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HomeMy WebLinkAboutEKLUTNA HGTS STEWART ADDN LT 6Eklutna H 9 ts tewart Addn Lot 6 #051-063-23 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP151279 PID Number: 051-063-23 ❑ New ❑✓ Upgrade Name: Skippy & Cheryl Boomershine ABSORPTION FIELD ❑ Deep Trench ❑✓ Shallow Trench ❑ Bed ❑ Mound Address, 631 Clipper Ship Ct: Anchorage, AK 99515 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0•8GPD/SF 1 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 0.5 Ft. Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot Eklutna Heights Stewart Addn. 6 Fill added above original grade 2 Ft. Gravel length 58 (2) Ft. Township Range Section Gravel width 5Ft. Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 580 z Ft 2 10.1 Ft. Well 71.2* 86.7* N/A N/A 62.7 TANK ❑ Septic I] S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1,250Gal. Surface Water 100+ 100+ N/A N/A MaterialNumber of compartments Lot Line 19.7 5.5* N/A N/A Steel 2 NA Foundation 7.0 22.9 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain 50+ 50+ N/A N/A Anchorage Tank 250 Gal. Remarks *See Waivers Pump on level at 43 in. Pump off level at 42 in. High water alarm at 45 in. Pump make and model P2005 Electrical Inspections performed by Sturgeon Electric Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield JR's Septic Drainfield . 3034 CO/MT 3034 Inspector Pannone Engineering Services, LLC. BENCH MARK (Assumed elevation) 100ft Inspection 151 10/19/15 2nd 10/20/15 Location and description 3`' 10/20/15 4'h Top of Deck COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp OF at,,�tl� Conditional Approval: Date // ,S/ ' '��P' % re„ r �v Ve fe b / s �#49 • • i seven •F�. •�'annone•� ,• CE 8149f Approve'8" L vv C) ✓ l/1% Date�ALV AW Inspection Report_1-1-12.doc s6A A 10VED ABSORPTION FIELD IAW M INS LLED NEW ABSORPTION FIELD 1.25 0 PERF PIPE/ 0.127" HOLE DRILLED iS" O.C. W/ M AT ENDS NEW (2EA) 'SLFx5.0'Wx0.5'E.D., TO A B w� w C1 24.7 25.2 A/ \f 1.0' w/ 3. SAND LAYER Tt 23.3 26.9 MH 18.6 34.7 _ ._I12 M1 64.4 33.6 M2 71.0 44.7-'- AN r ��OF A4 lkj( Q. f9++ M3 25.3 52.1 Scale M4 39.4 61.7 5 ... .. .. ....... P.I.D. NO EKLUTNA HTS 16 STEWART ADDITION 51 -063 - SKPPY & CHERYL BOOMERSHNE 1 _ PERMIT NO2 . DRAWN NSG 631 CLIPPER SHIP CT f+1cslF 6SJ/O fir/ OSP151279 PLAN ' t -sS LIMIT OF m1 a ABANDONED 10ONg SEPTIC TANK PER MOA CODE MSM ` \INSTALLED 12509 S T.E.P. TANK F u 1,4 M W I 4 \afi.J -- 7 .___.� M M M� 38R SFD LLJ \ -r -.> 1. 6 130 s6A A 10VED ABSORPTION FIELD IAW M INS LLED NEW ABSORPTION FIELD 1.25 0 PERF PIPE/ 0.127" HOLE DRILLED iS" O.C. W/ M AT ENDS NEW (2EA) 'SLFx5.0'Wx0.5'E.D., TO 3 e � M'M 3W/W \� 9 ----- 4 1 31 10 A/ \f 1.0' w/ 3. SAND LAYER /W/ 3/ 3 MIT OF FILL _ 3 e � M'M 3W/W \� 9 ----- 4 1 31 10 A/ \f W /W/ 3/ 3 NOTES: PA gpXO1010E7 ENC ANCNG HORAGE, AK AK 9991.0 PHONE (907) 272-8218 -FAX (907) 272-8211 AN r ��OF A4 lkj( Q. f9++ 0/30/2015 RECORD DRAWING Scale ... .. .. ....... P.I.D. NO EKLUTNA HTS 16 STEWART ADDITION 51 -063 - SKPPY & CHERYL BOOMERSHNE - Ste" e'r a � Pnnone / �� P.• CE 814•x/ PERMIT NO2 . DRAWN NSG 631 CLIPPER SHIP CT f+1cslF 6SJ/O fir/ OSP151279 PLAN ANCHORAGE, AK 99515 t -sS Sheet 2OF3 SPECIAL PROVISIONS TO SPECIFICATIONS 1 . ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: REMOVED 1000g SEPTIC TANK , INSTALLED 1250g S.T.E.P. TANK AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS ENCOUNTERED TO A DEPTH OF 8.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. WATER WAS OBSERVED AT 5 FEET FROM EXISTING GRADE. 4. BASED ON PERIODIC FIELD OBSERVATIONS. AS REQUIRED BY AMC 15.65 THIS RECORD DRAWING REPRESENTS THE PROJECT AS CONSTRUCTED, BUT DOES NOT GUARANTEE THERE ARE NO HIDDEN DEFECTS BY THE CONTRACTOR. 94.0 -DRAIN ROCK -3' SAND FILTER FILTER FABRIC 1 1.25" 0 PERF PIPE W/ 0.125" HOLES DRILLED 18" O.C. I 2" RIGID INSULATION _ DRAIN ROCK 6'• ABOVE PIPEINV 1 101.0 1:3 SLOPE Qg _ TS&seeded 99.0 (9a.9 i o �o a � - —5.0--I--10. 10/15/2015 SECTION BOH 89.0 � w O z � a 0 U _ p E�REMOVED (E) DRAINFIELD AND FILLED WITH MoA TYPE 2 1.25" 0 PERF PIPE W/ 0.125 w m w m 2" RIGID INSULATION PROPOSED (E) EXISTING DRAIN ROCK 6" ABOVE o z PIPE INV Z g FILTER FABRIC 0 p I DRAIN ROCK 11 3'± SAND FILTER 1250g S.T.E.P. TANK NEW DESIGN PARAMETERS PRIMARY SEPTIC SYSTEM N0, BEDROOM: 3 (450 gpd) TANK SIZE: 1000g PERC RATE: 7.6 MPI SOIL RATING: 0.8 GPD/SF REDUCTION FACTOR: 1.0 AREA ROD`. 565 SF SYS. TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 113 LF NOTES: DRAWING PROFILE USED: (2EA) 58 LFx5'WxO.5' E.D., 1.0' TD WITH 3.0' SAND - TOTAL AREA: 580 SF PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 EKLUTNA HTS L6 STEWART ADDITION DRAWNNJc SKIPPY & CHERYL BOOMERSHINE 631 CLIPPER SHIP CT PLAN ANCHORAGE, AK 99515 HOLES DRILLED 18•' O.C. 1:3 SLOPE ABBREVIATIONS TH TEST HOLE (P) PROPOSED (E) EXISTING CO CLEAN OUT NO. MT MONITOR TUBE NO TYP TYPICAL 0/30/20151 50 .... ....... r56 Steven R. Pan n one P •. CE 8149 .i4 e 3 OF Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer -E-mail: Steve anpanenaak.com November 4, 2015 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road P. O. Box 196650 Anchorage, Alaska 99519 Subject: Eklutna Heights, Stewart Addn, Lot 6 Waiver Request Ladies and Gentlemen: I am writing to Request a waiver to the two feet of unsaturated native soils for this lot. PES performed a test hole to a depth of ten feet on August 5, 2015. Ground water was monitored for seven days and the water was observed at eight feet below ground level. On October 15, 2015 the ground water was observed to be five feet below ground level, after 45 days of the wettest September on record where Anchorage received over ten inches of rain (this area has a multiplication factor of 1.05 according to the MoA Drainage Design Guidelines Orthographic Factor Map.) The surrounding system's monitor tubes were checked and they were found to be dry to six feet on October 29th, 2015. PES percolated the upper stratum of soil to determine its rate. The percolation test resulted in a rate of 6 minutes per inch, similar to the underlying soil. There is a three-foot layer of sand under the drain rock. The intent of the sand was to allow the effluent to be transmitted into the lower soils. When the water levels were noted to be higher, we raised the system to meet the minimum separation distance to observed ground water (which turned out to be a 100 -year storm event and not the average seasonal high groundwater.) The soil is of uniform percolation rate (6-7 MPI). Therefore, I request that the two feet of unsaturated native soil requirement be waived due to uniform soils surrounding the sand, and record high ground water due to record high rain events. Granting this waiver request does not constitute risk to health. Please contact me if you have any comments or concerns. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments: Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 SOILS LOG - PERCOLATION TEST TEST HOLE 1 OR TOPSOIL SLOPE •—•—.—.—•—•—•�9R'+f- 1 SM/GM Silty SAND & l ' GRAVEL WITH ' z COBBLES TEST\ - B 3 BOH HOLE � 3 4 3BR S I 5 8 \ �'4, 3 / rH� 7 B \ y DATE PERFORMED: Nov 2, 2015 - w " 3 b WAS GROUND WATER SLOPE ENCOUNTERED? N IF YES, AT WHAT TH 1 DEPTH? X DEPTH TO WATER AFTER MONITORING? - - DATE: READING DATE CLOCK WATER NETTIME LEVEL NET DROP (MPI) - - READING 1 02NOV15 1702 6.335' 2 1732 30 MIN 12.245' 5.915.07 3 1723 6.335' 4 1803 30 MIN 11.255" 4.92" 6.10 5 1804 6.335" 6 1834 30 MIN 11.195' 4.86' 6.17 PERCOLATION RATE 6.1(min/inch) 1 PERC HOLE DIAMETER 6"1 TEST RUN BETWEEN 1.5 FT AND 2.5 FT. LAST THREE DATA POINTS TEST PRESENTED.. COMMENTS: Test hole excavated by PES. Test Hole was presoaked before Perc test. PERFORMED BY: Joseph Lawendowski I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NOTES: PANNONE ENG SVC, LLC-�`oFA P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 27278211 ��t J �� q %Cq�P s y'+r1 4TH •*fi Date 1/03/15 RECORD DRAWING Scale NTS ... ...... ... ... .. II P.I.D. NO EKLUTNA HTS L6 STEWART ADDITIO ............. ........ — 3-2 SKIPPY & CHERYL BOOMERSHINE - 631 CLIPPER SHIP CT Steven R. Pannone P F'. CE 8149 �� (ter +'11N'0' IT N PERMIT N0. OSP DRAWN JRL Sheet SOILS LOG ANCHORAGE, AK 99515 .....1.... 4 OF 4 October 28, 2015 To Whom it May Concern ATTN: Steven Pannone Pannone Engineering Services P.O. Box 100217 Anchorage, Alaska 99510-0217 (907)272-8218 RE: Electrical Wiring of Septic System Lift Station At 21663 Bear View Place Chueiak (Peters Creek). Alaska Sturgeon Electric, a preferred electrical contractor in Alaska, celebrated its 100 year anniversary in 2012. With a century worth of knowledge and experience behind us, we provide comprehensive electrical construction solutions to clients throughout Alaska as well as the western United States. Our Commercial & Industrial (C&I), Transportation and Power Line Construction (T&D) divisions, all located in Anchorage and Fairbanks, are capable of responding to any needs our clients may have - from preconstruction services, to construction and maintenance services as well as everything in between, no matter the size. We are also an OSHA Voluntary Protection Program (VPP) Star Status company and were the first electrical construction mobile workforce contractor in the United States selected for this elite status. We take great pride in our work, experience and culture. The electrical wiring for the above septic system monitoring, controls, and lift station pump were installed per the current National Electrical Code (NEC), The Municipality of Anchorage local electrical codes, and the manufactures instructions. This installation wiring was performed by a licensed electrical journeyman, and supervised by an electrical administrator. Please don't hesitate to call or e-mail if you have any questions or concerns. Thank You Sincerely, Skip Boomershine sboomershine@MYRGroup.com Cell No. (907) 371- 5570 STURGEON ELECTRIC COMPANY An W Company I sturgeon Electric Company, Inc. 12150 E. 112x' Ave. Henderson, C080640 303.286.8000 sturgeonelectric.com MYR Group Inc. is an Equal Opportunity Employer M/F/H/V On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP151279 Tax Code Number: 05106323000 Work Type: Septic Upgrade Permit Effective Dates: September 22, 2015 to September 21, 2016 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: EKLUTNA HGTS STEWART ADDN Site Legal Address: EKLUTNA HGTS STEWART ADDN LT 6 G:1460 Owner/Address: BOOMERSHINE SKIPPY W & CHERYL A 631 CLIPPER SHIP CT ANCHORAGE AK 995153623 Site Mailing Address: 21663 BEAR VIEW PL, Chugiak Lot Size in Sq Ft: 8400 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: Municipalit; of Anchoi M went do R Mepartmet **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV161102 COSA#: Permit#:OSP161279 PID#:061-063-23 , Legal Description: Eklutna Weights: Stewart Addition, Lot 6 Engineer: PES Applicant: Skioov & Cheryl Boomershine Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the private wells has been approved. The approved separation distance is 78:0 feet. Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the, private well has been approved. The approved separation distance is 65.0 feet. Your request fora waiver of the required 10 feet horizontal, separation from the absorption field to the property line has been approved. The approved separation distance is.5 feet. Your request for a waiver to allow the absorption field to be oriented parallel to the slope has been approved: This waiver approval applies to the proposed absorption field and septic tank only. Any firture upgrade t4 the on-site wastewater disposal, system will require all separation distances be met or another approval from this department. ® The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. Waiver is Granted: X: Waiver is not Granted: Dater Approved by: r %eof Reviewer MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 051-063-23 Property owner(s) Skippy & Cheryl Boomershine Day phone Mailing address 631 Clipper Ship Court, Anchorage, AK 99515 Site address 21663 Bear View Place None Available Legal description (Sub'd., Block & Lot) EKLUTNA HEIGHTS, STEWART ADDN L6 Legal description (Township, Range & Section) Lot Size 8400 Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field ❑x Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) ❑X (w/wo ADU) Upgrade ❑X Duplex (D) ❑ Renewal ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Separation distance from absorption field to existing w Ils4ot line to drain field separalierbseplic lank to a,ep separation.Grainfield orientation 78'/5'/65' Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. of property owner or authorized agent) do Permit/Rush Fees: Waiver Fees: Ild 9 o-0 Date of Payment: Date of Payment: g 11,3 //.S-- Receipt /SReceipt Number: /6graol G*_ Receipt Number: - o6 S 7z- lT Permit No. T /S%_'40)a �i Waiver No: Permit App_.;- :_.mac: Pannone Engineering Services LLC Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@@panengak.com September 15, 2015 Subject: EKLUTNA HEIGHTS, STEWART ADDITION L6 Septic System Upgrade Permit Request Design Narrative This is a design narrative for a permit to install an upgrade septic system to be issued for this property. The existing 1000g tank is at the end of its life and the existing absorption field is in failure. Currently the lot is developed. The proposed system will utilize a replacement 1250g STEP tank and soil absorption system. This lot and the surrounding lots are served by private wells. The private well for this property and an adjoining lot (LENNIE HEIGHTS Lot 5) are within 100' of the proposed absorption field and proposed tank installation (see Waivers). There are no other wells within 100' of the system. 1. Upgrade Tank Design. a. See Sheet 1 of the design package. 2. Surface Water: There is no surface water within 100 feet of the proposed septic tank. The proposed septic tank upgrade will maintain at least 100 feet from all surface water and drainage ditches. 3. Topography: The existing topography in the area slopes down from northwest to southeast at a slope of 5-7%. Due to grading in the area around the proposed system slopes from west to east/southeast at approximately 1-2%. 4. Waivers: We would like to request a waiver for separation distance for the existing septic system to the well located on the lot and on LENNIE HEIGHTS Lot 5 and lot line separation from the absorption field trenches with the details specified below. a. Drain Field (P) to Wells (E): We are requesting to modify existing separation distance waivers between existing well on Lot 6 and on LENNIE HEIGHTS Lot 5 and the proposed septic drain field on Lot 6 and the septic tank on Lot 6 to the well on Lot 6. Due to changing the dimensions of the absorption field the separation distances have changed as well. The distance between the proposed drain field on Lot 6 and well is 83.2'±, the distance between the proposed tank upgrade on Lot 6 and the well on Lot 6 is 69'±, the distance between the proposed drain field on Lot 6 and the existing well on LENNIE HEIGHTS Lot 5 is 91.1'±. We are requesting a waiver for the drain field on Lot 6 to the existing well on Lot 6 for a distance of 78', the septic tank on Lot 6 to the well on Lot 6 for a distance of 65' and the proposed drain field on Lot 6 to the well on LENNIE HEIGHTS Lot 5 for a distance of 85'. DEC Criteria: The well on Lot 6 is a private well and was drilled in 1978. The data is summarized as follows: LOT # WELL STATIC YIELD Well Data H2O Test Soil Well Log . Nitrate DEPTH WATER Date Date Characteristics Data Level LEVEL Lot 6 280' 130' 1.5 gpm 06/07/1978 04/10/1986 Y Y SAT LENNIE L5 300' 124' 1.7 gpm 10/19/1977 05/22/1994 Y Y 3.5 mg/L Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 3 The ground water in this area typically flows from the northeast to the southwest. The soil cross-sections are similar across the area and a homogenous cross-section was used to calculate the DEC criteria for all components. As outlined under 18 AAC 80.020 and 18 AAC72.021(a), I have