HomeMy WebLinkAboutLOYE BLK 3B LT 2AAper, - 5�:\- l0`1
Municipality of Anchorage V..
Development Services Department
Btulding Safety Division ......
On -Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519.6650 Page / of 3
www.ci.anchorage.ak.us (907) 343-7904
ON-S(rE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW d 30 t/ / 6 PID Number,
Name: /16"f4 w Gtt_�(ge
Wastewater System: ®New []Upgrade
Addreae,:
2 S,5 OS ,EoteF2NF oQD
ABSORPTION FIELD
Phoria: N Def or Bedroom
0 DM TMKh o srw.. TMKh o Bed Cl ►a.w 5j.J n0 E Vote.:
LEGAL DESCRIPTION
WRamp: O
Tod Depthkom on9nal grade:
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Classification (Private. A �_ Taal Depth:Gsed b:
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Date kuta6e¢
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R
03
Yield:Puny
c
crept Above Gran¢
TANK
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Development Services Department Approval
�j Steven W, En; ;' 1.4
' Revieowed and approved by: l� Date: Z'/.S- O
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Septic Tank C.O.2 29' 50'
Trench C.0.1 68' 91'
Trench C.0.2 117' 133'
' 116'
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MUNICIPALITY OF ANCHORAGE 111
Development Services Department C)
On -Site Water & Wastewater Program r
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Permit Number: SW030416
Legal Description""LOYE"BLk ..3B LT -�'i.I
Design Engineer: 0041 AK Water & Wastewater Consultant
Owner Name: Jan Lemeries
Owner Address: 25505 EAGLE RIVER ROAD
EAGLE RIVER. AK 99577-9691
to /0: oz.
/ ()
Date Issued: Oct 06, 2003
Expiration Date: Oct 05, 2004
Parcel ID: 050-521-69
Site Address: 025505 EAGLE RIVER RD
Lot Size: 84071 SQ. FT.
Total Bedrooms: 3 Permit Bedrooms: 3
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy
All construction must be in accordance with:
1. The attached approved design.
❑ Private Well ❑ Water Storage
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:
Date: fQ • 1603
Issued By: A k Date: Mr -4o
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. 050-521-69 Permit Number
Property owner(s) LEMERIES Day phone 694-4066
Mailing address (1) 25505 EAGLE RIVER ROAD • EAGLE RIVER AK
Mailing address (2)
Zip Code 99577
Legal description (Lot, Block & Sub'd.) LOT 2. BLOCK 38: LOYE SUBDIVISION
Legal description (Section, Township & Range) N/A
Lot Size 1LI 103 1
Acres q.Ft Number of Bedrooms 3
THIS APPLICATION IS FOR:
Sewer Only ❑ Well Only ❑
Sewer and Well ❑ Water Storage ❑
Sewer Upgrade N
THIS PROPERTY CONTAINS:
Hot Tub ❑ Jacuzzi ❑
Swimming Pool ❑ Water Softening Unit ❑
Therapy Pool ❑
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 & WASTEWATER CONSULTANTS INC.
Permit Fees: 400
Date of Payment: 10-';-0S
Receipt Number.
Waiver Fees -
Date of Payment:
Receipt Number.
ALASKA WATER & WASTEWATER
CONSULTANTS, INC.
October 2, 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 2, Block 313; Loye Subdivision
To whom it may concern:
The existing 3 bedroom house is served by a private well and a private septic system. The
existing septic system consists of a 1000 gallon steel septic tank and a deep trench type
drainfield. The drainfield is in a state of failure and must be upgraded prior to the sale of the
house. A test hole was excavated south of the existing drainfield. We are proposing that a new
1000 gallon septic tank and dual 5 -wide trench type drainfields be installed. The drainfields will
be designed around the 30 foot radius of this test hole. 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. It is our opinion that an application rate of 0.6 gallons/day/ft2
should be used.
2. TRENCH DESIGN:
a. Percolation Rate: 15 minutes/inch
b. Proposed Application Rate: 0.6 gallons/day/A2
c. Number of Bedrooms: 3
d. Design Flow: 450 gallons per day
e. Minimum Absorption Area: 750 fie
f. Total Depth: 4.0 feet (max.)
g. Effective Depth: 2.0
It. Width: 5 feet
i. Reduction Factor: 0.70
j. Minimum Length: 2 @ 55 feet loy each (I 10 feet total length)
k Effective absorption area = 786 ft
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic
system.
3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507
Ph: (907) 337-6179 * Fax: (907) 338-3246' Website: akwwe.com
4. TOPOGRAPHY: The area around the proposed drainfields is a 15 to 20 percent slope
running from approximately north/northeast to south/southwest. There is a slope greater than 25
percent approximately 65 feet downhill from the test hole. We do not anticipate any slope
concerns with this slope.
