HomeMy WebLinkAboutNORTH WOODS PHASE 2 BLK 2 LT 6North Woods #2 Block 2 Lot 6 #051-811-03 eMunicipality of Anchorage ; iiE .•. Development Services DepartmentBuilding Safety Division On-Site Water and Wastewater Program, 4700 Bragaw St. �/ P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 2 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number, SW060343 PID Number: 051-811-03 Name WAYNE & MARY KLAYUM Wastewater System: ❑ New i14 Upgrade 22417 WHISPERING BIRCH DRIVE ABSORPTION FIELD Phar Number of B.&oam 3 D Dep Trend) D Shallow Trench ® Bed 0 Mould 0 Derr LEGAL DESCRIPTION Sod Rating 0.4 GPD/F? yaw ppm ranaxyrWaada 2.4 Ft. Bock Lot Sutan.cn 7 2 6 NORTHWOODS PHASE 2 Depth to pa bottom from ong.ul grade 1.9 Ft. Gravel depth beneath pp. 0.5 FI Tomnnp Range Swam 15N ; 1W 4 Fa erre* Gael Lrrpm 75 Ft. .abed apral grad. 2.6 Ft. Well: ❑New Upgrade Growl wont 15 Ft. Hunter a rad 3 Dawns between lees 5 Ft C W .clean (Pont., A. B. C) COMMUNITY WATER Total O.pt Ft. Cased to FI Tobe .b.drpwn area 1125 Ft Poe Materia 1" PVC Dntar OM. DSO Static Water Level Ft Ma.« QUAMTECH DM. Maud 1111/2006 Y"ld GPM Pump S« M FI. Caws] Hay. Above Grand FL TANK SEPARATION DISTANCES 0 Septic 0 Holding 0e S.T.E.P. 0 Other. To From Septic Tank Absorption Field Lift Station Holding Tank 'ubllaPnvate sewn Lute Minidida ANCHORAGE TANK c'p"'ty 1250 GM Well — — — — — Weenie STEEL Number of Compartments 2 we. WM« +100' +100' +100' — UFT STATION La Ira +5' +10' +5' — Size 250 Gel Werk ANCHORAGE TANK Fault/Mon +5' +5' — 'Pump lei level M 44 n 'Piero ole aver M 40 n Hoon wow Senn at 45 r Celan Dun +50'5'+10'[�fy1� +50' +vry' — Pump Mak. a Moder OSI-05-20-HFF Erancal np.dtne p«tomrd by INLET ELECTRICAL. CONTRACTORS Referee BENCH MARK Location and DnapI.on GARAGE SLAB INSIDE DOOR '�' AElevationd Elevation � ,'Y 100 Fl l` I• ;:cr Inspections performed by: ERES Dates: 1" 1012712006 -'% c' > f, • ° * X�111�,F i .... •wq..;q �'� (, .� he 2n4 111112006 Development Services Department Approval Conditional Approval Date: Lrt ' >' ... CHRISTOPHER R WOOD .. CE;10387 ' ssroNf:' il Reviewed and approved by: ✓ . V 1' n ate: I /9 /0 8 Rt« 0006) / / Permit No. SW060343 Page 2 of 2 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT ON—SITE WATER & WASTEWATER PROGRAM 4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: NORTHWOODS PHASE 2 LOT 6 BLOCK 2 051-811-03 SWIN IES SCALE 1'840' S sr 0- F O - CLEANOUT -¢ - WELL • - MONITOR TUBE NEW 15'X75' ABSORPTION BE ELEVATIONS (NOT TO SCALE) ARAGE SLAB INSIDE DOOR SLIMED ELEVATION ORIGI AL G•'UND LEVEL ATI 1072 .6' FILL MT -2 TH-1 105.3 100.8 G.W.T. 104.8 94. BOTTOM OF T.H. 95.3 9/27/2007 ENGINEER'S SEAL zoo�4pp� o�'�°arc••OF*A••gS�O /CO: 10000 O ' CHRISTOPHER R. WOCO.: 1 47 va �l,....., EE -10387 O� Ook,c0..• �_ov k\pe FEss Inlet Electrical Contractors, LLC 11-2-2006 Re: Wayne Klayum — Septic Inspection Attn: Eric Quam Mr. Quam, P.O. Box 202109 Anchorage, Alaska 99520 Phone: 907-272-2004 Fax: 907-272-2006 E-mail: iecllcl©acsalaska.net On October 28, 2006 an electrical inspection was performed at Northwoods Phase 2, Lot 6, Block 2 for the septic power, control wiring, and alarm wiring. No NEC violations where observed, and all wiring was in accordance with the manufacturers schematics provided. Subject Property: Wayne Klayum Northwoods Phase 2, Lot 6, Block 2 T15NR1 WSection4 If you have any questions please feel free to call. Regards, Curtis R. Cherrier Project Manger / Administrator Municipality of Anchorage Mayor Mark Begich November 7, 2007 CO. Box 196650 • .\nchoragc,.tlaslar 99:49.6650 • 4700 Elmore Road Olricc: (9(17) 31.483(11 • Fax: (907)343.82(X) 1011)://www.munl.org Dcvcloptncnt Scn'iccs Department Wayne Klayum PO BOX 1394 Chugiak, AK 99567 Subject: NOTICE OF VIOLATION North Woods Phase 2 Block 2 Lot 6 On -Site Water & Wastewater Permit (SW060343) Certified Mail #:70042510000198885176 Dear Wayne Klayum: Tient 0 eJJA, Department The final inspection report for your wastewater system has not been received by the On - Site Water and Wastewater Program office. This letter will serve as a Notice of Violation that there is an unapproved water and/or wastewater system at this location. Anchorage Municipal Code requires: • Within 30 working days from the date of the final inspection of an on-site wastewater disposal system, an inspection report, shall be submitted to the department by the owner or his agent. The report must bear the seal of an engineer and be on a form and to standards prescribed by the department. • No person may cause or permit any wastewater to be discharged or disposed of except into an on-site wastewater disposal system conforming to state and municipal standards. In order to avoid future enforcement actions, which may include fines, please contact your engineer to resolve this violation. An inspection report for the subject wastewater system must be received by this office within two weeks of the date on this letter. Thank