HomeMy WebLinkAboutEAGLE VISTA BLK 2 LT 5Eagle Vista
Block 2
Lot 5
#050-711-09
Municipality of Anchorage Page of _-
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-5650 • Telephone: 343-4744
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: 5VI 960/ 22 PID Number: 060— 7//"" O �1
Name_r
Wastewater System: VNew ElUpgrade
pap ILr. $
AddreSs Q
ABSORPTION FIELD
r
Phone
No of Bedrooms'
T—i
❑ Deep Trench ❑ Shallow Trench ❑ Bed O Nlound D Other
LEGAL DESCRIPTION
Soll Rating
UGPDrS
Total Depth from original grade
Ft
Lot_ Block Subdnrkvon
-
Depth to pipe bottom from wig grade
Gravel depth beneath Pipe
5 14. V e,
/• Ft
Fi
Township
Range
Section
Fitt added above original grade:
Gravel length'
1. 5' Ft
60 Ft
WELL MIN ❑Upgrade
Gravel width.
Number of lines
1
Dwance=tween lines
Ft
Ft
Classification 1prrvate. A,e.Cl
Total Depth
Cased To
Total absorption area'
PIDe material.
ata.
.3n Ft
Ft
SO FI
L
3
Dollari,1
Dato Ilad
Static Water Level
Installer:
S
Date iro1a led
�/j
H�iaDr
_XV t iYL
7Ori 7
Fl
a�
Yield
Pump Set `a`tn
Casing Heignt Above Gro n
TANK
1� GPM
Ft
17�F1
SEPARATION DISTANCES
0( Septic ❑Holding ❑S.T.E.P.
To
septic
Absoiolinn
Lill
Holding
ubliuPn.ne
Manufacturer
Capacity in gallons
From
Tank
F.etd
Station
Tank
$ewer Lines
0161 r. 911"L
I 5 y
Well
Material,
Number of Compartments:
s°r't`e
water
0 N �
LIFT STATION
Lot
y
e
Size in gallons
Manufacturer'
Line
IOD
D
Foundation
'Pump on" level at.
"Pump off'- level at:
High water alarm at
Curtain`,
Pump Make B Model
Electrical Inspections Performed by:
Drain
I♦
Id
Remarks:
BENCH MARK j
D M,vr �_a y j_fAA 1#1 �4K
Location and Dnypnpuo — I, i
CaN MO Y4 V42 �4(O�CLl-1
Assumed Elevation atJ
I fl,D 'ter.
T
� 1 % � ltn ko 1
ENGINEER'S SEAL
i
EF i✓ i2te�e 3 e I/tw
1 / red11100e& CV" I ''
`� g
. t s
.t
Inspections performed by: .1 • Dates: 1st a 7
Department of Health and Human Services approval
/
Reviewed and approved by: _1 Date: �o'
12 oU Me, 9'94 MOA 2S
UNDEVELOPED
y' LOT 5 ,
UNFINISHED 2-8.R. RESIDF�IJCE
A /
LOT 4 Well
i c 1250 GAL, GREER 5.71
LOT 6
VACANT
INSULA
TION
ABSORPTION T fNCH
E 60 FT LONG
3.5 FT EFFF TIVE ROCK
F 5 FT TOTA DEPTH
_ 1.5 ADD. Cav£R
SWING TIE VACANT
gGIE AB 4 FT
1'�Sjq AC 5
8c
AD 84
8D 53
AE/ 117
\ B 91
LOT 3 w 142
F 105
II \
.F
��� ���
♦ X..••''..... VT- #
AN 'D �
••.
/
•�
49th io.
% .i.. ......... %
10.. .. . ............ ..LY;
TOD EN SPURKLAND
=<v= 50 0 50 100 150 200 250 300
�1 '• NO. CE -2225
♦ �'., - • SCALE 1 = 100 FT
♦ .•' •
40
ITOBBEN SPURKLAND P.E. I I EAGLE VISTA SID BK 2, LOT 5 I I SEPTIC SYSTEM AS BUILT
203 W 15TH. AVENUE DATE. OCT 1, 1997
ANCH. AK. 99501 KLAUS ZACHMAN
ion, i 9,a— ZQ I q EAGLE RIVER SHEET- 1/3 GRID: SES051
PERMIT # SW950122 FID # 050-711-09 EGV02052M
Foundation Cleon out
INSULATION OVER TANK
INSULATION UNDER
1250 gal Septic tank
GREER
102.9
`SIL T BAI?);�
99.
