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EAGLE CREST #1 TR B LT 3
Eagle Crest #1 Tract B Lot 3 #050-292-24 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 Page 1 of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO90151 PID Number: 050-292.24 GARY 6 SUE LINCOLN Wastewater System: [—]New © Upgrade Rdbasa 19050 CITATION ROAD EAGLE RIVER, AK 99577 ABSORPTION FIELD Pfo•» 696-2015 Nun(»r of Bedpans 3 q Deep Torch O shatlaa Tr O Bee O Ma 0011W LEGAL DESCRIPTION sw Ratatg 1.2 Taal Depth fan WQ" grave 10 Gpwt. F, BwcaB La 3 StDervnwn: Depot ro pwe f Wan fan pngMl pies &""h f h p" EAGLE CREST #1 4.1 5-9 Ft R Tpamhw R -W seaw, Fnaa0e0app org"gre Granx Lenph. D Ft. 34 Fl. Well: ElNew ElU rad ' pg 'U" " °" Numae a Ms D»tion a wain a sa 3 Ft. 1 NIA FI Cu,snwawn (Pnvate. A B. CI Taal Deaf Cassa la Tao aewrgwn ani P" Mment PUBLIC WATER F, F, 401 Ft° ASTM D3034IF810 Drxar Date Drow sutw Watw Lwat futaiW Doe Innauea Ft TWEED EXCAVATING 812112009 •»q Pu p Set M Casvtp lbpn npa.e Craves TANK GPM FL fl SEPARATION DISTANCES 0 Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lift HoldingumlUPnvate afA1ef a"'utr' From Tank Field Station Tank Sewer Line PREMIER PLASTICS 1000 Gat I Matwut Nvnaer al Canpanma.+a Wal 100'+ 100'+ 25'+ HDPE 2 Sv+ Woes 100•+ 100•+ LIFT STATION La Lata Y5' 11' Gel 'Pvnp on »vat at 'Pump W' a N,ph woer a»rm M Fa' . r 30' in n Cvun paw NONE KNOWN Pump Meks 8 E.1Napecwns Wl=w: p1' R.s' EXISTING TANK WAS PUMPED, CRUSHED, AND ABANDONED BENCH MARK Lowtwn a•w Dssa,ptm DESIGN CHANGE CALLED IN 8/21/2009 TOP OF DECK @ POINT B aaunwa EWrlLoW. 100 Ft. r SO E11"ring Engineer's Stamp Inspections performed by: 1961 t0rchwood 1p• Rd Dates: 1" 8/2112009��•� ,, 1 '01 r,AlasVca 99567 2nd 8/21/2009 �'�p�� •••••� tisk., Development Services Department Approval 1 Af 111 �atl W; Conditional Approval Date: ' �+�r� '' ••••++«„+ ,f / �l a He. 1417 ASW Reviewed and approved by:ate:�Q 2 PERMIT NO. SWO90151 PAGE 2 OF 3 Municipality of Anchorage DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone <907) 343-7904 • www.ci.anchoroge.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3, TRACT B, EAGLE CREST S/D P.I.D. NO. 050-292-24 APP APPROXIMATE APPROXIMATE LOC LOCATION OF LOCATION OF WATER WATER KEY BOX WATER KEY BOX --------------------------------- CITATION ROAD APPROXIMATE APPROXIMATE, LOCATION OF LOCATION OF WATER KEY BOX WATER KEY BOX ' EXISTING GARAGE n II II LOT 2 LOT 4 II EXISTING 3 NEW 1000 UNDEVELOPED BEDROOM GALLON H.D.P.E. HOUSE SEPTIC TANK YDEC HED T l DBL DBL2 TBW TM Q BULL RUN QTR MT2 TI DIVERTER VALVE COI -._-.--.CO2 ------------------ 10' UTILITY ESMNT. ___ _ _ _ _ _ _ _ _ _ ----------------- ___________10' 10' UTILITY ESMNT. 10' UTILITY ESMNT. 10' UTILITY ESMNT. --------------------------------- 1' 40' ENGINF STAMP +� F. \\ LOT 9 LOT 10 SERVED BY PUBLIC WATER AND SEWER SERVED BY PUBLIC WATER AND SEWER r '.—�'•; .•��;, ,� L9•�y� / ..' ..... .... .... • y K �. �.. i /�, wo- PERMIT NO. SWO90151 PACE 3 OF 3 Municipality of Anchoraqe DEVELOPMENT SERVICES DEPARTMENT - BUILDING SAFETY DIVISION ON-SITE WATER AND WASTEWATER PROGRAM, 4700 BRAGAW STREET P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone (937) 343-7904 • www.ci.anchorage.ak.us ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3, TRACT 8, EAGLE CREST S/D P.I.D. No. 050-292-24 ST1 ST2 96.9' FINAL GRADE 2" 7INSULATION=TNK = 93.3' NEW 92.2' 1000 GALLON POLYETHYLENE 91.9' SEPTIC TANK CO1=95.6' CO2=96.2' _7-1 / 2„ INSULATION FINAL GRADE C01=91.8' SR CO2=91.8' NIT1=85.9' MT2=85.9' e�aCt (nRr;,. ST1 11.5 42 0 • "(4i'.w.• NO 11'ATER FOUND 'or •~'?S'1� '� ' . r ST2 14.7 40.2 79.9' B.O.II. r q � T-=-� `"�. i,,.. D8L1 17.0 39.0 � .; DBL2 17.9 38.6 �"' '��~•�'; C01 32.3 41.3� ,.. MT1 31.3 39.7 °°�= CO2 50.2 21.0 " 1 r•,�'" .. MT2 48.1 20.9 I 4. TLJ k'�---•--- ., � �•',.• l0. 6� MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 14, 2009 Expiration Date: Aug 14, 2010 Permit Number: SWO90151 Parcel ID: 050-292-24 Legal Description: EAGLE CREST #1 TR B LT 3 Design Engineer: 0003 S & S ENGINEERING Site Address: 019050 CITATION RD Owner Name: GARY & SUE LINCOLN Lot Size: 0 SQ. FT. Owner Address: 19050 CITATION ROAD Total Bedrooms: 0 Permit Bedrooms: 3 EAGLE RIVER , AK 99577-0000 This permit is for the construction of: Q Disposal Field ❑,/ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued Date: Date: 0 Municipality of Anchorage Development Services Department c + Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 ON-SITE SEPTICIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. Propert; Mailing Site address '56ME Zip Code Legal description (Sub'd, Block & Lot) Legal description (Township, Section & Range) Lot Size Sq. Ft. THIS APPLICATION IS FOR (®all that