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HomeMy WebLinkAboutSPRING BROOK VISTA #1 BLK 2 LT 2Spring Brook Vista #1 Block 2 Lot 2 #050-091-13 Municipality of Anchorage Department of Health and Human Services Building Safety Division - - On -Site Water and Wastewater Program, 4700 South Brag" Street P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of 3 www.d.anchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWSW020063 PID Number. 050-091-13 rte»: Wastewater System: ❑ New ® Upgrade Addr.as ABSORPTION FIELD Pnw": NianOw Co B.dlwl": 0 n..v Tn� O smw. T1wrh ®e.d o Mand O Cow.. LEGAL DESCRIPTION ReTaalyl Dea.mwlpb"Ipad.: Block: La gub Wim: 2 2 S12ring Brook Vista Moth b WW aalwn kan wo" pK4: 3.5 Ft Gnwl d.pM bwrWh Db: 0.5 T~%�p: Ranp.: sworn: FA wld.d.bov. 7�: Gr" Luger. 40 Ft Well: New [I Upgrade N" aw..: D"WwD.twan Y".: 25 Ft. 4 5 Fr Clnaiankm (POM .A B. C): I Tool D.pel: C...d b: ToW ab..rpkwl ww: Pip. MaWW: fl. n 1000 Fe 3034PVC NW Gw OriMd: SW wales L.va: b11aw: 011 batow: Ft Beeks Excavating 5/18/2002 YM Pump sa.l c.abq/MM Aew. Gl : TANK GPM FI. FL SEPARATION DISTANCES ❑ septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Litt Holding mww"I ..r CW-tf From Tank Field Station Tank swnerune Existinq Concrete Go w.l MabrW: N W" cg Cwlpwm"nb: sud .ww 100+ 100+ LIFT STATION La Lim 42 47.5 s".: Mwxlataw. Fwadakm 10 10 T'mp ww kW -P,.v W W .kpn w."rawm.l F i b. c aa: txMn 100+ 50+ P'"p Man' a Model E%edi a Y"P.caw" Padwm.d M Rwnwlo: BENCH MARK loa.bm.na G.eup.on: Front Poarch Stoop Aa..Md Ek«abm: 100.0 FL Engineer's Stamp Ilk\44 ••i Inspections performed by: Pannone Eng. Svc Dates: 1115/18/2002 fid' 49T" s 2nd05/18/2002 0- "..,T. "' Department of Health an Human Services approval r "'"" j ♦ ;Steven•R. Ponnone! a �� CE 8149 No(Rev. Reviewed and approved by: Date: 11099) J�' �1�64W. 14\\\ \ k% N PERMIT NO, SV020063 AS -BUILT P.I.D. NO, 050-091-13 WASTEWATER DISPOSAL SYSTEM LOT 2, BLOCK 2 SPRINGBROOK VISTA S/D i I I 3 ........... I 1 I ELST'G SYS EM, NO WELLS VAN 4 ' x 22.5' ED I 1200' OF SYSTEM 11 FAILURE A 1 I I I EXISTING CRIB SYSTEM I e ALOT SERV VVU VAT BY BOTTEM IS INFLUAN�%A BY GROUND WATER. ABANDONED IN PLACE.I �2'\�� l�jX (n,9 c ut€ `mac V "�.✓ tc� INSTAL ALL-TYP --__—_-----_DIVE TER VALVE ° ° EXIST 1A00g 3 CONRETE 1 oQ? SEpTANK. SEE i I / / H c 5'. -49 /i 4 3 % f NEW REPLIACEMENT SYST -40x25 BED r I � r NO WELLS WAN 1 �' 200' OF SYSTEM I �• Y, r r U I I r SWING TIESI NO WELLS VAIN" I CO A B C I 200' OF SYSTEM Cl 51.0 28.5 MI 43.0 24.4 C2 30.0 56.0 M2 460 58.0 C3 13.8 24.3 r M3 20.4 27.8 C4 49.6 47.6~' M4 49.6 46.9 I i 1 C,\Work\DRAWING\2-2SPRINGBR OKJISTS.DVG DESI N - PER RATE- 15 MIN/INCH • 300 SF/BR, 4 BR HOUSE OF 900 SF REQUIRED P��''"��� •. N BED TYPE SYS, 0.5' EFF, i C2 �� 40 LFx 22.5', 4' TOTAL DEPTH i{c ( TM i} 0I TOTAL AREA -900 SF i 49— �` Q VERIFY SEPTIC TANK ------� F'KtF'AKtD FL1R PANNONE ENG. SVC, LLC ren R. Pannone1 Michael Adrean P. 0. BOX 102954 No. CE 8149 12146 Curtis Clrcte ANCHORAGE, ALASKA 99510 G?1�L�.�� Eagle River, AK 99577 272-8218 Fax "'�•-•••"�,�, 263-9268/694-0789 227-3522 P, Ij ; ;;����� ATEA 5-26-02 AS crei c, vasn• PERMIT NO, SWO20063 AS—BUI I Drawing Cj\Work\2-2SBV.DWG 17 i {c TM �rw � 49. S AXSteven R. Pannone! LT DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2, Block 2Spring Brook Vista &V J PI Michael Adrean 12146 Curtis Clrcle Engle River, AK 99577 263-9268/694-0789 inn NV31 3ani aaiux lna NV3' Lna NV3n3 inn NV3M inn NV3m LrM NV333 inn Nv333 NalivaNmi P.I.D. NO, 050-091-13 W J 1.� C3 x OL Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX ATE, 5-26-02 1AS-BUILT ' � MUNICIPALITY OF ANCHORAGE gW10a I'POA -r 3 p" Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Apr 12, 2002 Expiration Date: Apr 12, 2003 Permit Number: SW020063 Parcel ID: 050-091-13 Legal Description: SPRING BROOK VISTA #1 BLK 2 LT 2 Design Engineer: 0062 Pannone Engineering Services Site Address: 012146 CURTIS CIR Owner Name: Michael Adrean Lot Size: 27338 SO. FT. Owner Address: 12146 CURTIS CIRCLE Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER. AK 99577-7542 This permit is for the construction of. C✓J Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 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: Issued By: Date: J OZ Date: b/ 3 D —a T464 -Z � y4g 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.enchorage.okus (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-091.13 Permit Number SW 020063 Property owners) Michael Adrean Day phone 263-9268 Mailing address (1)12146 Curtis Circle Mailing address (2) Ea-gle River, AK Zip Code 99577 Legal description (Lot, Block & Sub'd.) Lot 2. Block 2 Spring Brook VistiL �I Legal description (Section, Township & Range) Lot Size 0.62765 Acres q.Ft. 2 7 7 -53s - THIS APPLICATION IS FOR: Number of Bedrooms 3 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: Date of Payment:-gla o o Receipt Number. 1-7%0 (Rev.12100) Waiver Fees: Date of Payment: _ Receipt Number: Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax March 31, 2002 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Block 2 Spring Brook Vista S/D Emergency Septic System Permit Request Gentlemen: My firm was contacted to investigate the possibility of a failed new septic system serving this lot. The existing bed was inundated with liquid when I arrived. The system is indeed in failure. A single test hole was excavated on March 25, 2002. The soils report and a percolation test result is attached. Ground water was monitored for seven days. No bedrock was encountered in the test hole. No ground water was encountered in the test hole or at the monitoring on March 31, 2002. However, during the last upgrade, your department set an arbitrary water level of eight feet below the surface for this property. So that water level will be used for design purposes, even though water monitoring through seasonal high water (conducted between March 1997 and May 1997) level does not support that water level. The lot is approximately 0.62765 acres in size. Lot 2 slopes to the northwest at approximately 1-3 percent in the area of the test holes, and then steepens to approximately 10 percent on the northern portion of the lot. The proposed installation will be located in the southern portion of the lot. The lot is served by AWWU water system. The proposed location is greater than 200 feet away from existing neighboring wells and 25 feet from the water service lines. The surrounding wells are located greater than 200 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, �..•••••� fir• Steven R. none P.E. Civil Engineer» s Attachments: % C'V .. R .Pon.' Q \ Work\Letters\2-2SpringbrookVista.001.doc PERMIT NO: I 1 i 1 1 I I I I 1 I EXISTING CRIB SYSTEI¢ BOTTEM IS INFLUAN BY GROUND WATER. ABANDONED IN PLACE.i I I NO WELLS W/IN 200' OF SYSTEM R. Pannc CE 8149 :1u10.,, DESIGN WASTEWATER DISPOSAL SYSTEM LOT 2, BLOCK 2 SPRINGBROOK VISTA S/D PROPOSED SYSTEM J I 3 i i 1 NO WELLS W/IN 1200' OF SYSTEM i I �1 I / / I ST 1.0000 a P.I.D. NOt 050-091-13 LOTSERV BY kl�� I r •' � r I I i PER RATE= 15 MIN/INCH 300 SF/BR, 4 BR HOUSE 900 SF REQUIRED BED TYPE SYS, 0.5' EFF. 40 LFx 22.5', 4' TOTAL DEPTH TOTAL AREA -900 SF VERIFY SEPTIC TANK REPARED FOR, PANNONE ENG. SVC, LLC Michael Adrean P. O. BOX 102954 12146 Curtis Circle ANCHORAGE, ALASKA 99510 Eagle River, AK 99577 227-3522 P. 272-8218 Fax 263-9268/694-0789 ATEs 3-30-02 1DESIGN PERMIT N0, i DESIGN DETAILS P.I.D. N0, 050-091-13 WASTEWATER ABSORPTION SYSTEM Lot 2, Block 2Spring Brook Vista Z 17 H V Li V) 3 e Drawing G\Work\2-2SBV.DWG 41/ AnT Vff X* R. Pannone! X Michael Adrean 833 o 12146 Curtis Circle 9 a 4wEagle River, AK 99577 44p 263-9268/694-0789 1110 NV32 Sam ballm 1110 NY31 Ln0 NV313 1n0 NV3n0 Ino NV3M !110 NV= 1110 Ntl3T) NOUVaNnOA ILJ J LL_ C3 W a- u ^pp W yry �a awn � Sa� Pannone Eng. Svc., LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX nTE' 3nT -30-02 DESIGN N p� bg yy e Drawing G\Work\2-2SBV.DWG 41/ AnT Vff X* R. Pannone! X Michael Adrean 833 o 12146 Curtis Circle 9 a 4wEagle River, AK 99577 44p 263-9268/694-0789 1110 NV32 Sam ballm 1110 NY31 Ln0 NV313 1n0 NV3n0 Ino NV3M !110 NV= 1110 Ntl3T) NOUVaNnOA ILJ J LL_ C3 W a- u ^pp W yry �a awn � Sa� Pannone Eng. Svc., LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX nTE' 3nT -30-02 DESIGN DD= Eas - F3mDDu mz 9%= PANNONE ENGINEERING SERVICES P.O. HOX 102954 ANCHORAGE, AK 99510 (907) 714-8418 PEMRNM FOR: 1ticlsd Adreen DATE PBRFORHBD: 3-03-02 (FOAL DESCRIMON: Lot 2. Block 4 Meta S/D TEST VA" 1 OR OWnlo- 1 2 a 4 a 6 7 a 9 10 11 12 13 14 is 16 17 is 19 20 lbtm am 1a. Poor4 waded ofV/tnae aft WAS GROUND WATER ENCOUNTERED? No BOH W YES, AT WHAT DEPTH? -0- DEPTH TO WATER AF= NONITOMO? -)- DATE: 3-01-02 MUD010 D= OMY TM mr TIM amm or VAM 3orr Door 3-18-02 1436 6' -- 1%46 10 5 3/4' 1 1/4' 19-46 --- 6 3/8' -- 19,56 t0 5 t/8' 1 1/4' 19.56 — 6 1/4' -- 0-06 t0 S. 1 t/4' PEROLATION RATE 8 (min/Itch) PEW HOTS DLAUZ= 6 h— TRW RUN BEWIBZi 5 FT and 6 FT COMIEM: Test hole emysted by Dan Henle. Test Hole was pnmmi nd before perc test. Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 * Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: -SW T7 020T PID Number. oSo — C> 71—/3 NaJ�e: IGILP�X,, � � Wastewater System: ❑ New y Upgrade Address: I./6 Caz-rCCS C_ecz LS ABSORPTION FIELD Phone: No. of ggarooms: p Deep Trench O Shallow Trench �9 Bed 17 Mound O Other LEGAL DESCRIPTION Soil Rating: Total Dapth from original grade: o .S- GPO S Ft. Lot: Block: Subdivision: Z Z $P2Wtq%jco, K 1ASTA Depth to pipe bottom from original grade: 3•S Gavel depth beneath pipe Ft. O eJ Ft. Township: Range: Section: Fill added above original grade: Gravel length: O...