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HomeMy WebLinkAboutJANET DAVIS LT 30 Janet Davis Lot 3 #050-771-07 Municipality of Anchorage Development Services Department = , Building Safety Division - On -Site Water and Wastewater Program, 4700 S. Bragaw SL Page of P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S W O o o A q C PID Number. O •S O —771 o 7 0C0.-JS79vCTi0IV Wastewater System: (New❑Upgrade Aobesa P 0 • (j p J( —7 7 0 d / V �n4 Lt j'►e 4KpU�.7.�7f ABSORPTION FIELD °na'" 69y-5797 •.ro., of HeemoanF ^___" 3 T' 0 S,,, w T,; c0. a BM ous ❑ Ma cow.. WHaO,q' TWO papa, from pip,ui q'°°'. � F LEGAL DESCRIPTION �' ° Bbtic .. , T Depth o proe tram Wig Graeoen ovreBD'W S�1%. J F� FI LaFt. Gr" ngm. Seamon. Fa aoasa aoova onp,W Vb^- -} g TOwr�en�p'. rw,q.: � � p, 3 FI. HU of uua: Dis,ann btwan Mee'. New ❑ Upgrade 3 Ft. °L Well: Pros MOMS! caw W TOW obsorp n Wea (� n } c4sr/�/a�o ((P.Me. k B. cl. ToW Depot t l 1 Fix AiT M '% 7 0'4 41 A jC V/ C ,\ IV 4- %(..1 FI. E F, DMe D,+ SWC We,>LwM: wooer DMawWiaa: �0/00 D,aw C)�6 00 F. w,Nc Fto,TWEgo X. SvLL( vnr� count Hae�.G,.la TANK (� YSM ,7 O GPM ° SN aL u I K it. Ft SEPARATION DISTANCES ($Septic O Holding O S.T.E.P. Other. cwaab. To Septic Absorption Lift Holding PudiWrivat M""'�'a%°f v, cb1 12 E a+� / E-A 000 Gal. From Tank Field Station Tank Sewer Line R/G S $ P Humeer of con "' ,. wm3 i Ia1 /07 NSA N14 PO L`/f,YF/CLYitNit f LIFT STATION s,.fa<ewa,« I00 + /00 + M.'Vd t✓e, Sao. • .yG• Gal. La Lar I) e�a� •Pur .�.. Hpn water Vann M. Is- •Pura on MvN M'. Fwn"m a S r 1 S' ° Mn Ekarcai FUP• s P,r—wd OF h C~O,an N1ti NI/} H.ma,ea BENCH MARK �}- Ivh1VtR 2,E G1.vlts7'C D LO Oyi ana owiWPm. ?OP OF FavaAAT/J.v (,Z podw'r Q bewneG EIa+NoO. / 00.OFL C7 S & 5 ENGINEERING 17rLoInspections performed by: Eagle River, Alaska 99577 j'?_0 2 COY:A`7CE- ilOrEPT C. Services Department Appr .8001Development N ......._ G Reviewed and app roved bDat�..' _.;• •,; i /0.w. 1200) PERMIT NO. SW000296 PAGE 2 OF 3 Municipalit of Anchorage DEPARTMENT OF HEATH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3 JANET DAVIS S/D P.I.D. NO. 050-771-07 PERMIT NO. SW000296 PAGE 3 OF 3 Municipalit of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 3 JANET DAVIS S/D P.I.D. NO. 050-771-07 ST1 ST2 X99.1' FINAL GRA FINAL GRADE NEW 96.5' 1000 GALLON POLYETHYLENE SEPTIC TANK 2" INSULATION C01=95.7' !=98.9' MT2=87.4' 96.2' -01 =92.8' -02=92.8' NO WATER FOUND 79.4' B.O.H. N. T. S �L�� V • ��T♦: r� ROBERT C. COWAN� #te,� CE -8801 r?�= 411f , 0 .............. C' 1i` 1,. FROM : DISOTELL CONSTRUCTION FRX NO. : 1 907 6960215 Jan. 15 2001 10:59AM P3 1ED %Z.1'ertifieb P'�wixtg Doc e. MA SULLIVAN WATERPWELLS P.O. BOX 670172, CHUGIAK, ALASKA 996S7 . OWNER OF LAND�✓! S O�E�.� c �' 7(3 c7 C ADDRESS LEGAL DESCRIPTION PERMIT NUMBER D O poT4 6 Date of IssueL �o TAX INOENTIFICATION NUMBER D5 -D- -� —" Is well located at approved Permit location? mss. Q No lyQ" 'Wry O cable tool C Method of Drilling: Depth of well: Casing Type T L alS� inches / Wall Thickness Diameter �— / /f inches, depth--J- Liner Type Casing Stickup Above Ground: a feet Static Water Level (from ground level): js5bvAi `�_ feet Pumping level:__feet atter hrs. pumping ___—yPm Recover RaW_5 gpm Method of Testing Well Intake Opening Type:en End Q Open Hole D Screened; Startfeet Stopped feet 0 Perforations Start —felt stopped feet Grout Type: !3F a; Ja�TE �olume oZ, 0 L 13 S. Depth: from feet, to feet Pump Intake Depth: feet Pump Size hp Brand Name Well Disinfected Upon Completion? bryeos Q No Method of Disinfection: CNI•O(I.tk comments:q / 4 / pJcC [3J �qr IQ sI(..JO V��Ji+C i �od/3teS r. I lJ,e�O P#4 -J [ bQ� e �r ��i. J �-J4 6�R�4�Jr•'� i w/4T E �C I 1 Driller's Name ' l' ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipa of Anchorage. Department of Health & Human Services and/or Department of Environmental Conservation. Matsu Borou, Department of Environmental Conservation. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 dloy�) 014110-n 1prn 8/19/0v@ qpl, ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Permit Number: SW000296 Legal Description: JANET DAVIS LT 3 Date Issued: Aug 15, 2000 Expiration Date: Aug 15, 2001 Parcel ID: 050-771-07 Design Engineer: 0003 S & S Engineering Site Address: Owner Name: Disotell Construction Lot Size: 49527 SO. FT. Owner Address: PO Box 770210 Total Bedrooms: 3 Permit Bedrooms: 3 Eagle River , AK 99577 - This permit is for the construction of: i Disposal Field Q✓ Septic Tank � Holding Tank R Privy Q✓ 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 3434744 ( 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: 8' `A ^Oo ------------ Date:B'�S r�d • ROBERT C. COWAN, P.E. CML E NGINEEttS (907)894-2979 FAX(907)894.1211 August 4, 2000 W&WAMIMN MUNICIPALITY OF ANCHORAGE Appnm48 Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWMAWATEn AWMIXTEIBI0M REFERENCE: Lot 3, Janet Davis S/D SEWEn1WATEn It is requested that you issue a permit to Install a well and a septic system to serve the *rPECT10" proposed 3 bedroom dwelling on the referenced property. A test hole was excavated and a percolation test was performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation 7/26/00 water ImNanm STUDWS A"OPEm rs was not found. After ground water monitoring, no water was found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The „MWPfCWk Auto mst construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. S„EPLka Sincerely, noAnoEga" I/Z G Robert C. Cowan, P.E. Sot tEST RCC/bjj Enclosure krCO ATION LEST ATaucrue4A MECKOXAL NSFECTIda o"s"E WAVEWATtA 06POSALSYSItM MAN lioN NORTH EAGLE RrvEFt LCot' +SUITE 204 + f:AGLE RIVER ALASKA 99577 W W000 SITE -PLAN DESIGN Z — V +n m Zv+lm 7 n A4> ' OyI r. Z "] S < z o I Ada m g i; $ o. .,a a oV o U N A rn 7io I N0O n o " --I p\-0 -3 I N I I Qt/ 1^: o" r 20' UTILITY EASEMENT I c mI `v W W000 !_ > pm0 Z — V +n m Zv+lm 7 n vmnv "] S < II m g i; $ o. .,a a / 1 d / / , � mol NI J �I I o -m Cr I / II i g i; $ o. .,a a ^er boa N A rn I N0O n o " --I p\-0 -3 I N I I Qt/ 1^: o" r 20' UTILITY EASEMENT I D c � / 1 / I / O I / C• r / I 1 ANLN �I I o -m Cr N A rn I N0O n o " --I p\-0 -3 I N r I D � I o I •" � ----- m A I _ 93b •: ��1` 0 O i G L C w C a 7-0 C] .-j Im 1P I SITE -PLAN 30• DESIGN Dr 20' m m p O .� O ti x�n 47/t> z'w v N II7 i Municipality of Anchorage DEPARTMENT OF IIEALTti & HUMAN SERVICES 825"L- Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: //�1 DATE PE LEGAL DESCRIPTION 3_C` 1q&1FT d� Township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS 001 01 S/'q -13o c« ore's S lJ/C- L'v SLOPE (F.uaulLtn' aLnL( OF ql'�i:. A o o r.. onra +�.. �8 ✓; �� SITE PLAN WAS GROUND WATER Jn ENCOUNTERED? �V V S IF YES, AT WIIAT/.J of 0 DEPTH? K P — E Depth to Water A— Monitoring? Date: Reading Date Gross Time Net Time Depth to Water Net Drop LSS ♦-aC- vap Z Sn.J d Y" /O" rC� u }iv 3 i ,,� �J74,- v` Ila a 1 Su. /20 yam_ PERCOLATION RATE (mmuievmch) PERC IIOLE DIAME7ER L TEST RUN BETWEEN FT AND "' FT S & S ENGINEERING CERTIFY TIIAI THIS T ST WAS PEnFOnMED IN PERFORMED BY: I 17334 E a g a rverLoop RoadAa. WJ% /H�00 ACCORDANCE WITILt s CFf.AJyrjbff*99 'J¢ GUIDELINES IN EFFECT ON Tr11S DATE. DATE: 72 W8 (nev. 485) Y�� Municipality of Anchorage On -Site Water & Wastewater Program $ (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I. D. 050-771-07 1. GENERAL INFORMATION Expiration Date: �04? 