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Home My WebLink AboutEAGLE PARK BLK 2 LT 11agl Pa k lock 2 Lot i I 050-782 -2:5 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www. ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: OSPllll42 PID Number: 050-782-25 Name: Kelly Donovan Wastewater System: [] New [] Upgrade Address: 20613 Ptarmigan Blvd, Eagle River, AK 99577 ABSORPTION FIELD Phone: Number of Bedrooms: ~ [] Deep Trench [] Shallow Trench [] Bed [] Mound [] Other: LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: Block: Lot: Subdivision: 1.0 GPD/Ft2 10,0 Ft. Depth to pipe bottom from original grade: Gravel depth beneath pipe: 2 11 Eagle Park 5 - 7.4 Ft. 6.0 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: 0 Ft. 50 Ft. Well: [] New [] Upgrade Gravelwidth: Numberoflines: J Distance between lines: 5 Ft. I[ 0 Et, (.;lasslrlcat~on (Private, A, B, L;): I oral Ueptiq: ~Jased to: Total absorption area: Pipe Material: Existing Ft. Ft. 600 Ft2 D3034 Driller: Date Drilled: ~Statlc Water Level: Installer: Date Installed: Ft. Fiintstone Construction 7/18/2011 Ft.] Ft. TANK GPM SEPARATION DISTANCES ~ [] Septic [] Holding [] S.T.E.P. [] Other: TF'~ ~Urom~ $~p[;o Ab~o~p;.;ufi L;rt HuldiH9 :ubiiuiFdv,~tu Manufacturer: Tank Field Station Tank Sewer Line Capacity: Existing 1000 Gal. Well 100' 100% 100'+ NA 25'+ Material: Number of Compartments: Plastic 2 Surface Water 100'+ 100'q- 100'-{- NA LIFTSTATION Lot Line 5*q- 5~-F 5~+ NA Size: Manufacturer: Gal. Foundation 5~q- 10~+ 5'+ NA "Pump on" level at: "Pump off' level at: in. High water alarm at: in. in. Curtain Drain /~IA * 50~q- NA NA Pump Make & Model Electrical Inspections performed by: Diverter valve and cleanout pipes installed for existing BENCH MARK leachfield. Location and Description: Garage Floor Assumed Elevation: 100 Ft. Engineer's Stamp Inspections performed by: ArcTerra Dates: 1ST & 2ND 7/18/2011 3RD 7/20/2011 Development Services Department Approval Reviewed and approved by: /~...'~'~_~.~. j/.l~, )'"""~t..~. Date: ~-~ ~ AS-BUILT SYSTEM DETAILS/SITE PLAN EAGLE PARK S/D BLOCK 2, LOT 11 Per'mii::DSPlll142' PIDf~:O50-78-E~;::'5 (D 0 CO_ MT - ~ T/CO ~ <~ ~ LOT 12 BLK 2 ~ ~T T~ ~t~' O0 ~W M O0 Ex, Sunset ~~ ~ ~ ~ Z 0 ~ Plostic Tonk~ ~/~CO ~ , g;M'li NS9'32'30"E ~ 82,21' PTARMIGAN BLVD _ / - SCALE: 1' = 50' ~&-C=4~,~~ ~ ~ FINAL GRADE ~B-~=77,7~ ~ FILT~ FA~IC 3 ~EXIST, ~ SEWER RDCK ~.~, ~ ~0~ ~~N ~TBP B TANK SCALE, NTg ,'5 ~~' ,,¢'.. T"~'·. :I~0~,.. ';~,, PREPARED FOR:206,3KELL Y DONOVANpTARM/CAN BLVD. Z FIELD BOOKS c0.Pu~o: ' ...... ~ ~ A~UILT: SLS DAm: ~ D~. R~: GRID: ' ' / ACAD R~: 11-060 JOB No.: 11-060 · AK. 99577-51 Permit Number: OSP111142 Tax Code Number: 05078225000 Work Type: Septic Permit Effective Dates: July 14, 2011 Design Engineer: Subdivision: 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 Upgrade to July 13, 2012 ARC TERRA CONSULTING INC EAGLE PARK Site Legal Address: EAGLE PARK BLK 2 LT 11 G:0056 Owner/Address: DONOVAN KELLY J 20613 PTARMIGAN BLVD EAGLE RIVER AK 995778736 Site Mailing Address: 20613 PTARMIGAN BLVD, Eagle River Lot Size in Sq Ft: 45041 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y SepticTank 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. Date: '~//~¢~'f/. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-782-25 Property owner(s) KELLY J. DONOVAN Mailing address20613 PTARMIGAN BLVD., EAGLE RIVER, AK Site address 20613 PTARMIGAN BLVD., EAGLE RIVER, AK Day phone Zip Code 99577 Zip Code 99577 Legal description (Sub'd., Block & Lot) EAGLE PARK BLOCK 2, LOT 11 Legal description (Township, Range & Section) Lot Size45041 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR ([~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] 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. ARCTERRA (Signature of property owner or authorized agent) Permit/Rush