apply): Absorption Field ❑ Septic Tank C9 Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ I certify that the above information is Single Family Dwelling and is in acci (Signature of property owner Permit/Rush Fees: Date of Payment: 6 j�5Lq / Receipt Number: 00 51�1(f (Rev. 11/05) Number of Bedrooms THIS APPLICATION IS AN: Waiver Fees: 01 Code � 7 Initial ❑ Upgrade C9 Renewal ❑ certify that this application is being made for a :able Municipal Codes. Date of Payment: Receipt Number: ROBERT C. COWAN . CIVIL ENGINEERING PH: 907.694-2979 FAX: 907.694.1211 August 11, 2009 NEA<TNARNORm, MUNICIPALITY OF ANCHORAGE IPPRMAIS Development Services Department P.O. Box 196650 Anchorage, AK 99519 SE'NER a WATER W ExreNs�s REFERENCE: Lot 3, Tract B, Eagle Crest Subdivision Addition # 1 SEWEA&WATER It is requested that you issue a permit to install a new deep trench and 1000 gallon INSKMON IIDPE septic tank septic system(upgrade) to serve the existing three bedroom house on the referenced property. A flow diverter will be installed to allow the existing deep trench to be used at a later date. ENGMEERINGSTWIES A test hole was excavated and a percolation test performed. The approximate location of ANDREPORTS the test hole is located on the attached site plan. At the time of excavation (8/3/2009) water was not found. After seven days of monitoring ground water was not found. WELLINSPECOON We do not anticipate any adverse effects on neighboring wells, septic systems, reserve `FWWTEST areas - or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. SITEPL44 If you require additional information, please contact us. Ro nDESIGN Sine y, n � SOMEST ,ET,CD,,,Tp„ Enclosure TEST $MMA-141 NEOWOCAL INSPECTIONS ONSITE WASTEWATER C6POSALSTSTEM DESIGN 15861 S. Birchwood Loop Road - Chugiak, Alaska 99567 1.4 Im _ rU) W U 4t : it 01 I I I I I I U oc W oaY I I (\j W { r X -00 a: gYuw HI a c~i Z m E"m< W W W Z 00CCQW n F Q Y mow p Y a <s� om -T— N V' �! 111 D R 1W 2. 3 n) I pl '2 �i W a C w of noNci \ Q C7 :oar N M `r N II II 7 II N p N �D]JO O In M N V X O W W m a0> m Z Y maw a�a ¢�3 NNO 0 0 I I I I I I I I I I I I U oc W oaY „ry^ I I I ^a(A a: gYuw HI a c~i Ci E"m< W W W Z OWw n F ClL� J w3 a>w m Y a00 om -T— N V' �! 111 D R 1W 2. O O I ouye Q to M M 0 0 I I I I I I I I I I I I U oc J oaY ^'m3 I I I ^a(A I W1 0 oz E"m< OWw n F I a>w m 1 a00 om -T— IzzZi O J a a z 1W Ml WI IZ Zi O I J J oaY u 1� �I � <Z lI W1 0 oz Z) wW I n F OI w � m 1 a00 om -T— oma O J a a z I? palm mowO dN M OW V � � W W x ¢gym Mz x0> O ; Y aum Qow kp\ 3 z�or J = "I _"F 4 r__T___� _ TJ C a NJISM I NVId-3115 OW W d � Fm Q OWO W o[ � ¢ �3 2 2 Z W p p I � <Z lI W1 0 -o O Z) wW I n F �mW I 1 o' 0 I oma �I W� > palm W O O m3 of I e I I NJISM I NVId-3115 OW W d � Fm Q OWO W o[ � ¢ �3 2 2 Z W p p � <Z W1 0 -o O Z) wW n F )W F O Z V l a 1 o' 0 K W� > ow 2 W O O NJISM I NVId-3115 OW W d � Fm Q OWO W o[ � ¢ �3 - o►zf yN (C -g - ML.(oe)+r.mr--) PERFORMED BY: ACCORDANCEY ROBERT C. COWAN, P.E. ROBERTA. SHAFER. P.E. CMLENGINEERS (907)694.2979 FAX(907)694-1211 Township, WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? UpN to Water IUur h ManiWin ? 1J — DATE PERF *lDbIT 001, ie, Section: S L .� O P E f=mmml �.�W1.0MMwam e, PERCOLATION RATE ' (mmutevinch) PERC HOLE DIAMETER % � e TEST RUN BETWEEN FT AND 6 FT ~' CERTIFY THAT THIS TEST WAS PERFORMED IN ON THIS DATE. DATE: ROBERT C. COWAN . CIVIL ENGINEERING PH: 907-694-2979 FAX: 907.694.1211 ON-SITE WASTE\VATER DISPOSAL SYSTEM IfAtTNAVfNORITY CONSTRUCTION PRACTICES wPRovxs and MATERIAL SPECIFICATIONS SEWERS WATER A411O1TE IONS REFERENCE: Lot 3;Tract B; Eagle Crest S/D Addition # 1 August 11, 2009 SEWERSWATER GENERAL: WSPECTION 1. The scope of this project includes the installation of a new 1000 gallon IIDPE septic tank and new deep trench to serve the existing three bedroom residence EhONEERINGSTUOCS located on the referenced property. A flow diverter valve will be installed to ANDREPORTS allow the existing deep trench to be used at a later date. 2. Construction shall be in accordance with the approved site plan and design WELLINSPECRON drawings, Municipal permit with any special provisions or conditions, and all IFICWTEST applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground s,TEPws utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible ROAD DES" for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Development Services Department or ADEC if required, for SORTEST system installations. Owners installing their own systems must also receive prior approval from the respective agency. PERCCIAMN TEST SEPTIC TANK INSTALLATION: I. A septic tank is to be constructed by a certified septic tank manufacturer. BTRJC,MiALS Construction shall include two 4" cleanouts for pumping access. All IIDPE NSPECTwW septic tanks are required to have a 4" monitoring pipe installed next to the tank extending to the bottom of the tank. ON SITE WASTEWATER OSPOSALSYSTEIA DESIGN 15861 S. Birchwood Loop Road - Chugiak, Alaska 99567 Page 2 Lot 3; Tract B; Eagle Crest Subdivision Add. #1 August 11, 2009 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 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 ft. of cover shall be insulated. All IIDPE septic tanks are required to be covered with a minimum of 2" direct burial insulation, and a maximum of 4 feet of cover. 