HomeMy WebLinkAboutGLENN VIEW ESTATES WEST PH 1 BLK 2 LT 25Glenn View Estates West #1 Block 2 Lot 25 #051-793-21 Municipality of Anchorage Development Services Department 5 y: Building Safety Division - On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW000330 PID Number. 051.793.21 "•'"° Wastewater System: ® New ❑ Upgrade AeOr„eox 3489, Palmer, AK 99645 ABSORPTION FIELD Pt*ne Nu,bera eedn oats: O Deep Trento ®SNnow Trench O Bee D Mane O OUrn LEGAL DESCRIPTION BwRalnO TaalDepth fangrade 6.01 6.01 0.8 GPDn'T FI. Blo f La s,nemecn: Detail to pq Wont fan onpnal Ones Gravel dean beam Pp: 2 25 Glenn View West 3.15 Ft. 3.05 FI 70•mnq Range.. Sedco: Feamee.ew. arq^al Vaea-. Gn"Langan: 3+1- Ft. 90 FI. Well: ❑ New ❑ Upgrad ° ° 5 Numea dew Dnl.nc. f.w«nr.. 1 NA FI. FL clesalcalm Gree le. Taal afeapm algia'. Pp Malenal: Public Water FI. Ft 775 Fit SCH40 & F810 D,~. Dale Dnoea'. Slag: Wale, Leel: f lwv . Dale Mlallee. FL Turner Const. 91112000 y.le. Punp se, M'. caging HapM Afaie Glare TANK GPM FL FL SEPARATION DISTANCES ®septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding PubliuPrivat aa"*,' Anchorage Tank apeulr. 1250 From Tank Field Station Tank Sewer Line cal. 100'+ 100'+ NA NA 25'+ Malerul. Steel Nunf. acanprunwu. 2 Surr.wa. 100'+ 100'+ NA NA LIFT STATION La tam 5'+ 10'+ NA NA tee . Gal. .��.. 5'+ 104 NANA •Pump an MVN N. 'Poop ar Ho water alarms Farca4an ti In. NA °50'+ NA NA PM"p Mah. ` Ebcecal fnpeaena Wo n'ae by tunas Dnun * noneknown 'non BENCH MARK London and Deeaplcn Top of foundation cum on 100 FL E-ncD (,gs�l �C OF AAw 0 Inspections performed by: KND Engineering Dates: 1” 9101100 „; 2"d 9/0612000e„„e. .... Development Services Department Approval o1�u/o! /� •; : Kennel h . Duf f v 4WD CE .� ,���'9 Reviewed and approved by: Date: 0/ e'a .., •''*F��"e _0e YCNI1..J ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 696-6111/FAX (907) 696-8111 January 26, 2001 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Modification of sewer design – SW000330 Glenn View Estates West S/D, Block 2, Lot 25 Gentlemen: At time of construction it became apparent that the best location for the septic system for the subject property would not be where originally planned because of the lot layout and proposed foundation location/elevation. Subsequently, on September 1, 2000 we dug one testhole (TH00-1) and performed two percolation tests—one at the testhole location and one at the trench bottom of the proposed system. The results of these test are attached. The test results did not effect the previous design calculations, and the system was installed accordingly (90'L X 5'W X 3'D w/ a 6' total depth from original grade). Water was not encountered during the excavation and the soils were consistent with neighboring testhole data. All other items on the previous design remained the same. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, U',,HIDI Engineering Kenneth M. Duffus, P.E. Attachments: On -Site Inspection Report As -Built System Details/Site Plan Soils Log/Percolation Tests K�? NDENGINEERING ..t.0 s * 49L 20441 PTARMIGAN BLVD. Per DSD request, a MT was EAGLE RIVER, AK 99577-8736 Kenneth M. 0 m_____I R. W. C •. CE 7116 SOILS PERCOLATION TEST Performed for. Arctic Devco / Turner Construction Date Performed: 05/21/2001 Project: Glenn View West Estates, B2, L25 TEST HOLE ft 2001-01 Depth GM/SM—sandy, silty, gravel med dense, gray. w/ occ. cobbles to 6' B.O.H. 12 - Per DSD request, a MT was 13- placed within Wand midway m_____I of the new existing trench. As 14 this log indicates, no water was encountered during excavation 15- or after monitoring. The bottom elevation of this 16- testhole is a minimum of 6' below the elevation of the 17- existing trench. 