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VALLEY VIEW TERRACE BLK 1 LT 12
Val -ley View Terrace Block 1 Lot 12 #050-352-33 n, Municipality of Anchorage i " On -Site Water and Wastewater Section - (907) 343-7904 -Page-, " fi='of. ; 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221095 PID Number: 050-352-33 Dwelling: 9 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name KEVIN ROBBINS & MELISSA DIEDERICH A%EID TION FIELD Site Address 23434 LOWER TERRACE, EAGLE RIVER, AK 99577 Trench El Wide Trench El Bed ound Other Phone Number of Bedrooms Soil RatingTotal depth original grade 907-351-6132 4 /sF I Ft. LEGAL DESCRIPTION Depth to pipe invert from original JlWe4o0l Gravel depth beneath pipe Subdivision Block Lot EXISTING' VALLEY VIEW TERRACE 1 12 Ft. Fill added above original e G I length Township Range Section Ft. Ft. Gravel width Beds: Number of Lines Dis a between lines SEPARATION DISTANCES Ft. - Ft. To Septic Absorption Holding Sewer Total orption area Number of trenches Dist. between ches Tank Field Lift Station Tank Line Ft2 _ From _ t. Well 100'+ EXIST. - - 25'+ TANK Septic [:1S.T.E.P. E3 Holding El Other Manufacturer Capacity Surface Water 100'+ EXIST. - _ GREER TANK 1250 Gal. Material Number of compartments Lot Line 5'+ EXIST. - - NA PLASTIC 2 Foundation j 0'+ EXIST. -KATION Manufacturer Capacity Remarks Gal. Alarm location Electric lied by PIPE MATERIAL House to tank D3034 Tank to D3034 Installer drainfield ARM SEPTIC SERVICES, LLC Drainfield EXISTING Co/MTD3034 Inspector GEG CONSULTANT, JODY MAUS BENCH MARK (Assumed elevation) 100.00 ft Inspection 15' 5/5/20222na - Location and description dates: 3rd - 4'" _ TOP OF SONOTUBE FOR DECK -CLOSEST TO TANK ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineers Stamp _oo6op.0 Conditional Approval: Date o / 49- ............ .... ....... �...... o Septic System tr r A. G ness;� Approved Date's '2z ���9'f '• CE -795 .\c�4pO 12 Note: this approval does not include well permit requirements. dOpdpr°re55 °' #AECC 184 D���pOo� (Rev 05/02/18) —'� PERMIT NUMBER: OSP221095 DBLi 36.9 28.4 DBL2 37.7 28.3 MH 39.8 29.3 ST7 43.8 32.5 TANK MT 45.2 35.6 DBL1 45.5 35.1 DBL2 46.0 36.2 NOTE: PIPE LOCATIONS ARE SHOWN PER GEG SHOTS TAKEN WITH LEICA DISTO S910 LASER DISTANCE METER. SWING -TIES TO HOUSE CORNERS WERE \ 1GENERATED IN AUTOCAD. VALLEY VIEW TERRACE; BLOCK 1, LOT 13 \ PppROX 100 ��� \ \ 11 EXISTING I INSTALLED DBL CO'S (DBL1 & DBL2) NEW 1250 -GALLON PLASTIC SEPTIC TAN TANK MT NOTE: OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC PER THE CONTRACTOR El VALLEY VIEW TERRACE; BLOCK 1, LOT 26 PARCEL ID NUMBER: 050-352-33 1 •• . jj�jjjji% A - EXISTING 4 -BEDROOM HOUSE , \ '�7� \ \ j — — — _'_1 — — 1 INSTALLED DBL CO'S (DBJJL��3��& DBL4) \ i 69Y4 �SUMP7 \ VALLEY VIEW TERRACE; \ (��7�y�,� BLOCK 1, LOT 11 i7SUMP2 / VALLEY VIEW TERRACE; \ :ALE: / / BLOCK 1, LOT 3 =4n• i r4 ArGA NESS EE N T L p.....:.. „.,..... .... ..p ENGINEERING _ SALES CONSULTING v 3701 EAST TUDOR ROAD SUITE 101 'ANCHORAGE, ALASKAPHONE (907) 337 ' .W.ggcom .......... , , , „jo PREPARED FOR:PHONE NUMBER: PAGE NUMBER: ®1se �7f ffrey / arriess � - KEVIN ROBBINS & MELISSA DIEDERICH 907-351-6132 2 OF 3 0 CE -79 3' 20 PROJECT/LEGAL DESCRIPTION: DRAWN BY: �® •••. jj' 2AV VALLEY VIEW TERRACE; BLOCK 1, LOT 12 J-L.M. B�`p ••'••• ... '�'o® TYPE OF WORK: DATE: LICENSE ®®®�®0®S�'+®is RECORD DRAWING OF SEPTIC TANK UPGRADE 5/23/2022 #AECC884 I / EXISTING I INSTALLED DBL CO'S (DBL1 & DBL2) NEW 1250 -GALLON PLASTIC SEPTIC TAN TANK MT NOTE: OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC PER THE CONTRACTOR El VALLEY VIEW TERRACE; BLOCK 1, LOT 26 PARCEL ID NUMBER: 050-352-33 1 •• . jj�jjjji% A - EXISTING 4 -BEDROOM HOUSE , \ '�7� \ \ j — — — _'_1 — — 1 INSTALLED DBL CO'S (DBJJL��3��& DBL4) \ i 69Y4 �SUMP7 \ VALLEY VIEW TERRACE; \ (��7�y�,� BLOCK 1, LOT 11 i7SUMP2 / VALLEY VIEW TERRACE; \ :ALE: / / BLOCK 1, LOT 3 =4n• i r4 ArGA NESS EE N T L p.....:.. „.,..... .... ..p ENGINEERING _ SALES CONSULTING v 3701 EAST TUDOR ROAD SUITE 101 'ANCHORAGE, ALASKAPHONE (907) 337 ' .W.ggcom .......... , , , „jo PREPARED FOR:PHONE NUMBER: PAGE NUMBER: ®1se �7f ffrey / arriess � - KEVIN ROBBINS & MELISSA DIEDERICH 907-351-6132 2 OF 3 0 CE -79 3' 20 PROJECT/LEGAL DESCRIPTION: DRAWN BY: �® •••. jj' 2AV VALLEY VIEW TERRACE; BLOCK 1, LOT 12 J-L.M. B�`p ••'••• ... '�'o® TYPE OF WORK: DATE: LICENSE ®®®�®0®S�'+®is RECORD DRAWING OF SEPTIC TANK UPGRADE 5/23/2022 #AECC884 PERMIT NUMBER: PARCEL ID NUMBE OSP221095 RECORD 050-352-33R: FINAL GRADE TIM EKLUND WITH MOA ONSITE DEPARTMENT PRESENT DURING BOTTOM OF TANK EXCAVATION PER CONTRACTOR. -10" OF STANDING LIQUID IN TANK HOLE. BASED UPON PHONE CONVERSATION BETWEEN GEG CONSULTANT, JODY MAUS, AND MOA ONSITE INSPECTOR, TIM EKLUND, BOTH AGREED WATER MOST LIKELY FROM THE OLD SEPTIC TANK THAT WAS FOUND TO BE LEAKING. MR. EKLUND HAD NO OBJECTION TO INSTALLATION OF TANK. ♦®`'&®aaegOt OF dze �P•• GA ESS GI .......... `:'�°°, .....:. ,..4 . ..... i ENGINEERING <= SALES ,CONSULTING -_-� 3707 EAST TUDOR ROAD SUITE 707 •ANCHORAGE, ALASKA • PHONE (907) 337-6179' WEBSITE: www.yarnessenglneenng com ®¢.-.. 