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HomeMy WebLinkAboutROLLING HILLS VIEW ESTATES BLK 5 LT 2Rolling Hills View Estates Block 5 Lot 2 #050-322-19 UBMITTAL SEP 21 2015 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196.650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141350 PID Number: 050-322-13 ❑ New ❑✓ Upgrade Name: - - Lawrence and Jeanne Hatswell ABSORPTION FIELD 1.- -re Shallow Trench D, Bed Mound Address - -- 19032 Upper Mccrary Road Eagle River, AK 99577 11 ". 110 ❑El Other. . Phone Number of Bedrooms Soil Rating - - Total depth from original grade - 5 - GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Rolling Hills View Estates 5 2 Fill added above original grade .. Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field LiftStation Tank Line Ftp I Ft. Well >100' >100' N/A N/A >25. TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ other Manufacturer _ Greer Tank Capacity 1,500Ga1. Surface water >100' >100' N/AFNIA Material Number of compartments Lot Line >5' >10' N/A Steel Two NAFoundation >5'>10' N/A LIFT STATION Manufacturer _ Capacity Gal. Curtain Drain None Noted Remarks Tank Only Replaced Under This Permit. Pump on leve: at ,Pump off levet at I in. n.l Fligh water alarm at in. Existing Tank Decommissioned in Accordance With Munici Code. al Pump make and modal Electrical Inspections performed by Installer PIPE MATERIAL Housetotank D3034 Tank to D3034 drainfiek! Stuart Gilbert Drainfield HDPE CO/lAT D3034 Inspector A. Harala BENCH MARK (Assumed elevation) 100:0111 Inspectionr 1 9/2/14 913/14 Location and description dates: 2ntl 3'" 0____ Back Door Deck. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL S�eO Conditional Approval: Date ��P�•••• •' A9® �a;• 49� 0 �................. MICHAEL E. ANDERSON•: AW I, s : CE - 4381 ♦ r •. ---- -- ---- Approve Date 11�, °ROflSSIO�:��� ftlA 3 twaao� Inspection Report_1-1-12.doc V J � Q Ln J U L' o N PD P4 LO m o �O11 W m U' J -1 0 (� ~ r m t W Q U' J N Nm �P cu Q 04 E 1 86`. /BGG 0 o CDQQ z J —I w nq� J /rnEM IL EM 0 o N� IJ_ f/7 W O 3 LQ �n n p N z 0 0 LU M U o O a c 0 9 (0 N �� 0+o 20 `OOr' —J %OLoa� O V O C WO G N N L O p QUY - y2 1 00 pfnUN w w 00'002 w3 E I W I I I I oo 0 QF o M„OZ,Z0.005 WE I �J J �o�� 00 n W 1 m= m l E- aQ 1 > °'o O O\ O OY Q m^ O 00 O U F Q U W O I \� a n m LL u?�m I— 3 m 0 W N fNA '/ OI O N N O O o 1 Z,1V1� W �:w go \\ '••� V ., gid' • : i •.S 4wwks1 w� �f eRE�'l••• o w 1 Z Municipality of Anchorage Page 3 of 3 DEVEOPMENT SERVICES DEPARTMENT 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP141350 94.5 UUU UU Existing / Finishe Groundnoun T'Insulatlon JIFF 90.45 0.3 Tank Only Replaced Under This Permit. Existing Tank Decommissioned in Accordance with Municipal Code. PROFILE AS -BUILT No Scale PID No. 050-322-19 On -Site Water and/or Wastewater System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141350 Tax Code Number: 05032219000 Work Type: SepticTank Upgrade Permit Effective Dates: September 02, 2014 to September 02, 2015 Design Engineer: ANDERSON ENGINEERING Subdivision: ROLLING HILLS VIEW ESTATES Site Legal Address: ROLLING HILLS VIEW ESTATES BLK 5 LT 2 G:0254 Owner/Address: HATSWELL LAWRENCE R & JEANNE C 19032 UPPER MCCRARY ROAD EAGLE RIVER AK 995777915 Site Mailing Address: This permit is for the construction of: N Disposal Field Y Septic Tank Lot Size in Sq Ft: Total Bedrooms: 9/z // �/ Z' Y5 34978 5 N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site WQter & Wastewater Program r i ON-SITE SEWER/WELL PERMIT APPLICATION U IT'TA RUSH! AUG 2 s 2014 Parcel I.D. 050-322-19 t J Gretchen Stuller Property owner(s) Lawrence & Jeannie Hatswell Day phone Mailing address 19032 Upper Mccrary Road Eagle River, AK 99577 Site address Same Legal description (Sub'd., Block & Lot) Rolling Hills View Estates, Block 5, Lot 2 Legal description (Township, Range & Section) Lot Size 34,978 Sq. Ft. Number of Bedrooms Five (5) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank 19Upgrade 19Duplex (D) El Holding