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Home My WebLink AboutHYLEN CREST #3 BLK 2 LT 14 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH ANO HUMA. SERWCES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Address F~]O~ ~ TANK FIELD WELL Phone(s)~ ~ . ~0 ~ Permit~ooNO. J ~ ' No. el Bedrooms~ WELL e ~0o ~ ~0 0 L~A~ .~SC.,.T,O. LOT LINE ~0' .et lq Block 2 Subd,v,s,on ~l~ ~¢~{ ~ ~ FOUNDATION ii/ Township, Range, Section AS-BUILT DIAGRAM (Show IocaUon of weft, sepUc system, propedy I~nes, foundation, ~ ~ * ~ [ 4 , ~ ~ dnveway, waterbodles, etc.) .~, TANKS ~ SEPTIC ~ HOLDING ~r~ " Manufacturer Capacity gallons Material 0 No. of Compadments TYPE OF SYSTEM ~. ~. ~, ,., ~ TRENCH ~ BED ~ W. DRAIN ~ OTHER Deplh to pipe bottom from Total deplh from original grade original grade ~ FT 5 FT /; ,lll added above origlnal grade Grsveldepihbeneathplpe r* ~ ~1_ ~_ ~ K FT J FT o / 150~ Gravel lenglh Gravel wldgl ~ ~' '~ absorption area DlsJance between lines Total ~, ~ 0 0 S~ FT ~ FT k~ 50' Number of linesJJ Soil rating Pipe material Installer Date Installed ~ PRIVATE ~ OTHER(IdonliIv) et~ ClassilicaUon~/~c~(A,B,C) ~ Total Depth ET Cased to FT / ~ 0 REMARKS: Scale: I cedify Ihal Ibis inspe~ion was pedormed accordinD Io ail ' Municipal and Stale guidelines in elfect o~ date:-/~/ ~ ~ Heallh Depadmenl Approval: . e: ~ 72-013 (3/85) Neighbor's Septic +30' ~ 1,500 gal tonk ? Proposed House system/ Deck Neighbor's Septic +30' 10, N7 126 NO KNOWN CURTAIN DRAINS SEPTIC SITE PLAN LEGAL: Hy~len Crest #3, Lot 14, Block 2 OWNER: Spinell Homes, Inc. CONTRACTOR: N/A . ~-~ ~ ~-(~z~)4-~F-D-,g,~-'~J-~_~_~/9~)l SCALE 1"= .30' A EAGLE RIVER ENGINEERING SERVICES P.O. Bom 773~94 EAGLE RIVER, A~ 99577 (90~) 694-5195 FAX: (907) 694-3297 [] - TES"r HOLE · - MONiTOR TUBE o - SEWER CLEANOUT + - WELL ~::',',:',',',~- PROPOSED LEACHFIELD EASEMENT ...... ~.~ .. ~- ~ '~, -. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 254-4720 SO'ILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: _~/~.~// ,'-/s. ,~/r .... ~- /~ -"~ ~-/~/"~' -- ., ~ c .,.,.,-..,.,,'. ~ DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O SLOPE SITE PLAN COMMENTS WAS GROUND WATER S ENCOUNTERED? /f~/~' L ... O P IF YES, AT WHAT /,~,,.~..~-,.~ ...~ E DEPTH? 7 ~¢'~ 'z-¢ Gross Net Depth to Net Reading Date Time Time Water Drop / ,. 'Z ~'/, ? .' ~-o /o ,~...:, .C'- £ ~," I ~ " ~ ~;// zo: ~ /~ ~ .5 ¢ '- 5- '~¢~' / ~//~ ,, PERCOLATION RATE ~,~'(minutes/inch) -- TEST RUN BETWEEN ~' FT AND ~-,5- FT PERFORMED BY: 72-008 (6/79) Eagle River Engineering Se~lco,~ P. O. Box 773294 Eagle River, A'K 99577 694-5195 CERTIFIED BY: J~~ DATE: ~///~ SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 14. BLOCK 2, Hylen Crest ~3 !. The well and septic plan ape 'for, a singl~ fam'l]V residence onlv. 2. The draw1 n9 and or sfte pqmn sh~l I be a part: o¢ this 3. Al1 mat:erfials and wonkrn¢~nsh4 p shall meet the Anchon~ge Depamtment o'f Hea~qth and State Depar't:ment o'f Envimonmenta! ConsePvation nequi r'ements, on modified -in the field by 'the engineer. 5. Ail excavations and depths are advi~or, v and ere te be verified or rnodiEied in the field bV the contr, actor to meet ~un'ic4p~l'~tV of Anchonage, Bepa r, Claent o'¢ Envi ponmer~ta 1 (}el~senva L fi els requinements. 6. The excavatSon ts to be exact'ly in the 4~pea shown on the p'lan, ~¢~ny dev~atSon requiPes engineer, approval. ?. It frs alwayss r'eaommended that a s~urveyof locate the nearest lot 'line position and t;Ine 'locat'fon e'fi ~ny easements. 1. The bottom of the bed ~;hall be.. lew¢l, plu.~; or minus 1.5". 