HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 1A LT 2ALake Ridge Terrace- Block 1A Lot 2A #051-315-52 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program, 4700 South Bragaw St. ` P.O. Box 196650 Anchorage. AK 99519.6650 www.cl.anchorage.ek.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO30260 PID Number. 051-315-52 Nam.: JAN BERNZOTT Wastewater System: ❑ New ■ Upgrade Address: P.O. BOX 773588 a EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 696-0029 4 O Deep Trench a Shallow Trench ■ Bed O Mound ■ other • LEGAL DESCRIPTION '" "° 3.0 T" °'°'" fwn ::i.o opp/sa, rt rt. Block: Lot* Subt lNsion: 1A 2A LAKE RIDGE TERRACE Deva, b Wr• bottom+ ear„ wgkd Peew SEE DWG. aawd dopa, ►wroth V%W 0.61 n n Township: — Range: — Section: ru oaded aeon ergkad eraa.; ormal Wgaa — SEE DWG. n. 20 H. WELL: ❑ New ❑ Upgrade cwwf eku 10 NwrLa a Ere p.tar. wtwee, we: Ft.2 5 rt. Cbeerbalbn A&C : Told Coeed m Total el,ewption aea p ,netedal: rt rt 200 So. r D 3034/F-810/SCH 40 PVC fX��t Datewe.a sena wwa � `�" AKWWC, INC. �" M"E%7 22-28/2003 EYkft P,enp Set At: Gaek,e "gnt Mr arena o� << R TANK SEPARATION DISTANCES aseptic 0Holding ■S.T.E.P. ■Other+ To Frem Septi+ Tank Absorption Field Uft Station Holding Tank /PrNote se.w tln« Yp1M1rOGi"`r ORENCO SYSTEMS Graob ti 9: 1500 well 100'+ 100'+ 100'+ — 25'+ MWabk FIBERGLASS of ownp>tnrnu: 2 Surface water 100'+ 100'+ 100'+ — — LIFT STATION Lot tine 5'+ 10'+ 5'+ — — sr. In "o— Mwwfawurr. 1500 ORENCO SYSTEMS Foundation 5'+ 10'+ 5'+ — — on r..i w: tial at: wp, +Mer Own, ou TIMER TIMER 44" Curtain Drain NONE KNOWv Make a Nadel. ORENCO neeukal srveauere jir1viird t7• RISING SON ELECTRIC Remarks: +THIS IS AN ADVANTEX TREATMENT SYSTEM. BENCH MARK tseallen and Deewbuwa **EXCAVATION WAS LIMITED TO THE REMOVAL OF ALL PATIO DOOR THRESHOLD ORGANICS. 4.22 TO 5.72 FEET OF M.O.A. APPROVED SAND FILTER ADDED TO TOTAL DEPTH. J 0.00 n THE OLD SEPTIC TANK AND CRIB WERE COMPLETELY ABANDONED. ENGINEERS S 000�0 0� Inspections performed by: AKWWC, INC. Dates: 1st 7/22/2003 * 4 2nd -4th 7/23-25/03 5th 7/28/2003 ey "erne s. Development Services Department Approval e ' C 953 .•'`�Op Reevierowted and approved by: Date: e p4p4�pro - 01 f eeelo� �440000� PERMIT 0 AS-BUILT DRAWING P051-315-52 8 A B NOTE; ALL SEWER /A ST I 41.69 82.04 ERE INSULATED. DL3 72.97 B 6.7 10 71 4 MTI 77.16 114,92/ C01 91.50 119.64 �1 / CO2.74 / M %3 I 1 GO l NEW DRNNFIEID �� / \ \ Ir-1 \�--- II-� APPROXIMATEI I ALTERNATE SITE ExIST1Nc /^� LAKE EDGE WTI I I ,' I I 1 L—J WELL /2 I DBL4 I 4 DBL7 J // NEW 1300 GALLON ST W I FIBERGLASS ADVAN= o I � TREATMENT SYSTEM _.r— — — Li/ / '_ I 1�� 00 DBU 4 BEDROOM / DBL1 HotnE — — — — I 141 +THII / II �EXISTINC CUTRAIN D" — (APPRO)GMATE LOCAnO ) I I I OUTFALL OF CUTRVN DRAIN I I EXISTING MANMADE I I POND. LINED WITH I VISOUEEN. I NOTE: I OTE: THE EXISTING SEPTIC TANK AND WERE COMPLETELY ABANDONED. 7/26/2003 ���QF � ��/,...... DRAWN ALASKA WATER & WASTEWATER J.LM. p� SCALE. = 40' CONSULTANTS, INC. ° J' 4 ° o0 3701 F TIXMR ROAD. SUITF 101 • ANCH(IRAGF. AK 99507 • VMINF (007)331-AAO • FAX (007)33X.37&6 D Q PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JAN BERNZOTT 907 696-0029 1 2 OF 3 DO •• ff y am s� C 7 LEGAL DESCRIPTION:e LOT 2A, BLOCK 1A: LAKE RIDGE TERRACE SUBDIVISION Ot�4���Professlollo\ ��4opoo� TYPE OF WORK: AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PERMITNUMBER: AS -BUILT DRAWING PNUMBER: SWO 051 SW030260 051-33 15-52 FINAL GRADE 99.353 /—TOP OF MANHOLE - 99.45 TOP OF 1 INLET TANK AT - 94.48 INLET �-INSULATION I'I. I'. I: I'•I Ilii II II;! INVERT OF BUNG AT INLET 93.53 n i'I III iii FINAL GRADE 91.30! INVERT OF DISTRIBUTION INSUEATIO LINES - 88.30 (AVERAGE) n FILTER FABRI TOP OF SAND FILTER 87.89 (AVERAGE) _mV rnn tun UCINIC u I ORIGINAL GRADE - 82.97 AT LOWEST POINT' 84.47 AT HIGHEST POINT -BOTTOM OF BED BOTTOM OF BED 83.47 AT 81.97 AT HIGHEST POINT LOWEST POINT 4.22 TO 5.72 FEET OF M.OA APPROVED SAND FILTER —RELATIVE ELEVATION OF BEDROCK 79.97 TO 81.47. NO GROUNDWATER �..- - .. _..�.., DATE: o 7/28/2003 DRAWN BY. I ALASKA WATER & WASTEWATERs�LE J.L.M. CONSULTANTS, INC. 370, F TUDOR ROAD, SIATF 101 • ANTH(R7AGF. AK 00501 • MONF (0 0 713 37-01 7 0 • FAX (W)MA-SM N.T.S.S PREPARED FOR: PHONE NUMBER: PACE NUMBER:- JAN UMBERJAN BERNZOTT (907) 696-0029 3 OF 3 LEGAL DESCRIPTION: LOT 2A, BLOCK IA; LAKE RIDGE TERRACE SUBDIVISION TYPE OF WORK: PROFILE AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE e Wf A.ag;. P 7953 OfI nwe/'_ CfQO Rising Son Electric Inc. 607 622 6777 07/29/03 03101P P.001 Rising Son Electric, Inc. 14916 Woodland Drive JT„! Eagle River, AK 99577 1, 'g;` (907) 622-6777 t July 29, 2003 Re: Lot 2A Block IA Lake Ridge Terrace To Whom It May Concern: The lift station at the above referenced property has been wired in accordance with NEC and State/Local codes. Thank you. Sincerely, ICevin S! Hombuckle, Owner Administration License Number 1284 Specialty Contractor License Number 27285 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 21, 2003 Expiration Date: Jul 20, 2004 Permit Number: SW030260 Parcel ID: 051-315-52 Legal Description4LAKE RIDGE TERRACE BLK -1AILT 2A Design Engineer: 0041 AK Water & Wastewater Consultan+ Site Address: 015012 LAKE RIDGE DR E Owner Name: Jan Bernzott Lot Size: 50781 SQ. FT. Owner Address: P.O. Box 773588 Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER. AK 99577-0000 This permit is for the construction of: ❑V Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 712/ ,l0 3 1 !T • Date: 3 ICy, 3D a�- MUNICIPALITY OF ANCHORAGE Development Services Department "6: 1 Z�' — D : ' V On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 21, 2003 Expiration Date: Jul 20, 2004 Permit Number: SW030260 Parcel ID: 051-315-52 Legal Description4LAKE RIDGE TERRACE BLK -1AILT 2A Design Engineer: 0041 AK Water & Wastewater Consultan+ Site Address: 015012 LAKE RIDGE DR E Owner Name: Jan Bernzott Lot Size: 50781 SQ. FT. Owner Address: P.O. Box 773588 Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER. AK 99577-0000 This permit is for the construction of: ❑V Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 712/ ,l0 3 1 !T • Date: 3 5 Municipality of Anchorage 1� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Brogaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ei.anchorage.ok.us (907)343-7904 Installation Requirements for Septic Tanks in the Municipality of Anchorage: • Steel - Steel septic tanks shall be placed on undisturbed soil at the bottom of the excavation for the tank and backfilled with a granular material free of large rocks or boulders to a maximum depth as prescribed on the exterior of the septic tank. The tank may then be backfilled with 12 -inch maximum layers of granular soil and trampled evenly following the placement of each layer. • H.D.P.E: Premier Plastic tanks shall be placed on compacted or undisturbed bedding of sand/gravel mixture or clean granular soil. Allow clearance around the tank to properly place and compact backfill around the lower half of the tank. All Premier Plastic tanks shall have a vertical length of 4 inch perforated drainpipe beside the tank extending to the bottom of the tank and up to grade to monitor the ground water table. The tank may then be backfilled with 12 -inch maximum layers of granular soil and trampled evenly. • Fiberglass Tank - Excavate at least twenty-four inches beyond all sides of the tank to allow room for proper compaction. Set tank level on a minimum 4 inch thick compacted sand or granular bed overlying a firm compacted and uniform base. Backfilling is a layering