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HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK A LT 8 REMGlacier View Heights Block A Lot 8 REM #050-501-16 GARNESS ENGINEERING GROUP, Ltd. --- _ - ---- 7 ENGINEERING SALES CONSULTING January 7, 2022 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Elmore Rd. P.O. Box 196650 Anchorage, AK 99519-6650 (907) 343-7904 quanics roll'. Alaska Authorized Dealer Ref: Glacier View Heights S/D; Block A, Lot 8 REM (22909 Eagle River Rd, Eagle River, AK) Memo concerning converting CAT III AWWTS to CAT II AWWTS septic system To whom it may concern: The permitted septic system was installed on the referenced property in 2007 and started up shortly after the installation. ARM Septic Services LLC recently checked the monitoring tubes in the drainfield and found the deep trench to be at 55% full (48" of liquid depth in 7.23 feet of effective depth) and has remained at this level since 2018 (see attached ARM emails) In order to simplify the operation and maintenance of the system, we are proposing that this unit be permanently configured as a CAT II system. Our justifications are as follows: The receiving soil has a percolation rate of 2.2 minutes per inch. Given this percolation rate, a 4.0 gpd/sq.ft. application rate is required for a Cat II system. The residence on this property has a total of 3 -bedrooms, so 112.5 sq./ft. of absorption area is required for CAT 11 effluent (450 gpd / 4.0). In short, the drainfield meets Cat II sizing requirement for 3 -bedrooms. The Inspection Report shows a 3.0 gpd/sq.ft. application rate, which is conservative, so it should not need to be amended. At this time, we request that your department approve a CAT II configura Ion to sed at the referenced property. Upon your concurrence, ARM Septic Sebe, LLC., will rempvve the actuator from the ball valve or leave the valve in the open positior�, and place a CAT II sticker own the control panel. Since r' I app Jefre ness, P. M.S. G�n�O�fie Pres en '1 G v� YVj/- e, r 01 3/(" 3701 East Tudor Road, Suite 101 * Anchorage, Alaska 99507-1259 .Phone: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.garnessengineering.com Municipality of Anchorage Development Services Department Building Safety Division - € - On Water 8 Wastewater ' -Site Program, 4700 Bragaw, St. P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorage.ak.us(907)343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW070057 PID Number. 050-501-16 Name: SCOTT MACLEAN Wastewater System: ❑ New ■ Upgrade Address: 22909 EAGLE RIVER RD. * EAGLE RIVER. AK 99577 ABSORPTION FIELD Phone: No. of eedrooms: (907) 269-6778 3 ODeep Trench OShollow Trench Oeed Ouound ■Othe*** LEGAL DESCRIPTION $ve Ramp lolel DWh froin ev" "' 3 cPo/Sa. rL 10' MAX. In. alock: Lot: Subdivision: A 8 GLACIER VIEW HEIGHTS Death to Pb. btlern 1. adpinl raoe: Grunt dn" beneath Pw. SEE DWG. rt 7.02 rt. To.nship; Range: Section: _ _ _ n sea.a aeon adel^el Ved.: Ge.M l0"elh: SEE DWG. rt 15 rt WELL: Q New Q Upgrode � Wi . Numper of .e.c a:l.ne. bet ...e Inee: 2.5 Tote! ob,"bal ane: 1 _ rt tRp. nWt~.. nIW(, . (VaIROC-) rt 210 so, rt D-3034/F-810/SCH. 40 PVC k*toe.n GREEN GENERAL W. M 9'710-12/2007 DAs DAW. Stage WMW L . V rt /� n.a: Pvnq set AC aeWq NNgM Avow GrWM: t�tl FL n TANK SEPARATION DISTANCES .Septic 0Holding 0S.T.E.P. Mother*** TO Septic Absorption Lift Holding lik/PrNote M.1M4o` . CavaNry ti pbc From Tank Field Station Tank sever, un.. ANCHORAGE TANK 1500 Well *145'+ 0135'+ 0145'+ — 25'+ material: STEEL Nlnieirel e.n.PortanMs: 2 Surface Water 100'+ 100'+ 100'+ — — LIFT STATION Lot Line 5'+ *•1' 5'+ — — z:. M184 **'OU MICS Foundation 5'+ 10'+ 5'+ _ an klwl al: un,e ell level al: Ikeh solar ebrm et: _ 17' 17" 36" Curtain DrainNONE KNOWN Purr, Yp1' is m°*.I: PP—SE-12T EMe4kat knp.elbns a.normed br RISING SON ELECTRIC Remarks: 'WAIVER GRANTED (SEE ATTACHED LETTER) BENCH MARK **WR#070019 ***A OUANICS AEROCELL SYSTEM LID ON ASE OCELL'1`POD = OLD SEPTIC TANK AND CRIB PUMPED CRUSHED. AND COMPLETELY ABANDONED A.w.ned EM.alnre 99.94 rt GEGr Ltd. Inspections performed by: Dates: 1st 9/10/2007 ENGINEERS SEAL 2nd ,9/11/2007 00000 IN 3rd 9/12/2007 Development Services Department Approval ;'? 9d0 ........ .......:.°. Conditional approval: Date: . .........0 Q Je r amess:• QO '•. 7953 ;'Op Rev�eswled and approved by: - t' / ate• Op ° o •of PERMIT NUMBER: SW070057 AS -BUILT DRAWING PARCEL O NUMBER: 050 050-501-16 \ \ 1 \ 1 A e C \ 1 FCO 33.571 1.17 1 9.65 \ 1 ST, 94.22 82.32 88.61 \ I 572 99.22 89.18 96.61 \ I OBL1 102.12 92.38 99.18 \I OBL2 102.23 92.14 99.08 \ 1 \ P;7-101.77 91.11 98.51 \ / MT 95.46 77.39 80.10 COI 96.74 78.40 80.96 �: \------------` CO2 81.27 63.42 67.13 PO01 86.72 168.94172.09 / \ �� Po02 88.96 70.88 74.71 ��� / / JV 8}.02 65.28 68.91 \7p•� \\ �� CO3 63.68 12.60 15.13 //j ////� ---- NEW DRAINFl / NEW ADDITION TO HOUSE / ICS KROCELL UNIT KTERNAIE SfTE p \ Doi Fc c TH/I �gW Ew = \ 1�J/ rvm� \ 30' OUANICS fl7 n \ PUMP VAULT 1 1 A WITH AEROCELL S� PUMP AND / CONTROLS OBLI 8 DS 1 i1 NEW 1500 GALLON 1 SEPTIC TANK i 1 11 11 `1 � 1 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS ]101 L TDM OV. !O[ 101 . M1OMYf II( N]01 NCI( HOf}UIy1T IN pow-,nN • �vvc ...+�r�w..+ I PREPARED FOR: PHONE NUMBER: PAGE NUMBER: SCOTT MACLEAN 269-6778 2 OF 3 LEGAL DESCRIPTION: ONAWN BY: GLACIER VIEW HEIGHTS; LOT B. BLOCK A J.L.M. TYPE OF WORK: DATE: AS -BUILT OF SEPTIC SYSTEM UPGRADE 1/15/2008 I.- n,., gffififlimh YY FO655; CE 79 \� .►.jl.� 0«40 j0- £ 30 £ >06L—£>£ �4 30Vd :a38�Y0N 3NOHd .O.S.O W ago.. w¢ ws Wu e.✓r►m 4w onr eew s •waow •w nn a Yovy wt :a0� Q3aV� `�00 J svOJOVtl1N00IVIM30I6tNrnnSN00.� `'`�'` Im, 31SAS 1130083V SOINVf10 d0 311JOHd illfl8—<, 0112 'rl'l `dfloHo JNINMNIJN3 SS�NH `�� :HaO,w!03< p. _--_ V HOOl8 '8 101 :0/S SIHO13H M3IA 21310V10 .. —�-- �� ' :Noudiax30 •n: :ta uuwn 800Z/91/t � W•0•N _ a /�' - Wt P F \01 R g m i Dec 17 2007 12:09PM Risin6 Son Electric, Inc. 622-6777 ��. .;,;• �-z Rising bon Electric. Inc. X� 0916 Voo&and Drive i t Eagle River. AIC 99577 ` (907) 622-6717 November 30, 2007 Scott McClane 22909 Eagle River Road' Eagle River, AK 99577 Re: Lot 8 Blk A Glacier Yew Heights - 22909 Eagle River Road - Eagle River, AK 99577 Dear Mr. McClane: The lift station at the above referenced property has been wired In accordance with NEC and State/Local codes. Thank you. Sincerely, Kevin S. Hornbuckle, Owner Administrator License Number 1284 Specialty Contractor Ucense Number 27285 cc: file P.2 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SW070057 Legal Description: GLACIER VIEW HEIGHTS BLK A LT 8 REM Design Engineer: 0855 GARNESS ENGINEERING GROUF Owner Name: SCOTT MACLEAN Owner Address: 22909 EAGLE RIVER ROAD EAGLE RIVER. AK 99577 - '�°q Date Issued: May 09, 2007 Expiration Date: May 08, 2008 Parcel ID: 050-501-16 Site Address: 022909 EAGLE RIVER RD Lot Size: 22575 SO. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of. ❑✓ Disposal Field Z✓ Septic Tank Ej Holding Tank E] Privy F1 Private Well E] Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907)343-7904(24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By. Date: O O 6 7 Date: Jr Municipality of Anchorage Development Services Department • i.r Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Boz 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Waiver Review Worksheet WR#: 070019 PID#: 050-501-16 HA/Permit# SW 070057 Date Received: May 9, 2007 Legal Description: Glacier VIew Heights, Block A Lot 8 Engineer. Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Applicant: Scott Maclean Waiver Requested: V tot line waiver and slope waiver Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: Points: 806068006846 ... 0..0 ... ... 0 ... O.N ........... 00.0 Waiver Is Granted: X Waiver Is not Granted. List Conditions or Reasons for above: Date: Mav 9.2007 By: Deb Wockenfuss Name of Reviewer Rec#: 79433 Amount: $M Date Paid: 5/9/2007 Municipality of .Anchorage \ " CO. Dox IOfi(:i) - Anl'I1omgc', Alaska 9X.119-6165( - Tclep one (907) U3.9N)I - I -&x (W7) M.&-00 — 47(X) llm mx• Stma ti Am•Imm);c, .11usluk 9ri07 `tea • � MayorMark Bcgich mm munlmrg Iluilding Safety Di-iision May 9, 2007 Jeffrey Garness, P.E. Garness Engineering Group 3701 E. Tudor Road, Suite 101 Anchorage, AK 99507 Subject: Waiver Request for Glacier View I[eights, Block A Lot 8 Waiver Request WR#: 070019 Parcel ID # 050-501-16 SW 070057 Dear Jeffrey Garness, P.E.: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is -1;0 footAn addition, -a waiver -for -a -field closer -than 50' -to a slopegreater-than 25% is approved. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Deb Wockenfuss Civil Engineer On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage .•. •. • Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ei.enchorage.sk.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. f75p' l- iG� Property owner(s) SQOTr MACLEAN Day phone 269-6778 Mailing address 22909 EAGLE RIVER ROAD GLE RIVER, AK Site address Legal description (Township, Section & Range) Lot Size 0 cJ`'l 5 Sq.Ft. THIS APPLICATION IS FOR ( ®all that apply): Absorption Field ❑ Septic Tank Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Zip Code 99577 Number of Bedrooms THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (&gn8!UFe Of PFOperty owner or eutherized agent) Permit/Rush Fees: /r� U/ (-) 0 Date of Payment: .`1G `7 —o —7 Receipt Number. (Rev. 11/05) Waiver Fees: 1 -7 5 - (' 11 Date of Payment: E 1- 7 Receipt Number. 79 433 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS May 2, 2006 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Glacier View Ileights Subdivision; Lot 8, Block A, To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. We are proposing that a new 1500 gallon septic tank, a 30" or 36" Quanics pump vault with Aerocell floats/controls, a Quanics Aerocell treatment unit with Jandy valve assembly, and a deep trench type drainfield be installed. One test hole was excavated on the property by S&S engineering. The drainfield will be designed around the 30 foot radius of this test hole. Waivers have been granted (see attached) from A.D.E.C. for the class "C" well located on the adjacent property to the proposed septic upgrade. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed septic system. 4. TOPOGRAPHY: As can be seen on the attached design drawing the average topography below the drainfield is approximately a 5 percent slope running northeast to southwest. There is a slope approximately 40 feet downhill of the testhole that is approximately 40 percent. We request a 35 foot waiver to this slope that is greater than 25 percent. (see attached slope detail drawing) 5. LOT LINE WAIVER: We request a 1 foot lot line waiver from the west and south lot line to the proposed drainfields, septic tank, and pump vault. The septic system on the adjacent lot is 10+ feet from the lot line. We are unaware of any adverse impacts with the granting of this waiver. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179 0 Fax: (907) 338-3246' Website: www.gamessenginecring.com We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. M.S. NOTE. Attached is a site plan drawing, a design drawing, one soil log, Which are all part of the design package for this septic system. (Contact C.E.G. Ltd. for 7 page construction specification letter.) 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: www.games-cnginecring.com Mav,l 2007 15:32 P.01 Sir i�-AVE OF ALASKA r DEPT. OF ENVIRONMENTAL CONSERVATIAN ON ACO1iDO NCHORAGEF,, AR 99501 Phone: (907)269-7519 DMSION OF WATER Fax: (907) 269-3487 WASTEWATER DISCHARGE PROGRAM http✓/w'%-W-zt3te.aXus/dec/ May 1, 2007 Jeffrey A. Gamess, P.E. Gamess Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Re: Glacier View Heights Subdivision, Block A, Lot 8 -Eagle River -Waivers of separation Distances to the Replacement Field Deep Trench Type and new Scat Aerocell treatment system-ADEC Plan Tracking Number 1326 Dear Mr. Ganness: On January 29, 2007 we received a waiver request for a single family (3 bedroom) home served by a Class "C" Public Water Well. This walver request is made to reduce the separation distance from the Class "C" source well on Lot 7 of Block A. Glacier View Heights and the replacement field and the septic tank portion of a new treatment unit to be installed under your firm's observation and approved by the Municipality of Anchorage's On-site Wastewater Program on Lot 8, Block A, Glacier View Subdivision. Recent drinking water samples did not detect any nitrate as nitrogen, The well logs in the area indicate confining layers of clay and gavel material throughout the depth of the well log until gravel is reached near the 165 foot depth. The engineer has designed an advance SCAT Aerocell type treatment be used which is expected to reduce the nitrate to 20 mg/1 before disposal into the deep trench type soil absorption system. Based upon the engineer's recommendation, the separation distances are reduced as follows: • The 150 foot separation distance from the Class "C" source well on Lot 7 to the new 1,000 gallon two compartment septic tank is reduced to 145 feet. • The 150 foot separation distance from the same Class "C" source well to the new deep trench type soil absorption system is reduced to 135 feet. The Department reduces the separation distances per 18 AAC 72.060. Should a threat to public health be associated with this site the waivers may be rescinded. This approval does not imply the granting of additional authorizations nor obligate any state, federal or local regulatory body to grant required authorizations. Any person who disagrees with this decision may request an adjudicatory heating in accordance with 18 AAC 15.195-18 AAC 15.340 or an informal review by the Division Director in accordance with 18 AAC 15.185. Informal review requests must be delivered to the Division Director, 555 Cordova Street, Anchorage, Alaska 99501, within 15 days of receiving the decision May '1 2007 15:32 P.02 Adjudicatory hearings requests must be delivered to the Commissioner of the Department of Environmental Conservation, 555 Cordova Street, Anchorage, Alaska 99501, within 30 days of the decision. If a hearing is not requested within 30 days, the right to appeal is waived. Thank you for your cooperation- If you have any questions please do not hesitate to contact me at 269-7519. Respectfidll�y, ' /? William R Rieth, P.E. Environmental Engineer cc: William Smyth, WW %\ GLACIER VIEW MS. LOT 10. BLOCK A NO CONCERN) GE C AREA, I �Y\ 1 \ \ GLACIER VIEW HTS. \ \ LOT 11. BLOCK D \\ (NO CONCERN) GLACIER NEW HTS. \ \ LOT 12. BLOCK D (NO CONCERN) \I LOT I3R VIOCK B GLACIER VIEW HTS/ Lee \ \ LOT 6. BLOCK BI 100' WELL RADIUS envu.ver\ � (VACANT) \\ �\ LOCATION GLACIER VIEW HTS \ C—� LOT 9. BLOCK A // 11 0 \ \ APPROXIMATE oss LOCATION \ \ \ \ \ \ \ GLACIER NEW MTS. % \ \\LOT 7. BLOCK B/ ❑ \\ 0 GLACIER VIEW HTS. PROPOSED SEPTIC UPGRADE I 1 \ HTS. \\\\ \ GLACIER VIEW \ \ LOT 4. BLOCK B \\ \ —(NO CONCERN) \ \ 1 \ GLACIER NEW HTS. / \ se \ %\ GLACIER VIEW MS. LOT 10. BLOCK A NO CONCERN) GE C AREA, I �Y\ 1 \ \ GLACIER VIEW HTS. \ \ LOT 11. BLOCK D \\ (NO CONCERN) GLACIER NEW HTS. \ \ LOT 12. BLOCK D (NO CONCERN) \I LOT I3R VIOCK B GLACIER VIEW HTS/ Lee \ \ LOT 6. BLOCK BI 100' WELL RADIUS envu.ver\ � (VACANT) \\ �\ LOCATION GLACIER VIEW HTS \ C—� LOT 9. BLOCK A // 11 0 \ \ APPROXIMATE oss LOCATION \ \ \ \ \ \ \ GLACIER NEW MTS. % \ \\LOT 7. BLOCK B/ ❑ \\ 0 GARNESS ENGINEERING GROUP, Ltd. ��. .�; CONSULTANTS& GENERAL CONTRACTORS 0-•••T••• •.•••• PREPARED FOR: PHONE NUMBER: PACE NUMBER: SCOTT MACLEAN 907-269-6778 7 OF 5 Q '•, ey Gar ess, LEGAL DESCRIPTION: DRAWN BY: VO C�j GLACIER VIEW HEIGHTS SUBDIVISION: LOT 8. BLOCK A C.J.G. �� s( *** Sao TYPE OF WORK: DATE: e�Oro Tesslo�000 SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE 5/2/2007 ��DO0000� (Rev. 01A15) GLACIER VIEW HTS. PROPOSED SEPTIC UPGRADE I \( 150 \ \ LOT S. BLOCK B (NO CONCERN) (SEE DESIGN PAGE 2 OF S) ` \ ( CL,15S ., K'ElL \ y \ ` 1 \ \ \ GLACIER NEW HTS. / \ se \ BLOCK A LOT 7. � EXISTING LO SEPTIC ASEPTIC M � 100' WELL RADIUS \ ; 10\ — qO GLACIER NEW NTS. LOT 6. BLOCK A GLACIER VIEW HTS. /4 ` \ (NO CONCERN) LOT 7. BLOCK 2 `� \ (NO CONCERN) \ �\ i GLACIER NEW HTS LOT S. BLOCK A \ \ (NO CONCERN) \ GLACIER VIEW NTS. /4 `\ \ \ \ LOT 6, BLOCK 2 ` (NO CONCERN) `\ \ \ GLACIER NEW HTS. f4 LOT 9. BLOCK 2 (NO CONCERN) \ _.•y oop6� o nt' 4n_ GARNESS ENGINEERING GROUP, Ltd. ��. .�; CONSULTANTS& GENERAL CONTRACTORS 0-•••T••• •.•••• PREPARED FOR: PHONE NUMBER: PACE NUMBER: SCOTT MACLEAN 907-269-6778 7 OF 5 Q '•, ey Gar ess, LEGAL DESCRIPTION: DRAWN BY: VO C�j GLACIER VIEW HEIGHTS SUBDIVISION: LOT 8. BLOCK A C.J.G. �� s( *** Sao TYPE OF WORK: DATE: e�Oro Tesslo�000 SITE PLAN FOR PROPOSED SEPTIC SYSTEM UPGRADE 5/2/2007 ��DO0000� (Rev. 01A15) NUMBER OF BDROOMS:3 LETTER THAT PERTAINS TO THIS DESIGN. NOTE: THE CONTRACTOR SHALL HAVE THE TO OBTAIN A COPY OF THE LETTER GALLONS PER DAY (CPD): l50 13$' WELL RADIUSTHE 145' WELL CONTACT CEG. BY PROCEEDING FORWARD PERCOLATION RATE, S: 2.2 MIN./INCH WITH THIS INSTALLATION, THE ENGINEER, PROPOSED APPLICATION RATE:3 RADIUS, THE WEST, AND SOUTH LOT LINES WELL DRILLER, CONTRACTOR AND MINIMUM DRIINFIELD SO.FT.: 150 FLAGGED BY A REGISTERED LAND PROPERTY OWNER AGREE THAT THEY SURVEYOR PRIOR TO CONSTRUCTION. HAVE READ THESE SPECIFICATIONS AND DRAINFIELD DESIGN: AGREE TO ACCEPT THE TERMS AND ONDITIONS UTLIN D. MAXIMUM DEPTH:10 FEET WIDTH: 2.5 FEETLENCTI FEET \ CTAPCTTv`E W.OJL APPROVED SAND FILTER:N/A PROPOSED AEROCELL UNIT REDUCTION FACTOR: N/A WITH JANDY VALVE I ACTUAL SO.FT.: 390 \ _UNE UNDER D TO BE INSULATED W/ 4' TEO w/ OF � INSULATION !' WIDE -AE � � \ PROPOSED DRAINFIEUD ALTERNATE SITE FEED UNE AND / RE UNE SL IN BE SLEEVED IN iM/ O �o ARCTIC PIPE. / / / �p COUTBANK H/1 axmx a ^ Je PROPOSED DUANICS 30' I '•• ;Ie .