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HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 11 LT 4 Municipality of Anchorage Page 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 Permit Number: .S~ 0~'! ~d::) 15 PID Number: C).~" ! - ~ - ~ Name~/ ~~m~ Wastewater System: D New ~pgrade Address: : ~ ZT, -- 5 ~7~ I Nc. of ~edrooms: ~ ~ Deep Trench D Shallow Trench ~ed ~ound ~ Other LEG AL D ES C R I PTI O N so, Rating: Total Depth from original grade: Block: Subdivision: Deplh to pipe bottom from original grade: Gravel depth beneath pipe Township:~_ /~ ~I~ Ran~. ~1 ~ II Section:~. ~ ~ Fill, added above~original~ grade: Ft. Gravel length: ~ Ft.  Number of lines: Distance between lines: WELL: D New D Upgr Gravel width: / ~ Ft. ~ ~ Ft. Classification (Private, A,B,C): ~~ Cased To: Total absorption area: Pipe material: Driller: ~ ~/~ Date Drilled: Static Water Level: Installer: Date installed: ~-- ~ GPM I · Ft.~ Ft. TAN K SEPARATION D ISTAN CES D s~.tic ~ Ho~i.~ ~T.~... To Septic Absorption Lift Holding Public/Private ' Manufacturer: Capacity'in gallons: ¢ ~ ~ Material: Number of Com~rtments: s,,~c~ ' ~ LIFT STATION "Pump on" level at: "Pump ~ ti Pump Make & Model ~ Electrical Inspections performed by: Remarks: BENCH MARK Location and Description: I Assumed Elevation: ' Inspections performed by: ~5 ~oo~ Dates: let 5Jot/~ 2nd~ Health and Human Services approval ~'.. - .~ Department of ~: ....... Reviewed and approved by: ~- ~~ Date: 72-013 (Rev, 9/91) MOA 25 Permit No. SW040013 Page ~ of. :IL Municipali[y 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: LOT 4, BLK. 11, LAKE RIDGE TERRACE PID No.: 051-525-35 1H-1M 12SO ON. 1H-3 / ELEVATIONS ~ ~oE oEc~ ~ .ous. (NOT TO SCALE) ~ ~ssuurn nrv. loo. oo' ~/2' INSULATION TEST I OWT 79.7' ~ 71 4' UllU1Y 1"-50' SWlNO 'RES I IAI]31 lC I ~7.9' 'm.e' I I O I 4~.r 25.8' I ENOINEER'S SEAL ~:',_,-x~...- .......... . .,</ (/~ ~"CHRISTOPHER ~r; r.r,,.~,-. CE-10387 .. %%... ......... MUNICIPALITY OF "ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Feb 06, 2004 Expiration Date: Feb 05, 2005 Permit Number: SW040013 Legal Description::LAKE :RIDGE TERRACE BLK';,11 LT ~..4 Design Engineer: 0848 Eagle River Engineering Services Owner Name: Lory Huntsman Owner Address: 467 W Chipperfield Anchorage, AK 99501- Parcel ID: 051-323-33 Site Address: 014445 DON CIR Lot Size: 24655 SQ. FT. Total Bedrooms: 3 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. ~1l} ~) ~ t5.16, G, C tq z L F_~ ~, t.,~ lV7'-y 7-0 ! 1- I/t/F_. T/4F_ ' ~?(rt~&/P/~.,,7" 5' / P/=_ oF ! lYEO To } FI~O,~- LoT Received By: Date: Issued By: Date: 0c~-14-03 ~2:57P Pe~it Counter 907 343 8250 P.O1 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South BraGaw St. P.O. Box 196650 AnchoraGe, AK 99519-6650 www.ci.anchoraGe.ak.us (907) 343-7904 ON-SITE SEWER./VVEI..I PERMIT APPLICATmON FOR A SINGLE FAMILY DWELLING Parcel I.D. Permit Number SW Property owner(s) Lc~r~ Mailing address (1) ~/~'7 Mailing address (2) ,Zl-./dc/4-o~-4 ~/.="' , Legal description (Lot. Block & Sub'd.) Legal description (Section. Township & Range) .~_--. ;.-;.-- Number of Bedrooms Day phone Zip Code .'~? ~ / THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade D Well Only D ,~ Water Storage D THIS PROPERTY CONTAINS: Hot Tub D Jacuzzi [] Swimming Pool D Water Softening Unit D Therapy Pool D I cedify that the above information is correct. I fudher certify that this application is being made for a Si~ng an~~~ce with applicable Municipal Codes. (Signature of property owner or authorized agent) Date of Payment: i ~_ ~"~/0~/ Date of Payment: RecelptNumber: ~"-? UG('~,, C:~'"~ Receipt Number: ,,,(Rev. 12/00) Eagle River Engineering Services 10421 VFW Rd. Suite 201 Eagle River, AK 99577-3294 Chrlstol~her R. Wood, P.E. (907) 694-5195 tel (907) 694-3297 fax February 2, 2004 Jim Cross, P.E. Manager, On-Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lake Ridge Terrace, Lot 4, Blk 11 Narrative & Permit Application, Lot line waiver request Dear Mr. Cross: The proposed septic upgrade will have very limited impact on adjacent properties for the following reasons: The surrounding lots are large, allowing adequate space for wells,septic systems, and reserve spa, es. Immediate neighboring septic systems are all +30' distance, and no private wells within 100'. This permit is for replacement of the septic tank and leachfield system. Drainage will not be affected and is not a major consideration in our design. The existing wide drainfield has failed. The old system was constructed almost entirely within the utility easement on the south side of the lot. Due to well radius considerations and the existence ora documented curtain drain, a portion of the new proposed bed system will be on top of the old drainfield. The existing septic tank shall be pumped, filled with sand, and abandoned in place. The old sewer rock shall be excavated from the old trench and shall be buried on the lot, more than 10' from the new bed. Sand shall be used to fill in where the old trench was removed. From the old as-built and current test hole water monitoring, we can see that there is more than 2' of unsaturated native soil between the bottom of the sand used to fill in the old drainfield, and the measured water table. The edge of the proposed leachfield bed will extend into the 10' utility easement on the south edge of the property by approximately 3'. We are providing letters of non-objection from the utility companies that may potentially use the easemeflt. Additionally, we are asking for a reduction of separation distance to the south lot line, from 10' to 7'. The septic system on the lot to the south is more than 20' from the proposed system. The original system was within the utility easement, and about 5' offthe lot line. k2003\03 -065 SEP~CNARRATIVE.DOC We are including test hole information from 1990. We believe that the house's foundation drain and the curtain drain, have lowered water tables in the vicinity during the past 14 years. At the time of the adequacy test, no seeps, wet areas, or visible outfall could be seen, as noted in the original design documents, and subsequent inspection reports. This work will not affect the reserve area on adjacent lots. If you have any questions please call our office at 694-5195. Sincerely, Uhr'i~topher R. Wood, P.E. Principal X2003\03 -065 S£P~CNAm~A~W.rX>C NEIGHBORIN¢ WELL +120' 1. ALL EXISTING CURTAIN DRAIN LOCATIONS ARE AS PER A.E.C.S. FILE DRAWING DATED 10/12/90. NOT VERIFIED BY E.R.E.S. APPROX. LOCATIONS ONLY. 2. REMOVE AND REPLACE DECK AS REQUIRED. ,3. NO KNOWN SURFACE WATER WITHIN 200'. NEIGHBORING ~ +130' APPROX. DRAIN LOCATION TANK /I ,10' U~UTY £SUT. -.'...~,  ¥. S.T.~P. T~K N~BORINO NBOHB~INO ~ ~ IK ~ ~ +110' ' ~-3  ,~, OLD I.~AOH ROCK .~ &: BURY IN EASEIdENT \ ' % - TEST HOLE \ -----' ' · - MONITOR TUBE ~ o - SEWER CLEAN OUT \ , ~ Nm~IBOR~NO -~- -- WELL \ 50.00 SEPTIC 30' ',,,,,j -- -- -- EASEMENT ~ -- ~- PROPOSED LEACH FIELD W E L L//S E P T I C S I T E P LA N ,OT ,~. ,,ocx ~. ~AX~ ,IDO~ ~,AC~' '~-' OWNER: UNKNOWN co,~Ac~o,: ,/A · = 40, · ~-~ '... ...' ~ ~AGL~ RIVER, AK. 99577 I ~ (907) 694-5195 PAZ' fgo?) 694-3297 SECTION-WEST END OF BED Septic System Profile .e-'~,~-"' A '"~.~:~ LEGAL: Lot ~,. Block 11, Lake Ridqe Terrace OWNER:~~~;i:9 ~'" ,. ...~ CONTRACTOR: N/A . ~~~~-~ JOB ~ 05-065J DATE. 01/21/04J NOT TO SCALE ~~';:~ A EAGLE RIVER ENGINEERING SERVICES ,~..~. - ...:~- P.O. Box 773294 ~,.