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Home My WebLink AboutGLACIER VIEW HEIGHTS #4 BLK 1 LT 5Glacier View Heights #4 Block 1 Lot 5 #050-491-53 Municipality of Anchorage Community Development Department Page 1 of 3 On -Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT r,_-_:..., tie.• OSP121189 PID Number: 050-491-53 ❑ New ❑✓ Upgrade and Robin Moffett 22444 Columbia Glacier Loop Eagle River, AK 99577 Glacier View Heights #4 3SORPTION FIELD ❑ Deep Trench 0 Shallow Trench ❑ Bed ❑ Mound 4 Depth to pipe inv Block Lot 1 5 Fill added above Range Section Gravel width Tol Septic I Tank Absorption Field Lift Station Holding. Tank Sewer Line rom Well >100, >100' N/A N/A >25' Surface Water >100' >100' N/A N/A Lot Line >5' >10' NIA N/A NA Foundation >5' >10' N/A N/A Curtain Drain None Noted Remarks Existing Absorption Trench Extended to Accomodate Four Bedroom Home. Existing Septic Tank Decommissioned in Accordance with Municipal n area 154.3 Tank on level at make and Total depth from original grade .8GPD/SF 51`1 original grade Gravel depth beneathpipe 3 Ft. 2 -OF grade Gravel length .5-1 Ft. 27 F Beds: Number of Lines Distance between lines F Number of trenches Dist. between trenches 2 Two F 1 S.T.E.P. ❑ Holding ❑ Other Steel off level at Two rapacity G; JHigh water alarm at in. Inspections performed by Code. Tank to PIPE MATERIAL Housetotank D3034 drainrield D3034 Installer _ Whitters Excavating Drainfteld F810 COlMT D3034 Inspector MEA BENCH MARK (Assumed elevation) 100.0 It Location and description dates: f= 6/20113 p a 7/22/13 dates: s: Garage Slab. P 7/25/13 0 COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL ':M�ll®. Approval: Approved Date Date 49TH _O -MlCHAIR E. AMXRS:ay •.� CE - 4381 "- O 1 Q Ol � h p O N p g Z IM 9LOD a Q Y 3 ♦ t> 1yo I vi i !/ ♦ 2y0 O 1 01 1 m I � M I � z 1 �w I o� b �d \ E t0 H I \ $E Z I W INX !Fp! w OIK Ol \ L W O c c \ WL n.N VU �y to O inm�_ -n p pp E90 n i�tn O W L CL d W VI xB N J~ d >O�O O O V O 2_ W m z NUS W IT t It O I I I I 0W y J NU�F O V J i F H All- ;7 „3ylaY1�� v iAr c ti •: d•�j II CL N E"vim ` WLLI '0' M w dN Vl T b M 0 O S: w '/V ` ; �L Q C ✓ •' Z N Z n n M n a ♦�� £ '•� �1 N V N N 0 I CL J Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: OSP121189 8 Finished Grade N �99.0 y UU 1,250 Gallon Septic Tank 1 97.8 r Page 3 of 3 PID No. 050-491-53 98.0 97.3 Existing Trench Drainfield Rock I1 11 1 �— 94.3 92.3 92.3 Extension Length) PROFILE AS -BUILT No Scale 88.3 Groundwater tmts/t2 85.3 W AEL E. ANDERSON No. CE -4381 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121189 Tax Code Number: 05049153000 Work Type: Septic Upgrade Permit Effective Dates: July 24, 2012 to July 24, 2013 Design Engineer: ANDERSON ENGINEERING Subdivision: GLACIER VIEW HEIGHTS #4 Site Legal Address: GLACIER VIEW HEIGHTS #4 BILK 1 LT 5 6:0059 Owner/Address: MOFFETT HENRY H & ROBIN S 22444 COLUMBIA GLACIER LOOP EAGLE RIVER AK 995779529 G-20 -l3 ; -P -, o J Site Mailing Address: 22444 COLUMBIA GLACIER LOOP, Eagle River Lot Size in Sq Ft: 51564 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered. sealed. and heated to orevent freezing The Engineer needs to do an a le Construction may proceed at your own risk before submit stamped and signed results with the As-bu design change, construction of the s sol Received to the construction of the septic field. N4 Gv r h ter monitor plete. Please r C �s 3 zpeciiarrrcep0 esuits require a pending On -Site review and Issued By: � 0Date: �y /Z MUNICIPALITY OF F ANCHORAGE q, I Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWERNVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-491-53 Property owner(s): Henry Moffett Day phone: Mailing address: 22444 Columbia Glacier Loop Eagle River, AK 99577 Site address: Same Legal description (Sub'd., Block & Lot): Glacier View Heights #4, Block 1, Lot 5 Legal