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HomeMy WebLinkAboutEAGLEBROOK BLK 3 LT 1Onsite File Eaglebrook Block 3 Lot 1 #017-121-13 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: SW980418 PID Number: 017-121-13 Dwelling: /❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑■ New ❑ Upgrade Name Pg ERIC BRUDIE & MARGARET SIMONIAN ABSORPTION FIELD Site Address 14801 NORTHFIELD DR ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑i Mound Phone ❑ Other ����N�u�mberBedrooms Soil Rating Total depth from original grade 0.8 GPD/SF 0.5 LEGAL DESCRIPTION Depth to pipe invert from original grade . Gravel depth beneath pipe Ft Subdivision Block Lot 0 EAGLEBROOK, BLK 3, LOT 1 Ft. 0.5 Fc Townshi Fill added above original grade Gravel length P Range Section 2 Ft. 48 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 20 Ft. 4 5 To Ft. Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches FtZ From Tank Field Lift Station Tank Line 960 Ft. Well *90'+ 100'+ 1 50++ TANK I -]Septic 9 S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ 100'+ Gal. Lot Line 101+ 101+ NA of Material Number compartments 7FoundationLIFT10'+ 5'+ STATION Manufacturer Capacity Remarks k WAIVER REQUESTED TO NEIGHBORS FIELD ANCH TANK 2000 Gal. MOUNTAIN AIR EST. BLK 3, LOT 4A Alarm Iocation Electrical installed by GARAGE UN Installer PIPE MATERIAL House to tank 3034 drainfield Tank to MIKE N ANDERSON, P.E. 3034 Drainfield 3034 CD/MT 3034. Inspector MIKE N ANDERSON, P.E. BENCH MARK (Assumed elevation) 102.8 ft Inspection ,Is, 4�3�99 4�3�99 Location and descri tion dates: 2'° P 3`d 4'h Top of STEP Lid ON-SITE WATER AND WASTEWATER SECTION APPROVAL �. :onditional Approval: OF 41 •' ' Date .•� • ^ . .�. `� .• •`':.: moi.• • =__. . .� �^T" • X.lCliAEl N_ A; :S Septic Systeme=-t• �w , p CE t9 Approv d Date )'c--2-3 —t;'•_.122I ,:° ' ` '' Note: this approval does not in well permit requirements,�a •• :v 05/02/1 8) Permit No. SW000343 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: EAGLEBROOK BLK 3, LOT 1 PID No.: 017-121-13 MARK A B c D/E FCO \ 11/15 TC01 \ 15/18 TCO2 \ 22/25 125/29 MH MT1 2 60 MT2 1� MT365 MT4 53 RESER — — MT1 1 40 30 MT2 I 25 17 MT342 I 51 MT4 30 43 I / NEW 2000 GALLON STEP TANK ® i BENCH, ICONCRIITE MH / TCO2 _ —{ TC01 S ONDYAF f FIELD �\_4 �Ile I I \\ THAh B 14' I WILL I I 1 I I 90' W REQUESTED TO MOU N AIR ESTATES BLK 3, LOT 4A TIC TRENCH ASBUI,LI \\ SCALE: 1"=50' ®®*%"IL ®®tp®® 001 CO2 005 004 ®®�� O T3/.F ��°oo® MT,/ MP •••.; :IS TC01 TCO2 MN .� ® 49TH®®® FILTER FABRIC @ INSIMTIONdam my= MIM 0.0 .•uuu suu wcc -1.0 OR 2.000 W 'P •••••• u•n . • .. STEEL STGALLON EP TANK B '.MICHAEL N. ANDERSON: m 95 SP ®I.�n':_ No. CE 9469 Ar 90 Lj U .........•- WATER 0 90, 70/75/98 ®°®® "" Inunicipanty Of Ancnorage� Department of Health and Human Services o 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Rick Mystrom httplAmmdanchorage.ak.us Mayor Permit Number: #SW 980418 Date of Issue: 10-26-98 Parcel Identification Number: 017-121-13 Date Started: 4-8-99 Date Completed: 4-8-99 Is well located at approved permit location? N Yes ❑ No Legal Description: Eaglebrook Lot 1 Blk 3 Property Owner Name & Address: Bradly Dale Burnett P.O. Box 1563 Anchorage, Ak 99510-1563 Borehole Data: Soil Type, Thickness & Water Strata Depth (ft) From To Method of Drilling N air rotary ❑ cable tool Casing type: steel Stick-up 0 2 Wall Thickness: .250 inches . organic 2 4 Diameter: 