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HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 65Eagle'
Crest #1
Tract A
Lot 65
#050-304-26
Municipality of Anchorage
Development Services Department ="
Building Safety Division
On -Site Water 8 Wastewater Program, 4700 South Bragaw St.'
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us (907) 343-7904 Page 1
of 3
On -Site Wastewater Disposal System and/or Well Inspection Report
Permit Number. SW020399 PID Number. 050-304-26
Name'
PEGGY BUCHOLZ Wastewater System: ❑ New ■ Upgrade
Address:
19412 1ST STREET • EAGLE RIVER, AK 99577
ABSORPTION FIELD
Phone: No. of Bedrooms:
(907) 694-7096 4.
■Deep Trench OShallow Trench OBed OMound ODther
LEGAL DESCRIPTION
S°b Roww.
1.0
Ta Dipe11. °nD"°I groOK
GPD/sa.
n• 12.5 (MAX) rL
Troct: Lot: Subdivision:
A 65 EAGLE CREST #1
D,ptn to Kos bouom f�sw poet
GRhw swap baro" pyt
5.04 MAX
n 7.46 Pt
Township: — Range: Section:
—
n edea sewn a 4lwO pod.:
Draw fraNR
—
SEE DWG.
n 44
WELL: ❑ New ❑ Upgrade
Gravel wkhn
2.5n
Nwnb.r of e°.t Drlwww bet. east
1 —
Glorfioati.n PvfMe, Aux. W Ga..e To:
Told obeupti. Gem
R
P" malnbb
P rt FL
656 so. rL
D 3034/ F-810
Orllor: ` `Q Doe DNMe:
Q V V
st wow, twel:
kutdyn
STRATA CO.
Dab kwlaM¢
10/9-11/2002
R
T4W:
" set ALGukvq
N.Ight Aeo.e Grwrd:
GPu
FL
R
TANK
SEPARATION
DISTANCES
■septic 0Holding aS.T.E.P. ODther
To
Septic
Absorption
Un
Holding
sa/Prlvato
MOnufoet~
Capadb in easaw: .
From
Tank
Field
Station
Tank
s.war Lines
ANCHORAGE TANK
1250
Well
N/A
N/A
—
—
25'+
uaWw: STEEL
f+eaer m°�a:
2
Surface Water
100'+
100•+
—
—
—
LIFT STATION
Lot Una
5'+
10'+
—
_
_
sus in qab
ktarNeocb..n
Foundation
5'+
10'+
_
_
_
a1• •n ab
lryh 'Wer alum o:
Curtain Drain
NONE
KNOW
P NOY'
D*Mh"Oetiarw Womws by.
Remarks:—THE EXISTING SEPTIC TANK AND DRAINFIELD
BENCH MARK
WERE COMPLETELY ABANDONED
t'aaa°n ane owswv e:
BOTTOM OF DOOR THRESHOLD
—THE EXISTING WELL WAS COMPLETELY ABANDONED
PER AMC 15.55.060.
`"""e E`� 100.00
R
—DEEPEND TEST HOLE TO 18.5 FEET. NO GROUNDWATER OR BEDROCK,
ENGINEEWS SEAL
godpp
OR IMPERMEABLE SOILS ENCOUNTERED.
Inspections performed by:— AKWWC INC. Dates: 10/9/2002
2nd 10/10/2002
3rd 10/11/2002
D�
0 ., f e A. aures
O�pQ�
Development services Department Approval
•. —795 •.'1p
tR�e 12erowted and approved by: Date: f t o
�dp� , r.eele^ate
O0000
ME
PERMtTN0A1
SW0
SW020399 99
-
ASBUILT DRAWING
PARS NUMBER:
050-33 04-26
FIRST STREET
APPROXIMATE
LOCATION OF NEW
\
KEYBOX
APPROXIMATE LOCATION OF /
\
NEW WATER UNE
.y EXISTING WELL
•
COMPLETELY'
\
..',. DONED PER AMjc. ' :�
\ )
;:•. 15.55
I
Owr
•i.•-. :.'. s. I:..
`
NEW DRAINFlELD I I
I I
I
II
A BA
. , _.. ITHIll I
`
I I
Sit 31.40 10.58
.` •� I
I I
ST2 33.50 18.44
~,' :;:''a�� .• EXISTING
DBL1 33.90 22.15
4 BEDROOM Mil
DBL2 33.20 22.15
HOUSE B 1
C01 24.40 15.69
GARAGE
ALTERNATE SITE.
MT1 121.40 114.75
\ � N
WILL REQUIRE A
CO2 128.20 154.46
\
LOT LINE WAIVER.
MT2 121.7011148.05
\ /\
INSTALLED DOUBLE��_DBL2
CLEANOUTS BEFORE TANK
DBL1
;
10' EASEMENT
—
— — — — \—
\
NEW 1250 GALLON
I
\ SEPTIC TANK
//
i
DATE.
10/15/2002
�pd�p0
"IJY
I ... ..__...n _.,,...._......_n
�.0 �,....... 4O
DRAWN BY:
ALASKA AVATRR R WAS TE,
C.J.G.
SCALE*
LE'
O �•• 4
CONSULTANTS,
INC.
= 30'
•••........
•' ' •••. ...
BI)
6001 DFRARR ROAD. SUITF • AWHORAGF. AK 90SM • FNONF (00])13)-0179' FAX (907)31R.3T46
D
PREPARED FOR:
PHONE NUMBER:
PACE NUMBER:
D.
PEGGY BUCHOLZ
(907) 694-7096 1
2 OF 3
e I e G mes f�JYJJ
OO p
LEC+LL DESCRIPDON:
EAGLE CREST SUBDIVISION
�0
C 795 i j7
#1; LOT 65, TRACT A
.K�v
TYPE OF WORK:
AS -BUILT DRAWING OF
SEPTIC UPGRADE
0�p /.......\
�Op0000�
PERMITBER: AS -BUILT DRAWING PARCEL NUMBER:
SW02030399 050-304-26
~ 0
W
Ld v
LL g0
Vi
O 4
Vi 2 F
NUL GRADE
100.00+
TOP OF TANK AT� R
INLET - 95.94 I I
TANK AT
- 90.00
% I I NEW 1250 GALLON I I
INVERT OF BUNG.! SEPTIC TANK
AT NLE1 - 95.32 NVERf OF BUNG AT
011RET - 93.19
FABMC
NVERT OF PIPE
- 94.32 (AVG.)
BOTTOM OF
IRE)" -
97.09 (AVC.)
12 RELETNE ELEVATION OF BOTTOM OF
TES -THOLE - 81.06 (TESTHOLE DRY)
DATE:
10/14/2(
..---•n-r_-�-n DRAWN BY:
ALASKA «'ATL'R & WASTE NVATER SCALE'C.J.G.CONSULTANTS, INC.N.T.S.
6901 OFRARR ROAD. SNITF ?R - ANCHORAGF. AN 9050E • FNONF (001111)-6119 • FAX 1907131"-1116
PREPARED FOR: PHONE NUMBER: PACE NUMBER
PEGGY BUCHOLZ (907) 694-7096 3 OF 3
LEGAL DESCRIPTION:
EAGLE CREST SUBDIVISION #1; LOT 65, BLOCK A,
TYPE OF WORK:
PROFILE AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE
p e ey A. aures
�$ C 795 F4
MUNICIPALITY OF ANCHORAGE
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
Permit Number: SW020399
Legal Description: EAGLE CREST #1 TR ALT 65
Design Engineer: 0041 AK Water & Wastewater Consultan-
Owner Name: Peggy Bucholz
Owner Address: 194121 ST STREET
EAGLE RIVER. AK 99577-8429
/Op//l y",K
Date Issued: Oct 09, 2002
Expiration Date: Oct 09, 2003
Parcel ID: 050-304-26
Site Address: 019412 FIRST ST
Lot Size: 17820 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of.
[✓ Disposal Field Q✓ 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:
LO
I�_i,' --
Issued By: I I
Date: tog,
,?
Municipality of Anchorage
•11 ..•4
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-304-26 Permit Number
Property owner(s) PEGGY SUCHOL7 Day phone 694-7046
Mailing ••• FIRST STREET RIVER. :.
Mailing address (2)
Zip Code 99577
Legal description (Lot, Block & Sub'd.) __ LOT 65. BLOCK A, EAGi F CREST SUBDNSiON #1
Legal description (Section, Township & Range) N /A
Lot Size / 792 D Acre q.Ft. Number of Bedrooms 4
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade E
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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.
ALASKA WATER do WASTEWATER CONSULTANTS INC.
150 RV
Permit Fees: 00'
Date of Payment: OZ /JDIJ t
Receipt Number. Zlo(013 / ID1Io
Waiver Fees:
Date of Payment:
Receipt Number.
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
June 7, 2000
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Q F30„
L
•,I fre kr er a oe 3.
aL .
9;:... +�
a r ..No C 7953, ?
C ORS OFEss%a�*
Ref: Proposed Septic System Design Upgrade for Lot 65, Block A; Eagle Crest S/D #1
To whom it may concern:
The existing 4 bedroom house is served by a private well and septic system. The existing septic
system consists of a 1000 gallon septic tank and a deep trench type dminfield. The existing
drainfield is located on the adjacent property to the east and has a sewer easement agreement.
