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HomeMy WebLinkAboutFIRE LAKE BLK 2 LT 11A ire Lok¢ Al ka Block 2 Lot IIA #051 - 361 - 18 DIVISION OF ENVI11ClNAMNTAL HEALTH DRINIKINGWATER AND WASTIEWATE,R PROGRAM 555 CORDOVA STREET ANCHORAGE, ORAGE, A 99501 Telephone: (907) 269-7517 http.l1wwwstate.ak.us1deddch Fax: (947)269-7650 February 3. 2003 Jeffrey A. Gamess, P,E. Alaska Water & Wastewater Coasu] lints, Inc. 6901 DeBazr Road Anchorage, Alaska 99504 Re_ L,at 11 A. Block 2, Fire make Alaska Subdivision Dear Mr. C_'rarness: This Office T=eived your paperwork. for registering the wastewater disposal system servinS the duplex on the above referenced property. By submitting the Documentation of Construction, the existing system is approved, I wil I place the submitted forms in our files. Thank you very much for providing us the infonmtion, If you have any questions regarding this matter, please do not liesitate to c011ta(A us_ Sinve-mly, LeEa Tadina Environmental Technician Una Reenw:d STATE OF ALASK k DEPARTIMKNT OF E -N V 1RONMEENTAL CONSERVATION DOCUMENTATION OF CONS'iROMON :gat Deseripti m 6thr L uie on Nubuutted by: _FIRE, LAKE ALASKA S D LOT i 1 A,_9LOE:K ❑ Certified Installer 18107 MACLAREN STREET R EAGLE RIVER, AK. 9957'7 ❑ Appmved ftorneemmcr Y M Rcgistcmd Fnginver stallerNamai Onsite Wastewater Symem Seivm. ALASKA WATER de WASTEWATER CONSULTANTS, INC. 0 Singlc Family, Number afRcdrnanis ailing Acld=ss i Duplex, Number of Bedrooms 6 6901 € FRARR ROAD ANCH. AIC. 99504 ❑ Small Commercial fiacility With Dtirnated UcsiLgn clow of less thin 500 GrPD. II. WALTER SUPPLY SYSTEM (SECTION T1 15 OFTEO ❑f Water am! C01Lt3iL1rnCDttCh4Gk iEll that Apply)Pc of Nuior S Q fD?iUedorlAimhc ❑ S'urfeacIdrntllyl 1E 51-'1I]oplex Ty C3 Roof T G,t — ❑ HwLd rJg ❑ OLbw rrde k& © rubl3L Ig a -,,qi1xary magi or a installed go thcwell UUJ M dLamu ro aijeactcd aw CL161v ro'lnd the anoging within a oidium of I L't well wits tmclowd in condudi' Ikpth of W011 fFedcl SlakiC 'N- oce l Jg Wril CaslTUE u7 tat at e p psvuuz es Of CGJLtZMML Treatment 4f WE={Chwk all "14 ❑ None l7 C bIQV Mi+on ❑ F01;un131L ❑ MvLeTe] RME ❑ �]aher ❑ Yse ❑ Ha ❑ Yes ❑ Ku ❑ Y. ❑ N. ULI ti_JO&M nC:" Pt01[1UL$ 1MUK aCj rLOJaQ= "tUQSEdT jCW[ UDL-- OR rLL LAT t, MCH L'QgC 4L 8n AD3LTL�}LLVLJ P1MEL P11 Feet Focr Adlaccoi.Lol Foe LwiCata sepaTntkM cFlspuca from %DXiC M92Tit0 mctudlog $Lel Malta, paints, 19,19-16 wd 4 har On Lot Qty Acm kLLot pelLuleu tl Erases Jnnlrha4s,pomtieldtS,fS agicj&q or L1ct91iCjdas to xell tam eeE Feet Wa:er 5auiples'Faknn by: (Nanw) Sampler isi lkddrEss L� ituyar ❑ F,a�int:eT ❑ BaTslcer ❑ Gns't�enl4lTieial Wator 5uml+le Rgsu its: Attach C'nTat+ ❑ 4atisfaclan - Uatc. Un mL69factory ' le 5i amLc 7ypc0FPrietkdftius w Tits EMM JEFFREY A. GARNM. P.E. PROFESSIONAL ENGINEER I NbIR' i. ThhsecuumaAmdd N?Agned'opjCowflad fnsralier, DECrfa . w 0SwrJnyw1der 2. ril7,nwMc3marrsjuwm rn"m gown ADECplan pppm"n pear' to WMJPuctton_ Sax 1RAr1C817SWEQ{AfallmB�ialung Wtue7 TE WASITMATER-DISPOSAI. JEegllll}esceiPL1uu, ` Type of Wastewarer sysv.5rm ]/}' ■ Sup LicTank with Canvenlioi ul SwI Absorpkm ;YRWm