~ OR 36' PUMP '• �'� . VAULT WITH •, �'� ROCELL PUMP AND CONTROLS 1 ;.. •••' • IXSEPTIC TANK N /� ,y1 '' ^ .'•:A •. ��...•.y ANDD CRIB TO BE PUMPA l> j " !'•%� AND COMP ELETELY UABANDON D S E: PROPOSED 1500 GALLON SEPTIC TANK INSTALL DOUBLE O CLEANOIfTS _ GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 6 GENERAL CONTRACTORS ••• ... .•. =1 L TC011 110,0. w11C 101 • MC1CN0[, M1 01!01 •ACI[ (gf),V)i171 • IN1 (101)} W" . w[avm w.,Iw�M�YYMIgs� O PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• •......••• •••• (SCOTT MACLEAN 269-6778 2 OF 5 OQ�';J t y Gorn ss.: 0 LEGAL DESCRIPTION: DRAWN BY: Q �. CE—]9 3 :Q GLACIER VIEW HEIGHTS SUBDIVISION; LOT 81 BLOCK A. C.J.G.••S(.2°o°oQ TYPE OF WORK: DATE: Q ProTsasio(\oao DESIGN FOR PROPOSED SEPTIC SYSTEM UPGRADE 1 5/2/2007 �pOp000� (RM. 01105( N C7 a a m x 0 n m r r GLACIER VIEW HEIGHTS S/D; LOT 81 BLOCK A 'E OF WORK: DESIGN OF QUANICS AEROCELL SYSTEM SPARED FOR: PHONE NUMBER: M.O.A. - D.S.D. 343-7904 5 ,f s 15 €4 GARNESS ENGINEERING GROUP, Ltd. �- CONSULTANTS i GENERAL CONTFACTOFS 1101 L 11901 tlY 19[ 101. MOSrQ. L MO/ AEY. MA !) lft 1W ftA PACE: 30F5 ............... II FEED AND RECIRCIRCULATION LINES. LINES FROM PUMP VAULT/SEPTIC TANK TO BE SLEEVED INSIDE ARCTIC PIPEPIPE FILTER • • ===lI OWT CJ 15' LONG GRADE VALVE IN INSULATED BASIN GRADE 0 GARNESS ENGINEERING GROUP,p°O;? H Ltd. •: CONSULTANTS 3 GENERAL CONTRACTORS �•••••• •• •••••• ••••••1"• SAI G Ntta PY4 PLIC 101 • AMD-DWAC M( N!O) w (9 )W) IT • FY (001)1]O • 1h®IF: w.,rM,.e. PREPARED FOR: PHONE NUMBER: PACE NUMBER: ; ••• •••••• ..... ••• SCOTT MACLEAN 907-269-67784 OF 5 f Y A. ess: LEGAL DESCRIPTION: DRAWN BY: oaO f. CE- 9FG 53 F GLACIER VIEW HEIGHTS SUBDIVISION; LOT 8, BLOCK A, C.J.G. 0���'Cf'��ad TYPE OF WORK: DAOaP,0 F elion�o� DETAIL DRAWING OF PROPOSED DRAINFIELD 1 5/2/2007 0400000 (Pe .01005) \ \ o \ p \ n K r \JJ N\ r \ \ \ GARNESS ENGINEERING GROUP, Ltd. ;?T ' y; CONSULTANTS&GENERAL CONTRACTORS . ....•• •• • • ••••• ......••• 3J01 C TID:IA e010. 1 101 • wCIMML m e 7 • BIW( (1101).11 ," • r" (e01)lY- &BIC ew. y.mw PREPARED FOR: PHONE NUMBER: PAGE NUMBER: •• •••• ••• •••••••••• SCOTT MACLEAN 269-6778 5 OF 5 O� p .� t e A. ness: GLACIER VIEW HEIGHTS SUBD OF WORK: DETAIL DRAWING OF SLOPE (Rev. 0185) LOT 8. BLOCK A. I C.J.G. 5/2/2007 Q Municipality of Anchorage Development Services Department .',2 f ;r 1 . Bur?ding Sarery t0 Wastewater �. .r ... � ;a ��G•-"" '� yt Onsite Water and WastewaterProgram 1700 South Bragaw SL r ••••••• ^• p.0,8,,196650Anchorilge.AK9951"650 p ., 905EAT C. COWAN 042� (W7) 3434�04 It Soils Log -Percolation Test Psrformcdr r. Ott 012t�'Lf _Dak.PerormeC [ Ta+ntsNp. Range. Sector: �-•l.fi'(� 7z, 1L Legal Descripticn: ,1,c r P3; ci'!� � s>nne sit.. Otan Depth pR6 A4ml a 1,5014 COMMENTS - WAS GROUND WATER 1, ENCOUNTERED? S IFYES.ATVWTDFPRR —_ D Depth t°Water Aper P wanitorina? E Date.i Rearing Date I GMSTrme NetTlme IDepihtoWaterl NelDrop V- D 1 0 10 " -. O Zr ) 1 OO 'e " "" t5o 1 (P0 /O 10111 rZt PERCOLATION RATE �. TEST RUN BETWEEN i V'+M1+a*�^I PERCPALEVAMETER FT AND e FT PERFORMED BY: %� 5 CAJG I A.l fir( PERFORMED CI ACCORDANCE PATH ALL STATE AND MUNICI �)• CERTIFY THAT THIS TEST WAS IN EFFECT ON THIS DATE. DATE: a /tD /o y GREATER ANCHORAGE AREA BORUe;`-GH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION RCQORT CIN -SITE SEWAGE DISPOSAL SYSTEM NAME ,�: ��e�c� �I MAILING ADDRESS S � �% f 1 CY'/ " PHONE � / 1 Z -' LOCATION Ad Ye � 4"0' LEGAL DESCRIPTION lJ� fI �°�C/u t1kid SEPTIC TANK: DISTANCE .- Q NUMBER OF ! FROM WELL I2Q MANUFACTURER &'iCl MATERIAL ��/� /�� COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /e4or GALLONS. SEEPAGE PIT: S' j/ _S 7-C x4 ,vS'[ A!/�J J'cl(416j1/� P r i NUMBER OF PITS DIAMETER OR WIDTHLENGTH—/4?,DEPTH 9 l y� LINING MATERIAL eAleoo I;FkRIB SIZE: DIAMETER_DEPTH DISTANCE FROM: WELL //,, 3a� TOTAL EFFECTIVE hi BUILDING FOUNDATION& , NEAREST LOT LINED` I�e. ABSORPTION AREA (WALL AREA) G' SQ. FT. ADDITIONAL ABSORPTION WELL: 'l TYPE /��/�/60 CONSTRUCTION ����DEPTH 22-0 DISTANCE FROM: BUILDING FOUNDATION �� NEAREST LOT LINE 0 �!y` NEAREST SEWER LINE SEPTIC TANK / 2 0, SEEPAGE SYSTEM _ CESSPOOL'UM , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANCES: INSTALLED BY: Mf w PIPE MATERIAL: 411 Ofs* xeiio- LOT SLOPE: REMARKS: w/j- /4/&7 -1S/ /F567- 1',!!; -o ,!!;- U `, djj:t-t • lie DIAGRAM OF SYSTEM Z @ay e.(i� DATE ED G.A.A.B. i 3e O'D GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT y/, INSTALLATION LOCATION /'" �1 LEGAL DESCRIPTION zee INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED PERMIT NO. MAILING ADDRESS �ltSC F ll?'x / / PHONE G {/ / y-�2 5 `II SEEPAGE PIT D-R/AIIN FIELD , OTHER FINANCED THROUGH f (// TO BE INSTALLED BY SOIL TEST RESULTS ` 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 16"o TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ? / )/ FOUNDATION TO SEEPAGE PIT , DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL lJ / SEPTIC TANK , SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK /001 DRAIN FIELD SEEPAGE AREA SIZE 7 �/ SEEPAGE PIT / ZC ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT , DRAIN FIELD SEPTIC TANK,, SEEPAGE PIT �W yl / DRAIN FIELD , TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET JJJ.TO-l1 NDISTURRED-SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT PITTFD WITH AIRTMI-IT RFMOVARLF CAPS GRAVEL BACKFILL CONFORM TO BOROUGI- LATIONS REGARDING INSTALLATION fL G.A.A.B. OR LICENSED DESIGNER 1 CERTIFY T- 1 AM FAMILIAR WITH THE REQUIREMENTS OF DESC ED S,STEMI IN-ACOOR{},�1,NCE WITH SAID CODE. DA� PPLICANT'6 SIGNATURE TYPE DIAGRAM OF SYSTEM 41 ANCHORAGE AFZ" BOFj.OUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE v„ GREATER ANCHORAGE ARLA BOROUGH Department of Environmental Quality 3330 "C" Street Anchorage, Alaska 99`.;03 SOILS LOG - PEROLA`i'ION TEST Performed for _Mr. _Brad _Dic)�Qy,-dba-Cxea _ii Legal Description:_ LotGlaeier. View Hei This form reports: Soils log Yes Depth Feet ti R1-ack-.Draanics 2- Dry Brown Sandy Gravel with some Silt 3- 4 - 150 S.F./B.R. 5 - GP -GM 6- 7- 8- 9- 10 S/ope Bottom of test hole 11 12 13 14 - Was ground water encountered? Date Performed _9112/75 ation No If yes, at what depth? Reading Date Gross Time Net Time _ Depth to Water Net Drop Percolation rate minuLe. -----Drain Field Proposed installation: Seepage Pit --- -- Depth of InletDepth to bottom of pit or trench COMMENTS: •_---°u-wat_or.hedrk-gcAntered - --- - ------ -_ - _ / ' ----- Performed [3y - ��� Q C' ified Qy:CONSTRUCTION TEST Date:_�j_l / -- '.Cr c7r.R TAR , Raymond Lundgren \ Lloyd S. Cluff "VOODWARD-iUDGREN & ASSOCIATES,111C George E.Hervert 1 CONSULTING ENGINEERS AND GEOLOGISTS B.A.Vallerga AN AFFILIATE OF WOODWARD-CLYDE CONSULTANTS William T. Black 3201 Spenard Road - Anchoraae.Alaska 99503 June _ 5, 1973 (907) 272-2407 - Job No. A12109-8 Mr. David Dorland P.O. Box 49 Eagle River, Alaska 99577 Dear Mr. Dorland: Test Pit and Percolation Test Lots 8 1& 9 Glacier View Heights Eagle River, Alaska At your request, the undersigned inspected and logged the vertical soil profile of two excavations (proposed septic tank and perco- lation pit excavations) at the subject site on June 3, 1973 and performed a.percolation test at the location(s) shown in the attached Figure 1. The soil profile is presented as Figure 2. The results of the percolation test (data on Fig.2) is as follows: a Soil Tested Percolation Rate, minutes per inch Medium to coarse grain sand and gravel with 5 cobbles and boulders In accordance with the design charts in "Manual of Septic -Tank Practice" by U.S. Department of Health, Education, and Welface, the above rate requires 125 square feet of absorption area per bedroom. Due to boulders observed in the tank excavation, it is recommended that this value be increased by 20 percent and a value of 150 square feet of absorption area per bedroom be used for design. Accordingly, the maximum rate of sewage application (gallons per square foot per day) is 2.2. If we can be of any further service to you, please call. Very truly yours, WOODWARD-LUUNDGRENN $ ASSOCIATES Rodney P. Kinney,_ P.E. Chief Engineer RPK:nck OAKLAND - SAN JOSE - SAN FRANCISCO - ANCHORAGE, ALASKA PO,4 D GSA y Ptrec' ra- s r L.d Y �. LOT .9� RK � >•r� l'L,9N Fig'. / L07 J e�L,dcl e,' -WOODWARO•LUMOGREN 6 ASSOCIATES Ares Cons ng Soil Engineers and.'