HomeMy WebLinkAboutMOUNTAIN VALLEY ESTATES #1 BLK 3 LT 11
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
hftp://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP251259
Work Type: Septic Upgrade
Effective Date:
Expiration Date:
Tax Code Number: 05065104000
Site Legal Address: MOUNTAIN VALLEY ESTATES #1 BLK 3 LT 11 G:0758
Site Mailing Address: 4330 JOHNNY DR, Eagle River
Owner: ROEDER BARCLAY E
Design Engineer: AK BUILT CONSTRUCTION & DESIGN LLC^
This permit is for the construction of:
Z Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy
7/30/2025
7/30/2026
Lot Size in Sq Ft: 94347
Total Bedrooms: 3
❑ 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:
Issued By: `
Date:
Date: ---— .. Z_
MUNICIPALITY OF ANCHORAGE
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section
ON -SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 05065104000
Property owner(s) Barclay Roeder
Day phone
Mailing address 10625 Washington Cir, Anchorage, AK 99515
Site address 1*J
A 330 Johnny Drive, Eagle River, AK 99577
Legal description Mountain Valley Estates #1 Block 3 Lot 11
Number of Bedrooms 3
Engineering Firm AK Built Construction & Design, LLC
Building Permit Number
APPLICATION IS FOR:
(Z all that apply)
Disposal Field F-1
R.
El
Septic Tank
Holding Tank
Privy
Well
Water Storage
Not Applicable FN_j
APPLICATION IS AN:
Initial
EJ
Upgrade
0
Renewal
0
THIS APPLICATION INCLUDES A WAIVER REQUEST FOR:
N/A Distance: N/A
Permit/Rush Fees: If"Clf Waiver Fees:
Date of Payment: N?Iff Date of Payment:
Permit No. 092V2fy Waiver No.
May 2025
PO Box 771203, Eagle River, AK 99577 – Phone: (907) 854-9115 Page 1 of 2
AK Built Construction & Design, LLC
General Contracting - Engineering - Project Administration
July 17, 2025
Municipality of Anchorage
Development Services Department
On-Site Water and Wastewater Section
PO Box 196650
Anchorage, AK 99519
RE: Mountain Valley Estates #1 Block 3 Lot 11 – Septic System Replacement
A permit is requested to replace a septic tank and soil absorption system for the subject property. The
proposed system will serve an existing 3-bedroom, single-family home. This design is for a 3-bedroom
structure.
Wells
The subject property is served by an existing private water well. Neighboring parcels are served by private
water wells. There are no wells within 100’ of the designed septic system.
Soils
AK Built Construction & Design, LLC (AK Built) observed a test hole, performed a percolation test, and
groundwater monitoring on July 2nd, 2025. Soils are classified as silty sand (SM). Groundwater was
encountered in TH-01 (13’ BGS). Groundwater was observed at least seven (7) days later at 13’ BGS. The
percolation rate in TH-01 was 1 minute per inch. An application rate of 1.2 gallons/day/square feet shall
be used for a conventional wastewater system.
Wastewater disposal systems
The designed wastewater disposal system is a wide trench system with 24” of sewer rock below the pipe
invert. The designed system has the following characteristics.
# Bedrooms: 3
Daily Design Flow: 450 gallons/day
Tank Size: 1,000 gallons minimum
Percolation Rate: 1 minute/inch
Soil Rating: 1.2 gallons/day/square feet
Field Area Required: 375 square feet
System Type: Wide Trench
Width: 5 feet
Minimum Length: 52.5 feet
Designed Length: 60 feet
Designed Field Area: 428.6 square feet
Maximum Excavation Depth (from existing ground) Allowed: 7 feet
Existing disposal site
The existing disposal site located on the subject parcel is assumed to be a trench system with 4 feet of
effective depth as identified in historical records. The existing monitor tubes were not located. The
proposed disposal site greatly exceeds 8 feet of separation from the approximate location of the existing
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251259, Curtis Townsend, 07/30/25
PO Box 771203, Eagle River, AK 99577 – Phone: (907) 854-9115 Page 2 of 2
AK Built Construction & Design, LLC
General Contracting - Engineering - Project Administration
disposal site. Neighboring parcels with existing disposal sites do not impact the subject parcel and the
proposed system will not negatively impact neighboring parcels.
Drainage
There is no surface water located within 100’ of the designed system.
Topography
The designed system is located slightly east of center along the east-west orientation of the property and
slightly south of center along the north-south orientation of the property. The surrounding property
slopes up-gradient to the west and slopes down-gradient to the east. Steep slopes exist in the vicinity of
the designed system, as shown in the plans. The proposed wide trench system is installed on a slope less
than forty-six percent. The designed wide trench system is installed on slopes more than twenty-five
percent thus steep slope provisions apply. The maximum excavation depth shall be applied by measuring
from the up-gradient side of the disposal field. Width of the wide trench system does not exceed sixty
inches. The natural vegetation within fifty feet down-gradient of the disposal field shall remain
undisturbed. The proposed distribution pipe invert is less than thirty-six inches below the top of the
natural organic layer as measured on the downhill side of the excavation but there is no anticipated
daylighting effluent down-gradient of the disposal field. The existing trench system is installed on steep
slopes and has produced no daylighting effluent in the past. A horizontal plane extended from the bottom
of the proposed sewer rock and the top of the proposed sewer rock measures 15’ and 7’, respectively.
There is an adequate horizontal buffer between the proposed sewer rock and adjacent slope such that
daylighting effluent is unlikely to occur. The proposed system’s ‘watershed’ is to the east where slopes
are primarily less than twenty-five percent. Final grading of the wide trench system shall be at a slope not
greater than a 3H:1V (33%).
The designed system does not have probable adverse impacts to adjacent properties.
If you have any questions, please contact me.
Sincerely,
Robert Colles, PE
AK Built Construction & Design, LLC
Project Manager/Managing Member
907-854-9115
rlcolles@akbuilt.net
7/30/25
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1,000-GAL POLY TANKEXISTING SEPTIC TANK, ABANDON IN PLACE
EXISTING SEPTIC FIELD, ABANDON IN PLACE
LOCATE EXISTING BUILDING SEWER AND CONNECT
DCO
DROP CONNECTION
MT
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60' LONG WIDE TRENCH, 2' EFFECTIVE DEPTH
TH-01
TEST HOLE BY
OTHERS, NOT USED
FOR THIS DESIGN
SLOPES >46%, TYP
SLOPES 25% - 46%, TYP
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PRIVATE WELL, TYP
WELL RADIUS, TYP
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3-BED
HOUSE
MOUNTAIN VALLEY ESTATES #1
BLOCK 3 LOT 11
MOUNTAIN VALLEY ESTATES #1
BLOCK 3 LOT 10
MOUNTAIN VALLEY ESTATES #1
BLOCK 3 LOT 22
MOUNTAIN VALLEY ESTATES #1
BLOCK 5 LOT 21
MOUNTAIN VALLEY ESTATES #1
BLOCK 3 LOT 12
MOUNTAIN VALLEY ESTATES #1
BLOCK 3 LOT 20
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APPROXIMATE SAS LOCATION
62.93'
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AK BUILT
CONSTRUCTION & DESIGN, LLC
PO BOX 771203
EAGLE RIVER, AK 99577
(907)854-9115
CERTIFICATE OF AUTHORIZATION
#204451
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3OF
7/30/2025
DATE:
SHEET TITLE:
ROBERT COLLES, PE
No. CE-163739REGISTEREDPROFESSIONALE N GINEER
7/30/2025
Feet
0 20 40
1
SITE PLAN
NOTES:
1. MOUNTAIN VALLEY ESTATES #1 BLOCK 3 LOTS 10 AND 12, AND BLOCK 5
LOTS 20, 21, AND 22 ON-SITE SEPTIC SYSTEMS AND WELLS DO NOT
INTERFERE WITH PROPOSED SEPTIC SYSTEM.
