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HomeMy WebLinkAboutFOREST RIDGE BLK 2 LT 7 CD z ry 41.1 ;0 LOT 8 559883 SQ.FT. S84*54#59 WIN "E 247.07p (R) /011 ly .............. TWO—STORY OT 11 DETAIL.- HOUSE FOOTPRINT ............... ...... 4.0 37.3 .4.0 TWO—STORY HOUSE ....13.6 ... to -2.5' to NORTH V_ ......... 26.2 ........ SCALE. 10 = 20' N HOUSE 47,065 SQ.FT. :;A LOT 71 `� 499700 SQ.FT. 0. 0S C) 0 S76-56 '441 mima%, 6 INI LOT 6 52,312 SQ.FT. LOT 12 49,121 SQ.FT. r SURVEYOR CERTIFICATE: AS -BUILT I HEREBY CERTIFY THAT I HAVE PERFORMED AN AS —BUILT SURVEY ON THE PROPERTY SHOWN HEREON AND THE IMPROVEMENTS EXIST AS SHOWN. FIELD SURVEY: 9/7/24 9/14/2024 TAYLOR L. DOSCH, PLS 189892 OWNER, BLUE ARROW SURVEYS, LLC AW AdW • ANW, 0 Q -m 0 0 0 0 9 *-* 0 0 0 0 i 0 0 0 Taylor L. Dosch No.189892 9/14/24 �?Opis S ION 0 SANITARY SEWER STAND PIPE (-P SANITARY SEWER MANHOLE C) ORNAMENTAL VEGETATION LOT BOUNDARY ADJACENT LOT BOUNDARY -------- 10' TELECOM AND ELECTRIC EASEMENT R/W CENTERLINE EDGE OF PAVEMENT CONCRETE r­w- --W— _W­07 GARDEN ROCK GARDEN ............................... BUILDING -------- DECK DRAINAGE FEATURE H—]m Ai i i A a 0 A A w Sol 0 a a # a wo A 0 A *0o 1 a "=172FA AK 1w A Irw as 0 Am* Nk -------- -- B L U E �RROW S U R V E Y S 6421 ANDOVIER kCIIIIR, ANCHORAGE, AK 99516 F)HONE: (907" 2350-1225 FMAIL TAYLOR@BLUEARROWSURVEYS.COM AS-BUIL T.9 LOT 7. BLOCK z$ FOREST RIDGE SUBO. ANCHOR4GE RECORDING DISTRICT DRAWN BY: DATE: FIELD BOOK: TD 9/14 2024 l�01-23 B AY: SHEET: LE A OF 1 cn 0 z 10 U) 0 ni RECORD DRAWING ;'CO 23.4 31. 1 C/L OF DRAINAGE FEATURE, LOCATION 556.4 25.6 PER 917/2024 BLUE ARRO'ili SURVEY--\ 62.9 25.0 BASED UPON GEG CONSULTAi'T, K.0)" MAUS' L NOTE: PIPE LOCATIONS ARE SITE VISIT ON 9/24/2024, THE DARK BLUE SHADEED SHOWN PER GEG SHOTS AREA IS APPROXIMATE BOUNDARIES OF TAKEN WITH LEICA DISTO MARSHY AREA THAT HAS LARGER AREAS OF S910 LASER DISTANCE 'POOLING WATER N'DIAMETER SIZE POOLING). METER. SWING -TIES TO POOLING IS RANDOM AND NO APPARENT WATER HOUSE CORNERS WERE GENERATED IN AUTOCAD. WAS OBSERVED TO BEFLOWING/MOVING. No DEFINITIVE STREAM OF WATER WAS OBSERVED BASED UPON GEG CONSUL-1-ANT, JODY MAUS'SITE VISIT ON 9/2412024, THE LIGHT BLUE SHADED AREA IS APPROXIMATE BOUNDARIES OF MARSHY AREA THAT HAS RANDOM SMALL AREAS OF POOLING WATER (-I'-2'DIAMETER SIZE POOLING)--\ PARCEL ID NUMBER: 017-112-92 0 APPROXIMATE • A, LOCATION OF TOE OF SLOPE 0 c • m.- 29# MH 1 MH2 113'± • mF-,vv 1500 GALLON I N EPDXY COATED STEEL STEP TANK SCALE: in = 40' tow EXISTING DRAINFIELDS _44 NOTE: RRESPONDENCE WITH MOA ENGINEER, CURTIS TOWNSEND, P.E., IT WAS AGREED THAT A REMOTE MONITORING SYSTEM MUST BE INSTALLED TO NOTIFY THE SERVICE PROVIDER IN THE EVENT OF A HIGH LEVEL CONDITION. A SERVICE CONTRACT HAS BEEN ESTABLISHED BETWEEN THE OWNER AND ARM SEPTIC SERVICES (SEE ATTACHED EMAIL). THE MARSHY METLAND AREA SHALL BE INSPECTED IN THE