HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK D LT 1Glacier View
Heights
Block D
Lot 1
#050-491-27
Municipality of Anchorage
On-Site Water and Wastewater Program • (907)343-7904 Page / of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP/II 0/ 7 PID Number: C) 5-04/1/z 7
Dwelling: Single Family(SF) ❑ Duplex(D) ❑ Multiple (SF and/or D) Project: ❑ New Upgrade
Name: JAIL r-S- ABSORPTION FIELD
Address grDeep Trench ❑ Shallow Trench ❑ Bed ❑ Mound
22 y32 C(actee- V ec1 13 r ❑ Other
Phone/` ��6 0 Number of Bedrooms Soil Rating ,/ Total depth from original grade
. GPD/SF 1 Ft.
LEGAL DESCRIPTION Depth to pipe invert from original grade Gravel depth beneath pipe
Su division l /r Block Lot 2• 5 _3AOC Ft. 6 Ft.
(L,4 C r_6T‹ (J/i 4J f(73 D I Fill added above original grade Gravel length
Township Range Section Ft. 1/2 Ft.
Gravel width Beds:Number of Lines Distance between lines
SEPARATION DISTANCES Ft. — — Ft.
To Septic , Absorption Lift Station Holding Sewer Total absorption a ea Number of trenches Dist.between trenches
From Tank Field Tank Line 5O Fe / - Ft.
Well / 0 i TANK 0 Septic%S.T.E.P. 0 Holding 0 Other
r QO'� �O /IOC '� — ZSR Manufacturer,./ AF Capacity
Surface Water — AA/C-f �r-,4•" 721 /Soo GM.
/00:',100.4- /004 Material Number of compartments
Lot Line 14 /O /' ` NA T�f
Foundation /O (_ /60 /4_. /6 (.4- – LIFT STATIONI
ManufacturerurI/'/ Capacity
Curtain Drain SO.F, 5O'4- Sd 4- — A-NOVA� C'(7'4/vic Z5-V/T
Gal.
Remarks Pump on level at �'r Pump off level at High water alarm at
T,9NK LOo !�OT �./NE
/ /JA/(/Cf_ IS K T' a in. ziii in. S2 in.
Pv$L(G /]4 1�/R.klivAFr- 1 Pump make and model Electrical Inspections performed by
�'f PSO 05( d'S (1,It ,(S/it/C S-G/t!
•
PIPE MATERIAL House to tank ,A 3O3rf Tank to
Installer T drainfield U/76.
DrainfieldD/785 CO/MT C/3a3C.
Inspector AI r ��� �n q BENCH MARK (Assumed elevation) /Q a ft
Inspection 1#Wig 2"d 3/` f Location and description /ivdates: 3�31(3/18"
4cn b E` i`
31(3 18 /3 i tt
COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp
Conditional Approval: Date
x:
;• :1
,poi
e`_
�k
Approved ---/ODate � I `' . ;"
Inspection Report_9-1-12.doc
AS—BUILT MEASUREMENTS
A B
ST1 37 32
ST2 44 30
MT1 65 33
MT2 92 56
\A
1
4,/ ° R100,0 --.4441‘
5-10% Slope o R100.0
Well
Decommission Old
\ Septi. Tank/Cr': Per UPC
/ 4 Bdrrn
A
° 5-10% Sl..e
�`' , " / ► - w 1:00 Gallon
Wet( o R1oo.1 \4 Q . : T EP Tank
QM
Lot 4 ��Nitill: ; Well 8100.0
�s1 M
Septic Lot 2
Well o R100.1 `r41
Q( 42.0
,p 5-10% .lope
oQ
5-10% 1 Slop- C(Qc>; 0 New Lea hfield w/
4� 1.25" Sch:(lute 40 PVC
1-. Pressure 9istribution
� r
Lot 3lP\No Neighbor Conflicts
5-10% 'Slope
I i
7 --
NORTHRIM $ MGLACIER�+ 1N50'
�/IEW HEIGHTSENGINEERING .49m 1 RECORD
SteveEng.corn ! BLOCK D LOT 1
Po Box 770724 ,, LAYOUT
Eagle River, Alaska 99577 '.yae. _ WASTEWATER UPGRADE ,:e. ;
907. 694. 7028 STEP TANK/TRENCH 4/5/18 12 of 3
FCO Tank Cleanouts
/ Nis
Final Grade /Elevation @ 88'
I
/` 1500 Gallon
1�-�� STEP Tank
I
,Elevation @ 83, Mill111111'1111
Elevation @ 84'
f •�n�u�i
� � -II���= ---..-To Absorption Trench
ITI i5 Elevation @ 82. II!.
