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Home My WebLink AboutMEADOW RIDGE ESTATES BLK 3 LT 1 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL. SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 e Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Name: ~ 1~, ~/~/~ Wastewater System: ~ New ~pgrade ¢5~/ ~~ ~V~ ~ ABSORPTION F~ELD Phone ~ No of Bedrooms:~ ~eep Trench ~ Shallow Trench [3 Bed ~ Mound ~ Other LEGAL DESCRIPTION Sci[Rating: ~'~ GPD/Sq. Ft TotaIDepthfromoriginaigra~/ ~ubdivision: Depth to pipe b01tom tram origina~ grade: Gravel depth benealh pipe / WELL: ~ New ~ Upgrade Gravel width: '~ Ft/ Number/of lines: a~stance~ Ftbek'z'en lines: ' Pipe matedah C~assilication~~/(Private, A,B,C~ ~¢'¢~ ~otal Depth: Ft Cased To: Ft. Tota~ absorption area: ~ Ft. ~'~ ~ ~' Driller: Date Drilled: Static Water Level: Installer: Date installe~ Yield: GPM Pump Set at: Ft. Casing Height ~ove Ground:Ft. TAN K S E PA R AT Id N O IS TAN C E S~ ~Septic~¢l~ Holding S,T. E. P. TO Septic Absorption [dt HoLding Public/Privale Manufacturer: Capacity From Tan¢ Field Station Tank Sewer Lines Well ~ ~¢~ _~ ~ ~1~ Material: Number el Compartments: Surface LIFT STATI O N Water ~ I~~ '~ ~ Size in gallons: Manulactur~r: Lot ~1 / Foundation'[/ ~/ .~ ~ -Pump on" leve~p off" level at: [ High water alarm al: -- ~ Eleclrical Inspections Curtain Jo¢~. aM ~l~ . Pu del performed b~: Drain Remarks: BENCH MARK Location and Description: Assumed Elevation: ENGINEER'S SEAL Inspections performed by: E~,,~le t~tver, Alaska ggS~ 2nd ~¢/¢~~~" Bepartment of Hea~th~d Human'¢vices approval ~~:, Reviewed and approved b Date: ~ 72-013 (Rev. 9/91) MOA 25 Permit No. SW930146 Page. 2 of _ 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description:MEADOw RIDGE ESTATES, BLOCK 3, LOT 1 PIDNo.: 05146122 CO1 92.8~ EXIST. ~ 1000 GAL SEPTIC .6' TANE FINAl, GRADE MT CO3 ~ ~-~_~__~__ ._~9o.~' ~8 1' · 75' NO WATER FOUND MEADOW RIDGE: COUR1 ifflO' [ri'ih ESMT. I'ROPEI,q'Y SEI{VED tlY COMMUNITY Y,'A'I'F.}: ¢'f,~'I'EM NO WF,[,I,S ',¥1'I'IH,", 200' OF SEPI'IC SYSTEM /EXIST. TRENCH // ABANDONED SUCi[ TI1AT IT },I~,Y Iii': U<ED 1N TIIE FUTURE, 1000 GAL SEPTIC TANK (INTEGRITY VERIFIED) A B co2 i 5~51 cos 56' / 48.5/ M'r ] 5~/' / 49.5 / / / DRWE TRENCH 3 BDRM }lOUSE ENGINEER'S SEAL = 40' Ne,, I .'L57 · Permit No. SW950146 Page 2 of ~ Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Legal Description:MEADOW I~,IDGE ESTATES, BLOCK 3, LOT 1 PIDNo.: 05146122 CO1 /97'4'1 92.8~ EXIST. ~ 1000 GAl, SEPTIC .6' TANK N.T.S. FINAL GRADE MT C03 _ _ ~90.6' 87' · 75' NO WATER FOUND MEADOW RIDGE COURT PROPERTY SERVED BY COMMUNITY ~TATER SYSTEM. NO WELLS WITHIN 200' OF SEPTIC SYSTEM. UTIL. ESMT. / DRIVE 1" =40' 72 013 A (Rev 9/91) MOA 25 / / / /EXIST. TRENCH A B / /ABANDONED SUCH CO1 23' 12' / /~ THAT IT MAY BE USED / / IN THE FUTURE. C02C03 5,i.556, Ii 57.548.5 MT 57' 49.5 / 1000 GAL SEPTIC TANK D.V. 38 33 (INTEGRITY VERIFIED) OOl TRENCH 3 BDRM HOUSE ENGINEER'S SEAL PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW930146 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:MCKNIGHT H GALE OWNER ADDRESS:9501 ALBATROSS DRIVER ANCHORAGE, ALASKA 99515 DATE ISSUED: 6/10/93 EXPIRATION DATE: 6/10/94 PARCEL ID:05146122 LEGAL DESCRIPTION: MEADOW RIDGE ESTATES BLK T 1 3 L LOT SIZE: 36531 (SQ. FT,) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS ].5.