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HomeMy WebLinkAboutHYLEN CREST #1 BLK 2 LT 6Hylen Crest #1 Block 2 Lot 6 #050-472-79 Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221136 PID Number: 050-472-79 Dwelling: Z Single Family (SF) R with ADU Fj Duplex (D) R Two Single Family Project: El New 0 Upgrade Name GEORGE & STACY ROTH ABSORPTION FIELD n Deep Trench Z Wide Trench n Bed El Mound Site Address 10244 SILVERTIP CIRCLE, EAGLE RIVER _7_m� El Other Phone Bedrooms Soil Rating Total depth from original grade 5 1.2 GPD/SF1 7 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 4 Ft. Subdivision Block Lot HYLEN CREST #1 2 6 Fill added above original grade VARIES 0.4-1.58 Ft. Gravel length 50 Ft. Township Range Section Gravel width 4 Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 500 Ft2 1 NEW *8-10+ Ft. Well 200'+ 25'+ TANK Z Septic El S.T.E.P. El Holding El Other Manufacturer EXISTING HDPE Capacity Gal. Surface Water 100'+ Material Number of compartments Lot Line 10'+ NA I I Foundation 10'+ ILIFT STATION IManufacturer Capacity Gal. Remarks EXISTING & NEW FIELDS HAVE 4' ED, ARE SEPARATED BY 8-10'+ PER AMC15.65.210B1g*. The new & 2005 fields are used Alarm location Electrical installed by together for a 5-bedroom system. Installer JRs PIPE MATERIAL House to tank 3034 Tank to drainfield 3034 Drainfield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspdates: ection 15` 7/14/22 7/14/22 Location and description 2nd 3rd 11/4/2022 4'" ITOP OF MH ON EXISTING SEPTIC TANK ON-SITE WATER AND WASTEWATER SECTION APPROVAL r ft " 94.x— Conditional Approval: Date 4�0_ - *. - '7#//j .... .... . ......... W, Septic System Approved Curtis Huffman CE 128991 Date1/20/23 7— g AW 1 /20/23 . . PROFESSOI� Note: this app6-val does not include well permit requirements. (Rev 05/02/18) PID: 050-472-79 PERMIT: OSP221136 EDGE OF ASPHALT 15' TELE. & ELEC. ESM'T. ASPHALT SILVERTIP CIRCLE P PARKING ASPHALT PER 2/23/22 IR EXISTING AREA DRIVEWAY TANK IS 5' FROM FIELDS & 9.5' FROM FOUNDATION C PER OWNER: RV DUMP TO SEPTIC TANK i EXISTING CO BM: 5 BED 1992 4BR TOP OF HOME TRENCH DIV DCOMH DE p BLOCK • FCO GR DE C MT SPUTTER CO WALL EXISTING MH 2005 4BR TRENCH CO UPPER LEVEL CO DECK �Q w NEW MT QP o 2022 BR TRE CH MDT E I DECK '3 T INSULATION IN NEW F TRENCH & BETWEEN TRENCHES LOWER LEVEL TH22-1 DECK EXISTING 2005 48R TRENCH IS CONNECTED W/ SPUTTER TO NEW 4BR 2022 TRENCH TO MAKE A 5BR SEPTIC SYSTEM. A-C=42.0' FCO H -DCO GO MT MT CO SPLMER B-C=31.4' BM / 95co�.45 FINAL GRADE 98.83 A-D=44.5` 9- a ORIGINAL GRAD B - D = 2 9.8' FILTER FABRIC 2' DRG/a, A-E=69.8' EXISTING IB-E=77.1' HOPEESSEPTIC 205 9205 TANK NEW 2022 R TRENCH GM/SM A-F=71.3' 13—F=76.6' eB.oS — 05 83 05 GRND. WTR. 5/2/2022 SEPTIC SECTION T3' SCALES NTS 82.05 BOH EXISTING 2005 48R TRENCH TH22-1 W/ SPUTTER TO NEW TRENCH SERVICES: HYLEN CREST #1 BLK 2 LT 6 SUPP0RToi STACYF. N, �� �F �\\ PREPARED& GEORGE ROTH ��� 0, 409 NICKED PIN PLACE * 9 Tj !�1 CHESAPEAKE, VA 23323 FIRST WATER CONSULTING DATE: 1/20/2023 SURVEY: HOLT is Huffman / 13030 SUES WAY DRAWN: FWCS 1 , ANCHORAGE, AK 99516 SCALE: 1" = 30' , \ 1/200/202/202 3 907-350-9566 firstwaterAK@gmail.com PAGE: 1 of 1 to b ti ti a O ti O O O Z N 89 59'W 13642 AS-BUILTSURVEY 1"=30' 0000pppp NO CORNERS SET THIS DATE o OF I HEREBY CERTIFY THAT I HA VE PERFORMED A SURVEY q p - - - - .. 4 OF THE FOLLOWING DESCRIBED PROPERTY VL40o O� THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY L 0 T 6 6LOCK2 HYLENCRESTSU6. UNI TNO. 1 49 !HW .. CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE S�,(� �/ ateY NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN EASEMENTS OF RECORD OR OTHER RIGHTS OF WAY, OR ANY ENTITY NOT ON THE RECORD PLAT THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS 0 0 ARE NOT SHOWN HEREON, UNLESS NOTED. EXIST OTHER THAN NOTED. SHANE A. HOLT i D NOTE FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE DATED AT ANCHORAGE,ALASKA THIS 21ST DAY OF .' qq LS -6914 4� J4 5 PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. WILY 2022 HOLT LAND SURVEYING P 4-17 440 prO1°Ssiona� ANYPAVINGSHOWN HEREON MAY BEAPPROXIMATEDUE TOEXCESSIVE SNOWAND/OR ICE. DRIVE AK �"o� ��n��� AN[HORAGEE99507 �o i ?.57 FR.70-30''57 223.6615 5/24/2022 MUNICIPALITY OF /ANCHORAGE Development Services Department rr-� p p �,-� Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-472-79 Property owner(s) GEORGE & STACY ROTH Day phone _ Mailing address 409 NICKED PIN PLACE, CHESAPEAKE, VA 23323 Site address 10244 SILVERTIP CIRCLE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) /4)vIen �'.rc�1- -*1 614, Z Lj- 6 Legal description (Township, Range & Section) Lot Size 21,439 Sq. Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) 0 Septic Tank ❑ Upgrade 0 (w/wo ADU) Holding Tank ❑ Renewal ElDuplex (D) El ❑ Multiple Dwellings ElPrivy (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. nature of property owner or authorized agent) Permit/Rush Fees:Waiver Fees: Date of Payment:Date of Payment: Receipt Number: // Y 151 Receipt Number: Permit No. 0-15P2:2-1 f 33 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com May 13, 2022 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: HYLEN CREST #1 B2, L6 The property owner has requested we obtain a permit to upgrade the 4BR septic system of the above referenced lot to a 5-bedroom septic system. We propose to install one shallow trench with a splitter to also serve the existing 2005 trench with the recently installed 1500-gallon septic tank. The original field will remain in place, but is undersized and will not meet MOA COSA guidelines for a 5BR field, but can be used for an absorption field site. The reserve site will include a remove and replace of the existing lower two fields and/or adding an advanced wastewater system to serve either of the fields with remove and replace upgrades if need be. The design is based on the recent test hole conducted in April 2022. Groundwater was observed at test hole excavation and at monitoring at 12’ from grade in the months of April and May, 2022. The slopes are moderate at 10% at the proposed upgrade location. The lot and area are served by public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221136, Rebecca Carroll, 05/24/22 FIRST WATER CONSULTING DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. HYLEN CREST #1 BLK 2 LT 6 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221136, Rebecca Carroll, 05/24/22 FIRST WATER CONSULTING HYLEN CREST #1 BLK 2 LT 6 DESIGN DETAILS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221136, Rebecca Carroll, 05/24/22 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL : HYLEN CREST #1 B2, 6 PERFORMED BY: FWCS & I CURTIS HUFFMAN, PE CERTIFIES THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE 5/5/22. 