[1 ,4
`fir ��
levation @ 84' 1 ,� ll M 5, 1.25' Schedule 40 PVC Force Main
5% Slope
I
1.25' Schedule 40
PVC W/ Orifice
Elevation @ 95' I
Original Ground/Final Ground .
•
2'
2' Insulatio
Elevation @ 92'
90
Elevations Both Ends .-.: : :...:
Effective Depth
6'
Elevation @ 86'
TH Elevation @ 80' (Dry@3/8/18)
NOR THRIMszr '
ENGINEERING
NG t' TRENCH END VIEW GLACIER VIEW HEIGHTS
SteveEng. com (* 1.:49m
PO BOX 770724 • ' STEP TANK/TRENCH BLOCK D LOT 1
Eagle River. Alaska 99577
907-694-7028 4'44 `�prs UPGRADE RECORD Do 'DrawnBy: SE role: 1, = 5SHEET• of 3
4/5/18 I
SE
r
�ooctem:fr, MUNICIPALITY OF ANCHORAGE otent �,
' `� On-Site Water&Wastewater Program 4,°
/�! f4700 .
1 Road
Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 6
S J http://www.muni.org/onsite
epartment
RNCM;;;ot
On-Site Wastewater Disposal System Permit
Permit Number: OSP181017 Effective Date: 2/13/2018
Work Type: Septic Upgrade Expiration Date: 2/13/2019
Tax Code Number: 05049127000
Site Legal Address: GLACIER VIEW HEIGHTS BLK D LT 1 G:0059
Site Mailing Address: 22432 GLACIER VIEW DR, Eagle River
Owner: SALTS CHRISTOPHER P Lot Size in Sq Ft: 23331
Design Engineer: NORTH RIM ENGINEERING Total Bedrooms: 4
This permit is for the construction of:
2 Disposal Field I1 Septic Tank ❑ 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
Received By: Date: . /3
Issued By: 1rthezei., Date: „AY •
MUNICIPALITY OF ANCHORAGE
Community Development Department \ ".1 „ 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. GSa - cr 9 I - 2 7
Property owner(s) 4L7 S Day phone S27 y‘6G
Mailing address 2 C 3 2 l4Ci er- V/e_ j AV-
Site address
Legal description (Sub'd., Block & Lot) Ca/�
/ a C l /Tech 111---1 6 D
Legal description (Township, Range & Section)
Lot Size 23, 33 Is Sq. Ft. Number of Bedrooms 477
APPLICATION IS FOR: APP , ON,1$AN: TYPE OF DWELLING:
(®all that apply) � "
Absorption Field ti 4013441. 4) ❑ Single Family (SF)
(w/wo ADU)
Septic Tank { UpgradeLUl.6 Duplex D ❑
Holding Tank ❑ Renewal lI
Multiple Dwellings ❑
Privy ❑ �� h� (SF and/or D)
Private Well ❑ 01 6 8 L 9
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.
/°6-
(Signature of property • ner or authorized agent)
Permit/Rush Fees: 5-(e,(31 , Waiver Fees:
Date of Payment: -- ' Date of Payment:
Receipt Number: 6'103 Receipt Number:
Permit No. 03f Waiver No.
Permit App_9-1-12.doc
NICRTH- 1 M
ENGINEERING SteveEng.com
Steve Eng, PE, PH
PO Box 770724, Eagle River AK 99577
907-694-7028
SteveEngPE@gmail.com
Date: 2/5/17 Number of Pages:
To: MOA On-Site Services
Subject: Glacier View Heights Block D Lot 1
Septic System Upgrade
The subject property has been served by a septic system for a number of years. The septic tank/crib
is to be decommissioned and a new STEP Tank/trench system installed. The design calls for a new
36' long trench with new STEP tank. The entire subdivision is on private wells and septic systems.
The terrain slopes north to south. The slightly higher ground required a STEP Tank to access.
Please review the wastewater system design for the existing home. I have included design plans&
specs, design guidelines, & soil tests. If there is need for additional information or clarification
please give me a call.
Thanks-StevT
N1CRTHI M
ENGINEERING SteveEng.com
Steve Eng, PE, PH
PO Box 770724, Eagle River AK 99577
907-694-7028
SteveEngPE@gmail.com
Date: 2/9/18 Number of Pages: !�-
To: R. Carroll, MOA On-Site Services
Your Comments 2/6/18
Subject: Glacier View Heights Block D Lot 1
Septic System Upgrade
1. A slight cut-bank exists at the road. This temporarily dips and then flattens out. The short
slope is @ 25%. Trench has been located as far as possible from this anomaly.
