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Home My WebLink AboutGLACIER VIEW HEIGHTS #2 BLK E LT 9 Onsite File Glacier View Heights # 2 Block E Lot 9 #050 - 491 - 44 Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181287 PID Number: 050-491-44 Dwelling: limil Single Family (SF) 0 Duplex (D) E] Multiple (SF and/or D) Project: El New X Upgrade Name: Steven A & Cheryl D Workman ABSORPTION FIELD F-71 Deep Trench 7 Shallow Trench El Bed F-1 Mound Address 22949 Glacier View Dr. Eagle River, AK El Other Phone Number of Bedrooms Soil Rating Total depth from original grade 884-7001 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft, Subdivision Block Lot Glacier View Heights #2 E 9 Fill added above original grade Ft., Gravel length Ft, Township Range Section Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. To! Septic 'I Absorption Holding Lift Station Sewer Total absorption area Number of trenches Dist. between trenches From j Tank 1 Field i j Tank Linet2 F Ft. Well I >100, N/A N/A i N/A, >25- TANK E Septic ❑El S.T.E.P. ❑0 Holding F-1 Other Manufacturer Greer Capacity 1250 Gal. Surface Water i >100'1 N/A N/A N/A Material Number of compartments Lot Line >10, N/A N/A N/A Plastic 2 NA Foundation >10' N/A I N/A N/A LIFT STATION Manufacturer Capacity Gal. Curtain Draini None i Noted Remarks Tank replacement only Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank to D3034 drainfield Installer Owner Install Drainfield CO/MT D3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspdates:ection 1" 10/12/18 nd Location and description 2 3rd - 4th Bottom of siding COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date 4-9 TH Benian J n, Schiller Approved Date 10&lis CE 1 092 P/2 Z�q� 1k, OSE f Inspection Report-9-1-12.doc F"LAN AS -BUILT 2CO A 26.3 9.4CO-CLEANOUT svi 27.0 10.9 2CO'DOUBLE CLEANOUT SV2 29.3 16.2 FCO-FOUNDAT|DNCLEANOUT FS'FLOW SPLITTER VALVE | �� 0 50 1 100 MH - MANHOLE FEET MT - MONITORING TUBE SV - SEPTIC VENT (NO SCALE) NORTH Scale 1" = 100' N83° 09'00"E 50.00' Nino r Z Frontier Surveys, LLC Project No: 18-434 Date: November 5th, 2018 Ordered By: Jane Almon Plat: 71-159 Grid: N/A S89* 57'30"E 345.00 Glacier View Heights Addn. No.2 Lot 9, Block E 195,806 sq.ft. +/- 22949 Glacier View Drive 2 Story Wood Framed House HOUSE DETAIL SCALE 1" = 30' ti LOT 8 M� ti NN Mme. 14, �O �i GRAVEL DRIVEWAY yy / \ h I Z84 0 100, S \ I rS a� R;8006� \ \ N \ 1 Q Legend: �O) Y Electric Meter/Outside Power gy(>-) Telephone Pole Satellite Dish Gas Meter ® Deck —0— Fence Light Pole S; Septic ,W; Water Well rta Mailbox —OHP— Over Hanging Power SEE HOUSE DETAIL 0 50 100 200 Feet General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Law. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. Dimensions to property lines are plus/minus 0.1ft. 4 PSE OF Al,'q'S�'�, C, *:47TH * i .. .. •FREDERIC W. NER • : •� NO. L.S.-9946 �� 11/6/2018 J�— /��rF�'O PROF...... A`•�P�OyJ�= tttt,ESS ON PROFESSIONAL SEAL This survey complies with ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restrictions which do not appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. As -Built Survey of: Lot 9, Block E, Glacier View Heights Subdivision Addn. No. 2 I, Frederic Wagner, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on November 2nd, 2018. Frontier Surveys, LLC FRONTIER„ 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 &�� 907.460.1686 - info@frontiersurveys.com www.frontiersurveys.com oti.P f, MUNICIPALITY OF ANCHORAGE vaunt /1" ' ��, On-Site Water&Wastewater Program No 5o,, PO Box 196650 4700 Elmore Road d�' 4 S r. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997r. t j httpa/www.muni.org/onsite Q \` cparMen t OhCH On-Site Wastewater Disposal System Permit Permit Number: OSP181287 Effective Date: 8/27/2018 Work Type: SepticTank Upgrade Expiration Date: 8/27/2019 Tax Code Number: 05049144000 Site Legal Address: GLACIER VIEW HEIGHTS#2 BLK E LT 9 G:0059 Site Mailing Address: 22949 GLACIER VIEW DR, Eagle River Owner: WORKMAN STEVEN A& CHERYL D Lot Size in Sq Ft: 195806 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 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 • • Received By: _i'L i /2 Date: 2 // S ��i Issued By: Date: WL$13J5 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. 050-491-44 Property owner(s) Steven & Cheryl Workman Day phone 884-7001 Mailing address 12244 Breckenridge Dr, Eagle River, AK 99577 Site address 22949 Glacier View Dr Legal description (Sub'd., Block & Lot) Glacier View Heights #2 Block E Lot 9 Legal description (Township, Range & Section) Lot Size 195,806 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field Li Initial ❑ Single Family (SF) U (w/wo ADU) Septic Tank X Upgrade n Duplex (D) U Holding Tank ❑ Renewal LJ Multiple Dwellings ❑ Privy i I (SF and/or D) Private Well ❑ Water Storage U 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: c2//5 Waiver Fees: Date of Payment: L a del pp Date of Payment: Receipt Number: OReceipt Number: Permit No. OS Pa/ Y7- Waiver No. Permit App__- • ::..,c August 27, 2018 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Glacier View Heights #2, Block E Lot 9 8/27/18 Septic tank replacement Dear On-Site Services Engineer: The septic tank on the above lot is 40 years old, and the owner has decided to replace it. The existing home is a 4-bedroom. We are submitting this permit application for the placement of a new septic tank. The attached site plan identifies the location of the existing home, well and septic system, as well as the location of the new septic tank. The drainage pattern in general will not be changed by the construction. The existing tank will be pumped dry and decommissioned per code. It is a 1500-gallon tank and currently sits within 10’ of the house foundation, underneath the exterior deck. The deck will be completely demolished and not rebuilt. The homeowner would like to replace the tank with a 1250- gallon one, since the house is currently a 4-bedroom home. The new tank will then be placed outside the 100’ well radius and 10’ away from the foundation of the home. After the new tank, we will install a double-cleanout and connect into the existing absorption bed. A double cleanout will also be placed before the tank, or a foundation cleanout if that can be installed. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181287, Rebecca Carroll, 08/27/18 ..\seal - anderson signed.jpg EXISTING WELL SV 10050 0 FEET 1"=50' NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND COMT GLACIER VIEW HEIGHTS #2 BLOCK E LOT 9 Aug 27, 2018 SLOPES > 25% SLOPES > 46% 4-BDRM HOME 30' SLOPE MAINT. ESMT 20' UNTIL ESMT EXISTING 1500-GAL SEPTIC TANK REMOVE AND DISPOSE OF OFF-PROPERTY NEW 1250-GAL SEPTIC TANK MAINTAIN 10' SEPARATION FROM FOUNDATION SV FCO 2CO EXISTING DECK TO BE DEMOLISHED Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP181287, Rebecca Carroll, 08/27/18 Frontier Surveys, LLC Project No: 18-290 NORTH Ordered By: Jane Almon Scale 1" = 100' LOT 8 Date: July 26th, 2018 Plat: 71-159 1 Grid: N/A S89* 57'30"E 345.00 Glacier View Heights Addn. No.2 Lot 9, Block E 195,806 sq.ft. +/- 22949 Glacier View Drive 2 Story Wood Framed House / HOUSE DETAIL SCALF 1 " = 30' N ti GRAVEL DRIVEWA 184 0 HED :0, �zmo 3�. 00` W? 50.00' — 7 Legend: L'1 .R �6 \ 00", �Ey Electric Meter/Outside Power Gas Meter ® Deck S; Septic W; Water Well \ N \ 1 Q Telephone Pole Satellite Dish —0— Fence Light Pole rta Mailbox —OHP— Over Hanging Power 0 50 100 200 Feet General Notes: 1. This document is created for the purpose of a single property transaction and is subject to Federal Copyright Law. 2. Excepting for gross negligence, the liability for this survey shall not exceed the cost of preparing this survey. 