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Home My WebLink AboutSUE TAWN ESTATE #2 BLK 3 TR DPERMIT NO. SW970567 PAGE 2 OF 2 HunJcip. o, Lit;y oF Anchor'o, me DEPARTMENT OF HEALTH AND HUM'AN SERVICES ENVIRONMENTAL SERVICES DIVISION P.B, Box 196650 eAncho~'o. 9e, A[asko. 99519-6650eTetephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL TRACT D, BLOCK 3, SUETAWN ESTATES ~2 P.I.D. NO. 051--202-18 A B FCO 9,0' 19,5' ST1 20,5' 21.0' ST2 29.0' 26.0' DBL1 54.0' 50.0' DBL2 36.0' 51.0' C01 51.5' 54.0' MT1 52.5' 5,5.0' C02 70.5' 51.0' MT2 71.0' 51.5' PROPERTY LINE APPROX. 87.5'~ NEW T R E N C H--.~...~ .E ._ ._ _ _ __ __ ._.~ NEW 1250 SEPTIC TANK C02 · TH#1 DBL2 OBL1 ST2 &TH#2 $T1 ST2 FINAL 9 1250 GAL 91 ' MT CO MT1 = 83.3'~-~'~ MT2 = 83.3' CO1 = 93.9' = 94,3' CO1 = 88.5' C02 = 88.5' NO WATER FOUND 77.3' B.0.H. by DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUOIAK, ALASKA 99567 * TELEPHONE 688-2769 LEGAL DESCRIPTION ,-~'~ PERMIT NUMBER ~ ~0 ~6~ate of Issue __ T~ INDENTIFICATION NUMBER ~ ~ ~ O ~ ~_~ Is well located at approved ~ermit location? ~ ~ No Meth~ of Drilling: ~ rota~ ~ cable tool Depth Of well: ~O O Casing Type ~EE4 Wall Thickness · ~ ¢ inches Diameter ~ inches, depth . feet Liner Type:. ~),~ ~ Casing Stickup Above Ground; ~ feet Slatic Water Level (from ground revel): //~ feet Pumping level:~ .feet aRer hrs. pumping gpm Recover Rate; ~gpm Method of Testing: ~/ Well Intake Opening Type: ~ Open End ~en Hole ~ Screened; Star feet Stopped feet ~ Pedoratiofls Stad feet Stopped feet Depth: from 0 feet, to. ~ feet Pump Intake Depth: feet Pump size .bp Brand Name. Well Disinfected Upon Completion? ~es ~ No Method of Disinfection: ~t~ Comments; BORE HOLE DATA DEPTH F~m ~ ~'4 c~L¢c RECEIVED O .......°lP-"v ........... 2gO ept. Health & Human Services Driller's Name. /~-~ ~---- ATTENTION: It is the responsibility of the property owner to submit a copy of the well leg to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conse~,ation. MatSu Borough: Department of Environmental Conservation. 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:SW970367 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:JARVIS, SUSAN OWNER ADDRESS:P.O. BOX 770701 EAGLE RIVER, ALASKA 99577 DATE ISSUED:10/14/97 EXPIRATION DATE:10/14/98 PARCEL ID:05120218 LEGAL DESCRIPTION: SUETAWN ESTATE #2 BLK 3 TR D LOT SIZE: 999999 (SQ. FT.) ' NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST 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 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 kND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ROBERT C. COWAN, P,E. CIVIL ENGINEERS October 8,1997 (907) 694~2979 FAX (907) 694-1211 SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELLINSPECTION & FLOWTEST SOILTEST PERCOLATION TEST STRUCTUP, AL & MECHANICAL INSPECTIONS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Tract D, Block 3, Sue Tawn Estates S/D Addn. #2 Request you issue a permit to drill a well and install a septic system to serve the proposed four bedroom house on the referenced property. Two test holes were excavated and percolation tests performed. The approximate location of the test holes are located on the attached site plan. At the time of excavtion, no water was encountered in the test holes. After seven day groundwater monitoring, the monitoring tubes within the test holes have been checked and found to be dry. Attached is the proposed design. We do not anticipate any adverse effects on neip~hboring wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/jlm Enclosure MUNICIPALITY OF ANCHORA(~ ENVIRONMENTAL SERVICES DIVISION OCT 10 1997 RECEIVED 17034 NORTH EAGLE RIVER LOOP o SUITE 204 - EAGLE RIVER, ALASKA 99577 1" = 100' 8GALE SITE PLAN DESIGN 33' SECTION LINE EASEMENT ~ ocr ~o ~o~ - P CoO m~.m .LS/S£PT[C WITHIN 150'+ OF / // /'/ / / / /' 1" = ~0' I DESIGN D ETA I L II II II rtl 3)' Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: ~-~,)SAl~ LEGAL DESCRIPTION: ¢1~;~"~' -~. 