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HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK A LT 1'r'044�b- Sol-b� Municipality of Anchorage Page of-12 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 )150 Permit Number: �W c) -100 Ge) PID Number: ` 109 Name: (�j � ��� N Wastewater System: ❑ New I%Upgrade Address: 'Z.3 t Z p t�� ��,�y ABSORPTION FIELD" Phone: No. of Bedrooms: � Deep Trench ❑Shallow Trench ❑Bed ❑Mound ❑Other LEGAL DESCRIPTION $oilRating:'.� Total Depth jromorig11ade: 115.(o -M 111-41 GPD/Sq. Ft. Block: Subdivision: UI�A 4Ts Depth to pipe bottom from original grade: Gravel depth beneath pipe 5.1 - Q f"C-P­ V "C--W Ft. Ft. Township: I Range: (� Section: Fill addedaboveoriainal/grade: -To Gravel length: 3�`. tj IA o r, Ft. -.:. Ft. ❑ New 11 Upgrade Gravel width: ) + Numb Toflines:-.v Distsbcegqeetweenlines: NIPP Ft. Ft. Classification (Private,-A, Total Depth: Cased To: Total absorption area: Z '{' Pipe material: - - 1>1Zv34 .. FS io_ Ft. Ft. SC. Ft. Driller: illed: Static Water I eye" Installer: t-- R�St-tu$S Data ins llit 6/%6 9qr-� 5' z/ y� Ft. A Yield: - Pump Set at: Casing Height Ab ound: TANK GPM Ft. Ft. SEPARATION DISTANCES -10eptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: �^ - A, Capacity iitn gallons: 00 0 From Tank Field Station Tank Sewer Lines tJG L� 1 7-t"'r - Well- j ao / / / 6� ; Material: S;•C l� Number of Compartments: Z tout >Icw/ >too LIFT STATION Water Water Lot ,u,1 �"1 {- 1/�• t� Siz ns: Manufacturer. Line Foundation 3q,1� ! �s.s "Pump on" level at: "P eve[ at: High water alarm at: Curtain-7/ ) >O/ Pump Ma odel I Electrical Inspections performed by: Drain Remarks: (�UL,7D L.S BENCH MARK Location and Description: "n4V21:—:7S:A-0L. `! COa6'_ _ 0'4 C) F t V-Wc,>oa (2- ­170 w&,�5'c- or- 6&QAASM Pv��P Assumed Elevation:: - I C)D w 00 Pf ENGIt%WkE L LFA may . S1 006...8 VA fly Inspections performed by: Dates: 1s n lova i i •i eoeiio oiaa," a 2nd 199 •eyA•G•nii.'=�� 6 CE-7953 Department of Health and Human Services approval ;,�• .,, i.•• ��� /� ' -k%RO Reviewed and approved by: 411 � Date: �—�T 7 ` %ROFESSIONP� 72-013 (Rev. 9/91) MOA 25 85' WELL RADIUS WR#970011 C/❑ "H C/❑ °C°—/ C/❑ "D° - DOUBLE AS -BUILT DRAWING AC = 36.2 AF = 36,1 BC = 56.2 BF = 41.0 AD = 37.2 AG = 26,8 BD = 52,4 BG = 53,0 AE = 45,8 AH = 35.3 BE = 35.9 BH = 59.0 f \ -1� w � z \ j'F I ° OWER PmLE u DRIVEWAY/PARKING i-� -E2ck�. l.ocaTloN ISEPARATII]N DISTANCE FROM TRENCH GENERAL LOCATION TO CLOSEST P❑INT OF CUTBANK IS '`_ OF POWER LINE APPROXIMATELY 23 FEET, SEPTIC UPGRADE; LOT 1, BK A, GLACIER VIEW HEIGHTS, PREPARED FOR; MARTIN ALLETSON PREPARED BY; ALASKA WATER & WASTEWATER SERVICES DATE; 5/23/97 DRAWN; GARNESS SCALE; 1" = 30' 0F.A_' . .. .1.. .. ............ f r A. Garn s;' C -7953 e`QO hem •� ,.. ' .`cAv� AS—BUILT DRAWING GROUND OVER TANK = 97.6 COVER = 5.1 FEET, 7,77777/77777,NOTE, THERE IS 2 INCHES OF TOP OF TANK = 92.5 INSULATION OVER THE SEWER LINE UNDER THE DRIVEWAY AREA. IN ADDITION, THERE IS / NEW 1000 GALLON SEPTIC 2 INCHES OF INSULATION OVER TANK, INLET INVERT = THE SEPTIC TANK. 92.00, OUTLET INVERT = 91.78. 4 INCH DIA. PVC LINE FROM HOUSE, INVERT NEAR FOUNDATION C/O = 98.47 DROP FROM HOUSE TO TANK = 6.47 FT. SLOPE = 1/4' + PER FOOT GROUND ELEV, OVER FOR LOCATION OF MJ SEE PLAN DRAWING TRENCH IS 97.8 TO 98.5 FEET. MINIMUM COVER = 5,85 FEET FILTER FABRIC OVER DRAINROCK Ln INCH DIA., ASTM F810, PERFORATED PIPE A. INVERT OF DRAINPIPE = 91.6 B. BOTTOM OF TRENCH = 86,5 C. NO GROUNDWATER TO DEPTH OF 16.5 FEET. D. TRENCH LENGTH = 37.5+ FEET E. TOTAL ABSORPTION AREA = 382+ SQ, FT. BENCHMARK IS CONCRETE THRESHOLD OF MANDOOR WEST OF GARAGE DOOR. SEPTIC UPGRADE: LOT 1, BK A, GLACIER VIEW HTS, S/D, PREPARED FOR: MARTIN ALLETS❑N ALASKA WATER & WASTEWATER DATE: 5/23/97 DWN: GARNESS SCALE: NTS of A' . °a t y A. E-4ss, E 77953 : •' FOTO 4p4e ��aoo OrofeaS'W' a� �Q�OoOo�Q 1 1 1. � V.�JR � ♦.,f 5: 1<rY<S:A YtiNI" 1 Y � � ir�(�'S�� �'},-: �t2 ij iy i+l .F...�£ '+- <ty 1:_ £ rt'I �a i •n..f ,kF O}. ���!�y t�rsh y y i . r ,{ a iS " .ti ,' ) - S 1 .. r �f_ t 3� 'F y: x•4r�ft"� , �S 'qLY �k i t Y -- - `jry� � :`• L ra �r L '- �,:. +�' ��,, cit 3. y , - a A' M04 wtAGE P MUNICIPALITY OF ANCHORAGE)% DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970058 DATE ISSUED: 4/10/97 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE: 4/10/98 OWNER NAME:ALLETSON MARTIN W & DEBRA A OWNER ADDRESS:23123 EAGLE RIVER ROAD EAGLE RIVER, ALASKA -99577 PARCEL ID:05050109 LEGAL DESCRIPTION: GLACIER VIEW HEIGHTS BLK A LT 1 LOT SIZE: 25520 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS OFFICE WILL NOT APPROVE AN AS -BUILT OF THIS WASTEWATER" SYSTEM UNLESS SATISFACTORY PROVISIONS HAVE BEEN TAKEN TO PREVENT VEHICLES FROM DRIVING OR PARKING ON THE SYSTEM. p RECEIVED BY:DATE: ISSUED BY: \/�� I DATE: I Alaska Water & Wastewater 8471 Brookridge Drive — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers RECEIVED March 24, 1997 g, 0... tp� MAS; 2-17 1997 Municipality of Anchorage iA Dept. Health & Human Serv;cesQj Municipality of Anchorage i ffr y A. CL -7953 a �� Department of Health & Human Services p Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref. Sewer Upgrade for Lot 1, Bk A, Glacier View Heights S/D. To whom it may concern: The existing 3 bedroom house is served by private well and a community septic system (located on Lot 2, Bk A, Glacier View Heights), which serves both lots. The drainfield will not pass an adequacy test at this time (surcharged), and must be upgraded prior to the sale of the house. The intent is to put the new system entirely on Lot 1, and disconnect from the community system. The community system will then convert to a private system which only serves Lot 2, Bk A, Glacier View Heights. Comments regarding the upgrade on Lot 1 are summarized as follows: 1. SOILS: Attached is a log which shows the soil profile, and the percolation test results. At the depth tested, the percolation rate was faster than 1 minute/inch. The soils in the bottom 3 feet of the test hole visually appeared to be sandier. A sieve analysis was performed on this soil layer (bottom 3 feet of the test hole), and it was classified as a GW -GM soil with 47.7% gravel, 44.8% sand, and 7.5% silt. Since greater than 50% of this soil (by weight) is sand & silt, it should behave like a filter for the coarser overlying soils. In short, we are requesting that the need for a sand filter be waived. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch. b. Allowable Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 ft2 f. Effective Depth: 5.0 feet g. Width: 2 feet minimum h Minimum Length: 37.5 feet. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic upgrade. 4. EIGHTY-FIVE FEET FROM NEW TRENCH TO EXISTING WELL: The new trench will be 85 feet from the existing well. Attached is an engineer's report which analyzes the contamination potential based upon the ADEC point system. Based upon the ADEC point values, the waiver appears to be justified. 5. TOPOGRAPHY: The lot is generally flat from east to west, and slopes gently downhill from the house to the south property line. At the south property line, a steep cutbank exists (>50%), which drops off to Eagle River Road. The new trench will be approximately 25 feet from this cutbank. Given the porosity of the accepting soil, it is reasonable to assume that wastewater from the trench will move downward rather rapidly, versus migrating laterally, and daylighting. It is my opinion that there is minimal risk associated with this encroachment. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. Sincerely, 4mess, S. Pri i Martin Alletson Design Package.wps iN \� F,p �Fqd LOT BK B, \ GL IER VIEW • 7CGHTS. o LOT 2, BK AA GLACIER VIEW EAGLE GLACIE_ R pP U NpE'j6,'oPF� F. 0 LOT 16, BK 1 VALLEY VIEW TERRACE S/D. 0 LOT 15, BK 1 VALLEY VIEW TEf+lti ACE S/D. TERRACE S/D. Fg04 3 f RI SFR SEPTIC SYSTEM: LOT 1, BK A, GLACIER VIEW HEIGHTS S/D, PREPARED FOR + MARTIN ALLETS❑N PREPARED BY: ALASKA WATER & WASTEWATER, DATE: 3/24/97 DRAWN: GARNESS SCALE: 1' = 100' 0 SEPTIC AREA SEPTIC AREA ¢ TH ....... �*Yl� r y A. a s; 4 CE -795 l 4fe�eF,o°jv �djOrofession�ad �4oc�oo`�o LOCATION OF SEPTIC SYSTEM NEIGHBORING LOT. j r i E � w r M C6 Q re. , W W u W t i y 4 � t ! M C/ WELL M 88, C/O s M' DIA, PVC SLOPED AT 1/4' P FOOT. 2 \--93.7 NEW TRENCH. 