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Home My WebLink AboutLAKE RIDGE TERRACE BLK 6 LT 9Lake Rid Terrace Block 6 Lot 9 #051-313-31 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 4 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231204 PID Number: 051-313-31 Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name JOSH & KATIE HUNT ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 14800 TERRACE LANE, EAGLE RIVER, AK 99577 0 Other Phone Number of Bedrooms Soil Rating Total depth from original grade 907-885-4652 4 *2.0 GPD/SF SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade SEE DWG. Ft. Gravel depth beneath pipe *0.35 Ft. Subdivision Block Lot LAKE RIDGE TERRACE 6 9 Fill added above original grade SEE DWG. Ft. Gravel length 36+ Ft. Township Range Section - - Gravel width 10'+ Ft. Beds: Number of Lines 4 Distance between lines 2.5 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 360+ Ft z - - Ft. Well EXIST. *50'+ *50'+ - 25'+ T Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Surface Water EXIST. *50'+ *50'+ - Gal. �of Material compartments Lot Line EXIST. *5'+ 51+ - NA Foundation EXIST. 10' 10'+ - LIFT STATION Manufacturer Capacity Remarks *THIS IS AN INTERMITTENT DOSING SAND INFILTRATOR SYSTEM 540 Gal. FILTER (I.D.S.F.) AWWTS EQUIPPED WITH AN Alarm location INDOOR Electrical installed by RISING SON ELECTRIC "XPERT ALERT" ALARM SYSTEM. Installer PIPE MATERIAL House to tank EXIST. Tank to D1785 drainfield DENALI EXCAVATION Drainfield D1785 CO/MTD3034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 100.00 It Inspeection 1a 8/3/23 8/7/23 Location and description ction 2", 3fd 8/8/23 4`h 8/8/23 TOP OF FLASHING/BOTTOM OF SIDING NEAR POINT "B" ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ,00�oopp4 0 F. 66 o Conditional Approval: Date P 950 ......... ... .... .� ......... J / eA. arness. 00 9s V CE —7 53 1+ Septic System Approved Date ��( U/ 2� z / Note: this approval does not include well permit requirements. feoo�'�o #neccaeaN11" kmev uo/uzi m) PERMIT NUMBER: PARCEL ID NUMBER: OSP231204 RECORD DRAWING 051-313-31 / / / A I B / DBL1 49.4 41.0 / DBL2 50.3 42.0 N MH MTI 63.9 55.1 MT2 72.2 64.2/� / 100' WELL RADIUS SCALE: MT3 67.1 60.8 / MT4 93.6 69.7 / 1"= 20' / NOTE: PIPWN PER GEG E LOCATIONS ! ARE SHO! EXISTING AIR LINE. PER THE CONTRACTOR, THE AIR SHOTS TAKEN WITH EXISTING 1300 GALLON PREMIER ! LINE INTEGRITY WAS VERIFIED TO BE FUNCTIONAL ! LEICA DISTO S910 PLASTIC SEPTIC TANK DURING CONSTRUCTION AND 2" OF INSULATION t (4-FEET WIDE, CENTERED OVER AIRLINE) WAS LASER DISTANCE t INSTALLED FROM HOUSE TO DRAINFIELD. METER. SWING-TIES TO INSTALLED DOUBLE HOUSE CORNERS CLEANOUTS (DBL1 & DBL2) I WERE GENERATED IN I A ! AUTOCAD. 1 NEW IM-540 INFILTRATOR LIFT I STATION INSTALLED. SEE � DRAWING, PAGE 3 OF 4. I 1 i �wGREEN I HOUSE M � �� EXISTING 1 4BEDROOMI MT2r:--taM"ri b 1 / HOUSE o I I \ \\ B ROBERT COWAN, P.E. TEST HOLE #1 LOCATION) (APPROX. I �\ 100' WELL RADIUS 50' WELL RADII FOR AWWTS iMT4iEXISTING 10' BY 36' INTERMITTENT DOSING SAND JMT3 FILTER (IDSF) WAS REBUILT. CONTRACTOR EXCAVATED ALL CONTAMINATED MATERIAL AND INSTALLED NEW / i MOA APPROVED IDSF SAND, PEA GRAVEL AND PIPING. % NEW DRAINFIELD DIMENSION IS 10'+ WIDE X 36'+ LONG. / SEE PROFILE DRAWING, PAGE 4 OF 4 / I � / FLUSHING VALVES t ♦; 0' UTILITY EASEMENT (REINSTALLED I ; ��•�aa All 4w C •'•.. •• Air iffARNE"4 SS ENGINEERING (11ROUIP, Ltd A • .... .:....!................:.....0 .r w ENGINEERING * SALES , CONSULTING � � � _ � u � �•••• .:m , ... rt u.n: �: 3701 E. TUDOR ROAD, SUITE 101 `ANCHORAGE, ALASKA" PHONE (907) 337.6179' WEBSITE. www.gamessengineeting.com /� • •+•s•'i�•••• • •� / . �!!!ig 0 Cfn'; arness/ �j PREPARED FOR: ONE NUMBER: T1907-885-4652 PAGE NUMBER: JOSH AND KATIE HUNT 2 OF 4 �,' � C�3 .••` �� ♦� • .• ✓I b� � �••� M•,��P�, �� PROJECT/LEGAL DESCRIPTION: LAKE RIDGE TERRACE; BLOCK 6, LOT 9 DRAWN BY: J.L.M.l•�'' TYPE OF WORK: DATE: LICENSE RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 8/16/2023 PERMIT NUMBER: PARCEL ID NUMBER: OSP231204 RECORD DRAWING 051-313-31 NEW REMOTE NEW SJE MONITORING RHOMBUS TIMED UNIT - SJE DOSE CONTROL RHOMBUS INFILTRATOR TANK NOTES: PER THE CONTRACTOR, ALL PIPE "XPERT ALERT" PANEL PENTRATIONS/JOINTS ASSOCIATED WITH THE INFILTRATOR OR EQUAL TANKS THAT MAY BE SUSCEPTIBLE TO INFILTRATION, WERE ENCASED IN BENTONITE CHIPS. OF MH = 97.72 FINAL @ MH = 97.39 ry o o l Q/2 N s✓J� WEEP HOLE 2" OF INSULATION PER CONTRACTOR TOP OF TANK = 94.32 �r TO DRAINFIELD I ® ® t-+6 ��+ �`� O TIMER OVERRIDE FLOAT. ALARM ACTIVATES 1� INLET _ @ 42.5" (TANK VOLUME = 460 GALLONS) pib- HIGH WATER ALARM FLOAT ACTIVATES @ 41.5" (TANK VOLUME = 450 GALLONS) INVERT OF PIPE @ INLET = 93.80—/TIMER ENABLE FLOAT DEACTIVATES @ 23.5" (TANK VOLUME = 229 GALLONS) IM -540 GALLON INFILTRATOR TAP GOULDS PE51M PUMP—' TWO (2) CINDER BLOCKS FOR PUMP STAND (PER CONTRACTO NOTE: PER THE CONTRACTOR, THERE WAS WAS -6-INCHES OF WATER IN THE TANK HOLE EXCAVATION DURING CONSTRUCTION WITH THE TANK HOLE BEING OPEN FOR 2 -DAYS. PER THE CONTRACTOR, THE TOP OF TANK WAS LEFT EXPOSED WITH NO WATER IN IT FOR ALMOST 2 -DAYS WITH NO ISSUES WITH FLOATATION. PROPOSED PUMP TANK FLOAT SETTINGS INFILTRATOR TANK MODEL IM -540 TOTAL CAPACITY 503 GALLONS WORKING CAPACITY 503 GALLONS INLET INVERT 47" TIMER OVERRIDE FLOAT 33'(-4l') HIGH WATER ALARM FLOAT 32'(-40') TIMER ENABLE FLOAT 17-(-25') FLOAT LEVELS ARE FROM BOTTOM OF PUMP ('MEASUREMENT FROM BOTTOM OF TANK). NOTE: MEASUREMENTS ARE WHERE THE FLOAT WIRE ATTACHES TO PIPING WITH A 3.5 INCH TETHER FROM PIPING TO FLOAT (PROVIDES 3" OPERATING RANGE). ALL FLOATS MUST BE NARROW ANGLE FLOATS. ♦' \ ,.......... . ��Tm, AW ....■:n..... ........ ............ ....� EN GINEERIING-SALES-C0N.SjULTING IM-l€w"I- .17.,�.6.,.;,� 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, ALASKA -PHONE (907) 337-6179' WEBSITE. www.gammengineeiing.eom u.ri':.... .•...• PREPARED FOR: PHONE NUMBER: PAGE NUMBER: # ey A. GEWness JW JOHN AND KATIE HUNT 907-885-4652 3 OF 4 �j��J, CE -79 3 ' = r. PROJECT/LEGAL DESCRIPTION: DRAWN BY: .. LAKE RIDGE TERRACE; BLOCK 6, LOT 9 J.L.M. ��j FD l�(�/"•• ••• ", �P� �� TYPE OF WORK: DATE: LICE SE � RECORD DRAWING OF IM -540 INFILTRATOR STEP TANK 8/16/2023 #AECC884 1 PERMIT NUMBER: PARCEL ID NUMBER: OSP231204 RECORD DRAWING 051-313-31 NEW AIRLINE (GEOFLOW) COIL SPACED AT APPROXIMATELY 2 FEET • MT1TI NEW 3/4" DIA. SCH. 40 PVC LATERALS (HOLES, SHIELDS, AND FLUSHING VALVES PER ORIGINAL DESIGN). PROVIDED 118" DIAMETER ORIFICES (FACED UP) AT 24" ON CENTER. PROVIDE ORIFICE SHIELDS. PROVIDED ONE ORIFICE FACING DOWN AT THE END OF EACH LATERAL SO PIPING CAN DRAIN { t—t—t--f--t—t—F {- i `�- — 37' INSTALLED 4" DIA. MONITORING TUBE AT EACH CORNER. SCH 40 DISCHARGE LINE FROM LIFT STATION. NOTE: PER THE CONTRACTOR (DENALI EXCAVATION), THE NEW OWNERS HAVE CONTRACTED A LANDSCAPE COMPANY TO ADD ADDITIONAL COVER (TOPSOIL), AND AND THEN SEED THE AREA. WORK TO BE DONE AFTER SALE OF HOME. 06 S 6" LAYER OF 3/8" PEA GRAVEL WITH THE PVC LATERALS BURIED APPROX. MIDWAY IN THE STRATUM. (GRAVEL BELOW PIPE = 0.35')— INVERT OF DIST. LINES = 97.81 TOP OF SAND FILTER = 97 4.16-5.41 FEET OF M.OA. APPROVED SAND FILTER NEW AIR LINE INSTALLED (-18"� BELOW TOP OF SAND) = 96.00t. LIMITS OF EXCAVATION = 92.09-93.34. ALL OF OLD SAND FILTER AND CONTAMINATED SOIL WAS REMOVED. BOTTOM OF BED SCARIFIED. (SEE NOTE) GROUNDWATER @ 91.60 ON 5/14/2021 & 5/20/2021 Vr PER ROBERT C. COWEN, P.E. TH#1 (USED SAME BENCHMARK AS HIS RECORD DRAWING) RE -INSTALLED EXISTING FLUSHING VALVES WITH PROTECTIVE COVERS (EXTEND ABOVE GRADE) - PLAN VIEW MT4 314" PVC LATERALS (TYP. 4) MM'Tf3 /-FINAL GRADE 7 7 7 / = 100.30-100.44 (' 11' WIDE PROFILE VIEW 11'x37' BOTTOMLESS ISF, NO LINER ON BOTTOM. NOTE: NEW TIMED CONTROL PANEL AND NEW AIR COMPRESSOR INSTALLED. 