18- 19- 20 - SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Groundwater encountered? NO Whatdepth? NA Depth to water after monitoring? NO Date? 5/29/01 ®®®� , •. • � .. m_____I ©MMMMM Percolation Rate _ (min/in) Perc Hole Diameter_ Test Run Between feet and feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW000330 GLENN VIEW ESTATES WEST S/D , BLOCK 2, LOT 25 PID#051-793-21 • 16901 A -C=39.2' B -C=15.3' A -D=37.8' B -D=11.9' A -E=61.0' B -E=36.8' A -F=39.0' B -F=62.2' Lot 24 VTJ /V Mm 1 1 z as e. r �+ Lot 2 HOUSER ■ I IIIJJJ V it `CO DRIVE F� 250 W ...T. 96.7nn D 9 IAA .0 'CO f&M �Tm MYKS :+ RIKARYfEILO lJF iCO 0 GAL KTJ H T1.2 '' ,, _ • ' HS00 L. A -C=39.2' B -C=15.3' A -D=37.8' B -D=11.9' A -E=61.0' B -E=36.8' A -F=39.0' B -F=62.2' Lot 24 VTJ /V Mm 1 1 z as e. r �+ it F� 96.6 FINAL GRADE 96.7nn IAA f&M �Tm MYKS 0 GAL LEPTICNKSEWER T1.2 ROCK 91.06 87.5 87.64 i .�F..�`�S '459 H *+ CE -7116 a 3s10N=�' 9m PREPARED FOR: REX TURNER ARCTIC DEVCO, INC. P.O. BOX 3489 PALMER, ALASKA 99645 FlEU) BOOKS Cb Tm: eauwuer.LANG ORAT STA10N` LANG "OM KMD Asawr. LANG DA1E 1/17/01 OR FXL ORD: NW1459 AGO'xL' 00045.DWG .KK "! 00045 1 SCALE, NTS 80.5 TM LL1A\l WJ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8738 KNID ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for: Arctic Devco/Turner Cosntruction Date Performed: 09/01/00 Project. Lot 25, Block 2, Glenn View Estates West TEST HOLE #t 00-1 Depth 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20- Org - soft, black, moist SM - Loose, brown sandy silt SM/GM- sand & gravel layers w/silt, med. density } Silt & density increasing B.O.H. SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Groundwater encountered? NO What depth? N/A Depth to water after monitoring? NA Date? NA Reading Date Gross Time Net Time Depth to Water Net Drop 1 9/01/00 8:45 - 8" - 2 9:15 30 min 35/16" 411/16" 3 9:16 8" - 4 9:46 30 min 35/16" 411/16" 5 9:47 - 8" 6 10:17 30 min 35/16" 411/16" 7 8 9 10 11 12 • I Water Added Percolation Rate 6.40 (min/in) Perc Hole Diameter Test Run Between 3.5 feet and 4.5 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. OF q A�\TD ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 Kenneth M. C CE 7116 SOILS PERCOLATION TEST Performed for: Arctic Devcoil'urnerCosntruction Date Performed: M 1&—Y1`'� Project, Lot 25, Block 2, Glenn View Estates West TEST HOLE# 00-2 Depth (Feet) SEE ATTACHED SITE PLAN 1- FOR HOLE LOCATION 2 - km SEE CORRESPONDING 4- TH00-1 SOILS LOG MATERIAL CONSISTENT 5- ALONG TRENCH 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19- 20 - Was Groundwater encountered? NO What depth? N/A Depth to water after monitoring? NA Date? NA Reading Date Gross Time Net Time Depth to Water Net Drop 1 9/01/00 9:30 7" 2 10:00 30 min 33/16" 313/16" 3 • 10:01 7" - 4 10:31 30 min 33/16" 313/16" 5 • 10:32 - 7" - 6 11:02 30 min 33/16" 313/16" 7 8 9 10 11 12 • Water Added Percolation Rate 7.87 (min/in) Perc Hole Diameter 6" Test Run Between 6 feet and 7 feet f, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. A MtmentofHI7YOFANCHORAGE Department of Health and Human Services IIn� `-� V `� v" '", ^/I loop On -Site Services Program / 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Aug 24, 2000 Expiration Date: Aug 24, 2001 Permit Number: SW000330 Parcel ID: 051-793-21 Legal Description: Glenn View Estates West, Phase 1 { U/ (-Y C 1( Design Engineer: 0070 KND Engineering Site Address: unknown Owner Name: Arctic Devco Lot Size: 40007 SQ. FT. Owner Address: PO Box 3489 Total Bedrooms: 4 Permit Bedrooms: 4 Palmer , AK 99645 - This permit Is for the construction of., Q Disposal Field Q✓ Septic Tank ❑ Holding Tank ❑ Privy El Private Well ❑ Water Storage All construction must 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 engineer must notify DHHS at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-4744 (24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: S �% Date: C' -24 -0o K v L ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 August 17, 2000 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: New Septic System - Glenn View West Block 2, Lot 25 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. On April 20, 1999 we dug a testhole for the proposed system. The results of this test is attached. The general slope of this lot is from northeast to southwest at a grade of approximately 3 - 6% for the property. The original test log is on file at DHHS. We propose to install a 5' wide shallow trench. The soils were consistent throughout the test. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, KND Engineering Kenneth M. ffus E. attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA GLENN VIEW ESTATES WEST S/D, BLOCK 2,, LOT 25 \ X�' _/ I, Is >d ' 1 i /I II 111�i D Lot 26 \� `� \ \ Lot 11 VACANT 1 1 VACANT J M PUBLIC WELLS WTI'MIN ear Or PR�OSED MIM M PRIVATE WELLS WT" EW Or PRDmI= iTSTEM EXCEPT AS MTED. M SEPTIC SYSTEMS VI" ROW 6 PROPOSED WELL EXCEPT AS MTEa ALL LDTS SERVED WITH CO MMTY WATER AW */4q ..'ca-el1le1;' / / 1 SSID'03'* DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/.8 GPD PER SO. FT. (10 MIN/IN,)= 750 SQ. FT (750/5'(W)) X 0.58(RF) (3.0 GRAVEL) = 87 FT. TRENCH USE 1 TRENCH — 87 (L) X 5' (W) X 3'(D) Total depth of system Is 4.0' from original grade. Total depth of gravel below distribution pipe Is 3.0' . NOTESi 1. USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF (4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. 4, ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. PREPARED FOR, REX TURNER ARCTIC DEVCO, INC. P.O. BOX 3489 PALMER, ALASKA 99645 FIELD BOOKS RUUIOMY: LANG =Taube LANG A�" LANG owa rLE. AGR TLE: 0004° COMPUTED DRAW VBG acaa"' KMD DATE: 8/9 /0 ptla NW145 " Ma: 00045 Scale) 1'= 100' PAGE 1 OF 2 MU'l LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 Lot 2 ,..A; I M z Lot 10 VACANT VACANT I D � Lot 24 I 0 i� Iz Lot 9 i p . Z1 VACANT M PUBLIC WELLS WTI'MIN ear Or PR�OSED MIM M PRIVATE WELLS WT" EW Or PRDmI= iTSTEM EXCEPT AS MTED. M SEPTIC SYSTEMS VI" ROW 6 PROPOSED WELL EXCEPT AS MTEa ALL LDTS SERVED WITH CO MMTY WATER AW */4q ..'ca-el1le1;' / / 1 SSID'03'* DESIGN DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/.8 GPD PER SO. FT. (10 MIN/IN,)= 750 SQ. FT (750/5'(W)) X 