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DENALY BLK 1 LT 10
benaly Block 1 Lot 10 #067-041-16 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Onsite Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020107 PID Number. 067-041-16 Name: STEVE WAKEFIELD w/ EAGLE VENTURES Address: P.O. BOX 771822 a EAGLE RIVER, AK 99577 Phone: (907) 830-9246 LEGAL DESCRIPTION No. of Bedrooms: 4 Block lob 1 10 Township: Range: WELL: ■ New Cbrircdlon (Private. Ae.C): PRIVATE Subdivision: DENALY Section: o Upgrade Total Dept,: Cased To: 207 n. 205.3 n. Die Dote Drifa Stade Mat Level: M—W DRILUNG 7/12/02 ARTESIAN n. Yldd; Pump Set ft I cowl: Height Above CrmwrG 70+ cpu I UNKNOWN n. 2 n. SEPARATION DISTANCES To Septic From Tank Well 100'+ 100'+ Surface Water 100'+ 100'+ Lot Une 5'+ 101+ Foundation 5'+ 10'+ Curtain Drain Absorption Field Remarks: Inspections performed by: Uft Holding Station Tank NONE KNOWV Wastewater System: IN New O Deep Trench Sol hang Page 1 of 3 0 Upgrade ABSORPTION FIELD ■ Shallow Trench a Bed 0 Mound 0 Other 1.2 cPo/se. Depth to paps Catton ham original veer SEE DWG n. PI eddied .boos original grads: SEE DWG Crwnl width: 5 Toll eb.artion dna 500 so. n. n. bwlaMr. GREEN GENERAL Totd Depth ham enrol erotic 8.5/9 rt Gana doth b.walh pp. Gravel — 4/4.19 n. 50(2025)n. Sumba of Into Dbtance Woven .nee 2 10+ n. PPP D 3034/ F-810 od. 713-14/2002 TANK ■ Septic 0 Holding 0 S.T.E.P. Pubik/Pdosb Nowt wenn Sew Line. ANCHORAGE TANK 25'+ rd. STEEL MED AKWWC, INC. O Other Capodpr In gallons; 1250 Nn. of con,PrIni.NMK 2 LIFT STATION Sae In gallon. Nonureeluron 'Pump en' reel et. 'Pep off' et: r Motu elan eb Pump bloke I.«bird d flp«ame p.I«n.d by: BENCH MARK toemlon end Doe.ipuore TOP OF WELL HEAD Dates: 1st 2nd 3rd 8/13/2002 8/13/2002 8/14/2002 Development Servicg; Department Approval Reviewed and approved by: (Rev. 12/x1) Date: //yz IA«.nw Elwabam 100.00 n ENGINEEIrs SEAL 4. 0 0 49I 000 /1. J(eftf:, A. Ga U t E-7953 :ea �kke‘4000c rofe��sstot'3-34? PERMIT NUMBER: SW020107 AS BUILT DRAWING •••••••- N N A B FCO 6.58 26.31 STI 11.215 27.05 ST2 18.61 29.85 DBL1 21.72 31.43 DBL2 23.25 32.25 FS 24.23 32.80 C01 31.95 36.70 MT1 43.98 48.16 CO2 56.50 57.19 CO3 35.29 52.19 MT2 48.08 61.58 C04 59.05 68.58 PARCEL ID NUMBER: 067-041-16 NEW 1250 GALLON SEPTIC TANK \F�yq�Nq INSTALLED FLOW SPLITTER (FS ik - • ALTERNATE SRE EW DRNNF1ELDS DATE: 9/25/2002 DRAWN BY: ALASKA WATER & WASTEWATER z.T.G. CONSULTANTS, INC. SCALE: 6001 DERARR ROAD. SUITE ER • ANCHORAGE. AK 00304 • PHONE (0011337-6170 • PAX (001)33E-3IL6 1" = 401 PREPARED FOR PHONE NUMBER PACE NUMBER: STEVE WAKEFIELD w/ EAGLE VENTURES 830-9246 2 OF 3 LEGAL DESCRIPTION: LOT 10, BLOCK 1; DENALY SUBDIVISION TYPE OF WORK: AS—BUILT OF NEW WELL LOCATION AND SEPTIC SYSTEM 4A3.9f.. ;4911_ OQ. A. Caess... E -7953v` k PERMIT NUMBER: SW020107 TOP OF' TANK AT INLET 198.86 AS -BUILT DRAWING ST1 INVERT OF BUNG AT INLET is 98.28 MT CO e is FILTER FABRIC - 1) amemme FINAL GRADE se 101.91-102.18 ST2 PARCEL ID NUMBER: 067-041-16 TOP OF TANK AT OUTLET • 98.83 NEW 1250 GALLON SEPTIC TANK FINAL GRADE - 100.24-100.27 -ORIGINAL GRADE 98.44-98.94 RELATIVE BOTTOM OF TEST HOLE -9- ELEVATION a• 82.94 (DRY) FILTER FABRIC- NVERT OF PIPE am 93.94 BOTTOM OF TRENCH - 89.94 10' ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6001 DFRARR ROAD. SUITF 7R • ANCHOPADF. AP 00301. • PNONF (0071337-6170 • Fax (0071330J7t6 PREPARED FOR: PHONE NUMBER: STEVE WAKEFIELD w/ EAGLE VENTURES 830-9246 LEGAL DESCRIPTION: LOT 10. BLOCK 1; DENALY SUBDIVISION TYPE OF WORK AS -BUILT DRAWING OF NEW SEPTIC SYSTEM \) INSULATED PER CONTRACTOR `INVERT OF BUNG AT OUTLET I• 98.02 MT COrFINAL GRADE in o s 1 102.07-102.21 RICINAL GRADE - 102.12-102.62 PAP INVERT OF' PIPE 97.81 BOTTOM OF TRENCH In 93.62 f -- 5.-1 DATE: 9/26/2002 DRAWN Br: Z.T.G. SCALE: N.T.S. PAGE NUMBER 3 OF 3 TH/2 RELATIVE BOTTOM OF TEST HOLE ELEVATION - 86.62 (DRY) -9- 09/12/2002 11:55 9076965534 Job No.: 02-123 EAGLE DENTURES PAGE 02 M -W Drilling, Inc. •P.O. Box 110378• Anchorage, AK 99511• • 907-345-4000 • 907-345-3287 Fax* ProjectNo.: N/A Permit No. SW020107 Groundwater WelI As Built & Lop • Well Owner: Eagle Ventures i Ilse of Welt: Domestic ' •Legal Dncrlptton: Densly Subdivision, Block 1, Lot 10 Eagle River, Alaska Copstruc(ion •Hole Depth: 207' •CasingSize: 6" •Cased To: 2053' *Material: A 53 Steel *Drill Method: Air Rotary _ Perf. •well Completion- .