2.3 PSI ON PRESSURE GAUGE PER CONTRACTOR UPON COMPLETION. ATION PER CONTRACTOR TER FABRIC PER CONTRACTOR ,ENERAL GRADE PRIOR TO START OF INSTALL 6" MIN. STOP OLD M.O.A. SAND FILTER PER ROBERT C. COWEN, P.E. w RECORD DRAWING = 95.60 Q z� w ASSUMED ORIGINAL GRADE PER ROBERT C. COWEN, P.E. RECORD DRAWING = 94.60 a PONDED WATER= 93.21 SEE NOTE VOTE: CONTRACTOR EXCAVATED OLD IDSF AND REMOVED ALL OLD SAND/CONTAMINATED SOIL AND LEFT BED EXCAVATION OPEN FOR 4 -DAYS. PONDED WATER REMAINED IN SOME OF THE LOW LYING AREAS OF THE EXCAVATED BED FOR THESE 4 -DAYS (40 MINJINCH SOILS PER COWAN TEST HOLE). SHOT ELEVATION TO THIS LEVEL AND PROVIDED 4.3' SEPARATION FROM TOP OF SAND FILTER TO THIS PONDED WATER. ENGINEERING,,, SALES � CONSULTING 3701 E. TUDOR ROAD, SUITE 101 "ANCHORAGE, ALASKA' PHONE (907) 337-6179 " WEBSITE: w .gamessengineeringxom PREPARED FOR: JOSH AND KATIE HUNT PHONE NUMBER: 907-885-4652 PROJECT/LEGAL DESCRIPTION: LAKE RIDGE TERRACE; BLOCK 6, LOT 9 TYPE OF WORK: RECORD DRAWING OF REBUILD OF I.D.S.F. PAGE NUMBER: 40F4 DRAWN BY: J.L.M. DATE: 8/16/2023 OF Al \i CAV s LICENSE�ESS, �� • 1 I, #AECC884 iiCi 8/14/2023 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: OSP231204 Work Type: Septic Upgrade Tax Code Number: 05131331000 Site Legal Address: LAKE RIDGE TERRACE BLK 6 LT 9 G:0653 Site Mailing Address: 14800 TERRACE LN, Eagle River Owner: HUNT JOSHUA P & KATIE A Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date Expiration Date: TIN cnt S -0 O r v. Department Lot Size in Sq Ft: Total Bedrooms: 7/21/2023 7/20/2024 25800 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: Issued By: 1 Date: Date: 2t 223 i 4 Development Services Department Phone. 907-343-7904 On -Site Water & Wastewater Sectione Fa. 907-�43-- 997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-313-31 Property owner(s) JOSH & KATIE HUNT Day phone 907-885-4652 Mailing address 14800 TERRACE LANE, EAGLE RIVER, AK 99577 Site address 14800 TERRACE LANE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) LAKE RIDGE TERRACE; BLOCK 6, LOT 9 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field E] Initial ❑ Single Family (SF) x❑ Septic Tank El Upgrade E (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) El Privy ❑ Multiple Dwellings ❑ (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: y S Waiver Fees: Date of Payment: 711-z,1-2_-3 Date of Payment: Receipt Number: O' ( yLEG Receipt Number: Permit No. i'1 S F Z 3 / Z 01/ Waiver No. G\Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Z3 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231204, Curtis Townsend, 07/21/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231204, Curtis Townsend, 07/21/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231204, Curtis Townsend, 07/21/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231204, Curtis Townsend, 07/21/23 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231204, Curtis Townsend, 07/21/23 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GEIgE~L CONTM '~ e.-~,~,== July 26, 2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 34%7904 Ref: Request for 50% Permit Refund for Lake Ridge Terrace; Block 6, Lot 9, To whom it may concern: The subject property initially was believed to have been in a state of failure per a site inspection made by Gamess Engineering Group on May 13, 2010. A permit was granted to rebuild their drainfield by the MOA. During excavation it was noted that the existing drainfield was not surcharged but in fact dry and no biomat was observed. It was noted that the monitoring tubes that were previously installed in the dminfield were installed incorrectly and is the reason for the false assessment of the dminfield. The MOA engineer, Jeff Poet concurred that the drainfield did not have to be rebuilt and the owmer was advised to have new monitoring tubes installed correctly. Given the fact that the system did not need to be re-built, the MOA agreed to refund 50% of the permit fee ifa formal request was submitted. Please accept this as a formal request for the 50% permit refund. If you have anv~ q;~ons,i;__ please contact us at 337-6179. Silently, /i: \,, Thank you for your assistance. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 9950%1259 Ph: (907) 33%6179 * [:ax:' (907) 338-3246 * Website: www.garnessengineering.com On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP101080 Tax Code Number: 05131331000 Work Type: Septic Upgrade Permit Effective Dates: June 23, 2010 to June 23, 2011 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: LAKE RIDGE TERRACE Site Legal Address: LAKE RIDGE TERRACE BLK 6 LT 9 G:0653 Owner/Address: SCHMIDT MARK J & LYNN M 14800 TERRACE LANE EAGLE RIVER AK 995779243 Site Mailing Address: 14800 TERRACE LN, Eagle River Lot Size in Sq Ft: 25800 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERIVlIT APPLICATION FOR A SINGLE FAMILY DWELLING Property owner(s) LYNN SCHMIDT Day phone 517-6257 Mailing address 14800 TERRACE LANE, EAGLE RIVER, AK Site address Zip Code 99577 Legal description (Sub'd, Block & Lot) LAKE RIDGE TERRACE S/D; BLOCK 6, LOT 9 Legal description (Township, Section & Range) N/A Lot Size Sq. Ft. Number of Bedrooms 4 THIS APPLICATION IS FOR ( [~all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] 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. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: Date of Payment: Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: Municipality of Anchorage ..'::,~ Development Services Depadment ~ ~i:~'~ Bui d ng Safe y Division On-Sile Waler and Wastewater P~rogfam. 4700 S. Bragaw P.O. Box ~g6650 An~orage.~ 9951g-6650 Page ~.ctan~orage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PermR Number: ~otet~ PlO NumbeK J~"~0¢~,¢~ Z4~ ~¢~a~, ~ 9¢~ ABSORPTION FIELD LEGAL DESCRIPTION ~"'w~.0 ~,,,,. '-~----- ~r~vcf~ ~?¢,,. ~"'tal ,, 360 ,,, SEPARATION DISTANCES ~sepiic D Holding ~ S.T.E,P. ~ Othec To SepticAbsorption IlR Holding Pub~h ,.,- 55' ~' ss' V '"' ~b ~ ~'~- "~" BENCH MARK Enginee~s Stamp 5 & S ENGINEERING Inspections pedormed ~y ~,;. ~;_.,A=~ ~$~ Dates: 2~ ~'{/~0[ Develbpme~t Se~ices Department Approval Reviewed and approved by: Date: P£R,~[? r~o. SW010148 PACE 2 OF 3 . Muo~ipg_U .~y_o. F Anchor~Qe DEPARTMENT uP H~AL/H AND HUIVFAN SERVICES ENVIRONIVlENTAL SERVICES DIVISION P.O. Box 19G650 mAnchor~ge, Atosko 995t9-66~0 · TeteDhone~ 343-4744 ON-SITE WASTEW~TER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~CAL LOT 9, BLOCK 6, LAKE RIDGE TERRACE P.I.D. NO. 051-313--51 I ALTERNATE $1T£1 NEW 1500 GALLON HDP~ SEPTIC TANK- LIFT STATION- UNE vlT2 LOT £DCE OF GRAVEL ROAO--~? ~ 100' WELL RADIUS (,OLD) ,,. 'r-~ ~ 4 ~EDROOM HOUS~ 6' wooo ~'VI -FV4 10' UTILITY I I R- I I wi I LOT 7' WOOD FENCE-'~ EXISTING HOUSE ROBERT C. COWAN CE-8801 PERi, IT NO. 5W010148 Municip. o, ti't oF Anchor'o, Qe DEPARTMENT OF HEA~THAND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 IAnchop~ge, A~sk(1 99519-6650®Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL NSPECTION REPORT LECAL LOT 9, BLOCK 6, LAKE RIDGE TERRACE P.I.D. NO. 051--.315--51 FINAL GRADE-x ST1 ST2 C01 A~msut*r~° 2" INSUL · ~.,~u~.~ou,~ ~- 94.5' MTt=97.6"-X MTI /--FINAL GRADE I,{T2 /-l~T2=98.1' X .JcoL / ~ /-ORIGINAL GRADE ..... ~ t ~ /, A B FCO 50.5' 10.5' ST1 44.5' 54.5' ST2 47.0' 38.0' C01 50.5' 42.5' MH 52.5' 44.5' MT1 76.0' 67..5' MT2 87.0' 62.0' FV1 88.0' 6,3.0' ~V4 93.5' 70.0' GROUNDWATER AT 91.6' 81.6' B.O.H. To Whom It May Concern: From: Mike Lauer (Alaska Fitness #113941) 22506 Norton Ct Chugiak, AK 99567 This letter is to certify that the new sewage lift station that was install on 15 Dec 01, at Lot 9 Block 6 Lake ridge Terrace Subdivision Eagle Rive AK. The Electrical installation performed by an Electrical $oumeyman, meets 1999 NEC mud municipal codes. ( £rtifi£b rill[ing by SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2750 OWNER OF LAND: ~T~ .J'J/~4~'/-/-I]Le'~.3~o"J BORE HOLE DATA ADDRESS: '..~'~. /J~J3X <~ C/-jtd6t,,~. DEPTH LEG~ DESCRIPTION: Z ~ ~ ~ DATE: ~ T~ IDE~IFICATION NUMBER:. O~ - Is w~l ,~at~ at appmv~ pe~it ~t~? Met~ of ~illing: ~ta~ ~ ~ble t~l ~pth of well: '~W~ ~i~ Type ~Wall ~ick~ Di~et~ ~ ~ i~, depth ~singSlickup~oveO~nd:, ~ I~t Stat~ Wat~ L~el: lit R~ ~te: ~ gpm Met~ of T~ti~: ~1 ~ Well Intake Op~i~ Ty~: ~ o~n ~d ~hole ~ Scr~; Sta~ [~t Stop~ gP~atims Sta~ 7~ l~t Slo~ ~Type: E~ u'r~ ~u~ /.