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HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK B LT 8 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L' Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT DISTANCES ~ddres$ ' TANK FIELD ~one(s) ' I Permit NO, - lUG Gl Bedrooms WELL Township, Range, Section AS-BUILT DIAGRAM (Show location of well, septic system, property hnes, foundation, TANKS ~ .~ ~SEPTIC ~ HOLDING TYPE OF SYSTEM ~ I ~'t' r~/ ENCH , ~ BED ~ W. DRAIN ~ OTHER ~ ~-. ~pth to p~pe bottom Irom Total depth from original grade ~ ~ :,Il added above original grade Grave~ depth beneath p,pe ~ ~FT ~ ET Gravel length Gravel w~dth WELLS REMARKS: Scale: ~ ~ ENGINEER'S SEAL Inspections Pedormed by: I ,.n-. ~.~lA Diver Lo~ ROn~ ~n_ :].. cedily ~t this in~ection was pedormed according to ali ~~,~ ~,. Health Depaflment Approval' , Date: JvJ LJ N :[ C ]: P A L :[ T Y C) i::' A N C H I]1 R A (3 ~j.-. ~. '~'~ ,., .~ ,..~ , ~.,;:,.. i.... -~'J;..p(~:-~,t.~ Al']c:l"J(-'H~'ac.~.~ A'.La~.l.::a 99F:~)] ..:,]...:,-47,-.:.0 t]~r'Jer" Name',J WILL]:AM O~nep AddPess: SR :1.557 tdYRTI...E DRiVr.,:C ~ .I. k, l::.k ,, Al< 995¥7 EAGI..~E{ '"" '"'"' 6 94-.q.~'[~4 c ~ p ... (.}...I. I, ..J ,", L. ot Le.'gla].: '~Llbc:..l:J. vi~-~ic:li'~ [~[...A[',]]['~R k/ZEN HE]iGHTS L(:it~ 9 BZc)c:k~ B Sect :i. on: ~.6 T(::iwnsh:i.p: ~..4N Range~ :LW I....c:rL Size ::;~:zt. 777 (~(:1,, ft .... cH" acr'es) Max Bed~-oc~ms:~ 'l"his Pe~mitJJ 4 '". ...... ' ' i'~'v': 4 -Lank must have at ].ea. st ~/~'. c:(]rnl:)aP'Lmerits~ :Oel3th 'Lo 'Lop of s~ep'L:i.c:: tank(s) t].pe'L pequ~r'es insulation ovep tank( E X }: S'T' :[ NG SEF"I" ][ C "f'ANK AND I::' ]: ELD W I...IOUSIE S];"FS C)N !....0"1' LINE BETWEEN F:I~LRM]:T E:XF:'TRES DIEC[EMBE:F;'. 31 ~ :I.~89,, foP~:.h by 'Lhe Murt:i. cipa~:J, ty of AnchoPage (MOA) and Che State of A].aska, ]: will :i. nstall 'Lh~ s'y~tem in ac::cor'dance v,~i'Lh a].]. H(]A cc:x:tes and r, egu].atic~r~s, ar'icj J.l"l cc:Jml:)].iarlce ~NJ. th tJ']~ cJf~)fBJ, g[] C:l-.it.~3r'~.a (:)f th:i.s pePmJ, t, ]] L,.]J.].]. ,z~cJJ'](ap(~:e 'l'..a a].]. MOA a[]d [[~'La~:.~.~ c){' Alaska Pequ:i.i"ements ~c)r~ the set 13acl.:: dis-Lanc:es fPorfl any exist:Lng wca].].~ ~xuastewat, ep (::JJ. sposa]. ~]ystem or' pub].ic ~BE,~4(.):.)P~:T~g(4.:~ ~By~:.(4~i 01'] '[..h~.s c)p any ad.jac::ent a:t. sc:~ ur~deP~[~'[..ar~d tha'{:. 'l'..he C:~l::)ac:Lty of thE, tc)'L~l E~ys'LE~[it :J.?~ zj. I:)edpaom~ and any en].,;a~pgement will r. equir, e an add:L'Lic~nal l::,er'mk'L, (O~,gne r' ) W ]LL,, ]: AM I]ORDIqE~',R SCALE Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFOR~ DATE LEGAL DESCRIPTION: 1 2 3 4- 5- 6- 7 8 9 10 11 12 13 14 15 16 17 18 19 2O Township, Range, Section: ;LOPE WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E Deplh to Water Monitoring? SIT~ PLAN ~"~ _Gross-'~'~" Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE -- (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN . ~ FT AND --- FT COMMENTS 72-008 (Rev. 4/85) 3201 Spenard Road Anchorage,Alaska 99503 (907) 272-2407 Mr. David Dorland P.O. Box 49 Eagle River, Alaska 99577 Dear Mr. Dorland: Test Pit and Percolation Test Lots 8 & 