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Home My WebLink AboutOVERLOOK ESTATES BLK 2 LT 3Overlook Estates Block 2 Lot 3 #068 - 041 - 09 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP211431 PID Number: 068-041-09 Dwelling: X Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑Q Upgrade Name Melvin J & J 2016 Trust A SORPTION FIELD ElTrench E] Wide Trench E] Bed E] Mound Site Address 27409 Paramount Dr Eagle River Other Phone Number of Bedrooms Soil Rating depth from original grade 3 D/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original de Gravel depth beneath pipe Subdivision Block Lot Overlook Estates 2 3 Ft. Fill added above original grade Gr I length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dista e between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between tr hes From Tank Field Tank Line Ftz Well >100' NA NA NA NA TANK X Septic ❑ S.T.E.P. ❑ Holding ❑ other Manufacturer Capacity Surface Water >100' NA NA NA greer 1250 Gal. Material Number of compartments Lot Line >10' NA NA NA NA plastic 2 Foundation> 10' NA NA NA L T STATION Manufactu Capacity Remarks Gal. Alarm location Electrics ed by Installer PIPE MATERIAL House to tank 3034Tank to 3034 drainfield JRs septic Drainfield CoiMT3034 Inspector Curtis Townsend BENCH MARK (Assumed elevation) 100 ft Inspdectio is' 6/6/2022 zea 7/28/2022 Location and description 3rd --- 41h bottom of siding at point B ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval:Date JW � ..... 1W, �so4,� 1� ��l� SepticSyste Appro e Date t2'Z(�" 2 Z ."° �� `�PRO�ESS10�.�'�.�"` Note: this approval does not include well permit requirements. DRIVEWAY EE 16 SCOPE OF WORK 1 EXISTING SEPTIC TANK . RE . 100' 2. PLACED NEW 11,250 GALLON PLASTIC SEPTIC TANK AND TIED INTO EXISTING ABSORPTION SYSTEM. THE TANK WAS PROVIDED WITH MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST COMPARTMENT. DCOs PROVIDED DOWNSTREAM OF TANK. TANK IS > 5' FROM DECK SUPPORTS. 3 BEDROOM HOUSE 3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15,65. NEK`HBOPINIG SEPTIC, IS, >1 0 , F R 011vt P ROPERTY LINE 1 FCO NO SLOPE SLOPE 47% 9' 8, N G 1 13 0 R-11\41 0 SE P T! FROM PROPR"'', UNrE, E -- EXISTING EFFECTIVE DEPTH TRENCH co C PARA11141,0 v DRIV Septr*c Record Drow'Ma prepared for MELVIN J & J 2016 TRUST 27409 Paramount Dr Eagle River Alaska 99577 OVERLOOK ESTATES BLOCK 2 LOT 3 L EKL Ui T NA ENGINEERING, LLC 9162 MOUNTAIN ROAD C -IUC-11AK, AL,-'SKA 99:'-:)67 4 0 0 8 N. DRAWN: SCALE: OSP211431 8/8/2022 CLT 1"=30' SHEET 2 OF 3 0 1-1j __j M < L,—j U-) 0-I MARK A 8 ST1 39'--B" 16'-8" S T2 44'-6- 22'-3' DCO 45'-11" 23'-10" Prc-�,rjred for MELVIN J & J 2016 TRUST 27409 Paramount Dr Eagle River Alaska 99577 OVERLOOK ESTATES BLOCK 2 LOT 3 OSP211431 EKLUTNA ENGINEERING, LLC C " 6 2 ;V� U �R104r, 56 DATE: DRAWN: SCALE: PID: 068-041-09 8/8/2022 CLT 1"=5' SHEET 3 OF 3 Eklutna Engineering, LLC curtistownsend@gmail.com August 8, 2022 Subject: Overlook Estates Block 2 Lot 3 Field to lot line waiver request OSV221080 Permit OSP211431 was issued to replace the septic tank at this property. After the new tank was installed, a survey as -built was completed. It was discovered that the field is 6' away from the eastern property line. I am requesting a waiver for the reduced separation distance. The following justifications are provided for your consideration. The field in the southeast corner of lot 3 was installed in 1995. The sump for this field is 8.6' away from the eastern boundary line. The edge of the trench on lot 3 is estimated to be 6' away from the eastern property boundary. The effective depth