Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
ROCKY LEDGES LT 2A
Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211227 PID Number: 050-131-85 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name CURTIS JOHNSON ABSORPTION FIELD ® Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11910 DEE LANE, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 5 1.2 GPD/SF 11 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 6 Ft. Gravel depth beneath pipe 5 Ft. Subdivision Block Lot ROCKY LEDGES 2A Fill added above original grade VARIES 0.13 - 0.55 Ft. Gravel length 63+ Ft. Township Range Section Gravel width 3 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 630 FF 1 NA Ft. Well __ 100'+ 25'+ TANK M Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING Capacity Gal. Surface Water -- 100'+ Material Number of compartments Lot Line -- 10'+ NA Foundation __ 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks Existing fields decommissioned. MOA (Tim E.) on site — soils satisfactory & no groundwater in TH. Alarm location Electrical installed by installer DENALI EXCAVATION TanPIPE MATERIAL House to tank 3034 d ainfkeld 3034 Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection ddates: Is 7�7�2021 2�d 7/7/2� Location and description 3`d 7/8/2021 41' 1/6/2022 GARAGE SLAB ON -SITE WATER AND WASTEWATER SECTION APPROVAL OF A Conditional Approval: Date rA IV *: 49 TH ....•:* •• •••• •••••••••• % �••• Curtis Huffman SepticSyste, Approved - Date 2 ZO2 •: �0 06! •..0 6/20 991• • •.����� �l Fop....W.•ON P0' ROF 1, E Note: this approval does not include well permit requirements. �.�. tRCV V.7/VU 10) PID:050-131-85 PERMIT:OSP211227 FIRST WATER CONSULTING ROCKY LEDGES LOT 2A Jun 24 22 09:43p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services Departments Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Date of Issue: Parcel Identification Number: 050 131 -$5 Legal Description Block Lot Property Owner Name & Address: KAUFMAN LOGAN 112 & KAUFMAN TRACIE 113 & KAUFMAN PROPERTIES LLC 113 ROCKYLEDGES 2A PO BOX 772927 EAGLE RIVER. AK 99577 Pump Installation Date: 06 - n - 2022 Pump Intake Depth Below Top of Well Casing: 220 feet Pump Manufacturer's Name: AYMCDONALD Pumo Model: 75A211 -7A15 Pump Size- .75 hp Pitless Adapter Burial Depth: 12 Pittess Adapter Manufacturer's Name: Pittess Adapter Installer: feet UNKNOWN TYPE/BRAND IWell Disinfected Upon Completion?Yes ❑ No Method of Disinfection: PELLETS Comments: Pump Installer Name: _ ANCHORAGE WELL & PUMP SERVICE Company: 7640 KING STREET ANCHORAGE, AK 99518 Mailing Address: 907-243-0740 City: State: Zip: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. 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: OSP211227 Work Type: Septic Upgrade Tax Code Number: 05013185000 Site Legal Address: ROCKY LEDGES LT 2A G:0253 Site Mailing Address: 11910 DEE LN, Eagle River Owner: JOHNSON CURTIS C Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft Total Bedrooms: 1T'• ent_ S, Department 6/22/2021 6/22/2022 50593 Q Disposal Field ❑ 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 Special Provisions: 5 1. Onsite shall be present for bottom of trench inspection in order to verify insitu soils match submitted grab sample/visual designation on soils log. If insitu appears to be GW or GP, a 2 ft sand filter is required for soils that perked faster than 1 mpi. This will require a change order to revise design to drainfield with no more than 6" effective. 