HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 4A LT 3Lake Ridge
Terrace
Block 4A
Lot 3
#051-321-03
Municipality of Anchorage
On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 1
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP 211220 PID Number: 051 321 03
Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade
Name
HARDY
ABSORPTION FIELD
❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
14647 TERRACE
❑ Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
4
0.8 GPD/SF
JTotal
6.9 Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
2.7 Ft.
Gravel depth beneath pipe
4.2 Ft.
Subdivision Block Lot
LAKE RIDGE TERRACE B4A LOT 3
Fill added above original grade
2.2 Ft.
Gravel length
75 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
Distance between lines
- Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
7550 Fe
1
- Ft.
Well
+100
+100
-
-
+25
TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
GREER
Capacity
1250 Gal.
Surface Water
+100
+100
_
_
Material
Number of compartments
Lot Line
+10
+10
-
-
NA
PLASTIC
2
Foundation
+10
+10
-
_
LIFT STATION
Manufacturer
Capacity
Remarks OLD TANK AND CRIB
-
_ Gal.
DEMOLISHED PER MOA REQUIREMENTS
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tankto
drainfield 3034
GUARANTEED SVCS
Drainfield 3034 CO/MT3034
Inspector C.BALZARINI
BENCH MARK (Assumed elevation) 100 It
Inspection 15` 7/27/21 7/28/21
Location and description
2nd
3`° 7/29/21 4`h
TANK L I D
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
\
�~ OF AL �k,
Conditional Approval: Date
,al..::7.:
•�
��j• .
Septic System
ApprovedW a Date '0 a0.2 f
r.HARLES G BALZARIUI
r . �,
}�•CE-13854 ��
�PROFESS1*
Note: this approval does not include well permit requirements.
kI uv vuwz/ IOf
EXISTING WELL
4 BR HOMEDRIVEWAY
DOUBLE CLEANOUTSTERRACE LANENEW 1250 GALLON POLY TANK
W/ INSULATED RISER AT FIRST CHAMBER
INSTALL PER MOA AND MANUF'R
REQUIREMENTS
DOUBLE CLEANOUTS
12 (IMG
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11 (I
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C
NEW 5X75X4' EFFECTIVE
DRAINFIELD
D E
F G H
I
J
K L
B
A
APPROX.
PERC LOCATION
BM:+100.0' TANK LID
95'
88.1
92.3 INVERT
FINISHED
GRADE
4' EFFECTIVE SEWER ROCK
FILTER FABRIC
4"Ø DISTRIBUTION PIPE
ORIG. GRADE
MONITOR TUBE
97.2
4.4'
COVER
NO GWT (7/28/21)
TESTHOLE 1
88.1
82SCHEMATIC PROFILE VIEW SHOWS ELEVATIONS OF INSPECTED
ELEMENTS BUT DOES NOT DEPICT SYSTEM IN ITS ENTIRETY.
INSPECTION FOR GENERAL CONFORMANCE TO DESIGN AND MOA
REQUIREMENTS ONLY.
95.195.3
SCHEMATIC PROFILE VIEW SHOWS ELEVATIONS OF INSPECTED
ELEMENTS BUT DOES NOT DEPICT SYSTEM IN ITS ENTIRETY.
INSPECTION FOR GENERAL CONFORMANCE TO DESIGN AND MOA
REQUIREMENTS ONLY.
99.3
3.6' COVER
SEPTIC TANK
95
100
90.3
2" BURIAL
RATED INSULATION
OVER TANK
CHARLES G BALZARINI
CE-13854R
E
G
ISTEREDPROFE S S I O N A LENGINEERLEGEND
CLEANOUT
MONITOR TUBE
TEST HOLE
C&M ENGINEERING SERVICES
907-854-5558
SEPTIC RECORD DRAWING
LEGAL DESCRIPTION: LAKE RIDGE TERRACE B4A L3
OWNER: HARDY DATE:9/21/21 REV: 1 DRAWN: CB REF:
PLAN - SCALE: 1" = 30'
SCHEMATIC ELEVATION - SCALE: NTS
10/11/21
3-13/16
3-13/16
3-12/16
LOT 2
LOT 4
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TE
WL=45.38R=200.00S38° 55' 00"W 95.00
N74°
4
9
'
0
0
"
W
2
9
6
.