6 inches Depth: 101 feet gravelly silt 4 13 Liner Type: silty gravel silt Silty gravel gravelly silt wet 13 25 49 78 25 49 78 92 Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 28 feet pumping level: 100 feet after 2 hours pumping 60 gpm water sand & gravel 92 101 Recovery Rate: 60 gpm Method of Testing: airlift Well Intake Opening Type: ® Open End ❑ Open Hole ❑ Screened Start feet Stopped feet ❑ Perforations Start feet Stopped feet Grout Type: bentonite # 8 Volume: "ba Depth: Start 0 feet Stopped ? feet Pump: Intake Depth x feet Pump size hp Brand Name Well Disinfected Upon Completion? N Yes ❑ No Method of Disinfection: Comments: Well Driller: Alpine Drilling & Enterprises P.O. Box 110496 Anchorage, Ak 99511 AK Zip Abteutkw.- T4ier aua,cdUa -rhatl •pr-o�a */--U.4og to the -property oar withia N clays of completion --anti the property numar nr tha tuall rlrilior chall nrnvirla a un -ll lnrr to the npnt of l4palth gr unman 60 riave of nmmnlatinn MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Aug 30, 2000 Expiration Date: Aug 30, 2001 Permit Number: SW000343 Parcel ID: 017-121-13 Legal Description: EAGLEBROOK BLK 3 LT 1 Design Engineer: 0088 Anderson Construction & Eng'g Site Address: 014801 NORTHFIELD DR Owner Name: Bradley Dale Burnett Lot Size: 54511 SQ. FT. Owner Address: PO Box 1563 Total Bedrooms: 5 Permit Bedrooms: 5 Anchorage , AK 99510-1563 This permit is for the construction of: F Disposal Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: Date: -6-30-0,0- MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 a e cn Lam] 1 L -CA -11 L1 cmc C ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW980418 Legal Description: EAGLEBROOK BLK 3 LT 1 Date Issued: Oct 26, 1998 Expiration Date: Oct 26, 1999 Parcel ID: 017-121-13 Design Engineer: 0088 Anderson Construction & Eng'g Site Address: Owner Name: Bradley Dale Burnett Lot Size: 54511 SQ. FT. Owner Address: PO Box 1563 Total Bedrooms: 5 Permit Bedrooms: 5 Anchorage , AK 99510-1563 This permit is for the construction of: ❑✓ Disposal Field ✓❑ Septic Tank ❑ Holding Tank ❑ Privy✓❑ Private Well ❑ 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By 17, , � ", / 1W, , C, Date: Z 4� Date: 0 Z_ MICHAEL N. ANDERSON, P.E. 14250 N. Goldenview Drive Anchorage, Alaska 99516 (907) 345-3377/FAX 345-1391 October 14, 1998 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot 1, Block 3, Eaglebrook Subd. Gentlemen: Attached are soil logs and the proposed design for new construction on the above lot. The soil logs show that there is a layer of material suitable for disposal, however, there is also water monitored at 6' below ground surface. As a result I have designed a pressurized bed system which will be installed just below the organics at a maximum depth of 0.5'. We have identified two features near this lot which impact the design. There is a drilled well which is sited on the property to the northwest. This well was originally planned as part of a community water system for Equestrian Heights Subdivision and it is my understanding that testing was done on it. The well is not totally sealed and apparently does not have a pump in it, however we are treating it : as a Class "A" well for purpose of our design. In addition, there is standing water in the ditch to the west side of Northfield; we have designed this system to allow for a 100' setback to this water. There is no water on the east