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Home My WebLink AboutRIVER VIEW ESTATES BLK 6 LT 9 WeJ2 Drilling Permit ~'umber: SW ._ Date of Issue: __ parcai identification Number:__ ~mmp SiT. e t& hp pittess Adapter M~nufac~-urer~a N ama: Property Owner Name ./ Municipality of Anchorage o t Development Services Department ~_.=_ _-_= ...o Building Safety Division , .. -- -' On-Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~ ~' www.ci.anchomge.ak.us (907) 343-7904 Page 1 or On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW030129 PID Number:. 050--192--10 Nome: MICHAEL &: LAURIE DeYOUNG Wastewater System: [] New [] Upgrade Addreea: 7360 WATERFALL DRIVE * ANCHORAGE. AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 696-2281 3 13 Deep Trench I Shallow Trench [] Bed [] Mound [] Other LEGAL DESCRIPTION ~' "'~= 1.2 ePD/s~. ~l, ,o~ ~ ,~, o,e~.1.5 Black: I~t: Subdivision: C~pth te pipe bottom from e~g~n~l anode: ~ ~%~4h be~e~h i~p~: 6 9 RIVERVIEW ESTATES SEE DWG.~ 0.52 rown~h;p: Range: Section: na ee~ed ~ e~glna~ en~.: ~1 length: - - - SEE DWG. n 80 (2 @40)~ WELL: [] New [] Upgrad 5.0 r~ 2 5+ Cle~ (prlvet~ A,B,C): I'etel ~ Ca.ed To: To~al abeo~flo~ oma: ~ material: J 400 D 3034/ F-810 ~ AKWWC, INC. -6 6 2005 ~,, .. .. TANK SEPARATION DISTANCES ,s,ptic aHald~n~ aS.T.~. []0~,~ T~__~...~To Septic N~eomtion Uft Holding I~t~lc/Prl~ I~f~c Ce~. I, Tank I Reid Station Tank S,,~ U~, ANCHORAGE TANK 1000 We, 100'+ 100'+ - ' - 25'+ STEEL 2 S~fo~e Wotor 100'+ ~00'+ - - - LIFT STATION I I I Remorks: BENCH MARK EXI~N~ SEPTIC T~K COMPL~ELY AB~DONED. BOSOM OF SIDIN~ O POINT "A" · TO TOP OF SAND, [~ ~ 100.00 Inspections pedaled by:. AKWWC, INC. Dates: 2nd.lSt' 6/4/20036/3/2003 ,'~' ~9 ~t ./~ [ ~-~0-..~ , 4th 6/6/200~ ~~,~ .. , .- Development Se~ices Depa~ment A~proval ~, _ ~....].~79~ ..'" R~viewed and approved by: 4.,~/~ ~~ate: ~'13'03 A B ST1 14.98 48.11 ST2 20.55 47.94 DBL1 22.55 47.58 DBL2 22.87 '46.35 FD 25.27 145.57 IrS 106.82 96.38 C01 101.05 78.17 IdT1 100.05 78.54 C02 110.571 81.75 MT2 112.55 85.59 CO3 157.02 117.99 IdT5 158.971119.26 C04 151.521117.88 IdT4130.58 I117.60 ALASKA WATER & WASTEWATER c.J.G. $CAL~ ~ CONSULTANTS, INC., ' 1 5701 E. TUDOR ROAD, SUITE IOI o ANCHORAGE. AK 99507 · PHONE (qOT)~ST-617q · FAX (qOT)SSB-SZ&6 PREPARED FOR: PHONE HUMBER: PAGE NUMBER: MICHAEL & LAURIE DeYOUNG (907) 696-2281 2 OF' 5 LEGAL DESCRIP~ON: RIVERVIEW ESTATES SUBDIVISION; LOT 9, BLOCK 6, riPE OF WORK: AS-BUILT DRAWING OF' SEPTIC SYSTEM UPGRADE ~ I--'1 '~ / 81.65-81.69 I--', i.-/ / 70oC)7-7~.40 FILI"D~ F~RIO.-~. ' ~,,.~,.^;, APPROVED ¥..% ~, ~---INgT, RT OF' PIPE TOP Or SAND/ · %~:~-. ~,~ :.-~ i ~mU OrJ W~ (A~.) m~" ~1, 1~' 74.~ (A~.) ~1 ~ I R~ ~A~ON ~o~ - 71.88 (i~mo~ o~ ~ I ~0~ - 69.~ (~HO~ D~ ~ ~~L ~ ,/~/2oo~ ~ 0[~[~ AI~&SI~ ~TER & WASTE~TER ~: ,~:" 4f I~ '~ MICHAEL & ~URIE DeYOUNG (:907) 696-2281 'r.3 ...... -" ~¢RIVERVIEWor WORK: ESTATES SUBDIVISION; LOT 9, BLOCK 6, PROFILE AS-BUILT DRAWING OF SEPTIC SYSTEM UPGRADE MUNICIPALITY OF ANCHORA GE Development Sen/ices Depa/tment On-Site Water& Wastewater Prograrn 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 14, 2003 Expiration Date: May 13, 2004 Permit Number: SW030129 Legal Description:~RIVER VIE~/-ESTATES BLK '.i16 LT/~9 ~ Design Engineer: 0041 AK Water & Wastewater Consultan' Owner Name: MICHAEL & LAURIE DeYOUNG Owner Address: PO BOX 771973 Total Bedrooms: 3 EAGLE RIVER, AK 99577-1973 Parcel ID: 050-792-10 Site Address: 007360 WATERFALL DR Lot Size: 49606 SQ. FT. Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well ~ 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 engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: ~_~~:~..~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-792-10 Permit Number ~U~'~I~. ~ Property owner(s) Day phone Mailing address (1) $1T~- ,M~ address (2) 7'~/:~:) IMftT"F'RP~LI. IPl~ Zip Code Legal description (Lot, Block & Sub'd.) LOT 9, BLQ(;K 6. RIVERVIEW ESTATES SUBDIVISION Legal description (Section, Township & Range) Lot Size 4 ~ THIS APPLICATION IS FOR: Sewer Only Sewer and Well" ' ' Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool JWCHAEL & LAURIE DeYOUNG p,o. BOX 771973 * EAGLE RIVER. AK Acre:~ Number of Bedrooms 696-2281 F"J Well Only [] J--J Water Storage [] Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify that this application is being made for a single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & '~VASTEWATER CONSULTANTSr INC. Permit Fees: ~z~'00' Date of Payment: Receipt Number: Waiver Fees; Date of Payment: Receipt Number: ALASIG WATER & WASTEWATER CONSULTANTS, INC. May 5, 2003 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic Upgrade for Lot 9, Block 6; Riverview Estates Subdivision To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system consists of a 1000 gallon septic tank and a bed type drainfield that is sumharged and must be upgraded prior to selling the house. A test hole was excavated north of the existing drainfield. The new drainfield will be designed around the 30 foot radii of our this test hole. We are proposing that a new 1000 gallon septic tank and a dual 5-wide type drainfields be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Proposed Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 tt2 f. Total Depth: 2.5 feet maximum g. Sand Filter: 1 foot h. Effective Depth: 0.5 i. Width: 5 feet j. Reduction Factor: N/A k. Minimum Length: 2 ~ 40 feet long each (80 feet total length) I. Effective absorptioffarea-- 400 112 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 4. TOPOGRAPHY: Tl)e area for the proposed drainfields is a 5-10 percent slope running approximately southwestAvest to northeast/east; in short, there are no slope concerns. We are unaware of'any adverse impacts this installation ~vould have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. ereffsriee¢.(ae s, P.E., M.S. NOTE: A site plan drawing, a design drawing, a soils logs, and a 7 page constrttction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com I ~ I / ~ fl x ~ "~ ~ ..~' ~-SEFTIC J RIVERV1EW ESTATES S/D; I ./ /11 \~ ,J., LOT 11, BLOCK 6 I L./ I - Il RIVERV1E'W Ir..:~I^TES $/g ...... '-, ----'q \\ /k, I / J \\ ,. X'~\ 'b/ ! ',,X, x,. '%',,, LOT ~o.BLOCK ~ \\ ", \'~\ ~R~W ~T^~S S/O: / X "' \.~ X ~\\. LOT 16, BLOCK TH · \x \\ \ RNER~EW EST^TES \\ ",,.k. -2- "------. / ALA$Ifa~ WATER & WASTEWATER Z.T.O. (3001 I)ESARR RO/kD SUITE ~*B · ANCHORAGE Al( ~q§0& * PHONE (~07)5~?.-617q ' F~.X (q07)558-.~ZL, 6 1 = 1 O0 ; .......... '/"l Y/'/" .... PREPARED FOR ' ', F'HONE NUMBER: PAGE NUMBER: MICHAEL &: LAURIE DeYOUNG 696-2281 1 OF 2 ~, ~,,"'~s':'"~',~ ESTATES SUBDIVISION; LOT.9, BLOCK 6 R VERVIEW SITE PLAN FOR SEPTIC SYSTEM UPGRADE FOOT OF' M,O.A. APPROVED SAND F1LI'~R x. ~ AND 0.5 ~*i~ OF CLEAN, WASHED ~ ~ \ SEWER DRNNRO~IC INSTALL TRENCHES ~, ~ \ ~ ~ ,,.-.-ID(IST1NG DRNNFIELD ~ ~ ~ '"'""' TO BE COMPLETELY ~ PROPOSED 1000 GALLON/ ~ I I ~~ o~w. ALASKA WATER & ~VASTEWATER CONSULTANTS, INC.