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SCIMITAR #1 BLK 2 LT 9
Onsite File Scimitar #1 Block 2 Lot 9 #051-132-17 Municipality of Anchorage On -Site water and wastewater Section - (907) 343-7904 Paye 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181192 PID Number: 051-132-17 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name LaChapelle ABSORPTION FIELD Site Address 19743 Tulwar Dr ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound ❑ other Phone JNurnber of Bedrooms 980-6232 14 Seal Rating 0.45 GPD,SF Total depth from oricinal grade 8 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade depth beneath pipe 1 Pt lGravel 7 Ft. Subdivision Block Lot Scimitar #1 B2 L9 Pilo added above original grade jGravet length Township Range Section 2 Ft. 95 Ft. Gravel width 3 Ft.1 Beds: Number of Lines - Distance behveen lines - Ft. SEPARATION DISTANCES To- Septic Absorption;Lift Station ' Hoidinp Sewer From Tank Field Tank Line Total absorption area 1330 Ft= Number of trenches 1 Dist. between trenches - Ft. Well 100'+ 100'+ na na na TANK JCSeptic © S.T.E.P. El Holding Q Other Manufacturer Greer Tank Capacity 1250 Gal, Surface Water 100'+; 100'+ na na Material Number of compartments Lot Line 10'+ 10'+ na na NA Steel 2 Foundation 10'+ 10'+ 10'+ na na i STATION Manufacturer capacity Remarks Revised Design, 8/29/18 Telecon Gal, w/Becca Alarm location Electrical installed by Installer Stuart Gilbert PIPE MATERIAL House to tank D3034Tank to D3034 drainfield Draanfield D3034 C01t,sTD3034 Inspectot NorthRim Eng. BENCH MARK (Assumed elevation) 100 It Inspection9110/18 t.: 9!9/18 dates: 2"v 3!:: 4t` Location and description Deck ON-SITE WATER AND WASTEWATER SECTION APPROVALOV Conditional Approval: Date ism 49TH*11 .. A 44 �� Steve Eng �► �� CE -62,56 1 Septic System Approved 0J_)LrL40U Date Note: 'this approval does not include well permit requirements. w o- 0 ril 50rIlZ (p sk 3 �l o o p V � n �o 00 V vl V J ♦��vnw�M* � y n o 3 0 0 n F9 3 tA F V) O 3 D�~ n� 7 D n h D V) F9M r o 10, Utility n C �,D Gl �{7 3E D d X F9 r CD D 7J F9 ti o — ro \ o (� a 0o C Z7 ti ru � II O w I o Dh`yP ro 0 cn� 0 CD 0 N — N 0 0 M 0 M z 0 n 0 3 n 1+ Ln \rr0 0 3 ro �MJWWra �D W M RJ ? 00 OO�-g�,WN �ONLn - UN z o z 0 n o 3 0 0 t) n 3 ^' ,FIA n h 10, Utility Easement n ID 3E X ti o — a �o ?o, P M (o ro (o iro O 76-6 n -6 2 _> cF 3 N ty _ o a n cn O 7� Q td 41`c �0 + Q M �O t= 3 \ �n n o 0 :5 Dh`yP ro 0 cn� 0 CD 0 N — N 0 0 M 0 M z 0 n 0 3 n 1+ Ln \rr0 0 3 ro �MJWWra �D W M RJ ? 00 OO�-g�,WN �ONLn - UN F9 F9 l J C � D z D 7-\ d F9 �;u 0 Tl H F9 o N n w V) I H p � H f � D R) 77 D m � I I CJI � z � = O r0 ro m m_0 ow < c z Q :3 O cF Q. c+ O :E (0 :5 Q Q c+ fo r0 TI vO -'U 3 ro r LA Q ro <+ :5 ro cF D o� :5 (O c I'D U) \ <+ OO 00 0 O 3 U) Fri O Q <+ 0 n co C� t7 7 Q 70 O n 7- Or^ b v/T I. D FU Q ' , 1 V + (� Q Nm yx3 Q 3 m� \ N V o o `� r7l � Oo m < Q n ro < Lt Q o OD <+_ :3 v N td vJ O (� cF F9 F9 l J C � D z D 7-\ d F9 �;u 0 Tl H F9 o N n w V) I H p � H f � D R) 77 D m � I I CJI � z � = O r0 ro m m_0 ow < c z Q :3 O cF Q. c+ O :E (0 :5 Q Q c+ fo r0 TI vO -'U 3 ro r LA Q ro <+ :5 ro cF D o� :5 (O c I'D U) \ <+ OO 00 0 O 3 U) Fri O Q <+ 0 n co C� t7 7 Q 70 O n 7- Fri Q 0 n O J m Q OD C+ o ro fP7 �O 0 0 O -Ph, D FU Q co U + Q Nm D o Q 3 0 Q Q m h o :3 m < Q n ro < Lt Q o OD <+_ :3 v o td O (� cF :5 - Fri Fri fU :5 ` Y ro U H d t U) c Q : Q <+ O 0 Q I IJ Fri Q 0 n O J m Q OD C+ o ro fP7 �O 0 O -Ph, D FU Q m 3 U + ro 0 -0 o Vi- C+ Q --j n n Q o O Oo < (D M ro ro 3 O Fri Q 0 n O J m Q OD C+ o ro fP7 �O 0 t7 0 ro F-1 < Q < <+_ � Q o -0 <F 0 0 O LA �p co OO Ln n 00 m cn Q O Q c+ LA bd N c+ mm� •V m N C+ n m 3 x Q Vi- C+ c+n :5- (D M 3 O -1 N O n < oC+ n F- LA f n S :3 r0 O O n 3 O O Oi 0f+ O n Q t7 0 ro F-1 < Q < <+_ � Q o -0 <F 0 0 O LA �p co OO Ln n 00 m cn Q O Q c+ LA bd N c+ mm� •V m N C+ n V, �L,�INEERING S❑ILS LOG — PERC❑LATI❑N TEST Performed For: Owner Date Performed: 9/9/18 Legal Description: Scimitar #1 B2 L9 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - DEPTH (FEET) TH Location: See Attached Test Boring Location Map Organic 8/23/18 TH Used For Trench SM Silty Sand Revised Design Had Groundwater Seep @ 12' Depth- Temporary W/ Groundwater? No Depth -- Gravel Water Depth After Monitoring, None Date: 9/17/18 # Date Gross Time Net Time Depth Net Drop 1 9/18 0 -- 6" -- 2 9/18 10 10 min. 4// 2" 3 9/18 10 -- 6" -- 4 9/18 20 10 min. 4" 2" 5 9/18 20 -- 6" -- 6 9/18 30 10 min. 4// 2" 7 9/18 30 -- 6° -- 8 9/18 40 10 min, 4" 2" 9 9/18 40 -- 6° -- 10 9/18 50 10 min, 4" 211 11 9/18 50 -- 6° -- 12 9/18 60 10 min, 4" 2° 21 - ' Percolation Rate 5 min/in Perc Hole Diameter 6" Test Run Between 3' & 4' Comments: Measured To The Nearest 1/16", Performed By NorthRim Eng, I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE, DATE: N 0R TH RI M-��''6F `A` +'�� ++ ENGINEERING :�P SCIMITAR #1 TH1 i�A9111� *� BLOCK 2 LOT 9 SteveEnq. com s PO Box 770724 f - Stm Enis Eagle Rlvar Alaska 99577 �.�`.• M— 7. .. T E S T H ❑ L E L ❑ G• 90694.7028 + 9 / 9 / '8 8 GE❑TECHNICAL 9/9/18 ri S❑ILS LOG — PERC❑LATI❑N TEST TH I M Date Performed; 9/9/18 �L,�INEERING Performed For: Owner Legal Description: Scimitar #1 B2 L9 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - DEPTH (FEET) TH Location: See Attached Test Boring Location Map Organic 8/23/18 TH Used For Trench Revised Design Had Groundwater SM Silty Sand Seep @ 12' Depth- Temporary W/ Groundwater? No Depth -- Gravel Water Depth After Monitoring, None Date: 9/17/18 # Date Gross Time Net Time Depth Net Drop 1 9/18 0 -- 6" -- 2 9/18 10 10 min. 4# 2" 3 9/18 10 -- 6" -- 4 9/18 20 10 min. 4" 2" 5 9/18 20 -- 6" -- 6 9/18 30 10 min, 4# 2" 7 9/18 30 -- 6# -- 8 9/18 40 10 min, 4" 2" 9 9/18 40 -- 6# -- 10 9/18 50 10 min, 4" 211 11 9/18 50 -- 6# -- 12 9/18 60 10 min, 4" 2" 21 - ' Percolation Rate 5 min/in Perc Hole Diameter 6" Test Run Between 3' & 4' Comments: Measured To The Nearest 1/16", Performed By NorthRim Eng, I CERTIFY THAT THIS TEST WAS Perf ormed in Accordance with All State/Municipal Guidelines in Ef f ect ON THIS DATE, DATE: NOR THRIM ++•� of`A� ENGINEERING ;�P��� SCIMITAR #1 TH2 Ste veEn9.com f4sm *� BLOCK 2 LOT 9 t s PO Box 770724f y is Eagle Rlver, Alaska 99577 CEAM T E S T H❑ L E LOG 907 694.7028 9 % 9 / 18 ` Ddec ET. GE❑TECHNICAL 9/9/18 2 Lot 6 10' UTILITY EASEMENTS Lot 7 & RAIL FENCE I I I I I 30 10'x24' COVERED STORAGE 1.8'x2.7' CANT 100' /r -SEPTIC PIPES PROTECTIVE RADIUS �• DECK DECK 10.1'x12.1' Lot 9 70,089 S.F. Lot 8 INc wAL� 6„W -79'01'5 Lot 10 0' UTILITY EASEMENT O Y m L O o+ a a m m m O o 0 L .•L- N d o m a CO ° m0 a C m> Q m N I�m.c m° m° O w m O z m) V t O agmen°o° a0m c9 a -j am c I N o m X mob+mo Cc OC m I mL az— Om Nm 1 ++ rn�m fFt A c cZw o+m mo 3+ L m O a o Ioo�u '7a 0Oc'coac B, vo -E-°` °` 'I N m 013 m� O > c a o �I c moy��°o+ o0 m cm o T` m (AQ9t O Ojr 0 O 3L U WE U c O. t� p +; o2t° °o tN`p mL p ° O +t o. QUI w` +Nc�,o a NI s Y a 0-0 I H m U O a cm w m I c tmC O.E C O ..t. m O m m m>° w > 0« 2 m E m C L - 0.0m O m O p c C C m J 0 L ^ C .0 m N> L a30am 0 =0 r5"'CI"- 1Tom, MUNICIPALITY OF ANCHORAGE l \ On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road i. n, Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 -, % http://www.muni.org/onsite I ,. —� Department '�'CH OWN f,GE On -Site Wastewater Disposal System Permit Permit Number: OSP181192 Effective Date: 7/18/2018 Work Type: Septic Upgrade Expiration Date: 7/18/2019 Tax Code Number: 05113217000 Site Legal Address: SCIMITAR #1 BLK 2 LT 9 G:1261 Site Mailing Address: 19743 TULWAR DR, Chugiak Owner: LACHAPELLE MARK A & Lot Size in Sq Ft: 70089 Design Engineer: NORTH RIM ENGINEERING Total Bedrooms: 4 This permit is for the construction of: Q Disposal Field Q 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 Special Provisions: 1. A test hole shall be done prior to construction to confirm separation to ground water. Construction may proceed at your own risk before the 7 -day water monitoring is complete. If the results require a design change, construction shall stop pending On-site review and approval of a change order. Submit stamped and signed soils log with the inspection report. 2. The entire primary and alternate drainfield is not within a 30 foot raidus of the percolation test. Additional percolation test(s) shall be done prior to construction. If the results require a design change, construction shall stop pending On-site review and approval of a change order. Submit stamped and signed soils log(s) with the inspection report. g129/18 Co 1: cj►-a -�, 9 5 j- 10 `7 ve, g L ra�, f, 4;e. I d W;1I I "4a,A\ o JJ A- e vJ 20 4o Received By: ! Date: / G`�/ Issued By: Date: '711 E h3 • `4Y ,' V `V!DPALD U Il OF Y N CHO \ AGE • Community Development Department moi:? Phone: •0 . r - •04 Development Services Division F- v90" . - 142- On-Site Water & Wastewater Program ti OW ?0 ON-SITE SEWER/WELL PERMIT APPLICATION a JUL 0 9 1018 ; l Parcel I.D. 051 — /32- /7 oi 6 8 r:/:\' Property owner(s) 4 ?����L4e- Day phone Mailing address /? 7/J TuL EAJ4-X- I)le Site address ,SA-4if. Legal description (Sub'd., Block & Lot) cSC/-4,t 17-472 1* / ,8 L f Legal description (Township, Range & Section) Lot Size 7o,a ti-ct Sq. Ft. Number of Bedrooms ziC APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (IE all that apply) Absorption Field ' Initial ❑ Single Family (SF) 7f. (w/wo ADU) Septic Tank Upgrade Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ • THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signat . property owner or ffhorized agent) Permit/Rush Fees: 561, °a Waiver Fees: Date of Payment: 1/I1/iø Date of Payment: Receipt Number:tl VIL(413) Receipt Number: Permit No. OSI NI P— Waiver No. Permit App_9-1-12.doc 1\bRTHIM ENGINEERING SteveEng.com Steve Eng, PE, PH P.O. Box 770724, Eagle River AK 99577 (907) 694-7028 SteveEngPE@gmail.com Date: 7/10/18 Number of Pages: To: MOA On-Site Services Subject: Scimitar#1 Block 2 Lot 9 Septic System Upgrade Design This is an existing subdivision. Most of the neighbor lots are developed, with some vacant. An upgrade conventional septic system is designed. The proposed trench is designed using previous test hole. Moderate slopes in the vicinity. Private water wells serve the area lots. Please review the wastewater system design for the single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Thanks-SteI \RTf-�I M ENGINEERING SteveEng.com Scimitar#1 Block 2 Lot 9 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is an existing 3-bedroom single family home,appraised as 4-bedroom. This is a developed subdivision with neighbor vacant lots. These lots are large and are served by private water wells.No adverse impacts are expected from trench/tank upgrade.No conflicts to the other lots will take place by this septic system construction upgrade. The utility easements are depicted. A previous soil test reveals silty sandy gravel.An application rate of 0.45 GPD/FT2.Trench Length= 1333.33 FT2/9'x 2 = 75' trench,9' effective.A new 1250 gallon septic tank will be installed;Decommission old tank per UPC. Insulate over trench per drawing. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications(AMC)& State of Alaska Drinking Water Regulations and Wastewater Regulations. • Two compartment,New 1250 gallon septic tank. Install Double Cleanouts. • Install insulation over new trench. • Decommission old tank per UPC. • 10' minimum between the tank/trench to property lines. • 3' of cover or insulation is required for trench; 2" Minimum thickness for insulation can substitute for 1' cover. • Tank& solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation wall,prior to any 90 degree bend in 4 inch line, in each 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. • All cleanouts must extend to at least ground level. • In solid pipe runs,ASTM D-3034 may be used in lieu of cast iron. • Trench to be placed level,minimum of 4' to groundwater, 6' to bedrock. • Drain rock to be %2 inch to 2 inch screened. Drain rock to be distributed uniformly throughout the trench. • Perforated pipe to be installed level with perforations down. • Silt barrier(filter fabric)to be installed above the drain rock. • Smeared trench sides must be raked or scarified before drain rock placement. • The finish grade must be mounded to promote drainage away from trench. • Blueboard Insulation must be placed over pipe installed through Easement. • Approved pipe materials include cast iron,PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2%slope. ,a A� OF.A t•,Q:It 4; • Septic Tank to be pumped every two years or when required. kr:•' . 4- • Insulation board to be extruded direct burial polystyrene(Dow Styrofoam H $)�, '" • *�s Steven W. E 0��• % PE 62,56 :e/ i<;94;0• � t fROFESS\Or':.� DESIGN NOTES: 1. Depth Of Trench O 11'. 2. Sewer Service Line minimum 2% slope. 3. Replace Septic Tank/Decommission Old Tank/Trench Per UPC. Connect New Tank To New Trench. 4. Lots Served by Private Wells. 5. No Conflicts Within 200'. 6. Check Condition Of Sewer Service Line— Replace If Necessary. 7. Add Double Cleanouts Before Tank If No FCO. 8. Insulate Tank If Required. 110% tope \ No Conflicts / _ _10' Utility Easement \ No Conflicts 15% Slope _ flternate Trench 57 ew Trench I C❑ C❑ -loo 7 ___• o £ I 37�e '�4 I Well N n0 4 Bdrr1 1 CS I 1 ' INA 3% Slope 41 Driveway 1 p a No Conflicts 4 ew 1250 Gallon o Septic Tank w/DC❑'s s 5- Decommission Old Septic Tank PER UPC ' ' t NORTHRIM 4 of ,14'11 SCIMITAR #1 1' = 50' 3% Slope ENGINEERING iNt'.•'''' y:. SteveEng.com " .491ki' ,, * BLOCK 2 LOT 9 DESIGN Po Box 770724 LAYOUT Eagle River. Alaska 99577tt WASTEWATER UPGRADE \ 907.694. 7028 7�?f/� '" REPLACE SEPTIC Date:7/17/18 12of 3 Foundation Cleanout Tank Cleanouts Fin ade Opposing Cleanouts Between Septic Tank & Trench 4 Foot Cover or Equal Match Elevations To Existing FCO & Line r-- ....../.. f___Ioi.Trench 1250 Gallon Steel Mounded Cover To Match Terrain 'Anchorage Tank' Or Equal Monitor Tube Solid Pipe 41 Cleanout Original Ground aniin DESIGN NOTES: 21 , 1. Depth Of New Trench @ 11'. 2' Insulation I' 2. Septic Tank & Solid Pipe to be Placed on Compacted, Stable Soil, Free from Boulders. %: 3. Sewer Service Line is Minimum 2% Slope & 3' Cover. ! •=! • .. 0 Et E GEO 1 ECHNICAL & DEVELUPMENT CO. Btx 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell OysterEarl Ellis 694.2774 • SOI Id.OG 688-2280 Soils Et Foundations Land Development Performed for: Name: •/_.re.VV/it'i) ///. /* ')"..