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T15N R1W SEC 20 LT 28
TI5N I IW c 2O Lot 2_8 #05! -262-03 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: OSP221486 Work Type: Septic Initial Tax Code Number: 05126203000 Site Legal Address: T15N R1 W SEC 20 LT 28 G:0856 Site Mailing Address: 16906 OLD GLENN HWY, Chugiak Owner: COLLINS MELISSA J Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: �,Z,cnr llep<u•tIII elit 12/13/2022 12/13/2023 208652 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 Received By: 55`k C) w C' Issued By: Date: Date: 2- 114ZO Z z 2 MUHMPA UTY OF AHCHOGRA OE 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. 051-262-03 Property owner(s) MELISSA COLLINS Day phone Mailina address 18619 OLD GLENN HIGHWAY, CHUGIAK, AK 99567 Site address 16906 OLD GLENN HIGHWAY, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) T1 5N R1 W SEC 20 LOT 28 Lot Size 25,863 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field F Initial F Single Family (SF) El (w/wo ADU) Septic Tank x❑ Upgrade ❑ Duplex (D) ED Holding Tank ❑ Renewal ❑ Multiple 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. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: I;)11!5'1 Receipt Number: (�7)156`( Permit No. 05 P Z?— ly �P Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! December 8, 2022 Municipality of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: NEW SEPTIC SYSTEM PERMIT - DUPLEX LEGAL: T15N R1W SEC 20 LOT 28 – 16906 OLD GLENN HWY The property owner has requested we obtain a new septic permit for the above referenced lot. We propose to install one shallow trench and 1000-gallon tank to serve the proposed 2-bedroom duplex residence, which has been designed for 3-bedrooms. The design is based on the attached testhole conducted in 2022. The property will be served by the existing well located as noted on the design and a recent SGS water sample is attached. The slopes are moderate at 7-12% at the proposed septic location. The large lot and area are served by private water. The design will not impact the property or any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221486, Curtis Townsend, 12/13/22 FIRST WATER CONSULTING T15N R1W SEC 20 LOT 28 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK NO DOWNHILL SLOPES >25% WITHIN 50' OF PROPOSED FIELD. NO KNOWN WATER OR WASTEWATER ENCROACHMENTS NO KNOWN WATER OR WASTEWATER ENCROACHMENTS LARGE LOTS / TRACTS. LOT 28 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221486, Curtis Townsend, 12/13/22 FIRST WATER CONSULTING DESIGN DETAILS: T15N R1W SEC 20 LOT 28 LOT 28 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221486, Curtis Townsend, 12/13/22 3030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL : T15N R1W SEC 20 L28 PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 10/11/22 DEPTH FEET OG SOILS 1 2 ORG/OL 3 4 5 6 GM/gw-sw 7 8 9 10 11 12 Dense Soils 13 BOH 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 8/16/22 10 min 6 4 16/16 6 4 14/16 6 4 15/16 6 4 14/16 6 4 13/16 6 4 13/16 PERCOLATION RATE 2.1 (MIN / INCH) TEST RUN BEWTWEEN 3 & 4 FT PERC HOLE DIAMETER 6 PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 9/8/22 & 10/10/22 TESTHOLE # 22-2 DATE PERFORMED: 8/9/22 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR:MELISSA COLLINS 10/11/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221486, Curtis Townsend, 12/13/22 OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH U OH UOHUOHUOHUOHUOHUOHUOHUOHUXXXXX XXXX T7RA&7 A3LA7 %L0 LO7 U1SU%DI9IDED%L0 LO7 WWSSSSSSSSSSSS℄ O L D * L E 1 1 H W <100ROW3A 9 E D 3 A 7 H ED * E O ) 3 A 9 E 0 E 1 7 XXOHUOHUOHUOHUOHUOHUOHUOHUOHUEEG100' WELL RADIUS 1101 00 100 01 10 10 1 N90° 00' 00"E 718.79DR< &REE. %ED101*UARDRAIL' &REE.SE7%A&.LRW 711 R01W SHF 0 S0 AFUHV 10 OOG *OHQQ HLJKZD\E[LVWLQJ SWRU\ WRRG )UDPH HRXVHWLWK AWWDFKHG &DU *DUDJH3R O 3 O S E D * R A 9 E L D R I 9 E W A <100 0 0 0 0 0 100 0 0 00 0N90° 00' 00"E 559.31S00° 08' 00"E 329.84 PROR.S00° 08' 00"E 330.00 REC. S2 5 ° 4 1 ' 4 9 " W 3 6 6 . 0 4 1010) ) 1 0 ' 0 00 0 0 000 10 0 0 0 00 01000 00100 0010 100010 &ER SE7%A&.1 10 1100' WELL RADIUS3RO3OSED 1S7OR<WOOD )RA0E DWELLI1**RA9EL DR I9EWA< S2 5 ° 4 1 ' 4 9 " W 3 6 6 . 0 4 PREPARED BY:FRONTIER SURVEYS, LLC650 W. 58th AVE. SUITE E, ANCHORAGE, AK 99518907-460-1686DRAWN BY: CHECKED BY: DATE: SCALE:DRAWING ID: SHEET 1 of 11.Excepting for gross negligence, the liability for this survey shall notexceed the cost of preparing this survey. Dimensions to property linesare plus/minus 0.1ft.2.This document is created by Frontier Surveys for the purpose of apreliminary site plan for Melissa Collins, only.3.This document is based on BLM TWP June 11, 1951.General NotesLegendPS1" = 60ft09/21/202222-526KCScale 1" = 60'A PRELIMINARY SITE PLAN OFLOT 28T15N, R01W, SEC. 20, S.M.16906 OLD GLENN HIGHWAYCONTAINING: 4.79 ACRES. +/- (RECORD)RECORD PLAT: BLMETEElectric MeterElec. PedestalTel. PedestalSepticTelephone PoleLight PoleOHUOver Head UtilitiesXFenceSWWater WellGGas MeterDeckConcreteCulvertTest HoleDrainage Arrow Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program. 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW020104 PID Number:. 051--262--03 Name: JOE & JACKLYN LEVITt Wastewater System: · New ri Upgrade Addre~: 18619 OLD GLENN HWY. * EAGLE RIVER. AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 223-8611 5 13Deep Trench IShollow Trench nBecl rlldound rlOther Total Oq~t frO~ original grode: LEGAL DESCRIPTION ~" "~: 1.2 ~,,~. ~ 8.0-9.0 Block: Lot: Subdivision: ~eth to i~lpe bottom from ~rm~ grade: ~ def~ beneath I~e: - 28 - 4.05-5.05 r~ 3.95 Township: T15N Range: R1W Section: 20 FIll added ~ e~l~nel grade: ~ave~ b~gth: 0.0-1.25 ~ 63+ WELL: · New I-I Upgrade 5.0 r~ 1 C~ae,.~fleatio~ (Pdv~te. A,B.C): Total De~t~ Ce~ed T~:(III~I~ Tara! ab~o~ ama:. Pipe m~e.-tal: PRIVATE 200 ~. 23 n. 630 s~.n. D 3034-/ F-810 SULLIVAN WATER WELLS 5/30/2002 8 , BAILEY S BACKHOE 7/1/2002 Y1e;d: Pump Set A~: ~C~elng Height Able 7 c~ UNKNOWN ~! 2 ~ TANK SEPARATION DISTANCES .s.uc rl Hold;rig r't S.T.E.P. 13 Other r=~d StoUon ~'onk S,,, U,,, ANCHORAGE TANK 1500 M~ertol: N~mbe~ of Well 100'+ 100'+ -- -- 25'+ STEEL 2 Surf°, Wato, 100'+ 100'+ - - - LIFT STATION Foundation 10'+ Curtain Drain NONE KNOWN P.m : ~. i i i ~n~orks: BENCH MARK TOP OF GARAGE SLAB 1 D~velopment Depa~ment ~pproval A B CO 92.79 17.79 ST1 91.03 20.49! ST2 85.37 30.50 DBL1 83.32 34.46 DBL2 82,47 36.22 DBL3 63,681 59.57 DBL4 63,63 60,94 C01 97,64 47,60 Ivffl 97,07 50,25 C02 41,21 89,34 MT2 43.87 90.02 C01 197.64 47.60 Ivffl 97.07 50.25 : C02 41.21 89.34 MT2 4:5.87 90.02 .................................................. ALASI~ WATER & ~VASTE~TER c.J.o. .. .... -co,s~,~,~.,~c.- . '" ' '": ..... /J/NY ............. 3701 E, T~OR ROAD. SUITE IOI * ANCHORAGE, AK oqs07 · PHONE (q07)337~170 · F~ (qO7)35842b6 PR~ ~R: PHONE NUMBS: PAGE NUMBm: JOE AND JACKLYN LEVI~ (907) 225-8611 2 OF %."1...11c~-~ ...'