HomeMy WebLinkAboutEKLUND BLK 1 LT 2Eklund
Block 1
Lot 2
#050-531-03
Municipality of Anchorage
Development Services Department
Building Safety Division ·
On-Site Water and Wastewater Program, 4700 Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page 1 of ,~/~
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: OSP101274 PID Number: 050-531-03
Name:
Secretary. of Vetrans Affairs / Bank of America Wastewater System: [] New [] Upgrade
Address:
30339 Eklund Avenue ABSORPTION FIELD
Phone: Number of Bedrooms:
[] DeepTrench [] Shallow Trench [] Bed [] Mound [] Other:
LEGAL DESCRIPTION so, Rating: Total Depth frem original grade:
1.2 GPD/Ft2 10.0 Ft.
Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe:
1 2 Eklund 4 Ft. 6.0 Ft.
Township: Range: Section: Fill added above original grade: Gravel Length:
0 Ft. 42 Ft.
Well: [] New [] Upgrade Gravel width: 2,5 Ft. Number oflines:lII Distance between lines:Ft.
Classification (Private, A, B, C): Total Depth: Cased to: Total absorption area: Pipe Material:
Existing Private Ft. Ft. 504 Ft2 3034 PVC
Driller: Date Drilled: Static Water Level: Installer: Date Installed:
Ft. Flintstone Enterprises 6/23/2011
Yield: Pump Set at: I Casing Height Above Ground:
Ft.[ Ft. TANK i
GPM
SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other:
T~_To Septic Absorption Lift Holding ~ublic/Private Manufacturer: Capacity:
From~
Tank Field Station Tank Sewer Line Anchorage Tank 1250 Gal.
Material: Number of Compartments:
we, 100.4 104.9 62.2 Steel 2
SurtaceWater 100+ 100+ ~ / LIFT STATION
Lot une 25.5 7.9*/ S~ze: Manufacturer~
Gal.
Foundation 30.0 38.1 "Pump on" level at: "Pump off" level at: High water alarm at:
in. in. in,
Curtain Dra~n N/A N/A ! Pump Make ~ Model Electrical ,nspe~ions pe,ormed
Remarks:
· 1 request a lot line to drain field distance waiver of 7'. This will not BENCH MARK
Location and Description:
affect the future development of this lot or surrounding lots. Garage FF
Assumed Elevation:
100.0 Ft.
Engineer's Stamp
Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1st 6/22/2011
2"" 612312011
Development Services Department Approval
Conditional Approval Date:
~.-~.Steven R. Ponnone.~,~.~
Reviewed and approved by: ,,' ".
(Rev. 04/06) '~'"'{~ ~:'~/ ate: '7-//-/-/I
' ,
//\
8.9
, / , /¢. . C1 28.0 21.0
/ % j T1 44.2 32.6
, EXISTING SEPTIC -,/ % / T2 49 5 54 6
~ ~ / // , .¢ w ~/ c2 9:.~ z;.4
~~~// ~0 UT~U~ % ~ ~ 9~.a ~:.9
. ~ ~ ?o' u~u~ ~ ~ ~ ~ ~
~ I ~ EASEMENT /_ - ~
/ I / ~ ~ '~,,
~ou~,T~?~. cy,~ OUT ~1 Z / ~04 ~ /
z I x / Ai~ "~¢~ ~WITH DOUBLE CLEAN OUT
SEPTIC TANK PER COD~~; :''/~'- ~X .,/ ~ SEPTIC
~ I I //~ ~ ~ ~-~4~TH1 ' ~ AREA
DECOMMISSIONED EXISTING ~ ~ /11 /I ~/~2' ~ '
co~SED ~oc ~-q 'T,~'~ ~;~~~ ~ '
- I ~/ // . ~"' / ~~NEW DRAIN FIELD
10' UTILITY ~//¢ ~ ~%42LFx6'EDx2.5'W, IO'TD
~ .~ W~~SEMENT /
/~ 112.1%~ 1WELL (E) X
SEPTIC 2
AREA a ~
~o,~s: P~O~ ~G ~C, L~ ~F ~-h-
~,o,~ (~o7)~7~-a2~ ~,x (~o7)~7~-~2~ · ~.~. z[~-;~ . sc~,~
~ 1"=5o'
~":~-- · ....... ~.~.~.~o
6 ~ o5o-53~-o3
Eklund S/D, Block 1, Lot 2 '
VA / Bank of America ~,¢~-.. CE 8149 '~%~ PERMIT NO.
30339 Eklund Avenue ' -'~
,~p~.. ..g~ 0SP101274
PLAN EAGLE RIVER, AK 99577 li?ta~kFE¥~ Sheet
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE
STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE
WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK WAS IN ACCORDANCE WITH THE A'1-rACHED SPECIFICATIONS.
5. SCOPE OF WORK: INSTALLED NEW 1250 GALLON SEPTIC TANK AND NEW SOIL ABSORPTION SYSTEM.
4-. NO GROUNDWATER WAS OBSERVED AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT
OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14-,0 FEET BELOW EXISTING GRADE.
TH 1
4. 0~FILTER FABRIC
-~3 ~ ~.0
-~s ~.~ SECTION
No groundwater
monitored
4.0 ~ - - 9~.~
SEPTIC~ ~ · t
TANK
TRENCH SEE DESIGN PA~METERS
PROFILE
DESIGN PARAMETERS LEGEND
PRIMARY SEPTIC SYSTEM ~W WATER LINE/
NO. BEDROOM: 4 ~600 gpd) WELL RADIUS CU COPPER
TANK SIZE: ~250g DIP DUCTILE IRON PIPE
PERG RATE = ~-5
SOIL RATING: 1.2 GPD/SF ~ SS NEW SEPTIC TH TEST HOLE
AREA RQD: 500 SF FC FOUNDATION CLEAN OUT
SYS. ~PE: DEEP TRENCH 6.0' E.D. T~ TANK CLEAN OUT NO.
LENGTH: 42 LF C~ CLEAN OUT NO.
M~ MONITOR TU~E NO.
USED: R.I. ~IGID INSU~TION
42 LF X 2.5' WIDE, ~' E.D., DGO DOUBLE CLEAN OUT
1 O' TD DV DIVERTER VALVE
TOTAL AREA: 504 SF FS FLOW SPLICER
NOTES: P~O~ ~G~C, L~ ~ ~F ~/ ~' Date
~co,~ ~,AW,~O P.O. BOX ~00~ ANCHORA¢~, AK ,~S~O ___~.. ~,~._
P,ON~ (,o~) ~-8~ tAX (~0~) ~-~. ~*-""~¢~ ~~t~ '~~'"*~'
Scale
NTS
Eklund S/D, Block 1, Lot 2 ~ .~6~-.:~
VA / Bank of America f~.. CE 8149 .~ 0sP10~274
DESIGN DETAILS EAGLE RIVER, AK 99577 ~¥c~gsC~~ Sheet
On-Site Wastewater Disposal System Permit
MUNICIPALITY OF ANCHORAGE
Development Services Department
On-Site Water & Wastewater Program
4700 Elmore Road, PO Box 196650
Anchorage, AK 99519-6650
Telephone: (907) 343-7904
' :t-I I
Permit Number: OSP101274 "~ .
Tax Code Number: 05053103000
Work Type: Septic Upgrade
Permit Effective Dates: December 06, 2010 to December 06, 2011
Design Engineer: PANNONE ENGINEERING SERVICE
Subdivision: EKLUND
Site Legal Address: EKLUND BLK 1 LT 2 G:0702
Owner/Address: SECRETARY OF VETERANS AFFAIRS
% BANK OF AMERICA ATTN VA REO 2375 N GLENVILLE DR MS RGVB85 RICHARDSON TX 75082431~
Site Mailing Address: 30339 EKLUND AVE, Eagle River Lot Size in Sq Ft: 27995
Total Bedrooms: 4
This permit is for the construction of:
Y Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N Water Storage
All construction must be in accordance with: 1. The attached approved design.
2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater
Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80).
3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services
Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either:
A. Open and Close on the same day.
B. Covered, sealed, and heated to prevent freezing.
Date:
Issued By:
/'
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www. muni.org/onsite
(907) 343-7904
ON-SITE SEWER/VVELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
05P I01~7~/
Parcel I.D. 050-531-03
Property owner(s) VA/Bank of America
Mailing address
Site address 30339 Eklund Ave, Eagle River, AK
Legal description (Sub'd., Block & Lot) Eklund S/D Block 1 Lot 2
Legal description (Township, Range & Section)
Lot Size 2-.7,~ O[ff ~' Sq. Ft.
Day phone
.Zip Code
Number of Bedrooms 4
Zip Code
99577
THIS APPLICATION IS FOR ([~ all that apply):
Absorption Field []
Septic Tank []
Holding Tank []
Privy []
Private Well []
Water Storage []
THIS APPLICATION IS AN:
Initial []
Upgrade []
Renewal []
I certify that the above information is correct. I further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
Pannone Engineering Services, LLC...~.'~<.-__~ .....