- .•.-:) 'lel , No (- 7V . 2') . •••••••••~1071.•••••••••••••••••••••••••••••.111.•ono,",evagro...•••••...,94.••••••••••,..,<N•r,.. 9...1.361100•40.R.M.a....esi....•0 ..) 72 Mai 1 ing Address: F.XL,....17/,-; ..!. 4'- (/I( ll /.I e . 4 1-• . 76(.'4'.t:' /it : '://.1 —....' .......ipera.O.N•A••••411.•..1........,10.••••1!AV•InAMOMP.412......11.411•..3.1.... ../.11•MUSIA.I. Z :.....1... 1.i . ) •,.. ......'' Legal Description: ..- :: '/. ,. *.')‘ ,--:. .- ., ..-.):-.:',:. ,'/ T> 7! ---)C.W/2, kpl.h (1.91,c1 19.11sher (lite r_igica. 0 1.--;-• -i _........... ...,.. zi/ I .._.7.; 1. i'vl/, ::-5/.1. 2.. / ,"j) ::::,,/4.. vi c. 7•3 2 . Li ..... • . •.. ........•_ ..• ..___........••••_..._ . •.•._. . .......... /2/. 6 . ,'JI !:51. ,11 i C: 7 dr suf..X.0•0.1.L.10 ,•' ' /if.//... 1 ./14:.ri C t::.' / 8 (:;/). c-... .i/ .„...:, ..--7... ........ ...--....... • ." - ...../.e i 'I ...--.)/7 '..1 / ..e., 9 ..,-....„,..... • eil 15,..?r:I ;., / 4770 e4, . .. ..e....__ 77 .3/V), 1• 1"/ •(.• 6. : ;:.... e) :2%; • t---•":-N 4:- . ..-.V(i;*•,. • al •- 1 c' -3 i ), '• b../. • . _.....q.,..0............... 12_ - -:::---,----T 1 4., .., ..... ..1 , . 13 9 i.,:),:.• 1:: ,:',/,;,, 1.11., _!. 4ii C. :%•-. 15 16 , • / , - g : c 7 l.. V 4 " t"' Tie//:.• ••••/ (...- /. . -,-- /7:-, : ,::-..-_-.-:77::::::.::: 7 -::•:::::-:..::: .1:17.:::=.::::: .7,..-:::74r ' 1'•:.-,...... ,. . :..e.-') 4,/,. Ground Water Encountered: Yes_ No 1-'.... If yes, vshat depth ./_ ,) i.e.:, Proposed Installation: Seepage P11;__ Drain Field Comments: ...• -, f: , , .../ ,.../ ,..„ .7, / / , . / - •, ..- .-, /(.. (1 ,• (..--• (.17.• •,.. Oa te: ............,..... . —_____„.......... 17-3, /! 1 ccs vrn c.n rDf — _-._. _•_ — — ____. —r". ' ti J cl ,e9-4,e, 1.9 /' M x‘ I\ 04.0 h Q � o r '� - 3.7' J .- -,.. 10 0 te . I .4:47.„•Ate-,:e5---94 4 NOM, ( .� _ _ l4. V 1 '1So.e --. ,.v.- "- �,..✓ 1+ 396.116/96."16/ V \ w Nµ..0 • — war0s-- I i f l e fra.- ion, Da...1//-v.,, i S q..ssuh-tiJ�.ct Z, k Spo)-.2•/•.tlift.T•!B.ls JAoI.v ;II%slirel„r+-Ce, • AS-BUILT I hereby certify that I have surveyed the following described property:L4,7`- 7j B/oc k ..-.1 .5c_, r far - -' vf,;f No./, 5-E.-.1-7,-i O, 7'7.3.-/v) A i ' .s/41 -4--',.: pat, Anchorage Recording Precinct, Alaska, and that the O^= {i improvements situated thereon are within the property .cs . r vi.a••_•, 4: !8 lines and do not overlap or encroach on the property ts4v'='i z,42..4k....-f1:1r� lying adjacent thereto, that no improvements on prop- •/.. . �' erty lying adjacent thereto encroach on the premises in v 4,- E'�.7 �e question and that there are no roadways, transmission 9 0• e;0;, •••« ••e 309'•0• lines or other visible easements on said property except as indicated hereon. 4 .3030 ••r•••eee••• .. ' s - Dated at Eagle River, Alaska v”",I. P.00ert C.J��hnso:� ag `/ 1..':-":„•:,.. NO.880-5 ,,,•:.-;,, this 7' day of S- �`1 19e; "0t-•t;a'•. )•W,, ROBERT C. JOHNSON `� F0-4'••.30•0•w°' >ca SCALE: Registered Land Surveyor No. 0-LS k%�4r`'.`fz''1•'t-'''� 1 = 6 o• Box 456, Eagle e River, Alaska ` T0S— It fly-c-a.��on, d4.i-vr,.� is e�ss�t9h-s��f. 2.., k �%`f'.2-/.•e lrt5�eo,�s 3ho�w- min%J�i�o��r•+�o(e. s•-� ..• asy q `�' •moi �,'y pyg�g:�Lti�NOMO a10 a9�g00 `' a..