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Home My WebLink AboutEAGLE RIVER HEIGHTS NORTH BLK 5 LT 1 Eogle River Heights North Block 5 Lot I #050 191-15 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW020171 PID Number: 050-191-15 ~°m":LAURENCE SANDERS Wastewater System: [] New · Upgrade P.O. BOX 81756, FAIRBANKS, AK 99708 ABSORPTION FIELD Ph°ne:(907) (907) 455--7526 3 [] Deep Trench · Shallow Trench [] Bed [] Mound []Other LEGAL DESCRIPTION 1.2 ~p,/s,. 5 1 EAGLE RIVER HTS. NORTH 1.2-4.8 - - - SEE DWG. WELL: [] New [] Upgrade 5 ~ ~ 420 s~.r~ D 3034/ F-810 ? ~. CCC CONSTRUCTION 6~18-21/02 ~ 13PM Pump Se[At: Ft, t~Tng "'0~' "~" ~'"""~ TANK SEPARATION DISTANCES · Septic [] Holding [] S.T.E.P. [] Other monk Rer~c~ Station monk s.,w~- u.. PREMIER PLASTIC 1 000 Welt 100'+ 100% -- -- 25'+ HDPE 2 S.,oee Water 100'+ ~00'+ - - - LIFT STATION ~ Curt. in Dr(lln N(~NE KNOW~ Remarks: *REOUEST THAT LOT LINE WANER ~WR020026. BENCH MARK BE AMENDED TO 2 FEET FROM THE WEST AND SOUTH Bo-FroM OF BIDING AT POINT "A". PROPERTY LINES, **OLD SEPTIC TANK ABANDONED COMPLETELY 100,00 Ft AC0ORD,N TO UPC. ~,~ :-' inspections performed by: AKWWC, INC. Dates: 1st 6/18/02 .~.:'. .... '. ~.....2' ..... ': .... 2nd 6~'19'/02 ..~_~.. ~ .~. ~..y. ........... , 3rd 6/21/02 Development~Service_s Department Approval (/{~.~! '...~ ~ ..."~ ' ' ~e' ~ - ' ~'~,~,~t'ofese~O~ ~:;~=~ Reviewed and approved b . ~ -~.~'-0'.~- PER OMB .: AS BUILT DRAWING NUMBER: SW020171 - 050-919-15 KEY BOX ~,ROX. ~oc~-,,, ~-w^~ u.~ ANVIK CIRCLE "',' 'i '.' . ... ..~ :'. . ~N~ CRiB TO BE X ~ ~ ~ · .' USED ~ A R~ S~ ~ ~ ' '- - .. ~ ~ ~ ~ ...... ~ 17.7 9.2 --2 ~ LOT UNE Wa~[R ~W~020020 ST2 17.2 1 2.2 DBL1 1 8.3 18.8 DB~ 1 8.6 20.0 ~N~ D~NmEm FD 19.1 21.0 CO 1 13.4 34.4 C02 52.0 58.0 MT1 51.8 59.0 CRIB 59.2 50.4 6/24/2002 AI,~WATER & W~TEWATER s~: J,L.M. ~~ CONSULTANTS, lNG.~~ - 1" L...:.~ ................ ;... 690, DEBARR ROAD, SUITE 2B ' ANCHORAGE, AK 9950' * PHONE (g07)'37'6'79 ' F~ (907)3'B-'ZG6 =20' PREPPED FOR: PHONE NUMBER: P~gE NUMBER: LOT 1 BLOCK 51 EAGLE RIVER HEIGHTS NORTH SUBDIVISION ~ ~ '"' AS-BUILT OF SEPTIC SYSTEM UPGRADE pERMIT NUMBER: AS BUILT DRAW]-I~ITG PARCELID NUMBER: SW020171 - 050-919-15 FINAL GRADE. = 99.40J: TOP OF TANK AT--X = I= /~TOP OF TANK AT INLET = 95.87 '~....~ ' ~OUTLET = 95.79 CONTRACTOR _/ iNVERT Of BUNO PREMIER PLASTIC AT INLET = 95.13 SEPTIC TANK ~NVERT OF BUNG AT OUTLET = 94,.86 I - BOTTOM OF TRENCH = 88.0 ALASKA WATER & WASTEWATER J.LM. ~6~:' ~'~~ CONSULTANTS, lNG, ~"~- - SC~. PREPARED FOR: PHONE NUMBER.* =AGE NUMBER: ....~ , LAURENCE SANDERS (907) 455-7526 5 OF 5 LOT 1, BLOCK 5; EAGLE RIVER HEIGHTS NORTH SUBDIVISION 3~PE OF WORK: PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRADE WR#: WR020026 Date Received: 6113102 Municipality o.f Anchorage Development Services Department Building Safety Division On-Site Water ~nd W~tstewater Program 4700 Bragaw Street P O. BOx 196650 Anchorage, AK 99519-6650 www.¢i.anchorage.ak.us (907) 343-7904 Waiver Review Worksheet PID~: 050-191-16 HA#: Legal Description: Eaale River Helahte North Block 5 Lot Engineer: Jeffrey A. Garness PE Alaska Water & Wastewater Consultants. Inc. Applicant: Laurence Sanders Permit~: 5tU0201'i t Criteria: ,Geology Points: A. Water Table B. Soil Sorption C, Permeability D. Water Table Gradient E. Horizontal Separation Total: Waiver is Granted: ~ Waiver is not Granted: List Condifionsor Reasons forabove: .