9 Glacier View Heights Eagle River, Alaska June 5, 1973 Job No. A12109-8 At your request, the undersigned inspected and logged the vertical soil profile of two excavat%ons (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: Soil Tested Medium to coarse grain sand and gravel with cobbles and boulders Percolation Rate, minutes per inch In accordance with the design charts in "Manual of Septic-Tank Practice" by U.S. Department of Health, Education, and Wetface, 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. RPK:nck OAKLAND Very truly yonrs, WOOD~ARD-LUNDG~.Ei,, & ASSOCIATES o¢ ney '~nney P.E. Chief Engineer SAN FRANCISCO ANCHORAGE, ALASKA Consulting . Soil Engineers and ~%/ologists SAMPLER -- Geologist ~/~ ~AMPL~R HAMMER: Lw[~z ~ ~0~ ~ , ~- ~m~ t~, S~M~L~~pLE D~SCRIPTION ~!~ (drilli~pth of ~ ~['. ~ ~ ; ~ ~ size, consistency o~ ~;~ ~.n~;H ,'~m etc3 ~' ~ r~ ~i~ ~ '.mt '1~1 , : " ~ ~1 I1~ ~~ ~:.7',: i~:Zff~ I1'1~,~ ~'~~" "¢,~' I~ I I / I I ~e~ro,~ o~ x~ · ~f~: ?'A ~F I~~p~c~/~(~-3~73) - I I1 / i i¢~,~ ~,o,. : T,4 x,," lC MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel hD. # (~)~Zm(~-z''/~ -[~)L,~, mr', 1. GENERAL INFORMATION Complete legal description Location (site address or directions) NHN MYrtle Ave. Eaqle River, AK Day phone 99577 Property owner Mailing address Mike and Claire Rynders HC83 Box 1557 Eagle River, AK 696-24.42 Lending agency Mailing address Day phone Agent Brook Stiltner/ C~.ntury 21 Colonial Address 11901 Business Blvd. Eagle River, AK Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: Day phone 696-R4n/) 99577 TYPE OF WATER SUPPLY: Individual well XXX Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ' ' ,.. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Y, XX NOTE: Public sewer 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 inves_tLgation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature Ea~aSt~a 99572 Phone Date DHHS SIGNATURE /~ Approved for 3 Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments Date //- .~/- ~',¢¢ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Autho.rity 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 th is as a courtesy to 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/~1) Back MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. Well Data Well type Log present (Y~) C~-jY~, ~ ~ ¢ ~ Parcel I.D. If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~ I ~-) '5 Driller Total depth ~J ¢-~ Cased to Sanitary seal ~4) ¢ FROM WELL LOG Date of test .~ Static water level ~ Well flow ~ Pump level1 J Absorption field on lot Public sewer main Sewer service line SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot I, ©o~ Casing height Wires proPerly protected (~N) ¢ AT INSPECTION g.p.m. ~. O..-- g.p.m. /Z ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: / ~ I 7 ~ ~ ~' ~.. ¢ '~' Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed ~--~ 1 ¢ -~ ~"~ Cleanout~/N) ¢ High water alarm (Y/~. Date of pumping Tank size / 2..~-,J Compartments Foundation cleanout (~ ~ Depression, j~/~ Alarm tested (Y/N) ~'~ '~ Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot I Ob ~ On adjacent lots / z~ o / ~ Foundation i.