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VALLEY VIEW ESTATES TR 1
Valley View Estates Tract 1 #050-521-08 MUNICIPALITY OF ANCHORAGE Df 'RTMENT OF HEALTH AND HUMAN SEP �ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAdE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name / DISTANCES TO FROM ,I'AaSEPTIC TANK ABSORPTION FIELD WELL Address ,Peq !fex //y3 '4 555'7 WELL i Phone(s) i5el Permit No. 'i/4 No. of Bedrooms .3 LOT LINE fro LEGAL DESCRIPTION het— Trq.:r 7 Block ^'/5 Subdivision I b4'- Ile 31, f// ii F_s%irs FOUNDATION Township, Range, Section T! v nl /i' Sec,. 3 AS -BUILT DIAGRAM (Show location of well, driveway, water bodies. etc.) septic system, properly lines, foundation. TANKS A, se I -,<t SEPTIC ❑ HOLDING Manufactwer AwcA To—Il Capacity in gallons S-00 Material S74, e� No. of Compartments TYPE OF SYSTEM r i e S ❑ TRENCH ❑ BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from engine grade FT Total depth from groat grade FT Fill added above original grade fir > 4l depth beneath pipe FT Gravel length ZZ FT Gravel width FT Total absorption area SQ FT Distance between lines FT Number of hoes Soil rating SQ FT Pipe material Installer tl Date Installed #Ff WELLS s exTs t e h PRIVATE ❑ OTHER (Identity) Classification (A,B,C) Total Depth FT Cased to FT Installer Date Installed: REMARKS: Z/ YC ECSC r4 ,S / G ryP.G� ey �e4G: �. Scale: InB�rQURI9�fe�ryrr,L�flflygENICES P. 0. Box 773294 ENGILIGE� SEAL ��s� � ���®`��� -(� •'�'�.'� .. y a��' a• o°°E°°°o°°°UP°° ff/' e_ v .O ...... (�A is e Louis A. Butes 7� J,�°° C ���®�OFESS\N,`�`'� ��O DD� _o W fi ,•° �� 61 ���, v o�tr -v .<�2 �`a /rye re45c Eagle River, 99577 Date°e Q96-5195 inspection was performed according to all �4{.� i ale, e. w certify that this / Municipal and State guidelines in effect on This date: S/!�/%6 Healthepalilnent p oval: i���✓�'u�°�'�'�t�:rta• 72-013 (3/85) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑ NEW 1yAYPGRADE /�/�!?Ei'�+ `iA�+"•>��j! �'i C/ YGaC�f [n� �%7 ._�i iE� MAILINQ ADDRESS d %i le Zt fie— -9 9-S._ 7 J LEGAL DESCRIPTION LOCATION NO. OF BEDROOMS r{, ' /c' ,i !off-r'' -73 Well Absorption area Dwelling PERMIT NO. Vy DISTANCE TO: F Z Manufacturer Material No. of compartments aQ y'- . YJS'Ti Liq. capacity in gallonsInside - IFHOMEMADE: length Width Liquid depth y JVZ DISTANCE TO: Well Dwelling PERMIT NO. Oz FQ- Manufacturer Material Liquid capacity in gallons Well Foundatio Neare t lot li a PERMIT NO. w= DISTANCE TO: `' fj� 7"' pU r % M z No. of lines Length of each ling.., f Total length of lines / Trench width ' Distancg between lines H z w /� 7. (D inches VA ~ Top of the to �msh grade Material beneath the Total ej�c e44 �absorption area p inches �y Length Width Depth PERMIT NO. w Q F Type of crib Crib diameter Crib depth Total effective absorption area w ° H Well Building foundation Nearest lot line DISTANCE TO: J Class Depth Driller Distance to lot line PERMIT NO. J w � DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER Ico c- ` PIPE MATERIALS q SO I LfAST RATI NG Y INSTALLER / D EMAR KS FF// %2c c%C� Of e_,T f .rf); . Bim' 171 CC 01 N . 2225-E JUNE 25,1971 �JAL Q 70 APPROVED DATE LEGAL j J 10f e 'S (Ala C,4 V li i e-,,r 72-013 (Rev. 3/78) TYPE OF SOIL ABSORPTION SYSTEM I=: TRENCH MAXIMUM NUMBER OF BEDROOMS = _ _OIL EATING CSG FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: 11'°E7F47-01= _SAT L_E=1A A317VA= 22-1 C3 FRFA41 E=L E>E=F"TVA= EE� THE LENGTH DIMENdS,IONd IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR FIT IS THE DI_TANC:E BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE I_ NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS• THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE EXCAVATION (INd FEET). F"E=ED LJ I F:E=E;a =°E_FO"T I A_ TFAA-AF== in I a"E_= ALC AC AC A AaF=AL_/_CA44lc= PERMIT APPLICANT HAS THE RE=PONdS,IBILITY TO INFORM THIS DEPARTMENT DURINdG THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS P'ROP'ERTY AND THE NUMBER OF RES,IDENCES THAT THE WELL WILL SERVE. --------- "T" {-.l CA a_ IN F I F° E= -------- BACKFILLING .__BA=K:FILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROS.EC:UTIONd. MINdIMUM DISTANdCE BETWEEN A WELL AND ANY ONa—'_ITE SEWAGE DISPOSAL SYSTEM IS• 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEFENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DI_TANdC:E FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 26 FEET AND TO A COMMUNdITY SEWER LINE IS 75 FEET. OTHER REQUIREMENdTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAM`_: ARE AVAILABLE TO INSURE PROPER INS•TALLATUONd. E_; =: F" I F_ E_ _ _ E • E= A_ E= PI ED E_ F_ lLo A o E3 -= i CERTIFY THAT is I AN FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS, AND WELLS AS SET FORTH BY THE MUNdICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IM ACCORDANCE WITH THE CODES. _. I UNDERSTAND THAT THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENdCE IS REMODELED TO INdCLUDE MORE THAN 2 BEDROOMS.. SI APPLI27DATE— V4. HANNAN CONST. ISSUED IS; C--- — 0 A-1 F_F A" I C_- I r ?Fl L— I T'-e'a A_A F� F=F F" -A A_ A—r,� F_ F1 Cli F= v. DEPARTMENT i.. HEALTH AND ENVIRONMENTAL F'H�OTEC:TIONI VV 826 'L.' STREET: ANCHORAGE: AK. 99501 .