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HomeMy WebLinkAboutT14N R1W SEC 25 NW4NE4 LESS 2.33 ACRES IN SW CORNERT14N RIW SECTION 25 NW4, NE4, LESS 2.33 ACRES IN SW CORNER 050-381-70 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SG090021PID Number: DSD -301-3D Name: ff/ Mlliolll gth Wastewater System: New ❑ Upgrade Address: a?9`l°/ l3iia{�h 1�1��t 4xc4r, AK fivil ABSORPTION FIELD Phone: No. ofBetlrooms: ],'Deep Trench O Shallow Trench Dead O Mound ❑ Other LEGAL DESCRIPTION Soil Rating: ©' 0 GPD/Sq. Total Depth from original grade: Lot: Block: Subdivision: Depth to pipe bottom from original grede: Ft. .0 Gravel depth beneath pipe Township: /YN Range: 1W Section: Ft. Fill added above original grade: Ft. Gravel length: 3•- / — i0. $ Ft. Q Y WELL: ❑ New ❑ Upgrade Gravel width: { Ft. Numberoflines: Distance between lines: Classification (Private, A,B,C): Total D Cased To: Ft. Total absorption area: t � — Ft. Pipe material: 'Z)3 03 r( Ft. Fl. Driller: j Date Drilled: Static Water Level: �y l ST '' 97� SD. Ft. Installer: Date installed: Ft. Saadi--1 f 5;,,al4-,r &xc, 09-0l- 96 Yield: Pump Set at: Casing Height Above Ground: GPM Ft. Ft. TANK SEPARATION DISTANCES D4eptic O Holding O S.T.E.P. To From Septic Tank Absorption Field Litt Station Holding Tank ubliUPrivete Sewer Lines Manufacturer: _ 44LLj. �qq IC Capacity in gallons: So U Well-- ,D� if /D�f} _ 2 ,(� Material: S�C{r Number of Compartments:SurfacZ Water /oa'd )60'+ — — /�jJ ��- LIFT STATION Lot Line %D f E' �Df Size in gallons: Manufacturer: Foundation !O /* �� !� _ _ (l "Pump on" level at: "P 'level at: High water alarm at: Curtain( Drain !Oa f f /oo — — !��( Pump Make el Electrical Inspections performed by: Remarks: Nb+ioc v� eu.%/2 Ply i. s BENCH MARK Location and Description: // p SJ�in Assumed Elevation: /Oa LL ENGINEER'S SEAL ,J'`L n_A'80 ���f .QE ery�a e•, P* y i® ®1G L iN,i Inspections performed by: _Dates: 1 st bb -so -I kt 0°•• ®s°.. 2nd o7 0� - 98 ....: •• � ( Department of Health and Human Services approval®#�TF9 O r(1 • Kenneth PA. u _ LQ.- •,,,�,°���� Reviewed and approved by: Date: 1-18"99 _ 18\\®a®ia��®P�" '4-013 lPnv a/01f .nlle x PRIMARY AS—BUILT SYSTEM DETAILS/SITE PLAN Permit SW980211 NW1/4,NE1/4,SEC25,T14N, R1W, S.M /LESS SW AREA PID#050-381-30 lsoa RESERVE SYSTEM 0 \\\ C A -C=48,8' 96,9 B -C=78,5' STARING, SEWARD CHECKED: KMD A -D=57.9' 12/21 oma FILE: GRID: B -D=88,9' JOB N- 98084 A B -E=53.7' -E=721' o 4 A -F=128,0' o B -F=161,6' 500 GAL SEPTIC '-__`-N OF ALS "A� * 9TH KENNETH M. U S. CE 7116Alf W� d p�FESSIU�Py � T o> WELL a oT o U`In n94.08 FINISHED GRADE FILTER FR6RIC 89,36 SEWER ROCK 184.35 94.0' — PREPARED FOR MICHAEL QUINN CONSTRUCTIIIN P.D. BOX 772641 EAGLE RIVER, ALASKA 99577 FIELD BOOKS COMPUTED: BOUNDARY: SEWARD DR"": KMD STARING, SEWARD CHECKED: KMD ASBUILT: SEWARD WE: 12/21 oma FILE: GRID: SW465 ACAD FILE 98084.DWG JOB N- 98084 SCALE: NTS VARIES 95 T s.o• 77 85 v 76.35 sr,H J(S1I\� LL) ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 —6111 Permit Number: SW980211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Legal Description: T14N R1W SEC 25 NE4NE4 (030.98 0.300.»- Date .300.»- Date Issued: Jun 30, 1998 Expiration Date: Jun 30, 1999 Parcel ID: 050-381-30 Design Engineer: KIND Engineering Site Address: Owner Name: William & Betty Cook Lot Size: 74240 SQ. FT. Owner Address: 2949 BRITTANY PLACE Total Bedrooms: 5 Permit Bedrooms: 5 ANCHORAGE , AK 99504-3985 This permit is for the construction of: K Disposal Field ❑� Septic Tank Holding Tank r7. Privy Private Well Water Storage All construction must be in accordance with: 2. The attached approved design. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska 3. Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling 4, (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. 