHomeowner called when tank was set. PES Pump on level atTin. :off level at High water alarm at only inspected tank install and documented what was in. installed. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 drainfield rank to 3034 Homeowner Drainfieid 3034 Co/MT 3034 Inspector Pannone Engineering Services LLC. BENCH MARK (Assumed elevation) 100ft Inspection vt 5/8/2015 a Location and description dates: Z 3" 4'" Finished Floor COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp .„�.�, !N -."` k OF AC Conditional Approval: Date . • • • • . l �J�� '*! 49 ti, ve W *Pnnorae j CE 81 Approv Date iapecucn R-i--iz.eoc SPECIAL PROVISIONS TO SPECIFICATIONS 1. SCOPE OF WORK: DOCUMENT 2,000 GAL TANK. 2,000g STEEL 89.2J I I TANK NEW lul GENERAL LOCATION OF OLD CLASS 'C' WELL WHICH WAS SUPPOSEDLY , ABANDONED IN THE PAST M M M M M - mM— EXISTING WATER LINES 2,000 GAL TEST HOLE TANK NEW FOUNDATION. CLEAN OUT Q 1 DRAIN FIELD M# pj o o Q DOUBLE CLEAN OUT '0 - FS FLOW SPLITTER BFG OZ a � FN FINISH GRADE TS&V TOPSOIL & VEGETATE � 0� O U U X 4 WJ �U 2 2,000g STEEL 89.2J I I TANK NEW lul GENERAL LOCATION OF OLD CLASS 'C' WELL WHICH WAS SUPPOSEDLY , ABANDONED IN THE PAST M M M M M - mM— EXISTING WATER LINES 10' GAS ROW BK 1198 PG 776 ABBREVIATIONS 2,000 GAL TEST HOLE TANK NEW FOUNDATION. CLEAN OUT EXISTING 1 DRAIN FIELD 10' GAS ROW BK 1198 PG 776 ABBREVIATIONS TH TEST HOLE FC FOUNDATION. CLEAN OUT T# TANK CLEAN OUT. NO, C# CLEAN OUT NO. M# MONITOR TUBE NO. R. 1. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL & VEGETATE NOTES: RECORD DRAWING PLAN USED: 2,000 GAL STEEL TANK LEGEND W WATER LINE/ WELL RADIUS — SS — NEW SEPTIC PANNONE ENG P.O. BOX 100217 ANCHOR, PHONE (907) 272-8218 FAX 3 BR HOUSE (E) VDRkVEWAY ,- FCO INSIDE BUILDING A -,-WITHIN 2 FEET OF WALL �-T2-"'-�NOTE: OWNER LOWERED ITS (E) GRADE OVER TANK A B T1 11.20 18.80 T2 25.80 32.20 LLCM c 99510 r `Q 272-8211 CORRINE, LOT 1 SHERRILYN IHDE 18739 MONASTERY DR. EAGLE RIVER, AK 99577 TH n R. Pannon•e CE 8149^ n Ld F - 1n Q Z O 2/26/2016 Scale 1 "=50' P.I.D. NO Url--FO2-54 'ERMIT NO. Sheet 2 of UNI C I PAL TY OF �q Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAGE Ph ON-SITE SEWERIWELL PERMIT APPLICATION NW y qh- C Zo C". Zl\; C'> `7 11 Ol 6 81, Parcel 1. D. CSS/ -�02 nn Property owner(s) �P.-ri lyn �� CXZ Day phone 7.20 Mailing address % M � /6111 "�.5-(>✓c-y ®� Site address 1923 1 Or Legal description (Sub'd., Block & Lot) C -'o« n h e /.c-4 1 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 x.817 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (0 all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ZI Septic Tank Upgrade (w/wo ADU)] Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicab1e-l�unicipal Codes. ignature of property owner or authorized agent) Permit/Rush Fees: �c� 15 - Date of Payment: Receipt Number: Permit No. n, 610ol PermitApp_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. IUB,) seo_- I C� �d f-,.1: 04 Iy MUNICIPALITY OF ANCHORAGE vd��^ Gfi4'/lIS 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 INSPE934ON REPORT NAME A2,46 (�10 /917)e177- CO 0 -fr0G s r ICPS PHONE �-/J(_/1W-UPGRPPE ❑ NEW MAILING ADDRESS i a 2 LEGAL BrE= LOCATI "` NO. OF BE ROOMS DISTANCE T0: Well -{- � C.�s � A sorption area % Dwelling PE MIT NO. V � CL Q Manufacturer /t ��e� / Matgcia No. of compartments Liq. cap city in allons Inside length v IF HOMEYADE: Width o Liquid depth JAZ W DISTANCE TO: Dwelling PERMIT NO. = z I- Manufactu / Malefi Nearest Liqui in gallons o w = DISTANCE TO: Well Foundation lot line PERMIT NO. u- Z z w No. of lipes / Length of each line 3 Total length ofI' �e Trench width bet Distance een lines cc o1/ a ,J�� � 3 inches Top of tileho finish grade Material beneath tile Total effective a sorpt'on area o <,2— z s W [7 Length Width Dept PERMIT NO. nQ F LU Type of crib Crib diameter rib depth Total effective absorption area N DISTANCE TO: Weil Building foundation Nearest lot line J I ss Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: BuildingAundation Sewer line Septic tank Absorption area(s) OJ,H'E R PIPE MATERIALS SOI L TEST RATrNG TOJ v IN(tTfk L L E R G� k REMARKS F{ 303` R, . n 446 Ce J 000 _61i /C 015,00'.5 re."oej ,e 'IS Per G'OGP� -� li him,, 2.,0a a , a S 4-8 ! O A'iA�"fAn �� oGCrG�i1%�•i'1�"S. r AP c�VED V DATE LEGAL 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 PHONE ❑ NEW /LAS eA 1a)4-/,;(7_/5?