HomeMy WebLinkAboutEKLUTNA HEIGHTS BLK 1 LT 2 W2Eklutna
Heights
Block 1
Lot 2 W2
#051-062-04
Municipality of Anchorage
�• Development Services Department =i1f i ,ii
Building Safety Division
On -Site Water and Wastewater Program. 4700 Bragaw St. page ` Of
P.O. Box 196650 Anchorage, AK 99519-6650
www ci anchorage ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
5 W�9a PID Number. y —0#_
Na.
Permit Number: _.
Name O; 1
Q Wastewater System: C1 New [ Upgrade
a
,,,, 671973 Lti la 9 _1g73 ABSORPTION FIELD
Dl0'
Nmo10aC^s❑ DO rrotfSnaloTnnO Bad ❑ MvN
o BoA Raurq Taw DMlnvanag1wl9raas
LEGAL DESCRIPTION OFg GPore
DeWn ro PP• botim trap at9nw 91 ' G'" dsam b aO` ppo
aiw I Lai 1 f vfkswd�NMW jN t c�
I 1 FI.
f d added above W?" 910'1° Gra.et terpin c
TownWro Raaga Seaton f 3
FI.
DNwwa
Numbw�lroa
Graval Wit"b'r+a9�
Well: ❑ New ❑ Upgrade 55 Ft. `Ole 303 Olt 11
Taw WfaytWi ala& �-s I w
PDa M�
Taw Depps Cased 10 S
Llasvhcabbrl lPrn a. A 0 1 i 5 I s Ft FIs
V 3-1- ti al F in+ I Jr -Dale lnslwlW ) f
swK wale, Lar*
_1•..
0
FI
SEPARATION DISTANCES
To Septic Absorption Uft Holding ubitdPnvate
prom Tank Field Station Tank Sewer Line
wail 0% 1 146I - - t
La Oro
r
Foundalun p`
Curran D,wn
Rame,t.s I
I
TANK
❑ Holding ❑ S.T.E.P.
❑ Other.
Ay
no Gal
LIFT STATION
arMSUJer
Gal
'Pv oir 0'.w at Npn water M al
n
n
iac4lcw hfpenwas pe, oa by
BENCH MARK
n n 1/ r T it
% 'e" --)6
KJ 65F,
S b S ENGINEERINGEngin rs Stamp
Inspections performed by: 17034
Eagle River Loop Read, No. at�0es: 1" !,(6-06'
f.
OF y
Eaple River, ass 2nd �'.• � 9
Development Services Department Approval
It O
Dl . �
a
Conditional Approval O•`
ate: r .1 A.f
�// ♦/ • E`I m
Oi n e,'•.•.1•
Date.
Reviewed and approved by:
IRa. Anel C711C.-
PERMIT NO. SW060362
PAGE 2 OF 3
Municipalit of Anchora e
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 *Anchorage, Alaska 99519-6650 • Telephone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL W%, LOT 2, BLOCK 1, EKLUTNA HEIGHTS P.I.D. No. 051-062-04
111631m]
MIRROR
RIVE
W
N
to Z)
O
IF ST1
;MT4
CO12TH#1 NEW TRENCHE
CO T3 CO3
C___A&TH#2
_ ALT. SITE
I C
I
LOT 2
1-----------
33' ROAD EASEMENT
SCALE: V 440'
EN�L4OF
L'Sa.•�3T�@S
`CF
M,,,.fC
M
�.o, u,
R=EC7 C. CO'CAA
'�
.'.
C� -t 1
PERMIT No. SWO60362
PACE 3 OF 3
Municipalit of Anchora e
DEPARTMENT OF HEATH AND HURXN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone+ 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL W%, LOT 2, BLOCK 1 EKLUTNA HEIGHTS P.I.D. No. 051-062-04
FINAL GRADE
MT1
MT1 = 73.7'
80.7'Z I NEW 1500
GALLON
SEPTIC TANK
CO1
SR
ST2
MT2 COI = 80.1' MT3
CO2 = 79.6
- (FINAL GRADE
.,<2" INSULATIONS
COI = 76.8' r
CO2 = 76.8' I
MT2 = 73.7'
MT3 = 72.1'
{PATER FOUND ® 68.1'
65.1' B.O.H.
83.8'
2" INSULATION
80.5'
CO3
MT4 jCO3 = 77.4'
C04 = 77.3'
CO3 = 75.3'
SR C04 = 75.2'
MT4 = 72.1
N. T. S.
RO:ERT C. COWAN
c,:� CEXOI
---itIzfz':..0,
N
too, eac�s ' `•S
AS -BUILT
I hereby certify that I have surveyed the following
described property:
CC
Anchorage Recording Precinct, Alaska, and that the
Improvements situated thereon are within the property
lines and do not overlap or
lying encroach on the property
niretoeopp--
erty lying adjacent encroach improvements the premises
question and that there are no roadways, transmission
hnes or other visible easements on said property except
as Indicated hereon.
Dated at !pgle 111ver, Alaska _ ¢��-
._
thia �i .ray of1..i. U is I 191.x .
ROBERT C. JOILNSONWdo9_
SCALE: Registered Land Surveyor No: 080 -LS
1'o �fp r Nix 453, Eagle Liver, Alaska
Phone 694-2543. '
14
M
:
•t.
O
its
5
v
1
q••
'!v
---itIzfz':..0,
N
too, eac�s ' `•S
AS -BUILT
I hereby certify that I have surveyed the following
described property:
CC
Anchorage Recording Precinct, Alaska, and that the
Improvements situated thereon are within the property
lines and do not overlap or
lying encroach on the property
niretoeopp--
erty lying adjacent encroach improvements the premises
question and that there are no roadways, transmission
hnes or other visible easements on said property except
as Indicated hereon.
Dated at !pgle 111ver, Alaska _ ¢��-
._
thia �i .ray of1..i. U is I 191.x .
ROBERT C. JOILNSONWdo9_
SCALE: Registered Land Surveyor No: 080 -LS
1'o �fp r Nix 453, Eagle Liver, Alaska
Phone 694-2543. '
%-4 Z
Municipality of Anchorage
Development Services Department
Building Sarely Division
+.� On -Site Water and Wastewater Program
47DO South Bragaw Sl.
P.O. Box 196650 Anchorage, AK 995196650
www.munl.orglonsilo
(907)340.7904
SP'Is Log - Percolation Test
Performed For: b4fiUli /I—fj{J —
LegalDescription: 1000, I
OF er"',
D4ep.>epth
(Feet)
-oR1r7V1GS
1
Eim
WASGROUNDWATER
00
& WT)
ENCOUNTERED?
Depth to Water
IF YES, AT WHAT DEPTH?
47? q- AK
Depth to Water After
3014
Monitoring?
3rr
Date:
otif-0
Range. Section:
NOR
Reading
Dale
Gross time
Net Time
Depth to Water
Net Drop
47? q- AK
It Ob
q:COPAI
(j
3rr
O
.N
?
7$N
:3Z
O
3l Z"
p
5iv
v
3"
PERCOLATION RATE (n+ ,a I)� I FERC HOLE DIAMETER _
TEST RUN BETWEEN FT AND C) FT
COMMENTS
PERFORMED RY: I CERTIFY THAT TIIIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE:
?� Municipality of Anchorage
L Development Services Department
Building Safety Division : �;.T
-p � OnSite Water and Wastewater Program4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.muni.org/onsite
$
9 (907)343-7904
3 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
•,,tTo: 5 A 5 Engineering
ti
3
2 Legal description: Eklutna Heights. Block 1 Lot 2 W2
2 The attached paperwork has been reviewed and Is being returned for the following reasons:
J v❑
c ❑
ElO
>a u❑
3 ❑
;??Q
u ti ❑
222❑
1
El
El
Original signature or stamp missing on
Calculation error in design.
