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EKLUTNA HGTS STEWART ADDN LT 5
Onsite File Eklutna Hgts Stewart Addn Lot 5 #051-063-22 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page I Of—? ON-SITE WASTEWATER INSPECTION REPORT Permit Number: 5 VL/0 S 00 08 PID Number: 0S/- 063- z2 Dwelling: �; Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New '`Upgrade Name: (6g J- 6,d Tg ABSORPTION FIELD Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 21457/ /3E/4.z V16W j>t-ACE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5Z?- 7 p 0 H O.O / GPDISF /0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade � • Ft. Gravel depth beneath pipe ,. 75 Ft Subdivision Block LotT S Fill added above original grade Gravel length -Q U 4 S S%f J/Pil% Q Township Range Section �-f' Ft t Ft. Gravel width 3 Ft. Beds: Number of Lines � Distance between lines FL SEPARATION DISTANCES To Septic Tank Absorption Field Lift Station Holding Sewer Line Total absorption Number of trenches Dist. between trenches I From Tank Fe Ft. well r f IdQ r'f _ _ Z TANK Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer �1 I Q 6 l �k— Capacity /� /OGv Gal. Surface Water Qdf Qt7 r� Material S L Number of compartments Z Lot Line /0:f NA Foundation lQ f za:(. — LIFT STATION Manufacturer Capacity Gal. Curtain Drain — — _ Remarks Carr _sTRcl�-Tiotil Pump on level at in. Pump off level at in. High water alarm at in. _11,15ONC(E1) �Y /alSf'ECI/0� Pump make and model Electrical Inspections performed by InsmUer PIPE MATERIAL- House to tank p Tank to - / V�.�d�f�'drainflek! o/u /4d Or^! /� ��` I F/E/� Drainfield 301! COIMT Inspector lOr •A BENCHMARK (Assumed elevation) /00 ft A /rt NS/aowr-y Inspectionm dates: 1 2nd. Location and description'... ,l O y 3m 4"' DATA COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp .>�r •; r Conditional Approval: Date �®®629 Gie ee68ga t E" ;4eY ¢Yn n SfmYEn u'. 4fl e� v r 625�i fil Approved Date i -1 Inspection Report 9-1't7.oFc Ip o Q1`p^oa NMS -W"t WI�V Q UO G%0 m ON 0%nv (U V U7 In 0 �o VI 0 U N H x z L- O L N x _ > H O z m J z Z) W (n _I O L9 0 LO v H O 00U Ol F7 m 0 W D 0 m V) V) z M to c� O o Q/OOapa wOH 4 0 J a ! -� 30dld M31A MV38 Q Z � J Y J W H IFMA 0 J f z � 1v <E I= w 3 � O w Q n Z Y w z U ~ Z U n cca o o N Wn ` o a �Z0 n p2Qe� ZW a W MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW050008 Legal DescriptionwEKLUTNAHGTS STEWART ADDN LT,'.5 _'I Design Engineer: 0070 KND Engineering Owner Name: NORMAN E. JOHNSON, JR Owner Address: 21651 BEAR VIEW PLACE CHUGIAK . AK 99567-0000 Z�1Z 6qgb Z,1' -t& Daub Date Issued: Jan 10, 2005 Expiration Date: Jan 10, 2006 Parcel ID: 051-063-22 Site Address: 021651 BEAR VIEW PL Lot Size: 8400 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ❑✓ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Private Well Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specked in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: / / br Issued Byr Date: 0-,405- Municipality of Anchorage Development Services Department '•, •��"s Building Safety Division ; Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D`051-063-22 Permit Number SW Property owner(s) Norman F_ Johnson, Jr- Mailing address (1) POR 671866, Chugiak, AK Day phone 6RR-5798 99-997 ag address (2) AIL051 � VLQu) pt f . zip Code Legal description (Lot, Block & Sub'd-) Fklutna Heights Stewart Addition, Lot 5 Legal description (tSection, Township & Range) � 0 `i Lot Size ce Acres/(.Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ❑ Well Only Sewer and Well ❑ Water Storage El Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi Q Swimming Pool ❑ Water Softening Unit Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. of property owner or authorized agent) Permit Fees: goo Waiver Fees: °C Date of Payment:II�/49S_ Date of Payment: Receipt Number: __JO�W Receipt Number: (Rev. 12/00) K D ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 December 28, 2004 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Sewer Upgrade w/ Lot -Line Waiver — Eklutna Heights, Stewart Addition, Lot 5 Gentlemen: The owner has requested we proceed forward to obtain a septic permit to upgrade and replace the existing septic system and tank for the subject lot. Per previous discussion with DSD staff, we propose that any bio -mat saturated soils encountered during construction is to be removed and properly disposed of in accordance with municipal standards and clean material reinstalled per the attached design. The existing septic tank will be abandoned in place and in accordance with municipal standards. On November 26, 2004 we dug one testhole for the proposed system. The results of this test are attached. The general slope of this lot is flat. We have designed our system utilizing the testhole we excavated for the 3 -bedroom house. The lot is served by an individual well. We propose to install a 2' wide deep trench. Water was not encountered during the excavation or monitoring. Due to the small lot sizes of the subdivision and close well radii, a 0' septic to lot line waiver is requested with this upgrade. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, 1K.R D Engineering, Inc. Kenneth M. ffus, P.E. Attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/ Percolation Test Owner/ Contractor Specs WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PL EKLUTNA HTS. STEWART ADDN, LOT 5 IW HELL RMU9IEXISTM(') 0 LOT Y N G LOT 1 ci C. EM S BORN HOUSECO i EnSTRq THy:HD pw�E 501-1 All IW'YALL R%DUSIE%i51 LOT 4� �s ,W KELL MD,I91F%I9...DT �oTc w a ALL WELL S LOT LNES TO CONS TION ,5.0EWTM SEPTIC 132 5.O' FLAG ALL WELL RADII 3 BDRM X 150 GPD - 450 GPD & LOT LINES PRIOR 450 GPD/0.6 GPD PER SO. FT. (25 MIN/IN.)= 750 SQ. FT TO CONSTRUCTION (750/(2'(W)) X 7.50)) (7.5' GRAVEL) = 50.0 FT. TRENCH USE I TRENCH - 60 (L) X 2' (W) X 7.5'(D) Total depth of system Is 10.0' from original grade. Total depth of gravel below distribution pipe is 7.5' . NOTES, 1. CONTRACTOR IS TO REMOVE AND DISPOSE OF ALL BIO -MAT AND SATURATED SOILS, THEN ADD LEVELING SAND IF NECESSARY TO TEN FEET FROM ORIGINAL GRADE. 2. PLACE PROPOSED SYSTEM IN CLOSE PROXIMITY OF EXISTING SYSTEM AFTER THE ENGINEER HAS INSPECTED THE REMOVAL OF EXISTING SYSTEM AND THE OPEN TRENCH. 3. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 4. INSULATE TANK WITH 2' HD BURIAL FOAM IF LESS THAN FOUR FEET OF FILL. 5. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 6. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 7. CONTRACTOR WILL ENSURE ALL OTHER SEPARATIONS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. OF ALq �1 � �orIr * TH *,/ T� ' KENNETH�1(. , CE: 7i Wa �AV fESSIOK� PREPARED FOR, NORM JOHNSON P.O. BOX 671866 CHUGIAK, AK 99567 688-5798 nELD BOOKS B00' NA STA"xL' NA AM'AT* NA DAV. nc AW rM n' n" TXAnnm: DmWAC CECND:D: KMD DATE' 12/28 CAR. NW14E 'DD N" 04073 NO PUBLIC WELLS VITMN Ear IS PROPOSED SYSTEK NO PRIVATE WELLS WITHIN Ear Or PROPOSED SYSTEM EXCEPT AS NOTE& NO SEPTIC SYSTEMS WITHIN EW OP PR POSED WELL EXCEPT AS NOTE& Scale, 1'= 60' PAGE 1 OF 2 ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 III WASTEWATER DISPOSAL SYSTEM DETAILS EKLUTNA HTS. STEWART ADDN. LOT 5 LOT 6 Z OTE: c~n FLAG ALL WELL R w & LOT LINES P R TO CONST CTION! 0-3% rrc ru�tu CO LOT 5 10 0 GAL K MT DECK 2 o . EXISTIN CO Lu 3 BDRM U) HOUSE FCO CD OZ G TI—KND x DEC #04-1 LL RADIUS (EXISTIN 47.9' MT 0-3% LOT 4 ^ OF�csL 1 PREPARED FOR, �NORM JOHNSON 9 TE �9�11 �t� 6 88-57 96 7K899567 KENN . D / FIELD BOOKS Capvrm: CE -71 9"c'" NA Dv : NAC n� NA C"EcKo� KMO e^� / '99"' NA DATE: 12/28 Pft8sslvo -' o.G Mr. cm NW14E 04073.DWG °B "" 04073 5.0'% EXISTING I SEPTIC 13.2' ROPOSED SYSTEM ROPOSED PR YSTEM TO RE & BE IN CLOSE PROXIMITY T EXISTING SYSTEM. .0' %. wF44c Scale: 1'= 20' PAGE 2 OF 2 J.b1dV LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 1 MND ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for: Norman E. Tohnson, Jr. Date Project: Eklutna Heights Stewart Addition, Lot 5 TEST HOLE x 04-1 1- 2- 3- 4- 5- 6- 7- 8- m 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- Depth (Feet) Org/SM/OL—brown silty loam