2. MT's provided at both ends.
3. Neighbor wells added.
4. Profile design changed.
5. Profile revised.
6. Perk measurements are from vertical datum. Not a reference to water height in hole.
Please review the wastewater system design for the existing home. I have included design plans&
specs, design guidelines, & soil tests. If there is need for additional information or clarification
please give me a call.
Thanks-Steve
ENGINEERING SteveEng.com Glacier View Heights,Block D Lot 1
SPECIFICATIONS & DESIGN GUIDELINES
Wastewater System Sizing: This is an existing 4-bedroom, single family home. A septic
tank/crib is currently in use-this will be decommissioned per UPC and new STEP tank w/
trench installed.Neighbor lots are served by septic systems and private wells;there are no
conflicts. The topography slopes from north to south as depicted in drawing. Recent soil
test reveals clean sand w/gravel,no groundwater.An application rate of 1.2 GPD/FT2 will
be used for the trench. Length=500 FT2/6' x 2=41.7' trench, Say 42',6' effective depth.
9' total depth.
Specification Requirements: All components and work must comply with the
Municipality of Anchorage Specifications(AMC) &State of Alaska Drinking Water
Regulations and Wastewater Regulations.
• New 1500 Gallon STEP tank. Anchorage Tank or Equal.
• 5' minimum between the tank and trench. 10' minimum to property line from trench.
• 4' of cover and insulation is required for force main;2" Minimum thickness for
insulation.
• Tank& solid pipe must be set on well compacted, stable soil.
• 4 inch diameter cleanouts with airtight caps are required 1' to 4' from foundation wall,
prior to any 90 degree bend in 4 inch line.
• All cleanouts must extend to at least ground level.
• In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron.
• Trench to be placed level, minimum of 4' to groundwater, 6' to bedrock.
• Drain rock to be %2' to 2 '/2" screened. Drain rock to be distributed uniformly.
• Force main to be 1.25" Schedule 40 PVC or equal.
• Distribution pipe to be 1.25" Schedule 40 PVC w/ 1/8" orifice @ 18" on-center.
• Silt barrier(filter fabric)to be installed above the drain rock.
• Smeared bed must be raked or scarified before drain rock placement.
• The finish grade must be mounded to promote drainage away from trench.
• Insulation must be placed over any pipe installed under driveways or parking areas.
• Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789,
ABS ASTM D2661,
• Sewer Service Line is minimum 2% slope.
• Septic Tank to be pumped every two years or when required.
• Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal)
OF
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cc, : Steven W. cng � 4 47
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`11 0-RoFESS0�`
DESIGN NOTES:
1. New Trench Depth At 9'.
2. 1.25" Schedule 40 PVC Force Main.
3. 3' Cover Or Insulate Force Main.
4. Lots Served by Private Water Wells.
5. No Conflicts Within 200'.
6. Check Well Separation Prior To Construction.
7. STEP Tank NOT Under Driveway.
8. Decommission Existing Tank/Crib Per UPC.
\,,
fillillIllMk\
-/ 0 R100.0
5-10% Slopeo R100.1
I Well s
Decommission Old
Septi. Tank/Cri. Per UPC
N\
4 Bdrrn
\b,,.., 5-10. 1Slo•
Q• : w 1500 Gallon
Well o R100.0 &Dco -�
Lot 4 �_ S EP Tank
o R100.0
1 Well
Septic Lot 2
Well o R100.S ��Q(( •2.0
,p 5-10% •lope
G( oQa New Lea hfield w/
5-10% Slo•- Qci_f, 042' 1.25' Sch_dule 40 PVC
L. Pressure 9istribution
o4,
r
Lot 3it-o------,No Neighbor Conflicts
5-10% 1 Slope i
1
�..r4�p 1" = 50'
NORTHRIM -t;o� �t GLACIER VIEW HEIGHTS
ENGINEERING i,;Q,_ _:...:79,
SteveEng.com ''''%1;---. -� BLOCK D LOT 1 PLAN
PO Box 770724 • .,;, LAYOUT
Engle River, Alaska 99577a$ (�.i, WASTEWATER UPGRADE :
907. 694. 7028 STEP TANK/TRENCH 2/9/18 12 of 3
n
Double Cleanouts Tank Cleanoutser
Final Grade DIRIAID
_ _ II. °I1500 Gallon
l� STEP Tank
4FooCover Ii• •IFim'11!