~ ~m. ~pth: Irom ~ f~t, lo~ ~ f~t Well Disinf~l~ U~ ~plet~? ~ Q No ~eth~ of Di~nf~l~: ~A~ Driller's Name AI-I'ENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Consen/ation. MUNICIPALITY OF ANCHORAGE Development Services 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 PERMIT Inltial Date Issued: May 31,2001 Expiration Date: May 31, 2002 Permit Number: SW010148 !'Legal Description: LAKE RIDGE TERRACE BLK 6 LT 9 Design Engineer: 0003 S & S Engineering Owner Name: PETER HALVERSON Owner Address: 14800TERRACE LANE CHUGIAK, AK 99567- Parcel ID: 051-313-31 Site Address: 014800 TERRACE LN Lot Size: 25800 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: [] Disposal Field [] SepticTank [] 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 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. 5. The following special provisions. AT THE TIME OF CONSTRUCTION THE ENGINEER SHALL PERFORM ADDITIONAL SOILS TESTING TO CONTAIN THE PROPOSED ABSORPTION BED AND UPGRADE SITE WITHIN THE 30 FEET RADIUS OF THE PERCOLATION TEST. Received By: Issued By: Date: Date: I-01 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0.¢'/ - 313- '5 / Property owner(s) ~O~-T~,~' /-//~ Z.¥ ¢~..~¢ Mailing address (1) I~ ~oo ~ A~c~ Mailing address (2) Legal description (Lot, B~ock & Sub'd.) ~ O Legal description (Section, Township & Range) Lot Size 3 ~ ~ o Acres~ Permit Number SW ~ Day phone ~-& ~_ Zip Code Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only Water Storage 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. S & S EHGINEERING ..~/~p ~ 17034 Eagle River Loop Rold No. 204 ,///~ ~. (Signature of property owner or authorized agent) Permit Fees: '~ Date of Payment: Receipt Number: (Rev. 12/00) Waiver Fees: Date of Payment: Receipt Number: Anchorage, AK. 99519 REFERENCE: Lot 9, Block 6, Lake Ridge Terrace S/D It is requested that you issue a permit to install a pressurized septic system (Intermittant Dosing Sand Filter') to serve the proposed 4 bedroom house on the referenced property. Test holes were excavated and percolation tests were performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation on 1/4/95 water was found at 7 feet, and after monitoring ground water for seven days water was found at 3 feet. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any ofthe adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. cc ojj Enclosure 17034 NORTH EAGLE RfVER LOOP * SUITE 204 * EAGLE RIVER. ALASKA 99577 ROBERT C. COWAN, P.E.. May 22, 2001 CML ENGINEERS (907) 694-2979 FAX (907) 694-1211 ~ii~' Ug I.D.S.F. CRITERIA: $.0' DEEP (REMOVE ORGANICS) 10' WIDE 56' LONG "~ LOT 9, BLOCK 6, B.J.J. R.C.C. DESIGN CRITERIA: 4 BDRM = 600 GPO SOILS = 2.0 GPD/SQ.FT. 600/2.0 = ,300 SQ.FT. REQ'D. &THI2 LAKE RIDGE TERRACE S 5-22-01 1 OF 2 LOT STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS ,SITE PLAN ARE AS SHOWN ON AN AS-BUILT SURVEY DRAWN BY: FLEMING SURVEYING SERVICES IT IS THE RESPONSIBILTIY Of THE CONTRACTOR TO VERIFY EASEIdENTS. REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. 100' WELL i PROPOSED 4 BEDROOM HOUSE e' wOOD VALVES 10' UTILITY REOUIRED TO OBTAIN PRIOR TO EXCAVATION WORK. LOT 10 7' WOOD F[NCE~ EXISTING HOUSE "~' LOT 9, BLOCK 6, B.J.J. [ R.C.C. DESIGN CRITERIA: 4 BDRM = 600 GPD SOILS = 2,0 GPD/SQ.FT, 600/2.0 = $00 SO.FT. REO'D. 10' BOTTOMI,ESS I.D.S.F. CRITERIA: LAKE RIDGE TERRACE S/D x 36' SAND FILTER PLAN DETAIL 1.0' DEEP (REMOVE ORGANICS 10' WIDE 56' LONG TYP. 36' Municipality o! Anchorage " DEPARTMENT OF HEALTH & HUMAN ~ERVIGE~ 825 "L" Street, Anchorage, Alaska 99502~650 ..~:~,..~..., SOILS LOG ~ PERCO~TION TEST FOR: ~ ~ [~.. ~.__(~ DATE PERFORmeD PERFORMED LEGAL DESCRIPTION: ~=~ ~ ~ ~ ~ ~ownship, Range, Section: ~ ~ ~ SLOPE SITE PLAN 1 3- = ~' $ ' c'/.~*/o I 4- 5 6 7 8 g 10- 11 13 14- 15- 16 17 18 19 20- WAS GROUND WATER ENCOUNTERED? s IF YES. AT WHAT I L DEPT.? "/ E Depth th Waa* Nt~r M~mit~ing? "1 Dale: Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE 4 C) (mtnute~'mch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FT AND ~' FT COMMENTS S & $ ENGIN£ERIN~ PERFORMED BY: 17034 ~c~!c ~-¥'-" I ~ '~,,,4 M~ ~ ~ ~ p CERTIFY THAT~HIS T~ST WAS PERFORMED IN ACCORDANCE WITH ~~,~A~GUIDELINES IN EFFECT ON THIS DATE. DATE:' ~ /fl / q ~ 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG m PERCOLATION TEST LEGAL DESCRIPTION: ~ ~ ~ L~ L..~cf~.[.,c,~,r~ownship, Range. Section: O~- .~.~.~.g... SLOPE SITE PLAN 1 4 5 6 7 8 9 10- 11 13- 14- 15- 16 17 18 19 2O WAS GROUND WATER ENCOUNTERED? DEPTH? 8epth t~ WalE' N~r Mo~it~in0? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE - ~- Im~nutes/mch) PERC HOLE DIAMETER TEST RUN BETWEEN ~'-- FT AND 'g~ FT COMMENTS PERFORMED BY: 1?ri't4 ;,~I. River Loo~ Road Ne. 9Oq ~*',~,~,~,Jl~ CERTIFY THAT T~ TE~ W~ PERFORMED IN E~le Rlve~. Aras,. 99~77 ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 724308 (Rev. 4/85) .~ '~,, ~_/;~ ?...,-~'~.~ · Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES ...r/~,,.~ SOILS LOG PERCOLATION TEST "~'~Z~"x~-'''~''--' ..... ~'~ LEGAL DESCRIPTION: ~ ~ ~ ~ ~o~T°wnship' Range, Section: 1 2 3- 4- 5- 6- 7- 8- 9- 10 11 12 13 14- 15. 17- 18- 19- 20- SLOPE SITE PLAN WAS GROUND WATER ~_.~ ENCOUNTERED? IF YES. AT WHAT '~ I ~' DEPTH? pO :3/ ~-.l~_~l E Oepm to Wa~ ~er I U~in;? ~ Dart t- t~ -q ~ Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE 4 C) (m~nuteS~mch) PERC HOLE DIAMETER TEST RUN BETWEEN ~' FT AND "~ FT COMMENTS S & S ENGINEERIN~ PERFORMED BY: 17C.e~ ~'3.~!: ?_!Ye? I ~ ~aad ~a ~ ~ P CERTIFY THAT~HIS T/ST W~ PERFORMED IN Acco~o*.cE W,T. ~~,~GU~OEU.ES,. E~ECT O. ~.,S DATE. O*T~' ~ /~ / q~ 72~08 (Re~. ,4,'65) MUNICIPALITY OF ANCHORAGE Depa~trnent 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 WATER SUPPLY PERMIT Renewal Date Issued: Apr 05, 2000 Expiration Date: Apr 05, 2001 Permit Number: SW000043 Legal Description: LAKE RIDGE TERRACE BLK 6 LT 9 Design Engineer: 0003 S & S Engineering Owner Name: Aquilla Partners Owner Address: 20214 Upper GreaUand Dr. Chugiak, AK 99567-6328 Parcel iD: 051-313-31 Site Address: 014800 TERRACE LN Lot Size: 25800 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] SepticTank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. Ail 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 soll 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. MUNICIPALITY OF ANCHORAGE Department of Health and Human Sen,,fces On-Site Services Program 825 L Street, Room 502 P.O. Box 196650. Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WATER SUPPLY PERMIT Upgrade Date Issued: Mar 08, 1999 Expiration Date: Mar 07, 2000 Permit Number: SW990027 Legal Description: LAKE RIDGE TERRACE BLK 6 LT 9 Design Engineer:. 0000 None Required Owner Name: Aquilla Partners Owner Address: 20214 Upper Greatland Dr. Chugiak, AK 99567-6328 Parcel ID: 051-313-31 Site Address: 014800 TERRACE LN Lot Size: 25800 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 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. 5. The following special provisions. This permit is for an exploratory well. The water production of the well located in the North East comer is insufficient. Once water production is found to be adequate, the well shall be temporarily decomissioned as per AMC 15.55 until an approved wastewater disposal system is constructed on lhe property. BED CRITERIA: 2' DEEP INSTALL 6" SEWER ROCK OVER & UNDER DIST, PIPES INSTALL 2" DIRECT BURIAL INSULATION INSTALL FILTER FABRIC PLACE MINIMUM 2' COVER OVER SYSTEM DIMENSIONS: 18' x 84' 1512 TOTAL SQ,FT. 1,0T 9, BLOCK 6. LAKE RII)GE TERR,A..CE S/I DESIGN CRITERIA: STRUCTURES, EASEMENTS, OR ENCROACHMENTS ............... SHOWN ON THIS SITE PLAN ARE AS SHOWN ON $ BDRM = 450 GPD AN AS-BUILT SURVEY DRAWN BY: SOILS = 0.5 GPD/SQ.FT. FLEMING SURVEYING SERVIC£S 450/0.5 = 1500 SQ.FT. REQ'D. ~T IS TIlE RESPONSlBILTIY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. 