- "-- 40' ~.?.:! ..... t:/./' ......... ':...,~ MICHAEL & ~URIE DeYOUNG 696-2281 2 OF 2 ~fr~ mvg~w[w ESTA~rS SUBDiViSiOn; LOT ~, CLOCK ~, ~d]"' J~'-~ DESIGN OF PROPOSED SEPTIC SYSTEM UPGRADE , .~_~... i"l'/lI,F~fi.~o & , , CONSULTANTS, INC. ~1 ~R ~, ~ ~ ~ ~ ~* ~ (~7-81~ ~ F~ (~-~ * ~ ~.~.~m~''''~''",,/~l ....... ~ ISOIL LOG - PERCO~TION TESTI ....... -~ ........... ~G~ D~CRI~ON: R~,~ E~A~ SUBDMSION; LOT,. BLOCK 6, ~r,2'"-M .."%,~'" PERFORMED FOR: MIC~L · ~URIE DeYOUNG DA~: 4/25/2003 ~ ~ OR6ANIOS,- ~'=-~,,.._mJTEST HOLE ~1, ~'%' '~:~,,~: SOIL C~SSI~CA~ONS '~i~ ~ GN ' CL ~;~ GC OL 4-- GP/ ~IHI To ~ sw ~- ~1 ~ I~u/su s~ .,~. SM OH :~:~. 7~-~: DERTH TO 8-- i::~u BEDROCK D~ 4/25/2005 D~ 4/2S/2OO~ 9- D~ 5/2/200~ ! 10 -- 11~ DATE READING CLOCK NET TIHE WATER LEVEL NET DROP TIHE (HINUTES) READING (INCHES) ~2_ ~/=s/2oo~ ~ - _ s- _ 2 - 5 O" 6" 1~-- 5 - _ 6- - 4 - 5 O" 6" 14-- 5 - _ 6- _ 6 - 5 O' 6' 15~ 16~ 17-- 18~ 19~ PERCOLATION RATE <1 (HIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.0 FT. ~D 5.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORHED: ~ YES ~ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORHED BY: ~B COHHENTS: PERFORMED BY ~C, INC. I. JEF~ A. GARNESS. CERTI~ T~T THIS W~ERFORMED IN ACCORD~CE W~ ~ ~A~ AND MUNICIPAL GUlDEUNES IN E~ECT ON THIS DA~ ~/~ DEPTH TO GROUNDWATER DATE DRY 4/25/2005 DRY 4/28/2005 DRY 5/2/2005 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 'PHONE Well DISTANCE TO: ] Manufacturer ~Liq, capacit~ in DISTANCE TO: Manufacturer Absorption area /~¢ J Dwelling i~1 Material ~, ~..~ Width Inside length Dwelling Material /:,¢..%_ ,' Length of eac[~line DISTANCE TO: No, of lines Top of tile to finish grade ./ Material beneath tile inches Width Depth Crib diameter Crib depth Total effective absorption Length DISTANCE TO: Class DISTANCE TO: Well Depth Driller D~tani~e to lot line Building foundation Foundation Total length of nes Building foundation Sewer line OTHER PIPE MATERIALS /:~//'~. SOIL TEST RATING INSTALLER DATE LEGAL Nearest lot line Trench, width 2.~~ ~ ~'~2 inches NO. OF BEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO, ~;..// ~ .~' Distance between lines Total effective absorption area PERMIT NO. area Nearest lot line Septic tank PERMIT NO. Absorption area(s) LOCATION . , ,~2 .-~ MAI LING ADDRESS LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE · DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME " -- P H 0 N~' ~ [~'N EW MAILING ADDRESS LEGAL DESCRIPTION LOCATION NO, OF BEDROOMS Well Absorp~rea Dwelling / PERMIT NO, ~f5 ~ Material ~ N°' of compartments Liq. capacity in gallons Inside length Width Liquid depth /~OD m HOMEMADE: ~ ~ DISTANCE TO: Well i ~'welling PERMIT NO. O ~ ~ Manu[acturer Material Eiquid capacity in gallons Well I PERMIT NO. DISTANCE TO: t ~5 1 ~ No. oflinos 50~ l¢¢ 2~'~ ~ inches Length ~ach line Total length of lines Trench width Distance betwe%n lines ~ ~ ~ Top of ti)e to finish grade~ I Materia) beneath tile Total effectivecbsorption area Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective adsorption m Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer Pine Septic tank Absorption area(s) PIPE MATERIALS .... APRRCVED ~ DATE LEGAL 72-013 '~Rev. 3/78) WATER WELL RECORD · STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological ~ GeophysicolSurveys LOCATION OF WELL (PI°eeo complale either la, lb or lc.) DISTANCE ANO DIRECTION FROM ROAD INTERSECTIONS Streel Address and Aroa of Well Locellon 2. WELL LOG Mot°rial Typo Fill Section No. Drilling PetmJl No, A.D,L. No. Bedrock, black shale , some Wa-Y~r , more wager, crevi~ WATER WELL CONTRACTOR'S CERTIFICATION: Foot Selow Sur fcc° Tap 8ottom 0 6 6 120 ~ 123 ~ wE] ~. OWNE. o~ WELL: N~. Jack Y~yons Addres,: Box 1913 Eagle River, Ak o 9951 4. WELL DEPTH: (fln°l) I 5. DATE OF COMPLETION 1._4.8 .,,. 