¢-- To property line / o . Absorption field ~ Water main/service line Surface water/drainage /~ d / P CONTINUED ON BACK PAGE 72-026 (3/93)* Front C. LIFT STATION Date installed Manufacturer .....~ Size in gallons Manhole/Access (Y/N) ~ Vent (Y/N) "Pump on" level at ....---~'¢~ump off" Level at High water alarm level ...-.---~Cycles tested Meets MOA electrical codes (Y/N)~.----'''~'~ S~CE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length Total absorption area Date of adequacy test Width Soil rating (GPD/Ft2) "~ ' Gravel thickness Lc ! Cleanout present ~YN) Results ~Yfail) Water level in absorption field before test l ?~ ~ Peroxide treatment (past 12 months)(Y~) ,.../0,~,./t~'~'° ~./~/ SEPARATION DISTANCE FROM ABSORPTION FIELD TO,'~ 0/~{ L--/ Well on lot To building foundation On adjacent lots Surface water System type "T"-¢-¢~ Total depth Depression over field (Y(~) for ,~ '~' Bedrooms After test '~ ~.z.. If yes, give date Curtain drain adjacent lots \ ~o\~'' Properly line To existing or abandoned system on lot Cutbank /"(/4- Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I certify that I have checked, v~e.r.!f?~d~eTonformed to all MOA and HAA guidelines in Signature Engineer's Na, ~O~ ~.N~!N~EP.!N~ Date //[ '034 Eagle River Loop Road No. 204 ' " ,/[=agie I~iver, Alaska HAA Fee $ 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 . DIVISION OF ENVIRONMENTAL SERVICES 343-4744 · CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcelt. D.# ~'o,~-z~/ o ~ - .~-,-.~ HAA# /~"¢~ 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include 10t, block, subdivision, section, township, range) Lots 8 and 9; Block B; Glacier View Heights Subdivision (b) (c) Location (address or directions) Fifth house-on ri,~h~IMyrtle Drive Property owner William J. Cordner Mailing Address SR Lending Institution Mailing Address .Telephone: (home) '694-4924 Business 1557 M~rtle Drive, Ea,qle River, Alaska 99577 Telephone (d) (e) Real Estate Company and Agent TARGET REALTY/Dick Brown Address P.O. Box 774627, Eagle River, Alaska 99577 Telephone 694-2812 Mail the HAA to the following address: (or check here ~, if hold for pick up.) List contact person and day phone number beloW: S & S ENGINEERING/694-2979 17034 Eagle River Loop Road. Suite 204 Eagle Riv~r~ Alaska 99577 2. TYPE OF RESIDENCE Single-Family,~ Number of bedrooms j~/./'/'-- ~1~"1 3. WATER SUPPLY Individual WellJ~ 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)IS[ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (Rev. 7/88) Page I of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of thevalidation date shown below, Iverifythatmyinvestigation of th is Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functiona 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 $ &. $_~NG!NEER!NG Telephone 17034 Eagle R[¥er Loop ROad No. 2u4 Address Date 6. DHHS APPRO~;AL ApProved for ¢_ bedrooms by Approve~ ~ Disapproved Conditional Terms of Conditional Approval Note: The well for this property meets existing State and Municipal Codes. There are nitrates present, however, it is suggested that periodic testing be performed to