I SUMMER OF 2025 TO SEE IF SURFACE WATER IS STILL PRESENT. ft ft EXISTING 4 BEDIROOM HOUSE ff;t GARNESS ENGINEERING GROUP, L td -4C, SUM PREPARED FOR: PHONE NUMBER: PAGE NUMBER: E� OZA 7114 PETRALCM 301-646-,8729 LEGAL DESCRIPTION: DRAWN BY: �FUWEST ROE; MCCK Z LOT 7 -10 " TYPE OF WORK DATE: SEP-a'dC TAW ROXM MAVV94M 11.N20251 • 4010LIk ♦. OF too A # #4 �*A LICENSE #AECC884 PERMIT NUMBER: RECORD DRAWING PARCEL ID NUMBER: OSP231347 017-112-92 A B C/L OF DRAINAGE FEATURE. LOCATION d FCO 23.4 31.1 PER 9/7/2024 BLUE ARROW SURVEY N MH1 56.4 25.6 * \I v ` MH2 62.9 25.0 BASED UPON GEG CONSULTANT, JODY MAUS' SITE VISIT ON 9124/2024, THE DARK BLUE SHADED AREA'r ,� TE: PIPE LOCATIONS ARE t!14 HOWN PER GEG SHOTS IS APPROXIMATE BOUNDARIES OF MARSHY AREA a 1 TAKEN WITH LEICA DISTO S910 LASER DISTANCE THAT HAS LARGER AREAS OF POOLING WATER L e_C. (>2' DIAMETER SIZE POOLING). POOLING IS '6 METER. SWING -TIES TO HOUSE CORNERS WERE RANDOM AND NO WATER WAS OBSERVED TO BEowl APPARENTLY FLOWING/MOVING. NO DEFINITIVE r GENERATED IN AUTOCAD. STREAM OF WATER WAS OBSERVED 0 BASED UPON GEG CONSULTANT, JODY J V MAUS' SITE VISIT ON 9/2412024, THE LIGHT J BLUE SHADED AREA IS APPROXIMATE BOUNDARIES OF MARSHY AREA THAT HAS RANDOM SMALL AREAS OF POOLING' u'J \ WATER (-1'-2' DIAMETER SIZE POOLING) �G 1F? 4� a � lirctt r� u vi ITSLo Vet Ps ftw O )� 1 APPROXIMATE fgaA4, 6 • \` i A LOCATION OF TOE • DRI OF SLOPE _ EXISTING, , • 4BEDROOMI O HOUSE Z ��: r I 29't • �� O • • • )] Millti IMH2 • n ° < 43'} � i m � NEW 1500 GALLONEPDXY • COATED STEEL STP TANK %( • / \ EXISTING \\�\u\ DRAINFIELDS '• � 53't � • / SCALE: \! 6 t t Y1• I V 40' N +S7R r*/Ll/`xJ OF AV 49 GARNESS ENGINEERING GROUP, Ltd 0.....ir ..................................n.....� ENGINEERING SALES CONSULTING -Vr TUf)JR ROAD. '�U�'I^.I`P.N' 1ryACE.A+B950�'M'ONE'37%33�-".t]d'-AK,S„I�x}3.. t5 AEF.�1?F .. 3,; ,cse ] ?.:r, �tn........nt.......ut.uuuuntn....`■ uIF PREPARED FOR: PHONE NUMBER. PAGE NUMBER: c 1 �: Jeffrey A. Garness z Mir ELIZABETH PIETRALCZYK 301-646-8729 2 OF 3 ♦ �J, •. CE-7953 r LEGAL DESCRIPTION: DRAWN BY: ♦♦ ��'•.� �.•• t FOREST RIDGE; BLOCK 2, LOT 7 J.L.M. TYPE OF WORK: DATE: LICENSE +,1 "" ASS` " SEPTIC TANK RECORD DRAWINGS 9/24/2024 #AECCBB4 ��\��`►��� MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231347 Work Type: SepticTank Upgrade Tax Code Number: 01711292000 Site Legal Address: FOREST RIDGE BLK 2 LT 7 G:3137 Site Mailing Address: 15001 SOUTH WINDSOR CIR, Anchorage Owner: PIETRALCZYK ELIZABETH & MARC R Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: , Expiration Date �t»cnC _ I rw Department Lot Size in Sq Ft: Total Bedrooms: 10/13/2023 10/12/2024 45700 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: • An alarm is to be installed in the interior of the house. By: —I --S5 Ued - f o (7 e 5 Date: Issued By: Citi Date: 0 2 4 NICPAUTY OF ANCHORArk GE Develo went Services Department x p P �� Phone. 