2. The total depth of the bed excavation is not to exceed 6 ' any pe~nt. 3. The bed gpavel is; to be covered wJth typer fabric 4. Soil er aombffnatXen of soil and extruded board insulatJon to a depth of 4' or equJw~lent is t:o be placed oven the leachfJeld. 5. The area over the bed 4s; to be finish graded to pne,/ent por~dqng 6. The septic tank and leaahf4eld must not be c'loser then I00' to ~nv ex~sting pr'iw~te we]q. 150' to any C'l~ss; "C" wail, or 200 'feet to any community RECOMMENDED LEACHFIELI) DIMENSIONS TOTAL. DEPTH = 4~,-5' GRAVEL DEPTH = 1' BE[) LENGTH =: 49.5' [?ED NID]'l,.I ::: 24.' Absorbt~on Area= !.185 sq.'ft:. So~] Rating '~ 158 Bedroom Capacity = 5 Septic Tank Size = 1500 MOUND ANY [EXCESS SOIL OVER LEACII AREA G �V Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 050-474-43 1. GENERAL INFORMATION: Expiration Date: Z r2 Q 2 O? 7 Complete legal description HYLEN CREST #3; BLOCK 2, LOT 14 Location (site address) 10336 STEWART DRIVE, EAGLE RIVER, AK 99577 Current Property owner(s) MICHAEL & SUSAN FISCHETTI Day phone 907-441-9711 Mailing address 10336 STEWART DRIVE, EAGLE RIVER, AK 99577 Real Estate. Agent PAIGE GIBSON Day phone 240-2610 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 5 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ® Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 550 Date of Payment Receipt Number D�SQS� COSA # 05G2 2112 L� Waiver Fee $ Date of Payment Receipt Number Waiver # 32 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm: Garness Engineering Group, Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road, Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: t, In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and o , . • " J �1 industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells �4�' i QQ and septic stems depend upon a variety of variables, including but not limited to, soil conditions, ( ' r >` • • • . • • • • • • • P Y P P tY 9 O""""" Q groundwater levels (that may fluctuate during the year), quality of construction (materials and j � :T workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and Q �..'s.:..:..::t.............� are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q + '•Ieffry A. 'Gayness, system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of Q / Q C 7953 Q the well or septic system. GEG makes no representation whether an alternative well or septic system 09 '• f can be installed on the property in the event either of the current systems fail to perform adequately in �4f01- �j•±.1 the future. The content of this report is for the sole benefit of the person/party that retained GEG to aprofessio�oo� perform the evaluation. Reliance upon the information provided in this report by any other person or ��40p party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for '5:- bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, t0F1�7( = ON-SITE m' with the follovsti AND �o WAST`' -V TATER oz^ J� - P RO G K NTvi �� ' J/ C By: aoa' Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 10-10-12.doc 141Lr Legal Description: HYLEN CREST #3; BLOCK 2, LOT 14 If more than 1 septic system on tot: COSA Checklist # 1 of _ LL DATA ❑ Well log d 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) Date of flow test for CO Static water at beginning of test ft. B. TANK DATA Age of tank(s) <6 years Tank type/material STEEL Measured operating fluid level in septic tank 50.25^ ❑ Standpipes/founda(,tiion/cleanout per record drawing Date of pumping _�! D. ABSORPTION FIELD DATA BED Which system tested (date installed) 6/7-10/2016 ❑ ALL standpipes present per record drawing Total measured depth from grade 8.7 ft (max) Measured depth to pipe invert from grade 4.1 ft (min) ❑ N/A — pressurized field * OR Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 