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Home My WebLink AboutEAGLE PARK BLK 2 LT 10 001 & EiW4 nmenta1 Engineering General Contactor James "Jay" Crewdson, P.E. Email: CELLC.1@outlook.com Cell/Text: (907) 280-9493 Fax: (907) 688-2295 January 28, 2020 Tim Ecklund Municipality of Anchorage On-site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Reference: Eagle Park, Block 2, Lot 10 Asbuilt Survey Request to Allow Current Asbuilt Survey Crewdson Engineering LLC (CE) is the engineer for the septic tank upgrade that was completed under permit number OSP191186 in early August 2019. The old septic tank was completely removed from the property and the new septic tank was located in the same location. In light of this, CE is requesting the department allow the current asbuilt survey be considered adequate to satisfy AMC 15.65.0701`. Please feel free to contact me if you have any questions. Thank! James !James A. Crewdsonof � 0115 7 1 t �, pROFESSIONP� "" ALLL f112-4-°1 PO Box 671389 * 18368 Amonson Road e Chugiak, Alaska 99567 Municipality of Anchorage On -Site Water and Wastewater Section - (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP1 91186 PID Number: 050-782-26 Dwelling: RE Single Family (SF) F-1 with ADU E] Duplex (D) R Two Single Family Project: El New RM Upgrade Name Ronald Laurin ABSORPTION FIELD Deep Trench R Wide Trench El Bed R Mound Site Address 20537 Ptarmigan Blvd., Eagle River, AK El Other Phone of Bedrooms Soil Rating depth from original grade 7Number 907-727-6298 4 GPD/SF JTotal Ft. LEGAL DETCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Eagle Park 2 10 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding I Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Fe Well 100+ TANK 9 Septic [I S.T.E.P. 171 Holding [I Other Manufacturer Anchorage Tank Capacity 1250 Gal. I Surface Water 100+ Material Number of compartments -i Lot Line.. 5+ NA Epoxy Coated Steel Foundation 9 1.* LIFT STATION Manufacturer. Capacity Remarks *see record drawing Gal. Alarm location Electrical installed by Installer PIPE MATERIAL. House tolan-k. Tankto 3Q34 drai9field, 3034 Martin Construction Company Drainfield CO/MT3034 Inspector Crewdson Engineering LLC BENCH MARK (Assumed elevation)100 ft Inspection ist 8-5-2019 8-5-2019 Location and description V 41h Bottom of siding at "BM" on record dra wing. ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp low Conditional Approval: Date. 0ames A. Gre son 00 Septic System Approved Date 011527 C1 q, 1 Note: this approval does not include well permit requirements. RF /JL\[ \\|l~� '4'l ' ' _--_ _'- ` ' A41 00 0 M w • o 0 P 0 a K4 SHED BENCH MARK ASSUMED ELEV 100' ELEV BOTTOM OF SIDING EG 99.2' 00 NEAR FC FG 99.4' FC(E) MH S2 DC DECK 0 r7 41R SFH 0 0 .. o b SEPTIC TANK PROFILE AT -1250 Epoxy Coated NOT TO SCALE ELEV TOT 94.90' a INLET INV 94.32' OUTLET INV 94.15' Lot 10 1.045 Acres -Dc S 89'32'30"W 150.00':: PLAN SCALE: 1"=50' DETAIL 1 SCALE: 1'1=10' NOTES 1. MH is insulated with 4" thick foam insulation with UV protection IAW the code. 2. The septic tank is one of a limited number of AT -1250 septic tanks with epoxy coating that were approved by the Department in 2019.. 3. Septic tank in not within the house foundation structural prism_ n DETAIL 2 LEGEND. (E) =existing SCALE: 1"=10' EIM - bench mark BR - bedroom - - CO - cleanout • DC -double cleanout EG - existiround Civil & Environmental Engineering 'O Box 871389 Chugiak AK 99567 • oel1c.1@outiook.c CeVrext:907-280-9493 a Fax: 907-688-2295 9 9 ELEV - elevation FC - foundation cleanout FG -finish grade IAW - in accordance with INV - invert MT - monitor tube MH - 24" riser S# - septic tank riser SFH single family home TOT - top of tank C (� SWING TIES (feet) +` A B MH 1,8.98 27.97 S2 13.48 35.21 Ei DC 12.13 38.23 Eagle Park, Block 2, Lot 10 Septic Tank Upgrade �� Record Drawingoil` Plan and Profile Prepared for: Ronald Laurin Date: 12-19-2019 Permit: OSP191186 Page: 1 of 1 ALL INFORMATION SHOWN ON THIS OOCUMEHT IS h@ PROPERTY OF CReMSON ENGINEERING, LLCANO SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREN9SON ENGINEERING, LLC TH .......... James A. Crewdson C11527 frF9• iq • • ��,� ei'*ROFESSIOH�`�®'° ALLC #112279 Prepared for: Ronald Laurin Date: 12-19-2019 Permit: OSP191186 Page: 1 of 1 ALL INFORMATION SHOWN ON THIS OOCUMEHT IS h@ PROPERTY OF CReMSON ENGINEERING, LLCANO SHALL NOT BE USED FOR ENGINEERING OR CONSTRUCTION PURPOSES WITHOUT WRITTEN PERMISSION FROM CREN9SON ENGINEERING, LLC TH .......... James A. Crewdson C11527 frF9• iq • • ��,� ei'*ROFESSIOH�`�®'° ALLC #112279 H' "T`0, MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program \o..