5. 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 (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 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. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCII/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier 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. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in 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 shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page 3 Lot 3; Tract B; Eagle Crest Subdivision Add. #1 August 11, 2009 5. 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 finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pic Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) 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 III or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" 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 M.O.A. or D.E.C. requirements, which ever requirement applies. Page 4 Lot 3; Tract 0; Eagle Crest Subdivision Add. At Augustll,2009 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: The first inspection must be conducted after the excavation of ditches, pits, trenches, 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. 2. 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 trenches, 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 M.O.A. permit. 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 of the contractors work rests with the owner and the M.O.A. 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 Engineering'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 r- MUNICIPALITY OF ANCHORAGE 0;• DEF I'MENT OF HEALTH AND HUMAN SERVI' A's • Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES c 4 Q FROM TO SEPTIC ABSORPTION A00'� WELL V Som TANK FIELD Vtwn�l log8-�}1or15 IV Permit No SSI13 No of Beorooms WELL I p I 1 I Qp LOT LINE S I 0 y LEI IL DESCRIPTION Lot$UDOmYOn "i L-6 FOUNDATION �jy a 25 Township. Range. Secllon p, ``W In-,?� ii S M AS -BUILT DIAGRAM (Show location of well. septic system. property Imes, tounaauon. �1 T Driveway water bogies, etc I TANKS SEPTIC ❑ HOLDING Nlanuldcturer Capacity In gallons fr 1 0010 Material No of compartments TYPE OF SYSTEM );QTRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depen to pipe bottom from total Depth from original grace original grace FT FT l FII aaoeD aoove original grace I Grovel acpm Deneam pipe ul 4wrei leng:n \'•/jLainnnwiclh GJ FT Total ab so yna Distance between lines SO FT FT Nla.tai of lines soil ratmg Pipe material SO FT matcher Date Installed 1 O Qr I D— r16 K WELLS 5e PRIVATE ❑ OTHER (Identify) UeaalbLalmn (A.B LI total Depen Casco to FT FT InSlellel Dale Installer) REMARKS: TpFTS '(IAf, u• f Scale: J O v A- t— . Inspections Performed by Date I _ pp• FH{ 'P^ eerbl that this Inspegmn waz pedwmed acwrdlnp ID all I Municipal and stale guiuTi�� ypajlus date Health Department Approval: �ewft silk al .. i •. ,i'WM.rt A. •Shafer• W/ �•. Hri 1437-E ?9F '��.., •••� Ear)'` ' 1i PROFctSONA�s MU1%.1 I C I F='A1L I -I"Y OF AIVCt-IOF--:AGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 ON—S I F='EF=zM I T PERMIT NO: 850714 UPGRADE DATE ISSUED: 11/07/85 APPLICANT: C&A ENTERPRISES ADDRESS: % S&S ENGINEERING .EAGLE RIVER, At: 99577 CONTACT PHONE: 694-2979 LEGAL DESCRIP: SUBDIVISION: EAGLE CREST LOT: 3 SECTION: 7 TOWNSHIP: 14N RANGE: 1W LOT SIZE: 17280 (SQ.FT. OR ACRES) I . BLOCK: TRACT B I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NO7 BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED APPLICA ISSUED _A %/ �L`r--"---------- DATE: ---�D - -v - NT:. C&A NTE --'RISES BYn DATE: Ll- 0 a MUNICIPALITY OF AACHOI,AGF DEP, f "ENT OF HCALTH & ENVIROtJMENTAI %VCTION j cNVIRONMENTAL ENGINEERING UIVISiG . 625 L Street • Anchorage, Alaska 99501, Telephunl: 2114.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT 71)lblit ss Lf (:AI I l SC6IPTION i 7 LOLA-.ION/ ''ll 110. OF OEUHUJIL� Wo11 a Absoryuon are.l U I DISTANCE TO: ILf �; � Uv.c•LL1 ,f— -_ __ .__ —_ PFR. -MT NO Y---_.1_. H Z , Maoulac lurcr „ .�.— L1.d••.: J - - -- - -- . _ Igo, 41 ionµ Jllnnn,l; -� •� .II. cawcny in 91,10-S— IF HOMEMADE: i„slae lengtl, — — L; ?