Loading...
HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK B LT 10Onsite File Glacier View Heights Block B Lot 10 #050-501-06 3 wells have been drilled on this lot. Status of all wells shall be confirmed at time of COSA. Municipality of Anchorage' g L;= On -Site Water and Wastewater Program - (907) 343-7904 Page ON-SITE WASTEWATER INSPECTION REPORT OCT .16 2018 Permit Number: OSP181160 PID Number: 050-501-06 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: Richard & Christine Volk ABSORPTION FIELD -EXISTING ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 23118 Myrtle Drive, Eagle River, AK 99577 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 -- GPD/SF -- Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade -- Ft. Gravel depth beneath pipe -- Ft. Subdivision Block Lot Glacier View Heights B 10 Fill added above original grade -- Ft. Gravel length -- Ft. Township Range Section Gravel width -- Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line -- FtZ -- Ft. Well 100'+ -- __ __ _ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 1 1000 Gal. Surface Water 100'+ -- __ __ Material STEEL Number of compartments 2 Lot Line 5'+ __ __ __ NA Foundation 10'+ __ __ __ LIFT STATION Manufacturer ----------------- Capacity Gal. Curtain Drain NA -- NA Remarks Existing septic tank decommissioned Pump on level at in. Pump off level at in. High water alarm at in. per code. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank D3034 drainfield Tank to D3034 Installer DIrtWOrkS Drainfield -- CO/MT D3034 Inspector ARCTERRA BENCH MARK (Assumed elevation) 100 ft Inspeection 1" 10/4/2018 10/11/18 Location and description ction 2nd 3`d 4'h Bottom of Door Sill COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL 4`6 Conditional Approval: Date, ' r~ T 9. '�,<,';xE��n� • _. ray 's!,� v 017 Aof !}'ESSL okv Approved Date CO S IV Inspection Report ST copy 3.doc AS—BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP181160 GLACIER VIEW HEIGHTS LOT 10 BLK B PID# 050-501-06 Cb O� A -C=30,8' B -C=23.3' A -D=36.5' B -D=18.4' 9 9 c� �,• 2x,2. 760' cq^T 0 A� S )0, 1V 240' HFA ^ 3, FX/S Y oF�k ro 4> .OUse N Co V D Qq&\� NEW 1000 -GAL / CO Os CO SEPTIC TANK Co EXIS71NG M FIELDo rn Z 0 n LOT 10 1p5 39.04 99.10 W z 0 Q u FINAL GRADE f 0 A 0 1000 -GAL (4SEPTIC zr TANK EXISTING FIELD e OF AL\ jour�� <QS 1 PREPARED FOR; 1 RICHARD V❑LK ** , 23118 MYRTLE DRIVE 7,H / 9 f'V / EAGLE RIVER, AK 99577 • � S FIELD BOOKS coMPUTm: �~1 CE 711 �$��� BOUNDARY: N A DRAWN: BMW S STAKING: N/A CHECKED: KMD ✓°�a�S 'e \ AWrASBUILT: SLS DATE: IOADN.10/11/1 DWG. FILE GRID: SW0159 ACAD FILE: FILE JOB No' 18-166 30• YAMS SCALEI NTS DRIVE --- _— MYRTLE — 0 90.26' (89.76' R) N62'08'40"W I ® WELL I—, 2x12 GANi GONG WALK nj C` 28.9' X6.0• Y wo M r i+7 N �"' E�AOUSS DECK `- Fp GPNS O o SHED N pEGK� • so L� 1 O LEANTO SEPTIC °° Rte) ,s 2c N °' o`•' M LO n LOT 10 Z BLK B X1.19' =300.00 PAVED D/W 67.5' 10' UTILITY ESMT _ _ N56°04'55"W 150.56' _T_ (N56°09'20"W 150.07' R) ANCHORAGE RECORDING DISTRICT, ALASKA ASBUILT OF: GLACIER VIEW HEIGHTS SUBDIVISION LOT 10 BLOCK B PLAT 70-151 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. WORK ORDER NUMBER: DATE: SCALE 3°' E -MAL - OCT 11, 2018 1"=9(1` 18-036-2 DRAY+ BY CHECKED BY GPoD NUMBO: BOOK/PACE JLS SWO159 180227 Av i b1. 