5/5/22 DEPTH FEET OG SOILS 1 2 ORG/OL 3 4 5 6 7 8 GM/SM 9 10 11 12 13 14 BOH 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 4/7/22 10 min 6” 4 3/16” “ 6” 4 3/16” “ 6” 4 2/16” “ 6” 4” “ 6” 4” “ 6” 4” PERCOLATION RATE 3 (MIN / INCH) TEST RUN BEWTWEEN 3 & 4 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: 12’ DEPTH TO WATER AT MONITORING: 12’ DATE: 5/2/22 TESTHOLE # 22-1 DATE PERFORMED: 4/7/22 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION – INSTALL TRENCH AT - 7’OG TO BE CONSERVATIVE. PERFORMED FOR: GEORGE & STACY ROTH Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221136, Rebecca Carroll, 05/24/22 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221022 PID Number: 050-472-79 Dwelling: ❑® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name PETER OSTERBAUER JA ORPTION FIELD ❑ De Trench ❑Wide Trench ❑Bed ❑Mound Site Address 10244 SILVERTIP CIR Other Phone Number of Bedrooms Soil RatingTotal depth from original grade 4 oD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original - de Gravel depth beneath pipe Subdivision Block Lot HYLEN CREST #1 2 6Ft. Fill added above original grade Ft. G lel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dis ce between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between nches From Tank Field Tank Line Ft2 t Well >100' NA NA NA NA TANK ❑ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1500 Gal. Surface Water >100' NA NA NA Material Number of compartments Lot Line > 10' NA _NA I NA NA PLASTIC 2 Foundation 9,5' NA NA NA r—`��STATION Manufactur Capacity Remarks Gal. Alarm location Electra i i�as ailed 6y Installer PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield JRs SEPTIC Drainfield Co/MT3034 Inspector CURTIS TOWNSEND BENCH MARK (Assumed elevation) 100 ft Inspection ection 15' 2/21/2022 2�d 2/22/2022 Location and description 3°' 4th bottom of siding near FCO ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date low —<<.° :4��� *iso oos•eeeeoo•• (� esooe•. „... •oese. Yff) iiH�i3 Septic System c,�°•.rto.c? �® �� Approved (n. Date z� z�-ZZ lF� •••...•••��� �PROFEssO�.� Note: this approval does not include well permit requirements. �MUV uuiUzi io/ THIS PROPERTY AND ALL NEIGHBORING LOTS ARE / SERVED BY A PUBLIC WATER SYSTEM AND THERE ARE NO WELLS WITHIN 200' WA TER LINE IS SHOWN AS APPROXIMATE. 1992 40' x 3.5' x 7' E.D. TRENCH, 4 BR SYSTEM 2005 50' x 5' x 4' E.D. TRENCH, 4 BR SYSTEM a 19 T - --L-SS_ g : MT 2005 TRENCH SLOPE 8q' NEIGHBORING SEPTIC IS > 10' FROM PROPERTY LINE 4 BEDROOM HOUSE NEW SEPTIC TANK LOCA TED 5' AWA Y FROM FIELDS AND 9.5 A WA Y FROM FOUNDA TION NEIGHBORING SEPTIC IS > 10' FROM PROPERTY LINE _ LOT 5 _--� LOT 1 r LOT 2 SCOPE OF WORK 1. REMOVED EXISTING SEPTIC TANK. 2. PLACED NEW 1,500 GALLON SEPTIC TANK AND TIED INTO EXISTING ABSORPTION SYSTEMS. THE TANK WAS PROVIDED WITH MINIMUM 20" b MANWAY RISER SERVING THE FIRST COMPARTMENT. DIVERTER VALVE WAS CONFIRMED TO BE OPERATIONAL. 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65. Record Drawings Prepared for Peter Osterbauer ��®®�E OF q�j, ®o 10244 Silvertip Cir, Eagle River Alaska 99577 HYLEN CREST #1 BLOCK 2 LOT 6.' 4 TH �0 m .....::....... ' - 0 OSP221022 ......••' • •� EKLUTNA ENGINEERING, LLC DATE: 2/22/2022 0,8*.CURTIS TOWNSEND:= � �®�i � No. C 11904 19162 MOUNTAIN ROAD DRAWN: CLT ®�5' ••. /E / •��� CHUGIAK, ALASKA 99567 ® ........... ,.•• (907) 406-1058 SCALE: 1 -30 ®��®® __ _ SHEET 2 OF 3 ®�� THE NEW TANK WAS PLACED A MINIMUM OF 9.5' AWAY FROM THE HOUSE FOUNDATION. THE FOUNDATION SOIL PRISM IS SHOWN TO EXTEND BELOW THE BOTTOM OF THE NEW TANK. z Q J — UU) Y Z O Ia O 9.5' 1,500 G PLASTIC TANK 1:1 FOUNDATION PRISM— Y MARK A 8 SV1 19'-11" 23'-2" SV2 17'-7" 27'-8" DCO 14'-8" 32'-4" Record Drawings Prepared for ® Peter Osterbauer ®+�`�E �.. !�� 10244 Silvertip Cir, Eagle River Alaska 99577IV- `?:`�• '•®®� ,•�� HYLEN CREST #1 BLOCK 2 LOT 6 4 — - T OSP221022 ®................ ....................:... i 0 ............. .............................. EKLUTNA ENGINEERING, LLC DATE: 2/22/2022 .-8** I , TOWNSEND;* ® S®moi No. CE 1191 ,1 19162 MOUNTAIN ROAD DRAWN: CLT ®�J` '•. ` ,, ® z L Z •', r CHUGIAK, ALASKA 99567 SCALE: 1 1/2" = 12' ®�� ^........ ®�� (907) 406-1058 ®�®E®�.+ PID: 050-472-79 SHEET 3 OF 3 \ I� oozrt;II "OT 19000n/ xmary z w •`= O vi I- oezg z �tiwwn � ui w �? • _ o LLI -, wo W -w - Lu LL LL, 'q K Y q O 0 U W O W 4 u LZti W w 7 W � iLp � ¢W W N w Q?w p a LU jz o oz�� ti m w Uj 0 s5, W p -ia CD o ¢w t-.�Oui •t, H '• lL �:: tom. E� S � � i .�-- K W � ' z O cwi�K �ti CjZ¢ � pti CUT' Iw-OZ Q. OZ = W Q ¢ zw C) p U LU W z •`= O vi I- oezg z �tiwwn � ui w �? • _ o LLI -, wo W -w - Lu LL LL, 'q K Y q O 0 U W O W 4 u LZti W w p w o z o m a LU jz o oz�� Cl - O W F Z z ~ w w W O � p KOF- J Oc¢i��O =S X' cwi�K �ti CjZ¢ � pti CUT' Iw-OZ Q. OZ = W Q ¢ W z2oz ¢ o oc, Wz° x o�ti o" wiwwo3 o3p�zzWo g W O s W? h m W 2 J OU�W LL ouW..�S ?5~v�wi ,a W iiiO4 s i-c�zw¢zn ¢ n • _ Ali 1 H Z - .• ke�eo4 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax, (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221022 Work Type: SepticTank Upgrade Tax Code Number: 05047279000 Site Legal Address: HYLEN CREST #1 BLK 2 LT 6 G:0057 Site Mailing Address: 10244 SILVERTIP CER, Eagle River Owner: OSTERBAUER PETER Design Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft Total Bedrooms: 1»e_nt 964- 1 v - u Department 2/8/2022 2/8/2023 21439 ❑ Disposal Field Q 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 Dbpaftment per AMC 15.55..Provide notification by.calling (907) 343-7904 (2417). 