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HomeMy WebLinkAboutOVERLOOK ESTATES BLK 1 LT 3Overlook Estates Block 1 Lot 3 #068 - 041 - 03 Municipality of Anchorage �P�P��A On-Site Water and Wastewater Program • (907) 343-7904 Pa1 of 1 ON-SITE WASTEWATER INSPECTION REPORT SEP 2e 9 2015 Permit Number: OSP141104 PID Number: 068-041-03 Dwelling: El Single Family (SF) [' Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New IIIUpgrade Name: RON SILVA ABSORPTION FIELD — tx35 7,1-4/& Address ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound 6270 MAGNAVIEW DRIVE ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 EXISTING GPD/SF - Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe Subdivision Block Lot - Ft.- Ft. OVERLOOK ESTATES 1 3 Fill added above original grade Gravel length Township Range Section - Ft.- Ft. Gravel width Beds:Number of Lines Distance between lines SEPARATION DISTANCES - Ft. - - Ft. To Septic AbsorptionHolding Sewer Total absorption area Number of trenches Dist.between trenches From Tank Field Lift Station Tank Line _ Ft2i_ - Ft. Well +100 '" - — +25 TANK ❑t• Septic 0 S.T.E.P. 0 Holding ❑Other Manufacturer Capacity Surface Water +100 — - - ANCHORAGE TANK 1250 Gal. Material Number of compartments Lot Line +5' -- - - STEEL 2 --- — -- ---- NA Foundation , +5. _ - _ LIFT STATION Manufacturer Capacity Curtain Drain ♦,,C — - - NO LIFT - Gal. Remarks OLD TANK ABANDONED PER MOA Pump on level at Pump off level at High water alarm at REQUIREMENTS. TANK REPLACEMENT - in. - in. - in. ONLY. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank 3034 Tank to 3.034 Installer drainfield GUARANTEED SERVICES Drainfield EXIST CO/MT '5,�� Inspector CHARLES BALZARINI BENCH MARK (Assumed elevation)1 00 ft Inspeectes 151 5/17/4• I;4 2 Location and description aro 4th TOP OF WELL CASING COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp volt, illith Conditional Approval: Date +�• '• •••••'•:q•S�I* •v. o •V..I tl :,narks a ne-pm w ; ?.• iic;•. CE-13854 11�9F••91.2y/5• ..••`•;', Approved w. t`464 Date 4/.--11-12 /01.'°ROFESSIUN�:•4.. Inspection Report_9-1-12.doc LEGE CLEANOUT ' ' // 0 - '/ •'9 0/ • MONITOR TUBE ''•::.BIS 13- CHMARKL A .... •• ,.• SWING TIES ® TEST HOLE A B • • • 00 C 33.1 48.4 /V S :ALZARIN( Al J F • CE-13854 `•�/ � �q.•`,,: - ..��V A/, :.: `::: .:: 1 1 FDP \' = .•.: kl ROFESSION EXISTING —.1......%7. N'.' i'';, • ! M O DRAINFIELD 7 DRIVEWAY:. ''t•••.s,.. •!;. ! •�'• ... OVERLOOK ESTATESickil . . : Y ^ Z �. ._'�:�. .•�.. •.I.� •' BLOCK 7 LOT 3 � � C .7:1:4........Y.1.:14;...;......:.:.:..:::...:; A - .: . '... . . .,,. . i W Q W j U HOUSE CCw NEW 1250 GALLON — > 0 TANK B O it.W V) O a IX 0 k w 0 INSPECTION REPORT PLAN-SCALE: 1"=40' < W +100'TOP OF WELL(INTERPOLATED FROM 1993 S+S INSP.REPORT) � 0 +84 AT LEACHFIELD CLEANOUT. U) W +90.7 2"INSULATION U 5 cc lir +1-4'COVER W op iG, iiiaiiis--',/..",vaiiiiio..////aiaiiiai2 aria to 0 to Z Lo v cr 1250 GAL TANK W 0cp W ' Z_ n 0 C' C) Z W 86.5 86.3 SCHEMATIC SECTION-NOT TO SCALE cd U • 0 I O � •v c 94 1 ; I. Q; o N I O d d ti o foo• 41, ~ WEU end VVI lzON Po 14 rr LU�- O � W O q o °el I qv oq gip, �� / s� I �� wcon2 /' zp � / � or F►U�� I WO � q ^CO o > i� o00 �f ���o / O o (n`� ( �� Wv�O - x p`ra 03 ,09TOF M„90,61 AS N O N w aaQw O W U Q W Z N011lQabca h U c j U D cC W V ern o S31b1S3>100783AO14Q £107 h H W Q ~ a� Q�3 �CIO .. On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141104 