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STEELE ESTATES LT 3
Steele Estates Lot 3 #051-122-63 www.sullivanwaterwells.com Pump Installation Log Well Drilling Permit Number: SW Date of Issue Parcel Identification Number: Legal Description Property Owner Name & Address Steele Estates Lot 3 Chris Tarver 22107 Bear Mountain View Circle Chugiak, AK 99567 Pump Installation Date: 8-24-21 Pump Intake Depth Below Top of Well Casing: 50 feet Pump manufacturer’s Name: F&W Pump Model: 4F11P05301S Pump Size: 1/2 hp Pitless Adapter Burial Depth: 10 feet Pitless Adapter Installer: Unknown Disinfected Upon Completion? yes no Method of Disinfection: Chlorine 50 PPM Comments: Pitless Manufacturer: Unknown Pump Installers Name: Sullivan Water Wells Attention: The pump installer shall provide a pump installation log to the DSD within 30 days of pump installation. Municipality of Anchorage L-," ijv g-m�, �1 ��.j 'Wrt On -Site Water and Wastewater Program - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT AUG 28 Z017, Permit Number: OSP171216 PID Number: 051-122-63 Dwelling: E Single Family (SF) F71 Duplex (D) 1771 Multiple (SF and/or D) Project: New Upgrade Name: Jason Baarts & Catherine Parker ABSORPTION FIELD R Deep Trench R Shallow Trench Z Bed Mound Address 22107 Bear Mountain Cir, Chugiak, AK 99567 El Other Phone Number of Bedrooms Soil Rating I Total depth from original grade 1 3 0.8 GPDISFI Per design / MOA Docs 5.9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Per design / MOA DOCS — 5.33 Ft. Gravel depth beneath pipe 0.53 Ft. Subdivision Block Lot Steele Estates 3 Fill added above original grade 0.35-0.42 Ft. Gravel length 32 Ft. Township Range Section Gravel width 18 Ft. Beds: Number of Lines 3 Distance between lines 6 Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 576 Fe Ft. Well 100+ 100'+ NA NA -Z_51 TANK 0 Septic [I S.T.E.P. El Holding El Other Manufacturer ANCHORAGETANK Capacity 1 1000 Gal, Surface Water 100'+ 100'+ NA Material STEEL Number of compartments 2 Lot Line 5'+ **51 NA — NA Foundation 5'+ 10'+ NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain NA *50'+ NA NA Remarks *None known. Existing tank Pump on level at in. Pump off 11 vel at in. High water alarm at I in. decommissioned per code & bed removed & replaced per permitted design. **MOA Waiver Pump make and model Electrical Inspections performed by Soils — SW w/ fines per vis. & MOA Does / Permitted Design Tankto PIPEMATERIAL Housetotank3034 drainfield 3034 installer Dakota Diggers Drainfield 3034 CO/MT 3034 inspector ARCTERRA BENCHMARK (Assumed elevation) 100 ft Inspection 1" 8/22/17 nd8/22/17 Location and description dates: 2 3'd8/22/17 4"8/23/17 Poor Sill COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin ov 4 Conditional Approval: Date Or A 9'rt 64 KEINN L D F' of Approved Date eer's Stamp inspection Report-9-1-12.cloc AS��—T�UT|T �Y��T�k4 �[T�T|�/�TT[ �|�N —BUILT �/�,u/ �/�-/n���/��/� /�n/, STEELE ESTATES LOT 3 111 r) COMPUTM. M � A -E=76.0' (� BMW {] CHECKED: 0 A -F=85.0' _ 0 nn -� GRID* M LU A -G=109.5' : C] Mo '& REPLACED C} W1 T NEW BED O A -H=102.5' 0 ~ ~ TANK � r C] co C)2.68 CO ~~ \ \ NEW l000 / SEPTIC T A-C=61.O' B -C=42.5' A -D=70.5' 8-D=48.5' EM PREV. EXMT. REMOVED EXIST,/CONT, SOIL & ADD1' MOA SAND COMPUTM. A -E=76.0' DRAWN: BMW B -E=62.0' CHECKED: 5 ~� A -F=85.0' C3E2:>\ Xn:n nn 8-F=62.5' GRID* NW1 562 A -G=109.5' JOS No.: 1000 GAI B -G=94.0' /KM DOM C3 IC SEPTIC A -H=102.5' ~ TANK B—H=93.5' C)2.68 Permit OSP171216 PID# 051-122-63 O . O | | [] | | 71 WELL (9 ENTRY cd 0 GRAVEL BM 42�- 6.01 8,47� COMPUTM. BOUNDARY- N LA DRAWN: BMW STAWNG: SLS CHECKED: nn n FINAL GRADE C3E2:>\ Xn:n 97.70 DWG. FILE GRID* NW1 562 ACAD nLF- FILE JOS No.: 17-204 /KM DOM SEWER ROCK I _W' AMVE BW ImA SCALE, NTS PREPARED FORt JASON BAARTS 22107 BEAR MOUNTAIN V\/. CIR, FIELD BOOKS COMPUTM. BOUNDARY- N LA DRAWN: BMW STAWNG: SLS CHECKED: KMD ASBULT. SLS DAM 8/28/17 DWG. FILE GRID* NW1 562 ACAD nLF- FILE JOS No.: 17-204 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: OSP171216 Work Type: Septic Upgrade Tax Code Number: 05112263000 Site Legal Address: STEELE ESTATES LT 3 G:1562 Site Mailing Address: 22107 BEAR MOUNTAIN VIEW CIR, Chugiak Owner: BAARTS JASON 50% & Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: ,,, C 116 i f Depa l'tnien t Zz- r $d fl 8/18/2017 8/18/2018 52251 Q 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 Received By: Issued By: kd nt"O_k CWVLv Date: v ll -P //7' Date: 3 iMunicipadifty of Anchorage.. ` .l P.O. Box 196650 e 4700 Elmore Road Anchorage, Alaska 99519-6650 e (907) 343-7904 e Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program .. ♦ J ; Ir, ;" a Waiver#: OSV171xxx COSA#: Permit#:OSP171216 PID#: 051-122-63 Legal Description: Steele Estates Lot 3 Engineer: Garness Engineering Group Applicant: Jason Baarts Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5.0 feet. In addition, your request for a waiver of the maximum bed width of 15 feet is approved. The approved width is 20 feet. Utilization of existing test holes on this lot and surrounding lots to demonstrate consistency of soils in lieu of providing a test hole within 30 feet of the proposed field is also approved. See engineers narrative for justifications. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ® The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ❑ Adjacent properties are not affected by this waiver. 0 M M M. a ... M■.■ a .. a 0 0 M M M 0 M .. M ... M 0 a M M M .. a a. M 0 a 0 a a if M a 0 a M M M a 0 M 0. 0 a a M 0■■. M■ a a. a a i Waiver is Granted: X Waiver is not Granted: Date: �� 40 % Approved by: 16kicle'4 i Name of Reviewer 19 M a a B a a M M. M M■. M a a M. 19 a. M■■ M a.■ M. a a ... M M a M M a M 0 M. M a a a. M M M M a M. a a M. M M M a. M M■ M a M. l MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 051-122-63 Property owner(s) JASON BAARTS Mailing address 22107 BEAR MOUNTAIN VIEW CIRCLE *CHUGIAK, AK Site address 22107 BEAR MOUNTAIN VIEW CIRCLE CHUGIAK, AK Legal description (Sub'd, Block & Lot ) STEELE ESTATES; LOT 3 Legal description (Township, Section & Range) Lot Size APPLICATION IS FOR: ( ® all that apply) Absorption Field Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Sq. Ft. Number of Bedrooms APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ Day phone 415-672-4157 3 TYPE OF DEWELLING: Single Family (SF) (w/wo ADU) Duplex (D) ❑ Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: DRAINFIELD TO PROPERTY LINE; UTILIZATION OF SURROUNDING SOIL LOGS; BED WIDTH WAIVER Distance: 5 FEET; N/A; 20 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: '� / I I 1 -1 Receipt Number: Permit No. o S Waiver Fees: Date of Payment: Receipt Number: Waiver No. (Rev. 01/11) August 11, 2017 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Steele Estate; Lot 3 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. There are two drainfiels that were installed 1986 (bed) & 1997 (shallow trench). A recent evaluation by Paul Pinard, P.E. determined that both drainfields are failed. We are proposing to install a new 1000 gallon steel septic tank and rebuild the existing bed to an elevation equal to or higher than the existing drainfield. The drainfield is designed in the vicinity of an existing 1985 testhole performed by Louis A. Buetera, P.E. Comments regarding the design are summarized as follows: 1. SOILS: See the attached 1985 log (for Steele Estates, Lot 3) which shows the soil classifications, groundwater monitoring, and the percolation test results. Although the existing drainfield is not encompassed by the 30 foot radius of the testhole, we are requesting that your department not require an additional testhole. Attached are the soil logs for Steele Estates on Lot 2, Lot 5, Lot 6, & Lot 7, all showing an SP soil with a percolation rate of less than 5 min/inch. In short, the SP soil appears to be consistent through the area, so it reasonable to assume the SP layer is present in the area of the proposed drainfield. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography around the proposed drainfield is flat. 5. WAIVER: The existing bed is approximately 5 feet from the west property line. We are requesting that your department issue a variance from the proposed drainfield to the west lot line from 10 feet down to 5 feet. This encroachment has existed for approximately 30 years. The drainfield located on the lot to the west (Steele Estates; Lot 6) is greater than 10 feet from the proposed/existing drainfield. 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Page 2 of 2 We are unaware of any adverse impacts this installation or waivers would have on adjacent wells or ptic systems. If you have any questions, please contact us at 337- 6179. Thank yo f r your assistance. nce Iy, e re rnes , M.S. Presid . t 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www. garnessengineering.com / O / \ SEPTIC \ ARE STEEL ESTATES; LOT 8 q w p�� \ KGs °o I 12 \ � / STEEL ESTATES; LOT 5 STEEL ESTATES; LOT 7 STEELE ESTATES; LOT 2 q� 10'X35' Anchor Esmt / CSEPTIC AREEn STEEL ESTATES; LOT 6 1 T15 R1 W SECTION 2 \ SE4NW4 & NE4 BOY SCOUTS OF AMERICA \ - PER ANCHORAGE LIVE I I / STEEL ESTATES; I LOT 4 .9qq I I . _ _ — / /I L _)•i ��7.� \fit _ - _ GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS - - 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE, AK 99507' PHONE (907) 337-6179 • FAX (907) 338-3246' WEBSITE: www.gamessengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JASON BAARTS 415-672-4157 1 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: STEEL ESTATES; LOT 3 D.J.G. TYPE OF WORK: DATE: �,_ SEPTIC SYSTEM DESIGN UPGRADE 8/11/2017 N sc� 1" = 100' IL ••4 Ct ........ ..........; i ... ♦ J y A. Garness c 4�i a C 79 3 •_� LICENSE 1 ���5����•• • #AECC884 / q C AREA I \ STEEL ESTATES; LOT 5 1 T15 R1 W SECTION 2 \ SE4NW4 & NE4 BOY SCOUTS OF AMERICA \ - PER ANCHORAGE LIVE I I / STEEL ESTATES; I LOT 4 .9qq I I . _ _ — / /I L _)•i ��7.� \fit _ - _ GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS - - 3701 E. TUDOR ROAD, SUITE 101 *ANCHORAGE, AK 99507' PHONE (907) 337-6179 • FAX (907) 338-3246' WEBSITE: www.gamessengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JASON BAARTS 415-672-4157 1 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: STEEL ESTATES; LOT 3 D.J.G. TYPE OF WORK: DATE: �,_ SEPTIC SYSTEM DESIGN UPGRADE 8/11/2017 N sc� 1" = 100' IL ••4 Ct ........ ..........; i ... ♦ J y A. Garness c 4�i a C 79 3 •_� LICENSE 1 ���5����•• • #AECC884 / DESIGN CRITERIA: NUMBER OF BEDROOMS: 3 GALLONS PER DAY (GPD): 450 PERCOLATION RATE/S: '1 MIN/INCH PROPOSED APPLICATION RATE: 0.8 MINIMUM DRAINFIELD SQ.FT.: 562 FT' 'SEE ATTACHED SOIL LOG BY LOUIS A. BUTERA DRAINFIELD DESIGN: MAXIMUM DEPTH: LIMITED TO REMOVAL OF CONTAMINATED MATERIAL WIDTH: 18 FEET LENGTH: 32 FEET M.O.A. APPROVED SAND FILTER: AS NEEDED TO REPLACE CONTAMINATED MATERIAL REMOVED. REBUILD THE BED TO AN ELEVATION EQUAL TO OR HIGHER THAN THE EXISTING BED. EFFECTIVE: 0.5 FEET ACTUAL SQ.FT.: 576 FTI a STEEL ESTATES, LOT 6 EXISTING BED TO BE REBUILT AT A HITHER ELEVATION OF 0.1 FEET HIGHER THATHE EXISTING BED; APPROXIMATE LOCATION HO' BASED UPON CLEANOUT AND MT LOCA ION C� -7 5 FOOT WAIVER REQUESTED GEG, Ltd. HAS A 8 PAGE SPECIFICATION LETTER THAT PERTAINS TO THIS DESIGN. TO OBTAIN A COPY OF THE LETTER CONTACT GEG. BY PROCEEDING FORWARD WITH THIS INSTALLATION, THE ENGINEER, WELL DRILLER, CONTRACTOR AND PROPERTY OWNER AGREE THAT THEY HAVE READ THESE SPECIFICATIONS AND AGREE TO ACCEPT THE TERMS AND CONDITIONS OUTLINED. NOTE: THE CONTRACTOR SHALL HAVE THE WEST LOT LINE1r, AND ALL PERTINENT WELL RADII FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. TOPOGRAPHIC INFORMATION TAKEN FROM MOA ELEVATION MAPPING APPROXIMATE LOCATION OF PONDEE WATER; GREATER THAN 100' FROM THE PROPOSED DRAINFIELD / I \ i 713 • / I I I \7)31 EXISTIN TRENCHTOBE OABANDDIN PLACE I'II'I I JBLE CLEANOUT BEFORE i TANK i z I w w I w I � w w EXISTING 3 BEDROOM HOME i 1= I � � o Com I I I I \\ APPROXIMATE LOCATION OF EXISTIING SEWER LINE PER 1986 INSPECTION REPOF I % \\ I APPROXIMATE LOCATION OF EXISTING TANK; REMOVE AND REPLACE WITH NEW \ 1000 GALLON STEEL SEPTIC TANK N / SCALE: 1"=40' GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS 3701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507' PHONE (907) 337-6179' FAX (907) 33&3246' WEBSITE: w .garnessengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JASON BAARTS 415-672-4157 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: STEELE ESTATES; LOT 3 D.J.G. TYPE OF WORK: DATE: �, SEPTIC SYSTEM UPGRADE 8/11/2017 EXISTING GRADE FILTER FABRIC MT MT CO CEO CO INVERT OF PIPE = 0.5 FEET ABOVE TOP OF NEW SAND . . . . . . . . . ....... TOP OF PROPOSED SAND SHALL BE EQUAL TO, MOA SAND AS NEEDED TO ♦•OR HIGHER, THAN THE BOTTOM OF THE EXISTING REPLACE CONTAMINATED BED. BED ELEVATION WILL BE RESTRICTED BY MATERIAL THAT IS REMOVED THE INVERT ELEVATION AT OUTLET OF TANK BOTTOM OF EXISTING BED IS 6 FEET BELOW GRADE PER MOA RECORDS 6 FEET 0 6 FEET 3 FEET -3 FEET 18 FEET NOT TO SCALE OF # # GARNESS ENGINEERING GROUP, Ltd # AV 4 ..... Z. •. ..... . .... . ... .... 0 .... . 0 0 CIVIL & ENVIRONMENTAL ENGINEERS � - ---- - 0 0 3701E TUDOR ROAD, SUITE 101 *ANCHORAGE, AK 99507 *PHONE (907) 337-6179 FAX (907) 338-3246 WEBSITE: www.gamessengineedng.mm .. ... .. . . .......... ................ 0 0 r, y a ess PREPARED FOR: PHONE NUMBER: PAGE NUMBER: JASON BAARTS 415-672-4157 3 OF 3 ♦# AV # CE AV # PROJECTILEGAL DESCRIPTION: DRAWN BY: STEELE ESTATES; LOT 3 D.J.G. ♦ #♦1111\��\�_"• TYPE OF WORK: DATE: LICEN SEPTIC SYSTEM DESIGN UPGRADE PROFILE DRAWING 8/2/2017 #AECC884 � r o Vi � p` y�6• \ E I �J / / �------- o RESTR A Pu -'.I;/ •15� Nfl i LAKE H A i F1 ! COR IOTI 13 �A N 2 hoL11. 196 a � / f J131.2. gl • siv) _ ..,tio��� S15f � �- Z�� 186 Ne 1, �S89.4629'W O' i 13995 A. 2 St. / 6 S �s i ai;• � � zS v/ I b = n p �t�5 so A 3p'W on om Cl Vp D.: Dy i 12b90 ^. c it bAIN hQtJ 2 N7225g0' 9 �•'6 r 3- �J0 m o � r o Vi � p` n, o 6 � •15� w �A N l PC• y'1t a � / f EAST siv) �- Z�� 186 Ne 1, �S89.4629'W O' i 13995 St. / 6 " D o n 51b44PG• 5`Zb'v� 1 zo I / }�(3s T* 1 W STEELS ESTATES 144;53_ �Qd.99. _ _ f A RESUBDIVISION OF RJa0•4r•".w JSoor•( TRACT A & LOT 7, BLOCK C. MT_. EKLUTNA-DR. ST46'29 W 34952 so' I Jo• r IA I 0 LAKE HILL ACRES SUBDIVISION, SIXTH ADDITION CONTAINING 8 LOTS and 10.561 ACRES I \ PREPARED BY 1 \\ * McCLINCOCK LAND SURVEY Co. O BOX 671089 CHUGIAK, AK- 99567 Ph. 688-449, d1�1 iOMASS F55AMSSCALE. T'=100' DATE: NOV 85 JOB 85-532 FBNa 85-1 • ^"" --".a"I GRID NW 1562 1 q&N iSULLINS I CK:McCLNTOCK SiT 1of 1 EAGLE RIV ENGINEERING SERVICES INC. P. 0. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694.5195 JOB S7-&c,&- SHEET 7-&e%SHEET NO. OF / CALCULATED BY �J �t J -v— rw DATE CHECKED 8V DATE— SCALE ATE_SCALE PR000CI Mid wiz. Gram. Mi% 01411. Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 6W9-10362. PID Number: 651-122-" Name: VISTA 4m_ SSrATH Wastewater System: ❑ New I$ Upgrade MA $teeal G ATM: EVA LelciE4 Address: 046,LB KNEK• ABSORPTION FIELD 635 4 - teLO 0914r AV 9r� (6 r Phone: ` No. of Bedrooms: 7 ❑ Deep Trench k Shallow Trench ❑ Bed ❑ Mound O Other LEGAL DESCRIPTION Soil Rating: '1 Total Depth from,o:inIl grade: GPD/S Ft Lot: Block: Subdivision: 3 Depth to pipe bottom from original grade: 4• S Gravel depth beneath pipe 2 Ft. — S EEL ESTA FL Township: Range: Section: Fill added above original grade: Gravel length: 531 Ft. Ft. WELL: New El Upgrade Gravel width: ( $ Number of lines: I Distance between lines: -"' Ft. Ext Ft. Classification (Private, A,B,C): Total Depth: C o: Total absorption area: 379 Pipe material: AYCM 0 3°34/FSIo P dA-rc Ft. SO. Ft. Driller: riled: Static Water Level: Installer: DFAAtl �eQSi Date installed: Ft. t1LT10wt Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 41 Septic*Exism I.0 Holding ❑ S.T.E. To Septic Absorption Lift Holding Public/Private Manufacturer: city in gallons: From Tank Field Station Tank Sewer Lines Material: Number of Compartments: welt Z51 -t Surface —° ._.