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Home My WebLink AboutGLENN VIEW ESTATES NORTH BLK 2 LT 3Glenn View Estates North Block Lot 3 #051-811-47 Municipality of Anchorage Page 1 of 3 Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us (907) 343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW040114 PID Number: 051.811-47 S7Wastewater S inell Homes System: New AMress: 1900 W. Northern Lights, Ste. 200 Anch. AK 99517 ABSORPTION FIELD lit w: ,a wofaeomoms 344-5678 Four 4 5'Wide Trench Soe Raling Taal Depth Ian orpinal grMe: LEGAL DESCRIPTION 6 .6 GPD,Te Ft. Block: La: aeMlNsldl: Depth to poe Datum burl/ apmal give: GlIll oepm Deneam pope: 2 3 Glenn View Estates North 2 Ft. 4 Ft. Townsh,p, Range: section: Fa Mats adore a,g,nal grade: Grartl L*Vh 1.3 Ft. 100 Ft. Well: AWWU Water System Grata endtn: 5 Numoer of laws: 2 D,ste,nce twnreen Mwa: >10 Ft. Ft. Cusuroalpn (Pnnte, A a. c): Taal Deem:Gseo b: Iasi aosprpl. area: Pipe wt" Ft. Ft. 1,000 Fe ASTM 3034 PVC coat Dale D.W: slab: wale, Level I,elalwr: Dale Y4tNwo. FI. Pisano's Dirtworks 7114.1512004 rats. Pump set at: eaelnp Neigid Aoove Gr , TANK GPM Ft. FI. SEPARATION DISTANCES Septic To Septic Absorption Ult Holding ubliNPnvale "nuaaww. Pawyn Marrs. From Tank Field Station Tank Sewer Eine Anchorage Tank 1,250 won >200' >200' NIA NIA >25' Steel Si rAanoe, a cDmpanme M Two (2) surlaC'e wale, >100' >100' NIA NIA LIFT STATION — NONE ON LOT Lame >5' >10' NIA NIA a aclaff. Gal. FaxWalgn >5' >10' NIA NIA 'PamP W. level at. Pamp w sl. H,gh"'at.&arm at. F I „. None Noted 71 Pu P Mahe A Moots Eleanpal lnspemris pMamM Dy: cae,nClain Re,is": BENCH MARK I,al aM ,pl,on; Finished Floor. wvalwn. 100.0 FL Engineer's Stamp 41, Inspections performed by: T. Kimbrouoh Dates: 1" 7/14104 c si 49th }'� ♦; 0 2 n 7/15/04 _...._....__ 00 :_...__..EL Department of Health and Human Services approval E. 1 �; 4lCHACL E. AROCRSON �•� g�: t _ Reviewed and approved by: �o-*�[ Date: % - i No. GE -.}sl ♦♦�/1j� `5„ ::��: Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit No.: SWO40114 PID No. 051-811-47 GLENN VIEW ESTATES NORTH LOT 3, BLOCK 2 40,011 S.F. �9 a° 0 \ C, c A \ N w � TH 2 w n SHADOWY_ SPRUCE ° I 2 o ,;. I 1 DRIVE h 1 g / B • s u ..rFour as CP / n ur 5r y4' Sodr Ce me b5 4 m P 6s e .11 home / GRAVEL DRIVE Homa a.. ., a vo 4 / su a. me W Weeme s,r .� 1 e 631 J � / LLI IU I a 1 N / Atemate Site 30' n I/ 1H I / Imp z/ I N 8Y58'04'E 185.20' 4 PLAN AS -BUILT i'4 I\;�'. th SCALE V 40• .p...1 ............... .� � t^ 5 MfOV1EL E NlaFRSGN j � Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 9951M655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit No.: SWO40114 PID No.: 051-811-47 d a 92.86' 93.03' THM = N v S N U H S U U Vts.ua eotextlle F bri 88.53 Dralnfleld Rock 88.84' n m .o U /80.0' S u 96.09' Ge textile Fabric DrnlnField Rock 88.59' 98.71' 96.23' \ 93.04' 41e? 49th PROFILE AS -BUILT "t•" -'o. CE;,8"m' Scala: 1' a 20• •. `.f•...M''Kp'�;i �•`� Apr -27. 2005 1:46PN 9015226119 DATE: TO: WITH: FROM: SUBJECT: ANDERSON ENGINEERING 7/16/2004 Joe Goodall P.O. BOX 240773 ANCHORAGE, AK 99524 •7773 522-6779 (F MEMO No -0010 P. 1/3 MoA/OnSite Water and Wastewater Mike Anderson GAN" \/ / 0n /J�� Lot 5, Block 3, ' Septic System Design Revision Permit No. SWO40114 The water service on the subject lot interferes with the planned septic system location. We have therefore moved the system to the north side of the house. A new test hole was placed and the log and percolation data attached. Please modify the permit to allow the system to be placed In the revised location. MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 SOUTH BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: I OT 3 Rl OCK ?