3.5 ft or `Iepti
WC�. 0
Z 49th in
�"
WAY ' T :
BEN SPURKLAND . '�'
•c' :�
•1 fJ �•o No. CE -2225 �.•'�_AV
Clean Out
Standard Trenches;
2' Wide
60' L ong
5' Deep
3.5' Sewer rock
3' Cover
REPLACEMENT TRENCH
NO SCALE
Mon, tot -
Clean Out
12+ FT.
Cleanouts
rvu �G,tiLc
BENCH MARK, BOTTOM TANK
L C ASSUMED ELEV. 88;5
TOBBEN DPUPKLAND P.E. EAGLE VISTA, BUCK 2, LOT 2 SEPTIC SYSTEM AS BUILT
Anchorage
DATE:
wrath Ave
Anchorage A1- 9950KLAUS ZACHMAN OCT. 1, 1997
r
SHEET1 31J GRID
PERMIT NO. SW950122 PID NO. 050-711-09 EGV02053.DWG
)I
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
On -Site Services Transmittal Sheet
TO: S-,1241.4"iJLEGAL: P� r Rc?, I �i4GG. (/1 S 7-4" S�
The attached paperwork has been reviewed and is being returned
for the following reason(s):
-ANIS 15.65.020 =
Discrepancy in legal description and/or owner name.
Discrepancy in number of bedrooms.
Signature and/or stamp missing on
Show measured distances to sewers/wells, curtain drains
and streams within 200 feet of proposed system.
Replacement disposal site not shown and/or tested.
Calculation error in design.
Show locations of all soils, percolation or water table
tests.
Proposed system too deep for soil test submitted.
Topographic information missing or inadequate.S4o U RE-J�
Narrative missing or inadequate. RND SWPEs LA yTa
Additional soil/perc test needed.
Sand filter requirements not satisfied.
Water monitoring results missing or inadequate because
NO
1V(61)7UZ4P (, T
Incomplete; missing
AUb — Tt\-;l/gLj0 i!Pc-Q- /Ls7_
Well log required.
Water sample unacceptable because
X Other
l
7ifRo A,-,4 %tit,_ xis 71/)G T N, ;
1:+ 4W/:4:�Qs T9+7 THE 771 S 1 6r-- 7 -em !�/1-L Ivor i3E
U716 -1?_% -;J DU 76 7 -//FL ��57//tom CJA (�t�K %-/20 1
Please sup1 1hLe e
p e nec ary information and re -submit your
request. Yo r coopera i n 's a reciated.
Reviewer Date 621/B
LEAVE THIS FORM ATTACHED TO PAPERWORK
/203 -rev. 9/93
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
On -Site Services Transmittal Sheet
TO: pq, r•(cip, 4 LEGAL: to J Ie J i sl�
The attached paperwork has been reviewed and is being returned
for the following reason(s):
Discrepancy in legal description and/or owner name.
Discrepancy in number of bedrooms.
Signature and/or stamp missing on
Show measured distances to sewers/wells, curtain drains
and streams within 200 feet of proposed system.
Replacement disposal site not shown and/or tested.
Calculation error in design.
Show locations of all soils, percolation or water table
tests.
Proposed system too deep for soil test submitted.
Topographic information missing or inadequate.
Narrative missing or inadequate.
Additional soil/perc test needed.
Sand filter requirements not satisfied.
Water monitoring results missing or inadequate because
Incomplete; missi
Well log required.
"00 -
Water sample unacceptable because
V Other
W
pc►4.,,+ 2�ired
Please supply the necessary information and re -submit your
request. Your cooperation is appreciated.
Reviewer Date o a '
LEAVE THIS ORM ATTACHED TO PAPERWORK
/203 -rev. 4/93
J 4n���u�
Uam
o
%Am 1 r r
'r9
t
<i�d+si • w _ 1 'mat:, ♦ . r � .
,�+ .�-, �___.__.-`--_- ,�. � .rte h♦.4ss.. � �• -.
i
V
, 1 l .
1
M
Municipality of Anchorage Page of 3
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-x650 • Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: 5VI q!50.1 z'Z- PID Number: D 60 .' 7//'-' O ct
Name:
Wastewater System: VNew ❑ Upgrade
Address:
R—of
ABSORPTION FIELD
r
Phone:
No.of Bedrooms:
T�
❑ Deep Trench ❑ Shallow Trench ❑ Bed El Mound ❑ Other
LEGAL DESCRIPTION
Soil Rating: JJ /
Total Depth fromo�ginal grade:
/+ GPD/Sq. .Ft.
