HomeMy WebLinkAboutWALTER G PIPPEL ADDITION BLK 8 LT 2Wolter G.
Pippel Addition
Block 8
Lot 2
#050 - 124-05
ITM ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-87
11/FAX (907)696-8111
March 12, 2001
James Cross, PE
Program Manager, On -Site Water & Wastewater Program
Municipality of Anchorage
Development Services Department
P.O. Box 196650
Anchorage, AK 99519-6650
Subject: New Sewer System — Skyline View S/D #1, Block 2, Lot 1
Dear Jim:
The sewer system for the above subject property was installed and inspected on
October 26°" & 27w, 2000. We are waiting for information from the owner of the
property and for finished grade to complete our 3' inspection. Once we have received
this required information and have performed our final inspection, we will be able to
submit to DSD, On -Site Water & Wastewater Program the septic system as -built and
inspection report.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
IfitYL Engineering
Brent M. Western
Municipality of Anchorage Page of 2
• 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 9900 75 PID Number: 050 "t2V O5
Name:
_10n Graft Wastewater System: 0New 00rigrade
Address:
1-709_Q?577 ABSORPTION FIELD
Phone' No. of BedroomCs'
✓ 9 Deep Trench O Shallow Trench O Bed 0 Mound O Other
LEGAL DESCRIPTION Soil Rating:
Toyl Depth lromoriginalgrado:
/•Ft.
Lot: Block: 1/0Su iviai
bQ
Depth b pipe bottom from original grade: Gravel depth beneath pipe
g W. G P, nn%i� a ...
Townshi—
D� Flange:
Sedan:
n.
Fill added above original grade:
O
Gravel length:
8% — 2.4� Fr
WELLEx�< New
❑ Upgrade
Gravel width:
Number lines: pat*bet.ear
Clasihption (Private.QAJ�
aSDf
Total OtPih: Cased To:
�D
.c, Ff.
Total absorption area:
+
AIA
Pipe material:3p !Sq
DrillerDate
Ft. Ft.
2 soF1=
8 v
Drilled: Sync Water levet:
FL
Installer.
U)4/ rr onga
Date istalled;S
s/� 199Yleld:
CKir1kGPFt.
3d' ax
TANK
SEPARATION
DISTANCES
P'Septic
0Holding 0S.T.E.P.
TO
From
60014
Tank
Absorption
Field
LM
aution
NO"
Tank
;NPri au
a. U.
Ma uf,ct t!f' Q�
C_M/.
Gapaelty In gallons:
Wein
/oo l+
Material: STee / Number of Compartments;
Z
Surface
Water
/oo +
LIFT STATION
Lot
Line
/O +
/ 0 t
_
...,
Size In gallons:
Manufacturer.
FountiaNSn
/Or
I
"Pump on -level atC.:
�rartt ott'kvel at:
High water alarm at:
,
+
Curtai
Drain
I
—
PmpWe
EkclrkAtInDeLYispeAormeOby:
Remarks: su/a *o.7 n siu/t�
BENCH MARK
O Lie ✓ a/( h'n [S
Location and Description:
Bac oo✓ � ��
C5 0%• r
� y
Assumed Elevation:
a�
Inspections performed by: a cap Dates: 1st 54 /ff,
2nd s Na ��q
Department of Health and Human Services ap/{�a19
Reviewed and approved by: C GHQ Date:• f8' 9.99
72413 (pe., aNtl MOA 2s
Ina
( L �
••••' •,%
i9ZH_ ••tit lc
• a pe!. ee.. .. Z.. r
Kenneth M. d"r s•.j 4i
CE 7116 Wr
„,L'-9
AS -BUILT SYSTEM DETAILS/SITE PLAN
FIELD BOOKVD99010
Permit
SW990075
JOHNKMD•59uuT:
W.G. PIPPEL S/D, LOT 2, BLOCK 8 PID#050-124-05
LOT
12
LOT 11 LOT 1❑ B
❑ K
10' Utl. Esmt
10' Utl. Esr1t
cp MTH
M
IRIMARY SYSTEM
-...........
K D
F
G AG
71WEqL
A
SDO B
5
L
%F L LOT
LOT 3
------------------
-•---------------------
i_t_F-
9'l�.9
ALE,
O
1' = 50'
00.17 100.0
A -E=53.1'
B -E=42.1'
NWTM TwE
A -F=61.4'
B -F=42.0'
s
98.4 FINISHED GRADE 100.2
&
�
Ixm IYrt
A -G=56.4'
B -G=51.2'
L
1SEP
C -H=20.4'
ICOO
TANK
95.5 95.5
D -H=9.0'
SEWER ROCK
95.7 95.4
87.587.5
% < OF AL9 1
* 49 Z� y 1+0
DR
S
CE 7119 S
. KENNE
\ FESS100, w
40•
PREPARED FOR:
DON GRAHAM
17029 EASY STREET
EAGLE RIVER, AK 99577
(907)694-9071
FIELD BOOKVD99010
OWN"Mr JOHNKMD$TfNcc
JOHNKMD•59uuT:
JOHN
24 9!OK.
Flu:W252•uu
FILE: 99019901
SCALE, NTS 84.5 a
l"dV I) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907)696-6111/FAX (907)696-8111
AS—BUILT SYSTEM DETAILS/SITE PLAN Permit SW990075
W.G. PIPPEL S/D, LOT 2, BLOCK 8 PID#050-124-05
LOT 12
10' Utl. Esmt TH #
10' Utl. Esmt
PROPOSED RE
ON
0.
LOT 1
A -E=53.1'
LOT 11
X2'( )X12'(D) C�
nM
A B
5 'po
Sf D
yWEL L �WE�L LOT
B -E=42.1'
FIELD BOOKS
CWIVTEC:
A -F=61.4'
ea.outn JQHNSON
BRA..:
B -F=42.0'
A -G=56.4'
JOHNSON
n
As I.T' JOHNSON
D41Ei
B -G=51.2'
d
mo:
C -H=20.4'
.uB ni : 99010.DWG
JOB "°`
D -H=9.0'
9f
X9,0
00.5Q
i bITDR IUIC
98.4
500 GAL
SEPTIC 95.5
OF -41
9S
Af �
9 Ta* o
I1
NETH 11. US
CE 71
�a
%FESSIOIA?, dw
LOT 1❑ B ❑ J K
RKND99-1
n RIMARY SYSTEM K,ND'
-
LOT 3
FINISHED GRADE
SEWER ROCK
40'
PREPARED FORT
DON GRAHAM
17029 EASY STREET
EAGLE RIVER, AK 99577
(907)694-9071
FIELD BOOKS
CWIVTEC:
ea.outn JQHNSON
BRA..:
KM 12
JOHNSON
As I.T' JOHNSON
D41Ei
6 24 9f
B� FIX;
mo:
NW252
.uB ni : 99010.DWG
JOB "°`
99010
SCALE, NTS
Zr
V = 50'
11
VARIES
LQ61V LU) ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-0730
--------------
III/FAX (007)090-8111
1I��D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS
SOILS PERCOLATION TEST
Performed for: Oonald Graham Date Performed: 7/29/99
Project: Lot 2 Blk 8 W G Pippel TEST HOLE # 99-1-
9-L
I-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
1-
2-
3-
45-
7-
8-
9-
la11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Depth
Org. - rootmat SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
SP/SW - gravelly sand,
some silt
B.O.H.
