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LAKE RIDGE TERRACE BLK 7A LT 4
Onsite File Lake Ridge Terrace Block 7A Lot 4 #051 - 322 - 34 Municipality of Anchorage On-Site Water and Wastewater Program •(907) 343-7904 Page / of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: as P/81215 PID Number: 0.5 1 322 34 Dwelling: ❑ Single Family(SF) Duplex(D) ❑ Multiple (SF and/or D) Project: ❑ New Upgrade Name: PSA E1'.4 L A/Ar_ / [2`T ABSORPTION FIELD— Ex IS T/�6' ( e6 Address ❑ Deep Trench ❑ Shallow Trench ❑ Bed,Mound 3 ?co Wf S C O/tJ 4 /rJ 41E ,/Pt) El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 522 — .SZZ 0 ! GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision�lA /� �/�,Q�Bllock Lot + a G • S 44 Ki_ Rib C�t� �2 C. 7,4 y Fill added above original grade Ft Gravel length Ft. Township Range Section Ft, 33 Ft. Gravel width Beds: umber of LinesDistance between lines SEPARATION DISTANCES /2 Ft. 3 Ft. Septic Absorption Holding Sewer Total absorption area Number of trenches Dist.between trenches To [,� Tank Field Lift Station Tank Line From .0 Ft2 - - Ft. well G;� / ( _ 7e+TANK 0 Septic 0 S.T.E.P. 0 Holding Other !o l!/G et_ G a Manufacturer Capacity Surface Water Qa rt ala �� – ,qi VA/VT-6X- ICff T, 1500 Gal. Material Number of compartments • Lot Line 16 C{. /r7 ;f- /6(4. _ S 7'zIL Z NA Foundation / 64 /p l (o f LIFT STATION 1 Manufacturer Capacity Curtain Drain 0/6/4 o AN- tbille..„ /jAIC tfO ef t„C TA-41 �,l1!f 5 QO Gal. Remarks Pump on level at Pump off levelatl High water alarm at y k in. gain. 5Z in. Pump make and model Electrical Inspections performed by 4.77 <STi(Ai0 /Ka Q. / /4/e Sail PIPE MATERIAL House to tank Installer ATank to S �J A drainfield �cT C �' o/ZuV Drainfield SC(t/o CO/MT 4131347 �J _ P Inspector /{/, 4 /2(n--- BENCH MARK (Assumed elevation) /Q Gft Inspection dat s: 1 !t//3//6 2^� •�d/ Location and description 3b wAs /!e 4th ,//7//sr/� Q go_ �- COMMUNITY! DEVELOPMENT DEPARTMENT APPROVAL EnginesStamp gym" Aviv.,.. Conditional Approval: �° "` PP Date C. 8 40 %so //.-W7 Approved s1` Date �'Z24 r ki," ' / rs it """'• f' 6; " , ' Inspection Report_9-1-12.doc AS-BUILT MEASUREMENTS A B CO1 35 41 Al 44 47 A2 58 63 A3 50 51 LS 60 65 MT1 55 64 MT2 59 70 Septic MT3 37 53 MT4 31 44 k\J e �a e ere5`'Ur 3 ��ea 150% Bea Jed Slope 11.05 Gredu�X\yt` • Pea. ped / o p / o a c ° / P�Pe a 1BSCAO PKrg r a, dace aW,ke R..c C5 Ez e r ScreBr oso / ?°Pe %.' Septic Raised ed ed Mp� T1 A2 BI/T°M I , 4 8CO1 �with 15 Ax GQ Septic Stqlore Flope , x Sting/commis /�ci °a w/Lift DPE. Septi Opt Sta tion co c 7-0,143-tat/oh p N Pr UPC i& N-R 100 4 Bdrr� Duplex Decoraraissi.ned Flat L.Well ° Slope New Well -a iY R100 N Y d J +' in 0) 3 NORTHRIM .... 1.7.17.1,,`S1/4LAKE RIDGE TERRACE 1" = 50' ENGINEERING P *��4sm , RECORD SteveEng.com . � BLOCK 7A LOT 4 Po Box 770724 + „,,,,oro t LAYOUT Eagle River, Alaska 99577 + , WASTEWATER RECORD 907. 694. 7028 �ke i1 /1? bate: : ! UPGRADE SEPTIC 1/30/19 12 of' 3 Elevation @ 92' Foundation Cleanout 1 AX-20 Filter Pod sce Elevation @ 87' A d v a n T e x Unit SWAM i-- ir_ POO ROM 7 -- r w/Lift Station C i,-. �.w.e,.w.w.�.w..w.w.mi I : � —Diverter Valve To Dld Bed Elevation @ 86'— MD 1 .ng-��I - To Moundedimr.INIST _ ..r c levation @ 89' - i 0 1.25' Schedule 40 PVC Force Main AdvanTex � w/LIFTSTATION Monitor Tube 1: levation @ 87.5' / / 12' — Existing Mounded Sand Filter Elevation @ 96' Top Of Insulated Mounded Bed /// Schedule 40 PVC Pressure Pipe Filter Fabric + 2" Insulation Nvation @ 93.5' .. • • 1 E ation @ 92' ; Existing .Sand -Filter f 6' Minimum to Bedrock ;•1C-Ur 1Zliti, LAKE RIDGE TERRACE NORTHRIM : - 0 SEPTIC UPGRADE ENGINEERING1...;: j1.- 1.49111 . * BLOCK 7A LOT 4 I ADVANTEX UNIT RECORD PROFILE PO BOX 770724 $‘4,41 , �.r.Dv' • Eagle River, Alaska 99577 + : s, � } W�L I E T STATION A T I❑N Dote: 2/13/19r" By: SE IScale: 1, = 5 , SHEET3 0 f 3 SE Rising Son Electric Services LLC. 4 36784 Eklutna Lake Rd. Chugiak, AK 99567 \; (907) 622-6777 -� ,fit' {' :. December 28, 2018 Re: 14716 West Lake Ridge Dr. Eagle River, AK 99577 Two whom it may concern: The lift station at the above referenced address has been wired in accordance with NEC and State/Local codes and is wired to the manufactures standards. Please contact Dakota Keller with Rising Son Electric Services LLC with any questions or concerns at (907) 622-6777. Thank you for your business. Sincerely, Dakota Keller, Owner Administrator License Number 2065 Specialty Contractor license Number 38497 (907) 622-6777 S❑ILS LOG — PERC❑LATI❑N TEST " TI— IM Date Performed: 10/8/18 ENGINEERING Updated Monitor/Perk Performed: 10/8/18 Performed For: Brock Legal Description: Lot 4 DEPTH (FEET) T.H. Location: See Attached Test %, , Organic 1 - ;;� r: 2 - h4 a Boring Location Map ; y . S P San d aF 4 -- '" W/ Groundwater? No ;'` 5 - - °-:"` Depth ''''i''- Gravel = Water Depth 7 - After Monitoring,None Date: 8 - # Date Gross Time Net Time Depth Net Drop 9 - 1 10/8 0 -- 6' -- 10 - 2 10/8 10 10 min. 2' 4 11 - 3 10/8 10 -- 6" -- 12 - 4 10/8 20 10 min. 2" 4" 13 - 5 10/8 20 -- 6' -- 14 - 6 10/8 30 10 min. 2' 4" 15 - 7 10/8 30 -- 6" -- 16 - 8 10/8 40 10 min. 2" 4' 17 - 9 10/8 40 -- 6" -- 18 - 10 10/8 50 10 min. 2" 4" 19 - 11 10/8 50 -- 6' -- 20 - 12 10/8 60 10 min. 2" 4" 21 - Percolation Rate 2.5 rain/in Perc Hole Diameter 6" Test Run Between 3' & 4' Comments: Measured To The Nearest 1/1.". Performed By NorthRim Fng, I CERTIFY THAT THIS TEST WAS Performed in Accordancy with All State/Municipal Guidelines in Effect ON THIS DATE. DATE: //gip NOR THRIM +•�i�'oF"`'w � LAKE RIDGE TERRACE TH �,. ' `' ENGINEERING SteveEng. com • * BLOCK 7A LOT 4 PO Box 770724 aaw t Eagle River. Alaska 99577 ,.q T E S T H❑L E LOG 907.694.7028 4 /' 3( // EET; GE❑TECHNICAL 1/30/19 1114 puiRoat SGE-9il@s3 ®Gpar-taa@Gat •. r ,, [3t�ii�i�aau d C�ivisi�Ua e� If- On-Site Weep �^9c i°t; �tu� U m :7 �'� : �a 4700 Elmore Road .: ,,; ; . �,.r P.O. Box 196650 Anchorage,AK 99507 1 s A ET Y ' Marie Begich Mayor www.muni.org/onsite (907)343-7904 Well Log os,/ rz/5- 9/ZW/S Permit Number: #SW Date of Issue: Parcel Identification Number: e:57-J2 2--1,' Date Started: ////5�/k'Date Completed:////57/er Is well located at approved permit location?,B( Yes ❑ No Legal Description:L,/1 /?