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Home My WebLink AboutRIVER VIEW ESTATES BLK 5 LT 2River View Estates Block 5 Lot 2 #050-721-28 trcev uo/uuits) Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page 1 of 1 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221246 PID Number: 05072128 Dwelling: ❑■ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑■ Upgrade Name MICHALSKI ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 21365 BARBAR FALLS ❑ 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 RIVERVIEW ESTATES BLOCK 5 LOT 2 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 98 - _ _ _ TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface Water +100 _ _ _ Material Number of compartments Lot Line +5 - - - NA POLY 2 Foundation +10 _ - - LIFT STATION Manufacturer Capacity Remarks TANK ONLY — _ Gal. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 Tank to drainfield UNK Installer GUARANTEED SERVICES Drainfield UNK CO/MT 3034 Inspector C&M ENGINEERING BENCH MARK (Assumed elevation) 100 ft Inspection151 7/29/22 Location and description BOTTOM OF SIDING NEAR FCO 3`" 41h ON-SITE WATER AND WASTEWATER SECTION APPROVAL 9/1/22 Engineer's Stamp 1F Conditional Approval: Date co TH rr Septic S ste �2 i;HARLES G BALZARII�I ��• CE-13854 Approved 1� Date . AW' lliF� PROFES Note: this approval does not include well permit requirements. SIO�P� trcev uo/uuits) i i i A APPROX DRAINFIELD LOCATION OF A 49 TH iiHARLES G BALZARINI '��F��l • CE -13854 PROFESS'I m n � 3 -BEDROOM NEW 1250 GAL POLY TANK HOME RIVER VIEW ESTATES BLOCK 5 LOT 2 100 FT WELL DRIVEWAY -� RADIUS EXISTING WELL --T 10 U11UTY EA I ��// BARBARA FALLS / INSULATION OVER TOP OF BM:+100.0' TANK MH 3' COVER lJl +2� INSUL 95. 95 SEPTIC TANK 5.1 SCHEMATIC PROFILE VIEW SHOWS ELEVATIONS OF INSPECTED ELEMENTS BUT ODES NOT DEPICT SYSTEM IN ITS ENTIRETY. INSPECTION FOR GENERAL CONFORMANCE TO DESIGN AND MOA REQUIREMENTS ONLY. CALE: 1" _ SCHEMATIC ELEVATION - SCALE: NTS LEGAL DESCRIPTION: RIVERVIEW EST B5 L2 C&M ENGINEERING SERVICES OWNER: MICHALSKI DATE: 8/12/22 1 REV: I DRAWN: CBJ REF: 907-854-5558 SEPTIC RECORD DRAWING Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System for RIVERVIEW B5 L2 Dear Reviewer, The tank was replaced at the above referenced property. The was installed at a distance that measured over 100 -feet from the well. Upon receipt of the asbuilt survey, it was found that the tank was 98 -feet from the well. It is believed that the distance measured by the contractor did not account for the slope. We are requesting the separation distance between well and tank be waived to 98 -feet. This is a significant improvement over the placement of the original steel tank which was closer to the well. Properly installed plastic tanks are unlikely to leak in their lifetime which justifies this relatively minor encroachment, along with the history of approval for the previous tank. We are requesting that the waiver fee be waived, as has been done on similar installations where a waiver was in place for the existing tank. Thank you for your time in reviewing this request. Please do not hesitate to contact me at 907-854-5558 or by email cgbalzarini(cDgmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 9/2/22 ..mak 1 "CHARLES G BALZARIN( CE13854 ��i�o'°ROFES51tiN�`��.e� 11 T unic1pa.tity of Anchorage February 3, 1987 P.O. E X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Lou Butera, P.E. Eagle River Engineering Services P.O. Box 773294 Eagle River, Alaska 99577 Subject: Waiver request for Lot 2 Block 5 River View Estates Waiver Number WR87-011 Dear Mr. Butera: Your request for waiver of the required 100 foot separation from a septic tank to a private well for the above mentioned parcel has been given a conditional waiver at this time. The separation distance pending upon conditions being met has been waived ., The conditions of this waiver are as follows: 1. At the time of excavation the septic tank is exposed and the integrity of the tank verified and if not already in place, water tight calder couplings or the equivalent be placed on the tank fittings. 2. The upgrade of this system be constructed to the engineers design and completed by June 15, 1987. If you have any questions of the conditions of this waiver please feel free to contact me at 264-4680. /Sincerely, Daniel J. Roth Civil Engineer On -Site Services f / U J Q•:• � r �i+ lip in> 1� ssw X - r'� r ,r lU 10 : .►" 4.. t / � sari X ci Booz S �^- co xk C4( - -CD f , x % Ll t w J � �•� c3� /J J J: j` ,f rr., W W �i+ lip in> 1� ssw X - r'� r ,r lU 10 : .►" 4.. t vi Q 0 ® O x � sari X ci Booz S �^- co xk C4( - -CD f , x % t w J ma J: j` ,f W W s U �,t'CSL O LLJ W t N~ � Z Z J QM W 1 t � z^�L�'��o�,Z� �� w Q W W D �T � 3�/ 3O' ' Z o '' 1 C� LLJ z ��Z U W cn anLr)~ � �d o z 0 (W (`J M m LWL- ` /X `� � rte; / J N h Ld Q o O o —I O U t0 O Zol Q Z O ti O N J �D to oV) ��1 LLJ �_ 0 0 0 4Qs U w > U U U U C co O d O- T�.. ` N O N_0 O a m c C O r C— •-N O rnO d C N C - 00.— oO_ 0.N3D0=� .N •— L L. ` C U N •- 6 N O > cy tr >i o Ea N c c do c E L T O oa a/a o D J O a O ¢1 N 0co CL E O CL 0 D i a � o .0 o c O o m c¢ L N O L C O Or C J L N ji�N•-J # c•.- o-dN E N w x C _ .."• N O ..+0 J 0.... 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Too 0— a E• N 6l a O C t— TU N C - J_- e N Q co ULi 0 In T aoi Na •"�L-' �/ •hC+ L t C>OCLU /) O- L ad c` - rT N © -O C 0 > U. U U .2O Ecom •UdvO- •dU 0 c E o L. W•L 3o N N ON -• t•• E d U U U N> Q `oa co o fE-x rn� aL N >— O N C O O O� J O .O O C@ O •N O r T d O O to y y or•N c E c o o.frw > C C d•_ N C 0. Et uD o�oz IE O•- ` G N`•` U a V d O o m E o av > O� di.r E N N d (A N_0 Tr• d N y r N C L O> N N O .i C C CO d Tr C O O U •- Y -t !-OOO Zd04-�'ODvv+L+� Arai#E� HlNON NWr ~ O� tr}' woo (0 wa (1) o V U) U U) co y w (" OR Q U Q �0) 0 U Z W o V z N OW W O Z�j U r -r ca n tr n ON ON C 2 Q C n o� C ri e n r � Q J ¢ 4 U � I a 2 0 C: CL c HlNON NWr ~ O� tr}' woo (0 wa (1) o V U) U U) co y w (" OR Q U Q �0) 0 U Z W o V z N OW W O Z�j U r -r ca n tr n ON ON C 2 Q C n o� C ri e n r � Q J ¢ 4 U � I a 2 0 C: CL c Permit Number:OSP221246 Tax Code Number:05072128000 Work Type:SepticTank Upgrade Effective Date: Design Engineer: Site Legal Address:RIVER VIEWESTATES BLK 5 LT 2 G:0357 Owner:MICHALSKI TERRY L & TRACY L Site Mailing Address:21365 BARBARA FALLS DR, Eagle River Lot Size in Sq Ft:49649 Total Bedrooms:3 This permit is for the construction of: Disposal Field Septic Tank Holding Tank Privy Private Well Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing 7/16/2022 7/16/2023 C&M ENGINEERING SERVICES Expiration Date: ¨þ ¨¨¨¨ Received By: Issued By: Date: Date: 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 C&M ENGINEERING 7/16/22 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. 050 721 28 Property owner(s) Michalski Mailing address 21365 Barbara Falls Site address 21365 Barbara Falls Day phone Legal description (Sub'd., Block & Lot) Riverview Estates Block 5 Lot, Z Legal description (Township, Range & Section) Lot Size 51,457 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑ Septic Tank 0 Upgrade El(w/wo ADU) Holding Tank El Renewal❑ (D) ElRenewal Privy ❑ Multiple Dwellings ❑ (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. C&M ENGINEERING (Signature of property owner or authorized agent) Permit/Rush Fees: 2 5 Waiver Fees: Date of Payment: 71617-z Date of Payment: Receipt Number: 0602y D Receipt Number: Permit No. 0 S P_� Q 9 � L4 (51 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc C&M ENGINEERING SERVICES Ph: 907-854-5558 Municipality of Anchorage Onsite Water & Wastewater Program 4700 Elmore Rd Anchorage, Ak 99507 RE: Proposed Septic System for RIVERVIEW B5 L2 Dear Reviewer, The above referenced property is currently served by an older septic system with a leaking tank that needs to be replaced. The owner wishes to replace the tank at once. Our review of available documentation and field investigation show that this project will not adversely impact any nearby Wells, Wastewater disposal systems, replacement disposal sites, or drainage flowing onto and off