calculated the following points: Lot 6 & Lot 7 Septic Svstem to Well Distance from sewer system bottom to groundwater 7.21 Soil sorption below sewage system 2.94 Soil permeability below the system 1.35 Water table gradient 2.90 Horizontal separation 2.32 Total Points 16.71 "The sum of the above values could equate to the following conditions: 16-24 Almost sure to be free from any form of contamination from household sewage." In my opinion, this waiver request meets the above criteria for approval and does not constitute risk to health. I hope the above information will assist you in determining that the waiver should be granted. In regards to the separation between the proposed septic tank to the existing well on Lot 6 the decreased distance adjusts the value of the "Horizontal separation" to a point value of 1.76. This provides an overall points for the tank to 16.12 which stays within the aforementioned range of "16-24 Almost sure to be free from any form of contamination from household sewage". b. Drain Field to Lot Line Separation: Due to the limited space available on the lot we are requesting a lot line waiver on both ends of the trenches to 5'. c. Drain Field Orientation: Grading of the yard provides a general slope from the west to the east/southeast at approximately 1-2%. The lots in this subdivision are extremely small and prohibit latitude in direction of drain field. The proposed system will follow the general orientation of the lot which is not parallel to the assumed contour lines. Due to lot size and field size requirements we are requesting a waiver to the drain field orientation. The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 y / -112 J 5 1 IiM \M� M/M1 108 ---- ---------------------- REMOVE -__--._.-."--"REMOVE 100ag SEPTIC MSM M�1 PER MOA CO INSTALL 1250g S.T.E.P. W/ DCO BEFORE AND AFT s 104 3 E \83.2 L 69"\ 38 4 7 1 i M/ LJ s ; 100 - /£ 8 10.Oii REMOVE ABSORPTION FIELD IMO SFD INSTALL NEW ABSORPTION FIELD 1 0 PERF PIPE 0.125" � yg HOLES DRILLEDO.C. 18" O. TT W/ MT AT ENDS(P) 10 W (2EA) 58LFx5O'WxO.5'E.0.. TO 2.0' rH 10.1 w/ 2.0' SAND LAYER �n 77 \� oI L --------- 10 w w NOTES: PAMONE �T Ptfl91`I�l`IL' L'1�G �C� LLC P.O. BOX 100217 ANCHORAGE, AK 99510 �>�� - OFA \�1 r ��' �gsll+ �y�+' Date os/ts/ts FOR CONSTRUCTION scale PHONE (907) 272-8218 FAX (907) 272-8211 Al *; 50 ....... . ... .... P.I.D. NO EKLUTNA HTS L6 STEWART ADDITION / 51-063-2 SKIPPY & CHERYL BOOMERSHINE Steven R. Pannone / CE 8149 �% PERMIT No. DRAWN JRL 631 CLIPPER SHIP CT �.c/. � �l�l OSP 151279 PLAN ANCHORAGE, AK 99515 RaFESS `' Sheet 1 eOF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED. IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL SYSTEMS. 2. SCOPE OF WORK: REMOVE 1000g SEPTIC TANK (E), INSTALL 1250g S.T.E.P. TANK AND SOIL ABSORPTION SYSTEM. 3. GROUNDWATER WAS ENCOUNTERED TO A DEPTH OF 8.0 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. FILTER FABRIC 1.25" 4 PERF PIPE W/ 0.125' HOLES DRILLED 18" O.C. 2" RIGID INSULATION 4 DRAIN ROCK 6" ABOVE PIPE INV 1:3 SLOPE EL.100.0 TS&V SM/CM o m N -4.0 0 TI —5.0DRAIN ROCK sM/cM 2' SAND FILTER BOH SECTION 1.25" 4 PERF PIPE W/ 0.125" HOLES DRILLED 18" O.0 12509 S.T.E.P. TANK (P) PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g PERC RATE: 7.6 MPI SOIL RATING: 0.8 GPD/SF REDUCTION FACTOR: 1.0 AREA RQD: 565 SF - - SYS. TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 113 LF USE: (2EA) 58 LFx5'WxO.5' E.D., 2.0' TD WITH 2.0' SAND TOTAL AREA: 580 SF NOTES:PANNONE ENG FOR CONSTRUCTION 1 P.O. BOX 100217 ANCHOR, PHONE (907) 272-8218 FAX 2' SAND FILTER PROFILE ABBREVIATIONS - TH TEST HOLE w m PROPOSED w m EXISTING . CO CLEAN OUT NO. MT RIGID INSULATION TYP - m oz w of DRAIN ROCK 6" ABOVE F Fo D w 0, - 0 w o - z 0 PIPE INV FILTER FABRIC z � DRAIN ROCK 11:3 SLOPE 12509 S.T.E.P. TANK (P) PRIMARY SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g PERC RATE: 7.6 MPI SOIL RATING: 0.8 GPD/SF REDUCTION FACTOR: 1.0 AREA RQD: 565 SF - - SYS. TYPE: WIDE TRENCH 0.5'ED MIN LENGTH: 113 LF USE: (2EA) 58 LFx5'WxO.5' E.D., 2.0' TD WITH 2.0' SAND TOTAL AREA: 580 SF NOTES:PANNONE ENG FOR CONSTRUCTION 1 P.O. BOX 100217 ANCHOR, PHONE (907) 272-8218 FAX 2' SAND FILTER PROFILE ABBREVIATIONS - TH TEST HOLE _ (P)- PROPOSED (E) EXISTING . CO CLEAN OUT NO. MT MONITOR TUBE NO. TYP - TYPICAL LLC 99510 272-8211 EKLUTNA HTS L6 STEWART ADDITION DRAWN 1 SRL SKIPPY & CHERYL BOOMERSHINE 631 CLIPPER SHIP CT PLAN ANCHORAGE, AK 99515 I TH Steven R. Ponnone I+P�,.•. CE 81492,^ �csT'• •' �i 09/15/15 Scale 1'•=50' P.I.D. NO l)5-063-2 PERMIT NO. OSP151279 Sheet 2 OF TEST HOLE 1 OR TOPSOIL SOILS LOG - PERCOLATION TEST SLOPE 1 z 3 4 5 SM1GM Silty SAND & GRAVEL WITH COBBLES GRAY TEST HOLE IF YES, AT WHAT SAND/SILT NETDROP 6 GRAVEL MIX DEPTH TO WATER AFTER SM/GM MONITORING? - 8' 7 DATE: 11AUG15 1024 a 11.309" READING DATE 5.96 96 1 03AUG15 6.280' 2 1055 30 MIN 3 BOH 1.64 4 DATE PERFORMED: 5 03AUG15 1128 B 138R SFD WAS GROUND WATER WATER ENCOUNTERED? Y IF YES, AT WHAT LEVEL NETDROP DEPTH? -9--' DEPTH TO WATER AFTER MONITORING? - 8' 6.280" DATE: 11AUG15 1024 30 MIN 11.309" READING DATE 5.96 1025 1 03AUG15 6.280' 2 1055 30 MIN 3 3.928' 1.64 4 6.280' 5 1128 6 0 3 TH H N W O SLOPE TH 7 CLOCK WATER NETTIME LEVEL NETDROP (MPE READING 0954 6.280" 1024 30 MIN 11.309" 5.029' 5.96 1025 6.280' 1055 30 MIN 10.208" 3.928' 1.64 1058 6.280' 1128 30 MIN 10.225" 3.945' 7.61 PERCOLATION RATE 7.6lminJinchl / PERC HOLE DIAMETER 6" 1 TEST RUN BETWEEN 5 FT AND 6 FT. LAST THREE DATA POINTS TEST PRESENTED. COMMENTS: Test hole excavated by JR's Septic Pumping. Test Hole was presoaked before Perc test. PERFORMED BY: Joseph Lawendowski I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. NDTEO:PANNONE ENG SVC, LLC op q ��� Date FOR CONSTRUCTION P.O. BOX 102954 ANCHORAGE, AK 99510 c�' �gsll1 o9/,s/15 PHONE (907) 272-8218 FAX (907) 272-8211 %g�P �y+� Scale *�I NTS ......... ... ... P.I.D. NO EKLUTNA HTS L6 STEWART ADDITION ........... ....... 51-063-2 Steven R. annone SKIPPY &CHERYL BOOMERSHINE / � PERMIT N0. DRAWN JRL -� 1�cS, 631 CLIPPER SHIP CT i! OSP151279� SOILS LOG ANCHORAGE, AK 99515 +,�rf� pE� Sheet _ MUNICIPALITY OF ANCHORAGE RDEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 5 N� ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME a2 /�v2KA ALA�KA/v /UCJILO�CS /n/C,./ PHONE 6 %Y"3�9 ❑UPGPGRADE 0U MAILING ADDRESS P O. �O x a/4, x.44 L.E '79d--77 LEGAL DESCRIPTION /_-a-7- G UT/1,_/.4 s SUf3. 5T E wit 2i �aon/ ,EKG //7/7- _ LOCATION LAP19-C; F �.�/� NO. OF BEDROOMS 3 Well / Absorption are) Dwelling , PERMIT NO. Uy DISTANCE TO: %3 2Q 700-51t/ i Q Manufacturer nE Material No. of compartments UJ Z y Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth C y DISTANCE TO: Well Dwelling PERMIT NO. J0Z O Q Manufacturer Material Liquid capacity in gallons 0 w= DISTANCE TO: Well i 00 Foundation p Nearest lot line / PERMIT NO. 700 J LL Z No. of lines Length of each line Total length of lines Trench width Distance between lines Z / �e L inches /V Aq F Top of tile to finish grade Material beneath tile Total effective absorption area O 3 / Tp 4 &14 inches D S4 --<(:P. FT Length Width Depth PERMIT NO. ul C7 a I_ W Type of crib Crib diameter Crib depth Total effective absorption area LU W DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS 4 /f Lv r, 4 " G✓C SEuJF-�� 4" !'✓c D441A) P/PE SOI L TEST RATING I INSTALLER REMARKS _)Jt�C-OA/7YAA5;eA17--5 ¢ i OA! U.V/B/ /QGi /3r ve AZO✓q� 73 ` CtJcScc ' AhF4."—J T . = OF .4 ';E,,......,�NLq ? Gj • 9 s �e� T Earl P. Ellis �' J ••. NO. 1745-E �Ce LLJ -'r-- "9Fpp ••........ P� OV DATE LE/GAL Z`��7 LaT4, 4k-ta,-A14 6.3. STEcds3;�T �fDo•✓, S /Q /1-0173 (Rev. 3/78) �� TYPE OF SOI L ,'-ice?