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EAGLE RIVER HEIGHTS BLK 2 LT 35
Engle River Heights Block 2 Lot 35 #050-282-02 August ~, 197.~ File 14o.t 4-1 Louis J. or Merie P.O. 13ox 462 F.~le lliver, Alaska 995?? Dear Mr. or Mrs. Zlb: It has been brought to our attention that public sewer is available to I D~t 35, alack 2, £allle River lleights Subdivision. According to Greater Anchorage Area Borough Ordinance, Chapter Article 16.45, 8action 16.45.050: 'Septic tank-seepage system sewalt'e disposal f.~ctlities sh~ll not bo Installed or ~s~d on ~y premi~$ where snnlta~ ~rs n~ avallabl~ wi~ln sovon~ (~0) fcwt of the ne~ust lot l~u of s~d pre~s ...". The O~ater Anc~a~e Area ~orough ~blle T~orks Dop~tm~nt has check~ il~eir r~rds ~ ~0y in.cate ~nt your st~u~ (s) i9 not eo~cd to thc s~lt~ ~war. l~'ould y~ plebe cheek your ~co~s ia ve~fy ~nt tho minute(s) is or is not ~nne~ nnd notify u~ immudiMely if y~r re~rds indieMe lhat ~ ~n~on has been made. If we do not hear from you witldn seven (7) days, we will assume that our records are correct. ~'e, tharefore, request you connect say and all structures located on the subject property to public sewer by lqeptember 6, 1975. You must apply for n connection perrait fro~ th~ l~rmlt officer for th~ Oreat~r Anc~roge A~ Do~ugh, {M0 Elt~ Tudor R~d. If you have nny questions ~ ~ n~vo. plea~ do ~t hesitate to ~t~ct the permit o~cer at ~9-8686, ext~si~ ~59, or the Department ~ Envlr~mental Quall~ at ~4-4MI. extensl~ .141. Sincerely, Lynn S. Coati Senior Sanita ri0.n LSC/Iw Parcel I.D. 050-282-02 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 —� s. Certificate of On -Site Systems Approval 1. GENERAL INFORMATION r e✓ Expiration Date: /c - �' �� J.a Complete legal description Eagle River Heights S/D; Block 2, Lot 35 Location (site address) 10121 Caribou Street, Anchorage, AK, 99577 Current Property owner(s) L&E Enterprises Day phone 250-0906 Mailing address 9310 Emerald Street, Anchorage, AK, 99502 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 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Fx1 Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer 0 WaiverNariance request for: Distance: Received by: 222. %, ^vale: 7 s COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Jam_ �IG — Waiver Fee $ Date of Payment 619/'is rk 3 153 Date of Payment Receipt Number 4 ;1� 3 Receipt Number COSA # OfZk 513 kf 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 Ui LIA �1 Lyl ) lee V-11" '( i� t� Phone Z_T ����� Address ���1 . /�rllcl6ii;( <�� r�Ctukj-e-r Engineer's Printed Name L1Gr J ��1t1 7,e Date I i 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for z EOFA44;�j . �r y Mary✓L. Shreves g'e't bedrooms, with the following stipulations By: f/ �i"Td, 7a"�� Orioinal Certificate Date: The-unici ahtgf "rage 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 engineers work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory XS Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f . .. If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Eagle River Heights; 132, L35 Parcel ID: 050-282-02 A. WELL DATA *Per Sullivan Water Wells inspection. See attached. Well type Private If A, B, or C provide PWSID # N/A Well Log (Y/N) N Date completed pre -1972 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth *40+ ft. Cased to *40+ ft. Casing height (above ground) 12+ in. Date of test FROM WELL LOG unknown Static water level unknown ft Well production unknown 9 -P.M. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate 6.48 mg/L Arsenic ND ug/L Date of sample: 6/12/2015 B. SEPTIC/HOLDING TANK DATA Tank Type/Material - Tank size - gal. Number of Compartments - Foundation cleanout (Y/N) Date of pumping - Depression over tank (Y/N) Pumper - AT INSPECTION 6/18/2015 65.2 ft. 6.72+ tim Collected by: Andrew Gray Date installed - Cleanouts (Y/N) High water alarm (Y/N) C. ABSORPTION FIELD DATA PUBLIC SEWER Date installed - Soil rating (g.p.d./ft2 or ft2/bdrm) - System type - Length - ft. Width - ft. Gravel below pipe - ft. Total depth - ft. Eff. absorption area - ft Monitoring tube Depression over field = Date of adequacy test - Results (Pass/Fail) - For - bedrooms Fluid depth in absorption field before test - in. Water added - gal. New depth - in. Elapsed Time: - min. Final fluid depth - in. Absorption rate >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) - If yes, give date D. LIFT STATION Date installed "Pump on" level at - in. Datum - E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons - "Pump off' level at Cycles tested Septic tank/lift station on lot N/A Absorption field on lot N/A Public sewer main **50'+ Sewer /septic service line 25'+ Animal containment areas 50'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation - Property line Water main - Water service line Wells on adjacent lots - ABSORPTION FIELD ON LOT TO: Property line - Building foundation = Water Service line - Surface water - Curtain drain - Wells on adjacent lots = Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? _ On adjacent lots N/A On adjacent lots N/A Public sewer manhole/cleanout **501+ Holding tank N/A Manure/animal excrete storage areas 100'+ Absorption field= Surface water - Water main - Driveway, parking/vehicle storage _ F. COMMENTS **Drilled prior to 1972. Acceptable per code at time. 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 ftr N Date i/ wk� COSA brown sheet 10-10-12.doc X9 Al Mar . Shreves - tJV PkCFES510`�2���� fttlt5; in. LOT 37 F�% o N II U "n rn � M FENCE (TYP ) co E- O a 2't 4't � POWER POLE UTILITY PED (TYP.)— C) 1711 RECOVERED 2" AL–CAP LOT 36 N00'02'00"E 82.50'(R&C) LOT 35 10,742 S.F. ASPHALT DWELLING LEGEND: (C)=CALCULATED DATA (M)=MEASURED DATA (R)=RECORD DATA PER PLAT ohu=OVERHEAD UTILITIES U.G.=UNDERGROUND ELEC.=ELECTRIC TELE.=TELECOMMUNICATION NAT.=NATURAL PED=PEDESTAL FND.=FOUNDATION (TYP.)=TYPICAL DECK 13't Nvu uc vv M 0Z.ov kma u) i i I CARIBOU ST. q r7 wl M =i I 66' ROAD AND UTILITY EASEMENT BASIS OF BEARING N00'02'00"E 858.00'(R)857.66'(C) E- O a RECOVERED 5/8" REBAR 1. EXCEPTING FOR GROSS NEGLIGENCE, THE LIABILITY FOR THIS SURVEY SHALL NOT EXCEED THE COST OF PREPARING THIS SURVEY. 2. THIS SURVEY REPRESENTS VISIBLE IMPROVEMENTS & CONDITIONS ON THE DATE OF SURVEY. 3. THIS DOCUMENT DOES NOT CONSTITUTE A BOUNDARY SURVEY & IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. 4. THIS SURVEY SUBSTANTIALLY COMPLIES WITH ASPLS MORTGAGE STANDARDS. 5. TIES TO PARTIALLY MONUMENTED OR UNMONUMENTED PROPERTY LINES ARE ±1 FT. 6. THIS SURVEY PERFORMED FOR L&E ENTERPRISES LLC, IT SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. REUSE OF THIS DRAWING FOR ANY PURPOSE NOT STATED ABOVE WITHOUT THE EXPRESS WRITTEN CONSENT OF ALASKA RIM ENGINEERING, INC. IS A VIOLATION OF FEDERAL COPYRIGHT LAW. 7. THIS LOT SERVED BY A COMMUNITY SEWER SYSTEM. EXCLUSION NOTE: 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. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. -� I JG ALASKA RIM ENGINEERING INC *.,1.9TH*........ p. ............... ... Ibert J. Former 10615–S SJ �EESSIUNPC \"PaC AS—BUI I HEREBY CERTIFY UNDER MY DIRECT 9131 E. FRONTAGE RD. PALMER, ALASKA 99645 PH: (907)745-0222 : FAX: (907)746-0222 EMAIL: akrim®alaskarim.com : WEB: www-alaskarim.com W0: 1500469 FB: 15-08 PAGE: 1 of 1 GRID: NW0053 g SCALE: 1" = 20' 1 FILE: 1500469AS ECORDING rd OF JUNE NGE INSPECTION WAS PERFORMED LLOWING DESCRIBED PROPERTY: I, BLOCK 2, LOT 35, PLAT No. DISTRICT, ANCHORAGE, ALASKA. 2015. ©2015 BILL & COLE OC CO dba *70"P.O. Box 670269, 9 ULLIVAN WATER WELLS TO: Alaska Rim c/o Andrew Mike L & E andrewgray@alaskarim.com mmandez@gci.net TERMS: 1 % % interest per month on unpaid balance PHONE Mike -250-0906 DATE OF ORDER 6-19-15 ORDER TAKEN BY CUSTOMER ORDER NO. ❑DAY WORK ❑ CONTRACT ❑ EXTRA JOB NAME/NUMBER JOB LOCATION 10121 Caribou St JOB PHONE STARTING DATE 6-24-15 CITY. DESCRIPTION OF WORK PRICE AMOUNT Camera Well Static: 66' Camera down to 50', no breaks or perforations found Extend well casing to 20" above grade, seal annular space with casing seal, cap and conduit, test for function. 1 Camera Well 1 Cap, Conduit, and Casing Extension 1 Bentonite Seal Thank you, Bill & Cole Sullivan Service Tech: Terry DATE COMPLETED: 6-24-15 WORK ORDERED BY: m0ly-W:m Municipality of Anchorage �p�E 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 # 151319 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 35 of Eagle River Heights subdivision. This inspection revealed a nitrate concentration of 6.48 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.