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DONALD C SCHROEDER #3 UNIT 1 BLK 1 LT 1 REM
Donald C chro d r Unit I lock I Lot I 050-481 -07 Municipality of Anchorage Development Services Department ~i-~ ___-= Building Safety Division On-Site Water & Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak, us (907) 343-7904 Page 1 of On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: OSP 111249 PID Number: 050--481 --07 Nome: PAMELA MONFORE Wastewater System: [] New · Upgrade Address: 24011 O'RIEDNER ROAD *EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: {907) 242-9975 5 · Deep Trench [] Shollow Trench [] Bed []Mound []Other LEGAL DESCRIPTION sol, Rating: Total Depth from original grade: 1.2 GPD/Sq. rt. 9 MAX rt. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 1 1 REM DONALD C. SCHROEDER #5 UNIT 1 5.99 rt. 5.02 Ft. Township: _ Ronge: _ Section: Fill odded obove orlginol grade: Grovel length: - SEE DWG. Ft. .~ ~"t~ Ft. / Grovel width: Number of lines: Distance between lines: WELL: [] New [] Upgrade 2.5 Classification (PHvote, A,B,C): Total Dept~J~ Cased To:(BEDROCK Total absorption area: ',' Pipe material: \ '"' Ft. pt. so. Ft.o 3o 4/ - 1o rt. BEEK CONTRACTORS 10/28/11 Yield Casing Height Above Ground: SEPARATION DISTANCES [] Septic [] Holding [] S.T.E.P. [] Other* TFr~m~'~© Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: Tank Field Stotion Tank Sewer Line.~ ANCHORAGE TANK 1000 Material: Number of compartments: Well 100'+ 100'+ - - 25'+ STEEL 2 Surface Water 100'* 100'* - - - LIFT STATION size in gollons: Monufocturer: Lot Line 5'+ '1' + - - - Foundation 5'+ 10'+ _ _ _ "Pump on" level or: "Pump ~er alarm ot: Curtain Drain ' NONE KNOWN ~ al Inspections performed by: I I Remarks: BENCH MARK LocoUon Grid DescHpUon: OLD TANK WAS PUMPED AND DECOMMISSIONED PER UPC. TOP OF CONCRETE SLAB @ HOUSE CORNER BY STAIRS Assumed Elevation: 100.00 Ft. ENGINEER'8 SEAL Inspections performed by: OEO, Ltd. Dates: 1st 10/28/11 2nd 10/28/11 ~?x,~.....~. ].. - ~. ~ f~c~lh 3rd 10/28/11 ,~,~__,,~...' ' Development Services Department Approval [.?~.~ 49~1-J~ "-..'~v~,~ , ...... Conditional approval: Dote: Reviewed and approved by: ~/~./'~,~,.~..~- Date: ff///7//[ (Rev. 4/06) ' - ,/ / / '"~~'~'-~ ~'~ ~[~: AS BUILT DRAWING ~^~"° OSP111 249 - 050-481 -07 I /°~'-~-~'---~_Lo(~-nn. \ DDL2 29.30 54.4~ ~ ~tus FD 29 67 54 53 / / ~ / ~ MT1 77:09 101'.58 / ~~ / X c02 80.90 10s.23 I ~ I I;~;t X c03 32 46 5s 06 ~ ' . ~ ~ ~ ~ / / / NEW 1000 GALLON SEPTIC TANK. ~ / ~0( ~1 ~ ~ USED AS A RESERVE SITE~ ~~~~7 ~ ~_ ~ CUTBAN K~~',:~ ~ ~. SCA[I: 1" = 30' PREPARED FOR: PHONE NUMBER: PAGE NUMBER: 7 PAMELA MONFORE I ~-~ I ~ 0~ ~0~ LEGAL DESCRIPTION: DRAWN DY; ~VO0~ )ONALD C. SCHROEDER ~3 UNIT ~; BLOCK 1, LOT 1 REM PNB ~1 ~PE OF WORK: DATE: AS-SU~LT D~AW~NC ~/~/~ AS BUILT DRAWING OSP111249 - 050-481 -07 --FINAL GRADE = 95.85-96.27 ST1 / ST2 TOP OF TANK "-X AT INLET = 90.95~ . I r:::} /-- ToP OF TANK AT OUTLET = 90.95 _/ ooo '--... INVERT OF BUNG EPTIC TANK [ %-INVERT OF BUNG AT INLET = 90.55 / AT OUTLET = 90.18 ORIGINAL GRADE @ HIGHEST FINAL GRADE-x / ~ = 92.02+ / x MTCO' 1' ~'-~ ,~4 FE~T(+) ~",~/--~~ ,CTER ~*BR~C · DRIVEWAY / .~'~ ~l I'-I / · S~ax~-~ ~ ~-~ RENCH ~ 82.35 ~ ~,~"'"'~'~~ RELATIVE ELEVATION OF BOTTOM OF TESTHOLE @ HIGHEST POINT = 76.35 (DRY) G.AIlNESS E -' ~' ' '.NGINEERING GROL P, Ltd. CONSULTANTS & GENERAL CO }701 E. TUDOR ROAD, SUITE 101 ' ANCHORAGE, AK 99507 · PHONE (907)337-6179 * F~X (907)538-32~6 · WEI~IT~: www.gamessengineering.com PREPARED FOR: IPHONE NUMBER: I PAGE NUMBER: PAMELA MONFORE I 242-9975 I LEGAL DESCRIPTION: [DRAWN BY: C. $CHROEDER 1¢$ UNIT 1; BLOCK 1, LOT 1 REM [ PNB WPE o~ WOR~<: I"DATE:'/4/' PROFILE AS-BUILT DRAWING 1 Permit Number: Tax Code Number: Work Type: Permit Effective Dates: Design Engineer: Subdivision: Site Legal Address: OwneflAddress: Site Mailing Address: On-Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 OSP111249 05O481 O700O Septic Upgrade September 19, 2011 to September 18, 2012 GARNESS ENGINEERING GROUP LTD DONALD C SCHROEDER #3 UNIT 1 DONALD C SCHROEDER#3 UNIT 1 BLK 1 LTI REM G:0161 MONFORE PAMELA K 24011 O'RIEDNER RD EAGLE RIVER AK 995779646 24011 O'RIEDNER RD, Eagle River Lot Size in Sq Ft: Total Bedrooms: 60417 3 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: ~' _,¢,~/.,.-/ .J? ) C> .~.-----~:~-' ...... Date: Municipality of Anchorage P.O. Box q 96650 · 4700 EImore Road Anchora.qe, Alaska 99519-6650 ® (907) 343-7904 · Fax (907) 343-7997 ..http:/Iwww.muni.or,q/Onsite Develo~)ment ServiceS Department On-Site Water and Wastewater Pro.qram **** VARIANCE/WAIVER REVIEW **** WP~: OSPl11250 HA#:~ Permit~: OSPl11249 PID#: 050-481-07 Legal Description: Donald C. Schroder #3, Block 1, Lot 1 Engineer: GEG Applicant: Pamela Monfore Your requeSt for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 1.0 foot. Your request for a Waiver of the required 50 feet horizontal separation from the absorption field to the slope steeper than 25% has been approved. The approved separation distance is 40.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: 9/19/11 Approved by.~/A (, . [j' Name of Reviewer Rec~: 086515 Amount: ,$200.00 Date Paid: 919/2011 **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Development Services On-Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907- 343-7997 Mayor Dan Sullivan Parcel I.D. 050-481-07 On-Site Sewer/Well Permit Application For A Single Family Dwelling Property owner(s) PAMELA MONFORE Day phone 242-9975 Mailing address 24011 O'RIEDNER ROAD EAGLE RIVER, AK 99577 Site address 24011 O~RIEDNER ROAD EAGLE RIVER, AK 99577 Legal description (Sub'd, Block & Lot ) DONALD Legal description (Township, Section & Range) Lot Size Sq. Ft. C. SCHROEDER #5; BLOCK 1, LOT 1 Number of Bedrooms 5 THIS APPLICATION IS FOR: ( [] all that apply) Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: LOT LINE WAIVER & SLOPE WAIVER 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. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Fees: Date of Payment: Receipt Number: Permit No. {-~¢ Waiver Fees: D-~O Date of Payment: Receipt Number: Waiver No. 0~_~ (Rev. 01/1 GARNESS ENGINEERING GROUP, Ltd. CON:SULTANTS :& GENERAL CONTRACTORS September 9, 2011 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 1.96650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic System Upgrade for Donald C. Schroeder #3; Lot 1, Block 1, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system is in a state of failure and needs to be updated. We are proposing to install a 1000 gallon septic tank and deep trench type drainfield. Attached are a site plan and a design drawing showing the proposed septic system. One test hole was excavated on the property. The drainfield will be designed around the 30 foot radius of this test hole. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached site plan, the average topography above the drainfield is 20-30% running northeast to southwest. There is a cutbank below the drainfield less than 50 feet away. See the slope waiver request. 5. LOT LINE WAIVER: Due to site constraints, we are requesting a 1' lot line waiver from the east lot line to the proposed drainfield. 8. SLOPE WAIVER: We are requesting a 40' waiver be granted from the drainfield to the cutbank. As can be seen on the attached drawing, at a 25% slope (starting 2.5 feet above the drainfield) the potential point of daylighting is 40' horizontally from the trench. The following are mitigating factors for the justification of these waivers: · There is a driveway between the cutbank and the drainfield. If any sewage were to daylight it would be noticed immediately and a course of action would be taken. · The test hole logged by Jody Maus classified the soil as a GP to GM material with a percolation rate of 4 min./inch. This would indicate that there would be a rapid downward movement ofwastewater rather than lateral movement. · The existing drainfield is also with in 50 feet of the cutbank and has existed for over 25 years with no indication of daylighting. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907)337-6179 * Fax: (907)338-3246 * Website: www.gamessengineering.com In short there is minimal risk associated with the grating of these waivers. See attached cross section drawing. We are unaware 'any adverse impacts this installation would have on adjacent wells or septic systems. If you have any please contact us at 337-6179. Thank you for your assistance. Presi P.E., M.S. tached is a site plan drawing, a design drawing, one detail drawing, and one soil log, which are all parl of the design package for this septic system. (Contact G.E. G. Ltd for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907)337-6179 * Fax: (907)338-3246 * Website: www.garnessengineering.com IWELL NO CONCERNI IWELL NO CONCERNI UNDERMOUNTAIN ESTATES; LOT 8 VALLEY VIEW TERRACE S/D; BLOCK 3, LOT 9 NO MOA RECORDS / / \ / / \ / / \ \ EXISTING WELL \ / / i.lOO' WELL RAOlUS ~PROX. LOCA~ON ' ~_ EXISTING SEPTIC C~E~ ~ OAO 1- 100' UNDERMOUNTAIN ESTATES; LOT 7 DONALD C. SCHROEDER S/D; BLOCK 1, LOT 2 / ,.'3 BEDROOM / HOUSE / / SEPTIC UPGRADE (SEE DESIGN, PAGE 2 OF 2) j ,= 100' WELL RADIUS \ ~SEPTIC AR ..~_.~ BAUMER S/D; TRACT 10, LOT 2 IWELLNO CONCERNI GARNESS ENGINEERING GROUP, Ltd. CONSULTAN~ & GENERAL CONTRu/~CTORS E. 11JDOR ROAD, SUITE 101 * ANCHORAGE.., AN 99507 * PHONE (907)337-6179" FAX (907)338-3246" WEBlikE: ~.gamesaenglneertng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: PAM MONFORE 907-242-9975 1 OF 5 LEGAL DESCRIPTION: DRAWN BY: DONALD C. SCHROEDEE S/D #5; BLOCK 1, LOT 1 J.L.M. TYPE OF WORK: DATE: SITE PLAN FOE SEPTIC SYSTEM UPGRADE 9/2/2011 (Rev. 01/05) GEG, Ltd. HAS A 7 PAGE SPECIFICATION DESIGN CRITERIA: LETrER THAT PERTAINS TO THIS DESIGN. / NOTE: THE CONTRACTOR SHALL ~ NUMBER OF BEDROOMS: 3 TO OBTAIN A COPY OF THE LETFER HAVE THE EAST LOT LINE AND THE CONTACT GEG. BY PROCEEDING FORWARD 100 FOOT WELL RADIUS FLAGGED GALLONS PER DAY (GPD): 450 INSTALLATION, THE ENGINEER, I BY A REGISTERED LAND SURVEYOR \ PERCOLATION RATE/S: 4.0 WITH WELL DRILLER, CONTRACTOR AND PRIOR TO ANY CONSTRUCTION. PROPOSED APPLICATION RATE: 1.2 PROPERTY OWNER AGREE THAT THEY I / MINIMUM DRAINFIELD SO.FT.: ,375 HAVE READ THESE SPECIFICATIONS AND AGREE CONDITIoNsTO ACCEPT OUTLINED.THE TERMS AND / / DRAINFIELD DESIGN: , / / ~ / EFFECTIVE: ,5 FEET I I [..I ,~ /-~PROPOSED 1000 GALLON SEPTIC / / EXISTING I H / ~9' /TANK. NEEDS TO BE RATED FOR · J ! ,3 BEDROOM I I?.! / ! / 6 TO 8 FOOT BURIAL DEPTHS. ' -- NSTALL~ FLOW DIRECTOR I_ J AND CRUSHED ,N PLAC '. X--PROPOSED ORA, NF,ELD ~ ~ ~h-~~ ~1 FOOT LOT LINE ~ EXISTING DRAINFIELD t~~~'~ WAIVER REQUESTED ~ USED AS A RESERVE SITE~ ~~..~~ SCALE: ~ G. ARNESS PAN MONFORE I 907-242-9975 I 2 OF 3 ~PE OF WORK: DATE: DESIGN OF PROPOSED SEPTIC UPGRADE 9/9/11 ORIGINAL GRADE---~ -o'/./ "'"'"" III" I 9 FEET ~ ~,~.,.... ---' '-" III I MAX. $'~,~ ....-: CROSS SECTION DETAIL SCALE: I I 1"=10' GARNESS ENGI'NEERIN'G GROUP, Ltd. CONSULTAN'I'~ & GENEF~e~,L CONTI~J~,CTORS E. TUDOR RO~D. S[,JI~E 101 ') ANCHOI~GE. AX 99507 * PHONE (907)337-6179 * FAX (907)338-324.6 ') WEB~ ~ww.9~me~n~Ine~ing.com PREPARED FOR: I PHONE NUMBER: I PAGE NUMBER: PAM MONFORE I 907-242-9975 ,5 OF ,5 LEGAL DESCRIPTION: I D[~WN BY: DONALD C. SCHROEDER S/D #3; BLOCK 1, LOT 1 IDATE: J.L.M. 'I~PE OF WORK: CROSS SECTION OF DRAINFIELD I 9/2/2011 3701 E. TUDOR ROAD, SUtTE 101 * ANCHORAGE, AK. 99507 * PHONE: (907)337-6179 * FAX: (907)338-52~6 * WEBSITE: gamessengineeHng.com r~ ........... X' '~' ............... ISOIL LOG - PERCOLATION TEST III .~,/J ~. i LEGAL DESCRIPTION: DONALD C. SCHROEDER ,3, BLOCK 1. LOT1 ,~ ".J~frCy~A.'G~'~l~ess..' % "- -795,3 ." PERFORMED FOR: PAN MONFORE DATE: 8/29/2011 ~/...~,. "- -'/.t [ DEPTH (feet) TEST HOLE #1I 1 -- LOAN 2-- ~'~!~'~'; SOIL CLASSIFICATIONS 3 ' ::'~::;' ::'~ ~ TT~T~ _ ~.:;,:~;.~?:~.,,~, gP ML :~'~ff'~,{ ~ g M~ CL 4._:~:~!~,~~ gC i OL :~'~ff'::t; ~ SW MH :~'~::;'::'; · · ,~ SP CH 5--:,:.~::;,~,~ ~ SM / OH 6_:4~,;~ SC SEE SITE PLAN :.....~ ,:.::,; 7- :':'~'::'; DEPTH TO :,'.'~::~'::,~ gROUNDWATER DATE 8 :~'~ff'~": --'~?,~,; gP TO gN DRY 8/29/2011 9 --'~E~'::"; DRY 9/2/2011 '~.~;:~.:t,; DRY 9/9/11 10 ~ '~'~::~:~'; 11 ~'~ DATE :READINO CLOCK NET TIME WATER LEVEL NET DROP ~.~::~::,; TIME (MINUTES) READINg (INCHES) 12 ~ ~.~::~:~,; 9/2/2011 1 - _ 6" _ ::'~::~'; 2 - 10 2-5/4" 5-1/4" 15 ~ ;.~¢~:t,; 5 - - 14 ~ ':'~::~::'~ 4 - 10 3-1/4" 2-5/4" ::.~,~ 5 - _ 6- _ 6 - 10 3-1/2" 2-1/2" 15~ 7 - _ 6,, _ 16~ 8 - 10 3-1/2" 2-1/2" , 9 - _ 6- _ 17~ 10 - 10 3-1/2" 2-1/2" 11 - _ 6,, _ 18-- 12 - 10 3-1/2" 2-1/2" 19-- PERCOLATION RATE 4 (MiN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.5 FT. 20 A PRESOAK WAS PERFORMED: ~ YES ~NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: ACCURACY OF PERCO~TION TEST IS EQUAL TO OR BE~ER THAN 1/16 INCH. PERFORMED BY GEG, Ltd. I, JEFFREY A. GARNESS, CERTI~ THAT THIS WAS,PE~ORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DEPTH TO gROUNDWATER DATE DRY 8/29/2011 DRY 9/2/2011 DRY 9/9/11 MUNICIPALITY OF ANCHORAGE DE ~ITMENT OF HEALTH AND HUMAN SER ES ' Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES /~r, t::: ~-~,,,.,, ~ /-I,a., .1-o i , ;~ SEPTIC ABSORPTION AddressFROM~'~.~ WELL 3o q g- .¢','//~ r-~7 ~'/r~./e, ,¢/~,,~.,4o,-~r.<. ?