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HomeMy WebLinkAboutT15N R1W SEC 7 LT 35T15N, R1W, 5¢ction 7 Lot 35 #051-161-07 Municipality of Anchorage Peg. 1 of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW000184 PID Number: 051--161--07 Narne:MiKE THOMAS Wastewater System: · New [] Upgrade Address: P.O. BOX 770110 EAGLE RIVER, AK 99577 ABSORPTION FIELD No, of Bedrooms: Ph°ne:(907'~ 694--2202 [] Beep Trench [] Shallow Trench · Bed [] Mound mOther LEGAL DESCRIPTION 0.7 oPe/sq. ~1 2.0 - .3.5 Township: 15N 1W 7 0.0 - 0.50 ~, WELL: · New [] Upgrade 15 Ft 3 PRIVATE 163 Ft. 121 PL 645 S~. ~ ASTM D-5034/F-810 BAILEY'S BACKHOE 8/12/2000 ALPINE DRILLING 7/19/00 45 ~ SEPARATION DISTANCES ·Septic E] Holding n S.T.E.P. To Septic AbsorpUon Uft Holding Publlc/Prlvote Tank Sawer Un°. ANCHORAGE TANK 1000 From Tank Field Stotlon Well 100'+ 100'+ -- -- 25% STEEL 2 SuCac~ 100'+ 100'+ - - - LIFT STATION Water Lot 5'+ 10'+ - -I Line ~, ~' FoundeUon 5'+ 10'+ - - NONE KNOWN Drain I I Remor~: BENCH MARK BOT[OM OF SIDING AT POINT "B" 100.00 ~ ~F/A~'~% ' Inspections performed by:. AWWC, INC. Dates: 1st 8/12/2000 ¢~ "':""~/,'/~:~# .... 1"":""~ 2nd 8/12/2000 ¢~1 ~'~ ¥/~ I Department of Health and Human Services approval ~ ~. -.... ~ _.... ,,,~-:~ Reviewed and approved b ~- L-z-,/- ~ Date:/O' / 0- O o ~of.,~.~o~O~ PERM, NU.BER: AS--BUILT DRAWING POm?L'?6~"--~fR~ SWO00184 ~/ / ~ ,~~ / CO1 42.9 ¢2.2 .- ~ .... ~ Z~ .~ , ~o~ 4~.~ ~.~ / / ~ I co~ ~.~ ~.~ / / ~ I / I / FS~m, LOCAqON W~ ~P ~ / ~ i~~ ~ 0~5~2000~ 0~ ~' ~% ....... ., ~f'e ~ .~ssi vOh%.'~, C P7953 .."~ q ¢¢ ,, ,,,' ~ A B ST1 48.7 23.9 ST2 54.7 30.3 DBL1 59.7 35.4 DBL2 60.3 .36.2 MT1 64.5 43.1 MT2 71.6 52,4 MT3 43.4 41.6 MT4 53.0 51,1 C01 42.9 4-2.2 C02 48.7 47.3 C03 53.6 52.1 C.J,G. ALASI(A WATER & WASTEWATER sc^LE: .................. CONSULTANTS, INC, ~: ........ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: MIKE THOMAS (907) 694-2202 2 OF LEGAL DESCRIPTION: LOT 55; SECTION 7, T15N, R1W, ~YPE OF WORK: AS-BUILT DRAWING OF NEW SEPTIC SYSTEM swooo,84 AS-BUILT DRAWING .^RoEL,D NUMBER: PERMIT NUMBER; 051 -- 161 --07 INSLI.A~ION -~ ~, / 5f2 ~ J~gffOM OP [~[2 LIJ~5 ~6,27 (AV~,) ~.77 (AV~,) )ATE: ,o/~/~ooo ~S~ WATER & WASTEWATER C.J.O. CONSULTANTS, INC.~ SOA~: '~/ ~ ~ '~' ~901 DEBAR RO~, SUITE 2B ' ~CHO~GE, ~ ~50~" PHONE (907)~7-6J7~ ' F~ (~07)~8~6 N.T.S .... . ~, ~ ........... ~ ~o~: ..o.~ .~.~.: ~,~ ~.~: ~ ~ ~.f ........... : .... ~K~ THOMAS (,0~) ~-~0~ ~ Or ~ ~ j. ~. ~,~.. , LOT 35; SECTION 7, T15N, RlW, ~PE OF WORK: PROFILE DRAWING Of SEPTIC SYSTEM UPGRADE Depa.ment of He 2aslt [h, sat nedetHuman Services P,O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom h~tp:/Ne~w,~i.anchorage.ak,us Mayor Permit Number: #SW 000184 Date of issue: 6-22-00 Parcel Identification Number: 051-161-07 Dale Started: 7-18-00 Date Completed: 7-19-00 ls well Incatcd ~[ approved permit location? [] Yes [] Nn Legal I)e~cription; T15N R1 W SEC 7 Lot 35 Prol)e~y Owner Name & Address: Mike Thomas PO Box 770110 Eagle River, Ak 99577 Borehole Data: Depth (ft) Soil 'I'ypc, Thickness & Water Strata From To stick-up 0 2 Gravelly silt 2 22 silt 22 97 silty gravel 97 111 silty gravelly sand & H20 11 113 sandstone w/gravel lenses 113 163 Method of Drilling [] air rotary [] cable tool Casing type: steel Wall Thickncss: .025 inches Diameter: _6 h~ches Depth: 121 feet Liner Type: Diameter: __ h~chcs Depth: .