5, B. Covered, sealed, and heated to prevent freezing. The following special provisions. 1) System must not exceed 7 feet in depth. 2) Maintain a min. setback of 50 feet to 25%+ slope break. 3) Allow enough available area for alternate site and show this site on as -built drawings. t Received By: Issued By: Date: 4 t9 Date: k. so ND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 696-6111/FAX (907)696-8111 June 26, 1998 RECEIVED Municipality of Anchorage JUN 29 1998 Dept. of Health & Human Services On -Site Services Section Municipality of Anchorage P. O. Box 196650 Dept. Health & Human Services Anchorage, Alaska 99519-6650 Subject: Re -issuance of sewer permit - Richard Raymond Roop Homestead, NE1/4, NE 1/4, Sec 25, T14N, R1W, SM Gentlemen: The owners previously obtained a permit (SW960003) for the above referenced property. The well was drilled in April 1996, but work on the septic system was never started and the permit has expired. We have been requested to upgrade the design to a 5 -bedroom system and obtain a new permit. One new testhole was dug to verify water depth and soil conditions for a larger system. Water was encountered at 13.5 feet during digging and monitored today at 12.5'. The results of the test are attached. The general slope of this area of the parcel is from north to south at approximately 15% - 18%. The parcel will be served by individual well. We propose to install a 5' wide deep trench. We propose a total depth of 7' as previously designed and additional fill will be placed over the system when complete. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water adjacent to this property or within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, K thJ) Engineering Kenneth M. Duffus, P.E. attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test 91A 1UJ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 �,;r. :.«;,w: •ay 'Lss� °....i.' r; r'".-v�-^r y'w`�d, l ffffilk __ SOILS•G — PERCOLATION PERFORMED FOR k1,4 it &/yl (oO k DATE PE LEGAL DESCRIPTION: DEPTH (FEET) G 1 2 3 4 511 q on (aT�erS WC� 13 14 15 16 17 18 19 Township, Range, Section. SLOPE WAS GROUND WATER ENCOUNTERED? S S IF YES, AT WHAT 7� E DEPTH? , J� S O P E Depth to Water Ah' 1(0 9 Moniloring? - Date: ®�®®Depth to Water ©_�_�F2• .moi �_����/�[�� f�=EAMVAE 20 -� U/ / a lul PERCOLATION RATE �' ` Immutesnncnl PERC HOLE DIAMETER I,I J/ TEST RUN BETWEEN IP FT AND--7—FT COMMENTS Ale l e— P S!7 t7 kr,,,( p�}�(i)1'� ` c) PERFORMED BYf I �i'N N(' th L 5 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STA AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE A, 111'7jB 72-008 (Rev. 41851 1 I I I I I I I I I I SENT"�Y! M I CHPEL "Rii4 NN I COtIJ�TI I I I I I I6I IJ��LI I��I I I I I l jJ l lel i'Ar • CoDK o+1�2�-ooK �' x ��-,�.�,�! ✓Ez - sir ri � ��y OF Yq(.,,%I III IIIIIIIIIIII IIIII IIIII IIIIIIIIIIIIIIIIIIIIIIII :# 3 - W I DE T! -ewr- 4 J5 0 R •Q .51�1rn, 7-0010) 95,75 ' C� � mola I7oK7u8� � _ +4'r P90K 86O` FF4#" 7-M-1 QrVa 0J &-:As - P}?PR&x (.GOI rR6mq TH-1, 9TH tli !A F. FULLEMN {�R2Pc3 '% la CE -754 k IVB Q III IIIIIIIIIIII IIIII IIIII IIIIIIIIIIIIIIIIIIIIIIII :# 3 - W I DE T! -ewr- 4 J5 0 R •Q .51�1rn, 7-0010) 95,75 ' C� � mola I7oK7u8� � _ +4'r P90K 86O` FF4#" 7-M-1 QrVa 0J &-:As - P}?PR&x (.GOI rR6mq TH-1, 9TH tli !A F. FULLEMN {�R2Pc3 '% la CE -754 k w.�rrtifirb Drilling lw# by DOC Co. aOa SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.2759 OWNER OF LAND ] 7 ADDRESS. cfAs lk i T 1 ri,-j} /LACI /4/3c-/4 I "'? LEGAL DESCRIPTION/t) W of G. F 7t%C # lzc ` T_/4 - DATE - Started Ended PERMIT NUMBER OA LOCO( " ID KIND OF FORMATION: DEPTH OF WELL STATIC LEVEL OF WATER FI. _ DRAW DOWN FT. GALS. PER HR KIND OF CASING // From Ft. to--!�—Ft. ' -- 14 , "J(,5 r, C. KJ �0 From !