HomeMy WebLinkAboutSWANEE SLOPES #1 TR ASwonee Slopes Tr A #051-221-36 Permit Number: #$W .to.to86 Date of Issue 6.,28/2o.m Date Started: 71112010 Date Completed: 7t2rZ0~0 Property Description SWANEE 8LOPES #1 TRACT A Lot NONE Block HONE Property Owner Name & Address: Borehote Data: Soil Type, Thickness & Water Strata Casing Stickup S~t Sand Gravel W/Bouldem Gray & WhRe Bedrock Gray & White Bedrock Fractured Oral~ & White Bedrock Tan & Gray Bedrock Gray &White Bedrock Gray Bedrock Well Log Parcel Identification Number: is xvcU located at approved permit location? Seclion: Town: 05122136000 Range: GLEN KELLER PO BOX 770788 EAGLE RtVER, AK 99577 Deptlt Me.od of Drilling~.XI--' air ratary ~ cablo tool From To Casing ~l~e: o 2 Wallthidmess e.ts inches Diameter 6 inches Total: ss feet 2 46 . .. Liner type: 46 158 Diameter ~ches Depth: feet ~58 t~2 Casi=g stkk-up above gr~umt: 2 feet 162 212 Static Water Level(~m top of casing) 39 feet 2~2 2t? Pumping Level: feet 217 2g4 I hours pumping ......... gpm Recovery Rate 3 gpm 294 360 Me.od o[ Testiag: &ir Well Intake Opening ['i Ix! Uole [~ Screeaed Start ...... feet Stopped fe~ [_j Perforatiom Start fe~t Stopped feet Grout Type: Bentonite dr~ granular Volume: ~00 Depth 44 Start 0 feet Stopped 44 Pump Intake Depth: feet Pump size: HP brand name Well disinfected upon Completion? ~ Yes [..] No Metlmd nf disinfection CHLORINE S0 Pm Comments: Well Driller: Cole Sullivan SuUivan Water Wells P.O. Box 670272 Chugiak, AK 99567 Water Sample Results: Arsenic: ug/1 Nitrates mg/! Total Coliform Bacteria mionies/lOOmL Other bacteria: col/100mL Attention: The property owner ~hall provide this log to DSD (onsite) and DNR within 30 days of completion. 129 L'd 6cjzg 989 Z06 stleM JeleM UeNllnS ~:Jg:90 01. eO tnr' ARCTIC PUMP & WELL INC. Jim Sulliwm PO Bo× 7701 gq Eagle River, AK 99577 (907) 688-2510 (907) 258-2510 (907) 745-2510 apw~gci.n~ Pump Installation Log Well Drilling Perm it Number: Parcel Identification Number: SW090199 061-221-36 Date Of Issue: 10/5/2009 Legal Description: Swanee Slopes # Tr A Lot: Block: IProperty Owner Name Address: Glen Keller PO BX 770788 Eagle River AK 99577 Pump Installaion Date: Pump Intake Depth Below Top of Well Casing 7/5/2010 285 Feet Pump Manufacturer's Name Pump Model: Pump Size: Pitless Adapter Burial Depth: Pitless Adapter Manufacturer's Nam e Pitless Adapter Installer: Dempster MBF2-100-S2 1 12 Feet Baker U/K Well Disinfected Upon Completion? Method of Disinfection: Corn m ents: Yes Chlorine Pum plnstallerNam e: Arctic Pump & Welt, Inc. 3lon~la),, Jilt), 05, 2010 ARCTIC PumP & WELL INC. J~m Sull~w~, C?I PO Box 770197 Eagle River, AK 99577 (907) 688-2510 (907) 258-2510 apw(&,,gci.n et Pump Installation Log Well Drilling Permit Number: SW Parcel Identification Number: Date of Issue: Legal Description:Swanee Slopes #1 TrA Lot: ~1,~,,1,-. Property Owner Name & Address: Glen keller PO BX 770788 Pump Installation Date: 7/5/2010 Pump Intake Depth Below Top of Well Casing: Feet Pump Manufacturer's Name: Pump Size: Pump Model: hp Pitless Adapter Burial Depth: Pitless Adapter Manufacturer' s Name: Pitless Adapter Installer: feet Arctic Pump & Well, Inc. Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Well permanently decommissioned by procedurel 5.55.060L.c. Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page 1 of 1 On-Site Water System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101086 Tax Code Number: 05122136000 Work Type: Well Upgrade Permit Effective Dates: June 28, 2010 to June 28, 2011 Design Engineer: Subdivision: SWANEE SLOPES #1 Site LegalAddress: SWANEE SLOPES #1 TR A G:1057 Owner/Address: KELLER GLEN PO BOX 770788 EAGLE RIVER AK 995770788 Site Mailing Address: 18351 BENDING BIRCH DR, Chugiak Lot Size in Sq Ft: 54265 Total Bedrooms: 4 I l)epa,'tmcnt This permit Is for the construction of: N Disposal Field N SepticTank N Holding Tank N Pdvy Y PdvateWell N Water Storage 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 Ddnking Water Regulations (18AAC80). 3. The wastewater code requires inspections dudng the installation. The engineer must notify the Development Services Department at least 2 hours pdor to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to Apd115, a subsurface soil absorption system under construction dudng freezing weather must either. A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: The existing well is to be decommissioned by a certified well driller or pump installer. Date: ?~-LyO Date: ~;/~'~" Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 EImore Road P.O. Box 196650 Anchorage, Alaska 99507 www. munLorg/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 05P iOlO~6 Parcel I.D. (~ ,b'"/-' ,,.2,7_ [ - .~ 6 Propertyowner(s) ~ ,~L~¢/A~''' Day.phone Mailing address ~ ~ ~ 7~a 2g-~ f~V/~ ~; ~ipCode Le,a~d~,c~iption(Sub'd..B~oc~&Lot) ~..~.~ ~ ~ ~.~ ~¢ Legal description (Township, Range & Section) Lo~ si,..~ ~ (~ ~ s,. ,~. ,umber o~B~,,oom. ~ THIS APPLICATION IS FOR ([~ all that apply): THIS APPLICATION IS AN: Absorption Field [-'] Initial Septic Tank [] Upgrade Holding Tank [] Renewal Privy [] Private Well [~ Water Storage [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number. (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number:. OIOZ/I I/Z ~t~9g£~=~pi~m~q~a~sM~a~d~u!~q~`W~x~.`~u!qq~Akdq/s~dF~s/sn.~e~`~ea~q~ue~!a~!su~//:dm[ O~t~JOq3tlv JO ,(113 ol poJOlS!~a~l :0'~^ ~u!"[q,3/¥~ gq3!dJ,~Se"I ,(q p~JoMOd [~-19 ~ jo ! .... 01 *~*a]~[ ~ ~:jo i~ o,'%d V DeJJ. Municipality of Anchorage Development Services Department Building Safety Division On-S~te Water and Wastewater Program, 4700 Elmom Road P.O. Box 196650 Anchorage. AK 99507 Page www ctanchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: sw090199 PID Number: 051-221-36 N~.e NATIXIS2007-HE2 Wastewater System: [] New [] Upgrade 4708 MERCANTILE DR. FORT WORTH, TX 76137 ABSORPTION FIELD phone 261-7678 H~m~*-aB~s 4 o~'rr~'~ OS~no~'rfeno'~ rls~ LEGAL DESCRIPTION s~""'~ ~.,o~ 7~ ~,.~ FL ~ ~'~ o.~ e~. F,. c.,~~, TANK SEPARATION DISTANCES ~septic ~HoMtng ~S.T.EP. ~her: Tank F~eM Station Tank ~r L~ PREMIER P~STICS 1300 ~, 109' I~' 25'+ HDPE 2 S.~ War. 100'+ C~.e O,.~r--~Lm 30'27.__ 27'100'+27' -- ~ 8'"e.p ~' ,., .t ~l ,~...~LIFT STATIO~~ NONE KNOWN ~ EXISTING SEPTIC TANK PUMPED, CRUSHED, ~D BENCH MARK AB~DONED. DISTRIBUTION LINE WAS PLUGGED. TOP OF CONCRETE WAL~AY ~ POI~ C DISTRIB~ION LINE REP~CED COMPL~ELY. 100 Insp~tions pedormed by: .SP~ ~. Dates: 1a 10/9~009 ~~~ 2M 10/10D009 Development Se~ices Depa~ent Approval Conditional Approval Date: .