0 5 Complete legal description JANET DAVIS; LOT 3 Location (site tddress) 31531 MISTY MOUNTAIN CIRCLE *EAGLE RIVER AK E9577 Current Property owner(s) ROGER & VALERIE HERERRA Day phone _._ C/O AGENT Mailing adaress 31531 MISTY MOUNTAIN CIRCLE *EAGLE RIVER, A"< 99577 Real Estate Age° t JENNIFER STALCUP W/ KELLER WILLIAMS Day phoare 315-9512 2. TYPE OF DWELLING: Single Fa, lily (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDR('DMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DI -C 10S:A Individual Well Individual On-site ❑ Individual Water Stora,e ❑ Individual Holding tank ❑ Community Class__.Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer Received by: �i� _ Date: COSA to be released to the engineer, unless other ,se requested by the engineer. y9�i!.> lr COSA Fee $ IM C) -- Date of Payment a-1,95 -cha— Receipt Number. COSA # OSC- 13 b 5 a Waiver Fee $ Date of Payment Receipt Number Waiver # 3. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for 3 System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms. bedrooms, with the following Phone 337-6179 Date Z1ZZ013 OF WPiER Al�E51 � � pRo�RR a The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTCHMENTS: COSA Checklist Septic System Advisory ✓ Nitrate Advisory Arsenic Advisory Wel ow Adviso Other By: (Rev_11105) Original Certificate Date: 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: JANET DAVIS; LOT 3 Parcel ID: 050-771-07 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 9/6/00 Sanitary seal (Y/N) YES Total depth 161 ft. Cased to 161 ft. FROM WELL LOG Date of test 9/6/00 Static water level ARTESIAN ft. Well production 50 g_p,m, WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Arsenic: ND ug./L. B. SEPTIC/HOLDING TANK DATA Nitrate 0.346 mg./L. Date of sample: 2/4/13 Tank Type/Material SEPTIC/POLYETHELENE Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 2/4/13 5.08 g.p.m. Collected by: GEG. Ltd. Date installed 8/19-20/00 Tank size 1000 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 2/25/13 Pumper JRS PUMPING C. ABSORPTION FIELD DATA Date installed 8/19-20/00 Soil rating ((p.d./ft r ft2/bdrm) 1_2 System type TRENCH Length 38 ft. Width 3 ft. Gravel below pipe 5.5 ft. Total depth *9.91 ft. Eff. absorption area 4188 ft' Monitoring tube YES Depression over field NO Date of adequacy test 2/4/13 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test 4 in. Water added 930 gal. New depth 23 in. Elapsed Time: 267 min. Final fluid depth 9 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access(YM) "Pump on" level at in. "Pump off" level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank(lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout N/A Holding tank N/A Manurelanimal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *2' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingtvehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WR#010006 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. Engineer's Printed Name JEFFREY A. GARNESS Date _—Z-) ?I a A? (Rev. 11/05) Lot 2 TRACT 4 Lot 4 N89°57'47"E 164.90 LOT 3 0 SCALE: EASEMENTS OF RECORD, THOSE SHOWN ON THE RE PLAT ARE NOT SHOWN HER ��-\-\-------- _______ \ 15'Teleoom.