Tank ❑ Renewal F-1 Multiple Dwellings ❑ Privy ❑SUFARAIVAL and/or D) E]Private Well Water Storage ❑ AUG 2 0 2014 THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: "Dis tance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. It (Signature of property owner or authorized Permit/Rush Fees: o_ i24� t -Z9 Waiver Fees: _ Date of Payment: gl24114 02 _ Date of Payment: Receipt Number: ©eick m G Receipt Number: Permit No. cY5V 1413So Waiver No. Permit App_:: August 20, 2014 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Block 5, Rolling Hills View Estates Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The septic tank on Lot 2, Block 5, Rolling Hills View Estates Subdivision has failed and must be replaced. We are therefore requesting a permit be issued for the construction of a new 1,500 gallon steel septic tank to serve the home. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new tank. Also identified on the plans is the existing well on the lot and those on the adjacent properties. No conflicts existing between the well separation distance the septic system on this or the adjacent lots. The existing tank on the lot will be properly disposed in accordance with Municipal Code. The existing absorption system will remain in place for continued service. The ground surface on the lot slopes at a grade of 7% to the southwest in the area of the septic tank. The tank will be constructed near the location of the old tank, but out of the driveway and in conformance with Municipal requirements. If the tank is constructed in accordance with our design the following statements apply The tank, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in. the future. 2. The tank, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The tank, if constructed as designed, will have no adverse impact on reserve Lot 2, Block 5, Rolling Hills View Estates August 20, 2014 Page 2 of 2 space, either surface or subsurface, on any lots located in the area. 4. The tank, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments MICHAEL E. ANDERSON No. CE -4381 . O �a z Q / �o CD N O O CD 11 / P� N CLO O LLI NZ W m (n Y �+3 vHO4 t� W LO y V p CO i i wo ° ~� M, Li 0 o� s o N o occy O N V U O O O~¢ W Ec d E V O o p o C coa N U yo�� n o�a, I W'x r Ln -0 O "0 \z TO 10 -0 / O N C N J I / >0 i-6 N \ U 0a: OO/ �' 1 n 0 0 00 IV U? LL I 00,00Z LL, 1 1 1 1 1 1 M„OZ,ZO.00s ° I w O x 00 I yE I J l/1U�1-IUiN CO o i I li I €O firO AV 4 Ar I X 1 W I 1 1� 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 .7 /� r 4&),e1FAin� 6�'//+� 16 11& PHONE [ � 2-3 NEW ❑UPGRADE MAILING ADD S �" 2 V �o736 - LEGAL DESC IPTJIONN / o ') _ LOCATION/>� Ep NO. OF BEDROOMS 1.5 Uy. DIS NCE TO: We v Absor tipn are / ! 0 Dwellin gL� r�--1 P/ERMITi VG ✓l/�C.���/L./ aQ w F Manufactu rC "� M e i �� eiat � No. of compartm`• � N Lig/ p cit�C..-%y] 8lons IF HOMEMADE: Inside length Width Liquid depth Jaz DISTANCE TO: Well Dwelling PERMIT NO. O Z F Manufacturer - Material - Liquid capacity in gallons O w= DISTANCE TO: WellFoundat' Nearest in w J Z w —� No. of lines Len gr�r a e ,�" s Total I es Trenc inches Distance b�J,a�ee in l CJ a � ~ Top of the to fi r�ishpde Material beneath the / ! inches Total ef�f%'�t ve absorpti.on p 10 1 (p® f Length Width Depth PERMIT NO. w C7 i F Type of crib ri am ter Crib depth Total effective absorption area Lu Lu y DISTANCE TO: Well Building foundation Nearest lot line Class Driller Distance to lot line PERMIT NO. Lu 3:DISTANCE TO: Building foundation Sewer line Septic tank Absorption areals) OTHER PIPE MATERIALS SOIL TEST RATIN ', INSTACLE o J p YS ✓ REMARKS i q I f oe � f A POE DATE LEGAL MUNICIPALITY OF ANCHORAGE Department ` Health and Environmental'�Irotection +} 825 i Street, Anchorage, AK. 501 264-4720 Permit # ��� # # # HANDWRITTEN PERMIT # # # WE6 AUn/OR ON-SITE SEWER PERMIT ^r� a ' Applicant: �r)✓ vt `' C F-- ` wiling Address: ,. �_ Location: -r'� Phone Number: J Legal Description: L 1p.?