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HomeMy WebLinkAboutMARIE ESTATES LT 12C.*. Marie states Lot 12C 051-111 -72 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page I of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP21 1000 PID Number: 051-111-72 Dwelling: NO Single Family (SF) 01 with ADU El Duplex (D) 1­71 Two Single Family Project: r-1 New FE01 Upgrade Name JACOB & ASHLEY SEABOLT ABSORPTION FIELD -§'i:-te Address El Deep Trench 1­71 Wide Trench 11011 Bed El Mound 20414 STEPHEN CIRCLE *CHUGIAK, AK 99567 ❑ Other Nu, Phone Number of Bedrooms Soil Rating Total depth from original grade 317-9433 (C/O ARM SEPTIC SERVICES) *5 *2.0 GPD/SFI SEE DWG. Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot SEE DWG. Ft. 0.50 MARIE ESTATES 12C Ft. Fill added above original grade Gravel length Township Range Section SEE DWG. Ft. 1 25 Ft. Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES 15 Ft. 3 5 Ft. To septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 375 Ft2 Ft. Well *50'+ *50'+ TANK 9 Septic 9 S.T.E.P. F-1 Holding 1771 Other Manufacturer Capacity Surface Water *50'+ *50'+ INFILTRATOR/INFILTRATOR 1530/1060 Gal. Material Number of compartments Lot Line 5'+ 10'+ NA HDPE PLASTIC 2/1 Foundation**I of+ 101+ LIFT STATION i Manufacturer Capacity Remarks *THIS IS A CAT 11 QUANICS AEROCELL SYSTEM. INFILTRATORQUANICS 1060 Gal. **5'+ TO ANY DECK SUPPORT (PIER BLOCK). Alarm location Electrical installed by OUTSIDE & INSIDE RISING SON ELECTRIC Tank to D1765/ Installer PIPE MATERIAL House to tank D3034 - drainfield D3034 ARM SEPTIC SERVICES, LLC Drainfield D3034 CO/MT D3034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 97.72 ft Inspection — dates: vt 1/7/21 2n1 1/7/21 Location and description 3"' 1/7/21 41h 1/9/21 TOP OF DECK NEAR WEST CORENER OF HOUSE (POINT "A") ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp 6004 Conditional Approval: Date 4 .... . ........ ... ......... Septic System VO "3 rey Go ess.- Approved CE— Date 1/13 6) 1 .I /. I Z 7,j T— Note: this approval does not include well permit requirements.of e s SWOO C=7 ECC884 (Rev 05/02/18) PERMIT NUMBER: PARCEL ID NUMBER: OSP211000 RECORD DRAWING 051-111-72 I I I I I I I I � RESERVE DRAINFI7-1 w I -- I I 1 I LOUTA BUTERA, P.E. 1985 TEST HOLE I (APPROX. LOCATION) I CHICKEN COOP I I I c I J I I NEW BED TYPE DRAINFIELD. SEE PROFILE DRAWING FOR DRAINFIELD ELEVATIONS, PAGE 3 OF 3-/ NOTE_ OLD 1500 GALLON STEEL STEP TANK WAS DECOMMISSIONED PER UPC PER THE CONTRACTOR + d e Id r minus I • re ' LU 1 •♦ a Q Z O C7 ' s Go p O • , + , d W m Q , d FCE ` •e d • , a p2,A p`OFoaJ�� GEG —EXISTING SEWER LINE. BELIEVED TO BE INSTALLED AT 1% SLOPE BASED UPON ELEVATIONS TAKEN BY GEG. y F i s X17 "kik�c �6- - '/0 �o O OTS OQ O O / I /_NEW IM -1530 TWO-COMPARTMENT INSTALLED DOUBLE INFILTRATOR TANK CLEANOUTS (DLI AND DBL2) L NEW IM -1060 SINGLE -COMPARTMENT NEW NS -500 -AC INFILTRATOR TANK WITH AEROCELL UNIT AEROCELL PUMP SYSTEM 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 .games engineedng.com PREPARED FOR: C/O ARM SEPTIC SERVICES PHONE NUMBER: PAGE NUMBER: JACOB AND ASHLEY SEABOLT 317-9433 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: MARIE ESTATES; LOT 12C J.L.M. TYPE OF WORK: DATE: RECORD DRAWING OF SEPTIC SYSTEM UPGRADE 1/12/2021 N 1"= 30' IL lk Ar 4LAn 1 i ey A. Ga ess. Aj i •1 G!. C -79 3 2 AF �i�♦ �o ,,� .z. �z 1 ��.� LICENSE,�� ESS\ �� • #AECC884 PERMIT NUMBER: OSP211000 FINAL GRADE = 96.17-96.20 TOP OF MH1 LID= 96.81 2" OF INSULATION OVER TANKS (PER CONTRACTOR) OPERATING I LIQUID LEVEL 44" (1,509 GALLONS) IM -1530 GALLON TWO-COMPARTMENT INFILTRATOR TANK TOP OF TANK (INLET) = 92.19 „-• INLET INVERT OF INLET PIPE = 91.62 WEST CORNER OF HOUSE = 97.72 RELATIVE ELEVATION OF BOTTOM OF I LOUIS BUTERA 1985 TEST HOLE = 86.41± -ASSUMED (NO GROUNDWATER) LOUIS BUTERA, P.E 1985 TEST HOLE RECORD DRAWING SJE RHOMBUS INSTALLER FRIENDLY SERIES (IFS) TIMED CONTROL PANEL WITH DRY CONTACTS FOR XPERT ALERT WIFI MESSENGER UNIT— DBL1 DBL2 TOP OF TANK (OUTLET) = 92.20- INVERT OF OUTLET PIPE = 91.3; ST2 TOP OF TANK (INLET) _ 92.10 _11 ---- MINIMUM MINIMUM OPERATING LIQUID LEVEL (747 GALLONS) WEEP HO INVERT OF INLET PIPE = 91.19 IM -1060 GALLON SINGLE -COMPARTMENT EXISTING GRADE AT LOWEST POINT ON EAST END OF DRAINFIELD (NOT ORIGINAL GRADE) = 98.08 r0.5' OF EFFECTIVE MTS CO'S A PORTION OF THE OLD DRAINFIELD WAS REBUILT. ALL CONTAMINATED MATERIAL BELOW THE NEW DRAINFIELD WAS REMOVED AND REPLACED WITH MOA APPROVED FILTER SAND. TIM EKLUND WITH MOA ONSITE DEPARTMENT WAS PRESENT DURING BOTTOM OF EXCAVATION INSPECTIONS. LIMITS OF EXCAVATION FOR NEIN DRAINFIELD = 93.40-94.2f PARCEL ID NUMBER: 051-111-72 TOP OF MH2 LID = 96.25 CI FINAL GRADE = 99.80-100.18 TER FABRIC INVERTS OF NEW DISTRIBUTION LINES FOR NEW DRAINFIELD = 95.80 PROFILE VIEW SCALE: 1"=5' VP2 -TOP OF TANK (OUTLET) = 92.12 SJE RHOMBUS XPERT ALERT WIFI O U o MESSENGER UNIT (REMOTE MONITORING SYSTEM). INSTALLED IN HOUSE. Q W W U) �0 W _ J � FQUANICS NS500 AEROCELL POD U) LIJ Q = D_ cn TOP OF POD LID = 99.79 190101 .5" SCH. 40 PVC 4" DISCHARGE (20%) FEED LINE TO DRAINFIELD- 4" RECIRCULATION RETURN LINE (80%) —INVERT OF 80% !RETU= 91.46 TIMER OVERRIDE FLOAT (42") HIGH WATER FLOAT (40") LOW LEVEL CUTOFF FLOAT (ON/OFF) - (33") RN 47 GALLONS CAPACITY N FLOAT IS DEACTIVATED. ULDS PE51M PUMP 2 - 8" CONCRETE CINDER BLOCKS FOR PUMP PEDESTAL - STACKED -SIDE-BY-SIDE (SUPPLIED BY CONTRACTOR) EXISTING GRADE AT HIGHEST POINT ON EAST END OF DRAINFIELD (NOT ORIGINAL GRADE) = 99.58 1.02 TO 1.90 FOOT OF MOA FILTER SAND ADDED -TOP OF FILTER SAND/BOTTOM OF DRAINROCK FOR NEW BED DRAINFIELD = 95.30 VP2 00.3 wm w N 00 Q D9) 2W m� N �U p WIC z0 zJ W�U oc� eco 3: a a a o 0 1 � � N N� �1 E v Z ZP 1 ►...( O n UW = � I� Q �• � �Ww U, _JG tL F� Oo W U) r M LLI v w U_ Zc N H wW� 0 U) C/) 0 r c/)Z W c3:c W Q z o0 o aW YO w 0w o 0 �( co � � ply"- W 0 rM ¢2 a - v W d J H .*SlklLlk■ %F%AV I P ' J • :S♦i AV •: *♦i f 4 ; .............. . ...........................0 i 1 /-.....�. /A. % i?.... i ��r ffrey A-G. zi�: #1# CE -7953 �i . �...: LICEN E 1 IL ILS �•• #AECC884 January 12, 2021 Rising Son Electric Services LLC. 36784 Eklutna Lake Rd. Chugiak, AK 99567 (907) 622-6777 Re: 20414 Stephan Cir. Eagle River, AK 99577 To whom it may concern: The lift station at the above referenced address has been wired in accordance with NEC and State/Local codes and is wired to the manufactures standards. Please contact Dakota Keller with Rising Son Electric Services LLC with any questions or concerns at (907) 622-6777. Thank you for your business. Sincerely, Dakota Keller, Owner Administrator License Number 2065 Specialty Contractor license Number 38497 (907) 622-6777 3 000000pp0O0 o�OFA�4p ................................0 s SHANE A. HOLT O� LS -6914 Q�a a o0 OArOfessiona� �o�o STEPHEN THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES OR EASEMENTS AND IS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. ANY PAVING SHOWN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. AS BUIL T SURVEY 1"= 40' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 12 C. MARIE ESTATES SUB. ILITY MENT ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _12 TH_ DAY OF _JANUARY 2021. HOLT LAND SURVEY 9309 GROVER DRIVE 11419, FB 143-31,210-67 ANCHORAGE, AK 99507 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PQ Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http:/lwm.mun I.orglonsite On -Site Wastewater Disposal System Permit Permit Number: OSP211000 Work Type: Septic Upgrade Tax Code Number: 05111172000 Site Legal Address: MARIE ESTATES LT 12C G:1361 Site Mailing Address: 20414 STEPHEN CIR, Chugiak Owner: SEABOLT JACOB & ASHLEY Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: cnent. S llcpartment 1/6/2021 1/6/2022 49361 Q Disposal Field 0 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: Date: Date: .