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Home My WebLink AboutTIMBER RIDGE #1 BLK 3 LT 1Timber Ridge #1 Block 3 Lot 1 #050-321-49 Municipality of Anchorage Development Services Department ; Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page/ of 3 www.ci.anchorage ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S wQ SQ39C PID Number: Nams k/ r^ tic be,,tetlk , p'1 Wastewater System: ❑ New X Upgrade Add,esa 93 O SK I DSI/ ABSORPTION FIELD Pndn. •js"sn°"dBSC d.n` L ZyoP Tr«¢n O ti °ep Slundv Timl p Bw O Md,o p plMr LEGAL DESCRIPTION Sva Rneq Tdil Depen hom mWW pyo. BIe(y. Lu auha/m�a,�wrp CA �1 /• 3 / �41&' 0— 146.1 �/ GPDTtl Dsph ro ppe Ronan han "Voo Wove FI. CYyval Mpm e«isaih p,pe TovmNq Serve sed,m FI. Fu eddad seove mpnY Wade FI Cryvel Lenpm 7 FL / b Well: eX/ /% ❑N upgrade G'MM0 FI. Num ofIres Dotorceeovre«isof C4sex,neum (Pnvna A B. C) Tdal Dean Gaea b Tdw edsdgron weeFI. C Ppe M~0p Ft. F1 O(P Ft' C RGI N a° Dns A ed Bwro w Level Ft Wsiw [J ' a Dei@ owo of 9 a7 os Yy Pump Bet H Cesep Ile Feeve C' GPM FI. Ft TANK ['X/�7u SEPARATION DISTANCES ❑ septic ❑ H ding ❑ S.T.E.P. ❑er. To From Septic Tank Absorption Field Lift Station Holding Tank lublwJPnvate Sewer Line y"d°r ypaary I;r Vwee /00,+ oO,t — ^. 7s",- Mal«w N 4 a Companmems SLe cewn« �+ /Do'r — _ LIFT ST ION Ld Um /Q f& /O u° sa,v« Gal FauMaign S f Pump on' W n N� M« Y«m 3-ih Ef0'L'-_ nCorm Dran U�K — Pump ,+e Q ModM Elea o neper pan b, Remoae EYLU-WC i �C %7-N)0� BENCH MARK Nr%- / ld:andn oro Desa"m �T�] tl AWM40 eunNd Nvalpn, / i4 6 Q FL v` CO rZU6C 7— 72 0" _ (l � L') /V �T O /F qq11 PPS�SS '�`�13 14 FAt41gs1 �Cp(•''e•....eje �� i Inspections performed b&V-74Ah1/!~ a Y�Dates: 1 �� .$� %'"49 M � .• ........... ...........� 2n0 O S '� .. .. ........ Development Services Department Approval �t ��:, sl.se . Eng d �J Reviewed O - - O � and approved by: Date: 0 J` 'a PE 6256 tt � �`q •• .•• E•c� tRev l:Rq) C0••••. ..... ••. Adv r t-1 r t C+ bdA �D DID M-0 b*ch Din Q k< MlF c+ tD O 3 ro n S .a- fD x Lq C+ (O Yo- m t "ww, O O 33otn :3 CD pom3 7n (7 OOQ 7� _00 moo' 7> rf/owt7V1+n .I0 t3S llh N "; - - b 3 � D m Jv(NJ WSJ CIIW N , n0� "NON ? W N O m v fD rQ„ fD x 7 0.O 10 r O y N m < -rt m 1 j O S ui O 3 0 to CD F m m OO. r N 3 j rn c = O N O CD N O o p 0 f(D =3 S N Z Z m 0 m o O 3 rN 3 c 3 y °c 1 S i 0 po O A y r y ^ o 7 j fp O D co F O m rf/owt7V1+n .I0 t3S llh N "; - - b 3 � D m Jv(NJ WSJ CIIW N , n0� "NON 0 C 3 Q P h O 3 C) N O 3 O C h � V a Av �C O r•I a > m �TT N Q N'ODN£N to N� O N CI it Io Z n VN��pD'hZ v u 0 C 3 Q P h O 3 C) N O 3 O C h V OS CJI A W N !- tf r•I N'ODN£N to N� O N CI VN��pD'hZ A ONi Z sfl S Z p3X-M --i V) Np�O N X"3+ O n .31• <-- '3T•'�S n 3 N nh Clm �Q'3 O N �3 3 C rN NS _ �00 - NCO v z y— QN C: Cam X pN Ln `C n 3 N (30 - z r z£ h 73C O ip N O _I h 3 3 m f'1 w C 3 c0 IM C h 0 0 ... O ,3 O --4 r- r ZfTlr -i O h3 h �3= p N tn3Q0 kAn c s DNC <.Z 7C• N rl0 0 .Ch O r<p ANZN C r 3 P hXUl o.. mZ< Ll D ,.f C-) cov° NA< o `<° ° h A p' < N sz C3 m 30 3 -0 D 3 1p j ? 2 X h II Inn n W In 00 -c .N+ C33 CO w N 0 m f" 7 O Z n 0 -0 m t cD S < A C r A 0 V 3co Z in ro r -i f`1 Z -� ^ rhp In D 9- A 73C m :U 7C Cl) N VI 3 tn C) Z Z Clz Z p " 2 < < -i Ll Cl O rrlrrI N z 3 m < t1 h { r M C h N O hP m0 N h 3 <O m�h II 13 ID V—z4C-. 6nzz oCR F ' D a 0 O W 3 s 3 3 3 �,'�� } h O W Ln ID m 3 W 0 6 A s ,� m 0 C 3 Q P h O 3 C) N O 3 O C h MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW050346 Legal Description: TIMBER RIDGE #1 BLK 3 LT 1 Date Issued: Sep 15, 2005 Expiration Date: Sep 15, 2006 Parcel ID: 050-32149 Design Engineer: 0838 North Rim Engineering Site Address: 019340 UPPER SKYLINE DR Owner Name: KIRK & DENNITA WINTER Lot Size: 44469 SQ. FT. Owner Address: 19340 UPPER SKYLINE DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER, AK 99577 - This permit is for the construction of: 0 Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907)343-7904(24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: V"2�,vt-'s Issued By. 1 f 1 Date: S ° Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING O 84 O � �3 e� Parcel I.D. d50 - 3p l- qq Permit Number SW Property owner(s) K r r (e- 3`- beii /moi t7 eCy Day ag address (1) / 73t(o (J phone Mailing address (2) 8b '561 TgoV&, E►2 A -L- Zip Code -1!? S7 7:2 Legal description (Lot, Block & Sub'd.) 7/-VV/3e_0- R14!2 e. '4:/ 64 o C h 3 /_O 7 - Legal Legal description (Section, Township & Range) Lot Size [-y y(A) Acr ZO THIS APPLICATION IS FOR: Number of Bedrooms Sewer Only f f Well Only ❑ Sewer and Well ❑ El, Water Storage Sewer Upgrade d Y�:tb91tftlR1- 1 Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or(ujKorized agent) Date of Payment: Receipt Number: Receipt Number: (Rev. 12100) 0Th�l M ENGINEERING Northitim