of the subject property. As shown on the plan, the tank will be greater than 10’ from the house foundation. The tank shall be covered with a minimum of 2” moa approved insulation and 3’ of cover or a minimum of 4’ of cover without insulation. The repair must be performed by a moa certified installer in accordance with MOA requirements. Repair of the proposed system will not negatively impact adjacent lots. Upon completion of the installation, a record drawing will be submitted showing the location of the new tank, leach field, well, and other applicable features. Thank you for your time in reviewing this permit request. Please do not hesitate to contact me at 907-854- 5558 or by email cgbalzarini@gmail.com with any questions or concerns. Sincerely, Charles Balzarini, PE 6/30/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221246, Deb Wockenfuss, 07/16/22 CHARLES G BALZARINI CE-13854R EGISTEREDPROFE S S IO N ALENGINEER7/5/22 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221246, Deb Wockenfuss, 07/16/22 Rub&h 11I.Fi ► Municipality of Anchorage ToAUG �p �0 3 D On -Site Water and Wastewater Program • (907) 343-7904 stege of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121395 PID Number: 050-721-28 Dwelling: 0 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New N Upgrade Name: John Oates ABSORPTION FIELD N Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 21365 Barbara Falls Dr., Eagle River, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 301-1321 3 1.2 GPD/SF 9 Ft. LEGAL DESCRIPTION Depth to pipe invert from original gradeGravel 4.0 Ft. depth beneath pipe 5 Ft Subdivision Block Lot River View Estates S/D, 5 2 Fill added above original grade 0 to 0.5 Ft. Gravel length 50 Ft. Township Range Section Gravel width 3 Ft. Beds: Number of Lines NA I Distancebetween lines NA Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches 1 From Tank Field Tank Line 500 Ftz 1 NA Ft. Well g7 ft. 100+ ft. NA NA 25 TANK 0 Septic [IS.T.E.P. El Holding [I Other Manufacturer Existing tank left in place. Capacity Gal. Surface water 100 ft 100+ ft. NA NA Material Number of compartments Lot Line 10+ ft 10+ ft. NA NA NA Foundation5+ ft. 10+ ft. NA NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain NA NA RemarksWaiver is on file granting a distance of Pump on level at in. Pump off level at in. High water alarm at in. 87' from well to septic tank. *None known. 2" of insulation is over trench area. Pump make and model Electrical Inspections performed by PIPE MATERIAL Housetotank See P2 raankto drainfield Installer Dean Excavating Drainfield CO/MT Inspector F. Kenley BENCHMARK (Assumed elevation) 100.00 ft Inspection 181 6/15/13 .gnu 6/15113 Location and description Nail in birch tree with red markings on it. s" a" I COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL rs ' : � nm Stamp i�. Conditional Approval: Date S 1��•49 T r G%' 3 - "+�: Approved /U— Date % til: .• Inspection Report 1-1 .doc 7Wt 20 /• Block 8 �\ / � t I � LM X00 J, I \ , �SIxItM Block 5 Lot 3 Lot 2 [/ 49,649 S.F. 1 M1'�o— — _ _ ` ` arlX�an v / uEmn 1I5o \• ,� SFPM'LNR� 8"..R Lot 5 1 SO. 3-BEOM'0 ` E�{ l Pttovs - It / _ .s EES DRIVE � FP Lot t `" DOUGLAS T. KENLEY, P.E. clv1 Engine MME.HwM.WVG • Pinr,RWb MM6 • t96117M John Oates River View Estates S/D, Block 5, Lot 2 "00A"x21365 Barbara Falls Drive, Eagle River, AK IOuX1°®`"'( 0"`* 6/25/13 1 ON": DTK — FK — 1" = 100' Lot 6 / / Block 3 1 La 4 ,Os LN 5 \ t 'CLMN 4M 0-MONITO BES ($I HOLE \\ I I l OF A'I \\ 'y TH ... . ASBUILT Dougia�sj Uey8147 —28"""" """""`OSP121395 12121 SHEET 2a OF Block 5 �\I \ WOODENI FEIN \ t Lot 1 Lot 3\\� RESIDENCE Sew .: •.pRRAVEC .. NAL IN Lot 2 TREE B 49,649 S.F. /SYSTEM `Lh - _ 50' Long X / EX 3' Wide— \ O. I Trench / \ 4" D3034— EXISTING\ SEPTIC TANK 1\til- �\I \ WOODENI FEIN \ t Lot 1 HOUSE i r i / SEPTIC SYSTEM �qr � \F� n 0__T.H.,#2 L—CO tt _—T.H.ff >(_—NAIL INN BIRCH IRAEE IN BfRCH 0 Lot 6 i �\ 2p• F s i Y \ Lot 5 LEACH FIELD +-WELL 0- CLEAN qurs 0 -Mc SEPTIC � Block 3 DOUGLAS T. KENLEY, P.E. CINI Engineer MENgtlaYr ClNa . Pe9nen Agpu98815 (Bm184MeeE John Oates 'River View Estates S/D, Block 5, Lot 2 �21365 Barbara Falls, Eagle River, AK -MUY-050-721-28 x"`8/25/13 CXE1E°' DTK °R""" FK I F"`. 1" = 50' 1 '9B "" 12121 EFTEST HOLE ASBUILT SHEET 2 of 3 Lot 4 .� dRIVE F O_LS I WELI OF.Agkks 0 49 TH *I Douglas T. Kenle PFG C-817QIts ,,,Wl"' ROFESSI161§ 3 -BEDROOM cr' RESIDENCE Sew .: •.pRRAVEC .. HOUSE i r i / SEPTIC SYSTEM �qr � \F� n 0__T.H.,#2 L—CO tt _—T.H.ff >(_—NAIL INN BIRCH IRAEE IN BfRCH 0 Lot 6 i �\ 2p• F s i Y \ Lot 5 LEACH FIELD +-WELL 0- CLEAN qurs 0 -Mc SEPTIC � Block 3 DOUGLAS T. KENLEY, P.E. CINI Engineer MENgtlaYr ClNa . Pe9nen Agpu98815 (Bm184MeeE John Oates 'River View Estates S/D, Block 5, Lot 2 �21365 Barbara Falls, Eagle River, AK -MUY-050-721-28 x"`8/25/13 CXE1E°' DTK °R""" FK I F"`. 1" = 50' 1 '9B "" 12121 EFTEST HOLE ASBUILT SHEET 2 of 3 Lot 4 .� dRIVE F O_LS I WELI OF.Agkks 0 49 TH *I Douglas T. Kenle PFG C-817QIts ,,,Wl"' ROFESSI161§ INVERT 101.75 100.71' DBL—CO ELEVATIONS NTS TO GRUUNUWAILN EL (9 ti/IU/1J K IU/J/IL GROUNDWATER EL' ® 10/12/12 9224 NOTES: NOTES: BOTTOM OF TEST HOLE 90.75' NOTES: REFERENCE POINTS ARE NAILS IN BIRCH TREES. DISTANCE BETWEEN A & B = 58.1' BETWEEN C & D = 50.2'. THE DISTANCE BETWEEN THE WELL AND EXISTING TANK TO THE OUT—LET END IS 95.6'. THERE WAS A MISTAKE ON THE DESIGN PLAN VIEW SCALE 1"=100'. THE WELL ON LOT 3 WAS SHOWN TO BE IN THE SE CORNER. TEE IS IN THE MIDDLE TRENCH 25' FROM CO -1 & CO -2. OLD TRENCH ON LOT 2 WAS ABANDONED AS PER CODE. DOUGLAS T. KENLEY, P.E. Civil Engineer CLC YN 1IV1110 ME.�c�. ., ....a, . PM7WM I SWING TIES John Oates River View Estates S/D, Block 5, Lot 2 '21365 Barbara Falls Drive, Eagle River, AK 1/26/13 1 p 0: DTK I d1""": FK I � NTS 727-28 """' "'"°"`OSP 121395 '"'�°` 12121 SHEET 3 OF 3 EXISTING P�E OF A( y� *: 49 TH ...................... IT. Kenley , CE -8176 k%;", %;",- PROF 6 -3.0 SWING TIES A B C D 0 DBL—CO 24.8' 42.0' Q TEE 32.3' 41 A' CO -1 7.1' 52.1' 4 MT -1 38.8' 39.1' (H)IMT-2 56.7' 34.7' 6 CO -2 55.8' 33.2' O7 WELL 127.6' 76.8' NOTES: REFERENCE POINTS ARE NAILS IN BIRCH TREES. DISTANCE BETWEEN A & B = 58.1' BETWEEN C & D = 50.2'. THE DISTANCE BETWEEN THE WELL AND EXISTING TANK TO THE OUT—LET END IS 95.6'. THERE WAS A MISTAKE ON THE DESIGN PLAN VIEW SCALE 1"=100'. THE WELL ON LOT 3 WAS SHOWN TO BE IN THE SE CORNER. TEE IS IN THE MIDDLE TRENCH 25' FROM CO -1 & CO -2. OLD TRENCH ON LOT 2 WAS ABANDONED AS PER CODE. DOUGLAS T. KENLEY, P.E. Civil Engineer CLC YN 1IV1110 ME.�c�. ., ....a, . PM7WM I SWING TIES John Oates River View Estates S/D, Block 5, Lot 2 '21365 Barbara Falls Drive, Eagle River, AK 1/26/13 1 p 0: DTK I d1""": FK I � NTS 727-28 """' "'"°"`OSP 121395 '"'�°` 12121 SHEET 3 OF 3 EXISTING P�E OF A( y� *: 49 TH ...................... IT. Kenley , CE -8176 k%;", %;",- PROF 6 -3.0 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: OSP121395 Tax Code Number: 05072128000 Work Type: Septic Upgrade Permit Effective Dates: November 13, 2012 to November 13, 2013 Design Engineer: DOUGLAS T KENLEY Subdivision: RIVER VIEW ESTATES Site Legal Address: RIVER VIEW ESTATES BILK 5 LT 2 G:0357 Owner/Address: OATES JOHN P & JANET P PO BOX 469 WILLOW AK 996880000 Site Mailing Address: 21365 BARBARA FALLS DR, Eagle River Lot Size in Sq Ft: 49649 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field N 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. Special Provisions: The septic tank shall be verified for integrity and water tight connections. All deficiencies shall be repaired or replaced in accordance with the code. Received Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Parcel I.D. Property owner(s) Mailing address ON-SITE SEWER/WELL PERMIT APPLICATION 050-721-28 John Oates P.O.469 Willow, Alaska 99688 Day phone 301-1321 Site address 21365 Barbara Falls Drive, Eagle River, Alaska 99577 Legal description (Sub'd., Block & Lot) River View Estates S/D, Block 5, Lot 2 Legal description (Township, Range & Section) Lot Size 49649 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑X Initial ❑ Single Family (SF) ❑X Septic Tank ❑ Upgrade n (w/wo ADU) Duplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. 