HomeMy WebLinkAboutMOUNTAIN MANOR BLK 3 LT 5BOnsite File
Mountain
Manor
Block 3
Lot 5B
#050-671-42
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://ww .muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP201248
Work Type: SepticTank Upgrade
Tax Code Number: 05067142000
Site Legal Address: MOUNTAIN MANOR BLK 3 LT 5B G:0254
Site Mailing Address: 19118 JAMIE DR, Eagle River
Owner: GOODRICH CRAIG P & SUZANNE M
Design Engineer: ARC TERRA CONSULTING INC
This permit is for the construction of:
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
Depirtnlent
7/15/2020
7/15/2021
❑ Disposal Field Cn Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction shall 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 shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
Received By: /w
Issued By:
Date:
Date: 7 It5 ad2d
2
�'�il� U I'A 'JT CIS
Development Services Department
On -Site Water & Wastewater Section"
ANcHORAGE
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-671-42
Property owner(s) Craig Goodrich Day phone
Mailing address 19118 Jamie Dr, Eagle River, AK 99577
Site address 19118 Jamie Dr
Legal description (Sub'd., Block & Lot) Mountain Manor Blk 3 Lot 513
Legal description (Township, Range & Section)
Lot Size 79866 Sq. Ft. Number of Bedrooms 4
RU-C�N
Phone: 907-343-7904
Fax: 907-343-7997
APPLICATION IS FOR: APPLICATION IS AN:
TYPE OF DWELLING:
(® all that apply)
Absorption Field ❑ Initial F1
Single Family (SF)
Septic Tank Upgrade
(w/wo ADU)
Duplex (D)
❑
Holding Tank ❑ Renewal ❑
Multiple Dwellings
❑
Privy ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that
this is in accordance with
applicable Municipal Codes.
Dea Duffus
(Signature of property owner or authorized agent)
Permit/Rush Fees: X70 coulo-Iq
Date of Payment:7ZZgl27U
Receipt Number: 075SHG-
Permit No. 05 PW 12 413
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201248, Rebecca Carroll, 07/15/20
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP201248, Rebecca Carroll, 07/15/20
Municipality of Anchorage Page 1 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:. SW990~142 PID Number:. 050--671--42
Name:CRAIG & SUZANNE GOODRICH WastewaterSystem: [] New · Upgrade
~drele:
19118 JAMIE DRIVE EAGLE RIVER, AK 99577 ABSORPTION FIELD
Ph°ne:(907) 694-6296/440-5565 IHo, of Bedroom.:
* 4 n Deep Trenah · Shallow Trench [] Bed ri Mound n Other
LEGAL DESCRIPTION o,~ ~/,..
Lot: Block: SubdMilon: Oe~th te ~ ~ from ed~lnal
5B 5 MOUNTAIN MANOR 3.84-5.34
Range: I ~ ~ gm~e~ gravel leng~
Townehlp: Section: Fill ad~ed
- - - 0-0.5
I
WELL: [] New [] Upgrade ~)~Tm 5.0
CfaMlflaaUon (Pn~ate. AB.C): Tebd Dept~: / TO~I obeaq~Je, eree: Pipe rm~m'k~b
~.~.. n. Rt. 1000 s~.n. ASTM D-5054/F-810
F~ EAGLE MOUNTAIN EXC. 6/21/99-6/24/99
,~ TANK
F~.
.//"'~EPA~TION DISTANCES · Septic [] Holding [] S.T.E.P.
TO Septic AblF~er~don Eft HoldingPublle/Prlve~ I/Anufix~uren C~ In "-r~;
Tank St(don Tank s~w U.~ ANCHORAGE TANK 2000
From
Well 100'+ 100'+ - - 25'+ STEEL 2
oo.+ oo.+ - - -
Woter
tot s'+ ~o'+ - - -
Foundation 5' + 10' + - - -
Cur[aln ~r,~ ,ak.~lETae.~ ~ ~ by:.
Drain - NONE KNOW ~1
I
I
Remark.: *NOTE: TH~ NEW S~T~C s'rs'rm WAS S~ZE~ BENCH MARK
FOR A SIX BEDROOU HOUSE. TOP OF STEP IN FRONT OF LOWER
A,~ ~.~-Ac.~ -~o~ oe' ~=,~ ~,~. ~ ~ BASEMENT DOOR.
Meumed Beva~ae;
~ =~o~o. 'l-.q~' -.~L,~,~' ~'¢~,~ "r'H ~ %~' 100.0
ENGINEER'e eEAL
'oo
Inspections performed by:, AWWC, INC. Dates: 1st 6/21/99 ~ ......... : ............
