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Home My WebLink AboutCARPENTER LT 3B Carpenter Lot 3B #012 - 052 - 64 Development Services Department • s .9Building Safety Division E f On-Site Water & Wastewater Program ° 4700 Elmore Road �� ' i P.O. Box 196650 Anchorage, AK 99507 5 A , E T Mark Begich www.muni.orq/onsite Mayor (907)343-7904 Well Log Permit Number: OSP171094 Date of Issue: 5/24/17 Date Started:6/30/17 Date Completed:7/7/17 Is well located at approved permit location'?IJ Yes U No Legal Description: Carpenter Lot3B G:2026 Property Owner Name&Address: Heesch Jack T 6103 Loganberry St Anchorage,AK 99502 Borehole Data: Depth(ft) Method of Drilling IJ air rotary LJ cable tool Soil Type,Thickness&Water Strata From To • Casing type:steel stickup 0 2 Wall Thickness: .250 inchcs overburden 2 5 Diameter: 6 inches Depth: 340 feet Liner Type: sandy gravel 5 27 Diameter: inches Depth: feet clay w/gravel 27 42 Casing stickup above ground: 2 feet clay/grey 42 137 Static water level(from ground level): 90 feet silty gravel 137 140 Pumping level: feet after hours pumping gpm wet clay,sloppy 140 182 Recovery Rate: 60 gpm sandy silty gravel 182 210 Method of Testing: airlift gravel w/clay 210 315 Well Intake Opening Type: sand w/little gravel wet 315 320 n Open End n Open Hole coarse gravel w/H2O 320 340 ❑ Screened Start feet Stopped feet El Perforations Start feet Stopped feet Grout Type: Bentonite Volume:granules Depth: 20' Start 0 feet Stopped 20 feet Pump: Intake Depth 210 feet Pump size 3/4 hp Brand Name Grundfos SQE Well Disinfected Upon Completion? n Yes n No Method of Disinfection:.chlorine tablets Comments: 4 Well Driller: Hefty Drilling, Inc. 3540 Akula Dr. Water Sample Results: Anchorage,AK 99516 Arsenic: 10.6 ug/L i\vi,11-1 Nitrates: nd mg/L Total Coliform Bacteria: neg colonies/100mL Other Bacteria: neg coU100mL Attention: The well driller shall provide a well log to DSD within 30 days of completion. Development Services Department Building Safety DivisionF. GE e4 b' On-Site Water & Wastewater Program 47Pr '<a 4700 Elmore Road z z P.O. Box 196650 ` •a.L) I i Mar*Begich Anchorage, AK 99507 s A ETV Mayor www.muni.orq/onsite (907)343-7904 Pump Installation Log Well Drilling Permit Number: SW 05P I l l °11 Date of Issue: c")' '1 1 Parcel Identification Number: Legal Description Property Owner Name&Address: r C,C.I(eev) Lt 313 7oddL i '� f. ,, 14 C*103 Log n ba r 5 /4-CAP^Ca, c Al 9 coa Pump Installation Date: g- 11-17 J Pump Intake Depth Below Top of Well Casing: c210 feet ' Pump Manufacturer's Name: f 4S Pump Model: /0 5 Q50-7-i 0 a Pump Size 3// hp Pitless Adapter Burial Depth: I 0 feet Pitless Adapter Manufacturer's Name: CA►vl bed/ 3—i 0 Pitless Adapter Installer: 14v i e✓c.l 9r./45 Well Disinfected Upon Completion? Yes E No 111 Method of Disinfection: lJ" /� l_1 b r. Comments: -alPump Installer Name: 0h 16 7 Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. _______SGS-- SGS Ref.# 11 74363001 Client Name Hefty Drilling Printed Dateifime 07/17/2017 13:23 Project Name/# Heesch Collected Date/Time 07/12/2017 9:30 Client Sample ID Well-Todd Heesch Received Dateffinte 07/12/2017 11:33 llatris Drinking Water Technical Director Stephen C.Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date !nit Metals by ICP/MS Arsenic 10.6 * 5.00 ug/L EP200.8 C (<10) 07/13/17 07/16/17 VDL Waters Department Total Nitrate/Nitrite-N ND 0.100 mg/L SM2I 4500NO3-F B (<10) 07/12/17 AYC Microbiology Laboratory E.Coli Negative 1 100mL SM21 9223B A 07/12/17 K.W Total Coliform Negative I I00mL SM2I 9223B A 07/12/17 K.W Page 2 of 5 rt �„ncnt 0 " MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program �� : 5 ; PO Box 196650 4700 Elmore Road ~ Anchorage,Alaska 99519-6650 Phone: (907)343-7904 Fax:(907)343-7997 „ httpa/www.muni.org/onsite _ I cpartmcnt 4kCNOFOk On-Site Water System Permit Permit Number: OSP171094 Effective Date: 5/24/2017 Work Type: Well Initial Expiration Date: 5/24/2018 Tax Code Number: 01205264000 Site Legal Address: CARPENTER LT 3B G:2026 Site Mailing Address: 6103 LOGANBERRY ST, Anchorage Owner: HEESCH JACK T & Lot Size in Sq Ft: 10276 Design Engineer: Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank ❑ Holding Tank 0 Privy El 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 Special Provisions: To close this permit, please submit: 1. Well log 2. Pump install log 3. Water sample results A.------- Received By: Date: r /y Issued By: Ul`t/e..eit_ C}uLreJ Date: 5M 7 MUNICIPALITY OF ANCHORAGE d„i 1.Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 0/L 7 ) /1 Property owner(s) l Vii{ eeSa---- Day phone ‘76YZ0 Mailing address 6 /0 ? 1 05/)-,? 2,r f-7 t`/ /lvr G LIOr1,-t 1/( '9 22_ Site address Legal description (Sub'd., Block & Lot) (_()/p0_ 11 1 e f 7 5 Legal description (Township, Range & Section) Lot Size 10/0r0 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field ❑ Initial Single Family (SF) 4 (w/wo ADU) Septic Tank ❑ Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Irl. / L (Signature ofpr‘erty owner or authorized agent) Permit/Rush Fees: .! )6. C. Waiver Fees: Date of Payment: S -)---1-=1‘4-` Date of Payment: _Receipt Number: aI ` SS Receipt Number: Permit No. OSP 1l i fit{ Waiver No. Permit App 9-1-12.doc - SS I sc ss. LOT 2B-1 LOT 2A-1N 6 75'SEWER MAIN \ SETBACK LOT 1B 100'SEWER \\Z SETBACK y . 25' SEWER \ — -- SETBACK C PROPOSED WELL - - - MHN S89° 58' 05"E 172.68 SITE LOCATION 1 1 I '� ara 1 °° LOT 3 B I } - ,--,. 7 H I ..L. ' LU - ' I LU m \ �. ' rn rn CY o N90' 00' 00"W 100.00 ', , H o I � _ o Z I J —0 CO �' I oo cf Ce 1 LOT 3A I n �4) -- r w �,; � _ TRACT 8 25'SEWER i 100'SEWER 'r SETBACK �� LOT 4 Q / EXISTING o SETBACK 1\ O e, �' / �5 I o HOUSE O z //Z/1/ ///Z,f' / �S \ - -I_ "' I S . N. S89°44' 20"W 72.76 ` / 75'SEWER MAIN / tn SETBACK T .--- 100' r 100'SEWER 100'PROPOSED , SETBACK WELL BUFFER LOT 1 LOT 2 LEGEND: ® -PROPOSED WELL MH -SEWER MANHOLE 0 10......ww bellow Fi 11 ' - POSSIBLE WELL LOCATION 1 -PROPOSED WELL BUFFER GAS AND OTHER UTILITY LOCATIONS ARE APPROXIMATE. -LOT EASEMENT LINE v),„1, -///1:-.1.----'— CALL 811 FOR LOCATES PRIOR TO DRILLING.I -SS- -SEWER LINE SETBACK Li• SEPERATION DISTANCES AND SETBACKS PER - S —-SEWER LINE Ln AMC 15.55.060 TO BE VERIFIED BY DRILLER -UNDERGROUND GAS LINE ONGC.''(7.