100' WELL RADIUS'- LOT 8 EDGE or o v[L I rid. MIN. DISTRIBUTION DATA: 50 GPM PUMP (5) I"~ LAT. 0 80' LONG = 10 GPM/LAT. 22 HOLES/LATERAL (5.7' O.C.) 66 HOLES TOTAL = 0.44 GPM/HOLE 1/_8'e HOLES FACED DOWNWARD l"e LATERALS 2"~ SOLID MANIFOLD PROPOSED $ BEDROOM HOUSE SITE 6' WOOD PROPOSED PROPOSED PUMP BASIN SEPTIC TANK 10' UTILITY EASEMENT CONTRACTOR I$ REQUIRED TO OBTAIN UTIUTY LOCATES PRIOR 10 ANY EXCAVATION LOT 10 7' WOOD FENCE-~ EXISTING HOUSE ~erino 450/0.3 BED CRITERIA: 2' DEEP '~" l,OT 9, BLOCK 6, B.J.J. I R.C.C. DESIGN CRITERIA: '3 BDRId = 450 GPD SOILS = 0.3 GPD/SQ.FT, = 1500 SQ,FT, REQ'D. I,AKE RIDGE I'~'~:: 2-8-01 TERRACE S/I) ]~.tu: 2 OF 2 CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION INSTALL 6" SEWER ROCK OVER ~--FINAL CRAOE WORK. & UNDER DIST. PIPES / INSTALL 2" DIRECT BURIAL INSULATION / /-MOUNDED SOIL COVER . INSTALL FILTER FABRIC MOUND SLOP[ NOT FILTER ] / 1' OmA. SCH 40 4 PERFORATED MONITOR proP[ ~, *~r *qNiMHM 2' COVER OVER SYSTEM TO EXCEED 3;1~ rABRIC~ ~//~ ~VC ~TtaA~ q ~ MOUNO SLOP[ NOt ~'~'~"~ ~18' x 84' ~ ~ ~* - / ~'~'°""~l Il /TO ;XC([O 3:t DISTRIBUTION DATA. I ~ o.,...~,,v, L~., ~,~o,0 I 1 / 66 HOLES TOTAL = 0.44 CPM/HOLE / 1/8"e HOLES FACED DOWNWARD 1"~ ~TERALS 2"~ SOLID MANIFOLD 84' : ~I- 5.7' HOLE ........... --{ .,. , ............................. ...... 2"~ MANiVOL~ ~ { /' 1/8'~ HOLES 4' PERFORATED 2.0' FACING DOWN MONI~ORING P~PE (TYP.) / (~P. 2) 1 1/4"e PVC (SCH, 40) Municipali of Anchorage Flick Mystrorn, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 March 1, 1996 Peter F Halverson Darlene A Halverson 20214 Upper Greatland Drive Chugiak, Alaska 99567 6328 subject: Lot 9 BLock 6 Lake Ridge Terrace Subdivision Permit %SW950022, PID %051-313-31 The subject permit, issued February 23, 1995 by this office for a single family well and/or on-site wastewater system, has expired as of February 23, 1996. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as-built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Program Manager On-site Services Copy of Permit Attached cc: S & S Engineering MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950022 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:HALVERSON PETER F & DARLENE A OWNER ADDRESS:14800 TERRACE LN EAGLE RIVER, ALASKA 99577 DATE ISSUED: 2/23/95 EXPIRATION DATE: PARCEL ID:05131331 LEGAL DESCRIPTION: ~ LAKE RIDGE TERRACE BLK ' 6 LT 9 t LOT SIZE: 25800 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 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 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. 1 OF 2123/96 SPECIAL PROVI~.~ ~ RECEIVED BY: ///~ ~, ~ DATE: 2 -- 2 ROBERTC. COWAN, RE. ROBERTA. SHAFER. RE. 1995 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SOILTEST UUNZCIPALZT¥ OF ANCHORAGE P.O. Box 196650 An~or~gc, AK 995~9 REFERENCE= Lot 9; B~ck 6; L~ke ~dge T~ce S~b~u~lon A te6t hole ~6 ~c~va~ed a~d ~ p~coL~t/on te6t p~fo~med. The approximate Zoc~Zon of the t~t hole Z6 located on the a~t~c~ed 6Lte p~n. found a~ 7 feet a~d 7 ~e~t r~6pec~ue~V. ~een on the ~U~ched ~e the Z~o~ o{ the proposed ~ep~Lc ~F~. Thee o{ ~:mi~u~o~ ~L~ the the aXJ~ched ~Lte p~n. The propo6ed 1250 9~on S.T.E.P. 6v6tcm ~6 to be be p~ced ouJ~lde the ~protec~Zue ~dZu~. A~t~c~d Z6 ~ 6Lte p,Ean ~h~.ch depict6 the ~o~o~ o{ the propo~e8 ~. Should ~oa req.ire addZ~o~ i~fo~m~on pl~e do aot he~i~a~e to co.ct u~. ROBERT C. COO]AN RCC/gE 17034 NORTH EAGLE RIVER LOOP ,, SUffE 204 ,, EAGLE RIVER, ALASKA 99577 3NVl NV-Id ':Ills J o JDRAWN j. ANDERSON RIDGF TERRACF SURD.. BLOCK 6- LOT 9 ICKD. R.L.S. J DATE1/20/95 / E~DS CAPPED(TYP.) 65' MONITOR TUBE (TY~.~ 3/16' DIA. HOES FACED DETAIL J SHT'2 OF 2 / o / / / / / / DIA. FI~OM S.T.E.P. FROM S.T.E.P. DIA. SOLID }&tNIFOLD DIA. LATEIJAI2 TOPSOIL & SEED INSUlaTION FILTER FABRIC--,...~ IMPERMEABLE BARRIER %. o o o o o ~H o ~ ~-.~ _ ~"~DIST. PIPES LAID ~ CROSS SECTION s~. ~oc~. ~' ~. ~ Z O~S Ol~. PIPES by SULLIVAN WATER WELLS P.O. a OX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688.2759 OWNER OF LAND 'J~ ADDRESS LEGAL DESCRIPTION Z~.'~' ~t .~,/./~ DATE - Started Ended PEILM IT NUMBER /" 0¢'",.,/.,~ '~,,~,,-.) DEPTH OF '.','ELL C'~ ~ ~ ~/'/'7', ~. STATIC LEVEL OF WATER Fr. '"~.~ [IXZ) OF CASIXG ~ ~ () O KIND OF FORMATION: From .C' Ft. lo :' Ft. From '~- Ft. to . From "~ Ft. to / ~ Ft. From___FI. to Ft.. From / .:7' Ft. to ~--0 Ft From '~'"~ Ft. to (' O Ft. From~FL to__Ft. From '~ '-q FI. to '-7 :i From ' ' :-' Ft. to Ft. From ]O~ Ft. to]"~O FI. From__ Ft. to From.~.FI. to cc/ 'r ,,¢; From__rt. to From Ft. to From Ft. lo From FI. lo From Ft. to Ft. lo__Ft. Ft. fo.__Ft. Ft. to Ft. Ft. Io~Ft, FI. h) , Fl Ft. to FI. Ft, to__FI. Ft. FI, Ft. FI From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From From From ___Fi to__Ft D-- F,.,o ' r,. ,o__r1_~71996 · MunicipalitY of Anchorage Dept. Health & Human Ser~ ce~ DRILLER'S NAME '~, '~ f' MUNICIPALITY OF ANCHORAGE Development Services Department <! Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 051-313-31 Certificate of On -Site Systems Approval Expiration Date: �� f! 76 -2- o - 2, 3 Legal description LAKE RIDGE TERRACE BLK 6 LT 9 Site address 14800 TERRACE LN Eagle River AK Current property owner(s) JOSHUA & KATIE HUNT X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 8/18/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovWjune 2022 Vii.) ^_. 5 MUNMPAUTY OF ANCHORAGE t� �x Development Services Department - Phone. 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-313-31 Complete legal description LAKE RIDGE TERRACE; BLOCK 6, LOT 9 Location (site address) 14800 TERRACE LANE, EAGLE RIVER, AK 99577 Current property owner(s) JOSH & KATIE HUNT 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 907-885-4652 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: ❑Q Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel FR Plastic ❑ Concrete ❑ Fiberglass Age 22/NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑® AWWTS ❑ 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 Waiver Fee $ Date of Payment Date of Payment COSA # Waiver # COSAApplica6on June 2022 ttA COSA Checklist Legal Description: LAKE RIDGE TERRACE; BLOCK 6, LOT 9 Parcel ID: 051-313-31 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA Al Well log is filed with Onsite (or attached) Date drilled 4/5/2000 Total depth 240 ft Cased to 121 ft ❑■ Sanitary seal is functioning correctly A Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/26/23 Static water level at beginning of test 77.1 ft. Comments Well production at time of test 4.7+ gpm Water storage tank volume NONE gallons Well disinfected for coliform test? ❑ Yes ® No B Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by GEG, LTD. Date 6/26/23 Prz r�4 P :iL 5 +7 " B. TANK DATA it C. LIFT STATION Measured operating fluid level in septic tank 43" A Required maintenance completed Date of pumping 8/2/2023 Age of lift station NEW years R Required maintenance completed, if AWWTS Comments: IDSF REBUILT D. ABSORPTION FIELD DATA Which system tested (date installed) 8/3-8/23 0 ALL standpipes present per record drawing Total measured depth from grade 2.9 ft (max) Measured depth to pipe invert from grade ft (min) R N/A —pressurized field. X Per record drawings, field is insulated. R 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) NONE If yes, enter date Lift station material PLASTIC Comments: NEW PUMP STATION ADDED 8/3/2023 Adequacy test date N/A - NEW Results Q Pass Fluid depth prior to test NEW in Water added NEW gal New fluid depth NEW in Elapsed time NEW min Final fluid depth NEW in Absorption rate NEW I gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 4.2 in Effective depth used 0 in Effective depth remaining 4.2 in Comments/Deficiencies: NEW TIMED CONTROL PANEL AND NEW AIR COMPRESSOR INSTALLED. 2.3 PSI ON PRESSURE GAUGE FOR AIR LINE AND AIR COMPRESSOR EQUIPPED WITH ALARM PER THE CONTRACTOR. 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' *50+ Community Sewer Manhole/Cleanout > 100' MYes if No ft ❑� Yes if No ft Neighboring Tank > 100' ❑n Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No *50+ ft Holding Tank > 100' 0 Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft R Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' 0 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' M Yes if No ft Surface Water > 100' ❑ Yes if No *50+ ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' Di Yes if No ft Wells on Adjacent Lots: M Yes if No ft Private Wells > 100' Yes if No ft [j] Yes if No ft Community Wells > 200' [:]Yes if No *50+ ft ■❑ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *THIS IS AN INTERMITTENT DOSING SAND FILTER (I.D.S.F.) WITH AN SJE RHOMBUS "XPERT ALERT" ALARM SYSTEM. TIMER SETTINGS WERE SET AT 1 MINUTES "ON" AND 40 MINUTES "OFF" IN NORMAL MODE, AND 2 MINUTES "ON" AND 40 MINUTES "OFF" IN OVERRIDE MODE. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Gamess Engineering Group, LTD. (GEG) Phone 907-337-6179 Engineer's Printed Name Jeffrev A. Garness Date 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 Qg400�O 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 o exist that were not identified during the evaluation. The operational life of all wells and septic systems depend O 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 * : " T �* the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not .d ..... ........:....i guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding Q 3 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 J / Go ness: G adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG CE 73 to perform the evaluation. Reliance upon the information provided in this report by any other person or party 9 (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. �4 e �• 4 Ao LICENS��a Pro f e s s;0 '0' COSA Checklist—June 2022 #AECCB84 1 Townsend, Curtis L. From:Jeff Garness <Jeff@garnessengineering.com> Sent:Thursday, August 17, 2023 7:09 PM To:Townsend, Curtis L. Cc:Jody Maus; Sonja Blewett Subject:RUSH COSA - Lakeridge Terrace, B6, L9 [EXTERNAL EMAIL] CurƟs, Regarding the 1300‐gallon Premier PlasƟc sepƟc tank (installed 2001) ‐ 1. The iniƟal liquid depth (noted on the COSA) was taken by our least senior Engineer Tech. 2. I sent Jody Maus out to the property today (8/17/23) and he noted the following:  There was 45” of liquid in ST2  He also shot the elevaƟon at the boƩom of the tank through ST1 and ST2 and determined that the tank is 0.30’ out of level……….dropping towards the tank outlet Although the levelness of the tank is not ideal, it is not likely to have any signiﬁcant adverse impact on the system performance. It has likely been like this since installed in 2001. The fact that the tank had liquid in it today was surprising, given the fact that it was reportedly pumped (see receipt submiƩed with COSA) on 8/2/23 and the house has been mostly vacant since that Ɵme. We contacted the pumper, and he reached out to his employee that did the pumping. On 8/2/23 only the 24‐inch diameter pump vault was pumped out. Jake (the pumper did not know that when he prepared the pumping receipt). The tank was reported to have been pumped later today (8/17/23). Please call me if you have any quesƟons. I will be out of the office on Friday but will be available on my cell phone. jeff Jeffrey A. Garness, P.E., M.S. President Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 Mobile: (907) 244- 9612 Website: www.garnessengineering.com LEGEND NOTES: 1. FENCE APPEARS TO CROSS LOT LINES. 2. DRIVEWAY CROSSES LOT LINES AND APPEARS TO BE A SHARED DRIVEWAY. r) i 49' I H STEVEN CALLAGIAN r LS -12034 `� •8/14/2023•'• �,�G LOT 8 N89° 40' 00"W 200.00' �x�x �xxx Yx�,x�� 30' I I SHED 1 ;'x12' / M c ` GAZEBO ` GREEN N i HOUSE LOT 9 34.0' Li 12'x12' r� 2C) 3:0' u i `0l �� J }' �: 1 i r MH � uXISTO55.o LLJ U .oo OUSE I �> N I 7 CO F 20.0' N 2 N I_ o c I O I I G CO s I 26.0' � 0 (n I / I ed' e� �I � I \c' - ��' X 10' UTILITY EASEMENT x x S89° 54' 00"E 200.00' SURVEY CERTIFICATION: I HEREBY CERTIFY THAT A MORTGAGE LOCATION SURVEY WAS PERFORMED ON THE DESCRIBED PROPERTY AND STEVEN CALLAGHAN, LAND SURVEYOR, PREPARED IN ACCORDANCE WITH AK PLS No. 12034 THE ASPLS MORTGAGE LOCATION 200 WEST 34TII AVE, #967 ANCHORAGE, SURVEY STANDARDS. ALASKA 99503 PHONE: 907-529-2446 THIS MORTGAGE LOCATION! SURVEY WAS PREPARED FOR JOSH AND KATY HUNT. AND IT SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. RE -USE OR MODIFICATION OF THIS DRAWING BY THE ORIGINAL CLIEiNT OR BY OTHERS, FOR ADDITIONAL USES AT A LATER DATE WITHOUT EXPRESS CONSENT OF SURVEYOR IS A VIOLATION OF FEDERAL COPYRIGHT LAW. 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. LOT 10 0 30 60' SCALE: 1 "= 60' SCALE: AS SHOWN I I ,JOB NUMBER: 23002 PARCEL NUMBER: 05131331000 DRAWN BY: API CHECKED BY: SC I ORDERED BY: KAREN ROSS '14-800 TERRACE LANE EXCLUSION NOTES IT IS THE O4WIERS' RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EAGLE RIVER, ALASKA, 99603 EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. THIS MORTGAGE LOCATION SURVEY IS A REPRESENTATION OF THE CONDITIONS THAT WERE LOT 9, BLOCK 6 FOUND AT THE TIME THIS SURVEY WAS PERFORMED AND DOES NOT CONSTITUTE A BOUNDARY SURVEY , AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. LAKE RIDGE TERRACE SUBDIVISION UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES, OR FOR PLOT -PLAN PURPOSES. AS -BUILT SITE INFORMATION: AREA: 25,800 SQUARE FEET PLAT: P-549 GRID: NW0653 ZONING: CE—R2A OWNER: JOSHUA AND KATIE HUNT DATE: 8-14-2023 1 SHEET: 1 of 1 SUBJECT LOT, 14800 TERRACE LANE ADJACENT LOT LINE — — — — EASEMENT �pholi - STREET CENTERLINE f .`Concrete x FENCE -0vencang 8 ° DRIVEW Y SLOPE MH SEPTIC ACCESS MANHOLE W)i DRIVEWAY SLOPE # CO SEPTIC CLEANOUT NOTES: 1. FENCE APPEARS TO CROSS LOT LINES. 2. DRIVEWAY CROSSES LOT LINES AND APPEARS TO BE A SHARED DRIVEWAY. r) i 49' I H STEVEN CALLAGIAN r LS -12034 `� •8/14/2023•'• �,�G LOT 8 N89° 40' 00"W 200.00' �x�x �xxx Yx�,x�� 30' I I SHED 1 ;'x12' / M c ` GAZEBO ` GREEN N i HOUSE LOT 9 34.0' Li 12'x12' r� 2C) 3:0' u i `0l �� J }' �: 1 i r MH � uXISTO55.o LLJ U .oo OUSE I �> N I 7 CO F 20.0' N 2 N I_ o c I O I I G CO s I 26.0' � 0 (n I / I ed' e� �I � I \c' - ��' X 10' UTILITY EASEMENT x x S89° 54' 00"E 200.00' SURVEY CERTIFICATION: I HEREBY CERTIFY THAT A MORTGAGE LOCATION SURVEY WAS PERFORMED ON THE DESCRIBED PROPERTY AND STEVEN CALLAGHAN, LAND SURVEYOR, PREPARED IN ACCORDANCE WITH AK PLS No. 12034 THE ASPLS MORTGAGE LOCATION 200 WEST 34TII AVE, #967 ANCHORAGE, SURVEY STANDARDS. ALASKA 99503 PHONE: 907-529-2446 THIS MORTGAGE LOCATION! SURVEY WAS PREPARED FOR JOSH AND KATY HUNT. AND IT SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. RE -USE OR MODIFICATION OF THIS DRAWING BY THE ORIGINAL CLIEiNT OR BY OTHERS, FOR ADDITIONAL USES AT A LATER DATE WITHOUT EXPRESS CONSENT OF SURVEYOR IS A VIOLATION OF FEDERAL COPYRIGHT LAW. 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. LOT 10 0 30 60' SCALE: 1 "= 60' SCALE: AS SHOWN I I ,JOB NUMBER: 23002 PARCEL NUMBER: 05131331000 DRAWN BY: API CHECKED BY: SC I ORDERED BY: KAREN ROSS '14-800 TERRACE LANE EXCLUSION NOTES IT IS THE O4WIERS' RESPONSIBILITY TO DETERMINE THE EXISTENCE OF ANY EAGLE RIVER, ALASKA, 99603 EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. THIS MORTGAGE LOCATION SURVEY IS A REPRESENTATION OF THE CONDITIONS THAT WERE LOT 9, BLOCK 6 FOUND AT THE TIME THIS SURVEY WAS PERFORMED AND DOES NOT CONSTITUTE A BOUNDARY SURVEY , AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. LAKE RIDGE TERRACE SUBDIVISION UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION, FOR ESTABLISHING PROPERTY LINES, OR FOR PLOT -PLAN PURPOSES. AS -BUILT SITE INFORMATION: AREA: 25,800 SQUARE FEET PLAT: P-549 GRID: NW0653 ZONING: CE—R2A OWNER: JOSHUA AND KATIE HUNT DATE: 8-14-2023 1 SHEET: 1 of 1 • • •t1c� Municipality of Anchorage '''e ri.::it�i2.;.::(._.to lv`' On-Site Water and Wastewater Program (907) 343-7904 SA f f T v Certificate of On-Site Systems Approval Parcel I.D. 051 -313- 3 ) - Expiration Date: l_ H01 1. GENERAL INFORMATION f ,, Complete legal description i_kRi'd, e, tiri Ce 1310 G� pl �Dt Location (site address) 11-800 Terga.GL L a n e Current Property owner(s) 1<e-an 1-Le 4 h 1/t k Day phone R 0 7 3S` -?6 l4' Mailing address 1 &U0 ! erl'act /-41,1c. Eq,f e River i -ic q q,5 77' • Real Estate Agent Am( UI kf 13 I rt;h l-ee - AC4 i / Day phone 1 (5 7214-335,C 2. TYPE OF DWELLING: 5 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 1' 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [ Individual X Individual Water Storage ❑ Holding Tank •. •❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer Cl WaiverNariance request for: Distance: Received by: joayr Date: y - 1 COSA to be released to theta,unless otherwise requested by the engineer. COSA Fee $ 5a (, ! Waiver Fee $ Date of Payment 9/ 55/I 2 Date of Payment Receipt Number /�,C# aS O -I5 Receipt Number (J COSA# C a 1 6-70 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 Gary so/in 1 p. C(T Q 7-3 3 9-/3O r( /� t� Phone Address 3 ZOI ID I'cIc5In O; Ahc(lorage4V K `T�54- Engineer's Printed Name Gary t . S'm j/ ) . Date S t 2I' 2O 'I'S biz;lv+ytl o., 4«vuegt e "I c)(tro, 'hV' COn I I CAC o.1 Vk © I l� � y5. � '�`" 5 �t da1L �� i^�Zre te9Tf� �j �l cVnciik cko(;ArfteA eq, 1 Ih5 :n pe_f�r_lvn °toFS Aot OASTI't�dle a iwir= 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 �uL 1ely� Itit%ce 13 lock 6 w�ctI9t8CO T�roce ``� Parcel ID: 05 1 .313 -'3 Legal Description. / , A. WELL DATA�n �( Well type Y"ro`i � If A, B, or C provide PWSID# Well Log (Y/N) Date completed 3) 11?vJ) Sanitary seal (Y/N) y Wires properly protected (Y/N) f Total depth?