2. Groundwater monitoring shall be completed prior to construction of drainfield. If results require a design change, construction shall stop pending Onsite review and approval of a change order. Please submit a revised test hole, with groundwater monitoring added, with the inspection report (or change order, if required). Received By: Date: Issued By: L�C D, Date: � X2 MUNICIPALITY OF /lam Development Services Department On -Site Water & Wastewater Section Parcel I.D. 050-131-85 ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) CURTIS JOHNSON Day phone Mailinq address PO BOX 771785, EAGLE RIVER, AK 99577 Site address 11910 DEE LANE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) ROCKY LEDGES LOT 2A Legal description (Township, Range & Section) Lot Size 50,593 Sq. Ft. Number of Bedrooms 5 Phone: 907-343-7904 Fax: 907-343-7997 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank ElUpgrade Q (D) El Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (81-gnature of property owner or authorized agent) Permit/Rush Fees: c5 a Date of Payment: (o I a 1 I �-C 1 Receipt Number: to 11 1� 3 /()- Permit No. os P a 11:2 27 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com June 18, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: ROCKY LEDGES LOT 2A The existing field with bootlegged drain will be decommissioned and the property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. We propose to install one deep trench to serve the existing 5-bedroom residence. The design is based on the recent test hole conducted on June 15, 2021. Sand increases with depth and the insitu material will be adequeate for filtration. No groundwater was observed at test hole excavation and monitoring is pending. Attached is the design, recent as-built survey (note the well in the easement has been decommissioned by Cole Sullivan) and recent water samples from both wells that serve the property. Per these water analysis - nitrate levels were nondetectable. The slopes are moderate at 2-7% at the proposed upgrade location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211227, Rebecca Carroll, 06/22/21 FIRST WATER CONSULTING ROCKY LEDGES LOT 2A DESIGN DETAILS NO WELLS W/IN 100' OF PROPOSED SEPTIC UPGRADE NO SLOPES >25% W/IN 50' OF PROPOSED SEPTIC UPGRADE STAKE / CONFIRM 100' WELL RADII & PROP. LINE PRIOR TO CONST. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211227, Rebecca Carroll, 06/22/21 FIRST WATER CONSULTING ROCKY LEDGES LOT 2A Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211227, Rebecca Carroll, 06/22/21 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: ROCKY LEDGES LOT 2A PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 6/18/21 DEPTH FEET OG SOILS 1 ORG/OL-ML 2 3 4 5 6 7 GW/sw 8 9 10 SAND INCREASING W/ DEPTH 11 12 13 14 15 16 MOIST 17 SW 18 19 BOH 20 Reading Date Gross Time Net Time Depth to Water Net Drop 6/15/21 2 min 6 6 2 min 6 6 2 min 6 6 2 min 6 6 2 min 6 6 2 min 6 6 PERCOLATION RATE <1 (MIN / INCH) TEST RUN BEWTWEEN 5 & 6 FT PERC HOLE DIAMETER 6 PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: PENDING DATE: TESTHOLE # 21-1 DATE PERFORMED: 6/15/2021 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: IN-SITU SAND INCREASING W/ DEPTH & ADEQUATE FOR FILTER VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: CURTIS & JOVITA JOHNSON 6/18/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211227, Rebecca Carroll, 06/22/21 Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. m P.O. Box 196650 m Anchorage, AK 99507-6650 ®® (907) 343-7904 Legal Address: I f o Subdivision T R 9-s Block ction Lot On -site Water & wastewater Program certified contractor performing the well deco i �. Name: �� (, l� Signature Company: (,fit t �� V&'fj bje ( ! t 5 Well decommissioning date:p Method of decommissioning: y AMC 15:55.060L1 a. ❑ b. ❑ c. K" Location: Use the space below to provide a drawing of the property showing the following items; • North Arrow • Decommissioned well, • Other water wells on the property, • Two separate swing -tie distances for each well shown in the drawing, Note: The swing -tie distances shall be measured from either permanent stru ture of property corners. P t 1 � teary CZ { FIND10,5 1*9 PLLI 0 _j LC", Yo, Ln 0) V) < 10 m Co. M0138 30WIOIS 03SOlON3 HIM ANOOIV8 M0138 H080d 313SDNOO HJJM ),NOOIVB § ld PLId3S'.. LLJ Low /* ry _jLz -.v � Q k A S1N3Vq3SV3 SS300V OL 1N3Vq3SV3 J.iniin w N3>IOIHD )lNn-NIVH3 ZZZ_L___ of 0 h C,4. ZO P, In VA cq ui 0 00 LO t.Li V _X z 0 E o r < 0 X 0 vt°m ai a1; a. ICDL M, 'V- "M7 a. :3 u-E* 0 — a = z 1. 