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HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 2 LT 13Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221411 PID Number: 050-281-28 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ®Upgrade Name DALLAS & BRITTNEY YEARGIN ABSORPTION FIELD - EXISTING Site Address ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound 10143 WILDWOOD ST, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 1 GPD/SF Ft. LEGAL DESCRIPTION IDepth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot Ft. Ft. EAGLE RIVER HEIGHTS 2 13 Fill added above original grade Gravel length Township Range Section Ft. Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line Ftz Ft. Well 100'+ __ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 1001+ __ GREER 1500 Gal. Material Number of compartments Lot Line 10'+ __ NA HDPE 2 Foundation 10'+__ LIFT STATION Manufacturer Capacity Remarks Installed 1500 -gallon HDPE tank for future Gal. flexibility. Alarm location Electrical installed by PIPE MATERIAL House to tank 303[1 Tank to 3034 Installer JRS drainfield Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection15� 11/15/22 Location and descri tion dates: 2nd 11/16/22 p 3rd 4th TOP OF RISER ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date -� Septic System • • • • • . • . .......... Approved - Curtis Huffman id G' •. CE 128991 <�`v`�/�'� Date ' �� isl�•. 11/22/2022•C��`o Note: this approval does not include well permit requirements. � PROFESSOP� o (Rev 05/02/18) PID: 050-281-28 33.0' H -1.-1`t.0 B -C=39.5' A -D=16.2' B -D=40,3' A -E=20.7' B -E=42.4' A -F=22.2' B -F=43.8' PERMIT: OSP221411 INSTALLED NEW S.T. IN THE SAME LOCATION OF EXISTING S.T. & VERIFIED 5'+ pp TO EXISTING FIELD & n 100'+ TO WELL RADIUS AT CONSTRUCTION. S Lot 12 Lot 19 r -CHAIN-LINK FENCE 11 GRAVEL ASPHALT DRIVEW/ AY BM: MH TOP w LOrF Z cVW W U) 04Of OD DPE Z NK COs. 13 28.2' 132.0. t ' 8.0'x8.0' SHED COVERED CONCRETE PAVER PATIO WELL RADII STAKED AT CONST. iL;1 8.3'x10.0' DECK Lot 13 10,886 S.F. CHAIN-LINK FENCE WELL --\ o N 89'59'W 1132.6' WOODEN FENCE F e� Lot 14 N QUO SEPTIC SECTION SCALEi NTS EAGLE RIVER HEIGHTS BLOCK 2, LOT 13 PREPARED FOR: BRITTNEY & DALLAS YEARGIN 10143 WILDWOOD ST EAGLE RIVER, AK 99577 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 FirstWaterAK®gmail.com FE Lot 18 Lot 17 SUPPFORT$ SERVICES: ®O ® �OFA�\ C #f*9TH*� (;N 0 *� 0 DATE: 11/22/22 Artis Huffman Wx SURVEY: LANG 1 rJ, CE 128991 e DRAWN: FWCS 1 11/22/202V AIV SCALE: 1" = 30' phbsslo�pY s L1 I 33.0' I I ! ASPHALT . DRIVEWAY MANHOLE-� to /00 t O r / z SEPTIC PIPES I PORCH 41.8' N Lot 12 / -- I Lot 19 / II CHAIN-LINK FENCE I. 59''E'. 1320' 89'59'W ! 132.0' WOODEN FENCE Lot 14 Lot 17 PLOT PLAN AS BUILT _X_ SCALE _ 1_� 30__ GRID _ W 0____ Project No. _N 2737fA1 ___ _ A 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A S S O C (a f e s, inc. (907) 522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors ken®longsurvey.com 0 F A Jonothan®Nangsurvey.com vim'` • '' I hereby certify that 1 have surveyed the following described property: LOT 13, BLOCK 2, EAGLE RIVER HEIGHTS — 1957 ADDITION (PLAT No. P-588) c Anchorage Recording District, Alaska, and that the improvements situated thereon are 4 within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed G premises and that there are no roadways, transmission lines or other visible easements_ on said_ property except as indicated hereon. Dated this the _� _ Day ofNv�Uz tzs �2 r� M at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH ............. *.A....... �,• KENNET L6.1ANG &off .LS -5202.•'• C3`xz% �p©�npFFSS10NA1 \ o� AECC963 24.2' EL8.0'x8.0' SHED J COVERED CONCRETE11 WOODEN FENCE Ld I� ZPAVER PATIO Mui 9 N W 1 tY 8.3'x10.0' DECK 100 ?�, >- toiv Lot 18 Of Lot 13 o 10,886 S.F. (N CHAIN-LINK FENCE I WELL-\ 89'59'W ! 