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 Received B) Issued By: /1 n i` Date: Z Date: Z Z 9 MUNICIPALITY OF ANCHORAGE Development Services Department ` ." ''r Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-472-79 Property owner(s) OSTERBAUER PETER Mailing address PO Box 770165 Eagle River Site address 10244 Silvertip Cir Eagle River AK 99577 Legal description (Sub'd., Block & Lot) HYLEN CREST #1 Day phone BLK 2 LT 6 Legal description (Township, Range & Section) Lot Size 21,439 Sq. Ft. Number of Bedrooms APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field F-1Initial ❑ Single Family (SF) Septic Tank ❑ Upgrade ❑ �)6ADU) Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. � 2 S / 2, / ZZ (Signature o 'prpe orty owner or authorized agent) !!! Permit/Rush Fees: 4 3 6 0 Waiver Fees: Date of Payment: 2 y 2a2'�- Date of Payment: Receipt Number: 6 8 3 2 Receipt Number: Permit No. 0 S Paa f 0,?,� Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc Eklutna Engineering, LLC curtistownsend @gmail.com February 5,2022 Subject: Hylen Crest #1 Block 2 Lot 6 Upgrade Septic Tank Permit Request Narrative osP22LO22 This is a design narrative for a permit to install a new septic tank on this property. The existing tank is 17 years old. The proposed system will serve an existing four-bedroom house. The existing septic tank will be removed and disposed of and a new l,5OOgalseptictankwillbe installed.The homeownersdesire the larger tank size. 1. Soils. The soil in this area is composed of gravelly sand. A test hole had previously been dug to !7' and ground water was found at 13' during the month of July. Z. Soil Absorption System. There are two different trenches on this property; one installed in 1992 and a more recent one installed in 2005. They are both sized for4 bedrooms. The 2005 trench was tested in January 2022 and found to be adequate for 4 bedrooms. The new tank will be connected to both trenches with a diverter valve. Wells. This lot and the surrounding lots are served by AWWU water. There are no wells within 200' of the proposed septic system. The tank is greater than 10' away from the public water line. Neighboring Wastewater systems. lmmediate neighboring septic systems are all +10' from the common property lines. Surface Water: There is no surface water within 100 feet of the proposed septic tank. The proposed tank upgrade will maintain at least 100 feet from all surface water and drainage ditches. Topography: The existing topography in the area of the tank has a slope of 8%. The proposed installation will not affect the future development of this or the surrounding lots. Sincerely, Curtis L. Townsend, P.E. Attachments 3. 4. 5. 6. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221022, Deb Wockenfuss, 02/08/22 THIS PROPERTY AND ALL NEIGHBORING LOTS ARE SERVED BY A PUBLIC WATER SYSTEM AND THERE ARE NO WELLS WITHIN 200,, WATER LINE IS SHOWN AS APPROXIMATE. SCOPE OF WORK1. REMOVE EXISTING SEPTIC TANK.2. PLACE NEW 1,500 GALLON SEPTIC TANK AND TIE INTO EXISTING ABSORPTION SYSTEMS. THE TANK IS TO BE PROVIDED WITH MINIMUM 2O,, @ MANWAY RISER SERVING THE FIRST CON/PARTMENT. VERIFY CONDITION OF DIVERTER VALVE, REPLACE IF NECESSARY.3. AtL CONSTRUCTION TO BE IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE N/UNICIPAL CODE CHAPTERS 15.55 AND 15.65. /.s > LINE -L 1992 40' 2005 50' Permit Drcwings Prepored for Peter Osterbauer 10244 Silvertip Cir, Eagle River Alaska 99577 HYLEN CREST #1 BLOCK 2 LOT 6 osP221022 TKLUTNA ING/NITR/NG, LLC 19162 MOUNTAIN ROAD CHUGIAK, ATASKA 99567 (e07) 406- 1 OsB DATE: 21512022 DRAWN: CLT SCALE: 1" = 30' PID:050472-79 SHEET 1 OF 2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221022, Deb Wockenfuss, 02/08/22 THE EXISTING TANK IS 7' AWAY FROM THE HOUSE FOUNDATION. THE EXISTING TANK IS BURIED APPROXIMATELY 3'. THE HOUSE FOUNDATION IN THIS AREA IS AT LEAST 4.5,DEEP. THE FOUNDATION SOIL PRISM IS SHOWN TO IXTEND BELOW THE BOTTOM OF THE PROPOSED TANK IF THt NEW TANK IS PLACED A MINIMUM OF 7' AWAY FROM THE FOUNDATION. PROVIDE 2,, INSULATION OVER TOP OF NEW TANK PLUS MINIMUM 3, OF COVER. z. tr!edo3l'l- :<() ;.4-z Iifi 33 Y-8d =3 .1 1:1 FOUNDATION PRISM Permit Drowings Prepored for Peter Osterbauer 10244 Silvertip Cir, Eagle River Alaska 99577 HYLEN CREST #1 BLOCK 2 LOT 6 osP221022 ---------i-ti-a RTIS TOWNSEND.ITI-EKLUTNA ING/NEIRING, LLC 19162 N/OUNTAIN ROAD CHUGIAK, AIASKA 99567 (e07) 406- 1 058 DATE: 21712022 DRAWN: CLT SCALE: 1112"=12' PID:050472-79 SHEET 2 OF 2 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221022, Deb Wockenfuss, 02/08/22 Municipality of Anchorage i Development Services Department ' \ Building safety Division On-S11e Water and Wastewater Program, 4700 S. Bragaw St. P.O. Boz 196550 Anchorage, AK 99519-6850 www.d.anchorage.ak.Us (907) 343-7904 Page Of ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SW050084 PID Number. 050-472-79 wme Tom Jolley Wastewater System: ❑ New ,,,,,„. ❑ Upgrade 10244 Silvertip Cir., Eagle River ABSORPTION FIELD Rima NYmbp a BSOrmnr 4IC03Deep T --h 0 shalbwT!.h Oeea ❑NIMH 000w 2 _6 Tt, nm, LEGAL DESCRIPTION Crest #1 Range ❑ New ❑ Upgrade Gae 1 Taal Depen caw "aa"'Ft. Fl SEPARATION DISTANCES m 1.2 pM bottom hen onpMl 2.0 4.0 above mg." 9n 0.2.2.1 Rh: 5.0 MF11n,14w S00 Scott's Services Cl Tm1D Irpn penalewe orption LIn Hokflntield Station Tank 8.0 NA NA0+ N NA NA 4.0 Ft NA NA m 1.2 pM bottom hen onpMl 2.0 4.0 above mg." 9n 0.2.2.1 Rh: 5.0 MF11n,14w S00 Scott's Services Cl El Septic ❑ Holding ❑ S.T.E.P. ❑Other: ub6Wrireta tan aau,ac Seger Line Anchorage Tank & Welding1250 kaureY GaL NA steel Numbers 0o pal 2 LIFT STATION e NA nu__u ,._, Fr n,tay°" 7 12 NA NA Cunam Oran 40 35+ NA NA Remarks Old tank removed & hauled off. Old trench retained and diverter valve installed. Curtain drain is uphill from tank and trench. Lot is served by AWWU water. ..