-. r LIFT STATION Water 1001+ 100'1' LotSize in gallons: Manufacturer: Line 5O 1+ "Pump on" level at: "P " level at: High water alarm at: Foundation �C11 SrJ �. ,,.� .� •-� Curtain AJOr�E Ic�tocJd Pump Model I Electrical Inspections performed by: Drain BENCH MARK Remarks:' Efklfvleo 14166Rt-rof - - EXI 414& SEPTIC -rAAllt, ot1 10-8-91 Location and Description: of PRoolf Doo 040 JAs FnJdO '% Bi GooO saa Lo Assumed Elevation: 100.0 n C-) �R;r $�4 Inspections performed by:S & s ENGINE¢RING Ws: 1st 10 - 8 -q 7 River Oap Oa , P' ROBERT C. COWAN C 17034 Eagle 2nd-10-1-1"to d��`cs Eagle River, Alaska 99577 -/4 .g ` CE - 8801 V d ttt�F�.vF, Department of Health and Human Services approval p .. •, ";�L�`,: tit C no�zss�a o. Reviewed and approved by: �a"'/'�- Date: ]2-013 (Rev. 9/91) MOA 25 PERW NO.SW970352 PAGE 2 or 2 DEPARTMENT ANDhHUaM9AN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGA LOT 3, STEELE ESTATES SUBDIVISION Pim. N0. 051-122-63 A B I FCO - - ST1 44.0' 64.5' ST2 50.0' 69.0' DBL1 52.0' 70.5' DBL2 52.5' 71.5' FD 54.0' 72.0' C01 58.5' 66.5' CO2 87.0' 76.0' CO2LMT1 MT1 87.0' 75.5' I EXISTING 1000 GAL. SEPTIC TANK TH I I I I J I I NEW TRENCH R LI �� col 0 m rco W M 2 w 1 2 __ `C07 oe z 60 � w co°o "Mr a w Q c` MT srs sn W co I F j I.a 0 5 IJ��JI EXISTING HED INSTALLED 1_0 FLOW Dweiti$ I — I I STS ST2 I / FINAL GRADE MT SCALE 1" = 40' COl = 98.2' /CO2 = 97.1' fR 92.7' NEW 1000 GAL • si SEPTIC 92.5' SR COl = 92.3' age//F Ip TANK CO2 = 92.4' •��! MT1 = 89.9' �•. ROBERi C. COWAN .� CE - 8801 f a� Zyet .;1 n `•...� t 5e ...... . ' • • `(, NO WATER FOUND ��r`:. �-,+�.�";'�� 82.9' B.O.H. PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970352 DESIGN ENGINEERS & S ENGINEERING OWNER NAME:STEELE MARK J & KATHLEEN A OWNER ADDRESS:22107 BEAR MOUNTAIN VIEW CIR EAGLE RIVER, AK 99577 PARCEL ID:05112263 LEGAL DESCRIPTION: STEELE ESTATES IT 3 LOT SIZE: 52251 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:10/06/97 EXPIRATION DATE:10/06/98 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: 7a/ Z' DATE: /0 A /q % ISSUED BY:7 7 DATE: HEALTHAUTHORITV APPROVALS SEWERMATER WATER MAIN EXTENSIONS SEWER& WATER INSPECTION ENGINEERINGSTUDIES ANDREPORTS WELLINSPECTION & FLOW TEST SITE PLANS ROADDESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSVSTEM DESIGN S&S Septmeber 22, 1997 WNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 3, Steele Estates ROBERT C. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 Request you issue a permit to upgrade the septic system serving the existing three bedroom house on the referenced property. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the test hole has been checked and found to be dry. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring wells, septic systems or drainage patterns by the installation, of the proposed septic system. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/jhn Enclosure 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 P.E. LEGAL �-aT01R y DRAWN CKD. DATE SHT. 9-17-97 1 of 1 S&S STRUCTURES, EASEMENTS, OR ENCROACHMENTS X'a_f � ,- •`•�",� ONTRACTOR IS REQUIRED TO \ SHOWN ON THIS SITE PLAN ARE AS SHOWN ON En InCE121n STAIN UTILITY LOCATES AN AS—BUILT SURVEY DRAWN BY: GRIOR \� MARK D. SEWARD OAGL[ WORK. 70 ANY EXCAVATION �, WORK. T IS THE RESPONSIBILITY OF THE CONTRACTOR ra^" •^ -"^^•••^- •_•••>••_=•••_•�.,�J TO VERIFY EASEMENTS, REQUIRED SEPARATION :� %4 ROBERT C. COWAN i lZr f DISTANCES, AND PROPERTY LINES PRIOR TO d `�C CE -8801 rA; O CONSTRUCTION. '6z LOT 2ED t� aFo •..Lr.... `_�c,�d 1 Pr 5' LOT 7 ��v6�°pJ �a<s�ge�v DESIGN CRITERIA: ALL PORTIONS OF SYSTEM WITH LESS THAN 3.5' OF COVER REQUIRE INSULATION. 3 BDRM = 450 GPD\ SOILS = 1.2 GPD/SQ.FT. 450/1.2 = 375 SQ.FT. REQ'D. I TRENCH CRITERIA: LL 6.5' DEEP NOTE. "� 2.0' EFFECTIVE VERIFY INTEGRITY. IF OF POOR INTEGRITY; 5' WIDE IT IS TO BE EXCAVATED, PUMPED, CRUSHED, 2 53' TOTAL LENGTH AND ABANDONED COMPLETELY; AND REPLACED WITH A NEW 1000 GALLON SEPTIC TANK. LOT 3 v� REDUCTION FACTOR = 0.7.0 �Z PROPOSED TRENC Cr N LOT 6 F4 a i< _�`1�+ �MT+1 CUJC - a THI II I IM NSTALL DBL CO I O o\ MTI I CO N WELL J Z�� DQ -oo oJ H -mm: I C¢ M1. C CO W EXISTING BED c TO BE ABANDONED SUCH THAT _ IT MAY BE USED IN THE FUTURE. I < LOT 4 INSTALL FLOW DIVERTER u $ EXISTING 1000 GALT SEPTIC TA K I X00SEE NOTE CLIENT SEPTIC'C'JTHE ENGINEER MAY VARY THE AREA > EXACT DIMENSIONS AND DESIGN d PARAMETERS IN THE FIELD, IF NECESSARY. 70 MEET SITE LOT 5 digs LOT 4 CONDITIONS. o Municipality of Anchorage t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Ahsz,` �'TESLF= DATE PERF( LEGAL DESCRIPTION: Lo -r 3 j<TEeLE FsNje' 3Township, Range, Section: — SLOPE SITE PLAN oke,ArltcS f4L 9 ` X L11sflT �tL'i" 10 /F 11 / i'. 12 13 14 15 16 17 18 19 20 31L'N , L'c.AY WAS GROUND WATER . A ENCOUNTERED? PJO S IF YES, AT WHAT e,�� L O DEPTH? p E Depth to Water After Monitoring? DRY Date: 1 -- Reading Date Gross Time Net Time Depth to Water Net Drop RE it r6 fon i a•-1647 f -�� - 6 /z„ f Mot, V. o tt :3Z tjtu w 4 1 Z3 If U PERCOLATION RATE I (minutes/inch) PERC HOLE DIAMETER . a TEST RUN BETWEEN FT AND 1 FT COMMENTS rmAL- hoc C&C-14Cfr� W0.S OF- .MSE &-rWe&c4 �f ApOlAa1D "fl A C0.A-eroA 'ras•r P&P-Pcizs4bo =SU aF c. acs WAS n1+A• n 5 & S ENGINEERING PERFORMED BY: - CERTIFY THAT T IS TEST WAS PERFORMED IN age iver oop oa o. b ACCORDANCE WITH ffbglWWeytl�' "ktjll$�W7GUIDELINES IN EFFECT ON THIS DATE. DATE: —t' �' 3 (- /17 72-008 (Rev. 4/85) V X - - I ROBERT C. COWAN, EnGineeninG ON-SPTEWASTEWATER DISPOSAL SYSTEM CIVILENGINEERS 694-2979 CONSTRUCTION PRACTICES FAX( FAX (907)694-1211 and MATERIAL SPECIFICATIONS HEALTHAUTHORITY REFERENCE: Lot 3, Steele Estates APPROVALS September 22, 1997 GENERAL: SEWER&WATER - MAINMENSIONS 1. The scope of this project includes the installation of a, .five foot wide drainfield. to serve the existing three bedroom residence on the referenced property. The existing 1000 gallon septic tank is to be excavated to verify its inegrity. If of poor SEWER& WATER integrity, the tank is to be pumped., crushed, and abandoned; and replaced with a INSPECTION new 1000 gallon septic tank. The existing leachfield bed is to be abandoned such that it may be used in the future. ENGINEERING STUDIES 2. Construction shall be in accordance with the approved site plan and design ANDREPORTS drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. WELLINSPECTION 3. The contractor shall be responsible for obtaining any necessary underground utility & FLOW TEST locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for SITE PLANS final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. ROAD DESIGN 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SOILTEST SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. PERCOLATION TEST Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. STRUCTURAL& MECHANICAL INSPECTIONS 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. ONSITE 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 3, Steele Estates September 22, 1997 S. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH(DRAEOULD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Page Three Lot 3, Steele Estates September 22, 1997 Tune ofPiye Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi MON, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPI CTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Page Four Lot 3, Steele Estates September 22, 1997 Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE DEF TMENT OF HEALTH AND HUMAN SERV S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name 1'n4r r A S 4-e a /'e DISTANCES TO FROM SEPTIC TANK ABSORPTION FIELD WELL Address S62 a /3,x 6 3.9-& join. eer CN4r4KA- WELL r / Phone(s) Ess- 1008 Permit No. 860 I88 No. of edrooms 3 LOT LINE LEGAL DESCRIPTION Lot Block le FOUNDATION if q 7 Township, Range, Section W S$ G AS -BUILT DIAGRAM (Show location of well, driveway, water bodies, etc.) septic system, properly lines, foundation, TANKS M' SEPTIC ❑ HOLDING Manufacturer 4Ne hr Ts}r✓K Capacity In gallons lee Material S7-ee / No of Compartments TYPE OF SYSTEM i ❑ TRENCH U BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade `.. / J i FT Total depth from original grade FT SG k e9Yio /4 / e,„ GA p Pill added above original grade I FT Gravel depth beneath pipe G FT Gravehlenglh —3a FT Gravel width FT_'(7!4/ P o Total absorption area S-76 SO FT (Distance between lines E FT Number of lines Soil rating SOFT Pipe material Ort. 3a3�/ Installer FD r✓o RMNW Date Installed <;�-- j --S-6 WELLS $Rj PRIVATE ❑ OTHER fldentif r) Classification (A,a.C) 10rrvH7G Total Depth FT Cased to FT Installei Date Installed. REMARKS: SQwv°r 44 e "we%v I7r.e+e/u%c( Scale: Inspections Performed by: Eagle River Fig nog.m&.Sgryjees Date P. 0. Box 773294 Eagle River, AK 99577 ENG I NEER'S SEAL - -. — I certify that this inspection was performed according to all Municipal and State guidelines in effect on this dale: — 47—S-6 ,���� Health Department Approval: /1 -`d Date: g �$ 72-013 (3/85) 92 5 MUNICIPALITY OF "__'�ICHORAGE DEPARTMENT OF HEALTH AND ENVlf;_ I.TAL PROTECTION 825 L STREET, ANCHORAGE, AK 49501 264-9720 ON—SITE SEWER PERMIT PERMTT H0: 8601cc DATE ISSUED: 061123/86 APPLICANT: CONTACT PHONE: LEGAL DESCRIP: (.OT SITE: Hoe BEDRUGRSI: MARK d, STEELE SR 2 BOX 6388 CHUGIA'r„ AY.. 94567 68--Oi� 1N yPt P�r>�aEs..s-�-b 4s+�e'f 'f'CdG lei7' N ,.t. Lot 3 _m e- fm -S SUBDIVISION: LAKE HILL ACRE#6 LOT: TR A BLOCK: NA SEC1I011: 2 TOWIISHIP: ISN RANGE: 2N tg� 8.59 (S"d.F ). OR ACRES) L S rw s cr�r� •t J Listed below are the options available to system, Choose the option that best JOS _= TANK MUST HAVE AT LEAST TWO min designing Your septic moor site. _' L �E� 4 e RAµ Ai 4.0 TRENCH DEPTH TO PIPE DOTTON (FT.) ;.D GRAVEL DEPTH (FT.) 5.0 TOTAL DEPTH (FT.) 910 GRAVEL WIDTH (FT.) 2.5 GRAVEL LENGTH (FT -1 35:0 GRAVEL VOLUME (CU.'1'0S.) i"i.$ TANK SIZE (GALS) I,nr!0.0 =+ S01L kAf1NG 150. FT.7BR"t 125 _= TANK MUST HAVE AT LEAST TWO min designing Your septic moor site. _' L �E� 4 e RAµ Ai 4.0 I certify thaf: 1 a�ii familiar with the requirenerts for on-site sewers and wells as set forth by the Hunicipality of Anchorage (MOA} and the State of Alaska. 2. 1 will install the systen in accordance with all MGA codes and regulations, and in compliance with the design criteria of this permit. 3, 1 will adhere to all NDA and State of Alaska requirements for the set back distances iron a.nv existing well, wastewater disposal system or public sewerage system on this or any adjacent nr nearby lot. 4. t understand that this pewit is valid for a maximum of 3 bedrooms and any enlargement hill require an additional pereit, IF A LIFT STHAFILIN IS INSTALLED IN AN AREA COVERED BY 110A BUILDING CODES, THEN (1) Ail' ElECTPICAL PEIBIIT AND INSPECTION RUST DE OBTAINED¢ (2) AS-BUILTS HILL NUT BE APPROVED WITHOUT AN ELECTRICAL INSF'ECION REPORT; AND [Ti THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: �—--------------- APF'LlLA(ST: MARK d: STEEL ISSUED BY a �, %eft ATE: 6-7-5—,S4 - F---------------------- 3, r, 53 0 21. 2 .6 25 12 I certify thaf: 1 a�ii familiar with the requirenerts for on-site sewers and wells as set forth by the Hunicipality of Anchorage (MOA} and the State of Alaska. 2. 1 will install the systen in accordance with all MGA codes and regulations, and in compliance with the design criteria of this permit. 3, 1 will adhere to all NDA and State of Alaska requirements for the set back distances iron a.nv existing well, wastewater disposal system or public sewerage system on this or any adjacent nr nearby lot. 4. t understand that this pewit is valid for a maximum of 3 bedrooms and any enlargement hill require an additional pereit, IF A LIFT STHAFILIN IS INSTALLED IN AN AREA COVERED BY 110A BUILDING CODES, THEN (1) Ail' ElECTPICAL PEIBIIT AND INSPECTION RUST DE OBTAINED¢ (2) AS-BUILTS HILL NUT BE APPROVED WITHOUT AN ELECTRICAL INSF'ECION REPORT; AND [Ti THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED DATE: �—--------------- APF'LlLA(ST: MARK d: STEEL ISSUED BY a �, %eft ATE: 6-7-5—,S4 - F---------------------- Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage; Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: MrkC SfeG/� DATE LEGAL DESCRIPTION: o{/ Ln/t¢ N%/Ao.-er !�6 Township, Range, Section: T Sec Ty0% i P y SLI I 1 -1 SITE PLAN 9- 10 910 11 12 CH 13 14 Date Gross Time Net Time 2 - /"/-A 1/9 - Ar u L 3- 4- 467 r 6- '�— 7 8- _ LOUIS A. 9- 10 910 11 12 CH 13 14 Date Gross Time Net Time Depth to Water Net Drop - /"/-A 1/9 - Ar /d rniN 6 13 15 r '�— 17 _ LOUIS A. 18 ci>Gi36 WAS GROUND WATER '^%O ENCOUNTERED? s IF YES, AT WHAT 0 DEPTH? �`' /' P E Depth to Water Alter Monitoring? Data: c 4 Reading Date Gross Time Net Time Depth to Water Net Drop - /"/-A 1/9 - Ar /d rniN 6 13 20. PERCOLATION RATE / (minutes/inch) PERC HOLE DIAMETER TEST RUIN BETWEEN 6 FT AND G "t' FT _ COMMENTS �Qa � ,Sa-N� � �.7 IS— ,[DA.B/\, Eagle River Engineering Services PERFORMED BY. P. 0. Boz 773294 I / CERTIFY THAT THIS TEST WAS PERFORMED IN Eagle River, AK 99577 - ����- ACCORDANCE WITH ALLSTATE 401P NICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Tyr 72 -DOS (Rev. 4/65) EAGLE RIVET. JOB ENGINEERING SERVICES11M SHEET NO. OF P. 0. Box 773294 EAGLE RIVER, ALASKA 99577 CALCULATED BY DATE Phone 694-5195 CHECKED BY DATE SCALE .. ... ... .. .. ... ... ... .. . ... ... ... ... . ............ .. .. ... - . .... ... . ... ... .. ... .. ... .. .. . .. .. .... .. ...... 11% .. .. .. ... .. . .. ... .... . .. .... ... ... ... .. .. .. ............ . .. ... .. .... . . . ......... .. ... .. 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BOX 773294 EAGLE RIVER, ALASKA 99577 694--5195 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Tract A Lake Hill Acres #t6, proposed lot 3, Steele Este. A. GENERAL 1. The drawing and or site plan shall be a part of this specification. 2. All materials and workmanship shall meet the requirements of the Anchorage Department of Health and State A.E.C.. 3. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 4 All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet MOA, D.E.0 require- ments. 5. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multifamily wells. 6. The excavation is to be exactly in the area shown on the site plan any deviation requires engineer approval. 7. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. R�ETAEVUIWUMIF 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 6' at any point . 4. The sewer line is to be connected to the existing sewer line that exits the existing tank. S. A cleanout is to be placed at the junction of old to new lines and 5' in front of the septic tank. 6. The trench gravel is to be covered with typar fabric material. 7. :.Moil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the drainfield. 8. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 9. The septic tank and leachfield must not be closer than 100 feet to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. LEACHFIELD DIMENSIONS •fir �v, �, . TOTAL DEPTH= 6' GRAVEL DEPTH= 2' ` C TRENCH LENGTH= 53' 1 0 oc oSr saoc o a TRENCH WIDTH= 5' � LouC[6736era �u;FO �����������V, C ) F= 11E, F 5 ll..H.i� � DFPARTIF" NT O. HEALTH AND ENVIRONMENTAL JTECTION ^/ 825 i STREET, ANCHORAGE, HK 99501 � 64-4720 �.r ��� E - L.