of this field is 3.5'. Lot 41 to the east has a field located in the southwest corner of this lot. It was installed in 1991 and has an effective depth of 6'. The nearest distances between the two fields on these lots is 72'. The distance between these two fields is at least twice the effective depth of either trench. Lot 4 has room to construct any future upgraded trench. Water was not encountered in the trench monitoring tube of lot 3 in July of 2022. For the above reasons, we request that the waiver be granted for the current situation. Sincerely, Curtis L. Townsend, P.E. .;,.....;vi 'CO�'. QFC • Dallo. CE'�.c� `.4i%. Municipality of Anchorage Ot- P.O. Box 196650 e 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV 221080 Permit#: OSP211431 PID#: 068-041-09 Legal Description: Overlook Estates Block 2 lot 3 Engineer: Eklutna Applicant: Melvin Your request for a waiver of the required 10 feet horizontal separation from the drain field to the lot line has been approved. The approved separation distance is 6'. This waiver approval applies to the Existing Trench only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department ❑The affected adjacent property owner(s) have been given a 7 -day notice regarding this waiver. ❑ Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. rljacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: (� 'Z —ZZ Approved by: Name of Reviewer **** VARIANCE/WAIVER REVIEW **** % / \ B M \ / \ � �i �}�\ LL \»� 5 % \ \\\ 3 2£ « i\ < / \$® G /\/ \ 9 \\ s «« o a \�\ \\\\Q\ \\\ \\\\\ / \ � Q /J \ LL, �}�\ LL \»� 5 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://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP211431 Work Type: SepticTank Upgrade Tax Code Number: 06804109000 Site Legal Address: OVERLOOK ESTATES BLK 2 LT 3 G:0465 Site Mailing Address: 27409 PARAMOUNT DR, Eagle River Owner: MELVIN J & J 2016 TRUST Design Engineer: EKLUTNA ENGINEERING, LLC* This permit is for the construction of: Effective Date: Expiration Date �„1enr- S X0 ^^ n �J. r Department Lot Size in Sq Ft Total Bedrooms: 1 011 5/2021 10/15/2022 51678 ❑ Disposal Field CEJ 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 (2417). 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 B) Issued By: Date: Date: 3 MUNICIPALITY OF ANCHORAGE f: Development Services Department Phone: 907-343-7904 On-Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 068-041-09 Property owner(s) MELVIN J & J 2016 TRUST Mailing address 27409 Paramount Dr Eagle River Site address 27409 Paramount Dr Eagle River Day phone AK 99577 AK 99577 Legal description (Sub'd., Block & Lot) OVERLOOK ESTATES BLK Legal description (Township, Range & Section) Lot Size 51,678 Sq. Ft. Number of Bedrooms 3 2 LT 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El AD U) Septic Tank ❑ Upgrade El .(w/wo (D) El Holding Tank ❑ Renewal F-1Duplex 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 applica le Municipal Codes. (Signature of property owner or authorized age ) Permit/Rush Fees: 2Zs Waiver Fees: Date of Payment: /O/6�Z ( Date of Payment: Receipt Number: 0511�op Receipt Number: Permit No. I y 3 j Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Clie*Forms\Permit Application.doc Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211431, Deb Wockenfuss, 10/15/21 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP211431, Deb Wockenfuss, 10/15/21 Municipality of Anchorage Page / of Z' 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 56t) 9500 S 5 PID Number: {'lADC- n& \ \ (9\ Permit Number: Name: te �A --,t,� Wastewater System: 0 New 0 Upgrade Address: ;fox 11/2.2..3/f/J H,,4/< T75// ABSORPTION FIELD Phone: 3,t5 5/9eo i N. of e�edrooms: ❑ Deep Trenchhlaalatloyu n �Q�� Mound t8 Other LEGAL DESCRIPTION soil Rating: / Z GPD/SD/S q. Ft. TottaalDepth from original grade: j� 42 i Lot: 3 Block. DvCreZ•40D/`. ES,T Depth to pipe bottom from original grade: iF 2 Ft. Gravel depth beneath pipe Jt Ft. Township: / 7A/ 7 I Range: / , , e W I Sectioi 5 l Fill added�abovi�r final grade: Ft. T Gravel length: 7C i J Ft. WELL: 121'New 0 Upgrade Gravel width: s Et. Number of tines: I / Distnce between lines: Ft. Classification SPrivate, A.B.C): Total Depth: 300 Ft. Cased To: ///• 5' Ft. Total absorption area: 0 00Ft, Pipe material: 0 303 Driller. Sel li,,a..r) Date Drilled: 6/9S• Static Water Level: 4,'1 Ft. Installer. PO Loa _„1 �' t /f4/ A4' Date installed: 6...45 r?s ��` Yield: A 3 GPM Pump Set at: Ft. Casing H ight Above Ground: / f# FL G V p 6.'0 TAN K SEPARATION DISTANCES $Septic 0 Holding 0 S.T.E.P. • To From Septic Tank Absorption Field Lift Station Holding Tank blic/Private Sewer Lines Manufa tU Gw Capacity in gallons: /ZSO Weil- f/CV 74 Aro . f�OD fly Material: r&e-G Number of Compartments: Surface Water -./04) • . /fil'e'�� LIFT STATION LotSize Line AZ() 1•/ 5- in gallons: Man. - , urer. Foundation 4./O /CJ "Pump on" level at: "P • off" ley High water alarm at: Curtain Drain .F, 50 f Jct Pump Make • • . el !Electrical Inspections performed by: Remarks: AGC cvo/tX oo,UE o J BENCH MARK �RE�/otJ y S�z/,,POE z Location and Description: >01� .0 .,—o;� w/4-G. 4 0,-- ,--LE"L-EZ,EZ L 6VEZ, &-. /'%D. .`TfS. .470v t✓r,>.4j/oA/ e O� � n Z''`.C/' /Wide-0 Assumed Elevation: Ft /r'YG, s�L.9C 6-0 /f /2D(/N/fr.-atm/0)i 7-?a/c) a A ilii r r //t 1w • c \ Qtcles* by: a/N�Sj G=NC/es Dates 1st 6'Z f.) /. 0^� ie•�fe++wtNO.1733E �r�le -0,p`6%,„_ law 22, 1961 ;' 4 4. 4,.: 'w„.«...l�.. NAL v.� ztot /o -Z2-95 Inspections performed /7 .oil /GSoA% 2nd 6 5'75. 3/21 Bac. fi/DK) /o./6, ?6-"' Department of Health anti Human-Services approval / Reviewed and approved by: cI- -c-� J %�� Date. / c/Z Z/jl ”- 72-013 (Rev. 9/91) MOA 25 Permit No. ,5e -t) ?Soo 85. Page of 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 1.31t. ovEre.LooK Es; PID No.: 04-10/4Mopou A 6 3D. off 14,1/41K 4cces 5 $.79- 67- p.4000 -0g. re A 1:10P o• 7,-TANk Access 5 Aim o-uJet-L• C •O• vse44 eor C6-4 976 if c.0 GC gEr T T-Yftt'c% Ftrom MmIc ••••••••••••• o /50./-6).•n. t -e 1")° of3segve.r. cm. ikoic 64- - "-h 4( Vs qz ft. Iy‘ 'TE:4,11,1 41? 'NAP 01:47 +04 . .64 , f# / 41 4 ir !EY • t) 72-013 A (1/93) • TrrtifirbOriLLing tiing DOC Co. ciba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.2759 OWNER OF LAND („, (1)/E e,c› DEPTH OF WELL ADDRESS ; 1 1 1 v 5 /4 I 1 1/' 1 STATIC LEVEL OF WATER FT. , LEGAL DESCRIPTI ON_ /) .27 P71 L COO(‹L DRAW DOWN FT DATE - Started Ended -,/ et -'3 GALS. PER HR T -J PERMIT NUMBER KIND OF CASING , r, KIND OF FORMATION: ) From Ft to :), Ft (---, rt•S ( --i3 CS sc; I/ ,.:„/:-.:,,j /9 From Ft to Ft From --. Ft. to-:''; Ft ,, (,- , i ,.1i -I/, .,1 ,,i 7'X''Fm Ft. to Ft. i / From Ft. to From Ft. to Ft . ,,,i/ ,I.J0.,//).:) t..-- -'..„ .-' Ft , ,': 1 . .- ,-,- / 4 ,, .•,/ ' From i ,-- Ft. to if 1 Ft. c le i 1 7. fr:), -f 7/7 61i'. Vrom ' Ft. to , FFFF tt: ... RECEIVED OCT 44495_ From i ,'„,' , ._, Ft. to -;:' :, Ft ..1, t , -I.- ;--jK,:;f:•• i':."-, ( / -' ' ' From, Ft to From73 Ft to i/ Ft. L..)/ ( :. ', 4 11 From Ft. to From : -'1.) Ft. to (/ -.';? Ft. :i -/ (.:.., f'-,/ T 3 ,,,i :' ,:::., rrom Ft. to From Ft. to Ft. j. ,,i, 7 iz: 4 7-t.1:::.4) From Ft. to FIVIttnieffaafHealth &Human servIA From/ 4;1 Ft. to i;,''S Ft. i1/-.7- 0,4? ,,'; c. i:: t"...,/_ i'l '-'-'.