&Etec. -- 1 \ \ Easement N89°58'21"E 165.00 MISTY MOUNTAIN CIRCLE 7 =Li0 THAN Fb 13.1. Ag 33-34 �.PkE OF A4 I * : 49th 00 dom- / ' 8378K N Lot 9 I Ooba at A>anray ¢, Alrtmsa ci FRED WAIATKAd ASSOCUaTEs _. eE (907-24e4BM Engfnems ana SLna i ' `e brpaa lents pasts co r B't on mnler (typ) Well F for fence minabucaart Z IA�1 H Peron y6p (7 Easeement�� \I \\ �f \,%,sepuov:n L 0 SCALE: EASEMENTS OF RECORD, THOSE SHOWN ON THE RE PLAT ARE NOT SHOWN HER ��-\-\-------- _______ \ 15'Teleoom.&Etec. -- 1 \ \ Easement N89°58'21"E 165.00 MISTY MOUNTAIN CIRCLE 7 =Li0 THAN Fb 13.1. Ag 33-34 �.PkE OF A4 I * : 49th 00 dom- / ' 8378K AS-6UILr NO CORNERS SET THIS NATE I nwoay eoNp Ur!. i Wino Forcomlm s Mptp9a9at ymP¢�on of Ne bOaMnu Z. �....,..�... I nr " )ftLt AI=s mN amt ole almaoa we W Wn aw p'apeny ama nwoade pn IIw prop" Mag 9 mprtrvaagate an ae Vopany Mag en an ae prwateoa w IIl1aNIg1 eeq 3255 � S t.., V$0b e83b1elI's ry1 F'd p eperp' eY,W fe tI I� . Lot 9 I Ooba at A>anray ¢, Alrtmsa FRED WAIATKAd ASSOCUaTEs _. eE (907-24e4BM Engfnems ana SLna ' `e brpaa lents pasts co B't on mnler (typ) F for fence minabucaart � IA�1 H r, Q (7 L r-' iy r Dnr_e _re,; E : Iw f'mtshu `an Lot 3 AS-6UILr NO CORNERS SET THIS NATE I nwoay eoNp Ur!. i Wino Forcomlm s Mptp9a9at ymP¢�on of Ne bOaMnu Z. �....,..�... I nr " )ftLt AI=s mN amt ole almaoa we W Wn aw p'apeny ama nwoade pn IIw prop" Mag 9 mprtrvaagate an ae Vopany Mag en an ae prwateoa w IIl1aNIg1 eeq 3255 � S t.., V$0b e83b1elI's ry1 F'd p eperp' eY,W fe tI I� . ha,_. •�'�` � Ooba at A>anray ¢, Alrtmsa FRED WAIATKAd ASSOCUaTEs _. eE (907-24e4BM Engfnems ana SLna G Municipality Of Anchorage e� • '� Development Services Department Building Safety Division On -Site Water & Wastewater Program 47.0.0 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. 050-771-07 COSA# 0_M10 1. GENERAL INFORMATION Expiration Date: Complete legal description JANET DAVIS SUBDIVISION; LOT 3 Location (site address) 31531 MISTY MOUNTAIN CIRCLE * EAGLE RIVER, AK * 99577 Current Property owner(s) BRAD HUEBINGER Day phone 622-7596 Mailing address Lending agency Mailing address Real Estate Agent Mailing address 31531 MISTY MOUNTAIN CIRCLE * EAGLE RIVER, AK * 99577 Unless otherwise requested, COSA will be held by DSD for pickup. Day phone Day phone 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal a /XeG' i9erety and as Gf thcva^iidauvn date shvVJrrr b2ivJV, I 'Jeri y ulic^.t ,;ry 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. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Phone 337-6179 Date OF ✓�:. . ....... ..... r y A. s.: CE -79 3 0° 44nf�or '•�A�li�u'• 40X, rofesslOr' Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist (sem Septic System Advisory Well Flow Advisory A 1:1-..a.. AA..; .....-.. iuruatc MUVlso y Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: ��-' l Original Certificate Date: (Rev. 11/05) %�OOOai{4EYf,; ;,.. OE,a►' `tea; ON-SITE WATER AND v WASTEWATER PROGRAM moo•• .•' J1l 0 Municipality of Anchorage Vt- BV • Development Services Department r �" <, .�.;; .. is m Building Safety Division a S A E T Y 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: JANET DAVIS SUBDIVISION; LOT 3 Parcel ID: 050-771-07 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 9/6/2000 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 162 ft. Cased to 162 ft. Casing height (above ground) 18+ in. Date of test Static water level Well production FROM WELL LOG 9/6/2000 ARTESIAN WATER SAMPLE RESULTS: ft. AT INSPECTION 10/4/2010 12 ft. g.p.m. 4.7 g.p.m. Coliform CD colonies/100 ml. N itrateQ.3-V mg./L. Other bacteria © colonies/100 ml. Arsenic: NO ug./L. Date of sample: 10/4/2010 