3. All measurements/setbacks are to the visual/apparent building footprint. 4. Dimensions to property lines are plus/minus 0.1ft. 4 PSE OF Al,'q'S�'�, C, *:47TH * i .. .. •FREDERIC W. NER • : •� NO. L.S.-9946 �� 7/30/2018 /��rF�'O PROF...... A`•�P�OyJ�= tttt,ESS ON PROFESSIONAL SEAL This survey complies with ASPLS Mortgage Location Standards. The survey represents visible improvements and conditions at the time of the survey. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may reveal. It is the responsibility of the Owner to determine the existence of any easements, covenants, or restrictions which do not appear on the record plat. Under no circumstances should this document be used for construction or for establishing a boundary or fence line. As -Built Survey of: Lot 9, Block E, Glacier View Heights Subdivision Addn. No. 2 I, Frederic Wagner, hereby certify that this Mortgage Inspection Survey was performed by me, or under my direct supervision on July 24th, 2018. Frontier Surveys, LLC FRONTIER„ 650 W. 58th Ave. Suite E Anchorage, Alaska 99518 &�� 907.460.1686 - info@frontiersurveys.com www.frontiersurveys.com i~) MUNICIPALITY OF ANCHORAGE DEPARTMEN'r OF HEALTH & ENVIRONMENTAL PROTECTION ENVlRONMENI'AL ENGINEERING DIVISION 825 L Street -Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SE:WAGE DISPOSAL SYSl'EM AND/OR WELl_ INSPECTION REPORT NAME Well Absorption area Dwelling ~65~:~ PERMIT NO, ~ Z Manufacturer~O~ Material~gt~l-'~t'~-I-- No. of compartments ~ t. iq. capacity in gallons --,~}O IF HOMEMADE: Irlsidelength ~ I ~ Width F ~ Liquid depth 0 ~ ~ Manufacturer Motorial ~iqu~d capaciW in ~allons ~~m~Z NO. of lines ~ LenDth of each lin~.~ Total length of lines Trench width Distance between lines ~ ~ ~ Top of tile to finish grade Material beneath tile ~ Total effectivegbsol'ption area ' Width Depth PERMIT NO. Length ~ T~pe ot crib Cd~ di er Crib depth Total e~fective ~Osorp~ion alea ~ Well Building foundation Nearest lot line ~ DISTANCE TO: .~ ~ass Depth Driller Distance to lot line PERMIT NO. Building fouadation Sewer line Septic tank Absorption area(s) :> DISTANCE TO: OTH E R ~ SOILTESTRATING ~.~ __ '~ ~ S ~ ¢ INSTAL[-E~ ~ F ~ REMARKS :::,~ :PF ~ THENT . ~E B '". : '., , ~ I. ',,'~ ~ ~ ~. I" ~:~.:i'nl , 'ri:' ""l"~' "i,.~?~¢¥- ~,£~'--~ ~ ::'~: ~'.P'I ] T NO " 7 ::',PL %1.~:: ', MI' ~ -~ I I , V I/~1 ./':f~' )' ............ ~/~. z.~ /, .~ ~ ~ ~',~.~-,, ...,N, '-.~'" n', "',:~, ~-,., -. ~.~ - .~v,: , ...... L H_RI ............. , .......... :, ...... . -. , .~: ~.q~ '~,~" ~ ............................. ::"'~' /~%~, ~,% ~ ..... ",~ '."" I..L...'" I ZUN [::.dd_E r~:l,,,~f4: F:) ~ ~' ............... ~ ...... 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[:'E:PEN[::']CI'.,IG LIF'OI'.,I THE 'T'"r'F:'['!: OF' pI...l[~[[...]:l::: I,.1['.:1...l I.,.IEI._L [..Of..35~ IqF::[.::: [~:.E:X;!I...I]:F~:EI) F:INI') i"IU:ST Ei~[i~ [~:[E'r'IJFi:I'.,IED TO THE OF;' '['1..1[~. I,]EL.L. COP1F:'LE.7t'i ON. O'['HE::F.: 14'.EL':.!IJ .T. RL::i"IENTS; HFI"r' FIPF:'I_"r'. :!i;P[i:O :[ F ]: CFIT Z O1',1~ FIND CON:!!;T[~:IJC:T l::l'v'l::1:1: [..F:IE~t..E TO :[ NSI..IF:'.EC F:'I:;b3F'[EI:~: Z N!STFILLI:::II"I O1",1. :[ C:EWI":IZI:::".r' "f'Hla'r J.: :[ I:::IH i:::'l::ll"l :[ [... :!: f:~[;;: P.I:['FH 'tHE I~.:IECit.I]:I:~:Ei',lEI',I-1'55 FOF: Cff.,I.....5:';:[TF!: 5EI4Et::;'.S I::INI:::, I.,.tELJ....:E; Fl:iS 51E'F F:'Oi:;;:TH I:i','¢ 'THE I',R.II'..t ;;i'.: ]: 14 .T I...L I Iq::STFILL 2[:: ]: LINE:,[EF;:STFIN[::, THFIT THE C$,I..-:E;]:TE ':'SEI4Et~: f5"r'5;TEH HFI"/ I:;i:EX.:.!I...I:[t-,~:[: lii:I",ILF:II:;;:(:iEi"IEIqT ]:f::' "I'H[!: F::E:i~; ]: I)I::NC.'E 15!; FIF'F:'I.. :[ CFII'.,IT 5;TE',,,'E/I'.~ [,.IOF.:I.:::HFII'.,I '~'~: c:'.,-'. ....................................... SOILS Performed fo~rl____ $~D_v_o_lfQrkman ]3ate ....7_uae~. 