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Home My WebLink AboutT15N R2W SEC 25 LT 142Onsite File T15N R2W Section 25 Lot 142 #051-312-22 SO' 589°SD'o0'E 329.2 i kec aw Ave. SO' BLM fCooc/ �esevva f%on Sepf;c vends j..-- 1 Std. Ate, S 8 cI °S4' E Scale: I"-¢0' :44 — 14-7 Sin roe.,.h IZZt 329.2 Elec, wire t' _cc Prapose.1 Aad;l;oy7-/6 �w AY4MU No CORNERS SET THIS DATE I hereby certey tlw I bare perkwnwd a Mortgagees'wpeCion ISN R2AW S.h7.lAk r '• Fra6 Wabtr. EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NO SHOWN HEREON. <4594-2 P64 - Anchorage Recording Precinct, Alaska, and that the it poremeves returned thereon are wilhin the property three and do nnl owdap or encroech on the pmpeny" agacenl tlherelm MM no InpOYBr ents ern property lying adjacent th rele encroach on the leanness In question and that there we o0 roadways, tl'arMlhhlNiorh lines or other hurtle on said property except as indicated hereon. Dated at Anchorage, Alaska tlds. - day of - 19— FRED WAIATKA & ASSOCIATES PIM 218-10M Engineers and Surreym F �"i Name: Eklutna Engineering Lab ID#: M210958 Mailing Address: 19162 Mountain Rd Date Sampled: 09/08/2021 Chugiak, AK 99657 Time Sampled: 1730 Legal Description: T15N R2W Sec 25 Lt 142 Sampled By: CLT Date Received: 09/09/2021 Sample Site Location: Outside Hose Bib Time Received: 1442 Total Nitrate Parameter Method Result Unit MRL MCL Date Total Nitrate/Nitrite – N TNTplus 835/836 (Hach 10206) <MRL mg/L 0.200 10.0 09/10/2021 Method Reporting Limit (MRL): the lowest concentration that can be reported reliably Maximum Contaminant Level (MCL): highest acceptable level in public water systems as set by EPA mg/L: milligrams per liter; 1/1000th of a gram µg/L: micrograms per liter; 1/1,000,000th of a gram Absent (A): none of this type of bacteria was detected Present (P): one or more bacterial cells of this type were detected Results Reported By: _____________________________ Patience Lynch Laboratory Analyst Reviewed By: 9131 E Frontage Rd, Ste 15 Palmer, AK 99645 (907)745-3005 matsutestlab.office@gmail.com Signature: Email: Lynne Hill (Sep 16, 2021 15:02 AKDT) Lynne Hill office@matsutestlab.com MUNICIPALITY OF ANCHORAGE,._, '~. .~(~ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION I 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ~ NEW LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS DISTANCE TO: IWell ~ I Abs°r~e'ea Dwe'Eng 2~ ~ Z Manufacturer~ Material~ No. of c~artments ~ ~ Liq. c~p~gallons IF HOME.DE: Inside length Width Liquid depth ~ ~ DISTANCE TO: Well Dwelling PERMIT NO, O ~ Manufacturer Material Liquid capacity in gallons ~ Well ' Foundatio~ / Nearest I~ / PER~.~ ~ ~ No. oflines ~ Length of ea~e / Total len~f ~ines Trench width ~O inches Distanc~ween lines ~ ~ ~ Top of tile to finish grade Materla] beneath tile ~ Total effective absorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line m DISTANCE TO: ~ iClass Depth Driller Distance to lot line PERMIT NO. m Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: PIP ATERIALS OTHER SOILTESTRATING~ ~ ~ ~ ~ ~m1~ ~ ~_~ r~ APPROVE ~ DATE LEGAL 72-013 (Rev, 3/78) PERMIT NO. Z CZ F"FILZT'T" ~]F F~-~CHORBGE DEPRRTMENT F-'~HERLTH RND ENVIRONMENTBL'"-"OTECTION 825 eL STREET, RNCHORRGE, RPPLICRNT LOCRTION LEGRL T K NEWBURY BOX 4406 E. R. Ti5N R2W '= 25 LOT _.. LIlT ~. I~.E 688-9002 t00000 SQURRE FEET TYPE OF SOIL RBSORPTION SYSTEM IS: TRENCH MRXIMUM NUMBER OF BEDROOMS SOIL RRTING (SQ FT?BR)= ~20 THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRRVEL DEPTN IS THE MINIMUM DEPTN OF GRRVEL BETWEEN TFIE OUTFRLL PIPE RND THE BOTTOM OF THE EXCRVRTION (IN FEET). l~:E~;!llJ ][ RED S;EPT I C TRI'-~K S I ZE= 10m]-~ G~-]LLC~I'-,IS PERMIT RPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPRRTMENT DURING THE INSTRLLRTION INSPECTIONS OF RNY WELLS RDJRCENT TO THIS PROPERTY RND THE NUMBER OF RESIDENCES THRT THE WELL WILL SERVE. T~-30 ~:: 2_ ) I: ~%ISPEC:T 3: C~l'-~S ~-4RE F.;E~;.