Engineering 17237 Bear Paw Circle Eagle River, AK 99577 907-694-7028 September 12, 2005 MOA On -Site Water & Wastewater Program 4700 Bragaw St Anchorage, AK 99519 RE: Septic System Design, Timber Ridge #1, Block 3, Lot 1 The septic system has failed on the subject property. The owners wish to replace immediately. The soil test was excellent. This is a large lot. Most of the neighboring lots are developed. This site should not negatively impact any of the other area lots. The slope across the lot is 15%-20%. Please review the wastewater system design for the single family home. I have included design plans & specs, design guidelines, & soil tests. If there is need for additional information or clarification please give me a call. Sincerely, Steve Eng, RfiPFI Design Enclosures TF ENGINEERwG Timber Ridge #1, Block 3, Lot I SPECIFICATION'S & DESIGN GUIDELINES Wastewater System Sizing: This is an existing single family home @ 4 bedrooms. The existing system is in a failure mode and is 20 years old. The septic system will be replaced. The existing single compartment 1250 gallon septic tank integrity will be verified; replaced if necessary. Neighboring lots are also large. Most of the neighborhood lots have been developed. Separation will be maintained to the existing water well. No adverse impacts are expected from developing this lot. The proposed septic system is located on the drawing as are the neighboring wastewater systems & water wells. The lot has a moderate slope as depicted in the drawing. No conflicts to any neighbor lots is anticipated. One soil test was conducted. A sandy soil with good percolation rate. An application rate of 1.0 GPD/F7' is being utilized. The old absorption trench will be connected via a "Bull Rud' valve. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • Verify existing tank integrity; Replace with two compartment, 1250 gallon septic tank, if necessary. • Watertight couplings on inlet & outlet. • 5 foot minimum between the tank and bed. 10 foot to property lines. • 3 feet of cover or insulation is required for trench; an equivalent of 1" insulation for each foot soil cover. • Tank & solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps are required 1 to 4 feet from foundation wall, prior to any 90 degree bend in 4 inch line, in each tank compartment, and two adjacent opposing cleanouts between the tank and the absorption field, not more than 10 feet from the tank positioned to provide cleanout access towards the tank and towards the absorption field. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Trench to be placed level, minimum of 4 feet to groundwater, 6 feet to bedrock from drain -rock. • Drain rock to be %: inch to 2 %: inch screened. Drain rock to be distributed uniformly throughout the trench. • Perforated pipe to be installed level with perforations down. • Silt barrier (filter fabric) to be installed above the drain rock. • Smeared trench sides must be raked or scarified before drain rock placement. • Backfill over drain rock must not be less than 36". • The finish grade must be mounded to promote drainage over the trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. • Insulation board to be extruded direct burial polystyrene (Dow Styrofoam III or equal) • The existing septic tank will be abandoned; the septic tank will be pumped, crushed, and filled with sand/gravel or removed and properly disposed of. "Bull Run" valve to old absorption trench. 0 .: N M 0 N N N U a� c a� U 0 a a� w Y C O y U N a' 3 ,o, L N N C 0 O O N � o 'C:N a T O: L O «) -0N j X L (U N U N N CL 0 ON J C ,I- LO c or- .._ 00 U)<o Vvo C EuOiovi +Q. Cc In N (n�0 E . lANO S U L N E .°' Pn) a Ln > L >, d 0 N 4 U C: Q "F':33 aQ� n, 0) (A O� Y W U A 0 J 0 x '^ on � n lJ �Z l Q um n W N l Z K rn 0 to ri O �Z _ nz° ZW no �- W Vell tic System Construction ,o \ II Not EPreclude Adjoining \ Lei Frdfo dh t o Septic Z-�O-L, AreaIm encs. ,�o6 ypC975' bR+�9 /,J N 1 �o �e Veil ell .61j N° 7•g � 0 � v 9 �0N+T s Septic !o R.50 Area 3 Septic f.++ r+ ,.+ Area Vel Ib.rt... l� `♦CSJJO T Well EXIsnNC ♦ \ SEPTIC Septic �w �.�'\ \ SYSTEM ••yJy.`�[�`lf�'9 Septic Area e w` Area Proposed S�{i♦�Jl, SLOPE B '7. ,* . ti bb et !� +6+ JCC Septic. s ;.Area °00 �'t. 1\ N61 �a�b 16 r 1-10 ?I9I p \ \ 1 J� R s s , +C \ �J.'�DI I Well ------------ NORTHRIM ��"`� ;TIMBER RIDGE #1 ENGINEERING * * ' BLOCK 3, LOT 1 S/D PLAN 17237 Boor Pow Cb.. . cl r 'bq Fogle River,=loo• Alaska 99577 WASTEWATER LAYOUT 1• 907. 