description (Township, Range & Section) Lot Size: 51,564 Sq. Ft. Number of Bedrooms: Four (4) THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Absorption Field X Initial ❑ Septic Tank X Upgrade X Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. W property owner or authorized agent) Permit/Rush Fees: e,53rS Waiver Fees: Date of Payment: 2&//a Date of Payment: Receipt Number: (l V 252 /, Receipt Number: Permit No. 11qe12.U3q Waiver No. C:1UserslAndEng\DesktoplMike\Cross View EstateslPermit Application Lot 28 H2L.docC:lUsers\AndEng\Desktop\MikelCross View EstateslPermit Application Lot 28 H2L.doc ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) July 10, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 5, Block 1, Glacier View Heights Subdivision No. 4 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 5, Block 1, Glacier View Heights Subdivision No. 4 is expanding his house to four bedrooms and must upgrade his existing septic system to accommodate the additional bedroom. We are therefore requesting a permit be issued for the upgrade of the existing septic system to accommodate the home. The attached Site Plan and backup documentation identify the location and configuration of the existing well and the proposed septic system along with the alternate site. Also identified on the plans are the existing wells on the lots surrounding this lot. No conflicts exist between the proposed septic system and well or septic systems and wells on adjacent lots. Drainage arrows are shown on the site plan showing the grade and direction of flow on the lot. The drainage pattern will not be changed as a result of this project. The test hole placed on the lot in the area of the absorption trench and alternate site indicated silty gravel with sand (GM/GW). The percolation rate of the soil was determined to be 5.9 minutes per inch. Groundwater was found at 10' below the surface and compares with the 9' elevation found during the initial construction of the septic system in 1990. Municipal policy mandates the water table must be assumed to be at least 1' higher for design purposes as the water monitoring was completed one month after the high water period determined by the City to be May 15. An application rate of .8 gallons per day per square foot was used in the design of the absorption system. We are proposing to place a new 1,250 -gallon septic tank and a new 33' long x 5' wide x 1' effective depth absorption trench. The elevation of the distribution line in the absorption trench will be 3' below the surface and the total depth will be 4'. A minimum of 3' of fill or 2" of insulation and 2' of fill will be placed over the absorption trench and 4' over the septic tank. Two flow splitter valves will be placed to allow 75% of the flow to the existing trench and 25% to the new trench. The existing trench is Lot 5, Block 1, Glacier View Heights Subdivision No. 4 July 10, 2012 Page Two currently dry and more than adequate for the existing three bedroom home. The new trench will accept effluent to accommodate the fourth bedroom. The ground surface on the lot in the area of the septic system slopes to the southwest at a shallow grade with some cross sloping to the north. The new trench will be extended in the same direction as the existing trench and parallel with the slope as much as possible in conformance with Municipal requirements. The new septic system will be constructed a minimum of 100' from all wells and any surface water and 10' the proposed and existing water services in the area. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, np ` Michael E. Anderson, P.E. Attachments tip' r Of'�9n m .5 ��w.�x Z 71 1NtCDm > / moIzlm • It ------ --- s �p moZ I �3C)N m f j j D 0 O.N.. 3.00a Q \\ o x n E rt m F 2:0 's py. N o O ° x ew I 00A.,. N S I � Nim x F I � n 4- m � 10 Y / • '..' mom I m NCO / I t � 1 / I G � ' n I A I I os� I I 1 1 1. 