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Home My WebLink AboutT15N R2W SEC 25 LT 60 ; Municipality of Anchorage Page 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: ~,¢v' ~0~ PIDNumber: (~7~/ ~,-~"Z.~ /Z-- Name: Wastewater System: ~New ~ Upgrade Address: ~ ~ ??~ ~ ~ ~ S Z~ ABSORPTION FIELD Phone: ~ No, of Bedrooms: ~/~5 ~ =~ ~ Deep Trench ~ Shallow Trench ~ed ~Mound ~Other Total Depth [rom original grade: Lo~~ BIock:~ Subdlvision:/ Depth to pipe boff0m from~/original~ g~de: Ft. Gravel depth beneath~/~pipe Ft. Township:/~ i...,= ~ Filladdedaboveoriginalgrade:o Ft. Graveliength: WELL: ~New ~ Upgrade ~J~H '~'/~ Ft. ~ Cla.ification (Private, A,B,C}:~,.~ IT°~pth: Ft. Cas. To:~ Ft. Total absorp,i0n area:~O SQ. Ft. Pipe material:~ Driller~.~,~ D~/~ Stat'cWaterLeveh~ Ft. 'nstal~s~'S~~ Date installed' ; Yield: C~ing Height Above Ground: /~ GPMIPump Set at: Ft.I ~ Fi, TANK SEPARATION DISTANCES ~.pt,~ ' ~ Ho~di.g ~ S.T.~.,. Sudace w.t.~ ~/o0 ' > LIFT STATION Lot Li.e p/O/ piP' fiD' Size in gall°ns: IManufacturer: Remarks: BENCH MARK Location and Description: inspections pe~ormed by: ~ Dates: ~s~ ~'"'" ............... Department of Heath and Huma~ Se~ices approval ~;~". 72-013 (1191) MOA 25 'Permit No. __SW950255 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519 6650 · Telephone: 545-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 60 T15N R2W SECTION 25 PI[3NEER DRJVE. PID No.: 89°46'32' E 327,96 S 89°51'20# E SCALE f' = 60' · MONITOR TUBE o - SEWER CLEANOUT + - WELL LEACHFIE/D EASEMENT 327,84 ELEVATIDNS ~TaP IF 'v/ELL CASING d m (NDT TD SCALE) ~SSURED~V = i00,00 CO DRIGINAL MT8 90.8 -- 051-282-12 10/24/95 EN(31NEER~S SEAL ~?)." 49TH~ ".?~ LOUIS A. BUTERA ."~ %%,. %q~Cor ESSX~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW950255 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES OWNER NAME:DAN ZORBRIST OWNER ADDRESS:P.O. BOX 770586 EAGLE RIVER 99577 DATE ISSUED: 8/31/95 EXPIRATION DATE: 8/31/96 PARCEL ID:05128212 LEGAL DESCRIPTION: T15N R2W SEC 25 LT 60 LOT SIZE: 108900 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM 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 (iSAAC80) . 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED ISSUED BY: Louis Butera, P.E. Registered Civil Engineer August 11, 1995 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 60, T15N R2W Section 25 Narrative & Permit Application Dear Mr. Cross: The proposed well and septic system will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, due to absorption capacity. 4. Drainage will not be affected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \G:\WPDOCS\1995\95-080A.NAR P.O. Box 773294 · Eagle River, Alaska 99577 · Telephone (907} 694-5195 · Fax {907) 694-3297 · Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0050 SOILS LOG -- PERCOLATION TEST PERPORMED FOR: ~-~/~//.,~ 7' LEGAL DESCRIPTION: L ~"~ ,. DATE PERPORMED: ~'"-~-~" Township, Range, Section: 7'/~---~ /~'Z 1 2 3 4 5 6 7 8 9 10- 11 13- 14- 15 16- 17- 18- 19- 20- COMMENTS '~ '/~¢~' ~J WAS GROUND WATER ENCOUNTERED? SLOPE SITE PLAN IF YES. AT WHAT DEPTH? Depth to Water After Monitoring? ~"f Dale: ~- t¢-?~ Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE -// (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN ~ FT AND .~ FT ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: (~' ~ L~' -- ~j~ 72-008 (Rev. 4/85) SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Lot 60, T15N R2W Section 25 08/11/95 1. The well & septic plan is for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. BED 1. 5. 6. 7. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. The bottom of the bed shall be level, plus or minus 1.5". A 2' filter sand layer shall be required at a total depth of 6'. Material shall be an ADEC approved filter sand. The total depth of the gravel layer is not to exceed 4' at any point. The bed piping shall be laid level within 0.03'. The bed gravel is to be covered with typar fabric material. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the bed. The area over the bed is to be finish graded to prevent ponding of surface water runoff. The septic tank and leach field must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: BOTTOM OF FILTER SAND LAYER = 6' BOTTOM OF GRAVEL LAYER = 4' SAND FILTER DEPTH = 2' of ADEC approved material GRAVEL DEPTH = 6" under pipe, 2" over pipe BED LENGTH = 64' BED WIDTH = 10' SOIL RATING = 0.7 GPD/ft2 BEDROOM CAPACITY = 3 SEPTIC TANK = 1,000 gallon minimum Twenty-four (24) hours notice required for all inspections. G:\WPDO CS\1995\95-080A.SPC PIE]NEER DRIVE o~ S 89°46'32# E 327.96 Ed O/ J B ~X ~ 3~7,84 VACANT a = 5000,~7,4996,56 $ = 4678,33,4997.38 ~ TEST HOLE WELL & SEPTIC SITE PLAN OWNER: CONTRACTOR: RASMUSSON JOB~ 95-OaOAI DATE: a/11/9sI SCALE 1" = 60' ~~...~ A ~AGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EACLE RIVER, A~. 99577 (907) 694-5195 FAX: (907) 694-3297 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 Eagle River, Alaska 99577 (907) 694-5195 ERES Project No.: 95-080 Calculated By: LB Date: 8/11/95 Legal: LOT 60 T15N R2W SEC. 25 Single Family 3 Bedroom Dwelling TESTHOLE1 Bed Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = 450 gallons Percolation rate = <I minutes perinch Wastewater application rate = 0.7 gallons per day per square foot Required absorption area = 643 square feet Bed width(W)= 10 feet Graveldepth (D) = 1 feet Required length = Required absorption area / Bed width Required length = 643 / 10 Required length = 64 feet Total Excavation Depth = 4.0 feet 6.0 feet NOTE: 2' filter sand layer used beneath gravel Bottom of gravel Bottom of filter sand SINGLE FAMILY ON-SITE WORKSHEET ERRS PROJECT NUMBER: 95-080 CALCULATED BY: LEGAL DESCRIPTION: LOT 60 T15N R2W SEC, 25 NUMBER OF BEDROOMS: 3 WATER USE PER BEDROOM: 150 GALLONS PERCOLATION RATE: <1 MINUTES PER INCH DEPTH TO GROUNDWATER: 15 FEET DEPTH TO IMPERMEABLE LAYER: 15 FEET ANTICIPATED DEPTH OF COVER: 3 FEET MOUND OR BED SYSTEM WASTEWATER APPLICATION RATE: ABSORPTION AREA REQUIREMENT: MINIMUM BED LENGTH 12 FEET WIDE BED 15 FEET WIDE BED TRENCH SYSTEM WASTEWATER APPLICATION RATE: ABSORPTION AREA REQUIREMENT: SHALLOW TRENCH OPTIONS 5 FEET WIDE TRENCH EFFECTIVE DEPTH (FT) 1 2 2.5 3 3.5 4 0.7 643 LB USABLE SOIL STRATA TOTAL USABLE DEPTH: USABLE SOIL STRATA DEPTH: GAL/SQ.FT SQ.FT 9 6 54 FEET 43 FEET N/S #VALUEI GAL/SQ.FT SQ.FT DEEP 'I~RENCH OPTIONS 3 FEET WIDE TRENCH REQUIRED TRENCH EFFECTIVE REQUIRED TRENCH LENGTH (FT) DEPTH (FT) LENGTH (FT) #VALUE! 4 #VALUEI #VALUE! 4.5 #VALUE! #VALUEI 5 #VALUEI #VALUE! 5.5 #VALUEI #VALUEI 6 #VALUEI #VALUE! 7 NA 8 NA 9 NA DESIGN SPECIFICS FIELD SYSTEM: GRAVEL DEPTH: TRENCH OR BED WIDTH: LENGTH: TOTAL EXCAVATION DEPTH: B 1 10 64 4.0 6.0 (B=BED, S=SHALLOWTRENCH & D=DEEP TRENCH) FEET FEET FEET FEET, BOTTOM OF GRAVEL FEET, BOTTOM OF FILTER SAND Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O'. Box 196650 Anchora{]e, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE-FAMIW DWELLING Parcel i.'D. 051-282-12 GENERAL INFORMATION Complete legal description HAA#. OHO z.q ?' Expiratio,n Date:. Lot 60; Section 2~; TI~N; R2W Location (site address'or directions) 15935 CZine St. Eagle River, AK 99577 Current Property owner(s) Carolyn Mailing address Rdol ms~ Day phone Lending agency Day phone .2. Mailing address Real Estate Agent Jennifer Zimmerman Day phone 265-9170 Mailing Address Unless otherwise'requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 3 .... Coldwell Banker 2525 'C' St. Anchorage, AK 99503 '3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class .