2. MOUNTAIN VALLEY ESTATES #1 BLOCK 3 LOTS 10 AND 12, AND BLOCK 5
LOTS 20, 21, AND 22 ON-SITE SEPTIC SYSTEMS AND WELLS ARE NOT
NEGATIVELY IMPACTED BY THE PROPOSED SEPTIC SYSTEM.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251259, Curtis Townsend, 07/30/25
SYSTEM DESIGN:
1. DESIGNED SYSTEM IS FOR MOUNTAIN VALLEY ESTATES #1 BLOCK 3 LOT 11. MUNICIPALITY OF ANCHORAGE
(MOA) PARCEL ID 05065104000.
2. DESIGNED SYSTEM WILL SERVE A 3-BEDROOM, RESIDENTIAL HOME.
3. A TEST HOLE WAS EXCAVATED TO COLLECT SOIL, PERCOLATION, AND GROUND WATER DATA FOR THE
DESIGNED SYSTEM.
4. SEPTIC TANK CAPACITY IS A MINIMUM OF 1,000-GALLONS PLUS 250-GALLONS FOR EACH BEDROOM OVER
THREE.
4.1. SEPTIC TANK SHALL BE A MINIMUM 1,000-GALLON CAPACITY TANK. A STEP TANK SHALL HAVE AN
ADDITIONAL 250-GALLON OF CAPACITY.
5. DISPOSAL FIELDS SHALL BE DESIGNED TO ACCEPT 150-GALLONS OF WASTEWATER PER BEDROOM PER
DAY.
5.1. DESIGN FLOW = 150 GPD/BDRM x 3 BDRM = 450 GPD.
6. THE MINIMUM EFFECTIVE ABSORPTION AREA OF A DISPOSAL FIELD SHALL BE CALCULATED USING THE
WASTEWATER APPLICATION RATE CORRESPONDING TO THE PERCOLATION RATE IN ANCHORAGE
MUNICIPAL CODE (AMC) 15.65 TABLE 2.
6.1. PERCOLATION RATE = 1 MIN/IN.
6.2. APPLICATION RATE = 1.2 GPD/SF (PER AMC 15.65 TABLE 2) FOR A WIDE TRENCH SYSTEM.
6.3. MINIMUM EFFECTIVE ABSORPTION AREA = 450 GPD / 1.2 GPD/SF = 375 SF
7. DISPOSAL FIELD SHALL BE A WIDE TRENCH SYSTEM.
7.1. TRENCH WIDTH (W) = 5 FT
7.2. EFFECTIVE DEPTH (D) = 2.0 FT
7.3. MINIMUM FIELD LENGTH (L) = (ABSORPTION AREA x SIZING FACTOR / W) = (375 SF x 0.7 / 5 FT) = 52.5 FT
7.4. MINIMUM FIELD SIZE IS 5-FEET WIDE AND 52.5-FEET LONG. USE 5-FOOT WIDE TRENCH, 60-FEET LONG.
7.5. MAXIMUM EXCAVATION DEPTH ALLOWED IS 7-FEET.
MATERIALS SPECIFICATIONS:
1. WASTEWATER DISPOSAL SYSTEM COMPONENTS AND MATERIALS SHALL BE APPROVED BY THE MOA IN
ACCORDANCE WITH THE CURRENT EDITION OF MOA'S PUBLICATION "STANDARDS AND SPECIFICATIONS
FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON-SITE WASTEWATER DISPOSAL
SYSTEMS".
2. COMPONENTS INCIDENTAL TO THE SEPTIC SYSTEM INCLUDING BUT NOT LIMITED TO PIPING, FITTINGS,
PUMPS AND VALVES THAT ARE LISTED OR LABELED BY A MOA APPROVED ACCREDITED THIRD PARTY
LISTING AGENCY FOR THE INTENDED USE DO NOT REQUIRE THE MOA SUBMITTAL/APPROVAL PROCESS.
3. SEPTIC TANKS SHALL BE CONSTRUCTED FROM DURABLE, CORROSION-RESISTANT MATERIALS, INCLUDING
CONCRETE, FIBERGLASS, OR PLASTIC. SEPTIC TANKS CONSTRUCTED FROM STEEL SHALL BE COATED ON
BOTH THE INTERIOR AND EXTERIOR WITH AN APPROVED POLYURETHANE LINING OR SUPERIOR MATERIAL.
4. ALL SEPTIC TANKS SHALL BE FITTED WITH WATERTIGHT COUPLINGS, APPROVED BY MOA, AT THE
PUMP-OUT ATTACHMENTS AND ON THE INLET AND OUTLET OF THE TANK.
5. A SEPTIC TANK SHALL HAVE A 20" MINIMUM DIAMETER MANWAY RISER SERVING THE FIRST
COMPARTMENT. THE RISER, INCLUDING THE COVER, SHALL BE INSULATED WITH 4" MINIMUM INSULATION
EXTENDING 48" BELOW GRADE OR TO THE TANK INSULATION. THE INSULATION SHALL BE OF AN APPROVED
TYPE SUITABLE FOR BELOW GRADE APPLICATIONS. EXPOSED INSULATION ABOVE GRADE SHALL BE
PROTECTED FROM UV DAMAGE. THE RISER LID SHALL BE SECURED TO PREVENT UNINTENDED ACCESS.
6. PIPE AND FITTINGS SHALL BE IN ACCORDANCE WITH NOTE 1 AND "PIPE AND FITTINGS MATERIAL" TABLE.
7. PIPES USED IN GRAVITY DISPOSAL SYSTEMS SHALL BE 4" IN DIAMETER.
8. CLEAN OUTS SHALL BE LONG SWEEP.
9. SEWER ROCK/DRAIN ROCK SHALL BE COARSE, WASHED AGGREGATED THAT MEASURES 1 2" TO 2" IN
DIAMETER WITH NO MORE THAN 1% PASSING THE No. 200 SIEVE.
10. BEDDING MATERIAL FOR SEPTIC TANKS SHALL BE PER MANUFACTURER'S REQUIREMENTS.
11. FILTER FABRIC USED AS A SILT BARRIER IN THE CONSTRUCTION OF ABSORPTION FIELDS SHALL BE A
PERMEABLE GEOTEXTILE APPROVED FOR THE APPLICATION.
12. INSULATION USED IN THE CONSTRUCTION OF SEPTIC SYSTEMS FOR THE PURPOSES OF FREEZE
PROTECTION OF DISPOSAL FIELDS AND SEPTIC SYSTEM COMPONENTS SHALL BE MINIMUM TYPE IV
EXTRUDED OR EXPANDED POLYSTYRENE, 25 PSI COMPRESSIVE STRENGTH.
PIPE AND FITTINGS MATERIAL
PIPE TYPE OR ASTM
DESIGNATION
APPROVED AS PERFORATED
DISPOSAL FIELD PIPE OR
SOLID COLLECTOR PIPE
APPROVED AS CLEAN
OUT OR STANDPIPE
CAST IRON **YES YES
ASTM D3034 (PVC)YES YES
ASTM F789 (PVC)YES YES
ASTM D1785 (PVC)**YES YES
ASTM D2665 (PVC)**YES YES
ASTM D2751 (ABS)YES NO*
ASTM D2661 (ABS)**YES YES
ASTM F628 (ABS)**YES YES
ASTM F810 (HDPE)YES NO
* D2751 MAY BE APPROVED AS STANDPIPE MATERIAL IF THE MINIMUM WALL THICKNESS
IS 0.18", SDR 23.5.