/,O€ 7-e r rgCe-/ e"67 . /6'1X Z4 ��CL //r ''',/C Property Owner Name&Address: �'E/,7G'/, ,9z /y�j-/G�y7-L__i yf4w7--e F3 .- /'`/'9/So /4,, c.9/YE'/ti/OGS /.�2, "i9-epi F /,'/Di ezAz #9/. PriArehQie Dr.": Depth(ft) Method of Drilliina air rotary ❑cable tool Soil Type,Thickness&Water Strata From To i 7 Casing type: ff� / 5/e— -- L/1S%/L v,5T/C%L //i--' ,j Wall Thickness: ,14G'inches /,#117t; /�T• 3 3 Diameter: li' inches Depth: /2/ feet Liner Type: /Ys//C,-*-- e36- /?, ---V- 3 /2/ Diameter: 5'' inches Depth: /// feet l� -7,7e „5- -7/77 l`/ /,6/ Casing stickup above ground:,, j___feet Static water level(from ground level): S2 feet Pumping level: feet after l hours pumping V gpm Recovery Rate: gpm Method of Testing: .g// Well Intake Opening Type: ❑Open End ,Open Hole ❑ Screened Start feet Stopped feet ❑Perforations Start feet Stopped feet Grout Type: ,4 'i' 0////?E Volume: f f1Ac Depth: Start feet Stopped feet Pump: Intake Depth _ feet �"'' /iv3i..3L‘E/,.7,5),- I Pump size hp Brand Name .4--y� Well Disinfected Upon Completion?21 Yes 0 No Method of Disinfection: Ciftri4//`a 7 /35' Comments: Well Driller: —'' i% -1i 0- ` Water Sample Results: jlci �J 'z.'L- 'GOv- Arsenic: ug/L ft/xi-U4 ,1/1f7- 2 7 Nitrates: I , mg/L Total Coliform Bacteria: ( ' colonies/100mL Other Bacteria: s col/100mL ,17: c> Attention: The well driller shall provide a well log to DSD within 30 days of completion. ARCTIC PUMP & WELL INC. Jim Sullivan PO Box 770197 Eagle River.AK 99577 arrtm ssun sr 7_ ) ? sots a stns[ (907)G88-2510 �J r (907)243-2282 (@ - ri jim•daretiepump.00m Pump Installation Log Well Drilling Permit Number: osp181215 Date Of Issue: 11/14/2018 Parcel Identification Number: 051-322-34 Legal Description Laake Ridge Terrace Property Owner Name Address: FNMA Lot: 4 22222 Elkhorn cir Block: 7a Eagle River AK 99577 Pump Installaion Date: 12/4/2018 Pump Intake Depth Below Top of Well Casing: 110 Pump Manufacturer's Name Franklin Pump Model: 10FRDO5P4-2W230 Pump Size: 1/2 Pitless Adapter Burial Depth: 10 Pitless Adapter Manufacturer's Name Pitless Adapter Installer: u/k Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Pump Installer Name: Arctic Pump &Well, Inc. Tuesday,December 11,2018 ARCTIC PUMP&WELL INC. e f` • `r- Jim Sullivan, CPI b —111111 PO Box 770197 O`. Eagle River,AK 99577 t ` (907)688-2510 (907)243-2282 j im!0,arcticpump.com Well Decommissioning Log Legal Address: Subdivision: Lake Ridge Terrace Block:7A Lot: 4 T: R Section Lot: On-site Water& Wastewater Program certified contractor performing the well decommissioning: Name: Signature: Jim Sullivan Company: Arctic Pump& Well, Inc Well Decommissioning Date 12-4-18 Method of Decommissioning: AMC 15.55.060L1 a.E] b.❑ c.15 I Location: Use the space below to provide a drawing of the property showing the following items: • North Arrow • Decommissioned well • Other water wells on the property • Two separate swing tie distances for each well shown on the drawing Note: the swing tie distances all be measured from either permanent structures or the property corners. 1' ,y4 Arctic Pump& We1, . Page 1 of 1 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: OSP181215 Work Type: Septic Upgrade Tax Code Number: 05132234000 Site Legal Address: LAKE RIDGE TERRACE BLK 7A LT 4 G:0553 Site Mailing Address: 14716 W LAKE RIDGE DR, Eagle River Owner: FEDERAL NATIONAL MORTGAGE Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: ,»rnc I ,r. I)C'il ll l'tlll Glt 9/26/2018 9/26/2019 19780 Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy 0 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 4 Special Provisions: The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. AMC 15.65.060.B.3 Received B) Issued By: C.0 41-1 AAed a we l ( fio aP ffica �'on. II�� fig Date: r � Date: MUMUPAUTY OF ANCHORAGE 4� Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section -� F _ Fax: 907-343 7997 78970 n� 7J ON-SITE SEPTIC/WELL PERMIT APPLICATI Parcel 1. D. (-1-S( -322-- -3 Property owner(s) Mailing address Site address %v L.T Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size 0k) Sq. Ft. Number of Bedrooms APPLICATION IS FOR: (® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ Day phone THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: I 2 JUL 19 2018 a i4 4 TYPE OF DWELLING: Single Family (SF) ❑ (w/wo ADU) Duplex (D) Multiple Dwellings ❑ (SF and/or D) 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 PX5. duLnonzea agent) Permit/Rush Fees: 5O (( ZI � Waiver Fees: Date of Payment: 7/24 I1$ I(/!4�l�; Date of Payment: Receipt Number: _1jy (�{'C1 0ICgg0Receipt Number: Permit No. -(II��(n Waiver No. G:\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc NbTHIM ENGINEERING SteveEng.com Steve Eng, PE, PH P.O. Box 770724, Eagle River AK 99577 (907) 694-7028 SteveEngPE@gmail.com Date: 7/28/18 Number of Pages: To: MOA On-Site Services Deb Wockenfuss Subject: Lake Ridge Terrace Block 7A Lot 4 Septic System Upgrade This is an existing subdivision. Most of the neighbor lots are developed. An upgrade is being proposed to a previous DEC approval. DEC information is in data base. An IDSF mounded bed will be rehabilitated. A new Advantex will be added after the existing septic tank. The existing Lift Station is to be decommissioned. Private water wells serve the area lots. Please review the wastewater system design for the duplex family home. I have included design plans& specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Thanks-Stev,e 2TL M _FIG I\JEER"v G Lake Ridge Terrace B7A L4 SPECIFICATIONS& DESIGN GUIDELINES Wastewater System Sizing: This is an existing 4-bedroom, duplex, in a developed subdivision. DEC previously issued approvals(DEC database). This is a rehabilitation of the existing system. An Orenco System AdvanTex, with 1500 gallon processing tank and 1-AX20 filter pod with Lift Station to be used. The existing