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Home My WebLink AboutEAGLE PARK BLK 1 LT 4Eagle Park Block 1 Lot A #050-782-04 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211137 PID Number: 050-782-04 Dwelling: [9 Single Family (SF) 771 with ADU El Duplex (D) El Two Single Family Project: 0 New 11011 Upgrade Name WALLACE WILLIAM L & KRYSTLE D APTION FIELD El ep Trench 17� Wide Trench El Bed EJ Mound 0�11Fl Site Address 20611 Melody Lane Eagle River AK Other Phone Number of Bedrooms Soil Rating Total depth from original grade 1 4 /SFJ Ft. LEGAL DESCRIPTION Depth to pipe invert from original 6r-8 e Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot EAGLE PARK 1 4 Fill added above original grade Ft. Gra7eH ngt Z ng,n Ft. Township Range Section Gravel width Beds: Number of Lines i't �anc,eM. n Distance -tween lines SEPARATION DISTANCES Ft. I Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well >100' NA NA NA TANK H Septic El S.T.E.P. El Holding El Other Manufacturer greer Capacity 1250 Gal. Surface Water >100' NA NA NA Material Number of compartments Lot Line >10' NA NA NA NA plastic 12 Foundation >10' NA NA NA 1, �TSTATIQN Manufacturer Capacity Remarks 2" insulation over tank Gal. Alarm location Zlec n stalled by Installer Tank to 3034 PIPE MATERIAL House to tank 3034 drTanainfield JRs Septic Drainfield CO/MT3034 Inspector Brent Western BENCH MARK (Assumed elevation) 100 ft Inspectes:tion 1s, 6/812021 nd 8/9/2021 da Location and description 2 3d 4t" bottom siding at point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Ak, Conditional Approval: Date �,........ AX. CD A ................. seMt. . .............. Curtis L, TownseM 5f �q% Date I.i aoz Ar No.CEi1W4..- Septic System ��t�, "4u Approved Date gw Note: this approval does not include well permit requirements. k — .( 1Q) v o_ J� V) O w 0- 0 J ry Lj Lj n Cn O = Z H TNEIGHBORING WELL IS >100' FROM PROPERTY LINE NEIGHBORING SEPTIC IS >10' FROM PROPERTY LINE CLASS C WELL SERVES LOTS 3 AND 4 CONVERSION OF 3 BEDROOM TRENCH TO BEDROOM RESERVE TRENCH DESIGN PARAMETERS BEDROOM: 4 (600 gpd) SOIL RATING: 1.2 GPD/SF AREA REQUIRED: 500 S.F. SYSTEM TYPE: 5' WIDE TRENCH x 4' EFFECTIVE DEPTH 600 GPD/1.2 GPD/SF = 500 SF 500 SF/5' x 0.5 = MINIMUM 50' LENGTH NEW SEPTIC TANK SHED 38' x 60" x 4' EFFECTIVE DEPTH TRENCH. CURRENTLY SIZED FOR 3 BEDROOMS. CAN BE REBUILT IN PLACE AND INCREASED IN SIZE TO CONVERT TO 4 BEDROOM TRENCH 62' x 60" x 4' EFFECTIVE DEPTH TRENCH, SIZED FOR 4 BEDROOMS co O 150' \E- SCOPE OF WORK 4 1. REMOVED EXISTING SEPTIC TANK. 2. PLACED NEW 1,250 GALLON PLASTIC SEPTIC TANK AND TIED INTO EXISTING ABSORPTION SYSTEMS. THE TANK WAS PROVIDED WITH MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST COMPARTMENT. 3. ALL CONSTRUCTION WAS IN I ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. 3 BEDROOM HOUSE SLOPE 8% A FCO t 6 SCO rn� � TH1 T2 DIVERTER VALVE 30' UTILITY & ALVEY EASEMENT Septic Record Drawings Prepared for NEIGHBORING WELL IS >100' FROM PROPERTY LINE WILLIAM AND KRYSTLE WALLACE 20611 Melody Ln Eagle River, Alaska 99577 EAGLE PARK BLOCK 1 LOT 4 EKLUTNA ENGINEERING, 19162 MOUNTAIN ROAD CHUGIAK, ALASKA 99567 (907) 406-1058 .�G-4VAififiEI LLC DATE: 8/11/2021 DRAWN: CLT SCALE: 1" = 30' PID: 050-782-04 SHEET 2 OF 3 OF AV �•.• '••;�y �� All 49 LH = �� .....:`.....f�....................':..... 00 0 ........... .......................... .;.. ♦ •: CURTIS TOWNSEND;� Ar No. C 11904AV Z""?,oto Ess1,..�� aux�m MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Read Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http:llwww. muni.orglonsite On -Site Wastewater Disposal System Permit Permit Number: OSP211137 Work Type: SepticTank Upgrade Tax Code Number: 05078204000 Site Legal Address: EAGLE PARK BLK 1 LT 4 G:0056 Site Mailing Address: 20611 MELODY LN, Eagle River Owner: WALLACE WILLIAM L & KRYSTLE D Design Engineer: EKLUTNA ENGINEERING, LLC" This permit is for the construction of: E=ffective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: mcnt llepartment 5/13/2021 5/13/2022 43169 ❑ Disposal Field hJ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipai code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing C al Provisions: If the homeowners want a 4 -bedroom approval in fhe fufure, a 4 -bedroom reserve field e identified on the record drawings. Received B) Issued By: Date: Date: 3 MUNICIPALITY OF ANCHORAGE Development Services Department ^� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-782-04-000 Property owner(s) WALLACE WILLIAM & KRYSTLE Mailing address 20611 Melody Lane Eagle River Site address 20611 Melody Lane Eagle River AK 99577 Day phone AK 99577 Legal description (Sub'd., Block & Lot) EAGLE PARK BLK 1 LT Legal description (Township, Range & Section) Lot Size 43,169 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Date of Payment: 5110laop 1 Absorption Field ❑ Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade 0 Renewal ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: 0 TYPE OF DWELLING: Single Family (SF) El (w/wo ADU) Duplex (D) ❑ - Multiple Dwellings ❑ (SF and/or D) Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipair odes. T /-Z�zr (Signature of property owner or authorized agent) Permit/Rush Fees: � 2 Z 5 Waiver Fees: Date of Payment: 5110laop 1 Date of Payment: Receipt Number: d 167Oh Receipt Number: Permit No. 05P21 1 1 3 1 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211137, Rebecca Carroll, 05/13/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211137, Rebecca Carroll, 05/13/21 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201259 PID Number: 050-782-04 Dwelling: FI -81 Single Family (SF) El with ADU 0 Duplex (D) ❑ Two Single Family Project: F71 New 0 Upgrade Name WALLACE WILLIAM L & KRYSTLE D ABSORPTION FIELD F-71 Deep Trench ON Wide Trench El Bed El Mound Site Address 20611 Melody Lane Eagle River AK El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 1 3 1.2 GPD/SFJ 10.1 - 10.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 6.1 -6.5 Ft. Gravel depth beneath pipe 4 Ft. Subdivision Block Lot EAGLE PARK 1 4 Fill added above original grade 0.7-0.9 Ft. Gravel length 62 Ft. Township Range Section Gravel width 5 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line > 500 Ft2 1 Ft. Well NA >1 00' NA NA K o Septic El S.T.E.P. 171 Holding Ej Other IlManufatv(er Capacity Gal. Surface Water NA >1 00' NA NA Material Number of compartments Lot Line NA >10' NA NA NA Foundation NA >10' NA NA I LIFT STATION Manufacturer -'a' acity Remarks field sized for 4 bedrooms Gal. Alarm location Electrical insta[le v PIPE MATERIAL House totank Tank to 3034 drainfield Installer JRs Septic Drainfield 3034 CO/MT3034 Inspector Brent Western BENCH MARK (Assumed elevation) 100 ft Inspdatesn ectio1st 8/5/2020 8/6/2020 Location and description 2nd : 3" 8/22/2CI6 411 bottom siding at point A ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ().F..AJ Aw e.9 mesmmee mm ee0ob0e Septic System Approved Date 10 X020 Dais No. CE I IT. \ PROFESSO -42' Note: this approval does not include well permit requirements. (Hev Ub/U2/1 6) Septic As Built Prepared for ....,""x,11 WILLIAM AND KRYSTLE WALLACE . PSE 20611 Melody Ln Eagle River, Alaska 99577`''•• �'� �� 49TH °;1� EAGLE PARK BLOCK 1 LOT 4 OSP201259�.............. ../................... .....00 �............... ............................0 EKLUTNA ENGINEERING, LLC DATE: 10/7/2020 CURTIS TOWNSEND:• DRAWN: CLT #0 %%No. 11p04 �:19162 MOUNTAIN ROAD �ip .