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Home My WebLink AboutRIVER VIEW ESTATES BLK 6 LT 8[Riverview Estates Lot 8 Block 6 #050-792-12 Municipality of Anchorage Page 1 of-3- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: _ SW990339 PID Number: - 050-792-12 Name: FRANK GIOTRE & DEBBIE PINKHAM Wastewater System: ■ New ❑ Upgrade Address: 9350 STUART CIRCLE EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: (907) 696-5657 No. of Bedrooms: 3 ❑Deep Trench ■Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION Sell Bogng: 1 G Total Depth from adg*4.o de- 5.0 GPD/Sq. FL Ft. Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe: 8 6 RIVER VIEW ESTATES 2.41 — 3.41 Fl. 0.58 Ft. Township: Range: Non: FIII added above original grade: Gravel length: 9 Ft. ------y---1.3 =2.3 a Gravel width: Number of Ilnoe: Distance between Tines: WELL: ■ New ElUpgrade 5 FL 1 — Ft. Claeai/Icatlon (Private, A.B.C): Total Depth: Cased To: (TO BEDROCK) Total absorptlsn area: Pipe material: D-3034/F=810 PRIVATE 120 Ft. 20 Fl. 4!i0 SQ. Fl. ASTM Driller. SULLIVAN WATER WELLS Data Drilled: 9/23/99 Static Water Level: 15 Installer. GREEN CONTRACTORS Date Installed: 10/21-22/99 Ft, -- Yield:Pump Set At: Casing Height Above Ground: -- TANK 4 GPM UNKNOWN Fl, 2 FI. SEPARATION DISTANCES ■ Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer ANCHORAGE TANK Capacity In gallons: 1000 From Tank Flo Station Tank sewer Linea Well 100'+ 100'+ — — 25'+ Material: STEEL Number of compartments: 2 Surface 1Do'+ too'+ — LIFT STATION_ Water Lotsize 5'+ 10'+ In gallons: Munuraclurer. Line Pump on' level at: Pump oN" lilgh water alarm at: Foundation 5'+ 10'+ — — — Curtoln Pump Make cll Elscldco Inepeon$ pe arms by: Drain �� NONE KNO J------- BENCH MARK Remarks: *ADDED 1 FOOT OF M.O.A. APPROVED SAND FILTER. -- Locator, and De,cdption: TOP OF CMU FOUNDATION Assumed Devallon: 105.1 Ft. -- ENGINEEBB aFAL oo��pp _ O AWWC, INC, 0 Inspections performed by: _— Dates: list 10/21/99 . ..... .....QO 2nd _10 21-2299 D 3rd _ 11/17/99 QQ f ey . Garness,- QQ P CE /953 Department of Health andHUServ- approval 40sf '' •... ...•'' .neo > 4p400professlo�°coo —�J_ Date:�6�/L— Reviewed and approved by:.�""— 72-013 Rev. 9/91) MOA 26 I PERMIT NUMBER: AS—BUILT DRAWING PARCEL ID NUMBER: 1 SW990339 U50 -792•-t2--12 \ \ \ \ A tl 7. � '/�!//• FCO 16.8 12.9 37.2 ST1 37.7 47.7 69.0 ST2 43.1 53.7 74.9 DBL1 44.7 55.5 76.6 \ \ D DBL2 45.6 56.5 77.5 C01 62.8 73.5 93.5 6)O \ l Oip MT1 64.6 74.7 94.4 CO2 67.2 40.2 27.0 I / MT2 67.4 41.0 29.0 C- �^ / TOP OF CUTBANK �y a -ALTERNATE SITES -NEW DRAINFIELD\\ CO2� 1\MT1 \ry D \ ul THS C S FBF hzJ FCO DBL2 DBL1 uy NEW 1000 GALLON gyp SEPTIC TANK NEW WELL 1 DITCHLINE WITHGRAVEL DRIVEWAY /— SURFACE WATER. joc� WELL RADIUS UTILITY EASEMENT ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 28. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246,`;.%�� -L N RIVER VIEW ESTATES SUBDIVISION; LOT 8, BLOCK 6 *': '* OF WORK: AS -BUILT OF SEPTIC SYSTEM AND WELL LOCATION ...... ........ PARED FOR: PHONE NUMBER: — OO Je fry G 1ess,7 QO 9�, '•. -7953 .•'• `c�G JOHN 7HOMSON (907) 696-5657 -- h'o" , DATE: DRAWN BY: SCALE: PAGE: 1/31/2000 J.L.M. 1 = 40' 2 OF 3 PERMIT NUMBER: PARCEL ID NUMBER: SW990339 AS -BUILT DRAWING 050-792--12 fop Or fANK— Af lUf - 9863 Af IN.Ef - 98.09 OMGIML GRADE — XTP END - 100,02 5HAUGN END - 99.02 fora 5" - 96,03 5il 'Im GPADE - IO2.9t X2 NSW 1000 CI& LON 5�FIIC TANK DOffOM Of - MNCH - 95.02 � for op fmK Af anFf - 9864 \Nv u a [Am Af OIBE.Ef - 99,88 FIM6 Cm - 1013 INVERT or HIM -96.61 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE. 