Loading...
HomeMy WebLinkAboutSPRING BROOK VISTA #1 BLK 1 LT 8-A1 Onsite File Spring Brook Vista # 1 Block 1 Lot 8 - A 1 #050 - 091 - 40 Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181423 PID Number: 05009140000 Duplex (D) Multiple (SF and/or D) Project: ❑ New ® Upgrade Dwelling: © Single Family (SF) ❑ p ❑ p Name: ABSORPTION FIELD Johnson Harold W & Myran L Address ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 12240 Prince of peace ❑ Other Number of Bedrooms Soil Rating Total depth from original grade Phone NA 4 NA GPD/SF NA Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot NA Ft. NA Ft. Spring Brook Vista#1 1 8-Al Fill added above original grade Gravel length Township Range Section NA Ft. NA Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES NA Ft. NA NA Ft. Toi Septic I Absorption Holding I Sewer Total absorption area Number of trenches Dist.between trenches Tank Field • Lift Station I Tank 1 Line NA Ft2 NA NA Ft. From NA I TANK Septic 0 S.T.E.P. 0 Holding 0 Other Well Manufacturer Capacity Anchorage tank 1250 Gal. Surface Water 1001+ Material Number of compartments Lot Line 10+ Steel 2 NA LIFT STATION Foundation 10* Manufacturer Capacity Curtain Drain NA NA NA Gal. Pump on level at Pump off level at High water alarm at Remarks* Firm Angle of repose. Verified by MOA inspector on 3/26/19 by Tim Eklund —_ NA in. NA in. NA in. Pump make and model Electrical Inspections performed by NA NA 03to 4 Tank PIPE MATERIAL House to tank D3drainfield D3034 Installer JR's Pumping Drainfield CO/MT Inspector Arcterra BENCH MARK (Assumed elevation) 100 ft Inspection 15' 3/26/19 2^a 3/30/19 Location and description dates: _-- 3r° —. 4th Bottom of siding COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL +�0igo, •it! ! • Conditional Approval: Date irc2 _ . �• i * 4911:i �� * •f iii AICIIISWAWW— 0_ —.. .— . KENNETH ' fir '5 W s �•4, CE `i Date ���17 / ••stiv, � �•�•` Approved , G�-_ wMsnivii.• Inspection Report_9-1-12.doc AS-BUILT SYSTEM DETAILS/SITE PLAN Permit SW100001 SPRING BROOK VISTA SUBD UNIT No.1 lOT 8-Al BLK 1 PID# 015-082-21 xU w j 18.0' I0 CANT d- x ANT o IN 2 X24' � Nt CANT CVO •• slum 40.p N .T 8 At DECK 111111/ 0 FCO '•MA 26 3 LK 1 6' _6_1.0 CO NEW 1250-GAL • DO / SEPTIC TANK. E F COs :�. ."� / o RA 1e / \V —4 / / m / / c) /� / /6 / 0 SCALE! 1' = 20' /`-) / Q 98.53 98.41 A-C=14.1' _ B-C=29' Cr) W A-D=20.2' f Ir I B-D=33,4' & 4.13-440i 0 l - o 94,40 1250 GAL'S EXISTING FIELD Di SEPTIC a TANK 94,41 93.8 93.66 ASP- SCALD NTS /,,s� OF A� I PREPARED FOR: CTE /r� `1 7 I ANDREW ❑STE °� ��/AI��\\� Ps-, v1 i * 4 m 1\ * 9701 HOMESTEAD TRAIL ANCHORAGE, AK 99516 z ri‘ .. 1111.1Pkari -PL. ..._ KEPIN (� /�. / FIELD BOOKS COMPUTED: i �/�i .' .11,11 / CE— �' �� / BOUNDARY:N /A DRAWN: KSD 11�� ,12"1',I\�, !I./// /1G. STAKING: SLS aecED: KMD < /`/ASBUILT: SLS DATE. 4 1 19 ~� 7, FESS1O ' / �9y \\�,� e� \`_ f DWG. FILE: GRID: SW0159 °Z��C`U� ,,,....6,-,9 l� SULTING . '.5e,Lc ACAD FILE'FILE ''CB No': 18-209 F�'. 61 AK. 99577-61 Z:\WELL & SEPTIC — Filed By Legal\Spring Brook Vista\#1\Blk 1 Lot 8A1\18-072 AsB(KSD)(4-1-19'.dwg MUNICIPALITY OF ANCHORAGE mens � ' \ On-Site Water&Wastewater Program f•' PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 r. �S +r http://www.muni.org/onsite �. l)iI,a t t 4�'CH ON^VW On-Site Wastewater Disposal System Permit Permit Number: OSP181423 Effective Date: 11/28/2018 Work Type: SepticTank Upgrade Expiration Date: 11/28/2019 Tax Code Number: 05009140000 Site Legal Address: SPRING BROOK VISTA#1 BLK 1 LT 8-Al G:0252 Site Mailing Address: 12241 W PRINCE OF PEACE DR, Eagle River Owner: JOHNSON HAROLD W & MYRNA L Lot Size in Sq Ft: 24366 Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 2 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72)and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: • Date: Issued By: MjXOCS( '/VZcrO Date: 1I 26'. 