- k'd(s-A� Lot Size: Type of Soil Absorption System Is: Trench: _ Drainfield: Seepage Bed: Holding Tank: Maximum Number of Bedrooms: _c, Soil Rating(sq.ft/br)t�, j The Required. Size of the Soil Absorption System IS: DEPTH 9 .LENGTH , 1 GRAVEL DEPTH E WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom.of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE _ �_ GALLONS # # Permit applicant has the responsibility to inform.this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED # # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. # # # PERMIT EXPIRES DECEMBER 31, l 9 3 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understands that;,: the on sewer system may require enlargement if the "ties nce" is" remodeled t dude more thatl .3 bedrooms. J. an, Issued by ✓ c `.: Signed Apglicant ` Date: = ''- Swp/024(1/81) ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Aiaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: te,,gy J4A'T5Lr)'C—i.4. DATE PERFORMED: CY?A. V fiC �C— LEGAL DESCRIPTION: s �' 5 Ql_L i 1V & /4) GLS I &-1 Z"'l O 1_A_ 3 A. A SLOPE SITE PLAN DEPTH 1 ( iE� I tm vY S.a S t L -Ty i5AN DY cgs "a—L- WAS GROUND WATER ENCOUNTERED? (507- t m OF 1-WL6 IF YES, AT WHAT DEPTH? COMMENTS PERFORMED BY: MENEWENNEMS ENNEENWEESIM Reading Date Gross Time Net Time Depth to Water Net Drop N 3 . a—ST /-7, P t '3b rpol � �� i u Z 1 u ' G 3 lln P ,0 div iQ z Z /i 10 os fN N lv j N 6 .7 -or 0f1nfB3 � A Al / PERCOLATION RATE J 4D (minutes/inch) TEST RUN BETWEEN FT AND S1 FT GAAB,HD•I GtR ANCHORAGE AREA BORO'-��`'' bLeARTMENT OF ENVIRONMENTAL O.UALi it ` 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM -%j--- pi MAILING NAME /f%'IG&O e /1 Jam: ../� -- ADDRESS ��l Y �5i �-' PHONE LOCATI SEPTIC TANK: DISTANCE FROM WELL` / LIQUID CAPACITY ���'' _GALLONS. SEEPAGE SYSTEM: SEEPAGE PIT LEGAL DESCRIPTION NUMBER OF TERIALCOMPARTMENTS ',�" �#` -f LIQUID INSIDE WIDTH -DEPTH - INSIDE LENGTH r r • NUMBER OF PITS ` OUTSIDE DIAMETER OR WIDTH rJ LENGTH DEPTH LINING MATERIAL `. DISTANCE FROM WELL BUILDING FOUNDATION, , NEAREST LOT LINE'/J� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) �-/ SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL NUMBER OF LINES: ABSORPT)ON AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUNDATION , NEAREST LOT U CE BETW FT. LENGTH OF EACH TRENCH WIDTH DEPTH OF FILTER MATERIAL BEN TOTAL LENGTH OF LINES_ IN. TOTAL EFFECTIVE IN. ABOVE TILE WELL:DISTANCE FROM WATER TYPE ),. + �p DEPTH 6 J BUILDING FOUNDATION, dCsT- SAMPLE ����- ? NEAREST � `�� NEARESTSEPTIC SEEPAGE OTHER LOT LINE SEWER LINE _ TANK SYSTEMS CESSPOOL - , SOURCES_ DISTANCES: %4)f L) FT , \ 5 p- 45P/ // NAME OF APPLICANT GREr+I,=R ANCHORAGE AREA Bom.,tJGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD POUCH 6-650 ANCHORAGE, ALASKA 99502 TELEPHONE 279-8686 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT PERMIT NO. INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK PHONE Q/7 TYPE AND SIZE OF FACILITY TO BE SERVED ,e.ef' �5•e� . FINANCED THROUGH ="� TO BE INSTALLED BY SOIL TEST RESULTS 272bt1 NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE + 1irrer TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK! FOUNDATION TO SEEPAGE PIT r� DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL 11 SEPTIC TANK SEEPAGE PIT "" d DRAIN FIELD TO NEAREST LOT LINE. f / WELL TO SEPTIC TANK "� SEEPAGE PIT / DRAIN FIELD WATER MAIN TO SEPTIC TANK i SEEPAGE AREA SIZEf YF[r '�d�-- TYPE C DIAGRAM OF SYSTEM ALSO CONSIDER AREA WELLS. SEEPAGE PIT DRAIN FIELD SEPTIC TANK, °' SEEPAGE PIT y!IL1 DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT -OF SEPTIC TANK ANDINTOCRIB CROSSING GAP -OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR LICENSED DESIGNER 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 26-68 AND THAT THE ABOVE DESCB SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE. - �47 APPLICANT'S SIGNATURE ' MUNICIPALITY OF ANCHORAGE 1 • 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 HAA # 1\ � 6) Parcel I.D. # — 1. GENERAL INFORMATION Complete legal