050-474-43 1 Structure served by this system 1 Well production at time of test Water storage tank volum g;allons Well disinfecte coliform test? Yes ❑ No En]Im bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) A , ug/L ❑ Arsenic less than MRL (ND) Collected Date of Sample FT STATION ❑ Requir aintenance comp) Age of lift station ye Lift station material Adequacy test date 3/29/2022 Results ❑✓ Pass For ^ 5 bedrooms Fluid depth prior to test *0 Water added 1020 gal New depth *0.75 in Elapsed time 1026 min in ❑ Code -required soil cover over field Final fluid depth *0 in ❑ System presoaked Absorption rate 750+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies:*IN MT4. MT1 & MT2 REMAINED DRY THROUGHOUT TEST. MT3 HAD A MAX. RISE OF 0.25". **BASED UPON GEG 3/29/2022 FIELD ELEVATIONS, MT1 IS 0.2' LOWER IN ELEVATION, MT2 IS SET AT CORRECT ELEVATION, MT3 IS 0.13' HIGHER IN ELEVATION, AND MT4 IS SET AT 0.06' HIGHER IN ELEVATION THAN THE RECORD DRAWING ELEVATION FOR BOTTOM OF BED. COSA Checklist yellow sheet il E. SEPARATION DISTANCES PUBLIC WATER rivate Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift on Lot > 100' Community Sewer Manhol snout > 100' Yes if No ft ❑ Yes if No ft Neighboring Tank > 100' ❑ Yes i ft P ewer/Septic Line > 25' ❑ Yes if No ft Absorption Field on Lot > 100' ❑ Yes if No Iding Tank > 100' ❑ Yes if No ft Neighboring Absorption Fields > Animal Conta t > 50 Yft — ' El Yes if No ft es if No Manure/Animal Excreta Main > 75' ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No *5+ ft Surface Water > 100' _00' [:1 Ye o ft [Z Yes if No ft Property Line > 5 Ll�j 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 Absorvtion Field on Lot t0, ,(elpasn Pntar diatanrac if IPcc than rpgi iii) 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' Q Yes if No ft Private Wells > 100' El Yes if No ft Water Service Line > 10' [] Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water > 100' Yes if No ft F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALL 17 -FOOT WAIVER GRANTED TO SLOPE GREATER THAN 25% (OSV161052). AS -BUILT SURVEY IS MISSING TWO DRAINFIELD PIPES; HOWEVER, THE PIPES ARE PRESENT. G. ENGINEER'S CERTIFICATION oo--Z->— A- I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with O� ' 9 TH MOA COSA guidelines in effect on this date. >?.L .Jeffey`A._,..G,arness: Q —7953 �QO COSA Checklist yellow sheet OQea Pr o f e s sio('�\�-`� #AECC884 61PE THEINFORMA77ON HEREON IS FOR THE USEOFLENDING INSTITUTIONS SPECIFICALL Y TO SHOWANY CONFLICTS SL7WEEN EXISTING STRUCTURESAND PLATTED LOT LINESAND/OR EASEMENTS -AND IS NOT TO BE USED FOR POSITIONINGADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES. EASEMENTS OFRECORD, OTHER THAN THOSEAPPEARING ON THE RECORD PLAT, ARE NOT -SHOWN HEREON (UNLESS INDICATED) NOTE.- FENCELINES THAT MAYAPP54R ON THIS DRAWING ARE NOT TO BE USED TO DETERI ENE PROPERTYLINES OR POS1770AIADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAYBEAPPROXIMATEDLIE TO EXCESS/ VESNOWAND/OR ICE. AS -BUILT SURVEY 1"=30' ACO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT I4, BLOCK 2, HYLEN CREST 3 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATED AT ANCHORAGE, ALASKA THIS _24 TH DAY OF _MARCH , 2022. HOL T LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 21161 CO 174-20 171-7C 222 Wi MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot_]4:Block 2 Hylen Cro~_t ~3 T14N R1W Sec. 8 Location (address or directions) (b) Property owner Spinell Hom~es, ThC Telephone : (home) Mailing Address 8210 Vanqu_ard Dr, Suite 102, Anchoraqe, (c) Lending Institution N/A Telephone Mailing Address Ak , Business 99507 344-5678 (d) Real Estate Company and Agent _ Spinell Homes Address 8210 Vanguard Jlr, Suite 102. Anchoraqe, Telephone 344.