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Home My WebLink AboutBIRCH HILLS ESTATES #1 BLK 1 LT 9Birch Hills Estates #1 Block i Lot 9 #050-081-12 Iwulmo I Municipality of Anchorage U6 I 'I ZU13 Community Development Department Page 1 of 3 On -Site Water & Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • httpdAvww.muni.org/onsits a (907)343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131301 PID Number: 050-081-12 ❑ New ®Upgrade Name:� �tv��tty� �tttlY HILLENBRAND ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other Address: 12043 DEE LANE *EAGLE RIVER, AK 99577 Phone: 350-2150 No. of Bedrooms: 3 Sail Rating: GPD/Sq. Ft. Total Depth from original grade: Fl. LEGAL DESCRIPTION Depth to pipe invert from original grade: Gravel dep h beneath Ft. Subdivision: BIRCH HILLS ESTATES #1 Block: Lot: 1 g Fill added above original grade: Grov ngth: owns Ip: anger — — ec on: — Gravel width: \ F1' ds Number of lines• Distance between lines: �\.` E Ft. Ft SEPARATION DISTANCES To Septic Absorption From Tank Field Lift Holding Public/Private Station Tank Sewer Livres Total absorpt' area: SD. Ft.Ft umber of trenches: Diet. between trenches: Well 100'+ EXISTING — — 25'+ TANK ® Se tic ❑ S.T.E.P. ❑Holdin ❑Other Surface water 100'+ EXISTING — — Manufacturer. GREER Capacity: 2000 col. Lot Line 5'+ EXISTING — _ Material: Number a compartments: N/A STEEL 2 Foundation 5'+ EXISTING — _ LIFT STATION Curtain Drain NONE KNOWN Capacity: Gal. Remarks: OLD TANK WAS DECOMMISSIONED PER UPC at: EMa� 'Pump of" level a: NI er alarm at: de • ctrical Inspections performed by: PIPE MATERIAL House to tank D3034 Tank to EXISTING drainfield Installer NORTHERN EXCAVATION Drainfield EXISTING CO/MT EXISTING Inspector GEG, Ltd. BENCHMARK (Assumed elevation) 100.00 Ft Inspection Dates' 1st 9/14/13 2nd — Location and Description: 3rd — 4th — TOP OF CONCRETE SLAB Community Development Department Approval Conditional a approval: Date: ENOW . �F .. oo .• ....... .......... .......... Q 0 P '•.J ar ess, OG Qo9s�. G \000 „ '•dp 4,„!�''• oaoo 4��4p�0000lr� Approved: Date: O a / PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: — OSP131301 050-081-12 GRAINFIELD \ • d.- ST2 0 a a ST1 FCO dd A k . SHED foo. BIRCH HILLS ESTATES UNIT #1; BLOCK 1, LOT 10 EXISTING 3 BEDROOM HOUSE BIRCH HILLS ESTATES UNIT #1; BLOCK 1. LOT 8 NEW 2000 GALLON SEPTIC TANK (TANK SIZE DUE TO PLAT REQUIREMENTS) GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS: 3101 E. NOOK 9 . SW 101 • PNCHOP . M 99507 • NW (907)337-S1J9 ♦ FM (907)330�18 r WESSRE; www.9omaeaen9lnnfin9�nm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: AMY HILLENBRAND 350-2150 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: BIRCH HILLS ESTATES #1; BLOCK 1, LOT 9 PNB TYPE OF WORK: DATE: AS -BUILT DRAWING 10/4/13 (Rev. 01105) ;..�J. ........ ........ \ \ B A ST1 29.89 11.36 / ST2 40.04 27.33 f DBL1 39.60 28.29 / DBL2 39.09 28.35 j FCO 24.97 5.06 BIRCH HILLS r ESTATES UNIT #1; BLOCK 1, LOT 3 I GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS: 3101 E. NOOK 9 . SW 101 • PNCHOP . M 99507 • NW (907)337-S1J9 ♦ FM (907)330�18 r WESSRE; www.9omaeaen9lnnfin9�nm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: AMY HILLENBRAND 350-2150 2 OF 3 LEGAL DESCRIPTION: DRAWN BY: BIRCH HILLS ESTATES #1; BLOCK 1, LOT 9 PNB TYPE OF WORK: DATE: AS -BUILT DRAWING 10/4/13 (Rev. 01105) ;..