'f . .. . „� ,,` ...... „ 0 PREPARED FOR:PHONE NUMBER: PAGE NUMBER: ®C� '• J rey A. Gamess KEVIN ROBBINS & MELISSA DIEDER1CH 907-351-6132 3 OF 3 °j�,jf�= C -7953 Al;'•� PROJECT/LEGAL DESCRIPTION: ® t ? '\ DRAWN BY: ♦ ��` `."f ' 3, VALLEY VIEW TERRACE; BLOCK 1, LOT 12 J.L.M. ®4 �Fp�'•p•�`1�• '• N,�'+ TYPE OF WORK: DATE: E @d ® O�ESS�� a RECORD DRAWING OF SEPTIC TANK UPGRADE 5/23/2022 # LICENSE 4 ® Ilk a®w°® I Lot 3 PLOT PLAN AS BUILT —2L SCALE i" = 40' GRID SW 0160 Project No. _ 22-174/A2 ,^ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inC. (907) 522-6476 Phone dgoo0� (907) 522-4625 Fax �c Professional Land Surveyors ken*langsurvey.com o of ALNa jonothan0longsurvey.com �vP '<isap4 I hereby certify that i have surveyed the following described property: T... LOT 12, BLOCK 1. VALLEY VIEW TERRACE SUBDIVISION PLAT No. P-574 a �r : 49-.H Anchorage Recording District, Alaska, and that the Improvements situated thereon are `l,5 •' ' •' • •' • • • •. •. within the property lines and do not encroach onto the property adjacent thereto, that I no improvements on the property lying adjacent thereto encroach on the surveyed I% � K . ... G. .IA...... premises and that there are no roadways, transmission lines or other visible 0NG easements on said property except as Indicated hereon. QO(@ Q5202. • •' J Dated this the 2 Day of T'tLf at Anchorage, Alaska 44�p It Is the responsibility of the owner to determine the existence of any easements, bppIONAL pppd© covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://Www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221095 Work Type: SepticTank Upgrade Tax Code Number: 05035233000 Site Legal Address: VALLEY VIEW TERRACE BLK 1 LT 12 G:0159 Site Mailing Address: 23434 LOWER TERRACE ST, Eagle River Owner: DIEDERICH MELISSA JEAN Design Engineer: GARNESS ENGINEERING GROUP LTD This permit is for the construction of: Effective Date: Expiration Date �o�tr�nt ',. 1. n n .v Department Lot Size in Sq Ft: Total Bedrooms 4/29/2022 4/29/2023 27007 ❑ Disposal Field R1 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 wastewater.code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15 a. subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received Issued By: Date: Z- Z 1 - Date: 2 4 e'-' jam._ 4-;'k- Development Develo ment Services Department `��` p p \ ',��� Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-352-33 Property owner(s) KEVIN ROBBINS & MELISSA DIEDERICH Day phone 907-351-6132 Mailing address 23434 LOWER TERRACE *EAGLE RIVER, AK 99577 Site address 23434 LOWER TERRACE *EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) VALLEY VIEW TERRACE; BLOCK 1, LOT 12 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Receipt Number: �)oq6I G Receipt Number: Permit No, QG)02_Z10 e1 _g Absorption Field ❑ Initial ❑ Single Family (SF) Q Septic Tank Q Upgrade RX pg (w/wo ADU) Tank ElRenewal ❑ Duplex (D) ElHolding Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: A2Z5 Waiver Fees: Date of Payment: '/ i.;A2 Date of Payment: Receipt Number: �)oq6I G Receipt Number: Permit No, QG)02_Z10 e1 _g Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Clie nt FormsTermit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221095, Deb Wockenfuss, 04/29/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221095, Deb Wockenfuss, 04/29/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221095, Deb Wockenfuss, 04/29/22 4oh, 64. RETAINING WALL-\ 0---- Lot 3 PLOT PLAN AS BUILT X SCALE 40' GRID SW 0160 Project No. 22-174/Al__ 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone (907) 522-4625 Fax * OFAZ�� Professional Land Surveyors ken0longsurvey.com - X jonothon0langsurvey.com 14K'�' - - QQ I hereby certify that I hove surveyed the following described property: LOT 12, BLOCK 1, VALLEY VIEW TERRACE SUBDIVISION (PLAT No. P-574) dir)"* 491. H** .. .. . ...... Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no Improvements on the prop" lying adjacent thereto encroach on the surveyed ". NE"NNIB-. LANG promises and that there are no roadways, transmission lines or other visible easements on sold property except as indicated hereon. pct LS -52Q Dated this the Day of at Anchorage, Alaska ort-SSIONA- It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plot. AECC963 1 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 • NAME PHONE EW O UPGRADE MAILING ADDRES LEGAL DESC IPTION/ � C..l.�� fto LOCATION NO. OF BEDROOMS O Y DISTANCE TO: Well oO Absorption area Dwell T i',U PE 2 o Manufacturer 2�p� Maw / •�� No. of co ants Liq. ca achy in s ns Inside len th IF HOMEMADE: g Width Liquid depth d Y Jn2 DISTANCE TO: Well Dwelling PERMIT NO. 0 la- Manulacturar Material liquid capacity in gallons J.j W DISTANCE TO: Well 0 Foundatio Nearest lot line / PERMIT NO. LL Z Z W ~ No. of lines Length f ani Total 1 th of ynes Trench t / l.J Distance be nynes O f- TOP of lire to finish grade / Material beneath lila inches Total eff`ti%Vbsorption area inches 3�9PERMIT W Lenth 9 Width Depth NO. t7 W d W Type of crib Crib diameter Crib depth Total effective absorption area rn DISTANCE TO: Well ndation Nearest lot rine J J Class Depth Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Eller Septic tank Absorption area(s) OTHER PIPE MATR91ALS f UC ;EzJ d (7 SOIL TEST RATING 21. Q INST ER W c3—O S no REMARKS Ai -'d weKa P, CGI t 6 G IV 124 APP ED DATE L/EGAD}, �` '7 72-0 IRev. 3/]AI rl U" I #I- I P F=l L- I T CA F H r -a i3 F-1 CAF,: F -e 13 E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 225 'L' STREET, ANCHORAGE, AK. 99:01 264-4720 L4 EZ L_ L_ 4JEL1L FA rA E> CAr.J ITE E1•JER PERM I T PERMIT NO. C 790574 ) APPLICANT BOX 1203 EAGLE RIVER 694 3204 LOCATION EAGLE RIVER LEGAL L12 Bl VALLEY VIEW LOT SIZE 43560 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER. OF BEDROOMS = 4 SOIL EATING (50 FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: G>EF IF VA= to LErJi3IFUA= to CFOrl41EL E?EF'TFA _ THE LENGTH DIMENSION IS THE LENGTH CIN 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 CIN FEET). THE TF EZ t4 CT V4 W I E>TH I cl CA CD CA FEE=T THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). RF=_lDU I F=:EO SEPT I C -F nr-4K I -'E= 12!