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HomeMy WebLinkAboutCHANDELLE ACRES LT 18Onsite File Chandelle Acres Lot 18 #051-063-67 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201207 PID Number: 051-063-67 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name CASWELL JOSEPH & LYNN AB SFIELD ❑ %PTION rench ❑Wide Trench EJ Bed F-1 Mound T7 Site Address 23714 Chandelle Chuglak AK 99567 Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 G /SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original g %F, Gravel depth beneath pipe Ft. Subdivision Block Lot CHANDELLE ACRES 18 Fill added above original grade FL Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dis�Ca ce between lines Ft. SEPARATION DISTANCES TO Septic Absorption Lift Station I Holding Sewer Total absorption area Number of trenches Dist. between of nches \\ From Tank Field Tank Line Ft' Ft. Well >100') NA NA NA NA TANK N Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Greer Capacity 1250 Gal. Surface Water >100 NA NA NA Material Number of compartments Lot Line i >10' NA NA i NANA plastic 2 Foundation >10' NA NA NA LIfE-STATION Manufacture Capacity Remarks Gal. Alarm location Ele-a4.igstalled_ by PIPE MATERIAL House to tank 3034 drainrield Tank to 3034 Installer JRs Septic Drainfield CO/MT3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspdection 1s' $/3/2020 8/4/2020 Location and description 2a 3"' 8/22/20,i 41' top of manhole lid, first compartment ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineet�tr�p A 9sN� Conditional Approval: Date� ...... .............. �No.. ��srF Septic System � Approved / /�� �2Z�y% Date 3� 001 G'i ' � ., ���,� Ni � -��`� Note: this approval does not include well permit requirements. kmev uD/u/11 D) \ 1,1 THERE ARE NO STEEP SLOPES �0\ WITHIN 50' OF THE PROPOSED o / TANK. 1 MT EXISTING 150' x 30" x 60" NEIGHBORING SEPTIC IS /EFFECTIVE DEPTH TRENCH /� 10 >10' FROM PROPERTY INSTALLED 1984 / \ LINE THS PROPERTY SERVED SPS/ BY COMMUNITY WELL �y / \ i lS2\ MT Ti \ B 4 BR ,� HOME Ja DOUBLE CLEANOUTS 1250 GAL TANK NEIGHBORING SEPTIC u ��� IS 2' FROM PROPERTY / C �a'� LINE, WR020036 / O / NEIGHBORING WELL IS > / 100' FROM PROPERTY LINE SCOPE OF WORK \ 1. REMOVED EXISTING SEPTIC TANK. NEIGHBORING SEPTIC IS 2. PLACED NEW 1,250 GALLON SEPTIC TANK > 10' FROM PROPERTY AND TIED INTO EXISTING ABSORPTION LINE SYSTEM. THE TANK WAS PROVIDED WITH MINIMUM 20" 0 MANWAY RISER SERVING THE BM IS TOP OF LID AT FIRST FIRST COMPARTMENT. COMPARTMENT, ASSUMED 3. ALL CONSTRUCTION WAS IN ACCORDANCE ELEVATION 100' FA i WITH ALL REQUIREMENTS SPECIFIED 1N i� ANCHORAGE MUN0PAL CODE CHAPTERS 9 15.55 AND 15.65. P� 9 Septic Permit Drawings Prepored for JOSEPH AND LYNN CASWELL .•�P�� OF �� 954 ## 23714 Chandelle Dr Chugiak, Alaska 99567 w�''.''• rM CHANDELLE ACRES LOT 18 '. 49 • • 0 OSP201207 .............I'll ............,.,........� 0. .......................... . 