0261E MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-091-40 Harold & Myrna Johnson 9078540197 Property owner(s) Day phone Mailing address 12240 E PRINCE OF PEACE DRIVE, EAGLE RIVER, AK 99577 Site address 12241 W PRINCE OF PEACE DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) SPRING BROOK VISTA#1 B1 , L 8-Al Legal description (Township, Range & Section) Lot Size 24366 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (E)all that apply) Absorption Field n Initial Single Family (SF) U (w/wo ADU) Septic Tank 11 Upgrade Duplex (D) U Holding Tank Renewal Multiple Dwellings LJ Privy [ (SF and/or D) Private Well Water Storage n THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature pr a owner or authorized agent) PermPermiy. sh Fees: Waiver Fees: Date of Payment: 1 l 17((QS Date of Payment: Receipt Number: �QQaL D Receipt Number: / Permit No. 5PI' L43 Waiver No. Permit App_9-1-12.doc •` �RcTen,R� ARCT ERRA t • ; CONSULTING, INC f R 212 E.51st Ave,Anchorage,AK. 99503 Office(907)868-3791, Fax(907)868-3793 'w� 4TNtA • November 26, 2018 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade Permit—Spring Brook Vista #1 B1, L 8-Al The owner has requested we proceed forward to obtain a septic permit to upgrade the aged septic tank on the subject lot. The proposed upgrade will serve the existing 4-bedroom house. The adjacent lots are served by public water as noted on the design. There is no surface water within 100' of the proposed tank. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 868-3792/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M.\Du P.E. Attachments: On-Site Sewer Application Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736• PH(907)868-3791 • FAX(907)868-3793 WASTEWATER DISPOSAL SYSTEM DETAILS SPRING BROOK VISTA SUBD UNIT No.1 lOT 8-Al BLK 1 P CRML7hCi GARAGE b m I wC 20.0' V---....x�0X �X DNC WALK I fx 24.0' I X 47j. r 1 0 r i A,Z, X 41 N u.ia� 0 PAVED iIMI- O 2.0' D/W / vw . X x / 18.0' O X f W1m / O 2'x24' O X CANT 0 2'x24' M (p a CANT 40.0' 0 N / LOT 8—Al DEQ treat ECO ... su / 0 25.8' BLK 1 DECOMMISSION EXISTING S.T., NI CO / INSTALL NEW 1250-GAL co / SEPTIC TANK 10'+ FROM L.ps 41 FOUNDATION NVDBL. / V- 0, rn / O POST-TANK COs & FCO. 2 xIT x T / / p x CV to LOCATE WATER LINE o O PRIOR TO CONSTRUCTION. co Z6 LOT 6- J 1 op 4N yc; Fskv/1. N 4 r 2 S84'55'50"E 111.74' \ A N 'VS.0 ti U I 5 DESIGN: R' Scaler 1'= 30' 1. INSTALL 1250 GAL S.T. & INSULATE TANK IF <4' COVER. PAGE 1 OF 1 2. MAINTAIN 10'+ FROM MAINTAIN 5'+ FROM EXISTINGOION, WATERLINE,FIEFIELD . O INSTALL 2POSTT -TANK E. I CLEAN❑UTS & FCO. 3. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT °la1 �..MLNkih,� WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... j �� OF <QS, PREPARED FOR: gCTER . �� HAROLD & JOHNSONEACti �i/,���\.Q r6 12240 E PRINCE OF PEACE DR. o 4-.° o / *49 * 1" * + EAGLE RIVER, AK 99577 /'� m �` �f Wt � { v ,, HELD ROOKS couvuim: o IUEJII�,1 1 ,,,¢ c:'-7118" �WcY BOUNDARY:N/A CRAW BMW 11111=1:1111111M`, 1 t ( ti* 57MQNC: SLS • CHECKED' KMD V���II/� l[,^w u , .