process that involves backfilling, compacting the backfill, and filling the tank with water to a level just above the compacted backfill layer. Backfill should have a uniform gradation and be free of any deleterious materials such as stones that are more than 2 V in diameter. Typically In crushed rock or pea gravel is preferred. Each backfill layer should be uniform, no greater than 24 inches thick, and of nearly equal height around entire perimeter of the tank. Municipality of Anchorage • / Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. �O o ,196650 Anchorage, AK 99519-6650 I I www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING RU ly Parcell.D. 051-315-52 Permit Number SG. -d30260 Property owner(s) JAN BERNZOTT Day phone 696-0029 Mailing address (1) P.O. BOX 773588 • EAGLE RIVER. AK 4Uiling address (2) 1" a2 E �� — 0 j Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 2A. BLOCK 'IAS LAKERIDGE TERRACE SUBDIVISION Legal description (Section, Township & Range) _N/A Lot Size _t::Z) , 19� I Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: s 9,;m Waiver Fees• Date of Payment: v 3 Date of Payment: Receipt Number _ -Z' --� 1 ��Z� Receipt Number., ALASKA WATER & WASTEWATER CONSULTANTS, INC. July 18, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Proposed Septic Upgrade for Lots 2A, Block IA; Lakeridge Terrace Subdivision ADVANTEKT" TREATMENT SYSTEM To whom it may concern: GENERAL: The existing 4 bedroom home is served by a private well and septic system. Three test holes were excavated on the property. Per the request of the homeowner and the proposed buyers, two design options were completed. For option #1, we are proposing to design a drainfield around the 30 foot radius of test hole #1. For option #2, we are proposing to design a drainfield around the 30 foot radius around test hole #3. Due to the shallow bedrock and the limited area available, we are proposing to use an Advantex treatment system and 10x20 bed system. SOILS: See the attached logs, which shows the soil classifications, groundwater monitoring, and the percolation test results. DRAINFIELD APPLICATION RATE: The intent is to install an Advantex Treatment System that will allow the use of a small drainfield in the 30 foot radius around either test hole #1 or test hole #3. The Advantex system has received class III approval and we are going to conservatively assume an application rate of 3.0 GPD/FT2 for both test holes. OPTION #1 TRENCIi DESIGN: a. Percolation Rate: <1 minutes/inch b. Proposed Application Rate: 3.0 gallons/day/ft c. Number of Bedrooms: 4 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907)337-6179 0 Fax: (907)338-3246 * Websitc: akwwc.cotn d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 200 f12 f. Total Depth: 2.0 feet (max.) g. M.O.A. Approved Sand Filter Depth, h. Effective Depth: 0.5 feet i. Width: 5 feet j. Minimum Length: 40 feet long k. Effective absorption area: 200 fie Note: The distribution line is to be 1.25 inch inches on center (30 holes total). OPTION #2 BED DESIGN: a. Percolation Rate: 12 minutes/inch 1+ foot schedule 40 PVC with '/4 inch holes spaced 15 b. Proposed Application Rate: 3.0 gallons/day/f12 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 200 fie f. Total Depth: 1.0 feet (Maximum — Remove all organics) g. M.O.A. Approved Sand Filter Depth: 4 to 5 feet It. Effective Depth: 0.5 feet i. Width: 10 feet i- Minimum Length: 20 feet long k. Effective absorption area: 200 fie ORENCO PACKAGE SYSTEM: The STEP tank with the Advantex Treatment System will be manufactured by Anchorage Tank & Welding to meet the latest design criteria established by Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their standard STEP tank, it is equipped with a high water alarm per M.O.A requirements. SURFACE WATER: There is a lake on the west end of the property and also a manmade pond on the southwest end of the property. The manmade pond lined with a visqueen barrier and is fed by a curtain/French drain. If option #1 is used, the outfall of the curtain drain will be rerouted so that it is 100+ feet from the proposed septic system. The manmade pond will remain in place, but will not have a inlet or an outlet. If option #2 is used, no work will be required on the curtain drain and the proposed septic system will be installed 100+ feet from both the curtain drain outfall and the manmade pond. For either option, the proposed upgrade will be installed 100+ feet from the highest point of the lake edge. TOPOGRAPHY: For option #1, the slopes run approximately east/southeast to west/northwest at a 20 percent slope average. For option #2, the slopes run approximately cast to west at a 5 percent slope average. In short, there are no slope concerns with either option. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337- 6179. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907)337-6179' Fax: (907)338-3246 • Website: akwwc.com NOTE. For option #1, attached is a site plan drawing, a design drmving, an Advantex detail, a trench detail, and a soil log are all part of the design package for this septic system. For option 42, attached is a site plan drmving, a design drmving, an Advantex detail, a bed detail, and two soil logs are all part of the design package for this septic system. For both options, the 7 page construction specification letter apply to both packages. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907)337-6179' Far: (907)338-3246' Website: akwwc.com I OPTION 1 `\ \` ♦\``♦ ♦` ♦```� ♦X�`\```♦\\\ \\` 1 >I \;`; `\\; ; ``♦\\; \; \; ; I p I�I ♦ \ ♦ `` \ \ \ \ \\ \ i I `\` ``\ • ` ```\ \ ` I w♦ \ \ `�`\ ♦ \ ` \ • ♦ LAKE RIDGE TERRACE S/D: .\\\`\ ♦ ♦ ♦� � ``\`\ ♦ LOT 1A BLOCK 2 ` ♦ \ \ `\ `\ \ • ` ` ` LAKE RIDGE TERRACE S/0: i 1 LOT lA BLOCK 1-A ` ` ` ` ` ♦ \ ` ` \ ,,E, 1 I QI I T15N, RIW, SECTION 30: \`� \`\ `\`\`\ `♦\\`� ♦ CZG.Q fT�11 1 VJ, LOT 93 ',\\\`\`\`\`\`\ `\`♦`\ •\\\`� I EXISTING 1 I I `\ `\`\``\`\`\\ `♦ ♦`\ `♦`♦ ALTERNATE SITE I SEPTIC 1 , `\`,LOWER. SYSTEM ----------- FIRE \ \ \ LAKE \ i I MONROE DRIVE , \` PROPOSED SEPTIC UPGRADE \ ♦ \ '- ,`\ (SEE DESIGN PAGE 2 OF 4) HJI I I I \ \ ♦ \ A ♦ ♦ ♦ \ \ `\ `\ `♦ `\ `\ `\ I 1 q\ 1 � EXISTING Ir 1 I 1 4 BEDROOM �`` \` ``♦ `\ �`\ `\ `♦ `♦ `♦ ' I I� I I HOUSE \ \ \ ♦ \ \ \ \ •\ I I 4z I 1 \ ♦ \ ♦ \ \ `\ `� \ \ ' 1 I I \ \ ♦ ♦ ♦ \ \ \ J II LAKE RIDGE TERRACE S/D: I i LOT 4A BLOCK 1-A 1 I _ DATE: 7/14/2003 _ - _ .I _ DRAWN BY: •' '� Iii), ALASKA WATER & WASTEWATER SCALE: J.L.M. `,'�?4 . CONSULTANTS.INC. °,;..*...", " = 100' 5)01 E TUOOR ROAD SUITE 101 • ANCHORACF. AK 00507 • P ONF (907)357-AAO • iAx (00))S7P-lJt6 1 PREPARED FOR PHONE NUMBER: PAGE NUMBER: JAN BERNZOTT 696-0029 1 OF 4 J re1 o ne s.•' LEGAL DESCRIPTION: ,�1�, 953 LAKE RIDGE TERRACE SUBDIVISION; LOT 2A• BLOCK 1A ie TYPE OF WORK: �7�`i�d Profa!lion��'� SITE PLAN FOR PROPOSED SEPTIC UPGRADE A i� OPTION #11 P� / NOTE: THE CONTRACTOR SHALL HAVE THE RADIUS, THE SOUTH LOT LINE, AND THE 100 / FOOT J LAKE SETBACK FLAGGED BY A REGISTERED LAND / SURVEYOR PRIOR TO CONSTRUCTION. I / TH13PF AKE EDGE A%E EDGE \�}WELLEXISTING EXISTING r/4 CRIB TO �T TH/2BEABANDOEDLPfPoSED 1 INSTALL FOUNDATION ORAINfIELD. EXCAVATE A / I CLEANOUT o THAT IS 2 FEET DEEP MAXIMUM G. 5 FEET DM.OA E BY AAPPROVEO 0 FEET NSAND E70 TBE EMPIETEPTIC FOOT OFBY 1 1 COING LYXTER THEN 0.5 FEET OF Eµ1ABANDONED TER f'D s SEWER DRAINROCK. THD DISTRIBUTION LINE IS TO BE 1.25 INCH 1 /A/ 1 \• • "''• �.' W PVC WITH I INCH HOLES SPACED 15 -1 INCHES ON CENTER (30 HOLES TOTAL). r :••." r: '{.��.'; `•.