�J. ........ ........ PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: - OSP131301 050-081-12 INSULATION FINAL GRADE = 102.16-102.55 ST1 ST2 TOP OF TANK TOP OF TANK AT INLET = 98.61 AT OUTLET = 98.61 NEW 2000 GALLON INVERT OF BUNG SEPTIC TANK INVERT OF BUNG AT INLET = 98.16 AT OUTLET = 97.87 F GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS 3701 E. MOM R . WM 101 • ANfYlOMOE, M 99507 • PX E (907)337-61 9 • FM (907)33 246 • WEB311E: www.9ame n9lne gn9.mm PREPARED FOR: PHONE NUMBER: PAGE NUMBER:•• ••• AMY HILLENBRAND 350-2150 3 OF 3 �Qnp� ':J y G Hess.- LEGAL DESCRIPTION: DRAWN BY: po CE —795 omG BIRCH HILLS ESTATES #1; BLOCK 1, LOT 9 PNB TYPE OF WORK: DATE: ^0O4pp�QOoa,o PROFILE AS—BUILT DRAWING 10/4/13 (Hey. u,1m) On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP131301 Tax Code Number: 05008112000 Work Type: Septic Permit Effective Dates: September 11, 2013 to September 11, 2014 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: BIRCH HILLS ESTATES #1 Site Legal Address: BIRCH HILLS ESTATES #1 BLK 1 LT 9 G:0253 Owner/Address: HILLENBRANDAMYA 12043 DEE LANE EAGLE RIVER AK 995777901 Site Mailing Address: 12043 DEE LN, Eagle River This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank Lot Size in Sq Ft: 28750 Total Bedrooms: 3 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 B Issued By: Y" Date: �/ Date: �l MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan On -Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. Q5 -b' M'1A Property owner(s) AMY HILLENBRAND Day phone 350-2150 Mailing address 12043 DEE LANE *EAGLE RIVER. AK 99577 Site address 12043 DEE LANE *EAGLE RIVER, AK 99577 Legal description (Sub'd, Block & Lot ) BIRCH HILLS ESTATES UNIT #1; BLOCK 1, LOT 9 Legal description (Township, Section & Range) Lot Size Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (Pall that apply) Initial ❑ Single Family (SF) Absorption Field ❑ Upgrade ® (w/wo ADU) Septic Tank ® Renewal Duplex (D) F-1❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/ WAIVER REQUEST FOR: Distance: — I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: t2W Waiver Fees: Date of Payment: V?>"I Date of Payment: Receipt Number: 05V106C-;I Receipt Number. Permit No. 0512113W I Waiver No. (Rev. 01/11) September 9, 2013 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: Proposed Septic Tank Upgrade for Birch Hills Estates Unit 41; Block 1, Lot 9, To whom it may concern: The existing three (3) bedroom house on the referenced property is served by a private well and septic system. The existing septic tank is in a state of failure and needs to be upgraded. We are proposing to decommission the existing tank and replace it with a new 2000 gallon septic tank (1600 gallons is the minimum allowed per plat note) We are unaware of any adverse impacts this installation may have on adjacent wells or septic systems. If you have any questAs, please contact us at 337-6179. Thank you for your assistance. .E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com