~ ........:'~' EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW RD Suite 201 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM - MOA CERTIFIED INSTALLER LEGAL: Lake Ridge Terrace Lot 4, BIk 11 January 20, 2004 A. GENERAL 1, The replacement septic plan is for a 3 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi-family wells. A licensed surveyor should locate the utility casement and exact 100' radius from the existing and neighboring on-site wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test bole excavations shall be filled and monitor tube removed. B. SEPTIC TANK WITH LIFT STATION 1. The septic tank shall be an Anchorage Tank 1,250 gallon septic tank with integral OSI lift station pump model OSI-05-20-HHF. 2. A receipt from a licensed electrician shall be provided to the engineer verifying lift station wiring to all applicable codes. C. BED 1. The bed is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom oftbe bed shall be level, plus or minus 1.5". _ ,, / 3. The depth below grade ofthe gravel layer.is not to exceed,~/~at t~ west end of the bed. 4. Coarse Sand shall be utilized where the old leaehfield rock has been excavate~j and whe[e necessary to build up the bed to grade ifdeep topsoil is encountered and excavated. 5. The effluent lines (3) are to be 1" PVC lines with 1/8" holes drilled 36" OC within the leaehfield, placed face down, or up with orifice shields placed over holes. Line from tank to field is to be 1-1/4" HDPE. 6. The bed gravel is to be covered with typar fabric material. 7. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the bed. Mounded side slopes not to exceed 3:1. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: BENCHMARK = 100.00 ASSUMED D~ of~Monitor Tube~ BOTTOM OF GRAVEL LAYER = 0,~:-/Uetesv--Grade at west end o~Bed GRAVEL THICKNESS = 6" under pipe, 2" over pipe BED LENGTH = 60' BED WIDTH -- 15' SOIL RATING = 0.5 GPD/ft5 BEDROOM CAPACITY = 3 SEPTIC TANK -- 1,250 Gal S.T.E.P EFFLUENT PIPE = 1" PVC with 1/8" holes oriented down, or up with orifice shields spaced at 36" OC. Twenty-four (24) hour~ notice required for all inspections. ~003\03-065Bed-lift- spec.doc PERFORMED FOR:, Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: LH Git 1 2 ? I~ P~ o ~) ~J ~ /+zO 6 7 8 9 10 '11 12 13 14 15 16 17 18 19 2o Township, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S IF YES, AT WHAT ~ L CEFT,? '9 ,0 E Depth lo Water Alter ~. 7 Monllorlng? .' Dale: Reading Date Gross Net Depth to Net Time Time Water Drop · PERCOLATION RATE TEST RUN BETWEEN b-L::'P ,'~OL~ COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT dN THIS DATE. DATE: 72-008 (Rev. 4/85) (minutes/inch) PERC HOLE DIAMETER FT AND FT THAT THIS TEST WAS PERFORMED IN E E E '(Ha.L) P.eH Ol,,,.uAa i.loj. 0 0 EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294' Eagle River, Alaska 99577 (907) 694-5 ERES Project No.: 03-065 Calculated By: CW Date: 01/20/2004 Legal: Lake Ridge Terrace, Lot 4 BIk 11 Single Family 3 Bedroom Dwelling 'lEST HOLE Bed Subsurface Wastewater Disposal Field Water use at 150 gallons per bedroom = Percolation rate = Wastewater application rate = Required absorption area = Bed width (W) = Gravel depth (D) = 450 gallons 8 minutes per inch 0.5 gallons per day per square foot 900 square feet 15 feet 0.5 feet Required length = Required absorption area I Bed width Required length = 900 I 15 Required length = 60 feet Total Excavation Depth = ~feet · ~,;¥/ ,~ ..-.~,/ ~,..,~ ~. x~ z~, ~'..;.~ .... ~ .......... ,..'..~, ~..~2-.. "' ..-'~' ,, , - '~'~ ............ ;k~;~' ~' ' ' ~' :;~' W ~:J ~ ..... : .... 03-065_Cal.xls 5:28 PM01/2012004 1-07-1996 ~. = 23AM FROM P. 1 I STATEMENT OF NON-OBJECTION FOR ENCROACHMENT WIn-lIN UTILITY EASEMENT Matanuska Elecldc Association, Inc. (MEA) has no objection with the location of ~n_ abandoned Septic tank and leach ~eld bed within ~e platted utility easement located in the southerly boundary of, the following property; Lot 4, Block 1% LAKE RIDGE TERRACE SUBDIVISION, S.M., Anchorage Recording District, State of Alaska,. This non-objection is granted with the full understanding and agreement by all parties having an interest in the above property that this septic system encroachment will in no way restrid or limit the current or future ability of MEA to fully enjoy the benef'ds af the easement for any and gll utility purposes that it presently enjoys under the easement. This non-objection is further conditioned by the stipulation that MEA will be held harmless from liability for any and all damages to the encroachment that may result from the existing and future use of said easement by MEA, its contractors, successors, agents, licensees, or assigns. Matanuska Eleotrlc Association, inc. General Manbger or his Representafi~Je / pate MEA ACKNOWLEDGMENI' STATE OF ALASKA ) Notary Public for the'State of Alaska My commission expires: Feb 03 04 ll:12a Realt~ Executives Rlaska 907-561-4845 FITA 0SP ENG 90? 761 2666 01/27 '04 11'20 N0.976 02/02 ~By this document Matanuska Tclcphone Association, Inc....(~.'~,.~arcs that it has rio ob.~ectlon to. ,ncr0acltmcnt of, septic syslem within the. platted 10..'.,,ltt]l!.~:.~iement upon Lot. 4, Bio.ck. 11,..I~k.e Ri_'dgc Terrace, according to Plat No. P-549, filed m the An~.~lto~ge Recording District, Third ~Iudictal Dismc~, 8tat· of AlaskA sim, ted in Section 36, TISN, Please be advised that MTA through thc issuance of this document does not forfeit any of.its fights to the usc of'the a~ea cited. In the exercise of these rights MTA will, if-.ecdcd, upgrade, maintain, repair, and/or replace buried or aerial lclecommunicaticms facilities within the ~ascm~mt. Any repairs that may bc required to the encroachment as a result o['utility construction wiU be borne by the pwperty owner of record. This document does not authorize tb.e placement orany additional encroachments within thc casement ~ca. Property own.e~s arc tcquired to obtain utility ].ocatcs before doiog any kind of work in the utility easements and will 1~¢ liable for any damages caused by their construCtion work in thc casements. This document is, iq ~.o way, an s_R!'e, ement to ..v. acate any t~ortion ofth~ utility ea~eraent..an.d should .o. ot be intcr0retcd as such. Issued for Matanuska Telephone Association, Inc. this 27~' day of Jlanuary, 2004, by,  Real Estate & Properties Supervisor THlS IS TO CER.TIf'Y, that.on this 2?th day of.ranuary 2004, before me the undersigned, a Notary Public in for the State of.alaska, duly rom. missioned and sworn as s~ch, p~r~mally appeared Bonnie Bailey known to me and to me kaown to be the individual named in and who executed thc foregoing instrument and acknowledged to mc 1hat he signed and sealed thc same as a voluntary act and deed for. the uses and purposes ..,~. tllerein mentioned. ' have hereunto s,t my hand and official ,cai the day and year first WHBREOF, I ~,----l..c ,.-~/,, ,-/c.,-..,%~. ,.......... ~..:-.' · .',: · .' °--. · "~..~'~· "A_. ' -,- ; · ~'.. ~ x .... :' _ ".-'." "'"' '~.~ 'r, · · t ' '. ° · f · . ..-., ,, .~. ~,,.~.~ ,~, .-' · ..- ~, :- :... . ~ .C"~- .,'~. ,.~..~ :,~., . .~ · · · ....~-,..'. .. ~ : ~,~~- ,..? ~ ~- ..,. , ... · .. : · o ~ ~- ~ -. .. . .. '...:;'~,A,,n-r~u. . . .. g ;.~. ~';,_-.....:~..,?-._r · ~' :' ;.~stlll-lusk~:l':':" ~~ t:__~ .a._. _,: _'... . .... ~ *.-,",, .,~-,.~,-,r .:.....-' · ~e~_~i~one.~u~soc~uuo~, Inc. ~ °-,'~a,, ~'.. .---- ." :~t~.g~'~v"~qlT' ' · .... ~ ~~° ~ · , · · e~.t ' ' ~!~.:~:,~'''' ~~~[~. ~l~i Metenu~ko Telephone A,~oclaUon, Inc.  '~' '' :~ . ik~ ~L-~~' P.O. Box 3550. Palmer, Alaska 99645-3iS60 · ,~~~~e~q~.~t · 1.800.746,9510 ,, 907.761.2510. Fax 907.701.2646 .JAN-19-04 TUE 2:45 PM GCI CABLE FAX NO. 9078688580 P. 2 Januao' 19, 2004 Ralph Matukouis Realty 'Executives Alaska 341 West Tudor Road, Suite 103 Andmrage. Alaska 99503 Dear Mr Matukonis, Subject to your agreement to indemnify the company as set forth below, OCI Cable Inc. of Alaska has no objection to lhe septic system encroaching into thc 10' utility easement on the south property line of Lot 4, Block 11, Lake Ridge Terrace Subdivision. Known as 14445 Don Circle, in city grid NW0553. This letter ol'non-objection in no way precludes OCI Cablo f~corn full use and enjoy~nent of any rights it may have within any portion of the utility easement and or the right-of- way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI Cable harmless, now and forever~ for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of tho encroachment. Please indicate your acceptance by signing and tetuming~this letter to myself at the address below, ' ~~.