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LAKE RIDGE TERRACE BLK 4A LT 7
Lake Ridg Terrace lock 4A Lot 7 051-321 -07 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211261 PID Number: 051-321-07 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name ERIC & HOLLY MACFARLANE ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 14523 TERRACE LANE, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot LAKE RIDGE TERRACE 4A 7 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area z Number of trenches Dist. between trenches From Tank 1 Field I Tank Line Ft Ft. Well 1100'+!25'+ TANK ® Septic ❑ S.T.E.P. ElHolding [IOther Manufacturer GREER Capacity 1250 Gal.—T— 1 Surface Water + 100'+ -- I Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10+ -- 1 LIFT STATION Manufacturer Capacity Gal. Remarks New MT installed in original 1976 trench. Alarm location Electrical installed by Tank to PIPE MATERIAL House to tank 3034 dra 3034 Installer DENALI EXCAVATION of eld Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1s' 8/3/21 8/4/2021 Location and description Znd 3`d 4'h BOTTOM OF STEP ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date TH .....�.. � System eptic � �.. Curtis Huffman A PprovedDate2a2F��s1 ..4 CE 67 1. Note: this approval does not include well permit requirements. (Kev Ub/U2/1b) PID: 051-321-07 PERMIT: OSP211261 i n J D WELL _ 0 A -C=30 2' B -C=17 2' A -D=32 5' B -D=19.9' A -E=35.5' B -E=23.6' A -F=37.9' B -F=29.3' A -G=23.8' B -G=26.5' GRAVEL D/W (N89 LOT 7 BLK 4A CONC L 22.0' O N N iD 6' N89°52'00"W B /� 2'00"Wx ?66 �J1' xR� x Eo SHED ai Zv . SN 1 .2' x x x— / 238.63' (238.22' R) IS OF BEARING SEPTIC SECTION SCALE: NTS LAKE RIDGE TERRACE BLOCK 4A, LOT 7 SUPPORT, SERVICES: - PREPARED FOR: ERIC & HOLLY MACFARLANE rwcs /�1� 14523 TERRACE LANE * 9 TH EAGLE RIVER, AK 99577 FIRST WATER CONSULTING DATE: 8/5/2021 SURVEY: JLS ,?, rtis Huffman wx 13030 SUES WAY DRAWN: FWCS 1 r� 8�5�80991 ��� ANCHORAGE, AK 99516 SCALE: 1" = 30' 1 907-350-9566 firstwaterAK©gmail.com PAGE: 1 OF 1\oSSIo�P= ' MT INSTALLED IN 1976 A FIELD 28. ' MT p G• CD rO Z D E F DIV O C (n (D Lc)X M DFCO DCO MH CO W EXISTING B FIELD Y INSTALLED NEW W 1250 -GAL HDPE a SEPTIC TANK .3' WITH NEW DFCO & DCO. VERIFIED & inMAINTAINED K 5' TO EXISTING FIELDS / 238.63' (238.22' R) IS OF BEARING SEPTIC SECTION SCALE: NTS LAKE RIDGE TERRACE BLOCK 4A, LOT 7 SUPPORT, SERVICES: - PREPARED FOR: ERIC & HOLLY MACFARLANE rwcs /�1� 14523 TERRACE LANE * 9 TH EAGLE RIVER, AK 99577 FIRST WATER CONSULTING DATE: 8/5/2021 SURVEY: JLS ,?, rtis Huffman wx 13030 SUES WAY DRAWN: FWCS 1 r� 8�5�80991 ��� ANCHORAGE, AK 99516 SCALE: 1" = 30' 1 907-350-9566 firstwaterAK©gmail.com PAGE: 1 OF 1\oSSIo�P= ' rQ C)a � m Po� � � r r TERRACE LAN E CD m J z CD CD m r y N00°21'55"E 105.68' m z o o (NOO-08)00 E 106.00' R `� �- n 10' UTILITY ESMT a �S � y �y CD ° o a No 6 0 0 ®rl r r CD cn �71 OD � IIs �(71o '" O�. C r Ln CA p CD '"� Z co c0i x o CD (D � p � h CI1 a7 r. N R (-D pr Q �D W N T O I � >m � CD o o a w 0 11.6' 22.0' n -I, —I u a CSD M N NJ Z D \ r D Z \\ C� 8.0 . CD 00 �r�a2�: : �\ 00 o x ° cD N � 36.0' cil ° / 1-Tl00 � EXIST � cn I N G N 2 x0 .. w y HOUSE y� r = O D 50.00 8.2' o Pc/)I �7 15.5 A�, C) / — DECK —� Fjn ox RA G7N '4v0) 00 x W • 000lx ,r - ' SCHUL > AM L � x . m � coo n CD - ��, . y oe x � as p CDx I �► 0> (°- ° r' 0 kik x SA44 7' NO Ov °OS EN�C x��o� ��S4 E q n G S 49 ,, 1 © G ESS , t co �EIVIV E 9.13 wy 110• I , I R 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: OSP211261 Work Type: SepticTank Upgrade Tax Code Number: 05132107000 Site Legal Address: LAKE RIDGE TERRACE BLK 4A LT 7 G:0553 Site Mailing Address: 14523 TERRACE LN, Eagle River Owner: MACFARLANE ERIC C & HOLLY K Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: cnr t epartinent 7/13/2021 7/13/2022 26830 ❑ Disposal Field El 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 Received By: Date Issued By: Date 2 MUNICIPALITY O Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051-321-07 ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) ERIC & HOLLY MACFARLANE Day phone Mailino address 14523 TERRACE LANE, EAGLE RIVER, AK 99577 Site address 14523 TERRACE LANE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) LAKE RIDGE TERRACE B 4A, L7 Legal description (Township, Range & Section) Lot Size 26,830 Sq. Ft. Number of Bedrooms 4 Phone: 907-343-7904 Fax: 907-343-7997 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Z (w/wo ADU) Septic Tank 0 Upgrade 0 Duplex (D) ❑ Holding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (signature of property owner or authorized agent) Permit/Rush Fees: X22,5 Waiver Fees: Date of Payment: Z4.4' I Date of Payment: Receipt Number: 216-!)q5- Receipt Number: Permit No. O) 5 PZ 1 12-6 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com July 7, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: LAKE RIDGE TERRACE BLOCK 4A, LOT 7 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tanks on the above referenced lot. We propose to install a 1250-gallon HDPE tank per the attached design to serve the existing 4-bedroom residence. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211261, Deb Wockenfuss, 07/13/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211261, Deb Wockenfuss, 07/13/21 AM 00 A ('0 o L6 0 o CD 0 W w Ld w Ln O A O N 00 oQ 00 z z LOT 8 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: LAKE R.IGDE TERRACE LOT 7 BLOCK. 4A PLAT 71-293 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the propert}l lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE: SCALE: E—MA U JUNE 30, 2021 1 "=40' schuiler®ak.net 21-091 DRAWN BY: CHECKED BY GRID NUMBER: BOOK AGE: JLS NW0553 210212 _v a14 e e4*ti m LCT 6 J 0 o " z c� = FND 6"x6" ROW MON Q = FND 5/8" REBAR , 6q, Oil IQ NN LN A 0 WAG 04W /, • � AS.: ��� .e 01 Ac; go, I%q Yk ed 49TH .....................