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HomeMy WebLinkAboutPREUSS #1 BLK 2 LT 8Municipality of Anchorage '. On -Site Water and Wastewater Program - (907) 343-7904 Page Of -SITS WASTEWATER -INSPECTION REPORT Permit number: O P171190 PID lumber: 050-572-01 Dwelling. Q,Single Family (SF) ❑ Duplex (D) [] Multiple (SF and/or Vii) Project: F J new ❑ Upgrade Name: Kevin and Liana Gabbert ABSORPTION ❑ Deep Trench ❑ Shallow Trench ❑ Bed [] Mound 21711 Eagle River load Eagle River, Ali 99557 Q other Phone Number of Bedrooms Sail Rating Total depth from original grade 1.2 GPDISF 7-12.7 Ft: LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot 5.7- .7 FL 4 Ft: Preuss o. 1 2 3 Fill added above original grade Gravel length Township Range Section 2,g Ft. 0 Ft: Gravel width Beds: Number of Lines Distance between lines SEPARATION DISTANCES Ft. Ft. Tol Septic g Absorption l Lift Station Molding Sewer Total absorption area dumber of trenches Dist. between trenches i s l Tank 1 Field Tank Line z From l 1 �J�}%1 Ft 1 Ft. Well { ' I TANK I9 Septic 0 S T.E.P. I_I Molding �l ether I >1 0 i >100 � l �� Manufacturer Capacity Surface Water g >100' 1 >100' I NA NA � Anchorage Tants 1,250 Gad. f Ma'teriai Number of compartments Lot Line >5' ; >10' 9 A ( NA � Steel TLrt10 FT -STATION Foundation i > >10' i A � NA � � LI I Manufacturer Capacity Curtain Drain 1 Cade 1 o e ( Gal. I Pump on level at Pump off level at High water alarm at Remarks Existing Septic TanEDec �rf�rriissioned in Accordance with Municipal clue. in. in. in: Absorption limit Pumped, Excaated and Filled Pump make and model Electrical Inspections performed by with MOA Approved Sand. QIP i AT IAL Mouse to tank D3034 "rank to Installer drainfieid3{3 Royce Martin Drainfield 13034 CO/MT Inspector J. l illette BENCHMARK (Assumed elevation) 100.0 ft Inspection dates: 1s 8/28117 Z� 3/29/1 7 Location and description 3'° 8/301/17 4th Garage Slab. COMMUNITY DEVELOPMENT DEPART ENT APPROVAL OF A Conditional Approval: Date . • ` �� : 49 T-1 owl ....... e .* Michael E. Anderson Approver � a � �� mate nspection Report_9-1-12.doe ra 41 cn 41 LLJ om 11 PREUSS LANE ------------------------------ Ul Cq 012 z o C14 CO 01 c LO LLJ b) La in 0- LLI LU ra cn LLJ Municipality of Anchorage mage 3 of 3 DEVEOPMEi t SERVICES DEPARTMENT 4700 Elmore Road Anchorage; AK 99519-3655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit NUmber: OSPI71190 PID No. 050-572-01 f-101.7 � l Ground i€ �.,rouna �� I J� l € 1,250 Gallon i3 f , septic Tank t' )5.`E-- 94.9 f 1/ 103.5 102.5 7-16-17 94,8 BLOCK 249th LOT ,.. , PREUSS SUBDIVISION NO. 1MICHAEL E. AAIDERS�td+,' ,c PROFILE AS -BUILT No Scale —11 �o MUNICIPALITY OF ANCHORAGE44 DATE READING CROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO "viiATER (INCHES) DEVELOPMENT SERVICES DEPARTMENT X\ �- �• 4700 BRAGAW STREET ANCHORAGE, AIS 99519-6650 1 5:06 I.13�1 � . .,49th ? 5:36 30 SOILS LOG - PERCOLATION TEST 9.75" v Pp 5:37 1.25° fi I�IGHAEL E ANDE#2SRN`,•""'� LEGAL DESCRIPTION: LOT 8, BLOCK 2, PREUSS No. I SUBDIVISION 6:07 ��+'* No CE -4381 PERFORMED FOR: KEVIN GABBERT 9.75," DATE: 6 / ,� 0 / 17 PROJECT No.; 6:08 PARCEL IDS; TECI��ICIAi�: ME; Professional Engineers Stam,: 6 FEST HOLE 30 (Feet) I1 fr 9.75° 1 0� 0� SLOPE. . 4 2 .4 j SILTY SAND I 4 n `WITH GRAVEL 6 SW/SM 7 car", ��" v "•� I °.. 4 4 a. 1 V e idrA GRnliND III A I"ER L vt JCiIv1 t RCD iO IF YES rz WHA DEPTH OF WATER AFTER MON DAT£ OF Ss O 4 4 12 13 ". 4 ;4 14 1 °. 4 16 17 4" 8 1 BOH @ 19' 2 1' DEPTH' PIC7RI%C: NE NITORI;` Q 8/29117 �o DATE READING CROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH TO "viiATER (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 6/30 1 5:06 I.13�1 ? 