Was Groundwater encountered? NO Whatdepth?
Depth to water after monitoring? N/A Date?
Percolation Rate_ (min/in) Pere Hole Diameter 6 -
Test Run Between feet and feet
NO PERCOLATION TEST PERFORMED / TO VERIFY SOILS ONLY
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and
Municipal guidelines in effect on this date.
MUNICIPALITY OF ANCHORAGE
Department of Hearth 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: SW990075
Legal Description: WALTER G PIPPEL ADDITION BLK
Design Engineer. 0070 KND Engineering
Owner Name: Don Graham
Owner Address: 17029 EASY ST
EAGLE RIVER. AK 99577-7817
S=//- %u,fday
c7 O �.rl
Date Issued: Apr 29, 1999
Expiration Date: Apr 28, 2000
Parcel ID: 050-124-05
8 LT 2
Site Address: 017029 EASY ST
Lot Size: 2 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
Disposal Field Q Septic Tank ❑ Holding Tank El 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 (1 BAAC72 ) and Drinking Water Regulations (18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 (24 hours). ( Not required for a Water Supply Permit only).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either. A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date: 1
Date:
KINIDD ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11/FAX (907)696-8111
April 21, 1999
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Upgrade On-site Sewer and Waiver to Foundation —
W.G. Pippel S/D, Block 8, Lot 2
Gentlemen:
The owner has requested we proceed forward to obtain a septic permit to upgrade
the existing sewer system. The original system that was installed with the house was
constructed on an adjacent lot, which at the time of construction was owned by the
previous owner. Subsequently the owner sold the subject property but retained
ownership of the lot with the septic system. This lot also was sold to a third party. In
order for the present owner to complete the sale of his property he is attempting to
construct the septic system on his lot. In addition to the above we are requesting a
waiver to foundation for the proposed field which we feel is justified for the
following reasons:
• We have conducted an on-site investigation and have determined that the
proposed field will be below the footings of the structure.
• The foundation is for a garage which is elevated and the foundation is filled so as
any migration of effluent would not impact the structure.
• There are no occupants of the structure due to its usage.
• The surrounding material is clean sand which will limit the lateral migration of
effluent.
A testhole was dug and a percolation test was conducted on April 12, 1999. The
results of these tests are attached. The general slope of this lot is from south to north
at a grade of approximately 2-5%. We have designed our system utilizing the
percolation rate of 3 min./inch for the five -bedroom house, which is existing on this
lot. The lot is served by an existing individual well., although both public water and
sewer are nearby.
We propose to install a 2' wide deep trench. The soils consistently percolate at 3
min./inch and the material appears to be uniform per the logs. Water was not
encountered during the excavation or monitoring.
There are no public or private wells within 200' of our proposed system location
Subject: Upgrade On-site Sewer and Waiver to Foundation — W.C. Pippel S/D, Block 8, Lot 2
April 21, 1999
Page 2 of 2
except as noted. There is no surface water within 100' of the proposed system and
there are no known curtain drains within 50'. We do not expect there to be any
adverse effect on adjacent lots by the development of this system.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
MID D Engineering
Kenneth M. Duff E.
attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
n
WELL/WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN
W.G, PIPPEL S/D, LOT 2, BLOCK 8
17
D,,V Es. t TIMM p.147
7
A
n
,
7B
m (03-273)
7A
(R'1-P7'Il
NO PUBLIC WELLS WITHIN EM OF
PROPOSED SYSTEM.
NO PRIVATE WELLS WITHIN 200' OF
PROPOSED SYSTEM EXCEPT AS NOTED.
NO SEPTIC SYSTEMS WITHIN 20W OF
PROPOSED VELL EXCCPT AS NOTED
3
1
OF ALq X
/��11
g Tx* * I
0
I - KENNETH Y. US _�a . ...�
CT
1 4r
�IeAW
FESSIO" AV
DESIGN DETAILS
5 BDRM X 150 GPD = 750 GPD
750 GPD/1.2 GPD PER SO. FT. (3.0 MIN/IN.)= 625 SO. FT
625/(2'(W) X 8'(D)) (8' GRAVEL) = 39.06 FT. TRENCH
USE I TRENCH - 40'(L) X 2' (W) X 8'(D)
Total depth of system Is 10' from original grade.
Total depth of gravel below distribution pipe Is 8.0' .
NOTES:
1. USE 1500 GALLON SEPTIC TANK. INSULATE TANK IF (4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 27 SLOPE INTO SEPTIC TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS 8 SEPTICS.
PREPARED FOR:
DON GRAHAM
17029 EASY STREET
EAGLE RIVER, AK 99577
(907)694-9071
FIELD BOOKS
VACANT
K
'D
PUBLIC WATER
SEPTIC
sEPnc
KMO
ASBDET. JOHNSON
LOT 12
L
T I
LOT 10
LOT 9
LOT 8
IV Ut6 Eset --
99010
SKND99-1
10' Utl. C..t
PROPOSED PRIMARY ST
TCM
\
B
O C K
. S.T: ABANIN
PLA P
,
N
A
0
LOT 1
L07
LOT 3
LOT 4 1
LOT 5
- - ----- -
---
- - - - - - -
-� r e e
---------
9,
sa
q
q`
LOT
LOT 8
OF ALq X
/��11
g Tx* * I
0
I - KENNETH Y. US _�a . ...�
CT
1 4r
�IeAW
FESSIO" AV
DESIGN DETAILS
5 BDRM X 150 GPD = 750 GPD
750 GPD/1.2 GPD PER SO. FT. (3.0 MIN/IN.)= 625 SO. FT
625/(2'(W) X 8'(D)) (8' GRAVEL) = 39.06 FT. TRENCH
USE I TRENCH - 40'(L) X 2' (W) X 8'(D)
Total depth of system Is 10' from original grade.
Total depth of gravel below distribution pipe Is 8.0' .
NOTES:
1. USE 1500 GALLON SEPTIC TANK. INSULATE TANK IF (4' COVER.
2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 27 SLOPE INTO SEPTIC TANK.
4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS 8 SEPTICS.
PREPARED FOR:
DON GRAHAM
17029 EASY STREET
EAGLE RIVER, AK 99577
(907)694-9071
FIELD BOOKS
CONFUTED:
BMNOARY. JOHNSON—
DRAM."`
KM
STAKMD: JOHNSON
CHECKED:
KMO
ASBDET. JOHNSON
DATE:
4/13
DNI: FILE:
MND:
NW02F.
ACAD FILE: 99010.DWG
'IDR "q`
99010
Scale: 1'= 100'
PAGE 1 OF 2
&1.1\1 L ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-0736
KsI
n n
WASTEWATER DISPOSAL SYSTEM DETAILS
W.G. PIPPEL S/D, LOT 2, BLOCK 8
PREPARED FOR:
DON GRAHAM
17029 EASY STREET
EAGLE RIVER, AK 99577
(907)694-9071
FIELD BOOKS
caw¢¢
OWNUARr. JOHNSON
GNAW
KMD
STMINQ JOHNSON
MMD
KMD
Ate""T' JOHNSON
pAM:
4/15
Ow n¢o
CMD:
NW02`_
AC o RLE 99010.DWG
"N"
99010
Scalel 1'= 20'
PAGE 2 OF 2
JU- IV LU] ENGINEERING
20441 PTARMIGAN DLVD.
EAGLE RIVER, AK 99577-8736
Taly% ND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
SOILS PERCOLATION TEST
Performed for: Donald Graham Date Performed: _4/12/99
Project: W G Pipple Blk 8 Lot 2 TEST HOLE A 99-1
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20 -
FILL w/ ORG
SM- reddish brown frozen
SP- w/ gravel loose
Gravelly sand
Slight silt
13.01L
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered?