Additional soils information needed. _
Water monitoring results Inadequate.
Discrepancy in information submitted.
Topographic information missing or inadequate.
Incomplete; missing
Incomplete; missing
Additional adequacy test information needed.
Water sample unacceptable. _
Measured/proposed distances/dimensions missing.
� 2-1/5 1z 1 r47JA;iej av--r
Fi'ekl i1170- add,,s..ed , a� e
Will 9rY�c+c11, to us.
p -14'v
Locations of all soils, percolation and water monitoring tests not shown.
Proposed system too deep for soils information submitted.
Well log required.
Omission in narrative. _
Insufficient fill over tank or field.
Other. The well location for the immediate neinhhnre rune nn+ nrnvide.
class c well.
Name of reviewer: Deb
Date: 12/8/06
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
MUNICIPALITY OF ANCHORAGE
Development Services Department
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
Upgrade
Permit Number: SWO60362
Legal Description: EKLUTNA HEIGHTS BLK 1 LT 2 W2
Design Engineer: 0003 S & S Engineering
Owner Name: DIANA PAUL
Owner Address: PO BOX 671873
CHUGIAK , AK 99567-1873
Date Issued: Nov 06, 2006
Expiration Date: Nov 06, 2007
Parcel ID: 051-062-04
Site Address: 024308 MT EKLUTNA DR
Lot Size: 27225 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of.
Q 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 dosed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
Engineer needs to do an additional percolation lest during construction of septic field. A new soil log needs to be
submitted with the Inspection report. If the results require a design change, construction of the system will stop
pending Onsite review and approval.
Received By:
c�
Date: 11 a 6
Issued BY Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907)343-7904
ON-SITE SEPTIC/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 0 5 I- 0 U :�L— 0
Property
phone to eo - 1113
Mailing address Q 0 1-n�k L0-718 7 3 0 A rip- Code 995
Site address Z430 $ Zip Code 9qso-
Legal description (Sub'd, Block & Lot)
Legal description (Township, Section & Range)
Lot Size 0l1, cV-5- Sq. Ft.
THIS APPLICATION IS FOR (®all that apply):
Absorption Field
(�
Septic Tank
19
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
certify that the above inforrhation is
Single Family DwellingoInd is in aca
(Signature of prop6)ttor
Permit/Rush Fees:
agent)
Number of Bedrooms 5 -
THIS APPLICATION IS AN:
Initial
❑
Upgrade
19
Renewal
❑
further certify that this application is being made for a
with applicable Municipal Codes.
Waiver Fees:
Date of Payment: J 0 r 3 /- O G Date of Payment:
Receipt Number: , Receipt Number:
(Rev. »ro5)
S&
October 31, 2006
ROBERT C. COWAN, P.E.
CML ENGINEERS
(907)694-2979
FAX(907)694-1211
MICR ALITHM Y MUNICIPALTTY OF ANCHORAGE
APFWNA`S Development Services Department
P.O. Box 196650
Anchorage, AK 99519
SEWERBWATER
MVNO(TIMM REFERENCE: West 1/2, Lot 2, Block 1, Eklutna Heights Subdivision
SEWERSWATER It is requested that you issue a permit to install a new septic system to upgrade the
NSPECT" existing three bedroom dwelling on the referenced property to five bedrooms.
A test hole was excavated, and a percolation test performed. The approximate location of
ENGINEERWGSTUOIES the test hole is located on the attached site plan. At the time of excavation 10-16-06 water
ANOREPORTS was found at 9 feet. After seven days of monitoring, ground water was found at 10 feet.
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
WE11M13PECTION areas or drainage patterns by the installation of the proposed septic system. The
SFEOWTEST construction of this system will not prevent any future development on any of the adjacent
properties.
S TE PUNS If you require 'tional information, please contact us.
Sinc y,
RCAODMGN
SOIL TEST
Enclosure
PERCOLATION
TEST
STRucr M&
MECNVOM
ONSITE
WASTEWATER
DWOMSYSTEM
OESIGN
P.E.
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577
tp
z
a
W
IL
Q
Zaz O
o O L
-1" J
<mZ
ci < 0
O<
WNomUZ
;�—Ow-5
o
ZU2 (OU L—
,j
ao1-. �Qa or_u
Opd N °
O_'InW XWOCL-VI WM"�S 10% Z
5
0
/n.
tp
°r_ _W-=M-SaJ _SY9O s m
�
3NIl SVO 3.
O
0
K
W
'TYs5
l�s
awls
ffli
o r
I
0 \
ca
I
U
N=1�1�11
In
I
o p
� N r
W <
aZld I
N
cum,I I
0 1
z o x
II II
►4 I
W
E-
0
O
W J =i z
M
N
Or
rr
VSO
U.
Z.
<
n�0�
r~r
�
RA11111
' WELL
NVId-3115
NOIS30
a
01
Wi
VOdn W002J038 S)
QOH W00803e
'~
2 9NI1SIX3
tp
z
a
W
IL
Q
Zaz O
o O L
-1" J
<mZ
ci < 0
O<
WNomUZ
;�—Ow-5
o
ZU2 (OU L—
,j
ao1-. �Qa or_u
Opd N °
O_'InW XWOCL-VI WM"�S 10% Z
5
0
/n.
tp
°r_ _W-=M-SaJ _SY9O s m
�
3NIl SVO 3.
O
0
K
W
'TYs5
l�s
awls
ffli
o r
I
ov11ZiWI I
I
U
N=1�1�11
In
I
aZld I
I
cum,I I
0 1
W
>ou
II II
►4 I
u u
I
WIX08ddV
-I
,1 �
U
co
Q
a
w
W
>ou
Q
ow
O
a L—
LC1
W l..
Z.
n�0�
n<
�
NVId-3115
NOIS30
,1 �
Municipality of Anchorage
Devetopmenl Services Department
Building Safely Division
aer On-Sile Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage. AK 995196650
tMnyaanchorggc.ak.W
(907) 343-7904
Soils Log - Percolation Te
Performed For: ��� 12-E ' t,?,T 44 EtDate
Legal Description: fUIZ, or L.6T Z. B 11 rVA-V1 rI t Cwnshil •iiange. Section:
Site Plan
071C.g
— rn L 60(f G.a , ILL
mrFf�sZ114J
—Sr Vetj 4CA")
oatnA
—cefv\
GL
m
13-
14-
15-
COMMENTS
I
WAS GROUND WATER
ENCOUNTERED?
1 a
IF YES. AT WHAT DEPTIN L
Depth to Water After r D
Monitoring? /D E
Data:
Reading
Date
Gross Time
Nei Time
Depth to Water
Net Drop
0 23 ob
• o
v
5'!
o
PLECUI.AnvN RATE tm
TESTRUNTIETWEEN q FT
PERFORMED BY:
PERrORMED IN ACCORDANCE WITH ALL STATE AND
RC HOLE DIAMETER b••
FT
I CERT IFY THAT 71115 TEST WAS
IN EFFECT ON TIIIS DATE. DATE:
_ 11/03/2006,11:18 FAX 907 343 7997 ON SITE ..
Municipality of Anchorage
Development Services Department
Building Safety Division
on -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 19WW Anchorage, AK 89519.6650
www.el.anchorage.ek.us
(907) 343-7904
ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET
To:s3SENG
X002/002
Legal description: EKLISTRA HEIGHTS LOT 2 WEST 112
The attached paperwork has been reviewed and is being returned for the following reasons:
❑ Original signature or stamp missing on
❑ ' Calculation error in design. _
❑ Additional soils information needed. _
❑ Water monitoring results Inadequate. _
❑ Discrepancy in information submitted.