side of the road, nor is there surface water anywhere else within 100' of the system. The lot slopes very gently from east to west and flattens out in the area just east of the proposed system. The proposed dwelling is a 5 bedroom ranch style house with a full basement and a lift station is necessary. I have increased the width of the bed to 20' inasmuch as we are pressurizing the bed, and ask for a waiver of width to allow for this configuration. The reserve area has been sited outside the 200' well radius. This development should have no adverse impacts on adjacent lots now or in the future. Please contact me if you have any additional questions regarding this application. Sincerely, AVAI 41"'Vt� Michael N. Anderson, P. E. CLASS "A" WELL (NOT USE) 0 WELL 0 LOT 1/1 L❑T2/1 DITCHLINE WITH STANDING WATER IT ,or4 H; / MI EL ANDERSON eE-9r9 Wa TEWATER DISPOSAL SYSTEM LOT BLOCK 3, EAGLEBR❑❑K S/D I VACANT FERNW❑❑D AVENUE UTILITY EASEMENT -------FLAT FLAT 0%2% I W SERVE MT MTREA I T A#2 TH #1 22`i I L7 Ir rlr) FLAT SDDRM I F) 99 N I W I I I I FLAT PROPOSED WELL VACANT LOT 2/3 N❑ WELLS WITHIN 200' OF PROPOSED SYSTEM. NO SEWER SYSTEMS WITHIN 100' OF PROPOSED WELL. DESIGN DETAILS: 1. 5 BDRM X 150 GPD/BD = 750 GPD 2. 750 GPD/0.8GPD PER SQ. FT. = 938 SQ, FT, ABS❑RTI❑N NEEDED. 3. 938 SO. FT/20 FT WIDTH = 48 FT LENGTH. 4. USE 2,000 GALLON S.T.E.P TANK. 5. INSULATE TANK IF <4' COVER; INSULATE BED. 6. TOTAL DEPTH OF SYSTEM IS 0.5 FEET, 7. MOUND OVER BED FOR MIN. COVER OF 2 FEET, 8. SEED TOP AND SIDES OF MOUND AFTER FINAL GRADING. PREPARED FOR: MICHAEL N. ANDERSON, P.E. ART SIMONI❑N 14250 G❑LDENVIEW DRIVE XXXX NORTHFIELD DRIVE ANCHORAGE, ALASKA 99516 ANCHORAGE, ALASKA 99516 DATE: 10/12/98 SCALE I' = 100' DRAWING S-1 PRESSURE DISTRIBUTION SYSTEM LOT 1, BLOCK 3, EAGLEBR❑❑K S/D MONITORING TUBE 24' MIN. 2" INSULATION FILTER 0000 6" GRAN -EL �O 0000��00 06,006' GRAVEL OOO O2 I O C) n 0 n o f -2.5'� i-- 5' MONITORING TUBE TUBE �40 ` V \/ SLOPE 3.1 MAX. - < �\'7q4 PRESSURE PIPE PRESSURE DISTRIBUTION DETAILS: ORIGINAL GRADE 1. USE 2,000 GALLON S.T.E.P, TANK MANUFACTURED BY ANCHORAGE TANK & WELDING. 2. BED IS 48' X 20'. 3, EACH LATERAL IS 42' LONG, USING 1 1/4" PVC PIPING. DISTANCE BETWEEN LATERALS IS 5' D.C. AND SEPARATI❑N TO SIDEWALLS IS 2.5'. 4. MANIF❑LD IS TO BE 15' LONG, USING 2" PVC PIPING. 5. DOSE PER CYCLE IS 125 GALL❑NS, 6. HOLE SPACING: USING 1/4" HOLES, 125 GALLONS/2,51 GALLONS PER HOLE = 50 HOLES. 172' LATERAL LENGTH/50 HOLES = 3.4' BETWEEN H❑LES, OF AL ,Of*k 49 TH r MC A N. A DERSON E-9 69 d SS10 Aw ART SIMONI❑N XXXX NORTHFIELD DRIVE ANCHORAGE, ALASKA 99516 MICHAEL N. ANDERSON, P.E. 14250 G❑LDENVIEW DRIVE ANCHORAGE, ALASKA 99516 DATE: 10/12/98�J DRAWING S-2 N.T.S. Iwo 7 + ce•9TI Municipality of Anchorage ® DEPARTMENT OF HEALTH & HUMAN SERVICES • ° ° ° • • ° ° ° ° ° ° ° ° a 825 "L" Street, Anchorage, Alaska 99502-0650'A °° ° ° ° ° ....... ° SOILS LOG -PERCOLATION TEST CE _ 9--9 -16 3 l�vt e h /� I� 5 C; 10 . /v PERFORMED FOR: t,9 r, t a t-, DATE PERFORMED �ti c9 31 •( FjF LEGAL DESCRIPTION: LL �'aSI G1�✓e�cti, SK `� p, Township, Range, Section: DEPTH 4p\c!a„ 1 1 P'c 2 3 41 I 14%\5 f- ® l„ 4-�r a� 6 7 E 9 SLOPE WAS GROUND WATER ENCOUNTERED? C S 11 S IF YES, AT WHAT / L O DEPTH? iy P 12 E Depth to Water Atter 13 Monitoring? Date: /S 90 14 15 16 17 18 19 SITE PLAN 0 ■■■■■■■R■■ ® MESMERISM NONNI MENEM ■IMP■I 0IN■IM■ ®! !EQINa00 wwwMENIME ■■■■■■■■■■ ■■■■■■■■ME1 ■■■■■■E■■■ ■■■■■■■■■■ ■■■■■■■■■■ GrOSSTime �� .. 