Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
KENDALL LT 3
Onsite File Certified Drilling Log OWNER OF LAND: Bob Dyal ADDRESS: 18626 Caspian Ct. Eagle River, AK 99577 LEGAL DESCRIPTION Kendall Lot 3 DATE: 9-28-21 PERMIT NUMBER: DATE OF ISSUE: TAX IDENTIFICATION NUMBER Is well located at approved permit location: Yes No Method of Drilling: air rotary cable tool Depth of Well: 200’ Casing Type: Steel Wall thickness .250 inches Diameter: 6 inches, depth feet Liner type Static Water Level: 12 feet Recovery Rate .5 gpm gph Method of Testing Air Well Intake Opening Type: open end open hole Screened Start feet Stopped Perforations Start feet Stopped Grout Type: Bentonite Volume: 50 lbs Depth: from 2 feet, to 42 feet Well Disinfected Upon Completion: yes no Method of Disinfection: Chlorine 50 PPM Comments: Bore Hole Data Depth From To 0 100 Existing Well 100 200 Bedrock Gray Drillers Name: Cole Sullivan ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW Date of Issue Parcel Identification Number: Legal Description Property Owner Name & Address Kendall Lot 3 Bob Dyal 18626 Caspian Ct. Eagle River, AK 99577 Pump Installation Date: 10-1-21 Pump Intake Depth Below Top of Well Casing: 190 feet Pump manufacturer’s Name: F&W Pump Model: 4F07P05301S Pump Size: 1/2 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Northern Excavation Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Martinson Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 2 of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: SW980289 PID Number: 051-303-21 Dwelling: Q Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New Q Upgrade Name Dyal J R & P J / CO-TRUSTEES ABSORPTION FIELD EJ Deep Trench 9 Wide Trench ❑ Bed EJ Mound SiteAd Address ddress Caspian Court ❑ Other Phone Number of Bedrooms Soil Rating JTotal depth from original grade 3 1.2 GPD/SF 5.3-5.6 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.6 Ft. Gravel depth beneath pipe 3.0 Ft. Subdivision Block Lot Kendall 3 Fill added above original grade 0 Ft_ Gravel length 46 Ft. Township Range Section Gravel width 5.0 Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES Tol Septic I Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field I Tank ' Line 414Ft2 1 N/A Ft. Well 100'+ 100'+ NA NA 125'+ TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1000 Gal. I Surface Water 100'+ I 100'+ NA I NA Material Number of compartments Lot Line i 101+ 5'+ NA I NA NA Steel 2 Foundation I 9.2' i 10'+ I NA NA LIFT STATION Manufacturer Capacity Remarks INSTALLED UNDER 99' CODE Gal. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Tweed Excavating Drainfield 3034 Co/MT3034 Inspector S & S Engineering / Verified By PES BENCH MARK (Assumed elevation) 100.0 ft Inspection �5; 08/16/98 08/16/98 da:3`d Location and description 2nd 07/22/99 4" 7/12/21 Bottom Corner Of Foundation Wall ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional-Approval: DateE 0F gLq�,I� s 9TH , Stever R. Pani oiz - Septic System Appr Date Note: this approval doesnot inclu ellemit requirements. k, ., m m D :E r —+ r m M ;0 ;u mp D r ::j 22 n cm (A1� �uc:) cl)0>�(n<�7M>0-OmDiZp Vl<�rn0 rn z it rn zcnm— D r O nxz• cn— U) r- x p r m D m (nDCn'' Z D z7cul �� — NZ10 OrntJ_t DNp -•< G7 mD� -4 M Z _ G7 ' O -P W v NJK CA 0-- 0 �o N moo.. � D +n �!T�p �o m m m o CA m n rri o Frl LO W n O M O O � rn (n / J DEDICATED ROW (NO R6AD IMPROVEMENTS) 3 ` 41 x U) ��D (n, D -Cn� / � rn = O -0 cLc - m x D W M0 0 O0O OD Z ;u / �vir� v7D m p D '-\ p x -i rn O J = i % cn—i Nom- m = w �� ( m / - p-+U'C� I �O 0 � Z � Vn � O z �a m M 0/ / m I -�z N N / Lrl O Z m m m / o C D m / / mcnJ ' rnrn / (n 00 L p / �r ��r / / l✓/ W Cz� mczi)� 3Tm�yz 0 rrlr D rn O m / mZE / NOTES: PAN NONE ENG SVC LLC (C.I. 1088)..............REVISIONS P.O. BOX 1807 PA5,1ER, AK 99645 PHONE 907) 745-8200 FAX (907) 745-8201 ;''�6 �F. ALq+'+, _ ��?•' Sfy''y 's ....... .... ........:...; Sloven R. Pannone ' ' • CE -8149 �ssiaP DATE 08/04/21 RECORD DRAWING KENDALL LOT 3 DYAL JR & PJ / CO—TRUSTEES SITE: 18626 CASPIAN COURT EAGLE RIVER, AK 99577 2 �E: n DRAWN ��C SITE PLAN N N O W -P W W N N N -• co O 0 -P N z D �0 61 o in W X O O U+ CO W O z CO O (.n O �uc:) cl)0>�(n<�7M>0-OmDiZp Vl<�rn0 rn z it rn zcnm— D r O nxz• cn— U) r- x p r m D m (nDCn'' Z D z7cul �� — NZ10 OrntJ_t DNp -•< G7 mD� -4 M Z _ G7 ' O -P W v NJK CA 0-- 0 �o N moo.. � D +n �!T�p �o m m m o CA m n rri o Frl LO W n O M O O � rn (n / J DEDICATED ROW (NO R6AD IMPROVEMENTS) 3 ` 41 x U) ��D (n, D -Cn� / � rn = O -0 cLc - m x D W M0 0 O0O OD Z ;u / �vir� v7D m p D '-\ p x -i rn O J = i % cn—i Nom- m = w �� ( m / - p-+U'C� I �O 0 � Z � Vn � O z �a m M 0/ / m I -�z N N / Lrl O Z m m m / o C D m / / mcnJ ' rnrn / (n 00 L p / �r ��r / / l✓/ W Cz� mczi)� 3Tm�yz 0 rrlr D rn O m / mZE / NOTES: PAN NONE ENG SVC LLC (C.I. 1088)..............REVISIONS P.O. BOX 1807 PA5,1ER, AK 99645 PHONE 907) 745-8200 FAX (907) 745-8201 ;''�6 �F. ALq+'+, _ ��?