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/POLYETHELENE Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 9/8/2010 Pumper C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE Date installed 8/19/2000 Soil rating (g.p.d./ftZo 2/bdr 1.2 System type DEEP TRENCH Length 38 ft. Width 3 ft. Gravel below pipe 5.5 ft. Total depth 9.95+ ft. Eff. absorption area 418 ftZ Monitoring tube YES Depression over field NO Date of adequacy test 10/4/2010 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test5�8 in. Water added 564 gal. New depth12 14in. Elapsed Time: 1380 min. Final fluid depth 6.5/8.5 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — Date installed 8/2/2000 Cleanouts (Y/N) YES High water alarm (Y/N) N/A JR'S PUMPING D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump ofr' E. SEPARATION DISTANCES Manhole/Access water alarm level at in. Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot Public sewer main 100'+ N/A Sewer /septic service line 25'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *2'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WR010006 G. ENGINEER'S CERTIFICATION certify that / 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 JEFFREY A. GARNESS Date 10 % 1160 COSA Fee $—�AQo Date of Payment Receipt Number y� (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number _SGS SGS Ref.# 1105361001 Client Name Garness Engineering Group, Ltd Project Name/# Janet Davis S/D Lot 3 Client Sample ID Janet Davis S/D Lot 3 Matrix Drinking Water Sample Remarks: Printed Date/Time 10/08/2010 16:45 Collected Date/Time 10/04/2010 11:15 Received Date/Time 10/05/2010 12:51 Technical Director Stephen C. Ede Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 10/05/10 10/06/10 KDC Waters Department Total Nitrate/Nitrite-N 0.399 0.100 mg/L SM20 450ONO3-F B (<10) 10/05/10 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM20 9223B A 10/05/10 DLC Total Coliform Negative I 100mL SM20 9223B A 10/05/10 DLC Municipality of Anchorage • Development Services Department Building Safety Division .. . On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 V, Anchorage, AK 99519-6650 www.muni.org/onsite '}r (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL ty FOR A SINGLE FAMILY DWELLING /�G Parcel I.D. ��d ^ l 71 "6� COSA# N10,159/� 1. GENERAL INFORMATION Expiration Date:—/./ — (D ` 0 S Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address JANET DAVIS SUBDIVISION: LOT 3 31531 MISTY MOUNTAIN CIRCLE • EAGLE RIVER, AK • 99577 MARK & DAWN BONFIELD Day phone 31531 MISTY MOUNTAIN CIRCLE ' EAGLE RIVER, AK • 99577 Day phone EVA LOKEN W/ PRUDENTIAL VISTA Day phone 689-6476 16635 CENTERFIELD DRIVE • EAGLE RIVER, AK * 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well E Individual Water Storage ❑ Community Class—Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF 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 Finn GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 9 I 0 6 Engineer's Comments: In conducting this evaluation, GEG, LfD. attempted to provide a thorough, conscientious engineering analysts of the system in accordance with ADEC and MOA DSD Guidelines B Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational fife of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system WH continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE _(.L Approved for 3 bedrooms. Disapproved. 9 I .yam . .. .... ............ f A. G Hess, �o. CE— Conditionalapproval for bedrooms, with the Hlowing stipulations: Attachments: `� COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineers Reort Nitrate Advisory Other �G�Qr.