j� Pazkage Tr>3g�nt?1%M ireq iGdde "a +'] d [Iuldi.ogTl3k Ma¢erialT-pc: Sizetn.f'rdllous; (vlofiuFactlL�er: ' 'w. ❑ Offiet,- Svecifr-TvJ t!e a Alsr�ak (1p�ita rerluiL y ctL inetted di sib �'?' h ❑ With Egimtnted Daily Vr EUWWaler Flow of, C'rallorL Per Dao (GPD) Critaria U-ivd w Eabl tr= DLiiTy W-d,5tewaterQufirrtiiy: -- d NEW 5YM i -EMT ■ R,T' 1R TU =ST1NG 5YSTE-!4'I f �mfied Tnsrallsr iastai[ai[ton 1~l�tiFratianDate: Name a[Lah ullef: AKWWl~ INC. Brae. ltistallecl: 1/2-/03 System Inatalted: ❑ By a RegiRrrrcd Engineer jj By Appruved l lomeawmu tauach copy of Lpprowl letter} ■ With rnspectiun by a Itoglsturd EagLtmem ❑ 13 ' PriiiLrsi in9tk ll r�ltistaller I�ILLIIf17E� Scptiu Tal1k: M' Lterlal- hrtmufF ower_ S1te (UELIIQfLSi: ?lumbar LA C4lttkj,eartrkerkt ; STEEL ANCHORAGE TANK 2000 2 'I y1Lr of Soil Absarptiun SYE: Lo c M fsetja Twnuh ❑ Mound ❑ Shall.ou' Tr=L;t+ © Sam. r Pit U m S- Mile, Soil ClassifCatirnj SW—SM. soil R Ijllg: <1 DimumstLlgsfSim of AbSLn L" Ateu: "S' WIDE 9Y 80' (2 a a0') CiI�LLiinpf5ize of L�istritautiuo R{�c4' SEWER ROCK 'Thi1:lc=ud)aP1h of 1-tzsm.1711ticm Ruck' 'K'3.5 -4X Pamn lation Tvst Results. Attach Copy of lli.eporr. T ►+ y I- <1 MMLIKES Per fach 11 A Sq. IG per bedroom Perc:nlLtrkm Test Pcrl`asmed Ivy-. AK WWC JNC. p[ufil amn Ipl r-KWU Iu119. Ile 5su1eL1`Yi a rP if Lai ground cavo L4 fe'a1 ovu, 5ephc'I'nnL- 4'} AbsorpclouArn: 4'} 5cwcr l pm- 4'+ Cleanout Pipc� Caps histaited, Foundation C.jWM+1UL. TES svptic�'Gauk_ YDS Ma itrs Tubus: YES Ind w.me from sCpklG itiaC Or Rb90rptiU4 tLB�a, W11.1Chevim 1S uizmrat in, Tu all iicluby; Psibltc rlrinL ng wL3ter 8ourcea vw•i.hin 100 fejt; r 150'+ Prlr.lte drinkmg water �mLrrres wlLbirL 101} fit: y OW+ NvarE, ,r water buclies (Sea IF AAG 72.M(h)); 100'+ Lot Line: 101+ Sepacarlan D1tik,=C4 from Qnto4 4ewver I.lnes to; Public Drinki rig Water SuuTms. 150'+ Priynle S&mas: 2S'+ Separatfim DiAmLie from Bum 4in urDistribution Ruc,1 to: Orr=dwatur Tuble: 4'+ Bcdrmk' 6'+ Reparation Di ianca f; -Gm AbAff+tinrL Arae to Slope c%ceedlug 25°fi': SO'+ Qou=F3t&'Recommaw bdivro: *150'+ SEPFRATiON DISTANCE FROM CLASS "C" WELL •A4.0 EFFECTIVE IN WEST TRENCH AND 3.5 EFFECTIVE IN EAST TRENCH. REDUCTION FACTORS = 0.5 AND D.54. TOTAL EFFECTIVE AASORPTION AREA = 770 f12 ct�1-tile ;i L fl airs v v1- , iu�i. nd that Ytf4'Yded an SErunn lir ,15 cr�rtecr• 5f9 Qe T.Yvu ir'rintedl<mm!TLilt,.koriCrthr.,lupl-- v O&L., aa�� JEFTEEU A. GARNESS, P.E. PROFESSIONAL ENGINEER � �l -NL .L' 7 �1.�e K� C Y'� ri4l Nf.i �Yyj[ryR,+caf F,~,p'uanr, i•i'L"s .+h., :. i--vr fjr ,401,w,„ g wqi 6-7, pi -j md.—W. NEAT. ON r J'E1d Prgf& .li0li0? hmu�-mt AT PARCEL ' NUMBER! A -BUILT DRAWING 6 tUT 3A LUT 5A LaT13A cad NEW DR4NFlE= c 7 a I IW75 WT71 r I r EX[ rINC DRAMFIELD I I A9ANDONE❑ IN PLACE II II MURAL L06kn6N OF I I Mf4, I! 047AREL FLOW 5PLMrER � 1952 S&S EICINEERING I ��'THGLE�C06 E7$L2 A 000 � €kISTiNC 6 BEorzcom 1 LDt 9d QUIRL.E]( fNEW 20M CALLON t }}. SEPTIC +T kNK I� O . �• �'4* a.Il � 1 5 acLAREN STREET___ ALASKA WATER & WASTL �i:l � r Z.T.G. CON-SULTANT , INC.. _.yam l SM! � r} I 6401 DU8407 RQAQ, SUIT= Pb ` 1ANEH4RA5E. dR w5w4 * rHc"E Aw