HomeMy WebLinkAboutFALLING WATER BLK 2 LT 1Falling Water lock 2 Lot - 050-772 -02 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251046 PID Number: 05077202000 Dwelling: � Single Family (SF) � with ADU EJ Duplex (D) EJ Two Single Family Project: E] New 9 Upgrade Name JOHNSON ABSORPTION FIELD Deep Trench Q Wide Trench [] Bed [] Mound Site Address 31805 EAGLE RIVER RD D Other Phone Number of Bedrooms Soil Rating Total depth from original grade 242-5276 13 GPD/SF1 Ft, LEGAL DESCRIPTION Depth to pipe invert from original grade Ft Gravel depth beneath pipe Ft Subdivision Block Lot FALLING WATER BLK 2 LT I Fill added above original grade Ft. Gravel length Ft, Township Range Section Gravel width Beds: Number of Lines Ft. Distance between lines Ft, SEPARATION DISTANCES TO Septic Absorption Holding Sewer Total absorption area Number of trenches Dist between trenches From Tank Field Lift Station Tank Line Ftz Ft Well 140'+x na na '25' + TANK Aseptic [3 S.T.E.P. 17 Holding 0 Other Manufacturer GREER - Deep Burial Capacity 1000 Gal, Surface Water 100+1 na nai Material PIStc Number of compartments 2 Lot Line + 10, 1 na na NA Foundation 10'+ na na LIFT STATION Manufacturer Capacity Gal, Remarks Alarm location Electrical installed by PIPE MATERIAL House to tank D3034 Tank '01D3034 drainfield Installer JRs Drainfield co/MT D3034 Inspector NorthRim Eng. BENCH MARK (Assumed elevation) 100 ft Inspection JH Sf8I25 5/9/25 Location and description dates: 2'4 deck I Tv 4th ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date OF P��,��� irc') -49 C, Steve Eng CE -6256 AR Septic System Approved X-7 Dat ' 0/ 1* 2 No this approval does not include well permit requiremInts. rq > 70o@ 2 N|�pmi � NJ 0 z awwn / nro-& _ S �u 00 ] 0 t ƒ \ C-, k`O C,>k� \ �\Ct c_ / k ) 9§Jk \�) / & 91 m 2 �)®� — — — - k §} %o / 12 CD: - �» 2w gr �m 7- —• m« 2� /m m« 22 O> / -m w � � / §mw� §P�� /f 2 » q + e\ cn ? 0 � ` k -0 etz) q/n -\ §E \§ 0 /� C 2 � �& n n� C) , 9 7� // � E o ;v a r GQ rn AGE ƒ \ C-, k`O C,>k� \ \k\ c_ / k ) 9§Jk \�) / \oc/ 91 �)®� — — — - k §} 12 CD: - 0 \ C-, \ \k\ ��� k \�) C u Gl �;0 D d F9 D z Cil 0 1-1N Ul 01 m A O 3A -u V) SCJ F9 0 9 --1 F- C-) F9 V) V) �;u w —9 F9 F- D 0 F— n F- 0 H t� F�) C-� d �o Q Lt 0 r OD OD N (� 3 CD Q _0 O <+ O 0 D c) Q n Q O CO :5 O :5 (J" rp U1 Q 0 O D Ln O i Lt 0 n s O Q Q Lt 0 n �o Q o rD :5 D -5 rp O c+ TI --j 3Q Q �o QQ m:3 O C+ ro �< (oQ < <+ p 00 ro O rO ,D LAc co ---j n Q O <+ U) lid ro ro ro V) ro <+ n Q X- 90 n :5- 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: OSP251046 Work Type: SepticTank Upgrade Tax Code Number: 05077202000 Site Legal Address: FALLING WATER BLK 2 LT 1 G:0804 Site Mailing Address: 31805 EAGLE RIVER RD, Eagle River Owner: JOHNSON REANN C & THOMAS P III Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 3/13/2025 3/13/2026 97954 ❑ Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: } I—tj r`h'� !�"`I—�`)`"(r�,, Date: Issued By: Date: / '' K MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 05077202000 Property owner(s) JOHNSON Mailing address 31805 EAGLE RIVER RD Site address 31805 EAGLE RIVER RD Legal description FALLING WATER BLK 2 LT 1 Number of Bedrooms 3 Engineering Firm NorthRim Eng. Building Permit Number Day phone 242-5276 Not Applicable MN APPLICATION IS FOR: APPLICATION IS AN: (X all that apply) Absorption Field El Initial ❑ Septic Tank Upgrade Holding Tank ❑ Renewal ❑ Privy El Well n THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Permit/Rush Fees: A 2— z � Date of Payment: 'b la zz .5;_ Permit No. 0c)j22_,T/0qG Waiver Fees: Date of Payment: Waiver No. Distance: SteveEng.com FALLING WATER BLK 2 LT 1 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: The current septic tank has failed- the field still functions. Replace septic tank near same location, decommission old tank per UPC. This lot is over two acres and on a water well. Separation measurements to be made prior to construction. No adverse impacts are expected from tank replacement. Many easements are on the lot. The slope is shown in the area of the septic system. No conflicts to neighbor properties. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. New 1000 gallon MOA-approved septic tank. Watertight couplings on inlet & outlet. 5 minimum between the tank and trench. 5 to property lines & 10 to house. 4 of cover or insulation is required for tank; an equivalent of 1 insulation for 1 foot soil cover. Tank & solid pipe must be set on well compacted, stable soil. No large rocks for tank bedding. Plastic/fiberglass tanks require special bedding per MOA- sand or pea gravel. 4 diameter cleanouts with airtight caps are required 1 to 4 from foundation wall, prior to any 90 degree bend in 4 inch line, in 2 nd tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 from the tank positioned to provide cleanout access towards the tank and towards the absorption field. Manhole Riser required in 1 st tank compartment. All cleanouts must extend to at least ground level. In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. Insulation must be placed over any pipe installed under driveways or parking areas. Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, Sewer Service Line is minimum 2% slope. Septic Tank to be pumped every two years or when required. Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251046, Curtis Townsend, 03/13/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251046, Curtis Townsend, 03/13/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP251046, Curtis Townsend, 03/13/25  '~ MUNICIPALITY OF ANCHORAGE t 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 ",~N EW MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS ~ Dwelling 4 / PERMIT NO. DISTANCE ~ Z Manufacturer Material ~ ~ ~ < ~ ~ E C ~ N°' of compartments Liq. capacity in gallons Inside length Width Liquid depth [ CO O IF HOMEMADE: ~ Manufacturer /j Material Liquid capacity in gallons ~ DISTANCE TO: Well ~/~ Foundation.~ ~--/ Nearestlotline~l PERMITNO. E, ~_ ~o. oflines ~ kon~thofea~lino~, Total len~thoflino~, ~0 Trench~idt~, ~inchas ~ ~ ~ Top of tile to finish ~rade ~ ~ t Material beneath tile~ lotal effocti~abs~tion area ~ Length 'Width ~, ] Depth PERMITNO. ~ Type of crib Crib diameter Crib depth Total e~fective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class ~ ~th ~ ~.~/~riller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING ~ REMARKS ~, ~2,;".:.~,~.~ D13 (Rev. 3/78 FromL Fr'om '7' From ..... From From .From'. Front :" ' 1'' I I 'Ft''tO ,':, 'Ft Frdm" "l Ft: .5:?' ,:' From" ' Ft. to ';'"':l"'f'F~i' From' , I ~:'~FtJ to ' ,I.iIFt. ': From .,.' ' · Ft, to :":'.: ' ...... Ft. :',; Fr~m, "". ':'~ Ft. to 'Ft. ·, ~. ... .... .;.'~:. . · ... Ft. to Ft. · '?: .Ft. to .... "Ft.' ..... . Ft. to FL Permit ~ Applicant: Department 825 - Street, Anchorage, AK. ~9501 264-4720 * * * HANDWRITTEN PERMIT * * * ~ / ,",';ELL A;;J,'OR C:I-SITE SEWER PERMIT MUNICIPALITY OF ANCHORAGE f Health and Environmenta? ~rotection Location: Phone Number: / Legal Description: ~'~/ ~ ~~~ ~/~ Type of Soil Absorption System Is: Trench: y D~ainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: ~ . Soil Rating(sq.ft/br) The Required Size of the Soil Absorption ~stem Is: DEPTH LENGTH ~ GRAVEL DEPTH ~ / 'ii ,,~ WIDTH The length dimension is the length(in feet)of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall Pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTICS) TANK SIZE = /~D~.Q GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections 'of any wells adjacent to this property and the number of residences that the well will serve.. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departmen~ will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee~ for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the resideD_ce is remodeled to include more ~m/s._ Signe~: ~A p~i~n~ Issued by: Date: ~----~~ OErEGE f~ussell Oyster 694-2774 Soils Et Fmmdations '"ECHNICAL Er DEV[ Box 90, Davis SI , E.