�.........� CIl C� o '•.?A JL. SCHULLER.• 0 L. ewi or • . , , . • J / 1831 Talkeetna Street f . -z` � Anchorage, Alaska 99508 o fo a� L ..,,. (907) 227-1455 office `�� s s io1�,��.. (907} 274--4992 fax " MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division ~ / -- '~(::~ /' ~)'"7 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES SEPTIC ABSORPTION Addre~ TANK FIELD WELL LEGAL DESCRIPTION LOT LINE Township, Range, Section AS-BUILT DIAGRAM (Show location ol well, septic system, property lines, foundation, ~/~-- ~ ~ I~ ~ ~ driveway, water bodies, etc.) TANKS Manufacturer Capacity in gallons TYPE OF SYSTEM ~ TRENCH ~ BED ~ W. DRAIN D OTHER _.~b !orginalgradeDeptht°pipeb°tt°mfr°m ~ ' ET Total depth from original grade ~T Fill added above original grade Gravel depth beneath pipe Grave] length Gravel width Total absorption area ~g~2rSQsQ FTFT ~is,~r~botween lines Number of lines Soil rating Pipe material WELLS ~ PRIVATE ~ OTHER (Identilv) Ol~sili~tion (A.B,O) TOI~I Depth IT Installer Date Installed: REMARKS: I ~ ~~ cedify Ihat this inspe~ion was pedormed according to all ",:' ':=~-'. Pa I' c: (.:.:.~ I :!: d '~ 05 I...-<i!;2 1-.07 LcyL L..,:-.~.)ga I ~ Subd i v :i. s i l...c)t. S:i. ze ~?.6()00 (sci, f't.,, (:)!' acres) F'ta.'...'. ,Bedr'l::~c~ms: "[his [)ay F'hort¢: 69 ,S '"" 3 ~;,~ 98 B 1 CtE k: .,1. A .t:!;EI::'.'T'IC TANK: M:i. nimum 'Lo'La1 sept:Lc tar'd< c:apac:i.'Ly: :I.,2,5C) gallons, Eacl"~ Cai-if,: musL have at .:t(-~,a~'l.:. :.-"~ cc, mpapt, me:,r~Cs. Dept. h -L'.(::~ tc, p c:,f' sept:i.c t. ar']l.::(~) < 4..0 f'e:et, r'equ:i.r'es :i.r"~s':.;u].at. ior'~ c:,vei* t. ar~k(s), INS'I"At_L. F:'IEF;;~ ATT'AC;HED APF:'ROVED DES Ii3N. hlO'TE LENGTH IS 99'. '"40T I IcY DF'IHS F'R I OR TO IEAE;H :t: NSPECT i 01"-t ,, "i"H I S PERM t '1" I S ISSUED F'OR THE l:~:Xl.~i?l":i:lqG 4 BEEOI::(OOM S:t:NGLE I::AI"IZI_Y DWEI...L. I N,';3 ONI_Y AND [3N J. ;:?. /:/!; 1/89. I C:EI::('.r' ! F:'Y 'I HAT': 1, I am '['amil:i. ar' wit. h 't:.he Pe?qu:Lr'ement. s ¢(::H" on-sit, e) sew,:.:.)r's anti we].Is as set. rcm'Lb by 'Lhe Mun:[c:ipalit. y o~' Ar'ichor'age (Id(..)A) ~arH:J the StaCe (::~F Alaska, 2,, I wJ. ll ins¢.al! the syst. em :i.n ac:c:cmdance w:i.'Lh all MOA c:c~cies and r'E.:,gLt].at.:i.c:H"~;~, and in comp].iar'}ce w:i.t.h the de?sign (::r'it. er':i.a of' 'Lhi~ per'mit.,, :3, :!: will adher'({-::, ~:.(::) al! MOA ancl State of' Alaska r'ec!u:LPem(.:~)r'rLs for' t. he set. back dis'Lar'~c:es ¢ r'om any e:,x ist. ing ~e]. 1, ~,,~as'Lewater. disposal, syst. em of pub tic ~se~4et-aFje syst(.;,,m on t.h:i.s or' any adjac:e:,r'rt:, or' zl.,, ]: under'stand that t.h:[s per'mit, is valJ. d fop a maxJ. mun~ aisc) Lu"tcter'st. ar]cl t. hat. '!:.h(.~ c:apac:it.y c~¢ the 'Lot. a]. system is 4 bedr'o,::u¥~s and any enla~'gement, will f'equir'e ali ¢&ddi'l:.J.c)[]ai 13er'm:i.t. (Cl¥,~ner') !....E:SI_IEY G,, BROLL]:AR ~00' ]]RIVE iLL 00' NO CONFLICTING YELLS~'' F.H. #E TRENCH ID CQNFLICTING WELLS,_~ / 1 / / / / / .~ ¢/~.? EASENENT EXISTING LEACH FIELD :::::::: NEW LEACH FIELD :::::::: CLEANDUT -' SCALE~ 1' = 40' WELL AND SEPTIC SITE PLAN LEGALILOT % BLOCK 4-A, LAKERIDOE TERRACE OWNER~NR, LESLEY BRDLLIAR CONTRACTORIRAASMUSSEN EAGLE RIVER ENGINEERING SERVICES PO BX 773294 EAGLE RIVER, AK, 99577 694-5195 :.,??' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEAl'TH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG [] PERCOLATION TEST DATE PERFORMED: //9/~ ~ WAS ENC( DEP1 PER( 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O ~'LOP E SITE PLAN ;ROUNDWATER ~/0 ~ OUNTERED? O P E · AT WHAT Oross Net Depth to Net Reading Date Time Time Water Drop I ,, O".' ~,' ,,~ /~,~ 5'-L~' ~/~" ~°//~ ;OLATION RATE TEST RUN BETWEEN ¢~.,~, ~ (minutes/inch) ~'- FT AND ~' FT PERFORMED BY: E,,g~e R~,e, Eng hoer ng Services P. 0. Box Eagle River, AK 99577 CERTIFIED BY: J~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEA£TH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alask~ 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST DATE PERFORMED: //~' /~ LEGAL DESCRIPTION: SLOPE 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16- 17 18 19- 20- 0 SITE PLAN WAS GROUND WATER S ENCOUNTERED? ,~:7 L o P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop ~/~ ~ / /~ jo~ t ,.: ~ " /~,, ~ /~ ~.~ ~ '~," ~/z~" PERCOLATION RATE / 7, o° {minutes/inch) ~ ~ /'~ '~J~/'~ TEST RUN BETWEEN ~- FT AND ~ ET PERFORMED BY: Eagle River Engineering Services P. 0. Box 773294 Eagle River, AK 99577 CERTIFIED BY:_~ -- SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 7, BLOCK 4A, Lake Ridge Terrace A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location'of any easements. B. TRENCH 1. The 2. 3. 4. 5. 6. 7. 8. trench is to follow the natural land contour to maintain uniform total depth of the trench bottom. The bottom of the trench shall be level, plus or minus 1.5" . The total depth of the trench excavation is not to exceed 9' at any point. The sewer line is to be connected into the existing leach line to allow effluent switching to the upgraded leachfield. The trench gravel is to be covered with typar fabric material. Soil or combination · of soil and extruded board insulation to a depth of 4' or equivalent is to be placed oven the leachfield. The area over the trench is to be finish graded to prevent ponding of surface water runoff. The septic tank and leachfie]d must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 6' GRAVEL DEPTH = 3.5' TRENCH LENGTH =-9-~'T TRENCH WIDTH = 5'~ Soil Rating = 226 (AVERAGE)'~ Bedroom Capacity = 4 -- Septic Tank Size = 1250 (existing)~ Optional layout Of-flaY' length is shown on site plan. System to have 4' cover or equivalent. GREA ER ANCHORAGE AREA BOR LJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ~/~ 6d_~ FROM WELL INSIDE LENGTH · COMPARTMENTS ~ INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY ".~'"~;d' /%-('¢~"7~'C":'GALLONS. SEEPAGE PiT: NUMBER OF PITS /"' . DIAMETER OR WIDTH~'-~', LENGT , DEPTH 7 d DIAMETER ¢ DEPTH ~-~ DISTANCE FROM: BUILDING FOUNDATION ADDITIONAL ABSORPTION NEAREST LOT LINE__ WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , . WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TAN K __ SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM .2 ~ I'° ,.:¢~ ~i-~~' "~., , ;. ~4:~ t~' '~' 1o~~ 'td~e GRE/-. ~R ANCHORAGE AREA BO~. CdGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 9950:3 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT NAME OF APPLICANT - i , ~ MAILING . INSTALLATION Of: SEPTIC TANK ~ 7 SEEPAGE PIT , BRAIN FIELB FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS NOTE= THIs pERMIT IS NOT VALID WITHOUT SOIL TEST 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. SEFT,C TANK S,,E / T FE SV--r' / SEEPAGE AREA s, E MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALl , SEEPAGe: Pit SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD , DRAIN FIELD , DRAIN FIELD SEEPAGE Pit ALSO CONSIDER AREA WELLS. , SEEPAGE PIT , DRAIN FIELD -- DIAGRAM OF SYSTEM SEPTIC TANK, ., SEEPAGE PIT --. TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TaNK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOil. 4 INCH DIAMETER CAST iRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT Fitted WITH AIRTIGHT REMOVABLe CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. I CERTifY that I AM FAMILiar WITH THE REQUIREMeNtS OF GReA~T~ANCH'ORagE AREA BO~JJgh orDINaNCe NO. 28-68 AND THAT THE ABOVE BATE ~BESCRISEB SYSTEM IS ,N ACCORDANCE W,TH SA]B CODE.~ 7AFFL'CANT'S SIGNATURE ~ ~ ~~'! 7-- /~'~ 9 GRE~-. ,~R ANCHORAGE AREA BO}_ dGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 SEWAGE DISPOSAL SYSTEM ~ APPLICATIO~ AND PERMIT PERM,T NO. 77,.~ ,;Z ~ ,"AME OF APP,..,DAN'r//4"¢,'< ¥ /'7'¢0,"~e ~. MA"-'NG ADDRESS ~'"¢~X // ?S--C~'¢/~"CPHONE ~ DRAIN FIELD , OTHER INSTALLATION OF: SEPTIC TANK SEEPAGE Pit TYPE A.DSIZEOFFADIL,TYTOSESERVED ,-ocd;'r..¢ F,¢,,,,., .z-f F,NA.CED THROUG" TO SE,NSTALLED BY SOIL TEST RESULTS /"~'~ NOTE; THIS PERMIT IS/NOT VALID WITHOUT SOIL. COMPLETION DATE ANTICIPATED ¢ O ~'~K"'~!"' ~-- ~'~ ~"~"~,,~' ¢ 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. MINIMUM DISTANCE~, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT . SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK, SEEPAGE Pit TO NEAREST LOT LINE. WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK . DRAIN FIELD SEPTIC TANK, , SEEPAGE PIT TO RIVER, LAKE, STREAM. DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. · SEEPAGE PIT. · DRAIN FIELD ~-- SEEPAGE AREA CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 iNCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL" BACKFILL CONFORM TO BOROUGH ~EGULATIONS REGARDING INSTALLATION. DIAGRAM OF SYSTEM I CERTIFY THAT IAM FAMILIAR WITH THE REQUIREMENTS OF GRE/~?E1T~NCHC, RAGE AREA BOROJJGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DATE APPL CANT'S S GNATURE :ij..!?.illi~i J:~'l~[J!!ilT J.:'CII::i: I::! F'I:~:!',?I=F['E !.,JEI....L. (Ifil: 12OO FEET' FOR 1::I J'='I...II{E',L]]C J.,.JI[:iJ....L_. ]i l",J'.:.~ Tl:::lJ_. L... I:::1T ]i O1",I. ]] C:EI:~:'i"]iF:¥ "!"l-Jf::lT JJ..: ][ ~lJ"] J::'l::!J"'J]]J....]]l:::![:i: J.,J]['J"J"'~ TJ'"JJ~J R:EQLJ;[i:;i:I!ilI'"JENTS j='l]i]l~: Ii]j",j"-'!]i;]i'J"J~'] SIi!!].,-IEf]~:'.:i!: J::lJ",J[]) I.,JIE]L..L:!i!; Ft'.!!!; J::'C]I:~'.TI'"J E??'l'~ 'T'HZE; J"'Jl...iJ",J]]C:]]I::'I::IL]~T"i'~ OF ]i~:: ][ L..II"4J].'-'EI::iY.:iii"I"FlJ",I[]:, "J"I"'IFI'T 'T'I'"IE] Ol",t-":~I'T'[i] '?.';Ei.,.!E~iI iii~¥'.'-.":"J"Ejvj J'"J~:ZJ~T' F~'.JE]~]!L.I];t~i:[!i] EJ",IL..FI~:i:(]Jf~]"'JlE]",J'I' ~[F' "l"J"ll~i~ I:::lJ::'J::'J.... ]] C:i::JJ",J"J" J'"llZlJ:~i~J:~?'r' J"'JFIC:J'::]~?t~ ANCHORAGE AREA BC,,,-O GH Department3330°f EnvironmentaIc Street Quality Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION · ' , z/'~zI ~:/' ~-/ MAILING ADDRESS " - ; LEGAL DESCRIPTION SEPTIC TANK: DISTANCE FROM WELL i ' ''(' MANUFACTURER INSIDE LENGTH INSIDE WIDTH SEEPAGE PIT:-'-] ~: .... ' J~ MATERIAL NUMBER OF COMPARTMENTS LIQUID DEPTH__ .LIQUID CAPACITY_ / ~'-'~-(J .GALLONS. NUMBER OF PITS / DIAMETER OR WIDTH_ LINING MATERIAL BUll_DING FOUNDATION_ CRIB SIZE: DIAMETER NEAREST LOT LINE~/ ADDITIONAL ABSORPTION LENGTH , DEPTH · DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA),c----,,_) ,.,%¢,:,,, SQ. FT. WELL: TYPE ( ! ' :";' CONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL _ OTHER SOURCES APPROVED DISAPPROVED ~ __ DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE sEWER LINE TANK SYSTEM REMARKS DISTANCES: INSTALLED BY: Z':/' "'" ': / / PIPE MATERIAl- 1.01 SLOPE: REMARKS; GREAit:R ANCHORAGE AREA BOR ,.,GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCATION MAI LING ADDRESS SEPTIC TANK: DISTANCE ,? d~/jO FROM WELL :~' MANUFACTURER INSIDE LENGTH INSIDE WIDTH ,~r~ NUMBER OF MATERIAL COMPARTMENTS 7 - LIQUID DEPTH LIQUID CAPACITY / ~ GALLONS. SEEPAGE NUMBER O F ~°t~T-'5 / DIAMETER __ / .,. z I ?--¥: , LENGTH'~ DEPTH /cO '/(~' OR WIDTH , / __DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)~-- -~ ~-2 ':)'~%v LINING MATERIAL BUILDING FOUNDATION__ CRIB SIZE: DIAMETER / NEAREST LOT LINE~ ADDITIONAL ABSORPTION SQ. FT. WELL: TYPE ~f/' ~'~ CONSTRUCTION BUILDING NEAREST FOUNDATION_ LOT LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKs DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK __ SYSTEM DISTANCES: PIPE MATERIAl' ? l~'.~T'~° ~('~"'"' LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM DATE APPROVED LOT S~2:E 'irHEil RE~:;:!iJ:[REE:, '=;iZE OF "t'HE 2;OIL F:tE'~';I'/~:PT'J~EIN :'r_=]E.l"J )~:E;: 'i'HE LENGTH I.:'ZMEN'=;ION ]:2:; THE LENGTH k:ZI'4~JF:EE;T) OF ERCH SIDE F'OI;;: F:l ~;EEI::'RGE I:::'l i'. i'FIE E:'EP]"H OF' R 'T'RENCH OR PZT Z$ THE DIS]"RNCE BETt-'.IEEN THE %UI:;;:F:RCE OF' "t'HE GROUND RN[) THE BOTTOM OF: 'THE E;-'--','CRVRTION '::tN F'EE"['). "i'HE GRR'v'EL [:,EF'TH I:5 THE MINIMUM E'.'EF'TH OF' GRR',,,'EL BE'FWEEN THE OU'I"I::'RLL Ri'q[:, THE E:O'I"TOM OF THE EXCR',,,'RT~,ON '.'