4 TH°Y ... cD HN L. SCHULLER:• '° 11a�, LS -10408 n 1-0 f6 AW essionc� �+ WELL N CV ID d 00 It 00 N 0 N 00 r -i r4 02 V Q' yOS L DRv�� U o C LI1 C� 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax "'"P"L'rr• MUNICIPALITY OF ANCHORAGE ,'� `� mens \ On-Site Water&Wastewater Program moo' r I PO Box 196650 4700 Elmore Road ` , Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 '' .r http://www.muni.org/onsite C, I>(• ,artment NhCHON P�'E I On-Site Wastewater Disposal System Permit Permit Number: OSP181160 Effective Date: 6/27/2018 Work Type: SepticTank Upgrade Expiration Date: 6/27/2019 Tax Code Number: 05050106000 Site Legal Address: GLACIER VIEW HEIGHTS BLK B LT 10 G:0159 Site Mailing Address: 23118 MYRTLE DR, Eagle River Owner: VOLK RICHARD & CHRISTINE Lot Size in Sq Ft: 27001 Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 3 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing • Special Provisions: 1. MOA records identify abandoned well(s). Documentation that the well(s) have been properly decommissioned shall be provided prior to approval of the inspection report. 2. The 1987 inspection report as-built shows a monitoring tube in the drainfield. The submitted as-built survey does not show the monitoring tube. If the monitoring tube has been removed or cut down lower than finished grade, it needs to be installed or extended prior to approval of the inspection report. • Received By: /I a (71,X2e Date: - 4 7/ ce Issued By: A 6014-erDate: (o Air j MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-501-06 RICHARD & CHRISTINE VOLK... 907-727-1045 Property owner(s) Day phone Mailing address 23118 MYRTLE DRIVE, EAGLE RIVER, AK 99577 Site address 23118 MYRTLE DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) GLACIER VIEW HEIGHTS BLOCK B, LOT 10 Legal description (Township, Range & Section) Lot Size 27'001 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field Initial 1 I Single Family (SF) (w/wo ADU) Septic Tank 1)1 Upgrade Duplex (D) Holding Tank Renewal Multiple Dwellings U Privy (SF and/or D) Private Well ❑ Water Storage THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature c: operty owner or authorized agent) Permit/Rush Fees: 4 015 Waiver Fees: Date of Payment: to`021 1$ Date of Payment: Receipt Number: (j Receipt Number: Permit No. aS P!'' I Rob Waiver No. Permit App_9-1-12 doc .` �FtCTERRq ARCTERRA CONSULTING, INC f R 212 E. 51st Ave,Anchorage,AK.99503 ‘‘C" Office(907)868-3791, Fax(907)868-3793 ' Sk I NG• f•'•K pp5=1'�S June 25, 2018 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade Permit— Glacier View Hts. Block B, Lot 10 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed septic tank on the subject lot. The proposed upgrade will serve the existing 3-bedroom house. The adjacent lots are served by private water as noted on the design. There is no surface water within 100' of the proposed tank. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 868-3792/FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Kenneth M. I '• P.E. Attachments: On-Site Sewer Application Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793 WELL & WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN GLACIER VIEW HEIGHTS LOT 10 BLK B -w oda so26• (e9) yo Aevco L `t? r Rt�/rs N? ^Ar $4, C; r oo ° wiy, 11 ) 4 4,• • II4; .,,, a \ cos rsaa�Ai�V'�,.'Y- oasna sT. . *T 4ts'.i Q1 e� oasna •SCOco wry, m .�� N °1000-0c If TN« e a ti 100 4/3 o .40 *e) .7' ( sso 0 'ti NS \ o•(, � ti / so9,ss4 % * Af ,yo , 's h ooy� Scale: 1"= 50' FLAG PROPERTY LINES PAGE 1 OF 2 WELL RADII & EASEMENTS PRI❑R TO CONSTRUCTION M 0 CO ". NO PUBLIC WELLS WITHIN 200' OF o PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' CF DESIGN DETAILS m PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF a PROPOSED WELL EXCEPT AS NOTED, 1. INSTALL NEW 1000-GAL S.T. & INSULATE TANK IF <4' COVER. O 2. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK. = 3. CONTRACTOR WILL ENSURE ALL SEPARATI❑NS TO ADJACENT s WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC... �46...