� o FL tA p1 Ft. From Ft.to�Ft I r4 �r ,).=t�J�l.^' e;/QJt'From ��� Ft.[o�8� Ft._,�JC.E' From_ 7�Ft. to S Ft. 171t/<r From s FL to ` �-, Ft. L t1 Y From4"' Ft. to Ft.�- From Ft. to Ft. From_, �Ft.to'�/ Ft.4L,��!f%J�'rJ From -Ft. to Ft. C. 1( 4 From Ft. to Ft. From r) t. fw Vy Ft From Ft. to - Ft. t , /2 r`% 7 From Ft. to Ft. From.. Ft. to Ft. -- J '' u' K !u �� %L From Ft. to Ft. v r From =� � `� Ft. to ' ' ° Ft.,�.% �� - �,� a � K / t/'iK "'Frxom Ft. to Ft. From ? , Ft. to","cj -_Ft. 41 f✓ ^ 14 1 From Ft. to Ft. From Ft. to Ft. i% A.%� I v ,.4inJ- From Ft. to Ft. From,-' Ft. toy g Ft. ��L!/ ,Fc7 t. K. Y. From Ft. to Ft. .,. _ 3(3 FL FromLFt. to � �7K JC � /, ,F J/' /Fr m 3 Ft. told '� i S C, Ft. From Ft. to C x" Ft. 0 tL From Ft o ���nT. Ft. //II From ..r4-- Ft. to "f'3 rFt. lI-EJk4 )Ck- t�JA� %�>4z' F,j Ft. to Ft. From4..� J Ft. to CI �J Ft. 8 � 0 !1 � 6' ,4 Gl% �n'�F,,{{o�� Ft. -to Ft. Froml�ElaFt. to-9-57'Ft. BSc de 0C Ot L ,CN T From Ft. to Ft_ MISCL. INFORMATION: RECEIVED JAN 15 1997 Municipality of Anchorage Dept. Health & Human Services DRILLER'S NAME _(, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960003 DESIGN ENGINEER: OWNER NAME:COOK WILLIAM A & BETTY M OWNER ADDRESS:2949 BRITTNEY PLACE ANCHORAGE, ALASKA 99504 PARCEL ID:05038130 LEGAL DESCRIPTION: T14N R1W SEC 25 NE4NE4 LOT SIZE: 742400 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF DATE ISSUED: 1/08/96 EXPIRATION DATE: 1/08/97 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. &�3G'aT:A�..:=C7VT�TQIQS : F. 1.) SYSTEM MUST NOT EXCEED 7 FT. IN DEPTH. 2.) MAINTAIN A MIN. SETBACK OF 50 FT. TO 250+ SLOPE BREAK. ALLOW ENOUGH AVAILABLE AREA FOR ALTERNATE SITE AND SHOW THIS RESERVE SITE ON ASBUILT DRAWINGS. 3.) PERFORM AD FOOT DEPTH RECEIVED BY ISSUED BY COLATION TEST AT THE 6 TO 7 SOILS LOG WITH ASBUILT. DATE• 0 C DATE• a `jL( P7_ zki January 1, 1996 CMM General Contractor 96-01-03 10:45 Cook Residence Overlook Legal Description: The north half of the Northeast Quarter (N 1/2 NE 1/4) of Section Twenty - Five (25), Township Fourteen (14) North, Range One (1) West, Seward Meridian, being within the Anchorage Recording District, Third Judicial District, State of Alaska. Septic System Sizing - 3 Bedrooms Groundwater Considerations: The goundwater table was at a depth of 15 feet in August, 1995. Health and Human Services conducted a site inspection in September, 1995. At the time of their inspection, they measured — the groundwater table at a depth of 11 feet. Due to the unusually wet fall, I believe that the groundwater table that was measured by HHS was actually surface water runoff. Two different systems are being proposed until additional measurements of the groundwater table can be made in the Spring of 1996. If it is determined that the groundwater table is higher than the 15 feet, Alternative No. 2 will be used. If the groundwater table is still at 15 feet, Alternative No. 1 will be used. Percolation Rate: TH -1: 13 minutes/inch From MOA Regulations - Soil Application Rate: .8 gpd/sf Test hole was dug and pre-soaked on 7/25/95. Hole was perked on 7/26/95. The percolation rate was determined between a depth of 3 and 4 feet. Alternative No. 1 is a deep trench system. If this alternative is used, the percolation rate will need to be verified at a depth closer to the depth of the absorption field. If the percolation rate changes, the system will - have to be adjusted. Absorption Area: 3bedrooms * 150 gpd/bedroom = 450 gpd v Septic & Reserve Area: 450 gpd/.8 gpd/sf = 562.5 sf Alternative No. 1 Deep Trench Absorption Area Assumed depth to Groundwater: 15 ft. Less burial depth of pipe: 2 ft. Less depth above groundwater : 44f _ Effective depth 9ft. 562.5 sf / 9ft./ 2 sides = 31.25 ft. Reserve Area Same as Absorption Area. Use 32 ft for length of drain