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STONERIDGE LT 2
Stoneridge Lot 2 #015-163-74 (Rev UD/UL/10) Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221400 PID Number: 015-637-40 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Tim Alderson ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11250 Trails End Rd, Anchorage, AK 99507 ❑ Other Phone Number of Bedrooms So ating Total depth from original grade 907-301-6512 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe inve om original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Stoneridge 2 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lineil tween lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between nches From Tank Tank Line Ft2 Well >100' (�F�ield/� V 1 /A N/A N/A >25 TANK R1 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface Water > 100' N/A' N/A N/A Material PLASTIC Number of compartments 2 Lot Line >5, N/A N/A N/A NA Foundation >1 o, N/A N/A N/A LIFT STATION R7tar�t cturer Capacity Remarks Gal. Alarm location cal installed by PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Installer A.C.E.S Drainfield N/A CO/MT N/A Inspector L.TIDWELL BENCH MARK (Assumed elevation) 100 ft Inspeection 15` 10/19/22 10/19/22 Location and description ction 2�d BOTTOM OF SIDING 3rd- 41"- ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: DateAar Aw ) Septic System %6 Benjarrt'aSchiller �F� •, CE 12592 �s�F Approved Date •. 10/20/22 1pROFESSIO�P N h' Note: this approval does not include well p It requlremen s. (Rev UD/UL/10) \i c1r) LO T- C) 0 I / E -L I -K LU x W w 2: > O I F- < w w :R: C) Of ::D < 2: W ------------------- -------------- w �-- -j 0 CD U j= 77 Z w < > — w ar� > 0 5 00 0 :�i/ W 0 a CJS U _j < 0 Lij LU LL :E U) 0 W OVMJ (IND S-1MJ1 w 800 uoo=F->m -j 0 c -'I U- Ll-- :E 2i w F- \i c1r) LO T- C) 0 I / E -L I -K LU x W F- w 7/0 III D :�i/ 0 m > Cj) w 7/0 III :�i/ 0 Z ff w —T 1\ cm 6,4c: * -"A w LU C-4 (3, to o C14 Ui z xi ok STONERIDGE, LOT 2 PERMIT # OSP221400 ENGINEERING PID # 015-163-74 PROFILE AS -BUILT (NO SCALE) .STM :9 I .......... ' • • • Benja 'n Schiller • •' CE 12592 `� /�%F�' • . � 10/20/2 il��`OPR0FNs*I6* �® \ 2 \ GVoy L -7N-7 S7VcVl ,a' 4,n, 71 ,n n w ,06't,9 E M,,Og&O.O S 6 » \ 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221400 Work Type: SepticTank Upgrade Tax Code Number: 01516374000 Site Legal Address: STONERIDGE LT 2 G:2640 Site Mailing Address: 11250 TRAIL'S END RD, Anchorage Owner: ALDERSON TIMOTHY & Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: p,cnr Am L)epat•ttneni 10/13/2022 10/13/2023 49411 ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Veronica Pope GE 2022.10.13 Received By: 12 -08'00' Issued By: Date: Date: ?.o-4 2 4 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-163-74 Property owner(s) Tim Alderson Day phone 907-301-6512 Mailina address 11250 Trails End Road, Anchorage, AK 99507 Site address 11250 Trails End Road Legal description (Sub'd., Block & Lot) Stoneridge, Lot 2 Legal description (Township, Range & Section) Lot Size 49.411 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ APPLICATION IS AN: Initial ❑ Upgrade ❑x Renewal ❑ TYPE OF DWELLING: Single Family (SF) ❑x (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: '.2,s Date of Payment: g1a4 `a,2 Receipt Number: 06-13 Q /CD Permit No. o sioy'a l yo c) Permit App_-'-:- :'_..:c, Waiver Fees: Date of Payment: Receipt Number: Waiver No. September 28, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Stoneridge Lot 2 Septic system design Dear On-Site Services Engineer: The owner of the above lot has a septic tank that has reached its end of useful life, so we are submitting this permit application for its replacement. The attached site plan identifies the location of the 4-bedroom home as well as the wells and septic location. No conflicts exist between this proposed system and any other wells or septic system, whether on this lot or adjacent lots. We are replacing the septic tank with the same size. The new septic tank will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the absorption field. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221400, Curtis Townsend, 10/13/22 %A tCIPA crrr0 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 4W4 rV http.*//www.muni.org10nsft9 -j 4"vc" 0 R G'�- Ono-Site Water System Permit Permit Number: OSP221326 Effective Date: 8/0i 6/2022 Work Type: Well Initial Expiration Date: 8/16/2023 Tax Code Number: 01516374000 Site Legal Address: STONERIDGE LT 2 G.-2640 Site Mailing Address: 11250 TRAIL'S END RD, Anchorage Owner: ALDERSON TIMOTHY & Lot Size in Sq Ft -0 49411 Design Engineer: Total Bedrooms-, AL 0 This permit is for the construction of. - 0 Disposal Field n Septic Tank 0 Holding Tank 11 Privy 11 Prlvat�e Weil E 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 (I 8AAC72) and Drinking Water Regulations (I 8AAC80) I The wastewater code requires inspections during the installation. The engineer shall notify the Developmerit Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurlace 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 4, Special Provisions: Water storage tanks shall have NSF approval and all components of water storage shafl colnniply with the latest adopted edition of the UPC. Received 13) Issued By: Date: Date: UH0CNIPAL�h_Y OF Z2\\ CH R_/L�%02 Development Services Department_ / Phone: 907-43-7904 On -Site Water & Wastewater Section �' �'' Fax: 907-3'43-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 01516374000 