�ologists Lori of ^Boring C 7-67sp/-r) laDea 1 Dt � -- ^RO)LCT PNOJZCT NO. ILOCATON OI r3 / GL.4G/C!t ✓ %E/c�f/rS ELEVATION AND DATUM - DAIILING A691ICT oAYQ STARTED DATA VINIANEU COMP L[TION DEPTN , C4 YP N per - 6 DRILLING EQUIPMENT �'freeHOE AAlx- SIZE AND TYPE OF BIT PIYT. UND13T. CORE Ho. SAMPLES-- CASING WATER LEVEL FIR3T COMPL. 24 NR. ^- CASING HAMMER: - WEIGHT DROP — rOOEMAN SAMPLER — Geologist ^ SAMPLER HAMMER: - WEIGHT -- DROP SAMPLES SAMPLE DESCRIPTION x _ RK {drilling u ,depth of � o > = -c v a F�_�- w°" F-1,- casing, casing blows, w w color, moisture particle: CLW ww _j d �' �" 4) W '- do_ - E. m ' size, consistency -a 00 a -w oLL fluid loss, bit condi-CL tion, rpm, etc.) r Zn C) o_ Z r= � u_ a_ M m �I o }- crowd, sJ�r Fig✓� sr4^1a �.. sap_ �At. War e$f �o N\ l to 7-11 SOMG' fi PA/JEL 5 t �n Q AL r0 S/GTY \_\ ` RAVEL— Z 110 -zoo 06cAs1oNAL CABS>LES l /Y6Pj'0 P. To oR25 e - f?A/,v sFtND E' (7 -1 a'. w/rJ.oUcDE?5Z X$ :: pErrH (No co60ot s oR 6 To 3r 6 BovcOCRS� + PROP IIni7oAl oF- P 1 7 E G6.✓A^00A/ l7 r go-rrvM of TANk �4 2 EFACFiI/�rllaXJ : o' r0 2 AT -rIAIIE to OF /x/ sr�scrJl7 tJ�6-3-73) �b �Accv.v`v�AT��k= I 2. WELL LOG !r✓Ql04745 STATIC WA7 PZ Lc VPL Cor-4-ri0V. 3, BRcAJ AAJACSAJr WCLC /n/Fo..eAAr/aNI 1r j15svMED rNAr -r HE FRcc C,2DJAJD WA -7S'2 U vCL 5�0, t S Sr'�"E'F�".<' i JJAN Ei/1lJU,VD Sr% h9C�; r�B �t�B�errer�&�a SS©'erA'r€s' }- %6, Z U EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED SUBDIVISION PLAT (P-650) ARE NOT SHOWN HEREON. THIS DOCUMENT DOES NOT CONSTITUTE BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THATA SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. UNDER NO CIRCUMSTANCES SHOULD ANY OF THE DATA HEREON BE USED FOR CONSTRUCTION OF FENCES, IMPROVEMENTS, OR FOR ESTABLISHING PROPERTY BOUNDARIES. THIS SURVEY REPRESENTS A MORTGAGE LOCATION SURVEY PREPARED IN ACCORDANCE WITH THE ASPLS MORTGAGE LOCATION SURVEY STANDARDS. THIS MORTGAGE LOCATION SURVEY SHOULD ONLY BE USED FOR A SINGLE PROPERTY TRANSACTION. RE -USE OF THIS DRAWING BY THE ORIGINAL CLIENT OR BY OTHERS, FOR ADDITIONAL USES ATA LATER DATE WITHOUT EXPRESS CONSENT OF THE SURVEYOR IS A VIOLATION OF FEDERAL COPYRIGHT LAW. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. -49 i B u Saliz o ��i� sue' • LS-14837� fit Fp Ste_ rtilt OF SSIN A_ AS -BUILT I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: LOT 8 REMAINDER, BLOCK A, GLACIER VIEW HEIGHTS SUBDIVISION ANCHORAGE RECORDING DISTRICT, ALASKAAND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS EXIST EXCEPTAS INDICATED. DATED THIS 26th DAY OF JUNE, 2026, AT ANCHORAGE, ALASKA. FIXED HEIGHT, LLC C.O.A.122554 Land Surveying Services WWW.FIXEDHEIGHT.COM 600 W 41 st. Ave, Ste. C, Anchorage, AK 99503 907.290.8949 JOB # 26189 1 NO CORNERS SET THIS DATE I SCALE 1" = 40' MUNICIPALITY OF ANCHORAGE Efwfmpqnfou!Tfswjdft!Efqbsunfou Qipof;!!):18*454.8:15 Po.Tjuf!Xbufs!'!Xbtufxbufs!Tfdujpo !!!!!Gby;!!):18*454.8::8 Dfsujgjdbuf!pg!Po.Tjuf!Tztufnt!Bqqspwbm PTD372368 Kvmz2-3138 Parcel ID 161!.612.27 Expiration Date: Legal description HMBDJFS!WJFX!IFJHIUT!CML!B!MU!9!SFN Site address 33:1:!FBHMF!SJWFS!SE Current property owner(s) !KPIOTUPO!NFHBO!F Y4 The On-site system(s) is/are approved for bedrooms Conditional approval forbedrooms, with the following stipulations: Comments or conditions: Op!dpnnfout Curtis Townsend 803203137 By:Original Certificate Date: This Certificate of On-Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Service Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's submittal. ATTACHMENTS: !!!!!!Y COSA ChecklistWell Flow Advisory Absorption Field AdvisoryNitrate Advisory Tank Age Advisory Arsenic Advisory Other Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-501-16 Complete legal description GLACIER VIEW HEIGHTS; BLOCK A, LOT 8 REM Location (site address) 22909 EAGLE RIVER ROAD, EAGLE RIVER, AK Current property owner(s) JEFF & MEGAN JOHNSTON Day phone 907-223-7155 2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS LOT 7 - 4 BEDROOM HOUSE LOT 8 - 3 BEDROOM HOUSE 3. TYPE OF WATER SUPPLY: FNII Private Well serving # 2 dwelling units TOTAL # OF BEDROOMS = 7 [_71 Other Non-public well as regulated by MOA ❑ Water Storage F-1 Community Well or Public 4. TYPE OF WASTEWATER DISPOSAL: rN-1 Private Septic E] Private Septic serving 2 dwelling units 0 Holding Tank F-1 Community Septic or Public Sewer 6. SEPTIC TANK: nN Steel ❑ Plastic n Concrete n Fiberglass Age 19 - See advisory if steel or fiberglass older than 20 years 6. ABSORPTION FIELD: Al AWWTS Fj Bed � Deep Trench 171 Wide Trench El Seepage Pit Waiver request for: Expedited review requested: F] Distance: By applying for this entitlement, this property is subject to inspection by municipal On -site staff to verify the accuracy of the information provided. COSA Fee $ Date of Payment COSA # Waiver Fee $ Date of Payment Waiver # COSA Application_Apr2025.doc COSA Checklist Legal Description: GLACIER VIEW HEIGHTS; BLOCK A, LOT 8 REM Parcel ID: 050-501-16 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system 1 A. WELL DATA QQ Well log is filed with Onsite (or attached) Date drilled 9/5/1972 Total depth 170 ft Cased to 166 ft A■ Sanitary seal is functioning correctly 0 Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 6/30/2026 Well production at time of test 3.6 gpm Water storage tank volume NONE gallons Well disinfected for coliform test? ❑ Yes n No �liform bacteria is Negative Nitrate mg/L Jitrate less than MRL (ND) Arsenic ug/L ®'Arsenic less than MRL (ND) Collected by GARNESS ENGINEERING Static water level at beginning of test 82 ft. Date 7/1 /2026 Comments FORMALLY CLASS "C" - NOW PRIVATE WELL SERVING LOTS 7 & 8. WELL IS LOCATED ON LOT 7. 3 BEDROOMS HOUSE ON LOT 8 AND 4 BEDROOMS HOUSE ON LOT 7. TOTAL # OF BEROOMS ON WATER SYSTEM = 7 BEDROOMS B. TANK DATA C. LIFT STATION Measured operating fluid level in septic tank _ Date of pumping `RECENTLY PUMPED X Required maintenance completed, if AWWTS Comments: *TANK WAS PUMPED IN JUNE OF 2026 WHILE HOUSE WAS VACANT. D. DISPOSAL FIELD DATA Which system tested (date installed) 9i10-12/2007 0 ALL standpipes present per record drawing Total measured depth from grade 11.9 ft(max) Measured depth to pipe invert from grade 3.9 ft (min) ❑ N/A — pressurized field. M Per record drawings, field is insulated. X Monitor tubes go to bottom of effective. If not, state depth into effective *7.26' W Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced **807 gallons 6/30/2026 date Any rejuvenation treatment (past 12 months) NONE If yes, enter date A] Required maintenance completed Age of lift station 19 years Lift station material STEEL Comments: *SEE ARM SEPTIC SERVICE MAINT. LOG Adequacy test date 6/30/2026 Results Q Pass Fluid depth prior to test 68.5 in Water added 451 gal New fluid depth 69.25 in Elapsed time 130 min Final fluid depth 48 in Absorption rate 450+ gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) 84 in Effective depth used ***45 in Effective depth remaining ***39 in Comments/Deficiencies: *3" DEEPER THAN RECORD DRAWING. **PORE SPACE IN AWWTS DRAINFIELD DRAINROCK CALCULATED TO BE 785 GALLONS. ***CALCULATED BASED UPON GEG ELEVATIONS. NOTE: THERE WAS 22" OF LIQUID IN TRENCH PRIOR TO START OF PRESOAK. COSA Checklist_May2025.docx E. SEPARATION DISTANCES From Well on Lot to: (Please enter distances if less than required) Septic Tank/Lift Station on Lot > 100' -❑ Yes if No *50+ ft Neighboring Tank > 100' ❑✓ Yes if No ft Disposal Field on Lot > 100' ❑ Yes if No *50+ ft Neighboring Disposal Fields > 100' ❑✓ Yes if No ft Sewer Line/Main > 100' ❑✓ Yes if No ft Sewer Manhole/Cleanout > 100' Q✓ Yes if No ft Sewer Service/Septic Line > 25'Q✓ Yes if No ft Holding Tank > 100' ❑✓ Yes if No ft Animal Containment > 50' v❑ Yes if No ft Manure/Animal Excreta Storage > 100' r✓ Yes if No ft ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Disposal Field(s) on Lot to: (Please enter distances if less than required) Tank to Foundation > 10' Q Yes if No ft Surface Water > 100' ❑ Yes if No *50+ ft Field to Foundation > 10' 0 Yes Tank to Property Line > 5' ❑✓ Yes Field to Property Line > 10' ❑Yes Water Main/Service Line > 10' Q Yes if No ft Wells on Adjacent Lots: if No