~J I RED BFICKFILLING OF RNY SYSTEM WITHOUT FINRL INSPECTION RND RPPROVRL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTRNCE BETWEEN R WELL AND RNY ON-SITE SENRGE DISPOSRL SYSTEM IS ~00 FEET FOR R PRIVRTE WELL OR d50 TO 200 FEET FROM R PUBLIC WELL DEPENDING UPON TFIE TYPE OF PUBLIC WELL MINIMUM DISTRNCE FROM Fi PRIVRTE WELL TO FI PRIVRTE SEWER LINE IS 25 FEET FIND TO R COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RF'PLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F°ER~'I I l- E~-:;F" ~' RES DECEfdBER _~-:-- :1_ .. :t~80 CERTIFY THRT IRM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET I FORTH BY THE MUNICIPRLITY OF RNCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ]:: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THFIN ~ BEDROOMS. s ,xr:, .................. I:,z, LI~D BY- V4. 0 0 & E ENG,NEERING & DEVELO~ ,vlENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performedfor: Name: ~,~f-"-'~---X~:~ j~--~J~,(~/),~y ~Tel. N0.~'-~)~'~-- MailingAddress:~::~ ~4~'~t ~..~. ~,4/(.~_2 ,~L,~3,~'-.~ LegalDescription: /--~W'~ /~y/~- ) ~,'~'--~--~;~ / /:;~/'/£ /~'~/ Depth (feet) Soil Characteristics 8__ 9 10__ PLOT PLAN 11__ 12__ 13__ 14__ 15__ 16__ PERC. TEST Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: No.__ If yes, what depth Drain Field_ ~ Performed b~. ~L'~ ~. ~.' /f~L./ ~ ~"~"7~- Date: ~'~-' ~Z '-- ,¢~ 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 . .CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY [~WELLING Complete legal description Lot 142; Sec 25; T!gN R2W Location (site address or directions) Properly owner Mailing address Thomas Newbury P.O. Box 77-1406 17646 Seesaw Avenue Eaq. e River, AK Day phone Eagle River, AK 99577 271-6560 Lending agency Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual wel XXX Community well Public water NOTE: If community well system, provide written confirmation from State A..,DEC attest- lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: . Individual on-site xxx · Holding t~nl~ . _ , Community on-site Public Sewer · NOTEi ~ If Communi~"wastewater,system; provide written confirmation from State ADEC attesting to ti~'legality a~l ~tatUs 6f~ ~ystem. 72-395 (Rev. 1/91) Front MOA#2' 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 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 tha{based on the information obtained from the Municipality of Anqborage 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. s & s ENGINEERING Name of Firm ..... ~_~ ,,;..~. ~ ,,,,~_ ~,,,~ ~,_ ,~4 Eagle River, Alaska 99577 Address Engineers signature Phone Date '3/~-'f /47 = D~.H S SIGNATURE ' Approved for Disapproved. Conditional approval for bedrooms. 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 fe_deral and state requirements. Employees of DH HS 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 engineefs work. ENVIRONMENTAL SERVICES DIVISION of Anchorage JVJAl~ ~, Municipality DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division ~E (~ E 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Legal Description: ~,~' 1L~7.~ ~¢¢~.'7,-5'- ~ -'[' I~ ,, P---2.-",,-~ Parcel I.D.: 0~-/ - ,~/2. - ZZ A. WELL DATA Well type Log presenting) Total depth Sanitary seal {~) Date of test Static water level Well production ' Date completed Cased to If A, B, or C, attach ADEC letter. ADEC water system number '/-/?7/ Casing height (above ground) Wires properly protected~N) FROM WELL LOG )J, C, g:p.m. AT INSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate O ¢ / ~) Other bacteria Collected by: '-~'~ '~' B. SEPTIC/HOLDING TANK DATA Date installed ~.~ ~ 0 Tank size Foundation cleanout~N) Date of Pumping ~ -g V- ~ 7 C. ABSORPTION FIELD DATA Date installed \ c~ Length ~ ~ ~ Width Effective absorption area Date of adequacy test ~- I ~/' - 5' 7 \o~C::, Number Of Compartments ~- Cleanouts(~) ~ Depression (Y{~ ~ High water alarm (Y/N) ,-31 A- Pumper-~A'X)l 'r-/'J--~ ~ Pu~¢,/L ~ Soil rating (g.p.d./fF or fF/bdrm) ~, ~' ~ Gravel thickness below pipe Monitoring Tube present(~N) V Results:;~-~ail) Fluid depth in absorption field before test (in.); --~/ ~' Immediately after~o gal. water added (in.): Fluid depth -~ ~' (ins) Minutes later: 2 2- o Absorption rate = '-//,-~ '/' g.p.d. Peroxide treatment (past12 months) (Y~) /~)~W'/~ //-~,,/~) Ifyes, givedate /'J//~ ~ ?