3rd 6/28/99 ~.~'/~ ;~Jv-~;/..:'"~
Department of Health and Human Services approval
Reviewed and approved by://)/'~- ..... ~ ,4./'. ,~ Date: 7-~.3-
,,-o,, ////'-/
,'E,,M.'S~,990,N,,,,S~-,:42 AS ' BUILT DRAWING """0~"0~0--671'D .UM,,.',.':_42
? / --"''',~ ~-
/ J f' '.-. ,~ / .~...--. ~
NEW 2000 GALLON // / // ~ \------/__.__ 15' UTILI'P¢ EASEMEN_T~.___..__---- ,
SEPT, C TANK-~ / / / \ "~ ...................... /
/
/I/ X '- ................
/ NOTE: SYSTEM SIZED
~NEW DRAINFIELD ~R SIX BEDROOMS.
"~ ~~ ~ ~t ST1 13.3 49.0 -
'--.~~~% ST2 2~.o eo.3 -
~~~7~'~ '~ DBL1 ~0.2 61.9 -
~ ~ ~~~co2 DBL3 94.6 - 140.6
%~~¢~z .... DBL4 96.1 - 141.5 ,
'~ ~ ~ -~. C01 126.5 - 152.5
'~/ ~ '~. ~ UT~ ~27.9 - ~S2.7
F~ ~ ~ C02 147.3 - 114.9 ,
/ ~~ ~/~2~ MT2 14B.6 - 116.0 I/
t0 ~ ~O~ ~ ~
~7?*;2~~~SU~EMENTS fOR D~L3.
ALTERNATE SIT~ '~~;)~ ~2& ~T1, C02, · Ur~.Y[B[_._
'~. ~~ ~SC~L~_ [ROM AN AS-BUIU SURVEY
~~~ %. DQNE BY WILLIAM D. FLEMING.
~~ ~ ~~ --~ / / /
~. ~ ~ -~ / / / t
'~ ~ %~. ~ / / / /
.. .......... ..
~:i-, ............ : ....
~ p~ "..U ."., ~
6901 DEBARR ROAD SUITE 2B, ANCHORAGE, AK 99504-
PHONE: (907) 337-6179/FAX: (907) 338-3246
LEGAL DESCRIPTION:
MOUNTAIN MANOR SUBDIVISION; LOT 5B, BLOCK .3,
~YPE OF WORK:
AS-BUILT OF SEPTIC SYSTEM UPGRADE
PREPARED FOR: PHONE NUMBER:
CRAIG &: SUZANNE GOODRICH 694-6296/440-5565
DATE: DRAWN BY: SCALE: PAGE:
7/1/99 J.L.M. 1 = 40' 2 OF 5
A B C
ST1 13.3 49.0 -
ST2 28,0 60.3 -
DBL1 50.2 61.9 -
DBL2 30.7 62,4 -
DBL3 94.6 - 140.6
DBL4 96.1 - 141.5
C01 126.5 - 152.5
MT1 127.9 - 152,7
C02 147.3 - 114.9
MT2 146.6 - 116.0
PE..,TSW990~NU..ER:.,2 AS ' BUILT DRAWING PA.OEL0~0_671, D NU..E.:_.,2
2000
NOTE: MT2 DOES NOT EXTEND
TO THE BOTTOM OF THE TRENCH,
~INV~ ~ Pl?g
[~gl'fOM Of 11~NCH
¢ 4~,24
ALASKA WATER AND WASTEWATER CONSULTANTS, INC.
6901 DEBARR ROAD SUITE 2B, ANCHORAGE, AK 99504
PHONE: (907) 557-6179/FAX: (907) 558-5246
LEGAL DESCRIPTION:
MOUNTAIN MANOR SUBDIVISION; LOT 5B, BLOCK
'tYPE Of WORK:
PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRADE
PREPARED FOR:
CRAIG &: SUZANNE GOODRICH
DATE:7/1/99 IDRAWN BY:j.L.M.
PHONE NUMBER:
694-6296/440-536.:3
JSCALE: J PAGE:
1 = 40' ,.'3 OF 5
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: Jun 16, 1999
Expiration Date: Jun 15, 2000
Permit Number: SW990142
Legal Description: MOUNTAIN MANOR BLK 3 LT 5B
Design Engineer: 0041 AK Water & Wastewater Consulta
Owner Name: Craig & Suzanne Goodrich
Owner Address: 19118 JAMIE DRIVE
EAGLE RIVER, AK 99577-7916
Parcel ID: 050-671-42
Site Address: 019118 JAMIE DR
Lot Size: 79866 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
[] Disposal Field [] SepticTank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
Date:
Date:
Alaska Water & Wastewater Consultants, Inc.