9 .- 24_-~ 6. [] Ceble fool ~'~tary [] Driven [] Dug E] Auger 0 dotted •Bored 0 Other, ?'USE~(~x.O°meetle g~ Public S.pply [] IndustrV Irrigation ~ Recharge 0 Commerlc~l Test Well ~ Other; 8. CASING~ dlam.__~ In. dlorn, in. E} Throoded ~ Welded to._'L~ ft. Depth Wotght~? lbs./ft. to_ ft. Depth Stlckup ft. 9. FINISH OF WELL: Type: Slot/Meeh Size Set between Bock filling ft. end Grovel pack tO, STATIC WATER LEVEL: ft. O Above Or •Below land surfaco Equipment ueed: ft. Dote 14. REMARKS: ?roducl;lon o£ 12 G?M Bedrock at, 18 i'-t;. 15. Wator Temper°lure ._ o [] F [] C This well was drilled under r,',y jurisdiction end Ihis report is true to the besl of my knowledge end belief; Magnuson Drilling AA 5385 Registered Business Nome Conlrocl License Number Address:~.~OX 770504 Eagle River, Ak. 99577 Authorized Repre;~nfolive 7/ ~'"['"'~' '~%'~"~='~ ' ;::)ep~. Form OE"WWR (H/81) Copy Distribution: WHITE'Slot° DSGS, PINK'Driller, CANARY-Customer PUMP; (if avolloble) HP Longth of Drop Pipe ~ft. copaclty g.p.m. [] Subm, [] der E] Contrificcl [] O,he, 1 98~ I~.GROUTING Welt Orouled: [] Yea [] No Mol•rial: [] Neet edmont [] Other: II. PUMPING LEVEL below land eurfoce and YIELO __.fl. offer -- _hrs, pumping g.p.m. ~ ft. oiler __ ~hre. pumping.., g.p.m. Permit ~ Applicant: L/~ Z),~ Location: Legal Description: Department = Health and Environmental ~rotection 825 _ Street, Anchorage, AK. _3501 * * ~ HANDWRITTEN PERMIT WELL AND/OR ON-SITE SEWER PERMIT ~eb~'~ Mailing Address: ~) ' ~ / / Phone Nu~er: Type of Soil Absorption System Is: Trench: ~ Drainfield: Maximum Number of Bedrooms:~ Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is: DEPTH ~ ( LENGTH ~//7/ GRAVEL DEPTH c/ { WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(HOLDING) TANK SIZE = /~O.~9 GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number Df residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department ~ill be subject to prosecution. ~inimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type Df public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required ~nd must be returned to this department within 30 days of the well completion. 9ther requirements may apply. Specifications and construction diagrams are ~vailable to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 8 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that/~ bedrooms. ~ C ' Date: ,~"~//5/,~'-~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG [] PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Z~¢'~ '7' DATE PERFORMED: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O SLOPE SITE PLAN WAS GROUND WATER S ENCOUNTERED? /¢F/'~ L 0 P E IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE /('//' ~ ' (minutes/inch) COMMENTS TEST RUN BETWEEN ," / 72-008 (6/79) FT AND -- FT BY' CERTIFIED Y'~/i,' = ~ ~ ' Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. 1. GENERAL INFORMATION CERTI'FICATE OF FOR A SINGLE HEALTH AUTHORITY APPROVAL FAMILY DWELLING Expiration Date: Complete legal description RIVER VIEW ESTATES SUBDMSION; LOT 9~ BLOCK 6, Location (site address or directions) 7360 WATERFALL DRIVE * EAGLE RIVER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MICHAEL & LAURIE DeYOUNG Day phone 696-2281 P.O. BOX 771973 * EAGLE RIVER~ AK 99577 Day phone JILL HOELTING w/ DYNAMIC PROPERTIES Day phone 3111 "C" STREET * ANCHORAGE, AK 99503 261-7600 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. 