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HomeMy WebLinkAboutMILE HI #1 BLK 8 LT 5 May 12 22 10:48p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services Departmento l i Phone: 907-343-7904 On -Site Water & Wastewater Section `� Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Date of Issue: Parcel Identification Number: 050-201 50 Legal Description Block Lot Property Owner Name & Address: BROWN JOEL W & TAMARA M MILE HI #1 8 5 22035 UPPER CANYON RD EAGLE RIVER, AK 99577 Pump Installation Date: 04 25 - 2022 Pump Intake Depth Below Top of Well Casing: 200 Pump Manufacturer's Name: RED JACKET I Pump Model: 8S16 IPump Size: •75 IPitless Adapter Burial Depth: 12 feet IPitless Adapter Manufacturer's Name: MARTINSON Pitless Adapter Installer: Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: PELLETS I Comments: feet Pump Installer Name: _ ANCHORAGE WELL & PUMP SERVICE 7640 KING STREET Company: ANCHORAGE, AK 99518 907-243-0740 Mailing Address: State: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. ¢  Municipality of Anchorage .,.,,.~ t. Development Services Department ~:~: .= ;. · On-Site Water & Wastewater Program, 4700 South Bragaw SL p.o. Box ~50 Anc~o~go. AK ~5~9~50 ~ www.cLanchorage.ak.us (907) 343-7904 Poge 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW000089 PID Number:. 050--201--50 "°~"':JOEL BROWN WastewaterSyetem: n New · Upgrode 22035 UPER CANYCt~DR. * EAGLE RIVER, AK ABSORPTION FIELD No. of Bedrooml: Ph°ne:(907) 694--8132 4 · Deep Trench D Shatlow Trench i-i Bed nMound mother LEGAL DESCRIPTION ~ ~' 0.8 ~. 11.0-~2.0 5 8 MILE-HI 2.98-3.98 rL 8.02 - - - 1.5-2.5 rL 47 n WELL: [] New · Upgrade 2.5 ~ 1 PRIVATE 200 rL 61 ~ 75.3 s~ D 5054/ F-810 SULLIVAN WATER WELLS 6/27/00 55 rL ~ EXC. 6/29/00-7/6/00 ~.o ~ UUKUOWU ~ ~.0 ~ TANK SEPARATION DISTANCES .s..~o 13 Holding r'l $,T.r' P. To Septic Absorption Uft Holding ,uUl¢~ ~o¢~,~c. Co.mt3, ~ ~ r~,d StoUon Took S.,~ U~. ANCHORAGE TANK 1250 We, 100'+ 100'+ - - 25'+ STEEL 2 su,o=o wo~o/ ~oo', ~oo', - - - LIFT STATION .o.+ - - - -'--I ~e~ark=: 'REQU~S~ ~ EDOT U,~ W~JVER e~ A~E,DED. BENCH MARK THE EXISITNO WE:U. WAS ABANDONED PER AMC 15.55.060 TOP OF GARAGE SLAB THE EXIST]NO S£PT]C TANK AND DR. AJNFILED WERE COMPLL~LLY ABANDONED IN PLACE. ' .100.00 rL Inspections performed by: AWWC, INC. Dates: 1st 6/29/00 ......... E/~ ;'~ ..... ; .... Department of Health and Human Services approval h~'~ R~vlewed and approved by: ,/'~- ~.-'/~. ~:)~-Date:'7'-2. ~-01 ,,.,....~.: AS-BUILT DRAWING SW000089 050-201-50 DBL1 34.9 20.3 43.~ / C01 35.5 23.8 47.7 / C02 67.51 ~7.5 9~.5 ~~ / I ,- / I / ~~ / '" ~! ...... A B C ST1 50.8 9.5 32.2 ST2 33.6 17.5 40.8 DBL1 34.9 20..3 43.8 DBL2 .35.7 21.6 45.2 C01 35.5 23.8 47.7 MT1 `36.0 2.3.5 47.3 C02 67.5 67.5 91.5 IvlT2 66.5 66.5 90.5 DRAWN BY: ALASICA WATER & WASTEWATER .~_~= CONSULTANTS, INC. 1" = 40' JOEL BROWN (907) 694-8132 2 OF 3 MILE-HI SUBDIVISION ~4; LOT 5, BLOCK 8, AS-BUILT DRAWING OF' SEPTIC SYSTEM UPGRADE .....u..., AS-BUILT DRAWING SWOOOOB9 050-201-50 fOF¢ f,q~-~ /: ¢f¢¢ f~ [ ~PflC I  ~ (AV~.) - ~16 CAVG~ ~S~ WATER & WASTEWATER ~:e"'°'/d'uu' COUSU~TamS. ;nC. U.T.S. ~'a':'" ....... ~OEL BROWN (907)694-8152 ~ O~ ~ MILE-HI SUBDIVISION ~ll LOT 5, BLOCK 8, PROFILE AS-BUILT Or SEPTIC SYSTEM UPORADE SULLIVAN WATER WELLS P.O. BOX ~70272, CHUGIAK, ALASKA ~g$67 · TELEPHONE ~8-276~ ' OWNER OF LAND dO ~"/ ' ADDRESS ~ O':~" ~ ,DESCRIPTION PERMIT NUMBER~O ~ ~ ~ Date of Iss~ 'T~'INDE~I~I~oN'NUMBER BORE HOLE DATA DEPTH oK Is well I O Yes E3 No Method of Drilling: ~r rotary O cable tool Depth of well: _-~O~ Casing Type ~Wall Thick"ass._~ ~V~ inches Casing Stickup Above Ground: ¢~ 'feet · Static Water Level (from ground level): _~".