The existing drainfield is completely surcharged and must be upgraded prior to the house. As can
be seen on the attached site plan, the well radius completely encompasses the property leaving no
available area for a septic upgrade. A public water main has recently been installed in First Street
and will be operational on June 15, 2000, per A.W.W.U. We are proposing that the residences be
connected to the public water system prior to the septic system upgrade. A test hole was
excavated on the property where a proposed septic system will be located. The proposed septic
system will be designed around the 30 foot radius of the test hole. We are proposing that a 1250
gallon septic tank and a deep trench type drainfield be installed. A alternate site has been
provided due to the increase in bedrooms since the original system. Comments regarding the
proposed design are summarized as follows:
1. SOILS: Attached is a soil log which shows the soil profile, and the percolation test results.
Below the organics was a GW layer to a depth of 7.5 feet which transitions to a SP layer to 17.5
feet (bottom of test hole). No ground water was not encountered during the excavation of the test
hole. A percolation test was performed between 8.0 feet and 8.5 feet and found the rate to be <1
minute/inch. It is our opinion that the insitu sandy soils should act as a sand filter
2. TRENCH DESIGN:
a. Percolation Rate: <1 minute/inch
b. Allowable Application Rate: 1.0 gallon/day/112
c. Number of Bedrooms: 4
d. Design Flow: 600 gallons per day
001 Debarr Road. Suite 2B — Anchorage. AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246
e. Minimum Absorption Area: 600 f12
f. Maximum depth: 11 feet
g. Effective Depth: 7 feet
h. Width: 2.5 feet
i. Length: 44 feet
j. Effective absorption area = 616 f12
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: The area is generally flat in the area of the proposed upgrade; in short
there are no slope concerns.
I'm unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance. ,/I
P.E., M.S.
NOTE: Attached is a site plan drawing, a design drawing, one soils log, and a 7 page
construction specification letter which are all part of the`design package for this septic system.
F
-• try c eh Liar easW
J
E7953:?� Cj I30 0O'
SCD PROFESS\O�r�
6901 Dcbarr Road. Suite 213 — Anchorage. AK 99504 — Ph: (907)337-61,9 — Fax: (907)333-3246
1
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EAGLE CREST S/D 11
I
I EAGLE CREST S/D 11
I
EAGLE CREST S/D 11
I
IEACLE CREST S/D 11
1
EACLE CREST S/D 11
1
1
LOT 47. BLOCK A 1
I
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I LOT 46. BLOCK A
I
I
LOT 45, BLOCK A I
I
I LOT 44. BLOCK A
I
LOT 43. BLOCK A I
1
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-----------
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-------------------------------
/�
♦♦
EAGLE CREST S/D 11♦
`\
EAGLE CREST S/D /1
/
EAGLE CREST S/O 11
\ /
EAGLE CREST S/D 11
LOT 57, BLOCK A
/
♦\EAGLE CREST S/D /1
LOT 54, BLOCK A
LOT 55, BLOCK A
LOT 56, BLOCKA \\
\ LOT 58. BLOCK ;
/ /
1
\\1
111
1
100' WE] I Wills
1X
—
rT�
�+ �� 1 1
/
FIRSj`S,STR �,�T4
PROSE ED SEPTIC UPGRAO \ 1
fs; SIGN. PAGE Z D
—'---- —
�'
B�E�pNG--
T------
---t-1_------
�TEI�NATE SITE
HOSl15T1
iACLE CREST S/D 114/
\
♦
LOT 66. BLOCK A
--�
\\
EXISTINy
�/ 1
SEPTICSYSTEMEAGLE
7EUACLE\\CREST
CREST S/0 11
EAGLE CREST 5/D 11LOT
BJ, J3lOCK A
LOT 67, BLOCK A
S/D 11
i
♦ice
LOT 64. BLOCK A
-----------
—7/—r`--- —
—f--1—�----
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--—\.-----
--------
--
—= �— ---
--
— — — — — ] — — — —
---------
1'"0-7`
iyl�i�
EAGLE CREST S/D 11
\
EAGLE CREST S/D 11
LOT 74. BLOCK
I 1
— — I \G
\;�=7
^I LOT 77• BLOCK A
1
1
EAGLE CREST S/D 11
A
1 1 .
I
LOT 78, BLOCK A
1 EAGLE CREST S/D 11
EAGLE CREST S/D /1
1
LOT 75. BLOCK A
LOT 76./LOCK
\♦`Lk♦
1�
\\
-------------
----- ------------,
EAGLE RIVER ROAD
-
W
a Y sn fR96SJ=a,
;; E 7953:ijr�
•
� G pR0 E5510���
DATE
6/7/2000
4L
r'. ••�-• %4 ^
DRAWN BY:
ALASKA NVATER & WASTLIVAI•LR
J.L.M.
�>
CONSULTANTS. INC.
•. :.�.,;
SCALE' ;I
0001 OF9ARR ROAD. SUTE 28 • ANCHORAGE. AK 00504 � PHONE (007U77l170 - FAX (907U70J240
1 = 100
PREPARED FOR PHONE NUMBER:
PAGE NUMBER:
PEGGY BUCHOLZ
(907) 694-7096
1 OF 2
';
of a GBmess.:
+RDi .• C 7953
LEGAL DESCRIPTION:
EAGLE CREST
SUBDIVISION #1; LOT 65, BLOCK A,
�VJ�s
' •. �``A''�
Ia'uedp'o
TYPE OF WORK:
SITE PLAN FOR
SEPTIC SYSTEM UPGRADE
�:, (eseio�&
, ; ;, �;;-•
/03.
\ \ ...
�
. N.
E-793.
FIRST STREET o.p
...............*
-
—
NEW KEY BOX PROPGSED D2UE
NFIELD UPGRADE.
(STING DRAINFIElD AND EASEMENT
(SEE NOTE) EXCAVATE A TRENCH THAT IS
11 FEET DEEP MAXIMUM BY
TO BE COMPLETELY ABANDONED
2.5 FEET WIDE BY 44 FEET /
LONG. ADD 7 FEET OF CLEAN.
WASHED SEWEf( ORAINROCK \
I
IN,
\
PROPOSED WATER
SERVICE LINE
OR I
(SEE NOTE)
\ gy,15tRAG
CO
— —
0
SII
n
\\
DUSTING WELL TO BE
ABANDONED PER
I I
I I
AMC 15.53.060
•� I I
11
j
(SEE NOTE)
.\ THII
—
11
II
EXISTING I 1
I I
TERNATE SITE
\ 4 BEDROOM LTf
\ / HOUSE Cu
I I
u
WILL REQUIRE A
LOT UNE WAIVER.
GARAGE � e
\
PROPOSED 1250 GALLON
SEPTIC TANK
EXISTING SEPTIC TANK TO
BE
/ \
COMPLETELY ABANDONED
/ 10' U IIM EASEMENT
— — — — — — — _
_ _ _ _
NOTE: A NEW WATER MAIN HAS BEEN INSTALLED IN FIRST STREET
AND WILL BE OPERATIONAL ON JUNE 15. 2000 PER A.W.W.U.
/
THE WATER SERVICE UNE IS TO BE CONNECTED PRIOR TO
THE
SEPTIC SYSTEM UPGRADE. THE WELL IS TO BE COMPLETELY
/
ABANDONED PER WATER WELL ORDINANCE AMC 15.55.060.
DATE:
6/7/2000
F p�
op .• ' •• ,(1
DRAWN BY:
ALASKA AVATER & WASTEWATER
J.L.M.
SCALE,
CONSULTANTS. INC.
p* O�
30,
Q
PREPARED FOR: PHONE NUMBER:
PAGE NUMBER:
PEGGY BUCHOLZ (907) 694-7096
2 OF 2
•�
Q ' 1p r A. ' mess, O
Q^ a 7953 eQa
—
Vo04's�'''
LEGAL DESCRIPTION:
EAGLE CREST SUBDIVISION #1 ; LOT 65, BLOCK A,
...7953'' o°oO
edpro
TYPE OF WORK:
DESIGN FOR SEPTIC SYSTEM UPGRADE
(eesio�,c\�\
pOpp�000
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
I SOIL LOG — PERCOLATION TESTI
LEGAL DESCRIPTION: EAGLE CREST S/D #1: LOT 65, TRACT A
PERFORMED FOR: PEGGY BUCHOLZ
DATE PERFORMED: 5/31/00
(feet � ORGANICS TEST HOLE #1
GW W/
SOME SILT
(BLACK SA WD)
SOIL CLASSIFlCATIONS
DATE
DRY
GW
DRY
-__..
ORG
GP
IrI
ML
GM
/
CL
GC
--�—
'
OL
°.�• o SW
----- ---
---n---
MH
:•::•.•• SP
CH
SM
/OH
Sc
DEPTH TO
GROUNDWATER
DATE
DRY
5/31/00
DRY
6/7/00
D
'-/deo
O 0 TM S
� fA
.• MN�j(E
NO
Qf.�C55
931100-t0 OV
DATE
READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL NET DROP
READING (INCHES)
COMMENTS: THE
INSfTU SANDY SOILS SHOULD ACT ASA
SAND
FILTER
O 0 TM S
� fA
.• MN�j(E
NO
Qf.�C55
931100-t0 OV
EACLE CREST S
LOT 65. BLOCK A
1
--�—
--
-----
----- ---
---n---
DATE
READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL NET DROP
READING (INCHES)
COMMENTS: THE
INSfTU SANDY SOILS SHOULD ACT ASA
SAND
FILTER
O 0 TM S
� fA
.• MN�j(E
NO
Qf.�C55
931100-t0 OV
PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 ' '
TEST RLN BETWEEN
8.0
FT. AND 8.5 FT.