20 -{ PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER U TEST RUN BETWEEN t�Z FT AND j FT --OMMENTS N -t c PERFORMED BY: 4"?It r oc 21 %� �Nt ?-(-era CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) Municipality of Anchorage �� � � '4 9 TT €-1 ��Y� ° ; *7 ® DEPARTMENT OF HEALTH & HUMAN SERVICES ° ° ♦ a ' ° ° ° °' 825 "L" Street, Anchorage, Alaska 99502-0650_ ........... 'MICHAEL N. ANDERSON SOILS LOG — PERC04ATION TEST �� ��•` n {s q5Y PERFORMED FOR: �r rr 0 r�� a h DATE PERFORMED: LEGAL DESCRIPTION: Township, Range, Section: DEPTH `_ / SLOPE SITE PLAN 2 (0 %_9 N 3 GeravC�. 4 ,a 5 l.Z 6- 7 8 9 10j e,eo, o 4 14,j 11 12 13 14 15 16 17 18 19 rt WAS GROUNDWATER ENCOUNTERED? S IF YES, AT WHAT L O DEPTH? P E Oepth to Water After Monitoring? Gate: �v �� A d 20 ! il_!I PERCOLATION RATE G 1 (minutes/inch) PERC HOLE DIAMETER & .nn TEST RUN BETWEEN ++ FT AND FT COMMENTS C ALs � I(� a t 4 P 91= �— 1z' h 1/" . PERFORMED BY: MI e. Arl k,r"or\ I 20 fir° r r CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: /dam/g g 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE Development Services Department -T Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-121-13 Legal description EAGLEBROOK BLK 3 LT 1 Site address 14801 NORTHFIELD DR Expiration Date: 4/11/25 Current property owner(s) YOUNG HUNTER J & EMILY K XThe On-site system(s) is/are approved for 5 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: By: Original Certificate Date: 4/29/24 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 X Arsenic Advisory Other COSA Approval—June 2022 MUNICIPALITY OF ANCHORAGE o.�7( , -1--e Development Services Department rT Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 tjCertificate of On-Site Systems Approval Application a 1. GENERAL INFORMATION Parcel I.D. 017-121-13 Complete legal description Eaglebrook Block 3 Lot 1 Location (site address) 14801 Northfield Drive Current property owner(s) Hunter J. & Emily K Young Day phone 2. ON-SITE SYSTEMS SIZED FOR 5 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 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: X Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 25 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS X Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: 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 $ J Waiver Fee $ Date of Payment COSA # 0 S C- Z V (( Z J Date of Payment Waiver # COSA Application June 2022 COSA Checklist Legal Description: Eaglebrook Block 3 Lot 1 Parcel ID: 017-121-13 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA N Well log is filed with Onsite (or attached) Date drilled 04/08/99 Total depth 101 ft Cased to 101 ft X Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 24 in. Date of flow test for COSA 04/11/2024 Static water level at beginning of test 24.5 ft. Comments B. TANK DATA Measured operating fluid level in septic tank ** Date of pumping AL'' 4 9 // el /2- -f O�W'e', ❑ Required maintenance completed, if AWWTS P155 Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 04/03/1999 ❑■ ALL standpipes present per record drawing Total measured depth from grade ***4.8 ft (max) Measured depth to pipe invert from grade 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 ❑ 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) no If yes, enter date Well production at time of test 6.79 gpm