0.58(RF) (3.0 GRAVEL) = 87 FT. TRENCH USE 1 TRENCH — 87 (L) X 5' (W) X 3'(D) Total depth of system Is 4.0' from original grade. Total depth of gravel below distribution pipe Is 3.0' . NOTESi 1. USE 1250 GALLON SEPTIC TANK. INSULATE TANK IF (4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MAXIMUM 2% SLOPE INTO SEPTIC TANK. 4, ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. PREPARED FOR, REX TURNER ARCTIC DEVCO, INC. P.O. BOX 3489 PALMER, ALASKA 99645 FIELD BOOKS RUUIOMY: LANG =Taube LANG A�" LANG owa rLE. AGR TLE: 0004° COMPUTED DRAW VBG acaa"' KMD DATE: 8/9 /0 ptla NW145 " Ma: 00045 Scale) 1'= 100' PAGE 1 OF 2 MU'l LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 WASTEWATER DISP❑SAL SYSTEM DETAILS GLENN VIEW ESTATES WEST S/D, BLOCK 2, LOT 25 HOLD 'R❑ DSE.D: PRIMARY FEIL 'ROP ED RESERVE r- % ESQ%�A''f', , ,L ud�na,n �. uuoo i 1 CE -7118 %Jo \ ' 'ESS10,0= _! TH #00-25 rLD Vii• PREPARED FOR, REX TURNER ARCTIC DEVCO, INC. PA. BOX 3489 PALMER, ALASKA 99645 FIELD BOOKS oow7[u "INOM�- LANG DRA� VBG vwLANG KMD AWMI* LANG OAT` 0 M nc ' NW145 AGO nl` 00045.DWG °B "" 00045 CO PROPOSED d c❑ FCO PROPOSE' HOUSE Scaler 1'= 20' PAGE 2 OF 3 Z61A\l LW ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8738 KINID ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 SOILS PERCOLATION TEST Performed for. Arctic Devco/Turner Construction Date Project Lot 25 Block 2, Glenn View Estates West TEST HOLEti 99-2/25 1- 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- Depth 13- 14- 15- 16- 17- 18- 19- 20- Org — soft, black, root mat SM on bottom loose Loose & soft on top Redish brn to grey bm S11t/GM — Med dense, W/ gravel & silt, dry cobbles to 8" tlt increasing on bottom w/density. B.O.H. HOLE PRESOAKED PRIOR TO TESTING SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO What depth? N/A Depth to water after monitoring? DRY Date? 05/15/99 Reading Date Gross Time Net Time Depth to Water Net Drop 1 4/21/99 2:05 8- 2 2:35 30 min 5" 3" 3 2:35 - 5" - 4 3:05 30 min 2" 3" 5 3:06 7" - 6 3:36 30 min 4" 3" 7 8 9 10 11 12 • Water Added Percolation Rate 10.0 (min/in) Perc Hole Diameter 6" Test Run Between 2.0 feet and 3.0 feet 1, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. 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.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-793-21 GENERAL INFORMATION .1 ;. Complete legal description A 0 64 rt r C_ - Co a 4,,.1 HAA# ouh`Jo Expiration Date: 1-7— O FS r R TiS Lot 25. Block 2. Glenn Viewtwnat N 1 4gcation. (site address or directions) 22821 Green Garden Drive 99 Current Propertyowner(s) Jerry 6 Leslie Bowen Dayphone (gn7)68R—??.7R 360-2490 Mailing address same Lending agency Mailing address Real Estate Agent Mailing Address Day phone Shari Boyd/Prudential/Jack KUt®ayphone 229-01132 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class Well ❑ Public Water System E3 TYPE OF WASTEWATER DISPOSAL: Individual On-site a Individual Holding tank ❑ Community On-site ; ❑ 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 4 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. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and_State codes, ordinances, and regulations in effect at the time of installation. Name of Firm S & S Engineering Phone.