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343--4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS RECEIVED BY: ISSUED BY: ~/~'~- DATE: DATE: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. June 2, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTDRAL & MECHANICAL ONSITE WASTE WATER OISPOSALSYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Meadow Ridge Estates, Block 3, Lot 1 Request you issue a permit to upgrade the septic system serving the referenced property. An adequacy test was performed on the existing system and the absorption capacity of the system was found to be inadequate. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. Attached is the proposed upgrade design. This property is served by a Community water system. There are no protective well radii which encroach upon the property. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic upgrade. If you have any questions or require additional information for your review, please contact us. far, P.E. RAS/LSU/lsu 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 1" = 40' UPGRADE SCALE LOT 2 LOT 1 ~L~ SLOPE SITE PLAN i!i~ ~: ~ DEPARTMENT825 "L" Street,Municipality of Anchorage OF Anchorage,HEALTH &Alaska HUMAN 99502-0650 SERVICES SOILS LOG -- PERCOLATION TEST PERFORMED FOR:_~;~ ~5~~/**¢,~ ',Range, Section:DATEPERFORZ LEGAL DESC : ~ WAS GROUND W 1 0 ENCOUNTERED? 1 1 IF YES, AT WHAT ...........--'~"~ OL s DEPTH? P 12 E 1 3 I~onilorinD? ~¢~:- ~ Date 14 15 16 17 18 19 //~o t / Gross Net Depth to Net Readio9 ate Time Time Water Drop ~ . /S W~ lo ~ ~ /" 2O PERCOLATION RATE/O (mlnutes;,nch) PERCHOLEDIAMETER ¢ ! TES R NBETWEEN ~ S & 5 ENGINEERING-- /~ ~ ~ ' - ~n~A ~.. ~ DI,,~ I ~ ~ ~ ~ CERTIFY THAT THIS TEST WAS PERFORMED IN 72 008fRev 4/85) ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Meadow Ridge Estates, Block 3, Lot 1 GENERAL: 1. The scope of this project includes the excavation of the existing 1000 gal septic tank serving the three bedroom residence located on the referenced property in order to verify :[ts integrity. If the integrity of the existing septic 'tank is poor the existing septic tank is to be excavated, pumped, crushed, and abandoned in place and a new 1000 gal septic tank installed. Cons'truction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. Page Two Meadow Ridge Estates, Block 3, Lot 1 Construction Practices A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. MINIMUM MATERIAL ~3PECIFICATIONS: Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2 o The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: TYPe of PiDe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve° Page Three Meadow Ridge Estates, Block 3, Lot 1 Construction Practices When sand is being used as a filter material, it's gradation specifications must conform to AMC 15.65.060D. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed- up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill° Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. Page Four Meadow Ridge Estates, Block 3, Lot 1 Construction Practices The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting will take place on-site. INSPI:'CTION GRB,,.R ANCHORAGE AREA BOR $H Department of Environmental Quality 3330 O Street Anchorage, Alaska g9503 REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE ¢_,~,~¢¢,.vv,.-, ,--- -- r'7,~ ' ATERIAI_ INSIDE LENGTH ~. INSIDE WIDTH ~ LIQUID DEPTH ~J _ _ I NUMBER OF ~.- ' ~:~--'¢~ ~ ~ O'~S' COMPARTMENTS .~____ -"'"'- LIQUID CAPACITYJ O~Y~ GAl_CONS. [::)RAIN FIELD: DISTANCE FROM WELL OF LINES /____ DISTANCE BETWEEN LINES __._~/~' TRENCH WIDTH'~2 IN. NUMBER ABSORPTION AREA___ff3 -~)-'''- SQ. FT. LENGTH OF EACN LINE ~ ~ I '4/ DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISII GRADE MATERIAL BENEATH TILE "'~ ~ (~,'O4"¢~' IF~'O ~ ..~O ! TOTAL LENGTH ~ ~,~ / FOLJNDATION 3~'' _ _NEAREST LOT LINE OF LINES ,,~O TOTAL EFFECTIVE IN. ABOVE TILE ~ IN. WELL: CONSIRUCTION __DEPTH__ BUILDING NEARESI NEAREST SEPTIC SEEPAGE FOUNDATION ..... LOT LINE _ ~, SEWER LINE __ TANK . SYSTEM__ CESSPOOL _, OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCE FROM: INSTALLED BY: SEWER LINE DEPTH: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM i\ ~G.A.A.B. Form EQ-032 T I }iii: I i lie FINE:, I'i..lt~: I:;i:li:(i:!lt:!:lZi:tii:l'll5:Nl':!5 F:'t::[t:~: Ob,t..Si;):Tt!!: :iS;lii:l,,JEil:;i:'.~i; t:::lbI!) l.,,!fi:t..!.5!; 1:::lSii; 51::!:i :i:"l'"r' ill)l::' I:qNCI'IOI::~:I:::IGI~!:. 5 :'~"::5'i"i~i:H I'I"'{i~: I:) i",i "' :!5 I: "t' i::: ITl MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alaska 99602 276-2221' SOILS LOG - PERCOLATION TEST [] PERCOLATION TEST PERFORMED FOR: ~'~'~'--~-- ~ LEGAL DESCRIPTION: 1 2 3 5 6 7 8 9 ~--~10 11 12 13 14 15 16 17 19 20 WAS GROUND WATER IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE TESLR UN BETWEEN COMMENTS (minutes/inch) FT AND '~' .... ET 140 72-O08 (7/76) MUNICIPALITY OF ANCHORAGE DEPARTMENT 0F HEALTH &HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.b.# ~)~\- L~b~/ -~.~_~),. HAA~! 1, GENERAL INFORMATION Complete legal description Location (site address or directions) 21139 Country View Drive Eagle River, AK 99577 Property owner Mailing address MC KNIGHT Day phone 694-4200 Lending agency Mailing address. Day phone Agent Sharon Minch/ REMAX of Eagle River Address 16649~ Centerfield Eagle River, Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: __3. \~ TYPE OF WATER SUPPLY: individual well Community well xxx NOTE: Day phone AK 99:%77 694,-4200 Public water If community well system, provide written co.n. firmation from State ADEC attest- ' lng to the legality and status of system. , TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site NOTE: xxx Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fronl MOA ~21 s~uewwoo leUO!l!pp¥ :suoRelnd?,s 8u!~OllOJ eql qli~ 'suJooJpeq Joj leAoJdde leuoR!puoo 'sLuooJpeq 'peAoJddes!Q / Joj peAo~dd¥ ~ ~I~Iq.L'CNIelS~ SHHO 'uoi~oedsu! s!ql jo e~ep eq~ uo loejje u! suoReln6e~ pue 'seoueu!pJo 'sepoo e~e~S puc led!o!un~ lie q~!/~ eoue!ldUUoo u! s! we),s,~s lesods!p Je~e/~e~se~ Jo/pue ,~lddns ~e~e/~ e~!s-uo eq~ 'uo!