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Home My WebLink AboutFIRE LAKE #2 BLK 2 LT 7Fire Lake #2 Block 2 Lot 7 #051-351-17 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221417 PID Number: 051-351-17 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New n Upgrade Name WILLIAM LEWIS RPTION FIELD ❑ De Trench [:1 Wide Trench ❑Bed ound Site Address 13635 SAVAGE DRIVE, EAGLE RIVER, AK 99577 Other Phone Number of Bedrooms Soil Rating original grade 907-952-9727 3 /sF lQ1SF 17rotal,!:pth Ft. LEGAL DESCRIPTION Depth to pipe invert from ori vel depth beneath pipe EXISTING Ft. Subdivision Block Lot FIRE LAKE #2 2 7 Fill added above original e I!nh Ft. Ft. Township Range Section " Gravel width Ft. Beds: Number of Lines Dis a between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total orption area Number of trenches Dist. between ches From Tank Field Tank Line Ft2 - Well *75'+ EXIST. - _ _ TANK ® Septic 0 S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER TANK Capacity 1000 Gal. Surface Water 100'+ EXIST. - _ Material Number of compartments Lot Line 5+ EXIST. - - NA HDPE PLASTIC 2 Foundation rio '♦ EXIST. - _ ATIIN Manufacturer Capacity Remarks *WAIVER GRANTED Gal. Alarm location Et Iled by Installer PIPE MATERIAL House to tank EXIST. drainfield Tank to D3034 JR'S EXCAVATION Drainfield EXIST. CO/MTD3034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 100.00 ft Inspection 1s` 11/9/2022 - Location and description dates: 2"d 3°' - 4th _ BOTTOM OF TRIM @ NORTH CORNER OF HOUSE (FACING TANK) ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp aovoop�0 OF''4 Conditional Approval: Date 9S4p - ......................� Septic of ey G rness,, 7953 O��p Appro edstem Date - 19.. Note: this approval does not include well permit requirements. zzg�=' #AECC8840oo10 (Kev U5/UZ/16) S141 PARCEL ID NUMBER: RECORD DRAWING 051-351-17 FINAL GRADE GARNESS ENGINEERING GROUP, L (ENGINEERING w SALES _ CONSULTING 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, ALASKA- PHONE (907) 337-6179 - WEBSITE: www.gamessengineedrtg.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: WILLIAM LEWIS 1 907-952-9727 1 3 OF 3 PROJECT/LEGAL DESCRIPTION: FIRE LAKE #2; BLOCK 2, LOT 7 TYPE OF WORK: RECORD DRAWING OF SEPTIC TANK UPGRADE i� 8 DRAWN BY: ��♦�(� J.L.M. ♦�' DATE: 11/10/2022 LICENSE #AECC884 C 7 53AV '� ESS�� I PERMIT NUMBER: RECORD D � /� � /� I N G PARCEL ID 051 351 17 BER: OSP221417('�/—� �/ r( 1 W A I B I C DBL1 68.1 1 24.4 48.3 DBL2 68.9 25.6 49.4 MH1 70.9 26.7 50.4 STI 75.1 28.3 51.4 DBL3 75.8 26.9 49.7 DBL4 75.5 26.3 48.6 C01 LICENSE 86.4 87.9 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO 5910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE GENERATED IN AUTOCAD. NEW CLEANOUT INSTALLED AT BEGINNING OF DRAINFIEL LOT 6, BLOCK 2; FIRE LAKE #2 NEW CLEANOUT (CO2)AND /'/'�� INSTALLED MONITORING TUBE (MTl) DBL CO'S INSTALLED ON 9/1/2022. VO (DBL3 & DBL4)—\ / -------------- NOTE: -``, NOTE: OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC PER THE CONTRACTOR aDyy �O�G �rt�QsB$ / s —NEW 1000 -GALLON GREER PLASTIC SEPTIC TANK ----INSTALLED DBL CO'S (DBL1 & DBL2) �\ ASSUMED SEWER LINE LOCATION Z_B" - / He C ti �R0, GSF Ott :. % .•pQ j�: EXISTING WELL IN MANHOLE 1' AND BELOW GRADE. �'. :,a ;e' a" • / : `. \, q. g- `..� � "�^�• �.. •.. Iii? : �a....+; .. . ;:.' \ "ra• " ,�.a.'- .: a •' •ate ..� .� a.':. ��e `_ �; ice_ -. \� LOT 8, BLOCK 2; FIRE LAKE #2 a EXISTING DRAINFIELD. ...._.. �.,n_.,o.U. ENGINEERING �SALES -CONSULTING PASSED ADEQUACY 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, ALASKA' PHONE (907) 337.8178' WEBSITE www.gamessenginegring.corn ON 9/2/2022. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: N WILLIAM LEWIS 907-952-9727 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: FIRE LAKE #2; BLOCK 2, LOT 7 J.L.M. �10� TYPE OF WORK: DATE: LICENSE RECORD DRAWING OF SEPTIC TANK UPGRADE 11/10/2022 #AECC884 -------------- NOTE: -``, NOTE: OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC PER THE CONTRACTOR aDyy �O�G �rt�QsB$ / s —NEW 1000 -GALLON GREER PLASTIC SEPTIC TANK ----INSTALLED DBL CO'S (DBL1 & DBL2) �\ ASSUMED SEWER LINE LOCATION Z_B" - / He C ti �R0, GSF Ott :. % .•pQ j�: EXISTING WELL IN MANHOLE 1' AND BELOW GRADE. �'. :,a ;e' a" • / : `. \, q. g- `..� � "�^�• �.. •.. Iii? : �a....+; .. . ;:.' \ "ra• " ,�.a.'- .: a •' •ate ..� .� a.':. ��e `_ �; ice_ -. \� LOT 8, BLOCK 2; FIRE LAKE #2 a V N SCALE: 1"=30' ma r&X A. G ' mess : w� C79 .•'• _ •' i .:... ...._.. �.,n_.,o.U. ENGINEERING �SALES -CONSULTING �i�..�•(' 3701 E. TUDOR ROAD, SUITE 101 -ANCHORAGE, ALASKA' PHONE (907) 337.8178' WEBSITE www.gamessenginegring.corn PREPARED FOR: PHONE NUMBER: PAGE NUMBER: N WILLIAM LEWIS 907-952-9727 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: FIRE LAKE #2; BLOCK 2, LOT 7 J.L.M. �10� TYPE OF WORK: DATE: LICENSE RECORD DRAWING OF SEPTIC TANK UPGRADE 11/10/2022 #AECC884 V N SCALE: 1"=30' ma r&X A. G ' mess : w� C79 .