0 EKLUTNA �NGINE�RINC, LSC DATE: 8!2512020 s,cuRTls TOWNSFND.: .0: 19162 MOUNTAIN ROAD DRAWN: CLT ♦♦�� '�. N F 1 004 .. �� CHUGIAK, ALASKA 99567 SCALE: 1" = 40' ♦♦♦'U. ^"�p� �� (907) 355--9820 PID: 051-063-67 SHEET 2 OF 3 !! ����• MARK A B ST] 20'-5" 28'-7" 5T2 24'-7" 31'-4" DCO 26'-I' 32'-5" LID, 100' BM IS TOP OF LID AT FIRST COMPARTMENT, ASSUMED ELEVATION 100'. TANK HAS 6' R{SER. Septic Permit Drawings Prepared for JOSEPH AND LYNN CASWELL +• P�,•OF 4�S��i 23714 Chandelle Dr Chugiak, Alaska 99567 ��`� �'��#� CHANDELLE ACRES LOT 1$ 49TH OSP201207 ...... ...... .. ...................... .` i. .... .........................: LLC DATE: 812 512 0 2 0 �f•:.CURTIS TOWNSLND;`0' EKLUTNA ENGINEERING 19162 MOUNTAIN ROAD�j .,N . 5 11904 DRAWN: CLT � ; �2 CHUG4AK, ALASKA 99567 SCALE: 1" = 5' .... --.••��.�� (907) 3559820 PID: 051-06367 SHEET 3 OF 3 8/17/23 NC 08/19/23 3:43 PM CDT dotloop verifiedSC 08/19/23 3:54 PM CDT dotloop verified dotloop signature verification: dtlp.us/0c4n-dDS0-POQt fn G7 a (n :U ;7 -i S D o -o r D -4 =Cm7C0FIX0 �D� m r?i ZM-0 ��M0-4 pp 0zD �oOD rnxN 0om q D = II 0)� mmr�,rn�cn= D`Dz cn O z >;o M cn a O C) czizcn9: r mo ZU) zD cn 0 00 m� =M M m A �o�m-Z DN z No z o M>(nZm� mam 10 10 �mO�D� m5 M 0 a in a� N --10 0 Z -p a Z OO M 0a D - U) S D Cn - N o ,_,� x s �- ` Glv\•- \ �j 4, m ;o co CO C v m� <> C/) �c) O r m D � r- n Om I L L cn -a m < Smx� q 0� Fi OaU)a7 �n m Z�'zm -C 00 r- Fri n 'p m � c) o F Z S-� O D �rnmo > �" m FO -mo S n m \ m -v < -c - � o x z m F5 -o _0 Cl z =o m O -H� m ?-<C)O �''I N -v mm m -' >. m cn <S f*I m -i m r ONz m r r � m �° to ITI a �Km O -° m 0 D / -D� ITl 0 vv m :U o \ D o m U) 0 "-1 17^. 2�0 0 W N -nwzw>w me rTl-ozO00C-Z<ctn tn� o00 oz_z -{� �azacn n D D D C U) rn�mK-<O-<�<,.� o Lf) 0V) vCDC m �oNCFCap = tK: ff**11 D M = D D z O z > 4 -lam Fn o -<r-o(D p cn m z O co m N S �zo!'mmn� - <DCp-gym DooZo> D A -G C) x' ;10 - N o ,_,� x s �- ` Glv\•- \ �j �O7 ( \ sem. off. O y pCp r-rrl \ O — O N N r©,' 'v �''I baa a N m m O % y co W O�0 O O � �< Z mgo o- 0 4 tn ;D � m �° -° m 0 +.Z / -I 0 vv W N -nwzw>w me rTl-ozO00C-Z<ctn tn� o00 oz_z -{� �azacn n D D D C U) rn�mK-<O-<�<,.� o Lf) 0V) vCDC m �oNCFCap = tK: ff**11 D M = D D z O z > 4 -lam Fn o -<r-o(D p cn m z O co m N S �zo!'mmn� - <DCp-gym DooZo> D A -G C) x' ;10 U) �j �v"X , ti, X0,5 \ � a O O o 0 D r m IIs 01 O Z vol A �z cn 00 z D �7 m M m C) O M a m r D 0 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201207 Work Type: SepticTank Upgrade Tax Code Number: 05106367000 Site Legal Address: CHANDELLE ACRES LT 18 G:1460 Site Mailing Address: 23714 CHANDELLE DR, Chugiak Owner: CASWELL JOSEPH & LYNN Design Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: ❑ Disposal Field CEJ Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: %,Arnt S' f De paI'rIII e11r 7/8/2020 718/2021 43000 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B� Issued By: Date: /' Date: 7 '�2d 4 MUNICIPALITY OF ANCHORAGE `Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTICIWELL PERMIT APPLICATION Parcel I.D. 051-063-67 Property owner(s) CASWELL JOSEPH & LYNN Mailing address 23714 Chandelle Chugiak AK 99567 Site address 23714 Chandelle Chugiak AK 