insure the wells continued suitability. Nitrate concentration is 5.8 mg/1. EPA maximum concentration is 10.0 mg/1. q:%'l I ['ii The Municipality of Anchorage Department of Health and Human Services(DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88) Back Page 2 of 2 RECEIVED A. WELL DATA Well Classification I ~ ~\ J ~ Well Log Present (Y/4~ 4 Date Completed Total Depth 0~--, Cased to' z3¢o~ Depth of Grouting Static Water Level ~ ' Casing Height Above Ground ~?... ~ Electrical Wiring in Conduit (~N) SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot \ oc:~ ~ M~NI~IPALITY OF ANCHORAGE (MOA) M~,~¥. OF A~,~I-~¢~ Aulhority Approval (HAA) ':NVI~k~/L SERVI~E$(~i~&'~4LIST - FEBRUARY 1984 ~ 343-4744 Legal Description: [ Pump Set At Sanitary Seal on Casingd~N) Depression Around Wellhead If A, B, C, D.E.C. Approved (Y/N) °//~ To Nearest Edge of Absorption Field 9n Lot To Nearest Public Sewer Line f4/¢¥ To Nearest pUblic Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot 'Z-~' Water Sample Collected by ~¢~t-~ '~\4------------------~r-~~ ;Date z~.\ Water Sample Test Results ~,~"1~ ; On Adjoining Lots ; On Adjoining Lots Comments B. SEPTIC/HOLDING TANK DATA Date Installed ¢'~t.¢--~1 Size Standpipes ~/N) ~ Depression over Tank (Y/~:~ Pumping/Maintenance Contact on File (Y/N) Holding Tank High-Water Alarm (Y/N) F'/~, SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: Air-tight CapsE(.~/N) No. of Compartments kc Foundation Cleanout (Y~ . Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Water-Supply Well To Property Line To Water Main/Service Line \ To Stream, Pond, Lake or Major Drainage Course Comments 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~'- ~ t.,~ ~ Width of Field "~' Square Feet of Absortion Area Depression over Field (Y/...~ Results of Last Adequacy Test . SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water-Supply Well To Building Foundation Lot '¢2~ To Water Main/Service Line To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field '¢~ ~ I Depth of Field Gravel Bed Thickness k~ ~ Statndpipes Present d~/N) '~,.~ Date of Last Adequacy Test To Property Line I~' To Existing or Abandoned System on ; On Adjoining Lots '~ To Cutback (if present) Comments D. LIFT STATION Date Installed Size in Gallons 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** 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 Date MOA No. $ & S IiN[;INEERlNG 17034 Eagle River Loop Road No. 204 Eagle/River, AIj~ska ~)9577 Receipt No. Date of Payment Amount: $ 72-026 (Rev. 7/88) Back Receipt No Waiver Fee: $ Date of Payment Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. ~~~ 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 ~.~.~ FEDERAL TAX ID # 92-0040440 ANALYSIS REPORT BY SAMPLE for Work Order % 12635 Date Report Printed: APR 13 89 ~ 09:09 Client Sample ID:L8 & 9, BLOCK B GLACIER VIEW HTS PWMID :UA Collected APR ? 89 @ h~s. Received APR ? 89 @ 14:45 h~s. Preserved with :AS REQUIRED Client Name : S & S ENGR Client Acct : SNSENGP P.O.