mounded bed to be utilized- Replace the existing Pea Gravel/IDSF Pipe w/drain rock and schedule 40 perforated pipe. A Category III System drain field will allow an application rate of 5 GPD/FT2,the existing bed of 12'x 30' is adequate for a 4-bedroom system. Existing HDPE septic tank to remain in place, followed by new Advantex. Decommission old lift station. Specification Requirements: All components and work must comply with the MOA Specifications (AMC)& State DEC , Orenco Systems Regulations • Installation by an Authorized AdvanTex Installer only; approval issued by Orenco Systems&Anchorage Tank&Welding, Inc. • 1500 gallon,two compartment AdvanTex processing tank, 1-AX20 filter, VeriComm Monitoring System & Mode 1 a standard package per AdvanTex System Manual. • Watertight couplings on inlet& outlet. • 5' minimum between the tank and bed. 10' minimum to property lines. • 3' of cover or insulation is required for trench; an equivalent of 1" insulation for 1' soil cover. Minimum 2" insulation. • Tank& solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line,prior to the processing tank. • All cleanouts must extend to at least ground level • Bed to be placed level,minimum of 4' to groundwater, 6' to bedrock. Level Bed with MOA Approved Filter Sand. • Drain rock to be ''/2"to 2" screened. Drain rock to be distributed uniformly. • Perforated pipe to be installed level with perforations down. • Silt barrier(filter fabric)to be installed above the drain rock. • Smeared soil must be raked or scarified before drain rock placement. • The finish grade must be mounded to promote drainage away from trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron,PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope • Maintenance agreement for the AdvanTex Treatment System is required for approval. • Insulation board shall be extruded direct burial polystyrene(Dow Styrofoam HI or equal) . OFq( b Or 0.•••4.4.• •.•.•q•••0 • tdre •n W.E„9144 O EtaJ' '• PE 25 l' `1` r ROFE S SOP' Mi ‘'‘% jl DESIGN NOTES: 1. Existing Mounded Bed Remains In Place. 2. Replace Pea Gravel/IDSF Pipe w/ Pressure Pipe/Drain Rock. Fill Voids With MOA Filter Sand To Maintain Sand Surface Elevation. 3. Decommission Old Lift Station Per UPC. Connect Advantex To Mounded Bed. 4. Lots Served by Private Water Wells. 5. No Conflicts Within 200'. Mark 100' Well Radius. 6. Check Condition Of Sewer Service Line— Replace If Necessary. 7. Ensure Proper Cover Or Insulate. 8. Connect Old Septic Tank To New Advantex. Cr 3 S 2 s m 0 0 Flat Slope Zr Re` 10 4 Bc rrn �� �) `%Ilc 100 Duplex Flat Weil Slope �� y11Gl�o�o R100—�, NORTHR/M ENGINEERING SteveEng. com Po Box 770724 Eagle River, Alaska 99577 907.694. 7028 ter o\\ Vu\er A13 re d E� C\S��r �( o I A0 Ce do\e Rol cr �r air W -th 1500 DecoM 1 AX kis t1n91 ND WE OF -44 '14 LAKE RIDGE TERRACE .� - *'' . BLOCK 7A LOT 4 WASTEWATER DESIGN :UPGRADE SEPTIC 1" = 50' PLAN LAYOUT kite. EET- 8/16/18 2 of 3 Foundation Cleanout 1 AX-20 Filter Pod 30. AdvanTex Unit MUM 1°11010 Met w/Lift Station l.. fl -- ---------------- C CAL Mossim°" " "1 {' To Mounded B e d URSTIOIDII 0 • moi. # I _ 11 5, +' .25' Schedule 40 PVC Force Main II v) +, L A (412' 1500 GALLON AdvanTex DESIGN NOTES: w/LIFTSTATION 1. Existing Mounded Bed Remains In Place. 2. Replace Pea Gravel/IDSF Pipe w/ Pressure Pipe/Drain Rock. 3. Decommission Old Lift Station Per UPC. Connect Advontex To Mounded Bed. 4. Lots Served by Private Water Wells. 5. No Conflicts Within 200'. Mark 100' Well Radius. 6. Check Condition Of Sewer Service Line— Replace If Necessary. 7. Ensure Proper Cover Or Insulate. 8. Connect Old Septic Tank To New Advantex. 9. Advontex & Solid Pipe to be Placed on Compacted, Stable Soil, Free from Boulders. 10. Force Main 3' Cover Plus Insulate. Extra Insulation Under Driveway. 11. Distribution Pipe To Be 1.25" Schedule 40 PVC w/ 1/8" Orifice 0 18" On—Center. •'�.' ` . LAKE RIDGE TERRACE '�'`" SEPTIC UPGRADE NORTHRIM *:49ni BLOCK 7A LOT 4 ENGINEERING -- * ADVANTEX UNIT PROFILE PO BOX 770724 , r Logi* Pivot; Alaska 99577 . W/LIFT STATION Dot 7/19/18 " BY: SE SCO": 1• 5 ' 3 of 3 SE FAX O. :6943093 Sep. 16 2003 11:54Arl P8/14 N L Lr a Neal t y . !-i:•::ii. -6-7 . . .: 1, • • .. -•-•:,77.c-- --,1-.3.9.-4-7.- 45:7.--;" /,-•$-%1 4-2,-..,2-....: -..44.-.5' .1. ..---.41—y-.7:-'•Weet .67t"-- '11•••s-'..r,7.4e'v4----P-le--e," itiii e4r .,e,..--..-5t-e-?/' 4 . ity • k tkt fj 6i r ••-i's.....,, \\V pl Air ttl 1 : : . '"'...r.-- <-......,... .02., *.•" . t- . . ,o-...zi,„. -10-,...z_ -"7-•--„. ".- --r--- •J-- -.'"--- ,,,,,,,,r, •5". . 1.1 1„\I\ •: r , 1, • : \I i \ il( t\\ ! ,\,\ I v / / fi• 1 c) • l'' 4,10•• I, • hi I ‘i 1.. .• 0 •:, Li ...; •-.. .: .. . .l.\ 4 .1' 1' \kkt I ' A / • . at %,ti ..k.... si ( v . D / A) . ,V • * .• Aki / 7 ,r-.4-: ;•••'' .e- ....--y- 1)) • ' •'s ., •-7 As -if.• :5-;r-f ' f 1/ - / • fi, 011 ••':,•;-err...4,--z4"."7-c-..--,--, 74.21,- .--!,a-,,,---;:'!?.41- 4'"-.•.,,,(7.7-^,-77;4-.-:;-:-;;:: --47,2---4-,-,--,ag elVeRe ....??;)67:7 AP"- ,-,p . ., ..-- . - ASBUILT-NO CORNERS .15:11 THIS DATE. • SEWARD & ASSOCIATES LAND SURVEYING66 4EREBY CERTIFY THAT f .44VE SURVEYED THE seALE__` , , OF %. .„---..„7-,7- • . =3LLWING DESCRIBED PROPERTY, ,...40Z OF A4gt4 4.--c%- ,--,4-...:,-- --,,---.----e) r,07-4,--...-",.. --,74,.c-4,7 • DATES .ar IN. .• ''ItP*4 IND THAT NO ENCROACHWP.7.t.4ili!EXIST EXCEPT AS ./7:9/3<_r ii/N e. "..-4 -..1- • 7 0 NIDICATED. IT IS THE RNSISILITY OF THE 45_ ç./-c— '. WRIER 10 DETERMINE THE: H:.:t.!ISTENCE OF ANY OR/D7 0...... . ***** so, •••• '0 ASEA4NTS, COVENANTS, JP !REST R I CT,ONS MI .--vii--,-.5-...s.Y. P CH DO NOT APPEAR ON THE IRECORDED sum- •w .. DU art i Ater* &ward .• ir s ISION PLAT. UNDER NO CiRANASTANCES SHOULD Iiii111111111111 V. % LS T.6972 , 4•4 .. Pr DATA HEREON BE &ISM ...::4 CONSTRUCTION .407 •••• * •.'` c04, 7 PENCE LINES. OR FOR -nisi.?SHING BOUND- %117gksiAn314"*. '1' LINES. DRAWN' .. ."-7-r-- -lilt liviat,•• garipfinn of'rhe fq, ........ . ....... .... ......... Sa At a F AIAS MA HPARMWb� comm,,A-riorq, b0(.AM4.E.'N1'A I )ON OF' 1(m Irr ,t tier i - InITI, ...... ....... - .. . .... ... ... . ........ . .......... . Q&g Ad&ms 50600ed by(C$rrk oor) ceniflo'd himiller Ar le Family. Ph1wriber of B,edrwolrm, ..... . ..... Bwkw Hunkerub BOUMMS Fatflity, W1111 EsifniateJ Des "n Flo w a F ISS M an 500 OF' 13- I WATER SUPPLY SYSIEM (SIECUON If tS T�j;-,A —roIVp Type of ANUT SUPOY Symcm Tmom"t of Wmwe (Cock W At A P" C let CWWUM66 j Knot 6v, �-M %two ro rm uqmw%IMAK On emwoo hAjJW Klrrh mare Arri ohe . ... . . ... ... Q64mime WN MAVMMC & m6w Olt kpotiod� Q Ye, E3 No . . . ....... . d"J01age diortacj muly Flom 01 atourul 01#- CA -5 O)l 10 t��t( of d -R, �,PtA rm�W !!"'t WWI *he endowd In comup I rj1 Y's u 1,]o cc, From IKE well uEsh's 10 r!rh W UM FWWWU 3MWmSWQ0rP . .... . . ...... 0,1,1 r7r— ybuyvamm j0hr"N mn USA A&M.— m M R v w OR go hi—mr3l d �,11 4194f i i e! 11Wn, U 7r T, I io . ....... . . . . . . . .......... . . . . ......... m m Mm mn L& T,47W3,1 A m,7 r r oW Lot is er is! 13 TIM- I -A 8dri,ker (�At-x,0,m,,r �r I rj u a,emipmcm Ii. "v A, N; I p�, 4Jb 6 Sj "i ,if; A i, ---' 01 WaSICAvrVe-T bymeult "ft/d/P/1 Smuc to mil! (""unven(�%kM SchitM"vmmp�k'mS��'.ttm I -NIM, lank Nbivid i1e: Shre rj'm U Mr . Sped6i Type CJ '9111311 Sylstetvi (�" 50D 0111 'WHh BMW My Waskm0m Fbw 4 WHOM or Eby (UPD) Cri'tri ia I J.qfl!fl N') EWiruxteTIPJAV WIAtVXA�'I,V . . . ....... . .............. . . . . . . . .... NEWSYSI"EM ................. . ....... harne of Irtstalirr" 1) L [,--,iQgTQe5' ymmo MMOM E...1 133 a Ilegiskrcrl Engineer I�L�rvv'C'd I Ino m to wnirr (atindi copy 'P.Mm" eptic T'.a4c kinterial: NIPE Iracum,eir, Sim IN " 4e01j111e,- L . . . . ........ . ... . . . . . . . K With hisj'secdo'n by 1rlgiHeff t3 By 0 WHAd hUB&AMMET MAW- aT r4o .. hu —nF.u--0mpammem—s-;!7 R t-5--y'laA"rr VAnd) "® ype of SAI AWMHON SYWM!, (J.' 1A"'1Ax3'mTtew"4 JA S":J°Ym'v' Pit s�f"'A LJ . . .......... JAE . .... 00 Type: c"W" SO4 RMWV 0 G"PIF; ......... . . oirAb�mrj,�Ijfln Ajcmu olVistflOution ikod-, ...... . ......... .... . ............... ............. TM=Mcph W MAW= RD& ................ f"crAmilled 1"rY"' > V4 Nithrules per 1,111ch Sq FL Pm ppMm morn pmcohdon vs, msdu inw; be sumpped by m m0mmid em inmr . ................ - — ----- -- . ..... ............... Auum chourid Co"mr ov"et: Scpf'w 1'ar& MuTfiian,Arca: % A , _ ;' 2— 11 . . . ......... �Sm2mWPcSmv1Pj 11000floy (0222y fy Sepdc Talk: Q�s h4onhor hibu --------------- -- sqkamom Mhum r-Fri'm Se�,Pdc'rank or Absmpdon Aren, Whkhevm Is Chmeo, W AO Ncady.� fhhc I"hilildrig NVMeo Sullircle.q mNVkhhi 200 feev jr'"Fj vate Kirin htgWala Sawmes Win IN W Coro lkakt BOJ65 (See 18 A W- 11.11,111,11, - — - --------- . . . ........ .. .. . —6-11111 ............ . ... --1111-1 ................. Lnt Uhie� pawAn uhume own onlot Semer Arm my MiCth-fiddr].g WMCISOUFKS,.� plivate. sl'njrccs� .............. — . .... . ... ---111 .... ......._...—r.—.. pmaunh Mace kum Boltom of DistuRnitio"11 11,04,4c tui . . ........ . . . . ...... .... . . . ........ – ----- . ...... . (pomidmater Table., S" 13cdrucL '1.5 pmAdoH Dhimcc troir� A6.irpflopi Wn 10 Ape CK"MI 211%14".' .1 AM"544 IL/ ,v 13, took '0 rj 1100F ovovi4ev am,4 m Rqumm'd, rrm)'� Sediolliv, il cotmc'L Rommm C, MWAN Bea I SK Or, R-7gy'yCrj I mr prm"ar Ppb. )"'lle erdgrbdtl *7"Y' mrlenln of 9 (J N L. I _ I [D;� (�) 27 aLE, . ....... .. its! 211 9 (J N L. I _ I [D;� (�) 27 aLE, I I Ell I =I, m its! 211 0.4 I I Ell I =I, m 211 71 I I Ell I =I, m PEMMMED FWL X Ed ROBERT C. CCWAN� P�&, ... . ..... .. . .......7 ......... CIVIT. ILUFT: TKII, ()AP, I E VE I 11: f �j JIM ommiumomm WASnROUNDWAP on Pmfqu imi vnpn'P il 11 W0 1. Al 10,1, JI RA Tf-� . .... ... IESIBUNUEMEEN ......... . I AND r71 . . . ....... . ........ Cl f L I I I'y P k I A 11 Ij I I Fb I F S I VOW3 IIIJIF Itj Wl'I'l I M I S !A I E APID KMIMCAPAI (MIQ WE RES 84 WtU I IAI MS VA K tM I F - — ------ ... .... .... . NEEEEM�HEI on AcIll"nZ L.01' QWV Sowm I JI me P0 A MMMM JM'l, MN WxM mMWWO Al ito,,ull rj4l thch p"MpgIny, WchmHnq No rcoAk all oinut ball rnletelfiWil. Oeth,ehll hm4cwn no niq,P�icicles, hmn CUNWORWIA TO WMU�,jji nig: WarlsI Salm;iiw T�iKlm by 9VII ENI G I NEERING All r --rl l All A" EAVIC, Riven AN*a MY' . . . . . .. . . . .................. . -A IfAicri "sonqf3c, mry 0 .. . . . . ...... . . . . .......... . �:lovdgl 1 OL. or Lil El Q, D D In N Audit Stamp No, G E N E R 11N FORMA, TN IO— -------- uf tl GgrNIiarl - . .... . .... . ........ ........ . . . . ......... — . ........... .. . .................. . . .......................... — ------ . . . . ......... 4Aj Wins b v" U I.1 P V 8 0 x I of smul �!,,�rnn Fwn fillsk ... . ......... . usr# "d 414, Curj,�,, puAA f UT, .. 1, 0 r,Accarnail I,, J)�4, Z, Y, RergatorwN D 1100go Me, '4. KApow I00f (il Nml 4 13 a. 4 l A n J saw H, MCAT ER SUPPLY SYSTEM 5o"irnt., '110 lellia7mi- anr.P Commmmam cl nlla Htae, APOW Pe of ,;7j,,v,,tl Ir ,ij l,,M 1, 4f, P I �Vl � � N AN" jol or c3l 5url (Wol maxwfl' [Mapl lid4Mm"� PI olne'CI �Fllyabon Roml IhRr doil, 0)wl %M l H11�* �Qlgir'WU sn olf e Well �,pjrm�llg l rnan V2" AucA�ie 11CD Yb Me noM�j . ............... . ......... . .............. Y o's j N X, . . . . - — ----- — . . . . . . ........ swl ;"I ."Mals an &a we" 0"nq Y'Rq P4 . . . . . .............. ....... . ... . ..... .. dirl ww,)y Pr p1m prr al"lov l Mule cmmq ml 1 1 wmz W 10 Nw w............. .... W um wm lawne 44- . ..... .... I'll, . . . . ...... . . . ....... nmm amil Qeprl ',,f Vowl I IF A= now Wtw 1001 Y,ma � 0 A ywymol7 slywymn Ql me ply, Cowng ro a Of IfIll 0 000wing spu MOB of --- — — — — — — — ...................... . on AcIll"nZ L.01' QWV Sowm I JI me P0 A MMMM JM'l, MN WxM mMWWO Al ito,,ull rj4l thch p"MpgIny, WchmHnq No rcoAk all oinut ball rnletelfiWil. Oeth,ehll hm4cwn no niq,P�icicles, hmn CUNWORWIA TO WMU�,jji nig: WarlsI Salm;iiw T�iKlm by 9VII ENI G I NEERING All r --rl l All A" EAVIC, Riven AN*a MY' . . . . . .. . . . .................. . -A IfAicri "sonqf3c, mry 0 .. . . . . ...... . . . . .......... . �:lovdgl 1 OL. or Lil El Q, D D In N ,, rami Report for S' Water and S 'rSystem 41 fication Rage,4 vot 5 PCo-&ruTo, tan"b r pyo o) ro v u inn v' vs'O' wr ?