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Home My WebLink AboutOVERLOOK ESTATES BLK 2 LT 5Overlook Estates Block 2 Lot 5 #068-041-i1 it //o/ol e Municipality of Anchorage • � rr 41_ , Development Services Department '' =" Building Safety DNlsbn / On -Site Water & Wastewater Program. 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-8850 www.d.anchorage.aicus (907) 343-7904 Page 1 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW980083 PID Number 068-041-11 of 3 Name. THOMAS VICKREY Wastewater System: ■ New • Upgrade Address: 20021 NEW ENGLAND * EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 696-8354 4 ■ Deep Trench D Shallow Trench O wed Olbund DOther LEGAL DESCRIPTION ora Mang: 1.2 my% R. Tem Depth �'" reload 6 7.65 rte Lot: BI«k: Subdivision: D.prh b Pk* bottom from .4ganot grddc Grave depth beneath 5 2 OVERLOOK ESTATES 1.33-2.38 n 'Mc 5.27 n Township: — Range•. — Section: 1 added above enrol grad. 2.0-3.0 n. Crawl lama. 60 rt Gravel etdha *mar Mem WELL: ■ New ❑ Upgrade 2.5 R al 1 Nutmeg b.bwn ens — fe o..a.oton (Prt.el.. &a.Ck PRIVATE Total Depth: 260 ft Cored T. 86.96 ,t, TOW ebearpaon arum 632 so. ft. Pp maWbt D 3034/ F-810 Mien s 1. M M—W DRILLING 5/27/98 2 0 n. K.C. ALASKA INC. Date Instals* 6/8/98 rwx 1.0 Gni Parry set At U.K rt Corkq Wont More Ground: 24• ft. TANK SEPARATION DISTANCES ■septic Molding OS.T.E.P. DOther To From septic Tank Absorption Field Uft Station Holding Tonk PWip/praate S..« un.. Y01M1fOC�`r' ANCHORAGE TANK Coperp m poking 1250 lou of *mer a Well 100'+ 100'+ — — 25'+ STEEL conga bncAc 2 Surface Water 100'+ 1001+ — — - LIFT STATION Lot Line 5'+ 10'+ — — — Ste N`• In plenate.wraetorr: Foundation 5'+ 10't — — — 'pump pre .s et -en err et met miter stem at ~'°p Sol s1pi90ne Curtain Drain NONE KNOWV r«nrnwe by: Remarks: BENCH MARK Location and D.wgtbn: BOTTOM OF SEPTIC TANK ON OUTLET END Mead Dewar 95.02 n amours seAt 000A604p0.;;/ GT& . -.4; % Inspections performed by' AWWC, INC. Dates: 1st 6/8/98 I 4E' SP......% . 2nd 6/8/98 . 's if .140 • /7ed'-i. .times Department of Health red H • n ervices approve and approved by Dien• Date /'l7 f OzOpppOOp��t�oov 4�a C •795 `4: Dim 1=e/wed Municipality of Anchorage t •e.. _�• • 1� Development Services Department •_ : 1 Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907)343-7904 Page 1 of 3 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SW980083 PID Number. 068-041-11 Name: THOMAS VICKREY Wastewater System: ■ New 0 Upgrade Address: 20021 NEW ENGLAND * EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 696-8354 4 ■Deep Trench OShallow Trench OBed OMound OOther LEGAL DESCRIPTION S""abic 1.2 mist,. rt. Total Depth fromeddied s 7.65 a Lot Block: Subdivision: Dean, b bottom ham Gravel dept, beneath 5 2 OVERLOOK ESTATES Piro algid grade: 1.33-2.38 n. pipe•. 5.27 re Township: _ Pangs: _ Seaton:_ oboes . added oboes congaed grade 2.0-3.0 re Gravel WON— 60 n. WELL: ■ New 0 Upgrade Grant wont: 2.5 n, Number anon Distance between In.. of 1 — R Cb.HM1cauw, (what.. A9.C): PRIVATE Tobi Depth: 260 n Cooed To: 86.96 , Told eb.apton ane: 632 so. n Pipe material: D 3034/ F-810 Onion M—W DRILLING Date DSC 5/27/98 stab water Levet 240 n. Intoner: K.C. ALASKA INC. ode IMabot 6/8/98 Telt 1.0 rsu Pump set At U.K n, Cooing Hart Abed. Grout dee8 INCHES n. TANK SEPARATION DISTANCES ■Septic 0Holding 0S.T.CP. OOther To From Septic Tank Absorption veld Litt Station Holding Tank hiwwicet'aa C•podty I, Public/Private Sew lone ANCHORAGE TANK goMoac 1250 Well 1001+ 100'+ — — 25'+ lealsoot STEEL M Number of oangaunanb: 2 Surface Water 100'+ 100'+ — — — LIFT STATION Lot Line 5'+ 10'+ — — — Sue In dolma Ya Mostar: Foundation 51+ 10'+ — — — "Pump en NS et 'P,mp err at lbph water dorm at: Curtain Drain KNOW�'I Pump la.. Electrical Iwveatbn performed tret NONE Remarks: BENCH MARK loo.ton — PROPERTY OWNER WAS NOTIFIED IN JULY OF 2001 REGARDING THE NEED TO EXTEND THE CASING. cad P..alpbwa BOTTOM OF SEPTIC TANK ON OUTLET END — AWWC, INC. RECOMMENDS THAT THE MOA RETAINS THE INSPECTION REPORT UNTIL THE SUBJECT REPAIR IS MADE. 95.02 n. ;� IHGMEEXS od�40� gra pF SEAL Op e..* ':•4 Inspections performed by AWWC, INC. Dates: 1st 6/8/98 2nd 6/8/98 if Department of Health and Human Services approval Reviewed and approved by Date Ott, 0�� OQbk‘‘<:(4°4.14.