i -4wi - rAx (goM58_sL;_8 I 40 PREPARM F'pR: PHONE Numsm PACE NUMBER: JIM FLiASON (808) 324- 1 OF 2 I ff A. pr ss: :EGL DESCAIPTION; FIRE LAKE ALASKA STD; LOT 11A, BLOCK 2. -�'�111� X953 �� "E OF WORKLI AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRA❑Ef la A 9 c col - 12.68 27.28 CO2 --- 15.79 26.7 CO3 - 1 B:32 28.89 STI - 18.43 30.72 ST2 79.98 20.85 43.6 L)BL1 79,04, 20,90- 44.7 DB42 77.99 2.0.12 44.35 SPL 70.03 15.78 43.0 C04 72.54 24.90 MT4 71.77 28.4151- 005 92.25 59.41 MT5 91.54 61.59 - 006 55.61 15.15 - MT6 53. i 7 18.23 - 007 73.02 54.69 - NIIT7 69.87 51.93 - tUT 3A LUT 5A LaT13A cad NEW DR4NFlE= c 7 a I IW75 WT71 r I r EX[ rINC DRAMFIELD I I A9ANDONE❑ IN PLACE II II MURAL L06kn6N OF I I Mf4, I! 047AREL FLOW 5PLMrER � 1952 S&S EICINEERING I ��'THGLE�C06 E7$L2 A 000 � €kISTiNC 6 BEorzcom 1 LDt 9d QUIRL.E]( fNEW 20M CALLON t }}. SEPTIC +T kNK I� O . �• �'4* a.Il � 1 5 acLAREN STREET___ ALASKA WATER & WASTL �i:l � r Z.T.G. CON-SULTANT , INC.. _.yam l SM! � r} I 6401 DU8407 RQAQ, SUIT= Pb ` 1ANEH4RA5E. dR w5w4 * rHc"E Aw i -4wi - rAx (goM58_sL;_8 I 40 PREPARM F'pR: PHONE Numsm PACE NUMBER: JIM FLiASON (808) 324- 1 OF 2 I ff A. pr ss: :EGL DESCAIPTION; FIRE LAKE ALASKA STD; LOT 11A, BLOCK 2. -�'�111� X953 �� "E OF WORKLI AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRA❑Ef la TOY uF T71NK AT INU INVERT OF DUNG AT IN ORIGINAL GRAL]E 96.4$ - 9&.$5 A -BUILT DRAWING IFlm GRADE = 1D0-73 -- tO1-t FINAL GRADE - 99-2+ ORIGINAL CRAB i'kTER FAORIC 97.15 - 99-Z3 yiryi+r ar ■ a' r�r�*ia�■�i��y+yy —5'—I 807DW OF 1UNCi} WM TRENCH gam {1 ) PARCEL ID NUMBfR: 051-361-18 TANK AT QUTLET - 95-95 BUNG AT ❑UTLET - 95-20 FINAL OWE 99-1+ FMFW- '*� • i�i�i'i�iy''+r' i ;4 11 -1 411 lili a Y 'S1/21/2003 ' DRAWN n—: SCAE. CONSULTANTS, INC. 4001 DSHARR ROMP. SIATP 215 ' ANCkORASE- AK 40M4 * rN4NE i9�*$.} 0:74 ' FAXN07�53d•32" N.T.S. . , .. PREPARED MFL• PHONE NUMBER: PAGE NUM13ER: JIM ELIASON (BG$) 324.-7719 2 OF 2 -. a... -- e e A. ❑rile 5;; ` rafassl�n FIRE LAKE ALASKA SD; LOT 11 A, BLACK 2; TYPE OF WORK44 AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE tq,} sy... rust.. .ra�,+4 CONSULTANTS, INC. 9967 DE!80 i kCUk. SllifE 26 • ,V,CH6RWG� !K 94 ' PF 47�779 * -. 94 UO - _ akwyvadR1 SOIL L4G — PERCOLATON TEST LEGAL DESCRIPTIOW -FIRE LAKE ALASKA 5/1), LOT 11A, BLOCK 2 PERFORMED FOR: JIM ELIASON DATE: 12/5/2002 r� fit ORGANICS ITEST HOLE 01 7 s —sm GW—GIVI s 10 11 IL 53 1,dL 3 • 1 ,$ IDEFTH TO DATE GR UNDWATER SEEP Cl 14' 12/5/2 DRY 12f6 2402 ti l 3 f l � SOIL CLASSIFICATIONS 2 ffjj [� +yj�, r�yy 12/6/2002 11 __ �y 4. -. Vy „r+ ORG 6. - GP ML TT y y� ]I I w I GM71717, L 4 � � Gc ` OL � I MH MacLAREN STREETs TE PLAN _ 0' SID CH5 sm r f q B sc 7 s —sm GW—GIVI s 10 11 IL 53 1,dL 3 • 1 ,$ IDEFTH TO DATE GR UNDWATER SEEP Cl 14' 12/5/2 DRY 12f6 2402 DATE ti l 3 f l � WATER L---,V;-:::L READING NE DROF ONCHES) ffjj [� +yj�, r�yy 12/6/2002 11 - 6. - TT y y� � � f � I MacLAREN STREETs TE PLAN _ 0' DATE I�EADIN CLOCK TIME N- T.NE (MINUTES) WATER L---,V;-:::L READING NE DROF ONCHES) ffjj [� +yj�, r�yy 12/6/2002 11 - 6. - 2 3 3 -V 4 - 3 0' 6' o.° rrRC ' ;,I1.