907-343-7904 On -Site Water & Wastewater Section - Far: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 017-112-92 Property owner(s) ELIZABETH PIETRALCZYK Day phone 301-646-8729 Mailing address 15001 S. WINDSOR CIRLCE *ANCHORAGE, AK 99516 Site address Legal description (Sub'd., Block & Lot) FOREST RIDGE; BLOCK 2, LOT 7 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial Single Family (SF) 0 Septic Tank 0 Upgrade EJ(w/wo AD U) Holding Tank ❑ Renewal ❑ Duplex (D) El Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:2/2 .S Waiver Fees: Date of Payment: IOl 0/ 3 Date of Payment: Receipt Number: 072376: Receipt Number: Permit No. ?_ -j )3 4 7 Waiver No. G\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc 11ILI Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231347, Deb Wockenfuss, 10/13/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231347, Deb Wockenfuss, 10/13/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231347, Deb Wockenfuss, 10/13/23 S O U T H W I N D S O R Taylor L. Dosch No. 189892 R E GISTEREDPROFESSIO N A L L A N D S U RVEYOR Municipality of Anchorage Page. 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: 5'~/d33~ PID Number: "em°:/U,~¢o~ ~y~T~~ Wastewater System: ~ New ~ Upgrade ~q'O ~ ~ " ABSORPTION FIELD ~~, ~< ~S/~, = Deep Trench ~ShallowTrench DBed ~Mound ~Other Township: I Range: I S~ion: Fill idd~ I~ o~glnal grade: Gm~I length: WELL: New Upg rade SEPARATION DISTANCES ~ Septic ~ Holding ~S.T.E.P. WelY /~/ / Z~ ~ ~ ~ ~ MateHal:~L Num~rol ~mpadments: Surface w~t~, /~ ~ ~o~ ~ ~ '~ - LIFT STATION 'Pump on" level It: ~ I 'Pump o~ I~el at: I High water ala~ at: Foundation /~' /~ /~ ~ ~' f" ~I Remarks: '" ,, ' ' ,BENCH MARK Inspections pe~ormed by: =.-~-=~... ~..~.~ Dates: 1st ~-7-~ Department of Heal~ an~ Human Se~ices approval Reviewed and approved by: Date: ~ - 7 - ?~ -*".;~;.:_~. ''~' ....... ' ..... Permit No,Sw940334 Page 2 of 2 Municipality of Anchorage 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 . FOREST EIDOE SUBD.; BLOCK 2, LOT 7 Legal Description: 01711292 PID No.: I00.0' 99.9'~ /(~t~ (~1~ /MT3)i MT4)-- I 97.8~ ~ 93 8 ....................................................................................................... ,'~' ~" '- {' ~'7'"'""; ................................................. ~ 93,8!. ~ ia858 NO ~ATER FOUND t\ { } A B C ~ { i C02 175 - 542 'l ~ i MH t?.5 - 56.~ { A ~ { { ~2 {5.5 2o.o - { A B C 3t,O ~ 22.5 19.0 - 47.5 17.5 54.2 17.5 56.2 11.5 30.5 - 15.5 20.0 - 70.5 74.5 - 73.5 82.0 - HOUSE 15~ ~0 CAL. S.T.E.P. {SYSTEM PRESSURE DI~T. DRAIN!ELDSo.. RO£ERT C. COWAN CE-8801 LOCATION OF WELL LOCATION/SKETCH: DEPTHS MEASURED FROM:I-~CaSi~g top I-Iground eudace g0REHOLE DATA: Depth Matedal Type end Color From . To STATE OF ALASICA DIVISION OF WATER WATER WELl. RECORD WELL DEPTH: Depth of hole: .... Depth of caslog: DATE OF