ft Wells > 100' if No **� ft if No ft Community Wells > 200' ❑ Yes if No *50+ ft ❑✓ Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *AWWTS. **LOT LINE WAIVER GRANTED (WR#070019). G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines, indicates that the on -site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Garness Engineering Group, LTD. (GEG) Phone 907-337-6179 Rnuineer's Printed Name Jeffrey A. Gayness, P.E. Date In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and industry practices. The reported results describe the condition of the system/s on the date/s of the evaluation. Separation distances were measured to readily identifiable features. Hidden defects or encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including (but not limited to) soil conditions, groundwater levels (that may fluctuate during the year), quality of construction (materials and workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and are outside the control of GEG. Satisfactory test results do not guarantee future performance of the system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance of the well or septic system. GEG makes no representation whether an alternative well or septic system can be installed on the property in the event either of the current systems fail to perform adequately in the future. The content of this report is for the sole benefit of the person/party that retained GEG to perform the evaluation. Reliance upon the information provided in this report by any other person or party (including subsequent property purchasers) is not authorized, nor will it confer any legal right whatsoever. CnSA Checklist Mav2025.docx OF A * TH I*' ..... L .... . ........ . �—_.. .......w-_....:... QO ffy CE A. Gayness; Qp4795 cA�G LICENSE4��0' P� o f e s slo0oa #AECI N 0Z'L Z Wintenance ChecAlkst: A Awced Thawmit SIGNEM Opetational Cnecklist Advancedi Treamient System, Legal Description: Street Address: A V "d SeNrce powrJeo on Date me SwvTe powded b,,, Connpany bechnann og,;n Date of last seryce t -- 7 11 - I -, - t-'y Ybu Omer 1. Type of Aerocell Treatment System: Cat 11 -Aefi-,Celi Treatrn:-nt Systenn Cat Ill Svste�-r, -- 2. Conditions at media filter: ', Accptabie !- presence a E',,aluate prese of c;dof-;.1jtm-., Ii,) ft of pennneter of s,,s[em stmnig C n ei..4ra So i r n Souve of aaw if oreJseniz I Whole Risers and Pipe Caps: Acceptable Unaccepiabje 13 Comas mw: A50S NNo flu"? ey c WSLOanon :resew on wi Nos? Yes No c Ar"y ieaks or intrus;on L Yes No e Kime waWAVIaloon intc, comporents , --. T,es :7! l\� 0 4. Venting/Air supply: L Unacceptabe a Aq supoy unk i:,peiat,ng pfoper!y yes ---, t,i,o V-nting apoeats opemb* lives INo 5. Meta surface: 4jAcceptabO hjnacceptab,e a B�om�at on SUface Yes No a Wom- spay pattern 'Yes No, c, Porcling, !7,/on media LL. its No e PwggmgMKggag cf riozzies '�(es No f Meta zqpears to be seT!kn,' Yes I',;o y Apprcp!fate maintena-eperfi ),ed I�L es i' 0 h Pest aay at sulare 6. Effluent quality a EMuent c4or after pass, K-oug1r) media fil*e! J4 None klid Strong 2 EfUent waW after passing 0myri meta fter 1. Clew Bnwn Btack 17933 Old (Tenn Highway Khuoak, AK 99567 Wice/fax: (9071 6819433 ErnaH: ARMSeMcesAK(Poutlook.corn (PAW 1 a 3: AR\1 Septic ',�er\ ices. 1-1-C 7. Tasks for recirculating/discharge flows: -J Acceptab!e 'U',nacceptabie a I apynable, jandy vaVe fmcnonmg !—Its j N,"A b 1 apWcat e.1andy -,an dry "'es ---'N a i,'v, c Waned coHerbon syslem m AeroceV wit yes 0, 0 te C e Ss a F d Desyn recircuiation �a'o BG 20 e Actual recxcuiatic,- rat, .Esum a�ed; �6c'? Zo 8. Pump System: -3'unauceofabli� a C C) n t! C' ' pa n, e 1 m 4.1to 8 yes ;Q o IFS Panel (No Ovemide timer): I Yes F MON CA! , WeWe OrF -A z Qj_q LL C Mats m coal plawmer, s No d Ra3ts vjc-,,rtong �Lj Yes N"j e a,�Fmn tip,. tati-nal 127 ym f KUph water alami cowit g Pump Ron CoMs -7ou Pun-,) Rin Tmne Z, F! c a, t -Lro� C��Ljnts 7-,c,, t a! 'e Cr S "VA 7! ��Jj K Effluent Mer seyyc,�,J' ns i Tank h,,1s ..,er--rad ater msoauor; Twes o m step not WHIM 9. Primary Tank I' - a 0"eved vs tn", e s: znd 1L Ad U N/A -��e'w to no Pumped Yes N01 j, J �A`att'r Dee-S �1115 :1 so,ener Mkoash dachaj, on VMW N o e how _a— e on he system, ar, 1 os7aps sEcved aW inspenTn yes Njo g Law Dan -mk pumped iota, 10. Drainfield 3: Tv�,e c�f Drainield �orde or, Bed 5),vide aetp T�t�ri& ii Des:gn Effective depth C DvVwd i7, D.ainheld 14 Ws .� No Lquid Level inches L auic! Levee inches .17*4 baijid Leve;niches d s theieainy suffac;rigoe^',-- '(es U-) 1 793 3 Old Chenn lfghway ThugiaK A 99567 office/fax: 007i 688-9433 Email: ARMSe"kesAK@otit(c)ok.coni (PAGE 2 of M Is the remote monitoring system functioning? (if no, describe in comments) --Yes -No e����onlc.,mnug / °J o0v b P�n*�ewnxong� ` ] 12, Does this system receive on advisory noticeA*aroing? (if so, describe in co 13, Is the system in satisfactory condition/pass inspection? (if no, describe in co m I S` ,f Other Comn`ents: _ _ 174]]OidG(ennHiyh�ay^[hugiak. AK 99567 office/fax: (907) 688-94]] Email: 4RNServices4K',Lt�outkmkzom (PAGE 3 nf3> MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this �4(,- Day of r1 1 of 20,4 to, by and between jrL .Sk an � fie !��- of 1C.`ri � C� , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as (Z v � n 1fC.5 Ore, S located at (legal description) 9; 4 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new fah Certificate of On -Site Systems Approval. �Y Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing N6 guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: r / By: _���--.. `Sv innature) Date: name) STATE OF ALASSoLT ► } ss. 300rtie CouA The foregoing instrument was aclilowledged before me this bg day of 20 26, by Ual� Stc�;nv�x JtL NOTARY PUBLIC FOR -Ah*MI ALLISSAMARIE BLANSETT NOTARY PUBLIC - NOTARY SEAL My Cominission expires: 5-/J-{ STATE OF M►SSOURI MY COMMISSION EXPIRES MAY 14, 2OW BOONE COUNTY COMMISSION #26387416 MUNICIPALITY: By: (signature) Date. C�' S _ �� t—WS -^�� _(print name) Title: C ! �' I ` �-v t' �,LG-ram (rev. 05/18/2018) Page 3 of 3 Municipality of Anchorag • -� Development Services Departr 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. 050-501-16 COSA# 0 9 03S 1. GENERAL INFORMATION Expiration Date: / — '?, — �D Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address GLACIER VIEW HEIGHTS: BLOCK A. LOT 8 22909 EAGLE RIVER ROAD *EAGLE RIVER, AK SCOTT MACLEAN Day phone C/O AGENT 22909 EAGLE RIVER ROAD *EAGLE RIVER, AK Day phone BARBARA CRITTENDEN W/ PRUDENTIAL Day phone 16635 CENTERFIELD DRIVE *EAGLE RIVER, AK 99577 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well ❑ Individual Water Storage ❑ Community Class C Well 0 Public Water System ❑ 242-2227 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 On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD ald'o issues COSAs upon request to homeowners. Certificates bf 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 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 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 1011405 d 5 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 ofall wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage ofthe 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 benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. S. DSD SIGNATURE Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineers Report Other By. &Z Original Certificate Date: (Rev 11M) GHQ •' Cyp. :1 �; • ON-SITE • • �, WATER AND ; ►r= WASTEWATER PROGRAM ' r � [Municipality of Anchorage ° 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 HEIGHTS; BLOCK A, LOT 8 Parcel ID: 05 0—S0�"/C, A. WELL DATA COMMUNITY Well type CLASS "C" If A, B, o C�rovide PWSID# 216172 Well Log (Y/N)� Date completed Sanitary seal (YIN)_ Wires properly protected Total depth ft. Cased to ft. Casin above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. We uction g.p.m. 9 - p.m -WATER SAMPLE RESULTS: Coliform _0 colonies/100 ml. Nitrate A)Omg./L Other bacteria colonies/100 ml. Arsenic: ,ing./L. Date of sample: 9/29/09 Collected by: GEG B. SEPTIC/HOLDING TANK DATA ••QUANICS ADVANCED TREATMENT SYSTEM Tank Type/Material SEPTIC/STEEL Date installed 9/10-12/07 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N) NOO High water alarm (YIN) YES Date of pumping I Q. 1 "7 !T_ Pumper 5 12 '5 1' ri 9')1?01 C. ABSORPTION FIELD DATA E ow EXISTING GUD-E Date installed 9/10-12/07 Soil rating (g.p.d.do /bd "'3 System type DEEP TRENCH Length 15 ft. Width 2.5 ft. Gravel below pipe 7.02 ft. - i Total depth +11.58 ft. Eff. absorption area2� 00 ft' Monitoring tube YES Depression over field