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Home My WebLink AboutBLUEBERRY HILL BLK 3 LT 3Blu b try Hill Block 3 #050-202-02 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231137 PID Number: 050-202-02 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name THOMAS & AMIEE MALNOSKE ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 22211 BROWNIE DRIVE, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot BLUEBERRY HILL 3 3 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line FtZ Ft. Well 100'+ -- 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer INFILTRATOR Capacity 1530 Gal. Surface Water 100'+ -- Material PLASTIC Number of compartments 2 Lot Line 10'+ -- NA Foundation 7'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks Tank insulated. 3BR HOUSE. Tank outside soil bearing prism see attached. Alarm location Electrical installed by Installer ARM PIPE MATERIAL House to tank 3034Tank to 3034 drainfield Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspdection l5` 7/13/2023 2„d 7/14/23 Location and description 3rd 4'h BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL 4:lob.��\ \ll l�} Conditional Approval: Date ltw� '' •.� *: 49 TH ....�:* ..... .... .......:.. / Septic Sys ApprovCurtis Huffman % Date % �/sj • _ .CE1528991• • ,.��i� Note: this approval does not include wellents. require ermit re P q Fuaiuci 1 o) 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: OSP231137 Work Type: SepticTank Upgrade Tax Code Number: 05020202000 Site Legal Address: BLUEBERRY HILL BLK 3 LT 3 G:0058 Site Mailing Address: 22211 BROWNIE DR, Eagle River Owner: MALNOSKE THOMAS M & Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: Department 6/12/2023 6/11/2024 79279 ❑ 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: ur-J-) 7-0 P L✓C - Date: Issued By: 1 Date: K MUNIMPA UTY OF ANCHORAGE Development Services Department ' Phone: 907-343-7904 On -Site Water & Wastewater Section - Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 050-202-02 Property owner(s) THOMAS & AMIEE MALNOSKE Day phone _ Mailing address 22211 BROWNIE DRIVE, EAGLE RIVER, AK 99577 Site address 22211 BROWNIE DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) BLUEBERRY HILL BLOCK 3, LOT 3 Legal description (Township, Range & Section) Lot Size 79,279 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank El Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) El ( Upgrade EDw/wo ADU) El El Duplex (D) Multiple Dwellings ❑ (SF and/or D) 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. of property owner or authorized agent) Permit/Rush Fees: Date of Payment: S z3 Receipt Number: _ Permit No. i -) i� Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\FormsUient FormsTermit Application.doc PID:050-202-02 PERMIT:OSP231137 FIRST WATER CONSULTING BLUEBERRY HILL B3, L3 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! June 2, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: PROSPECT HEIGHTS #4 BLOCK 2, LOT 6 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank per the attached design to serve the existing 3-bedroom residence. We would recommend a 1500-gallon HDPE tank be installed for future consideration or flexibility. No groundwater was noted in the MOA on-site file, but if groundwater is encountered during installation an epoxy coated steel septic tank may be required. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231137, Curtis Townsend, 06/12/23 FIRST WATER CONSULTING BLUEBERRY HILL BLOCK 3, LOT 3 DESIGN DETAILS: NO PRIVATE WELLS WITHIN 100' OF PROPOSED S.T. VERIFY PRIOR TO CONST. NO WELLS WITHIN 100' OF PROPOSED SEPTIC TANK Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231137, Curtis Townsend, 06/12/23 LOT 6 BLK 3 Q-) 509) -�4j -76 396.1 Co CO LOT 3 (0 LK 3 SHED 12. 0' C) EXIS77NG - GRAVEL Cd 0 HousjE 0 D/W 2. 