~~~~ ~~~ //~~. Sincerely. ""7 Robert Pringle OSP Design Acceptance Date ~eb 10 2004 2:03PH EHSTRR £nCineerinc 90?-562-0053 p.l 2/1012004 Eagle River Er Chris Wood 10421 VFW Re Eagle River, Al To whom it-ma lineering Services ~d, Suite 20i ~ska 99577 i concern: ,. ENSTAR Natural Gas Company [DMRION OF SF~MCO ENVY nglneerlng uepartment 401 E. International Airport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907) 334-7743 FAX (go7) 562-0053 Re: Letter of Non-objection ENSTAR Nak al Gas Corrjpany has no ..o. bjection to septic field and abandoned septic tank em roachment into a ten feet utdity easement situated on Lot 4, Block 11, Lake Ridge Te race 'Subdivi:'~ion. Acceptance a~ ~d use of this letter of non-objection by yourself, your heirs, your assigns',- or yot~ r successors will constitute agreement to the following stipulations: ENSTAI~ will be held' harmless, now and forever for. any damages or injuq/' to any per, on or propert~r as a result of this encroachment. Any EN ;TAR facility damaged or destroyed, as a result of this encroachment will be r, 3aired at no =ost to ENSTAR. Any coEts incurred b~. ENSTAR for special construction necessitated by this encroac lment will bejbome by the property owner. Ali appli :able safety c~le regulations will be observed and maintained. I This left ar of non-objection will In no way preclude ENSTAR from full use and enjoym~ nt ofits rightS, within any portion of its right-of-way. Right-_o_f_-Way~ge~tX ~_ iX ~ \ 1 ENSTAR Natu~.~a~om~a~Y ~ 'I Tom Fink, Mayor A&unicipality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1991 Alaska Housing Finance Corporation Po Box 101020 Anchorage, Alaska 99510 Subject: Lot 4 Block 11 Lake Ridge Terrace Subdivision Permit #900209, PID #051-323-33 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1990. A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site wastewater system, the original as-built.inspection report (three-part form) must be sent to' this office for review, approval and documentation. All inspection reports must'.be submitted within 30 days of construction completion. .. When applying for a new perm~, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Sin~ ,~/ , On-site Services JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" 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: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16- 17- 18- 19- 20- SLOPE DATE PERFORMED: ~- 70 ~ ~'/ 0 SiTE PLAN WAS RO,ND WATER ENCOUNTERED? DEPTH?IF YES, AT WHAT ~- Gross Net Depth to Net Reading Date Time Time Water Drop i ~' ~ l-C"O i%'- Zo: Bo 10 m:,-, PERCOLATION RATE ~ i ~ (minutes/inch) TEST RUN BETWEEN ~ FT AND ~' I FT COMMENTS ; Eagle R Vel Engineering Serv cus ~ -- PERFORMED BY: P 0 ~ ........ CERTIFIED BY: Eagle River, AK 995** 6~,~.5195 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST [] SOILS LOG PERFORMED FOR: 7~ LEGAL DESCRIPTION: U 2 3 4 6 /~/~/~ 7 0 10 12 [] PERCOLATION TEST SLOPE DATE PERFORMED: SITE PLAN WAS GROUND WATER ..V_,~ S- S ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop ~ g:o2:oo -7'?~ m COMMENTS PERFORMED BY: ~L~j-- CERTIFIED BY: ~ DATE: ~'~/"~'~/~" 20 /_~ / PERCOLATION RATE /~, '~ (minutes/inch) ~' ~ . FT TEST RUN BETWEEN FT AND SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: Lot 4, Block 11, Lake Ridge Tern. A . f:, E/V E /7, , /L !. The well and septic plan are for a single fami]v residence on'ly. 2. The drawing and or site plan shal] be a part of this specification. 3. All materials and workmanship shal] meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excava~ons and depbhs are adv~sony and are ~o be verif~ed or mod~¢1ed fin ~he field by ~he c:on~ractor ~o meet: Munlc~pal1~y Anchorage, Department ef Envi r'onmenta] Conserver ion pequ~rements- 6. It tis the respons~bi]fity ef the owner to obtafin all necessary 7. The excavation -i¢ to be exactly in the area shown on the site plan, any devia(ion requ~re~; engfineer approval . line position and the location of any easements. 1. 2. ,3. The bed is to fo!low the natural ]arid contour to maintain uniform total depth of the bed bottom. The bottom of the bed shall be ]eve], plus or minus 1.5". The total depth of,the bed excavation is not to exceed 2' at: any point. Final bed grade tis to be at ground surface after imported matePia] placement. The sewer line is to replace the existing sewer line that leads to the existing'tank. The bed gravel is to be covered with typar fabr'ic material. Soft1 or combination of soft! and extruded board insulation to a depth of 4' or equivalent is to be p]aced over the leachffield. The area over the bed is; to be finish graded to prevent ponding of surface water runoff. The septic tank and leaohfie]d mus~ not be closer than 100' to any existing private well, !50' to any Class "C" we]], or 200 feet to any community we]!. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 0' GRAVEL DEPTH BED LENGTH = 60' BED WIDTH Soil Rating = ~ Bedroom Capacity = 3 Sept-fo Tank Size = 1,250 ga!. **NOTE: LIFT STATION REQUIRED. WRITTEN STATEMENT. **NOTE: EXCAVATE BELOW TOPSOIL, WIRED BY LICENSED EL. ECTRICITION WITH PLACE IMPORTED MATERIAL, <5~ FINES, COMPACTED TO 85~ TO GRAVEL ELEVATION (0'). MUNICIPALITY OF ANCHORAGE DEP.T. OF HEALTH & ENVIRONMENTAL PROTECTION i RECEIVED, / . l / FWell ~.. / "'/ ml~ LN / ~~ .~ ~v.woy / / , -~/ ~~-..._ / / ~.p~. ~ 4~ 2~' 00" ~ 1~ .66' ~ - ~ HOLE NOTE: All ~xi~ting ~u~a~n drain Io~a~on~ . ar~ a~ p~r A.E.O.S, file drawing o - S~ER aL~NO~ dated 10/12, No~ wrJfied by ~ - WELL E.R,E,S,, Approx. Io~ation~ only, ~OH~ELD SEPTIC SITE PLAN LEGAL: Lot 4, Block 1 1, Lake Ridge Terrace OWNER: Alaska Housing CONTRACTOR: N/A Jo. ~ go-oo~/~AT.: o7/o~/~ol scsi[ ~"= 4o' ~-..~.~L.~.~, ~ EA~LE RIVER, A~ 996~ (~0~) ~4-~ ~x: (~0~) ~4-~ MUNICIPALITY OF ANCHORA¢-~ DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION ',.JUL RECEIVED ~¢over //-- FTIter fabric /~/-- 2" Insulation 20 mil rein~oroed~ /_/(.//~,//~/./././~///./////,//.././._~/,//,//../,/~/,/(~/( / vtsq,ee, o,'"'- .:_e_: ~ ~?',/' %~<' o.,¢o _.,,-)~ 0.3, .'o. ./ d0wnhdl rode ,o . , o ."~, ~ 'o · o'.': ,'..' · ' o .... '.' · -- & on ends. .'.' ~ ' o"{3 , ':'o".'o'." o'c) .... '.~. o'.'. ~-~' sewer rock below pipe ~ J 2' L T-~~ OrgJnal ground 2' Topeo[I layer surface ace candy fi,I as needed L J Pt .-- ~vel bed. to com~- '--E~cavate to sandy grovel layer GAL, Lot 4, Block 11, Lake R d e Terrace LE g .................. OWNER: Alaska Houmng CONTRACTOR: N/A JOB ¢ 90-005 DATE: 07/06/90 NOT TO SCALE EA~LE RIVER ENGINEERING SERVICES ~ P.O. Box 773294 ~ EAGLE RIVER, A~ 99577 ~ ~ (907) 694-5195 F~: (907) 694-3297 Tom Fink, Mayor Nlunicipality Anchorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 January 8, 1991 Alaska Housing Finance Corporation PO Box 101020 Anchorage, Alaska 99510 Subject: Lot 4 Block 11 Lake Ridge Terrace Permit #900047, PID #051-323-33 The subject permit, issued by this office for a single family well and/or on-site wastewater system has expired as of December 31, 1990o A new permit must be obtained from this office for a well and/or on-site wastewater system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this office for documentation of the installation and to close the permit. If a' private engineer inspected the installation of the on-site wastewater system, the original as-buillt inspection report (three-part form) must be sent to'this office f'or review, approval and documentation. All inspection reports'must be submitted Within 30 days of construction completion. When applying for a new permit, the fees are: $90.00 for an on-site wastewater permit; $50.00 for a well permit; $140.00 for a combined on-site wastewater and well permit. If you have ar~y questions, ~/rogram ~ranager On-site Services please call this office at 343-4744. JW/ljm:200 enc: Copy of Permit "Kids Are Our Future" !:IXlS'! AI...I... i:::'RI::iI::'OSED WEL. t_ A'T' I...