5:36 30 10.881, 9.75" 3 5:37 1.25° 4 6:07 30 11.00" 9.75," 5 6:08 1.25"' 6 6:38 30 11.00" 9.75° PERCOLATION RATE: 3.1 (MIN/INCH) PERC. DOLE, DIA. 6 (INCHES) TEST RUN BETWEEN: 3.5 FT. and 4.5 FT. { T'S: TEST CAVITY PRE SOAKED PRIOR -o TEST. TESTHOLE DEEPENED TO 19" TO VERIFY LACK OF GROUNDWATER OR IMPERMEABLE SOIL LAYERS. TEST PERFORMED BY ANDERSON ENGINEERING. I. MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE ANDS1'O�IUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 7 /17 /17 � MUNICIPALITY OF ANCHORAGE \\rOn-Site Water&Wastewater Program 1 PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 httpalwww.muni.org/onsite 1), l ,ii imcnt AhCN OP 4E On-Site Wastewater Disposal System Permit Permit Number: OSP171190 Effective Date: Work Type: Septic Upgrade Expiration Date: 7/17/2018 Tax Code Number: 05057201000 Site Legal Address: PREUSS#1 BLK 2 LT 8 G:0056 Site Mailing Address: 20711 EAGLE RIVER RD, Eagle River Owner: GABBERT KEVIN W & DIANA L Lot Size in Sq Ft: 28125 Design Engineer: ANDERSON ENGINEERING Total Bedrooms: 4 This permit is for the construction of: 0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907)343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: The alternate site is not within the 30 foot radius of a percolation test. A percolation test shall be completed at time of construction. Please submit the stamped/signed results with the inspection report. If the results require a design change for the alternate site,this will need to be reflected in the record drawings for review and approval by On-Site. Received By: [/ /'tl/fL/4i 4172‘,/ Date: Issued By: IA y Date: 7 2E 20 17 MUNICIPALITY OF ANCHORAGE Community Development Department `1-: -'` Phone: 907-343-7904 Development Services Division Fax: 90� • • : •'% On-Site Water & Wastewater Program u ti ON-SITE SEWER/WELL PERMIT APPLICATION JUL 1 7 2011 Parcel I.D. 050-572-01 �� � � ' ti � Property owner(s) Kevin and Diana Gabbert Day phone nr 6 8 6 • Mailing address 20711 Eagle River Road, Eagle River, AK 99577 Site address 20711 Eagle River Road, Eagle River, AK 99577 Legal description (Sub'd., Block & Lot) Preuss No. 1, Block 2, Lot 8 Legal description (Township, Range & Section) Lot Size 28,125 Sq. Ft. Number of Bedrooms Four (4) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (Z all that apply) Absorption Field El Initial Single Family (SF) (w/wo ADU) Septic Tank Upgrade n Duplex (D) Holding Tank Renewal Multiple Dwellings Li Privy I I (SF and/or D) Private Well Water Storage n 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. E (Signature of property owner or authorized agent) Permit/Rush Fees: 569 Waiver Fees: Date of Payment: 7/ if-117 Date of Payment: Receipt Number: bLf 2UG Receipt Number: Permit No. O`J Pieti Waiver No. Permit App_9-1-12.doc ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) July 17, 2017 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 8, Block 2, Preuss Subdivision No. 1 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The septic system on Lot 8, Block 2, Preuss Subdivision No. 1 has failed and must be replaced. The owner has requested the system be upgraded to serve a four-bedroom home. We are therefore requesting a permit be issued for the construction of a new septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the existing well and septic system and the proposed system along with the alternate site. Also identified on the plans are the existing wells and septic systems on surrounding lots. No conflicts exist between the proposed septic system and well or septic systems and wells on adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. Two previous systems have been placed on the lot with the first constructed in 1974 and the second in 1983. The new system will be constructed near the old systems to achieve gravity flow from the