•' Sfy''y 's ....... .... ........:...; Sloven R. Pannone ' ' • CE -8149 �ssiaP DATE 08/04/21 RECORD DRAWING KENDALL LOT 3 DYAL JR & PJ / CO—TRUSTEES SITE: 18626 CASPIAN COURT EAGLE RIVER, AK 99577 SCALE 1" = 50' P.I.D. NO 051-303-21 DRAWN ��C SITE PLAN PERMIT N0. sweso2ag SHEET Municipality of Anchorage P.O Box 196550 4700 Elmore Road Anchorage, Alaska 99519-6650 (907) 343-7904 Fax (907) 343-7997 http :llwww.muni.orqlonsite Planning and Development Services Department On-Site Water and Wastewater Program Engineer: Legal Description: Permit: Report Type: On-Site Sewer/Well Submittal Comment Sheet c A EXCAVATING KENDALL LT 3 SW980289 Well Completed By: As Built Review The attached paperwork has been reviewed and is being returned for the following reasons: 1. Unused wells are to be decommissioned. 2. Provide swing ties. 3. Provide a reserve site. The approved reserve site is now within a well radius. Permit: SW980289 Well Completed By: Report Type: As Built Review The attached paperwork has been reviewed and is being returned for the following reasons: 1. Unused wells are to be decommissioned. 2. Provide swing ties. 3. Provide a reserve site. The approved reserve site is now within a well radius. 1/5/2011 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES On-Site Services Transmittal Sheet been reviewed and is being The attached paperwork has for the following reason(s): returned __Discrepancy in legal description and/or owner name. __ Discrepancy in number of bedrooms. Signature and/or stamp missing on · Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system. Replacement disposal site not shown and/or tested. Calculation error in design. Show locations of all soils, percolation or water table tests. Proposed system too deep for soil test submitted. Topographic information missing or inadequate. Narrative missing or inadequate. Additional soil/perc test needed. Sand filter requirements not satisfied. Water monitoring results missing or inadequate because Incomplete; missing Well log required. Water sample unacceptable because Please supply the necessary information and re-submit your request. Your cooperation is appreciated. Reviewer~~/~ ~~ LEA VE THIS FORM ATTACHED TO PAPERI/YORK /203-rev. 4/93 Municipality of Anchorage Page J 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 Name: ~)O ~'~ h~ I Wastewater System: ~ New ~ Upgrade Address:,~,~. ~ ~y ~ ~'~¢~:~ ~57'? ABSORPTION FIELD ~~--'lNo'°fBedr°°m~:~ ~ Deep Trench ~ShallowTrench ~Bed ~Mound ~Other LEGAL DESCRIPTION Soil Rating: ~e~ GPD/Sq. Ft. Total Depthfromoriginalgrad~.~ Lot: ~ Block: Subdiv~ion:~ /[ Depth to pipe boEom from original g~e: Ft. Gravel depth beneath pipe ~ Ft. T°wnship: ~ ~. IRange: , ~ Isecti°n: ~ ~ Fill added above original grade: Gravel length: ~'~ WELL: ~ New ~ Upgrade Grave~ width: ~ Number of lines: ~D~stance batten tin~: - Ft. [ Ft. Classification (Pgivate. A,B,C): Total Depth: Cased To: Total absorption are~ Pipe material: ~ t b~ Ft. Ft. Da~ Drilled: Static Water Level: Installer:~ j ~ ~. Date installed: Yield: ~ g-Height Above G ound: ~"~ I ,t. ,t. TAN K SEPARATION DISTANCES ~s~,~ic ~ Ho~in~ ~ S.T.E.,. To Septic Absorption Lift Holding Public/Privet, Man, acta rer: T~ J Capacity in gall°ns: From Tank Field Station Tank Sewer Lines ~~ ~ ~ ~ Surface i Water (00~ !00'+ LIFT STATION Li~e Lot ~ ~'~ Sizo ,n ~llons: ~ Manufacturor: ~ Cu~ainDrain ~--~0~ ~ ~C ~ ~ __ Pump Ma~~ I Electrical Inspections pedormed by: Remarks: ~o ~P~ BENCH MARK Location and Description: %~ O~ ~Off~ ~ 170~ Eagle River Loop Road, ~ K ;~ .~t , ~ ...... : ' Inspections pe~ormed by: ~gle River, Alaska ~ Dates: 1st ~-~ ~~~~ '-' .... Department of Health and Human Se~ices approval ,, ~:,,;,,, Reviewed and approved by: Date: ~: 72-013 (Rev. 9/91) MOA 25 PERMIT NO. SW970152 PAGE 2 OF 3 MunicipcLi"cy .o,F AnchoPc~oe DEPAIRTMENT OF HEALTH AND HUMAN SERVICES ENVIIRONIVlENTAL SEIRVICES DIVISION P,B, Box 196650 ·Anchorage, ALaska 99519-6650 · TeLephone', 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3, KENDALL S/D P.I.D. NO. 051--303--03 100' WELL RADIUS (APPRBX, LBCATIF1N) NW WELL WELL &TF :ne FCO DBL1 DBL8 LBT 101 100' WELL RADIUS ~,TH SE WELL SCALE: 1"=40' PERMIT NO. SW9701 52 PAGE 3 OF 3 ivlunici~ciLi~¥ oF AnchoPciee 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 [NSPECTION REPORT LEGAL LOT 3, KENDALL S/D P.I.D. NO. 051-303-03 ~..,,......,.,,..,.,~,,,.,.~F I N A L GRADE II II 9 1000 GAL SEPTIC 91.3' TANK MT2 CO1 MT2 C02 MT1 tAL GRADE //// INSULATION ~J[ [ sR~CO1 = 90.3' C02 = 90.3' 87.3' ~x"-MT1 = 87.3' · WATER FOUND AT 81.3' B.O.H. 81.3' NBTE: ]BEPRESSIBN 8VER SYSTEM MUST BE FILLED DURING BACKFILL r~F PRBPBSED HBUSE, 3'-4' AVERAGE CBVER INSULATION A B FCO 138.0' 128.5' ST1 138.0' 154.5' ST2 138.5' 140.5' DBL1 139.0' 144.5' DBL2 139.5' 146.0' C01 123.5' 164.0' MT1 124.0' 163.0' C02 164.5' 158.0' MT2 165.0' 157.0' SCALE: 1 "=40' ~ ~'.,.-' [,t. '-,. ~-..-~---~.,.,~!~~,~,~ .... ~--.#.~.