- 0 �H': D �l .11' - F RMIT NO: B60319 � DATF IqSUED: O8/29/96 AFT" LI[-'AHT: MARK PTGELl' ADDPESS: SR2 BOX 6388 PIONFFp CHUGIAK, Au 99567 CONTACT PHONE: � LEGAL nE��CRIP: SUBDIVISION: STEELE ESTATES LOT: 3 BLOCK: NA SECTInN: 2 TOWNSHIP: 15N RANGE: 2W LOT SIZE: 4400O (SO Fl. OR ACRES) I certi�y +hat: 1. I iliar with the requirements [or on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State oL 8laska. 2, I will install the system in accordance with all MOM codes and regula+iohs, and in compliance with the design rriteria o[ this permit,, 3. I will adhere to al/ MOA and State o� Alaska requirements �nr the set back distances frrm any existing well, wastewater disposal system or puhlic sewerage s tem on this or any adjacent or nearby lot." 3IDN17A, DATE: IS UF --D 3Y^� DATE: ~^��/� - � ~� �---77'---'-------r-----------__'____ _______-_____ � ` � CHUG6883 99ASKA 'tr®RILLING C®4' WE SERVE ALL ALASKA POST OFFICE BOX42-CHUGIAK, ALASKA 99587 OWNER OF LAND........ Mark Steel ........................................................................ ADDRESS .....Ak. 99567 Sr..,_ 2.._Box..638.3Chugiak.. ............................ WELL - SITE ......Track...A...I a1te...I�7 J 7 ...A rez... NO.. ..... 6........ DATE - STARTED.. 6=2.5.=8.4................................................................ DATE -ENDED.... ..6-26-84......................................................... . FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT............................ KIND OF FORMATION: TO ...................... FT.................................... FROM...................... FT. TO ...................... LYS C FROM ....... ....... Q..... FT. TO ............... FT. TO .................R.EP.T.R�F Fund., & Gravel ...................... FROM ...........7......... FT. TO ............Z.2..... FT. TO ........................ FT.C1a.X......................... FROM ........22 ........ FT. TO ............3Q.... FT. TO..................R-E- FT. ..Sand & Gravel ...................... FROM ........30........ FT. TO ........................ FT. TO ............58..... FT...CLay........:............. FROM .........5.8........ FT. TO ............64..... FT.HPav„ing,,,Sand„ FROM .........64........ FT. TO .............7.D.... FT.Grave.1... ss, ... Wa.t.2r FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT............................ FROM......................'FT. TO ...................... FT.................................... FROM...................... FT. TO ...................... FT.................................... KODIAK, ALASKA 486-4826 DEPTH OF WELL ....... :7.0 ...f t .. ............................................. STATIC LEVEL OF WATER FT.... 53 f t., in ..hole .............. DRAWDOWN FT. J.QO...................................................... GALS. PER HR. ..... 3000„ EST.r......................................... KIND OF CASING 20 ft. 6 in. Sc40# FROM....................... FT. TO ....................... FT.................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. FROM....................... FT. TO ........................ FT................................. MUNICIPALITY OF ANCHORAGE FROM ....................... FT. TO .................R.EP.T.R�F HEALTH..&................. ENVIRONMENTAL PROTECTION FROM....................... FT. TO ........................ FT................................. FROM ....................... FT. TO .................... I 2 91984 ... M FROM ....................... FT. TO..................R-E- g E'1'VE.D............ FROM....................... FT. TO ........................ FT........................... . FROM ....................... FT. TO ......... FROM ....................... FT. TO ......... FROM ....................... FT. TO ......... INFORMATION: No warrnty Or no warrties implied ............... FT................................. ............. FT.................................. FT - J i MUMC�PAU7Y OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051-122-63 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description STEELE ESTATES LOT 3 Phone: 907-343-7904 Fax: 907-343-7997 Expiration Date: "l ,g_Z 1 Location (site address) 22107 BEAR MOUNTAIN VIEW CIRCLE, CHUGIAK, AK 99567 Current property owner(s) JENNIFER HULL & JOHNIE SIMPSON Mailing address Real estate agent Day phone 503 PATTERSON DRIVE APT. #6, NEW ORLEANS, LA70114 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 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: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Waiver Fee $ Date of Payment 611A I 11 11 Date of Payment Receipt Number 7-002-9 Receipt Number COSA # d SC I) 1 299 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 5/28/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to ,q/ these various and dynamic characteristics and are outside the control of the evaluator of the �y well and septic system. Therefore, any estimate of how long a system will function satisfactory �g�Q:' .. 9 for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS . *49� �1TM 6. DSD SIGNATURE /Curtis Huffman System #1 Approved for bedrooms %��F'6*1 . •CE 128991 .����r� System #2 Approved for bedrooms F�FOPROF SS OP Disapproved Conditional approval for bedrooms, with the following stipulations: -//111111%%%%%AII- ✓ Original Certificate Date: 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 Legal Description: ELE ESTATES LOT 3 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 6/261984 Total depth 70 ft Cased to 70 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/27/2021 Static water level at beginning of test 24 ft. Well production at time of test 6.4 gpm Comments B. TANK DATA Age of tank(s) 4 years Tank type/material SEPTIC I STEEL Measured operating fluid level in septic tank 50" ® Standpipes/foundation cleanout per record drawing Date of pumping 4/27/2021 D. ABSORPTION FIELD DATA Which system tested (date installed) 8/22/2017 ® ALL standpipes present per record drawing Total measured depth from grade 6 ft (max) Measured depth to pipe invert from grade 5.5 ft (min) ❑ N/A — pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: Parcel ID: 051-122-63 Structure served by this system Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate 4.28 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) NE Collected by Date of Sample 5/27/2021 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 4/27/2021 Results M Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 450 gal New depth 0_5 in Elapsed time <10 min Final fluid depth 0 in Absorption rate 450 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Fac E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ft ® Yes if No ft ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Manure/Animal Excreta Storage > 100' Building Foundation > 10' Community Sewer Main > 75' ® Yes if No ft ® Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No *5 ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS *MOA WAIVER ISSUED PREVIOUSLY. G. ENGINEER'S CERTIFICATION ��� _"��'k At I certify that I have determined through field inspections and review �Aw ,��`.: •'•Z. - •'of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. �-, , .':* • . Curtis Huffman 63% CE 128991 •.