Fees: $530.00 Date of Payment: -'J - i- i \ Receipt Number: Id~ ~)~¢/-~ (Rev. 11/05) o~'(' i'1~ ~q~- Waiver Fees: Date of Payment: Receipt Number: c TERRA CONSULTING~ INC 212 E. 51st Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 JulyS, 2011 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit - Eagle Park Block 2, Lot 11 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed leachfield on the subject lot. The general slope of this lot is approximately flat (0-2%) over the septic area. On June 22, 2011 a testhole was performed to investigate soils and groundwater. The results of this test are attached for your review. The proposed upgrade will serve the existing 3-bedroom house. We propose to install one 42' long deep trench. Groundwater was not encountered during excavation or at monitoring. The property and adjacent lots are served by private water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3792/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. Duf~E. Attachments: On-Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test Owner/Contractor Specs 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 · PH (907) 868-3791 · FAX (907) 868-3793 F WELL & WASTEWATER DISPOSAL SYSTEM DETAILS / SITE PLAN EAGLE PARK S/D BLOCK 2, LOT 11 GRAPHIC SCALE 0 50 1 O0 ~G' UTIUTY Easement / / / / I I · I PTA I / DESIGN DETAILS I ~b 4 B~RW x 150~0 ~G~ ,~ 600 GPD/~D PER SQ. FT. 0 ~ HIN~N,): 500 SQ. FT ~ (~/(~' X 6(D) (6,0' GRAVEL) : 4~FT, TRENCH USE ~ TRENCH -~ (L) X B' (~) X 6,0'(?) depth o~ ~ys~em is I0,0' m~x ~Pom g~de, To~[T°~[ depth o~r~ve[ be[ow distribution oPigin~(pipe is 6,0 , / NOTES: ~, mSUL~TE T~N~ ~r <4~ Permit PID# 050-782-25 FLAG ALL WELL RADII, EASEMENTS & LOT LINES PRIOR TO CONSTRUCTION NO PUBUC H,~LLS WITHIN 200' OF PROPOSED SYSTEM, NO PRIVATE WET_&S WITHIN 200' OF' PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. INSULATE TRENCHES WITH 2' HD BURIAL FDAW IF < 3' DF CDVER .(WIN 2' CDVER W/ INSUL) CONTRACTOR WILL ENSURE ALL OTHER SEPARATIONS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATIONS & ALL OTHER SETBACKS. ,~Server~,Storage~WELL & SEPTIC - Filed By Legal PREPARED FOR: KELLY DONOVAN 2061J PTARMIGAN BLVD. EAGLE RIVER, AK 99577 FIELD BOOKS COMPUTED: BOUNDARY: Johns DRAg~I: kmd STAKING= Johns C~EC~ED: KMD AsgUILT: Joh ns DWG. RI.E: ACAD RI.E: 11-060 DATE: REV. D^~:; 6/28/11 C~D: SW056 JOB No.: 11-060 \Egle Park Subd%Block 2%Lot 11X, 11-O60.dwg PAGE 1 OF 5 · AK. 99577 WATER AND WASTEWATER SYSTEM DETAIL EAGLE PARK S/D BLOCK 2, LOT 11 GENERAL NOTES' 1. MAINTAINED 10 FOOT SEPARATION DISTANCE FROM WATER LINES. 2. MAINTAINED MINIMUM OF 10 FOOT SEPARATION FROM ANY PROPERTY LINES. 5. VERIFY FOUNDATION CLEANOUT PLACED WITHIN 5 FEET OF FOUNDATION. 4. CONTRACTOR VERIFIED ALL SEPARATIONS TO ADdACENT/SUBdECT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER REQUIRED .,'~,~, ................... t -,~ 5. PLACE A MINIMUM OF/CFEET EEP TRENCH 10 MAX Dt~PTH OF EARTH COVER (OR EQUIV) OVER ABSORPTION BED. TWO INCH OF INSULATION PER SEC. 6.1 MOA ON-SITE COMPONENT PARTS & MATERIALS MAY BE SUBSTITUTED FOR ONE FOOT OF EARTH COVER UP TO A MAXIMUM OF TWO INCHES OF o', INSULATION. ;.9 6. MAXIMUM OF 2% GRADE TO o',_ TANK. ~ -"-"-- 7. USE :~'-2~" SEWER ROCK SPECIAL NBTES: I) N/A SYSTEM PLAN SCALE: 1"=50' ~ROPOSED LOT 1 1 :BROOM 20,005 S.F. \ 47.91' PREPARED FOR: KELLY DONOVAN 2061.J PTARMIGAN BLVD. EAGLE RIVER, AK 99577 FIELD BOOKS CO~PUTEO: eou~o~y: Johns OR^m: kmd STAKING: Johns C~C~D: KMD AS'BUILT: John s DWG. FILE: 11-060 ACAD FILE: ~Server~Storoge~WELL & SEPTIC - Filed By Legol~Egle DATE: ~EV. OAT£: 6/28/11 ~R~D: SW056 Jo~ No.: 11-060 MT EX. WELL Pork Subd~Block 2~Lot 11~11-060.dwg CO-Ex. Sunse~ 'lastic Tank ,~RCH 0 30' GRAPHICS SCALE SCALE: 1:30 PAGE 2 OF 3 AK. 99571 WASTEWATER SYSTEM DETAIL EAGLE PARK S/D BLOCK 2, LOT 11 REMOVABLE CAP CLEANOUT, TYP. EACH LATERAL-~"--~. MONITORING TUBE. SURFACE MOUNDED INSURE DRAINAGE AWAY ~ ~ PERFS BELOW FILL FROM TRENCH ~ EXIST. GROUND -[~--- ~.