HomeMy WebLinkAboutEATON PARK LT 2Eaton Park
Lot 2
#051-492-53
Municipality of Anchorage •
•
e Development Services Department
Building Safety Division .. .
—' OnSde Water and Wastewater Program, 4700 Bragaw SL
P.O. Box 196650 Anchorage, AK 99SIMS0 Page 1 of 2
www.cl.anchorage.sk.us (907) 34}7904
ONSITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. SWO50247 PID Number. 051.492-53
Nan ISTRUCTION
Wastewater System: ® New ❑ Upgrade
72*B0 REGENCY DRIVE R01
ABSORPTION FIELD
Ph" Nuffdw or Bwror«
1522-1616 4
D Deep T wr ® Shallow TwKh 0 Sod O Mound 0004'
LEGAL DESCRIPTION
SoilRaup
TOM DOM eom onppnr gree.
0.8 GPDMI'
3.3 Ft.
Block Lot swrw.wm,
Daps to aPa boom nom rp•w Ve o
Gram "M erred, Poe
2 EATON PARK
2.7 Ft.
0.6 Ft
Too~,v Rr,a. srwtwm
Fa Wood al on lel prado
G, v L
rpm15N
1W 10
2 Ft.
�r�
50 Ft.
Well: ® New ❑ Upgrade
N Cl lora
15 Ft.
4
4 Ft
Cla\rrraom(Pn.ata.m,B.Ct
Tdtr DOM ca«d to
Total Wwmpoan r«
P Melons
PRIVATE
204 Ft. 204 FL
750 Fe
ASTM 3034
D~
Drl, Dmiad Sftlw Wetr Leri
e,.rlr.
Dr* YatrNd
BILL SULLIVAN
81812005 1 155 FL
L.H. CONSTRUCTION
912112006
grid
40
plop Set
194
Co" N.0tr,d Glow
2
TANK
GPM
Ft.
FL
SEPARATION DISTANCES
® Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Litt
Holding
lublictPrivate
' .col000ly
From
Tank
Field
Station
Tank
Sewer Line
ANCHORAGE TANK
1250 Gr
I—
w«
+100'
+100'
—
—
+25'
lVLMo`o1
STEEL
Nu f Cwrrrt ,
sn.c.Watr
+100'
+100'
—
—
LIFT STATION
Lot Lift
+5'
+10'
—
—
ua NO LIFT
Woo,
Gr
Fr w
+5'.
+10'
—
—
Pump on' N r
'P, ulr t«.l r
wr elan Ml
Mphr
ti
N
h
cuta.t Drrri
��rr��
450'
}50'
Jp
—
—
Pump Mala s MnMI
Ercowal M.P.oeorn pMamM ey
Ramrka
BENCH MARK
an
Lootwn W Da.mpwn
CORNER OF
raw,
100 FL
..
Engineers Stamp
Inspections performed by: A.W.MURFITT I E.R.E.S. Dates: 1" 912112006
2nd 6113/2007
Development Services Department Approval
1R;5
Conditional Approval Date:
MISTOPHERRWOOD
LIX.-CEjQ3S7
Reviewed and approved by: Date: %-�R-�z
Permit No. SW060183
Page 2 of 2
Municipality of Anchorage
DEVELOPMENT SERVICES DEPARTMENT
ON—SITE WATER & WASTEWATER PROGRAM
4700 SOUTH BRAGAW STREET P.O. BOX 196650, ANCHORAGE, AK 99519-6650
On—Site Wastewater Disposal System and/or Well Inspection Report
Legal Description:
EATON PARK LOT 2
051-492-53
lu
SWING TIES
LOT 2 / \
D I 16' IS4' \
Z I E! Ix I/
/ SCALE 10-60•
/ 1
15' X so' BED I WELL i I
E a�ry5 I
Lao
T HOUSE /
15' X 30' RESERVE SITED
SEPIZK71CA
AE
•y
0 ::,�EFNOUT SKI ROAD
-¢ - WELL
R ER F PORCH
- MONIT ELoE- µms ASSUW4_ELEVATION 100' 7/11/2007
(NOT TO SCALE) ORIGINAL GROUND ENGINEER'S SEAL
LEVEL AT' 69.3
` _00004A
MT -1 ILL \\ TH-I 0 ,�F,. �F •A..q,%p
.1' 93.8 4.9' r7�O��P S�-
YPAR �.... ....
x-66.6 Q
TANK • 0 . 0 0 ..• 0 .. .
1250 GAL o .0.6' GRAVEL' . • •0 66.0 NO LVLT. O RISTOP ER R MV00 F
989 89. 66.6 66.0 BOTTOM OF T.H. QQ Q -'a .eY OO
07/12/2007 17:34 688225.9 SULLIVAN PAGE 01/01
Certtf ieb Orill"ng log
by
DOC CO. ab.
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 *TELEPHONE 688.2759
OWNEROFLAND: L n e0_10.UC7
ADDRESS:
LEGAL DESCRIPTION: - -C4 YO 4 1,444 ,GAA
Ati a_
DATE�T%5'
PERMIT NUMBER- n5l)ANYDate oflssue-7—
TAX IDENTIFICATION NUMBER. D-s:L-
Is well located at approved permit location? 4.0teS 0 No
Method of Drilling: LSF Wfotary 0 cable tool
Depth of well: oZ 0 4
Casing Type waii Thickness aro Inches
r
Diameter inches, depth 01 foot
Liner Type: 0 0 011
Casing Stickup Above Ground:
� • feet
Static Water Level: % feet
Recover Rate: _1gpm
Method of Testing: dj 2
Well Intake Opening Type: &155 n end Q open hole
Q Screened: Start feet Stopped feet
Q Perforations Start Wit, Stooped feet
Grout Type: 1�� volume
Depth: from n feet, to a u feet
Well Disinfected Upon Completion? kil& Q No
Method of Disinfection: C HLOA s -JA To t 4M
Comments:
C49 f.. 2j:rJg_P _ J'0
ej 0 Le& tied&.J
S/t11Y J+✓IngQ AA of Jdt
C Of&hE s
� j�ALid Xt I / 0( J,&
IF
'/t i i ,S'�w {J ! t(+l klZ L
Driller's Name /3t�U -
ATTENTION: 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.
