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HomeMy WebLinkAboutUPPER EAGLE RIVER ESTATES BLK 1 LT 5BUpper Eagle River Estates Lot 5B Block 1 #050-781-06 Municipality of Anchorage Department of Health and Human Services Division of Environmental Services On -Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: S w 990/Z/,O PID Number: 4Sy _ 78/— 0ly Name: &7012,11f, /yllcjl9G{ Wastewater System: ❑ New Upgrade Address: 9'S31P k%{h Z~ ABSORPTION FIELD Phone: Number M Bedrooms: lv9G - 3z�vo 3 ❑Deep Trench Shallow Trench ❑eetl OMountl ❑Other. LEGAL DESCRIPTION Soil Rating: d,, S GPD/FI? Total Depth from original grade: 3" Ff. Block: Lot: Subdivision: j S J a l- j{ 4;1e'- ES f. Depth to pipe bottom from original grade: 1.5- Ft. Gravel depth beneath pipe: 17 Ft. Township: Range: Section: Fill added above original grade: Gravel Length: Ft. Ft. _ ❑ New ❑ Upgra Gravel width: Numbsl of.lines: Distance bervreen lines: Well: Ft. Classification (Private, A, B. C): Total Depth: !/Ft. Cased to: Ft Total absorption area: - - S (0 3 FI° Pipe Material: - 2303r1 F8/0 Dellen �-�� Date Drilled: Static Water Level: Installer: n ' I , • Date Installed: �Lqlq � FL I I Ltlgi-1{�I Vieltl: Pump Set at: Casing "eight Above Ground: TANK GPM FI. Ft. SEPARATION DISTANCES OSeptic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding Public/private Manufacturer / Capacity:��DGa1. From Tank Field Station Tank Sewer Line Well j0D/� /od�t — — 2� f1 Material: Number of Compartments: z 1pD — — LIFT STATION Surface Water jpD�>` /, � Size: Manufacturer. Lot Line a(T L�/r Gal. �( �— 'Pump on- level at: -Pump off ab High water alarm at: Foundation /(/ >` in. in. /��� /� by Pump Make a Electrical Inspections performed by: Curtain Drain V Remarks: I` ,t/0 kwda-v� ra A n Gli43y BENCH MARK f G 7�h� irlTe % l/iT7{d/ Location and Description: S i�l b e-6 S' i�f — °fa9lhY SIMS Assumed Bevation: 14 p Ft. Engineer's Stamp OF 111 ®�6 •A4 C-3 AV �• ' ••• �,g �°�•'°9°°�••• •••.••�d.� Inspections performed by: Dates: 1a` ��®5 �7r - 1 2nd .l .�-�. LJJ mt• ••Kenneth M. u •�•CA Department of Health and Human Services approvI ®�'., CE nl Reviewed and approved by: //y /✓ . Date: 7— (y - a O m pFp •.....•^' �E_o ®p®o�F (Rev. 11/99) Q // i/ ��� K A -C=31.0' B -C=23.3' A -D=33.8' B -D=24.8' A -E=26.7' B -E=60.2' A -F=69.8' B -F=78.9' A -G=36.2' B -G=76.2' A -H=74.1' B -H=91.7' AS -BUILT JYSTEM DETAILS/SITE PLAN Permit SW990146 UPPER EAGLE RIVER EST, S/D, LOT 5B, BLOCK 1 PID#050-781-06 lU' U -M L SMT ---------------------j v SEPTIC SCALEt NTS .�F..�A /49 *� I- .,.LCE 7116V•. a AV stoK�' � SYSTEM, LOT 5 SFD CO -SP ITTER mm mm TBE FINAL GRADE SEWER ROCK TRENCH 1 46,5' — FINAL GRADE SEWER ROCK TRENCH 2 — 465' — PREPARED FOR, BONNIE MICHOU 9836 WREN LANE EAGLE RIVER, AK (907)696-3260 99577 FIELD BOOKS COMPUTED: BWNOART: LANG "A' VBG STMNC: LANG °¢'Km' KMD ASGUILT: LANG DAA 5/16 DWG FILE: MO: SWO05 ACRD"99027.DWG "Na. 99027 1• = • WELL VM T �L aTArwr }SCALE, NTS END ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 17, 1999 Expiration Date: Jun 16, 2000 Permit Number: SW990146 Parcel ID: 050-781-06 Legal Description: UPPER EAGLE RIVER ESTATES BLK 1 LT 5B Design Engineer: 0070 KND Engineering Site Address: 009836 WREN LN Owner Name: Bonnie Michaud Lot Size: 46292 SQ. FT. Owner Address: 9836 WREN