The URL can be used to link to this page

Home My WebLink AboutUPPER EAGLE RIVER ESTATES BLK 1 LT 2B ,' ~ MUNICIPALITY OF ANCHORAGE ~-~-\ DEP~..~TMENT OF HEALTH AND HUMAN SER¥. ~S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Na.~e DISTANCES A~/~4~s$ FROM~ SEPTIC ABSORPTION -., TANK FIELD WELL Phones ' Permg NO. . WELL LEGAL DESCRIPTION Township, Range, ~eclion 7 driveway, water bodie Manuiactu~er Capacity ~n gallons M at er~__~/~ NO. of Comp~.ments TYPE OF SYSTEM ~~ ~TRENCH ~ BED ~ W. DRAIN ~ OTHER Depth to p,pe boltom f(om Total depth from original g,ade °nginal grade ~.~ FT ~ I Fi Fill Added above origtnal grade Gravel depth~ne~h p~pe ~ ~ FI~ / FI Gravel length Gravel width PRIVATE ~ OTHER (Identify) Classification( ,B,CJ 'TotamDepth FT CaseOto ~ ~ ~ I FT J, REMARKS: Inspeotio Pedormed by' e ~ m~ .......... certify th)l Ibis inspmion was pcdormed according Ia ~mm Health Department Approval: 72-013 (3/85) L_!i Ii'",~ ]i.i CZ; :~.i ,. "&:** L- :Ii: -~" '%'" i!Z]~ E::: ~..,-c:',~ ~",,.11C]; !i'" 1111':::;;: &;.'~ IIiD tEEi DEF'Ai':(ilvii![N'[ 01:' !'IEAI-TH AND EI'~VIFIOIqMENTAL. F::'F{OI'EI]TION 82.5 !... STREI:iT', PiII[;HOFIAGE~ Al< 99501 264 :OERRIEI_I_ WILSON % S&S EIqL-,'.INEERIIqG f_':AGLi-:~ I:;.' I VER, AK 99577 694-2979 SUBDIVISION[ UF'PER EAGLE RIVER ES LOT: 2B SEC'I'ION~', 17 IOWNSHIF:': :!.4lq RANGE~ · ¢9010 (SQ,,t::]~ OR ACRES) 1 BL[)CK: I !.,.ist(~rd f::)e:l,c)~,~ ape L iI~. Ol:d- Joins ........ ,~,va.,.l~:d..,.l. er 'L.c) yc, u :i,n cler[i:i, gn:i. rlg yCiL.!I .....~ ::~' '~ ":). ,~ ....., DEP"II..J t'0 PIF:'E Bt]]TOM (F'T.) 4,,0 4.0 4,,0 GRAVEL. DIEF"I"I'~ (F:'"I'.) 4,, 0 0.5 3.5 TO]'AL., DEF;:']'H (FT.) 8,, 0 4.5 :7,, 5 GRAVEL WIDTII (F"I".) 2.5 :1.3,,0 5,,0 GRAVEL LEIqGTH (FT'~) 29,, 0 25,. 0 2,5,, 0 BRAVEL. VOLUME (CI..I~YDS.) 12. I 12. I 18.6 'I"PdtK S ! ZE (GAI..S) 1 ~ 000.0 '~'~ , 1 ~ 0()(),, 0 .li,-~- SOIl. l:i'.ATIlql3 (SQ~F"I,, /BR) 225 213 · t,'-,x- 'lANK MUST HAVE A'T LEAST TWO CC.,q*iPART'M!!!:ix!FS I ,t:: e i" t. :i. -.," y 'L h a t. ~ 1. I alii Fami].:i. ap with t.l'~(~ Pequ:L!"ements Fop on--site sewePs and i~::)J~t.l'i by 'l.l']e Municil:ial:i.t.y ot Anchcmage (MI:IA) and the) St, ate c)~ Alaska~ 2. I ~.,d,]Ll insLa]l 'Lhe ~[iy~iE.t.E::tii ii"J aC:E:C]PcJai')C:~ t. Jith Ci].], l~l(::lF.:i codes and pegula'Lions, al'iCJ it'l c:c)ml::i].ianc;E, ~,,~th the design cPiter'ia oF th:is F:/e['.m:it,, 3. I (~J.:LI aclhe:,l'e i:.(:) all MOA and Stat. e c~F Alaska pc~,c!u;i.F-i~mem"r'L~s top t. he se'l. back d:~s'i'.aFic:ce[~i ~'pc)m ,]?iy exist, il]g l,g~].l~ i,'~a~t, ievgat, E'P d:i.~:~pi;:isa], system ot" l::)ubZic ,, sewJe)nag,:~, sys'Le:,m on this cir' any adjacent. (:)p neaPby lot.,, 4. I undeF, st. arid tha'L this pePmit :i.s valid Fop a max:imum oF i bedr'c, oms arid any e)rilal'gement will, Pt'~qL.iiP(~~ an add:i.t, ic~na]. ,' ,:'. , '~ c.-,- ., ........... _ ........ BY .~.J A I._~,'r S'TA"FION .f.~ II*,.!SIAI..,L[:.D IN AN ARIEA (':(]k/ERE"ri i~IOA )BIIIL..DIIqG CODI::S, TI-.!l:h.!(i) AN [ZI....I::CT'F~!T ANL) IIxlSF'EC]ION MUST BE OB"!'P~II\IED; (:~:~) AS-BI!!t...TS WII..I.. NOT BE A'..,F:'F~I-HOI./~'F AN EL.EC'I'RiCr:'q... INSF:'IECT]:DN I::,:EF:mCIRI"; AND C3) THIE !:i:L..ECTF~ ]: CA!.. ~4E BY A L I CIF.:N,'SED EI..IECTF? ':-'?' :; .... I.,.~NL.D ~" ....................... : .................... AI:::'PI.. I [:;AFl' .... .............................. ................... 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 MAILING ADDRESS LEGAL DESCRIPTION DISTANCE TO: PHONE ~NEW (0 (~ Z.~ _ ,~ -,~ ~'~ .