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Home My WebLink AboutRAYMOND TEDROW BLK 5 LT 3E aymond T drow Block 5 Lot 3E #050- ! 55- 50 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201228 PID Number: 050-155-50 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name WILLIAM RAINER ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 11426 FIREBALL STREET, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 3 GPD/SF JTotal Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Fill added above original grade Ft. Gravel length Ft. RAYMOND TEDROW 5 3E Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption St Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft' Ft. Well 200'+ __ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water 100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation *2.5' __ LIFT STATION Manufacturer Capacity Gal. Remarks Tank installed 5'+ to deck supports. *Waiver Owner installed access hatches to MH/FCO. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Installer ,JRs Drainfield CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1s' 7/14/2020 rd 7/24/20 Location and description ection 2 3`d 4'h BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL�� .®. OF A Conditional Approval: Date -49 vim...-. ""' """':' �•. Curtis Huffman : Fc' CE 128991 ,•��,,,� �'t'l'•.,t/29/21 v Septic System Approved - pP / 1L `� Date �D�% ,.•' Note: this approval does not include well permit requirements. (Rev 05/02/18) 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com January 29, 2021 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: RAYMOND TEDROW BLOCK 5, LOT 3E – TANK TO FOUNDATION WAIVER Due to very limited site constraints (field, foundation, elevations,…), the existing tank was removed, properly decommissioned and the new tank installed in the same location. The existing tank was within 5’ of the foundation for the past 39 years without any known issues or adverse impacts. Granting of this waiver is justified per the following: § There have been no known or observed adverse impacts for 39 years. § The improved new tank is made of higher quality HDPE material with proper bedding. § The perpendicular orientation of the tank to the foundation lessens the encroachment. § The most likely manner of a typical tank failure is the top collapsing and this would appear to have minimum if any impact on the foundation. Given this justification, we respectfully request a 2.5’ tank to foundation waiver be granted at this time. Granting of this waiver will not impact any of the neighboring properties. Also, there are no deck supports over the tank for the less-than 30” high deck. The deck is actually at grade and is supported off the foundation and with supports at the deck face. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. 7/8/2020 MUNICIPALITY OF ANCHORAGE Development Services Department '9 Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 -ME�GEN�� ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-155-50 Property owner(s) WILLIAM & TRACY RAINER Day phone 9073500043 Mailing address 11426 FIREBALL ST., EAGLE RIVER, AK 99577 Site address 11426 FIREBALL ST., EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) RAYMOND TEDROW B5, L3E Legal description (Township, Range & Section) Lot Size 7589 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 (w/wo ADU) Septic Tank 0 Upgrade Q (D) El Holding Tank ❑ Renewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑. Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: 16 8, 7 5 Waiver Fees: Date of Payment:ZUZO Date of Payment: Receipt Number: 7096qz_ Permit No. 0SPZ01 ZZ8 Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350 -9566 / firstwaterAK@gmail.com July 7, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: RAYMOND TEDROW BLOCK 5, LOT 3E The owner has requested that we obtain a septic permit as soon as possible to upgrade the existing collapsed, aged steel septic tank on the above referenced lot. Due to lot restraints, we propose to remove the existing tank and install a 1000-gallon HDPE tank at the same location. Per observations and MOA record documents the existing tank is approximately 3 below grade and 5 to foundation and field. There has been no known issues between the tank and foundation these past 40 years and no foundational bearing issues are anticipated with the higher quality, longevity HDPE tank being installed. The tank will be installed outside any deck supports to serve the existing 3-bedroom residence. The lot and area are served by public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201228, Rebecca Carroll, 07/08/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201228, Rebecca Carroll, 07/08/20 IV)UNICIPALITY OF ANCHOI?AGE DEPARTMENT QF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Tel0phone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT :::,PH O N E - / NAME MAILING ADDRESS LEGAL DESCRIPTION I I Well Dwelling / D~STA~CE TO: k ..,.~.,~ ~.~." Abso,'ption area , ~Liq.~p~ci~ in gallons ~ ............ Inside length I Width fi~ DISTANCE TO: oZ< / Well DISTANCE TO: No. of lines Length of each hne .~L Top of tile to finish grade ~e~l~ ~. ~ Crib dicmeter ~~CE TO: ~ D I ~ TANCE T O 7 Buildi n~ ,~, n~ati o~ INearest lot line Trench width 'f- c~ inches Total length of lines Material beneath tile NO, OF BEDROOMS Depth Crib depth Buildin~u ndation PERMIT NO, N~ompartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT Distance betwegn lines Total effectiv~ absorp$ion area PERMIT NO. ~[~ive ahso,-ption arD Nearest lot lin~ [~] UPGRADE Driller Distance to lot line ' PERMIT NO. Sewer line Septic tank IAbsorpt on area(s) OTHER PIPE MATERIALS SOIL TEST RATING/ REMARKS ,,~L,(9 DATE LEGAL 72-013 ~Rev. 3~78) U F E.k. I I Z T [:,EPFIt:;TTMEi"~T HERL.'TH FIN[:, EI",I',,,'Z ROIqMEI'.,ITFII_ .:OTEC:T I 01'.,I L~: 2.5 '" ,_ :5 T I:,~: Fi: E T ,, i::ll",! C t','10 R FI G E .. R K. 9 f.~, _..:J 1 ;2 6 4, "' 4 7' 2: El (:) If'..,~ .... ,=.'-:-:~; :Z 'T' E: .".E:L.'; F_,.: ~..,,tl EC IF;~." E) [LC::: F-:'.' Ih,il ]E FI F:' F' L ]: C I::1 I",1T L }rE:FI T :[ - I'.,I LEGFIL F:'IREE.:.:RLL 71'. E.R. L.::i:E E,._ RFI'T'MON[:, F' Cl ]:::I. 2 EFll]iLIE Ri',,,'EF.: LOT SIZE T'T'FZ'[.:: (iF 'E;CZL. [IE,.-.,.f~f- [ [(IN .zT::IEfl ]:L:.,: 1P.E:I",I_.I-~ i'"IF:IXIMUM 1'.41JI'"IE:E!:R OF BE~E:,ROOMS; = ':]r:lIL RF:II"ING ,"!:T., F'I',.'"E:fR)= THE REg![J :[ RED ~S]:ZE OF THE 'SL"'[L. HE,.z,..i:.F FION :5"r'STEM I?.,: ',~:2C:ICI '.::;.T. II..I::Ii',;:E FEET I"HliE I...Ei'.,tGTH [:, :[ I'"IFN5; I ON ;1: S; THE L. ENGTH ,:: I N FEET ::, OF: 'T'HE 'TRENC:H OR [:,RFI I NFI El...[::,. THE I}EPTH OF R TFi'.ENCH OR PIT ]::~.; THE [:, ]: S'FFINE:E B[.T. TI.,.IEEN THE S.;URFF-I[::E OF THE GROIJi',![:, F:II'.,I[:, THE E',CI'FTOhl OF THE E;:.::CFI'v'RTIOI',I ,:: I I'.,I FEET). THERE .1:S; NO S;ET H]:E:,"f'H FOR TRENCHES. THE GRF:I'v'EL. E:,E:F'TH ZS 'r'HE I'"IINIML$1 [:,EF'TH OF GRR',,,'EL. BETHEEN THE OUTF'RL.L. F'IF'E FII',I[:, 'TiaE BOTTOM O1::' TFIF EXCR'v'F:IT!ON ,:: I I',l FEET). F[::.k.l'lZ ] ......"' I" F' L...[ I:::FI~',I"~" HH:::, THE F4. E=,F" .... ' -~1',1:, !. L:.: :[ L. I' .... 1" r' '1"O II"JFCd~:M THIS; [:,E:F'FIR'f'MENT I'::,I..II:R]:I',IG. THE!: Z NSTFIL.L.I::t]" I ON I t"F: PE- T Z -N':'; OF' FIN"r' [,IELL'::; FIDJRCENT TO 'T'H I :E; - r, . r rz.r, ~ T RF,IE:' THE NLtt"IE~EF:'. OF F.'E'~.:IE,EH"JES ]"l'"lFl'l' 'I"HE HEI_L. H]:L.L. S;ER',/E. BFICKF:' I I....L. I I",IG OF FIi'.