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HomeMy WebLinkAboutFIRE LAKE BLK 2 LT 15AMunicipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201487 PID Number: 051-361-16 Dwelling: N Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name JANET RUNYAN (C/O KEVIN RUNYAN - SON) ABSORPTION FIELD 9 Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 13902 MALASPINA STREET, EAGLE RIVER, AK 99577 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 632-6190 4 1.2 GPD/SF 41.51 MAX. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe 6.0-6.1 Ft. Subdivision Block Lot FIRE LAKE 2 15A Fill added above original grade SEE DWG. Ft. Gravel length 45 Ft. Township Range Section Gravel width 3+ Ft. Beds: Number of Lines Distance between lines - iaFt. - - SEPARATION DISTANCES To Septic Absorption Holding Sewer Lift Station Total absorption area Number of trenches 1 Dist. between trenches From Tank Feld Tank Line 540 Ft2 - pFt. Well EXIST. 100'+ - - 251+ T Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer JCapacit Gal. Material EXISTING compartments Surface Water EXIST. 100'+ - - NA Lot Line EXIST. 10'+ - - Foundation EXIST. 10' - - ATION Manufacturer Capacity Gal. Remarks Alarm location Electric Iled by PIPE MATERIAL House to tank EXIST. raanktd D3034 drainfield Installer WH ITTERS EXCAVATION Drainfield D3034 CO/MT D3034 BENCHMARK (Assumed elevation) 103.33 ft Inspector GEG CONSULTANT, JODY MAUS Inspection 5, � �2/11l20 2^° 12/11/20 Location and description "A" "B" dates: TOP OF GARAGE SLAB BEWEEN POINT & s� - © 4,h - © ON-SITE WATER AND WASTEWATER SECTION APPROVAL Date Conditional Approval:QQ Engineers Stamp _0060 OpO� 10:K �'' FAC 'S�4 P.- • �� .T j.. ......... . 1 0 ✓r' f y A. Gar ess! 'Y Septic System�- Date( Z, ,Z -q- CE -795} App, L 4p_11111 Note: this approval does not include well permit requirements. ss'°�°�� Q� 000o�� �lAECC884 (Rev 05/02/18) PERMITN PARCELID N MBER, OS 0 NUMBER 1 . P2 1487 RECORD DRAWING 051-36 16 4 - - 1 0 not q IV UTILITY EASEMENT SUMP� EXISTING DRAINFIELD. EXACT CONFIGURATION AND LOCATION IS UNKNOWN. DRAINFIELD IS SUPPOSED TO BE 54 FEET LONG BY 3+ FEET WIDE WITH 6 FEET OF EFFECTIVE (640 SO.FT.) AND WAS SIZED FOR 4 -BEDROOMS PER 1981 INSPECTION REPORT, .4 'A EXISTING 1260 GALLON STEEL L SEPTIC TANK INSTALLED 512012013—/ . A A 4. EXISTING FCO A B A 4 EXISTING 4 -BEDROOM HOUSE #A A B JMT2 OBLI 49.7 55.8 i INSTALLED DBL2 51.5 57.4 FLOW Ell 53.6 59.0 DIRECTOR (F C01 51.6 69.7 UNE, AND THE 4 CLOSEST 160 FOOT WELL RADII MT1 54.2 72.1 CO2 e7.4 98.5 95.4 NEW DRAINFIELD WAS LOCATED OUTSIDE THE 1 TH#I NEW DRAINFIELD_'� MT2 84.3 10' UTILITY EASEMENT. TIM EKLUND WITH MOA I it BOTTOM OF TRENCH INSPECTION. - - 1 0 not q IV UTILITY EASEMENT SUMP� EXISTING DRAINFIELD. EXACT CONFIGURATION AND LOCATION IS UNKNOWN. DRAINFIELD IS SUPPOSED TO BE 54 FEET LONG BY 3+ FEET WIDE WITH 6 FEET OF EFFECTIVE (640 SO.FT.) AND WAS SIZED FOR 4 -BEDROOMS PER 1981 INSPECTION REPORT, .4 'A EXISTING 1260 GALLON STEEL L SEPTIC TANK INSTALLED 512012013—/ . A A 4. EXISTING FCO A B A 4 EXISTING 4 -BEDROOM HOUSE MR.. WIP-15 