'Ale are unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance. / A
P.E., M.S.
NOTE: A site plan drmt,ing, a design drawing, a soils logs, and a 7 page construction
specification letter which are all part of the design package for this septic system.
3701 E. Tudor Road, Suite 101 ' Anchorage, AK 99507
Ph: (907) 337-6179 " Fax: (907) 338-3246' Website: akwwc.com
110.
ti
\ S sc LOT L�LOCKK 3B;
y19I 1 NO ENCROACHMENT CONCERNS
10
EXISTING
I � � ♦ 3 BEDROOM I If I 1
HOUSE I I
r
EXISTING IV, f
SEPTIC
SYSTEMLC
1 : •,,y;,; y I LOT t, BLOCK 3; , \
\ K.-,.a'i:%1•.: I VALLEY VIEW ESTATES—
C;EPTIC ARS
\ �\ PROPOSED SEPTIC U GRADE
(SEE DESICN,PACE 2 OF 2)
I
LOT 6; CROLL S/D \
i
(� LOT 2, BLOCK 3;
�\ I VALLEY VIEW ESTATES
NO ENCROACHMENT CONCERNS
I
I
I
ALASKA NVATKR & WASTE AVATKR
CONSULTANT3.INC.
10/2/2003
J.L.M.
LE: yr
1" = 100. ....:...
PREPARED FOR PHONE NUMBER: PAGE NUMBER:
LEMERIES 694-40( 1 1 OF 2
LEGAL DESCRIPTION:
LOT 2, BLOCK 38; LOYE SUBDIVISION
TYPE OF WORK:
SITE PLAN FOR PROPOSED SEPTIC UPGRADE
......
A. or ess,:
�'rofesslo��. �
--N-EXISTINC
1987 WELL
- INSTALL FI
Alu
PROPOSED 1000
SEPTIC TAP
PROPOSED DRAINFIELDS. EXCAVATE TW
THAT ARE 4 FEET DEEP MAXIMUM By
BY 55 FEET LONG EACH (I 10 FEET TC
ADD 2 FEET OF CLEAN, WASHED SEWE
\09O
4 CLEANOUT
I A
C TANK TO
COMPLETELY
f ,
INOTE: THE CONTRACTOR SHALL HAVE THE EAST PROPERTY
LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR
TO CONSTRUCTION.
TOP OF
ALASKA WATER & WASTE NVATE R
CONSULTANTS, INC. -
3701 E. TUDOR ROAD. SUITE 101 - ANCHORAGE. AK 99507 - PHONE (907)337-6179 - FAX (907)538-3206
PREPARED FOR: PHONE NUMBER:
LEMERIES 694-4066
LEGAL DESCRIPTION:
LOT 2, BLOCK 3B; LOYE SUBDIVISION
TYPE OF WORK:
DESIGN OF PROPOSED SEPTIC UPGRADE
I
INSTALL DOUBLE
CLEANOUTS
10/2/2003
DRAWN BY:
J.L.M.
SCALE:
1" = 40t
. ..
.. . .
. .... ..........
...... ... ......
PAGE NUMBER:
2 OF 2
ffr y
E
A. Go S.:
7953
rof
esslolid�'�;�
�..... _.................. _....__.....__._. _... ._ .. .............._...... ... ..__..._........._.......
ALASKA WATER & N VASTEWATER
CONSULTANTS. INC.
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: LOYE SUBDMSION; LOT 2, BLOCK 3B
PERFORMED FOR: LEMERIES DATE: 9/25/2003
DEPTH -r
(1eetM ORGANICS TEST HOLE 1
_
1 r
t) Tili .
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
SM TO
GM/SM
(DENSER
W/ DEPTH)
OIL CLASSIFICATIONS
DEPTH TO
GROUNDWATER
m�IIL'll �/VZZ..Q Nam�I111Z
JM"
sm
10'
9/29/2003
9.5'
10/2/2003
2 1440
30
I37al
3 1440
DEPTH TO
GROUNDWATER
DATE
SEEPS ® 8@&12'
9/25/2003
10'
9/29/2003
9.5'
10/2/2003
2 1440
� I
I
EXISTING i
/ 1 \ 3 BEDROOM i
/ \ HOUSE I
\\ EXISTING i
SEPTIC
\ SYSTEM
'Po SITE P N
9Q 1=10
DATE
READING CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL NET DROP
READING (INCHES)
9/29/2003
1 1410
—
6' —
2 1440
30
3-1/2" 1-1/2*
3 1440
—
6' —
4 1510
1 30
4" 2"
5 1510
—
6" —
6 1540
30
4` 2"
19 PERCOLATION RATE 15 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 4.0 FT. AND 4.5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS
COMMENTS:
PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P FORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 10.4 L
'6
Trruftr drilling +rug
b)
DOC Co. dba
SULLMN WATER WELLS
P.O. BOX 670272, CHUGIAK, ALASKA 99567 9 TELEPHONE 688-2759
OWNER OF LAND Al U I i
DEPTH OF WELL 'j -
STATIC LEVEL OF WATER Fr.