~'-/ :~;"r'~STEM H I TF.II]I..IT F :[ I'.,IFqL I Iq:3F'EI]T I Ct~",~ FtlqE:' FIF:'r:'F::O', 'FIL. E:'T' 'f'H ! [:,EPF:II'4:TMENT H]:L.I... BE ':..51JE:JEC'F TO F'F..'.OSIEE:IJ'FION. i"I:I:Ni'MLIM [::,ZS;TFINCE E=E:TI.qEE:N R HELL FIN[:, Rl",l"r' OI",I-5;I"FE: .SE:HRGE DI2;POSRL SYSTEM :[5; :;!..~;i.~(.~ FEET F'OR R PRI'v'Ft]"E HEL. L OF.: ::LSE~ 'l'O 2~E.~E~ FEET FRFd"I Ft PUBLIC klELL DEPE:NDZNG LIPON THE TY'PE OF:' F'UE',L ]: E: HELL. M]:NLrML.1M [.':, :[ ~;TF:tNCE: FROi"I FI PR ]: 'v'FfFE HE:L.L. TO FI F'RZVFiTE SEFIER LINE I'.5 25 FEET FIND TO fl COMI"IL.IN):T'T' SE!.qEF..' I_]:NE ]:'2., 75 FEET. OTHEI:;;: REg!U I REMEI'.,FP.2 I'"lFl"r' I::IPF'L."r'. S;PEC .[ F' :[ C:FF[']: ONS I::INE:, CON'.:2;'FRUCT ]: ON E:, ]: FiGRRI"I:FJ F~F.:E FIVFIILFIBLE TO Ii',ISIJRE F'F.:OPER :[NSTFIL. L. FITIOI',I. I C:ERT :[ F'"r' TIqI:::I'F ±: I F~I"'t F:'FiMI[..IFIR I.,I.1:'FH 'FHE REQUIREMEr.4T:E; F'OR OI'.4--.SITE SEHE:RS Rt',IE.', HEL..L.'::.; F:tS S';E'T' F:ORTH [~:'.r' THE MUN I C I PFtL..I: 1"'¢ OF RNCHORFiGiE. 2: I H]:LL. INSTFILL THE :.2;'-r%'rEM :IN FICCOR[:,FINCE HITH ]'HE C:ODEr.:E;. :!i:: I UN[:,EF,.'%TFII'.,t[:, THFI]" 'THE Ot.,f-S;ITE SEI.4ER S'¢S'I"EM MR'[ REL::!U ): RE Er.&.F:iF;:GEMEi'.4T iF THE RE:':ii;IE:,ENC:E IS; RE:I','IO[':,ELE[:, ]"0 INCL. U[:,E MORE: ]'HFiI'.,I ]: E:EDROOMS. ...:i::i::.:;:;:ii¥ ....... ........................ .................. : ........................ './7 .................................................. : ................. O&E ENL,,NEERING & DEVELO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 MENT CO. i~l~ssell Oyster 694-2774 Performed for: Legal Description: Depth (feet) 0 1 2__ 3__ 7 ~0 14 15 Name: Earl Ellis SOIL LOG 688-2280 Soil Characteristics If yes, what depth Drain Field Ground Water Encountered: Yes No__ Proposed Installation: Seepage Pit PLOT PLAN PERC. TEST Comments: Performed by: ~-/'~- ~'~ ¢~-~- .~¢~-'/~'//¢~ Date: 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 i55' Parcel I.D. o5o-~-5o GENERAL INFORMATION Complete legal description Location (site address) Raymond Tedrow: Expiration Date: /~/' · Block 5, Lot 3E 11426 Fireball Street, Eagle River, AK Current Property owner(s) Robed or Michele Mathew Mailing address 35 Miford Street, Brookline, NH .03033 Lending agency Mailing address Day phone (907) 223-8527 Day phone Real Estate.Agent Hope Russo/Kellew Williams Mailing Address 11901 Bussness Blvd., Eagle River AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 3 Day phone (907;) 301-0701 TYPE OF.WATER SUPPLY: Individual Well [] IndiVidual Water Storage [] Community Class Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding Tank [] Community On-site (--]' Public Sewer [] 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 disposa] system is(are) in compliance with ail app]icable Municipal and 'state codes, ordinances, and regulations in effect at the time of installation. Name of Firm Douglas T. Kenley P.E. Address 9806 E: Northstrar Circle; Palmer, AK 99645 Engineer's Printed Name Douglas T. Kenley DSD SIGNATURE ~ Approved for ~ Disapproved. Conditional approval for Phone (907) 746-1073 Date. II/¢'~/1I bedrooms, with the following stipulati~S~,.-'~ ~=~ Attachments: COSA Checklist SePtic System Advisory 'Well Flow Advisory X Arsenic Advisory Maintenance Agreements Supplemental. Engineer's Report Other Original Certificate Date: (Rev. 11/05) Municipality of Anchorage Development Services Department Building Safety Division On; Site Water'& Vtfastewater Program" 4700 Elmore Road P.O. BOX' 1'96650 ..,,. Anchorage~AK 99519-6650..~. www. munLoroJonsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS'APPR0VAL:;CHECKLIST Legal Description~ ~'~r~ ,e~)w S/D,, B, ,le~k, ,5, Lot 3E A. WELL DATA - ' WelI type ',Public If A, B, or C provide PVVSID # ..... Parcel ID: 050-155-50 LOg ~: ug/L date of ~:; '- ......... .S. ,~EP~DI.