__. rump— levelat in b a MOON Ebarpt Impectlpna pe,bmey h BENCH MARK I In window sill -north window on west wall Inspections performed by: Cindy W. Ellis, P. E. Dates: 1° 4-20-05 2nd 4-21-05 Development Services Department Approval Reviewed and approved by: Date: tttp wool 103.06 Ft 49TH ihdy W. Ellis CE -10577 Tm1D Irpn penalewe D!Ftt 8.0 Ft. GravN tteM benwm poo Ft. 4.0 Ft Grnwl larglh' Ft. 50.0 Ft Nura»ra lws Drarann betrean lnea Ft. 1 14 Ft Pp Mate,lal Fr ASTM D3034 Dlls IMfaIIeC April 20, 2005 TANK El Septic ❑ Holding ❑ S.T.E.P. ❑Other: ub6Wrireta tan aau,ac Seger Line Anchorage Tank & Welding1250 kaureY GaL NA steel Numbers 0o pal 2 LIFT STATION e NA nu__u ,._, Fr n,tay°" 7 12 NA NA Cunam Oran 40 35+ NA NA Remarks Old tank removed & hauled off. Old trench retained and diverter valve installed. Curtain drain is uphill from tank and trench. Lot is served by AWWU water. ..__. rump— levelat in b a MOON Ebarpt Impectlpna pe,bmey h BENCH MARK I In window sill -north window on west wall Inspections performed by: Cindy W. Ellis, P. E. Dates: 1° 4-20-05 2nd 4-21-05 Development Services Department Approval Reviewed and approved by: Date: tttp wool 103.06 Ft 49TH ihdy W. Ellis CE -10577 19'41"E 134 4l E�Cistin9 C ��n Odin / C� A! 19g2�re���� D O F Cb Mil ST2 TH STI 03 I � 2005Srench / C04 \MT2 / S89'59'00"E 136.42 Benchmark - window sill Existing 4 BR House 0 A B FCO 19.0 43.1 STI 19.4 46.7 ST2 16.0 54.2 DCO 16.0 57.5 D Vol C01 16.5 65.2 IKI48.7 83.g Benchmark - window sill Existing 4 BR House 0 Lot is served by AWWU Public water AS -BUILT Hylen Crest #1, Blk 2, Lot 6 Record Drawing of Septic Upgrade Tom Jolley Watkins Engineering, Inc �' c 0 A.. ' Parcel ID: 050-472-79 g g' ; aQ Permit No. SW050084 p e`'X'�49 T—H._ xi_ Cindy W. Ellis, P.E. e...........�Gbi suis May 25, 2005 P.O. Box 110443 CU•; e - 10577 !<' Anchorage, Alaska 99511-0443 , Scale 1 Inch = 30 ft Phone: (907) 349-1851, Fax (907) 349-1934 ...... A B CO2 50.3 85.6 CO3 28.9 39.9 MT2 54.7 73.5 C04 62.5 82.5 Lot is served by AWWU Public water AS -BUILT Hylen Crest #1, Blk 2, Lot 6 Record Drawing of Septic Upgrade Tom Jolley Watkins Engineering, Inc �' c 0 A.. ' Parcel ID: 050-472-79 g g' ; aQ Permit No. SW050084 p e`'X'�49 T—H._ xi_ Cindy W. Ellis, P.E. e...........�Gbi suis May 25, 2005 P.O. Box 110443 CU•; e - 10577 !<' Anchorage, Alaska 99511-0443 , Scale 1 Inch = 30 ft Phone: (907) 349-1851, Fax (907) 349-1934 ...... FCO STI FINAL GRADE ST2 DCO \ 101.50 D1 Tom Jolley Parcel ID: Watkins Engineering, Inc o �?f ?' •� �:. 49TH��: 97.96 '°a? ... . 97.43 1250 GALLON 11 ::.....:......: STEEL SEPTIC TANK 9715 Cindy W. Ellis, P.E. P.O. Box 110443 May 25, 2005 1 %!... '......•• ���c•,....�. No Scale to 1992 t"` �•_;;;;� � = Trench N.T.S. 03 � 61T,. Col FINAL GRADE = j 99.39 - 99.80 NOTE: ORICIN:11. CI{AUE = 1"6 PIPE 97.50-99.45 FILTER FABRIC 95.79 SEVER ROCK 91.45 MMMI 94.45 91.45 NO'T'E: 50 RELATIVE DEPTH OF TRENCH TEST HOLE 83.45 N.T.S. EST HOLE TEST HOLE 86.45 AS -BUILT Hylen Crest #1, Bik 2, Lot 6r G�� "" Record Drawing of Septic Upgrade ��C.•�F•q..'i 'J' Tom Jolley Parcel ID: Watkins Engineering, Inc o �?f ?' •� �:. 49TH��: 050472-79 '°a? ... . Permit No. SW050084 11 ::.....:......: . '�ryryyyl V. ; •.• 6 , Cindy W. Ellis, P.E. P.O. Box 110443 May 25, 2005 Anchorage, Alaska 99511-0443 %!... '......•• ���c•,....�. No Scale Phone: (907) 349-1851, Fax: (907) 349-1934 t"` �•_;;;;� � = MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water d 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: SWO50084 Legal Description:'1+NUNrjWzr01 BILK:2 LTs6 Design Engineer: 0844 Watkins Engineering, Inc Owner Name: TOM & KATHY JOLLEY Date Issued: Apr 14, 2005 Expiration Date: Apr 14, 2006 Parcel ID: 050-472-79 Site Address: 010244 SILVERTIP CIR Lot Size: 21439 SO. FT. Owner Address: 10244 SILVERTIP CIRCLE Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER. AK 99577-9512 This permit is for the construction of: ❑v' 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. I �7lerb &)1142 Date: 11�11S_61S Issued By.N4 Date: r 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.muni.org/onsite (907) 343-7904 ON-SITE SEWERM/ELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-472-79 Permit Number SW Property owner(s) Tom & Kathy Jolley Day phone Mailing address (1) 10244 Silvertip Circle, Mailing address (2) Eagle River, AK Zip Code 99577 Legal description (Lot, Block & Sub'd.) Hylen Crest Addition #1, Blk 2, Lot 6 Legal description (Section, Township & Range) Lot Size 21,439 Acres/(D THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade Q THIS PROPERTY CONTAINS: Hot Tub 13 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. 1<. (Signature of property owng or authorized agent) Permit Fees: 146-C 'fD Waiver Fees: Date of Payment: #/�#4 Date of Payment: Receipt Number. t,-1/01/,.. Receipt Number. (Rev. 1200) Watkins Engineering, Inc RO Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net April 11, 2005 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Hylen Crest #1, Blk 2, Lot 6 Septic System Upgrade To Whom It May Concern: Attached please find the application and supporting documentation for upgrading the septic system for the referenced 4 bedroom house. The existing drainfield was installed in 1992 and is now surcharged. It is proposed to install a new drainfield and septic tank, with a diverter valve to the old drainfield. The old tank will be removed and a new 1250 gal steel septic tank set in the same location. The proposed design is based upon a test hole dug on July 1, 1992 by Constructing Engineers. The proposed drainfield is located in the reserve site identified on the initial permit. There was groundwater influx in the test hole at 13 ft during excavation, but it was dry to the bottom of the hole (16 ft) within one week. A separation distance of 5 ft to the water level is proposed, with the bottom of the trench 8 ft below original grade. A percolation test conducted in a gravelly sand layer between 4.5 ft and 5.5 ft resulted in a rate of 4 minutes per inch. An application rate of 1.2 gpd/ft= is used in the design. The soil log and percolation test data from July 1992 is attached. Proposed Soil Absorption System: 4 Bedrooms x 150 GPD/BR = 600 GPD System Type: 5 -wide trench Application rate: 1.2 gpd/ ft' 600 GPD / 1.2 gpd/ft2 = 500 ft' required Maximum Depth: 8 ft Effective Depth: 4.0 ft Reduction Factor: 0.50 Proposed Length: 50 ft Sewer Upgrade Permit Application for Hylen Crest #1, Blk 2, Lot 6 Watkins Engineering, Inc.; April 11, 2005; page 2 There are no surface waters or private wells within 100 ft of the proposed septic system. The subdivision is served by the public water. am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, Cindy V'V. Ellis, RE President ' I I 17 �•rk�� % Proposed Septic Upgrade -Site Plan Watkins Engineering,Inc =` �``'' �P.' :: Tom Jolley 16 Parcel ID: 050A72-79 fir'.