(Signature of property owner or authorized agent)
Permit/Rush Fees:
Date of Payment:
Receipt Number:
(Rev. 11/05)
Waiver Fees:
Date of Payment:
Receipt Number:
Pannone Engineering Services LLC
Steven R. Pannone, Principal
Registered Professional Engineer
E-maih steve@l~anengak.com
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
November 19, 2010
Subject:
Eklund S/D Block 1, Lot 2
Septic System Permit Upgrade Request
Ladies and Gentlemen:
I am writing to request a permit to construct an upgraded septic system be issued for this property. The
proposed systems will serve an existing four-bedroom house. Currently the lot is developed. The lot is
served by a private water supply. The existing crib is collapsed and will be decommissioned per code. The
existing tank shall be decommissioned per code and a new tank installed. A new drain field will be installed
southeast of the existing house and will be sized to handle a four-bedroom waste stream. The surrounding
developed lots are served by private water systems. The private wells are located over 100 feet from the
proposed soil absorption system.
1. Soils. Two test holes were excavated by PES on November 12, 2010. See the attached soil log.
Ground water was monitored for over seven days. No ground water was monitored to a depth of 16 feet
below ground level after the monitoring period. Bedrock was encountered in the test hole at 16 feet. It is my
opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 1.2
gallons/day/square feet should be used, using a conventional wastewater treatment system.
e
Soil Absorption System Design.
See Design Drawings sheet 2 of 3 for the design calculations.
3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and the
existing drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water
and drainage ditches.
4. Topography: The average topography in the area of the proposed septic system is approximately 5
percent based on the survey information in the area of the septic system. There are no steep slopes within 50
feet of the proposed drain field.
5. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification
Page 2 of 2
that the review is complete and there are no further comments received from MoA On-Site Department, the
note will be removed and "Issued for Construction" drawings will be issued.
The proposed installation will not affect the future development of the surrounding or existing lots. There
are no wells or septic systems within 100 feet of the proposed septic location.
If you have any questions or concerns, please contact me at 272-8218.
Sincerely,
~,~.~, Steven R. Pannone
Steven R. Pa~one, P.E.
O~er/CivJ] Engineer
Attac~ents:
B/;ai!ix'~;*:,: F'LO. Bo:,,: .~i00257, Ancho:age, Aa(
Physicah 625 East 82~'ci Ave, Cui't:e B6,. Anc~o~'aSe,, AK 9{}505
Teiephone: (907} 272-,8228 FAX: {907} 272.82S, S,
i/ AREA A ~-. j~-- M -~. .'~' /
~ ~ _~_~/~ B}SEMENT ~ /
~ I EASEMENT ~ ~~ --- '
IN~TALL NEW ~ ~ /
FOUNDATI?N,C~EAN OUT ~ ~ /10~ 5
Z I I ~ ~ ~"~ ~WlTH DOUBLE CLEAN OUT
DECOMMISSION- EXISTING 10009 x6~~~_~ >~ m EXISTiNGc~DT,n
SEPTIC TANK PER CODE~ ~ ~ II /~ ~~/ ~ ......
- ' ' ' - /Z~ I~/~ ~-~ ~ ~ AREA
DECOMMISSION EXISTING 4~ ~ ~_' ~11 II ~~.im/
COLLAPSED LOG ~{ 'TH~/~:88~'10~' ~ ~-.-
CRIB PER CODE / ~-~~ I ' ~ S
....... j ~~_/___}__~~~ PRIMARY FIELD (P)
10' UTILIT~ ~~/~ / I 7.2 m ~x56LFxT'EDx2.5'W, IO'TD
' RESERV~ELD (P) t .... / ~
5'x20' W/ 2' SAND FILTER / } . .
S~E PAGE 5 OF 5 1 15.2 / 'WELL (E} ~
NOTES:ENG xL;'II,
50~ CONSTRUCTION ~ P.O. BOX 1002~7 ANCHORAGE, AK 995~0 .......
P~O~E (907) 272-8218 FAX (907) 272-8211 Sca~e
- ~*."4~~ ".* r~
-- Eklund S/D, Block 1, Lot 2 -- cBc-ssa-os
9~/~t~v~, ~. Pan,o~ ~
VA / Bank of America ~. CE 81~9 -~ PERMIT NO.
soss E und
PLAN EAGLE RIVER, AK 99577 q~L~ta/~Lp/~(~s~ Sheet
SPECIAL PROVISIONS TO SPECIFICATIONS
1. ALL. CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF
ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF
ON-SITE WASTEWATER DISPOSAL SYSTEMS.
2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS.
5. SCOPE OF WORK: INSTALL NEW 1250 GALLON SEPTIC TANK AND NEW SOIL ABSORPTION SYSTEM.
4. NO GROUNDWATER WAS OBSERVED AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS
OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 14.0 FEET BELOW EXISTING GRADE, NOTIFY THE ENGINEER
IMMEDIATELY.
TH1 ~ ~6" TOPSOIL ~ VECITATION
- 1.5 -- ,~' 0 FILTER FABRi~
i f ~ ~GRAVEL BEDDING
-~ ~o~ SECTION
No groundweter
monitored
i NEW 1250 g --
SEPTIC
TANK
TRENCH SEE DESIGN PARAMETERS
PROFILE
DESIGN PARAMETERS LEGEND
PRIMARY SEPTIC SYSTEM W ............. WATER LINE/ ABBREVIATIONS
NO. BEDROOM: 4 (600 gpd) WELL RADIUS CU COPPER
TANK SIZE: 1250g DIP DUCTILE IRON PIPE
PERC RATE = 1-5 MPI __ SS -- NEW SEPTIC TH TEST HOLE
SOIL RATING: 1.2 QPD/SF FC FOUNDATION CLEAN OUT
AREA RQD: 500 SF T~ TANK CLEAN OUT NO.
SYS. TYPE: DEEP TRENCH 7.0' E.D.
CLEAN
OUT
NO.
LENGTH:
55.7
L.F
M~ MONITOR TUBE NO.
USE; R.I. RIGID INSULATION
36 LF X 2.5' WIDE, 7' E.D., DCO DOUBLE CLEAN OUT
10' TD DV DIVERTER VALVE
TOTAL AREA: 504 SF FS FLOW SPLITTER
12/06/10
FOR
CONSTRUCTION
P.O. BOX 100217 ANCHORAGE, AK 99510 ~.,~
VA / Bank of America ~. CE 8149 '~ PERMIT NO.
~- 30339 Eklund Avenue ,~... ...~ 0sP101274
RESERVE SYSTEM
ADVANTEX
24" PASSIVE
4" JIM CAP AX20 POD~. INSULATED AUXILIARY AIR
"x.. _ ~ RISER, PUMP. VENT-~.~ ~
~BASIN
4" PUMP-OUT.~~
OF 6" PIPE ~1
OVER THIS CONNECTION -
TO PROVIDE
SHEER PROTECTION- 14'
EXTEND TO
BRIDGE EXCAVATION
RESERVE FIELD
TH2
o. 4--~ -
-1.5 _I
FILTER FABRIC
t ~~RAVEL BZDD,NC
0.53
6MGP/ I ~PE, 1/8¢ ~ 24"0.0,
' ORAVEL
6 5 1~5.0--~ ~2' SAND FILTER
- 15 BOH
No gFoundwmter
~o~to~d SECTION
DESIGN PARAMETERS
RESERVE SEPTIC SYSTEM
NO. BEDROOM: ~ (600 gpd)
TANK SIZE: 1,500 g ADVANDEX w/AX20 POD
PERC RATE: <1 MPI
APPLC'N RATE: 6 GPD/SF
AREA RQD: 1OO SF
SYS. ~PE:5-WlDE TRENCH
MIN LENGTH: 20 LF
DESIGN:
20 LFxS' WxO.5' ED, 2'SAND FILTER
NOTES:
?~O~
~~ ~ D m t e
~C
~,
~ ..... ~ ~:/o~/~o
P.O.
RHONE (907) 272-8218 FAX (907) 272-8211 ~..' ~'.~
Scmle
_ ~...~ ~ ...~ ~=s _
~u~a s/s, ~,oc~ ~, Lot ~ _~~:=. ~ o~o-~1-o~
VA / Bonk of Americo ~i~.. CE S149 ..~ PE~IT NO.
