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HomeMy WebLinkAboutBROADWATER HEIGHTS TR C LT 2Broadwater Heights Tract C Lot 2 #050-131-59 Municipality of Anchorage Development Services Department say �•�� / Build,ng Safely Division On -Site Waler and Wastewater Program. 4700 S Bragaw St •7 P.O Bo. 196650 Anchorage. AK 995196650 Page of J www ci anchorage ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: PID Number: 00 K Wastewater System: ❑ New ❑ Upgrade MM... F7AC1auf�A •I 3101 4nla>tid Pkw -Gl9` K9 ABSORPTION FIELD "`"• 5 k l• 3 t S h N new' 6«.anm V O D.Tr«.J. O SnM.a Tnrrr. O a.. O,+aad O n„� So1R✓.q ar :n bm.ae�g..•. LEGAL DESCRIPTION Gn rr I..nNy R«q. a.tlo. re.e..'r.b....�q^rV Gr.w l«grn il. fl. We. ❑ New ❑ Upgrade " ar"7 .a..i... wr«a ba.. .. r Ft, AbZM 313034/FB10 Fr. rt rl' par Or. � sa.c Wr«l..r bww. Ua. ,nsrryn �30�89 F, iwf4-o E.kCA�iA�CIN .✓, Ph sol., G.pq, p.a.up. TANK Gru r,. SEPARATION DISTANCESSeptic O Holding O S.T E P. CT Olher G xwa "`"��• _— QREMIE.R ('(qS`S IG.S IOQQ cr 7o From Sept�c Lank Absorplior, Field Lift Station Holding Tank 'ubft Pdvsle sewer lfne ln.l+ur W.ri.« as Ca�r.,•,�^t•— w.. ioo + l00 + — — 2 5 t "bre 2- s a«. wr« s 1004 100+ _ -- LIFT STATION c✓ .� lat�n. � � ,4pn •r.. r«..a ra.yr+n ��" •� ti F a a..r el. wr b..p..L..n p«r«...0 by c..,w. n..n — N o N t_ K �+ W to •� "'" rE; 7-1X eh BENCH MARK q l,..v..«I E�.•aw• i -0O rl Engineer's Sfan•p S Inspections performed by. 61 g& Dales: 1" 4-30-09 C'. G�� � a.a• Chuglok. Alaska 9959 .2nd x_30' O ..............•r" Development Services Department Approval .... �' l ' l ^ A. 4-F '�. S 14 p 3 " / �l " I '� Reviewed and approved by: L✓ • I 4? -et Dale:X. N � �' �•'•„,8 :�� �` a.. PERMIT NO. SWO90043 PAGE 2 OF 3 MunicialityY of Anchorage DEPARTMENT OF H�ALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 1966509 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report LEGAL LOT 2, TRACT C, BROADWATER HEIGHTS S/D P.I.D. NO. 050-131-59 TRACT 10' Drng Esmt 10' Drng Esmt DRIVEWAY c C -1A 1 EXISTING CARPORT FCO i EXISTING /BDm j HOUSE D 1 EXISTING SEPTIC —ABSORPTION AREA (APPROXIMATE) DOUBLE CLEANOUT INSTALLED M M 4 on CL NEW 1000 GALLON .4 HDPE SEPTIC TANK ao I \ E „,. \ � Wll ml 1 WI: I' Oil I I I ___--____-- N, -\ \ \ SCALE 1' - 40' r.R`.. K0. • :Municipality of Anchorage P.O. Box 1966500 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report TOP OF TANK = 99.3 INLET= 98. STI =102.9 ST2=109-4 NEW 1000 GAL 11DPE TANK 0 ,r -FINAL GRADE i NSULATION a" bwt A. Ruhr W 144• �rrec%QQ�J SCALEcof /0• OUTLET=98.3' o n .0 sacra ^rl � •ter A C D FCO -- -- •32.0' STI 12.0" 20.7 -- ST2 16.7 23.9 -- DBL1 18.9 ZS-* -- DBL2 19.6 2b.2 -- TMT 18:7 26.1 -- COT 30.7 27.8 -- MTI 37-0 33•(1' -- •1' OFFSET FROM HOUSE 0 ,r -FINAL GRADE i NSULATION a" bwt A. Ruhr W 144• �rrec%QQ�J SCALEcof /0• OUTLET=98.3' o n .0 sacra ^rl � •ter 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 WASTEWATER DISPOSAL SYSTEM PERMIT Renewal Date Issued: Jun 03, 2005 Expiration Date: Jun 03, 2006 Permit Number: SW050147 Parcel ID: 050-131-59 Legal Description: BROADWATER HEIGHTS TR C LT 2 Design Engineer: 0003 S & S Engineering Site Address: 011635 BROADWATER DR Owner Name: Helmut Eysel & Hyang Kook Lot Size: 43949 SO. FT. Owner Address: 