.~ O~CRI~ON: LOT 28; SW 1/4, SECTION 20, T15N, R1W, AS-BUILT DRAWING OF NEW WELL AND SEPTIC SYSTEM AS BUILT DlgAWING SW020104 ~ 051-262-03 fF1NAL GRADE ~ 99.63+ ~ or ~UNO~ SE ~C T~K ~~ or ~u.o ~T AT IN~ - 95.08 O~ ~ 94.84 TH~I I I - 91.72 (A~.) ~CH ............ ... r" ' '~' ~SI~ WATER & ~ASTE~ATER ,~ Et,- ?" ~-- CONSULTANIS, INC.- - ., ..: .... : , ,. ..... ~ ..... ;... PR~ED FOR: PHONE NUMBS: P~E NUMBS: I ~.,~ ......... ~ ..... JOE AND JACKLYN LEVITT (907) 223-8611 LOT 28; SW 1/4, SECTION 20, T15N, R1W, ~'_~.".... ......... .':.~ PROFILE AS-BUILT DRAWING OF NEW SEPTIC SYSTEM 01/01/1999 00:03 6BB2259 SULLIVAN PAGE B1/01 by CO. db~m SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 995b'7 * TELEPHONE 688-27S0 ADDRESS: _ ~GAL DESCRIPTION:_~/5~ ~ ~ _~C ~ T~ IDENTIFICATION NUMBER:~- ~ ~ - ~ ~ Is we{I I~ated at approv~ pe~it location? ~ ~ No Method of Drilling: ~ ~ cable tool Oepth of well: ~ 0~ Casing Type~Wall ~ickness. ~ ~ inches Diameter _~ inches, depth ~ feet S~tic Wat~ Level:_ ~ feet R~ver Rate: ~ gpm MethoO Of Testing: ~ Well In~ke Opening Type: '3 open end ~n hole ~Screen~; Sta~. . feet Stopped ~ feet · J Pedorati~s Sta~. .. f~tSto~d . . feet G~ut ~Pe: ~E~O ~' ~ Volume I 0 b ~ ~ Depth: from O.. . feet, to ~ 0 f~t We, Oisinfect~ Upon Completion? ~ Q No Method of Disinfection: m Comments: DEPTH F~m 1'o I I I Driller's Name A'FI'ENTION: It is the resDon-~ibility of the property owner 10 submit a copy of the well Icg to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. i l~-America Mayor 2002 April 17, 2003 Joe & Jacklyn Levitt 18619 Old Glenn Highway Chugiak AK 99567 Subject: On-Site Water and/or Wastewater Permit. Permit Number: SW020104 Legal Description: T15N RlW Section 20 Lot 28 Dear Joe & Jacklyn Levitt: An On-Site Water/Wastewater Permit, number SW020104, issued by this office for a single-family system, will expire on May 10, 2003. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as-built inspection report must be sent to this office for review, approval and documentation. This as-built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As-built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee orS100.00 ifthe renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $400.00 for a wastewater permit and $150.00 for a well permit. If you have any questions, please call this office at 343-7904. ~ amnCaSg~r°ss' P'E' On-Site Water and Wastcwater Program Enc: Copy of permit P.O. Box 196650 *Anchoragc, Alaska 99519-6650 dTclcl)honc: (907) 8/t3-8,301 · Fmx: (907) $-~$-8200 ~.700 South Bragaw Strcct· Anchoragc, Alaska 99507 http://www.ci.anchorage.ak.us MUNICIPALITY OF ANCHORAGE Development Sen/ices Department On-Site Water & Wastewater Program 4700 South Bragaw Street P,O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Date Issued: May 10, 2002 Expiration Date: May 10, 2003 Permit Number: SW020104 Legal Description: T15N R1W SEC 20 LT 28 Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: Joe & Jacklyn Levitt Owner Address: 18619 Old Glenn Highway Total Bedrooms: 5 Chugiak, AK 99567- Parcel ID: 051-262-03 Site Address: 016906 OLD GLENN HWY Lot Size: 208652 SQ. FT. Permit Bedrooms: 5 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April t5, 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: t~_~,J/~~~f3~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. ON=SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number