90Z694.707B •• i — X9/12/05 of 4 W L7 O A_ -J Q Y W U A iO tt J F-- PCI . �I u � �I LO 0 N 0� C Y LJ Z � Q ~ A Z Z � W F— F— CL Q = W > U (� W Z J Ld LJ F- 11' o � a, 3.0 a,t i„ j U t, e A. a 00 0 L NLO Lr) Cj L d� F 0 2 O m n c 0 ZW o ti �`,:. + 0. t L 0 :t ^' ' tn s s a u c 3 a L O z H Y •Y 3 z L U a, zja ¢L ° z 1 +1 M: n a c a o CL ¢ w a, c x O > 4 u 0 +' U W M > �+ F. 3 0 LoJ z Z W L _ W 0 N N Z J~ i U 17 ~"3 N F M L. m z ate, > tn oo u aj 0 i o v o u Z Z p U 4. a 0� L > Z W LO ca L Q N F> i w. � ° 7V)Q W O.0 ° 7 U Li> u a a O N O :t 4- C / L a JF -j Cltn* d i a) // j N Y MWS -0 NN 3 QN > Ut O C 0 O.. 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L O L i U 0) L d s '• d e L.. e' L -: oj L W i•5 C5 3 0 O L 0 O s u O i a w 0 -P ZD e 3 IV = W U J Z W L` w O H CLCL W 06 A 3 J M N Jul � LIJ LD 0 A J 1 L (Y) y ZLuaAN 1z W° l K q � Y W U o O P-4 J ZW o N W = W U J Z W L` w O H CLCL W 06 A 3 J M Jul � ZLuaAN 1z W° l K q c o rat'), ZW no W SOILS LOG - PERCOLATION TEST Tl-'RIIM Date Performed: 9/5/05 ENGINEERING Performed For: Kirk & Dennita Winter Legal Description: Timber Ridge #1 Block 3 Lot 1 1 - 2 - 3 - 4 - 5 - 6 - 7 - 8 - 9 - 10 - 11 - 12 - 13 - 14 - 15 - 16 - 17 - 18 - 19 - 20 - 21 - DEPTH (FEET) Organic GP Sandy Gravel w/ Low Silt Low Silt T.H. Locationi See Drawing Groundwater? No Depth Water Depth After Monitorino.None Date: 9/12/05 # Date Gross Time Net Time Depth Net Drop 1 9/12 0 -- 4' -- 2 9/12 1 1 min. 4.5' .5' 3 9/12 3 -- 4' -- 4 9/12 4 1 min. 4.5' .5' 5 9/12 6 -- 4' -- 6 9/12 7 1 min. 4.5' .5' 2 min/inch Perc Hole Diameter 6' TQst Run Between 3' and 4' Performed ByNorthR'm Eng, I %' CERTIFY THAT THIS TEST WAS Performed in Accordance with All State/Municipal Guidelines in Effect ON THIS DATE. DATE: 9/12/05 NORTHRIM :~a9 ENGINEERING ........ •••• TESTHOLE LOG T. H. 1 17237 Bear Paw Circle -- Eagle River. Alaska 99577 907694.7028 '•••......•• GEOTECHNICAL D,,::_-__. 9/12/05 1 of 1 GREATER ANCHORAGE AREA BORuJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 a INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAMEOIlFrOet) Scheel- MAILING ADDRESS A01 LAST12rpPr"3 r1'V0&QA9C PHONE LOCATION OFF Sk�JLING D,E'/✓� LEGAL DESCRIPTION L07.4 17LeCk3/ 711y,9c-R Ao/O�v sla SEPTIC TANK: DISTANCENUMBER OF FROM WELL Nor -7,o MANUFACTURER SCcIVSC r MATERIAL P.//�S COMPARTMENTS ! INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /2 5>O GALLONS. 7, reoveN , S / W l TN p f tlee U wOe4 til Pa - SEEPAGE Pf-T: %/Pt'/✓� /7 D �ZSATAI1 c!J /3% Q�J�cp NUMBER OF PITS DIAMETER OR WIDTH_. LENGTH_. DEPTH LINING MATERIAL CRIB SIZE: DIAMETER_DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION A' ZJ/ ' NEAREST LOT LINE ABSORPTION AREA (WALL AREA) / Z� SQ. FT. ADDITIONAL ABSORPTION WELL: A10 Srjkje0. p,/ILL fie tle'LIeO i CONSTRUCTION GREATER ANCHORAGE AREA BORuJGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 a INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAMEOIlFrOet) Scheel- MAILING ADDRESS A01 LAST12rpPr"3 r1'V0&QA9C PHONE LOCATION OFF Sk�JLING D,E'/✓� LEGAL DESCRIPTION L07.4 17LeCk3/ 711y,9c-R Ao/O�v sla SEPTIC TANK: DISTANCENUMBER OF FROM WELL Nor -7,o MANUFACTURER SCcIVSC r MATERIAL P.//�S COMPARTMENTS ! INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /2 5>O GALLONS. 7, reoveN , S / W l TN p f tlee U wOe4 til Pa - SEEPAGE Pf-T: %/Pt'/✓� /7 D �ZSATAI1 c!J /3% Q�J�cp NUMBER OF PITS DIAMETER OR WIDTH_. LENGTH_. DEPTH LINING MATERIAL CRIB SIZE: DIAMETER_DEPTH DISTANCE FROM: WELL TOTAL EFFECTIVE BUILDING FOUNDATION A' ZJ/ ' NEAREST LOT LINE ABSORPTION AREA (WALL AREA) / Z� SQ. FT. ADDITIONAL ABSORPTION WELL: A10 Srjkje0. p,/ILL fie tle'LIeO TYPE CONSTRUCTION DEPTH DISTANCE FROM: BUILDING NEAREST NEAREST SEPTIC SEEPAGE FOUNDATION LOT LINE SEWER LINE TANK -,SYSTEM CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: PIPE MATERIAL: 0)1Td PceF PJPG. LOT SLOPE: REMARKS: 0,3 res r r, �3'No riz Form No. EQ -031 DIAGRAM OF SYSTEM -77e/ved NS/ Wl TN 19 / S vRCewe elove.L alvoe/_ p? DATE 41917-5 ti3C (a.►cf�L tVCi Ian N SaJ /4 T M/8 T/.y APPROVED 7'G01 /Jti:!;Ot� G.A.A.B. _ GREk :R ANCHORAGE AREA BOF JGH ~,•jn-°1 '� ` DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 1330 "C" STREET ANCHORAGE, ALASKA 99503 L i TELEPHONE 274.4561 `�... SEWAGE DISPOSAL SYSTEM — APPLICATION A Q. Pf MIT C l�-rci s�/,.c�� l Z�z-oro NAME OF APPLICANT MAILING ADDRESS PHONE INSTALLATION LOCATION ({n} � LEGAL DESCRIPTION / '�^ / >`" - / r -e INSTALLATION OF: SEPTIC TANK �� SEEPAGE PIT DRAIN ME= OTHER - TYPE AND SIZE OF FACILITY TO BE SERVED ��!"'-'r 1t1 �� rJ/`C ! "H~I 1 / / I�f"� `-" •^�� FINANCED THROUGH r r TO BE INSTALLED /BY SOIL TEST RESULTS I �7 �! •�'<l7� rC / NOTE THIS PE M(T IS NOTVALIDWITHOUT SOIL TEST` COMPLETION DATE ANTICIPATED FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. /) Z {!70 0 fir ' ��lch-;�,. a -I, -4u SEPTIC TANK SIZE / � TYPE '�"�� P"E�P'7a',r AGE EA SIZET PE 'Zceh� -- 5S' MINIMUM DISTANCES. REQUIREMENTS DIAGRAM S EM n / {I Y� FOUNDATION TO SEPTIC TANK _ / IJ/jj Aj FOUNDATION TO SEEPAGE PIT DRAY F46LD- �" i I �C}' -yJr- r- ` SEPTIC TANK TO SEEPAGE PIT WALL S !