1
7
S15° 46' 40"W 125.00N75° 4
0
'
5
0
"
W
3
4
6
.
5
6EDGE OF PAVEMENT℄ TERRACE LANE52.5' TRANSMISSION LINE ESMT.10' UTIL. ESMT.PA
V
E
D
D
R
I
V
E
W
A
Y
GRAVEL DRIVEWAY
3
0
.
0
R
.
O
.W
.
SHEDS
100 ' WE L L R A D I U S
G
E 1.94.531.710
.
2 12.38.
312.122.3SEE DETAIL "A"
DETAIL "A"
SCALE: 1" = 25'
9
8
.
5
Lot 3, Block 4A
Lake Ridge Terrace Subdivision
41,220 Sq. Ft. +/-
14647 Terrace Lane
2 Story Wood Frame House
With Attached 2 Car Garage
S SCS S SS
SS
SS
37
.
720.52.
0 20.45.
0 23.222
.
2
22.615
.
4
20.63.
0
20.95.
8
2.02.07.
1
PROFESSIONAL SEAL
Date:Frontier Surveys, LLC Project No:
650 W. 58th Ave. Suite E Anchorage, Alaska 99518
As-Built Survey of:
www.frontiersurveys.com
Frontier Surveys, LLC
I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on
Plat:Grid:Ordered By:
907.460.1686 - info@frontiersurveys.com
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
September 15th, 2021.
Legend:
Scale 1" = 50'
Gas Meter
Electric Meter/Outside Power
Deck
Septic
Fence
Overhead Utility
Lot 3, Block 4A Lake Ridge Terrace Subdivision
General Notes:
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey.
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
Charles Balzarini
21-283 9/16/2021
71-293 0553
E Elec. PedestalWater Well
Tel. Pedestal
Concrete
STA T E O F ALA
S
K
A49 TH
ROYEVRUSDNALLANOISSEFORP
DERE
T
S
IGER Pierre M. Stragier
NO. LS-9812
9/16/2021
G
E
S
[T
W SC Septic Tank Riser
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
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP211220
Work Type: Septic Upgrade
Tax Code Number: 05132103000
Site Legal Address: LAKE RIDGE TERRACE BLK 4A LT 3 G:0553
Site Mailing Address: 14647 TERRACE LN, Eagle River
Owner: HARDY BRYAN KEITH &
Design Engineer: C&M ENGINEERING SERVICES
This permit is for the construction of:
Effective Date:
Expiration Date
Lot Size in Sq Ft:
Total Bedrooms:
�otr e n, t
Department
6/22/2021
6/22/2022
41220
Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80)
3. The wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Special Provisions: A portion of the primary and reserve drainfield are outside the 30 ft radius of a percolation
test. An additional percolation test is required at time of construction to verify application rate on south side of
fields. If results require a design change, construction shall stop pending Onsite review and approval of a
change order. Please submit results with inspection report (or change order, if required).
Received By: Date: /
Issued By:Date: 1200
M
MUMUPALITY OF ANCHORAGE
Ad -
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
ON-SITE SEPTICM/ELL PERMIT APPLICATION
03
Parcel I.D. 051 321.X
Property owner(s) HARDY
Mailing address
Site address 14647 TERRACE
Day phone
Legal description (Sub'd., Block & Lot) LAKE RIDGE TERRACE B 4A L3
Legal description (Township, Range & Section)
Lot Size 41220 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field
0
Initial ❑
Single Family (SF)
❑
ADU)
Septic Tank
0
Upgrade ED(w/wo
Duplex
❑
(D)
Holding Tank
ElRenewal
ElMultiple
Dwellings
❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION
INCLUDES
A WAIVER REQUEST FOR:
none
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
C&M ENGINEERING
(Signature of property owner or authorized agent)
Permit/Rush Fees: a,51 5
Date of Payment:
Receipt Number: 09360D
Permit No. 059 a 112 �)_ o
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
C&M ENGINEERING SERVICES
Ph: 907-854-5558
Municipality of Anchorage
Onsite Water & Wastewater Program
4700 Elmore Rd Anchorage, Ak 99507
RE: Proposed Septic System for LAKE RIDGE TERRACE B4A L3
Dear Reviewer,
The above referenced property is currently served by an older failing and undersized septic system.