00 c 0 0 E"& 0 to to 0 10-0 NW ItIm 3;— - c 00 w v rc-, 'c*s CD C-4 Z5 04 N 00 0 04 C*4 IM 0 "a to to C 0.0 z 0 o oo' o ro- E 0 Z 9�4= - 0 > 0 a 0 E 0- c T Im a V) s- 0. CD 0 co cm o V) a I -t 0 C4 MO.F a 4 to C) >-c d -0 0 0 11 (D z - r- , , 0 > .2.,_ 0 7E 0 0 CL 0- (D �-a ED a 0, 2 'D ra- lor "0 >". v Z o. U) 0 U) < 0 J .00 Ld 0 04 23- 2 0 r,- 0 Im < 0 0 0 o Or- aQ, — 'o ('n x V) _J z > V) =:a —0 0 >_ U) ''o -0 ED. 0 a a. LLI > < — CIO o 0 0 LI) w 0_0 w 0 o in 0 :E: �2:6 t w 8 z c.)Is Lj 6 CD o o 3040 0 1 < = CL CD cn :E m' 'o I - — Ro I- 'OV = >-.',' IOD C.) C4 0 a W 3 0 LLI 0 of.- L.0 0 0 C) Z 0 409 z 0 0 CL 0 0 a ti0 > W 2 GINS- � PRpSE �p0 � h / o / 0 to \ S 3M \ \ I t w\ ryUl M \ \ \ I\I I 8 ti'9ZC zo 0 'MO738 3DYWIS 010N0353M 11003tlB MM38 HONOd 31380NOO HllM AN003V8 LLJ M J --/l�---SiN3W3SV3 SS330V ,OL Q N ° M t Lq LO S3dld 3LLd35 J �30N33 XNn NWO rA Y O V I y m w 0 0 0 Z L V m C m Q O X E o a a c c I>n1� Q� N ° N N 3 In 'n Z o X00 0 E O G C Q 00 m m a0 `m e c o oL m E a c c o 0 C 0 00 01 O C� o�oo� 0a _ m+ e �m�aE o° v ,,O.s m O -0 WN E ° O q NOL 9 � m vp��vLw m W N m C o` O 0 C C w m 0 O O Z r C F 0 0 C ° r c m n E o CL p� U O w 52 E m 0 O � c 0 m!nyoa>,o 00 E 02:0.. 0 ° o� C-0 tma.mg0 o om FE t- E CI t 3 >VI IV 0OO L 0 O O C L O C pC1 V V O q O _ J moa c �CCo TU0`o .00 mv+ c.°. 'C cz a°. O h m w aai 0 m9 V Q m O m °m m Irl TN O C m 0 m C O ` 0 O 0 m 0 a .0 w C m J V aC m. m m O r cr°o o —o o :0 0 0 O �• o F 0 E O G C Q 00 m m a0 `m e c o oL m E a c c o 0 C 0 00 01 O C� o�oo� 0a _ m+ e �m�aE o° v ,,O.s m O -0 WN E ° O q NOL 9 � m vp��vLw m W N m C o` O 0 C C w m 0 O O Z r C F 0 0 C ° r c m n E o CL p� U O w 52 E m 0 O � c 0 m!nyoa>,o 00 E 02:0.. 0 ° o� C-0 tma.mg0 o om FE t- E CI t 3 >VI IV 0OO L 0 O O C L O C pC1 V V O q O _ J moa c �CCo TU0`o .00 mv+ c.°. 'C cz a°. O h m w aai 0 m9 V Q m O m °m m Irl TN O C m 0 m C O ` 0 O 0 m 0 a .0 w C m J V aC m. m m O r cr°o o —o o GREA~,-R ANCHORAGE AREA BORC_3H Department of Environmental Oualitv 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM DESC S,:JeF. 5~i~ SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER (~,~9 '~ ~g¢~" ~)T~, COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY TILE DRAIN FIELD: DISTANCE FROM WELL /~)"~-~ / FOUNDATION ~ '/ NUMBER OF LINES / DISTANCE BETWEEN LINES ABSORPTION AREA g'--.,4'~ ¢ DEPTH: TOP OF TILE TO FINISH GRADE NEAREST LOT LINE TRENCH WIDTH ]~,~' IN. TOTAL EFFECTIVE ! SQ. FT. LENGTH OF EACH LINE ~, i,~ DEPTH OF FILTER · MATERIAL BENEATH TILE /'~. ABOVE TILE Z./,/ IN. TYPE_ CONSTRUCT,ON V DEPTH DISTANCE FROM: BUILDING NEAREST FOUNDATION LOT LINE __ NEAREST /~//` SEPTIC / SEEPAGE SEWER LINE , TANK /'c"")~2 SYSTEM CESSPOOL APPROVED OTHER SOURCES DISAPPROVED INSTALLED BY: SEWER LINE DEPTH: PIPE MATERIAL' LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM G.A.A.B. PERMIT NO. ~/¢"'-/i--iLIN':~/'C: I PIlL I T'-r' OF Fll'-.IC:HOF-:r-:IGE DEPRR~IENT OF HEHLTH HND EN',/IR~INMENTFtL PROTECTION 25t0 E. TUDOR RD.., RNCHORRGE, RI-(. 9950? I-..IELL HI'~tD Ol'-.l--S I TE SEI4ER AF'PLICBNT ROBERT C JOHNSO~ BO~, 456 E.R. LOCRTION L~OENE LRNE LEGBL L2 ROCKY LEDGES SUBS 'TYPE OF SOIL RB~ORBTICN SYSTEM IS: TRENCH ~I~E LOT ~ ~ MRXIMUM NUMBER OF BEDROOMS = 5 PERf"I I -r 46898 SQURRE FEET SOIL RRTING <i~.Q FTr'BR)= ':~-'=' THE REQUIRED SIZE OF THE SOIL RBSORPTION =.~=.TEM IS: THE LENGTH DIMENSION IS THE LENGTH (I~E~T> OF THE TRENCH OR DRRINF~EL[>. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET), 'THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRR'v'EL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). F-:E,'::~L! IRE[-" SEF'T I C TAI'-,II--':C S I ZE= '"1 51--.Dl-D (::iALLCll'-.I-¢; BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE _~UBJE_.T TO PROSECUTION, MINIMUM DISTRNCE BETWEEN R WELL RND RNY ON-SITE SEHRGE DISPOSRL SYSTEM IS 100 FEET FOR R PRIVRTE WELL OR ~00 FEET FOR R PUBLIC WELL. HELL LOGS RRE REQUIRED RND MUST BE RETURNED TO THE DEPRRTMENT WITHIN ~0 DRVS OF THE WELL COMPLETION. ~PECIF'ICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRIL. RBLE TO INSURE PROPER INSTRLLRTION. PEF-:'I'I I '¥ %.'RL I D FC, R Ot'-.IE ~r"~RR FRCml'.'