( DISTANCE TO: YJell �'j Dwelling PERMIT NO. — rr,,Jn JIaCtUref lit fl'..:. La, LIUIn[I l'APJL'II)' lIl 11:11Inn5 G _,. DISTANCE TO: Wetl FOuntlm ron V ..... sol h,l 'un• im 1•LHMITN �j L 4: C/' - ----- u p I No. nl hnus Length of eacti6imil.. Total lergul of I ,es (} Penn w••I•l, 1 nu.nes D.sianee heiwrcn hoer e — C� 7 F: 0 I Top of tile to finish grade t Material beneath ule � �L/'� irIC1.Cf Total ellecUw q wn au•.I W—_I 1 lent.lb ` —U1 WItlN Depth 1'EHMIT NO. M Crib Cfl�(IaT lel TLJI lH•:IVC JI)fnllIOn beJl 6 0 W_—_ —_ ____—_—_�_— --_—. I DISTANCE TO: YfUn W " Building lOUO(IJII00 fill, sf lCl llnC UePth Driller Ursl.lnrr to lot hna PERMIT NO. w [ DISTANCE TO: Sept•e Ln14„r , CC Absnrl uun olsu(a Builoiny rOVntlJtl011 Sawn linty OTHER I 11 �•)y 1 �.— _._' _.I—if”—.—.. SOIL TIyT HATING o` INSTAI LER LE — _ 11.E 1, i G t�. i 4 ` 1q w c111� 40 Y _ CU>;� APPI•OVLU DATE LEGAL -Cf I / N' MUNICIPALITY OF � MCHORAGE*7 t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ♦ ENVIRONMENTAL ENGINEERING DIVISION " 825 L Street • Anchorage, Alaska 99501 Telephone 264-3720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE— R❑ NEW UPGRADE MAILING ADDRESS lij LEGAL DESCRIPTION {- 3 S 1- �� LOCATION V` NO. OF BEDROOMS V! Uy Well/_e DISTANCE TO: lf� Absorption area Dwelling r PERMIT NO 10 2 WF Manufacturer Material No. of compartments N Liq. capacity in gallons _ IF HOMEMADE: Inside length Width Liquid depth i3 Y JVZ DISTANCE TO: Well Dwelling PERMIT NO. 0 f Manufacturer L Material Liquid capacity in gallons W= DISTANCE TO: Well Foundation Nearest lot Ire 'a0 PERMIT N eoo F z W No. of lines ,G Length of eac inb. 6 Total leng of as Trench wid inches Distance between lines — Q F p Top of u e to finish grade t Material beneath the inches Total effectiveylWy ion area 40 zi W Length Witlth Depth PERMIT NO. 6 t— W � Type of crib t ter Crib depth Total effective absorption area rn DISTANCE T0: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line �� PERMIT NO. DI -STANCE TO:Building foundation Sewer line Septic tan t Absorption areals OTHER PIPE MATERIALS 3� SOIL TEST RATING l �� INSTALLER ILLREMARKS 10,al An k-I:L % (c` Q liver 1 — r r 6 i APPROVED DATE LEGAL 72-013 (Rev. 3/78) rlUr-4 I C I F' iaL. I -r 'T 10F f Ar -4 HGE G a, DEPARTMENT C� HEALTH AND ENVIRONMENTAL i .�TErt r 'M 825''L'. STREET, ANCHORAGE, AK. '_9950. Silt - 264 -4720 i 1t o— ' 264-4720 q, p Is OrJ—:7, I TE. 'SELJEF<', F=- F? PERMIT NO. ( 720697 ) APPLICANT STEVE SCHUMANN LOCATION CITATION A LEGAL L3 TRACT B EAGLE CREST S/D 147 CREST VIEWLA - LOT SIZE ------- 694 9237 17250`SQUARE FEET TYPE OF SOIL ASSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOI&R,ATING .<SO FT/BF:)= 190 THE REQUIRED SIZE OF~THE SOIL RBSOR.PTIOM.SYSTEM •IS:,_ ` \ C.EF=`TH 1c LEr-IGTH= 2E• GRR':�EL C,EF�`r 11 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR, DRAINFIELD. THE DEPTH OF R TRENCH:OR. PIT IS THE DIS-TANCE'EETWEEN THE SURFACE OF THE GROUNDOND THE BOTTOM OF THE fWAVATION-CIN_ FEET!,, oo;;Q' THERE IS NO SET WIDTH FOR TRENCHES?. THE TRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE. OUTIALL PIPE AND THE JOTTOM OF THE EXCAVATION CIN FEET). r_I=t�U I Ft_EU� SEPT I -r K I ZE= ::L ID 0 0 v0F=ILLr-,r-1=• PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER. OF RESIDENCES THAT THE WELL WILL SERVE.'.. --- TL IO C � ] I rJSF EST I nr.t5 nFRE REC=!L_t I -. - BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OP.. 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER.. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F>ErKPt I T ErXF" I FRES,~ E>ECEr•yBEF? �T1r I CERTIFY THAT 1: I AM FAMILIAR. WITH THE REQUIREMENTS FOR ON-SITE SEWERS FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT T ON-SITE SEWER SYSTEM MAY REQUIRE RESIDENCE IS MODELED O INCLUDE MORE THAN 3 BEDROOMS. SIGNED: R SSUED BY PPETCANT STEVE SCHUMANN nLo>_ r" L.-• AND WELLS AS SET ENLARGEMENT IF THE V3. 2 - B.�Ci-v�eFit 41 , IJ /��'I�k�A�'_"_ .t�l�'(,eGl�' I � _ r 1 •a,: � � O�' i �.t i , r rt I, _ i 7 -,�.. ' ��.•'. :, •,_• ��-i, �.lr! .�1.. �-, �1.7.1� � ' i I ' i r1 .1 ,t t t. �Ii� . ' ;•; trl .l i\y1:'\�a � ltl i'; C"• � r r✓ ;,.�, 1.,; r-' II, i./}i✓�.- r.7 Ratti t 1, �.) �, i 11 1 ,.'J.9 1 .11.•.4 rt .: �.