w/organics GM — med dense w/cobbles to 1'+ moisture increasing w/ depth B.O.1 f. SEE ATTACHED SITE PLAN —] FOR HOLE LOCATION Was Groundwater encountered? NO What depth? NA Depth to water after monitoring? NO Date? 12/03/04 Reading Date Gross Time Net Time Depth to Water Net Drop 1 11/27/04 2:00 - 6" - 2 2:30 30 min 410/16" 1 6/16" 3 2:31 6" - 4 3:01 30 min 4 12/16" 1 4/16- 5 3:02 6- 6 3:32 30 min 413/16" 13/16" ' Water I Added Percolation Rate 25.26 (min/ in) Perc Hole Diameter 6" Test Run Between 5 feet and 6 feet 1, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. K D ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 696-6111 /FAX (907) 696-8111 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: EKLUTNA HEIGHTS, STEWART ADDITION, LOTS GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single famil residence on the referenced property as delineated on the attached Municipality of Anchorage MOA) permit and site plan. 2. Construction shall be in accordance with the approved site plan and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. KND Engineering Inc (KND) assumes no responsibility of the accuracy of the as -built survey provided by the owner or owner's representative. 4. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 5. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. 6. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 7. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 8. The MOA Development Services Department On -Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK / HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the fmal grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. n."e I ,.r z Reference: Eklutna f lts., Stewart Add., Lot 5 Date: 12/28/04 Page: 2 of 3 7. All H.D.P.E. tanks shall have a vertical length of 4 -inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high -groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distributionpipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: Tyne of Pine Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 37o passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or DEC requirements. Reference: Eklutna 11ts., Stewart Add., Lot 5 Date: 1ZI28/04 Page: 3 of 3 INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non-compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and KND Engineering, Inc. KND shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. KND shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. KND's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGES HAVING READ AND ACCEPTED THESE SPECIFICATIONS. Owner: Contractor: Municipality of Anchorage ;,;• ;4 .1y P.O. Box 196650 • Anchorage, Alaska 99519-M50 • Telephone (907) 343-8301 •Fac (907)31.46."00 ` 4700 nmgaw� Street • Anchomgc, Alaska 99507 $ " ` r' wxx•.munl.org Mayor Mark Begich Building Safety Division January 10, 2005 Brent Western KND Engineering 20441 Ptarmigan Blvd Eagle River, AK 99577 Subject: Waiver Request for Eklutna Heights, Stewart Addition, Lot 5 Waiver Request #WRO50002 Parcel ID #051-063-22 Permit Number 050008 Dear Brent Western: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved..'Me approved separation distance is 0.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, rGdallgineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage Development Services Department r <, +.r Building Safety Division : On -Site Water and Wastewater Program - 4700 Bregaw Saw P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet HAM _ Permit#: aw050008 Date Received: VIM ,•war •rr •r Waiver Requested: 0 foot lot lure waiver Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: ............................................................................... Waiver is Granted: List Conditions or Reasons for above: Waiver is not Granted: Date: 4 e By: %�,, (7. Name of Reviewer ■.......■.......■..............