\` • j� ) oF Az. -4.6.,41 PREPARED FOR: �CTER b AI�� I 1 RICHARD VOLK 1. A �4 ro, `� .-1i 23118 MYRTLE DR. p° ��� cf,� 'I '-A. . . ; TI-1 ,N ,k EAGLE RIVER, AK 99577 m Kn / .• fiP-+ • /� 907-727-1045 ,� yS �oo V .. ' v a` I FIELD BOOKS COMPUTED: s x Z CE- I S • `� I BMJNDARY:N/A DRAWN: BMW Z 4"' '. N W Ir Www/ 3 ti STAKING N/A CHECKED: KMD ,/ 41 cl, 11J 4/16",,, /_"j / AS8UILT: SLS DATE: 6/25/18 • -.+F.. Tz�' 'c o� FEssio _ DWG FILE: coo �� c �� B \ SWO159 F,P p,VS 1$ `90 \``_ ACAD FILE: FILE JOB Na: 18-166 i�FR �K 99577��36 - WASTEWATER DISPOSAL SYSTEM DETAILS GLACIER VIEW HEIGHTS LOT 10 BLK B N6„. \v '�I p�' .; 6. i, 90 268 � • 1_ cpR CO 49. 16Z) P g af4coivcip vFX,sn ^i pF ypQsNt;cir M Og1, J • V/ 41?•0' DECOMMISSION — n/ COa�C� e' EXISTING S.T. *CO CANT CO EXISTING FIELD li CO CO CO* 6 INSTALL NEW 1000-GAL S.T. W/ NEW NK FCOdo .8 z POST-TAcos o 0 \ 10.5' C 40 6 SS60Q \o• ••&.4� .6O 0 609,SS \<i 0 20'• �F GO 4,"*. CD \7. ti"-) 0 FLAG PROPERTY LINES WELL RADII & EASEMENTS 5 PRIOR TO CONSTRUCTION Scale: 1-= 30' _..e. `- '11k‘\ PAGE 2 OF 2 c /��. • • <Q,� 1 PREPARED FOR! gCTER N �rr� • RICHARD VOLK A / "1 �� 7 I 23118 MYRTLE DR. 446 1k c°c�� I * • *.41119 I EAGLE RIVER, AK 99577 907-727-1045 a� / ', \ tKENNETH S / FIELD BOOKS COMPUTED: / K WCE- • i I BOUNDARY:N/A DRAM: BMW Z 'A' •t, 1 z 74?,.0'' ASBUILT: DAIS: `CD �+•»• FEs - / SLS 6/25/18 tr 0� E \\``_ DWG. ALE: GRID: SW0159 -( c 14G`o�, 9 ZACAD FILE FILE Joe No': 18-166 1,FR, A .99577' rsi MYRTLE DRQ ----__ 0 M 76' R) L.. 1 .19' 90.26 (89. R=300.00 Ng2'08'40"W -- WELLel f� ®WELL (V Co ..� N PAVED D/WCY �' (D 2.02' 00 CANj CONC WA K N' nj 28.9' I111111i 73.8' Ni00 N 16 0' �� 0 24.0' �o n r M 0 7.0 �, N to % EN." o N (<1 kA 67.5' 00 47.0' 0 �_ •— r--I I%Ullc VP CANS1-1 Q o DECKEl 11 1.59-1E0 N 0 16.0 • • 14 W • SEPTIC Cb a LEAN TO VENT ti O (typ) 6, o e N o N In inV") to LOT 10 M Z • BLK B 10' UTILITY ESMT _ N56'04'55"W 150.56' 7 (N56'09'20"W 150.07' R) ANCHORAGE RECORDING DISTRICT,ALASKA ASBUILT OF: GLACIER VIEW HEIGHTS SUBDIVISION LOT 10 BLOCK B PLAT 70-151 �.4������‘ 11D S U SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a i ..F AL ' tib ' LAND RTI� physical survey of this property as shown on this drawing and that the // ,`S..••'' •••1 iN NI w4 ANO S pr improvements situated hereon are within the property lines and no 'C, . • `) '•, 11 enchroachments exist other than noted. G1: 49TH i' , N �'� EXCLUSION NOTES:It is the owners responsibility to determine / * : I l -. * �' �� x r the existence of any easements,covenants,or restrictions which L, C / U o t—' do not appear on the recorded subdivision plat.Under no circumstance r 73 , �� U) A' ;.,, C) should any information on this drawing be used for construction of �i c0 '.J L. SCHULLER.. �� fences,structures,improvements,or for establishing boundary lines. 'P,. LS-10408 �ei 't•.„.,,,,....- ' • WORK ORDER NUMBER: aA� e-r�r '1`0^e •.• L�j .§00 1831 Talkeetna Street JUNE 22, 2018 1'=40' 1aA +ZZ, •E �a,r Anchorage, Alaska 99508 18-036 a'^”"e,la,Eao-n ORO 8001C/PACE: \\�0fessiono\ \''I (907) 227-1455 office JLS SW0159 180164 \N7"�I (907) 274-4992 fax ' MUNICIPALITY OF ANCHORAGE .... " oL *TMENTOF"EALTHANDH"MA"SE" o£oYOI Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT ~ame -- DISTANCES WELL ~dd~.~ FROM ~ TANK FIELD Permit No. . No. of Bedrooms Pho.