NO Date of adequacy test 9/29/09 Results (Pass/Fail) PASS For E bedrooms Fluid depth in absorption field before test 15 In. Water added 620 gal. New depth 48 In. Elapsed Time: •120 min. Final fluid depth19 in. Absorption rate >= 450+ g.p,d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date - ••QUANICS ADVANCED TREATMENT SYSTEM. D. LIFT STATION Date installed 9/10-12/07 Size in gallons 184 Manhole/Access (Y/N) YES 'Pump on" level at 17 in. "Pump off" level at 17 in. High water alarm level at 36 In. Datum BOTTOM OF TANK Cycles tested 3 Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot .145'+ On adjacent lots •'"110'+ Absorption field on lot •135'+ On adjacent lots "•'120'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 75'+ Holding tank N/A Animal containment areas 150'+ Manure/animal excrete storage areas 150'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *01 Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 5' Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WAIVER IN PLACE, ADEC TRACKING NUMBER x/1326. ••WR#070019. ***WAIVER GRANTED PER ADEC LETTER DATED 7/30/2001. oo�4p 0 I G. ENGINEER'S CERTIFICATION o G OF a�4n, I certify that I have determined through held inspections and review of Municipal records that the above systems are in """ " .. ' """ ""' conformance with MOA COSA guidelines in effect on this date. t A. Gam ss: Engineer's Printed Name JEFFREY A. GARNESS OQa�. -79 3 \F� Date (all�f�Oq 0 fed Pr..r__�tnOa a COSA Fee 5 '9 O Waiver Fee $ Date of Payment /6 - l I - oq Receipt Number 06 j Y (Rev. 11105) Date of Receipt Number 4 L C� J o FOLLOWING DESCRIBED PROPERTY: DATio�j/may AND THAT NO NCR=lI E TS EXIST XCEPT AS Q C I ASBUILT 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE+ , FOLLOWING DESCRIBED PROPERTY: DATio�j/may AND THAT NO NCR=lI E TS EXIST XCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB �i9'y9 ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- DitAWN� ARY LINES. G�f S v / t, 0 1� �.O:wqL%♦ 0 OF AC l%`p 13`i u Q uanicsTm/AeroCellr`t Advance Wastewater Treatment Routine Maintenance Service Report 2009 Renort date: October 2. 2009 Unit #: 35 Legal Description: Glacier View Heights S/D; Lot 8, Block A Street: 22909 Eagle River Road, Eagle River, AK Home owners name(s): Scott MacLean Home owner mailing address: 22909 Eagle River Road City, State, Zip: Eagle River, AK 99577 Start-up date of unit: 1/07/08 Service contract current: yes Service contract ending date: 1/07/10 Date(s) of Routine Service: 5/30/09, fall maintenance scheduled for Oct. -Nov. 2009 Dates of repairs/non-routine service dates: none noted from 10/08 to current date. This report is to inform you that your QuanIcsT't/AeroCellT"t advanced wastewater treatment system is working within normal parameters. The following items were noted during routine service: Timers adjusted: yes, `override off' from 6 to 5 min. Auto dialer working (phone line connected with phone service): Yes Orifices cleaned: yes Pumping needed: No Floats adjusted: No Drain field levels: Good Filter cleaned: Yes QuanicsTat/AeroCell'rM Service Provider: EMM Technical Services LLC. P.O. Box 672235 Chugiak, AK 99567 Phone/Fax 907-688-0395 Cell 907.351.7042/907.223.0555 Thank ou, Jo y Maus Note: Copies of Service Report will be made available to the Municipality of Anchorage Development Services Department On -Site Water R Wastewater Program upon request. -� Municipality of Anchorage O Development Services Department J Building Safety Division On -Site Water and Wastewater Program Sar [ t + 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEAL I H /HU THORI T lr APPROVAL - FOR 'A -SINGLE FAMILY DWELLING__ Parcel I.D. 050-501-16 HAA # Q Expiration Date: 7-;2,0 1. GENERAL INFORMATION REM Complete legal description .Lot 8 ; Block A; Glacier View Heights Location (site address or directions) 2290q_1Fag1e River Rd. Current Property owner(s). .911 inn Roiidxea Day phone 907 -69.7 -9640 - Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Kathi Olmstead 16600 Centerfiel, Unless otherwise' requested, HAA will! be held by DSD for pickup. Day phone Day phone 694-4200 201 Ea leRiver AK 99577 4, ao /o y 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site U Individual Water Storage ❑ Individual Holding tank ❑ Community Class C Well Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority 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 HAAs upon regdest to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system: The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority 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 S & S Engineering Phone 694-2979 Address 17034 N Eagl P Ri vPr Loop Sty 204 Eagle River, AK 99577 Engineer's Printed Name Robert C. Cowan Date_ /3-z lo 01: 5. DSD SIGNATURE it c,,:� o3cEC. COWAN -asolf ��� ERT Approved for ` bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory. �- `N •' '.: 'i- �. -, • _....err • �i ' WATER AND • • PROGRAM JJ/���/111111)111��1`\` Maintenance Agreements Supplemental Engineer's Report . Other By: Original Certificate Date: 4 O — O "T' (Rev 01/02) A. 91 Municipality of'Anch 6ragtill'e ' i'Department Development Sery Ce' S Dep Building Safety Division On -Site Water & Wastewater Program 4700 South Br,agaw St. P.O. Box 196650 Anchorage, AK 99519-6650 vAvw.ci.anchorag6.3k-L1S (907) 343-7904 HFA(_TH AUTHORITY APPROVAL CHECKLIST In C, 9,0 'k/ fA 0/ T V %-#1,- .11 I I Lecai'Descriotion: Parcel ID: L, I 1 —11 ; WELL DATA ii Well type _CCA S 5 1: Date Completed Total (depth _ft Date,of test Static water level i: Well �UcVion C If A, B, or C provide PWSID I L 172- Well Log (Y/N) Sanitary seal (Y/N) Wires r protected (Y/N) p ft. s v ground) C1 ing height, O(abo e Cased to ft. Casing height (above I SP CT r4 FROM WELL LOG AT INSPECTIO1`4 ft. ft. -9-P.M. 9 -P.M. WATER SAMPLE RESULTS: Coliform mi. Nitrate n olif rm colonies/1 00 (9ap0mg.11 Other bacteria Colo, �ies/106 mi66. 211Z CfSII IIS Ars Date of sample: 704- Collected by: a-- SEPTIC/HOLDING TANK DATA Tank -Type/Material 5X1';*Jc Date installed -7 5' Tank!size I 0o gal. Number of Compartments Clea nouts (9N) Fou6 dation cleanout 6)N) YDS 'Depression over tank (Yo 2 1_) High water alarm (YA5) /V Date of pumping rn _3/.:�3 Pumper C. ABSORPTION FIELD DATA Date''installed (j/a7L/'75_ Soil ratinjL(g ­pd./Ar ft2lbdrm) • ;L System type _SJE Ji rn c f, /017 - Length ft. Width ft. Gravel below pipe "ft.: Total depth 10 ft. Eff. absorption area ft' Monitoring tube W-5 Depression over field 0 Fail) N 5 For bedrooms, Date"of adequacy test Results�@ Fluid depth in absorption field before test. VA' in. Water addedi_3Egal. New depth 6 a in II� Elapsed Time:7S— min. Final fluid depth S_j' in. Absorption rate >= 30 a g.pA. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date j D. LIFT STATION i I I i li Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at I in; I' "Pumlp off' level at i High water alarm level at 'i I' n'. Datum I, I Cycles tested Meets alarm & circuit requir I me Its? E. SEPARATION DISTANCE'S Ij I I I i SEPARATION DISTANCES FROM WELL ON LOTATO: ! I I III, I i � Septic tank/lift station onllotl : II 1,0 0 4 On adjacent lots I 4 N �q e 4 - Absorption field on lot 1 I I n a7V A I I� On adjacent lots I � � Public sewer main�q I .i, ' Public sewer manhole%cleanout• � � IWI/A � ' I,, Sewer /septic service line Holding tankry✓ I I I I I I �I i� i SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: , I Building foundation 1 d Property line l o- Absorption field Water main ID ,�! l I p Water service line Surface water, ! 9 00 f i Wells on adjacent lots 10 o I f! i � i I i t. I SEPARATION DISTANCE FROM'ABSORPTION FIELD ON LOT TO: Property line 10 Building foundation �! 1n -� Water main l''I to II i Water Service line' I0; i Surface'water_ Driveway;paI iI g'I/ve� hicle'storage I 0 � I• 1 Curtain drain I Wells on adjacent lots F. COMMENTS I i Il I' I , i • I � I ' 1� It �.L'w`� ���pA` I ., Iil �. i I�1 S' i G. ENGINEER'S CERTIFICATION'j � . lig I �I ••• I — � I "''� s I 1 I � � ��• tf r` , 1 certify that I have �det&rnin 6 d through'field inspections and ;! �II r rt. • , review of Municipal records iliaf the above systems are m � conformance with MOA HAAguidelinesin effect on this date. Engineer's Printed (Name I Date ! '3 HAA Fee S '3:ReDate of Payment !:3;--- Receipt ceipt Number. I 19 F /, I..; I, (Rev. 12/01) I i it I I. l ROBERT CE AN 8801 }` •' '4 y t Ile, It i;; "P"OFES 5011, I'Waiver,Fee',S d i 1 l' f I Date`of.Payment II Iia/ I 0 } I I 1 !Receipt Number I I SET x REB / 3O' REBt'an S Aso �O F /000` T F ,. 8.1 . 