field and reserve area. Alternative No. 2 Wide Trench Absorption Area - 5 feet wide Assumed Depth to Groundwater 11 ft. Burial Depth of Pipe 2 ft. Separation from Groundwater 4 1L. Effective Depth 5 ft. Reduction Factor( From MOA Regulations): .50 Length of Trench= Required Area " Reduction Factor/Width= 562.5.50/5 = 56.3 feet Reserve Area Same as Absorption Area. Use 57 ft for length of drain field and reserve area. Septic tank will be a steel, 2 compartment, 1000 gallon tank. Minimum burial depth for all pipe will be 2 feet and 4 inches of blueboard insulation will be installed over entire system including lines from house: No surface water was present within +1000 feet of the proposed house, septic, and well locations. The land owned by the Cooks is 118 acres. Most of the land is steeply sloping with some benches. The attached topo map indicates the areas where the slope of the land is less than 25%. They have indicated some interest in subdividing the lower portion of the land as shown on figure 2. The proposed development on the upper portion of their land should not preclude any development of the lower property. The Cooks have indicated that they may install both the main drain field and the reserve drain field at the time of construction. If they both fields they will install a diverter valve and alternate yearly between the two fields. Calculated By: Paula R. Martinelli Reviewed By: Jack F. Fullerton I -N -2 ,Slbpe Q.rpL,K.( %ii -Z L),-,*,,, IZ -foj � p %i,a..�.d lc✓moi a.�.d rod. PERFORMED DE Municipality of Anchorage 3TMENT. OF HEALTH & HUMAN SERVICES "L" Street, Anchorage, Alaska 99502-0650 ILS LOG PERCOLATION TEST F DATE Section: SLOPE - SITE 10-/ WAS GROUND WATER ./ ENCOUPLTEREDT. Y1 U / r IF YES, AT WHAT - ', '12 iH" T DEPTH? 13 A Ual l ID Water Atter h - FAaniterinpl. 16 Date: -1h5 SITE PLAN 7N 10 IJ y� n PERCOLATION RATE (minutewinc/h) PERC HOLE DIAMETER .C.— -TESTRUNBETWEEN FTAND J—FT- - COMMENTS PERFORMED BY: r (E t it CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE 72-008 (Rev. 4/a5) - S If CooK o0alzc-ooK �}�7�1Z r� �q7 4 ✓� Z - S��i i'! C �� y o�c i - uo (D6- —I ZEA C,4 f; O C c-C�rJ o kT A YKoP3 ITo2 (uaE t,3CITZ-�- PVOP6'ry G-jn)c O/J r,)oF-T+i I S I t-t2PP-6K y6n` mom T74-1 Rn/7> L)/J 04577 4F> GZox (a6&' F:-)26ku T14-1. �O t�oSeD W�TLL SCALL: lr�-tel 0 d rI CE -1546 M AD GS' C j o Cl SS, I Z J \ rr r O C c-C�rJ o kT A YKoP3 ITo2 (uaE t,3CITZ-�- PVOP6'ry G-jn)c O/J r,)oF-T+i I S I t-t2PP-6K y6n` mom T74-1 Rn/7> L)/J 04577 4F> GZox (a6&' F:-)26ku T14-1. �O t�oSeD W�TLL SCALL: lr�-tel 0 d rI CE -1546 M C OOK -U1)EF-L-OOK jq LTL-�N 4-r I v67- 2- W 11JE TZ�-M C y err r i • �.i ♦ ,♦r •'' rB,�rr♦• � ' r r►♦�IrI'�� r. Irl♦� r � � iI pYwr /II♦♦dr ,,, s r �+ � � � r !�••r � r I I �• r s 5' 7J o T TO �f C1, qY.E 7=1) R- SeWa -?-OC- glric�;d -000-w in5...la.-}iary I JACK F.'FU HR' No, CE-7- Municipality of Anchora On -Site Water and Wastewater Prograr (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS Parcel I.D. 050-381-70 Expiratl 1. GENERAL INFORMATION Complete legal description T14N R1 W SEC 25 NW4, NE4 LESS 2.33 ACRES IN SW CORNER Location (site address) 6475 MAGNAVIEW DRIVE EAGLE RIVER, AK 99577 Current Property owner(s) JASON & COREY ANN SWEENEY Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: 6475 MAGNAVIEW DRIVE, EAGLE RIVER AK 99577 ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class —Well Public Water System 5 Day phone TYPE OF WASTEWATER DISPOSAL: ® Individual ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ J WaiverNariance request for: /fDistance: Received by: Date: 6- s16 COSA to be released tot er, unless otherwise requested by the engineer. COSA Fee $ .sot fo. 6 6 Date of Payment T —/Z� r�r �a Receipt Number VQt{Op COSA# OSC141.3023 Waiver Fee $ Date of