NO
What depth?
NA
Depth to water after monitoring?
DRY
Date?
4/20/99
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
4/12/99
101
10"
-
2
1:11
10min
6 5/8"
3 3/8"
3
1:12
-
10"
-
4
1:22
10min
6 4/8"
3 4/8"
5
1:23
-
10"
-
6
1:33
10min
6 5/8"
33/8-
3/8"7
7
1:34
10"
-
8
1:44
10min
6 4/8"
3 4/8"
9
1:45
-
10"
-
10
155
10min
6 5/8"
3 3/8"
11
1:56
-
10"
-
12
206
10 min
6 5/8"
3 3/8"
'
WATER
ADDED
Percolation Rate 3 (min/in) Perc Hole Diameter— 6"
Test Run Between _3 feet and 4 feet
1, Kenneth M. Duffus, certify that this lest was performed in accordance with all State and Municipal guidelines in
effect on this date.
GARB HDI
GIF ~TER ANCHORAGE AREA BOROI^I
Otr..RTMENT OF ENVIRONMENTAL GUALII.
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
/?3
694 -
PHONE
LOCATION-471SI/LST• .elfAzfCKK LEGAL DESCRIPTION BL Pippr� S��
SEPTIC TANK:
DISTANCE FROM WELL 80 MATERIAL f frL CUMBER OF
OMPARTMENTS
LIQUID CAPACITY /,?SO uoulD GALLONS. INSIDE LENGTH INSIDE WIDTH DEPTH
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH '�✓ LENGTH If DEPTH_(rrZ��_,
LINING MATERIAL�� �G/B . DISTANCE FROM WELL ��O /�' BUILDING FOUNDATION ;7.?
NEAREST LOT LINE�� / TOTAL EFFECTIVE ABSORPTION AREA (MALL AREA) -137 SO. FT.
TILE DRAIN FIELD:
TOTAL LENGTH
DISTANCE FROM WELL , FOUNDATION , NEAREST LOT LINE , OF LINES
NUMBER OF LINES -DISTANCE BETWEEN L
ABSORPTION AREA e-71. LENGTH OF EACH
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FIN15KTRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL. TYPE �u' !°L� f DISTANCE FROM WATER
! - DEPTH .6 , BUILDING FOUNDATION. - SAMPLE , NEAREST
I NEAREST SEPTIC 6rr f SEEPAGE /7/OTHER
LOT LINE ZD f , SEWER LINE-. TANKOQ t, SYSTEM /-' , , CESSPOOL, SOURCES_
DIAGRAM OF SYSTEMA
DISTANCES:
9v( casrl4A�
Pipe
/7xL7 �pir
acpui,eut -
DATE �itm, 17. 1072
GREA I ER ANCHORAGE AREA BORLiUGH j7
-� DEPARTMENT OF ENVIRONMENTAL QUALITY PERMITNO. 2149
F 3300 TUDOR ROAD POUCH 6.030
ANCHORAGE. ALASKA 99502
TELUPHONE 279.0680
S�nE,,WAGE DISPOSAL SYSTEM — APPLICATION >AND PERMIT 11
NAME OF APPLICANT 44, G MAILING ADDRESS C/ /` 3 ��/� •✓{^ HONE
INSTALLATION LOCATION i
LEGAL DESCRIPTION 4c2t+a F
INSTALLATION OF: SEPTIC TANK
A y/�_, SEEPA[G/E PIT `/ Q ..DRAIN FIELD OTHER
TYPE AND SIZE OF FACILITY TO BE SERVED - /' �'—+" � &e tL /�•�n'++ /ti Sl At'
FINANCED THROUGH TO BE INSTALLED BY
SOIL TEST RESULTS a•QTn 7 ev-j, 7`P rn i NOTE, THIS PERMIT IS NOT VALID WITHOUT BOIL TEST
COMPLETION DATE ANTICIPATED
FINAL INSPECTIONI 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE I ZSU TYPE �'�•.�/.y SEEPAGE AREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS C/ ' �I /./ yC T-
FOUNDATION TO SEPTIC TANK
47-
FOUNDATION
i
FOUNDATION TO SEEPAGE PIT
DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
�O
SEPTIC TANK SEEPAGE PIT
DRAIN FIELD
TO NEAREST LOT LINE.
Q
WELL TO SEPTIC TANKy0
SEEPAGE PIT
DRAIN FIELD
ALSO CONSIDER AREA WELLS.
WATER MAIN TO SEPTIC TANK SEEPAGE PIT ra
DRAIN FIELD /r')
SEPTIC TANK. SEEPAGE PIT LLl e9L DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP 1
EXCAVATION 0 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE P
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING
INSTALLATION.
^ eLAUTHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT I 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 3 / APPLICANT'S SIGNATURE4/
EPLI4W S
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. 050-124-05-000 Expiration Date: / - /U-2-02-0
1. GENERAL INFORMATION
Complete legal description Walter G Pippel Addition B8 L2
Location (site address) 17029 Easy St.
Current property owner(s) Natalie K. Searth Day phone 907-854-8443
Mailing address 17029 Easy St., Eagle River, AK 99577
Real estate agent Tammy Stewart Day phone 360-1116
2. TYPE OF DWELLING:
C Single Family (w/wo ADU)
E Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 5
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Private Well ❑ Private Septic
Water Storage ❑ Holding Tank LJ
Community Well ❑ Community
Public Water System Public Sewer U
Waiver request for: Distance:
Received by: Date:
COSA to be released to the engineer,unless otherwise requested by the engineer.
COSA Fee $ 550 Waiver Fee $
Date of Payment 5113119 Date of Payment
Receipt Number Ot 5 -I// Receipt Number
COSA# 05061116 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 Ekiutna Engineering, LLC. Phone (907) 355-9820
Address 19162 Mountain Road Chugiak 99567 r7 /37/ c
Curtis Townsend
Engineer's Printed Name DateOF A7 a
•
49TH /\ Z
6. DSD SIGNATURE i
System #1 Approved for J bedrooms �� = CURTIS TO'NNSEND•
No C 11904
System #2 Approved for bedrooms � /:04-C)
Disapproved 1/44 its4"
Conditional approval for bedrooms, with the following stipulations:
p TYiOF<<�ii
I (,
r�
WATER Q$
W ER AND m
PROEwATER
alb
/1)))))110
By: f Original Certificate Date: s- Z q
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: Walter G Pippel Addition B8 L2 Parcel ID: 050-124-05-000
If more than 1 septic system on lot: COSA Checklist# of Structure served by this system
A. WELL DATA
❑Well log is filed with Onsite (or attached) Well production at time of test gpm
Date drilled Water storage tank volume gallons
Total depth ft Well disinfected for coliform test? ❑ Yes ❑ No
Cased to ft ❑ Coliform bacteria is Negative
❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND)
❑Wires are properly protected Arsenic ug/L ❑Arsenic less than MRL (ND)
Casing height (above ground) in. Collected by
Date of flow test for COSA Date of Sample
Static water level at beginning of test ft.