�2:ri 3RL LC�tylr PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE IN'=TALLATION INSPECTIONS OF ANY !JELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- T14CD C 2' } I r.103PEI:-- T I CAr-J=. F1RE F=*CC7.1 U I REE: BACKFILLING OF ANY SYSTEM WITHOUT FINAL IN'PECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETHEEN A WELL AND ANY ON-SITE SEWAGE DISPO'AL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30'DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEF=_Ir' I I T E: FP I RE- C�FEE CEr•1E,EF =:1s 1_=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 THE CODES. I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM PAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED: ,.---� - APPLICANT E E: L FREAMAN ISSUED BY----------------DATE-2 -' O V=.2 r1 n O & E ENG- AEERING & DEVELO't HENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Ruuell Oyster 694-2774 Performedfor. Name:_ Mailing Legal Description: c Depth (leel) 0 Soll Characteristics SOIL LOG NrdN z 2 `3 4 ,-5 11_ 12 0 Earl Ellis 688-2280 .Tel. No.� '3Z A PLOT PLAN 13 _ PERC. TEST 14_ 15— {, 16 Ground Water Encountered: Yee L o If yes, what depth AD Proposed Installation: Seepage Pit_ Drain Field �� Comments: Performed by: ��L//�u C j.Te-� Date- 9� Z2- (��rift��tlhn ru by N,UNICI, A_b C i.C:CHOPAGE DOC Co. Oa E: i /; 1'.. CMAC r'.OiLCTION SULLIVAN WATER WELLkc; 5 1979 P.O. BOX 272, CHUGIAK, ALASKA 99567 • TELEPHONE 6882759 RECEIVED OWNER OF LAND c ,. ; =✓ DEPTH OF WELL ADDRESS - STATIC LEVEL OF WATER FT. LEGAL DESCRIPTION DRAW DOWNFT. DATE. - Started 7 /' " Ended GALS. PER HR ' PERMIT NUMBER 7,1 ' `! KIND OF CASING KIND OF FORMATION: Ft. to Ft. '' " From Ft. to Ft. From Ft. to Ft. From From Ft. to Ft Ft. to Ft. From Ft. to Ft. /' From Ft. to Ft Ft. to Ft. From Ft. to Ft. "'' ' From Ft. to Ft Ft. to FromFt. to Ft. Ft. From Ft. to Ft From From Ft. to Ft. `i '�` ' ' From Ft. to Ft From Ft. to -1-2 t Ft. c r' •' / ` From Ft. to Ft From Ft. to l ,- Ft. !; ,,, n .- c_ "i ' T— From Ft. to Ft From Ft. to Ft. ' •' From Ft. to Ft i From Ft. to I'' ' Ft X'-,7.,From Ft. to Ft From Ft. to r ' Ft. "- �• ' - From Ft. to Ft From Ft. to Ft. '' " From Ft. to Ft. From Ft. to Ft. " From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: DRILLERS NAME ' '•" s Parcel I.D. 050-352-33 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION: Expiration Date:[/ — (r Z� Complete legal description VALLEY VIEW TERRACE; BLOCK 1, LOT 12 Location (site address) 23434. Lower Terrace ''Eagle River 99577 Current Property owner(s) Melissa Diederich Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 351-6132 Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well IN Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number gG Receipt Number COSA# 61;C �_�_1 2_�IS 5 Waiver # rr 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: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date., 2 22 - In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. 6. D D SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Yf 4 U ! �...........y. I.n --/ ���-l-•c?z5S: --- v —?J 1 3 }i t ,rc, ON-SITE �v WATER = o AND rn s WASTE , TER PROGRAM P;1_Conditional approval for bedrooms, with the following sti Original Certificate Date: - _ Z- 7 - OA - 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 Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other V qv Legal Description: VALLEY VIEW TERRACE; BLOCK 1, LOT 12 Parcel ID: 050-352-33 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA N ❑ Well log is filed with Onsite (or attached) Date drilled 9121,79 Q0 Total depth 200 . ft Cased to 60.58 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 4/5/22 Static water level at beginning of test 135.8 ft. Comments *PER PROPERTY OWNER B. TANK DATA Age of tank(s) NEW years Tank type/material SEPTIC/PLASTIC Measured operating fluid level in septic tank NEW ❑ Standpipes/foundation cleanout per record drawing Date of pumping NEW D. ABSORPTION FIELD DATA DUAL TRENCH Which system tested (date installed) 10/2179 ❑ ALL standpipes present per record drawing Total measured depth from grade 4.58 ft (max) Measured depth to pipe invert from grade *2.41 ft (min) ❑ NIA — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 26' Well production at time of test 5.2+ gpm Water storage tank volume `200+/- gallons Well disinfected for coliform test? ❑ Yes Fil No I�J_Coliform bacteria is Negative Nitratey- 3 8-5mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L JR 'Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample C. LIFT STATION ❑ Required maintenance Age of lift station Lift station mated Commen Adequacy test date 4/5/22 Results Q✓ Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 