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Home My WebLink AboutSTUART LT 1Onsite File Stuart Lot 1 a 9 9EMIC I Formerly T14N R2W SEC 12 Lot 18 UISMITTAf APR 2 6 2012 L Municipality of Anc ra e Page 1 of 3 Community Developme��1 On -Site Water and Waste t 1 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://Www.muni.org/onsite • (907) 343-7904 ONSITE WASTEWATER INSPECTION REPORT Permit Number: OSPI21053 PID Number: 050-273-36 ❑ New ❑✓ Upgrade Name: Stuart Gilbert ABSORPTION FIELD El Deep Trench El Shallow Trench El Bed El Mound Address 17127 Eagle River Road, Eagle River, AK 99577 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 694-7112 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft, Gravel depth beneath pipe Ft. Subdivision Block Lot Stuart 1 Fill added above original grade Ft, Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches I From Tank Field Tank Line Ftpl Ft. Well >100' N/A N/A N/A >25' TANK 9Septic p P. E] Holding ❑Other Manufacturer Greer Tank Capacity I 1,000Gal. Surface Water >100' N/A N/A N/A Material Number of compartments Lot Line >5' N/A N/A N/A Steel Two NA Foundation >5' N/A N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain None Noted Gal. RemarksExisting Septic Tank Decommissioned Pump on level at in. Pump off level at in. High water alarm at in. in Accordance with Municipal Code. Septic Tank Only Placed Under this Permit. Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank D3034 Tankto dreinfield D3034 Green Construction Drainfield CO/MT Inspector MEA BENCHMARK (Assumed elevation) 100.Oft Inspection , dates: 1' 4/20/12 2- 4/21/12 Location and description p V 4/25/12 4'" West Personnel Door Entrance Slab. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Cgs®®® Conditional Approval: Date ? P.��••....;4 o ��: ` �F ♦® 49 •••• no.u. .•a ......•4U O 0♦ :MICHAEL $ ANDERSON r4 `��F�pR4FES510t�:®e_ . Approved Date =� 1\awa+� Inspection Rep _1-1-12.doc DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655-343-7904 PID No.: 050-273-36 Permit Number: OSP121O53 Page 2 of 3 S 89'51'51"W 165.40' Pik F (Existing) LOT 1, STUART SUBDIVISION (Existing) 46,460 S.F. LEGEND S1 — Septic Vent CO — Clean Out MT — Monitor Tube TH — Test Hole o Existing \��e�! Well N\ 'N 20' T. & E. Easement c 7 L-- —L---- ---_—__ n / Eagle River—Road PLAN AS -BUILT SCALE I' = 40' P" 49th MICHAEL E. ANDERSON S1 o n A 1 8 0 m 14 Garage SI 18.9 14.4' N FCO (Existing) n A g S2 23.6120. 1' 3 a a m 0 o 0 0 0 z z z z Three Bedroom House LEGEND S1 — Septic Vent CO — Clean Out MT — Monitor Tube TH — Test Hole o Existing \��e�! Well N\ 'N 20' T. & E. Easement c 7 L-- —L---- ---_—__ n / Eagle River—Road PLAN AS -BUILT SCALE I' = 40' P" 49th MICHAEL E. ANDERSON Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP121053 PID No. 050-273-36 99.9 U n N UU YV93.693.45 Tank Only Replaced Under This Permit. Existing Tank Decommissioned in Accordance with Municipal Code. ��.....■p4 O........... a1a �r• �....F....49th •`.. •A' MICHAEL E. ANDERSON PROFILE AS -BUILT No. )CSE -4361 No Scale':.E:Tr..:��"%� aaaa Ro::.��• On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121053 Tax Code Number: 05027336000 Work Type: Septic Upgrade Permit Effective Dates: April 17, 2012 to April 17, 2013 Design Engineer: ANDERSON ENGINEERING Subdivision: STUART 41 gl1a Id ' 3 d Site Legal Address: STUART LT 1 G:0052 Owner/Address: GILBERT STUART D 1999 TRUST GILBERT STUART/TRUSTEE 17127 EAGLE RIVER ROAD EAGLE RIVER AK 995778166 Site Mailing Address: 17127 EAGLE RIVER RD, Eagle River Lot Size in Sq Ft: 46460 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Bv: Issued By: 4-l'7,/2 Date: Z Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan s ON-SITE SEWER/WELL PERMIT APPLICATION 4y` FOR A SINGLE FAMILY DWELLING Parcell.D. 050-273-36 Property owner(s): Stuart Gilbert Day phone: 694-7112 Mailing address: 17127 Eagle River Road Eagle River, AK 99567 Site address: Same Legal description (Sub'd., Block & Lot): Stuart, Lot 1 Legal description (Township, Range & Section) Lot Size: 46,460 Sq. Ft. Number of Bedrooms: Three (3) THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial ElAbsorption Field r_1 Septic Tank X Upgrade X Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE l WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: o1W t 12d &S� Date of Payment: q -t-1 - t �_ LI-4- Receipt ,� Receipt Number: 34 tai rA Gl Permit No. M P I a 1 C 53 Waiver Fees: Date of Payment: Receipt Number: Waiver No. C:\Users\AndEng\DesktoplMike\Stuart\Permit Application.docC:lUsersV\ndEng\DesktoplMike\StuartlPermit Application.doc ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) April 17, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, Stuart Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer The septic tank on Lot 1, Stuart Subdivision is located inside the protective radius of the well to the north and is also nearing failure and must be replaced. We are proposing to replace the tank with a new 1,000 -gallon steel septic tank to serve the three-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new septic tank. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new tank. Also identified on the plans is the existing well on the lot and those in the surrounding area. The existing tank on the lot will be properly disposed on the property in accordance with Municipal Code and backfilled. The drainage patterns on the property will be maintained after construction. The ground surface on the lot slopes to the northwest at a 3% grade in the area of the new tank. It will be located outside all well radii and closer to the existing house. The new septic tank will be constructed near the existing foundation cleanouts and tied in to the existing service line. The tank will be constructed parallel with the contours of the land as much as possible in conformance with Municipal requirements. If the tank is constructed in accordance with our design the following statements apply The tank, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The tank, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. Lot 1, Stuart Subdivision April 17, 2012 Page 2 of 2 3. The tank, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The tank, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, 0 .cz� Michael E. Anderson, P.E. Attachments 49th MICHAEL E. ANDERSON LOT 1, STUART SUBDIVISION 46,460 S.F. S 89'51'51"W 165.40' n Pit IMT (Existing) Abandon Existing Tonk in Accordance with Municipal Code. CO (Existing) ._ o Existing w ® Well �\ �� 20' T. & E. Easement o �.• �I _ Eagle River Rood . -- 049th ••: LEGEND 0. SV — Septic Vent %'p •"• • ",�'.'.'•.•.•.••Q CO — Clean Out pn ;MICHAEL E. ANDERSON • Q MT — Monitor Tube SITE PLAN •� �•' No. CE -4381 ti TH — Test Hole ............ SCALE 1" = 40' �4flpROFESS10Pi��• \A \A Place New 1,000 Gallon ^o CD(2) Septic Tank, and 2 Post n m SV Tank Cleanouls. o c' Goroge SV N FCO (Existing) w "n 0 0 0 o b o z z Three Hoose m Existing Absorption Trench ._ o Existing w ® Well �\ �� 20' T. & E. Easement o �.• �I _ Eagle River Rood . -- 049th ••: LEGEND 0. SV — Septic Vent %'p •"• • ",�'.'.'•.•.•.••Q CO — Clean Out pn ;MICHAEL E. ANDERSON • Q MT — Monitor Tube SITE PLAN •� �•' No. CE -4381 ti TH — Test Hole ............ SCALE 1" = 40' �4flpROFESS10Pi��• 85 SASULLIVAN WATER WE ----,LLS Domestic - Commercial - Geothermal Phone 907-688-2759 www.suilivanwaterwells.com Permit Number: #S W 090187 Date of Issue 912512009 Parcel Identification Number: 050-273-36 Date Started: 11/212009 Date Completed: 11/212009 Is well located at approved permit location? Yes L-jNo Property Description STUART Lot 1 Block Section: Town: Range: Property Owner Name & Address: STUART GILBERT 17127 EAGLE RIVER ROAD EAGLE RIVER, AK 99577 Borehole Data: Depth Method of Drilling n air rotary F cable tool Soil Type, Thickness & Water Strata From To Casing type: Casing Stickup 0 3 Wall thickness 0.25 inches Silt Sand Gravel 3 gg Diameter 6 inches Total: 139 feet Slit &Gravel 85 gp Liner type: Diameter