% '•. CI Y W. ELUS Q :'; •. E - 10577 I 15 Anchorage, AK 99511-0443 a>. •.. �•"y ''`'�'•, I Phone: (907) 349-1851 Fax (907) 349-1934 14 I I 13 I I 8 I 9 7 Block 2 I 10 Existing tic System septic are I \ \ oxistin a 4 BR ous \ L-7 z '" /. 12 Proposedi wa Septic I septic area System 4 I1 2 septic are /L septic area septic area septic area 3 ' UPPER LOWLAND Ave_____ i All lots served by AWWUI Public Water Hylen Crest #1, Blk 2, Lot 6 ,- `` pF,q qs' Proposed Septic Upgrade -Site Plan Watkins Engineering,Inc =` �``'' �P.' :: Tom Jolley ...! � 1H Parcel ID: 050A72-79 fir'.% '•. CI Y W. ELUS Q :'; •. E - 10577 Cindy W. Ellis, RE P.O. Box 110443 April 11, 2005 Anchorage, AK 99511-0443 a>. •.. �•"y ''`'�'•, Scale 1' - 100' Phone: (907) 349-1851 Fax (907) 349-1934 ....... •• �� �g'a7"E �3a a7 V119. � Existing Tank E�Cistin9 Cu��n ora", to be removed and replaced w/ 1250 gal Install DV steel septic tar E ` (<encV1 DZSO\ Csi I STH 2 0 cPro osed Trench T/ MT 1 SS9'59'00"E 136.42 TH#1 Proposed 7/1/92 Trench Coarse 0.5 Sand 3.0 4" pert a Gravelly pipe sand sewer tracerock 8.0 of silt Water on 7/1 (dry in 1 week) 16.0 Existing 4 EIR House Lot is served by AWWU Public water DESIGN DETAILS 4 BR, 600 GPD 1.2 gpd/ft2 Requires 500 ft2 5 -Wide Trench 4 ft effective RF = 0.50 50 ft long Max 8.0 ft deep Hylen Crest #1, Blk 2, Lot 6 "''= _ •. Proposed Septic Upgrade - Site Plan Watkins Engineering, Inc.l,P��oFA(gS•.. Tom Jolley • ;? 49 TH Y ; 9 Parcel ID. 050472-79 Cindy W. Ellis, P.EP.O. Box 110443 cUV� . Ci v wail is April 11, 2005 Anchorage, Alaska 99511-0443 k"•- Scale 1 inch = 30 It Phone: (907) 349-1851, Fax: (907) 349-1934 i i; ...,...•�'� —i q v MunICIpAIIty of Anchorage ii DEPARTMENT OF HEALTH & HUMAN SEIIVICES 025 "L" Street. Anchorage, Alaska 99.602-0650 SOILS LOG — I'MICOLATION Tr -.ST PFFIFORMED FOR:__lkms. L -V i'Y\Y> UATE b3M TTJt-E J00012,1 PU LEGAL DESCRIPTION:Lho 7- &ex-jj' fl I _— Township. Range. Section: 5E)/} orriH 11 — SITE PLAN IPEE K OY'[� 2ri�C ?'iry SLOPE 2- 3- VN,, LIP 0 6\ [�*J•tllrl$2ylc� 7. iY�u.of fiii 3 9- t: to- 10- Date -- —Gross —__-- Timtr WAS GIIOUND WATER ENCOUNTERED? 11 _ �IS'S Art- &lZV.IrNAM. [-.-9CAVAl '0 1) IF YES. AT WHAT I�t•.t S3! 12- DEPTH?_.----__. 13 1 „gyp S<h�•J Sr r 14 t a �.j'vr 24et� 1s j I 1 de,'sc s<,ta, rNo s } 17 10 19 20 pMir to Waler Aller A1onllerinp7NU l.�g7t'N. paIG 5 L' - O IO P Reading — Date -- —Gross —__-- Timtr — Net Ti,rre Death to Net Water Drop 79 tin r /ry/��l—! _ Yr,�i Sp_'•_�o � Ei?rll�r-,j �!�� _ 11_,/`!'. mn^ A•t%'} it __. ___.___ /"sClr L--1PERCOLATION nAJE __ 1 _. Immules,ulch) P[ftC HOLE DIAMETER C' T ESI RUN EETWEEN—,!_FT AND FT COMMENTSSU)L:��Y_nT-)IN(i �Fi' •M7 04)LL _- PCIIFORMLD BY.�.SIJ�'j C�J_C:l1tJ(-r—FN(r)I,lf�9'IXft trf�Fr„r).Rw.7: CERTIrY?HAY THIS TEST WAS PERFORMED IN A:cOHDANCE WITH ALL STATE AND MUNICIPAI GUIDELINES IN I:rl'I:CI ON THISDAM. LATE:��-- 12 ms (rim. 4,85) 1e w Municipality of Anchorage Page f of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL. SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 m Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5w 97_01$4 PID Number: _ 05o&4:1'' Z 9 Name: E'a 1G "RIJPY V.7_{) 2v Wastewater System: XNew 11Upgrade Address:pD�ox 141,9Q-' . AMGh0Y^ jkK199514- ABSORPTION FIELD Phone: No. of Bedrooms: 4, Pq Deep Trench ❑Shallow Trench El Bed ❑Mound ❑Other _® LEGAL DESCRIPTION Soil Rating:l' Z Total Depthfromoriginal grade: GPD/Sq. Ft. /`0 Lot: // Block: Su�7divisiioon: Z 1 le") C.YG57 #I Depth to pipe bottom from original grade: 2 d Gravel depth beneath pipe %d tp , Ft. Ft. Township: �77 Range: 11/J Section/ 13 Fill added above original grade: Z d Gravel length: 40 t 1� 5@ (� + Ft. Ft. WELL: ❑ New ❑ Upgrade ' Gravel -b.5 h: w14 T 7J•5 �?Tv % Ft. Number o�lines: Distance between nlines: Ft. Classification (Private, A,B,C): — Total D Ft. Cased To: Ft. Total absorption area: c �C�b SQ. Ft. Pipe material: 50LIp--P505+ 709FI P810 IMS16 VVI" Driller: Date Drilled: Static Water Level: Installer: /,, 1 , _ r GeAtawak a Date insita Jed: q 7 '3o", � 9' Ft. CAA M � J.L. Yield: _ Pump Set at: Casing Height Above Ground: TAN GPM Ft. Ft. _ ® SEPARATION DISTANCES Aseptic o Holding o S.T.E.P. ToFTank Absorption Lill Holding Public/Private Manufacturer: .—' Av Capacity in gallons: 1250 From Field Station Tank Sewer Lines G,&O1r (J.. — Well �� Material: Number of Compartments: Surface +le�j' h +ILro' LIST STATION Water Lot 0 3 • �0+ r +3� Size in gallons: Manufacturer: - —� �. Line v Foundation go 13 _._. "Pump on" level at: "Pu level at: High water alarm at: Curtain�.�0+ x'.30+ �3CJ Pump Make R Electrical Inspections performed by: Drain _ Remarks: r�� -h�k rr��-abed �rt�r `� pm BENCH MARK flout¢. �•S 4..�c$+�ds.. V�21 i,,S Location and Description: zvx5 c SI a b C—lau -- S-1 -'9z Assumed Elevation: 9— Ft *n ��i OF " e. V SPK ••""144 tk r 1 a ( Inspections performed by: Dates: 1st 7''S"%1- 4Msa we fit'^ Csn51 nea"5 2nd 7 -' 1 b- 97- s+ •. 1�• MNM�MIMlIyMO�.�� NA. rrsa.e , Department of Health Huma vices approval ��r'•.:..w+•A�' Reviewed and approved by: -- Date: 72-013 (1/91) MOA 25 Permit No. 5 W 9z of 84 Page 2 of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: L' (o $ Z PID No.: 0504-4 z}9 `_ GJCtr.1�N pRh11J �� C.n CO4"401 3q q 4 B�DRbUM VI �- r a? I-IbuSti jio-79 rs� M'r yo N W 4th �9e F YCr WAIL$ 7J L OA/LY S, Y N.T: s. GLOVIII£ M� Fivy G o C.n CO4"401 jio-79 4" L Tcwri.46% >,a 6 -Lev 0i3ft-r brn) 9Z 5 A'0`•�• y►•s••�11 11 j •.