�I2�aDc�'4 CHUGIAK, ALASKA 99567 SCALE: 1" — 30'��'''•..... `,�� (907) 406-1058 4491 's 6-0. PID: 050-782-04 SHEET 2 OF 3 11 NEIGHBORING WELL IS >100' FROM PROPERTY LINE NEIGHBORING SEPTIC IS >10' FROM PROPERTY LINE CLASS C WELL SERVES LOTS 3 AND 4 co CD 150' / \ DESIGN PARAMETERS /SCOPE BEDROOM: 4 (600 gpd) OF WORK SOIL RATING: 1.2 GPD/SF1. EXISTING 1000 GAL SEPTIC TANK AREA REQUIRED: 500 S.F. WAS LEFT IN SERVICE. THE SYSTEM TYPE: 5' WIDE TRENCH x 4' EXISTING TRENCH WAS LEFT IN EFFECTIVE DEPTH SERVICE z0 600 GPD/1.2 GPD/SF = 500 SF 2. A NEW TRENCH HAVING 500 SF/5' x 0.5 = MINIMUM 50' LENGTH DIMENSIONS OF 62' x 5' x 4' 0 EFFECTIVE DEPTH WAS n CONSTRUCTED. VARYING SOILS ' WERE DISCOVERED DURING CONSTRUCTION SO LENGTH WAS 0 L INCREASED. MAX DEPTH OF 0 EXCAVATION WAS 10.5'. w n 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL CD = REQUIREMENTS SPECIFIED IN z ~ ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. \ \ 3 BEDROOM HOUSE SHED SLOPE 8% BM FCO B CO SSRCO \ MT S EXISTING 38' x 60" x 4' C01 EFFECTIVE DEPTH TRENCH 12 MT1 SS DIVERTER VALVE TH 1 M T2 CO2 30' UTILITY & AL EY EASEMENT 62' x 60" x 4' EFFECTIVE DEPTH TRENCH NEIGHBORING WELL IS >100' FROM PROPERTY LINE NEIGHBORING SEPTIC IS >10' FROM PROPERTY LINE Septic As Built Prepared for ....,""x,11 WILLIAM AND KRYSTLE WALLACE . PSE 20611 Melody Ln Eagle River, Alaska 99577`''•• �'� �� 49TH °;1� EAGLE PARK BLOCK 1 LOT 4 OSP201259�.............. ../................... .....00 �............... ............................0 EKLUTNA ENGINEERING, LLC DATE: 10/7/2020 CURTIS TOWNSEND:• DRAWN: CLT #0 %%No. 11p04 �:19162 MOUNTAIN ROAD �ip .�I2�aDc�'4 CHUGIAK, ALASKA 99567 SCALE: 1" — 30'��'''•..... `,�� (907) 406-1058 4491 's 6-0. PID: 050-782-04 SHEET 2 OF 3 11 OG MARK A B DIVER TER 26'-5" 21'-1" C01 56'-2" 72'-5" MT1 57'-5" 73'-2" CO2 51'-4" 41'-1" A4 T2 49'-3" 39'-4" I OF ROCK 89, TEST HOLES DUG 5/2/2011. 7 DAY GROUNDWATER STUDY CONCLUDED 5/15/2011. NO GROUNDWATER FOUND. BM IS BOTTOM OF HOUSE SIDING AT POINT A, ASSUMED ELEVATION 100' Septic As Built Prepared for •• `� OF t� WILLIAM AND KRYSTLE WALLACE .•�P•..• �� S��i� 20611 Melody Ln Eagle River, Alaska 99577 EAGLE PARK BLOCK 1 LOT 4 49TH OSP201259 �................. ...........................� i................... ................. ��y.: EKLUTNA ENGINEERING LLC DATE: 10/7/2020 , CURTIS TOWNSEND'�T/ 19162 MOUNTAIN ROAD DRAWN: CLT ••j�� NocvC 11 I CHUGIAK, ALASKA 99567 = ' �C •'''••�....� • 907 406-1058 SCALE: 1 1/2" 1 , �` . PID: 050-782-04 SHEET 3 OF 3 1l��1%�� MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 hQp://www.muni.orgIonsite On -Site Wastewater Disposal System Permit Permit Number: OSP201259 Work Type: Septic Upgrade Tax Code Number: 05078204000 Site Legal Address: EAGLE PARK BILK 1 LT 4 G:0056 Site Mailing Address: 20611 MELODY LN, Eagle River Owner: WALLACE WILLIAM L & KRYSTLE D Resign Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: 0 Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms crtr s� ti0 _ epartuient 7/23/2020 7/23/2021 43169 ❑ Private Well ❑ Water Storage All construction shalt be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either; a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B) Issued By: 3 2-7 Date: Date: 7/,2 3 1.2 0,2 6 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201259, Rebecca Carroll, 07/23/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201259, Rebecca Carroll, 07/23/20 SOILS LOG — PERCOLATION TEST HRIM ENGINEERING Date Perf ormed: 5/2/11 Performed For: Trov Davis Legal Description: Eagle Park S/D, Mock 1 Lot 4 DEPTH FEET) Organic TH Location: See Attached Design 2 G P 3 Silty Sandy Gravel 4 Date Gross Time Net Time 5 Net Drop 1 7/15 0 3.5" 7 7/15 10 10 min, 8.5' 5.0" 3 7/15 C) 3.5" 10 7/15 22 10 min. 11 - 5 0" 0 7/15 12 3.5" 13 7/15 35 10 min. 14 5,0" 7 7/15 15 3.5" 16 17/15 47 10 min. 17 5.0" c) 7/15 18 3.5" 19 7/15 60 10 min. 20 - 5.0" 21 - Comments: Groundwater? No Depth Water Depth After Monitorino,none Date: 5/15/11 Date Gross Time Net Time Depth Net Drop 1 7/15 0 3.5" 2 7/15 10 10 min, 8.5' 5.0" 3 7/15 12 3.5" 4 7/15 22 10 min. 8.5" 5 0" 5 7/15 25 3.5" 6 7/15 35 10 min. 8.5' 5,0" 7 7/15 37 3.5" 8 17/15 47 10 min. 8.5" 5.0" c) 7/15 50 3.5" 10 7/15 60 10 min. 8,5" 5.0" Percolation Rate 2 min./inch Perc Hole Diameter -6" Test Run Between 3' and 4' Performed BYNorthR'm Eng, I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE, DATE: 7/15/11 NOR THRIMP. TESTHOLE LOG IT, H. 1ENGINEERING .... . .. ....... PO Box 770724 V-4 Eagle River, Alaska 99577 jr 907.694,7028 GE11TECHNICAL ate EET 7/15/11 1 of 2 A THI IM ENGINEERING S ILS LOG - PERC LATI N TEST Performed For: Troy Davis Date Performed: 5/2/11 Legal Description: Eagle Park S/D, Block 1 Lot 4 DEPTH FEET) 1 - Date Gross Time 2 Depth Net Drop 3 0 3.0" 5 7/15 10 6 5.0" 7 7/15 12 3.0" 4 7/15 22 10 min. 8.01, 5.0" 10 7/15 25 11 - 3.0" 12 - 7/15 35 13 - 8.01, 5.0" 14 - 7/15 37 15 - 3.0" 16 - 7/15 47 17 - 8.0" 5.0" 18 - 7/15 5019 - 3.0" 20 1 60 Organic T,H, Location: See Attached Design GP Silty Sandy Gravel Groundwater? No Depth -- Water Depth After Monitorino•none Date: 5/15/11 Date Gross Time Net Time Depth Net Drop 1 7/15 0 3.0" 2 7/15 10 10 min. 8.01, 5.0" 3 7/15 12 3.0" 4 7/15 22 10 min. 8.01, 5.0" 5 7/15 25 3.0" 6 7/15 35 10 min. 8.01, 5.0" 7 7/15 37 3.0" 8 7/15 47 10 min, 8.0" 5.0" 9 7/15 50 3.0" 10 7/15 1 60 1 10 min. 1 8.0" 5.0" 21 - Percolation Rate 2 min,/inch Perc Hole Diameter 6" Test Run Between 3' and 4' Comments; Presoaked. Measured to nearest 1/1f; inch. Performed By NorthRim Eng, I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE. DATE: 7/15/11 E ofA., 4y NOR THRIM !*:49m '+f ! TESTH LE LOG T, H, 2ENGINEERING, •• •• f PO Brix 770724..... ts f... ` Eagle River, Alaska 99577 907. 694, 7028 '+ + GE TECHNICAL t7/15/11 2 of 2 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522=7773 677-7766 (FAX) MEMORANDUM DATE: December 22, 2011 TO: Jeff Poet FROM: Mike Anderson, P.E. SUBJECT: Lot 4 Block 1, Eagle Park Subdivision Inspection Report/COSA Representatives of Anderson Engineering met on site today along with City personnel to inspect the absorption trench recently constructed on the subject lot. An excavator owned and operated by Pomraning Excavation was utilized to expose the trench to verify it was constructed in conformance with the approved plans and the Municipal Ordinance governing septic systems. The inspection verified the septic system was completed in accordance with the plans and meets all requirements of Municipal Code. We recently certified the construction of the septic system with the submittal of the inspection report and the Certificate of On Site System Approval. We hereby request these documents be approved by the City as submitted. -K" J' .. 1074N... 074 ep•s• �.asyys�..a. 6•. M10iAE1 F, ANDERSON CE - 4381 • 0 c^,n•.�1.'—Z7-Ji •',QfAV ®��?