tvlv'§Mq� � ,gA'-ff'ARNES"3-'EN,dk-'ff'INEERING C-NTROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD, SUMS 101 -ANCHORAGE, AK WW? -PHONE (907) 337.8178- FAX (907) 338-3246'WEBMTE: www.gamowngk*orhg.corn PREPARED FOR: PHONE NUMBER: PAGE NUMBER' KEVIN RUNYAN 907-632-6190 20F3 PROJECTILEGAL DESCRIPTION: DRAWN BY: FIRE LAKE; BLOCK 2,LOT15A J.L.M. TYPE OF WORK: DATE. %, RECORD DRAWING FOR DRAINFIELD UPGRADE 12123/2020 WELL A N SCALE: 1*=3W n ox C 7953 41P LICENSE #AEC884 #0 #A NOTE: THE CONTRACTOR HAD THE NORTH LOT UNE, AND THE 4 CLOSEST 160 FOOT WELL RADII FLAGGEDISTAKED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. A NEW DRAINFIELD WAS LOCATED OUTSIDE THE STAKED 100 FOOT WELL RADII AND OUTSIDE OF 10' UTILITY EASEMENT. TIM EKLUND WITH MOA ONSITE DEPARTMENT PRESENT DURING BOTTOM OF TRENCH INSPECTION. I % li ..A MR.. WIP-15 tvlv'§Mq� � ,gA'-ff'ARNES"3-'EN,dk-'ff'INEERING C-NTROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD, SUMS 101 -ANCHORAGE, AK WW? -PHONE (907) 337.8178- FAX (907) 338-3246'WEBMTE: www.gamowngk*orhg.corn PREPARED FOR: PHONE NUMBER: PAGE NUMBER' KEVIN RUNYAN 907-632-6190 20F3 PROJECTILEGAL DESCRIPTION: DRAWN BY: FIRE LAKE; BLOCK 2,LOT15A J.L.M. TYPE OF WORK: DATE. %, RECORD DRAWING FOR DRAINFIELD UPGRADE 12123/2020 WELL A N SCALE: 1*=3W n ox C 7953 41P LICENSE #AEC884 #0 PERMIT NUMBER:�^+/ n / r PARCEL ID NUMBER: OSP201487 RECORD DRAWING 051-361-16 "MEETS MINIMUM COVER REQUIREMENT. ADDITIONAL COVER AND FINAL GRADING TO BE COMPLETED IN SPRING OF 2021 PER OWNER AND CONTRACTOR. N �,� AV mr J 9 . 0.....:... CIVIL & ENVIRONMENTAL ENGINEERS 3701 E.TUDOR ROAD. SURE 101 ' ANCHORAGE, AK 89507 ` PHONE ISM 337-$178 •FAX (007) 338-32x6 • WEBSITE vmw.gnmosnanptrreaztrg.aom !.... PREPARED FOR:THONENUMBER PAGE NUMBER KEVIN RUNYAN 907-632-6190 3 OF 3 ®dam PROJECT/LEGAL DESCRIPTION: DRAWN BY., FIRE LAKE; BLOCK 2, LOT15A J.L.M. X48 TYPE OF WORK: DATE: LICENSE . RECORD DRAWING FOR DRAINFIELD UPGRADE 12/23/2020 #AECCM AN Zlr-63 pROFESS���+�` . -, 1 1 A ------------------------------------- 10' UTILITY EASEMENT i (N89- 59' 30"W 170.00') 11 UTILITY EASEMENT 9x - - - - - - - - - - - - - - - - - - - - ......... ---------$----- ......... GRAVEL' Q . ....CL ... Cn ... DST t y r. X! 0 0 SHED .. . . . . . . . . . . . DECK U) 22.D- \-2.0' 55.6' ....... 0 7WD........ SPO FRRY AME Ho V/000 USE7 . . ....... ........ Z LOT 15A 0 ....... ZW1 0.780 Ac, DECK 0 (PLAT 67-3) ...... .. r-7} ......... -- �K' � ..... ars (N89* 59' .30"W 170.00') ........... ................ .............. ........... Note: Winter conditions at time ........ ...... ......................... have hidden some ....... NACLAREN ST.'.".'.'.'.`.'.'.'.'.' ............... .... of survey may ............. ........... 1-1 ................................. ......... ........... ........ .............................. features. Drive .......... ..................................... and road shown are traveled way S,E.COR and may differ LEGEND LOT 15A rir from actual. BLOCK 3 (XX XX XX) RECORD DATA PER PLAT 67-3 __0HE_ OVERHEAD ELECTRIC SURVEYED LINES 0 WELL 0 20 40 60 B0 UNSURVEYED LINES 0 SEPTIC VENT SURVEY TIE UTILM POLE SCALE FOUND 5/8' REM rlr FOUND BRASS CAP MONUMENT AS -B A TELECOMMUNICATION PEDESTAL I hereby certify that I have, or someone under my supervision has, surveyed the property described as: ELECTRIC PEDESTAL LOT 15A BLOCK 2 % % 14 FIRE LAKE, ALASKA SUBDIVISION OF1S� (PLAT NO. 67-3) -144 Anchorage Recording District 4 Monuments have been found and/or set asindicated_This 9TH * . 'I$ document does not purport to show whether any improvements ................ 41 ... 0 encroach onto, or off of, adjacent properties. ... ........................ F TRAVIS J EARIL P__ The property dimensions shown in parenthesis are from the record plot and are not LS 112,374 -0 necessarily as we may have measured. Additional data shcm hereon should not be /2 '2— ,7, construed to orcillatv Or *fesubdiv1W any property and it shown for information ;' �.>' --:• 0 only. Drafting and reproduction y produce graphic inconsistencies: therefore C— Alp •4 rosy Z scaling should not be .attempted to determine un3horn dimensions, Only costunts roan the recorded subdi,l.ion plot noted above a,e shown hereon and it is the responsibility of the owner to determine It any other easatt!nts, covenants, or 'cstrictlo.13 exist, OLIcClintock Land Associates. lnc. (FLA) 2018 1 hl is c4pyrighted and Is authorized to be used for one real property MCCLI=CK LAND ASSOCIATES, ZNC. transactionorproject only. Any copy is to be considered unauthorIzed uniets it 16942 NORTH EAGLE RIVER LOOP ROAD beer: an original surveyor's signature (usuclltin blue ink) ora strip showing recorder's office data. copyright restrictions (hut net ­osOrestrictions) or. EAGLE RIVER, ALASKA 99577-7801 waived It this document hos been Officially recorded. Lending instit.lions my also (907) 694-4499 sake additional copies for their own records. Liability to NLA Is limited to fees LICENSE No. AECC596 received for this project. FIELD WORK DATE: 12-21-20 PARTY CHIEF- M FIELD BOOK: 423 PLOT SCALE. 1'-40' DRAYN DATE: 12-23-20 DRAWN BY, 78 MID: N%10453 DWG. NAME. A1320-225 jos Na: 20-225 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http:llwww.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201487 Work Type: Septic Upgrade Tax Code Number: 05136116000 Site Legal Address: FIRE LAKE BLK 2 LT 15A G:0453 Site Mailing Address: 13902 MALASPINA ST, Eagle River Owner: RUNYAN JANET M Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: ICnr DC harL11)C11t 12/2/2020 12/2/2021 34000 ❑ 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 Received By:� Issued By: r Date: I .� I Z/ -) v Date: N Zd FWM IP I TY OF ANCHORAGE CHORAG Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section� =ax: 907-3�3-790 7 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-361-16 Property owner(s) KEVIN RU NYAN Day phone 632-6190 Mailing address 13902 MALASPINA STREET, EAGLE RIVER, AK 99577 Site address 13902 MALASPINA STREET, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) FIRE LAKE; BLOCK 2, LOT 15A Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field Initial ❑ Single Family (SF) 0 Septic Tank ElUpgrade Q (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: $ c{ qc Z S Waiver Fees: Date of Payment: /(hD�? 