HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 3 LT 5River View Estates Block 3 Lot 5 #050-721-23 Municipality of Anchorage page —I�of 2 - DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 0 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report q tQ�c Permit Number: SW9403/5` 0 S, 0 7p 1- I ab3 PID Number: � I d,� Names, �. ��.. 13ip,N 7,7 Wastewater System: ❑ New X Upgrade Address: _ 900 3 �3. ABSORPTION FIELD PhGpee 0195".) o No. of Bedrooms: 3 ❑ Deep Trench htShailow Trench ❑ 8ed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: •P GPO/Sq. Ft. 6r Lot: Block: Subdivision: S Depth to pipe bottom from original grade: Gravel depth beneath pipe /V� V/E-kv E.szoms ID 3 Ft. Ft. Township: Range: Section: Fill added above original grade: Gravel length: G Ft. G G Ft. WELL: El New ❑ Upgrade Gravel width: Number of lines: Distance between lines: 1 S Ft. 0 Ft. ClassificationPrivate ,B,C):P_X/ST Total Depth: Cased To: Total absorption area: Pipe material: F?16 PAF. 921V,17-6- Ft. Ft. S*0.9 SO. Ft. 14`97,49 AM?4/ f • V • G , Driller: Date Drilled: Static Water Level: Installer: Date Installed: Ft. 5COrUST%lICT 9�Z3-9 Yield:Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES gseptic ❑ Holding ❑ S.T.a.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines J ,966- /✓A tlty Welk" s., f Material: SrEE� Number of Compartments: Watero /00' /co LIFT STATION Lot Ores- Size in gallons: Manufacturer: Line 16,1- /or-/- Foundation Foundation 7 r 3 p r "Pump on" level at: "P off" level at: High water alarm at: Curtain NOS EK No V N Pump Make del Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: R 0.6 S'416rR Assumed Elevation: t" -00 EXg6t0>xER'!!,•6 AL m Or"`iL /NT2 5 & 5 ENGINEERING 17034 Eagle River Loop Road, No. 204 .' ,,,,; / „`,`' „,.,: ......r•..•lr Inspections performed by: _ Eagle River, Alaska 99577 Dates: lst q -/s -9y _ 2nd ROBERT C. COWAN r r�4� CE ��cv :saol Department of Healt n Hu a ices approv I a���ry\4W i�aa�, M;,� y4 7 Reviewed " and approved b Date: Permit NoSW140315 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 * Anchorage, Alaska 99519-6650 e Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Reported Wag A cc C * Legal DescriptiONERVIEW ESTATES SUBD.; BLOCK 3, LOT 5 PID No.: -C)S-- cD 7 1 a 3 Col CO2 MT (COUC04 FINAL GRADE MTI&MT2) .... .... ........ ...... ....... ...... ........... ........ SR 93.0' 1000 GAL 1"'N93.6' SEPTIC TANK 4y0 n SCALE 1" = 40' Col .10.0 30.0 CO2 15.5 35.0 D.V. 119.5 38.5 CO3 91.0 105.( C04 41.5 42.0 MT1 22.5 10G.,' MT2 .43.0 43.0 NEW 1000 GAL. SEPTIC TANK ROBERT C. COWAN CE - 8801 00" PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES ( ✓ �" P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940315 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:BENTZ JEFFREY A & OWNER ADDRESS:P.O. BOX 4383 ANCHORAGE, ALASKA 99510 PARCEL ID:05072123 LEGAL DESCRIPTION: RIVER VIEW ESTATES BLK 5 LOT SIZE: 45592 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST CONTRUCTION OF: BE IN ACCORDANCE WITH: 3 LT DATE ISSUED: 8/25/94 EXPIRATION DATE: 8/25/95 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: AN ADDITIONAL PERC OF THE GP STRUTUM PERC EXCEEDS 15 MI RECEIVED BY: ISSUED BY: TEST MUST BE TAKEN STARTING AT A DEPTH N/IN, THE DRAINFIELD DURING CONSTRUCTION OF 6 FEET. IF THIS MUST BE REDESIGNED. DATE:- DATE: ATE:DATE: 4� PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON—SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW940315 DESIGN ENGINEERS & S ENGINEERING OWNER NAME�SNYDER SAMUEL M 80% &j OWNER ADDRESS9304 HIGHLAND ROAD EAGLE qq`RIVER,-AK°99577---941-1• �J 1°I 'a rL, Oji PARCEL ID:0507-9-213-0 a kb"PAt LEGAL DESCRIPTION: RIVERVIEW ESTATES BLK ,_ 3 DATE ISSUED: 8/25/94 EXPIRATION DATE: 8/25/95 v 5.. LT, LOT SIZE: 45592 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: AN ADDITIONAL PERC TEST MUST BE TAKEN OF THE GP STRUTUM ST TING AT A DEPTH PERC EXCEEDS 15 MIN/ THE DRAINFIEL D RECEIVED BY: DURING CONSTRUCTION OF 6 FEET. IF THIS MUST BE REDESIGNED DATE ISSUED BY: /GDATE: A4�u1�s�\ 1 •I� �� • r August 03, 1994 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 'L' Street SEWER&WATER P.O. BOX 196650 MAIN EXTENSIONS Anchorage, Alaska 99519-6650 SEWER&WATER REFERENCE: Riverview Estates Subdivision; Block 3; Lot 5 INSPECTION Request you issue a permit to upgrade the septic system serving the ENGINEERING STUDIES AND REPORTS three bedroom house on the referenced property. An adequacy test performed on the existing system for Health Authority Approval purposes found the absorption capacity of the existing system WELL INSPECTION to be inadequate. & FLOW TEST A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site plan. The monitoring tube within the test SITE PLANS hole has been checked and found to be dry. Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring properties by ROAD DESIGN the installation of the proposed septic system. If you have any questions, or require additional information for your review, pl ase contact us. SOIL TEST Sin rely, PERCOLATION TEST R a er, P.E. RAS/ SU/jk STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 bI V J � 0o � I co V pa 0 In a (n 0 W Y U Q r W Z O W 2 i w z W a r z a LU CC J 0 s to Cc!\ 0 �z D� O oz Z Z U O �0 Par =O r�(Y Q Cf) (n O W K ofQL'iU (n a_ Z > Q W n wm(..)r�z �az0 oz3cnoo r N�XQ>M� r n 0 F w Z wW Y�SmHO �rw (f) C�CDZ � a�:DzOwo w=ln-JvmiV\zz rF>>Ww¢O N J CY DOin 2 w0 zl z� ~ cn ~ w r- z3a (n><z 00(D Ul cnQ F --r OU %-, t J i4 <ec w 0 LLJ z O cy 0 "T w w F o a ��nJ� oV) V) 4 / o / C'' z ti 0 wNF LLI O,/ II C) O L'I / n w / Cfj O(nQ\ mo``oo �(or)v)co 0 J Q r / Ln U = O QG ~ F 0 �a 0oY \ J OMEO uoa3 a�yo d'`rU w 0 LLJ z 0 "T w w F o a ��nJ� oV) V) ria hl -i V' p\m L w r C'' z 00 ��- co II '/�7-A1 wL wZO U)x.-. II C) O OACr II co"'Ld co F Cfj O(nQ\ mo``oo �(or)v)co fkW� �7 � M V/CCI Poarx w a�yo d'`rU 3abaojn I os = „J ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Riverview Estates Subdivision; Block 3; Lot 5 1. The scope of this project includes the installation of a five foot wide drainfield to serve the existing three bedroom residence on the referenced property. The existing septic tank is to be excavated to verify integrity. If of poor integrity, the tank is to be pumped, crushed and abandoned. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4' of cover shall be insulated. Page Two Riverview Estates Subdivision; Block 3; Lot 5 August 03, 1994 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10' from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. Page Three Riverview Estates Subdivision; Block 3; Lot 5 August 03, 1994 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140/N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. INSPE-TIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. Page Four Riverview Estates Subdivision; Block 3; Lot 5 August 03, 1994 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required, especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractor's activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractor's activities. Final acceptance of the contractor's work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER (ENGINEER'S SEAL), • Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG PERCOLATION TEST PERFORMED FOR: DATE PERFOR ED LEGAL DESCRIPTION:_L-b-r t5- �j —j Township Range Section: V/ R.EPT.H dt✓ P_.,t\�(Z.-� l�� SLOPE r� SITE PLAN FEET,), N 10 /s 11 L 12 13 14 15 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED?---i��V.—O-- S IF YES, AT WHAT L DEPTH?Ar O P E Depth to Water Aft Monitoring? Date: PERCOLATION RATE _JD (minutes/inch) PPEERC HOLE DIAMETER LP, TEST RUN BETWEEN ✓`7 FT AND - 1" FT COMMENTS !�;'U Ssw(- PERFORMED BY•Iag gY� 44' 1 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WIPHIP ALVSTATM5 Ml7 ZIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) CPRIMe7 August 5, 1994 Jeff Bentz P.O. Box 104383 Anchorage, Alaska 99510-4393 Dear Mr. Bentz: Subject to your agreement to indemnify the company as set forth below, Prime Cable of Alaska has no objection to the well encroaching into the piatied utility easement on Lot 5, Block 3, Riverview Estates, City Qrid SW357. This letter of non -objection in no way precludes Prime Cable from full use and enjoyment of any rights it may have within any portion of the right-of-way, including unlimited access for servicing its facilities. By signing below, you agree to indemnify and hold Prime Cable harmless, now and forever, for any damage, costs, expense (including reasonable attornev's fees), liabilities and injury to any person or property occurring as a result of the encroaclnnent. Please indicate your acceptance by signing and returning this letter to myself at the address below. Sincerely, Clint I-Iousley System Designer CHJb c ce Date r� 5151 FAIRBANKS STREET 0 ANCHORAGE. ALASKA 99503 o N(M �67.94w .+_ I i u• au I i.vn III J I MM I LI\.]LI iN.`1L13&3 LINU 11)t,LK I iNU MUNZCJ:PArATY CSF ANCIZIUM MEMORANDUM HATE. August 5, 1994 TO: Brian Wail, Public Works bapart>wit Fi'd:11: fA Lon Keefer, Planning Supervisor, ,�o✓ Engineering pivi.sion, Am St1R. W s EASE MMU Em7CACHmEM Riverview Estates Subdivision, Block 3, Tct 5 August 3, 1994 request The Anchorage Water & Wasteiaater Utility has .reviewed a request tltm ,7e.tf p ntx for nm -objection to eaaenaait encmacku; nt on the stilhj lot. Sr�b�it.taci raid the reqmat was an as -built showing the well encroaching istto the utility easement located on the Southwestern 10' of the refeeory ed lot. The referenced property is Outside the XNwU certificutad water sexvice area. AWV does not have sanitary Cao r awailabl® tA3 the re: erenced lot. X&V tines Mt object to the eticroachment. Should you have any quesUorns, please call Ha -111e rforri.son at 564-2721. cc: Jeff Bentz P.O. Box 1043©3 Anchorage, Alaska 99510 Grid SW 357 [wwhMI ,wp.edsenw:-�,ttj20 +R J/ b I-. 