0 Q) WELL CD 7d, 0 SEPTIC 9 VENT LIJ 0 (typ) Q) 0 Ln CD 40 6 3.6 9' 220.00 N 8 9:5 50 5)) E ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BLUEBERRY HILL SUBDIVISION LOT 3 BLOCK 3 PLAT 66-84 SLIP SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a OF 4 N\\� L -A V physical survey of this property as shown on this drawing and that the AMW <�, 0 A -W . .4 A-0 improvements situated here -on are within the property lines and no enchroachments exist other than noted. Under no circumstance should OOA 49TH any information on this drawing be used for construction of fences, 6% ?A ....... . ........... ....... z structures, improvements, or for establishing boundary lines. c n IZA PA f PA .................... 0 EXCLUSION NOTES: It is the owners responsibility to determine �0 - ;,d co -JOHN L. SCHULLER.- 0 jo 't the existence of any easements, covenants, or restrictions which 7,1% do not appear on the recorded subdivision plat. 13-10408 1831 Talkeetna Street WORK ORDER NUMBER: DATE- SCALE. E-MAIL- 40. 2, - Anchorage, Alaska 99508 JUNE' 1, 2023 1 "=60' schullerftk.net K\6 ow f \,o (907) 227-1455 office 23-046 DRAWN BY. CHECKED BY� GRID NUMBER: BOOK/PAGE: essionc (907) 274-4992 fax JLS NW0058 230160 ./ ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE NAME MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO. OFBEDROOMS DISTANCE TO: Manufacturer DISTANCE TO: Manulacturer DISTANCE TO: No. of lines Length of eac Top of tile to finish grade Length W~dth Type of crib Crib diameter DISTANCE TO: IDwelling Materia'~T~-~ ~ L- W~dth IF HOMEMADE: J Inside I_ength Well ,/~//~j J Dwelling ....... J Material Foundat,on /V//,~ JNearest ,ot ,,.,~ t.~ Total length,~l~.~ ! I Trench ,,id~ inches Material beneath tile &O inches Depth DISTANCE TO: Building foundation OTHER PIPE MATERIALS SOIL TEST RATING PERMIT NO. . NO. of compartments Liquid depth ... PERMIT NO. Liquid capacity in gallons Distance between lines Total effective ab§.orption_ar~a PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller . Distance to lot line Sewer line PERMIT NO. Absorption area(s) Septic tank INSTALLER REMARKS DATE LEGAL PERI'lIT NO. ~LIN I ¢ I .F~'gL I T'~ elf ANCH,P'~NGE DEPARTMENT O, HEALTH AND ENVIRONMENTAL t ..OTECTION 825 ~L~ STREET~ RNCHORRGE, RK. 9~501 264-4720 LWELL R~D ON--S I TE SEWER PER~ I T 8~0298 > APPliCANT STEWART J. PRATT P. O. BOX 928 EAGLE RIVER LOCAT I ON LEGAL LOT ~ BLK ~ BLUEBERRY HILL TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = ~ SOIL RATING (SQ FT?BR)= THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: ~94-~9i2 LOT SIZE 999999 SQUARE FEET C. EPTH; 9 lE~'lGT; ;= ~5 GR8%-'EL DePtH= THE LENGTH DIHENSION IS THE LENGTH (IN FEET) Of THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETNEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). RFQLI I RED · ~:Ef'T I I; TRN[( S I ze= :l_OOFj GALl Of'iS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMEN'T DURINg THE INSTALLATION INSPECTIONS OF ~NY NELLS ADSACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES ThAT The WELL WILL SERVE. TI, lO ~: 2 ) I [-,ISPECT ION$ RRF RFQLI I RED BRCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND RPPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A NELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE Of PUBLIC WELL. MINIMUM DISTANCE FROH R PRIVRTE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS M~Y APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS RRE AVAILABLE TO INSURE PROPER INSTALLATION. I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE · RESIDENCE IS REMODELED TO INCLUDE MORE. THAN ~ BEDROOMS. PERFORMED FOR: LEGAL DESCRIPTION: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST 3 SLOPE ~,....~ 4l 5 6 7 8 9 10- 11 12 13 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? SOILS LOG [] PERCOLATION TEST SITE PI.