Chrls Wood
From: 'Jim Sullivan' <apw@gci.net>
To: <crwood@gd.net>
Sent: Friday, July 13, 2007 3:04 PM
Subject: Eaton Park L2.doc
Pump Installation Log
Well Drilling Permit Number: SW Date of Issue:
Parcel Identification Number:
Legal Description:Eaton Park Property Owner Name & Address:
Lot•.2 1-11
Block: 12130 Regency dr
Faole River
Pump Installation Datc:9/12/06
Pump Intake Depth Below Top of Well Casing: 183 Feet
Pump Manufacturer's Name: Dempster
Pump Modcl:LBF2-75-52
Pump Sizc:3/4 hp
Piticss Adapter Burial Depth: 10 feet
Pitless Adapter Manufacturer's Name:
Pitless Adapter Installer:
Well Disinfected Upon Completion? Yes
Method of Disinfection: Chlorine
Comments:
Pump Installer Name:
Arctic Pump & Well, Inc.
No virus found in this outgoing message.
Checked by AVG Free Edition.
Version: 7.5.476 / Virus Database: 269.10.4/898 - Release Date: 7/122007 4:08 PM
Page 1 of I
7/13/2007
Sent By: L H CONSTRUCTION; 5223892; Jul-13.07 11:21AM;
Jul 13 07 12:09p Jim Sullivan 007
NP 9787
Alaska
Distributor
f!• r•. _`� \IA:I1+IlV,,\I:UI �\'A'111C). 111h.(t1.K1'Ml.•�•-
Jim Sullivan ti" r `•._: y
&33-2510
a Di-- P.O. Box 770197
253.25io_. ^•.:a�. Eagle river. Alaska
`.
743-2510 �' � ':s, �, sssn
F;,.. M-2x3 \VINVA CF-c;,%q1'' HNSrA: , p^
i•'2.^`:: K':':� ��i. �:::i`.•n._ �'): Ci t::'. ilC7 aii.3.'•iPi C-^i '•-•-/sI?}� :iL' ._,
Pdco
oe
.^•.C.7-
1',ustp•lix ClciottrL�� f+ha�c•..� ' U: ��r''.����,�trniL:• �
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• 1
Page 1/1
P. 1
ANDERSON ENGINEERING
P.O. BOX 240773
ANCHORAGE, AK 99524
522-7773 677 77661F,
March 7, 2007
Municipality of Anchorage
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
Anchorage, AK 99519-6650
Attention: Mr. Dan Roth
Subject: Lots 1 and 2 Eaton Park Subdivision
Fill Material Over Septic Systems
Dear Dan:
LH Construction has requested a fill permit to place material on Lots 1 and 2 of Eaton
Park Subdivision. The attached plan sheets prepared by LanMark Engineering and
Surveying show the apparent limits of the fill. A portion of the fill will be placed over the
septic systems and reserve sites on each lot and contoured to improve the site drainage
and overall surface of the lots.
We recently inspected the lots and found septic systems in place at each location.
Currently only 1' of fill is in place over the septic tanks and 1.5' of fill over the absorption
trenches. A maximum of 5' of fill can be placed over the tank and before the load will
exceed the manufacturer's recommendations for depth of cover. The absorption trench
can be covered with 5' of material with no adverse affects. We therefore recommend
the fill depth be limited to 5' unless the septic tanks currently in place are relocated to
higher elevations. Care must be take to insure the cleanouts and monitor tubes which
currently access the tanks and absorption trenches remain straight and level during the
filling and grading process.
Sincerely, n
7�
Michael E. Anderson, P.E.
Attachments
pK
11/10/2006 "15:47 9075626040 LANMARK PAGE 03/03
' N 89'59'27"E 1093.54'
5''/
i"taaroicb nU �� �h
Acres Lot ti Lot 3
18 s.f.
ML BrOM
M
0.92 Acres
40,052 s.f.
16 .3 3,210 2
S m
K/ 470 e_
n' RLL 1370 SOFT a see
1 +00 W 1 4"
_ Fee
HOM MA10Utt SLOPE Nor Io E)CM 21. 91 OREATM
IM 3:1 RECUM IOP $0. AND 70 BE SEEOID m t 0 1 s u so roc
MA
im
FOR: LH Construction Data scale Legal Descri
10-19-06 1� = 50• yet 2 Block
LanMark Grid Plot Plan
X046e.a s a +>...aybe a. NW1361 2500023 EATON PARK
Mo TNWR&rd Drive, sahe 203 prawn by Field Book SUHDMSION
�eh(s07) Alaska 9M67 � CSF
1 hereby certify that the property described hereon has been surveyed '`�����aq,
by me. or at my direction, and that the Improvements sitanted thereon
are within the property lines and do not overlap or eacroweh on the Q��••� •.',4,4qS
property bin& adjacent thereto unless otherwise shown. That no
improvements on the property lying adjacent thereto encroach on the ��� •'
yyresalsee in question and that there are no roadways, transmission r * • 49Iti
lines or other easements on said property except as shown. /••• the responsibility t
I ••
tot o ..•.•
C i •~
esponsibility of the ewner or builder, prior to construction. /,o CIIARIFS G F�tBES
proposed building grade relative to finish grads and utility
connections and to determine the existence of any casements, covenants.LS-7326
or reett Mow which do not appear on, the recorded snbdivielon plat I
fA �I •. ••aSi
Listed production distancesprevail
c ue distortion.