-'~ ~/~/--System type ~' ' Total depth //' . Depression over field (Y~ For ~ bedrooms 72-026 (Rev. 3/96)* :; . . . :.." -' D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) ~ High water alarm level a~~ *Datum -G~ested "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot '7~' ~ .On adjacent lots Absorption field on lot \ o o ~ On adjacent lots Public sewer main ¢"~1 A- Public sewer manhole/cleanout Sewer/septic service line ¢-~'" ~ 4- Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5- ~ '~' j 4- Property line /o Absorption field ~¢ ~ '/' Water main/service line /o Surface water/drainage ?~) Wells on adjacent 10ts /¢,6 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: ¢ o Building foundation /~ Water main/service line Property line Surface water Curtain drain Driveway, parking/vehicle storage area Wells on adjacent lots ~ o F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review in conformance with MOA HAA gui~jelines in effect on this date. Signature Engineer's Name 7 HAA Fee $. Date of Payment 72-02~ (Rev. ~/~)~ Waiver Fee $ Date of Payment Receipt Number ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN April 11, 1997 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 Municipality of Anchorage Department of Health and Human Services Attention: Jim williams P.O.Box 196650 Anchorage, Alaska 99519-6650 REFERENCE: Lot 142, Section 25, T15N, R1W, SM Dear Mr. Williams, Request you issue a Conditional Health Authority Approval on the basis that the existing crib will be completely abandoned no later than June 15, 1997. The slight depression around the monitoring tube is currently being taken care of by the owner of the referenced property. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 Rick Mystrom, Mayor Municipality of A chorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 ,Anchorage, Alaska 99519-6650 343-4744 June 3, 1997 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for T15N R2W Section 25 Lot 142 Waiver Request #WR970010, PID #051-312-22, HA970101: ~iU' · Dear Mr, Cowan: Your request for waiver(s) of the required 100 foot horisontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance(s) are the private well on lot to the septic tank on lot of 75 feet. This waiver approval applies to the existing on-site wastewater disposal system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. ncerely,/~, es P. Williams il Engineer On-site Services Program ljm:#6 Newbury MUNICIPALITY OF ANCHORAGe. Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR~ WR970010 PID# 051-312-22 HA# HA970101 Permit Date Received: March 25~ 1997 Legal Description: T15N R2W Section 25 Lot 142 Engineer: Robert C. Cowan~ P.E.~ S & S Engineering 17034 Eagle River Loop Road, Suite 204, EaRle River. Alaska 99577 Applicant: Thomas Newbury Waiver Requested: Private well to septic tank on lot - 75 feet ~gf/~f Criteria: 1. Geology: Points: A. Water Table ~,q B. Soil Sorption ~,~ C. Permeability ~t~q D. Water Table Gradient ~ E. Horizontal Separation ~0 TOTAL: I~,~ 2. Special Conditions: 3. Other: Waiver is Granted: :[~ Waiver is NOT Granted: List Conditions or Reasons for above: ~-~Y,~ ~ ~g7~3., Date: O~//~ /~ By: ~ne of Reviewer Rec #: 06298/6175 2kmount: $ 625.00 Date Paid: March 25. 