30~3g
Eklund
Avenue
~.i ....... : Sh~t
DESIGN DETAILS EAGLE RIVER, AK gg577
SOILS LOG - PERCOLATION TEST
TEST HOLE 1
I -- OR ORGANICS
2-- G
'-- ~ i 4B~ HOUSE
/ ,
8 ~ . INCREASES
11
13
WAS GROUND WATER SLOPE
~4 ~ G~YSANDAND ENCOUNTERED? N
SW G~VEL W/
15 ROCKS IF YES, AT WHAT TH
16 DEPTH.'? -0-' X
BOH BEDROCK
17 ~ DEPTH TO WATER AFTER
MONITORINg? -DRY-
18 DATE: 11/19/10
DAT~ PERFORMED: 11/12/10 R~DING DATE CLOCK ; WATER
TIME NET TIME LEVEL NET DROP
R~DING
I 11/12/10 1:00 --- 2.68 ---
2 1:05:11 ~:11(DRY) 8.68 6.00
a 1:06 -- 2.68 --
4 1:12:22 6:22(DRY) 8.68 6.00
s 1:13 --- 2.68 --
e ] 1:19:23 6:23(DRY)~ 8.68 6.00
PERO~TION ~TE 1.1 (rain/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BE~EEN 5.5 FT AND 6.5 FT
COMMENTS: Test hole excavated by DEAN CONSTRUCTIO & DEVELOPMENT. Prec hole was presaged.
Test run for one hour. Last 3 readings reported
PERFORMED BY: Steven R. P~none~ P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES:
~ O~
CONSTRUCTION
P.O. BOX ~02954 ANCHORAGE, AK ggS~O ~ ......
~ 2/0~/~ 0
PHONE (907) 272-8218 FAX (907) 272-8211 ~."~m ~ ".~ NTS
Eklund S/D, Block 1, Lot 2 ~-'
050-53~-03
VA / Bank of America ~ii~'. CE 8149 '~'~ PERMIT NO.
30339 Eklund Avenue ~.~&.. ...~%~
~ ~.. .'~ 0S~0~274
SOILS LOG EAGLE RIVER, AK 99577 li~h~gsfg~¢%~.ll.;'~'~o'--~ Sheet
READING DATE CLOCK WATER
TIME NET TIME LEVEL NET DROP
READING
I 11/12/10 1:00 --- 2.68 ---
2 1:05:11 5:11(DRY) 8.68 6.00
3 1:06 -- 2.68 _-
4 1:12:22 6:22(DRY 8.68 6.00
5 1:13 --_ 2.68 --
6 1:19:23 6:23(DRY 8.68 6.00
SOILS LOG ~ PERCOLATION TEST
TEST HOLE 2
SLOPE ~ ~, ~"~ S,TE P~AN I
ROOT MASS ~ ~ ~ I ~~/
1 -- OR ORGANICS
2--
' 4ER HOUSE
6 ' LOOSE SlL~
13
BaH BEDROCK WAS GROUND WATER SLOPE
~4 ~ ENCOUNTERED? N
~5 -- IF YES, AT WHAT TH
~6 ~ DEPTH? -0-' X
~7 ~ DEPTH TO WATER AFTER
j MONITORING? -DRY-
18 DATE: 11/19/10
~ WATER
DATE PERFORMED: 11/12/10 R~DING DATE CLOCK NET TIME ~ LEVEL NET DROP
TIME
READING
~ 11/12/10 <1 MPI
2
3
4
5
" i
PERO~TION ~TE <1 (min/inch) PERC HOLE DIAMETER 6 inches
TEST RUN BE~EEN 5 FT AND 6 FT
COMMENTS: Test hole excavated by DEAN CONSTRUCTIO & DEVELOPMENT. ~ec hole was preso~ed.
S~ inches of water absorbed into the soil in less that 1 minute. This rate continued for one hour.
PERFORMED BY: Steven R. P~none~ P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORD~CE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
NOTES: P~O~ ~G ~C, L~
~ , .~ Date
~ OF A
~o~ co,s~ucz~o, ,.o. Box ~om4 ~,CHOR~E. ~ ,~S~O ~ ...... ~eZ ~/o~/~o
~,OU[ (~07) 272-8218 [~X (~07) 272-8211~..~~
Eklund S/D, Block 1 Lot 2 ~ ~ o50-531-03
VA / Bank of America r¢~¢~14~"[~ PERMIT NO.
50559 Eklund Avenue f~?~$2.. ..~ osP~o~274
SOILS LOG EAGLE RIVER AK 99577
, ~ ~¢~ ....... ~'~ Sheet
-~&~ 5 o~ 5
WATER
READING DATE CLOCK NET TIME LEVEL NET DROP
TIME
READING
~ 11/12/10 <1 MPI
2
3
4
5
6
QGRE"'-' R ANCHORAGE AREA B0"-'JGH
Department of £nvironmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME J~-:'~ ~'~.~,~ll MAILING ADDRESS PHONE
SEPTIC TANK:
DISTANCE
FROM WELL
INSIDE LENGTH
COMPARTMENTS.
INSIDE WIDTH LIQUID DEPTH IIQUID CAPACITY /Lf)~)~0 GALLONS.
SEEPAGE PIT:
NUMBER OF PITS I DIAMETER ~,,~1 OR WIDTH /~'~"',
LINING MATERIAL ~'(-~' CRIB SIZE: DIAMETER
BUILDING FOUNDATION .,."~i'~t, NEAREST LOT LINE
ADDITIONAL ABSORPTION
LENGTH ~7~. DEPTH
DEPTH ["~' DISTANCE FROM: WELL
TOTAL EFFECTIVE
ABSORPTION AREA (WALL AREA)
WELL:
TYPE~~
BUILDING
FOUNDATION
CESSPOOL
APPROVED
CONSTRUCTION -~'~'~ DEPTH
NEAREST '~EAREST SEPTIC
LOT LINE SEWER LINE TANK __
OTHER SOURCES
DISAPPROVED REMARKS
DISTANCE FROM:
SEEPAGE
SYSTEM
DISTANCES:
INSTALLED BY:
PIPE MATERIAL=
Form NO. EQ-031
DIAGRAM OF SYSTEM
FG.A.A.B'
GREATER ANCHORAGE AREA BOROUGH
SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT
TYPE AND SIZE OF FACILITY TO BE SERVED
,.STALLAT,OM '..O'=AT,O. '/4/II ~ ~&, I~
SE PAGE PIT
TO BE INSTALLED BY
!
/
PERMIT NO
.A.L,.G ADD..S 9' Ct /:r Zn '""/)
NOTes THIS PERMIT IS HOT VA,ID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
FOUNDATION TO SEEPAGE PIT
!
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
'"PAGE P,T 14¢
TO RIVER. LAKE. STREAM.
DRAIN FIELD
DRAIN FIELD
SEEPAGE PIT /0~)!
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT,
DRAIN FIELD
DIAGRAM OF' SYSTEM
C~AST IRON INTO AND,OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP .OF
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
O ~r E GEOTECHNICAL ~-DEVELOPMENT CO.
Box 90, Davis St., Eagle River. Alaska 99577
694.2774 or 688*2280
Russell Oyster
694-2774
Soils ~ Foundations
Earl Ellis
688.2280
Land Development
SOIL LOG
Perfomed for:
· Legal Description:
Depth (feet)
0
SCI1Ch)racterl)Uc)
4
8
Ground Water Encountered: Yes Ho / If yes, what depth
Proposed Installation: Seepage Pit ~" Drain Fteld
Comments: £~ Qo~,r-- ~ ~
Department of Health and Human Servaces
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
September 1, 1989
Robert A Shafer, P.E.
S & S Engineering
17034 Eagle River Loop Road
Suite 204
Anchorage, Alaska 99577
Subject: Waiver Request for Lot 2 Block 1 Eklund Subdivision
Waiver Request ~WR890045, PID ~ 050-531-03, HA890334
Dear Mr. Shafer:
Your request for waiver of the required 100 foot separation of
a septic system to a private well has been approved. The
approved separation distance are: well'to septic tank - 71 feet;
well to absorption field - 94 feet.
This waiver(s) approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sinc ely,
Robert W. Robinson
Civil Engineer
On-site Services
RWR/ljw:#6
HEALTH AUTHORI~(
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
S FLOW TEST
SITE PLANS
ROAD DESIGN
SOILTEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
AUG 2 8 1989
ROBERT SHAFER, P.E.
ROGER SHAFER
RECEIVED
A~g~t 25, 1989
CIVIL ENGINEERS
(907) 694-2979
FAX 694-1211
EDO Cl -/
Mu*~c~p~f.,i.~V o{ An~or,',ge
PEPARTMENT OF HEALTH AN~ HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, ~.x~ 99519-6650
REFERENCE= LOT 2; BLOCK I; EKLUk~
a ~v~ for th~ ~p~on ~nc~
the ~ep~c ~nk a~ ab~orp~on ar~ ~o~ ~ a ~nc~ o~ 71 ~t.
a~ 94 ~t. r~pe~u~V on the re~ce
~e ~ ~ d~ ~ un~own. The ~ep~c ~t~
i~pe~ in MaV o{ 1975. Approu~ o{ the ~ ~nd
~ gra~d on Sept~b~ 5, 1975; Ua~ 29, 1977; ~nd MaV 21, 19~I
bv the
a~y6~6 ~a~ p~fo~med on the ~ and 6epic ,,6lng the Separation
~a~u~ Gu~d~n~6 aa ~6~b~6hed by the Pepa~me~ of Enviro~me~a~
The r~u~6
A. WATER TABLE: The Le~chfie~d Z6 approx~ma~F I0 ft. deep.
The ~tat,/c ~a~er lcu~ in the ~ ~ m~ by Eagle
Engine~ng S~vic~ ~ng ~ f~ow t~t ~ ~ 155
145 ft. 6ep~on = 7.2 p~6.