Lot: Block Subdivision:
Depth to pipe bottom from original grade:
Gravel depth beneath pipe
6r �' /{. ViA
�. Ft.
r
Sal Ft.
Township:
Range:
Section:
Fill added above original grade:
Gravel length:
1. 25 Ft.
/a F-3 Ft
WELL: 15�New El Upgrade
Gravel width:
Number of lines:
Distance between lines
Ft.
Ft
Classification (Private, A, B.C)
`
Total Depth
I Cased To:
Total absorption area:
Pipe material:'Pr�)
oLl e-
40.6 Ft.
Ft.
S0. Ft.
t, 3 0 3 7
Driller: ,,/' ;I
H
Date Drj [led
17s//Q
Static Water Level:
Installer:
Date i�nslalled:
�/ 8112.
—% 1 N
Ft.
Yield:
Pump Set a;
Casing Height Above Ground:
TANK
GPM
i-/a Ft.
Ft.
SEPARATION DISTANCES
XSeptic ❑ Holding ❑ S.T.E.P.
To
Septic
Absorption
Uft
Holding
Public/Private
Manufacturer.
Capacity in gallons:
From
Tank
field
Station
Tank
Sewer Lines
./�
T�
Well
lob
j s t;
Material: /
mil
Number of Compartments:
Surface
LIFT STATION
water
0 � E
Lot,y
1
Size in gallons:
Manufacturer:
Line
iQn
Q
Foundation
"Pump on" level at:
"Pump off' level at:
High water alarm at.
J,
53
I
Curtain
Pump Make & Model
Electrical Inspections performed by:
Drain
_+
N
BENCH MARK
Remarks:
Location and Description +y�ry� I, 'T
poV gan4t
i V LS fh
C il[.V'�I '. 9 � LCLw>f
WL ii
Assumed Elevation: �y
41
ENGINEER'S SEAL
Inspections performed by ._. —. 1.5 Dates: 1st_ R/#1/17
2nc_ &A.117
Department of Health and Human Services approval
Reviewed and approved by _.__-___.____—_ Date:
`.
72-013 (Rev 9t91I MnA 25
'SEP -30-9i Ti_IE ltt :_,._. Ar9 r9 -W DRILLING 907 3453287 P.01
M -W DRILLING, Inc.
P.O. Box 110378 • 10330 Old Seward HighwaY
(907) 349.8535
ANCHORAGE, ALASKA 99511
DRILLING LOG
Well Owner KLAUS ZACHMANN _
AMENDED 900/97
Location (address of: Township, Mange, Section, if known; or distance main
_Use of We11511ME5TIC
V -ZLOAZ�J�__2, FACTF VTSTA gTIRI)TVTSTn14—_ -�--
Size of casing. -_..6'—' -_Depth of Hole NQS feet Cased to— 122.69 feet
Static water level_X50 -It. Va) (below) land surface. Finish of well (check one) open end ( X )
Screen ( ); Perforated ( )
N/A _ -- --- ---
Describe screen or perforation — 100$ �ft.
Well pumping test at1�_gailgns per QhldlfO (minute) for 2 ---hours with
of drawdown from static level, AS BUILT NOTES:1) DRY GROUTED WITH BENTONITE
GRANULES(2) INSTALLED 4'-2"
Date of completion_DR Tr LING - 0C JULY 1997 SLOT PERFORATED, PVC LINER FROM
COMPLETION'09 SEPTEMBER 1997 13.35' TO 300'.
WELL LOG
Depth in feet from
_ Give details of formations penetrated, size of material, color and hardness
ground surface
0__,TO -CASING STICKUP _ ---
COBBLE GRAVEL: SILTY, OCCASIONAL SMALL BOULDERS
_ A c ABOVE • DAMP
2370 95AS ':ABOVE.' DRY _--- ---
- s
BOULDER (SHOT TWICE) __ —
__q$_TOI-IIs..LARGE_ C RAVF� ' SAN
107 TO_109 BOULDER (SHOT ONCE)`
14 2_TO 122___ -_UL
TY GI�AVEy! SiiALL CT AY SEAMS DAMP
122_70_303 _ BEDROCK: GREY BLACK SILTSTONE ARGILLITE _
— 303 AS ABOVE: FRACTURED FLOWING SAND SIZE PARTICULES, u
WATER SEARING, HEAVING
--_—T01L.0 C1 P
-----TO--+SCF _ 1
_TlRunicipalit}f of Anct
Dept. Health & Human
-TOor
services r Con°' 4'l
It W A,c2te
Ge,:ttt I —CUSTOMER
PAGE 1 OF 1
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND HUMAN SERVICES
P.O. BOX 196650, 825 "L" STREET, ROOM 502
ANCHORAGE, ALASKA 99519-6650
ON-SITE WELL SYSTEM PERMIT
PERMIT NUMBER:SW950122 DATE ISSUED: 6/18/95
DESIGN ENGINEER:TOBBEN SPURKLAND, P.E. EXPIRATION DATE: 6/18/96
OWNER NAME:NIGHSWANDER SAMUEL &
OWNER ADDRESS:2105 OTTER DRIVE
ANCHORAGE, AK 99504
PARCEL ID:05071109
LEGAL DESCRIPTION:
EAGLE VISTA BLK 2 LT 5
LOT SIZE: 115755 (SQ. FT.)
