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Home My WebLink AboutMCGOWAN LT 2McGowan Lot 2 #051-091-31 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP251009 PID Number: 051-091-31 Dwelling.- V Single Family (SF) r_1 with ADU M Duplex (D) R Two Single Family Project: 21 New R Upgrade Name Martin Lindeke ABSORPTION FIELD ❑ Deep Trench ©Wide Trench FJ Bed M Mound Site Address 20633 Scenic Drive El Other Phone Number of Bedrooms Soil Rating I Total depth from original grade 3 1.2 GPD/SF; 6.00 Ft, LEGAL DESCRIPTION Depth to pipe invert from original grade 3.92 Ft. Gravel depth beneath pipe 2.08 FL Subdivision Block Lot McGowen 2 Fill added above original grade -0.19 - +0.40 Ft. Gravel length 54.5 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 389 Ft2 I Ft. Well 63'* 25+ TAM�_� Septic El S.T.E.P. El Holding F-1 Other Existing Manufacturer Capacity Surface Water 100+ Gal, Material Nu f compartments Lot Line 3'* I NA Foundation 10' Manufacturer Capacity Gal' Remarks *Waiver OSV251002 Approved 4/1/25 Alarm location Electric PIPE MATERIAL House totank Tank to drainfield D3034 Installer Northern Excavation Drainfield D3034 CO/MT D3034 Inspector Arcterra Consulting BENCH MARK (Assumed elevation) 100 ft Inspdatesect1s' ion 4/9/25 2nd 4/9/25 : Location and description 3'd 4/14/25 4`" Bottom left of window frame ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp 'a 1%,kiko CF Conditional Approval: Date 49 IH KENNETHS a Septic Syste, CE I I AW Approved Date Aw 0 M N�this approval does not include well permit require ent (Rev 05/02/1 AS -BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP251009 McG❑WEN LOT 2 PID# 051-091-31 N A -D=19.9' N C -D=22.6' a A -E=19,5' C -E=25.6' A -F=39.7' H B -F=47.0' o A -G=38.0' o B-15=42.8' A -H=36.1' B -H=41.5' A -I=28.3' y B -I=32.5' A -J=28.7' o I MT 55' / 9.5'� 4 I .5' 5a' o c� � �' JI A M ' Ln I HOUSE \ f DRIVEW�Y Il / L__00 0 LG AL SEPTIC TANK f OF A■ *:49TH *� ■ EENNE H M. S_.' CE -711 y14 Alt I SCALE, 1' = 20' I= -- z 94.ID ❑� FINAL GRADE v� o�- MM FAMW PREPARED FOR: MARTIN LINDEKE 20633 SCENIC DRIVE CHUGIAK, AK FIELD BOOKS BOUNDARY: N /A STMONG: N/A AWUiu: JL5 M. FILE: AGAD FILE' FILE SEWER ROCK COMPUTED: DRAWN: KSD CHEG(ED: KMD DATE4/ 2 GMD: N w135 " N°` 24163 54.5' 81.79 SCALEi NTS MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP251009 Work Type: Septic Upgrade Tax Code Number: 05109131000 Site Legal Address: MCGOWAN LT 2 G:1357 Site Mailing Address: 20633 SCENIC DR, Chugiak Owner: LINDEKE MARTIN JOHANNES Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 2/26/2025 2/26/2026 8125 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing (✓ t 4-A-A,'L-I ro) �yt 3 f Received By: TO 2 fi'4 Date: _ Issued By: Date: 2 2 S MUNICIPALITY OF Development Services Department % On -Site Water & Wastewater Section ON -SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-091-31 Property owner(s) Martin Johannes Lindeke Day phone Mailing address 20633 Scenic Dr. Chugiak, AK Site address 20633 Scenic Dr. Chugiak, AK Legal description McGowen Lot 2 Number of Bedrooms 3 Engineering Firm Arcterra Consulting Building Permit Number Not Applicable x❑ APPLICATION IS FOR: APPLICATION IS AN: (® all that apply) Absorption Field ❑x Initial ❑ Septic Tank ❑ Upgrade X❑ Holding Tank ❑ Renewal ❑ Privy ❑ Well ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Phone: 907-343-7904 Absorption Field to Lot Line Distance: 1' Permit/Rush Fees: 595 Waiver Fees: .q 22 .67 Date of Payment: Date of Payment: / 5- 2S r Permit No. Waiver No. 05VZ5100—z �gcTE P9 '�o-�rSGl;il NG . �z iv Febuary 17, 2025 AizcTERRA CONSULTING, INC 20441 Ptarmigan Bld, Eagle River, AK 99577 Office (907) 696-611 1, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New Septic System Permit—McGowen Lot 2 On December 21, 2024 an inspection of the subject lot was preformed in order to receive a COSA. During this inspection the existing leach field appeared to be in failure and as such the home -owner has requested we proceed forward to obtain a new septic system permit for the subject lot. The proposed system will serve the existing 3-bedroom residence. The existing system was installed July 8, 1981 designed off a testhole dug on June 28, 1981. This system was 5' wide and 38' long with an effective depth 2'. The testhole showed no groundwater up to a depth of 11' from grade. Record documents show the existing septic tank is a 1000-gallon concrete tank and is located 85'+ from the existing well. We propose providing a new soil test hole prior to construction to verify soil percolation rate and possible groundwater. Due to the layout of this lot and the location of the well we propose decommissioning the existing trench in place, replacing it with a trench 52.5' long 5' Wide with an effective depth of 2'. Due to the overlap of this system, we require that any portion of the existing drainfield within 6' of the new trench to be excavated and replaced with type II material. There is a field to lot -line distance waiver granted in 1997 and we are requesting a 1' waiver be granted along both the west and north property lines due to the limited space available outside the well radius. The existing system on the lot to the North is greater than 10' from the proposed system and as such we expect no impact on either system. The current and previous water sampling show limited nitrate concentration levels on the property. The concrete tank does not show signs of leakage or failure. The current 100' protective well radius on this property overshadows the entire area available for a septic system other than the area shown on our design. McGowen Lot 2 Febuary 17, 2025 Page 2 Of 2 The adjacent lots are developed and are served by private septics and private wells. There are no wells within 100 feet of the proposed septic site except as shown on the system design. The new field will be outside any protective well radii. We do not expect there to be any adverse effect on adjacent lots by the development of this tank and field. If you have any questions, please contact me at 696-6111 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duffus, P.E. Attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan Soil Test Hole Log 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 kI CONSULTING, INC 20441 Ptarmigan Bld, Eagle River, AK 99577 Office (907) 696-6111, Fax (907) 868-3793 March 27, 2025 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Change Order—McGowen Lot 2 On February 26, 2025 a septic upgrade permit #OSP251009 was approved for the subject lot. The approved design was based off of test hole information collected between February 13th — 20th and previous soils logs. Upon initiating construction of the trench, we encountered at the south end an impermeable silt layer at approximately 6' from grade. This depth varied from our original test hole of 12.5' and the previous soils log. Based on this new information we reviewed several alternatives including beds, but could not get them to fit within the areas available for construction. On March 24th we excavated a 2nd test hole to verify our previous findings in Test hole #1 (see attached). The two (2) test holes show that our revised design can be installed along the north property line and not be impacted by water or an impermeable barrier. Therefore, we are requesting a change order to realign the trench layout to the north side of the lot and a waiver to encroach into the 100' well separation distance by 37'. The soils information in this area is consistent with our findings and water monitoring in the first (1st) soils test hole and supports the proposed re -design. As noted in our previous permit request, we will need to retain the waiver to lot line. This will allow us to maximize the well separation distance. As identified above this realignment will encroach into the properties 100' well radius by 37'. We are therefore also requesting a waiver from the trench to well of 63'. The waiver is supported by the following information: Nitrate levels on this property have been identified over the years as follows: Legal Nitrate Date of sample McGowen Lot 2 ND 12 / 19 / 24 McGowen Lot 2 ND 10 / 16 / 12 McGowen Lot 2 0.1 4 / 15 / 08 McGowen Lot 2 0.1 6 / 30 / 03 McGowen Lot 2 1 8.47 1 6 / 18 / 97 McGowen Lot 2 March 27, 2025 Page 2 Of 2 McGowen Lot 2 1 1.36 1 2 / 24 / 97 We have been unable to locate well documentation justifying the drop in nitrates over the years, but would lean towards changes made in the system that support this drop. Surrounding area wells have record nitrates shown in the chart below. Legal Nitrate Date of sample McGowen Lot 1A 2.64 7 / 19 / 02 McGowen Lot 3 0.14 12 / 3 / 91 McGowen lot 5 3.10 10 / 11 / 10 T15N R1 W Sec 8 Lot 56B 3.0 3 / 11 / 94 No water sample data available for the lot south of T15N R1W Sec 8 Lot 56B. In addition to the nitrate levels, the silt/clay layer discovered on the lot provides a separation between surface water and the aquifer, supporting the request for a waiver. This is evidenced by excavations encountered during the attempt to construct the field, as well as previous soil logs and well logs for Lot 5 and Lot 1A (1357 McGowen S/D). These logs reveal an 8-foot clay layer between 28 and 36 feet and a 30-foot blue clay layer (see attached). Although a well log for Lot 2 is unavailable, the depth and consistency of the two existing logs suggest that an impermeable clay layer extends through this area, including Lot 2. This indicates a sufficient soil strata barrier between the septic system and the aquifer, further justifying the 63-foot waiver from the well to the septic system. We do not expect there to be any adverse effect on adjacent lots by the development of this tank and field. If you have any questions, please contact me at 696-6111 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. 