5oo .fg North from Sough lo~ line, z[OO ft Eaot from West lot line. ~b ~-from hu~e Soil Type Water Level Reli13 rks 2 ] 4 16 18 2O GW Mixed sand andr~,~zav..1,, ~ some sil'b. Bole completely dry, even in pouring rain. Total Depth of Excavation Groundwater ('ii) Not Reache¢~ Depth, if Reached Class:i fica tion Method (X) Visual ( ) Sieve Analysis () 16 ' Material at Total ]aptn Bedrock (~ Not Reached Depth, if Reached Gary F. Player, Consulting Geologist d ':x" ' Z. TYPE OF DWELLING: M Single Family (w1wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) MR, 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well E Private Septic ED Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: (ZwA� Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA # () 15U 19 1 431� Waiver # ` 5. STATEMENTC}FINSPECTION BYENGINEER . Astertified bymyseal affixed hereto and as of the validation date shown below, |verify that myinvestigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this app|icodoo, shows that the on-site mmh*r supply end/or wastewater disposal ayabam is (are) oafe, functional and adequate for the number of bedrooms and type of structure indicated herein. | further verify that based on the information obtained from the Municipality of Anchorage 5|oa and from my investigation and inopeotion, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ondinoncea, and regulations in effect at the time of installation. Name ofFirm Forge Engineering phone 907-522-7773 Address 1399 VV. 34thAve Suite 203.Anchorage AK99503 Engineer's Printed Name, Benjamin Schiller, P.E. Date 8/27Y18 G. DSD SIGNATURE / System #1 Approved for q bedrooms System #2 Approved for bedrooms v/ Conditional approval for q '� L � d�� '/ C_ ��\ � �� ue- bedrooms, with the following stipulations: � {}01 PJER NO By: IL cla)L/Urd Original Certificate Date: '20 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA)mased only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality ofAnchorage is not responsible for errors oromissions |nthe professional engineer's work. 7. ATTACHMENTS: CDGACheck|kst X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other________ COSA Cheddist blue sheet Ifmore than iseptic system iomnthe lot: C08AChecklist # -of ___ Structure served bythis system Legal Description: Glacier View Heights "2 ~|OC" E Lot Q A. WELL DATA Well type Private A, B, or C provide PWSID # WellK] U��OVV� \/ Dateoomp|etad `~ '` Sanitary seal (YYN)_,__ Total depth160ft. Cased to ft. FROM WELL LOG Date of test UNKNOWN Static water level Well production WATER SAMPLE RESULTS: ft� Coliform NGO 000niea100mL Nitrate ,^1_,A��'_mg/L Arsenic ND ug/L Date of sample: 8/15/18 B.SEPTIC/HOLDING TANK DATA �� r`�',~/[]| �f' �� / /�� \(� �mkTy��u�ho| �/� �� Tank size 1250 � gal. Number ofCompurtments2 .. Wires properly protected (Y7N)Y Casing height (above ground) 24 AT INSPECTION A/14/2D1A �� .. Collected by: 907 Water\8/eUS Dab* installed 10/12/18 Cleannuie(YYN)_'_______ Foundation cleanout (Y/N)Y Depression over tank (YW YN) ..,__ High water alarm (Y/N) . W~ xJ of r�' /�e�/ ��j�]��[�,'��(]n Dateofpumping Pumper New in. 8/15/1978 Soil rating (g.p.d.mzorftzx`drn) 85 System type Deep Trench �7 ��DC��G ��O Length ~-' ft. Width "` inches ft. Srav�|be|o�pipe^�ft. 14 �32 \/ N Total depth E��boorpUonorea y�un�orngbube_,Oepreosionov�r�e|d..,__ Date ofadequacy test "' ''' '" A/17/1�� Reau|bs(Paoa/Fai|)Pass For/1 bedrooms Fluid depth inabsorption field before test 26 in. Water added 1465gal. New depth .84in. 1365 61 AOD Elapsed Time�___nnin. Final fluid depth _=_. in. Absorption rate >= """ g.p.d. Any rejuvenation K|O�� uvenationtro�tment(paat12mo�)(Y/N&h/p�) '^ |fyes, give date ________ D. LIFT STATION Date installed "Pump on" level at Datum _ Size ingallons __ in. "Pump uff'|ave|at — Cycles tested E. SEPARATION DISTANCES WELL {}NLOT TO: 2 Manho|e/Aooena(YYN)_______ High water alarm level sd_____ Meets alarm & circuit requirements? / O0 ' O� Sao�o�nK8station k�"1 onon � >1 00' On lotslots�,1'�" ' DO ' lots � :» Absorption field �'1 o|dnn|ut >1 00' DnacUaoent1'"~ '79 Public sevvermain >1 PubUcoevvernnanhole/cleanout >100''°°1OO '/ >75'� Sewer /septic service line >25'^-~��Holding tank ' ~ ' Animal containment areas >50'~~�OK8anure/anima| excrete storage areae>100' SEPTIC/HOLDING TANK DNLOT TO: M �M Building foundation ��1 on '= Property 1 ' y|in� "° ' O Water main �~1'" Water service line >10' Wells onadjacent lots >100'_'_.