HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 5 LT 1ALake Ridge Terrace Block 5 Lot 1 A #051-313-18 Municipality of Anchorage Development Services Department Building Safety Division `• On -Site Water 8 Wastewater Program, 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW050228 PID Number. 051-313-18 Name: Wastewater System: ■ New ❑ Upgrade ALLEN BIRD Address: a AK 99577 ABSORPTION FIELD 14950 WOODLAND AVENUE EAGLE RIVER, prom: No. of Bedroom.: a DNp Trench ■ Shollow Trench a Bed Cl Mound anther (907) 696-2473 4 W � Told 0eve, a4"d v LEGAL DESCRIPTION 2.0 ap0/sv rL 3.0 MAX r Bock Lot: Subdivision: Oglh ` o4e sonars free ogled ends lwerel *—Vh Sarah e4a O.S+ r 5 1A LAKE RIDGE TARRACE SEE DWG. n Township: Range: — section: — n eddw mew W" Veda eiv'a wvm 62 1 SEE DWG. fR Growl Naso Monier airs WELL: ❑ New ❑ Upgrade 5 R 1 cb.an,eooa qB.0 atwiah Ted ca.w Ts�a Taa eeeaouse «.a ►e. 034/ 3101 D�dw/�#F-810/ SCH 40 PVC ora °° aero n Sloan •aa `ewe .ream GEC, Ltd. oat. 7/ 19-20/2005 n n1Q-7 TANK CPUn ti SEPARATION DISTANCES aseptic oHolding 11 s.T.E.P. Mother To Septic Abwrp tion UR l'= /Prhet• Na"'rOCAN' � ~ � rrom Tont r7Nd stauon Torun tt...r tree. ANCHORAGE TANK 1500 �,* N.rder a aonpanmwds Well toot+ 100'+ 100'+ - 25'+ 3/16" POLY COATED STEEL 2 Surface water 100'+ 1000+ 100'+ — — LIFT STATION are w oada. Mad .. Lot Una 5'+ **1'+ 5'+ - - 1500 92 ANCHORAGE TANK ORENCO SYSTEMS m rw a rw rt wen . W = at Foundation 5'+ 10'+ 5'+ - - TIMER 31' TIMER 7' 46' 35e nary Yalr a Modee D tw wo.". esramrd W. Curtain Drain NONE KNOW 20 ost O5 HNF RISING SON ELECTRIC Remarks: *THIS IS AN ADVANTEX TREATMENT SYSTEM Lowbon and BENCH MARK THE EXISTING TANK WAS COMPLETELY ABANDONED BOTTOM 0 STECKO SIDING ® SW CORNER PER UPC. OF HOUSE. ~"ird °woeva 100.00 **WAIVER #WKU5UU4/ ENWNEE SGL Ar GEG r Ltd. Inspections performed by: Dates: 1st 7/19/2005 *..... 2nd 7/19/2005 3rd 7/20/2005 Ga nese; QQ � Development Servi es Department Approval •, CE -7 Reviewed and approved by: Date: ':L' OS 4pp�roo�o� Ow. 12/01) PEWO AS -BUILT DRAWING Pot 31318 SW050228 , AjX—NEW 1500 CALLON ADVANTD( TREATEMENT SYSTEIA .OT NE 14W AP 100• WELL \� \ RADIUS \\ \ 1 NEW DRAINFIOD FA GARNESS ENGINEERING GROUP, Ltd. ;?' 4 ......... CONSULTANTS 6 GENERAL CONTRACTORS Ml L 1T . M% (tlf�9btlY • A/R1 .....UMBER: PREPARED FOR: PNONE NUMBER: PAGE NUMBER: ••••• .•ss: rneea.� ALLEN BIRD 907) 696-2473 2 OF 3 �Q s CE -7n 3 k LEGAL pESCRiP00N: DRAWN BY: ��,Di ar LAKERIDGE TERRACEDAM SUBDIVISION; LOT 1A. BLOCK 5, R.A.L 0� . -11c'.5 �°°� TYPE OF WORK:���DOO1e�o\ AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 7/27/2005 A I B DBL1 20.77 13.76 DBL2 20.06 14.78 STI 15.87 27.66 MHI 18.95 35.38 MH2 22.79 40.48 MTI 38.96 26.04 MT2 57.72 70.89 AjX—NEW 1500 CALLON ADVANTD( TREATEMENT SYSTEIA .OT NE 14W AP 100• WELL \� \ RADIUS \\ \ 1 NEW DRAINFIOD FA GARNESS ENGINEERING GROUP, Ltd. ;?' 4 ......... CONSULTANTS 6 GENERAL CONTRACTORS Ml L 1T . M% (tlf�9btlY • A/R1 .....UMBER: PREPARED FOR: PNONE NUMBER: PAGE NUMBER: ••••• .•ss: rneea.� ALLEN BIRD 907) 696-2473 2 OF 3 �Q s CE -7n 3 k LEGAL pESCRiP00N: DRAWN BY: ��,Di ar LAKERIDGE TERRACEDAM SUBDIVISION; LOT 1A. BLOCK 5, R.A.L 0� . -11c'.5 �°°� TYPE OF WORK:���DOO1e�o\ AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 7/27/2005 • •M1 Y AjX—NEW 1500 CALLON ADVANTD( TREATEMENT SYSTEIA .OT NE 14W AP 100• WELL \� \ RADIUS \\ \ 1 NEW DRAINFIOD FA GARNESS ENGINEERING GROUP, Ltd. ;?' 4 ......... CONSULTANTS 6 GENERAL CONTRACTORS Ml L 1T . M% (tlf�9btlY • A/R1 .....UMBER: PREPARED FOR: PNONE NUMBER: PAGE NUMBER: ••••• .•ss: rneea.� ALLEN BIRD 907) 696-2473 2 OF 3 �Q s CE -7n 3 k LEGAL pESCRiP00N: DRAWN BY: ��,Di ar LAKERIDGE TERRACEDAM SUBDIVISION; LOT 1A. BLOCK 5, R.A.L 0� . -11c'.5 �°°� TYPE OF WORK:���DOO1e�o\ AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE 7/27/2005 EL PERMITAS-BUILT DRAWING °051- 313`-18 SW0 NUMBER: SW050228 TOP OF MANHOLE FINALO8sTOP OF ADVANTDf POD 98.81 (AVG). TOP OF MANHOLE R- GRADE4Gvc.1--. - 98.83 (AVG.)-� 98.75 (AVG.) TOP INVERT OF PIPE 1500 GALLON 3/16' 93.1s POLY COATED STEEL , ADVANTEX TANK THI+ TOP OF SAND FRLER - 95.20 BOTTOM OF SYSTEM 920 ELEVATION OF ATER IN TEST HOLE O 88.70 ELEVATION OF OF TEST HOLE O 8320 2' OF MOA APPROVED n . SAND FILTER . . TOP OF TANK 93.82 INVERT - 94.87- / BOTTOM LIFT STATION . 90.75 FABRIC TO DRAIN FIELD NVERT OF DISTRIBUTION LINE - 95.70 (AVG) THE DISTRIBUTION UNE IS 1.25 INCH PVC WITH I wC NTEHOLES INCHES ON (30 HOLES TOTAL GARNESS ENGINEERING GROUP, Ltd.p: * �.......... ................ CONSULTANTS & GENERAL CONTRACTORS fnf c ffca ffw, �iaf[ fof • woon+oc ur wmf • f+forL (omw�ln • fur (007)3'•a•r • wpm PHONE NUMBER: PAGE NUMBER: PREPARED FOR: Q .. f .••• GO 099; ALLEN BIRD 1 (907) 696-2473 2 OF 3 Q CE— •` LEGAL DESCRIPTION: DRAWN BY: �,� �► R.A.L. Q�s� ••-Tj.��7 "JQ.o4� LAKERIDGE TERRACE SUBDIVISION; LOT IA. BLOCK 5, s4 p�oF��fAo�oB TYPE OF WORK:7/27/2005 4 �0000� PROFILE AS—BUILT OF SEPTIC SYSTEM UPGRADE (Rfn.01005) Rising Son Electrlc Inc. 907 622 6777 07/29/05 10%46A P.002 July 29, 2005 R35ing Son Electric. Inc. 0916 Vvodland Drive I=ayLe River. LAIC 99577 (907) 622-6777 Gamess Engineering Group 3701 E. Tudor Road, Ste. # 101 Anchorage, AK 99577 Re: Lot 1 Block 5 Lake Ridge Terrace -14950 Woodland Drive - Eagle River, AK Dear Kelly. The lift station at the above referenced property has been wired In accordance with NEC and State/Local codes. Thank you. Sincerely, tKevintSdHorniuckle, Owner Administrator License Number 1284 Specialty Contractor License Number 27285 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 15, 2005 Expiration Date: Jul 15, 2006 Permit Number: SWO50228 Parcel ID: 051-313-18 Legal Description: LAKE RIDGE TERRACE BLK 5 LT 1A Design Engineer: 0855 Gamess Engineering Group, LTD Site Address: 014950 WOODLAND AVE Owner Name: ALLEN BIRD Lot Size: 20750 SO. FT. Owner Address: 14950 WOODLAND AVE Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER. AK 99577-9221 This permit Is for the construction of: ❑V Disposal Field ❑Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be In accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Issued By. Date: 7-1?-Qr� MumcipaRty of Anchorage e ® ` 1'.O. 14rx 10i(:i0 • AnchamFc, r\Inskn r1.i14-fAL5q • Tcicphonc 017) 343-tC111 • 17a% (!M)71 aiXR:(M) 4700 13mgax Street • Anchomgc, Alaska .7.05(17 s . r • r ..... ""c.munl.ory; Mayor Mark Begich Building Safety Division 7/15/2005 Games Engineering Group 3701 East Tudor Road, Suite 101 Anchorage, Alaska 99507 Subject: Waiver Request for Lake Ridge Terrace Subdivision, Block 5, Lot IA Waiver Request #WR050047 Parcel ID #051-313-18 Permit # SW050228 Dear Mr. Gamess: 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 foot. TE 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. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Julie Makela, P.E. Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperily Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: WR050047 PID#:051-313-18 HAM_ Permit#: SWO50228 Date Received: 7712005 Legal Description: take Ridge Terrace Block 5 lot 1A Engineer. Garness Enaineering Group 3701 East Tudor Road. Suite 101 Anrhorsae, Alaska 99507 Applicant: Alien Bird Waiver Requested: 1 foot from absorption field to property line Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: V , SA19T• ............................................................................... Waiver Is Granted: _I List Conditions or Reasons for above: Waiver is not Granted: Date: By: Name of Reviewer ............................................................................. Rec#: 7060Q Amount: $175 Date Paid: 7agoos Municipality of Anchorage • '"� Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-313-18 Permit Number Property owner(s) AL FN BIRD Day phone 696-2473 Mailing address (1) 14950 WOOD AND AVENUE • EAQLF RIVER AK Mailing address (2) Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 1A. BLOCK 5: LAKE RIDGE TERRACE Legal description (Section, Township & Range) NIA Lot Size A6, ?60 Acre q.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzl ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ certify that the above information is correct. I further certify that this application is being made fora Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. Permit Fees: �(ro Waiver Fees: 175 Date of Payment: 7 - 7' 0,� Date of Payment: 7 " 7-05- Receipt 0S Receipt Number. DT) t10C' \Receipt Number. 62D(-00 -S�M GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS July 5, 2005 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Lake Ridge Terrace; Lot IA, Block 5, To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The drainfield is currently in the state of failure and needs to be upgraded. Due to the limited space on the property, we are proposing that a new 1500 gallon S.T.E.P. tank a M.O.A. approved recirculating trickling filter, and a 5 - wide trench type drainfteld be installed. One test hole was excavated on the property. The drainfteld will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography in the area of the dminfield is relatively flat. In short there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any Oestions, please contact us at 337-6179. Thank you for your assistance. M.S. NOTE: Attached is a site plan drawing, a design drawing. one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507 Ph: (907) 337-6179 • Fax: (907) 338-3246' Website: gamessengineering.com GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS July 5, 2005 Municipality of Anchorage Development Service Department Onsite Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Lot Line Waiver Request for Lake Ridge Terrace; Lot IA, Block 5, To whom it may concern: We request that your department issue a 1 -foot lot line waiver from the southwest property line to the proposed 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. .E., M.S. 3701 E. Tudor Road, Suite 101 " Anchorage, AK 99507 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: garnessengineering.com Rm xK 3: TERRACE `` T----1 I LOT 9. BLOCK 3; LAKE RIDGE TERRACE LOT 10, BLOCK 3; LAK` RIDGE TERRACE - — I LOT 12A, BLOCK 3; LAKE RIDGE TERRACE / `-SEPTIC BLUE SPRUCE LANE i -c -------T--�----EXISTING--� 4 BEDROOM I � / LOT (LAKE LOT 6, BLOCK S; / c WE RIDGE TERRACE LOT 5. BLOCK 5: / LAKE RIDGE TERRACEY i / / I I FA _ i I ,T LOT 2A. BLOCK 5' / \ LAKE RIM TERRACE 1 LCT 3A. BLOCK S; LAKE RIDGE TERRACE ./ PROPOSED SEPTIC UPGRADE (SEE DESING PACE 2 OF 4)ANY � SEPTIC SYSTEM aim GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & OENERAL CONTRACTORS • •........... AI L 1U0[M �. , 101 a M CHOWAL M! e,l0) e11o1[ -e1T a IAM N e �OOIC — PREPARED FOR: PHONE NUMBER: PACE NUMBER: Q•••;•• ••• ••••••; ••• ALLEN BIRD (907) 696-2473 1 OF 3 0Q p •;J e A Ca neap: LEGAL DESCRIPTION: DRAWN BY: Q °p, CE •`� LAKE RIDGE TERRACE: LOT lA, BLOCK 5, C.J.G. ���+�^. 7/ty c 'Coxes TYPE OF WORK: DATE: 4ppOOOo esso106oc SITE PLAN FOR SEPTIC SYSTEM UPGRADE 7/1/2005 (Rev. 01005) NUMBER OF BEDROOMS:4 GALLONS PER DAY (GPD): 600 PERCOLATION RATES: 15 MIN./INCH PROPOSED APPLICATION RATE: 2.0 MINIMUM DRAINFIELD SOFT-- 300 DRAINFIELD DESIGN: •.•�.:• EXISTING MAXIMUM DEPTH:5 FEET �'� ....,:.. '• WELL WIDTH: 5 FEET / •ti, •i, I LENGTH:60 FEET M.O.A. APPROVED SAND FILTER:2 FEET `� ., i •; EFFECTIVE: 0.5 FEET •• REDUCTION FACTOR: N/A _�C' / _� �; :.;•�.:y�. r / ACTUAL SO.FT.: 300 �... LETTER THAT PERTAINS TO THIS DESIGN. . '�• r :• TO OBTAIN A COPY OF THE LETTER • '� • •• CONTACT GEC. BY PROCEEDING FORWARD •'. ' ' l WITH THIS INSTALLATION. THE ENGINEER. :.. *."•, �' {�' WELL DRILLER, CONTRACTOR AND •••• : • v' PROPERTY OWNER AGREE THAT THEY •. •: �: : • •• ' • �.' . HAVE READ THESE SPECIFICATIONS AND • . .•, : y ; �.. ,.. i :.' t' . y i �. , AGREE TO ACCEPT THE TERMS AND \ ..: • • •.' •, CONDITIONS 9MNED. .••� 'A'' '!•' •'• •'' /PROPOSED 1500 ' ,/--M. ECERCu ROVE / T -- MOA APPROVED NG INSTALL rouNwTaN CLEANOUT �FLATt EXISTING SEPTIC TANK TO BE COMPLETELY ABANDONED— .•.• a: Tym a V LOT UNE WAIVER REQUESTED TRICKLING FILTER (SIZED FOR 4 / BEDROOMS) , . GARNESS ENGINEERING GROUP, Ltd. p;? CONSULTANTS & GENERAL CONTRACTORS R' • •' • MI L vasa aDlq au¢ 101 • M CHWARL M eaeol • NCK (a0l}O) I" • PX (a rlv • uonu w• �w PREPARED FOR: PHONE NUMBER; PAGE NUMBER: T -r ALLEN BIRD (907) 696-2473 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: oOo ai LAKERIDGE TERRACE SUBDIVISION: LOT 1A, BLOCK 5, C.J.G. TYPE OF WORK: DATE' DESIGN OF SEPTIC SYSTEM UPGRADE 1 7/5/2005 (Rev. OV05) m� T-1 'TF-- owr 5 () I Owr — JL IN FROM MOA APPROVED RECIRCULATING TRICKUNG FILTER V a Vill GRADE GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS .... .. . ..................... MI L TOOT, WA *At 1W * NOOWL M PADW (607)=fn 0 W " F ww4wm~***• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ....... ............... ALLEN BIRD (907) 696-2473 3 OF 3 Q ey Gomess.: LEGAL DESCRIPTION: DRAWN BY:WO LAKERIDGE TERRACE SUBDIVISION; LOT IA, BLOCK 5. R.A.L. TYPE OF WORK:DATf '�Z,70�4ofsyslo� DETAIL FOR PROPOSED DRAINFIELD UPGRADE J7�5/2005 N��l Ukay.01)05) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS SOIL LOG — PERCOLATION TEST S LEGAL DESCRIPTION: LAKE RIDGE TERRACE SUUDMSIUN; ULMK a, wi t PERFORMED FOR: ALLEN BIRD DATE 6 24 OS 1 DEM____ — 6- — (rest)levy 3:02 EST HOLE 1 3 3/4- 1 _gym_ ORGANICS 3:02 — 1 ____ aasn SOIL CLASSIFICATIONS 3:32 30 4- 2- 5 3 — 6- — 6 a ,k GP 30 ML 2- MllwllGM CL � 4 GC OL r 02. SW MH 5 •• ••. SP CH ' OH s SC ] 11111 GW�D 8 9 10 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 6/23/2005 09.5' 7/11/2005 1A r: • • ...... .. ... ............:.... p f e G mess. Inno _ 3 \F. 'M11.e... ..... • eo�'v/ 4 BEDROOM 1 /� \,Qo. 0 TH#1 t i SCALE: DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 6 24 OS 1 2:32 — 6- — 2 3:02 30 3 3/4- 2 1/4- 3 3:02 — 6- — 4 3:32 30 4- 2- 5 3:32 — 6- — 6 4:02 30 4- 2- 19 I I PERCOLATION RATE 15 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) —jI�—JIB TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: CALEB GALL PERCOLATION TEST PERFORMED BY: CALEB GALL COMMENTS: ANTICIPATE HIGH GROUNDWATER SEASON LEVEL TO BE AT 7.0' +/— FEET. PERFORMED BY CEG, Ltd. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ER ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 6 Jul 21 98 11.10a To: DHHS JERRY LEACH [9071 694-8501 , IN(;. �,LtFT RECEIVED p.2 JUL 21 1998 Municipality of Anchorage Dept. Health & Human Services Date: July 21, 1998 We hereby notify DHHS as required by permit of the ite„ti_on to terrali$ the following property. Lot: I f` Block: 5 Subdivision; Lake Ridge Terrace Address: 14950 Blue Spruce Eagle River, AK Engineer Consulted: Yes -x- No KND Engineering Jerry Leach Alaska Drainfield Restoration President 17228 Juanita Loop N.. Eagle River, AK 99577 Ph- 907-694-8500 Fax. 907-694-8501 MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM ANBtEIPAVEXt INSPECTION REPORT NAME PHONE ❑NEW �'p^' L I V $ UPGRADE MAILIN ADDRESStQ, _ �C \✓�� LEGAL DESCRIPTION Lo -0 QI k 67k s LOCATION U NO. OF BEDROOMS Well Absorption area Dwelling PERMIT NO. Uy DISTANCE TO: F- z Manufacturer Material No. of compartments w F/G— y9 U Liq. capacity in gallons Inside length Width Liquid depth IF HOMEMADE: 0 y DI CE TO: Well welling PERMIT NO. J Z 02< LiquidJca in anufacturer rial city gallons O Well Foundation Nearest lot line PERMIT NO. J DISTANCE TO: _w ti No. of lines Length of each line Total length of lines Trench width r� Distance between lines ' z i - ( Finches a Top of tile to finish grade Material beneat the p.� Total effective absor tion are 4 � pinches 15 Length Width Depth _ PERMIT NO. w U Q F T e of crib Crib diamet Crib depth Total effective absorption area wa w We Buildin undation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. J J /, /A) w Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER PIPE MATERIALS _D_303 SOIL TEST tt��RAA--'S TING �L d�&o r Ti Aj"— INSTALLER - J c fn Q REMARKS S QC �i (LJ 12 n p, s S a P,r s W _ P 'o c5I APPROVED DATE LEGAL �21)B��%2������� Fr 17-�1 a J r -J I C_ -a.-, F,, F�l L_ 1 -f- Cif F-':- ���� � u� D�PHRT�ENT/^� HEA[ TL 8ND �NV�R8NMENT�L ��8TECT��N / 825 STREET/ HNCHOHGE HK. ' 264~4720 . �1-p-J4 7, E" EE 9-;:f- 9-9 F'"C'g L-,:fi 1�9 I T* PERMIT NO� ( 81.0846 ) HPPLICHMT HL LHRSON DBA RUSTIC.' HM P O BOX 594/ EAGLE RIYER 694-2I08/ P. � LOCATION LAKE RIDGE TERRACE LEGAL L1~H B5 LHKE RIDGE TERRACE S/D LOTSIZE 4]560 SQUHRE FEET TYPE OF SOIL HBSORPTIQN SYSTEM IS: DRHINFIELD MHXIMUM NUMBER OF BEDROOMS ­­ 4 SOIL RATING (SQ FT/BR)� 280 � ��p�� ��C������� �������� ����� �7 2T��-����� ������� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WE1.1-5 ADJACENT TQ THIS PROPERTY AND THE NUMBER OF RESIDENCES THHT THE WELL WILL SERVE. ����� ���CA _T- '77 --1- ��F-1 L_ ���YO---� � THE LENGTH \ DIMENSIO�� IS THE LENGTH (IN FEET) �THE TRENCH OR DRHINFIEL[l THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROUND AND THE BOTTOM OF THE 10N (TN FEET) 1­ '27-0 _T FR EE, PAY C- FA !,I I K_ --h _F_ A E 'Ez:�' THE GRHVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). � ��p�� ��C������� �������� ����� �7 2T��-����� ������� PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPHRTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WE1.1-5 ADJACENT TQ THIS PROPERTY AND THE NUMBER OF RESIDENCES THHT THE WELL WILL SERVE. ����� ­�I ��� ��� ��C� U I �`�� BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN H WELL HND ANY ON-SITE SEWAGE DI5POSHL SYSTEM IS 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL, MINIMUM DISTHNCE FROM H PRIVATE W0 LL T0 H PRIVATE SEWER LINE IS 25 FEET AND TO 8 COMMUNITY SEWER LINE IS 75 FEET� OTHER REQUIREMENTS MHY APPLY, SPECIFIC�TIONS HND CONSTRUCTION DIHGRHMS HRE HYHILHBLE TO INSURE PROPER INSTHLLHTION F E q:4:, 9-1 1 "'T- EE EE i KB, !E-=­F_�! � I CERTIFY THAT 1: I HM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS HS SET FORTH BY THE MUNICIPAL ITY OF ANCHORAGE. 2: I WILL INSTHLL THE SYSTEM IN H�C8RDHNCE WITH THE CODES. ]� I UNDERSTHND TW 1T THE ON~SITE 5EWER SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESIDENCE� TO LU�E MO�E THH�� 4 BEDRQOM�� 5IGNED.~..... -~��__ HPPLICHNT AL LHRSON DBA RUSTIC HMS OF HK O & E ENGAEERING & DEVELOVAENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 [ SOIL LOG 688-2280 Performed for: Name: / �- / s a/--- A14-jX' A Tel. No. Mailing Address: �' ` 13 g `Y-" 16 t/15/z ` Ax. Legal Description: 1 -co r / /? enc. `< ? Z -A /Zz / c -,F / Depth (feet) Soil Characteristics 0 1 - 2 3 4 5 7. 8. 9. 10 4�p--67/4"7 -�5«-Ti SgVD 7' ��►v��, V'�E�eY �Nsce 11 12 13 14 15 16 LN 40 PLOT PLAN PERC.TEST 314-?14-)fS1` 30 W«a Ground Water Encountered: Yes Nom✓ If yes, what depth �° •,. o m...a^,... Proposed Installation: Seepage Pit- Drain Field � �o 0 s I arP. Ellis E�' Comments: g° " „ Ear ,. El Russell Oyster 694-2774 Performed for: O & E ENGINEERING & DEVELOrWENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Mailing Add Legal Description: SOIL LOG r Earl Ellis 688-2280 Tel. No.`s" Depth (feet) 0 Soil Characteristics f f h K i llfa���- �% G, L/ 5J /gyp r \,- Y'4 tiJ O � f 2 J , e7 C I 3 s 4.1v40.0Ra' e-219 4 / y� i '}J i'r'e .,1e_hi /J ! ,tJ� Us T�; itussell L. C; star o `, °s° Fla. 428GF 5 L am. rolq1� - � "i 1 'ef�c f! e-f)zX.r '! 9am . ie°0® ,�`�.� P (A�OFES93 6 a y. 7 i tJD 8 10I��=>1 /� PLOT PLAN (fv �'7 � , j ••� i�C�a moi . 13 ✓i2�e+��c� /ut /CSL %L/Y1[� I�;F��_ PERC.TEST 14 ✓'j i�CrJ"rL G> G4 .�:� L'Lq`vr�;�i C�e1d 15 16 iojr—dr %�7— �.j— l.�l ivf tz .f1C ctcrUrx.� i.J `tl ii Ground Water Encountered: Yes No If yes, what depth - Proposed Installation: Seepage Pit- Drain Field Performed by: Date: GRE�' 7R ANCHORAGE AREA BORT-'-IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM M NAME JJa1�Iry% / Y(A-e!,,/MAILING ADDRESS JPHONE L LOCATION LEGAL DESCRIPTION 114 �L 4 tke 9ICj/ a4e �yrC{C SEPTIC TANK: DISTANCE f NUMBER OF 2 FROM WELL MANUFACTURER C� 'Q MATERIAL S /'e`Q COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY )2,5-0 GALLONS. SEEPAGE PIT: NUMBER OF PITS DIAMETER DIAMETER OR WIDTH, LENGTH�� DEPTH LINING MATERIAL CRIB SIZE: DIAMETER —DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE - BUILDING FOUNDATION_, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) / v 5 SQ. FT. i ADDITIONAL ABSORPTION -50('f 200A�i✓nt K, ErnY„ e / WELL: ✓�O/ /ii 0f �/n!P 6 /'15�CC�/rOh TYPE BUILDING FOUNDATION CESSPOOL APPROVED DISTANCES: _CONSTRUCTION NEAREST LOT LINE OTHER SOURCES DISAPPROVED INSTALLED BY: r PIPE MATERIAL: LOT SLOPE: REMARKS: a2la 19 le t© �hSilPC� GU ; 6 NEAREST SEWER LINE , REMAR DEPTH DISTANCE FROM: /an'reak%veC( Ico wd SEPTIC -SEEPAGE TANK—,SYSTEM DIAGRAM OF SYSTEM a vesa�e DATE 9 - Z- %- 7!I APPROV K GREATER ANCHORAGE AREA BOROUGH g moa DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 �) f TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT INSTALLATION LOCATION MAILING ADDRESS PHONE LEGAL DESCRIPTION A.-UAr U y -'r-I,LtfX_2/ — INSTALLATION OF: SEPTIC TANK zl SEEPAGE, PIT DRAIN DRAIN FIELD , OTHER TYPE AND SIZE OF FACILITY TO BE SERVED- T FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED TO BE INSTALLED BY NOTE: TH OUT 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. SEPTIC TANK SIZE 45POZ TYPE SEEPAGE AREA SIZE �Z(` 7 ` it/ lq`eyikPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ' i FOUNDATION TO SEEPAGE PIT 1�70 DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK , SEEPAGE PIT o'?0 DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT 7 ! DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK �UV ' SEEPAGE PIT /OD , DRAIN FIELD �^ TT / l SEPTIC TANK, 144Q , SEEPAGE PIT L(C DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP 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\ G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTSF GRtATA' NCHORAGE ARE ORO OR INANC O. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. � r- 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTSF GRtATA' NCHORAGE ARE ORO OR INANC O. 28.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. Performed for Legal Description: +his form reports: Depth Feet Ti 2- 3- 4 6- T- Urirli I tK AM MUKAUt HKtH bUKUUuH tiepl:"Jiaent of Environmental Quality 3330 "C" Street Anchorage, Alaska 99503 J am_ zC s log J`0 11 - 12 - 13 - 14 Was ground water encountered? h 0 If yes, at what depth? Date performed west Reading I I Date Gross Time Net Time Depth to ;120Net Drop I I I f1 1 i 1 lGf 6.41Ci 41 V11 lUl.l:. I 1l14 Lt: - - Proposed installation: Seepage Pit Drain Field Depth of Inlet Depth to bottom of pit or trench COMENTS: - - ------ n ., _fi_.._-._1 n-�! �� f %�_ - fi. v.i•i �•i nll QI/• nAtin • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904=�<.. Certificate of On -Site Systems Approval Parcel I.D. 051-313-18 1. GENERAL INFORMATION 2. Expiration Date: Lot 1A, Bk 5, Lake Ridge Terrace 3- 1- -I 3 ��' 14950 Woodland Ave, Eagle River, Alaska 99577 ation (site ad Current Melling aftsu-' liv ReaLEstataf49t Gail & Timothy Atkins 14950 Woodland Ave, Day phone Eagle River, Alaska Brooke Stiltner @ Re/Max ER F Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well rX_1 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request Received by: 99577 Day phone (907) 244-6742 TYPE OF WASTEWATER DISPOSAL: Individual El Holding Tank ❑ Community ❑ Public Sewer IJ COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ '� '10 T 2 9 k/IS � Waiver Fee $ Date of Payment/ Z - 3 _ 13 /1 5-NY&Oate of Payment Receipt Number % % D s Receipt Number COSA # 0 Ss L= 13 j 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 Pinard Engineering Address PO Box 871347 Wasilla, Alaska 99687 Engineer's Printed Name Paul E. Pinard, P.E. 6. DSD SIGNATURE System #1 Approved for 4— bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the folic Phone (907)357-3647 By: Original Certificate Date: I The un' pa of horage Development Services Division (DSD) issues Certificates of Onsite 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 engineets work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r n t If more than t septic system is on the lot: COSA Checklist # of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Lot 1A, Bk 5, Lake Ridge Terrace A. WELL DATA Well type Pvt If A, B, or C provide PWSID # Date completed Unknown Sanitary seal (Y/N) Y Total depth 240 ft. Cased to 50 ft. FROM WELL LOG Date of test No Well Log Static water level No Well Log ft Well production No Well Log g p m WATER SAMPLE RESULTS Coliform 0 colonies/100 mL Nitrate 5.19 mg/L Arsenic ND ug/L Date of sample: 11/13/13 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Poly Coated Steel Tank size 1500 gal. Number of Compartments 2 Parcel ID: 051-313-18 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 12/1/13 22.0 ft. 3.4 9 - p.m -Collected by: Pinard Engineering Date installed 7/19 -20/2005 Cleanouts(Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) Y Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed 7/19-20/05 Soil rating (g.p.d./11:2 or fe/bdrm) 2.0 gpd/sf System type 5 WideTrench Length 62 ft. Width 5 ft. Gravel below pipe 0.5 ft 4474t '" absorption area 310+ ftz Monitoring tube Y Depression over field N Total depth ft ®, rp g p - q� Date o�adeq te#f dP3 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth m absprpjRR .Ie bef re test 0 in. Water added 620 gal. New depth 0 in. Elapsed Time: ' rrik7 A Final fluid depth 0 in. Absorption rate >= 600+ g-p.d. None Known Any rejuvenation treatmerit`(ast 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed 7/19-20/05 "Pump on" level at 31 in. Datum Bottom of Tank Size in gallons 92 Manhole/Access (Y/NI) Y "Pump off' level at 7 in. High water alarm level at 35 in. Cycles tested 3 E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line, Animal containment areas 25'+ 100'+ Meets alarm & circuit requirements? Y On adjacent lots On adjacent lots 100'+ 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 51+ Property line 51+ Water main NA Water service line 10'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line + Building foundation 10'+ Water Service line 10'+ Surface water 100'+ Curtain drain None Known Wells on adjacent lots 100'+ Absorption field 5'+ Surface water 100'+ Water main NA Driveway, parking/vehicle storage 5'+ F. COMMENTS * Waiver #WR050047 previously issued for this separation. Since home had been vacant 2+ months, 2000 gal water was added to septic before test. G. ENGINEER'S CERTIFICATION I certify that l 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 Paul E. Pinard, P.E. Date 12/2/13 COSA brown sheet 10-10-12.doc WE. PkX fd ` CE -4793 : e� ea, • G ROFFSr='r"a -- Municipality of Anchorage Community Development Department Development Services Division sAf E, 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 # 131624 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 5, Lot IA of Lake Ridge Terrace subdivision. This inspection revealed a nitrate concentration of 5.19 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. w 82871 Blue Spruce Lane Co C5 M &,47911 N89°53'00"W 92.52 Lc!)-. _* / / Lot 7 / SCALE:1•= 30r O // nj / ,� •ri.Izrc.. 4%e 4( tO r OH � ry�y sgAa' .s a?�r %% �rs. n •S o o�'# %70 eoSc �sO Leer O%7ir Se'otc . Lot -A h•d We"a 1`496 :596.7 MFMENTSOFREGORD.0FMEFt1HWi ot, ;�., THOSE SHOWN ON THE RECORDED ......PLAT ARE NOT SHOWN HEREON. Fb95-4. pg 54 o Well I .ter`° CID Lai 2 Story r I wady 3� Zry� Framey�Phafl d �@ y c c m House ' •- 0 s1 TV Basement ` i 4� ! tp M � � 1.0 Window OH (Typ)' OH � ry�y sgAa' .s a?�r %% �rs. n •S o o�'# %70 eoSc �sO Leer O%7ir Se'otc . Lot -A h•d We"a 1`496 :596.7 MFMENTSOFREGORD.0FMEFt1HWi ot, ;�., THOSE SHOWN ON THE RECORDED ......PLAT ARE NOT SHOWN HEREON. Fb95-4. pg 54 o Well AS -BUILT NOOORNERS.SET THIS DATE Ihweby Cadtfy that 1 have perfomrad a Mortpaeeh fnsp moon of bre following dasaibed properly:,�Qt j -A. ebek5 Lake.Wdae Ten= SubdNhbn r tmpmvameme situated thereon are whin are property ansa and donot avanapOrencmachonthe pmPatyt1ft VWHIY adjacent Uwattoo'Mwwchhoon ft I � �qLmstion am Met lhefe ans Flo roadways. bansntl551m MM of Mw vie®fe easements on said property except asMated deo ti Dated at Anchaape. Alaska this 271h day of JtAy_____20pS FRED WAtATKA d ASSOGIATt:S BE Engineers and Stir eyr,s I .ter`° CID LUT 1 A r I wady 3� Zry� II cmc _.0 U d �@ y c c ' •- 0 s1 TV ! i 4� ! tp AS -BUILT NOOORNERS.SET THIS DATE Ihweby Cadtfy that 1 have perfomrad a Mortpaeeh fnsp moon of bre following dasaibed properly:,�Qt j -A. ebek5 Lake.Wdae Ten= SubdNhbn r tmpmvameme situated thereon are whin are property ansa and donot avanapOrencmachonthe pmPatyt1ft VWHIY adjacent Uwattoo'Mwwchhoon ft I � �qLmstion am Met lhefe ans Flo roadways. bansntl551m MM of Mw vie®fe easements on said property except asMated deo ti Dated at Anchaape. Alaska this 271h day of JtAy_____20pS FRED WAtATKA d ASSOGIATt:S BE Engineers and Stir