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HomeMy WebLinkAboutRAVEN WOODS BLK 2 LT 2Onsite File i Sep_21.2022 11:26 AM Anchorage Well & Pump Service Inc 9072430742 #0572 P 1/ 1 MUNICIPALITY OF ANCHORAGE Development Services Department_ Phone: 907-343-7904 On -Site Water & Wastewater Section - - Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Date of Issue: - Parcel Identification Number: 015 _ 232 _ 18 Legal Description Block Lot Property Owner Name & Address: MOORE MAXIMO A III & MELISSA M % SCOTT PARRY RAVEN WOODS 2 2 9180 CHAPELLE CIR ANCHORAGE, AK 99507 Pump Installation Date: 09 - 16 _ 2022 Pulp Intake Depth Below Top of Well Casing:. 490 feet Pump Manufacturer's Name: RUNDFO Pump Madel: 10 QE16-330 IPump Size: 1.00 lap Pitless Adapter Burial Depth: 12 feet Pitless Adapter Manufacturer's Nance: MARTIN ON Pitless ,Adapter Installer: IWell Disinfected Upon Completion? XYes © No Method of Disinfection: PEILETS Comments.- Pump omments: Pulmo Installer Name: _ ANCHORAGE WELL & PUMP SERVICE Company: 7640 KING STREET ANCHORAGE, AK 99518 Mailing Address: 907-243-0740 City: State: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 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 Water System Permit Permit Number: OSP221458 Work Type: Well Initial Tax Code Number: 01523218000 Site Legal Address: RAVEN WOODS BLK 2 LT 2 G:2738 Site Mailing Address: 6101 TRAPPERS TRAIL RD, Anchorage Owner: MOORE MAXIMO A III & MELISSA M Design Engineer: ANCHORAGE WELL & PUMP SERVICE This permit is for the construction of: Effective Date Expiration Date: »>enr 1° S� U O� 1 DehaI,tIn ell t Lot Size in Sq Ft: Total Bedrooms: 11/17/2022 11/17/2022 11/17/2023 95396 ❑ Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well 0 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 $ 5ul=_ C� 7'0 A W P S Received By: Issued By: Date: Date: t1 41 0 Z- -Z-- 3 R H �1, C � 1P,1 C, L'I T V 0 Arq9 c I?-� 01 ,,i G I Development Services Department X, Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 01523218000 Property owner(s) MOORE MAXIMO A III & MELISSA M Day phone Mailinq address % SCOTT PARRY, 9180 CHAPELLE CIR, ANCHORAGE, AK 99507 Site address 6101 TRAPPERS TRAIL RD, ANCHORAGE, AK 99516 Legal description (Sub'd., Block & Lot) RAVEN WOODS, BLK 2 LT 2 Legal description (Township, Range & Section) Lot Size 95,396 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial 0 Single Family (SF) Q ADU) Septic Tank E] Upgrade Upgrade ❑ Duplex (D) ❑ Holding Tank ❑ Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage 0 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 applicabl Municipal Codes (Sign rope y owner ora o—i agent) , 0 ow,Pa c Permit/Rush Fees: l %o – Waiver Fees: Date of Payment: (►) N )2Z C,, Date of Payment: Receipt Number: O �o C I (sj Receipt Number: Permit No. 0 96-9 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc /I A A IVVA adt(tea OW Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221266 PID Number: 015-232-18 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: W New ❑ Upgrade Name MERIT HOMES LLC ABSORPTION FIELD ❑ Dee Trench ❑ ❑ Mound p ❑Wide Trench ■Bed Site Address 6101 Trappers Trail Rd ❑ Other Phone (907) 334-9233 Number of Bedrooms Four (4) Soil Rating 1.0 Total depth from original grade 4.1 / 3.5 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.5/3.0 Ft. Gravel depth beneath pipe 0.6/0.5 Ft. Subdivision Block Lot Raven Woods 2 2 Fill added above original grade 3.5/3.5 Gravel length 120 Township Range Section Ft. Ft. Gravel width 5 Ft. Beds: Number of Lines n/a Distance between lines 7.3 Ft. SEPARATION DISTANCES 0 Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 600 Ftz 