Payment Receipt Number Waiver # 5 `STATEMENT OF INSPECTION BY ENGINEER As certified b my seal affoced hereto and as. of the validation date shown below, I verify that based l..0 ures outlined in the Certificate of On -Site Systems Approval Guidelines fa shows th -site water supply andforwastewater disposal system is (are) safe, functio. forth& number of bedrooms and type of structure indicated Herein, I further verity that based c obtained from the Municipality, of Anchorage files and from my investigation and inspection, supply and/or wastewater disposal system fs(are) in compliance with all applicable Municipal ordinances, and regulations: in effect at the time of installation. .Name of Firm ARCTERRA CONSULTING INC. Phone 86.&3791 Address 20441 PTARMIGAN BLVD: EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment ,of the condition of the wetland septic applies only tothe conditions as of Me day tested. The flow and absorption rates maychange dueto'subsurfiae oonditicns that may not be observed from the surface, changesInlanduse, local -soli charaeterlstios, groundwater levels thet may,flucluatis during the year and the water usage of the family beingservedby tite system. The operational life of all well and septic systemare - subject to these various and dynamic characteristics and are outside the control of the evaluatorafthewellandsepticsAtem. Therefore, AreTerra can not give any estimate of how long a system will function satisfactory for current or future -occupants or can ArcTerra guaranteethat no unseen - - encroachments, deBaenaes or discrepancles existOF AV .A 6 -DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. \ �+ Conditional approval for bedrooms, with the following,stipulations: WAT R AND WASTEWATER oz t �_— Sy. - �, w ` ��U" Original Certificate Data: The Muni ipality of Anchorage Development Services. Division (DSD) issues Certificates of On-site Systems Approval (COSAI) only - upon ft representations given in paragraph 5 byan independem.professional civil engineer registered in the State of Alaska. Tha'Mun`rcfparty of Anchorage is not responsible: for errors or omissions in the processional engineer's work. 7. ATTACHMENTS: GOSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other -- C/LR8 hir 4,en1 inAt419 hvr. -, - If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system _ Certificate of On -Site Systems Approval Checklist Legal Description: T14N R1W SEC 25 NW4, NE4 LESS 2.33 ACRES IN SW CORNER Parcel ID: 050-381.70 A. WELL DATA Well type PRW If A, B, or C provide PWSID # _ Date completed 411996 Sanitary seal (Y/N) Y Total depth 500 ft. Cased to 70.25 ft. FROM WELL LOG Date of test 711996 Static water level 92 ft. Well production 1.75 g.p.m. Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) •4 in. AT INSPECTION 6.3.2016 WATER SAMPLE RESULTS: Coliform Neg oolonies/100 mL Nitrate 0.124 mg/L Arsenic: ND ug/L Date of sample: 71612016 Collected by: ARCTERRA B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTICISTEEL Tank size 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (YIN) N Date of pumping 415/2016 Pumper JRs C. ABSORPTION FIELD DATA Date installed 71111998 Cleanouts (Y/N) Y High water alarm (Y/N) N Date installed 6130-1011211998 Soil rating (g.p.d./fe or fe/bdrm) 0.8 System type DEEP TRENCH Length 94 ft. Width 5 ft. Gravel below pipe 5 ft. Total depth 12.7 ft. (Measured 6-3-2016) Elf. absorption area 940 fe Monitoring tube Y Depression over field N Date of adequacy test 6!3/2016 Results (Pass/Fail) PASS For 5 bedrooms Fluid depth in absorption field before test 16 in. Water added 750 gal New depth 25 in. Elapsed Time: 1260 min. Final fluid depth 15 in. Absorption rate >= 750 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N i If yes, give date A7`If3W �e Irr Adan � �'tM} lkww o" wm at _in. BE itl Iligl}VY 6Sf8JffiE CS es taAw �. Meets inn 8 - _ I Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and 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 FOR A SINGLE FAMILY DWELLING 050.381-70 1. GENERAL INFORMATION COSA # 05C Expiration Date: Complete legal description T14N, R1 W, Section 25, NW4, NE4, Less 2.33 Acres in SW Comer Location (site address) 6475 Magnaview Drive Eagle River, AK 99577 Current Property owner(s) Timothy and Rhonda snider Family Trust Day phone Mailing address Lending agency Mailing address Real Estate Agent P.O. Box 30037 Tucson, AZ 85751 Day phone Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Five (6) 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 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. 5. DSD SIGNATURE _,LeL_� Approved for S_ bedrooms. Disapproved. Phone 522-7773 Date 5/6/2012 Conditional approval for bedrooms, with the following stipulations: Attachments COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By:�A �� {/`Original Certificate Date: Rev. iM5) 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 Description: T14N, R1 W, Section 25, NW4, NE4, Less 2.33 Acres in SW Comer Parcel ID: 050-381-70 A. WELL DATA Well type Private If A, B, or C provide PWSID # Well Log (YIN) Y Date completed 4196 Sanitary seal (YIN) Y Wires properly protected (YIN) Y Total depth 500 ft. Cased to 70.25 ft. Casing height (above ground) >18 in. FROM WELL LOG AT INSPECTION Date of test 7196 515/2012 Static water level 92 ft. 97.6 ft. Well production 1.75 g.p.m. 2.2 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate N/D mg/L Arsenic: N/D mgll Date of sample: 4/26112 Collected by: MEA B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/steel Date installed 7/1/96 Tank size 1,500 gal. Number of Compartments Two Cleanouts (YIN) Y Foundation cleanout (YIN) V Depression over tank (YIN) v High water alarm (YIN) N Date of pumping No Sludge in Tank Pumper C. ABSORPTION FIELD DATA Date installed 6130-10/12/98 Soil rating (g.p.d./ff or ft2lbdrm) .s GPD/SF System type Deep Trench Length sa ft. Width 5 ft. Gravel below pipe 5 ft. Total depth 9.12 ft. Eff. absorption area 940 ft' Monitoring tube Y Depression over field N Date of adequacy test 5/6/2012 Results (Pass/Fail) Pass For 5 bedrooms Fluid depth in absorption field before test 28.5 in. Water added 760 gal. New depth 39 in. Elapsed Time: 1,440 min. Final fluid depth 28.5 in. Absorption rate >= 750 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Size in gallons 'Pump off"level at— in. Cycles tested Manhole/Access (YIN) High water alarm level at Meets alar 8 circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot >100' On adjacent lots >100' Absorption field on lot >100' On adjacent lots >100' Public sewer main N/A Public sewer manhole/cleanout NIA Sewer /septic service line >25' Holding tank NIA Animal containment areas >50' Manure/animal excrete storage areas >100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5 Absorption field >5' Water main N/A Water service line >90' Surface water >100' Wells on adjacent lots >1100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main >10' Water Service line >10' Surface water >100' Driveway, parking/vehicle storage >26 Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: Well is located in the middle of the driveway and parking area. It is encased in a watertight manhole. G. ENGINEER'S CERTIFICATION l 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 Michael E. Anderson, P.E. Date 5/6/2012 COSA Fee $ —I LC) Waiver Fee $ _ Date of Payment sl -7 I j C Date of Payment Receipt Number C)q C:)-� G, Receipt Number (Rev. 11/05) 1;A 4381 1� Z----0 in. G4nnr ��yyryry ��ff . '2r cavy G4nnr ��yyryry ��ff . Municipality