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O ~' l~,~J Township, Range, Section: ~_..,¢-Ji"~-r~'.~ -JJ¢ I SLOPE WAS GROUND WATER ENCOUNTERED? IF YES. AT WHAT .....-- O DEPTH? P E SITE PLAN 0epth Io Water Alter Moniloring? OK'( Dale: ~ "*'~,.?~'~t I Gross Net Depth to Net Reading Date Time Time Water Drop -z i 2 :-~ i ..,~ --i ,/~,, ~/~, PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN ~ETWEEN 3,--~' ,T AND '~ FT COMMENTS PERFORMED Ij~0~4 ~a~t~ ~,v~r Luup ~.~au Nu. 2~, I ' ,, , · ~'~-~ ~-~,'"'"~"'"~ CERTIFY THAT THIS TEST WAS PERFORMED IN , E, ,N;;FLTONTN, D^TE OATE 01'0/ Z AGCORDANC~q~[~r$~,~iII~i~I~i~J~ICIPAL GU D L NES , : 72-008 (Rev. 4/85) SOILS LOG -- PERCOLATION TEST '" ; .OBEeT C COW^. '~.~' LEGAL DESCRIPTION: ~ ~ . ~ ~,~ Township, Range, Section: 11- 12 13 15 16 17 18 19 20- SLOPE SITE PLAN WAS GROUND WATER ~, ENCOUNTERED? S IF YES, AT WHAT / ~) DEPTH? p E Depth to Water After Monitorin[~? D~-'~ Oate: I I Gross Net Depth to Net Reading Date Time Time Water Drop '2 12 :~11 I ~,,a. 1;~/~'' '~/~ ' :~ Iz: ~,z -7 ~'l ~zu PERCOLATION RATE 2. (minutes/inch} PERC HOLE DIAMETER __ TEST RUN BETWEEN ~ '~"- FT AND ~ '~''~- FT COMMENTS Eagle River, Alaska 99577 ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ROBERT C. COWAN, P.E. APPROVALS SEWER&WATER INSPECTION ENGINEERINGSTUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAOOESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 REFERENCE: Tract D, Block 3, Sue Tawn Estates S/D Addn. #2 October 8, 1997 GENERAL: The scope of this project includes the installation of a 1250 gallon septic tank and a leachfield trench to serve the proposed four bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval firom the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 17034 NORTH EAGLE RIVER LOOP· SUITE 204 · EAGLE RIVER, ALASKA 99577 Page Two Tract D, Block 3, Sue Tawn Estates S/D Addn. #2 October 8, 1997 A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the £mal gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Page Three Tract D, Block 3, Sue Tawn Estates S/D Addn. #2 October 8, 1997 Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Page Four Tract D, Block 3, Sue Tawn Estates S/D Addn. #2 October 8, 1997 Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER 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: ~ ~ ~00/7 PID Number: O0'-~.Z ~ / ~' Name: -~,C¢$A~ ~. JA,¢~'/S Wastewater System: '~New [] Upgrade · . 770 7/,2 ~-~¢Z£/~/V~, ~ ¢¢~7 ABSORPTI FIELD '~=': ~- °°m': ~Deep Trench =Shallow Tren, =Bed :Mound BOther LEGAL DESCRIPTION SoilRating: ~ 1 GPO/Sq. Ft. ~: ~ B)ock: ~ ~:~ Depth to pipe bo,om ,ro~g[nal grade: Ft' Graveldepthbe~hpipe Township: ~ Range: ~ Section: FiD added above ori inal grad : WELL: ~ New ~ Upgrade Gravel width: ~ Ft. Clarification (Private, A.B,C):~/~ Total Depth:~ Ft. Cased T~:~ ~//Ft. Total absorption are~ SQ. Ft. Driller:~L~/V~W ff~P ~5' /~-~-eTDate Drilled: Static Water Le~¢://~ Ft. Installer:~w~m ~4 V~ Date installed: SEPARATION DISTANCES ~Septic U Holding U S.T.E.P. Man facturer: To Septic Absorption Lift Holding Public/Private From Tank Field Slation Tank Sewer Lin~ cu.,c. Ioo ? 