Property owner(s) TIMOTHY ALDERSON & LAURIE MONTANO Day phone 907-301-6512 Mailing address 11250 TRAILS END ROAD, ANCHORAGE, AK 99507 Site address 11250 TRAILS END ROAD, ANCHORAGE, AK 99507 Legal description (Sub'd., Block & Lot) STONERIDGE LT 2 Legal description (Township, Range & Section) N/A Lot Size 49,411 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial 0 Single Family (SF) El Septic Tank ElUpgrade ElDuplex (w/wo ADU) Tank El Renewal ❑ (D) E]Holding Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage 0 THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with Permit/Rush Fees: 2 56 Waiver Fees: Date of Payment: Receipt Number: Permit No. Date of Payment: Receipt Number: Waiver No. G:1Development Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Appiication. doc MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES 0� y - 163 - 74 - Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON—SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES LAMEs G'ENuCA FoRmEz biard AuST/.0 A/Ew TO FAOM SEPTIC TANK ABSORPTION FIELD WELL Address WELL /Or , /Z /SG/D TE.a/ E C/RGLE Phone(s) Permit No. No. of Bedrooms B�� o�la LOT LINE ?5' y5r J'7 LEGAL Lot Z Block — Subdivisi7on 5 0„6 2 iDG E FOUNDATION o 2 6' Township, Range. Sea” S Zz %WP /3itl .�31� _ AS -BUILT DIAGRAM driveway. water bodies. (Show location of well, etc.) septic system. property lines, foundation, TANKS rXf SEPTIC ❑ HOLDING Manufacturer Capacity in gallons l Pi� Fe 1 I7_50 TYPE OF SYSTEM []TRENCH ❑ BED IV W. DRAIN ❑ OTHER Death to pipe bottom from I Total depth from original grade pipe Gravel length Gravel width IP0FT FT Total absorption area Distance between lines 00030 FT FT Number of lines Soil rating Pipe material /-j7 SQ FT Ve D3031/ Installer Date Installed WELLS PRIVATE ❑ OTHER (Identify) Classification (A,B,C) Total Depth Cased to lr_�/!/ATF_ 26V FT y% FT Installer Date Installed: REMARKS: I "/fur//11L= G Municipal and Slate guidelines in e Health Department Approval: 13 (3/85) I—i� IIII�IIII�trll�tttt���tttt�lllllrtttt�M I.■■■■I_■���� Inspections Parton Awrs 1 Dale: 0/718[1 L- - SDN cattily that this inspection was performed according to all date; /D Date: i8 m > " Michoel E. Anderson P °p 4331 - E •Trey °° ,• Al oeneo oo °°A°°°. cS A h_"Rn -«r.lcm- WATER WELL RECORD STATE OF ALASKA -. DEPARTMENT OF NATURAL RESOURES Division of Geological 9 Geophysical Surveys Orilling Permit No. LOCATION OF WELL (Please complete either to, to or la.) A.D.L. No. 1 Borough Subdivision Lot Block 1/4gtrs,Section No. Township N ❑ Range E C]Meridian I t1 .�—of_of—of— S❑ W❑ I Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL: F""//q may; f /f�P/� r Address: [41J Street Address and Area of Well Location - 77'5/ f 2. WELL LOG - Feet Below ( ) DATE OF COMPLETION 4. W�EL/L DEPTH: final 5„ Surface Material Type Top bottom � .c..— , __ - 6. ❑ Cable tool `a( Rotary ❑ Driven ❑ Dug ❑ Auger ❑ Jetted ❑ Bored ❑ Other: /_-✓ ,�.._va C p 3 7.USE:AOomestic ❑ Public Supply ❑ Industry ❑ Irrigation ❑ Recharge ❑ Commerical ❑ Test Well ❑ Other: 1114 r L '� ` S. CASING: ❑ Threaded Ig Welded diam. G in. to Ll It. Depth Weight_ lbs./ft. diam. In. to ft. Depth Stickup ft. 9. FINISH OF WELL: Type: Diameter: Slot/Meth Slze: Length: Set between ft. and ft. Backfilling Gravel pack — 10. STATIC WATER LEVEL: ft. f 13 Above or 4Bel� land surfaca Date y�pur— Equipment used: ' I - MUNICIPALI OF Il. PUMPING VEL below land surface and YIELD ft.- after hra. Pumping0. p. m. _ ft. attar _hra. pumping g. p. m. :NTi AL PROT CTION T f� I C! 12.GROUTING Well Grouted: ❑ Yea ,Q No Material: ❑ Neat Cement ❑ Other: 13. PUMP: (if available) HP Length of Drop Pipe ft. capacity g.p.m. '❑ Subm. ❑ Jet ❑ Centrifical ❑ Other - - 14.REMARKS: 16. WATER WELL CONTRACTORS CERTIFICATION: 15. Wafer Temperature ❑ F ❑ C This well was.drilled u dari y jurisdiction and 1 is report iP s true to the all f m knowled a and belief; Co %y/4 8'� agi�sjie ra0'Rusiness Na l/ Contract License Number_ Address:' Signed-: �'� / Date: Authurlied Resposentative - Form 02-WWR (11/81) - Copy Distribution: WHITE -State DGGS, PINK -Driller, CANARY -Customer . ~ .. MUNICIPHLITY 0F AN["HOR0GE. DeparLment of Human Services B25 L Street� Anchorage,, A]aska 9950J. 4720 ON— SITSEWER & SEPTIC TANK PER MIT Permit Number: Date Issued: 07/27/89 Fnginee, Designed Da Phone: Owner Name: JAMES C|�HL)LA Y Owner Address: 15610 JENSEN CIRCLF ANCHORAGE, AK 99515 Parcel Id: 015~163-74 Lot L : Subdivision: STONERIDBE Lot: 2 Block: 0 Section: 22 Township: 13N Range: 3W Lot Size 49411 (sq`ft^ or acres) Max .1-1edrooms: This rermit: 4 Total CaPacity: � SEPTI� TANK: Minimum total septic U. -in t capacity: 1�259 gallons, Each septic tank must. have at least 2 comparLments. Depth to top o[ septic tank(s> < 4"0 feet requires insulation over tank(s>^ WE ILL: Log must be submitted to of Anchorage Department of Health JAI -1c] Human Gervices within 3o days o� well comp}eiion. SETBACK DISTANCES FROM WELLS AND SEPTIC SYSTEMS ON AD, O'NING LOTS TO NORTH, SUUTH` AND EAST MUST B� CONFIRMED. THIS SYSTEM TO BE INSTALLED IN GN. DHHS MUST 8E NOTIFIED �RIOR TO ALL INSPECTIONG. THIS PER IS ISSyED FOR A 4 8EDR(}DM SIN9LE FAMILY RESIDENCE ONLY, AND EXPIRES ON 12/31/B9. A LlFT STATION WILL REQUIRE APPROPRIATE �LECTRICAL. INSPECTION" I CERTIFY THAT: 1^ I am familiar withe requirements for on-site sewers and wells as set [orth by the Municipali+y c�� Anchorage (MOA> an� the State o� Alaska. 