;'_' -�To Absorption Trench
�s WE 1i /
Al �� M 5,
1.25' Schedule 40 PVC Force Main
5% Slope
_1
11I
Original Ground/Final Ground
DESIGN NOTES: 2'
2' Insulatio
1. Depth of' Trench is 9'. 1.25' Schedule 40 .::::.* :•:
2. STEP Tank & Solid Pipe to be Placed on Compacted, PVC W/ Orifice
Stable Soil, Free from Boulders. 9 0
3. Sewer Service Line is Minimum 27. Slope & 3' Cover.
4. Water-Tight Couplings. • 6'
5. See Specification Sheet. Effective Depth
6. All Work To Conform to Municipality of Anchorage (AMC)
Requirements & Specifications.
7. Force Main 4' Cover Or Insulate. 3.0-.--
8.
.0--8. Distribution Pipe To Be 1.25' Schedule 40 PVC w/ 1/8' Orifice @ 18' On-Center.
9. Decommission Old Sep-tic Tank/Crib Per UPC.
NORTHRIM -•i of%ok4�,
ENGINEERING co • '...iiii:-
TRENCH END VIEW GLACIER VIEW HEIGHTS
SteveEng. corn .!*_:!?.r" '- ',!
j . STEP TANK/TRENCH BUCK D L ❑ T 1
PO BOX 770724 saw
Eagle River, Alaska 99577 cc/-aua i
907—694—7028 4 (-` 6 - UPGRADE Date: 'Drown By SE role: ]' = 5 SHEET:3 of
3
2/9/18 I
SOILS LOG — PERCOLATION TEST
NICRTRIM Date Performed: 8/4/17
ENGINEERING
Performed For: Keira
Legal Description: Glacier View Hts BD L1
DEPTH
(FEET) T.H. Location: See Attached Design
WWI Organic
1 - :I. ` ,. :
2 - ;() :.
3 -
4 - ::.0...a,: SW Sand
5 _ . _ 4 w/ Gravel
Groundwater? No
7 - a: . Depth --
8 - Hc)::::. :... Water Depth
9 - '0 ';.: After Monitoring.None Date: 9/2/17
# Date Gross Time Net Time Depth Net Drop
11 - . " • Y 1 8/4 0 -- 7' --
• 10 10 min. 10.5" 3.5"
12 - 2 8/4
13 - 3 8/4 12 -- 7' --
`
14 - 4 8/4 22 10 min. 10.5' 3.5"
�
15 - • . 5 8/4 25 -- 7' --
16 -
6 8/4 35 10 min. 10.5' 3.5"
17 - 7 8/4 37 --
7" --
18 - 8 8/4 47 10 min. 10.5' 3.5'
19 - 9 8/4 50 --
20 - 10 8/4 60 10 min. 10.5' 3.5'
21 - Percolation Rate 3 Min,/inch Perc Hole Diameter 6"
Test Run Between 2' and 3'
Comments: Presoaked. Measured to nearest 1/1E>th inch.
Performed By NorthRim Fng• I -� CERTIFY THAT THIS TEST WAS
Performed in Accordance with All State/Municipal Guidelines in Effect
ON THIS DATE. DATE: 9/2/17
40.7141p,NORTHRIM *~ism -:: TESTHOLE LOG TH
ENGINEERING ••::::„..- •••
PO Box 770724 • um Di e
Eagle River. Alaska 99577 • -rs
907694.7028 •`' S d' s GEOTECHNICAL Dat.: rET:9/2/17
Municipality of Anchorage M i
Department of Health and Human Services
825 "L" Street
Tom Fink,
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
343-4744
January 9, 1989
Gary Stafford
PO Box 774007
Eagle River, Alaska 99577
Subject: Lot 1 Block D Glacier View Heights Subdivision
Permit #880030, P.I.D. #050-491-27
Municipality of Anchorage ---- --_ —- - - "
DEPARTMENT OF HEALTH & HUMAN SERVICES
P O Box 196650 �4', .,
Anchoraqe. Alaska 99519-6650 ` +
On -Site Services/Water uuality 4502
Gary SI,,a
PO Box
Eagle Ri
.�
y a
n ^
Sincerely,
&;t�j . ��a
Daniel J. Roth
Acting Program Manager
On-site Services Section
DJR/ 1 jw
enc: Copy of Permit
fford
2007
v r, Alaska 99577
r✓ -.r'..irry nr- ANCHORAGE
-IF( IION
SAI; j 1`JC;9
l iV D
Municipality of Anchorage M} i
Department of Health and Human Services
825 "L" Street
Tom Fink,
Mayor P.O. Box 196650 Anchorage, Alaska 99519-
6650
343-4744
January 9, 1989
Gary Stafford
PO Box 774007
Eagle River, Alaska 99577
Subject: Lot 1 Block D Glacier View Heights Subdivision
Permit #880030, P.I.D. #050-491-27
A permit issued by this Department for an individual well
and/or on-site sewer system has expired as of December 31,
1988.