~) ~~ WELL ~/- ~ ~ ~ ~ ~ LOT LINE / LEGAL DEECRIPTION LOt ~ Bloc Subdiwslon /~~ ~ ~e~ ~ ~/P~ FOUNDATION Township, Range, Section / AS-BUILT DIAGRAM (Show location ol well, septic system, properly hnes, foundation, ~ SEPTIC~ ~ HOLDING ~,~ ' / Manulactu~er Capacity m ~allons ~ ~~ l ~ ~' ~ / r~ Material NO. of Compadments / TYPE OF SYSTEM t Zx,~n~J~ '~,~ / ~RENCH ~ BED ~ W. DRAIN ~ OTHER fi='/)r'~ or,ginal grade / FT ~ FI &~/ ,TI~'~ Fill added above onglnal grade Gravel depth beneath pipe ~ Gravellength ~ / FT Gravelwldth ~. [ FT Ce2;~ area Distance between line TotaJabsorptlon ~ ~ SO FT 3~n FT Number DJ lines Soil rating P,pe m~terial / /~ SOFT ~3~¢ /~,~ Installer Dale Installed WELLS ~ .~ ~PRIVATE ~/S?l~y.~,..~ OTHER Ilde~tifvl Cless~csbon (A,B,O~ 7oral Depth Cased to FT FT REMARKS: : / ~Z~/~ ~ ~ ~// ~ ~ / ~ ~'c7~/~ ~AI~ Scale: FI J ~ ~ ENGINEER'S SEAL /4 (ENGINEER:~SEAL) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES .,~:~?- 825 L Street, Anchorage, Alaska 99502 0650 ~.~ ~. SOILS LOG -- PERCOLATION TEST Townsh p, Range, Section: LEGAL DESCRIPTION: ~t~ ~, ~ ~~ ~ SIT'~P~E LAN ~'~ k]~¢~ F'~, s,oPE 4 7 ~ ~' '~/~.~/~ ~,,-r' 9- WAS GROUND WATER 10 ~::~1-~ ~ ~ ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p 12 E Depth to Water Alter 13 - Monitoring? Date: 14- 15- 16- 17- 18- 19- Gross Net Depth to Net Reading Date Time Time Water Drop t -~/~ 1~'~ ~o~ ', "z- ~/,- .... 20 - PERCOLATION RATE ~'~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN AND '~ FT COMMENTS PEaFORMED ~Y: 17034 ,. ,. ,,. ,,,,, ACCORDANCE WlT~ALL STA~E AND BUNICIPAL GUID T ON THIS DATE. DATE: 72-008 (Rev. 4/85) A F:'Fq.... I CANT CCq%'J' r:':i(~]:'i' I:::'I"IJ;)NJ!:i rcm'Lb by the l','h..u'Jic:ipa1:i, tY c:.~' Ar'lcl"Jop~;u~.:)E' (i'"iOA) ar'id '~..he~ State c~'? Alaska,, WiL. L- NO'I BE AI:::'PROVED WI'f'H~]U"f AN EL,.E:CTR!DAL.. INSPECT:!iON RE]::'ORTjl AND (:]~:} 'J"HE I~JJ]..EC-I R]i(](.tL.. WORK MUS'i BE DOF]E[ BY ~.~ L..]iCENSED EI._.E~iC'T'RI[]IAN. S 8,~ S ENG 1[ NE]ER ill r',!G PH{]NE "I"b;EEt) :1, 70:!;,:~. lie ,, !._EG¢4.. ;01ES(31::.:,' ill F'"l" 1[ (3H ,I L.C}'f' J. 0 ;Ed..J< :('3 (,:~Lr%{3 Z Ell::;: V Il IEt¢~i HTS ,, SEE:: :i. L.t'i~T ~:~i[ZE... 2,'5'?00 I"if:~X. NLildM!:F:.: t}l:: E;IE{i)I::;:E{OHS: 3 S{:;~];L. I::,'~¥;'Ii'..IG: ¢.50 8illJ ]!l I.. l'~}i;~::~;"t :t}Et:"l'H = :t. 0 I-':T 'l H ]1S ;1: S APl tJF'GRAi}E ill!i:' :!; BIEDREiE{td TO THE; EX ]1S"f :( NE.i 8iEI:::'T )1C SYS'f'Eid '['I::?i:::NE:H i:.';qED l>J. DRf:.~ ]1 l'4F ]1Ei.D !Et::I::'EC"i'ifi%qE i}lEl:::"r'H () 0 .%."~,,':.~// 't'(3Tf:~t. DIEI::"I'H 0 O S i ~~' ~'~¢~ !;-! Il DI'H () 0 i:~i ~::;I}! F"i ,, 0 0 450 Si:::'iEE: ;t1P~t.. CEiI',iD 1i1 "I 1i; Oi;.tS E{I':;.: ;~ hl!iii'i'l:;;:tJC'f' ;Il E{i',.t!::_~ I'H!:: ....... 1.., I J..Iu lOl:;,'r:~ ;!l txtl::;[ lEI_;0 11: '::' 't"O }':i: ¢%;8¢;~iq:)ilIi'~tE;D ltl t",i F- t..~-~._.,:: ,, "-L~::' F:'t::;',EiI:'i3(:iiED ;11 ~i Ti{i{ i'!di:i: Ei:i:{Viii::I;~E::D t:,l {il TH 2 F;"!':. (;:{1':' F :( L.L.. I:'I....!..!S 2 ]1 n ,, {:IF {il i',!E;L. L¢/I ~il E.N. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: /'t,'V ~-~") (~"~ ~. LEGAL DESCRIPTION: I,-~oT /C7' /'~./~- /~ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18, 19- 20- DATE PERFORMED: Township, Range, Section: //c//~J' , / ~o '~ /~,'L. $ / cT'5 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Waler ~Aft~er Monitoring? ~ Dale: J PERCOLATION RATE __ (minutes/inch) PERC HOLE DIAMETER __ TEST RUN BETWEEN FT AND __ FT COMMENTS L~_. PERFORMED BY: I?O~4 Eagle Flyer I. oep Read NO. 21j:)4 CERTIFY THAT THIS TEST WAS PERFORMED IN Eagle River, Alaska ,9577 ACCORDANCE WITH ALL STATE AND MUNiCiPAL GUIDELINES iN EFFECT ON THIS DATE. DATE: 72-008 IRev. 4/85) Gross Net Depth to Net Reading Date Time Time Water Drop SULLlVt W TE [ P.O. BOX 670272, CHUGIAK, ALASKA 9956~ o TELEPHONE 688-2759 ADDRESS STATIC LEVEL OF WATERF[. PERMIT NUMBER : _.to &. KIND OF FORMATION: From O ..... Ft. to-~' ' Ft (2rqd~,~ ~ .,~'T/~,~ d ~ From From c~ Ft. to ,,~ ,.. Ft. , Q~~_,O Erom From .5~ · Ft. to.d'? Ft. ,~"~'~' C ~;~ Y ~4,i~=. ~'~om 6~dve~od/~,n__ Ft. to From t ~'t .Ft. to I /b~Ft~(~.f~O " ~ ' '~ '~ /~a~ From. From. Ft. t0. Ft. ~_~0Z~ ~ From __ Ft. __Ft. to_. Fit. Ft. to. Ft. Ft. to Ft. Ft. to . FL .Ft, {o ...... FI Ft. to Ft. to. . Ft. to From Ft., to___.Ft From Ft. to From Ft. to ..... Ft ....... From_ . Ft. to___ From ___Ft. to__ Ft ......... From _. Ft. to From__,_ Ft. to ....... Ft. From Ft. to From ...... Ft. to ...... Ft.