3101 PENLAND PKWY STE G6 Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99508-1908 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked 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 Date: L 40S Date: of Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 05D - /3I - .S9 Permit Number SW Propert, Mailing Site adc Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Lot Size �✓�95�% Acrel. ZD phone :ode W_' -Z9 /90S ;,ode THIS APPLICATION IS FOR: Numoer or bearooms .. Sewer Only Well Only Sewer and Well Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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 h applicable Municipal Codes. of property owner or Permit/Rush Fees: �l/�'� Waiver Fees: Date of Payment: �l�/D Date of Payment: Receipt Number. Receipt Number: (Rev. 09/04) ��- 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 WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW040167 Legal Description: BROAOWATER HEIGHTS TR =CLT --2" Design Engineer: 0003 S & S Engineering Owner Name: Helmut Eysel & Hyang Kook Owner Address: 3101 PENLAND PKWY STE G6 ANCHORAGE. AK 99508-1908 Date Issued: Jun 03, 2004 Expiration Date: Jun 03, 2005 Parcel ID: 050-131-59 Site Address: 011635 BROADWATER DR Lot Size: 43949 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify 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: Date: Issued By: _ Date: v Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. a 6110 ^ l �3 l — ' _ Permit Number SW Property Mailing address (1 Mailing address Legal descriptior phone T61,315 L Legal description (Section, Township & Range) Lot Size 3 AcreSq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Waiver Fees: Date of Payment: C;71 Z'7�-/ 0 L4 Date of Payment: Receipt Number: 1s 'Receipt Number: (Rev. 12100) 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 WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW030287 Legal Description:[BROADWATER HEIGHTS TR _'C LT .2 , Design Engineer: 0003 S & S Engineering Owner Name: Helmut Eysel & Hyang Kook Owner Address: 3101 PENLAND PKWY STE G6 ANCHORAGE. AK 99508-1908 Date Issued: Aug 04, 2003 Expiration Date: Aug 03, 2004 Parcel ID: 050-131-59 Site Address: 011635 BROADWATER DR Lot Size: 43949 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specked 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, seated, and heated to prevent freezing. Received By: Issued By: e2w'�� 4— Date: Date: Y Q� Municipality of Anchorage Development Services Department'?`' � Building Safety Division On -Site Water and Wastewater Program , ` .�r �' ■■ 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cf.anchorage.ek.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. O SSO - 13 / - S-9 Permit Number SW 030287 Property owners) 4 f_L M v T 2-Y 5 #a I- Day phone GA'e - 1 M 6 G Mailing address (1) h 6 73- W 45 ;- 3KYd-/.