COMPL IO ,t q I STATIC WA~ER LEVEL: ..ftbel0w ~ top of Casing ~) ground su~lac* M~HOD Or DRILLING: ~ a;r tote~ ~ cable tool other U~E OF~LL= ~domostJo ~ Irrigation ~ mo~tor DUbl;c s~ly ~ other ~stng type: ~ jrt, to ~LL I~AKE OPEN~ ~PE~ '~ open end perforated ~ ope~ hOtO Depths of op0oings: tO _ .. It SCREEN TYPE: in. SloUMesh Size: It GItAVEL Depth to top: DEVELOPMENT METHOD: Volume: ft tO PUMPING LEVEL AND YIELD: It alter hfs pumpiog PUMP INTAKE DEPTH: It Horsepower: WELL. DISIflFECTEO upON COM~L~-TION? C~ YES REMARKS: pLEASE MAIL WHITE COPY OF LOG TO: DNR/DIVt$ION OF WATER PO BOX 772116 EAGLE RIVER AK 99577-2116 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE I OF ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW940334 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:NORCOL INVESTMENTS OWNER ADDRESS:2340 LOREN CIRCLE ANCHORAGE, AK 99516-2675 DATE ISSUED: 9/02/94 EXPIRATION DATE: 9/02/95 PARCEL ID:01711292 LEGAL DESCRIPTION: FOREST RIDGE BLK 2 LT 7 1 LOT SIZE: 45700 (SQ. FT.) ~ER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CON'rKUCTION 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) 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: A TEST HOLE SHALL BE DUG DURI} RECEIVED BY: v/_ ! ~//~ ISSUED BY: ff~~~( ~G~NSTRUCTION TO VERIFY SOILS ~_~//SITE. _ DATE: MUNICIPALITY OF ANCHORAGE ~.~^LrmCR~ Department o~ He~h and H~an S~vic~ P.O. Box 196650 An~o~, AK 995~9 Aagu~t 23, 1994 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 REFERENCE: Lot 7; BZock 2; Forest RZdge S, bdiuZ6on ~ ~o ae~ue a ~ou~. be.c~too~ ko~e ~ be ~ed O~ ~ p~op~. T~ ho~ ~e ex~u~cd ~nd p~co~o~ ~ p~o~. The ~pprox~ate lo--on o~ ~he t~t hoL~ ~e lo~ed on the ~e p~n. The mo~o~ng ~b~ ~ ~e t~ hoL~ ~ve been ~e~ on the ~ ~e p~n. ~e ~ ~ot ~p~ ~ny e{{e~ on n~ghbo~ng prop~ by the i~n o{ the proposed ~ ~n be ~e~ on the ~ ~e p~n. The p~ed ~ 4~e {o~ ~ Zot ~ been moved to ~e ~n 17034 NORTH EAGLE RIVER LOOP * SUITE 204 * EAGLE RIVER, ALASKA 99577 ILEGAL DRAWN LOT 2 J. ANDERSON J CKD. FOREST RIDGE SUBDIVISION, BLOCK 2, LOT 7 R.A.S. IDATE 8-11--9J4\MT. DESIGN CRITERIA: 4 BDRM = 600 GPD SOILS -- 0.6 GPD/SO.FT. 600/0.6 -- 1000 SO.FT. REO'D DRPiE ~J pRJ~O. 1500 S.T.E.P. 1 OF2 LOT 8 STRUCTURES, EAS£M[NTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS-BUILT SURVEY DRAWN BY: GASTALDI LAND SURVEYING IT I$ THE RESPONS1BILTIY OF' THE CONTRACTOR/ TO VERIFY EASEMENTS, REQUIRED SEPARATION [~ DISTANCES. AND PROPERTY LINES PRIOR TO "~ CONSTRUCTION. TRENCHES: 5' DEEP \ 4' EFFECTIVE 2.5' WIDE 126' TOTAL LENGTH \ (2~63' LONG EA.) \ \ 4 BDRM HOUSE LOT 7 PRESSURE DISTRIBUTION J TRENCHES ~ CLIENT PRESSURE DISTRIBUTION PUMP=20 OSl 05HH-5 STAGE(~50 GPM)LAT.GPM/ 4 LATERALS ~ 51.5' LONG EA.=7 7 HOLES/LAT.(5' 0.C.)