~"-o,~ "" TANK FIELD Phone(s) ] Perm,t No. No. of Bedrooms WELL J ~g~ ~SC.,.T.O. LOT LINE ~o' Lo~ / JB~oo~/ SU~v,s,o, ~.X~,~-~ ~,'~ FOUNDATION ~ /~ C 1 Township, Range, Section AS-BUILT DIAGRAM (Show Iocahon of well, septic system, property lines, foundation, ~/~ ~ ~ / ~ ~ ~l / ~ driveway, water bodies, etc,) TANKS i "'Manufacturer Capacity in gallons ~ Mater~al ~o. of Compa~ments ~ '~ TYPE OF SYSTEM ~TRENCH ~ BED ~ W. DRAIN ~ OTHER Dep{'h'to p~pe bottom from ~otal depth from original grade ormginalgrade~;-~ FT ?-~* FT FHI added above original grade Gravel~epth beneath p~pe ~-~;~'f;'~ g~h' Gravel wm~th Total absorption area Distance between lines -' ~o w~' Number gl hnes Soil rating P~pe material Installer Date Installed _ WELLS ~ PRIVATE ~ OTHER fldentifv) -- Classfficaho~ (A,B,C) ~otal Dep[h I Cased to / ETI REMARKS: ~ ,~./ ~ ~ /~ ~ ~/~ ~j~/~[ Scale: ' ~GINEER'S~EAL }n~p~cti~n~ P~orm~d Eagle River Engineering~,,,v,ct. /~~¢ /~ ~ ~ ~' Date: Eagle River; AK 9957~ , Municipal and State guidelines in effect on this date: ~. Health Depadment Approval: J / ~ I / ~ ~ ~ DEPARTMENT 01:"' HEAI...'T'H AND ENVIRONMIEI'4T'AI... F'IR[.)TEC]TION 825 I .... S'TREEET, ANCH[)t::;:AGE'., Al< 995() 1 264-4720 i;::'ERM I 'l" NO: DA'I"E I SS.JED: COI',ITACT I:::'HONIE: 86()22C) L.. F' bRADI: 07 / ()'7 / '~"~ · SLIBD I V I S I ON: DONAL..D !:~CHROEDEI~ SIECT I ON: 14 .' .... I ' IOkNSHIF: 14N :L ,, 5A (SC!. I:::'"1". OR ACRES) LOT: :L BI.. 0(";I.:': 1 R ANGEl!;: R .1. W I cer't, ify t. hat.:i :1.. I am famil:i, ar' wi't.h the r'equipements for' on.-site sewer's and wells as se'l:. for"l'..h by the Munic:ipality c:)f' Anchor'age (MOA) and the State of Alaska, ,='"~. I will in.ls, tall the system in ac:condance wi'Lb all MOA codes and pegulat:Lons, and in compliance with the design cpiter'ia of this per'mit. :];. I wi].t adhepe to all MOA and State of Alasl<a recluir'emer'rLs for' the set bac:l.:: d:i. stanc::es fpom any ex:i.s'Ling well, wa~tewat, er' cl:i. spo?,al sy~M:.em op publJ, c: sewer'age syst. em on this or' any ad.jac:ertt op near'by lcd:.,, IF'A LIF::'T S'I"A'T' ]: ON IS INSTALL..ED IN AN AREA COVERED BY MOA BUII....DING CODES!, THEIXl (1) AN IEL. E:E;TRICAI .... F'ERMI'T' AND INSPEC'TION MUST BE: OBTAINED; (2'.) AEP.-BUIL..TS WILL NOT BE AF:'I:::'ROVED WI"t"HOUT AN EL. ECTF:(ICAL INSPECTION REF'OI::FT'; AND (3) 'T'HE EL. ECFr'RICAL.. WOF:?.I< MUST BE DONE BY A LICENSED EL. EC"rRICIAN. ,,,,,,:.?..,,,,,,,:.,:, .... AI:::'I:::'L I CANT': F'F?.AIxlt< AN'I" I I.,..ON O) EAGLE RIVER ENGINEERING SERVICES Lou Butera P.E. P.O. Box 773294 Eagle River, Alaska 99577 Telephone (907) 694~5195 July 2, 1986 Mr. Steve Morris Civil Engineer, On-site Services Municipality of Anchorage P.O. Box 196660 Anchorage, Alaska 99§19 REF: Lot 1, Blk 1, Donald C. Schroeder #3, Unit #1 Dear Mr. Morris, On behalf of our client, Mr. Frank Anttl n, we are submitting this bedroom capacity. ' The site plan attached shows the proposed location of the new septic system. During an inspection of the existing septic system, it was discovered that there was a hole in the existing fiberglass septic tank. This tank was replaced by a 1,000 gallon steel tank, and during the reconnection to the leach line, it was discovered that the leach- field piping was plugged and not functional. It is therefore necessary for the owner to replace the entire leachfield. A soil test hole including a ground water monitoring tube has been excavated. The upgrade will require the leachfield to be directly adjacent to the driveway. We are asking that the Municipality prepare an upgrade permit and a conditional health approval to be issued when the ? day monitor period is completed. The conditional health approval should be based on escrow of money to complete the septic leachfield upgrade as per- mitted. We are asking for this conditional approval so the owner can leave on out-of-town business while the leachfield is installed. If there are any questions, or if additional information is required, please feel free to contact me at 694-5195. Sincerely, Leu Butera, P.E. icl: Soil log Site plan Health approval application MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: ~""'/"'~" ~/'~ LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED?.~c' L O IF YES, ATWH,AT 'TJ///E'~, - ~3' //4' DEPTH? /~,~,,~,-,-e.~" Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE '~ ,~ (minutes/inch) TEST RUN BETWEEN ET AND ET PERFORMED BY: 72-008 (6/79) Eagle ~iver Engineering Services ~_ n. ~e~ 77329~ Eagle River, AK 99577 694-5195 CERTIFIED BY: _,~_~~'-'"-"" DATE: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOl LS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Z~¢~ 7~' '/, ,/~/~' / 2 r 4~ 9 11 12 ~ ~ 13 SLOPE SITE PLAN WAS GROUND WATER S ENCOUNTERED? .,~'~r L E IF YES, AT WHAT DEPTH? Gross Net Depth, to Net Reading Date Time Time Water Drop PERCOLATION RATE ~ ~ O,,-,i~.7(minutes/inch) -- /5/~ TEST RUN BETWEEN ~ FT AND '7 , FT PERFORMED BY: 72-008 (6/79) Eagle River Engineering Semlces Eagle Rlve~ AK 99577 694-5195 CERTIFIED BY: ~~~'" MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 8:25 g Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: DATE PERFORMED: ~'"'/~"~ LEGAL DESCRIPTION: 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O COMMENTS SLOPE SITE PLAN WAS GROUND WATER S ENCOUNTERED? ycJ' L O l ..z / - / ,/.j P E IF YES, AT WH,AT 7///.J.,g, - J3' ~' DEPTH? /~,,,w~',.,-e~- 7/~1~ -/5 ~/~-. ~. Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE .~' --~ (minutes/inch) TEST RUN BETWEEN FT AND -- FT PERFORMED BY: 72-008 (6/79) Eagle River Engineering Services P_ n ne~ 773294 Eagle Rlve~ AK 99577 694-5195 DATE: EAGLE RIVER ENGINEERING SERVIOES P.O. BOX 775294 EAGLE RIVER, ALASKA 99577 694-5i95 SPEOIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Lot l, Blk l, Donald C. Sohroeder ~5, Unit A. GENERAL 1. The well and septic plan are for a single family residence use only. 2. The drawing and or site plan shall be a part of this specification. 5. All materials and workmanship shall meet the requirements of the Anchorage Department of Health and State D.E.C.. 4,, All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet MOA, D.E.C require- men'ts. 6.. It is 'the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. B. DRAINFIELD 1. The drainfield is to follow the natural land oontour to maintain uniform total depth of the trench bottom. 2. The bottom of the trench shall be level, plus or minus 5. The total depth of the trench excavation is not to exceed 9.5' at any point. The sewer line is to replace the existing sewer line that leads to the existing trench. 5. The trench gravel is to be covered with typar fabric material. Soil OF combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the drainfield. 7. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100 feet to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH= 9.5' GRAVEL DEPTH= 5.5' TRENCH LENGTH= 54' TRENCH WIDTH= 50" · /~, )t~C plaz. ' ~NC~O~G~:,,.