+0 ft. Cased to (21 ft. Casing height(above ground) /8 in. FROM WELL LOG AT INSPECTION Date of test. '31112001 cj �l q/20! 8 Static water level I 1 7 ft. 11 6 ft. Well production 3 g.p.m. 1 0 g.p.m. WATER SAMPLE RESULTS: l t Coliform 1`F�� colonies/100 mL Nitrate 1\1D. mg/L Arsenic IVP ug/L . Date of sample: 1121) 2019 Collected by: & 1'y -CO1 B. SEPTIC/HOLDING TANK DATA Tank Type/Material 5ep1i t- )1-! D P E Date installed qii /20/ Tank size 1300 gal. Number of Compartments 2 Cleanouts(Y/N) f Foundation cleanout(Y/N) ( Depression over tank(Y/N) KI High water alarm (Y/N) N V Date of pumping 9i161201 8 Pumper S C. ABSORPTION FIELD DATA Date installed(40)20°I Soil rating (g.p.d./ft2 or ft2/bdrm) 2• d System type 1 QS Length 3 6 ft. Width 10 ft. Gravel below pipe 0. 05 ft. Total depth 4 ft. Eff. alprption area 36C ft2 Monitoring tube Y Depression over field h1 Date of adequacy test g1Z0)201.13 . Results (Pass/Fail) puss For 4 bedrooms Fluid depth in absorption field before testddrY in. Water added cU 5° gal. New depth a 8 in. Elapsed Time: 10 min. Final fluid depthOry in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment(past 12.mo.) (Y/N & type)_ r V If yes, give date D. LIFT STATION Date installed 002061 Size in gallons 2 8 D Manhole/Access (Y/N) Yes "Pump on"level at 4 7 in. "Pump ofr level at 5 Z in. High water alarm level at 44- in. Datum' o{- owl kOk Cycles tested Meets alarm&circuit requirements? VPS E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 7 f©0 ct On adjacent lots %' /© o `� Absorption field on lot 7 1 t6 0 On adjacent lots 7 / 00 ``i Public sewer main M 11'1 Public sewer manhole/cleanout . �` A Sewer/septic service line 7 25- -(fit Holding tank 7 100 �t Animal containment areas 7 513 Manure/animal excrete storage areas 100 'Ct. SEPTIC/HOLDING TANK ON LOT TO: Building foundation 7 10 ('I Property line '7 5 C4 Absorption field '7 5 Water main 7 1 0 '(t Water service line ' J rT Surface water 7 /00 r� Wells on adjacent lots 100 o �f tri' 7ie 4,.,4y 1 AtJ'l nJc '7 5o 'r-f ABSORPTION FIELD ON LOT TO: Property line 7 10 cis Building foundation 7 10 I'r Water main i Water Service line 7 Pt Surface water 7 100 �.f Driveway, parking/vehicle storage > r/ Curtain drainli`e)At 164100 V) Wells on adjacent lots 7 l 00 P' F. COMMENTS 5�5�e'� r 04SOa�� Z�U U al v\tw ctif'O)00crlcoMpfessar - t 06111 I Ick i/29)2o1e) Ped j 114 s'e11.0n, yew A ars) and ner► .00A'}✓41 10 3)24?0),6) At )t CV- 5tgtl'n Pang c,Ace Pew 41 cit /27115 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and QF A �i review of Municipal records that the above systems are in r •.•••'°••t""I� 04 conformance with MOA COSA guidelines in effect on this date. / ;° ..:z-v ' trot-4f Engineer's Printed Name6-0111 )In • 0••• ,. • Date . . 24 24 ;•••. Y SOLIN t ' '•e. GE -6585 iNh'erofessios\ •47 COSA yellow sheet_2-6-15.doc Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 Parcel I.D. o5~-3x3-3~ GENERAL INFORMATION Complete legal description CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING ,~ ~ ~ ~ ~:~ ~ Expiration Date: ~/.~?;/?/ Lake Ridge Terrace, BIk 6, Lot 9 Location (site address) z48ooTerrace Lane Current Property owner(s) MARK 8, LYNN $CHMIDT Mailing address z48oo TERRACE LANE Day phone (9o7) 35o-83.56 Lending agency Mailing address Day phone Real Estate Agent Mailing Address Jim Gribben ! Prudential Jack White Day phone 273-723/+' Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 6 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank [] [] Community On-site r-] [] Public Sewer r'-] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Pannone Engineering Services, LLC Phone 272-82~.8 Address P.O. Box ~oo2~_7, Anchorage, AK 995~o Engineer's Printed Name Steven R. Pannone, P.E. Date 2/28/2011 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the familv beino served b,~ the s,,stem These conditions are outside the control of the evaluator of this system. All systems eventuallv fail and satisfactory test results do not guarantee future perfmTnance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future ~......"~~ ....... ~.....~, performance nor give any estimate of how long the system will continue to meet the operational ~ reqmrements of the MOA DSD. The content of this report is for the sole benefit of the owner listed ~~"o'~"e?~ above Anyrehanceu on or use ofth~s re ortb an other · ' P ' P Y Y person or party is not authorized nor will it ~-~9~"-, No.C£ $~49 ..:'~ confer any legal right whatsoever, e~'-'2~.... I/~,,,~// ,..",~'~ 5 DSD SIGNATURE Approved for /--/ bedrooms· Disapproved· Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: .~/~, ~.~ / Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Lake Ridge Terrace~ BIk 6~ Lot 9 IfA, B, or C provide PWSID #~ Sanitary seal (Y/N) Y Cased to x2a ft. FROM WELL LOG ~1',1',oo', Legal Description: WELL DATA Well type Private Date completed ~1.,12oo~ Total depth 2~ro ft. Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Arsenic: ~ ug/I SEPTIC/HOLDING TANK DATA Tank Type/Material Primier Plastics/HDPE g.p.m. Nitrate ND mg/L Date of sample: 2/a8/2oaa Tank size ~]oo gal. Foundation cleanout (Y--/N) Y Date of p~mping ?/azJ2e=.e C. ABSORPTION FIELD DATA Number of Compartments _= Depression over tank (Y/N) N Pumper JR's Pumping ParcellD: on=-~z~-~z Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) AT INSPECTION 8a ff. . ~r.2 g.p.m. in. Date installed 81==12oo~ Soil rating (g.p.d./~ or ft2/bdrm) 2.0 Length 96 ft. Width Total depth _~ ft. Eft. absorption area 360 ft2 Date of adequacy test 71az/2ozo Results (Pass/Fail) __ Fluid depth in absorption field before test _o in. Elapsed Time: _o min. Final fluid depth Dry in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N Other bacteria Neg colonies/100 mL Collected by: DRM Date installed Cleanouts (Y/N) Y High water alarm (Y/N) N System type IDSF ft. ,Gravel below pipe 0.25 Monitoring tube Y Depression over field N, Pass For ~, bedrooms Water added6oo gal. Absorption rate >= 6oo+ If yes, give date New depth_o in. g.p.d. LIFT STATION Date installed. 8h.~./~oo~. "Pump on" level at .~8 in. Datum Top of Manhole SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on 10t ~.oo+ Absorption field on lot ~.oo+ Public sewer main N/A Sewer/septic service line 25+ Animal containment areas ~oo+ Property line ~o+ Water Service line ~o+ Curtain drain None Known F. COMMENTS ,Re-Certification Size in gallons 280 "Pump off" level at 5~.5 in. Cycles tested ~o Manhole/Access (Y/N) Y High water alarm level at '-'-.5 Meets alarm & circuit requirements? Y in. On adjacent lots ~oo+ On adjacent lots ~.oo+ Public sewer manhole/cleanout ,,,, N/A Holding tank ~.oo+ Manure/animal excrete storage areas ,, ~.oo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~,o+ Property line ~o+ Water main N/A Water service line ~.o+ Wells on adjacent lots ~.oo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 2o+ Surface water ~oo+ Wells on adjacent lots Aoo+ Absorption field ~.o+ Surface water ~.oo+ Water main N/A Driveway, parking/vehicle storage 50+ I certify that I have determined through field inspections and -. ,,, ~ review of Municipal records that the above systems are in ~,,~,,~"i- ~gT--H,,,,,~,, ....... ,~,,,,,-. conformance with MOA COSA guidelines in effect on this date. ~ ~[ 2 · ...