��7� Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211000, Rebecca Carroll, 01/06/21 Carroll, Rebecca M. From: Jeff Garness <Jeff@garnessengineering.com> Sent: Wednesday, January 6, 2021 1:48 PM To: Carroll, Rebecca M. Cc: Sonja Blewett; Jody Maus; ARM Septic Services, LLC Subject: Marie Acres, L12C - Comments [EXTERNAL EMAIL] Hello Becca In regard to the code requirement for clean -outs at each end of the drainfield........... the proposed piping/cleanout configuration allows for all of the distribution lines to be jetted and/or inspected via a camera. I would prefer to install it as submitted on the design. If you insist on additional clean -outs, can you require it as a condition on the permit? Thanks .......... jeff J Jeffrey A. Garness, P.E., M.S. President Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 Mobile: (907) 244- 9612 Fax: (907) 338-3246 Website: www.garnessengineering.com G_'ARNESS ENGINEERING GROUP, Ltd ENGINEERING -SALES -CONSULTING - , , quanws AeroCeXERXESO CORPORATION ,r,s., Alll N ,d Dt nk!r Autlx'(171W AU',&t UWAI lbutgr Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211000, Rebecca Carroll, 01/06/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211000, Rebecca Carroll, 01/06/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211000, Rebecca Carroll, 01/06/21 15 DESIGN CRITERIA: NUMBER OF BEDROOMS: 5 GALLONS PER DAY (GPD): 750 PERCOLATION RATE/S: 15-30 MINUTE/INCH PROPOSED APP. RATE: "2.0 GPD/SQ.FT. MINIMUM DRAINFIELD SQ.FT.: 375 "UTILIZING CAT II AEROCELL TREATMENT DRAINFIELD DESIGN: MAXIMUM DEPTH: SEE DETAIL DRAWING WIDTH: 15 FEET LENGTH: 25 FEET M.O.A. APPROVED SAND FILTER: 1 FOOT MIN. EFFECTIVE: 0.5 FEET ACTUAL SQ.FT.: 375 LOUIS BUTERA, P.E. 1985 TEST HOLE EXISTING GRADE @ WEST MT FOR OLD DRAINFIELD = 98.41- LOUIS BUTERA 1985 TEST HOLE = 86.41± -ASSUMED (NO GROUNDWATER) ------------------------------------------ 1-4" MONITORING TUBE 4" MONITORING TUBE—* I —FROM NS -500 -AC AEROCELL POD 4" SOLID PIPE 1 —4" MONITORING TUBE 4" MONITORING TUBE—fo I ----------------------------------------- 2.0' 2.0' 25' 'PLAN VIEW BENCHMARK IS TOP OF DECK NEAR WEST CORNER OF HOUSE = 97.72 MTS CO'S 0.5'OF EFFECTIVE SCALE: 1°=5' iiia EXISTING DRAINFIELD. A PORTION OF THIS DRAINFIELD IS TO BE REBUILT. ALL CONTAMINATED MATERIAL REMOVED AND REPLACED WITH MOA APPROVED FILTER SAND— PROFILE VIEW SCALE: 1"=5' r—FINAL GRADE = 99.30+ MUST HAVE 3+ FEET OF COVER ABOVE FILTER FABRIC ILTER FABRIC TOP OF MANHOLE LID ON OLD STEP TANK = 100.00 EXISTING GRADE AT EXISTING STEP TANK (EAST END OF DRAINFIELD = 99. MINIMUM OF 1 FOOT OF MOA FILTER SAND TO BE ADDED PROPOSED INVERTS OF DISTRIBUTION \--PROPOSED BOTTOM OF BED ELEVATION OF NEW DRAINFIELD LINES FOR NEW DRAINFIELD = 95.80 = 95.30 (OLD DRAINFIELD BOTTOM OF BED ELEVATION = 94.76) EXISTING 1500 GALLON STEEL STEP TANK IS TO BE DECOMMISSIONED PER UPC— F_U) Jw OU_ co W � U) rn w W U J �- 2 d fn W Q U) 06 2 � O Q Q Q Q 0 w a m co 2 V' W m �Y 04 N Z m W ZO t ZJ O N r �O Li 2 a G a o Q 0 n �O zs Zw V Q Za _W LL�ry z OUB �LL0 WWa J W U) Qn O a Za CIL P. ILL ILL U W Ww Z� Z oo U •- W > W� Q J J a Cw W WZ Q Z 2 Q - Z OF ?Q A/ w W a W W Y— Uw D O> Q rh Q ¢2 w0 wd v .Lu J .....::.. J_L74T."......... \.........::..... r�...� . ........ ............ 0 0I ess : = # •' :• C -79 3 •: 2 ��� ,PFS•• i Lfa�•'�F��� #AECC884 / Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211000, Rebecca Carroll, 01/06/21 OWNER OF LAND ADDRESS by A & I, DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694-2588 LEGAL DESCRIPTION DATE-Started PERMIT NUMBER MAY 3 I979 RECEIVED DEPTH OF wELL STATIC LEVEL OF WATER FT. c~? I 0 DRAW DOWN FT. GALS. PER HR 7 ~:d O KIND OF CASING From From From KIND OF FORMATION: ~) Ft. to / Ft. Oc,,~",~.¥~o,~,'dr~,~ From J Ft. to "Trf; Ft. /k~/~) ~,,~?/-'J From~ ""7 ~,;'Ft. to [,~ ~ Ft.~+~ G~ ~p /~oO~FO~ From t ~,.~ Ft tod':'~ ~' Ft. ~-}~'J O (~ ,~ ~' From Ft. to~ Ft /~0 dt~ ~ ~I' From .... ,' :,~Ft. to _ , 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__ From From From From From From From From From__ From From From From Ft. to Ft. Ft: to Ft Ft. to Ft. Ft. to.__Ft Ft. to Ft Ft. to Ft, __ Ft. to Ft. __.Ft. to Ft. __.Ft. to__Ft __Ft. to Ft Ft. to Ft Ft. to.__Ft Ft. to Ft Ft. to Ft Ft. to .Ft. Ft. to .Ft. Ft. to Ft. MISCL. INFORMATION: DRILLER'S NAME by "" ," ' '" A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE WNER OF LAND DDRESS EGAL DESCRIPTION STATIC LEVEL OF WATER FT.!~.c?i- 'DRAW DOWN FT. [~ ~ ' ':' :'~, ~'. ¢A~. PER HR O ~ND OF CASING '. .'~ :rom, . Ft. to, , rom ¢~,a Gr. to :rom~,_~Ft. to :'rom Ft. to , iND OF ~ORMATION; :rom~.~.-Ft. 'to Ft. O O ~"~'~ff'o-~ ~d ~ From ': ' From . . .,~. ,.'