~<.lle Hive~, Alaska 99577 694-2774 or 6882280 SOIL LOG Performed for: Legal Description: ~o~ 1, ~epth (feet) Name: F~ub~I~G WATERS SUBDIVISION Hailing Address: Star Route Box 1613 mock 2, ~all~n~ Waters Subdivision Soil Characteristic~ ML - Silt topsoil with roots and organics. 1PMENT CO. Earl Ellis 688 2280 Land Development Tel. No. 694-9239 ~agle River, .&laska 99~77 . 275 sq. ft./Br, GW - Sar~y Gravel with cobbles to 24 inches in diameter. Very clean ar~ loose material. Occasional 6 inch thick lenses of coarse gravel and/or cobbles. 85 sq. ft./Br, 10 , ll ... 12__ 13 16 Bottom of pit.. Ground Water Encountered: Yes No x× If yes, what depth~ proposed Installation: Seepage Pit__Drain Field Comments: All st,,ies of th~ pi,t 1,og.qed the s,~me. Pit measured_,appz,'o~Dn~tel~,.,' ~' K 1~' in plan area. Performed by: Date: May 24, 1977 ., MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251168 Parcel ID 050 -772-02 Expiration Date: 4/15/2026 Legal description FALLING WATER BLK 2 LT 1 Site address 31805 EAGLE RIVER RD Current property owner(s) JOHNSON REANN C & THOMAS P III X The On-site system(s) is/are approved for 3 bedrooms M Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 5/13/2025 This rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject sy em(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, evelopment Service 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 submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other a M MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 05077202000 Complete legal description FALLING WATER BLK 2 LT 1 Location (site address) 31805 EAGLE RIVER RD Current property owner(s) JOHNSON 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 242-5276 3. TYPE OF WATER SUPPLY: � Private Well serving #_1 dwelling units F] Other Non-public well as regulated by MOA Fj Water Storage M Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: nN Private Septic n Private Septic serving 2 dwelling units 0 Holding Tank M Community Septic or Public Sewer 5. SEPTIC TANK: F] Steel Fil Plastic E] Concrete F-1 Fiberglass Age new _ See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: 0 AWWTS E] Bed ME Deep Trench 0 Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: M Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $. So Date of Payment S7 gy COSA # i(0� Waiver Fee $ Date of Payment Waiver # COSA Application—Apr2025.doc COSA Checklist Legal Description: FALLING WATER BLK 2 LT 1 Parcel ID: 05077202000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 6/83 Total depth 61 ft Cased to + ft ❑■ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 4/15/25 Static water level at beginning of test 37 ft. Comments *MOA file, well logs, well geostrata B. TANK DATA Measured operating fluid level in septic tank na Date of pumping new ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 5/21/83 ❑■ ALL standpipes present per record drawing Total measured depth from grade 10.5ft (max) Measured depth to pipe invert from grade 3.5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑■ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficienci COSA Checklist June 2022 Well production at time of test 8+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Coliform bacteria is Negative Nitrate mg/L ❑■ Nitrate less than MRL (ND) Arsenic ug/L ❑■ Arsenic less than MRL (ND) Collected by NRim Eng Date 4/15/25 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 4/15/25 Results g Pass Fluid depth prior to test 8 in Water added 450 gal New fluid depth 12 in Elapsed time 60 min Final fluid depth 8 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) Effective depth used 8 in Effective depth remaining 76 in 84 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' 0 Yes Community Sewer Manhole/Cleanout > 100' Yes if No ft Fo- I 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 > 100' ❑■ Yes if No Water Main > 10' Animal Containment > 50'■❑ Yes if No ft R Yes if No ft 0 Yes if No Water Service Line > 10' 0 Yes if No Manure/Animal Excreta Storage > 100' If tank or field is under driveway Community Sewer Main > 75' ❑■ Yes if No ft ■1 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' 0 Yes if No ft Surface Water > 100' Yes if No Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Q Yes if No ft Private Wells > 100' ❑■ Yes if No Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No Water Service Line > 10' 0 Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS ft ft ft 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 Engineer's Printed Name COSA Checklist June 2022 Phone 694-7028 Date 'r * '49 1H 0 Steve En �Mf CE-656?