1U I.1LLll l\U MONT THIS AORUEMPNT, alade and entered into thus 29th day of �lxly_ _�_e_ I4, 54 by turd betwenrt MPiTt1NUS1rA ELECTRIC AS +t7CIATION, IIVC„ an Alaskan son -profit asember owner! electric moperative of Palmer, Alaska, hereinafter called "First Partyand Na8111 Cal)ttte asnt� of 9 g R oro Alaska, hereinafter rade "Second Fatty% WIFNaSSETH THAT: A well exists Within azar 10 foOL utility sas9m0nt alone th6 southwest boundary or Lot, S. block 3� RIVER VIFW ESTATES SUBDIVISION, According to Plat #75-3314 Anchorage Recording District, third Judicial Distrir,t, State of Ata6Ra, T14% RIW, Sec. 20 --- NOW, — -doBdFdvlor and in consideratior, of their mutual agreemeats Untheg anauab e c n tl rasion, the receipt of which is h4aby acknowledged, First Party, for itself. its successors and aui$ ss, vlaivae its objeetiont to Second Party's bncroachment on the said easoment for the purpome mentioned, subject to the follonving conditions; I Second Party will. hold First Party hdrmleas frotri liability for any injury or damage to any person or property which may result from such encroachment 2, The said encroachment will be withoutpraj;ad.ice to First Party'e full enjoyment of any and all rights it may have in and to such exwntent. 3. Arty facilities or property of First Party which Ise damaged or destroyed as a result of such encroachment unll be repaired or replaced. The cost of repair or replacement will bd paid entirely by Second Party. A. Second i'arty will comply with all applicable mfety codes and regulations. s. Any exyenses which pirst part may incur in tha relocation or modifieation Of, its faailitips to accommodate t e stud encroachment will be Nict entirely try Second parry. By its execution of this Aggrreement, Ucond ?ynrti> a�reGs.'1'G^: itself, iW successors and asitia, that its encrnochntant upon the naattecj tasentettt as hereinabove menhonad will be subject to the foregoing conditions.. IN WITNESS WHEFLEOF, the parties have caused this Agreement to be exet.'uted by their duly authorized reprovntalives and agents as eof the, day and year first above 1116ntioned. Ny.1�N First Party t3anerMa a o his �►S present ativt s f rl Collatte llentz r:uaa.ostMI& I NUa i n J I All' I r- 11 I NAL -MS ENG I NEER I NG S! 6 i i p�a�� 1 hVNA2AJRc"'TIr-M A tM AC�1�1�"1�?XA�nrm i ACKNOWLEDGMENT STATF OF ALASKA THIRD JUDICIAL DISTRICT , S5 The forel:" eervont was aCknowle ed tsefore ras ! 39 by t, day of . [EPATRa:0AMAiUAVP*PWS 2,ry ublicforthe tatAWA q q,, rf My comrrriiou karas: `-' 47— ACKN0WLEj)GML7NT STATE OF ALASKA THIRD JUDICIA rISTRICT : SS foxagoing Aa'led Cd befcr,, me t'xie by Notary" )bllc for thr 5�teta of Alaska x v My Gwoexpires:—b" tinily r'",•'' •',. ttVt2{bylOR DL►.�tr�.....z�J MEA ACKNO [ ILEDGMEstVT STATE OF ALASKA THIRD J'UDICYAL DISTRICT The foregoing eamont vas by®cicr, wledg�ed 6efo tnno this r r +�cr r �. _ _m day of 2-4pu p Aroacliiaak- MY c for the tsfCOMM'gdon expires: c ' caoavneir�s.u;s PA1RIt,J�gA MCpbr3lRM SCI�1 IST � o-lu-uf 1J•GJ � ivvl�ul J1r1n IL1�:7uvYL�.]�+iJ Livul;\Luui\., „r �� ., I"14V' iG• :+e1 lYJ' lJ RG.1'll1/1 rRVf"LR 1 1LJ !'f P+CJI'J r • `F ENSTAR Natural Gaa Company A OMSION OF SEAGULL ENERGY CORPORATION KW 6ponard Road ". F.0, Box IX2$9 Anohorago,Aiuka 59519-02E8 (907)277-5551 July 2Si, 104 ReMa X Propertina, !no. Geri Crowley 2600 Cordova St. #100 Anchorage, Alaska 99503 Dear Ms. Crowley: ENSTAR Natural. Gas Company has no Objection to thO well that encroaches into the utility easozent, on Lot, 3 Block 5 River View Estates Subdivision as shown on th* at'ta=acl:ed asbuilt survey. If you hbva any questions please call me at 264-3743. Very truly )yours, Qar� Warl'tnrvelt Right -cif -Way Agent dw v 1W Uz 1 U • GG , INVI011 31 AK I Ct M HNAL-°J&5 LN(j l i'NtCK I �tJ ; rrr Z/ L. �% Matanuska Ielephone Association, lnc P.O. BOX 3550 PALMER, ALASKA 5-3550 PHONE (9071 7454516 Real t:5ta10 and Pfoporlies $colon ;• FAX (907) 745-80ti0 4149641404 044440#0090a ,ut•,u6*10414,u•„o-#044 too**., Ire,I"• Thomas R. Minhich Preside nt/C,@.O. NON -OBJECTION TO EASEMENT 'NCROACHM'ENT DOCIT ENT By this document. Matanuska Telephone Association, Ine(&17A)., declares that it has no objection to the placement of the following encroachment within the Private X Platted utility easement(s) located on property described as River View E s t a t e s S u b d iy i s i o n Lot five (5) Block three (3) — ,Township 14N�, Range i W . Section 20 Seward Meridian, Third Judicial District, A n c h o r& g e Recording District, Alaska: a. X Well and Underground Water System, b.