6. threnits�:uf' us, P.E. Atta On -Site Sewer Application Wastewater Absorption System Details / Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 ' Municipality gii \ nt irk S U•��rimrnt ; P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 a (907) 343-7904 0 Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * Waiver#: OSV251002 COSA#: P I D#: 051-091-31 Legal Description: MCGOWAN LT 2 Engineer: ArcTerra Permit#: OSP251009 Your request for a waiver of the required B 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1 feet. This waiver approval applies to the Sp,,,,,absorption field only. Any future upgrade to the on -site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date:' C �% Approved by: Name of R viewer ■ ......... ■ ■ ... ■ ■ ........................... ■ ............................... **** VARIAN C EMAIVE R REVIEW **** li WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN McG❑WEN LOT 2 PID# 051-091-31 20WA Etec Esmt Bk 783 Po197-- TI5N RIW SEC 8�LT 56B � 1 l T15N RIV SEC 8 LT SplA 20' Patent RaV. Reserve �I N FLAG PROPERTY LINES DESIGN DETAILS. WELL RADII & EASEMENTS 3 BDRM X 150 GPD = 450 GPD PRIOR TO C❑NSTRUCTI❑N 450 GPD/1.0 GPD PER SO. FT.= 450 SQ. FT (375 / 5')(0.7) = 52.5 FT, TRENCH USE 1 TRENCH, 52.5' (L) X 5' (W) X 2' (D) Total depth of system Is 6' max from orlglnat grade. Total depth of gravel below distribution pipe Is 2'. NO PUBLIC VELLS VITHIN 200' OF NOTES: PROPOSED SYSTEM. NO PRIVATE VELLS VITHIN IV OF 1. EXISTING TRENCH TO BE DECOMMISSIONED PER CODE. PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS VITMIN 200' OF 2. INSULATE TRENCH WITH 2' HD BURIAL FOAM IF C 3' OF FILL. PROPOSED WELL EXCEPT AS NOTED. MIN, 2' FILL WITH INSULATION, >3' COVER NO INSUL REG. 3. POST TANK COS TO BE ADDED PER CODE, 4. CONTRACTOR WILL ENSURE MINIMUM 100' SEPARATION FROM BODIES OF WATER. 5. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK, 6. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT ,�'•�.�.�,,, WELLS, SEPTICS EASEMENTS, ROAD EASEMENTS, PROPERTY LINES, ETC... ,ir• (3r` PAGE 1 ❑ * : 4 TH KGNNPs4`H M. D fCE-7116 AW ��- AW �"ESS PREPARED FOR: MARTIN LINDEKE 20633 SCENIC DRIVE CHUGIAK, AK FIELD BOOKS BOUNDARY: N/A STAaNQ N/A AsBu`LT-' SEWARE DWC. FILE: ACAD FILE' FILE COMPUTED: DRAWN: KSD 0`70" KMD DAB 3/26) DMD: N W135 10B Na: 24163 WASTEWATER DISPOSAL SYSTEM ASBUILT LAYOUT McGOWEN LOT 2 PID# 051-091-31 f / r 0 d � euu EXISTING TRENCH TO BE DECOMMISSIONED IN P Al ANY PORTION OF EXIS It DRAINFIELD WITHIN 6' THE NEW SEPTIC SYSTE TO BE EXCAVATED AND REPLACED WITH TYPE II MATERIAL mI u / c-i- ;1 — 0 INSTALL NEW SEPTIC TRENCH PER DESIGN .a a a'DRIVEWf Y• uj ` OF 4 ( .........•...�(.%. � PREPARED FOR MARTIN LINDEKE o H* 20633 SCENIC DRIVE j CHUGIAK, AK N'UFFUS ; L FIELD BOOKS coNPu7ED: / BMNDARY: DRA": Z? ,f 4 N A KSD ti ` y yti$ A*V STAaND: N/A CHECKED: KMD / Asou" SEWARD DACE: 3 26 ES 10 DWI FlM- GM: NW13E > AcAD FILE: FILE " N- 24163 O 5' 0 2 r SE SCALE, 11 = 20' c OF hci Ji�a1ZA rrf� - CONSULTING, INC' 20441 Ptarmigan, Eagle River,AK 99577 Office (907) 696-6111, Fax (907) 868-3793 KENNETH M. N C r r "I16 ` f SOILS PERCOLATION TEST�- Performed for: Martin Lindeke Date Performed: 3/24/25 Project: McGowen Lot 2 TEST HOLE Depth (Feet) SEE ATTACHED SITE PLAN 1 FOR HOLE LOCATION 0'-2' Org 2 .. 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- B.O.H.12' Was Ground water encountered? No What depth? None Depth to water after monitoring? Date (Depth below grade) Reading Date Gross Time Net Time Depth to Water Net Drop 1 3/24/25 12:13 2 9/16" 2 12:23 10 Min 5 1/16" 2 8/16" 3 * 12:23 2 9/16" 4 12:33 10 Min 5 1/16" 2 8/16" 5 * 12:33 2 9/16" 6 12:43 10 Min 51/16" 2 8/16" 7 * 12:43 2 9/16" 8 12:53 10 Min 51/16" 2 8/16" 9 * 12:53 2 9/16" 10 1:03 10 Min 51/16" 2 8/16" 11 * 1:03 2 9/16" 12 1:13 10 Min 51/16" 2 8/16" * Water Added EPel Rate 4 (min/in) Pere Hole Diameter 6 " etween 4' feet and 4.5' feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Rc TERRA CONSULTING, INC 2044I Ptarmigan, Eagle River,AK 99577 aG ; e Office (907) 696-6111, Fax (907) 868-3793 g1'fp SU'-iSYG. su �� F, 921>i _th SOILS PERCOLATION TEST Performed for: Martin Lindeke -d*- �. Aer cif IT 1 1-41 If 7116 Alf Date Performed: 2/13/25 Protect: McGowen Lot 2 _ _TEST HOLE # TH,-1»— Depth (Feet) SEE ATTACHED SITE PLAN 1- 0'-1'8" Org FOR HOLE LOCATION 2 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- - Pere Bench #1 @4' 1'8"-12'6" GW a B.O.H.12'6" Was Groundwater encountered? No What depth? None Depth to water after monitoring? 12� Date 2/20/25 (Depth below grade) Reading Date Gross Time Net Time Depth to Water Net Drop 1 2/13/25 2:40 17/16" 2 2:50 10 Min 3 14/16" 2 7/16" 3 * 2:50 17/16" 4 3:00 10 Min 3 14/16" 2 7/16" 5 * 3:00 17/16" 6 3:10 10 Min 3 14/16" 2 7/16" 7 * 3:10 17/16" 8 3:20 10 Min 3 14/16" 2 7/16" 9 * 3:20 17/16" 10 3:30 10 Min 3 14/16" 2 7/16" 11 * 3:30 17/16" 12 3:40 10 Min 3 14/16" 2 7/16" * Water Added Percolation Rate 4.1 (min/in) Perc Hole Diameter 6 " Test Run Between 4' feet and 4.5' feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Received Date/Time 12/19/2024 12:26 12/19/2024 11:10CollectedDate/Time 1246993001 Matrix SGS Ref.# Client Sample ID McGowen Lot 2 Client Name Project Name/# Printed Date/Time 01/07/2025 12:12ArcTerraConsultingInc Technical Director Stephen C.Ede McGowen Lot 2 Drinking Water Sample Remarks: Parameter Results LOQ Units Method Allowable Limits Prep Date Analysis Date InitContainerID Metals by ICP/MS HBL01/06/25EP200.8ug/LArsenic 01/02/25ND5.00 (<10)B Waters Department AJP12/20/24SM214500NO3-Fmg/LTotalNitrate/Nitrite-N ND 0.200 (<10)C Microbiology Laboratory M.A12/19/24SM219223B100mLE.Coli Negative 1 A M.A12/19/24SM219223B100mLTotalColiformNegative1A 2 of 5 / MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING [)]VISION £125 L Street - Anchorage, Alaska 99501 Telephone 264-4720 — ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT _NAME-/): - PHONE /1.rp ///IGJ 171 NEW UPGRADE MAILING ADDRESS _ LEGAL DESCRIPTION LOCATION // '' / 6i0GW&; _J NO. OF BEDROOMS .� DISTANCE Well q� / Absorp on arja � "' Dwelling I ,f„ PERMIT NO, TO: ' [� -�G F- 2 Manufacturer,/_ y rial e1 No. of compartments N Liq. apacity in gallons IF HOMEMADE: Inside length Width Liquid depth DISTANCE TO: Well Dwelling PERMIT NO. � �Z C) Z h _ Manufacturer Material Liquid capacity in gallons O w= - DISTANCE TO: Well / mo ,,L Foundation f,,,� g -,S _ Nearest Ioelin PER NfJ /e% . / C' -�-- 'u u. w No. of lines Length r�E ey h �ine Total I Pg o9lines Tren boidih Distance b twx.�/lin cA 2 F _ } r7 -} Yj C inches w _ Top file to ish M erjp th tily-� u� Total F of �'rYi rade / r I 2 � effective absorption area a v 4l7 inches Length Width � Depth PERMIT NO. w (7 Q H Type of crib Crib diary. r Crib depth Total effective absorption area Ad w /" N DISTANCE TO: Well Building foundation Nearest lot line Classh s Y""f Driller Distance to lot line PERMIT NO. .ui�- w DISTANCE TO: Building foundation Sewer line Septic tank — Absorption area(s) OTHER PIPE MATERIALS r ,>o SOILTEST RATING ` 17 /le J { INSTALLERS �- 15�/�.• REMARKS U ri A _ >a Ac: .. .. ��—iii � •\•ol en Roban A. Shaf pp ..1W V4 ySI-•c _ .. APP ROV DATE LEGAL 'sr �i l S & S EngineerincT®� 72-01,WV(ev.3/78) y 9-11 11 -JI 11"A�� DEPHRTMENT 8r HEHLTH HND ENVIRONMENTHL PROTECTION 825 'L' STREET/ RNCHORHGE/ HK. 9950i 26�-4720 �P�_��1�FE �� PERMIT NO. ( 8106]] ) APPLICANT GF'EHTLHND REHLTY EAGLE ��VER 694�]�87 LOCHTION MCGOW1"N ST LEGHL 1_2 MCGOWEIIA LOT SIZE 8000 SQURRE FEET TYPE OF SOIL HB5ORPTION SYSTEM IS: DRHINFIELD MHXIMUM NUM�ER OF BEDROOMS � ] SOIL RHT1NG (SQ FT/BF".)� 85 THE REQUIRED SIZE OF THE SOIL HBSORPT�ON SYSTEM I'S� IF` �H-A ��C-i lF IFA -5 F-�` F:l Ea� k--- ��V-11= � THE LENG'TFI DIMENSION IS TF*:. LEP-Ill' TH (IN FEET) OF THE TREWA OR DRHINFIE'l D THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SUR -ll CE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET). ��A � �� -1" IFA I !.'.'_E' IC -1 ��, THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE Cil TFHLL PIPE HND THE BOTTOM OF THE EXCHVHTICN (lN FEET). �� L�� PERMIT HPPLICHNT HHS THE FIESPi TO v.,FORM DEPHRTME�T DURPNC7, THE INSTH�LHTION INSPECTIONS OF HNY WELLS ADJHCENT TO THIS PROPERTY HND THE NUMBER OF RESIDEACES THAI THE W�LL WILL SERYE. �� p 11.4 1 rA -:E.'