� 5/10/2 LEGEND FOUND 5/8" REBAR, NO CAP EDGE OF GRAVEL ROAD/DRIVEWAY DECK FENCE OVERHEAD UTILITIES POWER POLE PADMOUNTED TRANSFORMER CREEK CENTERLINE (APPROXIMATE) RECORD DATA PER PLAT #78-10 SEPTIC PIPE WELL SEPTIC TANK LID FOUND 5/8" REBAR, ALUM. CAP SATELLITE DISH 40.3' 30.3' 40.3' 30.3' GARAGE 10'x20'SH E D 32.4' 28.3' 32.4' 28.3' TUB HOT COVERED PORCH RESIDENCE TIMBERLINE SURVEYING AND MAPPING 17035 BARONOFF AVE EAGLE RIVER, AK 99577 907-242-5320 ryan@timberlinealaska.com FILE NO.: 25.107 SCALE: 1" = 40 FEET DATE: 5/9/2025 SHEET: 1 of 1 MOA GRID: SE0804 SCALE: 1" = 40 FEET(11"x17") 40'0' 80' AS-BUILT OF: ADDRESS: 31805 EAGLE RIVER RD, EAGLE RIVER, AK LOCATED IN: ANCHORAGE RECORDING DISTRICT LOT 1, BLOCK 2FALLING WATER SUBDIVISIONPLAT #78-10 CERTIFICATE FOR A Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 470Q B~aga~.Street P.O. Box 196650 Anchorage, AK 995'19-6650 www.muni.org/onsite (907) 343-7904 OF ON-SITE SYSTEMS APPROVAL SINGLE FAI'41LY DWELLING Parcel I.D. 050-772-02 1. GENERAL INFORMATION Expiration Date: Complete legal description FALLING WATER S/D; BLOCK 2, LOT 1 Location (site address) 51805 EAGLE RIVER ROAD * EAGLE RIVER, AK * 99577 Current Property owner(s) DAN HOURIHAN Day-phone 225-5780 Mailing address 51805 EAGLE RIVER ROAD * EAGLE RIVER, AK * 99577 Lending agency Day phone Mailing address Real Estate Agent MIKE MCLANE W/ PRUDENTIAL Day phone 565-5500 Mailing address 3801 CENTERPOINT DRIVE, #200 * ANCHORAGE, AK * 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. 'TYPE OF WATER ~UPPLY: Individual Well .L::. Individual Water Storage Community Class Well Public Water system TYPE OF WASTEWATER DISPOSAL: · 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 samples. (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 cedified by my seal ..... ' .... ~- · ~"-'-'~-- -' .... , .....~,~ .... ~mxeo hei'eto and as investigation, based on procedures outlined in the Ce~ificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is Nre) safe, functional.and adequate for the number of bedrooms and type of structure indicated herein. I fu~her veri~ that based on the information obtained from the Municipafity of Anchorage files and ~rom my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with afl appficable Municipal and State codes, ordinances,'and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Phone 337~-6179 Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, · conscientious engineering analysis of the system in accordance with ADEC. and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5, DSD SIGNATURE . w'/ Approved for -.~ bedrooms. Disapproved. Conditional approval for ~ Attachments: COSA Checklist Septic System Advisory bedrooms, with the following stipulatio~ WATERAND · Arsenic Advisory Maintenance Agreements Well Flow Advisory ,N,~ te Ad¢,sory ~? Supplemental Engineer's Report u~ner Original Certificate Date: (Rev. 11105) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Descriptioni FALLING WATER S/D; BLOCK 2, LOT 1 Parcel ID: A. WELL DATA *ASSUMED BASED ON SURROUNDING WELL LOGS. SEE ATTACHED. Well type PRIVATE Date completed 6/1985 Total depth 61 .ft. Date of test Static water level 30 Well production 15 WATER SAMPLE RESULTS: Coliform ~} colOnies/100 mi. Amenic:~'_W. C) ug./L. SEPTIC/HOLDING TANK DATA If A, B, or C provide PWSID# N/A Sanitary seal (Y/N) YES Cased to *40.