~,k~/.~./~., ,, '/ ~ I'~NAT, VE SO,L BACKFILL / .:::~')~//: INSULATED IF LESS TRENCH SECTION ~ ,;i__ SCALE: NTS ,,, 6 ~. >~ . _IF REQR'D. ED -F~-~ , ~.~j~ --4-" PERF PIPE (PERFS SEASONALLY HIGH ~x~,,x~ z STATIC GROUNDWATER TABLE /---BED ROCK OR OTHER 1¢/ IMPERMEABLE BARRIER ' to 31VERTER o o o OF- ~ _ ~ ~? o~ /-BACKFILL MOUNDED EX 1250 - · | TANK I / . ~ ?../ ~ i'.2"3~ ~'~1:~" 6.5 MIN. OF ~ i~ ~ ~ ~['~~ ~ SEWER ROCK SOLID ABS/PVC PIPE J / I~ ~~~~Dr~ 2% TO DRAINFIELD ~1~ '- _ .L 4" PERF PIPE TRENCH SYSTEM PROFILF ~~O~EDOWN ~~~ SCALE: NTS ~~ . ~ PREPARED FOR: ~ '"~ ~. KELLY DONOVAN ".,.. T 2061~ PTARMIGAN BLVD. ' F~ELD ~OOKS ~u~o= -- B~ND~Y: Johns DRA~: kmd A ~L DAm '~' '~ ........... ~SS10~V ~ *~U,Lf: Johns ~[v.D,m 6/28/11 'e ~kk AC~D ~: ~-o6o ~ No.: 11--060 ~' 4~. 99577-~ By gal~Eg Pork xBIock 2~Lot 11~11-060.dwg J CONSULTING, INC 212 E. 51 ~t Ave, Anchorage, AK 99503 Office (907) 868-3791, Fax (907) 868-3793 SOILS PERCOLATION TEST Performed for: Kelly Donovan Date Performed: 6/22/11 Project: Depth (Feet) 10- 11- 12- 13- 15- 17- 18- Eagle Park B2, Lll ORG/OL SP - slight trace of silt / fines Water percolated/absorbed rapidly in sandy soils. B.O.H. TEST HOLE # TH 11-1 SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? NA Depth to water after monitoring? NA Date? 7/1/11 Reading Date Gross Net Depth to Net Time Time Water Drop 1 6/23/11 1:00 6" 2 1:01 1 min dry 6" 3 * 1:02 6" 4 1:03 1 min dry 6" 5 6 7 8 9 10 11 12 · Water Added 19- 20- INSITU MATERIAL SUITABLE AS FILTER Percolation Rate < 1 (min/in) Perc Hole Diameter 6" Test Rm~ Between 4 feet and 5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. AacTEaaA CONSULTING~ INC 212 E. 51~t Ave, Anchorage, AK. 99503 (907) 868-3791, Fax (907) 868-3793 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES AND MATERIAL SPECIFICATIONS LEGAL DESCRIPTION: EAGLE PARK BLOCK 2, LOT 11 GENERAL: 1. The scope of this project includes the installation of a septic tank and/or drainfield to serve a single-family residence on the referenced property as delineated on the attached Municipality of Anchorage (MOA) permit and site plan. Construction shall be in accordance with the approved site plan. and design drawings; MOA permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 2. ArcTerra Engineering & Surveying, Inc. (ArcTerra) assumes no responsibility of the accuracy of the as-built survey provided by the owner or owner's representative. 3. The owner or contractor is responsible to notify the engineer of any discrepancies noted on the design plans or drawings prior to commencing work. These discrepancies could be, but not limited to, possible encroachments, surface water, varying soils, unplatted easements, types or use of dwellings on or adjacent to property, nearby public wells, etc. 4. The contractor shall be responsible for locating any necessary underground utilities, easements, property lines and surface water. The owner and/or contractor shall ensure, if deemed appropriate, that a registered land surveyor prior to construction flags all setbacks. The contractor shall be responsible for verifying all pertinent separation distances and component layout. 5. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 6. The MOA Development Services Department On-Site Water & Wastewater Program must certify contractors installing wastewater disposal systems. Owners installing their own systems must also receive prior approval from said MOA Department. SEPTIC TANK ! HOLDING TANK / LIFT STATION INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded with proper material and compacting to prevent damaging, settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above the final grade. 