you for your cooperation in this matter. Please call the On -Site Water and Wastewater Program at 343-7904 if you have any questions. Sincerely, Deb Wockenfuss Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity .D M1 LF) m cc sD D' a 0 0 0 0 TU 0 0 M1 U.S. Postal Service,. CERTIFIED MAIL,. RECEIPT {Dotnrdc Moll Only; No hauranc. Covnpe Provided) OFFICIAL USE Postage Certified Fee Return Rosen Fee (Endo eensRequired) it Reed) (E Required)Restricted Delivery $ Wayne Klayum PO BOX 1394 Chugiak, AK 99567 Postmark Here SENDER: COMPLETE THIS SECTION •■ Complete items 1, 2. and 3. Also complete • Item 4 N Restricted Delivery Is desired. : • Paint your name and address on the reverse so that we can return the card to you. , • Attach this card to the back of the mallplece, or on the front 11 space permits. 1. Article Addressed to: Wayne Klayum PO BOX 1394 Chuglak, AK 99567 COMPLETE THIS SECTION ON DELIVERY A 0 Agent 0 Addressee to of Delivery /..r D.b•= address erect from Rem 1? 0Yes If YES, enter delivery address below: 0 No Mor+tn amps a Ba l�Lv 3. Service lype 0 Certified Mal 0 Fxpreas Man 0 Registered 0 Return Receipt for Merchandise 0 insured Man 0 C.O.D. 4. Restricted Delivery? para Foe) 0 Yes 2. Mile Number Genstar from service label) 7004 2510 0001 9888 5176 PS Form 3811, February 2004 Domestic Return Receipt 10259s024A-15e0 Mayor Mark Begich Municipality of Anchorage 1:1). @n 196650 • Analwage. Alaska 9)519.605L) • Telephone (907) 3435 01 • It 0)7) 343-82(K) 471)0 nntgaar Sired • .bnehnnige, .\lnsl a 599507 www..nwni.org Building Safety Division 18 September 07 Wayne & Mary Klayum PO BOX 671394 Chugiak, AK 99567 Subject: Expired On -Site Water and/or Wastewater Permit Permit Number: SW060343 Legal Description: North Woods #2 BLock 2 Lot 6 Dear Wayne & Mary Klayum: An On -Site Water/Wastewater Permit, number SW060343 issued by this office for a single-family system, will expire on 20 October 07. Permits are valid for 365 calendar days from date of issue. If this was a well permit and the well has been drilled, a well log and a pump install log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A one-time renewal fee for a second year may be issued for a $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely, Daniel J. Roth Program Manager On -Site Water and Wastewater Program Enc: Copy of permit Cominunity, Security, Prosperity 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: SW060343 Legal Description: NORTH WOODS PHASE 2 BLK 2 LT 6 Design Engineer: 0848 EAGLE RIVER ENGINEERING SEI Owner Name: WAYNE & MARY KLAYUM Owner Address: PO BOX 671394 CHUGIAK , AK 99567 - Date Issued: Oct 20, 2006 Expiration Date: Oct 20, 2007 Parcel ID: 051-811-03 Site Address: 022417 WHISPERING BIRCH DR Lot Size: 36944 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑� Disposal Field E✓ Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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. 5. The following special provisions. GROUND WATER MUST BE MEASURED BEFORE CONSTRUCTION. IF GROUND WATER IS HIGHER THAN 6.4' FROM GRADE, THAN A DESIGN CHANGE MUST BE SUBMITTED AND APPROVED BEFORE CONSTRUCTION CAN BEGIN. PLEASE SUBMIT THE NEW READINGS WITH THE INSPECTION REPORT. Received By: nef Date• ((//AcP706 Issued By ol- (f.)07)c cn_ Date: /0,40/06 Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 a,r'� Anchorage, AK 99519-6650 ,R4, www.munhorg/onsite C (907) 343-7904 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING n9 t-BI'1- Ds Property owner(s) /& wwj-u. et -1Yls of jehr. Day phone big- 3/03? Mailing address 7 o. 3c9,- 61 1314, Churg -i a L. . Ag-. Zip Code `)f S(r -1 Site address 2 a -I4 I 1 ('vPhAorn 4 3 SirCI, . Zip Code 19 «i Legal description (Sub'd, Block & Lot) d,Jor-IhI. veedS Phrtaa- 0— rant a-- i'{co Legal description (Township, Section & Range) Lot Size 3 (0. 114 14 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR (gall that apply): THIS APPLICATION IS AN: Absorption Field 0 Initial Septic Tank Er Upgrade Holding Tank 0 Renewal Privy 0 Private Well 0 Water Storage 0 certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is i9 accordance with applicable Municipal Codes. (Signature of property'owner or authorised agent) Permit/Rush Fees: 4 (0Q 4 /Is • aWaiver Fees: Date of Payment: Receipt Number: (Rev. 11/05) I0II9IO(p Date of Payment: Receipt Number: Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD. Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax October 19, 2006 Dan Roth Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Northwoods #2 Lot 6 Block 2 Narrative & Permit Application Dear Mr. Roth: Eagle River Engineering Services (ERES) was contracted to design a new septic system at the above referenced property. The existing septic tank is beginning to collapse, and the existing drainfield is full, but not actively backing up. Two new test holes were excavated this summer above the house. The water table measured on October 1" was significantly higher than the water table observed this summer, so 2 additional test holes were excavated in early October higher up on the lot, in an effort to find better soils and water table conditions. Faster draining soils and a deeper water table was encountered. A pressurized bed -type leachfield has been designed to fit the soils and water table conditions in this new location. The proposed 3 bedroom septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding developed lots are all connected to the public water system , so this lot and neighboring lots have room for septic systems and alternate sites 2. Immediate neighboring septic systems are all +30' distance if not shown, and no private (or community) wells within 200' of the proposed septic system. 3. This permit is for a septic system only. 4. Drainage will not be affected and is not a major consideration in our design. 5. Slopes are less than 15% in the area of, and adjacent to the proposed leachfield sites. Installation of the drainfield septic system on this lot will not adversely affect the septic systems or reserve areas on adjacent lots. If you have any questions please call our office at 694-5195. Sincerely, EAG ER c'' lrERiNG,$ERVICES Chris • s her ' .rood, P.E. Principal \2003\06.061 SEPTICNARRATI V E • / XrNG 10 REMAIN A:ANDO �N EMS NG T NK 1/40• PER OA•CE /P /AND Ptf.PLACg / WIT ,N �A1250•S.• � Np/WELL+20•' • SEPTIC +30' • , F • • • • • • K \ / /Z \ / J \\ 3 KEYBOXES HOUSE LOT 5 (COMMUNITY WATER) 'oma , •. LOT 6 LOT 7 �`��•o (COMMUNITY WATER) �O• a° 0 SEPTIC AREA c? X 0 INSTALL 1H NEW 15'X75' ABSORPTION B 0 - TEST HOLE MONITOR TUBE/ SEWER CLEAN/ 0 0 ‘SEPTIC - WELL / EASEMENT / PROPOSEp LEACH FIELD - EXISTING LEACH FIELD L - DRIVEWAY NEIGHS • TH-2 -3 / / " '.•• �1Fa4 /////, SPSrfr TH-4 n / . ,4Io WELL+200' /i SEPTIC +30' RING L • SERVICED c, O SEPTIC AREA, LOT 10 (COMMUNITY WATER) BY COMMUNITY WATER. NO WELLS +200' WELL/SEPTIC SITE PLAN LEGAL: NORTHWOODS PHASE 2 LOT 6 BLOCK 2 OWNER: WAYNE AND MARY KLAYUM CONTRACTOR: QUAMTECH JOB# 06-061 DATE:10/ 13/2006 SCALE 1“=40' AEAGLE RIVER ENGINEERING SERVICES 10421 VFW RD. SUITE#201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 �4% OF 44” 44/ OOO .CHRISTOPHER R. WOOD !J, CE -10387 ' *'i 1111 14"1 `I: 'sbe 0 F- (v l vJ 0 U Lu m I� (I 0 0 0 J Z 0 0 cn 0 W 0 0 >X •. v `) 0) ri) o Ca -•••• N. to W rn W� I:4 cC 4.1 N�NN Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM — MOA CERTIFIED INSTALLER LEGAL: Northwoods N2 Lot 6 Block 2 October 20, 2006 A. GENERAL 1. The proposed well and septic plan is for a 3 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. A licensed surveyor should locate any utility easements and exact 100' radius from the existing and neighboring on-site wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed. B. SEPTIC TANK WITH LIFT STATION 1. The septic tank shall be an Anchorage Tank 1,250 gallon septic tank with integral OSI lift station pump model OSI-05-20-11IIF, or other engineer approved configuration (example: 1250 gal septic tank with auxiliary lift basin of 250 gal min.) 2. A receipt from a licensed electrician shall be provided to the engineer verifying lift station wiring to all applicable codes. C. BED 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The elevation below grade of the gravel layer is not to be more than 2.4' as measured at the monitor tube. 4. If the homeowner and contractor would like to install one foot of MOA/DEC spec. sand to be utilized beneath the sewer rock, it shall begin at 3.4 feet below the ground surface as measured at the monitor tube. The sand is OPTIONAL and NOT required as part of this design. 5. The effluent lines (3) are to be 1.25" PVC lines with 3/16" holes drilled 42" OC within the Ieachfield, placed face down, or up with orifice shields placed over holes. Line from tank to field is to be 1-1/4" HDPE. 6. The bed gravel is to be covered with typar fabric material. 7. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the bed. Mounded side slopes not to exceed 3:1. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACIIFIELD DIMENSIONS: BOTTOM OF GRAVEL LAYER = 2.4' Below Grade at monitor tube GRAVEL TIIICKNESS = 6" under pipe, 2" over pipe BED LENGTH = 75' BED WIDTH = 15' SOIL RATING = 0.4 GPD/R5 BEDROOM CAPACITY = 3 SEPTIC TANK = 1,250 Gal S.T.E.P or Engineer approved equal \2003\06.061 Bcd-lif- spec.doc EFFLUENT PIPE = 1.25" PVC with 3/16" holes oriented down spaced at 42" OC. Twenty-four (24) hours notice required for all inspections. Additional Charges will be incurred for the 3 required inspections and preparation of septic system as-builts. \2003\06-061 ncd-lift- spec.doc A EAGLE RIVER ENGINEERING 10421 VFW RD, SUITE 201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 • SOILS LOG —PERCOLATION TEST 'AVI 4'�, p1fiISCE-1 C HER 10387 `4'% VPssiotAg- Fo= PERFORMED 7/16/2006 11\ . .e PERFORMED FOR: WAYNE KLAYUM DATE LEGAL DESCRIPTION: NORTHWOODS PHASE 2 LOT 6 BLOCK 2 0 1 2 3 TEST HOLE # 1 DEPTH (FEET) 4 5 6 7 8 9 10 11 12 13 14 15 18 17 18 19 20 r w CRAY CLAYEY TOPSOIL M • ORANGE GRAVELLY TOPSOIL TAN SM SILTY SAND CRAY CM GRAVEL MMTH SILT AND SAND n ti • 0 WRY TIGHT 21 22 SLOPE 15% 5% 10% WAS GROUND WATER ENCOUNTERED? YES WATER TABLE DMA DATE WATER LEVEL 07/16/2006 6.5' 07/23/2006 5.8' 10/01/2006 3.5' 3:41 0:00 TOWNSHIP RANGE SECTION T15N R1W SEC.4 SITE PLAN NOT TO SCALE) SLOPE 3% PERC TEST RESULTS READING DATE GROSS TIME NET TIME DEPTH TO WATER NET DROP 1 07/18/2006 3:41 0:00 3' 11 " 0 2 07/18/2006 4:11 0:30 3' 11 3/4 " 3/4 " 3 07/182006 4:15 0:00 3' 11 " 0 4 07/18/2006 4:45 0:30 3' 11 3/4 " 3/4 " 5 07/182006 4:55 0:00 3' 11 0 6 07/18/2006 5:25 0:30 3' 11 3/4 " 3/4 " PERCOLATION RATE= 40 (MIN/INCH) PERC HOLE DIAMETER$ IEST RUN BETWEEN 3 FT AND 4 FT COMMENTS' SOILS L CED CHRI TOPHER WOOD PERCOLATION TEST BY: CHARLES BALZARINI CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE. DATE: /o/9ktt EAGLE RIVER ENGINEERING 10421 VFW RD, SUITE 201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 SOILS LOG - PERCOLATION TEST PERFORMED FOR: WAYNE KLAYUM LEGAL DESCRIPTION: NORTHWOODS LOT 6 BLOCK 2 0 1 2 3 4 5 DEPTH (FEET) `-�� OF 444444 0. •M '.CHRISTOPHER R. W000.' Ziff si ♦#% CE -10387 ' 41 i DATE PERFORMED 7/16/2006 11.Z%An. ���' TEST HOLE # 2 SLOPE GRAY CLAYEY TOPSOIL 6 7 8 9 10 11 12 13 14 15 18 17 18 19 20 21 22 ORANGE GRAVELLY TOPSOIL .Mi TAN SM SILTY SAND 15% 5% 10% TOWNSHIP RANGE SECTION T14N, R1W, SEC.16 SITE PLAN NOT TO SCALE) SLOPE 3% PERC TEST RESULTS READING DATE GROSS TIME NET TIME DEPTH TO WATER NET DROP 1 12/30/2005 3:39 0:00 3' 7 0 2 12/30/2005 4:09 0:30 3' 6 1/8 " 7/8 " 3 12/30/2005 4:13 0:00 3' 7 0 " 4 12/30/2005 4:43 0:30 3' 6 1/4 " 3/4 " 5 12/30/2005 4:50 0:00 3' 7 " 0 6 12/30/2005 5:20 0:30 3' 6 1/4 " 3/4 " PERCOLATION RATE= 40 (M81/NCH) TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS. PERCOLATION TEST ONLY. NO GROUND WATER MONITORING PERC HOLE DIAMETER=6" SOILS 2GGED BY. ARINI PERCOLATION TEST BY: CHARLES BALZARINI .4CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (Oi(9�tG A EAGLE RIVER ENGINEERING 10421 VFW RD, SUITE 201 EAGLE RIVER. AK. 99577 (907) 694-5195 FAX: (907) 694-3297 SOILS LOG -PERCOLATION TEST /, in R15TOPHER CE 10387 WOOD:R. � 9 PERFORMED FOR: WAYNE KLAYUM DATE PERFORMED 10/12/2006 ,f1,11� i irle LEGAL DESCRIPTION: NORTHWOODS LOT 6 BLOCK 2 TEST HOLE B 3 DEPTH (FEET) BOTTOM OF HOLE 14 - NO BEDROCK a SLOPE 15% 57. 10% WAS GROUND WATER ENCOUNTERED? YES WATER TABLE DATA DATE WATER LEVEL 10/12/2006 8' 10/13/2006 6.7' 10/1/2006 6.4' 11:04 0:00 TOWNSHIP RANGE SECTION T14N, R1W, SEC.16 SITE PLAN NOT TO SCALE SLOPE 3% PERC TEST RESULTS READING DATE GROSS TIME NET TIME DEPTH TO WATER NET DROP 1 10/13/2006 11:04 0:00 3' 4 3/4 " 0 " 2 10/13/2006 11:34 0:30 3' 6 1 1/4 " 3 10/13/2006 11:35 0:00 3' 4 7/8 " 0 4 10/13/2006 12:05 0:30 3' 6 " 1 1/8 " 5 10/13/2006 12:06 0:00 3' 4 7/8 " 0 6 10/13/2006 12:36 0:30 3' 6 1 1/8 " PERCOLATION RATE= 27 (MI WINCH) it W 4 1k PERC HOLE DIAMETER=6" COMMENTS. SOILS j GGEB; HRI TOPHER WOOD PERCOLATION TEST BY: CHARLES BALZARINI CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (0 Act/06 i\ EAGLE RIVER ENGINEERING 10421 VFW RD, SUITE 201 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 SOILS LOG - PERCOLATION TEST PERFORMED FOR: WAYNE KLAYUM DATE PERFORMED 10/12/200 LEGAL DESCRIPTION: NORTHW00DS PHASE 2 LOT 6 BLOCK 2 0 1 2 TEST HOLE # 4 DEPTH (FEET) 3 4 5 6 7 8 9 10 11 12 TOPSOIL 13 14 15 16 17 18 19 20 21 22 e 0 0 SANDY GM PERC TEST SLOPE 15% 5% 10% WAS GROUND WATER ENCOUNTERED? NO rtk• • • •c '.CHRISTOPHER R. W000.• se CE -10387 ±: , 1' I (Rile Q`'ESSIUA :4�' 6 \\qZ4 TOWNSHIP RANCE SECTION T15N R1W SEC.4 SITE PLAN NOT TO SCALE) SLOPE 37. READING DATE GROSS TIME NET TIME DEPTH TO WATER NET DROP 1 12/30/2005 11:19 0:00 3' 3 1/2 " 0 " 2 12/30/2005 1t29 0:10 3' 6 " 2 1/2 " 3 12/30/2005 1t37 0:00 3' 3 3/4 " 0 " 4 12/30/2005 11:47 0:10 3' 6 " 2 1/4 " 5 12/30/2005 11:48 0:00 3' 3 3/4 " 0 " 6 12/30/2005 1t58 0:10 3' 6 " 2 1/4 " 7 12/30/2005 12:00 0:00 3' 3 13/16 " 0 " 8 12/30/2005 12:10 0:10 3' 6 " 2 3/16 " PERCOLATION RATE= 5 (MIN/INCH) TEST RUN BETWEFN 3 FT AND 4 FT COMMENTS- PERCOLATION TEST ONLY. NO GROUND WATER MONITORING. PERC HOLE DIAMETER=6" SOILS LO ED BY: CHRISTOPHER WOOD PERCOLATION TEST BY: CHARLES BALZARINI I / (L&. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: l0 II 9.104 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694.5195 ERES Project No.: 06-061 Calculated By: CB Date: 10/20/2006 Legal: NORTHWOODS PHASE2 LOT 6 BLOCK 2 TEST HOLE 384 Single Family 3 Bedroom Dwelling Bed Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 450 gallons Percolation rate = 27 minutes per Inch Wastewater application rate = 0.4 gallons per day per square foot Required absorption area = 1125 square feet Bed width (W) = 15 feet Gravel depth (D) = 0.5 feet Required length = Required absorption area / Bed width Required length = 1125 / 15 Required length = 75 feet Total Excavation Depth = 2.4 feet 06-061Bed2Calc..xls 1:02 PM10202006 1a 7 ( we If $ § | ; | A @ # § kr§ K \ 2 2 Wel %gyp H opmeuAari! d ni !!I -§571r e4, -■§1; !