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water d Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 9951M650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Renewal
Date Issued: Jun 28, 2006
Expiration Date: Jun 28, 2007
Permit Number: SWO60183 Parcel ID: 051492-53
Legal Description: EATON PARK SUBDIVISION LOT 2
Design Engineer: 0009 A.W. Murfitt Company, Inc. Site Address: NHN SKI ROAD
Owner Name: L.H. CONSTRUCTION Lot Size: 40052 SO. FT.
Owner Address: 12130 REGENCY DRIVE #201 Total Bedrooms: 4 Permit Bedrooms: 4
EAGLE RIVER. AK 99577 -
This permit is for the construction of:
0 Disposal Field 0 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: t%f7
Date: Obs 14,
AZunicipality of Anchorage
Development Services Department -
!\ / Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.orglonsite
(907) 343-7904
Parcel 1.1
Property
Mailing adds
Site address
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Legal description (Sub'd, Block &
Legal description (Township, Section & Range)
Lot Size VIZ5a Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
❑
Septic Tank
®'
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
MA
0
phone_,J D.9 —/&/G
ri ••
Number of Bedrooms 74
THIS APPLICATION IS AN:
Code /c q
Initial
❑
Upgrade
❑
Renewal
❑
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.
(Signature of property owner or authorWagent)
PermitlRush Fees: //5 ��
Date of Payment: '_&f/
�
Receipt Number.
(Rev. 11/05)
a_VM'4
Waiver Fees:
Date of Payment:
Receipt Number:
MUNICIPALITY OF ANCHORAGE
Development Services Department
On -Site Water 8 Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT
Initial
Permit Number: SWO50247
Legal Description: EATON PARK SUBDIVISION LOT 2
Date Issued: Jul 25, 2005
Expiration Date: Jul 25, 2006
Parcel ID: 051492-53
Design Engineer: 0009 A.W. Murfitt Company, Inc. Site Address: NHN SKI ROAD
Owner Name: L.H. CONSTRUCTION Lot Size: 40052 SQ. FT.
Owner Address: 12130 REGENCY DRIVE #201 Total Bedrooms: 4 Permit Bedrooms: 4
EAGLE RIVER. AK 99577 -
This permit is for the construction of:
OV 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 specked 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.
Date: 7'2S-6 5
Issued By Yi— Date: 12r XT—
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. Z1—Lnq--.53 Permit Number SW
ZD
Propertyowner(s) L. // C <'NS�itU�i�/G c! Day phone 52?—I M
Mailing
Site address Nf%U 5hi
Legal description (Lot, Block & Sub'd.) Le
Legal description (Section, Township & Range)
Lot Size Cid f OS 2- Acres/Sq.Ft.
iil:tl��7 J�L�SiNL`IE37�1,�
Code 4/4,g 7
Code 4';71 S6 '
Ga
Number of Bedrooms �f
Sewer Only ❑ Well Only ❑
Sewer and Well Water Storage ❑
Sewer Upgrade ❑
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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.
e
(Signature of property owrrer or authorized agent)
Permit/Rush Fees: 7&0 fi/ 10/0
Waiver Fees:
Date of Payment: Igo /DS Date of Payment:
Receipt Number. (! �g�cr Receipt Number.
(Rev. 09/04)
A.W. Murfitt Company_
CONSULTING ENGINEERS & TESTING
13810 Venus Way • Anchorage, Alaska 99515 • Telephone (907) 345-2737 • FAX (907) 345-3264
July 19, 2005
Municipality of Anchorage
Department of Health & Human Services
On -Site Services Section
4700 South Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
ATTENTION: Mr. Jim Cross, P.E.
RE: Septic System Design
Four Bedroom, Single Family Dwelling
Lot 2, Eaton Park Subdivision
NE 114, T15N, RIW, Sec.10, S.M., AK.
LH Construction, Inc.
Peters Creek, Alaska
Our Job 05-394.14
Dear Mr. Cross:
The referenced property represents an undeveloped 40,052 square foot parcel. The proposed four (4)
bedroom, single family dwelling is shown on the attached site plan, Plate 2. Our design data is
summarized in the following dialog.
1. SOILS: Attached is a copy of the soil log/percolation test data and Site Plan. The log
documents a Silt (ML) soil profile to a depth of 4 feet, and then a Silty Sand (SM)
with Gravel to a depth of 14 feet below the ground surface. No water table was
encountered with monitoring through 9/20/03. The receiving soil has a percolation
rate of 3.2 minutes per inch.
2. BED DRAIN FIELD DESIGN:
a. Allowable application Rate: 0.8 gallons/day/R.2
b. Number of Bedrooms: 4.
Page 2 July 19, 2005
Lot 2 Eaton Park 05-394.14
c. Design Flow: 600 gallons per day (at 150gallons/bedroom).
d. Minimum Absorption Area: 750 s.f.
e. Maximum Total Depth (below original grade): 6.0 ft. (4'— 2" cover, 1.0 ft. sewer
rock).
E Width: 15 ft.
g. Minimum Length: 50 feet.
h. Effective Absorption Area = 750 s.f.