_ GI FNN VIEW FSTATFS NORTH PERFORMED FOR- SPINELL HOMES DATE: 7/14/2004 PROJECT No- M0445 PARCEL IDR- 051-811-47 TECHNICIAN: T. L. KIMBROUGH DEPTH TEST HOLE # 2 Irttq OB/OG SILTY—SANDY—GRAVELS SLIGHTLY MOIST SOME COBBLES TO 10" GM ME SLOPE 0% SITE PLAN 027 FA?M CURB KEY S=E FUTUR= AS3U'! T WASGROUND NATER ENCOUNTERED? N! IF YES (? WHAT DEPTH' DEPTH OF NATER AFTER MO`49RDIG: N., CS% DATE OF MONITORING: 7171�OL DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH of WATER (INCHES) NET DROP (INCHES) /14/04 TEST HOLE PRESOAKED PRIOR TO TESTING: 1 13:00 8.0" CHARGE 2 13:30 30 6.875" 1.175" 3 13:30 8.0" RECHARGE 4 14:00 30 6.875" 1.175" 5 14:00 8.0" RECHARGE 6 14:30 30 6.875" 1.175" PERCOLATION RATE26.7 (MN/INCII) FERC. IIOLE DIA, 6=(INCHES) TEST RUN BETWEEN:4.0, FT. and 5.O,FT. WAS GROUND WATER ENCOUNTERED? NO IF YES e WHAT DEPTIII DEPTH OF WATER AFTER MONITORING: DATE OF MONITORING: COMMENTS: Test Hole Presoaked Prior to Test TEST PERFORMED BY VETECI I ENGINEERING TECHNICAL SERVICE. 1, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFO ME• IN ACCORDANCE WITH ALLSTATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 4 22 05 Apr -27- 2005 1:46PN 9075226779 No -0010 P. 3/3 LOT 3, BLOCK 2, GLENN VIEW ESTATES NORTH PROJECT # M0445 Ig VAICR cma 1ST 1 s/u/zao� 1 rRAWTM ttLWY1T N IVAN NO= 1 r r TEO pW 27X7 I MR:N TAW iiVO fv COWMnOR a TM Twit 15LTRCR VALVE ICPTIC TAW YOM 1 OL- 100 TMT KFARATTDN RITwtL rRM ' WE" M LLT MUD* MA& MM �MM LOTS VILL. FT L IMDRYN "d 6 R FMT SLrMATP+ GA raw aNT PIWOTr LO" cf 1 rf Wm ILLNdT PLACID VITNVI D TELT V rMMTI 7 _yl s• ' SAT ITTNr. R/1RUT TIAs 1 4 1 x nL "91%"- I= to. rT. a w omppo �— . S LO V .100 LW L. rM V Tao[» C/O 1° so - 1 1 > 10' SCSNMTtw M rRVCRTT LDC 1 Top View Nosmc MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Permit Number: SW040114 Legal Description! :Glenn View Estates North Blok 2 Lot 3 Design Engineer: 0014 Anderson Engineering Owner Name: Spinell Homes, Inc. Owner Address: 1900 W Northern Lights Blvd., Ste 200 Anchorage , A 99517 - Date Issued: May 12, 2004 Expiration Date: May 12, 2005 Parcel ID: 051-811-47 Site Address: 22400 Shadowy Spruce Drive Lot Size: 40011 SO. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit is for the construction of., ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy All construction must be in accordance with: 1. The attached approved design. ❑ Private Well ❑ Water Storage 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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. Date: 5)17/d Issued BA I 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 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW Property owner(s) Sainell Homes, Inc. Day phone 344.5678 Mailing address (1)1900 W. Northern Lights Boulevard, Suite 200 Anchorage, AK 99517 Mailing address (2) Zip Code Legal description (Lot, Block & Sub'd.) Lot 3, Block 2, Glennview Estates North Subdivision Legal description (Section, Township & Range) Lot Size 40.011 SF Acres/Sq.Ft. THIS APPLICATION IS FOR: Number of Bedrooms Four (4) Sewer Only ® Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade ❑ THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: quo r Waiver Fees: Date of Payment: ;5 I 1 Ia'j Date of Payment: Receipt Number: 51 -7q( -)Receipt Number: (Rev. 12/00) ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 FAX May 7, 2004 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 3, Block 2, Glennview Estates North Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 3, Block 2, Glennview Estates North Subdivision intends to construct a four-bedroom home on the lot. We