• Open end , JC Screen L` Perforated _ Method; •Screen/Peybraaon description: None *Grout Notes: (9) Sacks -14o. 8 bentonite granules • Notes: • Well Development: Method: Air surge Notes: *Static water level (SWL) flowing (ebove) Pretaw) top of casing (TOC). • Well yield tut at 70+ gallons per minute (GPM)/gall-ye pv low (CPU)for 1 hours with 100%e • of drawdown (DD) from stalk level (SWL). *Method: Air lift *Date of completion: 12 July 2002. • Pump Install: • • Well Log Depth in feet from top of casing. Details of formations penetrated, slza of material, color end hardness. 0 TO 2 Casing stickup 2 TO 6 Wood and topsoil 6 TO 18 Silty gravel: cobbley 18 TO 21 Gravelly sand: damp 21 TO 58 Gravelly silt 58 TO 64 Silty sandy gravel: wet 64 TO 88 Silty sandy gravel: dry 88 TO 112 Silly sand: wet 112 TO 116 Gravels small 116 TO 121 Gravelly clay 121 TO 188 Clay with gravel streaks 188 TO •202 Gravelly clay 202 TO 205 Silty gravel: wet 205 TO 207 Gravelly sand: black, water bearing TO ' sEp 3 0202 TO TO ti w vereortlakl O,utt.u:toc---- Ve tfn• No* S1L 8 W7I 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 8 /fa -v2. jp:no /L'. c21) ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW020107 Legal Description: DENALY BLK 1 LT 10 Design Engineer: 0041 AK Water & Wastewater Consultan• Owner Name: Steve Wakefield w/Eagle Ventures Owner Address: PO Box 771822 Eagle River , AK 99577 - Date Issued: May 13, 2002 Expiration Date: May 13, 2003 Parcel ID: 067-041-16 Site Address: Lot Size: 51739 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of: G Disposal Field Q✓ Septic Tank ❑ Holding Tank 0 Privy ❑✓ Private Well 0 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. q5. The following special provisions. I PRIOR TO CONSTRUCTING THE WATER WELL, THE WELL DRILLER SHALL SUBMIT A DRILLING PLAN TO '• THIS OFFICE. THIS PLAN SHALL SHOW HOW THE WELL CONSTRUCTION WILL PREVENT ALL LEAKING THROUGH THE CASING ANNULUS FROM THE CONFINED AQUIFER. Received By: Issued By: P Vox/ Date: Date: s1/40z Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0676`/ ZIP Permit Number 5t410Z0/07 Property owner(s) STEVE WAKEFIELD w/ EAGLE VENTURES Day phone 830-9246 Mailing address (1) P.O. BOX 771822 " EAGLE RIVER. AK Mailing address (2) Zip Code 99577 Legal description (Lot, Block & Sub'd.) LOT 10. BLOCK 1: DENALY SUBDIVISION Legal description (Section, Township & Range) N/A Lot Size 5 7 ? 1 Acres/.o.F Number of Bedrooms 4 THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade ❑ Well Only Water Storage THIS PROPERTY CONTAINS: Hot Tub 0 Jacuzzi 0 Swimming Pool 0 Water Softening Unit 0 Therapy Pool 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS, INC. (Signature of property owncr or authorized agent) Permit Fees: c4 550 00 Date of Payment: 5 - 9-0 0 Receipt Number: • 019'/x%/ Waiver Fees: Date of Payment: Receipt Number. 441 j ALASKA WATER & WASTEWATER CONSULTANTS, INC. May 8, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragraw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Well and Septic System Design for Lot 10, Block 1, Denaly Subdivision To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. The proposed well is to be drilled in the location shown on the attached site plan and design drawings. Two test holes were excavated in the area of the proposed septic system. The septic system will be designed around the 30 foot radii of these test holes. We are proposing that a 1250 gallon septic tank and a five foot wide drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 1.2 gallons/day/f12 should be used and that the insitu silty, sandy soils should act as a sand filter. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/f12 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 500 ft2 f. Total Depth: 9.5 feet (max.) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 50 feet total Ien2gth (2 ® 25 feet long each) k Effective absorption area = 500 ft 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 6901 Dcbarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 • Website: akwwc.com 4. TOPOGRAPIIY: The area for the proposed septic system is a 5% to 10% slope running approximately northeast to southwest; in short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. NOTE: Attached is a site plan drawing, a design drawing, two soils log a topography drawing, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 213 • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwc.com \ • \ • • ••• DENALY S/D; LOT 8, BLOCK 1. -SEPTIC ARF DENALY S/D; LOT 4. BLOCK 1. TH/1 AR�EAC--- SUBOMSION STHOLE 41* L \ `\ yam. I % 1 - 1 A \ .