Tax Code Number: 06804103000 Work Type: Septic Upgrade Permit Effective Dates: May 08, 2014 to May 08, 2015 Design Engineer: Balzarini Chuck Subdivision: OVERLOOK ESTATES Site Legal Address: OVERLOOK ESTATES BLK 1 LT 3 G:0465 Owner/Address: SILVA RON & CAROL 6270 MAGNAVIEW DR EAGLE RIVER AK 995779721 Site Mailing Address: 6270 MAGNAVIEW DR, Eagle River Lot Size in Sq Ft: 47349 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: 5/1 Date: MUNICIPALITY OF ANCHORAGE Community Development Department Development Services Division On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. d -oil tr03 Property owner(s) RO AM L D 4ZL Vf4- Day phone 414-- 26 q7 Mailing address 0.2, 71, ,t lA4vAVTr= w AIZIn' Site address 6270 `t1A-6iv* v11>krvE :, Legal description (Sub'd., Block & Lot) OvGR Gook E STATEj I7jG, jc: tor 1 Legal description (Township, Range & Section) Lot Size W 1, 34%q. Ft. Number of Bedrooms 3 APPLICATION IS FOR: (® all that apply) Absorption Field ❑ Septic Tank Holding Tank ❑ Privy Private Well Water Storage APPLICATION IS AN: Initial Upgrade Renewal TYPE OF DWELLING: Single Family (SF) (w/wo ADU) Duplex (D) Multiple Dwellings (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: 0 0 I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: *acs Date of Payment: oil 1P1 Receipt Number: / 961061.0 Permit No. QSPiW/041 Permit App_9-1-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. 4/29/2014 tv;un.%Jpa.iiy of Anchorage On -Site Water and Wastewater Program REF: Overlook Estates Block 1, Lot2 Dear reviewer, The steel septic tank located on the above referenced property has failed. The tank was installed in 1993.. and has experienced significant corrosion. We are requesting approval to replace the existing tank with a new 1250 gallon septic tank. All proposed work shall be completed in accordance with MOA standards and the following Specifications: The existing tank will be pumped and disposed of properly. The new 1250 gallon tank shall be of MOA approved construction with two 4" cleanouts. The tank shall be installed level, and within the excavation created from removing the old tank. The bottom of the excavation shall be leveled and compacted sufficiently to prevent settling of the tank. The new tank shall be insulated with no less than 4' of cover. The ground surface over the tank shall be sloped to prevent ponding. The new tank shall be installed in accordance with the separation distances indicated by 15.65.050A. The proposed tank will be installed: -Greater thsn 5'_frnn. the property 1!ne hi iHrling founriatinn% anti drain fink.' - Greater than 10' from any water main or service line. - Greater than 100' from any surface water. - Greater than 26B;from any well. l00c, If you have any questions or comments, please do not hesitate to contact me at 907-854-5558, or by email at cgbalzarini@gmail.com. Thank you for your time in reviewing this Permit Request, Sincerely, hadea Baliarii.i, r c 491N 0... .. • l/3 Municipality of Anchorage Page I of 2----- , 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 Number: GJ 1 I e?.067S PID Number. e' &8o -i-1 v Permit Name: -00t4.