❑
'Topographic information missing or inadequate. _
❑ Incomplete; missing _
❑ Incomplete; missing _
❑ Additional adequacy test information needed.
❑ Water sample unacceptable.
❑ Measured/proposed distances/dimensions missing. _
❑ Locations of all soils, percolation and water monitoring tests not shown.
❑ Proposed system too deep for soils information submitted.
❑ Well log required.
❑ Omission in narrative. _
❑ Insufficient fill over tank or field._
® Other. A SUBSURFACE DISPOSAL FIELD MAY NOT BE LOCATED WHERE THERE
ET OF HE BOTTOM OF THE ABSORBTION AREA. 't'ZrON SO)/ �� / .S �`
Sol e «-eti 7 . • y
Name of reviewer. JOE 6'011,<d Jc1c4e61 7�t W . Date: November 2, 2006
it/1�l i QFJG, Cc F IPJJ �t 60 Hl/vr �Dy
Please supply the necessary information and re -submit your request.
LEAVE THIS FORM ATTACHED TO THE PAPERWORK
Municipality of Anchorage
Development Services Department
Building Safety Division
y1 On -Site Water and Wastewater Program
4700 South Bragaw SL
P.O. Box 196650 Anchorage, AK 99519-6650
www c5 anchoraae.ak.m
(907) 343.7904
Soils Log - Percolation Test
Performed For.
Legal Description: / 2
Gross Time
Net Time
Depth to Water
(FLet)
�►Q
1-
- s
A
lair t
2-
C
o �
sp3-
4-
5-
5-
an
a0
6-
6- n
WAS GROUND WATER o
9_ � ENCOl1NTERED?
1
11) IF YES. AT WHAT DEP
Depth to Water After t
11- Nl/ 1coifroll-14d Monitoring? /0
12. oats/ / 23 O 1
15-
16-
17-
19 -
Range, Section:
a, e4?-
Reading
Dale
Gross Time
Net Time
Depth to Water
Net Drop
All, 310 6
an
a0
d
1 u
PERCOLATION RATE lnw+tes
/ �s / TEST RUN BETV�— r AND
FT AND
COMMENTS �C.JI• JL Q��'t
-5.1 N
PERFORMED BY:
PERFORMED IN ACCORDANCE WITH ALL STATE AND k NI DELINES
PF RC HULL UTAMt 1 hK
FT
CERTIFY THAT THIS TEST WAS
IN EFFECT ON THIS DATE. DATE:
EnG1neelunG
ROBERT C. COWAN, P.E.
CMLENGINEERS
(907) 694.2979
!WA.LT.HAxTH.0RYTWY
FAX(907)694-1211
ON-SITE WASTER'ATER DISPOSAL SYSTEM
APPRKNALS
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
SEWER 6 WATER
AWN Dt(TENSKM
REFERENCE: West %:, Lot 2, Block 1, Eklutna Heights Subdivision
October 31, 2006
SEWERS WATER
"SPECK°"
GENERAL:
1. The scope of this project includes the installation of a new 1500 gallon
ENGINEERINGSTUDIES
septic tank and a new drainfield trench to upgrade the existing three
ANDREPCRTS
bedroom residence located on the referenced property to five bedrooms.
2. Construction shall be in accordance with the approved site plan and design
WEILINSPECTION
drawings, Municipal permit with any special provisions or conditions, and
S FLOW TEST
all applicable State and Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary
SITE PIANS
underground utility locates.
4. Unless specifically agreed otherwise, the property owner shall be
responsible for final grading areas subsequently depressed from soil
RDAD DESIGN
settling.
S. Contractors installing wastewater disposal systems must be certified by the
SM TEST
Municipal Development Services Department or ADEC if required, for
system installations. Owners installing their own systems must also receive
prior approval from the respective agency.
TEACOLATION
TESTT
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer.
:ECI`
Construction shall include two 4" cleanouts for pumping access.
INSPECTIONS
ONSITE
WASTEWATER
DISPGSAESYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER ALASKA 99577
Page 2
West %, Lot 2, Block 1, Zklutna Heights Subdivision
October 31, 2006
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
5. A foundation cleanout shall be installed one to four feet from the building foundation.
In the line between the tank and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic tank). These cleanouts
shall be located on undisturbed soil not more than 10 ft. from the tank. The first
cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be
to clean toward the septic tank.
6. Final grading over the septic tank shall be such that a positive slope exists away from
the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
Excavate the proposed trench to the dimensions shown on the design. The bottom of
the excavation shall be within 2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer
rock) placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil
backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the
locations shown on the design, and extend a minimum of 12 inches above final grade.
The portion of the monitoring tube extending through the gravel shall be perforated
from the bottom of the trench to the invert of the distribution pipe. This is equivalent
to the effective depth of the gravel as noted on the design.
Page 3
West %j Lot 2, Block 1, Ekiutna Heights Subdivision
October 31, 2006
5. Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent the formation of a
depression after settling.
TIINI11IU111 MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
Tvne of Pine Perforated Solid
Cast Iron
Yes
Yes
ASTM D3034 (PVC)
Yes
Yes
ASTM F810 (HDPE)
Yes
No
ASTM D2662 (ABS)
Yes
Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco,
or equal).
5. A permeable nontoxic silt barrier (Typar 3401, Miraft 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever requirement applies.
Page 4
West %, Lot 2, Block 1, Ekiutns Heights Subdivision
October 31, 2006
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of
the wastewater disposal system. These inspections will occur as follows:
The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
2. The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting
engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a
pre -construction meeting will take place on-site. The inspecting engineer will not coordinate,
direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
specifications and plans and in accordance with the attached M.O.A. permit. There will be no
contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with the
owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor
to carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR / INSTALLER
Oct 11 06 09:52a Les Bailey 907-689-6498 p.1
aep au uta autaae uaatne reua nue—000—taac p.a
tl r3• '
fat✓E ':
'e•••ti-a •
t �•
S � �I�•d��r• Iles
e Lr
i
•', :.lS- '•' . :.r. ^''arta .l
0_ r.el
t $i�i-Rol:a•. C.Jshniut J '+ .
r�lr't'3 �t� '•
2 Ileteby eertXi' that i. L.t a %mtnased ttfs tua fel
described t>zoDaer t.. Y><..L o`7t = t ►
Zk
McLenae Retvtrtlag mid
Lt>pevements aitwted e w N the l7e peter
Lnrtt and eb not evensp K:1= on the pr Va..
lying adlseent theretel thin no Lm an On Pees
arty Wing edUcent thereto eeraottch on tLe Rem "S k
Ountion and that there art• no readw■". use is".
net or other visible en■ments on said PreDeztT ftm.
&$ Indicated horeon. :
gated at Eschi River, Aja*,
this_30ru day et $EP•r" L'S_'
. RourRT'N JOlmsolq W0.1;
SCAi.L: Retiste"a Lend 5u "or Ro : aa•S.
t'=.L�' 412,450 ,1:aLlr filver.•t]aska. -
attic•
•
•
.. ..
t .• • T
VA A
•�
.>, +
Ata.
.. A'r•
Ov
•', :.lS- '•' . :.r. ^''arta .l
0_ r.el
t $i�i-Rol:a•. C.Jshniut J '+ .
r�lr't'3 �t� '•
2 Ileteby eertXi' that i. L.t a %mtnased ttfs tua fel
described t>zoDaer t.. Y><..L o`7t = t ►
Zk
McLenae Retvtrtlag mid
Lt>pevements aitwted e w N the l7e peter
Lnrtt and eb not evensp K:1= on the pr Va..
lying adlseent theretel thin no Lm an On Pees
arty Wing edUcent thereto eeraottch on tLe Rem "S k
Ountion and that there art• no readw■". use is".
net or other visible en■ments on said PreDeztT ftm.