The owner wishes to install a new 4-bedroom septic system.
Our review of available documentation and field investigation show that this project will not adversely
impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing
onto and off of the subject property.
A testhole will be excavated during or prior to construction to verify that the soil conditions identified on
the historic soils log are accurate. In the event of changed conditions, we will contact the department with
an amended design.
Included with this letter is a permit application and design package, including plans, specifications,
calculations.
Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854-
5558 or by email cgbalzarini@gmail.com with any questions or concerns.
Sincerely,
Charles Balzarini, PE
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211220, Rebecca Carroll, 06/22/21
Residence:
number of bedrooms 4 br
Water usage/bedroom 150 gpd/br
Water Usage 600 gpd
system type: CONVENTIONAL
type: SHALLOW TRENCH
Application Rate
0.8
gpd/sqft
required absorption area 750 sqft
trench width (W) 5 ft
gravel depth (D) 4 ft below distribution pipe
Min Required Length: 75 ft
Total Excavation Depth: 7 ft
Cover 3'+ or 2' min plus insulation
Effluent Pipe:
Calc By: CGB Date: 6/1/2021
C&M ENGINEERING SERVICES
907-854-5558
Septic Design Calculations
Lake Ridge Terrace B4A L3
RESIDENCE/LOT INFO
DRAINFIELD
4" ASTM 3034
**DIMENSIONS FOR REFERENCE ONLY. SEE PLANS FOR DIMENSTIONS TO BE USED IN CONSTRUCTION**
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211220, Rebecca Carroll, 06/22/21
t
N
o
I
I
LAKE RIDGE TERRACE B4A L2 /
�Q- NEIGHBORING WELL \SE�IC FLAG RADIUS PRIOR
TO CONSTRUCTION
\ \ NEW 1250 GALLON POLY TANK
\ W/I NSULATED RISER AT FIRST CHAMBER
INSTALL PER MOA AND MANUF'R
REQUIREMENTS NEIGHBOR
DOUBLE CLEANO, UUTSS
I/ DOUBLE CLEANOUTS TESTHOLEI
/ DRIVEWAY / 4 BR HOME NEW 5x75x4'EFFECTIVE
EXI NG WELL DRANFIELD 7'
O MAX IEX D PTH ADJUST
TO MATCH CONTOURS
NEW 5X75 RESERVE
\ SITE
LAKE RIDGE TEF2RACE B4A L3 DEMOLISH OLD CRIB
DEMOLISH OLD TANK PER %
MOA REQUIREMENTS
1'CONTOURS
\ LAKE RIDGE TERRACE jA L4
\ / I NEIGHBORING SEPTIC \\
O
O
O
O
SEE SITEPLAN FOR DETAILS
C&M ENGINEERING SERVICES
907-854-5558
LEGAL DESCRIPTION: LAKE RIDGE TERRACE BLOCK 4A LOT 3
OWNER: STONE DATE: 6/10/21 1 REV: 0 1 DRAWN: CB I REF:
AREA PLAN
LEGEND
Q CLEANOUT
0 MONITOR TUBE
NOTE:
THE PROPOSED SEPTIC SYSTEM MUST
BE INSTALLED GREATER THAN:
100' FROM ANY PRIVATE WELLS
200' FROM ANY PUBLIC WELLS
100' FROM ANY SURFACE WATER
10' TO THE PROPERTY LINE
5' TO ANY TEST HOLES
10' TO THE HOUSE FOUNDATION
i
N
LAKE RIDGE TERRACE 134A L2
NEW 1250 GALLON POLY TANK
W/ INSULATED RISER AT FIRST CHAMBER
INSTALL PER MOA AND MANUF'R
\ REQUIREMENTS
DOUBLE
EANOUTS
,'�FpVED FOR C "f
fir, Co 0.S P211220,
CHARLES G BALZARINI
�+��'F��•. CE -13854 .•��`��
J j� • . , 6/5/21 • . • •��� r
�ll1F�PROFESSI�NP1-
NEIGHBORING WELL / O
FLAG RADIUS PRIOR /
TO CONSTRUCTION
/ NEIGHBORING SEPTIC
4 BR HOME
EXIS NG WELL
O
LAKE RIDGE TERRACE 134A L3 / DEMOLISH OLD CRIB
DEMOLISH OLD TANK PER
MOA REQUIREMENTS
LAKE RIDGE TERRACE 4A'L4
I
O
I*]
