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Home My WebLink AboutCOLONIAL PARK BLK 4 LT 13A Municipality of Anchorage Page I of DEPARTMENT OF HEALTH 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 Permit Number: ~'~/ C~80~"]5 PIDNumber: 050- 301- ~,3 Name: ~~~ ( ~nl~ ~n'l~ Wast.water System: DNew ~Upgrade Address: J · d7~ ~ou~m~a~ ~o~ ~.5 A~r~ ABSORPTION FIELD ~ ~DeepTrench ~ Shallow Trench C Bed ~ Mound ~ Other Total Depth from original grade: LEGAL DESCRIPTION Soil Rating: I. ~ GPD/Sq. Ft. //' Lot: ~ Block~C~/~ ~-- Subdiv~ion:~~ Depth to pipe bo,om from originalgrade:~.~ ~ Ft. Gravel depth b~at~ Ft. ~ow..,,~: I..~e: i ~,,, added abov~igina, grade: Gravel ,.n~ ~ -- -- Ft. Ft · ' Number ~ lines: Distance ~n lin~: WELL: D New~lS~ ~ Upgrade Grave, wi~th:~, 5 Ft. n/ ~ Ft. Classificar n.(Private, A.B.C); ~ Total Depth: Cased To: Total absorption area: Pipe material: Driller: Date Drilled: Static Water Level:Ft. Install.r~ ~ "~ Date ins~ Yield: GPM [ Pump Set at: Ft. I Casing Height A~ve Ground:Ft. TANK SEPARATION DISTANCES ~Se~t,c ~ Ho~d,n0 ~ To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank SewerLines ~0~9~ ~ / su.==~ - STATION ~ Water ~ -- -- ~ LIFT Lot i t Size in ~: [~anufacturer: ,~ FoundatiOncuAain ~1~ ~0 ~ ~/~ ~/~ Pump~del ]ElectricallnspectionspeHorme~:bg: Remarks: 8ENOH MASK Location and~ription: / I Assum~ Elevation: Inspections pedormed by: ~~ ~~ Dates: ls~ ~":~'/'F~'"~"~'.~.~ ~.~.~,~.~.. Depadment of Health and Human Se ices appro Reviewed and approved bY Date: ~, ¢~. ~ 72-013 (Rev. 9/91) MOA 25 ,o. AS-BUILT DRAWING SW980215 050-301 -~3 FUTURE USE. (A~N) NOTES: ] 1) OLD SE~IC TANK ABANDONED~SUMP (CRUSHEDi FILLED) 2) THE CONTRACTOR COULD NOT CONNECT TO OLD TRENCH. 7" RISE ~OM FLOW DIVERTER TO TRENCH. i ~ / .... ~ ~ FENCE (FLOO~ AT EXISTING A B C 5 BDRM , ~RAGE= FCO~ ~,0' 3,7' ~ ~00.00) ~ HOUSE OLD CO 19,5' 13.6' ~, ,, FENCE / DBL1 11.0' 25,8' 31 .B' / '- ASSUMED WATER DB~ 11.7' 26.9' 32.0' ~ LINE ROUTE FD 14,~' 30.7' 32.6' / SUMP 28.7' 36.0' PHONE: (907) 337-~179/F~: (907) 33a-324~ LEGAL DESCRIPBON: AS-BUILT OF SEPTIC SYSTE~ UPGRADE A B C FC01 19,0' 5.7' FC02' 18.5' 3.0' ~ OLD CO 19,5' 13.6' ~ ST1 9.T 15.4/ ~ ST2 9,1' 21.4' ~ DBL1 11.0' 25.8' 51.8' DBL2 11.7' 26.9' 32.0' FD 14,~' 30.7' 32.6' C01 15.2' ~ 21.7' MT1 25,0' 11.5' C02 41.0' ~ 21,4 SUMP 28.7' 36.0' ~ MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 02, 1998 Expiration Date: Jul 02, 1999 Permit Number: SW980215 Legal Description: COLONIAL PARK BLK 4 LT 13A Design Engineer: Alaska Water & Wastewater Services Owner Name: Janie Downing Owner Address: c/o ReMax 16600 Centerfield Dr Suite 20 Eagle River, AK 99577- Parcel ID: 050-301-43 Site Address: 019822 FIRST ST Lot Size: 11720 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: I~ Disposal Field [~ Septic Tank Holding Tank [] Privy Private Well Water Storage All construction must be in accordance with: 2. The attached approved design. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska 3. Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling 4. (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. 