-C PRjJE Mailing address (2) L8 F L(, R r v C /L .0 AK Zip Code q 1 s- 7 7 Leal description (Lot, Block & Sub'd.) 2-o T a T I cT C l3.f a,4 0 wjrc a 11E icHrJ s/p S escription (Section, Township & Range) 1 In 3�� Y O WCC ` kl'y- � I' . Lot Size q -0,-v 3 yq Acres Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 19 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi p Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: $ <i 0 d . S & S ENGINEERING 17034 Eagle Rlvar Loop Road No. 204 Waiver Fees: Date of Payment: 7 Ia E /a J Date of Payment: Receipt Number: 03°) a a c)�j/� Receipt Number: (Rev. 12100) S& WALTHALI'MMTY APPROVALS SEWERBWATEA ►WNEMEN.SgHS SEWER & WATER PSPECTION ENC NEERMSTUOIES ANCREPORTS WEUNSPECTICN S FLOW TEST SITE FUNS m SOS.TEsT PERCOLATION TEST STMXIU ALd keawSCAL INSPECTIONS ONSITE WASTEWATER CISPOSALSYSTEAI CESIGN ROBERT C COWAN P.E. CMUNGINEERS (907) 694-2979 FAX(907)694-1211 July 22, 2003 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 2, Tract C, Broadwater Heights Subdivision It is requested that you issue a permit to upgrade a septic system by replacing the septic tank to serve the existing three bedroom dwelling on the referenced property. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, �Zowan, Robert P.E. RCC/jhm Enclosure 1703414ORTH EAGLE RIVER LOOP 4 SURE 204 4 EAGLE RNEn. ALASKA99s77 SITE' PLAN DESIGN 1" _ Of> < +T z 0 Lo � N y O O CyZ D = N '^Zo �n 9 a -N S � m O � Z r, s I N u 1 rn M 0 1 1 zCyrx o x � rr p I I o u -4--i I arn-0Z s I 1 s�-.ci zn s x:rr r, I l O C 0 p Axl I m=oo CID c' I o 01 r^ p i o z f' xg�u� Im ml o0 to a I I r 3 I xgt-ot 13 I 9 y V�ppaa b �V) CCCCCC N u 0 00` m IA I I luv at ovOi Zs I I o I I r-Oi c rn z -40 1 1 I I M m c n - rri I 1 O Zo ---t0_— Esmt Bk482 Pg 337 -----_ 33' LIN Section Line ' 20' Drng Elec Gas do Telecom 33'Section Line Esmt--/-----------------r VON f wo{c�t? o a� tV z n No x� �1 �K n CJ Z2 (7 + i; C E 9 1d m w � IKM / acy O`",� t�A n fnin N S n—�—�- � {� '►i; tai � . lJ-1� - SITE PLAN DESIGN 1" = 50' �('Ai F c n�D x". 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OI v�Z mZIoOQ oz VJ - ,JI1 > In n - ;s0~fy 2A 2 � v --8 c ain •� O CO,i U NI �r=iocl y / lI xs�-o�13 � I CD I z > I AZ VIr VI I .i i i u r0 CN COM 1 I ff o f 1A n O Zr M•,z v 0�0 I C=] 9� Irl MOA M v I --- T '--- ---- �, c R�of 1 x -------------Zj �o---�ysl L-- ------ •-- � x C— z in --------------------iA M" _ o ----- 10' Elee Esmt 81482 Pg 337 =yt.?_ 33' LM Section Line 10' Util Esmt 20' Drng Elec Gas do Telecom CJ 33'Section Line Esmt--,F-------------------• -------------------,<--------------- oVon �A j 0;!z / o.0 / nr • IC ad / • p>o � i Q N : i >h i ` �•.,•' •fes d / 0 / 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 S)CIlmlb-F.S ter/ �i3 r% ❑ UPGRADE MAILING ADDRESS 3 LEGAL DESCRIPTION y LC } W R LOCATION NO. OF BEDROOMS Line- k v - - t0- A 3 2x DISTANCE TO: Well / A sorption area r Dwelling PERMIT NO. H Z CL Q Manufacturer n K Material ILFL No, of compartments LU l,- y Liq. rapacity in gallons IF HOMEMADE: Inside length Width Liquid depth ZOO O Y DISTANCE TO: Well Dwelling PERMIT NO. J �=Z _ F Manufacturer Material Liquid capacity in gallons = Uj L) DISTANCE TO: Well �+ _ Foundation `C �:t Ly! Nearest lot line 10f PERMa NOO.. No. of lines Length of each �ine Total length of lines Trench width Distance between lines P W 3 1 t ��1 inches a H Top of the to finish grade + Materi Ibeneath the Total effective absor ion area Z- 2 t 0� i ches d Length Width Deptfi PERMIT NO. w C7 CL F LU Type of crib Crib diameter Crib depith Total effective absorption area Lu DISTANCE TO: Well Building foundation Nearest lot line J Cl ss, Depth Driller Distance to lot line PERMIT NO. J ", nef W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER e V� PIPE MATERIALS ' // V 1 1 10 r� SOIL TEST RATING sv s FT INSTALLER L I 03 /'✓;5I y REMARKS +� rp,• •Nl�eb;;e?