COMMENTS: THE
INSfTU SANDY SOILS SHOULD ACT ASA
SAND
FILTER
PERFORMED BY ALASKA WATER k WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS
WAS PERF9RYED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
6/7/2001
Municipality of .Anchorage
George 1: 1171terch. Mayor
Peggy Bucholz
19412 First St.
Eagle River, AK
Building Safety Dh3sio11
P.O. lka 14X;650 • 4700 S. Bragaw Street
Anchonige, Alaska 4X)510.6650 • (4107) 343-(3:301
Department of
Public Works
hllp:/Amw-el-and ionige.ak.ns
flsse••f bIzWt/—eorlp,�w n
A-bCOPY
tsa r'osl` '( G7-
Qel,Aord 0(2-
Subject:
52
Subject: Expired On -Site Water and/or Wastewater Permit.
Permit Number: SW000165,
Parcel ID: 050-304-26
,fA , &9*J bl T-C.A.. t.T 65
Dear Peggy Bucho z:
An On -Site Water/Wastewater Permit, number S W000165, issued by this office for a
single-family system, expired on June 13, 2001. This permit was valid for 365 calendar
days.
If this was a well permit and the well has been drilled, a well log must be sent to this
office for documentation of the installation and to close the permit.
If this permit was for a wastewater disposal system, an original as -built inspection report
must be sent to this office for review, approval and documentation. This as -built
inspection report must be signed by the licensed Professional Engineer who inspected the
installation of the system. As -built inspection reports are required to be submitted within
30 days of the completion of the system.
If no system was installed under this permit, and you are still planning to install a well or
wastewater disposal system, a new permit must be obtained from this office. When
applying for a new permit, the fees are: $320.00 for a wastewater permit and $120.00 for
a well permit.
If you have any questions, please call this office at 343-7904.
Sincerely,
(Letters Sent 6/7/01 without copies being made, second printing for file copies)
James Cross, PE
Manager
On -Site Water and Wastewater Program
enc: Copy of permit
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW000165
Legal Description: EAGLE CREST #1 TR A LT 65
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: Peggy Bucholz
Owner Address: 19412 First ST.
Eagle River , AK 99577.8429
Date Issued: Jun 13, 2000
Expiration Date: Jun 13, 2001
Parcel ID: 050-304-26
Site Address: 019412 FIRST ST
Lot Size: 17820 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit Is for the construction of:
❑✓ Disposal Field Q Septic Tank Holding Tank E] Privy E] Private Well Water Storage
All construction must be In accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
p,5. The following special provisions.'
1) CONSTRUCTION OF THE WASTEWATER SYSTEM SHALL NOT BEGIN UNTIL THE WATER WELL ON THE
r.SUBJECT LOT HAS BEEN DECOMMISSIONED IN ACCORDANCE WITH 15.55.060.
2.) AT THE TIME OF CONSTRUCTION A SOILS TEST SHALL BE PERFORMED FOR AN UPGRADE SITE NOT
REQUIRING A LOT LINE WAIVER.
Received By:
Issued By:
Date:1n— /I I -on
Date: � -13 '-Ch's
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
June 7, 2000
Municipality of Anchorage
Department of Health R. Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Proposed Septic System Design Upgrade for Lot 65, Block A; Eagle Crest S/D #1
To whom it may concern:
The existing 4 bedroom house is served by a private well and septic system. The existing septic
system consists of a 1000 gallon septic tank and a deep trench type drainfield. The existing
drainfield is located on the adjacent property to the east and has a sewer easement agreement.
The existing drainfield is completely surcharged and must be upgraded prior to the house. As can
be seen on the attached site plan, the well radius completely encompasses the property leaving no
available area for a septic upgrade. A public water main has recently been installed in First Street
and will be operational on June 15, 2000, per A.W.W.U. We are proposing that the residences be
connected to the public water system prior to the septic system upgrade. A test hole was
excavated on the property where a proposed septic system will be located. The proposed septic
system will be designed around the 30 foot radius of the test hole. We are proposing that a 1250
gallon septic tank and a deep trench type drainfield be installed. A alternate site has been
provided due to the increase in bedrooms since the original system. Comments regarding the
proposed design are summarized as follows:
1. SOILS: Attached is a soil log which shows the soil profile, and the percolation test results.
Below the organics was a GW layer to a depth of 7.5 feet which transitions to a SP layer to 17.5
feet (bottom of test hole). No ground water was not encountered during the excavation of the test
hole. A percolation test was performed between 8.0 feet and 8.5 feet and found the rate to be <1
minute/inch. It is our opinion that the insitu sandy soils should act as a sand filter
2. TRENCH DESIGN:
a. Percolation Rate: <1 minute/inch
b. Allowable Application Rate: 1.0 gallon/day/R2
c. Number of Bedrooms: 4
d. Design Flow: 600 gallons per day
6901 Dcbarr Road, Suite 213 — Anchorage, AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246
e. Minimum Absorption Area: 600 f12
E Maximum depth: 11 feet
g. Effective Depth: 7 feet
h. Width: 2.5 feet
i. Length: 44 feet
j. Effective absorption area = 616 fl2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: The area is generally flat in the area of the proposed upgrade; in short
there are no slope concerns.
I'm unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance. I
M.S.
NOTE: Attached is a site plan drawing, a design drawing, one soils log, and a 7 page
construction specification letter which are all part of the design package for this septic system.
6901 Debarr Road, Suite 2B — Anchorage. AK 99504 — Ph: (907)337-6179 — Fax: (907)338-3246
1,
I
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EAGLE CREST S/D 11
I
1 EAGLE CREST S/D /1
I
EAGLE CREST S/D 11
I
IEACLE CREST S/D /1
I
EACLE CREST S/D 11
I
1
LOT 47, BLOCK A I
I
I
I LAT 46, BLOCK A
I
I
LOT 45, BLOCK A I
I
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1 LOT 44. BLOCK A
I
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LOT 43, BLOCK A 1
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11
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-----------------------
-____
EAGLE CREST S/D /1\
__
-
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--------
-------
/
\ /
LOT 57, BLOCK A
\
EAGLE CREST S/D 11
EAGLE CREST S/D /1
EAGLE CREST S/O 11
/
\ EAGLE CREST S/D /1
LOT 54, BLOCK A
LOT 55, BLACK A
LOT 56, BLOCK \\
-\LOT 58, BLOCK ;
/A
\ \
FIRST, TgEET_
PRO SED SEPTIC UPCRAD
SEB DESIGN, PACE 2
\
OF \
--------
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_-
/ \\
-4 BEDROOM !/�
ALTkNATE SITE
NNOO EE
EAGLE CREST S/D 114
LOT 88, BLOCK A
--�
EXIS T1Ny�
i���
—SEPTIC
-- /
SYSTEM
/
EAGLE CREST S/D /1
CREST s/DL
A 1
\
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LOT 63, LOCK A
LOT 67, BLOCK
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\
EAGLE CREST S/D /1
i
ell 1
\
LOT
LOT 64, BLOCK A
_----------
—it—��--- —
/�'—"\—�----
y--1-------
—^ — -----
EAGLE CREST S/D /1I
1
\
EAGLE CREST S/D 11
/LOT 77, BLOCK A�
\
CREST S/0
LOT 74, BLOCK A
1 1 i
I I \� =
11
LOT 78, BLACK A
1 EAGLE CREST S/D /1
EAGLE CREST S/D /1
1
I
\ LOT 75. BLOCK A
LOT 76, BLOCK A
1
I
/
------ -----
-----
- — - — ------
- — - —
- — -- -----------
EAGLE RIVER ROAD
DATE
6/7/2000
r
cr
v:4
DRAWN BY:
�1LASI�A SVA"1•LR «'AST NN'XI'•
LR
J.L.M.
CONSULTANTS, INC.
SCALE.
RR
6901 DF9AROADR4
, SUTE 79 • ANGNOGE. AK 99504 • PHONE 9071337-0179 • FAX 907)336-3746
1 — 100
............ ...........
t?
PREPARED FOR PHONE NUMBER:
PAGE NUMBER:
PEGGY BUCHOLZ
(907) 694-7096
1 OF 2
�Q, of a Garness 3'
4�In1Yi •, C 7953
LEGAL DESCRIPTION:
EAGLE CREST
SUBDIVISION #1; LOT 65. BLOCK A.
4yN0�@Pio
ro
TYPE OF WORK:
SITE PLAN FOR
SEPTIC SYSTEM
UPGRADE
`4 (e.....
; ;�-
\
FIRST STREET
W KEY BOX PROPOSED SED DRAINFIELD UPGRADE.
SEE NOTE) EXCAVATE A TRENCH THAT IS
it FEET DEEP MAXIMUM BY
2.5 FEET WIDE BY N FEET
LONG. ADD 7 FEET OF CLEAN,
WASHED SEWER DRAINROCX—
\ I
PROPOSED WATER — — —
SERVICE UNE �\ �t5(1XG C
(SEE NOTE)
O .
EXISTING WELL TO BE
ABANDONED PER
AMC 15.55.060—
(SEE NOTE)
\
— — — — \ GARAGE
\\INC DRAINFIELD AND EASEMENT
TO
BE COMPLETELY ABAN7 NED
I {�SII n
II II
II 1 II
7H/t
II � II
II II
EXISTING II II
4 BEDROOM MT II
HOUSE G � U
\ PROPOSED 1250 GLLON
\ SEPrnC TANK
10' UTILITY EASEMENT
NOTE: A NEW WATER MAIN HAS BEEN INSTALLED IN FIRST STREET
AND WILL BE OPERATIONAL ON JUNE 15, 2000 PER A.W.W.U.
THE WATER SERVICE UNE IS TO BE CONNECTED PRIOR TO THE
SEPTIC SYSTEM UPGRADE. THE WELL IS TO BE COMPLETELY
ABANDONED PER WATER WELL ORDINANCE AMC 15.55.060.