37.5 FEST LONG (MIN c:i_FEET TO CUTBANK, LOCATED AT- / eRC4F R1L GROUNDI ELEV. TUB 5 _ F,p` 'Po 1410 NEW 1000 GALLON SEPTIC TANK, INSTALL DOUBLE C/O'S AFTER TANK. - 1 APPROXIMATE LOCATION OF CURTAIN DRAIN, AT BASE OF CUTBANK. EST HOLE. FOUND CURTAIN DRAIN, AND WATER AT 3 FEET. f E' MAINTAIN FOOT WELL RADIUS, NOTE: ALL EVELVATION SHOTS ARE BASED I ON AN ASSUMED INSTRUMENT HEIGHT OF 100.00. A017 OF A SEPTIC SYSTEM: LOT 1, BK A, GLACIER VIEW HEIGHTS S/D. :y*v ..:.. ..... ........... PREPARED FOR 1 MARTIN ALLETSON ...... A. am ss; PREPARED BY: ALASKA WATER & WASTEWATER. Qp4 . E-7951 �4p� 4p°gym • ��rwv DATE: 3/24/97 DRAWN: GARNESS SCALE: 1' = 40' �0�4ofer'810AQ TOTAL TRENCH LENGTH 37.5 FEET. TOTAL ABSORPTION AREA = 375 SQUARE FEET (MIN.). J J Z z w w w U. N F_ W W W s 41.1.`. 1 2 FEET MIN. BACKFILL WITH NATIVE SOIL AND MOUND. FILTER FABRIC SILT BARRIER. PROVIDE 2 INCHES OF BOARD INSULATION IF SOIL COVER IS LESS THAN 3 FEET. INSULATION SHALL COVER THE ENTIRE WITH OF THE TRENCH. 4 INCH DIA. PERFORATED PIPE, WITH HOLES DOWN. SHALL BE LEVEL WITHIN .01 FEET. PLACE 2 INCHES OF DRAINROCK OVER TOP OF PIPE. TOP OF DRAINROCK SHALL BE AT THE SAME ELEVATION OVER THE ENTIRE TRENCH WIDTH. MONITORING TUBE (TYP)_ PERFORATED IN DRAINROCK. NOTE_ 1. TRENCHES SHALL RUN PARALLEL TO THE SLOPE CONTOURS. 2. FOR LOCATION OF MONITORING TUBE, SEE SITE PLAN. 3. CONSTRUCTION PRACTICES, AND MATERIAL SPECIFICATIONS SHALL COMPLLY WITH ANCHORAGE MUNICIPAL CODE 15.65, -WASTE- WATER DISPOSAL REGULATIONS". 4. INSTALLATION SHALL COMPLY WITH SPECIAL PROVISIONS AS NOTED ON THE SEWER PERMIT. 5. SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED. 6. DRAINROCK SHALL BE SCREENED PER M.O.A. SPECIFICATIONS. DIRTY DRAINROCK WILL BE REJECTED. TRENCH DETAIL: LOT 1, BK A, GLACIER VIEW HEIGHTS. PREPARED FOR: MARTIN ALLETSON ALASKA WATER & WASTEWATER SERVICES DATE: 3/24/97 1 DWN. GARNESS I SCALE: NTS 6��f cc pp cee ra r9pa <...�N 4 �'_ oa 9a a sca azp �o¢oae le f A.ness % E-7953 li �a®ac ee oaspp l�,�sv d a a a v .4 ° v V v 2 FEET MIN. BACKFILL WITH NATIVE SOIL AND MOUND. FILTER FABRIC SILT BARRIER. PROVIDE 2 INCHES OF BOARD INSULATION IF SOIL COVER IS LESS THAN 3 FEET. INSULATION SHALL COVER THE ENTIRE WITH OF THE TRENCH. 4 INCH DIA. PERFORATED PIPE, WITH HOLES DOWN. SHALL BE LEVEL WITHIN .01 FEET. PLACE 2 INCHES OF DRAINROCK OVER TOP OF PIPE. TOP OF DRAINROCK SHALL BE AT THE SAME ELEVATION OVER THE ENTIRE TRENCH WIDTH. MONITORING TUBE (TYP)_ PERFORATED IN DRAINROCK. NOTE_ 1. TRENCHES SHALL RUN PARALLEL TO THE SLOPE CONTOURS. 2. FOR LOCATION OF MONITORING TUBE, SEE SITE PLAN. 3. CONSTRUCTION PRACTICES, AND MATERIAL SPECIFICATIONS SHALL COMPLLY WITH ANCHORAGE MUNICIPAL CODE 15.65, -WASTE- WATER DISPOSAL REGULATIONS". 4. INSTALLATION SHALL COMPLY WITH SPECIAL PROVISIONS AS NOTED ON THE SEWER PERMIT. 5. SMEARED BOTTOM AND SIDEWALLS SHALL BE RAKED. 6. DRAINROCK SHALL BE SCREENED PER M.O.A. SPECIFICATIONS. DIRTY DRAINROCK WILL BE REJECTED. TRENCH DETAIL: LOT 1, BK A, GLACIER VIEW HEIGHTS. PREPARED FOR: MARTIN ALLETSON ALASKA WATER & WASTEWATER SERVICES DATE: 3/24/97 1 DWN. GARNESS I SCALE: NTS 6��f cc pp cee ra r9pa <...�N 4 �'_ oa 9a a sca azp �o¢oae le f A.ness % E-7953 li �a®ac ee oaspp l�,�sv -/��" Municipality of Anchorage r( O. G� DEPARTMENT OF HEALTH &HUMAN SERVICES ® ad * .'4 'e v. 825 "L" Street, Anchorage, Alaska 99502-0650 d1#9 ee.. .... a• ....+ ; SOILS LOG — PERCOLATION TEST O Amo A. G• 4i a9 E`110911001/I E-7953 z'„s PERFORMED FOR: MA iZTIhI D < �rsa�% DATEPERFORM F •~•• .+°°.`• 4t�m 3/ OrES I.OT j ) LEGAL DESCRIPTION: GLA-GtC—g VIE -..J HTS • Township, Range, Section: SLOPE SITE PLAN 1 2 4 5 6- 7 7 8 9- E T) 6 • - • O V IMTVOri.t� No C)9 -c .j tcd f2o z"Z-tso olt%S F 1 Sot L. L. t,►tc� s t L -T -f 64, -AVC --L3 ` t o b>GS �t2 0 Vlyz �Ofl rj011. Of2C�w1cS 10- 10 o b u � 11 a 12 13 0 V rQA�is15 14 + ' OI faz 15 O o t {' O ,I OF "2,-0 16 4 s< a oN 60 no'+ 17- 18 19 WAS GROUND WATER 7�5 ENCOUNTERED? `I S L IF YES, AT WHAT 0 DEPTH? P E tt O� Depth to Water Aftero Monitoring? Date: 20t__j PERCOLATION RATE -< I (minutes inch) PERC HOLE DIAMETER TEST RUN BETWEEN -7 FT AND -7's FT COMMENTS 6-W— C� FJ LN j Fre- kc. .4-7.-7 /qqd GPAvg�L. -44” /u S%LWU ♦> -7 5 S [!::1:& 14A7Ac-`T' PERFORMED BY: ` � CJ�S ��I C 1 FiE� � CERTIFY THAT THIS T OT WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) r 15-/(7 7 bee Inc. TELECOPY COVER SHEET 907 East DoWIng Road Sulte 27 Anchorage, Alaska 99518-1427 Telephone (907)561.4085 FAX (907)551.7071 oetw March 21, 1997 Time Sent: 10:30 PM Attention: Jeff Garness Company: AWW Fax No. 907-338-3?46 Telephone No.. 907-3§7»6179 From: J A. Buzdor/F=BA Eaginegring Filo No.: NA Message: The material is marginally a gravel. -JAB EBA.ENh1NEEK1Nt3 lll•JVfjt-)i GRAIN SIZE ANALYSIS (ASTM Q422), PROJECT NAME: PROJECT NO.: 5355 -� CLIENT: AWW DATE TESTED: 3120197 BOREHOLE/LOCATION: TESTED BY: 19JPC SAMPLE NO.: 97 -S -i REVIEWED BY: DEPTH: DESCRIPTIOW Well grd• gravel w/ silt,and_sand. RIFVF ANALYSIS TFST SIEVE SIZE DIAMETER rnm TOTAL °i PASSING 6" 152.4 D60= 4- 100 1.43' 3" 76.2 :.,CU= 2" 50.8 100 1" 25.4 96 3/40 19 91 1/2N 12,7 79 3/8" 9.5 73 # 4 4.75 52 #10 2 36 020 0.85 24 N 40 1 0.425 17 _ 460 0.26 13 #100 0.15 10 9200 0.075 7.5 100.0 I 90,0 00.0 70.0 60.0 %FINER BY 50.0 DY[IGlfr 40.0 i 30.0 20.0 1010 0.0 100 UVrf CffMCTC* TORT ELAPSED DIAMETER TOTAL % TIME mm PASSING 0 0.6 1 2 4 8 15 30 60 250 1440 GRAIN SIZE DISTRIBUTION U.S. STANDARD SIEVE OPENINGS ,. I/p. 04 x10 x'40 1140 x60 #1019 N200 % GRAVEL: 47.7 % SAND: 44:0- %SILT/CLAY: 7.5 D60= 6.53. D30= 1.43' D10= 0.14' :.,CU= 45.7 Cc= 2.2 M C.a 5.60/n:: ' USC: GW -GM FC:.w.._� %.02 min�- DATE PNINTED 3/T0/0? 1 n i 0.1 0.01 - 0.001 GRAIN SITE IN MILLIMETERS - GRAVEL _I__..,_ SANp L. SILT AND OLAY - lfi .moo IJ ozcu O GN i 1 1a`a.z q JK v� ��: CI o i y (/y.,. �op ► i w , wV o y a/17 1 0 1�nwl , / � t fit, t.O.. p 1 t . ool y� uo ,1ue1� dl° uaaelpe ue 8u' 1adaS :fi41M... -.. o ._ Ailado,d suolsuaw?O ePnhull 11 oS lP OVIUaOd SN Otl3nalSN1 - r• walsh5. uotadaos4tl A, ..t w i.'. lfi .moo IJ ozcu O GN i 1 1a`a.z q JK v� ��: CI o i y (/y.,. �op ► i w , wV o y a/17 1 0 1�nwl , / � t fit, t.O.. p 1 t . ool y� e.; n m i A, 0 lfi .moo IJ ozcu O GN i 1 1a`a.z q JK v� ��: CI o i y (/y.,. �op ► i w , wV o y a/17 1 0 1�nwl , / � t fit, t.O.. p 1 t . ool y� r n 0 A ' < eS 1111 Imo' ° s � GRE ,,R ANCHORAGE AREA BOR ,Gh Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON—SITE SEWAGE DISPOSAL SYSTEM NAME .Y � ��1D`I �/ /`�7 MAILING ADDRESS A0 /3401>�5 / ��✓�� PH 0NE'-< // LOCATION O>�� � �� "";ce /IGAI)LEGAL DESCRIPTION � O T % /-'l'pC� �l%ie/tle Vl�lll SEPTIC TANK: DISTANCE/ �, /j _ NUMBER OF FROM WELL 7� MANUFACTURER GGii- MATERIAL —COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITYI�GALLONS. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL FOUNDATION z 7 NEAREST LOT LINE /�� OF LINES G/`_/F i/ NUMBER OF LINES Z DISTANCE BETWEEN LINES TRENCH WIDTH— IN. TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE DEPTH OF FILTER DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE G IN. ABOVE TILE IN. WELL: TYPE F/��/CONSTRUCTION f;�DEPTH z' DISTANCE FROM: BUILDING s NEAREST NEAREST ��� SEPTIC n SEEPAGE d FOUNDATION S LOT LINE ZO SEWER LINE IV14 , TANK , SYSTEM !;�'? CESSPOOL APPROVED DISTANCES: INSTALLED BY SEWER LINE DEPTH: OTHER SOURCES DISAPPROVED REMARKS Well Z X11 � � � /1 ` �� DIAGRAM OF SYSTEM ji Y7'" y �s'�p,4014c K�04 s' 0 PIPE MATERIAL: &/ e4 s rIZ00 Ac,IF P1 PG ' LOT SLOPE: REMARKS LQ ill /�C.le " P/C_ ,-'C/Ue. DATE APPROVED Form EQ -032 71 0_ G.A.A.B. _ GRE. ;R ANCHORAGE AREA BO" JGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. ggg 3330 "C" STREET ANCHORAGE, ALASKA 99503 L f TELEPHONE 274-4561 - APPLICATION AND PERMIT SEWAGE DISPOSAL SYSTEM NAME OF APPLICANT ' MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED - FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS " s �S NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED - 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 JObO