-- fey . •• s; 0 1 ., C. 7953 : ; ,e;d tPo\S' (nee. 12/00) PERMIT NUMBER: SW980083 ST1 ST2 DBL1 DBL2 C01 MT1 CO2 MT2 A AS -BUILT DRAWING , 40- 70.62 78.66 81.64 84.30 90.31 107.34 138.21 137.00 B 68.05 76.36 79.36 81.95 87.92 101.57 129.22 128.01 NEW 1250 GALLON SEPTIC TANK Cs. 'c i" . ` • N. 'C r.N ALTERNATE SITE O1 DATE: 7/11/2001 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARK ROAD, SIAM 213 • ANCHORAGE, A% 99504 • MORE (907)337-0I79 • FAX (907U16J246 DRAWN BP C.J.G. SCALE: 1"=40' PREPARED FOR: PHONE NUMBER: THOMAS VICKREY (907) 696-8354 PAGE NUMBER: 20F3 LEGAL DESCRIPTION: OVERLOOK ESTATES SUBDIVISION; LOT 5, BLOCK 2 TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE PARCEL ID NUMBER: 068-041-11 NEW DRNNFlEID PERMIT NUMBER; SW980083 AS—BUILT DRAWING PARCEL ID NUMBER: 068-041-11 TOP OF TANK A INLET - 100.00 FINAL00- 104.00+ INVERT OF BUNG AT INLET - 99.42 TOP OF TANK AT OUTLET - 99.90 INVERT OF BUNG AT OUILET - 99.15 FINAL GRADE - 103.7 +/— RIGINAL GRADE - 100.31-101.38 FILTER FABRIC INVERT OF PIPE - 98.98 BOTTOM OF TRENCH - 93.71 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 0EBARR ROAD. SUITE 78 • ANCHORAGE. M 99504 • PHONE (907)337-6179 • FAX (901)3384246 DATE: 7/11/2001 DRAWN BY: C.J.G. SCALE: N.T.S. PREPARED FOR: PHONE NUMBER: THOMAS VICKREY (907) 696-8354 PAGE NUMBER: 3 OF 3 LEGAL DESCRIPTION: OVERLOOK ESTATES SUBDIVISION; LOT 5, BLOCK 2, TYPE OF WORK: PROFILE AS -BUILT DRAWING OF SEPTIC SYSTEM 0 0/3 • °°u ••• •.......• �1;y8e;'oT9es1D00��cd ‘\\400000.„e. 07/05/2001 17:10 3453287 M W DRILLING, INC Pt -W DRILLING, INC P 0 BOX 110378 ANCHORAGE, AK 99511-0378 345-4000 FAX 345-3287 MAtU HU WOAD PAGE 01 W7Il101 TIL Eta 0112at16Y S01DM1I011 MOW tffhfl7 10? 5 (LOCI 1 $EC11011 Q?R3 St/101 701150? 1AA01 I=ll LOU21211001: 1E41 UM 11040 Itillt .101101 MUG Min MI RNA ISM DIMS WNW Ito: (111 CASDK tOP [ J CROOID SOME HELL &S-111ft: UT: OI C81U71OE DEPT Of IOU: 10 Int EMU 17l: DM UW11L MI COO PROM T4 omi Of MC: sum CLOG STIQOP 0 1 DEM TO STATIC UM UM: LRAP/S: STD COu111 1 CM out 05/19/91 no R uta (a 70 Ot cum [ 1110010soma ; CM= Mtf CIT K X CUM Mt: MU DILL 111. NU 1 74 WI 17 1111 UPL UA DIAL ICOM 70 K S1MWIT LW WI MN V11/1 LAW 117 W ZfSMD WS WT HUM IO'US T7AIOMTI0& 1/A t0 11 21( 10 SCIE01 Mt 1/A Dia: LOVES! MD_1001: a QUICK FA. ' IL . • lianiEgIN PAC1 t7Pt MEL 1211127, 2. rom: WOW RT - Wit • OSLO: MUNE OSLO: 1,11170 70P f ii -Ars(( •.N' imiez r i�iim ri :.'111.1!1�.''a - Roo f tti r"----&OKL 2 :I - DEPTH: TRON r to _mammon -- ___- —. ' - .. i ilal1 . .. !l. r J 4.11111 M u . moil ,� 5i 'l .Il f� 7i r • 10ti a • " ' IOPILI of Of Of YtLL MzsT�I (] tt0A112 [ 1 10111101 [ 1(NILS 1 OUP - ' -- ' D,vNt6P�[71oa: 407sa ' RUTIN: 11001 AMR 1100 VD XXX SIIL NIX 10P1 T111C UM IN M. inn HOOKS PORN CPM —ft OMP DRAB, DRP7t I,LL morn OKI CO UTION (1:11111 ( 110 —nit HAMS: 1-YKLUX DID101ASfILt IMO i1Ef RSL • •• NWWA CarHtfad Contractor Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B, — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 June 9, 1999 Municipality of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 Attn: Laura Montgomery REFERENCE: Lot 5; Block 2; Overlook Estates Status of septic system documentation RECEIVED ry�u'IcJUN 11 1999 wept. Health �$ Human Anchorage es A permit (#SW980083) was issued to install the referenced septic system 4/29/98. The septic system was installed 6/98, however the proposed house construction was canceled. When a house is eventually constructed on the property, I will complete the documentation and as -built of the septic system which will be submitted to your department (DH -IS) for review and approval. If you have any questions, please contact me at 337-6179 or 244-9612. Thank you for your istance. ly Jeffr:� Presiden JAG/gd ess,., M.S. F ck Alysfrom, &favor l rnlicipalit of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage. Alaska 99519-6650 http:6www.ci. anchorage.aa.us April 29, 1999 Thomas H & Ellen K Vickery PO Box 771298 Eagle River, Alaska 99577 1298 Subject: Lot 5 Block 2 Overlook Estates Subdivision Permit # SW980083 PID # 068-041-11 The subject permit, issued April 29, 1998 by this office for a single family well and/or on- site wastewater system, has expired as of April 29, 1999. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. James Cross, PE Program Manager On-site Services enc: Copy of Permit Page: 1 Document Name: ENTERPRISE SERVER PARCEL: 068-041-11-000-00 CARD: 01 OF 01 RESIDENTIAL VACANT LAND STATUS: RENUMBERED TO/FROM: 000-000-00-000-00 VICKREY THOMAS H & ELLEN K PO BOX 771298 EAGLE RIVER OVERLOOK ESTATES BLK 2 LT 5 AK 99577 1298 SITE 27509 PARAMOUNT DR LOT SIZE: 53,567 ZONE : R10 TAX DIST: 030 GRID NOTES : REF 050--381-31 ---DATE CHANGED --- OWNER : 04/02/97 ADDRESS: 07/28/98 HRA # : 000000 FINAL VALUE 1997: FINAL VALUE 1998: FINAL VALUE 1999: EXEMPT VALUE 1999: STATE EXEMPT 1999: FINAL VALUE 1999: 49,000 52,700 52,700 0 Date: 4/29/99 Time: 07:39:48 AM ASSESSMENT HISTORY ----DEED CHANGED --- BOOK : 3041 PAGE: DATE : 03/26/97 PLAT : 840287 --BUILDING- ---TOTAL--- 0 49,000 0 52,700 0 52,700 0 0 0 52,700 --EXEMPTION TYPE -- -COMM COUNC EAGLE RIVER Alaska Water & Wastewater Consultants, Inc. 7320 East Chester Heights Circle — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fas (907) 338-3246 September 1, 1998 Municipality of Anchorage Department of Health & Human Services P.O. Box 196650. Anchorage, AK 99519-6650 Attn: Laura Montgomery REFERENCE: Lot 5; Block 2; Overlook Estates Status of septic system documentation RECEIVED SEP 21998 Municipality of Anchorage Dept. Health & Human Services A permit (#SW980083) was issued to install the referenced septic system 4/29/98. This property is undeveloped and a new home is being built. The septic system has been installed, however there are no points of reference to swing -tie the new septic system on the property. Alter the house is complete, or an as -built survey is done, I will complete the documentation and as -built of the septic system which will be submitted to your department (DHHS) for review and approval. If you have any questions, please contact me at 337-6179 or 244-9612. Thank you for your assistan Sinc Jefire Presiden JAG/gk Alaska Water & Wastewater 7320 East Chester Heights Circle — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 July 30, 1998 Municipality of Anchorage Department of Health & Human Services P.O. Box 196650 Anchorage, AK 99519-6650 Attn: Laura Montgomery REFERENCE: Lot 5; Block 2; Overlook Estates Status of septic system documentation RECEIVED AUG 13 1998 Municipality of Anchorage Dept. Health & Human Services A permit (#SW980083) was issued to install the referenced septic system 4/29/98. This property is undeveloped and a new home is being built. The septic system has been installed, however there are no points of reference to swing -tie the new septic system on the property. After the house is complete, final grading is done and an as -built survey is done, I will complete the documentation and as -built of the septic system which will be submitted to your department (DHHS) for review and approval. If you have any questions, please contact me at 337-6179 or 244-9612. Thank you for your assis : nce. Since Pri ip JAG/gk ess, ' M.S. PAGE 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:SW980083 DATE ISSUED: 4/29/98 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE: 4/29/99 OWNER NAME:VICKREY THOMAS H & ELLEN K OWNER ADDRESS:20021 NEW ENGLAND DRIVE EAGLE RIVER, ALASKA 99577 PARCEL ID:06804111 LEGAL DESCRIPTION: OVERLOOK ESTATES BLK 2 LT 5 LOT SIZE: 53567 (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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: DATE:Q 29 98 Alaska Water & Wastewater 7320 East Chester Heights Circle -- Anchorage — Alaska 99504 (907) 337-6179 -- Fax (907) 338-3246 Consulting Engineers April 12, 1998 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 +��\\\l � i :tomP'• / phi 7933 IW/ f • Att., �F9�''•.a....r' + ibON.vwd 5r - Ref: Well & Septic System for Lot 5, Bk 2, Overlook Estates S/D. Eagle River, Alaska. To whom it may concern: The subject property is currently undeveloped. The owners are proposing to construct a four bedroom house, which will require the installation of a well and a septic system. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached is a copy of the soil log. The soil below the organic/loam layer was a gravelly sandy soil, with small cobbles, and numerous thin layers of sand. The percolation rate of the soil, at a depth of 4.5.