� Ft H Ft. WELL: ❑New ❑ Upgrade F9 Gravel width: -22 Num� �Q7eer of linea: Dsance be seen rales: -S'Ft y� S S Ft Classification (Private. A.S.C): Total Dep sed To: Total absorption area: Pipe Ft. Ft. 1 O SO. Ft. Tpe�metenal: r VIO /303'4 Driller. Date Drilled: Static Water Level: Installer. Date in tailed: ii FL TwaaPM 4t-jLC ��7y/9� yield: Pump Set at. Casing Height Above Ground: TANK GPM Ft. Ft. -rL,&k* SEPARATION DISTANCES IKSeptic ❑Holding ❑S.T.E.P. To Septic Absorption LIR kwuing blldPrwats Manufacturer. Capacity In gallons: From Tank Field Station Tank satyr Chas UA)LA.501.✓^/ /000 Welt�co'T' fice)'P Material: co Iv ca •Tz+ Number of Compartments: Surface Water Water -t- toot LIFT STATION Lot �L l Size In gallons: Manufacturer. Line Foundation /0, L/O L 'Pump on'level at: 'Pump o et: High water alarm at: Curtain . " -- --Pump Make 8 Electrical Inspections performed by: Drain Remarks: BENCH MARK 147-17",44a_ WAtVt:01— _T_0 Location and Description: 292-Art'Ixoa-c-bG;Ar2AOf4M— eaflOclj Assumed Elevatlonb. ENGINEER'S SEAL 0 ase" Inspections performed by: - Se'0T'TCRot-f2fL!2!2ZD_ates: is Fl?gla7 5TWrV�ANAe"C1.1FA Ci 2nd'?/z4 S7 �f R pannoine � a�Z4 Department of Health and Human Services approval %E:ataq Reviewed and approved by: Date:22 72-013 (Rev. 9N1) MOA 25 �t f '7b /i'Q36\Z)_ k,'� 1, 'a- �i ire i — ��S k0� I AS -BUILT -z/3 WASTEWATER ABSORPTION SYSTEM Lot 2, Block 2 Spring Brook Vista SWING TIES COn-4300 B CI_ 8. MI4.4NEV SYSTEM. C26.0 40' x 22.5' BED M2B.0 �1% 3.6 T _ EXISTING CRIB SYSTEM. BOTTEM IS INFLUANCED BY GROUND IN PLA ABANDONED IN PLACE. EXIST L000g 5% CONCRETE SEPTIC TANK. SEE NOTE L `--27 ` NOTE, 1) VERIFIED INTEGRITY OF EXIST. CONCRETE TANK. FOUND COMPETENT 2) LOT IS SERVED BY COMMUNITY WATER OPERATED BY AWWU. DESIG Perc ate = 15 Min/Inch Solis 300 sf/br *ring G\Work\2-2SBV.DWG 3 B droop House 90 SF Rqd D Ign, 0.5' Effective._ + 4 Total Depth 0.5 2.5' Wide, 40' Long Bed 40 22.5' otal Absorption 900 sf -� PREPARED FOR, Pannone Eng. Svc. Pp�Steve R. CE 8149no^e. i Rick Engle P. O. BOX • 142025 P.O. BOX 962 ANCHORAGE, ALASKA .__.99514 1._ �_ y_,•+ ALTUS, OK 73522 272-8218; PHONE .8•".FAX Drnwinp G\Work\2-2SBV.DWG i "L-2 L ie fa 49TH e} P]k5ieven R. Pannone! AS -BUILT DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2, Block 2Spring Brook Vista un Hv3n � n.^ Rick Engle P.O. BOX 962 ALTUS, OK 73522 Ina NUM 210 WVSC tm VaaNnaj Pannone Eng. Svc. P. 0. BOX 142025 ANCHORAGE, ALASKA 99514 272-8218 PHONE 6 FAX 7-25-97 OT TO SC LEI AS -BUILT F N Pannone Eng. Svc. P. 0. BOX 142025 ANCHORAGE, ALASKA 99514 272-8218 PHONE 6 FAX 7-25-97 OT TO SC LEI AS -BUILT 0(40 Municipality of Anchorage Department of Health and Human Services Rick Mystrom, 625 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 July 31, 1997 Steven R. Pannone, P.E. PO Box 142025 Anchorage, Alaska 99514 Subject: Waiver Request for Lot 2 BLock 2 Springbrook Vista 91 Waiver Request #WR970040, PID 0050-091-13, SW970203 Dear Mr. Pannone: Your request for a waiver of the required 10 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 3.6 feet from the leachfield to the property line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, ez 1� Anthony Kim" On-site Services ljw 07 Engle MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section WR#1 PID# Waiver Review Worksheet 050-091-13 HA# Date Received: July 28, 1997 Legal Description: Lot 2 Block 2 Springbrook Vista #1 Engineer: Steven R. Pannone, P.E., PO Box 142025, Anchorage, Alaska 99514 Applicant: Richard Engle Permit # SW970203 Waiver Requested: Lot line Waiver of 3.6 to property line Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: See ,4jj2ae, 4 wigr 3. Other: Waiver is Granted: Waiver is NOT Granted: List Conditions or Reasons for above: Date: By: Name of Reviewer Rec #: 03012/1470 Amount: $ 115.00 Date Paid: July 28. 1997 Steven R. Pannone, P.E. P.O. Box 142025 Anchorage, AK 99514 Consulting Engineer 272-8218 P&F• 227-3522 C July 30, 1997 Mr. Anthony Kim MOA DHHS 901 L Street, Suite 502 Anchorage, AK 99501 RE: Lot 2, Block 2 Spring Brook Vista Lot Line Waiver Request Dear Mr. Kim: RECEIVED JUL 31 1997 Municipality of Anchorage Dept. Health & Human Services I am writing to request that the MOA DHHS grant a Lot Line Waiver to 3.6 feet for the above referenced property. The granting of this waiver will no affect future development of this or surrounding lots. Please contact me at 227-3522 if you have any questions. Sincerely, Steven R. Pannone, P.E. Civil Engineer Ca 014e,?- Attachments: 1uY Attachments: Le lhv" R trwwwr DESIGN W STEWATER ABSORPTION Lot , Block 2 Spring QC.4 7VvST Lo*r U vii WAwVl- -TV I at EXISTING CRIB SYSTEM. BOTTEM IS INFLUANCED BY GROUND WATER. ABANDONED IN PLACE. NOTE, 1) VERIFY INTEGRITY OF EXIST. CONCRETE TANK. REPLACE WITH NEW STEEL TANK IF FOUND LEAKING. 2) LOT IS SERVED BY COMMUNITY WATER OPERATED BY AWWU. EXIST 1.000g CONCRETE SEPTIC TANK. SEE NOTE L 44' 0.5' 22.5' Rick Engle P.O. BOX 962 ALTUS, OK 73522 27 k Vista PROPOSED REPLACEMENT SYSTEM. 44' x E2.5' BED a Y% Percme = 15 Min/Inch Solls 300 sr 3 B droorl House 90 SF Rqd rot ions 0.5' Effective Total Depth ' Wide, 44' Long Bed al Absorption = 900 sf Pannone Eng, Svc. P. O. BOX 142025 ANCHORAGE, ALASKA 99514 272-8218, PHONE & FAX ATE, 6-23-97 DESIGN CAI Fi 1•=50' DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2 Mock asprhg Brook V&%n ! ! � F. 00 o 0.0 o 500 00 _ __ gg 00 !- 000 00 z 0 t 000 000 �'•- 000 b Q - E� H o 00 0000 IM _ C3\ . _ _ _ _|0 k • ' ' ^ NV= ! �� Drawing 0\u s LlRRv i Wig _ IRV= CF w / 49 � q | �|Revised7 Steven,��_e R�m2�+ %_me��S� E8149 �- % Rik m- 2222222 m 0. BOX 142025 3 ■__ �# ANCHORAGE, ALASKA 99514 a t s a 2@ 22718 PHONE &FAX 'T�' SSR PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970203 DATE ISSUED: 7/22/97 DESIGN ENGINEER:STEVEN R. PANNONE EXPIRATION DATE: 7/22/98 OWNER NAME:ENGLE RICHARD L OWNER ADDRESS:12146 CURTIS CIR EAGLE RIVER, AK 99577 PARCEL ID:05009113 LEGAL DESCRIPTION: SPRING BROOK VISTA 01 BLK 2 LT 2 l�^ eS LOT SIZE: 27336 (SQ. FT.) ( 1.1 r. SfeJc .nnevtA AV NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 �ng�fwerg, Ar, . THIS PERMIT IS FOR THE CONSTRUCTION OF: VV p�{to✓ �P^s15� DISPOSAL FIELD /SEPTIC TANK SYSTEM fGY �v1�InN✓ I r„ ^d4�1 `VSpys� ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: ��(� gY►CYOacli �� T'�" d 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: PLEASE SUBMIT INFORMATION REQUESTED DURING OUR DISCUSSION ON JULY 22, 1997 WITH THE AS -BUILT. RECEIVED BY i —�� DATE• ISSUED BY: DATE: d EXISTING CRIB SYSTEM. BOTTEM IS INFLUANCE:D BY GROUND WATER. ABANDONED IN PLACE. NOTE, 1) VERIFY INTEGRITY OF EXIST. CONCRETE TANK, REPLACE WITH NEW STEEL TANK IF FOUND LEAKING. 2) LOT IS SERVED BY COMMUNITY WATER OPERATED BY AWWU. DESIGN JEWATER ABSORPTION SYSTE14 Block 2 Spring Brook Vista `PROPO! a 5% EXIST 1.000D CONCRETE SEPTIC TANK. SEE NOTE L Rick Engle P.O. BOX 962 ALTUS, OK 73522 / ALF EACH, 03' E CO r Q15'0.5' SYSTEM. Perc te a = 15 Min/Inch Soils 188 sf/br 3 B droop House 56 SF Rqd rD TIgn, 0.5' Effective 2 otal Depth ' Wide, 113' Long s� se Two Trenches 65 LF Ea Total Absorption = 325 sf Pannone Eng. Svc, P. O. BOX 142025 ANCHORAGE, ALASKA 99514 272-8218. PHONE L FAX DESIGN DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2, Block 2Spring Brook Vista y � & un NUM L g Es `l 00o 9 o e o 30 000 is 3UU UMDM 1 N `•':°: W IM Nv3ro E3 0 r T b IM NUM un wv3M Drawing Nv3n 0 0\Vork\3-CURRIN.DVG iM NUM OF 49TM ♦, Revised 7/13/97 PREPARED FOR ♦ Steven R. Pannone. ♦ � , Pannone Eng, Svc. Rick Enle • ' e as � : g P. O. BOX 142025 P.O. BOX 962 ANCHORAGE, ALASKA 99514 �h • ••.•--^�p\,��+' ALTUS, OK 73522 272-8218 PHONE 6 FAX DESIGN 000 000 o o°o o°o ; Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska, 99514 (907)272-8218 (907)272-8218 Fax June 23, 1997 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Block 2 Spring Brook Vista Septic Upgrade Permit EXISTING SYSTEM IN GROUND WATER Gentlemen: MUNICIPALITY OF ANCHORAGE Department of Health & Human Services On -Site Sewer/Well Permit Application O_— NOTE: Appficat*n mull Wfilled w completely SINGLE FAMILY DWELLING Perch MMuficauon Number ` Property Owner Name 125-215- EN C L 13 Day Phone Mailing Address IR- o -fox 96 Z r AL-TuS p tL Zip Code Legal Description tl Lot Size �' eel 1, ��Zr� Fl Inspections will be conducted by: RECEIVED ° Number of Bedrooms: nn 3 X Approved Engineering Firm dt_� %\ 1 c1111 in 1-k �AIpUmS Municipality (permit fee included) J UN 2 4 1997 Does your house contain any of the following: Hot Tub, Swimming Pool, Therapy Pool. JacuMunicipality of Anchorage pt. Health & Human Services or Water Softener Unit? If yes, which one? This application is for. Sewer Only Sewer and Well Sewer Upgrade !lC Well Only I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and in accordance with applicable Municipal codes. 5-r-taJw� R�}J�.vyvonlat P c3 Property Owner/Well Driller "hW&!G:2L Fees:�r��. co Receipt # Permit # Jwy) D u 3 72-0121Rer 10/96l DESIGN WASTEWATER ABSORPTION SYSTE Lot 2, Block 2 Spring Brook Vista PROPOSED REPLACEMENT SYSTEM. S -VIDE TRENCH, 65LF, 3' EFF. 6S - co wr co TPT EXISTING CRIB SYSTEM. o �� y BIITTEM IS INFLUANCED BY GROUND WATER.f+" ABANDONED IN PLACE EXIST 1,0008 5/. CONCRETE SEPTIC TANK. SEE NOTE L NOTEi 1) VERIFY INTEGRITY OF EXIST. CONCRETE TANK. REPLACE WITH NEW STEEL TANK IF FOUND LEAKING. 