% q/N y\ \9 • PROPOSED 4 BEDROOM \ HOUSE \ • • — PROPOSED SEPTIC SYSTEM `'. (SEE DESIGN PAGE 2 OF 2) �• • • • • • • i 1 1 fDENALY 5/D; \ OT••• 20, BLOCK 1,\ • • ALTERNATE SITE ` THj1 6 PROruSED DENALY 5/D; LOT 19. BLOCK 1. AtilDPT1C usi 100' RAD 1 I 1 1 DENALY 5/0; I \ LOT 18, BLOCK 1, 1 N N \. • /• '-` `\� DENALY S/D; \� LOT 11. BLOCK 1. • \ / \` 1 1100. WELL RADIUS I S y \ 1 1 • Imo_ \• _�/ \ • 11 V DATE: 5/8/2002 .• t ... '" _.,.DRAWN BY: ALASKA WATER & WASTEWATER J,L.M. CONSULTANTS, INC. SCALE: 6901 DERARR ROAD. SUITE 28 • ANCHORAGE. AR 99504 • PHONE (907)537-6179 • FA% (907)536-3266 1" — 1 009 PREPARED FOR PHONE NUMBER: PAGE NUMBER: STEVE WAKEFIELD w/ EAGLE VENTURES 830-9246 1 OF 2 LEGAL DESCRIPTION: DENALY SUBDIVISION; LOT 10, BLOCK 1, TYPE OF WORK: SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM • • NOTE: THE CONTRACTOR SHALL HAVE THE THE WEST LOT LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. PROPOSED 1250 GALLON SEPTIC TANK INSTALL DOUBLE CLEANOUTS . PROPOSED N' WELL —e tal!` .a9 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 OFBARR ROAD SUITE 28 • ANCHORAGE. AR 99501. • PHONE (002)337.6179 • FAX (001)116.3246 PREPARED FOR: PHONE NUMBER: STEVE WAKEFIELD w/ EAGLE VENTURES 830-9246 LEGAL DESCRIPTION: LOT 10, BLOCK 1; DENALY SUBDIVISION TYPE OF WORK: DESIGN OF PROPOSED WELL LOCATION AND SEPTIC SYSTEM ALTERNATE SITE. MAY REQUIRE THE USE OF A UFT STATION. PROPOSED DRAIN FIELDS. EXCAVATE TWO TRENCHES THAT ARE 9.5 FEET DEEP MAXIMUM BY 5 FEET WIDE BY 25 FEET LONG EACH (50 FEET TOTAL LENGTH). ADD 4 FEET OF CLEAR! WASHED SEWER DRAINROCK. INSTALL TRENCHES PARALLEL TO CONTOURS. DATE: 5/8/2002 DRAWN 8Y: J.L.M. SCALE. 1"=40' PAGE NUMBER: 2 OF 2 o', 7953 ALASKA WATER & WASTEWATER CONSULTANTS, INC.' 8901 OEBARR ROAD, SVRE 28 • ANCHORAGE. M. 99504 • PHONE: (907)337-4179 • Fn (907)338-3246 • WEBSITE; N;••e...,n LEGAL DESCRIPTION: PERFORMED FOR: DEPTH (feet) Z;ane 1 • • 2— SOIL LOG — PERCOLATION TESTI DENALY S/D: LOT 10, BLOCK 1 STEVE WAKEFIELD w/ EAGLE VENTURES ORGANICS GM TO 3— • :• GM/SM • 4 `--•- • 5— 6— • 71 - 8- 9— • 10— • • 11- 12 — •• 13-- • ▪ '•,• • • • • 8.0.11. 14- 4- 15- 15- 16 16 17- 7- 18- 18- 19 19 — 20 SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL COMMENTS: THE INSITU SILTY, SANDY SOILS SHOULD ACT AS A SAND FILTER. PERFORMED BY A.W.W.C., INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS A PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 5 e " • •; GM/SM TEST HOLE #1I SOIL CLASSIFICATIONS b.o:• GW GM GC 0. •0.% SW •::. %' SP SM SC DATE: 4/12/2002 ML CL OL MH CH OH DEPTH TO DATE GROUNDWATER DRY DRY DRY PROPOSED 4 BEDROOM HOUSE —PROPOSED SEPTIC snimm 4/12/2002 4/19/2002 5/7/2002 DATE READING 4/16/2002 1 2 3 CLOCK TIME THI2 ALT. SITE THII SITE PLAN 1-•=100' NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) 5 4 – 5 5 6 – 5 6' 0" 6' 6" 0" 6" 6" 0" 6" PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: ❑ YES ® NO ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DE64RR ROAD. SUITE 28 • ANCHORAGE, M. 49504 4 PHONE (907)377-6179 • FM (907)336-3246 • *EBSIWE: r&na.CVrn ISOIL LOG - PERCOLATION TESTI LEGAL DESCRIPTION: DENALY S/0: LOT 10, BLOCK 1 PERFORMED FOR: STEVE WAKEFIELD w/ EAGLE VENTURES DATE: 4/12/2002 DEPTH (feet) ORGANICS • 2— b GM TO 3— ` GM/SM • 4•=-1 r •b �• 6— r r •,. 7-- 8- -• 8— r 9— • 10 • r • 11 12 — r 13 — ✓ 14— ` 15— ` • 16 13A.Ii. • • 17 — 18 — 19 — GM/SM 20 SOILS LOGGED BY: COMMENTS: THE (TEST HOLE #21 SOIL CLASSIFICATIONS DEPTH TO GROUNDWATER DRY DRY DRY ORG ML CL OL MH CH OH DATE 4/12/2002 4/19/2002 5/7/2002 DATE READING 4/16/2002 PROPOSED 4 BEDROOM HOUSE — PROPOSED SEPTIC JA1LM "...04.•4/1/4.,4 -9/4q �i-Ve I CLOCK TIME TH/t ALT. SITE SITE PLAN NET TIME WATER LEVEL NET DROP (MINUTES) READING (INCHES) 1 2 - 6 3 4 - 6 5 6 - 6 6" 0" 6" 0" 6" 6" 6" 0" 6" PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: 0 YES 0 NO JODY MAUS PERCOLATION TEST PERFORMED BY: INSITU SILTY, SANDY SOILS SHOULD ACT AS A SAND FILTER. CALEB GALL PERFORMED BY A.W.W.C., INC. I, JEFFREY A. GARNESS, CERTIFY THAT THISAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDEUNES IN EFFECT ON THIS DATE: ¶ o ft. 0 2' Lan 1 CD &t.ocv. % ; Dik i pkvt CA7 • ' IR lot 101000•Eig. , Municipality of Anchorage t - On-Site Water and Wastewater Program 4 •, .