� �R•M, •I, wI.MA9 gI •tA ; No. T7J2•rs Jung 2A, 1489 �il `,�h �••4 •N hA�w�� 72-013 A (2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920184 DATE ISSUED: 7/14/92 DESIGN ENGINEER:CONSTRUCTING ENGINEERS, INC. EXPIRATION DATE: 7/14/93 OWNER NAME:EAGLE RIVER VALLEY DEV OWNER ADDRESS:P.O. BOX 141907 EAGLE RIVER, ALASKA 99514 PARCEL ID:05047279 LEGAL DESCRIPTION: HYLEN CREST #1 BLK 2 LT 6 LOT SIZE: 21439 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: DATE: 7-/!l -/oz m SITE PL&W—.SiASTEWs#'. ER ABSORPTION SYSTEM I � � Lor t�G`IFIIL;. \ C.',,r.i; .> ..tee I �'♦ til? n.` A P,`15o.g'i)} ,JF3 'i'Ctrl �i 'nPaS U �}-__; �. "�ZG�r.J�cr�GN•r � t -o. � tot F,fZ uAI Z1, 9 s -� LASS 1�r'�YLInI'it't°l ?}L VG Fz�o'TPRiw} 1011V9 9 i1V�ILRRLr *-ae_ wri5'5'CvvA f,'Z, it I-mSD "' Ga � �✓� v _I II cr nl�l:r 04T'I7}1.L lll�e-- i I' SITE PLAN DETAILS te r I?IaOtrOt;� S LWg19CE SORP . XON SYSTEM LOT G 6LOCK 2 HYI,EN CRUST FOR: MICHAEL L QUINNPREPAI?li if c 7.9321 CHERNI CIR �'J tr � 6-05'rhlQvri- by V �} EAGLE RIVER, AK, 99577 SCALE: V = 100' DRAWN BY CAL "tea ,Ee:'( CONSTRUCTING Ei."3GINEBRO 346-2000 9601 BUDDY 6'dE13NER D12 694--90913 ANCHORAGE, RK, 995.16 DRAWING # 92-S1-07--1 .#'ilk sO)RP'1 X0kT SYSTEM 1DEF331 14 jv oTG CIiF�TY�I>, �)I=h1�� 1N SThNvLte 1J 1991 , / L � f yr iIIN r©" eE cls o,( l r IL) v e, ! ,Jb � \ T`t;a-1 `1 t,pIPEI e.G G'iPl� bl>7"r--A>_L� 5w 'Deur_-iQ ( I CSI 1411 L.r�KrGk[S1" ., r - If . L`.},»i h?'dar r.esravJb t.�l J-�. x•. (. D ,51GO DETAILS PROPOSED V7ASTE?Ud.FE^1ER ABSORPTION SXEs`X'EM LaO`,1,' 6 R7.,OC9 ?, HYL,E NCR E T 51)"DIVISIONTF #1 PREPARED FOR: MICHAFsL QUINN 10321 CHERNT CTR EACLE RIVER, A.R, 99577 SCALE: 1" :_ 30' DRAWN BY CAL. CONa`EkiI3C9C7:NO ENG:INEE RS 346-2000 96101 BUDDY 6dERNE R DR 694-9998 ANCHORAGEr hNf 9953.6 DRAWING 9 92--S3-07-1 iWSORPTION ay3TSM' orsu"M D21XIM's fix IN f> f) 14 Z IA -------------- MiNIFAV^ CUvr' -v 7-P(Ny- 1,A 111) 1 M UF;, . SCOPE OF PROLTECT. New obsorp-tion fin-ld is designed for four (4) bedroom system. Lot is served by a community water system. iMISORPTION AREA CALCULATIONS. Minimum Required: 4 Bedrooms x 150gpd/bedroom = 600 gpd capacity Soils rating, proposed addition, 1.2 gpd/sf Minimum sizing: 600 qp(l -- 1.2 gpd/sf = 500 sf absorption area Use 31W x 3611, x 7' effective* D = 504 of minimum for trench Trench depth = 9' Below grade, w/ 21 cover, 2" HD insulation 'IMPACT ON ADJA.CENT LOTS: There are no public wells within 2001 of this absorption system. There are no private WeliS Within J-001 of this lot. The proposed absorption system has no irtipac-t upon any adjacenL lots as shown on attached site diagram. . ....... .. DESIGN DLTAIK's 0 P10130E0WARTBIVIATER ABSORPTION SYSTEM LOT 61 DLOCK 2 HYLL SUBDIVIS.=,r #1 P 'PAREI) FOR: MICHAEL QUINN RE 1.9321 CHERNI CIR EAGLE RIVER, AK, 99577 J NOT TO SCALE DRAWN 13Y CAL. CONSTRUCTING ENGINEERS 346--2000 --9098 9601 BUDDY WERNER DR 694 E 11-MCHORAGEr m, 99516 DRAWING b 92-S2--07-1 Municiprility of Anchorage jp, �CT DEPARTMENT OF HFAI_IH & HUMAN SEHVIC[ S 82.5 1." Street, Anchorage, Alaska 991-,02-0G50 SOILS LOG --- PE11COLATION Tt',61f PFHFORiMED FOR:__.__.-/"`-I-ISE_ LEGAL DESCRIPTION:Lob Z_ DEPTH (FEE 1 2 J �1 6 7 9 10- 11 - 12 cy'r'J.�>`j1,� GC 1 '%J' m Ut V 00.h�1if3.P...l�9ri )T /1fNS1�'.§[lNQfi N a IY M1,t xMry �'S:II') --- -----___-----_. DATE PERI=0 F1 Ivl FD -I ovinship, lame, Section: =1'A If) J sLorE SITE PLAN WAS GROUND WATER ENCOUNTERED? �Ir - I N 5 to f; PERCOLATION RAT[ _._. 'i,minulesimcil) PC'r,C HOLE DIAMETER G I GST RUN ECT WEEN ...__ f "_.._ F AND $tom) L. T A T )1NG `c COt•AME'.NTS-----.-.____ %'i-t'Yti :"i` )�-.:)Ll: ?. L - 6-pij �S1 PERFORMED BY: CERTIFY THA.f THIS TESL" WAS PERFORMED IN ACCORDANCE WITH ALL .JATI` AND MUNICIPAI GUIDEL(NES IN I:FFECI ON THIS DATE -)ATE: 72-008 (Rov. 4/85) --- - — -------- 0 MUNICIPALITY OF ANCHORAGE 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. 050-472-79 1. GENERAL INFORMATION Complete legal description Hylen Crest #1 B2 L6 Location (site address) 10244 Sllyertip Cir. Expiration Date: 1 t 7 -Z©2 <� Current property owner(s) Peter Oster baUer Day phone 980-5506 Mailing address Real estate agent P.O. Box 770344 Sean Williams 2. TYPE OF DWELLING: Fxj Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 795-3577 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic Fx I Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System El Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $,6_'V X330 Date of Payment Receipt,Number COSA# 0.5GZZ1057 Waiver Fee $ Date of Payment Receipt Number. Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 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 Eklutna Engineering, LLC. Phone 907.406-1058 Address 19162 Mountain Rd. Chugiak AK 99567 / I_ Engineer's Printed Name Curtis Townsend Date BY Original Certificate Date: Z—Z -2-0Z Z 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 6. DSD SIGNATURE : 11 �p dap 1C� gv �oe.oe' eeeeeeeee0 •..cR it System ##1 Approved for .NG1NEERS bedroams� S`ti'AG�9G� System #2 Approved for �0000 [aH119L.7...:.