B. SOIL SORFTION: From the 6oZ~ t~t on fZ~e a~ the n~ghbo~Zng
~ log the 6oZ~6 app~r
6ome 6~. USE 2.0 p~6.
C. PERMEABILITY: Sccrne 6oit,6 a,6 above.
USE I. 5 p~.
P. WATER TABLE GRADIENT: From ~e flow t~6t done bv
Engineering S~rvice~ the ~ng p~p ~n dr~ the ~c
leu~ down 33 ft. Sinc~ ~ 6epic ~nk ~ 71 ft.
E. HORIZONTAL SEPARATION: Sep~a~on d~nce Z6 71 ft.= 1.8p~6.
TOTAL POINTS = 12.7
17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
A~gu~t £5, 1989
th:ct r~o b~cte,t~c~o~ica~ po~.~g~lo~ i6 po66ible.
! would a.~so lll~e to note that the ~petlc ~ l~ a~ ~ con~.derabLe lower
elcva~Lo~ t/~ the well.
Zf Vo,, require ~ddi~o~ Zn~o~matlon ~o~ Vou~ reuZ~u, pL~e contact u~.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
Parcel I.D. o5o-q31-o3
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
COSA # ~-_~* ,-~C~
Expiration Date:
1. GENERAL INFORMATION
Complete legal description
Eklund, Block 1, Lot 2
Location (site address) 30339 EklundAvenue
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Secretary of V.A. & Bank of America Day phone
Attn VA REO, 2_375 N Glenville Dr MS Rgvb85, Richardson, TX 75082
Day phone
Real Estate Agent
Mailing Address
Bob Brock / Dynamic Properties
Day phone 261-7532
2~
Unless otherwise requested, COSA will be held by DSD for pickup.
NUMBER OF' B~DROOMS: 4
TYPE OF WATER:SUPPLY:
IddiVidUal'Well []
Individual Waier Storage []
Community class Well []
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding Tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners. Certificates of On-Site Systems Approval
are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the 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 Pannone Engineering Services, LLC Phone , 272-8218
Address P.O. Box 3.00217, Anchorage, AK 9953.0
Engineer's Printed Name Steven R. Pannone, P.E. Date 6/29/203.3.
Engineers Comments: In conducting an adequacy test, ! attempt to provide a thorough, conscientious engineering analysis of the system in
accordance with MOA DSD Guidelines A Regulations. The reported results describe the performance of the system under the conditions
encountered at the time of the test, and separation distances measured to readily identifiable features.
The operational life of all wells and septic systems depend on the local soil condition, ground water
levels that may fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of this system. All systems eventually fail and
satisfactory test results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. PES can therefore not provide any warranty for future
performance nor give any estimate of how long the system will continue to meet the operational
requirements of the 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
t.,/''~ Approved for J~ bedrooms.
Disapproved.
Conditional approval for
bedrooms, with the following stipulations:
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: '7- / ~-///
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Bregaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www. muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description:
A. WELL DATA
Well type Private
Date completed ~lr~-/[-
Eklundr Block z, Lot 2
IfA, B, or C provide PWSID # ~
Sanitary seal (Y/N) Y
Parcel ID: o5o-5=~.-o3
,!
Well Log (Y/N) ,4/
Wires properly protected (Y/N) Y
Total depth ft.
Cased to _~f:_ft.
FROM WELL LOG
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
g.p.m.
Casing height (above ground)
AT INSPECTION
15-5- ft.
Coliform ~35-- colonies/100 mL
Arsenic: /~/,D ug/I
SEPTIC/HOLDING TANK DATA
Nitrate ~)~O3 mg/L
Date of sample: ~/~--//1 /
Collected by: ,~.~'~
Tank Type/Material
Tank size z25o gal.
Foundation cleanout (Y/N) Y
Date of pumping
C. ABSORPTION FIELD DATA
Date installed 61~1~o~ Soil rating (g.p.d./ft2 or ft2/bdrm) z.= _apd/sf
Length z~2 ft. Width 2.5
Total depth .~._~o ft. Eft. absorption area 50/, ~
Date of adequacy test J~)~ Results (Pass/Fail)
Fluid depth in absorption field before test ~ in. Water added
Elapsed Time: ~ min. Final fluid depth ~
Any rejuvenation treatment (past 12 mo.) (Y/N & type)
System type Deep Trench
ft. Gravel below pipe 6 ft.
Monitoring tube Y Depression over field N
For bedrooms
~ gal. New depth in.
in. Absorption rate >= g.p.d.
If yes, give date
Anchorage Tank ! Steel
Number of Compartments
Depression over tank (Y/N)
Pumper
Date installed
Cleanouts (Y/N) Y
High water alarm (Y/N) N
/~'/' in.
LIFT STATION
Date installed
"Pump on" level at
Datum
Size in gallons
in. "Pump off" level at ~ in.
Cycles tested
E. SEPARATION DISTANCES
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot zoo.~
Absorption field on lot ~o~.9
Public sewer main 7,~+
Sewer/septic service line 62.2
Animal containment areas 50+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation ~1o.o Property line' 2~.~
Water main ~o+ Water service line 25+
Wells on adjacent lots ~oo+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
lO+
Building foundation ~8.A
Surface water ~oo+
Wells on adjacent lots ~oo+
On adjacent lots ~oo+
On adjacent lots ~oo+
Public sewer manhole/cleanout ~oo+
Holding tank :LO0+
Manure/animal excrete storage areas ~oo+
Property line 7.9*
Water Service line
Curtain drain 50+
COMMENTS
Absorption field 22.2
Surface water ~oo+
* I request a lot line to dran field distance waiver of 7'.
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.
Steven R. Pannone~ P.E.
Engineer's Printed Name
Date
Waiver Fee $
Date of Payment
Receipt Number
Water main 75+
Driveway, parking/vehicle storage
2,0.0
COSA Fee $ (¢5-
Date of Payment
Receipt Number
(Rev. 11/05)
in.
Mumclpahty o nchorage
P.O. Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997
http://www.mu ni.orfl/Onsite
Development Services Department
On-Site Water and Wastewater Pro,qram
partment
**** VARIANCE/WAIVER REVIEW ****
WR#: 111152 HA#: 111242 Permit#: 101274
PID#: 050-531-03
Legal Description: Eklund B.1 L-2
Engineer: PES
Applicant: Secretary of Vetrans Affairs I Bank of America
Your request for a waiver of the required l 0 feet horizontal separation from the absorption field
to the property line has been approved. The approved separation distance is 7.0 feet.
This waiver approval applies to the existing absorption field to property line separation only.
Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
Waiver is Granted: X Waiver is not Granted:
Date: 7/14/2011 Approved by: .~~"'.,~
~ U~/.,e~f Reviewer
Rec#: 025539 Amount: ~;200,00 Date Paid: 7111111
**** VARIANCE/WAIVER REVIEW ****
LOT 4
LOT 1
/
/
/
/
J8'x12.2'
SEPTIC CLEANOUTS. I
SEPTIC
N 89'59'05"W 12~.68' j
I
EKLUNDAVENUE I
PLOT PLAN
AS BUILT X SCALE 1" = 40' GRID SE 702 Project No. 11-095
Lo n g (907) 522-6476
Registered Land Surveyors (907) 522-4625
kenOlangsurvey.com / JonafhanOlangsurvey.com
& Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-5049
Phone
Fax
I hereby certify that I have surveyed the following described property:
LOT 2, BLOCK 1, EKLUND SUBDIVISION, (Plat 71-62)
Anchorage Recording District, Alaska, and that the Improvements slfuatsd thereon are
wlfhin the properly lines and do not encroach onto the property adjacent thereto, fhaf
no Improvements on the property lying adjacent thereto encroach on the surveyed
premises and fhaf there are no roadways, transmission lines or other visible
easements on said properly except aa indlcatsd hereon.
Dated this the ~L~ Day of ::]'~L~ , '~!1 , at Anchorage, Alaska
If is the responsibility of the owner fo determine the existence of any easements,
covenants, or resfrlcfions whlch do not appear on the recorded subdlvision plat.
Aarow Pump & Well Service LLC
(907)346-9355
Inspection Report
I ran a camera 50' down the well at 30339 Eklund Ave and did not
find any holes/cracks in the casing or leaking around the pitless.