~L~SK~'.' ~,; :'-:- · H'~k~Y CERTI/Y THAT I 'HAV~ SURVeYeD )~gCRtO~O'. .... p~. LER~.~i: LOT~; eLOCR /" '":':" ';,~'~.: PR~CIgI~T,'ALAS~A,'..~ND' THAT THg IMPROVggENTS;.:'SITUATEO '"'TH[R'E~:I ARE 'WITHIN THE PROP[RTY LINES , ' ', , " :~ :':~" ~ ,. '. ? r ' CAP OR ENCROACH ON THE PROPERTY LYING ADJACENT ·THERETO, . ..... ul't ] .*. .. · .. .... "SAID .. PROPERTY "[XCEPT '..AS:~'~}}INDlCATE' HER~O~,".' ' EAGLE RIVI' ENGINEERING SERVIa;ES INC. P. o. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 SHEET NO CALCULATED BY ~ ~-~'~ · CHECKED BY SCALE ~/~'~1~' OF DATE DATE ,/ PRODUCT204-! ~ nc, Groton, t~a~s 0147], EAGLE RIVER ENGINEERING SERVICES P.O. BOX 775294 EAGLE RIVER, ALASKA 9957'7 694-5195 oPECIFICATIOIqS FOR ON-SITE SEPTIC SYSTEM LEGAL: Lob 1, Blk L, Donald C. Sol~t-oeder 'ITS, Unit ttl GENERA[_ .1. "The well and septio plan are for a single family r-esiderloe use only. 2. The dr~a~ln9 and or" site plan shall be a paF~ of this speoifioation. 5. Ali rnaterials~ and workmanship shall mee~ bhe requiremenLs of the AnohoraE~e Department of Heal. th and State 4. All soil tests are advt%or"y to the des&gn and are to be ver'ified or modified J.n t..t~e f}e}d by khe engir'~eer. 5. all excavations and depths are advisory and aFe t:,o be vel-ified or modified J.n the f~eld b,,/ lshe oor~tFaoLor Lo meet MOA, D.E.C 6. IL is t;l'~e r-esponsib'i, lil;y oF the owner bo obtain all necessary per'mits of easements aild [.o loc:aLe any adjaoent rnultJ,-'family '7,. The excaval:,~or~ :J,~:; to be exao~].y in khe area showr~ on El'~e si~e pi. an, ally devza~.}or/ Fequ~l ec; el'l(j~r/ee~l approval. 8. Its :iE; always i"eCOl'nmer~ded l::hat a (surveyor looake the r'leaFest lot IJO~itior~ and the ]ooat:,~on of any easements. El ,. D R A I hi F I E L D 1,. 'The dl'a:infie/d is; to fol].o~ the natur-al land contour' to mainta:irl ur'~ifor'm t. ot'.a], dept:.h of l:,he tFencl"~ bottom. The bottom of the t:,renoh E:.hall be leve'l~ p~LI$ or minus 1.5" 5. 'T'he t:.ota] depl::.h of the Ll'"enoh e>(oavation is not to exceed 9.5' at any point,. 4,, The sewer- line ~s to replace ~he ex~stin~a sewer line tha~ leads t,o the ex:[s;t, incl trer~ch. 5. The ~re~ch grave:]. &s Lo be oover~ed ~bh Eypar fabrto rnat:,erSal. SozZ or oombir'~atior~ of so~Z and extruded boar'd ZnsuZa~ion [o a depbh of 4' or' equivalent is ~o be plaoed over Ehe dr'a&nf~eZd. The area oveF t. he tFerx)h ~s; Eo be finish graded ~o pFevent pondSng of surfaoe watcer runoff. The septic tal"~k and leaohfield rrlus~ not; IDe oloser than lO0 feet to an'/ existil'lg pr'irate we~l, i50' Eo an'>/ Olass "0" ~ell, or 200 feet to any oornmur~ity we:.:.,, RECOMMENDED LEACFtFtELD DIMEI'qSIOIqS TQTAL DEPTId: 9.5' GRAVEL DEF'TI'fl::: 5.5' TREhlCH LENGTH: 34' TRENCH WIDTH= 50" W'elI 'Owner ...... Size of casing ' P. ~.. :3ox 4-1224 o 1310C International Airport Ru~d ..- ,.: .- ANCHORAGE. ALASKA 99509 DRILLING LOG Robert' P. Horne T:owr~ship,. Rang~,.. S~'~ion~ if known; or distance main road ' LI,...Blk 1, Schroeder Subdiv. No. 3 ~6 Depth of Hole. 150 feet Cased to 36 feet Use of WeU Dom Static water level Screen ( ); Perforated.( ). 80 ' . ft. (:~/~) (below) land surface. Finish of well (check one) open end ( X ); Describe screen or perforation Well pumping test at 2 gallons per of drawdown from static level. Date of comple~ion. 13 June 75 Depth in feet from ground 'surface 0 TO 1.3 None (minute) for . 1 hours with. . 100~ ~¢ WELL LOG Give details of formations penetrated, size of material, color and hardness Silty Gravel 13__,T0 15 Boulder 15 _TO 22 Sift'¥ Gravel 22 .TO, 25 25 .TO 27 27 TO 28 _ 28_ TO 37 w Boulder Gravel Boulder Boulder Gravel: _ 'sD_?~_l 1 37 .TO 150 ,, .TO. ,TO , .TO · , ,TO, TO. Bsdrock: ,., black to gray: some ~uartz fissure filli,.nG, w/ small water seaps from 125' do;~n. I -- CUSTOMER t• Municipality of Anchorage On -Site Water & Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-481-07 1. GENERAL INFORMATION Expiration Date: 10 D-6 -1 q Complete legal description DONALD C SCHROEDER S/D #3 UNIT 1; BLOCK 1, LOT 1 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 24011 O'RIEDNER ROAD, EAGLE RIVER, AK 99577 CODY HATFIELD i Day phone 301-6694 24011 O'RIEDNER ROAD, EAGLE RIVER, AK 99577 CINDY LINDBLOM Day phone 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 830-1515 3. NUMBER OF BEDROOMS: 3 , 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: IndividuallNell Individual On-site Individual Water Storage El Holding tank F] .Community Class •• Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ WaiverNarianoerequest for. N/A Distance: - Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $567) Date of Payment w%q 11 -! Receipt Number COSA# t1�C1�13t ;�- Date: Waiver Fee $ Date of Payment Receipt Number Waiver # An 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my investigation, based on procedures outlined in the 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 Address GARNESS ENGINEERING GROUP, Ltd. 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. 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 ofAnchorage and industry practices. The reported results describe the condition of the systems on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend on a variety of variables including, but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systems. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systems; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an aftemative well or septic system can be installed on the property in the event ether of the current systems fail. The content of this report is for the sole benefit of the person/party who retained GEG. Reliance upon the information provided in this report by any other person or party, including but not limited to subsequent property purchasers, is not authorized. In short, GEG disavows any legal duty to anyone other than the person/party who paid for this report. 