2 >6 Ft. Well >100' > 100' N/A N/A >25 TANK ❑E Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water >1 00' >100' N/A N/A Material Plastic Number of compartments 2 Lot Line >5' >10' N/A N/A NA Foundation >10' >10' N/A N/A L TATION Manufacturer Capacity Remarks Gal. Alarm location Elects ailed by Installer PIPE MATERIAL House to tank D3034 Tankto D3034 Red Dog Masonry Drainfield D3034 Co/MTD3034 Inspector L. Tidwell / M. Jakubisin BENCH MARK (Assumed elevation) 100 ft Inspdection 1-` 1/7/23 2 n 1/11/23 Location and description 3rd 4'" Bottom of siding @ NW Corner ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ®F!� Conditional Approval: Date��'`. S* .49TH •� ¢� E -L:= ��y•�•. Septic Syste Approved `t/ �% BenjamjrtSchiller F� CE 12592 Date S ��'`r1F�• , •3/14/19 , •��C� OPROFESS01'P- Note: this app al does not include well permit requirements. --j NEW WELL Benjamin Schiller CE 12592R E GISTEREDPROFES S I O N A LENGINEER1"=50' 2-60' LONG x 5' WIDE 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH W/2' SANDLINER 1250-GAL SEPTIC TANK w/ 20" MANWAY CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND FS TH # 1 PERMIT # OSP221266 PID # 015-232-18 RAVEN WOODS BLOCK 2 LOT 2 A B FCO 39.3 SV 46.6 2CO 49.0 A B FS 67.3 CO1 57.6 MT1 60.7 CO2 112.3 9.5 24.2 27.6 51.1 51.7 53.3 82.5 FEET 0 50 100 FCO 4-BDRM HOME 10' UTILITY EASEMENT TRAPPERS TRAIL ROADCO4 CO2 CO3 CO1 MT4 MT2 MT3 MT1 2CO WELL FOR LOT 1 IS >100' FROM PROPERTY LINE WELLS FOR RAVENCREST LOTS 2 &3 ARE >100' FROM PROPERTY LINE WELL FOR T12N R3W SEC 23 PARCEL 21C >100' FROM PROPERTY LINE MH 44.120.2 MT2 107.778.2 CO3 67.9 MT3 69.4 CO4 117.7 66.5 65.4 92.1 MT4 114.790.1 PLAN AS-BUILT 3/20/23 CORRECTED TH LOCATION 7.7 CONFIRMED MIN 5' SEPARATION TO DECK SUPPORTS ALTERNATE SITE: 20' LONG x 5' WIDE x 0.5' EFFECTIVE DEPTH CAT III ABSORPTION TRENCH w/ 2' SAND LINER 5% 5% 5% 8% 8% PROFILE AS-BUILT (NO SCALE) 93.9 88.7 99.6FCOMH SV1250 GAL SEPTIC TANK 98.8 FINISH GRADE 60' DRAINFIELD ROCKMT1 TH#1NO GROUNDWATER 7/13/2022 91.2 91.8 CO1CO279.3 91.2 91.8 95.3 ORIGINAL GRADE MT22CO93.7 Benjamin Schiller CE 12592 R E GISTEREDPROFES S I O N A LENGINEERPERMIT # OSP221266 PID # 015-232-18 RAVEN WOODS BLOCK 2 LOT 2 98.8 FINISH GRADE 60' DRAINFIELD ROCKMT3 TH#1NO GROUNDWATER 7/13/2022 91.8 92.3 CO3CO479.3 91.8 92.3 95.3 ORIGINAL GRADE MT4FIELD #1 (NORTHEAST) FIELD #2 (SOUTHWEST) SAND LINER SAND LINER 3/20/23 89.2 89.8 TRAPPERS TRAIL ROADAsBuilt 3/29/2023 Feet 0 50 100 Permit Number:OSP221266 Tax Code Number:01523218000 Work Type:Septic Initial Effective Date: Design Engineer: Site Legal Address:RAVEN WOODS BLK 2 LT 2 G:2738 Owner:MOORE MAXIMO A III & MELISSA M Site Mailing Address:6101 TRAPPERS TRAIL RD, Anchorage Lot Size in Sq Ft:95396 Total Bedrooms:4 This permit is for the construction of: Disposal Field 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 7/18/2022 7/18/2023 FORGE ENGINEERING Expiration Date: Received By: Issued By: Date: Date: 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 Deb Wockenfuss 7/18/22 MUNICIPALITY OF ANCHORAGE 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. 015-232-18 Property owner(s) Merit Homes Day phone 907-727-9782 Mailing address 520 W 58th Ave Unit C, Anchorage, AK 99518 Site address 6101 Trappers Trail Rd, Anchorage, AK 99516 Legal description (Sub'd., Block & Lot) Raven Woods 132 L2 Legal description (Township, Range & Section) Lot Size 95,396 Sq. Ft. Number of Bedrooms 4' APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑x Initial ❑x Single Family (SF) ❑x ADU) Septic Tank ❑x Upgrade El(w/wo (D) El Holding Tank ElRenewal ElDuplex 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. (Signature of property owner or authorized agent) Permit/Rush Fees: t 5! 