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HomeMy WebLinkAboutSPRING BROOK VISTA #1 BLK 3 LT 2Spring Brook Vista Block Lot 2 #050-091-03 ! I Municipality of Anchorage '"' :;~.'. Development Services Department -'~/~ Building Sa[ety Division On-Site Water and Wastewatet Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage. AK 99519-6650 Page wv,.w.ci.anchorageak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number:. ~,~[~ OlOt~[~ PID Number:. O ~'O-' O ~ [ -" "- Frank P;'eger Was,ewate, Sv,,em: ~New J-lUpgrade ?""'~lJ/..~,~' ,,~t'e',~P F-4qL,,R;u#-,~' ~"7'~ ABSORPTION FIELD LEGAL DESCRIPTION ~),7,p~,,~ '~'3 ";~ '~;,. ~ok v;~f~,/ .,. ~'~-"~" Well: [] New [] Upgrade c,,.,,.~ I~ ,,. "~"~'4""": , ~ ._w,.,- "'- ~/. ' ~.. ~[ TANK SEPARATION DISTANCES B septic B Holding B S.T.E.P. ~ Tank Field Station Tank s~r~e I ~ n.. ,,~:'"'w"" lO0'+lID, IO0~l~, ~ :.,. ~ ~1 ~'~"LIFT STATION "~'" BENCH MARK Enid ~ -/ ~'..,~ ~ Inspections pedormed by:!7~"1. ~]"Y L~ R~, ~ 1" 6-1E-OI ~"~'~'"t ~3~ uates: . DevelOpmentSe~lces DepaflmentApproval '~,~ CE-Sa0~ ~/~ ~ ~ Date:- Reviewed and approved by: PER,lIT NO. SW01 0004 PACE 2 OF. 5 Municip. ami oF .A.n_c h.o.~ ag.e , DEPARTMENT OF HEA~_TH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION p.n. Box 196650 OAnchor'~xge, Al~sk~ 99519-66500TeJephone: 343-4744 ON-S~TE WASTEWATER D~SPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 2, BLOCK 5, SPRING BROOK VISTA #1 P.I.D. NO. 050-0g1-03 I / / / / % / , / SEPTICN~ / / C~R£A / ! / / LOT 1 , / / / / BOX / / / lO' MIN. DBL1 & ~ $T1 /' N[W 1000 GALLON ,- j SEPTIC TANK " SEPTIC~ / LOT 3 / / / / / / / / / / / / / / / / / / / / / SCALE: I* Z40' / / / / / / / ROBERT ~ COWAN CE-8801 PERMI? NO. SWO 10004 PAGE 3 OF 3 Municip. ati-t o.F' .A.n_.c h.o r- a g.e . DEPARTHENT OF HEA~THANU HUMAN SERVICES ENVIRONHENTAL SERVICES DIVISION P.O. Box 196650 eAncho~age, Alaska 9951g-6650eTetephone~ 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL iNSPECTION REPORT LEGAL LOT 2, BLOCK 3, SPRING BROOK VISTA #1 PmlmD. NO. 050--091--03 ST1 ST2 j 98.4' NEW 1000 ~ GALLON SEPTIC TANK 98,3'~ r, O1 MT1 93.7'-- WT2 C02/-97.5' ~ %[rlNAL GRADE ~J~ =' II $ ---r~l --~:~ll / ~ .... '.- .~ ~ ~T~ - ' ~ ORIGINAL -GRADE A B FCO 10.0' 59.0' ST1 16.5' 48.5' ST2 21.0' 49.5' OBL1 22.5' 48.5' DBL2 25.0' 48.0' C01 16.0' 4.0.0' MT1 29.5' 46.0' C02 42.5' 27.5' MT2 57.0' 15.5' NO WATER FOUND 81.4' B.O.H. ROBERT C. COW,aN, RE. ROBERT A. SHAFER, RE. CML ENGINEERS February 13, 2002 (9O7) 694.-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCtIORAGE Department of tlealth and l. luman Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 2; Block 3; Springbruok Vista Subdivision # I A test hole was excavated and percolation test performed on the above referenced lot. The approximate locations ofthe test holes are located on the attached inspection report. Though no test hole was dug covering the alternate site bed area, the soils remained consistent throughout excavation of the bed installed in June, 2001. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation oflhe septic system. If you require additional information, please contact us. Sincerely, RCC/ts/soil~/cnslsoil doc 17034 NORTH EAGLE FUV~R LOOP · SUITE 204 · EAGLE RP,/ER. ALASKA 99577 ROBERT C. COWAF~I, P.E. rlODER'r A. SI IAI'El't, R E. ClV1L ENGINEERS (907) 694-297g FAX (907) 694-121 ! Huntcipaltty of Anchorage. DEPD~RTMENT OF [IEALTII AND IIUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 The septic in~pe~tions for .t~te ~eferenced property were performed on ~U~/G ~ and6f~ /O f . Prior to submitting the On-si~e Wastewater Disposal System and/or Well Inspection Report we are waiting for ~he ~m~/o~ &o~r,~ to be completed. ( 6J~,~r Sv4vcv) If we may be of further service please