2) LOT IS SERVED BY COMMUNITY WATER OPERATED BY AWWU. DE GN, Pe c Rate = 15 Min/Inch Drawing G\Work\2-2SBV.DWG S Its= 188 sf/br �0•Sn*1L1k %j�4 Bedroom House �E �� 63 SF Rqd =•hep '`•ti ��j� 3' Deslgn, 3' Effective 65' 5, 6.5' Total Depth � 49'1' t • 5' Wide, 65' Long —� Total Absorption = 325 sf ;St an R. Pannone PREPARED FOR = Pannone Eng, Svc. •i CE 8149 f Rick Engle P. O. BOX 142025 P.O. BOX 962 ANCHORAGE, ALASKA 99514 •',-1,��+' ALTUS, OK 73522 A272-82113, 37PHONE 8 FAX •...N ,� DESIGN DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2, Block 2Spring Brook Vista ino Nv717 3eni ►aimn+^ R O O O LL O 00000 Z 1f Y1 /K3L7 Ex 000 0'0� (] Q. 1 -1 00000 v W 3' 3.5 y un Nvap g � irn Nv= a3 im Nv= Drawing 0\Work\5-CURRIN.DWG IM NUMim W43M 66 pp �a HHH aZ NouvaNrne 49TM q i Steven R. Pannone PREPARED FOR, Pannone Eng. Svc. �r % CE e149 ,��.� Rlck Engle P. 0. BOX 142025 0��3 .Sim P.O. BOX 962 ANCHORAGE, ALASKA 99514 1��'�� ^_�O•� ALTUS, OK 73522 272-8218 PHONE L FAX •���' ;��i'� 1 6-23-97 No To sCAL�E DESIGN y 41e Municipality o1 Anchorage49t1` DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG —PERCOLATION TEST +01KV`ZCE'-8r149 IL am PERFORMED FOR:_ R (C 0. P-rjkuS DATE LEGAL DESCRIPTION: L2-82. ?wr�eac�Y� \A00Wnship, Range, Section: DEPTH SLOPE SITE PLAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 C712GAN tGs �EQOWO GipAVet- W&CL 0,2A0ac.0 GPA'e GOA.reL w SrLTs C o'rs vt= 'FNds WAS GROUND WATER ENCOUNTERED? u d IF YES, AT WHAT DEPTH? Depth to Water Ater Monitoring? _ Reading Date Gross Net Time Time Depth to Water Net Drop 0 1 '43/5 — –UA r oIt C' r,'! `J :0 Itl '/ f b t VIA t 1 *w •/ PERCOLATION RATE A (mmutevmch) PERC HOLE DIAMETER 6" ,I TEST RUN BETWEEN S FT AND FT ,OMMENTS �STCtVC� W%L�RLZSOAKC� G,f20J/S1L�AT�LWILe aueNst-dvtta0 7.✓ C12t$"Dv4wc� 3Drzt.J4 /2.1 PERFORMED BY: S-�ZQ)AAW 01V6 � ice• e , I CERTIFY THAT XIj,1S TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DAT 72-008 (Rev. 4/851 DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM Lot 2, Block 2Spr1n9 Brook Vista M NV= C Y G •.i K g Sent mtaeW �`'•,� W 00000 1110 wf= a 000 Z 000 p 000 1' 00000 f- 0 Ono U Ld .5' 3.5 tro ►#aro tno ►n3v s Drnelrip G\Vork\5-CURRIN.DWG MM Nv3-M fi � OF "- j'AAtl 1 49TM % 0•-- --- Revised 7/15/97 -40 �i w PREPARED FOR, PESvc. ?:Steven R. Pannone._ Pannone Eng. : Rick Engle P. 0. BOX 142025 P.O. BOX 962 ANCHORAGE, ALASKA 99514 .... «• ' ��� ALTUS, OK 73522 272-8218 PHONE L FAX filter • � DATE, 6-23-97 DESIGN ' (aj�j� GRE/"""ANCHORAGE AREA BOR' "''y �II�Y/ Department of Environmental Quality 1"1 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM Maur Dave roo MAILING ADDRESS 2 7 C{, 4 k PHONE&r4Z9r-21&� LOCATION &I SCP D����«<f '" �'-�f�'hC� IY� "LEGAL DESCRIPTION ��� �ro/0�^`�V ISA 91L SEPTIC TANK: ✓%' DISTANCE <fDYn{rtAnify n NUMBER OF FROM WELL I✓ v' MANUFACTURER ��CC MATERIAL [C a COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY Ze '7 GALLONS. SEEPAGE PIT: )/� 7�f NUMBER OF PITS DIAMETER OR WIDTH L, LENGTH, DEPTH yl Gommun�fy W4�,^ LINING MATERIAL<e„Cd'elf NN "I.RIB SIZE: DIAMETER --DEPTH 4' DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE 2e) ABSORPTION AREA (WALL AREA) SO SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE Gcrnmunify Gate✓` —CONSTRUCTION— BUILDING ONSTRUCTION BUILDING NEAREST FOUNDATION LOT LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DISTANCES: INSTALLED BY: Wal ce PIPE MATERIAL:A/f Cas ilon LOT SLOPE; REMARKS: Form No. EO -031 DEPTH NEAREST SEPTIC SEWER LINE , TANK. REMAR DIAGRAM OF SYSTEM k DISTANCE FROM: SEEPAGE SYSTEM _ 30 1ci GREATER ANCHORAGE AREA BOROUGH j 4 DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99303 TELEPHONE 274-4361 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT 7jia 6/F. pg/) 12111 % �� � NAME OF APPLICANT MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL DESCRIPTION O', r / V./�/ ' INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY < TA S DRAIN FIELD OTHER SOIL TEST RESULTS / [" li / NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED e-5, _- /O 7 :z FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE I Q `/ () TYPE !► MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK , FOUNDATION TO SEEPAGE PIT 2, D DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEEPAGE AREA SIZE SEPTIC TANK SEEPAGE PIT Z^ DRAIN FIELD TO NEAREST LOT LINE._ / WELLCTO SEPTIC AN / SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT - DRAIN FIELD SEPTIC TANK, SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH RGUL TIONS REGARDING INSTALLATION. Ll - OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 26.68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE FORM NO. E0-016 TANKS SEPTIC V►t%T ❑ HOLDING anulacturenGap "fly m galbna �b, �I� tS015-0 111W.&I /J No. of Compenmanti 1 T Z' TYPE OFSYSTEM ❑ TRENCH KEIED LJ W. DRAIN ❑ OTHER spin to p -p , bottom bom Total Depth trom V g N graft .g.nal prate S_ O FT 10.5 " o added AbOyt V-91" glade Grave Depth beneath pipe 'b l t/p FT tom. s Nvel engtn Gael width �o FT 1 � DIN abtotpnon area Dlslante between Imes n )SO FT (O Nmbe, of hots sGl ,alp malerel 0-5 1 8\;j SO FT kV<M VSCr".)djt1G Isteutr Data lnaWisO o �I — p ei WELLS ❑ PRIVATE ., OTHER fldentifvl ........ ... ..,. u a F, I TOIN Deotn I CAIAd to MJti REMARKS: S & S ENGINEERING 1 }76117..4 0s91- ee°''L.44.��rgqngg.,S5P P Municipal andt9ti9yolYta9�cRllhftUat'. Health Department Approval:... U U r'T•^ (: Inspection�s .P�er1f.o�rmLed by: tit 7 , Dau: I\—t1—� Iy~Q` �Ift 00 . .. luspeciion ■u performed according to alt *% Date: !�''�' ��•rJ/ �N v■ *7 ILa� Ha: lilf� _re,1CG� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division ' 825"L" Street, Anchorage, Alaska 99502, Telephone 264-4720 i ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ane DISTANCES 0 SO- 09 /- / & Q TO SEPTIC ABSORPTION WELL A ddn.a. � \\ X19 S FROM TANK FIELD 23 0 .W • �� of f�t-G No. eafrooma WELL ' �- t4- Pnone(s) permit No. of I - 'It'I "J> 0 1 3 LOT LINE t \C> I 195r LeGALMSCRIRTION Lot BetaSubch y n I FOUNDATION t 1 l7 �f -� Townsmp. Range. seclerl h1 W AS -BUILT DIAGRAM eewav, wNer bodes. m ... ISnow location o1 "I.aepuc system, Dropeny nc 1 eros, IouMauon, TANKS SEPTIC V►t%T ❑ HOLDING anulacturenGap "fly m galbna �b, �I� tS015-0 111W.&I /J No. of Compenmanti 1 T Z' TYPE OFSYSTEM ❑ TRENCH KEIED LJ W. DRAIN ❑ OTHER spin to p -p , bottom bom Total Depth trom V g N graft .g.nal prate S_ O FT 10.5 " o added AbOyt V-91" glade Grave Depth beneath pipe 'b l t/p FT tom. s Nvel engtn Gael width �o FT 1 � DIN abtotpnon area Dlslante between Imes n )SO FT (O Nmbe, of hots sGl ,alp malerel 0-5 1 8\;j SO FT kV<M VSCr".)djt1G Isteutr Data lnaWisO o �I — p ei WELLS ❑ PRIVATE ., OTHER fldentifvl ........ ... ..,. u a F, I TOIN Deotn I CAIAd to MJti REMARKS: S & S ENGINEERING 1 }76117..4 0s91- ee°''L.44.��rgqngg.,S5P P Municipal andt9ti9yolYta9�cRllhftUat'. Health Department Approval:... U U r'T•^ (: Inspection�s .P�er1f.o�rmLed by: tit 7 , Dau: I\—t1—� Iy~Q` �Ift 00 . .. luspeciion ■u performed according to alt *% Date: !�''�' ��•rJ/ �N v■ *7 ILa� Ha: lilf� _re,1CG� L... ...... ..� .... �.�.............u�..�.o ..n raY •lw•rliJ nti:l+vv W`YM6v Y:, y� ,regunicipality of Anchorage fern,,,#ENT OF HEALTH & HUMAN SERVICES 825"L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST 1 PERFORMEDFOR: QL���1_ - ,/ DATE PER LEGAL DESCRIPTION: �7 CS Z SP(Z11�1 To , Range, Section:, , ���A SLOPE 2 - vf� 0 4 5 / i64 1 5C— A,, 7 8 ••p 9 0 1 10 ��� WASGROUNDWATER WATER ` ENCOUNTERED? r 11 r IF YES, AT WHAT 3(ZM 6F • DEPTH? 12 r% Dep to Wrter Afte 13 Monitoring? ll+tt .12 LS -41 14- 15- 16- 17- 18- 19- 2- 3-, 41516171819 k rt -4 SITE ®®mmm 20 ,1^l0 PERCOLATION RATE � (minuteslinth) PERC MOLE DIAMETER TEST RUN BETWEEN FT D ?� FT COMMENTS & S ENGINEERING 17034 Eagle River Loop koaa ttr., 2 1"II CERTIFY THAT THIS E�ST7 WA�S/EgRFORMED IN PERFORMED BY:E� ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDEL ES IN FECT ON THIS DATE. DATE: 72-008 (Rev. 41851 S.` L... ...... ..� .... �.�.............u�..�.o ..n raY •lw•rliJ nti:l+vv W`YM6v Y:, y� ,regunicipality of Anchorage fern,,,#ENT OF HEALTH & HUMAN SERVICES 825"L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST 1 PERFORMEDFOR: QL���1_ - ,/ DATE PER LEGAL DESCRIPTION: �7 CS Z SP(Z11�1 To , Range, Section:, , ���A SLOPE 2 - vf� 0 4 5 / i64 1 5C— A,, 7 8 ••p 9 0 1 10 ��� WASGROUNDWATER WATER ` ENCOUNTERED? r 11 r IF YES, AT WHAT 3(ZM 6F • DEPTH? 12 r% Dep to Wrter Afte 13 Monitoring? ll+tt .12 LS -41 14- 15- 16- 17- 18- 19- 2- 3-, 41516171819 k rt -4 SITE ®®mmm 20 ,1^l0 PERCOLATION RATE � (minuteslinth) PERC MOLE DIAMETER TEST RUN BETWEEN FT D ?� FT COMMENTS & S ENGINEERING 17034 Eagle River Loop koaa ttr., 2 1"II CERTIFY THAT THIS E�ST7 WA�S/EgRFORMED IN PERFORMED BY:E� ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDEL ES IN FECT ON THIS DATE. DATE: 72-008 (Rev. 41851 20 ,1^l0 PERCOLATION RATE � (minuteslinth) PERC MOLE DIAMETER TEST RUN BETWEEN FT D ?� FT COMMENTS & S ENGINEERING 17034 Eagle River Loop koaa ttr., 2 1"II CERTIFY THAT THIS E�ST7 WA�S/EgRFORMED IN PERFORMED BY:E� ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDEL ES IN FECT ON THIS DATE. DATE: 72-008 (Rev. 41851 /£t E EAWNEER/NG (� r Box so, Davis St., Eagle RiverAlaska ONMENT CO. _., • 694-2774 or 333-5240. 7 ._;,isrer _ 1.'Engineering Oils B Foundations - Ear/d/is 333-5240 Surveying SOIL LOG Land Development Performed for: Name: Tel.NO. Mailing Address: C1� Legal Description: De th feet - t . T F3fl 0 Soil Characteristics l — _�=J Sit.: oPSa�,✓ 2 Y SgNQy C�vsL' 4 5 5 GP• \?'j `�1 SauP,, GeAVfz. - Cae3t vs ;o �Z„ ��o.woo..