~IGTANK DATA ~:a.~ T~M~e~al, ,,~ Septic/Steel Da~e installed 4/28/81 ' T~nkSize,''''~'[~o gal.;:' .... Number0foompa'fl~ents '2 ........ cle~nOuts(Y/N) '" y Foundation cl~a'r~ut (YIN), ;Y* Depre~on 6,ver tank (Y/N) N High water alarm (Y/N) N ,Da't~,of pumpihg .,, 4/21/2Oll P~; ~,~?. JR;s, Pumping' ' c. AaS~ ~mU)OATA , .Soilraltn~ g~p.d./ftZorft2/bdrm) 100 System tYpe. .... Trench Tot_al depth , 13 ft... ''~ ' Eft. absorption ar~,, 320 .ft2 Monitoring tube Y Depression over,.fleld N.: Date of adequ~i ~test' **Seeattac~, let~ ., Results (Pass/Fail), Pass 'Fo~-~ 3 ~.bedrooms. Elapsed Time: ,,, ** min. Final fluid depth , in. Absorption rate >= 450 g.p.d. Any ~nation treatment (past 12 mo.) (YIN & type) N ff yes, give date '-- ~Date installed Size in gallons.': ' ' ~*-" *Manhole/Access (Y/N) ~PUmp on" ]evet at .in. "Pur~p off' tevelat in.' ' High water alarm .level,at SEPARATION DISTANCES : *' "' ' :"*~ '~ Septic ~ station on ~ot, , :._ / On adjacent k)ts AbsorPti°n fi'.d 0n iot~ ~~ ~ ' on ad~t k~s Public sewer manhole/cleanout SeW'&~Septic--serviCe,'line. "' Holding tank Anim~il ~:onta~nment areas 50 ft: Manure/animal excrete storage'areas 100+ fL' SEP~I:~TION DISTANCES ~ROM SEPTIC/HOLDING TANK ON LOT Building foundation 4 Tr." ' ~line lO+lt. Absorption fie}d 5ft. Water'main 1 0+- fl:. ~ Water serviceline 25+'ft. SUrfaCe water ~0oLr,. Wells onadjacentlots '200+ fL SEPARATION DISTANCE. FROM ABSORPTION FIELD ON LOT Property line. 10+ ff. Water,Service lirie: :25+ fL Building foundation 10 + ft. Surface water Water main ' lO'+=fl:. ' 'Curtain drain Nonelmowntoexlst Wells on adjacent lOiS 200+ft. F. COMMENT. $.~., . .' ENGINEER'S CERTIFICATION ,mv~e.w.,.gf..~...Mun.~i~...m.~,,~. ~ float :~e a,bove 'Sy~terns are' .~. ~n~an~ w~h ~A COSA gu~i~ in ~ on '~is de~. Engi~s Pfint~ Name Do. las T. Kenley ;1- /- I ) .. (Rey..~/l~ 'VV~iver Fee $: Date of Payment Rec~pt Number Douglas T. Kenley, P.E. 9806 E. Northstar Circle, Palmer, Alaska 99645 (907) 746-1073 December 1,2011 Municipality of Anchorage On-Site Services 4700 South Bragaw Anchorage, Aiasl~a Re: Robert Mathew, Owner 35 Milford Street Brookline, NH 03033 Property: Raymond Tedrow S/D, Block 5, Lot 3E To Whom it May Concern: An adequacy test was performed on the above referenced property on November 12, 2011. Results of the test showed that the septic system was able to absorb the amount water required for a three bedroom residence however, a presoak was not performed prior to the test as required by On-Site Services for vacant residences. This letter serves as a supplement to the COSA certificate to describe the procedure taken for testing the septic system and to provide a justification for our passing the absorption test without conducting a presoak. On November 12, 2011, an adequacy test was started on the system by introducing 1000 gallons of water into the second cleanout of the septic tank at 3:29PM. Prior to the injection of water, the depth of fluid in the monitor tube was measured at 29-1/2" from the bottom. After the 1000 gallons had been injected into the system, water in the monitor tube was measured at 57-1/2". The test was stopped at 4:56 p.m. A reading was made on November 13, 2011 at 4:35 p.m. and the water depth was found to be 22-1/4" from the bottom showing that more than 1000 gallons had been absopred over the 24 hour period. A phone call was made to On-Site Services explaining that the owners had moved in May, but that someone was checking on the house periodically and using the bathroom facilities. Deborah, with On-Site Services stated that due to there being no occupants in the resident, the system would have to be presoaked with 2000 gallons and then tested again within 48 hours. On November 