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 LEGAL DESCRIPTION: — — -- -- RIVERVIEW ESTATES SUBDIVISION; LOT 8, BLOCK 6, ------------ ---- TYPE OF WORK: PROFILE AS -BUILT OF SEPTIC SYSTEM PREPARED FOR: -- PHONE NUMBER: JOHN THOMSON (907)696-5657 DATE: -- DRAWN BY: SCALE: PAGE: -- 1/31/2000 J.L.M. N.T.S. 3 OF 3 F 8 A.ess! ` —7953 a O .• �c4 prof essw_'o\ CTextrfirh PxYxXI IGO!; by pOC Co. d6� SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, IkLASKA 99667 • TELEPHONE 868-2759 OWNER OF LAND TNor+7Sn.�i'—_ BORE ADDRESS LEGAL DESCRIPTION PERMIT NUMBER 0 33 Date of Issue -A-- -iS TAX INDENTIFICATION NUMBER Q,'[ ---La — Is well located at approved permit location? ayesr'O No Method of Drilling: cable tool Depth of well:— Casing Type YC&�— Wall Thickness—, ,e Inches Diameter_b ___inches, depth— `feet yy Liner Type: ,^�_ p✓ �°' -- Casing Stickup Above Ground: 02. _,feet Static Water Level (from ground level): J — feet Pumping level:_,_feet after_ �Inns, pumping gpm Recover Rate: �4_gpm Method of Testing: _ /l Well Intake Opening Type: C3Open End me Scre ed; Start -eaCStopped— — feet erforations Sfert feVeJL Stopped_ feat Grout Type:e�tolums Depth: from— --__feet, to _—— feet Pump Intake Depth: Pump Size __.hp Brand Name Well Disinfected Upon Completion? ttYes O No Method of Disinfection: _�Lt44. dr'j~ =5o Moo Go mme ts: yfa3/qy 7 ICK J A J1Ec. •C,Poo n�ti2 �✓�'! - � . _j FCC 0 j NM—— Municipality of Anchornnra _ --- �'_: Drillel's Name j� ----- ATTENTION: It is 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 andlor Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. ASBUILT SEWARD ! I HEREBY CERTIFY TI4AT 1 HAVE SURVEYED THE SCALEy.,f,p i FOLLOWING DESCRIBED PROPERTY, ' ,<P�,i.'6 AND THAT NO ENCROACHMENTS €XIST EXCEPT AS DATE, INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRIDI EASEMENTS, COVENANTS, OR RESTRICTIONS s<v.?.s7 WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB' _sy ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- _ DRAWN' ARY LINES. Y H� ow. M.,k s,..,e LS•691B r_........•' �r � nDDr 1 MUNICIPALITY OF ANCHORAGE r) Lu , in -A l _ 911 Department of Health and Human Services On -Site Services Program 10 - Z 2 ° n l9 90(/M 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON :)ITE WASTEWATER DISPOSAL SYSTEM I WATER SUPPLY PERMIT Initial Permit Number: SW990339 Date Issued: Sep 16, 1999 Expiration Date: Sep 15, 2000 Parcel ID: 050-792-12 Legal Description: RIVER VIEW ESTATES BLK 6 LT 8 Design Engineer: 0041 AK Water & Wastewater Consulta Site Address: Owner Name: Frank Giotre & Debbie Pinkham Lot Size: 40222 SQ. FT. Owner Address: 9350 Stuart Circle Total Bedrooms: 3 Permit Bedrooms: 3 Eagle River , AK 99577 - '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. I Received By: _ Issued By: Date: `7- /7_ f/c/ Caw -- Date: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 213 — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers September 8, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Well and Septic Design for Riverview Estates Subdivision; Lot 8, Block 6, To whom it may concern: The proposed 3 bedroom house will be served by a private septic system and a private well. Two test holes were excavated on the property. Comments regarding the