** UNDERGROUND DWV PIPE MATERIALS LISTED IN UPC TABLE 701.1 (2012).
CONSTRUCTION SPECIFICATIONS:
1. SEPARATION DISTANCES AS IDENTIFIED IN THE "SEPARATION DISTANCES" TABLE SHALL BE MAINTAINED.
NOTIFY THE ENGINEER OF DISCOVERIES MADE DURING CONSTRUCTION THAT IMPACT SEPARATION
DISTANCE REQUIREMENTS.
2. FLAG AND SURVEY ALL PROPERTY LINES, WELL RADII, AND EXISTING FIELD SEPARATIONS PRIOR TO START
OF CONSTRUCTION.
3. LAYOUT ALL FIELD COMPONENTS AND LOCATIONS PRIOR TO START OF CONSTRUCTION. NOTIFY THE
ENGINEER IF CONFLICTS EXIST.
4. GROUNDWATER MONITOR TUBES SHALL REMAIN IN PLACE UNTIL CONSTRUCTION BEGINS. ABANDON
GROUNDWATER MONITOR TUBES BY CUTTING ONE FOOT BELOW GRADE AND ABANDON IN PLACE. IF THE
GROUNDWATER MONITOR TUBE IS WITHIN FIVE FEET OF THE DISPOSAL FIELD, REMOVE THE
GROUNDWATER MONITOR TUBE IN IT'S ENTIRETY.
5. TANKS WITH TWO TO FOUR FEET OF COVER SHALL BE INSULATED WITH A MINIMUM OF 2" OF APPROVED
INSULATION PLACED IMMEDIATELY ABOVE THE TOP OF THE TANK. TANKS SHALL NOT HAVE LESS THAN
TWO FEET OF COVER. INSULATION SHALL EXTEND 12" BEYOND THE EDGE OF TANK FOR EVERY 1" OF
INSULATION PROVIDED.
6. A SEPTIC TANK SUBJECT TO BUOYANCY FORCES SHALL BE ANCHORED OR BALLASTED AS REQUIRED TO
PREVENT FLOTATION REGARDLESS OF THE LIQUID LEVEL IN THE TANK.
7. A SEPTIC TANK SHALL HAVE A 4" MINIMUM STAND PIPE PROVIDING ACCESS TO OTHER COMPARTMENTS
NOT SERVED BY THE MANWAY RISER.
8. PROVIDE AIR TIGHT CAPS ON ALL CLEAN OUTS AND MONITORING TUBES.
9. PROVIDE A BUILDING CLEAN OUT INSTALLED ONE TO FOUR FEET FROM THE BUILDING FOUNDATION. IF NOT
PRACTICAL, A DOUBLE CLEAN OUT SHALL BE INSTALLED ON THE UPSTREAM SIDE OF THE SEPTIC TANK
WITHIN TEN FEET OF THE INLET.
10. A DOUBLE CLEAN OUT SHALL BE PROVIDED WITHIN TEN FEET OF THE SEPTIC TANK OUTLET. THE
OPPOSING CLEAN OUTS SHALL BE ORIENTED SUCH THAT THE CLEAN OUT CLOSEST TO THE TANK SHALL
BE TO CLEAN THE LINE AWAY FROM THE SEPTIC TANK, AND THE CLEAN OUT FURTHEST FROM THE TANK
SHALL BE ORIENTED TO ALLOW CLEANING TOWARD THE SEPTIC TANK. THE CLEANOUTS SHALL BE
LOCATED ON UNDISTURBED SOIL. A PRESSURE SYSTEM DOES NOT REQUIRE A DOUBLE CLEAN OUT.
11. SINGLE SEGMENTS OF SUBSURFACE DISPOSAL FIELDS SHALL NOT EXCEED 100 FEET IN LENGTH.
12. THE LONG AXIS OF A DISPOSAL FIELD SHALL FOLLOW THE CONTOURS OF THE ORIGINAL GROUND.
13. THE HORIZONTAL SEPARATION DISTANCE BETWEEN THE CLOSEST EDGES OF WORKING OR
DECOMMISSIONED SUBSURFACE DISPOSAL FIELDS, OR SEGMENTS OF SUBSURFACE DISPOSAL FIELDS,
SHALL BE AT LEAST TWICE THE DEPTH OF THE DRAIN ROCK BELOW THE LEVEL OF THE DRAINPIPE, BUT
NOT LESS THAN SIX FEET.
14. THE BOTTOM OF THE TRENCH SHALL BE LEVEL WITHIN 4". THE BOTTOM OF A WIDE TRENCH OR BED
DISPOSAL FIELD SHALL BE LEVEL WITHIN 2" BEFORE PLACEMENT OF DRAIN ROCK.
15. AFTER EXCAVATION HAS EXPOSED THE DESIGNATED INFILTRATIVE SURFACE, ANY NATIVE SOIL THAT IS
SMEARED SHALL BE SCARIFIED TO IMPROVE ITS POROSITY BEFORE PLACEMENT OF DRAIN ROCK.
16. PERFORATED DISTRIBUTION PIPE USED IN A SUBSURFACE DISPOSAL FIELD SHALL BE LAID LEVEL AND
BEDDED WITH DRAIN ROCK EXTENDING A MINIMUM OF 2" ABOVE THE TOP OF THE DISTRIBUTION PIPE, AND
LEVEL ACROSS THE ENTIRE WIDTH OF THE DRAIN FIELD.
17. NON-PRESSURIZED SUBSURFACE DISPOSAL FIELD PIPING SHALL HAVE A 4" DIAMETER CLEAN OUT
CONNECTED TO BOTH ENDS OF EACH PERFORATED SEGMENT. CLEANOUTS WITHIN 20 FEET AND IN LINE
WITH THE DOUBLE CLEAN OUT DOWNSTREAM OF THE SEPTIC TANK MAY BE OMITTED.
18. AT LEAST ONE 4" DIAMETER MONITORING TUBE SHALL BE INSTALLED IN EACH SEPARATE DISPOSAL FIELD
SEGMENT TO ALLOW MEASUREMENT OF THE FLUID LEVEL IN THE DISPOSAL FIELD. MONITOR TUBES SHALL
NOT BE CONNECTED TO THE DISTRIBUTION PIPE NETWORK. THE PORTION OF A MONITOR TUBE
EXTENDING DOWN FROM THE LEVEL OF THE HORIZONTAL DISTRIBUTION PIPES TO THE BOTTOM OF THE
DRAIN ROCK SHALL BE PERFORATED. THE PORTION OF THE MONITOR TUBE ABOVE THE HORIZONTAL
DISTRIBUTION PIPES SHALL BE NON-PERFORATED. MONITOR TUBES SHALL BE LOCATED AT ALL ANGLE
POINTS OF DISPOSAL FIELDS TO MARK THE LOCATION OF THE ABSORPTIONS SYSTEM. PRESSURIZED
TRENCH DISPOSAL FIELDS THAT DO NOT HAVE CLEAN OUT PIPES SHALL HAVE A MONITOR TUBE WITHIN
ONE FOOT OF EACH END OF INDIVIDUAL TRENCH SEGMENTS. PRESSURIZED BED DISPOSAL FIELDS THAT
DO NOT HAVE CLEAN OUT PIPES SHALL HAVE A MONITORING TUBE WITHIN ONE FOOT OF EACH CORNER
OF THE BED.