house. The old systems will be demolished in their entirety with all contamination and other remnants removed from the site and disposed in accordance with Municipal Code. The resulting excavated area will be filled with MOA approved coarse sand. The test hole recently placed on the lot in the area of the absorption trench and alternate site indicated silty sand (SW/SM) with gravel in the zone specified for the absorption trench. The percolation rate of the soil was determined to be 3.1 minutes per inch. No groundwater was found during the placement of the test hole and none developed during the monitoring period. An application rate of 1.2 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1,250-gallon septic tank and a 50' long by 5' wide by 4' effective depth absorption trench to treat and dispose of the effluent generated in the house. The elevation of the distribution line in the absorption trench will be 6' below the surface and Lot 8, Block 2, Preuss Subdivision No. 1 July 17, 2017 Page Two the total depth will be 10'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. The ground surface on the lot in the area of the septic system is virtually flat but slopes from the north just behind the proposed absorption trench location. The new trench will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, 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 system, 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 system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, J^ — I Michael E. Anderson, P.E. Attachments 49th )\ '* � •�' M'CH.AEL c. ANDERSON (: LOT 8, BLOCK 2 PREUSS SUBDIVISION NO. 1 28,125 SF Lot 10 Lot 9 No Conflict with Well on this Lot. 1 7 S 89'5900"E 150.00' 30.0' 73 10' Utility Easement I Pi C Chain—Link Fence--7: Wooden Fence ► Alternate Site V) �j 50' Long x 5' Wide x 4' Effective Depth 10'I, - Absorption Trench I r SCOPE OF WORK: cq� }co _ I I D Remove Existing Septic System in its - Entirety Including Absorption Pit. eco NATE: I rn — Contaminated Material to be Disposed in ® NI Place 4" of Insulation Accordance with Municipal Code. I THA Over All Lines Under �; Replace Contaminated Material with MOA 1 NI Driveway or Parking Area. !` Ael pproved Sand. Construct New Septic Z I N System as Detailed. 0 I o i III J al \ Lot 7 L ' • _�. o °° Four Bedroom LEGEND ALTERNATE SITE: o Home ASPHALT o Category III Nitrate ReducingSystem DRIVEWAY 9 rY y �— SV — Septic Vent with 20' Long x 5' Wide x 1' Effective i Depth Absorption Trench. 6 GPD/SF I CO - Clean Out Application Rate. ® • MT — Monitor Tube Existing TH — Test Hole ® Well FCO — Foundation Clean Out Existing Well i N 89'59'00"W 150.00' ir.c17.:,,,-.......................... .... 14' 49th '' SSt. I sem. SITE PLAN EAGLE RIVER ROAD ,0G.MICw1EL E. ANDERSON '� 1♦rf NO. CE-4381 :'ti I SCALE I' = 40' SSS •A,. -"7.......#4r r LOT 8, BLOCK 2, PREUSS SUBDIVISION NO. 1 DESIGN FACTORS: SYSTEM REQUIREMENTS: Four Bedroom Home 5'Wide Trench System Pero. Rate: 1-5 Min./Inch 1,250 Gallon Septic Tank Application Rate: 1.2 GPD/SF 4' Drainfield Rock 4 Bedrooms * 150 GPD/Bedroom = 600 GPD Design Flow 600 GPD/1.2 GPD/SF/5 SF (Width) `_5 (Red. Factor)= 50 LF Trench Length THEREFORE: Remove All Remnants of the Existing Septic System Including Septic Tank, Piping, Drainfield Rock and Contaminated Material from the Site and Dispose in Accordance with Municipal Code. Fill Excavated Area with MOA Approved Sand. Construct New 50' Long x 5'Wide x 4' Effective Depth Absorption Trench at the Location Shown. Flow Line Elevation to be 6' Below Existing Ground. Total Depth to be 10'. Place 4'of Cover Over Septic Tank and 3' of Cover Over Absorption Trench. 