- - CARPENTER SUBDIVISION HE : PS CHECKED BY: SC antiacri I nc LOT 3B DATE: 4/5/2016 anc/liled..ne•e,y;nauny•a....•.•y..,y JOB NO: 15064 250HStreet WELL SITE PLAN Anchorage.AK 99501 SHEET NO: SCALE: °1907'21:-8985 PARCEL# 01205264000 1'=40 021 www l kygak com . ek.cxn 0: -ft TAX CODE No.. 1b MUNICIPALITY 31 GRID No. d� ;7zg: � F ANCHORAGE--- SEWER UTILITY PROP HiTy: Name Address Plat NO* Subd. Residential C3 Domme ria l 0 Industrial 0 sE� 1o. of units cct.No Lot_ z3A�oBiock CON NDT= � • � � ire � T Main Tap On Property Permit No.ype DrawingNo. Size Man Type Depth at Connect insulation eaou Type Connect end Inspector Dae 7 Comments Connect Loa n 3r. ft" JEKiM ASSESSMENTS: L. 1. D. No.. lPrivate Dev. No. Subd. Agreement Severer Agreement No_ _ T . 0 Roll No.— DYE: o_— DYE TEST' PositiveNegative C3 N.S.A. 0 Date Pag a Idp M.. No. Billing Cycle Tested By Commentsw It No. - E C3 I I i t I u SEE SHEET 17-1 n I 2 T a I •'b �°a s I �� 5 �w BE = BIRCH, COTTO1 iG F+-15'TEMP. ESM7 RF,a+ ";1^Svy,�` 103,67 i i BE =110.60 I N STA.0+00.00 EA T ++ G J•� STA. r+ai I STA.4+00.0 ASTM ^ 2 S11y STA. sem. EAST,�•' � ' � I 7 o q STA. 4 EAST i ;^ MH SH -24 / ^ 1:< I MH SH -25 MH SH -26 SIO' EMP ESMt y MH SH -26 i— wW — „. IO W61st. AVE. -- MB. �,; -- , o w.<M �',5 e1 10Y a u I �ro .awap✓i: sne i ^aH pvc. ar�+5 F,. 400. LF 6 PVC ---- LF 8' PV .� ._ L 8" PVC - -- -- --I G - - --- --- -G -- -- -- G __ - - - -__ - - -- r ' <<i TH 4e 10 I1 I I l WALLni w B.E=98.72 15' I G o Ir I 9�1 I w au I d L Q �a' NB Pa � w E 0 ; 30 I 251 w w B.E=98.72 a a /O w I T.E=115.65 0 NB Pa � E 251 10' Y SEE RIGHT40 TE�AP,�HFAas SEE LEFT iI l E� � �ua �� g12 S':.> �F IO'TEMP ESWl i'i 1 �� • I I k -5' PERM ESM'T u74 m w r -- r w e m F o Q b 2 NOTE: THE EXACT LOCATION OF 4" SERVICE CONNECTS WILL BE DETERMINED IN THE FIELD.. *ON 4 4i-sd and .ate.'/iihf STA. 9 EAST 2 MH SH -28 10' _4 7.5' -35 -� s= I I 2/ �7 p I U -i 0 W Q n7 U MEN E 0 O MEMEMEE -- 0 ENE 0 IOy N MEED M®®EM®ME MEE__ I, Ell ME _EMO 0 ME -- — - w -om — — - -- T P e .I ap0.0 _-- -- -- -- — —N- IN I 1=7185 S. INV'=71.80 - l E. IN V=71.90 L - --- MEME MOEN ME on I NEE M ONE ME 0+00 1+00 2+00 3+00 4+00 10' Y SEE RIGHT40 TE�AP,�HFAas SEE LEFT iI l E� � �ua �� g12 S':.> �F IO'TEMP ESWl i'i 1 �� • I I k -5' PERM ESM'T u74 m w r -- r w e m F o Q b 2 NOTE: THE EXACT LOCATION OF 4" SERVICE CONNECTS WILL BE DETERMINED IN THE FIELD.. *ON 4 4i-sd and .ate.'/iihf STA. 9 EAST 2 MH SH -28 10' _4 7.5' -35 -� s= I I 2/ �7 p I U -i 0 W Q n7 U MEN E 0 MEMEMEE 0 ENE !' MEED M®®EM®ME MEE__ I, Ell ME _EMO 0 ME MEME MOEN ME on I NEE M ONE ME WORM . • BY r �� ® - -. law M: MEN M MEQ - C EMC M_� WMMECIMC C MUNICIPALITY OF ANCHORAGE Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC251243 Parcel ID 012 -052-64 Legal description CARPENTER LT 3B Site address 6103 LOGANBERRY ST Expiration Date: 6/10/2026 Current property owner(s) ADLER SUZANNE A X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or conditions: 0 Original Certificate Date: 6/18/2025 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject syste (s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, De lopment Service Department (DSD) issues COSAs based upon representations provided by an in ependent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other __ 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. 