NUMBER OF BEDROOMS: 2 THIS PERMIT: 2
THIS PERMIT IS FOR THE CONTRUCTION OF:
WELL SYSTEM
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 DHHS AT LEAST 2 HOURS
PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY
CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT)
4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL
ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING
WEATHER MUST BE EITHER:
A. OPENED AND CLOSED ON THE SAME DAY
B. COVERED, SEALED AND HEATED TO PREVENT FREEZING
5. THE FOLLOWING SPECIAL PROVISIONS.
SPECIAL PROVISIONS:
RECEIVED BY: DATE: 11,71q
ISSUED BY:ES
DATE:
T.SPURKLAND P.E.
TOTAL LENGTH
37.5 FT.
M
203 W 15th. Avenue, Suite 203
TOTAL DEPTH
7 FT.
,� c
ANCHORAGE, ALASKA 99501m
COVER
-
z
(907) 279-3916
n
z
Fax (907)-276-6013
N
M T
SEPTIC SYSTEM DESIGN
rn
n
LOT 5 BLOCK 2 EAGLE VISTA
q
"'
o C
KLAUS ZACHMANN
y c
6 r
z
No Ground Water or Impervious Layer to 13 ft.
Use Standard Trench
Soil Rating. From test June 15, 1995
2 min/in = 1.2 gal / sq. ft.
No. of Bedrooms Z.
Required Area per Bedroom: 150/. 1.2 = 125 sq.ft..
Total area required: 3 x 125 = 375 sq. ft.
Testhole Total Depth 13
Less 6 feet 7
Less 3 feet Cover 4
Rock Depth 5 Add 1 foot of fill
Length of Trench 375 / 10 = 37.5 [FT.]
SYSTEM CONFIGURATION
STANDARD TRENCH
TOTAL LENGTH
37.5 FT.
TOTAL WIDTH
2 FT.
TOTAL DEPTH
7 FT.
ROCK DEPTH
5 FT.
COVER
317T.
SEPTIC TANK
1000 GAL.
The installation of this septic system will not prevent wells from be installed on the adjacent lots.
There are no developed or natural surface / sub surface drainage courses on this or the adjacent lots.
The proposed septic system will not change the general slope of the area. Ponding and/or
concentration of surface runoff will not result from this installation.
pg.,
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG — PERCOLATION TEST
(ENGINEER'S SEAL)
PERFORMED FOR: t --e,/ LAV S -Z AC 14 M A`N N DATE PERFORMED: eo
LEGAL DESCRIPTION: k Z I R LO C L 2 Township, Range, Section:
--[_ � / SLOPE SITE PLAN
E i `Z L F, I A F 7
1
2-
•�
o��,�Nres
Depth to
Water
34
01
VPc.f CcYtS�Ltcl�o)ti�cXf'
4
°
Y A V1 v, aJ �.I� c� LtA r�
5
11 /)
6
B d
i
a (�� Lx r
2
e�
6-ds+ral�L�td�
�a.�-,2 g ,
8
ii
` I
9
`' WAS GROUND WATER
1!] J V 'fir 11 f"Q^7 ENCOUNTERED?
v�
11 C iTo 1-4 0 t- J+O S
L
II IF YES, AT WHAT
r �r0 be- DEPTH? O 7
ti d P
12
E
> ren r,
r5.�-ot rr c � Depth to Water Alter / ���
13 /0 �
- - - - - - - Monitoring? gate: j�-r- r
14-
15-
16-
17-
18-
19-
20-4
4151617181920
COMMENTS
Reading
Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
fl Li<
-E
K
2
.2
33
In
1
t' z
!r
%
'3/
1
V
Ll
1`Z
#1
PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER
T�jST RUN BET EN 3 FT AND 3" � FT
A {e -k. ,.n.r a!7 02 -T Li U %2 ,
PERFORMED BY:� I — 1 . S CERTIFY . HAT THIS TEST WAS PERFORMEDxIN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
i5 Iq
72-008 (Rev. 4/85)
UNDEVELOPED
-- ill - '
I11
1000 GAL SEPTIC T K
:..