__ Casing stickup above ground: _2 lbet fcct Static water level (from ground level): 45 feet Pumping level: 163.feet alter _2 hours pmnping 10 gpm Recovery Rate: 70 gpm Method of Testing: air li~ Well Intake Opening Type: [] Open End [] Open I Iole [] Screened Slart ~ feet [] Perforations Start__ f~t Stopped __ feet Stopped ~ feet Grout Type: Bentonite II 8 Volume: [_~g Depth: Slart_0 IL'ct Stopped + feet Pump: Intake Depth __ feet Pump size __ hp Brand Name __ Well Disinfected Upon Completion? [] Yes [] No Method ofDisinfcctinn: Clodne T~blets Comments: Well Driller: Alpine Drilling & Enterprises P 0 Box 110496 Anchorage AK 99511 At~ention: The well driller shall provide a well log to the properly owner within 30 days of completion and the property gO'd ~0Z§-969 'ONI '03 SVNOMI 3H~ ~:tO O0-9z-dos / / / / / / / / Lol / / / / / PLOT PLAN ASBUILT %. SCALE I" · ~o' MICHLIG SUBD. GRID NtV 1~55 Prolect No. Cx:)-o77 laska 99515 Long & Aasoclafes, IRC.(907)11500522-6476Daryl AvenUe,PhoneAnOhoroge, Alaska 99515 Reglsfered Land Surveyors (907) 522-4625 Fox 16515 CENTERFIELD DRIVE, SUITE 201 EAGLE RIVER, ALASKA 99577 (907} 696-2828 FAX: (907) 696-2845 October 9, 2000 The Thomas Company Mike and Ron Thomas P.O. Box 770110 Eagle River, Alaska 99577 Ref: T15N, RIW, SEC 7, LT 35, Parcel number 051-1g 1-08 Dear Tl~e Thomas Company: Ekluma, Inc. has been made aware of the well located on lot 35 is in the easement located by Eklutna, Inc. Eklutna at this time has no objection to this encroachment. If you have any questions regarding this, please feel free to give me a call. ager Eklutna, Inc Sent By: Alaska Water and Wastewater Con; 907 338 3246; Oct-9-O0 14:26; Page 5/6 qa nt of Health and Human Services J 8125 'L" ~treel . JP.O. Box 19~650 Anchorage, Alaska e9519.6§50 RlckMMaYy~otrr°m ~ Permit Number: ~W 000184 ~ate ut l~uc: 6-22.00 ~1 Idcnti~ea0on Number: 051-~61-07 Date S~: 7-18-00 Dale C mpleted: 7-1g-00 Is wc~] Iocat~ ~H approved permit Iocadnn? ~ y~ ~ Nn Legal I)~cription: Tf 5N R? W SEC 7 Lot 35 Pml)e~ Owner Na~ & Addr~ Mike Thomas PO Box 770110 Eagle RiveE Ak ~957~ Depth (R) Method of Drilling ~ air ro~ ~ cable tool ]:r0~ To [ Borehole Data: Soil 'l'ypc, Thickness & Wat~ Sfrato stick-up Gravelly a/ll silt silty gravel silly gravelly sand & H20 sandstone w/gravel lenses Attention: The well driller shall pro 0 2 2 22 22 97 97 111 11 113 113 163 Casing type: steel Wall Thickness:. 025 inches Diameter: _6 h~ches Depth: 121 feet Liner Type: __ Dimneter: __ htches Depth: __. feet (;using stickup above ground: _2 Ii, et Static water level (from ground level): 46 feet Pumping level: lt[3 l~et at[er _2 hours pmnping 10 gpm Recovery ]late: 10 gpm Method of Testing: airl~ Well Intake Opening Type: [] Opctl End [] Open I lolu [] Screened Slart ~ fo, ut Stopped [] I'erforal~ons Start__ IL-et Stopped ,. Grout Type. Bentonite II 8 Volume: [_.