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HomeMy WebLinkAboutEAGLE VISTA BLK 1 LT 1Eagle Vista Block 1 Lot 1 #050-711-01 Municipality of Anchorage On -Site Water and Wastewater Section > (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: 231098PID Number: 050-711-01 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Garry & Christine Michel ABSORPTION FIELD ❑ Deep Trench ❑® Wide Trench ❑ Bed ❑ Mound Site Address 3239 Talon Circle ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 5.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Block Lot Eagle Vista 1 1 Fill added above original grade +1.3-2.8 Ft. Gravel length 60 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines n/a Distance between lines n/a Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 517 Ft2 1 n/a Ft. Well 100'+ 100'+ NA NA 25'+ TANK H Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface Water 100'+ 100'+ NA NA Material Number of compartments Lot Line 5'+ 10'+ NA NA NA HDPE 2 Foundation 10'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Remarks Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer Moosehorn Construction Drainfield 3034 Co/MT3034 Inspector PES BENCH MARK (Assumed elevation) 100.0 ft Inspdection im 8/10/23 8/11/23 Location and description 2nd 3'd 8/21/23 41" 8/31/23 Deck / See Site Plan ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional A/-,, Approval: Date of Septic System�F Approved Date 0� Steven R. Pannone CE 149 CD/'OrES510 Note: this approval does not include well permit requirements. (Kev U9/U2/18) K - - n -i> LO C) C) M cu CJ n m -0 --1 m 0 M < c z m> 1111, > > 0 (n0> Z CD a: ---A ;u 0 C) cf) C) — r - 0 c m m F- 0 :7 a) m z cf) M �Q 0 z m m m> > r- --i O z r- M 0 U) M > 02 Cm (A � K C) K I-- IM c- �A M > -9 > F (� 0 Z TS F - DATE 09/01/2023 Fq x m > > Z�-< Zu >�u x cn m 00 -0 >Fj0 PHONE (907) 745-8200 FAX (907) 745-8201 EAGLE VISTA 131 Ll CARRY & CHRISTINE MICHEL 3239 TALON CIR EAGLE RIVER, AK stn M ;U F'� F� C) DRAWN C) cp -- 0 < 0 x 0 m 00 Cp (P M CO w CA Lj N) M co o o 0 cn — cb cT) > 6 -r, — oi m 6 cn --'j --4 8 8 Ln -P, c'j :� 4, ED (0 0 P) W CO 0D cn -P- C, M -,-I (A CD --1 1)) 11c -,1 00 n > � 0 W-< ; >u 101) ml) >1 6: - 0 ;;0 Ai.. "fitgwer, annome CE 8149 9/01/2023. ..... I-- IM c- �A M > -9 > F (� 0 Z TS F - DATE 09/01/2023 Fq x m > > Z�-< Zu >�u x cn m 00 -0 >Fj0 PHONE (907) 745-8200 FAX (907) 745-8201 EAGLE VISTA 131 Ll CARRY & CHRISTINE MICHEL 3239 TALON CIR EAGLE RIVER, AK stn M ;U F'� F� C) DRAWN C) cp -- 0 m U) -m x 0 m 00 Cp 0 A< 0) PERMIT NO. OSP231098 U)o G-) -u 0 m 0 cn m z 0 n '_1 �a 2: c/) q :j x -TI c� C/) < cn oc rrl NOTES: PANNONE ENG SVC, LLC (C.I. 1088) P.O. BOX 1807 PALMER, AK 99645...... Ai.. "fitgwer, annome CE 8149 9/01/2023. ..... REVISIONS DATE 09/01/2023 RECORD DRAWINGS PHONE (907) 745-8200 FAX (907) 745-8201 EAGLE VISTA 131 Ll CARRY & CHRISTINE MICHEL 3239 TALON CIR EAGLE RIVER, AK SCALE 1"=50' DRAWN LSC P.I.D. NO 050-711-01 CHECKED SITE PLAN PERMIT NO. OSP231098 SHEET 2 OF 2 I z o CD 0 W Ul 9 (R=50.00') (L=78.54') �,. GATE LEGEND ® FND. 5/8" REBAR C ) RECORD DATA PER PLAT #74-204 EDGE OF ASPHALT T FENCE Q UTILITY PEDESTAL LOT 2, BLOCK 1 PLAT #74-204 ® WELL \ 4" PVC SEPTIC PIPE BASIS OF BEARINGS: (S 89°56'45" W 260.00') 260,53' MEAS) -------- -------- C❑❑P�448' 98.7' \ \ GARAG (5' UTILITY ESMT) \\ (50,00') \ N� (N 89°56'45" E) \ o GUARDRAIL ..: • gpAO�T \ � SEPTIC p LOT 1 BLOCK 1 PT. AT {47d-'70,1 � I 0 o I 0 (10' UTILITY ESMT,) — --———— — — — — — — LOT 3, BLOCK 1 PLAT #74-204 TANK 52.5' co s FsI�F� F o \ \ N �© N WOOD \ '� e:.. �Nc SHED DECK \ \ 84.5' \ \ ------- -------— (N 