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 Health Authority Approval (HA.&) 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 propedies served by a private or Class C well and may be reissued with new water samples. (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. INote: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or pdor I to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As corfif'ted by my seal affixed hereto and as of the validation date shown below, 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, 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 fi/es 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 5701 E. TUDOR ROAD~ SUITE .101 * ANCHORAGE~ AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the t/rna of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater leve/s that may fluctuate during the year, and the water usage cf the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future est/mate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the so/e benefit of the owner listed above. Any reliance upon or use of this report by any other person or parly is not author/zed, nor will it confer any legal ~fght whatsoever. 5. DSD SIGNATURE ~. Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: ..... . .-.?& Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Manitenan~ Agreements ~[~0~ "~'NN' Supplemental Engineers Reo~ ~YO.,/;;))}~~ Other (Rev. 12~1) Original Certificate Date:. ,6 - I -o3 Municipality of Anchorage Development Services Department Building 6afety Division On-~ite Water & Wastewater Program 4700 South 8ragaw Sb P.O, Box 196650 Anchorage, AK g9519-6650 w~Nw.cLanchorage.ak, us (507) 34 7 4 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Das~'tptlon: RNERVIEW ES:[',.,ATES SUBDMSIONi ,, LOT 9~ ~BLOCK. 6t Parcel ID: , A. WELL DATA *CASED TO BEDROCK Well type PRIVAI~ if A. B, or C provide PWSID~ N/A_ Data completed g/24/1985 Sanitary seal (Y/N) YES Totaldepth ,148 It. Cesedta ,,,~18 ft. Data of test Static water level Well production Foundation cleanout (Y/N) ,YES Date of pumping ~ NEW ABSORPTION FIELD DATA FROM WELL LOG UNKNOWN ...... 12 , WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenl~ N/A,, mg./L. B. SEPTIC/HOLDING TANK DATA Tank Type/Matarial . STEEL, Tank SiZe !000 ~ gal. Number of Compartments 2 Depression over tank (Y/N) ,.NO _ Pumper ......... 050-792~1p Well Log (Y/N)., YES, Wires properly protected (y/N) YES Casing height (above ground) 12+ in. ATINSPECTION *'4./14./2003 . g.p.m. '4.0 "q'EST DATA FROM S&:S ENGINEERING Nib'ate , 0.1 mgdl.. Other bacteria Date of sample: 6/5/2003 Collected by: 0 colonies/100 mi. AWWC~ INC. Date installed 6/3-6/2003 Cleanouts (Y/N) YES High water alarm (Y/N) _ N/A For 5_ ,, bedrooms New depth - in. 4.50+ J. g.p.d. If yes, give date ,., - Date installed s/3-s/2003 Soil mtlng (~or fl~3drm) ,,1.2 System type TRENCH Length 80 (2 O, 40) fL Width.,, 5 , . fL Gravel below pipe 0.52 ff. Total depth .3.1g-~x;52ft. Eft. absorption area ,,400, ft~ Monitoring tube YES , DepreSSion over field ,NO Oate of adequacy test NEW Results (Pass/Fall) -'- ' , ; ' , Fluid depth in absorption field before test .,T' in. Water added , 7' gal. Elapsed Time: .- min. Final fluid depth .'T In. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN, O. LIFT STATION Oata installed Size in gallons , , ~ "Pump on" level at in. "Pump off" n. High water ala~rn level at in. D~atum ~ Cycles tested Meets alarm & circuit requirements?. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout Holding tank, N'/'A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Water main N/A. Wells on adjacent lots 100'+ Property line Water service line. 5'+, .... Absorption field 5'+ 10'+ Surface water. 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Water service line 10'+ Curtain drain NONE KNOWN COMMENTS Building foundation 10'+ Surface water 100'+ Wells on adjacent lots 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and revfew of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date, Engineer's Printed Hame ,.,. JEFFREY A, GARNESS, HAA Fee $ Date of Payment Receipt Number (R~'. 12/01) Waiver Fee $ Date of Payment Receipt Number 06-10-03 09:54A1~ FROkI-CT&E EN¥I~NiCNTAL SRV 9075615301 T-951 P,02/03 F-128 SOS Ref.~ Client Name Project Name/~ Client Sample ID Matrix i 033186001 AK Water & Wastewater Consultants Inc. Lot 9. Blk ti, River View Est. Outside Faucet Ddnking Water All Dates/rimes are Alaska Standard Time Printed Dateffrlme 06/09/2003 17:':14 Collected Date/Time 06/05/2003 8:05 Received Date/rime 06105/2003 13:30 Technical Director ~ Steph~de Sample Remarks: Allowable Prep Analysis Parnmeter ResultS PQL Units Method Limits Dole Date Init Waters Department Ni~at=-N 0.100 U 0.100 mg/L EPA 300.0 (<=101 06106/03 JJB Microbiology Laborator~ Total Coliform 0 eol/100mL SMI8 9222B (~--1) 06/05/03 KC MUNICIPALITY OF ANCHORAGE Department of Health & Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 Parcel I.D. # CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING 1, GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 9; Bloc~ 6; Rivervie~ Location (address or directions) (b) Property owner Mailing Address (c) Lending Institution Mailing Address Bill & Mollq Lindseq HC 85 Bo~ 9425 Hiland, Telephone:(home) 694-6344 ~Business Eagle River, Ak. 99577 Telephone (d) Real Estate Company and Agent RE/MAX OF EAGLE RIVER ATTN: Eva Loken Address 16600 Centerfield Drive Suite Telephone 201 Eagle River, Ak. 99577 (e) Mail the HAA to the following address: (or check here'~ if hold for pick up.) List contact person and day phone number below: S & S ENGh"~EERING 17034 E~.ji¢ ,".,ye,' ;.o,~ ReaW ~/_~, ~ Eagle ;~v,~:, h~sJ~ '~f'577 2. TYPE OF RESIDENCE Number of bedrooms 3'" Single-Family E~X 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 th legality and status. 4. SEWAGE DISPOSAL On-site ~ 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 (Rev 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified.by my seal affixed hereto and as of the validation date shown below, Iverifythat 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 S & S ENGINEERING 17034 Eagle River Loop Road t'~c ',., 'Eagle River, Alaska 99577 Date Telephone 6. DHHS APPROVAL Approved for :2 ~,__bedrooms by Approved ,.~/~..~__ Disapproved Terms of Conditional Approval Conditional The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5above 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 DHHSdo not conduct inspections or analyze data before a certificate is issued, The Municipality of Anchorage is not responsibleforerrorsoromissions in the professional engineer's work. 72-025 (Rev 7/88)Sack Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) Health Authority Approval (HAA) CHECKLIST- FEBRUARY 1984 343-4744 LegALJ3~scription: ~-~,c'~ A. WELL DATA Well Classification ~"~1 ~ L~ ~' t~--',._/ Well Log Present ¢~N) '-// Date Completed ~ ~,~..