eyr,s (9 CID Zry� AS -BUILT NOOORNERS.SET THIS DATE Ihweby Cadtfy that 1 have perfomrad a Mortpaeeh fnsp moon of bre following dasaibed properly:,�Qt j -A. ebek5 Lake.Wdae Ten= SubdNhbn r tmpmvameme situated thereon are whin are property ansa and donot avanapOrencmachonthe pmPatyt1ft VWHIY adjacent Uwattoo'Mwwchhoon ft I � �qLmstion am Met lhefe ans Flo roadways. bansntl551m MM of Mw vie®fe easements on said property except asMated deo ti Dated at Anchaape. Alaska this 271h day of JtAy_____20pS FRED WAtATKA d ASSOGIATt:S BE Engineers and Stir eyr,s 08!13/2013 07:30 6686776 APLUS PAGE 15 185 018 Own Ron ■111■■1■ ■r 1■ ■ ■ ■ F 1■rl + Pg WON own r 1■ ■ ■ ■■ ■ ■ IN■ rp r BOB r r ■ ■ ■rlr■rl ■ ■m ■■ ■r■ r F ivanTexe Flald Maififtmace Report AnchorageTank Annual Inspection 907-272-3543 Pmpa,Yy Oxll6f?uiGliNae Current ePeralT Nal-rypleel lo, ❑cabbala CID. -ay Gall Atkins 2nd eor OOt ,rrpp Mlke Blakeslee Provlapa M. Wean... Po` eu' G)mciPbm 14050 Woodland Ave, Eagle River AK 9957/ lflso ua`�,( (907) 5555555 .MWPLbu'— Pump �q Pw1Y Mva. nom lenk'e AX -105996 SW050228 205253 RTUIC5250 05104/2911 A.b ieva D&M mile TiMer"0119 : Perform Field SampfirWObsereatlons NTU 86 xNTUsy pH (60) D012-� Oder M aappi Current ryplo�- al Sty ❑Eaemy ❑Mekly Nal-rypleel lo, ❑cabbala CID. -ay 011ye1mh ❑Yee 2nd eor OOt ,rrpp Fee. In Tank ❑Yes a Provlapa Check Ceedrei Panel Po` eu' neci.aore DhlIcnerpeAmpa Inepeet MOO lflso ua`�,( xunibbalM..Isual aam,a x Pump �q DIali.,a l.lemetry ate') Yea ❑N. Inapeel/Clpan pump Seetcm wpm CIO. Inspect Clenn 9pgce BOX ............ ........ Foot Cade ................... Flom......... I ............... LLl Punts ........................ lkatub.-Filler................. Protobe Pump Vast ............ aecbCalatln9 Sylmar VaWe....... - hNS Cemmprrta Measure 81udge/Scum Swam no. MO. ron Current PreWpus CurroM PtaMwe 2nd eor OOt ,rrpp Current Provlapa CwVwt Po` eu' Inspsot/Cleen AdvenTex Flier Renderad W appmpneta selecaoN Finalme" Inepectipn ;Rev nms1erted anlbfd reconnect,&. nuahvetrec closed SummarylReconm eadatiune AS,MOrn pvdaJ g ne Nrvl,araceon needed a ❑Dalifmaervke `z Lids bMmd on Control paIMI reaaivaied ❑Tats!.peas NMOM �CMOs? Sent from my Whone 12/4/2013 Fax Completed form to 7.866-384.7404 Page 2 of 2 Inapeat Clean oaprz Nennel ❑Purgem Late.is/aMpea �' Blame Nmmal ❑P#ae8"We I Pod notlom - ancglnoT mg: 'Nena/Minor DDOp — hhoo Ven InspecUClean Discharge Pump System hopeet Inepeet MOO lflso ua`�,( Ftogq epics Dex '�iY�^yJl�` Pump �q etM Fleppe ]V InspeeU9ervlce Other System Components wpm CIO. Inspem Clam ownbadon EauipneM ❑ ❑ Dlep.salLA",vadrrobe [---❑ Renderad W appmpneta selecaoN Finalme" Inepectipn ;Rev nms1erted anlbfd reconnect,&. nuahvetrec closed SummarylReconm eadatiune AS,MOrn pvdaJ g ne Nrvl,araceon needed a ❑Dalifmaervke `z Lids bMmd on Control paIMI reaaivaied ❑Tats!.peas NMOM �CMOs? Sent from my Whone 12/4/2013 Fax Completed form to 7.866-384.7404 Page 2 of 2 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE MC111] THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this Day of Ta of 20J�, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AW WTS),, described as zl /i i✓ a r, —te located at (legal description). 2. Definitions. " Alteration. Any change to the design or function of an AWWTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC") 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AWWTS that were included in the original design which would allow the AWWTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as required by AMC 15.65 to construct and operate an AWWTS. 3. Term. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AWWTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations, Installation and Removal of Additional Equipment. Prior to performing any alterations to an AWWTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AWWTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the municipality and the manufacturer of the AWWTS for the entire term of the AWWTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. 6. Nonwaiver. The failure of either party at any time to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parries are: a. Owner: b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. 8. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By:signature) Date:j�'�`�.3 (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this '7y of 20 MUNICIPALITY: By: l�?/4�i /� 9� (signature) (print name) Date: /;? -4-('I/S Title: Ke6vt l.a6i Municipality of Anchorage Development Services Department Building Safety Division • On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.sk.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL R "jFOR A SINGLE FAMILY DWELLING Parcel I.D. nS . I- —I R _. 3 O Jr 1. GENERAL INFORMATION Expiration Date: LOT 1A BLOCK 5 Complete legal description LAKE RIDGE TARRACE SUBDryIS10N Location (site address or directions) 14950 WOODLAND AVENUE • EAGLE RIVER AK. 99577 Current Property owner(s) ALLEN BIRD Day phone (907) 696-2473 Mailing address 14950 WOODLAND AVENUE • EAGLE RIVER AK. 99577 Day phone Lending agency Mailing address Real Estate Agent BROOK STILTNER w/ REMAX PROPERTIES Day phone 244-6742 Mailing address 16600 CENTERnELD DRIVE • EAGLE RIVER, AK. 99577 unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by aIndepe re nt professiued for thontal civil engineer registered in the State of Alaska. Certificates of Health Authority App q of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates or f Heaasslt we I and may lth Authority Approval are valid for 90 days from the date of issue for properties served by a private 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. TYPE OF WASTEWATER DISPOSAL: 3. TYPE OF WATER SUPPLY: Individual Well 01 Individual On-site 0 0 Individual Water Storage ❑ Individual Holding tank 11 Community Class Well ❑ Community On-site 11Public Water System 11 Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by aIndepe re nt professiued for thontal civil engineer registered in the State of Alaska. Certificates of Health Authority App q of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates or f Heaasslt we I and may lth Authority Approval are valid for 90 days from the date of issue for properties served by a private be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the onsite water supply and/or wastewator 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 onsite 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 JEFFREY A. RNESS, P.E. Engineers Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system In accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the Lime of the test, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. 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. 5. DSD SIGNATURE Approved for 4 bedrooms. Disapproved. Conditional approval for present. It Is suggested that Current nitrate concentration Is 9.18 mg/l. Phone 337-6179 Date 0 bedrooms, with the following stipulations: be performed to insure the wells continued EPA maximum concentration is 10.0 mg/l. Dlore information on nitrates is available from the On -Site Services Program, at 343-7904. Attachments: HAA Checklist Maintenance Agreements Septic System Advisory Supplemental Engineers Report Well Flow Advisory Other By. 4 / Original Certificate Date: — 3 — O s— (Rev. 13A1) Municipality of Anchorage .. Development Services Department Building Safety Division . . On -Site Water 6 Wastewater Program 4700 South Bragaw St. P.O. Box 198850 Anchorage, AK 99519-8650 www.ci.anchorage.ek.