4. Septic tanks installed with less than 4 foot of cover shall be insulated. The contractor will ensure that the fill over the tank does not exceed the burial depth rating. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic EAGLE PARK B2, Lll July 5, 2011 Page 2 of 3 tank). These cleanouts shall be located on undisturbed soil not more than 10 feet from the tank. The second cleanout, in line, shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. 7. All H.D.P.E. tanks shall have a vertical length of 4-inch perforated drainpipe besides the tank extending to the bottom of the tank to above grade to monitor ground water. 8. All tanks shall be anchored when there is not enough adequate soil cover to resist buoyancy forces in high-groundwater areas. 9. All holding tanks and lift stations shall have an audible and visual alarm inside the residence. 10. All lift stations shall be wired in compliance with the Uniform Electrical Code and all MOA guidelines. 11. The contractor shall remove the old tank, or abandon it in compliance with the Uniform Plumbing Code. The contractor is solely responsible for the abandonment procedure. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavaction become smeared, they must be raked or scratched (roughed-up) before gravel (sewer rock) placement. 2. Once the sewer rock is installed, the distribution pipe is installed level with the perforations facing downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitoring tubes shall be four- (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 6. All advanced technology waste water disposal systems (Advantex, Biocycle, Intermittent Dosing Sand Filter, etc...) shall be constructed, installed, maintained and monitored per manufacturer's specifications and MOA requirements. MINIMUM MATERIAL SPECIFICATIONS: 1. A MOA approved septic tank manufacturer must construct any septic tank proposed for installation. 2. The following pipe materials are MOA approved for use in septic system installations: T~ype of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 99577-8736 ° PH (907) 868-3791 · FAX (907) 868-3793 EAGLE PARK B2, Lll July 5, 2011 Page 3 of 3 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. If deemed necessary, a sieve analysis should be performed. 7. When sand is being used as a filter material, its gradation specification must conform to current MOA or ADEC requirements. INSPECTIONS: Typically there will be three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the sewer rock, distribution lines, standpipes, and cleanouts, but before the placement of the silt barrier, insulation, or any other backfill. 3.The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. The inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre-construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and attached plans and in accordance with the attached MOA permit. All materials, components, and construction practices shall comply with the MOA's and the State of Alaska's latest ordinances, regulations, or policies regarding wells and septic systems. The failure of the inspecting engineer to notice a material or construction non- compliance does not relieve the contractor of his/her responsibility to correct such deficiency. There will be no contractual arrangement existing between the contractor and ArcTerra. ArcTerra shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the MOA. ArcTerra shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. ArcTerra's inspecting engineer will not be responsible for the construction means, methods, and techniques, sequence, procedures or the safety precautions incident to this project. BY PROCEEDING FORWARD WITH THE INSTALLATION OF THE WATER AND/OR WASTEWATER SYSTEM (S), THE PROPERTY OWNER, CONTRACTOR, AND WELL DRILLER ACKNOWLEDGE HAVING READ AND ACCEPTED THESE SPECIFICATIONS. 