ADDRESS
LEGAL DESCRIPTION
4' 11
DATE - Started � / Ended
PERMIT NUMBER
KIND OF FORMATION:
DRAW DOWN FT.
GALS. PER FIR
KIND OF CASING
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DEF
MISCL. INFORMATION:
DRILLER'S NAME —
OF ANCHORAGE
I&= 2 81987
RECEIVED
Cp 1=7 121 ONT CT 1-1121 IR not us? EH:
K DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
122 1^1 W A.- g ._
PERMIT NO: 870058 UPGRADE
DATE ISSUED: 04/22/87
APPL[CANT: HENK & GLENNE LEMEREIS
ADDRESS: SR 1B BOX 1752
EAGLE RIVER, AK 99577
CONTACT PHONE: 694-4077
LEGAL DESCRIP; SUBDIVISION: LOYE LOT: 2 BLOCK: 3
SECTION: 23 TOWNSHIP: 1511 RANGE: 1W
LOT SIZE: 1.93A (SQ,FT. OR ACRES)
I certify that:
1. I am familiar, with the requirements Wr on~site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State o� Alaska`
2. I will install the system in accordance with all MOA codes and regulations;
and in compliance with the design criteria of this permit.
3, I will adhere to all MQA and State of Alaska requirements fbr the set back
distan JAR A i ti ll t e., w at ter disposal system or public
sewera ent or nearby lot,
SIGNEDDATE:
_
APPLICANT: H /
ISSUED BY DATE:
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VI)JISSION EXPIRES
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(�rrtt�ie� �xil�tng ��p�
by
A & L DRILLING COMPANY
BOX 97, EAGLE RIVER, ALASKA 99577 • TELEPHONE 694.2588
OWNER OF LAND 9&-1 /-u %l != /, f DEPTH OF WELL Cca 0Q
ADDRESS
,LEGAL DESCRIPTION l/AK' U4<c/= f'
DATE - Started f 7 Ended (� I Ab �
PERMIT NUMBER / k O
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KIND OF CASING
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MISCL. INFORMATION:
i
nVil r FA'Q NAMF
i' 6 k -P 11 4 A Vs 3. S'-' r - I I-- .i s -ri. e_r a`-- a-- a n � _-- n a •__ = x-:.- 9 _ n +__.a %--
DEPARTMENT CSF HEALTH AND EtJVIRC INMEN T AL PROTECTICIN
M'
. r
B 5 !i- STREET. ANCHI-JR.AGE: AK. 9'— i
':_Fit'iIT NC.I. f. 8051.4
S1EFEI 5�EAGLE RIVER aICANTHENDI CHLEhEG.1.
it -ION LOWE rrD VALLEY V E.W EST,
il.. .'_L2' LOWE S/D VALLEY VIEW EST LOT SIZE O S=!iJARE FC:ET
MIUM DISTANCE BETt=TEEN A WELL. AND ANY FIN—'SITE SEWAGE D I SF'CISAL ''S'r STEP1 i s
i FEET FOR A PRIVATE WELL: FIR
i TO yCCl FEEL' FRCrt9 A PUBLIC WELL DEFENDING UPUN THE TYPE OF F'UPL.II= LIEL.!_.
_ Li tI�S' ARE REQUIRED �I F:F_C? AND MUS
BE RETURNEC> TO THE DEPARTMENT WITHIN 3F? Dt �'r'_
THE WELL COMPLETION.
i! -F? REQUIREMENTS MAY APPLY. S•PEI= I F I I_:AT I ON_ AND CCIN'=TRUCT I CiN DIAGRAM_= ARE
:i I LABLE TO INSURE PROPER I tJ'=:TALLAT I ON.
ERT I FY THAT
I AM FAMILIAR WITH THE REQUIREMENTS FCtR ON—SITE SENERS AND WELLS AS SET
'TH BY THE MUNICIPALITY CIF ANCHORAGE.
I WILL INSTALL THE SYSTEM IN ACC:ORDANC:E (WITH THE LODES.
aNED:--------.—______._.----.-----__.___----------.____---
APPLkC:ANT HENDRICH LEMEREIS
L I _ \\��: — L 2 \\\ _ _
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
PHON
NEWp
❑
' c'/c % ���
J '—���
UPGRADE
MAILINGA�%
1 SC) d
LEGAL C�iRI TIOQL ..� •
C�
LOCATION �y/� n
NO. OF BED' OMS
ell i
Absorption area
Dwelling
PERMI
U
DISTANCE O:11V
' 0 I
0 0 -t-
_
y
1,_ z
Manufacturer
Material -
No, of compart ents
wr
-K-¢f
N
Liq. capacit in gallons
ingallons
HOMEMADE:
Inside length Width
Liquid depth
-TO:
Wel
Dwelling
MIT NO.