description 1 1 �z gk.5 I7o111nl-1,tISV1eev �s-} Location (site address or directions) -P Property owner L 12�245va._ 1 Day phone 6943131 Mailing address Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual well X Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site 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 (Rev. 1/91) 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 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�"�t 4'^� � �'G°^y A Phone 69'4`9098 344-2°o' Address I «� � W�l�^-7Y 16.' J` 99516 Engineer's signature 6. D H SIGNATURE Approved for P(607 C S bedrooms. Disapproved. Conditional approval for Additional Comments 0 Date -2y-92 �O °A W41 tdA g0eopa/M+°Mpr° r° NO. 1731.E 7tzrse jorm 22, 1963 .0 bedrooms, with the following stipulations: Date /6 --2--F2- The s —9L 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 (Bev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:U5V1Parcel I.D. OSD-32-2- -(rj A. WELL DATA Well type t��If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed 19-4-L Driller vNk To'7,v RR -t- 1 i tal dbpthV f 0l Cased to �'1 t Casing height f Z AP,bv� '5L46 Sanitary seal (Y/N) -1 Wires properly protected (Y/N) WELL- L.004TL�D IN51oc 14*u5g FROM WELL LOG AT INSPECTION c Date of test 8-7-0-37- Z Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot +k "r'/ Absorption field on lot — Public sewer main Sewer service line _ -rt mob' 440 r WATER SAMPLE RESULTS: Coliform Date of sample: 8 -Z -o -9Z_ Nitrate 3' Other bacteria 9 _ Collected by: (:On Sew uc_� n� Gs P neo, % B. SEPTIC/HOLDING TANK DATA Date installed 87- Tank size 15a0 Compartments Z Cleanouts (Y/N) 7 Foundation cleanout (Y/N) y Depression (Y/N) AJ High water alarm (Y/N) A/A Alarm tested (Y/N) NA Date of pumping 9-' 19-9Z Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: WeII(s) on lot 1-t oo, On ad'acent lots +104), To property line -rtS Surface water/drainage 1 -Absorption field— `+1 00� Foundation Gil W 10' Water main/service line tl oo' 72-026 (Rev. 7/91) Front I CONTINUED ON BACK PAGE uNK 1"tf: M -O " y C 2, O N O - 9 -P.M. g.p.m. oo < -n r�rM� N 00 On adjacent lots t 06 r z On adjacent lots +100' Public sewer manhole/cleanout -�"'0 Petroleum tank +1 _ 3' Other bacteria 9 _ Collected by: (:On Sew uc_� n� Gs P neo, % B. SEPTIC/HOLDING TANK DATA Date installed 87- Tank size 15a0 Compartments Z Cleanouts (Y/N) 7 Foundation cleanout (Y/N) y Depression (Y/N) AJ High water alarm (Y/N) A/A Alarm tested (Y/N) NA Date of pumping 9-' 19-9Z Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: WeII(s) on lot 1-t oo, On ad'acent lots +104), To property line -rtS Surface water/drainage 1 -Absorption field— `+1 00� Foundation Gil W 10' Water main/service line tl oo' 72-026 (Rev. 7/91) Front I CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Ac ss (Y/N) Vent (Y/N) "Pump on" level at "Pump off' level at High water alarm level ��! Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM FT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length 150 Total absorption area 8Z Width 24 I szy,-) S -p Depression over field (Y/N) Results (pass/fail) P�°cS5 Soil rating Z5o — Gravel thickness _ 5' System type -rRe cV4 6Z.) —Total depth 9 Cleanouts present(Y/N) _ Y Date of adequacy test —for 1F1vC-- CS $r Zv- 9 L Peroxide treatment (past 12 months) (Y/N) N If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot If -,k On adjacent lots '1`1 oa Pro ert line ' o To building foundation On adjacent lots _H Surface water 't..t`� Curtain drain t")S' F Y To existing or abandoned system on lot +� 1 , Cutbank Water main/service line +100 E. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area I certify that t have checked, verified, or conformed to all MOA and HAA guidelines in effect Signature 4OV) !�q vt^_,� Cer.s�wc�-•:.� G—� � r�.�s Engineer's Name `fit gv�v���- A.\<, 995)6 Date 8-'7-Z^9z.. -H 00, bedrooms this inspection. r 'i1"40mL9.W Y9M• q .....r:i�."°,.