[::)CY.Yi'IOI",I SI'"!OWixl CiN A"['"FAI]HED S:["i'E Pl..AN,, :[ i::: E X :i: S ]' :!: Ni.::i I,.q~)~:L..L :I: S ABAIq:OC:~NI~D PLEASE NO'I' E 01',! WE!...L LCiG ,, T'H :l:::~i i:::'!~:~:l::tl'"l ]: I S I !/iSI. V:i:D F:'OR "I'I"'Ii~:: EX :i: ST :i: Ixl(:~i S :i: NGI....t~: F:'AM :1: LY DWEI...L :!: ix!G CV',ILY AND i~:XI::':[[~ES Oiq :i. 2/:];:i. 19(), NO ! i~i~t ~lq :[ 'iRA I'ES !'"iAVI~: ).:~l~;~:iJ:~:ixl DETEC:TED ]: N SHAI...LC~W AQU :i: i;::I~]~:RS I N 'T'H :[ S A R E~ A ,, ~'c:~i"th I:'_.,y '!:..he ?'l'un:i.c:i. pa ]. :i 'i:. y (:){' P~i~cl"~(::)r. age (MOA) al-id '(:.he S'Lat~:~ ~:)~ A].aska~ ::~:,, :[ ~.'.~:i.:~.:i. adhere '[:.(::~ a:!.i iYH]A and Sta'~'.~::.~ c~' A:~.a~ka PecF..~:i.r'em~:~n'~:.~ .~'c:)P '~:h,:.:.) ~e~'~:. back c~ :i. [~;t.al"U:::~'.~,s f' v(::)m any ex :i.s'?. :i. ng ~.,~(.:~.:,]. Z, t.,~as'Le~4a'E.e.gr' c:l :i. sposai sysl.:.em ,:::)r' pub ]. i c ]: LH"~d~.?p~'!:a.l'~d that '{:.l']i~ p,z.:,Pt[~.'[. :i.s va:i.J.(::l ~'CH'" al. sc) u~c::!e.:.)Ps'~.ar"~c[ 'i:..ha-k. 'l:.hc.~ capacity c~{' the tc)ta]. .............................................................................................................................................................. [] - TEST HOLE · - MONITOR TUBE o - SEWER CLEANOUT -~- - WELL NO KNOWN CURTAIN DRAINS EASEMENT SEPTIC SITE PLAN i-~G~L:--~(~t--4, ~i-~k 11, Lake Ridge Terrace ~...... ~ ...... :~' ~ EAGLE RIVER, AK. 99577 ' ~ (907) 694-5195 ~: (907) 694-3297 % . 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 IP'ONE I , 'NEW NAME -~ r~ ~ ~ "~ ..... MAI LING ADDRESS LEGAL DESCR'IPTION LOCATION NO. OF BEDROOMS Well Absorption area Dwelling PERMIT NO, DISTANCE TO: ' ~ ~ ~ Manufacturer Material No. of compartments ~ ~ Liq. capacity in gallons Inside length Width Liquid depth ~,pz~ IF HOME,DE: . _ ~ ~O ~ DISTANCE TO: Well Dwelling PERMIT NO. ~ ~ ~ Manufacturer Material Liquid capacity in ga[ions Q Well Foundation Nearest lot line PERMIT NO. ~ ; DISTANCE TO: ~ ~ '~ ;%¢ ~ ~ ~ of each line~ Total length of line~ ~ ~Z~ ~ NO' of lines I Length '~ C _ inches Distance between lines Trench widt~¢ ~ ~ ~ Top of tile to finish grade ~ Material beneath tile / t~ Total effective absorption area ~ ~ <~ inches .~[ ~ ~' Length Width Depth PERMIT NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot linc ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO, ~ Building foundation Sewer line Septic tank Absorption area(s) ~ DISTANCE TO: OTHER PIPE MATERIALS Pvc INSTALLER REMARKS APPROVED~~ DATE LEGAL PERMIT NO. r~i_ir%~ i c ! AL IT~' C,F A~IC:H ..RF~GE EPMRTMENT oF HEflLTH fiND ENVIRONMENTBL PROTECTION 825 ~L~ STREET, 8NCHORBGE, BK. 9950t 264-4728 ~D~--SITE SEXIER PER£4IT ( 828827 ) BPPLICBNT CMB CORPORBTION 748t OLD HBRBOR ROBD LOCBTION LEGBL LOT 4 BLK ~ LBKERI'DGE TERRBCE LOT ~IZE TYPE OF SOIL BBSORPTION SYSTEM IS: C~RBINFIELD 4~5600 SQURRE FEET MRXIMUM NUMBER OF BEDROOMS SOIL RRTING THE REQUIRED SIZE OF THE SOIL 8BSORPTION SYSTEM IS: [)EF"TH= ~5 LE~'4GTH= 54 GRI]'-/EI C,~PTH-- ..~:. 5 THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRBINFIELD. THE DEPTH OF ~ TRENCH OR PIT IS THE DISTBNCE BETWEEN THE SURFBCE OF THE GROUND ~ND THE BOTTOM OF T~E EXCBVBTION (IN FE~J~]~--=-~ THE TRENC:H [~ I DTH IS ~_._~_~_.~8~>FEET. THE 6RRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL B~-~ OUTFRLL F'IF'E RND THE BOTTOM OF THE EXCRVRTION (IN FEET). REQL, I RE[) SEPT I C: TI]I-,II< S I ZE= -1 I--~OO GRLLO[4S PERMIT BPPLICRNT HRS THE RESPONSIBILITY TO INFORM THIS DEPBRTMENT DURING THE INST8LL8TION INSPECTIONS OF 8NY WELLS BDJBCENT TO THIS PROPERTY BND THE NUMBER OF RESIDENCES THBT THE WELL WILL SERVE TI-~I] (~") I ~SPE~STIC,~4S A-]RE ~:EC41_IIRED B~CKFILLING OF ~NY SYSTEM WITHOUT FINBL INSPECTION BND BPPROVBL BY THIS DEP~RTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTBNCE BETWEEN ~ HELL BND RNY ON-SITE SEHBGE DISPOSBL SYSTEM IS i00 FEET FOR ~ PRIVBTE WELL OR t50 TO 200 FEET FROM H PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM 8 PRIVHTE HELL TO B PRIVBTE SEWER LINE IS 25 FEET 8ND TO 8 COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MRY RPPLY. SPECIFICRTIONS RND CONSTRUCTION DIRGRRMS RRE RVRILRBLE TO INSURE PROPER INSTRLLRTION. F'ER~I I T E.':-¢F" I RES [:,,EC:EMBER _~.-1 .. 1":~.82 I CERTIFY THRT i: I RM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS RND HELLS RS SET FORTH BY THE MUNICIPRLITY OF 8NCHORRGE. 2: I WILL INSTRLL THE SYSTEM IN RCCORDBNCE WITH THE CODES. ~: I UNDERSTRND THRT THE ON-SITE SEWER SYSTEM MRY REQUIRE ENLRRGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THRN ~ BEDROOMS. SIGNED:~_~__~_ ........................... .~PPLI~T CMB C0RPORRTION ,DEi::'F!RTHE?4T OF HERL. TH R,ND E.N"2ZI:;;tO?.,IH.ENTRL. PF:OTECT:!:C!H 'S25 "' L." STi'?.E.E(T, RN(i::HC'.F;:RC.i,-'E., FILE. [ ~ i-E: (:i' Fi L. 7"k-!f.:-'- ' ~:',*'i""?'~ ~. ..... ~-~,!..~,.-'..j,,! 'r,:. ......... ....... L, ..... ~,~, ~'" 'i' ~',',~::','.' ': .... THE THi::' r. ~ ................. ....... :.~-I!'"! Ci.F? i'"':i TRENCH OR F':i:T Z'.5 Ir'd:::. .... !...-:, rI!~¢.~.,,:.:. ,:,,;..~.,_ '.-.2"-': THE :~i;u,r.;~:!::',¢:iC:E (',~;:' THFJ: I~;'il::~:(:)L.iN[) RN[) "I"H.,':'~: E','.2T'""'.:'5,'I OF' TH.,E ~b,:CF!'v'FFr'lc:d'q ,:::[~.,I FEET). "~"l..,.:' GRFI'v'EL ,-- c"c',-i' "'"~""' '" ............... '"'" '""' ' I:::' T PF' ~..~:_,-, ~! T,:::; THE Fli'. .......... r, THE ~:~FIT'FCff4 O,.r..:- "r,, ~,._.'~.' ~.. _.,,,., ,~ ......... ,::",,'R""., ,.,,,? r-~. ( Z N FEET). H :[ Nil HUH b :i:STRNCE bETHEE2.,I Ft HEL.L. FIN[' clW'¢ ON-:~i; :I: :f'E S,'-ZHRGE [:-' ! SPOSF!!.~ S'?'ST'EH i :5 !Ei$ F:'EEET FOR ~::~ PRZ',,,'RTEi: HELL. OR !5(9 ,~...1 2(~)9 F:'EET FROH R PLiE:L.i(C I,.iEZ_L. DiEPENDZN(:~ UPON THE T'¢PE OF F:'UBL. ZC NEL_L. H]:NZHUH DZS'T'Fff-,!CE F?REff'i R PRZ',,,'FFFE F.~E:L.L TO R PF'.ZVF!"I"E: %EHER i...ZNE ZZ ;;?5 FEET FiND 'T'O Fi COHHL~NZT'¢ SENECa: L..INE ZS 75 FEET. O"f'HER RE:qLi Z REFiENT'S HFI'.¢ F!F'F'L'¢. ZPEC Z F ]; CRT :[ ONS FIND CONSTF~'.i...iCT ): 0?.4 [:,:[ FiGFi:RhIS FIRE Fi~2RZ!r..i:RE:L.E 'T'O Z h!SL.!RE: F'F:OPEI:R ]:NZTRi...L. FFi"i ON. :i: CE'F:T ZF".¢ THF!'T' :L: Z RH FFiM.'[L..IFff~: HI"i"H THE F:E(;!LiZREhIENTS FOF: ON--.S)iTE SEUERS ¢~I',!D !.,.!!EL. LS F:IS SET FORTH BV THE HUN:[Ci[PFIL]i'T'? OF RNCHOf4]F!GE. 2': :[ i.,.!.[LL ZN:~STFILL THE S'¢ZTEH IN F!CCC~RDFIi'.,!C:E FilTH 'T'HE CODES. :?: ~ UNDERSTRND THFiT THE ON-.S]:T'E SEHEF: '.E:?STEH hiR? F:E:E~U :ii RE E?',iL.F!F:CiEPIEI'.,iT :IF' THE ?.ES IE:,ENCE ):S REIfiC~DEL.ED TO :!:NC:L.U[i:,E i"IORE THi:ahi 3: E',EE:,ROOHS. Permit Location ;~ MUNICI'PALITY OF ANCHORAGE Department of Health and Environmental Protection 825 L Street, Anchorage, AK. 99501 264-4720 * * * HANDWRITTEN PERMIT * * * C&(~7~OR ON-SITE SEWER PERMIT Type of Soil Absorption System Is: Trench: Drainfield: )<' Seepage Bed: __ Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) The Required Size of the Soil Absorption System Is:' 1 DEPTH LENGTH /! . GRAVEL DEPTH .