Property owner(s) Mailing address (1) Mailing address (2) Legal description (Lot, Block & Sub'd.) . LOT Legal description (Section, Township & Range) THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub [] Swimming Pool [] Therapy Pool [] JOE AND JACKLYN LEVrl-r 18619 OLD GLENN HIGHWAY * CHUG1AK, AK SECTION 20. T15N. RIW Number of Bedrooms Day phone 223-8611 Zip Code ~9507 Well Only [] Water Storage [-'J Jacuzzi [] Water Softening Unit [] 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. ALASKA WATER & WASTE'WATER CONSULTANTSr .INC. Permit Fees: ~,~L"~, Date of Payment: Receipt Number: O/c/8'1 Waiver Fees; Date of Payment: Receipt Number: ALASKA WATER & WASTEWATER MEMORANDUM May 9, 2002 Ref: Dimensions noted on design paperwork. To: Septic System Installers Currently lhe Municipality of Anchorage On-site Department is requiring that one or more of the follmving dimensions be noted on all designs submitted for approval: · House to Tank · Itouse to Field · Field to tank · Field to Lot Lines These dimensions are for the On-site departments use only. They should under no circumstances be used by the septic system installer for the purpose of laying out the septic system. If you have any questions regarding the designs paperwork, please do not hesitate to give us a call at 337-6179. 6901 Debarr Road, Suite 2-B * Anchorage, Alaska 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: ak',~vc.com ALASILA WATER WASTEWATF R CONSULTANTS, INC. May 2, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Proposed and Well Septic System Design for Lot 28; Section 20, TI5N, RIW To whom it may concern: The proposed 5 bedroom house will be served by a private well and septic system. The property xvas originally homesteaded in the 1940's. As can be seen on the attached site plan, a well was drilled on the property; but there is no well log and it is unknoxvn xvhen it was drilled. The new owners of the property would like to temporarily decommission this well for possible future use. A new well is to be drilled in the area shown on the attached site plan and design drawings. Txvo test holes were excavated in the area of the proposed septic system. The proposed septic system will be designed around the 30 foot radius of test hole #1. We are proposing that a 1500 gallon septic tank and a five foot wide drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 1.2 gallons/day/ft2 should be used and the insitu sandy soils should act as a sand filter. 2. TRENCII DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/fi2 c. Number of Bedrooms: 5 d. Design Flow: 750 gallons per day 2 e. Minimum Absorption Area: 625 ft f. Total Depth: 10 feet (max.) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 63 feet long k Effective absorption area = 630 fi2 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akxvwc.com 3. SURFACE WATERS: There are is a small creek southwest of the proposed septic system; but the septic system will be installed 100+ feet away. 4. TOPOGRAPIIY: The area for the proposed septic system is a 5 to 10 percent slope running from approximately east to west. There is a slope west of the proposed drainfield that exceeds a 25 percent slope. We request that the required 50 feet setback to the top of this slope be waived to 35 feet. Given the porosity of the soils and the heavy vegetation on the slope; it is our opinion that there is little risk with the granting of this xvaiver. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. NOTE: Attached is a site plan drawing, a design drawing, two soils log, and a 7 page construction specification letter ,vhich are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com TRACT A, SW 1/4, SECTION 20. TlSN. R1W / LOT 24. SW 1/4, SEC]ION 20. TISN. RSW CHU¢IAK VOLUNTEER FIRE DEPARTMENT / /~'.,,,,~ (U~'nMER ~J.) (..-',~k~'"..~'/ NO ENCROACHMENT CONCERNS (~)1 // /' ' ' 'I II iII , I ~PROPOSED SEF~'IC S3$J~.M // (SEE OES~GN, P~E 2 or 2) ~ I / / , / / ' / ? ' ~PROPOSED / ~n tn // / 5 BEDROOM / / / .' ~ / / / HOUSE / / ! // ..... /. / ! / / . / // TOP OF , SLOP ALTERNATE ~"~-'-~ ~ _ ~ / ! ~ WELL ~' / " -'~ ~L~.;,~ Z / '\. / · . ~ ..... .--/ / ', / / '-, \ / / 2/ CREE~--/ \ ~'~. / ,i .~..3 , \~ . . ,, ,, .~ / / WEST P/L \ \ LOT 29, SW I/4. SECTION 20. '1'15N. R1W / / .M~SIL4, ~'~WI'F.R & '~$'['~WA'I'~,R ~: J.L.M. ' '" '.. ' "' CONSULTANTS, INC.- , ,oo,~,,,~,,o,o.,,,,,,,.,,~,o~,~,.,,oo,,.,,o,,,oo,,,,,~,,o.,,,,oo,~,,.,,~, ~" = ~oo' ,,' ...... .~.r-:rs:..-) ..... JOE AND JACKLYN LEVITT 223-8611 1 OF 2 '~ ; ....... :'"'~ LEGAl. DESCRIPTION: I~""J3t~e ~ .*' ,. ,...,// LOT 28; SW 1/4, SECTION 20, T15N, R1W T~PE OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM T 5 ! ~PROPOSED ORAINFIrL0. EXCAVATE A TRENCH THAT t , /~ / IS 10 FEET DEEP MAX MUM ~' 5 FEET WDE ~ 29' I ~! I~ / 65 FEET LONG ADD 4 FEET OF CLAN. WASHED r j (~i / SEWER O~INROCK. TH~ TRENCH IS TO BE ~ I ~ ~ INST~L[O P~LLEL TO THE SLOPE CONTOURS. ~ O J t~l ~ / ~PROPOSED 1500 G~LON ~ NOTE: THE CONTRACTOR SHALL HAVE THE NORTHI PROPER~ LINE F~GGED BY A REGISTERED ~ND ~ SURV~OR PRIOR TO CONSTRUCTION. DRAWN BY: ~S~ ~VATER & 5VASTEWATER ~:,, 9 [~ V~ ~ , JOE AND JACKLYN LEVITT 225-8611 2 OF 2 ~r~ ss.:" L[~L DESCRIPTION: ~P[ Of WORK: -~rofessiO~~ DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM ...... CONSULTANTS, INC. : ...' A. Garness.. LESAL DESCRIPTION: LOT 28; SW 1/4, SEO~ON 20, Ti5N, RIW ~, "'- / / PERFORMED FOR: JOE ~ JACKLYN ~ DA~: 223-8631 feeg --' ORGANICS ITEST HOLE ?,~;o% ~ SOIL C~SSIFICATIONS r ~;~;o% c ' PRO~SED ~PROPOSED 2~ ~';goe~ ~ S~C / 5 BEDROOM ~7%0~c ~ GW ..... ORG .......... ~ / HOUSE ~,:.;o o ~ GM CL 41 ~m::~o% c GC OL ~,:.:~% ~ GW/SW SW HH ~o'. ~ ~ SP CH ~moo, =~ / ~ T ~ / / PROPOSED ~ n / / . ,.:~ "~ DEPTH TO 10 -- ~;4;o'0 c ,-~0o~c CLOCK NET TINE WATER LEVEL NET DROP ~;','o*~ DATE READING 11 -- HR~No~( TINE (NINUTES) READING (INCHES) 12-- ~(~.o~c GW/SW TO ~,.~oO o~'f~°° ~c c SW'SM 13-- 15- PERCOLATION RATE <1 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19- TEST RUN BETWEEN 7.0 FT. ~D 8.0 FT. 20-- -- A FOUR HOUR PRESOAK WAS PERFORMED: I YES ~NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORHED BY: JODY MAUS COHHENTS: THE INS~U SANDY SOI~ SHOULD ACT AS A SAND RLTER. PERFORMED BY A.W.W,C., INC. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS ~ PERFORMED IN ACCORDANCE WEH ALL ~ATE AND MUNICIPAL GUIDELINES IN E~ECT ON THIS DATE: ~1~/~ DEPTH TO GROUNDWATER DATE DRY 4/22/02 DRY 4/23/02 DRY 5/1/02 .~'_/,,~. ........ ', ' ................... , ~:... .~- WATER & WASTEWATER 6901 ~R R~, 50~ 28 * ~C~ ~ 99504 * P~N~ {~7)~7~t7~ ' ~ (~7)~-~ * ~ okvw~c~ ............. ' ............. LEGAL DESCRIPTION: T ~5N, R~W. 8EC~ON 20, SWl/4; LOT 2B ' ~"" PERFORMED FOR= MRS. e~ EB~T DA~= 6e6-214~ ~h~j".... '. ............ ~EPTH ~ ORGANICS f et) ITEST HOLE ¢2I ~':~o ~ SOIL C~SSIFICATIONS 2~ ~;?