••... ..c� , ., ON-SITE •' WATER AND WASTEWATER PROGRAM i0,q'�•',�..••'• J��//i.:�NT SEV� j11�� By: / Original Certificate Date: 0 M_ 11M Municipality of Anchorage �•��� Development Services Department - \F��7 Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907) 3434904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: JANET DAVIS SUBDIVISION; LOT 3 Parcel ID:Q J O —7 % I _07 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 9/6/2000 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES Total depth 162 ft. Date of test Static water level Well production Cased to 162 ft. FROM WELL LOG 9/6/2000 ARTESIAN ft, 50 g.p.m. WATER SAMPLE RESULTS: Coliform _0__ colonies/100 ml. Arsenic: ND ug./L. Casing height (above ground) 18+ in. AT INSPECTION 7/24/2008 24 ft_ 4.25 9— p.m- Nitrate ' 41Lmg./L. Other bacteria 26 colonies/100 ml. Date of sample: / 71,200 BCollected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/POLYETHELENE Date installed 8/2/2000 Tank size 1000 gal Number of Compartments E CleanoutS (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping 9/24/2007 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA BELOW EXISTING GRAD Date installed 8/19/2000 Soil rating .p.d./ r ft%drm) 1_2 System type DEEP TRENCH Length 38 ft. Width 3 ft. Gravel below pipe 5.5 ft. Total depth • 11.8 ft. Elf. absorption area4� 88 ft' Monitoring tube YES Depression over field NO Date of adequacy test 7/24/2008 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test36 in. Water added 1020gal. New depth36 in. Elapsed Time: 1 EO min. Final fluid depth39 in. Absorption rate >= 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump oft" level High water alarm level at in. Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 12' Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ C F. COMMENTS *PER EXISTING WAIVER. JWR010006 G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and p Co review of Municipal records that the above systems are in"""" "' ' ' ' ' Q conformance with MOA COSA guidelines in effect on this date. Q e or ess.: O Engineer's Printed Name JEFFREY A. GARNESS �QO� E-79 ; `Fof j Date0 pOpd $'•t �0 �J\ Foto roress,o ��0000��o i COSA Fee WRQ �OO Waiver Fee $ r Date of Payment $ j ISO Date of Payment Receipt Number L1 Li 312-1 Receipt Number (Rev. W05) 0 0 4 I -- -7 v -ASBUliT._ _.. ._ ... _. ... ... __. ..... .. _ I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE R ''C'ALE' - FOLLOWING -DESCRIBED PROPERTY: /��To AND THAT NO FNCROACHMEiITS EXIST LXCEPT AS DATE INDICATED. IT IS THE RESPONS131LITY OF THE OWNER TO DETERMINE 7HZ E::ISTENCE OF ANY GRID EASEMENTS. COVENANTS, OR RESTRICTIONS `4HICH_DO NOT -APPEAR ONTHERECORDED SUBDI- scBey VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' __.. —__ ANY-0ATA-HEREON BE USED -Fop -CONSTRUCTION._ P OFFENCE. LINES, OR FOR ESTABLISHING BOUND- - -- ARY,LINES..__ .. ... .. .. .... DHAWN__ 8 h V SCS ReEM 1083496001 Client Name Garness Engineering Group, Ltd. Project Name/p Janet Davis L3 Client Sample ID Janet Davis L3 Matrix Drinking Water PWSID 0 All Dates/Times are Alaska Standard Time Printed Dateffime 07/312008 14:13 Collected Date/time 07/172008 7:40 Retched Date rime 07/172008 12:25 Technical Director Stephen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Mcdw Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 07/18/08 0721/08 NRR Waters Department Total Nitratc/Nitritc-N 0.421 0.100 mg/L SN1204500NO3-F D (<10) 07/30/08 1D7 Microbiology Laboratory Colony Count 0 