3. SURFACE WATERS:
There are no surface waters within 300 feet of the proposed septic system. There are
no streams or drainages on the property.
4. TOPOGRAPHY:
The septic site slopes to the northwest at 3 to5 percent. No 25% slopes exceeding
within 50 feet of the immediate area.
5. IMPACTS:
On the basis of our site visit and the available site information, there are no current
well and septic developments within 100 feet of this system. Accordingly, there will
be no adverse impacts on adjacent wells or septic systems of adjacent lots when built
as designed.
6. WELL and SEPTIC INSTALLATION:
The well installation is to be installed by a certified well driller. The septic system
designed herein shall be constructed in accordance with the most recent AMC 15.65
by an approved septic system installer. The installations shall be completed in
accordance with the requirements of the On Site Well and Septic Permits. The overall
Eaton Park development plan has already been submitted to DHHS but a copy is
attached for information.
Page 3
Lot 2 Eaton Park
July 19, 2005
05-394.14
Please call our office at 345-2737 if you have any questions or need additional information.
Sincerely,
A.W. Murfitt Company
Allan W. Murfitt, P.E.
Registered Civil Engineer 4977-E
COPY TO: LH Construction, Inc.
Mr. Mike Irving
9m
Allan W. IA&
NO 4977-E
ATTACHMENTS: Percolation Test Report, Bed Drain Field Design Plate 1, Site Plan Plate 2, Soil
Particle Size Distribution Report Figure 5.
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
825'L" Street, Anchorage, Alaska 99502-0650
SOILS LOG/PERCOLATION TEST
Performed For, Lang and Associates, Inc. Date Performed: 9/12103
Legal Description: Eaton Park Subdivision Lot 2 Township, Range, Sedan: NE 114 Section 10, T15N, R1 W, S.M.
SLOPE SITE PIAN
0..5'- Forest U lter/Organk: Mat
.5'-4' Sift (ML), brown with organics
W-14' Silty Sand (SM) with Gravel. gray. moist
4.5'-V Bulk Sample for particle size analysis
5" Pencolation Test
14' Bottom of Hole
Backhoe Test Pit
A
No. 4977-E
Reefing I Date
Gmr
Time
Net Depth to Nei
Time Wtler Drop
525" 9/12103
5:02 prn
8.5"
5:12 prin
10 min 13.25
525" 9/12/03
5:13 Pm
I
825"
523 m
110 mm 13.0
I
I
i I I
I
20 A +i>r -if r::�'::C �' PERCOLATION RATE 3.2 (Mmdn r i PERC HOLE OLAWTER
L
Ttt
EST RUN BETWEEN 5 FT AND 5.5 FT
COMMENTS
6"
PERFORMEDBY: I Li,1\lr'%L4 I J21 -b _ 1 �(� , l �(f'(�ti CERTIFY THAT THIS TEST WAS PERFORMED IN
ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE: zI/I�
SYMMETRIC ABOUT C.L. 4' SWEEP CLEENDUTS
MOUND BACKFILL WITH CAPS.
_
TO DRAIN
MONITOR TUBE
FILTER FABRIC—I� l I I I 1 1 4' MIN
BUILDING
FOUNDATION 2'TU4' PERF. PIPE
CO 4- PVC (D3034) I I FT.
SLOPE 114 INCH SEPTIC ROCK PER
5' MIN PER FT. MIN. I MOA SPEC. S 6'
1
0-1 NEW 1250 -GAL
2COMPARTMENT
STEEL SEPTIC No GW To 14'
O TANK
T
[T
5' MIN
F2' BOTH ENDS
N BED SECTION
NIS
PIT
PLAN 15'x 50' BED
N.T.
CLEANOUTS
(TYP)
1.5 FT. TYPICAL
4'SWEEP CO
TOWARDS TANK
4" MT MIDDLE OF
FIELD. PERFS.
IN SEPTIC ROCK,
SOLID SECTION
ABOVE.
4' x 46' PERF. PIPES
LAID LEVEL 4 PIPES
AT 4 -FT CENTERS.
Notes:
1. No neighboring wells or bodies of water are
located within 100' of this proposed system.
2. On -lot well to be 100' min. away from system.
3. System 10' min. from property line set back.
4. All pipe is 4" PVC (ASTM D-3034) with 4"
perforated PVC used in the wide drainfield.
5. All distances shown on the above drawing are
minimum for construction of the septic system.
6. Insulation required with 4' or less cover.
7. System to be installed by MOA certified
installer.
8. Two (2) inspections are required by a
Registered Civil Engineer.
9. No driveways on / over septic system.
10. 0.92 acre site undeveloped.
OF;Itgs+�
TH''#
PLATE
A. W. Murfitt Comp L H Construction, Inc. Septic
138 10 Venus aAnchorage, 5 t Lot 2, Eaton Park Subdivision
907 345-2737 Fax: 90 345-3624 Peters Creek, AK
Job No. 05-394.14 Date: 7/14/05 Drawn: RH
WYNTER
PARK SUBDIVISION I No. 1
O C K 2
Lot 2 8 �– — Lot 3
248.79'
`4g7H
i
Allan W. Mur i,
NO 4977-E
.ot 1 m I ?� �Sa4'NOFE55 a " '-z
m �
0 40,052 s.f.
ro G
R-232.76' La b .NR
SKI
Lot 2 _\
PAUL DEE ��/Lot 3 \��\
SUBDIVISION/� `
Lot 3
MfA— IlUeoPfie.
R.rr,Aty� gL • qg5 •o
F ►,
— = LTXf1C.n1.)
NOTE:
SEE ENGINEERS PLANS
FOR LOCATION OF WELL
AND SEPTIC.