___ _ _ . Under or Above Ground Septic System. c._ _ _ Fence, d -T Structure, f.T _ _, Other WFY��WWgFi4Wgf 1•ii W�gWg1!l0441 0 out PWW.5 kOY too t t t qtr. M AW♦•W■gd*to e•v f, 0: Please be advised that Matanuska Telephone Association. Inc-, through the issuance of this document does not forfeit any of its rights to the use of the utility ewement(a) cited. In the excrci _ of these rights the utility will,5 if needed, upgcadt, maintain, rclm.ir, nntlloa rep(ece buried or ner 1. telecommunications facilities within the easement(s), Any repairs that may be required to the encroachment as a result of utility construction will be bo ne by the propemy owner of record. Thio document does not authorize the placement of Roy additional eucri%i hrnents within the easement area(s), PLEASE NOTE: This document is, in no Way, an rgreelntnt to vacate any put don of the platted utility easerrient(i), and should not be interpreted Pg sueh h3 brayc:rs, s611er$, g0aerr,trl4nt ! agencies, lenders, Realtors, title companies, and/or undentriters. SPECIAL CONDITIONS: None The original of this document is retained and recorded by Mahtnuska Telephone Assoeta;ion, Inc, Copies will be provided to the customer. Upon the return of the ongirt^l docurritnt from the Recorder's C7fiice, a copy reflecting the Book and Page of the recording will be sent to the last known addrbss of the rquesting party, Future copies may be abiained from the Real Estate and Properties Supervisor, MTA Plant Services Building, Palmer, Alaska- Page—L— of_ 2 Page(s) "`- 6-18-J4 ; 8:23 ; NORTH STAR TERMINALS&S ENGINEERING ;# 3/ MTA Easement Encroachment Document lssutd for Matanuska Telephone 199_4 by Real Fstate and Inc., this _ 161 h --Of —. r Abi>-- 1 t THIS IST CE that on this —16 r.li day of 193 4 ., before a the dersigned, a Notary Public in and for the State of Alai" personnlly apptarrcl $rn_ad ttp_7i.mm.�m�n _ WMe personally known and to tae known to be the individual described in and who executed the foregoing and acknowledged to me that she signed and sealed the same freely and voluntarily for the uses gild purposes therein mentioned. IN WITNESS WI1URF OF, I have hereunto sat my hand trrtd affixed my official seal the doy and year in this certificate first above written. __ 44� Notarypuvc f ., My Commission Expitts: d (� GRANTOR(S) ADDRESS: n rr =ate Matanuska Telephone AaeociatSon, Inc,: .:,017(Y Palmer_. Alaska3 - 99645 1-800-746-9. 1�0 — _ .:,•:, % . s_.� .,, �u' GRANTEE(S) ADDRESS: Jeff and Colette P,O._ Box 104383 __ Anchorage. Al ska 9951(1 (907) 694-3918 PLEASE RETURN TO: Bernadette Zimmerman Real Estate and Properties Supervisor Matanuska Telephone Association, Inc. Post Office Box 3550 Palmer, Alaska 99645.3550 DilC:TormsMDNOrOR.NO3 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 p ��G/%j� J�p' PHONBE�� 9J�p/aG. k99VEW ❑UPGRADE MAILING ADDRESS LEGAL DESCRIPTION J lv�2U/�G✓ � �� LOCATION NO. OF BEDROOMS v DISTANCE TO: Well / Absorption area / Dwelling / PERMIT NO. 9,;20 3 a h Manufacturer �n � � �G Material�� No. of compartments w � rn Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth _j DISTANCE TO: -- Well Dwelling PERMIT NO. _< Manufacturer s Material Liquid capacity in gallons —r = DISTANCE TO: Well/ 4/� / Foundation Nearest lot line PERMIT N0. 203. / L L z No. of lines Length of each line f Total length of lines ! Trench width Distance between lines 3J6 �� inches a Top of tile to finish grade �/ ry /1 Material beneath tile Total effective absorption area _ '7 �' 7X inchesS,J� Length Width Depth PERMIT NO. W Q9 a I— w� Type of crib b diameter te rib depth Total effective absorption area DISTANCE TO: l Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO, W DISTANCE TO: Building fo d for Sewer line Septic tank Absorption area(s) OTHER r PIPE MATERIALS 5&L/D 01,44 —P4437%6- , 303'- 44-1' A& w SOIL TEST RATING INSTALLER �• ''� Z REMARKS n K 'p 60 49 ra* 000ceao cse e.a °° •e M c y ° STEVEN E. FLOC HN e d °°® 4209-E °° ^��'Al f;1b °a........°°el.� J(v 0 9 Pro fess'10\ a� t APPROVE" �yDATE LEGALZaewolghl 72-013 (Rev. 3/78) 21. . ..... ANN 110,114-1 L 1 C41 T I CIO El J. E P13 S 0 F! F> 110 14 WISTEA IR yP:[jrjC>j vulumm ;RJMEqy OF THE OF A; MAP!! T pgqS: ryAF, UVA"Al. JAT 1 ON "YAMENT-1­0 THIS -�! OF F-' ID ITHLA. MIT skjobj: Ll I I U., [�i:! PqSF5EE[;T "OPIS: 01" 19144) WTI& ni) ;!f,v DWARIVENT fXA?j?qG MOMARTY 014D 11g: V MY Cis 1 24 3: 3: clEylly; 10 RH pq PEE Rq 1,; BACM 11,1, I KR3 OF ANY Qly-jaq !q X AS lEn KA DEFOAR MEW I 1]10(J 1 ry 1: WAL I AISFIECAT CIO n: 141L.L. 120 sjj[3IFC j- 10 11RO ...... 1 ON. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 "I'asell Oyster F&VI e:lEi 6942774 �I/J SOIL LOU 688 12CR, 'Performed for: Name:!/ I e ��L�5- C /�--- -- — Tel. No.--- -.... Mailing Address: /` 4 J AY,- IJO, r'�r°� :� . c',7 Legal Description: L c j 14 Oapth (feet) Soil Oharacterlstlea - --- A 6,14 6 !Seo rf/sI 7 .- 8 9 J 10 ,4 104 ,/—, ,4U P� 11. 1)44v -S>, 12--- � r �s /J T� G� �1 �i��L�'LV'� L•'/� PLOT PLA{ X 13 j PERC. TIESY 14 16 �a Ground Water Encountered: Yes___ No_L' If yes, what depth ¢tee r.