- ' 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 = /OOD GALLONS * * Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum 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 publi6 well depending upon the type of 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 and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 8 2 * * * 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 th~/~ on-site sewer system may require enlargement if the~residenc~ i~re~od~ed~to-include more that 3 bedrooms. Signe~: ,/~/~//~/~- Issued by: !./ swP/0 4( /s1) w SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG -PERCOLATION TEST PERCOLATION TEST SLOPE ~ SITE PLAN 4 ~ 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop f /./2.() ..~.--- /o :23 / o , ff ¢ . t~ 3 I0."/~ I0 ,'18 , ig i-H~4~ I~ ~ ~' -~- , ~ PERCOLATION RATE /~ (minutes/inch) TEST R~ :TWEEN ~ FT AND c¥ ?Z tT _ PERFORMED BY: ~C ~-.1~., ¢ CERTIFIED BY: ~--- ~ DATE: , DEPARTMENT ~n~-x HEALTH ~m~' ' E~+4~' IRONMENTAL r>'~OTECTION 825 '"' 'STREET.. ANCHORAGE, RK. 99' ' ',~. , 264-4,.'720 PlELL .Ar-Il]i, C, 1"-4--~. I TE '_~E£.IER F'EF~:~I I T PERMIT NO;' ( ~¢-)(}y LEGAL ~ 8tool< (~ ~Ftg~¢7~r¢Oe~ LOT SIZE ¢Or~QURRE FEET TYF'E OF SOIL-ABSORPTION SVSTEM IS' '~rGt~¢n ~ ~ ~ ~t ~l O~ MRXIblUM NUMBER OF BEDROOMS SCllL RATING (SQ FT/BR)= THE REQUIRED SIZE OF THE SOIL .ABSORPTION _-c'¢qTEM IS: [:,EF'TH= / LEf'413TH= '/V~ % ~./~'3F;R"~ E~ ,[>~%TH=.~_, ~ THE LENGTH [:'IMENSION IS THE LENGTH (¢EET%¢~F~f''C~ ~R DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE ~STRNCE BETWEEN THE SURFACE OF THE GROUND ~ND T~E E:OTTOM OF THE EXCAVATION (IN FEET). THERE I~ NO ~ET WIDTH FOR TRENCHES. /, THE GRAVEL DEF'TH IS THE MINIMtlM [>ECTH OF GRR~¢EL BETWEEN THE OUTFRLL PIPE AND THE BOTTOM OF THE EXCR'v'RTION (I~EET). REQIJ I RED SEF'T I C lRt'4k{ q I ZE= /¢¢ ~ m]RLL;Z~f-4S PERMIT APPLICANT HAS THE RESPONSIBILIT'¢ TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY NELLS ADJACENT TO THIS PRLPERT¢ AND THE NUMBER OF RESIDENCES THAT THE WELL NILL SERVE. T L.-I() ( 2 ) I I'-,I_~PECT I 01'45 ARE E:EL--~.LI I REE> BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEP~RTMENT WILL E:E SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND RN9 ON-SITE SEWAGE DISPOSAL SYSTEM IS 10~D FEET FOR ~ PRIVATE WELL OR ~50 TO 2¢~0 FEET FROM A PUBLIC WELL DEPENDING UPON THE TVPE OF 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 AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 2:0 DRYS OF THE WELL C:OMPLETION. OTHER REQUIREMENTS M~Y APPLY. SF'ECIFICRTIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERr'I I T E)-'. P I F-:ES C, Em]Ei'18ER _~.'-..-1 .. 19:90 I CERTIFY THAT ~[: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPRLITY OF ANCHORAGE. 2: I NILL INST8LL' THE SYSTEM IN RCCORDRNCE WITH THE CODES. _?.: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN -~ BEDROOMS. 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-41 '11 GEO£~GE M. NIA YOI~ DEPA/] ]'MEF]T OF HEALTH AND ['.'NVIRONMENTAI. PROTI~:CTION December 31, 1980 Vincent Bates Post Office Box 609 Eagle River, Alaska 99577 Permit ~ 800604 Subject: Lot 4 Block 11 Lake Ridge Terrace Subdivision A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-bui].ts for our files. If there are any further questions, please call this office at 264-4720. Sin:erely, // :) LNB/ljw enc: Copy of Permit SWP/057 PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST K - SLO~/ /~ SOl LS LOG [] PERCOLATION TEST SITE PLAN 10 11 12 13 14 15 16 17 18 19 2O COMMENTS PERFORMED BY: ENCOUNTERED? IF YES, AT WHAT DEPTH? Gross Net Depth to Net Readiqg . Date Time Time Water Drop .'.~- ~ ~. Shc, fer PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND ~ FT 'S~ & S Enginee~n~' 0 Z ,,4 E PI -1116 MUNICIPALITY OF ANCHORAGE Development Services Department - Phone: 907-343-7904 On -Site Water & Wastewater Section �- Fax: 907-343-7997 Certificate of On -Site Systems Approval 33 323 -- Parcel I.D. 051 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lake Ridge Terrace, Block 11, Lot 4 Location (site address) 14445 Don Circle Chugiak, AK Current property owner(s) LOUIS ZIZZa Day phone (907) 229-4419 Mailing address P.O. Box 672372 Chugiak, AK 99567 s. Real estate agent Day phone 2. TYPE OF DWELLING: Fo-1 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑■ Private Septic ❑■ Water Storage ❑ Holding Tank, ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer: ❑ Waiver request for: Distance: i Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ J�J� Waiver Fee $ ? Date of Payment �3�a01 as Date of Payment i' Receipt Number Receipt Number COSA # Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below,; I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functionpl 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. I acknowledge that On -Site staff may visit the sitetoverify the information submitted. Name of Firm Forge Civil Engineering Phone 907-522-7773 Address P.O. Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, P.E. Date 3/18/2020 6. DSD SIGNATURE X_ System #1 Approved for J bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, with the following stipulations: �i �A rER AND Irn �= VMTER o J� o�JIVI / v�1 Original Certificate. Date: ^2 S 2-0J The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory j Septic System Advisory Arsenic Advisory r Well Flow Advisory_ Other COSA Checklist blue sheet COSA Checklist Legal Description: Lake Ridge Terrace, Block 11, Lot 4 Parcel ID: 051-323-33 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Q Well log is filed with Onsite (or attached) Well production at time of test 0.14 gpm Date drilled 10/02/80 Water storage tank volume 500 gallons Total depth 120 ft Well disinfected for coliform test? ❑ Yes 0 N Cased to 80 ft 0 Coliform bacteria is Negative Q Sanitary seal is functioning correctly Nitrate •406 mg/L ❑ Nitrate less than MRL (ND) FE] Wires are properly protected Arsenic ug/L X Arsenic less than MRL (ND) Casing height (above ground) '18 in. Collected by FORGE ENGINEERI�& Date of flow test for COSA 3/17/20 Date of Sample 2/27/20 Static water level at beginning of test 21.6 ft. Comments Well Log Illegible. Information taken from HAA#040083 B. TANK DATA Age of tank(s) 16 years Tank type/material S.T.E.P./STEEL Measured operating fluid level in septic tank ❑ Standpipes/foundation cleanout per record drawing Date of pumping 3/6/20 - JR's Septic Pumping D. ABSORPTION FIELD DATA Bed/Mound Which system tested (date installed) 3/3/04 Q ALL standpipes present per record drawing Total measured depth from grade 2.83 ft (max) Measured depth to pipe invert from grade ft (min) FE -1 N/A — pressurized field 0 Monitor tubes go to bottom of effective. If not, state depth into effective 0 Code -required soil cover over field FO -1 System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 1300 gallons Comments/Deficiencies: COSA Checklist yellow sheet C. LIFT STATION ❑E Required maintenance completed Age of lift station 16 years Lift station material STEEL Comments: Lift station inspection report Adequacy test date 3/5/20 Results 2✓ Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 473.5 gal New depth 0 in Elapsed time 240 min Final fluid depth 0 in Absorption rate >450 gpd Any rejuvenation treatment (past 12 months) If yes, enter date E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ❑✓ Yes Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft 0✓ Yes if No Neighboring Tank > 100' FT Yes if No ft Private Sewer/Septic Line > 25' Yes if No Absorption Field on Lot > 100' FT Yes if No ft Holding Tank > 100' Yes if No Neighboring Absorption Fields > 100' Yes if No Animal Containment > 50' Yes if No ❑✓ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑✓ Yes if No ft [Z] Yes if No ft ft ft ft ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑✓ Yes if No ft Surface Water > 100' ®✓ Yes if No ft Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' ❑✓ Yes if No ft Water Main > 10' El Yes if No ft Community Wells > 200' ❑✓ Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ❑✓ Yes if No ft If absorption field is under driveway comment below Property Line >10' Yes i if No ft Wells on Adjacent Lots: Water Main > 10' ✓® Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No Surface Water > 100' ✓0 Yes if No ft F. ENGINEER'S CQMMENTS ?4 Wo r v,.e✓' (h CIO 01 y G. ENGINEER'S CERTIFICATION 1 certify that 1 have determined through field inspections and review Of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet OF qC 44 49th =� ar 1,.,,F� ................. -0. .............. ..................... Res ............ ® MICHAEL E. ANDERSON ®� ®�`rT NO. CE -4381 _® 3/20/20_+•'° FAr ��'m4114 ROFESSV�' ft ft Well Nater Advisory Certificate of On -Site Systems Approval # OSC201108 Subdivision: Lake Ridge Terrace Block: 11 , Lot: 4 This well's productivity was determined to be .14 gallons per minute. The minimum well productivity required under (AMC 15.55) for a 3 -bedroom residence is .31 gallons per minute or 150 gallons per day per bedroom. Restriction of non- critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. Owner t �"Z Lift Station/Pump Vault Street Address 1 n C 4 r° Septic Tank: -Sludge level inches -Pumping: required yes no -Pumping completed es no Lift station: cf -Pump basket cleaned e no -Effluent filter cleaned e no -Control floats cleanedes no -Proper float settings confirmed e no -Operation satisfactory es no Alarm System: -Dedicated electrical alarm circuit yes no -Audible and visual alarm inside dwelling es no -Alarm system operation, satisfactory} not satisfactory Manhole Riser -Ground water intrusion at riser to tank connection es no -Ground water intrusion around pipe penetrations es no -Weep hole functional &esno -Manhole lid: Functional es no Insulated es no Properly Securedes no Other -All manufacturer required inspections and maintenance completed yes no Comments: Qualified Maintenance Provider: 3:30 Technician Is Date of maintenance 0/7 - Company 7Company J S S 1%"U P pl Signature Date 10go i1 J&LNI) SuttvLX.ING 694-08', OF �•ga 8.'41�pR4 1-4 K * TH ^f Q Duane Mark Sawar6 , LS -6 fl r ASBUILT SE4T!iRD & I HEREBY CERTIFY T HAT I HAVE SURVEYED THE SCALE• s, FOLLOWING DESCRIBED PROPERTY: � � 3 AND THAT NO ENCROACHMENTS EXIST EXCEPT DATE: AS INDICATED. J ��� IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- 14-IZ-1 VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- Y LINES. DRAWN: SAR i1 J&LNI) SuttvLX.ING 694-08', OF �•ga 8.'41�pR4 1-4 K * TH ^f Q Duane Mark Sawar6 , LS -6 fl r Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~ ~ www.ci.anchorage.ak.us. ,a ~-----~ (907) 343-7904 I~ OF HEALTH AUTHORITY APPROVAL CERTIFICATE " FOR A SINGLE FAMILY DWELLING O HAA# O/"/' Expiration Date: Location (site.address or directions) curre.~t,P'r0perty'owner(s) LoP,? htt~r,,q-.9~4A-,tJ Day phone Lending agency Day phone Mailing .address Real Estate Agent .Mailing Address Day phone :'..' Un/ess otherwise requested, HAA will be held by DSD for pickup. 2.' NUMBER OF BEDROOMS: ~ e 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 D Community On-site "[] Public Sewer D. The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HA3,) 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 pdvate or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the 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 t- -:L (�IcIL' �U�. St111-5 Phone rj�Y'S15 S Address _/1992-1 j_/ trJ2h r(Ar7i5- ze)j E46, (21 qX `976*77 Engineer's Printed Name C1)RQioPt-f6?_ R,in10, Date 5. DSD SIGNATURE V Approved for .3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: 4n' Additional Comments � ; WATER AND : m - PROGRAM Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Original Certificate Date: (Rev. 01102) ~,', Municipality ,of A'nchorage Development Services IDepartment "i '; On-s'te Water & Wastewater Program~ .!. : ! 4700 South amgaW,St. . P.O.' BoX 796650 Anchbrage?AK; 99519;6650 ;. = : www.ci.anchorage.ak.us ' : · (907) 343;7904i:. ~: : ' Legal Description: L AEE ~.~b~ . T~Fc~A(.~~ WELL DATA : "~ We.I type ~RTJ^T~" i : ill. A, B, or C provide pWSID # Dat~completed I0 ]o~//~0 I :~/ .Sanitary seal (Y/N) Total~ depth 17_. 0 if[.' i ' 'cased to ~,O ft. i: ' FROM WELL LOG . Date of test static water level , I O0 ft. Well production ." ' /, ~ g.p.m. WATER SAMPLE RESULTS: Coliform O !c01onies/10qml. Nitrate !.~ mg./l. Ars'~nic: 'mg./I.: ' ' Date of sample: "sEPTIc/I.~ ~ANK DATA Tank Type/Materi,al :c~?/..%'7.- ~¢J ,'~',~."'.t3. TAb,c- Tank size'. I?..S 0 '. gal., Number of Compartments, Foundation cleanbfit (YIN) : . Depression over tank (Y/N) Date'of pumping ' ^!{.~.! ': Pumper /J/.4-- ' 'ABSORPTION FIELD DATA /,J ~ ~ Oat~ 'installed ~,/O~:/~ '~ . Soil rating (g.p.d./ft~ "" **~'"'~ O.~"- ,Length ~0 ':' fL ; Width I~"'- ft. Total dept~W'_~ ft. Eff."abs~rpti~n area.~'~O ft~ Monitoring tube . Date,of adequacy test ',A/'o,u/::: kO~_"~.. ~j.~ Results (Pass/Fail) Fluid.depth in absorption field before test ~ in. Water added Elapsed Time: .~ min. Final fluid depth ~ in. An~ rejuvenation treatment (past 12 mo.) (Y/N & type) ,, ..... ApPROVA CHECKLIST ~ HEALTHAUTHORITY L Blx~c II Parcel ID: i Wires pr rly protected (Y/N ', Casing ight(ab vegro~und) [ ~-'q I :in. _._.m. ~ ~ . . Other ba~teria~ O ~:i:col0niesil00 Collected by: '~ ~' Date installed: ~]OI ]0 ' : Cleanouts (WR) , ,, High~aterala~m i,, , . System type ~ ~D Gravel below p~pe · Depression 0vet field For bodrooms~ Absorption rate >= , ~.p.d.~ , ,~ : If yes, give date D. LIFT STATION \ / Date installed ];/Size in gallons )ZS0 �L' . _,� Manhole/Access �Y N) Y "Pump on" level at Z$ in. "Pump off' level at 3 in. High water alarm level at ZZ in. Datum -,z_-)P d f3ASI%fir Cycles tested itJ/.,ln f Meets alarm & circuit requirements? � 5�C /12j .1: e J` pf E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 12y On adjacent lots /cc) Absorption field on lot /01 On adjacent lots 100 � Public sewer main /(X' Public sewer manhole/cleanout f/cw / Sewer /septic service line /0 V Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation f S Property line E Absorption field s Water main f75_ Water service line "t 2S Surface water Wells on adjacent lots /00 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line I Building foundation 10 Water main 75 Water Service line "t. 25 / Surface water � /vU Driveway, parking/vehicle storage t/D Curtain drain fi c� Wells on adjacent lots /c�J F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that / 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. H(�ySr r r Engineer's Printed Name G O.-•,�,t r:. �e^'7t� Date 3/ I 1 /0` HAA Fee $ 43CI -f 1 75 Ru 5/4 Date of Payment T 21 104 Receipt Number 6�qZ 76- (Rev. 12/01) 5 Waiver Fee $ Date of Payment Receipt Number twit". -CHRISTOPHER R. WOOD _ CE:14397 co 0 i z W o C II- o W _ 0 W Ca w \\\ q~ao o \�iw cn� w Uoo~ creno \:illi-Wir z w oz W W x—ww W c�-� Q d v W Zu) _ i _ �\��woz� �w _ cn F- o a. �� LLI =u'oo cwe = wrest -F- z mcg C) = 2 a 0~zzWW�lp w'`cQ3j° Z z I � pw '\tZu't-W O�� Wui4 w oi~ (ffi l CJ z �vZQ SJ } z o E-- J im 3 �QwQ zocL awes I-(Jz D Q LjjjO a ffi m QW-� { =o �zZ =z LL �2z LL fl� w >d0 Municipality of Anchorage Mark Begich, Mayor Building Safety Dix sion P.O. Box 196650 · 4700 Bragaw Street Anchoragc, Alaska 99519-6650 · (907) 343-8301o Fmx (907) 343-8200 httl)://www.muni.org 3/15/2004 Eagle River Engineering 10421 VFW Road, Suite 201, Eagle River, Ak. 99577 Subject: Waiver Request for Lake Ridge Terrace Block 11 Lot 4 Waiver Request #WR040014 Parcel ID #051-323-33 HAA040083 Dear Engineer: Your request for 'a waiver of the required 10 feet horizontal separation fi.om the absorption field to property line has been approved. The approved separation distance is 1.