contact us. Sincerely, t 7034 NORTIt EAGLE RIVER LOOP · SUITE 204 ~ EAGLE RNER, ALASKA 995?? MUNICIPALITY OF ANCHORAGE Department of Health end Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jan 05, 2001 Expiration Date: Jan 05, 2002 Permit Number: SW010004 Legal Description: SPRING BROOKVISTA#1 BLK 3 LT 2 Design Engineer: 0003 S & S Engineering Owner Name: Frank Pieper Owner Address: 12311 Lake St. Eagle River, AK 99577- Parcel ID: 050-091-03 Site Address: 012331 PRINCE OF PEACE DR E Lot Size: 20682 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastawater 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. Date: Date' Property Owner Name ~ ~'. P~ ~ ~- Mailing Addres.s. ~ Legal Description MUNICIPALITY OF ANCHORAGE Department of Health & Human Services I On-Site Sewer/Well Permit Application C~.~)¢J J -- SINGLE FAMILY DWELLING Pa,~ ~'~ Nutone, · · Lot Size ~ ,~ ~m~"~'~-t~ Number of Bedrooms --~'~'~' ~') ~) ~ roved En inee;n ~Rrm Inspe~ions will be con~c~ by: ~ App g g ~ Municipali~ (pe~it fee Included) D~s ~ur ~use ~n~[n any of ~e follo~ng: ~ HotTub ~ S~mming P~I D ~empy P~l ~ Jacu~i ~isappli~onisfou ~SewerOnly D SewerandWell ~ Sewer Upgrade ~WellOnly I ce~ ~at ~e a~e Info~afion Is ~ffe~, I fu~er ceffi~ ~t ' 17C34 ~is appli~fion Is being made for a Single Family ~elllng and [:;~= '" ~-~ ~r~etl Dd~ler In a~o~ance wi~ appli~ble Municipal C~es. Fees: "~. Waiver Fees: Receipt Wah~er # [] Water Softener Unit 72-012 {Rev. 4/98)' ROBERT C. COWAN, P.E. May 30, 2000 CML ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 2, Block 3, Springbmok Vista S/D #1 It is requested that you issue a permit to install a septic system to serve the proposed three bedroom dwelling on the referenced property. A test hole was excavated and a percolation test was performed. The approximate location ofthc test hole is located on the attached site plan. At the time ofcxcavation 5/18/00 water was not found and after seven days of monitoring thc hole was found to be dry. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The consU'uction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/j Enclosure 17034 NORTH EAGLE RIVER LOOP · SUITE 204 "EAGLE RIVER, ALASKA 99577 LOT 2, BLOCK 3, SPRING DESIGN CRITERIA: 3 BDR~t = 450 GPD SOInq = 0.7 GPD/SQ.FT. 450/0.7= 643 SQ.FT. REQ'D. BED CRITERIA: 6.5' DEEP (ADD 2' MOA APPROVED SAND) 0.5' EFFECTIVE 18' WIDE -q6' LONG KEY / / / / / / / ALL PORTIONS OF WITH LESS THAN COVER REOU~RE BROOK VISTA S/D t/I 11-27-00 1 OF 1 STRUCTURES. EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITS PLAN ARS AS SHOWN ON AN AS-BUILT SURVEY DRAWN BY: ROBERT C. JOHNSON {T IS THS RESPONSIBiLTY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. LOT 1 BOX / ~/ -- _J INSULATE UNDER DRIVEWAY DOUBLE CLEANOUT LOT 3 MIN. / / / SEPTIC D TESTHOLE TO BE RFORMEO AT TIME OF EXCAVATION · PROPOSED ,.~"~"- WATERLINE / / ..~.. / / / INSTALL FCO/ / - / PROPOSED 1000 OALLON SEPTIC TANK / / / / / / / / / / / / LOT 7 / / / / /CONTRACTOR IS OBTAIN UTILITY / PRIOR TO ANY WORK. / / / / / / LOT 8A / / / / / SURROUNDING ARE SERVED BY COMMUNITY WATER PERFORMED FOR: · EGA' DES0R,..O.~ L~/' B ~;' 6- 7- 8 9 10 12 13 14 15 16. 17- 18- 19- 20- COMMENTS Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES SOILS LOG -- PERCO~TION TEST DATE PERFORMED Township, Range. Section:~~ Gross Net Depth to Net Readimj Date Time Time Water Drop S& S ENGINEERING PERFORMED BY: 17034 Eagle River Loop Road No. 204 ACCORDANCI~t~e~Tj~CIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; 72-008 (Rev. 4/85) PERCOLATION RATE "~ I (mmules~mch) PERC HOLE DIAMETER TEST RUN BETWEEN 4~"~ FT AND ~ FT ~1~/~ TEST ROBERT C. COWAN, P.E. CML ENGINEERS (9O7) 694-2979 FAX (907) 694-t21 ! ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 2, Block 3, Springbmok Vista Subdivision #1 May 30, 2000 GENERAL: The scope of. this project includes the installation of a 1000 gallon septic tank and amabsoi'~ion bed to serve the proposed three bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit or ADEC Authority to Construct with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department or ADEC if required, for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP · SUffE 204 · EAGLE RA/ER, ALASKA 99577 Page 2 Lot2, Block3, SpHngbrook Vista May 30, 2000 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 fl. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts. These cleanouts shall be located on undisturbed soil not more than I0 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. LEACHFIELD BED INSTALLATION: Excavate the proposed Bed Area to the depth shown on the design. The bottom of thc excavation shall be within 2 inches of level. If the bottom of the excavation becomes smeared, it must be raked or scratched (ruffed-up) before gravel or sand placement. Ifa sand layer is required, place sand over entire excavation to the required depth shown on the design. The top of the sand layer must be within 2 inches of level. Sewer rock shall be placed uniformly throughout the entire bed. Perforated distribution pipe must be installed level with perforations down. Gravel depth below the perforated pipe shall be a minimum of six (6) inches. Gravel depth above the perforated pipe shall be a minimum of two (2) inches. The total gravel depth throughout the entire bed shall be a minimum of twelve (12) inches. The perforated distribution pipes must be no more than six feet apart. The distance between the outermost perforated distribution pipes and the sidewall of the absorption bed must be no more than three feet. Silt barrier material must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed at the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel depth shall be perforated six (6) inches below the bottom of the horizontal distribution lines. The monitoring tube should not extend below the bottom of the gravel surface. 7. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finished grade over the bed must be mounded to prevent the formation ora depression after settling. Page 3 Lot 2, Block 3, Sprlngbrook Vista S/D #t May 30, 2000 8. A mound system is to have the upper six inches of top soil and be seeded for vegetation. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 0ave) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier Crypar 3401, Mirafi 140N, or equal) must be installed between the final leaehfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.$" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current MOA or ADEC requirements. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: .i Page 4 Lot 2. Block 3, Sprfngbrook V~sta ~ #I May 30, 2000 I. The f~t inspection must be conducted after the excavation of ditches, pits, txenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection., The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple txenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached MOA permit or ADEC Authority to Construct. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance ofthe contractors work rests with the owner. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineefing's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER Certificate of On -Site Systems Approval Parcel I.D. 050-091-03 1. GENERAL INFORMATION Expiration Date: I t CL 31 jQ,� If Complete legal description SPRING BROOK VISTA #1 BLOCK 3 LOT 2 Location (site address) 12331 E PRINCE OF PEACE DRIVE EAGLE RIVER AK 99577 Current property owner(s) SEAN & KATELYNN JEAN BATZER Day phone Mailing address _ 12331 E PRINCE OF PEACE DRIVE EAGLE RIVER AK 99577 Real estate agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 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 $ 5 Waiver Fee $ Date of Payment � 17 Date of Payment Receipt Number 5'1 -7 1 S-2 Receipt Number COSA # 0 S C�2- a 1 Q 1 I 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 5/16/2022 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 +� OF ,� j these various and dynamic characteristics and are outside the control of the evaluator of the •�• - . •. well and septic system. Therefore, any estimate of how long a system will function satisfactory ��,m'g�Q:' • . • for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & Fri /: TM �• �..................9 _ .. ......... o 6. DSD SIGNATURE Curtis Huffman J� ¢� �F9�% CE 128991 System #1 Approved for bedroomssTF�•.•!il161�2••c���� System #2 Approved for _ bedrooms �t�F�pROFESS0 4 — Disapproved _ Conditional approval for bedrooms, with the following stipulations: OF AA16A,, O j 0 - to � I gER AND © \AS_f v !ATER o PR SER0`0 By: �,J^ Original Certificate Date: 5 3 j 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 Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other l a_,,& COSA Checklist Legal Description: SPRING BROOK VISTA #1 B3, L2 Parcel ID: 050-091-03 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA – PUBLIC WATER Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 21 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 49” Standpipes/foundation cleanout per record drawing Date of pumping 1/24/2022 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 6/18/2001 ALL standpipes present per record drawing Total measured depth from grade 4.7 / 3.8 ft (max) Measured depth to pipe invert from grade 4.2 / 3.5 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective IR SHOWS 0.5.ED SHOTS 0.7 / 0.3 ED Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date 5/13/22 Results Pass For X3 bedrooms Fluid depth prior to test 2” / 0 in Water added 450 gal New depth 2” & 0 in. (S / N PIPES) Elapsed time <10 min Final fluid depth 2” / 0 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: MTs/COs AT GRADE, 0.7 & 0.3 ED ELEVATIONS SHOT. NO KNOWN FROST ISSUES FROM CLIENTS. 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 ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/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 From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ 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 Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No 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. 5/16/22 MUNICIPALITY OF ANCHORAGE    DEVELOPMENT SERVICES DEPARTMENT    907‐343‐7904  On‐Site Water and Wastewater Section                                                                                           Fax: 343‐7997  www.muni.org/onsite         Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org      Septic Tank Advisory   Certificate of On‐Site Systems Approval # OSC221217  Subdivision:  Spring Brook Vista #1  Block:3, Lot: 2  The septic tank for this property is 21 years old.  The average life for a steel septic  tank is 20 years. Typical replacement costs range from $7,000 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 30 year old steel tank MAY look like.      • Municipality of Anchorage P*VE i_ On-Site Water&Wastewater Program b 5 6 7 8 3 -:Q (907)343-7904 ti'5 Mar JUN 2 8 201 CERTIFICATE OF ON-SITE SYSTEMS APP" AL ,1 << 68 902� Parcel I.D. 050-091-03 Expiration Date: 1. GENERAL INFORMATION Complete legal description SPRING BROOK VISTS SID#1; BLOCK 3, LOT 2 Location (site address) 12331 EAST PRINCE OF PEACE DRIVE, EAGLE RIVER,AK 99577 Current Property owner(s) FRANK PIEPER Day phone 529-1825 Mailing address 12331 EAST PRINCE OF PEACE DRIVE, EAGLE RIVER,AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) Duplex Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: .1TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site Public Water System '! Public Sewer F WaiverNanance request for N/A Distance: - Received by: Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 550-I I Waiver Fee $ Date of Payment ' Date of Payment ' Receipt Number 15 Receipt Number COSA# psc L f 1 a 3 0 Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE,AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 1/t)1C/ Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the lo��Ill\i 1 guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the 44 4 OF I ` •• condition of the system/s on the date/s of the evaluation.Separation distances were measured to readily identifiable features. •4�� "'• tijiii � ��♦ Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic �• ••• �. systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during the year),quality of construction(materials and workmanship),and the water usage of the family utilizing the systems.These s *;• 4• •. conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the I ,,, „ system/s:therefore,GEG makes no warranty(express or implied)regarding the Mum performance of the well or septic system. / / GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the ./ current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the � e de I. Gayness a information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not I. -79 m authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. • rJ>'•, •�� 6. DSD SIGNATURE *4 �ROt=ESS\c 444 3 LICENSE '111% ,",** System #1 Approved for bedrooms. uAEccaaa System #2 Approved for bedrooms. Disapproved. l�\°0tll Ft( ((Q(�,''W Conditional approval for bedrooms, with the following stipulation `QW ~+Lt . `' ON-SITE = WATER AND d WASTEWATER ,Q- %m PROGRAM .S' By: _\ t^ 7 II-- �1 / _ .'411' Original Certificate Date: The Municipality or Anchorage Develop,emt Services Division(DSD)issues Certificates of On-Site Systems Approval(COSA)based only upon the represenatations 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. ATTCHMENTS: COSA Checklist > Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12/121 COSA Checklist Legal Description: SPRING BROOK VISTA S/D #1 ; BLOCK 3, LOT 2 Parcel ID: 050-091-03 If more than 1 septic system on lot: COSA Checklist# 1 of 1 Structure served by this system 1 A. L DATA PUBLIC WATER ❑Well log is -• with Onsite (or attached) Well production at time of test .pm Date drilled Water storage tank volu••- gallons Total depth ft Well disinfec - •r coliform test? ❑ Yes ❑ No Cased to ft ■ . orm bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected • - is ug/L ❑Arsenic less than MRL (ND) Casing height (above ground) in. Collected • Date of flow test for CO ' Date of Sample Static water I- at beginning of test ft. C..- ents B. TANK DATA . IFT STATION Age of tank(s) 18 years ❑ Requir-: I aintenance completed Tank type/material STEEL Age of lift station ye. : 0 Standpipes/foundation cleanout per record drawing Lift station material Date of pumping 6/6/2019 Commen • 49.5" OF L.L. IN ST1 /49"OF L.L. IN ST2 ON 6/25/19 Ci 9 I D. ABSORPTION FIELD DATA BED W/ SAND FILTER .3; Which system tested (date installed) "51a°1 Adequacy test date 64y'1119 v ❑■ ALL standpipes present per record drawing Results Z Pass For 3 bedrooms 0 Total measured depth from grade 3.7-4.8 ft(max) Fluid depth prior to test 0/2.25 in 4 1 Measured depth to pipe invert from grade 3.5-4.3 ft(min) Water added 509 gal 13 ❑ N/A—pressurized field New depth 0/2.25 in ❑ Monitor tubes go to bottom of drainfield. If not, state Elapsed time 0 min C