are therefore requesting a permit be issued for the construction of a new septic system to serve the new home. A Class A Water System serves the subdivision. The Site Plan and backup documentation identify the location and configuration of the proposed septic system and alternate site. The water service to this lot is also shown. Existing spot elevations and the current drainage pattern are also identified on the Site Plan. The drainage pattern will be maintained after development of this lot is complete. A test hole placed on the lot during the subdivision phase indicated silt with some gravel and sand in the area of the absorption trench. The accepting soils were tested and found to have percolation rates of 1 to 5 minutes per inch. No groundwater was found during excavation, but was noted during the monitoring period at 7.5' below the surface on May 20, 2002. Our design includes the placement of a new 1,250 -gallon septic tank along with 2 - 35' long by 5' wide by 2' effective depth absorption trenches to collect and treat the sewage generated in the house. The bottom of the trench will be 3' below the surface to provide the required separation from the water table. The distribution pipe will be 1' below the surface. A minimum of 3' of cover will be placed atop the trenches and a minimum of 4' of cover will be placed atop the new septic tank. A flow splitter valve will be placed to assure even flow to each of the trenches. The ground surface on the lot slopes at shallow grades from east to west as shown on the Site Plan. The absorption trenches will be constructed parallel with the slope of the ground surface as much as possible in conformance with Municipal requirements. The Lot 3, Block 2, Glennview Est. North Subdivision May 7, 2004 Page Two new septic system will be constructed 10' from all water services. It will also be constructed a minimum of 100' from any surface water in the area. If the system is constructed in accordance with our design the following statements apply: t. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments 0 MICHAEL E. ANDERSON 4,� No. CE -4381 J GLENN VIEW ESTATES NORTH LOT 3, BLOCK 2 40,011 S.F. 96' SHADOWY_ SPRUCE DRIVE I � 1 F 1 J { I s I \ I \ I i / a smr L- Four Bedroom / I Home / I / n C. Cn.:` I aruar w a . sor / I F-- I I ,__� I ,ear. I 1,250 Gallon I Septic Tonk I I Splitter I Volvo I I TH 2 — 35' lonq a 5' Y6de ■ 2' Ef/ectiw Oepth Absorption Trenches I I wr Alternate Site ow,.a . reo.am 99' h 8 b]lj�t trn., 104] SITE PLAN SCALE I' - 40' LOT 3, BLOCK 2, GLENNVIEW ESTATES NORTH SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom House 5' Wide Trench System Perc. Rate: <5 Min./Inch 1,250 Galton Septic Tank Application Rate: 1.2 GPD/SF 2' Drainfield Rock 4 Bedrooms X 150 GPD/1.2 GPD/SF (A plication Rate) = 500 SF Absorption Area 500 SF/5 SF' .7 (Red. Factor) = 70 LFF Trench Length THEREFORE: Construct 2 - 35' Long x 5' Wide x 2' Effective Depth Absorption Trenches. Flow Line Elevation In Trenches to be 1' Below Original Ground Surface. Total Depth to be 3' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Provide 2' of Insulation and 2' of Cover if Necessary. Place Flow Splitter Valve To Assure Even Flow to Each Trench. Natural Backfill Geotextile 0'6" Fabric 0'6" 4" Perforated PVC (Holes Down) 2'0" Drainfield Rock 5' F1 TYPICAL 5' WIDE TRENCH SECTION (NO SCALE) A NOTE: Grade Area Over Trench to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 200' Separation From Class A Well. Minimum 100' Separation From Surface Water or Streams. Minimum 10' Separation From Water Services. ' Municipality of Anchorage [(,ENGINEER'S SEAL)1Development Services Department Building Safety Division rOn•Site Water and Wastewater Program4700 SouthBragawSt.P.O. Box 196650 Anchorage, AK 99519-6650wwwCl.anchoraoeap�"(907) 343-7904/�Soils Log - Percolation TestPerformed For: t,aLENVIEW WOR -1-14 Date Performed:l//14 LO= Legal Description: oT '314 3 Township, Range, Section: Depth o (Feet 1// 2- 3- 4 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17 18- 19- 20- COMMENTS 01247AN/(_5, _P iay M t_ Go-kel'1 M I_ WAS GROUND WATER ENCOUNTERED? 