~E~ E~t,I~t~tEE~ '$ & l~rl~'_~.. Date. By: P/~/ Name of Reviewer Rec~: 21219 Amount: ~150.00 Date Paid: 61t312002 MUNICIPALITY OF ANCHORAGE Development Services Depa/tment On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jun 13, 2002 Expiration D~te: Jun 13, 2003 Permit Number: SW020171 Parcel ID: 050-191-15 Legal Description: EAGLE RIVER HEIGHTS NORTH BLK 5 LT 1 Design Engineer: 0041 AK Water & Wastewater Consultan' Site Address: 010820 ANVIK CIR Owner Name: Laurence Sanders Lot Size: 12385 SQ. FT. Owner Address: PO Box 81736 Total Bedrooms: 4 Permit Bedrooms: 4 Fairbanks, AK 99708-0000 This permit is for the construction of: [] 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: ~~.~J~ ~ issued By: ~ ~, Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us RuSH (907) 343-7904 ON-SITE SEWER/WELL PERHIT APPLICATION FOR A SINGLE FAHILY DWELLING Parcel I.D. 050-191-15 Permit Number S k, O Z O I 71 Property owner(s) Mailing address (1) Mailing address (2) LAURENCE SANDERS p,o. BOX 81756 * FAIRBANKS. AK Day phone Zip Code 99708 Legal description (Lot, Block& Sub'd.) LOT 1. BLOCK 5: EAGLE RIVER HEIGHTS NORTH SUBDIVISION Legal description (Section, Township & Range) Lot Size / c~.~, ~ ~' Acres¢~ N/A Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only [] Well Only [] Sewer and Well [] Water Storage [] Sewer Upgrade · THIS PROPERTY CONTAINS: Hot Tub [] 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. ALASKA WATER & WASTEWATER CONSULTANTS~ INC. Permit Fees: ~:~/4¢)O-/'/~) Date of Payment: Receipt Number: ~Waiver Fees; Date of Payment: Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. June 12, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 Reft Proposed Septic Upgrade for Lot 1, Block 5; Eagle River Heights North Subdivision To whom it may concern: 1. GENERAL: The existing 3 bedroom home is served by public water and a private septic system. The septic system consists of a 1000 gallon septic tank and a log crib type drainfield. The drainfield is in a state of failure and must be upgraded prior to the sale of the house. A test hole was excavated south of the existing septic system. The septic system will be designed around the 30 foot radius of this test hole. We are proposing that a new 1000 gallon septic tank and a 5-wide trench type drainfield be installed. Comments regarding the design are summarized as follows: 2. SOILS: See the attached log, which shows the soil classifications, groundwater monitorin~ and the percolation test results. It is our opinion that an application rate of 1.2 gallons/day/ft' should apply and that the insitu silty soils should act as a sand filter. 3. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 ft2 f. Total Depth: 10 feet (max. - at any point) g. Effective Depth: 4 feet h. Width: 5 feet j. Minimum Length: 40 feet long k. Effective absorption area: 400 ft2 4. SURFACE WATER: There is no surface water within 100 feet of the proposed septic system upgrade. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 ~ ?h: (907)337-6179 ~ Fax: (907)338-3246 5. TOPOGRAPHY: As can be seen on the attached design, the average topography where the proposed drainfield is to be installed is a 1 to 5 percent slope rtmning from approximately east/southeast to west/northwest. In short, there are no slope concerns. 