`f5$ritItA 7$lgkki -lmilae!!!!!!!£ )/lkk2t k2//k7) it v°2 5u.22-14to .f a ) § i0 § /k k » a 0 in 0 E § z K k ,IIIIIIIII %k §®t emm2;-§9:;0 (2 22218128f212.8»■ Rl2t.&Km2u-gad g ik=a;,_)7)2_ �| 'a2 ;§! \leE; fg gs me �w �' ■■■■a■■■■■■■■ufl■■■■fir PL P� 18: 1• ��.r� �[. �� �� EPWIIEIV(JIJJL!L1 ■■n■■■■■ ■ lit IIIi1 ■■� ■■ � ■ ■■ 64 ■ii■ ■as� ■■■■ ii■ ii1� ■■ ■■■ I� Iii!JV'.'pii■■ R., I. ■�■.■ ■�■■� ■■1 22.� � ■,. K \ 2 2 Wel %gyp H opmeuAari! d ni !!I -§571r e4, -■§1; !`f5$ritItA 7$lgkki -lmilae!!!!!!!£ )/lkk2t k2//k7) it v°2 5u.22-14to .f a ) § i0 § /k k » a 0 in 0 E § z K k ,IIIIIIIII %k §®t emm2;-§9:;0 (2 22218128f212.8»■ Rl2t.&Km2u-gad g ik=a;,_)7)2_ �| 'a2 ;§! \leE; fg gs me MUNICIPALITY OF ANCHORAGE • • f 1 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 ,iI F_ S � -y� / PHONE 6:88_07s:73 1 RAEW ii: UPGRADE MAILING ADDR S�."g fO e ,ICl ,t,< 995-W.7 LEGAL DESCRIPTION i-• G0 13 2 A%v,eihr..dooctS i%5..T LOCATION NO. OF BEDROOMS s3 SEPTIC TANK DISTANCE TO: II /40 Absorption area �� Dwelling of PERMIT NO. & o7?8 Manufacturer �+ ,/ /L!s{'L. Material /�/,�.1,// // 7 J�i�c- _ No. of compartments 2.- Liq. capacity in gallons /ro 0 IF HOMEMADE: Inside length Width Liquid depth a x JOZ 0 Z Q 2-I- DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons TILE DRAIN FIE LD TRENCH DISTANCE TO: Well Foundation Nearest lot line PERMIT NO. No. of lines Length of each line Total length of lines Trench width inches Distance between lines Top of tile to finish grade Material beneath tile inches Total effective absorption area SEEPAGEEP�£ 9A 1{ Length ?j Width ��� Depth yr a7 PERMIT NO. e2O�8 Cri+, dia.-liner Cri44epth Total effective absorption area 94,7 illr Type of ,. ib DISTANCE TO: II /iNi,Y% 4i� 0 Building foundation a41'r Nearest lot line r O w CI 3� . /Depth /Ylr.' -1,.. Driller Distance to lot line PERMIT NO. e DISTANCE TO: °uilding foundation Sewer line Septic tank Absorption area(s) OTHER 1- PIPE MATERIALS 6 30341 su SOIL TEST RATING INSTALLER f`%U�tS REMAt REM/�tA S A !ii s t fcvz .ir�(rord 5°fl � 9, I/ r r 4 CPiRiC n� I' 7$u 74u�v � b SOke 7r 11 7,0 S p Pe If ,c f b€ )0' �psr�i✓f`drJ. r Igo RUSE APPROVED DATELEGAL ,/�/,//J A.2„ 1[..Y- i��//fir �% /<<-/ /' - .2 O Z 72-013 (Rev. 3/78) 0 PERMIT Na CIF' DEPARTMENT HEALTH AND ENVIRONMENTAL ATECTION 825 STREET, ANCHORAGE, AK. 99501 264-4720 17=1.41 F"F;ZMIT ( 920798 ) Ir5) Orr&lorKtry eno-11)(1I10-4-1 APPLICANT SKAGGS CONST PO BOX D CHUGIAK 99567 688-2831 LOCATION LEGAL L6 B2 NORTHWOODS PHASE II LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: Migrfiggiga)'-BeCi MAXIMUM NUMBER OF BEDROOMS = SOIL RATING (SQ FT/BR) = 190 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: C:13EF•TH== 3 LEPAIOTH= DIEF*T1-1= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THE TFZErACH WIENTH .*P-3 F7EET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). R:ENDUIIREDI :SEPTIC iL.21510 GnL_L_cINs; 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. -11-1.401 <2> IrNIIPE.C:TALION IFIRXE --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. P'EF7.MIT EXIF*IFRE I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL I STALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDER AND THAT E 4 -SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE REMODEL kCLUDE MORE THAN 40 BEDROOMS. SIGNED: PPL I CANT SKA ISSUED BY__ 5 /1' .44 L 5 cr-4 V4.0 O & E EN( EERING & DEVELO, MENT CO. Box 90, Davis St., Eagle River, Alaska 99577 • 694-2774 or 688-2280 Russell Oyster 694-2774 Performed for: Name. SOIL LOG 7TEVEti./ L. 5411 S Mailing Address* Legal Description Lar (, 5"c 2, /. ° 7-641szoc'a 5616. , f 1V/i.S'E 7� Ears Ellis 688-2280 TeL No C Pff - 28. / 12, o . Igo x C t<. 4/<, 9b5`4 7 Depth (feet) Soil Characteristics 0 1 �L P 5iLT �d 2 3 4 5 6 7 8 /9fGIC . / t5T 5/•( IL-7") SA-r(!L) G;L �.4rcf ��rc/1s ) D n.f- i 961. sJ/B,'. 9 10 11 12 13 14 15 16 Q PLOT PLAN ie/1 LE PERC. TEST °2 " /90 gar,a. 4 tt OF AeL h / Ground Water Encountered: Yes r/ No If yes, what depth V 1t * ': Proposed Installation: Seepage Pit Drain Field 0 tow •••• Comments. 00 • • •• • ...... Earl P•Ellis ••° NO. 1745E • 07S _• .c, <&,,® •`••••. •••••••`•` Performed by: Date We ' 0 PLOT PLAN ie/1 LE PERC. TEST °2 " /90 gar,a. 4 tt OF AeL h / Ground Water Encountered: Yes r/ No If yes, what depth V 1t * ': Proposed Installation: Seepage Pit Drain Field 0 tow •••• Comments. 