Beau Maxim
Mumc,pal ty o.f Anchorage
Development Services 'Department
Building Safety Division
On-Site Water & Wastewater Pro, ram
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFIC:ATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0~)- ~'~
1. GENERAL INFORMATION
Expiration Date:
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
EKLUND SUBDMSlON; LOT 2, BLOCK 1,
50559 EKLUND AVENUE * EAGLE RIVER~ AK 99577
OSZURKO, JOLANTA "JAMIE" Day phone (509) 467-0007
12.31:~ W. SUNRIDGE DRIVE * NINE MILE FALLSf WA 99026-9564
Day phone
EVA LOK£N W/ PRUDENIAL VISTA Day phone 689-6464
16655 CENTERFIELD DRIVE * EAGLE RIVER, AK 99577
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBEROF BEDROOMS: 5
3. TYPE OF WATER SUPPLY:
individual Well ~]
Individual Water Storage
Community Class Well ~--]
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site ~
Individual Holding tank
Community On-site E]~
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners. Certificates of On-Site Systems
Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my
investigation, based on procedures outlined in the Ce~ficate 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 bedreoms 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 CARNESS ENGINEERING CROUP. Ltd.
Phone 337-6179
Address 3701 E. TUDOR ROAD. SUITE 101 * ANCHORAGE. AK 99507
Engineer's Printed Name JEFFREY A. CARNESS, P.E. Date
Engineer's Comments:
In conducting this evaluation, GEG, ltD. attempted to provfde a thorough,
conscientious engieeedng analysis of the system in accordance ~4th ADEC and MOA
DSD Guidelines & Regulations. The reported results deccdbed 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 sen/ed by the system.
These conditions are outside the control of the evaluator of the system. Satisfactoq/ 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 bew long the system ~11 continue to meet ~e
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 wfll it confer any legal right whatsoever.
DSD SIGNATURE
~'~ Approved for 3
Disapproved.
Conditional approval for
bedrooms. ON-SITE
~ WATER AND
~ '. WASTEWATER .' .-'
~ :. PROGRAM .:
bedrooms. ~th the ~o,wing sUpulations:~.~<o/~., o .
Attachments:
COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
By:
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Reort
Other
Odglnal Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety OIv~lon
On-Site Water & Wastev~ter PI=gram
4700 Bragaw Street
P.O. I~x 196650
Anchorage, AK 99519-6650
¢~ 343-?;o4
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Desc~ptlon:
A. WELL DATA
Well type PemVA~
Date completed ,,, 1977
Total depth *,320 ft.
EKLUND SUBDMSION; LOT 2, BLOCK 1, Parcel ID:
· PER MOA SYSTEMS APPROVAL ON 3/24/1977
If A, B, o~ C provide PWSlD~ N/A
Sanhary seal (Y/N) YES
Cesedto 40+ fl.
Well Log (Y/N) NO
Wires pmpedy protected (Y/N) YES
Casing height (above grOUnd) 12+
in.
FROM WELL LOG
Date of test ~ .-
Static water level ~_ .,~,~,0.~~ It.
Well production ..-~ g.p.m.
WATER SAMPLE RESULTS:
AT INSPECTION
2/7/2007
156 lt.
5.5 g.p.m.
Coliform 0 colonies/100 mi. Nitrate ND mgJL. Other bacteria O colonies/100 mi.
Arsenic: ND ug./g Data of sample: 2/7/2007 Collected by: GEG, Ltd.
SEPTIC/HOLDING TANK DATA
Tank Typa/Matedal FIBERGLASS
Tank size 1000 gal. Number of Compartments 1
Foundation ctaanout (Y/N) YES Depression over tank (Y/N) NO
Date of pumping 8/30/2006 Pumper JR'a PUMPING
Date installed ,5/14/1975
Cleanouts (Y/N) YES
High water alarm (Y/N) NO
Co
ABSORPTION FIELD DATA
Date installed
Length 27 ff.
Soil rating (g.p.d./ff~on~ 125 System type CRIB
Width 18 ,ff. Gravel below pipe 6 ft.
Total depth *?.&1 ft. Eft. absorption ama 540 fl; Monitoring tube YES Depression over field NO
Date of adequacy test 2/7/2007 Results (Pass/Fail) PASS For .3 bedrooms
Fluid depth in absorption field before test ,3.5 in. Water added 780 gal. New depth 8 in.
Elapsed'lime: 298 min. Final fluid depth 2.5 in. Absorption rata>= 450+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date -
CRIB PIPE EXTENDS ONLY ,9.6 FEET BELOW TOP OF' CRIB.
D. UFT STATION
Date installed S~ze in gallons ~ a~--~
"Pump ~ High water alarm level in.
Datum ~
~ Cycles tested. Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station o~ lot
Absorption field on lot '94'
Public sewer main N/A
Sewer/septic service line 25'+
Animal containment areas .50'+
'71'
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cteanout N/A
Holding tank N/A
Manure/animal excrete stc~age areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field
Water main N/A Water service line 10'+ Surface water
Wells on adjacent lots 100'+
5'+
100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation. 10'+
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots. 100'+
Water main N/A
Driveway, parking/vehicle storage
10'+
F. COMMENT~
*WR890045
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems am in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A, GARNESS
Date
COSA Fee ~
Date of Payment
Receipt Number
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O, Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D. #
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
o50-53tz .AA# #B
GENERAL INFORMATION
Complete*legal description
Lot 2; Block 1; Eklund Subdivision
Location(siteaddressordirections) 3033% Eklund Drive
Eagle River, AK
Property owner Stephan &Deona Strube .Day pgone
Mai~ingaddress' C/O Polar Realty 1101E. 76th Ave. Anchorage,
AK
Lending agency
Mailin. g address
Agent Gary Taylor/Polar Realty
Address
Day phone
Day phone
349-7681
99507
Unless otherwise requested, PIAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
S. TYPE OFWATER SUPPLY:
Individual well
XX
Community well
Public water
NOTE:
TYPE OF WASTEWATER DISPOSAl.:
Individual on-site
Holding tank
Community on-site
If community well system, provide written confirmation from State ADEC att'est-
lng to the legality and status of system. · .
XX
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to.the legality and status of system.
5. 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 investigation and inspection, the on-site water
supply and/or wastewater di.sposal system is in co~ ~ance with all Municipal and State codes,
ordinances, and regulations [n, effect, on the date o, fl lis inspection.
,qlasKa W ,tgr &,~,//
Name of Firm ut.., .....,~'-'~_ ~f,, /./~/,-- Phone _
Engin~f, s,gnature ~ ~-,- --~ Date
//
-~- Aleska Water..& :'
tewater Consultants, Inc.. ., '"' [~' ..~
Shall be PAID ~5 . ~ /~~,~ ,.~,
or prior to, closing for the .
En~lnee;lng Se~lce, Provided.
6. DHH8 SIGNA~RE
~pproved for b~rooms.
Di~pproved.
~ ~nditional approval for . ~ ~rooms, with th~ following stipulations:
~ ~aEe; veZl ~as teceatZ7 coastgucte~ acgoss
Euae*Subdtvtslo~ apptoxtmateZ7 90 ~ee~
. the subject 1o~. The ~e[1 dgt[Zt~g coaCgacEog ~o coasC;uc~ed the
agreed to co~sC;uct a new vel1 pursuant to
later than June 15, 2000. This conditional HAA Certificate will be upgraded to a
Additional comments
Date
The Municipality of AnChorage Department of'Health and Human Services (DHHS) issues Health Authority
Approval Certificates based only upon the representations given in paragraph 5 above by an independent
professio nal engineer registered in the State of Alaska. The DH HS does this as a courtesy to purchasers of homes
and their lending Institutions in order to satisfy certain federal and state redulrements. Employees of DHHS do not
conduct Inspections or analyze data before a certificate Is issued. The Municipality of Anchorage Is not
responsible for errom or emissions in the professional engineer's work.
Leg~ Desc~on:
WELL DATA
Well ty~e PRIVATE
Log presem (Y/N)
T~ ~ep~ U.K. - ~25'
~ ~ ~)
I ¥ EL,
,~
Municipality of Anchorage DEC ~8 1999,~
DEPARTMENT OF HEALTH & HUMAN SERVIC~p,~.u~ ~ u~ ,,~o~i~I
Environmental Services Division E~',~N~. sr=~c~s ~
825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744
Health Authority Approval ChecMist
EKLUNO SUBDMSION; LOT 2~ BLOCK 1 Parcel I.D.:. 050-531-31
· PER PREVIOUS HEALTH APROVAL
If A, B, or C, attach ADEC letter. ADEC water system number N/A
NO Date complemd
Cased to '40'+
YES
FROM WELL LOG
9/~6/o.~
156'
Date of test
Stefic water level
Well pnxtuction 4-.5+
WATER SAMPLE RESULTS:
Collfonm
B. SEPTIC/HOLDING TANK DATA
Date installed 5/75 Tank size
Founda~on deanout (Y/N)
~ ~ ~.~n~ B/~o/os
¢. ABSORPTION FIELD DATA
Date Instaned 5/75
Casing height (above ground)
Wires pmberly p~ok~"ted (y/N)
AT INSPECTION
8/10/99
161'
12"+
g.p.m. ~.,~+ g.p,m.