1'CONTOURS
NEIGHBORING SEPTIC
DOUBLE CLEANOUTS
TESTHOLE1
NEW 5X75X4' EFFECTIVE
DRAINFIELD 7'
MAX EX DEPTH ADJUST
TO MATCH CONTOURS
NEW 5X75 RESERVE
SITE
C&M ENGINEERING SERVICES
907-854-5558
LEGAL DESCRIPTION: LAKE RIDGE TERRACE BLOCK 4A LOT 3
OWNER:STONE DATE: 6/10/21 1 REV: 0 1 DRAWN: CB I REF:
SITE PLAN
Municipality of Anchorage
Development Services Department
On -Site Water and Wastewater Section
r 4700 Elmore St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
Soils Log - Percolation Test
Performed For: HARDY
Legal Description: LAKE RIDGE TERRACE 134A LOT 3
Depth
(Feet)
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Slope
111111110=0111111
SM
FINE SAND
WITH SILT
niapality of Anchorage
X11\ w er and Wastewater
.�kbPE CONPLJANCE
:A, • G I N oll, 06/22/21
co
TH j ••*
./ .. ,_....
CHARLES G BALZARIUr
6 • CE -13854 • . •��`��/�
li1j��PROFESSIONP�Aw
Date Performed: 05/25/21
Township, Range, Section:
WAS GROUND WATER
DATE
GROSS TI ME
ENCOUNTERED?
NO
NET DROP
1
1
6/8/2021
S
DENSE IF YES, AT WHAT DEPTH?
NA
0
Depth to Water After
12:06
P
Monitoring?
None
E
Date:
6/9/21
6
BOH
Site Plan
READING
DATE
GROSS TI ME
N ET TI ME
DEPTH TO WATER
NET DROP
1
1
6/8/2021
11:36
0
6
0
2
12:06
30
9-2/16
3-2/16
3
12:07
0
6
0
4
12:37
30
9-3/16
3-3/16
5
12:38
0
6
0
6
1:0830
9-2/16
3-2/16
7
1:09
0
6
0
8
1:39
30
9-2/16
3-2/16
PERCOLATION RATE 10 (minutes/inch) PERC HOLE DIAMETER 6"
TEST RUN BETWEEN 4 FT AND 5 FT
COMMENTS PRE-SOAKED PRIOR TO TEST. TEST PERFORMED IN ACCORDANCE WITH MOA REQUIREMENTS
PERFORMED BY: CHARLES BALZARINI I CHARLES BALZARINI CERTIFY THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 05/25/21
LOT 2
LOT 4
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TE
W
S SL=45.38R=200.00S38° 55' 00"W 95.00
N74°
4
9
'
0
0
"
W
2
9
6
.
1
7
S15° 46' 40"W 125.00N75°
4
0
'
5
0
"
W
3
4
6
.
5
6EDGE OF PAVEMENT℄ TERRACE LANE52.5' TRANSMISSION LINE ESMT.10' UTIL. ESMT.PA
V
E
D
D
R
I
V
E
W
A
Y
GRAVEL DRIVEWAY
3
0
.
0
R
.
O
.W
.
SHEDS
100 ' WE L L R A D I U S
G
E 1.94.531.710
.
2 12.38.
312.122.3SEE DETAIL "A"
DETAIL "A"
SCALE: 1" = 25'
9
8
.
5
Lot 3, Block 4A
Lake Ridge Terrace Subdivision
41,220 Sq. Ft. +/-
14647 Terrace Lane
2 Story Wood Frame House
With Attached 2 Car Garage
37
.
720.52.
0 20.45.
0 23.222
.
2
22.615
.
4
20.63.
0
20.95.
8
2.02.07.
1
PROFESSIONAL SEAL
Date:Frontier Surveys, LLC Project No:
650 W. 58th Ave. Suite E Anchorage, Alaska 99518
As-Built Survey of:
www.frontiersurveys.com
Frontier Surveys, LLC
I, Pierre Stragier, hereby certify that this Mortgage Inspection Survey was performed by me, or
under my direct supervision on
Plat:Grid:Ordered By:
907.460.1686 - info@frontiersurveys.com
This survey complies with the ASPLS Mortgage Location Standards. The survey represents visible improvements and
conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any
inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the
existence of any easements, covenants, or restriction which do no appear on the record plat. Under no circumstances
should this document be used for construction or for establishing a boundary or fence line.