~/~ 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: 72-008 (6/79} Gross Net Depth to Net Reading Date Time Time Water Drop / erti[iel ri[ling by DOC CO. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2750 OWNER OF LAND: ~'TEJE. ADDRESS: LEGAL DESCRIPTION: DATE: 6/~I./P · ' PERMIT NUMBER: 0/[~t ,.~(. .... Date of Issue ~' ,~ TAX IDENTIFICATION NUMBER: O'5"~ - ~?O~ . Is well located at approved permit location? ~l,,~s I~1 No Method of Drilling: ~a,'alr rotary ~ cable tool Depth of well: ~'~ 0 Casing Type .~_i~ Wall Thickness ' ~,~ ~'"'0 · //' Diameter 6 inches, depth ~ ,~ Liner Type: ~ ~'~ inches feet Casing Stickup Above Ground: feet Static Water Level: (D / feet Recover Rate:./, ~ gpm Method of Testing: ~1 ~ Well Intake Opening Type: ~J open end ~l,,o~n hole "~J Screened; . Start feet Stopped feet ~ Perforations Start ~j,~et Stopped feet Grout Type:/~r..~.t~,T~ Volume /.,~'~/-~ ~'' , Depth: from ~) feet, to ~ 0"~ feet Well Disinfected Upon Completion? ~Yes F_.i No Method of Disinfection: (:~t od...~ 5-0 /I't.'~l Comments: BORE HOLE DATA DEPTH Fmm , ,To 20 /05' Driller's Name A'FrENTION: 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 Conservation. MUNICIPALITY OF ANCHORA GE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 9951g-6650 (907) 343-7904 ON-SITE WATER SUPPLY PERMIT Initial Date Issued: May 29, 2001 Expiration Date: May 29, 2002 Permit Number: SW010136 Legal Description: BLUEBERRY HILL BLK 3 LT 3 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: STEVE HOLSlNGER Owner Address: 22211 BROWNIE DRIVE EAGLE RIVER. AK 99577- Parcel ID: 050-202-02 Site Address: 022211 BROWNIE DR Lot Size: 79279 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 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. Received By: Issued By: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak, us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. ,0~'O -- ~ O~. --0~. Permit Number $ bV~710 1 3~; Property owner(s) Mailing address (1) ......... o address (2) STEVE HOLSINGER 7801 E. 32nd AVENUE * ANCHORAGE. Al<; Dayphone 243-1777 Zip Code Legal description (Lot, Block & Sub'd.) LOT 5. BLOCK 3: BLUEBERRY HILL SUBDIVISION Legal description (Section, Township & Range) Lot Size ,7'/~- Acres/Sq. Ft. Number of Bedrooms 99504 THIS APPLICATION IS FOR: Sawer Only Sewer and Well Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Well Only Water Storage Water Softening Unit I certify that the above Information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTE'WATER CONSULTANTSr INC. Permit Fees: ~ Date of Payment: Recelpt Number: Waiver Fees; Date of Payment: Receipt Number:.. ALASIG WATER & WASTEWATER - - CONSULTANTS, INC. L" " " ' ' ~ '- May l7,2001 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Reft Proposed Well for Lot 3, Block 3; Blueberry Hill Subdivision - (Eagle River, Alaska) To whom it may concern: The proposed 3 bedroom house will be served by a proposed private well and a existing septic system. The existing septic system was installed in 1983. The septic system is not in use at this time because no dwelling exists on the property. As can be seen on the attached site plan, the well is to be installed 100 feet from the closest property line. We request that a well permit be issued to drill a well on the referenced property. 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. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com BL. _~_ ~1~I;~_ HILL S/D; / ~°~?~'. / [ / BUJ~EB£a~r .~LL S/D~ ~ ............. ~ ~,, ____ ~--~-~ ...................... ~ LOT 1. BL~K-IO, ~ / ~-~ ~ ~,~_ '~ 5/~7/zoo~ ~_Z ASI~ WATER & WASTE~VATER J.LU. m CONS U LTANTS. , NC. S~ :PR~ED FOR P~E NUMBER: STEVE HO~INGER 245-1777 1 OF 1 BLUEBERRY HILL SUBDIVISION; LOT 5, BLOCK 5, ~E OF WORK: SITE P~N FOR PROPOSED WELL LOCATION %~?ofess[O~[~ MlJMUP n UT I( OF %\ HCHOR n GE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax. 