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Home My WebLink AboutHULSE #2 LT 8Hulse #2 Lot 8 #050-521-74 Municipality of Anchorage Development Services Department C Building Safety Divislon •' / - On -Site Water and Wastewater Program, 4700 Bragaw SL P.O. Box 196650 Anchorage, AK 99519.6650 Pagel of 2 www.d.anchorage.ak.us (907) 3417904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWO60283 PID Number. 050-521.74 Nan. SANDYBUTERA Wastewater System: ❑ New �Jpgrade Add"" 7329 ABSORPTION FIELD P1 N~ Or BaOroam O OW T wxh 0 Sholm TraKi O Bad p Marg O 0e SM RN"p TOtai DePa1 ward angeW grtat LEGAL DESCRIPTION EXISTING GPDIF? Ft. ata Let sj)e na oaten q Iwo tXM= Wont mvinal groat cravat daph beneath P"g HULSEt2 Fi. FI Towamp Range swan FA ached skme WP" aw to" L*Vh 144 1W 23 Ft. Ft. GravN vMh elm ra lines 011tanwe aatwtn Mit. Well: ❑ New ❑ Upgrade Ft. Ft CMaMinanron (Pmtte. A B. Ct TOW Depen GWq TOW aboxiXion ante P"t Malone! EXISTING PRNATE Ft. Ft Fe DMaF Doe Drool 3t*C Watan LavM "taller LOUIS BUTERA Dant "MW 9123!2006 Ft Y1 P1"" sot an ""M"On' aOOra GOuna TANK GPM Ft. it SEPARATION DISTANCES ® septic 0 Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Litt Holding ublien rivata ANCHORAGETANK 1 1250" From Tank Field Station Tank Sewer Line Mananw Nunes a Car"artmanta won +100' - - - +2S STEEL 2 +100' - - r=" ` LIFT STATION sudecewanan �zs an�uan Lw La» +5' - - - NO LIFT c,l 'Pur"an'MVNN 'rues Wan IavN. HolestermarniM Fa"d"an +5' — — — in al In Pump Mat a "I EMdncM kwi) OrN 1)01 m by Cn Dr an 1"M 1+50' BENCH MARK SEPTIC TANK REPLACEMENT ONLY Lwoan.rla Daaw"han, TOP OF SONOTUBE AT DECK SUPPORT Mv*Wn ioo.00 FL Inspections performed by: ERES Dates: 1" 9123/2006 ��, -• ~-A.t.q 2nd �7'f' Development Services Department Approval Conditional Approval Date: t CH AMPHERR.W000 d, / Date: �Q Reviewed and approved by: IRr OLUM1) Permit No. SW060283 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 Leqal Description: HULSE#2 LOT 8 050-521-74 SWING TIES LOT 8// / / I I I 1 HOUSE NEW 12. 'CAL,' SEPTIC T NK• 10. \ CRYS UnV� f q�M 7N TRENCH TO REMAIN ^ O - CLEANOUT T14 -� - WELL \ C\ Q \ • - MONITOR TUBE ELEVATIONS P r N T SUPPORT(_ (NOT TO SCALE) ASSURED ELEVATION 100' I 4' SCALE 1'-40' 1 8/22/2007 ENGINEER'S SEAL 000�opp04 F OF'A�q�puh TANK (J. -. :..:.................. 1000 GAL OO •. OiRISTOPHER R. NU00: 95.1QOOJI•. Q-10387 MUNICIPALITY OFANCHORAGE 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: SWO60283 Legal Description: HULSE #2 LT 8 Date Issued: Aug 24, 2006 Expiration Date: Aug 24, 2007 Parcel ID: 050-521-74 Design Engineer: 0000 NONE NEEDED Site Address: 025411 CRYSTAL CREEK DR Owner Name: LOUIS & SANDRA BUTERA Lot Size: 65340 SO. FT. Owner Address: PO BOX 773294 Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER . AK 99577-3294 This permit is for the construction of: ❑ 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. 5. The following special provisions. - (EMERGENCY TANK REPLACEMENT) - SEPTIC TANK INSTALLATION MAYBE LOCATED NO LESS THAN FIVE FEET FROM ANY PROPERTY LINE OR BUILDING FOUNDATION; TEN FEET FROM ANY WATER SERVICE LINE; ONE HUNDRED FEET FROM ANY SURFACE WATER; AND ONE HUNDRED FEET FROM ANY PRIVATE WELL; AND THE SEPARATION DISTANCES REQUIRED BY 18AAC72 FROM WATER SUPPLY WELLS. Received By: Date: Issued By. 1 Date: P r-/zq Zb6 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: SWO60283 Legal Description: HULSE #2 LT 8 Date Issued: Expiration Date: Parcel ID: 050-521-74 24, 2006 24, 2007 Design Engineer: 0000 NONE NEEDED Site Address: 025411 CRYSTAL CREEK DR Owner Name: LOUIS & SANDRA BUTERA Lot Size: 65340 SQ. FT. Owner Address: PO BOX 773294 Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577-3294 This permit is for the construction of: ❑ 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. 