inches Depth: feet Slit 90 104 Casing stick-up above ground: 3 feet Silt Sand Gravel 104 129 Static Water Level (from top of casing) 104 feet Gravel Sand Silt 129 139 Pumping Level: feet after — 1 hours pumping gpm Recovery Rate 20 gpm Method of Testing: Air Well Intake Opening Type n Open End I I Open Hole (] Screened Start feet Stopped feet Perforations Start ' feet Stopped feet Grout Type: Bentonite dry granular --..._--------_---___--- Volume: 100 Pounds Depth 44 Start 0 feet Stopped 44 feet Pump Intake Depth: feet Pump size: HP brand name Well disinfected upon Completion? Lx 1 Yes _1 No Method of disinfection CHLORINE 50 PPM Comments: Water Sample Results: Arsenic: '4129 ug/l Well Driller: Nitrates 3 -mg/l Cole Sullivan Sullivan Water Wells Total Coliform Bacteria /J-colonies/100mL P.Q. Box 670272 --9--- Chugiak, AK 99567 Other bacteria: col/100mL (907) 688-2759 i Attention: The property owner shall provide this log to DSD (onsite) and DNR within 30 days of completion. ARCTIC PUMP & WELL INC. Jim Sullivan PO Box 'r7©197 Eagle River, AK 99577 #S 8 lxt (907) 688-2510 j° (907)2-58-2510 (907) 745-2514 apw @ gd-net Pump Installation Log Well Drilling Permit Number: SW090187 Parcel Identification Number: 050-273-36 Date Of Issue: 9/2512009 Legal Description Stuart Property Owner Name Address: Stuart Gilbert Lot: 1 17127 Eagle River Rd Block: Eagle River AK 99577 Pump lnstallaion Date: 6117%2011 Pump Intake Depth Below Top of Well Casin 128 Feet Pump Manufacturer's Name Franklin Pump Model: 10JS07S4-2W230 Pump Size: 314 Pitless Adapter Burial Depth: 14 Feet Pitless Adapter Manufacturer's Name 5-50 Pitless Adapter Installer: UK Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: PumpinstallerName: Arctic Pump & Well, Inc. bora-, Jerre 20, 2911 ARCTIC PUMP & WELL INC. N: Jim Sullivan, CPI PO Box 770197 -;� Eagle River, AK 99577 (907) 688-2510 (907)258-2510 Decommissioning Log Well Drilling Permit Number: SW Parcel Identification Number: Date of Issue: Legal Description: Stuart Property Owner Name & Address: Lot:l Stuart Gilbert Block: 17127 Eagle River RD Faale River AK 99577 Pump Installation Date: 7/25/2011 Pump Intake Depth Below Top of Well Casing: Pump Manufacturer's Name: Pump Model: Pump Size: hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Feet Comments: Well permanently decommissioned by procedure15.55.060L.c. Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page 1 of I MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Upgrade Date Issued: Sep 25, 2009 Expiration Date: Sep 25, 2010 Permit Number: SW090187 Parcel ID: 050-273-36 Legal Description: STUART LT 1 Design Engineer: 0014 ANDERSON ENGINEERING Site Address: 17127 EAGLE RIVER RD Owner Name: STUART GILBERT Lot Size: 46460 SO. FT. Owner Address: 17127 EAGLE RIVER RD Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. A 99577 - This permit Is for the construction of: ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: Issued BDate: may'- zs _0 S Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-273-36 Property owner(s) Stuart Gilbert Day phone 694-7112 Mailing address 17127 Eagle River Road Zip Code 99577 Site address 17127 Eagle River Road Zip Code 99577 Legal description (Sub'd., Block & Lot) Lot 1, Stuart subdivision Legal description (Township, Range & Section) Lot Size 46,460 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well El Water Storage ❑ Number of Bedrooms Three (3) THIS APPLICATION IS AN: Initial ❑ Upgrade El Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 20 D Waiver Fees: Date of Payment: 9 — S 9 Date of Payment: Receipt Number. O 6) Receipt Number: (Rev. 11105) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX September 8, 2009 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 1, Stuart Subdivision Well Location and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 1, Stuart Subdivision is moving the well on the lot to allow more space for a future septic system upgrade. We are therefore requesting a permit be issued