`l�Vfo aaa aeya •yd�6 LLG a Proposed Installation: Seepage Pit Drain Field f oY7i+ Comments: Performed by: A 'j Mf '•Fs1Yi ✓j�4lli `h?,.pr ��". Date: ������� �� ��������� DEPHRTMENT QF HEHLTH HND ENVlRON�1ENTHL PROTECTION STREET, HNCHORHGE/ HK99501 264.4720 PK���K��, ERMIT NO� ( 771016 ) HPPLICHNT FRDNTI£RREHL ESTATE BX1161ER694�91]8 LUCHTION E. R. LEGHL I .5 BK] RIVERVIEW S/D LOT SIZE 20000 SQURRE FEET MlNIMUM DISTHNCE BETWEEN H WELL HND HNY ON�SITE SEWMGE DISPOSHL SYSTEM IS i00 FEET FOR H PRIVHTE WELL OR 200 FEET FOR H PUB| lC WELL WELL LOGS ARE REQUIRED HND MUST BE RETURNED TO T!1E DEPHRT/ENT WITHlN OF THE WELL COMPLETION� OTHER REQUIREMENTS MAY HPPLYSPEClFICATIONS HND CONSTRUCTION DIAGR8MS HRE HVRlLHBLE TO lNSURE PROPER INSTHLLHTION. ��91'. 11 Al��� l CERTIFY THHT A. I HM FHMILIHR WITH THE RfvQUIREM;aNTS FOR ON-SITE SEWERS HND WELLS HS SET FURTH BY THE MUNlCIPHLITY OF RNCHORHGE 2WILL INSTHLL THE SYSTEM 114 RCCORDANCE WITH THE CODES _ ................. ISSUED BY�~� (�u���_. _._-._DHTE.��-l..�")r),�)'_ /-/ VI 0 MR.Au"N :1 C: 1 Wroul.. X -F "y cis No * U�if:� ��: 1-- 1! Co IN to! 1 ?R IF: DEPHRTMENT OF HEHLTH HND ENVIRONMENTHL PROTECTION 825 'L' STREET, HNCHORRGE. HK99501 279�2511 PERMIT NO ( 7722] ) HPPLICHNT JOHN GROSS BOX 1161 ER SIGNED RPPLlCHNT JO ISSUED ON�S SEWERS HND WELLS HS SET W�TH/THE CODES Ay)ril 200 19 7,) l`7`7223 John Grox-r, BOX '61 P,'aef1c) Rive.r, Alaokca 9 9 5 77 Subs{':c'C:® Pel'ytlit B%'Ol.ration A I?OrMit amqlloCi jjy t'-1 al-0/or o1T-r3itcj ingtallalk-iml on Lot Block 3 River View Estates Subdivision has year. fw`•? IYOU 8111ce the issuo date mcclods olio (l) fn tho c-mont You Bti--lJ. Mall 'Co install tho well and/or 011-sito sm-lor Sy rift P,lj A YlOW iS The original soil tost MaY b(I u',0d to obtain a current )orlill.t. W0,11. I -IMI ur.tlled, a s --y 01 loci ,3, 1 h011 -d'. JDO SUMt to th-I-,i U-) document-, Icho instcallatioli You have ally quevAtim-u1 re(fardinq tho 1))C)VCI matter, Contact thiS ilMlctiiatelv at 264-47",0. Sincoroly,, Los 11. I311c-1111ol-0 lj..C% 'SoMor sy)("c ial isil- JakitY€jry 4 r 19 i; 3ox 1161 ttt� j[3t'z n Lot 11, 'LJ€; ✓'['ilt, ir,—Illo .t by this dC'3yiari:.'t'(lf.' nt for G7c:!_l aro/or aro/orso or systoll h Iii a'%!l_I-y-ed 'rit:Y.I l7 to a? -o 3.ci3t1f_ d on a 1 alu di -u--, 1%0il.l: h-uD.is e as sUat.;.e .f You havo cu .x lt..'k th1 -- wol e a well 1.13(f E3ilCjizld be -Jolit 'int) thl'i -i-,o clf,xalyiaGilt the Yllst'aXW'tion olaYes€)¢ t; t,h€* o fwu a-fiv 1: (ri:[l.ej, cluesi-J'(slas" plecast? cori'i."ac 1-10's iJ i1�e�'F:a.•v e Block 2 Ii •vF:)3�i1iew :s"l��J(�ivi.."ioal, POAX IAit O7IIO1.O r?esnn;it 07.101.7 Tit 5 133.ock 3 1aivc-:V !? ovl Sulicl1,'v7 Bion ponali; `1771016 11, 'LJ€; ✓'['ilt, ir,—Illo .t by this dC'3yiari:.'t'(lf.' nt for G7c:!_l aro/or aro/orso or systoll h Iii a'%!l_I-y-ed 'rit:Y.I l7 to a? -o 3.ci3t1f_ d on a 1 alu di -u--, 1%0il.l: h-uD.is e as sUat.;.e .f You havo cu .x lt..'k th1 -- wol e a well 1.13(f E3ilCjizld be -Jolit 'int) thl'i -i-,o clf,xalyiaGilt the Yllst'aXW'tion olaYes€)¢ t; t,h€* o fwu a-fiv 1: (ri:[l.ej, cluesi-J'(slas" plecast? cori'i."ac 1-10's iJ i1�e�'F:a.•v e s e� Municipality of Anchorage ° On -Site Water and Wastewater Program < (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 050-721-23-000. Expiration Date: % C) 1. GENERAL INFORMATION Complete legal description River View Est. Block 3 Lot 5 "h 7117 Waterfall Dr. L�c�Catlon (site address) '�`` Christopher Baldwin 782-7347 GtarrenAPropertypwrter(s) p Day phone Nlalrr;g addPess ;; 7117 Waterfall Dr. Eagle River, AK 99577 :Real Estate Agent: Sabra Gillard .t 2. El Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual El Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNarience request for: Received by: ffeY Date: 1,144 /6 COSA to be releas a engineer, unless othervvise requested by the engineer. Release to realtor COSA Fee $ _ Waiver Fee $ Date of Payment < I D;ib Date of Payment 4q "/ Receipt Number L(0 Receipt Number COSA# oez lcl 1'? -1 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 Alaska Rim Engineering, Inc. Phone 745-0222 Address 9131 E Frontage Rd. Palmer, AK 99645 Engineer's Printed Name Charles Leet 6. DSD SIGNATURE System #1 Approved for -S bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for Date '3 L I � &_ u, bedrooms, with the following stipulations: By: I^ , jOriginal Certificate Date: 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. UlliIF_[43:h�jIMP,Y&73 COSA Checklist X Nitrate Advisory _ Septic System Advisory Arsenic Advisory _ Well Flow Advisory Other COSH blue sheet r t. c If more than 1 septic system is on the lot: COSA Checklist # _of _ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: River View Est. Block 3 Lot 5 Parcel ID: 050-721-23-000 A. WELL DATA `Well log illegible. Assumed cased to bedrock. Well type Private If A, B, or C provide PWSID # N/A Well Log (Y/N) Y* Date completed 11/23/77 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 120* ft. Cased to 21.4* ft. Casing height (above ground) 12+ in. Date of test Static water level FROM WELL LOG 11 /23/77 ' 7 Well. production 10 WATER SAMPLE RESULTS ft. AT INSPECTION 3/17/16 0 ft. g.p.m. 0.58 g.p.m. Coliform 0 colonies/l00 mL Nitrate 0 mg/L Arsenic 0 ug/L Date of sample: 3/17/16 Collected by: Brandon Jones B. SEPTIC/HOLDING TANK DATA Tank Type/Material Anchorage Tank/Steel Date installed 9/23/94 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (YIN) N Date of pumping 3/7/16 Pumper JR's Pumping C. ABSORPTION. FIELD DATA Date installed 9/23/94 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 System type Wide Drainfield Length 66 ft. Width 5 ft. Gravel below pipe 3 ft. Total depth t6; 5 ifG ' , fzff. absorption area 5fi$'9 ft2 Monitoring tube Y_ Depression over field N �. Date test `` tl 6 Results (Pass/Fail) PASS For .3 bedrooms Fluic) depth ip.2fhs0rpti'*figlfP W" fore test 0 in. Water added 460.1 gal. New depth 11 in. Elapsed Time:1 352 , • min, Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. �re�afitja't(Wf ent.