2, I will instal] the system in accordance with all MCV) codes and regulations, and in compliance with the design criteria of this permit" 3^ I will adhere to all MOA and Staie o[ A�aska requirements for the set back distances from any existing well, wastewater disposal system or public se�erage sysiem on this or any adjacent or nearby lot" 4" 7 understand that this permit is valid {or a maximum of 4 bedrooms. I also that the capacity of the total system is 4 bedroofps and any enlarpement will require am n additional perit. �� DATE Signe�: �~ : y �� ,��- .��-�_~~ _-_____ -.'������-���-'____ (Own ) JAME� ' Issued DATE: � -� Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 -L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST G PERFORMED FOR: /`//%.'-; I- li CUn: �.;%f; U� ;' /��'! DATE PERFOi761 °R0 EF S'a".a LEGAL DESCRIPTION: L % S7-6jjF- Township, Range, Section: S Z z 7 13 ti/ 2 31 DEPTH �SLLOOPEE SITE PLAN 7 (FEET) �j Y. ER nIIC� I I I t I 1 -. 2- 3- 4- 5- 6 - - 3- 4- 5-6• 7 - 8• 9. 10 11 12 13 14 15 16 17 18 19 5f rvo,tzi y t�R''Ab I==I: . S f�MR lLT+/ 5,1 e10 WAS GROUND WATER A110ENCOUNTERED? IF YES, AT WHAT DEPTH? Deo IS Wtla Ana Maamtilp? /✓o u1FnEk oft /'/S7 Pzop /!251, ra�r, Reading Date Gros Time Net Tima Depth to Water Net Drop z ' 3 " IO IYw S iYn. LO " � •, 20 (D PERCOLATION RATE � Immutesnnch) PEAC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS i� — -'�rl�� �G! — ❑B,/�2 PERFORMED BY: .�:<�.l F�.�t�O�Et/ I���RNAtL c• ~~ �C�ER7IFY THAT THIS )EST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE DATE Iso 72-0081Rev. a85) i I I N89°4545"E 329.97 (75-931 I - 3p N89°4545"E 29997 RLS I N89°55'40"E 309.14 ANO S ISI � t mi ��•\ nI 1 V I m �'I�`I m 3� e i tt� m i �• r, /I I �Tro°Util Esm\ 300-09 0w 931 31 A'N 299.97\33 .�I /• QI \ C zmoi \ n w 0 O a Q to w i �•` ' 2 z �'d A. \ 0 z I = z ` z n 10°91orm Orn Esmt� \ . �-----30°.Roe6£smt �'ot-0eokMeE---- a;-��-------------- o " I 0 N 3 N89o9545W 299-97 RLa q N89°5545E 30004 ANO 4 30 S89°4545"W 329.97(75-93) a4,�.. _ _ _ _ _ _ — 299_78_- N89-45'45'E 329.88 (81-109) J nj 299.88 [ 1•\vl N I I �� 111, oO I O - O '/ \7oltl /., 91 pl I! N (Id1jc 'r S "'�5�8•je.4'�1B `K °J�3 � m °48'20'W 299.74 0' N Ey�I I 0 OI O 0 z J,O Z 0f,. IN { OE I PR I O 'AI P b G a - bI 40CA"1'IOL( C. m •I - 0 IC:JO ° I-' /{CD2 m 0000SF 1 r o ��o' X,Oo') S89°50'54"W 329.61(81109)t— _ SB9-6354Sw 30 N69°4715 E 329.82 WH46) I' 2ss.fiz t.l I }' h``�5�8X 3o`r (t ewe I ' �� � I Fo�un 1S¢asS caP I��=IDOL! N I/I STAG L /250 6,q 11,W 5E/V TIC I r• TA ni/< q- S S G F O F 5' (A/ioE TREK/GH '.. a {��.0 I v )j✓/%F OF �.f�r �'1���®M t/�'c5', OF Al N89°43'3eE29956 .Nn � Az' °e•'� I r»G9 ..� s ®B ••aes • •. 4 0 zQ•o _ o ya • •^eo• a .•o•.: Michwael E. Anderson 4381 • E ,•° �00 °y aI eo•PROFESS���+�®� w 299.30 _ _ _N8903945"E 3.29.30 81.14 _ _ _ _ $1 Iss _ _T z N89 3945' 2930 82.12 e2' JAN -30-1995 16:19 Date: Company: Attention: FROM: CRITERION GENERAL R.01 FACSIMILE TRANSMITTAL 8221 Dimond Hook ®rive Aadwrsge, AIC 49507 Phone: 407 / 344-3290 / Bfulap MT 54101 Pbene: 406 / 253.8622 Fax: 406 / 255-sb23 ---------------------- Pswjctt: � t tb a Z'21�LS �s ►�9 Fax Number: Number of pagcs including this sheet: 42. 'P <<� AL -E— _.� � M �__.......... _. l►� 1► . � ' r�;� �a A O t 11. C. ............. .... ._.......... ... :..._..__.___ 4% WM 310 SM. SWe 125 _ SUMP, m0wrtimsstot — - - ----------- PM49 (one) zss--ueu wL c+ooi M•eax3 ��. zq Municipality of Anchorage Department of Health and Human Services 825 " L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor January 31, 1995 Mr, Dan Austin Criterion General, Inc. 404 North 31st Street, Suite #125 Billings, MT 59101 Dear Mr. Austin: In response to your fax of January 30, 1995, and your phone conversation this morning with Mr. James Cross and myself of the Department of Health and Human Services, we have the following comments: The Department of Health and Human Services issued an Health Authority Approval Certificate on this property on October 31, 1989. The well flow information used for the issuance of this certificate was the data from the well log. This well log stated that the flow from the well after pumping for 1 hour was 1.5 gallons per minute. It was assumed by the Department of Health and Human Services that the method for determining the well productivity was either an air lift or bailing method. Both of these methods are acceptable to this department for determining a new well's productivity, except in the case of a well that produces less than 1 gallon per minute. In the case of a marginal well (less than 1 g.p.m.), the engineer performing the Health Authority procedures would be required to retest the well with a more accurate recovery method. However, since this well produced 1.5 g.p.m., no further testing was required, for an air lift test would have been accurate enough to insure that the well produced more than the required 0.42 gallons per minute for a four bedroom house (150 gallons per day per bedroom). In specific response to the letter from J. Michael Gray dated January 27, 1995, I did not state that an air lift test was "highly unreliable". I also did not state that "...had the Municipality known that this procedure had been used to 'estimate' the production they would not have certified the well in 1989". My recollection of this conversation is that the situation being discussed involved a well which produced Mr. Dan Austin January 31, 1995 Page 2 0.2 g.p.m. If this had been the case, a retest would have been requested per the above procedure. Also, I remember the 0.2 g.p.m. flow rate being discussed, for