■............................................... Roe#: JM Amount $M Date Paid:111012005 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/ PHONNE 6 7,/ �Y"/,j $NEW —I UPGRADE MAILING ADDRESS /� 77 LEGAL DESCRIPTION LOCATION JNO.OFBEDROOMS U DISTANCE TO: Weil ��' Absorption area 7 Dwelling n / PERMIT NO. �pp3�G a Q w r Manufacturer Ca Material �TE6 L No. of compartments 2 rn Liq, capacity in gallons IF HOMEMADE: Inside length Widt- Liquid depth / 1' Juz DISTANCE TO: Well Dwelling PERMIT NO. O H Manufacturer Material Liquid capacrity in gallons w= DISTANCE TO: Well /0Q Foundation /`%' Nearest lot line ' PERMIT NO. I 7003 O J LL Z No. of lines Length of each line Total len th of lines Trench width Distance between lines FEW L 46 t $ /rJ' S' O inches F p Top of tile to finish grade , 31-z-' TD ,51 &A,N//04,rW Material beneath ti -e inches Total effect e abso��r..pCCti��ol1n area /Q 410 Length Width Depth PERMIT NO. w C7 Q h Type of crib Crib diameter Crib depth Total effective absorption area as LU WWell Ln Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J W � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS .4 /i C. I. 4 •r P(/C SE-LJE,Q , - �'' SOIL TEST RATING I r ; INSTALLER 4S/Z17Al C/iU)cl2S //V& REMARKS 6 CONT/n/G6 7-N .Vid°iP �. r�' l �I v,G 2 ✓ o SE r E!I c '.c% 41Ol- L.,�E A, o;WELL ae�a •a ^rye I i of j II � I I • •may' ^ 9'� � t`( •aa.•.... •.• ............ 0 ;3:3�• Earl P. Elis�D 4 I I I F � %114 /1UFESSW% AV APPROV D DATE LEGAL Gfie- 7� ! oT ID </�C.JT/f/ff {fTr, 57,i-/ 72-013 (Rev. 3/78) ML phi I �� I �L I TY OF F�f'-�Ir'1-'t�� `�E D�'ARTMENT OF HEALTH AND ENVIRONMENTAL 1 ,<OTECTION V .^_•25 'L` STREET, ANCHORAGE, AK. 99501 264-4720 WELL F=1NL-31 ON— ITE SEL,�iEft F='EFZM I T PERMIT t40. C 700340 ) L I 1t:T KUR�:O ^,LR= IC. iN GU I D INC P. 0. BOX 214 E. R. 39577 694-349= LIOCRTION LEGAL L5 EKLUTNA NTS STEWART ADD LOT SIZE 9400 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT.'ER)= 290 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: IaEF=rTH= 12 LENGTH= 2 i3F;ZFzl%/EL E>EPTH= 7 THE LENGTH DIMENSION IS THE LENGTH CIN 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 CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS T14E MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE nND THE BOTTOM OF THE EXCAVATION CIN FEET). F;ZEQU I FEEC> SEFrmT I G -rn"K S I 2ZE= 1000 GF:lLLLOFdS ^ERMIT 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. --- TWQ C 2 > I NSFm'EGT I ONS F1RE FZEQU I FZEI> --- 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. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DRYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE 1 '�f 1St-! IL•LL ! L• 1t�J�11M11_ !'�� �i '�n 1t�JT11L LI I r l�il �. C EL f- 't"t i- L=?ti: ' I ^F C1Ef- Et-1F3r-- - --1: 1 ?c. I CLF: r I FY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: 1 WJLL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT,THE ON-SITE SEW SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMOD I NCLL0C?E .E THAN 3 BEDROOMS. WWI r NT ICOR Kii Fi 85K.AN BU I D INC. ISSUED B'r _ `' 'L �-'� ' / �=-DATE__ _ /-� — '�? 2 t--------------- wAL % K(-'l2Kq 0 Ft E GEO ECHN1 CAL £t DEVEL PMENT CO. Box 90, Davis St , Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG sea-ZM Soils Er Foundations Land Development Performed for: Name: "/I- off ALs //vc. Tel. No. S4/ 7 Mailing Address: /mac,x z/S�, EyU4,E �l�'E�, /,1�• 99;1"77 Legal Description: ,v,,.qrs p., Sr.evv, v/1r /��a�✓ Depth (feet) Soil Characteristics 1 1 71 /f j'�� ? /� i /�^i' .mac � is �B,>1 3 4 6 Df 7- i s cs s r 76.-f c -F {fir 16 P z -r f z4d Ground Water Encountered: Yes No / If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: 7 Performed by: �' ` /�/« Date: / 7� M -W DRILLING, INC. DRILLING LOG Well Owner Location (address of: Township, Range, Section, if known; or distance main of Well Size of casing Depth of Hole feet Cased to feet Static water level ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ). Describe screen or perforation Well pumping test at gallons per (hour) (minute) for hours with ft. of drawdown from static level. Date of completion WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness TO- TO- TO- TO- TO- TO- TO- TO- TO- TO- TO- TO- --TO- TO- TO- 2 OTOTOTOTOTOTOTOTOTOTOTOTOTOTO2 —STATE UP M C P"-�L] TY O F" sk11 C -J 0,� 1 .Y, 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. 