= DT I ON SYSTEM I S : TRENCH ) Ml flllilUM NUMBER OF CED^OOHS = 3 SOIL RATING :S< <T,'BR)= 230 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: iS LEfVGTH= �� GFZA',PEL aEPTH= 4 - THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROU14D AND THE BOTTOM OF THE EXCAVATION CIN FEET. THERE IS NO SET WIDTH FOR TRENCHES. TI iC GRA , EL DEPTI i TC' THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE ^ND THE BOTTOM OF THE EXCAVATION CIN FEET). RiEIS! u I ^EE} SEPT I C -r n "l< 1 I =E= :lLpt10E3 13FiLL4tV1 rcr.MIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INST, nLLnTION INSPECTIONS OF ANY WELL_ ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. - - TWCDI < 2 ] I I ea146E3 AFZE REQU I REED — -- — CACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEP^RTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL: OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED nND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THC WELL COMPLETION. OTiOER RCQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE r"lf'AILFlBLE TO INSURE PROPER INSTALLATION. . E FZM I T EXP I RES ©EGEMBER a1.p ?Lso?10 TI Iff 1: I Am FAMILI^R WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET "THY Tiic MUNIGIFALITY OF ANCHORAGE. �.,, '"T' . w.�� ' IN5TnLL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND AT TIIE ON-SITE SEWER iSYSTEM MAY REQUIRE ENLARGEMENT If THE RESIDENCE IS LED,. -TO INCLUDE--tI THAN 3 BEDROOMS. SI ILD INC ISSUED BY V3. 2 MLJ" I C I PAL I TY C3 F= r-4 Z IID FZ F=1 C3 E: Fr - DEPARTMENT HEALTH AND ENVIRONMENTAL OTEGTION 825 ' L ` STREET, ANCHORAGE, AK. 99101 2G4-4720 rAELL_ :`lt-4Q Cl" --SITE 1E WER t}ERf i I T PEPIM I T '4O. : 7.90341 ) ^PPL;'CANT KURKA ALASKAN BUILD INC P.O. BOX 214 E. R. 99577 694-3493 LOCATION LEGAL L5 EKLUTNA HTS STEWART ^DD LOT SIZE 2400 SQUARE FEET TYPE OF SOI L ,'-ice?= DT I ON SYSTEM I S : TRENCH ) Ml flllilUM NUMBER OF CED^OOHS = 3 SOIL RATING :S< <T,'BR)= 230 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: iS LEfVGTH= �� GFZA',PEL aEPTH= 4 - THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROU14D AND THE BOTTOM OF THE EXCAVATION CIN FEET. THERE IS NO SET WIDTH FOR TRENCHES. TI iC GRA , EL DEPTI i TC' THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE ^ND THE BOTTOM OF THE EXCAVATION CIN FEET). RiEIS! u I ^EE} SEPT I C -r n "l< 1 I =E= :lLpt10E3 13FiLL4tV1 rcr.MIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INST, nLLnTION INSPECTIONS OF ANY WELL_ ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. - - TWCDI < 2 ] I I ea146E3 AFZE REQU I REED — -- — CACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEP^RTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWRGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL: OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED nND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THC WELL COMPLETION. OTiOER RCQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE r"lf'AILFlBLE TO INSURE PROPER INSTALLATION. . E FZM I T EXP I RES ©EGEMBER a1.p ?Lso?10 TI Iff 1: I Am FAMILI^R WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET "THY Tiic MUNIGIFALITY OF ANCHORAGE. �.,, '"T' . w.�� ' IN5TnLL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND AT TIIE ON-SITE SEWER iSYSTEM MAY REQUIRE ENLARGEMENT If THE RESIDENCE IS LED,. -TO INCLUDE--tI THAN 3 BEDROOMS. SI ILD INC ISSUED BY V3. 2 WA_ 1-T / 0RX A 0 Et E GEOECHNI CAL Et DEVEL- PMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 6e8-2280 Soils Er Foundations Land Development Performed for: Name: %[AS'k10V /3yic.DE,es /,a c, Tel. No. 6 9V- 3 93 Mailing Address:PZ9. r9ex ,E44-cE 99S-77 Legal Description:Z-vr C-/. ZflGyr ,,4 A/ A—,6/7-.5 5agO. ST r��9�T %��✓ Depth (feet) 9 1 l'1L Siz-7-'7e—l-) 5e;e-- 2 Soil Characteristics 3 sO- 5,N S;LTY ��/lcEtc y 4 .SfJNO, C'o eBc Es � �ddt oE.Es i 19"46 5%Ev %7E,vs.ry a3a ,�f�,2 6 P,E2C , � EST 7 C1 12 13 14 15 16 Ground Water Encountered: Yes k'�' No If yes, what depth /e Proposed Installation: Seepage Pit Drain Field Comments: PLOT �LrQic! r"'" —E 11416-4sC;RF %'cr 4 �4 7 { to 6 3�y 7', Z „ % Vi, 7 : Sed 7 7 : C/o 1� Y7r 7:S u %s4 Performed by:��� lO - �-�-� Date: 11 '717 1r7 M -W DRILLING, INC. Mu'NICIFVIIWY or ANCHOPAGE DE11F. 01: 1 I!_/,L H I YNIMONIYIFNUAL f',',G,_iL'C110N DRILLING LOG .fait Kurka E D. Well Owner Dom Use of Well Location (address of: Township, Range, Section, if known; or distance main road Lot- 6 1;1<_1.tttnrt iu i.'jjt-r liulid Eagle River Size of casing 2,r, 0 Depth of Hole— feet Cased to - feet Static water level ft. x- (.A6'v�) (below) land surface. Finish of well (check one) open end Xx Screen Perforated Describe screen or perforation KA 10 shot perForatiolIv, 1.42-445' Well pumping test at gallons per (h,qup) (minute) for- __1hours with 100% of drawdown from static level. Date of completion-------- 6 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness 0 2 3 60 0_1 100 11. -TO— TO I ')7 TO J) TO Silty ;ravel:;ravel:. TO TO Loose i�ravcl .TO 5 :silty cobbles, --TO- 1,00se ;ravel 1) ravej TO cobbl cobbly TO lMldv loose gravel: 1.19 TO I ')7 1-37 TO1..i0 1.I'10 TO 1 /./; 144 TO 1. 5,11 1570 --To- --TO- -TO— cobbly !'.ravel ­r"I.Vol' low head S11 t: v n tor har�l pall certified Go t"Ic A 0 cap certificateD" BoDirock, water seeps 913poradic fiactiiren throiivhout 3 — CONTRACTOR GREA-TER ANCHORAGE AREA aOROt614TER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road — Pouch 6-650 1� �T ? 862 aa5n9- INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME,fL = - ! = -- /' ADDRESS S/�� X �S t ("� cJ;, PHONE LOCATION- f - LEGAL DESCRIPTION /Alc SEPTIC TANK: % � NUMBER OF DISTANCE FROM WELL C%��% MATERIAL , —1 COMPARTMENTS LIQUID CAPACITY �� < < GALLONS. INSIDE LENGTH INSIDE WIDTH—DEPTH- SEEPAGE IDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS -OUTSIDE DIAMETER OR WIDTH- LENGTH /lam DEPTH / LINING MATERIAL L cs � �, �T-I 1 . DISTANCE FROM WELL ` C�'�i' BUILDING FOUNDATION-.''L'Ec;J L/ NEAREST LOT LINE �T/ TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) C SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL_ NUMBER OF LIN53/ ABSORPTION AREA STANCE BETWEEN LINES SQ. FT. LENGTH OF EACH LINE NEAREST LOT U TRENCH WIDTH TOTAL LENGTH OF LINES IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: LOT LINE DISTANCES: JC TYPEDISTANCE FROM DEPTH , BUILD IN FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE OTHER SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES_ DIAGRAM OF SYSTEM ty N n" I- -- /'5i --z4 T A +F—. -401 \1 A DATE I /'?� HEALTg AUTHORITY GREA rER ANCHORAGE AREA BOROUGH 2128 DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3500 TUDOR ROAD POUCH 6-650 - ANCHORAGE. ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT f�ir i Z / G �y PHONE NAME OF APPLICANT � MAILING ADDRESS-s�''�T INSTALLATION LOCATION / �L LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK �-� SEEPAGE PIT DRAIN FIELD ___i-. OTHER �. TYPE AND SIZE OF FACILITY TO BE SERVED J FINANCED THROUGH TO BE INSTALLED BY �`c;4&ac- SOIL TEST RESULTS �✓ /L�%r���G�� NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 7 �=- COMPLETION DATE ANTICIPATED % - FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE `�,G- TYPE ` SEEPAGE AREA SIZE / TYPE w 6J MINIMUM DISTANCES, REQUIREMENTS LLam/ FOUNDATION TO SEPTIC TANK ✓ FOUNDATION TO SEEPAGE PIT -G' DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK -S . SEEPAGE PIT ��"DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK �- SEEPAGE PIT DRAIN FIELD ,1 ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK �L SEEPAGE PIT DRAIN FIELD i SEPTIC TANK. SEEPAGE PIT /L DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUT RITYT- OR LICENSED DESIGNER DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. 7� DATE 5/J� //� APPLICANT'S SIGNATURE y AWKxgm now -I114/86 Lot S. Eklutna Heights, art Addition T15N RIW $ec.9 L Sir Lapage Drive., Peters - rec er�l }� 688-9#35 561-1��2 AppkmMAM*mSR-3 -oz 59", Chuglai, Ag -'W567 fuel -AWpocmnhs (d+edk Laos" CL orb : su�wfl . {3d*wD (expm* - #�iwAWgkw&ufonAlm -Mutual Tejphorie 6"--9571 KiMI& fiver, aLaz-k ftW EjNw Cormpmy aT4N/A Tskphom -fie.