__ Public Water System Well TYPE OF WASTEWATER DISPOSAL: J~ Individual On-site [-I Individual Holding tank [] Community On-site [] Public Sewer The Municipality of Anchorage Development services Depadment (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. Cedificates of Health Authority Approval are required for the transfer of title (except between spouses) for propedies served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon reqdest to homeowners. Cedificates 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 sample results. (Cedificates 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 prol~essional engineer's work.. 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. I fudher vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site Water supply and/or wastewater disposal system 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 Phone' 694-2979 Address 17035 N. Eagle River Loop 'Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Rob'e~t C. Cownn Date DSD SIGNATURE ~ Approved for ~ bedrooms. Disapproved. Conditional approval for ' bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Sep{ic System'Advisory Well Flow Advisory X Maintenance Agreements Supplemental Engineer's Report Other Original Cedificate Date: 4,-/o (Rev 01/02) Legal ~escril~tic A. WELL DATA ! ~ '; " Date completed Total depth Stahc water level! Well production WATER LE~RESULTS:' i Coliforn .:' colonies/100 mi. SEPTIC/HOLDING TANK'DATA' Tank Tank ~ Pump~ Date insta 6il ra[ing ~P~d i~or ftc/ ion area Date of, adequ . ~esu ts Fluid de 3th in Elapsed ~tFinal flui~ depth ~ Any re] Other bacteri~ ~0 ectea Dy:., installed Cleanouts ('Y/N) ' High water g.p.m. ! colonies/100 mi. MOnl[orlng .... If yes, give date ype ~ l0TM pipe ~; -,%'-' ft. press~on over field ~ 'For..~ bedrooms Newdepth ~ in. >= d,.~Z) g.p.d. D. LIFT STATION Date installed /1//4 "Pump on"'leve in. Datum E. SEPARATION DISIANCES Fi Size in gallons "Pump off" level at* Cycles tested in. GJ Manhole/Access (Y/N) . ,' High water,alarm level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM wELL 'ON LOT TO: "Septic tank/lift 'st~ti~3n on lot / Absorption field on lot / (;;::)0 '"(-- Public sewer'{'nain ,-'"'J/'~ ~'. Sev~:/septic Service line ' '. SEPARA~TION DISTANCES FROM SEPTIC/HOLDING TANK '~)N ~.OT TO:' Building foundation ~ Water main ~ .,,~ Wells on adjacent lots/I O0 SEPARATION DISTANCE FROM ~,BSORPTION FIELD ON LOT TO: Property line I O -¢- Building foundation Water Service line ~lr'~ ~J Surface water ( ,' Curtain drain~or~_~ ~"~o~,3 Wells on adjacent'lots I,oO ..,- COMMENTS · On adja'ceni:lots On adjacent I°ts Public sewer manhole/cleanout Holding tank, Absorption field surface water ( ~ I,~_ Water main ~/."~ / Driveway, par'king/vehicle storage in, ' ENGINEER's CERTIFICATION .... '" I ce~ify ~hat I have dete~ined through field i~s ections and · P K ..... ~.~,.~,.~-- review of Municipal records that the above systems am in confo~ance with MOA HAA guidelines in effect on th/s date. ~~.'. Engineer's Printed Name -~ .... - .... Date . ,,. ,.., , . . .... ~. HAA Fee $ Date of Payment Receipt Number (Rev, 12/0;I) Waiver Fee $ Date of Payment Receipt Number :5EP-03-2003 :12:44 S::~S Et4GINEER]I,~ cj07 694 121I '.. ,".:,; .' ~, ~ "-.,, ..~-;',,.... ~, ~.. -.-,, .~ ... -' . .. - . · '? .o . c.'"'