�� .. ... .. 8HCKFILLING OF HNY SY�TEM WITHOUT FINHL INSPECTION AND HPPROVHL BIT, THIS DEPHRTMENT WILL BE SU8JECT TO PROSECUTION. MI�IMUM �ISTHNCE 8ETWEE14 H WELL HND FINY ON~SITE SEWRGE DISPO�H� SYSTEM IS 100 FEET FOR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE OF PUBLIC WELL MINIMUM DI.STHNCE FROM Fi PRIVF1TE WELL TO H PRPVHTE SEWER LINE I_E; 2`5 FEET HIII D TO H COMMLJNlTY SEWER LINE FEET. OTHER �EQUIR��ENTS MHY �PPLYSPECIFICHT��NS HND �ONSTRU�T�ON DIA��MS HRE FIVHILHBLE TO PROPER INSTHLL�TION 1 X F;;`AE". C IE-`- IEZ 11-1 L- LEE IP, I CERTIFY THHT 1: I HM FHM1LIHR WITH THE REQUIREMENTS FOR O��5ITE �EWERS HND WELLS HS SET FORT� �� THE OF HI'lCHORHGE 2: I 1 111 L INSTHLL THE SYSTEM �N ACC ORDWTH THE CODES. HHT THIE —C"ITE SEWEF! 11HY REGJUIRE E.11LHRGEMENIT IF' THE:' (F , 2 <, (� ( { 3 4 6 7 r 9- C / 111 SOILS LOG Depth to Net Time Time MUNICIPALITY OF ANCHORAGE ❑ PERCOLATION Qp DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST \ 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST J, `-�h /✓ (1 PERFORMED FOR:�J DATE PERFORMED: - / C.- 6v LEGAL DESCRIPTION: c DEPTH dw SLOPE SITE PLAN (F , 2 <, (� ( { 3 4 6 7 r 9- C 10 I a WAS GROUND WATER /I / --- S 11 % ,[� f `/J�ENCOUNTERED? L P - IF YES, AT WHAT E 13 DEPTH? 144p�4®�� 15 1 16M f 17 oa•_ U..l n..• ala Robert A. 5 ' for ; 18 �j �j �•/ Ne. 14"a' •C g 19 Reading Date Gross Net Depth to Net Time Time Water Drop Qp 4 c dw 10 I a WAS GROUND WATER /I / --- S 11 % ,[� f `/J�ENCOUNTERED? L P - IF YES, AT WHAT E 13 DEPTH? 144p�4®�� 15 1 16M f 17 oa•_ U..l n..• ala Robert A. 5 ' for ; 18 �j �j �•/ Ne. 14"a' •C g 19 Reading Date Gross Net Depth to Net Time Time Water Drop Qp 4 dw 20 � PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT / COMMENTS CCS . f (`/r.! r-- t �, �, c,_ C"L>._)v .Pt=' -ir"l c').n- �✓ PERFORMED BY: s CERTIFIED BY. -- G-" o-� " DATE: t 72-008 (6/79) MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251143 Parcel ID 051 -091-31 Legal description MCGOWAN LT 2 Site address 20633 SCENIC DR Expiration Date: 12/19/2025 Current property owner(s) LINDEKE MARTIN JOHANNES X The On-site system(s) is/are approved for 3 bedrooms M Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments Original Certificate Date: 4/30/2025 Thi ertificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject stem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory X Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other __ MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-091-31 Complete legal description McGowen Lot 2 Location (site address) 20633 Scenic Dr. Current property owner(s) Martin Lindeke Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: FE Private Well serving # 1 dwelling units El Other Non-public well as regulated by MOA Fj Water Storage Fj Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: FO -1 Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: M Steel n Plastic nN Concrete n Fiberglass Age 44 - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: Fj AWWTS r_1 Bed F-1 Deep Trench FE� Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ P-qo • 0o Date of Payment COSA# 09( , 2-5 11 LV3 Waiver Fee $ Date of Payment Waiver # COSA Application—Apr2025.doc COSA Checklist Legal Description: McGowen Lot 2 Parcel ID: 051-091-31 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 7/8/1970 Total depth 70 ft Cased to 30 ft © Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 28 in. Date of flow test for COSA 12/21/24 Static water level at beginning of test 30 ft. Comments B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping 4/11/25 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 4/9/25 ✓❑ ALL standpipes present per record drawing Total measured depth from grade 6.4 ft (max) Measured depth to pipe invert from grade 3.73 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑✓ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced _gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Com ments/Deficiencies'. COSA Checklist June 2022 Well production at time of test 0.65 gpm Water storage tank volume 300 gallons Well disinfected for coliform test? ❑ Yes ❑✓ No ✓❑ Coliform bacteria is Negative Nitrate mg/L [;�l Nitrate less than MRL (ND) Arsenic ug/L n Arsenic less than MRL (ND) Collected by Arcterra Consulting Date 12/19/24 STATION ❑ Require ntenance completed Age of lift station rs Lift station material Comments: Adequacy test date New system Results ❑ Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 24 in Effective depth used 0 in Effective depth remaining 24 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑ Yes if No 85* ft 0 Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25'�/❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No 63** ft Holding Tank > 100'✓❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50'✓❑ Yes if No ft 0 Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 Yes if No ft Q Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ✓❑ Yes if No ft Surface Water > 100'✓❑ Yes if No _ Tank to Property Line > 5' ./❑ Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No 3** ft Private Wells > 100'✓❑ Yes if No _ Water Main > 10' v Yes if No ft Community Wells > 200' Yes if No _ Water Service Line > 10' ❑✓ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *Tank to well separation grandfathered in. ** Waiver OSV251002 Approved 4/1/25 10 ft li, ft G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Arcterra C Engineer's Printed Name Kenneth Duffus Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. COSA Checklist June 2022 Phone (907)-696-6111 Date MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT Iag, 907-343-7904 On -Site Water and Wastewater Section Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC251025 Subdivision: McGown, Block: . Lot: 2 This well's productivity was determined to be .65 gallons per minute. The recommended well productivity under (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum recommendation, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. AddressN Mailing e, --,A askaMSI 5 g 'mun o 0A 9 cb6ra 6 0�Www. 1. rg 1 " = 3 0' LOT 1 A S89055'50E 125.00' 77 c�n r --x x x x x x 0 •• x O o o I LL1 J • SEPTICIn PIPE go 34.2' ry (tYP) 3 49.5 1.5' U z o LOT 2 OO 6.7 EXISTING - � x x x HOUSE � 8.0' Ld v o 0 0 (n I 0 GRAVEL � WELL 00 0 Z D /W 8.0' WELL Z HOUSE C) SHED 26.0' 00 j_o7X-X-X-X --) 889055'50"E 125.00' 30' 50' LOT 3 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: McGOWAN SUBDIVISION � = FND 5/8" REBAR LOT 2 PLAT 67-45 �� •► \� SUR AdW F \ LAN 4 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a �! O, . , . �Q , P o �1 physical survey of this property as shown on this drawing and that the A� ,� p� im rovements situated hereon are within the property lines and no / l / .�'' enchroachments exist other than noted. Under no circumstance should/ .' 4 9TH '• , 4 any information on this drawing be used for construction of fences,` structures, improvements, or for establishing boundary lines. coo L EXCLUSION NOTES: It is the owners responsibility to determine Vj ' ' : ' ' ' • • ' ' • • ' • • ' ' ' .� .l co -JOHN L. S CRULLER, o the existence of any easements, covenants, or restrictions which �. �� do not appear on the recorded subdivision plat. ' � '. LS -10408 .•• � �•�,,...�....,�.�• 1831 Talkeetna Street WORK ORDER NUMBER: DATE: SCALE: �E-MAIL: ' �0, •dig 1, i- a�w e Anchorage, Alaska 99508 APR 17, 2025 1 =30 schullerakOgmail.com, Ar Off_/ —1455 office 1 1 DRAWN BY.. CHECKED BY GRID NUMBER: BOOK/PAGE: `\ f e S Iona` (907) 227 25-030 JLS NW1357 250135 `�\�.��,��'+ (907) 274-4992 fax B� • `� Municipality of Anchorage & On -Site Water and Wastewater Program (907)343-7904 sa ery CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-091-31 1. GENERAL INFORMATION Complete legal description MCGOWEN LOT 2 Expiration Date: Location (site address) 20633 SCENIC DRIVE CHUGIAK AK 99567 Current Property owner(s) STAN & TRUDI MITCHELL Day phone Mailing address Real Estate Agent PO BOX 298350 WASILLA AK 99629 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: �111tedby Date: %/COSA to bereleased to the engineer, unless othenti) er. COSA Fee $ 'Aq0 " Waiver Fee $ _ Date of Payment O 3' 1 aa� Date of Payment Receipt Number b1$e%I 2 Receipt Number COSA # Osc 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. Name of Firm ARCTERRA CONSULTING INC. Phone 8683791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 10/23/12 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore. ArcTerra can not give any estimate of how long a system will function satisfactory for current or future,t t¢ yr,. occupants or can ArcTerra guarantee that no unseen ^A_ encroachments, deficiencies or discrepancies exist #r74 6. DSD SIGNATURE ` System #1 Approved for. bedrooms.�« ° `a a0 AV System #2 Approved for _ bedrooms.