-5578 (e) Mail the HAA to the following address: (or check here El, if hold for pick up.) List contact person and day phone number below: Pick ~? by ~ngin~er Ak 99507 TYPE OF RESIDENCE Single-Family E~ Number of bedrooms WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status, SEWAGE DISPOSAL On-site:~D~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-02s (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verJfy that my investigation ofthi.~ Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe. functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation an¢ inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal an¢ State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~,agl ~ R~v~-c ~,ngln~.rlng ,qvr'~Telephone 694-5195 Address P.O. Box 773294, Eaqle River, Ak 99577 Date 6. DHHS APPROVAL Approved for ,b bedrooms by Approved ~ Disapproved Terms of Conditional Approval Conditional The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health AuthorityApprova cerificated based only upon the represehtationsgiven in paragraph S above by an independent professionalenginee, 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 DHHSdonotconductinspections or analyze data before a certificate is issued. The MunicipalityofAnchorage is not responsible for errors or omission,' in the professional engineer's work. 72-025 (Rev. 7/88) 8ack Page 2 of 2 A. WELL DATA Well Classification MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 Legal Description: }4¥1~ Well Log Present (Y/N) __ Total Depth ___ Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Date Completed Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Yield Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Comments ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole ; Date B. SEPTIC/HOLDING TANK DATA Date Installed 6,/~o Size Standpipes (Y/N) Y Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~, SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well ~' 7_~ ' To Property Line ,~o" To Water Main/Service Line -f- ~o' To Stream, Pond, Lake or Major Drainage Course /~' Comments No. of Compartments Air-tight Caps (Y/N) ~' Foundation Cleanout (Y/N) N Date Last Pumped H~,~ /¢/~ ; for "¢/~ Temporary Holding Tank Permit (Y/N) ~'~/~ To Building Foundation To Disposal Field 72-026 (Rev. 7/88} Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~, / ~ o Width of Field ~4 ' Square Feet of Absortion Area I, '7. o o Depression over Field (Y/N) Results of Last Adequacy Test ~'7,~ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot ,*¢¢,,~-6- ZOO' +~0' To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field Depth of Field Gravel Bed Thickness Statndpipes Present (Y/N) Date of Last Adequacy Test To Property Line 30 To Existing or Abandoned System on ; On Adjoining Lots /-.3~, ~ To Cutback (if present) ~/A D. LIFT STATION h,I / A Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines' in ~ffect on the date of this inspection. Signed Company Date MOA No. Eagle R~vgr Engineering S0rvioc3 P. 0. Box 77329! Eagle Rivcr, Al( 99577 694 5195 Receipt No. ¢~-c~ (~,~' (/'?-'~"--~- ?~J ' Date of Payment // (-)'-- '/ o¢' ~ ,~'-'~) Amount:$ /.~ ~_--~. O ¢> 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 DEPT. OF ENVIRONMENTAL CONSERVATION ANCI-tORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANC.IOPJIGE, ALASKA 99503 May 12, 1990 STEVE COWPER, GOVERNOR 563-6775 FOR: EAGLE RIVER ENGINEERING Attn: Russel PWSID: ~213289 According to the records on file in this office, the Hylen Crest Subdivision Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, Officer VE ~: bas