0 Date of Payment: Receipt Number: DZ 6 10 (rj:. Receipt Number: Permit No. O5P?-0)Y 07 Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201487, Deb Wockenfuss, 12/02/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201487, Deb Wockenfuss, 12/02/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201487, Deb Wockenfuss, 12/02/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201487, Deb Wockenfuss, 12/02/20 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 ]P FI O N E / . ~-~l EW NAME ~) ~ ~ ........... ]_~O~'-~l EJLIPGRADE ~AIL. INGADDRESS ~ ~ /~ ~ ~ ~ OCA ,O. ~~11 ~ ~ Absorption~rea ' , Dwelling ~ . / PERMIT ~ ~ Manufactu ~ ~ Liq.~apaciW in gallons ~ Inside length Widtt~ Liq~epth ~.~ O IF HOMEMADE: ' ~ PERMIT NO. Well = ,S ANO ~ DISTANCE TO: ~O~ ~ ~ ~ ~ ~ ~ ~ No.~I es Length of each 13er/ Total ,ength of lin~ ¢ Trench~Td~ DistanCe betw~/i~, -- Z ~ ~ ¢- ~ ~ inches ' - ~ .... ~ Material beneath tile ~ ~ ~ Top of tile to finish grade , 6'~¢' ~ctive O &-- ~ PERMIT NO. Length Width Depth ~ ~,~AN~~ ' '~~ Nearestlotline ~ ~ Depth Driller Distance to lot line PERMIT NO. ~ Bu Iding foundation Sewer line Septic tank ~ Absorption area(s) ,' ~ DISTANCE TO: . OTHER PIPE MATERIALS SOIL TEST RATING' NSTALLER --~ DATE LEGAL 72-013 ( ev, 3/78) PERHIT NO. RF'PI_ I CFINT L.OC:FI'F I IN LEL-iRL [:,EF'FIRTPIENI" HEFtLTH fiNE:, EN',," l F:ONHEh I"RL '3TECT I EIN ',:32.".5 "L STRE:ET., RNCHr/F.':RGE, Fit:::. '.:.')::.* -. =¢ :~- [:'R"," I [:' BFITT ERt3LE F..I , EF.. · ~,- E,.x .... ~ .. L:L... H ...... F I F.'.ELNKE T'¢F:'E OF SOIL.. RE'Z-F.'F'TION =,~=7Efl IS TF..EN_.H P1F~XIP1UP1 NIJHEER OF BEi:DF.:C~Of'IE; = 4 :J_IL RATING - '-"! HE,_-,LI~FTION ",T_-,TEfl IE;' THE F?EC,!J:[RED ::-:,IZE OF 'THE ",_IL -""-- '' '-'"- £:, E: t::" 'T t-~ ...... :9 L E f-,t (3 T H .... ~; ,~-~ 1"HE LENGTH [:,ZHENSION Z.L=, THE LENGTH ,::ZN FEET::, OF THE TF.:ENCH OR [:,F:FI~NF'IELD. THE [:,EPTH IF R TF.:ENCH OF.: F'IT TS 'THE DISTRNCE BETNEEN THE: SIJF.:FRCE OF THE GF.:OUN[;' FiN[:, THE BOTTOH OF' THE EXCR',/R'f'~[ON ,::~N FEET;,. .... Ef I.,.I~E:,'f'H FL[4 TF..ENL. HE=,. THEF.'.E Z S NO c .... ' ' " '~' THE GRR',,,'EL DEPTH ~S THE: f'I~N[I'IlJH DEPTH OF GRFi"EL E:ETNEEN THE OUTFFIL. L. F'ZF'E RN[:, THE BOTTOH OF THE EXCR',,,'RTZON ,.'.'IN FEET;,. F..: E: I:;:.,. LI I F-: EE [:, :5 E F' 'T I C: -r A I'-.! !-'-':: 5;; I Z E == ::L ;.--:-' ~""; ~¢J, ,::~ Et L. I._ ,:, l"-.t "_:'.¥; · · ,- , , -'. [,..F:INEi THE FERttI"f HFFLI_.HNT HI:IS THE F.'EC, F'F~N?5IBILITY TO INFOF. ff'I THIS [EFHF..Ti'IENT INSTFILLRTION INSF'ECTION':Z, OF RNY 14EL. L5 RDJRCENI" TO THIE; FF.._FERT~ FIN[:, THE NUHBE:R OF RESIDENCES THRT THE NELL P.IIL. L SERVE. ......... T II.,.I ,'_-, ,:: L:E: ::~ :'[ !"-.I ~.:~. IFTM E C: 'T ]:: "-~ f-,I _~;; R I~.: E F: E ~]~. L.I .T.. F.". E: ifZ:, BRCKFILLING OF FINY S'T'STEP1 NITHOUT FINRL ZNSF'ECTION FINE:, RPF'F.:O',,,'RL BY THIS E:,EPFtRTf'IENT 1.4~LL BE SUBJECT TO F'ROSECUT.TON. HINII'"IUI'I [:,I:E,'I'FINCE BETI4EEN IR I,.IELL FIND " ' P I,.IEL. L DEF'EH[:,~NG ::1.