~' > Disapproved. Conditional approval for bedrooms, with the following stipulations: 17A The Original Certificate 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory_ Well Flow Advisory _N/ Other COSH bale sheet 9-1-12doc If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: MCGOWEN LOT 2 Parcel ID: 051-091-31 A. WELL DATA' Well type PRVT Date completed 71811970 Total depth 70 ft. Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (YIN) Y Cased to 30 ft. FROM WELL LOG ft. WATER SAMPLE RESULTS: 9 - p.m - Coliform NECK colonies/100 mL Nitrate Na mg/L Arsenic: 12.7 ug/L Date of sample: 10116112 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC I CONCRETE Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (YIN) Y Depression over tank (YIN) N Date of pumping 10110112 Pumper JR C. ABSORPTION FIELD DATA Well Log (YIN) N Wires properly protected (YIN) Y Casing height (above ground) 24 in. AT INSPECTION 1011612012 ft. 9 -13 -m - Collected by: ARCTERRA Date installed 1963 Cleanouts (YIN) High water alarm (YIN) N Date installed 71811981 Soil rating (g.p.d./ftz or ftZ/bdrm) 85 System type TRENCH Length 38 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth 5_6 ft. (Measured 10110112) Eff. absorption area 271 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10110112 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 15 in. Elapsed Time: 60 min. Final fluid depth 1_2 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum Size in gallons "Pump off' level at in. Cycles tested E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot *85' Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25'+ Animal containment areas 50'+ SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (YIN) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manholelcleanout 100'+ Holding tank 100'+ Manure/animal excrete storage areas 100'+ Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 101+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line *3' Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water. 100'+ Driveway, parking/vehicle storage 0' Curtain drain 50'+ (NONE KNOWN) Wells on adjacent lots 100'+ F. COMMENTS in. *Well data per MOA records. Waivers and grandfathered separations approved per MOA previous COSA I HAA. Water storage in well house. Vacant system surcharged prior to testing. 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. Engineer's Printed Name KENNETH M. DUFFUS Date 10123112 COSA brown sheet 9-1-12.doc KOW-17H s€ , ;6 �t Ilk .'�9'�tisErr' Municipality of Anchorage Development Services Department Building Safety Division sn , On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 121502 During a recent COSA on-site inspection and test of the potable water supply well on Block , Lot 2 of McGowen subdivision, the well's productivity was determined to be 0.65 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage Community Development Department ° Development Services Division Sq Eix On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 Arsenic Advisory Certificate of On -Site Systems Approval # 121502 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 McGowen Subdivision. This inspection revealed an arsenic concentration of 12.7 micrograms per liter (ug/L) for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/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. Information on arsenic is available from the On -Site Water and Wastewater Program website(www.muni.org/onsi ) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. \ Municipality of Anchorage -� Development Services Department j Building Safety Division On -Site Water and Wastewater Program s• crr 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-091-31 COSA # Expiration Date: ' 1 1. GENERAL INFORMATION Complete legal descripti Location (site address) Current Property owner(s) EMC Mortgage Corporation Day phone 352-9325 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address EMC Mortgage Corporation Day phone 7495 New Horizon Way, Frederick MD 21703 Elizabeth MacMullen REINW of Wasilla Day phone 352-9325 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. 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 Viegle-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 Onsite 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 Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box 102954, Anchorage, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 4/26108 Engineers Comments: In conducting an adequacy test, l attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & 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 Thcsc 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. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the NIOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE __J�f Approved for -5 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: LIZ, t% -(1f ( Original Certificate Date: Municipality of Anchorage Development Services Department ,.... ' Building Safety Division ° On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON—SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 2 McGowan 51D Parcel ID: osi-ooi-ai A. WELL DATA Well type E If A, B, or C provide PWSID # Fro m 0 a Date completed 718lig7ori Sanitary seal (YIN)Y Total depth 20* ft. Cased to 30• ft. (grand FROM WELL LOG \ Date of test Static water level Well production 9.13•m. WATER SAMPLE RESULTS: Well Log (YIN) N Wires properly protected (YM) Y Casing height (above ground) 24. in. AT INSPECTION _4125/2008 i4 ft. 0.4S g.p.m. Coliform o colonies/100 mL Nitrate o.2oo mg/L Other bacteria o colonies/100 r1L Arsenic: o ug/I Date of sample: 2008 Collected by: Steve Pannone B. SEPTICIHOLDING TANK DATA II Tank Type/Material Concrete Date installed :%0a '�r6ii1 oyl-5/k Frk, Tank size 2000 gal. Number of Compartments a Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YM) N High water alarm (YM) NIA :Date, of pumping 412412008 Pumper. JR'5 Pumping C. ABSORPTION FIELD DATA Date Installed 8 2 82 Soil rating (g.p.dJft2 orft2/bdrm),8; System type Trench Length 38' ft. Width c' ft. Gravel below pipe 2' ft. Total depth 6.6' ft. Eff. absorption area 27V ft2 Monitoring tube Yes Depression over field N Date of adequacy test Oirl2oo8 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth In absorption field before test 4ryA# in. Water addede4o gal. New depths in. Elapsed Time: L4Ao_ min. Final fluid depth ft in. Absorption rate >= &ro g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give date D. LIFT STATION II Date installed I Size in gallons MIA "Pump on" level at E. SEPARATION DISTANCES mp 0" Cycles test SEPARATION DISTANCES FROM WELL ON LOT TO: (YIN) High water alarm level at Meets alarm & circuit requirements? Septic tank/lift station on lot 851 C. � On adjacent lots %oo+ Absorption field on lot soo'+ Public sewer main ioo+ Sewer /septic service line ac+ Animal containment areas None On adjacent lots ioo+ Public sewer manhole/cleanout %oo+ Holding tank soo+ Manure/animal excrete storage areas None SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 30+ Property line zo+ Absorption field :<c+ Water main ioo+ Water service line 25+ Surface water loo+ Wells on adjacent lots soo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 3*' Building foundation es+ Water main %oo+ Water Service line 25+ Surface water ioo+ Driveway, parking/vehicle storage o' Curtain drain None Known Wells on adjacent lots ioo+ F. COMMENTS *Waiver granted 1112/47 300 601 tark(-51t,(0Re -F,oK is Wt. it ttcll� G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field Inspections and a '� review of Municipal records that the above systems are In _ conformance with MOA COSA guidelines in effect on this date. i -�....._................ ............ , /+1 stl V.q R. Ronncn. i Engineer's Printed Name Steven R. Pannone. P.E. • c t 0� '. No CE 8149 f Date th6/zoo8 �d w •.•�Z`:•• COSA Fee $ 4 V70 � Date of Payment 4 I qgb bp Receipt Number�b� (Rev. 11105) Waiver Fee $ _ Date of Payment Receipt Number in. 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.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval # 080113 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block , Lot 2 of McGowan subdivision, the well's productivity was determined to be 0.45 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. Municipality of Anchorage ' Development Services Department Building Safety Division s. et♦ On -Site Water & Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-091-31 HAA# fl�J 0 LA Z-) 1. GENERAL INFORMATION Expiration Date:/ .2 - 9-'0'3 Ik Complete legal description MCGOVO SUBDMSION: LOT 2 Location (site address or directions) 20633 SCENIC DRNE * CHUGIAK. AK 99567 Current Property owner(s) j Mailing address i Llending agency t Mailing address Real Estate Agent Mailing address NATHAN ELUOT Day phone 227-2915 8071 CLEARHAVEN DR* ANCHORAGE, AK* 99507 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 Day phone Day phone 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 further verify that based on the information obtained from the Municipality of Anchorage riles 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 ALASKA WATER do WASTEWATER CONSULTANTS, INC. Phone Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described 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 soils condition, groundwater 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKW WC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. 