HomeMy WebLinkAboutGLEN EAGLE BLK 3 LT 1Glen Engle Block 3 Lot 1 #'050-601-15 Aug 24 22 05:06p Anchorage Well & Pump Ser 9072430742 p.1 MUNICIPALITY OF ANCHORAGE Development Services Department o4kR° t Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Pump Installation Log Well Drilling Permit Number: Date of Issue: Parcel Identification Number: 050 601 _ 15 Legal Description Block Lot Property Owner Name & Address: THEIS DIANA MARIE LILEY GLEN EAGLE 3 1 23616 SUNNY GLEN DRIVE EAGLE RIVER, AK 99577 Pump Installation Date: 08 _ 22 _ 2022 Pump Intake Depth Below- Top of Well Casing: 46 feet Pump Manufacturer's Name: RED JACKET Pump Model: 50C2118S 12 Pump Size: 50 hp Pitless Adapter Burial Depth: 9 feet Pitless Adapter Manufacturer's Name: MARTINSEN Pitless Adapter Installer: Well Disinfected Upon Completion? Yes ❑ No Method of Disinfection: PELLETS Comments: Pump Installer Name: - ANCHORAGE WELL &PUMP SERVICE Company: 7640 KING STREET ANCHORAGE, AK 99518 Mailing Address: 907-243-0740 City: State: Attention: The pump installer shall provide a pump installation log to On-site within 30 days of pump installation. Municipality of Anchorage On-Site Water and Wastewater Program • (907) 343-7904 Page 1 of 4 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141153 PID Number: 050-601-15 Dwelling: 9 Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New Upgrade Name: Dave Mason ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench N Bed ❑ Mound Address 23616 Sunny Glen Drive, Eagle River, AK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 440-5580 3 0.8 GPD/SF 3.7-4.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 2.27-3.01 Ft. Gravel depth beneath pipe 1 0.90 Ft. Subdivision Block Lot Glen Eagle S/D 3 1 Fill added above original grade 0-1.5 Ft. Gravel length 38 OFL Township Range Section Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 1 2.5 Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches I From Tank Field Lift Station Tank Line 563 Ft2 NA NA Ft. well 100'+ 100'+ NA NA 25'+ TANK WSeptic ❑ S.T.E.P. ❑ Holding El Other Manufacturer Greer Capacity 1000 Gal. Surface water 1001+ 1001+ NA NA MaterialNumber Steel of compartments 2 Lot Line 10'+ 101+ NA NA NA Foundation j'+ 10'+ NA NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain None None NA NA Remarks *ASTM D3034 F81 O for drainfield & MT, Pump on level at in. Pump off level at in. High water alarm at in. D3034 for CO. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 Tank to dreinfield D3034 Installer Alaska Divers Drainfield * CO/MT Inspector F. Kenley BENCH MARK (Assumed elevation) 100.00 R Inspdatesn 1s' 6/14/14 6/16/14 Location and description 2"" Top of block foundation at point C. See p. sm 6/18/14 4'" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL r Conditional Approval: Dates • ' + L i .A�f^ •• • • T • CE�b Approved Date T�• �'-� °'f �f,. :.., , 7 Inspection Rep6R_9-Vl2.doe BLOCK 2 Lot 2 Lot 3 00 \ C. 0. • M.T. Q WELL �_ Legend: GLEN EAGLE S/D DOUGLAS T. KENLEY, P.E. Civ;l En91 eer ASBUILT %W E.XpMtlu ChL Palnw,AWWBB615 (PM1]K101A cIEIIL Dave Mason Glen Eagle S/D, Block 3, Lot 1 "°DREW -26616 Sunny Glen Drive, Engle River, AK "0 NU"XEB'050-601-15 11IT XB"BB"'OSP141153 7/23/15 CHEIXE° DTK "" FK "" 1" = 60' JOB "wBB", 14104 SHEET 2 of 4 Lot 10 SWING➢ES 00. 0 4 /\ 12.2'X76' 29.8' ® TCO -1 279 / ® TCO -2 \ 18.3' ® DBL WYE -1 GAT. s Ey / / 18.4' SUNNY G4N DR. 20.5' CO -2 N 90'00'W W 211.39• i A ➢o / � / 49.0' 32.7' 75.3' 42.6' WELL _ CO -5 ]Z9' 46.9' h/ ��( ® ® WELL 1 3 BEDROOM M.T. / GRAVEL RESIDENCE 3 " C)� ''R ORIVE ry`Z'� 69' 57.00' �\ To #1 EXISTING TANK & LEACH WAS ABANDONED ON-SITEEAS AS 00 \ C. 0. • M.T. Q WELL �_ Legend: GLEN EAGLE S/D DOUGLAS T. KENLEY, P.E. Civ;l En91 eer ASBUILT %W E.XpMtlu ChL Palnw,AWWBB615 (PM1]K101A cIEIIL Dave Mason Glen Eagle S/D, Block 3, Lot 1 "°DREW -26616 Sunny Glen Drive, Engle River, AK "0 NU"XEB'050-601-15 11IT XB"BB"'OSP141153 7/23/15 CHEIXE° DTK "" FK "" 1" = 60' JOB "wBB", 14104 SHEET 2 of 4 Lot 10 SWING➢ES 00. 0 4 /\ 12.2'X76' 29.8' ® TCO -1 279 20.6' ® TCO -2 33 ] 18.3' ® DBL WYE -1 GAT. s Ey / 39.1' 18.4' ® CO -1 \IEPSEPI TC TANK 20.5' CO -2 46.3' 277' ® CO -3 48.9' 32.2' / 49.0' 32.7' 75.3' 42.6' CO -5 ]Z9' 46.9' ® WELL 92.]' 129.6' M.T. / �\ To #1 EXISTING TANK & LEACH WAS ABANDONED ON-SITEEAS AS PER CODE � \ & Lot 1 G/L ELEV.9s- FOR TEST PIT = 91.80' \ Lot 10 BLOCK 4 00 \ C. 0. • M.T. Q WELL �_ Legend: GLEN EAGLE S/D DOUGLAS T. KENLEY, P.E. Civ;l En91 eer ASBUILT %W E.XpMtlu ChL Palnw,AWWBB615 (PM1]K101A cIEIIL Dave Mason Glen Eagle S/D, Block 3, Lot 1 "°DREW -26616 Sunny Glen Drive, Engle River, AK "0 NU"XEB'050-601-15 11IT XB"BB"'OSP141153 7/23/15 CHEIXE° DTK "" FK "" 1" = 60' JOB "wBB", 14104 SHEET 2 of 4 Lot 10 SWING➢ES A 0 FCO 7.9 29.8' ® TCO -1 279 20.6' ® TCO -2 33 ] 18.3' ® DBL WYE -1 37.6 194' ® DBL WYE -2 39.1' 18.4' ® CO -1 44.1 20.5' CO -2 46.3' 277' ® CO -3 48.9' 32.2' 90 MT -1 49.0' 32.7' 75.3' 42.6' CO -5 ]Z9' 46.9' ® WELL 92.]' 129.6' Lot 2 OF At -NA ��q '/' *.-49TH* Do •as T. Kenle . PF CE -8176 ���i FINISH GRADE ORIGINAL GRADE 9 NIOSH ELEV. TCD 95 9 IELEV. DBL WYE I95& & G/L ELEV. 95.2 n n n 2% SLOPE FROM INLET 93.3' 1,000 GALLON SEPTIC TANK BOTTOM ELEV. 89.0' r9 OUTL 93.2' NOTES: 1. EXISTING TANK WAS DISPOSED OF ON SITE AS PER CODE. 2, 100.00' BENCH MARK IS LOCATED AT THE FOUNDATION PAINTED WITH ORANGE PAINT AT THE S.W. CORNER OF THE HOUSE MARKED "C" ON SITE PLAN DRAWING. TANK (PROFILE) NTS DOUGLAS T. KENLEY, P.E. Civil Engineer % E.NO CO . P ,,N hlllll E • 00110�1M Dove Mason Glen Eagle S/D, Block 3, Lot 1 "23616 Sunny Glen Dr., Eagle River, AK PIn. XOMBERY °"r`-7/23/15 1`K`DTK °fl": FK s. NTS ASBUILT 1 —15 """" ""'° '" OSP 141 153 "14104 SHEET 3 OF 4 ELEV. 2" DOW RIDGID INSULATION —Oe SLOPE TO BED v p low i *:.49TH..'*`// Dou s . Kenley .' tFq CE -81 ( F�PROFE SIOO CO -1 & 4 CO -2 & 5 CO -3 & 6 MT -2 FINISH ELEV. MT -1 97.0' CO-1,$3,MT-1 oa m BOTTOM ELEV. FINISH ELEV. 90.08' ROOD' ap a 93.3' MT 2, CO -4,5,6, rf--nRG. 2" DOW RIDGID INSULATION REQUIREB GRADE ELEV. 95.2' CO-723MT-1 ELEV BACKFILL - 91.8GRADE MELS CO -4,5,6 FINISH GRADE ORIGINAL GRADE - 4" D3034 FROM TANK LEACH FIELD (PROFILE) NTS DOUGLAS T. KENLEY, P.E. Sneer ASBUILT w E�- vam.r,awaww . leml�asama C°`"''Dave Mason ': Glen Eagle S/D, Block 3, Lot 1 1°°"`n23616 Sunny Glen Dr., Eagle River, AK '''"0'X1°'8`"'050-601-15°"'"OSP141153 7/22/15 8"8C"m' DTK °RPWNi FK ""- NTS °OB NUMBEfl- 14104 SHEET 4 OF 4 �, OF AL,gkj sVfl+� *: 49 TH Doug44, Kenley I �F��s . CE -8176 14�* nu ESStiON��� 570 SF DOWNWARD 15' "'EX 38' LONG BED. ROTATED FOR CLARITY oa m BOTTOM ELEV. BOTTOM ELEV. tiz p 90.08' ROOD' ap a 4" DIA. PERFORATED PIPE o LAID LEVEL WITH HOLES POSITIONED - INVERT ELEVATION 90.99' Sds BOTTOMOF TESTHOLE a,pberf ,rI 77.8" ELEVATION LEACH FIELD (PROFILE) NTS DOUGLAS T. KENLEY, P.E. Sneer ASBUILT w E�- vam.r,awaww . leml�asama C°`"''Dave Mason ': Glen Eagle S/D, Block 3, Lot 1 1°°"`n23616 Sunny Glen Dr., Eagle River, AK '''"0'X1°'8`"'050-601-15°"'"OSP141153 7/22/15 8"8C"m' DTK °RPWNi FK ""- NTS °OB NUMBEfl- 14104 SHEET 4 OF 4 �, OF AL,gkj sVfl+� *: 49 TH Doug44, Kenley I �F��s . CE -8176 14�* nu ESStiON��� On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP141153 Tax Code