Permits are issued on a calendar year basis by authority of
Municipal Ordinance. A new permit must be obtained from
this Department for any well and/or on-site sewer system
not installed by the expiration date.
If you have drilled the well, a well log needs to be sent to
this Department for documentation of the installation and to
close the permit.
If a private engineer inspected the installation of the
on-site sewer system, the orginal as -built inspection report
(three-part form) must be sent to this office for review and
approval, and for documentation.
When applying for a new permit, the fees are: $90.00 for
an on-site sewer permit; $50.00 for a well permit; $140.00
for a combined sewer and well permit.
If there are any further questions, please call this office
at 343-4744.
Sincerely,
vp�, . yow�&
Daniel J. Roth
Acting Program Manager
On-site Services Section
DJR/ljw
enc: copy of Permit
Municipality of Anchorage
Department of Health and Human Services
Tom Fink, 825 "L" Street
Mayor April 13, 1988 P.O. Box 196650 Anchorage, Alaska 99519-6650
Robert A. Shafer, P.E.
S & S Engineering
17034 Eagle River Loop, Suite 204
Eagle River, Alaska 99577
a
Subject: Waiver Request For Lot 1 Block D Glacier View Heights
Waiver Request Number WR88-013
Dear Mr. Shafer:
Your request for waiver of the required 100 foot separation of
a proposed private well to a septic tank and seepage pit has
been approved. This approval is for 83 feet and 86 feet
respectively.
This waiver is based upon the State of Alaska Separation
Distance Waiver Guidelines. The points calculated from the
guidelines indicate the possibility of well water contamination
from the septic system is low. The Health Department does not
believe, however, that the reasons for drilling a new well
approximately 10 feet away from the existing nonproductive well
are logical. Our records indicate that private wells on nearby
properties are producing adequate quantities of water at depths
of approximately 80 feet to 110 feet on top of the bedrock. If
there is, in fact, water at a depth of 98 feet where the
proposed well is to be constructed, then we would strongly
recommend the process of perforating the casing of the existing
well from approximately 98 feet to 109 feet where bedrock
begins. There may possibly be an aquifer flowing through the
gravel on top of the bedrock that could supply Mr. Stafford's
existing well with water. According to our information, the
perforation process can be completed for considerably less
expense than constructing a new well 100 feet deep to achieve
the same results.
This waiver approval applies to the existing septic system to
well separation only. Any future upgrade to either will
require all separations be met or another approval from this
department.
Sincerely,
z ;�/ A�_&
Daniel J. Roth
Civil Engineer
On -Site Services
cc: Gus Andress, P.E., Manager, On -Site Services Program
Gary Stafford, Recorded Owner of Lot 1 Block D Glacier View
W ROBERT A. SHAFER
CIVIL ENGINEER
y Manch 30, 1988 694-2979
f 9CE E RIVER, AV A5'1
HEALTH AUTHORITY MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION
APPROVALS
Mun.iaipat.ity o6 Anchorage
Depaatment o6 Heatth and Human Se4v.iee.6 "OAR 3 0 1988
825 L Street
SEWER &WATER Anchorage, Ataska 99501 RECEIVED
MAIN EXTENSIONS D
REFERENCE: Lot 1; Btock D; Gtaci.en View Heights
Request you issue a weft per.m.it and grant a wa.iven 64om .the hotizontat
SEWER &WATER distance between the proposed weU and the septic system toeated on
INSPECTION .the ne6er.eneed pnopenty to 83 {feet.
The existing welt has dropped o6b considerabty in water production.
The owner, Gany Sta66otd, has had the .tot witched 6o4 waters and .it
ENGINEERING STUDIES i6 6ett that the best toeation bon the new wett is as shown on the
AND REPORTS attached site p.tan.
The topography o6 the area is such that the ground slopes away 64om
the wet toward the septic system on appr.oximatety a 30% scope. As
WELL INSPECTION can be seen 6nom welt top 64om the sunnound.ing area, the bedrock at6o
8 FLOW TEST
6topes cons.idenabty away 6rom the weU toward the septic system.
Attached bon your nev.iew ane the boPtowing document6:
SITE PLANS 1, A plot plan showing netat.ive distances between on -,site wastewatet
di6po6at systems and wefts.
2. A p4o6.ite o6 the site between the weft and septic system.
ROAD DESIGN
3. Risk anaty6is waiver. worksheet.
4. (vett .togs bot the r.e6eneneed -tot; the .tot uph.itt to the north
SOIL TEST (Lot 1; Btoek E) and the Pot downhitt to the south (Lot 3;
Stock C).