Well PRIMARY T ENCH
VACANTI'll
11 TESTHOLE
I11 SECONDAR TRENCH
VACANT
i
50 0 50 100 150 200 250 300
SCALE, I" = 100 FT,
TOBBEN SPURKLAND P.E.SEPTIC SYSTEM DESIGN
A
zo3 W 15TH. VENUE LOT 5 BLOCK 2 EAGLE VISTA
CH. AK. AV KLAUS ZACHMANN DATE: JUNE 15, 1995
AN
AN �_ EAGLE RIVER SHEET: 1%2, GRID: NO
0
1 Foundation Clean out
1000 gal Septic tank
Double Cle n Outs
375
Mira f i 140
..:.............
: s •.
G7,•• •.�
zA
'• 49th •'
s......�:.................
r....�e...
�L r„zb .�....
0 . TOB N�•SPURKLAND J�
No. CE -2225 ••?
•••. .•'•��1
•••���;fp FESSIDN�i�•�
PRIMARY TRENCH
2' Wide
375' Long
7' Deep 10
5' Sewer rock
3' Cover
i
2 T
Monitor Clean Ou
Clean Rut
REPLACEMENT TRENCH NO SCALE
2
Cleanouts
Monitor
4' Topso l
3' Cover a
1.
- Exist. Ground
3' Min Co ver
over r Tank
Insula to
5 Ft of Septic Rock
1000 gal, septic tank
NR SCALE -11 FEET NO GROUNDWATER
TUBBEN SPURKLAND P,E, LOT S BLOCK 2 EAGLE VISTA SEPTIC SYSTEM DESIGN
203 W15th Ave KLAUS ZACHMANN DATE: JUNE 17, 1995
Ano 1�11 horage Ak 99501 EAGLE- RIVER SHEET 212 GRID:
' 3
u
a
r
N O° 03' 15" W - 1321.06 141.39
7.52 ----296.48 ti _, 200.00
N
ur
N — r
_ON CIRCLE ) m 10/ w \ri
\s,
15 W-335.38 -
,f O
CD
i —
b W
° W N
\�0 .. OD v
cw
�4 rn
x
dbti 5 / (r 6�0 W
� 1
/ ti N m ." I
x
90' l_N2°30'00"ONT
/7----175.00'----- r
03
/L a \F, 28 --1 — 210.39'--
--
OtN m/ a
bo �+ [ `. 9 ti� i I
a v -i �\ oZ`0225 : ti
.fl
rr i .O4
� s c i
N
O I
✓rr r r / '' � r. I
of\ r
Its I
N r ® X33"
a p W.
N `O ® 42j3
O'I
w / I
/
Jb, ,b
395 7 }
2 (NR) ao// Ste°
I
tv y
Y;S N
p ti �• j�'/ L ...G a v.4 I
Q �+ L s I
V� _
MUNICIPAUTY OF ANCHORAGE
-� j
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. 050-711-09
1. GENERAL INFORMATION
Complete legal description EAGLE VISTA BLOCK 2, LOT 5
Expiration Date
Location (site address) 32393 EAGLE VISTA DRIVE, EAGLE RIVER, AK 99577
I i -L/-2-07-0
Current property owner(s) WILLIAM & LANETTE WALKER Day phone
Mailing address
Real estate agent
32393 EAGLE VISTA DRIVE, EAGLE RIVER, AK 99577
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:
Private Well
®
Private Septic
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ `"f 1 Q,50 (CO\j 16 - Waiver Fee $
Date of Payment
Receipt Number
COSA# 05C,�0135
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based
on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the
on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater
disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in
effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Address 13030 SUES WAY, ANCHORAGE, AK 99516
Engineer's Printed Name CURTIS HUFFMAN, PE Date 7/21/20
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any estimate of how long a system will function satisfactory g�P• • • • •
for current or future occupants or guarantee that no unseen encroachments, deficiencies or JJ
discrepancies exist can be given by First Water Consulting & FWES *' ... •'* II
6. DSD SIGNATURE . . . • • . . �^
Curtis Huffman
System #1 Approved for bedrooms ����c/sT • CE128991 .������
F� 7/21/202%4
System #2 Approved for bedrooms II�F0PROFESS1oNQ�
Disapproved
Conditional approval for bedrooms, with the following stipulations:
JiJ
B In.` r Original Certificate Date:9— OZ O
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.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arseni1�csory
Other I G1_ A I p✓Z r-
Legal Description: EAGLE VISTA BLOCK 2 LOT 5 Parcel ID: 050-711-09
If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _
A. WELL DATA
® Well log is filed with Onsite (or attached)
Date drilled 7/4/1997
Total depth 308 ft
Cased to 123 ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 24+ in.