(past 12 mo) (Y/N & type) N If yes, give date Any It 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 E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Meets alarm & circuit requirements? Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 100'+ Sewer/septic service line 25'+ Animal containment areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5++ Property line51+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding Sank 100'+ Manure/animal excrete storage areas `100'+ Water main 10'+ Water service line 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Absorption field 5'+ Surface water 100'+ Property line 10'+ Building foundation 51+ Water main 10'+ Water Service line 10'+ Curtain drain 50'+ F. COMMENTS Surface water. 100'+ Driveway, parkingtvehicle storage 10'+ Wells on adjacent lots 100,+ G. ENGINEER'S CERTIFICATION 1 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. Engine s Printed Name Charles Leet Date v 2, ?D ylo COSA canary sheet 2-6-15.doc I :naR �- mrrHa 06II9CT / �Q �IIINAX6sTB�pc /�! /' Q� ' ura TIUIDNp p6reAx �.—\ C3 <10�k'•���oo� ti 6 T �5 G.%.X2 c..x/ xz\\ 9 � N O v' / •Ext 5FING ' HOUSE \\♦\ @, Jet N� _`Ci' s $ mea �F. UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE :USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR: THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS- IN SCALE. WT SURYEY: SURVEY TYPE PWNMIIW:A5-BtMIT- SYMBOLS SET RESAR DRAINAGE ASPHALT FINAL STRUCTURE AS -BUILT a FOUND REBAR ••• 1) 9 B WOOD FENCE b®'•"' CONCRETE PLOT PLAN ... AS-ERLT .:. LOT SURWY ... TaPOWAPHY T:... cat r. can eukr...: r ((Ea ASSUMED ELEV. j{-�c—R- METAL FENCE WOOD DECK _ PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER,.. PRIOR TO CONSTRUCTION, TO VERIFY. PROPOSED BUILDING GRADE RELATIVE ONLY THOSE IMPROVEMENTS .ABOVE GROUND AND VISIBLE :WILL BE SHOWN. FENCES, WELLS. SEPTIC CLEANOUTS. SIDEWALKS, DRIVEWAYS. TO FINISHED GRADE AND: UTILITY CONNECTIONSANDTO DETERMINE THE EXISTENCE OF ANY: EASEMENTS, COVENANTS OR RESTRICTIONS ETC.. ARE SHOWN IN THEIR APPROXIMATE LOCATION.. ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED.-' WHICH DO NOT APPEAR- ON THE RECORDED SUBDIVISIONS PLAT. ALL DISTANCES ARE .RECORD UNLESS ,OTHERWISE. NOTED. SURVEY CERTIflCATION. r�� •�+��iTqr�� •••-� of Prepared by Robert E. Johns, Jr. &: Assoc.. PLAN PLOT lIr+r eparr.n l -naw PefY.arw a• m ° e °"° 0i6 paa! °114 Professional Land Surveyors par roar r uOotlNM1M a M ew Ipt raw. « rw. ae uro ona m a. ere a ��vr�P�j S 1 ty�. r � � 1700 Brink Drive. ANCHORAGE. ALASKA 99504 ra+wp. er m%. oY snr.Nm• h•.:10i..� erp6.a aa. eea�L • 49th * c . S Jr Scale: 1 re — 5t1' — Rea Lot" S.F. Rec. Plot FYe:: Na FOUNDATION AS -SHALT e RW't [ rin.. r., w.pr o j Inas 1 pynapam61Jroai•�. s. aft..' ' �`+-'T ♦< ....................................• ....� Date Surveyed: +� c 0311.5116 Drawn by. REJ CAeWeed bxF A .... JtVt pmn.tm• aM Nramaew w na.e w ew ena Ae mcppavn•e1• me r i- ROBERT E. JOHNS JR � ;� 1 � Date Oravm: 03/16116 C+id: SW357 W.O. 16-57 FINAL STRUCTURE AS-SUILT 1.-Paepn E Joe" is Nner a.N9y qaT l »d 4121 —5 •' °i fa , Legal Deaerl Non: 9 P p'aA �r a» e, p •.,........ 06 Lot Lot 5 BLOCK 3 RIVER VIEW ESTATES' Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-721-23 Expiration Date: J ' 13 1. GENERAL INFORMATION Complete legal description RIVER VIEW ESTATES S/D; BLOCK 3 LOT 5 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 7117 WATERFALL DRIVE, EAGLE RIVER, AK, 99577 PETER EHRNSTROM Day phone C/O AGENT P.O. BOX 773321, EAGLE RIVER, AK, 99577 LORNA COCHRAN W/ KELLER WILLIAMS Day phone 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 223-8255 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ Received by: s %' COSA to be released to the engineer, unless otherwise requested by the engineer. Date: fl COSA Fee $ +11 C) J 2—'7 y' vs Waiver Fee $ Date of Payment I Ica? 2 2 Receipt Number �a6 l�Ci COSA # o�C 13133'1 / ?Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 . ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In oonducb'ng this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 6 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warmnly or future esbmate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authonzed, nor will it confer any legal right whatsoever. 