1 further certify that this is in accordance with applicable Municipal Codes. of property Aver or Permit/Rush Fees: Date of Payment: _� 11 s I ► a r 190 -- Receipt Number: 62-545;0y Permit No. Obf lal3as Waiver Fees: Date of Payment: Receipt Number: Waiver No. Douglas T. Kenley, P.E. 9806 E. Northstar Circle, Palmer, Alaska 99645 (907) 746-1073 November 1, 2012 Mr. John Oates. Owner River View Estates S/D, Block 5, Lot 2 21865 Barbara Falls Drive Eagle River, Alaska 99577 PERCOLATION TEST RESULTS AND GENERAL SITE INVESTIGATION REPORT On October 1, 2012, an adequacy test was performed on the well utilized by a three- bedroom house on the above -referenced 49,649 square foot property. The well passed with an average production of 3.8 gpm. in 4 hours and 30 minutes. The adequacy test on the septic system failed. Before the test, the leach field had 50" of water in Monitor Tube 41. Less than one hour into the test, water in Clean -Out #2, which was adjacent to Monitor Tube #2, measured 17" from the bottom of the pipe. This indicated that the water was above the invert of the distribution pipe. On October 5, 2012, two test holes were dug by Dean Construction. Test Hole #1 was dug to a depth of 6.0', at which time ground water was noticed (see attached site plan for location of Test Hole #1). Test Hole #2 was then dug in a different location to a depth of 15.01. Ground water was observed seeping into the hole at approximately 13.0'from ground level. The additional 2' was dug to verify that no bedrock was present. A monitoring tube was placed in the test hole and a perc test was performed with ten minute readings. The last three readings were recorded and a soil log was prepared. The pert rate was 2.1 minutes per inch. On October 12, 2012, after a seven-day monitoring period, ground water was observed in test hole #2 at a depth of 13.5' from ground level. The attached design drawing is for a 3' wide x 5' E.D. x 50' long trench. The lot slopes approximately 6-8% from the edge of the proposed leach field. The area is treed with spruce, cottonwood, birch, and alder, with birch being predominate. On-site observation and physical survey show that there are no water wells or private wastewater disposal systems within a 100' radius of the proposed system. Mr. John Oates. Owner November 1, 2012 Page 12 According to the SGS report on the water sample obtained on 10/1//2012, arsenic is ND, E. coli, total coliform is negative, total nitrate is ND. It appears that there is no potential for contamination of adjacent water wells or streams. The proposed system will have no measurable impact on reserve space, surface or subsurface, or on drainage to adjacent lots. Please consider this report as a request for review and approval of the attached design drawings for a replacement on-site wastewater disposal system. If there should be any questions concerning the percolation rate or characteristics of the site, please call me at (907) 746-1073 or 243-5372. Sincerely, Douglas T. Kenley, P.E. PE#8176 SEPTIC SYSTEM SPECIFICATIONS: 1. ALL CONSTRUCTION SHALL BE IN ACCORDANCE WITH THE M.O.A. WASTEWATER CODE CHAPTER 15.65.060. 2. EXISTING 1250 GALLON TANK TO BE LEFT IN PLACE. 3. SERVICE LINE TO DRAIN FIELD SHALL BE 4" DIA. ABS PIPE. 4. DRAIN FIELD LINE SHALL BE 4" DIA. 3034 ASTM PIPE WITH HOLES LAID DOWN 5. NEW LEACH FIELD TO BE PLACED NE OF OLD FIELD THAT WILL BE ABANDONED AS PER CODE. 6. PROVIDE 10' MINIMUM SEPARATION BETWEEN EDGE OF TRENCH AND FOUNDATION. 7. PROVIDE 10' MINIMUM SEPARATION BETWEEN SEPTIC SYSTEM AND PROPERTY LINE. 8. PROVIDE 100' MINIMUM SEPARATION BETWEEN SEPTIC SYSTEM, WELLS & SURFACE WATER. 9. FOR APPLICABLE EXCAVATION, TRENCHING, AND SHORING SAFETY STANDARDS, CONTACT THE STATE OF ALASKA, DEPARTMENT OF LABOR, OCCUPATIONAL SAFETY AND HEALTH COMPLIANCE CONSULTATION, AND TRAINING DIVISION OF LABOR STANDARDS AND SAFETY AT 269-4955. 10.PROVIDE INSULATION OVER DRAIN FIELD IF ANY AREA IS FOUND TO HAVE LESS THAN 3' OF COVER. BOTTOM OF DRAIN FIELD IS NOT TO BE PLACED LOWER THAN EL. 94.75'. BASIS OF ELEVATION IS A NAIL LOCATED IN AN ADJACENT BIRCH TREE WITH RED PAINT. NAIL ELEVATION =100' DRAINFIELD CALCULATION FOR TRENCH SOIL TYPE: WELL GRADED SANDS WITH SOME BOULDERS (SW) PERCOLATION RATE: 2.1 MIN. PER INCH. (6" PERC HOLE DIA.) APPLICATION RATE (AR): 1.2 GAL./DAY/SF DESIGN (3) BEDROOMS: DISCHARGE = 3 BEDROOMS X 150 GALLONS/DAY = 450 GALLONS ABSORPTION AREA = 450GALS/1.2GALS/SF = 375 SF EFFECTIVE DEPTH 5 FT. TRENCH LENGTH = 375 SF/(5FT) X 2 = 37.5 FT. USE 50' • ASSUMES DOMESTIC WATER USAGE FOR RESIDENTIAL HOME CONSUMPTION. • CALCULATION METHOD OBTAINED FROM MUNICIPALITY OF ANCHORAGE "WASTEWATER DISPOSAL CODE REGULATION" FEBRUARY 14, 2003; AMC 15.65, TYPICAL DEEP TRENCH FIELD REQUIREMENTS AND SPECIFICATIONS. OF A<gs1� AWN j * ' 49 TH .... , P.E. c Engineer DESIGN DOUGLAS T. KENLEY/ , ... CALCULATIONS �� Dougla Kenley John Oates ,` ?'EC/ . C b 76 •�F`'�� River View Estates S/D, Block 5, Lot 2 PRO.1.� F�FESSIOHA� '21365 Barbara Falls Drive, Eagle River, AKI"050-721-28 1XR1�"050-721-28 °°tl" 1 '� '�" 10/14/12 °h"tf°' DTK jnw FK I� N/A '10e"M1B°` 12121 1 SHEET 1 OF 5 Block 8 ORUNR GR O T.H.-2 ExGnNG TAW( HDW -T- DOUGLAS T. KENLEY, P.E. CM Engineer DESIGN M E.ftUM Ytb . PYnrt.AWNNN! . PMTO.M 'C°"John Oates 1P0"b River View Estates S/D, Block 5, Lot 2 '100PE5S21365 Barbara Falls Drive, Eagle River, AK H" "050-731-31 Pd"°` ` 'pO 10/14/12 DTK 01pYAL FK1 r 1" = 100' 1 " � 12121 1 SHEET 2 OF 5 � y�P�� OF A�gsll1l I *: 4949_TH * V.. Douglas T. Kenley j �°F CE S%17 +) ll `c� PROFESS�N�_�—� 5' E.D. , 5,—/9225• LONG TgENCH. DOi.�9&7S' GROUNDWATER EL BOTTOM OF nUs HOIE Q --PROPo IFACH MEW = _ E%ISRNG I H MEW ®-TESr HOLE 4 -WELL -T- DOUGLAS T. KENLEY, P.E. CM Engineer DESIGN M E.ftUM Ytb . PYnrt.AWNNN! . PMTO.M 'C°"John Oates 1P0"b River View Estates S/D, Block 5, Lot 2 '100PE5S21365 Barbara Falls Drive, Eagle River, AK H" "050-731-31 Pd"°` ` 'pO 10/14/12 DTK 01pYAL FK1 r 1" = 100' 1 " � 12121 1 SHEET 2 OF 5 � y�P�� OF A�gsll1l I *: 4949_TH * V.. Douglas T. Kenley j �°F CE S%17 +) ll `c� PROFESS�N�_�—� Lot 3 3EPTICNSTEMJ \ Lot 1 l-1 \ WOODMIFIN 1 � I � I % 5'S F' oN Lot 2 `\app,\ T.H.- ! \. U \ J: EXISTING TRENCH TO BE�Og N- ABANDONE PER CODE to' umm RESIDENCE EENHOUSE \t T.H.-1 / }� EASEMENTS %1b ...,n F_G1NE WELL RAONS�t I !�P ''.^' f_-'► / GRAVEL / rrr- S 71 DRIVEWAY Oy �r ! > L=42.67' !R=230.00'^�g ARA Block 3 Lot 6 SEPT SYSTEM Lot 5 SEPOC SYSTEM i Q e'o'aNadex O AfoA'70Ie 7.40014 rPr�e.+vesto ••� ^_ <-'K °.rri.ud R TIFsr ¢ w�u DOUGLAS T. KENLEY, P.E. CmI Enginee DESIGN MMENwW 'r • Nmx,AWm91Mp • (W117MA4id John Oates River View Estates S/D, Block 5, Lot 2 '"`"`m21365 Barbara Falls, Eagle River, AK PWX110P°050-721-28 ``10/14/12 `"""`° DTK `""'"` FK J� 1" = 60' 1 "N1"'B°` 12121 1 SHEET 3 of 5 QRIVE OF. A/,.gs+it TH / ... .. � Douglas Ts T. Kenley S7 (��F�PROFESS0W -V- EN SGS Ref.# 1124811001 Client Name Douglas Kenley P.E. Project Name/# River View Estates S/D BK5 LT2 Client Sample ID Outside Hose Bib #12121 Matrix Drinking Water Sample Remarks: Printed Date/time 10/15/2012 11:06 Collected Date/time 10/01/2012 19:15 Received Date/firm, 10/02/2012 14:30 Technical Director Stephen C. Ede Parameter Results LOQ Units Method Container ID Allowable Limits Prep Analysis - Date Date Init Metals by ICP/M3 Arsenic ND 5.00 ug/L EP200.8 C (<10) 10/08/12 10/09/12 SCL Waters Department Total Nitrate/Nitrite-N _ ND 0.100 mg/L SM21 450ONO3-F B (<10) 10/03/12 CMA Microbiology Laboratory E. Coli Negative I 100mL SM21 9223B A 10/02/12 DLC Total Coliform Negative 1 I00mL SM21 9223B A 10/02/12 DLC DEPTH (ten 2 3- 4- 5- 6 456 B. of H. 7 8- 9— To— IT- 12- 13— B. 910it1213 B. of H. SOILS LOG - PERCOLATION TEST TEST HOLE # 1 DATE 6' 10/5/12 •. `• . 