20441 PTARMIGAN BLVD · EAGLE RIVER, AK 9957%8736 ° PH (907) 868-3791 · FAX (907) 868-3793 TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = 4 SOIL RRT!NG THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: DEPTH= //~ENGTH= ~Z--~RI:IYEL DEPTH= ~6~, THE LENGTH DIMENSION IS THE LENGTH (I~l FEET) OF~THE TRENCH OR DR8INFIE~D. ~HE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE D~WEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE E~CRVATION (IN F~). ' THERE IS NO SET WIDTH FOR TRENCHES. ' '.. ~/~/ ' THE GR~VEL DEPTH IS THE MINIHUM DEPTH'OF OR~DETWEEN THE OUTF~LL ~IPE HND THE BOTTOM OF THE EXC8V8TION (IN FEET). r ' , ' PRCKRGE PLnNT HRY DE ZNSTRLLED RT T~~EE~TI~SUB~ECT TO THE ~FOLLOH[NG CONDITIONS: ~ [ / / - ~ ~ ~-. : ' , 1. EITHER R CLRS~ I OR 11 NSF ~R~VE~ HRY BE~IN~TRLLED. - ", ' 2. R CONT[NUOU~ NR[NTENRNCE ~EN~ ~EQ~D. /IF/R HRINTENRNCE ' RGREEMENT [S NOT ~T CU~IT MOp H~ ~ ~I~D~O ENLREGE THE RBSOEPTION SY~T~ RN~/O~U MRYI B~/$~T~ P~SECUTION. B~CKF[LL[NG OF RNY 5y~~INRL I~SPECTI~ND RPPROVRL BY [DEPRRTHENT WILL BE ~UB~ECT ~0 PROSECUTION.~ : ~IINIMUH DISTANCE BETNEEN R ~ELL RI.ID RNY ON-~ITE 5[~E DlSPOSRL ~Y~TEH ~ ~ee FEET FOR R PRIVRTE HELL OR 2~ FEET FOR R PUBLIC WELL i OTHER REQUIREHENT~ ~RY ~PPLY. 5P[ClFIC~TIONS ~ND CONSTEUCT[ON DI~H$ ~RVRIL~BLE TO INSURE 'PROPER INSTRLLRTION. , .' ' ' PERr~ I T EXP I RES DECEMBER ~l~ CERTIF~ THST I 8M F~MILI~R WITH THE REQUIREMENTS FOR ON-SITE SEWERS 8ND WELLS 8S SeT ~FORTH B~ THE ~NICIP~LIT~ OF 8NCHORSGE. I'WILL INSTRLL T~ SYSTEM IN RCCORDRNCE WITH THE CODES. ' I UNDERSTRND THRT THE ON-SITE SEWER ~M~TEM MRY REQUIRE ENLRRGEHENT I~ THE !RESIDENCE~MODELED TO~L~E MORE THRN 4 BEDROOHJ. ' ' ~/~ ........... January 3, 1974 Ross Carrington 1105 West 34th Avenue Anchorage, Alaska 99503 Subject: Lot 11 Block 2 Eagle Park Subdivision Permit %771008 A permit issued by this department for well and/or sewer .system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well lo'should be sent to this department to docum~he ~tallation date. If there are any - further ~, ~lease contact this office at 264 4720.,~// Sincerely, Health and Envi~ Sewer and Water January 4, 1978 Lee Sullivan Post Office Box 197 Eagle River, Alaska 99577 Subject: Lot 11 Block 2 Eagle Park Subdivision Permit 1771002 A permit issued by this department for well and/or sewer system has expired. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If there are any further questions, please contact this office at 264-4720. Sincerely, Health and Environmental Protection Sewer and Water Section ; b!U.~iyCIPALI'i"£ OF ~vr,:; '~-"--' ~ . Dap-'r~f Health and Environmenta!~'~qc:ion SOILS LO~ PERCOr,%TIO:i TEST 2 4 6 14 18 PERNIT ~0. DEPART~IENT ( HEALTH R~ID ENYIRO~IErITBL ~TECTION 825 'L' STREET, ANCHORAGE, BK. 995~i 264-4720 WELL PERt4 I T APPLICANT LOCATION LEGAL LEE SULLIVAN. P-TAR~II GAN L ii B 2 EAGLE C~ SUB BOX 197 E R 99577 LOT SIZE 694-2588 18000 SQURRE FEET MINI~IUI'I DISTANCE BETWEEN B WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEPl IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. WELL LOGS ARE REQUIRED B~lD ~IUST BE RETUR[IED TO THE DEPBRT~IENT WITHIN ~0 DAYS OF THE WELL COI'IPLETION. OTHER REQUIRE~'IENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIBGRRNS ARE AVAILABLE TO I[ISURE PROPER INSTALLATION. F'ERMIT E~<PIRES DECEMBER ~L~ '1977 I CERTIFY THAT l: I B~ FB~'~ILIBR WITH THE REQUIRE~E[~TS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY TH~?IUNI~ C IPRLITY OF RNCHORRGE. 2: I W~LL ~TRLL THE SYSTE,IH ACCORDANCE WITH THE CODES. ~.~/APPLICBNT LEE SULLIYAN V3. 0 A & L DRILLING COMPANY BOX97, EAGLE RIVER, ALASKA99577 · TELEPHONE694-2588 OWNER OF LAND ADDRFSS LEGALDESCRIPTION A l! ~l,~ ~ DATE-Started t//7'/77 Ended 11/~*/'7~7 · ! PERMIT NUMDER '~"7 lOC' o~ DEPTll OF WELL STATIC LEVEL OF WATER FT. DRAW DOWN FT. GALS. PER HR ~7 ~ O KIND OF CASING KIND OF FORMATION: From (~ FI. to c,~ Ft. From ~') FI. to !