__ From ..... Ft. to Ft. Ft. Ft.. Ft. / o5~ , ~_4,.,*.~ ~, ~-~ DRILLER S NAME ._ t/d? - ~ .... 05-o5o1° certi f"v tha'L~ fc, r'.th bv the Munic:J. pality c,f Anchor'ag~:, (MOA) and the St.a'L~:, c:,f' Alasl.::a. ]: t~.~j.].]. ~i.r'ista].]. the ~:~ys'l:..,::,ri~ :i.n a,::::cOr'.cJ~:tr]c<:, ~.~:j.-l:..l"t .:~].]. MOA cc, des and arid J.i"i c:omp ]. ianc::e t~i'l:..h thc:, des:i.,]n c:r. iter. :i.a of th J.s j::)er'mi'['... ]:i. 1::: C)P aF]~/ ~:::d.~ac:(::,l']']:.. c)p l']G:.)~tl"J::)']~ ].c)'L, ~ '% ,/ 'MUNICIPALITY OF ANCHORAGE DEPARTME'NT OF ¢IEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME ~/ i / /~ ' / / IPHONE I~NEW MAILING ADDRESS ~) /~ ~, ~// LEGAL DESCRIPT~N ~ ~ ~ / I Well ~ ~ Absorption area ~ I Dwelling ~ DISTANCE TO: ~ /~ ~ I ~ '~ I ~ ~ Manufacturer ~ ~ .__ _ ~a~ / No'f compartments ~ Liq. c~pacitv in gallons I IF HOMEMADE ] Inside length I Width L qu d depth I /00o : I ~ ~ DISTANCE TO Well ~ Dwelling PERMIT NO. ~ Manufacturer ' /~ / ~ I Liquid capacity in gallons Material Nearest lgt lir~ ,/~_ Trench~idth ~'~ 0 inches DISTANCE TO: No. of lines / I Topofolet(~finish Length Type of crib DISTANCE TO: Class / c DISTANCE TO: We?o Length,o .n §fade Width Well t~uild[nCundation Total let~~ Ii? Ca.t, erial bene~t~ tile )epth inches · Total effe~or~im area PERMIT NO. Crib depth Total effective absorption area Building foundation Nearest lot line Driller Sewer line Distance to lot line PERMIT NO, Absorption area(s) Septic tank OTHER PIPE MATERIALS - SOIL TEST RATING ! iNSTALLER //~. 5-~ ?//Z~.~ 72-'01~ (Re~ 3/78) DATE LEGAL WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological ~ Geophysical Surveys LOCATION OF WELL (Pleoee complete either Io~ ih or lc.) Anch ?,,Zaci,e,r~_ 10 B. I-of-o'-of- ,-;71~. I D,ST^.CE ~%ff.J~.~l~ F.OM .OAD ,.TERSECT,ONS Street Address and Area of Well Location WELL LOG Material Type Dry gravel Brown clay Hard rock Fracture Hardrock Fracture Hardreck Fracture Surface Top 110 124 160 164 184 185 215 218 Section No. 8ollom 9O 11o 160 164 184 Hardreck Fracture water incl. 241 243 Hardtack 243 253 Fracture water incl 253 255 H~a~k 255 265 Orilhng Permit Ne, A.D.L. No. Townshlp N [~ Range E L-] [ Meridian OWNER OF WELL: Mr. Kit Calla~an P.O. Box 84 Chugi~ ~. 99567 WELL DEPTH: (final} g_65 5. OATE OF COMPLETION 6 - 10 - 82 []Cable tool X~Rotory []Oriven [] Dug [] Auger []dotted [] Sored [] Olher: [] Irrigation [] Recharge 8. CA lNG: [] Threaded X]~ Weeded diam. ~ In. fo12~ tr. Depth Weight 17 I~s./f*. diem. in. to fl. Depth SHckup_____ ft. 9. FINISH OF WELL: Type: 0~(~['1 Hole Diameter: Slot/Mesh Size: Length: Set between ft. and ~ack fillinG Oravel pock 611 ft. STATIC WATER LEVEL: ft. / / Dote ~ Above or [] Delow land surface Equipment used: II. PUMPING LEVEL below lend surface end YIELD fl. ~fter hrs. pumpln9 g.p.m. tt offer hrs. pumping g ~ m. 12.GROUTING Well Grouted: [] Yes [] No Material: L~ Neat Cement [] Other: I~. PUMP: (if available) HP ~-//~L Lan.th of Drop Pipe 244 ff. c~p~cily 14. REMARKS: Tested at 1 GPM WATER WELL CONTRACTOR'S CERTIFICATION: 15. Water Temperaf.re .... o [] F [] C 5 ~llle well ~as drill*d under my jurlsdlcllon end lifts report is Irue Io lite besl of~,ny k.owledqu o.d b~iiuf; ~~0~ ~.~[e Rivo~, ~. 