0 � \ 1 P \ LOT 5, BLOCK 1, GLACIER VIEW HEIGHTS SUBDIVISION NO. 4 DESIGN FACTORS: SYSTEM REQUIREMENTS One Bedroom Upgrade 5' Wide Trench System Perc. Rate: 6 Min./Inch 1,250 Gallon Septic Tank Application Rate: .8 GPD/SF 2' Drainfield Rock 1 Bedroom * 150 GPD/Bedroom = 150 SF Absorption Area 150 SF/.8 GPD/SF/5 SF (Width) *.7 (Red. Factor 26.25 LF Trench Length THEREFORE: Extend Existing Trench 27' Long x 5' Wide x 2' Effective Depth. Total Depth to be 5' Below Existing Ground. Place 3' Cover Over Absorption Trench and 4' Cover Over Septic Tank. In lieu of Fill Place 2" Insulation and 2' of Cover. Existing Absorption Trench to Remain in Service. Replace Existing Septic Tank with New 1,250 Gallon Tank. 2'6" 91 PA 5' I——I Fabric 4" Perforated PVC (Holes Down) �— Drainfield Rock Coarse Sand (See Specification) TYPICAL 5' WIDE TRENCH SECTION (NO SCALE)••�•CE.�•.:gC.. Jo •�P•..• NOTE: Grade Area Over Trench to Drain Away. N 4 Z Minimum 6' Separation From Bedrock. ■....:`...49.h GGGVVV Minimum 4' Separation From Groundwater. s Minimum 100' Separation From Private Wells in the Area.i, . MICHAEL E. ANDERSON Minimum 100' Separation From Surface Water or Streams: �j �'•. ND. CE -4381 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 BRAGAW STREET ANCHORAGE, AK 99519-6650 DEPTH (feet) 1 - 2 - 3- 4 - 5 - 6- 7 - 8 - 9 - 10- 11 12- 13- 1 1 1 1 1 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 5, BLOCK I, GLACIER VIEW HEIGHTS NO. 4 PERFORMED FOR: MOFFETT DATE: 6/15/2012 PROJECT No.: PARCEL ID#: TECHNICIAN: J. BERKRAM TEST HOLE 1 OB/OG d a. SILTY GRAVEL WITH SAND n GM/GW d a a a d a a 0 BOH @ 12' SLOPE WAS GROUND WATER ENCOUNTERED? YES IF YES n. WHAT DEPTHS 10' DEPTH OF WATER AFTER MO GROSS TIME (MINUTES) DATE OF MO WATER D (INCHES) 1-3 MICHAEL E. ANDERSON SITE PLAN SEE SITE PLAN z NITORING: 9' NITORING: 10/15/2012 PE 2% DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) WATER D (INCHES) NET DROP (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 6/22 1 1:18 0.63" 2 1:48 30 6.13" 5.50" 3 1:49 0.75" 4 2:19 30 5.88" 5.13" 5 2:20 0.75" 6 2:50 30 5.8111 5.06" PERCOLATION RATE: 5.9 (MIN/INCH) PERC. HOLE DIA. r (INCHES) TEST RUN BETWEEN:: 2_5 FT. and 3_5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS nATP- 7/1(/91117 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Heallh Division 825 "L" Street, Anchorage, Alaska 99502~ Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES Address TANK FIELD WELL Pho,et, IPe.r. it.o. No.o, Be..ooms \ ) Township. Range. Section ~ ~ ~ ~ ~ ~ ~ ~ ~S-BUILT DIAGRAM (Showlocat ..... fwell, septic system, propeHy l ..... ,oundahom TYPE OF SYSTEM ~TRENCH ~ BED ~W. DRAIN ~ OTHER Depth to p,pe bottom Irom Tolal depth from original grade ~ ~ ~11 added above original grade Gravel depth beneath pipe ~~- ~ Gravel length Gravel width ~otalabsorpt, .... e8 ~g F~ Dislan6e betweenlines ~/~ F' ~umber of Ii ..... ting p,pe ma,erial ~¢ ~ O, ~slallm Date Inslalled w,u.s ~RIVATE ~ OTHER (Identify) ~lassilica0o~ (A.B.C) Total Depth Cased [o Installer Date Installed: REMARKS: ~ I 17034 Eagle RJ~er Eoop ~oad ~g, ~0~ ceflily that Ibis inspe¢ion was pedormed according to ali // Eagle R~ver, Alaska 99577 -/ / Health Depadment Approval: . Date: Sent By: Alaska Water and Wastewater Con; 907 338 3246; Jun -4-03 1:33PM; Page 111 Sent By: South Fork Construction; 694 1122; May -21-03 1:Ot3PM; Page 515 -: nn P.O.9t0 t 1pOtSIQ. IILA « tt tt)q!! owl go Ott R OF LAND t �-_ DEPTH OF -WELL 514TI.0 LEVEL OF ATTR F. ..� LE L DESCRIP'T DON N Fr. DA •Stitlea CAkS.MX HA00 PE IT NUMBER KINIt OF CASING IC! OF. FORKATM: Fr Ft. tvi�FL� t Tt K�,I>Q From Ft. to Ft. F Pt. to�Pt From+ Ft. to Ft. p Ft to Ft. Ao!4rwn Fc. to ft. F Ff. t9�Ft. .> _ �.' Ft?o; F1. to Ft Ft.1�-•—Ft. �ra^ .. Ft. its Ft F Ft. to Ft• ; 4&'WIN From Fc. co Ft. FL to H. Ail' Frrw+t Fc. to Ft. Ft Ft. tej f o -Fi• Frua_.,_Ft.to Ft. F Ft. tpft SrJ roo►.