{ 720 F_.A i° -A --'=e I T E_ _. Eoz AJ E= F° F" E= FZ Pq I T PERMIT NO. C 830217 ) APPLICANT HANNAN CONST. _R 1667 EAGLE RIVER: ALASKA 694-2776 LOCATION LEGAL TRACT I VALLEY VIEW ESTATES LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM I=: TRENCH MAXIMUM NUMBER OF BEDROOMS = _ _OIL EATING CSG FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: 11'°E7F47-01= _SAT L_E=1A A317VA= 22-1 C3 FRFA41 E=L E>E=F"TVA= EE� THE LENGTH DIMENdS,IONd IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR FIT IS THE DI_TANC:E BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE I_ NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS• THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE EXCAVATION (INd FEET). F"E=ED LJ I F:E=E;a =°E_FO"T I A_ TFAA-AF== in I a"E_= ALC AC AC A AaF=AL_/_CA44lc= PERMIT APPLICANT HAS THE RE=PONdS,IBILITY TO INFORM THIS DEPARTMENT DURINdG THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS P'ROP'ERTY AND THE NUMBER OF RES,IDENCES THAT THE WELL WILL SERVE. --------- "T" {-.l CA a_ IN F I F° E= -------- BACKFILLING .__BA=K:FILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROS.EC:UTIONd. MINdIMUM DISTANdCE BETWEEN A WELL AND ANY ONa—'_ITE SEWAGE DISPOSAL SYSTEM IS• 100 FEET FOR H PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEFENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DI_TANdC:E FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 26 FEET AND TO A COMMUNdITY SEWER LINE IS 75 FEET. OTHER REQUIREMENdTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAM`_: ARE AVAILABLE TO INSURE PROPER INS•TALLATUONd. E_; =: F" I F_ E_ _ _ E • E= A_ E= PI ED E_ F_ lLo A o E3 -= i CERTIFY THAT is I AN FAMILIAR WITH THE REQUIREMENTS FOR ON—SITE SEWERS, AND WELLS AS SET FORTH BY THE MUNdICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IM ACCORDANCE WITH THE CODES. _. I UNDERSTAND THAT THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENdCE IS REMODELED TO INdCLUDE MORE THAN 2 BEDROOMS.. SI APPLI27DATE— V4. HANNAN CONST. ISSUED IS; C--- — 0 x SOILS LOG i MUNICIPALITY OF ANCHORAGE • +� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION EJ PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: / /L7'�`H't ��� ��/ht Mh-C'+ "L`� DATE PERFORMED: 12i2 LEGAL DESCRIPTION:/ r tf%r .� (i s.e `� 7/'r ✓ t s- jr-i.' ",f - SC.C, 3 7, / M TE—PTH SLOPE SITE PLAN 1 2 3 — _ 4 J 5 6 7 8 9 10 11 r .12 13 14 15 16 OF ' r ••.....l 17 *�49 H 1*� a .. •STI •Yi i-. •i i..HL• 2225-E •'� MJF 25, -1971 20 .d WAS GROUND WATER v S ENCOUNTERED? -�_ L 0 P E IF YES, AT WHAT DEPTH? z Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE %=-5 (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS �YGS't UC.f'�/� / S/fie <<7` 7'g'S7` ,j-'!'J� a 0>" PERFORMED BY: /—Uu J��:� `-ft'+`. CERTIFIED BY: :� DATE 72-008 (6/79) GAAB:HDI Gi XT�ANCHORAGE AREA BORO'`"�, GLPARid1ENT OF ENVIRONMENTAL QUALIir' 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING NAME L2—D" e�52(16_A5�;;Z-G`PHONE LOCATION 7ZVI, cl,4e9 Z�zg LEGAL DESCRIPTION T�1���/ � l'�.✓31-�-�� l���d"'/ SEPTIC TANK: C� /97/i fid. NUMBER OF MATERIAL DISTANCE FROM WELL ✓`'��✓Usti`� --3 / ,�'��-��� «�%✓ lG'��l COMPARTMENTS //��/ /�!-ftp--c /✓�fG�l1s���' LIQUID LIQUID CAPACITY GAG-'� GALLONS. INSIDE LENGTH " INSIDE WIDTH DEPTH SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS OUTSIDE DIAMETER OR WIDTH /LENGTH '"�`� / DEPTH _s' Cq J ��73�fi /�jJ>t/�✓j�t/E- t-O/✓G��.�7Gr C'I06 �/9%//e..E'c7J,, e. � LINING MATERIAL i'G�"/�• /L//t/�-r . DISTANCE FROM WELL F'�-��'/Jf'�' BUILDING FOUNDATION ' -2J , NEAREST LOT LINE �2' TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) —SQ. FT. TILE DRAIN FIELD: /{//� DISTANCE FROM NUMBER OF LINES A CE BETWEEN LINES SQ. FT. LENGTH OF EACH LI NEAREST LOT TRENCH WIDTH TOTAL LENGTH OF LINES_ IN. TOTAL EFFECTIVE DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL:rG"��✓'��'J�� ��r`f�- DISTANCE FROM WATER TYPE L�,9I�«�='z'' DEPTH , BUILDING FOUNDATION. "— SAMPLE I , NEAREST LOT LINE 4_ DISTANCES: NEAREST SEPTIC SEEPAGE �_ OTHER SEWER LINt ,TANK SYSTEM , CESSPOOL ��, SOURCES_ DIAGRAM OF SYSTEM � Gam'/✓ie.✓1,r1+�r_-+ ; DATE NU - \y cif' , _ e c s• > y5" � Gam'/✓ie.