- 5.0 feet was less than 1 minute/inch. Based upon my visual observation, the soils throughout the test hole depth appeared to be in the 1-5 minute/inch range, and there appeared to be enough thin sand lenses to justify not using a sand filter. The sidewalls of the test hole were stable (no sloughing) indicating that there was enough fines to serve as a binder. It is my recommendation that a deep trench be installed. Neither of the septic systems on the adjacent Tots utilize sand filters. Regardless, if your department deems it to be necessary, we can install shallow trenches, with sand filters. Attached is a design drawing for either option. The specifics of the deep trench design are summarized as follows: 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch. b. Allowable Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 500 ft2 f. Total depth: 8 feet g. Effective Depth: 5.0 feet ) h. Reduction Factor = N/A i. Width: 2 feet minimum j. Minimum Length: 50 feet k Effective absorption area = 500 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: The lot slopes 15%-20% downhill, from north to south, at the proposed trench sites. At the south end of the lot, near the road cutbank, the slope transitions to greater than 100%. There are no slopes, downhill, and within 50 feet of the trenches, that are greater than 25%. In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. Sincerely, Jeffr • . j arness, P.E., M.S. Princi.al rPROPCSED PROPOSED 4 BED HOUSE LOCATIO LOT 4, OVERLOOK ESTATES XISTING SEPTIC LOT 6, OVERLOOK ESTATES POSED SEPTIC AREA NOTEJ THIS IS NOT A SURVEY. THE LOCATION OF ALL WELLS, SEPTIC SYSTEMS. AND STRUCTURES IS APPROXIMATE. THE CONTRACTOR SHALL VERIFY THE SEPARATION DISTANCE FROM THE SEPTIC SYSTEM UPGRADE TO ALL VEILS ON ADJACENT LOTS. SEPTIC UPGRADE' LOT 5, BK 2, OVERLOOK ESTATES PREPARED FORA TOM VICKERY PREPARED BY' ALASKA WATER 8 WASTEWATER DATE' 3/4/98 I DRAWN: WILLIAMS I SCALES 1' = 100' "-PROPOSED YELL LOCATION THE CONTRACTOR SHALL BE RESPONSIBLE FOR HAVING THE LOT LINES ADJACENT TO THE SEPTIC SYSTEM FLAGGED BY A REGISTERED LAND SURVEYOR. THE ENGINEER WILL MAKE TO ATTEMPT TO LOCATE THE LOT LINES DURING THE INSTALLATION OF THE SEPTIC SYSTEM. PROPOSED 4 BORN HOUSE PROPOSED 1250 GALLONI•.;°:."., SEPTIC TANK SEVER LINE UNDER DRIVEWAY ITH 4 INCHES OF BOARD I MINIMUM SOIL COVER SHALL B ROPOSED TRENCH HALL BE INSULATED ATION (4 FEET VIDE). THE 3 FEET. ❑PTI❑N I Fc,, SEPTIC UPGRADE: LOT 5, BK 2, OVERLOOK ESTATES PREPARED FOR: TOM VICKERY PREPARED BY: ALASKA WATER Is WASTEWATER DATE: 4/98 IDRAWN: WILLIAMS I SCALE: 1' = 30' ZI f'•1./ 1 A. Car s; C —7953 •' •d� oi' • ...... • '•'ts. t' `-PROPOSED VELL LOCATION THE CONTRACTOR SHALL BE RESPONSIBLE FOR HAVING THE LOT LINES ADJACENT TO THE SEPTIC SYSTEM FLAGGED BY A REGISTERED LAND SURVEYOR. THE ENGINEER WILL MAKE TO ATTEMPT TO LOCATE THE LOT LINES DURING THE INSTALLATION OF THE SEPTIC SYSTEM. PROPOSED 4 BDRM HOUSE ZABEL FLOW SPLITTER PROPOSED 1250 GALLON( • % ."., SEPTIC TANK • I DOUBLE C/O'S OPTION II SEVER LINE UNDER DRIVEVAY .HALL BE INSULATED ITH 4 INCHES OF BOARD INS ATION (4 FEET VIDE). THE MINIMUM SOIL COVER SHALL B1 3 FEET. PRIMARY TRENCHES. 60 FEET LONG EACH RESERV ENCHES THE TRENCHES SHALL BE 5' WIDE/ AND HAVE A MAXIMUM DEPTH OF 7 FEET. PLACE A 2 FOOT SAND FILTER. 6 INCHES OF DRAINROCK BELOW THE PIPE INVERT. SEPTIC UPGRADE: LOT 5, BK 2, OVERLOOK ESTATES PREPARED BY: ALASKA WATER & WASTEWATER DATE: 4/98 I DRAWN: GARNESS J SCALE: I' = 30' ss; E-7953 VAtorseeUAe eco Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG - PERCOLATION TEST PERFORMED FOR: 'TO 14 VI�/F-eszy D:4 - Eon sk's Ems DATE PERFORMED: �OFc� 5410�� / BK 2\MyM1�I� LEGAL DESCRIPTION: LOT S OVf LDoK- ES Township, Range. Section: 14A' 1A - Q 24. " C:12 .4 SLOPE SITE PLAN 1 2 3 4 5 6 7 8 10 11 12 13 14 15 16 17 18 19 20 ` •s •,0 •♦ • 0 o • • 0' . o a• „ s • o a n• .s e 0 . . 