� C�Aoo L. --Si L.,\714-• • Wastewater System: New ❑ Upgrade Address:116, t--4-' S- (L '6/1— 1-1- ABSORPTION FIELD Phone: I No. ot/ge�drooms: ' eep Trench ❑ Shallow Trench 0 Bed LI Mound 0 Other LEGAL DESCRIPTION Soil Rating:2 I' GPD/Sq. FL Total Depth from original grad": l7 Lot: Block: //� �SSu��bdivviision: ,//� I rOV6r -00 IC— C�i�l . Depth to pipe bottom from original grade: FL Gravel depth beneath pipe Ft. Township: I Range: Section: Fill added above original grade: Ft. Gravel length: /(� / `j Ft. WELL: '1X -New ❑ Upgrade Gravel width: 3/ Numb r of lines: Distanccefpe/lween NA lines: ! •Ft. Cla sifcation (Private, A,B,C): �r1g-k✓A. T"'. Total Depth: FL Cased To: Ft. Total absorption area: 2 c.(� SQ. Ft. Pipe material: 1 o ••� f...e-11 1 ^7•*0 " [.G Driller: Date Drilled: Static Water Level: Ft. in .144141 ttall.eer: j i 14 C.�O .. 40.• Date installed: /_ ...*,..7.) LC/ Yield: GPM I Pump Set at: Ft. I Casing Height Above Ground: Ft. TANK SEPARATION DISTANCES Septic ❑ Holding ❑ S.T.E.P. To From Septic Tank Absorption Field atit Station Holding Tank Public/PrivatewLines Sewer Manufacturer:zp� // ��}T//CiJ'�"Ti�-r/�q� Capacity in gallons: ' CO /"//XJ�[/= C�/� `✓ Well � 1 1 %� �— 2S 4— Material: e—� Number of Compartments: SurfacWater 16D1 1��-� -- — LIFT STATION LotSize Line 10'4- r� le, _- in gallons: Manufacturer: Foundation 21- "J i i I "Pump on" level at: off" level at: High water alarm at: Curtain Drain ,--,pel 014E v.yl Pump Mak odel Electrical Inspections performed by: Remarks: BENCH MARK Location and Description: �� ©'--. U.-161,(._—--% i fic, Assumed Elevation: I4o- Ft ENGINE�,gR'S SEAL . rte. ss,„'),... }' < &�� ` e No. 1457-E y •< 11`� = n 4` l•� e,�e ) ti.. GS �"''%''ITOFESS\04., :t reK"," S & S ENGINEERING cr< by: 17034 d7 1st 1.16'/Zt/qi..-- 0 Inspections performed EpstsP1v�r►enn�ad,-�t2@9s: Eagle River, Alaska 99577 2nd -P11- /q'� Department of Health . ' d Hu a ices approval Reviewed and approved by: �� Date:% /w, 72-013 (Rev. 9/91) MOA 25 Permit No SW930068 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: OVERLOOK ESTATES, BLOCK 1, LOT 3 PID No •06804103 N.T.S. A FCO C01 CO2 CO3 C04 MT 36.0 46.0 53.0 59.5 76.0 74.0 15.5 20.0 35.5 70.0 47.0 48.5 SCALE 1" = 40' FINAL GRADE MT C04 88.3' 3 BDRM FOUNDATION NEW TRENCH FCO CO1 CO2 Oso CO CO3 12‘57) /r/4jL 80' • 74.0' NO WATER FOUND 84' NEWGAL SEPTIC TANK MT C04 ENGINEER'S SEAL 72-013 A (Rev. 9/91) MOA 25 Mk. x. P.O. BOX 670272, CHUGIAK, ALASKA 99567 . TELEPHONE 666.2759 KIND OF FORMATION: From From—Ft. Ft. to Ft- ``� Ft. to ­l -3_ Ft. 3 Ft, OWNER OF LAND �f) &0 .StLtJ14 DEPTH OF WELL From From V From T `� ADDRESS - ti a[ Lr}ts From—Ft. "Fr m From two Ft. Ft. Fr 1 i•�tr <1.ti` :C:� ,S'/ r;,r; "��� STATIC LEVEL OF WATER FT. LEGAL DESCRIPTION L2! S L 1 r i (^ J C /z� ES "DRAW From DOWN FT. Ft. to DATE, - Started Ended 5, i GALS. PER HR % Z Ft. to PERMIT NUMBER �• � Ft. to KIND OF CASING _ :) D KIND OF FORMATION: From From—Ft. Ft. to Ft- ``� Ft. to ­l -3_ Ft. Ft. to Ft, C -12101: J ti , i • , - - From `-+ l%cS' Ft. � ��Ft. From From V From T `� Ft. toFt. t ' Ft. o�_Ft. f Ft. to , j L Ft. - ti a[ Lr}ts From—Ft. "Fr m From two Ft. Ft. Fr 1 i•�tr <1.ti` :C:� ,S'/ r;,r; "��� Ft. to 1'� 'J ' ,C , 'r Ft. to—_ to From Ft. to Ft. �`� J :-�' From Ft. to Ft. t From Ft. to 1 Ft. _ f 7 �sr`•v,tit :j;"!`i�< From t — Ft. to Ft. From Ft. to —Ft. / iv t• ��j _-- From ) Ft. to From % Ft: to t"r Ft.- r �� �5,"J _ �j� r '-� , From_ Ft• td Ft From r� n Ft: to El Ft. i 1 3 r" I J , ��' - From Ft. to Ft. From _ Ft. to Ft. ' .. _ ' ~ ivr1 ' , . S ZC From Ft. tot F t. _ From s� Ft. to -r ` . Ft. Ac= ',< JC-C� / r C�K`�' i �% From Ft. to Ft. FromFt. to Ft.