TYPE �`I"A SEEPAGE AREA SIZE TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ' i FOUNDATION TO SEEPAGE PIT DRAIN FIELD P f SEPTIC TANK TO SEEPAGE PIT WALL i SEPTIC TANK 15 , SEEPAGE PIT TO NEAREST LOT LINE. - WELL TO SEPTIC TANK DRAIN FIELD WATER MAIN TO SEPTIC TANK- DRAIN FIELD c P DRAIN FIELD SEEPAGE PIT tu01 ALSO CONSIDER AREA WELLS. _, SEEPAGE PIT C� SEPTIC TANK, 160 , SEEPAGE PIT-. DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. (1 10 Il a GRAVEL BACKFILL CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. G.A.A.B. OR LICEN ED DESIGNER DIAGRAM OF SYSTEM . Girth -y-01 I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE. WITH SAID CODE. X / (" i DATE APPLICANT'S SIGNATURE` \ FORM NO. EQ -016 i _- ! _ j_- 1 � Girth -y-01 I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE. WITH SAID CODE. X / (" i DATE APPLICANT'S SIGNATURE` \ FORM NO. EQ -016 Y 0 Et E GE0`':-,.g:CHNI CAL Et DEVEL—,;aMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 686-2280 Earl Ellis Russell Oyster SOIL LOG 6138-2280 694-2774 Foundations Soils Et Land Development Performed for: Name: PQ.7--l'�:' 2 Y 5�/U P Tel No. Mailing Address: Legal Description: Depth _(feet) Soil Characteristics 0 1 3 10eyc Z. y' 4 .Il 6 7 8 9. C �/�ii/!% yr SI c ��-yam �c- 10- �� u a/ 11 15 16 Ground Water Encountered: Yes No If yes, what depth Proposed Installation: Seepage Pit Drain Field Comments: Performed by: '•��� Date: ����� �I7�J p Municipality of Anchorage Development Services Departmei \`f;l Building Safety Division \� On -Site Water 8 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. ()�0'S�D► —Q!I COSA# Noggo? 1. GENERAL INFORMATION Expiration Date: Z 2?, f/ Complete legal description GLACIER VIEW HEIGHTS, BLOCK A. LOT 1 ❑ Public Water System ❑ Location (site address) 23123 EAGLE RIVER ROAD • EAGLE RIVER, AK 99577 Current Property owner(s) LISA HADLEY Day phone 694-4247 Mailing address 23123 EAGLE RIVER ROAD ' EAGLE RIVER, AK _99577 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: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined In the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage riles 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 Finn GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines B Regulations. The reported results described 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 soils condition, groundwater 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benerit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Phone 337-6179 Date 9j2Z1,� Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the filowing stipulayon?:vt A _.. ON-SITEVVAItKAHU ; c WASTEWATER PROUKAM Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other I 1 f By: Original Certificate Date: /-?, 7, tRay. i1A51 \ Municipality of.Anchorage ° I`• �l Development Services Department Building Safety Division On -Site Water & 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 CHECKLIST Legal Description: GLACIER VIEW HIEGHTS, BLOCK A, LOT 1 Parcel ID: /) Shc Oji A. WELL DATA Well type PRIVATE If A. B, or C provide PWSID# N/A Date completed 5/1974 Sanitary seal (YIN) YES Total depth 145 ft. Cased to 142 ft. FROM WELL LOG Date of test 5/1974 Static water level 65 —ft. Well production 5 —9 -P.M. WATER SAMPLE RESULTS: Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 24 in. AT INSPECTION 7/31/2009 81 ft. 6.44 g.P.m. Coliform : U colonies/100 ml. Nitratep—amg./L. Other bacteria to colonies/100 ml. Arsenic: Oug./L. Date of sample: 8/25/09 Collected by: CEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date Installed 5/1997 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N)/�O High water alarm (Y/N) N/A Date of pumping a y O9 Pumper r C. ABSORPTION FIELD DATA BELOW EXISTING GRADE Date installed 511997 Soil rating (g.p.d./ft2o /bd 1_2 System type TRENCH Length 37.5 ft. Width 2 ft. Gravel below pipe 5.1 ft. Total depth +11.29 ft. Eff. absorption area 382 ft' Monitoring tube YES Depression over field NO Date of adequacy test 7/31/2009 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth In absorption field before test 27.5 in. Water added 1 � 60gal. New depth 31 •sin. Elapsed Time: 30 min. Final fluid depth 2�.5 in. Absorption rate >= 450+ g,p_d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — D. LIFT STATION Date installed Size in gallons Manhole/Access "Pump on" level at in. "Pump offlevel High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on tot 100'+ On adjacent lots 100'+ Absorption field on lot •85'+ On adjacent lots 100'+ Public sewer main NSA Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main NSA Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 100+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 1' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *SEE WAIVER # WR970011 G. ENGINEER'S CERTIFICATION I certify that I have determined through field Inspections and review of Municipal records that the above systems are In conformance with MOA COSA guidelines in effect on this date. Engineefs Printed Name JEFFREY A. GARNESS Date q/zZ/o17 �.J COSA Fee $ N 9 U Date of Payment t' I I 17 I o I T Receipt Number. 6 S y U (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number Sep 04 09 11:53a OPM 1:3124j2T53 05r33 93734-352: JRs Pumping ?O Doc ��ti IS Eagle Ri"r, AK 9951" 00?) ",%:.6454 II nigninn.i�n.�' ' Mike Hadley 23123 Eagle River Road (907)694-2911 p.2 JRS EYT.1: PAGE CA4 Jot)Dept ;; tar.. 10000 P D Nu•abe.- Tums Net 30 r%2•wn-Dawn Eagle River. AK 95577 (907) 694.2906 Snraro," Nap aooY. IJob Site Informarlon____I Crcas sn.ets M11(3Jpb „amrnenta. 23123 Eagle Rive, Road Eagle River, AK 93:71 (907) 694-290e 351-6192 Additional Location Conments DmSran•� 2 story brown house w/ green trim. Pipes in front near OW visible. 7 Service Agreement Number. 029440 Order pate: 21 -Aug -2009 Service Dale 24 -Aug -2709 11:0 Techniaan Bruce R Mike Tax .fob tyx Repeat map 010 120- - V.Ile 4 E Eagle River Road _ Las: SrrviCe 110/17/2007' 1000g --- {Selling horn", make good notes plz i c •,1;:,,-,sy,_.; ar- Gallons Planned: 1000 rttta I I Gal Actual: •S Z— ice. Tui.. . vo east, al. er Rd Service Type Qty Price lza:h Taal septic Sery1000K 1 $1efi.CO No Hose Length:.: Double Tank. 0 Pump System•;6 Baffles Inlet: O Baffles Outlet: Q Extension Acte 516!.001 ;tom �� NapTaaabid Total Taxable Total Tax TOM Grand Total 131IMSe1 Cnugea* : e�5m 1300 So00 SS115530� Aqunl Cynaec � �•,�...� - C�alomef a)rees T the tltry and Co'to!CarM ahawa. Tr+ S Is A BIND N3 AGREWENT S?nutwe O"d TIN+ 'w'u^w•Rerxeaenin %* Dare f .(. epted by ,iRs PLvrpLn6 Da'e A:t:e{iled Far V3, added ctn.en!era rW a:eept: Arr,enCan Expre is. D.wfar t5o aW Maare'tard pa1.,+.nix rnr tea phone Altar 30 Drys 6coJM w!5 ue 4nr.d over to CUt1EC?•CrNS 1ta [O for 149E CIKCRe P. a!u•rna o fl�1r Ea..!rA. ria %*I G".. r t� U `'moi q• J . i a ..........._- R .� r..•t Ca. !:. ffv.Yr ^!✓-s� tor/ ze �, AS -BUILT I hereby certify that I have surveyed the following described property:Ld 7/" 1 } B lnc k Q , Anchorage Recording Precinct, Alaska, and that the improve- ments situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent there- to, that no improvements on property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Eagle River, Alaska thi. 17 r - ay or it ROBERT C. JOHNSON 7�Jui SCALE: Registered Land Surveyor No. 980 -IS 1^ = 4 G r Box 458, Eagle River, Alaska Phone (907) 8942543 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my'seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate 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 Alaska Water & Phone Address 71 okrid r. Engineer's signature Date 70d - � OF A p ah • 4 ,k9 • �ti: tig ® a e e A. Garners • �' s' c E-7953 ° ti dp 6. DHHS SIGNATURE le ••. x Approved for 3 bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: Date l 7 CAUTION :The Municipality of A,richorage 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 professionalenginie r registered in the State of Alaska. The DHHS does this as a courtesyto purchasers of homes and their, lending institutions in orderto satisfy certain federal and state requirements.Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work: ' 72-M (Roy. 1/91) Back MOA k21 - - Municipality of Anchorage \ DEPARTMENT OF HEALTH & HUMAN SERVIC�C�� �1 a Environmental Services Division 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 3j,�*74a Pnr Health Authority Approval Checklist MulNeat,t&"u an8�e� AYE, Dep Legal Description: i�yT ��(Gi t cel I.D.: A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) S Date completed _rS -1-74- Total 74' Total depth Cased to 14-2 Casing height (above ground) Sanitary seal (Y/N) Date of test Static water level Well production %�-1 ca -S FROM WELL LOG g.p.m. WATER SAMPLE RESULTS: Coliform Wires properly protected (Y/N) kyr-,S Nitrate 61 ' P. AT INSPECTION ? 6-E A/i;t -76 (-(- m. o � tS � s 081- Other bacteria Date of sample: 3 /.)-6 A,, - Collected by: ? SS B. SEPTIC/HOLDING TANK DATA Date installed Tank size Number of Compartments Cleanouts (Y/N) � Foundation cleanout (Y/N) 'V15—�- S Depression (Y/N) NU High water alarm (Y/N) /� /'j 6 Date of Pumping Pumper Nit/ C. ABSORPTION FIELD DATA Date installed Soil rating (g.p.d./W or ftz/bdrm) �` Z System type ��L Length 3-7 S f Width D- 4- Gravel thickness below pipe Total depth 104, 1-11.6, Effective absorption area Monitoring Tube present (Y/N) WfS Depression over field (Y/N) Nb Date of a e t Results (Pass/Fail) For Fluid depth in absorption field before test i . , I a ter_ gal. water added (in.): _ Fluid depth mutes later: Absorption ra - g.p.d. Peroxide treatment (past 12 months) (YIN) If yes, give date 72-026 (Rev. 3/96)* D. TATION Date installed Manhole/Access (Y/N) High water alarm level at* CyDW sed E. SEPARATION DISTANCES HE *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons "Pump off" level at* 1 / LOT 2) eiZ- A Septic/holding tank on lot i00 On adjacent lots QUO GLA)a(F12 \J1E--J 1. f� s�.rF� r wT GV- a Absorption field on lot % iti 2 91001 I On adjacent lots � �U / C�uk� r�y,� Public sewer main Ifs- Public sewer manhole/cleanout (`J (A Sewer /septic service line Lift station N 1A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ;) ,' ± Property line i-+ Absorption field 7 1k r rr Water main/service line yl0 Surface water/drainage�rno Wells on adjacent lots N> foo SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: P � Property line Building foundation Surface water Curtain drain Water main/service line > f d / fUO Driveway, parking/vehicle storage area _ / Wells on adjacent lots ">. 100 i!± F. ENGINEER'S CERTIFI CATION '_"y f3 ; .. L, y e r I certify that/ have determined thru ' 1 inspections and review of Municipal recordsj]i Fthd ,abovf rsjr9 in conformance ithJHA g ell es in effect on this date., r' Signature -1<1 yy a p OaayacN Engineer's Name �, J.ffre Garnes� 'n, r -7953' Date HAA Fee Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Elox 196650 Anchorage, Alaska 99919-6650 MUNICIPALITY OFANCHQRAGE 343-4744 ENVIRONMENTAL SERVICES DIVISION C'%RTIFICA T E OF HEALTH AUTHORITY- APR O3 �g97 APPROVAL FOR A SINGLE FAMILY dWELLINgG 2, Parcel l.D.# 050_ ,c0/—©Cj-0o HAA# 1r-77U%�� 1 GENERAL INFORMATION Complete legal description f ms`s 1 , Location (site address or directions) P I ve/ � � , JL_ J'v Property own -r Mailing address Day phone &&F07,) 53s-+Pl Lending agency N /" Day phone Mailing address f� I¢I- Agent ot c.rF�L E�'� Dayphone _ —2378 Address .�d, rt i�rL:ri rG�f s .�� GJ Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: � 3. TYPE OF WATER SUPPLY: Individual well X P> 4 CA1,11-, ,jr- j� G„��.,r� S 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 -TvgC,UwGaz-t-'a-P Holding tank 4 6N— 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 - - - 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate 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. Alaska Water &V 74/ 79 Name of Firm WastewatgrServirp5 Phone Address Engineer's signature y t,v it t . Lv �?fs S fvf� iZ) a F— "%j etc_J D r..t iT_ INs7 �- rv>�✓ S }tics SVS'�" PAZ M . 0. AE per �► r� 6. DHHS SIGNATURE Approved for bedrooms. Date 4 - OF At Pf°a CE -7953 C Disapproved. Conditional approval for 3 bedrooms, with the following stipulations: Money shall be put in escrow to upgrade the wastewater disposal system pursuant to permit number SW970058. Also, well wires to be placed in conduit. All work shall he completed no later than June 15, 1997. Money in escrow shall not be released until this office has given final approval. Additional Comments Permit Number SW970058 attached. By `,� Date 4 CAUTION The Municipality ofAnchorage 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.' 72-025(Rev.1/91) Back MOAM Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICECEIVED A Environmental Services Division 191 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) A�9 4744 Municipality of Anchorage Health Authority Approval ChecklispoPt° Health & Human Services Legal Description: A.. JL4.- IF --1 Parcel I.D.: A. WELL DATA / Well type (a1y If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Date completed Total depth l �`� ( Cased to Z r Casing height (above ground).- 12, it Sanitary seal (Y/N) S • Wires properly protected (YIN) f� FROM WELL LOG AT INSPECTION Date of test -S-1-74- s /;'-%6 / 4 -7 Static water level 6 ! ' `7 i r 4 Well production WATER SAMPLE RESULTS: 5 g.p.m. 5o g' g.p.m. t=b'2- '76 1° 14"4-r 3 . I—'14 --K b(1,0,W00dVfj OF 9f.Cd,4j0LG-j-E Coliform Z _ / / Nitrate /�%•L� Other bacteria Date of sample: -3b-6. �/ 7 Collected by: B. SEPTIC/HOLDING TANK DATA '-M 9C-- Af34D�100^160 1"f P -- Q'J "7— Z_j 4 Date installed S Tank size 000 Number of Compartments Cleanouts (Y/N) Foundation cleanout (Y/N) . Date of Pumping m/'4 - Depression (Y/N) 1*J0 High water alarm (Y/N) IJ IIA - h/ /O Pumper 136- 06izc�-0649 '-rz? C. ABSORPTION FIELD DATA U -J "�r r Date installed Soil rating (g,p-&fft2 or ftz/bdrm) System type it Length Width Gravel thickness below pipe 30 Total depth Effective absorption area ''/oo Monitoring Tube present (Y/N) Depression over field (Y/N) Adb Date of adequacy test !`4 Results (Pass/Fail) /= For bedrooms Fluid depth in absorption field before test (in.); ' Immediately after' gal. water added (in.): Fluid depth (ins) Minutes later: Absorption rate =jj g.p.d. Peroxide treatment (past 12 months) (Y/N) `J If yes, give date /�/�4 72-026 (Rev. 3/96)" Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES "Pump *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Size in gallons "Pump off" level at* Septic/holding tank on lot IJ la, On adjacent lots / Cx), jj Absorption field on lot N Ifs On adjacent lots /DU Public sewer main N I0'` Public sewer manhole/cleanout Sewer /septic service line 6-7 4- Lift station /J 2 t314 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT(T& Foundation 3� /t Property line 21 Absorption field/ Water main/service line *;_-10 ( Surface water/drainage too/ Wells on adjacent lots f od � a,91 IL 14 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I Property line 10 Building foundation � S Water main/service line 1 n cc)Y 2/ U0962 Dntv,6�uvj 6X -A Surface water Curtain drain 50 t +_ F. ENGINEER'S CERTIFICATION I certify that / have in conformano"i Driveway, parking/vehicle storage area Wells on adjacent lots to d` `42 Op06G N0A 4� � �� field inspections and review of Municipal records felines in effect on this date. Signature ' - w Engineer's Name ru���SS Date +11111-7 U e HAA Fee Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number o.e o oaf; fey A. Gu s a" 4" E CE <7953 a , i V.i W ��f%C: gna aue oo Hannn 1,\\� aW 11 I Alaska Water & Wastewater 8471 Brookridge Drive — Anchorage — Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers April 1, 1997 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Conditional Health Certificate for Lot 1, Bk A, Glacier View Heights S/D. To whom it may concern: The existing 3 bedroom house is served by private well and a community septic system (located on Lot 2, Bk A, Glacier View Heights), which serves both lots. The drainfield will not pass an adequacy test at this time (surcharged). An upgrade design package was submitted to your department on 3/27/97. The plan is to disconnect from the community system, and install a private septic system on Lot 1, Bk A, Glacier View Heights. The existing community system will then become a private system, serving only Lot 2, Bk A, Glacier View Heights. The new septic system will be located adjacent to the existing driveway (see design package), and the soils in the area are frozen to a depth of approximately 2.5 feet. Consequently, we are proposing to wait until the soil thaws before installing the new system. In order for the sale to close, it will be necessary for your department to issue a conditional HAA. The existing community system (on Lot 2, Bk A) is operating in a surcharged condition, but has yet to back up in either residence. Based upon my observations, there are no environmental or health concerns associated with granting the conditional HAA. The intent is to install the new septic system prior to June 15th, 1997. If you have any questions, please contact me at (907) 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. CTM Enviromnental Services Inc. ��r��rerrrs�rr�rsr�v�►rsrrrrrrrrrrri CTAS Re1F.