�-aYtZS utc Ca.o 11 n UN\#Q'Z tin 9 — Y Sgva7 CQAY�,t. 10 WAS S7 it71JG pN: i-i 12 Ground Water Encountered: Yes_ Proposed Installation: Seepage Pit No If. yes; what depth �amtents: .7- —/ Drain .Field 2ASlr tL£l7 7? ¢dji t erfolmed by:117� 6 Otis Sgav _ _ A� a / t CQa vLi K La.n� Date:_ ? . DE ATMENT OF HEALTH AND HUMAN SER ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES A J.D. G o FG%o TO FROM SEPTIC TANK ABSORPTION FIELD WELL Adpress Pe,m,t No. o. of Bedrooms WELL ��t X1 1 �y2I_ T pnonelal 1_ LOT LINE � LE WL DF acuaTrOw Lot `,� Btocw Su dms�on J FOUNDATION— Townsmp,Range. section �v ZGC' AS -BUILT DIAGRAM (Snow Iocabon of wen. septic system, property ones, toundeuon, drivewl water bodies. etc 1 TAN S SEPTIC ❑ HOLDING kaL 4k," (.}, _ 1c � -" I '. Manu:ac;rarer Capa<dy m ganons1 12So I, 411, Ma:enai No. of Gompanments TYPE OF SYSTEM ` ❑ TRENCH XOBErl ❑ W. DRAIN ❑ OTHER Cep:n to pipe bottom from Iota[ depth from original grace or.q.n, grade X y FT FT a,u aoceo aoove original grade 4.0 FT Craver depth beneath pipe / 0.7 FT Grave•eng:n Gravel w�dm 3Z FT FT 4 I mai smorpbon area 12� B IDtatance between lines / SO FT FT o 4 C-0 4—1 H I°O r Numcer lir lines Son rating ZDV SO FT Pipe material Data Installed -I_SO,�4 WELLS ❑ PRIVATE ❑ OTHER (Identifv) Cussdcauun tA.B.CI Tot, DepthCased to � , S FT FT I N Q 145.` mmanet Date mstaned. REMARKS: r Q p�jp�j O Scale: ,� Inspections Performed by v4 \y,'' ENGINEER'SSEAL -: : , -y�� s 1.1Q1. i .�F b>wa �`^'� Date fes. P��`O • cr ., ••••%9+ t .... ........3 a R e FN -INEFR it - — certify that this inspection was performed according to all . .........«•T •A. 7034 Is v L lid No. lty4 Municipal anda�uIl m .tQet�nl� EEE R Yma' AAII�s 9999a.ir dry 0 " ! Ka I�E'7� •,Ax E 7-22 -89 �4%F4' I' OFESS Health Department Approval: Date. 72-013 (3,85( for Sam Legal De3=12tiO^ L O.. �— 2 ' �h u' £ c. lu � 1L J II it -{ to - 1J 20-1 SOILS LOG F RCOLATI�: 7 n/ iCS= / 2K S f Patton ✓Datte Performed 8/31/77 of 4, Block 2, Spring Brook Vista Subdivision Gray, silty, sandy -grivel w/organics (fill) Red -brown, sandv.silt,_(F1L) Brown, sandy gravel w/some silt Dense, gray -brown, silty, sandy gravel (GN) Perc test from -5 to -7 feet Water table at -9 feet. Total Depth - 10 feet Date t:et TimeNet Drop Pere Rate 8/31/77 64 min.- 12.5 in. 5.5 min/in. 54 min. 9.0 in. 6.0 min in. 67 min. 9.5 in. 7.0 min./in. �60 min. 7.5 in. 8.0 min/in. I'er:c2atio i ate 8 P•_r_o=k! D1 nute s/inch CIMPION DRILLING COMPANY, INC. PERFORMED - Municipalityof Anchorage DEPARTMENT OF HEALTH &HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST LEGAL DESCRI C/crr'o DEPTH 4 "C7" J Al,r � 2 3 /j4 ✓ 5- 6- 7 6 7 4 8- 9- 9 0 10- 11 0 11 12- 13- 14- 15- 16- 17- is- 19- 20- COMMENTS 2 1314151617181920COMMENTS i Seep a G P /zs C -P/ S14 .0- lladwt A. faeler !i► 14174 )ATE PER Section: /LLAJ. 2W. WAS GROUND WATER 1' ,. ENCOUNTERED? IF VES, AT WHAT L DEPTH? Z P E Depth to Water After Ell- Monitoring?Bale: �� Reading Date Gross Time Net Time Depth to Water Net Drop 4�1erlrro --- Z o:/oA D /o 'ZV/4o;4ed o K�',P'j 9 e.2 39Iior /a jj LG" NI / " `y PERCOLATION RATE 1—_ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN z FT AND 3 FTC—%yi) �)I r -r- 2_ Fz Sti4 � PERFORMED By7034. Eagles River Loon Road No. 2cW CERTIFY )FHIS EST WAS PERFORMED IN FF.���� RRiwr Alaska "S77 ACCORDANCL"1;7T�- II! STATE AND MUNICIPAL GUIDELINE FFECT ON THIS DATE. DATE: 72-008 (Rev. 4/851 —.-. MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-091-13 1. GENERAL INFORMATION Expiration Date:, Complete legal description Lot 2, Bk 2, Spring Brook Vista, #1 Location (site address) 12146 Curtis Circle, Eagle River, AK 99577 Current property owner(s) Larry Kincaid, Jr Day phone ( 907) 841-7031 Mailing address Real estate agent 12146 Curtis Circle, Eagle River, AK 99577 Emilie Cullison RE/MAX Frontier 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone ( 907) 354-2141 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic KI Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System [: Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5 5 0 Waiver Fee $ Date of Payment _ Date of Payment Receipt Number Receipt Number COSA # _ CS C- )- � � 0 5 Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Pinard Engineering Phone ( 907) 232-1347 Address PO Box 871347, Wasilla, AR 99687 Engineer's Printed Name Paul E. Pinard Date 2/16/21 6. DSD SIGNATURE System #1 Approved for 3 bedrooms System #2 Approved for bedrooms plp dL Pinard Disapproved �� CE -4793 ; P���.� Conditional approval for bedrooms, with the following sti T 3 Z pN-SIT rn .nIA By: �',- `— L� v/ Original Certificate Date: Z- 2-3 " Z The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist Legal Description: _Lot 2, Bk 2, Spring Brook Vista, #1 Parcel ID: 050-091-13 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA — Public Water System ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments B. TANK DATA Age of tank(s) 46 years Tank type/material Septic/Concrete Measured operating fluid level in septic tank 4.4' ® Standpipes/foundation cleanout per record drawing Date of pumping 2/1 /21 D. ABSORPTION FIELD DATA Which system tested (date installed) 2 L 24/97 ® ALL standpipes present per record drawing Total measured depth from grade 5. 0 ft (max) Measured depth to pipe invert from grade 4. 5 ft (min) ❑ N/A —pressurized field ® Monitor tubes go to bottom of effective. If not, state depth into effective ® Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet Structure served by this system Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by _ Date of Sample C. LIFT STATION — NA ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date _215/21 Results ® Pass For 3 bedrooms Fluid depth prior to test 3.5 in Wateradded 450 gal New depth 6.0 in Elapsed time 75 min Final fluid depth in Absorption rate 450+gpd Any rejuvenation treatment (past 12 months) kLone Known If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) — RUblic Water System Septic Tank/Lift Station on Lot > 100' KlYes if No Community Sewer Manhole/Cleanout > 100' Surface Water > 100' ® Yes if No ft ❑ Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes if No ft Private Sewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No ft Holding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > 100' If septic tank is under driveway comment below Animal Containment > 50' ❑ Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' E] Yes if No ft ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' KlYes if No ft Surface Water > 100' ® Yes if No ft Property Line > 5' 91Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' X❑ Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' X❑ Yes if No ft Water Service Line > 10' E] 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' UYes if No ft If absorption field is under driveway comment below Property Line > 10' ❑ Yes if No 3. 6 ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' JaYes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' XJYes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS Waiver granted by MOA for 3.6' separation from the absorption field to the property line. G. ENGINEER'S CERTIFICATION / certify that / 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. COSA Checklist yellow sheet -m4t16-lzt OE L0 Ci ti 00 J ` I SCALE: 1 "= 40' I I I I Lot 3 I 1 oOY50„E A45.94 N76 �O Wood fence �`l,�pl a� \ D e e 5ep"G, G O Fe �� 3 O o - 2.0 OH 2.0 OH D J o .0 Chimney aJe� G� (D �R E CO �I U I Shed LOT 2 0 jl I �I I/ I/ s / L / Lot 1 X000230"E EASEMENTS OF RECORD, OTHER THAN A4 tj AM!�• 1r G'' 49 t •.-9 00M- . eC o0 A . Elizabeth L. Walatka f %�� • • 8036 - LS • • �e �, / �'Fa pRCFfSSIONAL•�� � — AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection in accordance with ASPLS Standards of the following described property:_ _ LOT 2, BLOCK 2, SPRING BROOK VISTA UNIT No. 1 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 27th day of January - 2021 _ THOSE SHOWN ON THE RECORDEDI FRED WALATKA & ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON Engineers and Surveyors UNLESS OTHERWISE NOTED. SH, FB 21-1, pg 7-9 BE 907-248-1666 This drawing is a representation of conditions found at the time the mortgage location survey was performed. This document does not constitute a boundary survey and is subject to any inaccuracies that a subsequent boundary survey may disclose. The information contained on this drawing shall not be used to establish any fence. structure or other improvements. This drawing shall only be used for a single property transaction. Use of this drawing by the original client or by others at a later date without the consent of Elizabeth L. Walatka is a violation of Federal Copyright law. Unless gross negligence is discovered, the liability extent of the preparer is limited to the amount of fees collected for services in preparation of this product. PINARD ENGINEERING a P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) 0 ADEQUACY TEST LOCATION: Lot 2, Block 2, Spring Brook Vista #1 APPLICANT: Larry Kincaid, Jr. 12146 Curtis Circle Eagle River, Alaska 99577 SEPTIC TANK TYPESIZE: Concrete/1000 Gallons, per MOA Records ABSORPTION SYSTEM: Seepage Bed, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GAL/BR = 450 Gallons TEST DATA JOB NUMBER: 21-014 DATE OF TEST: 2/5/21 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: 0.0' NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments PM (GPM) (GALs) (GALS) Liquid Level A Level Monitor Tube 1* A SAS Level Monitor Tube 2* A SAS Level 3:15 6.0 - 4.4' - 0.3' - 0.3' - Start Flow - Meter 31150 3:30 