1¢% -- ~ -- LIFTS1 Water Lot ~/~ ~ ~ -- ~facturer: Line Fou.dation ~ / / ¢/ -- ~ "Pump on" level at: Cu~ainDrain ~ ~'~ ~ ~ ~ PumpMake&Model lElectd~llnspecti, Remarks: ~/~ ~¢~ / 5 ~ BENCH Location and Description: : ENGI Inspections pedormed by: - Dates: ls~ 17~4 Eagle River L~ Read No. =~ 2nd~~ Eagle River, Alaska 995~ Depadment of Health and Human Semites approval Reviewed and approved by: ~~ ~ Date: ~' 13-~ Capacity in gallons: Number of Compartments: ~TATION 1High water alarm at: ;pections performed~ MARK 72-O15 (Rev. 9/91) MOA25 PERMIT NO. SW980017 PAGE 2 OF 2 Munici[:)c~Likv o~ Anchorc~c~e DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.D. Box 196650 eAnchor(ige, ALaska 99519-6650 I TeLephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEH AND/OR WELL INSPECTION REPORT LEGAL TRACT D, BLOCK 3, SUETAWN ESTATES ~2 P.I.D. NO. 051--202--18 A B FCO 25.0' 7.0' ST1 26,0' 7.0' ST2 29.5' 14.0' DBL1 30.5' 15,5' DBL2 31,0' 16.0' S01 36,0' 21,0 MT1 46.0' 32.0' C02 48,5' 54.0' PROPERTY LINE APPROX. 177.5't WELL ST1 ST2 FINAL 9 1000 GAL , /-NEW 1000 GAL. TH#3~ ALT. SITE NEW TRENCH CO1. = 99.7' MT1 C01 /'~C02 = 99.8' CO1 = 94.4' C02 = 94.3' MT1 = 89.3'~ · NO WATER FOUND 83.3' B.0,H. ROBERT C. COWAN, P,E. SI:*WER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELl_ INSPECTION & FLOW~'EST SOILTEST PERCOLATION STRUCTURAL& MECHANICAL INSPECTIONS CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L. Street P.O. Box 196650 Anchorage, AK 99507 RECEIVED dUN 1 1 1998 Municipality of Anchorage Dept. Health & Human Services The septic inspections for the property were performed on ~/-Oq-~2oc' and ~' - 0~? - q ~ Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection Report to MOA, Department of Health and Human Services we are waiting for the ~,,a~- ~,v~= fA ~ ,~c~;/ to be completed so we can do swing ties to the foundatio~ If we may be of further service please contact us. Sincerely, 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PERMIT NUMBER:SW980017 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:JARVIS SUSAN F OWNER ADDRESS:P.O. BOX 770710 EAGLE RIVER, ALASKA 99577 p ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT ~k~i- [O ~[-~ DATE ISSUED: 2/17/98 ~C~l~ EXPIRATION DATE: 2/17/99 PARCEL ID:05120218 LEGAL DESCRIPTION: SUETAWN ESTATE #2 BLK 3 TR D LOT SIZE: 999999 (SQ. FT.) NUMBER OF BEDROOMS: 1 THIS PERMIT: 1 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST 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 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. SPECIAL PROVISIONS: ISSUED BY: ~ DATE: February 4, 1998 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Tract D; Block 3; Suetawn Estates #2 Request you issue a permit for an on-site xvastewater disposal system to be located on the referenced property. The residence on this property is under construction. A permit # SW970367 dated 10/14/97 allowed the construction of an on-site wastewater disposal system for the four bedroom residence. However, during construction of a detached garage, the owner has reqnested that a bathroom be installed in the garage area. This dictates the need for a separate wastewater disposal system equivalent to a one bedroom capacity to be located as shown on the attached design. Due to the horizontal separation between the detached garage and the principal residence, it is not practical to enlarge the on-site system for the residence to include the bathroom in the garage structure. Both wastewater disposal systems located on this property meet the required horizontal separation distances from the existing