5. The following special provisions. - (EMERGENCY TANK REPLACEMENT) - SEPTIC TANK INSTALLATION MAYBE LOCATED NO LESS THAN FIVE FEET FROM ANY PROPERTY LINE OR BUILDING FOUNDATION; TEN FEET FROM ANY WATER SERVICE LINE; ONE HUNDRED FEET FROM ANY SURFACE WATER; AND ONE HUNDRED FEET FROM ANY PRIVATE WELL; AND THE SEPARATION DISTANCES REQUIRED BY 18AAC72 FROM WATER SUPPLY WELLS. Received Bv: Date: olzq 166 Issued By: Date:.P2 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 343-7904 ON-SITE SEPTICfWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050 - 5al - 2 q Property owner(s) Loud S.r .f•• i3. —_Day phone Mailing address pio 7 7 9 z s a 1 Zip Code ySr» c.-�e K R Zip Code 917 S» Siteaddress � G y,t�f r( Legal description (Sub'd, Block & Lot) Lo y. 8 f-/.. /" c JY 6 .( ✓ Legal description (Township, Section & Range) Lot Size p T, 3 L - ST. -Ft. - THIS APPLICATION IS FOR (®all that apply) Absorption Field ❑ Septic Tank fZ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 THIS APPLICATION IS AN: Initial Upgrade Renewal 1 certify that the above information is correct. I further certify that this application is Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: made for a Receipt Number: Receipt Number: i (Rev. 11/05) Louis Butera, P.E. P.O. Box 773294 (907) 696.7375 tel Eagle River, AK 99577-3294 On 622-5195 tai August 24, 2006 Dan Roth Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 8 Hulse Subdv #2 Narrative & Permit Application Dear Mr. Cross: The proposed septic tank replacement will have very limited impact on adjacent properties for the following reasons: j The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring wells are all +100' distance. 3. This permit is for replacement of the septic tank only. 4. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call me at 696-7375. Sincerely, Louis Butera, P.E. I toy o- p0,)w SGS. T2nccr B-! L� 1 I W (n V ` -4`1- Z Z S7.0y . PrGf /M^1E �J }I 1 \1 5j Nel> OV' 6)• .R r — \ — _ G 4 LL Q V 79� Al Re,,,o,e tRcit • rNtd c.t' 4 c•. _ \ rr • \S15t_0 .Qom o A5—DUILT I hereby certify that LOT S , BLOCK HVL SE !;V &Z) ZNO /4'DO�T�e,✓ Anchorage Recording District, Alaska, has been surveyed by me and that no encroachments exist except as shown hereon. It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on'the recorded subdivision plat. Listed distances prevail and scaling should not be attempted to determine unshown dimensions. This survey is not adequate for, nor should it be used for establishing boundary or fence lines. A ..................• N W01fem McClintock ' P :�• No. LS 5180 •, -4 ,` OfiSS10NALLtai McCLINTO CK LAND SURVEY COMPANI P.O. Box 671089 Chugiak, Alaska 99567 Phone (907) 688-4499 I nATF 9 -2'r -9S— DRAWN BY 0M jnR Nn. 65-- '9'12- C.RIn SW 262 FIFln BMIK RST—/2 SCALE/ =60 SPECIFICATIONS FOR SEPTIC TANK REPLACEMENT LEGAL: Lot 8 Hulse #2 A. GENERAL 1. The drawings shall be a part of this specification. 