-, ~,~ '~ ~o~ c. cow,,,~ 0CT-05-99 TUE 11:15 AM SULLIVAN WATER WELLS 688 2?59444444444444 P. 01 OWNER OF' LAND LEGAL DESORIPTIO~ PERMIT NUMBER~_~OI~'~ Da~ of Issue~- ~.._~ T~ INDENTIFICATION NUMBER Is well located at approved permit Io~tion? Method of Drilling: ~ ~r mta~ ~ cable tool Depth of well: SULLIVAN WELLS P.O. BOX ~70272, CHUGI~, AL~ 99~67 · TELEPHONE 688-27~9 BORE HOLE DATA 5' ~ ~ ~ DEPTH From Casing Type ~ ~?'E-~,-~-VVall Thickness , & ~'~ inches Diameter_ ~o ~1 _inches, depthJ~ ¢'~ ti-- feet Liner Type: ._ ~1) ~¢t~ Casing Sfickup Above Ground: ~,~ feet Static Water Level (from ground level): _¢~ feet Pumping level:~feet after hrs. pumping gpm Recover Rate: O gpm Method of Testing:_ .~!~ Well Intake Opening Type: ~en Hole I~ Screened; Start _feet ~] Perforations Start ____,feet Grout Type: .~,~ ~_'~ 'T~! ~. ¢ ~ Depth: from ~ feet Pump Intake Depth: _feet Pump Size hp Brand Name Well Disinfected Upon Completion? O Yes ~ Method of Disinfeotion: Open End feet Stopped feet Stopped Volume feet, to '--"- RECEIVED Municipaiity of Anchorage Driller's Name ~ ~ ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. 0CT--05--99 TUE 11:17 AM SULLIVAN WATER WELLS ,.. 688 275944~444444~44 P.02~ by SULLIVAN WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 ADDRESS _J?/'t~ ~ ~ ~$"r~~~ LEGAL DESCRIPTION Recover Rate: Method of Testing: Well intake Opening Type: [~1 Screened; Start ~ Perforations Start Grout Type: ~/~E~_ .'~_ ~ ~-t~' Depth: from_ , ~ Pump Intake Depth: Pump Size ,hp PERMIT NUM BER_~/_~ Date of IssueJ~__-~.~ TAX INDENTIFICATiON NUMBER ~_~ Is well located at approved permit location? I~'s ~ No Method of Drilling: I~r ro~ I~ cable tool Depth of well: _ Casing Type _ .IT'I~.~/,. Wall Thickness ~ C~ inches Diameter_. ~:, I tl inches, depth _~x~O ~ ~feet Liner Type: .. Casing Stickup Above Ground: c~ feet Static Water Level (from ground level): _ ~) feet Pumping level;~feet after .hrs. pumping _..__.__gpm gpm Open End Ij~3'~en Hole feet Stopped. feet Stopped Volume feet, to Brand Name Well Disinfected Upon Completion? ~3 Yes Method of Disinfection: Comments: feet feet feet feet BORE HOLE DATA -- I DEPTH RECEI /'ED D,,ers Name ATTENTION; It is the responsibility of the property owner to submit a copy o1' the well log to the proper authority, Municipality o~ Ancherage: Department of Health & Human Services and/or Department of Environmental Conservabon, MatSu Borough: Department of Environmental Conservation, CONTINUE FROM PREUIDUS PAGE 001 .............. , ,-, ,,,,~ ,=~,,~,,o,u,,9 u, kne property owner to submit a copy of the well Icg to the proper authority. Municipality ct' Anchdrage: Department of Health & Human Services and/or Department of Environmental Conservabon. MatSu Borough: Department of Environmental Conservation. DOC Co. dba SULLIVAN ATER ELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2769 OWNER OF LAND ~J/~k31E~ D~it_ I~OREHOLEDAT^ ..-- DEPTH ADDRESS Pb LEGAL DESCRIPTION _. ~E~d~ ~ PERMIT NUMBER T~ INDENTIFICATION NUMBER Is well located at approved permit location? ~ Yes ~ No Method of Drilling: ~ota~ ~ cable tool Depth of well: ~ Casing Type ~ ~E~ Wall Thickness , ~ inches Diameter ~ tt inches, depth ~ O/~// f~t Liner Type: ~ ~ Casing Stickup Above Ground: ~ ' feet S~tic ~ter Level (from ground level): ~ feet Pumping level:~eet a~er hrs. pumping gpm ~ecover Rate: ~~pm '- ~ethod of Testing: ~e[I Intake Opening Type'. ~ Open End ~ Hole ~ Screened; Sta~ feet Stopped feet ~ Pedomtions Sta~ f~t Stopped feet 3epth: from_, r~ feet, to. / feet ~ump Intake Depth: feet ~ump Size hp Bend Name Nell Disinfe~ed U~n Completion? ~ethod of Disinfection: -Comments'. .... " RECEIVED ATTENTION: It is the responsibility of the property owner to submit a copy of the well Icg to the proper authority. Municipality 0CT-05-99 TUE ll :16 AM SULLIVAN WATER WELLS 688 5.759444444444444 by DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUOIAK, ALASKA 99567, TELEPHONE 688'-2759 OWNER OF LAND ADDRESS LEGAL DESCRIPTION PERMIT NUMBER_~O~j~ Date of Issue J::' -/(3 ._.~ TAX INDENTIFICATION NUMBER ~),5"t - ..~,,~ Is well located at approved permit location? ~ Yes [~ No Method of Drilling: {~r rotary ~-I cable tool Depth of well: J ~ O Casing Type ~Wall Thickness , _~'-~ Inches Diameter .... 4 ,/I inches, depth o~.~' 4" feet Liner Type: ~~J ~ Casing Stickup Above Ground: c~- feet Static Water Level (from ground level): Z~) feet Pumping level: feet after., hrs. pumping ._gpm Recover Rate: ~ _gpm Method of Testing: _ Well Intake Opening Type: ~1 Open End ~pen Hole [~ Screened; Start feet Stopped. feet O Perforations Start .fe~tt Stopped feet rout Type:eVil'me __ / Depth: from _~ feet, to '""'"-""-' feet Pump intake Depth: feet Pump Size .hp Brand Name Well Disinfected Upon Completion? El Yes Method of Disinfection: Comments: BORE HOLE DATA Driller's Name ATTENTION: It is the responsibility of the property owner to submit a copy of the well Icg to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Envin3nmental Conservation. Municipality of Anchorage Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor http://www.ci.anchorage,ak.us July 8, 1999 Ellen & James Dyal Jr. & Marlene & James Dyal Sr. 19042 MONASTERY DRIVE UNIT A Eagle River, AK 995779248 Subject: KENDALL LT 3 Permit # SW980289 PID # 051-303-21 The subject permit, issued 8/10/98 by this office for a single family well and/or on-site wastewater system, is due to expire as of 8/10/99. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. However a new permit can be issued free of charge for a second year if the application for the renewal is received on or before the date of expiration of the original permit for which a fee was paid. When applying for a new permit after the original permit has expired or for more than a second year, the fees are: $320.00 for an on-site wastewater permit and $120.00 for a well permit. If you have any questions, please call this office at 343-4744. Sincerely, James~ros~s, p'/t~E ~ Program Manager On-site Services enc: Copy of Permit t~ ROBERT C, COWAN, RE. ROBERTA. SHAFER, EE. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY /~'PROVALS SEWER & WATER MAIN EXTENSIONS SEWER& WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICA~ INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 The septic in~p, ec~ions for t~e ,referenced property were performed on ~/j~/~ and ~//~/gF . Prior to submitting the On-site Was~e~at~ Disposal S~stem and/or Well Inspection Report we are waiting for the ~4~/~ to be completed. If we may be of further service please contact us. Sincerely, · Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 ° EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 9951g-6650 (907) 343-4744 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: Aug 10, 1998 Expiration Date: Aug 10, 1999 Permit Number: SW980289 Legal Description: KENDALL LT 3 Design Engineer: 14- Owner Name: JAMES R. DYAL Owner Address: P.O. BOX 0135 EAGLE RIVER, AK 99577- Parcel ID: 051-303-21 Site Address: 018626 CASPIAN CT Lot Size: 92930 SQ. FT. Total Bedrooms: 5 Permit Bedrooms: 5 This permit is for the construction of: [] Disposal Field [] SepticTank [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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. ISsued Date: Date: LOT 3, KENDALL SUBDIVISION NOTE: 100' PROTECTIVE RADIUS PROPOSED WELL ~ 7 ¢:/i..:. PROt=osED F' lye 2,000 GALLON S.T.E.P. HOME CASPIAN COURT 216' TOTAL LENGTH X 5' WIDE X 2.5' EFFECTIVE DEPTH TRENCH SiTE PLAN SCALE 1" = 50' MAINTAIN 6' SEPARATION FROM BOTTOM OF TRENCH TO BEDROCK. Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human ServiCes 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 July 2, 1998 James R Dyal, Jr & Ellen D Dyal James R Dyal, Sr & Marlene Dyal 19042 Monastery Drive Unit A Eagle River, Alaska 99577 9248 Subject: Lot 3 Kendall ( T15N R1W Section 30 NE~ SW¼ SW¼) Permit #SW970152, PID #051-303-21 The subject permit, issued June 26, 1997 by this office for a single family well and/or on-site wastewater system, has expired as of June 26, 1998. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. Ail inspection reports must be Submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. mes Cross, P.E. rogram Manager Z-site Services enc: Copy of Permit cc: Anderson Engineering MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE ON-SITE WELL A_ND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970152 DESIGN ENGINEER:ANDERSON~ENGINEERING OWNER NAME:ROBERT{ELLEN DYAL OWNER ADDRESS:19042 A MONASTERY DRIVE ANCHORAGE, AK. 99577 PARCEL ID:05130303 LEGAL DESCRIPTION: T15N R1W SEC 30 NE4SW4SW4 LOT SIZE: 435600 (SQ. FT.) NUMBER OF BEDROOMS: 5 THIS PERMIT: 5 DATE ISSUED: 6/26/97 EXPIRATION DATE: 6/26/98 1 OF 1 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 AND CLOSED ON THE SA_ME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. ROBERT C. COWAN, P.E. June 19, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SI~I/E R & WATER INSPECT[ON ENGINEERING STUDIES AND REPOR3*S WELL INSPECTION & FLOW TEST SITE pLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ONSITE W~STEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 3, Kendall Subdivision Request you approve a design change to install a septic system to serve the proposed five bedroom house on the referenced property. The approved permit (#SW970152) was issued on June 26, 1997. Therefore, please expedite the approval of this design change to allow construction to begin before expiration of the current permit. Two test holes were excavated and a percolation test was performed. The approximate location of the test holes can be seen on the attached site plan. At the time of excavation, bedrock and groundwater was encountered in test hole #1 at 12 ft. In test hole #2, bedrock was encountered at 9.5 ft. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation of the proposed septic system. There are no points of contamination within the proposed well radius that can be seen on the attached site plan. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/jlm Enclosure 17034 NORTH EAGLE RIVER LOOP SUITE204 · EAGLE RIVER. ALASKA99577 1 ". = 60' SCALE J SITE J PLAN ~"q~ 0 ~"qm rq i-q rq m~-~ · - RAELEEN STREET -r-u) rqrrl "~00 ~0'0 ~-o~ ,?~ i~1/i /' 0 ii / ~".