proposed upgrade design are summarized as follows: 1. SOILS: Attached are logs which shows the soil profile, and the percolation test results. In both test holes, the soils below the organic layers are a CL/GM material to a depth of 4 feet in both test holes and than transitions to a GM/ML material to a depth of 10 feet were bedrock was encountered (bottom of both test holes). No groundwater was encountered during the excavation of the test holes; but seven days later, groundwater was found to be at 9 feet in both test holes. A percolation test for TH#1 was performed between the depth of 4.5 feet to 5.0 feet which had a percolation rate of 8.3 minute/inch.. A percolation test for TH#2 was performed between the depth of 4.5 feet to 5.0 feet which had a percolation rate of <1 minute/inch. 2. TRENCII DESIGN: a. Percolation Rate: 8.3 & <1 minutes/inch b. Allowable Application Rate: 1.0 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 450 ft2 f Total Depth: 5 feet (maximum on uphill side.) g. M.O.A. Sand Filter: 1 to 1.5 feet h. Effective Depth: 0.5 feet i. Width: 5 feet minimum j. Reduction Factor: 1.0 k. Minimum Length: 90 feet long 1. Effective absorption area = 450 ft2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the design drawing, the proposed drainfield is to be installed parallel to a 10 to 15 percent slope running from approximately north to south. There is a cutbank north/northwest of the proposed drainfield. We request that a 35 waiver be granted to the cutbank. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you hav any questions, please contact me at 337-6179, or 2.44-9612. Thank you for your assistance. Si M.S. NOTE: Attached is a site plan drawing, a design drawing, two soils logs and a 4 page construction specification letter which are all part of the design package for this septic system. LOT 16, BLOCK 5 RIVERVIEW ESTATES LOT 9, BLOCK 6 RIVERVIEW ESTATES 100. We I (( R101US %C I LOT 7, BLOCK 6 \ \ RIVERVIEW ESTATES \`\ "✓ACANNN� \\\ THN2�1 LOT 7, BLOCK 5 RIVERVIEW ESTATES LOT 17, BLOCK 5 RIVERVIEW ESTATES 'PROPOSED SEPTIC SYSTEM (SEE DESIGN, PAGE 2 OF 2) ALTERNATE SITE- \ \, \ PROPOSED 3 BEDROOM w , \ HOUSE- �'� FRS • ` .- � � �-.. `_ ------1---��_ _ \- EXISTING \\ �.... DITCHf-- LOT 3, BLOCK 6 RIVERVIEW ESTATES `-VACAN�-) LOT 2, BLOCK 6 RIVERVIEW ESTATES ` VAC f ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 RIVERVIEW ESTATES SUBDIVISION; LOT 8, BLOCK 6 SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM FRANK GIOTTRE AND DEBBIE PINKHAM 9/8/99 J.L.M. 1 1 = 100' 696-5657 1 OF 2 WELL / 7 - LOT 19, BLOCK 5 RIVERVIEW ESTATES CACA�!11D LOT 1, BLOCK 6 RIVERVIEW ESTATES NO ENCROACHMENT /Yr ...... .................... `t J• f A. Garness '9 '• -7953 c� PROPOSED DRAINFIELD. EXCAVATE 5 FLET DEEP BY 5 FEET WIDE BY90 FEET ONG. ADD \ OF M.O.A• APPROVEDI SAND FILTERAND THE14 FEET OF WASHED SEWER 0.SDRAI ROCK•INS ALL TRENCH PARALLEL TO SLOPE CONTOURS. GS \ \ \ \ \ \ TOP 0\ ANK \ \ \ x \ /0' —' — OT THR2MT F oru ALTERNATE SITE INSTALL DBL CO -- / \ \ F vi FCO o PROPOSED 1000 GALLON �" 1 �i SEPTIC TANK �, I _ PROPOSED \ \ R INuua- PROPOSED DRIVEWAY i DITCHLINE WITH -� SURFACE WATER. _ p1U- 100' ELI- EASEMENT (U/VD tee NOTES: 1. THE CONTRACTOR SHALL. HAVE THE 100 FOOT SETBACK FROM THE DITCHLINE FLAGGED BY AAND THE 100 FREGISTEREDWELL �LAIND SURVEYORUS FOR THE NP IOROTON ANY -_ CONSTRUCTION. 2. A MANDATORY PRE -CONSTRUCTION SITE VISIT BETWEEN THE --- —CONTRACTOR AND THE ENGINEER IS REQUIRED. ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FAX: (907) 338-3246 RIVERVIEW ESTATES SUBDIVISION; LOT 8, BLOCK 6, OF WORK: DESIGN OF WELL LOCATION AND SEPTIC SYSTEM 1.. . PARED FOR: PHONE NUMBER: FRANK GIO'TTRE AND DEBBIE PINKHAM 696-5657 VQQ °s C 7953 DRAWN BY: SCALE: PAGE: 44� yp oY 9/8/99 J.L.M. 1 = 40' 2 OF 2 F�0 rofessioo o�"o �--�—�— OOO0000c� s ALASKA WA'T'ER. & WASTEWATER CONSULTANTS, INC. LEGAL DESCRIPTION:_ RIVERVIEW ESTATES SUBDIVISION; LOT 8, BLOCK 6 _ PERFORMED FOR:. FRANK GIOTTRE AND DEBBIE PINKHAM _ DATE PERFORMED:_ 7/26/99 _ - - (reec� ITT HOLE DEPT #1 1 (EAST TEST HOLE) ORGANIC 2 -$OIL Q AS,SIFICATIONS r 7 10-E 11 12- 13- 14- 15- 16- 17- 18- 19- 20--- COMMENTS: 21314151617181920 —COMMENTS: GM/ML BEDROCK DEPTH TO GROUNDWATER DATE GW 7/26/99 ORG 8/3/99 7/27/99 GIP ML CL/GM W GM — - CL — --- GC 3:2.5 OL 6" -- 0 o0- o, SW - MH 3:55 - - —30 -- SP 4" — CH - i ¢ SM / OH — — ---- SC 4:2.7 --- 30 GM/ML BEDROCK DEPTH TO GROUNDWATER DATE DRY 7/26/99 _ 8/3/99 7/27/99 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING y- TH H//2 �PSED Soso �C `ciN 1 � \ ALT. SITE PROPOSED ' 3 HOUSE EPROPOSED �ISTING W_..E DITC DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL. READING NET Df20P (INCHES) 7/27/99 PERC. HOLE WAS PRESOAKED 4+ HOURS PRIOR TO TESTING — - — — --- — 1 3:2.5 — 6" -- — — - — 2 - 3:55 - - —30 -- -- 2" - 4" — — - --3 3:57 — 6" — — ---- 4 4:2.7 --- 30 _- 2 5/16" 3 11/16" — _- - — 5 4:29 — 6" — 6 4:59 30 2 3/8" 3 5/8" PERCOLATION RATE 8.3 -(MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 4.5 FT. AND 5.0 FT. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERF09MFJD IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON ALASKA WATER & WASTEWATER CONSULTANTS, INC. enl,1 bCbAbb bIA CI IITC .lD Y AAI/•IJhDAI•C AV !1[IrllA SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: RIVERVIEW ESTATES SUBDIVISION; LOT 8, BLOCK 6 PERFORMED FOR: FRANK GIOTTRE AND DEBBIE PINKHAM _ DATE PERFORMED:_ 7/26/99__ (f et TEST HOLE #2 1 (WEST TEST H0LE) 2 DATE ORGANIC = -aOIL C,JaSIFICATIONS _DRY 9.0' 8/3/99 7/27/99 4.5 -(MIN./INCH) FT. AND 5.0 GW ~ ORG 3 :.: GPlz ML CL/GM GMCL 4 GCOL °° o°• o SWMH 5 ®o e"• e SPCH ¢ SIM 7/ OH 6 SC 7 8 9 10 11 12- 13- 14- 15- 16- 17- 18- 19 213141518171819 20 COMMENTS: GM/ML BEDROCK DEPTH TO GROUNDWATER DATE CLOCK TIME 7/26/99 _DRY 9.0' 8/3/99 7/27/99 4.5 -(MIN./INCH) FT. AND 5.0 V0 ..... `....:....0 f Garnass Q ' 7953 mQ� 0 f o s sion°o SITE PLANS ` �< PROPOSED TH#2 / ` SYSTIM__ `• TH#7 ALT, SITE \� ` PROPOSED 3 BEDROOM ' HOUSE ATeRFgC� j'` —� PROPOSED E�ITCING'L,_...— DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) — 7/27/99 4.5 -(MIN./INCH) FT. AND 5.0 FT. Soo - PERCOLATION RATE <1 PERC. HOLE DIA. _ 6 _(INCHES) TEST RUN BETWEEN 4.5 -(MIN./INCH) FT. AND 5.0 FT. PERFORMED BY ALASKA WATER & WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMEb IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON Municipality of Anchorage Gt• t On-Site Water and Wastewater Program (907) 343-7904 IAB S A! C T Y CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 050-792-12 Expiration Date: J0-41 0 q� Oi 1. GENERAL INFORMATION Complete legal description River View Estates Block 6 Lot 8 Location (site address) 7300 Waterfall Dr Current Property owner(s) Taylor Day phone 350-7984 Mailing address same Real Estate Agent KW, Laney Day phone 350-7984 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) a