14, 2011, at 12:25PM a presoak period began with water in the monitor tube measured at 23-0" from the bottom. The presoak ended at 6:08 p.m after 2000 gallons of water had been injected into the system. At 1:30 p.m. on November 15, 2011, the water in the monitor tube was measured at 28-1/2" from the bottom. A phone call was made to your office with the results, and it was suggested by Deborah that due to the volume of water that had been absorped by the system over the course of the 3 days that the Engineer of Record, provide a letter stating the reason we feel the system should be considered to have passed the testing requirements. We feel that the system should be considered to pass the adequacy test due to the fact that over a 2 day period of time (with one day rest in between) approximately 3000 gallons of water was fully absorbed by the system. This volume more than satisfies a requirement for 2000 gallons of pre- soak water and the required testing volume for a three bedroom home of 450 gallons. We Raymond Tedrow S/D, Block 5, Lot 3E Gecember 1, 2011 Page -2- request that this information be considered by the MOA as evidence the system should be considered as passing. As a side note to the COSA documentation it should be recorded that the foundation cleanout for this residence is located in the crawl space and not on the exterior of the structure as it would be typically found. Sincerely: Douglas T. Kenley, P.E. PE #8176 Douglas T. Kenley Civil Engineer State of Alaska C.E. 8176 Legal Description SEPTIC SYSTEM ADEQUACY TEST Raymond Tedrow S/D, Block 5, Lot3E Address Applicant 11426 Fireball, Eagle River, Alaska Robert Mathew Phone 223-8527 Date of Test 14-Nov-11 Inspector Fred W. Kenley Work Order 11108 System Data Tank Volume 1250 Absorption System Trench Number of Bedrooms 3 Absorption required (150 gal./bedroom) 450 TEST DATA TIME Diff. Meter Diff. Cum. Flow Septic Trench Comments Reading Volume Rate Tanck Level (In.) Level 12:25 0 27440 0 0.0 0 48 23 1:36 71 27886 446 446.0 6.3 4:04 148 28748 862 1308.0 5.8 5:14 70 29158 410 1718.0 5.9 6:08 54 29446 288 2006.0 5.3 63-3/4 Stopped pre-soak 1:30 28-1/2 11/15/2011 System Passed Comment.~ Yes System Failed Page 1 of 1 Douglas T. Kenle¥ Civil Engineer State of Alaska C.E. 8176 Legal Description Address SEPTIC SYSTEM ADEQUACY TEST Raymond Tedrow S/D, Block 5, Lot3E 11426 Fireball, Eagle River, Alaska Applicant Robert Mathew Phone 223-8527 Date of Test 14-Nov-11 Inspector Fred W. Kenley Work Order 11108 System Data Tank Volume 1250 Number of Bedrooms 3 Absorption System Trench Absorption required (150 gal./bedroom) 450 TEST DATA TIME Diff. Meter ' Diff. Cum. Flow Septic Trench Comments Reading Volume Rate Tanck Level (In.) Level 12:25 0 27440 0 0.0 0 48 23 1:36 71 27886 446 446.0 6.3 4:04 148 28748 862 1308.0 5.8 5:14 70 29158 410 1718.0 5.9 6:08 54 29446 288 2006.0 5.3 63-3~4 Stopped pre-soak 1:30 28-1/2 11115/2011 System Passed Comment~. Yes System Failed Page I of 1 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address Or directions) _// Current Property owner(s)-//~/%'~e ~4¢ Mailing address ~//~/,,3/~ Lending agency Day phone Mailing address Real Estate Agent Mailing Address Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: _ ~ TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class. Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding tank [] [] Community On-site [] [] Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon request to homeowners. Certificates of Health Authority 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 bne 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 be[ow, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functionaI 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 /.