19. AN APPROVED PERMEABLE GEOTEXTILE SILT BARRIER SHALL BE INSTALLED COVERING THE ENTIRE TOP
SURFACE OF THE DRAIN ROCK PRIOR TO BACKFILL.
20. THE DISPOSAL FIELD COVER SHALL BE A MINIMUM OF TWO FEET DEEP, OVER THE TOP OF THE DRAIN
ROCK. IF THE DISPOSAL FIELD COVER IS LESS THAN THREE FEET, THE DISPOSAL FIELD SHALL BE
INSULATED WITH 2" OF APPROVED RIGID BOARD INSULATION. MINIMUM SOIL COVER OVER THE INSULATION
SHALL BE ONE FOOT. INSULATION SHALL EXTEND 12" BEYOND THE EDGE OF TANK FOR EVERY 1" OF
INSULATION PROVIDED.
21. THE FINISH GRADE OVER A SUBSURFACE DISPOSAL FIELD SHALL BE MOUNDED A MINIMUM OF 6" ABOVE
ADJACENT GROUND TO PREVENT THE FORMATION OF A DEPRESSION AFTER THE BACKFILL HAS SETTLED.
22. UPON COMPLETION OF CONSTRUCTION ALL CLEAN OUTS AND MONITOR TUBES SHALL BE ABOVE FINAL
GRADE A MINIMUM OF TWO FEET, A MAXIMUM OF 4 FEET, BE WATER TIGHT, AND LOCATED BY SWING-TIE
MEASUREMENTS TO ALLOW YEAR-ROUND LOCATION AND ACCESS.
SEPARATION DISTANCES
SEPTIC TANK SOIL ABSORPTION
SYSTEM
PROPERTY LINE 5 FEET 10 FEET
WATER MAIN/WATER
SERVICE LINE 10 FEET 10 FEET
BUILDING FOUNDATION 10 FEET 10 FEET
DECKS/STAIRS >30" ABOVE
GRADE 5 FEET 10 FEET
SURFACE WATER 100 FEET 100 FEET
PRIVATE WELL 100 FEET 100 FEET
PUBLIC WATER SUPPLY SEE 18 AAC 80 SEE 18 AAC 80
>25% SLOPE >10' TALL -50 FEET
>25% SLOPE <10' TALL -25 FEET
SUBSURFACE DRAIN -GREATER OF 10 FEET OR
TWO TIMES GRAVEL DEPTH
SOIL ABSORPTION SYSTEM -GREATER OF 6 FEET OR TWO
TIMES GRAVEL DEPTH
WATER TABLE -4 FEET
IMPERMEABLE LAYER -6 FEET
INSPECTIONS:
1. AN ON-SITE WASTEWATER DISPOSAL SYSTEM SHALL NOT BE BACKFILLED,
COMPLETED, OR USED UNTIL THE ENGINEER HAS INSPECTED AND TAKES NO
EXCEPTION TO THE INSTALLATION.
2. NOTIFY THE ENGINEER 48 HOURS IN ADVANCE OF ANTICIPATED CONSTRUCTION.
3. THE ENGINEER WILL MEET WITH THE CONTRACTOR PRIOR TO CONSTRUCTION TO
DISCUSS THE FOLLOWING,
3.1. PRECONSTRUCTION MEETING TO DISCUSS CONSTRUCTION PROCEDURES AND
DESIGN REQUIREMENTS.
3.2. VERIFY SITE CONDITIONS CONFORM TO THE DESIGN PLANS AND PERMIT.
3.3. VERIFY THE PROJECT LAYOUT CONFORMS TO THE DESIGN PLANS AND PERMIT.
4. THE ENGINEER SHALL PERFORM A BOTTOM OF HOLES INSPECTION FOR THE SEPTIC
TANK AND DISPOSAL FIELD.
5. THE DISPOSAL FIELD REQUIRES THE FOLLOWING INSPECTIONS,
5.1. AFTER EXCAVATION OF ALL NATIVE MATERIAL HAS BEEN COMPLETED, BUT PRIOR
TO PLACEMENT OF FILTER SAND AND/OR DRAIN ROCK. THE PURPOSE OF THIS
INSPECTION IS TO ALLOW VERIFICATION THAT THE NATIVE MATERIAL CONFORMS
TO THE SOILS LOG AND THE EXCAVATION IS TO THE CORRECT DEPTH.
5.2. AFTER THE PLACEMENT OF FILTER SAND, IF UTILIZED.
5.3. AFTER THE PLACEMENT OF DRAIN ROCK, AND INSTALLATIONS OF DISTRIBUTION
LINES, CLEAN OUTS, AND MONITOR TUBES, BUT PRIOR TO PLACEMENT OF
INSULATION, SILT BARRIER, OR BACKFILL.
5.4. AFTER THE SYSTEM HAS BEEN BACKFILLED TO VERIFY FINAL GRADING AND THE
LOCATION OF ALL STAND PIPES.
6. THE SEPTIC TANK REQUIRES THE FOLLOWING INSPECTIONS,
6.1. AFTER THE TANK IS SET IN PLACE WITH DISTRIBUTION PIPES AND CLEAN OUTS
INSTALLED, BUT PRIOR TO BACKFILL.
6.2. AFTER THE TANK HAS BEEN BACKFILLED TO VERIFY FINAL GRADING, ELECTRICAL
EQUIPMENT INSTALLATION, AND THE LOCATION OF ALL STAND PIPES.