1111111 111111:11 �� i�+//v/I. HNNNN �'«� IIIIIIIIII DEPTH TO GROUND WATER DATE 6' 10/5/12 SEE ATTACHED PLOT PLANS DATE READING TIME NET TIME WATER LEVEL NET DROP (MIN.) READING (IN.) (IN.) 10/5/12 PERCOLATION RATE (MINJIIN.) PERC. HOLE DIA._ (IN.) TEST RUN BETWEEN (FT.) AND _ (FT.) PRE—SOAKED FOR FOUR HOURS YES NO PERFORMED BY: FRED W. KENLEY I, DOUGLAS T. KBNLEY, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: Z ( DOUGLAS T. KENLEY, P.E. Cml Engin.0 MOBE.XORI m • Pis,Yrb9K15 • {➢pa }IIAOA "John Oates 'River View Estates S/D, Block 5, LOT 2 "21365 Barbara Falls Dr., Eagle River, AK %01X1Y"°`050-572-37 °n 0/5/2012 " DTK 10 FK I — NTS ""'"'"" 12121 LOG SHEET 4 OF 5 DEPTH (moo 1— ELE 105.75' s SOILS LOG — PERCOLATION TEST FOR JOHN OATES G/W 92.75' G/W 92.24' B. of H. 90.75' DEPTH TO GROUND WATER DATE cW 10/5/12 92.24' 10/12/12 92.75' 6/10/13 2:28 ---- 8 IIIIIIIIII 2:38 10 4-8/16 3-8/16 Ise 8 2:39 ---- 8 ---- 2:49 10 4-12/16 3-4/16 9 3:01 ---- SP --- 3:11 W,SOME LARGE 4-12/16 3-4/16 RKCKS G/W 92.75' G/W 92.24' B. of H. 90.75' DEPTH TO GROUND WATER DATE 92.75' 10/5/12 92.24' 10/12/12 92.75' 6/10/13 SEE ATTACHED PLOT PLANS DATE READING TIME NET TIME (MIN.) WATER LEVEL READING (IN.) NET DROP (IN.) 10/5/12 7 2:28 ---- 8 ---- 2:38 10 4-8/16 3-8/16 8 2:39 ---- 8 ---- 2:49 10 4-12/16 3-4/16 9 3:01 ---- 8 --- 3:11 10 4-12/16 3-4/16 PERCOLATION RATE 3.5 (MIN./IN.) PERC. HOLE DIA. 6 (IN.) TEST RUN BETWEEN 4 (FT.) AND 5 (FT.) PRE—SOAKED FOR FOUR HOURS YES J NO ONLY THE LAST THREE READINGS WERE RECORDED. PERFORMED BY: FRED W. KENLEY I, DOUGLAS T. KBOLEY, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DOUGLAS T. KENLEY, P.E. CiA Engineer MME.EMM M • M1Fw,waia HEIS • (OM11MM cuvrt:John Oates River View Estates S/D, Block 5, LOT 2 '°°"`21365 Barbara Falls Dr., Eagle River, AK "°�( °iFi8/26/13 a, m: DTK °atlNY FK I — NTS LOG —28 "'""' "'""`" OSP 121395 Y j=12121 SHEET 5 OF 5 =APs, ��- ... ?, Il 49 TH *I �. Douglas T. Kenle C -8176 ��li:°�F3slNP MUNICIPALITY OF ANCHORAGE: DE ITIVIEN`f OF HEALTH AND HUMAN SER' E Environmental Health Division 625 L'• Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM ANCA/OR WELL INSPECTION REPORT Name 192r, --- ---- DISTANCES Address -------- --- J� / -_.- TOgTA FROM ABSORPTION FIELD WELL WELL Phonets) Permit No. No of Bd,337�_NLEGALDESGRII?TIONLOT LINELot Block Subdivision�TownshipRange. section 4/ /✓ le / w sec r ' -f--- FOUNDATION% • L/ AS -BUILT DIAGRAM driveway water bodies, (Show location of wen, etc.) septic system- property Imes, (ounoanon, — TANKS SEPTIC C l HOLDING C Marunact1O u' apacity in gauons Matenai No. of Connparbnents --- TYPE Or SYSTEM `ITiENCH [-1 BED C] W. DRAIN D OTHER — Depth to pipe boltOm from local depth from original grafin original yratlC _ 3 --I T _ FT fill arida-o abore ong�nal grade Gravel oepth beneath pipe -- ....— ------ f F ( S FT Gravel lenge' Gravel width —' — -- - __ J� U FT �.S FT total absorption area DISIcnCe between Isles SQ F7 __ /ai _ Fr Number of rincs Sod rating Pipe marenai /__ /.a 5- -lP-o 0 FT _As 1A, ro 3rg led installs -r Date Installed assm�ss�•✓ „ ! a Ik7 PRIVATE F] OTHER (Identify) Classil�cation (A,B,C)------ Iota[ Depth Cased to —PperIIA TZ /��-/ FT 5- / Date Insmaed. FiE rV1AR itis: ----f� 5 e;f,. Y -u.,. f( sa-. o ✓Eos �`U ca �s fs, ale /� ve 14 "'s�- L'✓t U✓Nn/ %YG�rff /.✓1 A4 I -le i 7E / S 1— Scale: Inst - o RJorrnecl b ENGINEER'S SEAL rnpineetQ Services Date La* River, AIC 99577 694-5195 cerlily That This inspection was performed according In all ; J Municipal and Slate guidelines in eflect on this dale: f Health Department Approval: =- _ - - Date.-_:�— 7 72-013 (3 85)) -- — — �� `~/`m E4/6/vu6LAfp^, . ^- FY100-560 v�IFr ��7��,�7}� �� DB,ARTMENT OF HEAL[H AND ENVIRONMEN[AL PROTECTIDN 825 L STREET, ANCHORAGE, AK 99501 264-4720 PERMIT NU: 870018 U�GRADE DATE ISSUED: 02/03/87 APPLICAN[� JACk DLIVE '�� HUDRESS: ' 4301 DEFIANCE STF�EET ` ANCHORAGE, AK 99504 ��NTAC| PHUNE: 337-4434 LEGAL DESCRIP: "�UBDIVISION: RIVER VIEW ESTATES LOT: 2 SECTION: 2O TOWNSHIP: BLUCK: 5 T14N RANGE: R1W LOT SIIE: 39000 (SQ.FT. OR ��F�� l certi/y that: l. I am !amiliar with the requirements �or on^siLe sewers and wells a t s [orth by the Municipality of Anchorage se and the State o� Al 2. I wj}l insLall the s�stem in accordance with all MOA code d as«a^ and in compliance wiLh the desigr� crit permits an 'egulaLions' 3. I will adhe/e lo all MUA and S'Iate o� Alaska requirements^�or the set ba k disLances �rom any existing well, wastewater c disposal system or public sewerage sysLem on this or any adjacent or nearby lot" lF A LIFT STATION IS lNSTALLED IN AN AREA COVERED BY MOA BUILDING CODES THEN (1} AN ELECTRlCAL PERMIT AND INSPECTlON MUST 8E OBTAINED; (2) AS B�ILTS BE HPPROVED WlTHOUT AN ELECTRICAL INSPECTION REPORT; AND (3>~TuE n ELEClRlCAL WORK MUST 8E DONE BY A LICENSED ELGCTRICIAN. CIGNED DATE: APPLICANT: JHCK OLIVE --~---� ISSUED BY �� `~/`m E4/6/vu6LAfp^, . ^- FY100-560 v�IFr ��7��,�7}� �� Municipwity ®f Anchorage February 3, 1987 P.O. L X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES Lou Butera, P.E. Eagle River Engineering Services P.O. Box 773294 Eagle River, Alaska 99577 Subject: Waiver request for Lot 2 Block 5 River View Estates Waiver Number WR87-011 Dear Mr. Butera: Your request for waiver of the required 100 foot separation from a septic tank to a private well for the above mentioned parcel has been given a conditional waiver at this time. The separation distance pending upon conditions being met has been waived to 87 feet. The conditions of this waiver are as follows: 1. At the time of excavation the septic tank is exposed and the integrity of the tank verified and if not already in place, water tight calder couplings or the equivalent be placed on the tank fittings. 2. The upgrade of this system be constructed to the engineers design and completed by June 15, 1987. If you have any questions of the conditions of this waiver please feel free to contact me at 264-4680. Si�ncerelly, Daniel J. Roth Civil Engineer On -Site Services All Lou Htifera I'.E. = � P.O. Box 773294 s� Nagle River, Alaska 99577 Telephone (907) 694-5195 January 12 1-1,987 MUNICIPALITY OFEALTH ANCH&RAGE OFF. OFENV i?Oi�,MrNTAL PROTECTION Mr. Steve Morris Municipal Ly or: Anchorage ,SAN 2 fl 1987 0i-wil ling.i.neer, Ori -Site Services P.O Box 196650 L �� 1 Anchorage, Alaska 99519 k L.l L. RrPF* Lot 2, Block 5 River View }states On behalf of my cl.ietut, Mr. Jaclt Olive: , I am submitting the information necessary for, your determination of a waiver of separation distance, well. to septic tan1T to 87' for the above referenced .lot. The septic system is being replaced as our inspection has revealed that the reported septic system as documented by S &. S Engineering does not. meet Municipal standards. Our field measurements also shova the existing,' sept.ie Lnnl: to be at 87' from the existing well, In an effort to save the owners the expense of a new tank, I believe that our wai.ve.r application will demonstrate that the 87' horizontal distance scparati.on is adequate to protect Lire well. from septic contamination. The enclosed we.tl log; shows that the well draws from a bedrock confined aquifer, through sporadic fracl.ures at a depth of 80'-175'. The casing is continuous to 51.2' where it .is seated into bedrock. The surface topography :is such that any seepage would be di-rected away from the well location toward a -1-20% elope to the North Last. Any possible leakage frons the tank would be directedawayaway from the well. From our lest hole=s and knowledge of the area, i.t is safe to assurne that the bedrock plane Slopes away from the well toward the septi -c system at an approximate 20% slope. The subsurface soil. -is a GP type with a pert, rating of 15-0. A water sample- for coliform bacteria will be taken as a condition of final health approval. As a condition of permit on the leaehfiel.d upgrade we are Tari-lling to expose the existing tank and provide water tight inlet; & outlet connections, seal the manhole cover and provide insulation. The area in question has a low population dens i.ty. If there are any questi.ons, or if additional information is required, please feel free to contact me at. 691-5195. Thank You, Lou BuLera, P.T. AS-3UILT I botchy ceriily that, I have survayLA the following r) �,6 0 dnscl lhed pro Lo7 N�I A* J! �v Xyho"go Recording Precinct, Alasi.,i, and If% -it Lho hnprovornentd ritualed diercurn ire v.,1zhin the propoxty lines ar..J rio not overlap or ewroach on kc prupern, S lying, .!im-vio, that no improvements on prop - S. .1�. (?I:.,- lying aij,jconj Ilivreto f-w.roach i,mi the ivoiniso; ;n, -4, ire ;j.) krar:.