ALASKA WATER & WASTE RTATER
CONSULTANTS, INC.
DRAWN BY:
J.L.M.
1"=30'
PREPARED FOR: PHONE NUMBER: PAGL NUMULK:
PEGGY BUCHOLZ (907) 694-7096 1 2 OF 2
EAGLE CREST SUBDIVISION X11; LOT 65, BLOCK A.
OF WORK:
DESIGN FOR SEPTIC SYSTEM UPGRADE
-OUSTING SEPTIC TANK TO
BE COMPLETELY ABANDONED
............
A. rness,�
7-795.3
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
I SOIL LOG — PERCOLATION TEST I
LEGAL DESCRIPTION:- EAGLE CREST S/D #1; LOT 65, TRACT A,
PERFORMED FOR: PEGGY BUCHOLZ
DATE PERFORMED: 5/31/00
DEPT
ORGANICS ITEST HOLE #11
2
°.=<q;
SOIL CLASSIFICATIONS
5/31/00
DRY
6/7/00
Dr
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0
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3—
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CL
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SOME SILT o a SW
MH
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SM
OH
6
SC
7
8
9
10
11
12 %::•::• SP
�: ;. (BLACK SAV(D)
13
14
15
16
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:ti:•::
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17
1818.O.H.
DEPTH TO
GROUNDWATER
DATE
DRY
5/31/00
DRY
6/7/00
Dr
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0
�13110°��
DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
N
CCN SME.
0M�5�
� 6 MSN
�0
?FRGSs
0
�13110°��
EAGLE CREST BL—K S
LOT 65, A '
1 --
--�—
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DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
N
CCN SME.
0M�5�
� 6 MSN
�0
?FRGSs
0
�13110°��
19PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
20 I�_ll TEST RUN BETWEEN 8.0 FT. AND 8.5 FT.
COMMENTS: THE INSITU SANDY SOILS SHOULD ACT AS A SAND FILTER
PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS
WAS PERFQRI#ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON
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MUNICIPALITY OF ANCHORAGE
•� DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street. Anchorage, Alaska 99501 Telephone 264-4720
\
ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAM
�t /
�L E"�• /' v
PHONE
/yZ 7
❑NEW
PGRADE
MAI DD SSS _ /
JGA
PI !'
LE AL DESCRIPTION
G 6 7-164
LOCATION�/ /
e�
NO. OF BEDROOMS T
J
DISTANCE TO:
Well /
Absorpr a /
Dwailing�O /
PERMIT NO.
Uy
Man ufa r /
M i 0 ' /
No. of compartments /
Liq, an city irkgallons
IF HOMEMADE:
Inside length
WidthC
Liquid depth
d10DISTANCE
Z
TO:
Well
Dwelling
PERMIT NO.
_
Manufacturer
Material
Liquid capacity in gallons
s
DISTANCE TO:
Well O /
Fou aeon /
Nearest 1 i e
PERMI py / r
Y 7
z
W
No. of lines
Length o ea li '�
Total �qgt f lines
G f
Trench width /•
inches
Distance . •e lin s
I¢..
Top of the t� jinirrf grade
-/
M�t rieL heath tile
Total elf/✓ r n are
2' L5 /Z inches
�
,3
W
Length Width
Depth
PERMIT NO.
U
i F
W
Type of Crib Cri met N
Crib depth
Total effective absorption area
DISTANCE TO: Well
Building foundation
Nearest lot line
JCla
W
!r'
Driller
Distance to lo[ line
PERMIT NO.
DISTANCE TO: Building foundation
Sewer line
Septic tank
Absorption areas)
OTHER
PIPE MATERIALS
U`
u u o
SOIL TEST RATING
j!v
B N ' q°
S e.G
INSTALLER
REMARKS
!
oo
6
s /z .✓ o L 0 7-co
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,, ;n ,• �. fir{ : y�
•
AT
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1n.�n�
APPHOV ED s. LAOINEEHINu DA _
SRF;19cx :T1,I
�Y.it11E Ri TA, AUASKA $;7? �ff J--� Qt. .
ze
ter„ tme.. ^„u. 1 , ,
n
MU" X C I F}FiL I TV OF FV"(-,"ORfiGE �,+✓�
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
264-4720
Ohl—SITE SEWEFc F"ERM I T
PERMIT NO: 840314PGRADE
DATE ISSUED: 05!08184
APPLICANT: C!0 S & S ENG'G. MARK KARLESKIND
ADDRESS: SRB 196X
EAGLE RIVER, AK 99577
CONTACT PHONE: 694-2979
LEGAL DESCRIP: SUBDIVISION: EAGLE CREST LOT: 65 BLOCK: TR A
SECTION: 7 TOWNSHIP: 14N RANGE: 1W
LOT SIZE: 17820 (SQ.FT. OR ACRES)
I CERTIFY THAT:
1. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA.
2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS,
AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT.
3. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK
DISTANCES FROM ANY -EXISTING WELL, WASTEWATER DISPOSAL SYSTEM OR PUBLIC
SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT.
,IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES,
:THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
:WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3> THE
.ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN.
SIGNEDDATE: U
°APPLICANT: C/O S & S 'G. MARK KARL SKIND
ISSUED BY DATE:
j------ ^-'-------------------------------J`--
Department
825
Permit # sq -031d
*
MUNICIPALITY OF ANCHORAGE
of Health and Environmental protection
(� Street, Anchorage, AK. 501
264-4720
* * HANDWRITTEN PERMIT
WELL AND/OR ON-SITE SEWER PERMIT
Applicant: Mailing Address: (�o S,FS
Location: Phone Number: l0 9(/- .;197g
Legal Description: ,-o7- GS T A zsFf,F a6c-z7- Lot
Type of Soil Absorption System Is:
Trench: Drainfield: Seepage Beds
Maximum Number of Bedrooms: 3
Size:
Holding Tank: .
Soil Rating(sq.ft/br) /.30
The Required Size of the Soil Absorption System Is:
DEPTH �` 0 LENGTH af• 6 GRAVEL DEPTH WIDTH
The length dimension is the length(in feet) of the trench or drainfield. The
depth of a trench or pit is the distance between the surface of the ground and
the bottom of the excavation(in feet). There is no set width for trenches.
The gravel depth is the minimum depth of gravel between the outfall pipe and
the bottom of the excavation(in feet). ,
* * REQUIRED SEPTIC(HOLDING) TANK SIZE _ GALLONS
Permit applicant has the responsibility to inform this department during the
installation inspections of any wells adjacent to this property and the number
of residences that the well will serve.
* *.* TWO(2) INSPECTIONS ARE REQUIRED *.*
Backfilling of any system without final inspection.and approval by this departmer
will be subject to prosecution.
Minimum distance between a well and any on-site sewage disposal system is 100 fee
for a private well or 150 to 200 feet from a public well depending upon the type
of public well. Minimum distance from a private well to a private sewer line
is 25 feet and to a community sewer line is 75 feet. Well logs are required
and must be returned to this department within 30 days of the well completion.
Other requirements may apply. Specifications and construction diagrams are
available to insure proper installation.
* * * PERMIT EXPIRES DECEMBER 31, 1 9 3-4-*
I certify that:
(1) I am familiar with the requirements for on-site sewers and wells as
set forth by the Municipality of Anchorage.
(2) I will install the system in accordance with codes.
(3) I understand that the on-site sewer system may require enlargement if
the residence is remodeled to include more that 3 bedrooms.
Signed: Issued by:
Applicant
Date:
SWP/024(1/81)
yLtX� . <4 K e_ t/
6 e
oCtir 6!K ,a.y,Q-u�V 6 s
GR -LAR ANCHORAGE AREA BOROUCTW.`
+ HEALTH DEPARTMENT N? 674
327 EAGLE ST. ANCHORAGE, ALASKA 99501 279.2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME �A1''����SUN
MAILING
�a
v /9-
I0rATIr)N L -/e'-,!Zllilo
'm
ADDRESS
Icr-AI nccroioTlnwl
Gi/
PHONE/
�c���L'4/o �(_1•'v!74 �C
SEPTIC TANK:
DISTANCE FROM
Sr',srd'S�r�� y/�»,�c�L�/> ccs-�ik�crr�b(mulD
LIQUID CAPACITY, l GALLONS. INSIDE LENGTH INSIDE WIDTH-DEPTH-
SEEPAGE
IDTH DEPTHSEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS 1 OUTSIDE DIAMETER r OR WIDTH, LENGTH, DEPTH /
LINING MATERIAL ' / 11 /
.� �. DISTANCE FROM WELL %S ,BUILDING FOUNDATION v'L' ,
NEAREST LOT LINE ''y F//f� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) 336, SO. FT.
TILE DRAIN FIELD:
DISTANCE FROM
NUMBER OF LINES
ABSORPTION AREA
BETWEEN
FT. LENGTH OF EACH
TOTAL LENGTH
NEAREST LOT LINE , OF LINES
WIDTH
TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL:DISTANCE FROM ,^ WATER
TYPEje?eyZED DEPTH BUILDING FOUNDATION. SAMPLE NEAREST
LOT LINE SEWER LINE ,TANKC 74 , SYSTEMS %S, , CESSPOOL , SOURCES_
DIAGRAM OF SYSTEM
DISTANCES: _
r>24 r• , .
o L`ft
*4� io.
V I
. 4
p �; {.