•, �// :'-:c r7 =_S From From Ft. to Ft._ From Ft. to Ft. �— Ft. to Ft. From Ft. to Ft. r Q'. V1 7From Ft. to Ft. - . � _Ft. From 12,52?' to �' - ,. Ft ;x7 C -1 Jar 1 f ,,1y T From o Ft. to—Ft,— Ft. From ? =� From Ft. to Ft- ``� Ft. to ­l -3_ Ft. � —, Rr,�}� ur. 1 �9-'�,' "�1'f-ti r From. From Ft. to Ft. to Et. —Ft. From From V From T `� Ft. toFt. t ' Ft. o�_Ft. f Ft. to , j L Ft. - ti a[ Lr}ts From—Ft. "Fr m From two Ft. Ft. Fr 1 i•�tr <1.ti` :C:� ,S'/ r;,r; "��� Ft. to 1'� 'J ' ,C , 'r Ft. to—_ MISCL. INFORMATION: Tit DRILLER'S NAME : MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL AND WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW930068 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:SILVA RON & CAROL OWNER ADDRESS:19617 1ST STREET EAGLE RIVER, ALASKA 99577 PARCEL ID:06804103 LEGAL DESCRIPTION: OVERLOOK ESTATES BLK 1 LT 3 LOT SIZE: 47349 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK / WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 4/23/93 EXPIRATION DATE: 4/23/94 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 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE : 1/027 73 DATE :1-2/- �3 0 1 I" = 40' SCALE SEPTIC SITE PLAN A A Co m Vrn [71)11-1 n m `O� 0 a 0 o) • \ o A 1-- (.1 V Pi r- ci ro m 101S3 3 91 .O1 MAGNAVIEW DRIVE PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION: 3 L /DUE(1O,0k. , %township, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 ti1E PZH (FEET) G - zaiv- 5/6T Co 61/es SLOPE 1 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? /12v S L 0 P E SITE PLAN 1 N e $ ee / 3 Depth 10 Water Atte Z /fir ei /O Monitoring? Date: / D E !{j AS 12E -SD /TGrED Reading Date Gross Net Depth to Net Time Time Water Drop / f/2'1/93 g%Sp 8 t r` — 2- ' 3,17(37n1 30 A41;,.) 20 th," 'My) 3 081�i3 *1'yw/ — fI " 4 t. 4;i0 IPA,' /Utatw /2" 44" A'e{G(G / 6 //2byr.3 4 -'/1, i- — 8' " — G a el;2sFr. /ote-ts-- /2" S/" PERCOLATION RATE � (minutes/inch) PERC HOLE DIAMETER / 2 -tn- TEST RUN BETWEEN COMMENTS (--) f ` `',S�e(! 'S S & S ENGINEERING PERFORMED BY: • ACCORDANCE WITHERgPSR Ati,,UVA GUIDELI 72-008 (Rev. 4/85) FT AND FT CERTIFY THAT THIS TEST WAS PERFORMED IN FECT ON THIS DATE. DATE 2 — % 3 PERCOLATION RATE � (minutes/inch) PERC HOLE DIAMETER / 2 -tn- TEST RUN BETWEEN COMMENTS (--) f ` `',S�e(! 'S S & S ENGINEERING PERFORMED BY: • ACCORDANCE WITHERgPSR Ati,,UVA GUIDELI 72-008 (Rev. 4/85) FT AND FT CERTIFY THAT THIS TEST WAS PERFORMED IN FECT ON THIS DATE. DATE 2 — % 3 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: / ' 0 A) Si ,a`x� €%"4&`2 ,11`5.,r'1 1 1GINL EFEAL) r DATE PER FO LEGAL DESCRIPTION:` u./ / 60E/22.00 k1•r'ship, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 115.P1.61- • COMMENTS 77A P4? SN 67/2G G p - G/GHr ,c/G7- CO 7GrCO ,rjle,S SLOPE 1 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? /V0 S L O P E ec°c{ bar? ,i, Shofee No. 14r7.r q 4. RME iy SITE PLAN N 5), sf e of 3 Depth to Water Pytt Monitorm ? / Date �- GE Ls>AS Q<–Sorilit- 0 i Reading Date r Gross Time Net Time Depth to Water Net Drop 1 #/t/ /,'oop — 7 z — Z ►' /; 30, o m ra Z 0 '. )3 " /?e-Ficr- Cd 3 //2Y/Ii /:.S 7 ,_- 44 i. / : 9 5 I O kms // y2." 9• ' Rt — ,c / Le..7 VY 7.6 / 1 ? %:.J-,1 p - ^'� / / ,/t' , 6 .. 2. p /D(At 1.1 /11/2« i4" .ee F mac. 6–• ? (/2.S/' 3 2.orp — 7 0 PERCOLATION RATE TEST RU BETWEEN see/ 2 a� 3s ees /6/A4/ 2. 