OCT 0 LuiJ ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class C Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by: Date: id/ COSA to be released to the engineer,unless oth Ise requested by the engineer. COSA Fee $ J5Z Date: Date of Payment 16 S (t Date of Payment Receipt Number 0955Sb Receipt Number COSA# 35d715-34 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 NorthRim Engineering Phone 694-7028 Address PO Box 770724,Eagle River Engineer's Printed Name Steve Eng Date 10/5/2018 " '. 6. DSD SIGNATURE r'r A .�� • . ,�ti . System #1 Approved for 3 bedrooms. ;^ System #2 Approved for bedrooms. Disapproved. /a/s• // � �> f: .' Conditional approval for bedrooms, with the following stipulatip,Cis. ;� • ,\\lY WATER AND r" WASTEWA1ER z= PROGRAM 0,0 • sER\O-5 • By: v (',(`Q e2tAlte,-) T,-„ F-Ck � � Original Certificate Date: Qct / OO I g The Municipality of Anchorage Devlopment 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 ACRisor'' Septic System Advisory Arsenic,Actilsary; Well Flow Advisory Other ♦-z, ,�. COSA blue sheet_9-1-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: /P/✓eR 1// L ) ,Ccr T,t7 EJ S 6 L 8 Parcel ID: 050 7 72/2 A. WELL DATA Well type P If A, B, or C provide PWSID# Well Log (YIN) y Date completed V23/?? Sanitary seal (Y/N) Wires properly protected (Y/N) Total depth/2D ft. Cased to 20 ft. f '7 d Casing height (above ground) /8# in. (3edroc , FROM WELL LOG AT INSPECTION Date of test c/23/Is? t o/2//g Static water level /5 ft. /3. 5 ft. Well production g.p.m. 1'f' g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Nitrate Ni:\,1 mg/L Arsenic ARI ug/L Date of sample: /a////if Collected by: A/Re C.� B. SEPTIC/HOLDING TANK DATA Tank Type/Material S E P/ ( Date installed /O/ Tank size /ODD gal. Number of Compartments Z Cleanouts (Y/N) Foundation cleanout(Y/N) Depression over tank(Y/N)A/ High water alarm (Y/N) /V • Date of pumping /0/3/ /1 Pumper C. ABSORPTION FIELD DATA Date installed /0/99 Soil ratin64 _ S l t g (g.p.d./ft2 or ft2/bdrm) � System type i recti Length _ 7 Q ft. Width .5 ft. Gravel below pipe C, 58 ft. Total depth 5 ft. Eff. absorption area 4/50 ft2 Monitoring tube y Depression over field Al Date of adequacy test /a/2f _' tuResults (Pass/Fail) I" For 3 bedrooms Fluid depth in absorption field before test Q in. Water added Oso gal. New depth z in. Elapsed Time: 30 min. Final fluid depth o in. Absorption rate >= L.iS O g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) !l//X If yes, give date D. LIFT STATION 11A Date installed Size in gallons Manhole/Access (Y/N) "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 /D O / On adjacent lots /00 "t Absorption field on lot /Q 0 '-F- On adjacent lots /00 t Public sewer main /dal* Public sewer manhole/cleanout /Do # Sewer/septic service line lQ0 ''f' Holding tank /GO rf Animal containment areas 50 '-f- Manure/animal excrete storage areas /GG (-f- SEPTIC/HOLDING TANK ON LOT TO: Building foundation /Q 'f Property line lQ f Absorption field S Water main /0 I. Water service line /0 r-t Surface water / 00 'f Wells on adjacent lots /60' 4 ABSORPTION FIELD ON LOT TO: Property line /6 .1' Building foundation /d Water main l 4 Water Service line /01 (f Surface water /a0 �i Driveway, parking/vehicle storage /0 '"f' Curtain drain (i/ve_ Wells on adjacent lots /4.6 /74- F. COMMENTS G. ENGINEER'S CERTIFICATION / certify that I have determined through field inspections and • review of Municipal records that the above systems are in t' f , conformance with MOA COSA guidelines in effect on this date. ?