5'6" 'Geotextile Fabric 6" 4" Perforated PVC (Holes Down) 4' Drainfield Rock 5' I I TYPICAL 5' WIDE TRENCH SECTION , � (NO SCALE) •• PSE ./14, 7 � ����� :•• NOTE: Grade Area Over Trench to Drain Away. : x� Minimum 6' Separation From Bedrock. r • 4str, � Minimum 4' Separation From Groundwater. s. Minimum 100' Separation From Private Wells in the Area. ftj�° MICHAEL E ANDERSON Minimum 100' Separation From Surface Water or Streams. 114, No. CE-4381 . •, 4�aAass���•• MUNICIPALITY OF ANCHORAGE ����+OF ti'iiiii DEVELOPMENT SERVICES DEPARTMENT ���P..,.•••••••••• S,♦i 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 i '•4 th }`� `�� SOILS LOG - PERCOLATION TEST E' 101,::MICHAEL E. ANDERSON..' : LEGAL DESCRIPTION: LOT 8, BLOCK 2, PREUSS NO. I SUBDIVISION ��j vi%. No, CE-4381 �V PERFORMED FOR: KEVIN GABBERT �'1+� 7�i �'�• DATE: 6/30/17 PROJECT No.: iira *416 PARCEL ID*: TECHNICIAN: MEA Professional Engineers Stamp: DEPTH TEST HOLE A (feet) 1 OB/OG SLOPE SITE PLAN 4 2 ° 3 a 4 5 SILTY SAND .. SEE SITE PLAN ac a • a WITH GRAVEL � 6 — .-.G SW/SM 7 - a. . 4.4 a 8 a-:a :k 9 4 . . a :44. WAS GROUND WATER ENCOUNTERED? NO 1 0 c IF YES(r WHAT DEPTH') DEPTH OF WATER AFTER MOND I ORING: NONELLF 2% -- 11 • 4 DATE OF MONITORING: 7116117 ___________-------_ e 4 12— GROSS TIME NET TIME DEPTH TO NET DROP 13—a v DATE READING (MINUTES) (MINUTES) WATER (INCHES) 4 (INCHES) 14— . . TEST HOLE PRESOAKED PRIOR TO TESTING: 15 d ° 6/30 I 5:06 1.13" 16 BOH @ 16' 2 5:36 30 10.88" 9.75' 3 5:37 1.25" 17 6:07 30 11.00" 9.75' 18 5 6:08 1.25" 19 6 6:38 - - 11.00" 9.75" 20 PERCOLATION RATE: 3.1 (MIN/INCH) PERC.HOLE DIA. 6 (INC!II.S) TEST RUN BETWEEN: 3.5 FT. and 4.5 FT. COMMENTS: TEST CAVITY PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. 1,MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 7/17/17 ) ~,~, MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L StrUt- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME MAI LING'~'DDR ESS ~ ) U LOC~ON ~ ~ DISTANC~ TO: Well ~bsorpfion area D~eHigg PEgM~T NO. ~ ~. i :5' ~ /~ & Material No. of compartments Liq. capacity in gallons IF HOME.DE: Inside length Width Liquid depth ~ ~ DISTANcE To: Well . t) Dwelling PERMITNO. O ~ ~ Manufacturer ~ -- ~ Materia~ Liquid capacity in gallons ~ DISTANCE TO: W~ O / ¢ Foundation Nea~t I~e ~ inches ~ Length Width Depth PERMIT NO. ~ DISTANCE TO: Well Building foundation Nearest lot line . . Class ~- ~ L~ ~ ,~ Driller Distancetolotline PERMITNO. ~ DISTANCE TO: Building foundatio~ Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS .T ~t' ~'~ ~ SOl L TEST RATIN~ ~ -- ~ ~ Depar~men5 .~ ~ea±zn ann Knvlronmenta± rotectlon 825 Lj Street, Anchorage, AK. ~501. · . .~/IX' HANDWRITTEN PERMIT * * Permzt ~//~ ~OR ON-SITE SEWER PERMIT ~ , ~ Location:~~ ~( ~ ~ Phone Nu~er:/ -- ' / Legal Description: /~ % ~n~¢ ~ ~h~,t,~ LOt Size: Type of Soil ~sorption System Is: Trench: ~ Drainfield: Seepage Bed: Holding Tank: Max~ N~ber of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil ~sorption System Is: ' DEPTH /~ / r 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). = ~;~-~/j/_~//~//~~-~/ ~ * * 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, 1 9 8 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 under~Dand that.~he on-site sewer system may require enlargement if ~~-~e-~odeled to include more that 3 bedrooms. z~-~-/-icant Date: ~ - S- ~ A SWP/024(1/81) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -- PERCOLATION TEST J~-~SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: DATE PERFORMED: SLOPE SITE PLAN / / / t / 10 11 12 13 14- 15- 16~ 17 18 19 ENCOUNTERED? O P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop RATE jl~ /,~ (minutes/inch) ~i~k;. ' TES~UN,~:~ BETWEEN --~D -- FT COMMENTS ' ~' PERFORMED DF~,;?.:' ~G 1~8,~ CERTIFI 72-008 ~6/79) QSRE. ER ANCHORAGE AREA BOF' UGH. Department of Environmental Quality 3330 C Street "' Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~,~I"}t~ '~/~¥-C~O~,~F MAILING ADDRESS PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER INSIDE WIDTH MATERIAL NUMBER OF COMPARTMENTS ;2. .LIQUID DEPTH LIQUID CAPACITY_ /¢OC~ GALLONS. SEEPAGE PIT: NUMBER OF PITS I LINING MATERIAL LOI~ BUILDING FOUNDATION ADDITIONAL ABSORPTION DIAMETER ~?