- l'<• -From Ft. to Dept. „ .,.... -7 .... 1 .., - , ,... , ./ Ft. to From /,k `..--, Ft. to /'-"/ ., Ft / C i- •,.:, i' 5 4- 14'-' ' `f,irC, ' ''.. From Ft. From Ft to Ft. From Ft to Ft A From `. Ft to • I II Ft ?),'"" % 4' From Ft to Ft ) 2 ) . Ok. JJ( r Ft to Ft From --- ‘-- Ft to- -I Ft. ,;_./ .. ,,-; •-',-,, r ••:--, From Ft to Ft. From Ft to Ft .... / , / , From - ,,' 1 Ft. to :Pi. (, Ft. t c ,,../ 7, c)( __ k., ( ,4: fl-',.. ,1.-1. From Ft. to Ft. From 2 :' .-:' Ft. to , 7 ) Ft /i):::.,-.),,:', ) C, 4-- - <'4-: ',` From _Ft. to Ft. , 1. 7-; 1, - , ),2) 1,.:_-, i (:). From 7 ') -- Ft to : -.,.'„%':- )Ft. ,i1,,,.:'%) ''..',-, C S": /,'Cl-•vi'L:i.'; TrOm' Ft tia Fr MISCL. INFORMATION:. • I f •", •!(' I 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:SW950085n �1 S DATE ISSUED: 5/24/95 DESIGN ENGINEER Y 11 l narS eWtr C fV U(lEAA EXPIRATION DATE: 5/24/96 OWNER NAME:BITHOS JOHN F & NANCY J OWNER ADDRESS:P.O. BOX 772211 EAGLE RIVER, AK 99577 PARCEL ID:06804109 LEGAL DESCRIPTION: OVERLOOK ESTATES BLK 2 LT 3 LOT SIZE: 51678 (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: 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 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: G0. \ UNDEVELOPED 100' WELL RADIUS LOT 3 / BLOCK 2/ LOT 4 BLOCK 2 PROPOSED 3 BR HOUSE PROPOSED 1000 GAL TANK EXISTING LEACH FIELD 1000 GAL TANK DR/ LOT AREA = 51,678 SF LESS SETBACKS, WELL RADII, DRIVEWAY AND HOUSE FOOTPRINTS = 27,360 SF AVAILABLE FOR SEPTIC SYSTEM SI DTIC SITZ- DLA\ LEGAL: LOT 3, BLOCK 2 OVERLOOK ESTATES IN NE I/4, S25, TI4N, RIW OWNER: GENE JANIGO PHONE: 345-5140 DATE: 5/13/95 SCALE: I" = 100' CONSTRUCTION ENGINEERS 9601 BUDDY WERNER DRIVE ANCHORAGE, ALASKA 99516 346-2000 1 OF 3 LEGEND 0 END 5/8" REBAR ® EXISTING WELL O PROPOSED WELL EASEMENT C: \IJJD\ H W \JANI GO.D W G D ABSORPTION SYSTEM DESIGN DETAILS HOUSE CLEANOUT I' TO 4' FROM FOUNDATION WALL SEPTIC TANK CLEANOU TS WIDE DRAINFIELD 1000 GALLON SEPTIC TANK OPPOSING -� CL ANOU TS SOLID PIPE MONITOR TUBE 0 PLAN VIEW CLEANOUTS PERFORATED PIPE INSTALLED LEVEL GROUND 2 4' 6' MIN. MOUND SURFACE LEVEL 2" RIGID INSULATION - 2" GRAVEL OVER PIPE 4" PERFORATED PIPE PERFS DOWN) 2 MIN. ACCEPTING SOIL 4' MIN. STRATA BELOW DRAINFIELD SEASONALLY HIGH GROUNDWATER TABLE BEDROCK OR IMPERMEABLE LAYER SECTION (END VIEW) NTS NTS SCOPE: NEW ABSORPTION SYSTEM FOR A THREE 131 BEDROOM HOME. THE SYSTEM WILL BE A WIDE DRAINFIELD WITH 4' OF GRAVEL BELOW THE PIPE. / V)O/:';_. �7 ABSORPTION AREA CALCULATIONS: MINIMUM REQUIRED: 3 BEDROOMS X 150 GPD/BEDROOM =450 GPD CAPACITY ✓t I s `/, ,l SOILS RATING AT PROPOSED SYSTEM = 1.2 GPD/SF MINIMUM SIZING = 450/1.2 = 750 SF ABSORPTION AREA LENGTH = 750 SF/5' WIDTH X 0.5 = 75 FT IMPACT ON ADJACENT LOTS: THERE ARE NO PRIVATE WELLS WITHIN 100' AND NO PUBLIC WELLS WITHIN 200' OF THIS ABSORPTION SYSTEM- THE PROPOSED ABSORPTION SYSTEM HAS NO IMPACT UPON ANY ADJACENT LOTS AS SHOWN ON THE ATTACTED SITE DIAGRAM. - SIG\ DP LAI S LEGAL: LOT 3, BLOCK 2 OVERLOOK ESTATES IN NE I/4, S25, T14N, RIW OWNER: GENE JANIGO PHONE: 345-5140 DATE: 5/13/95 SCALE: NO SCALE CONSTRUCTION ENGINEERS 9601 BUDDY WERNER DRIVE ANCHORAGE, ALASKA 99516 346-2000 2 OF 3 CARJD H W \ JA NI GO.D WG ?,`t/ PERFORMED FOR: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST ?6 AJG 0-4-M LEGAL. DESCRIPTION: DEPTH (FEET) 2— F'A1N' 4 - - 5- 6- 7 - 8- 9- 10- 11 - 12- 13- 14 - 15- 16- 17- 18- 19- 20 - DATE PERFORMED: 5 t. 9S - G gee e,vC.e000/L Township, Range, Section: Es74�s 0,e/f/'/c.5., / /z S14N o)/ CP w Go66/es 4 04.6241'6o oE2s SLOPE ra Q WAS GROUND WATER Al ENCOUNTERED? IF YES, AT WHAT DEPTH? S L 0 P E Depth to Water er Monitoring? Date: w c5e..c SITE PLAN Z6 T N 35 9a P9 -/e/ po.o j J2. s- Reading Date Gross Time Net Time Depth to Water Net Drop S-4 /1€63.04-/Z 5--.4. - _ f4" Z' 2',-, ,S " / '� `,» T',/ Z .” 