�UZ
DIS -
Liquid caps 'rt. in gallons
O?
anufacturer
aterial
_-- `
O
Well
`i-
Foundation f
Nearest lot liner
l� 7'
PER
J =
Lu
DISTANCE TO:
Q 0
/
LL z
No. of lines
Length of each line r
Total length of lines t//
Trench widt
Distance b tween lines
.wa
z w
g
Q
inches
4 H Top
of the to finish grade
Material beneath tile
Total effective abs pion a
0
inches
Length
-Width
Depth -'-es
PERMIT NO.
w
C7
41-
Type,o#- ib
Crib diameter
Crib depth
otal effective absorptio a, re�a
o.uj
✓
w
Well
uilding foundatio
Nearest lot line
DISTANCE TO:
Class
Depth
Driller
Distance to lot line
PERMIT NO.
J
W
✓
DISTANCE TO:
Building fon ation
Sewer line
Septic tank
Absorption area(s)
OTHER
'/
_+
PIPE MATERIALS
SOIL TEST RATING
,I
INSTALLER
a
r
REMARKS
p 0 i,1
ti
o45 re
/
O
/
.s
M
APJ/PJRO `DATE �] LEGAL
~
PERMIT NO
HPPLICHNT
LOCHT1ON
��������
L_ J.':
_ �F_
C"'m 0=1 P-4 r�P.- 1�
DEPHRTME: NT
Of. HEHLTH
HND
ENVIRONMENTH[ TECTIOld
T�ENCH OR DRHINFIELD
L. TREET,
HNCHORHGE/
HK. 99501
OR PIT IS THE DISTHNCE BETNEEN THE SURFHCE OF THE
GROUND
264~4720
THE BOTTUM
OF THE EXCHVHTION (IN FEET)
THERE
IS NO
HENK LEMEREIS
LEGHL L2 B]B LOYE S/D
PO BOX 8882 C/O T.LORD
'
LOT SIZE 84070 SQUHRE FEET
TYPE OF SOIL HBSORBTION I:E: : TP:ENCH
MAXIMUM NUMBER OF BF: DRO4 SOIL RHTING
THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS:
�W V 'T,
F -A
:1. oil �FEE �cls �F. = --7-.�����
`
������ AS \�
`
THE
LENGTH
DIMENSION IS
THE LENGTH (IN FEET) OF THE
T�ENCH OR DRHINFIELD
THE
DEPTH
OF H TRENCH
OR PIT IS THE DISTHNCE BETNEEN THE SURFHCE OF THE
GROUND
HND
THE BOTTUM
OF THE EXCHVHTION (IN FEET)
THERE
IS NO
SET WIDTH
FOR TRENCHES.
THE
G1GVEL
DEPTH IS THE
MINIMUM DEPTH OF GRHVEL BETWEEN
THE OUTFHLL PIPE
HND
THE BOTTOM
OF THE
EXCHVHTION (IN FEET)
������������
�������
������� ������
������
PERMIT
RPPLICHNT HHS THE
RESPONSIBILITY TO INFORM THIS
DEPHRTMENT DURING THE
INSTHLLHTIQN
INSPECTIONS
OF HNY WELLS HDJHCENT TO THIS
PROPERTY HHD THE
NUMBER
OF RESIDENCES
THHT
THE WELL WILL SERVE.
�������������� ����� ���������- ~��
BACKFILLING OF HNY SYSTEM WITHOUT FINHL INSPECTION RND HPPROVHL BY THIS
DEPHRTMENT WILL BE SUBJECT TO PROSECUTION
MINIMUM Eli ISTHNCE BETWEEN H WELL HND HNY ON—SITE SEE WHGE DISPOSHL SYSTEM IS
100 FEET FOR H Pf-,!IVHTE WELL/ OR
150 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL
OTHER REQUIREMENTS WAY HPPIM SPECIFICHTIONS HND CONSTRUCTION DIHGRHMS FIRE:
RVHlLHBLE TO INSURE PROPER INST�LL8TION
�KEUTWO 1 0- FSE 1-0 F=p I ITZ EFE AS K;u EE: EE RW,g E--.�,���
I CERTIFY THHT
1� I HM FHMILIHR WITH THE REQUIREMENTS FOR ON—SITE SEWERS HND WELLS HS SET
FORTH BY THE MUNICIPHLITY OF HNCHORHGE
2: I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES
]� I UNDERSTHN ON-SITE SEWER SYSTEM MHIt' REQUIRE ENLHRGEMENT IF THE
SI*CIA ED���~—~~
' j HPPLl
LEMEREIS
^
��SSUED BY ~~__DHTE_
" L�
M -
R&M CONSULTANTS, INC. 5024 CORDOVA ■ SOX 6087 • ANCHORAGE, ALASKA 99502 ■ PH. 907-279-0483 • TLX. 090-25360
ENGINEERS
GEOLOGISTS -
PLANNERS
SURVEYORS
June 7, 1979 R&M No. 951180
c
Hank Lemeris
c/o Tom Lord
P.O. Box 8882
Anchorage, Alaska 99508
Subject: Soil Investigation for Sanitary Sewer System, Lot 2, Block 3-B,
Loye Subdivision Eagle River, Alaska
Dear Mr. Lemeris:
At your request of May 23, 1979, we conducted a subsurface soils investi-
gation at the proposed location of the sanitary sewer system on the subject
lot. The investigation complied with those procedures required by the
Municipality of Anchorage Department of Health and Environmental Protec-
tion.