I pointed out that this minimal flow would not have satisfied the requirements even for a three bedroom house. Z,Sin Robert W. Robinson Civil Engineer On -Site Services cc: James Cross, P.E., Program Manager, On -Site Water Quality JAN -30-1995 16:20 VFMOLUMM &AWIC610"awsr WMISA1 awwsssu0 ar,.wasw.r January 270 1999 CRITERION GENERAL `.r M~ & AowdW* P.C. At1NOW fu M* sift Aram 9rlr iN ArMryr, eW.11A11-!Mt James a. xc oilun, .gegsire SUMN 8 ![4003,LM 960 Mast Seventh Aveaue, Suite 1800 Dnoborege, Alaska 99901-3590 Deas SM P.02 r.rr nrprrr�tta to.ea�,► •aw.0rar�r ww4,rm,rwwerr lebruasy 1 will be as goad as an ot4er day. we will be prepared to be vitwat water for two days. I read Terrasatos January 26th letter with interest. Can I r that the well was not really tested in 1989? but a We vas used that •ostintea- well flow? Thsatins that the ipality required Wolis 'ta be tested, not. estimated. I hew called !rabbis nobinsca at the Health DeWtseat- hs told na this •aWk4-bi6rinq", sr, I mean "air-lift" procedure i� y unreliable, acrd that had the Knnioipality i DMM dare bad been used to "estimate" the well production they not have eertilied the well. in 1919. 9h1>tr? Think msybs your client knew the well Wouldn't pass a real test? sum? X Ad of makes M wonder, I haven't Aad the Dustin* served yet because I had gqiven them until January 31st to choose ono of their other choisss. Aad now loll need to have Cam "MA the 00"plaint to include this now information. You may want to discuss the Dustin*• settlement options with them again prior to January 31st. 8rsi J. obael 6r y JW -Z? -i995 12:54 99i P.02 TOTAL P.02 Certificate of On -Site Systems Approval Parcel I.D. 015-163-74 Legal description Stoneridge lot 2 Site address 11250 Trails End Rd, Anchorage Current property owner(s) Alserson Expiration Date: 1-27-23 X The On-site system(s) is/are approved for 4 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: By: `'"l t` Original Certificate Date: /0 Z -7— Z Z 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. h (MUNI HI COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory X Tank Age Advisory Arsenic Advisory _ Other COSA Approval_June 2022 MUMUPAUTY OF AHCHORQOC 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. ,� �jjl 5 " 1(03 - 7`( Complete legal description Stoneridge L2 Location (site address) 11250 Trails End Rd, Anchorage, AK Current property owner(s) Tim Alderson 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS Day phone 907-301-6512 3. TYPE OF WATER SUPPLY: 0 Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑■ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel 0 Plastic ❑ Concrete ❑ Fiberglass Age NEW - 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 $ 55-0 Date of Payment `o l at/la a COSA# 0scaa15-17 Waiver 5 «- Waiver Fee $ Date of Payment Waiver # ytf- OauL/3L) COSA Application—June 2022 Legal Description: Stoneridge, Lot 2 Parcel ID: 015-163-74 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 9/16/89 Total depth 269 ft Cased to 47 ft ❑ Sanitary seal is functioning correctly no Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 9/13/22 Static water level at beginning of test 40.2 ft. Comments B. TANK DATA Measured operating fluid level in septic tank NEW Date of pumping Installed 10/19/22 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 10/31/89 ❑ ALL standpipes present per record drawing Total measured depth from grade 9.7 ft (max) Measured depth to pipe invert from grade 7.3 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 2.4 ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced N/A gallons N/A date Any rejuvenation treatment (past 12 months) N/A If yes, enter date Well production at time of test 1.2 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate 6.83 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L MR Arsenic less than MRL (ND) Collected by Forge Engineering Date 9/28/22 C. LIFT STATION fired maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 9/13/22 Results ❑ Pass Fluid depth prior to test 0 in Water added 751 gal New fluid depth 17 in Elapsed time 1440 min Final fluid depth 0 in Absorption rate ' 600 gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 48 in Effective depth used 9 in Effective depth remaining 29* in Comments/Deficiencies: *Assuming gravel beneath the MT is saturated, since MT does not extend to bottom of effective depth COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' g Yes Community Sewer Manhole/Cleanout > 100' DYes if No ft Q Yes if No ft Neighboring Tank > 100' Fol Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' FmTl Yes if No ft Holding Tank > 100' -1Yes if No ft Neighboring Absorption Fields > 100' E Yes if No ft Water Main > 10' Animal Containment > 50' ❑ Yes if No ft 0 Yes if No ft 0 Yes if No ft Water Service Line > 10' O Yes if No Manure/Animal Excreta Storage > 100' If tank or field is under driveway comment below Community Sewer Main > 75' Yes if No ft ❑ Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' g Yes if No ft Surface Water > 100' R Yes if No ft Tank to Property Line > 5' R Yes if No ft Wells on Adjacent Lots: Field to Property Line ? 10' R Yes if No ft Private Wells > 100' E Yes if No ft Water Main > 10' g Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' O Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Forge Engineering Engineer's Printed Name COSA Checklist—June 2022 Benjamin Schiller, P.E. Phone (907) 522-7773 Date 10/27/22 ALNA .q��� ' -5 l ® .... . . Benjam�rtchiller CE 12592 ����� pROf:ESS10NP� www.muni.org/onsite Nitrate Advisory Certificate of On -Site Systems Approval # OSC 221517 Subdivision: Stoneridge Lot 2 A water sample revealed a nitrate concentration of 6.83 milligrams per liter (mg/Q. 