~'~'~""'"'""- Reviewed and approved by: i~, e: ~ -~ I-/o ,~ ~,~ P~:R.qIT ~o. SW090199 PAGE 2 oF 3 Municio(~lity oF Anchor'(z.qe DEVELOPMENT SERVICES DEPARTMENT - BUIL~ING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, /-~700 BRAGAW STREET P.C I~cx 196,650 e Anchoroge, Atosko 99519-6650 e Tetephone: (907) 343-7904·www.ci.onchoroge.ok.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL TRACT A, SWANEE SLOPES_~I P.I.D. ,~o O51--221-36 EXISTING TRENCH~ ANCHOR P~L_ ~.R~..~:..4.~ c~ PER.tUT NO. SW090199 PAGE 3 OF 5 Municipo[ity oF Ar~chor'oge DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, ~700 BRAGAW STREET PO Box I96650 OAnchorage, Alaska 99519-6650 oTeeohone' (907) 343-7904 ~wwwci~nrhr~'nn~U = ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL TRACT A, SWANEE SL_OPES S/D #1 P.I.D..~0. 050-221-36 ~P OF TANK = 95.8' 90.4'-/ A B FCO 7.8' 20.2' ST1 51.0' 45.9' ST2 54.7' 49.2' DBL1 56.8' 51.4' DBL2 57.9' 52.4' C01 29.2' 56.2' MT1 20.0' 63.3'~- C02 54.5' 60.0'-- MUNICIPALITY OF ANCHORAGE Development Services Depa~lment On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 05, 2009 Expiration Date: Oct 05, 2010 Permit Number: SW090199 Legal Description: SWANEE SLOPES #1 TR A Design Engineer: 0003 S & S ENGINEERING Owner Name: NATIXIS 2007-HE2 Owner Address: 4708 MERCANTILE DR FORT WORTH, TX 76137-3605 Parcel ID: 051-221-36 Site Address: 018351 BENDING BIRCH DR Lot Size: 54265 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of; [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. 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. B. Covered, sealed, and heated to prevent freezing. Received By:. Issued By: 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 ON-SITE SEPTIC/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Propedy owner(s) Mailing address -~o~ ~'~,ec~.~'~\~.. '~3g..- '~'. Day phone } ~"~'~ Zip Code~ (~::L3~r"3 ~5 Site address ~5::J- ~1.~n~ ~dZ,~m. ~)g.. ZipCode Legal description (Sub'd, Block a Lot) "~'~,~-'~ '~, ) ~¢ ~'n~.- St~...~ $1-.~ ~ .L Legal description (Township, Section & Range) Lot Size_,,Sq ¢2.~' Sq. Ft. Number of Bedrooms THIS APPLICATION IS FOR (~3all that apply): Absorption Field [] Septic Tank ~ Holding Tank Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial ~ Upgrade Renewal [-1 I ,ced fy that, the abo.ve inform~ further cedify that this application is being made for a S~ngle Famdy Dwelhng ~unicipal Codes, (Signature of property own~~gent) Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. Waiver Fees: Date of Payment: Receipt Number: lnq ROBERT C. COWAN . CIVIL ENGINEERING PH: 907-694-2979 September 30, 2009 FAX: g07-694-1211 MUNICIPALITY OF ANCIlORAGE Development Services Department P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Tract A, Swanee Slopes S/D #1 It is requested that you issue a permit to install a new 1300 gallon llDPE septic tank to serve the existing four bedroom dwelling on the referenced property. The existing septic trench has passed a adequacy test. In the process of verifying the integrity of the existing 1250 steel tank xve found one end of the tank had collapsed. The new tank xvill be located outside the one hundred foot well radius. The tank needs immediate replacement on the above referenced property. Attached is a design plan with pertinent information. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic tank. The upgrade ofthis system gill not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Since Enclosure 15861 S. Birchwood Loop Road - C. huglak, Alaska 99567 · I SITE PlAN DETAIL 1" = 100' 55' Section Line £smt SITE PLAN DESIGN 1" = 50' 33' Section Line Esmt ROBERT C. COWAN · CML ENGINEERING PH: 907..694-2979 FAX: 907-694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Tract A, Swanee Slopes S/D #1 September 30, 2009 GENERAL: The scope of this project includes the upgrade of the existing system by replacing the existing 1250 gallon steel septic tank with a 1300 HDPE septic tank to serve the existing four bedroom residence located on the referenced property. o 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. O~vners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 15861 S. Blrchwood Loop Road - C. huglak, Alaska 99567 Page 2 Tract A, 5wanee Slopes S/D #1 September 30, 2009 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 ft. of cover shall be insulated. 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 ¢leanouts (unless an effluent pumping system exists within the septic tank). These ¢leanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first ¢leanout, in line, shall be to clean toward the leachfield. The second ¢leanout 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. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM FSI0 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes 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). 5. 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. Use of a type of pipe other than listed above must be approved by the inspecting engineer. Page 3 Tract A, Swanee Slopes S/D #1 September 30, 2009 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 baekfilled 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 ofthe property. 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 ~UNICIPALITY OF ANCHORAGE He~..~and Environmental Prote~,..~/n Fourth Floor West 825 L Street Anchorage, Alaska 99501 279-2511, x 224, 225 INSPECTIO~N REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK'., DISTANCE FROM WELL~(~ MANUFACTURER INSIDE LENGTH INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS_'~---. LIQUID CAPAC T¥/'~2~-'~*''~ GALLONS. TILE DRAIN FIELD: _ .~.~2.,~ TOTAL LENGTH DISTANCE FROM WELL FOUNDATION __NEAREST LOT LINE ..... OF LINE ~ ' # of Lines DISTANCE BETWEEN LINES TRENCit W DTH (/J IN TOTAL EFFECTIVE AB_ORP,,~,~ AREA_ Sq. FT. LENGTH OF EACH LINE DEPTN OF FILTER ~_~ j DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE_~/ ~. ABOVE TILE (~¢ ~. SEEPAGE PIT: Log Crib Rings DIAMETER I OR WIDTH__, FENGTH DEPTN Crib Sige: DIAMETER ___DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE . , NEAREST LOT LINE ABSORPTION AREA (WALL AREA) SQ. FT. Well Class: Depth: Well Distance To: Lot Line Bldg: Sewer Line: Pipe Materials: ~ of Bedrooms: Installer: Remarks: , "','T NL]. FERI1T FiPPLI CRNT CL R':T' !.,.10 L F F n F-'~? L. oCRTLON OI_C, GLENN LEGFIL TRFICT R ,=]I4FiNt50N '=;"[' ,-, ,,~, , TREN _.H T'¢F'E OF _-,uIL FiELSOREFf'ION .