�11 �; GT (y :..?r."cl I PE„_- I:�'_r Gtiafi. 1s FEST kUN 6ETVsE-cN 5.0 FT, AND 5.5 r T, 20 A FOUR -TOUR PRESOAK WAS PERFDRMED; C] YES ONO SOILS LDViFD 2f: JODY MAUS =IENC I TEST' FE'<<=;' -R iEL Dw: KLM COMMENTS: PERFORMED DY AKVAYC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS * F EDI ACCORDANCE WTTH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1/2-1 0 Ni "'— q X'Til C CONSTRUCTION AND OPERATION CERTIFICATE ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION PUBLIC WATER SYSTEM APPROVAL TO CONSTRUCT Plans for the construction of. in public water system located , Alaska, submitted in accordance with 18 AAC 80.100 have been reviewed and are U] approved. [] conditionally approved (see attached conditions). BY TITLE DATE If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. APPROVED CHANGE ORDERS Change (contract order no. Approved by Date or descriptive reference) The "APPROVAL TO OPERATE" section must be completed before any water is made available to the public. APPROVAL TO OPERATE The construction of the : public water system was completed on · (date), The system is hereby granted interim approval to operate for 90 days following the cpmpletion date. BY TITLE OATE As-built plans submitted during the interim appr~)val period, or an inspection by the Department has confirmed the system was constructed according to the approved plans. The system is hereby granted final approval to operate. TITLE DATE S 8cJ°57~ 3~E ] '70.no~ 0 O Z W£LL~ 0 0 MAOLAREN STREET THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON.(UNLESS INDICATED) NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. AS°BUILT SURVEY NO CORNERS SET THIS DATE 1' = 30' I HEREBY CERTIFY THAT I H~VE PERFORMED A MORTGAGEE'S iNSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 11A, BLOCK 2, FIRE LAKE ALASKA SUB. ANCHORAGE RECORDING DISTRICT, ALASKA. AND THAT THE VISIBLE iMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. ,~tK CT&E Envimnmen~l ~wices Inc. C'T&E Ref.# Client Name Project Name~ Client Sample ID Matrix 1030205001 AK. Water & Wastewatcr Consultants Inc. Fire Lake AK S/D Lt I1A B 2 Fir~ Lake AK S/D Lt 1 IA B 2 Drinking Water Sample Remarks: R~ul~ Wai:ers Department; Niuatc.N UnRs Method Microbiolog-y Laboratory T0~al Coliform I OB, No CoIL All Dates/Times are Alaska Standard Time Printed Date/Time 01/10/2003 10:43 Collected Daterrime 01/07/2003 16:45 Received Date/Time 01/08/2003 15:37 Allowable Prep Analyais Limits Date Date 0.200 mg/L EPA 300.0 (<=10} 01/08/03 col/100mL SM18 9222B (<=1) 01/08/03 Init JS BAG ~-~-~- MUNICIPALITY OF ANCHORAGE i~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME P NE NEW ] Well ~ / ~ Absorpti~ ~ea~ o. mST~NC~TO, D 7 [~ , ~ ~ ~ Manufacturer/~ ~ _ f ~ Liq.~~.a aciWin Mlons IF HOM[MA~E: Insidelen~th ~id~ ' ~ kiquiOdepth ~ DISTANCE TO: Well ~/Dwelling_ _ _ PERMITNO. ~ ~ ~ Manufacturer ~/~ Matoria~ Liquid capacity in gallons Trel~ ~th Distance. ~ ~ Tol~of ti~o~is 0~ / ~ ~Z~~2 ~ q Z'1inches Total eff ~ ar~ Length Width PERMIT NO. D~ ' , ~ Type of crib Crib diameter -~a~ffective absorption area ~ Well ~uilding foundation Nearest lot line ~ DISTANCE TO: ~ ~ ~( Depth ~11~ Distance to lot lin~ PERMIT NO, Building foundation f Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER _ PIPE MATERIALS SOIL TEST RATING 2,~ ~ '~' __ _ .... V ~' '~'-'~- ~ "'~ ..... DFPT O~ ~ SHo~ 'AG~ · - cEI.VED 72-013 (R~ GFi:Eq..IF.!I;:, !:::!!'