89°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�sll •49 TH Ryan G. Johnson ��c•• No. 192159 ••��� ��� • • 8/25/2023 • 'S� � ��h'��OFFSSIONALL��� AS—BUILT OF: LOT 1, BLOCK 1 EAGLE VISTA SUBDIVISION PLAT 474-204 ADDRESS: 3239 TALON CIRCLE, EAGLE RIVER, AK 99577 LOCATED IN: ANCHORAGE RECORDING DISTRICT TIMBERLINE SURVEYING AND MAPPING DRAWN BY: R.G.J. 17035 BARONOFF AVE FILE NO.: 23.28 EAGLE RIVER, AK 99577 SCALE: I"= 80 FEET 907-242-5320 DATE: 8/25/2023 13-an@timberlinealaska.com SHEET: 1 OF 1 Municipality of Anchorage Ur.partment P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 e (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV231047 P I D#: 050-711-01 COSA#: OSP231098 Legal Description: Eagle Vista BLK 1 LT 1 Engineer: Steve Pannone Your request for a waiver of the required 17 feet horizontal separation between the proposed absorption field and the existing one has been approved. The approved separation distance is 10.3 feet. This waiver approval applies to the existing absorption field. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. .................. a 0 M 0 M M .................. a 0 0 M R .................. 0 a M M M M ..... ■ 1 Waiver is Granted: X Waiver is not Granted: Date: �2 3 Approved by: Name of Reviewer ................... 0 M M M a 0 ...... 0 M M X M 0 .......... ■ .................. 2 a a M M X .N0M0 ■ 1 **** VARIAN C E/WAIVER REVIEW **** Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com September 5, 2023 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Eagle Vista Block 1 Lot 1 Septic System Separation Waiver Request Ladies and Gentlemen: I am writing to request a separation distance waiver between a newly installed drain field and existing drain field of (10.3) feet. The existing drain field on this lot was installed on (09/16/1983) consisting of a deep trench with (85) feet of drain rock. A new absorption field was installed on (08/21/2023) (10.3') feet uphill from the existing trench. During excavation of the newly installed trench, soil was verified to be within six -feet of the existing trench & provided no signs of bio -mat material. It is known that bio -mat growth is typically concentrated within a two -to -three-foot perimeter outside of existing drain rock material within subsurface disposal systems, unless under certain circumstances. Due to the nature of existing soil strata these systems lie within, the hydraulic loading of these drain fields to create in excess—bio-mat growth on the perimeter of these drain fields; is unlikely to occur. Granting this waiver will not pose a threat to the safety of this lot or the surrounding lots, nor will granting this waiver affect the operational life of the new soil disposal system. Please contact me if you have any comments or concerns. Sincerely, September 5, 2023 Steven R. Pannone, P.E., F. ASCE Owner/Civil Engineer a, li 6`�z f .i.tr,: i; .4p. Boxl ,Palmer, .-L. _ MUNICIPALITY OF ANCHORAGE„r On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road }r n Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 V http://www.muni.org/onsite DepaI-till ent On -Site Wastewater Disposal System Permit Permit Number: OSP231098 Effective Date: 5/30/2023 Work Type: Septic Upgrade Expiration Date: 5/29/2024 Tax Code Number: 05071101000 Site Legal Address: EAGLE VISTA BLK 1 LT 1 G:0805 Site Mailing Address: 3239 TALON CIR, Eagle River Owner: MICHEL CHRISTINE M Lot Size in Sq Ft: 120307 Design Engineer: PANNONE ENGINEERING SERVICES Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7 -day groundwater monitoring. If results