-I / // i ( i o ~> C) 0 --i 3:> m z Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTIO~C ~O ~ SLOPE 1 2 3 4 5 6 7 8 9 10 11 13 14 15 16- 17- 18- 19- 20- C-~ Ror~ L. WAS GROUND WATER ENCOUNTERED.) IF YES, AT WHAT DEPTH? Depth to Water After Monitoring? Date: DATE PERFORMED. Township, Range, Section: SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop ,, I~,~o ~ ~,w. /o'~" I v~" ~-/~-~ /~;'~ ~ ~ ". . v 1/: 2~ 2~,~, ~ ~14" ~I~" ,, /f : ~o 2~,~ 10 ~" / ~" ~, /~'3~ ~m,y 11~ I'~ ' I~13~ ~m~O 12~ Iz', , PERCOLATION RATE ~' ' ~ (mmutes/~ncl3J PERC HOLE DIAMETER Ce TEST RUN BETWEEN ~ FT AND__~' FT PERFORMED BY:I~4 F~I~ g;var L~ BaeR Mb_ ~ I ~ CERTIFY THAT THiS TES~ WAS PERFORMED ACCORDANCE ~ ~i~Z~ ~ M~N~PAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ /~ /~ r 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 6 7 8 9 10 11 12 13 14 15 16 17 18- 19- 20- DATE PERFORMED:' ~j~'/~[' "~ '-/. '.,'<-:, .5 ' Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ~ S L IF YES. AT WHAT ~ O DEPTH? P Depth to Water After Monitoring? Date: Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE __ {mmuteshnch) PERC HOLE DIAMETER __ TEST RUN BETWEEN FT AND __ FT COMMENTS PERFORMED BY: ,~-.A...._ , ....... .I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WIT~ ~Ae~ ~~L GUIDELINES IN EFFECT ON THIS DATE. DATE: ~' / ~"~'/q ¢ 72-008 (Rev. 4/85) DATE: September 6, 1997 TO: Dan Roth FROM: Mike Anderson, P.E. MEMORANDUM RECEIVED SEP 8 1997 Municipality ot AnChorage Dept. Health & HUman Services SUBJECT: NE1/4, SW1/4, SW1/4, Section 30, T15N, R1W, S.M. Permit No. SW970152 The wells in the area surrounding the subject property are deep and produce water at marginal rates. It is essential therefore that a producing well be established on the property before the septic system is constructed to assure the proper separation distance can be achieved. Sullivan Water Wells has been retained to construct the well and water system on this lot. They feel the chances of success are best at the location shown on the attached site plan. This location is different than that authorized by the original permit. Testh~les placed on the lot indicate a silty gravel with percolation rates between 40 and 60 minutes per inch. No groundwater was noted in the testholes but bedrock was encountered at depths between 6' and 9'. In my opinion an acceptable septic system can be placed at any area on the lot. The system, however, may have to be an upflow filter to allow for the separation distance from bedrock to be lessened to 3'. The owner of the property is aware of this problem and is willing to place an innovative system such as the upflow filter if necessary. The location of the septic system will be finalized once the well has been drilled and an acceptable water system established. We will furnish a revised site plan showing the new location of the septic system at that time. Please review the attached site plan and modify the permit to allow placement of the well at the location shown. Thank you for your consideration in this matter. LOT 3, KENDALL SUBDIVISION 'i". .... .' CASPIAN COURT USABLE SEPTIC SYSTEM AREA NOTE: P/~OPoeF. D F/YE eEDROOM HOM~. USABLE SEPTIC SYSTEM AREA PROPOSED WELL ' "~ ~oo. P"OTECT, VE I ,'SITE' PLAN 8GALE 1" ' 50' MAINTAIN 6' SEPARATION FROM: BO'FrOM OF TRENCH TO BEDROCK, EN 15 (lOJ~! ~Lso'~- ~°° L AHbA IVI/~ i" SCALE 1" = 100' NOTE: NO CONFLICTS WITH PROPOSED WELL AND SEPTIC SYSTEM WITH ADJACENT WELLS AND SEPTIC SYSTEMS. LOT ! NAf~IN~ LOT 2 89'44'15" F :d~pl VI~I°N ,,J LOT ! HA wp/7'7' ~ut~p/V/5/°iv --I ~ 0 LOT2 30' CASPIAN COURT 50' 290.06' S 89'44'15" E 6' 76,92' ~ 50,47i. sq, ¥ 1,15 ~cre$ /'/5 ~ 20' 175.44' S 89'44'15" E KENDALL SUBDIVISION (PROPOSED) LDT 4 223,822. sq, Pt, 5,12 ~cres 89'44'15" E 52,479. s Ft, o°. 0 1,20 ~c~es ~: 0 175.44~ ~ o3 0 4~ 350.88' DE LOT 3, KENDALL SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Five Bedroom Home Perc. Rate: 31 Min./Inch Application Rate: .45 GPD/$F Wide Trench System 2.000 S.T.E.P. Tank 2.5' Drainfield Rock Pressure Distribution System 5 Bedrooms X 150 GPD = 750 Gallons Per Day 750 GPD/.45 GPD/SF = 1,667 SF 1,667/ 5 LF (Width) X .64 Red. Factor = 213 LF Total Length of Trench Therefore: construct a 5' Wide Trench With a Total Length of 213' and 2.5' of Gravel Beneath the Distribution Pipe. Construc~ 3 Laterals Each 72' in Length and 10'. Apart from Sidewall to Sidewall. Total Depth of Trench to be 3'. Place 2" Direct Bury Insulation Atop Distribution Piping. - ~ ~ ~u~0~ Z'- 4" NOTE: TYPICAL WIDE TRENCH SECTION (NO SCALE) Maintain 6' SeParation From Bedrock. Grade Area Over Trench to 'Drain Away. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PE..O"MEO "OR:. ROBERT DYAL DATE PERFORMED: I,i T~5'~,. rZ.~ uJ 4 4 ?' blj,~ /~ 8- 9 10- 11 12 13- 14- 15- 16- 17- ~8- ~1. ~ 19- 20- COMMENT8 S ~ ~ Township, Range. Section: SLOPE WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? f P E SITE PLAN Monitoring? . -- /~/ Gross Net Depth to Net Reading Date Time Time Water Drop PE.CO~T,O."