✓1,r1+�r_-+ ; DATE NU - h n,I i7 At i;r:i\'7 CAS:: 327 EA r r c T,Rt'T -- ATCHO X31:, A.zM-YA 9j5o Pc,rformed For John Ginbu Lero i. Uc i :t u0?' - ; g; k �r. ,r :=gate Performed 7/19/71 ?his F`cr, Re:SPC-; Valley View Report a: 5 i X terco ation Tes" Depth Tract fNE 1%2 Sech2'� TS 14 N R1W 1— Loose gray sandy, silty p gravel (GM) Z^'{ with scattered sand seams and lenses Location Sketch Was Ground 'Water Encounteped? •`o , if Yes, AT F;kat 1.er,rh ricadir g D toI Grew itre I Ne. , i fie Depth To Hto I Net Drop Yrc_Las: c in:ta 2piion Setepa- Y. X Drain ie;d :;opt F'lc, Of s ToTo ucYtoT =Pit Or Test °eriorned F3y:...,.8 Data Certified Hy:_ational Testing -Services, Inc. Date: KA 4 ' RETURN TO:, 9ivlslon of Geological and Ge. (DGGS) STATE OF ALAS , ,slcal SurveysDEPARTMENT OF NATURAL RESOURCES 3001 Porcupine Drive (Telephone: 277-6615) Anchorage, Alaska 99501 WATER WELL RECORD Cotten--Magnuson Dr.'ili i n U.S.G.S. Local No. Drilling Company Name Drilling Permit No. ,: LOCATION OF WELL Please complete either la, ib, or Ic. • A.O.L. No. la. Borough Subdivision Lot Block ib. Fraction Section No. Township Range Meridian orAnch. Valle.)). Vie Tr. • / / / N/S 1 l lc. Distance and Diregc.p(t (.-t.Road intersections til'.. 3. OWNER OF WELL: I }-r. John l:t. 1sburG i Address: .G„ 7!)Y 43j 11 i ;d Mile Eagle fiver . , near 'muss Street Address and Area of Well Location 2. WELL LOG Feet Below 4. WELL DEPTH: (completed) Surface Elevation Date of E Surface Completion J r ; Material Type Top Bottom 265 ft. ^"^^ 5--2.,i-^V1 I i vJ(..:A'0 ul'Lie1) Lt C 5. ❑Cable tool 0Or Iven Doug Rotary ❑Auger ['Jetted ❑Bored ❑Other: I E) IndustryI 6. USE:;{y,,1,Domestic ['Pub!lc Supply 0 I!!E ! -_. .__..._._—•-•- -— - .' _. ... . - • [Irrigation- ['Recharge ['Commercial I r 0 Test Well 0 Other: • II i f 7. CASING: 0 Threaded laWeided 'y 1 ' O in. to 8 ft. Depth Weight 12 lbs/ft. VL 1 _ in, to ft. Depth �1� Y -4 8. FINISH OF WELL: • Dpi n Hole 6" Type: Diameter: Slot/Mesh Size: Length: Set between ft. and ft. I Fittings: 9. STATIC WATER' LEVEL: /Li ft. I •ANC"C) A . ['Above Below land surface I MUNICIPAuT Ot�{�AlTll & OW p i4.:1iQ1 Type of Measurement: i ER/IROtOng TA PRO _ QQ�� 10. PUMPING LEVEL below land surface • W.0101986 261 ft. after .hrs. pumping g.p.m. D ft. after hrs. pumping g.p.m. RE C'�11� L ,1. WELL HEAD COMPLETION: Din Approved Pit ` "L.JPltless Adapter inches above grade / 12. GROUTING: Well Grouted: El Yes ' Y. Ro - Material: ❑ileac Cement ❑Other: / 13. PUMP: (If available) HP 3/k - Length �ofDrop Pipe .O1 ft. capacity 5 g.p.m Q Type: 'yf�J'Submerslble ❑Reclprocating v ❑Jet 00th er: B • 14. REMARKS: <1�..1 tested :+ 3 p'nv.:Yi. 15. WATER WELL CONTRACTOR'S CERTIFICATION: This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief: Uatten-Magnusorl Drilling AA 5365 Registered Business Name Contract License Number P.O. Box 504 Eaf:;le River, Ak. 9 577 Address: „ '' zi' " .? •�.. - ..�.: r, Date: ("toy 29, 1hjt3J. Signed: ,•�--- / �, / •Authoc•iYed Representative +-�M rnnv Distribution: WHITE - State DGGS, PINK - Driller, CANARY - Customer M-VV DRILLING, Inc. P. 0.Box 4-1728 • 2811 Dawson • A C 907-279-1741 ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner John Ginsburg Use of Well Dmm Location (address of: Township, Range,'Section, if known; or distance main road Tract 1, Valleyview Estates, Eagle River, Ak. !! 6" 252 Size of casing Depth of Hole feet Cased to ;a feet Static water level 100 —ft. (;1bV'Y. (below) land surface. Finish of well (check one) open end ( X ); Screen ( ); Perforated ( ). Describe screen or perforation None Well pumping test at 13--1 gallons per (a.pli ) (minute) for_lhours with __100% ft. of drawdown from static level. • Date of completion 2/3/72 WELL LOG Depth in feet from ground surface Give details of formations penetrated,size of material, color and hardness 0 TO 5 Sandy Gravel : :nedinm 5 TO 8 Weathered/fractured zone of bedrock: wet 8 TO 252 Bedrock: Grey black, siltstone argillite, with isolated small water seaps in fracture zones. TO • TO TO ��/ —. • TO \� TO Wayne E. Westb TO TO • MUNICIPALITY 01 ANCHORAG DEPT. OF HEALTH & TO ENVIRONMENTALPROTECTION TO I A N 15 1986 TO RECEIVED TO TO 1—CUSTOMER 90 8 9 10 • "3 ,. ;,,,v,ti --4, tIC_ Municipality of Anchorage „ t: On-Site Water and Wastewater Program ����� t� X20 j a (907) 343-7904 ' m Certificate of On-Site Systems Approval 0/ 6 8 &9 Parcel I.D. 050-521-08 Expiration Date: 9'19` 1. GENERAL INFORMATION Complete legal description VALLEY VIEW ESTATES TR1 Location (site address) 8139 MARY ESTHER RD Current Property owner(s) AMANDA & MICHAEL TUTTLE Day phone Mailing address 8139 MARY ESTHER RD EAGLE RIVER, AK 99577 Real Estate Agent Day phone 2. TYPE OF DWELLING: El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual CI Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received b': A ` id Date: V j)0/1 1 ;J COSA to be released t e engineer,unless otherwise requested by the engineer. COSA Fee $ 52f 1 3/(5,(00 Waiver Fee $ Date of Payment 49 It(l ial(e[C3t(g Date of Payment Receipt Number 01455-14C/ (C)(4“03(.7 Receipt Number COSA# a5C 1$(�as Waiver# r� a, 5. ST T k� �. T OFF ' P CTION BY ENGINEER As certified by my seal a I h nd as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of Onsite yst s Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are)'saf func al and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obred 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. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and 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.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 272-8218 Address P.O. Box 100217, Anchorage Ak. 99510 Engineer's Printed Name Steven R Pannone Date 6/8/2018 �� OF 4L. 6. DSD SIGNATURE �0' ' -4— ••.Sr�eveR. 'oririone System #1 Approved for . bedrooms . enCR. 'o9 ,��� System #2 Approved for bedrooms s r Disapproved kll``D OFESS•O- Conditional approval for bedrooms, with the following stipulations: ' ,` v g\1 N� (. W P1�EW p1ER o: NJ 99O'- o / • 0/,.4�htT �o\_t\c• � r-- B i,.rk � Original Certificate Date: ( `tP-tg The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: ,, ' COSA Checklist X Nitrate Advisory w„ ;f•: Septic System Advisory ----X-- Arsenic AdVisory • - Well Flow Advisory Other :,, •+ =: COSA blue sheet S '- •' c If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: VALLEY VIEW ESTATES TR1 Parcel ID:050-521-08 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# Well Log (Y/N Y ) Date completed 6/1/20 ,tb\ Sanitary seal (YIN) Y Wires properly protected (Y/N) Y Total depth 265i252 ft. Cased to 8 ft. Casing height(above ground) 1-2_ in. FROM WELL LOG AT INSPECTION Date of test 5/29/81 6/1/18 Static water level 14 ft. 27.7 ft. Well production 3 g.p.m. - g.p.m. WATER SAMPLE RESULTS: Coliform NEC' colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 5/25 &6/1/18 Collected by: ArcTerra & PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Concrete/STEEL Date installed 1971/1986 Tank size 1000/500 gal. Number of Compartments 1/1 Cleanouts (Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N Date of pumping I ,'(t(— 1 7 Pumper k.'s C. ABSORPTION FIELD DATA Date installed 1983 Soil rating (g.p.d./ft2 or ft2/bdrm) 150 System type WIDE TRENCH Length 75 ft. Width 5 ft. Gravel below pipe 3 ft. Total depth ��� ft. M Eff. absorption area 646 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/1/18 Results(Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 10 in. Water added 450 gal. New depth 10 in. Elapsed Time: 130 min. Final fluid depth 10 in. Absorption rate >= 450 g p d N Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 100+ On adjacent lots 100+ Absorption field on lot 100+ On adjacent lots 100+ Public sewer main 75+ Public sewer manhole/cleanout 100+ Sewer/septic service line 25+ Holding tank 100+ Animal containment areas 50+ Manure/animal excrete storage areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line 5+ Absorption field 5+ Water main 10+ Water service line 10+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 10+ Surface water 100+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS SURVEY ON FILE. 2 WELLS ON PROPERTY, 2 SEPTIC TANKS ON PROPERTY, MONITOR TUBE EXTENDS 4.5' INTO A 6' TOTAL DEPTH FIELD W&C[_ G&®Sa-s-7- -Ta t-462scr 'c3 t S 0C A-,,OP-e.7rLa0 A `T1-I S'-r""rz , 6X2-V P-s'a P-t r/L L 1-40-ro ''r/ -t I) Cro Yb rf c.)Ste .40...44,1k..1&11, NV ENGINEER'S CERTIFICATION Z • Aq� .'" tDFF1i, I certify that I have determined through field inspections and 1,1::: /�p>'�.• �� ,9�� review of Municipal records that the above systems are in j*. : ' /\ ••*00 conformance with MOA COSA guidelines in effect on this date. 1 14�• Engineer's Printed Name Steven Pannone �'•:S ev` '. 'annone Date 6/8/2018 �T�lq,•• CE-8149.."1":' Al/ �10OFEs r ,`4 COSA canary sheet_2-6-15.doc MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT • f[" '1 907-343-7904 On Site Water and Wastewater Section \ ` Fax: 343-7997 www.muni.org/onsite \ Septic System Absorption Field Advisory Certificate of On-Site Systems Approval # OSc181262 Subdivision: Valley View Estates, Tr 1 During the absorption field adequacy test, 10 inches of standing water was observed in the absorption field. This indicates approximately 95+% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the subject Certificate of On-Site Systems Approval. Mailing Address: P.O.Box 196650*Anchorage,Alaska 99519-6650 *www.muni.org t .e/c99 tss' �.o oa I - A iare,,,-.7-e.--"V--- �ssr's.^- — 'I.1 to 1 ,„r. r..wL 10 89_7' of a, �odfc 4 1.•3a :9ccef , ...5---.r.v,--:-..2.... . ® . 7 . l pew 'A1.O,vgCr N o a m' I1 ops Q 1. "�4, e Py � a• O Q o •1 ep 7 ri ` I \q ,'°, �}S,,Ed i 0 •,$., •( ' I � 1 iTh v ,,e --,_5-.:-...,-- .ii/� ASBUILT-NO CORNERS SET THIS DATE. SEWARD & ASSOCIATES LAND SURVEYING 688-4566 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' , FOLLOWING DESCRIBED PROPERTY: �~Sa . �,�,40:0:01014. 4� R THAT NO ENCROACHMENTS EXIST EXCEPT AS 9/y/9� „�.•.