require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, if required). CO /div s��� fel' o fit' r P Ts T C t+- O -C--s / (-,-,v Received By: „ `� S-uj':�D po S Issued By: L Date: Date: Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panensak.com August 10, 2023 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Eagle Vista Block 1 Lot 1 Septic System to Steep Slope Waiver Request Ladies and Gentlemen: S, L -,.o F GV 1 ( Vl A- J`"O%%' fL'I_ ca ", A -t -D S f cr 71yrs 1�f� C- EP 1UrS OF fS, �S,2/0 I am writing to request a separation distance waiver between the proposed septic system and a slope of greater than 25% of eleven -point -seven feet (11.7'). The soils in this area are typically Hydrologic Soils Group A which contains organics underlain by silty sand and silty gravel (sm/gm), as shown on the soils log. Due to the nature of and drainage capacity of the soils found in the area (HSG A) the designed infiltration line of 46% for septic system installation on steep slopes should be used instead of the assumed/worst case soil classification infiltration line of 25%. The slopes and soil types enable installation of any system without the system effluent "daylighting" at any distance of concern. Granting this waiver will not pose a threat to the safety of this lot or the surrounding lots. Please contact me if you have any comments or concerns. Sincerely, August 10, 2023 Steven R. Pannone, P.E., F. ASCE Owner/Civil Engineer Anchorage Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Palmer Mailing: P.O. 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Fa=-'mwom='�ao m �vio ��F �o—z,, oZZ.zoo U3w y z oaw,�wz=r�a v wZ>¢oc��w�oa�gzm�w��w=wnav� o ozQrowa o=oo}Z}OZwz-o¢� �cwia ¢ r U a O r m o r O ¢ w x W r W Z a r r U J¢ U fn y U U U U W U = W Q V> J r Z o J�f/lzwoo fn¢o ¢ Jc3o�irw rmJoJ�o>��oz2 ozaa a wrawp�imw¢www�rw�wc¢.�¢ oow v W JOm O'0_Um} rJ r JZXJO=�¢WJOm JmW OW ¢J¢: W¢XO a' w,wwz WO 202272�r2J2)CZ UK2 W a ¢omo vi womwv�a m ¢ w W wzra�a¢U?¢?oomm�n� mm M w� z 1Jfn r¢W 3r¢rrvir p¢rwrwW oz _w O Z w U p r 2 U W z En N ha m U N h 7 6 6I� mm � � � U N M d6 6 Pz m r¢¢ U F- - N N N Cl N N N N N N N N Kj M Mj r7 e�j t�j rj 17 N raj � o _ O I N IOA N N N N Z wJi a p 0 0 0 0 0 0 � z z z F- tj O O O W M N O \ O O _z MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWERIWELL PERMIT APPLICATION Parcel 1. D. 050-711-01 Property owner(s) Garry & Christine Michel Mailing address 3239 Talon Cir Eagle River, AK Site address same Legal description (Sub'd., Block & Lot) Eagle Vista 131 L1 Day phone Legal description (Township, Range & Section) Lot Size 120,307 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X (w/wo AD U) Septic Tank ❑X Upgrade FX]Duplex (D) F]Holding Tank El Renewal El Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. S F—>P (Signature of property owner or authorized agent) Permit/Rush Fees: SqS Waiver Fees: Date of Payment: to -D 2 ,3 Date of Payment: Receipt Number: 0 9 2-� b G Receipt Number: Permit No. Waiver No. Permit App_::- : :-'.,'c Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 9 May 2023 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Eagle Vista B1 L1 3239 Talon Circle Eagle River, AK Septic System Upgrade Permit Request This is a design narrative for a permit to install a septic system upgrade on the subject property. The proposed upgrade will serve an existing four-bedroom (4) house. This lot and surrounding lots are served by private wells. Currently there are no wells within 100 feet of the proposed installation. 