TANK DESIGE ONLY JALASKO LOT 2 yP�P i SHALL HAVE THE NORTH / LOT LINE & ALL WELL RADII IV/ FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO CONSTRUCTION. EXISTING 3 BEDROOM HOUSE SYS' BIRCH HILLS / ESTATES UNIT #1; BLOCK 1, / LOT 10 ISTINGBIRCH-B LS ESTATESJJNIT � / �D FIELD �'`R T f �,�—INST DBL C/O'S S i l �t `EXISTING 1000 r GALLON SEPTIC / TANK TO BE REPLACED WITH A \\ NEW ae®@ GALLONCZa'Cj SEPTIC TANK j J / /,y f l aF BIRCH HILLS / ESTATES UNIT #1; BLOCK 1, ' LOT 3 BIRCH HILLS ESTATES I UNIT #1; BLOCK 1, l LOT 2 / f GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS& GENERAL CONTRACTORS NO1 L WOW ROOD, WRE 101 • N ORAM M 99W • PHONE (907)33)-81)9 • FM (907)339-3M • 9N:99nE:.m..9omeeeengtmanm.c«n PREPARED FOR: PHONE NUMBER: PAGE NUMBER: AMY HILLDENBRAND 350-2150 1 OF A LEGAL DESCRIPTION: DRAWN BY.- BIRCH Y:BIRCH HILLS ESTATES UNIT #1; BLOCK 1, LOT 9 PNB TYPE OF WORK: DATE: TANK DESIGN UPGRADE 8/29/13 4 T �I f y Gar ess,, m CE -795 m`G ITANK DESIGN ONLYI cr SHED DRAINFIELD BIRCH HILLS ESTATES UNIT #1; BLOCK 1. LOT 10 EXISTING 3 BEDROOM HOUSE NOTE: THE CONTRACTOR .HALL HAVE ALL WELL RADI FLAGGED BY A REGISTERED tAND SURVEYOR PRIOR TO CONI RUCTION.-/ BIRCH HILLS ESTATES UNIT #1; BLOCK 1, LOT 8 DBL C/O'S -EXISTING 1000 GALLON SEPTIC TANK TO BE REPLACED WITH A NEW 2000 GALLON SEPTIC TANK (TANK SIZE DUE TO PLAT REQUIREMENTS) \ J J 1 / A H HILLS / S UNIT 1; 1, LOT 3 GARNESS ENGINEERING GROUP, Ltd. 9 H �I CONSULTANTS $ GENERAL CONTRACTORS Q ........... . • • • ............ . 3M1 E. WWR R . SURE 101 • ANCHORAGE M 99IW - PHONE (90])337-61)9 - FAX (907)330-3246 WEB91E: www.9amwan9lrroetln9.wm PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ....... ....•••• AMY HILLENBRAND 350-2150 OF QO P f Y ness.- LEGAL DESCRIPTION: DRAWN BY: Qo9i CE -79 3 BIRCH HILLS ESTATES UNIT #1; BLOCK 1, LOT 9 PNBe' •��6g,/I ��Ao TYPE OF WORK: DATE V�Qa"rofession000 TANK DESIGN UPGRADE 8/29/13 �000��oa 72-019 (Rev. 9178) --” _"" _—"-" �'r `. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 2644720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE NEW ❑ UPGRADE MAILING ADDRESS--� �t S SUS 49 �OL/G ISS / LEGAL DESCRIPTION LOCATION i �`/ NO. OF BEDROOMS / � DISTANCE TO: Well �, �o�--5 �W bsorpu are / Z Dwelling / Z PE HMI Uy h2 6 Q Manufacturer _ / MaZena No. of compartments W f. w Liq. acit i allons IF HOMEMADE: Inside length Width Liquid depth d y DISTANCE TO: Well Dwelling PERMIT NO. O? < Manufacturer Material Liquid capacity in gallons 2 � p = DISTANCE TO: Well Foun pp,, sit✓ iL V Nearest lot / �' PERMIT NO. W a ZNo. of lines q Leof a I a .t fi / Total len iney Trench Ih /t to Distance tweenJines 1'67 - Z W J 210Ld inches F ;i f Top of tile to finish grade Materia beneath tile fc Total effective r tion �re� O inches Length Width Depth PERMIT NO. W d1— Type of crib Crib diameter ib dep Total effective absorption area a W W Well Buildirfg foundation Nearest lot line w DISTANCE TO: J J Cla D Driller 6 Distance to lot line PERMIT NO. W Building foundation Sewer line Septic tank Absorption area(:) DISTANCE T0: OTHER PIPE MATERIALS IlG_ C SOIL TEST RA I INV D e INSTALLER WNilfilmIPALITY p d REMARKS OF DEPT. OF HEALTH & f 1 M< 4f rw gI sr z v