Comments Public Water
B. TANK DATA C. LIFT STATION
Age of tank(s) 20 years ❑ Required maintenance completed
Tank type/material SUD:' °' Age of lift station years
Measured operating fluid level in septic tank 50 Lift station material
• Standpipes/foundation cleanout per record drawing Comments:
Date of pumping 4/10/19
D. ABSORPTION FIELD DATA
Which system tested (date installed) 5/11/99 Adequacy test date 5/8/19
❑■ ALL standpipes present per record drawing Results ['Pass For 5 bedrooms
Total measured depth from grade 12.3'11.3 ft(max) Fluid depth prior to test 26.5127.5 in
Measured depth to pipe invert from grade 4.9/3.3 ft(min) Water added 796.7 gal
❑ N/A—pressurized field 61/61
New depth in
❑■ Monitor tubes go to bottom of effective. If not, state Elapsed time 1368 min
depth into effective
❑■
Final fluid depth 25.5/26.5 in
Code-required soil cover over field
❑ System presoaked
Absorption rate 7967+ gpd
(Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no
date of test) If yes, enter date
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
•
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100'
❑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' Animal Containment> 50' ❑ Yes if No ft
❑Yes if No ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ❑ 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' ❑ Yes if No 6+13'4. ft Surface Water> 100' ❑✓ Yes if No ft
Property Line >5' 0 Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' ElYes if No ft Private Wells > 100' ElYes if No ft
Water Main > 10' 0 Yes if No ft Community Wells > 200' El Yes if No ft
Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' ❑ Yes if No ft If absorption field is under driveway comment below
Property Line> 10' ❑✓ Yes if No ft Wells on Adjacent Lots:
Water Main > 10' p Yes if No ft Private Wells > 100' ElYes if No ft
Water Service Line > 10' ❑✓ Yes if No ft Community Wells>200' ElYes if No ft
Surface Water> 100' El Yes if No ft
F. ENGINEER'S COMMENTS
The outlet line between the septic tank and the leach field is holding 2.5" of water
G. ENGINEER'S CERTIFICATION ����r� iii..
I certify that 1 have determined through field inspections and review •c ��♦
of Municipal records that the above systems are in conformance with ...
MOA COSA guidelines in effect on this date. � 49THirN f
•
t/tO CURTI it i
IO..� S TOWNSEND;
No. CF�. 11904 .i
COSA Checklist yellow sheet X44, 'MUS 44
.
MUNICIPALITY OF ANCHORAGE
c-*-
DEVELOPMENT SERVICES DEPARTMENT ♦ t"i2 907-343-7904
On-Site Water and Wastewater Section - Fax: 343-7997
www.muni.org/onsite
Septic Tank Advisory
Certificate of On-Site Systems Approval #0SC191161
Subdivision: Walter Pippel Addition B8 L2
Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for
this property is 20 years old. Typical replacement costs range from $6,000 to $9,000.
This advisory must be attached to all copies of the subject Certificate of On-Site Systems
Approval.
This is an example of what the metal of a 20 year old steel tank MAY look like.
,fir°yy- <+" j „:7,,.
.. ..,Zr,, .... . .
s t.' _ . 's.+.s"7-
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Mailing Address: P. 0. Box 196650 * Anchorage,Alaska 99519-6650 * www.muni.org
Municipality of Anchorage
On-Site Water and Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-124-05
Expiration Date:
1. GENERAL INFORMATION
Complete legal description WALTER G. PIPPEL ADDITION BLOCK 8, LOT 2
Location (site address) 17029 EASY STREET, EAGLE RIVER, AK 99577
Current Properly owner(s) SANDRA & WILLIAM MCLELLAND
Mailing address PO BOX 2542, BARTLESVILLE, OK 74005
Real Estate Agent
Day phone
Day phone
2. TYPE OF DWELLING: [] Single Family (w/wo ADU)
[] Duplex
[] Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
5
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class A We!!
Public Water System
T PE oP WASTEWA R
Individual []
Holding Tank []
Community []
Public Sewer []
WaiverNariance request for:
Distance:
Received by: ~ ~,)~,~L~_.._
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $
Date of Payment
Receipt Number
COSA #
Waiver Fee $
Date of Payment
Receipt Number
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 ARCTERRA CONSULTING, INC.
Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS
8/11/14
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsudace
conditions that may not be observed from the surface, changes inland use, local soil characteristics, ~qmundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore.
AmTerra can not give any estimate of how long a
system will function satisfactory for current or fulure
occupants or can ArcTerre guarantee that no unseen
encroachments, deficiencies or discrepancies exist.
DSD SIGNATURE
~ System #1 Approved for ._
System #2 Approved for __
Disapproved.
bedrooms.
bedrooms.
Conditional approval for
bedrooms, with the following stipulations:
~ WAXERAND
pROGRAM
By: ~~~'~. /~~ O riginaICedificate Date: ~- ~ ~- / ~
The ~p(~ Development Se~ices :,vision (DSD) issues Cedificates 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 engineeCs work.
ATTACHMENTS:
COSA Checklist
Septic System Advisory
Well Flow Advisory
X
Nitrate Advisory
Arsenic Advisory
Other
If more than t septic system is on the lot:
COSA Checklist # of
Structure served by this system _
Certificate of On-Site Systems Approval Checklist
Legal Description: WALTER G. PIPPEL ADDITION BLOCK 8, LOT 2
A. WELL DATA - PUBLIC
Well type
Date completed __
Total depth ft.
IfA, B, orC provide PWSID #__
Sanitary seal (Y/N) Y
Cased to ft.
FROM WELL LOG
Pamel ID: 050-124-05
Date of test
Static water level ft.
Well production g.p.m.
Well Log (Y/N)
Wires properly protected (Y/N)
Casing height (above ground)
AT INSPECTION
g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL
Arsenic: __ ug/L
Nitrate
Date of sample:
mglL
Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL
Tank size 1500 gal.
Foundation cleanout (Y/N) _Y
Date of pumping 8/812014
Number of Compartments _2
Depression over tank (Y/N) _N
Pumper JRs
Date installed 0511t11999
Cleanouts (Y/N) Y
High water alarm (Y/N) N
C, ABSORPTION FIELD DATA
Date installed 0511111999 Soil rating (g.p.d./ft2 or ~/bdrm) 1.2
Length 40 ff. Width 2
Total depth 11.5 ff. (Measured 8/8t14) Eft. absorption area 640 ft2
Date of adequacy test 8/812014 Results (Pass/Fail) PASS
Fluid depth in absorption field before test 45 in. Water added 750 gal.
Elapsed Time: 1395 min. Final fluid depth 42 in.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N
System type DEEP TRENCH
ft. Gravel below pipe 8 ft.
Monitoring tube Y Depression over field ~N
For _5 bedrooms
New depth 63 in.
Absorption rate >= 750+ g.p.d.
If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at __ in.
Datum
Size in gallons
"Pump off level at __ in.