.'~N FEET). t~:t::IE:KF'Z LL i NJ3 ELF:' FIN"~" ~;"r't~;'i"lEi"l l,.I t.)Ei:'i;'IR"I"MEI",I'i" J-,-l): LL ¢'I;(Nit'"IUM DiS;"I"RNCE E:E*I'*WEEN I=1 I.,.tELL RN[:' RN"¢ ON-SITE 2E;EWRGIE [."i'.'SF'OSI=tL :;LEIEI FEE'I" F'OR IR PRI'v'FI]"E ktEL..L OR 2E~(~i FEE]' FOI';,' FI PUE:LIC WEL. L. b.iEt..L LOG:5 RRE RE6!LIIRED RND i'"tLIST BE RETURNED 'f'O 'f'HE DEPRRTMEN]' 1.4I"I'HIN OF' THE 1.4EL. L COMF'LET~:ON. SPEC :[ F l CI:=tTi ONS F:tND CONS TRUCT I ON D l RGRRMS RRE R',,,'R I LFIE",LE "1'O J: t",ISURE F'I~:'.OF'tEt~:: ~: i",15 TRL L R"I" 1 ON. ]1 C:ER'fZI="¢ 'THRT ::L: Z RM FRi'"il'L. ZRR I.,.I.'t;'I'H THE RE6!UIREt"IENTS FOR ON-:;J;:[TE :~;EWER'-:.".'; [:IN[:." !.4EL.Lri~:; RS :iii;lEI' F"EIRTH B"r' THE MUNZC);PI=IL]:"i"¥ OF RNCHORIRGE. 2: :t; kI:[LL ZNS'f'RL_L THE $'¢S]"EM IN RE.'COR[:'RNCE 1.4ITH THE CODES. :~:: :i: I..INB, ER:~;TFtNE:, TF'IR]' 'THE ON-SITE 2;EI.,.IER S¥S"i'EM MR"r' F;'.'E(::¢..IIRE ENLF:tF..'GEMENT IF THE RE:;5 ;[ [:'ENCE Z :~i"iOE:'EL.E[:' TO Z I",ICL.IJ[)~E~.~ MOREc'cfl'4RN 2: BE[:'ROOM$. :~; ]: ']iNEE:: ...... 2' ~' .......... ;--.Z .............................................. ?' RF'PL [CF~NT HRF. F."r' MI:CI<E"r' , /? }' 6 8 10 14 16 18 20 Performed For HarryMackeY Leaal Qescrintion: Lot 7 Block This Form Renorts Soils Lo~ Penth Feet 2204 Cleveland Anchorage, Alaska 99503 Date Performed 4A Subdivision Lake Ridqe yes Topsoil Soil Characteristics Gravelly Silty Sands with occasional coarse gravel layers (SM w/ GP ) Bottom of Test Hole 6/25/76 Percolation Test Eagle River Was Ground Water Encountered? No -d'~ I t I J~2,--~l. ( ~ I I I I t'~Uq¥'"F i i I L,J., I l~-~,: J i~.4.-.- I I~ Yes, At what Denth? -l~,,,k'"'"f"~! I' ~ ! -]- J Readinq Date Gross Time Net Time Depth to H20 Net Dron I I 1 Percolation Rate ))inute Proposed Installation: Seenaae Pit Drain Field De~th of Inlet Depth To Bottom Of Pit Or Trench CnU!AENTS: 150 Square Feet drainaqe area required per bedrooM, No ground Water or bedrock encountered. Test Performed By Data TEST Certi.fied By:CONSTRUCTION [MUNICIPALITY OF ANCHORAGE m« f Development Services Department Phone: 907-343-7904 Water LWastewatero r 907-343-7997 iI• Certificate of On -Site Systems Approval Parcel I. D. 051-321-07 1. GENERAL INFORMATION Expiration Date: i'► cs V � I W 2 I Complete legal description LAKE RIDGE TERRACE BLOCK 4A LOT 7 Location (site address) 14523 TERRACE LANE EAGLE RIVER AK 99577 Current property owner(s) ERIC & HOLLY MACFARLANE. Day phone Mailing address Real estate agent 14523 TERRACE LANE. EAGLE RIVER, AK 99577 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic IN Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: 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. I acknowledge that Ori -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 7/30/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the; well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies orTH �+ discrepancies exist can be given by First Water Consulting & �— .. ... ......... 6. DSDSIGNATURE Curtis u CHffman V//System #1 Approved for bedrooms ��1���m�sT . CE128991 .��,�� System #2 Approved for bedrooms �9F01'ROF o S ONP���^�- Disapproved Conditional approval for bedrooms, with the following stipulations: By: daa4& Original Certificate Date: 2A ,?0." 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 Legal Description: LAKE RIDGE TERRACE BLOCK 4A, LOT 7 Parcel ID: 051-321-07 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 CIRCA 1977 Total depth 224+ ft Cased to 40+ ft (PER MOA DOCS) Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/9/21 & 7/7/21 Static water level at beginning of test 130 ft. Well production at time of test 0.44 / 1.33 gpm Water storage tank volume 500 gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 1.78 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 7/7/2021 Comments Conducted 2 well flows. 2nd one was after Jim Sullivan did some well work. Jim Sullivan stated: B. TANK DATA Age of tank(s) NA – NEW TANK years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NA Standpipes/foundation cleanout per record drawing Date of pumping NA C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 2/18/1989 ALL standpipes present per record drawing Total measured depth from grade 7.6 ft (max) Measured depth to pipe invert from grade 3.8 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 6/14/2021 Results Pass For 4 bedrooms Fluid depth prior to test 28 in Water added 750 gal New depth 35 in Elapsed time 1400 min Final fluid depth 28 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: *PER MT/CO INVERT ELEVATIONS: 3.8’ ED MEASUREABLE. THE PUMP WAS SET AT 224', STATIC AT 128' & THE WELL WAS MAKING A LOT OF WATER. REPLACEDPUMP, PIPE, WIRE AND PUMPTEC ALL IS WORKING GREAT. OWNER HAS HAD TO HAUL WATER IN THE PAST. FIELD IS OPERATING IN THE TOP ONE-THIRD OF THE EFFECTIVE DEPTH. 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 *1 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 F. ENGINEER’S COMMENTS *MOA WAIVER. 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. 7/31/21 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program CERTIF CATE FOR A Parcel I.D. 051-321-07 1. GENERAL INFORMATION 4'LO~ BEa.ga,~.