O P, •JFFSSION? ,r f+ fi h APPHOVED E LEGAL sao ISOX ( IIIVEFL„'-A £:TI 1Y;,aLE y 72-019 (Rev. 9178) --” _"" _—"-" MUtJ I C I F"t=HL- I TY OF= AtJGH4RF113E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264-4720 CDj"_S I TE SE4JER PERM I T PERMIT -NO: 840288 DATE ISSUED: �S///k4- Y 'APPLICANT: IDOVID L FINLAY '.ADDRESS: 1200 W DIMOND SP 505 ANCHORAGE, AK 99515 CONTACT PHONE: 349-5179 LEGAL DESCRIP: SUBDIVISION: ;BIRCH HILLS ESTATES'-'LOT:�9 " SECTION: 1 TOWNSHIP: 14N RANGE: 2W LOT SIZE: 28750 (SQ.FT. OR ACRES) LOT LOCATION: DEE LANE -MAX BEDROOMS: 4 LISTED BELOW ARE THE OPTIONS AVAILABLE.TO YOU IN DESIGNING 'SYSTEM. CHOOSE THE OPTION THAT BEST FITS - - - - - - YOUR, SITE. - - - - - - - - - - - - - - - TRFEE tdGH BEr> i DEPTH TO PIPE BOTTOM <FT. ) 4.0 4.0 0.5 GRAVEL DEPTH '<FT. ) 4.0 4.5 TOTAL DEPTH <FT. > 8.0 2.5 20.0 GRAVEL WIDTH (FT. > 63.0 38.0 GRAVEL LENGTH (FT.) 26.2 28.1 GRAVEL VOLUME (CU. YDS. ) 1, 250. 0 ** 1, 250. 0 ** TANK SIZE (GALS) 125 125 SOIL RATING <SQ. FT. /BR) BLOCK:f 1. YOUR SEPTIC W. E7RFi I M 4.0 3.5 7.5 5.0 54.0 40.0 1, 250. "0 ** 125 ** TANK MUST HAVE AT LEAST TWO, COMPARTMENTS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ;1 CERTIFY THAT: 1. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE <MOA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOA CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. -s. I WILL ADHERE TO ALL MOA AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL, WASTEWATER DISPOSAL SYSTEM OR PUBLIC SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF 4 BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, ;THEN <1> AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. 'SIGNED DATE: ------------------------------------- --- :APPLICANT: DAVID L FINLAY !ISSUED BY DATE: MIJM I C I PFiL_ ITY OF HM HpF<f-lGE DEPARTMENT C~ HERLTH AND ENVIRONMENTAL r JTECTION 825 L STREET, ANCHORAGE, AK 99to r 264-4720 opo—S I TE SEWER F�EFZM I T PERMIT NO: 840288 DATE ISSUED: 05/04/84 APPLICANT: DAVID L FINLAY 3'��+ �S 7 ADDRESS: 1200 W DIMOND SP 505 ANCHORAGE, RK 99515 CL CONTACT PHONE: 349-5179 LEGAL DESCP.IP: SUBDIVISION: BIRCH HILLS ESTATES ,LOT: 9 SECTION: 1 TOWNSHIP: 14N RANGE: 2W LOT SIZE: 28750 (SQ.FT. OR ACRES) LOT LOCATION: DEE LANE MAX BEDROOMS: 3 LISTED BELOW ARE THE OPTIONS AVAILABLE TO YOU IN DESIGNING SYSTEM. CHOOSE THE OPTION THAT BEST -FITS YOUR, SITE.- - - ---------- TFZEt-tCH E7E0 DEPTH TO PIPE BOTTOM (FT.) 4.0 © 4.0 0. 5 GRAVEL DEPTH (FT.) 8 0 4. 5 TOTAL DEPTH (FT.) 2.5 17. 0 GRAVEL WIDTH (FT. ) -47 0 34.0 GRAVEL LENGTH (FT.) > 19.5 21. 4 GRAVEL VOLUME (CU. YDS. 11000.0 ** TANK SIZE (GALS) 1'00125 125 SOIL RATING <SO. FT. /BR) BLOCK: 1 YOUR SEPTIC 4J r>FZFIN 4.0 3.5 7.5 5.0 41. 0 30.3 1, 000. 0 ** 125 ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS- - - - - - - - - - - - - - - - - r I CERTIFY THAT: 1. I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SE FORTH BY THE MUNICIPALITY OF ANCHORAGE (MOA) AND THE STATE OF ALASKA. 2. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH ALL MOR CODES AND REGULATIONS, AND IN COMPLIANCE WITH THE DESIGN CRITERIA OF THIS PERMIT. 3. 