Number: 05060115000 Work Type: Septic Upgrade Permit Effective Dates: June 09, 2014 to June 09, 2015 Design Engineer: DOUGLAS T KENLEY Subdivision: GLEN EAGLE Site Legal Address: GLEN EAGLE BLK 3 LT 1 G:0160 Owner/Address: MASON JOHN DAVID & JUDITH K 23616 SUNNY GLEN DR EAGLE RIVER AK 995779778 Site Mailing Address: 23616 SUNNY GLEN DR, Eagle River This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 39164 Total Bedrooms: 3 N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By By: Date: 4A"1'-4 Date: �� MUNICIPALITY OF Community Development Department Development Services Division On -Site Water & Wastewater Program ANCHORAGE Phone: 907-343-7904 FS/� B(i§) / ; �^1 ON-SITE SEWER/WELL PERMIT APPLICATION 40 3 0 2414 C Parcel I.D. 050-601-15 Property owner(s) Dave Mason Day phone 440-5580 Mailing address 23616 Sunny Glen Drive, Eagle River, Alaska Site address 23616 Sunny Glen Drive, Eagle River, Alaska Legal description (Sub'd., Block & Lot) Glen Eagle S/D, Block 3, Lot 1 Legal description (Township, Range & Section) Lot Size 39,164 Sq. FC APPLICATION IS FOR: (® all that apply) Absorption Field ❑X Septic Tank ❑X Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) Upgrade Z (w/wo ADU) F1Renewal El Duplex (D) Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. owner or autnorizea agent) Permit/Rush Fees: A5/e9 Date of Payment: OwK/ Receipt Number: �as -w5 Permit No. 110110 f 1157 Permit App_:'- :- :_'.,:c, Waiver Fees: Date of Payment: Receipt Number: Waiver No. Douglas T. Kenley, P.E. 9806 E. Northstar Circle, Palmer, Alaska 99645 (907) 746-1073 June 10, 2014 Mr. Dave Mason. Owner Glen Eagle S/D, Block 3, Lot 23616 Sunny Glen Drive Eagle River, Alaska PERCOLATION TEST RESULTS AND GENERAL SITE INVESTIGATION REPORT On April 8, 2014, an adequacy test was performed on the well and septic system at the above-described property. The well passed, but the septic system, with a four foot wide trench, did not as the water rose above the invert of the distribution pipe during testing. On April 30, 2014, David Mallars dug a test hole to a depth of 14' near the existing leach field. Ground water was observed seeping into the hole during excavation. A monitoring tube was installed and after approximately 30 minutes, the water level was measured initially and again after seven days. It was determined that the existing leach field is too close to groundwater and is possibly even in ground water at the bottom of the trench. It is proposed that a replacement system be installed in the area designated on the attached design documents. A percolation test was performed which resulted in a soils percolated at a rate of approximately 1.65 minutes per inch. It is proposed that a 15'x38' bed be installed as the replacement system. The proposed design is sufficient to serve a three-bedroom house on the referenced 0.9 acre property. The lot slopes approximately 0-5% in the area of the proposed leach field. The parcel is treed with spruce, birch, and alder, with birch being predominate. There are no water wells or streams within 100 feet of the proposed replacement septic sytem. Please consider this report as a request for review and approval of the attached design drawings for the replacement of the existing on-site wastewater disposal system. S' cerely, Douglas . F nley, P. . PE#8176 SEPTIC SYSTEM SPECIFICATIONS: 1. ALL CONSTRUCTION SHALL BE IN ACCORDANCE WTH THE M.O.A. WASTEWATER CODE CHAPTER 15.65.060. 2. EXISTING 1000 GALLON TANK TO BE REMOVED & DISPOSED OF ON—SITE AS PER CODE. 3. SERVICE LINE TO DRAIN FIELD SHALL BE 4" DIA. D3034/PVC PIPE. 4. DRAIN FIELD LINE SHALL BE 4" DIA. 3034 F810 PERF PIPE DASTM R/C. 5. EXISTING LEACH FIELD TO BE ABANDONED AS PER CODE AND THE NEW LEACH FIELD PLACED TO THE EAST WITH AT LEAST A 10' SEPARATION FROM THE ABANDONED FIELD. 6. PROVIDE 10' MINIMUM SEPARATION BETWEEN EDGE OF BED AND FOUNDATION. 7. PROVIDE 10' MINIMUM SEPARATION BETWEEN SEPTIC SYSTEM AND PROPERTY LINE. 8. PROVIDE 200' MINIMUM SEPARATION BETWEEN SEPTIC SYSTEM & PUPLIC WELLS, 100' PRIVATE WELLS & SURFACE WATER. 9. FOR APPLICABLE EXCAVATION, TRENCHING, AND SHORING SAFETY STANDARDS, CONTACT THE STATE OF ALASKA, DEPARTMENT OF LABOR, OCCUPATIONAL SAFETY AND HEALTH COMPLIANCE CONSULTATION, AND TRAINING DIVISION OF LABOR STANDARDS AND SAFETY AT 269-4955. 10.PROVIDE 2" BOARD INSULATION OVER DRAIN FIELD IN AREAS WHERE GROUND COVER IS LESS THAN 3'. 11. BASIS OF ELEVATION IS 100 FT. AT POINT "C" AS SHOWN ON THE SITE PLAN. POINT "C" IS THE TOP OF BLOCK FOUNDATION WALL. DRAINFIELD CALCULA11ON FOR BED SOIL TYPE: GRAVELLY SAND (SP) PERCOLATION RATE: 1.65 MINUTES PER INCH APPLICATION RATE (AR): 0.8 GAL./DAY/SF DESIGN (3) BEDROOMS: DISCHARGE = 3 BEDROOMS X 150 GALLONS/DAY = 450 GALLONS ABSORPTION AREA = 450 GALS PER DAY/0.8 GALS PER DAY/SF = 563 SF EFFECTIVE DEPTH = 0.5' BED LENGTH = 563 SF/15'WIDE = 37.53'. USE 38.0' • ASSUMES DOMESTIC WATER USAGE FOR RESIDENTIAL HOME CONSUMPTION. • CALCULATION METHOD OBTAINED FROM MUNICIPALITY OF ANCHORAGE "WASTEWATER DISPOSAL CODE REGULATION" FEBRUARY 14, 2003; AMC 15.65, TYPICAL SYSTEM FIELD REQUIREMENTS AND SPECIFICATIONS. DOUGLAS T. KENLEY, P.E.'"'""'Y alNi Engineer CALCULATIONS 8106 E. XaNWer CYtls PYw�/0W K&6 h0I0 ]6&1•d C. David Mason Glen Eagle S/D, Block 3, Lot 1 .w: ' N' roan xu ' 23616 Sunny Glen Drive, Eagle River, AK 050-601-15 5/29/14 CHE01 DTK I °: FK N/A "H11B : 14104 1 SHEET 1 OF 5 OF Atq P- * 49 TH *rill Dou s KenT ley :' P ... jw �rF�sT CE -8176 ��� TRACT B1C BLOCK 2 Loi 2 Lt 3 Lot 10 SUNNY GLEN DR. / N 9M W W 21139' A/ 1�TyF y s mW. m 12RM16 SIEO EAGLET AERIE S/D .� 1 BLOCK 4 msrxa arrclW« Wm ��� a a x. c°s. Lof 2 ran.'n -."w '� BLOCK 3 Lot 10 BLOCK 4 C.O. 0 M.i.Q WELL �_ ,e.i L �. DOUGLAS T. KENLEY, P.E. C,°, Engineer MEMaN1Nr . PWw,NVMN616 . Wn7WI ii "u -Dave Mason 1FIl°` Glen Eagle S/D, Block 3, Lot 1 mme 26616 Sunny Glen Drive, Eagle River, AK °.I.o. xw9m1 °""5/11/14 CXE°`m`DTK orrwx' FK ." 1" = 100• GLEN EAGLE S/D DESIGN 14104 SHEET 2 OF 5 OF•ACAs,{,�I (l *: 49 TH Douglas T. Kenley I�;�C �817�6 ��201 AV Il\ rip ROFESSO�� BLOCK 2 Lot 2 / o I I ! o I \ to y WELL 1 \. c" \5000 1,000 GAL STEEL SEPTIC TANK EXISTING SEPTIC TANK AND LEACH FIELD SHALL BE ABANDONED ON SITE PER CODE G/L ELEV. FOR TEST PIT = 91.80' Lot 10 BLOCK 4 Lot 3 SUNNY GIZN DR. n N �I N W. Z AT TIE 114,93 GRAVEL_ ©RAVE Cr ry61 �aF I C.O. 41 M.T. Q WELL Legend: 12.2'X16' SHED NEW 15 X 38 Ff BED O O O 0 0 Lot 2 GLEN EAGLE S/D DOUGLAS T. KENLEY, P.E. Civil Engineer MEHwtlsYcC . W6nr.AIW WMS . WFFF6M cuwr: Dave Mason Glen Eagle S/D, Block 3, Lot 1 e`mEe26616 Sunny Glen Drive, Eagle River, AK p°1NRBEfl 057572-15 °°''5/19/14 CNL-" DTK I °RNXk FK 1a 1" = 60' 1.NU.. 14104 Lot 10 BLOCK 3 TH DESIGN �� Dou T. Kenley ROFESS DNP V+a��I ORIGINAL GRADE 91.8' ELEVATION MT -1 � CO -1 & 4 � SCO -2 & 5 r CO -3 & 6 � MT -2 FABRIC BACKFILL 2" DOW RIDGID INSULATION REQUIRED 4" 03034 FROM TANK -o, o'P °ao oo a°.Q°o°oo aoo o°.o°°pO•°o.o-n'°°- °cp. 4" DIA. PERFORATED PIPE DOE OF BED LAID LEVEL WITH HOLES POSITIONED 570 SF DOWNWARD 15 WIDE X 38' LONG BED. ROTATED FOR CLARTY NOTE: BOTTOM OF BED MUST BE NO LOWER THAN ELEV. 89.50 FEET FOR GROUNDWATER SEPARATION. LEACH FIELD (PROFILE) NTS 2% SLOPE FROM z 5 BOTTOM OF TEST HOLE 77.8' ELEVATION MIN. GROUND ALL PIPING 1,000 GALLON SEPRC TANK NOTE: EXACT SWING -TIES & ELEVATIONS FOR TANK WILL BE SHOWN ON AS -BUILT. EXISTING TANK TO BE DISPOSED OF ON SITE AS PER CODE. 100.00' BENCH MARK IS LOCATED AT THE FOUNDATION MARKED WITH ORANGE PAINT AT THE S.W. CORNER OF THE HOUSE MARKED "C" ON SITE PLAN DRAWING. TANK SECTION (PROFILE) NTS DOUGLAS T. KENLEY, P.E. CMI Engineer MEN09q Vnft . Pa ..AWWN . Pn7MM c°ort, Dave Mason 1401 Glen Eagle S/D, Block 3, Lot 1 "➢0°'23616 Sunny Glen Dr., Eagle River, AK °"" 5/25/14 1 'PP DTK °PAM" FK I � NTS DESIGN -ice 14104 SHEET 4 OF 5 )PE TO BED y�P�E OF q(gs��t+ Dou as enley ►�Fei• CE 8176�� r+'h.