012-052-64 Complete legal description CARPENTER, LOT 313 Location (site address) 6103 LOGANBERRY STREET, ANCHORAGE, AK Current property owner(s) SUZANNE ADLER 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 845-800-3759 3. TYPE OF WATER SUPPLY: FN Private Well serving # 1 dwelling units F-1 Other Non-public well as regulated by MOA ❑ Water Storage r_1 Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: F-1 Private Septic F-71 Private Septic serving 2 dwelling units 1771 Holding Tank FE -1 Community Septic or Public Sewer 5. SEPTIC TANK: F71 Steel ❑ Plastic ❑ Concrete F -I Fiberglass Age N/A - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: 1771 AWWTS 177] Bed El Deep Trench F Wide Trench F-1 Seepage Pit Waiver request for: Distance: Expedited review requested: F-1 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 00 Waiver Fee $ Date of Payment VA Date of Payment COSA # (0 SC251 9(4� Waiver # COSA Applicallon_Apr2025.doc R COSA Checklist Legal Description: CARPENTER; LOT 3B Parcel ID: 012-052-64 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA X Well log is filed with Onsite (or attached) Date drilled 7/7/2017 Total depth 340 ft Cased to 340 ft 0 Sanitary seal is functioning correctly H Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 6/12/2025 Static water level at beginning of test 76.0 ft. Comments Measured operating fl Date of pumping _ ❑ Required maintem tank BSORPTION FIELD DATA �== Which m tested (date installed) ❑ ALL standpl resent per record drawing Total measured depth grade ft (max) Measured depth to pipe invert grade ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulate . ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant o d not used for more than 30 days prior to d of test) Gallons introd _gallons date Any rejuv ion treatment (past 12 months) N/A es, enter date Comments/Deficiencies: COSA Checklist June 2022 Well production at time of test 8+ gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ® No ❑■ Coliform bacteria is Negative Nitrate mg/L R Nitrate less than MRL (ND) Arsenic 7.36 ug/L ❑ Arsenic less than MRL (ND) Collected by GEG, LTD. Date 6/10/2025 C. LIFT STATION ❑ Requir nce completed A e of lift station years Lift station �.. Comments: Adequacy test date Results ❑ Pass Fluid depth prior to in Water adde gal New d depth in lapsed time min Final fluid depth in Absorption rate gpd FI TATUS — POST RECOVERY Effective (per record drawings) in Effective depth us in Effective depth remaining in 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' NSA Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft 0 Yes if No ft Neighboring Tank > 100' no Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NSA ft Holding Tank > 100' FMI 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 0 Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water r is/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than require Building Foundations > Yes if No ft Surface Water > 100' Yes if No ft Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Line > 10' ❑ Yes if _ ft 6'i"i Adjacent Lots: ❑ Yes i ft t Wells > 100' Yes if No ft Community Wells >, ❑ Yes if No ft F-1 Yes if No ft ❑ Yes if No ft If tank or field is under driveway comment F. ENGINEER'S COMMENTS *ASSUMED 251+ TO SEWER SERVICE LINE ON PROPERTY BASED UPON 2018 COSA. WOULD NEED TO LOCATE SEWER SERVICE LINE TO BE 100% CERTAIN. 