>: ' `" "'S'.. a..�', PO Box 196650 4700 Elmore Road i- Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax (907)343-7997 ,� r, / http://www.muni.orgionsite \ -Haig it :.i q __\ I)cpaI'tmn ct N CHORP4 On-Site Wastewater Disposal System Permit Permit Number: OSP191186 Effective Date: 5/31/2019 Work Type: SepticTank Upgrade Expiration Date: 5/30/2020 Tax Code Number: 05078226000 Site Legal Address: EAGLE PARK BLK 2 LT 10 G:0056 Site Mailing Address: 20537 PTARMIGAN BLVD, Eagle River Owner: LAURIN RONALD P Lot Size in Sq Ft: 45520 Design Engineer: CREWDSON ENGINEERING, LLC Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 2 Septic Tank Cl Holding Tank ❑ Privy ❑ Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: Issued By: Aigill) Date: ....5? .? MUNICIPALITY OF ANCHORAGE I. 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. 050-782-26 Property owner(s) Ronald Laurin Day phone 907-727-6298 Mailing address 20537 Ptarmigan Blvd., Eagle River, AK 99577 Site address same Legal description (Sub'd., Block & Lot) Eagel Park, Block 2, Lot 10 Legal description (Township, Range & Section) Lot Size 45,520 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ (w/wo ADU) Septic Tank [] Upgrade [X] Duplex (D) ❑ Holding Tank ❑ Renewal LJ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that tr - above information is correct. I further certify that this is in accordance with applicable j-nicipal Codes. J (Sign. re of property owner or authorized agent) Permit/Rush Fees: Waiver Fees: Date of Payment: Date of Payment: Receipt Number: Receipt Number: Permit No. O;P iq l 5,6 Waiver No. G:\Development Services\Building Safety\Or,Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191186, Deb Wockenfuss, 05/31/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191186, Deb Wockenfuss, 05/31/19 ' ," Municipality of Anchorage 'Page / of l~ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION ! P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 j On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~ Q~.o~ PID Number: Q~O - ;7oc'~.- ~-~' Name: WastewaterSystem: O New ~Upgrade p~o..:&~V_~/~5 ~$[, JNo. o,B.,~: ~OeepTrench DShatlowTrench abed ~Mound DOther WELL: D New ~Y/or/~ Upgrade../ Num. Tfllnes: J ~/~ FI. SEPARATION DISTANCES ~ Septic ~ Holding ~ S.T.E.P. Surface w~, t/J4 - > LIFT STATION Line Foundation ~ ' /~, ~/~ "Pump on" level .~ ~f~ .va, .t: J High water..a,m .t: Remarks: BENCH ~ARK L~ation and Description: ~ Department of Health an~uman'SeO es approvpl ~;*~.,F/~O, ...'c~.~~ Reviewed and approved b Date:- A~. Permit No. SW94-284 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: Eagle Park Lot 10, Blk 2 PlO No.: 050-782-26 LOT 9 150.00 W UTILITY EASEMENT 150.00 LDT ti I _ I PT.,.ARMIGAN B_.LVD, E . E V A T I O N S - (r OT TO SCALE) ~" ~5PSI INSU~TIOH ~C~ IT~CTOR'S ADDITION) o ..... FIELD SWING TIES A - C = 11.3 B - C = 12.5 A- D=8,5 B - D =, 19.5 A - E = 44,7 B - E = 64,9 SCALE 1' = 50' SEWER CCCANOUT W~LL ~ NEW TRENCH EASEU£NT ENGINEER'S SEAl. PAGE I OF 1 MUNICIPALITY OF ANCHORAGE'-~'- DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ~3_~ ~/~ ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940284 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:LAURIN CLINTON L &ANDREA M OWNER ADDRESS:20537 PTARMIGAN BLVD EAGLE RIVER, AK 99577 DATE ISSUED: 8/10/94 EXPIRATION DATE: 8/10/95 PARCEL ID:05078226 LEGAL DESCRIPTION: EAGLE PARK BLK 2 LT 10 LOT SIZE: 45520 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: Louis Butera, P.E. Registered Civil Engineer ~uly 22, 1994 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Eagle Park Lot 10, Block 2 Narrative Dear Mr. Cross: The proposed~ following reasoh .s~~ 1. 2. 