0• .0, 0• COMMENTS le 4., slit/Loavyl sch4Dy CO.Avet r/ SOIL. L m-% NN1'+EaouS cbeeLF-S � 5n -on L�aSES erl-t.4) WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? . S L N /4 O Depth war AAn—tet 4 /14Aa Monibrinp) Dalt t N Sae CA- LE SI LMI Reading Data Gross Time Ne Time Depth to Water Net Drop NM Pt2esoo-tc QapvIRE.fl 1- 5/6%417- en" -c 1 A4?Atta-ES PERCOLATION RATE (minutesnnch) PERC HOLE DIAMETER TEST RUN BETWEEN �" S FT AND S' FT EXCELLexor SatL Nc5 PERFORMED BY Er -e- CiLa.JeSS I SE -F - Gagea--3 S CERTIFY THAT THIS TE T WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE' 4114-�9 8 72-008 (Rev. 4185) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING COSA# 4s L' j2,toco' Parcel I.D. 068-041-11 1. Eac Expiration Date: 6 - Lj GENERAL INFORMATION Complete legal description Lot 5, Block 2, Overlook Estates Su inion Location (site address) 27509 Paramount Drive Eagle River, AK 99577 Current Property owner(s) Ross and Jana Henikman Mailing address Lending agency Day phone Mailing address Real Estate Agent Day phone P.O. Box 771487 Anchorage, AK 99577 Day phone Mailing Address Unless otferi&fse requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four(4) 3. ` :TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: ✓❑ Individual On-site ❑✓ ❑ Individual Holding Tank ❑ ❑ Community On-site 0 0 Public Sewer 0 The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. MUMCP)AUTY (OF o P ., Development Services Department On -Site Water & Wastewater Section Parcel I.D. 068-041-11 Certificate of On -Site Systems Approval Expiration Date 1. GENERAL INFORMATION Complete legal description OVERLOOK ESTATES BLOCK 2, LOT 5 Location (site address) 27509 PARAMOUNT DRIVE, EAGLE RIVER, AK 99577 Current property owner(s) KEITH & CHRISTINA HOWARD Mailing address Real estate agent Phone: 907-343-7904 Fax: 907-343-7997 F-2,5-- 2 r Day phone 27509 PARAMOUNT DRIVE, EAGLE RIVER, AK 99577 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ So Date of Payment 5-- 1!;�?_2 Receipt Number 70 90 S COSA# O5Ca1I'a`-11 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 FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 5/14/2021 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 A 0 ` well and septic system. Therefore, any estimate of how long a system will function satisfactory g�..' • • for current or future occupants or guarantee that no unseen encroachments, deficiencies or49 r discrepancies exist can be given by First Water Consulting & FWCS *' ... ... �r / . ... .. ......... / .. .... ........ i 6. DSD SIGNATURE '• • Curtis Huffman System #1 Approved for bedrooms ��F�� cjsl. CE 128991 • System #2 Approved for bedrooms l)k�, p�114/� ROFESSO� Disapproved Conditional approval for bedrooms, with the following stipulations: `l�\1Y OF O . ��Ora-�►�_ WATER AND m ._V'ATER oz J�� PRO �A�t! //0'�/Ls �'J��I�;SERV\G. - Original Certificate Date: Z� 2 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other SeC`�o�gJr�Sty Legal Description: OVERLOOK ESTATES BLOCK 2 LOT 5 Parcel ID: 068-041-11 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 5/27/1998 Total depth 260 ft Cased to 87 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 4/27/2021 Static water level at beginning of test 180 ft. Well production at time of test 0.58 gpm Comments B. TANK DATA Age of tank(s) 23. years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 48" ® Standpipes/foundation cleanout per record drawing Date of pumping 3/24/2021 l D. ABSORPTION FIELD DATA Which system tested (date installed) 6/8/1998 ® ALL standpipes present per record drawing Total measured depth from grade 10.5 ft (max) Measured depth to pipe invert from grade 5 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Structure served by this system _ Water storage tank volume 500 gallons Well disinfected for coliform test? ❑ Yes ® Nc ® Coliform bacteria is Negative Nitrate 0.561 mg/L E]Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) FkE Collected bywr Date of Sample 4/23/2021 ' C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 4/27/2021 Results N Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 1 in Elapsed time <5 min Final fluid depth 0 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No _ Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® 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 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. Ak TM. .... ....: ..... • • • Curtis Huffman • ! •: • >� CE 128991 •�� 512 Essi .P��.�.-�,� ft ft ft ft ft ft ft ft MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT a On -Site Water and Wastewater Section www.muni.org/onsite Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 211241 Subdivision: Overlook Estates Block 2 Lot 5 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 23 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. � � ��; �� MailmgAddress PO�Box 196650'�anchorage;Alaska 99519 6650*www muni org �� " � r �.