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 Gayness Engineering Group, LTD. (GEG) Phone Engineer's Printed Name Jeffrey 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 practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regardim the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. COSA Checklist June 2022 907-337-6179 o OF ..4.# T..�.... ..v*. ........ �� f r y A _earn ss; 049. CE -7953 Q4 6, •''1....... • �p�p 0 LICENSE�Q professi000\ t7AECC884 cue GALT SUBDIVISION LOT 2B-1 I— uj w 0 EAST 172.47' N 10' TELECOMM. &ELECTRIC EASEMENT } U......................................................................... ... �11_1 ............................................... ......... ...............................................................4.............. LU CD .. .. .. m ... .. Q�o ................. 0 z � EAST 100.00' X . 0 5' WATER LINLE EASEMENT GRAPHIC SCALE NOTE: 1 10 20 1) THIS MORTGAGE LOCATION SURVEY (AS -BUILT) WAS PREPARED FOR LISA HERRINGTON. IT SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. RE -USE OF THIS DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS FOR ADDITIONAL 1 = 20' USES LATER WITHOUT THE EXPRESS WRITTEN CONSENT OF LCG LANTECH, INC. IS A VIOLATION OF FEDERAL COPYRIGHT LAW. 3A 2) THE LIABILITY EXTENT OF LCG LANTECH, INC. SHALL BE �F �� LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES + G_ i IN PREPARATION FOR THIS PRODUCT, UNLESS GROSS 'tV ' ' ' •'QS `� NEGLIGENCE IS DISCOVERED. 3) THIS MORTGAGE LOCATION SURVEY (AS -BUILT) IS A •'^n r� REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT *.-' 49 T * THE TIME THIS SURVEY WAS PERFORMED. THIS AS -BUILT DOES • • NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO 1 ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY r MAY DISCLOSE. GA GERVELIS •.Q 4) THE INFORMATION CONTAINED ON THIS DRAWING SHOULD j -1 g •ria AW NOT BE USED IN SUPPORT OF ANY NEW CONSTRUCTION. � 5) THIS AS -BUILT ONLY SHOWS EASEMENTS THAT WERE ON THE �r �Of glQ�yp�1A��T ORIGINAL PROPERTY OWNER'S DETERM NE IF THEREAREOTH R TO EASEMENTS, COVENANTS, RESTRICTIONS, OR RIGHT OF WAY TAKINGS OF RECORD NOT SHOWN ON THE ORIGINAL PLAT. ORDERED BY: LISA HERRINGTON LEGAL DESCRIPTION: N 250 H Street Anchorage, Alaska 99501 _ (CG- "`�� Survey Department Phone 562-5291 Inc Mainline Phone8985 ahc�a �_ � AECC 66688 ORDERED BY: LISA HERRINGTON LEGAL DESCRIPTION: N 14.1' N 00 w Lfl' f` f C7 0 0 0 24.2' x I SHED C° 13.4' Y O N COVERED STORAGE LOT 3B 23.3' EXISTING HOUSE 47.5' t - Z LU LU U) Q LUU o- U LJ LUJ LU C6 o LU J LU 0 M, N — l � in 10' TELECOMM. & ELECTRIC EASEMENT 1 x 5890 44'20"W 72.76' CULVER SUBDIVISION LOT 2 AS -BUILT TRACT 7 LOT 3B, CARPENTER SUBDIVISION LEGEND: POWER POLE = •Asphalt DRAWN DATE: 6/12/25 WORK ORDER: 25032 CLEAN OUT o Overhang DRAWN BY: AP PLAT: 88-50 WATER WELL ` Wood Deck CHECKED BY: GMG GRID: SW2026 FENCE x SCALE: 1" = 20' FB/PG: 827/18 REF: 15064 UTILITY PEDESTAL ❑ SPENARD HEIGHTS W 1/2 E 1/2 TRACT 9 (Y1 rn 0 CULVER Lu,< SUBDIVISION No LOT 4 TRACT 8 O O x 0 U/1 x x CULVER SUB. LOT 1 TRACT 7 ADDRESS: 6103 LOGANBERRY ST PARCEL#: 012-052-64-000 � NDCBPAL TY OF 4\ NCHOF AGE Development Services Department ro.