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HomeMy WebLinkAboutGREAT LAND ESTATES #3 BLK 3 LT 2_A CO&AtAA W0,026, Ilz * o5\ -X33- va ' Municipality of Anchorage Page of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SCJ 98O//3 PID Number. Nemec _rhuorWyeo.r! wastew Siem: ff New ❑ Upgrade A°tl"" n� ABSORPTION FIELD Phorw 6-cp d No- of ❑ Dssp Trench N Shallow Trench Bed ❑ Mound ❑ Other LEGAL DESCRIPTION soy 'Depth 7«rginalfaMde FT - R Lot Block:^.wOd'niion:�� ;�3 Dspah o We bollme han � � a+•de a.R Gnmal depth banaattipipe y.SC*C1v.t) (C*190 R Township:fLrrpe:._ Section_ Fill added ebws priW W waft / Graval kapM: J 5 Ft 12 R WELL New ❑upgrade G`&W widlk Nuff bef of f)inaitsbetaanbe: Ft. R M,,r mft &B C): /YA1tdd Total D"Wr 0 R Cand To: -16 P. FL Total abwrption area �, O L S . R Pipe rel: A S00k034WO or�i�r J L(LL / d/ILI Dale Drilled: y , °I ?, 4 StiuCamrerLeeet / S/ R hummer: S OateineWNd:-9� Yield: Pump sac at `i � � Abo» Grwn& TANK GPM R R SEPARATION DISTANCES tseptic ❑ Holding ❑ s.T.E.P. To septi Abborodon Lift ... - g PubamPrkift Wrkdachmer- cpaedy in 9 Q From Trak Feld Section TankS~Lirs 14sweer� 00 /00 t — — �O L Nurnba a Surfacme a�, mo + - - — LIFT STATION Une g,D sin gallorm Foundation Y/ Y I _ -Pump on- level at -Pump ow lural at ..Mr.kmn at curtain , / /� �ivir7� Pump Mel. a model EIa biicaI Irrpacuons performed by: Drain l� BENCH MARK Remarks: DYcS+4r CFieerY.rL /N Arbt-D aVE eco dN(rLNIr�. t•cq�1•�+ GUrArCE— Location and DawkWori: T M = 'l CA a f E E T-95 r 94L,4- 03 4-rr4-G1f"--f A..uftlea r3.ar-aae 'O y4t' Inspections performed by: d S CCNgg'�%NT Dates: ist 2nd fo /�-48 ■osf�T c nu .. Department of Health and Human Services approvalrF,, Reviewed and approved by: Al Date: 7-/3- 4or 6L 6F 7&013 mer. aM) MOA 25 ;_;;, I 7 *I-I�ii�-� PAGs 2 or 3 DEPARTMENT OF ANDhHUMA►N SERVICES ENVIRONMENTAL SERVICES DIVISION PA. Box 196650 orhorage, Alaska 99519-6650 i Tel +e. 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR 1NELL INSPECTION REPORT uwA1. LOT 2. BLOCK 3. GREAT LAND ESTATES 03 Pm. No. 051-133-42 BIG SKY DRIVE 1� NEW TRENC ;-' !TH3hlT1 CO2 --.. DHL 1 & 2 L NEW 1250 GAL SEPTIC TANK LOT 2 .LT. SITE TH /2\\ ♦ \\ *4 ATH1 NEW 4soft HOUSE ,_ J E7QSTING WELL o �a tear G COWAN a -8801 pillar No. SW980115 per - of 3 Municipnlit of Anchors e DEPARTMENT OF HEATH AND ESUD VISE VICES ENVIRONMENTAL SERV P.O. Box 196650 �Anchornpe, Alaska 99519-6650 • Tele i 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR ELL INSPECTION REPORT tach. LOT 2. BLOCK 39 GREAT LAND ESTATES #3 PIA. No. 051-133-42 Nualc peflly of Aedlmaye DEPARTMENT OF HEALTH 3 HUMAN SERVICES 825 YL" Street, Anchorage. Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: gftt<< `� DAGAte f DATE `j,e.