•' •''-`5>r- AND Q; INDICATED. IT IS THE RESPONSIBILITY OF THE ,;�;'49t! OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: P• .......... t....;;....,....74/ EASEMENTS, COVENANTS, OR RESTRICTIONS swz�_, WHICH DO NOT APPEAR ON THE RECORDED SUBDI- '� � ark Seward . FB' ,• Due mark Seward A VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ff tS�69187 ANY DATA HEREON BE USED FOR CONSTRUCTION •f//-.3-6 r OF FENCE LINES, OR FO,. _STABLISHING BOUND- �� .r. ARY LINES. DRAWN: �+�F � .. Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-521-08 1. GENERAL INFORMATION Expiration Date: Complete legal description Valley View Estates Tract 1 Location (site address) 8139 Mary Esther Dr Eagle River AK Current Property owner(s) BR -EMS CHRISTIANE Day phone 244-1930 Mailing address same Real Estate Agent Cindy Wilson Day phone 244-1930 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storaqe ❑ Holding Tank ❑ Community Class C Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ C�0�0 Date of Payment % 1 Ay1 > Cl y Receipt Number 0;?5�5_ -4 COSA # OAC ►319s_ O Date: Date of Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm NorthRim Engineering Phone 694-7025 Address PO Box 770724, Eagle River Engineer's Printed Name Steve Eng Date OF A 6. DSD SIGNATURE T ®fi fiaEp Fv a atotl'F@p+ V System #1 Approved for bedrooms. 'fix 'j'p at Ven %11,Eno System #2 Approved for bedrooms.; Disapproved. Conditional approval for bedrooms, with the following istl ulat ons: Original Certificate Date: upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory COSA blue sheet 9-1-12.doc X Nitrate Advisory Arsenic Advisory Other If more than t septic system is on the lot: COSA Checklist # of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: V ✓/e a J J r cc L Parcel ID: 05'0- ,S2 A. WELL DATA - 2 wei r Well type S�if A, B, or C provide PWSID # Well Log (YIN) As zq��! V- ,? 7s Date comple26� Sanitary seal (YIN) Wires properly protected (YIN) I i.� Total depth g_52 ft. Cased to 8 ft'"J r u Casing height (above ground) /2 " in. B®droai�- FROM WELL LOG Date of test S Z Static water level ! S/ ft. Well production 3 g.p.m. AT INSPECTION 7/2Z//3 351 ft. XT g.p.m. WATER SAMPLE RESULTS: Coliform ! colonies/100 mL Nitrate 2. 5 7 mg/L Arsenic A-_662_ ug/L Date of sample:9 /.P Collected by:/ifet" B. SEPTIC/HOLDING TANK DATAA4W / �— Tank Type/Material � �aD 1 c- I "^ k3 (, Z% Date installed /77/ 6 Son Tank size e0do gal. Number of Compartments /t I =. /L Cleanouts (YIN) _ j/ Foundation cleanout (YIN) Depression over tank (YIN) . N High water alarm (YIN) AV Date of pumping � Pumper _7_' /z IS C. ABSORPTION FIELD DATA n Date installed I / n Soil rating (g.p.d./ft2 or felbdrm) System type A/rdR &4(& Af Length -75 ft. Width 5- ft. Gravel below pipe Total depth ft. Eff. absorption area 1W fe Monitoring tube 4 Depression over field AIL Date of adequacy test VZZZ13 Results (Pass/Fail) PG J's For 3 bedrooms Fluid depth in absorption field before test 0 in. Elapsed Time: � min. Final fluid depth _ Water added 15Z So gal.. New depth in. d in. Absorption rate >= q5-0 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date . D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons Manhole/Access (Y/N) in. "Pump off" level at in. High water alarm level at in. E. SEPARATION DISTANCES Cycles tested WELL ON LOT TO: So/ Septic tank/lift station on lot 100 ! Absorption field on lot /d o Public sewer main A14 Sewer /septic service line S rf Animal containment areas SEPTIC/HOLDING TANK ON LOT TO: Meets alarm & circuit requirements? On adjacent lots /ad .of- On adjacent lots ( 0O 't Public sewer manhole/cleanout NA Holding tank ^14 Manure/animal excrete storage areas ,00 '4- i Building foundation S Absor Properly line /4 `f" ption field /d "L Water main Nli Water service line /Pi �'f" Surface water /6 d 'f Wells on adjacent lots QO'4- ABSORPTION FIELD ON LOT TO: Property line Z0 't Building foundation G `4' Water main NR Water Service line 0 `+ Surface water /0 o t Driveway, parldng/vehicle storage /G it Curtain drain Wells on adjacent lots F. COMMENTS 2 G. ENGINEER'S CERTIFICATION 1 certify that l have determined through held inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Date I1(3 COSA brown sheet_10-10-12.doe YG S " secwaa�7 ei.w..•� eleven 4'a. Eng o � , J o® p°qF�"36 3a ES 4S8UI1 T—N() (`f1pUCDc ec'r -'.nn n..-•. -- - 61SWARD s ASSOCIATES LAND SURVEYING 688-4566 1 HEREBY CERTIFY THAT I HAVE SURVEYED .THE SCALE: r FOLLOWING DESCRIBED PROPERTY: a��u/ r,Qac DATE= w �'� OF ACs4p E-r>;s*i-Er r i . AND THAT NO ENCROACHMENTS EXIST EXCEPT AS y//9.� /Q • INDICATED. IT IS THE RESPONSIBILITY OF THE 491" yR� OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: ' % :ti:r.