5 f V 3 5'7 Waiver Fees: Date of Payment: Receipt Number: Permit No. 0 S �' a a Permit App_'- : :'-.,:c Date of Payment: Receipt Number: Waiver No. July 13, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Raven Woods Block 2 Lot 2- 6101 Trappers Trail Rd. Septic system design Dear On-Site Services Engineer: The owner of the above lot intends to build a 4-bedroom home on the property, so we are submitting this permit application for the construction of a septic system. The existing well on the property was installed in 2006. The attached site plan identifies the location of the home as well as the existing well, septic location and alternate site. No conflicts exist between this proposed system and any other well or septic system, whether on this lot or adjacent lots. The ground surface on the lot is mostly level with subtle elevation changes. Elevations are labeled on the site plan showing the grade and direction of flow. Stormwater drainage will not impact this septic system. The new trench will be constructed parallel to the slope as much as possible. Wells on this and adjacent lots are shown. The new system will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic tank. The alternate site is located more than 6’ away. Please refer to the attached test hole logs, plan and profile pages for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221266, Deb Wockenfuss, 07/18/22 EXISTING WELL Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER 1"=50' 2-60' LONG x 5' WIDE 0.5' EFFECTIVE DEPTH ABSORPTION TRENCH W/2' SANDLINER MAINTAIN > 6' SEPARATION BETWEEN TRENCHES 1250-GAL SEPTIC TANK w/ 20" MANWAY CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND FS TH#1 RAVEN WOODS BLOCK 2 LOT 2 FEET 0 50 100 FCO NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. Jul 18, 2022 4-BDRM HOME 10' UTILITY EASEMENT TRAPPERS TRAIL ROADPROPOSED PROPERTY LINE 710 715 720 725 705 CO CO CO CO MT MT MT MT 2COALTERNATE SITE: 20' LONG x 5' WIDE x 0.5' EFFECTIVE DEPTH CATIII ABSORPTION TRENCH W/ 2' SANDLINER WELL FOR LOT 1 IS >100' FROM PROPERTY LINE WELLS FOR RAVENCREST LOTS 2 &3 ARE >100' FROM PROPERTY LINE WELL FOR T12N R3W SEC 23 PARCEL 21C >100' FROM PROPERTY LINE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221266, Deb Wockenfuss, 07/18/22 TYPICAL TRENCH SECTION (NO SCALE) NOTES: 1. GRADE AREA OVER TRENCH TO DRAIN AWAY 2. PROVIDE 3' OF COVER OVER TRENCHES AND 4' OVER SEPTIC TANK, OR 2' WITH 2" OF INSULATION 3. CHECK GROUNDWATER AT TIME OF CONSTRUCTION. IF LEVEL IS HIGHER THAN PREVIOUSLY OBSERVED, CALL ENGINEER IMMEDIATELY Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEERJul 18, 2022 4" PERFORATED PVC (HOLES DOWN) DRAINFIELD ROCK 5' 6" 6" 6' 6" DESIGN FACTORS:SYSTEM REQUIREMENTS: 600 GPD PEAK FLOW PERK RATE: 0.79 MIN/IN APPLICATION RATE: 1.0 GPD/SF 5' WIDE TRENCH SYSTEM 1250-GAL SEPTIC TANK W/ 20" MANWAY BOTTOM OF TRENCH: 7.0' BELOW GRADE FLOW LINE ELEVATION: 6.5' BELOW GRADE TOP OF TRENCH: 0.5' ABOVE GRADE 600 GPD / 1.0 GPD/SF /5' WIDE *1.0 (RED. FACTOR) = 120 LF TRENCH REQUIRED (120 LF SPECIFIED) GEOTEXTILE FABRIC RAVEN WOODS BLOCK 2 LOT 2 2' MOA APPROVED FILTER SAND Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221266, Deb Wockenfuss, 07/18/22 LEGAL DESCRIPTION: PERFORMED FOR: DATE: PARCEL ID#: SOILS LOG AND PERCOLATION TEST 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 DEPTH (feet) TEST HOLE 1 DATE READING START TIME NET TIME (minutes) DEPTH to WATER NET DROP PERCOLATION RATE: (MIN/INCH) (inches)(inches) DATE OF MONITORING WAS WATER ENCOUNTERED? DEPTH TO WATER AFTER MONITORING IF YES @ WHAT DEPTH? 