0 S IF YES. AT WHAT DEPTH? L fl:4eAP�/� Depth to Water Alter Monitoring? 4�Y P BOT ro" OF Dale: 1 2 L7_ HOLE Reading Date Gross Time Net Time Depth to Water Net Drop ►L Sp 5' �/I 02 :20 ^ r� 60 12:5030MIN IID b� 2D 30 I• _o c7 tom oeer•rr ensu r,..e c --------'--�Z .••-,��..vn VLK< MXE DIAMETER -• TEST RUN BETWEEN -_� FT AND 4 FT PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION AND MATERIAL SPECIFICATIONS SUBJECT: LOT 3, BLOCK 2, GLENNVIEW ESTATES NORTH SUBDIVISION GENERAL: 1. The scope of this project includes the procurement and placement of a new 1,250 -gallon septic tank at the location shown on the Site Plan. Work also includes the construction of 2 new 35' long X 5' wide X 2' effective depth absorption trenches at the location also shown on the Site Plan. The distribution line in the trench will be placed at V below the existing ground surface. Total depth of the trenches will be 3' below the existing ground surface. A flow splitter valve must be placed to assure even flow to each trench. A separation distance of 10' from any water service and 100' between the septic tank and absorption trench and any surface water must also be maintained. A minimum of 3' of fill is required over the absorption trenches and 4' over the septic tank. In lieu of the required fill 2" of insulation and 2' of fill may be placed. 2. Construction shall be in accordance with the approved site plan, design drawings, Municipal Permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The Contractor shall be responsible for obtaining all underground utility locates and for the layout of the septic system and verification of the location of all lot lines. The Contractor must also verify the location of wells in the area and assure that the separation distances are met. 4. Unless specifically agreed otherwise, the contractor shall be responsible for final grading areas subsequently depressed from soil settling. Property owner shall be responsible for revegetation of affected areas unless specifically agreed otherwise. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Department of Health and Human Services for system installations. Owners installing their own systems must receive prior approval from D.H.H.S. before beginning system installation. SEPTIC TANK INSTALLATION 1. A new 1,250 -gallon septic tank must be procured from an approved source and installed at the location shown. 2. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. Loi 3, Block 2, Glennview Estates North Subdivision May 7, 2004 Page 2 of 3 3. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 4. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 5. Tanks installed without 4' of cover shall have a minimum of 2" of direct burial insulation. 6. A foundation cleanout shall be installed one to four feet from the building foundation. Two cleanouts are required between the tank and the drainfield. 7. Final grading over the tank shall be such that a positive slope exists away from the septic tank. DRAINFIELD CONSTRUCTION: 1. The drainfield shall be constructed to the dimensions shown on the design. The bottom of the trench shall be within 2" of level. 