+ .ff. FROM WELL LOG 6/1983 g.p.m. Nitrated' ~3 mg./L. Date of sample: 1/6/2011 Tank Type/Material SEPTIC/STEEL Tanl~ SiZe 1000 gal. Number of Compartments Foundation cleanoUt (Y/N) YES 2 Depression over tank (Y/N) NO Well Log (Y/N) Wires properly protected (Y/N) Casing height (above ground) AT INSPECTION 7/30/2010 39 ft. 8.15 g.p.m. YES 12+ in. Other bacteria O colonies/100 mi. Collected by: GEG Ltd. Date installed 5/21/1983 Cleanouts (Y/N) YES High water alarm (Y/N) N/A Date of pumPing 6/25/2010 ABSORPTION FIELD DATA Date installed 5/21/1983 Length 20 ft. Pumper, ALASKA SEWER AND DRAIN I'BELOW EXISTING GRADEI Soil rating (g.p.d./ft2o~ 85 Width 2.5 .ft. System type TRENCH Gravel below pipe 7 .ft. Total dePth '10.5 ft. Eft. absorption area 280 ft2 Monitoring tube YES Date of adequacy test 7/50/2010 Results (Pass/Fail) PASS Fluid depth in absorption field before test **2 in. Water added 450 gal. Elapsed Time: - min. Final fluid depth **2 in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN *MT ONLY EXTENDS 22" BELOW INVERT OF DRAINPIPE. TOTAL DEPTH Depression over field NO For 3 bedrooms New depth **2 in. 450+ g.p.d. If yes, give date - IS CALCULATED. YES D. LIFT STATION Date installed "Pump on" level at in, Size in gallons Manhole/Access ~ ~ "Pump off" leve. L~L~, High water alarm level at Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ ,in. 100'+ Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas 100'+ Building foundation Water main Wells on adjacent lots SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 5'+ Property line 5'+ N/A Water service line. 10'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field *5' Surface water. 100'+ 10'+ 10'+ KNOWN Building foundation 10'+ Surface water 100'+ Wells on adjacent lots. 100'+ Water main N/A Driveway, parking/vehicle storage 1'+ Property line Water service line Curtain drain NONE COMMENTS *PER INSPECTION 1985 REPORT, G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date 1/11}1~ COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/Onsite (907) 343-7904 CERTIFICATE OF ©N-SITE SYSTEHS FOR /I': · APPROVAL A SINgL'E:~'FAHILY DWELLIN6 Parcel I.D. 050-772-02 1. GENERAL INFORMATION .xpiration Date: / / -- "- / 0 Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address FALLING WATER S,/D; BLOCK 2, LOT 1 51805 EAGLE RIVER ROAD * EAGLE RIVER, AK * 99577 DAN HOURIHAN Day phone 223-3780 ,31805 EAGLE RIVER ROAD * EAGLE RIVER, AK * 99577 Day phone MIKE MCLANE W,/ PRUDENTIAL Day phone 563-5500 3801 CENTERPOINT DRIVE, #200 * ANCHORAGE, AK * 99505 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] Public Water System [] 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 samples. (Certificates may be reissue8 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, t verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this appfication, 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 GARNESS ENGINEERING GROUP, Ltd. Phone 557-6179 Address 5701 E, TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for --~ bedrooms. '4 eSS." %. ...' Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory (Rev. 11/05) Maintenance Agreements Supplemental Engineer's Report, Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O, Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF 0N-SITE SYSTEMS APPROVAL Legal Description: A. WELL DATA Well type PRIVATE Date completed Total depth 61 FALLING WATER S/D; BLOCK 2, LOT 1 CHECKLIST Parcel ID: C~,~'"~ - *ASSUMED BASED ON SURROUNDING WELL LOGS· SEE A'I-~ACHED. If A, B, or C provide. PWSID# N/A Well Log (Y/N) 6/198,3 Sanitary seal (Y/N) YES Wires properly protected (Y/N) ft. Cased to *40+ ft. Casing height (above ground) FROM WELL LOG AT INSPECTION Date of test 6/198,3 7/,30/2010 Static water level 30 ft. 59 Well production 15 g.p.m. 8.15 WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Nitrate 0.9.3 mg./L. Other bacteria Arsenic: ND ug./L. Date of sample: 7/21/2010 Collected by: 2 Depression over tank (Y/N) NO Pumper ALASKA I'BELOW EXISTING GRADEI Soil rating (g.p.d./ft2o~ 85 Width 2.5 ft. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1000 gal. Number of Compartments Foundation cleanout (Y/N) YES Date of pumping ~/~l. ,.~ / ~ O C. ABSORPTION FIELD DATA Date installed 5/21/1983 Length 20 ft. YES YES 12+ in. .ft. g.p.m. 0 colonies/100 mi. GEG Ltd. Date installed 5/21/1983 Cleanouts (Y/N) YES High water alarm (Y/N) N/A SEWER AND DRAIN Total depth '10.3 ft. Eft. absorption area 280 ft2 Monitoring tube YES Date of adequacy test 7/30/2010 Results (Pass/Fail) PASS Fluid depth in absorption field before te~ Water added 450 gal. Elapsed Time: - min. Final fluid de 'Gin. Absorption rate >= 450+ · . ' ent est 12 mo. /N & e NONE__ KNOWN If ves. .'~v date System type TRENCH Gravel below pipe 7 ft. Depression over field NO For 3 bedrooms g.p.d. LIFT STATION Date installed "Pump on" level at~ in. Size in gallons Manhole/Access (Y/_.~ "Pump off" lev~ High water alarm level at in. E. SEPARATION DISTANCES Cycles tested. Meets alarm & circuit requirements~ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas. 50'+ 100'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Water main N/A Wells on adjacent lots 100'+ Property line Water service line 5'+ 10'+ Absorption field *5' SUrface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ Water main N/A Driveway, parking/vehicle storage 1'-I- F. COMMENTS *PER INSPECTION 1985 REPORT. G. ENGINEER'S CERTIFICATION I certify that I have determined throughfield 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 ~ame JEFFREY A. GARNESS Date COSA Fee $ L'//d/0 ~ Date of Payment O Receipt Number O_ -7 0 "7 '7 '~ (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number AS-BUILT I hereby ceftin7 that I have surveyed the following described property: /~--~ ?''' /, ) ,~,;u~ ~_ , ments sitUated thereon are within the property ~nes and do not overlap or encroach on the property lying adjacent there- encroach on the premises in ques*ion and that thers are no roadways, transmission lines or other .................... ~z~,~: ~a~=~,~=~,~ on said property except as indicated hereon. Dated at Eagle River, Alaska this. ~ ~ ~ day of ~ &~ r'~ ~.. 19 :k?" .~; SCALE: ~ ~e~istered Land S~eyor No, 886-LS I" = ~ Box 456, Eagle River, Alaska Phone (907) 694-2543 Aug 04 10 07:38a Yvonne 907-892-3165 Alaska Sewer & Drain, L.LC. P.O. Box 221914 Anchorage, AK 99522-1914 Sales Receipt DATE SALE NO. 6/25/2010 47107 Hourihan, Daniel & Pamela PO Box 771252 Eagle River, AK 99577-1252 CHECK NO. PAYMENT METHOD REP JOBSITE 063378 Visa RLS 31805 E. Eagle River Rd ITEM DESCRIPTION QTY · RATE AMOUNT PUMP Pumping Service 1,000 0.22 220.00 BACK WASH Back Wash Septic Tank 2 20.00 40.00 Discount Discount 1 -26.00 -26.00 Return pump. Primary standpipe installed for tank cleaning. Very heavy solids in primary side, extra back washes required. Tank level good. No sign of back up in foundation clean out. Could not locate leach monitor tubes. Recommend pumping in one year. lotal $234.00 CURVE TABLE VICINITY MAI CE,~TIFICAT~ OF OWN£t~$t~P ~ DEDICATION I (we/hereby c~'#%y th~ I am (we are) ~e o~n~] of/h~ ~o~y ~i~d ~or~. ~u~o~asa~provedb/ I~.O.A, DMe: ~ l . I q 77 NOT~FS 4CKNOWLEDG~E~ ~ '?'~ ., . . - 2" Notary for~/~s~ My ~m¢~n ACCEPTANCE OF DED/CATION BY SU~V~YOR~ CERTIFICATE DTI000317 -:- PLAT APP~OV~L APPLI( NT FILLS OUT UPPER HA[ ONLY Property Owner /..~ ~-~ ,~ %//~T ,~ /"""~ ~"/~) ~/,/~" / ,~/t~,,,~ ) Phone MalllngAddre~ ~,0/ ~)~J~d:~)~'J~ ~, ~ ~/~ ZlpCode ~ ~,~ ~'~ ~//~ Buyer / Address Zip Code ~ Phone Realty Co, & A~nt Phone Address Zip Code LegalDescription ~0 t / , /~ 2I ~/~ ~/~/~ ~ ~8 b. Type of Real.nee ~gle Family [~ Multiple Family No. of Bedrooms. / ~ Other WaA~p.,~ I~lndlvidual ATTACH WELL LOG. A w~l log Is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility s.%.r~po.~ ¢ ¢~ 3 ~ndividual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Inspector Insp~tor Insp~tor Insp~tor Field Notes: ~ ~ - JUL 2 (~ED BED OMS ( *CONDITIONS OF APPROV~ ( ) DISAPPROVED DATE BY: ~_ Soils Rating Date ~wer~nstalled Well To Absorption Area Well Log Received ~/~ Well ,o Tank Septic T~k Size 72.023 (31821