5. weft penm.it appT ieation.
PERCOLATION
TEST It i6 our opinion that the hon.izontat 6epatation di6tance pne6ckibed
by 18AAC72.021 are not r.equ.ihed in this case. 16 you %quite add.itionaP
.in6otmat.i.on, pt.ease contact Rogers/694-2979.
STRUCTURAL & S.inc?,4ety,
MECHANICAL
INSPECTIONS
RT A. SHAFER, P.E.
ON SITE IFS/
WASTE WATER
DISPOSAL SYSTEM
DESIGN 1 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577
OR,
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AS -BUILT
NI hereby certify that I have surv4Yed the following described
property: �o l 81� k D �
(�/a�c r.a ►- l/r< a,. ff�rRkYSsFIkT,
Anchorage Recording Precinct, Alaska, and that the improve-
r ments situated thereon are within the Property lines and do not
t overlap or encroach on the property lying adjacent thereto, that
r no improvements on property lying adjacent thereto encroach
on the premises in question and that there are no roadways,
transmission lines or other visible easements on said property
except as indicated hereon.
Dated at Eagle River, Alaska
this /G . day of f u Y L 19>i�L
ROBERT C. JOHNSON �A av
SCALE: Registered Land Surveyor No. 664LS
Box 77-0456, Eagle River, Alaska 99577
Phone (907) 694-2543
i
0;.
AS -BUILT
NI hereby certify that I have surv4Yed the following described
property: �o l 81� k D �
(�/a�c r.a ►- l/r< a,. ff�rRkYSsFIkT,
Anchorage Recording Precinct, Alaska, and that the improve-
r ments situated thereon are within the Property lines and do not
t overlap or encroach on the property lying adjacent thereto, that
r no improvements on property lying adjacent thereto encroach
on the premises in question and that there are no roadways,
transmission lines or other visible easements on said property
except as indicated hereon.
Dated at Eagle River, Alaska
this /G . day of f u Y L 19>i�L
ROBERT C. JOHNSON �A av
SCALE: Registered Land Surveyor No. 664LS
Box 77-0456, Eagle River, Alaska 99577
Phone (907) 694-2543
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Go"kTER ANCHORAGE AREA BORO40"%H
SEEPAGE
HEALTH DEPARTMENT NO
798
327 EAGLE ST.
ANCHORAGE, ALASKA 99501 279-2511
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
MAILING
NAME
ADDRESS ' - - `
PHONE-
LOCATION -
''' /:,t:
i- -' LEGAL DESCRIPTION
SEPTIC TANK:
L_��-
i NUMBER OF
DISTANCE FROM WELL
�� %'-; --
MATERIAL COMPARTMENTS
LIQUID
LIQUID CAPACITY
GALLONS.
IDTHDEPTH
INSIDE LENGTH INSIDE WIDTH-DEPTH-
SEEPAGE SYSTEM: SEEPAGE PIT:
NUMBER OF PITS
LINING MATERIAL_
NEAREST LOT LINE
TILE DRAIN FIELD:
DISTANCE FROM WELL
NUMBER OF LINES,
ABSORPTION AREA
OUTSIDE DIAMETER OR WIDTH LENGTH , DEPTH
i
DISTANCE FROM WELL ..�r7;ri BUILDING FOUNDATION
TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) - SO. FT.
FOUNDATI
DISTANCE BETWEEN LINES
SQ. FT. LENGTH OF EACH LINE
NEAREST LOT LINE
TRENCH WIDTH
TOTAL LENGTH
OF LINES
IN. TOTAL EFFECTIVE
DEPTH: TOP OF TILE TO FINISH YRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE
WELL:- w DISTANCE FROM WATER
TYPEF1,f'4ji'. DEPTH BUILDING FOUNDATION. SAMPLE /_! NEAREST
NEAREST SEPTIC SEEPAGE OTHER
LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES
DIAGRAM OF SYSTEM
�i
--- —q I
I
DATE , ;'%I APPROVED�HenuH uTnoalTv �, ,
GREATER ANCHORAGE AREA BoRc)LJGH
DEPARTMENT OF ENVIRONMENTAL QUALITY
3500 TUDOR ROAD POUCH 6-650
ANCHORAGE. ALASKA 99502
TELEPHONE 2798686
SEWAGE (!DISPOSAL SYSTEM — APPLICATION AND PERMIT
NAME OF APPLICANT //` I MAILING AD RESS /, cl
�11 L� -- G'r'
INSTALLATION LOCATION � r''
/��`
LEGAL DESCRIPTION 7 ,-, <_;` .
z L/
PERMIT NO. /7t-,
PHONE
INSTALLATION OF. SEPTIC TANK SEEPAGE PIT E)PAIM FIELD OTHER
f _
TYPE AND SIZE OF FACILITY TO BE SERVED
FINANCED THROUGH 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
HEALTH DEPARTMENT AUTHORITY WILL BE SUBJECT TO PROSECUTION.