&$ Indicated horeon. :
gated at Eschi River, Aja*,
this_30ru day et $EP•r" L'S_'
. RourRT'N JOlmsolq W0.1;
SCAi.L: Retiste"a Lend 5u "or Ro : aa•S.
t'=.L�' 412,450 ,1:aLlr filver.•t]aska. -
•
•
.. ..
t .• • T
•', :.lS- '•' . :.r. ^''arta .l
0_ r.el
t $i�i-Rol:a•. C.Jshniut J '+ .
r�lr't'3 �t� '•
2 Ileteby eertXi' that i. L.t a %mtnased ttfs tua fel
described t>zoDaer t.. Y><..L o`7t = t ►
Zk
McLenae Retvtrtlag mid
Lt>pevements aitwted e w N the l7e peter
Lnrtt and eb not evensp K:1= on the pr Va..
lying adlseent theretel thin no Lm an On Pees
arty Wing edUcent thereto eeraottch on tLe Rem "S k
Ountion and that there art• no readw■". use is".
net or other visible en■ments on said PreDeztT ftm.
&$ Indicated horeon. :
gated at Eschi River, Aja*,
this_30ru day et $EP•r" L'S_'
. RourRT'N JOlmsolq W0.1;
SCAi.L: Retiste"a Lend 5u "or Ro : aa•S.
t'=.L�' 412,450 ,1:aLlr filver.•t]aska. -
_ GREYER ANCHORAGE AREA BO"' UGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
SEEPAGE PIT:
��� P
NUMBER OF PITS �. DIAMETER yG• OR WIDTH LENGTH 171,
, DEPTH
1 �
LINING MATERIAL CRIB SIZE: DIAMETER _LDEPTH (J9 DISTANCE FROM: WELL
r TOTAL EFFECTIVE
BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA)289 SQ. FT.
ADDITIONAL ABSORPTION
WELL: a
TYPE d�j"�� e CONSTRUCTION
BUILDING NEAREST
FOUNDATION -,LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY:
INSPECTION REPORT ON-SITE SEWAGE
DISPOSAL
SYSTEM
11,,
NAMEIA U VfAcyt'4 MAILING ADDRESS
PHONE
LOCATION �r UkwrAIA
I1r21VC LEGAL DESCRIPTION
w1/L Gri 2-
I /
glo(i C"KL6�,'rNA /IYS
SEPTIC TANK:
F-
DISTANCEC
ly
NUMBER OF
FROM WELL
MANUFACTURER 'TAcfc J`rtt�L MATERIAL
SrC-V7L
COMPARTMENTS -2-
INSIDE
INSIDE LENGTH
INSIDE WIDTH LIQUID DEPTH
LIQUID CAPACITY l nDr' GALLONS.
SEEPAGE PIT:
��� P
NUMBER OF PITS �. DIAMETER yG• OR WIDTH LENGTH 171,
, DEPTH
1 �
LINING MATERIAL CRIB SIZE: DIAMETER _LDEPTH (J9 DISTANCE FROM: WELL
r TOTAL EFFECTIVE
BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION AREA (WALL AREA)289 SQ. FT.
ADDITIONAL ABSORPTION
WELL: a
TYPE d�j"�� e CONSTRUCTION
BUILDING NEAREST
FOUNDATION -,LOT LINE
CESSPOOL OTHER SOURCES
APPROVED DISAPPROVED
DISTANCES:
INSTALLED BY:
Q
PIPE MATERIAL:
F-
ly
LOT SLOPE:
REMARKS:
Form No. EQ -031
DEPTH
NEAREST SEPTIC
SEWER LINE -,TANK _
REMA
DIAGRAM OF SYSTEM
DISTANCE FROM:
SEEPAGE
SYSTEM
MAMWEM
w`LM*v/m!,!Y
oxuLEn
m'r o+ nv .wrc wFu, rum`/rrrm
r ''amvx'rY
xsu. LorAr/sN. xmnExs
LEGAL uc,ox/rr/u*
ma'n/ M. yaL/. /'. cxS/no uopn/��. u1)1xmcrcn
^` nc WAroo ^ovu/. Z -8/L - (Auovu,ouLow) Lxwo uourxus. /woc
nx.Sn OF WELL: (. souzow, mmro"^rso, urcw HOLE, nrxro)
V,rEnv^Lu AND x/xE
:
r)r-o `cszm/ By (mUwmwc, RAILING, AIR) AT gal. /min..
Of? HOWis WITH X�rfl.- OF DRAWDOWN FROM STATIC LEVEL.
DRILLER'S MATERIAL LOG
�
�
ro��
z�-
-� 11�, Y—i�
rn /^
��—+r+
f�
�8� �
__.10
To
no
.� To `
1x0""O� 4
tr
NAME OF APPLICANT
INSTALLATION LOCATION
LEGAL DESCRIPTION —
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3330 "C" STREET ANCHORAGE, ALASKA 99503
TELEPHONE 274-4561
SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT
INSTALLATION OF: SEPTIC TANK
TYPE AND SIZE OF FA'
FINANCED THROUGH
SOIL TEST RESULTS
MAILING ADDRESS
It
crcoene DIT
PERMIT NO.
PHONE
OTHER ,
COMPLETION DATE ANTICIPATED
NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST
FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE
DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE TYPE SEEPAGE AREA SIZE A) `^ � TYPE
MINIMUM DISTANCES, REQUIREMENTS
FOUNDATION TO SEPTIC TANK
FOUNDATION TO SEEPAGE PIT -Z0 DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL
Y
SEPTIC TANK , SEEPAGE PIT DRAIN FIELD
TO NEAREST LOT LINE.
WELL TO SEPTIC TANK
DRAIN FIELD
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT G —.
ALSO CONSIDER AREA WELLS.
SEEPAGE PIT
SEPTIC TANK,'Oft . SEEPAGE PIT �" DRAIN FIELD
TO RIVER, LAKE. STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH
LATIONS REGARDING INSTALLATION
G.A.A.B.
OR
LICENSED DESIGNER
DIAGRAM OF SYSTEM
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE a �/'( !� �LICANT'S SIGNATURE
FORM NO. EO -016
GREATER ANCHORAGE AREA BOROUGH
DEPARTMENT OF ENVIRONMENTAL QUALITY Case #
3330 "C" Street
ANCHORAGE, ALASKA 99503
Performed For x __Dated Per ormed '? ` 9- -� 3
Legal Description: L (J' Block_—L_Subdivision
This Form Reports Soils Log X Percolation Test
- Soil Test Must Be Logged To 4' Below Proposed Seepage System -
Depth
Feet Soil Characteristics
2-
3-
4-
5-
6-
7-
8-
9-
10-
12-
13-
14—
so
Was Ground Water Encountered? nd
If Yes, At What Depth?
OpF
Reading Date Gross Time Net Time Depth to H2O Net Drop
I
Percolation Rate Minute
Proposed Installation: Seepage Pit Drain Field
Depth of Inlet Depth to Bottom of Pit or Trend
COMMENTS:
Test Performed BY
Date Certified BY:
Date:
l i Municipality of Anchorage
£
On -Site Water and Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 051-062-04 __. Expiration Date ' , `�_7 t�-/..