LANE Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER , AK 99577-8763 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date:� Date: &'17-99- � nm i MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On -Site Services Program 825 L Street, Room 502 LC) _0A P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jun 17, 1999 Expiration Date: Jun 16, 2000 Permit Number: SW990146 Parcel ID: 050-781-06 Legal Description: UPPER EAGLE RIVER ESTATES BLK 1 LT 5B Design Engineer: 0070 KND Engineering Site Address: 009836 WREN LN Owner Name: Bonnie Michaud Lot Size: 46292 SQ. FT. Owner Address: 9836 WREN LANE Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER , AK 99577-8763 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 DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date:� Date: &'17-99- KIND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 11/FAX (907)696-8111 May 21,1999 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Upgrade Sewer Permit — Upper Eagle River Estates S/D, Lot 5B, Block 1 Gentlemen: At the request of the owners, on May 8, 1999, we excavated one testhole for the subject property to upgrade the existing system, which we had identified as in failure. We installed a monitoring tube and monitored water. The results of this test and water monitoring is attached. We propose to install a 5' wide shallow trench while retaining the existing field for use in the future. The testhole registered water 4' from the bottom of the monitoring tube and at 12.5' during excavation. The existing tank will be excavated and its integrity verified. Additional fill will be provided over the system as required. This lot is relatively flat and slopes to the south from the north away from the existing field and the house at approximately 5-10%. There are no public or private wells within 100' of our proposed system location except as noted. There is neither surface water within 100' nor any known curtain drains within 50'. We do not expect that there will be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111 Respectfully submitted, Engineering Kenneth M. Duffus, . . attachments: On -Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Tests Q 9-1 No= WASTEWATER DISP❑SAL SYSTEM DETAILS UPPER EAGLE RIVER EST. S/D, LOT 513, BLOCK 1 ----------- XISTIN� SYSTEM 'n PRIMA �� °F Azo 4 TH* KENNETH M. D6 CE 7116 L❑T S,T.(c SF TEF PREPARED FOR: BONNIE MICHOU 9836 WREN LANE State: 1°= 20' EAGLE RIVER, AK 99577 (907)696-3260 PAGE 2 OF 2 FIELD BOOKS COMPUTED: �V J� ENGINEERING Uourvoarer: _ Oreawrv: KMD 20441 PTARMIGAN BLVD. EAGLE RIVER, AI{ 99577-8736 sTarclrvc: _ GUECrcEO: y�Mp AS6WLT: _ DATE: 5 10 99 DWG. FILE: GRID: SWO056 ACRD FILE: 99027.DWGI JOB N., 99027 (907)696-6111/FAX (907)696-8111 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLA UPPER EAGLE RIVER EST. S/D, LOT 5B, BLOCK I Lul aH I I I I I (83-197) I I I K N D Lor 1 I ISI • WELL I I I LOT 9 I I SEPTIC I I I I IL_____________ __ ----- 10' UIII_Es _____ ___________________10_Utll Esnt J r O --------- --------- 'iy.9 MISTING SYSTEM 0 LOT 5 I ^0� o I II I 10.ro Sil rtJ IIN TE 1 • WELL I I I BDRM T 6A I TH N99 1 B SFD ffi e BIW L 1(ubundone -> �`--- - T —SPL TER n 4 0 K -� • WELL R (8 454) 1 s ]POSED PRIM Y SYSTEM 9 N� N I LOT 10 o tlIl tVil I I n 1 I I j I LOT 11 SEPTIC LOT NO PUBLIC WELLS WITHIN 200' OF PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' OF PROPOSED SYSTEM EXCEPT AS NOTED, NO SEPTIC SYSTEMS WITHIN 200' OF PROPOSED WELL EXCEPT AS NOTED. OF ALS X11 IoKENNETH75U, F�(JS / 1�cA cE 7us wa D phbFESSIO13Py �� e WELL ------------------------ ___ _ _______ T�--i_______—__ DESIGN DETAIL 1Ji V e 3 BDRM X 150 GPD = 450 GPD 450 GPD/.8 GPD PER SQ. FT, (12 MIN/IN.)