132.0' WOODEN FENCE Lot 14 Lot 17 PLOT PLAN AS BUILT _X_ SCALE _ 1_� 30__ GRID _ W 0____ Project No. _N 2737fA1 ___ _ A 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A S S O C (a f e s, inc. (907) 522-6476 Phone (907) 522-4625 Fax Professional Land Surveyors ken®longsurvey.com 0 F A Jonothan®Nangsurvey.com vim'` • '' I hereby certify that 1 have surveyed the following described property: LOT 13, BLOCK 2, EAGLE RIVER HEIGHTS — 1957 ADDITION (PLAT No. P-588) c Anchorage Recording District, Alaska, and that the improvements situated thereon are 4 within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed G premises and that there are no roadways, transmission lines or other visible easements_ on said_ property except as indicated hereon. Dated this the _� _ Day ofNv�Uz tzs �2 r� M at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 49TH ............. *.A....... �,• KENNET L6.1ANG &off .LS -5202.•'• C3`xz% �p©�npFFSS10NA1 \ o� AECC963 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 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221411 Work Type: SepticTank Upgrade Tax Code Number: 05028128000 Site Legal Address: EAGLE RIVER HEIGHTS BLK 2 LT 13 G:0053 Site Mailing Address: 10143 WILDWOOD ST, Eagle River Owner: YEARGIN DALLAS & BRITTNEY Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: ~ohay ` r DC;I)Fri-tIT) Cl'lt 10/28/2022 10/28/2023 1:_fll ❑ Private Well ❑ 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 Special Provisions: Stake well radius before construction Received By: "La (,(,o— Issued ,(,eIssued By: Date: Date: le�' 3 MV UMMPAUTY OF AHCHORAGE 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. 050-281-28 Property owner(s) DALLAS & BRITTNEY YEARGIN Day phone Mailing address 10143 WILDWOOD STREET, EAGLE RIVER, AK 99577 Site address 10143 WILDWOOD STREET, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) EAGLE RIVER HEIGHTS, B2, L13 Legal description (Township, Range & Section) Lot Size 10,824 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank 0 Upgrade x Duplex (D) ❑ Holding Tank ❑ Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. gnature of property owner or authorized agent) Permit/Rush Fees: C2 95 Waiver Fees: Date of Payment: INS - Receipt NSReceipt Number: (, l J -D SS Permit No. O sp �2 Q l LI 1 Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 44 Firsmr Wder a C a N 8 U L T I N G rt J Y T. 8 1 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com October 6, 2022 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: EAGLE RIVER HEIGHTS BLOCK 2, LOT 13 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANC OSP221411, TimEcklundl Ja28/22 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000 -gallon HDPE tank per the attached design to serve the existing 3 -bedroom residence. We strongly encourage owner to install a 1500 -gallon septic tank for future consideration and flexibility. The lot and area are served by private wells. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Q Curtis Huffman, P.E. .. ........... I..:N„INA of Anchorage REVIEWED FOR CODE CC OSP221411, Tim Eddund, DESIGN DETAILS: INSTALL NEW 1000 -GAL HDPE STEP TANK. MAINTAIN 10'+ FROM FOUNDATION, 100' TO WELLS, 100' TO SURFACE WATER, 5' TO FIELD & DECK SUPPORTS WITH 4' OF COVER OR INSULATION. INSTALL PER AMC 15.65, 15.55, & MASS... TANK BEDDING, SEPARATIONS, MATERIALS,... ADVANTEX SEPTIC AREA OWN R MAY C NSIDTALLING A 150 - AL SEPT C TANK FO FUTURE CO SIDERATI N / FLEXIBILI Y. DRIVEWAY EPTIC kREA u - c' COW50 c DECOMMISSION EXI TING EXISTING S.T. & INSTALL EW 1000 -GAL HD FIELD SEPTIC TANI WITH NEW DC PUBLIC SEWER S A <30"H BEDROOM HOUSE STAKE ALL WELL RADII PRIOR TO CONST. APPROX. LOC DESIGN BASED ROM DMS H ND AkIG7ITIZED SB & MDA DOCS PPROX. LOC WELL EAGLE RIVER HEIGHTS BLOCK 2, LOT 13 suPPORr®sERviCEs: AZ PREPARED FOR: ��� OF�� BRITTNEY & DALLAS YEARGIN msI- 10143 WILDWOOD ST C , 9 TH EAGLE RIVER, AK 99577 11111! .0 FIRST WATER CONSULTINGDATE: 10/5/2022 SURVEY: DMS 2020 tis Huffman ,� CE 128991 13030 SUES WAY DRAWN: F�WCS � 10/5/2022 �� ANCHORAGE, AK 99516 SCALE: 1 = 30I X 907-350-9566 FirstWaterAK©gmail.com PAGE: 1 OF 1�' � CONNECT u - c' T O c o EXISTING FIELD 00 3 0 CO o MT " PUBLIC SEWER S A <30"H BEDROOM HOUSE STAKE ALL WELL RADII PRIOR TO CONST. APPROX. LOC DESIGN BASED ROM DMS H ND AkIG7ITIZED SB & MDA DOCS PPROX. LOC WELL EAGLE RIVER HEIGHTS BLOCK 2, LOT 13 suPPORr®sERviCEs: AZ PREPARED FOR: ��� OF�� BRITTNEY & DALLAS YEARGIN msI- 10143 WILDWOOD ST C , 9 TH EAGLE RIVER, AK 99577 11111! .0 FIRST WATER CONSULTINGDATE: 10/5/2022 SURVEY: DMS 2020 tis Huffman ,� CE 128991 13030 SUES WAY DRAWN: F�WCS � 10/5/2022 �� ANCHORAGE, AK 99516 SCALE: 1 = 30I X 907-350-9566 FirstWaterAK©gmail.com PAGE: 1 OF 1�' · ' Municipality of Anchorage Page ~.-..~.~of 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 ~~ t,,//~'~O ~ Wastewater System: ~New r-i Upgrade .none:~_~ INo. of~m,: ~eepTrench D Shallow Trench OBed OMound OOther LEGAL DESCRIPTION so,, Rating: ~. ~ GPD/Sq Fl Total Depth ,rom original Township: I Range: I ~tion: Fill add~ a~ve original grade: I G~vel length; SEPARATION DISTANCES ~eptic O Holding O S.T.E.P. From Tank Fmld Statl~ Tank ~r U~ . ~ ~ ~ LOt Size in gallons: ~ Remarks: BENCH MARK ENGI~[~EAL Inspectionspedormed by: ag ~, ~ ~ls~ ~9~ ~ '.~;~' Department of Health and Human Se~ices approval '~f~:.;~' [ Reviewed and approved by: Date: Pe;mlt No.~'~J ~'~Z. c~l'/.,- Page Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION of P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report A PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 #L# STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920192 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MAGNUSON RICHARD I OWNER ADDRESS:P.O.BOX 771006 EAGLE RIVER , AK 99577 DATE ISSUED: 7/22/92 EXPIRATION DATE: 7/22/93 PARCEL ID:05028128 LEGAL DESCRIPTION: EAGLE RIVER HEIGHTS BLK 13 2 LT LOT SIZE: 10885 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL 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 (ISAAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE ENGINEER'S APPROVED DESIGN DATED 7/16/92. _ O, ,---,"/} // _ RECEIVED BY: 3~=~%~--'~2~'.,/' ~:~v' - ~ DATE: DATE: ROBERTSHAFER, PE. RCGERSHAFER, PE. 16, 1995 CIVIL ENGINEERS (907) 694.2979 FAX 694,1211 SEWER S WATER MAIN EXTENSIONS ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST Mu~ZcZpa~J~tV of Anchorage DEPARTMENT OF HEALTH A/~ HUMAN SERVICES 855 L P.O. Bo~ 196650 A~o~ge, A~ 99519-6650 REFERENCE= Lot 15; BLock 5; EagLe /~u~. H~.gh.t~ S~bdJ. uiaion; to 6e~u~ ~h~ propo6ed $ bedroom home on the ref~enced prope~tV. Aa 6e~ {rom the a~ched 6~e p~n, ~heae lo~ a~e ama~. The ~e~z~e £e~chfl~d are Z6 propoaed to be and~ ~he d~u~V. The 14 to ~he aorta, however, ~J~ ~ho~d ~ot preu~ deu~o~e~ of Lot 14. ROGER J. SHAFER, P. E. ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER. ALASKA 99577 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: ~ ~ ,~ ~ Township, Range, Section: SLOPE SITE PLAN 1 2 3 4 5 6 7 - 8 9- 11 13- 14- 15- 16- 17- 18- 19- 20- WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT O DEPTH? p E Depth to Water After'''X~ Monitoring? Reading Date Gross Net Depth to Net Time Time Water Drop · z- ~,. ,-,,~ --7 ./~ ~, '.~-'-o _ .?c,~._ '- PERCOLATION RATE ~:~ (m,nutesanch) PERC HOLE DIAMETER ~'~ ~' TEST RUN I~ETWEEN ~' FT AND ~ FT PERFORMED BY; S & $ ENGINEER lNG ~ '"~/~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALcte~J~VL~.DA~t~/~UIDELI~E~(~ EFFECT ON ~HIS DATE: DATE.17034 Eagle River L~p Road N 72-~ (Rev. Munlcipallty of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERPOR.EDPOR= DATE PERFORMED: LECAL OESCR,PT,ON:t~V~ ~'.~"--Z-- ~:~. I-~-~t-~ownship, Range, Section: SLOPE 1 2 3- 4- 5- 6- 7- 8- 9- 10- 11- 12 13 14 15 16 17 18 19 20 WASCROUNDWATER ~f,~_~ ENCOUNTERED? SITE PLAN IF YES, AT WHAT DEPTH? ~" /3. Date Cross Net Depth to Net Reading ' Date Time Time Water Drop ~ ,-..-~-~ ,~.