=;Fi _, ,t <' ::* f� STF Engineer's Printed Name �tl� �/�/ Date /117.5° COSA yellow sheet_2-6-15.doc . , 1O, F/Le- / 0 Aq. TI / .... 4 /..-,r..... /ii0N �� r t./ Ai ':"4.- 1I••• . / '1,/ 0 \ j 0:'''''.....\$.1.,;• T., /ilk/ . °,Iii^;.. �: • 01 / ;t; • o P 1 I1 ‘ tie, \ 10 il fr pi /k `a. .;' 1,i Ill t i o !l QOM ! \ .;... / tv_..i. s \I! '\ /bh N \ : t. / �/ R1 �> 1ili--- U i /� i_Ni, / ASBUILT SEWARD 6 AS*1 IATES LAND SURVEYING 69' -0829 I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE' ' t ++++�� FOLLOWINO DESCRIBED PROPERTY' ��aF,aCq�� ,00ifee49/�'v e�3' 1--.?4,4 bred,/'' OATS' Q•,. . S . AND THAT NO ENCROACHMENTS EXISTYEIcCEPT AS /s/77,10, ;Jegin~ ' 'e INDICATED. IT IS THE RESPONSIBILITY OF THE ,�OWNER TO DETERMINE THE EXISTENCE OF ANY GRID' ��iEASEMENTS, COVENANTS, OR RESTRICTIONS f'v 3.f 7 lP� ... .. .....�... w. �u� .,www P..ww.. _. --_ _ n..._. u..t t....... ' A. B` • Municipality of Anchorage _ On -Site Water and Wastewater Program < (907)343-7904 Certificate of On -Site Systems Approval Parcel I.D. 050-792-12 1. GENERAL INFORMATION: Expiration Date: Complete legal description RIVERVIEW ESTATES: BLOCK 6, LOT 8 Location (site address) 7300 Water Fall Drive *Eagle River 99577 Current Property owner(s) Debbie Gioffre Day phone 632-3564 Mailing address Real Estate Agent John Collinge Day phone 440-2785 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: 4< ` , Date: COSA to be reled to the Orf§ir}arer, unless otherwise requested by the engineer. COSA Fee $ 5Oi4o Date of Payment Receipt Number o 9080 COSA# d'509- U/3 Waiver Fee $ Date of Payment Receipt Number 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: Gamess Engineering Group Ltd (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Gayness Date: `� y In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the systemis. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the systemis; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The Content of this report is for the sole benefit of the persontparty that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. #AECC884 6. DSD SIGNATURE System #1 Approved for 'Z bedrooms System #2 Approved for bedrooms �1Y OF Disapproved J�\eCti0. 0N - Conditional approval for bedrooms, with the followinjs: B , _�� ct v CJ(,(,tn�,Y Original Certificate Date: 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 engineers work. ATTACHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA bl esroer 1040-12AM If more than 1 septic system is on the lot: COSA Checklist # of Structure served by this system Certificate of On -Site Systems Approval Checklist Legal Description: RIVERVIEW ESTATES BLOCK 6 LOT 8 Parcel ID: 050.792.12 A. WELL DATA 'CASED TO BEDROCK PER MOA RECORDS Well type PRIVATE If A, B, or C provide PWSID # NIA Well Log (Y/N) YES Date completed 912311999 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 120 ft. Cased to •20 ft. FROM WELL LOG Date of test 912311999 Static water level 15 ft. Well production 4 g. p. m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mL Arsenic < 5.0 ug/L Nitrate ND mg/L Date of sample: 3114117 B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTICISTEEL Tank size 1000 gal. Number of Compartments 2 Casing height (above ground) 18+ in. AT INSPECTION 311 412 01 7 ft. .