�� SEPTIC TANK SEEPAGE PIT DRAIN TTCCD C1� TO NEAREST LOT LINE. 917 IN WELL TO SEPTIC TANK /�•' SEEPAGE PIT DRAIN FIELD /O / ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD r '57 SEPTIC TANK/L D r SEEPAGE PIT /`� DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB 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. �r GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INS LATION. G.A.A.S. OR LICENSED DESIGNER 1 CERTIFY THAT 1 AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.60 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE e� / ✓ APPLICANT'S SIGNATURE. '//+/V FORM NO. EO -01 / I j 0 Ef E GEOTECHNI CAL Et DEVELOPMENT CO. Boz 90, Davis St.; Eagle Rive; Alaska' 99577 1 694.2774 or 688-2280 Russell Oyster Earl Blis 694-2774 688-2280 Soils & Foundations Land Development SOIL LOG Performed for: Name: ��-; C.r,� o-,� �c_vk� Tel No. -z72-0764 Mailing Address: $A\ Vz_-, chg5t11 Legal Description: eT Depth (feet) Soil Characteristics 0 1 3 4 5 6 SP- Soman - ��iv.�•n To r.�L S."iv�t LA 8 p y ,+t��-S v4t E. Sty, tj r -A o \ `7 �3r 9 cc�a-�Q.�s, cath ©...,T� C•.�d.�. 10 �iZ-5s 12 ' Ground Water Encountered: Yes No ✓ If yes, what depth Proposed Installation: Seepage Pit ✓ Drain Field Comments: 7_710%. rr 0�r .44Pf�x Performed by: Date: 3 N 0 Er E GEOTECHNI CAL Et DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694.2774 Soils & Foundations SOIL LOG Earl Elis 688-2280 Land Development Performed for: Name: Q ., NAis Tel No. X77- b11,il' Mailing Address: </ 6\ Legal Description: `'resv 5 �� M �t2 y r> G'I <-,�>%A939 Depth (feet) Soil Characteristics 10 koC, Ground Water Encountered: Yes No If yess what depth Proposed Installation: Seepage Pit Drain Field Comments: Performed by: v,/' Date:: `�-S 11 SM - Sle-!�'6U5. 1-d� 12 61A 13 15 1 � log Ground Water Encountered: Yes No If yess what depth Proposed Installation: Seepage Pit Drain Field Comments: Performed by: v,/' Date:: `�-S .. LOG OF DRI1•' ,I NG by A & L RI LLV_'G COMPANY OWNER OF LAND ---•-• ........................... DEPTH OF WELL ....-•---•-----•---•-•-•-----...._....-------•----._......... ADDRESS WELL SITE 4"97.1 ....... tY' "3 -•----• - !.:!tv • c 6 r:C-ro ........... DATE—STARTED ........../.. `f............................................................. �DATE—ENDED /Xl? ......-•----•---•--••--•--•----------•-•••......--••••--•-•--- KIND OF FORMATION: i STATIC LEVEL OF WATER FT. ...... ............................• < f � DRAW DOWN FT- ---j/ tf-------.................................................... GALS. PER HR. £ `... KIND OF CASING -------- .................r� FROM S_ -:f............. FT. TO FT..__..... _:'• `yt''' > <� ;•r F; FR --- . ii'' FT. TO �� .... FT..r�!" c FROM--- -- ................. FT. TO ----` ................•--.FT..----- ............................... FROM ----='--`t ............. FT. TO----------•----•-------FT..:.:r FROM ---1 FT. TO ....... ?..`:`............ FT.. . ,... FROM = .............. TO ......... =............. FT. `: s ..... FROM ... '_.__...- FT. TO... __ -------•--FT f°.,"`...._.._ FROM .... ............... �.."' FT. TO--xU FT.fx''?x_e'_; �.t FROM. FT. TO.. ... -- •.. FT.. -- ------ .. •..... FROM ..... r-- - .:r :. .----•----FT. 7 TO-------------I.....---.•FT.------------ ' `"-.. 57 FROM .... ............ FT. TO . ................. FT ......... ...................... FROM--•--•-••- .........FT. TO_ ...................... FT. t FROM•• 4 -••--......--_.FT. TO... ........ r ' .'t3 ' '�: •� '� FROM..... uy..57...... FT. . TO '7 FT........ FROM---- ........... FT. TO .... ...........FT.�6k? FROM F t ----------FT. TO---._-�-., --•----.._FT..ya--- MISCL. INFORMATION: hlei r -A DRILLER'S NAME ---'- �6r'678ry g\�, 7 Q r' p ' -62 Municipality of Anc raV 4 -On-Site Water-and-Wastewater-Pcam---------� (907) 343-7904 rs8L95�� Certificate of On -Site Systems Approva Parcel I.D. 050-321-99' Expiration Date: co 1. GENERAL INFORMATION Complete legal description TIMBER RIDGE #1; BLOCK 3, LOT 1 Location (site address) 19340 Upper Skyline `Eagle River 99577 Current Property owner(s) Eric Volk & Lori Laing Day phone 854-9070 Mailing address Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ WaiverNariance request for L Dm,c yk L Received by: TYPE OF WASTEWATER DISPOSAL: Individual Holding Tank ❑ Community ❑ Public Sewer ❑ - r t COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ j� f Date of Payment !?14-"7,�/� Receipt Number o 5 ! � COSA # ��L� `� `� `� Date: -7/3 a �/ b Waiver Fee $ '2) I J Date of Payment -E ) 7 0 J r r Receipt Number (� `I :;L 7� Waiver # ds 10 3 Z 5. STATEMENT OF,INSPECTION BY ENGINEER -- -- -As-certified -by.my_seal affixed hereto and as of the. validation -date _shown. below,_I verify that- my_.investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Garness Engineering Group, Ltd. (GEG) Phone (907) 337-6179 Address 3701 E. Tudor Road, Suite 101, Anchorage AK, 99507-1259 l Engineer's Printed Name Jeffrey A. Garness Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6_ DSD SIGNATURE M r Y'� System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following �\QP��C`( OFq/V1 `r ON-SITE JpW IT RAND in/�STEWATER S Original Certificate Date: 3 "S 0 — i ( o The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist_ Nitrate Advisory IK Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12.doc 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: TIMBER RIDGE #1; BLOCK 3, LOT 1 Parcel ID: 050-3218 A. WELL DATA Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (Y/N) YES Date completed 9/9/75 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 340 ft. Cased to 1 1 1 ft. Casing height (above ground) 18+ in. FROM WELL LOG AT INSPECTION Date of test 9/9/75 3/15/16 Static water level 100 ft. 167.6 ft. Well production 2 g.p.m. 2.8 g.p.m. WATER SAMPLE RESULTS: Coliformcolonies/100 ml. Nitrate mg./L. Collected by: GEG. Ltd. Arsenic: AN � ug./L. Date of sample: 3/16/16 B. SEPTIC/HOLDING TANK DATA EXTERIOR FCO APEARS NON-FUNCTIONAL. PER MOA RECORDS, ON 9/7/2004 MCDONALD'S PUMPING CONFlRMEDFLOOR DRAIN PROVIDES CLEAN-OUT ACCESS TO SEPTIC TANK Tank Type/Material SEPTIC/PLASTIC Date installed 9/75 Tank size 1250 gal. Number of Compartments 1 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 3/21/2016 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRADE OF M Date installed 9/27/05 Soil rating (E30rqsm 1 System type DEEP TRENCH Length 76 ft. Width 3 ft. Gravel below pipe 4 ft. Total depth *10.8+ ft. Eff. absorption area 608 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 3/15/16 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 700 gal. New depth 15 in. Elapsed Time: 153 min. Final fluid depth 0 in. Absorption rate >= 600+ P g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — —SUMP IN 1975 TRENCH EXTENDS 7.25' INTO 8' OF EFFECTIVE. SUMP WAS DRY ON ARRIVAL AND STAYED DRY THROUGHOUT TEST. —POST TANK DOUBLE CLEAN—OUTS APPEAR TO HAVE A BELLY IN THE LINE WITH STANDING WATER. —SEE ATTACHED LETTER REGARDING SLOPE WAIVER D. LIFT STATION Date installed "Pump on" level at in. Size in gallons Manhole/Access (Y/N "Pump off' level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer main 75'+ Public sewer manhole/cleanout Sewer /septic service line 25'+ Holding tank 75'+ Animal containment areas 50'+ Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation **UNK Propertyline 5'+ Absorption field *5'+ TO 2005 TRENCH Water main 10'+ Water service line 10'+ Surface water 100'+ 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS SEPARATION BETWEEN 1975 TRENCH AND 2005 TRENCH IS UNKNOWN, *SEPARATION FROM SEPTIC TANK TO 1975 TRENCH IS UNKNOWN. **99.5" FROM TANK C/O TO FOUNDATION 0006�4�� G. ENGINEER'S CERTIFICATION o OF I certify that I have determined through field inspections and * q - *� review of Municipal records that the above systems are in " " " " " " " " " " " " " " " "' ' "' ' " "' conformance with MOA COSA guidelines in effect on this date.,O ... Q .J y A, Go ness.- Engineer's Printed Name JEFFREY A. GARNESS Q 9, CE -7 ��p s •mac O Date � '� � � �p � � � P d & <-11 'o Prof essionoo (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division s E T Y On -Site Water and Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 Nitrate Advisory Certificate of On -Site Systems Approval # OSC 161093 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 3, Lot 1 of Timber Ridge #1 subdivision. This inspection revealed a nitrate concentration of 5.7 milligrams per liter (mg/L) was reported for the property's well water sample. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On - Site Systems Approval. ,.. Municipality ®f Anchorage ® 4700 Elmore Road Qiitl :::-v =,reiN http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV161032 COSA#: Permit#: PID#: 050-321-49 Legal Description: Timber Ridge #1, Block 3, Lot 1 Engineer: Garners Applicant: Eric Volk & Lori Laing Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the 25% or greater slope has been approved. The approved separation distance is 4.5 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. X Adjacent properties are not affected by this waiver. ............................................... ■ ............................. ■ 1 Waiver is Granted: X Waiver is not Granted: Date: � A<f)(�; Approved Na f Reviewer ............................................... 