1
4 yy
DATE . :21 X � #?PREN/EB- �'�+ % /�. -Ge-
HEAIIH AWHORtlY
GREATER ANCHORAGE AREA BORvuGH
a '
-- '^ DEPARTMENT OF ENVIRONMENTAL QUALITY
3800 TUDOR ROAD POUCH 6.650
ANCHORAGE. ALASKA 99802
TELEPHONE 279.86116
SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANTr f 'Do *E'rSGh MAILING ADDRESS
INSTALLATION LOCATION 50
//x
LEGAL DESCRIPTION - ^' o 'y k f/,,E p
PERMIT NO. /4^00
PHONE
INSTALLATION OF: SEPTIC TANK/,9.0� DQ / SEEPAGE PIT DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED - ry sed YnfJ.Ti
FINANCED THROUGH 1 TO BE INSTALLED BY "� IY) r, t, n y+
SOIL TEST RESULTS - J / p! I"�?C�Llr �ICI NOTE. THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE
TYPE
MINIMUM DISTANCES. REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
SEPTIC TANK SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE AREA SIZE
SEEPAGE PIT
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
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 REGULATIONS REGARDING INSTALLATION.
HEALTH AUTHORITY
OR
LICENSED DESIGNER
TYPE
DIAGRAM OF SYSTEM
1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE APPLICANT'S SIGNATURE
-ATER ANCHORAGE AREA. BOROUGH y
HEALTH DEPAMIENT CASE 4
^' 327 EAGLE STREET �—
ANCHORAGE, ALASKA'99501
Performed For Hamann Cons=ctiop Co. Date Performed
Legal Description: Lot 05 Block S3Zdivrsion Tract A. Ea[
This Form Reports a: Soils Loi; • •rercolatica '
Depth
0 �Fect
Soil Characteristics
Clean gravelly sand - GLV
Silty sandy gravel (GM)
stratified with well -graded
gravel (GLV)
24, 1971
Location Sketch
Was Ground Water Encountered?
\o a
0
If Yes, At What Depth
Reading+ Date ( Gross Time Net Time
Depth To H2O f Net Drop
cir.�tel.tio: Seepage Pit
ti 0: In Drain Field
COY.;<_ ,5: Leptis 'o ottom G_ Pit Cr Trench
—�� •n renuirccl - 155 square feet p=r bedroom
'c't . `_for' -•cc Sic Alaska Geological Consultants
Data Certified By:
Dzte : G u � n "2Wc'C(
4
6
�p o
Soil Characteristics
Clean gravelly sand - GLV
Silty sandy gravel (GM)
stratified with well -graded
gravel (GLV)
24, 1971
Location Sketch
Was Ground Water Encountered?
\o a
0
If Yes, At What Depth
Reading+ Date ( Gross Time Net Time
Depth To H2O f Net Drop
cir.�tel.tio: Seepage Pit
ti 0: In Drain Field
COY.;<_ ,5: Leptis 'o ottom G_ Pit Cr Trench
—�� •n renuirccl - 155 square feet p=r bedroom
'c't . `_for' -•cc Sic Alaska Geological Consultants
Data Certified By:
Dzte : G u � n "2Wc'C(
f ' rA r G 7-
..
Syr TFM LAlC Ht.Vr LoCrtTe'�,NIoN .
Si.6i7TG
_
lF
-
_ C4/HG.UC/06- AT TNR' N.W, COP.AJFR Of 40,x -4+ - [;-Cl
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n
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zip-
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OR At Anesenpa ie«ara=�K :��at�' q� teat the
fq(% c 1�j�1aN�o+Kerala dAit�d vRt1R we
w1tb�1D Oa Property"d dfto not ' R
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Municipality of Anchorage
!� Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. n5n-an4-9A HAA# t �
Expiration Date: 1h�t3�
1. GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Current Property owner(s):,.: Craig Nagunst Dayphone'529-9084
Mailing address 19034 Nan of War Eay,le River, AK 99577
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested. HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
4
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
fo
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
®
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-
site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of
bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the
Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances,
and regulations in effect at the time of installation.
Name of Firm S & S Enpineering _ Phone 694-2979
Address 17034 H. Ea
Engineer's Printed Name
e River,Lh Ste:.204
rI1R6A'T C. CDL✓
5. DSD SIGNATURE
_&.-' Approved for 1— bedrooms.
Disapproved.
Conditional approval for
River, AK 99577
Date /0/S-/0S-
5.
0/'-/oS
bedrooms, with the following
ROBERT C. COWAN f`? j °,'
C.-8801 A,
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: ��(�, Q Original Certificate Date:_"C:-
(Re, Ov02)
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
f -
Legal Description: - LT tfl5 , / aAe—T R ; ' T* ! Parcel ID: D 50— 30q—Z(�
A. WELL DATA ?UFSL (C -
Well
C
Well type _ If A. B, or C provide PWSID # _ Well Log (Y/N)
Date completed _ Sanitary seal (YIN) _ Wires properly protected (Y/
Total depth ft. Cased to ft. Casing height (a ground) in.
FROM WELL LOG AT IN TION
Date of test
Static water level ft. ft.
Well productiong.p.m. g.p.m.
WATER SAMPLE R�Zni
LTS*
Coliform s/100 ml. Nitrate mg.A. Other bacteria colonies/100 ml.
Ars mg./I. Date of sample: _ Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material r, PT 1 C. S' Date installed Joh— 10 Z1 f LZ
Tank size 1 Z 0gal. Number of Compartments Z Cleanoutsa) yrnr'-
Foundation clean t ( I) YZ:e, Depression over tank (Y6 _L10 High water alarm (Ytl�
Date of pumping olto 0 5 �
Pumper Zr,S f c��� P 1 Xlrs
C. ABSORPTION FIELD DATA
Date installed 10 -/0 /I Ozgoil rating (g.p.d.M2 or felbdrm)System (..l
Length , 14g_ ft. Width 2e 5 f ft. Gravel below pipe 17e V ft.
i
Total depth 12. ft. Eff. absorption area k�(a_ft' Monitorin�YL-1, Depression overfield_�O
Date of adequacy test /D Result (Pa ail) For.4—
bedrooms
TT
Fluid depth in absorption field before test t n. Water addedl3�gal. New depth��, in.
u
Elapsed Time:, min. Final fluid depth in. Absorption rate >= 00* g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/ '0type) /-D 0 If yes, give date
D. LIFT STATION
Date installed Size in gallons
'Pump on' level at _ in. ew
Datum Cycles tested •
E. SEPARATION DISTANCES 7P p U L
at _ in. High water alarm level at in.
Meets alarm & circuit requirements?
L,9,-D44-•TZS4Z
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
service line
lots
On adjacent lots
Public sewer manholelcleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
r r J
Building foundation 5+ Property line S + r Absorption field 5 fi
r I
Water main It) f Water service line 10 •1- Surface water f d5c f
Wells on adjacent lots N H
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
r 1 I
Property line 10 a- Building foundation (� f Water main I b f
f 1�
Water Service line �Q F Surface water r C -,o 4- Driveway, parking/vehicle storage 10
Curtain drain L� KQ�dXVWells on adjacent lots
F. COMMENTS
�,-+«
ti
::c Oc
G. ENGINEER'S CERTIFICATION
1 certify that I have determined through field inspections and t�n
review of Municipal records that the above systems are in - AN
conformance with MOA HAA guidelines in effect on this date. t e ., ROBERT G Cow
C. CdCJ/9•✓ fj#;�.C`'8801 fJ
Engineer's Printed Name
Date
HAA Fee $ 9114),co
Date of Payment��
Receipt Number-5�—
(Rev. 17/01)
Waiver Fee $
Date of Payment
Receipt Number
y c
J
7T—r AS -BUILT
1 hereby certify that 1 have surveyed the following described
.property- Lo7 6 5, i—Ra r -I, {�
Anchorage Recording Precinct, Alaska, and that the Improve.
menta situated thereon are within the rropetty lines and do not
N"overlap or encroach on the property lying adjacent then•to, that
no improvements on property lyingg ad'acent thereto encroach
on the premises in question and Ihat here are no roadways,
transmission lines or other visible easements on said property
except as indicated hereon.
Dated at Eagle River, Alaska
this 2 ( LL day of E C I, , tq 1 n C, ?
ROBERT C. 101INSON •'R c,y%
SCALE: Registered Land Surveyor No. SPA.LS
1•, L,n Nix'7-0456, Eagle River, Alaska 9Q577
• Phone (9(17) 694-2547
Municipality of Anchorage
Development Services Department
`} Building Safety Division ,}
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-304-26 HAA#dn ;Z 'c&
1. GENERAL INFORMATION Expiration Date: 2 — a 7 — O 1}
Complete legal description EAGLE
CREST SUBDIVISION #1:
LOT 65,
TRACT A
❑
Individual On-site
0
Location (site address or directions)
19412 FIRST STREET
* EAGLE
RIVER, AK 99577
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
BRENT & PEGGY BUCHOLZ Day phone (541) 923-6104
Day phone
CINDY LINDBLOM w/ GREATLAND Day phone
11411 OLD GLEN HIGHWAY * EAGLE RIVER, AK 99577
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
694-9125
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water System
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid
water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, orprior
to closing for the engineering services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
As certirred by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the
information obtained from the Municipality of Anchorage riles and from my investigation and inspection, the
on-site water supply and/or wastewater disposal system ls(are) in compliance with all applicable Municipal
and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm ALASKA WATER & WASTEWATER CONSULTANTS, INC.
Address 6901 DEBARR ROAD, SUITE 2B • ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineers Comments:
In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines 8 Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide
any warranty or future estimate ofhow long the system will continue to meet the
operational requirements of the ADEC or MOA DSO. The content of this report Is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party Is not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Phone 337-6179
Date 2
41 q /V? —
Conditional approval for bedrooms, with the flowing stipulations:
A. Ldess:'
—7953
i
j = ON-SITE
`< • IATCD Awn
WASTEWATER
tea.• .�
Attachments: ��i` • • • .. • . • •'�
HAA Checklist 1� Manitenance Agreements J�//�0,
Septic System Advisory Supplemental Engineers Reort �I
Well Flow Advisory Other
gy; C' Original Certificate Date: a—; 7 —03
(Rec ^zmi)
Municipality of Anchorage
Development Services Department
Building Safety Division
OnSke Water b Wastewater Program
47W South Bragaw St.