=,-r_TErl IS: HR::-::IHUM NUME:ER OF BEE:,ROOf'lS = 4 ,-- RE:SORPT ION _~ ¢_-,TEfl _,I ~.E THE REQUIRED '= -"- OF ]'HIE =,L IL FFU. E,,..,. b4¢ E.R. LCIT SIZE ,- -i RRI' I NG :,L It- t[2-. E F" -T- H == 54E1E'lEI SC!URRE FEET <:SI;! FT,-'E:R )= - .,- ,:'IN FEET) OF THE TRENCH OR DRRINFIELD. ]'HE LENGTH [:,IMENSION I=, ]"HE LENGTH . THE SURFIRE:E OF THE THE DEPTH OF IR TREi',IL.H OR PIT I:., THE [:,ISTIRNCE BETWEEN GROUND FIND, THE: E, LTfOH OF THE E,XCFIVIRTION (IN FEE]'::'. I'HERE ):S NO SET NI[:,TH FEF.' 1F(ENL. HE=,. ,-" , ,I OUTFRLL PIPE THE GRIR',/EL [:,EPTH IS THE MINIMIJM DEPTH OF GF.:IRVEL E, EP..IEEi'. THE FIND THE E3OTTOM OF THE E,XC:RVIRTION <IN FEET:). F."EL=-".Li ?E F".E3E:' :,EFT .-E. E: -T'FINF=:] "-:" ~ gE= :-~,-==---" : R PRCKRGE PLRNT MRY E:E INSTRLLED RT THE F'ERMIT1'EE'''S OPTION SUBJECT 1'O THE FOLLOWING ~ JN[.,I] IUN .... = - " L. LHz,-, I nR II Nz, F RF'F'ROVE[:' F'LRNT MR¥ BE IN_T~LLE[. ~. EITHE.. R - · 2. IR F:ONTINIIOLIS; MRINTENRNCE RGREEMENT IS REQUIRE[). IF R HRINTENRNCE,=_ _ - , THE _,uIL RGREEMENT I:, ~]H KEPT Ct__RRENT ~01__1 MR'T' E'E RECgJIFED TO ENLRRGE RE:~ORF'TION __'T--'f EH RND/'OR 'T'OU MR¥ E'E 'qlIBJEL. T TO F'RO%ECUTION. c,,,g ", WZTHOUT FZNRL. ZNSPE'RT~ON RNC, RF'F'ROVRL B'¢ THZ,S E:RCKF ILL I NG OF RN'¢ -,m- TEl1 -- [:,EF'RRTMENT WILL E:E SUBJECT TO F'ROSECLITION. - ~ ..... .-'- BETWEEN R NELL RN[;, RN'¢ ON-:qITE SEWRGE [¢I~FU_,HL S'.r'STEM I:, MINIMIJM [¢I:,fHN.E -- '-':'a ~', - ' F' t00 FEET FnR R F'RIVRTE WELL OR ~ FEET FIR ~ PUBLI- NELL. ..... - .,= CONSTRUCTION [:,IRGRRMS RRE OTHER RE~IJIFEMENI:, I',1~'~ RF'PL¥. bFE~IFtCHTION-, RND ~,,HILHE, LE TO IN_,IJRE FRLFER INSTRLLRTION. ~. "-" "-1 E. ~.~ I ~..E--. [- ~ .... I CERTIF'T' THFIT .- ,- ,- , ,q NEL. LL=, H:, _,ET ::L: I RM FRHILIFIF-: WITH THE F.,EiqJIREMENTS FOR uN-:,ITE :,E!JER- RN[:, -'" ': E,-¢ ]"HE MUNICIF'RLIT¥ OF Hi'.,IL. HUI~.H~E. F'ORTH : ....... :' """: " - ' ENLIRRGEMENT IF THE ":': I WILL INSTRLI- THE =,-r._,TEfl IN RcCORDRNCE WITH THE Uu£.E-,. ~': I IJNDERSI"RN[:' I'HRT THE uN-:,ITE SEb. IER S"r'STEM MFf'r' REL..UIF. E RESIDENCE icc. REf'IODELE[:' TO INCL. LIDE i',IORE THRN 4 BEDROOH'E,. R,', 'F'-. ' CL. IRY HOLFFORC' F F L I _.HNT - BacKhoe / oWater Nell Trench Tract A, Swanson Subdivision, Not To Scale Distances shown are approximate and have not been measured by surveying methods. TEST HOLE LOG Scale: 1"=3' 0.0' --~qORGANIC S~DY Gp~AVEL W/SOME SILT ~-- -- 0.5' -- SANDY GRAVEL W/TRACE SILT (GM) ~ Brown -- ~--- 1.5' SANDY GRAVEL (~'1) Occasiona~ Cobbles and Boulders, Brown, Slightly Moist, Dense 20.0' T.D. Groundwater was not encountered. This log depicts subsurface soils observed within the test hole at the location shown. See D~awings B-01 and B-02 for explanation of symbols. CHECKED BY 10ATE 8--23--77 IP~OdECT ~O 751222 ISCALE see aboveID~aW~N~ NO A-01 ~ R&M cor~su%TS.N..TR,J~E: LOCATION SKETCH A~D TEST HOLE LOG CHUCK MOWRER January 4, 1978 Clay Woffard Box 371 Chugiak, AlaSka 99567 subject: Tract A Swanne Slopes Subdivision Permit #77454 A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date~ If %here are any further questions, please contact this office at 264-4720. Sincerely~ Health and Environmental ?rotection Sewer and Water Section F'E:I:,;:I"!Z['f' i'.,!0. ,' I"! ]: iq ]: I',!t. Jl','l D ]: :~i;TRI'-,ICE: [:.:E:TI,,.IIF:IEN R 1.4EI...I_ I::IF,IE:, !::[i'.,!'