1. Soils: A test hole was performed on this lot by S&S on 9/14/1983. Groundwater was not observed during the excavation of the test hole, and bedrock was not encountered. Based on the results of the percolation test and overall soils appearance an application rate of 0.80 gpd/SF was used for the design of a conventional wastewater treatment system in the area of the test hole. Pannone Engineering will perform a test hole at time of construction to confirm the soil profile and percolation rate used for this design. 2. Soil Absorption System Design. a. See Sheet 1 of the design package. 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231098, Curtis Townsend, 05/30/23 Page 2 of 2 Mailing: P.O.Box 1807, Palmer, AK 99645 Telephone: (907) 745-8200 FAX: (907) 745-8201 4. Topography: Please see attached site plan for area topography. There are slopes exceeding 25% less than 50 feet down gradient of the proposed drain field. The proposed drain field design conforms to the steep slope provisions of AMC 15.65.210.B.4.a. Exception. The soils in this area are Hydrologic Soils Group A which contains organics underlain by a well graded to poorly graded gravel below, as shown on the soils log. Due to the nature of and drainage capacity of the soils found in the area (HSG A) the designed infiltration line of 46% for septic system installation on steep slopes should be used instead of the assumed/worst case soil classification infiltration line of 25%. The slopes and soil types enable installation of the proposed system without the system effluent daylighting at any distance of concern. Please see sheet 2 of the attached design package for the slope detail. 5. Drawing Markings: The Drawings are marked “For MOA Review Only”. When written notification that the review is complete and no further comments are received from MoA On-Site Department, the note will be removed and “For Construction” drawings will be issued. The proposed installation will not affect the future development of this or the surrounding lots. If you have any questions or concerns, please contact me at (907) 745-8200. Sincerely, SRP Steven R. Pannone, P.E. F. ASCE Owner/Civil Engineer 72-013{IW. 3f78f MUNICIPALITY OF ANCHORAGE + DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE EW TUS77C .1 i�S O 19Te19 ❑ UPGRADE MAILING ADDRESS C fi E n/ , 4ff / G LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS DISTANCE TO: Well// 7 Z Absorption area , Dwelling PERMIT NO. Uy ZQ Manufacturer fyx / r � i `/ E Mahal �� No. of compartments�� LU l .. `�� to Liq. cit in al Ions IF HOMEMADE: Inside length Width �_.. Liquid depth Y 6 DISTANCE TO: Well Dwelling PERMIT NO. C7 Z O Z < Manufacturer Material Liquid capacity in gallons O J DISTANCE TO: Well Foundation I Z Nearest lot lin �� PERMIT NO. w = LL Z No. of lines Length of ch line/ Total length.p�f inel Trench Distance between lines 41 z w S__V U inches 4L P Top of tile to finish grade f / Material beneath tile /� -�L 0 Z Total effective absorption a ea O J inches Length Width D th PERMIT NO. W U Q F Type of crib Crib diameter depth Total effective absorption area as w y Well Building foundation Nearest lot line DISTANCE TO: J Class De - Driller Distance to lot line PERMIT NO. J W 3 DISTANCE TO: Bui ding foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MA RIALS E v 1i SOIL TEST RATING�7 Z Z to f INSTALLER J Or S'n G 0f/I CS REMARKS CIO t, .3 i u' r a' i �V. APPRO ED DATE LEGAL 1C C- j `l: 72-013{IW. 3f78f -MUNICIPALITY OF ANCHORAGE Department Health and Environmental rotection 825 L Street, Anchorage, AK. y:)501 264-4720 # # # HANDWRITTEN PERMIT # # # Permit # LL AND/OR ON-SITE SEWER PERMIT Applicant: lC 3 Mailing Address:/Z���� /l/%% �f/h/ Location: Phone Number: Legal Description :G�L/C s� Lot Size: Type of Soil Absorption System Is: Trench: Drainfield: _ Seepage Bed: Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) 212 Ad The Required Size of the Soil Absorption System Is: DEPTH LENGTH GRAVEL DEPTH [/ Z WIDTH 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). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = 2sa GALLONS # # 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. * # * TWO(2) INSPECTIONS ARE REQUIRED # # # 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. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. PERMIT EXPIRES DECEMBER 31, 1 9 3 3 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 wi i stall the system in accordance with codes. (3) I nder�d t /the on-site sewer system may require enlargement if r .ce remodeled to include more that 1 -bedrooms. S licant SWP/024(1/81) Issued by: Date: ❑ SOILS LOG _ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION VZ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: �V �-il L \ )07'►K. L��`i DATE PERFORMED: LEGAL DESCRIPTION: L�7- B4 l� / �.4G 4L 1��,s7-" S-// U SLOPE SITE PLAN 2 � 6-' 8 �f- 9 10 � •� 11 i 12 13 �© a 14 15 / �P . e---av l L Abu-, �,f� / Z- / ' �C A l�Ir 16 B o;'s�A'' J 17 d 18- 20 8 20 COMM WAS GROUND WATERS ENCOUNTERED? 0 L 0 P E IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 72-008 (6/79) 3 " -3 210 "if J ti :7 k S L7 (t i �.ig ►� /� S 7 g rl -' PERCOLATION RATE TEST RUN BETWEEN $ & P [:3XIWEERIPJG PERFORMED BY: CERTIFIE SIVES PH. Er, 72-008 (6/79) S /_ (rgLi nutes/inch ) ( z- FT DATE/ by ..ioocco.aw �.K +iEt.EPHDNE �i69) _•-.k.``- +. `" -x - ;-;�V.43.1SOXtn2�fllAitl►1( ►7.tit� } _ .r "` "r - _ p Y s DEPTH OF WELL OWNER OF LAND LZ 14 K 7 r -J 6p9T2 ADDRESS Loi �� %l c'k L) s? LEGAL DESCR►PTIwl J< `r t c /$ 3 DATE - Started I Ended ) ° , c c q (z fA Vll )i%17E c PERMIT NUMBER ti - /6y��cc.7 l3�/, l f M �e�9- STATIC LEVEL OF WATER FT DRAW DOWN FT. . 7 e, GALS• PER HR "4 KIND OF CASING _ KIND OF FORMATION: Ft —Ft. �-Ro /1A..i T�.3s� iGOt.CiFrom Ft. to �f✓eL _ From •Ft.to __ - - i �4 �_Ft. IJ�Or ,CjFrom _ From- —ft. to , r - Ft From -ft. toly_ From-FFt. From Ft. to F From Ft. !o g - F m Ft. to Ft. From Wit. to ft Vk (.J N TFC From Ft. to -From Ft. to FY `Ft.to ., .:.From _. .. '_JF^Tt�IO l . ♦ 1 � i � roID Trom -FLtoL --From d • if <4 � �_ � 1 .� - ,.From �L.'%f� �� � _ , • �L to fit. fLto_=-^#'L From ft. From ft. to� Ft. t:. rom to-:—�F _ t� - From ---Ft. From ' Ft to V Ft. to M IT[� Ft. 5' From , From Ft. to F't. From Ft. to Ft. t. to_-�t From �-F From Ft. to Ft. b tSCL.INFORMATION: .I ,R DRILLERS NAME 1` r �1-1 CM3 I I 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. 050-711-01 Expiration Date: Legal description EAGLE VISTA BLK 1 LT 1 Site address 3239 TALON CIR Eagle River AK Current property owner(s) MICHEL X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: V G By: Original Certificate Date: 1 J G 20 Z 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 Approval_June 2022 MUNICIPALITY OF ANCHORAGE R05VA, Development Services Department T Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 05071101 Complete legal description Eagle Vista 131 L1 Location (site address) 3239 Talon Circle, Eagle River Current property owner(s) Garry Michel 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 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: [ ] Steel ® Plastic ❑ Concrete ❑ Fiberglass Age new - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: 0 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 $ It `i S Date of Payment 5 /t / ZOZ COSA # C5 C,3a 3 3 (-1 Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 COSA Checklist_June 2022 COSA Checklist Legal Description: Parcel ID: If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank Date of pumping Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) 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) If yes, enter date Adequacy test date Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth remaining in Comments/Deficiencies: COSA Checklist_June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft 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 ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F.ENGINEER’S COMMENTS 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 Phone Engineer’s Printed Name Date $u • Municipality of Anchorage =" On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 050-711-01 Expiration Date: 1. GENERAL INFORMATION Complete legal description Eagle Vista, Block 1, Lot 1 Location (site address) 3239 Talon Circle Current Property owner(s) Mark Inghram & Mary Sims Day phone Mailing address PO Box 771721 Real Estate Agent Day phone 2. TYPE OF DWELLING: F Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public vvater Systeill WaiverNariance request TYPE OF WASTEWATER DISPOSAL: 0 Individual 171' ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ Distance: Received by: .` /! u:;_ s -' +:-" f Date: COSA to be released to the engineer, unless othemise requested by the engineer. COSA Fee $ qqo Waiver Fee $ Date of Payment 111511-6 d,� Date of Payment Receipt Number 6,3 7 15G Receipt Number COSA# �S� I3 �33�' Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Phone (907) 272-8218 Date 6/28/13 ""M;e�ve�n 6. DSD SIGNATURESystem #1 Approved for bedrooms ++fig CE -81 System #2 Approved for _ bedrooms f�' Disapproved !�l\ DPR 1W= Conditional approval for bedrooms, with the following stipulations: By: zx Original Certificate Date:? — ✓ ` / J unicip Ity An rage 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 1. c If more than 1 septic system is on the lot: COSA Checklist # + of i Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description Eagle Vista, Block/ 1, Lot 1 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 8/25183 Sanitary seal (Y/N) Y Total depth 120 ft. Cased to 120 ft. FROM WELL LOG Date of test 8/25183 Static water level 70 Well production 4_0 WATER SAMPLE RESULTS: ft. Parcel ID: 050-711-01 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18 in. AT INSPECTION 6/26/13 74 ft. 3.1+ g. p. m. Coliform Abse„�olonies/100 mL Nitrate , • x y mg/L Arsenic 0.9 '19 ug/L Date of sample: 7 7.lo 13 Collected by: P Cs B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 9/16/83 Tank size 1,500 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 9 A Pumper SQnii'c.� 1 Pu.w.ne/S C. ABSORPTION FIELD DATA Date installed 9/16/83 Soil rating (g.p.d./ft2 or ftp/bdrm) 212 SF/BR System type Deep Trench Length 50 ft. Width UNK ft. Gravel below pipe 8.5 ft. Total depth 13.1 ft. Eff. absorption area 850 ftz Monitoring tube Y Depression over field N Date of adequacy test 6/26/13 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 58 in. Water added 612 gal. New depth 61 in. Elapsed Time: 210 min. Final fluid depth 58 in. Absorption rate , 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level at in. Datum Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Animal containment areas 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 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. Engineer's Printed Name Steven R. Pannone Date 6/28/13 COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ in.