6. LOT LINE WAIVER REQUEST: We request that a 5 foot lot line waiver from the west property line and a 2 foot lot line waiver form the south lot line to the proposed drainfield be granted. We are unaware of any adverse effects that these waivers would have on the adjacent properties. 7. CLOSING: I am open to any suggestions from your department that would be an improvement to the proposed system. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call us at 337-6179. Sincere.ly ~E NOTE: Attached is a site plan drawing, a design drawing, a soil log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B - Anchorage, AK 99504 ~ Ph: (907)337-6179 ~ Fax: (907)338-3246 ~ ~ ........... ~ R~ ' ~ ',~ ~ ~ i ~ (SEE D~IGN, P~E 2 OF 2) ~_~ ~~ , ........ I INOTE: ALL PROPE~ES SHOWN ~E I ~ z. LOT 4, BLOCK 4; LOT 5, B~CK 4; ~T 2, BL~K 4; LOT 1, B~KI ~7~______ ..... ~ ....................... .,,,~, CONSULTANTS, INU, ~ ~URENCE SANDERS (907) 455-7526 1 OF 2 LOT 1, BLOCK 5; EAGLE RIVER HEIGHTS NORTH SUBDIVISION WPE OF WORK: SITE P~N FOR SEPTIC SYSTEM UPGRADE ~ ANVIK CIRCLE KEY BOX ~PROX. LOC~-x. ~ ~WATER LINE ~ 2 ~ LOT UNE ' ~ WA~ER REQUE~D-- ~ ~ PROPOSED 1000 ~N ~PROPOSED D~NR~. ~VATE A ~ENCH~SE~T C T~K ~s lO ~ OREO ~aua (AT OF C~. W~HED S~ER D~NR~K. NOTE: THE CONT~OTOR S~LL NAVE THE WE~ AND SOUTN PROPER~ LINES F~GGED BY A REGI~ERED ~ND SURV~OR PRIOR TO ~Y CON~RUC~ON. CONSULTANTS, INC.~ ~ b901 DEBARR ROAD, SUITE ZB* ANCHORAGE. AK 9950a * PHONE (907)357-0179 * FAX (907)338-5Za6 1" = 20' ~ ...... "' j ~ ~ ~ ..... PREPPED FOR: PHONE NUMBER: PAGE NUMBER: ~URENCE SANDERS (907) 455-7526 2 OF 2 ~ ,',;'~' ~'~;;~.:'"~ DESIGN OF PROPOSED SEPTIC UPGRADE ALASKA WATER & W~TE~¥ATER .4.91 !~ >'i':.7.*/ ISOIL LOG - PERCOLATION TESTI ~ v ,~.~.... ~ .......... LEGAL DESCRIPTION: LOT 1, BLOCK 5; EAGLE RIVER HEIGHTS NORTH SUBDIVISION ~ ~ "q ~ f eyj A.X~i~nes~.: ~ ~fE~Pe"[=¢ ~ ORGANICS tTEST HOLE #1 I s°" ~,:;-~'~...'., GW ==~=: ORG ~GP ~ ~, -- - .......................... )~ o~ SW HH I ' "' SP CH SH , OH SC DEPTH TO DATE G Yl/SF1 GROUNr)WATER (LOOSE) DRY 6/6/200~,, 10 11 DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HtNUTES) READING (INCHES) 12 6/6/2002 ~ - _ 6- - 2 - 5 O" 6" 13 3 - _ 6- - 4 - 5 O" 6" 14 5 - _ 6- - 6 - 5 O" 6' ~5 16 17 18 PERCOLATION RATE <1 (YlIN./INCH) PERC. HOLE DI~. 6 (iNCHES) 19 TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. 20 A FOUR HOUR PRESOAK W~S PERFORHED: [] YES · NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: ZACH GALL COH~ENTS: THE INSFfU SILTY, SANDY SOIL WILL ACT AS A SAND FILTER. PERFORMED BY A.W.W.C., INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS ~/ASJ PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: [, J'/ JO 2- GAAB-HD-I G'- ~R ANCHORAGE AREA BORC ~,~AFITMENT OF ENVIRONMENTAL 0.UALi~ r 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION ('~ - L~ SEPTIC TANK: MA,LING LEGAL DESCRIPTION DISTANCE FROM WELL(~(. LIQUID CAPACITY I x/'}(~:~) GALLONS· INSIDE LENGTH NUMBER OF L~/_ ~ (~_-' ti '~6~ COMPARTMENTS/ LIQUID -- INSIDE WIDTH -- DEPTH__ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL__ NEAREST LOT LINF SEEPAGE PIT: OUISIDE DIAMETER OR WIDTH /~/ / , LENGTH /<// , DEPTH · DISTANCE FROM WELL('~*c., .... ,~t~. £~ ~c,-, BUILDING FOUNDATION TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~' SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL TOTAL LENGTH ~ ~ ,FOUNDATION , NEAREST LOT LINE ,~' .