-•raE - 2- TWEAOF/i9E - rfl odw a II►i� SLY afdatkw vknm iiCI7 M wo"Sle R7NliE'�IY�C - - IYYDA)�9 idOFi eMEN&V tolhe leowk Me sMOAs- Dr=MM Pmbic9 13 Md Tm*13 - �eie # fmp I an 424MnV" MUNICIPALITY OF ANCHORAGE DW. OF HEALTH 3 n '\ ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) APR 15 QN HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 RECEIVED ECEIVE D Legal Description: A. WELL DATA Well Classification! // //A TE If A, B, C, D.E.C. Approved (Y/N) ti�A Well Log Present (Y/N) — Date Completed GI7� %*f Yield Total Depth -� *O / Cased to '/5_7 e De th f G ofin Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot p o ru g — Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) N On Adjoining Lots To Nearest Edge of Absorption Field on Lot /G6 ; On Adjoining Lots 'AGO To Nearest Public Sewer Line Q To Nearest Public Sewer Cleanout/Manhole IV14 To Nearest Sewer Service Line on Lot �S / Water Sample Collected by t4 f 4 �. w, 7=- S,.ree . .3 ; Date Water Sample Test Results 54 t. s fs �1f�� Comments �cya.��1 l+4rtG� l� e WC'lz jPrAV— 74r� C--'1�/_ IYS B. SEPTIC/HOLDING TANK DATA Date Installed / 9 78 Size 1— °5` � No. of Compartments -2 Standpipes (Y/N) y Air -tight Caps (Y/N) y Foundation Cleanout (Y/N) Al Depression over Tank (Y/N) ^./ Date Last Pumped ��/d4 Pumping/Maintenance Contract on File (Y/N) &Z4 ; for Holding Tank High -Water Alarm (Y/N) `3 Temporary Holding Tank Permit (Y/N) /l�11it Separation Distances from Septic/Holding Tank: To Water -Supply Well 73/ To Property Line F/o To Water Main/Service Line t/v To Building Foundation // To Disposal Field �,,p ' To Stream, Pond, Lake, or Major Drainage Course �'/" Comments � u.�Cs 73/ ",e A, 22-4,1 Page 1 of 2 72-026(11/84) 5. ENGINEERING FIRM PROVIDt..0 INSPECTIONS, TESTS, FILE SEARCH, L.. fA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. *cannot verify 4' vertical separation to water table. Name of Firm Telephone Address EAGLE RIVER EI,01P EER! : - S_HVICE` 77 Date P 0 BOX 774284 694-5195 6. DHEP APPROVAL / Approved for fd,.1e•— bedrooms by Date Approved Disapproved Conditional Terms of Conditional Approval -4�>_--e- CAUTION Engineer's Seal -( v --870 The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025(11.84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata .230 �j,604� Type of System Design Date Installed /978 Length of Field 6 l rye' v c A, i Width of Field 14 (D Depth of Field % 11" Gravel Bed Thickness frnrr i.� shoe * it'c�. t Square Feet of Absorption Area J -S5' $0f,v— r^4�-46,6tandpipes Present (Y/N) % Depression over Field (Y/N) A/ Date of Last Adequacy Test Results of Last Adequacy Test -54 i, J {:„ t. rio�✓ /Pt Y e Separation Distance from Absorption Field: To Water -Supply Well 7 3 To Property Line 6 To Building Foundation To Existing or Abandoned System on Lot ��4 ; On Adjoining Lots 30 i To Water Main/Service Line leo To Cutbank (if present) /t//-1 To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments S-- e- /e /7`-- D. LIFT STATION/ Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) — Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA Check Permitted Bedroom Rating Against HAA Request °' I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Sinenot verify 4' verticq,tseparation to water table from data on file. 9 �Z�° Company S MOA No. Receipt No. 3 % ? SC(o O Date of Payment L "s' Amount: $ b Page 2 of 2 72-026 (11/84) .s} A4 4t N •fy� •°N•°° /4 i ® Cj •°• tr: �i� Engineer's Seal see 0. lours A. Butes �. s. J'J,°•, CE -6736 �m �'�m`�\�`00 � Tio e Time ne Date ' Date Date Inspector Inspector Inspector Comments Conditional Approval J l MUNICI AL!TY CF PiN'ru^,R.gGE Eivv! i RE CE Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Well to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property Owner Phone Mailing Address Buyer Address Lending Institution � "-_ _ -< <' . " � E.t=-c r= - - Address i. 7 - - Realty Co. & Agent - _ ;- . .; �'/i_ vi,v ;; , = -Phone, __ Address __ .; - -✓ t y y y u Legal Description Street Location _ - Type of Residence Single Family - Multiple Family No. of Bedrooms - Other WatSupply "Si7 Individual A' ACrt ;%,ELL LOG. A tel cg equired for a .veils driiiec s-rice June Commurlty For ::e is . ,ed ,,ctnat date, gi,e well depth tattach log if _ Public Uti itv ava,:aole.i SewNe Disposa nd;vi0ual Year Irdiv-dua ',stalled. _ Public "t*-, Vine- Co—ected to Public Jtli.ty: Hcldlnc Ta..rK NOTE-THE INSPECT", =EE MUST ACCOMPANY EAChi REQUEST BEFORE PROCESSING CAN BE INITIATED. I 1 '. &U Ani MUNICIPALITY OF ANCHORAGE DEPT. OF 1%LT�, a >ENVIRON:V.E14L CTION LS NOV271978 E: Gs.� Walter J. Kurka 694-3493 Post Office Box 214 99577 Kris Dye ."-TI I UT:0N Alaska Bank of Commerce 3230 C Street 99503 r?c- Virginia Kohfield % Area Realtors - Post Office Box 249 1276-7200 PIP— Lot iP—Lot 6 Eklutna Heights --Stewart Addition Meet Virginia at the Area Realtor's office in Eagle River xx = - xxx - - xx _ 7 694-9555 Well log attached BE) XX "SPECT! 10% FEE 5i r 't, I -C sF_ _5"i OnE P ^_CESS.�:G RP: BE fPtliL TE`J. i � , _ � � � FRo m � E t �- � �i-1 ns iG. �J \ 6 � �P-E=cr, U..) E. L � �v tibSo�QTto►� \ rE n;c;�i - WEl L �o�St��ctlorJ s flFP�ouED �FA� `S NT THIS SIU':R !7; 1 ICiAI USE ONLY IN;I'Fi:1l0fJ 1'PUINIGCI_i,!I:; I DA I F '-Pr OF RESIDENCE NUMBER OF BEDROOMS /SI 1,11 Ci LE FPkrlILY ONE THREE FIVE L OTHER 12!UL1I1)LI FAMILY i = -1 *10 FOUR SIX. Ti Fi SUPPLY PERMIT NUMBER NlilVIDUAL DEPTH OF rVFLL r ) M %1 U N I FY r — — ---- --- — — — — ----- --I 1 DA &. URILLLD f LIC UTILITY 1 11011 Vr_ I l iio;l- LOO HL CEIVED l I Y DISPOSAL SYSTEM 1141 UPJ I E-- _. _.—_ - - - —..—_ _---- - ------ ----- -- ITIIIIY INSI,V.LLi; iF i I Hn 1 1 ;.OILS RA INf: ���-��I///jjj�•'/J� vnLu /1ii. '� Ml>��; L.-.,,; A Srpt ic; Ho 1, 1,-1 i::nk �.1,,..�.4,�.;, ,. G. .- Li•.:� 1., 1, f Ne._ �.. 7..:,.;, +l�L[ L TOt j 1 1 „ Lin,, f C �AP'PR0VF1) FOR _S— — BEDROOMS C(_!L,iDITIONAL APPROVAL (Ievi True -.t ��-;.nnpany cnctifc:it=�) L�ISI'�PPRCIVED RF.AT,TORgx _ I :3o' 3v n�dv`� Z` '�lr sly «� 6. Legal Description: �< zr ��<<r�'� r✓s ����%sx Location: IF �F/c'S r ,Z'�ir� 7. Type of Facility to be inspected: /r, ­s ail, .z� „g No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual X If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation 113 AREA, INC. REALTORS J Anchorage "C" St. Office REALTOR ` 3300 C Street 19n71 ?78-?c,?n Individual (on-site) X ❑ East Anchorage Eagle River Eastgate Office Parkgate Office 5437 E. Northern Lights P.O. Box 249 (9071278-2525 !9071694-9555 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES ",�7 /f FG . 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: Mailing Address: ,'-/ �X -dry ���� ���P�' Day Phone 3. Name of Buyer:�'r s �v Mailing Address: Day Phone 4. Name of Lending Institution: 7Z Mailing Address: ,y . C r .-Z/Phonene-t 5. Name of Realtor or Agent: Lll�� Mailing Address:/'� xK Phone - zC '37 . /r'/ C" 6. Legal Description: �< zr ��<<r�'� r✓s ����%sx Location: IF �F/c'S r ,Z'�ir� 7. Type of Facility to be inspected: /r, ­s ail, .z� „g No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual X If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation 113 AREA, INC. REALTORS J Anchorage "C" St. Office REALTOR ` 3300 C Street 19n71 ?78-?c,?n Individual (on-site) X ❑ East Anchorage Eagle River Eastgate Office Parkgate Office 5437 E. Northern Lights P.O. Box 249 (9071278-2525 !9071694-9555 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPONE (907) 582-2343 5833 B Street H Anchorage, Alaska 99518 1I<:::l. A-� Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER 0 PUBLIC WATER SYSTEM I.D.