•'• _ •' i 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://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221417 Work Type: SepticTank Upgrade Tax Code Number: 05135117000 Site Legal Address: FIRE LAKE #2 BLK 2 LT 7 G:0454 Site Mailing Address: 13635 SAVAGE DR, Eagle River Owner: LEWIS WILLIAM NATHANIEL & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date Expiration Date: Lot Size in Sq Ft: Total, Bedrooms: 11/1/2022 11/1/2023 49658 ❑ 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:E r YvLICt I Issued Date: / Date: 1 12627 2 - 3 MUMUPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section �--� Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-351-17 Property owner(s) WILLIAM LEWIS Day phone 907-952-9727 Mailing address 13635 SAVAGE DRIVE, EAGLE RIVER, AK 99577 Site address 13635 SAVAGE DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) FIRE LAKE #2; BLOCK 2, LOT 7 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Q (w/wo ADU) Septic Tank Upgrade n (D) ❑ Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: AMEND EXISTING WAIVER FROM WELL TO TANK Distance: 75' I certify that the above information is correct. 1 further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: IZZb Date of Payment: G U /7 /'a P, Receipt Number: 0? -Rb UG Permit No. 119 /4/7 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorms\Client FormsTermit Application.doc Municipality of Anchorage On-site water and wastewater REVIEWED FOR CGDE COMPLIANCE "ARNESS ENGINEERING GROUP, Ltd ENGINEERING SALES CONSULTING October 4, 2022 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic Tank Upgrade for Fire Lake #2; Block 2, Lot 7 417, Tim Eddumd, 11/01/22 To whom it may concern: The existing3-bedroom house is served b iae p i y private water and septic system. The existing septic tank and drainfield were installed in 1983 and consists of a 1000 -gallon steel septic tank and a deep trench type drainfield. The existing drainfield has recently passed an adequacy test. Since the septic tank is over 39 -years old, the septic tank must be upgraded. We are proposing that a new 1000 -gallon Greer plastic septic tank be installed as shown on the attached design drawing. Comments regarding the design are summarized as follows: WELL TO TANK WAIVER AMENDMENT: The existing septic tank was granted a 75 -foot waiver per the 1983 Inspection Report and the 2009 COSA. We are proposing that the new septic tank be placed outside the 75 -foot well radius and we are requesting the existing 75 -foot waiver be amended to include the new septic tank. Justification for this waiver amendment is that the new tank will be made of plastic, the house location is in-between the tank and the well, and that if the tank were to overflow, it would not flow towards the well. Recent water samples have been taken and the nitrate level was found to be 1.87 mg/L. WELL 1N MANHOLE: Based upon our site visit, the well was found in manhole with the well head below existing grade. There was no water found around the casing inside the manhole (see attached photos). Per the Paul Pinard, P.E. 2009 COSA, the manhole over the well was "watertight" with no drain and your department approved the COSA. Based upon our findings the manhole lid is not gasketed and in our opinion cannot be considered watertight. It does appear that there is positive drainage around the manhole lid. We have submitted photos from our recent site visit to Tim Eklund with your department and it is our understanding that the wellhead needs to be extend higher in elevation. It is not clear if your department will require a drain be installed. Please provide direction regarding this matter. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. . E., M.S. 3701 East Tudor Road, Suite 101 `Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineedng.com LOT 5, BLOCK 1; FIRE LAKE 42 LOT5,BLOC sepZlc FIRE LA 2 LOT 6, BLOCK I; T6, qeK2; - FIRE LA #2 FIR LAKE r #2 EXISTING DRAINFIELD LOT 7, BLOCK 1;\0 FIRE LAKE 42 p�"V'q— WELL LOCATED IN ui SOUTHWEST CORNE OF PROPERTY > J; LOT BvBLOCK 1-(' FIRE LAKE #2 —'P�%RCIX. LOC NJI I I U SEE SIGN, AGE2 2 4 isTINd" G BED RjdbM IK J\ HOL�E 3' T. B OC -/K; FI E E 2 4- 4- I , Al t LI -1 THE DEPICTION OF ALL STRUCTURES SHOWN ON ADJACENT PROPERTIES ARE APPROXIMATE IN REGARD TO CONFIGURATION/LOCATION AND MAY BE BASED SOLELY ON PUBLICLY AVAILABLE MOA GIS RECORDS. THE LOCATION OF ALL WELLS AND SEPTIC SYSTEMS SHOWN ARE APPROXIMATE AND MAY BE BASED SOLELY ON INFORMATION OBTAINED FROM PUBLICLY AVAILABLE MOA ONLINE RECORDS AND/OR ASBUILT SURVEYS t I' or 4 GAIRNESS ENG" INEERING" h Lt W't ...... ENGINEERING ,, SALES,r CONSULTING ---l' 3701 E. TUDOR ROAD, SURE 101 - ANCHORAGE, ALASKA - PHONE (907) 337-6179 -WEBSITE. www. amess eng(need rm.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MAnicipality of Anchorage MM-MR9PAI 5 -FOOT INTERVALS a =100' 0, Al WILLIAM LEWIS 907-552--9727 1 OF I/ V 6 -79 3 -WAY %p. PROJECT/LEGAL DESCRIPTION: DRAWN BY: to 7.? 4w FIRE LAKE #2; BLOCK 2, LOT 7 JI.M. TYPE OF WORK: DATE: 44ttROFEW SITE PLAN FOR SEPTIC SYSTEM UPGRADE LICENSE 10/4/2022 #AECC884 GEG, Lid. HAS AN 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. CONTRACTOR TO INSTALL NEW CLEANOUT AT BEGINNING OF DRAINFIELD AND THE 100 -FOOT SEPARATION DISTANCE TO WELL CONFIRMED! NEW CLEANOU�ON� At-�6 ' ' , I MONITORING INSTALLED 9/1/2022. EXISTING DRAINFIELD, PASSED ADEQUACY i� ON 9/2!2022. i Municipality of Andxxage REVIEWED FOR CODE COMPLIAN LOT 6, BLOCK 2; OSP221417, Tim Ecklu7)d, 11/01/22 FIRE LAKE #2 NOTE: THE CONTRACTOR MUST HAVE THE 100- FOOT WELL RADIUS BY THE DRAINFIELD AND 75 -FOOT WELL RADIUS BY THE NEW TANK FLAGGED/STAKED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION INSTALL DBL CO'S– I� EXISTING SEPTIC TANK TO BE DECOMMISSIONED PER UPC — EXISTING WELL IN MANHOLE KIK AND BELOW GRADE. SEE ATTACHED PHOTOS. :. CONTRACTOR TO HIRE CERTIFIED WELL COMPANY f .d TO EXTEND WELL HEAD UP TO LID AND TO MAKE SURE MANHOLE LID IS WATERTIGHT Y WITH A GASKETED LID. PROPOSED 1000 -GALLON rGREER PLASTIC SEPTIC TANK 1� INSTALL DBL CO'S 0 4,, .. ENGINEERING- SALES -CONSULTING;. 