•l/ ssio , ASBU LT: DATE: X26�1 8 �.,.'.� Ofd' 0' SLS '� �\","/ �� E ` •• SSIO� SII o RL aero: NW0252 eFRe�tis l� l� E �' �Pf Uf.1'iNG , .56 3' ®`�"�' ACA fluFILE JOB Na: 18209 A' AK.99577->'S7 GRE;,,ER ANCHORAGE AREA BOR, JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SFPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL LIQUID DEPTH NUMBER OF COMPARTMENTS TILE DRAIN FIELD7-([/~'~ DISTANCE FROM WELL FOUNDATION NUMBER OF LINES DISTANCE BETWEEN LINES ABSORPTION AREA ~/ DEPTPt: TOP OF TILE TO FINISH GRADE NEAREST LOT LINE__ TOTAL LENGTH OF LINES TRENCH WIDTHZ~c~ IN. TOTAL EFFECTIVE SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER ,....,., ( MATERIAL BENEATH TILE~ 4~, ABOVE TILE IN. WELL: TYPE -- BUILDING FOUNDATION_ CESSPOOL . APPROVED -- CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE__ OTHER SOURCES DISAPPROVED- REMARKS DEPTH SEPTIC SEEPAGE TANK SYSTEM. DISTANCE FROM: DISTANCES' DIAGRAM OF SYSTEM INSTALLED BY: (...)-b %~.~.~.~.~.~.~.~.~z,~ SEWER LINE DEPTH: PIPE MATERIAL: LOT SLOPE: REMARKS: Form LQ-032 I"ii:;:I::.::]:HLJI"/ I'.,IUI"IE:EFi'. OF E:E[:,I:~:OOHS ......:1. 'I"I..IIE L.E:I'.,I(:iiTH D ]: l"lli:.::l'.,l:!E; ]: CII'.,I ]: E!; "I"HE I.J!ENli:iiTI-J ,:: ]: N I::'IEE:T :-" CIF' THE "r'Fi'.IE:I'.,I(:::H CiI;~'. DI:RF:i :1: t'.,11:= :[ Iii:M::;,. THli!i: I:)EI:::"r'H (~1:::' I:;:t 'TI:;:E:NC:I..J Of;i: F:']:'I" ]:'..:~ THE: [) :[ ~"rf~l,.,tc:[i~ E',ETHIEE:I'-,I THE EiLIF~:FFII])E i]il:;:'.Ot. Jl'.,ID t:tI'.4[)'T'I-.E:: EJt]:I'I"TOI"'I Clt-:' '1"HIE E::.::(::FJ'v'I::~"[' ]'. (:)N ,:]:[l'.4 F'I!::IET). "l"Hliii:[;i:E: :IS I'.,ICI :!i~t!~:"l" H]:DTH F'()I~'. 'T't;?.E:NC:HEE;. "I'H Iii: Eiil:;i: I::1',,,' E L. I]:, E F' T I...t :t: S T I...t E I','1 :[ F,! ]: H L.I i','J E:, E F:' T la O I= (:!i I:~:1::~',,,' E L.. E~lii: T H E: E: N "1' H F~t'.,I[) THE: E:(::iTTCH','I OF "I'I~IE~ I:~?:',E:F:t',,,'IaT :t: (3i'.,! ,:: .]: I'-,1 FI~:ET ). ~:;;ii:: ~::ii]!:: I(:':;::J! II..j ][: il:;~'.: il~Ci;: IE::)' ::~'.:'~!;; [E:.=,:: F" 'ill'"' ]EE:::: -It"" IF:Il il:'..,,il tk:::::: ~'J£E; .'.il: Z,;!!!~:: E!:Z ...... :::il.... ;;?.'. ~Zt",i ~E~ E?.ii IF::'~ IL...... il...... I]::::3~ lt".,,,il OS-E GEO1 _CHNICAL ~ DEVELL >MENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Earl Ellis Russell Oyster 688-2280 694-27?4 S.~0 Z~L.J.=_0~ Land Development Soils ~' Foundations Per'foxed foe: 4 Ground Water ~ncountered: Yes ......... No,~..~.:T~ ~f yes, what depth ..... Proposed Installation: Seepag~ Pit ........Drain Fte~d ....... Co~nents: l~, EQLJI-?,:~'F FOR AI'PI~,O\/AL OF IN!~iV~t)U,"',I. WA I'l!R /'d'fll) SI:3A ['.. / ; ~' ...... ~ Fi'ibN n ' ~ ~ ,' OWN m'~ 752-4880 Joel L. Collins Star Route A 2 Box 87 99577 I 694-9330 , Harold W. Johnson ....... ~ ....................... BOX 1!8 '; t~':',: i,.%, I I'U'I I ON 276-6800 Security Na~t i ~o~na. Pouch 7-777 99510 F ~ ~[T:u~j[~ ............ 694-9555 Carrole Sherred % Area ~ . ~ ~ .................. Post Office Box 249 99577 Lot 8A Block 1 Springbrook Vista Subdivision XX ~:;iNt:il_i] FAMII.// [_.j Two i'; iNi)iViDU/x,i ,.~ ,/..(.,WELI..t OG.A'.vell h)(lis~:luircd Mr~dlw¢tlsd'iil' 1~ t,.. For p~ior iO tiia~ (Jato, give wall : i'URLIC U IILI I , dupd~ (~t'L;;ch !oq if . ' ~ ~ t~ 1977 XM iNDiV%[>UA~ /ON-SI'[I:[~ ~. L. IC U'I ILl-FY b'y ¢:fi~ ()Olm~ I'HI)C( ~,~,ll'.:n CAN I:IE SiNiSLE F:/\MI LY :.'i!Jl/i'IPL[:. FAMi LY / '!!i~ 'SUPPLY INUIVIDU,\L (}Oi~iMLJNI t'Y PLJI~LtG LJTI LITY {~] ONE .