6901 Debarr Road, Suite 2B ~ Anchorage ~ Alaska 99504
(907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
June 1,1999
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 5B, Block 3, Mountain Manor Subdivision
To whom it may concern:
The existing 4 bedroom house is served by a private well and septic system. The existing septic
system is in a state of failure and is having to be pumped out on a regular basis. Two test holes
were excavated to the south of the existing septic system. We are proposing that a new 1250
gallon septic tank and a new drainfield be installed. Comments regarding the proposed upgrade
design are summarized as follows:
1. SOILS: Attached are logs which shows the soil profile, and the percolation test results. The
soils below the organic layers are a SM material to a depth of 3.5 feet in TH#1 and to a depth of
4.5 feet in TH#2. The soils below the SM layer transitions to a GM/SM material to a depth of 16
feet in both test holes (bottom of test holes). No groundwater was encountered during the
excavation of the test holes. Two percolation tests were performed, one in each test hole,
between the depths of 5.5 feet to 6.0 feet and found the rates to be 13.3 and 15 minutes/inch. It is
our opinion that due to the overall appearance of the soils, a application rate of 0.6
gallons/day/ft2 should be used.
2. TRENCH DESIGN:
a. Percolation Rate:
b.
C.
d.
e.
f.
g.
h.
i.
13.3 & 15 minutes/inch
Allowable Application Rate: 0.6 gallons/day/ft2
Nun~ber of Bedrooms: 4
Design Flow: 600 gallons per day
Minimum Absorption Area: 1000 ft2
Total Depth: 10 feet (max.- on uphill side)
Effective Depth: 6 feet
Width: 2.5 feet
Minimum Length: 85 feet long
Effective absorption area = 1020 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed
upgrade.
4. TOPOGRAPHY: The average topography of this property is a 25 percent running from
approximately northeast to southwest. The area below the proposed drainfield is heavily
vegetated and should prevent any effluent from surfacing. The trench is to be installed parallel to
slope contours.
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)/~
Jeffr4ty ~. trness,-'?~,~., M.S.
President
NOTE: Attached is a site plan drawing, a design drawing, two soils logs and a 4 page
construction specification letter which are all part of the design package for this septic system.
, I. ~' ~. ~ ~''/ LOT 6, BLOCK 1
~ / '~1:: .~--' '~ .//
I LOT 5~, ~LOCK ~ / ] ~~ ...... '~ /
/ ~OUmA~N M~O~ ~~'~'~ ~ /
LOT 6, MOUNTAIN MANOR ~. ./;4//
ALAS~ WA~R AND WASTEWATER CONSULTANTS, INC.
7320 E. CHEWER HEIGHTS CIRCLE, ANCHO~GE, AK 99504
PHONE; (907) ~7-6179/F~: {907) ~8-~246
~PE OF WORK:
S~T[ P~S
P~[P~Ea ~OS: ~.0~[
J,L.M, 1 = 100' 1 OF 2
EXISTING DRAINFIELD TO BE ~? / I ~ /
ABANDONED SO THAT IT MAY ~ / I ~
BE USED IN THE FUTURE,--~/ / /.-~-~ ~ / ~
' / X ' ~ ~ ~g SEPTIC TANK TO
PROPOSED 1250 GALLON/ /~,~ ~ /~ BE ABANDONED COMPL~ELY
///
I / ~~ } ~ PROPPED DRAINFIELD UPGRADE.
,/ / ~AVATE ~'¢~'DEEP MAXIMUM
/ / ~~_ / ._ (ON U~H~L SdE) BY 2.~
'~~~~F CL~N W~HED SEWER DRAINROCK.
i=-.~.../ '~o INSTALL TRENCH PARALLEL TO CONTOURS
ALTERNATE SITE~ "~ ~ '--.~ zm~, /~
I NOTES: .. ~ ~.-.. ~,vr ~. ~ ,
J 1, THE~~CONT~CTOR SHALL HAVE THE WEST/NOR~WEST ~ '~ ~ ~ ~- -~ ~ ,/ ./
~I~T~~I~ I~~ ~ ~ ~'-~. ~ ,' /
UUN~'~~LL N~ SE~IC ~-~.. ~ '~. '-' ,
STANDPIPES AND THE EL~ATION OF THE TOPS OF THE ~ ..... ~ ~ / /
SEPTIC STANDPIPES. - .......... '~. ~. ~ '~ / /
-~ ~J /
A~S~ WA'fEK AND WAS~WATER CONS~TANTS, INC. ~~__
~o~ ~.~ ~o~ ~,~ ~, ..c.o.~. ~ ~o~ ~ OF A~.