051-063-22 1. GENERAL INFORMATION Expiration Date: l 2 Z(9 l C� Complete legal description Lot 5, Eklutna Heights, Stewart Addition Location (site address) 21651 Bear View Place, Chugiak, Alaska 99567 Current property owner(s) Garrett &Kaytlin Davis Day phone (907) 782-5857 Mailing address 21651 Bear View Place, Chugiak, Alaska 99567 Real estate agent Justin McGhee/Realty Simple Day phone (907) 350-7077 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic KI 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 $ 5SD Date of Payment 011191 11 Lk 60 31-7 Receipt Number COSA# o,nq Igqo Waiver Fee $ 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 Pinard Engineerirg Phone (907) 232-1347 Address PO Box 871347 Wasilla, Alaska 99687 Engineer's Printed Name Paul E Pinard 6. DSD SIGNATURE Date 9/18/19 jig OF A %_ © 0 9th 9 0 1 i System #1 Approved for bedrooms�a "`� Pinard k,� T Paul E. inard �N System #2 Approved for bedrooms s CE - 4793 Disapproved�fi�°""°"°pg°P�<c. Conditional approval for bedrooms, with the following stipulations: rr 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 engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory_ Septic System Advisory Arsenic Advisory Well Flow Advisory Other CASA Checklist blue sheet COSA Checklist.. Legal Description: Lot 5, Eklutna Heights, Stewart Additionparcel ID: 051-063-22 If more than 9 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth 1 D ft Cased to ft El Sanitary seal is functioning correctly $7 Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 9/13/19 Structure served by this system Well production at time of test _1. qpm Water storage tank volume gallons. Well disinfected for coliform test? ❑ Yes No U Coliform bacteria is Negative Nitrate 5.87 mg/L ❑ Nitrate less than MRL (ND) Arsenic 2`36 ug/L ❑ Arsenic less than MRL (ND) Collected by Pinard Engineering Date of Sample 9/9/19 Static water level at beginning of testi 175 ft_ Comments See attached Well Flow Test Data Sheet, B. TANK DATA C. LIFT STATION NA Age of tank(s) 14 years ❑ Required maintenance completed Tank type/material Septic/Steel Age.of lift station years Measured operating fluid level in septic tank 4. Lift station material ® Standpipes/foundation cleanout per record drawing Comments: Date of pumping _ 9/17/19 Receipt Attached D. ABSORPTION FIELD DATA Which system tested (date installed) X05 ® ALL standpipes present per record drawing Total measured depth from grade 11 ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ NIA — pressurized field ® Monitor tubes go to bottom of effective_ If not, state depth into effective ® Code -required soil cover over field Adequacy test date 9/13/19 Results X( Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 0 in Elapsed time 345 min Final fluid depth 0 in ® System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) No date of test) Gallons introduced 2000 gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet 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 Wells on Adjacent Lots: Community Sewer Manhole/Cleanout > 100' ® Yes if No ft FX1 Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' © Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 900' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' Q 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 ft Water Main > 10' ® Yes if No ft Community Wells > 200' Yes if No ft 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 _1 =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 ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS Waiver granted by MOA 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. COSA Checklist yellow sheet O.f9�� � Q9th °° +� ° ®a ..�.....