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, ALASKA' PHONE 907) 335179 WEESSITE: www.garness engineoring.com PREPARED FOR: WILLIAM LEWIS PHONE NUMBER: 907-952-9727 PAGE NUMBER: 2 OF 2 PROJECT/LEGAL DESCRIPTION: FIRE LAKE #2; BLOCK 2, LOT 7 DRAWN By. - J.L.M. TYPE OF WORK: DATE: Municipality of Andxxage REVIEWED FOR CODE COMPLIAN LOT 6, BLOCK 2; OSP221417, Tim Ecklu7)d, 11/01/22 FIRE LAKE #2 NOTE: THE CONTRACTOR MUST HAVE THE 100- FOOT WELL RADIUS BY THE DRAINFIELD AND 75 -FOOT WELL RADIUS BY THE NEW TANK FLAGGED/STAKED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION INSTALL DBL CO'S– I� EXISTING SEPTIC TANK TO BE DECOMMISSIONED PER UPC — EXISTING WELL IN MANHOLE KIK AND BELOW GRADE. SEE ATTACHED PHOTOS. :. CONTRACTOR TO HIRE CERTIFIED WELL COMPANY f .d TO EXTEND WELL HEAD UP TO LID AND TO MAKE SURE MANHOLE LID IS WATERTIGHT Y WITH A GASKETED LID. PROPOSED 1000 -GALLON rGREER PLASTIC SEPTIC TANK 1� INSTALL DBL CO'S 0 U Al .R�:O(��'-E,,,.�. 411'ROF,� LICENSE S �•� � �� #AECC884 .. ENGINEERING- SALES -CONSULTING;. 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE, ALASKA' PHONE 907) 335179 WEESSITE: www.garness engineoring.com PREPARED FOR: WILLIAM LEWIS PHONE NUMBER: 907-952-9727 PAGE NUMBER: 2 OF 2 PROJECT/LEGAL DESCRIPTION: FIRE LAKE #2; BLOCK 2, LOT 7 DRAWN By. - J.L.M. TYPE OF WORK: DATE: DESIGN OF SEPTIC TANK UPGRADE 10/4/2022 U Al .R�:O(��'-E,,,.�. 411'ROF,� LICENSE S �•� � �� #AECC884 ---� Municipality !® t ,,�lh p v t nu n [ P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program Waiver#: 1983 Permit COSA PID#: 051-351-17 Legal Description: Fire Lake #2 Block 2 lot 7 Engineer: GEG Applicant: Lewis Permit#: OSP2211417 Your request for a waiver of the required 100 feet horizontal separation from the Well to the septic tank has been approved. The approved separation distance is 75'. This waiver approval applies to the 2022 septic Tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department ❑The affected adjacent property owner(s) have been given a 7 -day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. ■mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm� Waiver is Granted: X Waiver is not Granted: Date: Z Z Approved b�C=/ Name of Reviewer ■mmmmmmmmmmmmmmmmamammmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm� 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 ❑ UPGRADE MAILING ADDRESS cs — C ii, Ar. 9015-01 LEGAL DESCRIPTION 5 Lo -r ue. i F 12 c LOCATION NO. OF BEDROOMS DISTANCE TO: 1 5 AbAAAl sorption are Dwelling ��, PERMIT 0. vY 1 a Q Manufacturer n Meter i No. of compart ents -� Lu to Liq. ca n gallons IF HOMEMADE: Inside length .�� Width -- Liquid depth �--- O he DISTANCE TO: Well welling PERMIT NO. Jaz 0 .1 Manufacturer Material Liquid capacity in gallons O J= DISTANCE TO: Well Foundati � Nearest lot line PERMIWJ406 w 2��33 J u- Z No. of lines / Length h lige Total le h Ides Trench width �V Distance between lines FZW cc inches of rile to finish Materia beneath Fop 0 grade �� tile Total gt}f�ctLlVzb*tion area inches Length Width Depth PERMIT NO. w F CL wa Type of crib Crib diameter rib depth Total effective absorption area UJ DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W DI N E O: di f u atio Sewer line Septic tank Absorption area(s) OTHER PIPE MATERjIAAL1S/ 1' y C f SOIL TEST RATING INSTALLER r REMARKS !� vVol 1t ,. OF '4 40 �� a.1a8091W. V�t a All. na .;N • ,r2 ;'Obert A. SZfar r' as p, ., Z. HIPC a'IY M' a•m0 y Ialr dw � fl4FE5S1� 'e• dAPPOV ��]/D /T►yE^J�<LEGAL Z V v /Y -U 7/3 (Hev. 3/78) 1�LJ�4 1�1�� IF— F:o r-4��-A F< Fm�� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, HNCHORAGE/ HK. 99501 264-4720 1-1 EE-* L_ L_ F�*l R-4 E::- F4 -T- IF- �73'�1 .4 E-*. F---" Fa E- F<# I'l I __r' PERMIT N-1 HPPLICHNT GREG G SKIFFINGTON SRH BOX 1729-J 99501 ]44--5000 LOCATION LEGAL L7B2 FIRELHKE LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH i1HXIMUM NUMBER OF BEDROOMS � ] SOIL RAT ING (SQ FT, --'BR'. 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E'" FEE "T" JL. C-911 ��Ir-4 1:3 -IF VA F;;:"" �EF_ ��H� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHIHFIELD. THE DEPTH OF H 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). ��0l._l I IF;'EM-% ��I ��t-4 �:::: �I :E J C-:1 !Ll 0 ��... I�� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTHLLHTION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. �L-3 Cl < '.72. * *:: m I r-4 0-=-. FE_�::"C--F- I Cl lr-4!H-7 " F --N F::" ��C--! IJ I Fe EF C-8 BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR H PRIYHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM A. PRIVATE WELL TO H PRIVATE SEWER LINE IS 25 FEET AND TO H COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS NAY APPLY. SPECIFICHTlONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. I -T' ��I F?E=_.`_-. �I—E 1-1 E� F=- F--" =-,. -1... �=_11.: I CERTIFY THAT i: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ]� I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ] BEDROOMS. SIGNED� \ ��__~_�_��___�_��_�_~_�~__��_~��~~� APPLICANT GREG G SKIFFINGTON ` ISSUED BY� �_�~DHTE�-��-��+�� / / x x Y4.0 11. 7-- .,�, i--ilJlV S c� I f�"t�l_ I t'•r �-.