2. Distribution piping must be placed level with perforations down atop a level bed of drainfield rock. Rock should then be placed over the pipe to provide a minimum of 2" of cover. 3. A silt barrier or geotextile fabric must be placed between the drainfield rock and the natural soil backfill. 4. Monitor tubes must be 4" in diameter and installed at the locations shown on the design. The portion below ground must be perforated. 5. Contractor shall verify the septic tank and drainfield are a minimum 100' away from any private water wells in the area, 150' from a Class "C" Well or 200' from any community well. 6. Direct bury insulation must be placed over the distribution system if less than 3' of backfill depth is available. Finish grade over the trench must be mounded to prevent settlement or depressions. 7. Grade area surrounding the absorption trench to drain away. 8. A minimum 2' of accepting soil is required below the drainfield rock for a 5' wide trench. Contractor shall verify this condition prior to placement of the rock. All pockets of unacceptable materials must be removed and replaced. > Lot 3, Block 2, Glennview Estates North Subdivision May 7, 2004 Page 3 of 3 MATERIAL SPECIFICATIONS: 1. Septic tanks must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Cast Iron (perforated and solid), ASTM D3034 or P.V.C. (perforated and solid), ASTM F810 or H.D.P.E. (perforated, but not solid) and ASTM D2662 or A.B.S. (perforated and solid). 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Co. Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable geotextile fabric (Typar, Mirafi or equal) must be installed between the final drain rock layer and the native soil layer. 6. All drain rock shall be .5" to 2.5" in diameter with less than 3% passing the #200 sieve. INSPECTIONS: Municipal Ordinance requires a minimum of two inspections. These inspections must be conducted under the supervision of a professional engineer registered in the State of Alaska. The first inspection must be conducted after the excavation of trenches, beds or pits and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled. The second inspection must be conducted after the placement of the geotextile fabric, gravel, distribution piping, standpipes, cleanouts and insulation. No backfill should be in place at the time of inspection. Contractor shall provide a copy of all field survey layout and construction notes for use in preparing the certified as -built of the completed system. jmee4/t N'CK0 �S . 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 Parcell.D. 051.811.47 HAA# ()501 Let) Expiration Date: -L - 2 5 - � �o 1. GENERAL INFORMATION Complete legal description Lot 3, Block 2, Glenn View Estates North Subdivision Location (site address or directions f Shadowy Spruce Drive Current Property owner(s) Spin ell Homes, Inc. Day phone 344.5678 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 1900 Northem Lights Blvd. Anchorage, AK 99517 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System Four 4 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: ❑ Individual On-site ❑ 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 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 engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Anderson Engineering Phone 522.7773 Address P.O. Box 240773 Anchorage AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 4122/2005 49th 5. DSD SIGNATURE i♦ ' "rte c w+ncrssw #,;rj%, No. tt-43e1 Approved for bedrooms. ♦♦♦�D;;S, Disapproved. Conditional approval for bedrooms, with the following stipulations: ltluurrrrr��,, • •. 