�i (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 067-041-16 Expiration Date: (e,-2-g— r 1. GENERAL INFORMATION Complete legal description Denaly Blk 1 LOT 10 Location (site address) 25731 Denaina Dr, Eagle River,AK 99577 Current Property owner(s) Chri&Jennifer Sewell Day phone Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual Individual Well ® Holding Tank 0 Individual Water Storage 0 Community ❑ Community Class Well 0 Public Sewer ❑ Public Water System 0 WaiverNariance request for: Distance: Received by: / Date: 1/2 (q COSA to be released to the engineer,u less otherwise requested by the engineer. COSA Fee $ g.g0 Waiver Fee $ Date of Payment 3)2$!(Q Date of Payment Receipt Number 0,4 4f44(PD Receipt Number COSA# DSC. lQ I 027 Waiver# 9 17 SiS u. - '� c.P 5. STATEMENT OF INSPEC�'ION'arEl�.`GI il biR 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 ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD.,EAGLE RIVER,AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date ,.:'07// Engineer's Comments:This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics,groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future ..b._`N. occupants or can ArcTerra guarantee that no unseen encroachments,deficiencies or discrepancies exist. if OI A L\ 6. DSD SIGNATURE s,`� " k Lm V System #1 Approved for bedrooms. + - KE" •�\NINIPIn— '/ System #2 Approved for bedrooms. ,k ,i)F„3 " ' F4., Aie \ ��i'OFEssrO"`� Disapproved. NS.`_.4 - Conditional approval for bedrooms, with the following stipulations: , ,li4 J I ON-SITE ''P,-.. tr ' WATER AND . 1 NASTEWATER PROGRAM 11) 1)4'1 q9'�A�SER�I�C/ �� — Original Certificate Date: �-7_27-i? The Municipality of Anchorage Development Services vision (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory' • . " • Septic System Advisory Arsenic Advisory Well Flow Advisory Other .r-r- • , 1 , -j COSA blue sheet_10-10-12.doc COSA Checklist Legal Description: DenalyBlk 1 Lot 10 Parcel ID: 067-041-16 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system 1 A. WELL DATA El Well log is filed with Onsite (or attached) Well production at time of test 6* gpm Date drilled 7-12-2002 Water storage tank volume NA gallons Total depth 207 ft Well disinfected for coliform test? I Yes ❑ No Cased to 205 ft • Coliform bacteria is Negative ▪ Sanitary seal is functioning correctly Nitrate 1.05 mg/L ❑ Nitrate less than MRL (ND) • Wires are properly protected Arsenic ug/L U Arsenic less than MRL (ND) Casing height(above ground) 24+ in. Collected by ArcTerra Date of flow test for COSA N/A See comments Date of Sample 3-7&3-20-19 Static water level at beginning of test 0 ft. Comments Artesian. All well and water system testing completed by 907 Water Wells. See attached documents from 907 Water Wells. B. TANK DATA C. LIFT STATION Age of tank(s) 16 years ❑ Required maintenance completed Tank type/material Septic/Steel Age of lift station years Measured operating fluid level in septic tank 6 in Lift station material El Standpipes/foundation cleanout per record drawing Comments: Date of pumping aOlea9 8-7-24(2 D. ABSORPTION FIELD DATA Which system tested (date installed) 8/2002 Adequacy test date 3-25-2019 ▪ ALL standpipes present per record drawing Results I Pass For 4 bedrooms Total measured depth from grade 10 ft(max) Fluid depth prior to test 6 in Measured depth to pipe invert from grade 6 ft(min) Water added 600 gal ❑ N/A—pressurized field New depth 23 in ▪ Monitor tubes go to bottom of effective. If not, state Elapsed time 20** min depth into effective II Code-required soil cover over field Final fluid depth 6 in ▪ System presoaked Absorption rate 600+gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) NA date of test) Gallons introduced 1200 gallons If yes, enter date Comments/Deficiencies:Tested south trench only. North trench was dry and stayed dry. Applied vi COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ®Yes if No ft 121 Yes if No ft Neighboring Tank > 100' ®Yes if No ft Private Sewer/Septic Line > 25' El Yes if No ft Absorption Field on Lot > 100' ®Yes if No ft Holding Tank > 100' ®Yes if No ft Neighboring Absorption Fields > 100' Animal Containment> 50' ® Yes if No ft ®Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water> 100' ®Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ®Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' 9 Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ❑ Yes if No ft Surface Water> 100' ® Yes if No ft F. ENGINEER'S COMMENTS * All testing done by "907 Water Wells" John Netherton. Arcterra has not certified or tested well or water system. See attached document from 907 Water Wells. ** water dropped used in adequacy test. Tested south trench only. North trench dry. •'►,simian, G. ENGINEER'S CERTIFICATION ***-7 , OFA % :4 >' - rye•. I certify that I have determined through field inspections and review 1+' t O of Municipal records that the above systems are in conformance with �` 49 lb �mourai 0 MOA COSA guidelines in effect on this date. ow • '. t^ KENN IIIIINI.fr. rZgito 1,7 4- CE 711:- -� �i COSA Checklist yellow sheet ♦�',`,� SWw" 90 7 JYr ALL. RESIDENTIAL&COMMERCIAL WATER AND WELL SERVICES 24HR EMERGENCY SERVICES AVAILABLE FREE ESTIMATES 907-230-we 3/19/2019 Effective 2/28/2019 a flow test was conducted by 907 Water Well Services,yielding 6 GPM's.Total depth of the hole is 207'with a static water level of 0+/-due to being artesian. This flow test was conducted at 25731 Denaina Dr Eagle River AK 99577,legal description Denaly Blk 1 Lt 10. A new down hole well pump was installed on 2/28/2019, as well. A new water softener filtration system will be installed on 3/28/2019. If you have any questions please feel free to call or text John at 907-230-1868, Thanks K u N2t1.2.4. irL Katherine Netherton Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 RUSH! I CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 067-041-16 1. GENERAL INFORMATION Expiration Date: / 0 - / -/-3 Complete legal description DENALY S/D; BLOCK 1, LOT 10 Location (site address) 25731 DENAINA DRIVE, EAGLE RIVER, AK, 99577 Current Property owner(s) PATRICK MULLER Day phone 947-4701 Mailing address 25731 DENAINA DRIVE, EAGLE RIVER, AK, 99577 Real Estate Agent BARBARA CRITTENDEN W/ PRUDENTIAL Day phone 242-2227 2. TYPE OF DWELLING: ▪ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well • Individual On-site Individual Water Storage ❑ Individual Holding tank n Community Class Well ❑ Community On-site ❑ Public Water System n Public Sewer ❑ Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: 5,//".$ COSA Fee $ 111O-- y l Waiver Fee $ Date of Payment -, 1? -4 t&3CJ Date of Payment Receipt Number 091-1 q el 1 Receipt Number Waiver # conA # 05C. ‘3\205- 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Address Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a Thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations, The reported results described 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 fife of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE 1, ------.°System #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. Date 7/23/3 .bal: 3E7 \TA vA vA vA ss. 1 -7953 ..• e'roi od0 N,,ctiar f ew•e no% cc 0 ‘IN cLowytar1/4,, OF ANc,c(r ..- 0N-SCIE bedrooms, with the following stipulation WPCVErRImA,NTIL)FR \Np,SIrinr` A s -, VIR if, jicNT SERNI\‘`c, \`;``v By: Original Certificate Date: 7-211-I? The. um ipality or Anchorage Develop,emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory (Rev. 11/05) Nitrate Advisory Arsenic Advisory Other 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: DENALY S/D; BLOCK 1, LOT 10 Parcel ID: 067-041-16 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 7/12/2002 Total depth 207 ft. Sanitary seal (YIN) YES Cased to 205.3 ft. Wires properly protected (Y/N) YES Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 7/12/2002 6/26/2013 Static water level ARTESIAN ft ARTESIAN ft. Well production —70 g.p.m. 1.56+ g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate 1. 01 mg./L. Collected by: GEG, Ltd. N0 Arsenic: / U tO ug./L. Date of sample: 6/26/2013 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/13-14/2002 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 51 30 f ( 3 Pumper C. ABSORPTION FIELD DATA Date installed 8/13-14/02 Soil rating Length 50 TOTAL ft 10.3/ Total depth *8.4 ft. Eff. absorption area 500+ ft2 Monitoring tube YES Date of adequacy test *6/26/2013 Results (Pass/Fail) PASS Fluid depth in absorption field before test 23 in. Water added 600 gal. High water alarm (Y/N) JR'S PUMPING N/A *BELOW EXISTING GRADE r ft2/bdrm) 1_2 Width 5/5 ft. System type DUAL TRENCH Gravel below pipe 4+/4+ ft Elapsed Time: 385 min. Depression over field NO For 4 bedrooms New depth 27 in. Final fluid depth n5 in Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date **TESTED WEST TRENCH ONLY. EAST TRENCH HAD 5" OF LIQUID AT TIME OF INSPECTION. D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in "Pump off' level at wa er alarm level at in. 