= Collected by: GEG. Ltd. Date installed Oct 1999 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) NIA Date of pumping 312 012 01 7 Pumper SANITARY PUMPERS C. ABSORPTION FIELD DATA Below existing grade to bottom of MT1. MT2 and associated c/o was not found. Date installed Oct 1999 Soil rating (g.p.d./ft2 or 112/bdrm) 1.0 System type TRENCH Length 90 ft. Width 5 ft. Gravel below pipe 0.58 ft. Total depth's ft. Eff. absorption area 450 ft2 Monitoring tube YES Depression over field NO Date of adequacy test 311412017 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test "0 in. Water added "652 gal. New depth "0 in. Elapsed Time: "0 min. Final fluid depth "0 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date " MT1 extends 5" below invert of drainpipe and no liquid level was observed throughout the adequacy test. Per Tim Ecklund MT2 and CO2 were not required to be located. D. LIFT STATION Date installed "Pump on" level at in Datum E. SEPARATION DISTANCES Size in gallons "Pump off' level at Cycles tested 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'+ in. Manhole/Access (YIN) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout 100'+ Holding tank Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water '100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water Service line 10'+ Surface water '100'+ Driveway, parking/vehicle storage 104 Curtain drain None Known Wells on adjacent lots 1004 COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Jeffrey A. Garness Date ldy/, �- COSA brown sheet_10-10-12.doc IM, #AECC884 �w� M ASSUILT I HEREBY CERTIFY THAT 1 HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY, AND THAT NO ENCROACHMENTS XIST EIiCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENT$, COVENANTS, OR RESTRICTIONS whirl+ M unT APPEAR ON THE 0ECOR00 SUBOI- ram .�,r7 lJ7H� o... M lk a....a ;- IF i MUNICIPALITY OF ANCHORAGE 0* 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 1. D. # _-O..5.0 - 7 9 2 -1 2 HAA #�� 1. GENERAL INFORMATION Complete legal description _ Lot: 8; Block 6; Riverview Estates Location (site address or directions) NHN Waterfall Drive —� Eaale River, AK Property owner Prank Giotre & Debbie Pinkham -Day phone_ 696-5657 _ Mailing address 9350 Stuart Circle Eagle River, AK 99577 Lending agency -- Day phone --_ Mailing address— -- - Agent — ---- Day phone Address _--- -- Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE: OF WATER SUPPLY: Individual well xx 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 xx 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. 72-026(Rev.1/91) Front MOA021 - 5. STATEMENT OF INSPECTION BY ENGINEER A's certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of.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 disposa�//s� s e ) �iigqn cgmpliance with all Municipal and State codes, ordinances, and regulations in efie 2� � � R " tff this inspection. wastewate �jon a , Iki�. 33 7 Name of Firm oma.._ 7), � Phone 7-6/ 9 Address Engineer's signature Alaska Water- & -- - Wastewater Consultants, Inc.. . Shall be PAID $ 2aost, or prior to, closing for the Engineering Services Provided, 6. DHHS SIGNATURE Approved for 3 bedrooms. Disapproved. Conditional approval for Additional Comments 0 Date 2-17- Disapproved. -1Z bedrooms, with the following stipulations: Date Z — 8 —l%0 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 courtesyto purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DH HS 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. 