6.0 90 90 0.3' 0.0' 03' 0.0' 31240 3:45 6.0 90 180 0.4' 0.1' 0.4' 0.1' 31330 4:00 6.0 90 270 0A' 0.0' 0.4' 0.0' 31420 4:15 6.0 90 360 0.5' 0.1' 0.5' 0.1' 31510 4:30 - 90 450 0.5' 0.1' 0.5' 0.0' Stop Test - 31600 RrrnVPQV Date Time SAS MT1 SAS MT2 2/6 4:15 0.3'/-0.2' 0.3'/-0.2' *ALL MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: System found to be operating satisfactorily. The home was occupied and septic system in use. Liquid level measurements in the SAS MTs showed depths of 0.3' prior to beginning the test. With the addition of 450 gallons to the system (the design daily flow), the level slowly rose to 0.5' in both SAS MTs. Recovery measurements were taken the following day at a time almost 24 hours after stopping the test flow. These showed that the levels in each, had already returned to the original, starting level. It does appear though that the SAS is approaching the end of its useful life. Reviewed by: Paul Pinard -0- r% Date: 2/15/21 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-091-13 1. GENERAL INFORMATION Expiration Date:1 Complete legal description Spring Brook Vista #1 Block 2 Lot 2 Location (site address) 12146 CURTIS CIR, Eagle River, AK Current Property owner(s) SOUHRADA Day phone 694-4994 Mailing address same Real Estate Agent Brandon, Partners Real Estate Day phone 694-4994 2. TYPE OF DWELLING: M Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class C Well ❑ Public Water System M TYPE OF WASTEWATER DISPOSAL: Individual M Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: Date: 1,? COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ -I 6 — Date: Date of Payment 3w./ 3 Date of Paymen Receipt Number /�C /� / 55-030 Receipt Number 0 COSA # 5 61 uYq 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 NorthRim Engineering Phone 694-7028 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date 8/20/2013 `yFe nd f� /fid ayn K"td d,; aq' a 6. DSD SIGNATUREra ' fi�@mm.¢+<aea maayze/s-e—+e¢pgj pP¢ / V System #1 Approved for _ bedrooms. mK.c> - .. System #2 Approved for F Ea ", 54e -ren W. Erg 9='? bedrooms. � . , „� pE (6356 csua s 7 � Disapproved. 1J �, Conditional approval for bedrooms, with the following stipula i6i3" ON-SITE PROGRAM By: : ®j Original Certificate Date: The Municipality of Anchorage Devlopment Services Division (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA blue sheet 9-1-12.doo X Nitrate Advisory Arsenic Advisory Other If more than 1 septic system is on the lot: C.OSAChecklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: 5 -PP -m-16 8/z00% VI -MA -41 6 2 G2 Parcel ID:OSO- 09/-/3 A. WELL DATA )J/81_'C W47EA Well type If A, B, or C provide PWSID # Well Log (Y/N) Date completed Sanitary seal (Y/N) _ Wires properly protected (YIN) Total depth ft. Cased to ft. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft ft Well productiong.p.m. m. WATER SAMPLE RESULTS: Coliform - colonies/100 mL Nitrate mg/L Arsenic ug/L Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA / p Tank Type/Material SEC / C v i/ C Date installed o 6 %3 Tank size _ la m gal. Number of Compartments Cleanouts (Y/N) ;Z i Foundation cleanout (YIN) Depression over tank (Y/N) N High water alarm (Y/N) /V Date of pumping s PumperL§,kea, 3 C. ABSORPTION FIELD DATA --Z Syrfp�s Date installed %Z % Soil rating (g.p.d./ft2 or ftZ/bdrm) D S System type 8«f Length y ft. Width Z2• ' ft. Gravel below pipe ft. Total depth ft. Eff. absorption area ZOO fe Monitoring tube _�f_ Depression over field P Date of adequacy test/Z 13 Results (Pass/Fail) Aids For -3 bedrooms Fluid depth in absorption field before test 3 in. Water added SO gal. New depth .-5 in. Elapsed Time: b Q min. Final fluid depth 3 in. Absorption rate >=g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date- D. LIFT STATION 1,16 Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES WELL ON LOT TO: AIA Septic tank/lift station on lot _ Absorption field on lot Public sewer main Sewer /septic service line Size in gallons "Pump off" level at in. Cycles tested Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots On adjacent lots Public sewer manhole/cleanout Holding tank Animal containment areas Manure/animal excrete storage areas SEPTICIHOLDING TANK ON LOT TO in Building foundation l0 Property line 14 f' Absorption field Water main -50 / �- Water service line / d t Surface water a /Y - Wells on adjacent lots /Oa /"k- ABSORPTION tABSORPTION FIELD ON LOT TO: Property line 3 6 WA, eA Building foundation t Water main S� Water Service line 41 Surface water / 00 r� Driveway, parking/vehicle storage /0 /74 - Curtain drain da/G.. Wells on adjacent lots boa /f F. COMMENTS Z G. ENGINEER'S CERTIFICATION 006 Z 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. Engineers Printed Name -T;r l c- Cwc Date (? C) Jr.? COSA brown sheet 10-10.12.doc r Municipality of Anchorage Development Services Department ision On -Site Water Building Safety Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak. us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY A FOR A SINGLE FAMILY DWELLING ROYAL Parcel I.D. 050-091-13 HAA #—�5b30Z I. GENERAL INFORMATION Expiration Date: —7 ... Q _ O Complete legal description _Lot 2 Rinelr Location (site address or directions) 12146 Curtis Circle EaleRiver AK 99577 Current Property owner(s) Victor Proton Mailing addressDay phone 622-4963 12146 Curtis Circle Ea le River AK 99577 Lending agency Mailing address Day phone Real Estate Agent Cral Bennett/Prudential E R Day Phone 669-6472 Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF B EDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ElEl Community Class Well El Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site 19 Individual Holding tank El Community On-site 0 Public Sewer n 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority valid for 90 days from the date of issue for Properties new water sample results less than 30 dayolCertificates are valid ),'d for one rivate or leas fCo well and may be reissued witroval h or f wells ora public water system. The Municipality of Anchorage is not responsible for errors or omissions in the Y properties served by Class A Professional engineer's work. (R" vim) 5. STATEMENT OF INSPECTION BY ENGINEER investigation Approval Guidelines for this Health Authority Approval As certified by my seal affixed hereto and as of the validation date shown below, I verify that my 9 based on procedures outlined in the Health Aly anthorid/or disposal system is safe, functional and e of structure indicated herein. I further verify that based on the application shows that the on-site water Supp y investigation and inspection, the on - adequate for the number of bedrooms and typ Bance with all applicable Municipal and State information obtained from the Municiater pality o disposal g s in comp from my it site water supply codes, ordinances, and regulations in effect at the time of installation. Phone 272-8218 Name of Firm Pannone Eng- Svc. �1 f Address P.O. Box 102954 Anch AK 99510 Date Engineer's Printed Name Steven R. Pannone P.E. Engineers Comments: In conducting an adequacy test 1 attempt to provide a thorough, Regulations. egula ons conscientious engineering analysis of the system o n ancorofthe �em under conditionss encountered at the time of reported results describe the perf rational life of all AI depend on the local soil condition, ground water levels that may fluctuate 0 the test, and separation distances measured to readily identifiable features. a opc i wells and septic systems dept em. These conditions are i,,,.., during the year, and the water usage of the family All systems ng serve eventually fail and satisfactory test results 00 outside the control of the evaluator of is ystem.4 nor do they guarantee that there are no hidden defects .. do not guarantee future performancefor future performance nor give any 111 or encroachments. PGS can therefore not provide any warranty3tional requirements Of the reliance upon estimate of how long the system will continue for the sole t the r the own listed above. Any or 111' MOA DSD. The report any this Other person or party is not authorized nor will it confer any Icgat right or use of this repo Y Y whatsoever. 6. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. bedrooms, with the following stipulations: Conditional approval for Additional Comments : AALSITE �• WATER AND:Ir= WASTE ATER— PROGRAM Attachments: Maintenance Agreements — HAA Checklist Supplemental Engineer's Report — Septic System Advisory Other WeIIFlow Advisory — 7J Original Certificate Date: -2--z---0 By: Reissue Date: Expiration Date: (RM 1109) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water and Wastewater Program 47W South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal D&WdPtlon: - Lot 2 Bit 2 Spring Brook Vista #I Parcel I.D.: 050-09143 A. WELL DATA Wen type AVI WU Date plated Total depth ft Date of test Static water level Well production WATER SAMPLE RES Coliform Date of sa e: If A, B, or C provide PWSID # Sanitary seal _ Cased to ft A WELL LOG ft 9P, DO ml Nitrate mgA Collected by: B. SEPTIWHOLDING TANK DATA Tank Type/Material Concrete Well Log _ Properly Protected height (above ground) in. AT INSPECTION LL 9 -p.m Arsenic -*- mgA oolonies/100 ml Date installed SMOM973 Tank size 1000 gat Number of Compartments 1 Cleanoufs X Foundation cleanout X Depression over tank Ij High water alarm NIA Data of pumping OM/2005 Pumper JR'S Septic Pumpers C. ABSORPTION FIELD DATASe� Date installed 7124M997 Soil rating (g.p.d./ftz or fe/bdrm) Qfji System type Bed Length ft Width _22.5 It Gravel below pipe 0.7 it Total depth!j R Effective absorption area lafe Maisoring tube 11 Depression over field jv Date of adequacy test 613012005 Results (Pass/Fall) Pass For I bedrooms Fluid depth in absorption field before test Q in Water added_4Z gal. New depths¢ in. Elapsed Time: 42 min Final fluid depth.Q in Absorption rate >= 450+ 9-p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 8 type) _ No If yes, give date (Rev. 11/99) D. UFT >ATIO Date install 'Pump on' level Datum Sae in gallons in'Pump if leve C sled E. SEPARATION O13TANC SEPARATION DISTANCES Septic tank/lift station on lot Absorption field o�Io�t Public sewer me ON LOT TO: n adjacent lots On ' ant lots Public sewer High water alarm level at _ in Meets alarm b circuit requirements? Sewer /s�pt�c service Ilne Holding tank SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 10' Property line 42 Absorption field 15 Water main W— Water service line 50+ Surface water 100+ Drainage 100+ Wells on adjacent lots 000+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 3.8 Waived Building foundation 10+ Water main 100+ Water Service line 25+ Surface water 100+ Driveway, Perkinglvehicie storage 3 - Curtain drain 100+ Wells on adjacent lots04_0+ F. COMMENTS G. ENGINEER'S CERTIFICATION .