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 N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A 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 51+ Water main N/A 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 N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 101+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION i certify that 1 have determined through field inspections and review of Municipal records that the above systems are in p' ' .: . A conformance with MOA COSA guidelines in effect on this 0 date. 00 ...1 f arness.: _� Engineer's Printed me ]]me JEFFREY A. GARNESS p 10,....1 E7 5.3 mp 3/ ',7 O s / `c0O 7 z 4p �P ' �%.z� /3 ''��Ad� Date ' IZ.. k.s dot es �040000a 000bo`Jp4[IN -700 (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & VVastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orgionsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 067-041-16 1. GENERAL INFORMATION Complete legal description COSA# O& ►�tt \\ Expiration Date: - t 3 -/1 DENALY S/D; BLOCK , LOT 10 BLOC. k 1 Location (site address) 25731 DENAINA DRIVE * EAGLE RIVER, AK * 99577 Current Property owner(s) TRACY WOOD Day phone 907-223-9042 Mailing address Lending agency Mailing address Real Estate Agent Mailing address 4532 W. KENNEDY BLVD, PMB#298 * TAMPA, FL * 33609 Day phone JIM MOSLEY W/ PRUDENTIAL VISTA Day phone 350-6489 16635 CENTERFIELD DRIVE * EAGLE RIVER, AK * 99577 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 Community On-site Public Sewer C 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 samples. (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 !!' SPECT!ON BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l 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. / further verify that based on the information obtained from oii1c AvACniCipalnsyOf Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, (JD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described 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 soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 7 bedrooms. Disapproved. Conditional approval for Date A. ar ssl.. -79� ��p cp 4 �'rofessio� �`� zO�0000�� �������1Y�OFert''rr• ON-SITE WATER AND rt= WASTEWATER bedrooms, with the following stipulations: % '• PROGRAM J• •� \ -'''''s.).1.tovi'Pr)r. By: Attachments: COSA Checklist Septic System Advisory VVell Flow Advisory R dvis "viirate :-suvia�i y ,:-arse.n c./Advisory Maintenance Agreements Supplemental Engineer's Report Other (Rev, 11/05) 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 Legal Description: DENALY S/D; BLOCK 1, LOT 10 Parcel ID: 067-041-16 A. WELL DATA *PACKER INSTALLED; COULD NOT MEASURE. Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 7/12/2002 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 207 ft. Cased to 205.3 ft. Casing height (above ground) 24+ in. FROM WELL LOG AT INSPECTION Date of test 7/12/2002 5/20/2011 Static water level ARTESIAN ft *ARTESIAN ft, Well production —70 g p.m. 1.6+ g.p.m. WATER SAMPLE RESULTS: Lay_ Coliform 0 colonies/100 ml. Nitrate 1 • d 7 mg./L. Collected by: GEG, Ltd. Arsenic: / v t ug./L. Date of sample- 5/20/11 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 8/13-14/2002 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 5/23/2011 Pumper ONE STOP SERVICES C. ABSORPTION FIELD DATA Date installed 8/13-14/02 (2 ® 25') Length 50 TOTAL ft. *BELOW EXISTING GRADE Soil rating or ft2/bdrm) 1_2 System type DUAL TRENCH Width 5/5 ft. Gravel below pipe 4+/4+ ft, Total depth *8.4/10.3 ft. Eff. absorption area 500+ ft2 Monitoring tube YES Date of adequacy test **5/20/2011 Results (Pass/Fail) PASS Fluid depth in absorption field before test 0 in. Water added 600 gal. Elapsed Time: 15 min. Final fluid depth 2 in. Depression over field NO For 4 bedrooms New depth 5 in. Absorption rate >= 600+ Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date **TESTED EAST TRENCH ONLY. WEST TRENCH WAS DRY AT TIME OF INSPECTION. g.p.d. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump off" level - High water alarm level at in. Datu 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 Tots 100'+ Absorption field on lot 1001+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A 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 N/A Water service line 10'+ Surface water 100'+ Wells on adjacent Tots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 'Mo6op�4 G. ENGINEER'S CERTIFICATION ©�,`F .A 5�0 I certify that I have determined through field inspections and • 4- . . .*:-.74 review of Municipal records that the above systems are in VA conformance with MOA COSA guidelines in effect on this date. QO f' A':. Garn:ss. v Engineer's Printed Name JEFFREY A. GARNESS Q� CE -7• .••. ;p .