# 970727001 Client Name AK water & Wast( „water Services Project Name/# Lt 1,Bk A,Glac:ier View Heights Client Sample 1D Lt View "0", t. ` Matrix Dri�lkiLL1 water Ordered By PWSID Client PQ# Printed Date/Time 02/25/97 20:x#7 Collected Date/Time 02/12/97 17:00 Received Date/Time 02/1.3/97 14:3.5 Technical Director: Stephen C. Ede. .Released By Sample Remarks: Allowable Prep Analysi3 Parameter Results PQL Unit, Method Limits Date pate ;r Nitrate•N 0.100 U 01100 nig/L SM18 4500•NO3P 10 max 02/14/97 Total Coliform 0 cal/100mL SM10 92228 02/13/97 ?A APR -02-1997 02:54 _ E:i 0.1, 11 CT&15 Environmental Services Inr,. rmroedserw.rw.�sw�rs�,4i'.e:,..rsrsvJI CT&F, Re" Client Name Project Name/# Client Sample ED Matrix Ordered By VWSID 971.464001 AK Water & Wastewater Se"ices N/A Lot 1, 13k 97, brinldl>g Sample Remarks: Sample collected by: Garness Corrected report: Samples were analyzed within hold time. Parameter nitrate -n Total coliform Resu PaL Units 3.44 0,200 mg/L smiB 4500-NO3F 10 max 03/27/97'JBt g ,r col/100mL W8 92226 03/27/97 RAY: ct� TO ��Ff" 02-1997 17:11 CT&E ESI AFICHORAGE Cs �E Eswirsi®iarim .Service.:.r�"c- CTM:. tLef.# Client Name Project N'aune/# Client Sample ID Matrix Ordered By PW51D Parameter Nitrate^N 971529001 AK Water & Wastewater Services Ll Rik A Glacier View Hts. HEese-Bib `d c,,,uN s n= a— 147 a Drinlang WaterSc��'ej2— 907 561 5301 .`;'P.02/02 1 tj C LJ° Client PO# Printedbate/Time 04/02/9716:01 Collected Date/Time 04/01/97,14:45 Received Date/Time 04/01/97 15:30 Technical Director: Stephen it., Ede Released n ®0 1�I `` ci ®tty ®f orage Department of Health and Human Services 825 "L" Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 April 14, 1997 Jeff Garness, P.E. Alaska Water & Wastewater Services 8471 Brookridge Drive Anchorage, Alaska 99504 Re: Waiver Request For Lot 1 Block A Glacier View Heights Subdivision, Waiver Request Number WR970011, P.I.D. 050-501-09 Dear Mr. Garness: Your request for waiver of the required 100 foot separation distance of a private well to an on-site wastewater absorption field has been given a conditional approval at this time. The conditionally approved separation distance is 85 feet between the on -lot well and the proposed absorption trench. In order for the conditional status to be removed from this waiver the following must be accomplished: 1. The absorption trench shall be constructed pursuant to permit number SW970058 issued by this office 2. The well head sanitary seal shall be secured and the well pump wires placed in conduit. If you have any questions of this conditional waiver approval, please call me at 343-4761. Sincerely, Daniel J. Roth Civil Engineer On -Site Services MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# WR970011 PID# 050-501-09 HA# Permit # Date Received: March 27 1997 Legal Description: Lot 1 Block A Glacier View Heights Subdivision Engineer: Jeff Garness, P.E., Alaska Water & Wastewater 8471 Brookridge Drive, Anchorage Alaska 99504 Applicant: Martin Alletson Waiver Requested: Private well to the new trench of 85 feet Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: /\ List Conditions or Reasons for abov Date: Rec #: 02467/6248 Amount: $ 921 Points: March 25, 1997 8471 Brookridge Drive — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers RECEIVED MAR 27 1997 hAunicipality of Anchorage Municipality of Anchorage Dept. Health & Human Services Dept. Health & Human Services Division of Environmental Services On -Site Services Section P.O Box 196650 Anchorage, Alaska 99519-6650 ,y^.. uAN ✓Y V fr Ga €1 -, •' E-7953kJ .� wEn P 0FFSS10'�� a� IG s� Subject: Waiver of separation distance from new septic system to existing private well. Lot 1, Bk A, Glacier View Heights S/D. Mile 4.8 (approx.) Eagle River Road. To whom it may concern: GENERAL: The subject property has a 3 bedroom house, served by a private well and a community septic system located on Lot 2, Bk A, Glacier view heights. The community septic system is operating in a surcharged condition, and therefore, will not pass an adequacy test. For various reasons (see the septic system design package) the proposed upgrade (serving only Lot 1) must be located such that the closest part of the trench will be only 85 feet from the well. The topography of the site is such that it is impossible for overflowing sewage (from the tank or trench) to run towards the well. The only potential for contamination would be lateral migration of wastewater from the new drainfield to the well. The contamination potential will be evaluated using the ADEC point system. Justification for this waiver is summarized as follows: ADEC WAIVER, POINT SYSTEM EVALUATION: Geological: According to the well log, the groundwater source is a confined aquifer, in gravel, approximately 134 feet below the top of the casing. The confining soil appears to be two layers of hardpan between 87-95 feet, and 125-134 feet. The combined thickness of the hardpan layers is 17 feet. Due to the fact that the groundwater source is confined, the drawdown on the well will not cause wastewater (from the septic system) to migrate towards the well. Effluent from the trench should follow the soil profile, and migrate downhill, away from the well. a. Distance from the bottom of the trench to groundwater: Water was encountered at a depth of 16.5 feet below the ground surface in the test hole monitoring tube, however, this is not the drinking water source, but vadose water. Water at this depth, above the confining soils, is moving laterally downhill, away from the well. For purposes of this evaluation, I am assuming that the confined groundwater source is our primary concern. The bottom of the new trench will be approximately 20 feet lower in elevation than the top of the well casing. According to the well log, the groundwater source was encountered at a depth of 134 feet below the top of the casing. Wastewater from the trench will percolate vertically through approximately 114 feet of soil (including 17 feet of hardpan) before reaching the groundwater source. This corresponds to 7.0 points. b. Soil sorption below the drainfield: According to the well log, the geological profile is as follows: 0-25 feet is silty gravel, 25-69 feet is silty sandy gravel with cobbles, 69-85 feet is silty gravel, 85-87 feet is medium gravel, 87-95 feet is hardpan, 95-125 wet gravely sand, 125-134 feet is hardpan, 134-144 feet is water and gravel. In summary, 87% of the profile (down to the gravel water bearing strata) is gravel and gravel mixed with silt or sand.. Approximately 12.6% of the profile is hardpan. I am going to assume a point value of 1.0 for the gravel mix soils, and 3.5 for the hardpan layers. This corresponds to a point value of 1.3, calculated as follows: (.87(1.0) + .13 (3.5)) =1.3 points. c. Soil permeability below the trench: I assumed 1.0 for the gravel mix soils, and 2.5 for the hardpan layers. I believe these are reasonable assumptions. This corresponds to 1.2 points calculated as follows: (.87(1) + .13(2.5))— 1.2. d. Water table gradient: When performing the well adequacy test (pumping at a rate of 5.83 gpm) the