0 ......................... a ... ■ 1 PIP M 'IT Co w m C O AW W 0000 I . o .1 00 LO C �m Q AW CLCY5 cY — �c-v U w w Z oZ0 d� .2� ar 0 Qo Z w a) .. C, o � T J LLJ wcow U a�`o� c.i Qac D N m~ an d -� m I- U) - 21Q ca2oy�n _ �=-�c mw -Fn c� �m C m0 v a� ��E (D 4) d Om 0- m w E E > 14m0>scm pc Z CD a)0 QCL 'L o- m a O W rn Wr- 0 CL &0 `0)ma.c: o T 0 E 0 mm U -W U a)•O m �_ U '- U T y o mm cc O Z mm L= ��a CD �� N Q @ N W O O M Co �L. m Qfo U.am w mLLm 'y O O CN • m NNN O ((Dp ONL 0 m,' «C y> L 0 Q Q ToW - m 2 o c c c m a� m� d' y y > O C N U U w O 'D N a) Lc L 2'D C EC'O'O m Co M N m y O m d- m m mL.. > L o r _ w m Z d AW ~ w 0000 I . o .1 00 O •' Q7 0 '�m � M •' O AW Or, -r Z d ~ w 0 O OWW Or, -r w Z oZ0 d� LLZCD 11 _ H w Z Z= J LLJ wcow U w U) U) Qo g win GARNESS ENGINEERING GROUP, Ltd - CIVIL & ENVIRONMENTAL ENGINEERS - October 6, 2015 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 Ref: Timber Ridge #1; Block 3, Lot 1— Memo concerning encroachment between drainfield and slope over 25%. To whom it may concern: On 3/15/16 Garness Engineering Group, Ltd (GEG) completed a site visit at the referenced property for the purpose of completing a septic adequacy test. During our site visit, we observed a separation distance of approximately 4.5 feet from the closest edge of the 2005 drainfield to a slope over 25%, located to the south-west. Our justifications are as follows: • No day lighting was observed below the drainfield and the encroachment has existed for approximately 11 -years. • The MOA approved this system in 2005. • The old 1975 drainfield remains in reserve via a diverter valve. At this time we request that your department waive the separation distance requirement between the drainfield and slope over 25% to a distance of 4'. I EGarness, estions, please contact me at (907) 337-6179. P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com `er t4vt Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 A /ria s se• B4r a �•^ ee S 6.[T. www.ci.anchorage.ak.us �� (907) 343.7904 Vtom �` t CERTIFICATE OF HEALTH AUTHORITY APPROVAL` FOR A SINGLE FAMILY DWELLING Parcel I.D. 056-' i / ci j HAA # Expiration Date: _ - a — 1. GENERAL INFORMAVON CQAplete legal descriptio ,,.— , �Plbrtc A�- / -ROCk 6T Location(site'address'brdirections) f9351Q r/Pr'fe hG�/LiJE Current Propeity owner('sj' CYC/RKa / EcGr iT 4l Aj77S9� Day phone T S — 44.25-00 Mailing address :' ',`t ` / 73 r-/ o [16.°2.2 S(K�/u,VF EAG' a,a"VA54 Lending agency " Day phone Mailing address Real Estate Agent s///R �fi�iYl 711A/ Day phone Cf! 0357 Mailing Address l Otte F�/R(V25& Unless otherwise requested, HAA will be held by DSD !or pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage 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 Address Firm A>rAletrnPhone�� %Oz� 1 3 7 85,42. P 0, /2 02 t, Engineer's Printed Name GT6�/F F. r 6 Date 5. DSD SIGNATURE 1/ Approved for _4 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By. Original Certificate Dater Municipality of Anchorage Development Services Department ,^ Building Safety Division On -Site Water & Wastewater Program ' • °' 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 224%M0ZOA45 4L`/ iIF 1 LaT/ Parcel ID: 0 S0 - 32 / - Ll9 A. WELL DATA Well type P If A. B, or C provide PWSID # Date completed % 9 7s Sanitary seal (YIN) �[ Total depth 3.10 ft. Cased to �� ft. / FROM WELL LOG Date of test —9/1/75 Static water level X00 ft. Well production 2_ g.p.m. WATER SAMPLE RESULTS: Coliform _colonies/100 m1. Nitrate mg./I. Arsenic: mg./l. Date of sample: V.P610S. B. SEPTIC/HOLDING TANK DATA Well Log (YIN) T— Wires properly protected (YIN) Casing Casing height (above ground) in.f AT INSPECTION s d 00s 2.3 g.p.m. Other bacteria 0—colonies/100 ml. Collected by: 0, Tank Type/Material SLj, foC—TI/ PZ,¢&P-1 Date installed _717S - Tank size /ZSO gal. Number of Compartments Cleanouts (YIN) Foundation cleanout (YIN) 4 Depression over tank (YIN)) High water alarm (YIN) Date of pumping Pumper TF I C. ABSORPTION FIELD DATA Date installed �&7 Soil rating (g.p.d./ft2 or-tihd=) System type 13954P TR,04cW Length 7ti ft. Width -3 ft. Gravel below pipe _a ft. Total depth _� ft. * Eff. absorption area _J�Ok ft' Monitoring tube y Depression over field k Date of adequacy test fA1_ Results (Pass/Fail) .. Ale6J For --q bedrooms Fluid depth in absorption field befor test _ in. Water adde/Abrption at. New depth_ in. Elapsed Time: _min. Final fluid depth _ in. rate >= g.p.d. Any rejuvenation treatmen(past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed Size in gallons Ma e/Access (YIN) 'Pump on" level at in. 