*TLA'f LEGAL DESCRIPTION: � 6 9S till �3 Township, Range, Section: - DEPTH SLOPE SITE PLAN (FEET) t O RSAN i cS/� J 2 `= D ,. 3 4- 5 5- I I `yw SfiJ 6 ` " . r -p 7 8 ,T " 9 0�• 0 s 12 13 14 15 16 17 18 19 WAS GROUND WATER �/ ENCOUNTERED? �V 5 IF YES, AT WHAT L O DEPTH? P E mom~ Iia[ 20 f _ 11 JI PERCOLATION PATE � (rtWwtes/inch) PERC HOLE DIAT,IETER ` _ t TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: sassaffawan 1 CERTIFY THA/T THIS TEST WAS PERFORMED IN ACCORDANCEaJEi IN EFFECT ON THIS DATE DATE f./ 301q 72-M (Rev. V85) �rrlifieA drilling �,ag 0. DOC Co. CNN SULUVAN WATER WELLS... P.o. BOX ersi?2, CHUGIAK. ALASKA 9@w t TELEPNONE ti*2M OWNER OF LAND/✓►1 iRICIG.S�� ADDRESS LEGAL DESCRIPTI DATE - Started Ended y �r PERMIT NUMBER DEPTH OF WELL :. 1 SIC LEVEL OF WATER FT. --/ �'•J DRAW DOWN FT, GALS. PER HR — KIND OF CASING KIND OF FORMATION: From Ft. to '?. Ft j C� :i AJ6 STI e'Cd From. Ft. to Ft.. From o1 Ft. toFt n UEk' aJQOr= From Ft. to Ft•. From 4 rt. to!k Fc' �_ -C'A6316 64�itJG!- S Cad�F om Ft: to Ff. From�_F1. to_A�Ft j From Ft. to _ Ft FromQ) S_�Ft• toj- Ft! A��� from t. to Ft Froat�`� Ft. to Ft; / e-441 S 444.31 L From Ff. to Fl. From,?-r—Ft. to-6-1--FtMAX01/QJ Fmrt Ft. to FI• FromFt. to�) Ft I � r �l g, � 1Q 4JC< 400r4rom Ft• go —Fl. From�—Ft. toga 1 Ft� 44,610A_ j ,t CoR5&r S From Ft. to Ft. From _Ft. toj.?4D_F1 S14 t r /�►�� �' From.Ft. to —Ft From-11-0—Ft. to�Ft: Sc4�-1Z S R,aJr L From Ft. to Ft. From4_4-'T7Ft. t • ao Ft: QFQ a ce From Ft. to—Ft From Ft. to Ft.' From Ft. to Ft. Frog Ft. to Ft. From Ft. From Ft. to Ft.. From—Ft. From Ft. to Ft. From - - Ft. so—Ft. From Ft. to Ft.' From Ft. to Ft MISCL. INFORMATION: RECEIVED ct'3,N�aMunicipal � r� " e� ALJ G JUL �ry 2 1998 �api '1 5 l OaDt.2 i� H9H ot =w SWAM DRILLER'S NAME ����-! •���"'~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOE 196650, 825 •L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 nor (D-kk _c�f%IIA; PAGE 1 OF 1 OH -SITE lULSTSIQITER DISPOSAL SYSTEM PERMIT t k'- C \IC. M PERMIT NCUBER:SW980115 DATE ISSUED: 5/15/98 Co- a-3-4136 fV."� DESIGN EMGIHEER:S 6 S ENGINMM33IG EXPIRATION DATE: 5/15/99 OWNER NAME:ERICKSON TIM]THY B 6 LILLIAN E OWNER ADDRESS:17330 MEADOW CRESR EAGLE RIVER, ALASKA 99577 PARCEL ID:05113342 LEGAL DESCRIPTION: #3 am 3 LT 3 LOT SIZE: 91912 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSIRUCTION OF: DISPOSAL FIELD /SEPTIC TRW SYSTEM 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 WLSTEMATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING MAMM REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DBHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSRRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY 4& e C// ^' — DATE: SI