~' Ft. From !~ Ft. to c~! Ft. From ~l Ft. to 3t~ Ft. From ~ Ft. to ~? Ft. From g~ Ft. to .3~> Ft. From...,7~.~Ft. to <~ [ Ft. From fi ! Ft. to ~;~t~' Ft. From '7(~ Ft. to ~'o~ FI- From__Ft. to Ft. From Ft. to Ft, From Ft. to Ft, From Ft. to Ft, From Ft. to Ft From __.Ft. to Ft.. From Ft. to Ft. From Ft. to Ft.. From From From~ From From From From From From From From From.__ From,__ From FI. to Ft. FI. to Ft. __Ft. to Ft.. Ft. to Ft, Ft. to FI FI. to Ft. FI. to Ft. FI. to__Ft. Ft. to Ft. FI. to Ft. Ft. to__.Ft. FI. to Ft. FI. to Ft. FI. to Ft. FI. to Ft. FI, to Ft. Ft. to FI. MISCL. INFORMATION: DRILLER'S NAME ,~, c,,-~ 1.-GENER~LINFORMA~ON ~ MuNIcIPaLiTY OF ANCHORAGE~'''~ 0 ~"0/~ ~ ~' ~ CERTIFICATE OF INSPECTION FOR H~LTH AUTHORITY APPROVAL )]~.~ [ OF ON-SITE SEWER AND WATER FAClLI~ 2~720 . :- Application Date ~'. (a)-/Legal Description (include Io~ block, subdivision. ~ction, township, range) ...... - "'~ .'/'f: koeation [addm~ or dire~ion~} ~. ...- '" i. - '" ' ': ...... L' T~3~'-~- Telephone: Home" 694-3007 .... - = Business- 26 ..:'- :::,: (b)" Apphcant Na,me PATR]:CF~/~ 5:-84 7 ..... 'i '' .-.. Applicant Address' 206i3 Ptm - an Blvd..'. EAGT..,S PA'VgA;' AZASKA 99577 ,--". .-<- - .: ' '(~): Al~'pli~:~n~is iche~k on'i: I:endi~g In~titutio~ r-I ;'owr~e~./b~ji!dei~].i B~y?r.E]i o!h~r. ~]. {e.xpl;!p) ':' .... . : : · ;.?: ' - ~ ' "-~-"="'"='<",' "'?'"'" '-?.' ':. : '._ ' ', '_ ' ,." .'.': : - ' ' "' -" Telephone. . (d) L~nding Institution ]~]:P,.S~ ]qA'[~/:O~AL A~CHORAG~'' "' :' ' !~' 265-3h06; '' ' --'~"'"" ~:'''':'''' · -" Address"" - ..... P.O. BOX, 1OO720". '. ANC~ORAC~;"A~'~'ggsIO' .... ,... ,._,,~ .....~:--'_,.,= (e) ' Real Estate Company and Agent N/A ~ ' "' ; ' '"' ' ' "' :' ' :' Address N/A Telephone N/A ' ' (f) Mail the HAA to the following address: -'.[ .... - -.' ... -. I TYPE OF RESIDENCE Single-Family ~] Multi-Family 1'3 N~rnber of Bedrooms /4 Other WATER SUPPLY Individual Well I~1 Community I'3 Public r3 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ~ Public I-I Community I-I Holding Tank I-I Note:' If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 5. I~NGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION · AS certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health --, Authority Approval shows that the on-site water supply and/el; wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm FACa',R P.~V'RR F'N'G~ S"E3~V'T~ Telephone c)o7/6qt4-519~ - ':':~d~r~ss "' P_O_ P~Y 77'~q/1 ~F.~t'~,'~. ~v~ A~ 99577 Dire!' ) nbe. a. Iqoq' - o.~,un=r~rrn~ .. ~ ~ · ~ , -- -.-- ........... '--..'~.;',,::,..'...' .,' Approved D~sapproved Cond ~ona ':-;?:Terms of Conditional Approval. ".TTh~ Muncipality of Anchorage Depa~ment of Health and Environmental Protection (DHEP) issu~'Health Authori~ ..,:. .-:. Approval ce~ificates based selby upon the representations' given in ~rag;aph 5 above by ~h independeht pr~fe~'ona Y -~.';.-~: engineer registered in the State of Alask~ The DHEP does this as a cou~esy to purchasem of homes and their rending '" ' institutions in order to satis~ ce~ain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a ce~ificate is issued. The Municipali~ of Anchorage is not responsible for errom or omissions in the professional engineer's work. Page 2 of 2 RECEIVED WELL DATA MUNIClPALiT~ OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264,-4720 Legal Description: ~-~' Well Classification ~,,',' t' ~ Well Log Present (Y/N) Total Depth ~'~. · Cased to ~'/-~ 7'" Depth of Grouting StaticWaterLavel Ka· ,~/...,.. ~"~,,e ~.~ ~'",~'.,~$ PumpSetAt Casing Height Above Ground /~ '· Sanitary Seal on Casing (Y/N) Y Depression Around Wellhead (Y/N) Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot If A. B, C, D.F-C. Approved (Y/N) Date Completed ///5'-,/ 7 ? Yield Y To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by ~",'"2 Water Sample Test Results ; On Adjoining Lots ~7/,~ ' /,2~ · ; On Adjoining Lots '~'/~" ' To Nearest Public Sewer To Nearest Sewer Service Line on Lot /~' / ; Date /~../~,.q,,/,P 2' Comments B. SEPTIC/HOLDINGTANK DATA Date Installed ,/? 