�....., .. .. % n Paul E. Pinard R'►,j?ae3 0E - 4793 as°��b�� L �� W WO/ b Nitrate Advisory Certificate of On -Site Systems Approval # OSC191440 Subdivision: Eklutna Heights Steward Additions, Lot: 5 a # s t: •.1 rI. , f r A water sample revealed a nitrate concentration of 5.87 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. s �� ;�„�1Vl�il�ng�Address=Pb���19665Q�incht��age;Aia�t���519 X50 � tnun��rg ��� ��� Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby' disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. �Mating ntss RBox 196�6Dchaag;aska 99519651*ulrmh�urg� Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-063-22 1. GENERAL INFORMATION Expiration Date: /04_1 Complete legal description Eklutna Heights Stewart Add. Lot 5 Location (site address) 21651 Bear View Place Chugiak AK Current Property owner(s) Johnson Day phone 529-9084 Mailing address same Real Estate Agent Craig Nagunst, Greatland Day phone 529-9084 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) `j l IV i ❑ Duplex `1j 9 ❑ Multiple Dwellings (Single Family and/or Duplex) JUN 2 4 2014 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual 11 Individual Water Storage ❑ Holding Tank ❑ Community Class C Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: Date: 7, Z --� COSA to be released to the engineer, unless of erwise requested by the engineer. COSA Fee $ C;Lto%.611�) Date of Payment (o l► Receipt Number 0155-7) 1 p5 7) COSA # O j(Aq 4D 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. Name .of Firm NorthRim Engineering Phone 694-7028 Address PO Box 770724 Eagle River Engineer's Printed Name Steve Eng Date 6/23/2014 e.� A ••, 6. DSD SIGNATURE ,4Py 16 Z\ } @iLBt PY 0^3 System #1 Approved for bedrooms. � a� a r^ S:cvcn V'*. System #2 Approved for bedrooms.: 3 ". Disapproved. Conditional approval for bedrooms, with the following stipulations:. By: /O -"t' L Original Certificate Date: The Munlcip - y o chorage Devlopment 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 Septic System Advisory Well Flow Advisory COSA blue sheet 9-1-12AM X Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: . COSAChecklist #_of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: F_ KGy7;(M .N% S S'r� /+2 i .4�� L S Parcel ID: 6 _S/ 06322 A. WELL DATA Well type / If A, B, or C provide PWSID # Well Log (YIN) Date completed _ Sanitary seal (YIN) Wires properly protected (YIN) Total depth fk Cased to ft. Casing height (above ground)22% t/ in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. /Z 5 ft. Well production g.p.m. 2 g.p.m. WATER SAMPLE RESULTS: Coliform _Ocolonies/100 mL Nitrate 3• IV mg/L Arsenic j2. 227 ug/L Date of sample: zT B. SEPTIC/HOLDING TANK DATA Tank Type/Material Collectedby: X/ae1%/0r-" !cam Date installed 200 S Tank size lO-0 gal. Number of Compartments Z Cleanouts (YIN) Y Foundation cleanout (YIN) Depression over tank (YIN) N High water alarm (YIN) A/ Date of pumping (3 Pumper .S C. ABSORPTION FIELD DATA Date installedZ00 S Soil rating (g.p.d./ft2 orftZ/bdrm) a • A' System type Length _ O&N ft. Width 3 ft. Gravel below pipe -75- ft. Total depth I/ ft. Eff. absorption area �QQ_ftz Monitoring tube Depression over field .t Date of adequacy test !o / Results (Pass/Fail)10 For bedrooms Fluid depth in absorption field before test 3G in. Water added 450 gal. New depth in. Elapsed Time: R -min. Final fluid depth 3t' in. Absorption rate >= /7/so g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) iJAliC : If yes, give date D. LIFT STATION IV4 Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons "Pump off" level at Cycles tested Septic tank/lift station on lot _/DO �{ Absorption field on lot Public sewer main N� Sewer /septic service line 2 r Animal containment areas 50'f Manhole/Access (YIN) _ in. High water alarm level at. Meets alar & circuit requirements? On adjacent lots /Da On adjacent lots Public sewer manholetcleanout "A Holding tank A1,4 Manure/animal excrete storage areas /00 e- SEPTIC/HOLDING TANK ON LOT TO: Building foundation / 0 f Property line /G 'f Absorption field S �` Water main A/ I Water service line 50 Surface water /00 f Wells on adjacent lots M0 �t ABSORPTION FIELD ON LOT TO r #•I Property line Building foundation 0 'A Water main N� Water Service line 25 'f Surface water / Ci O & Driveway, parking/vehicle storage 5d F Curtain drain L1�09 Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that t 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 Date COSA brown sheet_10-10-12.doc " ••�s•Nle, •0• � k ,•N _ .