.,il:::, THE!: E',OTTE~H OF:' "rilE' E::'.--:E:,c:I'v'RT [OH ,:: ;l:i'.,! "r!...IIEF~:E.: :['i.:.: F,!O :i!;ET H:[E:,FH F:'O~-,~i T'HE GF;'R',,,'E;L. DE:F'TH ]: :~:; 'H...IE: h'l :l: i"..t :[ h!l...IH [?,E:F'TL! Ctp (:il}:;ff::f'.,,'(~:!.... ~!!1~:"['F.l~ii:E?,! THE F:ff.,l[::, THE Ei~E!'T'TEd',! Eft::' "l"!.-l~:~: EF:',C:F:!'v'FIT :[ Ol'.,! ,:: :[ H FEE T' I:::'()Fi: '~: ~:-," '1' ~"it:::': ...... I"lLlf'4 :[ C: ]: ,[::'FIE '[ 1'%' 0I::: ::::' : :'" ~ :[F,!:~:'FT'F!L.L. THE: "' ..... ~ . . ......... :, r :. fl:.l, ]: N F~C:COF:t:)F:~?'h.::h: ,~ r T' ~";O~:::'F''::: 'T'¢::~F '" T'!'"!F~T THE: (:'ll'.J...*~:; :~: 'TE '"'"~ ' ' :: ::~, :~: !:::,E:!'.,IE:E: :1:t5 F:E:HEq:?,E!...IZ[) "" 3 :.: F4E'L.i ~ -~:. i','u:;.d:~:E f'HF!N ,I. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99601 264-4720 SOILS LOG- PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 "-----~ 10 11 12 13 14 15- 16- 17 18 19- 20- SLOPE SITE PLAN WAS GROUND WATER S ENCOUNTERED? . NO ~ P E IF YES, AT WHAT DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE ~//~'~ (minutes/inch) TEST RUN BETWEEN FT AND ~-- FT COMMENTS ,,..fl . ~,~/./ ./ 72-008 (6/79) DATE: ~;)i~ ,~ I °,~2. 688-3199 4 14- - - 4 444ter . a C22LL G CO. -4 A5oP is WE SERVE ALL ALASKA S8/5-.1-. 6480/-/y ;-fir 14A1FS+OEeRnt ELIASOM & DAfJ+TAaice POST OFFICE BOX 42_CHUOfAK,ALASKA s96it �: ER7EL eco" / �1i1 OWNER OF LAND '• DFPTH OF WELL -• • • . „ _ t T �f]� f r_ ADDRESS... .... _.. . :_..._:�-:.....:.:..�:.::...�. r. �, STATIr LEV EL OF.W ATERIT •«.ter+._ �..--_„_._..Y.� ..u'�.V u� Lot n A so- • ,. Pr.+. lar..3.•6d - _lam C WELL-SITE- ..1..i. I ` L.1::....:..I...: La'''. ' • .• DRAW DOWN FG- «-......... , r STARTED �' S�' GALS.PER HR.:_...iia.:A8t1.7:CSC.�, �...GAi................. 1 e2ittic.NYIt , f1'- s i DA TF - ... 4•s +ti 15/111 :a 6)i 5. DATE-ENDED ),' . KIND OF CASING....:.._=..=L'u...IL0..........._L.I.Yl... .. ..... KIND OF FORMATION t,.5.siva' Q OLmk,n FROM 0 FT.TO S..FT. ' "' FROM FT.TO FT. FROM........ r1.'-..FT.TO FT.a _: �._,_•., FROM.. FT.TO .FT. 69" FROM .FT.TO............... FT.- .__.:_..-:. .�t:l. FROM....... ...._......•FT.TO_......... FT. . .... _ ....._. FROM FT.TO FT. OrtR fROM..... �:... ...FT.TD_ _. . .... .. FT.___....._ ._.._ .... FROM.....................FT.TO FT. FROM •,.....»«.....FT.rV.........„...........Fr................................ FROM-..... _ FT.TO FT . ....,... FROM ., ...... .FT.TO.....•_.......... •FT..._.. .... _........_..... FROM- FT.TO t•[.....,............... .:..... ... FROM..-._. ...__..-.FT.TO'._ ...............,..FT...._....... FROM. FT.TO FROM �r�FT TU.. FT.... _...... . ..... FROM FT.TO FT. .....:..._.....:........_.- FROM- _.,tT.TO:,.:.... ._. .FT• . FROM......................FT.TO FT. .. . FROM... . FI.TO....._ FT. • FROM FT. FRAM....,. v_ ,....fT.TO FT._.......... ... ..... ... NISCL.INFORMATION /0-e=Z/44,i% 149 al 31.1S s s n It+•::ni.c.,.,•,� `�SgE ' 9 a,= . PGG-5 `� h/-I crgdQ 9£-r-..ci 9s '0N 1b'301 ' Poor quality original KODIAK., ALASKA POST 0F~:IC.