•���� [� F� � ��� PROEM* Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 051-122-63 Complete legal description STEELE ESTATES LOT 3 Expiration Date: Nov d. 0 11 Location (site address) 22107 BEAR MOUNTAIN VIEW CIRCLE, CHUGIAK, AK 99567 Current Property owner(s) JASON BAARTS & CATHERINE PARKER Day phone Mailing address Real Estate Agent 22107 BEAR MOUNTAIN. VIEW CIRCLE, CHUGIAK, AK 99567 2. TYPE OF DWELLING: M Single Family (w/wo ADU) F-1 Duplex F-1 Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 TYPE OF WASTEWATER DISPOSAL: 4. TYPE OF WATER SUPPLY: Individual 0 Individual Well Holding Tank EJ Individual Water Storage ❑ Community ❑ Community Class _Well El Public Sewer ❑ Public Water System EJ Waiver/Variance request for: Distance: Received by: Date: COSA to be release-po-the,09iKeer, unless otherwise requested by the engineer. COSA Fee $— z 7 Date of Payment 62 tp 161.1 b PIULSx Receipt Number 0 0 c4�Ab e, 2151(.0 COSA # f ) 0-H39 f Waiver Fee $ Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING INC. Phone 868-3791 Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 8/23/2017 THIS COSA DOCUMENT CANNOT BE USED TO TRANSFER TITLE UNLESS ALL VENDORS (ENGINEERING, SURVEYING, CONTRACTORS, ETC.,. ASSOCIATED WITH THIS COSA ARE PAID IN FULL AT OR BEFORE CLOSING. Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. 6, DSD SIGNATURE *14 T[I rr System #1 Approved for 3 bedrooms. -:P KENNETH System #2 Approved for bedrooms. °tri 7t16 Disapproved. Conditional approval for bedrooms, with the following stipulations: S OI a -SI I `- 'C' V*T,--g AND i WASTEWATER r FIROGKA; I By:zw_+�. C-aimg Original Certificate Date: 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 Septic System Advisory Well Flow Advisory COSA blue sheet 10-10-12.doc X Nitrate Advisory Arsenic Adviso.[y..- Other Ifmore than 1 septic system is on the lot: C08AChecklist # —of __ Structure served by this system Legal Description: STEELE ESTATES LOT 3 Parcel ID: 051-122-63 A. WELL DATA Well type PRVT If A,B.cvCprovide PVV80# Date completed S88K1D84_ Sanitary seal (Y/N)Y Total depth _7Oft. Cased to'70>jft. FROM WELL LOG Date of test Static water level Well production 6126/1984 ft. g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/1 00 m L Nitrate 2.99 L Arsenic: ND ug/L EL SEPTIC/HOLDING TANK DATA Date of sample: 7/17117 TankType/Materia} SEPTIC / STEEL Tank size 1000 gal. Number ofCompartments 2 Foundation cleanout (y/N)y Depression over tank (YYN) @ Date ofpumping Pumper Well Log (YYN) Wires properly protected (/8N)y Casing height (above ground) _12±in. A7INSPECTION –ovP|NARDENGINEERING 7-26-2017 22.9 ft. g4m. Collected by: PINARD ENGINEERING Date installed 8/2212017 Clemnouts (Y/N) High water alarm (Y/N) Date installed 88C82017 Soil rating (o.pd.m2orftu«`dnn){Di_ type BED Length ft. Width 18 ft. Gravel below pipe 0.5 ft. Tota|depth 6.5 h. Bfabsorption area 676 ft2 Monitoring tube y Depression over field N Date ofadequacy test Results (Paao/Foi()____ For bedrooms ` Fluid depth inabsorption field before test in. Water added____gal. New depth____in. Elapsed Time: min. Final fluid depth ___in. Absorption rate >=____Q.p.d. Any rejuvenation treatment (past 12moj(Y7N&h/pe) N |fyes, give date________ O. LIFT STATION Date installed "Pump on" level otin Datum Size ingallons _ "Pump off level ed Cycles tested in M(Y/N)_ High water alarm level ed Meets alarm & circuit requirements? in. E. SEPARATION DISTANCES WELL {}NLOT TO: Septic tank/lift station onlot On adjacent lots Absorption field onlot Onadjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank Animal containment areas Manure/animal excrete storage areas SEPTIC/HOLDING TANK DNLOT TO: Building foundation Property line _5'+Absorption field Water main Water service line Surface water Wells onadjacent lots _YO0'+______ ABSORPTION FIELD DNLOT TO: Property line TWAIVER ISSUED Building foundation _10'+Water main Water Service line _j0'+Surface water Driveway, parking/vehicle storage �04—�_��_ Curtain drain. Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that /have determined through field inspections and review of Municipal records that the above ayubp/ns are /n conformance with MOA C(JSAguidelines ixeffect onthis date. Engineer's Printed Name - KENNETH M. DUFFUS Dote 812312017 COScanary ����15.doc ' LOCATION: Lot 3, Steel Estates DRILLER: Jay Williams Drilling DATE WELL COMPLETED: 6126184 WELL DEPTH: 70' STATIC WATER LEVEL (top of casing): 22.9' P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) WELL FLOW TEST JOB NUMBER- 17-135 DATE OF TEST: 7/26117 FIELD STAFF: PJ Pinard 1�► Time Elapsed Time (Minutes) Static Water Level Flow Rate (gpm) Cumulative Gallons Pumped Remarks 12.'50 PM - 22.9' 3.3 - Start Test - Meter 299300 1:05 15 23.0' 3.3 50299350 1:20 30 23.6' 3.3 100 299400 1:35 .45 23.2"---Z0 150 299450 1:50 60 22.9' 4.0 210 299510 2:05 75 23.1' 4.0 270 299570 2:20 90 23.1' 4.0 330 299630 2:35 105 23.3' 4.0 390 299690 2:50 120 23.0' 4.0 450 299750 3:05 135 23.4' 4.0 510 299810 3:20 150 23.1' 4.0 1 570 299870 3:35 165 23.2' 4.0 630 299930 3:50 180 23.1' 4.0 690 299990 4:05 195 23.1' - 750 Stop Test - 300050 ----------- RECOVERY 1 4:10 1 5 1 22.9- 1 All well protection l'CItUI-eSetre adCUUate. Average Flow Rate- 3.8 gpm, Comments: DURING THIS TEST, THIS WATER SUPPLY WELL WAS CAPABLE OF PRODUCING 4.0 GPM, THIS TEST DOES NOT CONSTITUTE A WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. Reviewed by: Paul Pinard Date: 7130117 plmo S'k y 'lei S ��}�, Water Qual'o"My Testing 9161 � t irantca�4c Fra. Ste 15 P'CIIIIIer, AK 99645 (907) /45,1005x' NcttltC.' Pinard Eri-itncet in- t` , .f` Lab ID4L- M170450 Xlftilitt,.; A (hfivss: PO Box 871347 Date .Stun Vcar/' 07/17/2017 � 1)1!'l �, 'f417 W asnllaa, AK c?968 ! Ane.'ne .' cu rl fed: 1415 Oosc-ripfirart.' I,ot 3 Steele Sampled /fit=: 111E1P1 ' 1 1 1 Date Inc;ceive& 07/18/2017 ";ampleSite Location: 'Kitchen Sink Time Received: ived: 0!; 40 Health Guard 1'an<aaaaetcc.ttaur€ lcanit ltazat`ll'L 1 IV1 i i Date Coliforms; (SIM IM 9223131 A- 1 � 1)1!'l �, 'f417 t calile t / Cali i (Swl 92233B) -- --- (J7,'18"2017 ,6 ' 1 1 1 ntrratc liela I(l'C)<> 2 cja} lyl,_ �. 0_200 10.0 O!;18,"x017 ...� Niletals by ICP/1,f, �+t'ticrnan ' 11121 til _._.. 0T211,_'017 1;I'1 0. IS M thod Alt porthl ,y Untir ((3t M%1: if is low,,:st t'onc'enti ation mat can be reported ri',1.iubly .11m pit ium Contaminant ant t.owt (AIC!): h4,li st acceptable level in public water stems is set by t`RA ttttrfL.: rriilli,rams per liter,. 11000"' of a S'raill trg1I,: micro gams per liter. l! i.000.000`' of s pram A,sc'ttt (,i): Bone of this tYpe of bacteria ti t, cletectcg, Piesettt (P): one or more b cterial cell~ ofthiy l pe, were cletectetl Results Repot -ted By L at ovatoxI7 Analyst .08ow "go io b . " "'? C'� > > ::3 g 0k7 CDs: liP, ® �illll!jlo r to 0 m w cn z c CD co M o 'OtIN 0 > CIO > > C, UQ cr tz 0 ci) up r, - rn Ln 0, too Z o w 2 rl T rM�l z r oof E. .08ow "go io b . " "'? M. I . .. 0 Z ::3 0 0k7 CDs: liP, 0 0L - �illll!jlo r I 1.6 BASIS OF BEARING N00*00'00"E 223.30' (223.34' R) w 0 4.1' cn 0 Xnm -to (A 00 C/) F 00 c� Ln r'S c� (D 0 Gi I 51, CONc 0 COVERED --3 22.0' P ENTRY 28.o' cz 21.5' /yous� p E4 ci CONC 22 '0 21 .5 2 IS) OUS- E Co E 8-0 V N COVERED ENTRY 'Y 28.5' iVIS3 �iniin ot N00'07'28"W 332.66' (N00*08'05"W 332.63' R) MWO-offillivTows —A SCHULZ CC) A 0 0k7 0 0L - to 0 m w cn 0 co M o 'OtIN 0 I 1.6 BASIS OF BEARING N00*00'00"E 223.30' (223.34' R) w 0 4.1' cn 0 Xnm -to (A 00 C/) F 00 c� Ln r'S c� (D 0 Gi I 51, CONc 0 COVERED --3 22.0' P ENTRY 28.o' cz 21.5' /yous� p E4 ci CONC 22 '0 21 .5 2 IS) OUS- E Co E 8-0 V N COVERED ENTRY 'Y 28.5' iVIS3 �iniin ot N00'07'28"W 332.66' (N00*08'05"W 332.63' R) MWO-offillivTows —A CC) 0 0L - 0L Parcel I.D. 051-122-63 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Expiration Date: 3 -- ?