• ars®�• ees sew•ea�a,�°° P.o�ert C. Jnhizsf , j��✓ �aa•a400p � .. JGa�➢ AS -BUILT J-4 I hereby certify that I have surveyed the following described property:L�,7-_ 9 g 1,o c k z— 4 Sci y,, r far Svr�a�, v�, Ale, is . :5; -* (k"e. 5-tmt1, Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska this _7 day of - �' � 19 ROBERT C. JOHNSON SCALE: Registered Land Surveyor No. 880 -LS (�O' Box 456, Eagle River, Alaska Phone 694-2543 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 HAME 1PHONE MAILINGADDRES~ LEGAL DESCRIPTION ~ NO, OF BEDROOMS LOCATION ~ ~ Mate~ No. of compartments ~ ~ ~anufacturer ~¢ ~ Inside length Width Liquid depth iLiq, capacity in gallons I ( OOO IF HOMEMADE: -- Well Dwelling PERMIT NO. 9'2 ~ DISTANCE TO: ~ Manufacturer ~ 'Mate~ia~ ~ Liquid capacit~ in 9allons Well / ~O ' FounOat'~¢ /---- Nearest~otlir~>O PER~&,~ ~ -- ~ DISTANCE TO, p + ,ect~o*lines Trench width Distance between lines ~ N°'°flines [ Lengt f¢*hline Total inches __ ~ Top of tile to finish grade ~/ Material beneath tile ~ / inches Totafi~t%absorptionarea ~ PERMIT NO. Length Width Depth ~ Type of crib Crib diameter Crib depth Total effective absorption area b~ Well Building foundation Nearest lot line ¢ DISTANCE TO: ~ M ~&~ Depth Driller Distance to ,o, line PER~T~ ~ 7 m Building foundation Sawer line Septic tank Absorption area(si ~ DISTANCE TO: ,0 NSTALLER REMARKS ~M{~ / ~l( /~ _ , .............. ~PPROVED DATE LEGAL MLSON V/ W -H D E L RILLIN ANCHORAGE, ALASKA 9 F,,j"a 7 PHONE 9 MiLLING LOG Well Owner, of Wel Location (address of: Township, Range, Sectioif known; or distance main road I I I 0 0>Mhu t'tz b -Lb aj, cl-h Size of casing -10 It Depth of 1-iole--"-3----.feet Cased to YR feet Static water level I t. (above) (below) land surface. Finish of well (check one) open end ( Screen ( ) ; 'Perforated ( Describe screen or perforation Well pumping test at-5—gallons per (hour) (minute for of drawdown from static level. Date of c o m p I e t i on-I—aaPk&-1U--8— WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness TO --To -9;�—TO L D —TO )_Q4t-_TO_L`&� —TO— JUZI—TO Iq (V 191 -� �e. - / --L --TQ I (- TO -141 LTi- -TO- ------TO c-14 PERI'lIT NO. I:IPPL~.I::F~NT LEONflRB H BROOKS F'. O. ~,-~', :.~9 ..... LOCFITION TIJLPlRR DRIVE c a I..Of SIZE LE(3RL LS~ B 2 SC ~ H I TFIR _,l..IB ~' '~" -, TRENCH ,"' I :~ :~O ~ I.. RRT~NG flFl~,~HJf4 NLIr~BEf~ OF BEDROOH$ = ::,I:E THE ='C ' ' ''¢: :' ,"", ,c" ': ','. THE REQU]:RED '- "'" OF =,JfL RD..,OR~ TZON :,~:' fell t~ ~ ............. -"" - :':" -" FEET THE LENGTH DIMENSION I=, THE LENGTH c:lN FEET> OF THE fF,.EN_H OR [:,RFIIf.,IFIEL.[:'. THE DEPTfl OF R TRENCH OR PIT I:S; THE DZSTflNC:E E:ETHEEN THE ::,_l~.l-t-..E OF THE GROUND Rf.4E) THE BOTTOM OF THE ENC:FIVRTZON <IN F"EET::'. "FHE~:E IS NO ~;ET P~IC, TH FOR TRENCHES. THE OIJI'FI~LL F'IF:'E THE ~[.P eEL. [.b. PI H I.::, TtiE HINIMUH DEF'TH OF GRRVEL BETI.4EEN FIND THE BOTTOH OF THE E>::CFIVFITION (IN FEET>. F'E~RblI T RF'F'L l CflNT FIR.::, 'FHE rqESPON.S I E: I I... I T'¢ "FO I NF'ORM FF.I...:, DEF:'RI(Tf'IENT [:,I_IR I NE~ 'I'H[~ ill.,II:, THE ~NSTFILLRTZON ZI~:,FLCrZON: OF FIf'~"r' HELLS FID..TRCENT TO 'f'I-IZ% Pr~'.OF'E~:T'¢ NtHBE:R OF RESIE)ENCES; THFIT THE HEL. L. HII..L. ................... B'¢ THIS E:Fi[:KFILI...IN6 OF flN'.¢ :,~:,TEII bJI'THOLll' FINFtL INSPECTION F~N[:, RF'P~'.OVFIL [:,F]:'I~t;~TMENT H~LL E[E SUB.]EE:T TO F'[~O':FECUTION. MINIFIt.II'I [:,ISTRNCE BETPIEEN R NELL RND RNY ON-SITE SEP.IRGE DI::,F :,HL ::, .:lEt1 ..... tel() FEET FOR R PRIVflI'E PlELL~ F UE, L I u I.,.IEI..L.. tP;~3 "FO [:,F]¢~ FEET FROM R pIIBLIF' blEL. L [)EPEN[)INCi UF'ON THE T~'PE Cfi:' " :' ' -' - -' E:, FI HEIJ. LOGS FiRE REQUIRE~' FIND MU:,T BE RETURNED TO THE [:,FF'FIRTf,IENT OF THE HELL COMF'LETION. O'l'HEIq REC~..:[REMEN'rs P1F¢¢ RPPL. M. SF, ECIFICRTZONS RND CONSTRUCTION [:,~FiGF~tFIb15; F:IFltE R',/FIILRBLE "ro INSURE PROPER INSTRLLFITION. F" ~ ~ ~ ~ ~' E ~-~ F:~ :['. ~" !