depth into effective ** I * Final fluid depth 0/2.25 in .3 ❑ Code-required soil cover over field Absorption rate 450+ gpd ❑ System presoaked NONE (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months)( date of test) \ Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies:**NORTHEAST CORNER OF BED(MT2)APPEARS TO HAVE ONLY 2.8 FEET OF COVER. REMAINDER OF BED APPEARS TO HAVE 3+FEET OF COVER.NO FREEZING ISSUES PER OWNER(SEE ATTACHED).'MT1 EXTENDS DEEPER THAN THE BED BOTTOM.MT1 IS 0.8'BELOW INVERT OF DISTRIBUTION LINE AND MT2-0.4'BELOW INVERT OF DISTRIBUTION LINE BASED UPON ELEVATION SHOTS TAKEN DURING ADEQUACY SEPTIC TEST. COSA Checklist yellow sheet E. SEPARATION DISTANCES PUBLIC WATER s__ From ' e Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station • It> 100' Community Sewer Manhol- .pout> 100' \' - if No ft ❑Yes if No ft Neighboring Tank > 100' LI Yes if No 1 ' •• . e Sewer/Septic Line >25' ❑Yes if No ft Absorption Field on Lot> 100' ❑Yes if N• ft • .••• Tank> 100' ❑Yes if No ft Neighboring Absorption Fie • _ SO' Animal Containme _ 0' ❑Yes if No ft ❑Yes if No ft Manure/Animal Excreta Storage> it" •• unity Sewer Main > 75' ❑Yes if No ft ❑Yes i '. ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water> 100' D Yes if No ft Property Line > 5' D Yes if No ft Driveway/Parking > 0' ❑✓ Yes if No, comment Absorption Field > 5' ❑✓ 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 ft From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft Driveway/Parking > 0' ❑✓ Yes if No, comment Property Line > 10' [' Yes if No ft Wells on Adjacent Lots: Water Main > 10' Q 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 ft Surface Water> 100' ❑✓ Yes if No ft F. ENGINEER'S COMMENTS *10'+ PER S&S ENGINEERING RECORD DRAWING AND INSPECTION REPORT. �0�00..\4 G. ENGINEER'S CERTIFICATION ' ,9 I certify that/have determined through field inspections and review l'/Q. _$, 00 O(z). 0, T , i \ ...77 of Municipal records that the above systems are in conformance with Q * : 4 MOA COSA guidelines in effect on this date. VA 0I . Q• •'f > ' Gar -ss.: QQo 9 • n; - CE—,79i53 EE—79 33gj- e pO 4 V PrPd 7.1 • I \•c(. �O 4 profess'o0 o COSA Checklist yellow sheet 400 0 #AECC884 oOOOO o 0 `� 30 1' 84830 co 00 / LJ / / S' � Lot1 44 O44 44/ �� 3 gravel driveway 7 C) C/ I // V- / / N• / / / Q�' ��y� F/ •? • \ / / / / / ��/// retaining ° �' / 3O • / wall (typ) • 24 / //vept c ,, 'y Lot 2 / , / o me ® // 0 m / (tYP)—'° • y0use o / �' ° cd / �e .9 ��xx • • •A � 1, N� °° 4 � � � �• OF , L j4.0 / �� • COQ a� / / ,� •• to �1, lI S -v ck / 4./ s • 49 /\ •••> I 96%0 •q / O ��, lizabeth L. Walatka .,�0,10 % ,N• wood fence / ^ �� �s�t;•• 8036 - LS •• ���" RD Lot 3 J / �° 1 pROFessioH�L `��� / a° (G'-' t 9 - 1 N / O AS-BUILT NO CORNERS SET THIS DATE o' 1 hereby certify that I have performed a Mortgagee's inspection Note: 40 foot easement ( 1 of the following described property: Lot 2,Block 3, within which the lot c0 Sorino Brook Vista Subdivision Unit#1 owner is prohibited from Anchorage Recording District,Alaska, and that the cutting any but dead or improvements situated thereon are within the property lines and do not overlap or encroach on the property lying defective trees and from / adjacent thereto,that no improvements on the property lying performing any / adjacent thereto encroach on the premises In question and that there are no roadways,transmission lines or other SCALE: 1"= 30' excavation. / visible easements on said property exceot as indicated hereon. EASEMENTS OF RECORD, OTHER THAN Dated at Anchorage,Alaska this 13th day of June ,2019. THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON FRED WALATKA&ASSOCIATES, L.L.C. Engineers and Surveyors UNLESS OTHERWISE NOTED. FB 19-4, pg 35-36 MB 907-248-1666