(gmlAgh-?979 Address 17034 Eagle River LD. Rd., F.aple Rivrr. Ak. 99577 Engineer's Printed Name 'Robert C. Cowan Date 1 o 1a. T I o l \kzxoennc5. DSD SIGNATURE x.8_�Approved for - bedrooms. t Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: 1 1— 17 - O Y (Rw 01103) Municipality of Anchorage • Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196050 Anchorage, AK 99519-6650 www.td.anchorage.akus (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ID: ort --».7 -a I A. WELL DATA '. 1 Well type Je- GL- A B, or C provide PWSID # = Well Log (Y/N) Date completed = Sanitary seal (Y/N) = Wires properly protected (Y/N) Total depth � fL Cased to —=-A Casing height (above ground) '— in. FROM WELL LOG AT INSPECTION Date of test Static water level 1-7 fL ft' Well production 9-p•m• g.p.m. WATER SAMPLE RESULTS: Coliform — colonies/100 mI. Nitrate — mg.A. Other bacteria — colonies/100 ml. Arsenic: = mg./l. Date of sample: = Collected by: B. SEPTICIHOLDING TANK DATA Tank T'yWwa" Date installed 9 'a 1 1 X040 TanlvstW o gal. Number of Compartments z Cteanouts A) Foundation cleanout®t) Depression over tank (Y& High water alarm Ci4Nj NA t Date of pumping B 1 f O Pumper 7t% 3 f'tiO4 C. ABSORPTION FIELD DATA Date installed 0 Ov Soil rating (g-p.d./ft or felbdrm) jo. System type r r Length '10 fL Width fL Gravel below pipe 3.OS ft. Total depth 6.61 R Elf. absorption area qSR= Monitodn tube � Depression over field f��O Date of adequacy test 10 Resul as ail For! bedrooms �'/� u Fiuid depth in absorption field before test � in• Water added &gal. New depth in. EEapsed Time: 120 min. Final luid decth 3e in. Abscrption rate >- d• - c.p. Any re;uvenaticn treatment (past 1� mo.) (YIN 3 type) A9p If yes, crve date D. LIFT STATION Date installed 'Pump on" levet at in. Datum E. SEPARATION DISTANCES Size in gallons '— 'Pump oft' level at = in. Cycles tested ManhoWAccess(Y/N) High water alarm level at Meets alar & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO:'PVF3L1 C - Septic tankAift station on lot — On adjacent lots Absorption field on lot Public sewer main On adjacent lots (�14-'iLclZ Public sewer manholelcleanout Sewer /septic service fine — Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation J �4- Property line Srf Absorption field rJ Water main U r{- Water service line (C� r (- Surface water /00 f4 - Wells on adjacent lots NYi SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /Or F- Budding foundation PC) + Water main 10 1'- r Water Service line _ f D' ( Surface water Driveway. parking/vehicle storage S r Curtain drain AJONr- KArxyXJ Wells on adjacent lots N A F. COMMENTS G. ENGINEER'S CERTIFICATION n C;,e I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. �'♦; Engineer's Printed Name k 0 a t4;- C • ce WRO q Qu Date /o /a- VI O y 4� HAA Fee 5 �3 0. Date of Payment I c /a ti" /o Y Receipt Number n 6 O 1 el/ (Rev. 12!01) Waiver Fee $ Date of Payment Receipt Number in. NOV-16-2004 1229 S&S ENGINEERING 907 694 1211 P.02/03 t.0 r,wv r ?.iX 5.2' CANT HOUSE DETAIL SCALE: i' a 20' TWO STORY WOOD FRAME RESIDENCE 2.0' CANT ' Lot 26 N 89'51'02'E 298.60' i n m 2o4.Y Z 46.8 1E u 0 LOT 25 gm CA 40,007 s.f. o m, (A 15' DRAINAGE EASEMENTS S 89•s1'OY5 A Lot 24 4.0' 10.0' X 24.7' DECK CANT N 1 m M z ----------4--] 3 00' i p ;;0 15' TELECOM AND ELECTRIC EASEMENT M PLOT PLAN _ AS BUILT X SCALE 1' ..M. GRIP NW 1459 Project No. 04-248 Lan & �1SSOCIOt@Ss InC. 11500 Daryl Awnw, Anchorage, Alaska 99515-3049 9 (907) 522-6476 Phone o Registered Land Surveyors (907) 522-4a25 fox �!