-� POFESS10 '® o ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 FAX November 15, 2011 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Lot 4, Block 1, Eagle Park Subdivision Septic System Inspection and Certification Dear On Site Services Engineer: We were recently engaged by Troy Davis Homes, Inc. to complete the inspection report and Certificate of On Site System Approval for the new home constructed on Lot 4, Block 1, Eagle Glen Subdivision. The septic system on the lot was originally permitted by Steven Eng, P.E. of Northrim Engineering. Mr. Eng was also present during the construction of the septic system. Our work on the project included the field measurements to verify the septic system met the requirements of the permit and was constructed in accordance with Municipal Code. We completed a survey of the completed system, interviewed the system installer, Pomraning Excavation, drafted and certified the final as built and completed the COSA for the certification of the septic system and the Class C Well on the lot. Our work revealed additional fill and final grading is still required before the septic system can be finally approved. We are therefore requesting a conditional approval be issued to allow the mortgage loan on the property to close. Sincerely, Benjami chiller, P.E. , It Mr �P•,. so T Be s � njami J Schiller.= w� �' ' CE -12592 �``� Municipality of Anchoragep ODevelopment Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page Of www.cLanchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSP111170 PID Number: 050-782-04 Name: Troy Davis Homes, Inc. Wastewater System: ❑✓ New ❑Upgrade Address: 165 E. Parks Highway Wasilla, AK 99654 ABSORPTION FIELD Phone: 357-9394 Number of Bedrooms: 3 ❑Deep Trench m Shallow Trench ❑ Bed ❑Mound ❑other - LEGAL DESCRIPTION Soil Rating: 1.2 Total Depth from original grade: 7.9-8.4 GPD/FF Ft. Block: Lot: Subdivision: 1 4 Depth to pipe bottom from original grade: Gravel depth beneath pipe: Eagle Park 3.9-4.4 FL - 4 Ft. Township: Range: Section Fill added above ongmal grade: Gravel Lenglh: 0 Ft. 38 Ft. Well: ❑ New ❑ Upgrade Gravel width: - rave Number M lines: Distance between lines : 5 FL 1 FL Classifcatten (Private, A. B. C): Total Depth: Cased to: Total absorption area: Pipe Matenal: Class C Public Water System 360 Ft. 359 FL 380 Fe ASTM D3034 PVC Driller Date Drilled: Static Water Level: Installer Data Installed: Alpine Drilling 5/2/07 287.6 Ft. Pomraning Excavation 10/4/2011 Yield Pump Set M: Casing Height Above Ground! TANK 15 GPM Ft. 2 Ft. SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding ublic(Private Manutaaurer. Capacity: From Tank Field Station Tank Sewer Line Anchorage Tank 1,000 Gal. Material: Number of Compartments: Wall >150' >150' N/A NIA >25' Steel Two (2) Surface Water >100' >100' N/A N/A LIFT STATION Size: ManufacWre, Lot Line >5 >10' NIA N/A Gal. 'Pump on'level at: "Pump Mf" level at: High water alarm at: Foundation >5' >10' N/A N/A in. in. in. Pump Make & Model Electrical inspections performed by: Curtain Drain None Noted Remarks:BENCH Final Grading to Be Completed by June 15, 2011. MARK Location and Description: Garage Slab. Assumed Elevation: 100.0 Engineers Stamp Inspections performed by: S. Eng Dates: tat 10/4/2011 ��i�Vt nd10/4/2011 ♦�'�4;••�•�'•A�.�r�d, 2 Develop&nt S is s Department Approval M,`Al ' = �, •' �� ' rr if Conditional Approval Date: ///-LA l 4949TH . * 0 Y' / �••'' Ben an 1 Schil er ♦m� J ^. *41 s,'• C€ -1 592 Reviewed by: Date: / 't C and approved i --<<; , • (Rev. W/Ofi) ,V Permit Number: OSP111170 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 EAGLE RIVER ROAD S89.59'00'E 150.00 i i i i EAGLE PARK SUBDIVISION LOT 4, BLOCK 1 0.991 ACRES Page 2 of 3 PID NO.: 050-782-04 AV TH of .• enla i• .J Schiller ,: ,Az„ . •� 12592 •� �F9 •1i :5•li `�` ,' RO\ ►S, 0`'\:� C5 M14 --z FCO S2 TH1 ® TH2 30' UTILITY & O ALLEY EASEMENT o N90.00'00'W 150.00 0 _ o 14 —� PLAN AS -BUILT SCALE 1' = 40' I CLASS C Q) WELL I / 1 / 1 /oc �+ wok 0 \ A B CQ � \ 1 14.0' 14.3' / 0D \ S2 15.7' 19.0' / 0J W C4 24.7' 35.4' w `oo �.\ C5 48.6' 32.3' rJ o \ M 1 49.6 33.5' o 3 o C> 0 ,,s Z CD s, Three Bedroom Home AV TH of .• enla i• .J Schiller ,: ,Az„ . •� 12592 •� �F9 •1i :5•li `�` ,' RO\ ►S, 0`'\:� C5 M14 --z FCO S2 TH1 ® TH2 30' UTILITY & O ALLEY EASEMENT o N90.00'00'W 150.00 0 _ o 14 —� PLAN AS -BUILT SCALE 1' = 40' Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP111170 PID NO.: 050-782-04 H �U 91.1 95.1 83.0' No Groundwater 98.2 N M U Existing Finished Ground Ground 4" Insulation 1,000 Gallon 1� Septic Tank \ 5.6 95.4 Finished Grade Drainfield Rock 38' (Trench Length) PROFILE AS -BUILT No Scale U 99.0 95.1 OF A Ito ® fi�P• �'=rv� f :�y®d� • • T H 's" Iwo S.. :... ... ..o....0,, O p • Benja 1 Schiller;' 4,��%•' C -1 592 •. • h • �r Ar � �PRO:::IO'' � On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111170 Tax Code Number: 05078204000 Work Type: Septic Initial Permit Effective Dates: August 01, 2011 to July 31, 2012 Design Engineer: NORTH RIM ENGINEERING Subdivision: EAGLE PARK Site Legal Address: EAGLE PARK BILK 1 LT 4 G:0056 Owner/Address: TROY DAVIS HOMES INC 165 E. Parks hiway WASILLA AK 996548067 Site Mailing Address: 20611 MELODY LN, Eagle River Lot Size in Sq Ft: 43169 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: I Date: Date VX. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel 1.D. 7J2 -0c./ _ A Property own Mailing addrE Site address Legal descrir Legal description (Township, Range & Section) Lot Size 7, LJQSq. Ft. Number of Bedrooms THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (N all that apply) Initial Absorption Field Pj Septic Tank Upgrade ❑ Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owne'f-6r authorized agent) /'P�ermit/Rush Fees: , ~ ' Waiver Fees: Date of Payment: >. <- Date of Payment: Receipt Number: `;j Permit No. GABuilding\On SiteTorms\Client FormsTermit App_010411.doc Receipt Number: Waiver No. (Rev. 1/11) bTHIIUM_ ENGINEERING MEMO Steve Eng, PE, PH P.O. Box 770724, Eagle River AK 99577 (907) 694-7028 tel northrimeng@aol.com Date: 7/20/11 Number of Pages: 7 To: MOA On -Site Services Subject: Eagle Park S/D, Block 1, Lot 4 Septic System Design A new house and wastewater system are planned for the subject lot. The test hole showed excellent sandy gravel to 16.5', and no groundwater. The design calls for a new trench, new septic tank & private sewer lines. Private water wells serve the area lots and are shown in drawings. An existing Class C well is present on lot 3, which will be utilized for water. Lot is level terrain. Please review the wastewater system design & water well location for the single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Thanks -Steve ENGINEERING Eagle Park S/D, Block 1, Lot 4 SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is a new 3 -bedroom, single family home. This is an established subdivision and most of the neighboring lots are developed. These lots are large and are served by private water wells & Class C wells. No adverse impacts are expected from development. No conflicts to the other lots will take place by this septic system and water well construction. The easements are located on the drawing and are not encroached upon. Soil tests revealed silty sandy gravel soil. An application rate of 1.2 GPD/FT2 with 0.5 reduction factor for utilizing a 5' wide trench. Trench Length = 500 FV/5'x .5 reduction factor = 37.5'; 1 line @ 38'. No bedrock was encountered. Monitoring revealed no groundwater @ 16' in TH 1. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • Two compartment, 1000 gallon septic tank. Watertight couplings on inlet & outlet. • 5' minimum between the tank and bed. 10' to property lines. • 3' of cover or insulation is required for trench; an equivalent of 1" insulation for 1 ' foot soil cover. • Tank & solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps are required F to 4' from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10' from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock from drain - rock. • Drain rock to be 1/2 inch to 2 1/2 inch screened. Drain rock to be distributed uniformly throughout the trench. • Perforated pipe to be installed level with perforations down. • Silt barrier (filter fabric) to be installed above the drain rock. • Smeared trench sides must be raked or scarified before drain rock placement. • The finish grade must be mounded to promote drainage over the trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. 