� ROfES- ��� GA 91.80' SOILS LOG — PERCOLATION TEST rganics TEST HOLE #1 11 GW 84.95' I M O.H. 77.8' `' ' : •• IIIIIIIIII II�IIII�II • %/////. '/J//v/il r HNHNN IIIIIIIIII . "TOW 0 /////, WNUBT WA1MFA "VIA'A DEPTH TO GROUND WATER DATE 84.81' 4/30/14 84.95' 5/7/14 NET DROP (IN.) 4/30/14 See attached site plans PERCOLATION RATE 1.65 (MIN./IN.) PERC. HOLE DIA. 6 (IN.) TEST RUN BETWEEN 3 FT. AND 4 FT. PRE—SOAKED FOR FOUR HOURS YES Bench Mark located of Doint C on Design Plan Das. 2 & 3 Reference 100.00'. PERFORMED BY: FRED W. KENLEY. I, DOUGLAS T. KENLEY, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DOUGLAS T. KENLEY P.E. J""J 0 Civil Engineer LOG 9808 E.OIGOM9rM• Yehnx,�YYa9901S .flee }MA090 'coos David Mason Glen Eagle S/D, Block 3, Lot 1 ":23616 Sunny Glen Drive, Eagle River, AK I R0 B 050-601-15 . 4/30/14 1 c»Ec DTK Oe....: FK I � NTS I '1081"'°"x 14104 SHEET 5 OF 5 i �OF.A`�S`9l�1 *• 49TTH •* ouglas T. Ken l y h. PROFESSION DATE READING TIME NET TIME (MIN.) WATER LEVEL READING (IN.) NET DROP (IN.) 4/30/14 1 4:09 ---- 11-8/16 ---- 4:19 10 5-13/16 5-11/16 2 4:20 ---- 11-12/16 ---- 4:30 10 5-14/16 5-14/16 3 4:31 ---- 11-8/16 ---- 4:41 10 5-7/16 6-1/16 4 4:56 ---- 11-8/16 ---- 5:06 10 5-7/16 6-1/16 PERCOLATION RATE 1.65 (MIN./IN.) PERC. HOLE DIA. 6 (IN.) TEST RUN BETWEEN 3 FT. AND 4 FT. PRE—SOAKED FOR FOUR HOURS YES Bench Mark located of Doint C on Design Plan Das. 2 & 3 Reference 100.00'. PERFORMED BY: FRED W. KENLEY. I, DOUGLAS T. KENLEY, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: DOUGLAS T. KENLEY P.E. J""J 0 Civil Engineer LOG 9808 E.OIGOM9rM• Yehnx,�YYa9901S .flee }MA090 'coos David Mason Glen Eagle S/D, Block 3, Lot 1 ":23616 Sunny Glen Drive, Eagle River, AK I R0 B 050-601-15 . 4/30/14 1 c»Ec DTK Oe....: FK I � NTS I '1081"'°"x 14104 SHEET 5 OF 5 i �OF.A`�S`9l�1 *• 49TTH •* ouglas T. Ken l y h. PROFESSION a M. GRE, "R ANCHORAGE AREA BOF '1GH Department of Environmental Quality �,- 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME �/; J/� n Ue f f � (- ! rL./ MAILING ADDRESS 100Y 17!1 ` G /��' / PHONE &/%<�'- r/ JZ LOCATION Cab �dtl �/� fid (-Z ���(PfitEGAL DESCRIPTION /` 0 T /) / ' � �._�� (/?l SEPTIC TANK: DISTANCE 1=ROM WELL MANUFACTURER SGL // NUMBER OF I7 S MATERIAL COMPARTMENTS 1 INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY �� �(- GALLONS. SEEPAGE Fltr: NUMBER OF PITS DIAMETER OR WIDTH_, LENGTH_, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL. �V <' TOTAL EFFECTIVE BUILDING FOUNDATION NEAREST LOT LINE ABSORPTION ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: %ULA 1rJ,S%�}��'/) � % //fy,c C)l` TYPE CONSTRUCTION DEPTH BUILDING NEAREST NEAREST SEPTIC FOUNDATION LOT LINE -,SEWER LINE -,TANK_ CESSPOOL APPROVED DISTANCES: INSTALLED BY: OTHER SOURCES DISAPPROVED ' PIPE MATERIAL: r i )coL., 1,u � T� ��o� ✓/l��. LOT SLOPE: /` REMARKS: - 'g ILS (Irf�It r S l ) � �� � L rib �j� �/.• REMARK DIAGRAM OF SYSTEM o 1-14 VIM �6� f7P�v'�I DATE /c/;/3/ 75 APPROVED DISTANCE FROM: SEEPAGE SYSTEM G. A. A. B. Form No. EQ -031 J°° °pna°+oi 4p 4, NAME OF APPLICANT _ INSTALLATION LOCATION LEGAL DESCRIPTION — GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY j l G/ PERMIT NO.. 3330 "C" STREET ANCHORAGE, ALASKA 99503 ! TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM — APPLICATION AND PERMIT .amu nJnl y INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED /Lt_`Z� MAILING ADDRESS �'` '•-'� / % y C�` HONE 77-/E E -14e/4)7 SEEPAGE PIT DRAIN FIELD OTHER , FINANCED THROUGH TO BE INSTALLED BY (? !etf? 7-7 ✓C / /1--)C! S//01-7 SOIL TEST RESULTS ,`hy^ yP, =72 C- 7-V �--� NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED + FALL FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE V V V '7 — TYPE SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM FOUNDATION TO SEPTIC TANK Cii/�/7iU6 FOUNDATION TO SEEPAGE PIT DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD / r V-- I I `------ Ch TO NEAREST LOT LINE. WELL TO SEPTIC TANK SEEPAGE PIT 1 l DRAIN FIELD ALSO CONSIDER AREA WELLS. Y i — WATER MAIN TO SEPTIC TANK SEEPAGE PIT 1 - DRAIN FIELD SEPTIC TANK,( SEEPAGE PIT DRAIN FIELD /L / P(l0a13 r ! TO RIVER, LAKE, STREAM. ---� I' Cl CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OFI---j-- EXCAVATION 5 FEET INTO UNDISTURBED SOIL. I r 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TAMC AND SEEPAGE PIT • FITTED WITH AIRTIGHT REMOVABLE CAPS. f_ GRAVEL BACKFILL ��-— /7 ?C-12e�n/cD �/Zge)c . -�� `-- � CONFORM TO 130 ROUGH REGULATIONS REGARDING INSTALLATION. i G.A.A.B. OR LICENSED DESIGNER j i I i i 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGEARE OR UGH ORDINANCE NO. 26-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE ° / 4- APPLICANT'S SIGNATURE I' Ilerformed for Legal Description: This form reports: GREATER ANCIIOItAGL ARLA L'OROUG' Department of Lnv i ronmen Lal Quar..y l r,` 3330 "C” Street Anchorage, Alaska 991J113 '1:110I,AT1ON TH'ST Jate Performed. Dep th Feet_. _ _..._..._....__ Ni 2- 4 J-1 /gr_ 5 - 155 5,.y -/3,„e Was ground water encountered? _:_ If yes, at what depth? Reading Uate Z� Gross Time Net Time _ Depth to Water Net Urop Percolation ratej' Drain Field proposed installatlo Seepage PUepth t uottom of pit or trench Depth of Inlet .,-..._._ �,-.� __�—�'_____•,.._�..... _.._._____., GREATER ANCIIOIUIGI_ APIA D01?01YL, Department of Environmental Quality 3330 "C" GtreeL Anchorage, Alaska 995()3 _ SOILS LOG I1I;RO1,ATION 'IT"ST Performed for Cate Perform,ra 9/12/75 _ _- Mr ._ _Brad _p c�cey.,__dba__Cre.atiue--Hous incj ---- _ .. _ Legal Description: Block 3, Lot 1, Glenn Eacrle__Subdivision________ This form reports: Soils log Yes Percolation test Depth Feet 1 —2ark'-B±,own Organics 2. 3 _ Brown Sandy, Gravel 4 _ 150 S.F./B.1. 5 GP -GM WATER 7 - f3 e 9- 10 e., -- - s70 :00 11 Bottom of test hole 12 _ 13 - 1 - --- — Was ground water encountered? yes If ves' at what depth? Rc ading Date Gross Time Net Time 6-1/2 feet Depth to Water Net Jrcp Percolation rate minute. Proposed installation: Seepage Pit Dram Hold Depth of Inlet Depth to bottom or pit or trench --- -H ole' -- -d-u--g---a-bout COMI''IENTS: Test ole 9/2/75. Operator informed me hole -dry when ug. - .. - very he av cen ra'ns. No bedrock encountered. (Ad acen-road cut shows_n _w- Robert Welch) _ Performed [3y� ,�, `.tC��C✓J4C� iflcd [3y: CONSTRUCTION TEST Date 9/15/75 ,,,, „�„ ,,,,,," NEAL A. HAUSAM LAB rny' M -W DRILLING, Inc. 0�0�� �f� P. O. Box 4-1224 • 1310C International Airport Road i� , (907) 274-4611 �� ANCHORAGE, ALASKA 99509 DRILLING LOG Well Owner Use of Well Location (address of: Township, Range, Section, if known; or distance main road Size of casing— Depth of Hole feet Cased to - - feet Static water level ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ). Describe screen or perforation Well pumping test at gallons per (hour)(minute) for_ hours with of drawdown from static level. Date of completion WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness TO TO- .TO- TO- --TO O TOTO_ TO TO TO TO- -.