*TE ~/ · EST.U. SETWEE. ¢~ __ (minutesYinch) PERC HOLE DIAMETER __ FT AND ~ FT ^CCORDA.CE W,T. ^L' STATE A.D ,~UN.C,.A' GUIDEU.ES," EFFECT O. T.,a DAT~. DATE= 72-008 (REV..4/85) 'Municipality o! AnChorage DEPARTMENT OF HEALTH & HUMAN SERVICES ' 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERPORr~EO POR: ROBERT DyAL DATE PERFORME L;GAL D;SCRI.TION:/kJ~' ~, .,~ Lult/~l ~'t~J Y~ $~0Township, Range, Section: -I-7 ~5 ~ /Z I I,~ SLOPE 1 SITE PLAN 10- 11 12 13- 14- 15- 16- 17- 19- 20- COMMENTS WAS GROUND WATER ENCOUNTERED? $ L IF YES, AT WHAT ~ O DEPTH? p E l~t#orlng? . Gross Net Depth to Net Reading Date Time Time Water Drop .~I~/~,/ l,/,.z4. ..~ /,. ~/ 7 I PERCOLATION RATE .~ ~) (minutes/inch) PERC HOLE DIAMETER P..~O..EO'.,:/W"--A~L ' ' ~ ~'~"~DAT.. ' T.A,~T.~, ,~,T WAS ...~O...° ,. ACCO"DA"CE W,TR S~AT. A"D M~.,C,.AL ~U,OEL,..S'" Ep. ECT O. TR,S OAT.:./1~/~/ 72-~08 (Rev. 4/85~ PRESSURE DISTRIBUTION 'CALCULATION /OO. 0 100.00 0~0 0.00 1/2Hptoll/2Hp SINGLE-PHASE, 60HZ -40 OS105 HH - 2 stage* 10.00 15.00 20.00 25.00 35.00 40.00 45.00 ~0.00 NET DISCHARGE, GPM , INC ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: NE 1/4, SW 1/4, SW 1/4, Section 30, T 14N, RIW (Lot 3, Kendall Subdivision) GENERAL: 1. The scope of this project includes the procurement and installation of a 2,000 gallon S.T.E.P. Tank with a lift station and the construction of a total of 216 Linear Feet of 5' Wide absorption trench with 30" of drainfield rock beneath the distribution line. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. The property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S, before beginning system installation. LIFT STATION INSTALLATION 1. The lift station is to be constructed by a certified tank manufacturer. Construction shall include an 18" manhole for access to the lift station. NE 1/4, SW 1/4, SW 1/4, Section 30, T 14N, R lW May 17, 1997 Page Two 2. The lift station shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the lift station shall extend a minimum of 12 inches above final grade. 4. Lift stations installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 5. A foundation cleanout shall be installed one to four feet from the building foundation. No cleanouts are required between the lift station and the drainfield in a pressure distribution system. 6. Final grading over the lift station shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH CONSTRUCTION: 1. The absorption trench shall dimensions shown on the design. shall be within 2" of level. be constructed to the The bottom of the trench 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be plaCed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion in the drainfield rock must be perforated. 5. Direct bury insulation must be placed over the diStribution system when less than 3' of backfill depth is available. NE 1/4, SW 1/4, SW 1/4, Section 30, T 14N, R lW May 17, 1997 Page Three Finish grade over the trench must be mounded to prevent settlement or depressions. MATERIAL SPECIFICATIONS: 1. The lift station must be constructed by a Municipally approved septic tank manufacturer. An Orenco 20 OSI 05 HHF - 5 is recommended. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal)must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: A minimum of two inspections are required by Municipal Ordinance. These inspections must be conducted under the supervision of a professional engineer registered in ~the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation NE 1/4, SW 1/4, SW 1/4, Section 30, May 17, 1997 Page Four T 14N, R 1W of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of the second inspection. The contractor is responsible during the layout of the system to assure that all separation distances from adjacent wells in the area are met. MUNICIPALITY -0,F 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. 051-303-21 1. GENERAL INFORMATION Complete legal description Kendall Lot 3 Location (site address) 18626 Caspian Court Expiration Date: I I — I�? _Z 1 Current property owner(s) Dyal JR & PJ / CO -TRUSTEES Mailing address Real estate agent 2. TYPE OF DWELLING: 7 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic I—XI Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 55 O 1- 3 3 D Waiver Fee $ Date of Payment N 'I -7 -2- / Date of Payment Receipt Number ©?q Z .3 G Receipt Number COSA # 0 S C-2-11 H R 9 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_ In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Reliance on this report by another person is at their own risk. Pannone Engineering Services LLC highly recommends buyers hire their own engineer to evaluate this report. Name of Firm Pannone Engineering Services Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R. Pannone P.E. DSD SIGNATURE X7System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for 0k—C H LC) Sew A -y ot" Date 211 OF A� n 49 TH r > l �...... R... .. ..... 