2
SPECIFICATIONS
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AK BUILT
CONSTRUCTION & DESIGN, LLC
PO BOX 771203
EAGLE RIVER, AK 99577
(907)854-9115
CERTIFICATE OF AUTHORIZATION
#204451
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3OF
7/30/2025
DATE:
SHEET TITLE:
ROBERT COLLES, PE
No. CE-163739REGISTEREDPROFESSIONALE N GINEER
7/30/2025
W
CO
CO
CO
TH
0
+
0
0
0
+
1
0
0
+
2
0
0
+
3
0
0
+
4
0
0
+
5
0
0
+
6
0
0
+
7
0
0
+
8
0
0
+
8
8
2+0 0
2+10
2+20
2+30
2
+
4
0
2
+
5
0
2
+
6
0
2
+
7
0
2
+
8
0
2
+
9
0
3
+
0
0
3
+
1
0
3
+
2
0
3
+
2
8
P1
P2
P
3
P4
P
5
P
6
LOCATE EXISTING
BUILDING SEWER
AND TIE-IN
DCO
1,000-GAL POLY TANK
DCO
DROP CONNECTION
EXISTING SEPTIC TANK,
AIP IAW UPC
EXISTING SAS, AIP
50'
10'
CO
MT
MT
CO
MT
WELL RADIUS
R100'
G
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E
L
D
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W
A
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MOUNTAIN VALLEY ESTATES #1
BLOCK 3 LOT 11
5'
TH-01
1810
1815
1820
1825
1830
1835
1840
1845
1850
1855
1860
1810
1815
1820
1825
1830
1835
1840
1845
1850
1855
1860
2+00 2+10 2+20 2+30 2+40 2+50 2+60 2+70 2+80 2+90 3+00 3+10 3+20 3+27.64
P1 P2
P3
DCO MOA MANWAY RISER
CO DCO
DROP CONNECTION W/ CO
1,000-GAL POLY TANK
ORIGINAL GRADE
FINISH GRADE
PROVIDE 4' MINIMUM GROUND
COVER OR ADEQUATE FILL
AND INSULATION COVER
WHERE PIPE HAS
INSUFFICIENT DEPTH
1810
1815
1820
1825
1830
1835
1840
1810
1815
1820
1825
1830
1835
1840
0+00 0+10 0+20 0+30 0+40 0+50 0+60 0+70 0+80 0+88
P4 P5 P6
CO
MT
CO
MT MT
FINISH GRADE
ORIGINAL GRADE
PERFORATED PIPE
WIDE TRENCH, SEE TYPICAL SECTION
60'
ELEV:1828.76
ELEV:1823.42
PIPE TABLE
ID
P1
P2
P3
P4
P5
P6
∅
4"
4"
4"
4"
4"
4"
LENGTH
11.26'
11.26'
84.14'
40.52'
8.48'
9.00'
SLOPE
2.00%
2.00%
13.39%
0.00%
0.00%
0.00%
INLET
LOCATION
N:2835265.5007
E:3128722.7831
N:2835271.4782
E:3128738.9533
N:2835275.4008
E:3128749.5083
N:2835223.8701
E:3128816.0198
N:2835223.8701
E:3128816.0198
N:2835232.2836
E:3128814.9521
INLET
ELEV
1843.30
1842.91
1836.68
1825.42
1825.42
1825.42
OUTLET
LOCATION
N:2835269.4233
E:3128733.3381
N:2835275.4008
E:3128749.5083
N:2835223.8701
E:3128816.0198
N:2835183.6735
E:3128821.1212
N:2835232.2836
E:3128814.9521
N:2835240.7551
E:3128811.9134
OUTLET
ELEV
1843.07
1842.68
1825.42
1825.42
1825.42
1825.42
WYE
1 8 BEND
CLEAN OUT
SEWER
FLOW
SEWER
CLEAN OUT
COMBINATION
WYE & 1 8 BEND
LONG SWEEP
1 4 BEND
LONG SWEEP 1 4 BEND
PERFORATED PIPE
CLEAN OUT
3.0'
2"
2.0'
GEOTEXTILE,
SEPARATION
PERFORATED PIPE
MOA SEWER ROCK
FILL
5'
FI
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AK BUILT
CONSTRUCTION & DESIGN, LLC
PO BOX 771203
EAGLE RIVER, AK 99577
(907)854-9115
CERTIFICATE OF AUTHORIZATION
#204451
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3OF
7/30/2025
DATE:
SHEET TITLE:
ROBERT COLLES, PE
No. CE-163739REGISTEREDPROFESSIONALE N GINEER
7/30/2025
3
SEPTIC SYSTEM
NOTES:
1. PIPE LENGTHS ARE ESTIMATED AND PROVIDED FOR CONTRACTOR
REFERENCE ONLY. CONTRACTOR TO VERIFY MATERIAL QUANTITIES.
2. UNIFORMLY GRADE SITE UPON COMPLETION OF SEPTIC SYSTEM
INSTALLATION. MOUND MATERIAL TO ALLOW FOR SETTLEMENT OF
DISTURBED AREAS AND TO MEET MINIMUM SOIL COVER REQUIREMENTS.
GRADE SLOPES AT 3H:1V.
3. NATURAL VEGETATION WITHIN FIFTY FEET DOWN-GRADIENT OF THE
DISPOSAL FIELD SHALL REMAIN UNDISTURBED.
Feet
0 10 20
TYPICAL DOUBLE CLEAN OUT
TYPICAL FIELD CLEAN OUT TYPICAL DROP CONNECTION
SEWER LINE PROFILE
SOIL ABSORPTION SYSTEM PROFILE
TYPICAL WIDE TRENCH
TH
TH
BARCLAY ROEDER
MOUNTAIN VALLEY ESTATES
#1 BLOCK 3 LOT 11
7/2/25
SEC. 30, T15N, R1W, SM
ROBERT COLLES, PE
7/22/25
TH-01
LAST 7 READINGS PROVIDED. PERCOLATION SETTLED AT 1 MPI.
X
X
YES
AK BUILT
OL
SM
BOH
Robert Colles, PE
No. CE-163739REGISTEREDPROFESSIONALE N GINEER
7/22/2025
1
2
3
4
5
7/2/25
7/2/25
7/2/25
7/2/25
7/2/25
- DRY 6"
- DRY 6"
- DRY 6"
- DRY 6"
-DRY 6"
6 7/2/25 - DRY 6"
1 6"
4 4.5
13'
13'
7/9/25
7 7/2/25 - 0:06:03 DRY 6"
0:05:42
0:05:51
0:05:57
0:06:04
0:06:03
0:06:01
TH BY
OTHERS,
NOT USED
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP251259, Curtis Townsend, 07/30/25
5 .9 '
6
.
9
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1
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RESIDENCER
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S H E D
LEGEND
EDGE OF GRAVEL DRIVEWAY
DECK
OVERHEAD UTILITIES
POWER POLE
RECORD DATA PER PLAT #74-17
SEPTIC PIPE
WELL
TIMBERLINE SURVEYING AND MAPPING
17035 BARONOFF AVE
EAGLE RIVER, AK 99577
907-242-5320
ryan@timberlinealaska.com
FILE NO.: 25.134
SCALE: 1" = 40 FEET
DATE: 6/5/2025
SHEET: 1 of 1
MOA GRID: SW0758
SCALE: 1" = 40 FEET(11"x17")
40'0' 80'
AS-BUILT OF:
ADDRESS: 4330 JOHNNY DR, EAGLE RIVER, AK
LOCATED IN: ANCHORAGE RECORDING DISTRICT
LOT 11, BLOCK 3MOUNTAIN VALLEY ESTATESADDN. NO.1, PLAT #74-17
MUNICIPALITY OF ANCHORAGE
DE ITMENT OF HEALTH AND HUMAN SER' ES
Environmental Health Division
825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Name
Addless
Phone(s) ] Porm~t NO. JNo. ol Bedrooms
LEGAL DESCRIPTION
~, SEPTIC [] HOLDING
/F,~./~: j~'. /o ~ £>
.~' ~-~_ 1
TYPE OF SYSTEM
~TRENCH ~ BED ~ W, DRAIN ~ OTHER
o,~,,.,g,~d~ '~ F'r ~ FT
Fill added above ongmal grade Gravel depth beneath pipe
~ 0 - FT FT
~ ~'0 SO FT
/~ /~'~ s~ FT
Installer
WELLS
PRIVATE [] OTHER (Identity)
'fold Depth FT Cased to
Date Inslalled:
FT
REIVIARKS:
DISTANCES
'~R~ SEPTIC ABSORPTION
TANK FIELD WELL
WELL I I ,,') *1 ~ o
LOT LINE o/- "- G'o / / ~ ~
FOUNDATION g6 / +. ~_ i ,20/
AS-BUILT DIAGRAM (Snow Iocanon of well, sepUc system, properly lines. Ioundanon,
Municipal and Slate guidelines in ellecl on this date:
Health Department Approval:
72-013 (3/85)
Inspections Pertormed by: /, ,
I
~C~.'' :,~°'~' ~ :
~, ... ,,, 1' .,0
r.',' : ,, ?' ~,:'::~ '.?' ~ ',-
cerlilythalthisinspeclionwasperlornledaccordingtoall .... / q;::;'"?J,?,. ?,.,:,
I .C] T ~!!; ]: Z E ,",
MAX B[.}::DF;:OEiMS:
DIZAN I]ONSTRUE~TIOI'..I
!~:;RA BO X 9:2!;~;;.',~ W I I....[) M]'lxl
EAGLE': RIVER, AK 99'577
SUBD I V I S :1: (:IN: H]"N .,, VALLIZY E!:dITATE.C3
,'-3EC"I" I ON: 33 TC)WI',ISId :[ I=': :~. 41',t
1.5A (!~;gL. F'T'. OR ACIRL=.':S)
3
L. OT: :1. 1
IR A N G E: 1 W
BLOCK:...,
Listed be:l.c:)~ a.r't.}:.~ 'Lhe (=,p'Lic)ns avai:l, al::):l.e 'L(:~ ¥(::)u J. Fi (::[~!!i~:i.(~tf]J.l"'~i~ yC3LLP ~?ff:.:-:,[:)'iL:i.~:::
.:.~ys'Lem. Cl"t(::)c)se the opt:i.c:,rl tha'L best f:i'Ls ye, ur' sJ.'Le.