maximum drawdown was only 8 feet. Since the aquifer is confined, drawdown in the well does not induce a hydraulic gradient towards the well. The confined groundwater gradient should follow the contour of the confining soil strata, which slopes downhill from the well to the trench. In short, there is a positive hydraulic gradient, from the septic system to the well, of approximately +5% . To be conservative, I am going to assume a 0% gradient, which corresponds to a value of 2.9 points. e. Horizontal separation from well to trench: Given an 85 foot separation distance, the point value is 2.4 points. Total Points: 14.8 According to the ADEC waiver guidelines, a point value 12-16 indicates no bacterial contamination is possible, and that chemical pollution (from household sources) is unlikely. Recent water sampling/analysis (2/12/97) found no bacteria, and nitrate levels to be undetectable (existing separation distance is exactly 100 feet). Given these facts, it is my recommendation that the requested waiver (85 feet from well to new drainfield) be approved. If you have any questions, please contact me at 337-6179, or on my digital pager at 1-800-481-1162. Thank you for your assistance. V. S. J 2 2 equEsr POR 1Or /GRITS St/ O.D. WfilV.rR fjFQuES7 Al"MRfl? WR770011 W,q I vER R E4 k EST EOR ON- L ai w ELL %C PROPoSFO #(SOA?Pr1OA1 FIEL19 OP BS PROPdSEV A941"FIEL P P*r)l — THE DE516N/Iv6 ENG/NEER M*S PROPOSEP 4 6�'lH TYPE Abf4,RP7IO,✓ Ftaig w/rK S.O Fiver 01 SEw6R RocH- THE seueER /?oo< (PRoro"a gBSaIZP riol✓ ZONE)1 jr / M r1 Sou rffi4 r {S If,,, rEp RS 19 G W a/ rK PERC R)*re OF .4 /rNr"'�1A, rHe SOIL STq?T/nrG s} 13-s F6FTr rRe PRvPOSEp ,9.OSORV7'/ON neemcK is v sol` w Irti 7 �' % S/cr T'H/S So/1- GALL Diff VEYv COVP'fCr✓E To r/;e*r/#v& t 14sre"97-6+f /ry .4 v F12Y SNoRr 1��ST/`?rv[' E• THIS PRoPvSEp ADSOIfPT/Ory TRE.vC// /s LvrgrEv pow/ I G/?•s�nrE�r Fifom FROM r/ -le Ex/STI.vG In.F_LL Ory � /O�� SLGPf, TH/S i'ROPOSEp TI4K Vim/( I"' )?F_PL/4CE rRa (j4jraeA;-r SH�t148D �to,..�.r,n,,rY� w/¢ST1 k.r4r614 i�/S�O.fISL. FIE�t7 WHICH I r Al * ST,+7' ' OF FrMURE, TKrf RBforQPrraa f/ESD u.�(/CK rS iA/s iS )9'LS0 4CCROSf S40PF PRpu rKE R. E L I- IN 40U6S2-/OA/. rA, 4er&j*tr7*Y rke com5rRuer/D/v Lip ruli A/Ew *8SeRPrioA/ FISP FV"v rHsu/,K on,L.Y Orpfar RG.Ry' IS D91vArGIQ/4t?IErvT� 3rat*I-E PljAf/LY I*WO P.aaa,rDtY � Bf7T�lZ Srrkla rKRN &..-)4*r IS Exrs r/A,&. 3 0044 Y, pp3 V/ E L L VAT,4 — /9J IiRfLt Et7 ►N %y%¢. rT IS 144 FEET JDEEF Tx w,L�. /,v quesrtoN w 5PVE'RHL OF H�4Rnl�f>.v BETw�EN TKF G/?vurD JuRPRtB •yvD T4E GIQI}VFL L A eel? #r FEeT 1. J r�,• TNS w ,4TBR 1qFE/Q, %N LFvX/L <uRRFw'TLY o rs gar 78 FEET TH/s IS �4N S7"RT/G w►4TKiQ .. �NC�/G�tT/dN TI�/�4T TL/tF t..YtTE/� Cd6/4R/iv(, !¢Q�u/F6R /FT I3s' p,ErsT /S e#NF/NFO flND IJ f�NGFi? �rt�_`SSu��. G-nrFn SAM o44 "s Pt4r 410 d.¢cTFR/R N/ rpj+TL`S ISR E SSE TE [ M04. F. Z3 6v/Tip( I�v1�t�R �VM C POPVtorPgoPereoP)T*jAf,eLp /a S' _ I2 ') X X90 - z4j- -� 7. / �� SO/c. Sor30r�ov_ 3.3 ��� z• �/24•S� ,i S,� ¢ / oo� NNN SSS -- PrAIYEAIL /rY 2.3 C Z Iry nTE n TiVt E OffiPl Env r q 51 (EF -p fLVPP3 f}ORMO CAWS FR'1977ve' O � 2. 1 OlZl2oiyT/�L SE%�.4Rf}7"/GN S5- 2s x_.¢t z 22-41- 6 41- 6 RgNO 7-orgL / 8. O CGNCL0Sioti G 1?19wT I„A / ✓FR CT&E Environmental Services Inc. Laboratory Division Laboratory Analysis Report February 25, 1997 Jeff Garness PE AK Water & Wastewater Services 8471 Brookridge Dr Anchorage, AK 99504 Client Name AK Water & Wastewater Services Project ID Lt l,Bk A,Glacier View Heights [970727] Printed February 25, 1997 Enclosed are the analytical results associated with the above project. As required by the state of Alaska and the USEPA, a formal Quality Assurance/Quality Control Program is maintained by CT&E. A copy of our Quality Control Manual that outlines this program is available at your request. Except as specifically noted, all statements and data in this report are in conformance to the provisions set forth in our Quality Assurance Program Plan. If you have any questions regarding this report or if we can be of any other assistance, please call your CT&E Project Manager at (907) 562-2343. The following descriptors may be found on your report which will serve to further qualify the data. U - Indicates the compound was analyzed for but not detected. J - Indicates an estimated value that falls below PQL, but is greater than the MDL. B - Indicates the analyte is found in the blank associated with the sample. * - The analyte has exceeded allowable limits. GT - Greater Than D - Secondary Dilution LT - Less Than 200 W. Potter Drive, Anchorage, AK 99518-1605 — Tel: (907) 562-2343 Fax: (907) 561-5301 3180 Peger Road, Fairbanks, AK 99709-5471 — Tel: (907) 474-8656 Fax: (907) 474-9685 ENVIRONMENTAL FACILITIES IN ALASKA, CALIFORNIA, FLORIDA, ILLINOIS, MARYLAND, MICHIGAN. MISSOURI, NEW JERSEY, OHIO, WEST VIRGINIA .AAL CT&E Environmental Services Inc. CT&E Ref./{ Client Name Project Name/N Client Sample ID Matrix Ordered By PWSID 970727001 AK Water & Wastewater Services Lt 1,Bk A,Glacier View Heights Lt l,Bk A Glacier View Height Drinking Water Client POI/ Printed Date/Time 02/25/97 20:47 Collected Date/Time 02/12/97 17:00 Received Date/Time 02/13/97 14:35 Technical Director: Stephen C. Ede Released By Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Method Limits Date Date Init Nitrate -N 0.100 U 0.100 mg/L SM18 4500-NO3F 10 max 02/14/97 EMB Total Coliform 0 col/100mL SM18 92228 02/13/97 RAM CT&E Environmental Services Inc. Laboratory Division Drinking Water Analysis Report for Total Coliform Bacteria 200 W. PePotter Drive 99518-1605 READ INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Tel: (907) 562-2343 Fax: (907) 561-5301 ,.....,....._........,,."' cv U rv.-it ct�o�rrcrctt o PUBLIC WATER SYSTEM I.D. m ,X PRIVATE WATERSYSTENI Send Results Send invoice Result' lYncr ia:em ].0 elpmpnn. dame Janna nvn< 337-,e 79 3313-324-6 F„avK= Wal r & x,vnny.aaaras , . ., 8471 Brookrid. 8 Dr. Arch AIC'195f)4 4.y , jurc Lip Coa< 1 ❑ Se nr sults ❑ Send/nvoice si„i��c.agar cin m„< L:, SAMPLE DATE: aw Month SAMPLE TYPE: Routine ❑ Repeat Sample (for routine sample with lab ref. no. 1 O Special Purpose SAMPLE LOCATION Loi f1 9V_ 4j G�acr62 ! off - Day Year O Treated Water Y Untreated Water Time Collected Collected By pm 6—ss rlcuc rnnt TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: ”, Satisfactory ❑ Unsatisfactory ❑ Sample over 30 hours old, results may be unreliable ❑ Sample too long in transit; sample should not be over 4S hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received I L},2j.,SI Analysis Began ° y Analytical Method: ,e t`lembrane Filter ❑ N1M0-MUG ” \umberofcoloniesr100ml. Result' Analyst -r 97.07271 Sc...._..._._._. Anch Fbls Jun Faced Datc: Time: Client notified of unsatisfactory results: ❑ — ❑ --honed Spol<e with Faxed Date: Time: BACTERIOLOGICAL NATER ANALYSIS RECORD M.Nl0-MUG Result: Total Coliform E. Coli Membrane Filter: Direct Count (7) Colonies/100 ml Verification: LTB BGB COLIFIRM Fecal Coliform Confirmation Final ;Membrane Filter evdts _ Coliffornil100 ml Reported Timc /S�) _ hrs ONComments: PART OF TWO TO FOLLOW r.VTC -Tun .abmm.ur ru C,,..r on - rxe<. n.,unr., IOSGS GS Member of the SGS Group (Soci�t6 Generale de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA. CALIFORNIA. FLORIDA, ILLINOIS, MARYLAND, MICHIGAN, MISSOURI, NEW JERSEY, OHIO. WEST VIRGINIA M -W DRILLING, Inc. MUNICIPALITY ANOJOVoM DEPT. OF HEALTH g P. O. Bos 44728 • • 2811 Dawson ENVIRONMENTAL PROTECT'" A C 907-279-1741 ANCHORAGE, ALASKA 99509 n 8 G DRILLING LOG RECEIVED. Well Owner Larry Porter use of Well Location (address of: Township, Range, Section, if known; or distance main -road ciF,e ��✓ flys' , Size of casing _____Depth of .Hole 145 feet Cased to i42 feet Static water level 55 ft, (ab'M) '(below) land surface. Finish of well (check one) open end ( j; Screen ( ); Perforated ( ): Fone Describe screen or perforation Well pumping test atm—gallons per (h&&) (minute) for--l—hours with of drawdown from static level. Date of completion' "7 74 – WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness p TO 25 2S �- l S�s�ll Gravels silty• occneional cobblev Cobble Gravels alli.v/sandy Ellty rrrvols ectFl� Ptdivf Gr^vels to^re Fn Td-3ons �ravel1v v Pravelly ands wet w Vardnen F� 1 fLl 14 C-0 S ��'' Tater G ave � �JI TO TO - - TO TO 8 - Contractor —,—TO O --- b �' b.I7 __L. TO `� TO f 7 �S 7 l S�s�ll Gravels silty• occneional cobblev Cobble Gravels alli.v/sandy Ellty rrrvols ectFl� Ptdivf Gr^vels to^re Fn Td-3ons �ravel1v v Pravelly ands wet w Vardnen F� 1 fLl 14 C-0 S ��'' Tater G ave � �JI TO TO - - TO TO 8 - Contractor MUNICIPALITY OF ANCHORAGE! > !