~'7/~ -~ 7~. 7~e.,~/~ ~ Phone ~ ~' ~'~/~ 7~ Address ¢¢~ Z~ ~ ~' ~/~' ~ ¢¢~' ~ 5. DSD SIGNATURE [/'""" Approved for ,~ bedrooms. DisapPrOVed.` Conditional approval for bedrooms, with the following stipu Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory (Rev. 01102) X Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Develo ................. gp,m · ~ ..... .... .- Cleanouts (Y/N) min. rn. ~ystem type_ ~/"rz~/~Z~ ft. !el be ow pipe ~_ Mon,i_tBring tube .v' Dep~'e;$sion'~Ter field ~ ~ For~ bedrooms depth Size in gallons "Pump Cycles tested ...... ' ............. Manhole/Access (Y/N) at 'n. Meets alarm & circuit reouirements? . ::' ~ (~';~ljacent ets field on lot Public sewer manhole/cleanout Holding tank service Line ............ )iS~ANCE~S-FROM SEF~T~C)FioLD'iNG TANK ~,N,.,~_T TO: N DI~TA~C'E~ ~ROM ABSORPTION FIELD ON LOT TO! /~ ~ / Building foundation /~ P Water ma~n Property"line ./~'"~'; Abs0rp"~ibff field ¢~ / Water service line ~f z ce ter ~ ~ · Wells on adjacent lots records that the above systems are ~n i ~ith MOA HAA guide]ine~ [n~ffect on this date. Receipt ASBUILT ~ SEWARD · CERTIFY .THAT I HAVE sURVEYED THE SCALE: FOLLOWING DESCRIBED PROPERTy: / ~u 1HAT NO IENCROACHME~NTS ExIS;~EXC~i~.T ~,$ INDICA~D. ST IS THE RES~NSiBILI~ OF THE OWN~ ~ D~ER~INE THE ~ISTENCE OF ANY E~EMENTS~ COVENANTS~ OR RESTRICTIONS ~11~N ~. ~T ~PEAR ON THE RE~D~ ~BDI- ' uN P~T. UNDER NO CIRCUMSTANCES 9~ ~Y DATA H~N BE US~ FOR coNsTRU~iON FENCE LINES~ OE FOE AEY LINES. EST~LISHING ~ND- DRAWN~ _ _ ASSOCIATES LAND SURVEYING 694-08~9 ~.... · ,~ ..~ ,...,.x~..~~ 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 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 050-155-50 HAA # '~-i'-~,¥'~-.~('- Li i~-~ GENERAL INFORMATION Complete'legal description Lot 3E, Block 5, Ra~nond Tedrow S/D Location (site address or directions) 111426 Fireball Street Property owner Mailing address Ken & Pat Barton Day phone 249-2249 11426 Fireball Street, Eagle River, AK 99577 Lending agency Mailin. g address Agent Address Residential Mortgage/J D Meecham 1400 W. Benson Blvd., 2nd Floor, Day phone 222-8827 Anchorage, AK 99503 Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: xxx 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: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA ~21 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. $ & S ENGINEERING Name of Firm ,.,,,cA.. vw ..=._~-~'~ ~!v--r L~_~F ?--~d Ne. ~ Phone ,~ Address Eagle River, Alaska ~)9577 Engineer's signature ~'~/~¢//~/~ /~?-.~-¢, Date DHHS SIGNATURE ).,-'/" Approved for -~' H/~ ~' E' bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain 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. 72-4~25 (Rev. 1/91) Bsck MOA ~21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · Health Authority Approval Checklist Legal Description: Lo F~ ~ & ~c~c~< ~5 ~¢y ¢0~) ~'arcel I.D.: ¢ ,~4) ..i ~*,¢~ - 4~ O Well type Log present (Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well production Da ot~fsample: If A, B, or C, attach ADEC letter. ADEC water system number Date completed to C~(above ground) Cased fes properly protected (Y/N) FROM WELL LOG~ AT INSPECTION g.p.m. Nitrate Other bacteria Collected by: g.p.m. B. SEPTIC/HOLDING TANK DATA Date installed ~/~-'~' / ~' t Tank size Foundation cleanout (Y/;~)) >' o Date of Pumping ~ / c/~ I ~ .~O Number of Compartments Depression (Y4:~) ~ o High water alarm (Y/I~ Pumper ;F ,C C. ABSORPTION FIELD DATA Date installed H ~/~-~¢ t 9' I / Length ~ 0 Width Effective absorption area '3.Z o Date of adequacy test Soil rating (g.p.d./fF o~ ff~,~--~.j 3 ) ~ o System type 3- ¢¢ ~''' Gravel thickness below pipe ~ Total depth Monitoring Tube present ~(_~N) ¥/~ ) Depression over field (Y/~-~ _3 Results~aH) /'~ 4 ~' 3 For Fluid depth in absorption field before test (in.); -~ '~/'/-" )~ Immediately after '?'