99577 ~~h~ Authorized Rep,e~nt~live/ --' Copy O~slribulion: WHITE"State DOGS, PINK-Oriller, CANARY Customer'~ PERH !' T i'.,h':). F:i P [:' L. I C R N T L O C Fi ]' ! O N LEGRL T"?F'E OF 'F -' :.r L F.E ::2 ] F'.F'T :[ ON :i.:;,'¢':~;TEH i :ii.r, · DF:F! i NFl ELD i"iF!.i:.::]:P'![.IM N[..tHE:ER ~-[:' E:E!}R[][]H5 = 2 THE F:E ~:!_ ~: RED :5 i ?F:Z OF THE :::_':[] ! L !::IE',:E;OF::F'T! E;N f-?'r'SHFEH :i: '2!;: THE LENGTH D!F!EN':'!!i!ON !:E; TFIE' LENGTH ,::'r.N F:'E'F"r', r"~F T~-::[ ......... ~ ..... ................... r~..:.',..'~ i]i:~' DRF!INF':fELD. THE [:,EF']-F! OF Fi UF'Fh.'i'H [IR PIT 'if:~: ]"HE D!il;TF!NC:E r:~:!~.k.:.~ _F,~ ............... THE GROLtND FIN[:, THE/ E r"Ff'TOH OF' THE: E::.::F F¢,,,'F~T): "1N ,' ~ N FEET',. THE GRR'v'EL DEPTH ........... 'rq THE t.~.~!r,llq~1. ...... r-~r~,TN,. OF GRF¢,,,'E_ E:E"FF~EEN THE OiJTFRLL r"~r::.~""'r~ RND THE c,L,I ,UPI OF' 'THE .............. b.,~L..F,,~ ! ZEd",I '::~N ~-z.-: .... PERHIT FiPF'L..T.[::F!NT FiF!~; TF!E RE'_~F'].'-!'.:.IEi_~T'¢ 'T'O iNFOF:tH TH'.r.:::; F.:,EF'RF::THENT F, ?IH] THE I,~',I¢;TFd_!.RTZOi"~ i'NSF'ECTiE~N'.:~; []F Fff'.]"r' HEL. L.!5'r'. .............. ~ .... ~ ...... :I Ti) ]'['iI2: F'ROF'ER]"¢ FIND THE F "1:ER OF' RE::S:[[:'ENC:E:.E; THf::FF THE HINtHUH D.'[E;TP, NCE E:ETI.,.!EEN R HEL. L. RN[:, RN'¢ ON-SITE f~;EhlRGE D!SF'Ot~;F~L. E?¢S;TEM IS ZE~E~ FEE]" FOR FI F:'RZ',,,'RTE HELL OR :~.Sei TO ~2:C'~C~ FEET F'ROH R PLIBL, ZC kiEL. L. DEPENDING UPON THE ]"'EF'E OF PUEd....!C NEL.[ .... i"iZNZHUH D:EST~NCE FROH R F'RZVRTE HEL. I._ TO R PRZ',/FFFE SE[4EF: L. ZNE ZE; 25 FEET FIND "i-0 F~ COMH[.tNIT'T' SEk!ER L..ZNE :[:5 75 FEET. OTF!ER RE6R.!:[F~EHrEN"['S HR'T' FtPPL'T'. ZF:'ECiFiCF!TION:~:; Fff.,ID CONS'T'RUIZ:TION DIF!GRF:!H:E; RRE Ft'~,'R!L.F:IBLE TO INSURE PROF'ER !!'-,!5TF!L.L. RTt ! CERTtF"r' THFIT ::L: ! RH FRi"!![_!F:ff;: 1.41"FH "[',LIE REg!UiREHEN'FS FOR ON-SZ'T'E ::]:E[,.tERS !::iND HELL:i.E; R~!; SE'T' FORTH B'T' TF!E MLIN 2( C: I F'RL ! T'?' OF RF,!CHCff:~:RGE. 2: t ktlLL. :[i'.~F.:;]"RLL THE 2':'¢::.i;TEM iN [:iCC:OR[:,RNC:E I-,.!ITH THE CODES. Z:: I UN[:,EIR:5"~:, THFIT THE' [)N~'B!TE :!.':E.WER :_:;'.P.:.-;TEM HFW REr2LI:[Fi:E ENLFIRF:JEMENT E:E':S![:,E,~~~:/~ J/Y~4E:LIJDE i',',(]F4:E THF, N ]: ~F'F'L. ! CFd'q]" K I T CI::~LF!HF!N THE PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13- 14- 15 16 17 18 19 20 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST COMMENTS 72-008 (6/79) SOILS LOG [] PERCOLATION TEST DATE PERFORMED: SLOPE SITE PLAN WAS GROUND WATER .? P / E IF YES, AT WHAT DEPTH? 'l~a Gross Net Depth to Net ding Date Time Time Water Drop PERCOLATION RATE ' / /-'/ (minutes/inch) TEST RUN BETWEEN FT AND -- FT -1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 :-- ~h ' GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMI'[TAL) (a) Legal Description (include...Jlot, block, subdivision, section, townshil~, range) Location (address or directions) (b) Property Owner /ZJr/C- /"/¢~z,,~//./~,. Telephone: Home BusJness Z '-?~ "~S,*~'? Mailing Address (c) Lending Institution Malting Address. Telephone (d) Real Estate Company b. nd Agent //--' Address Telephone (e) Mail the HAA to the followina address: or: Check here~, if hold for pick up. List contact person and day phone number below. $ & $ ENG!NEE..~ING 12'034 Eagle RiYer Loop Road No. 204 Eagle River, Alaska 99577 TYPE OF RESIDENCE Single-Family ~ Number of Bedrooms WATER SUPPLY Individual Well [~r"~Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite [~]'~Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. Page I of 2 72-025 fRev 8/86~ Fronl 5. -ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Telephone 5 & $ ENGINEERING Address 17~t:~4 Ea~!