# . PRIVATE WATER SYSTEM IVER ENGINEERING SERVICES Name EAGLE RIVER, AK 995 -Phone No. P. 0. BOX 773294 Mailing Address City State SAMPLE DATE: = 6 Mo. Day Year SAMPLE -TYPE: Ai Routine ❑ Check Sample (for routine sample with lab ref. no. ❑ Special Purpose SAMPLE NO. 1 2 3 Zlp Code ❑ Treated Water 5r Untreated Water, Time Collected LOCATION Collected BY I I 4 I 5 1 I READ INS T RUCTIUNNS BEFORE COLLECTING SAMPLE TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to Indicate reliable results. Please send new sample via special delivery mail. Date Receivedy-i�-�4 Time Received Analytical Method: Membrane Filter • No. of colonies/100 ml. Lab Ref. No. Result , Analys L3q_ U m U m U m L� m BACTERIOLOGICAL WATER ANALYSIS RECORD coilfom-000m1 Membrane F!Ita^ D!rect Count Verification: LTB BGB FlCoilform111)Omlnal Membrane Filter Result� � y Date — r7 E� Reported By Time: a.m. p.m. TNTC = Too Numberous To Count OB = Other Bacteria To BE comer WATER SUPPUE -� ' WATER SYSTEM: — i I.D. NO. Water s"W" Name_ ` 1 t' PhannsNo. - ' sur Zip Co QW - Code - - WTU SAMPLE DATE: Mo Dey - Yer SAMPLE TYPE: ❑ Routine ❑ Chick Sample (for routine Ample with lib mt. no. t Special T d der ❑ SpecPurpose - SAMPLE 71nw resew No. LOCATM - Geieere , 2� - l 3- ,( a( DATE ? r�l� 19� �o. 3 9 7 0 /�'` RECEIVED OF C'"R i L E ADDRESS 9 P— 2 Soyqr W • Q ft-We7 HU614M 11/,r- O`l. FOR 7' 1 (2, 01A KOWPAJD I BAIANCEDUE 6K82lBY TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: (satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should BTR be over 48 hours old at examination to indicate reliable results. Please send new sample. Date Received 4 t �• Time Received AnWical Method: © Fermentation Tube Q, -Ab r&WW Fllter Lab M. No. Result* Analyst ETJ ' m _ +W of caawN loo rM. m No. of Porili.e per4aro. R ANALYSIS RECORD AA 5 f Dc/ am. /��� ������± u� EMs Fort 24 bows:—Moth"earn WL.LLV 1 ING SAMPLE mm pop Tmo mpom lONd Tuba PdtMVrOW 20W POtlaet MnMram FOer: Oeaet Carat CsrblMAG"d VerUkateM• LTH man FMN tataarar Fuer Rfaala i ' COWOMA00ml Rgert d et* - Date - _ - T'eha•1�1 aaw P.fw. O �A TELEPHONE CfEIMCAL A GEOLOGICAL LABORATORE8 OF ALAWA, INC- (907) 279.4014 P.O. BOX 4-1276 ANCHORAGE, ALASKA 99M 4649 BUSINESS PARK BLVD. Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY PUBLIC WATER SYSTEM: I I I LABORATORY: I.D. NO. Water System Name NAME A It ADDRESS Maiiinq/tddress E tb ex� k qg*S77 City Stats Zip Code SAMPLE DATE: 3 O i S Mo. Day Year SAMPLE TYPE: ❑ Routine ❑ Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water ❑ Special Purpose ❑ Untreated Water Date Received /30 Time Received Analytical Method: ❑ Fermentation Tube ❑ Membrane Filter SAMPLE Time Collected Lab Ref. No. Result' Analyst NO. LOCATION Collected By 1 El.utnlA moo NSA L�� ® 5�- 2 1 I I m 3 I m 4 II I I m 5 Na of colenme / too ml. or Ifo, of ftom o portko READ INSTRUCTIONS r-.rr�r�r COLLECTING SAMPLE Form No. 18-310 (3-78) 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev. 1978 Date Collected Source a.m. Date Received Time Received p.m. Lab. No. o.ueu...mbn loml i loml I loml I loml 11 loml I 1.0ml O.lml 24 Hours 24 Hours EMB Broth 24 hours: Broth 48 hours: Multiple Tube Report: 10m1 Tubes Positive/Total 10ml Portlons Membrane Filter: Direct Count Collform/1001111 Verification: LTB BGB Final Membrane Filter Res'u���//5)�,,� ,.. Collform/100mi Reported By Date a.m. p.m. 286-a4s MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES WAIVER REVIEW WORKSHEET DATE RECEIVED: April 15, 1986 LEGAL: Lot 6 Eklutna Heights Subdivision ENGINEER: Lou Butera, P.E. Eagle River Engineering Services P.O. Box 773294, Eagle River, Alaska 99577 APPLICANT: Cheryl Rnnmarnhina WAIVER REQUESTED: 6w5qahc-- 71%—k CRITERIA: 1) Geology:P..eLactc Points: 1 AL k *w A. Water Table //' /40' o.rf B. Soil Sorption? srNy -sS �-//y o C. Permeability ` ,G's /•3 D. Water Table Gradient cc.Ke�b� ? E. Horizontal Separation z•o TOTAL: 2) Special Conditions: 3) Other: WAIVER IS: granted, with conditions listed below: not granted for reasons listed below: DATE: BY: NAME LOO K (02 rw bs 4a rr✓'4p .j 67 wa 1 ! P" +,T '� pe'-Vadg owlofe. Tb.� A Jaef-&."A � Ar.�e '- p r. L.1, l •r `Fe t lsa g s w f+a ea 4,0 -fcx• re. t w� ��� Uo. Lig. Watt 207P U- * t w -67t-,g � s c cif (9 EAGLE RIVER ENGINEERING SERVICES Lou Bates P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907) 6945195 4/15/86 Mr. Steve Morris "6680ftffV of BOE Municipality of Anchorage M �tH a Department of Health and Human Services pOTBCfM 825 "L" Street Anchorage, Alaska 995020650 'APR 151 Ref:Lot 6, Eklutna Heights, Stewart Edition RECEIVED Dear Mr. Morris; On behalf of my client, Mrs. Cheryl Boomershine, I am submit ting a request for wavier of horizontal separation distance, private well to septic, and leachfield to property line, for the above referenced lot. A determination is also needed regard- ing approval of leachfield to groundwater table vertical separa- tion distance. The well in question is 73' from the septic tank on this lot, the leachfield is 6' from south property line. The well was drilled 6/7/78 and the septic system was installed with En- gineer inspection on 10/17/78. The enclosed inspection report for lot 6 shows a request for wavier for 6' distance to lot line and 73' well to tank. The inspection report bears what appears to be an gprov 1 signature next to the engineers stamp similar to a Mr. of your department. We are requesting a formal wavier from your department that will allow future Health Author- ity Approvals. The well log enclosed shows the well draws from an aquifer at the 142-145' level. This aquifer is overlain by gravel and silty gravel soil layers. The well has a low yield of 1.5 GPM with a static water level of 130'. The subsurface soil is rated at 230 sq. ft. per bedroom in the trench sidewall area. The trench is currently leaching out of the top 10 inches of the trench and trench bottom was measured by us through the monitor tube as 91 " deep. Surface topography is sloping SE facing at *2%, away from the well toward the septic tank. The septic tank was apparently installed according to standard pract- ice at that time with inspection. From the original soil log enclosed it is noted that the ground water table was at a level of 10' below the ground surface. The depth of the trench as noted on the inspection report is 10-11' deep. Our field measurement of the trench bottom through the monitor tube shows the bottom of trench at 7-'. Apparently the trench was installed at the wrong elevation, or possibly page 2 L6 Eklutna H.r'�ghts, Stewart Edition '1 a new test hole was dug at the time of installation. The trench leachate level at -time of test was at 28" below the ground surface. -The trench in it's current state is leaching at a level well above the GWT. As the tank was recently pumped, a trench leach level could be determined after a period of time when no effluent has been added, the level the trench is leaching into the surround- ing soil. It is possible that the trench has reached a state where effluent is exiting only from the 28" level. From the information available we are requesting that you make a determination as to possibility for wavier or suggestion of a procedure that will satisfy the requirements for health authority approval. If further information is required please contact my office at 694-5195. Sincerely, Lou Butera, P.E. Municipality of Anchorage April 21, 1986 P.O. BOA 196650 ANCHORAGE, ALASKA 99519-6650 (907)264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH 8 HUMAN SERVICES Lou Butera Eagle River Engineering Services P.O. 773294 Eagle River, Alaska 99577 Subject: Lot 6 Eklutna Heights Subdivision Waiver Request - WR86-045 Dear Mr. Butera: Your request for Health Authority Approval and an attached separation distance waiver request have been reviewed by this department. - You have noted in your letter of April 15, 1986 that the trench absorption system was apparently installed deeper than specified in the permit. The soils test for this lot indicates that the base of the trench absorption system may have been installed within four feet of the underlying water table. This is a violation of state code. Health Authority Approval for this septic system cannot be granted until it can be established that the base of the absorption trench lies more _ than four feet above the seasonal high water table. This will require that groundwater monitoring be performed in the vicinity of the trench. Two test holes, located on either side of the trench and monitored for at least one week after installation will be required. This monitoring period should take place after May 15 and before July 1 to establish the seasonal high groundwater level. Your request for a waiver of the required well to septic tank separation distance has been examined. In order to fully evaluate this request additional information must be supplied. The septic tank and its inlet and outlet couplings should be inspected to verify that they are in good conditiona and watertight (couplings should be calder-typeor equivalent). It is suggested that the tank inspection be coordinated with the installation of groundwater monitoring holes. Lou Butura Eagle River Engineering Services April 21, 1986 Page Two If you have any questions regarding this matter, please call me at 264-4720. Sincerely, Stephen S. Morris Civil Engineer On-site Servcies SSM/ljw 0 Municipality of Anchorage e 7 8 9 70 0 ` _ On-Site Water&Wastewater Program �V 77 2 (907)343-7904 4N ;:414'' I -0 s `•, P JUN 20 2018 k lies CERTIFICATE OF ON-SITE SYSTEMS AP"?0 AL h� Parcel I.D. 051-063-23 Expiration Date: L—2-5.