�f=' t�t-Jc�:HC��t�i�� r►•tEM r of HEALTH tM z" tft+ #*N rt7L PRO MC T ION 8.5 'L' 3 rREET, t7NG"WJE, W, x•35+3!' 2$-4i.0 tdi! _L_ tit iCa ��t+t—'=r I TF s=+EWf:7-fz PERM L r NI). { ss35 > 8PPLICANT GREG 0 :W-LFFf?*!T'3Nate+ Ea3k i?L9-,i 1 344— LEr-f L L?92 FIRELAGE L,}t a1ZC 9"3" SQUARE FJ' V,?PE ,3r 5`I] IL AGSOAP T I ON 54 5 TJ04 1,34 TREWH ry rm-44 "MeEp ,.F Ei€c&lxw-; - 3 501L RATING (aQ F rreR) = v�,5 rmE REt4J Lr -D s t z'E of rHE %--,:i) rL t3w3%:m2, r t oN �vSTE" IS: THE LEN+3 rH D I MENS t +JN t S Tli£ ' i_E"3 rH i I N FEET? OF frit TRENCH OR DM INF I ELL -' n -it DEFTH I7F N rRo*�4 OR FIT I%; rHi= D ISTAMS rACEN THE •5i p F OF TME ,3 n -d -m ratio tw- 8+7 r rom +7F THE r ION (IN FICE D - Ti .RE t •� tl+l SET 14 ED I -H FOR TREN>C'S. n -c , �. � rH Is mE m rN rPA xl &E'P rH OF ►-mayliL s� riJEEN THE OU TFt7i.L P IF E AN& TME ioTnxt it n -1E o<r T(,)H (IN FEET). ot.41" . z — i ,r>�� i =ter-�I�.��#-:Ipr4 i• i I T ADPL ICAN T Htia" -rm ice, -r_: m n_ m TO - tw&*"-TWS DEP19R TPKNr rtei; I rn rim + i T r,m t r- , ; T f +3tr-i i3F taffy W-I_lS AGJr=u>-A r TO TH t •-i PfR+3PER rlo Am rw �4*9�ek OF rtES I Distil S THAT THE i aa_+. HILL SOZVE DLI. L M3 QF Aw Sln mm iJ t Tt*)i.i r F i WAL I N' -5 -PEC T L ON tM APP'R+3YfL $Y 174I S iiEPAR TMei r H ILi_ COE 9J9JE+: r T4 PR ECU T I r� k4 I M IJ -0.4! & t � ri� WJE r� rWE£N A WELL FM We iM - � t fE �Yka,� t} t Sf"4�L 5 >'`� TEN I t99 FEET FOR H PR t+iitl tC W --LL OR 1413 TO z'klii FEET FROM H PURL r C WELL OLID I NG +JPn3H rW TYPE ,JF PIJ8LIC WELL t3 I H Iti+JM D i S rt�-�E F re#M & PR r V A TE HELL TO H PRIVATE SEWER LINE 15 :25 FEET t3t+iG TO A r:j3i4 UHf r1 -�LiETt LINE I.3 75 FEET. HELL Lf3+s5 ARE RAENJtREA tali ►•1IJST BE RET1144ED TO THE Gera&THENT WIT141N 38 Dear':+ f_lF THE i4B-L Ca?IPLE f I rA r? TWY. PE -12 + I REME `i P5 f0e APPLY. SPEC IF I ui T IONS fiND r ra m n taeA.jE To l liv w pl:b35ER r w rt4-Lta T t roc F-•>>.r•r >r ri=- c� c.��ri�i=> i .tea. I CERTIPr lHAT !: I AN FAMILIAR WtrH Tw- szo tRet.intrs FoR a3N==rrE 54--wks t*0 !JELLS ft-; SET FORTH TH 8Y THE bulbi I C I PAL t ry ,3F f4b21413f?t CIC I WILL INSTOLL THE � t STEM IN to XXRC :a E WITH THE CY"S. s: I +.at)W-RSTHW THAT THE +]N -'SITE SE14EP. SleSTEM MW REWIRE: E"LfIRGEMMT IF THE E I€ eODE IS RCe&IDELIZa T4 ii*X IJDE P11DRE THH" 3 BED"Wi. ADPL ' r r3REr r3 5 I ori' If JEtti $•r' _} �r.t_ __-_CYATE_ _`� _:� Y4E. I A SOILS LOG /- MUNICIPALITY OF ANCHORAGE a PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST I\\ 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: �i L' �'c t DATE PERFORMED: LEGAL DESCRIPTION _ B !`—' �✓C I rW l V //O pC,Z,A) /UC C�SLS—) I I 2 Site Ty S,�-9 ti'V) 4 /./ 5w/„r 0 � 6 d 0 7 �d 9 0 �0 10 11 Q WAS GROUND W ENCOUNTERED? 12 ”- IF YES, AT WHAT 13 �%Q CY� Lei i!/ DEPTH? 14 15 �w0�ANI 16- 17 foe •. 18-19WA A n� S �V L O P E Reading Date Gross Time Net Time Depth to Water Net Drop 20 PERCOLATION RATE TDST RUN BETWE)°N COMMENTS — K �� ✓ U ` �� Gr%�i�/ C' J)&iajZ RIVER, ALAS,'0 PERFORMED BY: .S'H. 604•2070 72-008 (6/79) w CERTIFIED B. N (minutes/inch) TT AND le �c7 C t DATE: -( % 43 4-1f A A. -41 -9- 7 -7 well owner Location (address oo section, if known# or distance from main ros.d--,�,-, to completed Depth of hole ,�.feet. Cased to.,.4��eet-* Size of i I-, �l ��9# - Z"rci -�ar ZA, ?feet (atwire) lend si�jf e. Finlah of Static mter level- . (be I oyj well (cheek one') Oped end Scree rfor9ted Describe screen or perforations (minute) f or hours Well pumping test at �jzals. per (hour) wjth.__=��eet of drawdown from static level, R env� r ks —VA11-DQ9 Depth in feet from Give details of f9tIons penetrntedt ground surface size of m.terial,, colorand hArdenss, to z 71 - to t o Win.to Time APF IC IT FILLS OUT UPPER F"41. ONLY Time P, )perty Owns, k Ph ne 1 `. `.ailing Address Zip Code Buyer Inspector Inspector Address Zip Code Field Notes: Lending Institution Phonq_— Address MUNICIPALITY OF MICHORAGE Zip Code Realty Co. & Agent Phone Address Zip Code Legal DescriptionA-� RECEIVE D-- \j (3) APPROVED BEDROOMS -CONDITIONS OF APPROVAL Street Location CONDITIONAL APPROYAL' u Type of Residence Family DATE n' BY: ngle fij ulliple Family No. of Bedrooms Date wer Installed -Well To Absorption Area F1 Other Log Received Septic Tank Size Water Supply Individual Well to Tank 7 4-0 64 ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ o m rn u n 11 y For wells drilled prior to that date, give well depth latlach log If available). 1-1 Public Utility Sewer Disposal Year Individual Installed: �Individual Publlc Utility When Connected to Public Utility: F1 Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: �j (f MUNICIPALITY OF MICHORAGE ENV I PC); j fr I ION RECEIVE D-- 0A, (3) APPROVED BEDROOMS -CONDITIONS OF APPROVAL DISAPPROVED CONDITIONAL APPROYAL' u DATE n' BY: Solis Rating Date wer Installed -Well To Absorption Area Well Log Received Septic Tank Size �9 — 2- — (2 (:15> _3 J Well to Tank 7 4-0 64 72023 (3182)) _5 4 .5 00?eCcmpkeda [k� ,seCz Tax Area Code 051 — d5 STATE 'lot by Mapping Service,!nc- O /0, k;sVs%:40,ceI No Ale' A 0 Greater Anchorage Area Borough Q Ale, 'DZ7 Ar 4 // C) 0 V. C- 0,2 C JD 07 01 q6D STATE 'lot by Mapping Service,!nc- O /0, k;sVs%:40,ceI No Ale' A 0 Greater Anchorage Area Borough SEC._ COR G L.O.�� 0,W. W, 6b COR. W_i COR_ B.L.M. 25 30_ _ /30 -5199'-5aa o"E 36 3I 1 \ NOTE 2'X2°NUBS W/THS. AT ALL LOT CORS. NOT A PART OF THIS SUBDIVISION V K L M COR.