l S� 1 GC b ISSUED BY: . DATE J - /s- 9e May 8,1998 ROBERT C. COWAN. P.E. CNILENGINEERS (907) ee4-2e» FAX(907)W4-1211 HEAMAUrHORW MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 SEWERMMECrENSM Anchorage, AK. 99519 REFERENCE: Lot 2, Block 3, Greatland Estates Subdivision #3 SFAER UER rawecnm Request you issue a permit to install septic system to serve the proposed four bedroom house on the referenced property. ENGREERMSTLIOM One test hole was excavated and a percolation test was performed The approximate location of the test hole is located on the attached site plan. At the time of excavation, no ground water was encountered in the test hole. After VRILIOPECT H &FLOWTMST seven day groundwater monitoring, the monitoring tube was checked and the hole was found to be dry. We do not anticipate any adverse effects on neighboring wells, septic systems or SRERLAM drainage patterns by the installation of the proposed septic system. There are no points of contamination within the proposed well radius that can be seen RDADDESM on the attached site plan. If you require additional information, please contact us - MUM Sincerely, R=RcounON TM Robert C. Cowan, P.E. RCC/jhn srRucruwLa WsreCTIOM Enclosure ONSRE VMTE AIER DSPOSKSrSTEM DESIGN 17034 NORTH EAGLE RNER LOOP • SUITE 204 • EAGLE RIVER. ALASKA 99577 i!1 E-� H w AR .Y. Ito 4N _d v_ F a"ONcy W0CN 000 Ri O O VONtn Z II � If OX II Cl 1.4 wm00 q 't rn to U Z W w I-- 0 O W N O CL O cr d NJIS3U E C I I Q � J C i I 0 C4 in Oz �ij ,� c a W. W H .��,►' / W O 0 i N F;� \Z i _ O Op J �i O/ V_~ Q'r J� oa- LLO:d < Q xoP O#A U W / vsI =0ozW g oCL0W o 0>E4O10 o II zo a II , Ld -4z V, 110 E"dL_ WO _ _ W J 0 J V O JT O W N;. o in 0 0 aLAJ . 'r. 0. n dvv)4o dw)o4in� NVId 3DS UM oti COco U 4 go �e W =moi 0- O� VOO 8 O 2 Iz ♦♦% vod3 EG\S��S Ito 4N _d v_ F a"ONcy W0CN 000 Ri O O VONtn Z II � If OX II Cl 1.4 wm00 q 't rn to U Z W w I-- 0 O W N O CL O cr d NJIS3U E C I I Q � J C i I 0 C4 in Oz �ij ,� c a W. W H .��,►' / W O 0 i N F;� \Z i _ O Op J �i O/ V_~ Q'r J� oa- LLO:d < Q xoP O#A U W / vsI =0ozW g oCL0W o 0>E4O10 o II zo a II , Ld -4z V, 110 E"dL_ WO _ _ W J 0 J V O JT O W N;. o in 0 0 aLAJ . 'r. 0. n dvv)4o dw)o4in� NVId 3DS UM -3; ` H WW "� •: �) WVC1 Z Zt7 aoX � o LL ul CSD ? i'i ' LO) WiL d iG zpN P• ~ 00 <' ~ Gets][ �z �S1 t r Om&o RE Uod3 A DRIVE a3S U1 cn PROPOSED O ad N ccs � ; J 0 �O ��O a o X.0 A En E--4 ~> w� E- U 0 rn avwc� A I WW -Z IIS z °1 z oL3oJ = II o Ln W w- j xop 1-� _ (1i - 'n is I I O 00 N M qh �I I LUi _ �cqx 6i. z O U COW v m �� Evil ce Ri F •6L N W o II W=o i N F O O U o c) W (Yj tO QZU o /y a S p011 V C\i 0/y -O IL U J O En C3 i o W a w m toN � [~ to W m 0_ N O fJ Ey N O q v a cc w1--4 Z -J x a ir o a W� p -N _ rn O