1. GENERAL INFORMATION
Complete legal description EKLUTNA HEIGHTS BLOCK 1 LOT 2 W2
Location (site address) 24308 MOUNT EKLUTNA DRIVE, CHUGfAK AK 99567
Current Property owner(s) LANCE & MIKILANI DAVIS Day phone
Mailing address PO BOX 671694 CHtiGIAK, AK 99567__ _..._
Real Estate Agent --_.__---_-- _- Day phone
2. TYPE OF DWELLING:
❑ Single Family (w/wo ADU)
® Duplex i\ U��+
❑ Multiple Dwellings (Single Family andfor Duplex)
MAR 1 7 2014
3. NUMBER OF BEDROOMS: 5
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
individual
Individual Water Storage
❑
holding Tank
❑
Community Class ___Well
❑
Community
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request
Received by; / , ' .' Date: ..? f `
COSA to be released to the engineer, unless otham,isa re'4iaesterd by the engineer.
COSA Fee $ Aja (e ^ Waiver Fee $ _
Date of Payment 3I 1�� I Date of Payment
Receipt Number blS� 3 Receipt Number,
COSH Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seat 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. t 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 ARCTERRA CONSULTING INC. Phone 888-3791
Address 20441 PTARMIGAN SLVD.s_EAGLE,RIVER, AK 99577 _
Engineer's Printed Name KENNETH M. DUFFUS Date 3/14/19
Engineer's Cmments: This investigation was completed in compliance with ADEG and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, focal soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTema can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen -0• OF -14
encroachments, deficiencies or discrepancies exist. ,W "� ` J Ill
/WHIN/v
6. DSD SIGNATURE
System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
�p KEN'iE7?i' s t9 /1
A
1 i i JW"
Conditional approval for bedrooms, with the following stipulations:
Original Certificate
upon the representations given In paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage 7s 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 blue shoeL141Q12 Bac
If more than 1 septic system Is on the lot:
COSA Checklist # _of _
Structure served by this system _
Certificate of On -Site Systems Approval Checklist
Legal Description: EKLUTNA HEIGHTS BLOCK 1 LOT 2 W2 Parcel ID: 051.062.04
A. WELL DATA
Well type PRVT if A, B, or C provide PWSID # _ Well Log (YIN) Y
Date completed 611974 Sanitary seal (Y/N) Y Wires properly protected (YIN) Y
Total depth 72 ft. Cased to 72 ft. Casing height (above ground) 18+ in.
FROM WELL LOG AT INSPECTION
Date of test 1974 3113114
Static water level 39 ft.
Well production 20+ 9 -
p.m -
WATER SAMPLE RESULTS:
Coliform NEQ colonies/100 mL Nitrate 2.80 mg/L
Arsenic: ND ug/L Date of sample: 21271201
S. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC I STEEL
Tank size 1500 gal. Number of Compartments 2
Foundation cleanout (YIN) Y Depression over tank (Y/N)�N
Date of pumping 11--:70-13 Pumper
C. ABSORPTION FIELD DATA
W
Collected by: ARCTERRA
Date installed 11/1612006
Cleanouts (Y/N) Y
High water alarm (YIN) N
Date installed 11Ni'll Soil rating (g.p.d.M2 or ft2/bdrm) 0.8 System type SHALLOW TRENCH
Length 109' (54 & 55) ft. Width 5 ft. Gravel below pipe 3 ft.
Total depth 6.25 ft. (Measured attwr4) Eff. absorption area t39ft Monitoring tube Y Depression over field N
Date of adequacy test 3H312014 Results (Pass/Fall) PASS For 5 bedrooms
Fkiid depth in absorption field before test 0 in. Water added790 gal. New depthl) in.
Elapsed Time: g min. Final fluid depth g In. Absorption rate >= 750+___ ______ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YM & type) N If yes, give date
D. LIFT STATION
Date Installed
°Pump on" level at _ in.
Datum
Size in gallons
"Pump off" level at _ M.
Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 1004
Public sewer main 7S+
Sewer /septic service line 25'+
Animal containment areas 50'+
SEPTIC/HOLDING TANK ON LOT TO:
Manhole/Access (Y/N)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots 100'+
On adjacent lots 1004
Public sewer manhole/cleanout 1004
Holding tank 1004
Manure/animal excrete storage areas 1004
Building foundation 54 Property line 51+ Absorption field 5'+
Water main 104 Water service fine 10'+ Surface water 100'+
Wells on adjacent lits 1001+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service fine 10'+ Surface water 100'+ Driveway, parkingivehicle storage 104
Curtain drain _ W+ filim xwwm Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certffy that I have determined through field inspections and
review of Munkipal records that the above systems are in conformance
with MOA COSA guidelines in effeot on this data.
Engineer's Printed Name KENNETH M. DUFFUS
Data 3t14P14
COSA brown sheeLIO.10.12.dw
�►'�V A
in.
Municipality of Anchorage
• Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519.6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-062.04
COSA # 6 61 O S %?
Expiration Date: g --Z !�
1. GENERAL INFORMATION
Complete legal description west 1/2 of Lot 2; Block 1; Eklutna Heights Subdivision
Location (site address) 24308 ML Eklutna Dr.
Current Property owner(s) Diana Paul
Day phone 688'1113
Mailing address PO Box 671873 Chugiak, AK 99567
Lending agency
Day phone
Mailing address
Real Estate Agent Les Bailey
Day phone 689-6451
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
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 Weil ❑
Community On-site ❑
Public Water System ❑
Public Sewer ❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued
With new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 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 S a s Engineering
Phone 694-2979
Address 15861 S. Birchwood Loop Rd. Chugiak, AK 99567
Engineer's Printed Name R086A7- C . Cot✓A„� Date 9—IX3 /o 7
��.O F
LL6AJ�G OF GCNp.�AOF
Ir/o
� A/d.°Re✓QL JJ Rifl�kjT�.O. �"i(�
a ^\,..,,,......
%}Olruvg7{, Flt, t. FfAJ /it-f.v jivJrJ".4 t4 C)Vf Al.•*o
... .::C
TANK HNE
O Fr✓D , a'i
5. DSD SIGNATURE r 3 ROBERT C COWAN
' C:-8801
Approved for 5� bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Att-,--hments:
COSA Checklist X
Cep;ic System Advisory
Wit Flow Advisory
Ni:mte Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: Original Certificate Date:-
,51-11
ate:_
m« t,Asr
Municipality of Anchorage
• Development Services Department e•'�rt ��'�
Building Safety Division
On -Site Water and Wastewater Program —
4700 Bragaw Street " C '
P.O. Box 196650
Anchorage, AK 99519-6650
(907)343-7904
7
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-062-04
1. GENERAL INFORMATION
Complete legal description
Location (site address)
COSA# btrn-6-1q
Expiration Date: y -I/Z1/07
West 1/2 of Lot 2; Block 1; Eklutna Heights
24308 tit. Eklutna Dr.
Current Propertyowner(s) Diana Paul
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Dayphone 688-1113
PO Box 671873 ChuRiak, AK 99567
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
5
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work.
Individual On-site
X®
❑
Individual Holding tank
❑
❑
Community On-site
❑
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval
are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued
with new water sample results. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined In the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system Is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm S & S Engineering
Address 17034 N. Earl Ri r l6o
Engineer's Printed Name
S. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Phone
694-2979
River, AK 99577
Date /Z%OS"�O e
Conditional approval for 5 bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: sav Original Certificate Date: Z O
(11". 1 M)
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water
supply and/or wastewater disposal system Is(are) In compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm S a S Engineedng Phone 694-2979
Address 15861 S. Birchwood Loop Rd. Chugiak, AK 97
E/�n''gineer'sPrintedName/_.�J. 6i3O-7— C�ID.�,y� �t
/ Sf° r� WA / UJ
-
NGSC//hOi2e�J� C.OSl7/
Fr'� l O trot I2Uts� QM Gl �i'G�/r -/ V G'di✓� lNrt+�1
�cu-� /T Zoo7. l � /•tf-
� � � fa i�
� "a &1 &4
5. DSD SIGNATURE
M
Date y / q A %
us roc -my' pro o 6�' 4'/0" -J -P Go.Cz v 00(�/%�
✓�l,a� /(� c�(,� �s.h`^f � � � cow fic�.o�'
Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following
Attachments:
COSA Checklist X_
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(R" IIM)
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date:
ROBERT G COWAN
Municipality of Anchorage
' Development Services Department
Building Safety Division <
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE JwT
TE OF _ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: 0 1/ of 2- tP tw4AX4;Parcel ID: C>S I -O62-®4
A. WELL<D�7,��
Well type T 02,MTE- If A, B, or C provide PWSID #
Date completed � 117q Sanitary seal
&)N
Total depth i 2, fL Cased to 'ULft.