_LIPGRADE MAILING ADDRESS /a 20 as'� LEGAL DESCRIPTION Co X6 f / rr/1.7e-, .S LOCATION NO. OF BEDROOMS DISTANCE DISTANCE T0: Well/ �� Absorption 6 a r Dwelling PERMIT NO � y V UY 7 ILG Manufacturer 9��e� Mat a No. of compartments wF CA) Liq. capcity in allons IF HOMEMADE: Inside length Width — Liquid depth -- 6 Y DISTANCE TO: W Dwelling PERMIT NO. j z 2 Z ManufaSt Materi Liqui in—gallons O w = DISTANCE TO: Well ¢ (s�1 d Foundation t %� Nearest lot line f PERMIT NO. p/ D6 Y J LL Z No. of lies Length of each line Total length of I' 9 Trench width Distance bet een lines Z w o// ch 3 inches HTop tile to finish Material beneath tile Total effective a sorpt"on area of grade p �, ' ierMFEs ap Length Width Depth PERMIT NO. w C7 H Type of crib Crib diameter Crib depth Total effective absorption area nQ wa y Well Building foundation Nearest lot line DISTANCE TO: Is Depth Driller Distance to lot line PERMIT NO. r W DISTANCE TO: Building foundation Sewer line [Septic tank Absorption area(s) OTHER PIPE MATERIALS -D303 SOIL TEST RATMG eS l� v IN LLER S co k REMARKS �C L4l 1 APPROVED /DATE LEGAL �/ /_t�. Y �/ 72-013(R9v.3/78) `� '�/\ / .���� ������ '����� �� ���U ����E:� / ` DEPARTMENT "F HEALTH AND ENVIRONMENTAL Y-) 825 'L' STREET, ANCHORAGE. -HK. 99501 d�//��'�D����2G4-4720-�, ��~����� -r� 1 . �/[�/��,O7y\ S k]��<�/u/� PERMIT NO. ( 810044 ) APPLICANT HLH5KH ENVIRONMENTAL C. 1270 W. 25TH 276-1361 LOCATION LEGAL LOT 1 CORRINE S/D LOT SIZE 222222 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRHIMFIB-D MAXIMUM NUMBER OF BEDROOMS = ] / SOIL RATING (5Q FT/BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: -- K3 FR F:4 %.-I E: L_ K�E: F:-' -r THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELC\ THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). -r " EF �FF_ �f--- " L4 I L_.v _r " 31 *F' ! ffe'��0- F= FEE EE -F' THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). F:R. [-=�U I FZ FE L-- �����I C--; -F Fl N K �1 2* E:= ���&2_5 (3 F -i L_����� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. -rWo <:22 > I N '=I- F="I-= 0 _r 10 ""_E; F-1 F;;?, f=- R, a Q U I FR FEE C' BACKFILLING OF' -Y SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. ��F;;?.M I _r UXF=* I F:;;?-F=!F- 3�1 " *.iE*. -I I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2' I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]'' I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. 5%QNED:_ ____~______�-________ ~PLICo*� -HLH5KH ENVIRONMENTHL C. S. INC nr ��' / ISSUED p,-+_��_W'lt'�j __-________DHTE/ / / Y4.0 ALASKA ENVIRONMI'**'rAL CONTROL SERVICE ,,dC. 1220 West 25th Avenue ANCHORAGE, ALASKA 99503 Phone 276-1361 SHEET NO. CALCULATED BY CHECKED BY ? DATE DATE SCALE i .......... $.!...a ~ ........... i ................. i ............... LOT TH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 t7 18 19 2O ~ LO~ ~ LOT 2. T Ft '~ T It 2 2 4 4 ~rf~,~ d~,~6 5 6 6 7 7 8 8 ~'-- 10 -- ~*~ 10 12 12 13 13 14 14 15 15 16 16 17 17 18 18 19 19 20 20 LOT T,H 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 PERFORMED FOR: SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264.4720 SOILS LOG - PERCOLATION TEST vH Al S J61 ^S'ens LEGAL DESCRIPTION: /t / ate/" e 5zd.., . SLOPE ZIA6 fa .0 ivw/. DATE PERFORMED: 11 WAS GROUND S ENCOUNTERED?ATER GS O RofaCP r.� P 12 rw/5 Z 3 IF YES, AT WHAT E 13 IV,,v4,1 DEPTH? 