- PIPE C, W, W ". COI G W COR, 3631 >o' ' ,,,1 5B9, -S6' -00'E 130, m�BARN ES EXISTING ROAD EASEMENT AVENUE 409 Jz'� 300' 60 .900' q I I 4 ?1 .93 AC 93 Ac, CERTIFICATE Of -OWNERSHIP AND DEDICATION PHEFFRREO NATIONAL. I NVESTORS INC. AN ALASKAN CORP HEREBY GFHTIFIF-; 711AT 1� IS THE OWNER OF THE PRCPERTY GHOWN .:ND DESCRIBED HEREON AND THAT IT HEREBY ..DC,PT3 THIS PLAN OF SJRDI JISION WITH ITJ FREE C(. NSENT, ANO DEDICATES ALL STREETS ANC EASEMENTS TC PUBLIC OR PRIVATE USE AS NOTED. D: TE Q, U/7C_1959 J WWIIIN�NESSED BY /PPRR7ESIDW n Of WITNESS_..__.-/ySECRTARY �!-._ q 2 w b 114Ac \ r FIREDIVISION No 2 LOCATED IN THE EAST 660 OF LOT 5 jFl F .30 2 FOR /SUBDIVIDED FEB 1 D nV0 f(1111[ONY•^""ON7MOt Illy/ Ser v. e:�9/w W SURVEYED BY F.M. LINDSEY REGISTERED SURVEYOR DATE -4 JUNE 1959 f w I ' 3G ti 3i p 5 N x 1.14Ac. 1 h z O Q; Q. VICINITY SKETCH SCALE I"=1/2 MILE SEC._ COR G L.O.�� 0,W. W, 6b COR. W_i COR_ B.L.M. 25 30_ _ /30 -5199'-5aa o"E 36 3I 1 \ NOTE 2'X2°NUBS W/THS. AT ALL LOT CORS. NOT A PART OF THIS SUBDIVISION V K L M COR.- PIPE C, W, W ". COI G W COR, 3631 >o' ' ,,,1 5B9, -S6' -00'E 130, m�BARN ES EXISTING ROAD EASEMENT AVENUE 409 Jz'� 300' 60 .900' q I I 4 ?1 .93 AC 93 Ac, CERTIFICATE Of -OWNERSHIP AND DEDICATION PHEFFRREO NATIONAL. I NVESTORS INC. AN ALASKAN CORP HEREBY GFHTIFIF-; 711AT 1� IS THE OWNER OF THE PRCPERTY GHOWN .:ND DESCRIBED HEREON AND THAT IT HEREBY ..DC,PT3 THIS PLAN OF SJRDI JISION WITH ITJ FREE C(. NSENT, ANO DEDICATES ALL STREETS ANC EASEMENTS TC PUBLIC OR PRIVATE USE AS NOTED. D: TE Q, U/7C_1959 J WWIIIN�NESSED BY /PPRR7ESIDW n Of WITNESS_..__.-/ySECRTARY �!-._ q 2 w b 114Ac \ 36 pt s0o' SURVEYOR'S CERTIFICATION A6 COR. PIPE I HEREBY OERTI FY THAT TIII $ PLAT REPRESENTS THE SURVEY MADE BY OR UNDER MY SUPERVISION. P-515 RFC Mp` pEWT( Etµ 0`ON NM E'N1>O��w3� I� 2 114Ac. 3 114Ac. 0 V) q 31 30 41 0 4 16 1.14 Ac, N FIREDIVISION No 2 LOCATED IN THE EAST 660 OF LOT 5 AN6NIMIEPNINNICI, INNNNNIE, Milk F SEC. 31 T15 N R I W OF S. M., ALASKA 2 FOR /SUBDIVIDED FEB 1 D nV0 f(1111[ONY•^""ON7MOt Illy/ WW W SURVEYED BY F.M. LINDSEY REGISTERED SURVEYOR DATE -4 JUNE 1959 f w 6�oo"w �"' �0 3 yr a p 5 N x 1.14Ac. 1.14Ac h z O J v m f c; n I ; CERTIFICATE OF OWNERSHIP AND DEDICATION Sec. t..t N89°54 25"W U9.39-- l (re), hereby certify that I (we) hold the herein specified s/ y 0 - -- ' -W _ property interest in the property described hereon I (we) r� �i-3DDCk��, 9ARNF$ AVENUE '•-�.-30.00't hE_n M hereby dedicate to th municipality of Anchorage all areas depicted for use as public utility easements, streets, alleys, 89°56'00" W. 300,0060thoroughfares, perks, and other public areas shorn hereon. a `a�-��- D36 slope reservation easement sufficient to contain cut and fill n ;<- M -N. 89.54'25 V• 299.39 slopes of 1.5 feet horizontal for each 1 foot vertical (1,5 to 1) 1 Y e f„re sveo y; I I of cut or fill for the purpose of providing and maintaining the ❑ \ sc '_ lateral support of the constructed streets. There a reserved to m /c - the grantors, their heirs, successors and assigns, the right to 00 -0. use such areas at any time upon providing and maintaining adequate /�. �---- ___ lateral support, as approved by the municipality. ^^ I (we), hereby agree to thisplat and to an restrictions or OLZVIA DRIVE ¢ a ��)�- a�L covenant appearing hereon and any such restriction of covenant shall be binding and enforceable against present and successive owners of this subdivided property. Charles R. Taylor Janet .,, Taylor ' �gFuxE� 1 Box 90 Savage Same 508., age Drive < I - R -N. 89°56'ao" W. 300.00' II I Eagle River, Alaska 99577 K N, 89°55'18" W. 299.70' 1. `r o N . LEA3 ( I oaf I-�i � : � r � n i r'::1 NOTARY ACKNOYEMENf 1 - ... - ro - of C m $ FOR Celle• R. 8 Joint G Taylor _ 0 Subscribed and sworn to before me this day of i9i: 3—A i u \, 53,999 sq, ft. g p _ 1 My Commission Expires Notary Publio. 0 0 2 N. 89'55'26" W. 299-948) ~� --- - - -- -- -- o 0 > 1r i g ti I;o /` y �.� 3� i ��) � 1' TALC CERTIFICATION All real property taxes levied by the ManicipmIity 0 o I?,, q—A o of Anchorage on the area show n this plat haw been paid. nl z z NOTES 45.018 sq. ft. -_- A11 record measements shorn are from _ COLLET DRIVE R -N• 89*Sb'00 W- 300.00' P-515 �. the prat of Fir° Lake suo6WSian Na 2. Dae thew" ed Offi ial • _T M -N, 89°55 37 W. 300.14' Basis of Bearing and Proporfionsare Front ire Si note% Date above record, APPROVALS D9rr V1 r ; i O Platting Officer Z RL56> Z , . 1 LEGEND Municipal Engineer I /Z -Ewinonnental Prmectio, Found lir in. brass cap monument - in concrete flush with ground in a 2 3/8 in. 00GIP S."" Lij 5 C a -e- _ 21.2 - Found 5/8 in. weber monument w g m Found 2 in. sq. wood hub 2 M I ¢ o_ 1, m �j d Set 334 in. alum. cap on 2* in. DT100034 C�l)1 x 30 in, alum, poet, flush with _- 4 ....._ _ ground 11 ® Set 5/8 in. x 30 in. "bar mon_ T.15N. RAW, SK, ALASKA 1 usent flush with ground .: it _ Point dvtumrned Fram retard sl reef "rdih, not ^ �__ _ moesmeated c -e tale 1 2I 100 feet NG Y ® �YICITTYMAP S ELDORA DIVE R&M N. 89'56 00 W. R-300.00' - R Record M-300.51' M Meas,rd I-6 7� Lei /✓� p Proportioned I ms R Recor�d'sr N-5 B L'rI L A 0 � i I e P v E _ w n, 1 / 1� 16 31 i PLAT APPROVAL a O . r � 1- �.. r 10' utility Plat approved by the Municipal Platting AutChority 6�- laeements i this of I �9�p -. —_- , . • i KE - � PLAT OF LOTS 3-A AND 4-A, BLOCIC�(, FIRE LAKE SURVEYORS CERTIFICATE � ��\ SUBDIVISION N0. 