...::..,. : ~ ~ ' . ~ . ~-' .. '.,.,:f' ~::.: . From.~ From From From mm.~Ft, to, ,, Ft. From, Ft. to Ft Ft. to Ft. ~Ft. to Ft. ~Ft. to Ft. Ft. to Ft, Ft. to ,, Ft.. Ft. to Ft. Ft. to ......... Ft. F~. to ........ Ft.. Ft. to, Ft. tom__Ft, to , Ft From~Ft. to,., Ft rom~Ft.to... Ft. From_~Ft. to, Ft ' rom 'rom ' rom ..... - rom 'rom,, , Ft. to, Ft ..... Ft. tn Ft. ' Ft. to Ft. Fcto, Ft Ft. to ....... Ft ........ ~ From From From From~ From FL to,, Ft. Ft. to Ft., Ft. to, Ft.. .FL to .... Ft., Ft. to Ft. ;ISCL. INFORMATION: V L.- / 'D ~--, MUNICIPALITY OF ANCHORAGE DE RTMENT OF HEALTH AND HUMAN SER ES ~' Environmental Health Division ~9 ~'' / / ! '/ 7 ~ 825 "U' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT N~m~ DISTANCES ~d .... TANK FIELD WELL Phone(s)J Permit NO. NO. ~8edrooms WELL ~o / /~4 / LEGAL DESCRIPTION LOT LINE /~ / ~/~ / Township, Range, Section AS-BUILT DIAGRAM (Show Iocahon of well sepgc system, property Ones, foundahon, TANKS Material No. ol Compa~ments TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~ OTHER W~:~L Depth to p~pe bottom Irom Total depth from original grade or,ginal grade ~ FT / ET ~~ Fill added abo .... iglnal grade Gravel depih beneath pipe //~ ~ ~ FT ~ ~ ~ Gravel length Gravel width Distance between lines Totalabsorpho ..... ~ SO ETj ¢' ~ ¢~ FT t~;Ut Number Gl I~nes Soil rahng P~pe material Installer Date Installed ~ ~ PRIVATE ~ OTHER (Identify) L__ ~' _~' ~'¢ ~''~ Class,ficabon (A,B,C) Total Depth Cased to I~' ,/ ~ C FT FT REMARKS: Eagle River Engineermq S~,'v,r :r ~??:¢ ',]~ ~-L~. I~/ -- cedify that this inspection was pedormed according Io all ~>~'~'* .... Buf9ra Municipal and Slate guideli.es i. effect 0n this date: ~/~/~ 7 - - q ~ % 0>0730 Heallh Depadment Approval: 72-013 (3/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION · .~,. SOILS LOG PE.RCOLATION TEST EAGLE RIVER ENGINEERING SERVICES ' P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 LETTER [] Please reply [] No reply necessary ~ ' ' ' /~ (minutes/inch) 20 ,j PERCOLATION RATE ' ~ - FT~ TEST RUN BE~¥EEN . FTAND P. O. Box 773294 ' ' Eag e. River. AK 99577 72-008 (6/79} '69~5~95 · EAGLE RIVER ENGINEERING SF~ X'~'~S INC, . . P. O. Box 7~z., EAGLE RIVER, ALASKA 99577 Phone 694-5195 .CH~CKED DY DATE DATE .il II .I :EJ~736 RIYER ENGINEERING 'SERVICES Lou Butera, P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907) 694-5195 May 11, 1987 Mr. Steve Morris Civil Engineer, On-site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 MUNICIPALITY OF ANCHORAGI~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION /987 RECEIVED RE: Marie Estates: Lot 12C Dear Mr. Morris: We are regarding the lot. submitting, for you review, additional information renewal of a 1985 permit #622 for the above referenced Plot plan #1 shows all acceptable reserve area shaded with blue. Calculations of area, by individual sections shows a total available area of 6,585 fsq. ft. This would ]neet the requirement of 2,000 sq. ft. per bedroom for a 'three (3) bedroom dwelling with a 192 soil rating. The plot plan #2, shows how an original and replacement septic system would be located. A waiver from the State would allow the tank to be placed outside the reserve area to allow increased septic area. The owner is submitting the required water samples to obtain State Wavier Approval. It should be noted that the waiver is not required to complete this septic permit and therefore the permit should not be held pending State action. If there are any questions or concerns, please feel free to call me at 694-5195. Sincerely, Lou Butera, P.E. LB :bls EAGLE RIVER ENGINEERING SEF¥'~-.CES INC.~ P. O. Box 77..34 EAGLE RIVER, ALASKA 99577 Phone 694-5195 CAtCULATED BY ~ .I DATE DATE. -i 'EAGLE R .... ~R ENGINEERINGS -VICESINC. P. O. Box 7/3294 EAGLE RIVER, ALASKA 99577 Phone 694-519.5 ~o~- Z ¢i~_z'_.~-'-.,, c SH£ET C^~CU~AT~D ~¥ ~,~..Z-.