337-6179 Date S bob 173 Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other By: Original Certificate Date: 1� — O 3 (Rev. 12101) Municipality of Anchorage Development Services Department Building Safety Division OnSlte Water ,& Wastewater Program • A9 T 4700 South Bragaw St P.O. Box 196650 Anchorage. AK 99519.6650 www.ci.anchorege ek.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: McGOWEN SUBDIVISION,• LOT 2 Parcel ID: 051-091-31 A. WELL, DATA *PER PREVIOUS HEALTH AUTHORITY APPROVAL Well type PRIVATE If A. S. or C provide PWSID# N/A Well Log (YM) NO Date completed _LINK Sanitary seal (Y/N) YES Wires properly protected (Y/N) `ES Total depth •70 ft. Cased to `30 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 6/30/03 7 Static water level ft. 23 ft. Well production g.p,m. 0.93 g.p.m. WATER SAMPLE RESULTS: Collform 0 colonies/100 ml. Nitrate 0.1 mgJL. Other bacteria 5 colonies/100 ml. Arsenic: N/A mgJL. Date of sample: 6/30/03 Collected by: AWWC, INC. S. SEPTICIHOLDING TANK DATA Tank Type/Materlai CONCRETE Date installed 1963 Tank stze 1000. gal. Number of Compartments 5 Cleanouts (YM) YES Foundation cleanout (YM) YES_ Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping „6/30/2003 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA • Date installed 7/e/81 Soll rating (g.p.dJft16bdm) 85 System type TRENCH Length 38 ft. Width 5 ft. Gravel below pipe 2 ft. Total depth 6.4rt ft. Eff. absorption area 271 ft' Monitoring tube YES Depression over field NO Date of adequacy test 6/30/2003 Results (Pass/Fall) PASS For 3 bedrooms Fluid depth in absorption field before test8" in. Water added 650 gal. New depth 15.5 in. Elapsed Time: t 20 min. Final fluid depth 3_5 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) YES/TERRAL IFT It yes, give date5/29/2003 D. LIFT STATION Date installed Size in gallons "Pump on" level at in. High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES • GRANDFATHERED SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 85'+• Absorption field on lot 100'• Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout N/A Sewer /septic service line 252+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 50+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1000+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line •"3' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 0' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS a: wen" ai G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and ff * : review of Municipal records that the above systems are in """' "' """ "" ' conformance with MOA HAA guidelines in effect on this date. Engineer's Print Narpe JEFFREY A. GARNESS '�4p79�!•' Date 69 03 �M°PrOfastlOna HAA Fee $ 373 3 Waiver Fee $ Date of Payment t� " �2_ C Q 3 Date of Payment Receipt Number T �4 2 �p Receipt Number (Rev. I V01) 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.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Health Authority Approval # 030427 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block , Lot 2 of McGowen subdivision, the well's productivity was determined to be 0.93 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. 0 .y6'y'rr•'trw•'swi ,� 0 , a ►l ASBUILT SEWARD & ASSOCIATES LAND SURVEYING 694-0829 I HEREBY CERTIFY -THAT I HAVE SURVEYED THE SCALE, � r FOLLOWING DESCRIBED PROPERTY: /tea zp ,. Q ��F a A �Ie- dWo-E, �Y .roes laTZ DATE, .w Q� '�:9S' b AND THAT NO ENCROACHMENTS EXIST EXCEPT AS r��ZG : •'� t' °a INDICATED. 11' IS THE RESPONSIBILITY OF THE * gTH Tr OWNER TO DETERMINE THE EXISTENCE OF ANY GRIDS EASEMENTS, COVENANTS, OR RESTRICTIONS �/'v/�'•s> , sl:F••• ,.:.�. WHICH DO NOT APPEAR ON THE RECORDED SUBDI-•• Cven, M,rk 3ow#4 A VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' �1Q'•, 1S-0918 ,• ANY DATA HEREON BE USED FOR CONSTRUCTION d -r, as ��{�'�,� •....• �p OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN, ARY LINES. �� 'ay►�°f`O 08/19/2003 08:55 FAX GMG General Inc. General Contractors "Your Total Asphalt Service Company" Anchorage/Eagle River 349-7854 Mat -5u Valley 745-3438 FAX 349-8354 X001 CSair fft �'lj$'�(,, P.O. Box 230489 7j2_`'� 8000 Petersburg Street Anchorage, AK 99523 'MEMBER OF BBB CARE PROGRAM" Licensed/Bonded/Insured Contractors License No. 20774 Pmpnsal Submit cd Pbcoc Date o +/6--0 Strcel Mail Address Job Name npr 05:L3 0 caS;P/ Fe- O Pmpnunl a City. state, zip 2 j lob Location nC r �7'�1✓'E7 `O )eoL Scope of Work:' ` .J,X"f, 1•Ct� �1kyt� f6 C, Cee 55. xra1.4PIdA�1an 085 1 Lie / as 4 .vh4n) extauc,-L t�\5 eAJ 0'-rmllle-t �1 re. rto, $ food C $ PAYMENT DUE UPON COMPLETION Total $ J&46 Placing le" int carne A acphal l pavement on owner approved sub -grade. Price does not include any responsibility for ab-grstk or utility adjustment unless otherwise stociliel. Ccoifu is of insurance available upon regceat. Terms: 1.5% Service chane on balances over 10 days Acceptance of Pr :The ve prices attached, specification & conditions VISA, MASTER CARD, AND AMERICAN EXPRESS ACCErMTI are satisfactory and a hereby a e You are authorized to do the work as outlined. 25% Deposit required to:unrantee schedulinR• LATE PAY M E N IDS WARRANTY. Name of aalespers n: a Accepted by owner oa agent `JII. b -p Company: Connpanien are nquired by low to be limnsad and regulated by the Coolmator i State license Board. Any rptealiona eoruerning a codlranalnayia+t(emd 10 IV register of the band whose addrea is: Coara:lm's Slate License Bard, 3601 C Street, Anchomgc, Alaska All material is ruarantoed to be as spcdfiml. All work to be eompk:led in a worknwdiko manna according to the standard practices. Any altcrivion or deviation from above specifications involving extra cost will be executed only upon w ktcn order, and will become an extra charge over and above the euimne. All agreements contingent upon strikes, aecidcros or delays beyond our control. Our workers arc fully covered by Workmen's Compensation Insurance. ALL WORK IS GUARANTEED FOR ONE YEAR FROM DATE OF COMPLETION Sep 05 03 04:30p ■ ■0■ Brian Broderick Brion Broderick Prudential Vista Real Estate 42418 Street Anchorage, AK 99503 Phone: 907 273 7261 Fax: 907 273 7362 To: ��Wltilt�y 907-273-7362 From: 6,=e*edau' Brion Broderick Fax: 33$ -3d yI.D Date: Phone: Pages: ^ ;"�%J ✓�c.�2. .� � �"��._,t`.:� CEJ L, f,�, r� ►,�,�,� cry.. I 0 lr 33 .Sem �x�.c, p.1 Uj Brian Broderick Sep 05 03 04:30p Brian Broderick 9-20-1995 10sd2PM FROM SPARROWS 3445538 "SPARROWS" ELECTRIC INC. '7370 BULEN DRIVE ANCHORAGE, AK 99507 1 To PRUDENTIAL VISTA ATTN, SITYI.ENE 4241 B ST. ANCHORAGE, AK. 99503 907-273-7362 P•2 P. t P.O. Numbs( 20633 SCENIC... Onto lnvoiee 9/5/2003 IOOd Terms Due on receipt Qmuity Desaiptinn Ratc Amount FDC HIT LIST AND CHECK LIGHT IN•KTTCMN. LIGHT NEEDS TO BE REPLACED 2 4 -SQ. BOX SPECIAL 2.89 5.76 2 4 -SQ. BLANK 1.88 .1.76 3 1" ROMEX CONN. 1.23 3.69 10 1213 MC CABLE 0.89 8.90 4 MC CABLE CONN. 0.59 2.36 3 3/4" FL$X ALL. ' 0.62 1.86 2 314" FLEX CON. STRT 0.79 1.58 2 112" FLEX CON.STRT. 0.89 1.78 R 1/2" FLEX ALL. 0.59 4.72 2 1/2" ONEHOL£ STRAPS 0.39 0.78 1 SINGLE RECEP. RAISED COVER 2.89 2.89 1 DOUBLE RECEP, RAISED COVER 2.94 2.94 3 SPEC GRADE OUTLET 10.89 32.67 16 LR SCREWS M8-1" ST 0.10 1.60 1 G.F.C.I.OUTLET 14.87 14.87 1 BELL INUSE COVER 1 -GANG 27.89 27.99 1 BELL BOX 2 -GANG EXTENSION 19.78 19.78 10 314" EMT 0.38 3.80 2 314" EMT CON.DC 0.59 1.18 2 314" EMT ONEHOLE STRAPS 0.42 0.84 10 012- HHN • 0.27 2.70 20 TAN WIRENITI'S 0.17 3.40 2 1ASCREWS 1110-1" 0.38 0.76 2 GROUNDING BAR KITS 6.56 13.12 7.5 LABOR STRT: TME 65.00 487.50 PLEASE REMIT TO ABOVE ADDRESS WrM COPY Total $651.13 `s •,'by I � r +� ;' i,�,,�N_� �i.l�.l!�.lr(' �lXa+,lt!�R1E3FXiMtM■EI � �a� • '+•;�� '.��F:.`�fly.� rj y y%yi.�MV��ti,`�'� xYy.%�1Y��`I�iu, .J' � JJ ee>�im•!" 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' ■' �y'�•IG? �xtJ �El I -C=S I!f.tti'�i i'Cili�>fit lrC•Sihil x• SSP � --" im It -i1 ,,iWE( i�r�i�.tr.(.�)t%� ��.�I��.:�•.IIS:�1��•7�f�.(�).14:1aC?I�','R.X�];��itC•Xil.(�•XiI:,�T��t��-�.�1�C•1?:��>ra:!'aAk---�--, lo �C7i.�� "• ulii �l - - r�� oJJ171r��•11�1CAi}A�AII�,iiry.l:} � y �. , L 1 it .,. v. 11,_...; u '��i' •+, 1�-�t� �1:r�1 1 Or :'' d'�:�,� i�i�.�'��°�n��L.�?'1��7�'1�`,��,�a!r� r�°�_�?�e��`I:,i ,,��ir•��"��1.