2 = �£ OF 4� ACCEPTANCE OF DEDICATION , A RESUBDIVISION OF LOTS I, Floyd A. Brooks, 4 3 AND 4, BLOCK I, FIRE LAKE SUBDIVISION NO.2, LOCATED IN 7 t of La land surveyor do hereby i•(Q;'•• "•• S TIIe Municipality of Anchorage hereby accepts for public Q / 1� certify that the plat of Fire Lake Subdivision No. 2 is a 4 o . yt� ones and for public purposes the real D GOVERNMENT LOT 5, SW. 1/4 SEG 31 T.15N. R.IW,S.kt ALASKA p purpo property dedicated `F e� `a _ , , , tins and correct representation of lands actual>,y surveyed i e?4e TN : ,e/ on thio plat including, CONTAINING 2.273 ACRES and that the distances and bearings�• ..:.... P ag, but not limited to the saeeseata,s on are Inanimate, correctly / ` ` � •••�'• rights-of-way, alleys, roadways, fir, 8 7. J 47s. tIIorougIIfaras and parks and that all permanent t corner shave b en set an, all / ••��2: «.....„..,� «'„ shown hereon. other final tom, and lot corners have been isL and staked, �/ A. nova : c N"Lr Floyd A. Brooks, land Surveyor or if fill completion an specified is assured by subdivision reamer, / .'., LT �1% :•� they will be net m specified is said subdivision agreement. �� `4.e•'�, ,.''yov-i �� At Anchorage! Alaska this � day of 198L, ./ / .i9 w 1 0 •...... y /' �,�• R� 1013 E. Dimond # 237, Anchorage. Alaska 9JSIi set comers N/A be sat by N/A Monuments to be �y"9p'>:5srperi=`i t e f _ 3; 00 ��• �� %.�'! satin ®btai 1 Gnt tiW454 Scat =100' Daf, (Jaw -/9g ei Cle �yor of Aacborage roe 0 0 c U U MUNICIPALITY OF ANCHORAGE Jar 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. 051-351-17 Expiration Date: Z - Legal description Fire Lake #2 Block 2 Lot 7 Site address 13635 Savage Drive Eagle River AK Current property owner(s) Lewis X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 11/18/2022 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 COSA Checklist ti Legal Description: FIRE LAKE #2; BLOCK 2, LOT 7 Parcel ID: 051-351-17 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA Al Well log is filed with Onsite (or attached) Date drille *1983 ? Total depth 200 ft ased to o ft ( v� tit 6 $ - ; nitary seal is functioning correctly " ires are properly protected 17-+- asing height (above ground) **- in. I i' �� Z.2 - Date of flow test for COSA 11/9/2022 Static water level at beginning of test 29.4 ft. r., ,t, *WELL LOG IS NOT VERY LEGIBLE B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping NEW ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/2/1983 0 ALL standpipes present per record drawing Total measured depth from grade 12.8 ft (max) Measured depth to pipe invert from grade 8.4 ft (min) ❑ NIA — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 5011 ❑ 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) NONE If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 5+ gpm Water storage tank volume 300 gallons Well disinfected for coliform test? ❑ Yes X No Q Coliform bacteria is Negative Nitrate 1.87 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L 0 Arsenic less than MRL (ND) Collected by GARNESS ENGINEERING bate 8/11/22 & 8/15/22 T STATION ❑ Require tenance Age of lift station Lift station ial Adequacy test date 9/2/2022 Results Q Pass Fluid depth prior to test 11 in Water added 661 gal New fluid depth 34 in Elapsed time 120 min Final fluid depth 17 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 60 in Effective depth used 27 in Effective depth remaining 33 in 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' *75 Community Sewer Manhole/Cleanout > 100' Yes if No ft E Yes if No ft Neighboring Tank > 100' ❑i Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' M Yes if No ft Holding Tank > 100' [E Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' D Yes if No ft Q 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' M Yes if No ft Surface Water > 100' n Yes if No ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' Yes if No ft n Yes if No ft n Yes if No ft 0 Yes if No ft Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' M Yes if No ft Q Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *'WAIVER GRANTED IN 1983. AMENDED IN 2022 TO INCLUDE INSTALLATION OF NEW TANK. 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 Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrey A. Garness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the 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. COSA Checklist June 2022 #AECC884 Municipality of Anchorage Development Services Department Building Safety Division ' \ `! On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D._ 051-351-17 COSA# Ou03S 1 Expiration Date: / - (,o - / o 1. GENERAL INFORMATION Complete legal description Lot 7, Block 2, Fire Lake Subdivision #2 Location (site address) 13635 Savage Drive, Eagle River Current Property owner(s) Greg & Cheryl Skiffington Day phone (907) 696-4256 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 13635 Savage Drive Eaple River, AK 99577 Day phone Jeannie Erickson/Keller—W Dayphone(907) 227-7388 11901 Business Blvd Suite 105; Eagle River, AK Unless otherwise requested, COSA will be held by DSD for pickup. 2.- NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: :9 Individual On-site ❑ Individual Holding Tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pinard Engineering Phone(907) 232-1347 Address_ PO Boz 871347 Wasilla, Alaska 99687 Engineer's Printed Name Paul Pinard i) Ow at 4 to aka Paul E. Pinard �' •`' S. DSD SIGNATURE tau Ct-475 ,•�'' - J�a, '••......