'I WILL ADHERE TO ALL MOR AND STATE OF ALASKA REQUIREMENTS FOR THE SET BACK DISTANCES FROM ANY EXISTING WELL, -WASTEWATER DISPOSAL SYSTEM OR PUBLIC " SEWERAGE SYSTEM ON THIS OR ANY ADJACENT OR NEARBY LOT. 4. I UNDERSTAND THAT THIS PERMIT IS VALID FOR A MAXIMUM OF 3 BEDROOMS AND ANY ENLARGEMENT WILL REQUIRE AN ADDITIONAL PERMIT. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED: (2) RS-BUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT: AND (3) THE ELECTRICAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. SIGNED n _ _-_ DATE: .. _----------- ---" r APPLICANT: DAVID L FINLAY .57 ISSUED BY ---------------- DATE:----� ---- r-� 1 lit Lrllr�a_ -Ir r I POUCH 6-650 ANCHORAGE. ALASKA 99502-0550 (907)264-4111 TOVY KN('11f FS 7.IA Y01f T ','All TMENT OI 1 I .-I. T. ENVIRONMENTAL PROTECTION cPermit #: 821150 January 31, 1983 TO: Permit Applicant Subject: Lot 9 Block 1 Birch Hills Estates Subdivision A permit issued by this department for an individual well and/or on-site sewer system has expired as of December 31, 1982. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log needs to be sent to this department for documentation of the installatibn. date and to close the permit. If a private engineer inspected the installation of the' on-site sewer system, please have them send us the ag-builts for our files and documentation. If there are any further questions, please call this office at 264-4720. Sincerely QU"g- Robert C. Pratt, R.S. Acting Program Manager Sewer and Water Program RCP/ljw enc: Copy of Permit SWP/057 MUNICIPALITY OF ANCHORAGE Department r'i Health and Environmenta7"1rotection 825 ,. Street, Anchorage, AK. -)501 264-4720 * * * HANDWRITTEN PERMIT Permit WELL AN -SEWER PERMIT p�w� 79572 Applicant: -PzA rhO..M C 14)1{t7scheiC Mailing Address: I(h9 Location: Phone Number: 8 -3� y 9 C1 r�l�f(S * Legal Description: LC% Cli / �:Cl, Lot Size: Type of Soil Absorption System Is: Holding Tank: Trench: Drainfield: Seepage Bed: Maximum Number of Bedrooms:sfi ) Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is:' DEPTH f LENGTH GRAVEL DEPTH 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 departmen will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 fee 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, 1932 *** 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 understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3.bedrooms. �' C,�it Issued by: Signed:.A �.s+- an `- -�- Applicant Date: c. _tu ,C� -7,y TT�c ,�razr �oL SWP/024 (1/81) /� LQY WZ • 3/ `��71 ^ �,] SOILS LOG NLY MUNICIPALITY OF ANCHORAGE 0 PERCOLATION 9� \� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 925 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Hamann Cnnstril ti nn —DATE PERFORMED: October 96 1 82 LEGAL DESCRIPTION: Lot 9, Block 1 Birch Hill Estates ... ..... J e1T9 PI AN 1 2 3 4 5 6 7 9- 10. -10. 