~/t gal. water added (in.): ' ," to ~/ $-CP ~ .g.p.d. Fluid depth '7) ~o /,. (ins) Minutes later: Absorption rate = Peroxide treatment (past12 months) (Y/N) ~v°'~ ~"'¢~""J Ifyes, givedate '~ .bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles.~'~/ Size in gallons "Pump ~ *Datum "Pump off" level at*. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation q" ~ Propertyline $'- ~ Absorption field Water main/service line / 0 ~- Surface water/drainage / O 0 '~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain l0 Building foundation ) o + Water main/service line ) o -/--' ')' Driveway, parking/vehicle storage area i 0 ~-- ~ ~ Wells on adjacent lots ~ /A F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and in conformance with MOA HAA guidelines in effect on this date. Signature ~,~/.~Z ~.. Engineer's Name ~'~ Date are HMFee $ ~O-~, , ~'~D Date of Payment ..///a'l /~ ~ Receipt Number ~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF ~IEALTH AND ENVIRONMENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date ~~~-~ (a) Legal Description (include lot, block,~subdivision, sec~ti~on, townshi ,~t'ange) Location (address or directions) (b) Applicants Name~.~->~MPY~' ~ 277~ ~/ Telephone - Home Business Applicants Address ~_o.>, -:: ::~J~_× ~ ~<~/~/-- (c) Applicant is (check one) Lending Institution Buyer ~--~ ; Other ~-~ (explain); (d) Lending Institution~ ~' \-ia,.~, ~] ~ ~ I~ Telephone Address (~) Real Estate Co.& Agent Address (f) Telephone Mail the HA~ to the following address: 2. Type of Residence Single-~ ami Y Number of Bedrooms Multi-Family~--~ Other (describe) 3. 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. 4. Sewage.·Disposal~ Note: ~f 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 Providing In~pe.ctions~ 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 w~astewater disposal system is in compliance with all Municipal and State codes, ordinances, and regula- tions in ef~ on the date of this ins~on. Name of Firm ~/~7~.~,~ ~/~ ~ .~-~' . TeleP/h°ne-~/~-~'~/ Appraved ~ Disapproved __ Condition~ ~ Te~s of Conditional Approval ~:, CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT- ATIONS GIVEN IN pARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER REGISTERED IN TIlE STATE OF ALASKA. TIlE DHEP DOES THIS AS A COURTESY TO pURCHASERS OF HOMES 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 I$ ISSUED. TIlE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. 7-19-84 WELL DATA DFPT. OF HEAL'i'H & I~NVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MO~I HEALTH AUTHORITY APPROVAL (HAA) j~ CHECKLIST- FEBRUARY 1984 264-4720 D RE C.EIV£ Lega~L~ription: ~.~':'~';~---~-~, Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding 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 If A, B, C, D.E.C. Approved (Y/N) Date Completed Yield Cased to Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date SEPTIC/HOLDING~K DATA Date Installed ~~ Size Stand pipe~.._..~ Air-tight Cap~J) Depression over Tank (~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/~.l~iing Tank: To Water-Supply Well -"/////~. . To Property Line . To ~/Service?~e~ .--.. ~ //-,~ Course /'~',~,¢;~-:- No. of Compartments Foundation Cle~ou~[~) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) / To Building Foundation To Disposal Field , To Stream, Pond, Lake, or Major Drainage ,/(% *>- ' ?... ? · _ .. Page 1 of 2 ,' .,_( -)',;; : - 72-026(11/84) ABSORPTION FIELD DATA Soils Rating in Absorption Strata ./¢/~:~ ,~/'¢' Type of System Design/, Date Installed ~ - -~--~ ~ ~// Length of Field ~'~-~ /~- Width of Field , E-~ Square Feet of Absorption Area--"'-%~''d5 ~ ¢¢~ Depression over Field (Y~_ Results of Last Adequacy Test Separation Distance from Absorption Field: ' ././ TO Water-Supply Well .P~///~'/~ To Building Fou. ndation ~' 2..