Dlili:I=:"T'H 'T'C] I=' I I='E BO]'"I"OM (I= '1
(:{;RAVIZI... )]I]!:P']H CF'T.
]'O'T'AI.~. DI~:I:::'"['H (FT.)
GRAVIZI.... WI DTH (F:'T.
GRAVI~:I.. LIZNGTH (FT.)
GRAVEl.. VOI..UMIZ ([:;U, YDS.
'I'ANI< S:I:ZIZ (GALS)
SOIl.... RA"I'ING (SQ,, I:::'"1",, /BR)
'~".~'? DEI::'TH ]'0 I:::' ]: F'E BO"['"I"[)M < . ::!!;. ~,:!:; I:::T. I':~EI]!U I RES I NSLILAT I [)1".1
~...~.DI~i!I::'"I-I..j '1"0 I"11-'t~::. BOTTOI"J < 4. :':' t::'"1",, MAY REQU:[RI}ii: A I...II:::T !~TATIOI',I
· ~"~ 'T'AI',II< I II.J~:l HAV.~: AT L. EAST 'f'WO (::;OMPARTMEN"I]ii;
I c e r' 'L :i. f' y t. h a'L ,",
1 ,, I am f' am .'i ]. i a t'. w :i. t h 'L he r' equ :i. i~ emen t s f' c)i" (Dn.-..~ i ~LE'? t~iE.~H,'JE~ P ~L9 f:Al"i(J ~,.JE~) ]. ], ~;, ,':':'~E~ ?~f':':'t
,';:~,,I Wi].]. :i.I]Sti:;~].]. 'L}'i(~;~ s,/s{em in acc(z)r'dan(:::e with all MOA [::(::)(:J(~:H]t;
and :i.n comp].:i.a',.rtce with the desigri cr':i.'Ler'ia (::~f 'Ll't:~s pepm:i.t.
3, I ~J.].l a(::lher',.~ to ali. MOA al-id f]t,;~v[:.~z~ (;)f' Alaska requii'emc~nts f'c3l" the set back
s(:~.,~er'age sys'~.,:~)(~ (3J'~ 'Lb :L s (:)P arty ad.j a<::ent (:H' i'1~.:.taPby ].o'L.
z].,, ]: L.H]C]f{~P~;'~.~U]Cl '[LI]6~V~. '~.h].~ per'miT, is val:i.d rcm a iil~A)-~:~liiL.ffil f3{'
Il:::' A I..IF:'T S't"A"I'[ON ~}~ IN.:~ [AI....L.~:.D IN AN AREA. COVERED BY HOA BUIL.DING E.[.)DI:::.,:,,
'IHEN (1) AN EI...ECTF;:IE;AL PERMI]' AND INSF:'ECTION I*11..~;"1' BE OB'T'AINED~ (
WILL. NOT BE AF'F:'ROVED WI"I'HOUT" AN EI.~ECTRICAL INSF'EE;'1"ION RI]H::'ORT; AND (:~) THE
ELEC]"R I CAI.... N(]I::~K HLJST BE ..... I')[.)NF' BY A L. "I L,L.I"' '::' xI,..~L. Dc::' ':: E~]...E[;]'I::~ I [; :[ AN ,,
S I C{')NED ~ ~ ~ DA t"E
....... .................. ........................ ......................................
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L, Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
SOILS LOG
[] PERCOLATION
TEST
DATE PERFORMED:
LEGAL DESCRIPTION:
4
?
'lO
~3
~4
20.-
SLOPE
SITE PLAN
WAS GROUND WATER
ENCOUNTERED?
O
P
E
IF YES, ATWHAT
DEPTH?
Gross Net Depth to Net
Reading Date
Time Time Water Drop
P DRG,- O LA-T4O~I RATE
TEST RUN BETWEEN FT AND FT
COMMENTS
PERFORMED BY:
finer Englnaerin~ Services
P. 0. lox 773294
g~gle ~lw~ AK
694-5195
CERTIFIED BY:
,~-DATE:
72-008 (6/79)
([rrlif rh rillin6
b~
DOC Co. dba
SULLIVAN WATER WELLS REI EIVED
P.O, BOX 1170272, CHUGIAK, ALASKA 0§56? * TELEPHONE 888-27§B
OWNER OF LAND ,:' : ~'., '
ADDRESS
LEGAL DESCRIPTION :',:',~ : .... ".~ :'
DATE-Started '" ~,:, ' _ Ended
PERMIT NUMBER
I)EPTtt OF VqELL ~'
ST:\ 1'1(' LEVEL OF' V,'ATEI1 FT.
" I)RAW DOWN FT.
GALS. PER HR ___c=,d;: '
KIND OF CASIN(; d :' ,,.;
KIND OF FORMATION:
From d' Ft. to / Ft.
From / Ft. to ~ Ft.
From :, Ft. to ( '; Ft.
From Ft. to Ft.
From , -_? Ft. to '~iL ~ ~ Ft.
From ' ~;
+ . Ft. to '~ :'~, . Ft.
From Ft. to Ft.
From f, ' Ft. to ."
From Y__J Ft. to.
From Ft. to.__
From~k Ft. to ,, ~-~
From i .Ft. to ; .: _Ft.
From Ft. to Ft.
From i:i Ft. to; ' ~Ft,
From .... Ft. to_ Ft.
From Ft. to Ft.
From Ft. to ....... Irt.
From .... Ft. to ....... Ft
;'/: /;~&:,','~' ":&~' :; [:rom Fl. to Fl.
...... ~UF41CIffA'~i-TY OF ANCHORAOI~
From Fl. Io ~EPT. OF HEALTH &
...... E~I~ONMENT~ PROT~ION
6
1986
Frol~l
~ :,' d From~_~Fl. lo .......... Ft.
From___ Ft. to_ Fl.
From.__Ft. to _____Ft.
Frmn Ft. lo__Ft._
From. Ft. to_ Ft
From Ft. to .... Ft
From Ft. to_ _Ft
From Ft. to Ft.
From Ft. to Ft.
From_ Ft. to Ft
MISCL. INFORMATION:
DRILLER'S NAME
Parcel I.D. #
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 DWELLING
1. GENERAL INFORMATION
Complete legal description Lot 11; Block 3; MourutccLn Vo?ZZe~ Estates
Location (site address or directions)
Property owner
Mailing address
Lending agency
Mailing address
NHN Johnny Dhive
Eagle Rive~. AK
Doug Shalhoob Day phone 696-2032
P.0. Box 772016 Eaqle Rive~, AK 99577
Day phone
Agent Joe, Perozzi/ Red,ax o,~ Eagle River
Address 16600 Center~ield Drive Eagle, Rive,',,
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3
TYPE OF WATER SUPPLY:
Individual well ;<×X
Community well
Public water
NOTE:
Day phone 696-2032
AK 99577
NOTE:
TYPE OF WASTEWATER DISPOSAL:
Individual on-site
Holding tank
Community on-site
Public sewer
XX×
If community wastewater system, provide written confirmation from State ADEC
attesting to fhe legality and status of system.