�_i1 U �+ u ^ t Robert A. Shaferoll `� I/ ' 4 el, No. 1457-E ,; ' SNA R�fFSS100 - L) ILI ZZ APP V E/ DATE LEGAL a a i ' 10G"' :GLo iiF `I -a1 !111.11a­' °tt +2s /1=UlJ lHev. 3/78) ' v f twl K.y ho X (0 :1,~ `�1: _r""7A 0 107 ���­ .9 r -.!I ui� DEPARTMENT HEALTH AND ENVIRONMENTAL ROTECTION 825 'L' STREET, ANCHORAGE, HK. 99581 264-4720 -T' EZ 05 EE 14 EK F07 Fo%: F&I r"l 1 -7 PERMIT NO. ( 820229 ) APPLICANT SCHMIDT BROS CONST 283 MULDOON BX -G HNCH �88-]837 LOCATION SKYLINE DR. LEGAL LT.2- TRACT C BROADWATER SID LOT SIZE 40000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM ISi TRENCH l`lF-*l','--','T1`lUM NUMBER OF BEDROOMS SOIL RATING <SO FT/BR)= 15 THE REQUIRED SIZE= = THE SOIL HBSORPTION E M IS� OPt5 L3 FT Fs Noo 1EE j_ &EEF'"00-1= THE LENGTH DIMENSION It THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GRQUND HND THE BOTTOM OF THE EXCAVATION (IN FEET) THERE IS NO SET WIDTRFOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET) Fl EE fit k.J X F;T EK E> 0 FEE F=" -T- X & , F4 rA V� nl.l.i:; 1., 4, ����f:__ll T`A;� 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 T I C_.0 5` -*-W FR EF FZ EE CA LJ 1 FT EE E> BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT' WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTHNCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET HN� TO H COMMUNITY SEWER LINE IS 75 FEET, OTHER REQUIREMENTS MAY APPLY, SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE--' AVAILABLE TO INSURE PROPER INSTALLATION. IDIEECDE"PlEfEEFT 711L, 0 ni ET 2'�:: 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 ] BEDROOMS, SIGNED:1 1.61 HPPLICH � ����------------- ISSUED BY/�. Y4, 0 xSOILS LOG MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST (' PERFORMED FOR: C� ��"/ / v -� . Gtrl� DATE PERFORMED(/! LEGAL DESCRIPTION: �/�GL[ .� ,oroC'-' C' 6'ye� DEPTH (FE -ET) 1 `'- Z' 2 v,/ ci 3 G+( 4 7 5 6 7 :y 9 10 a / 11 a � 12 �d 13 rr ,• 4 14- 15 1; .: OF Al. s� _.oe.aee••_ d x a t, 16 jef•' n¢ a ••� •. c 17 s Robert A. Shof �� e No. 1457 -EJ 18 1� dp �•••ews••• PCO !� c. 19 20 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SLOPE �S /f,r !% L 0 P E w i V rLAN FA Reading Date Gross Time Net Time Depth to Water Net Drop A Aj PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT 72-008 (6/79) � a � � V J a V a " �1 ' Jz 1i f = Q x u W Q e � W N % Q W 3 u LLA � W Z a V N 0 IC I I rle _ 1i Q QU: Ui Z •. c LLA � W Z a V N wW O a U F �n 3 3 G a a Cal v O D Y IC I I rle _ 1i Q Ui Z •. c OZ Q N�N fF/ W a s.V'LLJ i's I I Z C�.,.I F F O 4 3 C CO I I (V Q Ui Z •. c C S LLd .a It jE"E ZE O OFOF F SFO OF OF OF ){,O 4• � 4L {SOS, Y. (OF.. il.r � IL FOF �i � � � FOF YL O o O� 0 S.. o O o O O o 0 0 a a W w a W a W a W a w a w a W a W a W a w r; A �• ?E ,f 1, (• � F � `{L {i � � ii � (i• (L J rl: f C i O O O O O O O O O O O O 70. O a i i i i i i B i E i i i Cd Q L6 L, O O O % O % O i o % O % O $. O % O S. O O Q Q a a a W W W a W a W a W a W a w a w a w a w a w U L, Z h Y ti Parcel I.D. 050-131-59 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description