Date of flow test for COSA 7/17/2020
Static water level at beginning of test 261 ft.
Well production at time of test 2.2 gpm
Comments
B. TANK DATA
Age of tank(s) 23 years
Tank type/material SEPTIC / STEEL
Measured operating fluid level in septic tank 50"
® Standpipes/foundation cleanout per record drawing
Date of pumping 7/17/2020
D. ABSORPTION FIELD DATA
Which system tested (date installed) 8/11/1997
® ALL standpipes present per record drawing
Total measured depth from grade 6_5 ft (max)
Measured depth to pipe invert from grade 3 ft (min)
❑ N/A — pressurized field
® Monitor tubes go to bottom of effective. If not, state
depth into effective
Water storage tank volume NA gallons
Well disinfected for coliform test? ❑ Yes ® No
® Coliform bacteria is Negative
Nitrate 0.424 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L ® Arsenic less than MRL (ND)
Collected by FWD
Date of Sample 7/17/2020
C. LIFT STATION
❑ Required maintenance completed
Age of lift station _ years
Lift station material
Comments:
Adequacy test date 7/17/2020
Results ® Pass For 3 bedrooms
Fluid depth prior to test 0 in
Water added 980 gal
New depth 6 in
Elapsed time 5 min
® Code -required soil cover over field Final fluid depth 0 in
F-1 System presoaked Absorption rate 450+ and
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N
date of test) If yes, enter date
Gallons introduced gallons FWES
Comments/Deficiencies:
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
® Yes if No
ft
Community Sewer Manhole/Cleanout > 100'
® Yes
if No
ft
® Yes
if No
Neighboring Tank > 100' ® Yes
if No
ft
Private Sewer/Septic Line > 25' ® Yes
if No
Absorption Field on Lot > 100' ® Yes
if No
ft
Holding Tank > 100' ® Yes
if No
Neighboring Absorption Fields > 100'
Surface Water > 100'
® Yes
Animal Containment > 50' ® Yes
if No
® Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ® Yes
if No
ft
® Yes
if No
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10' ® Yes if No ft Surface Water > 100'
ft
ft
ft
ft
ft
® Yes if No ft
Property Line > 5'
® Yes if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes if No
ft
Private Wells > 100' ® Yes if No _
Water Main > 10'
® Yes if No
ft
Community Wells > 200' ® Yes if No _
Water Service Line > 10'
® Yes if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10'
® Yes
if No
ft
If absorption field is under driveway comment below
Property Line > 10'
® Yes
if No
_ ft
Wells on Adjacent Lots:
Water Main > 10'
® Yes
if No
ft
Private Wells > 100' ® Yes if No ft
Water Service Line > 10'
® Yes
if No
ft
Community Wells > 200' ® Yes if No
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
l certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance
with MOA COSA guidelines in effect on this date.
AW
.' TH
• Curtis Huffman
CE 128991 •``�®
ONP�'�,-��
ft
Septic Tank Advisory
Certificate of On -Site Systems Approval #OSC 201354
Subdivision: Eagle Vista Block 2 lot 5
Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for
this property is 23 years old. Typical replacement costs range from $8,000 to $11,000
This advisory must be attached to all copies of the subject Certificate of On -Site Systems
Approval.
This is an example of what the metal of a 20 year old steel tank MAY look like
st
�Mai6ng Address P O Box 196650 * Anc�iorage, Alaska 99519 6650 *www muni orgy
1.„` ..- :k»gid ;�, �.. „ax, ¢'.....,z.. �-a �- m 'a--a.-.,�„ �.. ,.Ni..,N .r-f,�, �rss. ,�.9 +�✓a. +.,.'tee. vim. �:"��. ,.�,.� �'4��w a, -r-�ti moi,. �t...� s ��.x _,.m'i.n; s. ;� �.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. 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
Address
Engineer's Printed Name Lars
5. DSD SIGNATURE
,_(__ Approved for _ 3 bedrooms.