-$0 HOLES TOTAL ='~ 1 GPM/HOLE I/4# DIA. HOLES FACED DOWNWARD I-- DIA. LATERALS 2' DIA. SOLID MANIFOLD SYSTEM: LOT 6 CONTRACTOR IS REOUIRED TO OBTAIN UTILITY LOCATES / PRIOR TO ANY EXCAVATION ~' ~-E~'~)WORK. LOT 10 x,WI~ ~SS THAN 3.5 OF X COVER REQUIRE INSU~ON.I Sc \~x LOT 11 ~J Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST ott/~ 1 2 10- WAS GROUND WATER ENCOUNTERED? SLOPE SITE PLAN 11- 12- ~3- -J~.O.H, 14- 15 16 17 18 19 20 IF YES, AT WHAT DEPTH? ~ to w~ ~r/O~ ,~ Reading I~ate Time Time Water Deop PERCOLATION RATE ~'~ imlnutes/mch) PERC HOLE DIAMETER . ~ · ° TEST RUN BETWEEN ...~ AND COMMENTS (~' fX,,'O~', F~c.-...,~.? ;tl, / / [~le River, Alaska ~5 T N I AT ' COL. OI'I¥ 9~ ~45 69~4 P.~2 [~ ~OIL$ LOG I~UNIClPALITY OF ANCHORAGE D£pARI'MENI' OF HEALTH AND ENVIRONMENTAL ~ROTECTION ~OIL~ LO~ -- PERCOLATION TEST PERFORMED FOR LEGAL DE$CRIPTIOt~;~~ sLo-R t"-I i I~[RCOLATION · T£$T : ~ ' "~ , DATE PER FOR ME D:~~-,~ 4 5 G 7 8 g 11 12 13- 14 1 15 16 17 ct J. Corwtn DATE; MUNICIPALITY OF Development Services Department' On -Site Water & Wastewater Section Parcel 1. D. 017-112-92 ANCHORAGE Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: 3 © ^z 1 FOREST RIDGE BLK 2 LT 7 Location (site address) 15001 South Windsor Cir Current property owner(s) Kirchner Mailing address Real estate agent 2. TYPE OF DWELLING: Fx_1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 227-0711 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ $550 Date of Payment 123 -2— Receipt 2Receipt Number ()'Lc( L 1� COSA # OSC211124 Waiver Fee $ Date of Payment Receipt Number 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 NorthRim Eng. Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng 6. DSD SIGNATURE System 0 Approved for bedrooms System #2 Approved for bedrooms Disapproved Phone 694-7028 Date 3/4/20 'Air OF S� * A9TM *� t Steve, Eng, xj c- Qr� �Cl Conditional approval for bedrooms, with the following stipulations: �J, , nN-SITE WATER AND "'0)))))))1)11, B Original Certificate Date: 3-31-Z� The Niunicipality 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 vrork. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Qivt fLG p �-�CUiSiO i Legal Description: FOREST RIDGE BLK 2 LT 7 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 9/30/94 Total depth 103 ft Cased to 103 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 3"6/21 Static water level at beginning of test 24 Comments B. TANK DATA Age of tank(s) 26.5 years Tank type/material septicStl IN Measured operating fluid level in septic tank 3 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 3/23/21 D. ABSORPTION FIELD DATA 10/5/94 Which system tested (date installed) same ❑ ALL standpipes present per record drawing Total measured depth from grade 5 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 017-112-92 Structure served by this system Well production at time of test 8+ gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate 1.65 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by NRimEng Date of Sample 3/10121 