�OF A[� www.longsun»yors.eom / InfoOlangsurveyors.com .`v,.•••••••• • "'!s 1 hereby certify that I have surveyed the following described property: LOT 25. BLOCK 2. GLENN VIEW ESTATES WEST (PLAT No. 2000-42) 7 Anchorage Recording pallet. Alaska, and that the ImPlov mems situated thereon on � .... within the propOnes and do not encroach onto property adjocent thereto. that no Imprewerty mente on the proplying adjacent erereto encroach on the surveyed pnemM�es and that there n on no roodwoys, transmission Imes or other visible easements ••eQ� on said property except as Indicated hereon. KEt04E1}1 ,'• LS -5202 ; Dated this the l0 t` pay of NoVts►..rSi^iL— . 'l.=d-. at Anchorage, Alaska d••....... •'_,tp o It is the reepansURty of the owner to determine the existence of *any easemads, covenants. or rnhMlan which do not appear on the recorded subdivision plat. 46.8 N 1 m M z ----------4--] 3 00' i p ;;0 15' TELECOM AND ELECTRIC EASEMENT M PLOT PLAN _ AS BUILT X SCALE 1' ..M. GRIP NW 1459 Project No. 04-248 Lan & �1SSOCIOt@Ss InC. 11500 Daryl Awnw, Anchorage, Alaska 99515-3049 9 (907) 522-6476 Phone o Registered Land Surveyors (907) 522-4a25 fox �!�OF A[� www.longsun»yors.eom / InfoOlangsurveyors.com .`v,.•••••••• • "'!s 1 hereby certify that I have surveyed the following described property: LOT 25. BLOCK 2. GLENN VIEW ESTATES WEST (PLAT No. 2000-42) 7 Anchorage Recording pallet. Alaska, and that the ImPlov mems situated thereon on � .... within the propOnes and do not encroach onto property adjocent thereto. that no Imprewerty mente on the proplying adjacent erereto encroach on the surveyed pnemM�es and that there n on no roodwoys, transmission Imes or other visible easements ••eQ� on said property except as Indicated hereon. KEt04E1}1 ,'• LS -5202 ; Dated this the l0 t` pay of NoVts►..rSi^iL— . 'l.=d-. at Anchorage, Alaska d••....... •'_,tp o It is the reepansURty of the owner to determine the existence of *any easemads, covenants. or rnhMlan which do not appear on the recorded subdivision plat. NOV-02-2004 11:06 S&S ENGINEERING 907 694 1211 P.02/02 IfN nINeIAAAIf N r1.twN e AtwiatMNtE Iwluln.wa t atwtnlw�trn Agnepp tlglftt■q A11AAf NbKMAIe MI 1147tr11K1 araat n n N'ttrNb IA+roKnel ON fill ttla't.NY.I I/sl t"" 1,14 t EC W Aral vaniMn dlLlt wN4w.nn A FORM IK>i+(soli �� �lWNI� 1'R• Ctlrttt: (—&Setts75coco&A3 11A IP: 2,5. t I�: ,�2ctis�6i,r1. s hr nrnnrlotna, srl'IIC lnlll(A 1el p sgri IlAIIrIII 111 lYt'E yr nuspfTt'll17t19yatEM: 5►kFt[t.(•-�(2�.+� crrtlC )nrllc clzr: _. • j xs t7 _- t!I!;£!tllL'1l1NC1E1,i11lC!!t!; perte+sMnove,llebl Y 9rt•AIIn 11011 DIS 1 A111:C rltt7R1 [,t19n,t1' I IM I rIrt 11 If,: hIVewq, hpMlntNYehlelo eto,spe AIeE: Cliff Z its Alto: -�- - rolnrdallollo .-&K.4 lE _.Y1(slrL:>fV SEl;llli old 1111 hale of patnl.lnrye roundam.n elnartml� (qhCIgA1AIn11(Y%�l llf:1.; 19t1!lrl; -ruMr Ilrr Ie .l Aj: AJA •tutor of r' IAYat ep hla+l wafn, rala1n11EVA1: `, •--.�t�—�_ 11MI1 J 11FA61NO , 1PslEl,llyt 11115 SYPtrM Is NOII'AdAIWI Ir II.A0Alys1- SIIIIS aIf -MMI i -All Ipll: =0111 ANllll I (zn, Nn.111)11111 FAM F troll l t)M- . sl Mir fn, . rnta r It4Ftl N A.91CA }!1610 W tJx•• vo- TOTAL P.02 Municipality of Anchorage • �1 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 051-793-21 HAA# �4 D (D // 3/ Expiration Date: $ - /S- O :1- 1. 