~g .Depth: Start 12 ibct Stopped_+ feel Pump: Intake Depth feet Pump sJ~c __ hp Brand Name __ Well Disinfected Upun Completion? [] Yes [] No Method of Disinfection: Clodne Tab/ets Commenis: Well Driller: Alpine Ddlfing & Enterprises P 0 Box 110496 Anchorage AK 99511 id~ a well log tn the proper~y owacr within 30 days of completion and thc properly '~NI '00 $'~fldOHA. 3Hi VS~,:LO O0-gz-deS FBy: Alaska Water & WastewateP Consu; 907 338 3246; dun*9-o0 9:o1; wage o/~o ~ .. , ~ ~ .,,~ ~.~.,~- ~' / ~---' / ~ ~ ~N~. ~D / / ~ : : ~ CONSULTANT~, INC. MIKE THOMAS W/ TH THOMAS CO. (907) 694-2202 LOT 35; SECTION 7, T15N, RlW .... / Lof 24 II II ~) 18.38' I I I I IX RN)IU~ / / / / / / / / / / Lof 35 ~,~ I Acres SEPTIC LOt I 36 N 89°§8'00"W 384.81' -- __ / / Lot I, MICHLIG SUBD, I" - 50' GRID NW PLOT PLAN ASBUILT Y. SCALE ' OC 11500 Daryl Avenue, Anohorage, Alaska Lang& Ass Isles, inc. ,....., · tuu/J .o~z.-o,~./~o ~none / / Lot I, MICHLIG SUBD, ProJeof No.. oo-o77 ,, 99515 I ~,o6' I I o, I **.oo, PLOT PLAN.,.... ASBUILT Y-,. SCALE I" - oo' GRID NW 1255, Project No. 00-077 Lan,', &: Associates, Inc. 115o. o Dali Avenue, Anohorage, Alaska 99515 · ~ (9071 52.2 6476 Phone Regis~fered Land Surveyors (907)522-4625 Fax GOVERNUEI~T L of $5, SECTION 7, T15N0'RtW, SIr~ARD U£RIDI.AN, ALA.~K.A. ,~'~/,~..."~ .,-,. Anohorage,Reeordln Dlslrlat, Masks. and that the Improvemenm elluated . ,~.G'~_:;' ~-9.T~{ ~li~ :'~ theraonarewlthln tgo property Ilnee and do nor enoro~oh onfo the properr/ .9..".,~...:.~ ................ ~..'., adJaaent thereto, that no Impmvemonfe on the property lying adJaoenf thereto enaroaah on Ihe .u~eyed premlsee and that there ara no roadways, franemlestan ,n. o. oth.. ~,.,h,....m.n~ o..o,d ,rep.* ..p' a. ,n,.t., h..o.. It Ii the I'~s onllblll of the awner fo determine the exl~fenoe af any ~ ~_ ~'n~ ....... '~:)~ easemente. Peavenalnl~. ar restrlatlons which do n~t appear on the reaorded eubdlvlslon plat. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Jun 22, 2000 Expiration Date: Jun 22, 2001 Permit Number: SW000184 Legal Description: T15N R1W SEC 7 LT 35 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Mike Thomas Owner Address: PO Box 770110 Total Bedrooms: 3 Eagle River, AK 99577- Parcel ID: 051-161-07 Site Address: Lot Size: 96268 SQ. FT. Permit Bedrooms: 3 This permit is for the construction of: ~] Disposal Field [~ SepticTank [] 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 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: ALASIG WATER & WASTEWATER June 8, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Well and Septic Design for Lot 35; T15N, RlW, SECTION 7. To whom it may concern: The proposed 3 bedroom house *vill be served by a private well and septic system. Test holes were excavated on the property. The proposed septic system will be designed around the 30 foot radii of test hole #1 and #3. We are proposing that a 1000 gallon septic tank and a bed type drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are logs which shows the soil classifications, groundwater monitoring, and the percolation test results. In TH#1 and TH#2, the soils below the organic layers are a SP to GP/SP material to a depth of 10.0 feet in TH#1 and to a depth of 7.0 feet in TH#2 (bottom of test hole). At 10 feet in TH#l, a