�^rrdX 1ov,W; u"gdr�w �W ^iWOVMr..11;y n➢$ °r ^' :"ri;prrs„ tl Pyr'. G VyT r y Y I as 0r I r auwW .. _... _ V nr,�`Trsa ss %`runupi�rs�rvRLs h� .,�Igdwar.a ryr 4.ra wad PaMvo' g +da Irp,bermq':u ,�,...lw ..._...._._._... _. ..,....._....— �rupws o m� , T V;4 o pp u a a Wr+vF21p 4T !Y6�ua".ir ➢,"�rd�r.:apurN owwduttkousq" Pbn irr a'aT a1 r, orc,6 %+rEfrrrexo tau Xd m:duutlOddq' n'p �iMNw �a �.lL�.w�. 6ndsPalle B� NaAw �, �r=rq ovreNu� �,ura� N� �rsw wsa tl4u rf Slmom .. '��4 d C�rsYab r, rrTN'��Wrnwdh�dtl D d rrwsraY'tiY ipd :y�w�r area�oro@"an ..... 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'rysP.mux run^ ,anr +TaN da"tip:iiort rror, iron rnrY W q�w +3w rr�«M w'. u'.r�,gr Tr IY9 Arn?',Wgpyo �.7ru: Y'iLhp.'tiv r pP y �.tiS9 rwtllw",dw:rea rmua ...., r.. ,�,,,n��___.. ., ��� � T� ��� �� n��hr�rnrte" ro' �p hV k ._. dk605 '{-a"xrd 5'a p po a air arenppky Se.p q,dY La VI L. a7 r orn,}Tr�r„T 0 pWV 5WWP"u V °y, awn rr pa pVI At1k3COn'Pr's wim'3 rm^?'fle"CNedaw✓vk N..,.1w i_oqua dmRo wt,pawiw ry � . _wens! d '7 e T a 7 nn '- r7 .,. t ..,..�,..,.,.. ,, ""'" aTw am m ' V" raw K L !' p, a N aps V r d'Y'w 9l w'sr R a r. am r n Rn!p':YYa r t 8 zeeo p?,�Q ift sq^ -So P1,iL,L,11LJ 4 /41 rwrydgrydirdw El 6riwafl r a&nw ..s4h m4Tn�df'S rtv,";;IYaw'knd 5 d"W um, 4u norms- yr 4"nw¢adunlfa Wv bras dTG .. .�� j;,7u�rro psw^cdqurr,y0 uw-,�nra^e.. :„;daN .�woW u., r.0 rmr.'p Paog,m 9"roir'rai N'a;Vra�'"p"WC an e ;y,,nMM u ,!W kiraer:.tla P.r.TW dr t':aM STT wqa yu,,,Tl r.Vate, vane -PTdc TkbrlNu W: J4d4Yewdrr cYrhi tyfrk ad'VMT { n4 rTw r�P�tsr a1M b"a �Y d'A.ra,p iT9 "A aplror+,., Nunurr�u�rww 'In9t {gsuti rw ,N as pn^ au rrhr aMnfAw ww, k.Yp°ad "n tlyiu/ iy ppu rsm": a�Ya ep flurhi.zntlNa of rnrd 7 dr. ,' imoaV Nw WIM7, ywpss~ary11 C Oe r d r.0 p' Wsd p on .°s 9T r ryT . rv�gCF'dT' ,,au sagatl� raw orn TY. � s�ar rra '"ti 08TRdNV.4HwTWI—O'19`V Mw1;N°p S d.rlr I wad.+...kr or J'w ,Vrwyn p,d pNMnwnle NP raw'I?a uyM orwNmml 2." C.:4uo'r"R"R"N"n r, VT wro WR'Yn'Y a+, nha�wr V:Rn'V'X nn°r WW N the aIl'ova 4 foirI-7a' io'n PS T'F_ c ? a ryy as r dip, rA s d namaosrn P, P"opaTi d ordi NP"l:ddIIL-0 MV n p tl a��Nadrexs also : n"p Torun �u ....� uu 'y s,T1 arer, 1,, ,j kph. for n r,oT Feet I VrmWvt r.n, pqwq C,'e-k. h'w.ru vrY Yay V;i 71, wPoIN1 w ct r Po i ry, V�Yr ,H �rm l/' n�rd�drTnr �" iC a� %' r�u Pun a ,pq�, eyi,r v Ab" paJwuvueT/,anirrparw LEGAL LAKE RIDGE T.'-J7?j,-'A(l-E S-Ul-IDIVISAON, 13LOCK 7A, LOT A. 07 2 U L4S H t.q 4 v 14 Poo- vFTTR- F-r-rl. TUN ZD PR, ku 11110izt7 ENDS CAPPED M, NIC i PRESSURIZED DISTRIBUTION TEAI: PU- 20 OSI 05HH -- S S�7AGE —W GPM) MIP L' -IG E - GPM ERALS — 44' 1 ON IN A — 7.- -IL4,T 12 H40LES/LAT (-V O'C") 50 HOLES T07 -AL 3/ic 4 �Aa HOLES FA. -ED DOWNWARD ZZ D;A- -A T RA LS 1 /2� DIA, �T 6, M I AN1F%4L S & S ENGINECR ING ,&M 17034 Eaale River; 0 LlEmium iff. 1, PE'RrORM�D FOR d/ D ATE, P E R F /F,o,:Townr,hip, Range, �S,eCtkon, SLOPE /X7 / "el & - WAS, G Fl DO N 1) Vo Al ER I r: r. i r ri i i rrr r. m P -n 7 v �p 53A TES RUN IETWELN� F1' AND f T J clomw-NTS PER FORMED ay� CERT�FY "THAT I HIS TEST WAS FERF0,RMED CN A 01 DANC -E wrr H Al -L STATE AND. MUMC,(PAL. CAU DE:.. Est," "FECT0,NT"tSUA.IsAAC, / . . ............ ... .. . .. . . ..... . .................. ... ........ .... POUCH 6-650 ANCHORAGE, ALASK, 94502 0,650 ;907', 264-A111 Vt_ ES. .. 7;iR Th.9LNTC N'.^IAli c NVIRONNIE1111-Al PROii-CIION :Permit #: 820521 January 31, 1983 TO: Permit Applicant Subject: Lot 4B Block 7A Lake Ridge Terrace Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer_ inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 MUNICIPALITY OF ANCHORAGE Department% 'F Health and Environmenta''A"rotection 825 Street, Anchorage, AK. .)501 264-4720 Permit #b S # # # HANDWRITTEN PERMIT W€ D//OR ON-SITE SEWER PERMIT Applicant: Mailing Address: "s)C fi Oda /l j Location: /�A"162 QGr� Phone Number: 71/ Legal Description: Lq` - cllq t&i"lci.Q ize: Type of Soil Absorption System Is: Trench: Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH LENGTH 2 o u 3 C_ GRAVEL DEPTH j WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). F * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ 1 GALLONS # # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * # * TWO(Z) INSPECTIONS ARE REQUIRED # # # Backfilling of any system without final inspection.and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 S 2 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I wit 'nstall e ystem in accordance with codes. (3) I un er nd t It he on-site sewer system may re uire enlargement if the re e s emodeled to include more that re drooms. I Signed: , Issued by: �� � p licant Date: 6 /� / //,? � SWP/024(1/81) �'/L,� "ctic f U C t' MUNICIPALITY OF ANCHORAGE +.e DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED LEGAL DESCRIPTI xSOI LS LOG ❑ PERCOLATION TEST A0'r � G 1 'r—e5z DATE PERFORMED: -/,5— TU?VE ,G Z 2 G� Or 4 U 5- 6- 7 67 8t Co 7QP�' 9 10 � l/ 11 1�� 1 12 (,xiTP r ^ 13- 14- 15- 16- 17- 18- 19-No. 31415 1617 18 No. 1437 •&nBae-ra we►N•e 26 ��sQFrSSS3�, COMMENTS PERFORMED BY: a�1 `�116R 1,14 WAS GROUND WATER 1�o lc:� S ENCOUNTERED? L O I P IF YES, AT WHAT E DEPTH? A.. PERCOLATION RATE /V (minutes/inch) TEST RUIBETWEEN T ND FT � �� I SLOPE SITE PLAN Ef Reading Date Gross Time Net Time Depth to Water Net - Drop . F r! CERTIFIED DATE: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 4/17/75 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 4/28/75 VA 1. Approval requested by: Coast Niortgage Company Mailing Address: P.O. Box 1200 Anch. 99510 Phone: 279-0665 2. Property Owner: Robert Krall Phone: Mailing Address: 3. Legal Description: Lot 4, Block 7A Lake Ridge Terrace 4. Location: 5. Type of facility to be inspected Duplex No. of bedrooms 4 6. Well Data: A. Type Drilled B. Depth C. Construction D. Bacterial Analysis Satisfactoin/ 7. Sewage Disposal System: A. Installed 1972 B. Installer Vda.11ace C. Septic Tank: 1. Size 1250 Gals 2. Manufacturer iVallace D. Seepage Pit: 