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-202-02-000 Expiration Date: 10/21/2023 Legal description BLUEBERRY HILL BLK 3 LT 3 Site address 22211 BROWNIE DR Eagle River AK 99577 Current property owner(s) MALNOSKE THOMAS M &HILL-MALNOSKE AMIEE H X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 7/21/2023 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 ApprovaLJune 2022 MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section RushANCHORAGE Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-202-02 Complete legal description BLUEBERRY HILL BLOCK 3 LOT 3 Location (site address) 22211 BROWNIE DRIVE EAGLE RIVER AK 99577 Current property owner(s) THOMAS & AMIEE MALNOSKE Day phone 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ® Plastic ❑ Concrete ❑ Fiberglass Age 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 (� jl' 3 Y Date of Payment COSA # 05 C'a Waiver # COSA Application 2022.doc COSA Checklist copy.docx COSA Checklist Legal Description: BLUEBERRY HILL BLOCK 3 LOT 3 Parcel ID: 050-202-02 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 6/21/2001 Total depth 240 ft Cased to 41 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/24/23 Static water level at beginning of test 57 ft. Well production at time of test 1.6 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 0.619 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 5/25/23 Comments __Sullivan extended well casing head B. TANK DATA Measured operating fluid level in septic tank NA Date of pumping NEW TANK Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 6/19/83 ALL standpipes present per record drawing Total measured depth from grade 7.7 ft (max) Measured depth to pipe invert from grade 6.2 * ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective 2.4’ 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) N If yes, enter date Adequacy test date 5/24/23 Results Pass Fluid depth prior to test 1 in Water added 450 gal New fluid depth 13 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate 450 gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) 60 in (MOA 5’ ED) Effective depth used 31 in (Missing ED + Final Fluid Depth) Effective depth (ED) remaining 29 in Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots & appears approximately 31” ED is missing in old sump. New upper CO installed and new MT driven up hill. It appears that the upper MT was driven 1’+ further to 6’+ ED than the 5’ED. Driven MT was dry at construction, COSA Checklist copy.docx 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’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No 7 ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS New Infiltrator tank installed at 7’ to foundation and 5’ to existing field. Septic tank was outside the soil bearing prism. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 7/17/23 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 7/17/23 FIRST WATER CONSULTING BLUEBERRY HILL BLOCK 3, LOT 3 PID:050-202-02 PERMIT:OSP231137 BLUEBERRY HILL B3, L3 I ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: BLUEBERRY HILL SUBDIVISION LOT 3 BLOCK 3 PLAT 66-84 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing, and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shouli any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines.1 9 EXCLUSION NOTES: It is the owners responsibiliq, to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER; DAIS: SCALLE-MAIL JULY , , 21, 2023 =60' schuller0ak.net 23-046-2 DRAWN BY, ICHECKED BY: GRID NUMBER: BOOK PAGE JLS NW0058 230235 U Nb9-,)b U. D_ L: - SV AMW Awr OF 4 [JR L 'A 0 Aw IN I 001- A W -F C' -?--'49TH .................. . ......... ? ?A A X ............... / .............. t.jo %PHN L. SCHULLER.- LS-10408 '� Zs-6, 1831 Talkeetna Street i oz. - * ►ANW Anchorage, Alaska 99508 ofessionO\ \1 AMW (907) 227-1455 office (907) 274-4992 fax