J aW \°' x } Z Ir a = O ow U 'z Woq- Z wJ ® IL Lj aN aep' E S O t0 W > p N F fill z 554 L) II 11 Ix U Q 0 p H Qr U � LLJ V) z CIV 11 0 E CL J sM^ O_' r WWNOJ ai E-; W- F o_ 030 a o o a °. o_ N dvow �ihoaln� Or 6 1Id130 NDIS30 .02 _ i -1 111, of AndKm e DEP p.IARTMENT OF HEALTH i HLXIM SERVICES = -V Sft*K A Abaka W502-060 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Ka,&UiC C0^0474,i GTIOi✓ DATE LEGAL DESCRIPTION: - LGT 2. ER i.lC-i[ 3 TSP• Pawg% mon: #3 SLOPE SITE PLAN 1 � CAI►TbfW"J E.STATEs� nRUAHJics I I I I I Fp iF.s- //of -Ar / 17-x: !- Is. 0. N. 1s 19 s:% WAS GROUND WATER ENCOUNTERED? 0 c S IF YES, AT WHAT L O DEPTH? P E bobwdKw amww BHIe jAhL E ©©mm 20i I u PERCOLATION RATE (mnuMVM+d) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS S s f DIGHIEE[ING PERFORMED BY. I V CERTIFY THAT THIS TEST WAS PERFORMED Nr ACCORDANCE AL GUIDELINES w EFFECT ON THIS DATE DATE:- 72-008 ATE72-008 (RN. 4M) 20i I u PERCOLATION RATE (mnuMVM+d) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS S s f DIGHIEE[ING PERFORMED BY. I V CERTIFY THAT THIS TEST WAS PERFORMED Nr ACCORDANCE AL GUIDELINES w EFFECT ON THIS DATE DATE:- 72-008 ATE72-008 (RN. 4M) Mwdc"fyr of Awdwrage DEPARTMENT OF HEALTH a HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: (�OEYA," I��r/L'j/4� DAT LEGAL DESCRIPTION: ZO &,rj��A-wryS r' SLOPE SITE PLAN (FEET) 1 2- 0s,01 0" DI 3-0 fr6• 4 00 •, .• 0"or 5p 0 6 abo 7 r ebb. , p. Of e ;,q 9- 100() 10 11 "p!D 12 (7.. 13- 14- 15- 16- 17— is— ,9 3141516171819 20 tj COMMENTS 0 wmu)es TEtT F/art � Z WAS GROUND WATER , /_ ENCOUNTERED? IF YES, AT WHAT 1 QQ DEPTH? GtQ�. sas PERFORMED �BVVM 72.006 (Rev. 4185) � AfAAI C OWL, La s L E PERCOLATION RATE (QwwWinch) FERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT _ I 4i9!=r CERTIFY THAT THIS TEST WAS PERFORMED IN GUIDELINES IN EFFECT ON THIS DATE DATE: S /I )-/q i 05/09/1998 15:12 9075635811 SPECIALIZED IMPORT PAGE 01 0. fix. ... r.. x : I' . . i',, isor I Y: ( ,i "n -int e anent abood ., �('yr� pry {,,]] (AN ry 'f T �{/�){A y Y�:��9i��,.�', �'..°Wf ta . .T, . i�'.''r A•s M:M .ilrft��N "�Y 0...' Al.''1asin :`it..cr:feet ':b r; :11 easinod t4fOd '(J... ..w '. ��yy''I� ��Dnrq 7y}��'rRgtpp Lpo/� p� y y��ryq q{� k yyq��n ,Lr„ p s �'q: '�, r -.x s ,' i;, 'HS6' Vl'i,+�,�'�ik73'h" fi Yt l {+�. `\Jl'..:. T - 'bI I� } - fl 7 a .t-. , r� N. r d.:1... .. .. ..i , i' 4.,. .. .. .. .t .r' ..,,' , t. /yta, copy, PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW960365 DATE ISSUED:11/15/96 DESIGN ENGINEERS & S ENGINEERING EXPIRATION DATE:11/15/97 OWNER NAME:KOBUK HOMES: PATRICK CLARK OWNER ADDRESS: 1634 W. 13TH AVE. ANCHORAGE, AK. 99501 PARCEL ID:05113342 LEGAL DESCRIPTION: GREAT LAND ESTATES #3 BLK 3 LT 2 LOT SIZE: 91912 