5. B. Covered, sealed, and heated to prevent freezing. The following special provisions. An additional percolation test shall be performed during installation and results submitted with the As-Built package. Alaska Water & Wastewater June 15, 1998 7320 East Chester Heights Circle ~ Anchorage ~ Alaska 99504 (907) 33%6179 ~ Fax (907) 338-3246 Consulting Engineers Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Upgrade Design for Lot 13A, Block 4, Colonial Park Subdivision. To whom it may concern: The existing 3 bedroom house is served by a private septic system and a community well. The existing trench is surcharged and must be upgraded prior to the sale of the house. One test hole was excavated to the south of the existing septic system. Comments regarding the proposed upgrade design are summarized as follows: 1. SOILS: Attached ~ a log which shows the soil profile, and the percolation test result. Below the organics, the soil is silty sandy (SW-SM) to a depth of 18 feet (bottom of test hole). No groundwater was encountered during the excavation of the test hole. One soil percolation test was performed at 8.5 to 9.0 feet which perked out at a rate of 2.3 minute/inch. 2. TRENCH DESIGN: a. Percolation Rate: 2.3 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/fi2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 f~2 f. Effective Depth: 7 feet g. Reduction Factor = N/A h. Width: 2.5 feet i. Minimum Length: 30 feet j. Effective absorption area = 420 ft2 (>375 f~2 OK) k. Maximum depth = 12 feet 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The general topography of this lot is mostly flat. There are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or 244-9612. Thank you for your assistance. Sincere~~ .t LOT 7A, BLOCK 3, LOT I~A, BLOCK 3 LOT SA, BLOCK ~ LOT 4A. BLOCK 3 LOT ~ BLOCK STREET ' ' ' ' ' ' ~,~I~NG SE~C ~M~ /I // (S~ DESIGN. P~E 2 OF 2,/ / ~ ~ ~g SE~ ~ PUBUC ~D W PUB~ ~ ~ PU~C ~O ~ ~C WA~ ~ PR~ATE WA~ ~ ~A~ WA~ ~O PR~A~ WA~R ~D PR~A~ ~ ~D PR~ATE S~ S~R ~ ~R ~ER LOT 9A-1C, B~K 4~T ~ B~K 4 L~ 7~ B~CK 4 ~ ~ B~ 4 ~ ~ B~CK 4 LOT ~ BLOCK 4 LOT ~ B~K S~D ~ PUBL~ ~D ~ PU~C ~ ~ PU~C SE~D ~ PUB~ ~ ~ PU~C S~D ~ PU~C ~ ~ ~UC ~ ~D PR~A~ WA~R ~D PR~ATE WA~ ~D ~A~ WA~ ~D P~A~ WA~ ~D PR~ WA~ ~D PR~A~ ~R ~D P~ATE S~ ~ER S~ S~R ~ ~ER EAGLE RIVER ROAD WA R & WAS WA R ~q~.. ........... COLONIAL PARK SUBDIVISION, LOT I~A, BLOCK 4 ~:;:.:,.~J~; ..... JAN~E DOWNING 696-6028 v~_ ..:. A.cm. 1 = lOO' ~oF 2 FIRST STREET ,," ........ ~FCO _ EXISTING ]--~ 3 BDRM I I ~ H 0 U S E /~ DECK -- WATER UNE~ ~ ~ CO / NOTES: 1. ~E CON~R IS R~PONSlBLE FOR HA~NG THE ~ PROPE~ LINE F~G~ ~ A REGI~RED ~D SU~OR. PRIOR TO CON~U~ON. 2. ~E ~ ~TION OF j ~VA~ OF ~E EXlS~NG SE~IC TANK, ~E D~NFIE~ IS TO BE HELD ~RIRED ~ D~ERMINE IF IT IS OUTSIDE OF THE 100 ~ WELL ~DIUS ~M ~E N~BORING WE~ TO ~E NO~. IF THE D~INR~ IS FOUND TO BE O~IDE OF ~E ~ ~IUS, A CL~NOUT IS TO BE IN~ED AT THE BEGINNING OF THE D~INRE~, A ~ D~ IS TO BE IN~ED ~R ~E N~ T~K ~D ~E ~ ~Y BE USED IN THE ~RE. IF ~E D~NFIE~ IS FOUND TO BE ~CR- ~HING ON ~E WE~ ~IUS, ff IS TO BE ~N~NED. ~K~ BOX 10' ~U~ ~MENT A~S~ WA~R & WAS~WA~R ~PE OF ~RK: JANIE DOWNING (907) 696-6028 -Nh~eF_ ... ... A.C.G. 1 = 20' 2 OF 2 ~[/rofesst°~~ ALASKA WATER Ac WASTEWA R PHONE (907) ;~.97-6179 * FA)((907) 338-;1248 ...,.x),' ".:'7"~ I So L LOS - .P. COL^ O - ESSl LEGAL DESCRIPTION: COLONIAL PARK SUBDIVISION; LOT 13A. BLOCK .