C. LIFT STATION ❑ Required maintenance completed Age of lift station 26.5 years Lift station material Stl Comments: STEP Tank fluid level @ Pump "On" Level Adequacy test date 3/16121 Results ❑✓ Pass For 4 bedrooms Fluid depth prior to test 6 in Water added 600 gal New depth 12 in Elapsed time 30 min ❑ Code -required soil cover over field Final fluid depth 7 in ❑ System presoaked Absorption rate 600 and (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community we Septic Tank/Lift Station on Lot > 100' Q Yes Community Sewer Manhole/Cleanout > 100' 2] Yes if No ft [7,/ Yes if No ft Neighboring Tank > 100' R Yes if No ft Private Sewer/Septic Line > 25' r--,1 Yes if No ft Absorption Field on Lot > 100' [Q Yes if No ft Holding Tank> 100' Q Yes if No ft Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' Yes if No ft Yes if No ft if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Yes if No ft n Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' [D Yes if No ft, Surface Water > 100' Q Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Property Line > 10' Yes if No ft Private Wells > 100' Q Yes if No Water Main > 10' Wells on Adjacent Lots: Yes if No ft Community Wells > 200' Yes if No. Water Service Line > 10' ft Yes if No It If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances it less than required) Building Foundation > 10' Yes if No ft If absorption field is under driveway comment below Property Line > 10' Yes if No ft Wells on Adjacent Lots: Water Main > 10' R-1 Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' 0 Yes if No ft Community Wells > 200* Yes if No Surface Water > 100' Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and review of l4unicipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. V, Aw 490 Steve Eng CE 6256 %A;,ww 21� ft ft ft Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 211124 Subdivision: Forest Ridge B 2 Lot 7 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 26 years old. Typical replacement costs range from $8,000 to $11,000 This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 -year-old steel tank MAY look like. PLAT • 86-178 RIDGEFOREST SUBDIVISION LOT 7, BLOCK 2 49,700 75.9' S 84°54'59"E 247.07' co o' M N CANT —, 0. a.0• C37.0' ST O m A.C. DRIVE N EXISTING _ a.o BUILDING • ° N > p tJ O Z �iWELL COVERED 30' ? 13.5'PORCH Ip rn N � O O 0.29' 2.5' e t-0-0 g' tT e 00 �} OD 26.0' DECK r ° ° m 1 "=30' AS—BU I LT I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND ENCROACHMENTS EXIST EXCEPT AS INDICATED. SURVEYING, LLC IT IS THE RESPONSIBILITY OF THE OWNER TO JEFF A. GASTALDI, R.L.S. DETERMINE THE EXISTENCE OF ANY EASEMENTS, 2000 E. DOWLING RD., SUITE 8 COVENANTS OR RESTRICTIONS WHICH DO NOT ANCHORAGE, ALASKA 99507 APPEAR ON THE RECORDED SUBDMSION PLAT. PHONE 248-5454 UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR SW3137 3/22/2021 ESTABUSHING BOUNDARY OR FENCE ONES. ANCHORAGE RECORDING DISTRICT, ALASKA F.B. JOB O. NOTE: NO CORNERS SET TH 1 S DATE 94-22 (Q) SEPTIC SYSTEM of co OF A q is co 4 '9T/� -rteH °•°• �-. •a • m •. Jeffery A. Gastaldi • eo°• LS -6091 R Nrm •.