~HON~: (gO7) 337-S~79/F~: (gO7) 33~-324S
MOUNTAIN ~ANOR SUBDIVISION; LOT 5B, BLOCK ~ ~ :' ~~.j..'
DESIGN OF SEPTIC SYSTEM UPGRADE~....~ .....
BAT[:6/1/99 D~WN BY: SCALE: PAGE:
J.L.M. 1 = 40' 2 OF 2
PHONE (907) 337-6179 * FAX (g07) 338-3246~.'.." .
PERFORMED FOR: CRAIG AND SUZANNE GOODRICH
DATE PERFORMED: 5/24/99
TEST HOLE q [~'.,- .............
SH ~ GP HL ~ / / / ~ WELL
GH CL
~c OL
'; . SW ~ HH ,/~/'
SC /'
GROUNDWATER
DRY 5/24/99 " "- '~ ' ,
DRY s/~/99 "" '""'"- / / /
10 GU/SU '
11 DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIHE (HINUTES) READING (INCHES)
13 ........... ! ........
.....~_ .... 1:37 30 MIN, 3.25" 2,75"
.......... 3.5" 2,5"
16 6 2:39 30 MIN. 3.75" 2.25"
17
19 PERCOLATION RATE 13,3 (HIN,/INCH) PERC, HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN 5,5 FT, A~6,O
20
FT.
COMMENTS:
/
PERFOMED BY A~S~ WATER & WAST~ATER I, _~~ ~ , CERTI~ THAT
THIS WAS PERFORMED/IN ACCORDANCE WITH ALL S
,, ,__ dNIOI~IDELINES IN EFFECT ON THIS
DATE.
DATE:
DEPTH TO
GROUNDWATE~ DATE
DRY 5/24/99
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
7320 E. CHe.5iL~ HTS. CIRCLE * ANCHORAGE, AK. 99504
PHONE (907) 337-6179 * FAX (907) 338-3246 "
I TEST HOCE ~2 1 ~'
BEtH ~
ORGANIC SOIL C~SSIFICATION$ p ..............
~ GP ~ NE ' ,
:'"" GN CL ~ ,'//
S~ ~ GC OL I ,' / ,'
~, SW HH i; / ,'
I/ / / x -
SP CH ,/ /,
SH ~/ / OH ,' / ~ ~/ /
DEPTH TO ..~.... +TH~2 //I
GROUNDWATER DATE '"' '''- //'///,
DRY ~/24/~9 .... .. ---..--..
~o GB/sB ~"~ ~ L/
~ DATE ReAD~NO CLOCK NET T~H: WATER LEVEL NET ~ROP
TIHE (HINUTES) READING (INCHES)
12 5/.__..~5/99 - PERC C~VI_~, pR. ~SO~EO_[~_~_HO~S_.~RJgR.
u ................. : .............. ?.:?~. ?.,.
2 1:39 30 MIN. 4" 2"
4 2:10 30 MIN. 4" 2"
16 6 2:41 30 MIN. 4" 2"
18
19 PERCOLATION RATE 15 (HIN./INCH) PERC. HOLE DIA. 6" (INCHES)
20
/ I 1///~/
DATE. DATE: ~
DEPTH TO
GROUNDWATEF DATE
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONIVIENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME IPHONE I~NEW
MAILING ADDR~ESS
LOCATION NO. OF BEDROOMS
~v DISTANCE TO: IWell N/~~- Absorptionar~ ~' Dwelling %
Manufacturer Mattel , No. ofcompartm~nts~ '
Inside length Width Liquid depth
Liq. ,a~allons~a~ iF HOMEMADE: ,. -. ~"
Well Dwelling PERMIT NO.
~ ~ ~ DISTANCE TO: ~1
~ Manufacturer ' / ~ Material Liquid capacity in gallons
~ DISTANCE TO: Well ~ I~ Foundation ~/~ Nearestlotlin?o '
~ ~ ~ No. of [ines/ ~ Length of~ li~ Total I~of,~ ]ines Trench ~/~/ Distance between lines
-- ~5~) inches Total e~t~ ~or~n area
~ ~ ~ Top of tile to finish grade I Material beneath tile
a ~ ~t~ inches ~ ~ 7-
Length Width Depth~ .~ PERMITNO.