~1 OR WIDTH__ LENGTH DEPTH g' CRIB SIZE: DIAMETER DEPTH__ DISTANCE FROM: WELL TOTAL EFFECTIVE NEAREST LOT LINE ABSORPTION AREA (WALL AREA) 27 .SQ. FT. WELL: BUILDING FOUNDATION CESSPOOL APPROVED CONSTRUCTION Y?'~t2 PCF~J) NEAREST NEAREST LOT LINE SEWER LINE , OTHER SOURCES DISAPPROVED DEPTH "~-- '~' I ' DISTANCE FROM: SEPTIC SEEPAGE TANK ~b0~)~ SYSTEM 10() (~ REMARKS DISTANCES: PIPE MATERIAL, LOT SLOPE: REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM Y DATE APPROVED A.A.B. HAME OF APPLICANT GREATER ANCHORAGE ArEA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 33:30 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PERMIT NO.. ~ INSTALLATION OF: SEPTIC TAHK . ~ TYPE AND SIZE OF FACILITY TO BE SERVED , ~'~ FINANCED THROUGH SOIL TEST RESULTS . ~ COMPLETION DATE ANTICIPATED PHONE . SEEPAGE Pit. V~ NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST 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. MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~- I FOUNDATION TO SEEPAGE PIT ~ t SEPTIC TANK TO SEEPAGE PIt WALL. r~~ I SEPTIC TANK __ . SEEPAGE Pit . TO NEAREST LOT LINE. WELL TO SEPtiC TANK _. / ~ t DRAIN FIELD WATER MAIN TO SEPTIC TANK DRAIN FIELD. , DRAIN FIELD_ ~-~(~ ! , DRAIN FIELD SeEPaGE P~T.. /~)0 I ALSO CONSIDER AREA WELLS. SEEPAGE Pit DIAGRAM OF' SYSTEM -- , SEEPAGE PIT . . DRAIN FIELD . TO RIVER, LAKE, STREAM. CASket IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UHDISTURBED SOIL. ~ 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC~TANK AND SEEPAGE PIT FITTED W{TH AIRTIGHT REMOVABLE CAPR. GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ~U~ G .A .A .B. OR LICENSED DESIGNER CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-08 AND THAT THE ABOVE OATE. '7 APPLICANT'S SIGNATURE Russell Oyster 694-2774 Civil Engineering Soils 6~ Foundations Performed for: 0 6` E ENGINEERING 6' DEVELO~JMENT CO. Legal Description:, Depth (feet) 0 Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 333-5240 Name: Mailing Address: SOIL LOG Tel. No. Earl Ellis 333-5240 Surveying Land Development Soil Characteristics 3 4 5 6 7 8 9 10 11 12 Ground Water Encountered: Yes~ No ~ If yes, what depth~ Proposed InStallation: seepage Pit /~ Drain Field Comments: A,/~ /~,~o~o~:1~_ ~xP ,~y-/: o /~o />'7¢1x~ P erfo.ed by: ~~~ MUNICIPALITY OF ANCHORAGE 0 F rr � Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-572-01 Expiration Date: _ —7-1 L/rz I 1. GENERAL INFORMATION Complete legal description Preuss #1 Sub, Block 2, Lot 8 Location (site address) 20711 Eagle River Road (Eagle River) Current property owner(s) Kevin & Diana Gabbert Day phone (907) 244-4721 Mailing address Real estate agent 20711 Eagle River Rd, Eagle River, AK 99577 2. TYPE OF DWELLING: ❑n Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑� Private Septic ❑s Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment 9 a b Receipt Number a q9 D fJ COSA# OSC-),11151 Date: Waiver Fee $ _ Date of Payment Receipt Number Waiver # Distance: 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller Date 4/9/21 6. DSD SIGNATURE System #1 Approved for _�_ bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, .=, of -,%.k ll TH % Benjam' chiller / �� ��� • CE 12592 • �`�� FopROFESS10N1'4 ?