� D - / 1. GENERAL INFORMATION Complete.,( scription Lot 3, Steel Estates Locab 22107 Bear Mountain Circle Chugiak, Alaska 99567 Current Thomas Robison Day phone (907) 726-7320 Mailingaddress 22107 Bear Mountain Circle Chugiak, Alaska 99567 Real EsA t Raney Hardman @ Re/Max ER Day phone (907) 440-7257 2. TYPE ,OF D Q i amity (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual [] Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request Received by: Date: 1 13 COSA to be released to the engined, unless otherwise requested by the engineer. COSA Fee $ qgb Waiver Fee $ Date of Payment a %b I'/3 Date of Payment Receipt Number 7 Receipt Number COSA# oSClSllaa Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pinard Engineering Phone (907) 357-3647 Address PO Box 871347 Wasilla, Alaska 99687 Engineer's Printed Name Paul E. Pinard, P.E. 6. DSD SIGNATURE V system #1 Approved for r� bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following By:// j yj/ Original Certificate Date:/ ..�/i -% 3 The` uM ni4ity 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet f 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: Lot 3, Steel Estates A. WELL DATA Well type Pvt Date completed 6/26/84 Total depth 70 ft. Date of test If A, E, or C provide PWSID # Sanitary seal (Y/N) Y Cased to 70 ft. FROM WELL LOG 6/26/84 Static water level 17 Well production 50 ft. g.p.m. Parcel ID: 051-122-63 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 18+ in. AT INSPECTION 11/25/13 6.8 ft. 4 g.p.m. WATER SAMPLE RESULTS: Giy Coliform i 0 colonies/100mL Nitrate Srf6 mg/L 6c 2'(/13�� Engineering Arsenic ug/L Date of sample: 11/ Collected by: Pinard Eg g �5 B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 8/4/86 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) N Date of pumping 17 129i I .Pumper JR'sPumping C. ABSORPTION FIELD DATA Date inst Length Soil rating (g.p.d./f:2 or ft2/bdrm) 1.2 gpd/sf System type 5 Wide Trench Width 5 ft. ,.'a -x Total 4pph rption area 375 fe Monitoring tube 0 - Date of adequacy es 3 Results (Pass/Fail) Pass Gravel below pipe 2 ft. Y Depression over field N For 3 bedrooms Fluid a test 13 in. Water added 480 gal. New depth -1-9— in. Elapse-' Final fluid depth 13 in. Absorption rate >= 450+ g.p.d. Any rejuvenation freafrn@ (past 12 mo.) (Y/N & type) None Kf10Wn If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons _ in. "Pump off' level at Cycles tested _ E. SEPARATION DISTANCES WELL ON LOT TO: Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manholelcleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 100'+ Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10'+ Property line 10'+ Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water Service line 10'+ Surface water 100'+ Curtain drain None Known Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION l certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineers Printed Name Paul E. Pinard, P. E. Date 11/29/13 COSA brown sheet 10-10-12.doc Absorption fie/ Surface water d 10'+ 100'+ Water main Driveway, parking/vehicle storage N/A 10'+ in. Municipality of Anchorage ez 4P Community Development Department Development Services Division s On-Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # 131629 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 3 of Steel subdivision. This inspection revealed a nitrate concentration of 5.16 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. g `awrrot 2 w asmcr 1 126.90 r 91ROrG �a..rrf \ STB' V I gxlnlc �,« OJ G�' I Qj e hyo UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR FOR ESTABUSHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING, REPRODUCTION MAY CAUSE ERRORS IN SCALE, El LGT SUK SURVEY TYPE ❑ FWNDATMV AS -GUILT — SYMBOLS ❑ RNAL STRUCTURE AS -BUILT SET REB AR DRMNACE 0 ASPHALT f❑q R.DT nAx. , A5 WfLT... LOT AIgyEY TD^o W,y O FWND REBAR WOOD SCE L-"r�'CONCRETE yy`5-AU11 . ^'n NO C. T SET^ RE_ P nGN AS_ T . - . NO IT 00 2 ASSUMED ELEV. �.�.K METAL FENCE LILLLJ wm nrl, IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELA1 TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETER& THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICT], WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PL SURVEY CERTIFICATION [rs���``t OF PLOT PLAN FwOY ^„u,Y tla. I M1» MNaYI ex.ue tl.. le1 Itm a,C bpMa •.a,, aN.tlat, .•T�\� ••....... 4w T :.•..• aw�ewma. Q.' .rmlw.e a u n. W mwor pm ea m uw e..t •I A, •++•i . # CD :• .� AS-BUILT S-BUILTYa U`n.UmNWwDAb,E i,• • , . c. tirmasv t.tlw,•t � w.O. lNq %t -•I as � rs ..y... 10 RDBERT N yH°•� +k L, T'• INAL STRUCTURE AS -BUILT 4121—S ••�•'•. Rtlrt 4 id..A e.. I,..c, vary w �1 Ae �40 a •••••.........• ....•' sit • *♦/�/��lGeSl000I n 0vi e�tf Mgineagvmnq SMI M �•-��• ONLY THOSE IMPROVEMENTS ABOVE GROUND ANO VISIBLE WILL BE SHOWN. FENCES, WELLS, SEPTIC CLEANOUTS, SIDEWALKS, DRIVEWAYS, ETC- ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED, ALL DISTANCES ARE RECORD LIN, rcc Robert E. Johns, Jr. & Assoc Professional Land Surveyors 1700 Brink Onus. ANCHORAGE, ALASKA 99504 Sc01e: 1 n C 601 Rea Lot S.F. Rx PIQt Fl. No. Date Surveyed: V D1 . 6y. REJ Checked •FMK 11/14/13 Data Drava: 11/15/13 G"'° 1562 W°' 13-591 Lot 3 STEELE ESTATES PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) ADEQUACY TEST LOCATION: Lot 3, Steel Estates APPLICANT: Thomas Robison 22107 Bear Mountain Circle Chugiak, Alaska 99567 SEPTIC TANK TYPE/SIZE: Stee111000 Gallons, per MOA Records ABSORPTION SYSTEM: 5 Wide Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GAL/BR = 450 Gallons TEST DATA JOB NUMBER: 13.401 DATE OF TEST: 11/25/13 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes No XX Time Flow Rate Volume I Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments pM (GPM) (GALS) (GALS) Liquid Level ' A Level Monitor Tube 1' A SAS Level Monitor Tube 3' DSAS Level 6:20 4.0 4.0' 1.1' Start Flow -Meter 213440 6:35 4.0 60 60 4.1' 0.1' 1.1' 0.0' 213500 650 4.0 60 120 4.1' 0. 0 ' 1.2' 0.1' 213560 7:05 4.0 60 180 4.1' 0.0' 1.3' 0.1' 213620 7:20 4.0 60 240 4.1' 0.0' 1.3' 0.0' 213680 7:35 4.0 60 300 4.1' 0.0' 1.4' 0.1' 213740 7:50 4.0 60 360 4.1' 0.0' 1.5' 0.1' 213800 8:05 4.0 60 420 4.1' 0.0' 1.5' 0.0' 213860 8:20 - 60 480 4.1' 0.0' I 1.6' 0.1' Stop Test - 213920 RECOVERY Date Time STMT SAS MT 11/26 4:20 4.0'/-0.1 1.17-0.5' 'ALL MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: System appears to be operating satisfactorily. There was 1.1' of measurable liquid in the SAS MT prior to the test. With the addition of 480 gallons to the system (slightly more than the design daily flow), the level rose to 1.6', still leaving 0.4' of the ED of the SAS available. A recovery measurement, taken 20 hours after stopping the test flow, showed a return to the starting level. Home had been vacant for about a week. Q Reviewed by: Paul Pinard 1 a Date: 11/26/13 LOCATION: Lot 3, Steel Estates DRILLER: Jay Williams Drilling DATE WELL COMPLETED: 6126/84 WELL DEPTH: 70' STATIC WATER LEVEL (top of casing): 6.8' PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) WELL FLOW TEST JOB NUMBER: 13-001 DATE OF TEST: 11126/13 FIELD STAFF: PJ Pinard Time Elapsed Time Minutes Static Water Level Flow Rate m Cumulative Gallons Pumped Remarks 5:20 PM - 6.8' 4.0 - Start Test - Meter 213200 5:35 15 7.4' 4.0 60 213260 5:50 30 7.4' 4.0 120 213320 6:05 45 7.0' 4.0 180 213380 6:20 60 7.4' 4.0 240 213440 6:35 75 7.3' 4.0 300 213500 6:50 90 6.9' 4.0 360 213560 7:05 105 7.3' 4.0 420 213620 7:20 120 7.0' 4.0 480 213680 7:35 135 7.4' 4.0 540 213740 7:50 150 7.4' 4.0 600 213800 8:05 165 7.2' 4.0 660 213860 8:20 180 7.3' - 720 Stop Test - 213920 RECOVERY 8:25 5 6.9' All well protection features are adequate. Recovery measurements are not necessary. Average Flow Rate: 4.0 gpm Comments: DURING THIS TEST, THIS WATER SUPPLY WELL WAS CAPABLE OF PRODUCING 4.0 GPM. THIS TEST DOES NOT CONSTITUTE A WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. Reviewed by: Paul Pinard Date: 11/26113 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 A, CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. "051.122.63 HAA Expiration Date: /0 - 30 - 0 1 A., GENERAL INFORMATION Complete legal description STEELE EST. LOT 3 Location (site address or directions) 22107 BEAR MOUTAIN VIEW CIR. 