= 562,50 SQ. FT <562.50/5'(W)) X .78(RF) (1.5' GRAVEL) = 87,75 FT. TRENCH USE 2 TRENCHES - 44 (L) X 5' (W) X 1.5'(D) Total depth of system is 3.0' from original grade. Total depth of gravel below distribution pipe is 1,5' NOTES: I. CONTRACTOR & ENGINEER TO VERIFY INTEGRITY OF SEPTIC TANK AND REPLACE AS REQUIRED. INSULATE TANK IF <4' COVER. 2. INSULATE TRENCHES WITH 2' HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS & SEPTICS. PREPARED FORT BONNIE MICHOU 9836 WREN LANE Scale; 1'= 100' EAGLE RIVER, AK 99577 (907)696-3260 PAGE 1 OF 2 FIELD BOOKS COMPUTED: L CM LUJ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 BOUNDARY. _ DRAWN: KMD STARING: _ CHECKED: KMD ASBUILT: _ DATE: 5/10/99 DWG. FO.e GRID: SWO056 AGAD FIE: 99C27 -DWG JOB N°": 99027 (907)696-6111/FAX (907)696-8111 W2 N' ENGINEERING *` 49111 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-5736 CE 71 SOILS PERCOLATION TEST Performed for: Bonnie Michaud Date Performed:.-- 91,9/99 Project: Lot 513Blk 1 Upper Eagle River Est. TEST HOLE M 99-1 Depth (Feet) SEE ATTACHED SITE PLAN 1- 2- 3- 4- 5- 6- 7- 8- 9- lU- Il- 12- 13- 14- 15- 16- 17- 119- 9(1_ Org. - 15- 16- 17- 19- 2(1- Org. minor rootmat SM — loosesoft reddish Sight gravel GM - medium dense w/ cobbles, moist B.O.11. FOR HOLE LOCATION Was Ground water encountered? YES Whatdepth? 12' Depth to water after monitoring? 8.5 Date? 5% 18/ 99 Reading Date Gross Net Depth to Net j I Time Time Water DmI 1 1 5/8/99 200 11" 2 2:10 lomin 912/16" 1 4/16" a 3 2:11 I 4 2:21 10 min 9" 2" 5 2:22 IV, I - 6 I 2:32 1 l0 min 9 2/16" 14/16" I_ 7 j = 2:33 1ff' _r 8 ! I 2:43 i0 min 61511r, I 1 16 2:44 _9 10 2:54 10 min 9 2/16_ 14/16" j 11 2:55 - li, - 12 �_ 3:5_ 10 min 9 1/%', 15/16" j WatertAAdded I —_-- Percolation Rate- 12 (min/ in) Perc Hole Diameter 6" 1-cst Run between 4 feet and 5 feet t, Kenneth M. Duffus, cercicly that the, test •;as performed in accordance with all ctatr and Mun;eipal r g_.__..... ell?a on this date. � rr r MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE EW 11 UPGRADE MAILING ADDRESS LEGAL DESCRIPTION L LOCATION 41, NO. OF BEDROOMS DISTANCE TO: Well Absorption area Dwelling PERMIT NO. Manufacturer �+ �2Liq. Material No. of compartments F�� ic�capacity in gallons IF HOMEMADE:Well Inside length Width Liquid depth DISTANCE TO:Manufacturer Dwelling PERMIT NO. Material Liquid capacity in gallons ❑ w= DISTANCE TO: well Foundation Nearest lot line PERMIT NO. � E z F- Z w No. of lines Length of each line Total length of lines - Trench width inches Distance between lines ccI_ 0 Top of tile to finish grade 3 ` a Material beneath tile I `l Total effective absorption area C33 w Length Width Depth PERMIT NO. a F wa Type of crib Crib diameter Crib depth Total effective absorption area w DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. w w DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOI L TEST RATING INSTALLER REMARKS �S r APPROVED DATE LEGAL 72-013 (Rev. 3/78) OWNER OF LAND ADDRESS LEGAL DESCRIPTIO ' " DATE -Started 0 Ended ;? PERMIT NUMBER DEPTH OF WELL cl /p, STATIC LEVEL OF WATER FT ;a DRAW DOWN FT. 35- GALS. PER HR on r KIND OF CASING aef a KIND OF FORMATION: L From © Ft. t. -A --Ft. OVE.tdJA4E") From 4S -Ft. to-.? 7_0 Ft. �A`ya 6 eE`rEG tG From oL Ft.to_3. Ft. 9_0q"/9— From Ft. to Ft. From 2-3 Ft. to --7 Ft. From Ft. to Ft. _ From 3-7 Ft. to 6$- Ft. C4/4T 440/4- From Ft. to Ft From Ft. to �i Ft. 7'11,&rS/9Y✓d ?, it W� From Ft. to Ft From —Ft. to Ft. CLNi �t'IOuEGtl From__Ft. to Ft. From /SS Ft. to -&-717t. 5414 64'OL&4 S�CtAY From Ft. to Ft. From 147 Ft. toy?)�Ft. au°SE .SAwd From _ Ft. to - Ft. From Ft. to - Ft. 644t_LL Fromm 4 Ft. to 07.26 Ft.5 A- ,V (oR/9k�Ec `UST I From oioA t.to6QFt.—_iii 6Xpj"6G From Ft. to Ft. .fav, OFG I From_,IMFt. to ?RS -Ft. X}cu6 G`rF7' From-D-2_Ft. to_"Ft L aY £ From -7,W Ft. to 3 S/ Ft. From 3S'/ Ft.to_35:5LFt. SIiwQ From_1,1_�_Ft. to_J«Ft. SA S -. / aou'E-4 MISCL. INFORMATION: From _ Ft. -to Ft. From Ft. to Ft. OdUNICIPAUT OF HEALTH & - From Ft. to FL - DEPT F ENy1RONMENItu From Ft. to Ft. Ip�Vl7 v . WPP From - Ft. to—Ft. _ - From Ft. to Ft. R P C E I• ®` From Ft. From Ft. to Ft From Ft. DRILLER'S NAME dJ-�— ".°"= S 5 STREET, ANCHORAGE, AK. 99501 264~4/20PERMIT NO. ( 800296 APPLICANT JOHN THOMPSON 6032 PTARMIGAN LOCATION ER LEGAL LT S -B BLK 1 UPPEREAGLE RIVER EsAr�"�LOT SIZE 4SO00 SQUARE FEET Type of soil absorption system is: TRENCH Maximum number of bedrooms 4 Soil rating (SO FT/BR)= 230 The required size of the soil absorption system is: 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)" FRee4q "-a r-ee<1 E3 Ta- R -t 1 c: 'F-zamx1-< !E; 1 x ee= I E�!FXD) 104Ea1 1 �T"d -� 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" _— — _]_WC:D C ZR > Tr,4$3F�E=4-_-FTCXqE3 ^F;ZFE F;tE_E<3kLJJLF_Z1EL:) 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 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 the department within ]D days of the well completion. Other requirements may apply" Specifications and construction diagrams are available to insure proper installation" F::1 I-- F-mm4 -t C-_ X P:L W-ees� E3 EP 4-- L-_mmt�-eeff- 21 :L , I certify that 1. I am familiar, with the requirements for on-site sewers forth by the Municipality of Anchorage. 2. I will install the system in accordance with the codes" 3. I understand that the on-site sewer system may require residence is riemodeledYto include more than 4 bedrooms. SIGNED CANT JOHN ISSUED BY and wells as set enlargement if the 0 Et E GEC-")'ECHNI CAL & DEVEC )PMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 D 694-2774 or 688-2280 Wuss0 Oyster O 5 Ear/ E//is 694-2774 SOIL LOG �� S i +/// 688-2280 Soils Et Foundations / - Land Development Performed for: Name: Mr. Tomie Bayless ` Tel. No. 694-2434 Mailing Address: Wren Lane Eagle River, Alaska 99577 Legal Description: Lot 5B, Block 1, Upper Eagle River Estates Subdivision Depth (feet) Soil Characteristics 0 1 ML - Silt topsoil with roots and organics. 275 sq. ft,/Br. 2 i 3 ~�/y�/h✓✓E" ��nti�l t ' 4 5 6 i GM - Silty Sandy Gravel with cobbles and boulders to 7 8 24 inches. 9. Percolation Rate = 25 minutes/inch 10 = 230 sq. ft./Br. 11 12 13 iL 15 —B-ottom of pit. 16 Ground Water Encountered: Yes No_x o If yes, what depth Proposed Installation: Seepage Pit Drain Field- xx 230 sq. £t./Br. I I,t OF A4 I ooeo.crs..o.ao a 000...�v. e . Russell L. Oyster e8 147 No. 4286-F. e. `. � Comments: Pit measured approxim tele 4 x 12 feet in plan area- Al saes of the pit logged the same Performed by: _ _ Date: April 22. 1228 -= - Municipality of Anchorage Rg, Development Services Department 4,e / 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050.781.06 HAA #_1�if-) Q3 a o 5� Expiration Date: 1. GENERAL INFORMATION Complete legal description UPPER EAGLE RIVER ESTATES, BLOCK 1. LOT 5B Location (site address or directions) 9836 WREN LANE, EAGLE RIVER, AK 99577 Current Property owner(s) BONNIE MICHAUD Day phone 696.3260 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Same as above Day phone LES BAILEY - Prudential Vista Day phone 689.6451 16635 Centerfieid Drive, Suite 103Eagle River, AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL - Individual Well ® Individual On-site Individual Water Storage ❑ individual Holding tank ❑ Community Class' Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION 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 KND ENGINEERING, Inc. Phone (907) 696-6111 Address 20441 Ptarmigan Blvd., Eagle River, AK 99577 Engineer's Printed Name Kenneth M. Duffus Date 5114/03 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, KND can not give any estimate of how long a system will function satisfactory for current or future occupants or can KND guarantee that no unseen encroachments, deficiencies or discrepancies exist. 5. DSD SIGNATURE (✓ Approved for _,� bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory ��1�ltee bedrooms, with the following stipulations: Maintenance Agreements Supplemental Engineer's Report Other By: AA Original Certificate Date: Jam' in • D 3 (Rev. 01102) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program • "T 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: UPPER EAGS,A,BUR LW S�LOCK 1. LOT 58 Parcel ID: 050ae1•Q6 A. WELL DATA Well type prIM If A. B, or C provide PWSID # Date completed 812ZI980 Sanitary seal (YIN) y_ Total depth -VI—ft. Cased to M _ft. FROM WELL LOG Date of test 8127180 Static water level 242 .. ft. Well production 50 g.p.m WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Nitrate 0.100 mg.q. Arsenic: A6 mgJI. Date of sample: 517103 B. SEPTICIHOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (YM) Y Casing height (above ground) 1.5' AT INSPECTION 283 ft. . 1,39+ g.p.m. Other bacteria Q colonies/100 ml. Tank Type/Material Seotic 1 Steel Date installed QIJ911980 Tank size 1000 gal. Number of Compartments 2. Cleanouts (YM) Y Foundation cleanout (Y/N)1Lpepresslon over tank (YIN) y_High water alarm (Y" N Date of pumping 613103 Pumper JR'0 C. ABSORPTION FIELD DATA Date installed TJJOI1992 Soil rating (g.p.d.W or fe/bdrm) U System type Trench Length 94 (a x 413 fL Width 5 ft. Gravel below pipe s. ft. Total depth 4,¢, ft. Eff. absorption area eft' Monitoring tube )L Depression over field H Date of adequacy test 516103 Results (Pass/Fail) PASS For 5_ bedrooms Fluid depth in absorption field before test 13" & 1 in. Water added -O gal. New depth 15" & 10.5 in. Elapsed Time: 1425 min. Final fluid depth 13" & 0.5 in Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date r i D. LIFT STATION Date installed Size in gallons Manhole/Access (YIN) 'Pump on' level at _ in. "Pump oft' level at _ in.Hlgh water alarm level at in, Datum Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main 75'+ Sewer /septic service line 25'+ On adjacent lots 1001+ On adjacent lots 1001+ Public sewer manhole/cleanout 1001+ Holding tank 1001+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 551+ Absorption field 5'+ Water main 101+ Water service line 104 Surface water 1001+ Wells on adjacent lots 1004 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 104 Building foundation _ 104 Water main 104 Water Service line 104 Surface water 1001+ Driveway, parkinglvehicle storage '+ Curtain drain 50'+ Wells on adjacent lots '+ F. COMMENTS 00%-%N oF G. ENGINEER'S CERTIFICATION j it { ' �.. . fees eff ... .. 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in � •ef Nf He Mb• � Kannetn U. ; , conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Kenneth M. Duffus v Date 51103 HAA Fee $375.00 Waiver Fee $ _ Date of Payment 5/14/03 Date of Payment Receipt Number 0:725Y25 AAAU Receipt Number, (Rev. 12/01) PLOT PLAN ASBUILT )4 SCALE 1 ` ' 50' GRID SW 56 Project No. 99-61 Kenneth G. Long 11500 Daryl Avenue, Anchorage, Alaska 99515 907 522-6476 Phone Registered Land Surveyor 907) 522-4625 rax 01 OF I hereby certify that I have surveyed the following described property: A4 k ..••""•••.:9 Lot 50, Block 1, UPPER EAGLE RIVER ESTATES is Anchorage Recording District. Alaska, and that the .improvements situated�P'• �4) thereon are within the property Imes and do not encroach onto the prop arty adjacent thereto, that no Improvements on theproperty king adjacent heretop *�� • 49� ••. •• ••• encroach on the surveyed promises and that then aro no roadways, transmissionh`^�. lines or other visible easements on said property except as indicated hereon. ` •• • • • • • • • Y..... Dated this the _� Day of Mp> of Anchorage, Alaska ��c •KENNETH LS -5 2 L0 _Q:* 202 � It Is the responsibility of the owner to determine the existence of any sT''........... easements, covenants, or restrictions which do not appear on the recorded �E•� LAND ao subdivision plat. a��� i No'CE'. SEP`(1C S?AND 'PIPES aY KND Asti? SYSTEM uPfs2AD£ . 10' UTILITY EASEMENTS Lot 3A Lot 4 _..^ — _ — — — N 89°54'00•E 300.21' — — — X 1 IY' it IB' SHED FENCE WOODEN FENC °= 2 yi2)Ct-`(1 y�ooi> )�(�{..FAti, / i 1 ¢�SIDe►JGeL Z IS6.1' / to I 30 3' I SEPTIC CLEAN -OUTS ASPHALT DRNEWAY ..' . ( WOOD FRAME WIRE FENCE eau WELL J7 e W tl► toJ 30.3• 111.7' ' o� • LoT S nUPb Ui tm� l.ofo jab I 4S e� ABANDONED WELL Q'JN \ `00 \ a Lot 6A 9 89050'26•W 300.21' b l i l Lot 5A PLOT PLAN ASBUILT )4 SCALE 1 ` ' 50' GRID SW 56 Project No. 99-61 Kenneth G. Long 11500 Daryl Avenue, Anchorage, Alaska 99515 907 522-6476 Phone Registered Land Surveyor 907) 522-4625 rax 01 OF I hereby certify that I have surveyed the following described property: A4 k ..••""•••.:9 Lot 50, Block 1, UPPER EAGLE RIVER ESTATES is Anchorage Recording District. Alaska, and that the .improvements situated�P'• �4) thereon are within the property Imes and do not encroach onto the prop arty adjacent thereto, that no Improvements on theproperty king adjacent heretop *�� • 49� ••. •• ••• encroach on the surveyed promises and that then aro no roadways, transmissionh`^�. lines or other visible easements on said property except as indicated hereon. ` •• • • • • • • • Y..... Dated this the _� Day of Mp> of Anchorage, Alaska ��c •KENNETH LS -5 2 L0 _Q:* 202 � It Is the responsibility of the owner to determine the existence of any sT''........... easements, covenants, or restrictions which do not appear on the recorded �E•� LAND ao subdivision plat. a��� 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 Dat E 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) ' (b) Applicant Name`ln1 �9�Telephone: Ho')me �4 �� Business l / j Applicant Addrsss (c) Applicant is (check one): Lending Institution ❑ ;Owner/builder ;Buyer ❑ ;Other ❑ (explain); (d) Lending Institutio _ - —Telephone //��OC( Address — a S� 1I (e) Real Estate Company and Agent l Address Telephone (f)eth HAA to the following address: I!, Q F P140WGCRING ail „'LU RIVER, ALASKA SC577 t11_ 2. TYPE OF RESIDENCE Single -Family Multi -Family ❑ Other Number of Bedrooms -- 3. WATER SUPPLY Individual Well k 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 o 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) Pagel of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, 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 files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date 6. DHEP APPROVALPedroo'ms , Approved for � by Approved Disapproved Terms of Conditional Approval Telephone C 'ZA I- �L_F_ ._ l o — Conditional Date tIS OF '4 -Int ° ° o B»Irri A. ShcEsr ° o> Na. 9ct57•A 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 woc1Pt of PRpµ _104 VON ENZPt EN�tRot'w` ,may A. WELL DATA MUNICIPALITY OF ANCHORAGE (M HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Lega`Descron:' .L Well Classification G, (` If A, B, C, D.E.C. Approved (Y/N) 0 Well Log PresentC'N) / Date Completed G-271-FoD Yield ; 56,PaL -Y Total Depth �(-P' Cased to 4o',)' Depth of Grouting Static Water Level 2_42_ ` Pump Set At N Casing Height Above Ground _7vro Electrical Wiring in ConduitdVN) Separation Distances from Well: Sanitary Seal on Casing LP N) Depression Around Wellhead (Y4t@) To Septic/Fdefdmg Tank on Lot I c-_>� ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot 1 u-�-c2 ffi� ; On Adjoining Lots C To Nearest Public Sewer Line IA To Nearest Public Sewer Cleanout/Manhole rJ IA To Nearest Sewer Service Line on Lot w 14 - Water Sample Collected by G 4- S C -N -)G tr- 6 r-4 ; Date -5a - 4+ - 1>�5 Water Samp Comments t r� te, c B. SEPTICHietWNG TANK DATA Date Installed !I - Ic1 -9>O Size I Z S4-2 No. of Compartments 2_ Standpipes&N) Air -tight Caps ON) Foundation Cleanou(IDN) Depression over Tank (Ye Date Last Pumped.- Pumping/Maintenance Contract on File (Y/N) //'° ; for Holding Tank High -Water Alarm (Y/N) A Temporary Holding Tank Permit (Y/N) A N Separation Distances from Septic/[doW rag-a'ank: To Water -Supply Well \ Ls - To Property Line To Water Main/Service Line Course Comments Page 1 of 2 72-026(11/84) To Building Foundation 25 t� To Disposal Field To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 2---�,b c' I 132A� Type of System Design `rI=sr�rxh 1 Date Installed C) — Length of Field 1 Ir ) Width of Field Depth of Field o ,..7 N Grl, Thickness " _r Square Feet of Absorption Area e--, .7, Standpipes Presen<V/N) Depression over Field (Y(9 Date of Last Adequacy Test Zvi f` Results of Last Adequacy Test S/ Separation Distance from Absorption Field: To Water -Supply Well l c» t'f- To Building Foundation -1'© Lot I A To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed I To Property Line To Existing or Abandoned System on On Adjoining Lots '�2 D f.k w /q To Cutbank (if present) "J IA Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "P mp Off" Level at High Water Alarm Level at — Vent (Y/N) Tested for Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed _,v W Date _! G le Sr Company,,U�- V RB 18�'J"T� MOA No. Uy � av►�y gra Ph1. 694.2970 - r F Receipt No..004- ab Date of Payment -� ,D •he TI tE Amount $ ••••••8•q 1Abort A. Shmim No. 1407•E Page 2 of 2 72-026 (11/84) n •� DATE RECEIVED INSPECTION APPOINTM N 4 --ac TIME TIME TIME Y.x 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS DATE DATE. ti -�/ DATE ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six INSPEC - INSPECTORS INSPECTOR *ATTACH WELL LOG. Awell log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well M NICIPAL F ANCHORAGE MUNICIPALITY OF ANCHORAGE / -".LTH DEPT. OF H & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL (;.JI[CTION 825 L Street - Anchorage, Alaska 99501 F ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWERED DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PRO R YOWNER PHONE %W re F_ v /, 5 471 MAILING ADDRESS O0 5 Wi2esv Gl4G� e PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE CD�— MAILING ADDRESS 3. LENDING INSTITUTION PHONE l r,I L 5 v L MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION / Z<9 c%� L0 / - J%\ Gt P/C C' /.c. ru-P2 STREET LOCATION 600,$"l�'lrQ 0) T' —_ 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS E3 One ®' Four El Other Q SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY Q INDIVIDUAL* *ATTACH WELL LOG. Awell log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM FR— INDIVIDUAL/ON-SITE** YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-070 (Rev. 6/79) L-iJ-sou �v-CJV� THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ TWO ❑ FOUR ❑ SIX ❑ OTHER 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE. OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS X, C ❑ CONDITIONAL APPROVAL ((lette f�sDISAPPROVED b—APPROVED FOR BEt77 DATE /� BY �/�17 72-010 (Rev. 6/79) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPART:4ENT OF HEAI_TI-I AND ENVIFIONNIFN FAL PROTECTION February 6, 1981 John E. Thomson 6005 Soren Lane Eagle River, Alaska 99577 Subject: Lot 5B Block 1 Upper Eagle River Estates Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for 1\� our review. (2) The top of the well casing sealed with a sanitary seal so that it. is water tight. (3) The sewer system needs final grading so that surface water runs away from the system. Please notify this office for a reinspection when the noted descrepancies have been corrected. If there are any I urther. questions, please call this office at 264-4720. Sincerely, Robert C, Pratt, R.S. Associate Specialist RCP/ljw cc: First Federal Savings and Loan Post Office Box 4-2200 99509 ul&.6pality ®f Anch®lrake MEMORANDUM DATE: May 5, 1978 File No.: PB3 TO: Planning Department FROM: John W. Lynn - Environmental Engineering DHEP Lf SUBJECT: Upper Eagle River Estates Subdivision - Soils (S-4720) Z-13 Review of Subject as submitted shows Soils to be adequate based on Percolation Rate - 25 Minutes/inch: 230 square feet per bedroom. John W. Lynn Environmental Engineering JWL:Imp 0 91-010 (4/76)