• 3/22/2021 ° professional s 76°56'44 „F 354-.67, 5467• · '--', .......... , ,: /-o'~-- - ~ UUNICIPALITY OF ANCHORAGE ~ .......... ,g~.~ .. * .... * .......... . ~ ..... ..... - ..... --, ................................ .. '.::~:¢:~:g:-:~-::=-.':~:~.'::,, =. ':::= . 'L:::, APPROV~ FOR A S NGLE FAM LY DW~ING ... - .. -~.;... . ~, _ ' :':,~:.:~:,,~. e~l LD.~ 017- , - ...... ;':. :' :'.;.:: :S-O~. ~A q~O0~ - *- ~- - ~ ." "-~.,-'.' · ' *- '- ,' , ' ~ ~*'~'~'~q"o ~ ~,~SC~J ;", ,' ....... .' '*¢~ :' cl-.~ '" Pro~ ownerr .... ' ~0RCOL~ IN~T~E~S~ .......... ~ ..... Day nhone .... ~44.~ . · ........ ;~e~ ~ Lena ng agen~ uav pn0ne ...... ........... Add~ ...... ~':~ ~-'~'~:~I: Unl~ othe~t~ ~u~, H~ will .~ .....,,.---~WAS~A~R DISPOSA~ .. · ......... . ...... - ~; ........... ~..., . ~. Individualon~lte .=. ............... ,..~ ...... z. Holding tank ~ ,:~':j; ;,' :~- ~ ~, · NOT~ ~- If communl~ wastewater ~ ~,., ,. · - .... ..-..-~,,n= ._=a,..,_n_ _,_,..em..... ....... . . · · : . ': 5. STATEME .I~..:,OF INSPECTION BY ENGINEER ., · .;::: -* As certified by my seal affixed hereto and as of the vahdation date shown below, I verify that my. --'.,-:2'.:' ' ! ~':. Inv..~'_.t. igation of this Health Authority App,r.o. vsI apph~t.~on s~hows that the on-site water, supply'. · ~?:!' ." -- ",: 'anc~J0-r ~,~e,~,at~r di-~l:~O'~aJ ~/~t~m'ls'-~, f~J'0~ ~d ad ~:luate for the n ~ mbe~ of ~ rooms"; ' :' .-, ,,--; '.' and ~ of st~ture Indicated herein. I further verier that tm.~d on the Information obtained from· -' -"j":' :'--' v'~ the Munl¢i;~lity o[ Anchorage fil~ and ~rom my In¥~t~ation and Insp~tion the on.~lt~ wator ' -~ . ~.~-! supply ~nd/or watt,water d~spo~ s~tem Is In ¢ompllan~ with all Mumo~lml and Stme ¢od~, __.: ...~--_...-~...--_Na~l~-6fFlrm~ $&$ENGINE£RI_ .. : ,__..- ................. Phone_~p'~/_.z.~7,p.,., . . ,- ..... =----En inear'ssi natu --'" ' ..': .... ":.-' :'-~: '"~: Date. ~_,-.z, t .... .~ ....~ g g ................ ~,,~ . Approved. for. ~ I:~:lrooms. .... . ... ............................ . ,_:.'.'.~.-'.,.,.'.. · *. .,.;.~ . ' / ~. . - ~ . - · _ ..... ~ .... ~ , .. al 'app~.ov If'o; ' be~ .... - "' rooms, ~tth" the ~ollowin~ u~tJon$: · , ,..,,.'.-...,....., ......... ,.-_-, .......... .... _,.,..... ...... The M.u. nlcipality of ,~nc_.h~rage .Department of Hpalth and Human Servi? (DHHS) I~sues Health Authority - Approval ~rtifiost~ ~ only upon fl'~ r~r~n~tions given in paragraph 5 abo,~ by an indepandent . pro[~ional~nginearr~ at,md nth~$t~t~o~Al~k~.Th~DHHSdo~thla~,¢ourt~topum~mo~ho~ ~nd tl'~ir I~ndin~ I n~titut~on~ in order to ~i~ ¢,rt~in ~d~m~ ~,nd st~t, r~uimm~B. £mploy~ of DH H$ do not .