� M.D.G. ENGINEERING SOILS LOG - PERC. TEST performed for: ST�yE Scs�Ci�9A.VN (i] soils log p� percolation test date= GRFro�\ER ANCHORAGE,AREA BO t1GH Department of Environmental Quality y 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE'DISPOSAL SYSTEM NAME e�'I-' � �fMAILING ADDRESS �y%� /'/0 P r�/HONE 513- 377�L LOCATIONel'uu 3"�F 04 0f/(j 14110aCt LEGAL DESCRIPTION SEPTIC TANK: UL -T'7 al -g C DISTANCE' 70� MANUFACTURER 5kCKTeEL MATERIAL J PL NUMBER OF FROM WELL 1COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY i800 GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER�Z' OR WIDTH! LENGTH 1Z,, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER -EDEPTH j DISTANCE FROM: WELL (/ TOTAL EFFECTIVE BUILDING FOUNDATION_, NEAREST LOT LINE ` ABSORPTION AREA (WALL AREA) /Z SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION- S1(444ad DEPTH BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: Sfe�c S a,ww PIPE MATERIAL: LOT SLOPE - REMARKS: / o, ? REMARKS: �"�'^"' Ot Form No. EO -031 "k,, DISTANCE FROM: NEAREST SEPTIC SEEPAGE SEWER LINE , TANK SYSTEM- REMARKS YSTEM_ REMARKS DIAGRAM OF SYSTEM s y T N 'l}`j•M_ �J` FiT• DAT APPROVED ' .. FiMCi"Tcu� /\ • ,. GREATER ANCHORAGE AREA BOROUGH j• DEPARTMENT OF ENVIRONMENTAL QUALITY,', �� ; 7330 "C" STREET ANCHORAGE, ALASKA 99303 Iuwlpq/' TELEPHONE 274-4981 SEWAGE DISPOSAL SYSTEM — APRLICATIONIAIND PERMIT NAME OF APPLICANT'4/L INSTALLATION LOCATIONr LEGAL DESCRIPTION 116t /ye INSTALLATION OF: SEPTIC TANK MAILING ADDRESS L'�� �/0 PERMIT NO. PHONE 733 /S7o SEEPAGE PIT.L , � DRAIN FIELD OTHER TYPE AND SIZE OF FACILI V TO BE SERVED I J7tl; 1 FINANCED THROUGH TO BE INSTALLED BV 1 Q SOIL TEST RESULTS '�L k \\ NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REOUIR ED. 'BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE TYPE Z 1 SEEPAGE AREA SIZE ' `� TYPE MINIMUM DISTANCES. REQUIREMENTS \,� ,_DIAGRAM OF SYSTEM 5Ln FOUNDATION TO SEPTIC TANK I" / FOUNDATION TO SEEPAGE PIT DRAIN FIELD /� / SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. ' /DO / WELL TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD , SEPTIC TANK,-lee, SEEPAGE PIT DRAIN FIELD TO RIVER. LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND I' ^- GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE -PUT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO REGARDING INSTALLATION. G.A.A.B• OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REOUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-88 AND THAT THE ABOVE DESCRIIDEJ5YSTEM IS IN ACCORDANCE WITH SAID CODE. a OAT[ L" Al f172 APPLICANT'S SIGNATURE A'O R M N O. 60-014 1 ,tel 0 & E E/, iI NEERI NG & DEVEL 0, ..y7ENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Russell Oyster 6942774 Civil Engineering Soils Er Foundations SOIL LOG Earl Ellis 333-5240 Surveying Land Development Performed for: STEE✓E SCNdlt/AN.t/, .570/ E 6mi S,'Acs /c1o,4&r1v. W9 09 Legal Description: Tzacr B Lots 3 +L/o E46t,- Cej5s; .�aeo. Depth -Feet 0 1 2 3 4 5 6 Soil Characteristics Al .S/L'ry 6eav c (�AieGY -�oosE aoo s7.,Cr. SP C ,P�1 fIEL G Y SANG 8 /zs 54•rT 9 10 11 12 Ground Water Encountered: Yes No ✓ If yes,what depth Proposed Installation: Seepage Pit ✓ Drain Field BormM cF /4/0L4 Comments: /on /5 At1,="e>E 4 yoiTie,c/ — Atop -7-1.1- aopwcc, "LAo $' �/QTS' l,eA/lEG � SeuT/,l uJ.4ta f/A� � Performed by:�-4're � Date: 7a>' 7 /5773 Mkraifirb l5ri-1111T fru _ by. A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 694-2568 OWNER OF LAND 37_/= uE SG h'✓M 4,J ^% DEPTII OF WELL 3t� ADDRESS STATIC LEVEL OF WATER FT. �eZ LEGAL DESCRIPTION -� T'as r Q EfICc E C��t r DRA� DOWN FT. DATE -Started Ended GALS. PER IIR Ido O PER.%IFr NUMBER "ZR O0 �� KIND OF CASING t',O O KIND OF FORMATION: From 0 Ft. to--Ft.o! �Pa9d!191 + From Ft. to Ft. From -2 Ft. to / D Ft. 1,1V -,.J ld r 6 If ✓EL From Ft. to Ft. From w Ft. to_i_I_Ft.�A.Cd0.1.J P b'ou�E9El( From Ft. to Ft. From Ft. to_44 Ft. From Ft. to Ft From-SS—Ft. to-16_Ft.,S/�'J d a KP4✓Ec From Ft. to Ft From 4(- Ft. to 5-T_Ft. fik<Q0fi�'J From Ft. to Ft. From _ to � Ft. �)Ft. CL H i' A/ C e f /ec- From Ft. to Ft. From7? Ft. to jQ Ft. �/O 3-r13 0 u< nC,(S From Ft. to Ft. Fromc7r) Ft. to_p_Ff. C< of y it 6 SCA ✓FL From Ft. to Ft. FromFt. to_Z�5_'Ft. Jf9.Jd p Gel4uEr From Ft. to Ft. From_L.LFt. to /4FFt. / T'6 From Ft. to Ft. '4 p r FromltLFt. to a�Ft. 7_1 Al / 476"0 From Ft. to Ft. From l! Ft. to LFt. CI ASA 10A"j From Ft. to Ft. From LFt. to�-Ft. ld ^)4 6e AY.✓el_ rw'f �r mA Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft From Ft. to Ft MISCL. INFORMATION: From Ft. to Ft. From Ft. to Ft DRILLER'S NAME rl U N I C I�+"L_ I TY OF F=it4CH Rt=iGE DEPARTMENT L �iEALTH AND ENVIRONMENTAL �TECTION 825 'L- STREET, ANCHORAGE, AFC. 995al- 264-4720 WELL_ F"EFZr-1IT PERMIT NO. C 780045 ) APPLICANT STEVE SCHUMANN 147 CRESTVIEW LANE 694 9237 LOCATION L3 TRACT B EAGLE CREST SUB LEGAL L3 TRACT B EAGLE CREST SUB LOT SIZE 19500 SQUARE FEET MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F"EFZP1I T E'XF? I FZESS FJECEMF3EFZ TA3.1 1.537^0 I CERTIFY THAT 1: 1 AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL ANSTALL TFV SYSTEM IN ACCORDANCE WITH THE CODES. SI ISSUED BY ICANT STEVE SCHUMANN V3. 0 GE.