4 " / v toga 2.9 ''7" / ' 8.M Z.,,t S" /q to, Z -r, 6" /" iL"/ Zmi %" /h /SFS+ ZM 8 /" z - S PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN 3 3FT AND FT COMMENTS Sm464-Noe' 'L /2ocxj7 n 1JSc Z r Yp & 4. to /;i.s f/ (4.7/O✓', AZ CPD/.i e•01,e7 car /;e6 h4 PERFORMED BY' �� % 1 771i.1iLsd J CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE .6-• /3 • ` TES" 72-008 (Rev. 4/85) Municipality of Anchorage Development Services Department Building Safety Division • On -Site Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 04'S' Ot t 1- 1. GENERAL INFORMATION Complete legal description Lot 3; sock 2; Overlook Estates Subdivision COSA # NA f'i0 /43 Expiration Date: Location (site address) 27409 Paramount Dr. Eagle River, AK 99577 Current Property owner(s) Nancy & John Bithos -r Mailing address PO Box 772211 Eagle fiver, AIC 99577 Lending agency Mailing address Real Estate Agent Mailing Address Day phone 696-0654 Day phone Cecilia Nims Day phone 2734712 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site 0 Individual Water Storage 0 Individual Holding Tank 0 Community Class Well 0 Community On-site 0 . Public Water System 0 Public Sewer 0 The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given In paragraph 4 by an Independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title .(except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the 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 5 a $ Engineering Phone 694-2979 Address 15861 S. birthwood Loop Rd. Chugiak, AK 99567 Engineer's Printed Name RobertA Shafer 5. DSD SJGNATURE the...v/ Approved for 3 bedrooms. K 457-e Disapproved. / „.,e �Addw:r •.t. r. Conditional approval for bedrooms, with the following stipulations:'''''''."'s". rJ.(VOFANCo .. Q •.N--: zL:•• �� : O N-SITE WATER A►'in t WASTEWATER PROGRAM Attachments: COSA Checklist _L Septic System Advisory Well Flow Advisory Nitrate Advisory _ Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other 13 04411411/467 Original Certificate Date: og (R« 11/051 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: 101- 3; arxR. Qvsetcra* EST, Parcel ID: 0(284'11-09 A. WELL DATA � Well type Tf''Y/fl1 Date completed S Total depth ft. If A, B, or C provide PWSID # Sanitary sealdl 1) 'f c9.) Cased to 1Nib ft. FROM WELL LOG Date of test 6///9 5 Static water level fol r ft. Well production 1. 3 g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mL Nitrate N r J mg!L Arsenic: ug/L date of sample: 5/1//O6/ B. SEPTIC/HOLDING TANK DATA Tank Type/Material SW( KI e Tank size /250 gal. Nurnber of Compartments o2 Well Lae) i5'5 Wires properly protectedtfT) `fu s 'r Casing height (above ground) /04- in. AT INSPECTION 5�� oq 4 g.p.m. try Rwrt, ft. Other bacteria colonies/100 mL Collected by: ¶-S 64...16006Ce'cy Date installed 641/AS Cleanoutsa'l) /C3 Foundation cleanouteN) Yr -S Depression over tank (YCIP /1/430 High water alarm (Y( Na Date of pumping 512_1109 Pumper C. ABSORPTION FIELD DATA Date installed 05/95 Length '751 ft. 0. 5 Soil rating (g.p.d./ft2 or ft2/bdrm) 1•a System type S►fnccMv P -t Width 6.0 ft. Gravel below pipe > 6 ft. / Monitoring tube ICA � r Total depth$'/0 ft. Eff. absorption area 600 ft2 Date of adequacy test 5/5/09 Result n Fluid depth in absorption field before test Ll in. rr Elapsed Time: J O min. Final fluid depth 0 in. Depression over field No Fail) c' For bedrooms Water added y50gal. New depth 3" in. Absorption rate >= 450* g.p.d. Any rejuvenation treatment (past 12 mo.) (Y4g type) A) If yes, give date D. LIFT STATION 1..)