0 Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) Class C Well DESIGN NOTES: 1. Total Depth of Trench is 7.5'. Terrain is level. Generally slopes south. 2. Sewer Service Line miniITU m 2% slope. 3. Measure To Wells Prior Construction. 4. Lot Served by Class C Level Lot Minor Slope 3 Bedrooms 4--��Absorption F. C. 0. MT/CO1250 Gallon Septic ank 3Double C.O.'s Trench Alternate Site \ _ O O d x T,H,1 T,1-12 0, 20' Utilit; LEasement NOR THRI M ENGINEERING 772.37 Bear Paw Circle Eagle River, Alaska 99577 907.694.7028 O Class C Well Joint Driveway W/Lot 3 1" = 40' EAGLE PARK S/D ',WASTEWATER .��.�._��...,..�,,.,..,...:.�... � _.......,.._ LAY 0 U T BLOCK 1 LOT 4 °°t8/1/11 1�of 3 1... 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No Depth Water Depth After Monitorino,none Date: 5/15/11 # Date Gross Time Net Time Depth Net Drop 1 7/15 0 -- 3.5" -- 2 7/15 10 10 min, 8.5' 5.0" 3 7/15 12 -- 3.5" -- 4 7/15 22 10 min. 8.5" 5 0" 5 7/15 25 -- 3.5" -- 6 7/15 35 10 min. 8.5' 5,0" 7 7/15 37 -- 3.5" -- 8 17/15 47 10 min. 8.5" 5.0" c) 7/15 50 -- 3.5" -- 10 7/15 60 10 min. 8,5" 5.0" Percolation Rate 2 min./inch Perc Hole Diameter -6" Test Run Between 3' and 4' Performed BYNorthR'm Eng, I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE, DATE: 7/15/11 NOR THRIMP. TESTHOLE LOG IT, H. 1 ENGINEERING .... . .. ....... PO Box 770724 V-4 Eagle River, Alaska 99577 jr 907.694,7028 GE11TECHNICAL ate EET 7/15/11 1 of 2 A THI IM ENGINEERING S❑ILS LOG - PERC❑LATI❑N TEST Performed For: Troy Davis Date Performed: 5/2/11 Legal Description: Eagle Park S/D, Block 1 Lot 4 DEPTH (FEET) 1 - Date Gross Time 2 Depth Net Drop 3 - 0 -- 3.0" -- 5 7/15 10 6 - 5.0" 7 7/15 12 -- 3.0" -- 4 7/15 22 10 min. 8.01, 5.0" 10 7/15 25 11 - 3.0" -- 12 - 7/15 35 13 - 8.01, 5.0" 14 - 7/15 37 15 - 3.0" -- 16 - 7/15 47 17 - 8.0" 5.0" 18 - 7/15 50 19 - 3.0" -- 20 - 1 60 Organic T,H, Location: See Attached Design GP Silty Sandy Gravel Groundwater? No Depth -- Water Depth After Monitorino•none Date: 5/15/11 # Date Gross Time Net Time Depth Net Drop 1 7/15 0 -- 3.0" -- 2 7/15 10 10 min. 8.01, 5.0" 3 7/15 12 -- 3.0" -- 4 7/15 22 10 min. 8.01, 5.0" 5 7/15 25 -- 3.0" -- 6 7/15 35 10 min. 8.01, 5.0" 7 7/15 37 -- 3.0" -- 8 7/15 47 10 min, 8.0" 5.0" 9 7/15 50 -- 3.0" -- 10 7/15 1 60 1 10 min. 1 8.0" 5.0" 21 - Percolation Rate 2 min,/inch Perc Hole Diameter 6" Test Run Between 3' and 4' Comments; Presoaked. Measured to nearest 1/1f; inch. Performed By NorthRim Eng, I CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE. DATE: 7/15/11 +•'�E of A., 4y NOR THRIM !*:49m '+f ! TESTH❑LE LOG T, H, 2 ENGINEERING, •• •• •• f PO Brix 770724..... �. �.ts f... ` Eagle River, Alaska 99577 907. 694, 7028 '+�� + GE❑TECHNICAL �t7/15/11 2 of 2 .� Municipality of Anchorage Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor hitpl/www.d.anchorage.ak.us 343-4744 November 3, 1998 Marvin Gunlogson PO Box 11442 Anchorage, Alaska 99511 2442 Subject: Lot 4 Block 1 Eagle Park Subdivision Permit Number: SW970390 PID Number: 050-782-04 The subject permit, issued November 3, 1997 by this office for a single family well and/or on-site wastewater system, has expired as of November 3, 1998. 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 5440.00 for a combined on-site wastewater and well permit. ;Sincely e any questions, please call this office at 343-4744. oss, P E. Program Manager On-site Services enc: Copy of Permit cc: DHI Engineering : 1 Document Name: ENTERPRISE SERVER PARCEL: 050-782-04-000-99 CARD: 01 OF O1 RESIDENTIAL OTHER BUILDINGS STATUS: RENUMBERED TO/FROM: - - - - -------------------------------------------------------------------------- GUNLOGSON MARVIN EAGLE PARK BLK 1 LT 4 PO BOX 112442 ANCHORAGE AK 99511 2442 SITE 20611 MELODY IN -------------------------------------------------------------------------- LOT SIZE: 43,169 ---DATE CHANGED--- ----DEED CHANGED --- ZONE : R7 OWNER : 03/27/98 BOOK : 3210 PAGE: TAX DIST: 010 ADDRESS: 03/27/98 DATE : 03/13/98 GRID HRA # 000000 PLAT : 000000 NOTES PLAT P -672 ----------------------------------ASSESSMENT HISTORY ---------------------- --- LAND-- --BUILDING- ---TOTAL--- FINAL VALUE 1996: 20,900 0 20,900 FINAL VALUE 1997: 28,000 0 28,000 --EXEMPTION FINAL VALUE 1998: 36,600 4,900 41,500 -----TYPE-- EXEMPT VALUE 1998: 0 0 0 STATE EXEMPT 1998: 0 -COMM COUNC FINAL VALUE 1998: 41,500 EAGLE RIVER Date: 11/3/98 Time: 09:25:44 AM MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON—SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW970390 DESIGN ENGINEER:DHI ENGINEERING OWNER NAME:SEAWARD REALTY CO OWNER ADDRESS:20514 EAGLE RIVER RD EAGLE RIVER, AK 99577 PARCEL ID:05078204 LEGAL DESCRIPTION: EAGLE PARK BLK 1 LT 4 LOT SIZE: 43000 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED:11/03/97 EXPIRATION DATE:11/03/98 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 RECEIVED DATE: 3I p� ISSUED BY: DATE: a M�smorm. DHI CONSULTING ENGINEERS s5ITE NARRATIVE Project: Eagle Park Subdivision, Lot 4 This project consists of a single lot (150' x 2871 of 43,000 square feet. The proposed septic system is for a three bedroom, single family residence. Existing septic and residential wells service the lots to the south. A 100 right-of-way easement boarders the property to the north. The lot the east and west is owned by the developer and is under construction for a three bedroom single family house (septic system to be designed). Well: Lot 4 is proposed to be serviced by a Class C well to be drilled on lot 5. Design and application forms have been completed and submitted to the Alaska Department of Environmental Conservation. ADEC Has issued a permit approving construction of the system. The proposed well location will not have an adverse affect on adjacent properties. Septic System: As stated above, lots to the south have existing septic systems. The lots to the east and west are proposed to have a septic system for three bedrooms. The proposed septic for lot 4 is a wide trench, 57 feet long which sets about 40' from the south property line. There is adequate room for the proposed system and one replacement system. The proposed septic system doesn't impact the ability of adjacent lots to install or replace their septic system. Drainage: The subject lot has a gentle slope to the north (about 3%). There are no steep grades or ravines on the site. Surface drainage from the lot is collected in the road side ditch along Eagle River Road. Areas disturbed by this improvements are to receive top soil and seeding. No other drainages or ponds exist within 100 feet of the property. Dimond Center Tower, 5th Floor • 800 E. Dimond Blvd., Suite 3-545 • Anchorage, Alaska 99515 (907) 344-1385 9 Fax 344-1383 Permit No. Page 1 of 6 Municipality of Anchorage W.O. 97317 Department of Health and Human Services Date 9-17-97 ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 Well & On—Site Wastewater Disposal System Legal Description: LOT 4 BLOCK I EAGLE PARK SUBDIVISION PID No. ? SYSTEM DESIGN CALCULATIONS 1. NO. BEDROOMS = 3 2. USE WIDE TRENCH WITH 4' OF GRAVEL 3. PERCOLATION RATE= 14.5 MIN/INCH 4. ABSORPTION AREA = (# BEDROOMS)(150 GPD/BR) X (REDUCTION FACTOR) TRENCH APPLICATION RATE (3)(150) X 0.5 = 282 S.F. .80+ 5. LENGTH OF TRENCH= ABSORPTION AREA TRENCH WIDTH 282 = 57 LINEAL FEET 5 PERCOLATION RATE PIT & TRENCII MOUND & BED APPLICATION RATE APPLICATION RATE MIN/INCH GPD/SF GPD/SF 0-1 NOT SUITABLE NOT SUITABLE 1-5 1.2 0.8 • 6-15 0.8 0.5 16-30 0.6 0.4 31-60 0.45 0.3 GREATER THAN 60 NOT SUITABLE NOT SUITABLE FILTER LAYER 1.0 .7 Jl IMUZJ Permit No. Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Boa 196650 • Anchorage, AK 99519-6650• Tel: 343-4744 Page 2 of 6 W.O. 97317 Date 9-16-97 Well & On—Site Wastewater Disposal System Legal Description: LOT 4 BLOCK 1 EAGLE PARK SUBDIVISION PID No. ? NOTES: 1 ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH CHAPTER 15.65. WASTEWATER DISPOSAL REGULATIONS OF THE MUNICIPAL CODE AS CURRENTLY AMENDED. 2 INSTALL NEW 1000 GAL. SEPTIC TANK AS SHOWN ON THE DRAWINGS. SET TANK LEVEL k RECORD INLET AND OUTLET ELEVATIONS OF THE TANK. TANK SHALL BE PLACED ON UNDISTURBED NATIVE SOIL. PLACE OUTSIDE PROTECTIVE WELL RADIUS. 3 EXISTING STRUCTURES, WELLS, SEPTIC SYSTEMS OBSERVED WITHIN 200' OF PROPOSED SYSTEM SITE ARE SHOWN ON DESIGN DRAWINGS. 4 ANY DEVIATION FROM THE DESIGN MUST BE AUTHORIZED BY THE ENGINEER PRIOR TO ITS INCORPORATION INTO THE SYSTEM. 5 CONTRACTOR TO LOCATE ALL UNDERGROUND UTILITIES, PROPERTY LINES, EXISTING WELLS, WATER WAYS, SURFACE AND SUBSURFACE DRAINAGE FACILITIES, LAKES, PONDS, AND OTHER FACILITIES REQUIRING SEPARATION DISTANCES FROM THE PROPOSED SEPTIC SYSTEM. CONTRACTOR TO STAKE PROPOSED SYSTEM PRIOR TO CONSTRUCTION. NOTIFY THE ENGINEER OF ANY OBSERVED CONFLICTS PRIOR TO CONSTRUCTION. 6 NOTIFY THE ENGINEER AND DHHS 24 HOURS PRIOR TO COMMENCING WITH CONSTRUCTION. A MINIMUM OF THREE INSPECTIONS ARE REQUIRED. THE FIRST INSPECTION SHALL BE OF THE SUBGRADE, PRIOR TO PLACING SAND FILTER. THE SECOND INSPECTION SHALL BE AFTER THE PLACEMENT OF GRAVEL, DISTRIBUTION PIPING, STANDPIPES, TANK, AND OTHER COMPONENTS AS SPECIFIED. THE THIRD INSPECTION SHALL BE AFTER THE WORK IS COMPLETED. 7 CONTRACTOR SHALL DELIVER TO THE ENGINEER A SET OF RED -LINED, AS -BUILT DRAWINGS SHOWING ALL DATA AS SPECIFIED IN SEC. 15.65.F.2, 3, 4, 5, 6 OF MUNICIPAL WASTEWATER DISPOSAL CODE WITHIN FIVE DAYS OF THE FINAL INSPECTION. INVERTS AND SWING TIE LOCATES SHALL BE TO THE NEAREST TENTH OF A FOOT. THESE AS-BUILTS SHALL BE USED BY THE ENGINEER TO PREPARE AND SUBMIT RECORD DRAWING TO DHHS. B STAKE ALIGNMENT OF SYSTEM WITH MARKERS SHOWING THE PROTECTIVE DISTANCES FROM WELLS AND OTHER BODIES OF WATER PRIOR TO BEGINNING INSTALLATION. 9 ALL EXCAVATION DEPTHS ARE ADVISORY. THEY ARE TO BE VERIFIED AND MAY BE MODIFIED BY THE ENGINEER IF ACTUAL FIELD CONDITIONS VARY FROM THOSE USED TO PREPARE THE DESIGN. Ar 1111% Professsc. DATE *\Ik�� 317HSD33 Permit No.— Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage, AK 99519-6650• Tel: 343-4744 Well & On—Site Wastewater Disposal System Legal Description: LOT 4 BLOCK 1 EAGLE PARK NOTES: Page 3 of 6 W.O. 97317 Date 9-16-97 PID No. ? 10 EXCAVATE THE ABSORPTION FIELD. BOTTOM OF EXCAVATION SHALL BE LEVEL AND SIDES SCARIFIED. RECORD ELEVATIONS AT BEGINNING, MIDDLE, AND END OF TRENCH. 11 PLACE THE SEWER ROCK TO THE SPECIFIED DEPTHS. DO NOT CONTAMINATE SEWER ROCK WITH NATIVE MATERIAL OR SPOILS FROM EXCAVATION. LEVEL ROCK SURFACE TO t 1" PRIOR TO INSTALLING THE PERFORATED PIPE. 12 ALL PIPE SHALL BE PVC CONFORMING TO ASTM D3034 OR ENGINEER -APPROVED EQUAL. MIN SOIL COVER SHALL BE 4 FT (OR 2' SOIL AND 2" INSULATION BOARD - SEE NOTE 13) 13 ALL INSULATION BOARD SHALL BE 2" THICK DOW HI -35 INSULBOARD OR ENGINEER -APPROVED EQUAL. PLACE k CENTER INSULATION BOARD OVER ALL PIPES, FIELD, AND SEPTIC TANK. 14 GEOTEXTILE SHALL BE MIRAFI 1405 OR ENGINEER -APPROVED EQUAL. LAP ALL JOINTS 2' MIN. 15 COVER THE DISTRIBUTION PIPE WITH MIN 2" SEWER ROCK, AND COVER WITH GEOTEXTILE BEFORE PLACING INSULATION AND BACKFILLING. 16 MATERIAL USED AS FILL SHALL BE CLEAN AND FREE OF ORGANICS. TRASH AND CONSTRUCTION DEBRIS. 17 SLOPE ALL FILL MATERIAL TO DRAIN AT 2% MIN. SLOPE, AND 3:1 MAX SLOPE, AND IN SUCH A MANNER THAT PONDING AT OR NEAR THE DRAIN FIELD DOES NOT OCCUR. THE FILL SHALL BE LEFT AT 6" HIGHER THAN SHOWN TO ALLOW FOR SETTLEMENT. SEED SURFACE AFTER COMPLETING INSTALLATION AS PER MUNICIPAL SPECS. 18 RECORD THE FINISH GROUND ELEVATION OVER TOP OF TRENCH. ..M.. " 1.11, - - 317HSD43 Permit' No. Page 4 of 6 Municipality of Anchorage W.O. 97317 Department of Health and Human S Date 9-16-97 ervices ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage, AK 99519-6650 • Tel: 343-4744 Well & On—Site Wastewater Disposal System Legal Description: LOT 4 BLOCK 1 EAGLE PARK SUBDIVISION PID No. ? LOT 7 1 LOT 6 �PROPOSED CLASS 5:]c WELL LOT 5 EAGLE PROPOSED CLASSVI 'C' WELL = C 's LOT 4 I LOT ROAD LOT 2 PROPOSED SEPTIC I` C T I V P�ClpROPOSED SEPTIC SYSTEM (NOT TIC (SYSTEM CONSTRUCTED) (SYSTEM LOT 12A / LOT 13A \ WELL / I� I 0 WELL I THIS PROD - - SEPTIC SYSTEM L i SEPTI -� .(;OT 14 SY M i -A N 0 WELL / I i Pte. i rn. SCALE: 1"=100' - i 1. LOCATION OF EXISTING SYSTEMS ARE APPROXIMATE ONLY. INFORMATION OBTAINED FROM DRAWING PREPARED BY S & S ENGINEERING DATED 6-2-97. VISUAL FIELD OBSERVATIONS, AND DHHS RECORQS , ,,,, 1 . 1 1 11 317MS+073 0 OF At 4400� ,00000. 4 cS THe�t-' �� DE E 5807 Permit' No Municipality of Anchorage Department of Health and Human Services ENVIRONMENTAL SERVICES DIVISION P.O. Boz 196650 • Anchorage. AK 99519-6650 • Tel: 343-4744 Well & On—Site Wastewater Disposal System Page 5 of 6 W.O. 97317 Date 9-16-97 Legal Description: LOT 4 BLOCK 1 EAGLE PARK SUBDIVISION PID No. ? INSTALL 57 L.F. TRENCI AREA FOR RESERVE �I S89'59'00"E T 150.00 LOT 4 PROPOSED HOUSE THIS AREA IINSTALL FOUNDATION LLEANOLIT — o _ NSTALL 1.000 GAL. SEPTIC TANK • INSTALL OPPOSING — s CLEANOUTS — — THy4B IA � o — — S90'00'00"W / 150.00 /PROPOSED CLASS I / 'C' WELL NOTES: 5 1. WATER TO BE PROVIDED FROM CLASS 'C' WELL TO BE LOCATED ON LOT I 3 BLOCK 1 EAGLE PARK SUBDIVISION. N W I 00 I n o Co o � b °D N UTILITY & EASEMENT SCALE: 1"=40' 317MSD13 Permit No. Page 6 of 6 97317 Municipality of Anchorage W'O' De artment of Health d H S Date 9-16-97 p an uman ervlces - ENVIRONMENTAL SERVICES DIVISION P.O. Boa 196650 • Anchorage. AK 99519-6650• Tel: 343-4744 Well & On—Site Wastewater Disposal System Legal Description: LOT 4 BLOCK 1 EAGLE PARK SUBDIVISION PID No. ? IRCANIC ROOT IAT 4" PVC MONITORING r CLEAN OUT AS TUBE SHOWN ON PLAN & PROFILE �PREVENTSLOPE FINISH GRADE TO PONDING OVER TRENCHORIGINAL GROUND NON COMPACTED BACKFILL - � FILTER FABRIC SEPTIC PERF. PVC SILTY SANDY GRAVEL I 'A DRY -DENSE ROCK TO 6" S'-0" SCALE: NTS TYPICAL WIDE TRENCH SECTION A NTS UNDISTURBED TRENCH WALLS SEPTIC ROCK DEPARTMENT HEALTH k HUMUUM N SERVICES Bis V STREET, ANWORAGE, ALASKA 99502-0650 SOILS LOO-PEMOLATI +N TEST TEST HOLE 4A PERFORMED FOR: TOM SEAWARD DATE PERFORMED: 9-6-97 LEGAL DESCRIPTION: LOT 4 BLOCK 1 EAGLE PARK SUED. ORGANICS 2 3 4 / • �,' 5 6 7 SILTY SANDY GRAVEL DRY—VERY DENSE ROCK TO 6" 9 /.Y SLOPE SITE PLAN 10 /• Jo �'/ WAS GROUND WATER S °� rt� NR dv ruc9An: ENCOUNTERED ? NONE L 9-6-97 A 6• 11 V. � IF YES, AT WHAT PO 11:05 �f DEPTH ? E 12 A DEPTH OF WATER 6• 6• AFTER MONITORING ? DATE: 13 � 14 x.i 15 16 17 18 19 20 PERFORMED BY: DEE HIGH � ALL STATE AND MUNICIPAL GUIDELINES IN auo�o an[ aroa nc Icr 161E °� rt� NR dv ruc9An: 1 9-6-97 11:15 6• 6• I 9-6-97 11:05 6• —7- 3 9-6-97 11:00 6• 6• 4 9-6-97 11:20 6' 6• 5 9-6-97 11:10 6• —;7— a 9-6-97 11:10 6• 6• PERCOLATION RATE: 1.9 (MINUTES/INCH.) PERCHOLE DIAMETER: 6' TEST RUN BETWEEN: 6.0 FT. AND 6.5 FT. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH 3 DATE. DATE:S:yf"IF' 317CTR5D °aERfi0ES DEPARTMENTFµ" sip5 SOILS LOG-PEMOLATION TEST TEST HOLE 48 9 TOM SEAWARD DATE PERFORME PERFORMED FOR: D: LEGAL DESCRIPTION: LOT 4 BLOCK 1 EAGLE PARK SUED. ORGANIC ROOT MAT 2 f•r 3 / 4 5/ !• 61/� 7 / /•: v SILTY SANDY GRAVEL 8 /• 0,'/ DRY -DENSE ROCK TO 6' 10 j.•/.J y0/ 12 13 14 15 / 16 B.O.T. 17 18 19 20 COMMEN SLOPE CE -t80 i'PFri _4.11�A ,,. Di AN WAS GROUND WATER SNONE ENCOUNTERED ? LO IF YES. AT WHAT E DEPTH ? Q l!•4T DEPTH OF WATER Nam DATE: � AFTER MONITORING ? nNa� NR °"°' ra�"TE WAD" mm o.Dss ac i 1/16• 30 IN. 6 1 6-9-97 i 1/1 6• 6• ]0 YM. i 6-9-97 6• i 1/16• ]p YM. y 6-9-97 6• i 1/16• ` 6-9-97 b MIN. PERCOLATION RATE: 14.5 (MINUTES/INCH.) PERCHOLE DIAMETER:___61— 4 FT. AND�FT. TEST RUN BETWEEN:_ THAT THIS TEST WAS PERFORMED HN 317CTR61 4v,lf,fl� III— .' •. r .aH . . . .. . ... .. CE -t80 i'PFri _4.11�A ,,. Di AN WAS GROUND WATER SNONE ENCOUNTERED ? LO IF YES. AT WHAT E DEPTH ? Q l!•4T DEPTH OF WATER Nam DATE: � AFTER MONITORING ? nNa� NR °"°' ra�"TE WAD" mm o.Dss ac i 1/16• 30 IN. 6 1 6-9-97 i 1/1 6• 6• ]0 YM. i 6-9-97 6• i 1/16• ]p YM. y 6-9-97 6• i 1/16• ` 6-9-97 b MIN. PERCOLATION RATE: 14.5 (MINUTES/INCH.) PERCHOLE DIAMETER:___61— 4 FT. AND�FT. TEST RUN BETWEEN:_ THAT THIS TEST WAS PERFORMED HN 317CTR61 4v,lf,fl� III— Z.,t EAGLE RIVER ROAD I I I I I I I I I I i LOT 4 1 LOT 3 1 LOT 2 I I I I I I I I QTHa4A Q X48 I QHg3A TQ2A ON29 — TH#338 MELODY LANE DHI CONSULTING ENGINEERS CNB. • SURVEYING • PLANNING uTroeo•o: (am)3u-wae r.:: (•m)3u-Iaw •GO c comm • sum 7i"5. AIICRORML Aum Wale w.o. 97317 1 COMP. FILE 317CTR7D I SCALE1'=100' DATE 9_8_97 TEST HOLE LOCATION LOT 2, 3 & 4 BLOCK I EAGLE PARK SUBD. s9101� -0 j; L;;. - B •_ Municipality of Anchorage : rsQ On-Site Water and Wastewater Program trr "�+ < a' (907) 343-7904 s Y Certificate of On-Site Systems Approval Parcel I.D. 050-782-04 Expiration Date: irkt-cc il 3 1 oc.) I 1. GENERAL INFORMATION: Complete legal description EAGLE PARK; BLOCK 1, LOT 4 E o c t R o;e,- Location (site address) 20611 Melody Lane*AndgeMO,AK 99577 Current Property owner(s) Philip Miller Day phone 787-9512 Mailing address 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 Individual Water Storage ❑ Holding Tank ❑ Community Class C Well ® Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: - 1/ l/ �� Date: I / / l q COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ S 20 - 00 Waiver Fee $ Date of Payment I 2f 31 /l'8 Date of Payment Receipt Number 01 02-61 Receipt Number COSA# Ogg 8 GS G. 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101-Anchorage,Alaska 99507 l Engineer's Printed Name: Jeffrey A. Garness Date: 1 Z/ZL//e oo�OO In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system o OF q.. 4N‘\ in accordance with the guidelines and regulations established by the Municipality of Anchorage and �c„,...• . ! .:•130()A A industry practices. The reported results describe the condition of the system/s on the date/s of the ' .• r QA evaluation. Separation distances were measured to readily identifiable features. Hidden defects or �"r encroachments may exist that were not identified during the evaluation. The operational life of all wells . TH` •.7*�� and septic systems depend upon a variety of variables, including but not limited to, soil conditions, l groundwater levels (that may fluctuate during the year), quality of construction (materials and Q 1 . V workmanship), and the water usage of the family utilizing the system/s. These conditions can vary,and . // 1 d are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q .•,,i ff, - A. t:r-rwess. system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of Qn g .' CE 7795 the well or septic system. GEG makes no representation whether an alternative well or septic system ‘104,i/..'• ( • •�c04� can be installed on the property in the event either of the current systems fail to perform adequately in �4f,, �'!l2.6106 c°' the future. The content of this report is for the sole benefit of the person/party that retained GEG to � %p/-ofess1o�°oma perform the evaluation. Reliance upon the information provided in this report by any other person or �OOOOo"a party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. S r' #AECC884 \J 6. DSD SIGNATURE ..` ON-SITE 1. JSystem #1 Approved for L7 bedrooms WATER AND System #2 Approved for bedrooms WASTEWATER c y pp PROGRAM Disapproved 1, <` Conditional approval for bedrooms, with the foil-601Q • I. '' 1)(a/L./tr / / D By: `Q1,!t i Original Certificate Date: /,moi l /,2O /:, 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 /( Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_10-10-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: EAGLE PARK; BLOCK 1, LOT4 Parcel ID: 050-782-04 A. WELL DATA Well type OLD CLASS C If A, B, or C provide PWSID# Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected Total depth ft. Cased to ft. Casin• •-'• (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/1 00 ml. Nitrate ND mg./L. Collected by: GEG, Ltd. Arsenic: <5 o ug./L. Date of sample: 12/18/18 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 10/4/11 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 12/21/18 Pumper ALASKA QUALITY SEPTIC C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE TO BOTTOM OF MONITORING TUBE Date installed 10/4/11 Soil rating (6.d./for ft2/bdrm) 1.2 System type 5 WIDE Length 38 ft. Width 5 ft. Gravel below pipe 4.0 ft. Total depth *8.3+ ft. Eff. absorption area 380 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 12/18/18 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 5 in. Water added 612 gal. New depth 8 in. Elapsed Time: 120 min. Final fluid depth 6 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N & type) NO If yes, give date - -2059 GALLON PRE-SOAK WAS PERFORMED ON 12/17/18 -MONITORING TUBE EXTENDS 3.16+ FEET BELOW THE INVERT OF THE DISTIBUTION LINE D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at • wa er alarm level at in. - .• Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: OLD CLASS C Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main ••• sewer manhole/cleanout Sewer/septic service line Holding tank •.- . containment areas Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 'S'+ 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 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 'MET CODE AT TIME OF INSTALLATION �EOF. '�• G. ENGINEER'S CERTIFICATION : P.•••' *1� I certify that I have determined through field inspections and : 4• • ?� ........... ... . review of Municipal records that the above systems are in l conformance with MOA COSA guidelines in effect on this •••• ••• •••• •• ^• •• date. •r^ ; f ry . arne-s:: JEFFREY A. GARNESS •�J' ••' CE 795 Engineer's Printed Nami°104.. I�. ��• .•}2�2 Date 12,/ /`' LICENSE , �\i"S`\ #AECC884 (Rev. 10/12/12) • S89'59'00.E 150.00 . . NI • . ® P 1 G? a UUWW7777 ��`��` 7 x . y x a C • 0.991 ACRES1 . . c m • • N - Cu • W W Oc, 5 ob 3 . o . 0 z 39.7 vi, //,4 111 • • DECK ./ i%/ . 12•4:4.r �W� I. t . %u t . .18.0 64.3St. St. EXISTING HOUSE 1.1 COVERED • „,:e,ri. ENTRY . ' a. • R .t9` 0.loo 25.0 • • PWE�� a,,..,D J akt I •a u 1 rt �o • 30' UTRO ITY& u " I ALLY EASEMENT T I p I N90'00'00'W 150.00 0 } 0 f. 14 FOR: Troy Davis Homes Date scale {+�; Legal Description 10-19-11 1. �" Lot 4 Block I . • LanMark Grid Aa • Surveying..r. N11056 2110270 EAGLE PARK 1 0330 Vanguard Drive, Setts 13tDram by Field Book SUBDIVISION e, Anchors Alaska 99507 (907) 562-6050 CEF 239 i I hereby certify that the property described hereon has been surveyed t eN / 1 by Inc. or at my direction, and that the Improvements situated thereon r \�.