�eee � bedrooms������ Disapproved , NO;c i E®r® pgpFgo� Conditional approval for bedrooms, with the o [owing stipulations: BY Original Certificate Date: Z—Z -2-0Z Z 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 COSA Checklist Legal Description: Hylen Crest B2 L6 Parcel ID: 050-472-79 If more than 1 septic system on lot: COSA Checklist # 1 of 1 Structure served by this system 1 WELL DATA r-1 Wel ' ed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments Public Water System B. TANK DATA Age of tank(s) <1 years Tank type/material septicjaSfiiC Measured operating fluid level in septic tank New ❑ Standpipes/foundation cleanout per record drawing Date of pumping New Tank, Feb 2022 D. ABSORPTION FIELD DATA Which system tested (date installed) 2005 ❑ ALL standpipes present per record drawing Total measured depth from grade 7.9 ft (max) Measured depth to pipe invert from grade 3.4 ft (min) ❑ N/A – pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Com ments/Deficiencies: COSA Checklist yellow sheet Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) � Arsenic ug/L ElArsenic less than MRL (ND) Collected by - Date of Sample C. -Ll T STATION El Require nti Age of lift station Lift station material Comments:. ance completed Adequacy test date 1/17/22 Results [D Pass For 4 bedrooms Fluid depth prior to test 30 in Water added 611.1 gal New depth 41.5 in Elapsed time 1300 min Final fluid depth 30 in Absorption rate 611.1 gpd Any rejuvenation treatment (past 12 months) If yes, enter date none E. SEPARATION DISTANCES Fi'3m ,p ivate Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Sta i of > 100' �''❑es Community Sewer Manhole/Cleanout > 100' if No ft 1`71 Yes if No ft Neighboring Tank > 100' ❑Yes if No t Private Sewer/Septic Line > 2617-71 Yes if No ft Absorption Field on Lot > 100' ❑Yes if No ft o ❑Yes if No ftNeighboring Absorption Fields > 100' �Tank��100' Anima ❑ Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 10 �. Community Sewer Main > 75' ❑Yes if No ft ❑ Yes if No ''�� � t From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 9.5' ft Surface Water > 100' ® Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' 0 Yes if No ft _ ... _. _._. Water Main > 10'✓❑ .Yes if No ft - Community Wells > 200' ❑✓ Yes if No _ . ft _....._ . Water Service Line > 10' ❑✓ 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' Yes if No ft if absorption field is under driveway comment below -Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main.> 10' Yes if No ft Private Wells > 100' ®✓ Yes if No ft Water Service Line > 10' ❑ Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS TANK DOES NOT PENETRATE FOUNDATION SOIL PRISM. SEE 2022 TANK INSPECTION REPORT. 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. ��� �E GI SEE % �' .• TH o:. .............. COSA Checklist yellow sheet [late L. Ls into. C 11404 CVI- Municipality of Anchorage 1�1'�(TG£ BGi • Development Services Department Building Safety Division - On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 01;0-472-7o COSA # 6 � C I a 15 Expiration Date: 6 — 15 — / 1. GENERAL INFORMATION Complete legal description Hylen Crest #i Blk z Lt 6 Location (site address) 10244 Silvertip Circle Eagle River Ak Current Property owner(s) Thomas W & Kathy L Jolley Day phone Mailing address 2401 E 4th Ave Anchorage, Ak ggsos Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 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 Pannone Engineering Services, LLC Phone 272-8218 Address _P.O. Box ioozn. Anchorage. AK ggsso Engineer's Printed Name Steven R. Pannone P.E. Date 17-0 b t-7— Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe 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 soil condition, ground water OF q ���� levels that may fluctuate during the year, and the water usage of the family being served by the system. �•p..••"•...... •.� ,♦� These conditions are outside the control of the evaluator of this system. All systems eventually fail and �?,••'•� �1� satisfactory test results do not guarantee future performance of the system, nor do they guarantee that �r• q rH ••%irK' there are no hidden defects or encroachments. PES can therefore not provide any warranty for future �••••• •• •• ••• •• ••••••r•••••� performance nor give any estimate of how long the system will continue to meet the operational .... ..... R... Ponn.......;..a requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed I� 9 Steven R. Pannone; i above. Any reliance upon or use of this report by any other person or party is not authorized nor will it �I��f'•. No. CE 8149.: confer any legal right whatsoever. ��.,• 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By:Original Certificate Date: (Rev. 11105), Municipality of Anchorage o > E • "'� Development Services Department Building Safety Division On -Site Water & Wastewater Program s" " 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Helen Crest #1, Blk z, Lt 6 Parcel ID: 050.472-79 A. WELL DATA Well type Public If A, B, or C provide PWSID # ompleted Sanitary seal (Y/N) _ Total depth Cased to ft. FROM OG Date of test Static water level ft. Well production g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Arsenic: ug/I B. SEPTIC/HOLDING TANK DATA Nitrate mg/L Well Log (YIN) NIA Wires properly protected (Y/N) Casing height (above ground) in. AT INSPECTION Date of sample: Collected by: ft. Tank Type/Material Steel Date installed 4/20/2005 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N/A Date of pumping 11fZJ),AJ & 7-0(2 Pumper C. ABSORPTION FIE ) -D DATA 7%I0iz/ 1?-/ Date installed 4/2012005 Soil rating (g.p.d./ft2 orft2/bdrm) 2.2 System type Shallow Trench 7.0 Length ft. Width �leG ft. l Pyravel below pipe AtY ft. Total depth 8 ft. Eff. absorption area Sao -W Monitoring tube Y Depression over field N Date of adequacy test 6/8/2012 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test o_o in. Water added638 gal. New depthl3 in. Elapsed Time: loo min. Final fluid depth o_o in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date instal e "Pump on" level at _ in. Datum E. SEPARATION DISTANCES Size in gallons Manhole/Access (Y/N) _ "Pump off' level at _ Hi h water alarm level at Cycles tested Meets alarm & circuit requir in. SEPARATION DISTANCES FROM WELL ON LOTTO:'- � (.Lt_la9A -ryZ Septic tank/lift station on lot tiee+ /k//A On adjacent lots mmm ti�IIA Absorption field on lot xae:w N A On adjacent lots soo+ A16A Public sewer main 9. m G A Public sewer manhole/cleanout cwzw -444A Sewer /septic service line Holding tank —iouj�, 4/0 Animal containment areas _ Manure/animal excrete storage areas a mm- NCfA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property line -4+ Absorption field S+ Water main zo+ Water service line io+ Surface water ioo+ Wells on adjacent lots ioo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line io+ Building foundation ao+ Water main zo+ Water Service line io+ Surface water ioo+ Driveway, parking/vehicle storage zo+ Curtain drain So+ Wells on adjacent lots ioo+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and :;° `y review of Municipal records that the above systems are in T" conformance with MOA COSA guidelines in effect on this date. ... ... ....8... ...: ... ...... . Engineer's Printed Name Steven R. Pannone. P.E. �� Steven R. Fonnonet �I %.