FROM WELL LOG
Date of test I r7,
Static water level 38 n.
Well production 20+ g.p.m.
Well LogON)
Wires properly protected olq) &S
Casing height (above ground) IZ° in.
AT INSPECTION
It 117/0&
60 1 ft.
5.3 g.p.m.
WATER SAMPLE RESULTS:
Coliformcolonies/100 mL Nitrate .2,12 mg/L Other bacteria -e-1 colonies/100 mL
Arsenic: fmgA Date of sample: _V_46 Collected by: S.- S C-rl76 auC61RUk-4
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material�� 1C �S i�>z L Date installed II h to 06
Tank size 16co gal. Number of Compartments Cleanoutq f I) ii;�
Foundation cleanout&) ` S Depression over tank (Y C( " High water alarm (Y N� )9(5
Date of pumping IV� Pumper - A -)A- -
C. ABSORPTION FIELD DATA
Date installed 11 1 0
Length 10qi ft.
Soil rating (g.p.d./ftp or fe/bdrm)
Width S i
ft.
System type SO4UDtO I 1ZEAX-fE
Gravel below pipe 3.b ft.
Total depth S ft. EH. absorption area 4Zjft2 Monitoring tube '&,S Depression over fieldK10
Date of adequacy test - A)R' - Results (Pass/Fail) — For -5- bedrooms
Fluid depth In absorption field before test = In. Water added= gal. New depth= in.
Elapsed Time: = min. Final fluid depth = in. Absorption rate >= I g.p.d,
Any rejuvenation treatment (past 12 mo.) ()(D type) Nth If yes, give date
D. LIFT STATION ADD ),
Date installed
'Pump on' level at _ in.
Datum
E.EPARATION DISTANCES
Size in gallons
'Pump ofr level at _ in.
tested
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot /0 " -
Absorption field on lot
Public sewer main N�
I
Sewer /septic service line 2 S F
Animal containment areas
r�Q
Manhole/Acoess (Y/N)
in.
Meets alarm & circuit requirements?
1
On adjacent lots
On adjacent lots
Public sewer manhole/Cleanout POIA
Holding tank
Manureianimal excrete storage areas /00 f
SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO:
f
Building foundation S Property tine 5 t Absorption field 15,4
Water main A -) 1A Water service line t04- Surface water /G'O f
Wells on adjacent lots / O49
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line /0 /+ Building foundation /O 4- Water main A-)
Water Service line 10 4 Surface water / ' V Driveway, parkinpNehide storage /0 1r'"
r
Curtain drain XII✓ XI�Wells on adjacent lots IC-
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined"field inspections and
conformance wreview of itMunicipal
MOA quid records thiltth es e�aboveerste is te.rn
Engineers
Date
J�f
0
COSA Fee $ 7
Date of Payment
Receipt Number �58
Waiver Fee $
Date of Payment
Receipt Number
47
�
MIL
V
la
�.^pta
....1 .....1*
A. NbAr
f
(Rev.IIM) CorlAollona-1 0116
I ft/e7
80260
t
30/60
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
Division of Environmental Services 16
On -Site Services Section
P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
CERTIFICATE OF HEALTH AUTHORITY
APPROVAL FOR A SINGLE FAMILY DWELLING
Parcel I.D. # C'51 ^06 Z-- d q
1. GENERAL INFORMATION
Complete legal description
'12 Lo + r�l_ 6 rI I
Location (site address or directions) c2y 30& tl L L kLt7r-NA
Property owner Dt A4 SAil I C C 3 Day phone 4688 37AI
Unilinn nrlrlrnoo
Lending agency010 - 4 L4_;� Day phone
Mailing address
Agent Day phone
Address
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: -3
3. TYPE OF WATER SUPPLY:
Individual well
Community well
Public water
NOTE: If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
4. TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. 1/91) Front MOA#21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I furtherverify 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 I o 6b e_ o 0 Q v y- V- a. L4 a� L= Phone
Address
Engineer's signature
6. DHHS SIGNATURE
Approved for 3
Disapproved.
Conditional approval for
Additional Comments
By:
bedrooms.
4 I I T I C
bedrooms, with the following stipulations:
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.
72-025(Rev.1/01) Beck MOA821
Municipality of Anchorage
Department of Health & Human Services
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description:
W t2- r! eY g V, Parcel I.D. Q51—o6a-- d
EV_LvTWA t+ t=� 1(-►F4i S.
A. WELL DATA
Well type If A, B, or C, attach ADEC letter. ADEC water system number
Log present (Y/N) Date completed 1 u -N Q Q Driller LAa.r'r �-1
rl I
Total depth 71 Cased to 7 Z- Casing height 1-19-0
Sanitary seal (Y/N) ;7 Wires properly protected (Y/N)
FROM WELL LOG AT INSPECTION
L�MUK IC'?P'.IT' ^F AN''H^RAGE
Date of test ) ? 1 12-h q q Z
r`""` GNh1Eivif,L acR` ICES DIVISION
Static water level
Well flow
Pump level
38
rece
Cad 4w,�,t,4
(E8 111993
gpm WkEIVED
3e ��I
SEPARATION DISTANCES FROM WELL TO:
Septic/holding tank on lot 98 ; On adjacent lots l �3
Absorption field on lot 19515, J ; On adjacent lots 7 j (4 fl
Public sewer main N /A Public sewer manhole/cleanout IYZA
Sewer service line
WATER SAMPLE RESULTS:
Petroleum tank
Coliform b Nitrate 1. 3 ol Other bacteria
Date of sample: f 7-/, Wt Collected by: 5 ., C zL"oe,
B. SEPTIC/HOLDING TANK DATA
Date installed /I 717!e Tank size 1�5t� Compartments
Cleanouts (Y/N) Y Foundation cleanout (Y/N) Depression (Y/N)
High water alarm (Y/N) � Alarm tested (Y/N)
I�
Date of pumping Pumper
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:
Well(s) on lot ? 6 On adjacent lots > 115 Foundation 1 eq
To property line % / t? Absorption field 3 7 �� Water main/service line i (010
Surface water/drainage N1 G >A 'e--
72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE
C. LIFT STATION Jq/„H
Date installed
Size in gallons
Vent(Y/N)
High water alarm level _
"Pump on" level at
Meets MOA electrical codes (Y/N)
Manufacturer
Manhole/Access (Y/N)
SEPARATION DISTANCE FROM LIFT STATION TO:
Well on lot
D. ABSORPTION FIELD DATA
On adjacent lots
"Pump off" level at
Cycles tested
Surface water _
Date installed
pp %7{ %7 Soil rating J System type luerl Cir,
Length Width Gravel thickness /,-.:;, Total depth D
Total absorption area z Cleanouts present (Y/N) 1% 143 ,Depression over field (Y/N) �l Date of adequacy test 114 lq `Q Z
Results (pass/fail) for bedrooms
Peroxide treatment (past 12 months) (Y/N) N If yes, give date
SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Well on lot 3 b 5 On adjacent lots / 3 Property line / / D
To building foundation J To existing or abandoned system on lot /A
On adjacent lots i, z o Cutbank 6 � 0 W -e Water main/service line %
Surface water _ tQ 0 Vt e-- Driveway, parking/vehicle storage area > / 0`'C)
Curtain drain N ` C)
E. ENGINEER'S CERTIFICATION
I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signature
Engineer's Name n evl
Date / f
.y
HAA Fee $ % I
00
,Y,—
Waiver Fee: $
't -S 10 - 06
Date of Payment
- //- -9'3
Date of Payment
�� - � \ _q 3
Receipt Number
0 �/�
Receipt Number
72-026 (Rev. 3/91) Back MOA 21
CHEMICAL & GEOLOGICAL LABORATORY
A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO.