% NONE REC'D Req # Ordered By : Analysis Completed :APR I0 89 Send Reports to: Laboratory %uperii~o) :STEPHEN C. BDE Released Ey : Special Instruct: Chemlab Ref #: 4817 Lab Smpl ID: 1 Matrix: WATER Allowable ........... Lt%%t_Le Lt ....................... ................ ............ NITRATE-N /5.8~/1] EPA 353.2 10 ........ Sample ROUTINE SABLE Remarks: SABLE COLLECTED BY 1 Tests Perfozmed ' See Special Instructions Above UA=Unavailable ND= None Detected "See Sample Remarks Above NA= Not Analyzed LT=Less Than, GT=Greater Than TELEPHONE (907) 562-2343 5633 B Stree,.t Anchorage, Alask~ 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER [] PU,',OWATERSYS*EM,.~.# I I I I I I I J~..PRIVATE WATER SYSTEM Phone No. City State Mo. Day Year SAMPLE TYPE: o.~Routine Check Sample {for routine sample with lab ref. no. [] Special Purpose SAMPLE NO. LOCATION ~ I I 4 I Zip Code Treated Water Untreated Water Time Collected Collected By TO BE!COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be: /~tisfactory I I Unsatisfactory [] Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received Analytical Method: Membrane Filter * No. of colonies/100 mi. Lab Ref. No, Result* I~-~ I I I I Analyst READ INSTRUCTIONS BEFORE COLLECTING SAMPLE Membrane Filter: Direct Count ~ Verification: LTB BGB. Final Membrane Filter Results ~) "-"~-' *"-' "---"T ~ ~ Reported B~c,..,.~. · Date Time: TNTC = Too Numberous To Count BACTERIOLOGICAL WATER ANALYSIS RECORD Coi~ Coilformll00ml '/'~--~ a.m. OB = Other Bacteria ~ ~ = ,~ ,.~,.,,( ~ · MUNICIPALIIY OF ANCHORAGB~ a//'~ ~"~ ~, DEPARTMENIL=F HEALTH AND ENVIRO .... caTA~PROTECT~O~ ~/~ ~ '825 L Street, Anchorage. Alaska 99501 ~ ~0~' .... .- '~--7~' - ' 264-4720 Date Received- ~1 ~1: Time 1:~/0 p.m. ~2: Tzme[/ T~me Da~e 4-~-78 Tues Date .c[-~ ~ Date , Insp Pr~% · Insp- ~ Insp / REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska National BAnk of the NOrth Mailing Address: 3301 C ~Street, Calais II Phone: 278-4581 4: Property Owner: Mailing Address: David/Louise Dorland Post Office Box 49 99577 Pl~one: 694-2626 Legal Description: Lot 8 & 9 Block B Glacier View Heights Subdivision Single Family Residence: (x) Number of Bedrooms: ~ %<~ Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit # Construction Individual well (x) Community/Public System ( ) Depth of Well Well Log on File Bacterial Analysis Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility ( ) Installed Installer Manufacturer Soils Rate Material Distances: Well to Septic Tank to Sewer Line Nearest Lot line to Nearest Lot Line to Absorption Area Absorption Area / 3 Name of Buyer: Mailing Address: Phone: Lending Institution, Mailing Address: '- ' ~ ~7-- ' ~ Phone: Realtor/Agent: Mailing Address,.~ ~ ~;~¢- /~/~ Phone, Legal Description: Street Location: Single Family Residence: c~ Number of Bedrooms: Multiple Family Residence: ( ) Number of Bedrooms: 7 o Water Supply:~ *Individual Well ~/ Public/Community System ( ) If Individual Well, well depth If Community System, name of system 8. Sewage Disposal System: *~n-site System (a~/ Public System ( ) If On-site System, date of installation: *NOTE: A well log is required on ALL wells drilled since 6/75. ** If on-site sewer system is over two(2) years old, an adequacy · test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 Pate Two Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 8 & 9 Block B Glacier View Heights Subdivision Comments: R & M Engineering has done the perc test on this property, will bring the results in to us as soon as they can pay for them. Laura Affadavit .A.