�:. n.�.m,`�.�+..,,..-.:..x�s._>,�w,..:,,�,�x. �._,�� .�, ...%��..�'�w�✓r5� ,.,�}d.�, s,�'�.r.::;:M;M w' ��fi.?:s.a.+,�,:rM:: w.�. �.,r�?��i,...:,.�r,�a ,.,, :,?^,.�.��,� �� c...,...._ ,.,.�.�un v. ,r��ts,< Municipality of Anchorage A. Development Services Department _ < K� - Building Safety Division .5.E`r: 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) # OSC211241 During a recent COSA on-site inspection and test of the potable water supply well on Block 2, Lot 5 of Overlook Estates subdivision, the well's productivity was determined to be .58 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 4 -bedroom residence is .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. 4. 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Phone 522-7773 Date 3/5/2012 aZ k s YAss•srsOF � ;�' 1. yi t*/ 4g �\ p gym. :44..4 et/ as. 441 ..MI01AEL E. NIDERSON. • .4 5. DSD SIGNATURE Approved for �� CE -4381 .��`` si4 °�� P$g6fES`sit3�^`4:m Disapproved. Conditional approval for bedrooms, with the following stipulations: ..• •_. .'iso: WAT-RAD ' s; WASTEWATER : Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory fA (Rev 111057 Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other ��/f Original Certificate Date: 3 J F--/-2— Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 5, Block 2, Overlook Estates Subdivision A. WELL DATA Parcel ID: 068-041-11 Well type Private If A, B, or C provide PWSID # Well Log (Y/N) Y Date completed 5/27/98 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 260 ft. Cased to 87 ft. Casing height (above ground) >18 in. FROM WELL LOG AT INSPECTION Date of test 5/24/98 3/4/2012 Static water level 240 ft. 226.4 ft. Well production 1.0 g.p.m. 1.2 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate .667 mg/L Arsenic: N/D mg/I Date of sample: 2/21/12 Collected by: B. Schiller B. SEPTIC/HOLDING TANK DATA Tank Type/Material septic/steel Date installed 6/8/98 Tank size 1,250 gal. Number of Compartments Two Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping Pumper No Sludge in Tank C. ABSORPTION FIELD DATA Date installed 6/8/98 Soil rating (g.p.d./ft2 or ft2/bdrm)12 GPD/SF System type Deep Trench Length 60 ft. Width 2.5 Total depth 9-10 ft. Eff. absorption area 632 ft2 ft. Gravel below pipe 5.27 Monitoring tube Y Depression over field N Date of adequacy test 3/4/2012 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth 0 in. Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES Size in gallons "Pump off' level at in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO Septic tank/lift station on lot >100' Absorption field on lot >100' Public sewer main Sewer /septic service line >25' Animal containment areas >50' N/A Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots >100' On adjacent lots >100' in. Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas >100 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >5. Absorption field >5' Water main >10' Water service line >10' Surface water >100' Wells on adjacent lots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line >10' Building foundation >10' Water main >to' Water Service line >10' Surface water >100' Driveway, parking/vehicle storage >25' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: G. ENGINEER'S CERTIFICATION 1 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 Michael E. Anderson, P.E. Date 3/5/2012 COSA Fee $ (Igo .0) Date of Payment Receipt Number (Rev. 11/05) 3gollp. 623;3-6 Waiver Fee $ Date of Payment Receipt Number SGS SCS Ref.