! I r_..::..-,, _ I CERTIFY THAT i: I AM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPRLITV OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 5 BEDROOMS. SIGNED: ~'~'~=~ .... RPPLICRNT ROBE~T C JOHNSON Townsend, Curtis L. Subject: ROCKY LEDGES LOT 2A 260' deep well drilled by A&L in 1976, no ADEC well log file, drilled on lot 2, ADEC 9918 140' deep well drilled in 1985 on lot 2 by Sullivan, cased to 22' — this is the one that was decommissioned by Sullivan in 2023, Sullivan numbers this well #1 ADEC 9919 140' deep well drilled 1985 on lot 2 by Sullivan, cased to 20' — Sullivan numbers this well #2 ADEC 9920 160' deep well drilled 1985. Sullivan numbers this well #3 —this well is no longer visible. ADEC 9921 240' deep well drilled 1985 on lot 2 drilled by Sullivan, cased to 31'? Sullivan numbers this well #4 The bottom of all the Sullivan well logs has a sketch showing the location of the wells, and they are numbered. This information is based on discussions with First Water Consulting and information provided by Sullivan Water Wells. It is recorded here for future use. Curtis Townsend, PE Onsite Water and Wastewater Municipality of Anchorage 907-343-7908 (geriifiell Drilling by A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99677 · TELEPHONE 694-2588 OWNER OF LAND /~o/5 Job'' ''°''~° '''''° DEPTH OF WELL ADDRESS LEGAL DESCRIPTION- ~-'~'¢ '''7c~ ~ ~2/.. D j~4 ~ ~',~ff~' ~¢DRAW DOWN FT. PEmIT NUMBER ~ -- ~ ~- ~ ' KIND OF CASING STATIC LEVEL OF WATER FT. KIND OF FORMATION: From ?) Ft. to ,2 .Ft. From_ -~ Ft. to .. £ From r? Ft. to From cJ-'~'' Ft. to From ~c~ O Ft. to From ~7,(~ Ft. to From_ /,~'"L~ Ft. to ~ 7 ~' Ft. From / ~ ¢ ~' Ft. to ,~) ] ~'~Ft. From ,d/'~''~ Ft. to ~'~"Ft. From ~} ) a"' Ft. to ),Ga Ft. From Ft. to Ft. From Ft. to_ Fi From. Ft. to Ft. From Ft. to.__.Ft. From Ft. to Ft. From _Ft. to Ft. From Ft. to Ft From Ft. to_ Ft. From_ _Ft. to_ _ Ft. From Ft. to Ft._ From Ft. to _Ft. From _Ft. From Ft. to Ft._ From Ft. to_ Ft. From Ft. to Ft. From Ft. ro Ft. From Ft. to Ft. From Ft. to Ft From Ft. to. Ft From Ft. to Ft. From Ft. to Ft From Ft. to Ft. From Ft. to__Ft. From Ft. to Ft. MISCL. INFORMATION: STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG Revised 08/18/2016 Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______ City/Borough Subdivision Block Lot Property Owner Name & Address Well location: Latitude Longitude Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4 BOREHOLE DATA: (from ground surface) Suggest T.M. Hanna’s hydrogeologic classification system* https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD Depth From To Drilling method: Air rotary, Cable tool, Other Well use: Public supply, Domestic, Reinjection, Hydrofracking Commercial, Observation/Monitoring, Test/Exploratory, Cooling, Irrigation/Agriculture, Grounding, Recharge/Aquifer Storage, Heating, Geothermal Exploration, Other Fluids used: Depth of hole: __________ ft Casing stickup: ___________ft Casing type: __________ Casing thickness: _________ inches Casing diameter: _________ inches Casing depth: __________ ft Liner type: _________ Depth: _____ ft Diameter: _____inches Note: Well intake opening type: Open end, Open hole, Other Screen type: _________, Screen mesh size: ____________ Screen start: ________ ft, Screen stop:________ ft, Perforated Yes No Perforation description: Perf from: ________ ft, Perf to: _______ft, Perf from: ________ ft, Perf to: ________ ft Gravel packed Yes No Gravel start: ______ ft , Gravel stop:______ ft Note: Static water (from top of casing): _______ ft on____/____/_____ Artesian