~ ~" E;. 1~3 l:Z: E ~4 tE: ~ F: 1:~: I C:ERTIF'¢ THflT 1: I FII'I F'RHILIFI[~ HITFI THE: REg~.IREblENTS FOR EIN-":S;ITE tSEb. IERS F:IN[:' HELLS; R'.~; 5;ET FLf,IH B'¢ THE 1,11]NICIF'FIL. IT'¢ OF RNCHORRGE. .-. :,Yz, lkfl IN RCf:fIRE)RNC:E 14ITH THE F:OE,F'S. ,~:: I HII..I- INSTFII-.L THE ~ '-":' .-- · - .... ON-.~..TE: :,E[4E~. =,~..,fE. P1 fiR"r' [~ELtfl..I~RE ENL.Rf;'.EiEMENT '.IF' THE'. :~' I UNDERSTRND THru' THE '-~ '"" ' :' F~ES[[>ENCE ~1 REI~ODELED, TO [NCLIJDE fqORE THRN ~ ......................... ...... 'RPPLZC:F4NT LEONRR[: H ERZC. K.S / ..... ¢ O~E Russell Oyster 694-2774 Soils ~ Foundations Performed for: GEO~ ECHNI CAL 8- DEVELLJPMENT B'bx 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Earl 688. . 2~80 Land Development .... ' ;7 ~:,/ . :L 7 L. :' 16 ? /''" : '~'~: - Ground Water Encountered: Yes No " If yes, wnat d~pth , Proposed Installation: Seepage Pi ..... Drain Com'nents: ,f/ /-? :t ~roperty Ov~ ar APPLIC IT FILLS OUT UPPER HAL ONLY Mailiug AddreSs -- Zip Code .___ Address Phone Lending Institution Zip Code Legal Description j..._~{' I Type of Residence El Single Family .ri Multiple Family [9 Other No. ol Bedrooms~-- ~ater Supply ~ Individual Community I~ Public Utility ~ewer Disposal ~ individual El Public Utility ~q Holding 'lank ATTACR WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available). When Connected to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, __ Time Date Inspector :ield Notes: Time Date Inspector Date Inspector Time Inspector ) DISAPPROVED t ) CONDITIONAL APPROVAL' DATE - ~ -- 'CONDITIONS OF APPROVAL Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank 'J O r.., SS II Log Received ptic Tank Size EXCAVATION ROBERT A. SHAFER CIVIL ENGINEER WORK SePtember 22, 1983 694-2979 connie Walden ERA Finis Realty Box 560 chugiak, Alaska 99567 Dear Ms. walden, Reference: LOt 9:B1°ck 2: scimitar Subdivision A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of water through the system without any adverse effect. It can be concluded from qb. is test ghat the waste water disp~ssl system serving the three bedroom residence located on this property is currently functioning ade~ately. However, this system cannot be guaranteed against 'subsequent failures. If we may be of further service, please do not hesitate 'to call. sincerer, ' CC: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVEF~, ALASKA ChoUiak, Ajaska 99567 ile gl. ant.,:.~ un'Li. 1 Lhe ;[{oJ.J, owing i. lZeLaS , -,., , .... i,- oj!J':ice Co~c '.)~: ~ ~._.,,.~ and welL]. ],o,{j Sn)I~:LLL~-C~ to t.~ .o '...'~ie ~e;)ki_c Lank pu~'aped w;[kh a ~_,(~(:~:~ipt ,,:;t~bn'l;i_hlLed LT;) this ~ouJ:' (4) :i. nci~ c._e mout nee s Ix) I)e :i_nstn].led to Lne ~5~ )~- ' ' 0 .c~I.L,;~ i't~'fX - ' '' ' k}'l~:) hOSIL iL', Oll(3],(3SlecJ n,- '., . _ ne~ds to be submittted to th' s o:[ifi, ce for our ~Teview, C,,130/~l}/RX 10S t I I:/~ MUNICIPALITY OF ANCHORAGE _; Development Services Department p p Phone: 907-343-7904 On -Site Water & Wastewater Section _ Fax: 907-343-7997- - Certificate of On -Site Systems Approval , '2 2-1 Parcel I.D. 051-132-17 Expiration Date: Legal description SCIMITAR #1 BLK 2 LT 9 Site address 19743 TULWAR DR Chugiak AK 99567 Current property owner(s) LACHAPELLE X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: Original Certificate Date: 5 2 I/ 2D -L- 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 x Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 t , a t`. 