Cycles tested
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
Water main 10'+
Wells on adjacent lots 200'+
ABSORPTION FIELD ON LOT TO:
SEPARATION DISTANCES - PUBLIC WATER
WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
Animal containment areas
SEPTIC/HOLDING TANK ON LOT TO:
*Building foundation 5'+ & 3'+ (garage slab) Pmpertyline 5'+
Water service line 10'+
Property line 10'+
Water Service line 10'+
Curtain drain 50'+ (NONE KNOWN)
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout
Holding tank
Manure/animal excrete storage areas
Absorption field 5'+
Surface water 100'+
*Building foundation 10'+ & 4' (gamge slab) Watermain 10'+
Surface water t00'+ Driveway, parking~Vehicle storage
Wells on adjacent lots 100'+
10'+
F. COMMENTS
*Approved per past MOA HAA.
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this date.
Engineer's Printed Name KENNETH M. DUFFUS
Date 8/1112014
COSA brown sheeL10-10-12.doc
ASBUILT S~,;A~D & ASSOCTAT~,.q ~ S~-~ING 694-0829
SCALE=
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWIN6 DESCRIBED PROPERTY;
AND ~AT NO EN~OACHMENTS EXIST ~C~ AS
INDICA~D. IT IS THE RES~NS~BILI~ OF THE
E~EMENTS, COVENANTS~ OR RE~TRICTIONS
WHICH DO NOT ~PEAE ON THE RE~D~ ~BDI-
VISION P~T. UNDER NO CIRCUMSTANCES S~i
~Y DATA H~EON BE US~ FOR CONSTRUCTION
OFFENCE LINES, OR FOR E~LISHIN6 ~ND' ~WN--~
ARY LINES.
Water Permit Cf 02 - 7304
BIk 8 Lot 2
!
key box
connect to existing
copper at abandoned
wetl
edge of pavement
EASY ST.
~//tap
?
8" DIP main
MUN,~CIpALITY OF ANCHORAGE
WATER & WASTEWATER UTILITY
3000 ARCTIC BLVD.
PHONE: (907)564-2762
BLOCK/LOT/TRACT BLK 8 LT 2
SUBDIVISION WALTER G PIPPEL ADDITION
TAX CODE 5012405 GRID
STREET ADDRESS 17029 EASY ST
000000 AS-BUILT
WATER
CONNECT PERMIT 02-7304
DATE OF APPLICATION
SCHEDULED COMPLETION DATE
08~07/2002
12/31/2002
SINGLE FAMILY
MULTI-DWELLING NO. APTS
COMMERCIAL
OWNER MCLELLAND SANDRA E & WILLIAM G
MAIL ADDRESS 17029 EASY STREET EALGLE RIVER, AK 995770000
PHONE
CONTRACTOR ANDERSON BROTHERS
Repair Existing Service
On Property Only
Hydrant Only
Main Tap - To Property Line Only
X Main Tap & On Property Connect
Disconnect
R & R - Main Tap Only
540-0000001951
CONNECT SIZE1'
REIMBURSABLE
NUMBER
iX City Tap
i i 50'orLonger
Row No,
REMARKS
INSPECTION FEE $ 0.00
PERMIT FEE $ 0.00
$ 0.00
DEPOSIT $ 6~0,00
TOTAL $ C~0.00
ASSESSMENTS
Main Line Extension
X Have Been Levied
To Be Levied
Comments:
staff
ISSUED pcousins
~PAID,. ~ CASH
OTHER
NSPE~TED BY
PERMITTEE (Please Print}
MAIL ADDRES~._,____~
SIGNATURE
PHONE
POST IN A CONSPICUOUS PLACE AT THE JOB SITE
AWWU INSPECTOR
Original
SUBDIViSiON WALTER G PIPPELADDITION BLOCKILOT/TRACTBLK 8 LT 2
INDICATE NORTH
SIZE CONN l" -"~I~i'OMEST~C ONLY BOTH FIRE & DOMESTIC
~/ CORP~ STOP FIRE LINE ONLY FIRE HYDRANT ONLY
~ CURB STOP C TO C DATE OF TAPE
~ / FT. COPPER PiPE SIZE ~IN ~ ~/ ALLEY '~STREET EASEMENT
THAW-PLATE/NUT COMMENTS
KEARNY CONNECTOR KEY ~X LOCATION
INSPECTION REPORT
/~K,B. & T.W. - OK AFTER BACK-FILL DATE
~ TO TUrN-ON DO NOT TU~N~N
Municipality of Anchorage.
.� Development Services Department
Building Safety Division . T , t I ;•
On -Site Water and Wastewater Program.. ; , . ,4:."
. 4700 South Bragaw.St. °r •�+
P.O. Box 196650 :Anchorage, AK, 99519-6650 c ',
„ www.ci.anchorage.ek.us
:(907) 343-7904•'.: _
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING `"'
Parcell.D.-050-124-0r HAA# fly# D/nn R 7
Expiration Date: 6-14 -0/
1. GENERAL INFORMATION
Complete legal description W.G.-Pio e� l -5� Rlock So Lot 2
Location (site address or directions) 17 )09 scv Stre t. Eagle River_ AK uoa,77
Current Property owner(s) Don Graham'` Day phone 694-9071
Mailing address X7209 Easy Street' gle RivPrAK oaS77
Lending agency _Alaska L1SA (Pam -la Sloan) Dayphone_694-7030
Mailing address —Eagle River. AK 99577
Real Estate Agent nick RrDWn (Target Realty) Day phone S94-2388
Mailing Address _P.O. Roz 774627.Fnnlp River AK 99577' —'
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
%Individual Well
®
Individual On-site
Individual Water Storage
❑
Individual Holding tank
Community Class Well
❑
Community On-site
F]
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional
civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the
transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal
and/or water supply system. DSD also Issues HAAs upon request to homeowners. Certificates of Health
Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well
and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a
period of up to one year with valid water samples.) Certificates are valid for one year for properties served by
Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or
omissions in the professional 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. 1 further verity 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-KRIDLE119 - Phone .• -6111
Address 9041411 Plarml-
Engineer's Printed Nam
D-
5. DSD SIGNATURE .
Approved for
Disapproved..
Conditional approval for
following stipulations:
Notkd:J b�'i�1�b ii�H property meets existing State and Alunicipal Codes. There are nitrates
present. t is suggested that periodic testing be performed to insure the wells continued suitability.
EEA maximum 1()_(1 ma/1 Alrirt,
CUirent nitrateCOn CCntr1.• 9 71 .......e......., rourp...r
information on nitrates is available from On -Site Services, t t'; : •a �:? •- 3 �3 - �`!a 5`
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineers Report
Other
By: / (r/ �� Original Certificate Date: 3- 13- o f
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw, St.
P.O. Box 196050 Anchorage, AK 9951943650
www.ci.anchorege.ek.us
(907) 343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: W.G. Plppel S/D. Lot 2. Block 8 Parcel ID: 0 5 0 =-t2,4_. 0 6
A. WELL DATA
Well type Individual' If A, B, or C provide PWSID ff dA
Date completed Unk. Sanitary seal (YIN).Y
Total depth—J0!± ft. Cased to 40'+ ft
FROM WELL LOG
Date of test Unk.
Static water level Unk. ft.
Well production Unk. 9 -p.m
WATER SAMPLE RESULTS:
Coliform -Q—tolonies/100 ml. Nitrate -224 mg./I.