6. DSD SIGNATURE System #1 Approved for bedrooms. System #2 Approved for bedrooms. Phone 337-6179 Date 7 0 /)11 LICENSE #AECC884 pROF...S;�P4 Disapproved. AkW(Mwiref OF Conditional approval for bedrooms, with the following stipQ S. j` Oil -SITE �c r =-o WASTEWATER z= PROGRAM �< 4Z By: tOriginal Certificate Date:��,' The Municipality or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other (Rev. 10/12/12) r COSA dist Legal Description: DONALD C SCHROEDER S/D #3 UNIT 1; BLOCK 1, LOT 1 Parcel ID: 050-481-07 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA ❑ Well log is filed with Onsite (or attached) Well production at time of test 5.9 qpm Date drilled 6"'/75. Water Water storage tank volume gallons Total depth 150, ft Well disinfected for coliform test? ❑ Yes ❑ No Cased to 36 ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑ Wires are properly protected Arsenic' ug/L ❑ Arsenic less than MRL (ND) Casing height (above ground) 12+ in. Collected by GEG, LTD. Date of flow test for COSA 6118/19 _ Date of Sample 6118/19 Static water level at beginning of test 89.4 ft Comments B. TANK DATA C. T STATION Age of tank(s) <8 years ❑ Require aintenance completed Tank type/material STEEL tYP Age of lift station ye Measured operating fluid level in septic tank a9 ass Lift station material ❑ Standpipes/foundation cleanout per record drawing Comment Date of pumping OW (Z\ Y a O D. ABSORPTION FIELD DATA DEEP TRENCH Which system tested (date installed) 10'2811' Adequacy test date 6/18/19 ❑ ALL standpipes present per record drawing Results 7Pass For 3 bedrooms Total measured depth from grade 9.3 ft (max) Fluid depth prior to test' - 3.75 in Measured depth to pipe invert from grade :48.5 ft (min) Water added 711 gal ❑ N/A - pressurized field - New depth 23.25 in ❑ Monitor tubes go to bottom of effective. If not, state 120 depth into effective Ela sed time -min p ❑ Code -required soil cover over field Final fluid depth 13 in ❑ System presoaked Absorption rate 450+_ and (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: SUMP FOR 1986 TRENCH WAS DRY TO 113.5" BELOW GRADE PRIOR AND DURING TEST. FLOW DIRECTOR (BULL RUN) DIRECTED TO 2011 DRAINFIELD COSA Checklist yellow sheet 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' Yes if No ft Community Sewer Manhole/Cleanout > 100' Q Yes if No ft Yes if No ft Neighboring Tank > 100' Q Yes if No ft Private Sewer/Septic Line > 25' Q Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' **** Animal Containment > 50' Yes if No ft ❑ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑r Yes if No ft E] 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' Q✓ Yes if No Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q Yes if No -i ft a Private Wells > 100'❑ Yes if No Water Main > 10' Q Yes if No ft Community Wells > 200'✓❑ Yes if No. 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' Q 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' Yes if No Water Service Line > 10' Yes if No ft Community Wells > 200' ❑r Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS *MET SEPARATION DISTANCE AT TIME OF INSTALLATION. **LOT LINE WAIVER GRANTED (SEE WAIVER #OSP111250) *** MEASURED 100.80' FROM EDGE OF WELL TO EDGE OF SUMP FOR 1986 TRENCH - MEASURED WITH TOTAL STATION ****ADJACENT SEPTIC SYSTEM FOR THE PROPERTY TO THE WEST HAS NO MOA RECORDS. WE AREA AND FOUND NO ENCROAHMENTS; HOWEVER, IT MAY BE POSSIBLE THAT AN ENCHROACt oo6o�c G. ENGINEER'S CERTIFICATION o nF 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet AVE WALKED THE ENT EXISTS. #AECC884 ft ft ft ft ft Municipality of AnchOrage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE FOR A OF ON-SITE SYSTEMS APPROVAL SINGLE FAMILY DWELLING Parcel I.D. 050-481-07 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DONALD C. SCHROEDER #5 UNIT 1; BLOCK 1, LOT 1 REM 24011 O'REIDNER ROAD *EAGLE RIVER, AK PAMELA MONFORE Day phone 242-9975 24011 O'REIDNER ROAD *EAGLE RIVER, AK Day phone Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well · Individual On-site · Individual'Water Storag~ [] Individual Holding tank [] Community cla'ss 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 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 afl applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUBER ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner llsted above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal fight whatsoever. 5. DSD SIGNATURE J Approved for '~ bedrooms, · By: Disapproved. Conditional approval for Attachments: COSA Checklist bedrooms, with the following stipulat[,eri~ OF Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements SuPplemental Engineer's Report Other Origin al Certificate Date: ////'~ ~/,/~/ (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Elrnore Road P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS DONALD C. scHROEDER #5 UNIT 1; Legal Description: BLOCK 1, LOT 1 REM A. WELL DATA Well type PRIVATE Date completed 6/13/75 Total depth 150 .ft. Date of test Static water level Well production WATER SAMPLE RESULTS: APPROVAL CHECKLIST Parcel ID: 050-481-07 *CASED TO BEDROCK IfA, B, or C provide PWSID# N/A Well Log (Y/N) Sanitary seal (Y/N) YES Wires properly protected (Y/N) Cased to *36 ft. Casing height (above ground) FROM WELL LOG AT INSPECTION 6/1.3/75 7/26/11 80 ft. 55 ft. 2 g.p.m. 6.0 g.p.m. YES YES 12+ in. Coliform ~ colonies/100 mi. Nitrate __mg./L. Arsenic: ¥,,~D ug./L. Date of sample: 11/1/11 SEPTIC/HOLDING TANK DATA **FCO IS APPROXIMATELY Tank Type/Material Tank size 1000 gal. Collected by: GEG, Ltd. 8 FEET FROM FOUNDATION. Foundation cleanout (Y/N)**YES Date of pumping NEW C. ABSORPTION FIELD DATA SEPTIC/STEEL Number of Compartments 2 Depression over tank (Y/N) NO Pumper. I'BELOW EXISTING GRADE] Date installed 10/28/1 1 Soil rating (g.p.d./ft2or~ 1.2 Length '5~'f- ~c~ ~f~.' Width 2.5 ft. Total depth *9.67+ ft. Eft. absorption area ~ fi2 Monitoring tube YES Date of adequacy test NEW. Results (Pass/Fail) Fluid depth in absorption field before test - in. Elapsed Timei - min. Final fluid depth - PASS Any rejuvenation treatment (past 12 mo.) (YIN & type) Date installed 10/28/11 Cleanouts (Y/N) YES High water alarm (Y/N) N/A System type TRENCH Gravel below pipe 5.02 ft. Depression over field NO For .3 bedrooms Water added - gal. New depth - in. in. Absorption rate >= 450+ g.p.d. NONE KNOWN If yes, give date - D. LIFT STATION Date installed "Pump on" level at in. E= Size in gallons Manhole/Access ~ ~ "Pump off= leve[J~. High water alarm level at Cycles tested. Meets alarm & circuit requirements?. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: 100'+ Septic tank/lift station on lot Absorption field on lot. 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50' + in. On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manholelcleanout Holding tank N/A Manure/animal excrete storage areas N/A 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main N/A Water service line. 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line .1' Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ COMMENTS *WR~OSP111250 Absorption field 5' + Surface water, 100'+ Water main N/A Driveway, parking~vehicle storage 10'+ 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 COSA guidelines in effect on this date. Engineer's Pdnted Name JEFFREY A. GARNESS Date ~{ Il°/I' (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number ASBUILT-NO CORNERS SET THIS DATE. CERTIFY THAT '" HERE~ I HAVE ~ED THE 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 l;Bloc~1; Donald C. Schro6d~r Subdivision; ¢ I Location (address or directions) NHN Hammond Av6nue (b) Property owner H.U.D.