10oo Ntmlber of Compaytm~nt~ 1 Cl~u3o~t~ (y/N) .
YES Depression (Y/N) NO I-Ugh water alarm (y/N) NO
Pumper SANITARY
Y~
Soft rating (g.p.d./fP or IF/halrin) . 125 Sys~m type ~
18' Grawl lllickness below pipe I~' Total dep~ 10'
F_.ff___~_ absorption ama 540 Fi' sq Monitoring Tube p~m (Y/N) YEs Depression over field (Y/N)
Date of edequacy test 8/10,/99 Resutls (Pa, ss/Fail) PASS For 3
Fluid depth in abeon~lon field before test (in.);
Ruid bep~ g (ins) Minutes later:.
Pemodbe h'eamlent (past 12 morillo) (Y/N)
0' Immediately after 922 gaJ. water added (in.):
170 Al~on rate = 450+ g.p.d.
NO If yes, gtve da~ N/A
NO
D. UFT ~TATION .
Date installed Size in gallo~
Manhole/Access (Y/N) ~..p..j3J~-te~M at' Pump off level at'
~..--.~ *Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
On adjacent lots 100'+
On adjacent lots 1NN'+
Public sewer manhole/cleanout N/A
Lift a~oa N/A
Septic/holding tank on lot 71'
Absorption field on lot 94' (WA~VF-'R)
Public ~ewer main N/A
Sewer/septic sewtce line 2.5'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation 5'+ Property line 5'+ At)sorption field
Water main/service line 10'+ Surface water/drainage ~ nn'a.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property line
Sudace water
Curtain drain
Wells on adjacent lots
10'+ Building foundation 1 ~'.~- Water main/service line 10'+
100'+ E~veway, parking/vehicle storage ama 10'+
NONE KNOWN Wells on adjacent lots
eSEE: ATrACHED LLIII:R
I-IAA Fee $
Date of Payment
Receipt Number
Waiver Fee $
oate of Payment
Receipt Number
72-026 (Rev. 3/96)*
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
December 27, 1999
Municipality of Anchorage
Department ofHealth & tluman Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Eklund, Lot 2, Bk 1. Eagle River, Alaska. HAA
To whom it may concern:
Attached is the HAA package for the subject property. Under the item "separation distance from
absorption field on lot to:" it was noted that the absorption field is less than I00 feet from a well
on an adjacent lot. The specitic well is located on Lot B-2, Virginia Rude Subdivision, and was
drilled in 1999. Based upon our field measurement in August of 1999 it is appears that the
separation distance is mound 90 feet to the edge of the seepage pit. This encroachment was
brought to the attention of your department in August of 1999 by AWWC, Inc., so t is assumed
that the owners of LOt B-2 have either relocated the well or obtained the necessary waivers.
If you have any questlo/~g, please call us at 337-6 i 79.
.Ill
Presi~nU
6901 Deban' Road, Suite 2-B * Anchorage, Alaska 99504
Ph: (907) 3374179 * Fax: (907) 338-3246 * awws~alaska.net
'1
· ·e
Frc~ : 141_PII~ DRILL
1-6-00
Dan Roth
Dept. of On-slte services
MOA
Re: Virgh~ia Rude Lot 2 B
As per our phone conversation today, this paper will serve as notice that we will have
a new well In operation by June 15, 2000. Ail other necas~ry work will also be done
also, new well ho~k-up, recloriaation, pump Iraasfer and cxisth~g well de-commissioning.
Assumably this one will be 11 feet further awayl
Thanks for your qoperatlon
David I.. Harper
Alpine Drilling & Enterprises
Ph & fax 907-345-0202
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services
On-Site Services Section
P.O, Box 196650 Anchorage, Alaska 99519-6650
343-4744
Parcel I.D.
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
GENERAL INFORMATION
Complete legal description
Lot ~ Et. oc~ 1 ~ .EEbu~. Su~b~J.u~.on
Location (site address or directions)
e
e
Property owner
Mailing address
Lending agency
3~.y ~tnd Ba~b~uaz N.~.on Day phone
C/0 DON i~CKENZZE REAL ESTATE 15155 Old Gl~tn Hwy. SuJ.~
E~gL~ I~.u~., AK 99577
Day phone.
Mailing address 15155 OZEG~¢~ flmy. Su..~ #100 E~e ~u¢~., AK 99577
Agent C.~tdy ~i.t.6on/ ~ON ~CKENZZE REAL ESTATE Day phone 694-9055
Address 131~5 0~ G~enn Hwy. S~e 100 E~ ~u~ AK 99577
Unless othe~erequeste~ HAA wfllbe held forpickup.
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
NOTE:
Individual well Y, XX
Community well
Public water
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE:
100
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
o
STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and ~s of ihe 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 inves.tLqation 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 Phone ~'~/-~'"~'~;:~*'~;~
s & s
Address '~n~,'~. ,v-. ,..~ .....
Engineer's s~g nat u re ..,~./ ~.--.'.~
DHHS SIGNATURE
~ Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
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.
· Municipality of Anchorage
Department of Health and Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: ~'~'")...-- ¢'~1¢,V--- I ~---¢-~-J,5. o ~LParcel I.D.
A. Well Data
Well type
Log present (~
Total depth
Sanitary seal ~N)
~,,1 ~ If A, B, or C, attach ADEC letter. ADEC water system number
Date completed ~ //~ 7.5--. Driller
.Cased to ,~ t ~ Casing height
Wires properly protected (~TN)
Y
FROM WELL LOG
AT INSPECTION
Date of test ~ -. ~L~ --ct =-~
Static water level J ¥,5' L~ ~
Well flow J g.p.m. ~ o~' ¥' g.p.m.
Pump level1 J ~--
SEPARATION DISTANCES FROM WELL TO:
SepticJholding tank on lot
Absorption field on lot
Public sewer main
Sewer service line
: On adjacent lots
; On adjacent lots
Public sewer manhole/cleanout
Petroleum tank
WATER SAMPLE RESULTS:
Coliform ~
Date of sample:
Nitrate
B. SEPTIC/HOLDING TANK DATA
Date Installed '~'/'1 ~
Collected by:
.Other bacteria ~
$ & $ £NGINEERING
EIglI Rlver~ Alaska ~577
Tank size ~ ,~' ~ ~ .Compartments
Cleanouts (~N) y
High water alarm (Y~
Foundation cleanout ¢¢~:> ~'~ Depressi~.~l(Y~
~ Alarm tested (Y/N) [J~
Date of pumping ~-- ~ ~r ~" ~.~ ~ "'
SEPARATION DISTANCES FROM SEPTIC~OLDING TANK TO:
Well(s) on lot '7. t.* ~'~"'~ ~ On adjacent lots
To property line ~,o ~' ''~ Absorption field
Surface water/drainage ~ 1'2 c=>
~c::, ~ \~" Foundation
~... t Water main/service line
~2.(326 (3~3)o FfO~t CONTINUED ON BACK PAGE
C. LIFT STATION
Date installed
Size In gallons
Vent (Y/N) 'Pump on' level at
High water alarm level
Meets MOA electrical codes ~'~
SE~CE FROM LIFT STATION TO:
W~I on lot On adjacent lots
Manufacturer
Manhole/Access (Y/N)
~sted
Surface water
D. ABSORPTION FIELD DATA
Date installed ~"
Length ~ t Width
Total absorption area ~'"~'~:~
Date of adequacy test ~
Water level in absorption field before test
Peroxide treatment (past 12 months) (Y~
t ~>~ Gravel thickness
Cleanout present (~N) 7
L.~,x Total depth \
Depression overfield (Y/~ ,,,-J
for ~ Bedrooms
After test ~
If yes, give date ~
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Weflonlot ~:~ \~'~q¢~ On adjacent lots
To building foundation
.To existing or abandoned system on ot
On adjacent lots '~--;o
Surface water
Curtain drain
Driveway, parking/vehicle storage area
Eo ENGINEER'S CERTIFICATION
I cerb'fy that I have checked, verified, ~r conformed to all MOA and HAA guidelines in effect~ ~lat~I ~his inspection.
_.u ........ ~ ...... _ .............
ij~o,.t4 ~.agle K~ver Loop Road Ne, 20~ /
Date ~"'[agte River, Alaska 9~577 ~7'//2/~
/
HAA Fee $ ~D~
Date of PaYment
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number.
72-026 (3~93)° Back
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
Parcel I.D. #
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot. block, subdivision, section, township, range)
LOT ~; B~ock ~; EKLUiV~
Location (address or directions)
(b) Property owner
Mailing Address
(c) Lending Institution
Mailing Address
Dou~ Er6kln~ Telephone:(home)&94-4350Business
SR 2314 Eag~ Rlve~ Road. Eag~ River. AK 99577
Telephone
(d) Real Estate Company and Agent REALTY ~'.F.VTER ATT/V.-
Address 8400 H~e~?~ gn~d: A.~hn~9~: A~x~ qq~7
Telephone $44-0~!