//j Date installed Size in gallons Manhole/Access (Y/N) "Pump on' level at _ in. 'Pump off" level . • ig water alarm level at Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot /09r 14- On adjacent lots Absorption field on lot /t, / On adjacent lots 100 'f ,t)1/ Public sewer manhole/cleanout Holding tank ' /r)//i Animal containment areas tUk Manure/animal excrete storage areas — SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation $ r'f" Property line .--/- Absorption field 5-"- r Water main AIR Water service line /0 t Public sewer main Sewer /septic service line as f in. dn- i Wells on adjacent Tots /129 /- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: AV Property line /014- Building foundation (0'f- Water main AVIV Water Service line 014— Surface water /AD 4- Driveway. parking/vehicle storage /0 + Surface water /GNB Curtain drain 50 a- Wells on adjacent lots /pD F. COMMENTS Flaw ?ME: ,c iT aiMEACT Q - s1-13SeCt>;'.�vT u • e1►l-77d05 e G. ENGINEER'S CERTIFICATION I certify that f have determine th . gh field inspections and review of Municipal records that 1 above s; s a conformance with MOA COS • guid: nes rn : ffe. on his d. e. Engineer's Printed JJame Date COSA Fee $ WO 546/0? Date of Payment Receipt Number (Rev. 11/05), QUss'S C_ r_v (4 ..^1.,* . 14274 Waiver Fee $ Date of Payment Receipt Number SGS SCS Ref.N Client Name Project Name/II Client Sample ID Matrix 1091730001 S & S Engineering L3,62 Overlook Est. L3,132 Overlook Est. Drinking Water Printed Date/time Collected Date/time Received Datdtime Technical Director 05/22/2009 16:56 05/04/2009 14:45 05/04/2009 15:50 Stephen C. Ede Sample Remarks: Parameter Results PQL Units Method Allowable Prep Analysis Container ID Limits Data Date Ink Metals by ICP/MS Arsenic Waters Department Total Nitrate/Nitrite-N Microbiology Laboratory Colony Count Total Coliform Fecal Coliform ND ND 0 0 0 5.00 ug/L EP200.8 C (<10) 05/07/09 05/12/09 NRI3 0.100 mg/L SM204500NO3-F 6 (<10) col/100mL SM20 92226 col/100mL SM20 92226 col/100mL SM20 92226 A A A 05/20/09 JDZ 05/05/09 DLC 05/05/09 DLC 05/05/09 DLC 05/21/2009 11:54 9073449821 JRs Pumping PO Box 773415 Eagle River, AK 99577 (907)694-64M i1 n/o atl n S d S Engineering Job Descri 15861 South Birchwood Loop' Chugiak, AK 99567 (907) 694-2979 Yoshi 27409 Paramount Drive Eagle River, AK 09577 (907) 694-2979 Job 8 elyarmatlon P.O. Number. Tema: Salesrap: Map Book Cross Streets: Job Comments: It Sen. Pumped & checked tank levels all normal JRS SEPTIC 1250g Net 30 Kailia Maganaview Drive PAGE 01 Service Agreement Number. 028659 Order Date: 20 -May -2009 Service Date: 21 -May -2009 12:0 Technician: Bruce & Mike TaxY 0 Job Type: Repeat Map Gdd: 137- - 607/09/2004' 12508 Additional Location Comments DIsgrsn: 912rsme•2nac hoe Grey Home wits - on sign post start of dw Fence area - won't be in your way 3-Bdrm Septic at side of home Service Type Septic Sery 1250K Qty Price Each 1 $180.00 Tax? No Gallons Planned: 1250 Gal, Actual: Hose Length: Double Tank: ❑ Pump System: Baffles Inlet: 0 Baffles Outlet: ❑ Extension Actual $180.00 Estimated Charges: Actual Charges: Nontaxable Total Taxable Total 5180.00 10.00 Tax Total 10.00 Grand Total 3180.00 Customer agrees to the leans and condition shown. THIS ISA BINDING AGREEMENT. Signature and T1N of Customer Representative Dale Accepted by JRs Pumping Date Accepted For your added convenience we accept American Expreaa, DIcaar, vas and Master Card payments war the phone MW 30 Days account w4 to turned over to COLLECTIONS. 