0.95 7/5/22 1 2 3 4 5 6 GM (SILTY SANDY GRAVEL) Professional Engineers Stamp: NO RAVEN WOODS BLOCK 2, LOT 2 7/5/22 015-232-18 MERIT HOMES 11:191 2 3 4 5 6 0 11:21 11:25 12:21 12:30 12:35 1' OB 3:10 Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER7/18/22 PERC TEST LOCATION TECHNICIAN: M. JAKUBISIN 6 N/A DRY 7/13/22 COMMENTS: 6" DIAMETER TEST HOLE PRESOAKED PRIOR TO TESTING SITE PLAN 6 USCS SOIL CLASSIFICATION WAS VISUALLY DETERMINED TH1 3:10 3:14 4:45 5:40 5:44 0 6 6 0 6 6 0 6 6 0 6 6 0 6 6 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221266, Deb Wockenfuss, 07/18/22 MUNICIPALITY OF ANCHORAGE Development Services Department 1 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 015-232-18 Legal description RAVEN WOODS BLK 2 LT 2 Site address 6101 TRAPPERS TRAIL RD Current property owner(s) MERIT HOMES LLC Expiration Date: X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: 7/5/23 bedrooms, with the following stipulations: By: �����— Original Certificate Date. 4/5/23 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 Approval_June 2022 MUHMPAUTY OF AHCHOR GE T Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application„ 1. GENERAL INFORMATION Parcel I.D. 015-232-18 Complete legal description Raven Woods Block 2 Lot 2 Location (site address) 6101 Trappers Trail Road, Anchorage, AK 99516 Current property owner(s) Merit Homes Day phone (907) 334-9233 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑® Plastic ❑ Concrete ❑ Fiberglass Age_ - 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: Q 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 $ ( Z 0 Waiver Fee $ Date of Payment 3/ 3 / I Z'* 'L- � Date of Payment COSA # d S C- 2 3 t o�_ 3 Waiver # COSA Application—June 2022 Raven Woods Block 2 Lot 2 015-232-18 2.9 5/30/06 506 230 18+ 3/27/23 AWPS 224 2/28/23 N/A N/A 1/11/23 N/A N/A New Installation > Benjamin Schiller, P.E.3/28/23 (907) 522-7773 .,,-- B6 • Municipality of Anchorage On -Site Water and Wastewater Program < (907) 343-7904 Certificate of On -Site Systems Approval Parcel I. D.015-232-18 1. GENERAL INFORMATION: Complete legal description Raven Woods: Block 2, Lot 2 Location (site address) 6101 Trappers Trail *Anchorage, AK Expiration Date: � _ '�'© ;?]^ Current Property owner(s) Alan Davis Day phone 227-4655 Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: VACANT LOT 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ $280 Date of Payment 3-9-2( Receipt Number 0,3572-16 COSA # OSC211092 Date: Waiver Fee $ Date of Payment Receipt Number, Waiver # "IM 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 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) regarding 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. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved Conditional approval for ® bedroom ``i,kt,(((((((((((�� bed`OF h'p /i i Q I� d r 09rrv-rq N,,,\ MIA ! T i .. r'....... Ij` CE -795.:, V1�prorssston'� stipulations: JJJJ� #AECf-C�884^ t t^^ Original Certificate Date: .gY . 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_ Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other r,a Legal Description: RAVEN WOODS; BLOCK 2, LOT 2 Parcel 1D: 015-232-18 NO SEPTIC SYSTEM OR SEWER SERVICE B. TANK DATA C. LIFT STATION Age of tank(s) years ❑ Required maintenance Tank type/material A e t�fion years Measured operating fluid level in septic tank Lift station material ❑ Standpipes/found ' out per record drawing Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant fo ater than 30 days prior to date of test) all ntroduced gallons ments/Deficiencies: COSA Checklist yellow sheet Adequacy test date Results ❑ PassFor rooms Fluid depth prior to to in Water add gal Vewepth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date If more than 1 septic system on lot: COSA Checklist # of Structure served by this system '0 LF:;- — A. WELL DATA S�'vr (a as- >'l Z.