�.. . .��.... ,. Phone: 907-343-7904 On-Site Water & Wastewater Section i' Fax: 907-343-7997 Certificate of On-Site Systems Approval Parcel I.D. 012-052-64-000 Expiration Date: SP/-L 1 ao l8 1. GENERAL INFORMATION Complete legal description Carpenter Lt 3B Location (site address) 6103 Loganberry St Current property owner(s) Jack Todd Heesch Day phone 9072500281 Mailing address 2445 McKenzie Dr, Anchorage, AK 99517 Real estate agent Anita Bates Day phone 9072438777 6 '189 70 2. TYPE OF DWELLING: u`' ry ❑ Single Family (w/wo ADU) > 451. ❑ Duplex =� �� • eL JUN 0 8 2018 ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 a68Lg 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic ❑ Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer Waiver request for: Distance: Received by/ � Date: /( Z/i COSA to be released to the en 'neer,unless otherwise requested by the engineer. COSA Fee $ I I I• (.Q g Waiver Fee $ Date of Payment (.0181•901 g Date of Payment Receipt Number 644(.PL4 oAtt/- Receipt Number COSA# OS C I 0 t 2ftol 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 LCG Lantech Phone 245-8827 Address 250 H St., Anchorage, AK 99501 Engineer's Printed Name Dale McCoy Date 6/4/18 --L."- OF *Smh 6. DSD SIGNATURE yr '49 ,' �� *� System #1 Approved for 3 bedrooms r System #2 Approved for bedrooms �, DALE L. MCCIY : Disapproved YoP CE 13357Le/.6./C7A,•\ Conditional approval for bedrooms, with the following k PROFESS\o�`��.- 0000�� ON-SITE WATER AND WASTEWATER L PROGRAM .fOttin Ci-;0\i‘ By: Q&OAR Cc_TOLO-0 Original Certificate Date: Jte d 01 a The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval(COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet 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: Carpenter Lot 3B Parcel ID: 012-052-64-000 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 7/7/17 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 340 ft. Cased to 3 1(2ft. Casing height (above ground) 2 in. FROM WELL LOG AT INSPECTION Date of test 5/29/18 5/29/18 Static water level 90 ft. 90 ft. Well production 60 gp15.m. g p m WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate NEG mg/L Arsenic 7.25 ug/L Date of sample: 5/9/18 Collected by: X 7 4/,2-/ee 1--./ J-? 7, t B. SEPTIC/HOLDING TANK DATA Tank Type/Material Date installed Tank size gal. Number of Compartments Cleanouts (Y/N) Foundation cleanout(Y/N) Depression over tank (Y/N) High water alarm (Y/N) Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./ft2 or ft2/bdrm) System type Length ft. Width ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ft2 Monitoring tube Depression over field Date of adequacy test Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot N/A On adjacent lots N/A Absorption field on lot N/A On