530.00 For NSF Chocks Retuned. o 4' ••sett r� KO, 30844 •••I &, .e•. • h Ooa N O /e4 dviVC`tcZ8.90 • q 0. 1 h eby eeihi ,that a survey oI Lot. Brock.. c.e `�` vrccooK.._ E T�47•k9 ' Z2 • ... . Subdivision was made on ,�Q — L � —and ��C C that the improvements situated thereon are within the property tines and ot".t/ do not overlap or encroach on the property Tying adjacent thereto. that no tmprovoments on property Tying adjacent thereto encroach on the premises In question and that there ate no roadways, transmission lines or other risible easements on said property except as Indicated hereon. II is the responsibility of the owner t0 determine the existence of any easements, covenants. or restrictions which Co not appear on the recorded subdivision plat. Under no circumstances should any data hereon be rased for construction or for establishing boundary or fence lines. Dated...it Anchorage Alaska. this.._L clay of_QGf 19. CONSTRUCTING ENOINEERS,a. 9001 Buddy Warner Dr. Anchorage, Alaska a,e2000WM. 45- 5o/tar SC e / 50 Y MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES frT Division of Environmental Services On -Site Services Section .0. Box 196650 Anchorage, Alaska 99519-6650 343-4744 , CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel.LD, # n109, - fl-\ \ l)m HAA # 1•P6 r'I"k 550 r1.1.'TGENERAL.INFORMATION 1 `:Complete legal description 6.120(?rIL �s�n t✓S Location (site address or directions) 'LA0 Property ow .ner k1 k -ki _./ �1-110 Ml S nn Day phone } v 55 ail•ingaddr`ess7 •0' 11 t1 KE1 lciG/b 11-617 Lending agency ' I 1 t�� A -Day phone ,'rj / • L•44. _ 1440- 3�4 4,v- PO. W0')at .. AG�t / MaiNng address � • Agent1 k/4 -0e6 - Day phone - Address Unless otherwise requested,. HAA will be held for pickup. NUMBER OF BEDROOMS: ? . 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 NOTE: • Ifcommunity wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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 670"1'5,[ L; .5r.'s Phone 35‘‘—Z000 Address y'/v D/ /&c4/4725/Ai�L%!/z cl�. ,4i� 9%S/� Engineer's signatureG ""' 'R Date /o—ZZ-75" DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: 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.`� CAUTION 72-025 (Rev. 1/91) Back MOA 1121 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES. Environmental Services Division 11.449, 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907 7441,! OF ANCHORAGE !'i11i ENVIRONMENTAL SERVICES DIVISI OCT 2 4 1995 RECEIVED Health Authority Approval Checklist Legal Description: G3/.jZ wE/2000/G E�ST.4TE'S' A. WELL DATA Parcel I.D.: Well type /`' If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) / Date completed — 9 s Total depth 304 i Cased to //%.Jr Casing height (above ground) 'r4 Sanitary seal (Y/N) / Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG AT INSPECTION /, 3 WATER SAMPLE RESULTS: Coliform g.p.m. g.p.m. Nitrate /1% 'E' aETFG?rO Other bacteria 47 Date of sample: /6'' /7, 9,5— Collected by: 4440. B. SEPTIC/HOLDING TANK DATA Date installed ' ?s Tank size /2501. Number of Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y/N) j Depression (Y/N) N High water alarm (Y/N) Date of Pumping . _ Pumper C. ABSORPTION FIELD DATA Date installed ' 75 Soil rating (g.p.d./ft2 or ft2/bdrm) /' 2 System type Gl,//ham 0/e41//t%047EGD Length 75 Width - Gravel thickness below pipe 3, 5 Total depth Effective absorption area O0 Monitoring Tube present(Y/N) / / Depression over field (Y/N) /V Date of adequacy test NEW Results (Pass/Fail) For