~. ~.~ DATE PERFORMED:_ 6/6/.a ~0~o,..T/...~ c'{I-7~5~ ..:,,'.~ (f.,0 ~ I TEST HOLE # 11 .......... 1-- '~'~'~i:=/'i ORGANICS ~o~,.o~ ~ SOIL C~SSIFICATIONS /- ISITE PL~I .."~'" 2-~o~,~ , I -. ~00 1, , , 3-- ~o~o%oi . , / , Do O~O°G~ { / / 7--o~%o%~ DEPTH TO DATE Lm 1~ e~ ~o -~o~ GROUNDWATER ~, , B--oo ~o%o DRY 6/6/98 SE~D ~ ~mC S~ ~ ~C oo~oooo WA~R ~O PRNA~ ~R ~O PRNA~ 11 -- ,~to.oo DATE READING CLOCK NET TIME WATER LEVEL NET DROP ~0 .~o~ TIME (MINUTES) READING (INCHES) ~% ~%~ 6/9/98 - BEGAN ~ HOUR PRE! OAK PERIOD AT 8:00. 13-- ~ to~ 6/9/98 1 12:13 6" i~o ~ o~0~ / 2 12:23 14~°~°%~°~0°0~q' - ........ ~ ....... ~5 6" O' oo~o%o 4 12:39 14 MIN. ~% ~%,~ 5 12:40 6" ~%°°~v%°o%~ , .................................................................. ' 6 12:54 14 MIN. O" 18_~B.O.H. , ~9-- PERCO~TION ~TE 2.3 (HIN./INCH) PERC. HOLE DIA. 6" (INCHES) 20 TEST RUN BETWEEN B.5 ~. AND /~9.0 FT. COHHENTS: DEPTH TO DATE GROUNDWATER _ _ D_R_¥ ........ 6~/6_/_9B__ GREA1ER ANCHORAGE AREA BORbdGHg = Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME Executive Realty Eagle River LOCATION Colonial Park MAILING ADDRESS 2810 C Street PHONE 276-7777 Subdivi.~ion LEGAL DESCRIPTION LOt ]3A TAI_ocI~ 4 SEPTIC TANK: DISTANCE FROM WELL N/A MANUFACTURER S13t"tS~. INSIDE LENGTH 7 ~ -8" INSIDE WIDTH 5 ' -2" I~C · PI asti(i~VlATERIAL Fibreglass NUMBER OF COMPARTMENTS LIQUID DEPTH 4 ~ 1" LIQUID CAPACITY ] (")OC) GALLONS. SEEPAGE ~ Trench: Trenchs NUMBER OF I~X~: 1. DIAMETER N/A OR WIDTH 2' LENGTH 29,' DEPTH 12 ' LINING MATERIAL BUILDING FOUNDATION 2~)', CRIB SIZE: DIAMETERN/ADEPTH N/ADISTANCE FROM: WELL N/A . TOTAL EFFECTIVE NEAREST LOT LINE 20 ' ABSORPTION AREA (WALL AREA) 496 SQ. FT. ADDITIONAL ABSORPTION N/A WELL: Community System TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION N/A , LOT LINE N/A CESSPOOL N/A , OTHER SOURCES APPROVED DISAPPROVED the West approximately Drilled - Cased DEPTH NEAREST SEPTIC SEWER LINE N/A ., TANK N/A located to N/A 650 ft. DISTANCE FROM: SEEPAGE · , SYSTEM N/A REMARKS DISTANCES: DIAGRAM OF SYSTEM INSTALLED BY: Maus Excavatinq PIPE MATERIAL: PVC LOT SLOPE: REMARKS: Level Form No. EQ-031 Nor '~o ::~ ~-?~'- DATE 11/23/76 APPROVED ~4~ Moening-Grey & Associates, Inc. PERMIT NO. MLIN I C i" ~AL I T¥ OF ANCH ]RAGE DEPARTMENT ~.- HEALTH 8ND ENVIRONMENTAL .~.OTECTION 2510 E. TUDOR RD. ~ RNCHORAGE~ AK. ~9507 276-222i ON--S I mE SEWER PERM I m ( 76ii8 ) RPPLICRNT ~OREMOST_SERVICE~ 2525 BROOKWOOD LOCATION E.R. RD LEGRL Liar B4 COLONIRL PRRK SUBD LOT SIZE 2?8-5644 li?i9 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= 12 LENGTH= i~ GRAVEL DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REQU I RED SEPT I ¢ TANK S I ZE= i00e GALLONS BACKFILLING OF RNV SYSTEM WITHOUT FINRL INSPECTION RND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSRL SYSTEM IS i00 FEET FOR R PRIVATE WELL OR 200 FEET FOR R PUBLIC WELL. SPECIFICATIONS AND CONSTRUCTION DIRGRRMS ARE RVRILRBLE TO INSURE PROPER INSTALLATION. PERM I T V~tL I D FOR ONE YEAR FROM ISSUE I CERTIFY THflT l: I tim FflMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND WELLS RS SET FORTH BY THE MUNICIPALITY OF RNCHORRGE. 