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWI —" 'T" ^T`Tc SPECIAL PROVISI RECEIVED BY:_ ISSUED BY: 7 d �cr�sZ�L •-`I , ��ALLco 4 _rw �. - 07 Ro �/2CLL�1 /a- ), USG CL _ Ili�tt oL R7_l h� Pp&parc v I' �J _ 0" AS "—r" Cc % � � A LL. L �/r y� - L�' i2fG2r+vLLl�i F 2 O U o Z •I `5+t1 Z KI,NjQ C�4 z FO.1 V ��w H FnC3 co 3ez W kr1 O 15 U oar rt�� Oma p o m rN F o0c :i', �zoF Ft�8 Jwa :aha ¢ w Om�O Z W N4 zo OmEio v F 2 O U If 0aJ cnO OZ 1 w Z U O O =o .qz a 0 O NO N a Ua.., w�m:2:cww KaZJwz I..jn o=Q�OW 01Wc �M� i-ao ww}- -wi mt_M1-0 NN>�zzw W=1=l1aNNZ Jirwa0 w z �Om3 i boa -^>az 1-.xz oo NNa -Ni-au 100' WELL RADIUS T O kp0 apo PROPOSED �� 0, ' 3�IU0 (73S0,08', I o t n p II II II F II j II II t U J J Z Q W N VCL I Lj o CL LA W H VN/ W d \ � W -0o H �oa-O H f�00o P4 C-4 vw � IIN C_) C) to off\ Win O cac:::) NOISM N'dld 311S VI H rn Q I � If 0aJ cnO OZ 1 w Z U O O =o .qz a 0 O NO N a Ua.., w�m:2:cww KaZJwz I..jn o=Q�OW 01Wc �M� i-ao ww}- -wi mt_M1-0 NN>�zzw W=1=l1aNNZ Jirwa0 w z �Om3 i boa -^>az 1-.xz oo NNa -Ni-au 100' WELL RADIUS T O kp0 apo PROPOSED �� 0, ' 3�IU0 (73S0,08', I o t n p II II II F II j II II t U J J Z Q W N VCL I Lj o CL LA W H VN/ W d \ � W -0o H �oa-O H f�00o P4 C-4 vw � IIN C_) C) to off\ Win O cac:::) NOISM N'dld 311S i S&S November 8, 1996 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTHAUTHORITY MUNICIPALITY OF ANCHORAGE APPROVALS Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWER & WATER MAIN EXTENSIONS REFERENCE: Lot 2, Block 3, Greatland Estates Subdivision -W-3 Request you issue a permit to drill a well and install a septic system to serve the proposed four bedroom house on SEWER&WATER the referenced property. INSPECTION A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. ENGINEERING STUDIES ANDREPORTS At the time of excavation no water was encountered in the test hole and after seven day ground water monitoring, the monitoring tube was found to be dry. WELLINSPECTION This property has enough area for a future septic upgrade &FLOWTEST which can be seen on the attached site plan. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the SITE PLANS installation of the proposed septic system. If you require additional information, please contact us. ROAD DESIGN Sincerely, '_;�&z /nva" SOILTEST Robert C. Cowan, P.E. RCC/gk Enclosure -PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 0 Y U o WWE z ZZ Hlr � 1% O�O �a� W ` "iCO as awt Q w z> k ozW L.L i V q 4)} wzz� i�NLU � �3w p WON �r �z % w U 1S1 i m0 .i,.' oma fir, wo •y. 2C.: - F- m Z zKLL,-<F w o o a 3 Ld cJ.