well and do not encroach upon any adjacent properties. No ground water was encountered after 7 days of monitoring and due to the soils ence~mtered, none can be expected at the depths used for this design. The existing well will provide water to the detached garage through a water line between the residence and the garage structure. If you require additional information, please contact me. Sin~ ~ ,'1'" = 50' SITE PLAN DESIGN ~=~ / TPROPERTY LINE 515 APPROX.m ~/ m ~ -- ~ L*J ~ ~ / / > n .. L / / F / ~'~ I ~ ~ ~ ~ ~ , ~ x ~ m · .. ~ ~ ~ ~-- ~ ~z/ ~ I z z~ -- 0~ 0 ~><~ >~ mm~mmm >~o ~ / ~,~,~ ' ~ ~-~ ~mo~ o PERFORMED FOR: LEGAL DESCRIPTION: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST -.. , %"'/' No I. ~)3 (.4.~ -'r--42..c..pj, t Township, Range, Section: TT.H 1 2 3 4 SLOPE WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ~ DEPTH? p~ Depthlo WalerA~ej,),/.~ Monitoring? //fo, v( SITE PLAN IAi \, Gross Net Depth to Net Reading Date Time Time Water Drop / /Z-/-'¢Y .e?~,~ .--. PERCOLATION RATE TEST RUN BETWEEN//~ FT AND \_G''~' FT COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDE~LK?~ ~S Iz~.~'FFECT ON THIS DA E. DATE: ~-~-- 72-008 (Rev, 4/85) I WALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-202- 1. GENERAL INFORMATION Expiration Date: 12 -S O - Z I Complete legal description SUE TAWN ESTATES #2 BLOCK 3, TRACT D Location (site address) 18435 JASMINE ROAD, CHUGIAK, AK 99567 Current property owner(s) WELLS FARGO BANK Mailing address Real estate agent Day phone _MAC #X2303-048, 1 HOME CAMPUS, DES MOINES, IA 50328 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS 4. TYPE OF WATER SUPPLY: Private Well Water Storage Community Well Public Water System Waiver request for: Received by: 4 +1 ADU Day phone TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ Distance: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 55o Waiver Fee $ Date of Payment 9 a '� ()2 1 Date of Payment Receipt Number 100232 Receipt Number COSA # 0 sC a 11 55g Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name _CURTIS HUFFMAN, PE Date 9/17/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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 •C(i well and septic system. Therefore, any estimate of how long a system will function satisfactory r�Q: • • • . for current or future occupants or guarantee that no unseen encroachments, defi ' �F((c(r(f ��g•• discrepancies exist can be given by First Water Consulting & FMCS . `\\�\\��P�\`Y OFrrr/'�r/� • .� TM••* �� ...... 6. DSD SIGNATURE urtis Huffman ON-SITE r • • • • r C CE 128991 System #1 Approved for t bedrooass WATER AND�� F, $/17/�9••��,; System #2 Approved for bedrocv&j WASTf_VI`ATER ' 9 R0 SS10�4 c� PROGRAM Disapproved /0 Conditional approval for bedroo&Q%� t f � stipulations: 9sE.3oy1 Tlne ori lr< �.,1 bu 1 a e.r- w• k + �Woz heQ e r cl se. -c! o u—+. 0.dd'-l;nn e �Du was never re %SA-e.reJ Mo -A O's re km re -CL 10 Y-,z-,50Nf_ -%hese i-le.trvls, elea se Cori c+ �errn3 OkgAw meyd a`+ 3 y 3 - 8 211, Y (/ Original Certificate Date: Cf —3, C) ,Z The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Other P kc� V Sf`cr1 A f Legal Description: SUE TAWN ESTATE #2 BLOCK 3 TRACT D Parcel ID: 051-202-18 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system A. WELL DATA ® Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date drilled 12/10/1998 Well disinfected for coliform test? ❑ Yes ® No Total depth 400 ft (EXTENDED FROM 200') ® Coliform bacteria is Negative Cased to 68 ft Nitrate 6.0 mg/L ❑ Nitrate less than MRL (ND) ® Sanitary seal is