~~ ( Approved,' ~.~ ~~= Disapproved: Letter Attached: ( ) Date: Date: Department Worksheet: ~-o.~- o ~: o~ ~ IIV~ 1VNOIIVNU]INI aO~ /ON (ep!s Jey~o ecS) --OlOIAOBd 3OVB]AOO 30NVBflSNI ON OOg£ .................................... (pe~!nbe~ ee] o~iXe) ~gB ............ XlUO aassaJppe o1 XJOA!iOp qlJM .~ ~g9 ............ XlUO aassoJppe ol ~JOA!IOp Ol IN]S (e~Belsod snld) ~O~:--'IIV~ O3l.-IlJ.~]30 ~0:1 ldl303~l March 28, 1978 R&M No. 851514 Darlene Nicolayson c/o Sun Realty P.O. Box 1201 Eagle River, Alaska 99577 Attention: Mr. Dorland Subject: Adequacy Test on Existing Sanitary Sewer System; Lots 8 & 9, Block B, Glacier View Heights Subdivision, Eagle River, Alaska Dear Ms. Nicolayson: At your request of March 17, 1978, we conducted a test of the septic system on the above described property. During this test the liquid level in the septic tank was monitored as water was added to the system. The measurements are summarized in the following table: Liquid Level Below Top Total Gallons Time of Standpipe Added 12:40 6.8 25 12:46 6.6 50 12:57 6.6 100 1:05 6.55 125 1:10 6.5 150 1:23 6.65 150 1:45 6.85 150 The meter used during the test was a Rockwell 5/8" standard water meter which had previously been calibrated by R&M Consultants, Inc. If the 4 bedroom residence on the property is to house 8 people, the average load on the system can be expected to be 600 gallons per day or .42 gallons per minute. During the test, the system accepted 150 gallons in 72 minutes. This indicates an average effluent acceptance rate of approximately 2.1 gallons per minute at the time of the test. ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA March 28, 1978 Darlene Nicolayson Page -2- Because the house on the lot is occupied, we assume that the leach field was at its normal degree of saturation. We can therefore conclude that the system is disposing of effluent at an adequate rate for a 4 bedroom resi- dence. We appreciate this opportunity to be of service to you. Please contact us if you have any questions concerning this test or if we can be of additional service. Very truly yours, R&M CONSULTANTS, INC. Lynne Kosikowski Staff Geologist Jim McCaslin Brown, Ph.D. Head, Earth Science Department JMB/kah ?~ONE:(907) ZVZ-] 7~5~)avtd 'Porland '!~'~zJESIDENTIAL APPRAISAL REPORT"~/ F ..... o [:j ~ B_.o_.Zo¢¢e_~._C_!!_ent Census Tiact Map Relere~c~ -~'~ ......... E~le River Coumv s,~,e Ala aka z,p cog~ ~nder A~as~_ U. S.A ..... Lender's ~reSS ~] Occupant Appraiser A.J. Forgues Inswuct,ans to Appraise, Good Loca,,o. E_3u.~m · · . {~Suburban . !4~]Rural up , [~Ove, 75%' ~2B%,o 75% ~3U.O~, 25~ Rate ¢ Fully Der. ~Rapid ' {~S,'eadv F~Slow Market'm9 T,me ~Under 3 Mos. r~4-6 Mos r-~Ove O Mo~ ._~__% Industr al._~ % Vacant ~L% r p Change,n Present Land Use ~Not Likely [-~L,kely (*) From TO Single FamilV Price Range S 50 t000~to $ 80_j000 _Predominant V~.e s~P0~lae.e,o~ App~a,~,,c~ of Properlies ['~ Note: FHLMC/F~[~A do not consider th~ racial compo~illon o{ thd neighborho~ to he a relevant {a~or ~nd it must not be considered in the Comments (including those factors adver~ly affecting marketability} ............................................................ View p~_p~ r t y_~i¢_~o~_r e e s +_m~ Avg. Fair ~ L3 ach,n9 c:~ss,f,c.,,on Unzoned Presen, ,mprovements ~; do [i~ do H~ghest and best use: ~ Presen{ u~e ~Other (soec,lv} Publ,c Other {Describe} [ OFF SITE IMPROVEMENTS Topo ..... ~01l~g a.. ~ ]s.,l~c~_ G_~l ___ sh~p~ ......... Almost Square'_ ware, ~ Well 51' [Maimenance: :XlPobhc :_l:P.va:e V,e* ___ _%xc_ellenC ~ Under0round Elect, & Tel~ Sidewalk I ~Slree~ L~ghts I$ the property located ,n a HUD ,dentil,ed Flood Hazard Oomr~ents ffavorable or un'favorable inciudmg any apparent adverse easement~ 8~6roa~o~ent$ or other ~dve-se condi~ons~ '~ .r~qP~onosed '~,UnderConstrucnonJNo. Storie~ 2 } Detached j Ranch /w/ Basement hAluminnm c .... ere Blo~b ~xJOus,deEr, rance ~ JSumpPumo ¢,n,shPd%%'ais Sheet ~Craw: Space [~J~JCon?et.e Floor 10~% F,msh.d Fl['l:~tld k~oo, _ CarF~te~__ Total 5 Rooms_ · 2 ' '~,tchen Equ,pment:~X_~Refrlgerator .r_X~RangelOven L~D,sposal HEAT' Type H.[¢. Fuel Ot~ Canal. New Bedrooms ........ _11~ Baths ,n finishs! area above grade F;oors - ~Hardwood L.XjCbrpet. Over Plywd ,_~rm w~,:s ~! O,ym []pm,e, ~ Tr,m/F,n,sh !0Good [~]Ave,age [DFa,r CgPoo, sam wa,.~=o, ~c~,= ~ Molded Spec,al Features {including {/replaces): __2 Fi~K.eplaces AIR COND. [] Central ;OIher ~ ~.:!Pauate ~ Inadequate ;!L ' Gr,~,d Ava Fa,. P Cond,l,0n Of Iml)roveme,~ts Elec~r,cai-~dequacy andcondd,on PORCHE$.PATIOS. POOL. F'ENCES, elC Idescr:be~---- 9..X 21_Deck, __4. X 18 Deck , 4_X 8 Open Porch, If s'ubmitled for FNMA, the appraiser must attach ('~.~./etch or map showing location of subject, street n~..:.~, distance trom nearest intcr~e:~ion, ar, d a'W Measurements No. Stories · . ~ Sq. Ft. 28 x 48 x I 1,344 x K Total Gross Living Area (List in Market Data Analysis below) Commen! on functional and economic obsolescence: · ESTIMATED REPRODUCTION COST - NEW - OF IMPROVEMENTS: D~e,li~ __1 344 Sq. Ft.@$ 30.00 1.._~_4 sq. Ft. ~ $ ~,_0~ .. = _16~128 ..... ~~_S.e~c Sync_ m _= 2. ~___ Porches, Patios, etc, 2 ~i0_0 Garage/Car Port ~6_00 __Sq. Ft. {~ $ ~1.~00 .= 9~,60D Site Improvements (driveway, landscaping, etc.) ___~ Total Estimaled Cost New ........ = $ Physical ~ Functional 1Economic Less ~ ~ $ D~reciation $ ,$ D~reciated value of improvements ...... = $ ESTIMATED LAND VALUE ....... = S_[~._>0~.. ~(If leasehold, ~how only leasehold value) INDICATED VALU~ BY COST APPROACH . $ The undersigned has recited three recent sales of properties most similar and proximate to subject and has considered these in the market analysis. The descr~p- Sub ect-Proper,, COMPARA,'E NO.' 1' CO P* * LE NO. ;~Addre~s Myrtle Drive Santa Mari~ Drive J~ h~N Raven Street Eagle River Road _ 7/4~chKod~D ..... ~__~2 E~Rle Park ~/D Sales Price Price/Liv_in_~ area ___ Data Source ii Date of Sa!e and ;i' Time Adjustment · i Location Site/View . !:] Design and A.p~a~ab. : :! OuatibL°f---C-° nst'-- !