•� LF. Approved for .3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: ONSITE Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: Original Certificate Date: O q (R•v. HI05) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 7, Bk 2, Fire Lake Subdivision#2 Parcel ID:.051-351-17 A. WELL DATA Well type Pvt If A, B, or C provide PWSID # NA Date completed Unkn (priotanitary seal (YIN) Yes to 83) Total depth 200 ft. Cased to BO—ft. FROM WELL LOG Date of test Unknown Static water level 19 Well production 1 g.p.m. WATER SAMPLE RESULTS: Coliform _0_colonies/100 mL Nitrate2 -16 mg/L Arsenic: _ND— ug/L date of sample: 4/1 nn/09 B. SEPTIC/HOLDING TANK DATA Tank Type/Material, Steel Well Log (YIN) Yes Wires properly protected (YIN) Yes Casing height (above ground) —12* in. AT INSPECTION 9/11/09 25.1 ft. 3.1 g.p.m. Other bacteria —0 colonies/100 mL Collected by: Pinnrd Engineering Date installed 8/2/83 Tank size 1000 . gal. Number of Compartments 2 Cleanouts (YIN) Yes Foundation cleanout (YIN) Yes Depression over tank (YIN) No High water alarm (YIN) NA Date of pumping 7/15109 Pumper Snni tory PilmnAra C. ABSORPTION FIELD DATA Dale installed 8/2/8 Soil rating i(9:"fJ1=f?tbdrm) 125 System type Deep Trench Length 38 ft. Width NA ft. Gravel below pipe 5 ft. Total depth "_ ft. Eff. absorption area 380ft2 Monitoring lube Yes Depression over field No Date of adequacy test 9/11/09 Results (Pass/Fail) pn ss For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added640 gal. New depth 0 in. Elapsed Time: 24 min. Final Fluid depth 2 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) None Known If yes, give date D. LIFT STATION NA Date installed 'Pump on" level at _ in. Datum Size in gallons Manhole/Access (Y/N) Pump off" level at_ in. High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 75** Absorption field on lot 11001+ Public sewer main NA Sewer/septic service line 251+ Animal containment areas NA On adjacent lots 11001+ On adjacent lots 11001+ Public sewer manhole/cleanout _NA Holding tank NA Manure/animal excrete storage areas NA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 191+ Property line 25 1 + Absorption field 801+ Water main 251+ Water service line 251+ Surface water 1001+ Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 251+ Water main 251+ Water Service line 251+ Surface water 100 r + Driveway, parking/vehicle storage 251+ Curtain drain NA Wells on adjacent lots 100 1 + F. COMMENTS *Nell is in a manhole in D/W. Tested & found to be watertight. There is no drain to daylight (would require 5O1t of draln),-but one is G. ENGINEER'S C this separation in 198); e�' .::•:; .�'�? I certify that I have determined through field inspections ande�,' +,'rw,, •; review of Municipal records that the above systems are in fJ' !. • • • • ••+ , a i • e •..,. ' conformance with MOA COSA guidelines in effect on this date. +., w �• �)�)'�- t Engineer's Printed Name Paul F.. Pinard ! PF. f(a, ;"pbL'�. Pfnnrd •: (Fi ?' Date 9/28/09 dr ,.,. ,•/t .: COSA Fee $ Waiver Fee $ Date of Payment -1 Zq ,1 Date of Payment Receipt Number 5 q Receipt Number (Rev. 11/05) x.oko6'- ,PW4J! = of SOF At 4 P��• a � qs'. •... ^ �N •ai ASBUILT SEUARD A ASST I HERESY CERTIFY THAT I HAVE SURVEYED THE SC/LL'E', FOLLOWING DESCRIBED PROPERTY: AND THAT NO FNCROACH�ENTS EXIST EXCEPT AS DATE INDICATED. IT IS THE RESPONSIOILITY OF THE MIER TO DETERMINE THE EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS /✓�+'f'-fes WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN ARY LINES. f, = of SOF At 4 P��• a � qs'. •... ^ �N •ai PINARD ENGINEERING oPaul E. Pinard L." Registered Engineer/AK & ID F' P.O. Box 871347, Wasilla, AK 99687 (907) 357-ENGR(3647) ONSITE DRINKING WATER AND SEWER SYSTEM ENGINEER'S EVALUATION PROPERTY DESCRIPTION: LOT 7, BLOCK 2, FIRE LAKE SUBDIVISION 02 This property is developed to serve a single-family residence with a total of 3 bedrooms. Owner's Name(s): Greg & Cheryl Skiffington Owner's Address: 13635 Savage Drive Eagle River, Alaska 99577 Buyer's Name(s): William & Heather Lewis Buyer's Address: ON-SITE DRINKING WATER SYSTEM: This property is served by a Public Water System approved by ADEC. XX Recent drinking water samples were collected and were tested at an ADEC certified laboratory and found to be satisfactory, meeting ADEC drinking water standards for coliform bacteria, nitrates and arsenic. NOTES: A 4 hour flow test was conducted during which the well produced an average of 31 gam ON-SITE WASTEWATER DISPOSAL SYSTEM: A new wastewater disposal system has been installed. Based on periodic visual observations, it appears this system was constructed In general conformance with current 18 AAC 72 regulations and ADEC policies. lX swastewaterdisposal system was installed by an ADEC Certified Installer and approved by ADEC. existing wastand ADEC policy and found to be ratingsatisfactorily. The readily identifiable features of this system were observeand documented. Except for the separation between the well and the septic tank (75�, k appears that this system meets MOA and 1 N ADEC requirements, based on record infomration et the MOA. This system does not meet the horizontal separetign distance requirements of 18 AAC 72 regulations and conformance w th the vert cal separation requirements of these regulations, to seasonal high groundwater and impermeable layers, is