= sG • Municipality of Anchorage t On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 050-292-24 Expiration Date: 1. GENERAL INFORMATION: Complete legal description EAGLE CREST S/D #1; TRACT B, LOT 3 Location (site address) 19050 CITATION ROAD, EAGEL RIVER, AK 99577 Current Property owner(s) STEVE WELLS Day phone 351-3214 Mailing address Real Estate Agent 19050 CITATION ROAD, EAGLE RIVER, AK 99577 MYLISE BENNETT W/ COLDWELL Day phone 317-6621 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: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ® Public Sewer ❑ Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. S0 COSA Fee $ Cl Z Waiver Fee $ Date of Payment' -g _2 0 Date of Payment Receipt Number (')33 t C, Receipt Number. COSA # O SC Z01 Y17 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: Gamess Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 1 } Engineer's Printed Name: Jeffrey A. Garness Date: 6&)2,, 20 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon 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 system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future 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 to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for _a_ bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the `lllllll((((ff�r��#AECC884 OP 61"" JZ 'SO i'r ON-SITE �y WATER v o AND m, g WAST` -VAT ER z; f J/ ing Rst [p fps: 'C5 7::�' F O� Original Certificate Date: 23- ZO 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 Septic System Advisory Well Flow Advisory _ Nitrate Advisory Arsenic Advisory Other COSA blue sheet_10-10-12.doe S COSA Checklist Legal Description: EAGLE CREST S/D #1; TRACT B, LOT 3 Parcel ID: 050-292-24 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A�. LL DATA Well log I 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 CnQ Static water at beginning of test ents SERVED BY AWWU WATER, Well production at time of test m Water storage tank volu gallons Well disinfect coliform test? ❑ Yes ❑ No orm bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Ars ug/L ❑ Arsenic less than MRL (ND) Collected by EG,LTD. Date of Sample ft. B. TANK DATA. IFT STATION Age of tank(s) 11 years ❑ Requir aintenance compl Tank type/material PLASTIC Age of lift station ye Measured operating fluid level in septic tank 39'25' Lift station material ❑ Standpipes/foundation cleanout per record drawing Comments - Date of pum ping D. ABSORPTION FIELD DATA DEEP TRENCH (MT1/MT2) (DATA IS FOR 8/21/2009 TRENCH) Which system tested (date installed) 8/21/09 Adequacy test date 8/5/20 ❑ ALL standpipes present per record drawing Results Q✓ Pass For 3 bedrooms Total measured depth from grade 10.4 ft (max) Fluid depth prior to test 27127.25 in Measured depth to pipe invert from grade 3.8 ft (min) Water added 808 gal ❑ N/A — pressurized field New depth in ❑ Monitor tubes go to bottom of effective. If not, state 158 depth into effective Elapsed time min ❑ Code -required soil cover over field Final fluid depth 56156.25 in ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than -30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced "1652 gallons If yes, enter date Comments/Deficiencies: 'SYSTEM FULL. FILLED TO 1" OF LIQUID IN BOTH CO'S ON 8/4/2020. ON 8/5/2020, SUMP FOR 1985 TRENCH WAS FOUND TO EXTEND 19.4' BELOW GRADE AND HAD 20.5" OF STANDING WATER IN IT. COSA Checklist yellow sheet (A E. SEPARATION DISTANCES ISERVED BY AWWU WATER Fro vate Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Sta i Lot? 100' Community Sewer Manho knout > 100' Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft e Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No i Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > Animal Containm 50`0 Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > Com ewer 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 *51+ ft Surface Water > 100' Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q✓ Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells > 200' F,( Yes if No ft Water Service Line > 10' 0 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' ED Yes if No ft If absorption field is under driveway comment below Property Line > 10' Q 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 Surface Water > 100'✓71 Yes if No ft F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALLATION. 5'+ TO ANY DECK SUPPORT. ALL SURROUNDING PROPERTIES SERVED BY AWWU WATER (SEE ATTACHED AWWU SERVICE MAP) 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. COSA Checklist yellow sheet Q�o600pp� 4 9 - G rness: C 5, � ����f'ro f e s s10 —°—, #AECC884 a7! -^-----------'----------------------------��O----�------------------------------- . »\ '~*�= \seU/LT w HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: ID THAT No F NCROACHMENTS EXIST EXCEPT AS DICATED. IT 15 THE RESPONSIBILITY OF THE JGRID-- 44ER To DETERMINE THE EXISTENCE OF ANY LSEMENTS, COVENANTS, OR RESTRICTIONS 'ICH DO NOT APPM ON THE RECORDED suBCjj- 91ON PLAT. UNDER NO CIRCUMSTANCES SHOULD F8! Y DATA Hff?EDN BE USED FOR CONSTRUCTION FENCE LINE!