~- ~OX 42 - CHUGIAK. ALASKA ~RO.',~ ....................... ~r. TO ..................... Fr .................................. ~RO~ ............... :.. rr.T.o: ............. : ........ n ................................ ~R~ ................. ..,-o ............ ~ KoM '~::::,.,;...':'--;; .... Fl.'TO . ..c.~. ........... FROM :.-.:.'.'~- ...... FT. TO ..................... FT ............................ ,- -. ...... " FRC~M" "' ·; ."~:--'.;-. · FT. TO-. ......................................... ~" ..':..'."~.-: 'L .: '- .:" -~ ' - ::.: ............. ........... ~t~o~.-L~L...,,-:~:To ................ ' ................................. ' FROM .z.;,,: .:": : .. Ff. TO .- .............. FI' ................................. FRO~ _.,; -Z-:.- ~.:.~o.. ...................... rr .............................. ~go~ ..... 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FT ................ :~-;:.:?: ........ • • ?�E 8 L •. ,~ Municipality of Anchorage U = On-Site Water and Wastewater Program •LIAM (907) 343-7904 Certificate of On-Site Systems Approval Parcel I.D. 051-361-18 Expiration Date: NcV .211 ,20 17 1. GENERAL INFORMATION: Complete legal description Fire Lake: Block 2, Lot 11A Location (site address) 18107 Maclaren Street*Eagle River,AK 99577 Current Property owner(s) Eric Runyan Day phone 748-4357 Mailing address 18107 Maclaren Street*Eagle River,AK 99577 Real Estate Agent Renae Werner Day phone 365-9105 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ® Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 6 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System El Public Sewer ❑ 6WaiverNariance request for: Distance: Received by: .,r., d2c44.164— Date: 7 COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ S7 Z, Waiver Fee $ Date of Payment t l(to 1 11 Date of Payment Receipt Number 08133C Receipt Number COSA# ('5CE1135S 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: Gayness 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: 8ii,it 7- �oa� .p%‘.,, In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system � OF A 'N in accordance with the guidelines and regulations established by the Municipality of Anchorage and ' ",.• I . S �Q industry practices. The reported results describe the condition of the system/s on the date/s of the p v\•' nn evaluation. Separation distances were measured to readily identifiable features. Hidden defects or • `..-.. •� V encroachments may exist that were not identified during the evaluation. The operational life of all wells /�* , '� T I . %."*00 and septic systems depend upon a variety of variables, including but not limited to, soil conditions, / d groundwater levels (that may fluctuate during the year), quality of construction (materials and VA 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 0n .