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. Ma�l�rag Address P O Box 196650 *Anchorage, Alaska 99519 66b0 * www muni org From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening, or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. Mailing Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org Municipality of Anchorage Development Services Department Building Safety Division s , On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us 343rage.ak.us (907)343-7904 �t CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING y� Parcel I.D. ��' t HAA# ati VrJ�t J 1. GENERAL INFORMATION Expiration Date: Complete legal description STONERIDGE SUBDIVISION; LOT 2 Location (site address or directions) 11250 TRAILS END ROAD * ANCHORAGE, AK. 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DOUG & JEANNE DICKEY Day phone 346-4251 11250 TRAILS END ROAD * ANCHORAGE AK 99516 Day phone BONNIE MEHNER W/ PRUDENTIAL JACK WHITE Day phone 3201 C STREET SUITE 200 * ANCHORAGE, AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 762-3111 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSDylssues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in.the.State of Alaska., Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issuesHAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's I Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for __q_ bedrooms. Disapproved. Conditional approval for bedrooms, with the Phone 337-6179 Date `C b YIOFAA? ns: ON-SITE m= Attachments: HAA Checklist Manitenance Agreements Septic System Advisory Supplemental Engineer's(�Reort �t Well Flow Advisory Other Sr»�n Ar�.� ��<< —� L By. X Q , O a 1 T� (� C1��0 Original Certificate Date: (Rev. 12(01) PRIVATE"' "° IfA,B orCprovldePVVSID# N/H. welLLogtrnvl ��� e ed 9 17 1989 5ahltary seal (Y%NNj __ Wires properly pro ® e �(ES 9 ft "asetl to �� fE Casing hQig_ moue group} 24 in r�A �...sv�..�..... � '- 42 slctwn 9 p m 5p M y,,,-wC..�7°"",�x"�'f«`ad�?� ,�,��'�ct_3"s„r�;••!<''0�"f�d"a,.s��,c�. ...,.�.;rY,: .+Ah.^,+10i,4�>rk{'�.'�... colornes 1 ml I ra.e U mg /L Other bacteria colonies/10d ml W lleat ed by GEG Ltd � A mg /L Date of sample. 9 2004 Co y ¢ •_ ���§ �e"� 2t�&r�+swi�'&le�,' 3a'� ", e �i Fa„.ti�.'�3 a#. �+�� ,iiic%erv'�., ..... Ba ena rw� ro a ea e /1989 ' `�. §� .�X .;�.-a ""^�" ° �qr' 'r7 :,SF'^✓$'�V �' '...+ �^` ° Ursa "' gal.'` �er"a ompartments 2 �leanouts I c east Y%iJ De ressldn over tan �0 Hi h wa er alarm npmg g 23 2 04 Pumper S Arc BELOW EXISTING Gt2ADE a ac,�aw/1s8g Soil rating (g:p d IftZor /bdrm 138 System type fiREKCH ' I f�i" ft Graver tieo�w pipe 4 ft r4 I r' * o u a Sorption area 6 d ft-- Monitoring tubes _ a resslon3 over fie 0 -z�Y.y�K"i'.,''''".?r'2fiF- �quacy test 9 2 2804 Results (Pass all) A or 4 bedrooms .W�xii.�� I m a sorp Idn le before te,_,_ m a er added gal. ept in. .. 0 me min mal fluid depth u inA"bsorp Ion rate > 00+ g p d a....." a....,F..,..s f..,,..a ae ..,., s tent r ti.r,es' NhNK' KA70WN 7e ,"me nnfn rata — ment, . _E SR ETY �.ivYF �ySC T�. IF('KI IST PRIVATE"' "° IfA,B orCprovldePVVSID# N/H. welLLogtrnvl ��� e ed 9 17 1989 5ahltary seal (Y%NNj __ Wires properly pro ® e �(ES 9 ft "asetl to �� fE Casing hQig_ moue group} 24 in r�A �...sv�..�..... � '- 42 slctwn 9 p m 5p M y,,,-wC..�7°"",�x"�'f«`ad�?� ,�,��'�ct_3"s„r�;••!<''0�"f�d"a,.s��,c�. ...,.�.;rY,: .+Ah.^,+10i,4�>rk{'�.'�... colornes 1 ml I ra.e U mg /L Other bacteria colonies/10d ml W lleat ed by GEG Ltd � A mg /L Date of sample. 9 2004 Co y ¢ •_ ���§ �e"� 2t�&r�+swi�'&le�,' 3a'� ", e �i Fa„.ti�.'�3 a#. �+�� ,iiic%erv'�., ..... Ba ena rw� ro a ea e /1989 ' `�. §� .�X .;�.-a ""^�" ° �qr' 'r7 :,SF'^✓$'�V �' '...+ �^` ° Ursa "' gal.'` �er"a ompartments 2 �leanouts I c east Y%iJ De ressldn over tan �0 Hi h wa er alarm npmg g 23 2 04 Pumper S Arc BELOW EXISTING Gt2ADE a ac,�aw/1s8g Soil rating (g:p d IftZor /bdrm 138 System type fiREKCH ' I f�i" ft Graver tieo�w pipe 4 ft r4 I r' * o u a Sorption area 6 d ft-- Monitoring tubes _ a resslon3 over fie 0 -z�Y.y�K"i'.,''''".?r'2fiF- �quacy test 9 2 2804 Results (Pass all) A or 4 bedrooms .W�xii.�� I m a sorp Idn le before te,_,_ m a er added gal. ept in. .. 0 me min mal fluid depth u inA"bsorp Ion rate > 00+ g p d a....." a....,F..,..s f..,,..a ae ..,., s tent r ti.r,es' NhNK' KA70WN 7e ,"me nnfn rata — ...._._... �... .� Pum o min High water alarm level at in. Cycles tested Meets alarm & circuit requirements? .� '?. ;w =a through field rnspechons ands Q pt the above systems are in ..... ...... 'ha.......� i guidelines in effect on this date Gar ...s: JEFF♦�EY A: GA�2NES �Q��� ' 7953 mph Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage • '� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Nitrate Advisory Health Authority Approval # HA040510 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot 2 of Stoneridge subdivision, a nitrate concentration of 5.03 milligrams per liter (mg/L) was reported for the property's water well sample. The Environmental Protection Agency (EPA) maximum contaminant level (MCL) is 10.0 mg/L. Although the subject water well sample is less than the MCL, it is suggested that periodic testing be performed to insure the wells continued suitability. More information on nitrates is available from the On -Site Water and Wastewater Program, at 343-7904. This advisory must be attached to all copies of the subject Health Authority Approval. 