3. will have very limited impact on adjacent properties for the The surrounding lots are large, allowing sufficient room for septic sites. Immediate neighboring septic systems are all +30' distance. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \C:\WPWI N60\WPDO CSH 994\94~349A.NAR P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907} 69.1-5195 - Fax (907) 69-1-3297 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: .Eagle Park Lot 10, Block 2 0ENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. All materials and workmanship shall meet the Anchorage Department of Health requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. Bt TANK Abandon existing tank by removing lid and filling with earth material. Install new 1,250 gallon, approved septic tank. Flush and snake line from house to tank TRENCH 1. The trench is to follow the natural land contour to maintain uniform total depth of Ihe trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 12' at any point. 4. The trench gravel is to be covered with typar fabric material. 5. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the leachfield. 6. The area over the trench is to be finish graded to prevent ponding of surface ~ter runoff. 7. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C# well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH --- 12' GRAVEL DEPTH -- 6' TRENCH LENGTtt = 63' TRENCtt WIDTH = 3' SOIL RATING - 0.8 GPD/ft: BEDROOM CAPACITY = 4 SEPTIC TANK = 1,250 gallons T~vcnty-four (24) hours notice required for all i~tspcctions. {~:\WPW1N60\WPDOC$\ 1994\94-049A.$ PC 150.00 20' UTILITY EASEHENT NEIGHBORING / ~o~ ,~ ' p~ARHIGAN BLVD. ~ ......... · - MONITOR TUBE ~ SEWER CL~NOUT ~ WELL NO SURFACE WATER PROPOSED L~CHFIELD NO KNOWN CURTAIN DRAINS SEPTIC SITE PLAN LEGAL: EAGLE PARK, LOT 10 BLK 2 CONTRACTOR: N/A ~7'19~ '" JOB ~ 94-049/gA1[: 07/22/941 SEAL[ 1" = 50' ~~.....&.~ EAGLE RIVER ENGINEERING SERVICES EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 -~ EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK 99577 (907) 694-5195 M.,t,1. 07/22/94 Single Family Four Bedroom Dwelling 4BR x 150gpd = 600gpd Percolation rate = 10 min/inch Soil application rate for trench = Required area = 600 gpd + 0.8 --- 750 fti Use atrench, D = 6' Length ='750 + (2 x D) Trench Dimensions: Length. = 63' Width = 3' Gravel depth -- 6' -- 750 + 12; = 62.5' = 63',. i I i ; ; ~ : ' ! [ ...... : .. : ..... : _! ._: .... i .... : ........ Tank = (4 - 3) (250) + 1,000 = 1,250 gallon tank PERFORMED FOR: Municipality el Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST · EGA' DESCmPT,ON: £5,A 4- 5 6 Township, Range. Section: ' 9 10 11 13- $4- 15- 16 17 18 19. WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SLOPE SITE PLAN Reading Time Depth lo Water 7'0 Net Drop PERCOLATION RATE /~ (m~nutes/mchJ PERC~HOLE DIAMETER TEST RUN BETWEEN~'- / ...~Z~ FT~ND ~:' _ F~ COMMENTS PERFORMED BY: ~ ~ ~''~ I~.~ ~7'. ~P"////~ ''-"~''~~ THAT THIS TEST WAS "ERF ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: t~''~'' ~'''~' 7/'~ ~'.,"~'~ tv' 72-008 (Rev. ~,,GREAII~R ANCHORAGE AREA BORO~3H Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCAT,ON"?i--Z¢4/'*~') //~ E',/~_,_ LEOALDESCRiPTiONr~/~' ~. SEPTIC TANK: DISTANCE FROM WELL / INSIDE LENGTH MANUFACTURER ~'V'/~///~c~''~ NUMBER OF COMPARTMENTS INSIDE WIDTH LIQUID DEPTH IIQUID CAPACITY/~'~.~"-'~ GALLONS. SEEPAGE PIT: NUMBER OF PITS D,AMETER LINING MATERIA'~?"/~I''"~' ( ~: BUILDING FOUNDATION ADDITIONAL ABSORPTION OR WIDTH ~ . DIAMETER NEAREST LOT LINE LENGTH.~DEPT, /~'"' DE.TH DISTANCE FROM WELL . TOTAL EFFECTIVE ABSORPTION. AREA (WALL AREA) .SQ. FT. WELL= TYPE BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK SYSTEM . DISTANCES: DIAGRAM OF SYSTEM PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 ANCHORAGE AREA BO""" JSH Anchorage, Alaska 99503 NAME 7'~, ~4~ · LOCATION INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM ~, I~ ~/ MAILING ADDRESS PHONE ~-- ~l/~//el,~ /~e&~ LEGAL DESCRIPTION ~ /O J~//(' Z SEPTIC TANK: DISTANCE INSIDE LENGTH MANUFACTURER ~L/a ff~' ~-~- INSIDE WIDTH NUMBER Of MATERIAL ~--ae~ ~' ~'~//'le' COMPARTMENTS I LIQUID DEPTH IIQUID CAPACITY /OH GALLONS. SEEPAGE PIT: ~ I NUMBER OF PITS I DIAMETER ~"~1 OR WIOT' ~t, LENGTH ~.