If community well system, provide written confirmation from State ADEC attest-
ing to the legality and status of system.
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 of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm ~q ~ ~' ~/,, 4,,,, ~ h~/,,, & Phone
Address /~ o 3 ~ ~ ~/v'~M~ ~p/~ ,~/~ ' ~ .~-
Engineer's signature . , ' . .,~ Date
DHHS SIGNATURE
X Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By:
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 DH HS does this as a courtesy to purchasers of homes
and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not
conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not
responsible for errors or omissions in the professional engineer's work.
72~)25 (Rev. 1/91) Back MOA#21
Legal Description:
A. WELL DATA
Well type te¢-v4,o.,q'¢j
Log present (~) _ ,-/
Total depth ] o o j
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES,,
Environmental serVices Division
825"L' Street, Room 502 · Anchorage, Alaska 99501e (907)
Health Authority Approval Checklist
/
If A. B, or C. attach ADEC letter. ADEC water system nnmber
Date completed ~ ~ ~
Cased to ~o, 3 ' ~, ~, Casing height (above ground)
Sanitary seal
FROM WELL LOG
Wires properly protected,l~q)
AT INSPECT[ON
Date of test
Static water level
Well production /0, 0 g.p.m. /, ~ g.p.m.
WATER SAMPLE RESULTS:
Coliform 0
Date of sample: ] -,,Tt ~' ~-- ~ 6,
]~I~'}HOLDING TANK DATA
B.
Nitrate
Collected by:
Other bacteria
S & $ ENGINEERING
17034 Eagle River Loop Road No.
Eagle River, Alaska 99577
Date installed ~' -/4, - 05- Tmtk size /o o O Number of Cotnpartments
Foundation cleanout (~xl) y Depression (¥/g:~ /d High water ahu'm (Y~_
Date of Pumping ! ~,P.? ~? ~, Pumper ,7~"~ff~,,
C. ABSORPTION FIELD DATA
Date installed ~ -! b, ~ ~,,~'-'- Soil rating (g.p.d./ft2 or ft2/bdrm) /5'~ ~/~.~System type ~'7'~/_.-~.~/-/_
Leugth /ao t Width ~ ' Gravel thickness below pipe ~ t Total depth /_.¢ t
Effective absorption area t¢/O O / Monitoring Tnbe presentl~N) V' Depression over field (Y/I~ r.J
Date of adequacy test / ~,9~' & Results ~ail) /~p~'5 For .~ bedromns
Fluid depth iii absorptiou field before test (iii.); O hnmediately after ,.Sra-Cgal. water added (iii.):
Finial depth ? o (ins.) Minutes later: /¢0 Abso~tion rate ¢~a ~
= g.p.d.
Peroxide treatment (past 12 months) (Y~ ~O~ /d~o~f yes, give date ~
D. LIFT STATION
Date installed
Size in gallons
Manhole/Access (Y/N) ~
High water alarm level at* ~ *Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
~holding tank on lot I ~ t:>~
' On adjacent lots
Absorption field on lot
Public sewer main
Sewer/septic service line
: On adjacent lots
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM&E~--"~HOLDING TANK ON LOT TO:
Building foundation la (¢ ~ Property. line } O I d- Absorption field
Water main/service line (o t& Surface water/drainage / oo I'f Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Building foundation {? 5" ~ Water main/service line /o t
Surface water leo I ~ Driveway. parking/vehicle storage area
Curtain drain t'J'/,4 Wells on adjacent lots / Oot & Property line
F. ENGINEER'S CERTIFICATION
I certify that ! have determined thru field inspections and review of Municipal records t/_~.qr~t~'cr~vg ~¥~7.~,~' are
m co ~Jbr, a we w~th MOA l[~ guldehnes m effect on thts date. ,~ ~ % ......... 7 ~ ~,
Signature ?f, f~/' ~3~ ~
Engineer's Name ~OBe~ ~ C. Co,~,o ~; ~,$
e',,~;~mr ........ .......... d '~ ~
'~a ~'" "'": "'
............................................................................................................. ~ ~.A~r~2¢z~X~ ~7~ .....
HAA Fee $ ~ ' Waiver Fee $
Date of Payment //O //~ ~ Date of Pay men t
Receipt Number /~/ (~¢ Receipt Number
Rev. 8/95 eSS: haa.wk.doc
MUNiCiPALITY OF ANCHORAGE
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAl.
OF ON-SITE SEWER AND WATER FACILITY
Application Date
1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL'~ ,
(a) Legal Description (include lot, block, subdivision, section, tow~ip., range)
Lot 11; Block 3; Mountain Valley Estates '~ J
Location (address or directions)
Johnny Road
(b)
Property Owner
Mailing Address
Dan Berkstrom Telephone: Home
P.O. BOX 775486, Eagle River, Alaska 99577
(c) Lending Institution Western Mortgage Telephone
Mailing Address
(d)
Business
Real Estate Company and Agent RE/MAX OF EAGLE RIVER - Don McKenzie
Address 16600 Centerfield Drive, Suite 201, Eagle River, Alaska 99577
Telephone 694-4200
Mail the HAA to the followinc~ address: or: Check here [~[, if hold for pick up.
List contact person and day phone number below. S & S ENGINEERING/694-2979
17034 Eagle River Road, Suite 204
Eagle River, Alaska 99577
(e)
ordered by Don McKenzie
TYPE OF RESIDENCE
Single-Family ~
Number of Bedrooms
WATER SUPPLY
Individual Well ~ Community [] Public []
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 [] Public [] Community [] 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 72 025 IRev 8/86~ Fronl
ENGINEERING FIRM PROVIDING 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 dispo, sal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
S & $ ENGINEERING &?W - ~ "~L-~'
Name of Firm i 7034 ~agie River Loop ~oa~ ~o. ~14 Telephone
Address Eagle ElY, er, Alaska ~577
Date '~-- ~'-- ~ ~
Approved for ,7'"~,,~-~'k,.~)bedrooms by . . _
Approved v/"~ Disapproved Conditional
Terms of Conditional Approval
CAUTION
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
certificates based only upon the representations given in paragraph 5 above by an independent professional engineer
registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in
order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data
before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional
engineer's work.