clay layer was encountered to 11 feet (bottom test hole). In TH#3, the soils below the organics transitions from SP to SM material from 0.5 feet to 9 feet and tb~n continues as SM material to depth of 11 feet (bottom of test hole). Groundwater was encountered at 9.0 feet in TH#1 & TH#3; and at 5.0 feet in TH#2 during the excavation of the test holes. Seven days later, the monitoring tubes were checked and found groundwater to be a 7.5 feet in TH#l, at 4.5 feet in TH#2, and at 8.5 feet in TH#3. A percolation test for TH#1 was performed between the depth of 2.5 feet to 3.0 feet which had a percolation rate of <1 minute/inch. TH#2 was visually rated to be the same as TH#1 A percolation test for TH#3 was performed between the depth of 3.0 feet to 3.5 feet which had a percolation rate of <1 minute/inch. It is our opinion that the insitu sandy soils should act as a sand filter and that a application rate of 0.7 gallons/day/fi2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 0.7 gallons/day/fi2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimmn Absorption Area: 645 fi2 6901 Debtor' Road, Suite 2B N Anchorage, AK 99504 - Ph: (907)337-6179 - Fax: (907)338-3246 f. Total Depth: 3.5 feet (maximum an oiut) g. Effective Depth: 0.5 feet h. Width: 15 feet i. Reduction Factor: N/A j. Minimum Length: 43 feet long k. Effective absorption area = 645 ft2 3. SURFACE WATERS: There is a stream approximately 150 feet southeast of TH#1 and TH#3. There are also some areas with ponding water within 100 feet of proposed septic system. All such areas will be filled and graded to prevent any ponding within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing, the primary site is to be placed at or near the base ora 3 to 5 percent slope running fi:om approximately south/southeast to north/northwest. The area for the primary and alternate site is generally flat; in short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you ~ve any questions, please contact us at 337-6179. Thank you for your assistance. Jeffi:, Presi E., M.S. NOTE: Attached is a site plan drawing, a design drawing, three soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 ~ Ph: (907)337-6179 - Fax: (907)338-3246 / / / '~_ / / / · // SERVED BYA PRNATE WE~ ~SEP~C ~ ~ / /~ ........... ~ T15N, RlW, SEC 7 / LOT 2 ~/7/2ooo ~- MIKE THOMAS W/ THE THOMAS CO. (907) 694-2202 1 OF 2 SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM SOUTHEAST OF H~ # · , ¢' ~. TO PR~E~ ~ PONDING WI~IN 100 ~ ; ~ ~.~ SEPTIC TANK / )ATE: PREPPED FOR; PHONE NUMBER: PAGE NUMBER: MIKE THOMAS W/ TH THOMAS CO. (907) 694-2202 2 OF 2 LOT 55; SECTION 7, T15N, RlW ~% ....... · .~ SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM ALASKA WATER & WASTEWATER CONSULTANTS, INC.~/.~ oF'-.~' %~""---'"~ "'~ PHONE (907) 337-6179 * FAX (907) 358-3246 ,'~' I SOIL LOG - PERCOLATION TEST] .¢.c~. ', lc. ~,~, ...-y~(~ LEGAL DESCRIPTION: T15N, RIW, SEC 7, LOT 35, ~ ..... . ..... ~ ..... ~'~ ........ --Il' PERFORMED FOR: CARLSON CUSTOM HOMES ~.-~'~X~, tJ ,.: "':'-"~ t.....:,d DATE PERFORMED: 4/25/00 ...,. DEPTH ~i I TEST HOLE #1 I h~t2;''~ ......... ORGANICS 2--~' SOIL C~SSIFICATIONS / 3 BEDROOM WELL ~'~.