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LAKE RIME TARRkCE S/n; LOT 1a- BLOCK 5. Parcel ID: A WELL DATA *PER 6/12/1981 M—W DRILLING DOCUMENTATION ATTACHED. Well type PWAM If A, 8, or C provide PWSID# N/A Date completed UNK Sanitary seal (YIN)Ya Total depth •240 fL Cased to *-50 ft. FROM WELL LOG Date of test Static water level ft. Well production G.P.M. WATER SAMPLE RESULTS: Coliform 0 colonies1100 mi. Nitrate 9.18 mgA. Well Log (YM) NO Wires property protected (YIN) Ya Casing height (above ground) 12+ in. AT INSPECTION 6/1/2005 25 ft. 1.0 g.p.m. Other bacteria 0 colonies/IW ml. Arsenic: N/A mgJL. Date of sample: 6/2/2005 Collected by: GEG, LID. 6. SEPTICIHOLDING TANK DATA *DOUBLE CLEANOUTS BEFORE TANK. TankTypelWterial 3/16TH POLY COATED STEEL DatefnstaIled 7/19-20/2005 Tank size 1500 gal. Number of Compartments 2 Cleenouts (YIN) YES Foundation cleanout (YIN) *S Depression over tank (YM) NO High water alarm (YIN) YES Date of pumping NEW Pumper N/A C. ABSORPTION FIELD DATA Deta installed 7/19-20/2005 Soil rating .p.d. 11%drn) 2.0 System type TRENCH Length 62 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth *4 4.75 ft. EB. absorption area 310+ ft' Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fall) Fluid depth in absorption field before test _ in. Water a Elapsed Time: _ min. Li (past 12 mo.) (YIN 8 type) For depth _in. Absorption rate >= g.p.d. If yes, give date D. LIFT STATION Date Yutalled7/19-20/2005 Size in gallons 92 Manhole/Access (Y/N) YES "Pump on" level at 31 in. uPuMp or level at 7 in. High water alarm level at Datum BOTTOM OF TANK Cyd89 tested NEW Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot 1000+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent kits 1001+ Public sewer main N/A Public sewer manhole/deanout N/A Sewer /septic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 1000+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line •1'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkkrg/vehide storage 5'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS O. ENGINEER'S CERTIFICATION I certify that I have datemdned through field inspections and * 4 review of Munldpal records that the above systems are in ........... :Ar .. conformance with MOA HAA guidelines in effed on this date. .................... Engineers Printed Name JEFFREY A. GARNESS �+ mass 3 Date -712- 71AW c,S r'+etasata�d HAA Fees yR0 1 bS Waiver Fee $ Date of Payment Date of Payment Receipt Number 0-71 CA7 Receipt Number, V%V. 12101) IVI-W DRILLING INC. P.O. BOX 10.378 ANCHORAGE. ALASKA 99511 PHONE 344.0526 . G• NAME L o W S A RESP I INVOICE Na 1598 DATE��Z /8 uNlr OTY. MATERIALS PRICE AMOUNT LEGAL DESCRIPTION Llt� tis LwkEaLduc• 1� .. LTwL owNeai •-c OWQh\'b WNE0. 1� sANN OR LENDIND INSi1TUT10Nf CURRENTLY HOLDI O DEED OF TRUST lot:j8' 3037 lcdQ '9 555 NONE PHONE WORK PHONE Nc � 1 To I.FIeE I-Pk�NExT CEEL.b1�l7E Ehh TOTAL MATERIALS LU 1'IOLas! WWDOWN ^ 00•T DRA W FLLNUMSLR DIAM[TER DEPTH STATICLEVEL r OPM La ' Z �? 3(25 VOLTS PHASE AMPRATL PUMPMAKE INP SLTTINO QVp0.6K / LI ' _�...., ......... MODEL SORE NL[NOTH LOT SIZE LIN[R/f CRC[N DESCRIPTION OF WORK DATES V h ..� ♦: _ '�\ Y_ +T`_ _ nlw.. _._. ��.w..ra ta)C"l i x00. 3o MIN l`Y) lDc t�M 01LLi..+��— All charges shag be paid in lull within ten days unless other arrangements are "do prior w drilling. The customer shag pay in- terest at the rate o1 1 Si % per month on any amount not paid within ten days. Failure to pay may result in a Gen against the property. DATE I IN I OUT HOURS I RATE LABOR MATERIALS (PROM ASOVEI PAY THIO AMnUNT � I 1A A 82871 Blue Spruce Lane _ _ _ co zL- N89053'00"W 92.52 co CR2 4791/ 50 / �4i• Lot 7 0 Well / / �•:'" / &� ti SCALE: 1"= 30' BOO LOT 1 A / me umti tKennett ,As�phait ,: , ,Y� � / �mo� C� �qj tiYh .4.Sr / C t,.a 2Story NFram -.e�:�,ugS�G-r��`;�;%t•*'��'! / -.. O fD HODS@ J 3 With Basement co S ��' 1.0 Window OH (TYP) 0046 27.0 / C C `e�! tS .00H / :U a spa • / O �O� 3 v0 CID 7o PAG• / o On °O-� / z Lot 2-A re 2 0V / / AS -BUILT NO CORNERS SET THIS DATE �v� • t• I hereby certify that I have performed a Mortgagee's Inspection -'O o � of the following described PrtYl� 1 p��-"`'t` -` - Leke RWae Tema .- a mntilsion r �{ s VV �✓ 3h improvernents "led thereon am within the property fines • and do not overtop or encroach on the Property Ift adjacent thereto, that no Improvements on the properly Iyhi9 r ,0 •. w adjacent thereto encroach on the premises In Question and tM•d Met Mere are no roadways, transmission except Imes d other visible easements on said propeDatrty except as Indicated {e�♦'v� . -� tthis�27th at Anchorage, Alaskatl y of Joy 2005 EASEMENTS OF RECORD, OTHERT�I�t4. �...a fs" FRED WALATKA & ASSOCIATES THOSE SHOWN ON THE RECORDED BE Engineers and Surveyors - - -PIAT ARE NOT SHOWN HEREON. FD05.4 Pg 54 (907-248-1666) MUNICIPALITY OF ANCHORAGE • Department of Health & Human Services y�}� DIVISION OF ENVIRONMENTAL SERVICES - 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING � a Parcel I.D. #�- —ro ��\ - �\') - N � HAA # (`�� s�� ) L''-� 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot lA Block 5 Lake Ridge Terrace Location (address or directions) 1490 Woodland Eagle River AK 99577 Contact Realtor or Engineer (b) Property owner Robert & Evenell Monica Telephone: (home) Business Mailing Address 1490 Woodland- Fa�le River AK .99577 (c) Lending Institution cit -)4 Mortgage Telephone 56"-0700 MailingAddress 41 nchoraqp AW 99503 (d) Real Estate Company and Agent Heritage of Anchorage Greg Erkins Address 3230 C St Anchorage AK 99503 Telephone (e) Mail the HAA to the following address: (or check here M� if hold for pick up.) List contact person and day phone number below: Mountain Engineering 696-1700 2. TYPE OF RESIDENCE Single -Family � Number of bedrooms 4 3. WATER SUPPLY Individual Well IR 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 Z to Z abed MOVO (99/L A98) 9ZO-ZL �aom s,aaauibuo leuolsseloid a4l ul suoIsslwo ao saoaaaaol aIglsuodsai lou sl a6eaogouy to Al! IedioiunW ayl •panssl si aleollpiao a aaolaq elep azAleue ao suoiloadsui Ion puoo lou op SHHQ to sa@AoIdw3 -sluawaimbai alels pue Ieaapal uleliao Alsiles of iepio ul suoilnl!lsui 6ulpual alayl pue sawoq to saasegoand of Asalinoo a se slut saop SHHQ ayl 'e�lSel'd to alelS aUl ul paaalsl6aa aaauibua leuoissaloid luapuadepui ue lq anoge g ydea6eaed ul u9A16 suoileluasaadaa aul uodn Rluo paseq paleoilpao lenoaddyAilaoglny ylleaH sanssi (SHHQ) saolAaaS uewnH pue ulleaH to luawlieda4 a6eaogouylo Al!ledlolunW ayl NOijLnyo leuolllpuoO —// ale(] leas s,aa9ul6u3 ��111.t,a. lenoaddy leuolilpuoO to swaal panoiddesla panoaddy Aq swooapaq aol panoaddy 1VAOHddV SHHQ '9 alep LLS66 MV�ant2I a: eg gS12S M0zA-4S@J5 TSZOT ssaappy OOLT-969 auogdelal uzJaauz ug utequnoW wail to aweN •uoiloadsui slgl to alep ayl uo loalla ui suollelnbej pue 'seoueulpao 'sapoo alelS pue ledlownIN Ile ullm eoueildwoo ui si walsAs lesodslp aalemalsem ao/pue Alddns aalem alis-uo eql 'uoiloodsul pue uolle61isanul Aw wo,al pue salla a6ejogouy to AllledlolunW ayl woal peuielgo uollewaolul aul uo paseq \ le4l Aj!JaA jaylinl I •ulajaq paleoipul ainlonals to adAj pue swooapaq to aagwnu aql aol alenbape pue leuollounl ales sl wals�(s lesodslp aalemalsem ao/pue �(lddns aalem ells-uo ayl leul smogs lenoiddy Allaoglny ylleaH slyl to u011e61isanu1 AW leyl fllaaA ! 