-- 1 2 1. GENERAL INFORMATION Complete legal description EKLUTNA HEIGHTS STEWART ADDITION;LOT 6 Location (site address) 21663 BEAR VIEW PLACE,CHUGIAK,AK 99567 Current Property owner(s) ANAIS AMOURET Day phone 717-5466 Mailing address 21663 BEAR VIEW PLACE, CHUGIAK,AK 99567 Real Estate Agent PETER CARPENTER W/EXP ROYALTY Day phone 854-8404 2. TYPE OF DWELLING: • Single Family(w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well U Individual On-site U Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: N/A Distance: - ..-- � LS Received by: c., <„ Date: 1 COSA to be released to the In=-r,unless otherwise requested by the engineer. COSA Fee$ / 2- Co (j Waiver Fee$ Date of Payment (_Z 1— I0 Date of Payment Receipt Number Receipt Number COSA# C 10 1 2 8 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E.TUDOR ROAD, SUITE 101 *ANCHORAGE,AK,99507 g' JEFFREY A. GARNESS, P.E. I��(6 Engineer's Printed Name Date Engineer's Comments: In conducting this evaluation,GEG provided an engineering evaluation of the well and/or septic system in accordance with the .�r���\\ ', guidelines and regulations established by the Municipality of Anchorage and industry practices.The reported results describe the ���� QF 44 condition of the system/s on the date/s of the evaluation.Separation distances were measured to readily identifiable features. •P •• •.( t, Hidden defects or encroachments may exist that were not identified during the evaluation.The operational life of all wells and septic =CJ'o `' •.�• systems depend on a variety of variables including,but not limited to,soil conditions,groundwater levels(that may fluctuate during the year),quality of construction(materials and workmanship),and(he water usage of the family utilizing the system/s.These i 4Th : I� \ * S conditions can vary,and are outside the control of GEG.Satisfactory test results do not guarantee future performance of the :•„• ,.. • ,•. 0 system/s;therefore,GEG makes no warranty(express or implied)regarding the future performance of the well or septic system. 4111, 0 GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the • • . current systems fail.The content of this report is for the sole benefit of the person/party who retained GEG.Reliance upon the t • •r • information provided in this report by any other person or party,including but not limited to subsequent property purchasers,is not �. l y =SS';:_�= authorized.In short,GEG disavows any legal duty to anyone other than the person/party who paid for this report. �� S� •• C 7953 . ��I 6. DSD SIGNATURE ���'°ROFESS���i�� LICENSE ,�\\\\���� System #1 Approved for 3 bedrooms. #LI Cca84 System #2 Approved for bedrooms. Disapproved. �C'\Q����,r Of /vc . Conditional approval for bedrooms, with the following stip' atio ON-SITE OVATE R A N D 11-1 n WASTEWATFP 2 PROGRAM s' '. , �C. / By: t..-‘_ _, / Original Certificate Date: Cn_ l 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev.10/12/121 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: EKLUTNA HEIGHTS STEWART ADDITION; LOT 6 Parcel ID: 051-063-23 A. WELL DATA *INFORMATION SHOWN FROM HAA DATED 6/10/1986 Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed *6/7/1978 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth *280 ft. Cased to *157 ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test *6/7/1978 6/5/2018 Static water level *130 ft. 130 ft. Well production *1.5 g.p.m. 1.1 g.p.m. WATER SAMPLE RESULTS: Coliform NEG. colonies/100 ml. Nitrate 9.42 mg./L. Collected by: GEG, Ltd. Arsenic: <5 ug./L. Date of sample: 6/6811/2018 B. SEPTIC/HOLDING TANK DATA *FOUNDATION CLEANOUT NOT FOUND DURING SITE VISIT. FOUND CLEANOUT IN CRAWLSPACE.SEE ATTACHED PHOTOS Tank Type/Material S.T.E.P./STEEL Date installed 10/19/2015 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout(Y/N) *NO Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping 10/19/2017 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE (MAYBE SLIGHTLY SHY ON COVER ON SOUTH END OF WEST TRENCH) Date installed 10/20/2015 Soil rating .p.p.d./7or ft2/bdrm) 0.8 System type DUAL 5-WIDES Length 116 (2 @ 58) ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth *2.7-3.6 ft. Eff. absorption area 580 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 6/6/2018 Results (Pass/Fail) PASS For 3 bedrooms 500/ Fluid depth in absorption field before test-0/0 in. Water added 500 gal. New depth"0/0in. Elapsed Time: 0 min. Final fluid depth*'0/0 in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.)(Y/N &type) NONE KNOWN If yes, give date - "WEST DRAINFIELD I EAST DRAINFIELD.NOTE:HOUSE HAS BEEN VACANT FOR 4+MONTHS PER OWNER.ON 6/5/2018,873 GALLONS ADDED TO DRAINFIELDS(683 GALLONS TO EAST DRAINFIELD AND 190 GALLONS TO WEST DRAINFIELD) . DISCUSSED WITH TIM EKLUND ON 6/6/2018 AND HE AGREED THAT AN ADDITIONAL 1,000 WATER HAUL WOULD BE SUFFICIENT FOR SEPTIC ADEQUACY TEST. ADDED 500 GALLONS OF WATER TO EACH DRAINFIELD WITH WATER HAUL TRUCK ON 6/6/2018 (1,000 GALLONS TOTAL) . ADDING WATER TO ONE MONITORING TUBE AND CHECKING LIQUID LEVELS IN OTHER MONITORING TUBE FOR EACH TRENCH.THE MONITORING TUBES WHERE WATER WAS INTRODUCED ROSE TO 5.5 TO 5.75 INCHES IN THE MTS AND RETURNED TO BEING DRY WITHIN 20 MINUTES FROM THE TIME WATER HAD STOPPED BEING INTRODUCED INTO THESE MTS. 'PER STEVE PANNONE,P.E.2015 COSA AND PREVIOUS ELECTRICIAN REPORT D. LIFT STATION **SEE ATTACHED ARM SERVICES,LLC.6/12/2018 LIFT STATION/PUMP VAULT MAINTENANCE LOG. Date installed *10/19/2015 Size in gallons *250 Manhole/Access (Y/N) *YES "Pump on" level at *43 in. "Pump off' level at *42 in. High water alarm level at *45 in. Datum *BOTTOM OF TANK Cycles tested ** Meets alarm & circuit requirements? **YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot *71.2 On adjacent lots 100'+ Absorption field on lot *86.7' On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout 100'+ Sewer/septic service line 25+ Holding tank 75'+ 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 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *44. Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots *86.6' F. COMMENTS *SEE WAIVER ON FILE WR#OSV151102 AND PER STEVE PANNONE,P.E.'S RECORD DRAWING AND INSPECTION REPORT. MR.PANNONE'S INSPECTION REPORT SHOWS 5.5';HOWEVER AS-BUILT SURVEY SCALES TO 4.5'. REQUEST WAVER BE AMENDED. **MET SEPARATION DISTANCE AT TIME OF INSTALLATION. NOW REQUIRED TO BE 10 FEET. .��ssIk111i i4 • ..4 OF 444 G. ENGINEER'S CERTIFICATION 4.� ♦ J, \ • ♦♦ I certify that I have determined through field inspections and ; , * 4• % review of Municipal records that the above systems are in • conformance with MOA COSA guidelines in effect on this • • date. ♦� J: rr, ,A. Garne..s• : Engineer's Printed Name JEFFREY A. GARNESS • ,- ••• �E j;� *'.c: Date 1! /l . �44PROFESS\ t44' LICENSE ���%1mm%* #AECC884 (Rev. 10/12/12) 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 # OSC181281 Subdivision: Eklutna Heights ,Lot: 6 A water sample revealed a nitrate concentration of 9.41 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 Lot 5, Chandelle Subd. f 84281 00 N N89°57'10"E 120.20 Wood fence \ . . . co i 20 I ° 0 .) Trash bi �e�� i = 1 O VI �� ' 24.0 o -r3 O 0 ravel drivewa 1 Story deck ti Ci.., O ` _ Frame N House - -, _.,c = 0 O -= LU , LOTS 6 0 ° > O - 'Cr ° -. p = - O a)C o 30. 