1997 March 21, SEWER&WATER MAIN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE pLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER ~SPOSAL SYSTEM DESIGN ROBERTC. COWAN, RE. ROBERTA. SHAFER, RE. 1997 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAG~' ENVIRONMENTAL SERVICES DIVISION MAR $1997 RECEIVED REFERENCE: Lot 142, SECTIION 25, T15N; R2W; S.M. Parcel I.D. ~ 051-312-22 Request you issue a Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance between the well and the septic tank serving this property at 75 feet. The mitigating factors involved which support the issuance of the waiver ~e as follows: 1. Referring to the slopes shown on the site plan, surfacing effluent would not flow toward the well. The house is located between the well and the septic tank on the referenced property. This would provide a barrier for surfacing effluent. 3. Nitrate sample taken from the well located on the referenced property indicated 0.1 mg/1. In our opinion, the separation distance requirement prescribed by iSAAC.021 is not necessary in this case. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1'i=' 60' ~GALE SITE-PLAN WAIVER REQUEST 50' BLM ROAD RES~RVATION MAR-18-1gg? 15:59 CT~E ESI ANCHORAGE 90? 5Gl 5581 P.02/05 ~tr~l~ CT&E Environmental Services Inc. CT&E Ref.# Client Name Project Name/# Client Sample ID Matrix Ordered By PW$1D 971264001 S & $ Eagin~erlng Lot 142 Sec 25 TI5N P..2W 17646 See Saw Drinking Water Sample Remarks: Sample collecte~d by: R. Cowan Client PO// Printed Date/Time 03118197 Collected Dat~Time 03/13197 12:30 Received Date/Time 03/14/97 11:25 ' Technical Dir~tor; Stephen C. Ede Results 0.100 U 0 ALtoweb[e Prep Analysis PQL Units Method Limits Oote Date Init 0.100 rgQ/L SMIO 4500-NO3F 10 mOX 03/15/97 JgL ¢o[/lOOmL $M18 9~Z~ 0~/14/97 RA~ Certified Well · e ~ ? ,7,. -: 'Pi ~;! i° ' ~ ~'. Lo C a t 1 o n....~:.9.~_ ...$. j$...4.'., ....~.....~..~....~..~., .................. ,.....:.~:~.~.~ ...................................... Date completed...~9.~.].....~,Z.n~, ,-: ............................................................................ Depth of well..~.~.4,...~:~:¢.:.:....,.~:.....L.....'. ........ : ......................................... . ......................... Size o~ casing.~.t ..~!Q.[A.....:.. ~-.....'....: ................................................................................ Dls~ce to water_...~,~..~$~.~.~2.;..4~.._::(:,:,:....: .................................... : ......................... Distance to water While~pum~lng.:,,: ~ -' [0~ .~ee~ at ra~e o: ............. .... : ' ::..: · :::'.,:: ;:: - '.:., (. :,T: ~.:;., .:::· :..Drllle.r,:~.,..'.,.:: , , ~, ~ , , ,:., .:.-. .-f: .../ .: . . ::-'......:':~::,~.::?-" ,:?:.<:. '?.: :.::::%: ,::.' 'h'". ': :. ' :.: ..:'? '". -'. - : "' .' :::' :: <: ', ". ,:" ,.~' ~".:.'FOSS DRILLIN~ : :": ' :: · , ~oHORAGE, ALASKA'¢9501 ' 'We advise you to attaCh'this c~rtlfl'cate to your deed. Location ..... bAUNICIPAI. IIY OF ANCHO.~^G~ L L I N G, RECEIVED DRILLING LOG. Alta V, Whaler ! Use of Well Dom. (address of: Township, Range, Section, if known; or distance main road 11 Size of casing .Depth of Hole Static water levelN/A ft.. (above) Screen ( ); Perforated ( Describe screen or perforation bJ/)k"- . Well pumping test at ' 0 gallons per (hour) of drawdown from static level. 150 feet Cased to 103.85 feet % (below) ]and surface. Finish of well (cheek one) open end ? ). (minute) for. hours with ' Date of completion _5 / 2 4 / 7 7 WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness ~ TO (,.-_a=£..~, sciClcup 2 TO ] TO 4 TO '; '~ '~i _TO. 2 9 '" 39 '" ~ _TO. - '" .TO. 5 0 TO h.~ .-~.ar d pan .TO I.,30 TO ].50 TO _TO _TO. .TO .TO. ft. (,ravel. /.zll Organics Silty pragel; cobblv Sand Silty, gra've[L Saudy ff, raveli).: · ~ . , - ' S,.md-,; qrav'el hard pan Green bedrock, no %lO.[/e~ 0[,Y n0LE 2 -- STATE Block lb, ac Section Ho. Township Range ! ~ertdlan ~~---- ~ -- ~:~ ~. I~'~- 3. OW,ER OF ~ELL: J~ (,/~ . ~ Auger ~Jetted ~red ~Other, ~TeSt Well ~ Other: 7 ~ '~ ~ 7. CASI~2: ~ Threaded ~. STATIC UATE~ ~[VEL; 7~ ~t. ~A~ve ~,elo~ I~n~ surface ~ .. ft, after - ~ .hrs, pumping ~ 7 , g.p.m. .. ~Pitless Adapter /,~, inches above grade 13. eu~e: (If available) EP -~/ Length of Drop Pipe L~ ~ ~ ft. ca.city ~ g.p,i Type: ~Sub~rs Ibl e ~Rectprocating ~ Jet ~ Other: ~ ,, .~, . 2~, o 77~