11 12 13 14 15 16 17 18 19 (FEET) I Topsoil I GP, Poorly graded gravel Bedrock OF AC.z 44 Vernon Vernon L. Roelfs No. CE 5107 x Me WAS GROUND WATER S ENCOUNTERED? NO L O P E IF YES, AT WHAT DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop t 20 i �E •, ,:k�>"i e F'pp"• �c'��,1�y PERCOLATION RATE (minutes/inch) I'Zlss5.. TEST RUN BETWEEN FT AND FT COMMENTS Bedrock slopes to the west under site PERFORMEDBY: Vernon L Roelfs _CERTIFIEDsY: Vernon L, Roelfs DATE: 10-26-82 6Gy- ;2s7% 72-006 (6/79) i"� �� by DOC Co. aoa SULLIVAN WATER WELLS .Ica I, T 14IJ, P.O. BOX 272, CHUG IAK, ALASKA 99567 • TELEPHONE 688.2759 Z u) OWNER OF LAND �� GcJ I -r.14-r.14s�N C K_ DEPTH OF WELL 2P0 ADDRESS ��^ fi i3 c v c STATIC LEVEL OF WATER FT. ? u /c cSDP AW DOWN FT. LEGAL DESCRIPTIO, DATE•Started Ended 2 GALS. PER HR Z A - PERI11rr NUMBER '� I u 1 d 5? — KIND OF CASING —6 r d KIND OF FORMATION: From /) Ft. to--2--Ft. l r ✓r''A .?�J ` i✓ From Ft. to—Ft.— o Ft.—From.)—Ft. From.,)—Ft.to f Ft. SRw 0 f Jc c From Ft. to Ft._ Ft. S -Cce`' y From Ft. to Ft._ From Fl. to From�_,Ft. to �� Ft. /� nQ['G is From ft. to Ft� � 3 J �cl Qo c S /C/!i'O"c- From Ft. to Ft— From Ft. to A=)Ft.—�i Ft. t-10.4,•r✓A'eiT ff-14 From Ft. to Ft._ From Ft.to From�Ft.to1�`L_Ft. �3c'O e�'crG 55"a From Ft. to Ft._ r.j•rCjf0q, Ft. to FL_ C �j Ft. toJ1I Ft. From/. Ft / 7 C T %Cl�� From Ft. to Ft._ From Fl. to .2��y From / Z Ft. to �b Ft• / F From Ft. to Ft._ From Ft. to Ft.— From—Ft. to Ft. From Ft. to—Ft-- o Ft•— From Ft. to 'Ft. From—Ft. _. From Ft. to—Ft.— From Ft. to—Ft - From Ft. to —Ft.— From Ft. to Ft. From Ft. to Ft._ From Ft. to Ft. - From Ft. to Ft. _ From Ft. to Ft. Ft. to Ft— From Ft. to—Ft.From MISCL.INFOR.MATION: G ii c 4 r., 'e4 07 U DRILLERS NAME 94 • Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 050-081-12 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 91 Block 1, Birch Hills Estates, #1 Location (site address) 12043 Dee Lane, Eagle River, Alaska 99577 Current Property owner(s) David & Freda Finlay Day phone (907) 694-7582 Mailing address 12043 Dee Lane, Eagle River, Alaska 99577 Real Estate Agent Raney Hardman @ Re/Max Day phone (907) 440-7257 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) VJaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ `! ! D , Waiver Fee $ Date of Payment I "1 /l 3 G �� Date of Payment Receipt Number o("sy% Receipt Number COSA# 65C 13/-33q Waiver# 3 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well (] Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ VJaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ `! ! D , Waiver Fee $ Date of Payment I "1 /l 3 G �� Date of Payment Receipt Number o("sy% Receipt Number COSA# 65C 13/-33q Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pinard Engineering Address PO Box 871347 Wasilla, AK 99687 Engineer's Printed Name Paul E. Pinard, P.E. 6. DSD SIGNATURE V System #1 Approved for 3 bedrooms System #2 Approved for bedrooms Disapproved Phone (907) 357-3647 Conditional approval for bedrooms, with the following stipulations: By: �� I Original Certificate Date: S 2— 3 l 3 The Municip�ge 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other CASA WN a sheet S � .. 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: Lot 9, Block 1, Birch Hills Estates, #1 Parcel ID: 050-081-12 Well type Pvt If A, B, or C provide PWSID # Date completed 11/82 Sanitary seal (YIN) Y Total depth 280 ft. Cased to 20 ft. FROM WELL LOG Date of test 11/82 Well Log (YIN) Y Wires properly protected (YIN) Y Casing height (above ground) 12+ in. AT INSPECTION 7/9/13 Static water level 25 ft 41.0 ft A Well production 12 9.10.m.