~,1 DEPT' LINING MATERIAL J'"~es~ CRIB SIZE: DIAMETER DEPTH ~l DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION ~t, NEAREST LOT LINE~'~ . ABSORPTION AREA {WALL AREA) ADDITIONAL ABSORPTION WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION NEAREST NEAREST LOT LINE SEWER LINE OTHER SOURCES DISAPPROVED REMARKS DEPTH. DISTANCE FROM: SEPTIC SEEPAGE /~OI TANK. /~)/ SYSTEM DISTANCES: INSTALLED BY: DIAGRAM OF SYSTEM PIPE MATERI~AL: c~ ~ I~'~., LOT SLOPE: REMARKS: Form No. LQ-D31 [~ll_lr~ ~ ~. 1 P~'~I_ I TY DEPflRFHENT OF HEflLTH HN~ ENVIRONMENTAL PE~FECTION 825 'L' STREET, ANCHORAGE, 27~-2511 SEWER UPGRADE PERrqIT OI'-.I--S I I'E PERIqlI NO. ( 77828 PAIJL STEUKE.. P I HF<M 1 GAN LiO B2 EAGLE PARK SUBD OLD HARBOR ~9504 LOT SIZE APPL I CANT LOCH r l ON LEGAL 279-~565 43650 SQUARE FEET IYPE UF SOIL AASORBTION SYSTEM IS: TRENCH MH×IMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BR>= 8 ~EQU1RED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DPZP'I'H= -1 5 LEI'-~G'FH: 25 GRAVEL DEPTH: 6 THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRAINFIELD. 1HE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF '[HE 13ROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET>. THERE IS NO SET WI[~TH FOR TRENCHES. 1HE URHVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE HN[~ THE BOTTOM OF THE EXCAVATION (IN FEET>. .... PACKAGE PLAN-l- L-'iPT I ON A PACKHGE PLANT MAY BE INSTALLED AT THE PERMITTEE~S OPTION SUBJECT TO THE FOLLOWING CONDITIONS; :L. EITHER A CLASS I OR II NSF APPROVED PLANT MAY 8E INSTALLED. ~'. H CONTINUOUS MAINTENHNCE AGREEMENT IS REQUIRED. IF A MAINTENANCE H~]REEMENT IS NOT KEPT CURRENT YOU MAY BE REQUIRED TO ENLARGE THE SOIL ABSORPTION SYSTEM AND/OR YOU MAY BE SUBJECT TO PROSECUTION l-l~lO ( 2 ) I NSPI-Z~-----1- I OHS ARE REt;~U I RED E~HCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DIS'I'ANCE BEI'WEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEEl' FOP. A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. uKHER REQUIREMENIS M~Y APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE lO INSURE PROPER INSTALLATION. PERM 1 -I' EXP I RES DEIZ. EfqBER ~:L, :1_97-/ I CERIIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FOP.IH BY ]HE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTHLL ]'HE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY RECqUIRE ENLARGEMENT IF THE RESIDENCE ,S REMODELE~ TO INCLUD~MORE THAN 4 8E~RO0,S. ~PPLICHNT P~UL STEUKE " " - Performed' For~ Oate Performe~' Leaal ~escrtntton: Lot/O Block ~ Subdtvisi'on ~ '/f ~ ' ' :ol'at _ This form Renorts Soils Lo~. Perc ion Test .Qeoth Feet Sotl'Characteristtcs 2 3~ 18o _ I.;2';~ s_G_r/o~u~n d~ ~a~t e r Encountered? -_~ If Yes, At 'what De.nth? · Reading Date Grnss Time Net Time Depth to H20 Net Drop Percolation Rate flinute ~ Pronosed Inst--: Seeoaee Pit Brain Field Oeo~h of Inlet ' Oeoth To Bottom Of.Pit Or Trench iest Performed By~ Data Certified BY~L~ --/ Date: __MUNICIPALITY OF ANCHORAGE__ DEPARTMEF'--")F HEALTH AND ENV I RONMEN ,'~ PROTECT I ON 825' '~ Street, Anchorage, Alaska 99501 279-2511, ext. 224 or 225 Date Received: )1: Time //:W~O ~r~ #2: Time Insp ~/~/~. Insp~ REQUEST FOR APPROVAL OF June 24, 1977 #3: Time Date ~nsp~ INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Peoples BAnk and Trust Mailing Address: Pouch 7-007 99510 Phone: 279-7511 2. Property Owner: Paul/ Annette Steucke Mailing Address: 1605 Ptarmigan Street 99577 Phone 3. Legal Description: Lot 10 Block 2 Eagle Park Subdivision 4: Single Family Residence: (x) Number of Bedrooms: four Multiple Family Residence: ( ) Number of Bedrooms: Se Well System: Permit ~ Construction Individual Well'(x) Community/Public system ( ) Depth of Well loo' Well Log on File Bacterial Analysis ( ) ® Sewage Permit ~ Septic Tank Size Absorption Area Disposal System: On-site System (x~ Installed Il-Q3 /D~ 0 Manufacturer Soils Rate ~$-- Distances: Well to Septic Tank ;~ t to Sewer Line Nearest Lot Public Utility ( ) Installer ~~ Material to Absorption Area /~ line ~D Absorption Area to Nearest Lot Line Page Two '~ Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 10 Block 2 Eagle Park Subdivision Comments: Affadavit Attached: ( ) Letter Attached: ( ) ApProved: __ Disapproved: Date: Date~- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES JU" ! 