99567 Day phone 907.632.0082 Legal description (Sub'd., Block & Lot) CHANDELLE ACRES LT 18 Legal description (Township, Range & Section) Lot Size 43,000 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank El Upgrade (D) El Holding Tank ❑ RenewalDuplex ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable MunicipalCo s. �'2 2 6 A o (Signature of property owner or authorized agent) Permit/Rush Fees: W5 .1 A 9 Date of Payment: 30 ;2o_0 Receipt Number: 02923 Permit No. O S 9 201 Q, 6 "1 Waiver Fees: _ Date of Payment: Receipt Number: Waiver No. GADevelopment ServicesTuilding Safety\On Site Water and Was tewaterTormsUient FormstPermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201207, Rebecca Carroll, 07/08/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201207, Rebecca Carroll, 07/08/20 r �r.oT la 6 +:v w M IDT 19 .V x� 6• a d HOUSE At � 4�� EZ%i'�➢G 4 a+a udx -93-Ar Ott n :}i i M r . i. HEREON. THIS FW VM WJ SWW THE XAMMM, CORM SUBDITTSION PW . ; WIDER 50 CIRMWAXMS SHOW Alr 1 USM ` aA C0LM=CV OR RR LSTABUSHIM DOWART OR M= W7—&V.25% it 33, WGIAX, Al. u Ott n :}i i M r . i. HEREON. THIS FW VM WJ SWW THE XAMMM, CORM SUBDITTSION PW . ; WIDER 50 CIRMWAXMS SHOW Alr 1 USM ` aA C0LM=CV OR RR LSTABUSHIM DOWART OR M= W7—&V.25% it 33, WGIAX, Al. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT [~N EW NAME IPHONE -~- Ig4~/a~~ MAILING ADDR E~S LOCATION [] UPGRADE NO. OF BEDROOMS PERMIT NO. ~ ~'y/O~,~.~ I I I IWell I Absorption area Dwelling ----.~: DISTANCE TO: /O,~~ ,~ '~ ~Z Manufacturer ~~ Material ~ ILiq. capacity in gallons ~ Insidelengt~ Width I /~ WelllF HOME,DE: ~ Dwel~//~ DISTANCE TO: Manufacturer DISTANCE TO: Well //~. , Foundation ~,, No. of lines ~ Length of e~ch ~ine~ ,~1 Total length of~[ne~ I 8'~ ?~" I leo' Top of tile to finish grade ~/! I Material beneath tile Length Width I Depth Type of crib DISTANCE TO: Material Crib diameter Crib depth Well Building foundation Driller Building foundation Sewer ine Nearest lot line /0t+ Trench width r.~O inches ~1~ inches No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. ~(./~)~u¢_~, Distance between lines Total e~ea PERMIT NO. Total effective absorpti~I ~-IPAL~T'( OF ANCHOEAGE DEPT. OF HEALTH & Nearest lot line F-NVI~L)NMbN [AL PROTECTION Class D~.epth DISTANCE TO: Septic tank Distance to lot line OTHER PIPE MATERIALS SOIL TEST RATING INSTALLER REMARKS T ~,aLE Rlvr~, AL~S~ ~'~"/7 ~' PH. 69~2~70 72-013 (Rev. 3/78) DATE L/EGAL by DOC Co. dba SULLIVAN WATER WELLS P. o. BOX 272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-2759 OWNER OF LAND ~J~ ~ ~'"~' ~ L~/_/_. ADDRESS LEGAL DESCRIPTION Z~ 0 T' DATE-Started PERMIT NUMBER DEPTH OF WELL ~ ~-Oc~STATIC LEVEL OF WATER FT. Ended DRAW DOWN FT. GALS. PER HR KIND OF CASING ~ ~ I~ KIND OF FORMATION: From O Ft. to °~' , Ft. From o,q Ft. to ~t~' Ft. ,,,~"'/Z FromOq Ft. to 7.¢ From 75'"Ft. to c]O From Ft. to Ft. From ~ Ft. to~7 ,Ft. From q~ Ft. to ]/~ rt. From [[cX Ft. to /t~tO Ft. From ] '~ Ft. to / g'~ Ft, From /gm" Ft. to ]OC'~'- Ft. From /g~::~"'Ft. to ~6~' Ft. From~O~Ft. to ~' Ft. From ~ ~ ~, Ft. to ~ 5'Ol'Ft. From__Ft. to__Ft. From__. Ft. to Ft. From o,~'''0~ Ft. to ~}-~Ft. From _,~F.