Disapproved.
(one 219 -39110
Date 6b lost
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ow
yP,•x,• �{ �fy I
�� �,�.•• IARS E. SPI.riKLA\D.-
l�gca ttaoo
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Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X Arsenic Advisory
Septic System Advisory Maintenance Agreements
Well Flow Advisory Supplemental Engineer's Report
Nitrate Advisory Other
By: _r,�c%_ Original Certificate Date. -6e --e--n-0
(R., IM)
Municipality of Anchorage
Development Services Department
\ Building Safety Division
On -Site Water & Wastewater Program
4700 Elmore Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: Ue yIST,A, 11103L Z LCA 5 Parcel ID: 0 5'o -71 '0 r
A. WELL DATA
Well type r'VAr_ If A. B, or provide PWSID #=
Well Log (YIN) ,/
Date completed JL3')J1_T Sanitary seal (Y/Ni
Wires properly protected (YIN) _Y
Total depth eft. Cased to 1z t.
Casing height (above ground) +Z y in.
FROM WELL LOG
AT INSPECTION
Date of test 3c 1-t
5 -)
° 9
Static water level 250 ft.
ZG3 ft.
Well production 1'3 g.p.m.
"L.9 g.p.m.
WATER SAMPLE RESULTS:
Coliform _colonies/100 mL Nitrate o,Yq/ mg/L
Other bacteria _colonies/100 mL
Arsenic: J0 ug/L date of sample: A 7 oy
Collected by:Liu/ k "A
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Green L51e%tk
Date installed 4, 9
Tank size 1 250 gal. Number of Compartments 2
Cleanouts (YIN) y
Foundation cleanout (YIN) y Depression over tank (YIN)
N High water alarm (YIN) N
Date of pumping 5 21 O 1 Pumper J15 R4'"
C. ABSORPTION FIELD DATA
Date installed 5 fI
o1 Soil rating g.p.d./f or ft2/bdrm)
I Z System type I re.Ncl—S
Length (00 ft. Width 2
ft. Gravel below pipe 3 , 5 ft.
Total depth (0.5 ft. Eff. absorption area `110 fe Monitoring tube `/ Depression over field N
Date of adequacy test Results (Pass/Fail)
Pux For 3 bedrooms
Fluid depth in absorption field before test 0_ in. Water added In gal. New depth Iq in.
Elapsed Time: 10 min. Final fluid depth J in.
Absorption rate >= Y50 g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) Kone
Kno%je� If yes, give date ---
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
`Pump on' level at in. 'Pump ofP levet at in. High water alarm level a in.
Datum Cycles tested Meets alarm 8 cir 'requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
�
Septic tank/lift station on lot 100 1 + On adjacent lots I00 f
Absorption field on lot ICO► h- On adjacent lots 10D 4 -
Public sewer main NIA Public sewer manhole/cleanout
Sewer /septic service line Z5 + Holding tank NIA
Animal containment areas NO. Manure/animal excrete storage areas N'. 0,
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO
Building foundation
54.
Water main NSA
Wells on adjacent lots IDO f
Property line 51+ Absorption field 5 +
►
Water service line t0 f Surface water /1/0.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property S
p rty line ID+ Building foundation (b +- Water main /V A
t
Water Service line ID►+' Surface water 1V 0. Driveway, parking/vehicle storage 10
Curtain drain A/.0. Wells on adjacent lots 1
F. COMMENTS
G. ENGINEER'S CERTIFICATION 0.
101�0,:49TN�' I
I certify that 1 have determined through field inspections and .4.. y
review of Municipal records that the above systems are in / ... �
conformance with MOA COSA guidelines in effect on this date. �A,S t ; cIIaKLA\D:1C�%
Engineer's Printed Name Lars SPDC O ay.ct
Date El t O l� F
COSA Fee $ 14 C1 Waiver Fee $
Date of Payment 6Date of Payment
blry�/
Receipt Number n b 7.g "_�7 Receipt Number
(Rev. 11105)
ASBUILT SEWARD h ASSOCIATES LAND SURVEYING 694-
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
SCALE,,,,, ,
FOLLOWING DESCRIBED PROPERTY,
r d.loTSp�{ :
AND THAT NO FNCROACHMENTSIEXIST EXCEPT AS
_
DATE.