~ / Lot ./~'~ ~--~,,/=,¢/¢ / To ~/Service Line ./~ ' / - To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ IN¢~O.~'T'~/~ F4e)~o?4'' Depth of Field /~ Gravel Bed Thickness ~ Standpipes PreserVe) Date of Last Adequacy Test 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" LeveJ at Vent (Y/N) Pumping Cycles during Adequacy Teal 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 ~,/~/~ ~. ~<¢4~'.~ :w-~ Date Company ~g./~'~,fl2) ~ P~ MOA No. ReceiptNo. '~'~/ Amount: $ ~ ¢~ ~¢~2¢- ~.;:{(;2 ~'~ ~¢ Engineer's Seal ANCHOR,.GE WATER & WASTEWATIzj, UTILITY 3305 Arctic Boulevard, Suite 100 Anchorage, Alaska 99503-3898 (907) November 4, 1985 Tony Knowle$, Owned by the Municipality Mayo, of Anchora~;e Dear'Sunny Slopes Water System Custc~er: @% behalf of the Anchorage Water & Wastewater Utility (AWWU), I would like to apolc(3ize for the misunderstandings surrounding the plans for upgrading the Sunny Slopes water system. Hopefully, this letter will clarify your remaining ...... .¢~u~t~ $.0nS ~ ............... I ~ aware Representative Sam Cotten sent a letter infoming the Sunny Slopes' water customers that AWWU would pay for construction of the new water service connects. AB~JJ told Mr. Cotten the new water main and service connects should be constructed at no cost to the property owner. However, upon further review, it was determined AWWU could not take on the legal responsibility for constructing new service connects on private property. Doing so would be contrary to previous rulings by the Alaska Public Utilities Commission. A~WTJ has agreed to reimburse a maximl~ of $_1~500,00 to all of you who are required to reconnect your water services~ (A map of the i~0acted properties is attached.) AW~FJ will reimburse you once you provide a copy of your bill for the v~)rk. 'The Utility encourages the property owners to obtain a group bid° Hiring one contractor to do all or most of the reconnection work should lower the costs of the work~ If technical assistance is desired, ~¥ staff is available. However, all of the reconnections should ~ completed by August, 1987, when the old main se~-~ing the properties affected by the current construction will be abandoned. For those o~ you affected by the improvements under const~action on Echo Street.. f_~)wer'"Sunny Circle and B.'3mt~e Wayr the ~"eimbursement ~,~m~_ ~ ..... is available now. We intend to eventually install new water ~ins in Upper Sunny Circle, Aur_ora, Celestial, Dawn and Couonado. If state funding is available, a s~l!.lar reimbursement pregram will be used for reconnec~ting se~;ices in these st):eets:, If you have any questions, I encourage you to contact our' new 'Eagle River customer seuvice office at 694-7720 or Mr. Louis J. Bonito, Manager of Engineering', at 786-9775. Sincerely, ~',AN G. MICHOU Genera]. Manager Anchorage Water & Wastewater Utility JWS/dwT63 APPLI(' NT FILLS OUT UPPER HAI ONLY ' - .... / ~ Zip Code Type of Residence ~ Single Family ~ Multiple Family No. of Bedrooms_ ~ Other Water Supply ~ Individual A~ACH WELL LOG. A w¢l Icg is required for all wells drilled since June 1975. ~'Community For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ('), ,/, / / q ? / ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: / ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Date Date Date Dale Inspector Inspector Inspector Inspector MUNICIPALI~ OF ANCHORAGE Field Notes: DFPT ¢c :,~,~ , ( ~_APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' DATE Soils Rating Date ~wer Installed Well TO Absorption Area Well Log Received ~_~., t~ t Well to Tank Septic T~k Size