'Current Property owner(s) LEONID KOKAUROV Day phone "Mailing address 1825 ACADEMY DR. ANCH, AK. 99507 Lending agency Day phone Mailing address Real Estate Agent _PAULA PERRA WI VAN GUARD_PAULA PERRA WI VAN GUARDREALTY Day phone 522-7002 Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY. TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site ED Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs 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 engineers 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 Firrn KND Engineering Phone 696.6111 Address _20441 Ptarmigan Blvd. Eagle Rio Engineer's Printed Name 5. DSD SIGNATURE _IC Approved for 3 'bedrooms. _...Disapproved. __..:..; Date _L1_` Gl Kb•V.l �.i n! "�ric� CC 7116 Conditional approval for _ bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineers Report Other By: Original Certificate Date: 07— 3 1,01 Municipality of Anchorage • Development Services Department Building Safety Division t On -Site Water & Wastewater Program ' 4700 South Bragaw St. P.O. Box 196650 Anchorage. AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: STEELE EST. LOT 3 Parcel ID: 05142263 A. WELL DATA Well type DrIvatfl If A, B, or C provide PWSID # A Well Log (YM) Y Date completed 6128 Sanitary seal (Y/N)Y Wires property protected (YM) Y Total depth _]Q_ft. Cased to TO ft. Casing height (above ground) y3V FROM WELL LOG AT INSPECTION Date of test 6126184 7124101 Static water level 53 ft. 15 ft. Well production SO 9 -p.m 8+ 9 - p.m -WATER SAMPLE RESULTS: Coliform _J_ colonles/1 00 ml. Nitrate -2&L mg.fl. Other bacteriaJL colonies/100m1 Date of sample: 7124101 Collected by: KNO Enalneerlaa B. SEPTIC/HOLDING TANK DATA Tank Type/Material •L Date installed 61586 Tank size 1000 gal. Number of Compartments j Cleanouts Y_ Foundation cleanout YDepression over tank &High water alarm Date of pumping M3101 Pumper _,IRS C. ABSORPTION FIELD DATA Date installed 8106_ Soil rating (g.p.dAe or fe/bdrm) yj System type BED Length 32 ft. Width I— ft. Gravel below pipe 0.5 ft. Total depth U ft. Eff. absorption area ULftr Monitoring tube Y Depression over field jy Date of adequacy test 726101 Results (Pass/Fall) PASS For;) bedrooms Fluid depth to absorption field before test U in. Water addedAn gal. New depth4„j in. Elapsed Time: 1440 min. Final fluid depth U in. Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date D. LIFT STATION Date Installed Size in gallons Manhole/Access (Y/N) 'Pump on' level at _ in. "Pump ofr level at _ in.High water alarm level at in. Datum Cycles tested Meets alarm b arwft requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAlft station on lot 1001+ On adjacent lots 1001+ Absorption field on lot 1001+ Public sewer main 75'+ Sewer /septic service line 25'+ On adjacent lots 1001+ Public sewer manhole/deanout 1001+ Holding tank 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation _5'+ Property line ;j'+ Absorption field 51+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 1004 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 104 Building foundation 101+ Water main 10'+ Water Service One 10'+ Surface water _ 100'+ Driveway, parking/vehicle storage 25+ Curtain drain _504 Wells on adjacent lots 100,+ F. COMMENTS G. ENGINEER'S CERTIFICATION HAA Fee E 00 Waiver Fee S Date of Payment 0-4 Date of Payment Receipt Number Receipt Number (Rev. UMM ' I certify that I have determined through field inspectfons and �• •� review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. •• •""'"" _„ Engineer's Prin*-o` Name Kenneth M. Duffus I�NG}JNFf:R S /j JP�•FTA(.i� Dateego \�pROF"ES"V1Z�9+ HAA Fee E 00 Waiver Fee S Date of Payment 0-4 Date of Payment Receipt Number Receipt Number (Rev. UMM MUNICIPALITY OF ANCHORAGE ® DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services 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.# O Sl 3 HAA# 1. GENERAL INFORMATION Complete legal description Lot 3; Steele Estates Location (site address or directions) NHN Bear Mtn. View Circle Chugiak AK Property owner ' Mark Steele Day phone Mailing address CIO Vesta Real Estate 16645 C'entarfialA ilriva Fag1e River, Lending agency Mailing address. Day phone Agent Eva Loken/ Vista Real Estate Day phone 689-6476 Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX 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 XXX 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 (Flov. 1/91) Front 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. S & S ENGINEERING 6 c? y _ Name of Firm 17034 Eagle R' Phone Address _ Eagle River, Alaska 99577 / Engineer's signature Date o / aa� ti'7 6. DHHS SIGNATURE // Approved for ` �ZC bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 0 U ITIC Date f/ 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 courtesy to purchasers of homes and their lending institutions in order to 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. 72-025JR..1/91) Back MOAR21 MUNJUPAUTY OF ANC:HUFAUL; ENVIRONWNrAL SERVICES DIVISION Municipality of Anchorage OCT 2 0 1997 DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ECEIVE 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: F-vnx-gas 510 Parcel I.D.: 051 — 1-L-2-63 A. WELL DATA Well type ?Kw Arw If A, B, or C, attach ADEC letter. ADEC water system number Log present©/('si Date completed _ Total depth Cased to 7o Casing height (above ground) Z Sanitary seal O/N) YEs wank 1iI fAo6rtES5-. S) Wires properly protected (PN) YE S ` S � S ENGIu6ee�NG FROM WELL LOG AT INSPECTION Date of test 6 / & Y _ qA Static water level /7 3 Well production t7 g.p.m. �0 9•P•m• WATER SAMPLE RESULTS: Coliform 0 Nitrate z,50 Other bacteria Dateof sample: l0 -l6-47 Collected by: S&S ENGINEERING Eagle River Loop Road, No. 204 B. SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 r Date installed �� / 6 Tank size 1000 NumberofCompartments Z Cleanouts (N) YE5 Foundation cleanout (STN) qes Depression (Ylq No High water alarm (Y/Q tjO Date of Pumping 10-.)A-9 % Pumper flu C. ABSORRTION FIELD DATA Date installed I " a - 97 _ Soil rating p.d./ff)or W/bdrm) I Z System type -Ni E,JC0 Length 531 Width S i Gravel thickness below pipe 21 Total depth 7 8 Effective absorption area 1'7 Monitoring Tube present (9/N) y6s Depression over field (Y/Q �0 Date of adequacy test tj e r+1 Results (Pass/Fail) _ For 3 bedrooms Fluid depth in absorption field before test (in.); _ Immediately after= gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate = g.p.d. Peroxide treatment (past 12 months) (Y/N) d mir f osvit3 If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Size in Manhole/Access (Y/N)p on" level at* "Pump off' level at* High water al eat* *Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot I oo `f On adjacent lots 100 1 + r Absorption field on lot 104 On adjacent lots 1 ob + Public sewer main ^IIA Public sewer manhole/cleanout rJ/A I Sewer /septic service line ZS + Lift station A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: f+ 1 Foundation �� — Property line So Absorption field 23 Water main/service line to l+- Surface water/drainage 1001+ Wells on adjacent lots too I +- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: I Property line 35 -+ Building foundation 155 I'1" Water main/service line I of + Surface water joo l `1" Driveway, parking/vehicle storage area -25 I t Curtain drain 00ME I(wlrwrJ Wells on adjacent lots I oo'4 F. ENGINEER'S CERTIFICATION 1.0 6.-i',' t�!1AI�%_V 1 I certify that I have determined thru field inspections and review of Municipal recor0,ptGN,tPUh q ms are in conformance with MOA H�uidells in effect on this date. c�� : si- Signature 9E�� Engineer's Name _ / - 0 c✓H ✓ r .. .. Ao ROBERT C COWAN Date a 'a n (ri ) 7 �s . CE - 8801 HAA Fee $ � M , (� Date of Payment _)D Receipt Number ��� 7 0 1 3� 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number