~' feet Pumping level: feet after hrs. pumping gpm Recover Rate: '/- Gpm .. - Method of Tasting:. - .~.! Wall Intake Opening Type: {~ Open End ~n Hole [~ Screened; "Start feet Stopped. feet .... .. {~ Pertorations .Sta[t ,.,.' . feet Stopped 'feet ......... . GroutT : Z x r rrs c e Depth: from · I~ ' feet. to ' feet Pump Intake Depth: feet Pump Size hp. Brand Name ' "" ' Well Disir!fected Upon Completion? I~s [~ No ~lethed of Disinfection: ~ ~Zaa,~-- ~-b Comments: Driller,, Name ^11'ENTION: It Is the resPonsibility of the prope~ o~vner to submit a copy of the well log to ~ proper au~3~'y. Municipality of Anchorage: Department of Hea~ & Human Services and/or Department of Environmental Conservation. MatSu Borough: Deparlment of Environmental Conservation.. ' : . ~- ~'- . · . · "'. 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 o.-sn' w^sT ^T . DiS.OS^, SYSTEM Upgrade Date ~sued: May ~, 2000 ~piration Date: May 04, 2001 Permit Number: SW000089 Legal Description: MILE-HI #1 BLK 8 LT 5 Design Engineer: 0041 AK Water & Wastewatar Consultant Owner Name: Joel Brown Owner Address: 22035 Upper Canyon Dr. Eagle River, AK 99577- Parcel ID: 050-201-50 Site Address: 022035 UPPER CANYON DR Lot Size: 37503 SQ. FT. Total Bedrooms: 2 Permit Bedrooms: 4 This permit is for the construction of; [] Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage Ail 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: ~.~ ,f'~ ) C~'~E,,G~ ~ Date: Date: ALASIG WATER & WASTEWATER CONSULTANTS, INC. ~ " - April 17, 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 Reft Well Relocation and Septic System Upgrade Design for Lot 5, Block 8; Mile-Hi S/D To whom it may concem: The existing 2 bedroom house is served by a private well and septic system. The h6meowners would like to build a 2 bedroom addition onto the house making a total of 4 bedrooms. The exiting septic system does not meet current municipal standards and it is believed that the septic tank is collapsing. A test hole was excavated in the southeast comer of the property where the proposed septic system will be located. The proposed septic system will be designed around the 30 foot radius of this test hole. We are proposing that a new 1250 gallon septic tank and a deep trench type drainfield be installed. We are also proposing that the existing well be abandoned per AMC 15.55.060 and a new well drilled in the area shown on the design. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is a log which shows the soil classifications, groundwater monitoring, and the pemolation test results. The soils below the organic/fill/grub layers are a GM/SM/ML material to a depth of 18 feet (bottom of test hole) with more silt and sand starting at 9 feet. No groundwater was encountered during the excavation of the test hole. A pemolation test was performed between the depth of 6.5 feet to 7.0 feet which had a percolation rate of 5.0 · minute/inch. It is our opinion that due to the overall appearance ofthe soils, a application rate of 0.8 gallons/day/ft2 should be used. 2. TRENCII DESIGN: a. Percolation Rate: 5.0 minutes/inch b. C. d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 750 ft2 f. Total Depth: 12 feet (max.) g. Effective Depth: 8 feet Allowable Application Rate: 0.8 gallons/day/fl2 Number of Bedrooms: 4 h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 47 feet long k. Effective absorption area -- 752 ft2 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPIIY: As can be seen on the attached design, the a proposed trench is to be installed at the base of a slope that runs from approximately northeast to southwest at a 50+ percent grade. The topography where the trench is to be installed ranges from 1 to 15 percent running in the same direction as the upper slope. The trench is to be installed parallel to slope contours. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. ~Sincerel ~ ?.E., M.S. NOTE: Attached is a site plan dra~ving, a design drawing, a soils Icg, and a 7 page construction specification letter ~vhich 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 ............... : .............. ~~ ~ ~T ~ WI~ NOT ~RSELY IMPA~ ~E LOT 1. BL~K ~0 .... _/ ~ ~I~NG ~D RESE~ D~NRE~ SEES ~i~-H~ S/D ~~ ~._.-~'' ~ ~' ' 4/17/2000 ~R~ FOR PHONE NUMBS: ~E NUMBS: '~*" JOEL BROWN (907) 694-8152 1 OF 2 MILE-HI SUBDIVISION ADDITION ~1: LOT 5, BLOCK 8 ~[ ~ WORK: SITE P~N FOR WELL RELOCATION AND SEPTIC SYSTEM UPGRADE ~'~.~\~' NOTE1 TH(CONTRACTOR SHALL HAVE ~E WESTo ~ .. 0'~· REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION, ~ ON 1 ~T L~ UNE NOTE 2: RESE~ SffE ~Y REQUIRE THE DR~AY TO BE MO~D. ~IS ~Y BE AVOIDED ~ ~ ~E USE OF ~ INNOVAT~ ~[M.~ 4/17/2000 CONSULTANTS, INC. MILE-HI SUBDIVISION; LOT 5, BLOCK 8 DESIGN FOR WELL RELOCATION AND SEPTIC SYSTEM UPGRADE ALASKA WATER & WASTEWATER CONSULTANTS, INC. ,:,,, O.F'.. 6901 DEBAR ROAD, SUF(E 28 * ANCHOR~CIF. AK. 99504 ,~_,~,~,oO ..... LEGAL DESCRIPTION: MILE-HI SUBD~SION ADDN. i~l; LOT 5 BLOCK 8 ~SW HH SP CH DEPTH TO DATE ~ GROUNDWATER D~ 4/5/2000 I'~l~ff~ MORE SILT 11 DATE RE. lNG CLOCK NET TIHE WATER LEVEL NET DROP  TIHE (HINUTES) READING (INCHES) 12 ~/5/2000 I 3:53 ~ 6' 2 4:03 10 3 1/4' 2 13 3 4:03 6' 1 CM/SM/ML 4 4:13 10 4' 2" 6 4:23 10 4' 2' 16~ 8 4:33 10 4' 2' 9 4:33 ~ 6" 17 10 4:43 10 4' 2' 18 12 4:53 10 4' 2' 19 PERCO~TION ~TE 5.0 (HIN./INCH) PERC. HOLE DIA.. 6 (INCHES) 2 TEST RUN BET~EN 6.5 FT. ~D 7.0 FT. COHHENTS: PERC HO~ PRESOAKED FOR 4+ HOURS PRIOR TO ~ PERFORMED BY A~ WATER · W~ATER. I, JEFFR~ A. GARNESS, CERTI~ ~T THIS w~ PER[~o ~N ACCORD~C[ W~ ~ ~AT[ ~ ~UN~C[P~ CU~g[UNES ~N [F~CT ON DEPTH TO DATE GROUNDWATER DRY 4/5/2000 DRY 4/17/200C NAME LEGAL DESCRIPT~N LOCATION / D,STA,C. TO: 1%O I ~ I No. oflines / ~ ~ lop ot til~ini~ grade~ ~ I Well ~ J DISTANCE TO: ~ Class ~P~pt ~ J DISTANCE TO: Buli~ing foun.dation [ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAl_ SYSTEM AND/OR WELl. INSPECTION REPORT J/2~J UPGRADE Abs orpti.on_Q_ar~ Inside length Dwelling Dwelling,,~ /~. Material baneath tile Depth Crib depth Building foundation Driller Sewer line OTHER PIPE MATERIALS REMARKS IMaterial Nearest J~l:~ /,~ Trench w~Lth ~ 2 inches inches NO. OF BEDROOMS No, of compartments2 Liquid depth PERMIT NO. Liquid capacity in gallons Total ef f~iv~grp~"area PERMIT NO, / Total effective absorption area Nearest Jot line Distance to lot line Septic tank PERMIT NO. Absorpt on area(s) DATE LEGAL PERMIT NO. :,qF'PL I CF:!NT .]'[:, CFi:Ok! LOCF]T t ON LEGRL L5 E;8 HILE HIGH S,.."[:, T?PE OF .S, OZL R,Ei~!.5ORPT!ON ??STEM tS;: TRENCH MRNI!"tUH NUMBER OF' BEDROOMS; = ]: SO:fL. RRTING THE F:EE!L!IREE:, SiZE OF THE SOIL. F!DSORF']"tE~N SYSTEM [Z~ ~=] F" "T" ~'-~ ..... ::iL ,E~; L. ~Z ~'~ C~ ""F ["-~ == ~: ~= ~C~ F~;: IF=~ D~]::,F!f;~l'ri],'IE,~.,Ff'"h~.,~: HEF!L/f'H FiND EiqViREiNMENT'F!L.i'~.~,q:OTEE:T:[O?',! 825 "L.'" S'T'REE"G RNCHORFIGE., FIK. ,:1 82¢,¢].:~9 SR2 E',O::':; J.