2: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SVSTEM MAY REQUIRE ENLRRGEMENT IF THE RES I DENC~,O~~O~~E THAN ~ BEDROOMS. APPLICANT FOREMOST SERVICES Performed For Leoal ~escrintion: This Form Renorts Soils LoQ or2at:, uatd. [Teat; .. ab "One test ii worlh a thousa.d olsinio.s" 2204 Cleveland Anchorage, Alaska 99503' Foremost Construction Lot 13Ag]0¢k 4 Date Performed_ 4/21(76 . Subdivision Colonial Park Subd. Eaql~e River "' Percolation Test Oeoth Feet Topsoil Soil Characteristics Sandy Gravel, Moist (GP-GW) 10 - Gravelly Sand 12~ (SP-SW) 14m. 16 18 - 20 - Bottom of test hole No ground water or bedrock encountered Was Ground Water Encountered?_ Nq I~ Yes, At what Depth? Date Gross Time Net Time Depth to H20 Net Dron L ~linute Percolation Rate _ Proposed Instjlllation: Seenaoe Pit Drain Field Deoth of Inlet Depth-To"B'ot{om Of Pit Or Trench ~AM~NTS:~ee------~draina e area re uir. ~ TEST MOENING-GREY & ASSOCIATES, INC. GEOLOGISTS AND ENGINEERS 715 L STREET, SUITE 8 ANCHORAGE, ALASKA 99501 TELEPHONE 274-2314 December 2, 1976 ~unicipality of Anchorage Dept. of Health and Environmental Protection 2510 E. Tudor Road Anchorage, Alaska 99507 Attention: Mr. John Kennedy Re: On Site Sewage Disposal, Lots llA, 12A, 13A, & 14A, Block 4, Colonial Park Subdivision in Eagle River. Gentlemen: As reported to you by telephone this morning, the depth of screened gravels in the seepage trenches on the subject Lots is as follows: Lot llA - 9 feet Lot 12A - 9 feet ~ot 13A - 8 feet Lot 14A - 8 feet Please call if you require further information. Verv truly yours, MOENING-GREY & ASSOCIATES, INC. H. J. Moenmng HJ?~/lv 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 050-301 -43 '" GENERAL INFORMATION Complete legal description Lot 13A; Block 4; Colonial Park Location (site address or directions) 19822 First Street Eagle River, AK Property owner Mailing address Lending agency Mailing address Agent Address Margaret Downing C/O Countrywide Home Loans Day ph0ne 279-2405 Anchorage, AK Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 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. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: xx 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 7320 l~ast Cj~esmr~ Address Anchor~ge,'~Al~'~ Engineer's signature / ,.,.~/,/t.~ / 7 As certified by my seal affixed hereto and as of the validation date shown below, I verify that rny 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 Alaska Water & Was,te,.,w.a_t_e,r ~. ~.,.w,e /J Phone ~37-(~'/'7'~ ALASKA WATER & WASTEWATER CONSULTANTS, INC IS TO BE PAID $224~.55 FROM ~SCROW #1876522 UPON ISSUANCE OF THIS CERTIFICATE. INVOICE HAS BEEN SENT TO BRENDA @ COUNTRYWIDE HOME LOANS. J DHHS SIGNATURE ' Approved for Disapproved. bedrooms. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division MUNICIPALITY OF ANCHOP, AG~ 825 L Street, Room 502 · Anchorage, Alaska 99501 ,~~.A~.~ICES DIVI,~ Legal Description: L~-r Health Authority Approval Checklist I~.~¢.~- ~% ~--.o~,~,~&~ {~zZ. Parcel I.D.:. 050 - ..~o I - q..~ A. WELL DATA Welltype ~$ ~A'~ If~)B, orC, attachADEC letter. ADEC water system number Log present ~ ' -'" Date~Col'npleted -" FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: AT INSPECTION g.p.m. Coliform ' ' Nitrate Other bacteria Date of sample: - B. SEPTIC/HOLDING TANK DATA Date installed '"/.J'2'~'-'~ Tank size Foundation cleanout ~N) Date of Pumping I'~ E~5 Pumper Collected by: I0o0 Number of Compartments ;~- Cleanouts (~N) Depression (Y~) /~o High water alarm (Y(]~ /~ o C. ABSORPTION FIELD DATA Date installed ~.