~,;treet Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 OF ON-SITE SYSTEHS APPROVAL SINGLE FAHILY DWELLIN% Expiration Date: ¢ - ~. /--// Complete legal description LAKE RIDGE TERRACE S//D; BLOCK 4A, LOT 7 Location (site address) 14523 TERRACE LANE * EAGLE RIVER, AK * 99577 Current Property owner(s) CLAY NETZLEY Day phone 696-4259 Mailing address 14523 TERRACE LANE * EAGLE RIVER, AK * 99577 Lending agency Day phone Mailing address Real Estate Agent DICK BROWN W/ TARGET REALTY Day phone 696-2850 Mailing add'ress 14543 TERRACE LANE * EAGLE RIVER, AK * 99577 Unless otherv~_is~ requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual Water Storage [] Individual Holding tank r--J Community Class Well [] Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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 Certificate of On-Site Systems Approval Guidelines for this appfication, 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. Phone 337-6179 Address 5701 E. TUDOR ROAD,'SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. 'GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, G£G, LtD. 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 y¢ar, 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. GEG, LTD. 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. DSD SIGNATURE Approved for LtL bedrooms. Disapproved. Conditional approval for ON-SITE WATERAND : : V STEWATER bedrooms, with the following stipulations~ ° PRO~i~AM .......... Attachments: COSA Checklist Septic System Advisory Well Flow Advisory I ~11 ti ~:~ Lt~ l"%U VlOUI y (Rev. 11/05) Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other L Original Certificate Date: (9o7) 343-79~ ,CERTIFICATE OF'.;ON~S,ITE' SYST'EM:S APPROVAL CH~ECK:EIST TERRACE S/D; BLOCK..~, LOT 7 *PER GEG INSPECTION. **PER ARCTIC PUMP .AND WELL INSPECTION. iSEE ATFACHED. i~A,B~..:er GiFrowide PWSID# N/A! Welt.,Log,(Y/N)' NO. Sanita~ seal,:.(.Y/N) YES Wims:proPq~y .~etected.{~lN~ YES casing, heigh~;(above Co,nd) 1{2+ in. .DateOf!.test ,FI~ WELL LOG A'F 1N,s. '~ECTION ~,o/~':~/2o ~ o 1'29 ff. 0;45 g.;p.m. 2 .,N-um~aer of C°.mpartments ~ NJ{rote, 0;:'504 mg.~tL. Other,:bacteria O' . CO~rlrjeStl.O0 mi. Date'of sampie:l O/lr,[:J,/20:i:'O Colte~ed.by: GEG' Ltd. *'E~151DE HOUSE-SEE AT~ACHED 'RECEIPTS F'ROM MW Da~e.inst~alted 7/22/t~77 C. leanouts;.(y/~ .. YES 5 ff. Gm.,~ei .below pipe 3;5 ,ff. 6OO+ .NONE: K~NO~N'r: If yes, ,give,date '7/22/:;.1977. ;NOZ 'BE LOCATED; AND .CONDITION ,IS, UN'I~,IA, OWN. Depre,' Saenover field: :NO For ~ be¢ooms ,New depth44.Sin. .g,p.d. LIFT STA~ Dale, instatied "Pump on" level at E. ~ SEP~~~ DIS~E$ ~Size in:gallons "Pump Cycles tested SEPARATION. D:ISTANCE. S FROM W, ELL ON tOT TO: SePtic. tan, .kt'tffi ~ on. lot 1~00'+ Absorption field on.tot 100;+ Publicsewer main N/A -Sewer/septic service tine 25~+ Animal.containment areas 50.'+ 'Meats alarm & cimuit requirements? On adjacent lots On adjacent'Jots Public sewer manrhola/cieanout Holding tank 'N/A Manure/animal excrele~slomge areas 1'00'+ 1,00'+ 1.O.0'+ F= SEPARATt~. DISTANCES FROM SEPTIC.~OLDING TANK ON LOT TO~ Building foandation 5'+ Property line -5'+ Absorption field. Water main . N/A. Water service line .10'+ Su~water. Wells on adj.~. ~t lOtS 100'+ SEPARATI~ ,DISTANCF_~,FR~ ~PTION FIELD O'N LOT TO: UNKNOWN 10'+ Property line *'I'+ .Bui~ng foundation lO'+ Water'm~in -' 1,0'+ 100'+ 5'+ 100'+ 10'+ Water service line 1:o'+ Curtain drain NONE: KNOWN Surface wa{er 1.co'+: DdYeWay; pa~ing/vehlole stom§e. 100'+ Welts,on ad.':~cent lots lOC'+ 10;+ *S~E ;~TI'ACHED WAIVER LETTER; G. ,E NG1NEE'~CERTIFICATI~ I c'e~:fy ~atJ-'have ~i~ect~creugh f'~' i .r~p, , eCtions and review ef'.~ic~pal:~~the above s '~',ms are in .conformance with M~ GO~ guidelines in! effeCton this date. Engineer's Pr, in~edtName ,~EFEREY :A."'GARNESS Receipt N:un~er (Rev. 11105) Date of I ReCeiptNumber. ., 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 (COSA) # 101339 During a recent COSA on-site inspection and test of the potable water supply well on Block 4A, Lot 7 of Lake Ridge Terrace 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 4-bedroom residence is 0.41 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. 99~-~69 A$~BUILT I hereby cert~y that I have suzveyed the improvem~s ~tuated th~ ~e wi~ the pro~y lines ~d do ~ot ova!ap or .encroach ~ the lying adjac~t t~,reto, that no impr~vemem~ on. pro~. ~ lying adjacent thereto ~o~h on' the Prem~ m question and !hat there a~ ~ ~adway~ li~ or o~h~ v~ible e~em~ on ~d ~perty as ~di~t~ D~t~ al ~gle River, ~ka 1~=~ A~BUILT. ! hereby cert//y that I have su.~veyed the :fo]lodimg' improvem~ts ~tuated th~n ~e ~t~ the pro~y Hne~ and do not overlap or encroach ~ ~he pro~y lying adjac~t ~c~to~ that ~ lying adjacent lhereto ~o~h que~on and tha~ there a~ tin~ or o~h~ v~ible e~em~ on ~ated al ~gle River, ~ka 8C~E: ARCTIC PUMP & WELL INC. Jim Sutlivan, CPI PO Box 770197 Eagle River, AK 99577 (907) 688-2510 (907) 258-2510 (907) 745-25 ] 0 apw~gci.net Gamess engineering R.Eo 14523 Terrace LN 11-22-10 Andrew Today I verified casing depth on this property it is 40'+ with no perforations I also installed A MOA well seal. Thanks Jim sullivan Arctic Pump & Well, Inc. Page 1 o fl V 01 10 09:06a netzleyce I I I I I 907-696-4257 III ~umb~r of pages inclu~lin~ cover sheet: I To: Phone: CC: From: THE NETZLEY'S 14523 TERRACE LANE EAGLE RIVER, AK 99577 Phone: (907) 696-4259 F~x phone: (907) 696-4-257 III 11/05/2010 14:31 JRS SEPTIC PAGE JRs Pumping ]PO ]Box 773415 Eagle River, AK 99577 (9¢)7) 694-6450, CB. il_Ii n_.g Informat~ion Clayton & Elizabeth Netzley 14523 Terrace Lane Eagle River, AK 99577 (907) 696-4259 IJob Site Information Elizabeth 14523 Terrace Lane Eagle River, AK 99577 (907) 696-4259 Additional Location Comments Diagram: Blue house w/white trim, #'s on garage. 