5—(minutes/inch) PERC HOLE DIAMETER 6 FT AND FT S & 5 ENGINEERING PERFORMED BY - - er oop oa CERTIFY THAT THIS TEST WAS PERFORMED IN • '• `O. r' /� ACCORDANCE WI FPg..LctitiNRl'EAiesItd1QAZRitAL GUIDELINES IN E'FECT ON THIS DATE. DATE' Z-/ p o L -3 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: eA) D/2- VA DATE PERFOR ED: LEGAL DESCRIPTION: /3 5 / O✓feICOIl ts-roWnship, Range, Section: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SM 6p -- LIGHT` s --/L? C obbles SLOPE J WAS GROUND WATER t 7T ENCOUNTERED? NO IF YES, AT WHAT DEPTH? S L 0 P E SITE PLAN L t N EU L W 0 g �h2 4 77 Depth to Water A �1 d Monitonp�I ? -� Date. /� b y�L s3S E �BAIiE'O Io / 1 Reading Date Gross Time Net Time Depth to Water Net Drop ///02 e;/5-10 7 7z" - — — 2 Z 251p, / O Ito). // /z " iz // - ^ �J.`' oI / %DIS 3 01/93 2: 30 p — 6" Li ee ;4fa p /orwi..J /2 " 11" ,ae �2 L.5-- 72d'/93 2, 7" G .E 3:b5-%' 20 Mi x) /S" (T" Nefrae d 7 1/2e /93 3)Jo p 7" — p — v A7 •' p « / PERCOLATION RATE (minutes/inch)PERC HOLE DIAMETER TWEEN �%ej/-- ST RUN FT AND _6 _ FT j�TE COMMENTS 3 F five S & S ENGINEERING PERFORMED BY:17034 Eagle Myer Loop Road NO. 2041 CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WIl legle ttmear Ahk6at$QSTAL GUIDELIN N 'FECT ON THIS DATE. DATE 21/0/93 72-008 (Rev. 4/85) N • 65 Vo�0u_ q .` is 0[/SF - ti .at " ,- 0- 0 77 0 ,0 9 y� o • to .O oti oti O 1. a /Q EL EC. ES 44 !. itl, �66L77'38 "1t/ ZS6, DV FL26 v.c- ROA 0 /lel ,I 6 /1_/ 71 I/I E l// \CZ Co -o r z O 0 r NOIldINOS30 1V931 mas D O InCD rn OBD v 1 a) % m ADm N�41:4 colo' co O O+74 10 i'4 5 m n m 0 C 0 a M 0 0. 3 N 0 O' 3 0 n 0 CD 0. 0 0 bearings and distances ore record ssolun wnjop pawnsso 0 m a A 0 0- 0 0 c CDCDv " 3 3 0 O a 3 m n o y 0.- a b a b 0 0 0 D O a D- I. O 0 v v ID Z O -1 m m cy J s< O 0 b 0 0- 0 . O 0 m o 0 a' f 3 o -. O •'. C ab O. .• 0 + b f. 0 p 7 Le O '• - b O -. v 3 0 c —. n D n m = o v .1%. M o n 0 n �' o• �= a 0 0. a s y 0 a 0 x . O a 0 0 0 b ° 00 P 0 '. ". 0 a -.. - n 0. •. K =,- 0_... n 0. no 0 , _.. o a -- 0 N t. Doo. 0. b 0 O OD O ID N O 0 • 0 0 D 0 b m 0. 3 b CD c P O. b N. O 0 Id I m • • •A 144; r «*��� lob r O c EPIAMS MUNMPAUTY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 068-041-03-000 1. GENERAL INFORMATION Expiration Date: j - q - 2 0 2 o Complete legal description OVERLOOK ESTATES BLK 1 LT 3 Location (site address) 6270 Magnaview Dr Eagle River 99577 Current property owners) SILVA RON & CAROL Day phone 907.351.0076 Mailing address 6270 Magnaview Dr Eagle River 99577 Real estate agent none Day phone 2. TYPE OF DWELLING: ❑ Single Family (w/a ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well El Private Septic El Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Vy� Waiver Fee $ Date of Payment 9 la 3�l 9 Date of Payment Receipt Number r) -I a qz) Receipt Number COSA # (35C 19I A/S&I Waiver # 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Eklutna Engineering, LLC Phone 907.355.9820 Address 19162 Mountain Rd Chugiak AK 99567 Engineer's Printed Name Curtis Townsend, PE 6. DSD SIGNATURE –4— System #1 Approved for bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms � OF ALqn ... Ic�,mgt-.T f oat0 � �9�Cj •. tJo.CE .1•��, 1��;®E�pROFES51��p�� bedrooms, with the following stipulations: .�tllllll(flf(�t�,_ '"'}1!)mi))"1 By: Original Certificate Date: t The Municipality of Anchorage 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 Checklist blue sheet Legal Description: OVERLOOK ESTATES BLK 1 LT 3 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 6/93 Total depth 500 ft Cased to 84 ft Al Sanitary seal is functioning correctly OR Wires are properly protected Casing height (above ground) ' 12 in. Date of flow test for COSA 9124/19 Static water level at beginning of test 128 ft. Comments B. TANK DATA Age of tank(s) 5 years Tank type/material septic Steel Measured operating fluid level in septic tank 49" ❑ Standpipes/foundation cleanout per record drawing Date of pumping 26 Sept 2019 Parcel ID: 068-041-03 Structure served by this system Well production at time of test 2.4 gpm Water storage tank volume 0 gallons Well disinfected for coliform test? ❑ Yes ❑ N ❑ Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Curtis Townsend, PE Date of Sample 9124/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 1993 Adequacy test date 9/24119 ❑ ALL standpipes present per record drawing Results Q Pass For 3 bedrooms Total measured depth from grade 8.2 ft (max) Fluid depth prior to test 1 in Measured depth to pipe invert from grade 4.2 ft (min) Water added 450 gal ❑ N/A —pressurized field 15 New depth in ❑ Monitor tubes go to bottom of effective. If not, state 100 depth into effective d Elapsed time min ❑ Code -required soil cover over field Final fluid depth 6 in ❑ System presoaked Absorption rate >450 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) no date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' [✓ Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft M Yes if No ft Neighboring Tank > 100' El Yes if No ft Private Sewer/Septic Line > 25'F/-1 Yes if No ft Absorption Field on Lot > 100' Q Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' Yes if No ft Water Main > 10' Animal Containment > 50' Yes if No ft Yes if No ft F/ Yes if No ft Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' If septic tank is under driveway Community Sewer Main > 75' �✓ Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' [✓ Yes if No ft Surface Water > 100' Q✓ Yes if No ft Property Line > 5' Yes Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Q✓ Yes if No ft Private Wells > 100'[]✓ Yes if No ft Water Main > 10' ❑✓ Yes if No ft Community Wells > 200' F/ Yes if No ft Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' (✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10' M Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' QQ Yes if No ft Water Service Line > 10' M Yes if No ft Community Wells > 200' 0 Yes if No ft Surface Water> 100' ✓(/ Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet AG TH .....:.......... • Curtis L, To nse d -P, Date t 6 w i ``�i No. CE 11 4 .3-63 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` Parcel I.D. # D6if0S//n3 1. GENERAL INFORMATION // "tr' Complete legal description h 3 " ecx HAA'# : • 'Lk Cl 1 icy, Location (site address or directions) ae-gr Gdd./ 055779 z reacn IA" e,2n Tza l/ �-mac;44�_, 120 tt CA -(2-0L 5i -✓/9- Day phone 1a9i-..2Gs17 Property owner g 3 o / _9 £v2 /�� 92 7 9 Mailing address / I Lending agency Day phone Mailing address Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. /4— 74°'e- C24,0 NUMBER OF BEDROOMS: 3 N. TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. • �" - ; TYPE OF WASTEWATER DISPOSAL Individual on-site Holding tank Community on-site. Public sewer NOTE: If community wastewater systIde written confirmation from State ADEC attesting to the legality arid i ystem. 