well Pumping level & yield: ______ feet after _____ hours at _____ gpm Method of testing:__________________________________________ Development method:______________ Duration: ____________ Recovery rate: _________ gpm Grout type: _________________ Volume __________________ Depth: From ___________________ft, To ___________________ft Final pump intake depth: __________ ft Model: _______________ Pump size: _____________ hp Brand name: __________________ Include description or sketch of well location (include road names, buildings, etc.): Was well disinfected upon completion? Yes No Method of disinfection: Was water quality tested? Yes No Water quality parameters tested: Well driller name: .................................................................................. Company name: ................................................................................... Mailing address: .................................................................................... City: __________________________ State: AK Zip: ___________ Phone number: (________) ________- ______ Driller’s signature: Date: ______/______/_________ Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require that a copy of this well log be submitted to the Development Services Department/City within 30 days of well completion. City Permit Number: _____________________________ Date of Issue: _____/____/_________ Parcel Identification Number: ______-_______-________ *Guide for Using the Hydrogeologic Classification System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a copy of the well log be submitted to the Department of Natural Resources within 45 days of well completion. Well logs may be submitted using the online well log reporting system available at: https://dnr.alaska.gov/welts/ OR email electronic well logs to dnr.water.reports@alaska.gov North 1 PO BOX 670272 NW BILL SULLIVAN BOB JOHNSON , SULLIVAN WATER WELLS 002W L2 SW SESW 4 1 1985 n 140 9918 Knik ROCKY LEDGES 1 CHUGIAK 99567 S 014N STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG Revised 08/18/2016 Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______ City/Borough Subdivision Block Lot Property Owner Name & Address Well location: Latitude Longitude Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4 BOREHOLE DATA: (from ground surface) Suggest T.M. Hanna’s hydrogeologic classification system* https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD Depth From To Drilling method: Air rotary, Cable tool, Other Well use: Public supply, Domestic, Reinjection, Hydrofracking Commercial, Observation/Monitoring, Test/Exploratory, Cooling, Irrigation/Agriculture, Grounding, Recharge/Aquifer Storage, Heating, Geothermal Exploration, Other Fluids used: Depth of hole: __________ ft Casing stickup: ___________ft Casing type: __________ Casing thickness: _________ inches Casing diameter: _________ inches Casing depth: __________ ft Liner type: _________ Depth: _____ ft Diameter: _____inches Note: Well intake opening type: Open end, Open hole, Other Screen type: _________, Screen mesh size: ____________ Screen start: ________ ft, Screen stop:________ ft, Perforated Yes No Perforation description: Perf from: ________ ft, Perf to: _______ft, Perf from: ________ ft, Perf to: ________ ft Gravel packed Yes No Gravel start: ______ ft , Gravel stop:______ ft Note: Static water (from top of casing): _______ ft on____/____/_____ Artesian well Pumping level & yield: ______ feet after _____ hours at _____ gpm Method of testing:__________________________________________ Development method:______________ Duration: ____________ Recovery rate: _________ gpm Grout type: _________________ Volume __________________ Depth: From ___________________ft, To ___________________ft Final pump intake depth: __________ ft Model: _______________ Pump size: _____________ hp Brand name: __________________ Include description or sketch of well location (include road