7 '~ Size /~ 5'0 v~/. No. of Compartments Standpipes (Y/N) ~V Air-tight Caps (Y/N) ,v Foundation Cleanout (Y/N) Depression over Tank (Y/N) A/ Date Last Pumped ~'&'/~' Pumping/Maintenance Contract on File (Y/N) ~'/~ ; for Holding Tank High-Water Alarm (Y/N) ,,~',,/,e Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well /~' ~' ' To Property Line .5- ~ · To Water Main/Service Line .~e ~ Course To Building Foundation ~ ' To Disposal Field 4// To Stream, Pond. Lake. or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORP~ON ~ELD DATA Soils Rating in Absorption Strata Date Installed , /'~' 7~' Width of Field ~ · Square Feet of Absorption Area ~'~ Depression over Field (Y/N) Results of Lest Adequacy Test ,...~'~, X'~'; ~'~ Separation Distance from Absorption Field: TO Water-Supply Well /43 ~ · To Building Foundation /-~" Lot TO Water Main/Sen/ice Line '~/~' ¢ To Stream/Pond/Lake/or Major Drainage Course To Driveway. Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field --~"~ · Depth of Field ~'~ · Gravel Bed Thickness, ~ / Standpipes Present (Y/N) )/ Date of Last Adequacy Test /~/· To Property Line 3'?. 5,- To Existing or Abandoned System on ; On Adjoining Lots .v. 3~ · To Cutbank (if present) ~' D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments '* Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~"'~--~ Date /~/~'"///2 Company ~"'.,,~.~'..t: MOA No. 5'z'- ~.~' ~ Receipt No. Date of Payment Amount: $ Page 2 of 2 MUNICIPALITY OF ANCHORAGE, DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 82~ L Stilt. Ancd~m~e, A!~'~'~ $9501 ENVIRONMENTAL ENGINEERING DIVISION REQUEST FOR APPROVAL OF INDIVIDUAl. WATER AND SEWER FACILITIES DISSECTIONS: Co.I. il; o~ ~;~ 1. l.~om;ll.; will .es I. l~X~ld. I~.. allow t~n (10) d~'s for proc~.lng. MAILING ADDRESS 4. REALTOR/AGENT r MAILING ADDRE~ PHONE PHONE II~ LEGAL OE~CRIIr/TION ~ __ ~ ~,~. & TYPEOF ~EIDBCE ~ NUMBER OF BEDROO~ ~ Four ~ One NGLE ~AMILY ~ Two ~ Five ~ MULTIPLE ~AMILY ~ ~ree ~ Six r-~ Other 7. WATE~iViOUAL" [] COMMUNITY [] PUBLIC UTILITY SEWAGE OI$1~SAL SYSTEM [~INDIVIDUAL/ON-SITE'* [] PUBLIC UTILITY * ATTACH WELL LOG. A w~ll log is required for all w~lls drilled since June 1976. For wells drilled prior to that date, give well depth (attach log if available.} **If individual/on-site, give installation date'-'"//(,/ . If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72.010(3/78) ' DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME INSPECT R INSPECTOR INSPECTOR 1. TYPE OF RESIDENCE NUMBER OF BEOROOI~ ~SINGLE FAMILY ~ ONE ~ THREE ~ FIVE ~ OTHER ~ MULTIPLE FAMILY ~ TWO ~OUR ~ SIX 2. WATER SUPPLY PERMIT NUMBER ~NOIVIDUAL DEPTH OF WELL ~ COMMUNITY DATEDRILLED /2 g PUBLIC UTILITY co.~,,o, w..~ ~o~.~c~,w~7/~?~ ~AGE DISP~AL SYSTEM PERMIT NUMSER g 7/~ ~NDIVIDUAL/ON -SITE DATE INSTALLED ~PUBLIC UTILITY ~tion Verifi~ INSTALLER ~ptic Tank or ~ Holding Tank Size: /~ If Tank is homemade SOILS RATING give di~nsions: TYP~~ MANUFACTURE~ TOTAL A~ORPT~ON AREA MATERIAL · DISTANCESwELL TO: ~tic/~ldlng/~ I Tsnk i ~orptlon/~Ar~/ J~/~Line~ ~r~t/~L~Line Absorption Ar~ to n~r~t Lot Line ~ CONDITIONAL APPROVAL (letter must ~m~ny ~rtifi~te) ~ DISAPPROVED 72~110 (Rev. 3/78) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and 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 FOR A SINGLE FAMILY DVVELLING Parcel I.D. 050-782-25 GENERAL INFORMATION Complete legal description Location (site address) COSA # ~--~ ExPiration Date: EAGLE PARK BLOCK 2, LOT 11 20613 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Current Property owner(s) KELLY I. DONOVAN Mailing address Lending agency', ,, Mailing