645 gal New depth 14 in Elapsed time 120 min ElCode-requiredsoil cover over field Final fluid depth 4 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) NIA If yes, enter date Gallons introduced gallons A r ntp Com ments/Deflciencies:TESTED NORTH TRENCH ONLY -SOUTH TRENCH WAS SURCHARGED UPON ARRIVAL. -SEE EMAIL FROM OWNER REGARDINGFREEZING q4 COSA Checklist yellow sheet of 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' Q Yes if No Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft Yes if No ft Neighboring Tank > 100' Yes if No ft Private Sewer/Septic Line > 25' El Yes if No ft Absorption Field on Lot > 100' F-9 Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' Q✓ Yes if No ft 0 Yes if No ft ft If septic tank is under driveway comment below F. ENGINEER'S COMMENTS Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' R Yes if No ft r✓ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' QYes if No ft Property Line > 5' Q Yes if No ft Wells on Adjacent Lots: Wells on Adjacent Lots: Absorption Field > 5' 11 Yes if No ft Private Wells > 100' Q Yes if No ft Water Main > 10' aYes if No ft Community Wells > 200' Yes if No ft Water Service Line > 10' ETYes 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 *81 ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' 0 Yes if No ft Water Service Line > 10' Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' Q Yes if No ft F. ENGINEER'S COMMENTS *WR#050101 G. ENGINEER'S CERTIFICATION I certify that l have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA.COSA guidelines in effect on this date. COSA Checklist yellow sheet 0 v 4 T ...... I 41ey A. arness: cA— 7i�53 •TI 222' 8; 40�dprofessio�°Qo #AECC884 Erik Widger From: Kevin Robbins <alaskaoe@hotmail.com> Sent: Monday, May 23, 2022 1:20 PM To: Erik Widger Subject: 23434 Lower Terrace Hi Erik, As per our conversating earlier Melissa Diederich and I have had no issues with our septic system at 23434 Lower Terrace in Eagle River AK freezing. Thank you for you help with our new septic tank. Kevin Robbins \ Municipality of Anchorag6-' ' Development Services Departmen uj14°S �= Building Safety Division „... On -Site Water ti. Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. _011Rb-3-P-33 HAA# ()505 1. GENERAL INFORMATION Expiration Date: a - / 6 - 0 cc Complete legal description VALLEY VIEW TERRACE SUBDIVISION; LOT 12, BLOCK 1. Individual On-site 0 Location (site address or directions) 23434 LOWER TERRACE STREET • EAGLE RIVER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address ALEX PROSAK Day phone 257-7114 P.O. BOX 772077 • EAGLE RIVER, AK 99577 Day phone ED JACOBSON w/ PRUDENTIAL VISTA Day phone 3801 CENTERPOINT DRIVE • ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 562-6464 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 engineers work. d. STATEMENT OF INSPECTION BY ENGINEER As certified by my seat affixed hereto and as of the validation date shown below, I verity that my Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the onsite 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 verity that based on the information obtained from the Municipality of Anchorage (les and from my investigation and inspection, the onsite 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering anatysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance ofthe 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. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 4 bedrooms. Disapproved. Phone 337-6179 Date o 26 0 Conditional approval for bedrooms, with the following stipulations: Attachments: l/ HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements {tilt%(�crhr • ON-SITE WASTEWATER rr%L)UMAM 41 • �ZN Supplemental Engineer's Report /vl����/111111 Other By-Lv Original Certificate Date: (571— 1:0V ZlIr (Rev. 17)01) Municipality of Anchorage Development Services Department �J Building Safely DNisbn OnSke water & wastewater Program 47W South Bragaw SL P.O. Box 198850 Andwage, AK 99519-M www.d.anchorsge.sk.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: VALLEY VIEW TERRACE S/D: LOT 12, BLOCK 1, Parcel ID: 050-352-33 A WELL DATA Well type PRNATE If A, B, or C provide PWSID# N/A Date completed 9/28/1979 Sanitary seal (YM) YES Total depth 200 ft. Cased to 60' 7" ft. FROM WELL LOG Date of test 9/28/1979 Static water level 120 ft. Well production 3 — 9 -p.m - WATER SAMPLE RESULTS: Wan Log (Y/N) YES Wires property protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 10/12/2005 65 ft. 4.17 g.p.m. Coliform 0 oolonies/100 ml. Nitrate 0.1 mgA. Other bacteria 0 colonies/100 mi. 10/12/2005 Arsenic: N/A mg./L. Date of sample, 10/13/2005 Collected by: GEG, LtD. S. SEPTIC/HOLDING TANK DATA Tank Type/Material GREER/STEEL Date installed 10/2/1979 Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (YIN) NO Cleanouts (Y/N) YES High water alarm (YM) N/A Date of pumping 10/5/2005 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA 'BELOW EXISTING GRADE TO BOTTOM OF MT MT ONLY EXTENDS 26" BELOW INVERT Date installed 10/2/1979 Soil rating (g.p.d./ft'br� 125 System type TRENCH Length 80 (2040) ft. Width 3 ft. Gravel below pipe 3 ft. Total depth P4.66 ft. Eff. absorption area 500 ft' Monitoring tube YES Depression over field NO Date of adequacy test 10/12/2005 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before test 112 in. Water added 867 gal. New depth 22.5 in. Elapsed Time: 188 min. Final fluid depth 15 k1. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date TESTED UPPER TRENCH. LOWER TRENCH SURCHARGED. D. LIFT STATION Date installed Size in gallons Manhc 'Pump on' level at _in. E. SEPARATION DISTANCES High water alarm level at Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAtft station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service One 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 50+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: *SEE ATTTACHED AS -BUILT SURVEY $r' N/A Property line 'tk+ Building foundation t 0'+ Water main Water service line t0,+ Surface water 100'+ Driveway, parking/vehicle storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field Inspections and review of Municipal records that the above systems are in Q" "" conformance with MOA HAA guidelines in effect on this date. Je A. meas: Engineer's Printed Name JEFFREY A. GARNESS E-7953 Date lo�z 6 q e sO VM,Prol�asa�a HAA Fee $ `� Waiver Fee $ Date of Payment \ci "C� Date of Payment Receipt Number Receipt Number -7 i Iw... tvoo> GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS November 16, 2005 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Valley View Terrace Subdvision Lot 12, Block 1. To whom it may concern: We request that your department issue a 8 -foot lot line waiver from the south property line to the existing drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for ., M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507 Ph: (907) 337-6179 0 Fax: (907) 338-3246' Website: gamessengineering.eom Munic%ality of Anchorage •. t ' W). hm 106CA 1 • AVahurage, Alaska 9'.k519 fir.i0 • Tehyhone ((M)7) M -&k)1 • raa ((X)r) ai.4.R X) 4700 [lmgu)c Slrcct • Mchany;c, Alaska J(Lil)7 uxxtmunl.org Mayor Mark Begich Ilnilding Snfcty Dhision 14 November 2005 Garness Engineering Group, Ltd 3701 E. Tudor Road Suite 101 Anchorage, AK 99507 Subject: Waiver Request for Valley View Terrace Block I Lot 12 Waiver Request #WR050101 Parcel ID #050-352-33 Dear Mr. Garness: Your request for a waiver of the required 10 feet from the Absorption Field to the Property Line is approved. The approved separation distance is 8 feet. This waiver approval applies to the existing Absorption Field to Property Line separations only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, jv/ Jeff Poet Engineering Tech On -Site Water &: Wastewater Program Community, Security, Prosperity ■n NOV-09-2005 16.30 PRUDENTIAL. VISTA REAL EST 907 562 5485 P.01/01 ■: •/Oa.•3%, l�w.•e.r, T•ai•-rn.Gt'S•T:.� �x':'t, •-h. ■om I S».4 7 i' a ',, see s lO /X!d vt,' • , ►a.t �1 �� ' � r .fO.Y,Nf"'/1111.' •-i' •• 71'1., �'=y:. �m:'�l :• ':l • , .. ', r• ;: 11th %Cx'M2t��a•�'� .:n i:/ '• '. ��iP �• ••.la r • is ;moi ), •- • .. .. :• • ISfr�3 i. or X P�vi —4.._.r A e6i- ' i,` �G • T �' 74�►5• AS-BMT �. Vpe &4old t"—i3—gam %i.Qp+ I AerebP certify thatj have amveyed the foilovrft described property � G %" l 140 IM k/ ' iia-//�yy��.r<;�•r�r.:�..a. subd . • 's!✓YF•:.�c:�'ro::•i.?;'�`•14-1Ci�ii f tw1 S%�?� .'•-, Anchorare, Reowdin8 Ptedact,'Alaska and -.4 OF A4 ' rA' � itnpi'oc•'emants situated thereon are within the ptopta#p: linea and do not overl..pp on enrroach'on'the property: I91ug adjacent thereto. that !m . r. f•,a •.•r',•e S no ovemwnfs,on erty 7}".n8�at�acent thereto encroach the pt'cmises fz ; " ' rF'}• • •,.7�•�"i' d ; S 0 Question and flat there are no roadways, trarumitsion Lnes .yi. ' ;•. ?ih �' S'ir /� or other ttsiblo eav=ents on said property except indicated nereon. a: { � ' Dated-at Eagle Rlver,Alaska . ; ..» c.J:.I rs>n ' .ih1• T da, Y!,w�j N*. .:�s : 4'" v ,,. •r.;`e. ROM= a JOHNSok 7t.o y-- SCALE: rvtrAzterad Land o. 680- ;` a • F r ..,,� ..,:<'• ;,.. ,i� <' •.. .l� �C•�er� 1" =3a .Box ase. Eoare xt.Tr, Pheme 6L4-4544 .��_.,..--•--_.--�.�—_w- � TOTAL' P.01 Municipality of Anchorage Development Services Department Building Safety Division" Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 , M CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-352-33 HAA# HA 0/0664 1. GENERAL INFORMATION Expiration Date: 4,X02- Complete legal description VALLEY VIEW TERRACE SUBDIVISION: LOT 12, BLOCK 1 Location (site address or directions) 23434 LOWER TERRACE STREET • EAGLE RIVER, AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address Dayphone 696-3659 23434 LOWER TERRACE STREET • EAGLE RIVER. AK. 99577 Day phone BROOK STILTNER w/ REMAX OF E.R. Day phone 244-6742 16600 CENTERFIELD DRIVE • EAGLE RIVER, AK. 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 01 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site OI Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid 51080.00 at, orprior to closing for the engineering services provided. 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 riles 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 Finn ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 28 ' ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AWWC, 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. AWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 4 bedrooms. Disapproved. 337-6179 Date &;o / O Z- 1 MWNFFVM� Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist y _ Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other .. ...... ... (. e s.