P.O. Bon 196650 Anchorage, AK 99519.6650
www.a.anc orage ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
LegalOescdPWn: EAGLE CREST S/D #1: IAT 65, TRACT A Parcel ID: 050-304-26
A. WELL DATA
Won" If A. B. or C provide PWSID# _
Date completed Sanitary seal (YM
Cased to ft.
FROM WELL LOG
Date of test
Static water level ft.
ucuon 9.p -m.
WATER SAMPLE RESULTS:
Coliform colontes/100 m1. Nitrate mg./L.
of sample:
B. SEPTIC/HOLDING TANK DATA
PUBLIC WATER
Well Log (YM)
-iM peprotected (YM)
Casing height (above ground) in.
AT INSPECTION
R.
9.p -m.
Other be
_ Collected by:
Tank Type/Material SQL Date installed 10/9-11/2002
Tank size- 1_ 250 gal. Number of Compartments 2 Cieanouts (YM) YES
Foundation deanout (YM) YES Depression over tank (YM) NO High water alarm (YM) N/A
Date of pumping NEW Pumper -
C. ABSORPTION FIELD DATA
Date intoned 10/9-11/2002 Son rating .p.d r ftt`bdrm) 1_0 System type DEEP TRENCH
,Length 44 R. Width 2.5 R. Gravel below pipe 7.46 ft.
Totat depth 013.E7 R. Eff. absorption area 656 fe Monitoring tube YES Depression over field NO
Date of adequacy test NEW Results (Pass/Fan) - For 4 bedrooms
Fluid depth in absorption field before test = in. Water added =gal. New depth =in.
Elapsed Time: = min. Final fluid depth = in. Absorption rate >= - g.p.d.
Any rejuvenation treatment (past 12 mo.) (YM 6 type) - If yes, give date -
D. LIFT STATION
Date installed
"Pump on" level at _in.
E. SEPARATION DISTANCES
Size in gallons
High water alarm level at in.
Cycles tested Meets alarm 8 circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankilift station on lot
Absorption field on lot
Public sewer main
PUBLIC WATER
On adjacent lots
On
Public sewer manhole/cleanout
line Holding tank
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 3'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certlly that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed N me JEFFREY A. GARNESS
f Date 7 �i . Zm.
HAA Fee $ 3 y5 . Waiver Fee $
Date of Payment o� of y Date of Payment
Receipt Number Receipt Number
(retw.12101)
A Gamess.
-7953 A
Feb -22-03 3:55PN1; Page 2/2
S: nt By: NINE J CORPORATION; 90_7 694 9210;
�b t ;��,'x •e?r•� t,. •; > • s,;;_ „yll»�; 'K�•,�«;<.•!++'':•J��
We-
CIL
•fir A �ID�• . t. • 'Y F.r• \• . f .�.•'�'+T '�'
^ ,t �♦♦.. } jry '. 1y(,.j�(y/ ��)) ' ',Y ./�a(t,.. .: . ��`'a' � .�/ i'� � .�•i `•�ti`�5ti
� �\ r`L'��y•'. •I NI • . 1 �. :�.I IT I.•� • .•• /��` 7..� . ! M' Vr1y ;•l ..W Iij`,/ •. ���; �A.�.. ti
' {.- L. ; : '[ '• n a . �` a .F a,: `�t . •:Yti j'. s4' �'y-w�;; ' 3 t'
. .'�•� i . �. • Vim• .r t
.o ls...-ter•' R` ��
t
N u.
r
• i
.. e
in
af %
r-..
1 }Ieie►y teitily dut 1 have iurvgytd the following gybedAS;
r
property* LoT 6 S 7'Rdk
/14:1 iij
lukhe/ts8t Pr.c+ctit Aledw -&M that, the m+P�w T
b situated dw"=t aro within t1w P'O'P'r�1' tltnss W do not!
ti .:. _• • ' _ Osn nt thereto "that
overyparfno4�Aon1beP�D+�Y.�YR'6�1�ttrotnaoael+r
•'I.. `\`. ��•r1.. •N fW i1npvgamnrf on.y�op�rty j
t;•,.r 'r ori IM prt�rw in quu' ebn;ond ert ate no roadways
.,f~'+% �' 'r'• Sornewtiaaion hires or other vbWe'tastalents- on Wd Ptorc; y!
bWkMW
5�, : 819dd tpt at Prd RivesF �1A.y 1 itoDei i7• la' Iran leOaBRtC.) ItN50N �7►�i "'• .; {
;,c •Y. C. L[:r ...:�d Iand $wveyor No:
�j�rC' moi, p � S6:.Eagl/' RIVRr Alailca 995"�r-,. ,
+i�~j .......e✓ 4' .rte PAA" (907) 69QW..
G
L
r' MUNICIPALITY OF ANCHORAGE
DIVISION OF E7,7IROIZ1ENTAL HEALTH
DEPARTMENT OF HEALTH A4D EWIRONMIIITAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date
(a) Iegal,Descripticn (include lot,
vision, section, taarship, range)
''r '/ -S/-)
Location. {ass or directions)
1-/ S7`- - G �' a r/ ui t=GJ
( b) Applicants Na= Qi- ..f l �/9 d _�%Fi`[ Te
Applicants Address re?n- 4e le,
(c) Applicant is (check one) Lending Institution ; O.mer/buildar ;
Buyer [-::I ; Other � (explain);
(d) Lending Institution Telephone
Address
(e) Real Estate Co. 6 Agent
Address
Telephcr
2. Type of, Fesidenos
Single -Family
Multi -Family
Number of Bedroom o2
3. tdater Supply
Individual Well 5�q Camunity
Other (describe)
Public
Note: If eanunity well system, must have written confirreticn from the State
Department of Envircrmental Conservation attesting to the legality and status.
Is the well adequate for the number of bedrooms specified in this H -JNA (YM)
4. Sewage Disposal
Orsite M Public Camunity Holding Tank
Is the wastewater disposal system adequate for the number of bedrooms (Y/N)
(Page 1 of 21
2-15-84
5,
3M
s
n,
ion
I citify tha 'I have checked rified, cr conformed to all MOA HAA Cuidelines in
effect on date �/ctior..
Signed Date
Nano of Firm Telephone
Address
u 2_ : UICIh-EAI".0
Signed by SAE 1�cx
Date
(ENGINEER SEAL)
6.DHEP Aoproval
Approved for A bedrooms
Approved [;E�j Disapproved
Terns of Corditioral Approval
V
By 41,V1 c Date
Conditional 0 -
The Municipality of Anchorage Department of Health and Environmental Protection does
not guarantee the continued satisfactory performance of the water supply and/cr the
wastewater disposal system. This approval indicates that, as of the validation date
shown above, based on the data and information furnished by an engineer registered in
the State of Alaska, the water supply and wastewater disposal system is safe and func-
tional for the rumber of bedrooms and type of structure indicated.
(DHEP SEAL)
7. Mail the HAA to the following address:
KB2/d5/s
[Page 2 of 21
2-15-84
A. WELL DATA
W
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
MLINICPAUTY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
MAY 16 1984
RECEIVED
Well Classification / If A, B, or C, D.E.C. Approved(Y/N)
Well Log Present ( Date Completed G! GC Yield _ 66??71
Total Depth LC Gc 4J *Cased to /%U f Depth of Grouting
Static Water Level //O Pump Set At %c
Casing Height Above Ground �3 D �` Sanitary Seal on Casing Y )
Electrical Wiring in Conduit I(' T) 1i4o4CLCtf' Depression Around Wellhead
Separation Distances from Well:
To Septic Tank on Lot d�5 0 ; On Adjoining Lots /Go f
To Nearest Edge'of Absorption Field on Lot/'P0 On Adjoining Lots /li 4 f
To Nearest Public Sewer Line /U ZA To Nearest Public Sewer
Cleanout/Manhole N To Nearest Sewer Service Line on Lot
Water Sample Collected By —Vt S�'/1. lz; Date s, /3 9 �
Water Sample Test Results S/E1 7 / F!9 c -,Pa it 4-
/
/ S /,U cL /aUl t1 L ♦1 ?e— /J-
A-) 0 Pi74L.
-7 ? rI�/
B. SEPTIC/MWPr TANK DATA
L✓ E! L
X 6,4j S/ U/'- 0,—
[Page
F
Date Instal / I7 L Size Z4:�941 U No. of Compartments
Standpipes ( Air -tight Capsrsi& Foundation Cleanout )
Depression over Tank Date Last Pumped
7
Pumping/Maintenance Contract on File (Y ya A ; for
Holding Tank High -Water Alarm ( /7 Temporary Holding Tank Permit (Y& 4
Separation Distances from SepticTank:
To Water -Supply hell lJ o / To Building Foundation Z
To Property Line �� �� To Disposal Field 73
To taster MsirrServioe Lire .3J i To Stream, Pond, Lake, or Major Drainage
Carie
[Page 1 of 21
2-15-84
Soils Rating in Absorption. Strata /;?Z? Type of System Design yc- I
Date Installed Length of Field Z P
Width of Field _� a Depth of Field / Lf
Gravel Fed Thickness e
Square Feet of Absorption Area Standpipes Presen ( t)
Depression over Field Ag Date of Last Adequacy lest ALS
Results of Last Adequacy lost / •P U-
/
Separation Distance from Absorption Field:
To Water -Supply Well /010 To Property Line /G
To Building Foundation ZO To Existing or Abandoned System o,
Lot �O t On Adjoining Lots If ZA
To Water Nat?VService Line fD O ,/C To Cutbank(if present)
To Stream/Pond/take% Major Drainage Course /.-,/ l714
To Driveway, Va 1;4R@ Azea,Vehicle Storage Area 3-0 /
Commments ON ,-74 411-r4J-7' G' iU 1-0-7- G tl�
D. LIFT STATION
Date installed
Dimensions
Size in Gallons Manhole/Access (YM)
"Pump On" Level at I "Pum Off" Level at
High Water Alarm Level 14 Vent (YM)
Tested for ing Cycles during Adequacy lest. Meets MOA
Electrical Codes(Y/N)
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify t I hqve the d, verified, or conformed to all MOA HAA Guid�ne§.r
�in effect
on the of ns ion.