/
~ ~ Type of crib Crib diameter Crib~ Total effective absorption area
~[ Well Buildi~ ~ou~dation Nearest lot fine
~ DISTANCE TO:
~ Class /~A/~epth~ ~ ~ ~Dri~,~t ~ ~ ~Distance to lot line PERMITNO.
m - / ~/t , Building fou~ ~ / Se~ I~e ' ~Septic tank Absorption area(s)
~ DISTANCE TO:
OTHER ~ ~ ~,~,
PIPE MATERIALS
SOIk T~ST ~AT~G
INSTALLER
REMARK8
A~ 'ED ~A~E LEGAL ~ ~ 8 ~IN~RIN~
PERMIT NO.
[:,EF'FIRTMENT OF HEFILTH AND ENVIRONMENTFIL F'ROTEC:TIO['4
825 '"1_"' STREET, FINC:HORRGE, FIK. 9S~50±
264-4720
I....# E b. L F# I"-,l E3:, C, ~"4 .... ::E;. i 'T E S; E: l.,..~ E b'~ F" i F~: H""I :E T'
,:: ',B2.:OGE:t .':,
FIPPL I C:FINT
LOCFIT I ON
L..EGFIL
CRFIIG .'J:: SUZFINNE GOODRIE
JFIMIE DR
LSE: BE. MT. HFINOR SE:,
BX ±0:t. 0;::-"4 E.~'_~5"10
LOT SIZE
555555 SLqURRE FEET
TYPE OF SE)IL FIE:SORF'TION SYSTEM IS: TRENCH
HFIXtNUH NI..IMBER OF EEDROOMS = .-'. / SOIL RFITING ,"=;Q F]-.E,F...=
THE REL:.!LtIRED SIZE OF THE SOIL RBSORF'TION SYSTEH IS:
E: 5
E':, E: F' -F H == :--2: E_ E t'-,I C-i 1- H = :2:2 u.:i I~: t-'~ '.,,' E E_ [:, E F' T ~-~l ------: 4..
THE LENGTH DIHENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRFIINFIELD.
THE DEPTH OF FI TRENCH OR PIT IS THE DISTFINC:E BETP.IEEN THE SURFACE OF' THE
GROUND FIND THEE E:OTTOH OF THE EXCFI',,,'RTION ,::IN FEET).
]"HERE IS NO :BET I,.IIDTH FOR TRENCHES.
THE GRFIVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BET[4EEN THE OEJTFFILL PIPE
FIND THE BO-f']"OM OF THE EXCFI'.,,'F4TION (IN FEET::,.
E: E] ~]:! i.j Z ~'4.'. ~.E [::, '.S E F' -[' Z E: 'T FI I'-,i ~-::: :E:.; J: Z E := i {E~l I-Z-~ E'~ iS F-'~ L_ b. CI l'-.i
PERHIT FIPF'LiCFIN'f' F'IFIE; THE RESPONSIBILITY "FO INF'ORM THIS DEF'RRTMENT DURING THE
INSTFILI_FITIOI",t INSPECTIONS OF FtNY ~,.IELLS FID3RCENT TO THIS PROF'ERTY FINE:, THE
NUHBER OF RESIDENCES THFI"F THE HELL I.,.IILL SEF.:',,,'E.
............. -K H..,.t L--~ ,.:: ;2: ::, :E I'-.t :E; F" EE C: T' I C) I'-,! _'E-.; Ft F: E F: E ~;:! #J ][ I:~: E:
BFtCKFILLING OF FINY SYSTEM 1.4ITHOUT FINFIL iNSPECTION AND FIPPRO',,,'FIL. BY THIS
DEPFIRTMENT I.,.IILL. BE SIJBJEC:T 'TO PROSECLITION.
HINIMUH DISTFINC:E BETI,.tEEN FI I.,.IELL FIND FINY ON-SITE SEI.,.IFIGE DISPOSAL SYSTEM IS
:lDO FEE:]' F]F.' FI F'R.I',,,'FITE P~ELL E)R :;L50 TO 200 FEE:T FF.'.OM FI F'UBLIC: 14ELL [:,EF'EN[:,ING
UPON THE TYF'E OF F'IJBLIC P.IELL
MINIMUH E:,IS"FFII'qCE FF.:OM FI PRIVFITE NELL TO FI PRIVFFFE SEP.IER LiNE IS 25 FEET FINE:,
TE) FI COMMUNITY '.:.:.,EI.,.IE:R I_INE IS 75 FEET.
I,.IELL LOGE; FIRE RE6!LIIRE[:, FIND, MUST BE RETURNED TO THE DEPARTMENT P.IITHIN :..-E.':O DAYS
OF THE I,~EL..L COMPLETION.