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On-Site Water & Wastewater Program Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anehorage, ak.us (907) 343-7904 Waiver Review Worksheet HAg: 040083 Permit: 040013 Lot 4 WP,#: 040014 PID#: 051.323-33 Date Received: 312/04 Legal Description: Lake RidRe Terrace Block 11 Engineer:. Eaqle River EnqineerinR 10421 VFW Road,Suite 201, EaRle River~ Ak. 99577 Applicant: Lory Huntsman Waiver Requested: 1 foot separation absorption field to property line. Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gmdient E. Horizontal Separation Total: Points: Granted: ~.,,,,,""' Waiver is not Granted: Waiver is List Conditions or Reasons for above: Rec#: 2-3-04 Amount: $175.00 Date Paid: 2-3-04 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date August 18, 1986 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 4; Block II; Lake Ridg~ T~rr~c¢ S~bdivi~ion Location (address or directions) Don.C/~r~_le off of 01d Glen High~zy Apl~licant Name Debbie Ro. mir~.z Telephone: Home 688-9941 Business $46-2741 Applicant Address 14445 Don Circ.% (b) (c) Applicant is (check one): Lending Institution []; Owner/builder [~; Buyer []; Other [] (explain); (d) Lending Institution A~a~zz/. Stat~ Bank Telephone Address Eag£& Riv~% Alask~ (e) Real Estate Company and Agent ~o~/~~ Address (f) Tele[~hone HOLD ,~ the HAA to the following address: S ~ $ EngZneer/n,q SRB 196X Ea,qle River, Al~6ka 99577 TYPE OF RESIDENCE Single-Family ~ Multi-Fa_._mily [] Other Number of Bedrooms ~(' ~/ ~ WATER SUPPLY Individual Well ~] Community D Public [] Note: if community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite ~ Public [] Community [] Holding Tank[] ' ~'~. ,, ,, Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 {11/84) Page 1 of 2 ~, 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, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage flies 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 S & $ ENGINEERING Telephone (~ .~/-//-~. ~ 7 ~' Address SRB 196X Date EAGLE RIVER, Al( 99577 /o - / 6- ~ G Approved for ~///~.. bedrooms by~-~./..z ~'~ .~ _ ~ ~/~Date~J/~ _~ . / .///./~//Z~'-. Appro~'ed ~ / DisapproVed ~-~ondition.,~/''~) Terms of Conditional Approval '~; ~ ~, CAUTION The Muncipality of Anchorage De~partment of HealthXa~d Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska.~ T,he, DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is ~ssued. The Mumc~pahty of Anchorage s not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST- FEBRUARY 1984 264-4720 Legal Description: ~_ ~' /7/ Well Classification Well Log Present Total Depth ./~. c> Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit Separation Distances from Well: To Septic/Holding Tank on Lot / To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~_~. F.. if A, B, C, D.E.C. Approved (Y/N) /J.')~ Date Completed /O -~.-~::~ Yield ~/O ~4- Depth of Grouting --- -- Pump Set At Ld./C. Sanitary Seal on Casing (~i:~/N) Depression Around Wellhead (Y/~ ; On Adjoining Lots ,/c:~,/4- ; On Adjoining Lots /o'~ ~/A' To Nearest Public Sewer ~/~* To Nearest Sewer Service Line on Lot ~ ~r'~ ~,~.~,~./~.~'~_t~.~.~ ; Date ~'~ -~ B. SEPTIC/HOLDING TANK DATA Date Installed l/-//- ~ ~ Standpipes ~N) Depression over Tank (Y~:4~ Size ¢ c:~c2o No. of Compartments ~ Air-tight Caps ((~N) Foundation Cleanout CC/N) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) ""~'/~ Separation Distances from Septic/Holding Tank: To Water-Supply Well To Property Line To Water Main/Service Line Course Date Last Pumped /4~' ; for - Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata~.. Date Installed //~ 1/ -~_~) Width of Field Square Feet of Absorption Area Depression over Field (Y/(~ Results of Last Adequacy Test Separation Distance from Absorption Field: t To Water-Supply Well /o~ To Building Foundation ~__.~O / Lot ~//~ Type of System Design Length of Field Depth of Field ,~, .¢ Gravel Bed Thickness /- ~ Standpipes Present Date of Last Adequacy Test To Property Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) To Water Main/Service Line /O('¢ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Dimensions Size 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 ** certify that ~h~v~(~_~j~(~? conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company Receipt No. Date of Payment Amount: $ Page 2 of 2 72-026 (11/84) -, APPLI(~'NT FILLS OUT UPPER HAI'' ONLY ' Prop,er. ty Ow.n~r /~-,,~/~ ~;~ ~, ~/'-,,) ~,0/'~ ..'~ '~'"-,~ C~ D ,'0 Phone //7 :Z Address Zip Code Lending Institution / ~ ~ ~:~ E~/~ ~ ~ ~j~ ~ ~ ~ Phone Address /~,~ [~ ~/~ E,~ ZiP Code Street Locati~ ~ ~) ~ ~ I ~C-/~ ~ ~ ~/ ~ ~ / Type of Resi~nce ~Single Family ~ Multiple Family No. of Bedroo~ ~, ~ Other Water Supply ~lndNidual A~ACH WELL LOG. A w~l log is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal ~naiviUua~ Ve,~ ~.di~iUu~ ~nst,,eU: / ? ~ ~ ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: ( ~.,~._APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED Soils Rating Date S~wer Installed Well To Absorption Area Well Log Received ALASKA ciIUIRODITIE DTAL COFITROL Sel CllCl S, Irlc. December 7, 1982 Les Buchholz Department of Health and Environmental Protection 825 L St. Anchorage, Alaska 99502 Subject: Lot4, Bll, Lake Ridge Terrace Sub. As requested in your letter, dated Oct 29, we have been monitoring L4, Bll, Lake Ridge Terrace Sub. to determine if the spring has been effectively intercepted. The last check was on 12-3-82. At that time there was no sign of surface water where the spring or the curtain drain under the house previously surfaced. A small trickle was located approximately 150 ft. to the NNW of the septic system. CMB corporation has tied the foundation drain into another subsurface drain which exits at this point. At present there is no surface water within 100 feet of the septic system, the drain appears to have been effectively intercepted. Sincere ly, Dan MacFar lane Approved ?>nc) IlJ~:.~t 33r. d Auenue Suite ~ ,, Anchoroee. Alosko 99503 · [907) 276-136l ALASKA enUlRonml rlTAL COI1TROL SeRUICI $, IFIC. ~n§inee~iaq $ ~nuironmental Studies October 12,1982 Department of Health and Environmental Protection 825 L. Street Anchorage, Alaska 99501 Attn: Les Buckholtz Dear Mr. Buckholtz: MUNICIPALITY OF ANCHORAGE On 8-19-82 Alaska Environmental Control Services Inc (AECS), represented by myself, performed a soils log and percolation test on Lot 4, Blk 11, Lake Ridge Terrace Subdivision. The results of these tests are included. Later the same day a permit (number 820827) was issued for an on-site septic system on the same lot. On 8-20-82 a letter of concern was written by Lynn Lindquist, who lives to the west of Lot 4. A copy of this letter is enclosed. Her concern was for the potential contamination of her and her neighbors wells from effluent released by the drainfield on Lot 4. In response to this letter of concern A.E.C.S., again represented by myself, initiated an investigation of the potential for contamination of the nearby wells. Using the State of Alaska and Municipality of Anchorage wastewater disposal regulations as our guidelines, we noted 3 regulations which, if satisfied, should guarantee safe operation of the proposed drainfield. Those State regulations are: AAC 72.020(d) (100 feet horizontal distance to surface water); AAC 72.020(I) (4 feet vertical separation from groundwater); and AAC 72.020(k) (75 feet separation from a cut or fill bank of 6 feet or more vertical height). The City regulations similarly apply except for the last requirement. The rule of thumb for Anchorage is for a distance of 3 times the gravel depth. Regarding AAC 72.020(d): Please refer to the attached drawings during this discussion. The "spring" mentioned in Mrs. Lindqist's letter no longer surfaces in the area where Mrs.Lindquist and Larry Call (Vice President CMB Corp. the excavators) agree it was located (see Figure 1). This area, by my measurement, is over 50 feet from the drainfield, not less than 30 feet as stated in Mrs. Linquists letter. If this "spring" is still seeping around the well it is not forming any surface water. Also, this well is over 115 feet from the drainfield site. Our conclusion is that if the water did surface from this "spring" is not 1220 LUes125th Auenue * finchorar~e./~hska 99503 · [907] 276-1361 located within 100 feet of the proposed drainfield. Approximately 25 feet further up the driveway (to the NE) water does surface and flow to the west. Larry Call stated that this water comes from a curtain drain CMB installed under the foundation. Although pit run rock was uncovered between the surface water and the foundation, our investigation did not determine if this was definitely the source. Hence whether the water is man-made or natural is still underermined. The AAC regulations on wastewater disposal do not include stream diversion. This was verified by a call to the Dept. of Environmental Conservation. We consider this drainage to be equivalent to a road ditch with running water. If it were considered to be running water in the strict sence of the code,then to meet the requirements of AAC 72.020(d) A.E.C.S proposes that the water be channeled underground using PVC ASTM 3034 pipe until it is over 100 feet drainfield. This can be accomplished by a subsurface tie-in between the west end of the foundation curtain drain and an existing curtain drain to the north (see Figure 1). Another alternative would be to run the subsurface piping directly to the bank where the existing curtain drain surfaces. If this is done all surface water will be in excess of 100 feet from the drainfield. Regarding A_AC 72.020 (K): Butt swell on trees approximately 50 feet Northwest of the Southwest end of the trench indicates no fill has been placed around the tree. At the other end of the trench, approximately 20 feet from the drainfield, organic strata indicates less than 2 feet of fill. Larry Call stated that the corner of the foundation closest to the drainfield had no fill, while the the other front corner had 40" of fill. Our investigation did not determine this. If this fill bank on the North side of the house should exceed 6 feet, the design of the drainfield will assure proper functioning. The drainfield has been redesigned to the following dimensions: Length 78 feet; width 5 feet, total Depth 3.5 feet, Gravel Depth 2 feet (18" below pipe). This gives the system a total effective absorption area of 500 sq. feet, Using the formula 3 X gravel depth for the distance between the drainfield and the fill, all distance requirementss are easily exceeded. There is no fill where the drainfield is proposed to go. Regarding AAC 72.010(I): Our soil test encountered water at a depth of 10.5 feet. attached soils log. This is after the curtain drain was installed undet the foundation. A frost pocket was See encountered at 6 feet, produceding a minor seep. This was not considered the groundwater table as aerated soil existed below. To assure 4 feet between the trench and the water table the system design has been changed. With a total depth of only 3.5 feet below the pipe, the groundwater level can rise 3 feet and still be 4 feet from the bottom of the system. A trench has been dug already. It will have to be backfilled to a depth of 3.5 feet. Conclusions: Our findings are that the proposed drainfield, if installed properly, and according to this new design, will meet or exceed all wastewater disposal regulations. Therefore this system should not represent a potential hazard to the neighboring wells. Approv~ ~f Presid~34t , PE, Sincerely, MacFarlane CONTROL SERVIC~'~< INC. 1220 West 25th Avert. Suite B ANCHORAGE, ALASKA 99503 276-1361 279-2917 SHEET NO ~ OF CALCULATED BY D'~/~ "~'~' ~' ~:~L~~'~'' DATE CHECKED BY DATE Municipality of Anchorage MEMORANDUM DATE: TO: FROM: SUBJECT: August 23, 1982 Les N. Buchholz, Program Supervisor Principal Code Enforcement Officer Lot 4 Block 11 Lake Ridge Terrace Subdivision On Friday, August 20, 1982; Dan Mc Farlane called me and said he had performed a first inspection on the leachfield and everything looked o.k. He felt that since the spring was covered it wouldn't adversely affect the wells or the trench. After some discussion we dedided to meet on Saturday with the builder on the lot. On Saturday, at 10:30 a.m., we met and the builder showed Dan the curtain drain which cuts the lot in half. A stream had surfaced by the driveway and had a steady stream of water, which ran half way through the lot and over the curtain drain and dumped into a marshy area. This stream is directly in line with the leach area approximately forty(40) feet away. Dan wanted to divert it with pipe and visqueen. I suggested calling DEC for the legalities and proper method of diversion. Also, to get a legal definition of "stream". He had performed a first inspection on the leach line Friday and approved it; the builder and Dan said everything was o.k., however, when we looked at it Saturday it had the following: (1) Water in the bottom throughout trench except at the end. (2) Water seeping in sidewalls at 3 - 3½ feet. (3) Trench was 7 foot deep where test hole was, even the permit issued indicated no deeper than 6 feet and recommendation of 5 foot depth. There has been no rain for a week. The sidewall water was flowing and, in my opinion, is not frost. Dan was going to perform another soils test on Saturday. Lynn Lindquist Principal Code Enforcement Officer LL/ljw Municipality of Anchorage MEMORANDUM DATE: August 20, 1982 TO: Les N. Buchholz, Program Supervisor FROM: Principal Code Enforcement Officer SUBJECT: Lot 4 Block 11 Lake Ridge Terrace Subdivi-sion Permit ~ 820094, 820827 As owner of Lot 9 Block 11 Lake Ridge Terrace and as an on-site sewer inspector for the Municipality of Anchorage, I have some grave concerns regarding the proposed sewer installation on the above subject property. A spring, which has continuously run all year, has been covered by fill and pit run. This spring glaciates across the lot, over the well on Lot 4 and across the street towards my well. Even though the spring is covered, it is still seeping around the well at this time. Many soils test were performed on this lot. Water was noted in three(3) of the test holes by me .at depths ranging from 2½ - 4 feet. These soils logs were not submitted to this office but were performed by S & s Engineering. One(l) test hole was submitted indicating water at five(5) feet. A curtain drain was installed by CMB, which cuts the lot in half, and points towards the Class C well on Lot 10. Shortly after the drain was installed the water flowing through the drainpipe was noted as having a large volume. This curtain drain has been covered up. A large amount of fill has been brought onto the lot and covers the curtain drain and spring. Large amounts of pit run and fill were brought onto the lot to make a driveway up to the foundation because the lot was so wet the equipment couldn't work on the lot. The soils test performed by Mac Farlane on August 19 shows water at 10'5" which is approximately fifty(50) feet from the test hole by S & S Engineer~ at approximately the same level. The test hole is next to the fill area of the driveway Within thirty(30) feet of the covered spring and fifty(50) of the curtain drain. Mac Farlane told me CMB didn't mention the curtain drain, the spring or the fill to him. My concerns are obvious - if the trench is installed behind the house the effluent may be carried by the drain and spring and contaminate three (3) wells: Lot 4 Block 11, Lot 10 Block 11, Lot 9 Block 11 which are all downslope from the proposed trench and spring. Please see the attached pl~t plan. Lynn Lindquist ~ ~'~=-~'"''