•. P;. ......... 1 certify that I have determined through held inspectlons and review of Municipal records that the above systems are in Q conformance with MOA HAA guidelines in effect on this date. j�i*:'e+e^ R. Pc -nor e54C Engineer's Printed Name Steven R Pannone. P.E. ���% %• h c 814 9 ; v� .......... Date IK lOs •••••;.:'• HAA Fee E� ✓ V Data of Payment ---F Receipt Number =0 (Rev. iIM) Waiver Fee $ _ 0 Data of Payment 45- Receipt Number OA Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.sk.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-091-13 HAA # HP O2 O / O Expiration Date: SZ— 3-0 3 1. GENERAL INFORMATION Complete legal description Lot 2 Block 2 Spring Brook Vista Location (site address or directions) 12146 Curtis Circle Eagle River, AK 99577 Current Property owner(s) Michael Adrean Day phone 263-9268 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 12146 Curtis Circle Eaale River AK 99577 Day phone Ainslee Phillips Day phone 244-8584 Fax 5625485 Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well ❑ individual Water Storage ❑ Community Class A Well Public Water System ❑ 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. 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 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. (Ra. I 11 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 Health Authority Approval Guidelines for this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn _Pannone Eno. Svc. Phone 272-8218 Address P.O. Box 102954, Anch, AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date 0 %Ie% Engineers Comments: In conducting an adequacy tes4l attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations, The reported vaults describe 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 fife of all wells and septic systems deprnd on the local soil condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. 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 wfiatsoevcr. 6. DSD SIGNATURE _1z Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: e ��-( Original Certificate Date: Expiration Date: Reissue Date: r+«.11/" Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bregaw Street P.O. Box 1981150 Anchorage, AK 99519-8850 www. ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: tot 2 Block 2 Serine Brook Vista Parcel I.D.: 050-091-13 A. WELL DATA Well type Ate► Date completed Total depth ft Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal _ Cased to ft FROM WELL LOG WATER SAMPLE RESULTS: Coliform Colonies/100 ml Date of sample: B. SEPTICIHOLDING TANK DATA 9 -p.m Nitrate mg/I Coli ed by Well Log _ Wires property protected _ Casing height (above ground) in. AT INSPECTION Other bacteria ft g.p.m colonies/100 ml Tank Type/Material Existing Concrete Date Installed tSH011973 Tank size 1000 gal Number of Compartments 1 Cleanouts Y Foundation cleanout Y `DepTfon over lank hl High water alarm Date of pumping 4 U Pumper a C. ABSORPTION FIELD DATA Date installed SM$12002 Soil rating (g.p.d.1W or ft'/bdrm) System type -&A Length ,9 -ft Width 25 ft Gravel below pipe 0.5 It Total depth 4 ft Effective absorption area 1JQW fte Monitoring tube Y Depression over field hL_ Date of adequacy test 4klo Results (Pass/Fail) -A)2-UJ For 3 bedrooms Fluid depth in absorption field before test _ in Water added_ gal. New depth_ in. Elapsed Time: 0 min Final fluid depth _ in Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) (R*v. 1 t X90) If yes, give date D. LIFT STATION Date installed Size in 'Pump on' level at _ in'Pump off" level Datum E. SEPARATION DISTANCES SEPARATION DISTANCES Septic tank/lift station on lot Absorption field on lot Public sewer main Sewer /septic service line Cycles} ed _ DM WELL ON LOT TO: On adjacgw lots lots Manhole/Access in High water alar level at _ in Meets alarm & circuit requirements? sewer manhole/cleanout Holding tank SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 10 Property line _U Absorption field 15 Water main 25+ Water service line 10+ Surface water 100+ Drainage 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 47.0 Building foundation 10 Water main 25+ Water Service line _25+ Surfacewater 100+ Driveway, parkingNehicle storage 10+ Curtain drain 100+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION ���\P """" 1 certify that I have determined through held inspections and : = 49 T" cirr review of Municipal records that the above systems are in i-" - - -- w conformance with MOA HAA guidednes in effect on this date. Iof�=Steven R. RonncnefL' Engineer's Printed Name Steven R. Pannone. P E I� s% No. CE E 149 r �4 Date ��t��0 e�.•Q,!:�i HAA Fee $ 3 7 5 Date of Payment $I Receipt Number 2 `1 3 (Rev. 1 IM®) Waiver Fee $ Date of Payment Receipt Number � a5.9a1 s X11 I x • 1 /x 4 I l L I s •®' Oe � LK ppb O �• Oy4r I 1 X e •'� �> / V pry I OF.A�q���Q TH.( y¢, S�ttxT,Ai ............................... SHANE A HOLT { •- LS -6914 VII!_ ...... s TO BE EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON (UNLESS INDICA' NOTE: ANY FENCELNES 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. ASBUILT SURVEY NO CORNERS SET THIS DATE 1' • 30' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 2. BLOCK 2. SPRING BROOK VISTA NO. 1 ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE. ALASKA THIS _13TH_ DAY OF AUGUST 2002 NOLT LAND SURVEYINZ:--CGfFB100WS TEL. 3455513 1 N J vim. r r 1 -Z mm Y � se /'f , ' •� v F I • ❑ b I SHED `47, 0 /�� o v/ z I I ' / I I / I � NOTE: �"R* 2 THIS LOT DOES NOT CLOSE MATHEMATICALLY Ld FROM INFORMATION TAKEN FROM THE RECORD PLAT. 36,a IT APPEARS THAT THE CURVE DATA IN REGARDS TO TO OTHER O� V CURVE NO. 23 18IN ERROR IN RELATION 0 PLAT DATASED •EYURVE NO. 23 WAS RECOMPUTED AND FOR SURVEY. OF.A�q���Q TH.( y¢, S�ttxT,Ai ............................... SHANE A HOLT { •- LS -6914 VII!_ ...... s TO BE EASEMENTS OF RECORD. OTHER THAN THOSE SHOWN ON THE RECORDED PLAT. ARE NOT SHOWN HEREON (UNLESS INDICA' NOTE: ANY FENCELNES 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. ASBUILT SURVEY NO CORNERS SET THIS DATE 1' • 30' I HEREBY CERTIFY THAT I HAVE PERFORMED A MORTGAGEE'S INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. LOT 2. BLOCK 2. SPRING BROOK VISTA NO. 1 ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE. ALASKA THIS _13TH_ DAY OF AUGUST 2002 NOLT LAND SURVEYINZ:--CGfFB100WS TEL. 3455513 MUNICIPALITY OF ANCHORAGE • �- DEPARTMENT OF HEALTH a HUMAN SERVICES AEML Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.O.# S?��04 (-13 HAA# CC GENERAL INFORMATION Complete legal description l�-c 2 •�$I�cIC SprLr.uA�2�oI<VrS-t A Location (site address or directions) % Z u6 Cy 2 `'t crr?cL, GA4ta Rlu Property owner �« IG CZN c� Day phone Mailing address 9.c0a0- T 62 _0 A cTUS r d l< Lending agency Day phone Mailing address Agent Fz' c c4VyL Day phone 2��rl- 363 Address 'z &Cc> C c(fDo V S"r S c�cTc� /0 0 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site �— Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(A".1/91) Front MOA121 S. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this Inspection. Name of FirmpAN&j0" '— Svc Phone 2�Z X3218 Address P.o -';RcX /t(2oZT Aev oP A IL 9 c 5-/r(s- 20 zs Engineer's signature -rte Date 7-/Z .5- 6. DH7S SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments 0 Date 7 a o p The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and thei r lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. r -M M"• W) sack MOA M Municipality of Anchorage pp ���� h DEPARTMENT OF HEALTH & HUMAN SERVI EC E I V E D Environmental Services Division 'a 825 L Street, Room 502 • Anchorage, Alaska 99501 • (90 wvow MunicipaliOf /�u. n.r aye Health Authority Approval Chechfo. Health ZHUMan sa.. ces Legal Description: L2 iU 25PRwalRnm,4yfs-rA Parcel I.D.: CXS9 — O R I — f3 A. WELL DATA Well type R WW t) If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (YM) Date of test Static water level Well production WATER SAMPLE [1?7Z ILIwl of sample: Data completed Cased to FROM WELL LOG B. SEPTIC/HOLDING TANK DATA Nitrate Casing height (above ground) Wires properly protected (Y/N) Collected by: AT Other bacteria 9— p.m- Date installed 01101 ?3 Tank size I &0<> S Number of Compartments ( Cleanouts (Y/N) Foundation cleanout (Y/N) Y Depression (Y/N) t4 High water alarm (YM) Date of Pumping y12414-+ Pumper I- 12 ,S C. ABSORPTION FIELD DATA Date installed %2Q % 4 Soil rating (g.p.dJW or ft•/bdrrn) C % L' System type Length ' _N O Width 22..f Gravel thickness below pipe © • -7- Total depth Effective absorption area TCU Monitoring Tube present (YM)`t Depression over field (YIN) A-10 Date of adequacy test N&--7 xra-T--A k Results (Pass/Fait)4 S For 3 bedrooms Fluid depth in absorption field before test (in.); Immediately atter gal. water added (in.): Fluid depth � (ins) Minutes later: Absorption rate = a.p.d. Peroxide treatment (past 12 months) (YM) 72-028 (Rev. U6)' If yes, give date D. UFT STATION Date installed Manhole/Aocess (Y/N) High water ala aY ,Was tested E SEPARATION DISTANCES ono level at' 'Datum "Pump off" level at' SEPARATION DISTANCES FROM WELL ON LOT TO: �t.rt.! tJ W�1'TEn SvC�Pt P Septic/holding tank on lot Absorption field on lot Public sewer main service line _ On adjace s� _ On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO: Foundation l O t Property line k Z( Absorption field �r Water main/service line SO' Surface water/drainage _/Oco Wella on adlacam kft SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: i< to -MI WL WA%Vat t?GGAA "O Property line 3 • (� t Building foundation / O r Water main/service line z s r Surface water / CO � Driveway, parking/vehicle storage area 3o r Curtain drain CYO{ Wells on adjacent lots / C!0, F. ENGINEER'S CERTIFICATION I cerdty Mat I have determined Mru held inspections and review of Munhtiji8l; are in car/ormarrce withMOA HAA guidelines in effect on this date. y. °r Signatu # Engineer's Name 3Tt:?A1e-AV VT4>P. t A; 9-17) (9 Date 81e MAA Fee $ 3Q0" Date of Payment 41W 4 7 Receipt Number 660 s i 2eao) 72-020 (Rev. 3/98)' Waiver Fee $ _ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE ARk DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section Ow P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel 1. D. M C So— O R 1 —13 1. GENERAL INFORMATION HAA# 17111YO/Z O Complete legal description 2 Cru("6; q�Vc�K ',/fSTA *i-1 Location (site address or directions) 17-1416 c oP_-rL-c GtrZcccs Property owner MR , QIcK EA)cl-c Day phone Mailing address 0 -Al Tze-mA c 2PyR, Z&oo Co2_t�,ovA .s -r. A oc11 , A IL 1�0So3 Lending agency Day phone Mailing address Agent _'EOE! 2-' 0-m AlrE(I&RE9 rY Day phone 3NS- si6� Address '—(o00 Co¢DoVA STRet:T ANC*, jA (G 99_!33 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: RECEIVED 3. TYPE OF WATER SUPPLY: MAY 12 1997 Individual well Municipality of Anchorage Community well Dept. Health & Human Services Public water �— NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-M(F A/21) F. t eaA021 & STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm e, phone 2Z2-8Z1f3 Address 2, o.Qiox /V2o2 _4 g lot -HI A 1< goDSiN Engineer's signature & DHHS SIGNATURE Approved for Disapproved. Conditional approval for Additional Comments M Date a10197 1 � 4 bedrooms. bedrooms, with the following stipulations: Date The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does thisas a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and alma requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. teas)nw.1N,) Bak MOAM MUNOPALITY OF APIC 4QkACE ENVIRDWENTAl. SERVICES DIVISION Municipality of Anchorage APR 07 1997 DEPARTMENT OF HEALTH & HUMAN SERVICE$ Environmental Services Division RECEIVED 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: LZ, BZ ST4zwsa3acnVC V✓r.TA-IN-f Paroel I.D.: 0S0-041 —13 A. WELL DATA Well type Aww U If A, B, or C, attach ADEC letter. ADEC water system number L nt (YM) , Total depth Sanitary seal (YM) Data of test Static water level Well production WATER SAMPLE Coliform i Date completed Cased to FROM WELL LOG Nitrate Casing height (above ground) Wires properly protected (Y/N) sample: Collected by: B. SEPTIC/HOLOING TANK DATA AT INSPECTION Other bacteria 9.p -m. Date installed 8/lo/?X Tank size /000 Number of Compartments _[_ Cleanouts (Y/N)Y Foundation cleanout (Y/N) `e Depression (YM) W High water alarm (YM) —.tio Date of Pumping Z-Q;S Pumper 3/1.z /4 :x C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.dJfi'ftnJ /610 System type GQ Length 30 Width t c) Gravel thickness below pipe 6 ` Total depth Effective absorption area 480 SF Monitoring Tube present (YM) Y Depression over field (YM) PCZ Date of adequacy test 41K /4 -iL Results (Pass/Fail) Q'ASS For 3 bedrooms Fluid depth in absorption field before test (in.); 0Q,,? Immediately atter�ai. water added (in.): 74' Fluid depth aV (ins) Minutes later: 5'14 Q.S Absorption rete = 6�'r- bZU a.p.d. Permdde treatment (past 12 months) (YM) 'VO . If yes, give date 72.028 (Rev. 3198)' D. LIFT STATION Data Installed _ Manhole/Access (Y/N) High water alarm E. SEPARATION DISTANCES Size In d_I "ea on level ar _ a ` -Datum SEPARATION DISTANCES FROM WELL ON LOT TO: SeptIrAholding tank on lot Absorption field on tot Public sewer main line On adjacent lots "Pump off" level at* RECEIVED MAY 12 1997 Mur ,cipality of AnchorsBB9 Dept. Health & Human So Cos Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation / O ` Property line 10-4- Absorption field Zp r Water main/service line / o f Surface water/drainage Wells on adjacent lots / do `f' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Propertyline zp t Building foundation 3 4' Water main/service line -215- 1+ Surface water - C�o Driveway, parldngAmhicle storage area Z -a ` - Curtain drain l Co -l- Wells on adjacent lots F. ENGINEER'S CERTIFICATION ! m o -f- I certify fhat 1 hove determined thru field inspections and review of Municipal recoos-M in conformance *1M MOA HAA guidelines in eAect on this date. Signaturq Engineer's Name ST�YEnI �Qpn,yoy� ,4�•� Date 'a A / 9 � HAA Fee $ 3� Date of Payment - 7/7 Receipt Number 2 -7? -b 72-028 (Rev. 3/98)• Waiver Fee $ Date of Payment Receipt Number powwow sy_stft's are ,,••ter,''.^,-'.":;�= �, Steven R. Pannone, P.E. P.O. Box 142025 Consulting Engineer Anchorage, Alaska, 99514 (907) 272-8219 (907)272-8218 Fax May 11, 1997 ATTN: James Williams Municipality of Anchorage Dept. of Health & Human Senficcs On -Site Services Section P. 0. Box 196650 Anchorage, Alaska 99519 Subject: Lot 2, Block 2 Springbrook Vista No.I Conditional Health Authority Approval Dear Mr. Williams: RECEIVED MAY 12 1997 Municipality of Anchorage Dept Health & Human Services I request your department issue a Conditional Health Authority Approval for the above referenced property. My firm conducted a Health Authority Investigation on April 4, 1997. The system accepted 500 gallons of water in less than five hours. The system was inspected on April 20,1997 by your Department as part of the Health Authority Approval process. You observed twelve inches of standing water in the bottom of the system. The water was monitored over the next eight days with no change in the water depth. The tank and crib was pumped again on April 29, 1997 to determine if ground water was influencing the water level in the crib. The water level returned to its previous depth of twelve inches three days later. This system is installed lower than the seasonal high ground water. Ground water levels are at least 12 inches higher than the bottom of the system. MOA codes require a separation distance of at least four feet between the bottom of the soil absorption system and the seasonal high ground water. Based on the information discovered during the month of April, it is dctemtined that this system DOES NOT meet the operation requirements of the Municipality of Anchorage. A new soil absorption system must be installed with a separation distant of four feet to ground water. The existing crib must be abandoned. The Veterans Administration is socking bids from three Engineers and three Contractors to design and install a now system outside the seasonal influence of ground water. The now systern will be installed before the end of June. Therefore, I request your department issue a Conditional Health Authority Approval for the above referenced property during this interim period so the now owners can complete the transaction. Funds will be escrrnved to pay for the upgrade. If you have any questions, please contact me at 272-8218 } Sincerely, Stcven R Pannone, P.E. CAWORKU-2SPRLN.001 ® MUNICIPALANCHORAGE ' DEPARTMENT OF HEALTHEALTH&HUMAN SERVICES , c • Division of Environmental Services On -Site Services Section P O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.# 09'0-oqI.-13 HAA# NAR�IO(obq 1. GENERAL INFORMATION Complete legal description Lot 2, Block 2, Spring Brook Vista Unit #1 E sW3:= Sec. 2, T14N, R2W, S.M. Location (site address or directions) 12146 Curtis Circle, Eagle River, AK Property owner Michael & Elizabeth Bieri Day phone 234-7467 Mailing address snx 267, Seldovia, AK 99663 -Le nding agency Firm National Rnak Day phone Mailing address Eagle River Branch 694-2388 Agent nick grown Day phone W.Address Target Realty, 17034 Eagle River Loop Rd:, Eagle River, AR (� Unless otherwise requested, HAA will be held for pickup ,,.• '` NUMBER OF BEDROOMS. SUPPLY: 3 TYPE OF WATER Individual well ' ` Community well Public water xxx NOTE:' if communitywell system, provide written confirmation from State ADEC attest -` --ing to the legality and status of system - r.` ;•... ,. 4.''. -TYPE OF WASTEWATER DISPOSAL - - •-- _ Individual on-site xxx r ioldirig tank ii✓'i , =V .n 1. 1 . Community on-site l � ll1 . 1 ,�.Q 11ri1 a . Public sewers •` :,. '-� ��-'•. '-^ 9 ^ w4y- . -. .C:J�• ir.1O < Y11 .J, ._3',. '•J .....: �...!.. 