00 • • •• • ...... Earl P•Ellis ••° NO. 1745E • 07S _• .c, <&,,® •`••••. •••••••`•` Performed by: Date We MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-811-03-000 Expiration Date: 9/15/2023 Legal description NORTH WOODS PHASE 2 BILK 2 LT 6 Site address 22417 WHISPERING BIRCH DR Chugiak AK 99567 Current property owner(s) KLAYUM MARY L (TOD) X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Because the lift station maintenance log is almost a year old, if this COSA needs to be re -certified a current maintenance report will be required. Original Certificate Date: 6/15/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaLJune 2022 MUMCIPALITY OF Development Services Department hzF On -Site Water & Wastewater Section N C H 0 l Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-811-03 Complete legal description NORTHWOODS #2; BLOCK 2, LOT 6 Location (site address) 22417 WHISPERING BIRCH DRIVE, CHUGIAK, AK 99567 Current property owner(s) LAURA KLAYUM Day phone 907-715-9552 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑® Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑N Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age <17 -See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS 0 Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ ` Waiver Fee $ Date of Payment COSA# 0s G7'3 /19 �d Date of Payment Waiver # COSAApplicaUon_June 2022 COSA Checklist Legal Description: NORTHWOODS #2; BLOCK 2, LOT 6 Parcel ID: 051-811-03 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 7LL DATA F�Well log i with Onsite (or attached) Date drilled I depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) _ Date of flow test for COS Static water I beginning of test ft B. TANK DATA Measured operating fluid level in septic tank <17 Date of pumping 7/12/2022 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 11/1/2006 0 ALL standpipes present per record drawing Total measured depth from grade 5.1 ft (max) Measured depth to pipe invert from grade ft (min) ❑M N/A — pressurized field. ❑ Per record drawings, field is insulated. Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) NONE If yes, enter date Well production at time of test gpm Water storage tankyaW a gallons Well dis' led coliform test? ❑ Yes ❑ No form bacteria is Negative mg/L ❑ Nitrate less than MRL (ND) ug/L ❑ Arsenic less than MRL (ND) Collected by Date C. LIFT STATION WE Required maintenance completed Age of lift station <17 years Lift station material STEEL Comments: Adequacy test date 6/7/2023 Results Q Pass Fluid depth prior to test *0 in Water added 461 gal New fluid depth *0 in Elapsed time *0 min Final fluid depth *0 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in Comments/Deficiencies: *MT1 & MT2 REMIANED DRY THORUGHOUT TEST. ADDED WATER TO MT4.3.75" OF LIQUID DEPTH IN MT4 AND END OF ADDING WATER. CHECKED MT4 1236 MINUTES LATER AND FOUND IT TO BE DRY. COSA Checklist June 2022 E. SEPARATION DISTANCES F'rblw424yate Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift n Lot > 100' Community Sewer Manhole/ out > 100' Yes if No ft [:]Yes if No ft Neighboring Tank > 100' ❑ Yes if ft Pr ewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No _ Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > Animal Containme _ ❑ Yes if No ft Yes if No ft Manure/Animal Excreta Storage > 1 Main > 75' ❑ Yes if No ft F� Yes if 9 N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *51+ ft Surface Water > 100' Yes if No ft Tank to Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Q Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' no Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' 9 Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALL. BOTTOM OF MT'S SHOT AND VARIED FROM 104.72-104.75 (104.8 PER RECORD DRAWINGS). G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineering Group, LTD. (GEG) Phone Engineer's Printed Name Jeffrey A. Garness Date _ In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry 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 upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the 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 to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 907-337-6179 'f U�ffrt*v A. ss 4p 1��eap�,�.t�'• a ti. LICENSE X10 r fesslo� o #AECC884 0 Lift Station/Pump Vault Maintenance Log 7 Owner Wom Street Address �y�5;v Septic Tank: -Sludge level inches -Pumping: required Pumping completed e no Lift station: -Pump basket cleaned Effluent filter cleaned no 0 -Control floats cleaned no -Proper float settings confirmed e no -Operation satisfactory e no Alarm Svstem: -Dedicated electrical alarm circuit e no -Audible and visual alarm inside dwelling yes no -Alarm system operation satisfacto of satisfactor Manhole Riser -Ground water intrusion at riser to tank connectionye�s -Ground water intrusion around pipe penetrationsWeep hole functional e no -Manhole lid: Functional (9 no Insulated es Properly SecuredOLno Other -All manufacturer required inspections and maintenance completed e no Comments: Qualified MaintenancePro'der: Technician T Date of maintenance 7-J Company 5 Signature Date27,���O, .W"vk%% 42� OF 44 gape"R1J23IA RIL 74L5,AV " AWr ■�rrrM�,r TWO STORY WOOD FRAME HOU5E rF oqo LOT 6 o� X00. J � 0 25 50 75 100 i i SCALE %LQ � m 9 VOTE IT WAS DETERMINED THAT THE RECORD BEARING FOR THE 0'- ;5' •1 °°s ' ELECTRIC Ti24N5M1551ON BOUNDARY OF LOT 6 I WAS INCORRECTLY LABELLED AS I N44000'00"W INSTEAD OF N40000'00"W. J , \ I MCCLINTOCK LAND ASSOCIATES, INC. 