2. All materials and workmanship shall meet the requirements of Anchorage Department of Health and Environmental Protection Permit. B. THE SEPTIC TANK 1. Septic tank construction shall be a 1000 gallon steel two compartment tank approved by the Municipality of Anchorage. 2. Septic tank is to be installed level on compacted base material. 3. All connections are to be made with approved couplings. 4. The existing tank is to be pumped, removed and properly disposed of. hole is to be backfilled with a base of pit run gravel to prevent settlement. New tank to be provided with two cleanouts after tank as per current regulations. 6. Tie into existing leach field. Twenty-four (24) hours notice required on all inspections. +-3 6 L f �t My fi•ce/r�oe 4..,�C. ,/�Z,/.f...,Ic //�rJ 1 w•%/ .S� a�� 1.tr l" **"* *••�� 1 y / fti- 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 PHONE I EW MAILING ADDRESS LEGAL DESCRIPTION NO. O'F BEDROOMS ~ PERMIT NO, , Manufacturer Mate~ ~ N°' °f c°m~¢b IF HOMEMADE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO, O ~ ~ Manufacturer Material Liquid capacity in gallons ~ Well Foundation Nearest lot line PERMI~ ~ DISTANCETO: NO'~ IN BE9t ~ No, of lines / Length of e~,~e Total length of li~s Trench wi Distance between lines ~ ~ ~ Top of tile to finish grade ¢ Material beneath tile Total effective absorption area ~ ~ [ inches ~en~th ~idth Depth Pfi~M IT ~0. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO, ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING INSTAELER ~ REMARKS . ._ APPROVED DATE LEGAL PERMIT NO. MI_lr~ I C:I~RL. I T~" CIF Ar4CH~RAI]E DEPARTMENT ~ !HEALTH AND ENVIRONMENTAL OTECTION B25 ~L~ STREET, ANCHORAGE, AK. 99501 264-4720 ~3r4--SIfi SEi.-.I~F~ F'ER£4 IT 82091g > APPLICANT LOCATION LEGAL LOUIS BUTERA L8 HULSE #2 SA-166? 995?? LOT SIZE 694-5i95 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRRINFIELD MAXIMUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: [:,EF"TH= 5 LEI'--IG TH= 42 61~: A'v' E I [~EPT: : ~'~:,,~ 2 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 TRE~4C:H ~4IB, TH IS 5. 000 FEE l". THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET>. REG!.LI I RED. SEPT I C TA=lf.ll-::--; S I ZE= ,'fl, !--300 GALl, ONS 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. TI4C~ (2) I ~-`ISPE,2TIOf4S ARE REQLIIRED 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 i00 PEET FOR A PRIVATE WELL OR i50 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. PERM I T E.'-<P I ~:ES [:,ECEI~IBER _?-t.. :.1_982 I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND HELLS 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. /' APPLICANT LC~IS BUTERA MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST XSOILS LOG [] PERCOLATION TEST PER,OR.ED FOR: LO ~ '~ ~,~TE 'I~-,.A DATE PERFORMED: ~ ~ LEGAL DESCRIPTION: UO~ ~, ~O L~ ~{~ A~ NO ~' - SLOPE SITE PLAN TAN, 1 2 6 7 8 10 12 14 ~7 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? ! / · 2225-E [ 25. 197! 18 19- 20 - PERCOLATION RATE TEST RUN BETWEEN F.T AND ~T PERFORMED BY: r,~ CERTIFIED BY: 'A. '& DATE: Gross Net Depth to Net Reading Date Time Time Water Drop by DOC Co. (IDa SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 ! OWNER OF LAND /~ o ~ Z.