= ,~.~v~- [.~p ~oad No. 204 Date Eagle River, Alaska 995Z7 DHHS APPROVAL _ Approved for Approved bedrooms b ,~~[~~~ ' "~' _ D~sapproved Conditional Terms of Conditional Approval Date CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees' df DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72 025 fRev 8/86) Back WELL DATA MU~II~CAIG/p~LITY OF ANCHORAGE (MOA) MUNICIPALITY OF I-~EA~rEI,,~,IJTHORITY APPROVAL (HAA) ~_NViP, oNMFNTAL S~RVICFS L~(~'~LiST. FEBRUARY 1984 264-4744 JUL 8 1987 Legal Description: RECEIVED Well Classification Well Log Present ~)~/N) Total Depth //-¢'J~ / Cased to Static Water Level /o ~' Casing Height Above Ground ~ Y' Electrical Wiring in Conduit~'N) Separation Distances from Well: To Septic/Holding Tank on Lot ~ To Nearest Edge of Absorption Field on Lot .S. /~ If A, B, C, D.E.C. Approved (Y/N) Date Completed -5~,/~ '~ Yield Depth of Grouting Pump Set At Sanitary Seal on CasingS/N) Depression Around Wellhead (Y/~ ; On Adjoining Lots /¢~/'/: ; On Adjoining Lots To Nearest Public Sewer Line "~'/A To Nearest Public Sewer Cleanout/Manhole /'J///~ To Nearest Sewer Service Line on Lot ~-~ Water Sample Collected by .~ ~-~ ~--~,',zbCz-/~="~-~-~zJ~ ; Date Water Sample Test Results ...~¢~k?-/~,~r~',4-c_~'-¢¢_¥/ /'"'~¢¢c_ ,L/~FT-~- ,~ B. SEPTIC/HOLDING TANK DATA Date Installed Standpipesd~N) Air-tight Caps~N) Depression over Tank (Y/~) Pumping/Maintenance Contract on File (Y/N) /~/. Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/HoMi,,§ Tank: To Water-Supply Well ~'-'~ ~ Et"' Size / ~ No. of Compartments Foundation Cleanout ([~)N) Date Last Pumped ~::~ Z{ - ~ ? /,3/,¢~ ; for Temporary Holding Tank Permit (Y/N) /'~/~/ To Building Foundation To Property Line To Water Main/Service Line Course Comments ...~ ~' ! To Disposal Field ' :" To Stream, Pond, Lake, or Major Drainage Page I of 2 72-026 IRev 8/86) Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed '~ - ~ Width of Field ~-, ~ Square Feet of Absorption Area Depression over Field (Y~) Results of Last Adequacy Test /~ ~¢/"~:~ Type of System Design '~'--~,~/~/C/,,/ Length of Field ~ f' Depth of Field ~ -~ // Gravel Bed Thickness /~?, ':¢ Standpipes Present ~/N) /,.¥/__/..~_/ Date of Last Adequacy Test ..,'%//~ Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments '~ 2 · ~" "~-~. / To Property Line J~ / To Existing or Abandoned System on ;On Adjoining Lots To Cutbank (if present) /~'///~ D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** 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. Signe~ &S ENGINEERING . . .,,L~ate 17034 Eagle Ri~er Loop Roa~ No. ' C°mp~an~le Rivei:, Alesk," 99577 MOA No. Receipt No. c~- ~0/ --O0 '7 Date of Payment ¢~ O¢::::: ~ 0~? Amount: $ ,/ ~:~ ¢ ~ Page 2 of 2 72 026 IRev 8~861 R~ck CHEMICAL & GEOLOGICAL I. ABORATORIES OF.4LA. gKA, INC. FEDERAL TAX ID # 92-0040440 ,qI,IALYSIS REPORT B~ ~AnPLE C t ient PO~ : VERBAL Client Sapl lB: LTiO BLK-B GLACIER Sample Rec'd : JUN 5 87 Ordered By : REPORTS ADDRESS ~1 S & S ENGINEERING Req ~: Cork OcGer'l,lo. :94'~ 'Client Account : Date Report PrinteO: JUN !ti ~; 9 Reieasedgy : SCE. REPO~I'S ADDRESS 17034 EAGLE RIVER LOOP RD., ~204 EAGLE RIViR, Al. 995'?7 :'Special instruct: ROUTINE SA[4PLE COLLECTED 6/4/'87 BY SAS ENGINEERING CnemtabRe¢ ~,: 6483 Lat~ Smpl ii): 5 Hatrix: Water - r 'I' ' iqe :hod Cml ts Paramete_ ~esteo Resul t/Uni ts S~mp I e ~emrks: Tests Performed ~ See Special InstructionsADove HD= Iqone Detected ~ See Sample Remarks Above ~,iA= ~tot Anolyzed L?=LessThan. ST=dreaterTt]an Anchorage P.O~.