72-025 (Rev. 1/91) . Front MOA 921 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 systemis 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. David R. Dayton P.E. Name of Firm 2021A nnnalnr St Chuglak, Alaska 99567 Address Engineer's signature 6. DHHS SIGNATURE By Approved for Disapproved: Conditional approval for bedrooms. Phone Date /6/54 "•;70.5 Q-:. - 1 /tii..n LL tipk to .° tsr;. .. �re.flyr� `. •°Oi Claes) w*, ic1C Davin k.Dayln1N',y NO.. 2-.^.05. vet .41'.,„:0,°,,°0.000000°.;,%X aQen t /1,°�0oe a°a°`u bedrooms, with the following stipulations: Additional Comments Date 3 - /4 -94 CAUTION ^The Muriicipality 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. 72-025 (Rev. 1/91) Back MOA #21 l Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ,lor 3 acid- / Ot/i uswic- 6-57—Parcel I.D. OG' 0W0_3 A. Well Data Well type P2/t147° If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Y Date completed /0l9 3Driller 51.ie.Lr u DR-/ 'A Total depth 5-'a0 t Cased to P74/7" Casing height Z / Sanitary seal (Y/N) V Wires properly protected (Y/N) Y FROM WELL LOG AT INSPECTION Date of test 6/3 RECEIVED. Static water level / 2-• c. = .a'� L 1 1994 Well flow 2- ia�g.p.m. p.m. MOrucipahty of Anchorage Pump levell Dept. Health & Human Services SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot / 3 co r ; On adjacent lots I +' Absorption field on lot 13c9 ( ; On adjacent lots 1 oc) 1 - Public sewer main n01- Public sewer manhole/cleanout N% Sewer service line zo �- Petroleum tank .✓� WATER SAMPLE RESULTS: cp 0'03) Coliform D C 173‘)/Fe)/Nitrate Date of sample:30 B. SEPTIC/HOLDING TANK DATA /0C/03 • /v (/%3o/Qv) Other bacteria Collected by: Piz -0 c.9 (///9 3) O ( //30,j Date installed CP/ - "3/9i' Tank size )ZSR Compartments Z_ Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression (Y/N) A/ High water alarm (Y/N) N///- Alarm tested (Y/N) "J�i9- Date of pumping /L/&& 5Y5/ 1 Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: 1 Well(s) on lot / 4 On adjacent lots 1 c'6:4+- Foundation Z' / To property line fU i— Absorption field Water main/service line -'— Surface water/drainage 1 co C.D-1-- 72-026 (3/93)* Front CONTINUED ON BACK PAGE C. LIFT STATION // Date installed /1/4'' Manufacturer Size in gallons _ Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off Level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Surface water Date installed 00.3_ Soil rating (GPD/Ft2) 1 % 2- 9e=1/5 System type /�V' Length y7 / Width 3 r Gravel thickness 5L/ Total depth 65 I Total absorption area 37w 5. Cleanout present (Y/N) ')/ Depression over field (Y/N) A-/ Date of adequacy test /t,,/ (.3 5/5/2 iesults (pass/fail) for Bedrooms Water level in absorption field before test/J// After test Peroxide treatment (past 12 months) (Y/N) A/ If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots / oc �-- Property line / To building foundation yJ To existing or abandoned system on lot Al N 3 On adjacent lots (ted-- Cutbank A.09- Water main/service line ZFi Surface water l Elo t Driveway, parking/vehicle storage area L' f Curtain drain ti/0 ) , J E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature David R. Dayton P.E. 202101)4 -Aar St. Chugiat; r.'.aska 9956Z Engineer's Name Date 4 O ,i -.) �, etlp �a. sae d'i 34 b �aF nug V i'nA �Yel »uot; no'o V.. E d HAA Fee$ `3 Co co Date of Payment Receipt Number 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number