~.,~, CHECKED DATE- · EAGLE RIVER "~ · ,,EHGINEERING SERVICES h,.G. . P.O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694.5195 LETTER Please reply ~ No reply necessary January 10, 1986 P.O. ~r.)X 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 DEPARTMENT OF HEALTH & HUMAN SERVICES ~~v TO: Permit Applicant Subject: Permit # 850622 Lot 12C Marie Estates Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as-built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, Susan E. 0swalt Program Manager On-site Services SEO/ljw enc: Copy of Permit DEPARTMENT OF-" HEALTH AND ENVIRONMENTAL PROT'ECTION 825 L STREET.~ ANCHORAGE, Al< 99501 264-4720 09/2'4185 RENTAL EQU I PMEN.~ BOX 465 CHUGIAK, AK · 99567 688-21347 SUBDIVISION: MARIE ESTATES SECTION,: .1.0 TOWNSHIP: 15N 1.25A (SG!. F"F. OR ACRES) LOT: 12C ...... :E LL)£~[. ': NA RANGE: :].W isted below are the options aw:tilable 'Lo you in designing your septic ystem. Choose the option that best fits your site. EP"r'H ]"0 F'IF:E BOT]'OM (F'T.) 4.0 4.5 RAVE:L.. DIEF']"H (F'T.) . 4.0 0., 5 OTAL DEF:'TH (F'I".) S. 0 5.0 IRAVEL WIDTH (F'T.) 2.5 21.0 RAVEL LENGTH '(FT.) 73.0 42.0 RAVEL VOLUME (CU. YDS.) 3()~5 32.7 ~NK SIZE (GALS) 1,()00~0 ~ 1,000.0 ~.~. :)IL RA]"ING (SQ.FT./BR) Z~4. 193 4.0 3~5 'Z. 5 5.0 6.3.0 46.7 000.0 ~..~ 19 4 · >~' TAI'qK hU,:~l HAVE AT LEAST 'TWO COI~FAR]ML:N]~ certify that: 1. I am £amiliar with the requir'ements £of on-site sewePs and wells as set Forth by 'Lhe Municipality oF Anchorage (MOA) and the State' eF Alaska. 2. I will install the system in accopdance wi'Lb all MOA co, des arid ~egulatio~s, and in compliance with the design c~i'Ler-ia oF this pePmit. .3. I will aclhe'pe to all MOA and ,State o{ Alask'a requirements For the set back dis'Lances F~om any existing well, wastewateP disposal system o~~ public sewerage system on this or ariy adjacent op neaPby lot.,, 4. I undepstand that 'Lhis per'i~i'L is valid For' a maximum oF :5 bedrooms and a~y enlargement will requiPe an addi'Lional pePm:it. : A I....IF:T STATION I'S.:[NSTALI-ED IN AN AREA COVERED BY MOA BUILI)ING COD,.:o'" ,'"'o, :Jq .!:!:! ~!N E1-E~:IRICAI_ F'IERi'II]"/f~ND INSPECT):ON MUST BE OBTAINE':D; (2) AS-BUIL"",¢.:~, .... LNU'! .SE AP~FXOVED WI.'TH[]IJiF/¢~I'¢ ~,.LEC,'T'RiCAL INSF'E£TION REF'DRT,i ANI) (.3) TH[E , ,ECTR:[CAL. WO~F'/ MIJS"F I3E ;[)Ol",i[~.:),~ A Li~gENSED EZI....ECTRICiAN. ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: 1 2 3 4 5 6 7 8 9 10- 11 12 SLOPE 13- 14 15 16 17 18 19 2O WAS GROUND WATER ENCOUNTERED? · AT WHAT TH? SITE PLAN - ~ , o~ ~.~ I I ( . ~ WA: ~. ~ EN( 'IF 5 ~:~ ~, ~ Louis A. Buter~ ~ ~] ~ PER Gross Net Depth to Net Reading Date Time Time Water Drop ~ " " sT~/~ ~.:' ~ ~" '~ ~ ~ s'~ ~', '~ 30LATION RATE (minutes/inch) TEST RUN BETWEEN '~"- FT AND t~ FT COMMENTS /' ~- "Jr'ge -6 PERFORMED BY: 72-008 (6/79) P. O. Box 773294 Eagle ~iver, AK 99577 6~5195 • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 051-111-72 1. GENERAL INFORMATION: Complete legal description MARIE ESTA Location (site address) 20414 STEPHEN CIRCLE, CHUG Expiration Date: U -43.7i 13, of 0 � I ff Current Property owner(s) JACOB & ASHLEY SEABOLT Day phom i Mailing address 20414 STEPHEN CIRCLE, CHUGIAK, AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 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 ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 2 v g(RuS� Waiver Fee $ Date of Payment 1 13 )DV Date of Payment Receipt Number 1$ a g +0'1 l 5 G Receipt Number COSA # () 211011 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: Garness Engineerinq Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 f Engineer's Printed Name: Jeffrev A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE System #1 Approved for --� bedrooms By: System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, OF.. \• `ltT i- .7 j e/ljrey A�a✓iess,: Cc -79 3 t �c`fi r.pro r essiono�o #AECC884 OF A&6 �6'r with the followinulati-SITE \NATER AND Original Certificate Date: 3 a 0 � �( 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_ Nitrate Advisory X Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doe Legal Description: COSA Checklist MARIE ESTATES; LOT 12C Parcel ID: 051-111-72 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA 0 Well log is filed with Onsite (or attached) Well production at time of test 3.5+ gpm Date drilled 12129"8 Water storage tank volume N/A gallons Total depth 243 ft Well disinfected for coliform test? ❑ Yes■❑ No