14- 15- 16- 17 4151617 18 19 SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop 2 #"`Qri CY2r�/ 3- 9CP G 4- 4 5 6- 7 8 9 10 ZIA6 fa .0 ivw/. DATE PERFORMED: 11 WAS GROUND S ENCOUNTERED?ATER GS O RofaCP r.� P 12 rw/5 Z 3 IF YES, AT WHAT E 13 IV,,v4,1 DEPTH? 14- 15- 16- 17 4151617 18 19 SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE (minutes/inch► / ) TEST RUN BETWEEN j FT AND FT COMMENTS) 54iS -s.� / s 7'z��e.e✓' �/r. �1 ,,.Le L`� T c, �7� L'vf %t "//3-i 1 2.vt -e cL %� � e�.-^ �C Lr� 2 r o. i 1 ec '/'p _ �✓ YV `t�-� PERFORMED BY: CERTIFIED BY: _ '( DATE: 72-008 (6/79) M-W DRILLING, INC. Well Owner Dennis Johnson DRILLING LOG Use of Well Dom. Location (address of: Township, Range, Section, if known; or distance main road SW~ NW¼ NE¼ NE¼ Sec 30 R1W T15N Size of casing. 6" .Depth of Hole 400 feet Cased to 42 feet Static water level 80 ft. (htB;Y~) (below) land surface. Finish of well (check one) Screen ( ); Perforated ( ). Describe screen or perforation N/A Well pumping test st .5 gallons per of drawdown from static level. Date of completion 8 / 24/78 open end ( xx ); (minute) for 1 hours with 100% WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 Existing well 200 TO 200 _TO 400 TO TO_ TO TO. TO TO__ T~ TO. TO_ TO_ TO. TO_ Bedrock: water seeps in sporadic fractures throughout 1 -- CUSTOMER M-W DRILLING, Inc. P. O. Bpx 4-12~4 · 1310C International Airport' Road - , (907) 274-461] . ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner. :,,~u:;i~. ? ....... :'I ' ' ' '( of: Township, Rang,e) Section, if known; or distance main :-.! :.Location _address . /, , .: ...~ , . ~ / ,, S~e ofc~g o Depth of Hole r~9:~ feet Cased to Y~7 feet static water'level &o ft. (~b6ve) (below) land surface. F~ish of we~ (check one) open : srereen~ ( ); Perforated ( >; ). ,[ Descrlbo. screen or perforation .~ . Well pumping tes~ 8t .~ gallons per ~B~) (minute) for~O~ 0f ~awdown from s~atie level. , ;~ . WELL LOG Depth ~n fee~ from ; ~o~d s~hce Give details of formations penetrated, size of material, color £.t!tv graveJ.: occ:'~f.o,'r~l col/ ~0 TO_ TO- TO. TO TO_ ' 3 ~'CONTRAc~dR' Certificate of On -Site Systems Approval 051-302-54 J0 2 (a .70 2 Parcel I.D. Expiration Date: Legal description CORINNE LT 1 Site address 18739 MONASTERY DR Eagle River AK Current property owner(s) PEYTON X The On -site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 1 O Z (0-z0 Z3 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 Development Services Department 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. 051-302-54 Complete legal description CORRINE; LOT 1 Location (site address) 18739 MONASTERY DRIVE, EAGLE RIVER, AK 99577 Current property owner(s) CHARLEY & CHERYL PEYTON Day phone 907-862-3211 2. ON -SITE SYSTEMS SIZED FOR 4 BEDROOMS 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: N Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 8 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS 0 Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: 0 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 $_ y L412 Date of Payment /0�Zq/Z zl COSA # 0SG 2-31 H 16 Waiver Fee $ Date of Payment Waiver # COSA Application_June 2022 E COSA Checklist Legal Description: CORRINE; LOT 1 Parcel ID: 051-302-54 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 ELL DATA ' 1- IVI*U Pi ❑ Wel7to with Onsite (or attached) Date d I depth ft Caseft ❑ Sanitaryseal is functioning correctly ❑ Wires are properly protected Casing height (above ground) Date of flow test for COSA Static water B. TANK DATA of test ft. Measured operating fluid level in septic tank Date of pumping 5/24/2023 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 10/17-19/23 X ALL standpipes present per record drawing Total measured depth from grade 4.7 ft (max) Measured depth to pipe invert from grade 3.9 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) N/A If yes, enter date Well production at time of test pm Water storage tank vo gallons Well