(71 a ❑ Well log is filed with Onsite (or attached) Well production at time of test 2.05 gpm Date drilled 5130!06 5; ;�r�j Water storage tank volume N/A gallons S, Total depth 506 ftr� OaV,� '-J Well disinfected for coliform test? ❑Yes F01 No Cased to 230 ft ; /? / �, c-�-= `� ❑ Coliform bacteria is Negative w•�,:.s ��-�.-1L 0.33 Sanitary seal is functioning correctlyuOr�._���iF-1Nitrateless than MRL (ND) �❑ . ❑ Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by AAROW PUMP AND WELL SERVICES Date of flow test for COSA •12!2120 Date of Sample 12121,20 Static water level at beginning of test 229 ft. Comments *WELL FLOW TEST PERFORMED BY AAROW PUMP AND WELL SERVICES CD -,n= NO SEPTIC SYSTEM OR SEWER SERVICE B. TANK DATA C. LIFT STATION Age of tank(s) years ❑ Required maintenance Tank type/material A e t�fion years Measured operating fluid level in septic tank Lift station material ❑ Standpipes/found ' out per record drawing Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) ❑ ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant fo ater than 30 days prior to date of test) all ntroduced gallons ments/Deficiencies: COSA Checklist yellow sheet Adequacy test date Results ❑ PassFor rooms Fluid depth prior to to in Water add gal Vewepth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date 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' NSA Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 251-71 Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No NSA ft Holding Tank > 100' ❑✓ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ❑✓ Yes if No ft (] Yes if No ft Community Sewer Main > 75' [D Yes if No ft Manure/Animal Excreta Storage > 100' ❑✓ Yes if No ft SYSTEM OR SEWER SERVICE From Septic/Holding Tank on Lot to: (Please enter distances if less than requiir dSEPTIC Building Foundations > 10' ❑ Yes if No ft Surface Water > 100' ❑ Yes if N0-10000 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 Communit ells > 200' ❑ Yes if No ft Water Service Line > 10' ❑ Yes if No ft If s c tank is under driveway comment below From Absorption Field on Lot to: (Please enter dista s if less than required) Building Foundation > 10' ❑ Yes i ft If absorption field is under driveway comment below Property Line> 10' es if No ft Wells on Adjacent Lots: Water Main > 10' ❑ Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Se ine > 10' ❑ Yes if No ft Community Wells > 200' ❑ Yes if No ft ace Water > 100' ❑ Yes if No ft F. ENGINEER'S COMMENTS WELL FLOW TEST AND H2O SAMPLING WAS PERFORMED BY ARROW WELL & PUMP SERVICE. (SEAL/SIGNATURE ON THIS DOCUMENT DOES NOT APPLY TO THE WELL FLOW TEST OR H2O SAMPLES.) G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet #AECC884 8279V SCALE: V= 100' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. AW •49 th00 0 ......... ...� t�d 0®"%-' . Elizabeth L. Walatka s�F • . 8036 - LS . • �� AW pROFESSIONAt-•�.�® G-ci 2_0 FB 20-7, pg 34 BE AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 2, BLOCK 2. RAVEN WOODS SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property tying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 7th day of December , 2020. FRED WALATKA & ASSOCIATES, L.L.C. 907-24$-1666 Engineers and Surveyors This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence, structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence Is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. Lot 3 X600 Deed Parcel 03� 00,�V /190 0s Test hole' 0 Lot 2 O o J co m d- U) c tl C 2 F_Lot r¢, NJ-t- M 0 Z Well �--70.3— c9 C/) T I CL Lot3 i— n O — _ 10' UTILITY EASE1v1ENT i —I— —GJ EAST 270.00 30 Lot 1 SCALE: V= 100' EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON UNLESS OTHERWISE NOTED. AW •49 th00 0 ......... ...