SEPTIC TANK SIZE /� TYPE.)i N>> SEE�AGAREA SIZE TYPE
MINIMUM DISTANCES, REQUIREMENTS DIAGRAM OF SYSTEM
FOUNDATION TO SEPTIC TANK
S' '
7
FOUNDATION TO SEEPAGE PIT ` DRAIN FIELD
SEPTIC TANK TO SEEPAGE PIT WALL 15--
/
SEPTIC TANK 5 SEEPAGE PIT . DRAIN FIELD
TO NEAREST LOT LINE. /—
WELL TO SEPTIC TANK SEEPAGE PI
DRAIN FIELD ALSO CONST EA WELLS.
WATER MAIN TO SEPTIC TANK
DRAIN FIELD
SEEPAGE PIT
SEPTIC TANK. SEEPAGE PIT , DRAIN FIELD
TO RIVER, LAKE, STREAM.
CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF
EXCAVATION 5 FEET INTO UNDISTURBED SOIL.
4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT
FITTED WITH AIRTIGHT REMOVABLE CAPS.
GRAVEL BACKFILL
CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION.
/� /� —v'l ✓ CCC � �/l —
HEALTH AUTHORITY
OR
LICENSED DESIGNER
I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER A_bCHOR
DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE.
DATE / APPLICANT'S SIGNATURE �' 1
E AREA BUGH O NANCE NO. 28-68 AND THAT THE ABOVE
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)9 ] 111 �
r er Gene J. 311 — ��.� _ Permit No.
�- ��l /
Certificate No.
Area
Well Owner John Reid
Use of Well Uomestic
Location (address of.; Township, Range, ;vection, it known; or distance main
road Eagle Rivor Road
Glacier Subdivision, Lot 19 block D
Size of casing_iDepth of Hole��D _feet Cased to l0y'feet
Static water level 1'_5 ft. (Xo e) (below) land surface. E'inish of well (check one
open end f, X ); ,Screan ( ); _'ere rnted( ).
Describe screen or perforation
Well pumping test at1)("' gallons per G 0 (minute) for hours with '1000
of drawdown from static level. —zt
Was casing collar .sealed witi, cement grout No
WELL LOG
Depth in feet from Give details of formations penetrated, size of material, color,
Around surface and hardness.
0 TO 20
?o
10 TO_�0
TO
TO
TO
_TO
TO
TO
TO
TO
TO
TO
TO
Cobble boulder travel
Gravelly Hnrdnan
Medium to coarse eravel with occaisional bouldare
Bedrock_ Black Siltetonez_cHrbonaeeous, shalt'—partlsltered.
-- ANCHmme ORAGE
DEPT. OF HEALT
-- ENVIRONMENTAL PROTECTION
I I 1 2 '11986
Municipality of Anchorage •
On-Site Water and Wastewater Program <
(907) 343-7904 •
S A F E T Y
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-491-27 Expiration Date: 7-
1. GENERAL INFORMATION
Complete legal description Glacier View Heights Block D Lot 1
Location (site address) 22432 Glacier View Dr, Eagle River, AK
Current Property owner(s) Salts Day phone 529-4660
Mailing address same
Real Estate Agent KW-Kiera Da
2. TYPE OF DWELLING:
a APR 0 2.p18
® Single Family (w/wo ADU)
❑ Duplexj\c„\'
111Multiple Dwellings (Single Family and/or Duplex) p1 6 s
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class C Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
Received by: Date: ilf/i
COSA to be released to the engineer, unless of rwise requested by the engineer.
COSA Fee $ 2ce5-c)
Date:
Date of Payment `{—C\ Date of Payment
Receipt Number Ocl.8 a4 Receipt Number
COSA# 65GIb 11 Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm NorthRim Engineering Phone 694-7028
Address PO Box 770724,Eagle River
Engineer's Printed Name Steve Eng Date 4/5/2018
•
FAY' DD•+ !