-*Ini`�-ion tll^.t t1j,!j VVY lillc:; ot, odirl. .3itill 1,O IP �q 6,4 �v 14 J, I I'V i i $14 A QL-&* a- a 0, Z.: 1 0. 1 man In.., %I ;!,t,:,,Iu River, Louis t Bulorai his U? a ...1—day CE0736 P.013FRT C. JON, m. SCA LE: No. neo -LS VA PROFE0 *Septic plan only X SOILS LOG MUNICIPALITY OF ANCHORAGE o DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: T«-� �� r ✓� DATE PERFORMED: LEGAL DESCRIPTION:—All Vr—,r V/e6"/ /t;1 `u7 tj //(L�j' %/yiv se 2c I1bL1P;rLel SLOPE SITE PLAN 2 10- 0 ' o' J 3 MEMO INEVE .1000 IN MINE 4 - 11 11 5 u r Drop 12 6 0 CC n� 3 13- 7 P.. CrG c-CG� C✓ C-rG✓✓r/ — 5�.�d 8 v,v N✓ �. Ya t_ K /7i /,f <, Ccr 10- 0 Date Gross Net MEMO INEVE .1000 IN MINE NN 11 11 • � o Water Drop 12 MEN ANCHORAGE 3 13- EN OF HE IR I.TH & cTION a 14- 14 <, 16 16- 17 17 18- 819 191 1` J 20 `� WAS GROUND WATER NU S ENCOUNTERED? O 7 Dgy in,,,.,i, P IF YES, AT WHAT E DEPTH? mm Reading Date Gross Net MEMO INEVE .1000 IN MINE NN NINE Time Water Drop INENI MEN ANCHORAGE WAS GROUND WATER NU S ENCOUNTERED? O 7 Dgy in,,,.,i, P IF YES, AT WHAT E DEPTH? mm Reading Date Gross Net Depth to Net Time Time Water Drop +dt�ipAlTry OF DEPT. ANCHORAGE EN OF HE IR I.TH & cTION a <, .D PERCOLATION RATE /-� fi2��" r (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS _ '��s c%� �.--f_'.�.��'- L./�S' �w �C �i��: r�i. i7'�' ,yam -f= G Gon-w„�� •�l�J%c ..SyS'��^i PERFORMED BY: Eagle River Engineering Services CERTIFIED BY:-,f./�.a-C-,r��i� Box 773294 Eaglo River, AK 99577 72.008 (6/70) 694.5195 l,'r 1;1711 lHhr '-j [,1 11 1 M 1) DI In 145 1 UK C(" 1 . `I_ "', !, I 1 1 ,, -,, , ( i ! '. () "I-__ I � f . ! 1 1 1 K 1 1 OINK! : 1 AN , 11 : 4 l' ! i I ) 1 11 -.-, I' 1--x i !--j Ll 11q `-.,gip t, i- C, t, a i I!', LO uxposc-'.C11 Comu.,,cti.on,.; i:0 L) e vi i,, L tc t" L i cj I i ioak I arld Inanhoic., tLL d L0 ba soAlc-d . A I A 1 L "i 1 1 r (_9 II I i r in i a K 1 f I C tic o p pi od i 1 j M i it 1:%l r 1 v! n 1 rot mr, r If i i v d l <I L i r nu k! Of, Lh - t n ( v i miF a "A ar k) K: 0 1 r d L; f I oil I I w C I r a v �t � , 'I.� � t i fl, I I I l,'r 1;1711 lHhr '-j [,1 11 1 M 1) DI In 145 1 UK C(" 1 . `I_ "', !, I 1 1 ,, -,, , ( i ! '. () "I-__ I � f . ! 1 1 1 K 1 1 OINK! : 1 AN , 11 : 4 l' ! i I ) 1 11 -.-, I' 1--x i !--j Ll 11q `-.,gip t, i- C, t, a i I!', LO uxposc-'.C11 Comu.,,cti.on,.; i:0 L) e vi i,, L tc t" L i cj I i ioak I arld Inanhoic., tLL d L0 ba soAlc-d . :k- ADEQUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLOW TEST SITE PLANS ROAD DESIGN SOILTEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN , EXCAVATION WORK Clair Thomson P.O. Box 10-1272 Anchorage, Alaska 99510 Dear Mr. Thomson, January 11, 1984 Reference: Lot 2; Block 5; River View Estates; Addition 2 ROBERT A. SHAFER CIVIL ENGINEER 694.2979 A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by continually flowing water through the system for a period of 48 hours, without any adverse effect on the system. The average flow each 24 hour period exceeded 600 gallons. It can be concluded rom this test that the waste water dispeoal system serving the two bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. At this same time a well inspection was performed and it was determined that the well casing is equipped with an adequate sanitary seal and the wiring is in conduit. The ground around the well casing adequately slopes away from the well. At this time a water sample was taken and submitted to Chemical and Geological Laboratories of Alaska for coliform bacterial analysis. The results of this test were satisfactory. If we may �e of furth Sinc rely.•,/ BB T SHA ER, P.E. S/ss service, please do not hesitate to call. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 99577 I horeby u-mly that I have surveyed the following described Property. :71F A.xho(ttgc i',ccurdhig Precinct, Ahwi, ond Mit W, finpiov-,micnts r.kuwd therom arc vmiti-m the property lines a; -.A rb) not pr the propcity I lvimt !:-nm!o th:lt r") i,y :ovk�mQn is u, wi lying adjocent 1hurcto 11 1�t:ML�; prof.,X-�A- jn1! 01-,t thOIC2 :)IQ :11) 1 im-i I J! ! :11 :":jQ Rik i2! a i"KkJ Vim :11 Q 1 L_ jE * h, "-q u Cl� �� DEPHRTMENT � HEHLTH fit-K.-ENVIRONMENTHL ROTECTION 825 'L' STREET, HNCHORHGE, HK, 99501 264�4720 ' � �V-A h..-�> 1 "Y FEE! W FEE W FEE E..--: F7,, IF -I I� PERMIT NO ( 8��594 ) � HPFl. ICHNT LYONS CONST^��L��4~ PO BX 19i� ER LOCHTI0N LEGHL LOT/��BLK5 RIVERVI-W EST LOT SIZE 999999 SQUHR� F�ET TYPE OF SOIL RBSORPTION SYSTEM IS� TRENCH i^|HXIMUM NUMBER OF BEDROOMS � ] SOIL RHTING (SQ FT/BR)� 125 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTL-M IS� U-11 m_ oil UZI 1"y W FEE 1.. �FEE ��-H� � THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE OF THE GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES THE GRHVEL DEPTH IS THE i1INIMUM DEPTH OF GRHYEL BETWEEN THE OUTFHLL, PIPE HND THE BOTTOM OF THE EXCHVHTION (IN FEET). HYMUTYR.11 X :A 1 C: Y IF*jjk-J �Ir.�.E= �IG.'J� PERMIT HPPLICHNT HHS THE RESPONSIGILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF HNY WELLS HDJHCENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THHT THE WELL WILL SERVE. '-'IT- RAI Q 3: KA ".'Ei., hl:�7" ��ILJ 1 lf��:.'IJEH`�� GH�KFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION HND HPPROVHL BY THIS �EPHRTMENT WILL CE SUBJECT TO PROSECUTION 1,1lNIMUM DISTH�CE BETWE�N H WELL HND RNY ON~SITE SEWHGE DISPOSRL SYSTEM IS �00 FEET FOR PRIVfTTE WEaLL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MIpjIMUMDISTHNCE FROM H PRIVHTE WELL TO H PRIYHTE SEWER LINE IS 25 FEET HND TO H C0'|MUNITY SEWER LINE IS 75 FEET WELL LOGS HRE REQUIRED Hklf) MUST BE RETURNED TO THE DEPHRTI NT WITHIN ]0 DHYS CIF THE WELL COMPLETION OTHER REQUIREMENTS MHY HPPLYSPECIFICRTIONS AND CONSTRUCTION DIHGRHMS AF --'!E HVHILHBLE TO INSURE PROPER INSTHLLHTION JE � I CERTIFY THHl 1: I RM FHMILIHR WITH TC FAQU1RIEVIENTS FOR OIX—SITE SEWERS HND WELLS HS SET FORTH J|UNICIP4LITy OF �NCHORHGE 2� I WILL INSTRLL THE SYSTEM IN HCCORD HNCE WITH THE CODES ]� I UNDERSTF-1ND THAT THE SEWE� SYSTEM MHY REQUIRE ENLHRGEMENT IF THE RESIDENCF,E. IS REMODELED TO INCLUDE MORE Tlf-'IN ] BEDROOMS 5IGAIN, HPPLICHL.1T L [SSUED BY CAfAST DEPRRTMENT OF HERLTH RND ENYIRONMENTHL PR0TECTION 2516 ETUDOR RD, RNCHORHGit E/ HK 99507 276-222i 0 7-7 ik".;Lim and 156-5- `30udh fjravy.m, Alaa.ka il"Iaal� siro, 04 T�, UI oral. waos AO (-.wo (-jw f43lasu- 1A) 4; 41 1 -f tO LAO uft-1 I 14ur� aa MMOV1410, 11 x�tc:uoms to avoild ally p y, Z -F on--air-o acvqcj): , 4v pi�Y ;e� 2: lit - YOU 'I i,ated,Cit 'Iavo �,u t . im, YOUV 0OW-V `v - XCJur . al t. �.Iikl bf, nL J� `XlY z i);i/Ijil d -Y ,t (Gfa 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. 050-721-28 Legal description River View Estates Block 5 Lot 2 Site address 21365 Barbar Falls Current property owner(s) Michalski Expiration Date: 12-6-2022 X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: Original Certificate Date:—7— — � 22 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovaLJune 2022 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050 721 28 Complete legal description Location (site address) River View Estates Block 5 Lot 2 21365 Barbara Falls Current property owner(s) Michalski 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS Day phone 3. TYPE OF WATER SUPPLY: ❑ Private Well ❑ Private Well serving 2 dwelling units -- ❑/Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ❑ Plastic ❑ Concrete ❑ Fiberglass Age 0 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ❑ Wide Trench ❑ Seepage Pit Waiver request for: NONE Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ 5—Yo Waiver Fee $ Date of Payment / (0 1 e -Z COSA # y S (' Z2_1 S ?, Q Date of Payment Waiver # COSA Application—June 2022 COSA Checklist Legal Description: River View Estates Block 5 Lot 2 Parcel ID: 050 721 28 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA FOR Well log is filed with Onsite (or attached) Date drilled 1976 Total depth 175 fl Cased to 51.2 ft ❑ Sanitary seal is functioning correctly OR Wires are properly protected Casing height (above ground) +12 in. Date of flow test for COSA 6/15/22 Static water level at beginning of test 44 ft. Comments B. TANK DATA Measured operating fluid level in septic tank na Date of pumping na ❑ Required maintenance completed, if AWWTS Comments: new tank D. ABSORPTION FIELD DATA Which system tested (date installed) 2013 ❑ ALL standpipes present per record drawing Total measured depth from grade 9 ft (max) Measured depth to pipe invert from grade 4 ft (min) ❑ N/A — pressurized field. ❑ Per record drawings, field is insulated. ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) no If yes, enter date none Well production at time of test +4.5 gpm Water storage tank volume na gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by C&M Engineering Date 6/16/22 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: no lift station Adequacy test date 7/21/22 Results ❑ Pass Fluid depth prior to test 7 Water added 600 gal New fluid depth 22 in Elapsed time 1440 min Final fluid depth 7 in in Absorption rate nUu gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 60 in Effective depth used 22 in Effective depth remaining 38 in Comments/Deficiencies: All standpipes present per record drawing. Difficult to locate due to vegetation. COSA Checklist June 2022 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ❑Yes if No 98 ft Yes if No ft Neighboring Tank > 100' Fm] Yes if No ft Private Sewer/Septic Line > 25' FMJ Yes if No ft Absorption Field on Lot> 100' Fo-1 Yes if No ft Holding Tank > 100' F if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' RM Yes if No ft no Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑® Yes if No ft Q Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' FE -1 Yes if No ft Surface Water > 100' Q Yes if No ft Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' R Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' R Yes if No ft Community Wells > 200' Q Yes if No ft Water Service Line > 10' Q Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS Slope distance to septic tank measures greater than 100' G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm C&M ENGINEERING Engineer's Printed Name CHARLES BALZARINI COSA Checklist June 2022 Phone 907-854-5558 Date 8/6/22 Vol •.,M- CHARLES G BALZARINI I ?' CE -13854w •r Municipality of Anchorage rt8 " On-Site Water and Wastewater Program (907) 343-7904 Certificate of On-Site Systems Approval Parcel I.D. 050-721 -28 Expiration Date: (2— I{ . — ! 7 1. GENERAL INFORMATION Complete legal description Lot 2, Block 5 , River View Estate Location (site address) 21365 Barbara Falls Drive, Eagle River, AK 99577 Current Property owner(s) Shane & Holly White Day phone Mailing address 21365 Barbara Falls Drive, Eagle River, AK 99577 Real Estate Agent Debbie Mumma/Herrington Day phone (907) 242-0241 2. TYPE OF DWELLING: Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance requestr: Distance: Received by: �-- Date: ` qt -Sl 7 COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ 52(0 Waiver Fee $ Date of Payment 9131R Date of Payment Receipt Number A 21l(a1T! Receipt Number COSA# O C/9-/L (q 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 Or.-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 Pinard Engineering Phone(907) 232-1347 Address PO Box 871347, Wasilla, Alaska 99687 Engineer's Printed Name Paul E. Pinard Date 9/8/17 J 11 1/ OF ALA i ,� ••• 1 �%coO� i;-.. .' ••" 6. DSD SIGNATURE 1 th l w ti e • .. ', ';`.x::11. n.... .: •System#1 Approved for 3 bedrooms - --� d . ....a iY. ems- System#2 Approved for bedrooms ;74.7r.;,-04 Paul E. Pinard• N •b CE -4793 •.°�44 Disapproved �4,7p-,„`�y��•,..,•••\<;..7111 Conditional approval for bedrooms, with the following stipulatid&��,��PROFWV3fail ,\��ti�tlittti ON�S17E ��y-. d WAS7��AND Ill:- ”., PROGRATFR == ERV4C By: �� ►^-�� Original Certificate Date: L -1 3- 7 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 blue sheet_r :. c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On .Site Systems pprov&& Checklist Legal Description: Lot 2, Block 5, River View Estates Parcel ID: 050-721 -28 A. WELL DATA Well type Pvt If A, B, or C provide PWSID# Well Log (YIN) Y Date completed 5/13/76 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 175 ft. Cased to 51 .2 ft. Casing height (above ground) 12 in. FROM WELL LOG AT INSPECTION Date of test. 5/13/76 8/16/17 Static water level 33 ft. 40.7 ft. Well production 7.0 _ g.p.m. 4.0 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 8/16/17 Collected by: Pinard Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 2/1 6/87 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y# Depression over tank(Y/N) N High water alarm (Y/N) N Date of pumping 8/28/17 Pumper JRs Pumping C. ABSORPTION FIELD DATA Date installed 6/1 5/1 3 Soil rating (g.p.d./ft2 P11E4 1 .2 System type Trench Length 50 ft. Width 3 ft. Gravel below pipe 5 ft. Total depth 9 ft. Eff. absorption area 500 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/16/17 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 0 in. Water added 660 gal. New depth_ 0 in. Elapsed Time: 165 min. Final fluid depth 0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N &type) None Known If yes, give date D. LIFT STATION NA Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 87 ** On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main WU 100 ' + Public sewer manhole/cleanout 100' + Sewer/septic service line 25 ' + Holding tank 75T + Animal containment areas 50'+ Manure/animal excrete storage areas 1001+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 + Property line 10'+ Absorption field 5 ' + Water main 10'+ Water service line 101+ Surface water 100 I + Wells on adjacent lots 100' + ABSORPTION FIELD ON LOT TO: Property line 10' + Building foundation 10' + Water main 10' + Water Service line 10' + Surface water 100'+ Driveway, parking/vehicle storage 5 '+ Curtain drain None Known Wells on adjacent lotl 00'+ F. COMMENTS *Foundation CO confirmed by inspection to be on the inside of fd. wall. **A waiver for this separation is on file. G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and J P ' .'J' 4/ review of Municipal records that the above systems are in t4i,- conformance with MOA COSA guidelines in effect on this date. 1�* +� - f •• Engineer's Printed Name Paul E. Pinard Date 9/8/17 G, Paul E. Pinard � C E -4793 .=G.?. %S ": .., +1W, ./r1- '1f� ft7 COSA yellow sheet_2-6-15.doc /\\,, / O F / p . , . (Jr • - li V\ , lie• 1' 'ti R f ci9 0' .• re k \°y n� h N •• O.9, gt%.,, ‘ )) (,-,1 4 ///ç/ 4 h 48 ASBUILT .s�>> SFWARD & ASSOCIATES LAND SURVEYING 694-0829 I HEREBY CERTIFY THAT I HAVE SURVEYFD THE SCALE` ,� *to igebios+i* FOLLOWING DESCRIBED PROPERTY= tel+ OF Aj l AND THAT NO ENCROACHMENTS EXIST EXCEPT AS DATE. A+`'y&�.•'. •• •j•• INDICATED. IT IS THE RESPONSIDILITY OF THE -"� ^�A • OWNER TO DETERMINE THF. EsCISTENCE OF ANY GRID: : e°E. • Municipality of Anchorage ° BG On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval Parcel I.D. 050-721-28 Expiration Date: 1 - 3 - I 1. GENERAL INFORMATION Complete legal description River View Estates S/D. Block 5, Lot 2 Location (site address) 21365 Barbara Falls Drive, Eagle River, Alaska Current Property owner(s) Mailing address Real Estate Agent John Oates Day phone P.O. Box 469, Willow, AK 99889 Audrey Mason, ReMax of Eagle River 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 301-1321 622-3344 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual Fx� Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Received by: J�iLcai'-�-�„sG�sy Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 7_�r�� (� v c Waiver Fee $ Date of Payment / — is I �_ Date of Payment Receipt Number t / `% y Receipt Number COSA # li a ) J! — � �� Waiver # S. 