� :"' ;; ,'• , `� y 1 O \ e'; 1 oo :' • , • •, ,.. �EBED OOM AIN HOtfiE 14 INSTALL 4 INCH SOLID PIPE TO N DIVERT FLOW FROM OUTFALL OF DRAIN THAT IS FEEDING / CURTAIN / THE MANMADE POND. NEW _ _ J_ L FEET OUTFALL MUST BE 100♦ 1 T — / FROM PROPOSED SEPTIC SYSTEM. f O 1 j �����.—'M 1 p.... --------�.1 — EXISTING CUTRAIN DRAIN I (APPROXIMATE LOCATION) I ' EXISTING MANMADE PROPOSED 1500 GALLON POND. LINED WITH I FIBERGLASS ADVANTEX I VISOUEEN. TO REMAIN TREATMENT SYSTEM w/ IN PLACE AFTER FLOW LIFT STATION I IS DIVERTED FROM I FRENCH/CURTAIN I ALTERNATE SITE ' DRAIN AROUND POND. I I I DATE: 7/16/2003 bop c �Q t a DRAWN ALASKA WATER & WASTEWATER CJ.G./J.L.M. o T v o SSE: 1 • — 40' CONSULTANTS, INC. t7no F TtOOR FnAn SIyT� int • AWfw QAn[, AY 99an7 • P-AN[ OM 117#110 • FAY fOnllty-91.A ° ' ...... • • • • • • • • • • • • . • O PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JAN BERNZOTT 696-0029 2 OF 5 QO p '•,j fr G Ines . E 795 i0 �Q�i, ' LEGAL DESCRIPTION:Q LAKE RIDGE TERRACE SUBDIVISION; LOT 2A, BLOCK 1A, •.c``°o� ���D 000� 0000�� WORK:TYPE OF DRAWING OF SEPTIC SYSTEM UPGRADE DESIGN NOTE: JIM CROSS. P.E. HAS THE ADVANTEX MANUAL AdvanTex' Treatment System AX20 - Mode 1 a OxWod ==6" OPTION #1 PROPOSED ORAINFIELD 30 NCH FINAL GRAOE 6* JM CAP ADVAN� INSULATED -� (rm.2)1 /- 6' PVC PUMP -OUT (TYP.2) 6' PVC COUPLING ClUEO TO TANK (1YP.2) OPTIONAL SLIDE SECTION OF 6' PPE OVER THIS CONNECTION TO PROVIDE SHEER PROTECTION - EXTEND TO BRIDGE EXCAVATION � r V Il/l� i®/a 6'66 7/14/2003 B10TUSE SCREENED VAULT PUMP DRAWN BY: vp` ALASKA WATER & WASTEWATER SCALE: J.L.M. QQA :; 4 hi CONSULTANTS, INC. 1....... 101 F. TUDOR ROAD, SOITF 101 - ANCHORACF. AK 90507 - PHONF (0011337-0170 - FAX (007)138.3746 N.T.S. Ir EPARED FOR: PHONE NUMBER: JAN BERNZOTT (907) 696-0029 3OF4 LEGAL DESCRIPTION:(!a o. '•,U�I/9$J LAKE RIDGE TERRACE SUBDIVISION; LOT 2A, BLOCK 1A, 'i_ U On. - DETAIL DRAWING OF ADVANTEX TREATMENT SYSTEM OPTION #1 FROM ADVANTEX TREATMENT UNIT IE DISTRIBUTION LINE IS TO BE 1.25 INCH PVC WITH J INCH HOLES SPACED 15 INCHES ON CENTER (JO HOLES TOTAL). T......... --- ___---------- MTI I O e e e s s e e a e I OMT I L-----------------------------------------------' 40 FEET LONG _I GRADE ORIGINAL GRADE 2 FEET DEEP MAXIMUM FEET FABRIC 7 ALASKA WATER & WASTEWATER CONSULTANTS, INC. vnl c Xn nn9 oven <i nip int • AmrNn9er.F e[ 99467 . P.O F (90711]7-0179 • FAX (9011338-3?{ J.L.M. N.T.S. PREPARED FOR: PHONE NUMBER: rwt,L NUMULK: JAN BERNZOTT (907) 696-0029 4 OF 4 LAKE RIDGE TERRACE SUBDIVISION; LOT 2A, BLOCK 1A, TYPE OF WORK: DETAIL DRAWING OF PROPOSED DRAINFIELD GRADE 0.5' OF EFFECTIVE E DISTRIBUTION LINE IS TO BE 1.25 INCH PVC WITH J INCH HOLES SPACED 15 INCHES ON CENTER (]0 HOLES TOTAL). ,♦``� �� ♦ , �; ; `;`\ \; \ , 300' WEI1 AnILK , RIDGE TERRACE S/D; I� LOT fA, BLOCK 2 ' ♦� -\LAKE ` PROPOSED SEPTIC UPGRADE`\ `� (SEE DESIGN PAGE 2 OF 4)C- „ LAKE RIDGE TERRACE S/D: LOT 1A, BLOCK 1-A t CS�� `- i ALTERNATE SITE \ ♦ �i� � EXISTING SEPTIC SYSTEM \ k` \ I I I I I I I y�• I I � i I I I I }c, o I I I J I I L --------- LAKE RIDGE TERRACE S/D; LOT 4A, BLOCK 1-A T15N, RIW, SECTION 30; LOT 93 MONROE DRIVE) r ----------- t I 4 BEDROOM HOUSE 7/14/2003 QF 1411' 1 11 DRAWN BY: = )�,ALASKANVATER & WASTEWATER scAle• J.L.M.g -QSULTANTSINC. 1" = 100 ' ' " ' F TUDOR ROAD_ SUITE 101 • ANCHORAGE. AK 99507 •PHONE (907)337-0179 • FAX (907)33$.! 1,nm PREPARED FOR PHONE NUMBER: PAGE NUMtlLN:I IV JAN BERNZOTT 696-0029 1 OF 4 _ •.Je r Gornes LAKE RIDGE TERRACE SUBDIVISION; LOT 2A, BLOCK 1A E OF WORK: SITE PLAN FOR PROPOSED SEPTIC UPGRADE #2 i� OPTION11,4 I PROPOSED GRAINFIELD. EXCAVATE A TRENCH THAT IS 1 FEET DEEP / �^ I MAXIMUM (REMOVE ALL ORGANICS) BY 10 FEET WIDE BY 20 FEET LONG. ADD / ,SM.O.A. APPROVED SANG FILTER AND THEN 0.5 FEET OF ; I CLEAN, WASHED SEWER DRAINROCK. SEE DETAIL DRAWING ON PACE q OF 1 b / '\ f X FOR CONSTRUCTION DETAILS. 88 TH/3 APPROXIMATE \�� �J LAKE EDGE -•� - I ALTERNATE SITE EXISTING PROPOSED 1500 GALLON�} WELL i FIBERGLASS ADVANTEX TTH�2 TREATMENT SYSTEM q L j I u EXISTING CRIB TO BE IINSTALL I I� COMPLETELY ABANDONED. I DOUBLE CLEANOUT _ ---L CC/ I I' ,- I iP INSTALL FOUNDATION CLEANOUT Li 100 Fffl • a •'• Sel4C G 4BEDROOME';• . , : I I R / ': HOUSE J / THII \ \ / ) r _— �E%15TING CUTRNN ORNN I (APPROXIMATE LOCATIO ) EXISTING SEPTIC TANK TO BE COMPLETELY ' ABANDONED ' I I OUTFALL OF CUTRAIN DRAIN EXISTING MANMADE I NOTE: THE CONTRACTOR SHALL HAVE THE 100 WELLI POND. LINED I ' V SOUOUEEN. RADIUS, THE NORTH LOT LINE, AND THE 100 FOOT LAKE SETBACK FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION r ..._..-1y-..�.,,,„ DATE: 7/16/2003 // ♦. `.. •• •. ,�54� DRAWN BY: J.L.M. vp ALASKA NVATER & WASTEWATER 9°00 ° CONSULTANTS, INC. SCALE: 1 „ 407 ' 1701 F TUDOR GOAD. SV1TF 101 • AN[HOPA6F. AK 09507 • PNONF ()07"37. 179 • FAX (907118-0RA Q Q PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 696-0029 OF 4 QQ JAN BERNZOTT 12 •, 1 ey A. or ess.- �J O y, C 7953 • :p 953KE 0hlp.F LEGAL DESCRIPTION: RIDGE TERRACE SUBDIVISION; LOT 2A, BLOCK 1A• Opp Doc G TYPEAWORK: DESIGN DRAWING OF SEPTIC SYSTEM UPGRADE a ��Opp000� NOTE: JIM CROSS. P.E. FIIIS THE ADVANTEx MANUAL almks �ia� • NOTE: THE BOARD INSULATION TO BE INSTALLED OVER THE SEPTIC TANK k 4' BEYOND ON ALL SIDES EXCEPT UNDER THE ADVANTEX FILTER. THIS WILL ALLOW FOR HEAT TO ESCAPE FROM TANK & RISE TO THE FILTER ABOVE IT. V Ju CAP FINAL GRADE (TYP.2) 6* PVC PUMP -OUT (TYP.2) 6' PVC COUPLING CLUED TO TANK (TYP.2) INLET OPTIONAL SLIDE SECTION OF 6' PPE OVER THIS CONNECTION TO PROVIDE SNEER PROTECTION - EXTEND TO ORIOGE EXCAVATIO! AdvanTex Treatment System AX20 -Mode l a 40x94Pod PfuNK; nnurt INSTALL DOUBLE OPTION #2 .7.JO _PROPOSED DRAINFIELO SD INCH INSULATED ALASKA WATER & WASTEWATER CONSULTANTS. INC. 3701 F. TLOOR ROAD. SURF 101 • ANCHORAGF. AK 00507 • PHONF (0 0 713 5 7 417 0 • FAX (00)1330.3ne PREPARED FOR: PHONE NUMBER: JAN BERNZOTT (907) 696-0029 LEGAL DESCRIPTION: LAKE RIDGE TERRACE SUBDIVISION; LOT 2A, BLOCK 1. TYPE OF WORK: DETAIL DRAWING OF ADVANTEX TREATMENT SYSTEM 7/14/2003 AWN BY: J.L.M. ALE: N.T.S. 3OF4 J ffr A. GG es w -7953 a d'O ENOO •BIOTUBEA 7101,92ai 1IIII1SCREENED n ORENCO 6'66 _ EFFLUENT 'iPUMP ALASKA WATER & WASTEWATER CONSULTANTS. INC. 3701 F. TLOOR ROAD. SURF 101 • ANCHORAGF. AK 00507 • PHONF (0 0 713 5 7 417 0 • FAX (00)1330.3ne PREPARED FOR: PHONE NUMBER: JAN BERNZOTT (907) 696-0029 LEGAL DESCRIPTION: LAKE RIDGE TERRACE SUBDIVISION; LOT 2A, BLOCK 1. TYPE OF WORK: DETAIL DRAWING OF ADVANTEX TREATMENT SYSTEM 7/14/2003 AWN BY: J.L.M. ALE: N.T.S. 3OF4 J ffr A. GG es w -7953 a d'O TL ER 0 PTI 0 N # 2 IN WITH BRACING AROUND PERIMEETTERI-7 INSTALL PLYWOOD WITH BRACING rROM ADVANTEX TREATMENT UNIT I i 20 FEET LONG -I I FOOT DEEP (REMOVE ALL FEET AL GRADE. MUST 2♦ FEET OF COVER FABRIC .L PLYWOOD & VISOUEEN BARRIER H BRACING AROUND PERIMETER. DEEP MAXIMUM ALL ORGANICS) 6 FEET TO BEDROCK �>, 7/14/2003 ----------------------------- I MTO 1 I C 7 I I I I I I I I CO I I I. I I I I I I 0 MT ------------------------------I i 20 FEET LONG -I I FOOT DEEP (REMOVE ALL FEET AL GRADE. MUST 2♦ FEET OF COVER FABRIC .L PLYWOOD & VISOUEEN BARRIER H BRACING AROUND PERIMETER. DEEP MAXIMUM ALL ORGANICS) 6 FEET TO BEDROCK �>, 7/14/2003 0 ... .