I
LEGEND
300.4 EXISTING ELEVATION
301.0 PROPOSED ELEVATION
SURFACE DRAINAGE
LOT COVERAGE - 4.0%
. 6.0' DECK
8.0' 3.1
ecN
0
12.0' o.s'Sze•
160 WOODEN
WALKWAY 1.0' 12.0' CANT
HOUSE DETAIL
SCALE: 1' — 30'
PLOT PLAN X AS BUILT _ SCALE 1 - 50' CMD NW 1361 Prolod No. 05-087
Lang & Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049
(907) 522-6476 Phone
Registered Land Surveyors (907) 522-4625 Fax OF.A
blo�q
kplanglsOaska.nst / 1cngtene
Oclaska.t ,`� ... s
I hereby. c�Nthat I PARK have
SUBsurveyed
the following described propsrtr: 49B ,
IVISION
Anchorage Recording District, Alaska, and that the Improvements situated thereon ore ............ .. ..........
within the property Anes and do net encroach onto the properly adjacent thereto, that �,
no Improverneds on the property lying adjacent thereto encroach on the surveyed .. .. ... .....
premises and ttmt there are no roadways, tron*nftdon Kyles or other VhWe ,�i KENNETH G. LANG
eosenents on sold Properly except as Indicated Mason. o
LS -5202
Dated this the 21Day of 74w10 SODS . at Anchorage, Alaska ''•....... �Q
H Is the mportaft0ty of the owner to determine the ex! la of any easemenfs, J76
--- �� y — &b.. .�....."A ....,,.a.r.....&.6 2
10C
IK
8(
7(
W 6(
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LL
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of
(L 41
a
31
2
Particle Size Distribution Report
SIEVE
SIZE
PERCENT
FINER
SPEC.'
PERCENT
PASS?
(X -NO)
1.5 in.
93.0
Natural Moisture 11.0%
0.75 in.
83.1
0.5 in.
812
�`..�
0.375 in.
79.5
04
74.2
010
70.4
020
63.8
040
56.1
.I
48.9
---
0100
40.6
0200
30.9
--
-
---
-
-
-
--
I.L
-
----
`
-
- -.-�
enn
,on
to
t
0.1
0.01
0.001
SIEVE
SIZE
PERCENT
FINER
SPEC.'
PERCENT
PASS?
(X -NO)
1.5 in.
93.0
Natural Moisture 11.0%
0.75 in.
83.1
0.5 in.
812
0.375 in.
79.5
04
74.2
010
70.4
020
63.8
040
56.1
060
48.9
0100
40.6
0200
30.9
GRAIN SIZE - mm
Soil Descriotlon
Silty sand with gravel
Limits PL= NP = NV PI=
D85= 23.0
C30=
U=
D60= 0.593 D50= 0.269
C15= D10=
C7
USCS= SM
Class�ifig Uq�
AASHTO=
Remarks
Natural Moisture 11.0%
(m >nedrmfion povided)
Sample No.: 2 Source of Sample: Date: 9/12/03
Location: Lot 2 ElevJDepth: 5
AW
w w u �'yy Client: Lang and Associates, Inc.
'Y' it Project: Eaton Park
Whalcy Subdivision 3rd Addn.
Company 1prqject No: 03-274.22 Flgure 5
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-o
I s I w
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0 11.Cili- I co
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10
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
Parcel I.D. 051-492-53 Expiration Date: (Q— / / 1
1. GENERAL INFORMATION
Complete legal description EATON PARK LT 2
Location (site address) 24205 SKI RD CHUGIAK AK
Current property owner(s) ERIC & ROSLYN HAWLEY Day phone Cr` (P 7 2 r y
Mailing address SAME
Real estate agentu r, 5 7 8 9,70,
2. TYPE OF DWELLING: _ MAW i
❑ Single Family (w/wo ADU) MAR 1
❑ Duplex a �`�'4
❑ Multiple Dwellings (Single Family and �kiplex) ,,
oIs.
3. NUMBER OF BEDROOMS:
4 68L9� n
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well 0 Private Septic 0
Water Storage ❑ Holding Tank ❑
Community Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
Waiver request for: Distance:
Received by: 04– Date: 1 /q (t
I
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 880. 00 Waiver Fee $
Date of Payment 03 11 I q Date of Payment
Receipt Number 0 Z 1/ Receipt Number
COSA# 0cc 1' 10c 2 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. I acknowledge that On-Site staff may visit the site to verify the information submitted.
Name of Firm MIKE N ANDERSON, P.E. Phone 727-8864
Address 4661 NATRONA AVE ANCH AK
Engineer's Printed Name MIKE N ANDERSON, P.E. Date 3-12;116.
OF 41.4.e•A b
•""%<C>:••• S •
0
e e o••. .0 0 11 •0•00..11 0 ..:•t!„4
6. DSD SIGNATURE
ef1 cry"a MICHAEL N. ANDERSCN :,c=e
YJ1 System #1 Approved for bedrooms ¢ •, CE-94 9
u
System #2 Approved for bedrooms 8fl� .F .N3.I ,.•�.��,�!-
Disapproved a ®o�a�.�
Conditional approval for bedrooms, with the following stipulations:
;s 'c.