This investigation, which was accomplished on June 5, 1979, consisted of a
test hole excavated to a depth of 19 feet below the existing ground surface.
The test hole was sited according to your instructions and its location is
shown in attached Drawing A-01. Drilling was accomplished with a rotary
drill rig using continuous flight solid -stem auger with an outside diameter of
6 inches. In addition, all material brought to the surface by the augers was
continuously monitored by an experienced engineering geologist.
The topography at the drilling site is generally gently -sloping to the south.
At the time of the investigation the site had been stripped of original
vegetation. The top of the test hole was located at original ground surface.
ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA
r��
June 7, 1979
Hank Lemeris
Page -Z-
The soils encountered in the bore hole are shown in the test hole log in
Drawing A-01. This log displays specific conditions encountered at the test
location. However, subsurface conditions may vary in other parts of the lot
without any apparent surficial evidence of the change. Groundwater was not
encountered and bedrock was not encountered. At the time the hole was
drilled seasonal frost was not present and permafrost was not encountered.
A percolation test was performed within the bore hole at the depth shown in
the attached Table 1. All depths were measured from the top of the hole.
The data in Table 1 show average infiltration from the depths indicated to
the bottom of the hole. The measured percolation rate was 5.7 minutes per
inch.
We appreciated this opportunity to be of service to you. Please contact us
if you have any questions concerning this letter or if we can be of additional
service.
Very truly yours,
R&M CONSULTANTS, INC.
Ernest R. Rahaim
Staff Geologist
GS:ERR/dj/ATSI-I
Gary ith
Proie
Manager
PERCOLATION TEST
TABLE 1
R&M No. 951180
ELAPSED WATER
TIME LEVEL INCREMENTAL DROP
TIME (MINUTES) (INCHES) (INCHES)
3:00
0
24
0
3:01
1
25.5
1.5
3:03
3
28
2.5
3:05
5
29.75
1.75
3:10
10
32.25
3.5
3:20
20
35.5
3.25
3:30
30
37.75
2.25
3:40
40
39.75
2.0
3:50
50
41.25
2.5
4:00
60
43.-0
1.75
5.25 Inches
5.7 Minutes Per Inch
BORING
NUMBER 1 Date Completed: 6,7-79
rL
x
x
o W
0
SOIL DESCRIPTION
N Jd
QE
w
ox
ON
�O
oaQ.
WATER TABLE
Boulders at Surface
—LAPPROX STRATA CHANGE
a
SANDY GRAVEL w/ SOME SILT, GM
o .a
QQ.o
lJ"
o .a
a
'-.Q'.
0'- 19' Numerous Cobbles
0
e
otr-o
o -o
:o
o.
c
A' a'
o
o:
0
O
10
a
0
°o.
— — — — — 12'
oe
SILTY GRAVEL w/ SOME SAND TRACE
CLAY, GM
IS
a
Ao0
00
r
.a
6p0^
o�0
�oO
9
a°
19" 'T.D
20
130
LOCATION SKETCH No Scale
0
401Z
1 O0
NOTE: DISTANCES SHOWN ARE APPROXIMATE AND HAVE
NOT BEEN MEASURED BY SURVEYING METHODS.
EXPLANATION
r UN ROZEN GROUND
`FROZEN GROUND WD-WHILEDR/LL/NG
TYPICAL SOILS LOG A.B-AFTER BORING
Ss L4 "SPLIT SPOON WITH /40 LB HAMMER
Sz L4"SPLIT SPOON WITH 340 LB. HAMMER
Sh 25" SPLIT SPOON WITH 340 LB. HAMMER
Sp 2.5" SPLIT SPOON, PUSHED
A AUGER SAMPLE
Ts SHELBY T03E
Tm MODIFIED SHFLBY TUBE
Bs BULK SAMPLE
SAMPLER TYPE SYMBOLS
,ca,0 ORGANIC o 0o GRA VFL
,u..� MATERIAL 000
COBBLES B
® CLAY BOULDERS
® SILT ® BEDROCK
SAND ICE, MASSIVE
SOIL SYMBOLS
ORGANIC MATERIAL
''o Little Visible Ice 0-10 Vz
b�
'aro A B L_/CE DESCRIPTION
�'� SAMPLE NUMBER
I Ss,72,57.1%,85.9pcf
� �
L- DRY DENS/TY
b•.o
S "4'•� WATER CONTENT
ppb" BLOWS/FOOT
CSAMPLER TYPE
�
.�a D.