~.~ ~ Soil rating I Length -~O Width Effective absorption area ~-I'Z o Date of adequacy test ~ (g(~r ftaR~kwt) I.'Z System type Gravel thickness below pipe ,~. ~z~' Total depth Monitoring Tube presentlY)N) ~e.~ Depression over field (Y(~) Results (Pass/Fail) - ' For :~' bedrooms Fluid depth in absorption field before test (in.); Fluid depth -"' (ins) Minutes later: Peroxide treatment (past 12 months) (Y/N) Immediately after '""gal. water added (in.): '"- Absorption rate = _=.p.d. If yes, give date 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole~A~-~J~ High water alarm level at* Size in gallons ,,, "Pump off" level at* SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 'Zo°t 'f' Absorption field on lot Public sewer main Sewer/sep~ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: ! Foundation ~ ,4- Property line ~ 01,4. Absorption field Water main/service line I O I+ .Surface water/drainage Ioo I-i- Wells on adjacent lots On adjacent lots Public sewer manhole/cleanout Property line Surface water Curtain drain SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: t 14. I O -.t. Building foundation ! O Water main/service line ~ 0 ol 'f' Driveway, parking/vehicle storage area are Wells on adjacent lots '3,00 I~- F. ENGINEER'S CERTIFICATION/'/// I ce~ that I h~t~ne~ t~ fi~ld insp~tions and review of Municipal Signature Date HAA Fee $, '~ 0 O_ (~ 0 Date of Payment Receipt Number Waiver Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* 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 GENERAL INFORMATION Complete legal description Colonial Park, Lot 13A, Block 4 T14N R1W Sec.7 Location (site address or directions) 19822 First Street, Eagle River Property owner Steven & Nancy Davis Day phone 694-3556 Mailing address 17508 Toakoana Dr., Eagle River, AK 99577 Lending agency Northland Mortgage Day phone 694-7872 Mailing address 11421 Old Glenn Hwy_.~ Suite 100, Eagle River, AK 99577 Agent Lori Crouse/ReMax of Eagle River Day phone 694-4200 Address 16600 Center Field Drive, Suite 201, Eagle River, AK 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: NOTE: X Individual on-site Holding tank Community on-site Public sewer 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 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 Eagle River Engineering Services Phone 694-5195 Address P.O. Box 773294, Eagle River, AK 99577 Engineer's signature Date D~~AGNATURE pproved for ..?o~ Disapproved. Conditional approval for bedrooms. bedrooms, with the 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. 72~025 (Rev. 1/91) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type /~ Lcd9 (Y/N) Total Sanitary Y/N)'r If A, B, or C, attach ADEC letter. .. ,,Date completed Cased to Parcel I.D. FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL Septic/holding tank on lot ADEC water system number Driller Casing height Wires properly protected (Y/N) AT I.SPEC OW g.p.m. __; On adjacent lots g.p.m. ~ I_t.J Absorption field on lot Public sewer main Public sewer service line WATER ILTS: Coliform Date B, SEPTIC/HOLDING TANK DATA Date installed Cleanouts (Y/N) High water alarm (Y/N) /'/ Date of pumping ~?