~,~...'~G....~.~...,a~z..... ...... .Steven R P<~nnone~ · Engineer's Printed Name Steven R. Pannone, P.E. '"~~~i~ "'~ ~'~;~o. r~o. CE 8149 -,, -.:.... .......- Date .. 212812o~. ~-2 ........... COSA Fee $. Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOP, A SINGLE FAMILY DWELLING Parcel I.D. 051-313-31 1. GENERAL INFORMATION Complete legal description Expiration Date: LAKE RIDGE TERRACE BLK 6 LT 9 Location (site address) 14800 TERRACE LN Current Property owner(s) MARK & LYNN SCHM[DT Mailing address 14800 TERRACE LANE Day phone (907) 350-8154 Lending agency Mailing address Day phone Real Estate Agent Mailing Address Day phone Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~ Well Public Water System TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank E~ [] Community On-site E~ [] Public Sewer [~] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Pannone Engineering Services, LLC Address P.O. Box 102954, Anchorage, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Phone 272-8218 Date Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family beine served bv the system These conditions are outside the control of the evaluator of this system. All systems eventually fail and satistactory test results do not guarantee future performance of the system, nor do they ~uarantee that there are no hidden defects or encroachments PES can therefore not provide anv war~a~t~ for future ~....~.~..~.~..... performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed~~~Steven abov~e. Any rehance upon or use of this report by any other person or party is not authorized nor will it ~,~'-: No CE ~ 49 ,'"~.~ conzer any legal right whatsoever 5. DSD SIGNATURE ~ pproved for '7' bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory By: .. .,.~' Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: MunicipaH, ty of Anchorage Development Services DepartTnent Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: LAKE R/DGE TERRAC:EBLK 6 LT 9 WELL DATA Well type _P Date completed 3/1/2001 Total depth 240 ft. FROM WELL LOG Pamel ID: 05,3.-313-31 If A, B, or C provide PWSID # Well Log (Y/N) Y Sanitary seal (Y/N) Y_ Wires properly protected (Y/N) Y Cased to 121 ft. Casing height (above groUnd) 24 in. AT INSPECTION Date of test 3/1/2001 Static water level 117 ft. 7/21/2010 81 Well production 3 WATER SAMPLE RESULTS: Coliform p~t, colonies/100 mL Arsenic: ~[~' mctl SEPTIC/HOLDING TANK DATA Tank Type~lVlaterial Premier Plastics/HDPE Tank size 1300 gal. Foundation cleanout (Y/N) Y Date of pumping 7/I4/2010 ABSORPTION FIELD, DATA g.p.m. 4.2 g.p.m. Nitrate ~ mg/I. Other bacteria, .~J<2~ colonies/loo mL Date of sample: 7/2:1/10 Collected by: Dan Moran Number of Compartments 2_ Depression over tank (Y/N) _N Pumper JR's Pumpin9 · Date installed 8/~1 System type IDSF Length 36 ft. Width 10 Total depth 4 ff. Eft. absorption area 368 fi2 Date of adequacy test 7/2//20.10 bedrooms Date installed 8/11/2001 Cleanouts (Y/N) Y High water alarm (Y/N) N Soil rating (g.p.d./~ or ft2/bdrm) 2.0 ft. Gravel below pipe .25 ft. Monitoring tube Y Depression over field N Results(Pass/Fail) Pass For4 Fluid depth in absorption field before test O in. Elapsed Time: O min. Final fluid depth Dry in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N Water added600 gal. New depthO in. Absorption rate >= 600+ g.p.d~ If yes, give date LIFT STATION Date installed 8/11/2001 Size in gallons 280 "Pump on" level at 48 in. .~-, "Pump off' level at 51.5 in, Datum Top of Manhele Cycles tested 10 SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public.sewer main N/A Sewer/septic service line 25+ Animal containment areas 100+ Property line 10+ Water Service line 10+ Curtain drain None Known COMMENTS Manhole/Access (Y/N) Y High water alarm level at 44.5 Meets alarm & cimuit requirements? Y in, On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout N/A Holding tank 100+ Manure/animal excrete storage areas 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 10+ Water main N/A Water service line 10+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 20+ Surface water 100+ Wells on adjacent lots 100+ COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Absorption field 10+ Surface water 100+ Water main N/A Driveway, parking/vehicle storage 50+ Air Compressor Guage at 5 psi. All valves above ground and accessible. ENGINEER'S CERTIFICATION .... I ce~ that I have determed ~rough field inspections and review of Muneipal reco~s that the above systems are in confo~ance w~h MOA COSA guidelines in effect on this date. Engin~r's Printed Name Steven · Pannone, P.E. ¢ ~ O Waiver Fee $ ~-- ~ ' / ~ Date of Pa~ent D~ ~ ~ [ Receipt Number P.O. Box cERTifiCATe.''' GENERAL INFOR~A'Iib'N Complete legal descrip'iioii' Lot 9'; B'I tocq~ion'(site'addre~s (~r'directi0ns) · ~;1'~8'0'0 .'.~'e'~rac'e, [.,'a'ne . ' .' ............ ......,Da. yphone'563-:2401 x~;.224 Mailing address 14800..3 errace .T:an~. ,.]',agle':R.~W:i~;' "AK. 99~577 Mailing address _ ." ' ." ,..' . ...... _ .... Unless otherwise requested,/'/AA will be hel~l ~)~.~[~ /'(~'p~p. 2. NUMBER oF BEDROOMS: 4 ' 3. TYPE OF WATER SUPPLY: ' .~YPE OF WASTEWATER DISPOSAL: Individual Water Stoi-age ['-'] .' ' lqdi~icJ,Ll~l HoMing tank Community Class Well ['-], . .. · ".' CO'm'iiriur]ity On-site ~..{ Public Water System [] .Pqb.li~: S.ewer .. -the Municipality of'Anchdrhge Developmenl ~e/~J~:es' be~artme,t (DSD) Issue~ (~orlificaies of Hea!ti~ ~'~- '~, AI)proval (I I^A) based only ripen the representations given in p.aragraph 5 by an indeper~dont professional cMl engineer registered in the State of Alaska. CertifidCtes of Heallh Aulhority Approv~l are required for the tr,:.ns.or o, title (except between spouses) for properties ser~ed [~y a single family on-site Was!ewater disposal ahd."or w.-'.q,.;r ."..upp!y sys.'.em. DSD also issues t lAAs upon request t0 hombowners. Certificates Of Health Authority ApFro:a, are v~.;IM for g0 d~ys from lhe date of issue [or j)roperties served by e private er Class C well 'and may bo reissued nov,, water sample results, less than 30 (Jays oki. (Certificates may be 'reissued for a period of up to one ye[-'.r with v~li,.t water ssrnples.) 'Cedifi(~tps arb.. vslid i'of or'~e year for propedies server.('by Cl8:s.~ 'A or B ',veils o: ~ public water system. The Municipality of Anchorage is not .responsible for errors or omissions in the professional engineer's work. 4. STATEMENT. OF INSPECTION BY'E~GjNEcR .... As cedifi~d by,my ~e'al affixed herc{o and as of i'J3~ v'~.lid~tion d~{e.'sh0wn below, I 'verify that my i;~ves{iga{i~'n, ' '"'. based or] p~bcedores dutlined.in the Itea!th'~u{hori[~ A~ro~aJ Guldeli~{~S ~o~.this application, shows 'fha{ [l~'e .' ': '. on-site water supply and/or wastewater disposal ~slem Is(a~e) s'ar~,' f~nclional ahd adequate for {he number of bedrooms and type 0f struck 'e ndicated herein. '1 f~tl]~.V~¢r~ ih~{ based ~n t~e information obtained from {he Municipality of Anchoraoe". fires and from'.my ',{~e~ti?iid~'~an~.:li{~b~iioh', {he. 0n-site wafer'supPly.' end/o~, .. wa~tewhlm disposal ~y~Jem is(are) in c~]plim]ce Wide' al'~ ~pplJ~'abJe'Municipal ~nd State 'cod~s~' b~in~nc~s, and regulations in ~ffect at tho lime of inslalla[io}~,' .". · , '-' _ ..... Address 17034 ~ I;a~],.. R'ive~' I, oo~ Ste. 204 .ha~.l.e R:Lver, 99577 Engineh[,~p~:in[~dName_...~l~2.~fj_~;'. Co~'~. · .. ' " 'Date' ) ~' /~ o'2 ..... :.' . 5. DSD SIGNATURE ^pproved for ~' bedrooms. Disapproved. Conditional approv,ql for ........ bedrooms, with the following slifmlations: Attachments: bhec ,s S~ puc Sys{erd Advisory Well Flow Advisory Supp!emm~tal En,m~ ....... Report Other Original Certifica [e Date: j - ~ - 0 .,~, (Rev. LIFT STA~FION --. "Pump off.level at ~/~ in. Datum T'o:/' ~-f- ~ N ·Pump. off=..=level:at' ' ...-~. n=:.-' '.'