• 4 trop wk3 r w Q HAA Fee $ 170, d a Waiver Fee: $ Date of Payment Date of Payment Receipt Number 0'7 l 2 Receipt Number HENRY WILSON 9601 BUDDY WERNER DR.: ANCHORAGE, AK 99516 (907) 346-2000 October 1, 1992 MOA Dept of Health On -Site Services PO Box 196650 Con En ngineers rveyo rs and Human Services Anchorage, AK, 99519 Attn: Ms. Susan Oswalt re: Lo s 1 & 2, B 5 Rolling Hills View Est Dear C/ ", CHARLES A. LANDERS HC83 BOX 192-A, MYRTLE DR. EAGLE RIVER, AK 99577 (907) 694-9098 OCT 2 1992 Municipality of Anchorage Dept. Health & Human Services As you requested, we have determined the relative elevations of the distribution laterals and the standing water levels in the subject leach fields. We found the westerly leach line to be 0.11' lower than the easterly field, no water within 0.3' of that line, and the water level of the easterly field to be 0.08' below the bottom of the lateral. Please refer to the diagram below for details. We believe the westerly field is charged only when the load applied to it exceeds what the easterly field can disperse. Our test results performed during the adequacy test indicate the system accepts water at a rate sufficient for the five -bedroom house. If you have further questions, please contact me. Sincerely, Chuck Landers a mak' Constructing Engineers 3 Z x r� c,o.as , Ave a ELaa+ 103 ? 1 Cx4ava'�to» Ll,Wwf 'iOT aR P% F,%5* (A%%V W% VLD I a0 °=) —, aF oP "VW loo t - G� $.rvraM ena P� 99 N6 wst9y r 9 9 S' t-FtA o, ' 6n•.s1 i:.� 7A "!2 9 "w; c� a65a��1t9 �v1's 1 ! zs-b.r )1' 95 - he,-eby certify that a survey of LOTS 1, 2 BLACK 5 ROLLING HILLS VIEW SUBDIVISION was rde on AUGUST 23, 1992 and that the improvements situated thereon are within the •operty Lines and do not overlap or encroach on the property lying adjacent thereto, rat no improvements on property lying adjacent thereto encroach on the premises it restion and that there are no roadways, transmission lines or other visible easement: r said property except as shown hereon. It is the responsibility of the owner tc etermine the existence of; any easements, covenants or restrictions which do not appear r the recorded subdivision plat. Under no circumstances should any data hereon be usec )r construction or for establishing boundary or fence Lines. rted in Anchorage, AK, AUGUST 23, 1992. CONSTRUCTING ENGINEERS AS -BUILT SURVEY 9601 Buddy Werner Dr Anchorage, AK,99516 346-2000 694-9098 SCALE 1" = 60' SURVEYOR'S NG-Z-Zo F Zr CC -oo I O 4 ► 54� o N r3 r — - o v r �Ja\ X V"er3 LE�pL DE(,K. N I V fV Nouse LOW E,Z LeveL_00 . 441c� 2a A \ DEcw w/Nol- trrn L aJ w 101 0 L � d O M i � N V V LV N N r- �y1 po 4�o :n �i� oaf V ...v he,-eby certify that a survey of LOTS 1, 2 BLACK 5 ROLLING HILLS VIEW SUBDIVISION was rde on AUGUST 23, 1992 and that the improvements situated thereon are within the •operty Lines and do not overlap or encroach on the property lying adjacent thereto, rat no improvements on property lying adjacent thereto encroach on the premises it restion and that there are no roadways, transmission lines or other visible easement: r said property except as shown hereon. It is the responsibility of the owner tc etermine the existence of; any easements, covenants or restrictions which do not appear r the recorded subdivision plat. Under no circumstances should any data hereon be usec )r construction or for establishing boundary or fence Lines. rted in Anchorage, AK, AUGUST 23, 1992. CONSTRUCTING ENGINEERS AS -BUILT SURVEY 9601 Buddy Werner Dr Anchorage, AK,99516 346-2000 694-9098 SCALE 1" = 60' SURVEYOR'S NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 • FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 Constructing Engineers Report Date: 08/26/92 9601 Buddy Werner Drive Anchorage AK 99516 Date Arrived: 08/20/92 Date Sampled: 08/20/92 Time Sampled: 1330 Attn: Mr. Landers Collected By: CL Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: A119763 Rolling Hills View L1/2, B5 Water Method Parameter ---------------------- EPA 353.3 Nitrate -N h' Reported By: Susan Tifental Microbiology Supervisor MDL = Method Detection Limit Flag Definitions B = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Date Units Result Flag MDL Analyzed -------------------------------------------- mg/l 3.7 0.5 08/25/92 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date b 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Nam Telephone: Home � �y �,Li% Business Applicant Address, (c) Applicant is (check onel: Lending Institution ❑ ; Owner/builder; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution( .4 ^ � Address a (e) Real Estate Company and Agent Address Telephone (f) Po4aiHhe HAA to the following address: 2. TYPE OF RESIDENCE Single -Family Multi -Family ll Other Number of Bedrooms ->• Telephone 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] 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) 1_� 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date SA 5 Engineering Telephone 6 6' oF At 1t '•w r ..n r., %.......,.... r.... IMI A. Shaf x „+ No. 14574 +` . a a * 1E�,.aa•j0e 3,L� 6. DHEP APPROVZ% Approved for le/fltE, _ bedrooms byyt_� 7;t � ��� Date Tl � Approved Disapproved Conditional Terms of Conditional Approval dhep 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. MUNICIPALITY OF ANCHORAGE ^� DEPT. OF HEALTH & MUNICIPALITY OF ANCHORAGE (MO.., ENVIRONMENTAL PROTECTION HEALTH AUTHORITY APPROVAL (HAA) �1 �� 1 4 10 CHECKLIST - FEBRUARY 1984 284-4720 AA�U' V E D Legal Descn,P� ion: 4 07' 1/ 0�Z PSGGt /it/6 /7/ S GW �Sf Vi A. WELL DATA Well Classification If A, B, C, D.E.C. Approved (Y/N)� Well Log Present (111Datee Completed %%�%Z Yield Total Depth /,0/ r Cased to Depth of Grouting Static Water Levelr Pump Set At 4&A Casing Height Above Ground !Z Sanitary Seal on CasingtO/-0dj— Electrical Wiring in Conduit ('j Depression Around Wellhead (46 Separation Distances from Well: To Septic/Holding Tank on Lot %tea On Adjoining Lots To Nearest Edge of Absorption Field on Lo Z 16'; On Adjoining Lots /0" f To Nearest Public Sewer Line To Nearest Public Sewer Z�/ /t� Cleanout/Manhole Tn Nearest Sewer Service Line on Lot Water Sample Collected by 57e 6!/`% T ��/��� ; Date 7 g� Water Sample Test Results Comments 2t wn}L L���9F-t> ttil I`��s> ri, nfr b/ �6KSE B. SEPTIC/HOLDING TANK DATA Date Installed 17,3-6 Size 1'7bo No. of Compartments Standpipes Ow Z Air -tight Caps LI/NYFoundation Cleanout 0114 £' Depression over Tank)Pate Last Pumped / Pumping/Maintenance Contract on File (Y/N) `� ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: /� To Water -Supply Well w To Building Foundation To Property Line /Q 3 r To Disposal Field — To Water Mai /Service Line Course Comments Page 1 of 2 To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ZsType of System Design Date Installed I' Z—g Z Length of Field Width of Field z Depth of Field 45/ Gravel Bed Thickness s Square Feet of Absorption Area Standpipes PresentAq) Depression over Field e,6 Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: /a Z) ' /- To Water -Supply Well To Building Foundation Lot To Water MvM/r service Line 3v'-+_ To Stream/Pond/Lake/or Major Drainage Course To Property Line ; On Adjoining Lots To Existing or Abandoned System on S—O i 0 - To To Cutbank (if present) ` N To Driveway, Parking Area, or Vehicle Storage Area 1.�0 Comments D. LIFT STATION Date Installed Dimensions Size in Gallons nhole/Access (Y/N) "Pump On" Level at A "Pump Off' Level at High Water Alarm Level at Vent (Y/N) Tested for Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and AA guidelines in effect on the date of this inspection. S & , Engineering /Z G Signed X Date Compan axle River elaslEa 9)95;1MOA No. .4w,- OF a Receipt No. -77 Fs S � Date of Payment Y `) Ll—<' _ Amount: $ (_rc5l6 Page 2 of 2 72-026 (11/84) C C CS_5151-A-N Time APPLY( NT FILLS OUT UPPER HA(')ONLY Pnopa"ty O4bner �, Phone ��,cl� ,+t/Ci� / 4 7„•$ e �J .�G Time Date � Mailing Address 7 G :%JG�r cf< /� Zip CodeT�45�;�J�7 Buyer Inspector Inspector i Inspector Address Field Notes: /jj� j/V� Zip Code Lending Institution a S/C' gL C) to < I r"� Phone - Address Zip Code �r`Cid.