©°7 g.p.m. WATER SAMPLE RESULTS Coliform 0 colonies/100 mL Nitrate 6.32 mg/L Arsenic ND ug/L Date of sample: 6/24113 B. SEPTIC/HOLDING TANK DATA Collected by: Pinard Engineering Tank Type/Material Septic/Steel Date installed 9/13/84 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN) YDepression over tank (YIi�f4j;;rS N Highwater alarm (YIN) N PIT Date of pumping 2Z t3 Pumper `� RS C. ABSORPTION FIELD DATA Date installed 9/13/84 Soil rating (g.p.d./ft2 orft2/bdrm) 125 sf/bdrm System type Deep Trench Length 68 ft. Width 2.5 ft. Gravel below pipe 4.0 ft. Total depth 8 ft. Eff. absorption area 544 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/9/13 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 630 gal. New depth 0 in. Elapsed Time: 240 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) None Known If yes, give date D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at Datum E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot 1001+ Absorption field on lot 1001+ Public sewer main Sewer /septic service line 100'+ 25'+ Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank 100'+ Animal containment areas 100'+ Manure/animal excrete storage areas 100'+ Building foundation 10'+ Property line 10'+ Absorption field 5'+ Water main 100'+ Water service line 25'+ Surface water 100'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water Service line 25'+ Surface water 100'+ Curtain drain None Known Wells on adjacent lots 100'+ Water main 100'+ Driveway, parking/vehicle storage 10'+ F. COMMENTS This home is a 3 bdrm single family residence though the septic system was sized and installed as a 4 bdrm system. G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Paul E. Pinard, P.E. Date 7/15/13 COSA brown sheet -10 -10 -12 -doe sw, d0'PAW F— Pjgwd O.O d®ORom eaiV4 rd w_q'`, Municipality of Anchorage 8 Community Development Department Development Services Division 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 # 131339 A Certificate of On -Site Systems Approval inspection and test of potable water was recently conducted on the well water supply on Block 1, Lot 9 of Birch Hills Estates #1 subdivision. This inspection revealed a nitrate concentration of 6.3 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. 3Nd� oW I`' ^ (03H) Zb"£5=l CGI •8 -z gym M • ')'b•b S 0 ' o CTS 41 OL�,TI 0 a a m �a Y - ' 2 P v Ay m � nccp y 00 r z 0 0 52.4 ----- w S 38048'29'W 93.00 (REC) m I / W o -tee m = N VI o(� Oi m �y ON 9 (R N Cp z z �a O 2 P - Ay m � nccp mz o r z ----- 10 FT. UTILITY EASEMENT S 38048'29'W 93.00 (REC) N I / W 2 �&QB 0 o c nn w Oy Ay m � nccp o -tee m m r,• q � o ..p ^o i O � 0 V tz w C C0 xr •~% mw zm c7g u tO ro0 b m :. p _ n� �pOO p°immp 0 ARCTIC PUMP & WELL INC. Jim Sullivan, CPI / PO Box 770197 Asn swus a uatn Eagle River, AK 99577 (907) 688-2510 (907) 258-2510 a wa, c� i.net Decommissioning Log Well Drilling Permit Number: SW Parcel Identification Number: Date of Issue: Arctic Pump & Well, Inc. Page 1 of I Legal Description: Birch Hills Est # 1 Property Owner Name & Address: Lot:9 Dave Finlay Block:l 12043 Dee Ln Raola River AK QQ477 Pump Installation Date: 8/6/2013 Pump