^��___ ABSORPTION FIELD ONLOT TO: / O Property �"1 y|ine >1 0, Building foundation >10/ / VVater8emioeline >10' Su�>100'iOA �oewater '"" NO��NOf�� >100'Cu�aindrain '` Noted " VVe||aonad]acent|ota___,�`,_ F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that / have determined through field inspections and review of Municipal oeomzs that the above systems are in conformance with MOA CC}SAguidelines /neffect onthis date. Engineer's Printed Name -Benjamin Schiller, E Date 10/24/1u COSA brown sheet -1 0-10-1 2.doc Absorption field >5 Surface water >1 00' 1D Water main >/ n '" Driveway, parking/vehicle storage >1O' in. MUNICIPALITY OF GE Q , Development Services Department z` E • p p �. • -hone: 907-343-7904 On-Site Water & Wastewater Section ti Fax: 907-343-7997 t Gr Certificate of On-Site Syste z -,• • •• o>" Parcel I.D. 050-491-44 Expiration Date: e•(., H a 01 1. GENERAL INFORMATION Complete legal description Glacier View Heights #2 Block E Lot 9 Location (site address) 22949 Glacier View Drive Current property owner(s) Steven & Cheryl Workman Day phone Mailing address 12244 Breckenridge Drive, Eagle River, AK 99577 Real estate agent Day phone 2. TYPE OF DWELLING: 111 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: (/ /1 Pf1 i ,(O Date: 6/1/41//E COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ /I )4'O Waiver Fee $ Date of Payment g/a''//' Date of Payment Receipt Number OQV I to Receipt Number COSA# 5C._igr1 L1.37' Waiver# • 4441 _No 3 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 Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 203, Anchorage AK 99503 Engineer's Printed Name Benjamin Schiller, P.E. Date 8/27/18 9F AL,Z% 4g TH 6. DSD SIGNATURE *: . /\ •* f. System System#1 Approved for bedrooms 00 • y•••' '' •"' / j Benjamin,Schiller System#2 Approved for bedrooms ��`�C�sl.,• CE 1592 t - r Disapproved lI DPROFESS\ONP�� Conditional approval for 7 bedrooms, with the following stipulations: Se.P�-i c -4-conk s tl be ref(4ce d rrryIr - 0 181 Ds 8`1) ark Close i o t y Set-I-e.rvm b er- 3 O'""' 01 $. `1 \ ON SITE WATER AND WASTEWATER c. �1 PROGRAM c CaBy: �Q Original Certificate Date: sef`E yf 20 ( $ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet • 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: Glacier View Heights #2 Block E Lot 9 Parcel ID: 050-491-44 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) N Date completed Unknown Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 160 ft Cased to ft. Casing height(above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test UNKNOWN 8/14/2018 Static water level ft. 56 ft. Well production g.p.m. 10 g.p.m. WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate 0.485 mg/L Arsenic NDug/L Date of sample: 8/15/18 Collected by: 907 Water Wells B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed *8/15/78 Tank size 1500gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout(Y/N) N Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping Pumper *To Be Replaced C. ABSORPTION FIELD DATA Date installed 8/15/1978 Soil rating (g.p.d./ft2 or ft2/bdrm) 85 System type Deep Trench Length 27 ft. Width 34 inches ft. Gravel below pipe 8.0 ft. Total depth 14 ft. Eff. absorption area 432 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/17/18 