~oedsu! pue uo!~elS!~se^u! ,~w woJj pue Sel!J eeeJoqouv jo ,~l!led!o!unR eq~ woJj peu!e~,qo uoi~ew~oju! eq~ uo peseq ),eq3 ,~Jpe^ ~eq~Jnj I 'u!eJeq peleo!pu! eJ n),onJ~,s jo ed,~ pue sbuoo~peq jo ~eqLunu eq~ JoJ e~enbepe pue leUO!),ounj 'ejes s! LUe~S,~S lesOds!p ~e~e~e~se~ Jo/puc Xlddns ~e~e~ e~!s-uo eq~ ~eq~ SN~OqS uo!~eo!ldde le^oJdd¥ ,~poq~n¥ q~leeH s!q3 jo uoRe6!~se^u! ,~w ~,eq~/~J!Je^ I '~oleq u~oqs e),ep uo!iep!le^ eq~ jo se pue o3eJeq pex!jJe leas ~LU/~q pe!ji3~eo sv t:I=r:INI~DN=1 A8 NOI.I.' "clSNI --IO 1N::IIN::IIVIS 'S '9 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A, Well Data Well type /~ Log present (Y/N) Total depth Sanitary seal (Y/N) Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height 2.11'-/-.¢ I FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WE..I.LL--'~O: Septic/holding tank on lot J Wires properly protected (Y/N) AT INSPECTION ; On adjacent lots Absorption field on lot _J Public sewer mai~ Sewer service' line ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Date of sample: Nitrate Other bacteria Collected by: Date installed Cleanouts~q) High water alarm (Y/N). B. SEPTIC/~TANK DATA Tank size ./'E::;>~:~ d:~ Compadments Foundation cleanout~) Depression /Lc) /,/~- Alarm tested (Y/N) Date of pumping ~/¢~¢ Pumper ~ Well(s) on lot On adjacent lots ~0~3 ¢- Foundation //,.~"'- / To property line r/-~% [~.~-- Absorption field /"~ /~--~- Water main/service line /O ~'-,/'- Sudace water/drainage ../~P ~ ~ 72-026 (3/93)'Front CONTINUED ON BACK PAGE C. LIFT STATION Date ins Manufacturer _ .r~-'-''-'''''-~' Size in gallons Manhole/Access ~ ~~ Vent (Y/N) "Pump on~mp off" Level at High water alarm level Meets MO~ SEPARATION DISTANCE FROM LIF~T~STATION TO: Well on lot ,,/'"'""'~ On adjacent lots ~ Surface water Soil rating (GPD/FF) ,¢~- ~ System type Length ./__,Z g i Width 3 ' Gravel thickness g ~ Total absorption area ,_,. Cleanout present(~4) Date of adequacy test ~, ¢ ~'_~ Results (pass/fail) ~'-4 /L ~ ,¢ Water level in absorption field before test ~ //9--- After test /J Peroxide treatment (past 12 months) (Y/N) /'~///~ if yes, give date SEPARATION DISTANCE FROM ABSORPTION F1ELD TO: Well on lot /P/ / ~ On adjacent lots ~.~.g..~ D (-~- Property line To building foundation 0-''-¢:;~ ~ -/ ,z..,~z.oJ To existing or abandoned system on lot ./~' / On adjacent lots ¢Z~2 ('~- Cutbank /tJ~f-J:~_ Water main/service line /~ / /-- ( Sudace water ./E) O -/- Driveway, parking/vehicle storage area / Curtain drain//[/g/-J ~ ~-'/L.) D c~/~ Total depth Depression over field (/~_.~ for , '~ Bedrooms E. ENGINEER'S CERTIFICATION I certify that I have checked, vefified~, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature Date~ /EagleR~A~ska~577 / /°~ /~ °EngineeCs~~~ River L~ H~Fee$ /~0 ~ Waiver FeeS Date of Payment ~ ~,~- ~ ~ Date of ~ayment STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS PROPERTY DESCRIPTION Lot, Block & Subdivision or U,S. Su~ey Lot 1, Block 3 (21139 Meadow Ridge Estates PWSID no.211431 Country View Dr.) Certilicate Issued for Application No.: 9321-DW-181-123 This approval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- ing water standards for total coliform bacteria. Title , Date Envzronmental IE~g. Asst. II July WASTEWATER DISPOSAL The domestic wastewater system was: ins'pec"~d~by the Department of Environmental Conservct4on and found to be in compliance with [] applicable'r~q~ents of18 AAC 72; ~ [] inspected by a Prof'er~ional Engineer who c.c.c.c.c.c.c.c.c.c~ifies that the system complies with applicable re- quirementsof18AAC7~...