Signe Dat@ O •'�� . 4, 4.
CreRl",' MOA No -
KBl d5%40
;3tR1VLr� y ^7� �ti,
(Page 2 of 21
2-15-84
r�ll
MUNICIPALITY OF ANCHORAGMUNICIPALITY OF ANCHORAGE d n /,
A&11 -t
\ DEPT. OF H�MRFMENT OF HEALTH & ENVIRONMENTAL PROTECTION
IRONMENTAL FF.OTECTION Sn L Street . Anchorage, Ah"a 59501
JAkzz-�,aq -Vl)
JUL2 1 '�►VIRONMENTAL ENGINEERING DIVISION
I Cees�o.e...r
Telephone 284.4720
s f�S A*An
�pp
REOAbG fi4 *af®VAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete, requests will not be pros aced. Please Blow toot 1101 days for Processing.
1. PROPERTY OWNER
OOF o E C—PtTtE
X One ❑ Four OtherIgLA
PHONE
MAILING ADDRESS
3 R i35 �A �' / Fl K. 9/(757
❑ MULTIPLE FAMILY
PROPERTY RESIDENT (If different from above)
7. WATER SUPPLY
PHONE
I
2. BUYER
MAP -K ),jD iECEor - f
*ATTACH WELL LOG. A well log is required for all wells drilled
PHONE
X33-7d8�
MAILING ADDRESS'?
A �AX
❑ PUBLIC UTILITY
010 (/ a
S. SEWAGE DISPOSAL SYSTEM
T. LENDIN 1 TITUTION
INDIVIDUAL/ON-SITE"
PHONE
o
If system is over two (2) years old an adequacy test is required
MAILING ADDRESS
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED.
4. REALTOR/AGENT
PHONE
0
00%4(:L-
MAILING
MAILING ADDRESS
/-
((��
A C947
-
1 tK . 5167
Ln1 LA- '�70..s n..A1* _
5. LEGAL DESCRIPTION
Lo -r ioS
STREET LOCATION
- *,
I Cees�o.e...r
eeder — e e�
s f�S A*An
5. TYPE OF RESIDENCE
NUMBER OF BEDmurims
SINGLE FAMILY
X One ❑ Four OtherIgLA
❑ Two ❑ Five
❑ MULTIPLE FAMILY
❑ Three ❑ Six
7. WATER SUPPLY
INDIVIDUAL'
*ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.) -Z5 r>•
S. SEWAGE DISPOSAL SYSTEM
INDIVIDUAL/ON-SITE"
"If individual/on-site, iveinstallationdate/97/—A aWV /97
g �>— � %
If system is over two (2) years old an adequacy test is required
❑ PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REOUEST BEFORE PROCESSING CAN BE INITIATED.
rzuiuwrial �, O
�7 too tom �WtP9
r
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED _
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED -
LOG RECEIVED.
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
-
❑Septic Tank or ❑Holding Tank
Size: If Tank is homemade
give dimensions:
SOILS RATING -
TYPE OF TANK
MANUFACTURER -
TOTAL ABSORPTION AREA
MATERIAL. -
4. DISTANCES
WELL T0:
Septic/Holding Tank
Absorption Area
Seer Line
w
Nearest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
0 ---APPROVED FOR BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE © ^^
BY T
LEGAL DESCRIPTION
72-010 (Rev. 3/78)
CHEMICAL & G JLOGICAL LABORATORIES F ALASKA, INC.
TELEPHONE (907)-279.4014 ANCHORAGE INDUSTRIAL CENTER
—4 274.3364 6633 8 Street
Drinking Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY
WATER SYSTEM:
I.D. NO.
Water System Name (/ Phone No.
Mailing Address
qty State Zip Code
SAMPLE DATE: m = G, n
Mo. Day Year
SAMPLE TYPE:
O Routine
O Check Sample (for routine sample
with lab ref, no. t O Treated Water
O Special Purpose ❑ Untreated Water
SAMPLE Time Collected
NO. LOCATION Collected By
2 I r or CJ— A I 10: 4'o PO
v .
3 1 I
4
5
Analysis shows this Water SAMPLE to be:
❑'Satisfactory
❑ Unsatisfactory
❑ Sample too long in transit: sample should
not be over 48 hours old at examination
to indicate reliable results. Please send
new sample.
Date Received
Time Received
Analytical Method:
O Fermentation Tube
O Membrane Filter
Lab Ref. No. Result' Analyst
I I m
I I m
� m
•No of co sll DOW or No. of PoHM poNOM
06.1220(b) BACTERIOLOGICAL WATER ANALYSIS RECORD
Rev. 1970
da Cplette0 sour"
READ INSTRUCTIONS a.m.
, Data Rer:elved Time RetNved p.rn. Lab. No.
Hours
BEFORE
EMB Brom 24 hours, Broth 44 houra,
COLLECTING SAMPLE Multiple Tube Raoort, 10ml Tubes PodttmrroW 10ml PortlOnS
Membrane FMern Olract Count Collform/100ml
Verification, LTB BOB
Final Membrane Fitter Results ' Coilform/100ml
i
Reported BY
Time• a.m.
P.M.
~ r DAVID A. SLENKAMP
• r
A - ' ' y MECHANICAL ENGINEER
694.9055
August 4, 1980
Joe Grove
c/o Grentland Renit;-r
ATTEIlTION: Joyce
P.o. Box 633
Fatale liver, Al iska 99577
Donr Ma. Grovel
R08ERT A. SHAFEh
CIVIL ENGINEER
6942979
MUNICIPALITY OF ANCHORAGE
DEPT. OF V7ALTH &
ENVIRONMENTAL i GJTECTION
AUG 5 1980
RECEIVED
Reference: Lot 65; Tract 8; Engle Crest Subdivision
A :.ew•r system adequacy tent wns performed on the system loented
on the referenced property on August 2 and 3. 19"0. The septic
tank was pumped and verified to have a capacity in excess of 600
gnllons. The seepage pit was charged with anproximately 750
g,,llons and at the end of o 24 hour period all the :ester that had
been added had percolated out of the crib.
It can be concluded from the above test that the sewafe system
is currently adequate for a one bedroom home.
If we rr^ be of further nssist-ince., plense do not hoaitnte to call.
Sincergly,
f�JS Yf/A' 'S.!.IVESnP E.
$'.S/ss
cc: A!unicinnlit? of Anchorage
Depnrtment of Hn,lth and Environmental Protection
Peoples Hnnk and Trust
Ai"fE'!TION: S`drley Hall
SRB 196X EAGLE RIVER, ALASKA
PASE 0 3 17
Pn Ccwi,.,,r. Ci'.. r -w A.r . for and In 11 ral,tn ort. Ili
• or - n D, I iw- ($L7. it aill c', ---r -j,Iijv)I or., 1 ✓ ryt k-,
Aa' d. -V'1 WAIIX: !" to dh- -I!, D. n a ',ll' "' it, V.
Ru !.v.d and +.:•:• .;•, of 1,c. Pact A F,,I^ Cr.t S.b�r'; : ,n
t Gr -"I f,, a r r; n,. r t:,- D' -Ito, t -e
N rVi 't of L-.-? r. -W, 0 f A or t••. F-, t. 1, : v al or r,i o. A
Lot !'1 17.,Io C,..+t rd ,-nrd.n,t to P1.1t. ?:n. 6)-7, .
In -J.! &,,,.. Rordi,.g CL—trio,.;! ril .1 ... Jit,.tl V..itract, ri.11,
or AI -1,a
rqu.-d t,.I-. of' A: ri 1. 1977.
Q,t oiw A. V., im
STAT_ Of ALCKA
TIORD DISTRICIr
lhi.i I:i to v'rt&;, it at. on t -.it 411 of 4; 61, IM,
V,1 m(t;r.a,7vd!:Otav,' 111-110. a.; av d Citrin' A. I'., r.:
"__to mt and to M. to b -je 11d*Vld'AI it d ol I l- o
oar coldto'! rll` ^n.; in. t", oli liol " n'.1 A0 I to V.11. lr_!.-
si,,ii Lb,e. smn o .o
r�t:at.d vq&tart I; for V., it it I wl o.- min
Ltatrd.
wi i..,a rvrd orr,ciai I .
-1,; 7
It
Wa
Ibunicipality �{
of �� L 4• ! 1,,���1�
Anchorage
n �usA.42-1�-4�
P�
825 "L" STREET
ANCHORAGE, ALASKA 99501
(907) 264 4111
GEORGE M. SULLIVAN.