# Client Name Project Name/# Client Sample ID Matrix 1120557001 Anderson Engineering 27509 Paramount Dr 27509 Paramount Dr Drinking Water Printed Date/Time Collected Date/Time Received Date/Time Technical Director 02/29/2012 14:50 02/21/2012 13:45 02/21/2012 14:30 Stephen C. Ede Sample Remarks: Parameter Results LOQ Units Method Allowable Prep Analysis Container ID Limits Date Date In it Metals by ICP/MS Arsenic Waters Department Total Nitrate/Nitrite-N Microbiology Laboratory E_ Coli Total Coliform ND 5.00 ug/L EP200.8 C (<101 02/21/12 02/23/12 NRB 02/27/12 CMA A 02/21/12 DLC A 02/21/12 DLC 0.667 0.100 mg/L SM20 4500NO3-F B (<[0) Negative Negative 1 1 100mL SM21 922313 100mL SM219223B 2 of 4 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muntorg/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D. 968441-11 COSA# 09033°I Expiration Date: 3 0 - 0 cf 1. GENERAL INFORMATION Complete legal description Lot 5, Block 2, Overlook Estates Subdivision Location (site address) 27509 Paramount Drtve Eagle River, AK 99577 Current Property owner(s) Thomas Vickrey Day phone 6964354 Mailing address 27509 Paramount Drive Eagle River, AIC 99577 Lending agency Day phone Mailing address Real Estate Agent Day phone r Mailing Address N Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: Four(4) I 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well I] Individual On-site ❑ Individual Water Storage 0 Individual Holding Tank 0 Community Class Well 0 Community On-site 0 Public Water System 0 Public Sewer 0 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. 4. 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 Anderson Engineering Address P.O. Box 240773 Anchorage. AK 99524 Engineer's Printed Name Michael E. Anderson. P.E. Phone 522-7773 Date 9009 irtvc :.. •.... •-: .. f.., •.° t MICHAEL 5. ANDERSON le 5. DSD SIGNATURE I "J :• CE -4381 :-.4:- � (/ Approved for if bedrooms. 1 9es ........• ,., Disapproved. ,, "\ Rh xt.st - c Conditional approval for bedrooms, with the following stipulations: ��: ON CITE •'i. %•::Z: WATER AND ; m WASIEWAItK • PROGRAM tom. •. • Attachments: COSA Checklist X Arsenic Advisory . Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: 1(/ TSCfraOriginal Certificate Date: 7---g n-0 I (Rev.11/05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Lot 5, Block 2, Overlook Estates Subdivision A. WELL DATA Well type Private Date completed 5/27/98 Total depth 260 ft. Date of test If A, B, or C provide P WS ID # Sanitary seal (Y/N) Cased to B7 ft. FROM WELL LOG 5/24/98 Static water level 240 ft. Well production 1.0 WATER SAMPLE RESULTS: g.p.m. Coliform 0 colonies/100 mL Nitrate 284 mg/L Arsenic: NM mg/1 Date of sample: 8/30/09 B. SEPTIC/HOLDING TANK DATA Tank Type/Material septic/steel Tank size 1.250 gal. Number of Compartments Two Parcel ID: 068-041-11 Well Log (YIN) Y Wires properly protected (YIN) v Casing height (above ground) >18 in. AT INSPECTION 6/26/09 117.4 ft. 1.4 g.p.m. Other bacteria 0 colonies/100 mL Collected by: S. Gilbert Date installed 6/8/98 Cleanouts (Y/N) Foundation cleanout (Y/N) V Depression over tank (Y/N) N High water alarm (Y/N) Date of pumping 6/14/09 Pumper JR's Pumping C. ABSORPTION FIELD DATA Date Installed 6/8/98 Soil rating (g.p.d./ft' or ft=Ibdrm) t.2 GPD/SF System type Deep Trench Length 60 ft. Width 2.5 ft. I Gravel below pipe 5.27 ft Total depth 9-t0 ft. Eff. absorption area632ft2 Monitoring tube Y Depression over field N Date of adequacy test 6/14109 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test -0 in. Water added 600 gal. New depth 1 Elapsed Time: 6 min.. Final fluid depth 0 in. Absorption rate >= 600 • Any rejuvenation treatment (past 12 mo.) (Y/N & type) -N If yes, give date g.p.d. D. UFT STATION Date installed Size in gallons "Pump off' level at Manhole/Access (Y/N) High water alarrn level at 'Pump on level at _ in. in in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot >100' On adjacent Tots >too' Absorption field on lot >100' On adjacent lots >100' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer/septic service line >25' Holding tank N/A Animal containment areas None Manure/animal excrete storage areas None SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Water main >10' Wells on adjacent Tots >100' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line>5_ Absorption field >5' Water service line >70' Surface water >100' Property line >10' Building foundation >10' Water Service line >t0' Surface water >100' Water main >10' Driveway, parkingNehicle storage >25' Curtain drain None Noted Wells on adjacent lots >too' 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 Michael E. Anderson, P.E. Date 9/29/2009 s OF A(+� ate, 00000000 t -f- As 4911:1 t*Ii • ¶ MrCNAEtE Tir/DERSON mss: 'CE=4asi :•.r`�L •141:- (Esso, -.0 ' COSA Fee $ tiq 0 Date of Payment Receipt Number (Rev. 11/05) 7Ufoq "1179 S Waiver Fee $ Date of Payment Receipt Number 1 UNSUBDIVIDED 11 esMe17'w 1 