.r' Ohl-'.E; :[ 'FE CEi;Ef:I.4I::IG[~: P.IEEI._.I. lJ3Ei'_':5 F:IRIE [4:IEI:::!U:[F?.E[':, ¢':1['-,]I:) t'"lU::?f' E:IE t:;?.t::?I't.IF~:NE:D, TO THE: !:::,tEF'F:!F4'.T!'"I!EIqT !,.IZTH~I",I ::-i:E~ OF THIE I.,.IE:I...I. C:OhlF'I..ET]:OI",L OTF'tli~'I~ I:;;:t:~:(::!l..j ;1: I:;~'.[EP'I!EN'!"~ii; P'ff:l"r' I::iF'F'L.¥. rE;F:'E:C: :[ F' ]: CF:IT :[ Edq'.!i~ FIN[::' C:ON:~;'i¥;?.I...IE:T :[ (:)l"4 t::):!; F:iEi?.I:!I"I:E; [;:IH:El; F!',?F:I:[L.I::IE:I..E: TEl :[i",k!i;I,.ll::~:lE F'I:,;:E~F'F::F-:.' Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 vvww.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-221-36 GENERAL INFORMATION Complete legal description Location (site address) COSA # ~3¢'~ Expiration Date: Tract A Swanee Slopes #1 18351 Bending Birch Drive Chugiak, AK 99567 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Current Property owner(s) Glen & Mary Keller PO Box 770788 Eagle River, AK 99577 Residential Mortg - Rene Fortuny 100 Calais Dr Ste 100 Anchorage, AK 99503 IEC Realty- Mary HC35 Box 5535A Wasilla, AK 99654 Unless otherwise requested, COSA will be held by DSD for pickup. Day phone 907-854-2723 Day phone 907-222-8844 Day phone 907-373-5732 2. NUMBER OF BEDROOMS: 4 TYPE OF WATER SUPPLY: Individual Well [] Individual Water Storage [] Community Class ~ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding Tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 ERDMAN & ASSOCIATES Address 5200 Dunbar Drive Wasilla, AK 99654 Engineer's Printed Name Michael R. Erdman, P.E. DSD SIGNATURE ~. f Approved for ~ Disapproved. Conditional approval for bedrooms. Phone 907-232-3140 Date 07/28/2010 bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory By: (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road PoO. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Tract A Swanee Slopes #1 Parcel ID: 051-221-36 A. WELL DATA Well type __ IfA, B, or C provide PWSID # .__ Well Log (Y/N) Y Date completed 7/2/10 Total depth 300 ft. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Sanitary seal (Y/N) Y Cased to 53 ft. FROM WELL LOG 7/2/10 39 ft. 3 g.p.m. Nitrate 10.0 Arsenic: < 5.00 ug/L date of sample:7/9/10 SEPTIC/HOLDING TANK DATA Tank Type/Material HDPE (Premier Plastics) Wires properly protected (Y/N) Y Casing height (above ground) 24 AT INSPECTION in. ~ mg/L g.p.m. Michael R. Erdman, P.E. Collected by: Date installed 10/10/09 Tank size 4300 gal. Foundation cleanout (Y/N) Y Date of pumping < 1 Year Old C. ABSORPTION FIELD DATA Number of Compartments .2 Depression over tank (Y/N) N Pumper N/A Cleanouts (Y/N) Y High water alarm (Y/N) N Depression over field No For 4 bedrooms New depth 2 in. Absorption rate >= 627 g.p.d. If yes, give date Date installed 9/7/77 Soil rating (g.p.d./ft2 or ft2/bdrm) 85 System type Trench Length 26 ft. Width 4 ft. Gravel below pipe 7 ft. Total depth 9.2 ft. Eft. absorption area 364 ft2 Monitoring tube Yes Date of adequacy test 6/16/10 Results (Pass/Fail) Pass Fluid depth in absorption field before test 0 in. Water added 627 gal. Elapsed Time:.230 min. Final fluid depth 2 in. Any rejuvenation treatment (past 12 mo.) (YIN & type) No D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at ~ in. "Pump off" level at ~ in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 176' Absorption field on lot 144' Public sewer main N/A Sewer/septic service line 116' N/A Animal containment areas > 200' On adjacent lots On adjacent lots > 200' Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 30' Property line 28' Absorption field 10' Water main N/A Water service line 71' surface water >100' Wells on adjacent lots 128' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 20' Building foundation 28' Water main N/A > ' Water Service line 25 Surface water >100' Driveway, parking/vehicle storage 50' Curtain drain N/A Wells on adjacent lots 105' F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Michael R. Erdman, P.E. Engineer's Printed Name Date ~ IZ-P--~! t~ COSA Fee $ Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number (Rev. 4/10) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On-Site Systems Approval # 101146 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot of Swanee Slopes #1 Tract A subdivision. This inspection revealed a nitrate concentration of 10.0 milligrams per liter (mg/L) was reported for the property's well water sample. 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. SGS Ref.# 1103345001 Client Name Erdman & Assoc Printed Date/Time 07/28/2010 11:21 Project Name/# Tract A Swanee Slopes #1 Collected Date/Time 07/09/2010 8:10 Client Sample ID Tract A Swanee Slopes #1 Received Date/Time 07/09/2010 8:55 Matrix Drinking Water Technical Director Stel~hen C. Ede Sample Remarks: 4500NO3 - Nitrate/Nitrite - MS did not meet QC criteria, biased low. LCS meets QC criteria. Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ugFL EP200.8 C (<10) 07/15/10 07/22/10 KDC Waters Department Total Nitrate/Nitrite-N 10.0 0.100 mg/L SM20 4500NO3-F B (<10) 07/09/10 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM20 9223B A 07/09/10 DLC Total Coliform Negative I 100mL SM20 9223B A 07/09/10 DLC I ,, I ~FOUND 5/8" REBAR W/ CAP (LS 5773) (TYP) l l N 27~.87' 90'00'00" W I LOT 1 LOT 2 BLOCK 1 DUKE ~ DUCHESS SUBDIVISION I I I I I NOTBS: 1. UTILITIES OTHER THA~ THOSE $HOW~ MAY EXIST O~ THIS SITE. ONLY THOSE UTILITIES SEE~ O~ THE DATE OF SURVEY ARE $HO~ HEREO~. 2. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ~. THIS SURVEY WAS PREPARED IN ACCORDANCE WITH A.S.P.LS. MORTGAGE SURVEY STANDARDS. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES ~AT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO CIRCUMSTANCES SHOULD ANY DATA SHOWN BE USED TO CONSTRUCT ANY FUTURE STRUCTURE, FENCE, OR ANY OTHER IMPROVEMENTS. 4. ALL BEARINGS AND DISTANCES SHOWN ARE RECORD, UNLESS OTHERWISE NOTED. ASBUILT SURVEY~uuu MOOSE SURVEYING 2010 TR~6T "~", SN~NEE SLOPES SUB~IFISION - ~ITION ~ ANCHORAGE RECORDING DISTRICT, ALASKA REVISION BY DATE MORTGAGE SURVEY CERTIFICATE: SOMEONE UNDER MY DIRECT ROBERT S. HOFFMAN SUPERVISION, HAVE PERFORMED A MORTGAGEE'S INSPECTION ON THE ........ 200 HYGRADE LANE, WASILLA, ALASKA 9965~ FOLLOWING DESCRIBED PROPERTY, ~:~. '::~ (907) 357-~57 FAX (~07) 357-~77 A~D IHAI NO ~¢~OAC~U[~IS RS.H 7/15/2010 FOR: GLEN & MARY KELLER TWP. RANGE SCALE: PLAT ff75-187 ~?/~ """'"'"~ CHECKED BY: SECTION RSH 17 15N 1W S.M. 1"=60' i o c- i.iJ ~000000000 Z o 0 o Z o o