DW N. F e.
17-1ERR D
Lot 2, Block 3-B GRIo. SW 263
CKD. R&M CONSULTANTS, INC. V.� lEw-'ll-s'ta'tes-/-aYL S �t
GEOLGG16T5 PLANNERS SURVEYORS
GATE. 6-7-79
WATER TABLE
—LAPPROX STRATA CHANGE
BEDROCK
�"'�• /
Eagle River PROJ.No.951180
f.;
• '� Municipality of Anchorage
On -Site Water and Wastewater Program J-4
(907)343-7904
Certificate of On -Site Systems Approval d A G
Parcel I.D. 050-521-69 Expiration Date:
1. GENERAL INFORMATION
Complete legal description LOPE BLOCK 3B LOT 2
Location (site address) 25505 EAGLE RIVER RD, EAGLE RIVER, AK 99577
Current Property owner(s) WILLIAM HOLLAND Day phone 227-1480
Mailing address
Real Estate Agent BLAKE JORGENSON Day phone
2. TYPE OF DWELLING:
El Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex) JUL 2 5
2014
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
❑
Community Class Well
❑
Public Water System
❑
WaiverNariance request for: NONE
TYPE OF WASTEWATER DISPOSAL
Individual
Holding Tank
❑
Community
❑
Public Sewer
❑
Received by: °i//� l�ra awt 3� Date: 5 `�
COSA to be relea to a engineer, unless otherwise requested by the engineer. vT
COSA Fee $ !2.4* — Waiver Fee $
Date of Payment ( 3L51 i ( Date of Payment
Receipt Number Receipt Number
COSA # c5c't' 19>5 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 SPURKLAND ENGINEERING
Address 203 W. 15TH AVE.,STE.202A, ANCHORAGE, AK 99501
Engineer's Printed Name LARS SPURKLAND
6. DSD SIGNATURE
-- � System #1 Approved for 3 bedrooms
System #2 Approved for _ bedrooms
Disapproved
Conditional approval for bedrooms,
Phone 279-3916
Date 4/21/2014
f `rtti.OF At5���t
11
with the following Stl timet �� i
BY Original Certificate Date: s
Th uni " of rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the re esenta ions 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 engineers work.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA Nue sheet S .,
If more than 1 septic system is on the lot:
COSA Checklist # 1 of 1
Structure served by this system 1
Certificate of On -Site Systems Approval Checklist
Legal Description: LOYE BLOCK 313 LOT 2
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID #
Date completed 4/28/87 Sanitary seal (Y/N) Y
Total depth 380 ft. Cased to 200'5 ft.
FROM WELL LOG
Date of test 4/28/87
Static water level
225
Well production 1_5
WATER SAMPLE RESULTS
Parcel ID: 050-521-69
Well Log (Y/N) Y
Wires properly protected (YIN) Y
Casing height (above ground) 12+ in.
AT INSPECTION
4/21/14
ft. 232 ft.
3.0
g.p.m. 9 -
p.m -
Coliform NEG colonies/100 mL Nitrate ND mg/L
Arsenic ND ug/L Date of sample: 4/17/14
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL
Tank size 1000 gal. Number of Compartments
Foundation cleanout (Y/N) Y
Date of pumping 3-3-14
C. ABSORPTION FIELD DATA
Collected by: ANSON MOXNESS
Depression over tank (Y/N) N
Pumper JRs Pumping Service
Date installed 10/23/03
Cleanouts (Y/N) Y
High water alarm (YIN) N
Date installed 10-23-03 Soil rating (g.p.d./f:2 orfe/bdrm) 0.6 System type 5-vvIUL
Length 2 X 55 ft. Width 5 ft. Gravel below pipe 2'2 ft.
Total depth 4'5 ft. Eff. absorption area 766 ftp Monitoring tube Y Depression over field N
Date of adequacy test 4/21/14 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0,20 in. Water added 460 gal. New depth 4.5,24 in.
Elapsed Time: 40 min. Final fluid depth 2'22 in. Absorption rate >= 450 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date _
D. LIFT STATION
Date installed W
"Pump on" level at _
Datum
Size in gallons _
in. "Pump off' level at
E. SEPARATION DISTANCES
WELL ON LOT TO:
Cycles tested
Septic tank/lift station on lot 100 +
Absorption field on lot 100+
Public sewer main NA
Sewer /septic service line 251+
Animal containment areas 50+
Manhole/Access (Y/N) _
in. High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots100 +
On adjacent lots 1001+
Public sewer manhole/cleanout NA
Holding tank NA
Manure/animal excrete storage areas 100+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5'+
Water main NA Water service line 101+
Wells on adjacent lots 109+
ABSORPTION FIELD ON LOT TO:
Property line 10+ Building foundation 10+
Water Service line 10'+
Curtain drain 501+ (N.O.)
F. COMMENTS
G. ENGINEER'S CERTIFICATION
Surface water 100'+(N.O.)
Wells on adjacent lots100 +
I certify that I 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.
Engineer's Printed Name LARS SPURKLAND
Date /24/14
COSA brown sheet 10-10-12.dm
Absorption field 5 +
Surface water 1001+
Water main NA
Driveway, parking/vehicle storage10
in.
49
S .SPURKLAND: r
'. 15
PRO ES -v`
Municipality of Anchorage
• Development Services Department *A9
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St
P.O. Box 196650 Anchorage, AK 99519-6650
www.cl.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 6 5(3- Sa/- 69 HAA #�`�C) �.�
1. GENERAL INFORMATION Expiration Date:
Complete legal description Lo1/E QLOGk ,3Ci �,prZ
Location (site address or directions) 2S ;os, F�CLE R�✓f 2 2Q�A
Current Property owner(s) Af__n/K * ('L
AfC &- fj52&bay phone
Mailing address_ 255QS r.g 17,..c�n A- A
Lending agency
Day phone
Mailing address
Real Estate Agent
Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF.WATER SUPPLY: -
Individual Well
Individual Water Storage
Community Class Well
Public Water System
3
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given In paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C.well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for 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.
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
ta
❑
Individual Holding tank
❑
❑
Community On-site
❑
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given In paragraph 4 by an Independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of
title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water
supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are
valid for 90 days from the date of issue for properties served by a private or Class C.well and may be reissued with
new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.)
Certificates are valid for one year for properties served by Class A or B wells or a public water system. The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
4. STATEMENT OF INSPECTION 8Y 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 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 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 _/1IO27_/-f4rh ENC(Af6&e1A(C Phone 144-7024'
Address / 7,?37 nra, a P4,c%j rjfzux,
Engineer's Printed Name 5M6y(E 461 C
5. DSD SIGNATURE
_ Approved for 3 bedrooms.
Disapproved.
Date RIJ-103
OF A1.4%11
io
c: Steven W. Eng:
••. PE 6756 •' • �`�
11@ �F9 •�. w• G�� v
Conditional approval for bedrooms, with the following stipulations:
Additional Comments � S : ON-SITE0.
Attachments:
HAA Checklist . X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: A/• Original Certificate Date:
(11". oto)
Ir ,..�......�.�,. n.r �... •.. •........•r r. ...
... i�. •. .,�.�,.. , �1-.•w+•••-Yr•=w-+. y.. ..-..... A..... �... ._. .. ....... ....... .........
Municipality of Anchorage
• Development Services Department
% Building Safety Division'
On -Site Water & Wastewater Program ' • ` T
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.enchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: /,o Y4 : IeG'(t Gk .3a L 07- Z Parcel ID: O SO 521
A WELL DATA
Well type P If A' B, or C provide PWSID ft Well Log (Y1 N)
Date completed c. 7 , Sanitary seal (Y/N)� ' Wires properly protected (YIN)
Total depth 3 tO ft. Cased to 2Zd ft Casing height (above ground)' / 6 In.
FROM WELL LOG AT INSPECTION
Date of test '�f/p7 71i�/Q3
Static water level 2 Z3 ft 2 2 Z ft
Well production �. wS g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform O colonies/100 ml. Nitrate Gwt mg.11. Other bacteria O colonies/100 mi.
Arsenic: mg./l. Date of sample: �°? Collected by: orf� C/o',
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material AAICt o'2.4615 % f{P(���STr%EL Date installed /CMZ �63
Tank sizeGoo gal.Number of Compartments Z Cleanouts (YIN) y
Foundation cleanout (YIN')Depression over tank (Y/N) /J High water alarm (Y/N)' _
Date of pumping A-1 �umper ws / STEL
C. ABSORPTION FIELD DATA
Date Installed /0/0 j/0-7 ! Soil rating (g.p.d./ft2 or4r ) 6_6
Length 5S ft. Width ft•
Total depth _LL ft. Eft: absorption area Y ft2
System type
Gravel below pipe 2 ft.
Monitoring tube Depression over field AC
For bedrooms
Date of adequacy testlEl� T Xr;5 ^ Results (Pass/Fail)
Fluid depth in absorption field before test = in.