Water storage tank volume none gallons Well disinfected for coliform test? ❑ Yes 0 No ❑K Coliform bacteria is Negative Nitrate mg/L Q Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by PES Date 04/11/2024 C. LIFT STATION X Required maintenance completed Age of lift station 25 years Lift station material Steel Comments: **Pre-set levels for pump (Steel STEP) Adequacy test date 04/12/2024 Results Q Pass Fluid depth prior to test 0 in Water added 750 gal New fluid depth 8* in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 750 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 6 in Effective depth used 0 in Effective depth remaining 6 in Comments/Deficiencies: Depicted rise in monitor tube due to hydraulic loading. Water rise remained stagnant for duration of test and receded following. Measured depth of monitor tubes in field, monitor tubes added and replaced 4/26/24 (all extended to bottom of effective). See new As -Built. COSA Checklist June 2022 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' Mo Yes if No ft ME Yes if No ft Neighboring Tank > 100' M Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' Fw_1 Yes if No ft Holding Tank > 100' Q Yes if No ft Neighboring Absorption Fields > 100'* Animal Containment > 50' ❑ Yes if No 90 ft n 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' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' 0 Yes if No ft Private Wells > 100' Q Yes if No ft Water Main > 10' Yes if No ft Community Wells > 200' R Yes if No ft Water Service Line > 10' Q Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *Existing 90' waiver on file for separation to Mountain Air Estates B3 L4A Absorption Field. **Tank installed under 1995 Code (04/12/24 - North Field (Primary Field) Tested for COSA) 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 Finn Pannone Engineering Services Engineer's Printed Name Steven R Pannone P.E. COSA Checklist June 2022 Phone 907-745-8200 F. ASCE Date 04/27/24 Septic 'Tank Advisory Certificate of On -Site Systems Approval # OSC241120 Subdivision: Eaglebrook Block:3, Lot: 1 The septic tank for this property is 25 years old. The average life of an asphalt coated steel septic tank is 20 years. Typical replacement costs are $10,000 or more, not including engineering, surveying or MOA permitting fees. 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 30 year old steel tank MAY look like. _.n £ ` }} � }�1111ailmg Address P� O Box X96650 *Anchorage, Alaska 99519 6650 * vuww muni org 30' «_i TRACT A PLAT #87-14 O Fie RN V' C<' O O D AVE E m (S 89.59'56" E 250.86') m E E E E 15' TELEPHONE & CEA ESMT. E E E E E E E E E E PP � E - -- -- 0 91 • LOT 1H BLOCK 3 PLAY' x78-158 co co 13.0' q co CANTILEVER v I � M 0 1 n I I I I I I I I w � z �o 0 o m 41D z 11.3' z D -� I � FENCE c 24.3' I � 13.8' K K: of 2 STORY M PAD MOUNT TRANSFORMER o SIDENCE N co 00 13.8' STEP TANK LID ® WELL mI I 0 CONCRETE D _ Z N O � p CD O 0 r N C o 0 0 30' «_i TRACT A PLAT #87-14 O Fie RN V' C<' O O D AVE E m (S 89.59'56" E 250.86') m E E E E 15' TELEPHONE & CEA ESMT. E E E E E E E E E E PP � E - -- -- 0 91 • LOT 1H BLOCK 3 PLAY' x78-158 co co 13.0' q co CANTILEVER v I � M 0 1 n I I I I I I I I w � z �o 0 o m 41D z 11.3' z D -� o zi 0 C FENCE c 24.3' m FIT -pp 13.8' K K: (A ytr 2 STORY M PAD MOUNT TRANSFORMER o SIDENCE N co 00 13.8' STEP TANK LID ® 0 0f�[r V1,'11 24.3' co CANTILEVER co co co 51.2' a i SLP � a � E 27 