functioning correctly Arsenic ug/L ® Arsenic less than MRL (ND) ® Wires are properly protected FW'C Casing height (above ground) 18 in. Collected by Date of flow test for COSA 9/15/2021 Static water level at beginning of test 113 ft. Date of Sample 9/15/2021 Well production at time of test *1+ gpm Comments *BASED ON MEASUREABLE / READABLE ACOUSTIC SOUNDINGS OF THE TOP 200' FROM TOC. B. TANK DATA -- (4BR HOUSE/ 1 BR ADU) Age of tank(s) 24 / 23 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49" 150" ® Standpipes/foundation cleanout per record drawing Date of pumping 9/1412021 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: D. ABSORPTION FIELD DATA -- (4BR HOUSE / 1 BR ADU) Which system tested (date installed) 1997 / 1998 Adequacy test date 9/15/2021 ® ALL standpipes present per record drawing Results M Pass For 4 / 1 bedrooms Total measured depth from grade 11.2 19.9 ft (max) Fluid depth prior to test 0 / 3 in Measured depth to pipe invert from grade 6.1 15.6 ft Water added 600 / 300 gal (min) ❑ N/A — pressurized field New depth 0 / 15 in ® Monitor tubes go to bottom of effective. If not, state Elapsed time 20 min depth into effective ADU 4.3' OF THE 5' ED Final fluid depth 0 / 3 in ® Code -required soil cover over field Absorption rate 600 / 150 gpd ® System presoaked Any rejuvenation treatment (past 12 months) N (Required if vacant for greater than 30 days prior to date of test) If yes, enter date Gallons introduced 2000 11000 gallons FU Comments/Deficiencies: E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No *2+ Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® 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' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *2+ ft Surface Water > 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *MOA APPROVED 2006. G. ENGINEER'S CERTIFICATION I certify that / 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. jj Curtis Huffman �P¢ ��c •. CE 128991 0 OFESS1 --IftAMW - ft ft ft ft ft ft ft ft www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 211558 Subdivision: Sue Tawn Estates #2 B 3 Tr D Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 24 years old. Typical replacement costs range from $9,000 to $12,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. Nitrate Advisory Certificate of On -Site Systems Approval # OSC 211558 Subdivision: Sue Tawn Estates #2 B3 TrD A water sample revealed a nitrate concentration of 6 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ;Mailing Address P O Bax 1,96650 *Anchorage, Alaska 99519 6650 *www mum org Nitrate Fact Sheet 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. Malting Address P O Box 196650 *Anchorage, Alaska 99519-,,6650'.,*"www mum F111'rst Water h GONSULTI NG 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com September 28, 2021 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SUE TAWN ESTATE #2 TRACT D, BLOCK D - ONE BEDROOM ADU The septic system consisting of a 1,000 gallon septic tank and deep trench was installed in April, 1998 serving the shop / barn as described in MOA record inspection report has a one bedroom unit, which was used while the main house was built. The record drawings show a soil rating of 1.2 GPD/SF and total absorption area of 125 square feet, which is equivalent and adequate for one bedroom. A one -bedroom satisfactory adequacy test was performed on the system serving this structure. Please contact us if you have any questions. Sincerely, i Curtis Huffman, P.E. ui ER V 9 �er�r Carroll, Rebecca M. NNEEMMM From: Carroll, Rebecca M. Sent: Thursday, September 23, 2021 10:36 AM To: Brent Western Cc: Ecklund, Timothy J Subject: SUE TAWN ESTATES #2 BLK 3 TR D - COSA Attachments: doc19603420210923104128.pdf Brent, Just as a heads up, the property at 18435 Jasmine Road in Chugiak never closed out their original building permit (98E3041) and the ADU was never registered with the MOA as required. These items do not need to be resolved in order for us to issue the COSA, but if they are not resolved we will include a note on the COSA approval page (attached). Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908 { Municipality 0""N, t �• Anchorage .g PLANNIINr DEPAR-MEET Monday, March 14, 2005 RE: Susan Jarvis 18435 Jasmine Rd Chugiak, AK 99567 (Suetai rn Estate #'2, Block 3, TR D) P.Q. Pox 19G650 Anchorage. Alaska 995 19-6650 Telephone: (007) 3.13-7000 Fax: (907) 3.13-7927 http://m-ww.munLogq Mark Be irh. Ahtswr CETS: 2005-00570 The above referenced property will be in compliance with AMC Title 21 provisions contingent on the following conditions being met. Per Mr. Bill Kambic's (purchaser of referenced property) letters of intent, the two structures presently on the property will remain and the following conditions will be met; 1. The Iand use permit for this property has expired and anew permit must be applied for before any work will be allowed on the property. 2. The unfinished garage will be completed as a garage and office for Mr. Kambic's business. It will not be used as a dwelling. 3. The unfinished single family dwelling will be completed as a single family dwelling unit. 4. Neither of these structures is nor will be used as a duplex. Onsite permit 4 970367 was issued I approved for the single family well and septic system on 12/31/1997. The garages well and septic system connection must be inspected and approved by the DEC. Enforcement Officer 343-8335 phone 343-8437 fax Mar it 05 01:30P Raney Hardman t 907 694 4214 Fax Transmittal Form From: Raney Hardman Re/Max of Eagle RANEY HAP DN4AN 16600 CE,NTERFIEi.D DP - EAGLE RIVER AR 99577 Phone: 907-440-7257 Fax: 907-694-4214 Email: raney c@alaska.nct F.1 it C) 1 •. BAR 1 12005 OFFICE OF Fax: # �.�� LAND THIS FAX TELECOPY CONSIST OF „ PAGES INCLUDING THM PAGE. IF YOU DO NOT RECEIVE ALL OF THE PAGES THAT ARE TO BE TRANSMITTED, PLEASE CALL THIS OFFICE AT (907) 694-4215. IF YOU NEED TO RETURN A FAX TELECOPY TO US, THE FAX TELEPHONE NUMBER IS (907) 694-4214. Message: . t-1-1 Confidentiality Notice: This mcsczge is a confidenti;il imd privileged comntuniczttion intended only for the use of lite individual or entity to which it is addressed, and should not be read or used by anyone else. If you haw rcccived this message in error please immcdi;itcly notify us by MUM etuait or fax. delete mccsage from your systcm.:ntd retain no h.7Td copies. LWA4W Cif' LAG LE R IVES !l Mar 11 05 01:30P Rane9 Harriman 907 694 4214 P,2 usi.ss�ua rxs..sJ:un VAA tiu7 a02.4284 Buyers Real estate Q002 03/18/205 17:62 51058121; }QCCR,wc PAGE 82 317IM5 Firs; Af 1 property at 1843S.Tambre , Eagle Rber, X am repired to obtain Mar 08 OS 03:288__ Raney Hardman 907 694 4214 p.2 83lBS/1085 22:29 + "51P�5812IV A ft&p~ buyarg Real Estate PAGE 02 Q00.- Sits: Cq cc (szo) 581-3300 FAX (510) 5812120 , 8 OFFICE OF LANDUSE . • ., y am the owncr of X & K Craloc IkEyltRl, luc., end the purchaser of 18435 Jasmine. W wife end f wiRi be using the honme as our p�-iodpal residence, as we have sold both our bonzes in Callfomia- T will be using Abe detached garage for xn business Ptud the loft above It as my btWoess office. Sincerely, Bits KAwbic