*EASEMENTS, COVENANTS, OR RESTRICTIONSWHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ouewerd FB: a /j� LS -6918 ' � 41 ANY DATA HEREON BE USED r'OR CONSTRUCTION y/"s r C OFFENCE LINES, OR FO;. _STABLISHING BOUND- r - � ARY LINES. DRAWN: t��AxkcalL�R yS 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 050-521-08 HAA # V�Qoc '-C Llai Z 1. GENERAL INFORMATION Complete legal description View Estates, Tract 1 Location (site address or directions) NHN`Mary Circle, Eagle River Property owner John & Natascha Ginsburg Day phone 694-2194 Mailing address P-0- Rnx 771143 Eagle River, AK 99577 Lending agency NSA Day phone Mailing Agent Address Unless otherwise requested, NAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 X Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X Holding tank Community on-site Public sewer NOTE: If Community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (flea. 1191) Front MOA #21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Eagle River Engineering Services Phone Address P.O. Box 773294, Eagle River, AK 99577 Engineer's signature 694-5195 6. DHHS SIGNATURE "Approved for bedrooms. M Disapproved. Conditional approval for Additional Comments bedrooms, with the following stipulations: U ITIr. The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025(Rev.1191) Back MOAH21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST >, I/ I/ 1 Legal Description: N&a'l VlCbt) C5T r,,oACt / Parcel I.D. 05(i 5 20 " 0g A. WELL DATA Well type /'jam If A, B, or C, attach ADEC letter. ADEC water system number IVZ,4 Log present (Y/N) yCS Date completed 052%/?/ Driller/Lilh Total depth Y-1-6 r Cased to �/ /N%v 1362[.(_9 Casing height /--2 "/ Sanitary seal (Y/N) Y66 Wires properly protected (Y/N) YO /1 5a'ZND (Vk4, DPbtt-,D /N Mt /S 146111VOONCv. FROM WELL LOG AT INSPECTION m ?2 Date of test 05JZ9�b� a��O5�y3 /�} 9..2 m a) v Static water level Well flow' o g.p.m. y g.p.m.rrl Z%/ Pump level (sN/</lOWN rT1< p SEPARATION DISTANCES FROM WELL TO: Z" Septic/hekk+g tank on lot ; On adjacent lots" Absorption field on lot f/00' ; On adjacent lots �_ /0/�) / Public sewer main 1V/,4 Public sewer manhole/cleanout A114 Public sewer service line 111114 WATER SAMPLE RESULTS: Coliform ^t7 Petroleum tank 11171,1E //P/W-0'1T Nitrate ky(s / Other bacteria Date of sample: [) ? 1 /03 Z 93 Collected by: F!✓L7/�/LrA/C B. SEPTIC/FANG TA IATA 500 61J�L Date installed %/ Tank size %400 6#t Compartments Cleanouts,(Y/N) YES Foundation cleanout (Y/N) NO Depression (Y/N) 7 High water alarm (Y/N) N/i Alarm tested (Y/N) N/A Date of pumping D��12/93 X18 5 SEPARATION DISTANCESFROM SEPTIC/G TANK TO: / Well(s) on lot S(G% On adjacent lots f /00 Foundation e To property line f d f' %0 Absorption field 7�Water ma+reserviceline 7' Surface water/drainage 72-026 (Rev. 3/91)Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) SEPARATION DIST Well on.lot-" D. ABSORPTION FIELD DATA Manufacturer Manhole/Access (Y/N) Pump off' level at i y Cycles tested LIFT STATION TO: On adjacent lots Surface water Date installed 1973 Soil rating / 50 go 1,5,< System type W/X � ( l j r Length /5 Width Gravel thickness 3 Total depth L Total absorption area 4b a.' Cleanouts present (Y/N) Yes Depression over field (Y/N) 140 Date of adequacy test Dee_;;& � Results (pass/fail) PASS for -s bedrooms Peroxide treatment (past 12 months) (Y/N) NIA If yes, give date N/A SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / 100 r On adjacent lots >` Ind ° Property line °3n ' To building foundation f /© To existing or abandoned system on lot �" s On adjacent lots 30Cutbank N/A Waterm2'nJserviceline k/0 ° Surface water /U %d Driveway,/_& ° parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION i certify that I have checked, verified, or conformed to ail MOA and HAA guidelines in effect OF A Signatures V f 49I!i Engineer's Name Date b„ l/ ? 1' Louis A. Were VA !n t CE -6736 HAA Fee $ 1 %D , 0 Date of Payment . �3 —17 Receipt Number 3 72-026{Rw. 3/91)Back MOA 21 l� / 5 Waiver Fee: $ Date of Payment Receipt Number inspection. MUNICIPALITY OF ANCHORAGE DEPARTMEw OF HEALTH AND ENVIRONMENTAL PROCTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1/13/86 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Tract 1 Valley View Estates T14N R1W Sec.23 Location (address or directions) Eagle River (b) Applicant NameJohn GinsbMrg Telephone: Home 694-2194 Business N/A Applicant Address P.O.Box 1143 Eagle River AK 99577 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder-G; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Alaska Mutual Bank Telephone 694-9571 Address P.O. Box 1068 Eagle River AK 99577 (e) Real Estate Company and Agent N/A Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single-FamilyT2F Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well ® Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite fk Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11/84) 5. ENGINEERING FIRM PROVIDINASPECTIONS, TESTS, FILE SEARCH, DAOND 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 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 Fera E RIVER rNIrlNEERW SFRT&4hone Address EAGLE RIVER, AK 99577 Date OF A Louts A. Butwa CE6736 _.