Lot 4 8 $ 84.405..E 135.a • PARmioutf DR -NE Lot 6 10' TELECOM. e LLECT. EASEMENT PLOT PLAN _ ASBUILT _E. SCALE I. • CO' GRID "465 Pro/foot No r -12o Lang & Associates, inc. 11500 Daryl Avenue, Anchorage, Aiaeka 99515 Registered Land Surveyors (907) 522-4625 Fax 1 Mraty toffy OS 1 haw -v..yd er lotalne dwertLd property: Lot 5Nook 2. owEmAOK EZTAIQ (Nd lid 114-2S7) Mannar Ibrendlne ork$M.. Ss. aS tot Ku b novo nMl..Mud.d 1h.r-on en .Mkr IM prapoy it ad d. M noel. onto 1M pd tl.ay adpTee.ori re. n.at no Improvements -n . proper Nino o,wr oo o aroosh on IM anq-d dreads ad ent fent on no teeAnr.. Irprwri.l.n Ira or odor Nod, -o.r.ndo on odd property aos.pt es k+Ml-d hon -of. pond . the Day edDay of MI ?sal. el Meheraa.. Mads if is 11to orl.1 or ...M.h.no rrld.h dodos not es N any sownonto. plot -n the r-ordd o SGS Ref.# Client Name Project Name/" Client Sample ID Matrix 1094544001 Anderson Engineering Lot 5,Block 2 Overlook Lot 5,Block 2 Overlook Drinking Water Printed Date/time Collected Date/time Received Date/Time Technical Director 09/17/2009 15:53 08/30/2009 9:30 08/31/2009 8:55 Stephen C. Ede Sample Remarks: Parameter Results POL Units Method Allowable Prep Analysis Container ID Limits Date Date Inn Metals by ICP/M3 I lardness as CaCO3 Waters Department Total Nitrate/Nitrite N Private Individual Analysis Aluminum Antimony Arsenic Barium Cadmium Calcium Chromium Copper Iron Lead Magnesium Manganese Chloride Fluoride Selenium Sodium Silver Sulfate Thallium Zinc 152 5.00 mg/L SM20 23408 C 0.284 0.100 mg/L SM20 4500NO3-F 13 09/08:09 09/10/09 NRB 09/01/09 KIT ND 20.0 ug/L EP200.8 C 09/08109 09/10/09 NRB ND 1.00 ug/L EP200.8 C (<6) 09/08/09 09/10/09 NRB ND 5.00 ug/L EP200.8 C (<10) 09/08/09 09/10/09 NRB 22.2 3.00 ug/L EP200.8 C (<2000) 09/08/09 09/10/09 NRB ND 0.500 ug/L EP200.8 C (<5) 09/08/09 09/10/09 NRB 40400 500 ug/L EP200.8 C 09/08/09 09/10/09 NRB ND 2.00 ug/L EP200.8 C (<100) 09/08/09 09/10/09 NRB 50.4 1.00 ug/L EP200.8 C (<1300) 09/08/09 09/10/09 NRB ND 250 ug/L EP200.8 C (<300) 09/08/09 09/10/09 NRB 0.260 0.200 ug/L EP200.8 C (<15) 09/08'09 09/10/09 NRB 12400 50.0 ug/L EP200.8 C 09/08109 09/10/09 NRB 4.19 1.00 ug/L EP200.8 C (<50) 09/08/09 09/10/09 NRB 1.09 0.100 mg/L EPA 300.0 D (<250) 09/08'09 09/09/09 LCE 0.210 0.100 mg/L EPA 300.0 D (<2) 09/08/09 09/09/09 LCE ND 5.00 ug/L EP200.8 C (<50) 09/08/09 09/10/09 NRB 540 500 ug/L EP200.8 C (<250000) 09/08/09 09/10/09 NRB ND 1.00 ug/L EP200.8 C (<100) 09/08/09 09/10/09 NRB 62.3 0.200 mg/L EPA 300.0 D (<250) 09/08/09 09/09/09 LCE ND 1.00 ug/L EP200.8 C (<2) 09/14/09 09/16/09 NRB 9.38 5.00 ug/L EP200.8 C (<5000) 09/08/09 09/10/09 NRB SGS Rag Client Name Project lame/p Client Sample ID Matrix 1094544001 Anderson Engineering Lot 5,Block 2 Overlook Lot 5,Block 2 Overlook Drinking Water Printed Date,Time Collected Date/Time Received Date/Time Technical Director 09/17/2009 15:53 08/30/2009 9:30 08/31/2009 8:55 Stephen C. Ede Parameter Results PQL Units Method Allowable Prep Analysis Container ID Limits Date Date Init Private Individual Analysis Total Dissolved Solids Nickel 11CO3 Alkalinity CO3 Alkalinity 011 Alkalinity Conductivity pil Alkalinity 334 2.53 202 ND ND 599 7.40 202 10.0 2.00 10.0 10.0 10.0 1.00 0.100 10.0 mg/L ug/L mgr/., mg/L mg/L umhos/cm pll units mg/L SM20 2540C EP200.8 SM20 23208 SM20 23208 SM20 23208 SM20 25108 SM20 4500.1113 SM20 2320B D (<500) 08/31/09 OLT C (<100) 09/08/09 09/10/09 NRB D 09/10/09 MPL D 09/10/09 MPL D 09/10/09 MPL D 08/31/09 OLT D (6.5-8.5) 08/31/09 OLT D 09/10/09 s Colony Count Total Coliform Fecal Coliform 179 Positive Negative co1/100mL SM20 922213 co1/100mL SM20 92226 col/100mL SM2092228 SCE TLS -re. s -r 7118109 A A (<1) A 08/31/09 DLC 08/31/09 DLC 08/31/09 DLC SGS RetN Client Name Project Name/a Client Sample ID Matrix 1095061001 Anderson Engineering L5,82 Overlook Est Hose Dib Drinking Water Printed Date/Time Collected Date/Time Received Datelfime Technical Director 09/23/2009 10:25 09/18/2009 9:20 09/18/2009 10:05 Stephen C. Ede Sample Remarks: Parameter Results PQL Units Method Allowable Prep Analysis Container ID Limits Date Date Mit Microbiology Laboratory Colony Count Total Coliform Fecal Coliform 0 0 0 co1/I00mL SM20 92228 col/100mL SM20 92228 col/I00mL SM20 922213 A A A (<200) (<1) (<1) 09/18/09 DLC 09/18109 DLC 09/18/09 DLC