/0///~/ Nitrate n adjacent lots Public seWerpet~onlhole/cleano ut Collected by: Other'l~ria Tank size ~ 0¢)0 Foundation cleanout (Y/N) Y Compartments ~-- Depression (Y/N) Alarm tested (Y/N) /Y SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ,A//~/ On adjacent lots To property line 2/ ~ Absorption field Surface water/drainage /'///~ Foundation Water main/service line 72-020 (Rev. 3/91) Front MOA21 CONTINUED ON BACK PAGE N ,/~7~=~/' ~'- Date installecl~..~.~. Manufacture~ Size in gallons .~"~"--~ ,,. , . ~ (Y/N) Vent (Y/N) --~ump~e~ a~..._.-- ,, "Pump off" level at High water alarm level~ Cycles tested Meets~MOA electrical codg~i~N)~ SEPA~E FROM LIFT STATION TO: W~n lot On adjacent lots Surface D. ABSORPTION FIELD DATA Date installed Length ~ ~ Total absorption area Depression over field (Y/N) Results (pass/fail) Peroxide treatment (past 12 months) (Y/N) Width Soil rating /0~ r"'7' z,/z¢'/~ System type Gravel thickness ¢ ' Cleanouts present (Y/N) Date of adequacy test for /J,,V/<'/VDA]/,/ If yes, give date TOtal depth Y bedrooms SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot /V'/~ To building foundation On adjacent lots '/- -.-~ ~) Surface water /d/cC Curtain drain /V/cC On adjacent,l'Ots '/ /~" Property line To existing or abandoned system on lot Cutbank ,/'J/.~ Water main/service line Driveway, parking/vehicle storage area /0' E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Engineer's Name ~, Date HAA Fee $ Date of Payment Receipt Number Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 Eagle River Engineering Services 11940 Business Blvd, Suite #205 P.O. Box 773294 Eagle River, Ak. 99577 694-5195 Fax 69¢-3297 J Owner: .ST'~.v¢_¢~ ¢ ,,V,,C,,~[,~Y 04v15 Date: IType of test: [] Well Flow Test ,1~ Septic Test Only [] Well & Septic Test 13 Other: Meter Monitor ~O~L - Tank GPM PSI Remarks Time Reading _ Level /4,~r~ Level ~,z~,4~ 5zSz ~/~ 15o 5~qlg" ?.o ~:z~:Z~ 5z~z ~li ~o0 ~ ~1~" ?.O s,z~,oz 5332 b~li' ~50 6g°/~'' q.o 3,3z:4o 6 3~Z ~g~l~ 300 3,3~:13 593Z bg~l~' 350 5gb/~'' 9.0 3:~ 5~ ~q~/i ~o 5~/~'' ~.0 5582 450 z '~:¢~ 55~2 b9~/¢ 500 5~1~'' 9.0 4 'o~:~36bg~ Oqqi bO0 5gqg" 9.0 4,,:~ 5g~z ~qqf' 050 ~,zz:3e b ~ ~/i 5 ~q/g'' DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 July 8, 1991 WALTER J. HICKEL, GOVERNOR 563-6775 FOR: Eagle River Engineering Services P.O. Box 773294 Eagle River, Alaska 99577 PWSID #211562 My review of the records on file in this office reveals that the Colonial Park Subdivision Class A Public Water System, is in compliance with the provisions of 18 AAC 80.060, State of Alaska Drinking Water Regulations. Sincerely, Keven K. Kleweno~,-w- Lead Engineer ~) printed on recycled paper " ~ INSPECTION APPOINTMENTS ' · TIME TIME . TIME DATE DATE DATE I'NSPECTOR INSPECTOR INSPECTOR ~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIO~IRONMENTAL P~O'r~ION 825 L Street - Anchora~, Alaska ~501 ENVIRONMENTAL SANITATION DIVISION MAR 9 1981 ,.,.pho.. ~,4~720 .RE EJ ED ~EGUEST FO~ APPROVAL O~ INDIVIDUAL WATER AND SEWER FAC LI I r DIRECTION~: Complete all parts on page 1. Incomplete reques~ will not be proceed, Please allow ten {10) days for processing. 