Elapsed Time: = min. Final fluid depth = in
Any rejuvenation treatment (past 12 mo.) (YIN & type) _
I!
Water added= gal. New depth= in.
Absorption rate >= - g.p.d.
If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N) 11-1
"Pump on" level at in. "Pump of rt level a _ in. High water alar eve/ at in.
Datum Cycles test Meets al t;< circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot /4001'0-
Absorption field on lot 1201.0.
Public sewer main A(//I-
Sewer /septic service line 650 1 -/—
On adjacent lots /OQ 110
On adjacent lots
Public sewer manhole/cleanout ^`'1'f
Holding tank &Xf
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation O �'0- Property line SG `T'* Absorption field o70
Water main 9114 Water service line yd f Surface water 1,06.1-
Wells
aG.*
Wells on adjacent lots //)G It
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 20'�
Water Service line SG �t
Building foundation 50 �'` Water main A(/ --t
Surface water
/0C)
Curtain drain J'(/4 Wells on adjacent lots /G G t
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer's Printed Name
Date 12-1,f/o.3
HAA Fee
Date of Payment �
Receipt Number f `4
(Rev. 12101)
Driveway, parking/vehicle storage 2G I*
dw
of
•A
Stever.
J+l •.
W. En ;• ; ,
PE 6256
Waiver Fee S
Date of Payment
Receipt Number,
ASSUILT SWARD 6
I HEREBY CERTIFY THAT I HAVE SURVEYED THE sCAL/'SSG
FOLLOWING DESCRIBED 'PROPERTY,
AND THAT NO E�ICROACHA(E S, EXIST LXCEPT AS T'4lZ6�7
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID.-
EASEMENTS,
RID=EASEMENTS, COVENANTS, OR RESTRICTIONS So✓Z6z
WHICH DO NOT APPEAR ON THE RECIMED SUM- --
V
a
Ie
0
ATES LAND SURVEYING 694-0820
` P�� OF.A��s�`
August 311, 1977
To. Building Department
Subject- T,Ot 2 Iaye Subdivision
This department has no objection to a workahop being construction
on the subject property. e7c3 sewer and -rrator facilities.
if there are any Burt -tar gaestions> please contact this office
at 264--472.0
Sincerely,
Los. N.BUCI-11101Z, R.S.
sanitarian
I;NB/ljh
r-
�V
D / MUNICIPALITY OF ANCHORAGE MUN CIPALITY OF ANCHORAGE
DEPARTI4?ENT' OF HEALTH & ENVIRONMENTAL PRO'rECWCW DEPT. or- i'.- `�!"-_ &
^ � II7.5LStreet - Anchorage, Alaska99501 ENVIRON WE—N, A -. �f CfION
ENVIRONMENTAL ENGINEERING DIVISION .t
°" ' .4
Telephone 264.4720
REQUEST T FOR APPROVAL OF INDIVIDUAL WATER AND SE*F(AEl[VIED
DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten ('10) days for processing. "
1. PROPERTY OWNER s�_—._—-----�----------��_'.—_-_-��--- PHONE_
MAILING ADUfiC55
/1
�_'��_I>QLi</�✓ (...._t-� X�'%v�,—__�—/%fyG/_- / il_��<_{�.Lice...=f-(ir-�' z_--�--�T
Pf1
PROPERTY RFSIDENl- (If rdifferent from above) �U SG1 j��i U/$i viv f�GGG�<,3' L oT 2, 0Nt:
fiTL _
7-66—Y PHONE
MAILING ADD?(=SS
PHONE
MAILING ADDRFSS
4. REALTOR/AGENT
PHONL-
MAI LING ADDRFSS �---
5. LEGAL DESCRIPTION
STREET LOCA-noN/ n
6, l"YPE O^F-/RESIUENCC- NUMBER OF BEDROOMS
SINGLE FAMILY 0 One ❑ Four El Other -.v!_._
E-1 Two ❑ Five
MULTIPLE FAMILY CQ"' Three 0 Six
- ---- - ----•
7. WATER SUPPLY .—. e._.d__.______--_....,. .s.,�.a... _..__...__.
( INDIVIDUAL' "ATTACH WELL LOG. A well log is required for all wells drilled
J COMMUNITY since June 1975. For wells drilled prior to that date, give well
CJ PUBLIC UTILITY depth (attach log if available.)
8.SEWAGE/DISPOSAL SYSTEM ,
`*If individual/on-site, give installation date S vx 7�!
LJ INDIVIDUAL/ON-SITE**
If systern is over two (2) years old an adequacy test is required
0 PUBLIC UTILITY by this Department.
NOTE: THE INSPECTION FEE MUS`r ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
77.-010(3/78)
Af
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(3LIC 7,01H) Of0-ZL
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