(~..:.~ FEET FLF. FI F'F.:Z',,,'R'rE NELL. OF.: :~LS.E~ TO 2F~¢~ FEET FF.'OH R FLIE, LI_. F':I'.4 THE TYF'E OF PUE:LIC NELL. i',IINTHLIH DIS'T'RNCE FROH R F'R~VRTE NELL. TO R PR~',,,'RTE ':;ENEF.: I..INE I:~ '2_'5 FEET FIN[:, 'ro R Cr~'HHI..INITY :E;ENER LINE IS 7.=; FEET. . .... ,._... F..E~;.!L I F. ENEN f_ HRY RF'F'LY. :: ....... .~ .-, ,- .... ,: ~:,:E'IFICRTION::q RND CONSTRUCTION E ~H~.~F..Hi"I.., FIRE _ THER FI',,,'R]:L,F~BLE 7'0 INSURE PF.'.OPEF.': INSTRLLRT~ON. P [~ I[~." l',1 .'[. T E ..~.=.. F' ][ F-." E ".:=2; E:, E C: E !'"1 E,", E P-~ ~; 211 .... ::L .'.~;-~ ",E,", ::1L I .ERTI THFIT ,_ ..... ,,... ,- -.. :1.: I Rf'l FRHILIRF: NITH THE F.'.EtT.!UIREHENT'.5 FOR ON-SITE .=,EI,.IE.F..'", FIND I.,.IEL. L~5 FIS ::,ET '-I" ' BY ~ -' - '-" f ..F..TH THE I',IUN]CTF'RLITY OF HNEHL~F. HaE. 2: I 1.4IL. L IN'.~',TFIL. L. THE SYSTEP1 IN RCE:OF.:£:,RNCE NITH THE F:OE:,ES. F.E, .... ENLRRGEr'IENT ZF' THE ]:: I UNDEF.'.'E;TRND THFIT THE uN-...:,].TE SEI.,.IER '_=;YL=,TEH P1RY ':'- ~F."F F.:ES'; I DE. NCE I S FtEf'IOE:,ELEE:, TO I NCLt.I[:,E HOF:'.E THFIN ,1. :5 1 CiNE[:': .................................................. RF'F'L I CFINT [:,FF,,' I [:, BFiTT IS'SUE[:, B' - . .... DATE-- PERFORMED FOR: LEGAL DESCRIPTION: 2 4 5 6 7 8 10 11 12 14- 16 17 18 19 20 COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST ,/~ SOILS LOG [] PERCOLATION TEST IF YES, AT WHAT DEPTH? O P E Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TEST RUN BETWEEN FT AND (minutes/inch) -- FT PERFORMED BY: 72-008 (6/79) ~-u~0 Property Owner APPLI( NT FILLS OUT UPPER HA' ONLY · ~:~k_~.- L"tr~ ~''' ~'~:' (~ / Zip Code Phone Mailing Address Buyer ~,ddress Zip Code Lending Institution Address Zip Code Realty Co. & Agent ,'~ Street Locati~ Type of Residence ~ Multiple Family No. of Bedrooms- ~. Z~pCod2~7~ -~ Phone Phone [] Other Water Supply ~,~_ndlvidual E3 Community [_; Public Utility ATTACH WELL LOG, A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). Sewer Disposal ~Y'~ndlvld ual [~ Public Utility E] Holding Tank Year Individual Installed:- I _~] ~:~ J When Connected to Public Utility: NOTE: THE iNSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ~ime ~Ime ~ ~- Date Date ~ tot Inspector ~ield Notes: Time Date Inspector MUNICIPALITY OF ANCHORAGE DEPT. OF H':/',LTII ~ ENViRONM~N1 AL PROiFCflON OC;f 1_ ? '1963 RECEIVED *CONDITIONS OF APPROVAL APPROVED BEDROOMS DISAPPROVED ) CONDITIONAL APPROVAL' DATE .H~ BY: ~ ~"" ' ' Soils Ratin~-----] Date Sewer Installed 72.023 {3182) lei, To Absorption Area / ~-- ~~_Lo g R e c_e. ive d ell to Tank ¢'~ O ~Septic Tank Size m' DATE RECEIVED '~ '~ INSPECTION APPOINTMENTS TIME TIME .~ TIME MUNICIPALITY OF ANCHORAGE J~UNIClPALITY OF ANCHORAGE C DEPT OF HEALTH & j~..-~%-, ~. DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE ~RON~ENTAL PEOTECTION S~S L Street - Anchorage, Alaeka ~SE01 ENVIRONMENTAL SANITATION DIVISION OCT 1 5 1981 Telephone 264~,720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEV~l~r3r' ~/~LVT~) DIRECTIONS= Complete all parts o~).page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. I PHONE 1, PROPERTY OWNER o n David Batt 6v~-3683 MAILING ADDRESS SR 2, Box 8166. Chu~iak. A~ 99567 PHONE PROPERTY RESIDENT (If different from'~bove) ' Vacant PHONE 2. BUYER Barry Kathrens 277-5637 MAILING ADDRESS ARCO Oil g Gas. 711 Ngth. Av~.