¢ondu~t.lnal:~tion* or anal~. ~at~ t~om ~ ¢~ific~t~ i~ i~u~l. Th~ Municipality of Anchora~ i~ not Municipality of Anchorage · Department ~f' He It H[Jrnan'Services HEALTH AUTHORITY APPROVAL CHECKLIST A. Well Data Well type //~:~/~ '7' ~" If A, B, or C, attach ADEC letter. ADEC water system number Log prese~nt/~'~l) I/~":~' Date completed q' /~0/~'Z,~. Driller ,~/D/~I~' · / ~ / /~ ,,~ Casing height, Total depth /D,_~ Cased to Sanitary seal~l) y~.5' Wires properly protected (Y~)/C FROM WELL LOG AT INSPECTION Static water level '(~/ Well flow //~""' g.p.m. Pump leve,1 /~. ~ / SEPARATION DISTANCES FROM WELL TO: SeptiCJ~ tank On lot //z_/~. , Absorption field on lot / ~' O Public sewer main Sewer service line ~..5' I-iL ; On adjacent I(~ts ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~) Nitrate ~,/~) ,,'~'~'/~" / ; , Date of sample: ~- /~ ~ ~ 5' Collected by: B. SEPTIC/H~;;~II~ TANK DATA Date installed /~) .--,~--,-. ~' Z/ Tank size ~,~"~) Cleanouts(~N) /,~ ,¢ High water alarm (~IN) Date of pumping Other bacteda ~ $ & S ENGINEERIN~ 170~1 Eaale River Loop Road No. 2G4 Eagle River, Alaska 99577 ~, ;7~'.~ p Compartments Foundation cleanout(~N) ~/E' _q' Depression (Y~) 5' Alarm. tested (~) .i,"~ ,.5' ,A.Jo SEPARATION DISTANCES FROM SEPTIC/'NOI;~I~,TANK TO: Well(s) on lot /'/-/:2 ' On adjacent lots //:2 ~) To property line /0 ~ Absorption field ,~0 ~ Sudace ware#drainage /~'t> 0 Foundation ! Water main/service line 72-026 (3,,93¥ Fro~t CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Size in gallons /0- Vent ~_~) ~--- J' 'Pump on' level at High water alarm level ~ (~'-- /I Meets MOA electrical cede ~.,~) ~/'~=' .~ / · SEPARATION DISTANCE FROM LIFT STATION TO: D. ABSORPTION FIELD DATA Date installed /(0 - ,5- ~ . Length /~. ~ ' _ .Width Total absorption area /(,7~2 Date of adequacy test ~ ~' Manufacturer /l~ ~ C. H' Manhole/Access~) ~' .'Pump off" Level at ,-~,-~ /*' Cycles tested ~//~ On adjacent lots /'Q ~ 4 Surface W~ter /~7 ~ ./- .Soi rating (GPD/Ft~) '0o .Gravel thickness .Cleanout present) /~,~ · Results (pass/fail) /~/. .System type ,Z~)~°~/~/~-~ Total depth ~-'~,~- Depression over field (Y~ for Bedrooms Water level in absorption field before test (~ After test (~ Peroxide treatment (past 12 months) (Y/N) ~ If yes, give date ~'- SEPARATION DISTANCE FROM ABSORPTION FIELD TO: On adjacent lots /~C3 { ~Z_ Properfyline /o ' , To existing or abandoned system on lot Cutbank .,.~,'"O ¢-/- . . .Water main/sen/ice line ~ -/-- Driveway, paddng/vehicle storage area ~'"(-..~ ! WeIIonlot - /~2~ To building foundation On adjacent lots ~,O Surface water / ~ Curtain drain ,A..)~O ~ E. ENGINEER'S CERTIFICATION..- I certify that I have checked, ye#fled, or co~forrned to all MOA and HAA guidelines in effect.~..th.e, da!e, of thisJnspection. HAA Fee $ ~.~//'0 . ~ Receipt Number ~'0 ~:~ (F"~) Waiver Fee,$, -' Date of Payment Receipt Number. 72-026 (3/93)* Back