5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301
Chemlab Ref.# :93.0590-3 REPORT of ANALYSIS
Client Sample ID :EKLUTINA HEIGHTS
Matrix : WATER
Client Name :TOBBEN SPURKLAND, P.E.
Ordered By :TOBBEN SPURKLAND
Project Name
Project#
PWSID :UA
Sample ROUTINE SAMPLE COLLECTED BY: STUART.
Remarks:
QC
Parameter Results Qual. Units Method
NITRATE -N 1.36 mq/i EPA 353.2/300.0
Collected :02/12/93 @ 13:00 his.
Received :02/12/93 @ 16:20 his.
WORK Order :63145
Report Completed :02/15/93
Technical Director E HE EDE �/
Released By : G
Allowable
Extract
Analysis
Limits
Date
Date Init
------------------------------------------
10
02/15/93
02/15/93 LLH
.......................................................................................................................................
See Special Instructions Above UA - Unavailable
See Sample Remarks Above NA - Not Analyzed
U - Undetected, Reported value is the practical quantification limit. LT - Less Than
D - Secondary dilution. ��±±�+ GT - Greater Than
%i Sc3s Member of the SGS Group (Soci6t6 G6n6rale de Surveillance)
• COMM VIAL TESTING &ENGINEERING CO. AK DIV
ter`
& Cw EMICAL & GEOLOGICAL LABORATORY
v
ueowwmer -a, ' TELEPHONE (907) 562-2343 5633 B Street
Anchorage, Alaska 99518.
Drinkin Water Analysis Report for Total Coliform Bacteria
TO BE COMPLETED, BY WATER SUPPLIER
❑ PUBLIC WATER SYSTEM I.D. # y .
PRIVATE WATER SYSTEM 1
Name
state
SAMPLE DATE: 3
Mo. Day Year
SAMPLE TYPE:
R -Routine
❑ Check Sample (for routine sample
with lab ref. no. ) ❑ Treated Water
❑ Special Purpose ®. Untreated Water
SAMPLE Time Collected
No. I L
O
CA
T
I
ON
N Collected
By
2 1 v
3
4
5
..}44
l%VI BACTERIOLOGICAL
READ INSTRUCTIONS
Membrane Filter: Direct Count
RFFORF
COLLECTING SAMPLE
Verification: LSB
Fecal Coliform Confirmation
Final Membrane Filter Results
Reported By
TNTC = Too Numerous To Count
OB = Other Bacteria �±
�16)$GS Member of ti
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
Satisfactory
❑ 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 mail.
Date R&calved 2I/z
Time Received Y 6ckn
Analytical Method: Membrane Fitter
I
No. of colonies/100 ml.
La4Ref. No. Result* Ani
,r
93.0590 11►
FT -1
m
rm
✓ATE ANALYSIS REC�ORD
/
Coliform/100 mi
Coilform/100 ml
z -r3 -g3
/(060
PART ONE OF TWO
REMAINDER TO FOLLOW
a.m.
p.m.
907-694-6685 JOEL J BABB & CO INC 574 P01 FEB 16 193 14:03
Joel J. Babb & Co. Inc.
Real Estate Appralsers
February 16, 1993
Tobben :purkland
203 W. 15th Avenue
Anchorage, Alaska 99507
RE: satisfactory Completion Letter
Post-Itu brand fax transmittal memo 7671
Mor pegat r
To k
From �p p
Co.
Co.
Dept.
Fax .ka+
Client Reference: PHH Hcmequity
IA)Ual: W. 1/2 Lot 2 Block 1 Eklutna Heights
Dear Tobben:
1 appraised the above referenced property on December 18, 1992. At the time,
it was appraised as a 4 bedroom duplex. I subsequently reinspected the
property on January 22, 1993. It bad been converted to a 3 bedroom single
family. The kitchen area of the lower level had the appliances removed and the
closet areas of two of the bedrooms were drywalled and are now considered
dens for appraisal purposes.
This type of conversion is not uncommon for this type of property in this
area. Our company recently inspected a residence located in this neighborhood
at 22930 Sumac Drive, Chugiak, (Lot 2B Block 5 Skyline View). Stan Hoofard of
Land Use Enforcement, with the Municipality of Anchoragedetermined in a
similar situation the property contained one dwelling unit. See copY of
attached letter. Further or more detailed analysis and determinations should
be channeled through Mr. Hoofard as the Municipality is the official source of
infomation.
Sincerely
State of Alaska Cert#AA-5.
Muni'"ipality of Ancl arage
K
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
February 23, 1993
Tobben Spurkland, P. E.
203 West 15th Avenue #206
Anchorage, Alaska 99501
Subject: Waiver Request for WI -2 Lot 2 Block 1 Eklutna Heights S/D
Waiver Request #WR930004, PID #051-062-04, HA930067
Dear Mr. Spurkland:
Your request for waiver(s) of the required 100 foot horizontal
separation of a septic system to a private well has been approved.
The approved separation distance(s) are private well from a
septic tank of 98 feet.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separation distances be met or another approval
from this department.
Sincerely,
W '�' 4e-�&
Daniel J. Roth
Civil Engineer
On-site Services
ljm:#6
)Concur:
n S th, P.gram Manager
On-site Services
'MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR# WR930004 PID# 0:�J-062-04 HA#HA930067 Permit #
Date Received: February 11, 1993
Legal Description: W� Lot 2 Block 1 Eklutna Heights Subdivision
Engineer: Tobben Spurkland, P. E.
203 West 15th Avenue #206 Anchorage, Alaska 99503
Applicant: Don Swires
Waiver Requested: Private well to septic tank - 98 feet
Criteria: 1. Geology:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Points:
Waiver is Granted: _XWaiver is NOT Granted:
List Conditions or Reasons for above:
5 ,EE A /T/9 14EP
Date: 2 - 2 3 - X13 By:
Name o
Rec #: 24460/6416 Amount: $ 410.00
Date Paid: Feb 11, 1993
WhI VER l�FQ UF_ F {on w% L ? B 1 Di-ZuTNA h'E/GNTS SU QD.