- Anchnrmge I PHONE 3, LENDING INSTITUTION I Alaska State Bank, Ann Lindboe 1277-5661 VIAl LING ADDRESS 310 E. No. Lts. Blvd., Anchorage. AK 99503 I PHONE 4. REALTOR/AGENT I Hyrna Johnston~ AREA, Inc., Realtors 1694-9555 MAILING ADDRESS Box 249~ Eagle River, AK 99577 5. LEGAL DESCRIPTION Firelake, Blk. 2, Lot 1SA, Map attached- Agent will meet TREET LOCATION HacLaren & Malaspina 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One EX"-} Four [] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY I-~ INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975, For wells drilled prior to that date, give w~l depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM r-~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY 1981 YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY NUMBEROFBEDROOMS ONE [] THREE [] FIVE [] OTHER TWO [] FOUR [] SIX 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM []INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified []Septic Tank or I-qHolding Tank Size: [_.~-'~ If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4, DISTANCES WELL TO: Absorption Area to nearest Lot Line PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER SOILS RATING MANUFACTURER MATERIAL ~...~~ Septic/Holding Tank IAbsorption Area JSewer Line INearest Lot Line 5. COMMENTS DATE [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED 72-01o (Rev. 6/79) ® Municipality of anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 051-361-16 Expiration Date: 1. GENERAL INFORMATION: Complete legal description FIRE LAKE S/D: BLOCK 2 LOT 15A Location (site address) 13902 MALASPINA STREET EAGLE RIVER AK 99577 Current Property owner(s) JANET RUNYAN (C/O KEVIN RUNYAN-SON) Day phone 632-6190 Mailing address Real Estate Agent 13902 MALASPINA STREET 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: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well © Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer, COSA Fee $ Waiver Fee $ Date of Payment ` 2 — ZQ Date of Payment Receipt Number Receipt Number COSA # 05C 0 Q 1 �`� J Waiver # 4� 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: Garness Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: t -,z-/ Z�, /2--0 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systemis. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for A— bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the fol #AECC884 �QPt_ITY(0F 4�i(i f p ti u SATE WAST`-E� ND M SArT M `5 J��111) )9)l)G11))O g Jnr- Original Certificate Date: 12- 2— L — 7-0 Zo 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_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet10-10.12.doc Legal Description: FIRE LAKE S/D; BLOCK 2, LOT 15A Parcel ID: 051-361-16 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 4/6/81 Total depth 