�dGS1UM � Realty Co. &Agent A) U >"'a '�-- � 1' all, ' ;�- Phone Address lil� 4�± Zip Code' (`�) APPROVED BEDROOMS Legal Description OF APPROVAL ( ) DISAPPROVED Street location. ( ) CONDITIONAL APPROVAL' Type of Residence DATE Single Family ❑ Multiple Family i--' No. of Bedrooms - ❑ Other Soils Rating Water Supply Individual Well To Absorption Area - ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal P-lndividual ") Year Individual Installed: ❑ Public .Utility When Connected to Public Utility: - ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.. C C CS_5151-A-N Time Time Time Time Date Date Date Date y � Inspector Inspector Inspector Inspector/� Field Notes: /jj� j/V� Q M A' MUNICI?ALITY OF ANCHORAGE 1�� �%lS(a P Or t, ;i7•I R• DFPT •v` -TION �r`Cid.�dGS1UM � tic, av �� y� � 1' all, ' ;�- i� E I1B_ R E lil� 4�± y (`�) APPROVED BEDROOMS - *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size Well to Tank Municipality of Anchorage MEMORANDUM DATE: December 20, 1982 TO: Laura Crow FROM: Sewer and Water Program SUBJECT: Request for Refund - Account #2460 Please make arrangements for the following refund - this office referred this work to a private engineer due to a time deadline and unable to meet it. Thank you. Lawrence R. Hatswell Star Route 2 Box 7306 Eagle River, Alaska 99577 Receipt #210425 Amount: $25.00 Lots 1 and 2 Block 5 Rolling Hills View Estates Subdivision CLAJ.S�-Ck--� Laura J. Ward Senior Office Assistant Sewer and Water Program LJW attachments cc: file ALASKA RIMMMAL COnTROL SERUM, IX Engineerinq & l3nuironmental Studies November 15, 1982 Municipality of Anchorage Department of Health & Environmental Protection 825 L. Street Anchorage, Ak. 99501 Re: Health Authority On November 12, 1982 our company collected a water sample from the house located on Rolling Hills View Estates Block 5 Lot 1 & 2. The water contained no coliform bacteria. The well was located over 100 feet from the septic tank. The electrical wires are encased in conduit annd the well seal was adequate. The well casing stands are 1 foot above the ground. All cleanout pipes had caps. A copy of the report is attached. Sincerely,yj7� � Paw / VCt'lA,� Dan Roth Engineer OF Al, 1110 • �� ,rbv e d y • eO•, •�" �A y696%43 tlii •••�••.m.�9s •,� , PE --•..0060••. �\. pR0FE5St0A;,A 1220 West 25th Auenue • Anchorage, Alaska 99503 • (907) 276-1361 cAp yhq AOCMOWAGf�.AA4 ti�� ego G u y ��Afi/PL9'JAOUM�' \• Eagle River Area -� GREATER ANCHORAGE AREA BOROUGH 1 `7-7 1 M674. Department of Environmental Quality �, c rcGl h15J3 3330 "C" Street, Anchorage, Alaska 99503 2 J561 r, N E Loaf &-IAI L:X? Mailing Address: rnone: Property Owner: Keith W./Leah Tolzin Phone: VIOJYLP. Mailing Address: 3. Legal Description: Lots 1 and 2 Block 5 Rolling Hills View Estates 4. Location: NHN Mc Cary Road 5. Type of facility to be inspected single Family No. of bedrooms 3 6. Well Data: A. Type Individual B. Depth �® C. Construction D. Bacterial Analysis ort - 1/1 7. Sewage Disposal System: On-site system A. Installed C. Septic Tank: 1. Size D. Seepage Pit: E. Disposal Field: 8. Distances: B. Installer 2. Manufacturer 1. Absorption Area 2. Material Total length of lines A. Well to: Septic tank Absorption area �, Sewer Lines , Nearest lot line , Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line Gn_nQA (1/7A) Dann l of iIan nnnnc Page 2 of two pages - RE st for Approval of Individual '�r''& Water Facilities a , Legit Description Lot 1 and 2 B1odk 5 Rolling Hills View Estates Comments ApprovedDisapproved Date RJ 7 Approv Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 02.6 fz 1 FT I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date Fo-n.14 (1/74) 1. 2. 3. 4. 