~-~,~ GC OL a~ -~'~ S~ ~ -PROPOSED 6- ~l ~ / ~** ~ . E~~/~ S~P~C ~ 3ROUNDWATER au[~ s~ ~ 7.5' 9 --~ / / 10--~ c~Y 11---~ DATE ~EADING CUOCK NET TI~E WATER UEVEU NET DR0~ TI~E (~INUTES) ~ADING (INCHES) B.O.H. ~ 12-- -- 13~ 14~ 15-- 17~ 19-- PERCOLATION RATE <1 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20--~ TEST RUN BETWEEN 2.5 FT. AND 3.0 FT. COHHENTS: PERFORMED BY A~SKA WATER & WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS PER~.R~ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: DEPTH TO DATE 3ROUNDWATER 9' &/25/00 7.5' 5/1/00 6901 DE~ARR ROAD, SUIT 29 * ANCHORAGE, AKm 9950~ PHONE (907) 337-8179 * FAX (907) 338-3246 I SOIL LOG - PERCOLATION TEST I , :~/'~ '':'~ LEGAL DESCRIPTION: T15N, RlW, SEC 7, LOT 55, 2--:~' SOIL C~SSIFICATIONS / P.OPOSeO / / /P.OPOSED '~' "'~'~ GP/SP GM 4-- ~?-~-:, GC OL 7-- ~%"~ DEPTH TO DATE B.O.H. ~ROUNDWATER ALTER__ S~E / a- s' ~/2~/oo/ ~.5' 5/2/00 ,/:5~ 9- /'/ [S~T: PL~,~ / r'= / 11- DATE READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) REABING (INCHES) 12-- 14-- 15~ 17-- 18~ 19~ PERCOLATION RATE (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20 ~ ~ TEST RUN BETWEEN - FT. ANB - FT. COHHENTS: PERFORMEB BY A~SKA WATER · WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS DATE: DEPTH TO DATE GROUNDWATER 5' 4125/00 4.5' 5/2/00 ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~-,-~-~"~'~-~'~'~x'*~0F' PHONE (907) 537-6179 * FAX (907) 33B-5246 LEGAL DESCRIPTION: T15N, RIW, SEC 7, LOT 55, ~/.g..' .... "~.~ ..2/~.-.~ PERFORMED FOR: CARLSON CUSIO~ HOWLS ~ ....f~ ~J'~ A. ~arn*ss.' '"~ OAT[ PERFORM[O: 4/25/00 q0~'~./ &-7955 .." ~u~/_'.... ~ .... ~EP~ [~2: ORGANICS fee~) ~ · ~*.o SOIL C~SSIFICATIONS SC SEP~C 7 , DEPTH T0 DATE , , GROUNDWATER &TER S~E 8 ~ I 9' 4/25/00 / I 8.5' 5/2/00 9 / [SITE PLA,N -- _ L ,,,: ,oo / U~A*&T~ CLOCK NET TIME WATER LEVEL NET DROP DATE READING 1 1 TIME (MINUTES) READING (INCHES) I B~.H. 12 13 ~4 15 ~7 18 19 PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 3.0 FT. AND 5.5 FT. COMMENTS: PERFORMED BY A~SKA WATER A WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DEPTH TO BATE GROUNDWATER 9' 4/25/00 8.5' 5/2/oo HEFILTH RI'4[:, EN',,,'IF:'.ONHEI",ITI:SlL ' 3TEC:TION [:,E F:'tR F.:T HENI' iL -.: ....'" L" S"I~'I:r~:EET., I'INL. H- ~ ..... E., F:IK 2 ::, 4 ..-' 4.'F 2 F F'EFd"I I T NO. ,' :,_-.~,. 4. -i ', ..-, .... :,:.,:.: _ BL,., .::.-~ .......RNC. -FFL]:..MI,IF I.-~ ......... IL L. :SHltYE. I<L":, F,q 'q ....... I_L-IE:F:I'f I O1',1E:HUI]i ] FIK iI ,_.. _ ':' ¢ LOT :zeaee SLT'¢.-IFI~:E FrE;E'T L. E6RI- I...OT E:!5 'f':L~l",l P. IH ...,i'1 .., , :,._ ] L F:IBSCIF.'.F'TIFiI"~ =,~'::,TEf'I] IS: 'f"¢F'E OF - '-' """ '- ' I'IFI::'::[I"II..II'"I I",ILIME[EF: OF EJEE:'RC'Dh'I:5 = q' =,..ZL F. FITIN.] ,_ -~, ,- . ,:r~ = " THE REQIJ I F::E£:' =, I ,:..E. FIF I"FIE .::,U 1 L {:IEJSORF'T I Ol"l ..... TEl i -- · ......... . .......... '--:[ CFa FE: ll-~t '..-' [E L. E:, EE E_':, E: IF" 'T It*dh= '.'-~.. L. E:=. If ".~ L:, iF~ ~F~-- 6::: .... 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H ., LL,~_, FIRE RE[;¢JIRE[:' FINB' h'lUff, T Eft:: RETUI:4:NED' TD THE [:,EF'FIRTI'"IE:NT I.,.I!THZN !,.IEL. L ~ OF TFIE NELL. COHF'LET]'ZH. OTHEt~: ~:EQUIF.:EhIENT':'~; f'11"-t'¢ RF'F'L'¢. i .:,FEL.!FZ_.Id] I..H.