09-29-04 09:08AM FROM-CUE ESI, SGS ENV SERVICES —S&I — 9075615301 T-347 P.02/02 f-115 SGS Re£# 1046314001 All Dates/Times are Alaska Standard Time Client Name Garness Engineering Group, Ltd. Printed Date/Time 09/29/2004 6:21 Project Name/# Stoneridge Lot 2 Collected Date/Time 09/23/2004 10:40 Client Sample 1D Stoneridge Lot 2 Received Date/Time 09/24/2004 9:40 Matrix Drinking Water Technical Director / Step/Ede Sample Remarks: --- -- Results. _... Allowable. .Prep Analysis Parameter PQL units Method Container ID Limits Date Date Imt Waters Department Nitrate -N 5.03 0.100 mg/L EPA 300.0 B (<=10) 09/24/04 71B Microbiology Laboratory TotalColifotm 0 col/100mL SM209222B A (<=1) 09/24/04 DKC 9-25-04;16:33 :CT and E AY C SG.,- SGS/CT&E EN �ffl ,... Drinking Water Analysis Report for Total Coliform Bacteria READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE MUST BE COMPLETED BY WATERSUPPUER ❑PUB C WATER SYSTEM IU# RIVATE WATER SYSTEM Ma -send Rasults nd Invoice ❑ Send Results WNeraYskm NamelName CaMad Name Phone Numbv Fez NinMar Fax Number Mawnpmd .s Qab cry, - Sblo 2p Coea SAMPLE Date: Time: Location � Collector. ;: u no n.�a..mo1. mn.c y . :5615301 ik 2/ 2 200 W. POTTER DRIVE ANCHORAGE, ALASKA 99518 -- _ Tel: 407-582-2343 Fax: 907581-5301 Lab Ref No. 106 1 1111111 0 Send Invoice merbYalamNarm/Compam Name Gpnbua Nano Pnpne Numbm Fez NinMar NrLq Aeieb CIN Qab Lp Cove SAMPLE TYPE, A Routine ❑ Repeat Sample (refer to lab no._ ❑ Special Purpose ❑ Treated Water ❑ Untreated Water Transported to lab SIn Same as collector Other. PnMd Nam wn TO BE COMPLETED BY LABORATORY Sample Receiving: Date: �i�'�Y ❑ Sample over 30 hours old: ❑ RUSH SAMPLE .......n _ Results may be unreliable . Tempe' Amy ❑48How Wai%W Phone#: � Remote Locations Fax #: Delivery Method: Received By: �� I Comments: .................................................a..... .....1......... .. ....... ........ ........ ......... .........,. _. Bacteriological Water Analysis Record: o ACEC: - MMO•MUG (PIA) RESULTS: ANC FSK JUN rD.tee/T1me:- Analysis Began: `/'�y fin/ /(. ? o Total COMM Analyst:_ t- . E. Coll: ' Sent to client: MEMBRANE FILTER RESULTS: Phoned = - Faxed XD Analytical Method: Direct Count coil lealtooml Dalernme: 'r -p5 -0L/ (b:S Membrane Filter verification: S kewith: :..MMO-MUG (PIA) T.,.,rAa„,,,LTB: BGS; 2f Satisfactory { EC: ❑ Unsatisfactory F.d,e.nN TMG s Tao N.nwreusb Count �_ Date/Time: �' 1 )�`vN /� ; 30 06 -oM.r B.O.K. Reported By: O.� ✓ Signawre Form # FW- 0053 12/17/03' Upetra\publtc\DOCUMENTAPORMS1MicrolColt Form 121703.xis ., __ • 09/28/2004 16:27 FAX 9077621858 aaA�9 s SOC ° o m � "� OV u z 0 Bonnie Mehner & Assoc. P 001 S O°04:'cpp'W 1 64.90' la, UTIL E ar.mM r— — — — — — — — — — — — — — — — — — — — — -..: -- I I I N to J —N D°07'04"E 1 54.91' — — q'1 Npa Dry Y m�� my yTRAILS END ROAD m pm� m O� e� rm my as Fp3 $a ci D MUNICIPALITY OF ANCHORAGE • 4 DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services go On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# �!��� ��� -��f. HAA# ��« (�i�� 1. GENERAL INFORMATION Complete legal description wz SI�De2 S1j Location (site address or directions) Ei,\j 0 Property owner DAL &S7_//\,' Day phone Mailing address Lending agency Day phone Mailing address Agent 7\F_0 Day phoned Address�TN'�I` Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Pu5o� Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fmnt MOA #21 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 of this Health Authority Approval application 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 Address Engineer's signature ✓� iLi%" Lt.�-7�� 1Nvcicr_- C,J/'•'S'i LVA-�t�� uV �. ; r (-_a ) E -V 6. DHHS SIGNATURE M Arl1�P%L7-iC_�_S x Approved for 4— bedrooms. Disapproved. 37-6/7:1 Conditional approval for bedrooms, with the following stipulations: Note: The well for this property meets existing State and Municipal Codes. There are nitrates present. It is suggested that periodic testing be performed to insure the wells continued suitability. Current nitrate concentration is 5.2 mg/1. EPA maximum concentration is 10.0 mg/1. More ;nformation on—nUrat28 is aUailahle from the On—sive Serviras Program_, DHHS2 343-4744. Additional Comments Ldp / Ill Date -�i The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS 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. 72-025 (Rev. 1191) Bock MOA 021 •` Municipality of Anchorage RECEIVED DEPARTMENT OF HEALTH & HUMAN SERVICES f Environmental Services Division AUG 22 1997 825 L Street, Room 502 • Anchorage, Alaska 99501 • �07) 343-4744 unicipality of Anchorage Dept. Health & Human Services Health Authority Approval Checklist Legal Description: T d r �7prv�QiO&fz S�0 Parcel I.D.: -A? ' I2 A. WELL DATA(: Well type 1 I�0 71z- If A, B, or C, attach ADEC letter. ADEC water system number Log present &N) YF—S Date completed `1116189 N14- „ Total depth -�67 Cased to /0 Casing height (above ground) ay Sanitary seal ON) Date of test Static water level Well production FROM WELL LOG �fthasr Wires properly protected ON) 06S AT INSPECTION 08 �191q� r g.p.m. /I0 9— p.m-)IG WATER SAMPLE RESULTS: Coliform o Nitrate r a r., 4- Other bacteria J--08 Date of sample: �c�a 1 11-t[9-+ Collected by: c�larp &4j&n'S B. SEPTIC/HOLDING TANK DATA Date installed 811�IBak Tank size )AGO Number of Compartments '�- Cleanouts ON) Foundation cleanout &N) ES Depression (Yrg � High water alarm (YA N%A- Date of pumping oe S ?t Pumper 00 M li6Nnunf C. ABSORPTION FIELD DATA Date in g I R189 Soil rating (g.p.d./ft2 or2/bdr ) �35 System type r D%1i41 r Length ' 6i) Width r S- Gravel thickness below pipe i W Total depth r 10 Few /WERi Effective absorption area 100 Si' Monitoring Tube present (`?YN) VFS Depression over field (Y/O1 No Date of adequacy test CoResults (Pass/Fail) I ( For Fov (L—,)—bedrooms Fluid depth in absorption field before test (in.);�Tj Immediately after k0gal. water added (in.): y �Z r �� / Fluid depth 3 Y3 (ins) Minutes later: 3S Mjr,. Absorption rate = 6664- g.p.d. Peroxide treatment (past 12 months) (Y/9 VyuT �yv-' If yes, give date �1 A 72-026 (Rev. 3/96)*fM _ SvS7EA4- TWK &� f10u5� URC'nM APP2ca 2 Mo'S QEFod-E {-�="Q, 7cs� '7 ICA(, /A/r nn r ,. _ I,— —"" 0v U! S i'mr.n N&4'ao r,, a,_ MO'LbMcni Q cvb 1 D. LIFT STATION /V/ Date insta e Manhole/Access(Y/N) High water alarm E. SEPARATION DISTANCES on" level at* *Datum gallons SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot /06 { On adjacent lots Absorption field on lot Public sewer main On adjacent lots "Pump off" level at* Public sewer manhole/cleanout IJ r Sewer /septic service line o2 Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: � / r Foundation /0 4- Property line /0 ,F Absorption field 5 Er7. Water main/service line /0 f Surface water/drainage (po l Wells on adjacent lots /U0 a SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line I { Building foundation 16 t-/ Water main/service line Surface water Driveway, parking/vehicle storage area /0 Curtain drain NOME &OL�r Wells on adjacent lots /00 14- F. k F. ENGINEER'S CERTIFICATION I certify that / h ve determined�pru field inspections and review of Municipal recordsPA A- in conformanc with MOA HAA1.quiJelipes in effect on this date. -%-, . ..... Signature Engineer's tU me —N AAkES G WILL/AAfS Date U�r> jayl`1 HAA Fee $ U (%a - 1 / Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number JAMES P WIIUAMS N0.9608 : are RCG—L9-1547 14:13 CT&E ESI RFKHOF.NGE ACME Environmental Services Inc. CT&E Ref.# Client Name Project Name/N Client Sample ID Matrix Ordered By PWSID 974623001 Alaska Water & Wastewater Services N/A 11250 Trails End Bibb Drinking Water `+E'15�15301 P.0=, O Client POk MritedDate/Time 08il9.'9711;09 CollectedDate/Time 08"14,'9712:15 Receir®d DateiTime 08,14197 12:1.5 Technical Director: Stephen C. Ede Released By /M , „ // � i, Allowable Prep Ana Ir, is Parniretor Rosutts POL Units ,Method Limits Date Date Init Nitrate -N 5.20 0.500 my;L SM15 6560-NO3F 10 max 00145/97 JDL Total Coliform 1 W w/o cot? per 100 ml SM13 92220 08/16/97 THd ' MUNICIPALITY OF ANCHORAGE AlaskaWalter & Pastewateir ENVIRONMENTAL SERVICES DIVISION 8471 Brookridge Drive — Anchorage — Alaska 99504 tivv Phone (907) 337-6179 — Fax (907) 338-3246 RECEIVED Consulting Engineers August 21, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: HAA for Private Well & Septic System. Lot 2, Stoneridge S/D. 11250 Trails End. Dan Austin Property. To whom it may concern The subject lot has a 4 bedroom house on it which is served by a private well and septic system. The results of the field invest�gation and adequacy tests are summarized as follows: A. WELL: On the day of our inspection (8/19/97) the static level was 48 feet below the top of the casing (BTC). Water was_pumped from the well at an average rate of 1.83 gpm for 383 minutes 704 gallons). The maximum drawdown was 32 feet, to 80 feet BTC. In short, only about 50 gallons, of the 704 gallons pumped, came from storage in the casing. Based upon this data it was determined that the capacity of the well exceeds the Municipal requirements for a 4 bedroom house (0.42 gallons per minute). B. SEPTIC SYSTEM ADEQUACY TEST: Per the property owner, the home had been unoccupied for several months. Prior to beginning the test, the monitoring tube was dry. The intent was to fill the drainfield with 1500 gallons of water, let it soak for 24 hours, and then test it. The fifteen -hundred (1500) gallons was introduced over a period of 27 minutes, and resulted in 34.5 inches of standing water in the monitoring tube. Thirty-five (35) minutes latter the liquid level in the monitoring tube was only 3.5 inches deep, indicating that virtually all of the water had been absorbed (in 35 minutes!). Based upon this data, it was determined that the absorption rate of the trench exceeds 600gallonsper day, as required for a 4 bedroom house. NOTE: The adequacy of a septic system is influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it is possible that there are hidden defects which may not have been detected. No warrantee is made regarding the future performance of this well or septic system If you have any questions, please contact me at 337-6179, 244-9612_, or on my digital pager at 1-800-481-1162. Thanklyou for your assistance. 0 Principal C.C. Dynamic Properties, Jed Weingarten MUNICIPALITY OF ANCHORAGE 04�h ,: ! Department of Health & Human Servicesaws DIVISION OF ENVIRONMENTAL SERVICES 343-4744 i-IFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF N -SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D.