(;'75 BLUE SPRUCE LRNE 'THE LENGTH [:,IMENS!ON IL:; 'THE LENGTH <Ii"4 FEET) OF 'THE TRENC:H OR [:,RF!iNFiELD. TF!E [:,Ef:'Tf-I OF F! TF.'IENCFI OR F'IT IS THE DIS;TRNCE BETi.qEEN THE SLIRFRCE OF THE GROUH[:' R.NE:, THE 80'I"TOM OF THE E',:.:;CRVFiTLrON ,:.':i:1'-,I FEE].">. THERE IS NO SET H IC, TH FOF..' TRENCHES. THE GRFI',,,'E:.'L. [:,EPTH IS THE MZNI;c'!UH [:,EF'TH OF GRF¢,?E!... BETI.4EEN THE OU'TF'faLL. F'IPE FIND THE BOTTOM (3F' THE EXCR',,,'RTiON (!N FEE:T). F'ERM!T F!F'PLt CRNT HF!S 'T'f-!E RESF'ONSI 8iL.! T'¢ TO I NFORH 'T'H:[E; 'i,EPRPY['HENT [:,URiNO; ".-HE IN:.STFILLFITiEFF',! !:f.I'.:~F'ECTI[:NS CF' Ri'-,!"r' I, ELL.'Z RE:,.]'RCE!",I'T ]"O THiS F'ROF'EFe.'T"¢ FIN[:, 'THE . l,-If lr THE !.,.IELL L,.!TL I. E;EF.:'v'E. I'.,i U !','! E', E F: -i F .;;' E '5 'r D E.:f'.,t ]: E 'i:i; - ':" ....... ...... !'-d. ,L. I ,,:,I-E ...... ON RND F:tF'P'F}-',,q:::[l .......... E:'¢ l i'"!.[:5 E:FFF:::KFiLLING OF RI",I'¢ :,r:,FE.M HI"FN-IIT FI ":' ,,. ...... r~ [:,EF'F~RTMENT 14iLL, BE '5..E.]'IECT TO F'ROZ, ECUTtOF,!. MZNIHLiH D!S'TFtNC:E BETHE'EN R [4ELL FIN[:, R!'.,i'¢ (~'.[~'-,!.-..'.-%%;ZTE SE!.qF!GE DI:.::;POSRL. S'¢%"FEM iS; ±',.Z;Ei FEET FOR R F'R:[',/RTE 1.4ELL OR :i.50 TO .'.::.:: El l~i FEET FROH R F:'UEtL..IC [4E:.'L.L.. DEPEH£:,ZNG UPON THE T'¢PE OF PUE~L!C I.,.!EL.L PiINIHLIM [:,!STF!NCE FRO!'"! R F'R :[ ',..,'RTE WELL TO R PRLr","RTE SEF!ER LINE iS 25 F'EET Rh!C, ]"O R COMHUN!T'¢ SE.WEF.: L_INE ZZ '75 FEET. OTHE:F,.-: REQLI!REMENTS MA"r' RF'F'LY. S;F'ECIFICRTiCJt",!S RNrC', COI'.~S;TRLJCTION DIRGRR!'4S ARE Rk.,'F!ILF!.BLE 'FO I!'-,!SURE PROPER IN?FRLL. RTION. .... F,,'T I I L.E,"., !F'¢ THFFf' · .: :.,,::.~..: RN[:, ~.!EL, ....... '=..FT · ±' i F!H FFtHIL. TRR I.,.tZTH THE F:[:i)T.!LIf~'EMFZNTS FOR FOF<TH P'¢ · ......... :,. THE MUN.T.C]:PFILIT"r' i"l~: FI, N'"F"F'Fff':iE '=" ~' HIL._ INSTFILL -p..IF -' ..... l ..... . ...... T'"' ...... :, '., .:, ;:. 't .'.t f: ...... .,?I":,F:I,I'.4[::E: kt .. T r'~ '!"HE ]: [,ES; -'!i:: i UNE:,ERZ"f'FtN[:' THFI]" THE G',N-[-];! ~,::. ZEFtER '5'¢'.E;"f.'[.::M F..:E':J 1[ [:,ENCE i :5 F:EMO[:,ELE[:' TO I NCLLt[:,E l"iOI:~:E THFI~-,! .......... --.. F!i::'F'L Z E:F!?',Ff'J'f) CF. Lqb4 "7~ "':': FT:, 8'?'. ......... ..,L ............................................................................................ : -% MUNICIPA'LITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST [] SOILS LOG PERCOLATION TEST 1 2-- 3 4 5 6 7 8 9 10 11 12 SLOPE WAS GROUND WATER ~/ S ENCOUNTERED? ·/V/*) ~) P E IF YES, AT WHAT DEPTH? DATE PERFORMED: ~'(jt~qe~. L'/O } }O~;:~. SITE PLAN 13 15 16 17 18 19¸ 20-- Gross Net Depth to Net Reading Date Time Tim'e Water Drop 5~ " 8: z~ /o ~,,~ 3, Y~ %" R¢,~r, 5!<i No. ~ 4..~ ?'-£ ..... TEST RUN BETWE[ ' 72-008 ETWEEN ~ FTAND & (minutes/inch) FT .~,Tir,-~ k, Time ' // Inspector Inspector Inspector Comments Conditional Approval Date 8ewer Inst~lled Permit No. 8eptio Tank Size Holdin~ T~nk Size · 8oil8 R~ting Well To Absorption Area Well Log Reoeived Well to T~nk APPLIOANT ~ILL~ OUT LOWE~ HAL~ ONLY P~operty Owne~ ~ , ~ ~ ~ ~' Phone MailingAddr~ ~ /~7~ ~~ ~/~ Buyer Address Lending Institution ~~ ~ ~ ~ ~//~ Phone Address ~/~~ ~/~ Realty Co. & Agent ~ ~ / _ ~Z~--~/~ / ~' ~~~ Phone Address /~ ~ ~ ~ ~~ 8troot Cocation Type 9f ~dence ~ingle Family ~.. Q Multiple Family No. of Bedrooms ~ Other Wate~ S~ty ~ndividual A~ACH WELL LOG. A well log is required for all wells drilled since June ~ Community 1975. For wells drilled prior to that date, give well depth (attach log if ~ Public Utilit~ available.) Sewa~posal ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION d. D. CROW SR 2 Box 1675 Eagle River AK Subject Property: Lot 5 Block 8 Mile Hi Subdivision; Dear Mr.' Orow: A water sample was drawn at the subject property on 1-14-82. The analysis was satisfactory. The well is constructed properly and meets minimum distance require- ments from the sewer system. The sewer system is without a septic tank and consisted of a seepage pit only. There wasn't any overflowing sewage, which would indicate a failing system. This letter does not constitute a full health authority approval from this office. Any questions please call this office at 264-4720. Robert C. Pratt a.s. Associate Specialist ? z /- /// o ~ o ~ ° Rick Mystrom, Mayor Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 January 26, 1998 Robert C. Cowan,PP.E. S & S Engineering 17034 Eagle River Logp Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 5 Block 8 Mile Hi Subdivision #1 Waiver Request #WR980002, PID #050-205-50 Dear Mr. Cowan: Your request for Waiver(s) of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance(s) are the private well on the referenced property to the septic tank on the referenced property of 85 feet; the well on referenced property to the leachfield on the referenced property of 97 feet and the leachfield to the west property line of 3 feet. This waiver approval applies to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-site Services Program ljm:#6 Nelson ~. ~ MUNICIPALITY OF ANCHORAG~'~ ' Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR980002 PID~ 050-201-50 HA~ Date Received: 3anuary 9, 1998 Legal Description: Lot 5 Block 8 Mile Hi Subdivision #1 Engineer: permit 99477 Robert C. Cowan, P.E., S & S Engineering 17034 Eagle River Loop Road) Suite 204, Eagle River~ Ala~kR Jeffery A Nelson Applicant: Waiver Requested: Lot line waiver of 3 feet from the leachfield to the we~t property line; septic tank and w~ll~on referenced propert~ of 85 feet and the we]] to leachfield on referenced lot of 97 feet Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability Do Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: Points: 3. Other: Waiver is Granted: ~ List Conditions or Reasons for above Rec' #: B Amount: $ 2.4 /.s;, ? ;utmiCn,A iW or Attn: Dan Roth January 8,1998 ROBERT C. COWAN, P.E. HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAD OESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN Department of Health and Human Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 5; Block 8; Mile Hi Subdivision #1 Dear Mr. Roth, CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Request you grant a waiver for the horizontal separation distance between the lcachfield and the west property line at 3 feet. We do not anticipate any adverse effect on the adjacent property. Request you grant a xvaiver for the horizontal separation distance between the septic tank m~d well on the referenced property at 85 feet and from the leachfield to the well on the referenced property at 97 feet. The mitigation factors involved which support the issuance of the waivers are as follows (see attached well flow test and neighboring well logs): 1. The distance from thc bottom of the leachfield to the water table is 40'+. The soil in the area is predominantly silty sand and gravel with small amounts of clay. This soil type is in the middle range of the soil sorption factors. The referenced property has a silt or sandy clay soil type. This lies in the middle range of the permeability factors. The well to leachfield has a 98% water table gradient sloping away from the water source. Since the well and leachfield are on approximately the same contour line while the natural slope of the area is 25%+, the gradient is said to be slopping away from the water source. 