(o, /L/I,. i ,© apro fess`o�o\ ' Date COSA Fee $ gclo Date of Payment Receipt Number O'1 b> -t t (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number SGS SCS Ref.# Client Name Project Name/# Client Sample ID Matrix PWSID 1112006001 Garness Engineering Group, Ltd Denaly B1, LIO Denaly BI, L10 Drinking Water 0 Printed Date/Time Collected Date/Time Received Date/Time Technical Director 05/27/2011 8:09 05/20/2011 12:00 05/20/2011 14:00 Stephen C. Ede Sample Remarks: Parameter Results LOQ Units Method Allowable Prep Analysis Container ID Limits Date Date Init Metals by ICP/MS Arsenic Waters Department ND Total Nitrate/Nitrite-N 1.24 Microbiology Laboratory E. Coli Total Coliform Negative Negative 5.00 ug/L EP200.8 C (<10) 05/24/11 05/26/11 NRB 05/25/11 AYC A 05/20/11 SDP A 05/20/11 SDP 0.100 mg/L SM20 4500NO3-F B (<10) 1 1 100mL SM20 9223B 100mL SM20 9223B LOT 9 LOT 4 AtO 49 \ LIQ N 89°53'25'W 92.64' �‘‘ 45 20' TELECOM 8—,, � 'fib. ELECTRIC EASEMENT LOT 10 51,739 s.f. 12.3' X 16.1' DECK h LOT 11 15' TELECOM 8 ELECTRIC EASEMENT PLOT PLAN ASBUILT X SCALE I ' 30' GRID SW 363 Project No. Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 907 522-6476 Phone Registerre{d Land Surveyors 907 .522-4625 Fax that have vedthePT�described propeolly: Lit�a BLOCK I DENA.Y SUBDIVISIONAT2000-12) 2 Anchorage Recording District. Alaska. and that the improvements situated thereon are wtlhln the properly line and do not encroach onto the properly adfacent thereto. that no Improvements on the properly tying adjacant thereto encroach on the surveyed promises and that them are no roadways, transmission Ones or other visible easements on said property except as Indicated hereon. Dated this the Z0 ' Day of r1 4-1401 ,'Z* 4 at Anchorage. Alaska It Is the responsibiffly the owner to determine the existence of artycasements, covenants. or orn which do not appear on the recorded subdivision plat. 04-020 99515 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAM 0 t4 O S ie Parcel I.D. 067-041-16 1. GENERAL INFORMATION Expiration Date: G - / " 0 Lf Complete legal description LOT 10, BLOCK 1; DENALY SUBDIVISION Location (site address or directions) 25731 DENAIA DRIVE * EAGLE RIVER, AK 99577 Current Property owner(s) ZORAN & MICHELLE YANKOVICH Day phone 696-7398 Mailing address 25731 DENAIDRIVE * EAGLE RIVER, AK 99577 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, HAA will be held by DSD for pickup. 2. 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 Community On-site Public Sewer • 0 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 samples. (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. Legal Description: Municipality of Anchorage Development Services Department Building Safety Division -:On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST LOT 10, BLOK 1; DENALY SUBDIVISION A. WELL DATA Wel type PRIVATE Date completed 7/12/2002 Sanitary seal (Y/N) YES Total depth 207 ft. Cased to 205.3 ft.' • FROM WELL LOG *WELL LESS THAN 2 YEARS OLD If A, B, or C provide PWSID#. N/A' Date of test 7/12/2002' Static water level ARTESIAN • Well production 70+/- • WATER SAMPLE RESULTS: • Coliform 0 colonies/100 ml: Arsenic: N IA mg./L.' B. SEPTIC/HOLDING TANK DATA' Tank Type/Material "• 1250 `g Tank size` al. • Foundati I n cleanout •(Y/N) YES Date of pumping 2/16/2004 C. ABSORPTION FIELD DATA Date installed 8/13-14/2002 $oil rating ft. g.p.m. Parcel ID: 067-041-16 Well Log (Y/N) YES l:. Wires properly protected (Y/N) Casing height (above ground) AT INSPECT ON ft. g.p.m. YES 24+ in. Nitrate :LaST mg./L. Other bacteria D colonies/100 ml.1. Date of sample: 2/13/2004 Collected :by: STEEL Number of .Compartments 2 Depression, over tank (Y/N) _N i ;. pumper Date insta led :1.. (Y/N) YES High water alarm (Y/N) JRS :PUMPING AKWWC, INC. 8/13-14/2002 N/A IIBELOW t FINAL GRADE) rft2/bdrm p Length 50 (2025) ft. , Width !.r Total depth *8.5-10.3 ft. Eff. absorption area 500+ ft 2 Date of adequacy test ,*NEW I Fluid depth in absorption field before test Elapsed Time: — min. Fina Any re'u - • - '• reatment (past 12 mo.) (Y/N & type) Monitoring tube Results (Pass/Fail) PASS ifs System :type DUAL 5—WIDE era Gel 'below pipe 4+ ft. •YES Depression over field NO , For 4 . • • ms New depth — in. Absorption rate >= • ". If yes, give date g.p.d. Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Nnvw.