10.1 ` o N O � % \\\ 0.4 3.8 M 4.2Cd CD uWi 4.2 N 5R = ` W ` 4' C.I. STD - PIPES (TYP) d2 (0%. \0 . C,RAVEL 0 9? 0 • dsy �- �00 G `93T Cb fi 6/12/951 AS BUILT S STAKE 33-35 DATE FLD. BK. �i `4V7L3: 577 .' AV 4r NOTES: Easements not appearing on -record subdivision plat are not shown unless description of easement is provided by client. It is th4t responsibility of the owner or builder, prior to constructioA, ta-,vitify proposed building grade relative to finish grade and utilities co6nection5, and to determine ine existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Elevations based on assumed datum unless otherwise indicated, and bearings and distances are record data. -t ly T.Enginerring 17034 EAGLE RIVER LOOP ROAD EAGLE RIVER, ALASKA 99577 (907)694-2979 LEGAL DESCRIPTION SET 5/8' x LOT 8, BLOCK A 30' REBAR GLACIER VIEW HEIGHTS (LESS A PORTION THEREOF FOR RIGHT—OF—WAY) RECOV. REBAR PLAT NO. SCALE GRID (TYP) P-650—A I 1' -30' I SW 159 APR -06-2004 17:29, S&S ENGINEERING 907.694 1211 P.05. ..� -.- TOTAL P.05 •OF A—L,'k � Municipality of Anchorage �,� + 1EERs s c�.,•.� t� Development Services Department �If V_ J •! Building Safety Division i f C t ... .. «.may .�..«. .«:.2.9 O y1 On -Site Water and Wastewater Program :' 4700 South Bragaw SL +'„ P.O. Box 196650 Anchorage, AK 99519-6650 �+ ROBERT C. COWAN +� U4www ci anchoraae.ak.us�` CE - 8801 fii�<•• (907) 343-7904 �: rFi" %' , • ,.•r• ��� r Soils Log -Percolation Test tsi�,FharESS�D`:—� Perform. ed£::r: 0V 0aE7 _ _—Datc.Performed- Z 1S�t(7�_- Legal Description: d (,i< Township, Range, Section: C�'L1 �2� V t (,l r1 I .� Site Plan Depth (Feet) 1- O 2- o. 3- . 0 0 4- 5- 6- 7- 0 8- 9-10- 0. 11- - O 12- 'o . 13- 0 14- 15- 16- 17- 18- 19- 20 - COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? -- L 0 Depth to Water After p Monitoring? Date: PERCOLATION RATE TEST RUN BETWEEN AND 0 FT PERFORMED BY: (j- CiIUG 1 ��EK-) OCr� �Ysr-� �' `CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: jp d III;, N S is Municipality, of Anchorage � I a I Dev71"lopment Services Department ' cl • �,.� I: III;Building Safety Division) i' i uap m On -Site' 'Water and Wastewater Program t r OK 1;4700 South B'ragaw St.1 s E t Y ;PA'.`Box 196650 Anchorage, AK 99519-6650 I ! f I I vwvwxi.anciiorage.ak'.us .3 ! (907) 343'7904' I' I is jj e 4 ON=SITE SEWER/WELL SUBMITTAL COMMENT SHEET, 1 ,To: Bob Cowan ! I I ,� (I I AGI, Legal description 6lncier(View Hei6 is Block A iLot 8 REM b The attached paperwork?has been reviewed and is being returned for the following reasons: j) ❑ Original signature or,stamp missinglonl' t �,1�. a ;Ilj I" { error m desi n: I tion , e Calcula �] I� i, M❑ Additional soils information needed ! I i �❑ IIII 311 E'I^=IIII I,Ii � Water monitoring results inadequate' ! I, I ❑ Discrepancy in information submitted III I �' '^ ❑ Topographic information missing or inadequate € .A ., ® Incomplete; 'missing 2lunitsion proper is this` amulti-family resYdence? i; ' Incomplete, missing -Absorption field ndequatellfor' oiI I' bedroolrtm I ` ' I- ❑ Additional adequacy, test information needed. l r I 1 rl ❑ Water sample unacceptable " I� E� I II, )ill I II ,If I i �� I;!, •: s ! I' ❑ Measurediproposed'distancesidimensions missing. ! �'Q1 � rf I 11111 i' .1II .I''I I I,Ip1, Illi Locations of all soils percolation and water monitoring tests not shown Ri ❑ Proposed system toodeepfor soils information submitted �❑Well log required.!II ` j ..Ill Omission to narrafive !� I t .I ❑ Insufficielnt fill over tank'(' field: II ! I' ► '" ' Il I .L` Other. SoYl,ratmg blank on:checkliSt ipl l E e d iY , i � Il�i�� — r I i'I 111 �,''S a II '� ! 1.11 �il IIj I I I I i { � � •� Name of reviewer Je 1 X11. � III• I I 'I' Il I I. I;'1 I i �',. i1, 1 � t j :a� � I '' I I'II I 11 IIII. � I, 11�1� � 'I 1' � '.i1 el I I.1 � •�i. i I I I ation an CI. o' a inform 1: A o � Please'the` n ece ssa '.;- _ I I1 F 'i1 ► I'll ilp IIII I�, LI EAVEj THIS FORM, gTTACHEDTO s I i rII IIIi 1' � 11f.If1 II'.'.�� lli II � 1p'Rr7il I I �1 ill I i# i E III ,!, � I I I I li i II. el ' _ �I I i •# � i�Yie Y I f:'1� II i,;i ll,idltig i` STATEMENT`; OF INSPECTION/ BYE ENGINEEp J4^6:�If`4 f�1'n , ,'''/l 11 siil� lPl�i%� As certified by my seal affixed hereto and 66,61 the investigation of this Health Authority,Approyal.ar and/or wastewater disposal system,is safe, fundtio and type of structure indicated hereln: l furtherveri the Municipality of Anchoragelfllesiand front my'l supply and/or wastewater disposal'system is in C( ordinances, and regulations in effect;on the date Name of Firm S 8i S ENGINEERING 17034 Engle River Leop Road No. 2 Address Engineer's signatureJV, i ' , r :. f � 6. DHHS SIGNATURE, Approved for ;, „ bedrooms,,; Disapproved. Conditional approval for;:;. t n; , f ih ) k' ,f�: E� �,Ir.l �y>� Additional Comments ! I ' �� ♦ . i ' r ��,' ,, ill ] �,,tiQ�k, ,d:, IV`\f ryr i J i�-� I' i rIl ii 5 l t i d 1 p I'{C �1i7 i Fi)fliJTy '' }ilii e 4 , I � � r .f 1 { CAUTIO �;. .c.! .. - s -!;}.j:: ;jhe,Municipality.`of. �r4hhorage.bep, artment sn „of Health c ,I ,Approval Certljiq�tBs.base d only upon the representatloi professional eng7neeY registered in the State of Alaska:7he,I - If I I'. 1 J 4 vl .!14s lJy� iii �I�i R R 4 �s rl6i Y' iI f, ,�i ✓(f I I , �.1, �r, ' { bi' i .1 / In �h dy l€t�' i l ``tia{if�4 Si��}��a t,t shown below,.l verify that my (date Bows that the ori-site,water supply 3)quate for the number of bedrooms , id.on the information obtained from in,and inspection, the on-site water With{aII Municipal and State codes, 9ct1on I :1 r G �1 7 9 v- ,�.. -hone, li I ;Jf ` I ' iw„, l;l 1 II IR S_ Date. Y + 1 .�'k a Jy tri., -'',' :,,�'•I°� 1 1 ifliq.i 1imH• i•i. qw � {rROBERT C c6WAN','i�f�Q' 0;r i P CE 8801 �1�4+ I ' �r 1 r iI the following ;stipulatlonsr,Nr✓ %with! , ` �r rr ! , i�r 't 4�lilllJ �ilii�Y)�11 F jy s yAg y J,'' :(Il' ueii i" Date ,i x and h eir lending Institutions in order to satisfy certain,federai and state;re. L conduct 1. inspections or analyze data beforel a certificate is; issued ITh responsible for errors or omisslons in the professional englneei's Worki, i , ,1:, f'fl arl 72-025 (Ray. 1/81) Back MOA #21 _ apli 5 above. by :an Independent i icourtesyto'purchasers of homes nents Employees of DHHS do not lunicipality�of, Anchorage is not . r . Municipality of Anchorage Department of Health and Human Services 44 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: i_oT `6 %L_V"6, UL,�t'C'iA&pprcel I.D. FATS A. Well Data Well type C� If A, B, or C, attach ADEC letter. ADEC water system number Zt k� 1'I Z Log present (Y/N) Date completed Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump lever Cased to FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 10 0 Absorption field on lot '- t zo t ; On adjacent lots i zo Public sewer main ,�A_ Public sewer manhole/cleanout '� a ewer service line 7S tk Petroleum tank WATER SAMPLE RESULTS: Casing height Wires properly protected (Y/�N) AT INSP ON I.P.M. On adjacent lots 100 k �- t 4 - �• f. C. %=E At LG w Uao TO 2oa Coliform 0 Nitrate D . b / M0-ZL- Other bacteria /2 - Date of sample: 6-13 - i -r Collected by: S & S ENGINEERING 17034 Eagle River Loop Road No. 204 B. SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 Date installed 1�1 Tank size 1� o o Compartments j Cleanouts(LD`t) �4 Foundation cleanoutQ7N) Depression (Y/r �I High water alarm (Y/9 = . ( Alarm tested (Y/N) ~A Date of pumping Pumper VJ OAG) ,� SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot r\AA On adjacent lots 4- 1 Oo, k G n Foundation To property line 1 > (� Absorption field Zt Water main/service line Surface water/`drainage o0 t A- 72.026 (3193)' Front I c:> % -t- To lot -t - CONTINUED ON BACK PAGE c Ao <q 1p�i�'L IWO M = crt `n 7C7 N R 7- On adjacent lots 100 k �- t 4 - �• f. C. %=E At LG w Uao TO 2oa Coliform 0 Nitrate D . b / M0-ZL- Other bacteria /2 - Date of sample: 6-13 - i -r Collected by: S & S ENGINEERING 17034 Eagle River Loop Road No. 204 B. SEPTIC/HOLDING TANK DATA Eagle River, Alaska 99577 Date installed 1�1 Tank size 1� o o Compartments j Cleanouts(LD`t) �4 Foundation cleanoutQ7N) Depression (Y/r �I High water alarm (Y/9 = . ( Alarm tested (Y/N) ~A Date of pumping Pumper VJ OAG) ,� SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot r\AA On adjacent lots 4- 1 Oo, k G n Foundation To property line 1 > (� Absorption field Zt Water main/service line Surface water/`drainage o0 t A- 72.026 (3193)' Front I c:> % -t- To lot -t - CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at "Pump off" Level at High water alarm level Cycles tested Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed CI 1 S Soil rating (GPD/Ft') 1 d'&P- System type 5i92A3�,k-Ovy, Length 12 Width 1'L( Gravel thickness (..o Total depth LE) ` Total absorption area 20,6 Cleanout present ODN) y Depression over field (Yo Date of adequacy test �p'1 � 5 Results fail) PlNs'�p for I Bedrooms Water level in absorption field before test ZS U After test -2- e, Peroxide treatment (past 12 months) (Y/tV r-, � L L� D �.J If yes, give date '-L SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots 1 �L^ Property line To building foundation u To (existing or abandoned system on lot plc On adjacent lots 2' b Cutbank " Water main/service line Surface water o Driveway, parking/vehicle storage area SG i) 'U DL,?