0' Additional Comments �'' • ON-SITE •' �i WATER ANU WASIPWATFR PROGRAM 'moi ! • .. • c Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: Original Certificate Date:_ (Pe .12=) Municipality. of Anchorage ' Development Services Department Building Safety Division On -Site Water & 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: Lot 3. Block 2. Glenn Yew Estates North Subdivision Parcel ID: 051.81147 A. WELL DATA Well type _ Date completed _ Total depth ft. If A, B, or C provide PWSID # _ Well Log (Y/N) Sanitary seal (Y/N)_ Cased to ft. FROM WELL LOG Date of test Static water level ft. Well production 9 - p.m -WATER SAMPLE RESULTS: Coliform oolonies/100 ml. Nitrate Date of sample: B. SEPTIC/HOLDING TANK DATA Collected by: Wires properly protected (YIN) Casing height (above ground) in. AT INSPECTION mg.11. Other bacteria Tank Type/Material _,Sevdc/Steel Tank size 1250 gal. Number of Compartments; Foundation cleanout (Y/N) Y Depression over tank (Y/N) N Date of pumping C. ABSORPTION FIELD DATA Pumper New Construction Date installed 7111612005 Soil rating (g.p.d./f:2 or ft2/bdrm) .8 GPDISF Length 100 ft. Width 5 ft. ft. Date installed 711512004 Cleanouts (Y/N) colonies/100 ml. High water alarm (Y/N) Y System type 5 Wide Shallow Trench Gravel below pipe 4 ft. Total depth $-1Q ft. Eff. absorption area 1.000 fF Monitoring tube Y Depression over field N Date of adequacy test Results (Pass/Fail) For _ bedrooms Fluid depth in absorption field before test _ in. Water added_ gal. New depth_ in. Elapsed Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date D. UFT STATION Date installed 'Pump on" level at _ in. Datum Size in gallons 'Pump ofr level at _ in. Cycles tested Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot NIA On adjacent lots NIA Absorption field on lot NIA On adjacent lots NIA Public sewer main NIA Public sewer manhole/cleanout NIA Sewer /septic service line NIA Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation >5' Property line >6 Absorption field >5' Water main >10' Water service line $,V Surface water >100' Wells on adjacent lots >200' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line _ >10' Building foundation >10' Water main >10' Water Service line >10' Surface water >iW Driveway, parking/vehicle storage >5' Curtain drain Noiie Noted Wells on adjacent lots >22W F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and Ca; `+.r►`y review of Municipal records that the above systems are in 9th conformance with MOA HAA guidelines in effect on this date. of �....................... �rea«cc c Engineer's Printed Name Michael E. Anderson. P.E. ��i' %.• No. Date 4rM05 ••e A..escd . HAA Fee $- Date of Payment `i 1 14 5 Receipt Number (Rev. 12100) . Waiver Fee $ _ Date of Payment Receipt Number in. SHADOWY_ SPRUCE DRIVE I 1 "=30' w AS -BUILT 2003-42 GLENN VIEW ESTATES NORTH 30' GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI, R.L. 4726 WEST 88TH AVEN ANCHORAGE, ALASKA 99 PHONE 248-5454 GRID I DATE NW1559 2/11/2005 F.D.JOB N0. OS -01 GVEN32 LOT 3, BLOCK 2 40,011 S.F. I HEREBY CERTIFY THAT I HAVE SURVEYEI THE 1� PROPERTY DEPICTED ABOVE AND THAT N OF q4 ENCROACHMENTS EXIST EXCEPT AS INDICPTED. �� ...... gs,1t � hQ; ••' ., •• IT IS THE RESPONSIBILITY OF THE OWNER TO * DETERMINE THE EXISTENCE OF ANY EASEMENTS, x * 49TH * O 6OVENANTS OR RESTRICTIONS WHICH DO OT r.. �..•.....•.•.••.........0 SPEAR ON THE RECORDED SUBDIVISION DLAT. 4 a : Je11e�y a ca�,alal : o r UNDER NO CIRCUMSTANCES SHOULD ANY DATA v •, : e� �' �� ^"�Bd•• 09;•••' HEREON BE USED FOR CONSTRUCTION 0 FOR S°�1 ,,,� OUNDARY OR FENCE LINE!. ESTABLISHING BRECORDING •�•�//�\��•+ ANCHORA E DISTRICT, ALAS A, NOTE: NO CORNERS SET THIS DATE. i n