•, !I 040 DRAWN BY: J.L.M. . _ �A,�. d C/. ALASKA WATER & WASTEWATER scALe. CONSULTANTS, INC. N.T.S. """"" ""' """'"' 5701 F T OR ROAD. SUITF 101 • ANCHORACF. AA 90507 • N ONF (071339-0.70 • FAX (909)338-0]433 PREPARED FOR: PHONE NUMBER: PACE NUMBER: JAN BERNZOTT (907) 696-0029 4 OF 4 O Co Qv •.J ff A ess: Q "y,, —79 LEGAL DESCRIPTION: LAKE RIDGE TERRACE SUBDIVISION; LOT 2A, BLOCK IA, �Ood PFofal S�OOOo� ��40000o TYPE OF WORK: DETAIL DRAWING OF PROPOSED DRAINFIELD //-- ALASKA NVATER & WASTEWATER 0 CONSULTANTS, INC. *�' d ••• ••,•„*OQO SOIL LOG — PERCOLATION TEST „ ... .... LEGAL DESCRIPTION: LAKE RIDGE TERRACE SUBDMSION; LOT 2A, BLOCK 1A,a E— GO ess: `OQO PERFORMED FOR: JAN BERNZOT DATE: 5/23/2003 OQ�$ \Fo4 (feet) ==== ORGANICS 4���rofeenloaa�� °°a EST HOLE 1 Oppood 1 ,o app o0 °o a ooa SOIL CLASSIFICATIONS 2 GW =-= ORG \ GP ML 3 0°o a°o00p GM CL 4 GC OL \ I °00 Depo "° 1t p: o SW MH \ I EXISTING 5 °oo oeoo °•°• • SP CH \ 1 SEPTIC • e • SYSTEM ooep SMi oe s u:O SW SC OH r. apou LJ 6 °0 7 °o oeoo THII+ 00 00 ° opo eo: o°op :o pep° 6 0°0 0 0° ` EXISTING 9 ooep:°o 4 BoLp.00 !' 1 1 SITE PLAN oo vo°oo HOUSE 1 1 X100' 10-00°0 o°o° pspa°O e ° BEDROCK DATE READING NET TIME 11 CNET DROP LOCK (MINUTES) WATER READING EL (INCHES) e.O.tf. 12 5/27/2003 1 — — 6- 2 — 6 0' 6' 13 3 - - 6' 4 - 6 0' 6' 14 5 - - 6” - 6 - 6 0' 6- 15- 16- 17- 18— PERCOLATION - 15161718PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 1.5 FT. AND 2.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES N NO SOILS LOGGED BY: CALEB GALL PERCOLATION TEST PERFORMED BY: CALEB CALL COMMENTS: PERFORMED BY AKWWC, INC. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS W S P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: �� O DEPTH TO GROUNDWATER DATE 7.5' S 23/2003 6.0' 5/27/2003 5.7' 6/4/2003 ALASKA WATER & WASTEWATER CONSULTANTS. INC. .-.W SOIL LOG — PERCOLATION TEST LEGAL DESCRIPTION: LAKE RIDGE TERRACE SUBDMSION: LOT 2A. BLOCK IA, PERFORMED FOR: JAN BERNZOT DATE: 7/9/2003 DEPTmi ORGANICS (feeTEST HOLE 2 1 2� dIIHII M^IXTUORE ffiomuo�'= 5• 6 7 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO GROUNDWATER DATE DRY 7/9/203 7/18/20 3 1 •- PE�Gp�t\pa 111111111 tN�3 711!11 TH/� / � k I \ „0 / O H/um TMl?® Ny � \ 111111111 1 M1i"Y1i ��y��p�i SEPTIC !�1�1111: 1 �id�. • r, DEPTH TO GROUNDWATER DATE DRY 7/9/203 7/18/20 3 �pSf. ZI PE�Gp�t\pa Cor ess: 7953 \FG DATE READING CLOCK NET TIME TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) �pSf. PE�Gp�t\pa F OR tN�3 ♦ TH/� / � k I \ p�mo / O ♦ TMl?® / � \ 1 EXISTING SEPTIC \ 1 SYSTEM r, \ THl1* \ I EXISTING BEDROOM ; i ; SITE PLAN HOUSE i i 1'a1DD� DATE READING CLOCK NET TIME TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) �pSf. PE�Gp�t\pa F OR tN�3 �� S p�M�p. tEst N p�mo Q�RG O 19 PERCOLATION RATE N/A (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN FT. AND FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES N NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL COMMENTS: PROPOSED SEPTIC SYSTEM MUST BE NORTH OF THIS TEST HOLE. SOUTH OF TEST OLE HAS BEEN DISTURBED. PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS. CERTIFY THAT THIS W S FIERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 0 ALASKA. WATER & NVASTE WATER CONSULTANTS. INC. . _ =-46 : a .. .ca SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: LAKE RIDGE TERRACE SUBDIVISION: LOT 2A, BLOCK IA, PERFORMED FOR: JAN BERNZOT DATE: 7/9/2003 DEPTH ""-- ORGANICS (feet) ___— TEST HOLE 3 1 " 7 B 9 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 7/9/203 7/j6/2003 'I.1 t l"m VA. .'..1........... Ufa Arness .. —7953 ........... READING CLOCK TIME NET TIME (MINUTES) rGM/LOAM NET DROP (INCHES) 7/9/2003 1 8:30 - 6' - 2 9:00 tGwt 3' 3' OR \ TH/2+ t — ♦ 4 I EXISTING 1 3-1/2- 2-1/2' SEPTIC ♦ — 1 SYSTEM r, 10:00 6 GPBEDROCK 2-1/2- IIIIIIIIIML GM TH/1� CL .....� GC OIL 1 BEDROOM (; SITE PIAN HOUSE 1'.100* •0. 60 0 SW111111111 MH CH ;'�4Y(YSi Rllt�lli OH C�'3.d1SC 7 B 9 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 7/9/203 7/j6/2003 'I.1 t l"m VA. .'..1........... Ufa Arness .. —7953 ........... DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/9/2003 1 8:30 - 6' - 2 9:00 6 3' 3' 3 \ TH/2+ t — ♦ 4 I EXISTING 1 3-1/2- 2-1/2' SEPTIC ♦ — 1 SYSTEM r, 10:00 6 3-1/2- 2-1/2- TH/1� IEXISTINGi 1 BEDROOM (; SITE PIAN HOUSE 1'.100* DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/9/2003 1 8:30 - 6' - 2 9:00 6 3' 3' 3 9:00 — 6' — 4 9:30 6 1 3-1/2- 2-1/2' 5 9:30 — 6' — 6 10:00 6 3-1/2- 2-1/2- 19 PERCOLATION RATE 12 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 1.5 FT. AND 2.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB CALL COMMENTS: PERFORMED BY AKWWC. INC. 1. JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 0 Zt „ MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Upgrade Date Issued: Aug 04, 2003 Expiration Date: Aug 03, 2004 Permit Number: SW030290 Parcel ID: 051-315-52 Legal Description: LAKE RIDGE TERRACE BLK 1A LT 2A Design Engineer: 0041 AK Water & Wastewater Consultan+ Site Address: 015012 LAKE RIDGE DR E Owner Name: Jan Bemzott Lot Size: 50781 SQ. FT. Owner Address: P.O. Box 773588 Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER. AK 99577-0000 This permit is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well Q Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued B Date: Date: 9 — t7L-0 3 , Municipality of Anchorage i•..II • "` Development Services Department Building Safety Division On -Site Water & Wastewater Program 1 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-315-52 Permit Number Property owner(s) JAN BERN7071' Day phone 696-0029 Mailing address (1) P.O. BOX 773588 • EAGLE RIVER. AK Mailing address (2) Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 2A. BLOCK 1A: LAKERIDGE TERRACE SUBDIVISION Legal description (Section, Township & Range) _N/A Lot Size Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage l� Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above Information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. Permit Fees: Date of Payment: 7 Receipt Number. Waiver Fees, Date of Payment: Receipt Number: ALASKA WATER Fr WASTEWATER CONSULTANTS, INC. July 28, 2003 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Ref: Water Storage System for Lots 2A, Block IA; Lakeridge Terrace Subdivision To whom it may concern: On May 1, 2003, a well flow test was performed on the referenced property. The well production was found to be 0.30 gallons per minute (gpm). Based upon this production rate, we informed are client that 500 gallons of water storage must be installed in order to obtain a Health Authority Approval. The homeowner hired Alaska Pure Water Products to install a water storage system. Attached is a description of the water storage system. We request that a permit be issued for the water storage system. If you have any other further questions about the water system, please give us a call at 337-6179. .E., M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907)337-6179 • Fax: (907)338-3246 * Website: akwwc.com 07/29/03 TUE 08:53 FAX 6896499 VISTA REAL ESTATE ER 0002 HAY -16-2003 FRI 09:37 AH AK PURE MATER PRODUCTS 9075635501 I'. 01 Quotation —�� Quote Number 501 E. IIaomanonel ATWrt Fd. Csm516 AALhar-Nw. A1Uka CW 18 (907) 508.6770,M (007) 50-o= Fax Quote Datc: t'W PU e' tcr•cago Hay 16, 2003 Quoted to: • pawl CASH CUSI0H6R (SCC SNIP TO) Sk '% 04tiNl ZOTr Got t.- 3L 9'1 6Aur%.'tfi�' _ CuatomctID GoodTbru PaymentTerma e�P �•— 9999 6/16/07 �..._ Net 20 Days i�Hkc� Mire;•/�« • Received Ihv-16-2003 09:45am fraw-1075635501 Subtotal I _-_-2,026.25 Sales Tax Total 2,009.25 To-W1lB63ec.Etc.82I06 Pare 001 Item Doeoription TJaitPrice 1.xtan9ioa y ul sTBMs ARE aw, 9TOClt ANA kc ' �— r—• Otr.D RAV2•THIS i&RTALLEO &CLT EX 7.00 "A0261 PAIM 165 CAL VERTICAL 71 :t 69'"S• 298.0 694.0 1.0 AR1eMfiD1 ARRICIC 19NRa1 LIQUID LEVEL 295.2S 125.25 469.0 1.0C ;0J79 ==S "9 2/A &P SET PUMP 469.0 LXLU21R 65.0f 325.00! 5.0c LADOR 1. 