OTNER RE6!LIIRE:HENTS HAY FIF'F'LY. SPECIFICFITIONS FIND CONSTRUCTION DIRGRRHS FIF.:E
FI',,,'FIILFIBLE TO INSURE PROPEF.: INSTFILLFITION.
F> bT.~ F: ~'"1 I: -t- EE ::-C F' I: E.~: E: S [:, E: C E I"1B E ~: ~=-:: :.iL .. J.. :_:~- :~: ]E:
I CEF.:TIFY THFIT
:L: i FIM F'FII"IIL. IFIF.: [4ITH THE REQUIREMENTS FOR ON-SITE SEI.,.IE:RS FIND, NELLS R'.S SET
FORTH BY THE I"IUNICIPRLITY OF RNCHORFIGE.
2: I P.IILL INSTFILL THE SYSTEM IN F~CCOF.:[:,FINC:E i,.IITH TFIE CO[:,ES.
E:: I UNDERSTFIN[:, THFIT TNE ON-SITE SENER SYSTEM i'IFIY RE6!LIIRE ENL. FIF.:GEMEN'I' IF THE
RESIDENCE I:;...-F:E:M,3[::,EI_EE:, T~¢~':'"'I N,::LI_IDE MCIF..:E 'T'HRN E: E:EDROOMS.
'T'HE F;II!EI:;:!t..J ]: !:;1%[::, :iii; ]: ~:.:~ii: CIF:' "!"F.!k:E i~i:!:) ]: L. ,¢::!B:FJ;I::)F;?.F'I" ]: :] .'..! '.~ '.,."::j; "r E ;,', ;l: :-~i; '
E::~'~ ¢:i::::" it::::::" '"'If'" I!......ii :::" ..... ','.iEi:~ i ~:::::" ~,,..~1 ~'":~ "'Il:'" !!'.....i1 ...... -'::~!: ::::::::" ~]:]'~ ~f:;;~::
'T't...ll:::' t i:::'". ¢'"r'~ .......
.......... t, :~, r". l:::' ]: Hl:El",!:iii; :[ OH I' ':~ ?HE L. EHG"f'H ':: :l: N F'EE'T' ::' OF' 'THE "i'F'F::'H 7 H l::)F;(: F'FL:::. ]: i',!F' :.: F:Z.D
TFIE r': F::F,'I?.. OF' !::~ "r'R[':.::i'.d::: H l::)F: F:' :l: 7' :l: ::ii: THE E:, ]: ?FFd'-,E::E: E ET't,E:i'E:'."I 7'HIE ':: PF' :: '" .::!' E!F' "!HIE
~':il::, ,'" .. i,.,, ::. i:::!h,!l:) '!'FIE ~::::t ........... j.','. ElF: ]"HIE E::.::I::::Ft',/I:::I'T']:(31'.,! ,::]i'.,i
".'I....EF:E ]: :!ii: Hi::) :i!!:E'T ~,! ;!; D"I:'H F(" F:
"!'HE: (3!::.'IF:¢,,'I:::'~. E)E,~::'TH :l: i!ii; 'T'HE H ;[ N Z HUH I:)~::'F"T'F. Eft::
!:::H'.,E:, THE !i!!~()"l:'T'l::)?'l OF:' "FHE j::".:-::I'~_:F:¢,'I:::ITT F.",. ,:: :t:t'-,! F'E:ET'::,.
ENGINEERS. INC.
?125 OLD SEWARD HWY.
ANCHORAGE, ALASKA 99503
E,49 - 6561
SOILS LOG - PERCOLATION TEST
[] SOILS LOG
PERCOLATION
TEST
PERFORMED FOR: DUNCAN McLEOo
LEGAL DESCRIPTION: LOT .5 B I'~LOCK 5
DATE PERFORMED: '~ ' ~-4- ~..~
IMchLINTAIN MANOR ~Lll;5b.
1
2
3
4
5
6
7
<----__8
9
lO
11
12
13
14
15
16
17
18
19-
20
COMMENTS
ORGANIc. - O H
SLOPE SITE PLAN
\
\
\
\
\
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
PERCOLATION RATE VISLIAL (minutes/inch)
TEST RUN BETWEEN [ ~1/2" FT AND ['~ FT
PERFORMED BY: ~'~.Vt ~ E~. ~1 I~/1~:;~(~,,.~ CERTIFIED BY:
DATE:
72-008 (6179)
INC.
,ERFORMED EOR:~-
LEGAL DESCRIPIlON:.~L-~'
TI25 OLD SEWARD HWY.