col/100ml. SM20922211 A (Q00) 07/17/08 DLC Total Coliform 0 col/100ml- SM20 922213 A (<I) 07/17/08 DLC FccalColiform 0 coV100mL SM209222B A (<I) 07/17/08 DLC —a� Municipality of Anchorage • -� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343.7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-771-07 1. GENERAL INFORMATION Expiration Date: Complete legal description Lot 3, Janet Davis Subdivision Location (sit eaddress or directions) NHN fusty t1ountain Circle Current Propertyowner(s) Disotell Consturction Dayphone 694-5797 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address PO Box 770210, Eagle River.AK 99577 Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 41? i i 0/ca 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site El 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of Ede (except between spouses) for properties served by a s;ngle family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to hcmeo,.vners. Cert5cates of Health Authority Approval are valid for 90 days frcm the date of issue for properties served by a private cr Class C well and may be reissued with r.e,.v water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid fcr cre year for properties served by Class A or B wells or a public water system. The Municipality of Anchcrace is not responsible for errcrs cr 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 showy. below. I verify that my Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. S & S ENGINEERING Name of Firm 17034 Eagle River Loon R as N 2rt1 Phone G `� _)_11 % Eagle River, Alaska 99577 Address Engineer's Printed Name Robert C. Cowan, P.E. Date j /I L /0 1 ROBERT C. COWAN ^ j 5. DSD SIGNATURE 'l+tf flfn+ CE -8801 �+` Approved for 3 bedrooms. tt F� ••_.._...••• : �' — Disapproved. �= Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By:Original Certificate Date: (Rev. 121CC) Municipality of Anchorage .,., • Development Services Department / Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L07" 3 TAN CT DAY,.r SAD Parcel ID: OS -0 —771 0 7 A. WELL DATA Well type L%JV6Tl Date completed `) �4 /0 0 Total depth / 6i ft. Date of test Static water level If A, B, or C provide PWSID # = Sanitary seal ON) Y� J Cased to 161 ft. FROM WELL LOG I/c/o D FVowtW6, ft, Well production a O g p m WATER SAMPLE RESULTS: Well Log 04) YF -f Wires properly protected &N) Y* s Casing height (above ground) lg+ In. AT INSPECTION ft. g.p.m. Coliform O colonies/100 ml. Nitrate 0-5- mg./l. Other bacteria d colonies/100 ml. Date of sample: //11i, T /O Collected by: S & S ENGINEERING 17034 Eagle River Loop Road No. 204 B., SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 TankType/Material SEP714-1 r0LYE7NbLY1'Jt ,Tank size 1000 gal. Number of Compartments_ Foundation cleanout &N) y(3 Depression over tank (YA1 ri0 Date of pumping N%p - "j Pumper C. ABSORPTION FIELD DATA Date installed 00100 Soil rating �or ftZ/bdrm) Length 39 ft. Width Date installed Cleanouts OY N) Y z J High water alarm (YAN 0 System type TRtNcl1 Gravel below pipe S �� ft. Total depth g ft. Eff. absorption area lit 8 ft= Monitoring tube Yt J Depression over field 01 o Date of adequacy test P 1A - N f'✓ Results (Pass/Fail) For 3 bedrooms Fluid depth in absorption field before test ljj, Water added_ gal. New depth_ in. > , Elapsed Time: min. anal fluid depth in. Absorption rate >= g.p.d. Any rejuveRe' treatment (past 12 mo.) (YIN &type) It yes, give date f. D. LIFT STATION Date installed Size in gallons _ "Pump on" level at _In. 'Pump off level at Datum tested Manhole/Access (Y/N!) tg i water alarm level at In. Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: t kflift tat' on lot 1 X 3 On adjacent lots Joo } Sephc an s ion Absorption field on lot / 0 7 On adjacent lots 100 f Public sewer main N /a Public sewer manholelcleanout N �A Sewer /septic service line 1 S ,; Holding tank /`r 1,4 SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation Q S Property line )I Absorption field S Water main N % A Water service line % (7 t Surface water Joe �f r Wells on adjacent lots ) 0 0 -I- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ,,r4r) ' A4 Property line I �4A'vtt ReuBuildingfoundation �S Water main N Water Service line I 0 + Surface water ) D 0 Driveway, parking/vehicle storage Curtain drain k ✓u uA/ Wells on adjacent lots 1 O C f F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field Inspections and review of Municipal records that the above systems are In conformance with MOA HAA guidelines In effect on this date. Engineer's Printed Name 4 a L R T �' 0 r✓g"i Date 1 /14/0, HAA Fee $ Date of Payment O fo. VY I /n/v / Receipt Number (Rev. 12100) Waiver Fee S .e R TAWcov/AN i ^ i r. .,, ` Date of Payment o//I be /o f Receipt Number c)49� )A .Uw S & SN AOBERT C. COWAN, P.E. ineekinG ML ENGINEEFLS January I5, 2001 (907) 694-297979 FAX (907)694-1211 1' 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577 TOTAL P.01 ....... . ....................................... MUNICIPALITY OF ANCHORAGE MEALIMAUTHOWY Department of Health and Human Services N°P0 A" PO Box 196650 Anchorage, AK 99519 MWE.95WATER REFERENCE: Lot 3, Janet Davis S/D LIMN TENSaNS Request you issue a Health Authority Approval on the referenced property and grant a waiver for the separation distance between the east property line SEWIR4WATER and the new leachfield at 2 feet. - We do not anticipate any adverse INSPECTION effects to the referenced property or to adjacent properties. If you require additional information, please contact us. MNEERINCSTT.DIES ANDAVORTS Sincerely, WEU RbPECncw .r<n ftrw Robert C. Cowan,P.E. RCC/skh SITE BANS R',YDDESIGN $*LTEST PERCOLATION TEST STRJCIVIIALL WCI4NC L NEPECTION5 a+41T4 WASTEWATER DLSPOSAL SYSTEM DESK? 1' 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER ALASKA 99577 TOTAL P.01 ....... . ....................................... Municipality of Anchorage 0 �.r George P. 11'uerch, Dla#or �• �� Department of Builtlirig Safety Dii-ision Public works P.O. Dix 196650 a 4700 S. Bragaw Street Anchontge, Alaska (Y)519 -W-50 • (007) 343.8301 1it I p://aimxf.anchorage.ak.us S & S Engineering AM: Robert Cowan, PE 17034 Eagle River Loop Rd, #204 Eagle River, AK 99577 - January 26, 2001 Subject: Waiver Request forJANET DAVIS LT 3 Waiver # WR010006 Lot Line Request for Parcel ID 050-771-07 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 2 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely,2��� Jeff Poet? Engineering Technician III On -Site Water Quality Program MUNICIPALITY OF ANCHORAGE Department of Health 8 Human Services Onsite Services Waiver Review Worksheet WR#: 010006 PID#: 05077107 HAM Permit#: 000296 Date Received: 1-16-01 Legal Description: LOT 3 JANET DAVIS Engineer: S & S ENGINEERING 17034 EAGLE RIVER LOOP ROAD NO.204 Applicant: Janet Davis .......... Waiver Requested: WASTEWATER DISPOSAL FIELD TO LOT LINE OF 2 FEET Criteria: 1. Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: 2. Special Conditions: 3. Other: Waiver is Granted: Waiver is not Granted. List Conditions or Reasons for above: Date: By: .......... Rec#: 0093 Amount 115 Date Paid: 1-16-01