1977 RECEIVED 1. Type of Inspection: VA 2. Property Owner: Paul and Annette Steucke FHA CONV XX Mailing Address: 1605 Ptat-~igan, Anch. Ak. 3. Name of Buyer: Clinton and Andrea Laurin Day Phone: Mailing Address: SPA Box 19. Ea~le River. Ak. Day Phone: 694-9617 Name of Lending Institution: PEOPLES BANK & TRUST CO. Mailing Address: Pouch 7-O07, Anch. Ak, Phone: 279-7511 5. Name of Realtor or Agent: Anchor Realty (Patrtcia Michael) Mailing Address: 511 E. 5th Ave. Phone: 6. Legal Description: Lot 10~ Blk. 2, Eagle Park Subdivision Location: 1605 PtarmiKan St.-Eagle River, Alaska 272-8481 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: Sin~;le Family Residence No. Bdrms. 4 Public Utility Individual 100' Well If Individual, number of dwellings presently served If Individual, depth of well 100 Sewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) Sept f~c Tank PI YSE RUS3{ ,.Jv ED N unicipality Anchorage MEMORANDUM DATE: TO: FROM: SUBJECT: October 28, 1977 Joseph S. Blair, R.S. Environmental Services Manager Sanitarian Lot 10 Block 2 Eagle Park Subdivision Risk Management's Request for Additional Information On August 1, 1977, I went to Lot 10 Block 2 Eagle Park Subdivision to conduct a sewer system adequacy test. This test came about as the result of a request from Peoples Bank and Trust to this department for approval of the individual sewer and water facilities on Lot 10 Block 2 Eagle Park Subdivision. This test was being conducted under the same operating procedure, as are all on-site sewer adequacy tests are, when conducted by this department. The 'septic tank pumping company, owned by Mr. Gibbis of Eagle River, was present with 1,000 gallons of fresh water(not sewage water) 'to add to the seepage pit. We measured the water level, found it to be at 2'6" and started to add 400 gallons of water. This addition caused the water to backflow into the tank and then into the basement. We, then, stopped the test and started all over. I returned 24 hours later to check the water level and found the system not to be working adequately and an upgrade of the sewer system was required. SU~[~RY: In response to Mr. Paul T. Steuke's statement of fact, dated October 8, 1977, I would like to clarify items, which are not 'accurate. The adequacy test, conducted on his sewer system, was conducted on the seepage pit portion of his sewer system and not on his septic tank. The "ascertaining of depth and size of the' sewer tank", Mr. Steuke refers to, was actually measuring only the liquid effluent level of his seepage pit. At the time this test was being conducted, his septic tank was not measured. Water was being used in his residence, which was running into the tank. This did not allow me to determine that the water being added to the pit was eventually running into the tank and thus into Mr. Steuke's basement; until we were informed by Mr. Steuke. I, then, talked with Mrs. Steuke and explained the method of chlorinating the overflow and suggested that they contact our office for further advice. ~. Steuke then called our office and talked to Mr. Kennedy, an inspector, not "the person in charge of Public Health Department", as Mr. Steuke labeled Mr. Kennedy. Mr. Kennedy then got a hold of me and I gave him all the facts. 91b010 Joseph S.'Blair Risk Management - Lot Page Two ~c October 28, 1977 .~' 10 Block 2 Eagle Park Subdivision I had to return to the Steuke property 24 hours later to finish measuring the results of the adequacy test and again talked with Mr. Steuke. I, again, apologized for the problem and informed him that as a result of my conversation with my supervisors, suggested he contact Risk Management for cleaning. Mr. Steuke informed me that he and his wife had cleaned up the overflow and rented rug cleaners as they had intended to clean the rugs anyway. I, also, informed him that his sewer system was not working adequately, so an upgrade of the existing system would be required before this departme~'s approval on his on-site sewer system could be given. I later was contacted by phone by the new owners of Lot 10 Block 2 Eagle Park Subdivision. They said they had an odor problem. I explained to them the circumstance and recommended they contact Risk Management in regards to checking out this department's liability. Cory Willis, R.S. Sanitarian CW/ljh DATE: TO: FROM: SUBJECT: unicipality of Anchorage MEMORANDUM August 16, 1977 The File Environmental Services Manager On-site Sewer Lot 10 Block 2 Eagle Park Subdivision Discussion with Paul Steuke and Til Wallace this date reflects that the information on the original inspection report of the above cited property dated December 31, 1973 and signed by John Lee, that showed a 1,000 gallon Wallace concre~ septic is in error and that the tank is a 1,250 gallon capacity. /~ose.