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 Douglas T. Kenley, P.E. Phone (907) 746-1023 Address 9806 E. Northstar Circle, Palmer, AK 99645 Engineer's Printed Name Douglas T. Kenley Date 6. DSD SIGNATURE t/IGSystem #1 Approved for bedrooms System #2 Approved for bedrooms 1!I Disapproved Conditional approval for bedrooms, with the following st 9 etr� By: �, Original Certificate Date: 1 �� The unici ality (if A orage 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r , c If more than 1 septic system is on the lot: COSA Checklist # Structure served by this system Certificate of On -Site. Systems Approval Checklist Legal Description: River View Estates S/D, Block 5, Lot 2 A. WELL DATA Well type Private Date completed 5/13/76 Total depth 175 ft. Date of test Static water level Well production Parcel ID: 050-721-28 If A, B, or C provide PWSID # Well Log (Y/N) Y _ Sanitary seal (Y/N) Y Wires properly protected (YIN) Y Cased to 51.2 ft. Casing height (above ground) 12 in. FROM WELL LOG 5/13/76 33 WATER SAMPLE RESULTS 7.0 ft. Coliform Nesativecolonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 10/1/12 B. SEPTIC/HOLDING TANK DATA Tank Type/Matedal Septic/Steel AT INSPECTION 10/01/12 39.4 ft. 3.8 9 - p.m -C ollected by: F. Kenley Date installed 2/16/87 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) ! Depression over tank (YIN) N High water alarm (Y/N) N/A Date of pumping 10/8/11 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed 6/15/13 Soil rating (g.p.d./fta or fe/bddrm) 1.2 System type Trench Length 50 ft. Width 3 ft. Gravel below pipe 5 ft. Total deptii 9 ft. Eff. absorption area 500 ftz Monitoring tube Y Depression over field N Date of adequacy test New system Results (Pass/Fail) For _L bedrooms Fluid depth in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid (past 12 mo.) (Y/N & type) rate >= g.p.d. If yes, give date D. LIFT STATION Date installed "Pump on" level at _ Size in gallons _ in. "Pump off" level _ Cycles tested _ E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 87** 100+ ft Manhole/Access (Y/N) r afarm levetat in. Meets alarm 6 circuit requirements? On adjacent lots 100+ ft. Absorption field on lot On adjacent lots 100+ ft. Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25+ ft. Holding tank N/A Animal Containment areas 50+ ft. Manure/animal excrete storage areas 100+ ft. SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ ft. Property line 10+ ft. Absorption field 5+ ft. Water main N/A Water service line 10+ ft. Surface water 100+ ft. Wells on adjacent lots 100+ ft. ABSORPTION FIELD ON LOT TO: Property line 10 ft. Building foundation 10+ ft. Water main N/A Water Service line 10+ ft. Surface water 100+ ft. Driveway, parking/vehicle storage 5+ ft. Curtain drain None Known wells on adjacent lots 100+ ft. F. COMMENTS * Foundation clean-out is located inside the house. **Waiver is on file. G. ENGINEER'S CERTIFICATION I Certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSH guidelines in effect on this date. Engineers Printed Name Douglas T. Kenley Date 9' 50 13 COSA brown sheet t0-10-12.doc J �N Q II W l;.i N O O N 0 tna O 0 � N PLOT PLAN AS BUILT X SCALE 1" — 50' GRID NW 357 Project No. 12-213 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Registered Land Surveyors (907) 522-6476 Phone Re _ g y (907) 522-4625 Fax �o kenOlangsurvey.com / jonothanOlangsurvey.com 0� �o`� ,......A 9S, I hereby certify that I have surveyed the following described property: LOT 2, BLOCK 5, RIVER VIEW ESTATES SUBD. (Plat No. 75-131) 0�:' 49TH 0� Anchorage Recording District, Alaska, and that the improvements situated thereon are Q — n within the property lines and do not encroach onto the property adjacent thereto, that YJ no improvements on the property lying adjacent thereto encroach on the surve f s� ✓ ` r red i..............�..:........O promises and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. p c '• KENNETH G. LANG Dated this the � Da of Q LS -52020 +4y Day {�.yQu�.:Sr" Jt��, at Anchorage, Alaska 044�`bAo`..._�.,.C•��`�04 R fFSS4c It is the responsibllify of the owner to determine the existence of any easements, ��OODolow.oa covenants, or restrictions which do not appear on the recorded subdivision plat. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL r OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date December 24 , 1986 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2 Block 5 Riverview Estates T34 R1W SPn 20 Location (address or directions) (b) ApplicantName- Jack Olive Telephone: Home 13/a Business 337-4434 Applicant Address 4301 Defiance Anchorage, Alaska 99504 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder ® ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Alaska State Bank Telephone 277-5661 Address P.O. Box 100240 Anchorage, Alaska 99510 (e) Real Estate Company and Agent N/A Address N/A Telephone N/A (f) Mail the HAA to the following address: Pickup by engineer 2. TYPE OF RESIDENCE Single -Family ® Multi -Family ❑ Other Number of Bedrooms 3 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 Onsite 12 Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11,84) Page 1 of 2 5. ENGINEERING FIRM PROVIDI. . INSPECTIONS, TESTS, FILE SEARCH, G 4 AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address r.Ari r an;- - i 'a SErRVIGEc Date ahrr/S7 EAGLE RiVEP PA 09577 P. 0. BOX 773294 694-5195 Telephone v]�o� Engineer's Seal 6. DHEP APPROVAL l I`�/� �_ Approved for 3 bedrooms by �(//\L / V mate _ 2 —Z 7— k7 Approved x Disapproved Conditional Terms of Conditional Approval dhep CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: / ° r_ "� /� /ir s �/ v�� (/r e ✓ A. WELL DATA %�Rt(/AT9 If A, B. C, D.E.C. Approved (Y/N) /t/L" Well Classification -�-� Well Log Present (Y/N) Y —Date Completed `5_//3/ 26 Yield cs hrs S / .2Depth Total Depth /7S' Cased to of Grouting Static Water Level 3 3 ' be )af mW v6 el s Pump Set At Y Casing Height Above Ground /a " Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) % Depression Around Wellhead (Y/N) — Separation Distances from Well: / /oo , ��D ; On Adjoining Lots To Septic/Holding Tank on Lot t/vv To Nearest Edge of Absorption Field on Lot On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole �" To Nearest Sewer Service Line on Lot Water Sample Collected by Gesl� ��✓rz �'Sr��Y'7 ;Date Water Sample Test Results S� `s 641 /Vr Comments B. SEPTIC/HOLDING TANK DATA 42.5 S4 / No, of Compartments a Date Installed a h' � Size �---�— N ht Cs (Y/N) y Foundation Cleanout (Y/N) Standpipes (Y/N) �-- Air-tigCaps ) Date Last Pumped Depression over Tank (Y/N) A Pumping/Maintenance Contract on File (Y/N) NLw ;for Holding Tank High -Water Alarm (Y/N) "� Temporary Holding Tank Permit (Y/N) — Separation Distances from Septic/Holding Tank: S To Water -Supply Well !od To Building Foundation To Property Line o i To Disposal Field 2- To Stream, Pond, Lake, or Major Drainage To Water Main/Service Line Course tion Comments �]�1\ice✓ Page 1 of 2 72-026(11/84) 1t36�r r, q N1019101dd� VNN oIAtl; H 20VHOHDNV AO k1l1YdiJlNnV4 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /as-- /dam Type of System Design Date Installed .:2Z/bls-7 Length of Field Width of Field 30" i Depth of Field � Gravel Bed Thickness -5- /� Square Feet of Absorption Area Soo Standpipes Present(Y/N) Depression over Fialri iv/nn �1J Results of Last Adequacy Test I've Separation Distance from Absorption Field: To Water -Supply Well /°-�U 1, To Building Foundation 521 Lot .ZS To Water Main/Service Line —!!/U To Stream/Pond/Lake/or Major Drainage Course _ To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION j/, Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments Date of Last Adequacy Test 75.Y. To Property Line - z& To Existing or Abandoned System on On Adjoining Lots '` 3r,_' To Cutbank (if present) ICU — Dimensions Manhole/Access (Y/N) — "Pump Off' Level at ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that'I h/aaavvve checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed-�� Date Company MOA No. -S7- SCJ Receipt No. � C "C, ) -- (- C) I Date of Payment Amount: $ 1 Page 2 of 2 72-026 (11/84) r• ^Engineer's Seal F � T v.GJJ 1f)1 'C °r oacc® as coax ) Lou;.. ,i) a „urer� v 6136 (�))O1C,JO LV�w�,.i.J t ()�iiOh/?1�G`o Door L NUNICIPALITY OF ANCHORAGE DIVLJION OF ENVIRONMENTAL HEALTH DETARTMENT OF HEALTH AND 1]IWIROMUNTAL PROTECTION APPLT.CATION FOR BEALT.H AIITIIORII'Y XPPRUM, CERTIFICATE. 