~_] THREE [_.) FIVE [~] (YFH[~R ~-' , ~ F:OUR ' SIX PEF Iv '- NL I,..1BE[~ DEP'[ tl OF kVE;L.L DA'F f~ [)Fil L.I.EI) :, :IY./t~A(iE DISPOSAL SYSTEM : :~m;~'cti(x~ Velified Tank or [ ]Holding Tank ~ ~i:: . ._ Il Tank is homer]lad( [ ~F'PI?OVI~E) FOR ~ ~ C()NDI'FIONAL APPROVAL (letter HluSt accomt;~ificate) , [ ' [3ISAPI:'H()Vf~D REALTO REALTORS® MUNICIPALII'Y OF ANCHORAGE DFPT, OF 14EALTH & ENVIRONMENTAL P;¢O rECTION REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES NON/ ,51978 1. Type of Inspection: CMRO VA ~. P~ope~ty O~,ner: ~-I~,1 ~. ~(~//"~.~,~ Mailing Ad¢lress:'~b-r,',.tdr. ~)~:$,(~- ~.r..:~4 uay Phone Mailing Address: /~o&7. '%~//2,,:~ Day 5. Name of Realtor or Age~t: ~m~, ~ ~pd}~[~/::L:~>/ Mailing Address:~,(/~' ~.l' ~A- ~. Phone o Legal Description: Location: (/~9 7. Type of Facility to be inspected: No. Bdrms. Water Supply Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility ~ If Individual, date of installation: Individual (on-site) 7 AREA, INC. REALTORS ' [~J Anchorage "C" St. Office 3300 C Street (907) 278-2525 ? [] East Anci~orago [~E~gle River Eastgate Office Parkgate Office 5437 E. Northern Lights P,O. Box 249 (907) 278-2525 (907) 694-9555 DEPARTMf~ 825 MUNICIPALIi'Y OF ANCltO~z"~: OF HEALTH ANf) ENVIRONMEN _ PROTECI'[ON L Street, Ap~chorage, Alask,. 9950] 279-2511, ext. 224 or 225 Date Ret,'.2 ired: .J_u_ly__~_5..,__l_9.7.7 .............. .................... ~ 3 '[! #1: T.ime E2: T;ime ........................ ~' :: i )a ~ e ... 7.z.2..6r. _72., ~Ti!e sd ay Date Insp Kennedy~ ........ Insp ............................ Insp FOR APPROVAL OF iNDIVIDUAL oI,WRR AND WA'.I'ItlR t~'AC-ELITIF, S · .¢. ~ .... Security Pacific Mortgage % Bob Fritz Lending Insi:itution Re Mailing Address: 1011 ~,ast Tudor Road Suite 190 Phone: 276-1933 Property Owner: Eric S. Johnson Phone: 694-9734 Mailin_q Address: Post Office Box 722 99577 Legal Description: Lot 8A Block 1 Spring Brook Vista Subdivision 4: t;am~.ly Res.idence: (x) S i_ngle ~ ' H. ultiple Faraily Residence: ( ) 5 Well Syot;.m. Ind:Lvidual We].] ( % Cotmuu~lihy/Pub].ic System ~ Permit Depth Well Lo9 on File ( ) Construction }1ache~:ial Analysis Sewage Disposal System: On--site System ~{~ Pub]_ic Ut:[].ity ( ) Permit t! ................. Installed ~___~_..lT_ ..... Installer ...................................... Septic Tank Size 7. Distances,: Well to Septic Tank to Sewer Line Nearest Lot tine to Nearest Lot Line · to Absorption Area Absorption Area. PagO ']'WO bopa..l:men'~:, of Health and Environmental P]'Dt.c~c'i.~[on Request for A~prova]~ of In(tJ_v~.dua]. Sewer and WaC%er Facilities Co~(2~t s: Affadovi% A~tached: ( ) Letter Attached: ( ) Disapproved: Date: Department Workshc~et: MUNICIPALITY OF ANCltORAGE Department of Health and .'nvlronmental Protect. ion' 82[5 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 equest for Approval of Individual Sewer and Water Faei'Li~ties Property Owner: Name of Buyer: Mailing Address: Phone: Mailing Address: [._~3_!3_._~ . i'~h_c~__r_~d7_~_ I c~ ~ ....... Phone: Realtor/Agent: Mailing Address: Phone: Location: - {O~Q Q~ __~ Single Family Residence: (k~v/ Num_ber of Bedrooms: ._~ ..... Multiple Family Residence: ( ) Number of Bedrooms: / Water Supply: *Individual WelTL ( ) Public/Community System ~x/ Jif Individual W_ll, well depth k>,~3~ ~_-~) If' CormunJ. ty System, name of system Cx ~Q ~ , Sewage Disposal System: On-site System ~' Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on AL1, wells drilled since 6/75. 