-.,.4. ~,l~ PERCOLATION RATE \~-~..3~ Im~nutes/~nch) PERC HOLE DIAMETER TEST RUN BETWEEN (,~ FT AND '""""~ FT COMMENTS S & S ENGINEERING PERFORMED BY; 17034 Eagle River LoopgcRoad No. 204 ACCORDANCE WIT. A~a~je~Ti~r,D~I~:fT~,DEL,NES ,N EFFECT ON THIS DATE. 72-008 (Rev. 4/85) CERTIFY THAT THIS TEST WAS PERFORMED IN DATE: '"'T-'-t PERMIT NO. DEPARTMENT &. HEALTH AND eNYIRONMENTAL ~-~<OTECTION [,,,.~ ,-.-~-- 825 ~L~ STREET, ANCHORAGE, AK. ~501 264-4720 HELL AND ON--S I TE SEI4ER PERM I T ( 8210~ ) APPLICANT LOCATION LegAL RICHARD MAGNUSON PO BOX I006 EAGLE RIVER 99577 694-3141 Ll~ B2 EAGLE RIVER HEIGHTS S?D LOT SIZE ~999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE Of THE SOIL ABSORPTION SYSTEM IS: DEPTH= 5~ LEtli~Th= 5'? iL~iRRVEI DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH Or DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REQUIRED SEPTIC TRtIK SI::'E= I 000 PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. ------ TWO (2) I NSPEC:T I OtIS ARE REQU I RED BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR i50 TO ~00 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMU~ DISTANCE FROM A PRIVATE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 50 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I RES DEC::EtlBER ~-1., :1-982 I CERTIFY THAT i: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. ~: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE V4. O POUCH 6-650 ANCHORAGE, ALAYKA 995¢2-0650 (907) 264-4111 ~Permit #: 821031 ~January 31, 1983 TO: Permit Applicant Subject: Lot 13 Block 2 Eagle River IIeights Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. 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 needs to be sent to this department for documentation of the installation date and to close the permit. If a private engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerel~ Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 ~_~SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L~ Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 2 3 ~4 10 12- 13 14- 15- 16- 17- 18- 19- 20- SLOPE DATE P E R F O R M E D: ~.~~.~ I~r~ SITE PLAN ENCOUNTERED? . O P IF YES. AT WHAT E DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop / - ~ ,, IZ.'~o ,.7o,,,.'., I/Yz" ~" ~ ,, /z..~-o ,,o ,. /z?~~/q" ~ ,, i:~o ~ ~, IZ~ ~" COMMENTS SENT BY:ADEC ANCHORAGE ; 5- 1-97 ; 10:59 ;ANCHORAGE/WESTERN D0~ 90?3434?86;# 2 Parcel I.D. 050-281-28 Certificate of On -Site Systems Approval Expiration Date: 2-28-2023 Legal description Eagle River Heights Block 2 lot 13 Site address 10143 Wildwood Street, Eagle River, Ak Current property owner(s) Yeargin X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: Original Certificate Date:Z This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approvdjune 2022 MUNICIPALITY OF ANCHORAGE Development Services Department l _ J Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-281-28 Complete legal description EAGLE RIVER HEIGHTS B2, L13 Location (site address) 10143 WILDWOOD STREET, EAGLE RIVER, AK 99577 Current property owner(s) DALLAS & BRITTNEY YEARGIN Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ® Plastic ❑ Concrete ❑ Fiberglass Age NEW 1500 -GAL SEPTIC TANK - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ® Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Distance: Expedited review requested: ❑ By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 6_5z Waiver Fee $ Date of Payment 111A [/;12 COSA # D S C VL9-11591 1# a tl a aq Date of Payment Waiver # COSA Application 2022.doc Legal Description: EAGLE RIVER HEIGHTS BLOCK 2 LOT 13 Parcel ID: 050-281-28 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Water storage tank volume NA gallons Date drilled 1982 Total depth 114 ft Well disinfected for coliform test? ❑ Yes ® No Cased to 40+ ft ® Coliform bacteria is Negative ® Sanitary seal is functioning correctly Nitrate 3.35 mg/L ❑ Nitrate less than MRL (ND) ® Wires are properly protected Arsenic ug/L ® Arsenic less than MRL (ND) Casing height (above ground) 18+ in. FkIH Date of flow test for COSA 9/30/2022 Collected by e, >,,,„- Static water level at beginning of test 60 ft. Date 11/15/2022 Well production at time of test 3.3* gpm Comments WELL DATA PER MOA FILE — NO WELL LOG. ACTUAL WELL PRODUCTION IS HIGHER (6+ GPM,)*, BUT SHORT TRENCH AND FLUID LEVELS REQUIRED LOWER FLOW RATE FOR SEPTIC ADEQUACY TEST B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping NEW —1500 GAL HDPE ❑ Required maintenance completed, if AWWTS Comments: INSTALLED S.T. FOR FUTURE POSSIBLE FLEXIBILTY OR NEED. D. -ABSORPTION FIELD-DATA- Which IELD-DATA Which system tested (date installed) 1992 ® ALL standpipes present per record drawing Total measured depth from grade 10.8 ft (max) Measured depth to pipe invert from grade 5 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 5.7' INTO MOA 7' ED ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 9/30/2022 Results M Pass Fluid depth prior to test 34 in Water added 450 gal New fluid depth 68 in (AT LATERAL) Elapsed time 1400 min Final fluid depth 33 in Absorption rate 450 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 84 in Effective depth used 50 in (Missing 1.3'+ fluid) Effective depth remaining 34 in (34-35" remaining) Comments/Deficiencies: EXISTING CO & MT AT GRADE. MONITORING TUBE HAD 3" OF FLUID ON 11/15/22 AT TANK INSTALL. COSA Checklist 2022.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ®Yes if No ft ® Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Tank to Property Line > 5' ® Yes if No ft Field to Property Line > 10' ❑ Yes if No *6 ft Water Main > 10' ® Yes if No ft Water Service Line > 10' ® Yes if No ft F. ENGINEER'S COMMENTS *MOA WAIVER IN 2008. Wells on Adjacent Lots: Private Wells > 100' ® Yes if No ft Community Wells > 200' ® Yes if No ft If tank or field is under driveway comment below G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer's Printed Name CURTIS HUFFMAN, PE _ _ Date 11/29/22 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, �"�► . • • ' • • . , local soil characteristics, groundwater levels that may fluctuate during the year, quality of ®&&i°;•' • •'�:'�} construction (workmanship & materials), the water usage of the family being served by the /°fig,• �� system and maintenance. The operational life of all well and septic systems are subject to *F iM these various and dynamic characteristics and are outside the control of the evaluator of the. • , , , • • , , • • , ; well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or • • • • . . • • • . . . . . . discrepancies exist can be given by First Water Consulting & FWI S Curtis Huffman .' ��[�Fc��l ' • C 1991 • g. 1/29 F •...•2�2" COSA Checklist 2022.docx MUNICIPALITY OF Development Services Department A t On -Site Water & Wastewater Section Parcel I.D. 050 281 28 ANCHORAGE Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: Complete legal description EAGLE RIVER HEIGHTS BLOCK 2 LOT 13 Location (site addressl 10143 WILDWOOD STREET Current property owner(s) REGO Mailing address Real estate agent 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic, 0 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 Waiver Fee $ Date of Payment ��ZJ�20 Date of Payment Receipt Number Receipt Number COSA W2 Waiver # COVIN 9 na%, niernt rnrr ADDI inn 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 C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 5/15/2020 Aw Aae j _K7 — * -. * 0 of ALq�l,t 6. DSD SIGNATURE . ' �_ _ System #1 Approved for bedrooms CHARLES G BALZARIK( System #2 Approved for bedrooms ��F��s.,. CE -13854 Disapproved �FOPROFrSQ0 1, _®Q ��►'� Conditional approval for bedrooms, with the following stipulations: -SITE �►ATER AND WA ,� )iJ1r \Sw)`` tt aa>>)l``�,, T) 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other I�� COSA Checklist blue sheet Legal Description: EAGLE RIVER HEIGHTS BLOCK 2 LOT 13 Parcel ID: 050 281 