5: n Icy. -:1nri .. bedrooms, with the following stipulations: -A 0 V1 w"Ji -( I\(t�V V_ t �V�i� e (\( .itkkk%%%%tttri/,_ By:y-.' —ems Original Certificate Date: 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 COSA Checklist blue sheet Nitrate Advisory Arsenic Advisor Other fcc"i�o P,� P A���5; vt�! COSA Checklist Kendall Lot 3 Description: Parcel ID: 051-303-21 more than 1 septic system on lot: COSA Checklist 1 of 1 Structure served by this system 1 A. WELL DATA © Well log is filed with Onsite (or attached) Date drilled F"°"° -a Total depth 100 ft Cased to 20.33 ft 0 Sanitary seal is functioning correctly FEE Wires are properly protected Casing height (above ground) 20 in. Date of flow test for COSA Static water level at beginning of test 26.7 ft. Comments B. TANK DATA Age of tank(s) 23 years Tank type/material Measured operating fluid level in septic tank 48" © Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Wide Trench Which system tested (date installed) �'W'n" ALL standpipes present per record drawing Total measured depth from grade 5.3.5.6 ft (max) Measured depth to pipe invert from grade 2.6-2.7ft (min) ❑ N/A — pressurized field © Monitor tubes go to bottom of effective. If not, state depth into effective FEC Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Well production at time of test 2.83 gpm Water storage tank volume N/A gallons Welldfsinfected for coliform test? ❑ Yes 0 No (P Coliform bacteria is Negative Nitrate mg/L Fffl� Nitrate less than MRL (ND) Arsenic ug/L Q Arsenic less than MRL (ND) Collected by PES Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station N/A years Lift station material N/A Comments: Adequacy test date ""' Results D Pass For 3 bedrooms Fluid depth prior to test 11.5/13.5 in Water added 458 gal New depth 31/22.5 in Elapsed time 190 rain Final fluid depth 311.5 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' R/ Yes if No Community Sewer Manhole/Cleanout > 100' Fv-J Yes if No ft 7 Yes if No Neighboring Tank > 100' Fv� Yes if No ft Private Sewer/Septic Line > 25' Fv-� Yes if No Absorption Field on Lot > 100' Fv� Yes if No ft Holding Tank > 100' Fv� Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' El Yes if No Q Yes if No ft if No ft F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Fv� Yes if No ft R] Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 9'2 ft Surface Water > 100' ft ft ft ft ft QQ Yes if No ft Property Line > 5' R/ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' 0✓ Yes if No. Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No . Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 21 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' M Yes if No ft Private Wells > 100' [Q Yes if No Water Service Line > 10' M Yes if No ft Community Wells > 200' R Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS TANK INSTALLED UNDER 1999 CODE-- 5FT REQUIREMENT OF TANK TO FOUNDATION. G. ENGINEER'S CERTIFICATION�P�� OF• I certify that I have determined through field inspections and review'. 9 of Municipal records that the above systems are in conformance with. A TH MOA COSA guidelines in effect on this date. 2��5 ' COSA Checklist yellow sheet ft ft ft ft MUNICIPALITY F ANCHORAGE Septic Tarok Advisory Certificate of On -Site Systems Approval #OSC211489 Subdivision: Kendal Lot 3 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 23 years old. Typical replacement costs range from $8,000 to $11,000 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. z Ma�6ng Address P 'O Box 196650 � '`Anchorage, Alaska 99519 6650 www murn org °� Municipality of Anchorage Community unity Development Department On -Site Water & Wastewater Program 4700 Elmore St. s P.O. Box 196650 u, Anchorage, AI< 99507-6650 Ez ti.rvvUv.EDI<i;ii. 'c„isi: '_ w (907) 343-7904 Well De cromm ission ing Log __ _ Legal Address:bdivision �`'yr�;4 �� �- s g •� € �rz,..'” Block Lot T R Section Lot On-site Water & Wastewater Program certified contractor performing the well decommis, o ing: � t Name:�Lir' 1 t Signature f A.i:54i� h t tf Company: �,i = � . ! i ?/rzzv'� Well decommissioning date: ] I Method of decommissioning: AMC 15:55.060L1 a• Location: Use the space below to provide a drawing of the property showing the following items; a North Arrow o Decommissioned well, m Other water wells on the property, • Two separate swing -tie distances for each well shown in the drawing, Note: The swing -tie distances shall be measured from either permanent structures of property corners. �) U �L � rjr I� , (iJ_ ii jt I SGS Rei.# 1214979001 Client Name Sullivan Water Wells Project Name/#' 18626 Caspian Ct Client Sample ID Weli;ll Water Line r�3atl•is Drin ang ater Sample Remarks: Printed Datc/Time 08/16/2021 11:15 Collected Date/Time 08/09/2021 9:30 Received Date/Timc 08/09/2021 16:34 Technical Director' Stephen C. Ede Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis Dale Date Init Metals by ICP/MS Ai-senic ND 5.00 ug/L 17P200:8 B (<10) 08/10/21 08/11/21 AK'A Waters Department Total Nitrate/Nitrite-N 0.693 0.200 mo/l, SN121 4500NO3-1= C (<10) 08/16/21 1'131-1 Microbiology Laboratory E. Coli Negative I 100mL SM21 92238 A 08/09/21 IM.A Total Coliform Negative 1 100mL SM21 922313 A 08/09/21 M.A. Page 2 of 5 SGS Ret•.