HomeMy WebLinkAboutRIVER VIEW ESTATES BLK 7 LT 14 Municipality of Anchorage Page J of '~> 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: -~('"J Cl ~J 0 i LJ ~ PID Number:_ 0~0~ ,..e: DcCbbv N'~'b'~ Wastewater System: ~New D Upgrade *'~'"~¢,0 ~¢ R4..¢H977 ~,,,,,l,,,¢K~t~ ~,,/ ABSORPTION FIELD Phone: Nc. of Bedrooms:~. ~ Deep Trench ~ Shallow Trench ~'Bed ~ Mound ~ Other LEGAL DESCRIPTION Soil Rating:O¢.)~GPD/Sq. Ft. Total Depth fro~ originalgrade: Subdiv~ion: DeCh to pipe bottom from original 9ride: Gravel depth beneath pipe ~ ',o..,~,,: I""": I ,ig added above original gra~:~ Ft. Gravellength: ~() FI. WELL: ~New ~ Upgrade Gravel width: J~' Number of lines: I Bistance~tween Ii,es: ClassificaJ~on (~rivate, A,B,C): Total Depth: Cased To: Total absorption area: ~ Pi~e materi8~ Dat Drilled: StaticWaterLevel: Installer: Date installed: Yield: Pump Set at: Casing He[ght, Abo~e Ground: G GPM U /X Ft. I/¢* F~. TANK SEPARATION DISTANCES ~s.,ti~ ~ Holding ~ S.T.E.P. TO Septic Absorptioa Lilt Holding '.bric/Private~anufaoturer:~r~ From Tank Field Station Tank Sewer Lines Sudace W~,e, J~+' IOOt~ 100% LIFT STATION Line ~.~ ~ ~0 ~e~z~j ~ ~o.nd~t,on 5" /7' /7' '.um. on",..~,.t:~o.. "..~*of,",~w,~,: Cu~ain ~ ._~ ~ m Make Mode ~ D ~ ~b%o ~,~ Drain " ' ~ ~¢40 ~,q I~¢,[~ > ~] ~ Electrical Inspections pedormed by: Remarks: &'o,b.~ ~ 5'~¢'r-¢-I 8¢¢-,~ BENCH ~ARK Location and Description: ENGI~AL Inspections pedormed by:~m~e River, Alaska g~5~ Dates: 1st ~ ~ ¢' ~ ~," ............... '~~' ....... ; ..... Department of Health and Human Services approva~ Reviewed and approved by: ~~ /~/. ~ Date:/¢ -E~¢ 72-013 (Rev. 9/91) MOA 25 PER,~II' NO SW990148 PAGE 2 OF 3 Municip. a(it oF DEPARTMENT OF HEA~_TH ANI_) HUMAN SERVlCI:!S ENVIRONMENTAL SERVICES DIVISION P,D. Box 196650 OAnchorc§e, A/cskc 99519-66500]'elephone~ 343 4744 ON-SITE WASTI--WATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 14, BLOCK 7, RIVERVIEW ESTATES P.].D. NO, 050--791--14 PERMF[' NO SW990148 PAGE 3 OF 3 Hunicipati% oF' ~nchorage DEPARTP1ENT OF HEA~THAND HUh'I~N SERVICES EN¥1~ONI"IENT~L SERVICES DIVISION P.D. Box 19665D ~,Anchoro. ge, /~tasko, 99519 6650eTe~ephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEN AND/OR WELl.. INSPECTION REPORT LgGAL LOT 14, BLOCK 7, RIVERVIEW ESTATES P.I.D. NO. 050-791-14 99.3' FINAL GRADE ST1 ST2 CO1 94.8 NEW 1.300 GAL. POLY. TANK MT1 MT2 MT3 MT4 94.6' A B FCO 26,0' 5.0' ST1 27.0' 9.5' ST2 28.0' 15.0'- C01 29.5' 15.0'- MH 30.5' 18.0'- MT1 25,0' 52.5'- MT2 51.0' 54.0'- MT3 72.0' 101.5' MT4 74.5' 103.0' Dale: 1{)/26/99 TO '.vhOlll il lllfly COllCOrll, Thc seplic syslelll wiriog for {lie ]lOtlSe located Ill Lot 14 Block 7 Rivervicw ]?,slates '.','as inslalled llll(I completed by Night Owl Electric{licensed,bonded,and insured}. Sincerely, Troy Houston, Owner of Night Owl Electric RO. BOX'/70'/5.~ , E:AGLE RIVER, ALASKA 9957'7 o (907) 688 159/I- , odel2OEB Jq'Llrl/illlD iplGu~ ~Tiit 140 120 100 6O 2O 0 FEET 400 3OO 200 · I .. I ~.~1 ~'1.~ ..I ~ ~,e ~.~ j2,~:~... ~ ..~, DI~HA~CIE 1~4' ~T PAGE.OO4 ~ SEP--25--99 SAT 12:51 PM SULLIVAN MATER WELLS 688 2?59444444444444 P.O~ by DOD Oo. dba SULLIVAN WATER WELLS P.O. BOX e70272~ CHU(31AK~ ALASKA 99~87 · 'I'ELI~PHONE 688-2759 OWNER Of LAND /3//,~ ( ~ ,~tJC ,/, ~/~ ADDRESS ~.