� t�d 0®"%-' . Elizabeth L. Walatka s�F • . 8036 - LS . • �� AW pROFESSIONAt-•�.�® G-ci 2_0 FB 20-7, pg 34 BE AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property: LOT 2, BLOCK 2. RAVEN WOODS SUBDIVISION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property tying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 7th day of December , 2020. FRED WALATKA & ASSOCIATES, L.L.C. 907-24$-1666 Engineers and Surveyors This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence, structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence Is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. A-PINEDRILLING & ENTERPRISES Permit Number: '-SW Date of Issue: Parcel identification Number: Date Started: 5-29-06 Date Completed: 5-30-06 Is well Iocated at approved permit location? [X ;yes [I No egal Description: Ravenwood Blk 2 Li 2 Property Owner Dame & Address: Al Davis 3301 Capstan Court Anchorage, Alaska 99516 3boreliole .Data: rV Depth (ft} Soil Type, Thickness & water Strata From To stick-up 0 2 silt 2 11 gravelly 'silt 11 25 silty gravel 25 52 silty sand 52 73 sandy silty gravel 73 110 gravelly sand 110 115 gravelly silt 115 167 lravelly sand 167 174 gravelly silt 174 225 silty sandy gravel 225 228 bedrock 228 506 IN'lethod of Drilling ❑XI air rotar-vv ❑cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 230 feet liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 193 feet Pumping level: 506 feet after ?-h-ours pumping .3 bpm Recovet-y R.ail e:.3 G �' Ci- _- c z `pm `—;�: Method of Testing: air lif ~ Well Intake Opening Tvpe: ❑ Open End X7 Open Hole Screened Star, feet Stopped feet Perforations Start feet Stopped feet Grout T� pe: bei2to.jite �runasles Volume: 1 Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size hp Brand'Name ZT {� :.,Inn:t,R Method of Disinfection: chlorine tablets Comments: well is to be l,}:drojraced Well Driller: Alpine Drilling & enterprises PO Box 110496 Anchorage 99511 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the propert owner or the well driller shall provide a well lob to the Development Services Department within 60 days of -co' pletion. 3/7, 7, f7� CD 19/IO IN'lethod of Drilling ❑XI air rotar-vv ❑cable tool Casing type: steel Wall Thickness: .250 inches Diameter: 6 inches Depth: 230 feet liner Type: Diameter: inches Depth: feet Casing stickup above ground: 2 feet Static water level (from ground level): 193 feet Pumping level: 506 feet after ?-h-ours pumping .3 bpm Recovet-y R.ail e:.3 G �' Ci- _- c z `pm `—;�: Method of Testing: air lif ~ Well Intake Opening Tvpe: ❑ Open End X7 Open Hole Screened Star, feet Stopped feet Perforations Start feet Stopped feet Grout T� pe: bei2to.jite �runasles Volume: 1 Depth: Start 0 feet Stopped ? feet Pump: Intake Depth feet Pump size hp Brand'Name ZT {� :.,Inn:t,R Method of Disinfection: chlorine tablets Comments: well is to be l,}:drojraced Well Driller: Alpine Drilling & enterprises PO Box 110496 Anchorage 99511 99511 Attention: The well driller shall provide a well log to the property owner within 30 days of completion and the propert owner or the well driller shall provide a well lob to the Development Services Department within 60 days of -co' pletion. . ........ . tia c9 T L� U) uj LLI to 0 Z5 m In GY ca CL CL 0 a US on y � ...... s a e i s _ n FORT Death ff cubag; S".M lamb Nptbrl f i2a 1\ , � i, � P"I Aiv Line Depft oftfig Wfstff IRIVOO-� a= MW 7w,