t2_1� ISS0,4->Ju;- Expiration Date: 1-2-c-17 BROADWATER HEIGHTS; TRACT C, LOT 2 Location (site address) 116535 Current Property owner(s) KOOK HYANG Mailing address *EAGLE RIVER, AK Day phone Real Estate Agent BARBARA CRITTENDEN Day phone 242-2227 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: IR IndividualWell ❑ Individual Water Storage ❑ Community Class _ Well ❑ Public Water System ❑ WaiverNariance request for: N/A TYPE OF WASTEWATER DISPOSAL Individual IR Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: / a g 7 / COSA to be relea{Qd o the ineZunless olherv+ise requested by the engineer. Date: COSA Fee $ S ak `0 / Waiver Fee $ _ Date of Payment (9--3d -� b Date of Payment Receipt Number JReceipt Number COSA# (,C 1 (o I3-70 Waiver# N/A 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. Garness Date rC: bC, It I_ 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 practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects 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 system/s. 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) 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 person/party 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/party who paid for this report. 6. DIGNATURE System #1 Approved for S bedrooms System #2 Approved for bedrooms P� OF AlV<Cyrr , r Disapproved ; Q O,p1r, Conditional approval for bedrooms, with the followil_j6pulatioS,1E 9 %. ON STEWATER 0 rg ``_ PRpO �\-- The Municipality of Anchorage Development Services Original Certificate D (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. ATTACHMENTS: COSA Checklist_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_41-12,dcc 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: BROADWATER HEIGHTS; TRACT C, LOT 2 ParcellD: 050-131-59 A. WELL DATA 'PER SULLIVAN WATER WELLS (SEE ATTACHED). WELL DATA IS.IN REFERENCE TO ACTIVE WELL ONLY. WELL LOG IN MOA RECORDS IS ASSUMED TO BE FOR THE AGRICULTURAL (PREVIOUS) WELL. "PER GEG INSPECTION Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed UNK Sanitary seal (Y/N) YES Total depth "56+ ft. Cased to '40+ ft. FROM WELL LOG Date of test Static water level ft. Well production g.p.m. Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 3/29/16 50.1 ft. 2.2+ g.p.m. WATER SAMPLE RESULTS: WELL FOR RESIDENCE/AGRICULTURAL WELL Coliform 0/0 colonies/100 ml. Nitrate 1.67/9.48 mg./L. Collected by: GEG. Ltd. Arsenic: ND ND ug./L. Date of sample: 10/11/16 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/HDPE Date installed 4/30/09 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 8/12/15 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA. Date installed 4/29/82 Soil rating (g.p.d./ft'or /bdrm 150 System type DEEP TRENCH Length 31 ft. Width 2.66 ft. Gravel below pipe 10 ft. Total depth ' 1 1 ft. Eff. absorption area 620 ft' Monitoring tube YES Depression over field NO Date of adequacy test 3/29/16 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 9 in. Water added 614 gal. New depth 11 in. Elapsed Time: 125 min. Final fluid depth 9 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — *BELOW EXISTING GRADE — MT ONLY GOES APPROXIMATELY 8 FEET INTO THE EFFECTIVE; DRAINFIELD HAS APPROXIMATELY 2.3 FEET