=, laND C:CfI'.,I'.'STF~:UCTiOI",I F:,ZFIGRFIH% FIRE ' :: : "' ' TO ][NSI_I~.:.F. I-F.FEf.. I!, ~1~(I,.. E,L.E """ ' '~' ]'I',I'~TRLLFITICr',! F" E:E F=".' lt'.1 X '~- 117-_- ,, . F ,IE ~:~.' E: :E~. IE:, Er::: ¢~: EC F"I E: EE IF.~: ...... ..~L... _.[:.RI ],F THRT .. ;, _ _:: ........ ' '- I-] ...... LI :!,.: I ~1'"1 FF¢,IlL..IFIR HITH THE: F::E6:!IjlREHE:NTS FLg UN .~ITE :,EI.I[.F... FIND I.,.IEL.I._:, :': ':': .... F_R'[H E'~, l"H~ hiUNICIPF~L. IT'¢ Dff FIIqL-:H~'FI3E _.L[ E-. 2.: I I.,]:I[LL Ii,I=,'TIILL THE :,r..lL[I :[f..I F. ICCORB, RNE:E HITH THE .... 3:: I UNE:,ER'...=.,TFII"41:::' THFIT THE: UN- =, I FE SEI,.IER ... r_. FLI I I'"lFl~r' REI:;!IJ .'( RE ENLFIF:GEMENT .'[ F THE ill' :1 '= I S :' "'" "- - "':' I:':.L.-, I E:,E:NCE F.:E]',IO[:,EI..ED TO I NC:I2UDE HORE 3'1-.11:ti'.,I 4 E, EB R.. - I L,. I,IR'~'IDIIJI~ /IIJI'IBE~, ,DF B~'DROOPI'B = ~ SOIL Fi~-JD [HE BOTTOJ~ OF 'F~E ~C'~V~TION (IN F~g'FD, [NZPE I MUNICIPALITY OF ANCHORAGE DEPARTMENT OFf, HEALTH AND ENVIRONMENTAL PROTECTION 825 L. St~'eet. Anchorage, A!aska 99501 264-4720 SOILS LOG -- PERCOLATION TEST [~'~ SOILS LOG · ~ PERCOLATION TEST PERFORMED FOR:. LEGAL DESCRIPTION: 2 3 4 5 6- 7- 8 9 10 11 12 13 14- 15- 17- 19 20 SLOPE WAS GROUND WATER JO) SL ~NCOUNTERED? pO IF YES, AT WHAT DEPTH? SITE PLAN iPERCO LA']'ION RATE (mlnu .'~,'inch ) I Grimes Net I Depth to Net Reading Date 'Time Time Water Drop PGR FARMED FM— ;..LEGAL. OR; `�:t cS,SGc S��ya"Yl�h� DATE PERFLMED'--(LL LEGAL DESCRIPTION: C�0- S S c-�S �C �'`1 '. SLOPE SITE PLA I-MENNEN IMEME Gross ::::::k�e Depth to Net 14! Reading Date Time I Water Drop DEPTH �EET1 ve 1 I-MENNEN IMEME Gross ::::::k�e Depth to Net 14! Reading Date Time I Water Drop MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-161-07 1. GENERAL INFORMATION Complete legal description T15NN R1W SEC 7 L0T Expiration Date: Location (site address) 20040 LORI STREET, CHUGIAK, AK 99567 Current property owner(s) TONYA JAMES & MARY TAGABAN Day phone Mailing address Real estate agent PO BOX 873137, WASILLA, AK 99687 2. TYPE OF DWELLING: Z Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 550 Waiver Fee $ Date of Payment L%` 2.q Z Z Date of Payment Receipt Number (C( Z.Z 3 Receipt Number COSA # 0S CZ1117 1 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 4/28/2022 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the \��\ system and maintenance. The operational life of all well and septic systems are subject to �� .r7 • • ' •������ these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory ��Q: • • • • :1 for current or future occupants or guarantee that no unseen encroachments, deficiencies or / g•' '.9 �� discrepancies exist can be given by First Water Consulting & FWCS / *' �49 7H .......... •'* �/ . s 6. DSD SIGNATURE .Curtis Huffman • . / + �F• CE 128991 •��� System #1 Approved for J7 bedrooms 0is•• .