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 Parcell.D. 051-132-17 Complete legal description Scimitar #1 Block 2 Lot 9 Location (site address) _19743 Tulwar Dr. Chugiak, AK Current property owner(s) Mark LaChapella Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: V Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: © Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ® Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 5 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed 0 Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ 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 $ S^ U Waiver Fee $ Date of Payment COSA# Date of Payment Waiver # COSA Application_June 2022 Nitrate Advisory Certificate of On -Site Systems Approval # OSC231355 Subdivision: SCIMITAR #1, Block: 2, Lot: 9 A water sample revealed a nitrate concentration of 7.34 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Ma�l�ng Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Ma�lmg Address P O Box 196650;* Anchorage Alaska 99519 6650 *www muni org Legal Description COSA Checklist Scimitar #1 Block 2 Lot 9 Parcel ID: 051-13247 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑V Well log is filed with Onsite (or attached) Date drilled 8/1/78 —Total depth 263 ft Cased to 92 ft 0 Sanitary seal is functioning correctly ✓❑ Wires are properly protected Casing height (above ground) 20 in. Date of flow test for COSA 8/24/23 Static water level at beginning of test 107 ft. Comments _ B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping 9/15/23 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 9/10/18 ✓❑ ALL standpipes present per record drawing Total measured depth from grade 9.6 ft (max) Measured depth to pipe invert from grade 2.6 ft (min) ❑ NIA — 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/Deficiencies COSA Checklist June 2022 Well production at time of test 4.9 gpm Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ✓❑ Nc 1 Coliform bacteria is Negative Nitrate 7.34 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Arcterra Consulting Date 8/24/23 STATION ❑ Require st( Age of lift station Lift station material Comments ance completed Adequacy test date 8/24/23 Results J❑ Pass Fluid depth prior to test 7 in Water added 600 gal New fluid depth 11 in Elapsed time 10 min Final fluid depth 7 in Absorption rate 600+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 84 Effective depth used 7 in Effective depth remaining 77 in 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' ./❑ Yes if No ft Field to Property Line > 10' Community Sewer Manhole/Cleanout > 100' ❑� Yes if No ft 0 Yes if No Neighboring Tank > 100' ✓❑ Yes if No ft Private Sewer/Septic Line > 25' ] Yes if No Absorption Field on Lot > 100'❑ Yes if No ft Holding Tank > 100'✓❑ Yes if No Neighboring Absorption Fields > 100' Animal Containment > 50'✓❑ Yes if No Rv Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ✓❑ Yes if No ft Q Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water ft ft ft ft ft From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑,7 Yes if No ft Surface Water > 100' 0 Yes if No ft Tank to Property Line > 5' ./❑ Yes if No ft Field to Property Line > 10' ❑✓ Yes if No ft Water Main > 10' Fv� Yes if No ft Water Service Line > 10' 21 Yes if No ft F. ENGINEER'S COMMENTS Wells on Adjacent Lots: Private Wells > 100' Community Wells > 200' FZI Yes if No ft © Yes if No ft If tank or field is under driveway comment below 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 Arcterra Consul Engineer's Printed Name Kenneth Duffus Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. COSA Checklist June 2022 Phone (907)-696-6111 Date