Well Log (YIN) N
Wires property protected (Y/N) Y_
Casing height (above ground) 3 0 "
AT INSPECTION
50' ft.
4+ g.p.m.
Other bacteria colonies/100m1
Date of sample: 6/18199 & 711/99Collected by: _KND Engineering
B. SEPTIWHOLDING TANK DATA
Tank Type/Material Anchorage Tank -Steel
Date installed 05/11/99 Tank size 1500 gal. Number of Compartment53
Cieanouts Y_Foundation cleanout Depression over tank A -High water alarm HA
Date of pumping 10/24/00 Pumper Sanitary Pum2ers
C. ABSORPTION FIELD DATA
Date installed 05/11/99 Soil rating (g.p.d./ftr or ft'/bdrm)-12. System type _Deep Trench
Length 40 ft. Width 2 ft. Gravel below pipe a ft.
Total depth = n. Eff. absorption area AD -ft? Monitoring tube y- Depression over field n
Date of adequacy test NA Results (Pass/Faiq For bedrooms
Fluid depth in absorption field before test in. Water added gal. New depth in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo.) (YM & type)
If yes, give date
O. LIFT STATION
Date installed NA Size in gallons _
'Pump on' level at in. 'Pump ofr level at
Datum
Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot 100'+
Absorption field on lot 100'+
Public sewer main 100'+
Manhole/Access (Y/N)
in. High water alarm level at
Meets alarm & circuh requirements?
On adjacent lots 10 0'+
On adjacent lots 10 0'+
Public sewer manhola/cieanout 10 0 ' +
Sewer /septic service line 25'+ Holding tank 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ & 31(garage stab)Property line 5 ' +Absorption field 6 ' +
Water main 10'+ Water service line 10 ' + Surface water 10 0' +
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ & 4' (garage stab ter main 10'+
Water Service line 10'+ Surfacewater 100'+ Driveway, parking/vehicle storage , 2 5 ' +
Curtain drain 50'+ Wells on adjacent lots 100'+
F. COMMENTS
'Individual well to be aband W per code and house connected to public water as soon as possible,
Given the recent construction of the septic system. the gystem_was visually inspected and deemed to
G. ENGINEER'S CERTIFICATION
I certify that I have determined through held inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name Kenneth M. Duffus
Date 03/07/01
HAA FeeE -cy
Date of Payment
Receipt Number 1 ` ,U l!Iy
(Rev. 120M
00100£S See1SFS 3I1das/TTaM t'£0
W&0:11 TO/30/£0 L6ST00 90 IO NV
Waiver Fee $
Date of Payment
Receipt Number
Kenneth M. Lufi
CE 7116
03-12-01 16:32 FROM -CTE ENVIRONIENTAL 5615301 T-453 P-01/02 F-135
200 W. Potter Drive
Anchorage, AK 99518
Tel: (907) 562-2343
Fax: (907) 561-5301
CTBE Ref. #:
1011220
Client PO#:
n/a
Client Name:
KND Engineering
Printed Date/rime:
03/121011615
Project Name•.
n/a
Collected Date rime:
03/09/01 1030
Client Sample ID:
W.G. Pippel Et8,12
Received Date/rime:
03/09/01
Matrix:
Drinking Water
Technical Director:
Stephen Ede
PWSID
n/a
Released 0
Sample Remarks:
Allowable Prep Analysis
Parameter Results PQL Units Method Limits Date Date
Nitrate -N 9.21 0.5 mg/L EPA300 10 mg/L 03/091402 !j(,(—
�i ttt:
SOUTH FORK CONSTRUCTION
P.O. Box 567
EAGLE phoM $94-4351577
ver Loop Road
Puna
No; 1 of
weli-'at•"th'e-above-mentioned"address Aired-'t:onnect-
to AWwu water line ............. ................. 38,260.00
-work"-started _itr_the-_.-
__ __The above -cost -does__nat...-tnclude-engineerinq!_-
-- surveying, or staking. The above cost does
-----�-- ---not-•-include-the-moving vf�tiifties:�Sonth�Fark-Cans'tr: j_�. ed would.be the cost of materials plus truck time at
•-----•-�--X65:00/hr':-A].so-aot-inoluded�s'-finie;h�ra8e; tops6YY;-~_y�_-.._.
..._._.__.._..._...._:._-.landscaping; wr_.s.eedinq.__...._._.._..._._...._....__.._-.._._.._�-__.._.�_�. _____.--.•_ •
- Tncln$ed tea -the above-cost--are--street--closure-plan-and- -"'---
-. _sti.4nin4.._Rt4ht._.uf._waY..-permit;..AWt�[1.�iater._conne.c_t._permit._ .-.-_
water main tap, key box set, 1" copper water line from.
-------maUr-to-structure,"Ibut Cots -trot includo-iriteriar-VlumYr-"----'
_street_.repair-,.-and._abandonment-of we11._as--..-.._..-
per A14WU requirements.
30t JIMut hereby to furnish material and labor — complete In accordance with above specifications, for thesum of:
Aa IMterM Y P.•t•• 1 b b. as so.~ AN worn W be eo.wwad it a woM1a,anN.
.rear *.Mb a to st d.rd atarttcss. M aeratwn r d.N.woa saw .e... WMlra. Authoda*d
a.rM U.tWtry YVa .VA. wi0 be a..MW gay Napo *.atM aa.ri, a.d M4 a..wwo M SignatYre
*abs M.ie. a.w W .ave. th. asomw AS ren Mss a..&I"At aWn abiW, scdd. Nett: T
ar adn* a.Y*aa aur a.aoal. o'. b dory arm 6-666 ae .ea.r .6'." ry awurwf..
our worti.a "aft at by watonaws Crn,.n..\ba trwwa..a. vAthdrawn by to 11
Arrkpb= of 11rapanal —The above pries. speclnuUons
and conditions are sdistactery and are hereby accepted. You an outbodaed si"twe
to do the work as Specified. Payment win be made at eutnced above.
Dat*. of AocWame;
Signature
wnhln dart.
TWEED EXCAVATING AND CONSTRUCTIO
Imu VALE WO LOOP AD., stATE tmx . wts NNER,ALAs1(A Pe3n
PNDNE WM W-1773 • FAX "41760 isle No. hs\\
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ry wYr..•. tiry ...✓M M M.rr
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Authu.l[ad
sign -tum,
NOY: TM ropos\I �a rMdn.m
by w 9 aot eapptad vathln Dan,
ACCEPTANCE—Ths Abb" pips, scedflatlan\ and conditions sm slsneturs
Mtitf\Mfy end en Swab" µCa Otad, You M euthod2\d to do Na
. of \Osdhad. 7aymant .w M made \t Ou01n\d'w a.
Daft Of Accapfa.Ke: clan\tun
ESTIMATE
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ae n ,6lJtr� .S-��c G.�e
u7arArc o /rr tomos
da tocarton
74
AeCntrECr
oAT[ or runs
IF
M PKOM
We tw*by submit speciecatibna and ptonatas IOr:
�/ i �•i ♦ _ZI-
AN fM4LI Y a.+.a.l..d r M a. AM .ora % M a.... " M a ra.M
aa.aar s"weMa b qls a 9.ee Any dte.etc.. r .Y..aa„ aa.n Mew ene6aea
Ya.a IefeMna stn scab cal M aMgMtl a.q aW .etlle. a.een, aM MM Mes..a an
�•• el`••ae scar ane Mow d.e e.M..ete, AO M.wewta aa+u.M.t aeon fAeft Wa
M delays Myons ar me O.mM to wry N. sane ase ~ Mte{w.y MswaAce.