5. The well to lcachfield has a horizontal separation distance of 97 feet. 6. The water sample taken on 12/23/97 indicated a nitrate level of 1.57 mg/l. According to MOA files, the horizontal separation distances from the well to the tank at 85 feet and from the well to the trench at 98 feet had been approved at the time of construction. We understand the waiver fee will be waived due to this situation. The above information is provided to insure a formal waiver is in place. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/¢ 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1"=60' SCALE SITE PLAN J WAIVER REQUEST ROBERT C. COWAN, R E. ROBERTA. SHAFER, RE. HEALTH AUTHORITY APPROVALS SEWER&WATER MA~N EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SiTE pLANS ROAD DESIGN SO[LTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE W~STEWATER DISPOSAL SYSTEM DESIGN WELL FLOW TEST DATA CLIENT: LEGAL DESCRIPTION: WELL DEPT.: DATE DRILLING COMPLETED: ~///~__., DRILLER: CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MISC. DATA: CASING HEIGHT: /~ t- SANITARY SEAL: WIRES IN CONDUIT: t·) ~ GRADING O.K.: BACTERIA AND NITRATE SAMPLES COLLECTED (date): TEST DATA: METER PUMPING DEPTH TO CLOCK READING RATE WATER REMARKS TIME (GAL) (GPM) (FT) /z'. Iq ' /.'~ / Z ~ /~ 7 ~, 5~ / ~/' ._....£ RESULTS: WELL CURRENTLY PRODUCES ~ ...~"-'" GPM WITH A ~:)_~ DRAWDOWN FLOW RATE NOT GUARANTEED--SUBSEQUENT VARIATIONS CAN OCCUR. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 DEC-31-1997 88:11 CT&E ESI ANCHORAGE ',~ CT&E Environmental Sendces Inc. 90?5615301 P.04/07 CT&E ReL# 977694003 Client Name S & S Engineering Project Name/# N/A Client Sample 11) ~t 5 Bk 8 Mile Hi Matrix DriVing Wa~r Ordered By PWS~ S~,nplc Remarks: Resut ts PQL Units Method Nitrate-N Uaters Department Analyses ToteL Coliform 1 0.00 Client FO~ Printed Date/Time 12/30/97 14:30 Colleeled Date/Time t2/23/97 13:05 Re:eived Date/Time 12/24/97 12:40 Technical Director: Stephen C. Ede ALlOwabLe Prep Analysis Limits Date Date Init 0,100 mg/L EPa 300.0 10 max col/lOOmL SH15 92Z28 12/24/97 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 OSC251486 Parcel ID 050 -201-50 Expiration Date: Legal description MILE HI #1 BLK 8 LT 5 Site address 22035 UPPER CANYON DR Current property owner(s) BROWN TAMARA M ............... X The On-site system(s) is/are approved for 4 bedrooms 10/16/2026 Conditional approval for bedrooms, with the following stipulations: Comments or conditions: No comments z. By Original Certificate Date: 10/28/2025 ThiseCificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject s/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Absorption Field Advisory Tank Age Advisory Other Well Flow Advisory X Nitrate Advisory Arsenic Advisory Development Services Department Phone- 907-343-7904 On -Site Water & Wastewater Section Fax:' 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-201-50 Complete legal description MILE HI #1 BLOCK 8 LOT 5 Location (site address) 22035 UPPER CANYON DRIVE EAGLE RIVER, ALASKA 99577 Current property owner(s) BROWN TAMARA M Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: FEW Private Well serving # 1 dwelling units F-1 Other Non-public well as regulated by MOA ❑ Water Storage F-1 Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic M Private Septic serving 2 dwelling units M Holding Tank M Community Septic or Public Sewer 6. SEPTIC TANK: A] Steel ❑ Plastic M Concrete r_1 Fiberglass Age 25 _ See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: E] AWWTS ❑ Bed 0Deep Trench ❑ Wide Trench 0 Seepage Pit Waiver request for: Distance: Expedited review requested: M By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee Waiver Fee $ Date of Payment Date of Payment COSA # Waiver # COSA Apphcatjor1_Apr2025.doc COSA Checklist_May2025 .docx COSA Checklist Legal Description: MILE HI #1 BLOCK 8 LOT 5 Parcel ID: 050-201-50 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 6/27/2000 Total depth 200 ft Cased to 61 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18 in. Date of flow test for COSA 10/16/25 Static water level at beginning of test 58 ft. Well production at time of test 0.5 gpm Water storage tank volume None gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 2.47 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 10/16/25 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping 10/14/2025 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. DISPOSAL FIELD DATA Which system tested (date installed) 7/6/2000 ALL standpipes present per record drawing Total measured depth from grade 14.3 ft (max) Measured depth to pipe invert from grade 6.1 ft (min) N/A – pressurized field. * Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) 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 2000 gallons 10/15/2025 date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date 10/16/25 Results Pass Fluid depth prior to test 48 in Water added 600 gal New fluid depth 66 in Elapsed time 1440 min Final fluid depth 47 in Absorption rate 600 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 96 in (MOA 8.02’ ED) Effective depth used 47 in (Final Fluid Depth) Effective depth remaining 49 in Comments/Deficiencies: *Per inspection report (IR) west half of trench is insulated. COSA Checklist_May2025 .docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Disposal Field on Lot > 100’ Yes if No ft Neighboring Disposal Fields > 100’ Yes if No ft Sewer Line/Main > 100’ Yes if No ft Sewer Manhole/Cleanout > 100’ Yes if No ft Sewer Service/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 N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10’ Yes if No ft Field to Foundation > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No *0+ ft Water Main/Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *MOA WAIVER AMENDED 2000. 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 FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 10/24/2025 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 these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 10/24/25 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT907-343-7904 On -Site water and wastewater Section t j Fax: 343-7997 www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC251486 Subdivision: Mile Hi #1, Block: 8, Lot: 5 This well's productivity was determined to be .5 gallons per minute. The recommended well productivity under (AMC 15.55) for a 4 -bedroom residence is .41 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum recommendation, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT � r 'tel 907-343-7904 On -Site water and wastewater Section =U ti ,ll Earp: 343-7997 www.muni.org/onsite -- � Septic Tank Advisory Certificate of On -Site Systems Approval # OSC251486 Subdivision: Mile Hi #1 Block:8, Lot: 5 The septic tank for this property is 25 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $15,000 or more, not including engineering, surveying, MOA permitting fees or site restoration. Steel septic tanks utilizing "Coal Tar Pitch" coatings are subject to