4bdrm septic Is in back 1 pipe under step, will be removed Job Description: P.O. Number; Terms: Salesrep: Map Book; cro~s Streets: 1250g Net 30 Dawn-Dawn Terrace Lane Service Agreement Number: 032207 Order Date: 30-Sep-2010 Service Date: 07-Oct-2010 12:00 Technician: Mike Tax %: 0 Job Type: Repeat Map Grid: 70 Job Comments: .asr Service '09/17/2009' 1250g ank normal back flushed 2 times=clean clean outs ok not much water in front part of tank maybe in fail ~_;\Diag rerns\~17410,bmo Gallons Planned: 1250 Gal. Actual: ~ Hose Length: 4.5 Double Tank: [] - , Pump System: [] - Baffles Inlet: [] ~ Baffles Outlet: [] - Service Type Qty Price Each Tax? Septic Serv 1250K 1 $185.00 No Extension Actual $185.00 Estimated Charges; NonTaxable Total Taxable Total Tax Total $185.00 $0.00 $0.00 Grand Total $185.00 ACtual Charges: __ Customer agrees to the terms and conditions shown. THIS I$ A BINDING AGREEMENT. Signature and Title o~ustomer Representative Date Ill - Accepted by JRS Pumping Date Accepted For your added convenience we accept; American Express, Dicover, Visa and Master Card payments over the phone. After 30 Days a~oou~ Will be turned over to COLLECTIONS, $30.00 For NSF Checks Returned, Municipality of Anchorage P.O. Box 196650 · 4700 Elmore Road Anchorage, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 http:llwww.muni.orglOnsite ,Development,,,Services Department On-Site Water and Wastewater Pro,qram **** VARIANCE/WAIVER REVIEW **** WR#: 0SP101285 HA#: OSCl01339 PID#: 051-321-07 Legal Description: Lake Ridge Terrace B-4A Engineer: Garness Engineering Group Permibf: L-7 Applicant: Clay Netzlev Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1 ~0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. mmmmmmmmmmmmmmmmmm mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Waiver is Granted: X Waiver is not Granted: Date: 12/20/2010 Approvedby:(~~ ~(~~'-'"'~' Name of Revi§wer mmmmmmmmmmmmmmmmm mmmmm'mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Rec~: 005082 Amount: $200.00 Date Paid: 12116110 **** VARIANCE/WAIVER REVIEW **** GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS November 5, 2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Lot Line Waiver for Lake Ridge Terrace S/D; Block 4A, Lot 7, To whom it may concern: We request that your department issue a 1'+ lot line waiver from the south and north property lines to the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. l p.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D.# ~"'~\ - ~z,,~\-~-")~'~ HAA# 1. GENERAL INFORMATION (MUst be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, town.ship, range) Lot 7; Block 44; Lake Ridge Terrace Location (address or directions) (b) Property owner Lpz£~.y ~ Lg.H~ B~n£~'~ Telephone: (home) Mailing Address 6601 Cresta Bonita EIPaso, Texas 70012 Business (c) Lending InstitUtion Prudential Relocation Mailing Address Telephone (d) Real Estate Company and Agent Johru~on Address 3000 A Stree.~ FORTUNE PROPERTIES,INC. ATTN: Suite 101, Anchorage, Ak. 99503 Virqinia Telephone 562-7653 (e) Mail the HAA to the following address: (or check here [~, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family [~ Number of bedrooms 4 3. WATER SUPPLY Individual Well ~7~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental · Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site g~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 e)eQ leUOR!puoo / I8^oJdd¥ leUOR!puoo ~o st.uJe± pe^oJddes!G .X peAoJdd¥ /~q sLuooJpeq(,.%-)-~ Jo~ pe^oJdd¥ "lYAOadd¥ SHHO '9 euoqdele& ~'0~, ,oN J~,~i~i d~,;"i .m_~,.~ a~.6~ 9Ni~J33NIgN~ $ ~ S sseJppv ~uJ!4 ~o eLUeN · uoRoedsu! s!q~ jo a~ep eql uo loe~je u! suo!lelnSeJ pue 'seou1~u!pJo.'s@poo e~elS pue led!o!unR lie ql!/~ eoUe!ldLUOO u! si Luels/~s lesods!p J81e~e~se~ Jo/puc ,~lddns Jale/~ e~!s-uo eq~ 'uoRo@dsu! pue uoReSRse^u! /~LU LUOJ,t pu~ sel!J eEi~Joqouv ~o ,~l!led!o!unlAl eql LUOJ,t peu!~,qo UOp, eLUJOIU! aq~, UO peseq ~eLI:~ /~¢!.leA Jeq~Jnj I 'u!eJeq pe~,eo!pu! eJnlon~ls ~o ed,~), pue SLUOOJpeq J.o ~eqLunu eq~ Jo,t e),enbepe puff leUO!lOun~ 'ejes s! LUelS,~S leSOds!p Jele~e~se/~ Jo/pue ,~lddns J@let~ e),!s-uo eq~, ~eq~, s/~oqs le^oJdd¥ ,~Hoq),nv qlleeH s!ql ~o uo!~eS!ls@^u! ,~LU leq~,~tpe^ I '/~oleq u/~oqs e~ep UO!l~p!le^ eql ~o se pue o~eJeq pex!lJe Iges/,LU/~q Pe!J!lJ@O sv NOI.L~'INIdO.-INI (]NY ~.LYd 'HOId¥3S 3-11=1 'S.LS~J. '$NOI;LO~IdSNI 9NIC]l^Oldd IN~II4 9NIId~I3NIgN~ '~ _.p~* F~U~I~I:C~PALITY OF ANCHORAGE (MOA) ~U~~c~s ~' Health Authority Approval (HAA) ' ~, CHECKLIST- FEBRUARY 1984 y~.~ ~0 343-4744 Legal Description: A. W[bb DATA ... Well Classification ~~D~ ~ Present (Y Date Completed ~_~ Well Log ~ ~ Total Depth Cased to Depth of Grouting Static Water Level l'f"~" ~ Casing Height Above Ground 1.7~¢ 4-- Electrical Wiring in Conduit (~)N) y SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot ~ Cc> To Nearest Edge of Absorption Field on Lot TO Nearest Public Sewer Line A/ID" To Nearest Sewer Service Line on Lot Water Sample Collected by ~'~-¢-~, ~ Water Sample Test Results Comments tt ~/ If A, B, C, D.E.C. Approved (Y/N) Yield 29 Pump Set At ~ ~ Sanitary Seal on Casing~N) Depression Around Wellhead (Y~ ; On Adjoining Lots ~ I+ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ~I~~; Date ~-~ B. SEPTIC/HOLDING TANK DATA Date Installed lO-'i(,, ;-J-'l-J S ze 5t.x~. ~oo o Standpipes k(~N) Y Air-tight Caps~]~l) ~/ Depression over Tank (Y~ ~ Pumping/Maintenance Contact on File (Y/N) ¢'JJ ('4- Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Building Foundation To Disposal Field Comments No. of Compartments 7-- Foundation Cleanout(~N) y Date Last Pumped J 'Z- --' 'Z-"cp~ ~ ; for -- ' Temporary Holding Tank Permit (Y/N) ~'~ IA. To Water-Supply Well \ C)O [ ~ To Property Line \~'¥ To Water Main/Service Line ~,1~ 4- To Stream, Pond, Lake or Major Drainage Course 72-028 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ - ~>~"1 Width of Field ~' ~ Square Feet of Absortion Area Depression over Field (Y,~) Results of Last Adequacy Test '------- SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well \ o ~ ~"~ To Building Foundation Lot ~'-~ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field \O~ Depth of Field Gravel Bed Thickness '~,%-- ~ ~ -/-.