�.n'�n�'. I MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division. of Environmental Services go On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING1� Parcel I. D. # DSI - e 2' '� ' HAA # t' c1 q� cnkc1 1. GENERAL INFORMATION Complete legal description Lot 2;'McGowen Subdivision Location (site address or directions) 20633 Scenic Drive iak ` Property, owner John & Donna Matthews Day phone 688-3812 Mailing address P.O. sox 670975 Chugiak, AK 99567 Lending agency Alaska USA Fed. credit Union Day phone 786-2823 Attn:- Pam Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system, 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-029 (Rev. 1/91) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S & S ENGINEERING Name of Firm j7034 Eagle River LOOP Road No. 204 Phone 6" �� Address Eagle River,Alask 9577 ,e Engineer's signature Date G %.2 y l77 REQUEST YOU ISSUE A FULL HEALTH AUTHORITY APPROVAL AT THIS TIME. ALL REQUIRED WORK ON THE CONDITIONAL HAA DATED 3/11/97 HAS BEEN SATISFACTORILY COMPLETED. 6. DHHS SJGNATURE w/Approved for Disapproved. In Conditional approval for bedrooms. bedrooms, with the following stipulations: Note: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is suggested that periodic testing be performed to insure the wells continued suitability. Current nitrate concentration is 8.47 mg/1. EPA maximum concentration is 10.0 mg/1. 1e3 f tion c)n n'trates ;c available from the nn -cite Services Program, DHHS 343-4744. Additional G°omments CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employeesof DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev.1M) Back MOA#21 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN s&S� �Ineentnq R E C E I V E gBERTA. SOAFER, P.E. JUN 2 4 1997 91VIL 07)694-29E9RS June 23 1997 FAX (907) 694-1211 Municipality of Anchorage DePt. Health & Human Ser_yje. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Boc 196650 Anchorage, AK 99519 REFERENCE: Lot 2; McGowen Subdivision Request you issue a full Health Authority Approval (HAA) for the referenced property. A Conditional Health Authority Approval was issued on 3/11/97. All work required for the Conditional HAA has been completed. (see attached checksheet). If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/gk 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 N v Q �W Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division JUN Z4 I� 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 3M413- c p�4ty of Anchorage Dept. Health &Human Services H'teaalth Authority Approval Checklist Legal Description: Loam -7i U- \L L.., --7o SI t� Parcel I.D.: Q5- 1 1 3/ A. WELL DATA Well type� , o%a 1 oy M, If A, B, or C, attach ADEC letter. ADEC water system number "� y Log present (Ye �� Date completed 09, PRr_F rt, ;rteyi<. Total depth jr 7a Cased to °�3`�'= Casing height (above ground) Sanitary seal ON) FROM WELL LOG Date of test Static water level Well production g•p-m- WATER SAMPLE RESULTS: Wires properly protected3Y ) AT INSPECTION (W5"-91 Coliform Nitrate m 1 Other bacteria Date of sample: �v " j `� ��"`�� Collected by: S S �i��7y�• B. SEPTIC/HOLDING TANK DATA r" o Date installed Tank size C° Foundation cleanout (Y/N) 4 C oDate of Pumping WC. ABSORPTION FIELD DATA V Date installed Length Width Effective absorption area Date of adequacy test g.p.m. L—(nc>- " A oF-t,k-�,re-I fie_ 61,e>,,1v—,> , Number of Compartments Cleanouts (Y/N) _ Depression (Y/N) Pumper _ -Soil rating ftz/bdrm) High water alarm System type thickness below pipe Total depth / Monitoring Tube present (Y/N) Depression over field (Y/N) Results (Pass/Fail) For bedrooms Fluid depth in a rption field before test (in.); Immediately after_ gal. water added (in.): Fluid de (ins) Minutes later: Absorption rate = g.p.i Poxide treatment (past 12 months) (Y/N) If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at` Size in gallons "Pump on" level at* *Datum Cycles tested E. SEPARATION DISTANCES 7 SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer /septic service line_ SEPARATION DISTANCES FRO Foundation Water main/service SEPARATION D Property li Sura water urtain drain On adjacent lots adjacent lots "Pump off" level at* Public sewer manhole/cleanout Lift station OLDING TANK ON LOTTO: Property line Surface water/drainage ;E FROM ABSORPTION FIELD ON LOT TO: Building foundation F. ENGINEER'S CERTIFICATION Absorption field _ Wells on adjacent lots Water main/service line Driveway, parking/vehicle storage area —Wells on adjacent lots l certify that / have determined thru field inspections and review of Municipal in conformance with Mui linea on this date. in Signature Engineer's Name Date HAA Fee $ Date of Payment _ Receipt Number _ 72-026 (Rev. 3/96)' Waiver Fee $ Date of Payment Receipt Number ICKI I . WWAN. CE - 8801 AV are MUNICIPALITY OF ANCHORAGE • '� DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # �S��!' HAA # 1. GENERAL INFORMATION2�� C7cny Complete legal description Lot 2; McCowen Subdivision Location (site address or directions) 20633 Scenic Drive Chugiak, AI< Property owner_ John & Donna Matthews Day phone 688-3812 Mailing address= P.O. Box 670975 Chugiak, AK 99567 Lending agency Alaska USA Fed. Credit Union �� Day ,phone Mailing address_aC e' Ed Rooney Ill —)b ` Anant AdfIraGG Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 Day phone 786-2823 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx 4 _ Holding tankez Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/81) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Phone GI V - a -q 7 17034 Eagle River Loop Road No. 204 Address j Engineer's signature ' Date V 3 ( P7 REQUEST YOU.ISSUE A CONDITIONAL HEALTH AUTHORITY APPROVAL EXTEND WELL CASING AND RECONSTRUCT A NEW WELL HOUSE. NO LATER THAN 15 JUNE, 1997. 6. DHHS SIGNATURE Approved for bedrooms. TO PROVIDE WATER STORAGE,_ WORK TO�C1�'LETED �s r ru� .� R. ROBERT C. COWAN Q d CE -60301 r dA •r 4, Disapproved. XXXXx Conditional approval for three(3) bedrooms, with the following stipulations: Escrow monies to perform all work necessary to extend well casing. Monies to remain in escrow until -,final -;.approval is granted from this department. All work must be completed by June 15 1997'x'*Include (1) provide verification of reported well depth and casing depth. (2) perform well Additional Comments UTILITY EASEMENT ADVISORY: The wastewater disposal system serving this property is partially located within a utility easement' At aban n and re o at he e fisting on-site wastewater disposal system if the y vv Date .f. CAUTION . The t uniclpality of "Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only Upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev.1/81) Back MOA Y21 MUNICIPALITY OF ANCHORAGE ENYIRONMENTAL SERVICES DIYfS10N Municipality of Anchorage MAR 04 19 0* DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division RCEI v 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-474 Health Authority Approval Checklist Legal Description: Ler 2, Mc c G o Lj trf S�p Parcel I.D.: O 5 i- o 91 - 3,1 A. WELL DATA Well type Pr��\/ A -TE If A, B, or C, attach ADEC letter. ADEC water system number Log present (YO �0 Date completed - /�b /"t o Total depth 0-1 _ Cased to A Casing height (above ground) i"i1 /) iv - Sanitary Sanitary seal (Y/N) Y ri-.5 Wires properly protected (Y/N) w nom- w'v'>L'kwAf FROM WELL LOG Date of test Static water level Well production 9 -p.m WATER SAMPLE RESULTS: AT INSPECTION 2 - 13- a"1 Nei Coliform G Nitrate /. 3 C Other bacteria O ��y� l a'tIe of sample: 7 Collected by: _�_� �t � �-F-�-L ) L-7 B. SEPTIC/HOLDING TANK DATA Date installed _Tank size /000 Number of Compartments Z CleanoutsOJ) Y6s Foundation cleanout (Y/ No Depression (Yo o High water alarm (YN! /4r) Dateof.Pumping 2't�'�>_Pumper C. ABSORPTION FIELD DATA Date installed -7 �8�8 I Soil rating (g.p.d./ft2 o ft2/bdr 85 System type TRetJcrf Length -38 Width — 0 Gravel thickness below pipe �`! " _Total depth 6�' - Effective absorption area :2'71 Monitoring Tube present (Y)N) V45 Depression over field (YAM N a Date of adequacy test 2 --13-9_? Results as ail) PA -Sc For _ 3 bedrooms Fluid depth in absorption field before test (in.); 10 Immediately after Sw gal. water added (in.): (_7 Fluid depth / G" (ins) Minutes later: (0 Absorption rate = '/SD + g.p.d. Peroxide treatment (past 12 months) (YAV tAoa9 kJ -w0 If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at` Cycles E. SEPARATION DISTANCES Size in gallons "Pump on" level at* SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 87 CGRAaDChTHECGD) On adjacent lots Absorption field on lot Public sewer main Sewer /septic service line loop On adjacent lots 00 i+ 100, -f A Public sewer manhole/cleanout 25 I + Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 22' t: Property line 1(oI f Absorption Water main/service line to' -f- Surface water/drainage loo l -t Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line 3 / Building foundation yfo 1+ Water main/service line Surface water 1 00' -1 - Driveway, parking/vehicle storage area Curtain drain N /A Wells on adjacent lots F. ENGINEER'S CERTIFICATION f certify that i have determined thru field inspections and review of Municipal in conformance withM A uZZ-) es in effect on this date. Signature Engineer's Name Date V 3; HAA Fee $ z7 6b ' 0 Date of Payment n�/Z Receipt Number 72-026 (Rev. 3/96)* 1001+ rd,�he�kQ s are yC9 ♦N ..1 1.. ti0. if .. 