~.,~,3,X' ~_~'70 0~)" (~ LEGAL DESCRIPTION ._~10/-j/d, /.) I~c,O PERMIT NUMBER~/._.~o/__o._~_ Date of Issue. 6 , I'"/ . TAX INDENTiFICATiON NUMBER_._0~''~ -_ "7~/- Is well located et approved permit location? L{L]--Y~s ~ No Method of Drilling; ~ rotary ~1 cable Depth of well:_ ~o0 Casing Type .~7~.j-~[_WaH Thickness , ~)'~"~3 inches Diemeter_ ~ . ~_inches, depth, o~:~''-~ feet Liner Type: Casing Stickup Above Ground: ~ feet Static Water Level (from ground level): __~'l, ou,~l ~J(~ feet Pumping levelL~feet after._., hrs. pumping ~.,gpm Recover Rate: _ ~ _gpm Method of Testing: ~/~.,, Well Intake Opening Type: ~ Open End ~ Hole [~ Screened; Start feet Stopped. _feet O Perforations Start Stopped feet Depth: from feet, to_ , feet Pump Intake Depth: .feet Pump Size hp Brand Name Well Disinfected Upon Completion? /Ey~es (~ No Method of Disinfection: C~I,~I.~JE. ~b comments; E HOLE DATA DEPTH ATTF_NTION: It is the responsibility of the property owner to submit a copy of the well log to tim proper authority. Municipality of Anchorage: Department of Health & Human Services aqd/or Department of Environmental Conservation. MatSu Borough: Department of Environmental Conservation. ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST ROAD DESIGN 801LTEST PERCOLATION TEST CIVIL ENGINFERS (907) 694-2979 FAX (907) 694-1211 RECEIVED JUL 29 1999 Municipality of Anchorage i¥iUmc~pahly o!Anchor DEPARTMENT OF HEALTH AND HUMAN SERVICESoe t age 825 L Street; P, Health & Human Services P.O. Box 196650 'Anehorage, Alaska 99519-6650 The septic iy,?~O~,_i¢%s for the referenced property were performed on - - and ~-~-'~ . Prier to submitting the On-site Wastewater Disposal System~and,/or,,Well Inspection Report we are waiting for the ~5 ~b~;/'~ 5 ~£g~_ to be completed. If we may be of further service please contact us. Sincerely, Robert C. Cowan, P.E. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE Depalfment of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTI'"M / WATFR SUPPLY PERMIT Initial Date issued: Jun 17, 1999 Expiration Date: Jun 16, 2000 Permit Number: SW990148 Legal Description: RIVER VIEW ESTATES BLK 7 LT 14 Design Engineer: 0003 S & S Engineering Owner Name: Debby Newton Owner Address: 7800 DeBarr Road #H477 Anchorage, AK 99504- Parcel ID: 050-791-14 Site Address: Lot Size: 40000 SQ, FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field E~ SepticTank [] 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 I5.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AACSO ). 3. The engineer must notify DHHS at least 2 hours pdor 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. 5. The following special provisions, A soils Icg of the south bed wall is to be done during construction to verify soils consistency. This Icg is to be turned in with the As-built. Received Issued By: _-~~ [)ate: ate: &'/7'99 ROBERT C. COWAN, P.E. ~EWER &WATER SEWER&WA[ER W~LLINSPECIION &FLOW[EST 801LTEST PERCOLATION May 27, 1999 CIVIL ENGINEEP~) (907) 694-29~9 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 REFERENCE: Lot 14, Block 7, Riverview Estates Subdivison It is requested that you issue a permit to install a well and septic system to serve the three bedroom dwelling on the referenced property. Two test holes were excavated and percolation tests were performed. The approximate locations of the test holes are located on the attached site plan. At the time of excavation 5/11/95 water was found in both test holes, and after seven days of ground water monitoring the monitoring tubes had a depth to water of ten feet and five and one half feet respectively. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed well and septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/jhm Enclosure 17034 NORTH EAGLE RIVER LOOP ~' SUITE 204 · EAGLE RIVER, ALASKA 99577 o~ I t~ ~<x~ C) ,-~ m ~ o-mm I '' ( ~ I ~ Ii~ I T[~ ~agOdOSd < ti~ /~--%---~, I //~1 I I ~m I X ~ I ~ '~ N.T.S SCALE -I BED PROFILE L~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG --- PERCOLATION TEST LEGAL DESCRIPTION: ~--'~:~" ~ l~.~¢-'31 C> SLOPE 1 2 3 4 5 6 7 8 9 10- 11- 12 13 14 15- 16- 17- 18- 19- 20- COMMENTS ,~ ............... Township, Range, Section: WAS GROUND WATER ENCOUNTERED? SITE PLAN S DEPTH? / O E Depth to Waler A~tP, r Menitorino? . . I1~!,t Date:. IF YES, AT WHAT t (~ P Reading Date Gross Net Depth to Net Time Time Water Drop ~ ~'l~~ PERCOLATION RATE , :~ (m~nutes/~nch) PERC HOLE DIAMETER __ TEST RUN SETWEEN '~,~__ F~AN~ PERFORMED BY: S 8, S ENGINEERING ~/~ V~ ~ ,O ~ 17034 Eagle River Loop Road NO, 20~ CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WlTl~a~8~l~:~,~'~t~l~l~l~/~L GUIDELINES IN EFFECT ON THIS DATE. DATE: ~ "~ I~'ci ~' 72-008 (Rev. 4/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" StreeL Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST DATE PERFORMED: LEGAL DESCRIPTION:_~C..~ 14 ~'--~ ~f~dl~T°wnship, Range, Section: 3 4 5- 6 7 8 9 10 11 12 13 14 15 16 17 18 19 2O SLOPE SITE PLAN ENCOUNTERED? COMMENTS IF YES, AT WHAT DEPTH? Deplh lo Water After . __ MonilerinD? 5', 5- Dele', Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE I~:~ -- (m~nute$/~nch) PERC HOLE DIAMETER TEST RUN BETWEEN t,~-__ FT AND PERFORMED BY: S & S ENGINEERING ~ [&"~ ¢~ ~ ~ ~ _ CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 I~agle River Loon Roa,I ~ ,~n,~ ~ ~ ~1¢ ?~ ACCORDANCE WITH ~L ~T&'rE AND M~I~U~[~ EFFECT ON THIS DATE. DATE: Certificate of On -Site Systems Approval 6//C2 0 Parcel I.D. 050-791-14-000 Expiration Date=- 912-5f28 4 Legal description RIVER VIEWESTATES BLK 7 LT 14 Site address 21427 RIVER PARK DR Eagle River AK 99577 Current property owner(s) WILSON PATRICIA K &NEWTON DEBRA J X The On-site system(s) is/are approved for 3 bedrooms Conditional approval for bedrooms, with the following stipulations: Comments or advisories: Original Certificate Date: 7/30/2024 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAG Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 05079114000 Complete legal description RIVER VIEW ESTATES BLK 7 LT 14 Location (site address) 21427 RIVER PARK DR Current property owner(s) WILSON PATRICIA Day phone 242-5276 2. ON-SITE SYSTEMS SIZED FOR 3 BEDROOMS 3. TYPE OF WATER SUPPLY: FO -1 Private Well F-1 Private Well serving 2 dwelling units El Private Well serving 3+ dwelling units F] Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ❑ Private Septic F-1 Private Septic serving 