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FA.MIL Y DAIELLING HAA# iL»A O3 a� l Expiration Date: // " �-� - L' Parcel I.D. 067-041-16 1. GENERAL INFORMATION Complete legal description LOT 10, BLOCK 1; DENALY SUBDIVISION Location (site address or directions) BENDILENT CIRCLE * EAGLE RIVER, AK Current Property owner(s) STEVE WAKEFIELD w/ EAGLE VENTURES Day phone 830-9246 Mailing address P.O. BOX 771822 * EAGLE RIVER, AK 99577 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Water Storage Community Class Well Public Water System Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal andlor water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority 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 samples. (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 wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER at, or prior 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 Health Authority 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE,'`Al< 99504 Address Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described 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 soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 7 bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: (Rev. 12101) , Phone 337-6179 I /to Date 17 -,r) -i f • ./- p l'''''' ...757* VA re A. arnes., 9, . —79 cA•`c40 0 d dp fessio�°a 440 " 00" bedrooms, with the fllowing stipulations: Manitenance Agreements s tt;((((Ullt//;tri oIN-SIIG ;. = WATER AND : WAS (L.UVAIER - PROGRAM _. �. +e •-1j�\, NTS�V`G�, ;•' Supplemental Engineer's Reort Other Original Certificate Date: / / - 0.3 • n.ic paLit of Ancho �I en Serve ee D Building Safety Division On Site Water &:Wastewater Program 4700 South Bragaw 8 Boat 196650 Anchorage -AK 99519 6650 www et anciwragea)C us (1.90.4 3434904" TIe, EALTH AUTHORITY APPRO\/AL 0, BLOCK 11DENALY' SSUBDIVISION .: : Legal.;Descnption LOT WELL DATA;;: Weu type•PRIVATE If Date.cornpleted. 7/12/2002 Tatal,depth 207 Yt.., Date, of test Static water 100 Well�.product on WATER SAIr!IRLE`R SUL HECKLIST::.: r. provid&PWNSID#; • 3anitatyseal (Y1N) YES Cased°to 205.3 •ft RON1iWELL L©G 7/1.2/2002 ARTESIAN ; f{ 70+/= gpm ='}*SAMPLE DATE.. 1 /6/031 Coliform *0' coloniesl.10O mL Arsenic N/A mg /L SEPTIC/HOCDIJ1G TANTO DATA Tank Type/Material Tank size 6250 gar. Foundation cleanout (` ate'of,pumpitit DSQRPTIONFIELD Dr�GTA ate I StaIIed;-;.e/ta, x4/2Q02 'arcellD.:. ell Log (Yfl) .•.G'FYR Y ��. 4067 :.:04c1 16 ,:. ICES:`" Wires properly protected'`(,Y/N) Casing teight;(abave ground)_.= • AT INSPEOTt.N Nitr=ate O 333 at • Date of sample, -.7 2/.16/02 STEEL I:umber of Compartments Depression oyer tank (Y:/N) N Pumper Other bacteria Collected by • Date instelled:. Cleanouts (Y/N) High water alarm •IalO •FNAL^":GRADE. oii rating':` pal;! r ft�lbdrm) YES ,.. 1' ,:: colonies/100 r i.. AKWWC,.:.:INC V1: 14/, 2002 Y;ES�...: • ..System type ':DUAL '5WIDE. Gravel,below pipe . :,4,+ ft .':` �� lepresston over fAeld NO•, For 4. bedroom's-: Neyr depth; —_in:' Length ft Width 5 ft:: Total depth *e`5 1a a ft Eff. absorption; area 500+ ftz Monitoring tube 1( SO Date of adequacy test NEW., Results (Pass/Fail) FIutd depth m absorption field before test in Elapsed Time _anis Final fluid depth,_ Apy rejuvenation treatment (past -l2 mo),:(Y!N &type) Abe -Option :rete ,.>= •if yes, give date D. LIFT STATION Date installed :: 'Size in: gallons:•'. - :Manhole/AccPgs (Y/N) "Pump on" level at in.. "Pump offlPvaI at. n High water alarm level at in. Datum Cycles. tested Meets alarm & circuit requirements? E. SEPARATIONDISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacentlots 100'+ Absorption field On lot 100'+ .. On adjacent lois 1 OO+ Public sewer main N/A Public sewer manhole/cleanout • . N/A .. 25'+ Sewer/septic: service line Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON. LOT TO:.....,. Building foundation.'' 5'+' . Property line `5.`.-+ Absorption field 5'+ .Water main • N/A . • Wells on adjacent: lots • 100'+ Water service line .10'+. Surface water SEPARATION: DISTANCE. FROM ABSORPTION FIELD ON LOT TO: Property line . 10'+ Water service Zine . 10'+ Curtain drain. ' NONE. KNOWN F. COMMENTS G. •'ENGINEEI SCERTIFICATION Building foundation 10'+ Water main 100'+ N/A Surface water 100'+ :Driveway; parking/vehiclestorage.: Wells on adjacerit:aots :100'+ 1 certify that I have determined through field inspections and review of Municipal records'that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed ame Date i /f D3 JEFFREY A..GARNESS HAA Fee $....37 bate of Payment 1-13 - 03: . Receipt Number 3O0 (Rev.12101) .. .. 25'+ •WaiverFee'S • • Date of:Payment. •Receipt Number : C 7953 `e��Q` •. • coo0 �Qap+ofesscircT NI\x,poo�a..