'molaq umogs alep uolleplleA ayl to se pue olaaaLl pexllle lees lw (q pallpiao sy \ NOI.LVVY IOdNI aMd V.LVa `HOad38 3-111 `S1S31 `SNO11O3dSNl !DNIOIAOMd WHIJ JNIll33NION3 '9 MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL SERv SIGN Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 J lJ �_ 5 1 343-4744 RECEIVED Legal Description: Lot 1A, Block 5 Lake.Ridge Terrace, Eagle River__ A. WELL DATA Well Classification Residential If A, B, C, D.E.C. Approved (Y/N) Well Log Present (Y/N) N Date leted Unknown Yield 1. 1 GPM �J�� Fitt m Total Depths Case to TT�.*,:ep of Grouting Unknown r Static Water Level 26' Pump Set At 64' Est by ADO test r Casing Height Above Ground IR" Sanitary Seal on Casing (Y/N) v Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) N SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot 1 30' ;On Adjoining Lots More than 150' To Nearest Edge of Absorption Field on Lot 1 02' ; On Adjoining Lots More than 1 50' l To Nearest Public Sewer Line None To Nearest Public Sewer Cleanout/Manhole None To Nearest Sewer Service Line on Lot None Water Sample Collected by Mountain Fn9i neeri ng ;Date 6/23/89 Water Sample Test Results Passed — See attached Results Comments ADO test performed 6/23/89 B. SEPTIC/HOLDING TANK DATA Date Installed 8 /�e7 /74 Size i2so qa_lgoaivf Compartments 2 Standpipes (Y/N) Y Air -tight Caps (Y/N) v Foundation Cleanout (Y/N) N Unknown,however on 6/23/85 Depression over Tank (Y/N) N Date Last Pumped Tan)E ijas druids Pumping/Maintenance Contact on File (Y/N) Holding Tank High -Water Alarm (Y/N) N/A ;for Temporary Holding Tank Permit (Y/N) N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well 130' To Building Foundation 12' To Property Line more than 10' To Disposal Field 23' to pit, 581to absorb. To Water Main/Service Line more than 20' To Stream, Pond, Lake or Major Drainage Course None Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 280 FT2/RR Type of System Design wide nrai of i el d Date Installed 8/17/81 Length of Field 71 Width of Field 5 ' Depth of Field Gravel Bed Thickness 24 Square Feet of Absortion Area 507 FT Statndpipes Present (Y/N) Depression over Field (Y/N) N Date of Last Adequacy Test 6/23/89 Results of Last Adequacy Test Passed - 4 bedroom SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well To Building Foundation To Property Line 13' to rd . & apparent PL To Existing or Abandoned System on Lot 34' to old seepage pit ;On Adjoining Lots more than 150' To Water Main/Service Line mnrP than 20, To Cutback (if present) None To Stream, Pond, Lake, or Major Drainage Course None To Driveway, Parking Area, or Vehicle Storage Area 13' to road Comments System is also apparently using older log seepage pit: Install date= 8/27/74 Absorption Area= 768 FT2, Soils= 200FT2/RR, L=34',w=141,_ D=14'. Pit is apparently in series with (& between) Septic Tank & Absorption Field D. LIFT STATION Date Installed N/A Dimensions Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments 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 I have checked, verified, or conformed to all MOA and HAA. 'f?1I L%� ffect on the date of this inspection. e ®• �('t 4, Signed Company Mountain Engineering Date 6/26/89 MOA No Receipt No. r_ Z ` A `c 7�(3/ Date of Payment 7-_5 =P Amount: $ l 7 D - O Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Engineer's Seal .'r ' T�;•, MARK W. PEARSON �•,o- C� CE - 7760 , Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 Engineer's Seal MOUNTAIN ENGINEERING ;ii 10251 Crestview East • Eagle River, Alaska 99577 Anchorage 907-696-1700 Outside Anchorage 800-478-0101 WATER WELL ADEQUACY TEST LEGAL : Lot lA ; Block 5 ; Lake Ridge Terrace ADDRESS : 1490 Woodland, Eagle River, AK 99577 TYPE : Single Family 4 Bedrm OWNER : Robert Monica WELL YIELD: 1.1 GPM DATE OF TEST : 6/23/89 WELL LOG AVAILABLE : N INSTALLATION REQUIREMENTS MET : Y WATER QUALITY - DATE TESTED : 6/23/89 COLIFORM : PASSED - See attached NITRATES : PASSED - See attached YIELD TEST PROCEDURE: Well was pumped at a constant rate of 2 GPM. After 2 hours, flow had reduced to 1.1 GPM, where it remained constant until test was concluded after 5 hours total testing time. Static water level was 26 FT, and the water level after a sustained flow of 1.1 GPM was 64 FT. Since all valves were fully open during the 1.1 GPM flows, water pressure at that time was near zero. YIELD TEST RESULTS: THIS WELL MEETS OR EXCEEDS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. Due to flow requirements by the FHA of a 4 hour 3 GPM flow, a storage tank and pump may need to be added. Another alternative to adding storage may be to lower (and perhaps increase the size of) the well pump. Although a well log is unavailable, previous documents (M -W Drilling 6/12/81) indicate that the depth may be 240 FT. OF m: E ............. < 4 496 •° % MARK W. PEARSON i �Q CE - 7760 9�g4 fip:,, _ ..���• *gig LEGAL ADDRESS OWNER TYPE WATER SYSTEM SEPTIC SYSTEM DATE OF TEST MOUNTAIN ENGINEERING O 10251 Crestview East • Eagle River, Alaska 99577 Anchorage 907-696-1700 Outside Anchorage 800-478-0101 SEPTIC SYSTEM ADEQUACY TEST : Lot IA ; Block 5 ; Lake Ridge Terrace : 1490 Woodland, Eagle River, AK 99577 Robert Monica Single Family, 4 Bedroom Single Family Residential Well (According to Municipal Tank Size Absorption Type Absorption Area Soils Rating Installation Date : June 23, 1989 Records) 1,250 gallon Wide Dfainfield 507 FT 280 FT /Bedroom 8/17/81 TESTING PROCEDURE Due to the fact that the residence has been unoccupied since December, 1988, 460 gallons of water were added to the system on the previous day to prepare the soils. For the test, 940 gallons were introduced at a rate of 1.1 - 2 GPM over a period of 15 hours. Water was added into the crib, and the fluid levels of the crib, drainfield, and septic tank were monitored. None of the fluid levels experienced a significant increase after addition of the testing water. NOTE: The system consists of the septic tank, a crib seepage pit, and the drainfield. The crib is the older of the two absorption areas, and is in series with (and between) the septic tank and drainfield. TEST RESULTS THIS SYSTEM MEETS OR EXCEEDS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. This analysis was conducted to quantitatively measure the performance of the above referenced absorption system. While the system performed more than adequately,, a prediction of the overall operational life expectancy omk"'%ae the wastewater absorption field is not herein :Iiftpl s OF Operational life expectancy is affected by many varies*''o such as homeowner maintenance, soils conditibn!o,'C2.nd .