3.37' ) (N 82° 11' 59\ AGREEMENT ME- 2_ ACCESS 22-00167E AS DOC. 20 LOT 2 BLOCK 3 PLAT #78-158 24.3' - - 61.2' 100' WELL RADIUS Fm I 1 r0 O moa co � CD co a ry ASPLS MORTGAGE LOCATION SURVEY NOTES: NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. LEGEND ( ) RECORD DATA PER PLAT #78-158 -� EDGE OF ASPHALT FENCE E E OVERHEAD UTILITIES -pp POWER POLE *LP LIGHT POLE ® PAD MOUNT TRANSFORMER 0 UTILITY PEDESTAL co SEPTIC PIPE STEP TANK LID ® WELL DECK 0 CONCRETE NOTE: EXISTING LOT MONUMENTS FOUND HAVE BEEN DISTURBED. OFFSET DIMENSIONS SHOWN HEREON ARE +/-1.0 FEET. *.-149TH •• SCALE: V= 30 FEET % , , . . (11"x17") � .��%�":"..�l•. ;�(�j���� J •,Ryan G. Johnson; r�+,••No. 192159 ,•� 4/29/202•4.'S�AW AS -BUILT OF: Eha-velc-qpment , Yn-S ite Wate}` Vllan s t e w a'i e S H_ c i i rRIM-M WIM11 Septiclank: -Sludge level Lift s-tatiow *Operation sati-- Ala Dedicated ele6, owe -Manhole Other 6=mf IL410 I �11 I IM �wr� nor! NMEM z=_ nctional ALITY fOF ANCHORA ' WE aintenance Log Street Address ::j;!j 1 11, 6. required yes fio) -Pumping completed (��no *Effluent filter cleaned 9 no -Proper float settings confirmed §1 Insulated Weep hole functional and maintenance completed Ce -s :� rrt Q'6me- 0 94_Q— AAZC S -A 9:7 nature film IF, Date of maintenance 4-j&-jj MUNICIPALITY OF ANCHORAGE Development Services Department \, _ Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 017-121-13 1. GENERAL INFORMATION Expiration Date: `, —,�Z � - Z -o ZZ Complete legal description EAGLEBROOK BLK 3 LT 1 Location (site address) 14801 NORTHFIELD DR, ANCH AK Current property owner(s) MARGARET SIMONIAN & ERIC BRUDIE Day phone Mailing address SAME 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: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well 0 Private Septic El Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: WELL TO NEIGHBORS V� E Lb Distance: 901 Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Jr- ,5 Waiver Fee $ 11 Date of Payment 121/0 a0) 1 Date of Payment 12//0/,? -Oz Receipt Number N0q'1 5 Receipt Number 0 1 dq 7 5 COSA # 05 C 2 11 r70 R Waiver # o sv a 11 09 S. 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm MIKE N ANDERSON, P.E. Phone 727-$$64 Address 4661 NATRONA AVE ANCH AK Engineer's Printed Name MIKE N ANDERSON, P.E. 6. DSD SIGNATURE System #1 Approved for 4 bedrooms In System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, Date 12-9-21 4 9- (s r" MICH/fiR N. ANbERS0:J , ,tit'• CE -94 9 ti�~Lys • •a •:� nr IL with the following stipulatvi;bih'���` � Gp `o ty _. n c o RI 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 r Legal Description: EAGLEBROOK BLK 3 LT 1 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 4(8/99 Total depth 101 ft Cased to 101 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 22 in. Date of flow test for COSA 10114!21 Static water level at beginning of test 30 ft. Comments B. TANK DATA Age of tank(s) 22 years Tank type/material step/steel Measured operating fluid level in septic tank ** ❑ Standpipes/foundation cleanout per record drawing Date of pumping 10/14/21 D. ABSORPTION FIELD DATA Which system tested (date installed) 413199 ❑ ALL standpipes present per record drawing Total measured depth from grade 2.5-3 ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A —pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 0 gallons Comments/Deficiencies: COSA Checklist yellow sheet 1 Parcel ID: 017-121-13 