� with the following stipulations: Original Certificate Date: V`y' The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Preuss #1 Sub, Block 2, Lot 8 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 1974* Total depth 261 * ft Cased to 40+* ft ❑® Sanitary seal is functioning correctly © Wires are properly protected Casing height (above ground) 20 in. Date of flow test for COSA 3/16/21 Parcel ID: 050-572-01 Structure served by this system Well production at time of test 4.0 gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Forge Engineering Date of Sample 4/8/21 Static water level at beginning of test 219 ft. Comments *No well log. Information taken from 2003 COSA. B. TANK DATA Age of tank(s) 4 years Tank type/material SEPTIC/STEEL Measured operating fluid level in septic tank 51 ❑® Standpipes/foundation cleanout per record drawing Date of pumping 3/26/21 Sanitary Pumpers D. ABSORPTION FIELD DATA Shallow Trench Which system tested (date installed) 8/29/17 © ALL standpipes present per record drawing Total measured depth from grade 15.8 ft (max) Measured depth to pipe invert from grade 11.4 ft (min) ❑ N/A — pressurized field 7 Monitor tubes go to bottom of effective. If not, state depth into effective 0 Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet C. LIFT STATION fired maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 3/16/21 Results [I Pass For 4 bedrooms Fluid depth prior to test 12 in Water added 766 gal New depth 14 in Elapsed time 1440 min Final fluid depth 12 in Absorption rate '600 gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ED Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft Q Yes if No Neighboring Tank > 100' M Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No Absorption Field on Lot > 100' Q Yes if No ft Holding Tank > 100' 0 Yes if No Neighboring Absorption Fields > 100' ❑✓ Yes if No _ Water Main > 10'✓Q Animal Containment > 50' Yes if No 0 Yes if No ft Yes if No Water Service Line > 10' 0 Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' 0 Yes if No ft M Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ED Yes if No ft Surface Water > 100' Yes if No Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: 0 Absorption Field > 5' F71 Yes if No ft Private Wells > 100' ❑✓ Yes if No _ Water Main > 10'✓Q ft Yes if No ft Community Wells > 200' Yes if No Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' El Yes if No ft If absorption field is under driveway comment below Property Line > 10' rV-1 Yes if No ft Wells on Adjacent Lots: Water Main > 10' ✓® Yes if No ft Private Wells > 100' Water Service Line > 10' 0 Yes if No ft Community Wells > 200' Surface Water > 100' ✓0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that l 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. COSA Checklist yellow sheet ft ft ft ft ft ft ft ft ®✓ Yes if No ft �✓ Yes if No ft OF Benjarrk'iySchiller CE 12592 -,-0�� �sj� • , 04/09/21 , �G�,r ����� PROFESSOW I I I I 30.0' Lot 10 ( Lot 9 10' UTILITY EASEMENTS S 89'59'00"E 150.00' X-7 \ x CHAIN-LINK FENCE WOODEN FENCE -, SEPTIC PIPES O X\ O C 7.0'x8.0' DECK O 10.2'x12.2' rri SHED G Lot 7 / DO V) 66.4' /002 STORY Cn N RESIDENCE (6 ASPHALT r 39.7' _ 66.4' N DRIVEWAY t I DECK � II I 24.0' \ WELL I J � O 28,125 s.f. ^oo N 89'59'00"W 150.00' / 0 V) \ EAGLE RIVER ROAD MORTGAGE SURVEY _X_ SCALE _ 1= 40'_ GRID __NW_0056 _ Project No. 21 _127LR1 ____ Associates, 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & A S S o c i a t e S g inC® (907) 522-6476 Phone Professional Land Surveyors (907) 5g2 -46y5 Fax C) F ,q o� ken�lan surve com jonothan®longsurvey.com I hereby certify that I have surveyed the following described property: ���•' TH LOT 8, BLOCK 2, PREUSS SUBDIVISION – ADDITION No. 1 (PLAT No. 69-156) o 4 g— Anchorage Recording District, Alaska, and that this Mortgage Location Survey is a"" "•""'• ""•"""'G representation of the conditions that were found on the date the survey was performed. This survey does not constitute a boundary survey and is subject to any inaccuracies Q • • that a subsequent boundary survey may disclose. The information contained hereon shall Q KENNETHy ((. LAN o�G not be used to establish any fence, structure, or other improvements. OQ �� '.