(e) Mail the HAA to the following address: (or check here.,~ if hold for pick up.)
List contact person and day phone number below:
2. TYPE OF RESIDENCE
Single-Family,D~ Number of bedrooms
3. WATER SUPPLY
Individual Well ~[X Community [] Public []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conse~ation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site J~ Public [] Community 1"3 Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
~2.~s (.~,. ~,~) Page I of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
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 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 suppl~' 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
Date
S & $ ENGINEERING
17034 Eagle River Loop Road No. 204
Eagle River~ Alaska 90577
Telephone
6. DHHS APPROVAL
Approved for
Approved
Terms of Conditional Approval
Disapproved Conditional
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated 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.
w MUNICIPALITY OF ANCHORAGE (MOA)
IPALITf cHeaith~A~lliorlty Approval (HAA)
[NTAL$[C~C~[~ FEBRUARY 1984 . ,
AUG 2 8 1989
·RECEIVED
A. WELL DATA
Well Classification
Well Log Present (Y/~
343-4744
Legal Description:
t~ Date Completed '"'"' (~
Total Depth 0Y-, Cased t0 'Sro'~ Depth of Grouting
Static Water Level I ~'~' ~ Pump Set At
Casing Height Above Ground ( ~
Electrical Wiring ih Conduit ~N);
If A, B, C, D.E.C. Approved (Y/N) ~/,..,/.4
Yield
dy_.
SEPARATION DISTANCES FROM WELL:
To Septic/Holding Tank on Lot ' ~ "7
Sanitary Seal on Casin~N) ~'
Depression Around Wellhead (Y,~]~' ~
To Nearest Edge of Absorption Field ~n/Lot
To Nearest Public Sewer Line '
To Nearest Sewer Service Line on Lot
Water Sample Collected by ~, J?--'.
Water Sample Test Results
Comments '7~ t~,~.1 I~
; On Adjoining Lots ! Pc, 14-
I
; On Adjoining Lots / ~ t'¢"
To Nearest Public Sewer Cleanout/Manhole
-~ v/'~-'~, ; Date
B. SEPTIC/HOLDING TANK DATA
Date Installed 5'/?~' Size ~4:~ No. of Compartments
Standpipes (~N) y Air-tight Caps ~/N)
Depression over Tank (Y~
Foundation Cleanout (Y/~)
. Pumpi.ng/Maintenance Contact,on File (Y/i~ /
Holding Tank High-Water Alarm (Y/N)
SEPARATIOI~I DISTANCES FROM SEPTIC/HOLDING TANK:
.pate Last Pumped
'J/~'~ ' ; for '"'"-- ·
Temporary Holding Tank Permit (Y/N)
To Water-Supply Well
· .To Property Line
: To Water Ma!n/S~v~e. ~.[n;'
To Stream, Pond, Lake br Maj(~r Drainage Course
Comments ~--~_ I<j,
To Building Foundation
72~2~{ReV. 7/~8) Fi'~nl Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata !'~ ~'"~/~ ~V'g.. Type of System Design
Date Installed ~'-'"' I~'- '7 ~'- Length of Field 'Z..'"/
Width of Field ~ ~
Square Feet of Absortion Area
Depression over Field (Y~:~)
Re'suits of Last Adequacy Test
Depth of Field ! n
Gravel Bed Thickness ~ ~
.~;""'~'o ~' Statndpipes Present<C~/N)
/-J Date of Last Adequacy Test
--
SEPARATION DISTANCE FROM ABSORPTION FIELD:
To Water-Supply Well
TOLotBUilding Fou ndati~,,~/~
To Water Main/Service Line
To Stream, Pond, Lake, or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments
~ ~' ! To Property Line /n t4'
'~ ~' ;~ To Existing or Abandoned System on
; On Adjoinir~g Lots .~ I~
, /{~ /4- To Cutback (if present)
D. LIFT STATION
Date Installed
Size in Gal~;.~ ~
"Pump On" Level at-'"'-.--. _
High Water Alarm Level at
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test.
"Check Permitted Bedroom Rating Against HAA Request** ~
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this
inspection.
Signed
Company
Date
MOA No.
Receipt NO. ~--~/.~
Date of Payment
Amount: $
72-02~ (Rev. 1/88) Back
~.-~ ~' /~,~ln[~ ~al
Receipt No. ~ % I ~ ~l.¢~._-,,,~.,,~--
Waiver Fee: $ L~ ~, ~ k%t~
Date of Payment ~'~ '%~
Page 2 of 2
EAGLE RIVgR ENGINEERING SERVICES
P.O. BOX ??3294
EAGLE RIVER, ALASKA 995??
~LL AND SEPTIC ADEQUACY TEST REPORT
TEST DATE: Augus~ 8, 1989
LEGAL: EKLUND SUB., Lot 2, Block 2
LOCAT!ON~ Eagle River, Alaska
RESIDENCE:
WELL YIELD:
WATER SYSTEM:
Single Family, ~ Bedrooms
5.4 Gallons per M~nute
Private We1!
SYSTEM:
From }~unicipal Records
Tank: 1000 Gallons
Abzorption System: Seepagm Pit
INSTALLATION DATE: 197§
INSTALLED ABSORPTION AREA:
558 Sq. Ft.
TEST PROOEDURE
SEPTIC: The leachfield was ~ll!ed with water from an on-site well
at an average rate of 5 GPM for a total of 600 gallons.
The septic tank and leach pit liquid !evelm were monitored
referencing a measuremen~ below the top of the ~-tandpipe. Durin~ the
~est, water was added ~hrough ~he pit c~eanout tube and the leach
pit water :level w~,s monitored a-~ water was added &nd then ab~.orbe~
· into the surround~nu so!l. ...
The water level ~n the septic tank did not rise during the
addition of 500 gallons of water show!nU that the leach p~ had
accepted %he entire amount. A total rise ~n l~quid /eve/ ~n the leach
Dit was recorded as 2.6". Measurements were taken of the leach pit
l~quid ~level. at 10 minute intervals with a satl~factory~retUrn in
l~quid level. The mon~toring indicates the septic system will accept
the required 1~0 gallons per day of effluent, per bedroom, which is
the required absorption rate for Municipal approval.
Well/Septic Adequacy Test Report
Page 2
WELL: After initial startup, the well was pumped at a steady flow
r~ate'of 5.4 GPM. Total drawdown from a static water level of 155 feet
was $3 feet after 26 minutes of pumping. At this point the water
surface level in the well was static at 188 feet below the top of well
casing. With the use of an electronic sonar,'~he yield rate of the
well was monitored and calculated at a maximum rate of 5.4 GPM..This
yield or flow rate is the maximum rate that can be e=Tablished by use
of the installed pump. This yield or flow race is based upon the
assumption that the well is being placed under normal usage prior to
the Test date.
TEST RESULTS
The well 'flow rate and septic system soil absorption rate meets
the requirements 'of The Municipality of Anchorage for a 3 bedroom
Stng!e family residence a~ of the day The system %~as tested. The weli
flew rate also meets F.H.A. single family standards. However. The wel~
to tank ~nd leachf~eld sepa~ation distance will ~equlre =' formal
waiver from the muntctpalit? to comp!e~e ~pprova!-
Assessment of existing subsurface conditions by %he lnspec~ing
engineer is limited ~o tnforma=ion obtained ~rcm ~he availabl~
monitoring tubes and Municipal record search. We do no~ ~arantee
~he validity or quality o~ subsurface ~es~s and inspec~ions performed
~by the ori~inal inspec~in~ engineer or a~thority. This report lP
limited ~o absorption rate ~es~!ng and surface separa~ion measurements
as currently reguire~ by ~he Municipali~y o~ Anchorage and does no~
verify ~he integrt~Y of ~he piping Zor ~he wa~er supply or water
quality othe~ th~ the bacterial and nitrate content.
The operational l~fo and the matter o~ compl~anc~ w~th.~%a~e add
~, ~or all w~ter aha septic systems depends on the local
~O~1 cond~t~on~, ~=oundwater levels that may not be observed from the
~u~face without add~tiona! testing, water u=age of the hozes bein~
served by the System, and the detail of required Testing proceaUre.
Septic 'systems expire with use and future environmental concerns may
- ~ -'-- which could render the leach pi~
require more ex}en~mve ~e~je-tic s,,stems. Our absorption tes~
s bls. T~is ils Ir~ oi ai~ W z
. unu ~ _. ..~ ,,~,~,~ ~er day for this home al~ows fo~ .~
r~qulrem~nt ~i ~ ~''~'~2 ~--+~c ~vstem when placed under typlcaz
considerable li!e span .or ~= ~=w-~ ~ ' . _ ~
home usage.