~6~ ~ PROPOSED ~PROPOSEO ~oo~c ~ ~ S~IC / 5 BEDROOM ..... ~u~ / .ous~ 3 .... ;o o ~ ~Fql GP I ML . ,:;o o c GM CL 4-- m'~;o.¢c GC OL ..... ~';' "% SP CH m?~o% ~ SM OH ~h~;~o ~ q /~ ~ ~ / / PROPOSED P,~,Xo'¢r DEPTH TO ~,¢:,0 ,, DRY 4/23/02 -:moo$, DRY 5/1/02 ~%~o~gc CLOCK NET TIME WATER LEVEL NET DROP 11 -- ' ' ~ "~ DATE READING ~,;'~.~., TIHE (MINUTES) READING (INCHES) · ..',, . ~ GW/SW WITH ~0o'~ SP LENSES ~;Z,o o r 13-- 14 -- ~" o o"o~, ~% o%~, . G~~ 16-- ~o~o%c "' 17--~ B.O.H. " 18~ PERCOLATION RATE 41 (~IN./INCH) PERC. HOLE DIA. 6 (INCHES) 19~ IESI RUN BEIWEEN 7.0 FI. ~B 8.0 FI. 20-- ~ A FOUR HOUR PRESOAK WAS PERFORMED: I YES ~ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORHED BY: JODY MAUS COHHENTS: THE INSEU ~NDY SOl~ SHOULD ACT ~ A ~ND RLTER. PERFORMED BY A.W.W.C., INC. I, JEFFR~ A. GARNESS, CERTI~ T~T THIS ~ PERFORMED IN AOCORD~CE WITH ALL ~ATE AND MUNICIPAL GUIDEUNES IN E~ECT ON THIS DATE: DEPTH TO GROUNDWATER DATE DRY 4/22/02 DRY 4/23/02 DRY 5/1/02 ® Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 051-262-03 Expiration Date: 1. GENERAL INFORMATION: Complete legal description T15N R1 W SECTION 20: LOT 28 Location (site address) 16906 Old Glenn Highway *Eagle River 02-09-21_ Current Property owner(s) Joseph & Jacqueline Leavitt Day phone 602-908-3940 Mailing address Real Estate Agent 2. TYPE OF DWELLING: X Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well © Individual Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: vIbLal ILA:% Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -6-5 ) Date of Payment 1&22� i Receipt Number 05/71 G COSA# 05C 2-11030 Waiver Fee $ Date of Payment Receipt Number Waiver # 0 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: d 1!29,1..1 In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. CIGNATURE System #1 Approved for 5 bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, #AECC884 y OFr,qrr�r,r�i�/i Z ON-SITE w' g WATER AND m with the foll=i g s! II�I&TMVATER z; ;cam PROGRAM JJ. "V/,-SERNX;`-' '�' ' Original Certificate Date: Z '2 Z 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 Nitrate Advisory Septic System Advisory Arsenic Advisory _ C Well Flow Advisory Other LIN COSA Checklist Legal Description: T15N R1 W SECTION 20; LOT 28 Parcel ID: 051-262-03 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system _ A. WELL DATA �N� R-z�n t� 0j Fm� Well log is filed with Onsite (or attached) Well production at time of test 6.5+ qpm Date drilled 5/31102 Water storage tank volume N/A gallons Total depth 200 ft Well disinfected for coliform test? ❑ Yes 0 No Cased to *23 ft A-1 Coliform bacteria is Negative © Sanitary seal is functioning correctly Nitrate mg/L A Nitrate less than MRL (N D) © Wires are properly protected Arsenic ug/L 7 Arsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by GEG, LTD. Date of flow test for COSA 1/7/20 Date of Sample 116/21 i j Static water level at beginning of test 29.3 ft. Comments *TO BEDROCK **WATER SAMPLES WERE PULLED FOR 2ND AGRICULTURAL WELL ON 1/21/21 B. TANK DATA Age of tank(s) 19 years Tank type/material SVTCi TCE Measured operating fluid level in septic tank 49.5° ❑ Standpipes/foundation cleanout per record drawing Date of pumping 1/22/21 0 D. ABSORPTION FIELD DATA 5 - WIDE TRENCH C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: N/A Which system tested (date installed) 7/1/02 Adequacy test date 1/8/21 FW ALL standpipes present per record drawing Results Q Pass