--TO-- -TO O_. TO —TO TO TO tib\%WA Certified C'onbactof' Cortificato No's, 814 & YM 2 — STATE 8970 • 1 4;51;011 •t Municipality of Anchorage '' On-Site Water and Wastewater Program `- (907) 343-7904 sow, • t.'/ ti Certificate of On-Site Systems Approval 0a 6 8 G 9 ••\ Parcel I.D. 050-601-15 Expiration Date: 1 (-02.-0-1 1 1. GENERAL INFORMATION Complete legal description Glen Eagle Block 3 Lot 1 Location (site address) 23616 Sunny Glen Drive Current Property owner(s) Johan Holtz Day phone Mailing address 4820 Hearthside Dr. Summerville, SC 29485 Real Estate Agent Day phone 2. TYPE OF DWELLING: E 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 E1 Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received b • k11,/. ,rp �, hi& I Date: gi a{1 V b COSA to be released to the engineer,unless otherwise r-.ue;ted by the engineer. COSA Fee $ 6^0Waiver Fee $ Date of Payment 919 /11 Date of Payment Receipt Number Ogg/3 6 Receipt Number COSA# 86C IFit-400, 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. In conducting an adequacy test,I attempt to provide a thorough,conscientious engineering analysis of the system in accordance with MoA COSA guidelines and 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.Therefore we cannot provide any warranty for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed above. Name of Firm Pannone Engineering Services LLC Phone (907) 745-8200 Address P.O. Box 1807 Palmer, AK 99645 Engineer's Printed Name Steven R Pannone Date 8/8/2018 A ANY qskk 40 O*•49J i" ...*if' 6. DSD SIGNATURE ••• ` 2 System#1 Approved for J bedrooms Steven 'ann\ " Y pp �r �.•. CE-8149 . ,„ System#2 Approved for bedrooms ? .. •. Disapproved Conditional approval for bedrooms, with the following stipulations: .• ON-SITE `�� WATEK AND tr. 1 WASTEWATER r PROGRAM By: 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 engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheeti. c If more than 1 septic system is on the lot: COSA Checklist# 1 of 1 Structure served by this system 1 Certificate of On-Site Systems Approval Checklist Legal Description: Glen Eagle Block 3 Lot 1 Parcel ID:050-601-15 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 11/19/75 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 67 ft. Cased to 66.4 ft. Casing height(above ground) 20 in. FROM WELL LOG AT INSPECTION Date of test 11/19/75 7/26/18 Static water level 2 ft. 32.7 ft. Well production 5 g.p.m. 4.3 g.p.m. WATER SAMPLE RESULTS: Coliform NEG colonies/100 mL Nitrate N� mg/L Arsenic ND ug/L Date of sample: 7/26/2018 Collected by: PES B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 6/14/14 Tank size 1000 gal. Number of Compartments 2 Cleanouts(Y/N) Y Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N/A Date of pumping gill? Pumper I,) R41101 C. ABSORPTION FIELD DATA Date installed 6/14/14 Soil rating (g.p.d./ft2 or ft2/bdrm) 0.8 GPD/SF System type Bed Length 38 ft. Width 15 ft. Gravel below pipe 0.90 ft. Total depth 3.7-4.0 ft. Eff. absorption area 563 ft2 Monitoring tube Y Depression over field N Date of adequacy test 7/26/2018Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test 0/0 in. Water added 450 gal. New depth 0/0 in. Elapsed Time: 200 min. Final fluid depth 0/0 in. Absorption rate >= 450+ g.p.d. N Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date D. LIFT STATION 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 00+ On adjacent lots 1 00+ Absorption field on lot 1 00+ On adjacent lots 1 00+ Public sewer main 75+ Public sewer manhole/cleanout 1 00+ Sewer/septic service line 25+ Holding tank 00+ Animal containment areas 50+ Manure/animal excrete storage areas 1 00+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10+ Property line �0+ Absorption field 5+ Water main 1 0+ Water service line 1 0+ Surface water 100+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 10+ Water Service line 1 0+ Surface water �00+ Driveway, parking/vehicle storage 10+ Curtain drain 50+ Wells on adjacent lots 1 00+ F. COMMENTS Survey on file. G. ENGINEER'S CERTIFICATION , 4OF q�t� I certify that I have determined through field inspections and 00'0.-- �1,�'17 review of Municipal records that the above systems are in /\ ••*�0 conformance with MOA COSA guidelines in effect on this date. ,�•• �I) Steven Pannone Engineer's Printed Name • SIeveri . •anrione• oe Date 8/8/2018 0���g. CE-8149•.;&0/ r t>>����`ik449 COSA canary sheet_2-6-15.doc tr\ M SLNNY GLEN TR. N 90°00'00" W 211.39' row O O' it -J cc 7 WELL ' 2-STY ('CRALW , VEo LOG HOUSE' 3 80 57' \b6 1 (V co S 1,"). yI' 380 ENCLOSED rci AS. PORCH CO 00, LOG 00, GARAGE PLANTER ° 0® �'?'SHED \ F 40' o �' SEPTIC 0 ti� PIPES(TYP) 0 0 0 tJJ to o \v0 o 0 O,A u".'6' o �S N rsmi.lkststiiti .4 OF At 114 It * 49th I� • *O. • 'rn::9�Yf f \ r • 0 • BRADFORD J. RINCKEY: a. aR •V csr..• No. 11299 .....,�- N-I • I hereby certify that I have surveyed the following described property: Lot 1, Blk 3, Glenn Eagle Sudb. Anchorage Recording District, Alaska, and that no encroachments exist except as indicated. It is the responsibility of the owner to determine the existence of any easements, convenants, or restrictions which do not appear on the recorded subdivision plat, Under no circumstances should any data hereon be used for construction of fences, or for establishing the boundary. HATTENBURG DILLEY&LINNELL AS BOLT SURVEY Engineering Consultants LOT 1, BLK 3 GLEN EAGLE SUBD. • ENGINEERING PLAT 174-39 ANCHORAGE RECORDING DISTRICT SURVEYING EAGLE RIVER, ALASKA • EARTH SCIENCE DATE: 6—17-15 DRAWN 8Y: WGS SH=E': 1 • PROJECT MANAGEMENT (907)564-2120 • PLANNING www.hdlalaska.com SCALE: 1., - 50' CHECKED 8Y: 8J JOB NO.: 07-5002 Parcel I. D. s9 Municipality of Anchorage On -Site Water and Wastewater Program I I 7L�r (907)343-7904 ' :• Certificate of ®n -Site Systems Approval 050-601-15 1. GENERAL INFORMATION Expiration Date: Complete legal description Glen Eagle SID, Block 3, Lot 1 Location (site address) 23616 Sunny Glen Drive, Eagle River, AK Current Property owner(s) Mailing address Real Estate Agent David Mason 2. TYPE OF DWELLING: ❑ Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 440-5580 Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual F71 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Reraiverl by: .-....�,/ZGL i �iE .- Data• — COSA to be released to the engineer, unless other ise requested by the engineer. COSA Fee $2Waiver Fee $ Date of Payment Date of Payment Receipt Number (/)J Receipt Number COSA # d 5051.