�u •Otcat �. �w ••w . Steven W.: .. I ^E 6255 PLOT PLAN _ AS BUILT X SCALE 1" - 30' GRID NW 1460 Project No._ 14-114 inc. C . 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 I_t711 & Associates, (907) 522-6476 Phone gog0 Registered Land Surveyors (907) 522-4625 Fax OF AL°q�p w ken*langsurvey•com J jonafhonalangsurvey.com d �<�.,.• qSQ�� I hereby certify that I have surveyed the following described property. T' LOT 5, EKLUTNA HEIGHTS SUBDIVISION, R.H. STEWART 1952 ADD. (PLAT 63-10) �. 4 --U* .� Anchorage Recording District, Alaska, and that the Improvements situated thereon are 1•. within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed Oji F;,• premises and that there are no roadways, transmission lines or other visible /�� KENNETH LAMG k easements on said property except as Indicated hereon. Dated this the _V Day of _ 7V , �,'Zx� •, at Anchorage, Alaska Q rd ��4 QFESSIONN. 1# 1s the responsibility of the owner to determine the exlstenoe of any easements, w�gOgoo�`y� covenants, or restrictions which do not appear on the recorded subdivision plat. i I � ! � � LOT 6 N 89`59'24"E 120.17 i I I uT o °t CARPOM LU 13.2 24.2' SEPTIC LENNIE HEIGHTS z ❑ CLEMOl1T5 SUBDIVISION n 4 7'x7' SHED— ., - -. .::. La \ LOT 5 a..; .. .. - 31x8` PDRCH-<+.� ' w �; v oYz td ` gVEL DRiVEWA1 . v~o Tx7'SHED O '- TEST HIXP � I Q LOT 5 4sa' 24.2' 8411 M. ----- m w M'00.D' DECK 20.0' v w S 89-56,24 W 120.13' 0UNK FENCE UNSUBDIVIDED I RAa1US I LOT ,gfGTiVG �y I / I j I I PLOT PLAN _ AS BUILT X SCALE 1" - 30' GRID NW 1460 Project No._ 14-114 inc. C . 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 I_t711 & Associates, (907) 522-6476 Phone gog0 Registered Land Surveyors (907) 522-4625 Fax OF AL°q�p w ken*langsurvey•com J jonafhonalangsurvey.com d �<�.,.• qSQ�� I hereby certify that I have surveyed the following described property. T' LOT 5, EKLUTNA HEIGHTS SUBDIVISION, R.H. STEWART 1952 ADD. (PLAT 63-10) �. 4 --U* .� Anchorage Recording District, Alaska, and that the Improvements situated thereon are 1•. within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the property lying adjacent thereto encroach on the surveyed Oji F;,• premises and that there are no roadways, transmission lines or other visible /�� KENNETH LAMG k easements on said property except as Indicated hereon. Dated this the _V Day of _ 7V , �,'Zx� •, at Anchorage, Alaska Q rd ��4 QFESSIONN. 1# 1s the responsibility of the owner to determine the exlstenoe of any easements, w�gOgoo�`y� covenants, or restrictions which do not appear on the recorded subdivision plat. 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE (—kl\, ❑ Two ❑ Five Ll - 1G - , vis INSPECTOR INSPECTOR INSPECT`` R 11 INDIVIDUAL" "ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEP.. G_ - - - DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT1tNVI!MpN IRON:/� - - _TION 825 L Street Anchorage, Alaska 99501 - • ENVIRONMENTAL SANITATION DIVISION {' I980 Telephone 264-4720 r F F REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWERR F `FR IITIES- DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER wjLL-!gym P- A qL� PHONE MAILING ADDRESS 9& (,_3frA0LT6-U Z?/LUD• WoAJIVi Af G / %n/lti//jj. `.IiUAoA 12a�pT! PROPERTY RESIDENT (If different from above) S FZ 3ox 113-7A C/fU AL4 'i94'4 7 PHONE G[AX seC-4 2. BUYER Int U R M A A-) L=. + �=,e AivC ES T O N,v S 0 N �TR _ PHONE % S' 3, V/, MAIL,1.