[~h S. Blair, R..S. nvironmental ServJ. ces Manager JSB/ljh 91-010 (4/76) MU~ilCIPALITY OF ANCHORAGE MEMORANDUM 91-015 (5/76) August 16, 1977 The File Environmental Services }~n~ger On-site Sewer Lot 10 Block 2 Eagle Park Subdivision Discussion with Paul Steuke and Ti11Wallace this date reflects that the information on the original inspection report of the above cited property dated December 31, 1973 and signed by John Lee, that showed a 1,000 gallon Wallace concBe~ septic is in error and that the tank is a 1,250 gallon capacity. Joseph S. Blair, R.S. Environmental Services Manager JSB/ljh August 16~ 1977 Environman tal Services On-site Sewer Lot 10 Dlock 2 Eagle Park Subdivision Discussion with Paul Steuke and Ti1~allace this date r~flects that th~ information on the original inspection report of the above cite~ property dated December 31, 1973 and signed by John Lee, that showed a 1,000 gallon ~allace concle~septl¢ is in error and that thu tank is a 1,250 gallon capacity. Joseph S. Blair, R.S. ~vironmental Services )~anager JSB/lJh August 3, 1977 Paul Ste~ke 1605 Ptarm/gan ~agle River, Alaska 99577 SubJect~ Lot 10 Block 2 ~agle Park Subdivision Dear ~. Steukez The sewer system on the subject lot faile~ to pass the adequacy feet. Therefore, an upgrade of your sewer syst~ will be needed, before we can send approval to the lending agency. To u~xJrade thessewer system, you will nee~ to add twenty- five(25) feet of trench onto your existing orib. The trench should start at the top level of the seepage pit with a ten(10) foot of solid-pipe separation between the trench and seepag~ pit. The bottom of the excavation will be approximately twelve(12) feet. There shou/d be six(6) feet of gravel below the drain pipe. The septic tank requirement for a four(4) bedroom ho~e is 1,250 gallo~s. The se~ic tank now there is only 1,000 gallons. This then will require an &ddit/onal 500 gallon tank. If there are any further questions, please contact this office at 279-2511, extension 224 or 2B5. S~ncerely, Robert C. Pratt, Sanitarian cc:, ~eoples' S~nk ',,nC T~ust EGL/-}tz MUNICIPALITY OF ANCHORAGE i Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater SectionFax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-782-26 1. GENERAL INFORMATION Expiration Date: S i — Z ozo Complete legal description Eagle Park, Block 2, Lot 10 Location (site address) 2057 Ptarmigan Blvd., Eagle River Current property owner(s) Ronald Laurin Mailing address same Real estate agent Jayme Harris 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 907-727-6298 Day phone 907-947-6787 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well E Private Septic E Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment /1_2MWO Receipt Number 65DY j COSA # 00 G 19/&p Waiver Fee $ Date of Payment Receipt Number i Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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 Crewdson Engineering, LLCPhone 907-280-9493 Address PO Box 671389, Chugiak, AK 99567 Engineer's Printed Name James Crewdson 6. DSD SIGNATURE 1% Date 12/23/2019 System #1 Approved for 4 bedrooms / '. ,lames A `C . son � System #2 Approved for Disapproved Conditional approval for bedrooms 1527 �0 ESe,�NA~ bedrooms, with the following stipulations: _ c ��e �� ► �`E -t- wt ePvI 1,06- el" .