�353 Waiver # 5. STAT If, Ell � 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 Douglas T. Kenley, P.E. Phone (907) 746-1073 Address 9806 Northstar Circle, Palmer, Alaska Engineer's Printed Name Douglas T. Kenley 6. DSD SIGNATURE System #1 Approved for bedrooms System #2 Approved for bedrooms Disapproved Date �7(`rj/1 OF A ;t a A'q�(■ . J s a � 49 & tee, �r �• m T`a� ^ �q e. .vf Conditional approval for bedrooms, with the following By:Original Certificate Date:7- 2 301-1 07 Theo n' pal' of A rage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represent ions 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 7 c 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: Glen Eagle S/D, Block 3, Lot 1 parcel ID: 050-601-15 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed *11/19/75 Sanitaryseal (YIN) Y Total depth *67 ft Cased to *66.4 ft. FROM WELL LOG Date of test *11/19/75 Static water level Well production *2 *5 ft. ..- Well Log (YIN) Y Wires properly protected (YIN) Y Casing height (above ground) 20 in. AT INSPECTION 4/22/2014 15.9 ft. 6.24 g.p.m. WATER SAMPLE RESULTS: Coliform Negalivecdonies/100mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 6/16/15 collected by: F. Kenley B. SEPTICIHOLDING TANK DATA Tank Type/Material Septic/Steel Date installed 6/14/14 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) Y Foundation cleanout (YIN) .*Y Depression over tank (YIN) N High water alarm (YIN) N/A Date of pumping New. System Pumper .ao�+s� ✓o> dee ��.co C. ABSORPTION FIELD DATA Date installed 6/16,18/14 Soil rating (g.p.d./ftZ or le/bdrm) 0.8 System type Bed Length 38 ft. Width 15 ft. Gravel below pipe 0.9 ft. 3✓' Total depth' "" ft Eff. absorption area 563 fe Monitoring tube Y Depression over field N Date of adequacy test Results (Pass/Fail) New For 3 bedrooms Fluid depth -in absorption field before test in. Water added gal. New depth in. Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum in. E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons _ "Pump ofr level at Cycles tested Septic tankllift station on lot 100+ ft. Absorption field on lot 100+ ft. Public sewer main N/A Sewer /septic service line 25+ ft. Animal containment areas 50+ ft. SEPTIC/HOLDING TANK ON LOT TO: _ ManholetAccess (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100+ ft. On adjacent lots 100+ ft. Public sewer manhole/cleanout N/A Holding tank N/A Manure/animal excrete storage areas 100+ ft. Building foundation 5+ ft. Property line 10+ ft. Absorption field 5+ ft. Water main N/A Water service line 10+ ft, Surface water 100+ ft. Wells on adjacent lots 100+ ft. ABSORPTION FIELD ON LOT TO: Property line 10+ ft. Building foundation 10+ ft. Water Service line 10+ ft- Surface water 100+ ft. Curtain drain None Known Wells on adjacent lots 100+ ft. Water main N/A Driveway, parkingivehide storage 5+ ft. F. COMMENTS *From M.O.A. records "*The old FCO was inside the house. MOA permitted the new FCO to be placed outside an attached 8' wide sunroom that has no foundation. 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 COSH guidelines in effect on this date. Engineers Printed Name Douglas T. Kenley, P.E. Date -7 /,111 ,<— CASA brown shy 10.10-12.doc in. SUNNY GLEN DR. N 90°00'00" W 211.39' N WELL -0- 2-STY )h,�'URI iLOG HOUSE' 6 S tib -t 380 ENCLOSED TSS. PORCH 00, LOG00, GARAGE PLANTER 0 0® 4'2)'SHED \ F 0 Y /o SEPTIC 0 v ,. PIPES(TYR) ti� O 0 \ c ?e .♦♦��P,�E OF ACgs��p♦.1 *F e 49th, :•BRADFORD J. RINCKEY: o ;rf ••., No. 11299 `'•4•�l7 r• •'�o Ste♦♦ ;ROFESs I %NV liw$ n�C I hereby certify that I have surveyed the following described property: Lot 1, Blk 3, Glenn Eagle Sudb. Anchorage Recording District, Alaska, and that no encroachments exist except as indicated. It is the responsibility of the owner to determine the existence of any easements, convenants, or restrictions which do not appear on the recorded subdivision plat. Under no circumstances should any data hereon be used for construction of fences, or for establishing the boundary. 0 OR M 0 N LJ 0 0 0 0 0 HMV 1 HATTENBURG DILLEY & LINNELL A3 BUILT SURVEY Engineering Consultants LOT 1, BLK 3 GLEN EAGLE SUBD. • ENGINEERING PLAT #74-39 ANCFKMCE RECOMNO DSTRICT . SURVEYING EAGLE RIVER, ALASKA EARTH SCIENCE DATE: DRAWN BY: SHEEP: . PROJECT MANAGEMENT 6-17-15 WGS (907)SCALE: CHECKED BY: JOB NO.: • PLANNING www.hdlalaska.caska.com 1" _ $0' BJR 07-5002 Municipality of Anchorage 4&vl� Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. _O 9' 9 - . 01 -1-6- 1. S 1. GENERAL INFORMATION Complete legal description .4.0 8/OG /e3 COSA #_D a D 13 Expiration Date: 2 -/ -on /G-7 .?.ggle Sa �d G'iSiO Location (site address) .13 6 /!. e17, Current Property owner(s) /Y.rnc' ,,. iQ„ Day phone Mailing address Ro. /3e,v 7717 yp Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑X Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ I 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 .eo9lneecte9lstered_Inthetate. LA"'ka.-CediftoatessLOmSite-Systems-Approvatare-requiredSorlie-imnsfecof 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 Guidelines at myiinvestigation, based on procedures outlined in the Certificate of On -Site Systems Approval 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 Investigationand inspection, the on-site pal and State coater supply and/or wastewater disposal system is(are) in compliance with all applicable ordinances, and regulations in effect at the time of installation. Name of Firm Phone �l l� 9 s fn �PN Address `���'� �` iYo`f� ✓`�ArC>:r. OAIirzPY, 4Af 71?/, Date g ''� • d ce Engineer's Printed Name qui •�'`` OF A ��t ... I' �' •. CE 8178 r 5. DSD SIGNATURE / �:-i�• ,� Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments — M : WATER AND : m Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Supplemental Engineers Report Well Flow Advisory Nitrate -Advisory Other Original Certificate Date: 9 % " 0 (2 By: AX )RwA V05) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw, Street P.O. Box 19665o Anchorage, AK 99519-665o www.muni.org/onske (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: .eef/,i9/oc/US G/cn Egg/CS.Id�li/S,�n Parcel ID: _OSO�-Cn O/- is A. WELL DATA Well type P If A. B. or C provide PWSID # _ Date completed11- 'l9S Sanitary seal (Y/N)'44 Total depth (n % ft. Cased to 4yl•-'Ift. FROM WELL LOG Date of test Static water level Well production 3- 9 p m WATER SAMPLE RESULTS: ColHorm _-&—oolonies/10omL Nitrate 'V/o mg/L Arsenic: -YIL2 mgfl Date of sample: F y�06 B. SEPTIC/HOLDING TANK DATA TankType/Material�/i9s7�ic��,Pc /, c Tank size / ao gal. Number of Compartments / Foundation Geanout(Y/N) �_ Depression over tank (Y/N) Date of pumping o/71p� Pumper 7-)e Pum ot, Well Log (Y/N) V Wires properly protected (Y/N) Ik Casing height (above ground) in. AT INSPECTION Ply/e) G y 3 g.p.m. Other bacteria ,9- colonles/100 mL Collected by. Date Installed _/n1.7/A 5- Cleanouts (YIN) Y High water alarm (Y/N) C. ABSORPTION FIELD DATA Date installed lel?117 Soil rating (g.p.dJft' or ftl/bdrm) /III- System type �rcnc%i *A ter I1 Length 90 ft. Width r � -/ ft. Gravel below pipe _ / i ft. Total depth `1_5 ft, Elf. absorption area 11—W Monitoring tube _ V Depression over field Date of adequacy test ��/�/'lc Results (Pass/Fail) ilss T - For 3 bedrooms Fluid depth in absorption field before test /i'✓ in. Water added S"GSgal,New depth /X in. Elapsed Time: /386 min. Final fluid depth Le In. Absorption rate >= ySp I g.p.d, Any rejuvenation treatment (past 12 mo.) (YM & type) _ 4fir If yes, give date D. LIFT STATION Date installed Size in gallons 'Pump on level at _ in. 