•��d % .. Seal 6. DHEP APPROVAL Approved for 4"t"'`'C3 bedrooms by ^" `—" Date —,36, Approved ✓ Disa>eQved Con> ional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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. Page 2 of 2 72-025 (11/84) -"'CIPAUi OF ANCHOR OEPf, OF HEALT'-, 5 AGc MUNICIPALITY OF ANCHORAGE (MOAN``f �_ IRCNMENyAL � HEALTH AUTHORITY APPROVAL (HAA) JAW CHECKLIST - FEBRUARY 1984 264-4720 ky E Legal Description: .A[ %7-�c-+G✓�,/,�y UC'w Ls fz fes T /Lr.v r r �v sem-, � A. WELL DATA Well Classification i r/= If A, B, C, D.E.C. Approved (Y/N) �A Well Log Present (Y/N) Date Completed S Z9 �/ Yield 3 e G_-: Total Depth 6 Cased to _k Depth of Grouting y% Static Water Level /I/ ne/ s.,. e Pump Set At 2 6i Casing Height Above Ground Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well To Septic/Holding Tank on Lot 7 On Adjoining Lots To Nearest Edge of Absorption Field on Lot t ov On Adjoining Lots To Nearest Public Sewer Line- I+✓/A To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot s Water Sample Collected by' t4s - 2. s r^ Date Water Sample Test Results S<,77s zc42 Comments Wa#ar rc8 lfS oK Q– B. ► B. SEPTIC/HOLDING TANK DATA Date Installed /57/ Size 5 / No. of Compartments r.✓r✓if ✓. Standpipes (Y/N) X Air -tight Caps (Y/N) y Foundation Cleanout (Y/N) N Depression over Tank (Y/N) /t% Date Last Pumped c5if: /) Pumping/Maintenance Contract on File (Y/N) /1'/Z_�r ; for Holding Tank High -Water Alarm (Y/N) �1A Temporary Holding Tank Permit (Y/N) Separation Distances fromSeIDJLQ olding Tan Sse i.+i fig/✓ fb L $ %f"" To Water -Supply W To Building Foundation 5 To Property Line tip To Disposal Field r 7 To Water Main/Service Line '/u Course /y1sl To Stream, Pond, Lake, or Major Drainage Comments L r// zC/ 17-e Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata off% Type of System Design Wicl� t ct. f, r io( Date Installed /993 Length of Field Width of Field S / Depth of Field 6 Gravel Bed Thickness 5 Square Feet of Absorption Area Ey6 Depression over Field (Y/N) !� Results of Last Adequacy Test Sc tr f c Separation. Distance from Absorption Field: To Water -Supply Well �/oo To Building Foundation 311-1 / Lot '3c ' - To Water Main/Service Line .0" r�U To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION/4 Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments — Standpipes Present(Y/N) Date of Last Adequacy Test DY To Property Line t� ✓4A //, "S6 c To Existing or Abandoned System on On Adjoining Lots 30 — To Cutbank (if present) 61Z-4 Dimensions Manhole/Access(Y/N) — "Pump Off' Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA " Check Permitted Bedroom Rating Against HAA Request " I certify that Ihave/che ked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Date Company MOA No. S T — ;�, 6-r- Receipt No. 3 -lO Ll I ) Date of Payment I 15 d b Amount: $ (0 5Engineer's Seal a 8� Page 2 of 2 x z ----.- 4 Lulls l CE -67a6 72-026 (11/84) �F ee®ee °O _ 5 . `! r �� 1 �� 4`�` BILL SHEFFIELD, GOVERNOR DEPT. OF ENVIRONMENTAL CONSERVATION Telephone: (907) Address: ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 274-2533 ANCHORAGE, ALASKA 99501 DATE: June 19, 1986 PWS I.D.# 210605 To Whom it May Concern: According to records on file in this office the VALLEY VIEW Water Regulations Water System is in compliance with the State Drinking Sincerely, Mi el P. Lewis Environmental Engineer 01 4\C - t'01 oE4 dMEN P4 RRot�G�j Municipality of Anchorage January 27, 1986 P.O. BOX 6650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Lou Butera, P.E. Eagle River, Engineering Services PO Box 773294 Eagle River, Alaska 99577 Subject: Tract 1 Valley View Estates Subdivision Waiver Request, WR86-009 Dear Mr. Butera: A waiver for the required separation distance between the well and septic tank is not needed for the subject property. The well and septic tank in question were both installed prior to October 1973 when the separation distance required was 50 feet. The current 100 feet separation requirement specified in 18 AAC 72-021 does not apply in this case. Sincerely, OUStephen S. Morris Civil Engineer On-site Services SSM/ljw EAGLE RIVER ENGINEERING SERVICES Lou Butera P.E. P.O.Box laska9 Eagle River, Alaska 99577 Telephone(907)694-5195 Susan Oswalt Municipality of Anchorage Health Department 825 L Street Anchorage, Alaska 99501 Ref:Tract 1, Valley View Estates Dear Susan; 1/13/86 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH $ ENVIRONMENTAL PROTECTION '"�i 15 lei RECEIVED On behalf of my client, John Ginsberg, I am submitting the following information in support of a request for waiver of separ- ation distance. The waiver requested is private well to septic tank horizon- tal distance of 801. The following information is available in support of and to assist you in your determination. 1. The well in violation is being replaced by well #2. and is considered temporarily abandonded. 