04 110009t FiTrimcs, DIRE, CONPU7CNT2 216.0 215.04 ) Received Ihv-16-2003 09:45am fraw-1075635501 Subtotal I _-_-2,026.25 Sales Tax Total 2,009.25 To-W1lB63ec.Etc.82I06 Pare 001 Parcel I.D. 051-315-52 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 :. Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Expiration Date: _(/ ' e�Ka Complete legal description LAKE RIDGE TERRACE; BLOCK 1A, LOT 2A Location (site address) 15012 EAST LAKE RIDGE DRIVE *EAGLE RIVER, AK 99577 Current Property owner(s) CHERYL SHAW Day phone 227-9538 Mailing address Real Estate Agent 2. TYPE OF DWELLING: 15012 EAST LAKE RIDGE DRIVE *EAGLE RIVER, AK 99577 ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well © Individual Individual Water Storage ❑ Holding Tank ❑ CommunityClass _Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNarianoe request for: N/A Received COSA to be otherWise requested by the engineer. COSA Fee $ 5 (AA M Date of Payment �1glwilto Receipt Number- O ✓ 11 COSA #_ �SG(c�f3`1— Date: 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. Name of Firm Garness Engineering Group, Ltd. (GEG) Phone (907) 337-6179 Address 3701 E. Tudor Road, Suite 101, Anchorage AK 99507-1259 Engineer's Printed Name Jeffrey A. Gayness 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 intlustrypractices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily Identifiable features. Hidden detects or encroachments may exist that were not Identified during the evaluation. The operational life of all wells and septic systems depend on 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) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person1party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/pany who paid for this report. 6. DSD SIGNATURE System #1 Approved for i 1 bedrooms System #2 Approved for _ bedrooms 0 Disapproved Date 63 /9,; //(- Y OF49 /L Conditional approval for bedrooms, with the following YOF49 do ON-SITE �y WATER AND m; WASTEWATER s" y PROGRAM Original Certificate Date: g 2 S b 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 engineers work. 7. ATTACHMENTS: COSA Checklist' Septic System Advisory Well Flow Advisory _ COSA blue sheet e-1-12.doo Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: LAKE RIDGE TERRACE; BLOCK 1A, LOT 2A Parcel ID: 051-315-52 *PER GEG 2016 INSPECTION *"BELIEVED TO BE CASED TO BEDROCK. SEE SORROUNDING A. WELL DATA WELL LOGS PREVIOUSLY SCANNED INTO MOA RECORDS. ***WATER STORAGE TANKS WERE BY-PASSED FOR TEST Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) NO Date completed PRE -1973 Sanitary seal (YIN) YES Wires properly protected (YIN) YES *BEDROCK Total depth *212.9+ ft. Cased to ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test NO WELL LOG - 8/8/16 " Static water level ft. 16.4 ft. Well production g.p.m. ***0.81 g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml.. NitrateQ % Vng /L. Collected by: GEG, Ltd. Arsenic: r 47g./L. Date of sample: 8/3/16 B. SEPTIC/HOLDING TANK DATA ADVANTEX TREATMENT SYSTEM Tank Type/Material STEP/FIBERGLASS DaWjnstalled 7/22-28/03 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping AS REQUIRED Pumper a N/A C. ABSORPTION FIELD DATA -BELOW EXISTING GRADE ADVANTEX TREATMENT SYSTEM Date installeii 7/22-28/03 Soil rating .p.d. r ft�/bdrm) 3_0 System type BEDIMOUND Length 20 ft. Width 10 ft. Gravel below pipe 0.61 ft. Total depth *3.18+ ft. Eff. absorption area 200 ft' Monitoring tube YES Depression over field NO Date of adequacy test 8/8/16 Results (Pass/Fail) PASS For '4 bedrooms Fluid depth,in ,atisgrption field before test 4 in. Elapsed Time: o'" min. Final fluid depth Water added 612 gal.. New depth 4 in. 4 in. Absorption rat0' = • " 600+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - MT ON NORTHEAST SIDE OF BED ONLY EXTENDS 0.28' BELOW INVERT. THIS MT STAYED DRY THROUGHOUT TEST. MT ON SOUTHWEST SIDE OF BED EXTENDS 0.59' (7.081 BELOW INVERT. THIS MT WAS USED FOR THE ADEQUACY TEST. *SECOND COMPARTMENT OF 1500 GALLON S.T.E.P. TANK **SEE ATTACHED MAINTENANCE INSPECTION REPORT D. LIFT STATION `PER 7/29P2003 ELECTRICAL INSPECTION Date installed 7122-28/03 Size in gallons *500 Manhole/Access (Y/N) YES "Pump on" level af*TIMERin. "Pump off' level at*TIMERin. High water alarm level at in. Datum ** Cycles tested ** Meets alarm & circuit requirements? "*YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOTTO: Septic tankAift station on lot 100'+ On adjacent lots 1004 Absorption field on lot 100'+ On adjacent lots 1001+ Public sewer main 751+ Public sewer manhole/cleanout 1004 Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 501+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 6+ Absorption field 5'+ Water main 101+ Water service line 104 Surface water 1001+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 101+ Water main 104 Water service line ' 101+ Surface water 1001+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ . F. COMMENTS ' SLOPES ON WEST SIDE OF MOUND VARY FROM 2:1 TO 2.5:1. SLOPE IS WELL VEGITATED AND NO INDICATION OF G. ENGINEER'S CERTIFICATION i certify that I have determined through field inspections and 9 " rev/ew of Municipal records that the above systems are In ••••• ••••••••. conformarIGe with MOA COSA guidelines in effect on this ?, •••g• . date.- ♦t^ Jefr n ss; Engineer's Printed Name JEFFREY A. GARNESS �f��sj, 793 S Date 1 'p:'.��..�:,Il_.! ,�.�I � : • r�" !� L[CENSEf'�fi\ ES)�O #AECC884 \�*,� (Rev. 10(12/12) Municipality of Anchorage u , Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # OSC161374 During a recent COSA on-site inspection and test of the potable water supply well on Block IA, Lot 2A of Lake Ridge Terrace subdivision, the well's productivity was determined to be 0.81 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. ADVANCED WASTEWATER TREATMENT SYSTEM MAINS ENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND Z() 5,,,Qk��c�%nSc�rt. THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this Day of of 20�V by and between 1 S e ok aabrnsa^�. herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW WTS), described as located at (legal description). OLI� G 71-rct 2. Definitions. Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that a] the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AlkWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that uay sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the At v WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNE By: (signature) J O L� v�\S O (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) Date: �b zZ -zo/ The foregoing instrument was acknowledged before me this day of % LAwG _tcS 20]k , by aos� l,, To kn S urs NOTA �PUIBLIC�FORATL�ASKA ���°g�`������• My Commission expires: L. < o 1 � ` * F %OTAq` ' —•— a*— Ns �/8L\G t ••.....••''c�`E``� rOFI 1A, p 0` MUNICIPALITY: c� By: V; vw (signature) Date: (print name) Title: Municipality of Anchorage • Development Services Department / Building Safety Division On -Site Water& Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-315-52 COSA# QSC, I d l 0 C/Lg 1. GENERAL INFORMATION Expiration Date: S -;L I— l O Complete legal description LAKE RIDGE TERRACE S/D: BLOCK 1A. LOT 2A Location (site address) 15012 E. LAKE RIDGE DRNE • EAGLE RIVER. AK * 99577 ❑ Public Water System ❑ Current Property owner(s) DANNY do PATRICIA 13ILLMAN Day phone 622-4428 Mailing address Lending agency Mailing address Real Estate Agent Mailing address 15012 E. LAKE RIDGE DRNE * EAGLE RNER. AK • 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well N Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site 9 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 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, 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. 