~'~ IN. TOTAL EFFECTIVE NUMBER DIS LINES TRENCH WIDTH ~ AREA SQ. FT. ~ ABSORP,T?O N LE N G~EA C H LINE / DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE-- DISTANCE FROM WATER WELL: TYPF(~iI~]~Lb,~L;~ ~-~]~ ,BUILDING FOUNDATION. SAMPLE ~ NEAREST N EAR~JST SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE ·, TANK , SYSTEM , CESSPOOL , SOURCES DISTANCES: DIAGRAM OF SYSTEM G.A.A.B. Gl: ER ANCHORAGE AREA E UGH DEPARTMENT OF ENVIRONMI[NTAL QUALITY 'aSO0 TUDOR ROAD POUCH E.650 SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION /~"~LC~I l~a~- 4~1 LJ f~'--l'"~ ~ INSTALLATION OF: $8~1C TANK SOIL TEST.RESULTS COMPLETION DATE ANTICIPATED MAILING ADDRESS ~'J~L'~' q C) ~---~) PERMIT NO. PHONE , OTHER NOTE~ THIS PERMIT II NOT VALID WITHOUT lOlL TI:IT FINAL INM~ECTION~ :14 HOUR NOTICE REQUIRED. BACKFILLING OF ANY BYITEM WITHOUT FINAL INIPECTION BY THE HEALTH DEPANTMENT AUTHORITY WILL BE IUBJEGT TO PROMI:GUTION. SEPTIC TANK SiZE J_)~:.~J~_C~:_:~L~-- Type Mq~C~v~Lc'F--Mdr~Ec"--C/~-- SEEPAGE AREA SiZe MINIMUM DIITANGB~, NEQUIRKMENTI FOUNDATION TO SEPTIC TANK · E~IG TANK TO N~RE~ L~ LINE. DRAIN FIELD / ., SEEPAGE PIT cat ~ DRAIN FIELD / WATER MAIN TO SEPTIC TANK ~ SEPTIC TANK, L~ ~'~' ~". SEEPAGE PIT SEEPAGE PIT / ~ C~ ALSO CONSIDER AREA WELLS. I SEEPAGE FIT DRAIN FIELD ~'"-'-- CAST IRON INTO AND OUT OF IEII~TIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION E FEET INTO UNDISTURBED SOIL, 4 INCH DIAMETER CAST IRON SIPHON PIPES ON IEPTIC TANK AND SEEPAGE PiT FI'I'rED WITH AIRTIGHT REMOVASLE CAPS. TYPE DIAGRAM OF IYITEM GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. ~I~EALTH AUTHORITY OR CERTIIfY THAT I AM FAMILIAR WITH THle REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 2e-se AND THAT THE ABOVE DESCRIBED S STEM IS IN ACCORDANCE WITH SAID CODE. ~~~ ,~FER ANCHORAGE AREA L~,.OUGH DEPARl14EN~ OF ENVIRONMENTAL OUALII"/ SEWAGE DISPOSAL SYSTEM ~ APPLICATION AND PERMIT FINANCED THROUGH TO BE IN~ALLED BY ~ ~- ~ ~ SOIL TEST.REBULTS ~ ~O q ~/~ NO~ THI~ PERMIT Il N~ VAL~ WI~OUT ~1~ ~ / FINAL INIPEGTION~ il4 HOUR NOTICE REQUIRED. BACKFILLING OF ANY BYe,GM WITHOUT FINAL INIPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PNOBECUTION. SEPTIC TANK SIZE ~ TYPE ~.~*~l J~.~ .~i'~pp~I SEEPAGE AREA SIZE TYPE MINIMUM DIITANCEB. NEQUIRIEMENTI FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE FIT ~ SEPTIC TANK TO S~EPAGZ PIT WALL SE~IC TANK ~ TO N~RE~ L~ ~lNE. WELL TO ~E~IC TANK DRAIN FIELD WATER MAIN TO ~E~IC TANK DRAIN FIELD / EEFTIC TANK. ~o SEEPAGE PIT ~ DRAIN FIELD TO RIVER. LAKE, ETRbN. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION S FEET I~O UNDISTURBED HEALTH AUTHORITY OR LICENSED DESIGNER DIAGRAM OP IY~rEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEN IS IN ACCORDANCE WITH SAID CODE. DATE APPLICANT'S SIGNATURE RUSH Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South 6ragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 050-191-15 I. GENERAL INFORMATION Expiration Date: Complete legal description EAGLE RIVER HEIGHTS NORTH S/D; LOT 1, BLOCK Location (site address or directions) 10820 ANVIK CIRCLE * EAGLE RIVER, AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent MaiIing address 5 99577 LAURENCE SANDERS Day phone (907) 455-7526 P.O. BOX 81756 * FAIRBANKSr AK 99708 Day phone Day phone Unlesso~erwise ~quested, HAAwillbeheldbyDSD ~rp~kup. 2. NUMBER OF BEDROOMS: 5 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of AIaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water 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. Note:Alaska Water and Wastewater Consultants, Inc. shall be paid $ ¢ at, or pdor to closing for the engineering ser¥ices provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I ved£y that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system ia(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504- Engineer's Printed Name JEFFREY A. (2ARNESS, P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AK[444/C, Inc. 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, horde they guarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide any warranty orfuture 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 listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoevec DSD SIGNATURE ['~ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date: Munlcipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wasfewafer Program 4700 South Bragaw SL P.O. Box 19665O Axe:borage, AK 995196650 w~wv.ci.anchorage.ak.us (~07) 343-79O4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: EAGLE RIVER HEIGHTS NORTH S/Dj LOT 1~ BLOCK 5 Parcel ID: A. WELL DATA Well type p~luc If A, B, or C provide PWSID# N,/A Well Log (Y/N) Date completed S~ Total dept~ sed to fl. Casing height (above ground) Date of teat Static water level Well production FROM WELL LOG AT INSPECTION WATER SAMPLE RESULTS: Coliform - colonlas/100 mi. Nitrate - n~./L. Arsenic: - mgJL. Date of sample: - B. SEPTIC/HOLDING TANK DATA Tank Type/Matettal "PREMIER" PLASTIlC Tanksize 1000 gal. Number of Compa~Imants 2 Foundation deanout (Y/N) YES Date of pumping NEW C. ABSORPTION FIELD DATA Date installed Length 42 ft. Depression aver tank (Y/N) NO Pumper PBELOW fiNN. GRADEI Soil rating (~or ftYed~m) 1.2 Width 5 ft. 050-191-15 Other bacteria. - .colonies/100 nd. Collected by: - Date installed 6/lg/2002 Cleanouts (Y/N) YES High water alarm (Y/N) N/A System type TRENCH Gravel below pipe 4.0 ft. Depmsston over field NO For 3 bedrooms New depth - in. Total depth -7.e-s.o ft. Eft. absomflon area 420 fta Monitoring tube YES Date of adequacy test NEW Results (Pass/Fall) - Fluid depth in absoq:)flon field before test - in. Water added - gal. Elapsed Time: - min. Final fluid depth - in. Any rejuvenation treatment (past 12 mo.) (Y/N & t~oe) Absorption rate >= - g.p.d. - If yes, give date - D. LIFT STATION Date installed :lze In gallons ~ "Pump on" level at in. Pump off' n. High water alarm level at in. Datum ~ Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: P U BLIC WATER Septic tank/lilt station on lot Absorption field on lot Public sewer main On adjacent lots Holding lank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water sen'ice line 10'+ Surface water. 100'+ Walls on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '2'+ Building foundation, 10'+ Water service line 10'+ Sudace water 100'+ Curtain drain NONE: KNOWN Wells on adjacent lots 100'+ Water main 10'+ Driveway, parking/vehicle storage 10'+ F. COMMENTS *REQUEST LOT UNE WANER ~lWR020026 BE AJ4ENDED TO 2 t-t~.l FROM THE Y~t~i AND SOUTH PROPERTY UNES. G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and mv~ew of Municipal records that the above systems ere in conformance with MOA HAA guidelines in effect on this date. Engineers Pdnte~ Nam~ JEFFREY A. C.,ARNESS Date ~ / Z4-.,/b 7.. HAA Fee $ Date of Payment. Receipt Number (~ev. 12/ol) Waiver Fee $ Date of Payment Receipt Number Sent By: NINE J CORPORATION; 907 694 9210; N Jun-24-02 1:20PM; Page 1/1 AS-BUILT hereby ce~ify that I have surveyed the following ~cho~e ~ ~lact, ~,. ~ that ~e ~[ a~aee~t ~e~, that ~ i~ovema~ ~, ~o~- ~ues~u ~d that ~e are no roadw~s, tr~sm~ssion hnes o~ ~her v~ble ea~en~ o~ said p~rt~ except ~cated DaSd at ~le Ri~, Alaska ~E: ReEbtered ~nd Su~or ~o. 880-LS 1~'= ~' Box ~56, Eagle R~ver, Alaska ~hone MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIR01~ENTAL HEALTH DEPARII~ENT OF ~IF. ALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE General Informatiou Application Date (a) Lesal_~Description/f' ~(include~'- lot,~/~block,~si~ec~wnship, range) Location (address or directions) (c) Applicants Address Applicant is (check one) Lending Institution ~-~; Owner/builder~-~; (d) Lending Institution Ad~!~__ss (e) Real Estate Co. & Agent Address Telephone 2. Type of Residence Single-Family~ Number of Bedrooms 3. Water Supply Individual Well~-~ Multi-Family~ Other (describe) Community~--~ Public~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. S,ewa~e Disposal O~site ~ Public t I Cnmmu~ity F----I' ~o~di~g T~nk ~ote: I~ community well system, must have written confirmation ~rom the S~ate Department o~ Enviro~entai Conservation attesting to the lesality and status. [Page I of 2] En~ineeriul~; Firm Providin~; Inspectious~ Tests~ File Search Data ami As certified by my seal a~fixed hereto and as of the validation date sho~ b~low, verify that my investigation of this Health Authority Approval shows that the water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedro~ns and ~ype of structure indicated herein.- I further verify that, based on the ln~or,,~tion obtained from the Hunicipality of Anchora§e files and investigation and inspection, the on-site ~ater supply and/or ~astewater disposal system is in compliance ~rlth all ~unicipal and State codes, ordinances, and retula- tious in dfect on the date of this insp~ction. Telephone CIUTION TI~ MUNICIPALITY OF ANCHORAGE DEPAR~IENT OF ~ALTH AND ENVIRONM]!NTAL PROTECTION (DI~P) ISSUES ~ALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRA~ 5 ABOVE BY AN INDEPENI)ENT PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF ALASKA. THE ~P DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING IAISTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MEN'TS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS LN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 2] 7-19-84 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Lega~ Description: Well Classification~;'~,3~'~ ~ Well Log Present (Y/N) Total Depth Cased to Static Water Level Casing Height Above Ground 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 Cleanout/Manhole Water Sample Collected by If~)B, C, D.E.C. Approved (Y/N) Date Completed Yield Depth ~of Grouting /~¢/Z~,Pump Set At fS~mitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date Water Sample Test Results B. SEPTIC/HOLDING TANK DATA Date Installed Stand pipes <~/.N~ Size /~)0 ~ Air-tight Caps Depression over Tank~g 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 / Foundation Cleanout .(--Y~ Date Last Pumped ~ "~'"¢~ ,,4¢ ;for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal 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 ~'/~)' 'q ~ Width of Field /~1 Square Feet of Absorption Area Depression over Field (,~1~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot Type of System Design Length of Field Depth of Field _ //~ Gravel Bed Thickness ~ Standpipes Present ~,~ Date of Last Adequacy Test 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 ~o ~ ~' TO Cutbank,~,.~/resent) '"'~",~' Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) DTensions Ma~ole/Access (Y/N) a //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 all MOA and HAA guidelines in effect on the date of this inspection. Signed 8 & .~- EqGINEEfllER Date -8RB 196X Compaoybt ~ ~IVER. A~S~ '~g~ MOA No. ' - pM, 69~2919 Receipt No. - ...... -~ ~O Date of Payment ~ --~-~5 Amount: $ ~ ~ Page 2 of 2 72-026 ( ~ 1 ~84) GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality mt~3330 "C" Street, Anchorage, Alaska 99503 274-4561 ~ a 's Date Received August 24, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. Approval requested by: Alaska Mutual Savings Bank Mailing Address: Post Office Box 1120 2. Property Owner: Roger & Kay Riddell Phone: 274-3561 Mailing Address: Anvik Circle, Eagle River 99577 o Phone: 694-9729 Legal Description: Lot 1 Block 5 Eagle River Heights North Location: Off Meadow Creek Drive then on Anvik Circle, tri-level with smi±ey's Mealuy sign on iu Type of facility to be inspected Single Family No. of bedrooms 3 Community System (Briggs Water Utility) 6. Well Data: A. Type B. Depth D. Bacterial Analysis C. Construction 7. Sewage Disposal System: A. Installed 1972 On-site system B. Installer C. Septic Tank: D. Seepage Pit: E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank 1. Size 1. Absorption Area Total length of lines 2. Manufacturer 2. Material , Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES Mailing Address: ~-~ ~ 4,~ 3. Name of Buyer: ~~ Mailing Address; ~/~/~ ~ 4. Name of Lending Institution: Mailing Address: ~-~ 5. Name of Realtor or Agent~/~ Mailing Addre~:~ '~4~ Type of Inspection: CMRO VA FHA. CONV ~-- Property'Owner: ~1~,~-~ f~ ,~j~ /~/ Day Phone: ~;;~- Phone: Phone: Legal Description: Lo-r/ Location: 7. Type of Facility to be Inspected: 8. Water Supply .4~,,e .,, (_~.~; Type of Supply: Public Utility Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION AUG 2 1976 RECEIVED 72-003(3/76) Page 2 of two pages - Re ,t for Approval of Individual r & Water Facilities Legal Description Lot 1 Block 5 Eagle River Heights North Comments Approved Disapproved Date ~'/~/)/?<~ Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM 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 satisfactorily. SIGNED Date EQ-034 (1/74)