OF COVER AND IS INSULATED PER NORTHERN EXCAVATION — SEE ATTACHED EMAIL AND PICTURE D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off' level a High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main On adjacent lots 100'+ On adjacent lots 100+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 2S+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption, field 5 Water main 10'+ Water service line 10'+ Surface water ' Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line . 10'+ Surface water ' Driveway, parking/vehicle storage 0, Curtain drain 'NONE KNOWN Wells on adjacent lots ��qq F. COMMENTS DRAINFIELD IS APPROXIMATELY 19 FEET FROM SLOPES Z25% (APPROXIMATE 4 FOOT DROP 033% SLOPE TO DRAINAGE SWALE). -THERE IS A VERTICAL PIPE ON THE PROPERTY TO THE NORTH (IN THE DRAINAGE EASEMENT) WITH WATER IN IT - SEE ATTACHED SURVEY. IT APPEARS TO BE AN INSPECTION PORT FOR A BURIED STREAM (OR DRAIN OUTFALL) IN A PIPE/CULVERT THAT RUNS DOWN THE DRAINAGE EASEMENT. NO OUTLET COULD BE FOUND FOR THE DRAINAGE SYSTEM. PER GEG INSPECTION ON 3/29/2016 k 4/2016 THERE WERE NO MOIST SPOTS OR STANDING WATER IN THE DRAINAGE EASEMENT; HOWEVER, PER GEG INSPECTION ON 6/28/2016 THERE ARE SOME AREAS WITH MINIMAL PONDING WATER BETWEEN THE VERTICAL PIPE AND ROAD "THE WELL ON BROADWATER HEIGHTS; TRACT C -1A WAS MEASURED IN THE FIELD WITH A TOTAL STATION FROM EDGE OF CLEANOUT TO EDGE OF WELL AT 101 FEET. PER 1982 NSPECTION REPORT BY ROBERT A. SCHAFER, P.E. 100'+ G. ENGINEER'S CERTIFICATION '—A S��O O I certify that I have determined through field inspections and p��; 9TH �I review of Municipal records that the above systems are in O,c . --r a conformance with MOA COSA guidelines in effect on this1 / date. \.l�. ..... .. . . Engineer's Printed Name JEFFREY A. GARNESS OOPJe tr,,y A, amess. CE -795 24' Date�4p�edPl Qli �1/o� ooG roresvo oo �044000� A L (Rev. 11/05) ` Parcel I.D. 050-131-59 Municipality of Anc On -Site Water and Wastewater (907)343-7904 Certificate of On -Site Systems 1. GENERAL INFORMATION a 9 / A JUN 29 ZG1- gg p Expiration Date: d ®� L 7°-1 Complete legal description BROADWATER HEIGHTS; TRACT C, LOT 2 71 - Location (site address) 116A35 W. SKYLING DRIVE `EAGLE RIVER, AK Current Property owner(s) KOOK HYANG Day phone Mailing address Real Estate Agent BARBARA CRITTENDEN 2. TYPE OF DWELLING: © Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: ❑ Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone 242-2227 TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ WaiverNanance request for: N/A - Distance: N/A Receivedbv:_____;ii�� Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ S�6-oo Date of Payment G -3z) Receipt Number CB3(o8 COSA# 0S-G/6/Z�?2 Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER fa 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. Garness Date 6 2 S I( - In conducting this evaluation, GEG orovided an engineering evaluation of the well and/or seotic System in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reoorted results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and seotic systems deoend 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 lmolied) regarding the future performance of the well or septic system. GEG makes no reoresentation whether