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577-7801 (907) 694-4499 LICENSE No. AECC596 n 1WER l / 1 T -1 /1 `rI L_ V l lJ CURVE DATA TABLE LEGEND ❑ FOUND REBAR Q ELECTRIC METER 0 GAS METER ®ss SEPTIC MANHOLE os„ SEPTIC VENT OT TELECOMMUNICATIONS PEDESTAL ¢w WATER VALVE XX XX XX MEASURED DATA (XX XX XX) RECORD DATA PER PLAT 82-204 BLOCK NUMBER —X X— FENCING .W"vk%% 42� OF 44 gape"R1J23IA RIL 74L5,AV " AWr ■�rrrM�,r TWO STORY WOOD FRAME HOU5E rF oqo LOT 6 o� X00. J � 0 25 50 75 100 i i SCALE %LQ � m 9 VOTE IT WAS DETERMINED THAT THE RECORD BEARING FOR THE 0'- ;5' •1 °°s ' ELECTRIC Ti24N5M1551ON BOUNDARY OF LOT 6 I WAS INCORRECTLY LABELLED AS I N44000'00"W INSTEAD OF N40000'00"W. J , \ I MCCLINTOCK LAND ASSOCIATES, INC. 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577-7801 (907) 694-4499 LICENSE No. AECC596 n 1WER l / 1 T -1 /1 `rI L_ V l lJ CURVE DATA TABLE CURVE RADIUS I LENGTH I ANGLE f C1 (375.00') 1 (69-95) 100-4022-A AS—BUILT I hereby certify that I have, or someone under my supervision has, inspected the property described as: LOT 6, BLOCK 2, NORTH WOODS SUBDIVISION, PHASE II (PLAT No. 82-204) Anchorage Recording District The improvements situated thereon are within the property lines and do not encroach or overlap onto adjacent properties, nor do any improvements from adjacent properties encroach or overlap onto this property, except as indicated hereon. 0 determine unshown dimensions. This drawing is not adequate for additional Z construction or for determining the exact location of property lines. Only easements from the recorded subdivision plat noted above are shown hereon and it is the responsibility of the owner to determine if any other easements, covenants, or restrictions exist. ©McClintock Land Associates, Inc. (MLA) 2022 This document is copyrighted and is authorized to be used for one real property transaction or project only. Any copy is to be considered unauthorized unless it bears an original surveyor's signature (usually in blue ink) or a stamp showing recorder's office data. Copyright restrictions (but not re—use restrictions) are waived if this document has been officially recorded. Lending institutions may also make additional copies for their own records. Liability to MLA is limited to fees received for this project. FIELD WORK DATE: 7-14-22 PARTY CHIEF: IE FIELD BOOK: LL PLOT SCALE: 1"=50' DRAWN DATE: 7-26-22 DRAWN BY: JC GRID: NW1560 DWG NAME: AB22-212 JOB N0: 22-212 No lot corners have been set. The property dimensions shown are from the record plat and are not necessarily as we may have measured. The improvement locations are = approximate and have been determined only to the extent that enables us to determine F' if there are any encroachments onto or off of the lot. Drafting and reproduction may produce graphic inconsistencies; therefore scaling should not be attempted to 0 determine unshown dimensions. This drawing is not adequate for additional Z construction or for determining the exact location of property lines. Only easements from the recorded subdivision plat noted above are shown hereon and it is the responsibility of the owner to determine if any other easements, covenants, or restrictions exist. ©McClintock Land Associates, Inc. (MLA) 2022 This document is copyrighted and is authorized to be used for one real property transaction or project only. Any copy is to be considered unauthorized unless it bears an original surveyor's signature (usually in blue ink) or a stamp showing recorder's office data. Copyright restrictions (but not re—use restrictions) are waived if this document has been officially recorded. Lending institutions may also make additional copies for their own records. Liability to MLA is limited to fees received for this project. FIELD WORK DATE: 7-14-22 PARTY CHIEF: IE FIELD BOOK: LL PLOT SCALE: 1"=50' DRAWN DATE: 7-26-22 DRAWN BY: JC GRID: NW1560 DWG NAME: AB22-212 JOB N0: 22-212 MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date ///0 (a) Legal Description (include lot, block, subdivision, section, township, range) L L Q 2 /Vo,e7 yA_'oo o s //fife- Location //9$ Location (address or directions) k// S' 2jwt /3 /2e (b) Applicants Name,U?B Applicants Address (c) Applicant is (check Buyer ; Other 04///J ✓i Telephone u C E:%1^1}(I� EEO- 'i 6Ra3 1;36X. PH, .