• `�_� System #2 Approved for bedrooms tliPROF SS NP, Disapproved Conditional approval for bedrooms, with the following stipulations: j ON-SITE WAER R TER o� pROGF:AM J m BY ��-� CSW � m Original Certificate Date: 5/1 209 � 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 S4.ez.1 +0, Jz COSA Checklist Legal Description: T15N R1W SEC 7 LOT 35 Parcel ID: 051-161-07 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 7/19/2000 Total depth 163 ft Cased to 121 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 4/28/2022 Static water level at beginning of test 23 ft. Well production at time of test 4.2 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 4/28/2022 Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 22 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49” Standpipes/foundation cleanout per record drawing Date of pumping 4/28/22 BY AK QUALITY C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/12/2000 ALL standpipes present per record drawing Total measured depth from grade 3.9 ft (max) Measured depth to pipe invert from grade 2.9 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective IR SHOWS 0.5’ ED Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 4/28/22 Results Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 0 in Elapsed time <5 min Final fluid depth 0 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: CO/MT MEASUREMENTS AT GRADE. SHOTS SHOW 0.5’ ED. IR SHOWS INSULATION. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 5/9/22 Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 221171 Subdivision: T15N R1W Sec? Lot 35 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks The septic tank for this COSA % property is 22 years old. A leaking septic tank may be a source of contamination to the aquifer. Typical replacement costs range from $10,000 to $15,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of a 16 -year-old septic tank. MaiUrig Address P O Box 196650 *,Anchorage, Alaska 99519 6650 * www muni org ParcelI.D.# MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Sita Services Section P.O. Box '196650 Anchorage, Alaska 99519-6650 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 051-161-07 HAA# fCCZ~ OO ~ /"~¢/"7 GENERAL INFORMATION Complete legal description LOT 35, SECTION 7. T15N, Rl W, Location (site address or directions) LORI STREET EAGLE RIVER. AK 99577 Property owner MIKE THOMAS Mailing address P.O. BOX 770110 Lending agency Mailing address. Day phone~ EAGLE RIVER. AK 99577 Day phone Agent Address Day phone. Unless othemdse requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OFWATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attests lng to the legality and status of system, 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding Tank Community on-site Public sewer NOTE: XXX If community wastewater system, provide written confirmation from State ADEC ins to the legafity and status of system, 72-025 (Rev. 1/91 ) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $850.00 at, or prior to, closing for the engineering services provided. J 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, t vedfy that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all MuniCiPal and State codes, ordinances, and regulations in effect on the date of this inspection. / ,~[ AN;;::sf F~:~i :EL,~BASRK,~R ~oA~ ~/~:/E!AoT:oR CRAOGNES, UALL~T.~.