28 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test +5.2 gpm Date drilled 1992 Water storage tank volume NA gallons Total depth 114 ft Well disinfected for coliform test? ❑ Yes ❑ N Cased to +40 ft �R Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate '1-1, C-1 mg/L ElNitrate less than MRL (ND) AlWires are properly protected Arsenic ug/L 0 Arsenic less than MRL (ND) Casing height (above ground) +12 in. Collected by C.Balzarini Date of flow test for COSA 5/6/20 Date of Sample -10 ­ 2 c Static water level at beginning of test 64 ft. Comments *Historic well data from previous cosa, well log was not available. B. TANK DATA Age of tank(s) 28 years Tank type/material steel Measured operating fluid level in septic tank 50 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 2/27/20 D. ABSORPTION FIELD DATA Deep Trench C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: no lift, level in tank was measured after tank had been un -used for at least 24 hours. Which system tested (date installed) 1992 Adequacy test date 5/6/20 ❑ ALL standpipes present per record drawing Results ❑✓ Pass For 3 bedrooms Total measured depth from grade 10.5 ft (max) Fluid depth prior to test 15 in Measured depth to pipe invert from grade 4.8 ft (min) Water added 450 gal ❑ N/A — pressurized field 31 New depth in ❑ Monitor tubes go to bottom of effective. If not, state <1440 depth into effective 5.7 Elapsed time min p ❑ Code -required soil cover over field Final fluid depth 0 in 01 System presoaked Absorption rate 450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) Gallons introduced 500 gallons If yes, enter date na Comments/Deficiencies: Home was vacant for less than 30 days prior to test. Pre-soaked w/ - 500 gallons before testing. COSA Checklist yellow sheet 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' Q Yes if No Community Sewer Manhole/Cleanout > 100' ✓❑ Yes if No ft ®Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' ❑✓ Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100' M Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑✓ Yes if No ft ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' [Z] 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 ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 1✓ Yes if No ft Private Wells > 100'✓Q Yes if No. Water Main > 10'✓❑ Yes if No ft Community Wells > 200'✓0 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' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 6 ft Wells on Adjacent Lots: Water Main > 10'✓❑ Yes if No ft Private Wells > 100' [✓ Yes if No Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' Q Yes if No Surface Water > 100'✓❑ Yes if No ft F. ENGINEER'S COMMENTS Existing septic tank is nearing the end of its useful life. Tank levels were not indicative of leakage and no signs of compromised integrity were observed. G. ENGINEER'S CERTIFICATION l certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 5/15/20 COSA Checklist yellow sheet c OF A/,,4 49 TH •. �� • CHARLES G BALZARKI • . � ' • CE -13854 .• �`� PROFESSION ft M ft ft AqR1111 T I HEREBY CERTIFY -THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO ENCROACHMENTS 15IST SCEP? -AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION'PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CON!MUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. Dzv'Jitw Of A7_z)tJU-1JA11&b 1.4UND bUxvtx1A6 694-0829 SCALE: Al. DATE. GRID: Duane Mark Sawa -d FS: Ls' - 59" DRAWN: DEVELOPMENT SERVICES DEPARTMENT On -Site Water and Wastewater Section www.muni.org/onsite Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC201208 Subdivision: Eagle River Heights Blk 2 Lot 13 907-343-7904 Fax: 343-7997 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 28 years old. Typical replacement costs range from $8,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. ' � MaiUng Address P � Box 196650 * AncCtorage, Alaska 99519 6650 *www muni org "