�tt�cttccccr�.,. By Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA Checklist blue sheet Nitrate Advisory Arsenic Advisory Other Legal Description: Eagle Park, Block 2, Lot 10 If more than 1 septic system on lot: COSA Checklist # A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1974 Total depth 74* ft Cased to 40+* ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 4/29/19 Static water level at beginning of test 59 ft. Comments *per 2017 COSA B. TANK DATA Age of tank(s) 0 years Tank type/material sept'VsIeel Measured operating fluid level in septic tank 49 ❑ Standpipes/foundation cleanout per record drawing Date of pumping not required D. ABSORPTION FIELD DATA Which system tested (date installed) 8/24/94 ❑ ALL standpipes present per record drawing Total measured depth from grade 11.8 ft (max) Measured depth to pipe invert from grade 6 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 5.8' ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 050-782-26 of Structure served by this system Well production at time of test 5+ gpm Water storage tank volume unknown gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 6.16 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Crewdson Engineering Date of Sample 1l76r2o2° C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 4/29/19 Results 2✓ Pass For 4 bedrooms Fluid depth prior to test 1 in Water added 600+ gal New depth 5 in Elapsed time 130 min Final fluid depth 1 in Absorption rate 600+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date none known E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ✓v Yes Community Sewer Manhole/Cleanout > 100' ft M Yes if No ft 1 Yes if No ft Neighboring Tank > 100' M Yes if No ft Private Sewer/Septic Line > 25' ['71 Yes if No ft Absorption Field on Lot > 100' P-1 Yes if No ft Holding Tank > 100' [] Yes if No ft Neighboring Absorption Fields > 100' Surface Water > 100' Q Animal Containment > 50' Yes if No ft M Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E] Yes if No ft ✓,] Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No g• 1 ft . Surface Water > 100' R Yes if No ft Property Line > 5' ✓v Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' Yes if No. Water Main > 10' ✓0 Yes if No ft Community Wells > 200' Yes if No. Water Service Line > 10' []✓ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Q 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' U✓ Yes if No Water Service Line > 10' Yes if No ft Community Wells >_200' F Yes if No Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS *Septic tank.is not within the foundation soil bearing, prism, see record drawing. G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet A owl ' S ®� , Jamzs A. Crewdsan 11527 ft ft ft `ii DEVELOPMENT SERVICES DEPARTMENT � F On -Site water and wastewater Section _ www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC191607 Subdivision: Eagle Park, Block: 2, Lot: 10 A water sample revealed a nitrate concentration of 6.16 907-343-7904 Fax: 343-7997 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. `, � 3 `� � Mailing Address P�-O,�Box 196650:* Anchorage, Alaska 99519 6650 *www muni org � 3� From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Municipality of Anchorage G•'f. On-Site Water and Wastewater Program �' '� (907) 343-7904 t ai- - I.L.11i CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-782-26 Expiration Date: I I-)-2— t 7 1. GENERAL INFORMATION Complete legal description Eagle Park Block 2 Lot 10 Location (site address) 20537 Raven Dr Current Property owner(s) Laurin Day phone 694-4994 Mailing address Same Real Estate Agent Partners Day phone 694-4994 cVl 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ° - ❑ Duplex .6 ,�� ❑ Multiple Dwellings (Single Family and/or Du• `� 3. NUMBER OF BEDROOMS: 4 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 E Public Sewer ❑ yr �r� �V� 7 Received by: Amp � Date: COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ S2--to — Date: Date of Payment g I 1(4I/1 Date of Payment Receipt Number 0613'-( D Receipt Number COSA# 0SCI'll3`-.oi 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 NorthRim Engineering Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 8/14/2017 40, 6. DSD SIGNATURE : 49''�-` �'• X , •- .. .y,... r 1 System #1 Approved for I bedrooms. ....... Y �" �l@vrn 1N ',�P System #2 Approved for bedrooms. ,c, ung •L,s Disapproved. F'0.° I/9.