2. The well #1 is 252' deep and draws water from an artesian aquifer through bedrock seams. 3. The soil conditions at the site are GM type soils with rating of 150. 4. The septic tank is located at approximately the same elevation as the well. 5. Surface topography is such that any possible seepage would be directed downslope away from the well. Slope is 25% in the N -S direction. The well is located to the East. 6. The house foundation forms a barrier to seepage as it is located directly between the well and septic tank adjacent to the tank. 7. Population density of the area is low. 8. The owner has indicated the septic tank was installed with mechanical couplings. (see letter enclosed 1 Mr. Ginsberg should be contacted if further action is re- quired as I will be out of town until February 5. Sincerely; Lou Butera, P.E. ST -265 J r , 'From: John Ginsburg 1/11/86 PO Box 1143 Eagle River , AK 99577 To: Municipal Health Depattment Municipality of Anchorage Subject: Waiver Request - Tract I, Valley View Estates, Eagle River I observed the installation of my septic tank on my property in 1971 and verify that mechanical couplings were use in connecting the sewer pipe from the house to the septic tank and from the septic tank to the leach field. The origional well is 80 ft. from the tank and is temporarilly abandoned Sincerely, C � John Ginsburg, ower MI,YfQF L17y AfV EWfRONMfry:iE�lTO�` � PROTFCiIOM q +v I -- V 5 RECEI1.- G MUNICIPALITY OF ANCHORAGE �t DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL HEALTH CASE REVIEW WORK SHEET ❑ PLATTING BOARD ❑ PLANNING & ZONING CASE NUMBER S-5392 NAME ? .1 4hthme Subdivision _ ___ S DATE RECEIVED May 28, 1980 / COMMENT TO PLANNING BY June 18, 1980 FOR MEETING OF CASE OF 161 PUBLIC WATER WerAVAILABLE TO PETITION AREA z-i-0§LICSEWER WerAVAI LABLE TO PETITION AREA REVIEWER'S COMMENTS: '' 14-4 ©' am- ra FF _. �., 71-014 1 Rev. 2/781 'ONSTRUCTION TEST LAB "One Test is worth a Thousand Opinions" 2209 Cleveland Anchorage, Alaska 99503 277-0231 vfezJ i-ey 6�S7° rfor?ned for Mr. Max HulseDate. Performed 03-19-80 gal Descri11 ption: Lot - `Block SubdivisionHulse Sbdvn rac is For -.n reports:. SOILS TEST YES PERCOLATION TEST - epth Soil Characteristics eet Test Hole #2 - 6" Peat FH 1 1 1 1 _ Brown slightly sandy gravel, occasional cobbles (GP) tom of Test Ground Water Encountered 1 No YES, What depth? ding Date Gross Time Net 'Ti-ne Depth to H2O Net Drainage •J - 7 solation Rate Minute Proposed Installation: SEEPAGE PIT DRAIN FIELD Depth of Inlet De2th to Bottom of Pit or Trench BENTS: i c n fa t o riormea by ////L!�✓lL LC a Certified Dv: Date _ ?% 55�_92JUL 21980 `,ONSTRUCTION TEST LAB "One Test is worth a Thousand Opinions 2209 Cleveland Anchorage, Alaska 99503 277-0231 �rfor,ned for 'Mr. Max Hulse Date Performed 03-19-80. gal Description: Lot - Block SubdivisiorHulse Sbdvn #2 Tract B its Foran reports: SOILS TEST yES PERCOLATION TEST iepth 'eeV Soil Characteristics. Test Hole #3 6" Peat 1 1 1 1 1 1 f i Brown.slightly silty sandy gravel (GP) 16' Bottom of test hole -,round Water Encountered NO YES, What depth? ling I Date i Gross Tine Net Tine Depth to H2O I Net Drainage olation Rate Minute Proposed Installation: SEEPAGE PIT DRAIN FIELD Depth of Inlet Depth to Bottom of Pit or Trench ENTS: - SO siftjPr ShaAmnm orm led Bv: Date 'ONSTRUCTION TEST LAB "One Test is worth a Thousand Opinions" 2204 Cleveland Anchorage, Alaska 99503 277-0231 rfonned for Mr. Max Hulse Date. Performed 03-19-80 lal Description: Lot -Block subdivision Hulse Sbdvn #2 Tract B is Fora reports: SOILS TEST PERCOLATION TEST -pth $Qil Characteristics e�. Test Hole n4 3" - 6" Peat 2' Frost (season Brown slightly silty sandy gravel occasional. cobbles & boulder (GP) 16' Bottom of Test Ho -Ground Water Encountered No 'ES, What depth? - o ing Date Gross T'Lne'. Net Tine Depth to H2O Net Drainage • 1__ i dation Rate Minute Proposed Installation:SEEPSGE PIT D2AIN FIELD Depth of Inlet De th to Bottom of Pit or Trench ,NTS: l sD-s Z Per Data Certified nv: Date MINN -Ground Water Encountered No 'ES, What depth? - o ing Date Gross T'Lne'. Net Tine Depth to H2O Net Drainage • 1__ i dation Rate Minute Proposed Installation:SEEPSGE PIT D2AIN FIELD Depth of Inlet De th to Bottom of Pit or Trench ,NTS: l sD-s Z Per Data Certified nv: Date Ron 5629 1 • •- "One test' is worth a �E1L 562D TUD tho l"'d opinio, , Performed For M OR R O AO' ANCHORAGE ALAS . Leaal ax Hulse KA D8507 • TELrrNon, 33-86]2 - Descrintion: Lot _ This Form Reports 9 Block B&C erform Soils Lo Subdivision.t Hulse erd 1-�9-73 1 .Yes Tenth Percolation eet • Soil Chara — 21 1 Overburden cteristics" 1, 3 Exposed ROadcut A.� Slightly Silty Sandy Gravel Cobbles &-Oul-ders mixed thruout GW - GM / 160 tom of Exposed Roadcu Was Ground Water Encountered? no If Yes- of J`. No ;i i inuu'1'ION TESTL-✓ 3- --_ Date: 1 -29 -