Intake Depth Below Top of Well Casing: Feet Pump Manufacturer's Name: Pump Model: Pump Size: hp Pitless Adapter Burial Depth: feet Pitless Adapter Manufacturer's Name: Pitless Adapter Installer: Well Disinfected Upon Completion? Yes Method of Disinfection: Chlorine Comments: Well permanently decommissioned by procedurel5.55.060L.c. 20' As per conference with Deborah Wockenfuss and Jay Crewdson Pump Installer Name: Arctic Pump & Well, Inc. Arctic Pump & Well, Inc. Page 1 of I PINARD ENGINEERING LOCATION: Lot 9, Block 1, Birch Hills Estates, Unit #1 DRILLER: Sullivan Water Wells DATE WELL COMPLETED: 11182 WELL DEPTH: 280' STATIC WATER LEVEL (top of casing): 41.0' P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) WELL FLOW TEST JOB NUMBER: 13-208 DATE OF TEST: 7/9/13 FIELD STAFF: PJ Pinard 1�1 Time Elapsed Time Minutes Static Water Level Flow Rate m Cumulative Gallons Pumped Remarks 12:15 PM - 41.0' 4.0 - Start Test - Meter 105820 12:30 15 59.7' 4.0 60 105880 12:45 30 74.8' 4.0 120 105940 1:00 45 89.8' 4.0 180 106000 1:15 60 106.9' 4.0 240 106060 1:30 75 124.4' 4.0 300 106120 1:45 90 143.7' 4.0 360 106180 2:00 105 162.9' 4.0 420 106240 2:15 120 185.1' 2.7 480 106300 2:30 135 1.3 520 106340 2:45 150 1.3 540 106360 3:00 165 0.7 560 106380 3:15 180 1.3 570 106390 3:30 195 1.3 590 106410 3:45 210 0.7 610 106430 4:00 225 0.7 620 106440 4:15 240 - 630 Stop Test - 106450 RECOVERY All well protection features are adequate. A second well, not in use, exists on this property. *Static water level was deeper than length of probe (200'). Average Flow Rate: 2.6 gpm Comments: DURING THIS TEST, THIS WATER SUPPLY WELL WAS CAPABLE OF yn; PRODUCING 4.0 GPM FOR LIMITED PERIODS. THIS TEST DOES NOT Reviewed by: Paul Pinard 1Gt` NOT CONSTITUTE A WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. Date: 7/15113 PINARD ENGINEERING «� I `•I P.O. Box 871347 Wasilla, AK 99687 < J (907) 357-ENGR (3647) ADEQUACY TEST LOCATION: Lot 9, Block 1, Birch Hills Subdivision APPLICANT: David & Freda Finlay 12043 Dee Lane Eagle River, Alaska 99577 SEPTIC TANK TYPE/SIZE: Steel/1250 Gallons, per MOA Records ABSORPTION SYSTEM: Deep Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x 150 GAL/BR = 450 Gallons TEST DATA JOB NUMBER: 13-208 DATE OF TEST: 7/9113 FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments pM (GPM) (GALS) (GALS) Liquid Level * 0 Level Monitor Tube 1* 6 SAS Level Monitor Tube 2* A SAS Level 12:15 4.0 - - 4.0' - 0.0' - 0.0' - Start Flow - Meter 105820 12:45 4.0 120 120 4, i' 0.1' 0.0' 0.0' 0.0' 0.0' 105940 1:15 4.0 120 240 4.1' 0.0' 0.0' 0.0' 0.0' 0.0' 106060 1:45 4.0 120 360 4.1' 0.0' 0.0' 0.0' 0.0' 0.0' 106180 2:15 4.0 120 480 4. P 0.0' 0.0' 0.0' 0.0' 0.0' 106300 2:45 4.0 60 540 4.1' 0.0' 0.0' 0.0' 0.0' 0.0' 106360 3:15 4.0 30 570 4.1' 0.0' 0.0' 0.0' 0.0' 0.0' 106390 3:45 4.0 40 610 4.1' 0.0' 0.0' 0.0' 0.0' 0.0' 106430 4:15 - 20 630 4.1' 0.0' 0.0' 0.0' 0.0' 0.0' Stop Test - 106450 Time I ST MT I SAS MT *ALL MEASUREMENTS IN FT. TEST: PASSED XXX FAILED COMMENTS: This system was found to be operating satisfactorily. There was no measurable liquid in the SAS MTs prior to or at any time during the test. Reviewed by: Paul Pinard ri{ Date: 7/15113