~ Ft. to Ft. From From From From From From From From From From From From F om From~ From From Ft, to Ft. __Ft. to.____Ft. ~ t°~~ME~ PRO~ Ft. to Ft AUG 1 5 __ Ft. to Ft. Ft. to Ft. __Ft. to Ft Ft. to.__Ft Ft. to Ft. Ft. to Ft. Ft. to Ft. Ft. to Ft. Ft. to Ft. __Ft. to Ft. Ft. to.__Ft MISCL. INFORMATION: (::) 5",) TO DRILLER'S NAME PERM I T NO: DATE ISSUED: MUN I C~- F:'~:~L_ I TY C)F- ~:~NC~'~E]RAGE DEPARTMEN. OF HEALTH AND ENVIRONMENT~ PROI'ECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 O~---S I 'l-E SB2WER -~_--. WELL PE]RM I T 840656 08/02/84 APPLICANT: ADDRESS: CONTACT PHONE: JOE CHASWELL % S&S ENGINEERING EAGLE RIVE:R, AK 99577 6942979 LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: SUBDIVISION: CHANDELLE ACRES SECTION: ~ TOWNSHIF': '15N 43000 (SQ.FT. OR ACRES) 3 LOT: 18 RANGE: 1W BLOCK: NA Listed below are the options available to you in designing your septic system. Choose the option that best £its your site. TRE:NE]~.H ~.E::I) W. D~-'].'A I N DF£PTH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (FT.) TOTAL DEPTH (FT.) GRAVEL WIDTH (FT.) GRAVEL LENGTH (FT.) GRAVEL VOLUME (CU.YDS.) TANK SIZE (GALS) SOIL RATING (SQ.FT. /DR) 4.0 4.0 4.0 5.0 0.5 3.5 9.0 4.5 7.5 2.5 26.0 5.0 105.0 ** 50.0 11:3.0 ~.~ 5:_:. 4 48. 1 85.7 000.0 ** 1~000.0 ** 1~000.0 ** 349 ~84 349 ** GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** 'TANK MUST HAVE AT' LEAST TWO COMPARTMENTS I certify that: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 5. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. , 3 bedrooms and 4.' I understand that this permit is valid for a maximum of any enlargement will require an additional permit. IF A LIFT STATION IS I'NSTALLED IN AN AREA COVERED BY MOA BUILDING CODES~ MUN ][ C I F'AL I -[~ OF= A~C]HOF;~AGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL F'ROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 ON'--SITE SEWER 8~ WELL F'ERMI'T PERMIT NO: DATE ISSUED: 840640 07/30/84 APF'L ICANT: ADDRESS: CONTACT PHONE: S&S ENGINEERING JOE CASWELL SRB 196X EAGLE RIVER, AK 99577 694-2979 C/O LEGAL DESCRIP: LOT SIZE: MAX BEDROOMS: SUBDIVISION: CHANDELLE ACRES SECTION: 3 TOWNSHIP: 15N 43000 (SQ.FT. OR ACRES) 3 LOT: 18 BLOCK: N/A RANGE: IW Listed below are the options available to you in designing your septic system. Choose the option that best fits your site. DEPTH TO PIPE BOTTOM (FT.) GRAVEL DEPTH (FT.) TOTAL DEPTH (FT.) GRAVEL WIDTH (FT.) GRAVEL LENGTH (FT.) GRAVEl_ VOLUME (CU.YDS.) TANI< SIZE (GALS) SOIL RATING (SQ.FT./BR) ** DEPTH TO PIPE BOTTOM < .3.5 FT. REQUIRES INSULATION ** DEPTH TO PIPE BOTTOM < 4.0 FT. MAY REQUIRE A LIFT STATION ** GRAVEL LENGTH > 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** TANK MUST HAVE AT I_EAST TWO COMF'ARTMENTS Ice, rtify that: 1. I am familiar with the requirements for on-site sewers and wells as set £orth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms and any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL. PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED AF'PLICANT: ISSUED BY . , ~ - - DATE: ~.