- 7953 w�`0 ON-SITE •' '--Wt�FER-AND . WASTEWATER qM ' By. E1 _z Original Certificate Date: 2 (R". 1=0) Municipality of Anchorage Development Services Department Subding Safety OMalon On-SRB Water & Wastewater Program 4700 South Sragaw St. P.O. Box 196650 Anchorage, AK 99519-66W www.danehomge.ak.us (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: VALLEY VIEW TERRACE S/D: LOT 12, BLOCK 1 Parcel ID. 050-352-33 A. WELL DATA Well type PRIVATE It A, B, or C provide PWSID# N/A Date completed 9/28/79 Sanitary seal (Y/N) YES Total depth 200 ft. Cased to 60' 7' ft. FROM WELL LOG Data of test 9/28/1979 Static water level 120 ft. Well production 3 g.p.m. WATER SAMPLE RESULTS: Coliform _0- colonies/100 mi. Nitrate 0.5 mgJL. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 11/28/01 65 ft. 4.47 g.p.m. Other bacteria _,Z—colonles/100 ml. Date of sample: 11/28/01 t 12/x/01 Collected by: AWWC. INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Material GREER/STEEL Date Installed 10/2/1979 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (YM) N/A Date of pumping 1 Pumper We PUMPING C. ABSORPTION FIELD DATA *UPPER TRENCH TESTED ONLY LOWER TRENCH IS SURCHARGED. Date installed 10/2/1979 Soil rating .p.d fttWrm) 125 System type TRENCH Length ao'(2 0 40') ft. WkIth 35 ft. Gravel below pipe 36 ft. Total depth 67 ft. Eft. absorption area 500 ft' Monitoring tube YES Depression over field NO Date of adequacy test 11 /28/01 Results (Pass/Fail) *PASS For 4 bedrooms Fluid depth in absorption field before test 13.5 in. Water added 720 gal. New depth 24 in. Elapsed Time: 301 min. Final fluid depth 16.5 In. Absorption rate x 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YM 8 type) NONE KNOWN H yes, give date – D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size In gallons High water alarm level at Cycles tested Meets alarm S circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ Building foundation Absorption field on lot 100'+ Public sewer main N/A Surface water Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhote/cleanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC(HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water-----! —0OL+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: 'SEE ATITACHED AS—BUILT SURVEY Property line '10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkinglvehicle storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION _Gd; I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Date HAA Fee E Data of Payment Receipt Number (Rw. 12M) JEFFREY A GARNESS Waiver Fee E Date of Receipt Number A. GarnesS. —7953.E ..... •''•moo S & S` ROBERT C.COWAN. PE. p neep i ng --1995 ROBERTA. SHAFER, P.E. July , CIVIL ENGIN I RS FAX(907)694-1211 NEALTNAUTHMTY RECEIVED APPRM&S Municipality of Anchorage Department of Health and Human Services JUL 2 51995 Attention: Robby Robinson P.O. Box 196650 Municipality of Anchorage SEWER&WATER Anchorage, Alaska 99519-6650 Dept. Health & Human Services MMN EKTENSXM REFERENCE: Lot 12 Block 1 Valley View Terrace Subdivision SEWER! WATER 94SPECTION Dear Robby, ENC�ERORTS s During an inspection on July 24, 1995 we have confirmed the intermittent stream is no longer present. We were not contacted to perform inspections during construction, however, it would appear the work required on the WELLlbPECRON conditional Health Authority Approval dated 2-21-95 has been &PLOWTEST completed. Please issue a final Health Authority Approval. Sincerely, SITE PLANS ) 7W`- Robert C. Cowan, P.E. ROAD DESIGN SOILTEST PERCOLATION TEST STRL CTUiAL & MECHANICAL MISPECTIONS ONSITE WASTEWATER DISPCSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O.8ox 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# O SO 3 3-.2 — 3 3 HAA# H 4 '1S-cC, 3-01 1. GENERAL INFORMATION Complete legal description Lot 12; Btoch 1; Vattey View Tennace Subdivision Location (site address or directions) Lowen Tennace Road Eagke Riven, AK Property owner Jenny Rau Day phone (501) 936-7412 Mailing address 1209 2uai.t Tennace Rogw. Ankan6a6 72756 Lending agency Mailing address Day phone Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF 4 3. TYPE OF WATER SUPPLY: Individual well Community well Public water XXX 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 xxx 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. ?2-= (R«.1/91) Front MOA R21 S. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my invest�qation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S i S ENGINEERING Phone tj 9 y- X 9 17034 • Itl~ Loop Rad No. 241 Address Es26 RI1nr A Engineer's signature .'-s— Date !/ 1 T/95- 6. OHMS SIGNATURE Approved for Disapproved. Conditional approval for 0 Additional Comments bedrooms. bedrooms, with the following stipulations: 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. r3431Pw.1/91) 0¢ MOA121 MUNICIPALITYOFANCHORAGE ' ' ` ' ` .,pl.r DEPARTMENT OFHEALTH & HUMAN SERVICES ®� Division of Endironmental Services . On-Site Services Section P.O. Box 198850 Anchorage; Alaska ' 99519-6650 - 343-4744 .... _....._..". ".!.,e: .r a .. .,.:. .., :_ ._...... .''. . -CERTIFICATE OF,HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING - Parcel I.D. p ° s o 3 s' —33 HAAs► HAAS0099 1. GENERAL INFORMATION rcS =•'• Lcen r,_ai �o r J - ' Complete legal description_ Lot '12; Block 1: Va.Lteu View Tertnace Sa6dfv.ia.ion = Location (site address or directions) Lorou Tenrtac¢ Road - Eaato Rivet AK !.