~.S,;gNS~~ Phone (907/)337-6179 Engineer's Sig natu re i~., ~'~//L¢~ ("~'-~¢ Date io/~ In conducting this evaluation, AWWO, '4' ~r~pted'~° pr°vide a thorough, conscientious engine;ring analysis of the system in accordance with ADEC and I~OJ~ DHHS Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, ground water 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 CE-7955 .," .' 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. AWWC, Inc. can therefore not provide any warranty for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. 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 pady is not authorized, nor will it confer any legal right whatsoever. 6. DHHS SIGNATURE /~'"/Approved for '~ bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements, Employees of DHHS do not conduct inspections or analyze data before a cedificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA #21 Computer Veto[on Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 Health Authority Approval Checklist Legal Description: LOT 55; SECTION 7, T15N, RIW, Parcel I.D.: A. WELL DATA Well Type PRIVATE If A, B, or C, attach ADEC letter. ADEC water system number Log present kY/N) YES Date completed 7/19/00 Total depth 163' Cased to 121' 051-161-07 Sanitary seal (Y/N) YES N/A Casing height (above ground). 24"+ Date of test Stafic water level Well production FROM WELL LOG 7/19/00 45' 1 o' g.p.m. WATER SAMPLE RESULTS: Coliform 0 Nitrate Date of sample: 10/3/2000 B. SEPTIC/HOLDING TANK DATA 0.50 mq/L Collected by: Wires properly protected ky/N) YES AT INSPECTION Date installed 8/12/00 Tank size Foundation cleanout ky/N) Date of Pumping NEW C. ABSORPTION FIELD DATA Date installed 8/12/00 Length 43' Effective absorption area Date of adequacy test Fluid depth in absorption field before test (in.); Fluid depth - (ins) Minutes later: Peroxide treatment (past 12 months) ky/N) 72-026 (Rev. 3/96)* Computer Version YES Depression ky/N) Pumper - Other bacteda A.W.W.C., INC. 1000 ' Number of Compartments 2 Cleanouts kY/N). NO High water alarm ky/N) N/A g.p.m. gal. water added (in.): __ YES *BELOW FINAL GRADES Soil rating ~or ft2/bdrm) 0.7 System type BED Width 15' Gravel thickness below pipe 0.85' Total depth *3.5-4.0' 645 SQ.FT. Monitoring Tube present (Y/N) YES Depression over field ky/N) NO NEW Results (Pass/Fail) - For 3 Bedrooms - Immediately after - - - Absorption rate = - If yes, give date - D. LIFT STATION ~ Date installed size Manhole/Access (Y/N) ~at* "Pump off' level at* High wa~ *Datum ....~ested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main 100'+ 100'+ N/A On adjacent lots 100'+ .On adiacent lots 100% Public sewer manhole/cleanout Sewer/septic service line 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots. 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main/service line 10'+ Surface water 100'+ Curtain drain I cerfify that I have Ide/tf~mi~l/th of Munic/pal /ecor~s Signature Englnee~s Nm/~ Date. ,lONE KNOWN Driveway, parking/vehicle storage area 10% Wells on adjaCent lots i~0'+ field inspections and review systems are in conformance on this date. JEFFREY A. GARNESS HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/g6)* Computer Version Waiver Fee $ Date of Payment Receipt Number