80 ft Cased to UNK ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 10116120 Static water level at beginning of test 53.2 ft. Comments B. TANK DATA Age of tank(s) 7.5 years Tank type/material STEEL Measured operating fluid level in septic tank 48.75° ❑ Standpipes/foundation cleanout per record drawing Date of pumping 10/19/2020 D. ABSORPTION FIELD DATA DEEP TRENCH Which system tested (date installed) 12J'1120 ❑ ALL standpipes present per record drawing Total measured depth from grade 10.1 ft (max) Measured depth to pipe invert from grade *3 4 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. if not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to Structure served by this system Well production at time of test 5.2+ apm Water storage tank volume NIA gallons Well disinfected for coliform test? ❑ Yes ❑ No 114 Coliform bacteria is Negative Nitrate 7.07 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by GEG,LTD. Date of Sample 10115/20 FT STATION ❑ Requir ai Age of lift station Lift station mater Com ment&/'� Adequacy test date NEW Results [34 Pass For 4 bedrooms Fluid depth prior to test NEW in Water added NEW gal New depth NEW in Elapsed time NEW min Final fluid depth NEW in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) N/A date of test) If yes, enter date Gallons introduced _gallons Comments/Deficiencies: 'ADDTIONAL COVERAND FINAL GRADING TO BE DONE IN SPRING OF 2021 PER OWNER AND CONTRACTOR, COSA Checklist yellow sheet (01 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) M Yes Septic Tank/Lift Station on Lot > 100' ft Surface Water> 100' Community Sewer Manhole/Cleanout > 100' Property Line > 5' Q Yes if No ft Q Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private SewerlSeptic Line > 25' FV -1 Yes if No ft Absorption Field on Lot > 100'[]✓ Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' ❑✓ Yes if No ft Water Service Line > 10' Animal Containment> 50' rV-1 Yes if No ft ✓l Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' M Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' M Yes if No ft Surface Water> 100' Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' ✓M 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 ft Wells on Adjacent Lots: Water Main > 10' 0 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 Na ft F. ENGINEER'S COMMENTS *SEPARATION TO 1981 TRENCH IS ASSUMED. G. ENGINEER'S CERTIFICATION ' U v,`�•O •. L,�SQ�O I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with Q * q TH MOA COSA guidelines in effect on this date.- • i� COSA Checklist yellow sheet QFrey ......... ess_. CE -795• .. `c�� �°2 �4ea pr o f e s sio�`���' #AECC884 DEVELOPMENT SERVICES DEPARTMENT On -Site water and wastewater Section www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC201695 Subdivision: Fire Lake Block 2 lot 15A 907-343-7904 Fax: 343-7997 A water sample revealed a nitrate concentration of 7.07 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. Ma�lmg Address P�O' Box 196650'* Anchorage, Alaska 99519 6650 *www mum org 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.