unknown. Components are unknown and it is undocumented with ADEC. NOTES: A waiver waa granted In 1983 by the MOA for the 75' separation between the well and the septic tank This report does not constitute a guarantee of any kind, explicit or implied, as to the future performance of this water supply or wastewater disposal system. It does accurately portray the conditions found on dee date they were tested an&brdocumented. DATE - 1 PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99887 (907) 357-ENGR (3647) ADEQUACY TEST LOCATION: Lot T. Block 2, Fire Lake Subdivision t2 APPLICANT: Greg 8 Cheryl SkifNngton 13633 Savage Drive Eagle River, Alaska 99577 SEPTIC TANK TYPEISIZE: Steel/1000 Gallons, per MOA Records ABSORPTION SYSTEM: Deep Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GALBR - 460 Gallons TEST DATA JOB NUMBER: 09-210 DATE OF TEST: 9111109 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments pM (GPM) (GALS) (GALS) Liquid Level • A Level Mondor Tube 1• A SAS Level Monitor Tube 3• A SAS Level 3:45 3.3 - - 4.0' - 0.0' - Start Flow - Meter 92750 4:00 3.3 50 50 4.1' 0.1' 0.0' 0.0' 92800 4:15 3.3 50 100 4.1' 0.0' 0.0' 0.0' 92850 4:45 j 3.3 1 100 200 4.1' 0.0' 0.0' 0.0' 92950 5:15 1 3.3 100 300 4.1' 0.0' 0.0' 1 0.0' 93050 5:45 3.3 100 400 4.1' 0.0' 0.0' 0.0' 93150 6:15 3.3 100 500 4.1' 0.0' 0.0' 0.0' 93250 6:45 2.3 100 600 4.1' 0.0' 0.0' 0.0' 93350 7:45 140 740 4.1' 0.0' 0.0' 0.0' Stop Test - 93490 *ALL MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: System appears to be operating satisfactorily. There was no measurable liquid In the SAS MT prior to or at any time during the test. Reviewed by Paul Pinard Date: 9114109 PINARD ENGINEERING P.O. Box 871347 u Wasilla, AK 99687 r (907) 357-ENGR (3647) 4_ WELL FLOW TEST LOCATION: Lot 7, Block 2, Fire Lake Subdivision t:2 DRILLER: Jerry's Drilling DATE WELL COMPLETED: Unknown (prior to 1983) WELL DEPTH: 200' STATIC WATER LEVEL (top of casing): 25.1' JOB NUMBER: 09-210 DATE OF TEST: 9111109 FIELD STAFF: PJ Pinard Time Elapsed Time Minutes Static Water Level Flow Rate m Cumulative Gallons Pumped Remarks 3:45 PM - 25.1' 3.3 - Start Test - Meter 92750 4:00 15 44.4' 3.3 50 92800 4:15 30 62.7' 3.3 100 92850 4:30 45 79.3' 3.3 150 92900 4:45 60 91.2' 3.3 200 92950 5:00 75 103.2' 3.3 250 93000 5:15 90 113.9' 3.3 300 93050 5:30 105 122.3' 3.3 350 93100 5:45 120 130.9' 3.3 400 93150 6:00 135 139.0' 3.3 450 93200 6:15 150 148.6' 3.3 500 93250 6:30 165 157.7' 3.3 550 93300 6:45 180 165.0' 3.3 600 93350 7:00 195 174.1' 3.3 650 93400 7:15 210 182.0' 2.0 700 93450 7:30 225 179.1' 0.7 730 93480 7:45 240 175.0' - 740 Stop Test 93490 RECOVERY 8:00 PM 15 152.9' Well is located inside a sealed manhole in the driveway. * 8:15 30 126.8' Flow rate was reduced after 720 gallons was obtained from the system. 8:30 45 102.5' ' A "flood" test was conducted to determine if the manhole was watertight. The test confirmed that manhole over the well did not leak. Average Flow Rate: 3.1 gPm Comments: DURING THIS TEST, THIS WATER SUPPLY WELL WAS CAPABLE OF PRODUCING 3.3 GPM. THIS TEST DOES NOT CONSTITUTE A WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. Reviewed by: Paul Plnardw Date: 9114109 J SCS Re EN 1094815001 Client Name Pinard Engineering Project Name/N Water Samples Client Sample ID 72 Fire lake #2 Matrix Drinking Water Printed Date/rime Collected Dale/Time Received Date/time Technical Director 09222009 15:33 09/102009 15:30 09/102009 16:50 Stephen C. Ede Sample Remarks: Allowable Prep Analysis parameter Results PQL Units Method Container ID Limits Date Date Mit Metals by ICP/MS Arsenic ND 5.00 up/L EP200.8 C (<10) 09/15/09 09/21/09 NRB Waters Department Total Nitmic/Nitritc-N 2.16 0.100 mg/l. SM204500NO3-F B (<10) 09/17/09 LCE Microbiology Laboratory Colony Count 0 col/100mL SM209222B A (<200) 09/10/09 DLC Total Coliform 0 coVI00mL SM209222B A (<I) 09/10/09 DLC Fecal Coliform 0 coVI00mL SM209222B A (<I) 09/10/09 DLC Windows Live llotmail Page 1 of 2 Windows Live" Home Profile People Mail Photos More • MSN • Search the wet Hotmail New i Delete Junk I Mark as • Move to• i '�° Messenger • i Op paulpinard@hotmail.... Reply Reply all Forward i Inbox(45) the "Sewer" lettering. Contact list well manhole label Junk (17) Drafts From: Greg Skiffington (gskiffington@superiorpnh.com) ff; You may not know this sender. Mark as safe i Sent Mark as junk Deleted (68) Sent: Thu 9/24/09 3:30 PM Manage folders To: Paulpinard@hotmail.com Add an e-mail d 2 attachments i Download all attachments (2.5 MB) account manhole c ... jpg (1362.6 KB), manhole c ... jpg (1222.6 KB) Related places Paul Today 1 have a 14 gauge galvanized plate with the lettering "Well" to cover the "Sewer" lettering. Contact list I hope this will work Calendar Thanks Greg QO + ( 0.Greg Skiffington Superior Mechanical Service better together 2220 E 88th Avenue - - — Anchorage, Alaska 907-349 6550 phone 907-349-3200 fax id( GET M'URER- TOP DE AT UP TO NEW SALE! http://snl 18w.sntl 18.mail.live.com/maiVinboxLight.aspx?FoldcrlD=00000000-0000-0000... 9/27/2009 Q'n Q. Ir y < �' O J J K W F o o+ w o O 1- Eam Or�notn� Q IvInni co >- c� z0 0 p zpzp yuao� ui cn Moo �N M-WU'= FNa.��3zz ^ �E..G. =O.N m W �W z�' F O�O� a �a�a •- J a= p LL Lc)U) zQ� �3 �>- ACL } y� aazN z W-1O� G= �� N ¢� �� u �aa�a a3 WZZ T Z NN +oQ0 �O F��O v� oQ °Z N w o °�; W 00 a N a SON U Q W D w -?1 w N ° S° U. U. 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