UN-SITE
WATER AND
c WASTEWATER o
PROGRAM $n
c
�����?`SER��GF
By: ln•. Original Certificate Date:
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 �r
Septic System Advisory Arsenic Advisory / v
Well Flow Advisory Other
COSA Checklist blue sheet
COSA Checklist
Legal Description: EATON PARK LT 2 Parcel ID: 051-492-53
If more than 1 septic system on lot: COSA Checklist# of Structure served by this system
A. WELL DATA
0 Well log is filed with Onsite (or attached) Well production at time of test 3+ gpm
Date drilled 88/05 Water storage tank volume 0 gallons
Total depth 204 ft Well disinfected for coliform test? leYes g,,No
Cased to 204 ft Coliform bacteria is Negative
0 Sanitary seal is functioning correctly Nitrate 6.89 mg/L ❑ Nitrate less than MRL (ND)
El Wires are properly protected Arsenic ug/L ❑■ Arsenic less than MRL (ND)
Casing height(above ground) 18+ in. Collected by MNA
Date of flow test for COSA 2/13/19 Date of Sample 1/31/19
Static water level at beginning of test 158 ft.
Comments
B. TANK DATA C. LIFT STATION
Age of tank(s) 13 years ❑ Required maintenance completed
Tank type/material 03514. >ri'p4'! L/ ti(-zil9L Age of lift station years
Measured operating fluid level in septic tank 47 Lift station material
0 Standpipes/foundation cleanout per record drawing Comments:
Date of pumping 1-31-19
D. ABSORPTION FIELD DATA
Which system tested (date installed) 9/21/06 Adequacy test date 1/31/19
❑� ALL standpipes present per record drawing Results Q✓ Pass For 4 bedrooms
Total measured depth from grade 15.2 ft(max) Fluid depth prior to test 0 in
Measured depth to pipe invert from grade 14.5 ft(min) Water added 600+ gal
❑ N/A—pressurized field New depth 1 in
❑� Monitor tubes go to bottom of effective. If not, state 1440
depth into effective Elapsed time min
El Code-required soil cover over field Final fluid depth 0 in
❑■ System presoaked Absorption rate 600 gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months)
date of test)
Gallons introduced __ gallons If yes, enter date
Comments/Deficiencies: IT APPEARS ADDITIONAL FILL WAS ADDED TO COVER THE BED.
•
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'
p Yes if No ft C❑ Yes if No ft
Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line >25' ❑✓ Yes if No ft
Absorption Field on Lot> 100' ID Yes if No ft Holding Tank> 100' ❑✓ Yes if No ft
Neighboring Absorption Fields > 100' Animal Containment> 50' ❑✓ Yes if No ft
I Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' p✓ Yes if No ft 0 Yes if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations> 10' ❑ Yes if No >51 ft Surface Water> 100' C✓ 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' ❑C Yes if No ft Community Wells > 200' Q✓ Yes if No ft
Water Service Line > 10' ID 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' C❑ Yes if No ft If absorption field is under driveway comment below
Property Line > 10' CI Yes if No ft Wells on Adjacent Lots:
Water Main > 10' ✓0 Yes if No ft Private Wells > 100' ❑C Yes if No ft
Water Service Line > 10' 0 Yes if No ft Community Wells > 200' IC Yes if No ft
Surface Water> 100' ✓0 Yes if No ft
F. ENGINEER'S COMMENTS
TANK TO BLDG FOUNDATION DISTANCE OK PER OLD CODE.
G. ENGINEER'S CERTIFICATION ���\*.OF A`,4,r91
,,,
I certify that!have determined through field inspections and review j �'. • r
of Municipal records that the above systems are in conformance with : 49 t N .. • ,i li
MOA COSA guidelines in effect on this date. / ;
Ii . MICHAEL N. ANDERSON .
{t r ,,•, CE- 9
°iiiPi;. /,Jr..•c`���"
0 QFSvt*
COSA Checklist yellow sheet -`v.N.~~
MUNICIPALITY OF ANCHORAGE
•�DEVELOPMENT SERVICES DEPARTMENT • 907-343-7904
On-Site Water and Wastewater Section Fax: 343-7997
www.muni.org/onsite
Nitrate Advisory'
Certificate of On-Site Systems Approval # 0SC191072
Subdivision: Eaton, Lot: 2
A water sample revealed a nitrate concentration of 6.89 milligrams per liter (mg/L).
The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Please see the attached "Nitrate Fact Sheet" for important
information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On-Site
Systems Approval.
Mailing Address: P.0. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids,and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
Mailing Address: P.O. Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904 Y
Certificate of On -Site Systems Approval
Parcel I.D. 051-492-53 Expiration Date:—' _L3
3
1. GENERAL INFORMATION
Complete legal description Eaton Park, Lot 2
Location (site address) 24205 Ski Road Chugiak, AK 99567
Current Property owner(s) Joseph Wilkinson & Vera Caldas Day phone
Mailing address 397 Bayberry Way Charlottesville, VA 22911
Real Estate Agent Day phone
2. TYPE OF DWELLING:
0 Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: Four
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual
0
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public ,^.rater System
❑
I ihliC Comer
❑
Waiver/Variance request for:
Received by: t-� `�� �- - � ' _ = Date `)
COSA to be releasecVfo the engineer, unless otherwise requested by the engineer.
COSA Fee $ -`�((� I Waiver Fee $
Date of Payment , Date of Payment
Receipt Number O 31 Receipt Number
COSA# 05C \3140'1 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 Anderson Engineering
Phone 522-7773
Address P.O. Box 240773 Anchorage, AK 99524
Engineer's Printed Name Michael E. Anderson, P.E. Date
m 491" P'`
6. DSD SIGNATURE y a.........
V 30'. W116iA4_ 'a"OERSON ae
System #1 Approved for � bedrooms r.