`. .. Property owner Je"O -Ray - Day phone (501) 936-7412 Mailing address 1209 Qua.Lt TgAitaci Room. Artkansas 72756 Lending agency _ Day phone Mailing address Agent Mcke Gue6#/ Marta ton Reat Ee er Day phone 248 2804i�,r AddiessL W Nowthertn Lights BCvd Anchoaaae. AK 99517 I �._4� Unless otherwise requested, HAA will be held for plc up.. -- Z.- NUMBER OF BEDROOMS: 4 3.: TfPE OF WATER SUPPLY Y` :�_'. �.:-_ i' '• ..s._Ind1VldUsi well,.. Communitywell777777... = 'Public water .NOTE: If community well system, provide written confirmation from State ADEC attest= Ing to the legality and status of system.` 4. TYPE OF WASTEWATER DISPOSAL - i Individual on-site '-!f XXX r y Holding tank _ - Community on-site Public sewer NOTE: �If community wastewatersystem, provide 'written confirmation from State ADEC attesting to the legalityand status of system. . �.- . .. acssm«.vni r,an wwm ._ ......_._. _ . L STATEMENT -OF INSPECTION.BY.ENGINEER As certified by my seal affixed hereto and as of the validation date shown below. I verity that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my invesygation and inspection, the on-site water supply and/or wastewater disposal system is In compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. , Name of Firm S i S ENGINEERING " ' Phone', ' a q 7 9 17034 Eaple River Loop Road No. 204 .. 9 Address Engineers signature Date . /0-Y /9 r REQUEST YOU ISSUE A. CONDITIONAL,HEALTH AUTHORITY APPROVAL ON THE BASIS THAT THE -INTERMITTENT STREAM,AS SHOWN ON THE ASSUILT SURVEY, IS PLACED UNDERGROUND NO:LATER THAN 15 JUNE 1995..O rye`` F ^ The Municipality of Anchorage Department of Health and Human Services (DHHS) laves 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not _, conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not ..., responsible for errors or omissions in the professional engineefs work. it=RT G COVIA}i . #C� ,r Uj1 6 — DHHS SIGNATURE - - - - �,. c_ -E901 ;1 `� ^" " Approved for —bedrooms � j,, _f, ° X/.'Disapproved - t �'��Conditionai approval fora-" bedrooms, with the following stipulations y : V �� "Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) laves 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 orderto satisfy certain federal and state requirements. Employees of DHHS do not _, conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not ..., responsible for errors or omissions in the professional engineefs work. Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Descriptionl—r 11- ?�y.- 1 gk%ue y \I,E.J Parcel I.D. TF1-�.'Tu A. Well Data o,ro-3s'2-33 Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (AN) J Date completed 9 -218 -'I `I Driller Total depth Zoo' Cased to (.io' t Casing height 11- Sanitary i Sanitary seal ®N) Date of test Static water level Well flow Pump Ieveil FROM WELL LOG 4]-;Z a-75 Wires properly protected (?1N) AT INSPECTION / -.>/' -9t /37' 3. o g.p.m. 1-.0 g.p.m. dl� ✓K. SEPARATION DISTANCES FROM WELL TO: Septicftmkling tank on lot loo' } On adjacent lots 1 o'� Or Absorption field on lot \oo�Y ; On adjacent lots \u o\� Public sewer main NA Public sewer manhole/cleanout '11P Sewer service line '!-s Petroleum tank 2S'; WATER SAMPLE RESULTS: Coliform C> Nitrate O. Lz- Other bacteria D Date of sample: 11 -31 --IS- Collected by: S S S ENGINEERING 17034 MIG 1111va LW Rud No. 20w— B. SEPTICMOLV= TANK DATA Ea& Rine, Alaska 99S77 Date Installed 1979 Tank size /ash Compartments Z CleanoutsQN) _Foundation cleanouto/N) V Depression (y/Q ./ High water alarm (Y(D Alarm tested (Y/N) '1 �' Date of pumping Pumper .T_Q_ 6i'SS000L B� SEPARATION DISTANCES FROM SEPTIC/H9 TANK TO: r Well(s) on lot /00 r On adjacent lots /00' 10 Foundation 10'.1 To property line /o -- /I Absorption field .73 ' Water main/service line /0 + Surface water/drainage W Stf- pTr)s Icr) GOACo-nasku 72-026 (yss)' Fmm CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Manufacturer Size In gallons Manhole/Access (Y/N) Vent (Y/N) High water alarm level 'Pump on' level at Meets MOA electrical codes (Y/N) SEPARATION LIFT STATION TO: tested at on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date Installed l91`I Soil rating (GPD/Ft) 125 /be- System type f ria Length Width 3 Gravel thickness 3r Total depth L Total absorption area A80� Cleanout present &l) Depression over field (Y&I -- Date of adequacy test 1'1 /I S Results J5 as ail) for Bedrooms Water level In absorption field before test After test b�I Peroxide treatment (past 12 months) (N%D t,o-1 k-- V--�o J If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot + On adjacent lots loo"_ Property line l o r To building foundation to 0- To existing or abandoned system on lot On adjacent lots 3� Y11 Cutbank A A- Water main/service line Surface water $ f,"- Driveway, parkingNehicle storage area 50 % Curtain drain 'L E. ENGINEER'S CERTIFICATION I certify that I have checked veribed, or conformed to all MOA and HAA guidelines in Signature _Z61Z 4�r_l Engineers Name 1?00E.es- C. Covq✓ Date ZZ /1H/#1r HAA Fee $ 300 ed9 Date of Payment Receipt Number 72-026 (W93)' Back p j RC"ERT C. COWAN CEE 8301 Waiver Fee $ Date of Payment Receipt Number of this inspection. bub U 46' _ _ DATE RECEIVED -' INSPECTION APPOINTMENTS View IL.i-mar