corrosion as the steel reacts to water and rusts. These tanks have a finite lifespan buried in the ground. These tanks can become structurally compromised and pose a health risk. They could collapse and/or leak untreated wastewater directly into groundwater. In the interest of protecting public health and the environment, the Municipality of Anchorage Development Services Department has issued Policy W.05 Standard of Care Regarding the Inspection of Steel Septic Tanks when Performing COSA Inspection. Please request a copy of this policy from the Department if interested. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Mailing Address P O Bax 196650` Anchorage, Alaska 99519 6650 wwyr muni org Sj"ZpP61)�-'V� t f S 53o$AS/S E 105.45 � 2$ f (P) R>3?0 Q A `,19,913 00, /r3 50 05 �() RECOV. 5/8'• REBAR (TYP) o y 2.6' m aG 22.7 44.8' EXISTING fl PORCHE N HOUSE N 1 1.4' 140' 0PORCH ^148,r 11.1' WOODEN PATIO 2.222 CANT `tl GRAVEL DRIVE of M �� 2 NOTE: THIS RECERT OF 2/12/03 REPLACES THAT OF 2/3/03, WHICH HAS THE HOUSE 2.3' TOO LONG 2/::11:2:/03 AND TOO NEAR THE WESTERLY LINE. [7/10/00 ww N10 N � - cD Q o 6 66• I 4" PVC SEPTIC STD -PIPES (TVP) 0 12. 1 O CLOSEST STANDPIPE 0.7' 5� INSIDE LINE is N 590 9 36°E 42.94 A`65.69' (M) 65.97 (R) S 73°03'51 636 a7 (R1 C) W 42.94 fREC}) R=270.00' g 73*00'E n -...� -UPPER CANYON "RIVE 12/1/97 DATE RECERTIFICATION 57-73 RECERTIFICATION 48-25 AS—BUILT, STAKE 40-78 FLD. BK. .�' %♦AF AF e Wilda D. Flemin fes; • LS -5773 9' b`°tesaton®1 L° �4r NOTES: Easements not appearing on record subdivision plat are not shown unless description of easement is provided by client. It is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to finish grade and utilities connections: and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Elevations based on assumed datum unless otherwise indicated, and bearings and distances are record data. SS Engineering S&S 17034 EAGLE RIVER LOOP ROAD JEngineering EAGLE RIVER, ALASKA 99577 (907)694-2979 LEGAL DESCRIPTION LOT 5, BLOCK 8, MILE—HI SUBDIVISION REMAINING CORNERS SET WITH ADDITION N0. 1 5/8" x 30" REBARS. PLAT NO. SCALE GRID 70-26 1" =40' NW 58 5 N N w w SHEDS � u) 'q- ' M 25 4' j N N Z z 13d 8.0' o y 2.6' m aG 22.7 44.8' EXISTING fl PORCHE N HOUSE N 1 1.4' 140' 0PORCH ^148,r 11.1' WOODEN PATIO 2.222 CANT `tl GRAVEL DRIVE of M �� 2 NOTE: THIS RECERT OF 2/12/03 REPLACES THAT OF 2/3/03, WHICH HAS THE HOUSE 2.3' TOO LONG 2/::11:2:/03 AND TOO NEAR THE WESTERLY LINE. [7/10/00 ww N10 N � - cD Q o 6 66• I 4" PVC SEPTIC STD -PIPES (TVP) 0 12. 1 O CLOSEST STANDPIPE 0.7' 5� INSIDE LINE is N 590 9 36°E 42.94 A`65.69' (M) 65.97 (R) S 73°03'51 636 a7 (R1 C) W 42.94 fREC}) R=270.00' g 73*00'E n -...� -UPPER CANYON "RIVE 12/1/97 DATE RECERTIFICATION 57-73 RECERTIFICATION 48-25 AS—BUILT, STAKE 40-78 FLD. BK. .�' %♦AF AF e Wilda D. Flemin fes; • LS -5773 9' b`°tesaton®1 L° �4r NOTES: Easements not appearing on record subdivision plat are not shown unless description of easement is provided by client. It is the responsibility of the owner or builder, prior to construction, to verify proposed building grade relative to finish grade and utilities connections: and to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Elevations based on assumed datum unless otherwise indicated, and bearings and distances are record data. SS Engineering S&S 17034 EAGLE RIVER LOOP ROAD JEngineering EAGLE RIVER, ALASKA 99577 (907)694-2979 LEGAL DESCRIPTION LOT 5, BLOCK 8, MILE—HI SUBDIVISION REMAINING CORNERS SET WITH ADDITION N0. 1 5/8" x 30" REBARS. PLAT NO. SCALE GRID 70-26 1" =40' NW 58