1, General Information Application Date (a) Legal Description (include lot:, bl.of�c, subdivision, section, township, range) Location (address or directions) (b) Applicants Name` ��i/J' %/? �5��%Telephone EfoiueL6 -� BuF,ineSs Applicants Address7e_�� (c) Applicant is (check_o_ne) Lending Insti.tut:i.on. ; Owner/builder Buyer f ; Other (e:cplain); _ ------ I . _ l- _I (d) Lending Institution Address (e) Real Estate Co. & Agent: Address Telephone (f) Mail the HAA to the fol-l.owi.ng address - 2, ape of Residenc,,.. S:ingle-P'ami_1y tf Number, of Bedrooms 3. Water S r�l.y_ Individual Weil g-;. Multi -Family Community Other. (describe Public ED Tele)hone Note: If community zaell system, muss have written confirmation frou- the State Department of Environmental Conservation attF,sttn;, to the Lebality and status. 4. Sewage Disposal Onsite, ryLL .�. Public w_y Community` l Holding Tank��..._ Note: If commuriat.y We'll system, must have written confirmattoa from the State Department of I,nvironmental. Conservation attesting to the Legality and status. t [I'.age 1 of 21 5. T_ngineoring Firm Providing Inspections, 'Pests 6 Tile Search, Data and Information As certified by my Baal 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 sate, 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 reguia-- tions in effect on the date of this inspection. 1 Name of. Firm - 1 i s.. ! SAW i11gR1 s 1�pi`t_`ili�� Address eyzn •�nr ii•.n -- _ .,�....a ,.n..._�—. acres ••--'. Date / = f/ / r5 DHEP Approval. Approved for Approve¢ 5..,. bcdrooms Telephone 1 , 1 l l-I'ff G' 1 i l ti1� d i \ /i (,ENGINEER SEAL) \t �!' ,� j ✓,� y ` 1 /�� /3'\ iI PC tJ �I.Le� /-)f �j'/'l ISy��. ' %{ �FZ•�1 „ eL�: �.ey� -ir..rt , -`-I�" / Disapproved Teams of Conditional Approval CAUTION Conditional THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY_ UPON TILT' REPRESENT- ATIONS GTVL;N IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL, ENGINEER REGISTERED IN THE STATE OF ALASKA. THE DHEP DOES THIS AS A COURTESY TO PURCHASERS OF HOMES AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED, THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/Dl3 (Page 2 of 21 t 7-19-84 MUNICIPALITY OF ANCHORAGE (MOA) MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & HEALTH AUTHORITY APPROVAL (HAA) ENVIRONMENTAL PROTECTION CHECKLIST - FEBRUARY 1984 r Jt�l 0 1gA4 A. WELL DATA DECEIVED Well Classification If A, B. or C. D.E.C. Approved(YM) _ Well LQg„Present' (Yd�.) Date Completed % ` Yield rs''�' Totai.Depth Cased to D / f Depth of Grouting ” Static Water Level 0 Pump Set At Casing Height,Above Ground 6h Sanitary Seal on Casing( Electr cal..Wiring in Conduit (YM Depression Around Db lihead ( }- Separation•Distance from We 1: To Se'ptio/Holding Tank on'Lot%)�-3 71` ; on Adjoining Lots % G_G / - "'To'Nearest Edge of Absorption Field on Lot , ; On Adjoining Lots %AO To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected By Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA /v To Nearest Public Sewer �B o(.Nearest Sewer Service Line on Lot A) i987t H IVL� Date 94x2""7 /5 /t7v1 c T /Z- L, Date Install SizeNo. of Compartments Standpipes/(Y yAir-tight Caps (Y Foundation Cleanout (Y Depression over Tank ( /N Date Last P d Pumping/Maintenanee Contract on File ( N)/ ; for G� Holding Tank High -Water Alarm (Y ) Temporary Holding Tank Permit (YN) Separation Distances from Septic//Holding Tank: / To Water -Supply 4b 11 _ / f )� 7 To Building Foundation _ a To Property Line To Disposal Field To Water Main/Service Line �,�� / _1 To �S/t�ream, Pond, Lake, or Major Drainage Course -_ems ka__ Comments (Page 1 of 21 2-1.5-84 C. ABSORPTION FIELD DATA Soils Rating in Absorp ion Strata c i Type of System Design Date Installed Length of Field 4 s / Width of FieldDepth of Field' r ravel Bed Thickness Square Feet of Absorption Area S 2-`c7 /-// Standpipes Present Depression over Field (A Date of Last Adequacy Test / Results of Last Adequacy lbst Separation Distance from Absorption Field: To Water -Supply 'Abll rOL9 -/– To Property Line To Building Foundation 7 t To Existing or Abandoned System cn Lot /J L ; On Adjoining Lots e1v Aj4p To Water Main/Service Linea f To Cutbank(if preent) , To Stream/Pond/Lake/or Major Drainage Course /i /P To Driveway, Parking Area, or Vehicle $.torage Area < Comments % fi r,AZ2� 6'G��Ih'I /AJI (f P4 1 )\ ��D f' % /.J Cr - D. LIFT STATION D ` Date Installed ,Dimensions Size in Gallons Manh 1 /Access (Y/N) "Pump On" Level at 11f" Level at High Water Alarm Level at 74OVent (Y/N) jested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes(Y/N) Continents Z/ ** Check Permit Bedroom Rating Against HAA Request ** I certify t t I h v. ph ked, verified, or conformed to all MOA HAA Guidelines in effect on the da oft 6t ion. Signed ' '-7Date 12,1 Compan - �c11CiIF1gINt MOA No. "Ls R1ViB, ALASKA r,557? KBl/d5/s PH. [Page 2 of 21 J✓ 41J19��id- 6' ` • AN J`I�r.Y �IJ�I 1,131 'L .2-,5-84 ADEOUACY TEST WATER AND SEWER INSPECTION WELL INSPECTIONS AND FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN EXCAVATION WORK Clair 'Thomson P.O. Box 10-1272 Anchorage, Alaska 99510 January 11, 1984 Dear Mr. Thomson, Reference: Lot 21 Block 51 River View Estates; Addition 2 ROBERTA.SHAFER CIVIL ENGINEER 694-2979 A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by continually flowing water through the system for a period of 48 hours, without any adverse effect on the system. The average flow each 24 hour period exceeded 600 gallons. Tt can be concluded rom this test that the waste water dispoo al system serving the two bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure. At this same time a well inspection was performed and it was determined that the well casing is equipped with an adequate sanitary seal and the wiring is in conduit. The ground around the well casing adequately slopes away from the well. At this time a water sample was taken and submitted to Chemical and Geological Laboratories of Alaska for coliform bacterial analysis. The results of this test were satisfactory. If we may be of furthz& sincerely, r :}3 EiL A. sHAFER, P.E. service, please do not hesitate to call. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 99577 Time APPLK N i FILLS OUT UPPER SIAL ONLY Property Owneri..= - Phone Mailing Address ' !F_ i /r', j _ J . , - / /:-''i, , /f, Wit_, _ Zip Code ( i / Buyer ._ Address Zip Code Lending Institution 'Ir - i - ,�� i f� /,; r. ,. �', /- / % �.-,..;, Phone Inspector Inspector Inspector ` ( l Address f /. ,S.'r Zip Code =1- z Realty Co. & Agent Phone Address Zip Code Legal Description cc Street Location...r.r- Ty e of Residence Single Family 7 Multiple Family No. of Bedrooms El Other ( ) APPROVED BEDROOMS Water Supply DISAPPROVED t�,IP'Individual ( ) CONDITIONAL. APPROVAL'r;, ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ,f7 Community DATE For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility BY: — --_— - — - - Sewer Disposal Soils Baling Date Sewer Installed )( Individual Year Individual Installed: /I Public Utility When Connected to Public Utility: ❑ Holding Tank NOTE TI IF INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date G Inspector Inspector Inspector Inspector Field Notes: m�� 1 � 2 No cc CIL (-c"6s1co. e ) - v/ �-� ( ) APPROVED BEDROOMS �J4- CONDITIONS OF APPROVAL DISAPPROVED ( ) CONDITIONAL. APPROVAL'r;, ;r -- '-- _- -.__t`. --.. s:.• c --. DATE BY: — --_— - — - - -- - Soils Baling Date Sewer Installed Well To Absorption AreaWell Log Received y Well to Tank Septic -rank Size 72023 (3182) ,y I 1 {� ,_ 3 / . � �/ 1 i �_ �/ � � r" �� % � �� (l� 1 -. / �r � i ._ � `__ - -�_ � '�. � �\ � �'. � i , r� X �,:,. � I 4 i �/ _,- `i ,,; �- �n :' �� ' .. c �; � �, �\ /`- �`f "..� 1. V 3. �,j \ i �� 1 {� ,_ 3 / . � �/ 1 i �_ �/ � � r" �� % � �� (l� 1 -. / �r � i ._ � `__ - -�_ � '�. � �\ � �'. � i , r� X �,:,. � I 4 i �/ _,- `i ,,; �- �n :' �� ' .. c �; � �, �\ /`- �`f "..