1 JYiYI.. t.p -per ROBERT C. COWAN@ 1 Gi CE - 8801 .?aw tai U, •. • i ��J� Waiver Fee $ % / � Date of Payment ,i� • i Receipt Number NEAITH AUTHORITY APPROVALS SEWER 6 WATER AKIN EXTENSIONS SEWER WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION d PLOW TEST SITE PIANS ROAD DESIGN SOIL TEST PERCOIATION TEST STRUCTURAL d MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPUSAL. SYST EM DESIGN s&S� Ill1eeRll q WELL FLOW TEST DATA f ROBERT C. COWAN, P.E. ROBERTA. SHAFER, PE CIVIL ENGINEERS (907) 694.2979 FAX (907) 694-1211 CLIENT: (A kyr4vi s DATE: 2-(3-% '7 LEGAL DESCRIPTION: I -oT -z- WELL z WELL DEPTH: _�7! _ CASING DEPTH: DATE DRILLING COMPLETED: _ ._19toW DRILLER: otL MISC. QATA: CASING HEIGHT: A -I-R SANITARY SEAL: WIRES IN CONDUIT: T o GRADING O.K.: _ 730 jL BACTERIA AND NITRATE SAMPLES COLLECTED (date): TEST DATA: RESULTS: WELL CURB NTLY PRODUCES ,D GPM WITH A 1)tt -"DRAWDOWN TESTED BY: �Ga "_ FLOW RATE NOT GUARANTEED --SUBSEQUENT VARIATIONS CAN OCCUR. 17034 NORTHEAGLE EAGLE RIVER LOOP • SI IITE 204 • FAGI E RIVFR, AI AS KA9q577 METER PUMPING DEPTH TO -- CLOCK READING RATE WATER REMARKS TIME (GAL) (GPM) (FT) — SWI 1 J --� — -- C OCAL�r� — L1. RESULTS: WELL CURB NTLY PRODUCES ,D GPM WITH A 1)tt -"DRAWDOWN TESTED BY: �Ga "_ FLOW RATE NOT GUARANTEED --SUBSEQUENT VARIATIONS CAN OCCUR. 17034 NORTHEAGLE EAGLE RIVER LOOP • SI IITE 204 • FAGI E RIVFR, AI AS KA9q577 s&s\ �tn��nlnG February 24, 1997 ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL. SERVICES DIVtSIQN HEALTH AUTHORITY MUNICIPALITY OF ANCHORAGE MAR APPROVALS Department of Health and Human Services 0 4 1997 P.O. Box 196650 Anchorage, AK 99519 RE G E.1 V SEWER&WATER REFERENCE; Lot 2; McGowen Subdivision MAIN EXTENSIONS Due to winter conditions, request you issue a Conditional Health Authority Approval on the referenced property to provide water storage, extend well casing and reconstruct a new well house. All SEWER &WATER INSPECTION work to be completed no later than 15 June, 1997. Water storage is required due to the prospective buyer obtaining an FHA loan with a minimum requirement of 3 gallons per minute (gpm). ENGINEERING STUDIES The water storage tank is to be installed as a means of supplementing AND REPORTS production from the existing well. From the well flow test performed 2/13/97 it was determined that the well currently produces 1.0 gpm. The tank proposed for installation is a NORWESCO POLYETHYLENE WATER WELLINSPECTION STORAGE TANK - 300 gallon vertical an equivalent steel, galvanized &FLOW TEST steel, or aluminum storage tank (300 gallon minimum required). Tank selected for installation on this facility must be NSF approved for potable water. The pressurizing pump will be a , horse jet or centrifugal pump suitable under NSF testing for potable water and must SITE PLANS be installed on a platform of a minimum of 18" above the floor. All pressure switches or low water pump protectors must be installed 18" above the floor surface. ROADDESIGN Water samples were taken and tested for nitrates, coliform bacteria, and other bacteria. The results were satisfactory. The septic adequacy test performed verifies the septic absorption rate SOILTEST meets Municipal requirements for a three bedroom single family . residence (check sheet attached). The septic tank was pumped on February 10, 1997 by J.R. Pumping. PERCOLATION TEST If you require additional information, please contact us. Sincerely, STRUCTURAL& / MECHANICAL � zyz KJTL� INSPECTIONS 1/„J',I Robert C. Cowan, P.E. RCC/gk ONSITE ENCLOSURE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 oe* Municipality ®f Anchorage Department of Health and Human Services 825 "L" Street rtll� Rick Mystrom, Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 March 12, 1997 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 2 Mc Gowen Subdivision Waiver Request #WR970004, PID 4051-091-31, HA970069 Dear Mr. Cowan: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 3"feet from the leachfield to the property line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there are any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely James P. Williams nn -site Services ljw #7 Matthews MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR970004 _ PID# 051-091-31 HA# RA970069 Permit # Date Received: March 4, 1997 Legal Description: Lot 2 Mc Gowen Engineer: Robert C. Cowan, P.E., S & S Engineering _ 17034 Eagle River -Loop Road, Suite 204, Eagle River, Alaska 99577 Applicant: John & Donna Matthews _ Waiver Requested: Lot line waiver of -3 feet from the leachfield to the propert;z line Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special. Conditions: Points: Waiver is Granted: 1 Waiver is NOT Granted: List Conditions or Reasons for above: Rec #: 02641/5683 Amount: $_115,00 Date Paid: March 4. 1997 S & S� �rn��nrnG March 4, 1997 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 -- MUNICIPALITY OF ANGHOKAQIE SERVICES DIVISION ENVIRONMEKTAI HEALTHAUTHORITY APPROVALS MAR 0 4 1992 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services Box 196650 ��P.O. SEINER&WATER Anchorage, AK 99519 MAIN DCTENSIONS (� REFERENCE: Lot 2; McGowen SEWER&WATER Request you grant a waiver for the horizontal separation distance INSPECTION between the leachfield and the property line at three (3) feet. We do not anticipate any adverse effect on the adjacent properties. The property line is adjacent to Scenic Drive ENGINEERING STUDIES ANDREPORTS If you require additional information, please contact us. Sincerely, WELL INSPECTION &FLOWTEST Robert C. Cowan, P.E. SITE PLANS RCC/gk ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER. ALASKA 99577 4, Q 8 �0 6 . • 4 �Q 'C9�.I� Q i�� . Pb �• o ..d, A. h b1 ASBUILT S.EWARD & I HERM CERTIPY -THAT I HAVE SURVEYED THE SCALE, , FOLLOWING DESCRIBED PROPERTY: /rs Oro DATE AND Tt•IAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE x��,/ OWNER TO DETERMINE THE EXISTENCE OF ANY GRID' EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FBt ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN, ARY LINES. -0824 Ar Q, • . S�h4A or ` •• • Dvane MErk Sowcrd +• s; • � a� 1S-6918 `�•� AURORA.PROPERTIES TEL No.907-688-1310 Mar. 3,97 13:27 P.03 a ENSTAR r_�r February 24, 1997 ENSTAfi Nalural Gas Company AUlvrrON Vf FAGUIi tNHiCiv l:Urp'�u rnilVN 3000 S)rxiin'd Rung P.o 9ox 190268 Anchorage, Alaska 99519.0288 Aurora Properties Ms. Nancy Stahly ir.O, Box 671923 Chugiak, Alaska 99567 Dear Ms. Stahly: KNS11'AR Natural Gas Company has no objection to the sewer standpipe that encroaches into the utility easement. on Lot 2 of McGowen Subdivision. It you have any questions please call me at 2G4-3743, ve . truly %Yours, *1eerveJ.t Right -Of -way Agent AURORA.PROPERTIES 1'I I IM �.. '.i l'I it Qt_ i 1,.J11 TEL No.907-688-1310 Mar. 3197 13:26 P.02 Ma1.a1>Iuskz� /�el��pi>,�><lt� ASSOCJH "ion, 1110. P.O. DOX (f W PAL MER, ALAW,A 99045.3550 PHUNE (9DY) V45.96W Roal Eslale 9110 Plop®rlies Seolion. •� t •0D01748.9510 FAX (007) 7469946 HY11.Iu1411n11 /1.1111 r1111 •/N 11111I1J1n110 a 1111111111111,111//1111 6 111111111111.1 111.1. too NON-OBJi%CTION 7'O EASIRMUNT ENCItOACIIMENT D0CUM1eNT y this docttnte(11 Matlumska Telephone Association, lac. (MTA) declares thnl. it his no objection to the ac cnnant of the cancrvactunCnl an existing, sand pipe and fence feet withilt the utility easement along thr, west de of 1,01, 21 MCGOWEN SUBDIVISION, within Township 15 North, Range 1 West, flection 8, Seward leridian, Alaska. �.MWWB.yA:ttWpWAlklrMgWW4M'NMN4NW*{1dRWWA1*1M&9141M+11TT�T��1414��A�R1`�14W*W�WMM#'IF�1FW1�*I�IkWWWWp WekM4*WWh leaac be advised that MTA thiough the issuance; of this document does not foritit any of its rights to the use I• the. right of• wny cited, In the, exerelse of these rights MTA will, if needed, upgrade, maintain, repair, and/or +plricc bnied or aerial tcleconnnnunioatiotls facilities within the casement, Any repairs that may be required to le cntaoaclnnent o.5 a reGult of utility cons(ruclion will be borne by the proper1y owner of record. This ocsument does not authorize the plslcement of any additional encroachments within the casement area. document is, ht no way, an agreement to vacate any portion of the right of way and should not be acted as such, for Mr+taauska Telcphonc Association, In,,. this 28th duly February 1997 by, (•../_, Real 1-s stale and Propertlos Supervisor 'I'H[s 11,4 TO CERTIFY, that oil this 28th day of February, 1997 before me the undersigned, a Notary Public in and for the State of Alaska, duly connlnissionod and sworn ns such, personally appc,trod UVOW Glenn known to me and W me known) to be the individual named in and who executed the foregoing instrumealt and acknowla(Itted to me thal she slened and sealed the same as it voluntary act and decd for the uses and purposes therein mentioned. IN WITNESS W111?RI30F, I ln;rvc hereunto set my hand and official seal the day and year first above written. GRANTORS AI.)DRFSS: Please Ret"rn to, Mntanuckn Telcph.one Association, Inc. 1Zea)17stale and Properties Section Box 1,550 Pa)mer, Alaska 99645 Nolary Pbli uc in and for - My comnlisMon expires; GRANTIWS ADDRESS; John W. Matthews & Sandra A. Bartorillu P.O. Box 670975 Chugiak, AK 99567 AURORA.PROPERTIES TEL No.907-688-1310 Mar. 3.97 13:27 P.04 FT I IF A HU Lkl., i STATEMENT OF NON-O13JECTION FOR ENCROACHMENT WITHIN tjiTILITY EASEMENT Matanuska Electric Association, Inc. (MEA) hes no objection with the location of a IwpTI JgTANlPW_E within the utility i3esement along the WF, Sy boundary of the following property; I_ot 2, MCCOWEN SUBDIVISION, ac4ording to plat #67-Q45, Anchorage Recording District, Third Judicial Distriet, Staw of Alaska. TIS N, R1W, Sec 6 This non -objection is conditioned by the stipulation that MEA will be held harmless from any and all damages to the encroachment that may result From the existing and future use of Said oasernent. Matanuska Electric; Asso fation, Inc. 13y:_ visak r _G- General Manager or is Represe tative _ February 26.1997,_, Date MEA At:KNOWLE.DGMENT sTATE OF ALASKA ) THIRD JUDICIAL DISTRICT ) I IIV Iwr yawns - -- r.