�..-! t. to it. Fro Ft. to Ft. t� From Ft. to F �a Ft. to29•-Ft. ._ from Ft. to ft. IL .. rR FL Ft0'm L to Ft: Et.to FL _ From FL.10 F.I. p Ft. to Ft. From • Ft. to _Ft. F *Jon Ft:10 Ft. F Ft to t 1. From`Ft. to t MFMMATION: J Tom Fink, Mayor /klunicipality Anchorag Department of Health and Human Services 825 "L' Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1990 Dale Chalender PO Box 772333 Eagle River, Alaska 99577 Subject: Lot 5 Block 1 Glacier View Heights S/D #4 Permit #890052, PID #050-491-53 The subject; permit, issued by this office for a single family well and/or on-site wastewater system has expired as df December 31, 1989. Permits are issued on a calendar year basis by authority of the Municipal Code of Regulations. A new permit must be obtained from this office for an well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built inspection report (three-part form) must be sent to this office for review, approval and documentation. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $].40.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sincerely, John Smith, P.E. Program Manager On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" LdlEI..I...:~ !...cx;:i rm..u~ivL be:, ~.ut::)mJ.'t:'L(ed '!:.(::)I'-'h4r;:i.c:;i.l:)a.:l:i.l:.y o1: Pw{(:::hcir. ag,;(:, [)~:..~pa';q"'Lfnc,.,rH:. c,,'-' l.h~;,a].t:i'/ · :.',u-'~(::l l.lumar~ !i.i(?r'\,':L!:::(x.)!iil v,!:i.'t'.h:ir~ ::~.!;O (:l,':':/'~/!~i Eli' Wm.:,] ]. :t. i',tI:::E)I:RI"I :0 ,, I"I ,, l"l ,, l!ii ,, I:::'I::;'. :t: I::)l:i 'fO :1. S"I 8: :,?.IxlD ]: Ixii!~I:::'IEC::T :f: CdxlS )3Y Iii:N(3 :[ IqlF:Ei:R ~, :l I::' (.~,F:"t-li!i:l':i' (:)l:::'l::: :l:(Z:;lii!: I"I(.:)IIFiS I::;~q..I.. :%q.::;.!;-'-Zl.,SEt:l. AND I...l~):AVl:ii: i::;i::iI',.i!:;r'Fi:I.IE;'~' l:::'!i!:P( li!!:l'q(3:t:Ixltlii:[:i:l:k'.!i¢ ¢.Y'I'"I"P~I::;HliED ,/-:~F:'I:::'I:RE)VI!i]:):) i I.l :I: '.:!i I:::'ti:;:I::i'l¥! :I: 1' tZXI::' :1: l:i'.l!J% :I. ~::] .,"::f!; :!./~37 (~hlxl() VP&.. :!: Municipality of Anchorege DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST 2 3 4 5 6 7 8 9 DATE PERFORMED: .2- '~:~ ~%~2-~0¢'~ (~ 10 11 12 13, 14-- 15 16 17 18 19. 2O WAS GROUND WATER ENCOUNTERED? IF Al' WFIAT Date Gross Nel Depth to Net Time Time Water Drop PERCOLATION RAI'E (rmnutes/mch) P[:RC HOLE DIAMETER ~ ~ - --, ]"EST RUN BETWEEN _-.::_.~__ FT AND ~ '-- _ FT ACCORDANCE WITH ALL STA'rE AND MUNiCiPAL GUiDELiNES i~FFECT ON THiS DA]E. DATE: /2-~08 (Rev. 4/85) Municipality of Anchorage 4n, • '� Development Services Department ;.Building Safety Division° Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-491-53 HAA# D 5b—LN n 1. GENERAL INFORMATION Expiration Date: I — 18 —03 Complete legal description GLACIER VIEW HEIGHTS S/D #4: LOT 5, BLOCK 1: Location (site address or directions) 22444 COLUMBIA GLACIER LOOP " EAGLE RIVER AK, 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DALE CHALENDER Day phone 694-3307 22444 COLUMBIA GLACIER LP. • EAGLE RIVER AK. 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior to closing for the engineering services provided. 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 Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. /further verify that based on the information obtained from the Municipality of Anchorage riles 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name Engineer's Comments: JEFFREY A. GARNESS, P.E. In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the lime of the test, and separation distances measured to readily identiriable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may tluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for 337-6179 Date 5/30/a 3 bedrooms, with the fllowing stipulations: Attachments: O HAA Checklist l� Manitenance Agreements ��//, '•' cSIN� Septic System