1. PROPERTYOWNER ' I~E~. PROPERTY RESIDENT (If different from above) ' ' PHONE 2, BUYER ~ PHbNE MAI LING ~DR E88 3, LENDING INSTITUTION ' I PHONE MAILING ADDRESS ' 5. LEGAL DE~CRIPTIOI~I ' ' STREET I'OCATION ' "';,g...% .... 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS [] One [] Four [] [~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six 7. WATER SUPPLY Other [] INDIVIDUAL* .[~. COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) /4~,9~, YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 1. TYPE OF RESIDENCE [] SINGLE FAMILY i--I MULTIPLE FAMILY 2. WATER SUPPLY [] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified 3. SEWAGE DIS'P(~SAL SYSTEM [] INDIVIDUAL/ON -SITE []PUBLIC UTILITY Connection Verified i--ISeptic Tank or I--1Holding Tank Size: / (3 ~0 If Tank is homemade give dimensions: TYPE OF TANK TOTAL ABSORPTION AREA 4. DISTANCES WELL TO: Absorption Area to nearest Lot Line THIS SIDE FOR OFFICIAL USE ONLY NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] TWO [] FOUR [] SiX PERMIT NUMBER [] OTHER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATE INSTALLED NSTALLER SOILS RATING ISewer Line [ Nearest Lot Line MANUFACTURER ~ MATERIAL .~:~.~)..,~~ Septic/Holding Tank IAbsorption Area 5. COMMENTS DATE [~PPROV ED FOR --~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED BY 72-010 [Rev. 6/79) DAVI D A, S LEN KAMP ROBERT A. SHAF~R MECHANICAL ENGINEER 694-9055 ~"~ 19~l MUNICIPALITY OF ANCHORAGE March DEPT, OF HEALTH & ENVIRONMENTAL PROTECTION Terry Mayer 4730 First Street Eegle River, Alaska 99577 MAR 3 ;t 1981 RECEIVED Dear Mr. Mayer, Reference: Lot 13A; Block 4; Colonial Park Subdivision A sever system adequacy test was performed on the system located on the referenced property as you requested. The septic t~nk w~s pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by a continuous flow of approximately 515 gallons of water over a period of 24 hours. It can be concluded from this test that the sewage system (septic tank and absorption trench) is currently functioning adequately for your three bedroom residence. If we may be of further assistance, please do not hesitate to call. Municipality of Anchorage Department of Health and Enviornmental Protection CIVIL ENGINEER 694-2979 SRB 196X EAGLE RIVER, ALASKA 825 "L' STREET C' ANCHORAGE, ALA,:,KA 99501 ,}O7, 2(54-41 1 ~ GEORGE 2,I. SULt. IVAN, MAYON Di-iP,%f',{ YMEf",,1 OF Hh'ALTH AND Eh,IViRONMENTAL PFIOTECTiON March 25, 1981 Terry N. Mayer 4730 First Street Eagle River, Alaska 99577 Subject: Lot 13A Block 4 Col. onial Park Subdivision Approval. for the znd:l_vn.dual sewer and water faci]_it, ies cannot be grant, ed until the follewing items have been completed: (1) The septic tank pumped with a receipt submiht:ed to 1:.his departmen If there are any further questions, please call this office at 264--~472 0. .An adequacy test needs to be performed on the exi. stLng leaching area. This test will determine if the system is adequate accordJ, ng to National Standards. A listing of private fJ.rms performing the 'test is enclosed. This report needs to be submitted to this department fer our review. Sincerely, Robert