1. Absorption Area 996 sg.ft.2. Material Concrete E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank 50' Absorption area 123' Sewer Lines , Nearest lot line Other contamination B. Foundation to septic tank Absorption area 48' C. Absorption area to nearest lot line 20' EQ -034 (1/74) Page 1 of tvr, a - Page 2 of two pages - Request for Approval of Individual Sewer & Water Facilities Legal Description Lot 4, Block 7A Lake Ridge Terrace Comments Approve Disapproved Date4/29/75 Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date i GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 2/6/74 Time of Inspection Date of Inspection 2/7/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Pihel Ferdinand�nd�t�,q���fiin Mailing Address: 711 S Bra gaw Anchorage Phone: 31_7344 2. Property Owner: Ferdinand Pihel Phone: Mailing Address: 711 S Bragaw Anchorage 3. Legal Description: lot 44. B1nck 7A LakP Rip Terrace 4. Location: Old Glenn Hvw I nwpr F-;rexka�aJ�Jke - 5. Type of facility to be inspected Duplex No. of bedrooms 4 6. Well Data: A. Type Drilled C. Construction B. Depth D. Bacterial Analysis Satisfactory 7. Sewage Disposal System: A. Installed 1972 B. Installer C. Septic Tank: 1. Size 1,250 D. Seepage Pit: 1. Absorption Area E. Disposal Field: Total length of lines 8. Distances: Wallace 2. Manufacturer Wallace 2. Material Concrete Rings A. Well to: Septic tank 50' plMsAbsorption area 123' Sewer Lines Nearest lot line Other contamination B. Foundation to septic tank Absorption area 48' C. Absorption area to nearest lot line 20' EO -034 (1/74) Page 1 of two pages Page 2 of two pages - Re,,_.-st for Approval of Individual _ ,ver & Water Facilities e Legal Description Comments Disapproved Date *,X-- Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. Da to SIGNED • Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 5 F C T V Certificate of On -Site Systems Approval Parcel I. D.051-322-34 1. GENERAL INFORMATION: Complete legal description Lake Ridge Terrace: Block 7A, Lot 4 Expiration Date: 12, -2�S ` Z Location (site address) 14716 W. Lake Ridge Drive *Eagle River, AK Current Property owner(s) Micalle Culver Day phone 907-727-8480 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Waiver Fee $ Date of Paymentz't bl Date of Payment Receipt Number Q H33y.6: Receipt Number COSA # 05C �1 1 50 Waiver # 0 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Gayness Engineerinq Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the o evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, �O : groundwater levels (that may fluctuate during the year), quality of construction (materials and A i �i �� workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and �" " " "' .."' ' • • .. . are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of ,.' the well or septic system. GEG makes no representation whether an alternative well or septic system �} ffe rness;• can be installed on the property in the event either of the current systems fail to perform adequately in (� CF— 7953 Z� the future. The content of this report is for the sole benefit of the person/party that retained GEG to�•za �.� E o perform the evaluation. Reliance upon the information provided in this report by any other person or �:� party (including subsequent property purchasers) is not authorized, nor will it confer any legal right `���=slo"o� whatsoever. 6. DSD SIGNATURE #AECC884 System #1 Approved for bedrooms OF System #2 Approved for bedrooms `��QP 0����� Disapproved j= ON-SITE g WATER ANO Conditional approval for bedrooms, with the following �i ul t' \ ,•.ATER o J� �ROGFAM J O NT SERF Y� \ Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist _ C Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist Legal Description: Lake Ridge Terrace; Block 7A, Lot 4 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total deptft .�.Zz h t Cased to 100+ ft ® Sanitary seal is functioning correctly FR Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 8/30/21 Static water level at beginning of test 32.2 ft. Comments B. TANK DATA Age of tank(s) 3 years Tank type/material ST IISTEEI Measured operating fluid level in septic tank * FE -1 Standpipes/foundation cleanout per record drawing Date of pumping *See Maintenance - Tank is Empty D. ABSORPTION FIELD DATA Parcel ID: 051-322-34 Structure served by this system Well production at time of test 5.0+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes Q No ❑■ Coliform bacteria is Negative Nitrate mg/L n Nitrate less than MRL (ND) Arsenic ug/L X Arsenic less than MRL (ND) Collected by Date of Sample 8/31/2' C. LIFT STATION 0 Required maintenance completed Age of lift station 3 years Lift station material STEEL Comments: Advantex System Which system tested (date installed) 11/15/18 Adequacy test date 8/30/21 ❑ ALL standpipes present per record drawing Results ❑✓ Pass For 4 bedrooms Total measured depth from grade 3.75 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade ft (min) Water added 680 gal 0 N/A — pressurized field New depth DRY in ❑■ Monitor tubes go to bottom of effective. If not, state Elapsed time 0 min depth into effective X Code -required soil cover over field Final fluid depth DRY in FM System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) UNK date of test) N/A Gallons introduced 664 gallons If yes, enter date Comments/Deficiencies: 12x3ox0.5=180m•0.4=72f13x7.48=538.56 Gallons required for presoak Only one pipe could be located in reserve bed and it was non-functional. Condition of reserve field is unknown. A total of 1344 gallons were introduced into the drainffeld on 8/30/21 (presoak = 664; adequacy test = 680). `All MT's were within 1" and assumed to be functional. Drainffeld insulated per record drawings. COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 0 Yes * 50 Community Sewer Manhole/Cleanout > 100' If absorption field is under driveway comment below ❑ Yes if No ft 0 Yes if No ft Neighboring Tank > 100' [D Yes if No ft Private Sewer/Septic Line > 25'F --,l Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50 ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Yes if No ft P, Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' F-11 Yes if No ft Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' F-11 Yes if No ft Surface Water > 100' ❑ Yes if No *50 ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells > 100' ❑ Yes if No *50 ft Water Main > 10' 0 Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' 21 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' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *5'+ ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' ❑ Yes if No *50 ft Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Yes if No ft Surface Water > 100' ❑ Yes if No *50 ft F. ENGINEER'S COMMENTS *AWWTS G. ENGINEER'S CERTIFICATION I certify that 1 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. COSA Checklist yellow sheet 0 F A UU�4p .......... ........... i q�ff'ey A. Go ness.- Q ° V CEE p �W P o f e s sion°do #AECC884 MUNICIPALITY Or' � ADVANCED WASTEWATER �l��'��p��--� ~"�..~x^�� NTSYS1[0M MAINTENANCE AND REPAIR AGREEMENT THIS rVIAINTENANCEAND REPAIR AGREEMENT. herein the"'AGREEMENT" made and entered into ouoil' ihia c+ Duvo[ _��� o[20 9\ 6vand bctwr en Anchorage, herein the "NILINICIPALITY". in accordance with Anchorage p � Municipal Code (APvIQ 15.65.36i. In consideration of tile miltUal — covenants_contained"xuc'o, the parties to this Agreement agree as6oUomm: (. The Municipality gruntspermission to the Owner touii|izoand operate unAdvanced Wastewater Treatment S�o1om(/\Yy\�TS) described ' ' ' located ui(|oou/ description) 14 2. Mainten. nee Re airs qnij A1fA—+.0Hs. (Owner iyrequired Uaread, uodootundund initial each section) T6»ou,)hoxtihc|onno[thiaAunzomooC/hcOvvocrsha|/on!crin(onscrviocugrcemcnt with an AWVNITS serviccand maintenance provider approved by the Municipality or tile manufacturer's representative. Thc&VVYVT3 shall be maintained inaouiis|acto[y condition capable ol'perlorining as designed and prodUCing treated septic effluerit in acoon|unoc with ihccquipmoni'suppvovu| ƒhroperodon in the Kunicipolit'y. .M- |tshall hethe responsibility o[thcOwner duhngthe tcono[ihisAgreement /npay for all repair(s), maintenance. adjUstment(s), replacement costs, and inspection costs. This inu|udcyail unnuuimaintenance fee (typiuo||v�408to�6OU) /T� ' � �x_,� Owner agrees that only maintenance and repair Personnel approved by the Municipality or the /nunu(aciorcr`x rcprcycoiubvo will inspect and make any ncuoysu/y maintenance, repairs orpermitted alterations to Ulcyyoic/n. m�. ��_� Owner acknowledges that regular maintenance of an AWW'I"S reduces tile potential 6zik/reoyUheuyaicnn,rvhiohcouNinc|udoyavvagobauknpundcnsUyrcpuirsordruinDc|d replacement. (rev. 05/18/2018) Owner acknowledges that the Municipality may request records of maintenance and repairs firorn the manufacturer's representative or maintem.nce provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS maybe assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner aorees that any sale or transfer ortitte ofthep roperty will not occur without a new Certificate ol'On-Site Systems Approval. Owner agrees that the AWW'fS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the govermliol, OUidelines for tile construction, maintenance and repair oi'the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date ofl*approval by the Municipality to operate the installed system, or upon transl"-.r of title, and shall continue while the AWWTS is operational or until title is transl'erred. 4. Nonwaiver. The failure ofthe Municipality at any time to enforce a provision of this Agreement shall in noway constitute a waiver ofthe provisions, nor in any way affect the validity 01 -the Agreement or any part hercot', or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This /tgreernein shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District ofthe State ol'Alaska at Anchorage. The laws ofthe State of Alaska shall govern th.- rigglits and obligations ofthe parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 ol"3 OWNER: By: (signahu'e) Date: — , —A C , - ( (print name) STATE OF ALASKA THIRD JUDICIAL DISTRICT ) ss. The foregoing 'nstrument vas acknowledged before me this L day of Pulfic TA PUBLIC FOR ALAS <A MELISSA JENK NS M ommission expires: /Z �Z�'Z std OfAlukq MY CnmWlon E Dean 13, 2622 MUNICIPALITY: (signature) Date: CY (print name) Ticic: (rev. 05/18/2018) Page 3 of 3 *VanTexo Field Main Report Annual Inspection Property O+n nheking # Micalle Culver $tts Add;;Z 14716 W. Lake Rig lge Drive, Eagle River AK 99577 Ak $tie ID fl AX -145650 COSP1] 81 1215 43 #4 527 Retrieve O&Ny Into Dally flow PAcirc ratio Timersettings:CC, V) oosp_ v o -s \c9 Perform Field Sampl rig/Observations NTU (1S t NTUs) pi' (8.9) DO (2-6) ©dor of S mple Typical ❑ Must! ❑ Earthy ❑ Moldy Non -typical ❑ Sulfid t ❑ Cabbage O Decay Oily film in Pm [ Yes ❑ No roam in tank C Yes ❑ No Check Control Panel RoCirc Amps Discharge Amps Audible and visual alarr Is ❑ OK Dial tone (telemetry onl! I ❑Yes /No InspeCt/016an Pump l :ygtem Inspect clean Risor/lid ..... ❑ Splice Box .................... (� Float Cords .... . ....... ...... ❑ Floats ............... ..... .. Ci ❑� Pump ..... ... ❑ ❑ SiotubO Filter .... . .. ........ ❑ ❑ Blotube Pump Vauit ... ........ Cl ❑ Rocirtrulating Splittor Val 'e....... ❑ �( Comments Signature _ �-- AnchorageTank 907-272-3543 ONmtor Larry Betts CQMC;t Phone _-_-- (907) 5555555 Data of LP#t rttspcc!!an RTU138722 11!18/2020 Measure Sludge/Scum Sludge Scum I st Compartment Currant vious Current Previous 2nd Compartment Current Previous Curront Previous InsPect/Clean AdvanTex Filter Odor. ❑ Normal ❑ Pungent Inspect LateraWorlflcos ❑ Clean ❑ Siomat: ❑ Normal ❑ Excessive Pod Bottom ❑ ❑ Bridging/Ponding: ❑ None/Mlnor ❑ Excessive Intake Vent ❑ ❑ inspect/Clean Discharge Pump System Inspect RisorRld ❑ Inspect Clean Floats ❑ ❑ Splice Box ❑ Pump ❑ ❑ Float cords ❑ Inspect/Service tither System Components Inspect Cavan inspect Clean D1slnfection Equipment ❑ Cl Dispersal Laterals/Orlfieas ❑ ❑ Observations Additional Services Rendered ❑ Cloaned textile sheets? ❑ Replaced UV hems? ❑ ROplaced/Used othor items? Parts Used: W = Warranty, 8w Billable (✓ appropriate selection) w a Item Number Opvnrrrwtin_ Final/Safety inspection ❑ RSV relit Aalied ❑ Lida boitod on ❑ Manifold remnnocted; flush valves closed ❑ Control panel inactivated Summa rY/Recfsmmendations ❑System parrorming; no further action needed ❑TAnk nooda Pumping ❑Call for service % ❑ Other? IL Gate Fax ctSMPIeted toren to 1-866.34,7404 Municipality of Anchorage • On-Site Water and Wastewater Program (907) 343-7904 S 4 f EY CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-322-34 Expiration Date: 7 - .2=247 1. GENERAL INFORMATION Complete legal description Lake Ridge Terrace Block 7A Lot 4 Location (site address) 14716 W Lake Ridge Drive, Eagle River Current Property owner(s) Federl Nat Mortgage Ass. Day phone 522-5220 Mailing address same Real Estate Agent Bob Brock RE/MAX Day phone 522-5220 67891 2. TYPE OF DWELLING: !'!._____,, El Single Family (w/wo ADU) '�'� ® Duplex a Jq1' 6 n Multiple Dwellings (Single Family and/or Duplex) ti ! 3. NUMBER OF BEDROOMS: 4 6 8 L 9 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class C Well Community Public Water System Public Sewer Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ A2.0 Date: Date of Payment c2-// //9 Date of Payment Receipt Number NO 7) Receipt Number COSA # 050900 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes. ordinances, and regulations in effect at the time of installation. Name of Firm NorthRim Engineering Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 1/31/2019 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Disapproved. //70/ • Conditional approval for bedrooms, with the following stipulations, .. ' , IYOF t ((( r(//r�i. ON-SITE c WATER AND o WASTEWATER o PROGRAM '•/ E /1f1�1111)`jSj{))0G�n.� By: Original Certificate Date: �1 2 -/ The Municipality of Anchorage Devlopment 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. r 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory' ', Septic System Advisory Arsenic4Advti19ry Well Flow Advisory Other r,r. COSA blue sheet 9-1-12 Cos If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems /A\ pprove9 Checklist Legal Description: L.A e/.= r?/4 6'6 TtyfRA-CT 87A I-9 Parcel ID:Q 5(32239 A. WELL DATA Well type_ P If A, B, or C provide PWSID# Well Log (YIN) / / Date completed / /S//, Sanitary seal (Y/N) y Wires properly protected (Y/N) Total depth ft. I Cased to /2 1 ft. Casing height (above ground) 3 C in. FROM WELL LOG AT INSPECTION Date of test. 1/7/5/f P it) & J Static water level 5 o ft. ft. Well production II g.p.m. g.p.m. WATER SAMPLE RESULTS: / Coliform O colonies/100 mL Nitrate /. SSmg/L Arsenic A/j ug/L Date of sample: /4l//( fr Collected by: /Vetget B. SEPTIC/HOLDING TANK DATA PR /F jL 1'44417 e S//1PE y/z4fw3 Tank Type/Iyliebial 4/ VAN I F� / TI.z Date installed //// x/01 a / Tank size MOO gal. Number of Compartments 2 Cleanouts(Y/N) / Foundation cleanout(YIN) Depression over tank (Y/N) Al High water alarm (Y/N) ' Date of pumping Pumper C. ABSORPTIO FI L D 'WOO Al A Date installed9-247/-0 ? Soil rating (g.p.d./ft2 or ft2/bdrm) 2 . System type 3rD Length 3o ft. Width /Z ft. Gravel below pipe ,O. _5" ft. Total depth 3 ft. Eff. absorption area 3 CO ft2 Monitoring tube y Depression over field N Date of adequacy test /v614) Results (Pass/Fail) P For 4 bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed //,4S//I Size in gallons S©D Manhole/Access (Y/N) / "Pump on" level at y 8r" in. "Pump off level at 47/1/in. High water alarm level at ( 62 in. Datum 130-Ho N^ Cycles tested /V co Meets alarm&circuit requirements?_ 7/ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot /D 6 r>L On adjacent lots /C Absorption field on lot /O D i 4- On adjacent lots /Q 0 r 4- Public sewer main l 0Q 1'14- Public sewer manhole/cleanout . /Q (¢" Sewer/septic service line 2 c5 t Holding tank /66`i" Animal containment areas 5 0 4- Manure/animal excrete storage areas lad (14' SEPTIC/HOLDING TANK ON LOT TO: Building foundation /Os ' * Property line /� �T Absorption field /a 14" water main /D I'fWater service line /a' (7�- Surface water /O �� Q 'f Wells on adjacent lots /0 ABSORPTION FIELD ON LOT TO: Property line /O ('i Building foundation / c (t Water main /Q (,t Water Service line /. ' (i Surface water (Go (.1-. Driveway, parking/vehicle storage /6 14- Curtain drain 0 N k— Wells on adjacent lots /�6 1f F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and ' review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. =;4< i €'7: - ': Engineer's Printedame cZf 7 iJL� ,� G Date 0(ii y i7307 ,, ' COSA yellow sheet_2-6-15.doc _4/B.S o :i?o.� gyp,67 ./Ya7"fiPUi4'7,ae.9T. ' i1/0 .011/E«/iY4 c/.4//T.rs4,JZL- .614' GeAr..ST,'vc-,7�r/ AF . d.A P/,ot-e t l//2oV _' 'i- ADT (,11 "f, �/� • • 0 • • t (?/ \a/ . �w y��:�y 9yI�� y_ N % i . v ESs • • F 9��� nn` 1\1 j 1 ..?o i \v • // ° . 4? ' `' sem• 0 • 0 \v tie 4 � �� , At 'i) 4 . ,..,, , , , ._, ,4/ , .... ! „3 _ . ...,--), Di 0 (b/ — if 6:':. . \ p � ti� 6 U e ti �,'' \ o \I z- /79, y'"- NJ ipi v /�F�E, ,''<!.9T��v/2/y/9 ,Vere'e� „, /09.sem f��.�T.4-7c�rj22 i -���a . '/-o SZ 7, ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING-441845-66 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: `s�o����,, FOLLOWING DESCRIBED PROPERTY: �� Ag t U.y .TiL6c T_<4P�: « ---,.../,,,,K, - ,7—e,. ,_---...e:-,,-,,-.--,7 ....... AND THAT NO ENCROACHMENTS EXIST EXCEPT AS DATE- �Q...••'TN4 •...4.#4 INDICATED. IT IS THE RESPONSIBILITY OF THE r * : 9I- :""iyi OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: JO 107 EASEMENTS, COVENANTS, OR RESTRICTIONS �,<iss? °. . �'+-e' `>;'ji ji WHICH DO NOT APPEAR ON THE RECORDED SUBDI- �. Duane Mark ward :: Al VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB'` /S � •.-*-4////c,LS-6 s O ANY DATA HEREON BE USED FOR CONSTRUCTION i�` ,�r� �' OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN: h��-7.° ARY LINES. o.�e.�'