~ o' T,~'~' ~ DEl'TH OF WELL~/ ~O ADDRESS flO ~oZ 773A q~ ~ ~, STATIC LEVEL OF WATER FT. LEGAL'DESCRI~IONZ ~,, ~OZ~ ~ ~ ~ DRAW DOWN FT. DATE- Started e/,:~ Ended ~<~ GALS. PER HR / PERMIT NUMBER KIND OF CASING KIND OF FORMATION: /q/& From ~'~ Ft. to '.~ Ft. O~,f~ ~6 0~~ F~om. Ft. to Ft From ~ Ft. to /~ -Ft. ~/~Y ~4~0 / ~4~"~CFrom Ft. to ..Ft. From [~ Ft. to ~q Ft. ~ff~do~ From~Ft. to .Ft.. From ~ Ft. to 7~ Ft. ~ddo~/< ~ff~c~o~OFrom~ From~ Ft. to · Ft. ~ - ~ ~m From From ~ Ft. to ~0 Ft. ~ff~o~tg From From ~0 Ft, to /0~ Ft. /~dZO~ Z~6~ From From Ft. to ,Ft. ~ ~d~ , r From Ft. to Ft. ~ ~ ~ - ~ From From Ft. to Ft. , From.~Ft. to ._Ft. From Ft. to Ft. From--Ft. to . Ft. From Ft. to Ft. From -'T-~t6 ...... Ft. From · Ft. to Ft.. From Ft. to From Ft. to Ft From Ft. to---Fl From Ft. to Ft. From Ft. to Ft._ From Ft. tq. Ft. From Ft. to__Ft. From Ft. to .. Ft. From Ft. to _Ft Ft. to ~UNICIPALITY OF ANCHORAGE Ft. to CFE~T. CF HEALTH ENVIRONMENTAL PROTECTION Ft. to Ft. Ft. ,o F~.R 6 lqRR F,.,o 'RECEIVED Ft. to ..Ft. MISCL. INFORMATION: Parcel I.D. 050-521-74 Municipality of Anchorage RX, On -Site Water and Wastewater Program (907) 343-7904 E T Y _17 Certificate of On -Site Systems Approval :VI ice- j1"l[ I R01 I Complete legal description HULSE #2; LOT 8 Expiration Date: 11-/7-/ 7 Location (site address) 25411 CRYSTAL CREEK DRIVE *EALE RIVER, AK 99577 Current Property owner(s) LOU BUTERA Day phone 748-5195 Mailing address Real Estate Agent PO BOX 425 *WILLOW, AK 99688 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual 0 Individual Water Storage 1771 Holding Tank El Community Class Well 1771 Community D Public Water System 1771 Public Sewer El WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $. 52-('. - Date of Payment ri 14-1 Receipt Number COSA # 05(-1111 116S 1 Waiver Fee $ Date of Payment Receipt Number Waiver # 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 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: 2a % 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 systemis; 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. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the fol OF A A r,J f yr Gornel s. . rYJE� < < o f e s si0 _ #AECC884 .Ipulatior O1V_,,:�;T "ra�RAE�: By: Original Certificate Date:'" 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc Legal : HULSE If more than 1meptic system is on the lot: CO8AChecklist # —of ___ Structure served by this system Paroe|D: 050-521-74 A. WELL DATA *CASED TO BEDROCK Well type _Private_ If A, B' or C provide PVVS|D# N/4 Well Log (Y/N) Yes Date completed __-�/85Sanitary seal (Y/N)_Yes ' Wires properly protected (YYN) Yes Total depth 100 _ft. Cased to *23 ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test 8/85 6/28/2017 Static water level 60 _ft. 55 Well production g.p.m. 9 -P.M. WATER SAMPLE RESULTS: Co|Kbnn 0 oo|on/es100mi Nitrate ND mg./L. Collected by: GEG. Ltd. Arsenic: YD_-ug./L Date cfsample: 6/29/17 B. SEPTIC/HOLDING TANK DATA Tank hal Date installed 1/17/08 Tank size _1250_gal. Number ofCompartments 2 C>eanouto(Y/N) Yes Foundation cleanout /Y/N\ Yee Depression over tank (Y/N) No High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ffo 100 System type TRENCH Length 75 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth _*6.3+ _ft. E#. absorption area 535 02 Monitoring tube Yea Depression over field No Date ofadequacy test ** Reou(ta(Paaa/Fai0 Pass For J bedrooms Fluid depth inabsorption field