~ Total Depth ~ Cased to \%;' Depth of Grouting Static Water Level Casing Height Above Ground Electrical Wiring in Conduit4(.~TN) Y SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot Pump Set At Sanitary Seal on Casing ¢~N) Depression Around Wellhead (Y/~ If A, B, C, D.E.C. Approved (Y/N) Yield -~-'-- ~ To Nearest Edge of Absorption Field o~ Lot ,_\/ To Nearest Public Sewer Line ; On Adjoining Lots \ ~;:~::~1 ~ ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot ~ Water Sample Collected by~:~ ~ ~' Water Sample Test Results '~¢'"~-\'~--~ ~ Comments ; Date B. SEPTIC/HOLDING TANK DATA Date Installed'C:~'\~--g'% Size \~ Standpipes ~N) "/ _Air-tight Capsd~'N) Depression over Tank (Y~ Pumping/Maintenance Contact on File Fielding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: No. of Compartments ~ Foundation Cleanout ¢ te Last Pumped J~ ;for Temporary Holding Tank Permit (Y/N) I~/ To Water-Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course Comments ""/~-~' ~ ~::::~ ~ '~ I ~¢ To Building Foundation To Disposal Field 72-026 (Rev. 7/88) Front Page 1 of 2 C, ABSORPTION FIELD DATA Soils Rating in Absorption Strata {'~-~' %'¢~ Type of System Design Date Installed ¢:/- /~" '- ~'~ Length of Field Width of Field ~'- ' Depth of Field ~ ~ Gravel Bed Thickness ~ ~::::~, -~- Square Feet of Absortion Area ~:~;;;~O ~ Statndpipes Presen~:C~N) Depression over Field (Y/~:~ ~ Date of Last Adequacy Test Results of Last Adequacy Test ~.~,,, ¢-~'~-.¢ ~ ~ ¢:i'~ . SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well ~ r,~:,~ ' , To Property Line To Building Founda~t~.on/ '¢'--~ To Existing or Abandoned System on Lot r'~/~' ; On Adjoining Lots t ...(¢ To Cutback (if present) To Water Main/Service Line [ ~ To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments ~ //~ ~):2c~--~2-o,,--4 /~7~cCz'-"F' D. LIFT STATION Date Ins Ikt'~ Dimensions ,S, ize in Gallons%_ Manhole/Access (Y/N) Pump On" Level at -~-,.~ "Pump Off" Level at High Water Alarm Level at ~ Vent (Y/N) Tested for ~~. Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) 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 th~ inspection. ..~-,~-~*I,'~,. ~. Signed 17034 Eagle Ri~er Loop Road No. 204 ~;~' ~¢-' "% ~ ~ Company ~.!=:~= ~577 ~~~~ ~ ~.~. ~ ' ' ~-~. - .... Receipt No. Date of Payment Amount: $ 72~026 (Rev. 7/88) Back Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 ,/-"~'¢C ~ko~:'lvlUNICl PALITY OF ANCHORAGE (MOA) ~-'~,'; Health Authority Approval (.AA) ., o~J CHECKLIST - FEBRUARY 1984 ~ ~ ~~ 343-4744 ¢~ ~ ~ ~ Legal Description: A. WELL DATA C ssific tion% *' C. Well Log Present (Y/N) ~ Date, '~'~¢C°mpleted ~. - ~.~ Yield Total Depth /~ Cased to ~ ~epth of Grouting Static Water Level Casing Height Above Ground ~ ' 'f 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 . To Nearest Sewer Service Line on Lot Water Sample Collected by Water Sample Test Results Pump Set At L.) ,/t'/ Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ;Date ; On Adjoining Lots { (po /d- ; On Adjoining Lots To Nearest Public Sewer Cleanout/Manhole Comments B. SEPTIC/HOLDING TANK DATA Date Installed_~- Standpipes (Y/N) Depression over Tank (Y/N) Pumping/Maintenance Contact on File (Y/N) / Holding Tank High-Water Alarm (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOL ! OOO¢¢/No. of Compartments __ Air-tight Caps (Y/N) ~/ /~/ Date L~ Tem F ndation Cleanout (Y/N) /%) Pumped ~1_ '~ _c~O · for f0/~ / Holding Tank Permit (Y/N) /'J/~ To Water-Supply Well To Property Line To Water