of Anchorage Development Services Department z Building Safety Division a On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-381- 0 HAA# 6)L -(-b6340 Expiration Date: 1. GENERAL INFORMATION Less ;2 Complete legal description NW4; NE4; Sec 25; T14N; RiW rv� S GoRNF.? Location (site address or directions) 6475 Nagnaview Dr. Current Property owner(s) William & Betty Cook Day phone 694-5182 Mailing address 6475 Magnaview Dr. Eagle River, AK 99577 Lending agency Mailing address Real Estate Agent Mailing Address Day phone Day phone Unless otherwise requested, HAA 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 Health Authority 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 S & S Engineering Phone 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robert C. Cowan Date i /'7 10V 5. DSD SIGNATURE -- -- — tom -Approved -for- 5— - bedrooms - Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other WASTEWATER By: ✓ a,/� / Original Certificate Date: 7— (Rev. 01102) Municipality of Anchorage �E ' Development Services Department Building Safety Division On -Site Water & Wastewater Program S" E ` 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: N W'/9 (N t ,/y , S'e� Z5; T) 4 t.' 91 W Parcel lD: 0 5 c2 - 3 8) - 1) A. WELL DATA L+q�S5 eves r% 5w c��UEe Well type L: e k- If A, B, or C provide PWSiD # _ Well Log(DN) Yef S Date completed ��/ 6 Sanitary seal */N) yPs Wires properly protected J(!YIN) Ye S Total depth I ft. Cased to 7 o ' ft. Casing height (above ground) in, FROM WELL LOG AT INSPECTION Date of test 116 i oy Static water level Z ft. _ �/ ft. Well production 7 `> g.p.m. l t g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate Q , i mg./I. Other bacteria colonies/100 mi. Arsenic: mg./I. Date of sample: QZIloel Collected by: C-h�1S B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed -71 1 /1 g Tank size 1 5 by gal. Number of Compartments 2 Cleanouts (R/N) yds Foundation cleanout®N) � Depression over tank (Y/4) �3 oo High water alarm (WIT �1 c% Date of pumping Pumper J S C. ABSORPTION FIELD DATA Date installed? �/ >` 9 Soil rating (g.p.d./ or ftZ/bdrm) • g Length 9 Lf I ft. Width J3 / ft. System typellk-_� rt v*1 C I -X Gravel below pipe S 1 ft. Total depth L- OL ft. Eff. absorption area 'Ilio' ft2 Monitoring tube Date of adequacy test 6 Z d Results (Pass/Fail)aT : S � Fluid depth in absorption field before test 3 rM in. Water added. 00o gal. Depression over field )� o For S bedrooms a J, New depth in. Elapsed Time: i Zb min. Final fluid depth II )I in. Absorption rate >= -75 0 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Qon Q Kr1 a If yes, give date D. LIFT STATION Date installed "Pump on" level at _ in. Datum E. SEPARATION DISTANCES Size in gallons mp off' level at _ in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot f Public sewer main A11,4 Sewer /septic service line S Manhole/Access(Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 2-0 C r 4 - On adjacent lots Z&C I� Public sewer manhole/cleanout i 'r Holding tank N /A ral SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation (O ! f Property line -421- Absorption field 5 F Water main ,' Water service line /011 Surface water /00 r F Wells on adjacent lots 00 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: r Property line /O / f Building foundation /O Water main Water Service line / C7 Surface water �� / f Driveway, parking/vehicle storage �O � Curtain drain CPor,\C krlo,� Wells on adjacent lots �O0 F. COMMENTS W2 fl .s co,lfurti,J101,� 6raJe- il1stJc- Iz"k- w+•l4 /z" 64 WfLI. IS I& W47 -0 -IL nc-rtr tNCWsvR¢. G. ENGINEER'S CERTIFICATION w�+ 1� ► (fc OFA[ lg ir15r� , ••.,S,FI'+ [:Dry t certify that J have determined through field inspections and ✓ ,�� '•. iP review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. S•" ,"' """P eer�Rr C _. RCoC Engineer's Printed Name OW/jl/ .p" �� Ro9ERi •C�OWJIN f,�e j Date 7 1117 /o y E �4 .mac.