-"~' ~ ~ Statndpipes Present(~N) V /NJ Date of Last Adequacy Test '~ / Pr To Property Line ~.~ ~ To Existing or Abandoned System on ;On Adjoining Lots "~:::~ ~ ~ To Cutback (if present) D. LIFT STATION ed Dimensions Size inGallo-'?'rs~. Manhole/Access (Y/N) "Pump On" Level a. ~ "Pump Off" Level at .~ High Water Alarm Level at ~~~) Tested for ~..--~ ---- ~,~,,,~,,,~ ,.,y~.,~ ...~.~~, d u ring Adequacy Test. Meets MOA Electrical Codes ( Comments ~ ~ **Check Permitted Bedroom Rating Against HAA Request** ~ I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company Date MOA No. S & 5 ANGINEERING Eagle River, Alaska 99577 Receipt No. Date of Payment Amount: $ 72-026 (Rev, 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lo,¢ 7; B£nok 4A; Lake_ Rx'dgg Tga~ao_g Location (address or directions) (b) Property owner I a,t2ay ~. B~n2J',/,~ Telephone: (home) Mailing Address 14~;~; Ta?~_a¢¢ Idu~_, ¢fhug~,~b, Ab.. qq:547 (c) Lending Institution Telephone Business Mailing Address (d) RealEstate company and Agent TARGET INC. REALTY Address P.0.Box 774627 Ea¢le River, Ak. 99577 Telephone 694-2388 ATTN: Richard Brown (e) Mail the HAA to the following address: (or check here.~if hold for pick up.) ' List contact person and day phone number below: S & S ENGINEERING ~ 703a. r==g~ R~,,~,- L~v,p Eagle River, Alaska 995~ 2. TYPE OF RESIDENCE Single-Family ~ Number of bedrooms WATER SUPPLY Individual Well ~X'/ Community [] Public [] Note: If com_munity well system, must have written confirmation from the State Department of Environmental ConservatiOn attesting t0th legality and status. SEWAGE DISPOSAL On-site []G~ ~Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH,' DATA AND INFORMATION As certified by mysealaffixed hereto and as of the validation date shown below, Iverifythat my investigation of this' Health Authority Approval 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 Name of Firm Address Date State codes, ordinances, and regulations in effect on the date of this inspection. Telephone S & S ENGI.NEERiNG 17U34 Eagle Ri~er Loop Road No. 204 Eagle RiYer, Alaska f~9577 6. DHHS APPROVAL Approved for ~ bedrooms by Approved Disapproved Conditional Terms of Conditional Approval The MunicipalityofAnchorage Department of Health and Human Services(DHHS) issues Health AuthorityApproval cerificated 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 DHHSdonotconductinspections or analyze data beforeacertificateisissued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 ~ MUNICIPALITY OF ANCHORAGE (MOA) I .,il~,,~:;,~: , Health Authority Approval (HAA) ,...~:%O,'\.......~.., CHECKLIST- FEBRUARY 1984 · ..;.~ ~ - ~'~ 343-4744 · ,;:.--' .,, :~,~ A. WELL DATA ,¢ ¢* '~¢ ~ ~ ~ ~ Well Classifica~b~* ~,~q CP- ~ ~,/~ Well Log Present (Y/N) A) Date Completed Total Depth ~b~Casedto ~0' ¢ Depth of Grouting Legal Description: Static Water Level /'z9 ~'- Casing Height Above Ground / ..~ 'f- Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on. Lot To Nearest Edge of AbsOrption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot '''~ ~'¢c~ A' B' C' D'E'C' Appr°ved (Y/N) ~-Yield Pump Set At ~_ .2_ ~7 Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ~- ; On Adjoining Lots [ ~ / 0(:2 ~- ; On Adjoining Lots / To Nearest Public Sewer Cleanout/Manhole AJ/Y2r Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed !o-'/~,~ '7-"7'7 Size ~'"oo.. r~o No. of Compartments Standpipes (Y/N) ~. Air-tight Caps (Y/N) Depression over Tank (Y/N) ~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ¢J/!~ t/ Foundation Cleanout (Y/N) Date Last Pumped ! ~ --_,-2~ ;for Temporary Holding TaCk Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well f CO To Property Line ! To Water Ma'in/Service Line To Stream, 'Pond, Lake or Major Drainage Course To Building Foundation To Disposal Field / /Oo -h 72-026 (Rev. 7188) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Type of System Design '7'~ rd('~.~ Length of Field ,/ Depth of Field Square Feet of Absortion Area Depression over Field (Y/N) Results of Last Adequacy Test AJ/~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation ~'O Lot / %- ! To Water Main/Service Line Gravel Bed Thickness 3. ~ ~ "f' Statndpipes Present (Y/N) u~ Date of Last Adequacy Test ~/~ To Property Line To Existing or Abandoned System on ; On Adjoining Lots .z,O To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments'~[C- ,-)~ / ~ r~,'rw~ e~ ~,i o~v~ D. LIFT STATION Date Installed -, Size in Gallons %-% "Pump On" Level at High Water Alarm Level at /"v/~ /~ Tested for ~ Meets MOA Electrical Codes (Y/N) '"'% Comments %~ Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that inspection. ._~ Signed Eaglo River~ Alaska 9957~ Date MOANo. C'~ ~'~~~/~ Receipt No. Date of Payment /~ ~ - ~ Waiver Fee: $ Amount: $ ./~¢ o~ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Tom Fink, Mayor Municipality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 4, 1990 TO: All Concer~ed Parties Subject: Lot 7 Block 4A Lake Ridge Terrace Subdivision Memorandum Attached to Health Authority Approval All concerned parties are hereby advised that the Department of Health and Human Services (DHHS) did, on January 4, 1990, issue an unconditional approval of the Health Authority Approval (#HA890513) on Lot 7 Block 4A Lake Ridge Terrace Subdivision. The following comments, however, are considered to be of sufficient importance to be brought to.the attention of all present and future interested parties: '. 