WAIVER RE= ,uFsT AIUHDfl3 WH913000¢
.WAIv4M l?EQu"r FO/i ON -Lor WELL 7o ,SfPTic rvA,* iB
S PTI FA Al* Al TA
FRE SEPTIC % ANl- D,N T Hl1 L e ONST/P L+ c TF,O / Al /'fA
/97¢ #AP A/OTEP oa IffAbPT /95" �f8.SfEE?,
TAec SEPTIC TpNK IS RPPRo�/,�ATEtY S% D0,6�/A/ G1?AO�Eur
FR On rWE LvELL IA/ Qu rfr1v ,,
-.W ELL AV 7n -
TME Iv EGL COlvST/PuCTr=:P /av TuovE 1974. TyE WELL /s
72 FEET DEEP 6,wo C,tSfO TO TN£ &7rOM. 7-H6 l..E L ApPEA/PS
TO PEva7-RATE L AYFIPs OT �f/9AIVv CLRY f 119RPA941 a�T/c
/9 ( 01d R S E SAa 0 1 G>?.* VEc
STkFTl ( (" 67 -ER L EVEL 13, 45- FEfT 7-141S lv)ITE12 Su1'/'Li/Aw
ruF L EL L PPE19RS' TO COME FRO14 RFI�R BY AVRA)f Of 11N
Qi!IFER rlaAr /S PROTECTFP FROM Sk/PFgCF <0--7-/'th1A409710.v
0 CL Y � �1J�11? o)PR,v. Tare G1p/iv1,F&r
R I v /C/ZOrt Ya( F EfIST ('CH"fll tlT o TKE t. ES T (HP/l, A,?,,). 7,///S
M tpt
�! RC ES YIlE w FGL S£1'T/C MA.,k a& T.�/E SAM G.�•�G»•v7l�q�
lu )I T-E/f s ItN Pt Es FROM T/ -t /s U 5 L c IN Pl «TE D C OL ' Fo r,m
IV 17-1? R TES.
S. D. W. G. 6r S. C. R. O.
Po�N rs
W &rER TABLE
SfPT/�
SOIL s ORN T /oN
'2o10 /P
( 8 (SB2 (7 3 =
PFI?ME,gOIL ITY
(e-(zo /RF)2 tsa7l.St
(Ts 2 =
bv� rER rpB� ESL
�stuME Ca/✓SEKvgrivF O
//OR/2oNr6L 5EP41?197-/oAi
23 = 23
L us/dti
Grj /4NT Gvi�l�Er'i /
S1
3.4
/. 8
2, 9
2.9
F:;�. i -4*2!ft o"'.0 1�>
675iW.0MON0BLVD.
ANCHORAGE, ALASKA 99502'3Y04
(907) 248-5095
Municipality of Anchorage February 11, 1993
Division of Environmental Health
Department of Health and Social Services
820 L Street
Anchorage, Alaska 99501
Subject: REQUEST FOR WAIVER OF SEPARATION DISTANCES FOR
PRIVATE WELL TO SEPTIC TANK
W1/2 LOT 2 BLOCK 1 EKLUTNA HEIGHTS
Gentlemen;
We are submitting a request for waivers from the separation
distances stated in Title 18, Alaska Administrative Coder Chapter
80.020.
During an Health Authority Inspection for this property it was
discovered that the separation between the well on subject
property and the drainfield was less than the required 100 feet
and that a waiver is required.
The attached siteplan shows the approximate layout of the septic
system., The system was installed in 1974 with the distance
between the tank and the well was reported as 100 feet at that
time. The actual distance was found to be 98 feet.
By going through the DEC's procedure of analyzing the potential
for contamination I arrive at the following points: The well log
for the on site well has been used to n
idetihe fy tsoil condi-
tiCAI s^
Ground Water (at 68 f ^+ > 5.5
Soil Sorption ( Sand, Hardpan) 2^5
Permeability ( Hardpan 1 hr/in ) 3"0
Gradient Away from well 4.0
Separation ( 98 > 3^0
Total 18.0
Conclusion: Almost sure to be free from any form of contamina~
tion.
Mp1,1jC'!-1A1.jTY"FAPrH(�RAGE
|��o��V���K�
U��K-������
MT, EKLUTNA D ,
I
� RI00.00 I //
I
I i /
I I /
� I 25 0 25 5 75 100 125 15
I
1,050 GAL SEPX/C TANK -�-- E' 1' = 50 FT, G I I
i I
6X6 LOG CRIB I '
LOT 12
LOT 3 I � �Q
a
MIRROR DR,
TUBBEN SPURKLAND P.E. W1/Z LOT 2 BLOCK 1 EKLUTNA HEIGHTSI I SEPTIC SYSTEM LAYOUT
203 W 15TH, AVENUE SEC. 3, T15N RI DATE. FEB. 14 1993
ANCH, AK, 99501 24308 MT. EKLUTNA SHEET, 1/1 GRID, NV1461
Time
APPLIC"NT FILLS OUT UPPER HAL-9:40NLY
Property Owner, ,q , _ /.i �/1�-�._ �f. Phone
14c.. % // /,+
Mailing Address
Zip Code Z 7
Date
Date
Buyer
Address
-- Zip Code
Lending Institutionc-
Address
41,4,� i�ige r , c C�}/�� 7 �, R
Q U h ij9,(0de
Phone
Realty Co. & Agent
Address
` , L /�j ���,��Q
,F4;v C,-% ( -3r„ Com. it 'L 914,, -� i lJ (7h/ (P ii cJ
�`G Zip Code
Phone
F
y3Q-Q-j
44
Legal Description
L J�
Street Location
Type of Residence
❑- Single Family G -
Multiple Family No. of Bedrooms_— l
Other l n CG G G
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).
2 S'U
Sewer Disposal
Individual
Public Utility
❑ Holding Tank
-7
Year Individual Installed: 4.
When Connected to Public Utility:
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time ,
Date
Date
Date
Date t
Inspector
Inspector
Inspector
Inspector
Field Notes: n 1 '�' /'^
y3Q-Q-j
AUG 2 $ 1983
2 S'U
"MuriMpality
of Anchorage"
"Dept. of Health &
Environmental „
( ) APPROVED BEDROOMS
'CONDITIONS OF APPROVAL
( ) DISAPPROVED
( ) CONDITIONAL APPROVAL'
DATE
BY:
Soils Rating
Date Sewer Installed
Well To Absorption Area ®'t
Well Log Received
Septic Tank Size D
Well to Tank
, S'
72 Uzi (Ulu)
'k
EXCAVATION
WORT:
September_ 1..2, 1983
ROBERT A. SHAF-ER
CIVIL ENGINEER
694-2979
OF ANCHORAGE
MUNICIPALI OF N�f,TFI ',
pEPT. lAL PROTECTION
ErNIRO J `N
Target Realty
t,
ATTENTION: Dick Brown
1021 West 25t.h. Avenue r
Anchorage, Alaska 99503 [� � a "
L. ea.r Mr. F3rown j
Reference: W2, Lot 2; Block 1; Eklutna Heights subdivision
A sewer system adequacy test was performed on the system located
on the referenced property, as you requested. The,.septic
tank was pumped. In accordance with Municipal records the
septic tank installed in 1974 had a capacity of 1000 gallons.
At the owners insistence that the tank was larger the tank
was excavated and exposed.! Measurements taken verified that
the tank, had a capacity of 1250 gallons. The seepage pit
was filled full_ of fresh waer rn after a period of 24 hours
it was determined that approximately 1500 gallons had percolated
out of the crib.
it can be concluded from this test that: the wast
• r 1
system servin.' duplex located- on this property
currently functioning adequately. However., the system cannot
be guaranteed against subsequent:. failures.
The well located in the front of the house was beneath the
ground surface. It was located by the owner and an extension
to the. well Ca.silig was installed. A sanitary seal was placed
on the top of the well erasing and all the wires were placed into
conduit. The ground. around the well. rasing slopes adequate:
.y
away from the well. At the same time a water sample was taken
frorit the kitchen si_rth in the lower apartment. The analysis for
cc;l.iform bacteria of this water sample showed a satisfactory
reading.
if we may be of further service, please do not hesitate to call.
/
of_ T;r;c:hor. ag.
��l'r3iu3"t,I?IE�71. 1'= Ci s r'Oali-',I and �.`:XI VJYOnk"1F`ttt.al Jit"C?t=(3Ct l.011
,3H8 196X EAGLE RI J _R, AL A; KA