2 dwelling units FI Holding Tank El Community Septic or Public Sewer 5. SEPTIC TANK: R Steel RN Plastic R Concrete R Fiberglass Age 25 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: E] AWWTS n Bed E] Deep Trench nE Wide Trench n Seepage Pit Waiver request for: Expedited review requested: F] Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ _5� Date of Payment rz'1_ny1_z'v f COSA # 05C 2112.0 I Waiver Fee $ Date of Payment Waiver # COSA Application—June 2022 COSA Checklist Legal Description: RIVER VIEW ESTATES BLK 7 LT 14 Parcel ID: 05079114000 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system _ A. WELL DATA Al Well log is filed with Onsite (or attached) Date drilled 6/22/99 Total depth 200 ft Cased to 85 ft OR Sanitary seal is functioning correctly OR Wires are properly protected Casing height (above ground) 25 in. Date of flow test for COSA 6/10/24 Static water level at beginning of test 5 ft. Comments Well production at time of test 5+ Qpm Water storage tank volume0 gallons Well disinfected for coliform test? ❑ Yes Q Nc M Coliform bacteria is Negative Nitrate mg/L Q Nitrate less than MRL (ND) Arsenic ug/L X Arsenic less than MRL (ND) Collected by NRim Eng. Date 6/10/24 B. TANK DATA C. LIFT STATION Measured operating fluid level in septic tank na* ❑ Required maintenance completed Date ofum m 9/25/23 / p p g 1 �1 ql��-/zvZ-Age of lift station years ❑ Required maintenance completed, if AWWTS Lift station material Comments: * Plastic Tank Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/31/05 X ALL standpipes present per record drawing Total measured depth from grade 6 ft (max) Measured depth to pipe invert from grade 3 ft (min) ❑ N/A - pressurized field. On Per record drawings, field is insulated. On Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 Adequacy test date 6/10/24 Results 0 Pass Fluid depth prior to test 23 in Water added 450 gal New fluid depth 28 in Elapsed time 30 min Final fluid depth 24 in Absorption rate 450 gpd FIELD STATUS - POST RECOVERY Effective depth (per record drawings) 36 in Effective depth used 24 in Effective depth remaining 12 in E. SEPARATION DISTANCES From Private Well on Lot to: Please enter distances if less than required or if community well on lot) if No ft Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' [C Yes if No ft ❑■ Yes if No ft Neighboring Tank > 100' ❑■ Yes if No ft Private Sewer/Septic Line > 25' ❑■ Yes if No ft Absorption Field on Lot > 100' ❑■ Yes if No ft Holding Tank > 100'❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ■❑ Yes if No ft ❑■ Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑■ Yes if No ft ■0 Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' ❑ Yes if No 5'+* ft Surface Water > 100' ■❑ Yes if No Tank to Property Line > 5' Field to Property Line > 10' Water Main > 10' Water Service Line > 10' ❑i Yes if No ft ❑ Yes if No 1+* ft ❑■ Yes if No ft ❑■ Yes if No ft F. ENGINEER'S COMMENTS * Tank @ 5'+, field @ 10'+ * Property Line Waiver Wells on Adjacent Lots: Private Wells > 100' ■❑ Yes if No Community Wells > 200' ■❑ Yes if No If tank or field is under driveway comment below ft ft ft G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Namc of Firm NorthRim