Cased to UNK ft ❑■ Coliform bacteria is Negative 0 Sanitary seal is functioning correctly Nitrate 7.07 mg/L ❑ Nitrate less than MRL (ND) ❑■ Wires are properly protected Arsenic ug/L ❑■ Arsenic less than MRL (ND) Casing height (above ground) 18+ in. Collected by GEG,LTD. Date of flow test for COSA 12114120 Date of Sample 12/14/20 Static water level at beginning of test 208.7 ft. Comments THIS WELL WAS FORMERLY CLASS "C" WELL. THE WELL ON THIS LOT ALSO SERVES THE RESIDENCE ON LOT 12B B. TANK DATA Age of tank(s) NEW years Tank type/material PLASTIC Measured operating fluid level in septic tank NEW ❑■ Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA BED DRAINFIELD Which system tested (date installed) 11'-8121 ❑■ ALL standpipes present per record drawing Total measured depth from grade 4.9 ft (max) Measured depth to pipe invert from grade 4.0 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: COSA Checklist yellow sheet C. LIFT STATION ❑■ Required maintenance completed Age of lift station NEW years Lift station material PLASTIC Comments: Adequacy test date NEW Results [DPass For 5 bedrooms Fluid depth prior to test NEW in Water added NEW gal New depth NEW in Elapsed time NEW min Final fluid depth NEW in Absorption rate NEW gpd Any rejuvenation treatment (past 12 months) If yes, enter date N/A 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' *50'+ Yes Community Sewer Manhole/Cleanout > 100' ❑ Yes if No ft ❑✓ Yes if No Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑✓ Yes if No Absorption Field on Lot > 100' ❑ Yes if No *50+ ft Holding Tank > 100' ❑✓ Yes if No Neighboring Absorption Fields > 100' ** if No Animal Containment > 50' ❑✓ Yes if No ❑ Yes if No ft if No *50+ ft Manure/Animal Excreta Storage > 100' —❑✓ Community Sewer Main > 75' ❑✓ Yes if No ft Yes if No ft ft ft ft ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ***5+ ft Surface Water > 100' El Yes if No *50+ 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 .50+ ft Water Main > 10' ✓0 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 ft Wells on Adjacent Lots: Water Main > 10' ✓❑ Yes if No ft Private Wells > 100' ❑ Yes if No *50+ ft Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100' ❑ Yes if No *50+ ft F. ENGINEER'S COMMENTS *THIS IS A CAT 11 QUANICS AEROCELL SYSTEM. ***WELL ON LOT 12C APPEARS TO 100' FROM 1983 SEPTIC SYSTEM ON LOT 1213; HOWEVER WEST END OF DRAINFIELD WAS NOT ABLE TO BE LOCATED. ALSO, LOT 12B HAD A 1973 DRAINFIED THAT WAS LOCATED ON EAST SIDE OF THIS HOUSE THAT IS UNNOWN IF IT IS STILL IN EXISTENCE. NO SEPTIC STANDPIPE COULD BE FOUND AND 1988 WILLIAM S. SMITH, RPLS AS -BUILT SURVEY DOES NOT SHOW ANY PIPES FOR THE 1973 SEPTIC SYSTEM ON IT. WELL IS 100'+ FROM ALL OTHER SEPTIC SYSTEMS. ***10'+ TO ANY BUILDING FOUNDATION AND 5'+ TO ANY DECK SUPPORTS (PIER BLOCKS). G. ENGINEER'S CERTIFICATION oo�o6oO �� _ O F 4Q 1 certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. QO ,J ffam ss;' COSA Checklist yellow sheet �4ea pro f e s sloe°oma #AECC884 O��ODp�Oo MUNICIPALITY OF ANCHORAGE    DEVELOPMENT SERVICES DEPARTMENT    907‐343‐7904  On‐Site Water and Wastewater Section                                                                                           Fax: 343‐7997  www.muni.org/onsite         Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org      Nitrate Advisory   Certificate of On‐Site Systems Approval # OSC211011  Subdivision: Marie Estates,  Lot: 12C  A water sample revealed a nitrate concentration of 7.07 milligrams per liter (mg/L).   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.  Since nitrates are known to slowly increase, we recommend  you monitor the water quality.  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.                                 Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org  Nitrate Fact Sheet  From Northern Testing Laboratories, Inc.  Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water.  Nitrate  is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.  SOURCE:  Nitrate is a major component of fertilizer and wastewater.  Often the nitrate is in the form of  ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the  oxidized form known as nitrate.  