disinf or coliform test? ❑ Yes ® No bacteria is Negative _ mg/L ❑ Nitrate less than MRL (ND) „— ug/L ❑ Arsenic less than MRL (ND) Collected by Date STATION ❑ Required Age of lift station Lift station rnaW Adequacy test date NEW Results ❑■ Pass Fluid depth prior to test NEW in Water added NEW gal New fluid depth NEW in Elapsed time NEW min Final fluid depth NEW in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in Comments/Deficiencies: *TANK IS 8-YEARS OLD.TANK WAS PARTIALLY PUMPED DURING INSTALLATION PROCESS. DID NOT GET OPERATING FLUID LEVEL PRIOR TO PUMPING. REQUESTING THIS BE WAIVED. 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' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' [-]Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑ Yes if No ft []Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑ Yes if No ft []Yes if No ft ❑N 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' g Yes if No ft Surface Water > 100' F21 Yes if No ft Tank to Property Line > 5' ❑m Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' M Yes if No ft Private Wells > 100' EE Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' M Yes if No ft Water Service Line > 10' ❑ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *WATER SERVICE PROFESSIONALLY LOCATED. MEASURED 11'+/- FROM CORNER OF DRAINFIELD TO CLOSEST WATER LINE LOCATE. 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 Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Gamess 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 QQoo practices. The reported results describe the condition of the system/s on the date/s of the evaluation. oOF �© Separation distances were measured to readily identifiable features. Hidden defects or encroachments may C� Q exist that were not identified during the evaluation. The operational life of all wells and septic systems depend o . • S�QO upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate p during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing CO 4. T P*Od the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regardin i the future performance of the well or septic system. GEG makes no representation whether an alternative well 0 or septic stem can be installed on the roe ' L p y property rty in the event either of the current systems fail to perform f r A. 'Ciorn e�s G adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG�CE-7953i' O� to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. ,eU • I• . • �• • �� v LICENSEvpro f es 5 of%& COSA Checklist June 2022 #AECce9a �4O�oo0" Parcel LD 051-302-54 u4 E4i Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 s Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Corrine, Lot 1 Location (site address) 18739 Monastery Dr. Current Property owner(s) Sherrilyn Ihde Mailing address Real Estate Agent Expiration Date: A—,?, 6 —E Day phone 18739 Monastery Dr. Eagle River, AK 99577 2. TYPE OF DWELLING: E] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual I] Individual Water Storage ❑ Holding Tank ❑ Community Class /I Well ® Community ❑ Public Water System Public Sewer ❑ Waiver/Variance request for: Received by: % /_.-v, Date: Zia �oi01 c9 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee_ - Date of Payment a tll� Receipt Number 6�1�t�Gi COSA# opc i' D5'E Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 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. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Phone (907) 272-8218 Date 1/5/2016 bedrooms, with the following stipulations: �B / �� Original Certificate Date: ;� b— i� The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSH blue sheet < If more than 1 septic system is on the lot: COSA Checklist # + of Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Corrine,-Lot 1 Parcel 1D:051-302-54 A. WELL DATA Well type CiaSs 'A' If A, B, or C provide PWSID #216198 Well Log (YN) Date completed Sanitary seal (Y/N)_ Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p:m. 9- p.m-WATER SAMPLE RESULTS: Coliform -colonies/100 mL Nitrate mg/L Arsenic ug/L. Date of sample: Collected by: B..SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel- Date installed 5/8/2615 Tank size 2,000 gal Number of Compartments 2 Cleaoouts (YIN) Y Foundation cleanout (YM) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping New Pumper NSA C. ABSORPTION FIELD- DATA 3/20/1981 z 2 85 SF/BR Deep Trench Date installed Soil rating (g.p.d./ft or ft /bdrm) System type Length 35 ft. Width 3+ ft. Gravel below pipe 5 ft. Total depth 7.5 ft. Eff. absorption area 301 * ft2 Monitoring tube Y Depression overfield N Date of adequacy tesV5/8,[2415 '. Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 45 in.,, Water added 450 gal. New depth 50 in. Elapsed Time: 80 min. Final fluid depth 45 in. Absorption rate_ >=450+ g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed 3/20/1981 Size in gallons 500 "Pump on" level `at 42 in. "Pump off" level at 40 Datum Bottom of Tank Cycles tested .4 _ Manhole/Access (Y/N) Y _ in. High water alarm level at 45 in. Meets alarm &circuit requirements3 Yes E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas. SEPTIC/HOLDING TANK ON LOTTO: Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ ." Surface water 100+. Wells -on idjacent lots 200+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main. 10+ Water Service line10+ Surface water 100+ Driveway, parkingivehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 200+ F. COMMENTS 'Based on record information, 350 sf calculated. **FCO inside building - G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and . review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven Pannone Date 2/26/2016 COSA canary sheet_2-6-15.doc T SEWARD A I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE FOLLOWING DESCRIBED PROPERTY: _ go y/iYB' -- DATE. AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE MCISTENCE OF ANY GRID. - EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI-rDRAWN. --- — VISION PLAT. UNDER NO CIRCUMSTANCES SHC ULD ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- �� BOUND- ARY LINES. ,TES LAND SURVEYING 694-0829 �E OF At op ^^^` Doane Merk Sawa d §J • s 4 t � 0 P o . kk 08 w N �°4 o � v� T SEWARD A I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE FOLLOWING DESCRIBED PROPERTY: _ go y/iYB' -- DATE. AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE MCISTENCE OF ANY GRID. - EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI-rDRAWN. --- — VISION PLAT. UNDER NO CIRCUMSTANCES SHC ULD ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- �� BOUND- ARY LINES. ,TES LAND SURVEYING 694-0829 �E OF At op ^^^` Doane Merk Sawa d §J Municipality of Anchorage Department of Health and Human Services 1 Division of Environmental Services Mme_ j.j On -Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci. anchorage. ak. us (907)343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING Parcel 1. D. L'v 5 HAA# ( '(7,G' V6/f Expiration Date: 1 GENERAL INFORMATION Complete legal description_ Lot 1, Corinne Subdivision Location (site address or directions) 18739 Monastary Drive Current Property owner(s) Larry Lockyer Day phone 1-509-995-8251 Mailing address 18739 Monastary Drive, Eagle River, AK 99577 Lending agency Cash Sale Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site EXI Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ® Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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; on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. 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 sample results less than 30 days old. 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. 