...:~ % &SBUlL"r HERE:ItT CERTIFY .'I'HJ,T FI;X.LOWlN~ I:)ESC~IIEZ] PROPERTY: INDI~...&'I'E~. IT IS ~ OWNER TO D~ 'r~ ~Cis'rD~cE OF ANY OF~ LINE$~ OR 'DR~wN~ -- TOTPL. P.I~. ROBERT C. COWAN, RE. IIIeERIH~ FIOBERT A. SHAFER, RF. June 7, 2004 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SEWER & WATER MAJN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSP~C'TION & FLOWTEST SITE ROAD DESIGN SOIL TEST STRUCTLF~L & MECHANICAL INSPECTIONS ON~TE WASTEWATER [~SPOSALS~TEM DEIGN MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519-6650 REFERENCE: Lot 60; Sec. 25; T15N; R2W 15935 Cline St. Eagle River, AK 99577 Request you again issue ,a Health Authority Approval (HAA) for the existing four bedroom dwelling on the referenced property. Based on field observations and survey information, the onsite leachfield (bed) is 5'+ from the existing four bedroom dwelling's foundation. The septic system is 60" deep. The cast concrete foundation wall and footer are approximately 42" deep. Based on our inspection, there does not appear to be any adverse effects to either the structure's foundation system or the leachfield. It appears that both the septic and foundation systems have withstood the test of time. We do not' anticipate any adverse effects on the existing leachfield, the dwelling foundation, neighboring wells, septic systems, reserve areas, or drainage patterns by the issuance of the requested HAA. We do not anticipate any adverse effect on the adjacent property. If you require additional information, please contact us. Sincerely, RCC/ts 17034 NORTH EAGLE RIVER LOOP * SUITE 204 * EAGLE RIVER, ALASKA 99577 Municipality of Anchorage i Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. ' P.O. Box 196650 Anchorage, AK 99519-6650 vc, vw. ci.anchorage, ak. us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY' APPROV'Ai. FOR A :51NGI' E PAMILY DWEH..ING Parcel I.D. ..051-282-12 GENERAL INFORMATION Comp!ete legal description o$ o Expiration Date: !.9., - ..5-'- 0 ~ T,n '1- ~ I"1 · (site address or directions) Location Current Property owner(s)~arolyn Mailing address ~ame Lending agency Mailing address Real Estate Agent Mailing Address T1 5W; R?[~.. St. Eagle River, AK 99577 Edelman & Dan Zobri.~'r~yphone 694-0315 Day phone Day phone Un!esso~e~ise~questo~ H~behe~DSDNrp~. NUMBER OFBEDROOMS: 3 TYPE OF WATER sUPPLY: ' Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site ~-~ · Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) Issu~.,s Certificates of Health Authod~ 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 ApFrcval 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 pdvate or Class C weft 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 C!ass 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 validati~)n 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 aqd 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. '" Fi,v',,C.' 69fi'~2979- ,%'amc of Firm ff'~ ,q Address 1703~ Ea~.le River Loop Ste. 20/, Ea:~le River, AK 99577 Engineer's Printed Name Robert C. Cowan Date DSD SIGNATURE ~ Approved for Disapproved. Conditional approval for ~c~ / Et~-~ ~:~' ~ ~,.--:~.~,.~ ~--..,~ ...... bedrooms. ~Y*" .'~,'; ~ bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Odginal Certificate Date: ~ -,~"'- 03 ' (Rev. 01/02) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~~ WELL DATA Date completed Total depth .4-'~ ft. If A, B, or C provide PWSID # ~- Sanitary seal {Y/N) · ~ Cased to '~ ft. FROM WELL LOG Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform (~ colonies/100 mi. Arsenic: --: mgJl. SEPTIC/HOLDING TANK DATA Parcel ID: O..