-f : A. Gorness: • system/s; therefore, GEG makes no warranty(express or implied) regarding the future performance of un E__./79 .3 `�� the well or septic system. GEG makes no representation whether an alternative well or septic system V�9yep can be installed on the property in the event either of the current systems fail to perform adequately in �Q e, 07/40 r' o°p the future. The content of this report is for the sole benefit of the person/party that retained GEG to Vo'pf-o f ess,oc°4� perform the evaluation. Reliance upon the information provided in this report by any other person or ��4440Q .o party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. ..c OFi'd, ., 1. �L%- #AECC884 6. DSD SIGNATURE �� SITEL• ,l System #1 Approved for Co bedrooms .} OW SVT AyIg System #2 Approved for bedrooms �� ��ASTEv,1AAvE1 `. PR°GR ;. Disapproved . , Conditional approval for bedrooms, with the following stipulations: lant...ts, By: CCOM-01b) ir. kv, aturtil Original Certificate Date: $f Z5I 20 11 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: Y COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory T Well Flow Advisory Other COSA blue sheet 10.10-12.tloc 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: FIRE LAKE; BLOCK 2, LOT 11A Parcel ID: 051-361-18 A. WELL DATA *Reasonable to believe well is cased to 40'+ Well type Private If A. B. or C provide PWSID# N/A Well Log (Y/N) Yes Date completed 8/20/1982 Sanitary seal (YIN) Yes Wires properly protected (YIN) Yes Total depth 62 ft. Cased to*Unknown ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 8/20/1982 7/27/2017 Static water level 2(?) ft. 24 ft. Well production 10 g.p.m. 8+ g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 6.21 mg./L. Collected by: GEG. Ltd. Arsenic: <5 ug./L. Date of sample: 7/27/2017 B. SEPTIC/HOLDING TANK DATA *Pre—tank double cleanouts (F_C.0. could not be located) Tank Type/Material Septic/Steel Date installed 1/2/2003 Tank size 2000 gal. Number of Compartments 2 Cleanouts (Y/N) Yes Foundation cleanout (Y/N) **No Depression over tank (Y/N) No High water alarm (Y/N) N/A Date of pumping / 1 V J l Pumper (i) - S 'k'u p PL.ivictrIc C. ABSORPTION FIELD DATA 'Below Existing Grade West/East Date installed 1/2/2003 Soil rating ..p.d./fior ft'/bdrm) <1 System type Dual Trench Length 40/40 ft. Width 515 ft. Gravel below pipe 4/3.5 ft. Total depth*7.8+/*8+ft. Eff. absorption area 770 ft' Monitoring tube Yes Depression over field No Date of adequacy test 7/25/2017 Results (Pass/Fail) Pass For 6 bedrooms Fluid depth in absorption field before test 0/3 in. Water added 685/587 gal. New depth 1/8 in. Elapsed Time: 316/402 min. Final fluid depth 0/0 in. Absorption rate >= 900+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) None Known If yes. give date — C05 shown on inspection report is missing D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off" level at • . a er alarm level at in. I- Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100 + On adjacent lots 100'+ Public sewer main 75 + Public sewer manhole/cleanout 100'+ Sewer/septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain None Known Wells on adjacent lots 100'+ F. COMMENTS , oi-V c4o41t, r-/615 �.lefi re6frk ox dt atcovAkteq -lot-. ► b.1-L 1.), -)e A r f rcvw\L}t 0 Y1/4.A1. 