3/77 Vt_'-8G • Municipality of Anchorage 41- ^` d On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON --SITE SYSTEMS APPROVAL Parcel I.D. 050-091-40 Expiration Date: t 1. GENERAL INFORMATION Complete legal description SPRING BROOK VISTA #1 BLOCK 1, LOT 8-A1 Location (site address) 12240 E PRINCE OF PEACE DRIVE, EAGLE RIVER, AK 99577 Current Property owner(s) Matthew Houghton Day phone Mailing address. 12240 E PRINCE OF PEACE DRIVE, EAGLE RIVER AK 99577 Real Estate Agent Day phone 2. TYPE ,OF DWELLING:... , ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple bwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ❑ Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class _ Well ❑ Public Sewer ❑ Public Water System WaiverNariance request for: Distance: Received by: Date: COSA to, be released to the engineer,.unless otherwise requested by the engineer. . COSA Fee $ 9 12.50 coV1 O Waiver Fee $ Date of Payment If/w. 20 Date of Payment Receipt Number 0931-6 G Receipt Number COSA# 05C2_()jtiy.6 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As. certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist.�W', Or ��\ 6. DSD SIGNATURE 19Ti.i System #1 Approved .for bedrooms. �._.. System #2 Approved for bedrooms. 1 csA� 7'6 of Disapproved. ssto' Awl Conditional approval for bedrooms, with the followingOF Ak Rr��/fir((, WA7ER AND z^ m AST r^ �g�rGl-C� %6AIT I By.* � ' Original Certificate Date: ! a �-2_0ZQ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc Legal Description: SPRING BROOK VISTA#1 BLOCK 1, LOT 8-A1 parcel ID: 050=09140 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system 1 DATA ❑ Well to ' ' ed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments PUBLIC WATER B. TANK DATA Age of tank(s) New years Tank type/material Septic/Steel Measured operating fluid level in septic tank New Standpipes/foundation cleanout per record drawing Date of pumping Tank installed 3/26/19 and never put into use (as of 11/10/20) D. ABSORPTION FIELD DATA Well production at time of test gprn Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) A� . ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample IFT STATION ❑ Requl aintenance completed Age of lift station years Lift station material Comments: Which system tested (date installed) 5/23/1977 Adequacy test date 11/10/20 ALL standpipes present per record drawing Results V Pass For 4 bedrooms Total measured depth from grade 13 ft (max) Fluid depth prior to test 78 in Measured depth to pipe invert from grade 5 ft (min) ._ Water added 600 gal ❑ N/A — pressurized field New depth 78 in Monitor tubes go to bottom of effective. If not, state 1440 depth into effective Elapsed time min ❑ Cade -required soil cover over field Final fluid depth 78 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) Gallons introduced 2000 gallons If yes, enter date Comments/Deficiencies: CASA Checklist yellow sheet ARATION DISTANCES From Private Wel t to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot >1 Community Sewer Manhole/Cleanout > 100' ❑ s Ye i .� ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft rivate Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > Cl Yes if No ft ❑ Yes if No . ft Manure/Animal Excreta Storage > 100 Community Sewer Main > 75' ❑ Yes if No ft. Q Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than. required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft if septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' d Yes if No ft Water Service Line > 10' P1 Yes if No ft Community Wells > 200' [v Yes if No ft Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS Vacant system presoaked per code prior to testing. Field is operating in top 113 effective depth. Tank replaced after November 30, 2018 earthquake. G. ENGINEER'S CERTIFICATION ! 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 45678970r •'t _ Municipality of Anchor g. On-Site Water and Wastewater Progra A RIO 2019 . r ®1� (907) 343-7904 ti CERTIFICATE OF ON—SITE SYSTEMS A ' g c:\c' 6 8 L Parcel I.D. 050-091-40 Expiration Date: 3 702,0 1. GENERAL INFORMATION Complete legal description SPRING BROOK VISTA#1 BLOCK 1, LOT 8-Al Location (site address) 12240 E PRINCE OF PEACE DRIVE, EAGLE RIVER,AK 99577 Current Property owner(s) HAROLD&MYRNA JOHNSON Day phone Mailing address 12240 E PRINCE OF PEACE DRIVE, EAGLE RIVER,AK 99577 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 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ❑ Holding Tank ❑ Individual Water Storage ❑ Community ❑ Community Class _Well ❑ Public Sewer ❑ Public Water System WaiverNariance request for: Distance: Received by: / - .ta Date: 1/// //9 COSA to be released to the engineer, unless othe :-'ested by the engineer. COSA Fee $ 5-6-6 Waiver Fee $ Date of Payment (f< 1! / /9 Date of Payment Receipt Number aft 690- Receipt Number COSA# 61q 109'' Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 4/1/19 THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS(ENGINEERING,SURVEYING,CONTRACTORS,ETC...ASSOCIATED WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments,deficiencies or discrepancies exist. Ar OF 11.<IS), 7 49TIf \ 0 6. DSD SIGNATURE millliw&We1M1111 System #1 Approved for Li bedrooms. , ���� 4 4. KENNETH?>1. / System #2 Approved for bedrooms. 'r;� �'9 C � `/ Disapproved. ,\�G �''40bEss os, , Air Conditional approval for bedrooms, with the following stipulations: I/ By. �� '� Original Certificate Date: 7~1&. ( 7 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other • COSA blue sheet 10-10-12.doc COSA Checklist Legal Description: SPRING BROOK VISTA#1 BLOCK 1, LOT 8-A1Parcel ID: 050-091-40 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system 1 A. WELL DATA ❑Well log is filed with Onsite (or attached) Well production at time of test gpm Date drilled Water storage tank volume gallons Total depth ft Well disinfected for coliform test? 0 Yes IN No Cased to ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑Wires are properly protected Arsenic _ ug/L 0 Arsenic less than MRL (ND) Casing height(above ground) in. Collected by Date of flow test for COSA Date of Sample Static water level at beginning of test ft. Comments PUBLIC WATER B. TANK DATA C. LIFT STATION Age of tank(s) New years ❑ Required maintenance completed Tank type/material Septic/Steel Age of lift station years Measured operating fluid level in septic tank 1250 Lift station material III Standpipes/foundation cleanout per record drawing Comments: Tank installed 3/26/2019 Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed)5/23/1977 Adequacy test date 11/7/18 IN ALL standpipes present per record drawing Results ZPass For 4 bedrooms Total measured depth from grade 13 ft(max) Fluid depth prior to test 74 in Measured depth to pipe invert from grade 5 ft(min) Water added 600 gal ❑ N/A—pressurized field New depth 95 in • Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective Code-required soil cover over field Final fluid depth 60 in System presoaked Absorption rate 600+g pd III(Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) 1030 If yes, enter date Gallons introduced gallons Comments/Deficiencies: 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' Community Sewer Manhole/Cleanout> 100' ❑Yes if No ft ❑ Yes if No ft Neighboring Tank> 100' ❑Yes if No ft Private Sewer/Septic Line>25'E Yes if No ft Absorption Field on Lot> 100' ❑Yes if No ft Holding Tank > 100' ❑Yes if No ft Neighboring Absorption Fields> 100' Animal Containment>50' ❑ Yes if No ft ❑Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main >75' 0 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' 0 Yes if No 5+ ft Surface Water> 100' ®Yes if No ft Property Line >5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells> 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells>200' ® Yes if No ft Water Service Line > 10' ®Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑ Yes if No 6+/- ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Service Line> 10' ® Yes if No ft Community Wells>200' D Yes if No ft Surface Water> 100' ® Yes if No ft F. ENGINEER'S COMMENTS Vacant system presoaked per code prior to testing. Field is operating in top 1/3 effective depth. Tank replaced after November 30, 2018 earthquake. G. ENGINEER'S CERTIFICATION ��46,7 OF 447. I certify that I have determined through field inspections and review Arc)of P ` , ��.♦ of Municipal records that the above systems are in conformance with ?o i MOA COSA guidelines in effect on this date. 9 �� KENNETH LOW, L:./LI %47-0-, CE716 t = •••e9t, 4 9,1L.3.(?sw COSA Checklist yellow sheet 1 41 LOT 9—A1 IM-4 n 0 Q 158.32x� x-x---xrx rW, N81.58'28" w V is,,�J GRN • I W GARAGE. `\.1 o HSE , r� 20.0' ---v". 10.2' w CONC WALK X—X-`X x 24.0' / 0 4j r' f1 /0 cv d PAVED X -1;`) Z L 2.0' DEW / C. fri 1:1-• O-CI /k tux tg p, O f2x24' in I w+ co k CANT o 2'x24' n / N CANT 40.0 N / I DECK Irma 26.6• / • / SEPTIC • 5 Lc1 VENT O (typ) CJ / o LOT 8—A1 / o BLK 1 / / z • Ig / LOT 6—A1 /q e / .ZCS1. /e si C oi /N N ,%,, l dT N j S84°55'50"E 111.74' N 7f As.a ,v / N LOT 1 N s`js , N ANCHORAGE RECORDING DISTRICT,ALASKA N N AS-BUILT OF: SPRING BROOK VISTA SUBD. UNIT No.l ® =FND I/2"REBAR LOT 8-Al BLOCK 1 PLAT 80-210 SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a .: \� �D S U physical survey of this property as shown on this drawing and that the .'. ••''F''A•.4�,' 113'.-- LAND- ��' improvements situated hereon are within the property lines and no ����'••• `1 s �+ 4,� �t'�� enchroachments exist other than noted.Under no circumstance should / Gj.• j ��G� any information on this drawing be used for construction of fences, ,* • 49� . tr+, structures,improvements,or for establishing boundary lines. x �° 0�, EXCLUSION NOTES:It is the / jE.,i ) U owners responsibility to determine Lll :� 0 the existence of any easements,covenants,or restrictions which m d0 L. SCHULLER. ���/= ,� do not appear on the recorded subdivision plat. VA ku .•.'j' LS-10408 .........w,,,,,-^ WORK ORDER NUMBER: ooh SCALE a uaL �!�°� ` . s§/ 1831 Talkeetna Street NOV 25, 2018 1"=30' `t;ap 'l 1•'2.s•tf d�� Anchorage, Alaska 99508 18—072 6Y. BY owDNwretR 13004C/PAGE: l\ r°fessiono\ \- OOP (907) 227-1455 office I JLS NW0252 180239 \�‘\.�`�`+ (907) 274-4992 fax