adjacent lots N/A Public sewer main >100Public sewer manhole/cleanout '100' 25' Sewer/septic service line Holding tank N/A Animal containment areas N/A Manure/animal excrete storage areas N/A SEPTIC/HOLDING TANK ON LOT TO: Building foundation Property line Absorption field Water main Water service line Surface water Wells on adjacent lots ABSORPTION FIELD ON LOT TO: Property line Building foundation Water main Water Service line Surface water Driveway, parking/vehicle storage Curtain drain Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION -it"��®\� •F ,A k I certify that 1 have determined through field inspections and ,`Q.• review of Municipal records that the above systems are in API Gj•• ••y y conformance with MOA COSA guidelines in effect on this date. *'. 49 TH -1N1 ✓ '.*dy Dale McCoy •/' Od Engineer's Printed Name • • (, ��• • • Date 6-8-18 DALE L. MCC•Y ¢$�F••• CE 1337 .•• ��/ llFOPROFESS.v' COSA canary sheet_2-6-15.doc S GS____ SGS Ref.# 1182044001 Client Name Residential Testing-Cash Account Printed Date/Time 05/17/2018 14:36 Project Name/# Todd Heesch Collected Date/Time 05/09/2018 12:20 Client Sample ID Kitchen Sink Received Date/Time 05/09/2018 13:00 Matrix Drinking Water Technical Director Stephen C.Ede Sample Remarks: • Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic 7.28 5.00 ug/L EP200.8 C (<10) 05/11/18 05/15/18 VDL Waters Department . Total Nitrate/Nitrite-N ND 0.100 mg/L SM21 4500NO3-F B (<10) 05/10/18 AYC Microbiology Laboratory E.Coli Negative 1 100mL SM21 9223B A 05/09/18 DSH Total Coliform Negative I 100mL SM21 9223B A 05/09/18 DSH 2 of 5 6%0 AqQ Ailsk, tts Anchorage Well& Pump Service, Inc. V:Ali.4,1111111 330 East 76th Avenue Invoice Anchorage,Alaska 99518 ( � (907)243-0740 'O�Mrsc� Invoice#: 20181005 Bill To: Ship To: TODD HEESCH TODD HEESCH 2445 MCKENZIE DRIVE 6103 LOGANBERRY ANCHORAGE, AK 99517-1138 ANCHORAGE SALESPERSON YOUR NO. SHIP VIA COL PPD SHIP DATE TERMS DATE PG. MARK VANWINGERDEN 27905 Net 10 5/29/2018 1 ------ -- ------------ QTY. ITEM NO. DESCRIPTION PRICE DISC% EXTENDED TX. PRICE JTH109@HOTMAIL.COM 1 Service Call WELL FLOW TEST FOR SALE OF HOME 1 Field Service Field Services: 5-17-18-MOB TO JOBSITE. $92.00 $92.00 PULL PUMP OFF PITLESS. INSTALL PUMPING HEAD WITH FLOW METER. STATIC WATER LEVEL AT 90 FEET. START PUMP. PUMP AT 12 GPM FOR 1 HOUR. WATER LEVEL DROPPED TO 91 FEET. RESULTS OF FLOW TEST AT THIS TIME: 15++GPM. PUMP SET AT 210 FEET. WELL LOG STATES:WELL DEPTH 340 FEET-STATIC 90'-60 GPM. DEMOB FROM JOBSITE. 1 ST2 Service Tech: MARK VANWINGERDEN $98.00 50.51% $48.50 5-17-18 1 ST6 Service Tech: HENRY MARTIN 5-17-18 $98.00 50.51% $48.50 1 Field Service Field Services:5-25-18-MOB TO JOBSITE. $92.00 $92.00 FOUND LOOSE POWER WIRE TO WELL PUMP. FIX CONNECTION. TEST. SYSTEM OKAY. DEMOB FROM JOBSITE. 1 ST2 Service Tech: MARK VANWINGERDEN $98.00 1.02% $97.00 5-25-18 1 NOTE: CURRENT CONDITIONS NOTED DO NOT IMPLY FUTURE WELL PRODUCTION & CONDITION. -1 Z0602 DISCOUNT GIVEN TO HONOR QUOTED $78.00 ($78.00) PRICE SALE AMT. $300.00 WE APPRECIATE YOUR BUSINESS. THANK YOU! FREIGHT $0.00 SALES TAX $0.00 TOTAL AMT. $300.00 PAID TODAY $0.00 BALANCE DUE $300.00