~.'. . _ S&S ENGINEERING JOE CASWELL C/O- ~ ~'" [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: · EGAL DESCR,.T,ON: L / DATE PERFORMED: PERCOLATION TEST I 8 9 SLOPE SITE PLAN 10 11 12 13-- 14 15 16 17 18 19 2O I~l:~'t A. No. COMMENTS PERFORMED BYi·' S~, .[.~& '~I~ 72-008 (6/79) WAS GROUND WATER /d O I~_ ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE q~(~ (m..~i.nutes/inch) TEST RUN BETWEEN ~'~ FT AND ~'~" FT //-/ [] SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 8 9 lO 11 12 13 14 15 16 17 18 19 2O 8LOPE SITE PLAN 14o. '1,157.~ FL. t~"f''~- E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop / 7-~z~ ii~-~ ~ Ix",.,_ - PERCOLATION RATE ~7/6 (minutes/inch) TEST RUN BETWEEN ("/ FT AND '~ FT COMMENTS PERFORMED BY: 72-008 (6/79) DATE: MUNICIPALITY OF ANCHORAGE Development Services Department - Phone: 907-343-7904 On -Site Water & Wastewater Section Fax.- 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 051-063-67-000 Expiration Date: 12/19/2023 Legal description CHANDELLE ACRES LT 18 Site address 23714 CHANDELLE DR Chugiak AK 99567 Current property owner(s) MCFARLANE BARRY & JULIE X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: The absorption field is lacking the code required clean outs, any future maintenance of the distribution pipe will require excavation of the field. Original Certificate Date: 9/19/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory x Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaUune 2022 MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-063-67 Complete legal description Chandelle Acres Lot 18 Location (site address) 23714 Chandelle Drive, Chugiak, AK 99567 Current property owner(s) Barry & Julie McFarlane Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY:❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: X Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel X Plastic ❑ Concrete ❑ Fiberglass Age 3yrs - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ Waiver Fee $ Date of Payment 3'J 'UJ 2 Date of Payment COSA # 0 332— Waiver # COSA Application—June 2022 Chandelle Acres Lot 18 051-063-67 0.5 6/1984 253 253 18+ 8/16/23 Forge Engineering 222 8/23/23 48" 8/21/23 JRs 8/4/1984 8.9 N/A N/A N/A 8/16/23 36 1000 53 1440 37 > 600 60 37 23 Benjamin Schiller, P.E.8/28/23 (907) 522-7773 Well Water Advisory Certificate of On -Site Systems Approval # OSC231332 Subdivision: Chandelle Acres, Block: , Lot: 18 This well's productivity was determined to be .5 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 4 -bedroom residence is .41 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. fMailing Address P O Box 196650 �` Anchorage, Alaska 99519 6650 *www muni org E MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SiTE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION {a) Legal Description (include lot, block, subdivision, section, township, range) (b) (c) Location (address or