Sources of nitrate from wastewater include urea, ammonia cleaners,  food solids, and bacterial cells.  It may also result from the breakdown of organic matter buried in the soil.  TOXICITY:  Nitrate is generally not toxic to adults or children over the age of two or three years, but is  associated with a potentially fatal infant disease called methemoglobinemia.  In the digestive system of  young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood  stream.  There it combines with the hemoglobin and interferes with the ability of the blood to carry  oxygen.  For this reason, methemoglobinemia is referred to as “blue baby” disease.  The EPA limits the  concentration of nitrate in public drinking water supplies to 10 mg/L.  The standard has been lowered  from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.  TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home  water treatment systems such as softening or iron filtration does not readily remove nitrate.  The best  method for limiting nitrate in well water is source control.  This can include avoiding overdosing of  fertilizer near the well and maintaining good separation distances between septic tank leach fields and  the well.  A special anion exchange filter that contains a medi a with a strong affinity for negatively charged  ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.  TESTING:  Nitrate analysis is usually done by one of the several  “wet  chemical”  methods  using  a  spectrophotometer to read the final color endpoint.  Specific ion electrodes also can be used to detect  the activity of nitrate in water.  This laboratory uses several different wet chemical methods approved  under the public water supply laboratory certification program.  They also have test kits available, which  the laboratory uses to perform an inexpensive “screening test”, and with which the homeowner can  monitor the change in nitrate levels from their well.  They recommend comparing the test kit results  against a certified analysis from the lab occasionally to verify the accuracy of the kit.  We recommend  using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.          MunicipalIty' of Anchorage DevelOpment Services Department Building Safety Division On-Site Water & Wastewater Program P.O, Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF 0N-SITE SYSTEMS / ROVAI' FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-111-72 1. GENERAL INFORMATION Expiration Date: /_ ¢,~ c~ ~ // Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MARIE ESTATES LOT 12C 20414 STEPHEN CIRCLE *CHUGIAK, AK 99567 ALAN KUKLA Day phone 20414 STEPHEN CIRCLE *CHUGIAK, AK 99567 688-2284 Day phone Day phone Unless otherwise requested, COSA 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 · Individual Water Storage [] Individual Holding tank [] Community Class C Well · Community On-site [] Public Water System [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners. Certificates of On-Site Systems 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As ceRified by my seat affixed hereto and as of the validation date shown below, I ver/~' 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 GARNESS ENGINEERING GROUP, Ltd. Phone 557-6179 Address 5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the ~. :\ system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the e, operational requirements of the ADEC or MQA DaD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. ,~,~ ~"= ." WATER AND ~ ~ WASTEWATER .: - DSD SIGNATURE 'L/'/ bedrooms. Approved for 3 Disapproved. Conditional approval for bedrooms, with the following stipulations: ~¢¢/.~.*oo. Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Arsenic Advisow Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality. of .Anchorage Development Se ices Department Building Safety Division On-Site Water & Wastewater Program. 4700 Bragaw Street P.O. Box 196650 . Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: MARIE ESTATES LOT 12C Parcel ID: 051-111-72 A, WELL DATA Well type CLASS "C" Date completed Total depth ft. Date of test Static water~ We~tion WATER SAMPLE RESULTS: IfA, B, or C provide PWSID#. 