C. Prett:, R.S. Associate Specialist RCP/ljw cc: Alaska Mutual Savings Bank Post Office Box 1120 995]_0 1. Approval requested by: Mailing Address: 2. Property Owner: Mailing Address: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received Nove~tber lO, 1976 Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. National Bank of Alaska 630 East 5th Avenue Roger Fielder Phone: 279-2506 Phone: 694-9894 Legal Description: Lot 13A Block 4 Colonial Park Subdivision Location: First Street 5. Type of facility to be inspected 6. Well Data: A. Type Community C. Construction 7. Sewage Disposal System: A. Installed C. Septic Tank: D. Seepage Pit: E. Disposal Field: 8. Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank Single Family No. of bedrooms 2 B. Depth D. Bacterial Analysis On-site system 1976 B. Installer ]. Size ~ 2. Manufacturer 1. Absorption Area ~/c}/~.~z~.' 2. Total length of lines ., Absorption area , Other contamination , Absorption area , Sewer Lines C. Absorption area to nearest lot line EQ-034 (1/74) Page 1 of two pages DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 99504 276-2221 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES 1. Type of Inspection: CMRO. 2. Property Owner: ~/~~4 Mailing Address: 3. Nameof Buyer' ,~~~ VA~FHA Day Phone: Mailing Address: 4. Name of Lending Institution: CONV. ~ Mailing Address: Phone: Name °f Realt°r or Agent:..-~~'j~/L'~~2,/ ____~__. ,~ f ~ ~ ~~ Legal Descrip~~4 ~~ ~ ~~~/~~~ Location: ~'~~ ~ ~~ ~~- 7. Type of Facility to be Inspected: No. Bdrms. 8. Water Supply Type of Supply: Public Utility ~ .... Individual If Individual, number of dwellings presently served If Individual, depth of well Sewage Disposal System Type of System: Public Utility If Individual, date of installation / Individual (on-site) 72-003(3/76) Page 2 of two pages - Re( st for Approval of Individual ? ~r & Water Facilities Legal Description Lot 13A Block 4 Colonial Park Subdivision Approv Disapproved Date ~/--~o7~ ~/ Approval~Va~id for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) LO'r' MOENING-GREY & ASSOCIATES, INC. GEOLOGISTS AND ENGINEERS 715 L STREET, SUITE 8 ANCHORAGE, ALASKA gg~01 TELEPHONE 274-2314 October 8, 1976 Anchorage ~unicipality Health and Environmental Protection Dept. 2518 E. Tudor Road Anchorage, Alaska 99507 Attention: Robert Neale, Principal Environmental Control Officer. Re: On Site Sewage System, Lot 13 Block 4, Colonial Park Subdivision. Gentlemen: Attached per our phone conversation of October 7, is a copy of the sketches prepared for the subject property. At the time of our inspection, the required cleanouts were installed and the system ready to be covered. My guess is the tank cleanout may have been knocked off during final grading. We have advised the excavator, Maus Excavating, to visit the site and make appropriate repairs. Attached is a sketch of the system made during our inspection. The final as-built referred to, should be prepared following installation of the missing cleanout(s). Photographs were taken of the installed systems prior to covering and are available should you care to look them over. Please let us know if you have any further questions. Yours truly, MOENING-GREY ~-'~-~-~ATES, INC. HJG/lv enc 1.