4a�040�0 G. ENGINEER'S CERTIFICATION p,� . OF.-AL\1, '''( .--•-• O� ...'� 1 certify that I have determined through field inspections and 11=1 '•.-7 00 review of Municipal records that the above systems are inJ conformance with MOA COSA guidelines in effect on this � Q date. Q_���..�. .......V a J fr A, Gar es!! Engineer's Printed Name JEFFREY A. GARNESS OOh 4. • (/ —795 *�/ Date ek �/ 04ro • - • '."c.Ao u00 Professionc'z �000��� #AECC884 (Rev. 11/05) Municipality of Anchorage '.R Development Services Department ik :: 1_ r Building Safety Division s. r. 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 # OSC 171355 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 11A of Fire Lake subdivision. This inspection revealed a nitrate concentration of 6.21 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. Nitrate Fact Sheet From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. S 09°57'1 3"E 1 70.001 t ' 1 r l O'UTILITY L.S. E NT '=7 .. ...aoa%���Q 1:::, .`�i.••O r �s14,� 4 ffft49LH //\ •:9Q QOd BRED 0 S; r+4 /4141494 ` D �`-- 1 V s SHANE A.HOLT o9 0°,, LS-6914 d • • • �fO� Qn<IT [[$iO n S. 3, O kz\��o� 0 a a o 0 N N • U1 • 11N O •[ 1' 0 Q cb qp TWO BTORY • • •r FRAME DUPLEX 1111178 / • O[Ct c r+ / 1 � 1 /1 GRAVEL / `I 3 c Q ORIVCWAY O WELLG 1 tr A N 89°57'1 311W 1 70.00'd-- ; MACLAREN STREET AS-BUILT SURVEY NO CORNERS SET THIS DATE 1'=30' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEES INSPECTION OF THE FOLLOWING CESCRIBED PROPERTY. NOTE: LOT 11k BLOCK 2,FIRE LAKE ALASKA SUB. SEWER VENT LDCATIUN•SHOWN FROM SWINE TIES PROVIDED•I "AMINO. ANCHORAGE RECORDING DISTRICT,ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN WITHIN THE PROPERTY LINES AND NO VISIBLE >TING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL ENCROACHMENTS EXIST OTHER THAN NOTED. UCTURES OR FENCELINES. DATED AT ANCHORAGE.ALASKA THIS_27TH EMENTS OF RECORD,OTHER THAN THOSE SHOWN ON THE RECORDED PLAT,ARE NOT SHOWN HEREON.(UNLESS INDICATED) DAY OF_ NOVEMBER___ _ _ _2002_. HOLT LAND SURVEYING 8798.F_BI0_2-B E.ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES TEL,145-5513 .00ATE STRUCTURES. PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. APPLIr ',NT FILLS OUT UPPER HA' ONLY Pmoerty Ow . :n. . J/~ ~ ,12  Zip Code Lending Institutio~ ¢ /9 Phone Address Zip Code Realty Co. & A~nt Phone Address Zip Code Street Locat,~ ff~ Type of Resl~nce ~ Single Familyd~ / ) " ~Multlple Family No. of Be [ t ,' ,~ .I . ~LJ Other ' Water Supply /~ndividual~ A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ Community / For wells drilled prior to that date, give well depth (attach log if available), ~ Public Utility Sewer Disposal ~ndividua[ Year IndlvMual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date ~'-'~. _ Inspector Inspector Inspector Inspector Field Notes:__/ NIUNIClPALITY OF ANEHORAOE ['~.~ DFPT CF I':''''~ ' 2' V ~  ENVlROi~t, :N.,~.. :). ~ ON RECEIV[D { ~ ) DIS~OVED ( ) CONDITIONAL APPROVAL' Soils Rating Date ~wer Installed Well To Absorption Area ' Well Log Received / '~ ~ ~ ,:;~.~ ~? '~' Well to Tank '' Septic T~k Size /