ANCHORAGE, ALASKA 99503
~549 - 6561
SOILS LOG - PERCOLATION TEST
DATE PERFORMED:
tM c.~NTA~ N ~/~ ANOR
[-t sol LS LOG
PERCOLATION
TEST
SLOPE
SITE PLAN
1
2
3
5
6
7
9
10
12
13
15
16
17
18
19
20
OR6ANIc- - C~ H
WAS GROUND WATER
ENCOUNTERED?
IF YES, AT WHAT
DEPTH?
Gross
Reading Date Time
Net Depth to Net
Tired Water D[op
PERCOLATION RATE
~ I'/~_~_.~ FT AND
TEST RUN BETWEEN
(rninutes/h~ch)
~. '~-- FT
COMMENTS_
DATE:_
pERFORMED 8Y:__J~,'~' ~"~ ~.~,,.~;:2 ~;:;~ CERTIFIED BY:
WATER WELL RECORD
STATE OF ALASKA
DEPARTMENT OF NATURAL RESOURES
Division of Geological a Geophysical Surveys
Drilling Permit No.
LOCATION OF WELL (Please complete either to, Ib or Ic.) A.D.L. No.
la. Borough Subdivision Lot Block 1, Ib./4gtrs. Section No. Township NORange ED Meridian
_of—of—of— S[:] W❑
Ic. DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS 3. OWNER OF WELL:
.r. UraiF Gc,odrich
Address: Eagle River f, Kris
Street Address and Area of Well Location
2. WELL LOG
Material TypeTop
Feet Below
Surface
Bottom
4. WELL DEPTH: (final)
ft.
5. DATE OF COMPLETION
— —
6, ffCable tool ❑ Rotary Driven E] Dug
El Auger E] Jetted ❑ Bored Other
7. USE: Q Domestic Public Supply E] Industry
Irrigation Recharge Commerical
Test Well E] Other:
`
-""
8. CAS G: R Threaded F�. Welded
diam. in. to ft. Depth Weight Ibs./ft.
diam, in. to ft. Depth Stickup ft.
9. FINISH OF WELL:
Type: Diameter:
Slot/Mesh Size: Length:
Set between ft. and ft.
Backfilling Gravel pack
10. STATIC WATER LEVEL: ft.
Above or [] Below land surface Date
Equipment used:
I I . PUMPING LEVEL below land surface and YIELD
it, after hrs. pumping g.p.m.
ft. after hrs. pumping g.p.m.
12.GROUTING Well Grouted: O Yes ❑ No
Material: [] Neat Cement [—] Other:
13, PUMP: (if available) HP
Length of Drop Pipe ft. capacity g.p.m.
C] Subm. ❑ Jet 0 Centrifical Other
14. REMARKS:
16. WATER WELL CONTRACTORS CERTIFICATION:
15. Water Temperature ° F C
This well was drilled under my jurisdiction and this report is true to the best of my knowledge and belief;
Registered Business Name Contract License Number
Address: -
Signed : -
Authorized Representative
Form 02-WWR (II/81) Copy Distribution:
- Date:
WHITE -State DGGS, PINK -Driller, CANARY -Customer
C
en
G
N
r
0
Z
a
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based_ on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date
7/27/2020
Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen r- OF A16�
encroachments, deficiencies or discrepancies exist. As" (11"
1, .t n Trf r\
6. DSD SIGNATURE
�C System #1 Approved for L4 bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Ale
?\ t1a
Conditional approval for bedrooms, with the following stipulations:
�llllll(((l((
v ON-SITE ip
WATER ANU
---� PROGRAM
By: Original Certificate Date: ZC�
The Municipality of Anchage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet10-10-12.doc
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date
GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 5B; Block 3; Mountain Manor Subdivision
Location (address or directions)
Novemh~ 5~
(b)
(c)
Applicant Name Craig Goodrich Telephone: Home -f~___ Business 243-4~377
Applicant Address 19118 Jamie, Eaqle River, Alaska 99577
Applicant is (check one): Lending Institution []; Owner/builder~%'"~; Buyer [] Other [] (explain);
(d) Lending Institution Alaska Mutual Ran]<: Telephone
Address
(e) Real Estate Company and Agent
Address
Telephone
(f) I~e HAAtothefollowingaddress:
S & S ENGINEERING
SRB 196X Eagle River Road
Eagle River, Alaska 99577
TYPE OF RESIDENCE
Single-Family [] Multi-Family []
Number of Bedrooms 3
Other
WATER SUPPLY
Individual Well [~ Community [] Public r-I
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
SEWAGE DISPOSAL
Onsite Iii] Public I-I Community 1'3 Holding Tank []
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-0~5 (~84)
ENGINEERING FIRM PROVIDIN~ INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION .~
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 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 $ & S ENGINEERING
SRB ]96X
Address
EAGLE RIVER, AK
Date
Telephone
DHEP APPROVAL
Approved for , .~ bedrooms by
ApprovEd ~ ' Disapproved
Terms of Conditiohal App~¥al
Conditional
CAUTION
The Muncipelity of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
72-025 (11/84)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST- FEBRUARY 1984
264-4720
Legal Description: ~-~'
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
Nov 1 ?Lq86
WELL DATA
Well Classification
Well Log Presente/N)
Total Depth ) ~ / /
Static Water Level
Casing Height Above Ground
Electrical Wiring in Conduit {~/N)
Separation Distances from Well:
To Septic/Holding Tank on Lot
If A, B, C, D.E.C. Approved (Y/N) .
'Date Completed ~ ' ~ ~'~'~ Yield
Cased to /~! ~ Depth of Grouting ~
--~-~'~ Pump Set At ~.~/"
.__~l Sanitary Seal on Casing ~/N)
Depression Around Wellhead (Y~[~
/oo
; On Adjoining Lots
To Nearest Edge of Absorption Field on Lot
To Nearest P~ublic Sewer Line
Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments
/mo'",/' ; On Adjoining Lots
To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
~ ~~~ ;Date 2/
B. SEPTIC/HOLDING TANK DATA
Date installed ~-t ~-,~
Standpipes ~)/N)
Depression over Tank (Y/~
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High-Water Alarm (Y/N)
Separation Distances from Septic/Holding Tank:
To Water-Supply Well /
To Property Line t(~
To Water Main/Service Line
Course b?
Size /ooc::, No. of Compartments ~--
Air-tight Caps {¢;;N) Foundation Cleanout (Y~
Date Last Pumped //-.¢¢'~ "~/¢'
/'/{/'~ ;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation
To Disposal Field
To Stream; Pond, Lake, or Major Drainage
Comments
Page I of 2
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed ~-/.~
Width of Field ~"
Square Feet of Absorption Area
Depression over Field (Y,~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well /
Type of System Design
Length of Field _ '-~
Depth of Field
Gravel Bed Thickness -
Standpipes Present ~f~/N)
Date of Last Adequacy Test
TO Property Line fO /~/-
,'5
TO Building Foundation
Lot
To Water Main/Service Line
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
To Existing or Abandoned System on
; On Adjoining Lots
To Cutbank (if present)
~/-~
Comments
D. LIFT STATION
Date Installed -
Size in Gallons
"Purnp On" Level at
High Water Alarm Level at
Tested for
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Electrical Codes (Y/N)
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all M(~A and, HAA guidelines in effect on the date of this inspection.
Signed'$~$ ENGINEEP. ING~ Date_ ''/'~ ~
~ l~X MOA NO. ~¢ ~¢0 ~
C°mpa~GLE RIVER, AK ~SZZ
Receipt No. ~¢~ / ¢~f ~
Date of Payment ///'~ /~
Page 2 of 2
72-026 (11/84)
APPLI(. FILLS OUT UPPER HAL ONLY
ProPerty Owner,s? ~;.~j /~:~' z~.) L~ (~ '~ ~ ~ ~ ~/~ . ~_Td~~ ~.. ~ ~ ~ Phone
Buyer
Address Zip Code
Lending Institution Phone
Address ~ I /~ /. ,~){~d~X ~{ ~d'~~ ~) L ~ . Zip Code
Realty Co. & A~nt ' ' ~ ' Phone
Address Zip Code
Type of Residence
~ Single Family
'~ Multiple Family No. of Bedrooms ~ _~
Water Supply
~lndlvidual ATTACH WELL LOG. A w~l log is required for all wells drilled since June 1975.
: Community For wells drilled prior to that date, give well depth (attach log if available).
: Public Utility
Sewer Disposal
Individual Year Individua, Installed: : ~ ~:
Public Utility When Connected to Public Utility:
~ Holding Tank
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED.
Time
Date
Inspector
Field Notes:
Time
Date
Inspector
Time
Date
Inspector
Inspector
*CONDITIONS OF APPROV~
( "~-'~-A~P Rd V E D BEDROOMS ) DISAPPROVED
) CONDITIONAL APPROVAL*
Soils Rating
Date Sewer Installed
Well To Absorption Area
Well to Tank
Well Log Received
Septic Tank Size
72-023 (3/&?.)