# c)t ra- i(n�- 1'-I HAA# 20 CYI 24 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) L.Z 0LjE2 C6 S22- TWP131J f23uJ Location (address or directions) T,eAILS END JZOAL OFF U;�QE,e QMALLEq (b) Property owner DA u AUST/6l Telephone: (home) Business SIoZ z5�5 Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone Telephone (e) Mail the HAA to the following address: (or check here tif hold for pick up.) List contact person and day phone number below: /- 2 b 2 2. TYPE OF RESIDENCE Single -Family C9 Number of'bedrooms�I — 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site CAS Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Re�.7/88) Page 1 of 2 Z to Z abed E..B (BB/L'Aey) SZO-ZL 'liom s,aaauibua leuolssaload agl ul suolsslwo ao saoaaa aol alglsuodsaa lou si ebeaogouy to Lglledlolunw agl'panssl si alnipliao a aaolaq elep azAjeue ao suolloodsul lonpuoo lou op SHHG to saaL(01dw3'sluowa.(inba.( alels pus leaapal welaao Alslles olaapao ul suoilnIgsul bulpua alagl pue sawoq to saasegoand of /`sapnoo a se slgl saop SHH4 agl 'e�IsuIV to alelS agl ul paaalslbaa i,oaui5ue leuolsseload luepuedapul ue Aq anoge g gdea6ejed ul uanlb suolleluasaadaa eql uodn Aluo paseq paleolllaao lenoaddy Allaoglny glleaH sanss! (SHHO) saolAaaS uewnH pue g)leaH to luawlieda0 abeaogouylo AI!led!oluny' agl NOI.Lnyo lenoaddy Ieuolllpuo0 to swaal Ieu0lllpu00 panoaddesl0 panoaddy ale Aq swooapeq aol panoaddy IVAOdddV SHHO '9 a•[zsv uosiopu\+ '] looll°"N ea s,aaauiBu �'' leas 3 in s� �6 °t.... *7(Y �o l97 `!? o/ alep S N4/O l FLLQ� ©dssaaPPV .9F -LFF e 2. O/ auogdalal hN- Zar 7_3 i'0rx?Q wild to aweN ,uolloodsul slgl to alep agl uo loalla ul suollelnbaa pue'saoueulpio'sepoo alelS pue ledlolunyy Ile gllm eouelldwoo ul sl welsAs Iesodslp aalemelsem jo/pue AIddns aalem ails-uo agl'uolloadsul pue uolle61lsanu1 +(w woal pue salll O5ejogouy to ll1ledlolunN agl woal paulelgo uollewaolul agl uo paseq legl AllaaA Jaglanl 1 'ulaaag paleolpul aanlonals to odAj pue swooapoq to aagwnu agl aol alenbape pue leuollounl 'ales sl welsAs Iesodslp aalemalsem ao/pue Alddns jalem ails-uo agl legl smogs Ienoaddy Aliaoglny glleaH S!gllo u0lle61lsanul Aw legl A paaA I'molaq umogs alep uo!leP!IeA agl to se pue olaaag pax!lle leas Aw !q pallllaao sy N011VWH0dN1 0NV V1V0'HOHV3S 3llj'S1S31'SN01103dSNl ONIOIAOdd Wtlld ONI833N1°JN3 'S Geo P�s\o�� MUNICIPALITY OF ANCHORAGE (MOA) �L�� F Pc �So • Health Authority Approval (HAA) \G\vP4 ��S' CHECKLIST - F4 RUARY 1984 roc 0 �� Legal Description: LOT 2 STD.I/Ef/OGE A. WELLL�S17 X Well Clla``ssification P2/1/.9TE If A, B, C, D.E.C. Approved (Y/N) N� Well Log Present (Y/N) __y___ Date Completed Yield / 5 GPm Total DepthZ(R?' Cased to y71 Depth of Grouting NouF Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) SEPARATION DISTANCES FROM WELL: Pump Set At 2-37, Sanitary Seal on Casing (Y/N) — Depression Around Wellhead (Y/N) To Septic/Holding Tank on Lot /0", ; On Adjoining Lots /C90I", To Nearest Edge of Absorption Field on Lot /Ziy ; On Adjoining Lots /oo't To Nearest Public Sewer Line X116E5 To Nearest Public Sewer Cleanout/Manhole /y/iLES To Nearest Sewer Service Line on Lot 910 Water Sample Collected by !AI MCFALOEA ; Date e4&a/B9 Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 9-17-99 Size /Z 50 No. of Compartments Standpipes (Y/N) Y Air -tight Caps (Y/N) V Foundation Cleanout (Y/N) I Depression over Tank (Y/N) 'V Date Last Pumped N2E: rW r?onsr�ucr/o,v Pumping/Maintenance Contact on File (Y/N) NEIA/ ; for CD/lSTUcr/o r/ Holding Tank High -Water Alarm (Y/N) A�Temporary Holding Tank Permit (Y/N) tiA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well /off 1 To Building Foundation To Property Line To Water Main/Service Line 66, To Disposal Field '1 To Stream, Pond, Lake or Major Drainage Course ifI194146, elose.4v Comments S£pTiG TAN/L /S ADEc2U4TE 72-026 (Rev. 7/88) Front Page 1 of 2. C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design W• 1>2Ai ^J Date Installed 6- /7-69 Length of Field & 0* Width of Field .5 Depth of Field Gravel Bed Thickness Square Feet of Absortion Area 600 Statndpipes Present (Y/N) Depression over Field (Y/N) _ Results of Last Adequacy Test Date of Last Adequacy Test ,✓,siv co JsZeaerloAl SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well /2 N To Property Line �S To Building Foundation `/Z Lot NONE oN L OT On Adjoining Lots To Existing or Abandoned System on -I . To Water Main/Service Line A0 To Cutback (if present) iVOdIE PQESOUT To Stream, Pond, Lake, or Major Drainage Course NONE L°/05E&x To Driveway, Parking Area, or Vehicle Storage Area .35 Comments is A.O.EpPUATE" D. L TATION Date Installe Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) **Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent(Y/N) _ I certify that I have checked, verified, or conformed to all MOA and inspection. Signed Company Awentod U= &JiJ1:FyU J (, Date /O,LL �� S ® °" , MOA No. Receipt No. �! Z2 4,1 �O JrCp 7 Date of Payment — 0 Amount: $ Z e�l Cl) Pumping Cycles during Adequacy Test. in effect on the date of this OF °D rr Ib oep]ee 0°OP o6°ero •n o �' i�'i Michael E. Anderson 4367-E Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Beck Page 2 of 2 Engineer's Seal Client Sample ID:L2 B1 STONERIDOE PWSID :UA Collected OCT 22 89 @ 13:00 his. Received OCT 23 89 @ 13:30. his. Preserved With :AS REQUIRED ChenLab Ref. # :8190 LAB INSTRUCTIONS for Work Order # 17735 Date Report Printed: OCT 25 89 @ 09:17 Client Name MCF"ADD"c N, WAYNE Client Acct MCFAWC P.O.# NONE RECEIVED Req # Ordered By : WAYNE MCFADDEN Analysis Completed : ID—A6-0 Send Reports to: Laboratory Superyisor :STEPN C. EDE 1)MCFADDEN, WAYNE Released By ^ � 2) Special WET WATER. instruct: Chem! CLIant Parameter Sa:rple # Sample Description Matrix To Test Method Units Result 1 =_= L2 B1 ------------ =- ---- 1 20153 -NITRATE -N __________________________EPA 353.2 erg/1 =____ .J =_