names, buildings, etc.): Was well disinfected upon completion? Yes No Method of disinfection: Was water quality tested? Yes No Water quality parameters tested: Well driller name: .................................................................................. Company name: ................................................................................... Mailing address: .................................................................................... City: __________________________ State: AK Zip: ___________ Phone number: (________) ________- ______ Driller’s signature: Date: ______/______/_________ Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require that a copy of this well log be submitted to the Development Services Department/City within 30 days of well completion. City Permit Number: _____________________________ Date of Issue: _____/____/_________ Parcel Identification Number: ______-_______-________ *Guide for Using the Hydrogeologic Classification System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a copy of the well log be submitted to the Department of Natural Resources within 45 days of well completion. Well logs may be submitted using the online well log reporting system available at: https://dnr.alaska.gov/welts/ OR email electronic well logs to dnr.water.reports@alaska.gov North 1 PO BOX 670272 NW BILL SULLIVAN BOB JOHNSON , SULLIVAN WATER WELLS 002W L1 SW SESW 4 1 1985 n 140 9919 Knik ROCKY LEDGES 1 CHUGIAK 99567 S 014N STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG Revised 08/18/2016 Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______ City/Borough Subdivision Block Lot Property Owner Name & Address Well location: Latitude Longitude Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4 BOREHOLE DATA: (from ground surface) Suggest T.M. Hanna’s hydrogeologic classification system* https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD Depth From To Drilling method: Air rotary, Cable tool, Other Well use: Public supply, Domestic, Reinjection, Hydrofracking Commercial, Observation/Monitoring, Test/Exploratory, Cooling, Irrigation/Agriculture, Grounding, Recharge/Aquifer Storage, Heating, Geothermal Exploration, Other Fluids used: Depth of hole: __________ ft Casing stickup: ___________ft Casing type: __________ Casing thickness: _________ inches Casing diameter: _________ inches Casing depth: __________ ft Liner type: _________ Depth: _____ ft Diameter: _____inches Note: Well intake opening type: Open end, Open hole, Other Screen type: _________, Screen mesh size: ____________ Screen start: ________ ft, Screen stop:________ ft, Perforated Yes No Perforation description: Perf from: ________ ft, Perf to: _______ft, Perf from: ________ ft, Perf to: ________ ft Gravel packed Yes No Gravel start: ______ ft , Gravel stop:______ ft Note: Static water (from top of casing): _______ ft on____/____/_____ Artesian well Pumping level & yield: ______ feet after _____ hours at _____ gpm Method of testing:__________________________________________ Development method:______________ Duration: ____________ Recovery rate: _________ gpm Grout type: _________________ Volume __________________ Depth: From ___________________ft, To ___________________ft Final pump intake depth: __________ ft Model: _______________ Pump size: _____________ hp Brand name: __________________ Include description or sketch of well location (include road names, buildings, etc.): Was well disinfected upon completion? Yes No Method of disinfection: Was water quality tested? Yes No Water quality parameters tested: Well driller name: .................................................................................. Company name: ................................................................................... Mailing address: .................................................................................... City: __________________________ State: AK Zip: ___________ Phone number: (________) ________- ______ Driller’s signature: Date: ______/______/_________ Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require that a copy of this well log be submitted to the Development Services Department/City within 30 days of well completion. City Permit Number: _____________________________ Date of Issue: _____/____/_________ Parcel Identification Number: ______-_______-________ *Guide for Using the Hydrogeologic Classification System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a copy of the well log be submitted to the Department of Natural Resources within 45 days of well completion. Well logs may be submitted using the online well log reporting system available at: https://dnr.alaska.gov/welts/ OR email electronic well logs to dnr.water.reports@alaska.gov North 1 PO BOX 670272 NW BILL SULLIVAN BOB JOHNSON , SULLIVAN WATER WELLS 002W L1 SW SESW 4 1 1985 n 160 9920 Knik ROCKY LEDGES 1 CHUGIAK 99567 S 014N STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES DIVISION OF MINING, LAND & WATER Alaska Hydrologic Survey WATER WELL LOG Revised 08/18/2016 Drilling Started: ____/____/______ Completed: ____/____/_______ Pump Install: ____/____/_______ City/Borough Subdivision Block Lot Property Owner Name & Address Well location: Latitude Longitude Meridian ____________ Township ______ Range _______ Section _______ , _____ 1/4 of _____ 1/4 of _____ 1/4 of _____ 1/4 BOREHOLE DATA: (from ground surface) Suggest T.M. Hanna’s hydrogeologic classification system* https://my.ngwa.org/NC__Product?id=a185000000BYub3AAD Depth From To Drilling method: Air rotary, Cable tool, Other Well use: Public supply, Domestic, Reinjection, Hydrofracking Commercial, Observation/Monitoring, Test/Exploratory, Cooling, Irrigation/Agriculture, Grounding, Recharge/Aquifer Storage, Heating, Geothermal Exploration, Other Fluids used: Depth of hole: __________ ft Casing stickup: ___________ft Casing type: __________ Casing thickness: _________ inches Casing diameter: _________ inches Casing depth: __________ ft Liner type: _________ Depth: _____ ft Diameter: _____inches Note: Well intake opening type: Open end, Open hole, Other Screen type: _________, Screen mesh size: ____________ Screen start: ________ ft, Screen stop:________ ft, Perforated Yes No Perforation description: Perf from: ________ ft, Perf to: _______ft, Perf from: ________ ft, Perf to: ________ ft Gravel packed Yes No Gravel start: ______ ft , Gravel stop:______ ft Note: Static water (from top of casing): _______ ft on____/____/_____ Artesian well Pumping level & yield: ______ feet after _____ hours at _____ gpm Method of testing:__________________________________________ Development method:______________ Duration: ____________ Recovery rate: _________ gpm Grout type: _________________ Volume __________________ Depth: From ___________________ft, To ___________________ft Final pump intake depth: __________ ft Model: _______________ Pump size: _____________ hp Brand name: __________________ Include description or sketch of well location (include road names, buildings, etc.): Was well disinfected upon completion? Yes No Method of disinfection: Was water quality tested? Yes No Water quality parameters tested: Well driller name: .................................................................................. Company name: ................................................................................... Mailing address: .................................................................................... City: __________________________ State: AK Zip: ___________ Phone number: (________) ________- ______ Driller’s signature: Date: ______/______/_________ Anchorage Municipal Code 15.55.060(I) and North Pole Ordinance 13.32.030(D) require that a copy of this well log be submitted to the Development Services Department/City within 30 days of well completion. City Permit Number: _____________________________ Date of Issue: _____/____/_________ Parcel Identification Number: ______-_______-________ *Guide for Using the Hydrogeologic Classification System for Logging Water Well Boreholes by Thomas M. Hanna NGWA Press AS 41.08.020(b)(4) and AAC 11 AAC 93.140(a) require that a copy of the well log be submitted to the Department of Natural Resources within 45 days of well completion. Well logs may be submitted using the online well log reporting system available at: https://dnr.alaska.gov/welts/ OR email electronic well logs to dnr.water.reports@alaska.gov North 1 PO BOX 670272 NW BILL SULLIVAN BOB JOHNSON , SULLIVAN WATER WELLS 002W L2 SW SESW 4 1 1985 n 240 9921 Knik ROCKY LEDGES 1 CHUGIAK 99567 S 014N MUNICIPALITY OF ANCHORAGE o Development Services Department `-1 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-131-85 1. GENERAL INFORMATION Complete legal description ROCKY LEDGES LOT 2A Expiration Date: Location (site address) 11910 DEE LANE, EAGLE RIVER, AK 99577 Current property owner(s) CURTIS & JOVITA JOHNSON Day phone Mailing address Real estate agent PO BOX 771785, EAGLE RIVE, AK 99577 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 5 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 $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number COSA # 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 1/6/2022 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 these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any & no estimate of how long a system will function sat isfactoo✓�Q;•' . • • for current or future occupants or guarantee that no unseen encroachments, deficiencies or fig.' discrepancies exist can be given by First Water Consulting & FW[.5 *' -49 , , , , ,•;* ►, 6. DSD SIGNATURE "" "' Curtis Huffman � System #1 Approved for bedrooms CE 128991 }� TF9•. 1/6/2022•��� System #2 Approved for bedrooms PROFESSION Disapproved Conditional approval for bedrooms, with the following stipulations: CQ/ ,,D tilo/.1'�l CO ©P' IC I,.,n LC-V /SSv/� -� /2/ZflZ, A4,w LD t✓/�5 ItiS �/��cFJ�, V��yN�;T7� �-� C��/� AA) LJ D. ;l ; y, By: � -' Original Certificate Date: ) z / 2, Z 3 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) b sed 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 Legal Description: ROCKY LEDGE LOT 2A Parcel ID: 050-131-85 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA – 2 WELLS SERVICE THE PROPERTY *Well log is filed with Onsite (or attached) Date drilled 7/1976 & 4/1985 Total depth 260’ / 240 ft (2 WELLS) Cased to ft INTO BEDROCK Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 5/10/2021 Static water level at beginning of test 20 / 20 ft. Well production at time of test 0.95 / 1.22 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by & SULLIVAN Date of Sample 5/7/2021 & 6/2/2021 Comments *ORIGINAL WELL IN ESMT. DECOMMISSIONED – SEE ATTACHED SULLIVAN LETTER B. TANK DATA Age of tank(s) 45 years Tank type/material SEPTIC / CONCRETE Measured operating fluid level in septic tank 52” & 56” Standpipes/foundation cleanout per record drawing Date of pumping 5/7/2021 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA - NEW FIELD INSTALLED IN JULY 2021 Which system tested (date installed) NA – NEW ALL standpipes present per record drawing Total measured depth from grade 11.55 ft (max) Measured depth to pipe invert from grade 6.13 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 Adequacy test date NA – NEW FIELD Results Pass For 5 bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: 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 ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ 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 Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ 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 Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS FINAL COSA G. ENGINEER’S CERTIFICATION I 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. 1/6/22