�GADDRESS t�oX a o 3 C�CL 0Ez 4 LAsr.o F7 -So 77 3. LEN ING INSTITUTION J Ccuit.,?y /;V0 PHONE .27� !S 3T MAILING ADDRESS n /0/1 � Tc. _ e Poet. RO '�TNC 1y01Z4 C )qcsj S1C4 4. REALTOR/AGENTPHONE ltR: �octS/Gti+ax+T e -eZ ! �l F-Y(ZuPoc7»N k? At- :Z7V-�6 MAILINGADDRESS I�. An sa 3 w. keI /� toCUoR/)GF - /'rc-4SXA 4ss�� 5. LEGAL DESCRIPTION STREET LOCATION sof- a 1--#.4 Alhf2 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS 1$ SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ItzThree ❑ Six 7. WATER SUPPLY INDIVIDUAL" "ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM G/IVI- INDIVIDUAL/ON-SITE'" /972 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) O � THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED r O — 1 INSTALLER ❑Septic Tank or El Holding Tank Size: ��a� If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL —}-� 1 � 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Z ---APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE T BY 72-010 (Rev. 6/79) c �7 ie �er Tu �3 3 r s_ 3 0 C;e �8 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE Lot 5 Eklutna Heights DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONDEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION STREET LOCATION 6. TYPE OF RESIDENCE �I�,� ENVIRONMENTAL ENGINEERING DIVISION SEP 2 7 1978 Telephone 264-4720 ❑ MULTIPLE FAMILY 1" pp CC rr CC�// LL nn REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVRIgIF,AC�11 O) DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. ATTACH WELL LOG. A well log is required for all wells drilled 1. PROPERTYOWNER since June 1975. For wells drilled prior to that date, give well PHONE depth (attach log if available.) Walter J. Kurka 694-3493 **If individual/on-site, give installation date 1978 MAILING ADDRESS If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY Post Office Box 214 99577 NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE William Hall MAILING ADDRESS 3. LENDING INSTITUTION PHONE Alaska Bank of Commerce 276-7200 MAILING ADDRESS 3230 C Street 99503 4. REALTOR/AGENT PHONE Virginia Kohfield, Area Realtors 694-9555 MAILING ADDRESS Post Office Box 249 99577 5. LEGAL DESCRIPTION Lot 5 Eklutna Heights Subdivision STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY BdC Three ❑ Six 7. WATER SUPPLY A51t INDIVIDUAL* ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM JIX INDIVIDUAL/ON-SITE*" **If individual/on-site, give installation date 1978 If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) :� %I-' TMSA1IDE FOR I-CIAL USE ONLY - INFECTION APPOWMEtM DATE RECEIVED TWE 'PNB TIME DATE DATE -DATE INSPECTOR INSPECTOR INSPECTOR "ECTIONS: 1.= TYPE OF-fMSKFEWE 0 &IAW31E FAM LY Cl MULTIPLE FAMILY ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO Cl FOUR ❑ SIX l WATEK-SUPPLY ❑ INDIVIDUAL ❑ COWWRi1TY ❑ PUSLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED S. BEMQE-AX3PZ6AL SYSTEM 0INDIVIDUAI_/ N -SITE ❑PUBLM UTiLaTY Connee eon Verlfled PERMIT-NUMBER DATE INSTALLED INSTALLEM 06Bptic Tank-mr ❑ Holding Tank biu if Tank is homemade OmAintensionr SOILS RATING TYPE OF TANK MANUFACTURER TOTALAWORPTIONaAREA MATERIAL 4. DISTANCES WELL TO: SWtWHcd4cringTion Arm r Line Nearest Lot Line Absorption Aiaso-nearest Lot Line ids AfFROVEO FOR BEDROOMS ❑ C DITIONAL 'PRO`: AL llauer m= accompany certificate) ❑ DISAPPROVED OATS BY TWO LEGALS3ESCRVTt0N 72-010 Mw. 3fM REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV X 2. Property Owner: Walter J. Kurka Mailing Address: P. 0. Box 214, Eagle River Day Phone 694-3493 3. Name of Buyer: William Hall Mailing Address: Day Phone 4. Name of Lending Institution: Alaska Bank of Commerce 3230 C Street Mailing Address: Anchorage AK 99503 Phone 276-7200 5. Name of Realtor or Agent: Kohfield, t_FA, Inc- RPA1tor- Mailing Address: BVirginia EAgle R°ver49AK 99577 Phone 694-9555 6. Legal Description: Eklutn a Hgts. Stewart Add. Lot 5 Location: Peters Creek 7. Type of Facility to be inspected: Residential No. Bdrms. 3 8. Water Supply Ir7$ Type of Supply: Public Utility Individual X If Individual, number of dwellings presently served 1 If Individual, depth of well 180' 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) X If Individual, date of installation: Approx. July 1978 ® AREA, INC. REALTORS F] Anchorage "C" St. Office REALTOR T 3300 C Street (907) 278-2525 East Anchorage Eagle River Eastgate Office Parkgate Office 5437 E. Northern Lights P.O. Box 249 (907) 278-2525 (907) 694-9555