-...._..._ .. y,. Eft bru .ryL,19997ertnxiohm.- M' W OWS ORWANONOW2.00T Notary Public for the State of Alaska My commission expires: NOTARY PUBUC PATRICIA A. MCROREM $TATE OF NASKA Cl IL rs. Lo 5. LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE (/��° / J� DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT poNN LAS - - 825 L Street - Anchorage, Alaska 99501 MUNICIPALITY OF ANCHORAGE DL -PT. OF h,EAL'(ii & IRONMENTAL P:i>TECTION 0* ENVIRONMENTAL ENGINEERING DIVISIONV. Telephone 264.4720 Utile REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE E A ES AR - - DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER PHONE Richard M. & Kay Larkin 688-3119 MAILING ADDRESS General Delivery Chugiak Alaska 99567 PROPERTY RESIDENT (If different from above) - - PHONE Lot 2 Mc Gowen Sub. -- X1 INDIVIDUAL* 87' 2. BUYER - PHONE - John Mathews & Sandy Bartrillo 694-9225 MAILING ADDRESS - - P.O.B. 1324 Eagle River Alaska 3. LENDING INSTITUTION PHONE AHFC F" ��.,, b Age, V, `� ❑ PUBLIC UTILITY MAILING ADDRESS C_Yao� SG�r.>'p 4. REALTOR/AGENT - - - - - PHONE Kathy Geraci 694-9125 MAILING ADDRESS P.O.B. 633 Eagle River Alaska 99577 5. LEGAL DESCRIPTION Lot 2 Mc Gowen Sub. STREET LOCATION Mc Gowen St. 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ;EI SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY IM Three ❑ Six 7. WATER SUPPLY X1 INDIVIDUAL* 87' *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY_ depth (attach log if available.) B. SEWAGE DISPOSAL SYSTEM _ in 11/79 � INDIVIDUAL/ON-SITE** **upgraded Ifindividual/on-site, give Installation date -8__. If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. U � ^n n �T C a -L M-po r _ G w.A 4-`--u. qd E (,,SJV Gera 14-QQ, c I THIS SIDE FOR OFFICIAL USE ONLY - INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL 7 0• DATE DRILLED 6 LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER 1 ❑Septic Tank or ❑ Holding Tank Size: /0 063 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTUELER - E TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: -Septic/Holding Tank - Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS tyJ"APPROVED FOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY (Titl LEGAL DESCRIPTION 72-010 (Rev. 3/78) t CL J0 4 i DFF _ f villi%j I I'I iki.TI; aI_-i:i:;.• June 17, 1981 Richard Mt.,/Kay Larkin General. Dc--�livery Chugi_ak, Alaska 995.0-7 Subject:: Lot 2 Mc Gowen Subdivision Before an approval_ may be cri-anted to !:Ah(-, lending ctgency, 1 -he following items will need to be completed: (l.) Locate the well and sewer system sei. -vincj "-.he tr.ai.le?r directly behind you. We than can dei:ormi le i_ they meet the protective radius r_equ.r.ements bet.ween a water supply and an on-sil::e sewer system, If 1 -hey are the proper distance away, tau fol;.owinq wi.l.l need to be comp eted: (a) Install a cleanout: to the sepLic- tan], (b) The sept-ic tank pumped with a receipt subrni.tted to this office. (c) An adequacy test needs to be performed on they existing leaching area. This test: will determine if the system is adequate according to National Standards. A .-Listing of private fiL-111s performing the test is enclosed. 'Phis report needs to be S Llt)1➢ jA-Led to this office for- our review. (2) If Lhe sewer and wager supply are wi,thii') the protective radius, then one or possibly both systems would need to be relocated. if your well or sewer needs to be relocated, a permit wi_11 need to be obtained from this office. Pr-ior to a sewer X'T"I t]. t. being .issued., a soils :e„f: will need to be obtained so 'that a new system can be designed. If there are any further quest:.i.ons, please call this office at 264-•472.0. Sincerely, Rober_L C. Pratt, R.S. Associate Special.isL 4fq TgAYOiAGL ASfA S`F ay, u s LeiD GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 5/21 Time of Inspection 10:00 �m Date of Inspection —5 LV 4 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Alaska sank of, Comim rre Mailing Address: 3purti 7012 An rage Phone: 27g_�- pYr 21 2. Property Owner: Ronald Schwiger Phone: 333,0176 _ Mailing Address: 3. Legal Description: ice• 2. N1cGnwan S��j��i�10Y1 __ 4. Location: North Birchwo d (Loon Read — 5. Type of facility to be inspected ale Family No. of bedrooms 3 _ 6. Well Data: A. Type Drilled B. Depth 87' C. Construction Above Ground Well House D. Bacterial Analysis Satisfactory 7. Sewage Disposal System: A. Installed 1963 B. Installer Self C. Septic Tank: 1. Size 1000ag llons 2. Manufacturer Mc Gowan - D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank 801 ._, Absorption area Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank , Absorption area 20' C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages Page 2 of two pages - Req--,st for Approval of Individual 5,.,ver & Water Facilities Legal Description Lot 2 Mc Gowen Subdivision Comments Disapproved Date 6/5/74 Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date rfi REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) _ Name .of person requesting approval. V 2, Name of propertyr owner gal descri do --'Z (J� 3. Le p �� 4, Number of ,bedrooms in house A0 Cr y+ "L �,A> \� C 5. Water, --Analysis: a. Bacterial b. Detergent , M 6, Well data: a. Type Vlc% L f cep �. b. Depth-- c. Casing Size d, Distance from well to closest existing or prop 4v 1, Sewer line yI 1 2, Septic tank- ,lY 3. Seepage Areaol`j 4. Cesspool' \ 5. Property Line 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc, , 7. Sewage disposal system, a. Age of system �� 2 -AIW , b. Septic tank capacity in gallons c. Name of septic tank manufacturer - C7n ,. I. If "home made" show diagram on r v rse-side)of this form. d: Disposal, field or seepage pit size and type_ 1. Distance to property -line_ ---Y to house foundation `'ls? e. Percalation Test results f. Percolation Test performed by Use the reverse.side of this form to he following information: property `13eptic tank location, disposal area an� direction of ground slope. 9. The Information.on this form is true show diagram. Diagram should include lines; -well location, house location, location, location of percolation test, and correct to the best of my knowledge. S Fna.ture of Applicant Date M--ned 0 TO BE FILLED OUT BY HEAL'T'H DEPARTMENT PERSONNEL =-The above described sanitary facilities are hereby approved, subject to the ".following condi-tions: Conditions: The above described sanitary facilities are disapproved for the following reasons: CPJ:cw 0 � July 170 1910 Vc;t2ranns Administration P.O. box 1399 A nchoraLu, Alaska 99501 SUBJECT: SOWCr and Water facilities for Houser oil Lot Z, h;#:(3owen : ubolvisioil Dear `Sirs: At this ruquctst of air. Lyle E. Joiarsoal, an iasj�ecti.on was waac!c, of: the sewer and water facilities for the subject hawse. 'DIV suF:rr systen consists of: a septic tank and drain ficl(i which !;tvm this Department's approval. In tilt L110 toll) Of the well c:asiini, is located in ai y;i.t, tfif ill' Kill& well docs ►lot p-t(,cat tilts Departr»ont's ai+irrcwaal. 3ilci lollowiii;•, i.ri,trovc;i±tents to W)v wV11 [+lust bo done in order to insure a potable water supply: 1.. l xtund titc well casing 11" alb= trio, surface of the i round. 2. Bacifill the well pit with air:polvious soil. 1. A tCrQ.iEaif ing altoraLions. marc: cciiplutc, sanitize thv W011. Call this Departirc iat: for information on well sa"itizativu if needed. 4, Install as sanitary seal on toil of tho well ciasi.nt. when the a bovo i.irTprclvvt4ilts have bvuia r3aasic, 23mthcr insptactiol, of the well will be wheduled. for Information or assistance, please contract this ON= siacorely, CLIFIDko V. JUDNINSI R,6, Au'll-i.liistratalvo Wroctor by: w'f1r( .'j. l a3Fit;Wlll Sanitarian n cc: Lyle h. Juhnsoll David r Associates