• F•..L,q aid j� are within the property lines and do not overlap or encroach on the •�•� property lying adjacent thereto unless otherwise shown. That no s A.•. `4 ..'4 -a.♦ CRAVH/C SCAtC: i fool •1D tees improvements on the property lying adjacent thereto encroach on the r* 49•Th �. ` 1 om. premises in question and that there are no roadways, transmission / l t.....--1_,...____41 —gy• ps 30 so lines or other easements on said property except as shown. • It is the responsibility of the owner or builder, prior to construction. iso. ti I.f to verity proposed building grade relative to finish grade and utility 0♦,^� ; CHARLES E. FSS;•;� connections and to determine the existence of any easements, covenants, ♦��•, LS-7326 a aw ar or restrictions which do not appear on the recorded subdivision plat. 0• e'.•.i0-31-tL.•S.x% f lilted distances prevail over scaling. ,+dp ....• ,•.e ..* ' II{ Erik Widger From: Erik Widger Sent: Friday, December 21, 2018 1:19 PM To: 'parkersalaskahomes@gmail.com' Subject: 20611 Melody Lane 2018 COSA Parker, Although the septic test passed, the distribution line is in poor condition.All cleanouts show a clear indication of slime that could potentially cause a discontinuity in the future. These cleanouts need to be jetted out so that the system can continue to function properly. For this type of work we recommend Alaska Sewer&Drain (248-9557)or Roto Rooter (345-2513). I have flagged every cleanout in Please call me if you have any questions. Thank you. Erik D. Widger, Consultant Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage,Alaska 99507 Phone: 907-337-6179 Cell: 907-632-7479 Fax: 907-338-3246 Website: www.garnessengineering.com . munimminummminminommiimummil 24 HOUR EMERGENCY SERVICE , 4461/1# .,, .......". iA SEWEA\-1, -* . ... .. . i { t Anchorage•248-9557 Eagle River•694-9557 1 Mat Su•376-4600 } PO Box 221914 •Anchorage,AIC 99522-1914 • Office 248-9551 • Fax 248-9559 YOUR PROFESSIONAL SEWER& DRAIN CLEANING SERVICE LICENSED www.aksewer.com INSURED I. Date 12/2WreR Phone 1 2 J t` `7.-c''{ �\r2. a Ker-c-y Customer Name '\� ' -) l,\1 -r t Address 3(7)4 1 ! ��- <•_,,.};, , . TIME DESCRIPTION PRICE AMOUNT Power Snake / Service Call 21-',- Steam Thawing / Hydro Jet .' 3S-5 Sewer Line Camera Pump Truck Extra Man Parts Taxre- TOTAL7.1 , l cA L _J r r1 •'r"�<: 1 1 •GtY1 5 rt,, s 1 . No Warranty ,--, Technician( , . ^ r; w Thensequential why iswhatsoever rrdueoto thhle e customerr s ed �str tiingken plumbing.ain Customer agreesxtures. lost rbroken to pay for damaged or broken es in drain lines, or le hoses,etc. damages whatsoe e due to the customer's existing plumbing.as well as any and all other fees and costs incurred at the time of service. Customer Signature There will be a S30.00 charge on all NSF checks. Accounts over 30 days past due will be charged a S15 per month maintenance tee. PAYMENT DUE ON RECEIPT. GE' B4i • -� Municipality of Anchorage G_ On -Site Water and Wastewater Program (907) 343-7904 Parcel I.D Certificate of On -Site Systems Approval 050-782-04 1. GENERAL INFORMATION Expiration Date:/ - 20 _ (7 Complete legal description Eagle Park, Block 1, Lot 4 Location (Site address) 20611 Melody Lane Eagle River, AK 99577 Current Property owner(s) Todd & Dedee Beveridge Day phone Mailing address Real Estate Agent 20611 Melody Lane E Becki Powell 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 le River, AK 99577 Day phone 244-5881 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual i] Individual Water Storage ❑ Holding Tank ❑ Community Class C Well Q Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request Received by: I Z%jHU " L j i 's ) Date: 1042D.laa COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ ' Z Waiver Fee $ Date of Payment /0-17- IL Date of Payment Receipt Number e I.s/6 0 67 Receipt Number COSA # 0 SC 16 1 149 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 Anderson Engineering Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schller, P.E. 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for bedrooms, Phone 522-7773 Date 1 sem;= A s' a sp <i n G t i � r'�.s'Gll�:i e oo.y�•. with the following stipulations: By: % ��^ — v Original Certificate Date:_ d 2-01( 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 COSA blue sheet f - a If more than 1 septic system is on the lot: COSA Checklist # of_ Structure served by this system .Certificate of.On-Site Systems Approval Checklist Eagle Park, Block 1, Lot 4 Legal Description: A. WELL DATA Well type Class C If A, B, or C provide PWSID # Date completed 5/2/07 Sanitary seal (Y/N) Y Total depth 360 ft. Cased to 359 ft. FROM WELL LOG 5/2/07 Date of test Static water level 287.6 ft. 15 Well production g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate j mg/L Arsenic N_ ug/L Date of sample: 10/13/16 Parcel ID: 050-782-04 Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) >18 in. AT INSPECTION ft. Collected by: And. Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel . Tank size 1,000 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping 10/20//ilaL Pumper JRs Pumping C. ABSORPTION FIELD DATA Date installed 10/4/11 Cleanouts (Y/N) Y High water alarm (Y/N) _ N Date installed 10/4/11 Soil rating (g.p.d./ft2 or ftZ/bdrm) 1.2 GPD/SF System type 5' Wide Length 38 :er.'y rt.' Width 5 ft. Gravel below pipe 4 ft. .ars . �r+ R>>; ✓ a.:W Total;depth'$-8'5 ft: '•Eft%absorption area 380 ftz Monitoring tube Y Depression over field DaieAo adequacy test 1,0/13/1;6 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in atisorption field'before test 4 in. Water added 530 gal. New depth 16 in. '' s Elap q -Time:_ '1440;min,,,J (,'Final fluid depth 4 in. Absorption rate >= 450 g p d Any rejuvenation,tteatment.(past 12 mo.) (Y/N & type) N If yes, give date .r �7st'i ;rll' i D. LIFT STATION Date installed "Pump on" level at Datum _ Size in gallons in. "Pump off' level at Cycles tested Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot > On adjacent lots >150 Absorption field on lot >150' On adjacent lots >150' Public sewer main >150' Public sewer manhole/cleanout >150' Sewer /septic service line >25 Holding tank >100' Animal containment areas >50 Manure/animal excrete storage areas >100' 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 >150' ABSORPTION FIELD ON LOT TO: Property line > Building foundation >1 O Water main >10 Water Service line > Surface water > O Driveway, parking/vehicle storage >1 O Curtain drain None Noted Wells on adjacent lots >150' F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that / 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 Benjamin J. Schiller, P.E. Date 10/17/2016 COSA brown sheet 10-10-12.doc in. 5 0.991 ACRES 30UTILITY & ALLEY EASEMENT DE09 2.:1,7_ EXISTNG HWSE slas`/ 9h LDe CN. i PIP ce 176 'W 150.00 0 14 FOR: Troy Davis Homes u10-19-11 1" -a Lan Mark Grid as- sar.rr/ng.. a. NW056 2110270 9990 Vanguard Drive, Suite 191 ➢rano by Field Book Anchorage, Anink. 