• Department of Health &Human Services p fi1w � DIVISION OF ENVIRONMENTAL SERVICES I,4 1��� 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVALr 2�Qlc ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING `�`� `98,9 Q+ Parcel I. D. # HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LOT 1; BLOCK A; GLACIER VIEW HEIGHTS Location (address or directions) Mite 4.8 Eag.2e -Riven Road (b) Property owner H U D #028562 Telephone: (home) Business 971-9799 Mailing Address 605 We4t 4th Avenyue Anehonage> Ak. 99501 (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Telephone ASSOCIATED BROKERS ATTN: Sandi ti Vx. Address 640 West 36th Avenue Suite #1 AnehacagQ Atka 99503 �- Telephone 563-3333 --- (e) Mail the HAA to the following address: (or check here if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE �1 Single -Family XX Number of bedrooms 3. WATER SUPPLY Individual Wel Community ❑ Public ❑ Note: If community well system, must. have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site Public ❑ Community Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 7/88) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional .and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S & S ENGINEERING Address Eagle River, Alaska 99577 Date Telephone 4 9 Z'9 79 � 3z r A. Zh cM- B 6. DHHS.APPROVAL Approved for bedrooms by Date /[/� 1 _ Approved _ Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ' 72-025 (Rev. 7/88) Beck Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) • Health Authority Approval (HAA) Mei CHECKLIST - FEBRUARY 1984 343-4744 Legal Description: �"f IitL A. WELL DATA Well Classification tQ\J If A, B, C, D.E.C. Approved (Y/N) -� Well Log Present &/N) Date Completed -7 Yield ( CR Total Depth (fir Cased to Depth of Grouting �- ( Static Water Level 7 LI Pump Set At LX_ Casing Height Above Ground )2 } Sanitary Seal on Casing (QN)y Electrical Wiring in Conduitd9/N) y Depression Around Wellhead (YR SEPARATION DISTANCES FROM WELL: 1 To Septic/Holding Tank on Lot t ; On Adjoining Lots To Nearest Edge of Absorption Field o Lot C� 1 ; On Adjoining Lots To Nearest Public Sewer Line A To Nearest Public Sewer Cleanout/Manhole A To Nearest Sewer Service Line on Lot Z- Z Water Sample Collected by C 1A562-lr-44 ; Date (o- 30 89 Water Sample Test Results f,��''�'r�a'`a Comments — B. SE TIC/HOLT Date Ins lied Standpipes (Y ING TANK DATA Depression over Tank Size No. of Compartments Air -tight Caps (Y/N) Pumping/Maintenance Contact on File Holding Tank High -Water Alarm (Y/N) Foundation Cleanout (Y/N) Date Last Pumped SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well To Property Line To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course ;for rary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field Comments + % — 72-026 (Rev. 7/88) Front Page 1 of 2 C. A13SORPTION FIELD DATA SoilsYkating in Absorption Strata Date InstaDs4 Width of Field Square Feet of Absortion Area Depression over Field (Y/N) Type of System Design Length of Field Depth of Field Gravel Bed Thickness Results of Last Adequacy Test \ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well To Building Foundation Lot To Water Main/Service Line _ Statndpipes Present (Y/N) Date of Last Adequacy Test To Pro To Ex 'i9tkzQ or Abandoned System on ; On Adjoining Lots To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments J LIFT STATION / Size in Gallo "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. **Check Permitted Bedroom Rating Against HAA Request*' Y.. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in eff inspection. Signed S 8,5 ENGINEERING 17034 Eaglo River LOOP KOaa No. 204 Company577 ago , Date 7i MOA No. Receipt No. 1 Date of Payment Amount: $ Receipt No Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Bacckk/l �/� Page 2 of 2 d this r`s�seaI STEVE COWPER, GOVERNOR D O D D D DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE WESTERN DISTRICT OFFICE 3601 C STREET, SUITE; 322 ANCHORAGE, ALASI:A 99503 November 21, 1989 S&S Engineering 17034 Eagle River Loop Road Eagle River, Alaska 99577 SUBJECT: LOTS 1 & 2; BLOCK A; GLACIER VIEW S/D, EAGLE RIVER 9021 -DA -061 Dear Mr. Shafer: 563-6775 The Department has reviewed the Engineered Report submitted for recertification for the subject project. Final approval is hereby upheld for the sewer systems and a Certificate is attached. Please use the above number in all of your future correspondence concerning this project. Any future expansion of this project will require additional approval from this office. Thank you, Cindy Thomas Environmental Engineer CT:bas of ryF STATE OF ALASKA DEPARTMENT OF ENVIRONMENTAL CONSERVATION APPROVAL OF ONSITE RESIDENTIAL WATER AND SEWER SYSTEMS Of. AI.A5�r PROPERTY DESCRIPTION Lot, Block & Subdivision or U.S. Survey Certificate Issued for Application No.: gDZt- 01 , -06L Thi roval does not constitute a guarantee of any kind, explicit or implied, as to the performance of the w supply and wastewater disposal systems. WATER SUPPLY A recent water sample was teste found to meet Department of Environmental Conservation drink- ing water standards for total coliform teria. Name WASTEWATER DISPOSAL The domestic wastewater system was: ❑ inspected by the Department of Environmental Conservation and found to be in compliance with applicable requirements of 18 AAC 72; ❑ inspected by a Professional Engineer who certifies that the system complies with applicable re- quirements of 18 AAC 72; ❑ installed by a Certified Installer who certifies that the system complies with applicable requirements of 18 AAC 72; or R- tested by a Professional Engineer who certifies that the performance of the system is satisfactory and that the system complies with the minimum separation distances specified in 18 AAC 72. This approval is valid for a ❑ single family I multi -family unit with a total of bedrooms. Name Title ¢ ^ Date // u i 18.0404 (Rev. 8185) DISTRIBUTION: WHITE—BAN KILEN DING INSTITUTION; CANARY—APPLICANT; PINK—DEPARTMENT i r MUNICIPALITY OF ANCH004M M -W DRILLING, Inc. DEPT, OF HEALTH & P. O. Box 4-1728 • 2811 Dawson ENVIRONMENTAL PROTECTION A C 907-279-1741 ANCHORAGE, ALASKA 99509 9 8 Iqp DRILLING LOG RECEIVED Well Owner Larry Porter Use of WellD om,Location (address of: Township, Range, Section, if known; or distance main road 0, i/ A "', . ,rn Ux / .411 -t - Size of casing Depth of .Hole 145 feet Cased to 142 feet Static water level 55 ft, (alidVe) (below) land surface. Finish of well (check one) open end Screen ( ); Perforated ( ): Fone Describe screen or perforatio Well pumping test at—` gallons per (hour) (minute) for-----I--hours with 10 it• of drawdown from static level. Date of completion Depth in feet from ground surface � TO e5 2� TO 67 7 TO <o 6A ,—,TO F7 8? 