#036209 Mailing Address Telephone'(home) Business.. (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent ASSOCIATED BROKERS ATT/V; Sandy Address 640 West 40th Av6nue Suite One Anchorage:Ak. 99503 Telephone . 563-3333 (e) Mail the HAA to the following address: (or check here E~Xif hold for pick up.) List contact person and day phone number below: 5 & 5, EN~ItVbEI;f, iNG 't 7034 Eagte River Loop Road No, 204 .~aCe River, Alaska 9957~ 2. TYPE OF RESIDENCE Single-Family az Number of bedrooms $ "/ 3. WATER SUPPLY Individual Well E~X Community[] Public[] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site dx Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page 1 of 2 ')lJo~ s,Jeeu!6ue leUO!SSe~oJd eql u! suo!ss! uJO Jo sJoJJo Joj elq!suodsaJ lou s! e6eJoqouv jo/,1!led!o! unlAI eH/'penss! s! eleo!j!peo ~ eJojeq ~p az41eu~ Jo suop, oedsu! lonpuo3 ~,ou op SHHO ~o see~OldLU~ 'slueLueJ!nbeJ el~ls puE leJepej u!elJeo ~js!les ol JepJo u! 6u!puel J!eql pue SeLUOq JO sJesgqoJnd ol ~sepnoo e s~ s!q~ seop SHHQ eq.L '~)tSSl¥ jo elm, S eql u! peJels!6eJ ~eeu!6ue ISUO!SSejo~d luepuedepu! ue ~q e^oq~ S qde~Se~ed u! ue^!6 suo!lelueseJdeJ eql uodn XlUO peseq peleo!jpeo I~^o~ddv ~lHoq~,nv qll~eH senss! 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WELL Well Classification -~c~~_- Well Log Present ~N] __~__ Date Completed Total Depth MUNICIPALITY Of ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: ~._,._5-'r' L,, - tz~_ -15' Cased to ~"'~ Depth of Grouting If A, B, C, D.E.C. Approved (Y/N) Yield Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (~)/N) Pump Set At Sanitary Seal on Casing ~N) Depression Around Wellhead (Y/~ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot \Oc~~ + To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line ~ I ~ To Nearest Sewer Service Line on Lot Water Sample Collected by ~ ~' ~ ~__.~,,~L,,~,,~,~=~,....~_~,..~.~,~ ; Date Water Sample Test Results ~.~e,Ct~~~ - '~~ Comments '~ ~;:~'~ P','T ~l,~ ; On Adjoining Lots \ Q ~ ~ \0o~ ~r ; On Adjoining Lots ~,Cx--%~+ To Nearest Public Sewer Cleanout/Manhole "-'- B. SEPTIC/HOLDING TANK DATA Date Installed ~-~-~, Size Standpipes~N) ~ Depression over Tank (Y~) Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) ~/~k, \ o/~L~ No. of Compartments '7. Air-tight Caps(~/N) '~ Foundation Cleanout~VN) ~ Date Last Pumped . , for --'-- Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water-Supply Well [C~ To Property Line ~,~ To Water Main/Service 'Line To Stream, Pond, Lake or Major Drainage Course To Building Foundation To Disposal Field Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed -~..- ~.-~L~ Width of Field "~ Square Feet of Absortion Area ~-.~/~ ~ Depression over Field (Y~ ~ Type of System Design Length of Field '~r~ ,~ Depth of Field Gravel Bed Thickness Statndpipes Present (~N) Date of Last Adequacy Test Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot ) iD~ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line ~\~' To Existing or Abandoned System on ; On Adjoining Lots '~ t'¥ ~. L~ ~ To Cutback (if present) ~'~ Comments D. LIFT STATION Date.~.~lled Dimensions Size in Ga-Tl'o¢~~ Manhole/Access (y/N) "Pump On" Level at ~ "Pump Off" Level' at High Water Alarm Level at ~~y Tested for Y/I ~ cles during Adequacy Test. Meets MOA Electrical Codes ( ~ Com ments........~ ~-~ **Check Permitted Bedroom Rating Against HAA Request** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in ef' inspection. Signed Company Date MOA No. 17034 Eagle River Loop Road No. 204 Eagle River, Alaska ~;577., Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 · TELEPHONE (907)562-2343 FEDERAL TAX I.D. #92-0040440 Date Report PRinted: OCT l{ 90 ! i5:16 Client Sample ID:L1 BI DONALD C, SC~OED£~ PW$ID :UA Collected OCT 12 90 { 09:20. hrs. Received OCT i2 90 ! 10:00 his, Preserved ~ith :AS RE~IR£D Client ~amo Client Acct ?.0.! NONE Req ! O~dered By. Analysis Completed :OCT 12 90 Send Reports to: Laboratory Supervisor Special ~ll RESULTS TO RAY SHAFER AT 694-1211. Instruct: Chemlab Ref t; 904218 Lab Smpl ID: ! Matrix: ~ATEB Ailo~able Pe~ame~e~ Tested 'Bssul~ Units Method Limits NITRATE-g O.tO ~/1 ~Pt 351.2 10 Sample ROUTINE SAMPLE. Rema~k{: SAMPLE COLLECTED BY RAY. Tests Periorme~ ' See Special Instructions Above gA-Unavailable None Detected "See 9ample Remarks Above Not Analyzed LT-Lees Than, GT-Cresto~ Than CHEMIC~IL & GEOLOGIC~IL LABOR~4TORIES OF ALASt[M, INC. Drinking Water A o~ for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER E] PUBL,C WATER SYSTEM I.D., [. I' i I i-! I-- I ~--PRIVATE WATER SYSTEM Name Phone No. Mailing Adf, .~ Eagle Rive~' Loop Roed No. 204 E~I. River, Alas~ City State Mo. Day Year Zip Code SAMPLE TYPE: c:~-~Routine [] Check Sample (for routine sample with lab ref. no. C1 Special Purpose Treated Water Untreated Water TO BE COMPLETED BY LABORATORY shows this Water SAMPLE to be: factory [] Unsatisfactory [] Sample too long In transit; sample should not be over 30 hours old at examination to Indicate reliable results. Please send new sample via special delivery mall. Date Received .J~/12,/ Time Received 'Analytical Method: Membrane Filter No. of colonies/100 mi. SAMPLE NO. 1 Time Collected LOCATION Col~ected~ · Lab Ref. No. Result* o.42 -Z I ITl I I rtl I I BACTERIOLOGICAL WATER ANALYSIS RECORD Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Membrane Filter:. Dltecl Count Verification: LTB_ Final Membrane Filter Results Reported B~=~--~ ~, BGB Coliform/lO0 mi TNTC = Too Numberous To Count OB = Other Bacteria Coliform/lO0 mi D,teL ,/c~-I ~.50 ..... Time: ~J ~'~ .... a.m. p.m. PART ON~ OF' Ttt~ R~MA I ND~FI 'l*O I~OI, LOW ~0 'd ~J nrJ GENERAL INFORMATION (a) CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL '; OF ON.SITE SEWER AND WATER FACILITY, ::.., 264-4720 ~:'~ Application Date June 1~, 1986 Legal Description (include lot, block, subdivision, section, township, range)i: ,. Lot 1, Blk 1,' Donald C. Schroeder#~, Unit #1, T14N RiW Sec 14 Location (address or directions) : ~, , .[" Eagle River Rd. (b) (c) Applicant Name Frank Antilon Telephone: Home N/A Business 753-2698 Applicant Address 5042 Sillary Circle Anchorage, Ala.ska 9D508 Applicant is (check one): Lending Institution []; Owner/builder []; Buyer [] · Other [] (explain); (d) Lending Institution City Mortgage Address 405 W. 36th, Suite (e) Real Estate Company and Agent N/A Address Telephone 263-2379 100 Anchorage ~ A'I aRka 99503 Telephone (f) Mail the HAA to the following address: Pickup by en~;ineer TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms Other WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation fro m the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [] Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State De partment of Environmental Conservation attesting to the legality and status. Page I of 2 ' - 72-025 (11/84) As certified by my seal affixed hereto and as of the,va ldation date shown below,. I verify that my investigation of this Hedtfl Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adeq ua~te 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.