1 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 Finn GARNESS ENGINEERING GROUP. Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. 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 d Regulations. The reported results described the performance of the system under the conditions encountered at the time of Me lost, 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 Approved for 4 bedrooms. Disapproved. 337-6179 Date 13110 C s�C9.abe!r .�17..•'.F X11:.°._ ':../!:?/.••• c�°jo` Conditional approval for bedrooms, with the filowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory y Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Nitrate Advisory Other By: F ON-SITE •'; ms's WATER AND ; 1n= WASTEWATER :. PROGRAM' Original Certificate Date: 7 ' a L / 0 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: LAKE RIDGE TERRACE S/D; BLOCK 1A, LOT 2A Parcel ID: 015-315-52 A. WELL DATA *PER CEG, LTD INSPECTION. BELIEVED TO BE CASED TO BEDROCK. SEE ATTACHED WELL LOGS. Well type PRNATE If A, B, or C provide PWSIDN N/A Well Log (Y/N) NO Date completed 1973 Sanitary seal (Y/N) YES Total depth '326+ ft. Cased to "UNK. ft, FROM WELL LOG Date of test L Static water level uNPJP\�g ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/100 ml. Arsenic. S O ug./L. Nitrate01`L mg./L. Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 4/22/2010 23 ft. ..00.95 g.p.m. *••500 GALLONS OF WATER STORAGE IS INSTALLED. Other bacterial colonies/100 ml. Date of sample: 4/22/2010 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA +ADVANTEX TREATMENT SYSTEM Tank Type/Material •S.T.E.P./FIBERGLASS Date installed 7/22-28/2003 Tank size 1500 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) YES Date of pumping — Pumper C. ABSORPTION FIELD DATA BELOW EXISTING GRADE "ADVANTEX TREATMENT SYSTEM. Date Installed 7/22-28/2003 Soil rating.p.d./ or ft'/bdrm)"3.O System type MOUNDED BED Length 20 ft. Width 10 ft. Gravel below pipe 0.61 ft. Total depth +3.16 ft. Eff. absorption area 200 ft' Monitoring tube YES Depression over field NO Date of adequacy test 4/22/2010 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test DRY in. Water added 600 gal. New depth DRY in. Elapsed Time: 0 min. Final fluid depth DRY in. Absorption rate >= 600+ g.p,d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date D. LIFT STATION 'INSPECTED BY A+ HOME SERVICES. Date installed 7/22-28/2003 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump off" level atTIMER in. High water alarm level at 44 In. Datum. BOTTOM OF TANK Cycles tested ' Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Property line 5'+ Absorption field 5'+ Water main N/A Water service tine 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 109+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 5'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION t certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. CARNESS Date S/13f10 P o 0 �D0000�� i 1� COSA Fee Sy'70 Waiver Fee $ Date of Payment3/ Is 10 Date of Payment Receipt Number % % .J Receipt Number (Rev. 11/05) Municipality of Anchorage • Development Services Department Building Safety Division - On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Nater Well Advisory Certificate of On -Site Systems Approval (COSA) # 101043 During a recent COSA on-site inspection and test of the potable water supply well on Block IA, Lot 2A of Lake Ridge Estates subdivision, the well's productivity was determined to be 0.95 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. ■■Rr 20 10 09:44a Dan @ Patti Billman ■ i■ i■ . HB9'siF : L7 y� 9076224428 P.1 o A eUILT O• .vEq�sic ya�or HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: =OLLOWING DESCRIBED PROPERTY: q�E�r'iol�r�f�faBLaTIyBf �.9 DATE: %ND THAT NO ENCROACHMENTSIEXIST LXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE )WNER TO DETERMINE THE EXISTENCE OF ANY GRID: ASEMENTS, COVENANTS, OR RESTRICTIONS VHICH DO NOT APPEAR ON THE RECORDED SUBDI- 'JSION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION �9 6 FENCE LINES, OR FOR ESTABLISHING BOUND- DRAQN�f kRY LINES. 7. V ASSOCIATES NG fl OF At °'R r�P� ... i , . •9S� 6, iv' ••7H�"� 'l7 (� .,. Ov.n• wand 5. ..3 09/11/2009 05:47 8686770 144 328 a. ■o ■ ■■v■ a l■a loop ■ ■ ■ ■ anvil M a� lap■ ■ ■■ ■o■ III son 111■ PM >• ■ ■■■ lap ■ Rose ■ ■ ■■■v■ ■■ a� • PAGE 01 RghMnTar RM MMnbname Wait AnchorageTank & Welding, In6 Annual Inspection 907-272-3543 ft""awadtwrq. Ow M Dan Bilknan MHo Blakeslee •.w.. ernann... 15012 E. Lake Ridge Wm Ea* River AK 04377 907 822-4428 der D. c"Of M. Im1 v ar.wuw...� AX -102007 6/41030260 12/232000 rMITh/N Clams Me aysaw MWOU 4MO Tv wwmnac Poo foo 111 Field 6aw*lbVAX*ermUmw mru pa a" pM IM DO R�1 Oa.r of aae... %"w ❑ta.ly 14ft" OMOMv % -vow ❑a&+. 1300bb.a. ❑ww oat emk. "M ❑TN Mft 14M In nes ❑lr. a(M. Chw* comes Pamd m.a�eM+o. ord+ip.a�w Aardelo end.ru.l.l.nn. �oK wn tin. o+w�.rr e<+» ❑+w QQ►�a r�.al/Ci..a Plonp ■rat«■ %ON a" ................... O Plod Cole .................... ❑ Rivi......................... p PmnP........................ ❑ ekes. ►urn twat ............ ❑ ►+�+aaaaeww......... ❑ t.! Cakp.ttmont ClrAM PnMddlt Clave ►1.1/0Y! Nd Ca we rmw ow"M Pmbn Ov.wR n..Aa.� imepepVCaewl AdweTaa Pnbmr Odor: E3NM I ❑PWQW pk.wt El is ❑awoaN. addanoVcndbW ❑maker peswadw Ywpacuolean Disawma Pasp a3yaaee, IRNP@d PJ.wIUd ❑ aP.waok ❑ plow.aN. p tiapecUllmioe Othw!yawn Oenbp~ta bap.dl La1neMOrMew ❑ clan ❑ PodaoWm ❑ p uaa..ct a.., esu+ ❑ p FUWV ❑ ❑ tlaI I awn [■poet awl MWAMml &MRwe p ❑ C4pewl takralwr■ew ❑ ❑ Additional sanies. R n hwud ❑c6.wdl.da..Mw1.1 ❑m.pko.d w a.m.t qwv .um.d~a.mn Porti Used: W . wwfwft B r aalayle (✓ anprowt.t. eN.of o Fa+d/ba" fwAsv,v awikd phial baled on �,' IN.n11etl noo.noh4; eu.k Bros eked ®eard'ol pw.d wel.�ed 4dey61m Padmft ae h.ew aced, n..dad plank a..d. WmON ❑ ODE ea wMw poek.n Cmnwta ftno4ee wgnc Dace_ _ cj. 1n.0R Fax completed form to 1.866-3845.7404 >tiv WIrtifirb Witting K.40 A & L DRILLING COMPANY�w . .. _: {tax....• ;.•.•+ .w...v. . BOX 97, EAGLE RIVER, ALASKA 99477 • TELEPHONE 9942588 •!♦�"-^••+�i'�''-Yit= •:. t.i. :, . ,.-:..... �'' . �.r,..edaf�`h�.i�+.�t���„'�r'i OWNER OF LAND L144, Y 1', al A' i.�a �.J. ;; DEPTH OF WELL���•.: ADDRESS to c l: R..,.,.; ST . :.:••:...-•4..;� R F.T. ,1.. LEGAL DESCRIPTIOFT^' WN. DATE • Started T 7 T_ '7 �� 1 ° r't' • : 'GALS. —t F 2e• a`62� -.Ended PER HR v'n PE R111T NUMBER - ^r, R1ND OF CASING `'� �' ' O D.'•;, -.:i . .. ... '.. .o: .a•. �:.F��!"ra'P'?�vJ1 �.�ou1':.;.'X' s. ��y v:l�.. �:y��y�^:�;:�j;'.''�'��y w KIND OF FORMATION: From 0 Ft. to_4%_Ft. QtG 4oc t, C, FT From Fto— t. to Ft. .. , .. From From��Ft. Ft.'ee�,c ' r. t.%r-•a •;;y;#'? �•en From Ft. to Ft. 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From Ft. to Ft _ -n MiSCL INFORMATION: /s ,. 7a 7q ' FILE WATER WELL INVENTORY CHANGE CUSTOMER -ID IAN, LARRY QQQQ SE QQQ NE QQ SE Q SE S 25 TWN 015N RNG 002W M S ' LAT N14 LON W01 W ALT METH DRILLER A&L DRILLING COMP DATE 07 31 1975 FIN DEPTH 00380.00 V USE 8800 SINGLE DWELLING CONS METH GROUTING -� non lcov wu,c GEF A.11 ,. ,/J19 A!•'• ...•� I ^I W 0 Q 0 Y I V N ,.