S�9/Of
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THS EXISTENCE OF ANY
GRID
EASEMENTS, COVENANTS, OR RESTRICTIONS
✓r��Qf
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
FB:
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ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND-
ARYDRAWN: LINES.
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Parcel I.D. 050-711-09
Municipality of Anchorage
On -Site Water and Wastewater Program -
(907)343-7904 s,. r, -
Certificate of On -Site Systems Approval
1. GENERAL INFORMATION
Complete legal description
EAGLE VISTA BLK 2 LOT 15
Expiration Date:
Location (site address) 32393 EAGLE VISTA DR EAGLE RIVER AK 99577
Current Property owner(s) THOMAS DEAN
Mailing address
Real Estate Agent
Day phone
Day phone
c�
2. TYPE OF DWELLING: ,
❑ Single Family (w/wo ADU) -_
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex) 4 FF
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
lXI
Individual
0
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Pt„�hlir VA/nfcr Cve#am
IFI
Piihlir Sewar
I�
WaiverNariance request for: NONE Distance:
Received by: / t? (fid :,t,'h Date:
COSA to be releasees the engineer, unless otherwise requested by the engineer.
COSA Fee $ 62- / Waiver Fee $ _
Date of Payment Date of Payment
Receipt Number Receipt Number,
COSA# 0 /'N ILO I Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm SPURKLAND ENGINEERING
Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501
Engineer's Printed Name LARS SPURKLAND
6. DSD SIGNATURE
System #1 Approved for 3 bedrooms
The
System #2 Approved for bedrooms
Disapproved
Conditional approval for bedrooms,
Phone 279-3916
Date 9/18/14
,'' �. • 9 'sy I
e x 'l
LA SPURK AND
9; /
with the following stipulatio4
Original Certificate Date: c%' -2,,.% / 1�
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.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sbee[ r
If more than 1 septic system is on the lot:
COSA Checklist # 1 of 1
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: EAGLE VISTA BILK 2 LT 5
A. WELL DATA
Well type PRIVATE
Date completed 7/4/97
Total depth 308 ft
Date of test
Static water level
Well production
If A, B, or C provide PWSID #
Sanitary seal (Y/N) Y
Cased to 123 ft.
FROM WELL LOG
7/4/97
250
1-3
WATER SAMPLE RESULTS
ft.
g. p. m.
Coliform NEG Monies/100 mL Nitrate 2.14 mg/L
Arsenic NO ug/L Date of sample: 9/3/14
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEEL
Tank size 1250 gal. Number of Compartments
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
Date of pumping 9/18/14 Pumper JRS PUMPING
7
Parcel ID: 05011-09
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 24+ in.
AT INSPECTION
9/3/14
251
2.4
ft.
Collected by: ANSON MOXNESS
Date installed 8/11/97
Cleanouts (Y/N) Y
High water alarm (Y/N) N
C. ABSORPTION FIELD DATA
Date installed 8/11/97 Soil rating (g.p.d./ftz or ftz/bdrm) 1.2 System type TRENCH
Length 60 ft. Width 2 ft. Gravel below pipe 3.5 ft
Total depth 6.5 ft. Eff. absorption area 420 fe Monitoring tube Y Depression over field N
Date of adequacy test 9/3/14 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0 in.
Elapsed Time: 0 min. Final fluid depth 0
Water added 460 gal. New depth 0 in.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) _
Absorption rate >= 450
-g-p.d.
If yes, give date
D. LIFT STATION
Date installed Size in gallons
"Pump on" level at in. "Pump off" level at
Datum
E. SEPARATION DISTANCES
WELL ON LOT TO:
Cycles tested -
Septic tank/lift station on lot 100'+
Absorption field on lot 100'+
Public sewer main NA
Sewer /septic service line 25'+
Animal containment areas 50'+
Manhgle/Access (Y/N)
in. High water alarm level at in.
Meets alarm & circuit requirements?
On adjacent lots 100'+
On adjacent lots100 +
Public sewer manhole/cleanout NA
Holding tank NA
Manure/animal excrete storage areas 1004
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5'+
Water main NA Water service line 10'+
Wells on adjacent lots10D +
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10+
Curtain drain 50'+ (N.O.)
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Surface water 100'+(N.O.)
Wells on adjacent lots 100'+
t certify that / have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name LARS SPURKLAND
Date 9118/14
COSA brown sheet 10-10-12.doe
Absorption field 5'+
Surface water 100'+
Water main NA
Driveway, parking/vehicle storage 10'