Structure served by this system Well production at time of test 5+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by MNA Date of Sample 10114'21 C. LIFT STATION ❑ Required maintenance completed Age of lift station 22 years Lift station material steel Comments: *** pre-set levels for pump Adequacy test date 10114121 Results ❑✓ Pass For 5 bedrooms Fluid depth prior to test 4 in Water added 750+ gal New depth 5 in Elapsed time 1440 min Final fluid depth 4 in Absorption rate 750+ gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' ❑ Yes if No >5 Community Sewer Manhole/Cleanout > 100' Q✓ Yes if No ft M Yes if No ft Neighboring Tank > 100' R� Yes if No ft Private Sewer/Septic Line > 25' F,71 Yes if No ft Absorption Field on Lot > 100' Cj✓ Yes if No ft Holding Tank > 100' []✓ Yes if No ft Neighboring Absorption Fields > 100' *90 ft Animal Containment > 50' M Yes if No ft ❑ Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' Q Yes if No ft ✓C7 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No >5 ft Surface Water > 100' P Yes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' Q Yes _ if No ft Community Wells > 200' [✓ Yes if No ft Water Service Line > 10' Q✓ 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 ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100` Yes if No ft Water Service Line > 10'�j✓ Yes if No ft Community Wells > 200' [}✓ Yes if No ft Surface Water? 100' Q Yes if No _ ft F. ENGINEER'S COMMENTS * 90' waiver requested G. ENGINEER'S CERTIFICATION l 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 I/ Y �....e. f+s.......... #� ^•� MJCHAEL N. ANDERSON ?J ��,•,• CE -44 4 ' Septic Tank Advisory Certificate of On -Site Systems Approval #OSC 211708 Subdivision: Eaglebrook Blk 3 lot 1 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $5,000 to $12,000 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. Ma�l�ng Address P O Box 196650 Anchorage, Alaska 99519 6650 *www muni org MUNICIPALITY a Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault f Maintenance Log Owner ftl O. C Ct Street Address o Septic Tank: -Sludge level JQ�' inches -Pumping: required yes no -Pumping completed ygso Lift station: -Pump basket cleaned s no -Effluent filter cleanedes no -Control floats cleaned es no -Proper float settings confirmed es no -Operation satisfactory es no Alarm System: -Dedicated electrical alarm circuit e no -Audible and visual alarm inside dwelling (jjL no -Alarm system operation satisfacto not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection Les no -Ground water intrusion around pipe penetrations no -Weep hole functional es no -Manhole lid: Functional es no Insulated 6eM no Properly Secured es no Other -All manufacturer required inspections and maintenance completed es no Comments Qualified Maintenance Provider: Technician,�`rt/ Company 5 eryLea Signature Date of maintenanceAk& v Date o ibe Lj I unicipa. P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904.0 Fax (907) 343-7997 http://www.munLorq/Onsite Development Services Department On -Site Water and Wastewater Section Waiver#: OSV211096 COSA#:OSC211708 Permit#: PID#: 017-121-13 Legal Description: Eaglebrook Block 3 Lot 1 Engineer: Mike N. Anderson Applicant: Margaret Simonian & Eric Brudie n�enr S VeparCment Your request for a waiver of the required 100 feet horizontal separation from the private well on this lot to the absorption field on