Engineering Engineer's Printed Name Steve Eng COSA Checklist June 2022 Phone 694-7028 Date 6/13/24 OF eV Ar i * .'9 1H * �i JiA J0 n Steve Eng ♦,� CE 256 s BLOCK ICROACH/NG FENCE TO BE REMOVED 7 N89' 35' 06"E 160.31' / GREEN ti j rf(N89' 58' 50"E 160.00', N89' 33' 29"E 159.71' HOU5E tv +\ (N89' 58' 50"E 160.00') +\+ WOpO DEC � 5 I 1 SEE 125.3' DETAIL EP1IC RISE >< added by 1 (TYP) e i engineer 6.5'--1 -�.. o m I x re�x� i '' o N I (7 ' x _ 1 ) p N N 0 ci RNE I ) WOOD FENCE j� ENCROACHINC ^ro 3 3 o \ o O Z9' ^_ to I N N LOT 15 o a N I 1 BLOCK 7 LOT 14 0 3 (PLAT 79-5) C-4 g ? z 1 I BLOCK 7 Icon Z o- I (PLAT 79-5) o N 0 O vl w WOOD Z (PLAT 93-164) WELL o I 5TEP5 I_ 10' UTILITY EASEMENT - -OH N89' 43' 19"E 160.24' U N89' 33' 42"E 159.88' GRID NORTH ,(N89' S8' 160.00') (�58' S0"E 160.00') _— _ — — — —— — _ — _ _ J PAVED RDAD ------------------------------------- RIVER PARK DRIVE (60' WIDE) HIGH PRECISION CPS .END 5TORY .� WOOD DECK A✓ER5 59 8• WOOD SURVEY. LEGEND FOUND ALUMINUM CAP MONUMENT ¢ ELECTRIC METER O FOUND PLASTIC CAP ON REBAR © GAS METER A FOUND REBAR -a UTILITY POLE 9 FOUND ALUMINUM CAP S SHED XXX MEASURED DATA UB UTILITY BOX (XXX) RECORD DATA PER PLAT PROPERTY BOUNDARY ADJACENT PROPERTY BOUNDARY 60 0 60 120 180 SCALE IN FEET NOTES 1, INFORMATION SHOWN HEREON BASED ON FIELD SURVEY CONDUCTED BY McCLINTOCK LAND ASSOCIATES, INC JUNE 12th. 2024. 2. THIS LOT IS SUBJECT TO ANY EASEMENTS OF RECORD, EVEN IF NOT SHOWN HEREON. 3. THE BASIS OF BEARINGS ON THIS SURVEY IS NAD83(2011) ALASKA STATE PLANE ZONE 4, GRID, DETERMINED BY A HIGH PRECISION GPS SURVEY. Itanumenfs have been round and/or eel as Ind 1adI d. The Imp—oreenls situated thereon ore +nhln the property Iinu arq do not . crude, m arerlop to del ... nl proper) los, nor do any Isf—esenle Iron adjacent properllee encroach dr overlap onto lhl• grape onto eeeepl as i dusted hereon. Theproperty dinen.ions shorn In parenthesis ars I— the record plat and are not necessarily as se nay have red as urea. Add ill.naI dol. shoe. hereon should hot be construed to ',.plot' or resubdlrlde' y propertyand is eh.n Ior inlornalion a ly. Oral)inq and reP-duclion nay prod.. graphic "nconei elenc Rae; lMra fere a a 19 should he be at teirytad to OetermlM un Man dimensions. Only a eluants Iron the recorded subdlrlsl on pial .1.4 above o ah.en hereon and It Is IM responsibility sof the osnor !a delarnlne If any at Ms eaaamenla, covenants fro astrictions .slat. O WClintock Lord Assoclalee,r Inc. (I&A) 2024 This document Is copyrighted and Is authorized la be used for one real properly transaction or pro)eel only. My copy is to be considered unauihorievd unless it bear, on original -mayor', slgnolure (...ally In blue Ink) at a slow ah,,i nq recorder's office dol.. Copyright re slrictio (ba not n .. nIlielians) Ived If this docnt M s been officially recorded. Lending Institutions my also .k. ocidilichal espies far ume..their arecords. Liability to NLA ie linlled to leer r.c.1,.d for Ihi. project. AS -BUILT SURVEY OF LOT 14 & 15 BLOCK 7 LOCATED IN A PORTION OF RIVERVIEW ESTATES (PLAT 79-5) SITUATED WITHIN SE 1/4 SECTION 20, TOWNSHIP 14 NORTH, RANGE 1 WEST, SEWARD MERIDIAN, ALASKA ANCHORAGE RECORDING DISTRICT PREPARED BY: PREPARED FOR: McCLINTOCK LAND ASSOCIATES, INC. PATTY WILSON 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577 (907) 206-5000 SCALE: 1"=60' CHK: TB JOB: 24-130 DWG: L14 & LI5 LS FS NO: GRID: ANCHORAGE OWN: TW DATE: 7-19-24 DISK: J -DRIVE SHEET: 1 OF 1 STEPS WOpO DEC TWO 5TORY WOOD 16.9' FRAME HOU5e 5EP77C R15ER (TYP 5.1' 2.4' K 16,3' , 2.4' j HOUSE DETAIL Z j SCALE: 1" = 20' 34 6' ' 0 20 289- �O O1 1/000 WOOD pEE,K, 5TEP5 —x x. GRID NORTH DETERMINED FROM McCLINTOCK LAND ASSOCIATES PAVeR5 HIGH PRECISION CPS AECC 596 .� SURVEY. LEGEND FOUND ALUMINUM CAP MONUMENT ¢ ELECTRIC METER O FOUND PLASTIC CAP ON REBAR © GAS METER A FOUND REBAR -a UTILITY POLE 9 FOUND ALUMINUM CAP S SHED XXX MEASURED DATA UB UTILITY BOX (XXX) RECORD DATA PER PLAT PROPERTY BOUNDARY ADJACENT PROPERTY BOUNDARY 60 0 60 120 180 SCALE IN FEET NOTES 1, INFORMATION SHOWN HEREON BASED ON FIELD SURVEY CONDUCTED BY McCLINTOCK LAND ASSOCIATES, INC JUNE 12th. 2024. 2. THIS LOT IS SUBJECT TO ANY EASEMENTS OF RECORD, EVEN IF NOT SHOWN HEREON. 3. THE BASIS OF BEARINGS ON THIS SURVEY IS NAD83(2011) ALASKA STATE PLANE ZONE 4, GRID, DETERMINED BY A HIGH PRECISION GPS SURVEY. Itanumenfs have been round and/or eel as Ind 1adI d. The Imp—oreenls situated thereon ore +nhln the property Iinu arq do not . crude, m arerlop to del ... nl proper) los, nor do any Isf—esenle Iron adjacent properllee encroach dr overlap onto lhl• grape onto eeeepl as i dusted hereon. Theproperty dinen.ions shorn In parenthesis ars I— the record plat and are not necessarily as se nay have red as urea. Add ill.naI dol. shoe. hereon should hot be construed to ',.plot' or resubdlrlde' y propertyand is eh.n Ior inlornalion a ly. Oral)inq and reP-duclion nay prod.. graphic "nconei elenc Rae; lMra fere a a 19 should he be at teirytad to OetermlM un Man dimensions. Only a eluants Iron the recorded subdlrlsl on pial .1.4 above o ah.en hereon and It Is IM responsibility sof the osnor !a delarnlne If any at Ms eaaamenla, covenants fro astrictions .slat. O WClintock Lord Assoclalee,r Inc. (I&A) 2024 This document Is copyrighted and Is authorized la be used for one real properly transaction or pro)eel only. My copy is to be considered unauihorievd unless it bear, on original -mayor', slgnolure (...ally In blue Ink) at a slow ah,,i nq recorder's office dol.. Copyright re slrictio (ba not n .. nIlielians) Ived If this docnt M s been officially recorded. Lending Institutions my also .k. ocidilichal espies far ume..their arecords. Liability to NLA ie linlled to leer r.c.1,.d for Ihi. project. AS -BUILT SURVEY OF LOT 14 & 15 BLOCK 7 LOCATED IN A PORTION OF RIVERVIEW ESTATES (PLAT 79-5) SITUATED WITHIN SE 1/4 SECTION 20, TOWNSHIP 14 NORTH, RANGE 1 WEST, SEWARD MERIDIAN, ALASKA ANCHORAGE RECORDING DISTRICT PREPARED BY: PREPARED FOR: McCLINTOCK LAND ASSOCIATES, INC. PATTY WILSON 16942 NORTH EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577 (907) 206-5000 SCALE: 1"=60' CHK: TB JOB: 24-130 DWG: L14 & LI5 LS FS NO: GRID: ANCHORAGE OWN: TW DATE: 7-19-24 DISK: J -DRIVE SHEET: 1 OF 1 MUNICiPALiTY OF ANCHORAGF DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Lot 14, Block 7, Riverview Estates Location (site address or directions) NHN River Park Drive Property owner 