address Real Estate Agent Mailing Address Day phone__ 20613 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Day phone Day phone Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: PE OF WATER.SUPPLY: Iddividual Well IndividUal :wat~.r StOrage community class __ Well Public Water System 3 TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding Tank E~ [] Community On-site E~ [] 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 ARCTERRA CONSULTING, INC. Phone 868_3792 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 07/15/2011 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be obserVed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate dudng the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. DSD SIGNATURE ~/ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Ma~ni~pality of Anchorage DerWent Sewices Department Building Safety Division On-Site Weter & Wastewater Program 4700 BragaW'Street P.O. Box 196650 Anchorage, AK 995.19-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: EAGLE. PARK, BLOCK 2, LOT ~1 Parcel ID: 0~782-25 A. WELL DATA ~:~:~A~,[f:A, .B, crC Pr~PWSI. D #. Welt Log Da~, c0mpleted11~5~9.77 Sanitary seal (Y~ Y_ v~ms properly protected (Y/N) Y Total depth 82 ff. Cased to 8/.6 ff. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 11/0$/77 6/13/2011 Static water level 59 ff. 63 ft. Well production 12 g.p.m. 6.25 g.p.m. WATER SAMPLE RESULTS: Coliform NEG coionies/t00rnL Nitrate 5.08 rng/L Arsenic: ND mg/I Date of sample: y/5/Zl_ Collected by: ArcTerra B. SEPTIC/HOLDING TANK DATA Tank Type~dter~ se~! Date ir~-ta~:~d J ? 7~ Tank size 3250 gal. Number of Com~ _2 Clea~outs (Y/N) Y Foundation clearmut (Y/N) _~ Depression over tank (Y/N) __N High water alarm (Y/N) N Date of pumping 6/1.3//,1 Pumper JRs Pumping C. ABSORP'IrtONFIELD DATA Date installed 07/2~11 S~il rating. (g.p.d./ft~ or ft21bdrm) 1.2 System type Deep T:rench Length 5'~'~t.~ ~' ~ d' ~. ~rave~ beicw pipe 4,, ~. Tota~depth ~ ~. Eft. absorption area~; ~,OOft2 Monitoring tube Y Depression over field N_ Date of adequacy test NA-New System Results (Pass/Fail) For _~ bedrooms Fluid depth in absorption field before test in. Water added gal. New depth ' Elapsed Time: _ min. Final fluid depth __ in. Absorption rate >= g.p.d. Any rejuvenafiorr~t 12 mo.)(Y/N&'type) ff yes, give date --- in. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in. "Pump off' level at in. Cycles tested E. SEPARATION DISTANCES Manhole/Access (Y/N). High water alarm level at. in. Meets alarm & circuit requirements? On adjacent lots On adjacent lots :tOOO+ Public sewer menhole/cleanout Holding tank Manure/animal excrete storage areas 10OO+ Absorption field $'+ Surface water :tOO'+ SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot :tOO'+ Absorption field on lot :tOO'+ Public sewermain ?$,+ Sewer/se~ic ~sewice line ' 25,+ Animal containment areas SOO+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main :tO°+ Water service line :tO'+ Wells on adjacent lots :tOO'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line :too+ Building foundation :tO'+ Water Service line :too+ Surface water 100'+ Curtain drain ,~OO+ (None Known) COMMENTS Water main lO'+ Driveway, parking/vehicle storage Wells on adjacent lots loo'+ :too+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name KI~NN~,TH M. DL~S~ Date 7/15/11 COSA Fee $250.00 Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Community Development Department Development Services Division On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On-Site Systems Approval # 111314 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 2, Lot 11 of Eagle Park subdivision. This inspection revealed a nitrate concentration of 5.08 milligrams per liter (mg/L) was reported for the property's well water sample. 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.