'Pump off" lev Da to Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot A Public sewer main N/A Sewer /septic service line Animal containment areas Manhole/Access (YIN) level at in. Meets alar & circuit requirements? On adjacent lots /Do t 17 On adjacent lots 1-40 t >ny Public sewer manhole/cleanout Holding tank �Y/h Manure/animal excrete storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: F f Absorption field /0 t Building foundation O t it Water main NN/-- Z Wells on adjacent lots �Da rnf Property line 17 *It Water service line ,St if Surface water /Do t SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation 30 f & Water main NIA Surface water /00 t i> Driveway. parkirglvehicle storage Property line /D 1` %r Water Service line ,J St 17' Curtain drain to e z 1 s f Wells on adjacent lots /DOt '/ F. COMMENTS / ��r� G. ENGINEER'S CERTIFICATION W'�; ' • ..'�M I certify that I have determined through field inspections and iti� • ` {+ review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. • t' • • TM �P c! 7¢ Engineer's Printed Name 1706tg1A t nP� •.• CE q j Nil Date 8 • �+(• D G ' �—■ia'�'i® COSA Fee $ 713 Waiver Fee $ _ Date of Payment / — % - Date of Payment Receipt Number S Receipt Number (Rev. 11105) Legal: Lot 1, Block 3, Glen Eagle Subdivision Comments: *The foundation clean-out is located in the downstairs bathroom under a detachable tray on the wall. **Inferred from inspection report. ***The side of the trench was exposed during installation of a monitor tube and there appeared to be approximately 1-1/2 feet of gravel. This was also verified when the monitor tube was driven approximately 20 feet from the beginning of the leach field and approximately 2 feet in from the side of the trench. The distribution pipe in the leach field was cleaned out after the tank was pumped. Douglas T. Kenle 06q° .ASBUILT o I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO FNCR6ACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED SCALE: DATE- ATE: GRID- GRID: FB: FB: //7 _.AG S 0 0 N FOR CONSTRUCTION 5��� OF FENCE LINES, OR FOR ESTABLISHING BOUND- - •� 1�Qe� /�"-' o BOUND- ARY LINES. DRAWN: p�Ji ,'"Naw: = MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services N� j 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. #-mol -- t HAA # < L -1Q( 1. GENERAL INFORMATION Complete legal description Lot 1; Bock 3; Glen Eagle Subdivision; Location (site address or directions) NHN Sunny Glen Property owner Vani.e2 Mon.an Day phone Mailing address Lending agency Day phone Mailing address Agent AudLey Mayon RE/MAX OF EAGLE RIVER Day phone 694-4200 Address 16600 Cen Wietd Dkive, 0201 Eaq.Ce RiveA, Ak...99577 - Unless otherwise requested, HAA will be held for pickup. 2, NUMBER OF BEDROOMS: �r 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. 72-025 (Rev. 1/91) Front MOA #21 2H Vow HDeH (l6/l 'A9d) SN19L 'worn sjaaul6ua leuolssa;oid aq1 ul suolsslwo jo sao.ua aoj alglsuodsaa IOU sl a6eaogouy jo AllledlolunVN aql 'panssl sl a>eollluao e aaojeq elep azlleue ao suolloadsul lonpuoo IOU op SHHO to saaAoldw3 •sjuawaalnbaa aie;s pue leaapal uleuao (;sl;es of aapao ul suollnipsul 6ulpuel alagl pue sawog p siasegoind of /salinoo e se slgl saop SHHO agl'e>Isely Jo @IeIS aql u paaalsl6aa aaaulbue leuolssapid luepuedepul ue Aq anoge 9 gdeibeied ul uan16 suol;ejuasaadaa agl uodn lluo paseq lenojddy ,(llaoglny glleaH sonssl (SHHQ) saolruaS uewnH pue gIleaH;o juaw;jeda4 a6eaogouy;o AIlledlolunw aql :suollelndlls bulrnolloj ag; gllM 'swooapaq ale(] auogd 6G/2-//,/� In sluawwoo leuolllppv ao} Ienoidde Ieuol}lpuoo 'panoaddes(Q swooapaq a01 panoaddy 38f11`dNJIS SHHQ '9 a.Lnleu6ls s,aaaul6u3 LL566 eNSely'aanl*d al e �NS��!'c•!i°Ti<i= S'� S ssaippy wall }o OWEN •uolloadsul siql }o ajep ay} uo >.oalp ul suoljeln6aa pue 'seoueulpio 'sapoo a;ejS pue ledlolunW Ile Pm aouelldwoo ul sl wa}sAs lesodslp aaleMalseM ao/pue /\Iddns aaleM ails-uo agj 'uol}oodsul pue uo1je61js9nu1 AW woa} pue sallj a6eaogouy }o AllledlolunW agj woa; paulelgo uoljewaoJul aqj uo paseq Jeq;Aj!aanaayljnj 1-uleAag paleolpul einjonals jo adrq pue swooapaq jo aagwnu ay?, aol a;enbape pue leuoljoun; 'a;es sl walsls lesodslp aalernalsern ao/pue Alddns aaleM ails-uo agj }egl smogs uoljeolidde lenoaddy /\Ilaoglny glleaH sIgI 10 u01je61js9nu1 r(w }egJ AJjJGn I 'Molaq uMogs alep u011eplien ag;<;o se pue o}aaag pail jje leas Aw Aq pallliao sy H33NION3 AS N01103dSNl d0 1N3W31V1S 'S Municipality of AnchoragetU'K.WA4 11 Department of Health & Human Services c NMENTAL SERVICES DIVISION HEALTH AUTHORITY APPROVAL CHECKLIST SUN _ 4 1991 Legal Description: Parcel I.D. RECEMU A. WELL DATA Well type 6V-1qPKr- If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y N) y Date completed 11- 1r1 _-1 5 Driller M -.,i w�� �ig,_�,►c Total depth l01 Cased to UL -0.4t Casing height 12`� Sanitary seal O>N) Date of test Static water level Well flow Pump level Wires properly protected (DN) FROM WELL LOG AT INSPECTION 11 -1a\-�S L.v-3 Psi l SEPARATION DISTANCES FROM WELL TO -4- g.p.m. Le.'S g.p.m. Septic/holding tank on lot \ oS ; On adjacent lots 1 (7C _ Absorption field on lot \'Q 0, r ; On adjacent lots \ C> [D Public sewer main Public sewer service line Public sewer manhole/cleanout 'a Petroleum tank 2.5 ` J' - WATER SAMPLE RESULTS: Coliform b c_�L /100 YJ Nitrate—� �Or\tom L Other bacteria N[Co r' Date of sample: L Collected by: — g q6 ENIGINEFRING 17034 Eagle River Loop Road No. 208 B. SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 Date installed \C:>-3\ �:35 Tank size 1 DOO Compartments 1 Cleanouts 1VN) Foundation cleanout (Y&4 Depression (Y,�& High water alarm (Y/& 9 Alarm tested (Y/N) �"'),A Date of pumping (2 _14 _rf i _1�2 . L'r_-J Paoli- PJMPi'JG SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot \ OS 1 —On adjacent lots t t�� ` Foundation To property line \fl `� Absorption field (� Water main/service line t \ Surface water/drainage \ t> -C> 1 �'- 72-026(Rev. 3/91)Front MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots "Pump off' level at Cycles tested Surface water _ Date installed Soil rating 122S �`(�- System type Length qC�� Width Gravel thickness 'L Total depth' Total absorption area I 3uc>16 Cleanouts present (Ya r_4 Depression over field (YO 1� Date of adequacy test CP - Results fail) Rkl�A7 for Q3 J bedrooms Peroxide treatment (past 12 months) (Ya V IL. If yes, give date '11/4- SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot 1 oma' `` On adjacent lots 1 [moo ` `- Property line 1 Com) � To building foundation 10"_ To existing or abandoned system on lot On adjacent lots 3 b Y Cutbank 15 t Water main/service line 1 ©� Surface water \ Oo� Driveway, parking/vehicle storage area '�0� } Curtain drain -* I ps-e_2 E. ENGINEER'S CERTIFICATION yr1S.P�s-vrtor� R-F.