directions) Nam~%~_/~4~_ L"g~k-'>c~.'4ff'~_ Telephone: Home; ?2- zT",::~ d~ y Business=~7,~h - Applicant a Applicant is (check one): Lending Institution [] ' Owner/builderJ~; Buyer [] ' Other [] (explain); (d) Lending Institution -~,~'¢~;"¢~ Address (e) Real EstateComp~--~;nd;gen, Address Telephone (f) Mail the HAA to the following address: TYPE OF RESIDENCE Single-Family'S' Multi-Family [] Number of Bedrooms ___ Y Other WATER SUPPLY Individual Well~ Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite,~/ Public [] Community [] Holding Tank [] Note: If community well systern, must have written conhrmation from the State Department of Environmental Conservation attesting to the legality and status. F2-025 (11/84) Page 1 of 2 ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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. Name of Firm Telephone S Address Date DHEP APPROVAL Approved for Approved Disapproved'T Conditional Terms of Conditional Approval CAUTION 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 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: WELL DATA Well Classification Well Log Present. N) Total Depth ~2~-~,--~' Cased to Static Water Level ~ ~1, c Casing Height Above Ground Electrical Wiring in Conduit ~")N) Separation Distances from Well: To Septic/~ Tank on Lot To Nearest Edge of Absorption Field ~nLLot To Nearest Public Sewer Line /"JLA. Cleanout/Manhole Water Sample Collected by '~ '~'- If A, B, C, D.E.C. Approved (Y/N) Date Completed t.~-- ~-~' Yield Depth of Grouting '"--- Pump Set At Sanitary Seal on Casing ~'~1) Depression Around Wellhead (Y/~ · On Adjoining Lots I ~Z~ · On Adjoining Lots To Nearest Public Sewer Water Sample Test Results To Nearest Sewer Service Line on Lot ~ ~''~ ~ ~) ~;~-)~'~ ~ ~~-; Date ~ '~ I ~ - ~ ~%r~~~ Comments B. SEPTIC/I,H~_'131/~f~ TANK DATA Date Installed ~--'P-:~-~:~ - ~*"~ Size I ~--~ Standpipes ~,l) Air-tight Caps4'~N) Depression over Tank (Y/~)~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /~' Separation Distances from Septic/l=~)h~j Tank: To Water-Supply Well tc-'c~¢~ To Property Line ~, ~-, ~-.~r To Water Main/Service Line ~, C~, ~ Course No. of Compartments Foundation Cleanout~r'~N) Date Last Pumped / //~ ' for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ~'~/'~i c~ I r'~yl_.. Type of System Design Date Installed ~z.~- ~:,~.~ Length of Field I '"~"~' Width of Field ' "~"~ ~ Square Feet of Absorption Area Depression over Field (Y/~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line ~ ¢-~ ~ "~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Depth of Field Gravel Bed Thickness Standpipes Present~) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on · On Adjoining Lots ~' ~ To Cutbank (if present) ~ /,'~ Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** 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. Signed ....... Date 8 & ~ E'qGli',IEERING /,% .--// Company -~B !9~X MOA No. ~J c, ,,~LE RIVER, A~S~ ~577 Receipt NO. PH. ~94-29Z9 ot %' ' Amount: S. OO Page 2 of 2 72-026 (11/841