'Pump off" level at _ in. High water alarm level at in. Datum Cycles tested Meets alarm & circuit requir ents7 E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot f0 O •t Absorption field on lot / 6 4 �f Public sewer main A/14 On adjacent lots Ido •4 - On adjacent lots 1G 0" Public sewer manhole/cleanout A014 Sewer /septic service line 75 fi Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation s r� Property line / 0 rf Absorption field S rt Water main A Water service line �Q rt Surface water Wells on adjacent lots 1ZW "A SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /d r� _ Building foundation �Qrr Water main ,t/�.4 Water Service line /Q Surface water �Q� r� Driveway, parking/vehicle storage Curtain drain _ &Lk- Wells on adjacent lots /oo '10, F. COMMENTS 11 G. ENGINEER'S CERTIFICATION w ��P :'• •• Xr 0� 1 certify that I have determined through field inspections and to 49TH .. review of Municipal records that the above systems are in �• conformance with MOA HAA guidelines in effectonthis date. • • •• : z S r Ftf� G�� Steven 2 Eng Engineer's Printed Name S �j s •. PE 6256 O� i Date%0,,PROFE55'cJJl' w HAA Fee Date of Payment 90 44It) 5 Receipt Number 1{. 2L6 (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number n a toe r p rrug C V d 0 � - lutes and do not overlap or encroach on the property i lying adjacent thereto, that no Improvements on propp-- erty lying adjacent thereto encroach on the premises to 3 {tt �;arfr�J �,.e}.eN question and that there are no roadways, transmisslon hnes or other visible easements on said property except as indicated hereon. - it-wa.t+-it. Dated at Eagle River. Alaska thIs!6 r,, day ROBERT C. JORNSON : c,' L. SCALE: Registered Land Surveyor No. 880 -LS p P,ox 456. Eagle River, Alaska Phone 694-2543 rn no l f. yea{s I{b' �y� i C *_ tw, / .. .. AS -BUILT I hereby certify that I have surveyed the following i described property: -� !� / • PL.e_L!4_� +ZL *AI I - - - J Anchorage Recording Precinct, Alaska,' end that the lmprovements situated thereon are within the property - lutes and do not overlap or encroach on the property i lying adjacent thereto, that no Improvements on propp-- erty lying adjacent thereto encroach on the premises to 3 {tt �;arfr�J �,.e}.eN question and that there are no roadways, transmisslon hnes or other visible easements on said property except as indicated hereon. - it-wa.t+-it. Dated at Eagle River. Alaska thIs!6 r,, day ROBERT C. JORNSON : c,' L. SCALE: Registered Land Surveyor No. 880 -LS p P,ox 456. Eagle River, Alaska Phone 694-2543 hyr Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program s. ` 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ` www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. pS()'ti—�-1 HAA# 1. GENERAL INFORMATION Expiration Date:.. al�"X)S Complete legal description TIMBER RIDGE SUBDIVISION #1 , LOT 1 BLOCK 3 Location (site address or directions) 19340 UPPER SKYLINE DRIVE • EAGLE RIVER AK 99577 Current Property owner(s) WILLIAM O'CONNOR Day phone 694-4397 Mailing address P.O. 80X` 773205 * EAGLE RIVEt2,' AKS "99577 Lending agency Day phone Mailing address Real Estate Agent ED ERICKSON W/ PRUDENTIAL VISTA Day phone 227-5275 Mailing address 16635 CENTERFIELD DRIVE * EAGLE RIVER AK ' 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health' Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. 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 Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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, SURE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ,Z Approved for q bedrooms. Phone 337-6179 Date - q11.1 104 By. ,` S�, �A ` k ro \Je . Original Certificate Date: It— (Rev. 12101) tfANCHo�pi"�' Disapproved. Conditional for ly o� bedrooms, with tnj etipulafonsT(�+` ; approval JeRo ��o,_ • 5 \ COPMcN�tC ' IIJI�c Attachments: HAA Checklist Y- Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By. ,` S�, �A ` k ro \Je . Original Certificate Date: It— (Rev. 12101) prage x 4 Q ram s. �r _ Well Loa N/N1 YES �/y/�y/� //Ll/LUU4 9pm•` - �,}. m �'T S• '" �' ��; �+r�.,�" .CRs, .+.�:....ns�,a.,,.v�°.''�'� ».'na�.ra, ' °A *� r s , �omaa ants 'r caearl6urs,(Y/N) rna ... Y,:So High water alarem (Y/N) N A Y ��ih •Z ?'YYu-' whnf y�Y''Y+ '` c .ate.., tine 'rSnCFP 'TR"FRT!`CJ `�' P"ump o'�" ,_in. High water alarm level at _ Cycles tested Meets alarm& circuit requir On dj3acent Pots t that the above systems are in 7 duidelines in effect on this d n. QJ f y am ssr e Q A C 7950 0 a .... �,. - ,..,.. Professio�� Waiver Fee $ Date of Payment Receipt Number m L t.. " J DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME 6. TYPE OF RESIDlffNCE A �%l. t SINGLE FAMILY ❑ One ❑ Four ❑ Other dl (.. 