Page 2 of 2 72-o25 IRev 8/86~ Back
MUNICIPALITY OF ANCHORAI2E
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
FEB 1 0 t988
RECEIVE[)
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY 1984
264-4744
Legal Description: [.,..-c.~
WELL DATA
Well Classification
Well Log Present ~.~N)
Total Depth
Static Water Level
Casing Height Above Ground /
Electrical Wiring in Condui~N)
Separation Distances from Well:
To Septic/I-4elding Tank on Lot /
To Nearest Edge of Absorption Field on Lot
To Nearest Public Sewer Line. Cleanout/Manhole
Water Sample Collected by
Water Sample Test Results
Comments ~ \..d/~
If A, B, C, D.E.C. Approved (Y/N)
Date C, ompleted 2/c~5 Yield
Cased to ~,.t~/~-~.¢~- Depth of Grouting
~ Cc ' Pump Set At ,(..-J./cz._
Sanitary Seal on Casing (~N)
Depression Around Wellhead (Y,~
; On Adjoining Lots
; On Adjoining Lots
To Nearest Public Sewer
~//A-- To Nearest Sewer Service Line on Lot
142C~ /'/"
B. SEPTIC/HOL-DqNG TANK DATA
Date Installed
Standpipes~N) Air-tight Caps ~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:
~ ~/f~ ' ~_ Size /(pc, p No. of Compartments ~
Foundation Cleanout ~N)
Date Last Pumped -~/¢/.'~,¢' //~ 0'?~
; for
Temporary Holding Tank Permit (Y/N) nj/A-
To Water-Supply Well //'¢2 r
To Property Line /O
To Water Main/Service Line
Course
To Building Foundation (~, L, /
To Disposal Field / ¢ -- : :
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72~026 fRev 8/86~ Front
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata /
Date Installed 9 - / ~ ¢ ~5"
Width of Field ,'~ ~
Square Feet of Absorption Area
Depression over Field (Y~_.~
Results of Last Adequacy Test
Separation Distance from Absorption Field:
Date of Last Adequacy Test
Type of System Design / jT...-~,,,J 0-/,.4'
Length of Field
Lc/ ·
Depth of Field
Gravel Bed Thickness c//
Standpipes Present
To Water-Supply Well
To Building Foundation
Lot
To Water Main/Service Line
To Cutbank (if present)
To Property Line C/O /
To Existing or Abandoned System on
; On Adjoining Lots 3o !
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments ~,,
//IF~ ~,FC. L~,~,
LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at ~ /
High Water Alarm Level at /~
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that Lhj~'~,c(~,~l¥~(~fied, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
CompanyEagle River; Alaska 9~577 MOA
¢¢
Receipt No.
Date of Payment
Amount: $
Page 2 of 2
72 026 (Rev 8/861 Back
MUNICIPALITY OF ANCHORAGE
DIVISION OF ENVIRONbiENTAL HEALTH
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE
1. General Information Application Date 2/28/86
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 11 Block 3 MOUNTAIN VALLEY ESTATES
Location (address or directions)
NHN Johnny Drive EAGLE RIVER, AK 99577
694 9117
(b) Applicants Name Robert Dean Telephone - Home Business
Applicants Address S R Box 9352 Eagle River, AK 99577
(c) Applicant is (chec~!one) Lending Institution ~ ; Owner/builder ~ ;
Buyer ~--~ ; Other'~ (explain);
(d) Lending Institutiqn Western Mortgage Co. Telephone 694 7872
Address
(e) Real Estate Co. & Agent
Address
None
(f)
Telephone
Mail the ~ to the following address:
Robert Dean
S R Box 9352
Eagle River, AK 99577
2. Type of Residence
Single-Family ~
Number of Bedrooms
Multi-Family ~--~
Other (describe)
3. Water Supply
Individual Well ~ Community ~ Pablic ~--~
Note: If community well system, must have written confirmation from the State
Department of Environmental Conservation attesting to the Iegality and status.
4. Sewage Disposal
Onsite .~, Public ~--~ Community ~-~ 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]
5. Engineering Firm Providin~ Inspections~ Tests~ File Search~ Data and Information
Name of Firm
Address
Date
As certified by ~y 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 regula-
tions in effect on the date of this inspection.
~A~LE~IVER EN~NEERIN~ SERVICES Telephone
EA~L~HIVEa, AK99577
P. 0. BOX 773294
U94-5195
DtlEP Approval
Approved for~,
Approved
bedrooms
Terms of Conditional Approval
CAUTION
THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
(DHEP) ISSUES HF~LTH AUTHORITY APPROVAL CERTIFICATES BASED~SOLELY UPON THE REPRESEnt-
ATIONS 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 H~ES AND
THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE-
MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A
CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORACE IS NOT RESPONSIBLE FOR ERRORS
OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK.
(DHEP SEAL)
RR4/ej/D18
[Page 2 of 2]
7-19-84
MUNICIPALITY OF ANCHORAGE (MOA)
HEALTH AUTHORITY APPROVAL (HAA)
CHECKLIST - FEBRUARY '1984
264-4720
Legal Description:~ z/bo ~-
MUNICIPALITY OF ANCHoRAGb'
DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
0 6 1988'
WELL DATA
Well Classification /Z~ / ¢,,4- T-/~'~ If A, B, C, D.E.C. Approved (Y/N) ////'//~
Well Log Present (Y/N) ,Y Date Completed ~',~'/~*,~¢- Yield
Total Depth /Co / Cased to ,,~O / /'
~' 4¢¢d,','~Depth of Grouting
Static Water Level ,,~o/ /¢e/~,~ 5',~,-¢~,o¢_ PumpSetAt ,zc¢?'yo*~
Casing Height Above Ground Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit (Y/N) /V Depression Around Wellhead (Y/N)
Separation DiStances from Well:
To sePtic/Holding Tank.on Lot //~2 / ; On Adjoining Lots '"~/~ /
To Nearest Edge of Absorptio.n Field on Lot /~ o / ?// ; On Adjoining Lots 'i'/~'°
To Nearest Public Sewer Line /~d/¢~ To Nearest Public Sewer
Cleanout/Manhole )¢~/O/¢~ To Nearest Sewer Service Line on Lot '~- ;;~- '
Water Sample Collected by L~,)'/e /~,~...i /~,~s~,~¢ ,-,,~' ; Date~/.~//'";E¢',:¢
Water Sample Test Results .S-Z¢ ~/Lr ~¢~ ~"/-o,~ ~-
Comments
B. SEPTIC/HOLDING TANK DATA
Date Installed
Standpipes (Y/N)
Depression over Tank (Y/N) /b/
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 W/b' /
To Water Main/Service Line Y-//D /'
Course ¢/'0"-:' '
Size ./O(_.P~ 0% / No. of Compartments
Air-tight Caps (Y/N) __ /k/ Foundation Cleanout (Y/N)
Date Last Pumped
;for
Temporary Holding Tank Permit (Y/N)
To Building Foundation _~,,2/~/f
To Disposal Field ~%/¢ /
To Stream, Pond, Lake, or Major Drainage
Comments
Page 1 of 2
72-026(11/84)
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata
Date Installed
Width of Field -~/'
Square Feet of Absorption Area
Depression over Field (Y/N) /V
Results of Last Adequacy Test
Separation Distance from Absorption Field:
To Water-Supply Well %/~- d /
To Building Foundation '
Lot ,-'/--/~.
To Water Main/Service Line ¢-/¢
~/~.~ Type of System Design
Length of Field ~ O /
Depth of Field __~,"
Gravel Bed Thickness /-~/
Standpipes Present (Y/N)
Date of Last Adequacy Test
To Stream/Pond/Lake/or Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area ¢'~J'0' ~:~'~-/¢ ¢-~ ~'~'~',/
Comments ,2_,~,~'/,:,~. ~',',,~ ,.¢,:,~, , ,'¢~¢/, ¢,~e~,
,/
To Property Line ¢',~'¢ /'
To Existing or Abandoned System on
; On Adjoining Lots /-~¢..~ /
To Cutbank (if present)
LIFT STATION
Date Installed
Size in Gallons
"Pump On" Level at
High Water Alarm Level at
Tested for
Electrical Codes (Y/N)
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at
Vent (Y/N)
Pumping Cycles during Adequacy Test. Meets MOA
Comments
** Check Permitted Bedroom Rating Against HAA Request **
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date.of this inspection.
Signed ,,~_~.~-..,..--¢'"¢'~Z7~'"'~ ~ ~ -- Date /' .//
Company Z~c'''/~,/-?''¢', MOA No. ~T'Z'~,¢ 6',5'
Receipt No. ~ ~ ~.~'~ c:;j
Date of Payment
Amount: $
Page 2 of 2