Advisory Supplemental Engineer's Reort '-'249)j 1))))') Well Flow Advisory Other By: U. Original Certificate Date: (Rev, 12101) Municipality of Anchorage • Development Services Department 4 y R Building Safety Division u On-site Water & Wastewater Program ' A ` I 4700 South Bragaw St PA. Box 196650 Anchorage. AK 99519-6650 www.d anchorage.ek us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: _GLACIER VIEW HEIGHTS S/D #4; LOT 5. BLOCK 1: Parcel ID: 050-491-53 A. WELL DATA Well type PRIVATE If A, B. or C provide PWSID# N/A Date completed 3/1990 Sanitary seal (Y/N) YES Total depth t29ft. Cased to 129 ft. FROM WELL LOG Date of test 3/1990 Static water level 50 ft. Well production 20 g.p.m. WATER SAMPLE RESULTS: Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 24+ in. AT INSPECTION 5/21/2003 47 ft. 4.3 g.p.m. Coliform - colonieS/100 tni. Nitrate" 1 mgJl.. Other bacteria 2 colonies/100 ml. 9 Arsenio N/A mgA. Date of sample: 5/22/2003 52003 Collected by: AKWWC. INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Matertal STEEL Date installed 4/5/1990 Tank size 1000 gal. Number of Compartments 2 Cleanouts (WN) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/ Date of pumping .9/13/2002 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA Date installed 4/5/1990 Soil rating (g.p.dJft°br bd m- 150 System type SHALLOW TRENCH Length 70 ft Width 5 ft. Gravel below pipe 2 ft. Total depth 5 fL Eff. absorption area 500 ft' Monitoring tube YES Depression over field NO Date of adequacy test 5/21/2003 Results (Pass/Fall) PASS For 3 bedrooms Fluid depth in absorption field before test 0/1 in. Water added 949 gal. New depth_ 0.5(9.5 in. Elapsed Time: 120 min. Final fluid depth 0/4 n. Absorption rate >= 450+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YM & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed "Pump on" level at in. Datum E. SEPARATION DISTANCES Size in gallons High water alarm level at in. Cycles tested Meets alarm & circuit requirements?. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 1001+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 1009+ Public sewer manhole/deanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 1008+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 100+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehide storage 50'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION a p„ I certify that I have determined through field inspections and * . review of Municipal records that the above systems are in • • """.. . .. ""' • • • • . conformance with MOA HAA guidelines in effect on this date. •.J r Ga ....s:... Engineers Printed Name JEFFREY A GARNESS �ag' • 7953 Date ��-34"U� �n°dP.�.__.mn�� HAA Fee $ 3715. Dd Waiver Fee $ Date of Payment 0 2 2. Date of Payment Receipt Number 3Co D cO Receipt Number (rte. 12101) ALASKA WATER & WASTEWATER CONSULTANTS, INC. June 18, 2003 Municipality of Anchorage Department of Development Services On -Site Water & Wastewater Program PO Box 196650 Anchorage, Alaska 99519-6650 Ref. Glacier View Heights #4 S/D: Lot 5, Block 1, 22444 Columbia Glacier Loop. To Whom It May Concern: An As -built Survey was attached with the Health Authority Approval application submitted on 6/2/03. Your department has requested this statement regarding the pipe located approximately 10' off the Northeast property line on the survey. It is our statement that this pipe is in reality non-existent, and is not part of the existing septic system. Therefore, it should be of no concern during the ev�t{i�ation of the current Health Authority Approval. If you have any questions feel free to Give. call. S P.E., M.S. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Wcbsitc: aW-%w.com Sent By: South Fork Construction; 694 1122; /. ........... w•�v 7t5lrulutFRIN6 May -21-03 1:05PM; Page 3/5 907 1211 .04/04 W � 1 .s P I.