bedrooms Fluid depth in absorption field before test (in.); — Immediately after= gal. water added (in.): Fluid depth (ins.) Minutes later: — Absorption rate = — g.p.d. Peroxide treatment (past 12 months) (Y/N) If yes, give date D. LIFT STATION AJO% Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested Size in gallons "Pump on" level at* — "Pump off" level at* *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 74/fib z ; On adjacent lots 4. /fid Absorption field on lot 74./0 ; On adjacent lots -f /00 F. Public sewer main 74 /e> O' Public sewer manhole/cleanout ' /49O Sewer /septic service line 74-/00 Lift station /e SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation / O Property line 74 g 0 Absorption field 14 Water main/service line f 50 Surface water/drainage 74/60 Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation '''`/0 / Water main/service line TL SO Surface water /00 Driveway, parking/vehicle storage area ‘er> Curtain dram t 5 Wells on adjacent lots 74/06 ENGINEER'S CERTIFICATION i I certify that I have determined thru Jield inspections and review in conformance with MOA IIAA guidelines in effect on this date. Signature 441 404, Engineer's Name /11/7 Z2/Z5D/0 Date Cc,X..,S j. 2..$', /o- 22- %S Property line 7`-/..5- ,4..06,04016)14, /S �Q 1 4, «I� � C t1 'i ofvlunicipal recVS4 e ar..,ve's eph.Vgre t� +�i�i0. r • 9' ,N', MMi4 vAAdoa.tii64autti, 1 in F•C), ii"a toHereof ." iede, iA klhON'Ai.. .4 t, HAA Fee $ ,SbeD,CDO Date of Payment Receipt Number bl 4 P\ I Rev. 8/95 OSS: haa.wk.doc Waiver Fee $ Date of Payment Receipt Number NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE 2505 FAIRBANKS STREET FA RBANKS, ALASKA 99701 ANCHORAGE, ALASKA 99503 (907)456-3116• FAX 456-3125 (907) 277-8378 • FAX 274-9645 DRINKING WATER ANALYSIS REPORT FOR TOTAL COLIFORM BACTERIA Construction Engineers 9601 Buddy Werner Dr. Anchorage, AK 99516 Phone No. Purchase Order No. Collected by: HW Sample Type: Routine Method of Analysis: Membrane Filtration Comments: Location Public Water System I.D.# Date Received: 10/18/95 Time Date Analyzed: 10/18/95 Time Date Reported: 10/23/95 Time Next Sample Due: Sample Sample Date Time Lab# Comments: S= U= POS = ND = TNTC = CG = HSM = SA = Old = R= NT = *# Received: 12:00 Analyzed: 16:00 Reported: 07:02 Satisfactory Unsatisfactory Positive Test Result None Detected Too Numerous To Count (>200 Colonies) Confluent Growth Heavy Sediment Masking_, Results May Not Be Reliable Sample Age >30 Hours But <48 Hours, Results May Not Be Reliable Sample Age >48 Hours, Too Old For Analysis Resample Required No Test Colonies/100 ml ** # Colonies/ml Total* Fecal* Other* HPC** Coliform Coliform Bacteria Result Comments 1 Hose Bib L3 B2 Overlook • 10/17/95 18:00 AB2965 0 J e Schaefer E ironmental Analyst ND 0 NT S NORTHERN TESTING LA ORATORIES; INC. 3330 INDUSTRIAL AVENUE 2505 FAIRBANKS STREET FA RBANKS, ALASKA 99701 ANCHORAGE, ALASKA 99503 )907)456-3116• FAX 456-3125 (907) 277-8378 FAX 274-9645 Constructing Engineers 9601 Buddy Werner Dr. Anchorage AK 99516 Attn: Henry Wilson Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: Lab Number Method A141459 Overlook Estates Hosebib - Lot 3 Block 2 Water Parameter Units Report Date: Date Arrived: Date Sampled: Time Sampled: Collected By: 10/20/95 10/18/95 10/17/95 1800 HW * Definitions * ND = Non Detected H Above Regulatory Max. E = Estimated Value M = Matrix Interference D = Lost to Dilution MDL = Method Detection Limit Result * MDL Date Date Prepared Analyzed A141459 EPA 353.3 Nitrate -N ReprteBy: Anthony J. Lange Chemistry Supervisor mg/L <MDL 0.10 10/19/95