—• . Conditional approval for bedrooms, with the following stipula!retns:vv-vr-`*" vvP` E (ENJl�-rFR • By: SOE Original Certificate Date: a9-22 f7 The Municipality of Anchorage Devlopment 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 9-1-12 doc t If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Cerrt irate .,f On Site Systems Appr®vai@ Checklist Legal Description:f 1t('.F `3 (� f54Oe(G L..o (d Parcel ID: aszY 7ePzz( A. WELL DATA l / Well type __. If A, B, or C provide PWSID# Well Log (YIN) N Date completed 7 7iZ Sanitary seal (Y/N) y _ Wires properly protected (Y/N) y Total depth 7 ft. Cased to ciof ft. Casing height (above ground) l/ in. FROM WELL LOG AT INSPECTION Date of test %/177 Static water level r ft. 5( ft. Well production g.p.m. J`—'f g.p.m. WATER SAMPLE RESULTS: Coliform 1colonies/100 mL Nitrate �• mg/L .( l Arsenic ND ug/L Date of sample: S —II -1 1 Collected by: ( 1T �`'t ri" B. SEPTIC/HOLDING TANK DATA Tank Type/Material �A, _ Date installed cP-// h1A4/- Tank size 42S° gal. Number of Compartments Z Cleanouts (Y/N) y 1 Foundation cleanout (YIN) Depression over tank (YIN) High water alarm (Y/N) A/ Date of pumping S —1 Pumper &......‘,`Covil C. ABSORPTION FIELD DATA Date installed Cr-/ZOY Soil rating (g.p.d./ 2 or ft2/bdrm) 6. , System type f re.tc.l Length C3 ft. Width 3 ft. Gravel below pipe ft. Total depth /d ft. Eff. absorption area 7 5.6 ft2 Monitoring tube y Depression over field Al Date of adequacy test �./e.fi 7 Results (Pass/Fail) p / For II bedrooms Fluid depth in absorption field before test 0 in. Water added 600 gal. New depth S in. Elapsed Time: �d min. Final fluid depth C.) in. Absorption rate >= 6'.."-C) U g.p.d. Any rejuvenation treatment (past 12 ma.) (Y/N & type) Al If yes, give date D. LIFT STATION AM Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm& circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot /DG "1 On adjacent lots ,./a) t- Absorption field on lot /616 =r On adjacent lots /0o fr Public sewer main /aa it Public sewer manhole/cleanout flffG Sewer/septic service line 2� f Holding tank /6G Animal containment areas 50 #" Manure/animal excrete storage areas /6d r` SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line l(-1 14- Absorption field _S Water main (01t Water service line /4-' -T. Surface water 7'6 0 rT Wells on adjacent lots O � ff ABSORPTION FIELD ON LOT TO: Property line /6 (' Building foundation /O ' Water main 76 i"` Water Service line / (' Surface water /a �"`" Driveway, parking/vehicle storage ZS Curtain drain LI A.f Wells on adjacent lots (OG 1— F. F. COMMENTS G. ENGINEER'S CERTIFICATION f.". -t.{ • I certify that 1 have determined through field inspections and .•.e� elf review of Municipal records that the above systems are in ' conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Date 6I7(7 ; 1/4/1"- .- COSA yellow sheet_2-6-15.doc Lot 4 Lot 3 Lot 2 .4 �10' UTILITY EASEMENT N 9700'00"E 150.00' 20' UTILITY EASEMENT ::111,,,,,. 10.2'x12.2' SHED--SEPTIC "a$ PIPES riN � O 1� ft _ . Ml 2 Lot 9 IL'a / ry �� _ry o Lot 11 I 0.2' n L.9. p $ , \ b O N 1.5' o 57.9' - 32.0' N • 1.2' 0 Z ANT N ARGR,�p D \ ECT4�� 10 _ R,41)/VS w 5 WELL 0D o 1 � Lot 10 n \ 1.045 Acres .. / S 89'32'30"W 150.00) I:1.\ —Q — PTARMIGAN BLVD. NOTE: THE STRUCTURE IS A 1 STORY RESIDENCE WITH DAYLIGHT BSMT, PLOT PLAN AS BUILT _X SCALE 1" s 60' GRID SW 0056 Project No. 17-273/A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates , inc . (907) 522-6476 Phone � DOpb� (907) 522-4625 Fax 4o Q Professional Land Surveyors kenOlangsurvey.com OF AL QN Y JonathanOlangsurvey.com ,"<c....:..,. :41 r,.:6 I hereby certify that I have surveyed the following described property: C')."40/ �+1 :37 LOT 10, BLOCK 2, EAGLE PARK SUBDIVISION (PLAT P-672) Gir* 49LI> n ` •*�D Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that Q ' no improvements on the property lying adjacent thereto encroach on the surveyed ( .HA) % N 6rl4NG mt: ,t-;p premises and that there are no roadways, transmission Tines or other visible V t easements on said property except as Indicated hereon. 1l'5 1 1 .•'.le Q �� L5-5202. e3)b- Dated this the Day of at Anchorage, Alaska (1K-ilea •• �N0o ASICNM. o It is the responsibility of the owner to determine the existence of any easements, �1�4o0a—a' covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963