**~ [] UPGRADE NO, OF BEDROOMS Liq. capacity in galloBs Absorption area Material Manufacturer ~ I~_~. (~_ WellF HOMEMADE:~/I~Dwelii~fllnslde length W~dth DISTANCE TO: Manufacturer Material Nearest Jot line / Well /'V///~ Foundation Length of e~n~. Tot al len g~l[~,~';~ Trench DISTANCE TO: No. of lines / , inches Top of tile to finish grade / Material beneath tile ~ inches Length Width Depth Type of crib Crib diameter Well DISTANCE TO: Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. z~,~ Distance between lines ~.// Total effective absorptiof%~rea PERMIT NO, Crib depth Total effective absorption area Building foundation Nearest lot line DISTANCE TO: Distance to lot line Building foundation er line Septic tank OTHER PIPE MATERIALS SOl L T EST RATING INSTALLER REMARKS 71~78) DATE LEGAL by DOC CO. dba SULLIVAN WATER WELLS OWNER OF LAND ADDRESS / <~ LEGAL DESCRI~ION f~ ~_ PE~IT NUMBER P. O. BOX 272, CHUGIAK, ALASKA 99667 · TELEPHONE 688-2759 DEPTH OF WELL STATIC LEVEL OF WATER FT. C: ,/~, DRAW DOWN FT. GALS. PER HR KIND OF CASING KIND OF FORMATION: From ~ · Ft. to ~' :~ Ft. From ~'. Ft. to r, Ft. From Ft. to Ft. From Ft. to ! 5 Ft. From i 4 Ft. to ~':? ) Ft, From Ft. t~Ft, From. ~ - Ft. to ? t"~ Ft. From__Ft. to Ft. From Ft. to Ft, From Ft. to Ft. From __ Ft. to Ft.. From.__Ft. to Ft. From Ft. to Ft, From__Ft. to Ft. From__Ft. to Ft. From __Ft. to Ft. From Ft. to Ft. From--Ft. to Ft. From Ft. to____Ft. From__Ft. to Ft. From__Ft. to Ft, From__Ft. to Ft. From__Ft. to___Ft. From Ft. to Ft. From.__Ft. to___Ft. From__Ft. to Ft. From__Ft. to Ft.. From__Ft. to Ft From ~ Ft. to Ft From Ft. to___Ft. From Ft, to Ft. From__Ft, to___Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: DRILLER'S NAME ~MUNICIPALITY OF ANCHORAGE Department ~f Health and Environment~Protection 825 L Street, Anchorage, AK. 39501 ~ 264-4720 . C.~;~.~ * ~ ~ HANDWRITTEN PERMIT.* * * Permit # ~ WELL AND/OR-ON-SITE SEWER PERMIT Location: Phone Number: 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:' ! DEPTH __~ LENGTH 9~' ! GRAVEL DEPTH 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(FI~P=4~-~NG) TANK SIZE = /0~0 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 fee~ for a private well or 150 to 200 feet from a public 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 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that/ 3 bedro?m~- Signe~: /~ Issued by: Applicant Date: SWP/024(1/81) M~t'~) F ANCHORAGE t e ~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION a J 82§ L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERFORMED FOR: ~' /' .,¢/, '~-~',-~ ~ ~ ' SITE PLAN 1 2 3- 4- 5- 7 8 9- 10- 11 13- 14- 15- 16- 17- 18- 19- DATE 20- PERFORMED BY: ;GROUNDWATER NTERED~ AT WHAT ? O P E Gross Net Depth to Net Date Time Time Water Drop /,> hi,- /P /,?/,,. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description ~LI~, Y OF ANCHo~AG~ EN~NTAL SERVICEs DtVI$1ON SE? O5 1997 RECEIVED Location (site address or directions) Property owner Mailing address ¢0 t? g Day phone Lending agency Day phone"-- Mailing address Agent 26t.c-~qrd ~"~4~-~_ ¢&'~.~?£ Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72q)25(Rev. I/91) Front MOA#21 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 of this Health Authority Approval application 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 structu re indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date Name of Firm Alaska Water & 847' Address Engineer's signature __ this inspection. Phone Date ~"/,~,/~' ~L DHHS SIGNATURE ~/' Approved for Disapproved. __ Conditional approval for oo£ , bedrooms. bedrooms, with the following stipulations: Additional Comments By: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72q)25 (Rev. 1/91) Back MOA ~21 LegalDescription: !