*conditiortal approval based on leachfield upgrade. Name of Firm Telephone' EAGLE RIVER ENGINE~_RIN,:~ ~,~, Address ,-.,,, ,- .,, '.,. r~-,- a,~/ER,~r, 99577 Date P. 0. BOX 773294 694-5195 Approved )(' Disapproved Conditional Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEF do not conduct inspections or analyze data before a certificate is issued. The Munidpality of Anchorage is not responsible for errors or omissions in the professional engineer's work. . Page 2 of 2 72-025 (11/84) WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 MUNICIPALITY O~ ~ .... '=~' ~: DEPT, OF HEALTr~ ', ENVIRONMENTAL Pg©TEC, ~ON 264-4720 Legal Description: If A, B, C, D.E.~;. Approved (Y/N) Well Classification /3A:~ !/.2~ Well Log Present (Y/N) ,,Y' Date Completed ~'-/3 - 75" ... Yield Total Depth ,/5-0 Cased to "~6 "~"~""~}epth of Grouting Static Water Level /,,2.,~. ~ ,Z~/o,., ~ c~-~,~,~ Pump Set At Casing Height Above Ground /,A '~ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) Electrical Wiring in Conduit (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 · On Adjoining Lots · On Adjoining Lots Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments To Nearest Public Sewer To Nearest Sewer Service Line on Lot '~-,=J~'" ~"~_5'~''~'~'~;' ' Date ~- / '~ - g' ¢ B. SEPTIC/HOLDING TANK DATA Date Installed Size ... Standpipes (Y/N) ,,V Air-tight Caps (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contract on File (Y/N) ~'//'~ Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well /~ / To Property Line /-/~'~ / To Water Main/Service Line ~/~ / Course No. of Compartments -~ ,,J/ Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) To Building Foundation /~ / To Dis posal Field ~/? "~.*,,,,~ ,, To Stream, Pond, Lake or Major Drainage Comments Page 1 of 2 72-026(11/84) C, ABSORPTION FIELD DATA Soils Rating in Absorption Strata ,~- Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well /~o / To Building Foundation ,~,=2 ' Lot //~ / To Water Main/Service Line ~'/o To Stream/Pond/Lake/or Major Drainage Course /~'///¢ To Driveway, Parking Area, or Vehicle Storage Area Comments ~ ,4,~¢,,¢- ~ be Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes Present (Y/N) Date of Last Adequacy Test To Property Line To Existing or Abandoned System on · On Adjoining Lots :~ / To Cutbank (if present) LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to alt MOA and HAA guidelines in effect on the date of this inspection. Signed J~-~=::~ Date '7//./ Company Receipt No. ~ff Date of Payment Amount: $ MOA No. Page 2 of 2 72-026 {11/84) Eagle River Engineering Services P. O. Box 773294 Eagle River, AK 99577 694-5195 Seal "R ANCHORA6E AREA BOF Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 IGH INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER if~d./ P/~.~ MATERIAL INSIDE WIDTH LIQUID DEPTH_ NUMBER OF COMPARTMENTS LIQUID CAPACITY GALLONS. SEEPAGE illilIP: NUMBER OF PITS . LINING MATERIAL BUILDING FOUNDATION DIAMETER ~1 OR WIDTH (~/, LENGTH /~1~)I, DEPTH 2~-/ CRIB SIZE: DIAMETER ~'DEPTH ~ DISTANCE FROM: WELL TOTAL EFFECTIVE , NEAREST LOT LINE'~'-/-,-)! ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION SQ. FT. TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION __ , LOT LINE CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE ., SEWER LINE ., TANK__., SYSTEM REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ~031 GREATER ANCHORAGE AREA BOROUGH ~f~(~H:~i~!'~ .)epartment of Environmental quality 3330 C Street Anchorage, Alaska 99503 iNSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~ MAILING ADDRESS. PHONE ¢/, '" -"/": ' ~.,,,.,,/ LOCATION,.-t, :,'~ .~:~'- ':D '.,'~.?'/~ .,'v ~ft ";:'"" '~'. ',- ,, EEGAL' DESCRIPTION Ir?..l. ~, ,Cx~::,C ; ,,..,.,,..., --,., -:.- -' .2, ,,10 ~.f,' , SEPTtO TAN DISTANCE FROM WELL INSIDE LENGTH '"" ' ,O,-' "' F.~ ~"~ , NUMBER OF MANUFACTURER -~tgh'{-R! f''i''''/~¢~''L( MATERIAL COMPARTMENTS INSIDE WIDTH LIQUID DEPTH .LIQUID CAPACITY/CC ~ GALLONS. SEEPAG~ P I:-'F': NUMBER OF PITS ' LINING MATERIAL ,,-.'o ~., .'<' $ BUILDING FOUNDATION ''~ ;',. , ADDITIONAL ABSORPTION DIAMETER ~'¢ OR WIDTH /~''/ LENGTH ".". DEPTH ..- CRIB SIZE: DIAMETER -¢' DEPTH .... . DISTANCE FROM: TOTAL EFFECTIVE NEAREST LOT LINE ¢'' WELl. ABSORPTION AREA (WALL AREA)' SQ. FT. TYPE CONSTRUCTION DEPTH BUILDING ~- NEAREST FO JNDATtOiN __, LOT LINE NEAREST SEWER L NE CESSPOOL . . OTHER SOURCES APPROVED. DISAPPROVED DISTANCE FROM: SEPTIC ~',~'"""' SEEPAGE TANK , SYSTEM REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED PIPE MATERIAL: LOT SLOPE: REMARKS: DATE APPROVED .G.A.A.B. Fgrrr: bio. E~.031 .. -' / GREATEr ANCHORAge AREa BOrOUgh NAME OF APPLICANT I I ~~ ~/~ INSTALLATION LOCATION ~/~ LEgal DESCRIPTION INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY T;~E SERVED FINANCED THROUGH ~ ~ COMPLETION DATE ANTICIPA/ED DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT NO. SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT PHONE SEEPAGE PIT ~ DRAIN FIELD OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK TO NEAREST LOT LINE. WELL TO SEPTIC TANK / DRAIN FIELD FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING Of ANY SYSTEM WITHOUT FINAL INSPECTION BY. THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PRO~E~CU.~I~IOi~I. i~'~ ~/ ' ~ "' ~ ' - '" " TYPE~ MINIMUM DISTANCE~, REQUIREMENTS / DIAGRAM OF SYSTEM DRAIN FIELD SEEPAGE PIT ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, : SEEPAGE PIT I ~ DRAIN FIELD TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EX.~.~CAVATION 5 FEET INTO UNDISTIlJRbED .~cJi! , 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PiT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUG~-~ULATIONS REGARDING INSTALLATION. /i y LICENSED DESIGNER I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED S~$TEM IS IN ACCORDANCE WITH SAI~ CODE. GREATER ANCIIORAGE AREA bOROUL.. Department of [nvironnlental Quality 3330 "C" Street Anchorage, Alaska 99503 SOILS 1~0(~ .- PI~;ROI,ATION TEST Performed for Bc~ ~o~ i.)ate Perform,.!'d ac--Iq-76-- This form reports' Soils log__;~__Z~_~ Percolation Lest Dep th Feet 11 - 12- 13- 14- Was ground water encountered? ~] '~ iLFr~_~TL_ ..... If yes, at what depth? Reading Date Gross Time Net Time Pe rcol a t i on 'r-~ t--e- ............... ii~i-n-u-t-e-.' ...... Depth to Water Net Drop ..Proposed installai-l-¥n' Seepage Pit brain Field ................................... Depth of Inlet . Deptl-F¥6'"66~t~-m-6¥-pit or trenci~ . _ : ................... ~ ¢ - 4 '--' ' ...................... '-' r ~:q-o4o ......... APPLi NT FILLS OUT UPPER HA, ONLY pfo~erty Owner~ ~ b ~, r~ ~ C ~,,~ ~/ /,,) ~)/,~/..