�a�-� I certify that 1 have checked, verified, or conformed to all MOA and HAA guidelines in effect on Signature r :,y;:: t-;,,.ar Loop RoziclN��ft raglo Iziver, Alaska 94,5i7 Engineer's Name of this inspection. HAA Fee $ l� Waiver Fee: $ t Date of Payment Date of Payment r1 Receipt Number "l 1;0 Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES { l CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date AUGUST 5, 1 g 8 8 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 1 Block 3 Glen Eagle Subdivision Location (address or directions) NHN SUNNY GLEN DRIVE Intersection of Sunny Glen Drive and The Clearing Drive (b) Property Owner FANNIE P'lAE Telephone: Home Mailing Address 3201 "C" STREET Suite : (c) ®' Lending Institution FANNIE MAE Mailing Address Real Estate Company and Agent Address Tolonhnna Business 561-0828 505 ANCHORAGE 99503 Telephone (e) Mail the HAA to the following address: or: Check here-+, if hold for pick up. List contact person and day phone number below. BRUCE D. PATTERSON 274-7611 TYPE OF RESIDENCE Single-FamilyU Number of Bedrooms _ 3 3. WATER SUPPLY Individual WeIM Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite ® Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 rRev 81861 Front 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. * * Name of Firm EEIS Consulting Engineers, Incl-elephone (907) 274-7611 Address 200 West 34th Box 267 Anchorage, Alaska 99503 Date August 3, 1988 ** Only one standpipe is visible. It is at the septic tank. The location of the drainfield is discernable only by the absence of trees. Drainfield appears to be within 15 feet of a cut bank marking the north side of The Clearing Drive. Engin ®aAi�ta� a �� : • n 'iii +'+,�^il /.:.ra .a.oa��•. r• Y /� ,` �,• Richard C. utfon 4.4� U 5031 6. DHHS APPROVAL Approved for bedrooms by Z Date Approved 0S Disapproved Terms of Conditional Approval Conditional dhh� CAUTION 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 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. Page 2 of 2 72-025 )Rev 8186) Pack MUNICIPALITY OF ANCHORAGEMUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) !l`) ENVIRONMENTAL SERVICE; DIVISION CHECKLIST - FEBRUARY 1984 264-4744 AUG 51988 Legal Description. Lot 1 Block 3 Glen Eacfle C E IV ED NHN Sunny Glen Drive A. WELL DAA l Well Classification Private If A, B, C, D.E.C. Approved (Y/N) Y GAAB Well Log Present (Y/N) Y Date Completed 11/19/75 * _ Yield 59 gpm Total Depth 67 * Cased to 66 . 4 * Depth of Grouting Unknown Static Water Level 2 feet * Pump Set At Casing Height Above Ground 20 inches Sanitary Seal on Casing (Y/N) Y Electrical Wiring in Conduit (Y/N) Y Depression Around Wellhead (Y/N) N Separation Distances from Well: To Septic/Holding Tank on Lot 105 feet On Adjoining Lots Over 100 feet To Nearest Edge of Absorption Field on Lot 110 feet ; On Adjoining Lots Over 100 feet To Nearest Public Sewer Line N/A To Nearest Public Sewer Cleanout/Manhole N/A To Nearest Sewer Service Line on Lot N/A Water Sample Collected by BDP ; Date X28/88 Water Sample Test Results Acceptable (Coliform and Nitrate) Comments B. SEPTIC/HOLDING TANK DATA Date Installed Aug 1975*Size 1000 gal* No. of Compartments Unknown Standpipes (Y/N) Y one Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Not Visible Depression over Tank (Y/N) Y Date Last Pumped 8/2/88 Pumping/Maintenance Contract on File (Y/N) N _ ; for Holding Tank High -Water Alarm (Y/N) Y Temporary Holding Tank Permit (Y/N) N/A Separation Distances from Septic/Holding Tank: To Water -Supply Well 105 feet To Building Foundation Over 25 feet To Property Line OYer 25 :E3et To Disposal Field Approx. 15 feet To Water Main/Service Line N/A To Stream, Pond, Lake, or Major Drainage Course 220 feet Comments Location of drainfield discernable only by absence of trees No standpipes are visible. NOTE: * Indicates information from DHHS files. Page 1 of 2 72-026 (Rm R W Front C. ABSORPTION FIELD DATA f/BR Soils Rating in Absorption Strata 135 sType of System Design Trench Date Installed August 1985 * Length of Field 90 feet * Width of Field 4 feet * Depth of Field 4 to 5 feet Gravel Bed Thickness Unknown Square Feet of Absorption Area Unknown Standpipes Present (Y/N) N Depression over Field (Y/N) Y slight Date of Last Adequacy Test July 31, 1987 Results of Last Adequacy Test Passes 1319 gallons introduced over 8 hours . Field r Separation Distance from Absorption Field: returned to original level after 10 hours. To Water -Supply Well 110 feet + or — To Property Line See Comments. Over 10 feet To Building Foundation Over 30 feet To Existing or Abandoned System on Lot None ;On Adjoining Lots None close To Water Main/Service Line N/A To Cutbank (if present) Approx. 15 feet in places. To Stream/Pond/Lake/or Major Drainage Course 220 feet To Driveway, Parking Area, or Vehicle Storage Area 35 feet Comments Location of drainfield difficult to determine exactly. Cut bank may have been constructed aff_ter drainfield. Mi 1)C M'd yro , ��ci eet `�oa�A D. LIFT STATION 't -G, r1f[k Date Installed Size in Gallons N/A "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA Check Permitted Bedr om RatijAga nst HAA Request �:'`aa ovcaac xacn l�;y1 I certify th t hav& ecl r'o formed to all MOA and HAA guidelines in effect QrY F� gate f this; p�Gtlld i. } Signed - Date August 3, 1988 U�'v FG 101 COa' Y]GGO Oe1/� Compy EEIS Cns t. E MOA No. CE88-285 j-b3eana�'+e o..a�o°aeael Receipt No. C�26V�✓ 4. r ` Rid,c;d c. Boifon e- 50311 t ro Date of Payment t n .1 Amount: $ ✓.{ / �'��,el:'"a�I� L' * Indicates information from DHHS files. ** See notes for variances from current MOA requirements. Page 2 of 2 72-026 (Rev 8'86) Back SUNNY GLEN DRIVE 5URS1EY4t3-5—GEBIIEIC6IIQti I hereby certify that I have surveyed the property described on this plat and the improvements situated thereon are located as shown on this plat. Dated _— , 1988 F,A('��1 AV' Howard C. ohoa cr •, NO. 3323•S j 11 0701= SI;N�, w LEGEND • Lot Corners Foundation 4------ Drainage Arrows NOTES 1. It shall be the responsibility of the builder or owner to verify that building location shown meets all subdivision covenants and zoning ordinances. 2. It is the responsibility of the builder to verify all elevations with respect to,all utilities & drainage. 3. This plat represents the parcel of property described below taken from the recorded plat describing that parcel. Instruments recorded prior to or after the filing of the recorded plat are not shown on this plat. 4. The information on this plat is for the use of lending institutions specifically to show any conflicts between existing structures and platted lot lines or easements, the plat 1s not to be used for positioning additional structures or fences. ASBUILT Lot 1 Block 3 Glen Eagle Subd. ENGINEERING EVALUATION &.INVESTIGATION SERVICE 200 West 34th, Box 267 Anchorage, Alaska 99503 (907) 274-7611 lProject 1k 8106 I Date 8/3/88 , �I .. n ------ t-- EAST i 211.39 I 'Driveway I radius � ' �n ®WELL I I� \ \ \\\\ I \\\ hrOU ,— 57 r± -- ` � S 4 W 6' O..\ SEPTIC , --- TANK I , \ co N O \ G' `P -genetgl I H ��1' loVatio`n, of I o NOTES: \ drainfield I z 1. No lot corners found. .,9 Control established from \ monuments located about 600' away. �� I \ I � I \ I 5URS1EY4t3-5—GEBIIEIC6IIQti I hereby certify that I have surveyed the property described on this plat and the improvements situated thereon are located as shown on this plat. Dated _— , 1988 F,A('��1 AV' Howard C. ohoa cr •, NO. 3323•S j 11 0701= SI;N�, w LEGEND • Lot Corners Foundation 4------ Drainage Arrows NOTES 1. It shall be the responsibility of the builder or owner to verify that building location shown meets all subdivision covenants and zoning ordinances. 