•No.CE 8149 Date I20 (012 �1 •.................... COSA Fee $ 016— 16—Date Dateof Payment 611311Q Receipt Number 0 X11 (,v e2 (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number BApt 7 ........ t479- 19.47"E ...... /)Y CC, 134.47 ............ .... ... ... .. .......... ....... .... ... 19 ... . ..... ......... .... 051 ............ QOO EXISTING 100 \F�SMT HOUSE ED 120. 0 co LuT ) Z .0 S 5 10, 1 N890 59'00"W 136.42' 2 1 UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT BE USED FOR CONSTRUCTION OR F02 ESTABLISHING BOUNDARY OR FENCE LINES. THE SURVEYOR TAKES RESPONSIBILITY FOR THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS IN SCALE. _0 LOT SURVEY SURVEY TYPE SYMBOLS El FOUNDATION AS -MALT • SET REBAR ASPHALT 7= W DRAINAGE ❑ FINAL STRUCTURE M-SULT 0 FOUND REBAR 6--8-$ WOOD FENCE CONCRETE ❑ PLOT TOPOGRAPHY �'UfiSIJRVEY ... ([� ASSUMED ELEV. 4--*—* METAL FENCE WOOD DECK A= KCQTnCATON AS-DUILT ... NO CORNERS SET PLOT PLANS & LOT SURVEYS NOTE: IT IS THE RESPONSIBILITY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES, WELLS, SEPTIC CUEANOLITS, SIDEWALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATIONPrepared CF by Robert E. Johns, Jr. & Assoc. PLOT PLAN .. ....... • Professional Land Surveyors A P&) 1700 BrInk Drive. ANCHORAGE, ALASKA 99504 AV 4L I Scale: Rec. Lot S.F. Rae. Plot Fle No. 01 = 30' FOUNDATION AS -BUILT .... •••:•••1 Date Surveyed: 6/07/12 "to- "" REJ Checked b JMK i Rlec A"A *.. leroY.vtfftq• I lee.. . ........ . . . OBERT E. NIS, JR. 0 Dote Bra": 5/08/12 Grid: NW0571w'o- 12-176 FINAL STRUCTURE AS -BUILT *.. Legal Description: 40�E A� �Yawwy�l y ea„a a . ..•............ Lot 6 Block 2 'a e. HYLEN CREST #1 u MUNICIPALITY OF ANCHORAGE I�J • DEPARTMENT OF HEALTH & HUMAN SERVICES aj Division of Environmental Services p} On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # OS b Z--"9 HAA# 1. GENERAL INFORMATION Complete legal description LG FEZ I le ry Gres i 1-I Location (site address or directions) z4111/_)_*i-'�)r Property owner G-clqZ'�JQ_�- Vzlkg - �D-°_� Day phone 69`x-99 ST Mailing address Po[3DYE \4 A-rc,hor�e, yAK, 995) 4 Lending agency Mailing address. Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: Q- 3 4 TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA 421 ` 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm CoD • 4'uc.'�i!lq &�!3)ne_Q. Phone Address1 '3� �� Uj r cl�o Engineer's signature 6. DHHS SIGNATURE Approved for Disapproved. Conditional approval for Additional Comments bedrooms. a Date r �¢�� 7 tl'iiiile P 'a a 4 e w s*•ree��Riee�►Kwe.e� 22, Im bedrooms, with the following stipulations: i1IITIC The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA 921 Municipality of Anchorage Department of Health & Human Servicesi HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L G 5 Z I4:�4 le.h Cyea+A-I Parcel I.D. Oso 4� Z 9 A. WELL DATA /V�,'o A C A W w v.. 't` v V3 L -\, c_ Inl ?QrTwyr- Well type N49 If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) N A Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM Septic/holding tank on lot Absorption field on to Public sewer n Sewer service line WATER SAMPLE RESULTS: Coliform Date of sample: B. SEPTIC/HOLDING TANK DATA L TO: Nitrate AT IWECTION On adjacent lots ; On adjacent lots — Public sewer manhole/cleanout Petroleum tank Collected by: Other bacteria Date installed -92 Tank size 0 �1 Compartments Cleanouts (Y/N) ` Foundation cleanout (Y/N) Y Depression (Y/N) High water alarm (Y/N) N Alarm tested (Y/N) N H Date of pumping ry © Pumper Z Q SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot N "oOn adjacent lots +-A 00 Foundation 9 t To property line -4$d Absorption field 9t Water main/service line F� r Surface water/drainage -i- 100 Svx7-0Ac,ff .t-30' Tri C.utZT-A_\n) 0YC A -3N 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE 0) roa) L1_1 m c Cn QCU E r- o g.q C7°u °m U N C. 0 Q Date installed -92 Tank size 0 �1 Compartments Cleanouts (Y/N) ` Foundation cleanout (Y/N) Y Depression (Y/N) High water alarm (Y/N) N Alarm tested (Y/N) N H Date of pumping ry © Pumper Z Q SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot N "oOn adjacent lots +-A 00 Foundation 9 t To property line -4$d Absorption field 9t Water main/service line F� r Surface water/drainage -i- 100 Svx7-0Ac,ff .t-30' Tri C.utZT-A_\n) 0YC A -3N 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTAKCE FROM LIFT STATION TO: On adjacent lots D. ABSORPTION FIELD DATA "Pump off" level at Cycles tested Surface water _ Date installed Soil Soil rating Z " System type +YemC_� Length Width 3' Gravel thickness T Total depth 713etouj O. G-' Total absorption area 5,60 Y Cleanouts present (Y/N) 7 Depression over field (Y/N) fJ Date of adequacy test N ; 0 o z Results (pass/fail)A for NL. �bedcoomsl' Peroxide treatment (past 12 months) (Y/N) IV Pr If yes, give date fl ITI t 0 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ;U 5 � Well on lot On adjacent lots I +-too' Property line i -3O _.5 c� o 'I' i To building foundation On adjacent lots Surface water I� 5 ' To existing or abandoned system on lot IV A" Cutbank H -t00 Water main/service line -w so + 50' _F_W O? Curtain drain +30' -0 c.v2TPr)yV E. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area ^-66 u G F) I~1�> _+ 7 I I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on tbeAitfSf this inspection. .fit' 1. Signature S�wC.��hgi»e¢v✓S G''^.,• Yn �, Engineer's Name Date a- ",gz y'sr,aa�a ENC Vrta �t rtx aef rt r,,., gym•" r,:+. �� HAA Fee $ ` ` ti Waiver Fee: $ Date of Payment l�` Z-+ Date of Payment Receipt Number .� �� �� Receipt Number 72-026 (Rev. 3/91) Back MOA 21