DATE RECEIVED
· INSPECTION APPOINTMENTS
TIME TIME TIME
DATE DATE DATE
MUNICIPALITY OF ANCHORAGE . ,
~.--~-----~'. c-~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTL~PAL~TY OF AN~O~
825 L St~t · A~hor~, AI~I ~1 D~PT. OF H~AL~ &
ENVIRONMENTAL SANITATION DIVISION
· APR 3 1981
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND
DIRECTIONS: ~mplete 8~1 parts oil page 1. Incomplete ~u~u will not ~ pr~. ~ease allow ten {I0} days for pr~sing.
MAILING ADDRESS
PROPERTY ~SI D~N~ (If differen~ from abo~) PHONE
3. LENDING I~T~UTION , PHONE
4. REALTOR/AGE~ PHON ~
MA~L~NGADDRE~ ~ '~ - ~ ~/ ~ ~
S TREETLOCAT,ON v
6. TYPE OF RESIDENCE / NUMBEROF~BEDROOM$
.J~'~"SINGLE FAMILY I--I One r-I Four
i"'l Two t'-I Five
r-I MULTIPLE FAMILY ~ Three ~--I Six
I'-] Other
7. WATER SUPI~LY
~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
I'-] COMMUNITY since June 1975. For wells drilled prior to that date, give well
[] PUBLIC UTI LITY depth (attach log if available.)
.YEAR ON-SITE SYSTEM WAS INSTALLED.
SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON'SITE**
[] PUBLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
- THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
I'--I SINGLE FAMILY [] ONE [] THREE [] FIVE I--1 OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
I--1 COMMUNITY
DATE DRILLED
[] PUBLIC UTI LITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UTILITY ~'~-~'~ ~ '
Connection Verified INSTALLER
[]Septic Tank ~r r-'lHoldlng Tank
Size: t~J0 If Tank is homemade SOILS RATING
give dimensions:
TYPE OF TANK MANUFACTURER ,Z~J_J ~,~..q t ~
5. COMMENTS
[~L"~'APPROV E D FOR '~ BEDROOMS
r-'l CONDITIONAL APPROVAL (Fetter must accompany certificate)
[] DISAPPROVED ~
DATE BY
?2-010(Rev. 6/79)
DAVID A, SLENKAMP
ROBERT A. SHAFER
MECHANICAL ENGINEER
694-9055
CIVIL ENGINEER
604-2979
May 17, 1981
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
'ENVIRONMENTAL F:,OTECTION
Sun Realty
ATTENTION: Darlene Nicholaysen
P.O. Box 1201
Eag~ River, Alaska 99577
MAY 2 1 1981
RECEIVED
Dear Darlene,
Reference: Lot 2: Block 1; Eklund Subdivision: Lutes property
A sewage system adequacy test was performed on the system located
on the referenced property, as you requested. The septic tank
was pumped and verified to have a capacity of 1000 gallons. The
seepage pit was charged with approximately 1000 gallons of water
and after a period of 24 hours all the water which had been added
to the crib had percolated out.
It can be concluded from this test that the waste water disposal
system serving the three bedroom residence located on this property
is currently functioning adequately. However, the system cannot
be guaranteed 'against subsequent failures.
If we may be of further assistance,
please do not hesitate to call.
Sincerely,
(/ slss
cc: First National Bank of Anchorage
ATTENTION: Joy
Municipality of Anchorage
Department of Health and Environmental Protection
SRB 19(~X EAGLE RIVER, ALASKA
.... _._ -.. ,,-... .............. ./~-,~'"'~,UNICl PALITY .ql;, ANCHORA., .......... ~- .....
'.,: ~'-~,~ ;;:.' ;'DEPART~ENT,~,F' HEALTH'AND ENVIRONMENTAL KROTECTION'"-.~.;'~:'~ ":;~.:':f.".;;';~:
--'~,¢' d: Mar224, 1~77 .
1st InspectiSn: Time ~:~p~ 2nd Inspection: T~me .
Date ~Q~-U7 ~~ Date
Inspector ~ ~/,~,~. Inspector
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WAT£R FACILITIES
1. Lending Institution Request: United Bank Alaska
Mailing Address: 645 G Street
Phone: 279-1911 x 67
2. Property Owner: Howard P. Nickerson
Mailing Address; Star Route Box 1455
99577
Phone: 694-2880
3. Legal Description: Lot 2 Block 1 Eklund Subdivision
4. Single Family Residence: (x)
Multiple Family Residence: ( )
Number of Bedrooms:
N~mber of Bedrooms:
Well Data: Type Individual
Construction ~
Depth 320' Well Log Filed
Bacterial Analysis ~,~. ~--~-7~
6. Sewage Disposal System: ' On-site system ~) Public Utility
Permit ~ N/~ Installed 1975 ' Installer .
Septic Tank Size ~ Manufacturer
Absorption Area
soils Rate /~ Material
7. Distances: Well to Septic Tank ~! to Absorption Area
to Sewer Lines /~ Nearest Lot Line /~
Absorption Area to Nearest Lot Line ~
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L Street, Anchorage, Alaska 99501
279-2511, ext. 224, 225
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
MUNICIPAU'i*y OF ANCHORAG:.
DEPT. OF HEALTH &
ENVJRON~E. NTAL PROTECTION
JWAI 1977
RECEIVED
FHA__CONV ~
1. Type of Inspection:
2. Property Owner: ~-\C~v'~
Mailing Address: -~--
3. Name of Buyer: ~~ ~
Mailing Address: ~ b ~
4. Name of Lending Institution:
Mailing Address:. L~ ~%'" ~ ~"1- r ~.-% Phone: .~,~-{ ~, -I 4i II
5. Name of Realtor or A~nt: ~ ~
Mailing Address: ~/~ Phone:
6. Le~l De~ription: ~T ~ ~c~ ~ ~
7. Type of Facility to be Inspected:
8. Water Supply
Type of Supply:
No. Bdrms '~
Public Utility Individual
If Individual, number of dwellings presently served
If Individual, depth of well
Sewage Disposal System
Type of System:
If Individual, date of installation
Public Utility
Individual (on-site)
72 003(3/76)
Page'Two ' ·
· '-'- ', '' '~.~- Department'of Health a~d EnVironmental rotect~on
.~ Request' for.Approval of Ihdividual'Sewer and Water Facilities
Legal Description: Lot 2'Block 1 Eklund Subdivision
Com~nent s:
Affadavit Attached: ( ) Letter Attached: ( )
Department Worksheet:
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska
\,,%o
99503 274-4561
~ F.;~. Date of Inspect3on ~-~-~ ~
INDIVIDUAL SEWERF~R~TER FACILITIES
2. Property O~er:~
Mailing Address:
3. Legal Description=
5, T~pe of facility to
6. Well Da~: ~,
Phone:
Phone:
No. of bedrooms
A. Type
C. Construction
Sewage Disposal System:
B. Depth
D. Bacterial Analysis
A. Installed .~-\L_~-"~...~ B. Installer
C. Septic Tank: 1. Size \~ ¢\c~ ~ 2. Manufacturer . ~Lk_.~,-~L,
D. Seepage Pit: 1. Absorption Area 2. Material _
E. Disposal Field: Total length of line~'
8. Distances:
A. Well to: Septic tank , Absorption area , Sewer Lines
Nearest lot line
, Other contamination.
B. Foundation to septic tank
, Absorption area
C. Absorption area to nearest lot line
EQ-034 (1/74) Page 1 'of two pages
'GREATER A~ICHORAGE ARE;, BOROUGH
Department of Environment~.l Quality
3330 "C" St.,..Anchorage, Alaska 99503 - 274-4561
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
Type of Inspection: CMRO VA FHA CONV
Property Owner:
Mailing Address:
~;ame of Buyer:'
Nailing Address:
4.
Rn~ ~17-~. Rn~l~ ~r ~k_Oa¥ Phone Nnne
3545-~tn-View-Dr. ~ ~pt. "A"
~n~h~: ~ ~q~fld Day Phon~
~;ame of Lending Institution:
~200 ~i=po=t Ht$, Suite 390
Mailing Address: Anchorage. Ak 99504 Phone
5. Nam~ of Realtor or Agent: ]Trna ~hn~tnn
AI~, Ino.~ Realtoss
Mailing Address: n~ ~4g Eagle R~v~r Ak Phone
· 995??
274-5722
694-9555
6. Legal Description:' "T.~t- 2.. Rllc 1: ~l~lun~l .~tlh~l(v(~(nn
Location: M~le 10 Eagle River Road. neff hand side turn at
~An~mll
7. .Type of Facility to be in'spected: Ranch · No. Bdfms.
S. 'Hater Supply ................. " ...
Type of.Sopply: Publi.c Utility Individual ~
If Individual, number of dwellings, presently .served ~
~n frnnt yard.·
3
9:
If Individual, depth of well .325'
Sewage Disposal-System
· Type.of S~stem: Public Utility
If Individual, date of.instal.lation
Individual (on-site)
Page2 of two pages- ReE.~,,~t for ApproTal of, Individual <.~'r& Water Facilities
Approved
Approval ~Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
I certify that the information contained in this request for approval to be a true a~d
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
Date_
SIGNED
EQ-034 (1/74)