~ ~ [] inst~ified Installer ~k?'certifies that the system complies with applicable requirements of, AAC % [~ tested by a Professi~.ngineer who cei~es that the performance of the system is satisfactory and that the~ oOmPr~lies with the min.~i%~eParation distances specified in 18 AAC 72. This app71'is valid for a [] single family [] mu tP'{am y un t w th a tota of bedrooms. Name Title Date 18.0404 (Rev. 8/85) DISTRIBUTION: WHITE--BANK/LENDING INSTITUTION; CANARY--APPLICANT; PINK--DEPARTMENT WALTER J. HICKEL, GOVERNOR DEPT. O]E ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 July 2, 1993 (907) 349-7755 Mr. Ray Shafer S & S Engineering SUBJECT: Lot 1, Block 3 (21139 Country View Dr.); Meadow Ridge Estates (Dawn Water Co.) Class "A" Public Water System, PWSID 211431 Dear Mr. Shafer: I have completed a review of this office's files concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on June 18, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last inorganic Chemical Contaminants Sample results were submitted to this Department on October 8, 1990. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on February 18, 1993. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on October 31, 1992. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. Unless otherwise noted, this letter is valid for 30 days and is for the specified legal description noted above only. July 2, 1993 Page 2 If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II ML/pf MUNiCIPALiTY OF P~CHORAGE DIVISICt%! OF ENVIRONMENTAL DbDARTME~I' OF HEAL'~ AND ~I~IR~i~YAL ~q~ECTION A%~PLICATI(~N ~OR t{E~3~{ AUTHORITY APPRO%~ CE~fIFI~TE (a) Legal [~sc~tipt:ion (inclu(~ ~ot, bl(~k/, subdiyision~ section, to~nship~ range) (d) ]rending Institution Address (e) ~,.,al Estate Co. & Agent Address Te le phone Number of P;3drc~s Other (describ~) Public Note: If cor~n2nity '~e].l system, must have written cx~nfirmaticn from the State ~paz,~nt of k]~viron~r]ta]. Conservatiot% attesting to t~ legality and status. !s the woll adequate for the n,m~r of ~m~'~%~ s~cified in this S~' ( e ' o- Onsite~. ~blic ~: ~mn,un].ty [;l~. Holding Ta~ Is the x~stewater dJ.s~sal system adequate loc the nuu~r of [Page 1 of 2] 2-15-84 5o En~ineerin[[ Firm PlrovJding Instinet] .~ns %e.-sts ]~ta and .... ]. (~e~tlfy t]~r h~e c~ckedv verified, ~, conformed to all FGA I.!AA ~li~lir~s in ( I'~N=INI'_h.,R SFAL) Da te App~*oved Approved ..e~ ~:, of Conditional App~zoval ![he Municipality off Anchorage Deparhment of ~a].th and EnviroF~mntal P~otection d~.s not guarantee the continued satisfactory ~rfo£'mance of the water supply ar:d/ct the wasted,rater disposal system. %7%is approval indicates that, as of the validaticn c¥~te sh~.vr. ~bo~.