� Z < °� W ; W W- � S ppX N m 0 W 3 u W V tii• 0 V iZ 0 t p V � -1 V• Al h0 0 0 0 0 0 0 0 0 h 0 h 0 8 h h h h h F h h zo O CO O O O O 0 0 O 0 O 19 cc x ce a cc sx :r = a a 0: U. a :.. U. U. st W :.. W ii f+. W h OR 0 J o � 1 ' r• fi's ! W � � � S O W V tii• 3 A V iZ z o o < '�: 3 tW- 0 • F � i i t p V � -1 V• Al h0 0 0 0 0 0 0 0 0 h 0 h 0 8 h h h h h F h h zo O CO O O O O 0 0 O 0 O 19 cc x ce a cc sx :r = a a 0: U. a :.. U. U. st W :.. W ii f+. W h OR 0 J o � 1 ' r• fi's ! ace ! ! ! o z o o < '�: 3 tW- 0 13 y' aZ i i i i i i i p H tO^ F H F h F F F !O• FO-� p C O O a% O O K O W O w O w O O O ca. t p V � -1 V• Al h0 0 0 0 0 0 0 0 0 h 0 h 0 8 h h h h h F h h zo O CO O O O O 0 0 O 0 O 19 cc x ce a cc sx :r = a a 0: U. a :.. U. U. st W :.. W ii f+. W h OR 0 J o � 1 ' r• fi's ace ! ! ! o z o o < '�: 3 tW- 0 H o y' aZ t p V � -1 V• Al h0 0 0 0 0 0 0 0 0 h 0 h 0 8 h h h h h F h h zo O CO O O O O 0 0 O 0 O 19 cc x ce a cc sx :r = a a 0: U. a :.. U. U. st W :.. W ii f+. W h OR 0 J o � M -W Drilling, Inc. ♦P.O. Box 110378•Anchor'age, AK 99511• •907-345-4000 • 907-345-3287 Fax* Job No.: 06.155 Parcel No.: 051 315 55 000 Permit No. SW060107 Permit Dated: 23 May 2006 •Well Owner: _ • Legal Deserlpdon: Groundwater Well As -Built & Lae Construction • Use of Well- Domestic ♦lloleDepth: 176' •Casing She. 6" ♦Cased To: 46.54' •blaterlal: A 53 Steel ♦ Drill hlethod: Air Rotary ♦ Prom Perf. • N ell completion- Open end X Screen Perforated _ Method: •Screen/Perforatlondeserivdon: None ♦ Grout Notes: (2) Sack(s)- No. 8 bentonite granules poured in annulus • Notes: • Disinfected Yes No Method: Chlorine solution •Well Development: Method: Airsurge Notes. •Static water level (SWL) 116' (above) (below) top of easing (!OC). • bell ykld test at 0.75 gallons per minute (CPM)1ga!lensperhour(GAPI) for 3 hour(s) With 29' of drawdown(DD)fromstatic level (SWL). •hfethod: Submersible pump • Date of started. 27 September 2006 ♦ Date of completion: 03 October 2006 • Pump Install. Well Loe Depth in feet from top of casing. Details of formations penetrated, size of material color and miscellaneous details. 0 -2 TO 2 Casing stickup— TO 4 Wood _ �4 TO 5 Void 5--;f6 10 Sandy gravel: wet TO 20 Hardpan gravel: compacted _10 20 TO 176 _ Bedrock: -black siltstone ar illite with sporadic waterbearing fractures ---- - _ TO -- — --- ---- - —,l.0 TO TO TO TO -_ OCT 1 C. x= WAYNE-E: WESTBERCi President- MWDrNBnp kW' . tacwA CettlBed MasteEB otltA>Idof Contractors License No. 1000 DIRWOR_S Ot{;CE TO INDR.6E Municipality of Anchorage `� •., • Development Services Department / Building Safety Division OnSito Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-315-52 HAA# [•7 : 3 1. GENERAL INFORMATION Expiration Date: 9 — e2 6- 0 Complete legal description LOT 2A. BLOCK 1A: LAKE RIDGE TERRACE SUBDIVISION Community Class Well ❑ Public Water System Location (site address or directions) 15012 EAST LAKE RIDGE DRIVE • EAGLE RIVER, AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JOHN & TRACY LYNN Dayphone 696-1636 15012 EAST LAKE RIDGE DRIVE • EAGLE RNER, AK Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Individual On-site 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. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined in the 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 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers 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 8 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 sofa benefit of the owner listed above. Any reliance upon or use of this report by any otherperson orpany Is not authorized, nor will it conforeny legal right whatsoever. ' 5. DSD SIGNATURE Approved for Disapproved. X Conditional approval for bedrooms. Attachments: / HAA Checklist l/ Septic System Advisory Well Flow Advisory Date 5/1210 4-1 bedrooms, with the fllowing stipulations: Manitenance Agreements Supplemental Engineers Reort Other WATER AND ; m= —WASE- . PROGRAM By: Original Certificate Date: 2 0 (Rw. 1=1) Municipality of Anchorage • Development Services Department `t Building Safety Division On.SRe Water 6 Wastewater Program 47W South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anetorage.ak.us (907) 343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT 2A, BLOCK IA. TAKE RIDGE TERRACE SUBDIVISION Parcel ID: 051-315-52 A. WELL DATA *BELIEVED TO BE CASED TO BEDROCK Well type PRNATE If A. B, or C provide PWSID# N/A Well Log (YIN) NO Date completed 1973 Sanitary seal (YM) YES Wires properly protected (YIN) YES Total depth 366+ ft. Cased to *U.K. ft. FROM WELL LOG Date of test Static water level ft. Well production — 9 -p.m - WATER SAMPLE RESULTS: Coliform -!�— colonies/100 mi. Arsenic: N/A mgA. B. SEPTIC/HOLDING TANK DATA Nitrate Q,M-mgA. Casing height (above ground) 12 in. AT INSPECTION 5/10/2004 8 ft. 1.6 g.p.m. •0500 GALLONS OF WATER STORAGE INSTALLED Other bacteria -y—colonies/100 mi. Date of sample# 5/1012004 Collected by: GEG. Ltd. 5/'7 aao4- *THIS IS AN ADVANTEX TREATMENT SYSTEM Tank Type/Material •S.T.E.P./FIBERGLASS Date installed 7/22-28/2003 Tank size 1500 gal, Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping NEW Pumper - C. ABSORPTION FIELD DATA 'BELOW RM GRADE. 4.22 TO 5.72 FEET OF M.O.A. APPROVED SAND FY.TER ADDED MM TOTAL DEPTH. Date installed 7/22-28/2003 Soil rating OGDbr ft1bdrn) 3_0 System type MOUNDED BED Length 20 ft. Wkflh 10 ft. Gravel below pipe 0.61 ft. Total depth •aa1+ - ft. Eft. absorption area 200 fe Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fall) - For 4 bedrooms Fluid depth In absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >_ - g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) - If yes, give date - ODRAINFIELD WAS DRY ON 5/10/2004. D. LIFT STATION Date installed 7/22-28/03 Size in gallons 1500 Manhole/Access (YM) YES "Pump on" level at 71MER in. "Pump off" level at nMERin. High water alar level at 44 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alar & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanknift 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 manholeideanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDING 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 One tG'+ Surface water 100'+ Driveway, paddngtvehide storage 5'+ Curtain drain 1001+ Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certffy that I have determined through held inspections and * �• 4 l� Y* review of Municipal records that the above systems are in """' ' ' ' ""•' "•""' conformance with MOA HAA guidelines in effect on this date. e .A:...... Qs:... Engineer's Printed Name JEFFREY A. GARNESS C —7953 Date HAA Fee $ Date of Payment Receipt Number n (wv. 12/01) Waterer Fee $ Date of Payment Receipt Number 05-24-04 12:511`11 FROU-CTLE ESI, SCS ENV SERVICES SCS Re1.H 1042434001 Client Name Garness Engineering Group, Ltd. Project Name/H Lot 2A, Blk IA Lake Ridge Teff Client Sample ID Lt 2A,Bk IA Lake Ridge Terrace Matrix Drinking Water Sample Remarks: 9075615301 T-455 P.02/05 F-156 All Dates rimes are Alaska Standard Time Printed Date/time 05/142004 17:09 Collected Date/time 05/102004 14:05 Received Dste/rime 05/112004 11:22 Technical Director StepbA C. Ede Allo wableInit Panuo"a ]results PQLUnits Method Comsmer 11).►.inuts D�ete Date Waters Departmant Mtrate-N 0397 0.100 Mg/L EPA 300.0 B (<-10) 05/11/04 JIB Miciobiology Laboratory Total ColiCotm 193 OB, W/Fecal Coli col/100md. SM19 9222E A (<"1) 05/11/04 DKC 6-19-04;12:26 ;CT and E AW C ;5615301 • 2/ 2 zoo W. POTTER DRIVE •.., . ANCHORAGE, ALASKA DWI a SGS=&E EWIRONME Tat 907-M-2343. FmC 9oT-561-6301 Drinking Water Analysis Report for T6tal Coliform Bacteria' 10427 2-1 1 READ s aTRUCTK*4 OR Rr4MU SCR DOPM COUtC M SAatisi • ' . ®{{(�j�[��,I�npR,1 •... �q[ . MUST BE COMPLETED BY WATER SUPPLIER IIIIIIW Ff11�,111t{y1gµ�XWp,1 IpytYP{N •❑ Ft1at1C WATQt ttY7tTOt d, �+--, � � ��+ � � • WWAA WW1111 ATE WATER STUM a:b SarN r.als a" Roll" 'e. a aaa+.: 13 a1d R 0 GARNLOUr, Ltd. •''1"" , 3701 E. Tudor Road' Suite 101 An o�age, 99607 Anchora 11 SAMPLE COLLECTION: SAMPLE TYPE oaw M' - w—w—' &M \ 0 'Traaw wae[r Tia.a 3 :.