5. `1 RECEIVED ��F E B 101977 MUNICIPALITY OF ANCHORAGE R E C E I V E D DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" Street, Anchorage, Alaska 99503 — 274-4561 February 9, 1977 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES Type of Inspection: CMRO VA FHA CONV XXX Property Owner: TOLZIN, Keith W. & Leah 745-4236 Work Mailing Address: McCrary Day Phone 694-2270 Home River, AK Name of Buyer: HATSWELL, Lawrence R. & Jeanne C. Mailing Address: 209 Stewart St. , Anchorage Day Phone 276-2363 Name of Lendin Institution: Security National Bank 9 Mailing Address: Pouch 7-777, Anchorage, 99510 Phone 278-1541 Name of Realtor or Agent: None Mailing Address: Phone 6. Legal Description: Lots 1 & 2, Block 5, ROLLING HILLS ESTATES Location: NHN McCrary Road, Eagle River, AK 7. Type of Facility to be inspected: Well & Septic No. Bdrms. 3 8. Water Supply Type of Supply: Public Utility Individual XXX If Individual, number of dwellings presently served One If Individual, depth of well Unknown 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) XX If I,gdiivviidual, )date of installation 1971 Frances AGut Mobtgage Analyst EQ-037gf ffWrity National BAnk June 19, 1972 Mr. Gene Needles Box B Chugiak, Alaska Subject: On -Site Sewage Disposal System Serving Lots 1 and 2. Block 5, Rolling Hills View Subdivision Dear Sir.- On ir; Dn September 7, 19719 a final inspection on the installation of subject sewage system was made. At that time, it was noted that a soil test had not been taken on the subject property, a situation which was remedied by Alaska Test lab on September 9, 1971. According to their reportb the seepage pit for subject system should have been 31'x332' with a b' crib instead of its existing 12' x 12' dimension. Upon notification of this situation, you stated that you would be willing to upgrade the subject seepage pit in the summer of 1972. Due to your other seasonal interests, it is the recommendation of this Department that said improve- ments occur before July 30, 1972. If at that time, subject installation remains substandard this Department will be forced to start court proceedings against you. If you have any questions regarding this matter, please contact the undersigned. Sincerely, Tim Rumfelt Sanitarian cc: Keith Tolzin Box 452 G1dl4aLZ4N44dG1D • TESTING • EXPLORATION • CHEMICAL • MATERIALS • INSPECTION 503 E. 6TH AVE. PHONE 272-3428 ANCHORAGE. ALASKA$�$B 99501 September 9, 1971 W. 0. 12057 Gene Needles Box 8 Chugiak, Alaska 99567 Dear Mr. Needles: Results of soils analysis for your proposed septic tank/seepage pit system is as follows. Since we have no information concerning number of bedrooms, legal description of property and house location on the lot, i will give you the seepage area/bedroom, and suggest you contact the health department for final pit size. Material - 0' - 1' peat 1' - 8' silty sand f-1/SM, 250 sq..,ft./bedroom Soils classification sheet is attached. Sincerely, ALASKA TESTLA.B JLS:ld O U µ' -0 () lD '0 ( O r - ..S rr ¢, (D, o rt C W N NOD 0 _ 0 0 C1024 m eA O U µ' -0 () lD '0 ( O r - ..S rr ¢, (D, o rt C W ' a LAND USE PER1IT GREATER ANCHORAGE AREA BOROUGH POST IN A CO`NSPI,.�000S PLACE � GRID�7 DATE �%q�F,EE N0. 11i oC T PD % ��` 1 AID PERIIT NU BER 1. Property Ownei "y- � `T(gt✓Zt 1\1 Pho6 1.4 -2.3g0 2. Mailing Address 3. Building :.Contractoi '+ 4 Legal De $cription QO�I h t � 1,i Of PropeztY" 2-_Q_t x__ Cj 5. Strhet !td"dress Cam g 6. Desctiirt on o£4ork_ NEW ALTERATION ADDITION OTHER 7. Use of New_,'_Ss ucture A. Residential: ngle-Family`Two-Family Pfulti-Family `Accessory Building B. Commercial: —Re tail-td'ao1.sa le—Of _ i _Combination Other C. Industrial: __Manufacturing_Storage—Pro cessing D. Other: I hereby affirm that the above information and that sub- i4i4 mitted in application for this permit is true and correct to the best of my knowledge. I understand that this permit is issued on the basis of that information and is subject to compliance with all pertinent codes and ordinances of the Greater Anchorage ! Area Borough. (t Signature of Applicant THIS PERMIT EXPIRES SIX MONTHS FROM DATE OF ISSUE UNLESS CONS RUCTION, AS DEFINED IN THE ZONING0�D� \ `CE, , HAS BEGUN. - { 1 L [l l /1 04A } - V Signature of Zoning Officer