� 0 Y U o WWE z ZZ Hlr � 1% O�O �a� W � Q w z> k ozW � o � �3w p WON �r w�mW~ww ,m oaz a» -JF-0 0 a \\ 100' WELL RADIUS �o� 0 66O _ \ b b zc I 4RpNp5Ep pRIVE ' vdb 3A1210 03SOd021d 'NIW 9L ---i ro- n „ m oAg IF 0 � U N I w J J n m Q O U OLO Y Q Ld r- QF– I– p 1 w NH Inw Q- O D- 41 0 L ``L W(oN &-4 / oo�0 R' / g0N`n �J > ww — ---- �� �o��O I– U]m�a W w.. (� F5 00 g'r �N — d- V) CO 00 N M 31V0S NJIS34 Nb�d 311S 109 = „14 o WWE z ZZ Hlr � O�O �a� W ciz aoa0 �OWW 0 a \\ 100' WELL RADIUS �o� 0 66O _ \ b b zc I 4RpNp5Ep pRIVE ' vdb 3A1210 03SOd021d 'NIW 9L ---i ro- n „ m oAg IF 0 � U N I w J J n m Q O U OLO Y Q Ld r- QF– I– p 1 w NH Inw Q- O D- 41 0 L ``L W(oN &-4 / oo�0 R' / g0N`n �J > ww — ---- �� �o��O I– U]m�a W w.. (� F5 00 g'r �N — d- V) CO 00 N M 31V0S NJIS34 Nb�d 311S 109 = „14 o WWE z ZZ O�O �a� ciz aoa0 �OWW w z> k ozW O v,a �3w p WON �r w�mW~ww ,m oaz a» -JF-0 oda zKLL,-<F NLL wx� F3o •� w 00 z 6 V wY wMm o F w Fzw Nom:2,w . \ 1-iNv�iQ OON� \\ - p � � \\> OOQ 4111--Z ONO \�✓_ 4141- �--Eu 0 a \\ 100' WELL RADIUS �o� 0 66O _ \ b b zc I 4RpNp5Ep pRIVE ' vdb 3A1210 03SOd021d 'NIW 9L ---i ro- n „ m oAg IF 0 � U N I w J J n m Q O U OLO Y Q Ld r- QF– I– p 1 w NH Inw Q- O D- 41 0 L ``L W(oN &-4 / oo�0 R' / g0N`n �J > ww — ---- �� �o��O I– U]m�a W w.. (� F5 00 g'r �N — d- V) CO 00 N M 31V0S NJIS34 Nb�d 311S 109 = „14 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: Y�fte�-'��° Cp/y.S,T•Q:a cT/0") DATE PER Z". LEGAL DESCRIPTION: La -T ei, LeC-iL Township, Range, Section: - 3 SLOPE SITE PLAN �;I I I I i 1 2 0 3- 4- 5 45 -0 6 - 7 8- 9- 10- 12- 13- 14-- 15- 16 9 10 12 4314 -1516 C1._.. 17- 18- 19- 20- COMMENTS 7 181920COMMENTS 1�. C).. H , r E WAS GROUND WATER ENCOUNTERED? 0 'J S IF YES, AT WHAT L O DEPTH? P E Depth to Water After DPy 1 j /I Y A Monitoring? Dale: Reading Date Gross Time Depth to Water Net Drop _5.01Ae kl(A CivLlc 1,zi) � r ti z :► i ©" rfx �, 3 y l I i t 1 4 11 PERCOLATION RATE Z (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN —7 FT AND S FT PERFORMED BY: S & S ENGINEERING I CERTIFY THAT THIS TEST WAS PERFORMED IN 117034 Eagle rver Loop Road No. 204 ACCORDANCE WITA919AT0fr,EAPlW& IIi99577AL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) 15ritting by DOC Co. dba - - SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 + TELEPHONE 688.2759 OWNER OF LAND 7'%rYI t/ZfCJLSJ ADDRESS LEGAL DESCRIPTIO �o 77 6 F T,C ✓4"4J �` T <r --•- DATF, •Started Ended PERMIT NUMBER DEPTH OF WELL 0aa $ DTILEVEL OF WATER Fr. DRAW DOWN FT. GALS. PER HR KIND OF CASING KIND OF FORMATION: From C) Ft. to--!2!t)—Ft. ' 04 i iO4� �?"!C � From Ft. to Ft. From Ft. to Ft l) CI(_=k'Z?