-asot HAA Fee $ 30/ Date of Payment -7 to Y Receipt Number 0 3` S- O a (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE R r r F IV F, J DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services IAN ? 1999 On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 A"NIUWAL"' 343-4744 eNVIRONMENTAL SERVK"LS DIVISION CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 050 ' 3 / - 3e) HAA # , L 1. GENERAL INFORMATION Complete legal descriptionC�ta, Y�*ti�y�� /1ovp Location (site address or directions) Property owner �✓ ��u l i3� ���� Day phone Mailing address Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: S 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025)Rev.1/1) Front MOAR21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm �N i h eP� iP Phone Address 20l�/ /�rAi�r Q� 8/��! � �Ze /�-vfi, AAK Engineer's signature 6. DHHS SIGNATURE X Approved for E bedrooms. Disapproved. Conditional approval for Additional Comments 0 WTIC 95x7-7 Date bedrooms, with the following stipulations: Date L 2 8 The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. n-M(RM.1/91) Back MOAM11 RECEIVED Municipality of Anchorage JAN 2 1999 DEPARTMENT OF HEALTH & HUMAN SERVICEWUNICIPAury OF ANC Environmental Services Division ENVIRONMENTAL SERVICE 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: Kou. yi*esit�( AVIVNEHy1Tec2SfiiyWR Parcel LD.: DSD- 3f /- 3y A. WELL DATA S Well type Pii ✓c, k If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed 4 V Total depth S00 Cased to Sanitary seal (Y/N) FROM WELL LOG Date of test 0y14 I Static water level 92 Well production WATER SAMPLE RESULTS: /.75 70 `3 // Casing height (above ground) /Z Wires properly protected (Y/N) AT INSPECTION g.p.m. g.p.m. Coliform Nitrate < M � L Other bacteria Date of sample: (I 2' 9� Collected by: B. SEPTIC/HOLDING TANK DATA U Date installed 6&-20-10 Tank size 145--6'0 Number of Compartments 2- Cleanouts (Y/N) Y Foundation cleanout (Y/N) z Depression (Y/N) &) High water alarm (Y/N) "— Date of Pumping C. ABSORPTION FIELD DATA Date installed 0 7- 0 1 - 9S Pumper Soil rating (g.p� orft2/bdrm) A 6 System type 1DfCP %-etiel, Length ±V/ Width S 11 Gravel thickness below pipe S f Total depth 9. 77 Effective absorption area 9y0 Monitoring Tube present (Y/N)--L Depression over field (YM) Date of adequacy test Results (Pass/Fail) For Fluid depth in absorption field before test (in.); mately after gal. water added (in.): Fluid depth inutes later: Absorption rete = a.p.1 Peroxide treatment (past 12 months) (Y/N) if yes, give date 72-026 (Rev. 3/96)' D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* _ Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level *Datum "Pump off' level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /Ob r4 On adjacent lots /06 Absorption field on lot /D° 4� On adjacent lots /00 r Public sewer main 919 Public sewer manhole/cleanout Sewer /septic service line 2 S /-V Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation /° i,t Property line /0", Absorption field /6 r r / Water main/service line 2 S Surface water/drainage /Q ° /,/- Wells on adjacent lots �O ° SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line /� r r Building foundation /0 Water main/service line 2 -1- Surface water /0D Driveway, parking/vehicle storage area C Curtain drain /00 ( ,- 6 Wells on adjacent lots �0 F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformance with, MOA HAA guidelines in effect on this date. Signature Engineer's Name Date HAA Fee $ 3 nD ' r -D Date of Payment � " 2Z- D 7 Receipt Number (L J L)N' Zy) 72-026 (Rev. 3(96)* Waiver Fee $ Date of Payment Receipt Number sk 2s r+ are