May 5th, 2021.
Legend:
Scale 1" = 50'
Gas Meter
Electric Meter/Outside Power
Deck
Septic
Fence
Overhead Utility
Lot 3, Block 4A Lake Ridge Terrace Subdivision
General Notes:
1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Laws.
2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey.
3. All measurements/setbacks are to the visual/apparent building footprint.
4. All dimensions to property lines are plus/minus 0.1ft.
Charles Balzarini
21-283 5/11/2021
71-293 0553
E Elec. PedestalWater Well
Tel. Pedestal
Concrete
STA T E O F ALA
S
K
A49 TH
ROYEVRUSDNALLANOISSEFORP
DERE
T
S
IGER Pierre M. Stragier
NO. LS-9812
5/11/2021
G
E
S
[T
W
�a GREA, 'R ANCHORAGE AREA BORC'``GH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
�jINSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME 9" MAILING ADDRESS PHONE
LOCATION LEGAL DESCRIPTION G / S/A lav, V4(oot re*a[e -
i
SEPTIC TANK:
DISTANCE Sfeei COMPARTMENTS
NUMBER OF
FROM WELL MANUFACTURER MATERIAL
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /Oviv GALLONS.
SEEPAGE PIT:
NUMBER OF PITS i DIAMETER ! OR WIDTH C LENGTHC DEPTH &/
L / f6
LINING MATERIAL CRIB SIZE: DIAMETER DISTANCE FROM: WELL
TOTAL EFFECTIVE
BUILDING FOUNDATION_1_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) Viz SQ. FT.
ADDITIONAL ABSORPTION
WELL:
TYPE
BUILDING
FOUNDATION
CESSPOOL
APPROVED
DISTANCES:
INSTALLED BY:
PIPE nMATERIAL:
apt molt
REMARKS:
_CONSTRUCTION
NEAREST
LOT LINE
OTHER SOURCES
DISAPPROVED
NEAREST
SEWER LINE
REMA
DEPTH
SEPTIC
TANK_
DIAGRAM OF SYSTEM
DISTANCE FROM:
SEEPAGE
SYSTEM
DATE ' / '-i APPROVE%�/ �t I
G.A.A.B.
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM ® APPLICATION AND PERMIT
NAME OF APPLICANT MAILING ADDRESS
INSTALLATION LOCATION
LEGAL DESCRIPTION
INSTALLATION OF: SEPTIC TANK SEEPAGE
EPAGE PIT
TYPE AND SIZE OF FACILITY TO BE SERVED y�
PERMIT NO.
PHONE
IELD OTHER
o
FINANCED THROUGH TO BE INSTAL ED BY
SOIL TEST RESULTS 4i NOTE: '[HIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE®�® TYPE
vV Y
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
P
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK
TO NEAREST LOT LINE.
D
SEEPAGE PIT DRAIN FIELD
WELL TO SEPTIC TANK �® f
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
_ SEEPAGE AREA SIZE
SEEPAGE PIT /m r
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
SEPTIC TANK, SEEPAGE PIT®� DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INT[1 aNn_n �T �+� Tn n,K AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON-S-LEELON EJ2F-SOPTIC TANK AND SEEPAGE -PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
G.A.A.S.
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE
DESCRI P.�EDSTEtS�IN ACCORDANCE WITH SAID CODE. 111%Z -Y/l
DATE , 'J['I APPLICANT'S SIGNATURE ��
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" Street
ANCHORAGE, ALASKA 99503
Case #
a 71 Q 0""_'
Performed For WLItry ji% ey Dated Performed�7- 97--9-2.3
Legal Description: Lo Blo A Subdivision
This Form Reports Soils Log Percolation Test
- Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Depth
Feet Soil Characteristics
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
12-
13-
14—
Was Ground Water Encountered? 00
If Yes, At What Depth?