(-)Re91^ "j From Ft. to —FT. From Ft. to Ft. �AAJ�L +� From Ft. to Ft. From L17t. to � Ft.' 1/i'< I t eii?jje C. From FL to Ft, -}f -, From C) to Ftp MY'4`/- From, Ft. to Ft From 20 Ft. to—2ssFt: �' 4/ J� L _ G �,, From Ft. to Ft. �/� From ,1—Ft, to() Ft. 9( g,eNlq From Ft. to Ft. From f i Ft. to 'f' Ft �)_ A (t 6gJjEl 40 (:�S From Ft. to FL From _Ft. to cZ I Ft��Y��%�064, Cwt }%J CC From Ft. to Ft. From_aj_Ft. to ,33-^ Ft S14 t f �✓�Y¢�� 4. From _ Ft. to Ft. I!. f From ) 3 Ft. to�7_�Ft'„D*1 ' r� S 6,4e4 -fir' e- From Ft. to Ft From Ft. to Ft. 04ZIAO C < From Ft to Ft. I From Ft. to Ft.' From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft' From Ft. to Ft MISCL. INFORMATION: 1.3 `i r6 l45� 9 APR 2 2 1998 Municipality of Anchorage Dept. Health & Human Services DRILLER'S NAME Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-13342 1. GENERAL INFORMATION Complete legal Expiration Date: 4 -z— rt 5 - Location Location (site address) 23636 Big Sky Dr, Chugiak, AK Current Property owner(s) Erickson Day phone 727-1191 Mailing address same Real Estate Agent Colin Roth. RE/MAX Day phone 727-1191 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 C Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: zt° `yj Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 524 — Date of Payment m Receipt Number COSA# Date of Payment Receipt 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 694-7025 Address PO Box 770724 Eagle River Engineer's Printed Name Steve Eng Date A eat 6. DSD SIGNATURE—AZ System #1 Approved for �_ bedrooms. r , n„ o Ste -yen W. Eno ° .' -7 System #2 Approved for bedrooms.P�s° PE aj(� Disapproved. r,A�x1A,.�5�, ; Conditional approval for bedrooms, with the following stipula'it6hi.. By: / L Li0 e Original Certificate Date: 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. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA blue sheet 9-1-12.doc X Nitrate Advisory Arsenic Advisory Other If more than t septic system is on the lot: . COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: (2_ _/'p CT T1 f� c ILT-? L Parcel ID: _(QS/ -13P-[/2 A. WELL DATA Well type_ If A, B, or C provide PWSID # Well Log (Y/N) Date completed �%9 7 Sanitary seal (Y/N) Wires properly protected (Y/N) V Total depth ZZO ft. r� Cased toft. Casing height (above ground) n. FROM WELL LOG AT INSPECTION Date of test Static water level Well production o.5 g.p.m. L. g.p.m. WATER SAMPLE RESULTS: Coliform _-Q—colonies/1 00 mL Nitrate 3. (3 mg/L // Arsenic 0,02/ ug/L Date of sample: �'� Collected by: sae � B. SEPTIC/HOLDING TANK DATA // / Tank Type/Material S F_&/C_ /.S i FEL Date installed Tank size /2 SO gal. Number of Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y!N) fv,n1nDeression over tank ./V High„ water alarm /N)_Al_ Date of pumping z 3/ / Pumper C. ABSORPTION FIELD DATA Date installed /2 Soil rating (g.p.d./ft2 or ft2/bdrm) System type % n Length _ 5 5 ft. Width S ft. Gravel below pipe �_ ft. Total depth ft. Eff. absorption area §150 ft2 Monitoring tube Depression over field Al Date of adequacy test Results (Pass/Fail) P For bedrooms Fluid depth in absorption field before test _ in. Water added gal.