72-025(Rw.1/91) Back MOAx21 Municipality of Anchorage R. E C E I V E D DEPARTMENT OF HEALTH & HUMAN SERVICES ' �c iva�tj Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907 04QIP47040F ANcHO ,NIRONMENTAL SERVICES DMS. Health Authority Approval Checklist Legal Description: RIVER VIEW ESTATES S/D; LOT 8, BLOCK 6 Parcel I.D.: 050-792-12 A. WELL DATA Well type — PRIVATE - If A, B, or C, attach ADEC letter. ADEC water system number __N/A Lag present(Y/N) Total depth _ Sanitary seal (Y/N) Date of test Static water level Well production _ _ Date completed _-9/23/99 _ Cased to 20' o BEDRDCI0- Casing height (above ground) 2'+ YES - Wires properly protected (Y/N) YES; FROM WELL LOG AT INSPECTION 9/23J90 /� a g.p.m. g.p.m. WATER SAMPLE RESULTS: Coliform a _ Nitrate AX Other bacteria Date of sample: _�Z/ occr Collected by: _— A.W.W.C., INC. B. SEPTIC/HOLDING TANK DATA Date installed 10/22199 _ Tank size _ 1000 Number of Compartments 2 Cleanouts (Y/N YES Foundation cleanout (Y/N) YES _ Depression (Y/N) NO _ High water alarm (Y/N) — N/A _ Date of Pumping _— NEW Pumper C. ABSORPTION FIELD DATA * FROM FINAL GRADE TO 'TOP OF SAND Date installed _10/21-22/89 Soil rating (g.p.d./ft' or ft2/bdrm) 1.0 _ System type TRENCH Length 9o' _Width _5' Gravel thickness below pipe. 0.5' Total depth *5.3 Effective absorption area 450 SQ.FT.- Monitoring Tube present (Y/N) YES Depression over field (Y/N) _ NO Date of adequacy test NEW Results (Pass/Fail) For 3_bedrooms Fluid depth in absorption field before test (in.); - —Immediately after - gal. water added (in.): __ Fluid depth _ (ins) Minutes later: - Absorption rate = ._g.p.d. Peroxide treatment (past 12 months) (Y/N) - If yes, give date - 72-026 (Rev. 3/96)' D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level 'Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Size in at' "Pump off" level at' On adjacent lots On adjacent lots Public sewer manhole/cleanout Sewer /septic service line 25'+ Lift station N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Absorption field Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10' Water main/service line Surface water 100'+ Driveway, parking/vehicle storage area Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. ENGINEER'S CERTIFICATION oo�O�b 1 certify that 1 ve ej' thr field inspections and review o/Municipal reco t /// in conforma ce wt h if/1 A g idelines in effect on this date. Signature Engineer's Date A. GARNESS HAA Fee $ 3 &D o M Waiver Fee $ Date of Payment Z- / Date of Payment Receipt Number s 5.1-44 Receipt Number 72-026 (Rev. 3/96)' ....../. Y/ YYi........... /..... a Ga eas: —7953 •' cr4v`A' are CT&E: Ref. 4 - Client Name Project Name: Client Semple ID Matrix PWSIb CUE Environmental Services Inc. Laboratory division 1000450001 AK Water & Wastewater Cons. n/a D Riverview East L8 15X /0//�)��- Drinking Water n/a 200 W Potter Drive Anchorage, AK 99518 TeL (907) 562-2343 Pax: (907) 561-5301 Client POO n/a Printed DotoMirrie: 02/07100 14:00 Collected Daterrime 02/03/00 15:15 Received Daterrime: 02/04/00 1200 Technical Director' Stephen Ede Released By: Allowable Prep Analysis Parameter Results PQL Units Method Limits Date bate Init Total Coliform (MP) 0 col/I00 ml SM92.228 02/04/00 JDT Nitrate 0.5 U 0.5 mglL EPA 300 100 02104100 SCL BIZ -:1 ZO/10'd 999-1 1089199 1VIONONIANil LO-WOdl 1141 00-10-ZO