1. The results of a well flow test conducted on November 3, 1989 on the water supply on the subject lot indicated that, at the time of the test, the well was capable of producing 29 gallons per hour. The well recovery rate (the rate at which water from the aquifer enters the well bore) during the same test was 27.6 gallons per hour. The absolute minimum producing rate for a four bedroom single family residence that DHHS will approve is 25.0 gallons per hour. o It is very possible that during daily peak water use periods (in-house laundry use, multiple showers/baths, watering lawns/gardens, washing cars/equipment, etc.) the well will be "pumped off" which can result in damage and/or premature failure of the subsurface pump. In such cases where the well production is marginal, it is prudent to install a water holding or storage tank of sufficient capacity for a reserve storage of 24 hours. In the case of a four bedroom residence, the recommended reserve storage is a minimum of 250 gallons. If there are any questions, please call this office at 343-4744. Sinq.erely, Robert W. Robinson Civil Engineer On-site Services RWR/ljm:202 cc: John Smith, P.E. Program Manager On-site Services ,.1 17034 Eagle River Loop Road Eagle River, Alaska 99577 PROJECT: I LOCATION OF WELL (Legal Description): WELL DEPTH: /'~'7 FT. CASING: DATE DRILLING COMPLETED: DRILLER: ROBERT A, SHAFER CIVIL ENGINEER 694-2979 STATIC WATER LEVEL (Top of Casing): {~¢~'~ FT. · DATE: DATE OF TEST: SCREEN: CLOCK ELAPSED TIME SINCE DEPTH TO DRAWDOWNI PUMPING PUMPING STARTED/ WATER, FT. RECOVERY RATE, GPM REMARKS TIME STOPPED, MIN. ~ ~,4::;::~ 0 ~, ~' (swl) 0 0 Start ~ ~ 1 15 ~ ~ 25 ~' ~ ~ 40 45 ~ 55 210 .... RECOVERY t o ~ ' o 5 15 20 ~ ~ 25 30 35 Comments: ~,~;~ ~;'~/~.~_~ ,~:~ ~,~ ~... Flow is not Guaranteed SUbsequent Variations Can Occur. '; DATE RECEIVED TIME TIME TIME !, DATE DATE DATE ., INSPECTOR INSPECTOR INSPECTOR MUNICIPALITY OF ANChORAgE MUNICIPALITY OE ,,~NCk, ORAG' DEPART~E~TOEHEALTH&ENVlRON~E~TALPROTECTIO~ DEPT. OF i~ '~';~'. & 825 k Street - Anchorage, Alaska 99501 ~NVIRONM[i'q~ ~t : i LCTIO~ ENVIRONMENTAL SANITATIONDIVISlON rt~ ~; ~ ~ ~:;.~; Telephone 264-4720 ~ ~ ~fiOH[ST FO~ APP~OVAk OF I~DIVIDH~L ~TEB ~D SEmi I DI~E~TIO~S: Complete all 0arts on pa~e ~. In~omplel~ roquosts will not B~ pro~ossod. Please allo~ ten ~10) days for processino. 1. PROPERTYOWNER ~ PHONE MAILING ADDRESS ~ ~: PROPERTY RESIDENT (If different from above) ; PHONE 2, BUYER ' PHONE MAI LING ADDRESS 3. LE~DINGINSTITUTION ~ PHONE MAILING ADDRESS 4, REALTOR/AGENT ~H~ 5. LEGAL DESCRIPTION ;TREET LOCATION 6. TYPE OF RESIDENCE ~ SINGLE FAMILY ~ MULTIPLE FAMILY NUMBER OF~BEDRO(~MS [] One ~, Four [] Other [] [] '~ Three [] Six 7. WATER SUPPLY INDIVIDUAL~ [] COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. Awell log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach fog if available.) 8. SEWAGE DISPOSAL SYSTEM ~;~L. INDIVIDUAL/ON-SITE** \C~/ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] F~VE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVI DUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~-~_ ~ ~ Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER LA TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS PPROVED FOR BEDROOMS ~ CONDITIONAL APPgOVAL (letter mus~ompany certifioate) ~ DISAPPROVED ~ [ ~~- To Address City j -- ~'~ ~' ~,-.~-.~ 19,,~/ Date, 8K 882 i' STATEMENT 825 "L" ST IR E E'T' , N .... ),~ kC.-,._, AL/-XSKA 963501 ~.,,..c:;-/~, 2644111 GEOFIGE M. SLILt_IV'AI'% M A Y O I~ IDEPAU: i ,i.IE,',Y[ OF HE/-~ kllq AMD ENVIRONt';E~'4TAL PFiOTECT'ION February i7, 1_,81 Mark A. Pfaff % Maureen L. C].ayton Area Inc Realtors Post Office Box 249 Eagle River.. Alaska 995?7 Subject: Lot 7 Block 4A Lake Ridge Terrace Subdivision Approval for t:he individual sewer and waker facilities cannot: be ~rantee un...Lit, the following items have been completed: (1) The water analLysis report needs -ho be delivered to otIeet, for this office frem tile Cn~.m Lab, 5633 B o--~ eur review. (2) 'Pile septic tank pumped with a receipt submitted to this office. If there are any further questions~ please call this office at 264-4720~ Sincerely, Robert C. Pratt~ R.S~ Associate Specialist R ~P/13 w ': ': - MUNfC~PAL AND uNVIROfJ~L., i ,RO~ECIIO'~ ,~2~~ 279-25].1, ext. 224 or / , .~:~S~~'' ., Time Date Da te In s p _K_e.n~4~ .... Insp .[n~ p FOR APPROVAL OF INDIVIDUAL SEWER AND WAq~ER FA(J~.[I'I'IES Lending Ir,.sti. tution Request: Alaska National Bank of the North .... ~' ' . 2'78-4581 ,.,~.~.L..~l~ng Address: __3_3..0~!.__C___S_._t_~_e_e_t.z_.g_a_l_a._i_s_~ ............. Phone: 2. Property Owner t ___H.~r_r.~_M~c_~k.~e3 ............................................... Phone Mailing Address: T..,~ .~' De~cr_pt~ Lot 7 Block 4A Lake Ridge Terrace Subdivision Single Family Residence: (x) Number of Bedrooms: Four Mul-hiple Family "' 4 ~** c t,r R~. '~t~- .... Wu~..~ System: individual well (x:~ Community/Public System ( ) ~=,--r,'*- ~ Depth of W~.i~ 330'.-. Well Log on ~,'i].e ( ) Dispose..]. ~ ~¢-4-~ ..... ~ ........ m: On-site System Public O%ility ( ) Permit .Installed .___1_9.7_Z ........ Ins%al.¢.~.r Septic' Tank Size ~4anu f ac tut er Soils Rate Hater Distances: Well to Septic Tank Ne~.res,~ L3u line Sewer Line tO Absorption Area Absorption ..=~.. · MUNICIPALITY OF ANCHORAGE '.: ',-',:- · ~ ~.~=~< Department of Health and Environmental Protect~o=' ,,z-. . 9950l ''d{ =. owne=: ddress: Phone: Mailing Address: ~_~_~g 3 ~ ~/_~ Legal Description: __.L~: ~ //~-k ~/~ Phone: Single Family Residence: (~ Number of Bedrooms: Multiple Family Residence: ( ) Number 6f Bedrooms: Water Supply: *Individual Well (~ Public/Community System .( ) If Individual Well, well depth __,~7~ / If Community System, name of system 8. Sewage Disposal System: On-site System ~x. If On-site System, date of installation: *NOTE: .) Public System ( ) A well log is required on ALL wells drilled since 6/75. 3/77 Pag~ ~wo Department of Health ~na Environmental Protechion .Request ~ior Approval of Individual c.,~,~r and Water Facilities i~[~gal Descrip%io?_, ~ .... _~9~t__7_~_B__l_o.g_.k._.4_A L~a.~e__R_id.~g_e~Terrace Subdivision A~fadavi~ Attached: ( ) ~isaDpro~e~: Le%ter Attached Dahe: Department Worksheet