®cam U-4381 \�®
System#2 Approved for bedrooms o,..�a����m
Disapproved
Conditional approval for bedrooms, with the following stipulations:
By: (f I Original Certificate Date:'—'
Thenigi Iry ofCrag. 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 blue sheet( - 1, c
If more than 1 septic system is on the lot:
COSA Checklist # _of
Structure served by this system
Certificate of ®n -Site Systems Approval Checklist
Legal Description: Eaton Park, Lot 2
A. WELL DATA
Well type Private If A, B, or C provide PWSID #
Date completed 8/8/05 Sanitary seal (Y/N) Y
Total depth 204 ft. Cased to 204 ft.
FROM WELL LOG
Date of test 8/8/05
Static water level 155
Well production 40
WATER SAMPLE RESULTS:
ft.
Coliform 0 colonies/100 mL Nitrate 5.43 mg/L
Arsenic N/D ug/L Date of sample: 7/23/13
B. SEPTIC/HOLDING TANK DATA
Parcel ID: 051-492-53
Well Log (YIN) Y
Wires properly protected (YIN) Y
Casing height (above ground) >18 in.
AT INSPECTION
7/24/13
150.4 ft
2.9 g.p.m.
Collected by: Anderson Engrg.
Tank Type/Material Septic/Steel Dateinstalled 9/21/06
Tank size 1,250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N)
Date of pumping 7/12/12 Pumper Sanitary Pumpers
C. ABSORPTION FIELD DATA
A
Date installed 9/21106 Soil rating (g.p.d./ft2 or ft2/bdrm) •8 GPD/SF System type Bed
Length 50 ft. Width 15 ft. Gravel below pipe .6 ft.
Total depth 11 ft. Eff. absorption area 750 If Monitoring tube Y Depression over field N
Date of adequacy test 7/24/13 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 610 gal. New depth 0 in.
Elapsed Time: 0 min. Final fluid depth 0 in. Absorption rate >= 600 g p d
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons
in. "Pump off' level at in.
Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot > 100'
Absorption Feld on lot > 100'
Public sewer main N/A
Sewer /septic service line >25'
Animal containment areas >50'
SEPTIC/HOLDING TANK ON LOT TO:
I
>5
Building foundation >5 Property line
Water main >10, Water service line >10
Wells on adjacent lots > 100'
ABSORPTION FIELD ON LOT TO:
Property line >10 Building foundation >10'
Water Service line >10 Surface water >100'
Curtain drain None Noted Wells on adjacent lots >100'
Manhole/Access (Y/N) _
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots > 100'
On adjacent lots > 100'
Public sewer manhole/cleanout N/A
Holding tank N/A
Manure/animal excrete storage areas >100'
F. COMMENTS
G. ENGINEER'S CERTIFICATION
1 certify that t 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.
Engineer's Printed Name Michael E. Anderson, P.E.
Date $/8/2013
COSA brown sheet 10-10-12.doc
Absorption fief
Surface water
>5'
d
>100'
Water main N/A
Driveway, parking/vehicle storage >1 0,
Og g} 4 44
eMICHAEL E. AN -RSON
CE -4381 e 1`
Municipality of Anchorage aL
P�
Community Development Department r�=
Development Services Division
On -Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
Nitrate Advisory
Certificate of On -Site Systems Approval 4 131407
A Certificate of On -Site Systems Approval inspection and test of potable
water was recently conducted on the well water supply on Block , Lot
2 of Eaton Park subdivision. This inspection revealed a nitrate concentration
of 5.43 milligrams per liter (mg/L) was reported for the property's well
water sample. The Environmental Protection Agency (EPA) has established
a maximum contaminant level (MCL) of 10.0 mg/L for public drinking
water systems. While private wells are not subject to this regulation, EPA
standards are based on existing health information and can therefore be used
to gauge the relative quality of water from private wells. Please see the
attached "Nitrate Fact Sheet" for important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -
Site Systems Approval.
Municipality of Anchorage
-� Development Services Department
Building Safety Division ....T',
On -Site Water and Wastewater Program „ [ r;
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. tO5 COSA# D14 1);z5j
Expiration Date: 0-/f; -OZ
1. GENERAL INFORMATION
Complete legal description &Xtp_
_ _) cin
t,� a
,.:-i-
Location (site address) a`tr abs
ect _
Current Property owner(s)
Day phone 5.;1L D- -
I to 1 b
Mailing address r� t3o
/Q�c+u�
�"� :W.7-01 La c ai✓vL_
,
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
21�
Individual Water Storage
❑
Individual Holding Tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm Eagle River Engineering Services
lu4Ll VFW Rd., Suite 201
Address 12�91eRiver, AK 99577
Engineer's Printed Name
5. DSD SIGNATURE
_yf Approved for bedrooms.
Disapproved.
Phone _KU -67/95
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: / (N . ` Original Ceriificate Date: 7— 153-07
(Rw. 11005)
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: folal,-i %&7t kl :Ga 1?1 - Parcel ID: pS/- V 92 S3
A. WELL DATA
Well typeMI&TfL If A, B, or C provide PWSID # _
Date completedW5 Sanitary seal (YON) 4-
4 -Total depth 2L ft. Cased to 2E4 ft.
FROM WELL LOG
Date of test
Static water level
Well production
SJ 8/ 05
WATER SAMPLE RESULTS:
Coliform _�_colonies/100mL
ft.
Nitrate _ a mg/L
Arsenic: _Z mgfl Date of sample: -V.3/6}
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material sd4lr_- st" 0
Tank size gal. Number of Compartments
Foundation cleanout (YIN) _YLJ, n" Depression over tank (Yft
Well Log (YIN)U
Wires properly protected( J) * �I_
Casing height (above ground) $ _in.