Reading Date Gross Time Net Time Depth to H2O Net Drop
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field
Depth of Inlet Depth to Bottom of Pit or Trench
COMMENTS:
Test Performed BY- -Date Date Certified BY:
Date:
UH CC FAN LI7 k! 0F If HCH0RA EE
Development Services Department f „ Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval
Parcel I.D. 051 321 Q"j
1. GENERAL INFORMATION
Expiration Date: deo oC�
Complete legal description Lake Ridge Terrace 134A L3
Location (site address) 14647 Terrace
Current property owner(s) Hardy
Mailing address
Real estate agent
2. TYPE OF DWELLING:
0 Single Family (w/ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
Day phone
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Private Well
0
Private Septic
0
Water Storage
❑
Holding Tank
❑
Community Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
Waiver request for: NONE Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 2�6(� Waiver Fee $
Date of Payment. '?Zie. l Date of Payment
Receipt Number 05522O Receipt Number
COSA # O 5 G 2 k (50-5 Waiver #
6. 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 C&M ENGINEERING Phone 8545558
Address 20182 TULWAR
Engineer's Printed Name CHARLES BALZARINI Date 9/19/21
OF
A/,,,V�
49 TH
6. DSD SIGNATURE % •• •••• •�••••��
o . .. _
System #1 Approved for bedrooms �� ' ' ' ' ' ' '
CHARLES G BALZARIKI•'
System #2 Approved for bedrooms �� �F� •. CE -13854 .• ���%
Disapproved ���F�pROFE5S10NP
Conditional approval for bedrooms, with the following stipulations:
Y OF�(�r�ri���
LA0
C
ti
IR/ATr-e.
n
By: OOriginal Certificate Date: 1 o Z aoa 1
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the
representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is
not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Checklist blue sheet
COSA Checklist yellow sheet
COSA Checklist
Legal Description: Parcel ID:
If more than 1 septic system on lot: COSA Checklist # of Structure served by this system
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by
Date of Sample
Comments __________________________________________________________________________________
B. TANK DATA
Age of tank(s) years
Tank type/material
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
ALL standpipes present per record drawing
Total measured depth from grade ft (max)
Measured depth to pipe invert from grade ft (min)
N/A – pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code-required soil cover over field
System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Adequacy test date
Results Pass For bedrooms
Fluid depth prior to test in
Water added gal
New depth in
Elapsed time min
Final fluid depth in
Absorption rate gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
3/$67,&
Measured operating fluid level in septic tank
Standpipes/foundation cleanout per record drawing
Date of pumping
D.ABSORPTION FIELD DATA ______________________
Which system tested (date installed)
Comments/Deficiencies:
LAKE RIDGE TERRACE B4A L3 051-321-03
11 1
+3.5
UNK NONE
120
UNK
8.25
+18 C.BALZARINI
8/2/21
95
8/4/21
0
SEPTIC
NA
NA - NEW
TRENCH
2021 8/2/21
4
9 0
4.9 600
0
0
0
600
NA
NA
NEW SYSTEM
✔
COSA Checklist yellow sheet
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100’
Yes if No ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
From Septic/Holding Tank on Lot to:(Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Property Line > 5’ Yes if No ft
Absorption Field > 5’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10’ Yes if No ft
Property Line > 10’ Yes if No ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
If absorption field is under driveway comment below
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
F. ENGINEER’S COMMENTS
G. ENGINEER’S CERTIFICATION
I certify that I have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.10/18/21
✔✔
✔
✔
✔
✔
✔
✔
✔✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
✔
ELEVATED NITRATE CONCENTRATIONS ARE OFTEN ENCOUNTERED IN PROPERTIES
WITH FAILING SEPTIC TANKS. THE LEAKING TANK ON THIS PROPERTY WAS REPLACED WITH
A NEW PLASTIC TANK WHICH SHOULD HAVE A POSITIVE IMPACT ON WATER QUALITY.
✔
MUNICIPALITY OF ANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904
On‐Site Water and Wastewater Section Fax: 343‐7997
www.muni.org/onsite
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Nitrate Advisory
Certificate of On‐Site Systems Approval # OSC211583
Subdivision: Lake Ridge Terrace, Block: 4A, Lot: 3
A water sample revealed a nitrate concentration of 8.25 milligrams per liter (mg/L).
The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Since nitrates are known to slowly increase, we recommend
you monitor the water quality. Please see the attached “Nitrate Fact Sheet” for
important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On‐Site
Systems Approval.