before test S.25 in. Water added 534 gal. New depth 13.5in. Elapsed Time: L080 min. Final fluid depth 8.25in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8type) None Known If yes, give date ___–�___. **OWNER ADDED 2000 GALLONS OF WATER ON 6/27/2017 /DAY PRIOR TO TEST) AS A PRE–SOAK. (SEE ATTACHED EMAIL FROM LOU 8UTERA. P.E. DATED 7/11/2017) Date installed Size inoallona__ "Pumpon"|eve|at_____n. "Pump off" level at Menhole/Acceaa(Y/N) r alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL {}NLOT TO: Septic tank/lift station onlot Absorption field onlot On adjacent lots On adjacent lots ^ Public sewer main Public sewer manhole/cleanout 100+ Sewer /septic service line ' Holding tank ' Animal containment areas Manure/animal excrete storage areas ` SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ONLOT TO: , Building foundation *' Property line .� Absorption field * Water main ' Water service line ' Surface water ` Wells onadjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD DNLOT TO: Property line ^ Building foundation Water main ' Water service line ' Surface water ' Driveway'parking/vehicle storage 01 Curtain drain None Known Wells onadjacent lots *PER 2008 INSPECTION REPORT(gEC MEASURED 58" FROM ST1 TO CLOSEST PART OF FOUNDATION). PORTlON OF ORA|NRELD 8c SEPTIC TANK UNDER PARKING AREA DRAINRELD IS 8' FROM SLOPES GREATER THAN 25%. NO FREEZING ISSUES — SEE ATTACHED EMAIL FROM LOU BUTERA. P.E. DATED 7/11/2017. / certify that / have determined through field inspections and review of Municipal records that the above systems are in conformance with MQ4COSA guidelines ineffect onthis (ate. Engineer's Printed Name JEFFREY A. GARNESS Date VRnv. nms #AECC8B4 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 Certificate of On -Site Systems Approval (COSA) # OSC171351 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 8 of Hulse #2 subdivision, the well's productivity was determined to be 0.47 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all pal -ties 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. i HEREBY CERTIFY THAT | HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT D HU;3E 5UBDKU5|DN 2ND ADDITION ANCHORAGE RECORDING 0STR|CT, ALA3KA, AND THAT NO ENCRUACHMENTS EXIST EXCEPT AS INDICATED, IT IS THE RESPOI\lS|B|UTY OF THE OWNER TO DETERMINE THEE EXISTENCE OF ANY EASEMENTS, COVENANTS,OR RESTRICTIONS WHICH D0 NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, OR FOR ESTABLISHING THE BOUNDARY, ENGINEERING PLAT #76-29, ANCHORAGE RECORDING DISTRICT SURVEYING EARTH SCIENCE EAGLE RIVER, ALASKA PROJECT MANAGEMENT 07-17-17= '3r: lc3JR SI-iEET- 1 (907) 564-2120 NIA ." SEPTIC PIPES o SEPTIC PIPE WELL WOOD DECK � `00,�~�\ — � EASEMENTS OTHER THAN THOSE SHOWN ON PLAT NO. 76-29. ARE NOT SHOWN HEREON. i HEREBY CERTIFY THAT | HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT D HU;3E 5UBDKU5|DN 2ND ADDITION ANCHORAGE RECORDING 0STR|CT, ALA3KA, AND THAT NO ENCRUACHMENTS EXIST EXCEPT AS INDICATED, IT IS THE RESPOI\lS|B|UTY OF THE OWNER TO DETERMINE THEE EXISTENCE OF ANY EASEMENTS, COVENANTS,OR RESTRICTIONS WHICH D0 NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, OR FOR ESTABLISHING THE BOUNDARY, ENGINEERING PLAT #76-29, ANCHORAGE RECORDING DISTRICT SURVEYING EARTH SCIENCE EAGLE RIVER, ALASKA PROJECT MANAGEMENT 07-17-17= '3r: lc3JR SI-iEET- 1 (907) 564-2120 NIA