MAYOR
DEPARTMENT OF REALTII AND ENVIRONMENTAL PROTECTION
August 13, 1980
Joe/Sue Grove
Star Route nox 1354
Eagle River, Alaska 99577
Subject: Lot 65 Eagle Crest Subdivision
In addition to completion of items mentioned in our
July 30, 1980 letter, the following will need to be
done:
(� ) An easement agreement from the neighboring lot,
�\ because a part of the sewer system is on that lot.
(2) The well is a six(6) inch casing with four(4) inch
casing inside the six(6) inch casing. The well
should be sealed so that it is water tight. This
will need to be reinspected by this department when
corrected.
If there are any further questions, please call this
department at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Peoples Bank and Trust
Mortgage Loan Department
Pouch 7-007 99510
Joyce Gardner
8 Greatland Realty
Post Office Box 633 99577
n
Municipality
of
Anchorage
825 "L" STREET
ANCHORAGE, ALASKA 99501 nu2c�.
(907)264-4111 l-\oi-RU
GroHOr M. SULLIVAN.
MAY014
UrrANT%-[NT0f IIFALT14 AND ENVII10N•,1ENTAL PROTECTION
July 30, 1980
Joe/Sue Grove
Star Route Box 1354
Eagle River, Alaska 99577
Subject: Lot 65 Eagle Crest Subdivision
Approval for your individual sewer and water facilities
cannot be granted until the following items have been
completed:
(1) The water analysis report be delivered to this
department from Chem Lab, 5633 B Street, for
our review.
(2) Locate the sewer system and expose the standpipes
to the seepage area for our inspection. If the
septic tank is fifty(50) feet from the well and
and the leaching area 100 feet away, the following
needs to be completed:
(a) The septic tank pumped with'a receipt submitted
to this department. The total number of gallons
need to be on the receipt to verify the size of
\Vn` the tank. This will need to be verified by a
registered engineer prior to submittal.
(b) An adequacy test be performed on the existing
leaching area. This test will determine if the
system is adequate according to National Standards.
A listing of private firms performing the test
is enclosed. This report needs to be submitted
to this department for our review. �!
l al -t-'- ova 600 _�Tr\•
© 1'VAP�
Job/Sue Grove
July 30, 1980
Page Two
If the sewer system is less than the required distance, an
upgrade would be required. Prior to the upgrade, a soils
test will need to be obtained so that a permit may be issued
by this department.
(3) The well is a six(6) inch casing with four(4) inch
casing inside the six(6) inch casing. The well should
be sealed so that it is water tight. This will need
to be reinspected by this department when corrected.
If there are any further questions, please call this department
at 264-4720.
Sincerely,
Robert C. Pratt, R.S.
Associate Specialist
RCP/ljw
cc: Peoples Bank and Trust
Mortgage Loan Department
Pouch 7-007 99510
Joyce Gardner
% Greatland Realty
Post Office Box 633 99577
0
Eagle Ri „ter Area
/-/q-77 )AC.
1-,20-77
ANCHORAGE AREA BOROUGH
of Environmental Quality Los.
chorage, Alaska 99503 274-4561
Date Received January 10, 1977
Time of Inspection /I -,V-) of),.
Date of Inspection
ST FOR APPROVAL OF
SEWER & WATER FACILITIES
FOR
V.A.
1. Approval requested by: Lomas and Nettleton Company
Mailing Address: 4449 Business Park Boulevard Phone: 274-7661
2. Property Owner: Catherine A. Mason Phone:
Mailing Address: % Realtor, Brian Kent 276-4163
3. Legal Description: Lot 65 Tract A Eagle Crest
4. Location: NHN First Street, Eagle River
5. type of facility to be inspected Single Family No. of bedrooms 2
6. Well Data:
A. Type Individual B. Depth 9
C. Construction "W141- D. Bacterial Analysis 10•A
7. Sewage Disposal System: On—site system
A. Installed B. Installer
C. Septic Tank: 1. Size �Q(KT� 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
S. Distances:
A. Well to: Septic tank , Absorption area Sewer Lines
Nearest lot line Other contamination
B. Foundation to septic tank Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE
DEPT. OF ALTH a
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ENVIRONMENTAL EPROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
REQUEST FOR APPROVAL OF JA.N 10 1977
INDIVIDUAL SEWER and WATER FACILITIES RECEIVED
1. Typeof Inspection: CMRO VA X FHA CONY
2. Property Owner: a . �(() 0 ."l
Mailing Address: —( d ��i�-r 'ef o , Day Phone:
3. Name of Buver.�LW__c_,0 A P nl Al It 4 kr
Mailing Address: r.`�3r' 7 I( i T« /l it -r / Zet" A
�DGay Phone:_ � 7,;?- e?-'-375)�
4. ,Name of Lending Institution ."-iP ?i(/% d� ��� �i ! ! t ��( . 6) .
A
Mailing Address:77 77 I1 CCO (/r F p/J %r� Z�/-Phnnn• ��%T�'
Name of Realtor or Agent:_ 04 (a 1A /
MailingAddress:3�
�1Q0 c'„ i 4 Phone:_ r?7G, —(/de �
6. Legal Descripti
Location:
7. Type of Facility to be Inspected:LY el L d O (!'J�Q/✓ No. Bdrms.
8. Water Supply
Type of Supply: Public Utility Individual 'K
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
176)
Type of System
Public Utility Individual (on-site)--<-
If
on-site) -<
If Individual, date of installation
Pbge 2 of two pages - Requ�Jor Approval of Individual Se%c `"'i Water Facilities
tM' Description Lot 65 Tract A Eagle Crest
Comments
Approved Disapproved Date _^f/n 77
App a1�Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
M
I
I certify that the information contained in 1
/o„ C'$Pe� 47
I
accurate representation of the subject sewer and water facilities and these facilities
age operating satisfactorily.
SIGNED Date
EQ -034 (1/74)
�. Qu -nn QmaJ - 4� CruA OQ 1LLn L--� _
La44 co - 1 bo6xl do Iso OutLlu t �NQ)
L#44 F1t�aw - . _iftb 'la ' 3.... Qousv, CTn LDT4
�Ia� 4co ,..,tuoL,:� 1--.o"aL �,�Is1ba. Gel CI� IL -A'
LT
W90
u,,, �-
:
i
0e.1220;ai Rer. 1973 ALASL �..ARTMENT OF HEALTH AND SOCIAL SERVICC .
DIVISION OF PUBLIC HEALTH
INDIVIDUAL AND SEMIPUBLIC
DATE BACTERIOLOGICAL WATER ANALYSIS
INDIVIDUAL ❑ SEMI-PUBLIC CHLORINE RESIDUAL PPM _
REPORT RESULTS TO
r
I NAME f..__
I ADDRESS
CITY ZIP CODE -
7
O SOURCE '.
lab No.
OFFICE
Analysis shows this Water SAMPLE to be:
So/iffvpory
❑ Unsatidodory
0 OuoYonoble
❑ Sample too long In transit; Nnieple sbould not be over 48
hours old at examination to indicaN pliable much. Phar
send new sample.
• Battle brcien in tramit, pleose tend new sample.
SANITARIAN'S REMARKS
COMPLETE THIS SECTION ^
ONLY IF WATER IS AN INDIVIDUAL SUPPLY
SAMPLE COLLECTED BY- - j
j DATE COLLECTED TIME COLLECTED
Sample CoiMcled From ❑ Kitchen Top ❑ Both,.. Top ❑ Ba»Ment Top
,'. 0 Other (List)
Wal[— a Dug 8 Driven ❑ Drilled E] Bared
it SOURCE: Spring Clore,. O ONnr,
-
' 1 D. W.B w Clam C.m".tien: -
�f Walls—❑Wood Conu.b Mp.l Tib Bricker
To — ❑ Wood HC8 Metal B
r Open Top 0 Concrete
LOCATION:
❑ In Bo ..... I ❑ Basement Offs., ❑ Under Nouse -
Qln Yard ❑ Other
Wilding Sews Septic
_ DISTANCE TO: er Other Drainage Plp. F«r. Tank F..t. n
_.
Tile Seepage Cess- •
FWd Feel. Pit Feet. Pool Feet. Privy F«t.
OtMr Passim. '
So.rces .1 Commination
MATERIAL: Building Sewer • [3 Cost Iron ❑ Wood ❑ Tib ❑ Fibre ❑ Asbestos '
❑ Nastic Joint Material - Type Cement
GENERAL: Does WoNr Become M.ddy or Discolored? ❑ Yes ❑ No
Whin?
Diameter of Well Depth Feet.
Well Casing
Mebrid Diameter Depth
tessgth e/ Water Depth
Drop Pipe From B.nom Feet.
In
PUMP LO ❑ In Well ❑ Balsem.nt ❑ In Ba»mens ❑ RoomilFy
0.CATION:
❑ Of W1 ❑ Olhr
PURPOSE OF EXAMINATION: Illness Suspected? ❑ Yes ❑ No
New Source of Supply? ❑ Y., 0 No Repan. Io System? ❑ Yes ❑ No Signature
06.1270 (b) BACTERIOLOGICAL WATER
ANALYSIS RECORD
Rev. 1977
READ INSTRUCTIONS % '
am
Dat. Ri..l..d T�' Tim. R.c.iwd
ems lab. No.
`lac
Lapse beth - 10ac IOcc
10.c INC 1.0.. I.tkc
ON 24 Hears
M
Brilliant Green
REVERSE SIDE 24 Naar'
/g Hours
EMS
AGAR
BEFORE Last.. both, 24 hrs. A hes.
Grams W.
Coliform Dindty -
(Most probable No. per ID&I)
MF Rewhs
COLLECTING SAMPLE
Mporled by -
a.m.
Date
This analysis indicates Coliform Oponisms to be: /
Absents
Present