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as “blue baby” disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a medi a with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several “wet chemical” methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive “screening test”, and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
Parcel I.D.
Municipality of Anchorage
On -Site Water & Wastewater Program
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
051-321-03
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owners)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
Expiration Date: / ® - € ! 0 - /
LAKE RIDGE TERRACE SID; BLOCK 4A, LOT 3
14647 TERRACE LANE, EAGLE RIVER, AK, 99577
DOBSON JOINT REVOCABLE TRUST Day phone
Day phone
Single Family (w/wo ADU)UIBMITiT 9
❑ Duplex a
F -]Multiple Dwellings (Single Family and/or Duplex) JUN 10 2014
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
630-442-2334
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
0
Individual Water Storaq_e
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
WarverlVariance request
Received by:
COSA to be released to the engineer,
otherwise requested by the engineer.
Date: 17
COSA Fee $ Waiver Fee $
Date of Payment 01111liq
Date of Payment
Receipt Number nq , /" " Receipt Number
COSA# 0�7Lf-! /'_?� Waiver#
Distance:
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
GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507
Engineer's Printed Name
Engineers Comments:
JEFFREY A. GARNESS, P.E.
In conducting this evaluation, GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MCA
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 off 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 central of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there arc no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system vag 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.
ti✓ System #1 Approved for 3 bedrooms.
System #2 Approved for
Disapproved.
Conditional approval for
0
bedrooms.
Phone 337-6179
Date b,/,q
✓.. j
/...... *.
bedrooms, with the following stipulations:
!CE) -79P3
61.'.°
E
�'rofessionoo
t0F1 tC� x�xi
0 SITE G'�
=� WATER AN
nlrzSTEWATER o;
Original Certificate Date:_ -
The'Qyrfiicip/allt Ay (rage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the re pre na ions given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTCHMENTS:
COSA Checklist_ Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
Bev 'r1/n51
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: LAKE RIDGE TERRACE S/D; BLOCK 4A, LOT 3 Parcel ID: 051-321-03
A. WELL DATA 'PER SULLIVAN WATER WELLS INSPECTION. SEE ATTACHED. .
Well type PRIVATE If A, B, or C provide PWSID# NIA
Date completed UNKNOWN Sanitary seal (Y/N) YES
Total depth '120 ft. Cased to •40+ ft.
FROM WELL LOG
Date of test
Static water level ft.
Well production g.p.m.
WATER SAMPLE RESULTS:
Coliform C) _ ._ colonies/100 ml.
Arsenic: A��g./L.
B. SEPTIC/HOLDING TANK DATA
Well Log (YIN)
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
4/23/2014
3.46 g.p.m.
Nitrate -7. i 8 mg./L. Collected by: GEG, Ltd.
Date of sample: 4P24/2014
08
V�Q
12+ in.
'VIA LAUNDRY ROOM FLOOR DRAIN. SEE ATTACHED ONE STOP SERVICES RECEIPT DATED 511/14.
Tank Type/Material SEPTIC/STEEL
Tank size 1000 gal. Number of Compartments 1
Date installed 10/4/1973
Cleanouts(Y/N)
YES
Foundation cleanout (Y/N) 'YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
"MIS
Date of pumping S y Pumper - S
C. ABSORPTION FIELD DATA BELOW EXISTING GRADE TO B TTOM OF CRIB
Date installed
10/4/1973
Soil rating (g.p.d./ft'or /bdrm
150
Length 18
ft.
Width 18
ft.
System type
CRIB
Gravel below pipe 6 ft.
Total depth "9.9 ft. Eff. absorption area 432 ft2 Monitoring tube""`YES Depression over field NO
Date of adequacy test 4/24/2014 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test "'39 in. Water added 705 gal. New depth"`41.55 in.
Elapsed Time: 120 min. Final fluid depth'''"4o�5 in. Absorption rate >= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
"19" BELOW WHAT IS BELIEVED TO BE TOP OF CRIB.
-6.5" BELOW WHAT IS BELIEVED TO BE TOP OF CRIB. THE LAST 265 GALLONS INTRODUCED ONLY CAUSED A
RISE OF 4.5".