~"! Well Log (Y/N) "'7" Wires properly protected (Y/N) Casing height (above ground) ,/~ '~in.. AT INSPECTION ~ , i g.p.m. Co Nitrate ~'E~ mg./I. Date of sample: ;~:)/~) ~ Tank Type/Material ~ Tank size' [1~_ (~ ' gal. Number of Compa~ments ~. Foundation cleanout (WN) ~ Depression over tank (Y/N) ~ Date of'P'umPin; ' ~ / ~ [ ~ ~ Pumpm ~ I~ ABSOR~ION FIELD DATA D ate insta,led /O/~'/~Soil rating (g.p.d./~~ or ~/bdrm ) ~-~ Length - ~. Width /~ · / ,. absorption area ~ft~ Monitoring tube Fluid depth in absorption field before test.~ in. Water adde~gal. Elapsed Time: .~ ~ min. Final fluid d~h ~ in. Absorption rate >= Any rejuvenation trea[ment (past 12 mo.) (YIN & t~e) Other bacteria '~. colonies/100 mi. Collected by: . Date installed Cleanouts (Y/N) High water alarm (Y/N) System type, Gravel below pipe ~ · ~" ft. Depression over field ~ For "~ bedrooms New depth ?,~ in. ~" ~>'~ g.p.d. If yes, give date "-'- LIFT STATION Date installed ~ A "Pump on" level at _/~._ in. Datum Eo SEPARATION DISTANCES Size in gallons 'Pump off" level at in. Cycles tested Manhole/Access (WN) High water alarm level at Meets alarm & circuit requirements? Septic tank/lift,.S.t~n on lot Absorption field on lot Public sewer main So.~f~septic service line SEPARATION DISTANCES FROM WELL ON LOT TO: SEPARATION DISTANCES FROM SEPTIC/H~ TANK ON LOT TO: Building foundation ~ ~ ,4-- Property line ~" ! Water main ,,',J /,a~. Water service line / Wells on adjacent lots [(~ On adjacent lots On adjacent lots Public sewer rnanholelcleanout Holding tank Absorption field ~-' I,.].. Surface water / SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line { 0 r~ Building foundation I '~ ' Water main Water Service line I O ~ 4- Surface water I (~)O 1,5"- Curtain drain td6p~' ~"~o~ Wells on adjacent lots ! ~ ',-.F Driveway, parking/vehicle storage Fo COMMENTS G. ENGINEER'S CERTIFICATION I cerlify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAAl~uidelines in effect on this date. Engineer's Printed Name Date HAA Fee $ Date of Payment Receipt Number (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number SEP-03-200,3 12:44 S~.$ ID~G[HEERHqG cD07 694 1211 ? .~..,':'~"' '~',... .'~.....,..o ,: . . ,. .,' ;. '.~.',, ' ~. ... - . ;.. :.,., .~...,, .,. ,.,.. P. ROBERT C. COWAN, EE. ROBERTA. SHAFER, P.E. September 3, 2003 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 SEWER&WATER MNN EXTENSIONS SEWER&WATER b~SPECTIOH ENC4NEERfNG STUDIES ANO REPORTS W~U. INSPECTIO~ & FLOW TEST TEST PERCOLABCN TEST INSPECTIONS ON SITE WASTEWATER IvIUNIcIPALITY OF ANCHORAGE Development Services Depmhnent P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 60; Sec 25; T15N; R2W 15935 Cline St., Eagle River, AK 99577 It is requested that you issue a llealth Authority Approval (IIAA) for the existing four bedroom dwelling on the referenced property. Based on field observations and survey information, the onsite leachfield (bed) is 5'+ from the existing four bedroom dwelling's foundation. The septic system is 60" deep. The cast concrete foundation wall and footer are - 42" deep. Based on our inspection, there does not appear to be any adeerse effect to either the structure's foundation system or the leachfield. It appears that both the septic and foundation systems have withstood the test of time. We do not anticipate any adverse effects on the existing leachfield, the dwelling foundation, neighboring wells, septic systems, reserve areas or drainage patterns by the issuance ofthe requested HAA. If you require additional infmmation~ please contact us. Sincerely, Robert C. Cowan, P.E. RCC/mjc 17034 NORTH EAGLE RIVER LOOP * SUffE 204 · EAGLE RIVER, ALASKA 99577