for the construction of the new well. The existing well will be abandoned in accordance with all requirements of the State of Alaska Department of Environmental Conservation (ADEC). The attached Site Plan and backup documentation identify the location of the proposed well and the existing well on the lot. Also identified on the plans is the existing septic system and the wells and septic systems on adjacent lots. The ground surface on the lot slopes at gentle grades in all directions. The new well will be constructed in an area that will not impact adjacent lots or septic systems. If the well if constructed in accordance with our design the following statements apply: The well, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The well, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The well, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. Lot 1, Stuart September 8, 2009 Page 2 of 2 4. The well, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, C&+'---7 Michael E. Anderson, P.E. Attachments V C'.na;p% �i•i \^ C spa•. _/ LOT 1, STUART SUBDIVISION 46,460 S.F. S 89'51'51'W 185.40' Existing Absorption Pit Existing Septic Tank n o o n e c Garage Existing 009 Abandon N Accordance � with ADEC Hequiroments I Throe Bedroom Existing Mouse Absorption Trench I \\`421c S roc--------------- F ProppoOsed geese 1 `� 1 Wall 20' T k E. Easement 1 i W!, vsxulll 1 E �1 Eagle River Road � � ; � ♦ -- 49th !^1 ,.....i ...... ...... ... ......i... ♦ '� ' MICHAEL. L ANDERSON SITE PLAN ♦� f`; No. ¢-4a91 'tib SCALE 1' = 40' ♦44•,E;;�'� ASBUILT I SEWARD & ASSOCIATES LAND SURVEYING 694-082(J I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: FOLLOWING DESCRIBED PROPERTY: DATE - AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: _ ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. DRAWN: OF A��i� � � J TH v........ If Duene mt,i Seward. � �Slcic':a°• � w GREATER ANCHORAGE AREA BOROUGH HEALTH DEPARTMENT August 16~ 1968 Mr. Har~y Mirshik Box 373 Eagle River~ Alaska 99577 SUBJECT: Sewage Disposal System Located Mile 3/4 Eagle River Road~ T14N, R22W~ Section 12~ Lot 18 Dear Mr. Hirshik: The Greater Anchorage A~ea Borough Health DepazWcment inspected and approved the install- ation of a 1,000 gallon septic tank in conjunction with adequate seepage area. Sincerely~ DAVID R. Lo DUNCAN~ M. D. Medical Director RRS/srr BY: , , '? , Rol.f/R.~trickland~ R. S. San~tarian AIR MAIL TO ALASKA IS FASTER CD V/ CD CD tiI-- W c (13 V � o LL Q 0 i U z LLQ 0(o F— J Q 0 o a O U N - Q � Z M U a) 06 U c � E Q O t- > 00 c 0 Q cn O O O o (D ^pl W L 0 a O 0- > 0 Q Q M cu N L O o ai 0- m a) 5 u c o O c O I— U 0.2 d O .y R: 0 r c O E O Aj N CD N LO rn N m a� m U 'C Q) U ciS C O u a/ o`` 0 w �i ^ � CL O � Y L U) a m 0 L N O N Q M ~ 07 i� c 0 W M J O LO G W Q L c C Q) rn rn O E •� ~ a� 0 w a) ,a O 0 CK U) C O LU i CD co cy") J Q Of w J Q w LU m J Ur � ti N U) N N c o 0 0 -r LO CD Q 0 a C L)U) N Q) - O Q U > L O CD Q N 0- -j co U c 0 Q cn O O O o (D ^pl W L 0 a O 0- > 0 Q Q M cu N L O o ai 0- m a) 5 u c o O c O I— U 0.2 d O .y R: 0 r c O E O Aj N CD N LO rn N m a� m U 'C Q) U ciS C O u a/ o`` 0 0 �i ^ � CL O � Y L U) a m CL O 3 a c C O E •� ~ cn O 'a ~ca a) ,a O U O C O 0 O d a •n�,� ul cn ,a^ O 0 C wvf Q Q > L O . 2 Q Q Q N E �o N O a U Q a) N v_ N /A 0 0- L z Q O U 3 m E Q +, .N N v ai L = "'a C O >i O m Q. 0 CL CL CL Q O N QN m O U) U •0 L a) x 0O 0 � �, cn t6 C L "- cn 0 cn U) N Q> CL Q O O 0 N N O y ON 0 c Q 0 C N U 0) V N O U) Q Q Q r•. ++ Z O �: N E R O = N ca O 2UQ = O (j N t j, C O• c F- U) a �' a a V V d (Y) (Y) 00 rnrn W O U- V n Q O 2 V z LL Oyy _ 4. F— a U) V � L � Q � oCZ z 3: M U) CU a) � U L F O , � C7 Do C O A. - CIO U Q CL Q ('6 O CL CL a) A. - w U) N C O O N N W U O Z O O CIOO ti 2 0 CO O LO Z O TMI W ~ J WJ ~ (7 Q Q W H U) N C: O �L U cis (3) 0 Q r_ O 0 U C/ (D co 1 LO m N 1 u•i r (D a) C 0 sZ ca h U) n A 6% 0 a) LL O 6F} O LL Q U) 0 N 2 cn Ld 0 C: U) v, 3 a) O a) >, NIL U O. r s 0 •V p � � V L L E N Q � ❑'= n OC >, N a O E V _ Ll a) U) a O U cn m cq ❑ ❑a) O 3 c 0 a L) F- ca > + M Q Q) C: ❑ �—• O ❑ca !n d D p ❑ M0 0 — N 0) d 2 � C -0 p a) cLLJ Lo 0 EIU m -> O O mo (n ❑ ❑ O I ca c,,) > > cn v o v a L a O n m 0 �. O ❑❑ a w m a) cn >_ w 0 U- ❑ J � ❑ N a w ❑ a, d t voi w, a0 U) cn COM ai >, ❑/ w w w H' O I.L. cr O L U)Q Q Y Z 3 L V Q ° °' a a.a. cn > 4° w U. LL,- a cn d a �_ a) a a) �O/� ^ L •- H w m > CL d O H cn Q a Q >� > r cV ri Ili co LU m 6% 0 a) LL O 6F} O LL Q U) 0 N COSA Checklist Legal Description: STUART LT 1 Parcel ID: 05027336000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑■ Well log is filed with Onsite (or attached) Date drilled 11/2/09 Total depth 139 ft Cased to 139 ft ❑■ Sanitary seal is functioning correctly ❑■ Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 7/17/24 Static water level at beginning of test 103 ft Comments B. TANK DATA Measured operating fluid level in septic tank 50 Date of pumping 8/31/23 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/16/68 ❑■ ALL standpipes present per record drawing Total measured depth from grade 16 ft (max) Measured depth to pipe invert from grade 8 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑■ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Well production at time of test 7+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑■ No ❑■ Coliform bacteria is Negative Nitrate 3.74 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑■ Arsenic less than MRL (ND) Collected by NRim Eng. Date 8/1/24 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 7/17/24 Results g Pass Fluid depth prior to test Water added 450 gal 32 in New fluid depth 39 in Elapsed time 30 min Final fluid depth 36 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 96 Effective depth used 36 in Effective depth remaining 60 in Comments/Deficiencies: Depth measured with tape. CO @ seepage pit determined pipe invert depth COSA Checklist June 2022 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' ❑ Yes if No 5'+* Community Sewer Manhole/Cleanout > 100' OYes if No ft 0 Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' ❑■ Yes if No ft Absorption Field on Lot > 100' Q Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ❑■ Yes if No ft 0 Yes if No ft ft If tank or field is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' OYes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5'+* ft Surface Water > 100' Q Yes if No ft Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' Q Yes if No ft Private Wells > 100' ❑ Yes if No >50* ft Water Main > 10' 0 Yes if No ft Community Wells > 200' ❑■ Yes if No ft Water Service Line > 10' Q Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS * Tank @ 5'+, field @ 10'+ * 1968 regulation was 50' G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm NorthRim Engineering Engineer's Printed Name Steve Eng COSA Checklist June 2022 Phone 694-7028 Date 7/24/24 ENGINEEWS STAMP SEC LOT 17 1: ti O �j 4, ti N W Lot 1 SEC 11 S89°51'51 "E 165.40 LOT 1 Chain link fence 8513C Septic vent (typ) O Lot 2 a M 18.7 0 Garage a� CO 0 N 1 Story Frame House xLO with Basement s. 6 3: SCALE: 1"= 50' 3.2 � 27.4 = X4.7 00 O O �O Z OF , SI,1 F� Tq ( 49 9th •:� 1� s� — ._. — — • * 00 Well o�`hi�f �` 20' T & E C) ^L _ Easement _ �,400 � '• lixabeth L. Walatka : ,4 ► C7 J �/ MT .� sr • • 8036 - LS ��ESS]oNAL � L=45.55 S89054'00"E 120.72 i %% R=1332.40 to a- Z® • Zoo+ AS -BUILT NO CORNERS SET THIS DATE EAGLE RIVER ROAD I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 1. STUART SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 9th day of AUGUST , 2024. EASEMENTS OF RECORD, OTHER THAN FRED WALATKA & ASSOCIATES, L.L.C. THOSE SHOWN ON THE RECORDED Engineers and Surveyors PLAT ARE NOT SHOWN HEREON FB 24-3, pg 43-44 BE 907-248-1666 UNLESS OTHERWISE NOTED. This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence, structure or other improvements unless otherwise noted. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer Is limited to the amount of fees collected for services In preparation of this product.