an alternative well or sentic system can be installed on the orooerly in the event either of the current systems fail The content of this reoort is for the sole benefit of the person/party who retained GEG. Reliance upon the information orovided in this moort by any other oerson or oarty, including but not limited to subsequent oroperty purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the nerson/oarty who paid for this moort. * 114_,�CC 83 It 6. DSD SIGNATURE System #1 Approved for bedrooms" X411 OF lvtic, System #2 Approved for bedrooms QPM" Op .. Disapproved Conditional approval for bedrooms, with the followistiff tai � G WAg�°vA1t o rn n^RAf�j Rff iF'�t.' Original Certificate Date: –7— j L 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSAblues eet 9-1-12.d= If more than I septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: BROADWATER HEIGHTS; TRACT C, LOT 2 Parcel ID: 050-131-59 A. WELL DATA *PER SULLIVAN WATER WELLS (SEE ATTACHED). WELL DATA IS IN REFERENCE TO ACTIVE WELL ONLY. WELL LOG IN MOA RECORDS IS ASSUMED TO BE FOR THE AGRICULTURAL (PREVIOUS) WELL. **PER GEG INSPECTION Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed p.m- UNK Sanitary seal (Y/N) YES Total depth **56+ ft. Cased to *40+ ft. FROM WELL LOG Date of test Static water level ft. Well production 9— Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 3/29/16 50.1 ft, 2.2+ g:p.m. WATER SAMPLE RESULTS: WELL FOR RESIDENCE/AGRICULTURAL WELL Coliform 0/0 colonies/100 ml. Nitrate 3.14/9.27 mg./L. Collected by: GEG. Ltd. Arsenic: ND ug./L. Date of sample: 3/30/16 & 5/31/2016 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/HDPE Date installed 4/30/09 Tank size 1000 gal Number of Compartments E Cleanouts (YIN) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping 8/12/15 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA Date installed 4/29/92 Soil rating (g.p.Vftbrjj5dr 150 Length 31 ft. Width 2.66 $, System type DEEP TRENCH Gravel below pipe 10 ft. Total depth *11 ft. Eff. absorption area 620 ftp Monitoring tube YES Depression over field NO Date of adequacy test _ 3/29/16 Results (Pass/Fall) PASS For 3 bedrooms Fluid depth in absorption field before test 9 in. Water added 6144 gal New depth 11 in. Elapsed Time: 125 min. Final fluid depth 9 in. Absorption rate >= 450+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — *BELOW EXISTING GRADE — MT ONLY GOES APPROXIMATELY 8 FEET INTO THE EFFECTIVE; DRAINFIELD HAS APPROXIMATELY 2.3 FEET OF COVER AND IS INSULATED PER NORTHERN EXCAVATION - SEE ATTACHED EMAIL AND PICTURE It D. LIFT STATION Date installed Size in gallons ManholelAocess (Y/N "Pump on" level at In. "Pump off' level High water alar level at in. Datum Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankfliit station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line - 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water-* Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundadon 10'+ Water main 10'+ Water service line 10'+ Surface water * Driveway, parking/vehide storage 0' Curtain drain *NONE KNOWN Wells on adjacent lots ** F. COMMENTS > DRAINFIELD IS APPROXIMATELY 19 FEET FROM SLOPES )(25x (APPROXIMATE 4 FOOT DROP 033X SLOPE TO DRAINAGE SWALE). "THERE IS A VERTICAL PIPE