~] Count ~nd Total 8 & 9B Glacier DESCRIPTION _ Ay e~c_age 5 Miles MJ~S./Broker 6 Miles bi. L~ S .~Broker DESCRIPTION ~Equal _!__6nLE~u~l C_ha!et/~uA! 79 ,_00~0_ ~,oo~ Adjust.,, 1Jj._ _%!.¢_~.o__g a ~_.l._e 3 l/2 ~s__ / ~----.i $ 57.0: Broker T DESCRIPTION ~verag~ Under Co~t, Good ' ............ Good Total t B-rms ' Baths i_, 2 ,__1 __ 1,344 Total ~ EI-rms , BathsI _Ji', 2', II , Total , B-rms Baths I 4 ; 1 ; 1%_~i - 500 Gross Livin~j Are__j~ t ,344 Sq. Ft. I _~O~208Sa.Ft. Sasamem&S~,nt. 1,344 Fin '1,196 , -- JJ 1,000 Finish~ Rooms _ 5 _2 . J.:_ ~ _~:_.112', ~~L_2 - D. Functional Utility__ _A~e_r~ge_~ ...... E~lm~ .............. 1 ...... Jj ~G~A1 . --- ~ None Air Condi~io~i~ _~O~ ~O~M $ ~ _~_on e 6 ~ 2 I 1 ' 1_~663 smut.I ,400 700 1,215 2 t _31~_~_+ Eau_a_1 None r Porches, Pat~o, j Decks, , I ,: ' Other {e.g. rite- ! I · ~ !j 2 Fr?lc ,Cedar~ places kitchen · . · ui 'heatin J 2 F~replaces 2 Fzreplaces ~ Fireplace 't Wlk in Clst,' ~emodehr~} Ref/RO/VF/W/D Ful.1 Appl. ~ Full Appl. +_1,500i Crmc Cntr ~ ~ ~ Full Appl. Concessions Conventional ' Conventzonal i ilConventional ' ~(Total) r~ Plus' Minus :s 5 000 ]~g pi.s. F3 M ..... S 9, t ~ , CommenlsonMa,ketOata All three sales are qgD. l~l built homes and have manv ~~ AS C0:?Z.ZZ'ED s 8~occ ]~~~'," ~ t. :" ~' ' ~" Jif apphcable} EconomcMarket Rent $ .Mo x Gross Rem Mulhpher___~ = $ ~/A This ~prai~l is made ~ *'as i¢'~ subj~t to the repairs, alterations, or condit,on~ list~ below ~ completion per plans and ~pecif,catmns. Comments and Conditions of A~rai~l: __~iuppr~sak~as _mad~.as_t~ugUu~ ecLwa s lgO%_compl~t ..... about 65%~f completion~ therefore,, completed ~w~l~as a galue of ~88,0Q.~ existiD~ : 'l.~i,,~,co,ci~b,ion: be¢~ about 65% of than am2~Dr ~500.00 present value Valuation ts subject to satisfactory completion per plh%s and specifi~~ ~ FHLMC Form 439 IR~.9/75)/FNMA Form IO~B filed With client' ~ 19 __ ~ altached. If ~bmilt~ for FNMA, th~ r~or~ has been~[epa~d ncompliance w~h FNMA form instruclionS. :11 ESTIMATE THE M¢.R~ET ~ALU~ AS'DEFINED, OF SU~ECT PROPERTY AS OF .._AL~llSL.}~___ 19_16_ to bas ...... 57,500,O0 .... SUBJECT FRO~ SUBJECT REAR SUBJECT S TF,~,E7 MUNICIPALITY OF ANCHORAGE , -' T.E.TOFHEA,THA.D,U.A"SE" Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Nam. DISTANCES ,,~Z..A-5/~ /-"/~'~ ~/~ ~ ~~ SEPTIC ABSORPTION WELL Address ~ TANK FIELD Permit NO. ~ e~oms Phone(s) ~p~ N°' of. WELL ~/- Z~ ~ ~m~,~ LOT LINE ~' LEGAL DESCRIPTION / ~ ~ ~ c~ ~/P~ FOUNDATION Township, Range, Section AS-BUiLT DIAGRAM (Show Iocahon of well septic system, property hnes, Ioundabon, TANKS ~ ~ SEPT~C~ g HOLO~Na : · / ~..,~.,~ ~,,~ ,. g~,,o.~ ~ / i TYPE OF SYSTEM / ~x'srl ~ '~,~:~ / "' ~RENCH ~ BED ~ W. DRAIN ~ OTHER 5~'/)?'C or,ginalg~ade / FT ~ FT E~/ ~1~'~ ~,~=~ ~ / FT ~, % FT .... Total absorphon area Distance between hne WELLS ~.~ ~PRIVATE ~1~7/~,~_~ OTHER (Identify) Class~hcat~on {A.B,C} Total Depth ~ Cased {o FT FT REMARKS: ~,Z~/~/~ ~ ~ ~ll ~ ~ ~ ~ ~'cTn/E~g~l, Scale: FI 7~ ENGINEER'S SEAL was pedormed accordin, I Eagle River, Alaska 99577 ~dify~hi~ inspecli0n ' Date' Health D epaHmen, Approval) . /~ ' ~ 72-013 {3/85}