=.?X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES June 2, 1987 Robert A. sharer, P.E. S & S Engineering SRB 196X Eagle River, Alaska 99577 Subject: Waiver Request for Lot 10 Block B Glacier View Heights waiver Number WR87-032 Dear Mr. Shafer: Your request for waiver of the required distance of a residential well to a septic tank has been approved. The required 100 foot separation has been waived to 94 feet. This waiver is valid for the existing septic system and the proposed well location only. Any future upgrade of either may require another waiver request from D.H.H.S. SD~n .~~o~erely' civil Engineer On-Site Services cc: Gus Andress, P.E. Water Quality/On-Site Services Project Manager ROBERTA. SHAFER May 18, 1981 CIVIL ENGINEER 694-2979 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST Municipality of Anchorage Department of Health and Human S~rvic~s 825 L Street Anchorage, Alaska 99501 ATTENTION: Steve Morris REFERENCE: Lot 10; Block B; Glacier View H~ights Subdivision Request you issue a w~ll permit with a waiver to the septic tank on this property. The horizontal separation distance §etween the proposed w~ll site and the existing septic tank is 94 feet. There is no other suitable site for a wel~ on this property. There has been two previous w~s drilled on the northeast corner of the property, however, both of th~se w~ls when drilled were very low producers and have now ceased to provide an adequate amount of water for domestic use. The topography in this area wi~ place the well approximately 15 to 20 feet in vertical heightabove the septic tank. Attached for your review is a plot plan and risk analysis work sheet. This risk analysis was based upon the w~ll logs for the two existing wells. These w~lllogs are typical of w~lls drilled on surrounding properties. It is our opinion that the horizontal separation distanc~ prescribed by 18AAC72.021 are not required in this case. If you require additional information, please contact us. STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM OESfGN SRB 196X EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AArD HUMAN SERVICES WAIVER REVIEW WORKSHEET DATE RECEIVED: ENGINEER: APPLICANT: SRB 196X EAGLE RIVER, AK 995~~' WAIVER REQUESTED: CRITERIA: l) Geology: Points: Ao Water Table L '~,~,~, B. Soil SorPtion ~,~ C. Permeability I,~ ~ D. Water Table Gradient ~,1 E. Horizontal Separation . ~ TOTAL~ ,/% ~ WAIVER IS: granted, with conditions listed below: not granted for reasons listed below: DATE: BY: NAME 17034 Eag,e River Loop Road No. 2t~,MPUT^TIC)N SHFET Ea~le Ri~er, Alalka 995~ SU~ECT: DAI~: SHEET BY CKD OF APPLI .,, T FILLS OUT UPPER HA[ ,oNLy P~o p e r t; ~)'w n e ~,~ $./~h/~ g~-t '~ ~.~.~ "-" Phone' Buyer.- ~,, :) '~ Add~ess ~ Zip Code Lending ,nstitutionl[~ h~, :~(-~. /~W~ .~"'v Phone RealtyCo. &A.nt ~~2 ~ ~/~, ]y~& /~ Phone Address ~~ ~~ '~ , Zip Code Type of Resi~nce ~, '~ ~,Single Family ~'[ ' ~ Multiple Family No. of Bedroom. ~ / :' ~,, ~ Other ~ -~;': ' . ............ ' Water Supply ,,,~'~'~ / t ,O.. w., ,o, ,, ,e,u,r,, ,or a,, .,,,, ,r,,,,, ,,.,. ,,n, ,,,,. U Community [~ ~ ~ ( ~ For w~ils drilled prior to that date, give well depth (attach log if available). ~ Public Utility r / : ' - Sewer Disposal .... ~ ~ ~ Public Utility When Connected to Public Utility: ~' :-. ~ Holding Tank / NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSING CAN BE INITIATED. ,,,./ Time Date Date ~L/~ Date ~_~. Date Inspector Inspector Inspector,~ Inspector Field Notes: ~)A^ ~ ~ ~ ..~/~/...~,Z -- MUNICIPALI~ OF ANCHORAGE ~ ~.~ J~ ~ ~ ~/ '~ DFPT 0~ I~E'"LTH ,~- ~--~ 9 I982 RECEI. (~ ) APPROVED BEDROOMS *CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE ~ ~~' Soils Rating Date ~wer Installed Well To ~sorption Area Well Log Received ~- ~ ~ '~ Well to Tank Septic T~k Size 72-023