****7.5" BELOW TOP OF CRIB.
""'MT ONLY EXTENDS 46" BELOW WHAT IS BELIEVED TO BE TOP OF CRIB.
READING TAKEN 945 MINUTES INTO RECOVERY INDICATED RECOVERY OF 400 GPD. IN SHORT, SYSTEM MEETS
ABSORPTION REQUIREMENTS ONLY WHEN OPERATING IN THE UPPER PORTION OF THE CRIB.
D. LIFT STATION
Date installed Size in gallons Manhole/Access
"Pump on" level at in. "Pump off' level at
Cycles
E. SEPARATION DISTANCES
level
Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 1004
Public sewer main NIA Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 51+ Absorption field 5'+
Water main N/A Water service line 19+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 104 Building foundation 104 Water main NIA
Water service line 10'+ Surface water 1001+ Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
ENTIRE SYSTEM - (41 YEAR OLD SEPTIC TANK AND LOG CRIB) - IS APPROACHING THE END OF ITS USEFUL LIFE.
SEPTIC TANK SITS BETWEEN TWO DECK PILE SUPPORTS. SEE ATTACHED SKETCH.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date b 11101/K
(Rev. 10/12/12)
is
.1.4 .r....-
pROFESSI
J
Municipality of Anchorage s
Community Development Department
Development Services Division'
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
Nitrate Advisory
Certificate of On -Site Systems Approval # 141252
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block 4A, Lot 3
of Lake Ridge Terrace subdivision. This inspection revealed a nitrate
concentration of 7.18 milligrams per liter (mg/L) was reported for the
property's well water sample. The Environmental Protection Agency (EPA)
has established a maximum contaminant level (MCL) of 10.0 mg/L for
public drinking water systems. While private wells are not subject to this
regulation, EPA standards are based on existing health information and can
therefore be used to gauge the relative quality of water from private wells.
Please see the attached "Nitrate Fact Sheet" for important information
regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
Municipality of Anchorage
P:O Box 196550 4700 Elmore Road
Anchorage, Alaska 99519-6650 (907) 343-7904 Fax (907) 343-7997
httg)://www.muni.orci/onsite
Planning and Development Services Department
On -Site Water and Wastewater Program
On -Site SewerMell Submittal Comment Sheet
Engineer: GARNESS ENGINEERING GROUP LTD
-egal Description: LAKE RIDGE TERRACE BLK 4A LT 3
3ermit: OSC141252 WellSeptic Completed By:
2eport Type: COSA
-he attached paperwork has been reviewed and is being returned for the following reasons:
1. City has this property as 4 bedrooms. ouin Cr 1 5 r e Sok v i nvv
2,Only 1 inch recovery on adequacy test. Do you have anymore recovery data?
6/17/2014
J. Poet
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� L10 -01f
1 N G 1405 ) t,u I� C L� C O Ja—
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w b.►€�
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A�
AS-BICILT
hereby certify that I have :une_,,d the following
0.
01, C,
Ano llccnrdlmProc--.c t AlLska. and that the
ihe,vov oithin t-io 1jr,)mrV,
, le, nm.rt.� 1
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�►ULLI AN
WATER WELLS
Drilling • Piling • Pumps
P.O. Box 670269 Chugiak, AK 99567
P: (907) 688-2759 F: (907) 688-2259
14647 Terrace Lane
Eagle River, AK 99567
LaIce , idC1`
Camera Report
May 8, 2014
C «vice -
s3 u A L 3
Static— 86'
Total Casing Depth (No Perforations) —110'+ (camera was obstructed at 110')
Total Depth —120' (Used Tagiine)
Pump Depth —116' (Used Tagline)
7654 Old Harbor Ave
Anchorage, AK 99504-1930
Off907-338-5563
Fax 907-338-5564
Alane Whiteman
14647 Terrace Ln
Eagle River, AK 99577
To:3383246
;9073385564
Invoice
Date Invoice #
5/1/2014 12604
P.O. No. Terms
Item
Quantity
Description
Rate
Amount
Service call
1
Inspected, tested, & successfully verified that the floor drain in the
130.00
130.00
laundry room is flows into the septic tank.
Service can
1
Retuned on the 5/5/14 and successfully verified that rtuming a
0.00
0.00
snake from the floor drain in the laundry room will reach the septic
tank.
Thank you for your business.
Total X130.00