Mountain Air Estates Block 3 Lot 4A has been approved. The approved separation distance is 90.0 feet. See engineer's waiver request for justifications. This waiver approval applies to the existing well and absorption field only. Any fixture upgrade to the on-site systems will require all separation distances be met or another approval from this department. mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm1 Waiver is Granted: X Waiver is not Granted: Date: %2 a 3 Lao;. i Approved by: _ Name of Reviewer mmmmmmmmmmmmmmmmmmmmmammmmmmmmmmmmmmmmmsmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm� J't Dec. 12, 2021 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 Re: 90' WELL TO FIELD WAIVER REQUEST Legal: EAGLEBROOK BLK 3 LT 1 To Whom it may concern: This is a request for a 90 foot well waiver to the neighbor's septic field (Mountain Air Estates Blk 3, lot 4A), see the attached septic asbuilt. The water was tested and found to be very clean with no measurable nitrite or Arsenic levels, see attached lab test results. No well log was found but the well is 120 feet deep with a static water level of 30 feet. Both the well and neighbors septic have been working well for the past 22 years with no contamination issues. The granting of this waiver will not impact or harm the water quality of this well. Sincerely Z&1y, Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 73.p' a HOUSE DETAIL 1.5'X5.3' CANT—, J1%3'—'j Scale: 1" = 20' COVERED COVERED BALCONY DECK 14.0' 2.4'x7.7' CANT 2 STORY RESIDENCE N w/ WALKOUT BSMT. COVERED BALCONY 1 DECK t' ^ °Vncrctit, .n. Tract A PLOT PLAN _ AS BUILT _x_ SCALE _1" = 50 GRID _ SW 3138 Project No 20-49�A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone �0000 (907) 522-4625 Fox �ti gyp© Professional Land Surveyors ken0langsurvey.com o OF q jonathon®langsurvey.com I hereby certify that I have surveyed the following described property: LOT 1, BLOCK 3, EAGLEBROOK SUBDIVISION (PLAT No. 78-158) 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 no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the Day of Z=i 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 plot. t� 491 .......:.. G"K. i sS(shk ?'O2o ..-* OQ`�ti ---.LS-5202.••' gh 44Q4ROFfSSIONAt �qo 040000�� AECC963 L ---------------------------J-- R=z000' FERNWOOD AVENUE S 89'59'56"E 250.86' — o C; 4- O �15' CHAIN—LINK FENCE � T&E EASEMENT -� c6 Lot 1 FENCE 0054,511 S.F. -CHAIN—LINK / % 1I m r SEPTIC PiPES-- _ ZZO v I o M \ C o '. 120.8' s6.8' SEE HOUSE m c + Lot 4A \ Cr I o .. �` DETAIL ,1 I �o o \ 1 C, I O YrA 0 I I 30' SCREENING , OP�. ! ' EASEMENT LP \ N I I 100' PROTECTIVE--�-� WELLJi V-10' C.E.A. & WELL RADIUS A.T.U. EASEMENT' 273.37' II 1'59"W \.:...... ; S 8271 / Lot 3A 30.0'il Lot 2 \ I / I / PLOT PLAN _ AS BUILT _x_ SCALE _1" = 50 GRID _ SW 3138 Project No 20-49�A1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone �0000 (907) 522-4625 Fox �ti gyp© Professional Land Surveyors ken0langsurvey.com o OF q jonathon®langsurvey.com I hereby certify that I have surveyed the following described property: LOT 1, BLOCK 3, EAGLEBROOK SUBDIVISION (PLAT No. 78-158) 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 no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the Day of Z=i 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 plot. t� 491 .......:.. G"K. i sS(shk ?'O2o ..-* OQ`�ti ---.LS-5202.••' gh 44Q4ROFfSSIONAt �qo 040000�� AECC963