9950) (e07) 562-6050 CEF 239 1 hereby certify that the property described hereon has been surveyed by me, or at my direction, and that the improvements situated thereon t,. are within the property lines and do not overlap or encroach on the q•• property lying adjacent thereto unless otherwise shown. That no GRAGHIC SCkC: I I h-d�r.rt Improvements on the property lying adjacent thereto encroach on the / premises in question and that there are no roadways, transmission b 5 o I5 io so lines or other easements on said property except as shown. It is the responsibility of the caner or builder, prior to construction, 0. 10 to verify proposed building grade relative to finish grade and utility connections and to determine the existence of any easements, covenants, r restrictions which do not appear on the recorded subdivision pl.L Listed distances prevail ever stelae. Lot 4 Block 1 EAGLE PARK SUBDIVISION i1 00 CHARLES E. FO8BE6 7 c` / I I s . LS -7326 �. 10-31—t1,•So`ew Municipality of Anchorage � Development Services Department z '� Building Safety Division On -Site Water and Wastewater Program s . 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-762-04 COSA# Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 4, Block 1, Eagle Parc Subdivision Location (site address) 20611 Melody lane Eagle River, AK 99577 Current Property owner(s) Troy Davis Homes, Inc. Day phone 357-9394 Mailing address 165 E. Parks Highway Wasilla, AK 99654 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup 2. NUMBER OF BEDROOMS: Three (3) 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site ✓❑ Individual Water Storage ❑ Individual Holding Tank ❑ Community Class c Well ✓❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ 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. 5. DSD SIGNATURE Approved for � bedrooms. Disapproved. Phone 522-7773 Date 12/27/2012 Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: (Rev_ 11M) . �..� Municipality of Anchorage • Development Services Department Building Safety Division 1 On -Site Water and Wastewater Program S4700 Bragaw Street P.O. Box 196650 U Anchorage, AK 99519-6650 . www.muni.org/onsite CN (907) 343-7904 �® s CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. 050-782-04 1'. GENERAL INFORMAT40N Complete.legal description 2. 3. COSA # SC., I l l H g q Expiration Date: a i 5' Lot 4, Block 1, Eagle Park Subdivision, Location (site address) 20611 Melod Lane Ea I Rv AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Troy Davis Homes, Inc. 165 E. Parks Highway Wasilla, AK 99654 Real 4.1atf ;Agent Mailing Address ';,,Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER'OF BEDROOMS: Three (3) Day phone 357-9394 Day phone Day phone TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well> ❑ Individual On-site ✓❑ Individual Water Storage ❑ Individual Holding Tank ❑ Community Class C Well ❑✓ Community On-site ❑ Public Water System ❑ Public Sewer ❑ 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 (ale) 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 i'nepection;; the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municioaf and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Benjamin Schiller, P.E. Date 11/10/2011 40H '•,��,# 00.. 5. DSD SIGNATURE �jo'� : r; Benja n 1 Schiller �„ Ie sem•., CE -12592„ Approved for bedrooms. °°��o .i►�b�t� �� Disapproved. Conditional approval for bedrooms, with the following stipulations: WATER AND r:. WASTEWATER RRWIRAM Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nit r to Advisory Other (Rev. 11/05) Original Certificate Date: By. 7 - (Rev. 11/05) Original Certificate Date: `~ Municipality of Anchorage • "' Development Services Department ,. . t 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 4, Block 1, Eagle Park Subdivision Parcel ID: 050-782-04 A. WELL DATA Well type Class C If A, B, or C provide PWSID # Date completed 10/5/2005 Sanitary seal (Y/N) Y Total depth 360 ft. Cased to 359 ft. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: ft. Well Log (Y/N) N Wires properly protected (Y/N) Y Casing height (above ground) >24 in. AT INSPECTION 7/13/2011 287.6 ft. g.p.m. 15 g.p.m. Coliform i0 colonies/100 mL Nitrate •15 mg/L Arsenic: N/D mg/I.. Date of sample: 7/13/11 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Tank size 1,000 gal. Number of Compartments Two Other bacteria o colonies/100 mL Collected by: Anch. Well and Pump Date installed 10/4/2011 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping New Construction Pumper C. ABSORPTION FIELD DATA Date installed 10/4/11 Soil rating (g.p.d./ft2 or ft2/bdrm)1.2 GPD/SF System type 5' Wide Trench Length 38 ft. Width 5 ft. Gravel below pipe 4 ft. Total depth 8-8.5 ft. Eff. absorption area 380 f:2 Monitoring tube Y Depression over field N Date of adequacy test New Const. Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off" level at in Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? in. Septic tank/lift station on lot >150' On adjacent lots >150' Absorption field on lot >150' On adjacent lots >150' Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line >25' Holding tank N/A Animal containment areas >50' 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 N/A 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 >10' Water Service line >10' Surface water >100' Driveway, parking/vehicle storage >25' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS: C Ovid COSA FeeQ2,/6D— Waiver Fee $ _ Date of Payment r �y �- �1 I T /s/l1 Date of Payment Receipt Number 51414 a'Zrk 09Y �9G Receipt Number (Rev. 11/05) G. ENGINEER'S CERTIFICATIONQ�.•'• • • • AA 4 d ••.S,�w,e 1 certify that 1 have determined through field inspections and .. w. 9 V*: 49TH '; •: �� review of Municipal records that the above systems are in to 00.. ... .. .... ...........O. conformance with MOA COSA guidelines in effect on this date. o Benjamin Schiller, P.E. Engineer's Printed Name I �`�� i B .il' Iln`'J Schiller: ��%,'•• w Date 11/12/2011 CE -12592 C Ovid COSA FeeQ2,/6D— Waiver Fee $ _ Date of Payment r �y �- �1 I T /s/l1 Date of Payment Receipt Number 51414 a'Zrk 09Y �9G Receipt Number (Rev. 11/05) 5 S89°59'00'E 150.00 0.991 ACRES 0 CO CU P 0 0 CD CDZ DECK T2'.14- Zg 0 64.3 • EXISTING HOUSE f, N � � COVERED ENTRY �2?� a p N O, SEWERI D $ CLEANOUT g 4 ..-�SPIPEC� 30' UTILITY & o ALLEY EASEMENT 6 N90°00'00'W 150.00 0 0 14 O Y Y 4 3 5.2 WELL �. OD DO CU LJ CD 0 0 CD 39.7 (n FOR: Troy Homes Date seal_ ¢ V, Legal Description ,Davis 10-19-1 1 1" -3AB Lot 4 Block 1 LanMark Grid Aa-bailt Surveying. Inc. NW056 2110270 EAGLE PARK 9330 Vanguard Drive, Suite 131 Drawn by Field Book SUBDIVISION Anchorage, Alaska 99507 (907) 562-6050 CEF 239 v [ hereby certify that the property described hereon has been surveyed 0 A4 144 , by me, or at my direction, and that the improvements situated thereon the ,�, �„ ,«•* are within the property lines and do not overlap or encroach on !�S%`.` property lying adjacent thereto unless otherwise shown. That no the lying adjacent thereto encroach on the ♦ 6.- 1p�� A* GRAPHIC SCALE,, I Mch=d�Feet improvements on property that there are no roadways, transmission 49TH«, r premises in question and shown. •".• •••"""� '" '"•/ 5- 0 T5 30 so lines or other easements on said property except as 00 +' prior to construction, It is the responsibility of the owner or builder, p %"�' -^ . .... �-.•«"""0.. k x ,, �0� CHARLES E. F7RBfS to verify proposed building grade relative to finish grade and utility and to determine the existence of any easements, covenants, ZAw �' ai",« LS -7326 connections -�,er or restrictions which do not appear on the recorded subdivision plat,AW «,10-31-11••".y'� t S Listed distances prevail over scaline- fk`