13.0 eco deck E W o Car °'�� �s l Z a) m O >n Port shed I 0 I Z 24.0 0 o l,{j O M Septic vents }, Wood fenc- °O 0O G3-1 20 N89°57'10"E 120.16 I I LOT5 REVISED 11-05-15, Added Cleanout Mt'• AS-BUILT NO CORNERS SET THIS DATE OF ` i I hereby certify that 1 have performed a Mortgagees inspection of the Ally � T 6, EKLUTNA �' • • • �L;-'.6-2,/r_/ HEIGHTS nSUBDIVISION. R. H. described property: OSTEWART ADDN. �• 49th •� o• :' �� ..� Anchorage Recording District,Alaska,and that the .. • ••. •,•.•.• •• / improvements situated thereon are within the property lines and do not overlap or encroach on the property lying • Tr/ adjacent thereto,that no improvements on the property lying ll c .Fred WaI a tka. A / adjacent thereto encroach on the premises in question and ��_ 20' I ',i+ ' 1' �' that there are no roadways,transmission lines or other SCALE: 1 — �I j��.• •3255. S •.•y�e visible easements on said property except as indicated g • • �a hereon. ` 0rEssio l "1 Dated at Anchorage,Alaska EASEMENTS OF RECORD, OTHER THAN \\X.S\% this 27th day of October ,2015. THOSE SHOWN ON THE RECORDED FRED WALATKA&ASSOCIATES PLAT ARE NOT SHOWN HEREON. FB 15 14, pg 4 EngineersSurveyors and BE (907-248-1666) . MUNICIPALITY OF ANCHORAGE ::'' ( .,._ , Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 Lift Station/Pump Vault 1 Maintenance Log Owner n� • tt,,,, t 1 '� �K' �WQC�oTC✓ Street Address�16 63 epa,r �/iLW �� L Septic Tank: •Sludge level rte.t€ 'inches -Pumping: required yes 63 'Pumping completed yes 40, , , Lift station: •Pump basket cleaned 6 no -Effluent filter cleaned no -Control floats cleaned e5 no -Proper float settings confirmed no 1 •Operation satisfactory ® no Alarm System: 'Dedicated electrical alarm circuit e) no -Audible and visual alarm inside dwelling 63 no i -Alarm system operation at sfact .not satisfactory Manhole Riser • •Ground water intrusion at riser to tank connection es gl) I -Ground water intrusion around pipe penetrations yes 0 -Weep hole functional e. no -Manhole lidi Functional no Insulated v no Properly Secured t9 no i Other L i I -All manufacturer required inspections and maintenance completed yes no I Comments: • — I I Qualified Maintenance Provider: , Technician /14/th c ri i / Aur 4 Date of maintenance 6/1 )A company J4 K l'Y? .I` rvite5L L LC Signature allitAtiii2, 1< o--- Date___GAYariff Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org ro/e'74 � , pin RUSH s �u • Municipality of Anchorage - On -Site Water and Wastewater Program (907) 343-7904jp„ s A F£ r r Certificate of On -Site Systems Approval Parcel I.D. 051-063-23 Expiration Date: Z s 6 1. GENERAL INFORMATION Complete legal description Eklutna Heights Stewart Add. Lot 6 Location (site address) 21663 Bear View Pl. Current Property owner(s) Skippy & Cheryl Boomershine Day phone Mailing address 631 Clipper Ship Ct. Anchorage, AK 99515 Real Estate Agent Day phone 2. TYPE OF DWELLING: Fx] Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY. TYPE OFWASTEWATERDISPOSAL: Individual Well El Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance Received by: COSA to be released to the engineer, unless otherwise requested by the engineer, COSA Fee $ A(off"' IOI = ��(oO Waiver Fee $ Date of Payment, L`� Date of Payment Receipt Number 6 fe!3 ( Receipt Number COSA# OSCfS��to02 Waiver# 0807 4 G 5. STATEMENT AF 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. - -. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA guidelines and regulations. The reported results describe 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 soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of. the owner listed above. - Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 10/29/2015 6. DSD SIGNATURE System #1 Approved for System #2 Approved for Disapproved V11 bedrooms bedrooms Conditional approval for bedrooms, with the following stipulations: By: � � �� Original Certificate Date: �� S The Municipality of Anchors evelopment Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations ?van in paragraph 5 b 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 FlowAdvisoryOther COSAbluesheet f .., . - If more than 1 septic system is on the lot: COSA Checklist # I of I Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: Eklutna Heights Stewart Add. Lot 6 Parcel ID: 051-063-23 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 6/7/1978**Sanitary seal (YIN) Y Total depth 280** ft. Cased to 157** ft. Date of test . Static water level FROM WELL LOG 6/711978** 130** Well production 1.5** WATER SAMPLE RESULTS: Well log (YIN) Y Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 7/21/2015 ft. 128 ft g.p.m, 2.5 g.p.m. Coliform colonies/100 mL Nitrate 7f� /mg/L/ aG Arsenic. JZ ug/L Date of sample: l� Zb lJ Collected by: J N� B. SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P./Steel Date installed 10/19/2015 Tank size 1,250 gal. Number of Compartments 2 ' Cleanouts (Y/N) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (Y/N) Y Date of pumping New Pumper N/A C. ABSORPTION FIELD DATA Date installed 10/20/2015 _ Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 GPD/SF System type Shallow Trench Length 58 (2) ft. Width 5 ft. Gravel below pipe ft. Total depth 3 ft. Eff. absorption area 580 fe Monitoring tube Y- Depression over field N Date of adequacy test New Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test New in. Water added New gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate >= 453+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give date D. LIFT STATION Date installed 10/19/2015 "Pump on' level at 43 in. Datum Bottom of Tank Size in gallons 250 "Pump off level at 42 in. Cycles tested New E. SEPARATION DISTANCES. WELL ON LOT TO: Septic tank/lift station on lot 71.2* Absorption field on lot 86.7 Public sewer4nain 75+ Sewer /septic service line 25+ Animal containment areas- 50+ SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/P) Y High water alarm level at 45 Meets alarm & circuit requirements? Yes On -adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 1-00+ Manure/animal excrete storage areas 100+ Building foundation 5+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 5.5* Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50+,Wells on adjacent lots 86.6 F. COMMENTS . *Waiver on File WR#OSV151102 "Taken from HAA dated 4/15/1996 G. ENGINEER'S CERTIFICATION I certify that I have determined through held 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 Steven R. Pannone Date 10/28/2015 COSA canary sheet 2-6-15.doc Water main 10+ Driveway, parkingivehicle storage 1.0+ in. ,pgng slyBiaH aiuu9l `9 101 00'01 M,,OtFiSOo00N a o SeQ�`G 042 (D Y p N > o Co L � N U a ow =2f. tm o'vC N Q a) v/ e�`�e WF ye,9 -\ cmtc aQ s.- O n 00 a te s£meNe Y U m 1 m a Er `0,O Mm oN c LLI 1Lyy O O d. d.. 0'9t7 C@ a C ... 2 c ;V 0 E 'O a N N LL W O O y T m N E O 2 N 0-Emco;� rLL2 «m Eoc m.a£doo04 a 0'9b w~ 0`s F co ymN o mO LpW o CO MUa 5; W m N 8 9 0 E Ns N NrLL N y QtoG r _Cm w U � �i - , Nti Oa, M J o > D N �- d` i N00'OL M����OL Oo00N N AOV-Id MAIn W39 ME z �o LU =wa box W ofw 0�wZ 0~o =OzN X50 hoz W N � gw¢ >- u`�oa o Co 0 ow =2f. tm o'vC N 40 WF �ow cmtc aQ s.- O n UyR.m a te s£meNe 9 m 1 m a Er `0,O Mm oN c LLI 1Lyy O O d. d.. C@ a C ... 2 c ;V 0 E 'O a N N LL W U N T m m 0 O 2 o m9 t.o 0-Emco;� «m Eoc m.a£doo04 a w~ J F co ymN mO LpW E 0o 5; W m N 8 9 0 E Ns N NrLL N y QtoG Q _Cm w �i - , Nti Oa, M N£ C N N Nww Q -.m m�v£'>.cOS D N �- z �o LU =wa box W ofw 0�wZ 0~o =OzN X50 hoz W N � gw¢ >- u`�oa Municipality of Anchorage Development Services Department Building Safety 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 # OSC151602 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well watersupply on Lot 6 of Eklutna Heights Stewart Addn subdivision. This inspection revealed a nitrate concentration of 7.61 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.