• �'Z $a"b'�l .. 4p��Fo ' .LS -5202. ' gJpp Dated this the �� _ Day of t`�J=�t_1 _-----_, __tel_, at Anchorage, Alaska Q o �0 0 4�OR0FFSSIONAI- �a It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 Municipality of Anchorage · Development Services Departme,~£ Building Safety Division On-Site Water and Wastewat~r Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ww',v, ci.anchorage.~k, us (907) 343-7904 CERTIFICATE OF HEALTH AUTHOP, iT¢ APPROV'AL FOR A '~51~i3LE kAM'ILY IJWELLING Parcel I.D. 050-572-0]. i. GENERAL INFORMATION . Complete legal description Location (site address or directions) F..xpiration Date: / ].-/Z/- O __~ Lot..8; Block 2; Preuss Subdivision #1 20711 Eagle River Rd. Eagle River, AK 99577 Current Property owner(s) · Mailing address Lending agency Mailing address Real Estate Ag .~nt Ma!ling Address Diana Gabber~ ,same Day phone ._.~6.9._4- 9 2 2_0 Day phone __ Day phone Unless oDervvise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 3 e TYPE OF WATER SUPPLY: · Individual Well Individual Water Storage Community Class ..... Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer [] [] [] The Municipality of Anchcrage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 b7 an indepgndent professionsl civil engineer registered in the State of Alaska. Cedificates of Health Authority Approval .~rc required for U)e transfer of title (except between spouses) for properties served by a single-family on-site wastswater disposal and/or water supply system. DSD also issues HAAs upon request to homeowner..-. Certificates or 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 propedies served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errom 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 vedfy 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,'functicnal and adequate for the number of bedrooms and type of structure indicated herein. I fuhrer vedfy 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. ~,'amc ofF[rrr, "S & S- Engineering 7hone-..-694-2979~ Address 17034 N. 'Eagle River Loop Ste. 204 Eagle River, AK 99577 / / Engineer's Printed Name Robert C. Co.an Date bedrooms, DSD SIGNATURE ~ Approved for .~ Disapproved. Conditional approval for .~ ;',~' .." ' ' .' ... ~7,.I/'d.~:-~ ..... ~,,,,..'~ · ~ ~:.... bedrooms, ~th the following stipulations: Additional Comments Attachments: · HAA Checklist Septic System Advisory · Well Flow Advisory Maintenance. Agreements' Supplemental Engineer's Report Other (Rev. 01/02) Original Certificate Date: $ -/Z-/-o Municipality of Anchorage Development Services Department Building Safely 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 Legal Description: A. WELL DATA Well type 4 P Date completed Total depth ~ HEALTH AUTHORITY APPROVAL CHECKLIST #t Well Log (Y/N) /~f If A, B, or C provide PWSID # ~ Sanitary seal (Y/N) Y Cased Io ~. Wires properly protected (Y/N) Y . ' casing height (above ground) I ~'~in. FROM WELL LOG AT INSPECTION Date of test [~ "~- ~t' ~ ~ Static water lo,iai I.~J ~ ff. ft. Well production '~ g.p.m. ~' I . g.p.m. WATER SAMPLE RESULTS: Coliform O colonies/100 mi. Arsenic: "' mg./l. Nitrate 0, ] m0./lo 13. SEPTIC/HOLDING TANK DATA Tank size I 000 gal. Numl~er Of Compartments ~ Foundation cleanout (WN) ~ . Depression over tank (YIN) ~ Date of pumping a/I ~/~ .,- C. A13SORPTION FIELD DATA '" ', ~ Length ~ ~; W~th ~.'¢ Total depth ~ fl. Eft. absorption area ~= Monitoring tube. Date of adequacy test ~/] 5,' ~ Results (Pass/Fail) .