1":; �C v:,l:"',, r[.!7 ., J7 d✓. ., In.,�. t:•fti_` 1-L't.. i..f.a a NOTE V= If community wastewater system, provide ,-: written confirmation from State ADEC .r . -..t. . -e.-'i'•' attesting to the legality and status of system titt < . H.UU.. , =r , Y ; ; (IM L91)•F,on1 MOA 121 ' r 111-� � { s ,r',♦ r a:' - ,72x78 S. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S 45 —Phone-69`�-a971 Address 1703'/ EAGLE RjvJ4 Looe Rv, tf2uy iACLE AftA 4< 975-77 Engineer's signature Date I a- l6 /a y c6 of n' RO.MT C COWAN I r j CE-8801r�' 6. DHHS SIGNATURE thi`i a„ 53.�p"��, Approved for. bedrooms Disapproved. `t���`1(•C` Conditional approval -for bedrooms, with the following stipulations: ..•: -- Date The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions In ordertosatisfy certain federal and state requirements. Employees of DHHS do not conduct Inspections or analyze data before a certificate is Issued The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work ra=(PW;. ,) 9KAt uwm; (— 3, ;Additional Comments -- Date The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions In ordertosatisfy certain federal and state requirements. Employees of DHHS do not conduct Inspections or analyze data before a certificate is Issued The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work ra=(PW;. ,) 9KAt uwm; Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST ►3 Legal Description:+�.�y-^' 7- ?AA�. Z SPtr" J*ar .-Parcel I.D. oso-oqI- ttTll� A. Well Data Well type A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (YM) Date of test Static water level Well flow Pump levell. FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septictholding tank on lot Absorption field on lot Public sewer main Sewer service line WATER SAMKE RESULTS: AT INSPECTION On adjacent lots On adjacent lots sewer manhole/cleanout Petroleum tank Nitrate Other bacteria of sample: Collected by: B. SEPTIC/HOLDING TANK DATA v Date Installed 19'13 Tank size 1 o0o Compartments Cleanouts Foundation cleanout Depression (Y, .� High water alarm (Y� r�( Alarm tested (Y/N) .JA Date of pumping II -Z9 -9Y Pumper -7-4• CtsJtfaDL SEPARATION DISTANTS FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 'f On adjacent lots _100 rf Foundation S r�f To property line /o Absorption field Zo . Water maintservice line /o Surface water/drainage /ao ri CONTINUED ON BACK PAGE 72-026 ("3)' Front QZ IT1 9•p• o .�. es+ A rZyo oG Ec n R z sewer manhole/cleanout Petroleum tank Nitrate Other bacteria of sample: Collected by: B. SEPTIC/HOLDING TANK DATA v Date Installed 19'13 Tank size 1 o0o Compartments Cleanouts Foundation cleanout Depression (Y, .� High water alarm (Y� r�( Alarm tested (Y/N) .JA Date of pumping II -Z9 -9Y Pumper -7-4• CtsJtfaDL SEPARATION DISTANTS FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 'f On adjacent lots _100 rf Foundation S r�f To property line /o Absorption field Zo . Water maintservice line /o Surface water/drainage /ao ri CONTINUED ON BACK PAGE 72-026 ("3)' Front C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Aocess Vent (Y/N) High water alarm level Meets MOA electrical codes on lot 'Pump on" level FROM LIFT STATION TO: D. ABSORPTION FIELD DATA 'Pump off',Level at .s tested On adjacent lots Surface water Date installed toll -> Soil rating (GPD/Ft2) I GO Y ,05w -System type Gx-1 i3 Length :30 Width / o Gravel thickness , Total depth /,/ Total absorption area_ 1 90 Cleanout present�&J) _Depression over field (y& N Date of adequacy test 1.2 -5-5 y' Resultgd a ail) /Ass for Bedrooms Water level in absorption field before test 'V r St 1 D 4 e After test /C, a 1-14 002> Peroxide treatment (past 12 months) (y I� n(2..JE=J 1 If yes, give date 11/ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot "/4 On adjacent lots /00 14- Property line o ' To building foundation /n r � To existing or abandoned system on lot _ -JIA On adjacent lots 3 o r Cutbank A Water maiNservice line /o f Surface water c r Driveway, parkingivehicle storage area .So Curtain drain 'I , E. ENGINEER'S CERTIFICATION I cerW that 1 have checked, veri(ed, or contwmed to all MOA and HAA guidelines in e/fec-yt-0ef}7} 1 his inspectlon. r Signature A*'� .,....>, '�, r Engineers Name p0B f T C • Co "14 ^J I1 X R0iUT C. cotvav f Date 1 C R 4t >. CE - 8801 J HAA Fee $ &')D, e Date of Payment / Z'yo —% - Receipt Number 537 r dD ,-r� 72-028 (393)• Back Waiver Fee $ Date of Payment Receipt Number, - MUNICIPALITY OF ANCHORAGE !3/ Department of Health & Human Services r,1� O DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # ��^ - t - t HAA #-1�1S4ir�it� 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Sorinabrook Vista #1 Lot 2 Block 2 T14N R2W Sec -1 Location (address or directions) 12146 W prinCe of Peare Eagle River AK 99577 (b) PropertyownerFlovd & Ann Barron — Telephone: (home)274-9020 Business Mailing Address 1200 T Street #810 Anchorage. AE 29501 (c) Lending Institution N/A Telephone Mailing Address (d) Real Estate Company and Agent Address P -Q -B *771064 Ea Telephone757-1179 (e) Mail the HAA to the following address: (or check here ❑, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family Q Number of bedrooms 3 3. WATER SUPPLY Individual Well ❑ Community ❑ Public 52 Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site © Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. nanias..?/M Page 1 of 2 Z Jo Z 06ed "Is (NIL "u) izau 'HJoms,Jaau6uaeuo!ssa;adaylu!suo!ss!wo1os7a7a7oJalq!suodsajlous!a6e7o 4ouVJoL1ldownWeyl•panss!s!aleotpliao! suo!iaadsui lonpuoo lou op SHHO Jo saa(oldw3 sivawa7!nbaleuAea7o;ageiepWine 7o 6u!pual w;!1pesofiapiou!suo!inl!lsu! . yof (salinoo a se s!yl saop SHHO 041 'L)ISUIV Jo a3e3S a4I u! pajals!6a7 Mu!6ua leuo!ssa;ad luapuadapu! ue (q anoge g ydejSejed u! uaA16 suo!leluasaidai ayl uodn 6luo paseq paieo!;uao Ieno7ddy/i!7oylny ylieaH sanss! 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(w leyl t;uan l'moiaq umoys ale uollep!leA ayl Jo se pue ola7ay pax!;;e leas (w (q pa!;!Uao sy NOI1VWdOdNI aNV V1V0'H38v3S 311d'SjS3.L'SN0l103dSNl JNIOIAOHd MIA JNIH33NIJN3 'S G� ~ OF MUNICIPALITY OF ANCHORAGE (MOA) �Q� . Health Authority Approval (HAA) QP�P�S 9 O CHECKLIST - FEBRUARY 1984 \G\ M�� a�tE �o,� 343-4744 Legal Description: 1'4 7-w.✓ i? -Z w S. A. , WELL U ATA Well Classification n//a R 6,.. c✓�*« `r`�w'r Well Log Present (Y/N) Date Completed Total Depth Cased to Static Water Level Casing Height Above Ground — Electrical Wiring in Conduit (Y/N) Depth of Grouting SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments Y.` If A, B, C, D.E.C. Approved (Y/N) Pump Set At Yield Sanitary Seal on Casing (Y/N) �r Depression Around Wellhead (Y/N) On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole B. SEPTIC/HOLDING TANK DATA 0 Date Installed /7 77 Size No. of Compartments Date Standpipes (Y/N) Y Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Y W Depression over Tank (Y/N) N Date Last Pumped i N/ Pumping/Maintenance Contact on File (Y/N) s ; for I Holding Tank High -Water Alarm (Y/N) elA Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well /�" To Building Foundation 9 g r' To Disposal Field To Property Line _ To Water Main/Service Line Sy To Stream, Pond, Lake or Major Drainage Course Nf Comments 72-M (9w. 7/66) front Page 1 of 2 C. ABSORPTION FIELD DATA - Soils Rating in Absorption Strata /i0 /sz Type of System Design re L r. Date Installed _ 8/ie / -1-3 Length of Field 3� ' Width of Field ✓° ' Depth of Field :'Gravel Bed Thickness 6 R� • ^ -r Square Feet of Absortion Area y8O 42l' Statndpipes Present (Y/N) Y Depression over Field (Y/N) n/ Date of Last Adequacy Test Results of Last Adequacy Test ,.Zk ,!= 7e,r, SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well raoo To Building Foundation a7 1 To Property Line /9 " To Existing or Abandoned System on Lot N fA : On Adjoining Lots f = 0' To Water Main/Service Line P7" To Cutback (if present) �l To Stream, Pond, Lake, or Major Drainage Course :A]I To Driveway, Parking Area, or Vehicle Storage Area 7S Comments D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) . "Pump On" Levet at "Pump Off" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Vent(Y/N) Pumping Cycles during Adequacy Test. "Check Permitted Bedroom Rating Against HAA Request" I certify that I have checked, verified, or conformed to all MOA and HAA guide Inspection. ' Signed Company — Eaola Avrr'y i ®&arvleee P. 0. Boz 773294 Date Ea^) Rm",4 09ii� MOA No. x r 694-5195 Receipt No.« Date of Payment 4c Amount: $ ,� 7 e5Y) Receipt No. Waiver Fee: $ _ Date of Payment 72-M (Fi v. 7/99) Back Page 2 of 2 the date of this ...::..q�,4,p �1 ., r f� ., 9 I-, s ....................... .VA r_ Louis A. Butero : i CE -6733 t 1 44e, Seal `'or Performed for s 'L Legal Descri n:T,Q This form reports: GREATER ANCHORAGE AREA BOROI' w� Department of Environmental Qu--Ity a 3330 "C" Street Anchorage, Alaska 99503 SOILS LOG - PEROLATION TEST s log Yes Perco Depth Feet STM— is.. e 2- 3 _ Gray Siltygravelly sand 250 S.F./B.R. -4 - 5 Slight water seepage 6' 7- 8 _ Gray silty gravelly sand 9- -10 - 11 - 12 - 13 - on Date Performed 7/25/74 S/ope 14 - 16' bottom of test hole Was ground water encountered? Yes _ If yes, at what depth? 5-61 Reading I Date I Gross Time Net Time Depth to water Net Percolation rate minute. -r- Drain Field Proposed installation: Seepage Pit Yes_ ---- `R — — Depth of Inlet ____._ Depth to Lottom of pit or trench --- - _-- 0011I1EI1TS: -__No-b Arnrk_ encountered--- --- -_---Certified ByC frutfinn—._--. Uate:-7/25/7A Performed [3y:Hau_sam &_Dtack --- Test Lab EQ -040 (6/74)