~, ba~d on the data and inforn~tion fut:nished hy an err3ineer registered in the State of Alaska, the watet~ supply and wastewater disposal system is safe and funo- tional for the r.u~er of bedrcoms and type of structure indicated. ( E~-iEP SEAL) Mai.[ the f~AA to the following address: XB2/dS/s [Page 2 of 2] 2--15-84 ae MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALITY OF ANCHORAC~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAY ,9, ! q4 Well Classification_ .II Well Log I~esent (Y/N) Total Static Water Level Casing H~ight Above Ground Electrical Wi~ing in Conduit (Y/N) Sepazation Distances f~om Well: To Septic/Holding Tank on Cased to t To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line C leanout/Manhole Wate~ Sample Collected By ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer To Neazest Sewe~ Service Line on Lot ; Date Wate~ Sample Test Results Ccn~nsnts SEPTIC/HOLDING TANK DATA Date Installed '7/~/~ Size /~ZO No. of Compa~tmsnts Standpipes&~) '/ ~Ai~-tigh~ps ~) Fou~datio~ Cleanou~Y~. ~p~essioB~ Ta~ (Y~)~ .~te ~.t/~d ,,"~/ Pu~ing~intenance Con,act ~ file (Y~/~ ; for _ Holding Ta~ High-Wate= Ala~ .(Y~/~ / ~ra~Y Holdi~ Tank ~rmit (Y~//~_ Separation Distan(~s :~ ~ptic~olding Tank: To Wate~-Supp].y ~11 /~- To ~ilding Foundation TO P~operty Line ~ L-? 7L To Water Main/Service Line /~) ~- Co[~]2'se Con~nents To Disposal Field /c~ ! To Stream, Pond, Lake, c~ Majo~ Drainage [Page 1 of 2] 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed '7/ t7 Y Width of Field ~ '{ Type of System Design ~H6/( Length of Field Depth of Field Gravel Bed Thickness ~.. ~ ;! Square Feet of Absorption/fi, es .~ '2 Standpipes Present (~.Y'~ Depression over Field QY~)/ Date of Last Adequacy Test Results of Last Adequacy Test' ~rh.]Tf~]/z/gC Separation Distance from AbsorDtion Field: To ~l~te~-Supply Well /~ //6/ To Property Line ~ fp / To Buildin/g, jFoupdation ~ ~ { To Existing or Abandoned System cn .ot / / rejoining + TO Water Main/Service Line /~ ~/ To Cutba.nk(,if present) To Stream/Pond/Lake/o~ Major Drainage Course /4)//m~_ To Driveway, Parking A~ea, or Vehicle Storage Area Comments ~3 AJ D. LIFT STATION Date Installed Dimensions Size in Gallons ; / / Manhole/Access (Y/N) "Pump On" Level at //~ / fA "Pump Off" Level at. High Water Alarm Level at~ / f~- Vent (Y/N) Tested fo~ ~Pumping Cycles du~ing Adequacy Test. Meets MOA Electrical Codes(Y/N) Co~ents ** Check Permitted Bedroom Rating Against HAA Request ** I certify t~ave checked, verified, or conformed to all MOA HAA Guidelines in effect on the da~ of t,w~i~/~ns]~etion. Signe Date ~,;',¥,~f,~"' / ~', '~",~.,~, [Pa~ 2 of 2] 2-15-84 F R 0 M ! CD fC~F~h.4. 45 472 C.~'I[~ PAR/'S 1 Al.JO 3 WITH CARBON INYAC ,' PAtti' 3 WILL LiE RETURNED WITH P,,t;iH Y. DATE BILL SHEFFIELD, GOVERNOR ~0~ 274-2533 437 E Street Suite 200 Anchorage, ~< 99501 April 27, 1984 PWS I.D. #211431 To Whom It May Concern: According to records on file in this office the Dawn Water System, Wynter Park Subdivision is in compliance with the State Drinking Water Regulations. Sincerely, James F. Hayden~ Environmental Field Officer JFH/msm cc: Mr. Robert Shafer