1. GENERAL INFORMATION Complete legal description Glenn View West Block 2, Lot 25 Location (site address or directions) Current Property owner(s)Arctic D vco, Inc. Day phone Mailing address PO Box 3489, Palmer, AK 99645 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 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 seat affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined in . the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms. and type of structure indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of Installation. Name of Firm KND Engineering PhoneAg6-6111 .. 0• a ... Engineer's—Blyd--Eagle River, AK_ 99577 .. . M 5. DSD SIGNATURE _Jn�_ Approved for 4 bedrooms. Disapproved. Date 08/13/ Kenne-h M. c CE 7116 Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineers Report Well Flow Advisory Other By: 0� %�� 6Z% Original Certificate Date: Municipality of Anchorage * Development Services Department Building Safety Division On-Sbe Water b Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: GLENN VIEW ESTATES WEST B2. L 25 Parcel ID: 051-793-21 A. WELL DATA Well type PUBLIC Data completed If A. B, or C provide PWSID # Well Log (YM) Sanitary seal (Y/N) Total depth ft. Cased to ft. FROM WELL LOG Date of test Static water level ft. Web production g.p.m WATER SAMPLE RESULTS: Coliform eolonies/100 ml. Nitrate mg./1 Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Anch. Tank / Steel Wires property protected (YM) Casing height (above ground) AT INSPECTION ft. 9— p.m- Other bacteria—colonies/100m1 Date instatlgd 09/01/00 Tank size 1250 aal. Number of Compartments.2 'Cleanouts X—Foundaftri cleanout Depression over tank _A_High water alarm Date of pumping C. ABSORPTION FIELD DATA Pumper Date installed 9/6/2DDDSob rating (g.p.d./ftr or fetbdrm)-USystem type SHALLOW TRENCH Length 90 fL Width 5 ft. Gravel below pipe 3.0 5 ft. Total depth J& ft. Eft. absorption area ZZIfl Monitoring tube Y Depression over field Date of adequacy test NEW SYST. Results (Pass/Fall) Pass 'ForAbediooms Fluid depth in absorption field before test in. Water added gal. New depth In. Elapsed Ttme: min. Final fluid depth in. Any rejuvenation treatment (past 12 mo.) (YM & type) Absorption rate >= g.p.d. If yes, give date D. LIFT STATION Date installed Size In gallons Manhole/Access (Y/N) 'Pump on' level at in. 'Pump air level at in. High water alar level at Datum Cycles tested Meets alarm ti circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line _I.L± + Absorption field 5 ' + Water main _ 10'+ Water service line 10 1 + Surface water 10 0' + Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10 1 + Water main 10 ' + Water Service line 10'+ Surface water 10 O ' + Driveway, parkinglvehlcle storage _ 2 5 ' + Curtain drain 50'+ Wells on adjacent lots 2 0 0' + F. COMMENTS G. ENGINEER'S CERTIFICATION pF\\\ 41 1 certify that I have determined through field inspections and �`4p'1% , 1� review of Municipal records that the above systems are in "y �f' •. fq ) conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Kenneth M. Dufft13 •� »«. � i Kc: Date 08/13/01 • HAA Fee $ 36e Date of Payment d w/W" Receipt Number f& (Rev. 12/00) Waiver Fee $ _ Date of Paymeni Receipt Number In.