2. It is the responsibility of the builder to verify all elevations with respect to,all utilities & drainage. 3. This plat represents the parcel of property described below taken from the recorded plat describing that parcel. Instruments recorded prior to or after the filing of the recorded plat are not shown on this plat. 4. The information on this plat is for the use of lending institutions specifically to show any conflicts between existing structures and platted lot lines or easements, the plat 1s not to be used for positioning additional structures or fences. ASBUILT Lot 1 Block 3 Glen Eagle Subd. ENGINEERING EVALUATION &.INVESTIGATION SERVICE 200 West 34th, Box 267 Anchorage, Alaska 99503 (907) 274-7611 lProject 1k 8106 I Date 8/3/88 , �I .. n ------ t-- Perc Test: 10!m.�_ y(Foster) �— 10o3Q a.m 5. LEGAL. DESCRIPTION �6-27/8 Tuesctay MUNICIPALITY OF ANCHORAGE Allers DEPARTMENT OF HEALTH &ENVIRONMENTAL PROTECTION , i fYl� n� /���(� A A 825 L Street - Anchorage, Alaska 99501 • (�' k ' OLII NUMBER OF BEDROOMS tiC]t-rPtIJ '�_ ENVIRONMENTAL ENGINEERING DIVISION ('rc/►e- 4 Telephone 264-4720 ❑ MULTIPLE FAMILY REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER -`pi INDIVIDUAL* PHONE Darryle/Kathl-een Renz since June 1975. For wells drilled prior to that date, give well 'WQ MAI LI NG ADDRIESSS 8. SEWAGE DISPOSAL SYSTEM PROPERTY RESU ENT (if different from above) PHONE 2. BUYER PHONE MAILING ADDRESS by this Department. 3, LENDING INSTITUTION /1 PHONE MAI LING ADDRESS L Ly % an. 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL. DESCRIPTION s 6 -3 1-( Glen Eagle aft Subdivision STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS -4617 SINGLE FAMILY ❑ One D Four ❑ Other ❑ Two ❑ Five ❑ MULTIPLE FAMILY Three ❑ Six 7. WATER SUPPLY - - - -`pi INDIVIDUAL* *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM s INDIVIDUAL/ON-SITE** **If individual/on-site, give installation date___. If system is over two (2) years old an adequacy test is required ❑ PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010(3%18) 4ab d z -A(0 --W THIS SIDE FOR OFFICIAL USE ONL, INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: Mile 5 Eagle River Road to Sun Loft Road, turn right, 1st st/bc down the hill on the left greenish log house "A" frame. 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ACI INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED 1476 INSTALLER - Septic Tank or ❑ Holding Tank Size: 106V W. If Tank is homemade give dimensions: SOILS RATIN 135 G TYPE OFT NK MANUF�TURER /"9_t TOTAL ABSORPTION AREA MATERIAL YD r 4. DISTANCES WELL TO: Septic/Holding Tank Absor ion Area Sewer Line earest o in Absorption Area to nearest Lot Line 1 5. COMM ENTS (APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE '�J / � 5 BY (Titl ) J IN LG DE CRIPTIO 72-010 (Rev. 3/78) -- = IR FIRST NIS OR RF�NK RF RNCIIORRGF June 27, 1978 Municipality of Anchorage Department of Health and Environmental Protection 825 L Street Anchorage, Alaska 99501 Attn: Bob Pratt RE: Lot 1, Block 3, Glen Eagle Subdivision Dear Mr. Pratt: I hereby certify that the owners of the above referenced property, Darrell G. and Kathryn L. Renz, have owned and lived in this residence for a period of less than two years. In order to close this loan today, we need your verbal approval on the septic system. Please contact Judy Payne at 276-6300 ex. 683. Thank you for your prompt attention to this matter. Yours t ly, Wesley W. Clubb Vice President SOUTH CENTER BRANCH o 201 WEST 36th AVENUE e P. O. BOX 42090 P ANCHORAGE, ALASKA 99509 tam of the north CALAIS OFFICE: POUCH 7010 ANCHORAGE, ALASKA 99510 190712784551 June 26, 1978 Dept. of Health & Environmental Protection 825 "L" Street Anchorage, Alaska Attention: Bob Pratt Dear Bob: Mr. & Mrs. Darrell G. Renz have been in their home located at Lot 1, Block 3, Glen Eagle Subdivision, since August 31, 1976. They purchased it as a new home and were the first occupants. Should you have any questions in regards to this, please do not hesitate to contact me. I hope that you and your family are having a good summer. Ver truly you./ --s, G .0 (Mrs.) Jane Wojtusik Mortgage Loan Operations Officer cc: Renz y4y TiC�OFAE[ affil y GREATER ANCHORAGE AREA BOROUGH a Department of Environmental Quality °eo�,,Tay 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received July 26, 1976 ����� �,c� % Time of Inspection 9:30 a.m. /(> Date of Inspection 7-29-76 Thursday G REQUEST FOR APPROVAL OF Neale INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. 1. Approval requested by: Alaska National Bank of the North Mailing Address: Pouch 7-010, 99510 Phone: 277-5511 2. Property Owner: Brad & Paula Dickey Phone: 694-9239 Mailing Address: Star Route Box 194 Eagle River, 99577 3. Legal Description: Lot 1 Block 3 Glen Eagle Subdivision 4. Location: Mile 5 Eagle River Road, see map 5. Type of facility to be inspected Single Family No. of bedrooms 3 6. Well Data: Individual A. Type B. Depth 65' C. Construction D. Bacterial Analysis _ 7. Sewage Disposal System: On—site sytem A. Installed 1975 B. Installer C. Septic Tank: 1. Size 2. Manufacturer q _ D. Seepage Pit: 1. Absorption Area _ 2. Material E. Disposal Field 8. Distances: Total length of lines A. Well to: Septic tank , Absorption area Sewer Lines , Nearest lot line Other Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages ~7- _~�i MUNICIPALITY OFANCHORAGE ` DEPARTMENT OFHEALTH AND ENVIRONMENTAL PROTECTION 2510 East Tudor Road, Anchorage, Alaska 9Q6O4 276^2221 REQUEST FOR APPROVAL OF /� ~r |N0UV|C^QAL SEWER and WATER FACILITIES Type of Inspection Property OvVnor:^- yNni|ingAddrE 3. Name nfBuyer: CK8R VA___-__-__-FHA_-_-_-___-CON. 0�U K8ei|ingAddress: '^ Day Phone:— /�k 4. Name of Lending Institution: ^ ' W1ai|ingAddress: �� phmne: 5. Name of Realtor orAgent Mailing Address: I/aC } Bk 1 GIou �e�le �u!)^ 6. Legal Description, 7 91 Location kl Phone: ��`� )` ^ r`� Type of Facility to be Inspected'.� ` �` No. Gd Water Supply Type nfSupply: Public Utility Individual— If ndividumL|f Individual, number nfdwellings presently served ^ If Individual, depth of well ' Type ofSystem: Public Utility Individual (on-site) If Individual, date of installation 72-003(3/76) ' ^ ^ DmyPhnnw: b O�rr�11 nd 8/tbryu oz 0�U K8ei|ingAddress: '^ Day Phone:— /�k 4. Name of Lending Institution: ^ ' W1ai|ingAddress: �� phmne: 5. Name of Realtor orAgent Mailing Address: I/aC } Bk 1 GIou �e�le �u!)^ 6. Legal Description, 7 91 Location kl Phone: ��`� )` ^ r`� Type of Facility to be Inspected'.� ` �` No. Gd Water Supply Type nfSupply: Public Utility Individual— If ndividumL|f Individual, number nfdwellings presently served ^ If Individual, depth of well ' Type ofSystem: Public Utility Individual (on-site) If Individual, date of installation 72-003(3/76) Page 2 of two pages - Req -t for Approval of Individual S !r & Water Facilities Legal Sescription , Lot 1 Block 3 Glen Eagle_ Subdivision Comments Approved Disapproved Date el-3 Approval Valid for one year from date signed Greater Anchorage Area Borough, Department: of Environmental Quality DIAGRAM OF SYSTEM 1 certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED EQ -034 (1/74) Date