7 12� 1 - TO 1 TO - TO TO TO TO WELL LOG Give details of formations penetrated, size of material, color and hardness Srrnli Graysle silty occneional aobblea Cobble Gravels s1lty/eerdy ltv C-r- ,tditrf fr vels loore - Y^ rd-3or. t art tiyek I v Vr9velly : endi eat Yardoen Dater Gravel 3 — Contractor MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL O9-7-- OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date January 15, 1987 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lots 1 and 2; Block A; Glacier View Subdivision Location (address or directions) (b) Applicant Name Ed Evans Telephone: Home 694-6550 Business Applicant Address SRA 177 Preuss Lane, Eagle River, Alaska 99577 (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder IN ; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Commonwealth Western Mortgagcrelephone 562-6477 Address Anchorage/ATTENTION: Terry Corbett (e) Real Estate Company and Agent none/refinancing Address Telephone (f) aD the HAA to the following address: S & S ENGINEERING 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single-Familylg Multi -Family ❑ Other Number of Bedrooms 3 3. WATER SUPPLY Individual Well b 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 ❑ Communityk; 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(nv84) "V/ L H S60 -LC Z;o Z a6"d 'Wm s,aaau!6ue leuo!ssa;o.day;wsuo!ss!wo �o sao�aa aolaqsuodsaa;ou s! a6eao oubto�l!led!o!unN 4 1 s! a;eo!;ao suo!;oadsu!;onpuoo;ou op d•uao a aao;aq elep azAleue3H4 losaa oldw3 'sluawaa!nlow alels pue leaapa; u!eliao t;s!les o; aapao6u!pual a!ayl pue sawoy;o sAaseyojnd o; (sal,noo a se s!y;saop d3H4 ayl 'e�selV to alelS.9143 u! au! suo!;n;!;sui leuo!ssaad;uapuadapu! ue q anoge g ydd p;s!6aaaau6ua !o!;eluasaidw ay; uodn Alalos paseq sa;eo!A;uoy;ny 1411e.9H sanss! (d3H0) uo!;oaloid le;uawu;!laao lenoaddyo3pe ylle.9H ;o luawl.iedao a6ea0140uy ;o Apled!ounlN a141 NOI1nVO lenoaddy leuog!puoo ;o swja1 leuo!l!puoo panoiddes!Q panojddy ale4 V /IAq swoojpaq a ao; panoaddy 7111 l lVAOdddV d3HO 9 alea G Z— auoydalal N P b 56 e�seib' '�en1a 918e3 ssalppy V`OZ 'o eo doo JQA1N alBa3 bCOLl wj!d ;o aweN uo;oa;;a u, suo!;eln6ai pue 'saoueu!pao'sapoo alelS pue ed!o!un 0NR133N10N3LSo'Qdbdsui s!yl;o alep ay; W Ile ql!M aoue!ldwoo u! s! Ovals (s lesods!p as;eMalseM Jo/pue Iddns aaleM aps-uo ayl 'uo!loadsu! pue u011e61lsanu! Aw woa; pue sal!; a6eaoyouy ;o As les !o!unlnl ayl lsum pau!e;qo uo!lewao;u! 4143 uo paseq;eyl (loan jaylan; l WOAJ u!9Jay paleo!pu! eAnlona;s;o ad (l pue swooapaq;o aagwnu ay; ao; oJenbaglleGH pe pue leuo!;oun;'a;es s! Ovals is lesods!p assenna;seM AO/pue AIddns aaleM a;!s-uo ay; leyl sMoys leno.iddy Al!aoylny ylleaH s!yl;o uo!le6!lsanu! bw ley; A;!aan I 'Molaq umoys a;ep uo!;ep!len ay;;o se pue Olaaay pax!;le leas Aw Aq peipjAeo sy NOI1VWHOdNI (INVviva 'HOHV3S 3l1d `S1S31 `SNO11O3dSN1 JNMIAOIid Wdlj JN183314I0N3 '9 MUNICIPALITY OF ANCHORAGE (Mow MUNICIPALITY OF ANCHO6&TH AUTHORITY APPROVAL (HAA) DEPT. OF HEALTH ENVIRONMENTAL PROTECTIOtCHECKLIST- FE EBORUARY 1984 A. WELL DATA Well Classification m 21 1987 i RECEIVED S. F. Legal Description: 1 n 1 4 l L /z- I� �7_q 2 UZ�VI/ If A, B, C, D.E.C. Approved (Y/N) Well Log Present (t l) Date Completed S' Z - _7 y Yield CPP" -f• Total Depth / `-1 � Cased to / Y � / Depth of Grouting Static Water Level (9S, Pump Set At ('.2_ Casing Height Above Ground Electrical Wiring in Conduit &N) { Sanitary Seal on Casing/N) Depression Around Wellhead (Y& Separation Distances from Well: To Septic/Holding Tank on Lot Jyo On Adjoining Lots /OO To Nearest Edge of Absorption Field on Lot ; On Adjoining Lots To Nearest Public Sewer Line Nva To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by Date Water Sample Test Results Comments t%ii2c_�2r=yr2e�s b l /�—k3F0 2�y B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes (Y/N) Depression over Tank (Y/N) Size Air -tight Caps (Y/N) Pumping/Maintenance Contract on File (Y Holding Tank High -Water Alarm (Y/N) Separation Distances from To Water -Supply Well To Property To Water Main/Service Line No. of Compartments Foundation Cleanout (Y/N) Date Last Pu ;for porary Holding Tank Permit (Y/N) Tank: To Building Founi To Disposal Field To Stream, Pond, Lake, or Major Drainage Course Comments ov.n»n�,.�}-i S� A~tc S isic�-t scc L APP"u/4L- Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Ratin Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last Adequacy Test Separation Distance from Absorption Field: To Water -Supply Well To Building Foundation Lot To Water Main/Servic ine To Major Drainage Course Type of System Design Length of Field Depth of Field Gravel Bed Thickness Standpipes esent(Y/N) Date o ast Adequacy Test �Toopertv Line To Existing or Abandoned System on ; On Adjoining Lots To Cutbank (if present) To Driveway, Parking Area, or Vehicle Storage Area Commnts �o rn 04 %1 { ry S P-1-1 c S Y57'� 'Zis t=. i4 L D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) "Pump On" Level at "Pump Off' Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection Signed S & S ENGINEERING e 17084 Eagle ver OOP Roado• — 7�l d• Compar& ►ver,_Wiske 99577 MOA No. Receipt No. Date of Payment Y>, U ri Amount: $ C g �� r .,snyu a�hp Page 2 of 2 72-026 (1 1j84) M. li'��i x05p fR.. `etne!_RC1FF.S�\S�_Lv�° " y?r �e APPROVAL 1-7 ON-SITF Rj:SIUtN I IAL VVA 1 to All ' r_VVtn J T J 1 CMJ PROPERTY DESCRIPTION Lot, Block & Subdivision or U.S. Survey Lot ` .4 2 0/0 % �acie e ,/ Ju�rif vifiG/l Eel 14 Certificate issued for Application No.: 8s2 r -1> 4 - /63 The Department of Environmental Conservation does not guarantee the continued satisfactory perform- ance of the water supply and wastewater disposal systems. The validation dates are based on evaluation of the systems using accepted engineering practices and assuming satisfactory maintenance. WATER SUPPLY The water system ha valuated and found to comply with 18 AAC 80, satisfying standards for system construction and water qua i Class C water supplies and for minimum separation distances as appropriate. , This approval is valid for months for the` �up31q�•S_�stem from date of issuance, pro - This the system is properly maintained. .� ITitle IDate WASTEWATER DISPOSAL The domestic wastewater treatment and disposal system has been evaluated and has been found to be in compliance with 18 AAC 72 for a'Zosingle familyy ❑multi -family unit with 6 total bedrooms, satisfying the requirements for design, sizing and construction of a wastewater disposal system. This certificate is valid for months for the Wastewater Disposal System from date of is- suance, provided the system Is properly maintained. Receipts for Septic Tank Pumping, which is required every 24 months, must be retained for a valid approval. Nam Title Data r 7 W S-5- 18-0404(6/82) Distribution: White -Bank/Lending Institution; Canary - Applicant; Pink - Department Time APPLI( NT FILLS OUT UPPER HAI ONLY Property Owner e r cl 1 :. l�R a e ' Phone 338 1177' Mailing Address - Zip Code --- Date Date Date Buyer ' ta: ./ h- %ate y�✓,� yH:,,f'�! -- l `; . �, K /7-J�z l.�Yr [! l l CCK?� Zip Code).' Inspector Address Lending Institution -: Phone Address �ld�l�; /At/C:/fU/4 e--� Zip'6de ,t 27&-s/G1d - Phone Realty Co. 8 Agent - - - - l U/J Zip Code ('CONDITIONAL,rAPPROVAL' DATE fBY: Address Legal Description Lot / r 2 8/; d C t Street Location Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Type of Residence - Z Single Family 7 Well to Tank Multiple Family No. of Bedrooms ❑ Other�ili✓iSh-C� Water Supply Individual ATTACH WELL LOG. A well log is required for all wells drilled -since June 1975. Community For wells drilled prior to that date, give well depth (attach log if available). ❑ Public Utility Sewer Disposal, Individual - - Year Individual Installed: -❑ Public Utility When Connected to Public Utility: ❑ Holding Tank - NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: APPROVED BEDROOMS 3 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ('CONDITIONAL,rAPPROVAL' DATE fBY: Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size 7 Well to Tank 72023 (3182) :9 Debbie Smith Dear Ms. Smith, EXCAVATION WORK April 29, 1983 ROBERT A. SHAFER CIVIL ENGINEER 694.2979 Reference: Lot 1 and 2; Block A; Glacier View Heights Subdivision A sewer system adequacy test was performed on the system located on the referenced property, as you requested. The septic tank was pumped and verified to have a capacity of 1000 gallons. The absorption trench was tested by flowing water through the system for a period of 24 hours. During this time there was no adverse effect noted on the system. It can be concluded from this test that the waste water disposal system is currently functioning adequately to serve a three bedroom single family dwelling. However, the system cannot be guaranteed against subsequent failures. If we may be of further service, please do not hesitate to contact US. r, / Since e Q ERT A. RAS/ss , P. E. cc: Municipality of Anchorage Department of Health and Environmental Protection SRS 196X EAGLE RIVER, ALASKA