0-wer1 M /1My C- - by Yw.a 's Cr.pe.wtbn
Signature
Note: This proposal may be
withdrawn by us It not accepted within
days.
.L11rp;:a wt vt 11rovenal —The sbOw prices, specifications
and conditions an, satisfactory and a.e heroby accepted. You am authorized Signature
to do the work as speelaed. payntnt will be made as outlined above.
Dale of Acceptance: Signatuw
Ile
31t PrOj1DBt hereby to furnish material and labor —complete In accoor ante with above specifications, for thesum of:
1,C1E�W-rte ��.�nS 7I�J i�. dollars
to paymentM mads u lo4ora: // /-
AN fM4LI Y a.+.a.l..d r M a. AM .ora % M a.... " M a ra.M
aa.aar s"weMa b qls a 9.ee Any dte.etc.. r .Y..aa„ aa.n Mew ene6aea
Ya.a IefeMna stn scab cal M aMgMtl a.q aW .etlle. a.een, aM MM Mes..a an
�•• el`••ae scar ane Mow d.e e.M..ete, AO M.wewta aa+u.M.t aeon fAeft Wa
M delays Myons ar me O.mM to wry N. sane ase ~ Mte{w.y MswaAce.
0-wer1 M /1My C- - by Yw.a 's Cr.pe.wtbn
Signature
Note: This proposal may be
withdrawn by us It not accepted within
days.
.L11rp;:a wt vt 11rovenal —The sbOw prices, specifications
and conditions an, satisfactory and a.e heroby accepted. You am authorized Signature
to do the work as speelaed. payntnt will be made as outlined above.
Dale of Acceptance: Signatuw
OTY.
OEscAIPTION, PRICE
,Nrr
. . . . . . . . . .
't-4 vi
1;7
'All
MUNICIPALITY ANCHORAGE
DEPARTMENT OF HEALTH 8 HUMAN SERVICES
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.D. # 050-124-05
1. GENERAL INFORMATION
Complete legal description
HAA#
W.G. Pippel S/D, Lot 2, Block 8
Location (site address or directiod129 Eawsy Street, Eaggle River, AK 99577
Property owner Don Graham
Day phone
69.1-9071
Mailing address 17n19 FogySt�Anrhor e AK 99977AK 99577
Lending agency
Mailing address
Agent
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
5
►.t
Day phone
Day phone
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.
724-5 (A" 1/91) F1en1 MOA v11
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 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 Firm
Address
KND Engineering
20441 Ptarmigan Blvd., Eaggle River, AK 99577
Engineer's signature
6. DHHS/SIGNATURE
v Approved for bedrooms.
Disapproved.
696-6111
Phone
Datef99 '
Conditional approval for bedrooms, with the following stipulations:
Note: The well for this property meets existing State and Municipal Codes.
There are nitrates present It is suggested that Periodic tesrin- he
performed to insure the wells continued suitability. Current nitrate
t ri iZ O of x3,1 pp1 m i t
More information on nitrates is available from the On-site Services Program,
Additional Comments
0
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 order to 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.
72-04 (Rev. 19t) 8•c• MOA n1
I CEIVE'D
w '
JUL-06 1999
Municipality of Anchorage Id IQPAutr bF At jrp E
DEPARTMENT OF HEALTH & HUMAN SM47CH&CrALIUVKMDraS
Environmental Services Division
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Health Authority Approval Checklist
Legal Description: W.G. Pippel S/D, Lot2, Block 8 050-124-05
Parcel I.D.:
A. WELL DATA
well type
Log present (Y/N)
Total depth
Sanitary seal (YM)
Date of test
Static water level
Well production
Ind' If A, B, or C, attach ADEC letter. ADEC water
system number
N Unk.
Date completed
50'+
Cased to 40'+
Y
FROM WELL LOG
Unk.
Unk.
Unk.
N/A
Casing height (above ground)
30"
Wires Property protected (Y/N) Y
AT INSPECTION
5/11/99
50'
4 gpm +
9 -p.m. g.p.m.
WATER SAMPLE RESULTS:.
Coliform _ Nitrate 9• Zy Other bacteria
Date of sample:
�����/� Collected by:
B. SEPTIC4HOLDING TANK DATA ; r
Data installed 5/11/99 Tank size 1500 Number of Compartments 2 Cleanouts (YM) Y
Foundation deanout (Y/N) Y Depression (Y/N) N High water alarm (YM) �..;N/A;:::r
New N/A -
Date of Pumping
C. ABSORPTION FIELD DATA
Pumper
1.2 GPSF Dee Trench
Data installed 5/11/99 Soil raring (g.p.dJft' or ft'/)dmt) System type P
Length 40 WkM 2 Gravel Welmess below pipe 8' Total depth 10.9' .
Effective absorption area 640 SF Monitoring Tube present (Y/N) Y Depression over field (YM) N
Date of adequacy test N/A Results (Pass/FaiQ P For .5 , - - - • • - bedrooms . _ .... _.
Fluid depth in absorption field before test (In.); N/A Immediately atter N/ gal. water added �pn.): • N/At,
Fluid depth N/A (ins) Minutes later. N/A Absorption rate = N/Ap.d._ ---_ ,
Permdde treatment (past 12 months) (YM) N/A It yes, give date N/A
72-026 (Rev. 3198p . r. , —
D. uFT STATION
N/A
Date installed
Manhole/Access (Y/N)
High water alarm level at' _
Cycles tested
E. SEPARATION DISTANCES
Size in gallons
"Pump on' level at' 'Pump off' level al*
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
100'+
Septldholding tank on lot
100'+
On adjacent lots
100'+
Absorption field on lot On adjacent lots
100'+
Public sewer main
25'+
Sewer /septic service line
100'+
Public sewer manhole/cleanout
N/A
Litt station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
3'*
Foundation Property line ] 0+ +
option field 5
100'+
Water main/aervice line 25 + Surface water/drainages rXWells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
10'+
party line Building foundation 4 Water main/service Hne 10'+
100'+ 25'+
Surface water
Curtain drain
Driveway, parking hide storage area
No Known Wells on adjacent lots 1001+
F. ENGINEER'S CERTIFICATION
I ceMy Mat i have determined mm field inspectlars and review of Munb)2W
in confomrance w/dr MOA HAA guidelines in effect on dr►s date.
Signature
Kenneth M. s, P.E.
Engineer's Name
.,;
HAA Fee S
Data of Payment 7 •� Y
Receipt Number,919 3
72-026 (Rev. 3196)•
Waiver Fee $
Date of Payment
Receipt Number
OF�Ips are
rte� �r
er- 4 � �sA
J
1 OiFE�StO`
MInc. Environmental Services
L �.-�--w�W� A
CT&E Ref.#
992159001
Client POJ(
Client Name
KND Engineering
Printed Date/time
05/22/99 11:45
Project Name/#
WG Pippcl 138 12
Collected Date/Time
05/17/99 10:30
Client Sample ID
WG Pippel B8 L2
Received Date/time
05/18/99 11:10
Matrix
Drinking Water
Technical Director: Stephen C. Ede
Ordered By
PWSID
0
Released By
Sample Remarks:
Allowable
Prep Analysis
Parameter
Results POL Units Method
Lfmits
Date Date (nit
Total Coliform
0 eol/100mL SM18 92228
05/18/99 KAP
Nitrate -N
9.24 0.500 mg/L EPA 300.0
10 max
05/18/99 05/18/99 SCL
23"' �/4r l 5ra�
ME Environmental Services Inc.