72025 (Rev. 0 V00)' 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for the Health Authority Approval application show that the on-site water supply and/or wastewater disposal system is 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 in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. S & S ENGINEERING Name of Firm 17034 Eagle River Loop Road No. 204 Phone (o `l i/ Address Eagle River, Alaska 99577 Engineer's Printed Name Robert C . Cowan 6. DHHS SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Date ly a ou PCF �................. q J+ ..r y t A I ROBERT C. COWAN iCVl CE - 3301 w bedrooms, with the following stipulations. Maintenance Agreements Supplemental Engineer's Report Other _ By:lam• / — a Original Certificate Date: g - <D - b C Expiration Date: 75-025 Rev. 01 001' - 3a -oo Reissue Date: DECEIVED Municipality of Anchorage �(; 25 200 DEPARTMENT OF HEALTH & HUMAN SERVICE Environmental Services Division MUNICIPALITY OF ANCHORA 825 L Street, Room 502 • Anchorage, Alaska 99501 • (9@flN54 # YICrs DIVIQr' /l Health Authority Approval Checklist Legal Description: 16&1 NN Parcel I.D.: 0 S't – 30�L – S A. WELL DATA /y Well type � 10 B, or C, attach ADEC letter. ADEC water system number 216 /qee Log present (Y/N) Date completed Total depth Cased to Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Casing heigW(above ground) =PECTION rly protected (Y/N) 9— p.m- Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA Date installed Tank size Number of Compartments Cleanouts6N) Y65 Foundation cleanout�/(Y/N) //V5/0_'_ Depression (Y/0J NO High water alarm (ye—&O Date of Pumping 7 Z5 Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ftz 06m 6,C*System type Length JS/ Width__2� Gravel thickness below pipe / Total epth i4 H Effective absorption area Monitoring Tube present) �3 Depression over field (Y/� Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.);/s Immediately after gal. water added added (in.): 1 Fluid depth / /4 (ins) Minutes later: /Z00 Absorption rate = �`t �� g.p.d. Peroxide treatment (past 12 months) (Y/N) IVVQse�it/07+/iS/ If yes, give date MQrcrdL (. TVa'j TO /3f SF}l4�ww d2 72-026 (Rev. 3/96)' D. LIFT STATION Date installed � /& Size in gallons �- L Manhole/Access(t0N) D Lli "Pump on" level at' fk of '.Pump off' level at' High 0_ v �aM oe bl!t�Ercr� Hi h water alarm level at — - — `Datum Cycles tested ad E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ONLOT TO: Septic/holding tank on lot aA�5 14 On adjacent lots Absorption field on lot Public sewer main Sewer /septic service line �Sn-adja'cent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation Property line Absorption fi /off %4TH/ Leh/07H- MYC s t Ura P@ /�� � %'.'9✓vK ouTu� t� Water main/service line t Surface water/drainage IeZ*— Wells on adjacent lots W i4 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /0 f- Building foundation /f Water main/service line Surface water �/ M'7) y l Driveway, parking/vehicle storage area Curtain drain NON& 14VdZVAI Wells on adjacent lots _ N F. ENGINEER'S CERTIFICATION I certify that / have determined thru field inspections and review of Municipal in conformance with M/OAH/-AA guideliinnes in effect on this date. Signature �j/ly✓l 7 G�l✓� Engineer's Name l`-bAkAT C 1,Cowryc Date ? / -,) $ / G6 HAA Fee $ 23 VZ Date of Payment C 2!5_/0t) Receipt Number /E' Z� z - 72-026 (Rev. 3/96)` Waiver Fee $ Date of Payment Receipt Number ¢f ROBERT C. COWAN 1,Q CE -8801 t J 4, •� f� Iq 0 p are I In d �dd v —.. �0� M ai! '"-ro Ile Z: 100' WELL RADIUS 1 � S 3 11 W N s 3 W 2.95 .) MELINDA SUBD. Q PLA T 82-164 LOT A i c, 1. U11UTIES OTHER THAN THOSE SHOWN MAY EXIST. 2. ALL VISIBLE ABOVE GROUND FEATURES OF THE EXISllNG SEP11C SYSTEM WERE LOCATED AT THE 11ME OF SURVEY AND ARE SHOWN HEREON. 3. () RECORD DIMENSIONS PER PLAT 81-56. PLAT 1- 56 LOT Aw OF A� I ,.w• low_ , )Dayna Rum t No. LS 122y',/' 10/25/2 AW 0 FOUND AID x WATER VALVE :Sj SPTIC VMT ---- - - - —UE—UNDERGROUND ELECTRIC �Wzl lit -• 0. t. � ASBUIL.T -- IUD CORNERS SET THIS DATE