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 26 in. Water added 1465 gal. New depth 84 in. Elapsed Time: 1365 min. Final fluid depth 61 in. Absorption rate >= 600 g p d None Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm &circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 1�� On adjacent lots 100' Absorption field on lot 1�� 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' SEPTIC/HOLDING TANK ON LOT TO: >10'* Building foundation Property line >5, Absorption field>10' �5 Water main Water service line 1 Surface water 100 Wells on adjacent lots_ >100' ABSORPTION FIELD ON LOT TO: Property line Building foundation >10 Water main >10 Water Service line Surface water >100 Driveway, parking/vehicle storage 10' Curtain drain None Noted Wells on adjacent lots >100' F. COMMENTS *Septic tank is to be replaced after conditional COSA is approved. G. ENGINEER'S CERTIFICATION -4 OF e, I certify that I have determined through field inspections and AwkQ:•• •.• • 'i review of Municipal records that the above systems are in / •• 9 conformance with MOA COSA guidelines in effect on this date. *•�TM �\ *+� Engineer's Printed Name : �.. ... .••.. • PA / Benjamin Schiller, PE ,} .. '/ 8/27/18 r Benjami .chiller :� Date I C 592 • / floieO 10 1, OrESS .`6. COSA brown sheet 10-10-12.doc wzskania,R., vitir„ 90 7 r? RESIDENTIAL&COMMERCIAL WATER AND WELL SERVICES 24HR EMERGENCY SERVICES AVAILABLE FREE ESTIMATES 8/14/2018 In regards to the property located at 22949 Glacier View Dr ( Glacier View heights# 2 Blk EL9). A Flow test was conducted on this property with the following findings. Total depth of well is 160 ft deep Static water level 56 ft Well produced in excess of 10 g.p.m for 4 hrs Well had temporary electrical line above grade during time of testing. Client understands that #10 u/f AWG will need to be buried upon completion of current excavation and grading of road access to property. John Netherton PO BOX 240773 ANCHORAGE,AK 99524 V E 522-7773 677-7766(FAX) ENGINEERING FORGECIVIL.COM August 27, 2018OF! a; 4;lio MOA Development Services, On-Site Water& Wastewater Program Ay,*'49TH j _$4 4700 Elmore Rd % Ile' Anchorage, AK 99507 '• • Benja hiller •' ��?'s% CE 12592 • j •, Subject: Glacier View Heights #2, Block E Lot 9 I' srF.••. 8/27/)8•.•'• Conditional COSA i>>'��`Ess0 Dear On-Site Services Engineer: The septic tank on the above lot has failed, so we have submitted a permit for a tank replacement. This permit has been approved. However, the owner and buyer discovered this during the sale of the home. The seller is unable to extend the purchase period of the home for some financial reasons. We request that a conditional COSA be issued, so that the new owners can take possession of the home and have the work completed after. They are in agreement with this arrangement. We have obtained three bids from different contractors, and 150% of the high bid is being placed in escrow. The work will be completed within the next two weeks, so there is no reason to delay the COSA in order to verify the work first. The work to replace the system will happen as soon as possible. Currently, there is no effluent daylighting or coming up anywhere. There is no threat to health and safety in issuing this conditional COSA. Sincerely, Benjamin Schiller, PE Vanguard Real Estate 1530 Gambell St. Anchorage, Alaska 99501 9-1-2018 Please be advised that the Vanguard Real Estate Trust Account has $10,050 on deposit to secure a temporary COSA for 22949 Glacier View Drive, Eagle River, Alaska. This money will be released from the trust account upon presentation of a current full COSA issued by MOA. Please contact me if you have questions regarding these trust funds. Regards, %crZ—/0/7. Z4—" William de Schweinitz Broker Vanguard Real Estate William de Schweinitz, Broker cell 907-884-7001 FAX 907-646-7021