For 5 bedrooms Total measured depth from grade 8.16 ft (max) Fluid depth prior to test 0 in Measured depth to pipe invert from grade 4.5+ ft (min) Water added 789 gal ❑ N/A — pressurized field New depth 8 in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 225 min depth into effective •32*(1AT1) 52-1Code-requiredsoil cover over field Final fluid depth 0 in A System presoaked Absorption rate 750+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) N/A Gallons introduced *2031 gallons If yes, enter date Comments/Deficiencies: MT2 NOT FULLY FUNCTIONAL"PRE-SOAK PERFORMED ON 1/7121 COSA Checklist yellow sheet 10 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 Community Sewer Manhole/Cleanout > 100' M✓ Yes if No ft E] 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' M✓ Yes if No ft Holding Tank > 100' 21 Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ✓V Yes if No ft M✓ Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' M✓ Yes if No ft 0 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' Yes if No -"�* ft Property Line > 5' Fv� Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' FV1 Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' Yes if No ft 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' Q Yes if No ft Wells on Adjacent Lots: Water Main > 10' P/1 Yes if No ft Private Wells > 100' n✓ Yes if No ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' F Yes if No ft Surface Water > 100'✓Q Yes ** if No ft F. ENGINEER'S COMMENTS *MET CODE AT TIME OF INSTALL **CREEK TO WEST & SOUTHWEST WAS NOT FOUND - SNOW ON GROUND G. ENGINEER'S CERTIFICATION 1 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. COSA Checklist yellow sheet ? .....N4. 9 `'Qo9 9.1 E-79545 �ed f'ro f e s s%ot oao #AECC884 ����O�OQo SGSr SGS Ret# 1210318001 Client Name Gamess Engineering Group, Ltd (GEG) Project Name/# TISN, R1 W, SEC. 20 LOT 28 Client Sample ID T15N, RI W, SEC. 20 LOT 28 Matrix Drinking Water Sa rplc Remarks: Parameter Metals by ICP/MS Arsenic Waters Department Total Nitrate/Nitrite-N Microbiology Laboratory E. Coli Total Coliform Printed Datefrime Collected Date rime Received DatwTime Technical Director Ol/28/2021 15:34 01/21/2021 12:20 01/21/2021 13:06 Stephen C. Ede Allowable Prep Analysis Results LOQ Units Method Container ID Limits Date Date Init 113 * 5.00 ND 0.200 Negative 1 Negative 1 ug/L EP200.8 B (<10) 01/25/21 01/28/21 DMM mg/L SM214500NO3-F C (<10) 01/27/21 EWW 100mL SM219223B A 100mL SM219223B A 4)'C &7 tv t GN 1�qp(� aL-D 61.F-rv� lF`x'1 01/21/21 A.L 01/21/21 A.L 2 of SGS Ref.# 1224921001 Client Name First Water Consulting Services (FWCS) Project Name/# 16906 Old Glenn Hwy Client Sample ID Spigot Matrix Drinking Water Printed Date/Time 09/14/2022 10:46 Collected Date/Time 08/16/2022 18:10 Received Date/Time 08/17/2022 15:41 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 8.75 5.00 Waters Department Total Nitrate/Nitrite-N ND 0.200 Microbiology Laboratory E. Coli Negative 1 Total Coliform Negative 1 ug/L EP200.8 B (<10) 08/22/22 09/09/22 HGS mg/L SM214500NO3-F C (<10) 09/01/22 EBH 100mL SM219223B A IOOmL SM219223B A 08/17/22 M.A 08/17/22 M.A t,✓1'�Gc,_ O � � P �� o i 2ofs IN I ASBUILT ti SEGIARD & ASSOCIATES LAND SURVEYING I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' FOLLOWING DESCRIBED PROPERTY: DATE. AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. DRA�11Nt 4-082 ®!t-w-w$,4L rH S'.. Dvene Merk Seward, y� �, LS - 8918