� fluctuation of groundwater levels. e�f 49th_ SJ MARK W. PEARSON d CE - 71760 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 \ FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order # 14299 Date Report Printed: JUN 28 89 @ 10:50 Client Sample ID:L1A B5 LAKE VIEW TERRACE PWSID :UA Collected JUN 23 89 @ 15:30 his. Received JUN 23 89 @ 16:25 hrs. Preserved with :AS REQUIRED Analysis Completed :JUN 26 89 Laboratory Supervisor STEPHEN C. EDE Released By : )(/�(�, Special HOLD FOR PICK UP Instruct: Chemlab Ref #: 5929 Lab Smpl ID: 1 Matrix: WATER Parameter Tested Result/Units --------------------------------------------------------------------- NITRATE-N 1.8 mg/l Sample SAMPLE COLLECTED BY MOUNTAIN ENGINEERING Remarks: ROUTINE SAMPLE Client Name MOUNTAIN ENGINEERING Client Acct MTNENGN P.O.# NONE REC D Req # Ordered By : MARK PEARSON Send Reports to: 1)MOUNTAIN ENGINEERING 2) Allowable Method Limits ----------------------------- EPA 353.2 10 1 Tests Performed See Special Instructions Above UA=Unavailable ND= None Detected See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Greater Than f DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY INSPECTOR INSPECTOR I INSPECTO MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOAEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL P::OTECTION • ENVIRONMENTAL SANITATION DIVISION ,j�!I`r 1 6 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SERM DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE 42- 60 &�1 aX�) / r/'7�/ YEAR ON-SITE SYSTEM WAS INSTALLED. MAIL NG ADDRESS D. -2—yK r77G PROPERTY RESIDENT (If di ferent from above) PHONE /F41 9l ';-.; t- 2. B ER PHONE MAILING DDRESS sR'4 3. LENDING INSTITUTION 1PHONE A -i ri 7'v MAILING ADDRESS Q . o /LGo r it >�ie: 9J D 4. REALTOR/AGENT PHONE A ;& M NG ADDRESS F J 7 7 5. LEGAL DESCRIPTION STREET LOCATION FZ 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 5< INDIVIDUAL/ON-SITE** / r/'7�/ YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev6/79) lljS i / G"� '_`/� /jcN7 THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑ INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED ) �� INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 1 15; `' If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER (� W v TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Sj _.i i�.L'n i�i�; ` r �� � Ii I 1[2/APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (lettermusacompany certificate) aDISAPPROVED DATE /j l ._ BY - '`W I . aI Imf 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SOLLIVAN, MAYOR DEPARTMENTOF HEALTH AND ENVIRONMENTAL PROTECTION June 24, 1981 Andrew G. Cowan % Al Romaszwski Area, Inc. Realtors Post office Box 249 Eagle River, Alaska 99577 Subject: Lot lA Block 5 Lake Ridge Terrace Subdivision The adequacy test performed on the existing sewer system has failed. Therefore, before approval may be granted an upgrade will be required. Prior to the upgrade, a soils test will need to be obtained so that a permit can be issued from this department. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Mutual Savings Bank Post Office Box 1120 99510 Area Realty ATTENTION: Al P.O. Box 249 Eagle River, Alaska 99577 Dear Al, DAVID A. SLENKAMP MECHANICAL ENGINEER 694-9055 June 15, 1981 Reference: Lot 1A; Block 5; Lakeridge Terrace ROBERT A. SHAFER CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL Pf,'OTECTION j0N 17 1981 RECEIVED A sewage system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1250 gallons. The seepage pit was charged with approximately 2800 gallons of water in order to fill the crib. After a period of 24 hours measurements were taken and it was determined that approximately 407 gallons had percolated out of the crib. It can be concluded from this test that the septic tank is adequate for the four bedroom residence located on this property. However, the seepage pit is only adequate for approximately 2.7 bedrooms. I regret to inform you that it will be necessary to have the absorption area upgraded before it can be considered adequate for the four bedroom dwelling. If we may be of further service, please do not hesitate to call. Sincerely, OBERT A. S FER, P.E. RAS/ss cc: Municipality.of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA W DRILLING INC. P.O. BOX 10-378 ANCHORAGE, ALASKA 99511 PHONE 344-0526 NAME A RESS CITY /G��L�L f✓��^ /� �%S 73, LEGAL DESCRIPTION LIA,E35 LtakEQ�dc� Sud LEGAL OWNERS SaNdeEw C,ow�at'vy.�nieR _ BANK OR LENDING INSTITUTIONS CURRENTLY HOLDING DEED OF TRUST 1o88'3c)37 UcA4 -9ss,i HOMEPHONE WORKPHONE N� w GLeNh To L FIeE LPki NEXT CcE i WhIT(.L HOvSE t J INVOICE N° 1 5 9 8 DATE (9�/� UNIT OTY. MATERIALS PRICE AMOUNT BUAUE ROO { TOTAL S1 I WELL NUMBER DIAMETER (P DEPTH z4 o'? STATIC LEVEL GPM DRAWDOWN _ PUMP MAKE IHP t� CL,? ck� l �3 SETTING D>�. c < I N Q Rex ? CSP ^\TA ` VOLTS 2.30 PHASE AMP RATE I cil SERIAL NUMBER MODEL SCREEN LENGTH LOT SIZE LINER/SCREEN DESCRIPTION OF WORK DATES /t2 ylELc�°4�� lEs� �6Rt ocA wIF-l ( loft, 3UN\IN 6 Cn oLkvy) �R� LcT-ssT 15"min+ `arodo� o'rcS �C'>oAL aFwayc=R. u.��:.,1.( <,RAcIcaC,tS 7c.arv, 1niAt';(L �E12xoLCLnuc��, 'nlSTV ILU NN Com, WG (-L NC.4 . All charges shall be paid in full within ten days unless other arrangements are made prior to drilling. The customer shall pay in- terest at the rate of 1 '/z % per month on any amount not paid within ten days. Failure to pay may result in a lien against the property. WORKMAN I DATE (n IN I OUT I LABOR I HOURS I RATE MATERIALS (FROM ABOVE) OTHER CHARGES A I PAY THIC AMr)UNT —h A 7 -7 L --d Date— I gj To Address 0, /..;&0 / ,r Z j 4g4, Z� City eI L Ecqi� - SJ Redifrm STATEMENT Ov *no L 5. LEGAL DESCRIPTION ? DATE -RECEIVED ` INSPECTION APPOINTMENTS - TIME TIME TIME NUMBER OF,BEDROOMS ❑ One ❑ Four ED Other DATE DATE DATE INSPECTOR INSPECTOR INSPECTO MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI0N)EPT. OF H:=ALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL Phi) I ECTION • ENVIRONMENTAL SANITATION DIVISION JUL2 i�3o Telephone 264-4720 II ``'' REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVREUILVID DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER '% PHONE .,�,. f<Y INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. MAILING ADDRESS G> - PROPERTY RESIDENT (If different from above) PHONE ` /VLOF U 2. BUYER PHONE 49C MAILING ADDRESS 3. LENDING INSTITUTION PHONE e A MAILING ADDRESS , L 4. REALTOR/AGENT /PHONE MAI LING ADDRESS 5. LEGAL DESCRIPTION ? a STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS ❑ One ❑ Four ED Other �7RESINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled .;2-' ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM - f<Y INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE 'fl SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ TWO -O FOUR ❑ SIX ❑ OTHEk 2. WATER SUPPLY 111 INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM 'OINDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER 'OSeptic Tank or ❑ Holding Tank Size: 1 If Tank is homemade give dimensions: SOILS RATING C AM TYPE OF TANK MANUFACTURER �L TOTAL ABSORPTION AREA MATERIAL r r 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line /1 nr`, U/t ,(/° � � I 1 (__LAS L �_ - -- 5. COMMENTS ❑ APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑- DISAPPROVED DATE BY