(O AM CPMx+Repeat Sample /!:Wnt I Warr•.' L.r:r.1N tar 2A BL1L IA, LAe10bE -(&L R�+us (refertolabiro. :•.l ---_�"C__. wnw ,e KE. /1 . 0 Spacial Purpose b Leh M ❑ Sams as tol Odw Other: . 7J BE COMPLETED BY LABORATORY , '�smoieRtselrlee: : .. ., . Dim. ❑S&VbV.ir30howaOlt ❑ RLis H AMPLE. • Tom: is Rr10a way be w11.arb Tertnp ❑.: HM VA*,W �} Pmm t. petivary MaOnod: Clt1Q � ,J t '}�it�'�I• •, Fax>F: .. .. Recaivsd BY `rnvw Cona11.1Ac . .......... .........................»..........................................».........:...............:.....»...»...».......:...». Baeterloloeto•IWeterAnaHskRet:ortL: bAOEL. ' MNOMUO PIA) MSIILTt . .ANC . F9K •Rel Aa.yrM SKr"' 42111,04-17-S22Tar Caaarac E Caft i ArWyat `trr� • Seat110Carl Anati �. MEWWANE FILTER rJESMTi Phoned E3 . Faced Q . •Diad Ca..t --�`��{-'� rmilrltaoraL• • :Membrane FOtd Vrarara¢ "� MMO•MUG (P//) �• ® 5atisfadory ❑ ,Unsatisfactory • .. ,aRn»nlaa.wwrNl.a . ort*d •�t✓ _ " Ost&glnn S 1A Oti I• A5; a.w..nr..r 05-24-04 12:51PM FROM -CUE ESI. SGS ENV SERVICES 9075615301 SGSICTBE ENVIRONMENTAL SERVICES -SG Drinking Water Analysis Report for Total. Coliform Bacteria MUST BE COMPLETED BY WATER SUPPLIER 'QlpLOLIC WATER IYETEM Of /`^ �• pxppHAT� TER aYITEM .�pinm. .. .-�• (] B.nORwM and R.W° SAMPLFCOLLECnON: ft � ■ZJ S or , v.+ T-455 P.03/05 F-156 200 W POTTER DRJJE . ANCHORAGE, ALASKA 9018 TeF.907-582,2343. Fax: 907-581-M iogzaaa-UY err SAMPLE TYPE: Reutka Q ter Treated Water 0 Repeat Bonn& 3'lUMnated YYaLr, •' (refer to lab no. ' 1 O spectalPurposs Tr«■p n same as e0sew OSRsr TO Be COMPLETED BY LABORATORY $• cl -o y p w.Fw.... as n■n.ts .DowR.■e. my M ae.e.de Tans. 1122 Far Re iw. Rcmtvsd 8Y: ?L > -fir.•y ❑ RUSHSAMK} E: Phone t . Fax 1r • t.menneK - - .....- .:.. ................... .........:.............. .............................:....................................:...:.......�. ' Racold: AMC (7N AIN sac ° w .` a etvsla IOAWw (PIA) RZMTa: . 1 _' 330 TOW cam me ' ; ' �� L G[ Sent b Clnt . AA$"t Rlard Q . Faxsd • UVARANE FLTER RESULTS: ' r 6i�1 ►Z-� ' Calmil. 1wffL OeIeITYec A Meawd: : p acontI.J: - • wAer Nlemtxalls F9ter ° cd -7 .-{r LTaC [] Satisfactory MMO-MUG (PIA) `wa r.c. ;K ,UnsatisfecWry . • � �It3'BLi I.Z^�Q p.o■■e.uwY • P DatelTlme• ReporW gy; .... Form S F1v- 0053 12117)M Municipality of Anchorage •. Development Services Department j Building Safety Division ,. On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-315-52 HAAN 'n 1. GENERAL INFORMATION Expiration Date: U-4-03 Complete legal description LOT 2A. BLOCK 1A; LAKE RIDGE TERRACE SUBDIVISION Community Class Well ❑ Public Water System Location (site address or directions) 15012 EAST LAKE RIDGE DRIVE • EAGLE RIVER, AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JAN BERNZOTT Day phone 696-0029 P.O. BOX 773588 • EAGLE RIVER, AK 99577 Day phone PAT WILLHOIT w/ PRUDENTIAL VISTA Day phone 16635 CENTERFIELD DRIVE • EAGLE RIVER, AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ 689-6464 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 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 engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat 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 onsite water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. /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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, AKWWC, 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 identiflable 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 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 l/ Approved for 1� bedrooms. Disapproved. 337-6179 Datei)-Cl Lq Conditional approval for bedrooms, with the fllowing stipulations: Attachments: / HAA Checklist L/ Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineers Reort Other (a� WATER AND ; M: PROGRAM By:_ (Gc�/L �>/ !/" • Original Certificate Date: Z) 7 (Rw. 71A1) Municipality of Anchorage Development Services Department Building Safety Division ` OnSke Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 9951949M www.cl.endxxage ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LOT 2A BLOCK IA; LAKE RIDGE TERRACE SUBDMSION Parcel ID: 051-315-52 A. WELL DATA *BELIEVED TO BE CASED TO BEDROCK Web type PRIVATE If A. B, or C provide PWSID# N/A Well Log (YIN) NO Date completed 1973 Sanitary seal (YIN) YES Wires property protected (YIN) YES Total depth 368+ R. Cased to 'U•K• R. FROM WELL LOG Date of test Static water level R. d Web production g•p•m- WATER SAMPLE RESULTS: Coliform 0 coloniesN00 ml. Nitrate 0.453 mgA. Casing height (above ground) 12 in. AT INSPECTION 5/1/2003 ft. 000.30 g.p.m. ,S00 LEGALLONSS E OF R STORAGE INSTALLED D LETTER) Other bacteria 0 colonies/100 mi. Arsenic: N/A mgJL. Data of sample: 5/2/2003 Collected by: AKWWC. INC. B. SEPTIC/HOLDINOTANK DATA *THIS IS AN ADVANTEX TREATMENT SYSTEM Tank Type/Material •S.T.E.P./FIBERGLASS Date Installed 7/22-28/2003 Tank size 1500 gal. Number of Compartments E Foundation cleanout (YM) YES Depression over tank (YIN) NO Cleanouts (Y/N) YES High water alarm (Y/N) YES Date of pumping NEW Pumper - C. ABSORPTION FIELD DATA *BELOW FINAL GRADE. 4.22 TO 5.72 FEET OF M.OA APPROVED SAND FILTER ADDED BELOW TOTAL DEPTH. Date inetabed 7722-28/2003 Soil rating 40.jor fl %drn) 3_0 System type MOUNDED BED Length 20 R. Width 10 R. Gravel below pipe 0.61 ft. Total depth '3.61+ - R. Ef►. absorption area 200 fe Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fall) - For 4 bedrooms Fluid depth in absorption field before test = in. Water added =gal. New depth =in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >_ - g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) - If yes, give date - D. LIFT STATION Data installed 7/22-28/03 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on' level at TIMER in. 'Pump off level at TrMERin. High water alarm level at 44 in. Datum BOTTOM OF TANK Cycles tested NEW Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankntft 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 manhole/deanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service Una 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, paridng/vehide storage 5'+ Curtain drain 100'+ Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATIONS 1'.. I certify that I have determined through field inspections and VZW4 review of Municipal records that the above systems are in conformance with MOA HAA guidennes in effect on this date. Engineer's Printed Nam JEFFREY A. CARNES$ •, I LF7953 Date '1 11'1 /D HAA Fee $ 575-' Waiver Fee E Date of Payment 7 * 50 '' 03 Date of Payment BJ t Receipt Number �Jg Receipt Number (Ps . 17101) 07/30/03 WED 09:38 FAX 8898499 VISTA REAL ESTATE ER •-:.vnt S!_po Z002 M I o f9; 4il , `?✓r 4 N T6" � n, b ASBUILT SEWARD 1L ASSOCIATES LAND SURVE::ING 693 1 HEREBY CERTIFY -THAT I HAVE SURVEYED THE SCALE: yn� d__eMi,. FOLLOWING DESCRIBED PROPERTY- OF A! l•9,(�E'isiel�iZ'-EfX��.ri/BLorZ-,!r.�'f.'.c.9 DATES r Q�,••••••• /�5,�� AND THAT NO ENCROACHMENYeEXIST EXCEPT AS INDICATED.. IT IS THE RESPONSIBILITY OF THE r...: OWNER TO DETERMINE THE EXISTENCE OF ANY GRID- .01 '"'. EASEMENTS, COVENANTS, OR RESTRICTIONS y7l WHICH DO NOT APPEAR ON THE RECORDED SUBDI- -014 VISION PLAT. UNSER NO CIRCUMSTANCES SHOULD FB` c� f�r�••. IS -avis •. �{ a v ANY DATA HEREON BE USED FOR CONSTRUCTION OFFENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN: ARY LINES.