6. DSD SIGNATURE t� System #1 Approved for _2 bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following Phone 337-6179 Date 16 l3 2`\ttttOFultfC��� / AN ii yo ON-SITE WATER AND VNASTE%NATER O^ Original Certificate Date: :Z " _Z 0--13 The Municipality or,6&orage Develop,emt Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 11105) v* x:41 .... . .. f , ..... y CE— ............ rness.: 3 �,c 2`\ttttOFultfC��� / AN ii yo ON-SITE WATER AND VNASTE%NATER O^ Original Certificate Date: :Z " _Z 0--13 The Municipality or,6&orage Develop,emt Services Division (DSD) issues Certificates of Onsite Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 11105) If more than 1 septic system is on the lot: COSA Checklist # _of_ Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: A. WELL DATA RIVERVIEW ESTATES S/D; BLOCK 3, LOT 5 Parcel ID: 050-721-23 *WELL LOG IS ILLEGIBLE. INFO FROM PREVIOUS HAAS. ASSUME CASED INTO BEDROCK. Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed *11/23/77 Sanitary seal (Y/N) YES Total depth *120 ft. Cased to *21.4 ft. FROM WELL LOG Date of test 11/23/1977 Static water level 7 ft. Well production 10 —9 P.M. WATER SAMPLE RESULTS: Coliform o colonies/100 ml. Nitrate`so5—mg./L. Well Log (Y/N) *YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION 7/3/2013 13 ft. ArseniG:kJ_Q ug./L. Date of sample: 7/2/2013 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1000 gal. Number of Compartments ? Foundation cleanout (Y/N) YES Depression over tank (YIN) NO Date of pumping / / an� Pumpers_ C. ABSORPTION FIELD DATA + g.p.m. Collected by: GEG, Ltd. Date installed 9/15-16/1994 Cleanouts(Y/N) YES High water alarm (YIN) N/A Date installed 9/15-16/94 Soil rating .p.d.I nor ft2/bdrm) 0_8 System type TRENCH Length 66 ft. Width 5 ft. Gravel below pipe 3 ft. Total depth 6' 5� ft. Eff. absorption area 5689 ft' Monitoring tube YES Depression over field NO Date of adequacy test 7/3/2013 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0/0 in. Water added 450 gal. New depth 0/9 in. Elapsed Time: 45 min. Final fluid depth 0/1 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date **HOUSE WAS VACANT AT TIME OF TEST. PRE—SOAKED WITH 2260 GALLONS ON 7/2/2013. D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level E. SEPARATION DISTANCES Manhole/Access level at in. Cycles tested Meets alar & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tanktlift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots Public sewer manhole/cleanout Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS NOTE: WELL IS LOCATED IN UTILITY EASEMENT. LETTERS OF NON—OBJECTION ON FILE AT MOA. G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Na e JEFFREY A. GARNESS Date :7 // 613 (Rev. 11105) OCT—IW-94 T H U 1 1 7 0 4 P.01 i • pRIVLr �%�""' pfd ` 9 /'. -SCALE I"pbd I E `A , 00, 4Iry ..��<� �►a� �kW ' � o F* Mtt eui1'fp .A /., ti fa EASEMENTS OF RECORD, OTHER THOSE $WOWN'ON THE RECORDED M wM. __..... PRAT, ARI NOT SHOWN HER:ON.. Ha iplseMP 101 Tnb Ono Ew4L9 AIYdR AMM 42 VVYW It SM"IFYS M.,AtMn, WlWw q dpwibw Panv, W owk AMMnr Wd,o*4iAMm1, Aiiska, aro tM !M aIW10%0~fl "IWM Itwwn MI MVWA IM MOOMY HMI Vol W Aa puMas w a.M.a pn IM plop" ty" Idwol t"ta, II11t M Mppawanp on pro" MIM 89*0ht tnMnp MMMaI, M IN swamp" In walam aM ow low# W M'n" I % ttanlmMlan IWaa N "W V4444 NWwan" On MN w e"m aaaapl $I w4 atog MM& AnaMlaa, AWU-� o c 04 3'x' 3 3 T MW Mo. /ata No. c SGS Ref.# 1132804001 LOQ Units Client Name Garness Engineering Group, Ltd Printed Date/Time 07/12/2013 9:10 Project Name/# Riverview Estates B3, L5 Collected Date/Time 07/02/2013 12:25 Client Sample ID Riverview Estates B3, L5 Received Date/Time 07/02/2013 16:17 Matrix Drinking Water Technical Director Stephen C. Ede PWSID 0 C (<10) Sample Remarks: HKS Waters Department Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 07/08/13 07/10/13 HKS Waters Department Total Nitrate/Nitrite-N 0.505 0.100 mg/L SM214500NO3-E B (<10) 07/09/13 AYC Microbiology Laboratory E. Coli Negative 1 100mL SM21 9223B A 07/02/13 SDP Total Coliform Negative I 100mL SM21 92238 A 07/02/13 SDP 2of4 MUNICIPALITY OF ANCHORAGE • �` DEPARTMENT OF HEALTH & HUMAN SERVICES j Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 / CERTIFICATE OF HEALTH AUTHORITY -DSOJ % PP,Lj' VAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # / ^o- HAA #-4A- 1. -4A- 1. GENERAL INFORMATION Complete legal description Lot 5; B.2ock 3; RyeAyiew Eztatu Location (site address or directions) NHN Waten,latt Dtive Eaate Riven AK Property owner Je44 and Cottette Bentz Day phone 694-3918 Mailing address P.O. Box 4383 Anchorage, AK 99510 Lending agency Day phone Mailing address Agent Jenny Crowtey Remax Pnopenti,ez Day phone 276-2761 Address 2600 Cordova S.tAeet 0100 Anchorage AK 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: _ 3 3. TYPE OF WATER SUPPLY: Individual well XXX Community well Public water 1 f f l NOTE: if community well system, provide written confirmation from State'ADfFC attest - Ing to the legality and status of system. < <,• ` } �, ` 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank %,``f�l,�• f `\`,5 , 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(Rev.1/91) Front MOAM21 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 bedrpoms 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 S & S ENGINEERING River17034 Eagle OOP oa O. Phone Address Eagle River, Ala a 9577 Engineer's signature Date q �G rcvoCE 8801vnv rrti�,c 6. DH S SIGNATURE �i�, rF ', ;. :�� e Approved for bedrooms. ,`a)�aFa>?