213865 Well Log (Y/N) seal (Y/N). Wires properlyprotect~(,YJN)'~''~--~ Sanitary Cased to ft. Casin~teigflC(above ground) in. FROM WELL ~SPECTION g.p.m. g.p.m. Coliform 0 colonies/100 mi. Nitrate 6.01 rog.IL. Other bacteria Arsenic: ND ug./L. Date of sample: 10/18/10 Collected by: 0 colonies/100 mi. GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL/STEP Tanksize 1500 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 8/27/10 Pumper, Date installed 8/5/87 Cleanouts (Y/N) YES High water alarm (Y/N) YES SANITARY PUMPERS ABSORPTION FIELDDATA Date installed 8/5/87 Length 48 ft. Total depth *~3,79 ft. Eft. absorption area 864 ft2 Monitoring tube YES Date of adequacy test 10/19/2010 Results (Pass/Fail) PASS Fluid depth in absorption field before test DRY in. Water added 477 gal. Elapsed Time: 0 min. Final fluid depth DRY in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) KNOWN I'BELOW EXISTING GRADEI Soil rating (g.p.d./ft2o~ 190 Width 18 .ff. System type BED Gravel below pipe 0.5 .ft. Depression over field NO For 3 bedrooms New depth DRY in. 450+ g.p.d. If yes, give date - Absorption rate >= NONE LIFT STATION Date installed 8/5/87 Size in gallons 1500 "Pump on" level at 40 in. "Pump off" level at 42 in. Datum BOTI'OM OF TANK Cycles tested. 3 Manhole/Access (Y/N) YES High water alarm level at 46 Meets alarm & circuit requirements? YES ,in. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer/septic service line Animal containment areas. 150'+ 150'+ N/A 50'+ On adjacent lots '128' On adjacent lots * 128' Public sewer manhole/cleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10'+ Water service line, 10'+ Wells on adjacent lots 100'+ Absorption field Surface water. 5'+ 100'+ SEPARATION DISTANCE FROM 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, 100'4- Water main 10'4- Driveway, parking/vehicle storage 10'+ F. COMMENTS *WAIVER GRANTED BY ADEC. APPROVED CLASS "C" WATER SYTEM. 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. Engineer's Printed Name JEFFREY A. GARNESS Date ,0/Z(~A ~ COSA Fee $ ~ ~ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division 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 # 101270 A Certificate of On-Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block , Lot 12C of Made Estates subdivision. This inspection revealed a nitrate concentration of 6.01 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. SGS Ref.# 1105613001 Client Name Gamess Engineering Group, Ltd Printed Date/Time 10/21/2010 16:04 Project Name/# Marie Estates Lot 12C Collected Date/Time 10/18/2010 8:20 Client Sample ID Marie Estates Lot 12C Received Date/Time 10/18/2010 11:06 Matrix Drinking Water Technical Director Stel}hen C. Ede Saml~le Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init ~tals b~r ICP/I~ Arsenic ND 5.00 ug/L EP200.8 C (<10) 10/19/10 10/21/10 NRB Waters Department Total Nitrate/Nitrite-N 6.01 0.100 mg/L SM204500NO3-F B (<10) 10/20/10 AYC Microbiolo97~ Laborator~ E. Coli Total Coliform Negative 1 100mL SM20 9223B A 10/18/10 DLC Negative 1 100mL SM20 9223B A 10/18/10 DLC N $5°22'30''E 224. GRAVEL PARKING AREA g N 89°59'00''N 235,94' STEPHEN £ IRCLE THE iNFORMATION HEREON IS FOR THE USE OF LENDING INSTiTUTiONS SPECIFICALLY TO SHOWANY CONFLICTS BETWEEN EXISThNG STRUCTURES AND RLATTED LOT L!NES OR :-ASEMENTS AND !S NOT TO BE USED FOR POSITIONING ADOITIONAL STRUCTURES OR FENCELINES. EASEMENTS OF RECORD, OTHER THAN THOSE SHO¥~ ON THE RECORDED PLAT, ARE NOT SHOWN HEREON. NOTE: ANY FENCELINES SHOWN ARE LOCATED APPROXIMATELY AND ARE NOT TO BE USED TO DETERMINE PROPERTY LINES OR LOCATE STRUCTURES. ANY RAVING SHOVVN MAY BE APPROXIMATE DUE TO SNOW CONDITIONS. AS-BUILT SURVEY SCALE: 1" = 40' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLO~,MNG DESCRIBED PROPERTY LOT 12 C, MARIE ESTAT~.S SU3 ANCHORAGE RECORDING DISTRICT, ,~LASX,':, AND Ti~AT THE V.SIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN FHE PROPER'I-¥ LINES AND THAT NO VISIBLE ENCROACHMENTS ~;qST ~, HER T, ,A, J ~,O .... DATED AT ANCHORAGE, ALASKA THIS __15TH__ DAY OF OCTOBER__ 2010__. HOLT LA-ND SURVEYING TEl_ 345-5513 11419 FB 143-31