9 P . DATE DATE DATE 7. WATER SUPPLY t -"-Q 3 INSPECTOR INSPECTOR INSPECTO ❑ PUBLIC UTILITY depth (attach log if available.) ,, MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIp DEPT. OF HEALTH & 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL PROTECTION • ENVIRONMENTAL SANITATION DIVISION JUL 1 6 1981 Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWAA' TA1E'3 D DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYO,WNER /L �C PHONE MAILING ADDRESS P, o,.� ol& ties PROPERTY RESIDENT (If different from above) PHONE 2. BUYER DD�� /� ��wc Q.t..` ��1. U eo 1"A' '9 -1— PHONE / y� �7 �f� — G C MAILING ADDRESS 7 3 3 a / P2 c -A L / 3. LENDING INSTITUTION // 13 hl PHONE MAILING ADDRESS, Z�_ A3_0 3 G /T CiG, 4. REALTOR/AGENT C,/a�`iL1�� / Z's /dam PHONE ZZ/e 2Poy MAI LING ADDRESS FL �;� 5. LEGALDESCRIPTION f —�[ o STREET LOCATIO G � 6. TYPE OF RESIDlffNCE NUMBER OF,BEDROOMS t SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY 'T><( Three ❑ Six 7. WATER SUPPLY '4 INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM 7rYEAR INDIVIDUAL/ON-SITE** ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) % /� r THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Size:�c)-- �If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER -p TOTAL ABSORPTION AREA MATERIAL j � ,f ilL2^r•�v'� "W i.% y'r�/ G.'.� <�t.� � O — 7 /y 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Lirie. Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS L�APPROVED FOR `—r" BEDROOMS T ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE _�L� BY \ 72-010 (Rev. 6/79) �- MUNICIPALITY C. ANCi-!OP.AGE MUNICIPALITY OF ANCHORAGE DEPT. GF �: DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTL110NInONMENTAL I-,.- Q: i ECTION 825 L Street - Anchorage, Alaska 99501 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS ENVIRONMENTAL ENGINEERING DIVISION ❑ One EY- Four ❑ Other Telephone 264-4720 ❑ Two ❑ Five ❑ MULTIPLE FAMILY q CFAMITIES" W REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SE�FIS DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER * ATTACH WELL LOG. A well log is required for all wells drilled PHONE Collins ❑ PUBLIC UTILITY 694-9058.=— MAILING ADDRESS ^ � **If Box 7329 99577 individual/on-site, give installation date qreq PROPERTY RESIDENT (If different from above) Ifsystem is over two (2) years old an adequacy test is red PHONE 2. BUYER NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. PHONE Wysocki 333-8894 MAILING ADDRESS Post Office Box 173 99510 3. LENDING INSTITUTION PHONE Alaska Pacific Bank 274-9661 MAILING ADDRESS 101 Benson Boulevard 99503 4. REALTOR/AGENT PHONE Clyde Lower % Jack White Company 277-1553 MAILING ADDRESS 3201 C Street 99503 5. LEGAL DESCRIPTION Lot 1 Block 3 Timber Ridge Subdivision #1 STREET LOCATION NHN Skyline Drive 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [XIX SINGLE FAMILY ❑ One EY- Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY EEK INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM ^ � **If INDIVIDUAL/ON-SITE** individual/on-site, give installation date qreq Ifsystem is over two (2) years old an adequacy test is red ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED n—f1 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or EJ Holding Tank Size: IJ � If Tank is homemade give dimensions: SOILS RATING 1 -7 % TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL p 4. DISTANCES WELLTO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS Z�t-_APPROVEDFOR 4 BEDROOMS ❑ CONDITIONAL APPROVAL (letter must a pany certificate) DISAPPROVED 6? DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev. 3/78) MUNICIPALITY OF ANCHORAGE DEPARTMEI',' OF HEALTH AND ENVIRONMENT PROTECTION 825 L Street, Anchorage, Alaska 99501 279-2511, ext. 224 or 225 Date Received: June 27, 1977 #1: Time 2:30 p.m. Date 6-28-77 Tuesday #2: Time Date #3: Time Date Insp Pratt Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska National Bank of the North Mailing Address: 3301 C Street, Calais II Phone: 278-4581 2. Property owner: Mailing Address: Clifford Scheel Phone: 274-2581 Star Route A Box 112, Palmer 99645 3. Legal Description: Lot 1 Block 3 Timber Ridge Subdivision 4: Single Family Residence: 6c>a Multiple Family Residence: ( ) Number of Bedrooms: Number of Bedrooms: four 5. Well System: Individual Well (:4 Community/Public Svstem ( ) Permit # Depth of Well Well Log on File Construction Bacterial Analysis 6. Sewage Disposal System: on-site System (x:4 Public Utility Permit # Installed 1976 Installer Septic Tank Size iaS-o Manufacturer Absorption Area Soils Rate 1'7.S- Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line Page. WO Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 1 Block 2 Timber Ridge Subdivision Comments: Affadavit Attached: ( ) Approved: C Disapproved: Department Worksheet: Letter Attached: ( ) Date: 7" Or Date: