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HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 5 LT 1Riverview Estates Lot 1 Block 5 #050m,721-29 Municipality of Anchorage Page I of _o2_ DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAI_ SERVICES DIVISION P.U. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 5Wg5o3q f PID Number: Name:,jAmCS C�-12 tsrlANl Wastewater System: ❑New_ f Upgrade ---- Address: c H cgs 'Pox q �o ( ABSORPTION FIELD — -- _ _ Phone: Oa �,� No. of Bedrooms: / I p Deep Trench I Shallow Trench ❑ Bed ❑ Mound ❑ Other — LEGAL DESCRIPTION Soil Rating: o.Ab Total Depth from original grade: GPD/Sg.Ft. __S_5' Lot: — Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe WE rz- V) Ev-) Fsr. � Ft. ?J •%' Ft. Township: Range: Section: Fill added above original grade: Ft. Gravel length: F] I I 8 Ft. WELL _ ❑New ❑Upgrade 'f=IC1Srl"10 Gravel width: t J Number of lines: Di stance between lines: __Ft. __ Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: 0 Pipe material: ASTVA `- 2tVrA-Cc� Ft. Ft. -75O_ SG. Ft. 1-,`d (co D3o4`i -- Driller: Date Dr! _ Static Water Level: Installer: Date installed: i t2=a-9y Fl. DEA" CoO.k'ST, _ Yield: et at: CasingHoightAboveGround: WANK f PM Ft. Ft. --- — i�--- SEPARATION DISTANCES --- rdseptic ❑Holding ❑S.T.E.P. — To Septic Absorption Lift Holding Public/Private Manufacturer. Capacity in gallons: I J •� From Tank Field Station Tank Sewer Lines Well, Io8' 1 x-91 -- --- as+ Material Number of Compartments: Surface w oo ( LIFT STATION Water t — Lot Line r 105 t a9. - '- J Size in gallons:Manufacturer: Size — _-- .Pump on" level a : Pump off' level at�Hiq` at m at: Foundation �•a' hoof _� �_ Curtain ___, Pump Make&Model 519e" nspections performed by: Drain ��-------- — BENCH MARK Remarks: --- — Location and Description: "T-oT 6fi 6d'eA(ofe SLA-8, %�rrT cti1 NoE NSR <�2 tom. 2j -------- --- -- Assumed Elevation: 100.0 f LL -- — — ENG(Ll,�^ AL -- Y P=�: O R qL� sit -- ---- -- M �� �• • `°'�s� ----- S & S ENGINECRING`.} tf 034 Eagle River Loop Road, No.2 I -� b o4 I3- Dates:lst _ Inspections performed — p p K�j? Eagle�lTver�C as a 2nd l a-'a--9S un:,eT C. COWAN ,°pry';;:•,. r-gaol Department of Heal and Human Services approval ,: Ai;� Reviewed and approved by: Date: 12 -/B -LS 72-013 (Rev. 9/91) MOA 25 ZZ eP5S\NG Permit No SW950394 Page 2 _ of __ 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 0 Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site; Wastewater Disposal System and/or Well Inspection Report Legal Description: LOT 1, BLOCK 5, RIVER VIEW ESTATES PID No.: 05072129 71.-013 A (Rev. 9/91) Mos ST1 ST 93.6' FINAL C RADE M-1 CO2 91.1' -INSULATIO I- s 908. INSULATION TNEW91.0'250 GAL PTIC TANI SR 88.1' 84.5' ♦ 81).D' NO WATER POUND 11-9-95 NEW TRENCH -1 N co'oMT A B STI 30' 46' \\\ ST2 37' 50' ` C01 39' 52' CO2 40' S3' /' CO3 65' 12' \ C04 89' 88' EXISTING T ENCH D° C01 `v n MT1 87' 89' ABANDONED SUCH BE USED IN THE T IT MAYST22 URE 04 MT2 71 119' STI -NEW 12.0 GAL SEPTIC TANK B GRAVEL DRIVE EX/S%7 tip Dt 4 A Oo No" — t'j 7�•fY ' +s h LOT 1 Z I\,•.�% r.,RT 'C. COWAN ti 1�l) yv scnLc I' = ho WELL A 5 A/ 71.-013 A (Rev. 9/91) Mos PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE /� /N6l°6c rtom DEPARTMENT OF HEALTH AND HUMAN SERVICES 12 P.O. BOX 196650, 825 "L" STREET, ROOM 502 2 ANCHORAGE, ALASKA 99519-6650 ''0 /y$Ccry, ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950394 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:CHRISTIANI JAMES ANTONIO OWNER ADDRESS:HC85 BOX 9309 EAGLE RIVER, ALASKA 99577 PARCEL ID:05072129 LEGAL DESCRIPTION: RIVER VIEW ESTATES BLK 5 LT 1 LOT SIZE: 41900 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: DATE ISSUED:11/22/95 EXPIRATION DATE:11/22/96 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED I:N ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 ANI) 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: / DATE: //-`-� DATE : / [ ^2 �' �;S S& 771n1 ROBERT C. COWAN, P.E. ROBERTA. SHAFER, P.E. November 14, 19915 CIVIL ENGINEERS (907)694.2979 FAX(907)694-1211 HEALTHAUTHORITY APPROVALS MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AR. 99519 SEWER & WATER MAIN EXTENSIONS REFERENCE: Lot 1, Block 5, Riverview Estates S/D Request you issue a permit to upgrade the septic system SEWER&WATER serving the four bedroom house on the referenced property. INSPECTION A test hole was excavated and a percolation test performed in the area of the proposed upgrade. The approximate location of the test hole is located on the attached site ENGINEERING STUDIES plan. ANDREPORTS At the time of excavation no water was encountered in the test hole and after seven day ground water monitoring, the monitoring tube was found to be dry. WELL INSPECTION & FLOW TEST Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring SITE PLANS wells, septic systems or drainage patterns by the installation of the proposed septic system. If you require additional information, please contact us. ROADDESIGN Sincerely, �w solLresT Robert C. Cowan, P.E. RCC/gk Enclosure PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 z 0 Ii LEGAL LOT1 , BLOCK 5, RIVERV!EW ESTATES DRAWN I CKD. DATE— — SHT. REVISED .I_24-95 DESIGN CRITERIA: 4 BDRMS = 600 GPD SOILS = 0.8 GPD/SQ.FT. 600/0.8 = 750 SQ.FT. REQ'D REDUCTION FACTOR = 0.54 I 00, TRENCH DESIGN: 5.5' DEEP 3.5' EFFECTIVE 5' WIDE 81 LONG EXISTING SYSTEM ABANDON SUCH THAT IT MA' BE USED IN THE FUTURE LOT 20 / '� INSTALL FLOW / DIVERTER INSTALL - DBL CO PROPOSED 1250 GAL - SEPTI' TANK GRAVEL DRIVE l� STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS -BUILT SURVEY DRAWN BY: TRIAD SURVEYING IT IS THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. LOT 3 �rovcer SCO H0/SEDROOA 4 SE / ROBERT C. COWAN 9 CB - 880: CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. LOT 2 \ PROPOSED TRENCH � / EXISTING \GARAG� SiRUCTUREI \ / i -- \\ i _�•407US\ ISTING 1000\•GAL SEPTIC TANK - ABANDON COMPLETELY \ \ LOT 1 RA�1vJ WELL ALL PORTIONS OF SYSTEM \ / WITH LESS THAN 3.5' OF ' COVER REQUIRE INSULATION. CLIENT l C ENGINEER :nAY VARY THE IX , DIMENSIONS AND DESIGN Pa PMEMEFIS IN THE FIELD, IF NECESSARY. TO MEET SITE GG.DrvNS. \ ? \\ .M UITn ,A- \ Fn \\ YT CO TH CO/a_ �rovcer SCO H0/SEDROOA 4 SE / ROBERT C. COWAN 9 CB - 880: CONTRACTOR IS REQUIRED TO OBTAIN UTILITY LOCATES PRIOR TO ANY EXCAVATION WORK. LOT 2 \ PROPOSED TRENCH � / EXISTING \GARAG� SiRUCTUREI \ / i -- \\ i _�•407US\ ISTING 1000\•GAL SEPTIC TANK - ABANDON COMPLETELY \ \ LOT 1 RA�1vJ WELL ALL PORTIONS OF SYSTEM \ / WITH LESS THAN 3.5' OF ' COVER REQUIRE INSULATION. CLIENT l C ENGINEER :nAY VARY THE IX , DIMENSIONS AND DESIGN Pa PMEMEFIS IN THE FIELD, IF NECESSARY. TO MEET SITE GG.DrvNS. ROBERTC.COWAN, P.E.rfEti ' ROBERTA.SHAFER,P.E. F �,' ,.....v -- e CIVILENGINEERS )� """"' T 1 ROBERT C. COWAN (907)694-2979 � � r ., r FAX (907)694.1211ede6d+:%6 CE -8801 PERFORMED FOR:_(�NP�S'f 1/,x"1 _ DATE PERFORMED: p . � LEGAL DESCRIPTION: Lbi uC– LJ ,,jt, q,,A nship, Range, Section__ SLOPE SITE PLAN MPXH (jr 1 2 a/ 3 0 4 5 �6- 6 7 0 8 0 9 to - 12 0 12 - °/ i 13- — 14- 15- 16 17- 16 19 20 COMMENTS o' 011 WAS GROUND WATER _ tNUUUN I thtUf S L IF YES, AT WHAT DEPTH? _—�_ P E leplh to Water A;fterr date nitorinB? —9y—Date;1�i--6Vf Reading Date Gross Time Net Depth to Time Water Net Drop 0 0 — el M.) 2 1 r cl >' " q W,� t' 1" N PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER l TEST RUN BETWEEN 3 Z_ FT AND _ Id —FT S PERFORMED BY: 8: S ENGINEERING I AA✓J 1 _CERTIFY THAT THIS TEST WAS PERFORMED IN ---- n ile River Loop Road No. 204 ACCORDANCE WITH ALL STATE AN(? tv�MG1q&�PUIDELINES IN EFFECT ON THIS DATE. DATE: J -- 77 -Ons (Flee. 4/85) HEALTHAUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER& WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELLINSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN nG ON --SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 1, Block 5, Riverview Estates S/D November 14, 1995 GENERAL: ROBERTC. COWAN, P.E. ROBERT A. SHAFER, RE. CIVILENGINEERS (907)694-2979 FAX (907) 694-1211 The scope of this project includes the installation of a 1250 gallon septic, tank and five foot wide drainfi.eld to serve the existing four bedroom residence on the referenced property. The existing septic tank is to be excavated, pumped, crushed, and abandoned. The existing leachfield is to be abandoned such that it may be used in the future. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner .shall be :responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. 5. Contractors installing wastewater disposal systems must: be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" eleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577 Page Two Lot 1, Block 5, Riverview Estates S/D November 14, 1995 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. 5. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (roughed -up) before gravel (sewer rock) placement. 2. Once t -he gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. 3. A silt barrier must be installed between the: final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Page Three Lot 1, Block 5, Riverview Estates S/D November 14, 1995 5. Backfill over the final gravel :Layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorages Type of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other -than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Fernco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements. Page Pour Lot: 1, Block 5, Riverview Estates S/D November 14, 1995 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contracted at least 24 hours prior to the start of construction. If necessary, a pre -construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. Page Five Lot 1, Block 5, Riverview Estates S/D November 14, 1995 S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L. Street - Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT" NAME,t_Y.�,.,'—`/-1—'__-..�.w._.._________ - PhIONE T�W lRK!Y��i0.—_ _..�_-!—❑UPGRADE MAI LI NG ADDR LEGAL DESCRIPTIONLoT R v t= LOCATION NO. OF-BEDROOMS ® 2a Well Absorption area DISTANCE TO: _ I 0?— / .2.2 - PERMITOry tlo 6 [O Z-—_ 1- I- Z rn jDwe­1Ingi Manufacturer ateriallo. Cti12 �L 'sT�.EL_ Lic. capac6in qal Ions Inside length idth ��L9'C� IF HOMEMADE: of compartw, Liquid depth �OZ DISTANCE TO: Well Dwelling PERMIT NO. -- S"h .__-- Manufacturer Material Liquid capacity in gallons O wx z Well ' 1 '� DISTANCE TO: Foundation 3 Nearest lot line L /O� PERMIT��I(y�ry B •{/✓V6 Z J LL Z w h_a No. of lines Lencth of each lin �_ _(i� �'_ _ 5 _ Total long h o lilies Trench width __—Y_�! — inches Distance between lines �+ F. O To of tile to finish grade �- Material beneath tile , inches Total effective a r tion area Length Width Depth PERMIT NO. an C9 Q h w ° Type of crib _.— Crih diameter Crib depth total effective absorption area in rn DISTANCE TO: Well Building foundation Nearest lot line Class Depth Driller Distance to lot line PERMIT NO. w DISTANCE TO: Building foundation Sewer line Septic tank Absorption arealsl OTHER Lt— t-3o PIPE MATERIALS 's C)3M f PAF 12, SOIL TEST RATING — -1 O — O N ON INSTALLER 5?- NA RT a )c -- REMARKS / 0-4 G/Ha p!/_ r/_1o�.,,•,� — -- All — .lC I LCYIt' la GV ACU IM a.— /,Olt.. /' U.t - — — ,......,.-••s�'P PI 0 1 E 25, 1971 APPROVED ®� s DATE LEGAL Y, /y K L 72-013 (Rev. 3/781 f/���� 0EPRRTMENT OF HEHLTH RND ENVTRONMENT9L PROTECTION 825 L. STREET/ HNCHORRGE/ HK. 9950i ' 264-4720 | ���I_. F:l IN Ii I I P. -JI R"U... ���� �EE��� / PERMIT ��O( 820062 ) HPPLICHNT JHCK FE9RNEYHOUGH 454i E. 6TH HVE ]]]-4028 LOCRTION 1, V: L1B5 RIVERVIEW EST LOT SIZE 41]12 SQ�HRE FEE7 TYPE OF SOIL 8BSORPTION SYSTEM ISDRRIMFIELD MHXIMUM NUMBER OF 8EDR0OMFT/BR)� 125 THE REQUIRED SIZE OF THE SOIL HBSORPTION SYSTEM IS� 4��-����IF I L.- �ll=� if����� THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DR�INFIELD THE DEPTH OF H TRENCH OR PIT IS THE DISTHNCE F,ETWEEN THE SURFHCE OF THE GROUND HND THE BDTTOM OF THE EXCHYHTlOh! IN FEET) . ��r,-::������ THE GRHYEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE OUTFHLL PIPE HND THE 8OTTOM UF THE EXCHVHTION (IN FEET) ��9_5 j- " R�:� If % IFE 9 JI. R-.- if F", P. A I< "S IE �r.: 3� PERMlT HPPLlCHNT HHS THE RESPONSlBILITY TO INFORM THIS DEPHRTMENT DURIHG THE INSTHLLHTION INSPECTIONS OF RNY WELLS HDJHCENT TO THIS PROPERTY HND THE NUMBER OF RESlDENCES THHT THE HELL WILL. SERVE --- r��� Ir�����������H� ���� ��������ff � --- BHCKFILLING OF HNY SYSTEM uITHOU T FINHL INSPECTION RHD HPPROVHL BY THIS DEPHRTMENT WILL BE SUBJECT TO PROSECUTION. MIHlMUM DISTHNCE E; F. F1 WELL HND HNY ON`SITE SENHGE DISPOSHL SYSTE� I� 100 FEET FDR H PRIVHTE WELL OR 150 TO 200 FEET FROM H PUBLIC WELL DEPENDlNG UPON THE TYPE OF PU8LlC WELL MINIMUM DISTHNCE FROM R PRIVHTE WELL T1-1 H PF, IVRTE SEWER LINE lS 25 FEET 9ND TO H COMMUNlTY SEWER LINE IS 75 FEET� WELL LOGS ARE REQUIRED RND MUST BE RETURNED TO THE DEPARTMENT WITHIN ]0 DRYS OF THE HELL C0MPLETIOH OTHER REQUIREMEMTS MAY HPP.Y. _PEClFIcAT7ONPm- HND CONSTRUCTION DlHGRHMS HRE HVHILRBLE TO PROPER INSTRLLHTION. "I F-,-" �I.E.:, R.--:: 5 F_� PEI'.- 0. --it-��� l CERTIFY THRT L� I HM FHMILlRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS HND WELLS HS SET FORTH BY THE M11INICIP8LITY OF 8NCHORRGE. 2� I WILL INSTHLL THE SYSTEM I FIC CORDHMCE WITH THE CODES. ]� I UNDERSTHND THHT THE ON-SITE �EWFR SYSTEM Mf REQUIRE ENLHRGEMENT IF THE RESlDENCE IS Fl- MUDELED TO lNCiUDE M0RF THHN I REyROOMS SIGNED�____....... ____.__-______._-_ RPPLICHNT JRCK FERRNEYMOUGH ���»�� /.�, /A//}/y/5/�Z_y9mMI '�~ ���� �/��7� I's - - ---r---------/l---------------- --`- -----�}�������/ xSOILS LOG MUNICIPALITY OF ANCHORAGE \ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION El PERCOLATION TEST \ 825 L. Street, Anchorage, Alaska 99501 204.4720 ` SOILS LOG - PERCOLATION TEST PERFORMED FOR:_ IFt� FF-,4QN.=YW oho 6, IH t� DATE PERFFORM-E�D•/� Y�t"�- LEGAL DESCRIPTION:_TL oT siG s .__yG u V g 1�yI L; o h- i. 1 &C 1 E ti 1� SLOPE SITE PLAN 1 '- [[[[I G1GI Q�e FFM I I' I I f uI :F 3 . e9 D L7 rA,V ti l'�j \�4 totl o ROUNDA`p RI V ►2//��IZoc Vc 5 �'v" G ra.v e4 -y u ✓J onat•t- 1a,1 L 6 7 BtoTro M o F 140 LE 9 10- 11 - WAS GROUND WATER S ENCOUNTERED? LO 1 P 2 IF YES, AT WHAT E DEPTH? 13 14 Date Gross Time 16--®F,, Depth to Water Net Drop 6- 16- •° l �••••Atq,%jl : '•V7 0 17 18 0'• CQ ®� o. 2225-11 a �� 19 �j�o•• UNE 25, 197 • �� Reading Date Gross Time Net Time Depth to Water Net Drop 20 NAI. 9 VA PERCOLATION RATE TEST RUN BETWEEN COMMENTS (minutes/inch) FT AND FT 72-008 (G/79) r I!Oq (Ccrtificb triLott g by SULLIVAN WATER WELLS P O BOX 670272, CHUGAAK. ALASKA 99567 •TELEPHONE 688-2759 OWNER OF I AND '(:-11(,-- _17 i i... /'f 1 __ear* HOLE A- ADDRESS LEGAL DESCRIPTION: 4:..47-.Q %* -�J 1 � I I �lJ LJ, Gt+.1 q_ izd-e..414- GATE _ 7 � t _ _ __ -- y . ? sedi,; S t d AI&k PERMIT NUMBER. Date of Issue_ __ ? � - L. e7rr TAx IDENTIFICATION NUMBER. _. ,?ef dioce Ot is welt located at approved permit location% J Yes _ No Method of Drilling. fir rotary J cable tool U Depth of welt: ;asinq Type re a 4.1Na11 Thickness •�r� _-_ inches Diameter _.'7__ inct . depth fee ► � I i tner Type:Casing Stickup Stickup Above Ground: ';‘• __. _ ._—feet Static Water 1.evel: 1 a.0 f ^� tc _ feet Recover Rate. -{ 1 gpm Methtxl of Testing Well Intake Doming Type. J open end ;fdrie n hole J Screened, Start _-_ Leet Stoped feet -- J Perforations Start feet Stopped — feet , Grout rype Volume ._ Depth from feet.to feet - Well Disinfected Upon Completio n? !es J No Method of Disinfection: _ `� Comments: Driller's Name t rJL c ' j /� 1.1 - ATTENTION: 1115 the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation- :70 ri 0 cs 44 LW:: 1.4 Qi Ln pl, D > E-4 0 LU LL 0 :70 ri 0 cs 44 LW:: 1.4 Qi Ln pl, E-4 000000000000 (D: 0 -P 0 0 0 0 0 0 0 0 0 (Y. (D: 0 -P ul (A) (Y. H. Qk r -i 0 4 fu NE 0 G r-( CD: co: Lr�. 0 rq:: 'r in; C) 0 0 0 0 0 Lr): f4 - t • }11Municipality of Anchorage o On-Site Water and Wastewater Program < g 12 (907) 343-7904 Certificate of On-Site Systems Approval Parcel I.D. 050-721-29 Expiration Date: L.)O 010! ) O 1. GENERAL INFORMATION Complete legal description Lot 1 , Bk 5 , Riverview Estates Location (site address) 7161 Waterfall Drive, Eagle River, Alaska 99577 Current Property owner(s) Paul Tluczek Day phone (701 ) 330-1530 Mailing address 7161 Waterfall Drive, Eagle River, Alaska 99577 Real Estate Agent Brooke Stiltner/Re/Max ER Day phone (907) 244.-6742 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex _ ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: 1111. ► �iGi •_ C Date: rtait 1. 1 COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ Ott q72?-00 Waiver Fee $ Date of Payment tolllgLl7 Date of Payment Receipt Number 21 75.3g Receipt Number COSA# 05Cn i 4 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, 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 Pinard Engineering Phone (907) 232-1347 Address PO Box 871347 Wasilia, Alaska 99687 Engineer's Printed Name Paul Pinard Date 10/15/17 1 gBeOF4 '� 4�b �. .,..... wit 1*J•`aes �l ik\ `•+• 6. DSD SIGNATURE t-� •• '••��`— ��•'• •• System#11 ms. . Approved for bedrooms ; Paul E, Pinard • d, System#2 Approved for bedrooms p CE -4793 +:��a�gOi Disapproved .6%49 pFESsl��tia SOS Conditional approval for bedrooms, with the following stipulations: 0‘`‘.s \N ' p ;. \N PSS Rpt�P ,, ,�'NT By: �1'� mac. 0Original Certificate Date: �C� tDr� 1aZO 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 Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet r c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Cerrt fcate of On Slte Systems Approval C iecklist Legal Description: Lot 1 , Block 5 , Riverview Estates Parcel ID: 050-721 -29 A. WELL DATA Well type Pvt. If A, B, or C provide PWSID# _ Well Log (YIN) Y Date completed 7/22/08 Sanitary seal (YIN) Y Wires properly protected (Y/N) Y Total depth 220 ft. Cased to 57 ft. Casing height (above ground) 18 in. FROM WELL LOG AT INSPECTION Date of test 7/22/08 10/10/17 Static water level Flowing Artesia. NA ft. Well production 20 g.p.m. 4 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample:9/28/1 7 Collected by: Pinard Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septi c/Steel Date installed 1 2/2/95 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 7/17/17 Pumper JRs Pumping C. ABSORPTION FIELD DATA Date installed 12/2/95 Soil rating (g.p.d,/ft'arf bbslocx) 0. 8 System type 5 Wide Trench Length 81 ft. Width 5 ft. Gravel below pipe 3 . 5 ft. Total depth 7 ft. Eff. absorption area 750 ft2 Monitoring tube Y Depression over field N Date of adequacy test 10/12/17 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 23 in. Water added 700 gal. New depth 32 in. Elapsed Time: 1 350 min. Final fluid depth 24 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION NA Date installed Size in gallons Manhole/Access (YIN) "Pump on" level at in. "Pump off' level at in. High water alarm level at_ in. Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot 1001 + On adjacent lots 100 + Absorption field on lot 1001 + On adjacent lots 100' + Public sewer main 75 + Public sewer manhole/cleanout . 1001 + Sewer/septic service line 251 + Holding tank 100 + Animal containment areas 50 + Manure/animal excrete storage areas 1001 + SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 Property line 101 + Absorption field 5 + Water main AP 75 ' + Water service line25 ' + Surface water 1001 + Wells on adjacent lots 1001 + ABSORPTION FIELD ON LOT TO: Property line 101 + Building foundation 10' + Water main 75 ' + Water Service line 251 + Surface water 1 00' + Driveway, parking/vehicle storage 10 '+ Curtain drain None Known Wells on adjacent lots 1001+ F. COMMENTS The original well was extended to a depth of 220 ' on 7/22/08. See new well log attached. This is a flowing artesian withlug near the top of the casing. � ��'{ G. ENGINEER'S CERTIFICATION , �.�Q��••• • q • 4.6 `— I certify that I have determined through field inspections and ; 11.46 * •491 .0\ • :* review of Municipal records that the above systems are in ••®V —• conformance with MOA COSA guidelines in effect on this date. r .•'...�R .-.rte=�r-'s A ,?7,. Patif#-f, ?ipard�•W ,� Engineer's Printed Name Paul E. Pinard s • CE-4793 . ate Date 10/15/17 ••••...••'��`� {{ • _PROFESS\crifI COSA yellow sheet_2-6-15.doc PINARD ENGINEERING — P.O. Box 871347 ,gt lk ,. Wasilla, AK 99687 14E1 (907) 357-ENGR (3647) so -A:.7.-:,., .... - WELL FLOW TEST LOCATION Lot 1, Block 5.Riverview Estates JOB NUMBER: 17-203 DRILLER Sullivan Water Wells DATE OF TEST 10/10/17 DATE WELL COMPLETED: 7122108* FIELD STAFF PJ Pinard WELL DEPTH: 220' STATIC WATER LEVEL(top of casing): NA-Flowing Artesian Elapsed Static Flow Cumulative Time Time Water Rate Gallons Remarks (Minutes) Level (gpm) Pumped 5:00 PM - 4.0 - Start Test - Meter 337600 5:15 15 4.0 60 337660 5:30 30 4.0 120 337720 5:45 45 4.0 180 _ 337780 6:00 60 4.0 240 337840 6:15 75 4.0 300 337900 6:30 90 4.0 360 337960 6:45 105 4.0 420 338020 7:00 120 4.0 480 _ 338080 7:15 135 4.0 540 338140 7:30 150 4.0 600 _ 338200 7:45 165 4.0 660 338260 8:00 180 - 720 Stop Test - 338320 RECOVERY Al] well protection features are adequate. * This well was extended on 7/22/08 from the original depth of 100' to a new depth of 220. The well is now a flowing artesian with a plug near the top of the casing. The flow rate per the new well log is 20 gpm. Average Flow Rate:4.0 gpm Comments: DURING THIS TEST.THIS WATER SUPPLY WELL WAS CAPABLE OF PRODUCING 4.0 GPM. THIS TEST DOES NOT CONSTITUTE A Reviewed by Paul Pinard 1 WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. Date 10/15/17 PINARD ENGINEERING o1101L P.O. Box 871347 /4EI Wasilla,AK 99687 11P r �:� (907)357-ENGR (3647) ,.... ADEQUACY TEST LOCATION: Lot 1, Block 5,Riverview Estates JOB NUMBER: 17-203 APPLICANT: Paul Tluczek DATE OF TEST: 10/12/17 7161 Waterfall Drive Eagle River,Alaska 99577 FIELD STAFF: PJ Pinard SEPTIC TANK TYPE/SIZE: Stee111250 Gallons,per MOA Records NUMBER OF BEDROOMS: 4 ABSORPTION SYSTEM: Deep Trench,per MOA Records SCUM: 0.0' SLUDGE: 0.0' DAILY FLOW: NEEDS TO BE PUMPED: Yes No XX 4 BEDROOMS x 150 GAUBR= 600 Gallons CURRENTLY IN USE: Yes No XX TEST DATA Time Flow Volume Cumulative Septic Tank Septic Soil Absorption System Comments Rate Volume Tank PM (GPM) (GALS) (GALS) Liquid Level A Level Monitor A SAS Monitor n SAS Tube 1' Level Tube 2* Level 3:30 4.7 - - 4.0' - 1.9' - 1.9' - Start Flow-Meter 339000 3:45 4-7 70 70 4.1' 0.1' 2.0' 0.1' 2.0' 0.1' 339070 4:00 4.7 70 140 4.1' 0.0' 2.1' 0.1' 2.1' 0.1' 339140 4:15 4-7 70 210 4.1' 0.0' 2.2' 0.1' 2.2' 0.1' 339210 4:30 4.7 70 280 4.1' 0.0' 2.2' 0.0' 2.2' 0.0' 339280 4:45 4.7 70 350 4.1' 0.0' 2.3' 0.1' 2.3' 0.1' 339350 5:00 4.7 70 420 4.1' 0.0' 2.4' 0.1' 2.4' 0.1' 339420 5:30 4.7 140 560 4.1' 0.0' 2.6' 0.2' 2.6' 0.2' 339560 6:00 - 140 700 4.1' 0.0' 2.7' 0.1' 2.7' 0.1' Stop Test- 339700 RECOVERY ALL MEASUREMENTS IN FT. Date Time SAS MT1 SAS MT2 10/13 4:30 2.07-0.7' 2.07-0.7' PM TEST; PASSED XXX FAILED COMMENTS: System found to be operating satisfactorily.There was 1.9' of measurable liquid in each of the SAS MTs prior to beginning the test.With the addition of 700 gallons to the system(more than the daily design flow of 600 gallons),the level rose to 2.7' in each, leaving 0.8'of ED still available. Recovery measurements,taken 22.5 hours after stopping the test flow,showed satisfactory absorption,with a drop of 0.7' in each MT. pgL Reviewed by: Paul Pinard Date: 10115/17 x ` Lot 3 8464X CD , co 'A Lot 20 44 0 • \ ����3 She. N tispo ,3� N\ OOpOry Lot 2 a�ff Septic vent M�\20, c/ o. ��� A �\ sp7 Wood fen '� �'a'� •Opo \ �` CO ` -1- 2Sto•f-r N °'S -"`Gravel driveway ito /You @ Of Fr.mex \`?j@ ----- \\)-.:111-Q1 _ 60 co a; Wire fence-- `'> / \ � � '�• ; ek OS Sh S5I \\ _ --` _ al V�23� <X7e T'Q'� 20,E N\ Lot 1 .. ser '9 a \ �a ` 7�OG1- \ Welb •' 274,,,J 62 D1` 0���`G 4,„: ....-- "))0 �� \ _.743b og� P OX-V-- \ \ 43b Q��p� Revised 10 13-17 Added Cleanout r, AS-BUILT NO CORNERS SET THIS DATE ° �Q I hereby certify that I have performed a Mortgagee's inspection L-26'62 +��\\ of the Following described property:, LOT 1, BLOCK 5, N R--=2O.00 ��. OF q�q� RIVER VIEW ESTATES SUBDIVISION ��•• �� 't Anchorage Recording District,Alaska,and that the j s* 49th i� * , improvementsproperty lines situated thereon are within the • �A •• •• and do not overlap or encroach on the property lying Vit..-tirt• tf�J adjacent thereto,that no improvements on the property lying /I adjacent thereto encroach on the premises in question and Fred Wal a tka . i that there are no roadways,transmission lines or other �: visible easements on said property except as indicated r `r..•• 3255 - S •• hereon. SCALE: In= 50' .,%,*. . Dated Dated al Anchorage,Alaska x,.., , • • .0,,< this 3rd day of October ,2017. EASEMENTS OF RECORD,OTHER THAN 4 '9 ` Essiow THOSE SHOWN ON THE RECORDED *14 II.•Ni.%:"*. FRED WALATKA&ASSOCIATES, L.L.C. PLAT ARE NOT SHOWN HEREON- FB 17-7, pg 52 BE907-248-1666 Engineers and Surveyors Municipality of Anchorage • Development Services Department " p p Building Safety Division On -Site Water and Wastewater Program s b Ery . 4700 Bragaw 19 Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite J (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-721-29 COSA #_ O's Expiration Date: l%` % 1. GENERAL INFORMATION Complete legal description River View Estates Block 5. Lot i Location (site address) 7163. Waterfall Drive Current Property owner(s) Ricky & Denise Stariwat Day phone Mailing address 7163. Waterfall Drive Eagle River AK 99577 Lending agency Day phone Mailing address Real Estate Agent Eva Loken Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: `( 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site El 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 On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services LLC Phone 272-82i8 Address P.O. Box 1e023.7 Anchorage AK 495zo Engineer's Printed Name Steven R. Pannone, P.E. Date 12-0 i3 Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for i' bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: X/, Original Certificate Date: (Rev. I V05) Municipality of Anchorage s Development Services Department Q r° Building Safety Division �? On -Site Water & Wastewater Program s " 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: River view Estates Block 5.Lot 2 Parcel ID: 050.722.-2g A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 6/6/3.02 Sanitary seal (Y/N) V Total depth 28 ft. Cased to s7_ft. FROM WELL LOG Date of test 6/61ig82 Static water level 20 ft. Well production 3 9-P M. WATER SAMPLE RESULTS: Coliform Neg_colonies/100 mL Nitrate o.SSS mg/L Well Log (Y/N) Wires properly protected (Y/N) Y Casing height (above ground) 28 in. AT INSPECTION 2/8/2022 Arsenic: ND ug/I Date of sample: 7123/2012 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/ Steel Date installed 2212/299; Tank size 2250 gal. Number of Compartments 2 Cleanouts (Y/N) Y ft. am Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Date of pumping 2/7/2022 Pumper JR's Pumping C. ABSORPTION FIELD DATA Date installed 22/2h.0gS Soil rating (g.p.d./f:2 or ft2/bdrm) o.8 GPD/SF System type wide Trench Length 82 ft. Width 5 ft. Gravel below pipe 3.6 ft. Total depth 7 ft. Eff. absorption area 75o ftz Monitoring tube Y Depression over field N Date of adequacy test 2/8/2022 Results (Pass/Fail) Pass For -4 bedrooms Fluid depth in absorption field before test 31 in. Elapsed Time: 200 min. Final fluid depth 3i in. Water added600 gal. New depths in. Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LIFT STATION Date installed Size in gallons "Pump on" level at in. "Pump off' level at Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot ioo+ Absorption field on lot ioo+ Public sewer main 71;+ Sewer /septic service line 25+ Animal containment areas 50+ Manhole/Access (Y/N) in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots ioo+ On adjacent lots ioo+ Public sewer manhole/cleanout ioo+ Holding tank zoo+ Manure/animal excrete storage areas ioo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation c+ Property line zo+ Absorption field 5+ Water main io+ Water service line 25+ Surface water ioo+ Wells on adjacent lots aoo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ao+ Building foundation ao+ Water main 75+ Water Service line ao+ Surface water aoo+ Driveway, parking/vehicle storage ao+ Curtain drain 50+ Wells on adjacent lots aoo+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I 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. Engineer's Printed Name Steven R. Pannone, P.E. Date [,Z0 COSA Fee $ qo Waiver Fee $ Date of Payment G 3�3C- Receipt Number (Rev. 11/05) Date of Payment Receipt Number No. CE 8149 in. ASSUILT SEWARD & ASSOCIA'T`ES LAND SURVEYING 694-0824 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE'f FOLLOWING DESCRIBED PROPERTY-- f — ;`� �m`�DF Alp°4 DATE 9c3'+4 AND THAT NO F•NCROAGNME 4TS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE � e � TH�� i OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: EASEMENTS, COVENANT'S, OR RE';TRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUSDI- VISION PLAT. CINDER NO CIRCUMSTANCES SHOULD FS ���'. is- I ANY DATA HEREON BE USED FOR CON:iTRUCTION ` " it OFFENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. e r..s. ,.,r MUNICIPALITY OF CRAG • {' DEPARTMENT OF HEALTHTH EE & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 995'19-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY ��^^APPROVALL FOR A SINGLE FAMILY [DWELLING Parcel I.D. It Q,,7 -- 7-,Z,- ''' — 19 HAA # &% C � 1. GENERAL INFORMATION Complete legal description LX Location (site address or or directions) Lo �JEe �'�LrJaY��r-BGG o.� ✓e d �Ae�sAea �/��-G,.TJJ.z'it%� G A6GE ��itJE.t�, i'7GASi�A ��•hr%7 Property owner �ati� �N�aGG Day phone�� Mailing address`�,a� K 93i r C9LL�v�e, �J< �su9 S'9s7� __ Lending agency Mailing ad Day phone Agent --- Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMI3ER OF BEDROOMS: 171 — 3. 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. 4. 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. 72A25 (Rev. 1/91) Front MOA 021 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 forthe 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 7�, Phone 6 6 Address Engineer's signature 6. DHHS SIGNATURE Approved for 4 bedrooms. Disapproved. Conditional approval for Additional Comments as Date �' (e ' &O .a. mta�'r • .,� t. iPIr...00 I, CE 8176 bedrooms, with tfie following stipulations: Date 3 -/O - DO �of-lislil Lei 011 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 pu rchasers of homes and their lending institutions in orderto 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 engineers work. n-025(Rev.1M) Back MOAN21 KLCEIVED Municipality of Anchorage MAR 0 6 2000 C&DD) DEPARTMENT OF HEALTH & HUMAN SERVICES MUNICIPALITY OF ANCHC Environmental Services Division 'WIPM]E LSERVICES 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 341- 4 Legal Description: lO�«1 A. WELL DATA Well type Health Authority Approval Checklist . �c�c�iE<c�6srs Parcel 7AU=2.L—_ If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) y __ Date completed Total depth _!,00 rf• Cased to 1 ��% _ Casing height (above ground) Sanitary seal (Y/N) Wires properly protected (Y/N) Yrs FROM WELL LOG AT INSPECTION Date of test __����� �171610 _ Static water level Well production _g.p.m. ___=�_ _g.p.m. WATER SAMPLE RESULTS: Coliform _� _ Nitrate _ O, 5 8 Other bacteria Date of sample:_�Q�/ ��_?jFN/� e", / nFyyC oIIected by: zc-ro ZZ xj/— -- B. SEPTIC/HOLDING TANK DATA Date installed �Tank size Number of Compartments Cleanouts (Y/N)- Foundation cleanout (Y/N) _ —Depression (Y/N) High water alarm (Y/N) Date of Pumping _ �lr %7 _ Pumper ✓ms's r'�'-.�� i ^�� C. ABSORPTION FIELD DATA Date installed Soil ratingy.p.d./ft or ft2/bdrm) _ ©' � System type Length- 9//7/ Width _elf -Gravel thickness below pipe.I ,, L/ _Total depth Effective absorption areaIL e ft. Monitoring Tube present (Y/N) L _ Depression over field (Y/N) Date of adequacy test _ ° n Results (Pass/Fail) �S _ For ___27_/__ bedrooms Fluid depth in absorption field before test (in.); _ �" Immediately after'6�'�gal. water added (in.): °fir 2 Fluid depth (ins) Minutes later;,___ Absorption rate =_6'pe _g.p.d. Peroxide treatment (past 12 months) (Y/N) __A If yes, give date 72-026 (Rev. 3/96)` D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) 'Pump on" level at* —'Pomp off le�* High water alarm level at* *J�atum Cyeles-testa E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer /septic service line /Z 9 /; io o "/'1 On adjacent lots O On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation zz«. Property line SO � Absorption field .4161-1 Water main/service line OU'."1f Surface water/drainage AVO FX/ Wells on adjacent lots %oa f/- SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /o Building foundation 0 F%• Water main/service line Surface water /44 Driveway, parking/vehicle storage area 5/o /�/ Curtain drain At eAJf *. ,,OzL % rO Cu / fir Wells on adjacent lots i/o �� • F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal in conformance with MOA HAA g "defines ' effect on this date. Signature Engineer's Name E sGt.gs 7' 46eL,14 Date— HAA ate HAA Fee $ ? ", 6Z Date of Payment 316 L6Z Receipt Number �ZZ 6,7 ( (DO 72-026 (Rev. 3/96)* Waiver Fee $ F t d� recPpi•tHe ems are Taj 0:: Date of Payment Receipt Number Douglas T. Kenley, P.E. 9960 6. PLifLin Dr., Pahner, AK. 99465_�9�746-1073 February 19, 2000 Mr. Dan Roth Municipality of Anchorage Health and Hunan Services 825 "L" Street Anchorage, Alaska 99501 Re: An adequacy test performed at the intersection of Waterfall Drive and Barbara Falls Drive, in the Highland Road area of Eagle River, Alaska. Legal: Lot 1, Block 5, Riverview Estates Eagle River, Alaska Dear Mr. Roth: An adequacy test was conducted on the above -referenced property on February 7, 2000, to determine if the on-site well and septic system are suitable for the existing four-bedroom house in accordance with Municipality of Anchorage requirements. The system tested was installed in December of 1995, after the initial system failed. A diversion valve was in place so that the two systems can be used alternately from time to time. Only the new system was tested. It is an 81 -foot -long, five -foot -wide shallow trench with an effective gravel depth of 42 - inches. It was constructed with clean -outs and a monitoring tube at the beginning and at the end of the trench. The native soil rating is 0.8 gallons per day per square foot. The well was a very low -producing well, with a flow rate of 1.5 gallons per minute over the 6 -hour and 56 minute testing period that it took to draw 620 gallons. At the beginning of the test there was no observable water in either monitor tube. The monitor tube closest to the tank started showing water after 120 gallons. No appreciable water, other than approximately %z inch of water in the monitor tube, was observed during the test. The water in the first monitor tube reached a height of 10-1/2, inches after 415 gallons of water had been introduced and remained at that level during the rest of the test. The site was on a fairly level area of the yard. The two monitor tubes were placed at similar depths. We feel that the slow flow of the well and the absorption rate of the native soil explain the water not reaching the far end of the trench. Three factors considered in passing the system are: 1. Roughly 75% of the absorption system is available above the 10-1/2 inch high water mark incurred during the test. 2. The water level rose to a height of 10-1/2 inches and did not go any higher after 415 gallons of water was introduced. 3. Two systems are present, allowing for diversion and a resting period, along with the fact that the well puts a limit on the amount of water that could be put into the system in a one -day period. Mr. Dan Roth 2/24/00 Page -2 - The test was conducted during extreme thawing and icing, and hazardous road conditions; therefore, a reading was not taken 24 hours later. We feel from the data on hand, the system is adequate for a four- bedroom house. If we can be of further assistance or if there are any questions concerning the above information, please contact us at 746-1073 or 243-5372. Sincerely, Douglas T. ICenley, . # CE8176 CT&E Environmental Services Inc. ,.3 � 9efflF�lJG1!/GY�1E/fJe'/eY/%l1.11' lJ_:".'✓'Li.:a CT&E ReUt 1000480001 Client Name Douglas Kenley P.E. Project Name/H Ll Bk 5 River View Estate Client Sample ID Ll Bk 5 River View Estate Matrix Drinking Water Ordered By PWSID 0 Sample Remarks Client POO Printed Date/Time 02/14/2000 14:04 Collected Date/Time 02/07/2000 19:45 Received Date/Time 02/08/2000 10:35 Technical Diree or Stephen C. Ede Released Allowable Prep Analysis Parameter Results POL Units Method Limits Date Date Init WATERS DEPT Nitrate -N 0.576 0.500 mg/L EPA 300.0 MICRO LAB Total Coliform 61 OB w/o col/100mL SM18 92228 coli/100mL 10 max 02/08/00 SCL 02/08/00 JDT MUNICIPAUTY 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' CERTIFICATE Of- HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 0 5- 0 -7,l HAA # _ 1. GENERAL INFORMATION -=- Complete legal description Lot' 1;-5F-ock 5; Rive.ityiew EAta Location (site address or directions) _ NHN WateA4a M Dit i.ve Eaa•Ze RiveA. AK Properly owner Mailing address _ HC85 v Lending agency Mailing, address_-- t; Agent ;:Eva Add Lahe�R¢in r 16600 CenteA es MeAta Chk tb.f i.ani Bbx 9309 Eag.ee, Ri ax 0 Eagte RiveA _ Day phone Day phone 4Y �L l—_I'1; At a�t1a; 694-5025 —_ Day phone e694-421 %AV DO 1171' :�R Unless otherwise requested, HAA will be held for s pickup �OP bilk>�'f t,> f NUMBER BEDROOMS.`;," 3 TYPE OF„WATER SUPPLY: Individual well XXX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC a Ing to the legality and status of system. 4 TYPE OF WASTEWATER DISPOSAL Individual on-site XXX_ Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State attesting to the legality and status of system. 72-025 (Rev. 1/81) Front MOA $21 The Munic%ality pf�Anchorage Department of Health and Human avicesDHHS) issues Health Authority F(prroval Certificates Based only upon the representations given in paragraph 5 above by an an professional engi neer registered in the State of Alaska. The DHHS does th is as a cou rtesy to purchasers of homes and their lending institutions in Orderto 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. 72-M(AW.1/91) SaCk'MOAN21 Municipality of Anchorage: DEPARTMENT OF HE=ALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 995010 (907) 343-4744 Health Authority Approval Checklist O �q 9 16, Legal Description:I_v� '&cxv- 'Rive�R Vtciu i 6si' Parcel I.D.: C)�-7 al a-9 O Fs O A. WELL DATA `�� O��ZyG� �` <y Well type TR1VAT�-- IPA, E, or C, attach ADEC letter. ADEC water system number Log present &N) VES ___ Date completed Total depth _ (00 Cased to (0-(0-89 t Casing height (above ground) _ 1 4- Sanitaryseal (' IYESWires property protected Y/ J) UE—s Date of test Static water level Well production FROM WELL LOG a0 0 g. p. nt. AT INSPECTION II -7-95 —g.p.m. WATER SAMPLE RESULTS: Coliform 6 Nitrate 0. 1 O Other bacteria O Date of sample: _ d �5 Collected by: 'S446 IJV I N EE R 1 N(� K:EPTIO� HOLDING TANK DATA Date installed _I a "a-9 1� Tank size I P-SOen Number of Compartments oL _ Cleanouts 02YN) t�45'S Foundation cleanout (Yo _s± Depression (YO f _ High water alarm (Y/rX)i - No Date of Pumping N/ N.-rAN,- Pumper C. ABSORPTION FIELD DATA Date installed Length is � I'a-2--Qts Width 5 Soil rating(isiLi Z r ft'/bdrnt) 0.8 _ Systcm type SNnu_o�-C¢s ucN Gravel thickness below pipe 3. G Total depth 7 Effective absorption area '950 0 Monitoring Tubc present&Y N) y _ Depression over field (YO )✓U N.12w Date of adequacy test O/A s 1 _ Results (Pass/Fail) __ For bedrooms Fluid depth in absorption field before test (in.); —_ Immediately after gal. water added (in.): Fluid depth - ~_(ins.) Minutes later:_ Absorption rate = Peroxide treatment (past 12 months) (YIN) _ `� _ If yes, give date — D. LIFT STATION Date installed Maultole/Access (YIN) High water alarm E. SEPARATION DISTANCES Size in gallons "Pump on" level *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: t optic/ olding tank on lot Ivo i Absorption field on lot 13 41 1 Public sewer main -?S + Sewer /septic service line "Pump off" level at* On adjacent lots !Oa 4 - Oil adjacent lots ic>o t4 Public sewer manliole/cleanout 100 4 -(- Lift station SEPARATION DISTANCES FROMIEPTI OLDING TANK ON LOT TO: Building foundation LQ ' Property line (9 5 Absorption field 3,61 i Water mairdservice line Io 4- Surface water/drainage ton ` t Wells on adjacent lots 10 4 - SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I Water main/service line (o `d Driveway, parking/vehicle storage area 9 o t Building foundation Surface water W0 (+ Curtain drain HME ter LA.a J Wells on adjacent lots ioo t+ - F. ENGINEER'S CERTIFICATION Property line 1.1 t I certify that I have determined thru field inspections and review of unicipal records % th �7 Irl. in conformance tivith /Id 1 guidelr s in effect on this date. \ ......... Signature /✓%9�/ C% L�Z�- X 44 3 Engineer's Name /\DQ11.2 i C Cot, /9.✓ ') r Date to l D 19S— 11 RCCcRT C. COWAN <I,'•I CE - 8801 HAA Fee $oto i Date of Payment I ;?" %— C/S Receipt Number /S -;Z0 Rev. 9/95 OSS: itaa.wk.doc Waiver Fee $ Date of Payment Receipt Number 1 are Time APPLIC ' N7 FILLS OUT UPPED HAI '" ONLY — Property Owner r Phong T. !,7 Mailing Addres Zip Code Buyer 1 AddressAA ZipCode Lending Institution —L— Phone Address Zip Code Realty Co. & Agent Jay' Phone Address / Zip Code rrjj�;�!��—f��1�''''' E piE � d Legal Description g lc5r 1 ✓b(tc ��,��i��c �2i�int�S/ Street Location //q/ c� Type o esidence JUN 1519H3 Single Family 11 Multiple Family No. of Bedrooms ❑ Other Water :fupply "Dept. Of Health & Individual �or ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. ❑ Community wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility ( ) CO ITIONAL APPR VAL' DA I II, Sewer 1'sposal Individual Year Individual Installed: 7 D! ❑ Public Utility When Connected to Public Utlllty: ❑ Holding Tank Well Log Received NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Dale/ inspector -- Inspector Inspector Inspector Field Notes:` rrjj�;�!��—f��1�''''' E piE � d L�I 1� JUN 1519H3 "Municipality of Anchorago" "Dept. Of Health & Environmental Protection" (�3) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CO ITIONAL APPR VAL' DA I II, BY: Sails Rating Date Sewer Installed Wnll To Absorption Area �_� Well Log Received � Well to Tank Septic Tank Size 72 023 APPLI tNT FILLS OUT UPPER HA. -'ONLY Property Owner �� �=l{� C" I ICI_l �� Phone -- Mailing Address L -F \() -- �1 I \I(/ r _ Zip Code -r-i-U=-1-+�-•ti-�—E �--t- Buyer Time Address �zitii� f% •-(� �' Zip Code Lending Inslltullon„-furrlu-'--C%Cka l' ` Phone Andres = - n) Zip Code Realty Co. & Agent Phone Address Zip Code _ Legal Description Street Locational Type of Residence y�l Single Family /a Multiple Family No. Bedrooms I of ❑ Other Water Supply L� I /1L�4�. y,1� Inspector Individual Lt ->Y_ ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. depth log if Community For wells drilled prior to that date, give well (attach available). ❑ Public Utility Inspector Sewer Disposal �Ly�Individual Year Individual Installed: lJ Public Utility When Connected to Public Utility:--'�”-"- ❑ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 11C�C. C.4_S1S\J. 'rime Time Time Time I _t_ �4s9A <�ei-0 Date Date Date Date q �' -'5 11a�,,. Inspector Inspector Inspector Inspector ` P"��d Field Notes: _ �/� , )v1UNICIPALITY OF ANCHORAGE N� ENVI; E IV ED ( & APPROVED BEDROOMS �� 'CONDITIONS OF APPROVAL ( ) DISAPPROVED I ) CONDITIONAL A pNOV9LT DATE 106-4. BY: Soils Rating Date Sewer Installed Well To Absorption Area -k i •1' Well Log Received //c) Well to Tank q, i.' Septic Tank Size / ') 72023131941 oug2t"(1 dr, 11��-�O �a Pry i� til 6eptansbor 24, 1902 Capt.. Jack F'oarneyhough S.R. 9309 Eagle River, At 99577 Subject: Lot, 1. Block. 5 Riverview Estates Approval for the individual Newer and water facilities cannot: he clrant.ed until the following items have been completed: `� n wcsl.l, loq rnthmi.tted to this office for our files and review. ° 'Pho wat:er ana.lyuis report needs to he submitted to this office from the Chem Lab, 15633 D Street, for our review. Please notify thin Department for a reingpoction when the. noted discrepancies have been corrected. if there are any furt.her quostionn, please eal.l this office at 264-4720. R.P7.93 /p/xrT Macer.e.ly, Robert C. Pratt. Associate Environmental Specialist �1a� -", ) (0 - �o . qz_