� OR FOP, ESTABLISHING BOUND - Y LINES. DRAW w • Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 sAF.v Certificate of On -Site Systems Approval Parcel I.D. 050-292-24 Expiration Date: —) " 1. GENERAL INFORMATION Complete legal description Eagle Crest #1, Tr -B, L 3 Location (site address) 19050 Citation Rd. Current Property owner(s) Gary & Sue Lincoln Mailing address 19050 Citation Rd. Day phone 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: Individual Well ❑ Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System El Public Sewer ❑ WaiverNariance request for: Distance: Received by % ,K _. Date COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ (/q/3 4 CIO Waiver Fee $ Date of Payment 9/ //j p. Date of Payment Receipt Number QaS�G Receipt Number COSA #_ 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 Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Alk. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SI NATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for Phone (907) 272-8218 Date 91A/13 bedrooms, with the following stipulations: BY: Original Certificate Date: Theuni ' 1' chorage 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 COSA blue sheet r ., - If more than I septic system is on the lot: COSA Checklist # + of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Eagle Crest #1, Tr -B, Lot 3 Parcel ID:050-292-24 A. WELL DATA Well type AWWU If A, B, or C provide PWSID # Well Log (YIN) Date completed Sanitary seal (Y/N) _ Wires properly protected (Y/N) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Plastic Date installed 8/21/09 Tank size 1,000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N)) N High water alarm (Y/N) NN Date of pumping '7/1'1 13 Pumper C. ABSORPTION FIELD DATA Date installed 8/21/09 Soil rating (g.p.d./ftZ or ftZ/bdrm) 1.2 System type Deep Trench Length 34 ft. Width 3 ft. Gravel below pipe 5.9 ft. Total depth 9.8 ft. Eff. absorption area 401 ftz Monitoring tube Y Depression over field n Date of adequacy test 9/13/13 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 20 in. Water added 462 gal. New depth 45 in. Elapsed Time: 80 min. Final fluid depth 20 in. Absorption rate , 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum I" E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons _ "Pump off"level at Cycles tested _ Septic tank/lift station on lot 100+ Absorption Feld on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 100+ Manhole/Access (Y/N) in. High water alarm level Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION t certify that t 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 Steven R. Pannone Date 9/16/13 COSA brown sheet -1 0-10-1 2.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ "I v i ASBUILT SEAWARD &ASSOCIATES I,AND SMMING 694-0829 'I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: FOLLOWING DESCRIBED PROPERTY: eat ®� Al DATE - AND AND THAT NO ENCROACHMENTS EXIST EXCEPT AS � INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY ARID: *...... ..... ....� EASEMENTS, COVENANTS, OR RESTRICTIONS yry f WHICH DO NOT APPEAR ON THE RECORDED SUSDI- $t{ .Duane VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD F& ! �, perk Sawa -6 ANY ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- h� ARY LINES. DRAWNt t ti Page 1 of 1 Poet, Jeff W. From: Steve Pannone [steve@panengak.com] Sent: Friday, October 11, 2013 8:28 AM To: Poet, Jeff W. Subject: Eagle Crest No. 1 Tract B Lot 3 Jeff, I am writing to document a site visit. You pointed out to me that there were a cluster of three clean -outs on the survey as -built that were int eh area of the 1985 septic tank. The records show the field was upgraded in 2010 and that tank removed. The recertified as -built by Mark Seward still shows those three clean -outs. We performed a site visit last night and verified that the tank and clean -outs have been removed and in fact are not as shown on the Recertified as -built. The drain field clean -outs still exist.. I hope this addresses your concerns. Please call if you have any further questions. Steven R. Pannone, P.E. Pannone Engineering Services, LLC 332 East Manor Ave P.O. Box 100217 Anchorage, AK 99510-0217 Ph: (907) 272-8218 Fax:(907) 272-8211 E-mail: stevegpanenaak.com 10/11/2013 n r1 5. LEGAL DESCRIPTION DATE RECEIVED INSPECTION APPOINTMENTS Lcs le C2c 7' so bd10 STREET LOCATION TIME TIME TIME 6. TYPE OF RESIDENCE DATE DATE DATE SINGLE ❑ Two ❑ Five ❑ MULTIPLE FAMILY Q Three ❑ Six 7. WATER SUPPLY INSPECTOR INSPECTOR INSPECTO V,UNIUFALIIY OF ANCHO;ZAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & \ _ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTf6WIRONMENTAL r; OTECTION 825 L Street • Anchorage, Alaska 99501 ED INDIVIDUAL/ON-SITE" 1 14AY 1981 1 1 ENVIRONMENTAL SANITATION DIVISION NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Telephone 2644720 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE AN C. F ayJP'eAga s . -277 7as4(Z MAILING ADDRESS I -/ 45O/ %� c cet II/•�. to /L. A7 Gt0 et/ E %%SOY PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE ,744 K5oA.) -8ttA)c h MAI LI NG ADDR ESS 3. LEND1NSTITUTION PHONE 7%o to /es �a/I K T,pt/s T a77 7s1/ MAILING ADDRESS 4. REALTOR/AGENT, PHONE �j MAR Ii LJ) AJ / pil 67r/a3gP' MA LING ADDRESS , 13ox 7'7 . �? 5. LEGAL DESCRIPTION L 3 %-R 8 Lcs le C2c 7' so bd10 STREET LOCATION , C`Iret. TioN o %a /e JinruelL /.00 %2� 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS 10 FAMILY ❑ One C3 Four ❑ Other SINGLE ❑ Two ❑ Five ❑ MULTIPLE FAMILY Q Three ❑ Six 7. WATER SUPPLY - - CZ INDIVIDUAL- *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) &)o T- K. owA, & SEWAGE DISPOSAL SYSTEM - ED INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72 010 6/79) 9 ,^ �� THIS SIDE FOR OFFICIAL USE ONLY - 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY-1 Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑SepticTankor ❑Holding Tank Size: /00 U If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Y 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - - 5. COMMENTS Ud' APPROVED FOR 3 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE -�L—I- `3 k BY I Q,Q__ 72010 (Rev. 6/79) r DAVID A.SLENKAMP MECHANICAL ENGINEER 694.9055 May 21, 1981 Century 21, Metropolitan ATTENTION:Marion Pipple P.O. Box 677 Eagle River, Alaska 99577 Dear Ms. Pipple, i'� ROBERT A. SHAFER CIVIL ENGINEER 694.2979 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL P;:OTECTION MAY 2 7 1981 RECEIVED Reference: Lot 3; Tract B; Eagle Crest Subdivision; Adams property A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The absorption trench was tested by a continuous flow of water over a period of 48 hours. The average flow for a 24 hour period was 517 gallons with no adverse effect on the system. It can be concluded from this test that the absorption trench is currently functioning adequately for the three bedroom residence located on this property. However, the system cannot be guaranteed against subsequent failures. If we may be of further assistance, please do not hesitate to call. .E. Peoples Bank and Trust ATTENTION: Shirley Hall Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER. ALASKA r sQjIIEO.v6 .� BE -7 ]J c' .a r /!30 774 -767)a-- .c -)y n at-- pAUNICI A II . r. MUNICIPALITY OF ANCHORAGE DEPT. Oi 1 := "•LT11 & �- DEPARTMENT OF HEALTH 6 ENVIRONMENTAL PROTEgT4Wj1NaiNTAL :CTION 825 L Street • Anchorage, Aloka 59501 0. TYPE OF RESIDENCE • JUN 519-19 ENVIRONMENTAL ENGINEERING DIVISION Telephone 2544720 EE - REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE A IIL11lES DIRECTIONS: Complete NI parts on page 1. Incompleb spurts, will not be procarad. Reeee Blow ton OW drys for proce ein9. 1. PROPERTY OWNER IsINDIVIDUAL' PHONE 7 (/� C001A141 since June 1975. For wells drilled prior to that date, give well 644-8?s7 MAILING ADDRESS S. SEWAGE DISPOSAL SYSTEM 147 C9E5T OIEw C.AyP FAC -115 INDIVIDUAUON-SITE" PROPERTY RESIDENT (If different from above) ❑ PHONE 2. BUYER by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED n/ � 00/1 yr MAILI G ADDRESS tvr ><. ENDING INSTITUTION �SEGUQIT-1 AAtocic nTAc-E PHONE 076`lg3.7 MAILING ADDRESS - ll G T�QoC 4. REALTOR/AGENT �"'IPHUNE a/z I 349-.?s�2 MAILING DSS � O uAR a J<c 9 5. LEGAL DESCRIPTION LOT 3 rtACT Q _ c F CQfS7— STREET LOCATION 0. TYPE OF RESIDENCE NUMBER F BEDROOMS Q. SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY IsINDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.);_ S. SEWAGE DISPOSAL SYSTEM INDIVIDUAUON-SITE" "If individual/on-site, give installation date A&(-• ❑ If system is over two (2) years old an adequacy test is required PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED * /twc- EXcFio7tD.r- �"' ,O/sT,o�te F�tvM k,E�t THIS SIDE FOR OFFICIAL USE ONLY 1 INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED p —7 INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 200VO If Tank is homemade give dimensions: SOILS RATING G 1 (d TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL T 4. DISTANCES WELLTO: Septic/Holding Tank L/Co Absorption Area SOU Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATEr— BY (Title) -. LEGAL DESCRIPTION 72-010 (Rev. 3/78)