subdivision TIME TIME TIME a . TYPE OF RESIDENCE 11:15 a.m. Meet DATE DATE DATE ❑ Two ❑ Five ❑ MULTIPLE FAMILY 5-6-80 Tuesday INSPECTOR INSPECTOR INSPECTOR ' ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY Pratt MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE \ DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTIOAEPT. OF V:ALTH& 1 625 L Street • Anchorage, Alaska 99501 • ENVIRONMENTAL FZOTECTION ENVIRONMENTAL SANITATION DIVISION IAAY 21980 Telephone 264-4720 pp��CC'' ,, // CC nn REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SERgEl i,6QIAjIG DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE Bill Foreman 694-3204 MAILING ADDRESS Box 1203 Eagle River 99577 PROPERTY RESIDENT III different from above) PHONE 2. BUYER PHONE Charles H./Dorothy V. Richardson MAILING ADDRESS 3. LENDINGINSTITUTION PHONE Coast Mortgage Company 279-0665 MAILING ADDRESS 4497 Business Park Boulevard 99503 4. REALTOR/AGENT PHONE Dick Brown 277-0551 MAILING ADDRESS 1021 West 25th Avenue 99503 5. LEGAL DESCRIPTION Lot 12 Block 1 Valley View IL.i-mar subdivision S FEET LOCATION U ower Terrace Drive, 5th house on the left . TYPE OF RESIDENCE NUMBER OF,BEDROOMS >Z:9X SINGLE FAMILY ❑ One SSx Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY LR;lC 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.) S. SEWAGE DISPOSAL SYSTEM »t INDIVIDUAL/ON-SITE" Iq-1`i . YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010(Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 72 010 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ , PUBLIC UTILITY Connection Verified PERMIT NUMBER 790574 DEPTH OF WELL DATE DRILLED LOG RECEIVED 10-8-79 on file also an extra attached. 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE C3 PUBLIC UTILITY Connection Verified PERMIT NUMBER DATEINSTALLED INSTALLER ❑SepticTankor ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Sepuc/Holdi7 Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Zk--'APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE - � Sa^ l "y^� '. BY --S- I q --S- 72010 (Rev. 6/79) 09:44RM 9—,T CORP. BOB •Cr `r � /CO. ��,�(,I iN,s,t••:7:Jctt.'T:!�.j^ � ,:i. '.� n ;.•ti•i :•t yt:1• ,•y `•' .i (., '{rte•' � 1 r. • M.: Tv..•.i.�t r•{•'�1 t t fju ._5. '✓IGty. ! }•C: yip �r�:f jj `:•{ .J: .:� rE . �f '�1�•w'%•'Ti ,1Z. •1�/ l0 •• Yom.+•`' P.02 P.01 C. 04 , }••, '• •ter~' . R.vus,r,�"".fn/••'7r-G•.:'!.3'I • :yQa$, .. '. •-: . '. •:A8-�ilizi%`-:<� •.,, t1�d �.'C•tli (3- `l L�: if�+. I uebY eert�p''!II .11A V* �et • • , bWc,Ues1 vro�y��,„''Y •1' •• A,ithotar •=laoon}(�. ?t•anGtcl,. aa1la, iad` linesAalid, o. situated.theraoa'a+Y.lrttDlfl;tba Ot" Qj:� •' lana and.,Qo.notoverlaa.pp of+OOCCboatoh`on-'W� ��.wr.•5`' ly.Mg adjaoeot thet'eto,'R+bt o sm "**Ptr..:�b• i..'r•. 4'Q���a erly binY` LdjaCeat thg`71to a bt't!M • , i' �' !f' a •' • pUQ5 9G and tIL:t • tro•aty i no-ToiQwa7v.. t" r �. 'r• ♦ Ilnta or otter NYble "B Menti On "M p"P"V 4KI "� 1��; �:it • / � ' ` tc a LndlneW l,etoop.• � . re w..•.. ai• ..... t. Na Dited at F.r„rIf. IL11or, A]Its7ca:IGM " � • • . �.:.. , '. jA rP— • 031= . 30�i 54Hi7YR � SCdLB: xuru:eeni fnnQ � ;4•,,»�;,,.a,'..: ti.y - l'sz�p!• Dox t50�� �' �}b�:RM .•JkiiA[�;h•: •.. y�4arS./`,,. ..y.,•,•yr^' . nwvc:.0Ya i•'Ma: ':.T• :JsS.:, ;`�+. f r•�tf�.i::r� �! '• •a',. '.� n ;.•ti•i :•t yt:1• ,•y `•' .i (., '{rte•' � 1 r. • M.: Tv..•.i.�t r•{•'�1 t t fju ._5. '✓IGty. ! }•C: yip �r�:f jj `:•{ .J: .:� rE . �f '�1�•w'%•'Ti ,1Z. •1�/ l0 •• Yom.+•`' C. 04 , }••, '• •ter~' . R.vus,r,�"".fn/••'7r-G•.:'!.3'I • :yQa$, .. '. •-: . '. •:A8-�ilizi%`-:<� •.,, t1�d �.'C•tli (3- `l L�: if�+. I uebY eert�p''!II .11A V* �et • • , bWc,Ues1 vro�y��,„''Y •1' •• A,ithotar •=laoon}(�. ?t•anGtcl,. aa1la, iad` linesAalid, o. situated.theraoa'a+Y.lrttDlfl;tba Ot" Qj:� •' lana and.,Qo.notoverlaa.pp of+OOCCboatoh`on-'W� ��.wr.•5`' ly.Mg adjaoeot thet'eto,'R+bt o sm "**Ptr..:�b• i..'r•. 4'Q���a erly binY` LdjaCeat thg`71to a bt't!M • , i' �' !f' a •' • pUQ5 9G and tIL:t • tro•aty i no-ToiQwa7v.. t" r �. 'r• ♦ Ilnta or otter NYble "B Menti On "M p"P"V 4KI "� 1��; �:it • / � ' ` tc a LndlneW l,etoop.• � . re w..•.. ai• ..... t. Na Dited at F.r„rIf. IL11or, A]Its7ca:IGM " � • • . �.:.. , '. jA rP— • 031= . 30�i 54Hi7YR � SCdLB: xuru:eeni fnnQ � ;4•,,»�;,,.a,'..: ti.y - l'sz�p!• Dox t50�� �' �}b�:RM .•JkiiA[�;h•: •.. y�4arS./`,,. ..y.,•,•yr^' . nwvc:.0Ya i•'Ma: ':.T• :JsS.:, ;`�+. f MUNICIPALITY'OF ANCHORAGE Department of Health and Environmental Protection �+ I! 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224, 225 _J� equest for Approval of Individual Sewer and Water Facilities 1. Property Owner:�_�LC Mailing Address: .424oiiCK Phone: 2. Name of Buyer: Cii/�40Lc� %f 5` pd Mailing Address: Phone: 3. Lending Institution: env -9 Mailing Address: U Phone: r • [// _. 4. Realtor/Agent: Mailing Address: ' 16 42� 1�1rS`B3 Phone.- � � 5. Legal Description:j'f- Ia-- II!/fltL-lfeP `yL�� Street Location: aKT% 6. Single Family Residence: (A Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well (x, Public/Community System ( ) If Individual Well, well depth JAO • If Community System, name of system 8. Sewage Disposal System: On-site System ()Q Public System ( ) If On --'"site System, date of installation: xAd 7,q & Qtf A5< �X•4 l���L/✓/l//1�t.� *NOTE: A well log is required on ALL wells drilled since.6/75. 3/77