ON THE PROPERTY TO THE NORTH (IN THE DRAINAGE EASEMENT) WITH WATER IN IT - SEE ATTACHED SURVEY. IT APPEARS- TO BE AN INSPECTION PORT FOR A BURIED STREAM -(OR DRAIN OUTFALL) IN A PIPE/CULVERT THAT RUNS DOWN THE DRAINAGE EASEMENT. NO OUTLET COULD BE FOUND FOR THE DRAINAGE SYSTEM. PER CEG INSPECTION ON 3/29/2016 & 4/2016 THERE WERE NO MOIST SPOTS OR STANDING WATER IN THE DRAINAGE EASEMENT; HOWEVER. PER GEG INSPECTION ON 6/28/2016 THERE ARE SOME AREAS WITH MINIMAL PONDING WATER BETWEEN THE VERTICAL PIPE AND ROAD "THE WELL ON BROADWATER HEIGHTS; TRACT C -IA WAS MEASURED IN THE FIELD WITH A TOTAL STATION FROM EDGE OF CLEANOUT TO EDGE OF WELL AT 101 FEET. PER 1982 NSPECTION REPORT BY ROBERT A. SCHAFER. P.E. 100'+ G. ENGINEER'S CERTIFICATION I car* that l have dets;?Wned through field inspections and review of Municipal records that the above systems are In conformance with MOA COSH guidelines in affect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date k 4 m i16 (Rev. 11M J(! Gar ess. rCE I u�oe ' et• �b�pq® vu ap4fe8810 Opo .Ape CGa8'f 5A�z p CAPVL ( Arctic Pump & Well Inc. Jim Sullivan PO Box 770197 Eagle River, AK 99577 (907)688-2510 (907)258-2510 (907)745-2510 Qw@ c�� i.net Pump Installation Log Well Drilling Permit Number: SW Parcel Identification Number: Date of Issue: Arctic Pump & Well, Inc. Page 1 of I Legal Description:Broadwater Property Owner Name & Address: Heights Tr C Helmut Eysel&Kook Hyang Lot: 2 rn__i.. 3101 Penland Pkwy ste G6 Anch AK Q"AR Pump Installation Date: Pump Intake Depth Below Top of Well Casing: Feet Pump Manufacturer's Name: Pump Model: Pump Size: hp Pitless Adapter Burial Depth: 11 feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: U/K Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Well cased 40'+ with no perforations Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page 1 of I � 77 • y3eD 26� .cr�V-w��: H�'yGt�' Od 6 lSs7:. 00 S A 1 � 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' FOLLOWING DESCRIBED PROPERTY• i OF Al d•R�l�Clu91'E.C'.ssP��6Hlf!!/6lOTZ DATE. ,•...... r Q• ". 1j S' 4 ' .a ��t%/� b �w : •. ; 4 .• OWNER TO OETERN ME THE EOSTENCE OF ANY Mtl�.rvlr,� ,. 'roe �. .. 7 .. �• A... R �j WHICH DO NOT APPEAR ON THE RECORDED SlMt- ;nom. VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD F& •% } '• IS -6 Y ANY DATA HEREON BE USED FOR'CONMUCTION .cr�V-w��: H�'yGt�' Od 6 lSs7:. 00 S b[SWAW Ot � 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' FOLLOWING DESCRIBED PROPERTY• i OF Al d•R�l�Clu91'E.C'.ssP��6Hlf!!/6lOTZ DATE. ,•...... r Q• ". 1j S' 4 ' .a ��t%/� b �w : •. ; 4 .• M. Q.iul b[SWAW Ot AbbULAA1W LAW nUM5110t, 1794-UtIZ4 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' FOLLOWING DESCRIBED PROPERTY• i OF Al d•R�l�Clu91'E.C'.ssP��6Hlf!!/6lOTZ DATE. ,•...... r Q• ". 1j S' 4 ' AND THAT NO ENCRommENT6'�XIST DcEPT AS ��t%/� •. . I � y� y INDICATED. IT IS THE RESPONSIBILITY OF THE : •. ; 4 .• OWNER TO OETERN ME THE EOSTENCE OF ANY Mtl�.rvlr,� �....... . PASF3AENTS, COVENANTS, OR RESTRICTIONS R �j WHICH DO NOT APPEAR ON THE RECORDED SlMt- ;nom. VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD F& •% } '• IS -6 Y ANY DATA HEREON BE USED FOR'CONMUCTION OF FENCE LINM OR FOR ESiABLtSHINa BOUND - DRAWN j +tom ARY LINES. ,N