# 1214977001 Client Name Sullivan Water Wells Project Name/9 18626 Caspian Court Client Sample lU Well IN iter Line Nlatrix •nnking Water Sample Remal•1<s: I'arameter Results LOQ Metals by ICP/MS 08/09/2021 9:30 Arsenic ND 5.00 Waters Department Stephen C. Psde "Total Nitrate/Nitt-itc-N ND 0.200 Microbiology Laboratory . EBI -1 G. Coll Negative I "Total Colirorm Negative I Printed Date/Time 08/16/2021 11:14 Collected Date/Time 08/09/2021 9:30 Received Date/Time 08/0912021 16:34 Technical Director Stephen C. Psde Allowable Prep Analysis Units Nlethod Container ID Limits Date Date lnit ug/L EP200.8 13 (<10) 08/10/21 08/11/21 AIG1 mg/L S\,121 =450ONO3-P C (<10) 08/16/21 . EBI -1 100mL SM219223B A IOOmL SA4219223B A 08/09/21 M.A 08/09/21 NILA Page 2 of 5 SGS Lief.# 1214930001 Client Name Sullivan Water Wells 1'r0.ject INamC/# 18626 Caspian Court Client Sample 1DVe�vaterline Stephen C. Ede �iatris Drinking Water Printed Date/Time 08/16/2021 11:15 Collected Date/'Time 08/09/2021 9:30 Received Date/Time 08/09/2021 16:34 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results L.OQ Units N"Iethod Container 11) Limits Date Date Init Metals by TCP/MS Arsenic ND 5.00 ug/L F"P200.6 B (<10) OS/10/21 08/11/21 AKA Waters Department Total Nitrate/Nitrile-NI ND 0.200 m -/L. Siv121 4-50ONO3-1` A (<10) 08/16l21 E1311 Microbiology Laboratory E. Coli Negative 1 100mL. Siv121 922313 A 08/09/21 NLA Total Coliform Negative 1 100ml- SIA21 922313 A 08/09/21 N/LA Page 2 of 5 Pannone Customer Service From: Cole Sullivan <colesullivan_21 @hotmail.com> Sent: Tuesday, August 3, 2021 10:13 AM To: Pannone Customer Service; Steve Pannone Subject: Fwd: Caspian Ct. (Kendall lot 3) See below Cole Get Outlook for iOS From: Cole Sullivan <colesullivan_21@hotmail.com> Sent: Friday, July 30, 202112:21:00 PM To: Ecklund, Timothy J <timothy.ecl<lund@anchorageak.gov>; Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov>; Wockenfuss, Deborah M. <deborah.wocl<enfuss@anchorageal<.gov> Subject: Re: Caspian Ct. (Kendall lot 3) Thank you Tim. Cole Get Outlook for iOS From: Ecklund, Timothy <timothy.ecklund@anchorageak.gov> Sent: Friday, July 30, 202112:19:28 PM To: Cole Sullivan <colesullivan_21@hotmail.com>; Carroll, Rebecca M. <rebecca.carroll@anchorageal<.gov>; Wockenfuss, Deborah M. <deborah.wockenfuss@anchorageak.gov> Subject: RE: Caspian Ct. (Kendall lot 3) Cole, As presented it sounds like we would be in agreement. Thanks Tim Ecklund Onsite Water and Wastewater Municipality of Anchorage 907-343-7905 timothy.ecl<lund@anchorageak.gov From: Cole Sullivan <colesullivan_21@hotmail.com> Sent: Friday, July 30, 2021 11:50 AM To: Ecklund, Timothy <timothy.ecl<lund@anchorageak.gov>; Carroll, Rebecca M. <rebecca.carroll@anchorageak.gov>; Wockenfuss, Deborah M. <deborah.wockenfuss@anchorageak.gov> Subject: Fwd: Caspian Ct. (Kendall lot 3) [EXTERNAL. EMA3t.j Hi folks, Please see below. Are you in the loop on this? I need to make sure we can proceed here. Thanks! Cole Get Outlook for iOS From: Cole Sullivan <colesullivan 21@hotmail.com> Sent: Wednesday, July 28, 202110:14 AM To: Pannone Customer Service Subject: Caspian Ct. (Kendall lot 3) Kim, After meeting with the owner I found the following: The SE and SW wells are plumbed into the house and both functional and produce water after being hydro fracked. The NW well is wired and plumbed into the house and is functional but has a separate connection only for watering the lawn. There is actually a fourth well that is not shown on the as built. It is 160' and does not produce currently as far as we know. I don't see that any of the three wells that are being used need to be decommissioned. They do however need some minor code upgrades like conduit and a depression filled, separate samples etc. The fourth well needs to be decommissioned according to MOA code. Please let me know if I can help further. Have a great day, Cole Sullivan Sullivan Water Wells Get Outlook for iOS 2 m °r _ C,- 0 D O m Cl o m cD.. rn o � n �0 M G) O X D r - co 70 mO Fn n 7n C —I O m ' pp w o z o N -n zo C y -0 -D to y N c!i y -n m M D- m U -- r- n0��� C) r- O n nN 01 �• m `< o = m � D 61 N N U'i d L/) r Cq W N (p Oqk z (- 00 in a, o m -i t.0 N D al n v 00 'o 3 = A : o z Q Ln 0 0 0 O T n r r-) .rl voDam 0:nvin n � �7 z D rn � ravZx--t--i�C > :C7 .Z7 n m a m r0- >Q mCOv D m D D m p z z > mav< rn o -� r m Z z m O zm0m0 Y0�m m Z CD v0 zma z=ate fn CO X �ZS i--< Zxtco n n m I ° vmA�'Z ommn �Cmn0 m -_i X m m m z n O O `t' 0 V) O 00I �o ��pZ i m0 N v OI S r (7 O j QC�m =tny Cn vio�:�E =>m D � N O 0 n0�� AZ' Z o -+Z- 0G)2 O q 5-00;:o van O v Z D m N ;M;, Z S C j v n p 0 0 < 0> �oCZ rmn m Atn -z�0 D O 1 cn 0 G) Co m Z y �-SiC LA 11 WzO� z ^n N i0 �o o=o r, Z a 0 z�ao 0 +D m G)n-<mm:jv w ;u -v c a n m c ZM or- Fie t'n W ID- �Lnn n -i S < to &�Rd z W is r L S m m Lnc D .P mSny -Lamm .. cn O = Ln 0rom x �o z 0 z O m m < O m O ao N Gas\6a--- �0�? j� X44 wo DEDICATED ROWcn W o < : /�` O� - (NO ROAD IMPROVEMENTS) S00° 01'27"E 315.49' cj z :CUE o D 15' UTILITY EASEMENT MEA POWER LINE AND MTA EASEMENT o N D D ul UJ_ m m U? � Oa O m (v'< o X vA to z -i o B = O O s ITc° LnO O, O N --60.$' —i s�<1 02 0 9 V, rn � N_ = N cn 12.2.' O 9.1' m G N N = N 1O - r � m 45.3' n N O N i° 44 -_. IP 30' co 0 ;:o 0 O •P m rn o0 o n y � i --° m M �o O m0 r'rrl ) co y 30'