AT INSPECTION
mew ce„sf.u�a
ft.
g.p.m.
Other bacteria -,,K—colonies/100 mL
Collected by. 0-ia 4- &* . z
Date Installed
Cleanouts (WN) Wc2
High water alarrr> w _ i�
Date of pumping mew c ons r"z 1; a, Pumper d4a
C. ABSORPTION FIELD DATA
Date Installed 21a t o Soil rating fljp d or ft2/bdrm) 0.9 System type 64-",
Length So ft. Width /5 ft. Gravel below pipe o•
Total depth 12.5 ft. Eft. absorption area '150 fe Monitoring tube *—Al- l- Depression over field ►Jo
Date of adequacy testnoinl tt igruri;crr ResuftsLF5 Fail)Faa-2 For bedrooms
Fluid depth in absorption field before test 1* in. Water added,4n gal. New depth rib in.
Elapsed Time: * min. Final fluid depth 4e:_ in. Absorption rate >= (e 00 g.p.d.
Any rejuvenation treatment (past 12 mo.) (YCJ & type) n% If yes, give date 01A
D. LIFT STATION
Date installed Size in gallons
"Pump on" level at _ In. `Pump off' levi
Datum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot +100'
Absorption field on lot + loo,
Public sewer main 4-1 on'
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots -t 100 '
On adjacent lots -t Io 0 1
Public sewer manhole/cleanout 4 1 o r� '
Sewer /septic service line + ;k, e ' Holding tank
,- 1
Animal containment areas -;--I on ' Manurelanimal excrete storage areas r 100 '
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 2 Property line +� Absorption field +
Water main + 10' Water service line + 10' Surface water -t 100 '
Wells on adjacent lots + I o o '
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO
Property line + 1 o ' Building foundation ;-10 ' Water main + 10 1
Water Service line 4,101 Surface water t t o o 1 Driveway. parkinglvehicle storage SS '
Curtain drain +,;o ' Wells on adjacent lots + to 0
F. COMMENTS
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 affect
ttJon this date.
Engineer's Printed Name Cf fasye f 612 F• t,Jooi
Date 7 /13 / C'4
COSA Fee $ - Waiver Fee $ _
/1 t i7
Date of Payment %—a Date of Payment
Receipt Number Receipt Number
(Rev. 11105)
in.
Lot 2
g p
w
— — R-232.78
SKI
s
PARS( TUBB. LOT 3
Mnt:xa!Y,
t
2
5.3'
LOT 3
rte{
Rp41 .\
i
PLOT PLAN _ BUILT X SCALE I* 50' GRIDI'M' 1381 Project No. 05-087
Lang & AgsoCIatt3Se inc. 11500 Daryl Avenue, Anchorage, Alaska
Registered Land Surve ors 907) 522-8478 Phone
Q y 907) 522-4625 Fax ,
kglangl*Dalaska.not / Jclongle0alaska.net
1 hereby certify that I have *urvsyed the following described property.
99515-3049
A
Lot 2. EATON PARK SUBDMSION (PLAT No. 2005-52) .4.93
Anchorage Recording District Alaska, and that the Improvements situated thereon an *.:............
within the property Imes an4 do not encroach onto the property adjacent thereto, that r ,,11II
no Improvement* on the Property tying adjacent thereto encroach on the surveyed Il�•1
premises and that then an' no roadways, transmission Ones or other visible
easements on sold properly lexcept as Indicated hereon. KENNETH G.
e
Dated this the SC;"" Day f FartSy.ueRrf , 1--c�M , of Anchorage. Alaska n,,
it is the responsibility of th owner to determine the existence of any easements,
covenants, or rewHoifons w Ilah do not appear on the recorded subdivision plat.
WWI
SCS Rtco
1072609001
Client Name
Eagle River Engineering
Project Name/M
Eaton Park Lot 2
Client Sample ID
Eaton Park Lot 2
elatris
Drinking Water
PWSID 0
All DatesffImes are Alaska Standard Time
Printed Date/Time
06/14/2007 16:04
Collected Date?ime
06/07/2007 14:00
Received Date/time
06/07/2007 16:50
Technical Director
Stephen C. Ede
Satanic Remarks:
4500-NO3 - Total Nitrate/Nitrite - The matrix spike recovered below the QC criteria. The batch LCS is within QC limits.
Allowable Prep Analysis
Parameter Results PQL Units hiethod Canitiner ID Limits Date Date Init
Metals by ICP/MS
Arsenic
ND 5.00
ug(L EP200.8 C
(<I0) O6/I1/07 06/12/07 TK
Haters Department
Total Nitratc/Nitritc-N
ND 0.100
mg/L SM204500NO3-F D
(<10) 06/09/07 1DS
Microbiology Laboratory
Total Coliform
TNTCOD.NoCoii
col/IOOmL SM209222B A
(<1) OW07/07 DLC
5E� RE-
SAmnr:
SCS Rerx
1072758001
Client Name
Eagle River Engineering
Project Name/#
Eaton Park Lot 2
Client Sample ID
Eaton Park Lot 2
hlatria
Drinking Water
PWSID 0
Sample Remarks:
All Dales/rimes are Alaska Standard Time
Printed Date/time
06/19/2007 12:22
Collected Date/time
06/14/2007 14:56
Received Dale/rime
06/152007 15:44
Technical Director
Stephen C. Ede
Allowable Prep Analysis
Penuneler Results PQL Units Method Container ID Limits Date Due ._..
i
i
Microbiology Laboratory
Total Coliform
0
col/100mL SM209222D A (<I) 06/15/07 DLC