— Cultain drain °"i J E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. ®P 4 ra.o.a rAl..�7 1 i Signature �l z�C z'f2✓�.� _ �lw Engineers Name ..., � ROBERT C. COWAN� Date ei 15— `s9• CE • 8801 .y HAA Fee $/'G Date of Payment Receipt Number 72-026 (3/93)' Back Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE ' • Department of Health & Human Services M j DIVISION OF ENVIRONMENTAL SERVICES M 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. # n'41) 6)n I — I/, HAA # 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LUT 8• BLOCK A• GLACIER VIEW HEIGHTS Location (address or directions) EAGLE RIVER ROAD (b) Property owner Devon Dickey Telephone: (home) Business Mailing Address 2457 Eagte Riven Road, Eag:2e Rivex, AK. 99577 (c) Lending Institution Mailing Address (d) Real Estate Company and Agent Address Telephone 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: 17034 Eagle River Loop Road No. 204 Eagle 'River, A69ke M77 2. -TYPE OF RESIDENCE . Single-FamilyX'X Number of bedrooms 3. WATER SUPPLY CLAS "rr" Individual Well ❑ ,CL 0 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-siteA 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 L 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 Telephone 5 & 5 ENGINEERING Address 17n14 Eaale River Loop Road No. 204 Eagle River, Alaeka 9957 z44� 5?Date DHHS APPROVAL Approved for / �edrtums Approved Z Disapproved tiv.... l. •y, .o taA. Shwfov • NO. 1457.5f�_0900 40 ` Y ;1 Terms of Conditional Approval Conditional 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 oranalyze 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) Back Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) MUI7 OF P,NCI � g@)th Authority Approval (HAA) rNVIRG � SERVICES [PJ, fX&KLIST - FEBRUARY 1984 343-4744 N Legal Description: �o, fryact It vew ct A. WELL DATA Well Classification REQ IV D C' W S `f C If A B C D E C Approved (Y/N) � Well Log Present (Y/N) __T__ Total Depths 06 Cased to Static Water Level Casing Height Above Ground q Date Completed ( 8� Yield Electrical Wiring in Conduit (Y/N) Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) SEPARATION DISTANCES FRO ,661,�.-- To Septic/Holding Tank on Lot - � ; On Adjoining Lots I `� U To Nearest Edge of Absorption Field on L_ 'k 1 30 ; On Adjoining Lots /� f To Nearest Public Sewer Line lu I 1A To Nearest Public Sewer Cleanout/Manhole 64A To Nearest Sewer Service Line on Lot 2 5 f Water Sample Collected by Date Water Sample Test Results _�)+4 1, ; 16c loict LACI(EO'l n d Nr I P -A Ie S l�1 AOL `� l �ft Comments lA w(Je f Si7 t.�� u c Sf n)<.N. n o ItA ACA t B. SEPTIC/HOLDING TANK D F Date Installed Size /000 No. of Compartments . 1 Standpipes (Y/N) Air -tight Caps (Y/N) yFoundation Cleanout (Y/N) l� Depression over Tank (Y/N) !y Date Last Pumped Pumping/Maintenance Contact on File (Y/N) N�A ; for —'- Holding Tank High -Water Alarm (Y/N) I Aq Temporary Holding Tank Permit (Y/N)_ SEPARATION DISTANCES DTIC/H TANK: , To Water -Supply Well n To Building Foundation `� O To Property Line 14 3 To Disposal Field I c To Water Main/Service Line To Stream, Pond, Lake or Major Drainage Course 400 + j r — is Comments JPTI,�r �� Dc,✓moNcl !pH 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA n Soils Rating in Absorption Strata �� /�f\ Type of System Design necA 4Q<3 Alt Date Installed S Length of Field !a r Width of Field ! Depth of Field /0 Gravel Bed Thickness Area Square Feet of Absortion AreStatndpipes Present (Y/N) Depression over Field (Y/N) Date of Last Adequacy Test /58oaj t;; Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well I To Property Line / To Building Foundation �i epo To Existing or Abandoned System on Lot I J A ; On Adjoining Lots To Water Main/Service Line -1 `,,> T To Cutback (if present) A) I Ufi To Stream, Pond, Lake, or Major Drainage Course Nafoc A)njf C To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed Company 15034 Facile River Loop Road Aln, 204 Eagle f2iv!1 Algsk1 a 577 Date 4 � MOA No. C r,-� r 9 Receipt No. c� % 7 A% �F-4 Date of Payment " .Z Amount: $�` �% Ll- Receipt No. Waiver Fee: $ Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 No. 1457-� •. _�4 all ANCHORAGE/WESTERN DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 DATE: k-)'-.,tk PWSID: Zl6V-1Z Requested By: S' ,'S neem 563-6775 According to the records on file in this office, the L.oi-b,5kcax- RI C�oc.e� V%e„3 Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, Cindy Thomas Environmental Engineer Plans for the construction ofd �) fK rJ = 7r- c' < <- rj) /} -• ; c j <' ( w� '; S �1 public water system located in ( I;e v Alaska, submitted in accordance with 18 AAC 80,100 by <y f-. lie have been reviewed and are j approved. gnf`fA ❑ conditionally approved (see attached conditions). 1 4 a TITLE i If construction has not started within two years of the approval date, this certificate is void and new plans and specifications must be submitted for review and approval before construction. 1 APPROVED CHANGE ORDERS Change (contract order no. Approved by Date - or descriptive reference) 1 �l.0>iJf r Gl (04 (f: as... I The "APPROVAL TO OPERATE" section must be completed before any, water .is made available to the public: APPROVAL TO OPERATE j The construction pf the �% rl h� r .� ✓`t) <=! r3 C _ T67( ti Er`i Gel : �ublic I water system was completed on. (date). The system is hereby, granted 1 nteri m approval to operate for 90 days following the cpmpletion date. By TITLE - DATE As -built plans submitted during the interim approval period, or an inspection by the Department has, confirmed the system was constructed according to the approved plans. The system is hereby granted: ;j fintal,�pproval to operate. ` .m. ' eY-- a TITLE DATE ) 2. 3. 4. 5. 6. Y0© ID 0 X \Y GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Recei Time of I Date of I ve - - nspection nspection 10- 1r�kn-rlr) .t20 r p1 U r REQUEST FOR APPROVAL OF 5 INDIVIDUAL SEWER & WATER FACILITIES &C FOR j k7 Approval requested by: raslLoa n ���� Mailing Address: Phone: �,q�1-Mall Property Owner: Phone: Mailing Address: Legal Description: Location: Type of facility to be inspected _�, �> No. of bedrooms Well Data: C ><�SRI i� r s A. Type U ///Cl) - C. /1CI)- C. Construction 5 rA A k D B. Depth --220 D. Bacterial Analysis�l �isFfJc`7o�� 7. Sewage Disposal System: A. Installed 5 B. Installer �y C. Septic Tank: 1. Size /'000 2. Manufa t <vSeT D. Seepage Pit: 1 Absorption Area �2 �i2 2. Materia E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank U Ur Absorption area % O Sewer Lines , Nearest lot line �t�; Other contamination — f B. Foundation to septic tank �7 0 Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" St.., Anchorage, Alaska 99503 - 274-4561 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER h WATER FACILITIES 1. Type of Inspection: CMRO VA FHA CONV x 2. Property Owner: Devon Dicke Mailing Address: NHN 4.5 Miles Eagle River Rd Day Phone Qq�S9 3. Name of Buyer: Devon Dickey Mailing Address: same Day Phone 4. Name of Lending Institution: Alaska National Bank Mailing Address: Pouch 7-010 Anchorage, Ak. Phone 277=5511 -jam 5. Name of Realtor or Agent: None Mailing Address: F 6. Legal Description: Lot OGiacier view Hgts #1 Location: Eagle River Road 7. Type of Facility to be inspected: 8. Water Supply Home Phone o. Bdrms.1 Type of Supply: Public Utility Individual x If Individuals number of dwellings presently served shared If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility If Individual, date of installation New EQ -037 (1/74) Individual (on-site)i Page 2 of two pages - Re st for Approval of Individual r & Water Facilities Legal Description �i hLrar.,�s, I i o o �� 1 �h�s AA I Comments Approved /7� �%�� Disapproved Date Approval ,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I I 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 Date EQ -034 (1/74)