���•. Disapproved. Conditional approval for bedrooms, with the following stipulations: voll'Ptional Comments i B , 1 NUTIC Datef 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 ofAnchorage not " responsible for errors or omissions in the professional engineer's work.' „ 72-025 (Rev. 1/91) Back MOA #21 - Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:12/vER-y/Ew F<'7 -A7 -ES; L 15.- Parcel I.D. oso7`1230 A. Well Data Well type If A, B, or C, attach ADEC letter. ADEC water system number r� Log present ON) y05 Date completed i z? 77 Driller fl F� 1- /0/Z/LL/NG Co. Total depth 1201 Cased to 2-1. I-5Casing height 12 Sanitary seall&N) VES Wires properly protected 0q) Yes Date of test Static water level Well flow Pump levell FROM WELL LOG AT INSPECTION /23177 7'70 rn �—� + f-11 -6 /D g.p.m. L,3 g.p.m. C"q 9 N N lTD` SEPARATION DISTANCES FROM WELL TO: Septic/tom tank on lot U%L rVi M -n 11).10 41u7 /G � M Date of sample: 7 -z1-9y Collected by: G) On adjacent lots /oo `� m Absorption field on lot /(05 ` ; On adjacent lots iW ` Public sewer main 2S'r Public sewer manhole/cleanout /ac `�-- Sewer service line zoo' -I- Petroleum tank /vb± WATER SAMPLE RESULTS: Coliform o c�/��,cs� h ,4! Nitrate 11).10 41u7 /G � Other bacteria Date of sample: 7 -z1-9y Collected by: SFS E-A)6/,VEER-IN6- B. SEPTIC/TANK DATA Date installed 9 f z8 "9y Tank size /foo Compartments Z Cleanouts (!ON) yas Foundation cleanout QN) Yes Depression (YON A)(1 High water alarm (Y" /)o _/vIL6- Alarm tested (Y& N Date of pumping /U/A <JEw T%9N� Pumper NI SEPARATION DISTANCES FROM SEPTIC/hOUDING TANK TO: Well(s) on lot 111L, On adjacent lots /00 / -/— Foundation 7 To property line /D `/ Absorption field 2W Water main/service line Surface water/drainage /oo '/- 72.026(s/ss)•Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed \ Size in gallons Vent (Y/N) High water alarm level anufacturer Manhole/Acoefs (Y/N) "Pump on" leve -hates / 'Pump off" Level at Meets MOA electrical codes (Y/N SEPARATION DI CE FROM LIFT STATION TO: D. ABSORPTION FIELD DATA tested On adjacent lots Surface water Date installed e% -Z3-q(1 Soil rating (GPD/Ft2) a,? System type MDE Z�2AIIJF16-4,D Length Width 5' Gravel thickness Total depth ("S Total absorption area SSS, 9 Cleanout present G*) �c3 Depression over field (YJN1/ 00 Date of adequacy test LEw sysTEm Results(pass/fail) A) .1,4 for n)I/A Bedrooms Water level in absorption field before test n111 A- After test ti) J /+ Peroxide treatment (past 12 months) (Y© 1Jo _ If yes, give date M/ r } SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot Ic0, ' On adjacent lots 100' +- Property line )o '+ To building foundation 38' To existing or abandoned system on lot 2-0 On adjacent lots so' + Cutbank 5C) ' -+- Water main/service line Surface water X00 ' -+- Driveway, parking/vehicle storage area 16, Curtain drain AJQME Mo wnl E. ENGINEER'S CERTIFICATION 1 certify that l have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature2&�- /t Of)��i Engineer's Name / / , Co ���✓ Date q / ,26, / 97` HAA Fee $ -3 o O Date of Payment / c� C% Receipt Number 3 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number zJ—OC /1 s ' It . BU11r C. eawari" 1 - k LSE CT&E Ref.11 Client Sample ID Matrix Client Name Ordered By Project Name Project4 PWSID Commercial Testing & Engineering Co. Environmental Laboratory Services riii�i��oir�r�sviirr►sis�i®'��iii®rrsv LABORATORY ANALYSIS REPORT 94.3714-1 LT5 BLK3 RIVERVIEW EST WATER S & S ENGINEERING RJS UA Sample Remarks: ROUTINE SAMPLE COLLECTED BY: RAY. WORK Order 80650 Allowable Printed Date 07/25/94 @11:09 hrs. Collected Date 07/21/94 @14:00 hrs. Received Date 07/22/94 @12:25 hrs. Technical Director STEPHEN C. EDE Released By–zr— _ QC Allowable Est. Anal Parameter Results Qual Units Method Limits Date Date Init ---------------------------------------------------------------------------------- Nitrate-N 0.10 U m. -/L EPA 353.2/300.0 10 07/22/94 CMR * See Special Instructions Above UA=Unavailable * See Sample Remarks Above NA=Not Analyzed U= Undetected, Reported value is the practical quantification limit. LT= Less "Than D = Secondary dilution. GT= Greater Than 5633 6 Street, Anchorage, AK 99518-1600 — Tel: (907) 562-2343 Fax: (907) 561-5301 ENVIRONMENTAL FACILITIES IN ALASKA, COLORADO, FLORIDA, ILLINOIS, MARYLAND, NEW JERSEY, OHIO, UTAH, WEST VIRGINIA