~.~ ~ (..... Phone Buyer ~',/~ / ,4) ~.' Lending Institution N~7 ~ Phono Type of Residence ~,~l~gle Family [] Multl~le ~emlly No. of Bodrooms [] Other Water Supply {~tfl~vidual ATTACH WELL LOG. A wail log is required for all wells drilled since June 1975. [] Community For wells drilled prior to that date, give well depth (attach log if available). [] Public Utility Sewer Dispo~.~.~ ~.,.fffalvldual Year Individual Installed: /~ ~ ~'~ [] Public Utility When Connected to Public Utility: [] Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time '~ / Time Time Time D~~.~- ~--/ Date Date In'pector /¢~' I,sp.tor Insp~tor ('~) APPROVED BEDROOMS 20--t~''-?~r~~ *CONDITIONS OF APPROVAL (~) DISAP~OVED ( ) CONDITIONAL APPROVAL* Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received ~',' :/~'¢¢ Well to Tank Septic T~k Size 72-023 (3182) EXCAVATION ROBERT A. SHAFER WORK CIVIL ENGINEER MUNICIPALITY 6~¢'~'gi'~HO RAG E August 15, 1 .[[~,T!. :1,,~-,. :O~ r'-.'~ I982 Carol Adamec SR Box 204 Eagle River, Alaska 99577 RECEIVED Dear Ms. Adamec, Reference: Lot 1: Block 1: Donald C schroeder Subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of approximately 500 gallons of water at the rate of 32 gallons per minute. The system accepted the full amount of water without any adverse effect. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. If we may be of further service, please do not hesitate to call. fAS/ s / Lee Houston and Associates Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA SPE ON Ap,o NT · ~- ~ IN CTI I MENT TJME ~'' TIME DEPT. OF 1-'.TALTH & MUNICIPALITY OF ANCHORAGE - VIR ~ ~" ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~ ONME,-,b.~ ~ ,.L~T~CTION 825 L Street - Anchora~, Alaska 99501 ENWRONM~NTAL SANiTATiON D,V~S~ON APR ~ 6 1980 Telephone 264-4720E C E l V E D REOUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete reques~ will not be proc~d. Please allow ten (10) days for processing. M~I E~ NG A~DR ESSL ~ PROPERTY ~ESIDENT (If different from nbow) PHONE 2. ~YE'~ ~ ~ PHONE MAI LING ADDRESS' d ..... 3. LENDIN~ INSTITUTION MAILING ADDRESS 5. LEGAL DESCRIPTION' I STREET LOCAT G A -- 6, "i'YPE OF RESIDENCE " I~UMBER OF,§EDROOMS ' [] One [] Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six 7. WATER SUPPLY [] Other INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth ~t,tach log if available.) , ~ ~__~.~YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 Inev. 6/79~ aJ0 THIS SIDE FO~ OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY [] ONE [] TWO NUMBER OF BEDROOMS [] THREE [] FIVE [] FOUR [] SIX [] OTHER 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON -SITE ['-]PUBLIC UTIEITY Connection Verified E~]Septic Tank or [] Holding Tank Size: !(~)(~O If Tank is homemade give dimensions: PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED INSTALLER TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: SOILS RATING Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS DATE ~AAPPROVED FOR ~ BEDROOMS , [] CONDITIONAL APPROVAL (letter.must acco~ppany certificate) ~-'-DISAPPROVED '~ ~ /~ 72-010 [Rev, 6/79) DAVID A, SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 June 30, 1980 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAG[ DEPT. OF H~ALTH & ENVIRONMENTAL P~OTECTI~ Totem Realty ATTENTION: John Parker P.O. Box 911 Eagle River, Alaska 99577 JUL 3 1980 RECEIVED Dear Mr. Parker, Reference: Lot 1; Block 1; Schroeder Subdivision No. 3 A sewer system adequacy test was performed on the Gordon Keith property, per your request. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was checked by a continuous flow of 478 gallons of water over a period of 24 hours. There was no measurable effect on the system. It can be concluded from this test that the septic tank system is functioning adequately for the the three bedroom residence. If we may be of further assistance, please do not hesitate to call. Sincerqty, '~-I .//'ROBERT A. SHAF~'R, P.E. cc: ~unicipal±ty of Anchorage Department o]5 Health and Enviornmental Protection National Bank of Alaska ATTENTION: Ruth LaBarr SRB 196X EAGLE RIVER, ALASKA GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received ~'~. Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested Mailing Address: 2. Property Owner: Mailing Address: / / Phone: Phone: 3~ Legal Description: 5. Type of facility to be inspected 6. Well Data: B. Depth ~' D. Bacterial Analysis A. Type C. Construction Sewage Disposal System: ~]]L~oTJ~ A. Installed ~ B. C. Septic Tank: 1. Size ~ 2. Manufacturer ~ l. Absorption Area 2. Material e D. Seepage Pit: E. Disposal Field: Total length of lines 8. Distances: A. Well to: Nearest lot line ~ ~ , Other contamination B. Foundation-~to\, .- . ,.sep .~;~Sc. t?k. . L,'L: .. _ ,,_.__Absorption area C. Absorption area to nearest lot line ~ Septic tank 7 ~'~ ., Absorption area Sewer Lines , EQ-034 (1/74) Page 1 of two ~ages 'GREATER A~.tCHORAGE AR~$ BOROUGH Department of Environmental Quality 3320 "C" St.,. Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES o Type of Inspection' CMRO VA StateVet FHA CONV Prope'rty Owner: Mailing Address: Robert P. Horne 99577 P. O. Box 963 E.R. D~y Phone 694-9436 Name of Buyer: 629 E. llth No. 2 ~ailin§ Address: Anchorage, AK 99501 Na~e of Lending Institution: State VET Mailing A'ddress:· 5. Name of Realtor or Agent: Myrna Johnston AREA Inc., Realtors 99577 Mailing Address: Box 249, Eagle River Gordon C. and. Shirley J. Keith 0a.y PhoneNot Available Phone 274-7555 ....... p. hone 694-955.5 6. Legal Descripti°n:' Lot 1, Blk 1,.Unit No. 1, 'Donald C. Schroeder No. 3 Locati0n: On Hammond Avenue. Approx. Mile 5 Eagle River Road Across from"all log"Subdivision (Realtor will accompany) if desired. 7. ·Type of Facility to be inspected: Single Family No. Bdfm$. 3 8. ~later SUpply 'Type of' Supply: Public Utility Individual xx If Individual., number of dwellings, presently .served 1' If Individual, depth of well 150' Sewage Disposal. System Type .of S~stem: Public Utility Individual (on-site) xx If Individual, date of instal.lation Approved 5-20-75 Please fOrward Approval to Myrna Johnston AREA, Inc., Realtors Box 249 ' Eagle River, AK 99577 Page's.2 of two pages - Re st for Approval of Individual er & Water Facilities Cpmments Approved '.Disapproved , ,, Approval Valid f~ one:year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIaGRAM,OF SYSIEM I 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 satisfactoril_~ EQ-034 (1/74)