Laboratory Division►mswi�•tiiii+^A-ciiiiisiiiiyii������i������������
Drinking Nater Analysis Report for Total Coliform Bacteria Potter Orive
tES4DINSTRCCTlONSONR£Y£RS£SID£B£FORECOLL£C77NUNPL£ Anhorage. 9618•1605
To[: AKAK 9 9 3
Fut: 1907) 561.5301
MUST BE GUMI'LETEU BY WATER SUPPLIER
a PUBLIC WATER SYSTEM LD.0
11 ` PRIVATE WATER SYSTEM
0 SenlRHeta O SeKdlw.eia
r;7—
SAMPLE
SAMPLE DATE: m M0,
Masts mr Year
SAMPLE TYPE:
ARoutine
t7 Repeat Sasuple (fat routine sampler
with lab reL so. )
O Special Purpose
SANIPLE LOCATION .
sur �ie�i BRL.�
Comments:
Cl Treated Water
Vowsaw water
Time
Colloeted
Cetlreaai.
w
=941
TO BE COMPLETED BY LABORATORY
Analysis shows this Watts SAMPLE to be:
Satisfactory
O Uawisiactory,
t7 Sample over 30 hours old. results may
be unreliable
t7 Sample too long in tramit: sample should
not be over 48 hours old at examination
to indicate reliable results Please send
new sample via delivery mail.
Dote Received
Time Received
Analysis Bep■ 1 "7 Zc)
Analytical Method: 19, Membrane Filter
'(7 MO -MUG
•
Nus rim ofcolonieV100ml.
Resale• Asslyst
993147
Derc Tioc
Em �I1L
1 Flb& Jar ❑
Faun
CBont sotilted of u aatisfactery results:
❑ ❑
Phoned spore wish Fee"
Doc TLec
BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO•MUc Resnge TOW Coaferm 22 //ff L Coll
et
Meobrant Filters Db+Count �- XJ o l i, co omiesltoo of
Verifkotlee: LTD BGa COUFIRM
raw Coliform Coatirenden
Real Aleobreoe Fuser Rawlw G6lka/to0 of
Reported By ate '7 LzTido /5-3o bra
tm-F /&� re C.
OR .r.....n...
rv' e'.7V7r7 Mombw of 04 SGS Grow ISoe14tt (34n4/eie In Surveillance) —
-J GREATER ANCHORAGE AREA BOROUGH
1 / DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD
%•"(/ ANCHORAGE, ALASKA 99507
t� r 279-8686
DATE RECEIVED:.;/� y
INSPECT:—
TIME:-
REQUEST
NSPECT:__TIME:_REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER AND WATER FACILITIES
FOR
1 . APPROVAL REQUESTED BY
ADDRESS: /.23
PHONE: j%y - - s'.S"%
2. PROPERTY OWNER: PHONE:
3. LEGAL DESCRIPTION: /
-fc
4. TYPE FACILITY TO BE INSPECTED: �.,>•,,.y STREET:
NUMBER OF BEDROOMS:
S. WELL DATA:
A. TYPE -" '/G!r_'G�
B. DEPTH—
C -
C. SIZE
D. CONSTRUCTION
E. BACTERIAL ANALYSIS
6. SEWAGE DISPOSAL SYSTEM:
A. SEPTIC TANK (IF HOMEMADE, SHOW DIAGRAM ON BACK)
I. S I Z E
2. AGE
3.' MANUFACTURER
4. INSTALLE
I✓SGL /�cc.2sti".7L
APPROVAL REQUEST .,oR SEWER A WATER FACILITILo
PAGE TWO
B. SEEPAGE PIT
1. SIZE
2. LINING e-9
C. DISPOSAL FIELD
1. NUMBER OF LINES
2. TOTAL LENGTH
7. REQUIRED MEASUREMENTS
A. WELL TO SEPTIC TANK_
B. WELL TO SEEPAGE PIT : l
C. WELL TO SEWER LINE
D. WELL TO PROPERTY LINE Ir
E. WELL TO OTHER•POSSIBLE CONTAMINATION
F. FOUNDATION TO SEPTIC TANK
G. FOUNDATION TO SEEPAGE PIT
H. SEEPAGE PIT TO PROPERTY LINE
8. COMMENTS:
APPROVED: DISAPPROVED:
DATE: DATE:
APPROVAL VALID FOR ONE YEAR FROM DATE SIGNED.
GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY
FROM: DEPARTMENT:
GREATER ANCHORAGE AREA BOROUGH
INITIATED BY: _—.Ly=_coad
Beauty Satan Located At
SUBJECT: --L_.2r-B_Hs-ilaltet_..P. )
Subdlrfa an
DATE OF MEMO;-SJM72_-_--—_-----
DATE ANSWER
TO: DEPARTMENT: _Roti 9_Rinneen. _M4 --_---_-... REQUESTED:
RECEIVER:
REQUESTED ACTION SCHEDULE
FOR INFORMATION ONLY (' PREPARE BACK-UP INFORMATION
FOR IMMEDIATE ACTION CALL ME BEFORE YOU ANSWER
da FOR YOUR CONSIDERATION NEED YOUR RECOMMENDATION
OTHER
_ .there. is --a .beanix salsa -at -the abate _location. --Tba s jw---an,d
--------------_____rater-systems.-are -aft -apjki=.e ...—P.leasa_s<es-the-attacdad _tetter..--__
------_-_---the_xeil_is_atassiLied-as_a_semi-pnhl is -.rel l -ii acerthere._ix _-a__---
-._._._...beauty _"*A -located .-oa-the-preadage
SiGN.IU�E
July 7. 1972
Mr. Robert Hartzler
Cox 123
Eagle River, Alaska 99577
Subject: Lot 2. Clock E, Pippel Subdivislor.
Dear Wr. Hartzler:
An inspection of the subject property revealed that the sewer
systec: and the water system are now approved.
The well is approved and is classified as a serli-public well.
A satisfactory water sanple has been taken from the well.
If you have any questions regardins the above lnfornation,
please do not hesitate to contact this office.
Sincerely.
Lynn S. Coad
Environmental Specialist
bb
cc: N.yrna's Beauty Salon
r
May 24, 1972
!!rs. Robert Hartzler
Easy Street, Box 123
Eagle River, Alaska
Subject: Lot 2, Block A. Walter pipple Subdivision
Dear Mrs. Hartzler:
An inspection of the subject property revealed that the
well is approximately 75 feet to the sewer system. The
sewer system consists of a cesspool. The well appears
to be a dug well approximately 30 feet deep.
Before this Department's approval can be given for the
sewer and water systems, the sewer system will need to
be upgraded with the proper distances to the well rain-
tained. The well will also need to be upgraded.
If you have any questions concerning the above, please do
not hesitate to contact this office.
Sincerely.
Lynn C. toad
Environmental Specialist
bb
cc: VA
Ronni Kinneen