Main/Service To Stream, Pond. Lake or Major Drainage C Comments Building Foundation __ To Disposal Field ~rse / O0 -k 72-026 (Rev 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absortion Area ~-- ~ ~2 Depression over Field (Y/N) ~ Results of Last Adequacy SEPARATION DISTANCE FROM ABSORPTION FIEL Depth :ield Gravel Bed }es Present (Y/N) ~ of Last Adequacy Test To Property Line ~ ~ / To Existing or Abandoned System on To Water-Supply Well I ~& ~ To Building Foundation ,,~-~- ' Lot ~/~ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage To Driveway, Parking Area, or Vehicle Storag( Comments Adjoining Lots __ To Cutback (if present) · D, LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. inspection. Signed S & $ ENGINEERING Company 17034 Eagle River Loop Road No. 204 E a g le..Riv, e r,_AI a:C(a 995)/ MOANo,~ ~ ; ~O~ **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 Receipt No. Waiver Fee: $ Receipt No. Date of Payment Amount: $ Date of Payment 72~026 (Rev 7/88) Back Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET · ANCHORAGE, ALASKA 99518 , TELEPHONE (907) 562-2343 FEDERAL TAX I.D. #92-0040440 Collected J~ $ 90 I 17:40 Received JUN 6 90 { 13:10 Instruct: Alloweble ~ezemetez Te~t~d ge~ult Units ~ethod ~tmitl NIT~ATE-N ND(O.IO) ~/1 EPA ]53,2 lO Sample SABLE COLtECYED BY gDJ, BOUTINB SABLE. ND" None Detected "Soo Sample ~enm~k~ ~bove ~A' Not Analyzed L~-Le~s Then, OI,Ozeate: Than APPLI¢ NT FILLS OUT UPPER HAl ONLY Buyer Address Zip Code Lending Institulio~ Phone Realty Co. & Agenl Phone Address Zip Code Legal Description Type of Residence ~ Single Family ~ Mulliple Family No. of Bedrooms ~ Olher Weter Supply ~ Individual ATTACH WELL LOG, A well log is requked for all wells dri[ted since June lg75. ~ Communily For wells drilled prior to thai date, give well depth (etlach log if available), ~ Public Utility Sewer Disposel ~ Individual Year Individual Installed: ~ Public Ulil[ty When Connected ~o Public Utility: ~ Holding Tank NOTE: THE INSPECT~OH FE~ MU~T ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Time Time Time Time Inspector Date Inspector Date Inspector Date Inspector Field Notes: MUNICIPALITY OF ANCHORAGE F. NVi RO;'J',', :,Ni AL (?) APPROVED BEDROOMS ( ) DISAPPROVED ) CONDITIONAL APPROVAL* DATE BY: , '*:~'~ ( ,, ,t : ":' Ii'"" Soils Rating [}ate Sewer Inslalled 72 023 [3~82) Well To Absorption Area Well to Tank Well Log Received Septic Tank Size ROBERTA. SHAFER CIVIL ENGINEER 694-2979 October 19, 1983 ADEQUACY 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 Lyons Construction P.O. Box 1913 Eagle River, Alaska 99577 Dear Sir: MUNICIPALITY OF ANCHORAGE DEPT. Or- '-: ' . ENViRO~,'./,EN i/d. F~OiJC~[ON Reference: Lot 9; Block 6; River View Subdivision A we]l inspection was performed on the well located on the referenced property, as you requested, It was determined that the well. casing ~s adequately equipped with a sanitary seal and all wires are in conduit as required. The ground surrounding the well casing is adequately sloped away from the well. kP~l(_ A water sample was taken from the top of the well casing and submitted to Chemical and Geological Laboratories of Alaska for an analysis for coliform bacteria. The results of this water sample were satisfactory. Lyl(_~, If we may be of further service, please do not hesitate to contact us. S i n ~¢¢~1 y., ~~E~, P.E. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER, ALASKA 99577 ~ WELL ~LO~ l'~st DAI'A ~rl~l~ . .. D~PTII TO J~sl ...................... "FOI'IqL P. 01