.: ,'~.:.: H.igh<Water.aliarm level at'. Cycles'tested :~.: L/M. ~-- in. Meets alarm & circuit requirements? ¥ ,E,~c SEPARATION ··DISTANCES SEPARATION 'DISTANCES ..F.R, .O.,M. WEL'L ON LOT TO: Septic 'tank/lift station on lot Absorption field on lot / 3 ~ PubliC,.sewer. main tN ?':~ Sewer/septiC serVice line ~ 5'-"~-;,~':' · 'O~ adjacent lots · .On adjacent lots ' ";: '=' Pb blic' sewe~' .mal;~h'~'le/~leanout ' "H~i'di'n~ t~nk ~'.'/'~- "- SEPARATION DISTj~NcE-S FR~M's'E'~riC/HOLDING TANI~'O~';[.oT f6i ' Building foUndation '~ O~ ''~' Property line '5"-5'- ~ Water main ,M/,4 ...... w~ter Service line /~ "/-' Wells on'adjacent lots /. O0 (gf'~ ' SEPARATION DISTANCE FROM ABSO'R'Pq'ION :IELD. ON'LOT TO:' " Prope~ line '~..z./ Building:foundation. ~":g' Water main AbsorptiOn field Sarface.wat~r' Driveway, parking/vehicle'stomge ..... /.~O ~ -' ENGINE'ER!S'CERTIFICATION' '~'" I ceffify:'th'at f I~ave. det'e'rmined.through· fi~l~l.inspectidns, and ray!ow Of Municipal',.r~., ords .tiaa( the.a!~O~(e._~YS.!em~,~re.i~!7: ..... - . confo[~e .Wi~h ~fOA. HAA ~t~idelines in effect on this·date, ' ':: ':: 'Da~te:ief.Paymen'[ -~' ;:} :.'.'" :Rec.eip..'t Number. HAA Fee.'.$ '":'.'- ~''?''5'T'' "o .... · .... ' --?' Waive~ Fee .$ Date.,of.'Payment~ ~' ~-'//~' '/e ~ Receipt Numb.e~,~ .'., (~ ~ c~ ;z :2),..,7'~i ........ :,-:',.!:'" :' (Rev. ~12/01.) HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN January 6, 2003 ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 9; Block 6; Lakeridge Terrace Subdivision We understand you need verification that the well on the above referenced property has been decommissioned in order to issue a Health Authority Approval. Please be advised that the well has been properly temporarily decommissioned. The well has no pump, the flow line has been disconnected, and a water-tight seal has been installed on the well head. Request you issue a Health Authority Approval immediately. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/ts/moa/kourosh.doc SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Municipali{y 'Of Ancllorage Development Services Del3adment Building Safety Division On-Site Wa~er and Wastewaler Program ,~700 South Bregaw St. P.O. Box 196650 J',.nchorege, AK 99519-6650 www.ckanchorage.ok.us (907) 34.3-7904 Parcel I.D. 051 - 31,.~ -3 I 1. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING.: ,.-.' Expire,on Date: I// /OZ GENERAL; INFORMATION Complele legaldescription ~.i, ot:"9; Block 6; Lakeridge '~er~:ace SubdJ. v.ts~.on Location (site address ordireclions) 1/4800 Terrace Lane Current Propertyowner(s)?et:er Halverson Mailing .address Lendir{~ agency': Mailing address .20214 Greatland Cir. Dayphone688-2115 Chugiak AK 99567 Day phon~ Real Eslate Agent Mailing Address Unless olherwlse requesled, HAA will he held by DSD for pickup. 2. NUMBER OF BEDROOMS: /~ Day phone 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Comm~nity Class. Public Water System Well TYPE OF WASTEWATER DISPOSAL: Individual On-site ~ [] Individual Holding tank ~ Community On-site ~ Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issui~s Certificates of HeaIlh Authority Approval (I-IA^) based only upon the representations given In paragraph 5 by an Independent professional civil engineer regislered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer et lille (except belween spouses) for propedies served by a single family on-sile wastewater disposal end/or waler supply system. DSD also issues HAAs upon requesl to homeowners. Certificates of Health Aulhority Approval are valid for 90 dnys lrom the date of issue for properties served by a privale or Class C well and may be reissued with new waler sample results less Ihan 30 days old. (Certificates may be reissued for a period of up to one year wilh valid water samples.) Certlfic'~les are valid for one year lot propeflies served by Class A or B wells or a public '.':ater system. The Municipality o1' Anchorage is not responsible Ior errors or omissions In the professional engineer's wo~ k. 4. STATEMENT OF INSPECTION BY ENGINEER As cedified by my seal affixed hereto and as of Ihe validation date shown below. I verify Ihat my Investigation. based on procedures outlined In Ihe Health Au~horily Approval Guidelines for Ihis application, shows that Ihe on-site water supply and/or wastewater disposal system Is(are} safe, functional and adequate for the number of bedrooms and type of structure Indicaled hereln. I furlher Verify that based on the Information obtained from Ihe Municipality of Anchorage files and from my Investtgalion and Inspection, Ihe on-site waler supply end/or waslewaler disposal system Is(are) In compliance Wilh all applicable Municipal and State codes, ordinances, and regulations In effect at the time of installation. $ & $ ENGINEERtNG Name of Firm "'""' E gl K .... -~ i · ~verLeepR~dNo. 2~ Address ~[e R[ver~ A~ezka ~5~ Engineer's Printed Name ~o~ ~ ~ ~ . ~ 5. DSD SIGNATURE Approved for ~ Disapproved, Conditional approval for __ Phone Dale I /Ic~/O.~.. < - . bedrooms. , (.'- ". ...... ' -? - . bedrooms, with Ihe following stipulations: Addilional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements SUpplemental Engineer's Report Olher Original Cedificate Date: / / / ~'/02. Municipality of Anchorage Development Services Department Building Safety Dlvtsio~ On-Site Water & Wastewatar Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (~07) 343-79O4 HEALTH AUTHORITY APPROVAL CHECKLIST LegelDescriptlon: t-GT' c~ /~.~c~' (, I-~cf. R, a6.4 7'~.~,f4(( ParcollD: A. WELL DATA Well type,~,~ ,VA rL Data completed '~)l/0 I Total depth ~. ~fO It. Date of test Static water level Well production ff A, 6, er C provide PWSID # Sanltay seal ~/N) c. es~ ~o I ~1 It. It* g.p.m. FROM WELL LOG Wel Log ) Wires properly pmtacte(~J3~l~l) Casing height (above ground) AT INSPECTION .,~/ g.p.m. in. WATER SAMPLE RESULTS: Coliform O colonies/1OO mi. Date of sample: / / ~ / O 3- B. SEPTIC/HOLDING TANK DATA c: Nilrata |-) L moji. TankType/Matertal 5Z~7~ c./ff D P~- Tanksize )3¢'0 gal.' Number of campmlments Foundation cJeanout~N) ¥~..5 Depression overtank Date of pumping ~//4 L~v~ ~, Pumper ABSORPTION FIELO DATA Data insta,ad / sou Length 3 G It. vwth ) o It. Total depth ~f ~/~, It. Eft. absorpti~ ama 3~0 fl; Monitoring tube Dataofadequecytast /~//A - ~.~/ Res~ Fluid depth in absorption field before test ~. Water added Elapsed Time: ~d depth Any~tme~t (past 12 mo.) (Y/N & type) Other bacteria O colonies/100 mi. S & S ENGINEERING I)'u,]4 a~ River Loop Road No. ~04 F. Jgle Riva., 41asia Date installed <~/1,/o I Cleanouts {~) ¥ 4 J' High water alarm (Y/~ ,',/0 Systamtype I.D. 5, ~'. Grovel below pipe ~). ~% g' ff. ¥~J Deprassionoverfleld ~O For ~ bedrooms gal. New depth in. Absorption rate >= g.p.d. If yes, give date D. UFT STATION Data installed ~////o I Size in gallons 'Pump on" level at/'~ ~' in. 'Pump off' level at ~'/. 5-in. Datum 7'~/~ ~/- ~.,/~*~-,f. Cyctestested Manhole/Access 'Y J High water alarm level at H ~/. ~" in. Meets alarm & circuit m~pJirements? ~[ J E. SEPARATION DISTANCES Fo SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/tiff station on lot ,/O 5" On adjacent lots Absorption field on lot } 3 ¥ On adjacent lots Public sewer main )J /A Public sewer manhole/cteanout Sewer/septic service line. ~- ~' + Holding tank .~//,4 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~ 0 Property line ,.~",.t" Absmption field Water main /~ / ,~ Water sewice line /o '~- Surface water Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~l. q ' Building foundation ~' ~' Water main Water Service line /O '+' Surface water. ,/O~ ~'~ Curtain drain /~'~-~,~ow Wells'on adjacent lots )00 ,.. ~.. '"~- ? -~,: ~ ..... COMMENTS '" '" ! /oo + /oO )OO ~ D~eway, paddng/vehiclestorage ]0o + G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance wfth MOA HAA guidelines in effecf on this date. Engineer's Printed Name R~}~ ~[~.7'- (~, COw,,I,.~ Data !//0/0 ~* Date of Payment Receipt Number (Rev. 12/00) Waiver Fee $ Date of Payment Receipt Number . ~N O0~20'O0'E 123.75' (REC) I0' UT[Il EASEMENT ......... ::::.::-::"__:: 39.1' + 35,0' X o N O0*ZO'OO'E 122.94" (REC) o ~ TERRACE LANE