~ Flu,d depth in absorption field before test ] ~ in. Water added g Elapsed Time: ~ 0 min. Final fluid depth ~.~n. Absorption rate Any rejuvenation treatment (past 12 mo.) (YiN & type) Other bacteria O colonies/100 mi. .Collected by: ~,/~'-' Date installed -,. Cleanouts (WN) ~ High water alarm (Y/N) ~ System type ~r~',aJ~ H Gravel below pipe ~ ft. Depression over field '~ For ~ bedrooms New depth '~"~n. If yes, give date D. LIFT STATION Date installed ~in~. "Pump on" level at Datum / E. SEPARATION DISTANCES Size in gallons "Pump off" level at ... in. Cycles tested Manhole/Access (Y/N) High water alarm level at. Meets alarm & circuit requirements? in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift.tort05 on lot Absorption field on lot Public sewer main S,~v~'r/septic service line On adjacent lots. //~ /P' On adjacent lots t/ ~) O / 'f-- Public sewer manhole/cleanout ,~/,~- Holding tank /ti } ~ / SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation Water main /V'//St- Water service line Wells on adjacent lots. Absorption field ~/q- 4-- Su ce,,,,ate,' / '"- SEPARATION DISTAJ~GE F~_..M ABSORPTION FIELD ON LOT TO: Property line .!9~ Jo'' Building foundation / ~) /.ju- Water main Water Service line l0 /Jr- Surface water !O~)/'~.-- Driveway, parkinglvehiclestorage Curtain drain ~.t~t~' %~",J DW' J Wells on adjacent lots ..]_~_~ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this dale. Engineer's Printed Name Da e HAAFee $ ~ 7 b-.°° Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number Sent By: NINE J CORPORATION; 907 894 9210; Aug-Il-03 3:35PM; Page 111 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Noveraber 3, 1976 .5.~ ~ Time of Inspection Z:30 p.m. ..... ~ ~.A'~p Date of Inspection 11-4-76 Thurs. ~ ~X~A~A~[LiT,ES Voao 1. Approval requested by: United Bank Alaska Mailing Address: 645 G Street 2. Property Owner: Mailing Address: 4. 5. 6. % Mat Sullivan Phone: Willie Priddy Phone: Star Route 175L Eagle River 99577 278-1911 694-9960 Legal Description: Lot 8 Block 2 Preuss SubdiVision Location: Mile 3.3Eagle River Valley Road Type of facility to be inspected Single Family No. of bedrooms 3 Well Data: Individual A. Type C. Construction Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Depth D. Bacterial Analysis On-site system 1974 B. Instal ler ]. Size 2. Manufacturer l. Absorption Area 2. Material Total length of lines /\ ~h~ Absorption area , Other contamination B. Foundation to septic tank , Absorption area 285' , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages Page 2 of two pages - Re¢, it for Approval of Individual ~ .~r & Water Facilities legal Description Lot 8 Block 2 PreuSs Subdivision Comments Approved Disapproved Date ? Approval ~Va]id for one year from date signed Greater Anchorage Ar~a Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 EQ-034 (1/74) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES c.(f ~ Type of Inspection: CMRO A~C VA_ XX , FHA__ CONV Property Owner: Will i~. Pr~ddg Mailing Address: mr. wf. !75[ gable Ri~er /~k 995??Day Phone:..694--996q Narne of Buyer: ~n'na~d ti P,~bhe~t Mailing Address:_ 390 C g'e~ai ?f, R.'[~h~,rt~o~ Ak 4. Name of Lending Institution: Mailing Address: 64~ "~" gf,~eet 5. Name of Realtor or Agent: Mailing Address: ~7~ 6. t_eflal Descript[~ 8 R]oek 2 Location: E~]e R-i~eP: Ak 99977 Day Phone:_B6;)- Phone: 274~.2q21 3.3 Ea~].e river V~].ey Road 7. Type of Facility to be Inspected: 8. Water Supply Type of Supply: . Public Utility. If Individual, number of dwellings presently served If Individual, depth of well Approx 28~ Fe, et 9. Sewage Disposal System Type of System: If Individual, date of installation Sinzla P~q~ 1. y R & S Public Utility Approx ~u~ 1974 No. Bdrms. 3 .Individual Individual (on-site) XX×X 72-003(3/76) ~