'Ler'~y Alderman/MC21 Mailing address ' PO -Box 670045~ Eagle River~ Lending agency Day phone AK 99577 Day phone 223-8100 Mailin~g address Agent Address -' Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: NOTE: Individual well Community well Public water Day phone XXX If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer N OTI:-'_: XXX If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Front MOA~21 STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature Phone Date )0/~ /~'? DHHS SIGNATURE X Approved for bedrooms. ":-~:--- Disapproved. Conditional approval for bedroo,ms, with the following stipulations: Additional Comments 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 rchasera 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. RECEIVED MuniciPality of Anchorage OCT 26 DEPARTMENT OF HEALTH & HUMAN SERVICES MUNICIPALITY OF AN Environmental Services Division ENVIRONMENTAl-SERVIC 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checldist ' 7~ ' '~.~ ~16/~"¢--'1//E'l~ Parcel I.D.: Legal Desoription: ,. WELL .,T, Wall type ~ Log presenG.~) Total dep~n Sanitary seal f A. B. or C attach ADEC letter. ADEC water system number Date completed ~/~ Z/O' ¢ Cased to__ ~-' Casing height (above ground) Wires properly protected (Y/N) Date of test Static water level Well production FROM WELL LOG _ ~, 0 g.p.m. AT INSPECTION g,p,m. WATER SAMPLE RESULTS. Coliform O Date of sample: / S, SEPTIC/HOLDING TANK DATA Date installed ~/Z'C/~_Tank size ~ / Foundation cleanou~N~ _ Data of Pumping Nitrate Collected by: Other bacteria 03 / / :~ O Number of Compartments 2-~ Cleanouts~N)_ '~'¢2~ Deoression (Y~ ,A./'O High water alar~N) ~/~ Pu~ ~er ~ C, ABSORPTION FIr.'LD DATA Date installed ~/Z..~'/~ 8o,lrating~/~orfF/bdrm,!~,, ~'- Systemtype '~¢----/:D Length [~' ¢) ' Width / %- ¢ Gravel thickness below pipe Effective absorption area ¢¢ ¢ Monitoring Tube present, N)/~_ Depression over field (~____ Date of adequacy test ~ Results (Pass/Fail) Fluid depth in absorption field before test (in.); ~iately after gal. water added (in.): ~ , Fluid depth_ (ins) Minutes ~ Ab,mrption rate = _ g,p.d. Peroxide treatment (past 12.~s) (Y/N) If ye., give date ,/%7O bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access i~~) High water alarm level at* ,~Z~// Cycles tested /'k/C/'-'A/' Size in gallons "Pump on" level at* *Datum "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot ¢/~) ~' Absorption field on lot / O ~ ,r ,¢ Public sewer main ,'~//,~ / Sewer/septic service line 2 ~- ~ ¢- On adjacent lots On adjacent lots /'~:2~ Public sewer manhole/cleanout Lift station .., .: SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~' / Property line ~- /"/- Absorption field Water main/service line ,~-~ Surface water/drainage /¢?¢P / '~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line /~) Surface water Curtain drain Building foundation /~/'¢' Water main/service line Driveway. parking/vehicle storage area ,/</A/'¢¢'7/~/,,,/ Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections in conformance with. AlCOA HAA guidelines in effect on this date, Signature "'7/~/ Engineer's Name ~0g,~,47- ~. ~,~ Date /0/ HAA Fee $_ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number