~J%T 2~: · '~UN~cmAurV OF ,~t~c~ . Municipali~ of Anchorage ~ DEPARTMENT OF HEALTH & HUMAN SERVICES S~P 0 ~ '~ ~) Envkonmental Se~ices Division I~ s2~ L Street, Room S02. A.chor~ge, A~..~ ..50~. (907) 3~Ei VED Health Authority Approval Checklist ~[~ Parcel I.D.: ~0 ~?~/-~ A. WELL DATA Well type ~l~¢ir'~l~ Log present i~'N) Total depth c~r Sanitary seal If A, B, or C, attach ADEC letter. ADEC water system number Date completed Cased to FROM WELL LOG Date of test Static water level Well production Casing height (above ground) Wires properly protected (~N) AT INSPECTION WATER SAMPLE RESULTS: Coliform ~ Nitrate' Date of sample: O~ J~ [C~¢~' SEPT,C,.OLD~.~ TA.~ DATA Date installed ~/~/~ Tank size Foundation cleanout (~/N) Date of Pumping ~)~'~-~"~ 1{~) Number of Compartments ~ ' ~31eanouts (~N) Depression (Y/I~ ~'> High water alarm (Y.~ /'0/,4- C. ABSORPTION FIELD DATA Date installed (~ ~-1~-9{~ Soilrating (g.p.d.!.fl,~o,r~rn) Systemtype t~) Length~ '~¢ Width~ ¢~ Gravelthicknessbelowpipe~ H Totaldepth¢ II FI~O ~' Effective absorption area ~ ~o 5F Monitoring Tube present ~/N~ ~ Depression over field (Y/~ ~ Date of adequacy tes, 0~-~ Results(Cs/Fail) ~ For T~([) bedrooms ~ Fluid dePth in absorption field before test (in.); lq~' Immediatelyaffer~: gal. wateradded (in.): Fluid depth ~ tl (ins) Minutes later: ~0 Absorption rate = ~'~ g.p.d. Peroxide treatment (past 12 months) (Y/~) ~o~ ~o~ If yes, give date '72-026 (Rev. ~/9~)* --, ~-~q-~ ~t~ tg C~F~Y E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO' ~ Septic/holding tank on lot {00 I,~ P. p_.c-~Po¢CTD On adjacent lots [(..~O "/' Absorption field on lot Public sewer main Sewer/septic service line On adjacent lots /00 ~'~/" Public sewer manhole/c]ean¢'ut ~/~ Lift station ~/~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~.~' ~'~:: Property line ~ ~''{' Water main/service line /0 ¢~ Surface water/drainage SEPARATION DISTANCE FROMABSORPTION FIELD ON LOTTO: Property line /0 I~/. Building foundation Sudace water ~fJO Curtain drain F. ENGINEER's CERTIFICATION ,~ I certify that I have_detffrcCineC, t~eld inspections and review of Municipal Signature ~//V(I ~ %~ ' . Engineer's Name ' ~J~ A' ~¢~ Date Absorption field ~ !~- Wells on adjacent lots /~)~ (¢ Water main/service line Driveway, parking/vehicle storage area /O Wells on adjacent lots /'~ ~/ HAA Fee $, '-~ Date of'Payment .~,/~ ~,~ Receipt N U mb s r ,~/F,~ "-~,~-~,~ 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE MEMORANDUM SEPTIC SYSTEM ADVISORY HEALTH AUTHORITY APPROVAL NO. Prior to a recent adequacy test on the septic system for this lot, '~ i ....... o-f standing water was observed in the absorption field. ~ indicates t-ka3e ~pproximately ~O % of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory must be attached to all copies of the Health Authority Approval. subject Results Total area = 872 f.[2 Total absorbing =85 fta = 9.75% Total failed = 787 ft2 = 90.25% Calculations 1983 trench failed Effective depthI 4 IRft. LengthI 79 I Absorption Area*I 632 ft~ *equals length times twice the effective depth 1986trench Total Absorbing** Failed*** 4 1.42 2.58 I~. 30 30 30 _ 24O 85 155 ~2 **absorbing area Ps from 31" to 48" ***failed area Ps from 0" to 31" ~E~a04-~997 ~G:S7 CT&E ESI ANCHORAr_~E ~. CT&E Environmental Sarvice~ Ino, 9075G15301 C¥&E C!~t Sample~ Matrix Ordered By PWS~ Sampl~ 975100001 AK Wa~cr & W~towater $e~vlce$ N/A LaB, BlkI, Uppor BR Est Drlnldng Water Client POP Printed Date/Time 09/04197 l(k2~ Collected Date/Time 08/28t97 13;40 Received Date/Time 08129197 13:55 Tech~cal Dke~tor: Stephen C, Ede THIS SAMPLIi P~$SRVI~D UPON DI~LIVI~RY TO LAB. NITRATE ANALYSIS PERPORM~.,D ON PRF-~t~RV~D PORTION. §ftrate-~ Z.3~ 0,~00 me/L $H18 4500-NO3F 10 ~x 09103197 ~BL W :elr & Wal :eWZl Celr 8471 Brookridge Drive ~ Anchorage - Alaska 99504 Phone (907) 337-6179 ~ Fax (907) 338-3246 Consulting Engineers September 4, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 3a~chorage, Alaska 99519-6650 Subject: HAA for Private Well & Septic System. Lot 2B, Bk 1, Upper Eagle River Est. To whom it may concern: The subject lot has a 3 bedroom house on it which is served by a private well and septic system. The results of the field investigation and adequacy tests are summarized as follows: A. WELL: The static water level on 8/28/97 was 83' BTC. Water was pumped from the well at an average rate of 7.06 gpm for a total of 229 minutes (1617 gallons). The level in the casing dropped 3 feet, during the first 5 minutes of pumping, and stabilized at that level throughout the rest of the test. Based upon this data, it can be concluded that the capacity of the well exceeds the Municipal requirements for a 3 bedroom house (.31 gallons per minute), and will continuously produce greater than 3 gallons per minute (as required for FHA financing). B. SEPTIC TANK: The existing septic tank was installed in June of 1983 (approx. 14 years old). According to the M.O.A records, it is 1000 gallons, has two compartments and is made of steel. Most tanks of this type typically have a structural life of approximately 20 years. No warrantee is made regarding the future life of the septic tank. C. SEPTIC SYSTEM ADEQUACY TEST: The drainfield consists of two trenches, the first installed in 1983 (630 square feet), and the second installed in 1986 (240 square feet), for a total of 870 square feet. Both trenches are 2.5 feet wide, and have an effective depth of 4 feet. According to the homeowner's agent (Suzanne Cool, Prudential Vista), the home had been vacant for approximately 3 weeks prior to the test. On the day of our inspection, the first trench (1983) was completely filled, and the second trench (1986) had 14 inches of liquid in it, indicating that the first trench is completely failed. In short, even though the system had been unused in the previous 3 weeks, it was still 80% full. It is unknown what the operating depth would have been in the second trench, if the house had been continuously occupied. Undoubtedly, it would have · been greater than 14 inches, and it is likely that the system would have been over 90% full, prior to starting the adequacy test. Water was introduced only into the second trench, at an average rate of 7.02 gpm for 138 minutes (970 gallons), which caused the liquid level to rise 31.5 inches, to a total depth of 45.5 inches (approx. 2.5 inches below the drainpipe invert). The last 713 gallons introduced only caused a rise of 13 inches in the monitoring tube. This corresponds to 54.8 gallons per inch. One-hundred and nine (109) minutes later the water level had dropped 5.5 inches indicating that 301 gallons had been absorbed. Twenty-four hours later the level had dropped a total of 14.5 inches, indicating over 700 gallons had been absorbed. Based upon this data, it was determined that the absorption rate of the trench exceeds 450 gallons per day, as required for a 3 bedroom house. It should be noted that the system had to be filled to almost 100% of its capacity in order to achieve this absorption rate. NOTE: The adequacy of a septic system ia' influenced by numerous factors, including, but not limited to, seasonal surface water infiltration, groundwater variations, septic system maintenance (frequency of septic tank pumping, usage of biological additives), condition of drain pipe and pipe joints (which can be damaged by seismic activity and deteriorate with age), type of substances deposited in septic system (cigarette butts, sanitary napkins, misc. objects), and the amount of water being introduced on a continual basis. Consequently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited nature of this investigation, it ia' possible that there are hidden defects which may not have been detected No warrantee ia' made regarding the future performance of this well or septic system D. SEPARATION DISTANCE PROM THE WELL TO THE SEPTIC TANK: The design drawing for the 1986 upgrade (dated 9/12/86) shows the well radius cutting through the corner of the septic tank; however, the 1986 inspection report indicates that the septic tank is 100 feet away from the well. Based upon our swing tie measurements (plotted on a scaled cadd drawing), the septic tank clean-out is only 99.7 feet from the well, and the edge of the tank is approximately 98.6 feet from the well. The actual distance depends upon the location of the clean-ont (on the first compartment lid), the vertical angle of the clean-out pipe, and the orientation of the tank. In order to determine the exact separation distance, it would be necessary to expose the tank, and shoot the separation distance with a surveying instrument. In short, based upon our field measurements, it appears that the septic tank is slightly closer than 100 feet to the well, however, it would take a more in depth evaluation in order to be certain. Please provide direction from your department. If you have any questions, please contact me at 337-6179, 244-9612, or on my digital pager at 1-800-481-1162. T~ank you for your assistance. Jeffr~l/~/~arness,'YTE., M.S. Prin4il~al I/ ENVIRONMENTAL SERVICES DIVISICN SEP O5 '~997 c.c. Prudential/Vista, Suzanne Cool 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 , ..~/,.2 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2B, Block 1, Upper Eaqle River Estates, Sec. 17, T14N, R1W Location (address or directions) 20138 Eaqle River Road Eaqle River, AK (b} Applicant Name Heritaqe Real Estate Telephone: Home n/a Business 907/694-4994 ,: Applicant Address 18550 Eaqle River Road Eaqle River, Alaska 99577 (c) Applicant is (check one): Lending Institution []; Owner/builder []; Buyer []; Other ~ (explain);Realtpr (d) Lending Institution Goldome-Rainier Telephone 561-1744 Address P.O. Box 101200 Anchoraqe, AK 99510 (e) Real Estate Company and Agent Applicant Aqent - Suzanne Cool Address Telephone MailtheHAAtothefollowingaddress: . i, ',~, Pick up by engineer (f) TYPE OF RESIDENCE Single-Family [] Multi-Family [] Number of Bedrooms 3 Other WATER SUPPLY Individual Well [] Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite [] 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 statue. 72-025 (11/84) Page 1 of 2 ENGINEERING FIRM PROVIDING ,NSPECTIONS, TESTS, FILE SEARCH, DA'I ,~ AND INFORMATION AS certified by my seat affixed hereto and as of the validation date shown below, I verify that my investigation of this Healfh 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 obtaine,~ from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ~le River Enqineering Services Telephone 907/694-5195 Address P.O. Box 773294 Ea~g_l_~ River, AK 99577 Date _ _~ ?/-¢-~ DHEP APPROVAL -' ,_ Approved for ~-~ (-~) bedrooms by Approved ~.~...~ DisapproveO Conditional Term§ ot Conditional Approval CAUTION The Muncipality of Anchorage Department of Flealth and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72 025 {11/84) MUNICIPALITy OF ANCHORAGE ENVIRONMENTAL SERVICEs DIVISION ~,/IAy £ 7 198~ MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: '~ ~' ~.Z~ Well Classification Well Log Present (Y/N) Y Date Completed ~?'//,~JE '3 Yield Total Depth ~$- / ~'5" / Cased to Depth of Grouting Static Water Level .,~'~ ~ ~,G~, /?~ d'~-,,.35 PumpSetAt '~"P"~ · Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot /~ / To Nearest Edge of Absorption Field on Lot ,//,-$' / To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by ~'",,v$/,v Water Sample Test Results If~ A, B, C, D.E.C. Approved (Y/N) ,,~"/'~ 7,5' d:~,~,', ; On Adjoining Lots 'f'/~'/' ; On Adjoining Lots ~'/~' / To Nearest Public Sewer To Nearest Sewer Service Line on Lot ~',3'" / ; Date ~ ~/~ Comments B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) ~ Air-tight Caps (Y/N) Depression over Tank (Y/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 /O',~ · To Property Line ~ / To Water Main/Service Line. '~'/~ / Course ."~,,~ /~ '~ Size /~'~' ,_'/'=/ No. of Compartments "~ Foundation Cleanout (Y/N) )/ Date Last Pumped '"~'~;' /~'~' ~/~ ; for Temporary Holding Tank Permit (Y/N) ~"~,~ To Building Foundation To Disposal Field ~' 5~ To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ¢2¢.~,P_ Date Installed ,/~f.l' .~,~f.~-¢,,~..cZ Width of Field ~¢ /· Depth of Field ,~' / Gravel Bed Thickness Square Feet of Absorption Area ,,~./¢¢ ¢,,1~ ¢.~.,1.(~.;.~) Standpipes Present (Y/N) Depression over Field (Y/N) /'J Date of Last Adequacy Test Results of Last Adequacy Test ,~ ¢',~r "~¢'/-"~t /¢',¢~" .7 ,/~,~:' Separation Distance from Absorption Field: To Water-Supply Well //$~ / To Building Foundation ¢'zo" Lot ~'~/0 / To Water Main/Service Line ~'/¢ · To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field To Property LinP *'-~-¢ To Existing or Abandoned System on ; On Adjoining Lots ~--¢~ · To Cutbank (if present) Comments LIFT STATION ~ Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access {Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~~ Date 5'"//~/4c ,i: Company ~".,4~¢"J'E~gl~ Rfv0r Englno,ril~§ Sjj(/fJ~eA No. &2~¢. ~ _-~.~'~-- P. O, Box 778294 I~agl~ River, AK 99577 / ~=""~ Z Receipt No. 69,i-5i9t~ Date of Payment ~ ~/,~ ~"' Amount: $ / 70 ¢.,.~~ Page 2 of 2 72-026 (11/84} MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY AI~(~L OF ON-SITE SEWER AND WATER FACILITY 264-4720 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2B; Block 1; Upper Eagle River Estates Location (address or directions) Eagle River Road (b) Applicant Name Darrel Wilson Telephone: Home 279-7041 Business 276-20001 Applicant Address 1345 West 9th, Suite 210, Anchorage, Alaska 99501 (c) Applicant is (check one): Lending institution []; Owner/builder []; Buyer ~]; Other [] (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent 2001 Realty /Ricky Doran Address 1345 West 9th Suite 201, Anchoraqe, Alaska 99501 Telephone HOLD (f) [;~iz[the HAAtothefollowing address: S & S Enqineerinq SRB 196X Eagle River, Alaska 99577 '~ ,' TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms 3 Other ordered by RiSky Doran, /"'1 / I ~ "~ ~ '~ WATER SUPPLY Individual Well [~ Community [] Public [] Note: If community well system, must have written confirmation from the State attesting to the legality and status. Department of Environmental Conservation 4. 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. Page 1 of 2 72-025 (11/84) ENGINEERING FIRM PROVIDIhu INSPECTIONS, TESTS, FILE SEARCH, DA,A 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 a nd/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Address Telephone Date EAGLE RIVER, AK 99577 DHEP APPROVAL Approved for 1~"~"~- r bedrooms by t.~/ Approved Disapproved Conditional. Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: Well Classification ,~'~/(-"),¢~'~- If A, B, C, D.E.C. Approved~) Well Log Present(~-I_) , Date Completed .~///7/,~-~ Yield ~///~ Total Depth ~2~'- Cased to '~.~ Depth of Grouting ,~t../-~ Pump Set At ~ ~ Sanitary Seal on Ca~in.~N) Depression Around Wellhead ('~ Static Water Level Casing Heig:ht Above Ground ElectriCal ~iri~g in' C0nduit~N) Separation Distances from Well: To Septic/P~LC=,,,-~CTank on Lot /'/~ '~ ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot ~,/¢¢ ¢/" ; On Adjoining Lots /~ ¢~' " To Nearest Publi~ Sewer Line /""~ ~ To Nearest Public Sewer Cleanout/Manhole ,~,,1 ./ /,~ To Nearest Sewer Service Line on Lot Water Sample Collected by~,~'~'~.,* ~',~.~$. "~ ~ ~ ;Date ~ Water Sample Test Results ~ ~/~ Comments ~ ~/~ ~ ~ ~/~ ~/~ B. SEPTIC/HOLDING TANK DATA Date installed ~//~'f¢//~ '-~ Size ~¢/~3 No. of Compartments ~' StandpipesCN) Air-tight Caps(~N) Foundation Cleanoul~N)- Depression over Tank (Y/~ Date Last Pumped .~'//~//~ ~" Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) /'~)/¢ Separation Distances from Septic/I,~Ycd~'~* Tank: To Water-Supply Well /""42..~ ~¢- /~J/~ ;for ~ Temporary Holding Tank Permit (Y/N) ~///"¢~' To Building Foundation To Property Line /'0 ~,~.. To Water Main/Service Line ~ Course ~ ~ ~ ~ To Disposal Field /~"' ! To Stream, Pond, Lake, or Major Drainage Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Date Installed g/~¢'/~'-:"'~ -- ~:~,/~/~ Length of Field Width of Field ~ , ~ t Square Feet of Absorption Area Depression over Fiel~) Results of Last Adequacy Test ~:~,,,~- / Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot /O To Water Main/Service Line Depth of Field Gravel Bed Thickness Standpipes PresenY~//N) Date of Last Adequacy Te~-'x st To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments '~ To Properly Line ~"O t~. /~O t../. To Existing or Abandoned System on t ; On Adjoining Lots ~ t.~.. ~ t/. TO Cutbank (if present) ~e ~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) W / ,~.~p Off" Level at / /~.] Vent (Y/N) V Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & S I~NGINEERING. . c~-//x /~-~' Signed Date C°mpanYE~GL[' ~[iVER, AK ~7% MOA No..~r~ Receipt No. Date of Payment Amount: Page 2 of 2 72-026 (11/84) SUbJeCT: /-- coMPUTATION SHEET SHEET ~, OF ~ BY CKD SCALE - ~... APPLI("'~,NT FILLS OUT UPPER HA?''~ ONLY Type of Resi~nce ~ Co~munity For wells drilled prior to that date, give well depth (attach log if available). S.w.r Di~o.~. ) ~:} B. ? Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspirer Field Notes: ( ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE BY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Well to Tank Septic T~nk Size 72-023 (3182) EXCAVATION ROBERT A. SHAFER WORK September 28, 1983 CIVIL ENGINEER 694-2979 David Kowalski 1400 Eagle River Road Eagle River, Alaska 99577 Dear David, Reference: Lot 2B: Block 1: Upper Eagle River Estates A well inspection was performed on the referenced property. The well casing was equipped with an adequate sanitary seal, and all well wires were in conduit. The ground around the well casing was adequately sloped away from the well. At the time of this inspection, a water sample was taken at the pressure tank located in the basement of the residence and submitted to Chemical and Geological Laboratories of Alaska for coliform bacteria analysis. The results of this test were satisfactory and a copy of the report is attached. If we may~be of further service, Sin~rely/,/~-) /~ ~/~O~ERT A. S~IAFER~, ~.E. as/ss please do not hesitate to call. cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 196X EAGLE RIVER,ALASKA :)ATE RECEIVED TIME TIME TIME ,,SPECTOR I"SPECTOR I"SPEOT~r,~~ IViUNICIPALITY OF ANCHORAG~ ~U~IglPALITYOFANCHO~AGE DEPT. OF ~' 'T~ & E~VI~ON~E~TAL 8A~ITATIO~ DIVISlO~ ~ - ~; Telephone 264-4720 ,..,V,.UA. A.. 2. ~uY~ 5. LEGAL DESCRIPTION STREET LOCATI O~__ / 6. TYPE OF RESIDENCE NUMBER OF~BEDROOMS J~ One [] Four ~ SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY INDIVIDUAL* COMMUNITY [] PUBLIC UTI LITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available,) 8. SEWAGE DISPOSAL SYSTEM [~ INDIVIDUAL/ON-SITE** PUBLIC UTILITY YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) t~d¢ THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE [] SINGLE FAMILY [] MULTIPLE FAMILY 2, WATER SUPPLY INDIVIDUAL [] COMMUNITY [] PUBLIC UTILITY Connection Verified 3. SEWAGE DISPOSAL SYSTEM F~INDIVIDUAE/ON -SITE 1~3 PUBLIC UTILITY Connection Verified []Septic Tank or [] Holding Tank Size: If Tank is homemade give dimensions: NUMBER OF BEDROOMS [] ONE [] THREE [] FIVE [] OTHER [] TWO [] FOUR [] SIX PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED PERMIT NUMBER DATEINSTALLED INSTALLER SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4, DISTANCESWELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5, COMMENTS DATE [] APPROVED [:OR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) []~'"'DISAPPROV ED 72-010 (Rev. 6/79} DAVID A. SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 February 2J, 1981 Gordon S~an 4116 Mountain View Drive Anchorage, Alaska 99504 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAR 2 1981 RECEIVED Dear Mr. Swan, Reference: Lot 2; Block 1;:Vpper Eagle River Subdivision A' sewer system adequacy test ~s performed on the system located on the referenced property at the reeuest of Mr. McCain, Century 21, Heritage Homes. The septic tank was pumped and verified to have a capacity of at les§t 750 gallons. The seepage pit vms charged with approximately 850 gallons of fresh water and at the end of a 24 hour period all the vmter which had been edded had percolated out of the crib. It can be concluded from this test that the se~mge system is currently functioning adequately for the one bedroom trailer located on the referenced property. If we may be of further assistance, please do not hesitate to call. cc.' Century 21~ Heritage H. omes ATTENTION:- George McCain Municipality of Anchorage Department of Health and Environmental Protection Security Title Company SRB 196X EAGLE RIVER,ALASKA 825 "1_" SIREE1- ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGEM. SULLIVAN MAYOR DEPARTMENT OF R[!ALI'H AND ENVlf~ONMENTAL ?ROI-ECTION February 25, 1981 Gordon Swan 4116 Mountain View Drive ~chorage, Alaska 99504 Subject: Lot 2 Block 1 Upper Eagle River Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed; (1) The well casing extended twelve(12) inches above ground level. (2) A four(4) inch concrete floor needs to be poured around the well. (3) The water analysis-report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. (4) Expose the septic tank manhole to verify its existance. The septic tank pumped ~ith a receipt submitted to this office. (6) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. (7) The depression over the seepage pit needs to be filled in so that surface water drains away from the seepage area. · Gordon Swan February 25, Page Two ].981 Please notify this office for a reinspection when the noted descrepancies hav~ been corrected. If there are any further questions, please call this office at 264-4720. Sincere] y, Robert C. Pratt~ R.S. Associate Specialist RCP/ljw cc: George Mc Cain % Century 21 - Heritage Homes 207 East Northern Lights Boulevard 99503 EXCAVATION WORK CIVIL ENGINEER DESCRIPTION AMOUNT BALANCE DUE ON RECEIPT. 11/2 % PER MONTH ON ACCOUNTS OVER 30 DAYS. MAKE PAYMENTTO: S&S ENGINEERING SRB 196X EAGLE RIVER, AK 99577