‘:04-297i1) one) Lending --Institution j1 ; Owner/builder 13Z1 ; (explain); 6 B &- 3/3' - Home Business (d) Lending Institution Address / Sr- /A/ 7e=70 S -7-AY Telephone (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to the following address: $ n EAGIWECRINCA SRE3 198X, c.,Lil l" RPI I X04 7ALASKR V id71 2. Type of Residence Single -Family Number of Bedrooms 3. Water Supply Individual Well Multi -Family Community )� Note: If community wellsyste must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Other (describe) Publi 4. Sewage Disposal Onsite J Public 1 Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 2] 5. Engineering Firm Providing Inspections, Tests, File Search, Data and Information As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that, based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in effect on the date of this inspection. Name of Firm t- !: �IuiWrtRIMCz" X Address ! x ,Ctl1; RIVEN N 1.1.no ASKA, r2,..,.,: NH, 494.2979 Date //. /'� 9 6. DHEP Approval Approved for( bedrooms Approved (ENGINEER SEAL) Telephone Disapproved Conditional Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 A. WELL DATA % NICIPALITY OF ANCHORAGE CCPL.OF HEALTH & MUNICIPALITY OF. ANCHORAGE .(MOAE NMROa,MENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA.) 'CHECKLIST - FEBRUARY 1984 �� Legal DDescription' i 6 et'�� 0D 2 41,184.1 Well NOV n �n Well Classification �%:, If A, B, or C, Approved(Y/N) Well Log Present (Y/N) Date,Canpleted field; Total Depth Cased to Depth of Grouting Static Water Level Pump Set At Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N), Separation Distances from Well: To Septic/Holding Tank on Lot 200 / ; on Adjoining Lots To Nearest, Edge of Absorption Field on Lot200 17L ; On Adjoining Lots To Nearest Public Sewer Line. To Nearest Public Sewer Cleancut/Manhole To Nearest Sewer Service•Line on Lot Water ,Sample 'Collected By Date Water Sample Test Results Contents GCJi/LL A)07 OA.) infzef.ger • SEPTIC/HOLDING TANK DATA Date Install- d// ( Size 00 No. of Canpartnents 2. Standpipes ( )' Air -tight Caps (Y Fou dation Cleanout (al" Depression over Tank ( Date Last Pumped - // / • Pumping/Maintenance Contract on File (Y' /ii'►` ; for Holding Tank High -Water Alarm (YAW! r"` Temporary Holding Tank Separation Distances frau Septic/Holding Tank: Permit (YA4 To Water -Supply Well 7,00 7"' To Building Foundation % To Property Line /0 C-1 To Disposal Field 7 To Water /Service Line 130 (76 To Stream, Pond, Lake, or Major Drainage Course ".) crJ x./- Comments .PComments ti'o e Receipt # 3c0 . Date Paid: Amount: i_® [Page'1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absor tion Strata /90 Type of System Design l 0 162 ,7'7 Date .Installed Width of Field 'Z 6 r Square Feet of Absorption Area Length of Field Depth of Field 3 Gravel Bed Thickness 9 6 2 Standpipes Present Depression over Field (iJ Date of Last Adequacy Test Results of Last Adequacy Test V/d. Separation Distance frau Absorption Field: ZJa To Water -Supply Well To Property Line rr /O r¢ To Building Foundation 21 / To Existing or Abandoned System an Lot AO 0"-445- ; On Adjoining Lots N /'r ,:!? i.74 To Water ,Main/Service Line SD r.74. To Cutbank(if present) A) 0 iJ r To Stream/Pond/Lake/or Major Drainage Course ti O PJ e To Driveway, Parking Area, or Vehicle Storage Area / 3 Comments 4.J 19r r D. LIFT STATION Date Installed Dimensions Size in Gallons Ma/-ihole/Access (Y/N) "Pump On" Level at " ",�'ujf Off" Level at High Water Alarm Level at �� Vent (VW) Tested for Pumping Cycles during Adequacy Test. Meets MDA Electrical Codes(Y/N) Comments ** ** Check Permitted Bedroom Rating Against HAA Request I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect on the date of this inspection. Signed Company KB1/d5/s $c SRS 19 X Rll��sOM RIVES. ALASKA V.,`51TPIL 04 D070 [Page 2 of 2] 2-15-84 APPLI(\NT FILLS OUT UPPER HA'`—'' ONLY EAur(�._. "C.�iJi�D! Property Owner�/;. }�,,,..� 1 (�-I5- Zip Code 91'C-(137 Mailing Address (-(3),,,r) :. �-( ' e`f l / f /''/C f V Phone ) -7 337 - I5- '1 . ( Buyer Address Zip Code Lending Institution / / /<' 4 (novo t..... 1S q - S� e r(fi R. ) .R(') YJ(C'} Address 1,) i/ -r ilile�.-� K. Zip Code cf0_l l; --pp Phone cc -- 27L('r?.)c/ it.c0? Realty Co. & Agent f E 1 14t Date to -a -caa�, .n Phone 1 r �J Address /� �,2� �] f ^y� -�ZipCode�/ p� Legal Description �;-�:i! e OC, Z f`l ierxr/ IJck.)Ds J: f o. Pisf/.S JL.. Street Location Pt. e ce _ ' % Type of Residence 1 Single Family " F Multiple Family No. of Bedrooms Field Notes: ENVIRvidi;',.:P.:?._ . ,,.; _.'..tION RECEIVED ❑ Other Water Supply ❑ Individual Community 0 Public Utility ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log If available).. Sewer Disposal Individual 0 Public Utility - 0 Holding Tank jj -� �/ f' .r C' Year Individual Installed: ? (�aY s(<* 66..,] Coits-7: J' When Connected to Public utility: Date Sewer Installed NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time -1 t I \) M -P Date Date Date 14t Date to -a -caa�, .n Inspector Inspector Inspector MUNICIPALITY Inspector OF ANCHORAGE Field Notes: ENVIRvidi;',.:P.:?._ . ,,.; _.'..tION RECEIVED (,) APPROVED BEDROOMS ( ) DISAPPROVED ( ) CONpIIIONA�APPROVAL* i... DATE / - *CONDITIONS OF APPROVAL. BY: \Q --L A401 Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank Well Log Received Septic Tank Size 72-023 (3/82)