- New depth 2 in. Elapsed Time: SO min. Final fluid depth O in. Absorption rate >= 61` g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) /OV9 If yes, give date D. LIFT STATION Itlg Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. 'Pump off" level at in. High water alarm level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Meets alar & circuit requirements? i Septic tanknift station on lot /10 f Absorption field on lot X60 t Public sewer main Sewer /septic service line 2 Animal containment areas SG;� On adjacent lots /40 le- On tOn adjacent lots (O0 /7` Public sewer manhole/cleanout AL -4 Holding tank "OVA Manurelanimal excrete storage areas /G 0 <r SEPTIC/HOLDING TANK ON LOT TO: Building foundation s't Property line Z Absorption field e— Water main /1`114 Water service line f Surface water 160. Oo i Wells on adjacent lots /Qd T ABSORPTION FIELD ON LOT TO - Property line A) r Building foundation �Q r Water main eLfz Water Service line Cl �� Surface water/l0 �� Driveway, parking/vehicle storage z S Curtain drain fJ�� Wells on adjacent lots 1"6 �r 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. Engineer's Printed Name S � Date Z,;12 COSA brown sheet_10-10-12.doc aCc Steven w. Eno. o c4; A PE 0256,._o a. :ce — I bi a,oi I v�4 Sot zy= a N.•e N "•O• .0 ^ F d .n The location of the structurtlsl \ c as shown on this recoro drawing Z \ (as -built) aomp4ie5 with TWO 21, A1,r•^o. �o o Ey: w �C C:\��\ �y ��• l/a Z1� \ /jIJOZ ASBUILT SMiARD 6 ASSOCIATES LAND SURVEYING 694-082c I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE:_ FOLLOWING DESCRIBED PROPL'ftTY: pyo o�,v�®vt�h �r--~�' ��y0, — -Z �r� DATE : �E OF A�9 a+ AND THAT NO ENCROACHMENTS EXIST EXCEPT AS o ^!•rtP,.•'• S,�p� INDICATED, IT IS THE RESPON31BI LI TY OF THE�:• OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: 1* !• 4 EASEMENT$, COVENANTS, OR RESTRICTIONS �yiia�o 'r WHICH DO NOT APPEAR ON THE RECORpm SUBDh.'•�M�""' " ,� VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD F& OIL Due�S- kSw.rQ:,y ANY DATA HEREON BE USED FOR CONSTRUCTION c'•., 6978 ga OF FENCE LINES, OR FOR ESTABLISHING EWNp- t�� ARY LINES. DRAWN, .D ice/ =�Yt►®as Municipality of Anchorage �4GE s Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Certificate of On -Site Systems Approval (COSA) # 141664 During a recent COSA on-site inspection and test of the potable water supply well on Block 3, Lot 2 of Greatland Estates #3 subdivision, the well's productivity was determined to be 0.6 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval.