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Home My WebLink AboutEAGLE RIVER HEIGHTS NORTH BLK 5 LT 11Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211481 PID Number: 050-191-09 Dwelling: ❑t Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 9 Upgrade Name Catherine & Robert Seiders ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 10845 Anvik Cir, Eagle River ❑ Other Phone (907) 313-8871 Number of Bedrooms 4 Soil Rating Existing Total depth from original grade GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Eagle River Heights North 5 11 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well >100' N/A N/A N/A >25 TANK ❑- Septic ❑ S.T.E.P. ❑ Holding [:]Other Manufacturer Greer Capacity 1250 Gal. Surface Water *96' N/A N/A N/A Material Plastic Number of compartments 2 Lot Line >5' N/A N/A N/A NA Foundation >1o, N/A N/A N/A LIFT STATION Manufacturer Capacity Remarks *See plan for potential path of effluent overflow Gal. travel. Alarm location Electrical installed by Installer PIPE MATERIAL House to tank D3034 Tankto D3034 Denali Excavating Drainfield Existing CO/MTD3034 Inspector J. Millette BENCH MARK (Assumed elevation) 100 ft Inspection151 11/30/21 Location and description nd 2 Threshold of front door 3m 4m ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ®Fagg®1 Conditional Approval: Date •'gtS'�1�4 ,�Q. '49TH *�� % • Beniarriig chiller � �� 'c�, �� Septic Syste Approved ,.r� „� Date Z Z •• CE 12592 • 12/1/21, •��SO $� �slF�• , �il� pROFESSIONP�� Note: this appr al does not include well permit requirements. 11Acv UJIU4110) EXISTING TRENCH TO REMAIN IN SERVICE EXISTING PIPES CONFIRMED AT INSPECTION Benjamin Schiller CE 12592R E GISTEREDPROFE S S I O N A LENGINEER1"=40' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND PERMIT # OSP211481 PID # 050-191-09 EAGLE RIVER HEIGHTS NORTH, BLOCK 5 LOT 11 A B 2CO1 24.0 MH 26.8 SV 30.4 A B 2CO2 31.9 27.7 26.4 23.5 21.7FEET 0 40 80 ANVIK CIRCLE 4 -BDRM HOME December 3, 2021 NEW 1250-GALLON SEPTIC TANK w/ 20" MANWAY EXISTING TANK REMOVED & DISPOSED OF 100' SEPARATION LINE FROM CREEK EXISTING CREEK PER MOA MAPPING POTENTIAL EFFLUENT OVERFLOW TRAVEL FROM PROPOSED TANK 595 60 0 60 5 61 0 PLAN AS-BUILT 2CO1 2CO2 MH SV KEY-BOX PER AWWU MAPPING & ESTIMATED PATH OF SERVICE LINE NON-SUSPENDED WALKWAY PROFILE AS-BUILT (NO SCALE) 93.4 88.4 94.0 99.6FCOMH SV1250 GAL SEPTIC TANK 2CO93.25 Benjamin Schiller CE 12592 R E GISTEREDPROFE S S I O N A LENGINEERDecember 1, 20212COPERMIT # OSP211481 PID # 050-191-09 EAGLE RIVER HEIGHTS NORTH, BLOCK 5 LOT 11 20' STREAM Lot 4 MAINTENANCE / EASEMENT / i 662900Ei� \ N 00 PARK/ 2.3'x20.4' CANT-//F�c 0__ N a Lot 10 / Lot 11 22,329 S.F. DECO 28.4' u A 2a a' A 31.8' 3.0' CMT b .. 10' UTILITY Ci A EASEMENT I 0 N 89'59'10"W 90.00' 0 N ANVIK CIRCLE 30' STREAM MAINTENANCE EASEMENT Lot 12 IC PIPES OLE C PIPES NN -LINK FENCE NOTES: 1) THE BUILDING IS A 1 STORY RESIDENCE w/ DAYLIGHT BASEMENT. 2) THE LOT IS SERVED BY A COMMUNITY WATER SYSTEM. 3) DUE TO SNOW & ICE COVER, THE GRAVEL DRIVEWAY AND CONCRETE WALKWAY ARE APPROXIMATE. PLOT PLAN —__ AS BUILT _X_ SCALE _ 1__= 50__ GRID — NW 0153__ Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, in c . (907) 522-6476 Phone 000000p� (907) 522-4625 Fax op Professional Land Surveyors ken®langsurvey.com o 0 F.. A . q � pp ionathan®longsurvey.com O s Q I hereby certify that I have surveyed the following described property: LOT 11, BLOCK 5, EAGLE RIVER HEIGHTS — NORTH SUBDIVISION (PLAT No. 71-220) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the--'------ Day of -'4—oL_1_—, at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 'P4 :.49TH ................. /. . ,t KENNETH G. TANG U: o �Fa LS 5202.-* 1pppR�FESSIONA� � 00 AECC963 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program No Pa Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7 997 n http://www,muni.org/onsite � v Cl)i11't171I'T1T -0- n=biteMaStewafieFB+�posI-System.-Perrr�tfi Permit Number: OSP211481. -Effective❑ate-: -- - 11/241 -2021 - Work 112412021 - Work Type: SepticTank Upgrade Expiration Date: 1112412022 Tax Code Number: 05019109000 Site Legal Address: EAGLE RIVER HEIGHTS NORTH BLK 5 LT 11 G.0153 Site Mailing Address: 10845 ANVIK C1R, Eagle River Owner: SEIDERS ROBERT WALTER & Lot Size in Sq Ft: 22329 Design Engineer: FORGE ENGINEERING Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field C1 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (2417). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing :1 Special Provisions: The water service line shall be located (and shown on the record drawings) to confirm minimum 10 ft separation to septic system. Veronica Pope GE 2021.11.24 Received By: 08:25:19 -09'00' Issued By: Date: Date: +�� .� `1r •��. 1 Community Development Department ` "1 Development Services Division Phone: 907-343-7904 On -Site Water & Wastewater Program Fax: 907-343-7997 ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-191-09 Property owner(s) Catherine & Robert Seiders Day phone (907) 313-8871 Mailing address 1759 Memorial Trl, Eglin Afb, FL 32542 Site address 10845 Anvik Cir, Eagle River, AK 99577 Legal description (Sub'd., Block & Lot) Eagle River Heights -North L11 Legal description (Township, Range & Section) Lot Size 22,329 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (N all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Senti- Taf lK ❑X - (w/wo AD U) Upgrade ❑X Holding Tank ❑ Renewal ❑ Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance:_ I certify that the above information is correct. I further -certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:fflt Waiver Fees: Date of Payment: ?.O Z I Date of Payment: Receipt Number: 02 5 (A 8_b Receipt Number: Permit No. 05 D2_1 19,31 Waiver No. Permit App_'-'- : ,-.,:r; November 23, 2021 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 11/23/21 Subject: Eagle River Heights North, B5 L11 – Anvik Cir Septic tank replacement Dear On-Site Services Engineer: The owner of the above lot intends to sell their 4-bedroom home on the property and the septic tank had exceeded its life expectancy, so we are submitting this permit application for its replacement. The attached site plan identifies the location of the home as well as the existing septic’s location and proposed tank site. No conflicts exist between this proposed tank location and any other well or septic system, whether on this lot or adjacent lots. Meadow Creek runs along the north property line within 100’ of the proposed septic tank site. The ground surface on the lot slopes toward the southwest away from the creek. If the tank was to ever overflow, effluent would be forced to flow downhill away from Meadow Creek. Contours are shown on the site plan showing the grade and direction of flow as well as the assumed path of effluent overflow travel. There are no wells. All lots are served by a community water system. The new septic tank will be a minimum of 10’ from any water service line and more than 5’ away from the septic trench. Please refer to the attached plan for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211481, Rebecca Carroll, 11/24/21 EXISTING TRENCH TO REMAIN IN SERVICE Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER 1"=40' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND EAGLE RIVER HEIGHTS NORTH, BLOCK 5 LOT 11 FEET 0 40 80 NOTE: SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC TANK IS SHOWN w/ PATH OF OVERFLOW TRAVEL FROM TANK. THIS SUBDIVISION IS SERVED BY A COMMUNITY WATER SYSTEM. ANVIK CIRCLE4-BDRM HOME November 23, 2021 1250-GALLON SEPTIC TANK w/ 20" MANWAY INSTALL DOUBLE CLEANOUT BEFORE AND AFTER TANK MAINTAIN 5' MINIMUM FROM PROPERTY LINE & EXISTING TRENCH 100' SEPARATION LINE FROM CREEK EXISTING CREEK PER MOA MAPPING POTENTIAL EFFLUENT OVERFLOW TRAVEL FROM PROPOSED TANK 595 60 0 60 5 61 0 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211481, Rebecca Carroll, 11/24/21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION i' ENVIRONMENTAL ENGINEERING DIVISION ' 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT MAI'I"O^+R' D /, .... , -- ~ ~ NO. OF BEDROOMS ~ ' M~t~r,~,ST~ No, of compart~s ~ Z Manufacturer ~ ~ inside length Width Liquid depth ~ DISTA~ Well Dwetling capacitg ~ ~s,~c[*o: ~~. [5~ ~%~* lOt i~ ~ ~ inches ~=m~ No. of lines/ Length g~htline TotaJ I~th o~ lines Zre nch~ d~h Distance be~r linest~ ~ Top of tile to finish grade ~{ Matedal be3eath tile 7~ inches lotal effec~ rCtion area ken,th ~dth Deoth P~MIT ~ . ~ ~ T~e of crib C~ Crib de~th Total effective absor~ m Building foundation Sewer line Septic tank Absorptmn area(s) ~ D~'STA N C E TO: OTHER SOIk TEST ~ATI~G~ ~ ~ [~ 72-01 ,3/78) PERMIT NO~ PlLIr-4 I f-: I r ~L ! F%-' C~F F~r-4CH '- I~'I-IGE DEPARTMENT O, HEALTH AND ENVIRONMENTGL ~...O~ECTION 825 "L"' STREET, RNCHOR8GE, ~K. ~95ei 264-472~ C~r4--5 I TE ~]EFJER PERhl I T ,:5 80E~445 ) RPPLIC:RNT SYDNEY R. HUFFNRGLE PO BOX iOg E.R. LOCBTION RNVIK CIRCLE LEGRL ~EI~ E~GLE RIVER HTS N.O~ ~ LOT SIZE TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS = 4 22000 SQLIRRE FEET SOIL RRTING <SQ FT?BR)= 100 THE REQUIRED SIZE OF THE SOIL. RBSORPTION SYSTEM IS: [:,EF'TH= ~_1_ L_~ LEI'4GTH= --?--4 6 R F-I ',.,' E L [:,EPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEF'TH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND 8ND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET NIDTH FOR TRENCHES. THE GRRVEL DEF'TH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). ~:EC~.IJ I ~:ED, SEPT I C TRf4t,:: S I ZE= i25£'~ 6RLL_CI[-IS PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS 8DJRCENT TO THIS PROPERTY 8ND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. .................. TI,lO (. 2 ;. INSPECT I cir-.IS RRF REC4. LI I RED. BRCKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS [:,EPRRTMENT WILL BE _~IJBJEC:T TO PROSECUTION. MINIMLIM DISTANCE BETWEEN R NELL RND RNY ON-SITE SENRGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVRTE NELL OR 150 TO 200 FEET FROM R PUBLIC NELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTRNCE FROM R PRIVRTE WELL TO 8 PRIVRTE SEWER LINE IS 25 FEET RND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY 8PPLY. SPECIFICRTIONS RND CONSTRUCTION DIBGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLBTION. F'ERI"I ! T E.':--'.P I F-'ES I::-,Ei_--'Er-IBER _"¢ i., ::1_980 I CERTIFY THRT 1: I RM FRMILIBR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS 8S SET FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES, 3: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN 4 BEDROOMS. V4. 0 O & E ENG,,~IEERING & DEVELOt .,,lENT CO. 3__ 5__ 6__ 7__ 8__ 9__ ,......_ 10__ 11__ Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 SOIL LOG Performed for: Name: ~Y~> Mailing Address: Legal Description: Earl Ellis 688-2280 Tel. No. ~?~- ~7~d Depth (feet) Soil Characteristics PLOT PLAN 12__ 14 L.~,., 7-./~,zy ~,.,c. ~ 15__ 16__ Ground Water Encountered: Yes Proposed installation: Seepage Pit Comments: No /~ If yes, what depth Drain Field__ PERC. TEST Performed by: MUNICIPALITY OF ANCHORAGE -Ned Development Services Department Phone: (907)343-7904 On -Site Water & Wastewater Section Fax: (907)343-7997 Certificate of On -Site Systems Approval OSC241499 Parcel ID 050 -191-09 Expiration Date: Legal description EAGLE RIVER HEIGHTS NORTH BLK 5 LT 11 site address 10845 ANVIK CIR Current property owner(s) KEM POMMARY X The On-site system(s) is/are approved for 4 bedrooms By: Conditional approval for bedrooms, with the following stipulations: Comments or conditions: Original Certificate Date: 12/10/2024 Thisg�06rtificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject syStem(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, 16evelopment Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: COSA Checklist. X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-191-09 Complete legal description Eagle River Heights North Block 5 Lot 11 Location (site address) 10845 Anvik Circle, Eagle River, AK 99577 Current property owner(s) Pommary Kem Day phone (707) 740-1300 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑■ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ■❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑■ Plastic ❑ Concrete ❑ Fiberglass Age 3 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑■ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ■❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee Date of Payment _ )2_/-3/z4 J, i COSA# SC2yly� Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 20' STREAM Lot 4 MAINTENANCE EASEMENT 0� N 66 20 O �5 0 PARK ryo o• 30' STREAM MAINTENANCE EASEMENT b} / N 89'59'1 0"W 90. I \ ANVIK CIRCLE PLOT PLAN ___ AS BUILT _X_ SCALE _1__=50._ GRID _ NW 0153Project No. ____ 1244-324Z6 _ P.O. Box 210005 Lan & Associates i n CAnchorage, Alaska 99521-0005 C (907) 522-6476 r A `opp4 Professional Land Surveyors jonathan®longsurvey.com 4 kenOlongsurvey.com DOP S QO I hereby certify that I have surveyed the following described property: LOT 11, BLOCK 5, EAGLE RIVER HEIGHTS — NORTH SUBDIVISION (PLAT NO. 71-220) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the __� Day of _ �Fe � ___, ?�� at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 9 0 .. � JONAT C. LANG � .LS -9944.•*' c,JQG 440�R�FfSSIONA�'tW State of Alaska AECC963 Lot 5 N O O Lot 11 22,329 S.F. o Lot 12 z r*i O O N �a rJ 4. DECK J CHAIN-LINK FENCE 2.3'x20.4' CANT 28.4' —MANHOLE NOTES: IQ w w r 0. ' 4� - SEPTIC PIPES 1) THE BUILDING IS A 1 STORY 0 RESIDENCE w/ DAYLIGHT BASEMENT. 29.4 2) THE LOT IS SERVED BY A COMMUNITY WATER SYSTEM. Lot 10 DECK 3) DUE TO SNOW & ICE COVER, THE 3.0' CANr GRAVEL DRIVEWAY AND CONCRETE WALKWAY ARE APPROXIMATE. b ' 10' UTILITY EASEMENT C" CO b} / N 89'59'1 0"W 90. I \ ANVIK CIRCLE PLOT PLAN ___ AS BUILT _X_ SCALE _1__=50._ GRID _ NW 0153Project No. ____ 1244-324Z6 _ P.O. Box 210005 Lan & Associates i n CAnchorage, Alaska 99521-0005 C (907) 522-6476 r A `opp4 Professional Land Surveyors jonathan®longsurvey.com 4 kenOlongsurvey.com DOP S QO I hereby certify that I have surveyed the following described property: LOT 11, BLOCK 5, EAGLE RIVER HEIGHTS — NORTH SUBDIVISION (PLAT NO. 71-220) Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated this the __� Day of _ �Fe � ___, ?�� at Anchorage, Alaska It is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. 9 0 .. � JONAT C. LANG � .LS -9944.•*' c,JQG 440�R�FfSSIONA�'tW State of Alaska AECC963 12/6/24 (JR's) N/A N/A N/A Benjamin Schiller, P.E. (907) 522-7773 -0) ��U��M AL UTY OF HCHOP �A GEE � Development Services Department / Phone: 907-343-7904 On -Site Water & Wastewater Section ��' Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-191-09 1. GENERAL INFORMATION Expiration Date: 3 A /2--7,- Complete ZZ Complete legal description Eagle River Heights North, Block 5 Lot 11 Location (Site address) 10845 Anvik Cir, Eagle River, AK 99577 Current property owners) Walter & Catherine Seiders Day phone Mailing address 1759 Memorial Trl, Eglin Afb, FL 32542 Real estate agent Kasey Moua 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: Private Well Water Storage ❑ Community Well ❑ Public Water System Waiver request for: Day phone (907) 313-8871 TYPE OF WASTEWATER DISPOSAL: Private Septic ❑■ Holding Tank ❑ Community ❑ Public Sewer ❑ Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $.550 -/-1330 Date of Payment /2/321 Receipt Number 07q!510 COSA # 6JGZ l 16 ct 5 Waiver Fee $ Date of Payment Receipt Number Waiver # Distance: 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone (907) 522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage, AK 99503 Engineer's Printed Name Benjamin Schiller, P.E. M.J. Date 12/1/21 .:y~0F a�q�lli TH 6. DSD SIGNATURE :'j''((�"' System #1 Approved for 4 bedrooms� aenjarrbrySchillerCE • System #2 Approved for bedrooms ��1��s12/1/2192,.��`��/ Disapproved ill�,ROFESSO0� Conditional approval for bedrooms, with the following stipulations: t0F(<444(6 `g INAT R AND J� WAST'_v'ATER oz PROGNAIVl p By: X, Original Certificate Date: The Municipality of Ancrage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet COSA Checklist yellow sheet COSA Checklist Legal Description: Parcel ID: 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) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) years Tank type/material Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA ______________________ Which system tested (date installed) ALL standpipes present per record drawing Total measured depth from grade ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Adequacy test date Results Pass For bedrooms Fluid depth prior to test in Water added gal New depth in Elapsed time min Final fluid depth in Absorption rate gpd Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: All original steptic stand pipes were accounted for at time of testing. 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 Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft F. ENGINEER’S COMMENTS G. ENGINEER’S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. "ISIG -dVgl Cl m 1'1 v IN3VV3389V 8s HSV3 GlVd E] wom Hd GIVd 71 Id 'Id 3dld '19 Ii1 l I ffld 3 d 'd9NI 'ND .im A8 Q 3103dSN 1 =ACI3 Il IADXB S1 3NN OSICI '018 "SAV130 `DN IS O 'N IJL03 NI O '-LX `N l 'VV I l3N 8 "S-LNB VIIV O H HIO 80103NNOO 3 I M A N Id 8 (LLIZ:T)'T !G wf, IY7 1�'42 N0l.LV00---l-- x},� , 4e - El HIM M W1 r ;�';" `�'`'•�' 3 d I d 83dd03`r :. NIN Id C IV O I N n 1 ld d 9NIHsnaC3ZlNVAlV0 x f I l I• sn a ssvHe x I 010 ON Ildnoo WO133NN00 d I -L o dols 9 u no 0 010 d lS 8 Ido N I I VV 3 d I 3 i1 I d MVHI 1 11d ,l.S d800 I B IS 3SH3A38 NO HD13NS IVIGHS ) NI VY =10 3dAl ❑ 138HIS 8-171 =N 11 l -NND IN3VId3 "NN03 M3N BCIVVY 31VC) *NNOO 3IS OXY lG:1 - n 9 J.00r: IVOIllaaV � N0018 / 1071 3 W'dN 'oN '1:D:Dd p1038a uoIIe301 — N0E103NN0D a31VM 3JVaQH:3NV =10 AlllVdl3lNnw L 0 --.- I b / ---- 0,570 ja Y I 19 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete'legal description Location (site address or directions) Property owner Mailing address Lending agency Mailin. g address Agent o Address Day phone Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: J NOTE: q Individual well Community well X' Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Re~. 1/91) Front MOA~21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Phone ~ 17034 Eagle River Loop Road No. 204 Address r:=,~l,~ I~ ;v,~,* Engineer's signature ~/~Z / ~ Date DHHS SIGNATURE X Approved for 4 Disapproved. Conditional approval for bedrooms. bedrooms, with th-e following stipulations: Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage :SIP 2 ~ ~ ~ DEPARTMENT OF HEALTH & HUMAN SEI~MtCES ..... ..,'~ Environmental Services DivisiorfNVrk'ON~Nt^~ ;l,~¥1~{t i~IVI,~QN 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: A. WELL DATA Parcel I.D.: Welltype C',,,q~, A IfA, B, orC, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production s: ~o~ ~ample: FROM WELL LOG Date completed Cased to Casing height (above gr~g~""~.-~''~ Wire__ted (Y/N) ~AT INSPECTION g.p.m, g.p.m. Nitrate Other bacteria Collected by: B, SEPTIC/HOLDING TANK DATA Date installed cf/, o / ~' o Tank size ) ;L .~ (J Foundation cleanout ~)'/N) ¥ ~ 5' Depression (Y~ /v o Pumper 3- ¢L ~' Date of Pumping ~1 / 3. ~ / ~ C. ABSORPTION FIELD DATA Date installed q/,o[ g'O Length 3 ~ Width Effective absorption ~ea ~ o Number of Compartments ~L Cleanouts~/N). 7 '~ J' High water alarm (Y/~ ~' 0 / o o System type 7~ ~,.. c Gravel thickness below pipe {; Total depth /0 Monitoring Tube present~/N) }/~ $ Depression over field (Y~.~ Results a~/Fail) /3/~.c5 For /7/ bedrooms Immediately after(~ ~'~ gal. water added (in.): / Absorption rate = (~ o o -4 q.p.d. k,~0~.,,J If yes, give date Soil rating FZ~- Date of adequacy test Fluid depth in absorption field before test (in.); Fluid depth ~ i ~- (ins) Minutes later: Peroxide treatment (past 12 months) (Y/H) 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles~-~'~'~~ Size in gallons "Pump on" level at* ~at.* SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot On adjacent lots ~ Public sewer manhole/cleanout Public sewer main ~ Sewe~ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation ~- / -y Property line S~ ; 4 Absorption field. Water main/service line. / a -~ Surface water/drainage q o Wells on adjacent lots ~o0 ~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain / o Building foundation / o ~ Water main/service line / o ~ ' -~ Driveway, parking/vehicle storag~e area ,~ ~ /v 0 ~v/~ /~,~c ~ u Wells on adjacent lots ~ I ~' that I have dete~ined th~ field ins~cUons ~d review of Municipals am inconfo~ance~~~elinesmeff~ton',sdate. ~' Signature ~ ~' ~ En in.rs N~e ~8 ' ~ ~ ~; HAA Fee $ Date of Payment Receipt Number Waiver Fee $ Receipt Number _) 72-026 (Rev. 3/96)* Rick Mystrom, Mayor Municipality of Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 http://www.ci.anchorage.ak.us 343-4744 November 3, 1998 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 11 Block 5 Eagle River Heights North Waiver Request for Waiver #: WR980069 PID Number: HA980327 Dear Mr. Cowan: Your request for a waiver(s) of the required 100 foot horizontal separation of an on-site wastewater disposal system to the surface water has been approved. The approved separation distance(s) are 90 feet from the existing septic tank and the surface water of Meadow Creek. This waiver approval applies to the existing on~site wastewater disposal system to surface water separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Should the operation of the subject wastewater disposal system cause any contamination or degradation of the subject surface water, this waiver will become void. If there are any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, Daniel J. Roth Civil Engineer On-site Services Program ljm:#5 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services WR# 980069 PID# 050-191-09 Date Received: 09-29-98 On-site Services Section Waiver Review Worksheet HA# 980327 Legal Description: Eagle River Heights Lot 11, Block 5 Engineer: Applicant: Permit Robert C. Cowan S&S Engineering 17034 North Eagle River Loop~ Suite 204 Eagle River, AK 99577 Barbara Elmquist Waiver Requested: 90 feet between existing septic tank and surface water (Meadow Creek) Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: L 3. Other: Waiver is Granted: X List Conditions or Reasons for abow Date: /0- 7- ¢8 Rec ~: 4085/5704 Amount: $ 62 notn mnq ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. September 28, 1998 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN EXTENSIONS SEWER & WATER iNSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SiTE WASTEWATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 11, Block 5, Eagle River Heights~Subdivision Request you issue a Health Authority Approval on the referenced property and grant a waiver for 90' horizontal separation distance between the septic tank and surface water that is parallel to the west property line. The mitigating factors involved which support the issuance of the waiver are as follows: 1. The topography in the area, as shown on the site plan is on a 5% slope. Surfacing effluent from the leachfield would take a path following this slope that is diverted southward away from surface water. The creek is bermed which would not allow effluent to reach the creek. The pathway surfacing effluent would be expected to take is shown on drawing. 2. Surfacing effluent would have to travel 100' to make it around the house even if it could reach the creek. 3. The effluent would travel across a lawn which would provide some treatment. 4. With topsoil & silt material at the ground surface in the area (refer to attached soils log), effluent would tend to be absorbed in the ground and treated before reaching ground or surface water. We therefore recommend a waiver for the separation distance between the leach field and the surface water on the adjacent property. Sincerely, Robert C. Cowan, P.E. RCC/rdp Enclosure 17034 NOFffH EAGLE RIVER LOOP · SUITE204 ° EAGLE RIVER, ALASKA 99577 1" = 40' DESIGN DETAILS --S~L~ -- -- ~'~ 0 / / // ~ ~ / / / / I //~/ / , ~1~ EAST EABLE RIVER LOOP APPLI( NT FILLS OUT UPPER HAl "'ONLY Phone PropertyOwner HO,..~.O~C~ L~ , ~ ~j~(~l~l~, t~, ,.~. I/[cK MailingAddre~ ~ ~ ~V ,~ ~ I f ~ . f ~ ZipCode ~ /~ ~--~ Address /O~C Zip Code ~0 5 Address ~, I ~ ~/--. [_[ ..... / J ~ ~ ~ t,/~ ~-. K .zipC°de ~ ~ ~ ~- ~'<~ Realty Co. & A~nt Phone Address W /~ Zip Code Street Locati~ Z , ~ ~ ~ .~,'~ ~, ~, 1o ~ ~ 1~ ~..)~ ~ ~ Typeof Resi~nce ~ ' ' ' ~ '' ~ ~ ~ ~ ' ' ~ ~ ~ ~ ~ ~ -) I~ ~ ~ ~ v~m , ~ , ~ ngle Family ultiple Family No. of Bedroo~ ~. ~ Other Water Supply ~ > -Z c~ ~ ~ Individual A~ACH WELL LOG. A w~l 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 Disposal ~ndividual Year Indiv~ual Installed: /~ ~ ~ ~Public ~ility When Connected to Public ~til~ty:~ ~ ~Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: /~.'~ ~ ~ MUNiCIPALiTY OF ANCHORAGE (~,,~'~ 0'~ '~ DEPT. OF HEALTH **- RECEIVED ( /)O) APPROVED BEDROOMS ~ 'CONDITIONS OF APPROVAL ( ) DISAPPROVED { ) CONDITIONAL APPROVAL' Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Il r*~4~/(~0 Well to Tank Septic Tank Size /~,[1~ 72-323 (318~) MUNICIPALITY OF ANCH~)RAGE MUNICIPALITY OF ,z, NCHORAG~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIOI~E?T' ~'~ 825 L Street - Anchorage, Alaska 99501 ENVIROi', , , CT[ON ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNER I PHONE I 694-9746 ~vA'n,~v A. MAILING ADDR'E~ P. 0. Box 10~- Eagle River, PROPERTY RESIDENT (if different from above) PHONE NHN Anvik Circle Lot 11 Block 5 Eagle River Hgts. 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION I PHONE 'MAILING ADDRESS Alaska 99510 ?. O. Box 1120, Anchorage,/~',~.~-~. (--t~. c~3__~ 4. REALTOR/AGENT I PHONE I MAILING ADDRESS 5. LEGAL DESCRIPTION Lot 11 Block 5 Eagle River Htg. North ;TREET LOCATION NHN Anvik Circle 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four ~[] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* COMMUNITY [] 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 (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3/78) THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SlX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~ INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []Holding Tank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank [Absorption Area JSewer Line I Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [~.,~O V E D FOR ~' BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED y-~ ./,,~ LEGAL DESCRIPTION 72-010 (Rev. 3/78)