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6. DSD SIGNATURE �- >,
•
System #1 Approved for bedrooms. ';
System #2 Approved for bedrooms. • ;4E/27 =='
`
Disapproved. � -
Conditional approval for bedrooms, with the following stipi.ilatiotl's:
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By: Original Certificate Date: 10 I
The Municipality of Anchorage Devlopment Services Division(DSD)Issues Certificates of On-Site Systems Approval(COSA)based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.The
Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheel_9-1-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# of
Structure served by this system
Certificate of On Site Systems Approval Checklist
Legal Description: G4C/E(z f//E&) //TS 8/0 Gi< b L / Parcel I D:n50-$/5/- Z 7
A. WELL DATA
Well type P 3�f A,B,r C provide PWSID# Well Log (Y/N)
Date completed ,P7�6Y- Sanitary seal (YIN) Wires properly protected (Y/N)
Y
Total depthifisa/irogft. Cased to/01/07ft. Casing height (above ground) /84 in.
FROM WELL LOG AT INSPECTION
Date of test. 8/“.# 3/ie 33/j//�
Static water level /t}/S K /1a ft. /5 0.4e /6 $ ft.
Well production 0 V2/2.6 g,13-m. O. 7 g.p.m.
WATER SAMPLE RESULTS:
Coliform C) colonies/100 mL Nitrate 4 9 7 mg/L
Arsenic N A ug/L Date of sample: 3(Per Collected by: 5.7
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material S r EP/ STEL Date installed --0//rQ
Tank size /500 gal. Number of Compartments Z Cleanouts(Y/N)
Foundation cleanout(YIN) � Depression over tank (Y/N) J/ High water alarm (Y/N)
Date of pumping NE 4)l Pumper
C. ABSORPTION FIELD DATA
Date installed 3708 Soil rating (g.p.d./ft2 or ft2/bdrm)/ a System type
Length 171.2 ft. Width 3 ft. Gravel below pipe ft.
Total depth I ft. Eff. absorption area 50V ft2 Monitoring tube Depression over field '1/
Date of adequacy test NEU) Results (Pass/Fail) I r For !� bedrooms
Fluid depth in absorption field before test — in. Water added — gal. New depth — in.
Elapsed Time: min. Final fluid depth in. Absorption rate >= g.p.d.
Any rejuvenation treatment(past 12 mo.) (Y/N &type) If yes, give date
D. LIFT STATION
Date installed . �//, Size in gallons ?SO Manhole/Access (YIN)
"Pump on" level at iY in. "Pump off level at t{ /' in. High water alarm level at 52 in.
Datum 4 d - Cycles tested 3 Meets alarm&circuit requirements? y
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot lea (f' On adjacent lots /�� 1'`'
Absorption field on lot /c2 ( ' On adjacent lots /CC/74-
Public sewer main / 'O 14' Public sewer manhole/cleanout . /OO /'''
Sewer/septic service line 2 5 (4- Holding tank /GC 'f
Animal containment areas SO -r- Manure/animal excrete storage areas /Go (f
SEPTIC/HOLDING TANK ON LOT TO:
t
/ f
Building foundation la' f Property line / fi Absorption field ! Q '74-
Water main /0 ( Water service line /a' (+ Surface water if (*
Wells on adjacent lots /0 a '74".
ABSORPTION FIELD ON LOT TO:
Property line //� r`/ Building foundation /� 'f Water main
Water Service line / 6 !' Surface water /OO (' Driveway, parking/vehicle storage ld ("f
I
Curtain drain S 0` r Wells on adjacent lots lQ O' /7e--
F. COMMENTS
(A/4/vt ' /QE(* (J .I T /
7`Y /A/,E 7->l-A � 7-O
•PgoPr"zL c / - /va,4 fire:FzfzckJ7-o we-hL w/v/v$
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and �t CSF i��4r1
•taee�u�
review of Municipal records that the above systems are in Q a.• �_-. �'
conformance with MOA COSA guidelines in effect on this date. 1Z-. tgf-9�aik '`*.tqi�S
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Engineer's Printed Name/ � /�••�••••° � Y"to
.7
Date $,�a
Steven V1.Eng : tv
_o#d9e. .t`\v(4®FoAY� t.•• `V=
uOFESS\- 4,d
`\oeerb,'q.
COSA yellow sheet_2-6-15.doc
Frontier Surveys, LLC Project No: 18-091 Date: March 22nd, 2018
NORTH Ordered By: Erica Sourivong PIat:70-151 Grid:N/A
Scale 1"=40'
---t GLACIER VIEW DRIVE - -
o
• 588°59'00"W 126.08__10WELLRADIus • RS1,8DFh=47.26 100'WELL RADIUS •=20.00t e-
• Glacier View Heights ' I
• Lot 1, Block D . 1
• 23,331 sq.ft.+/- / I
\ \� o , 22432 Glacier View Drive
� 2 Story Wood Framed House / /
\
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\ / � // w/Attached 2 Car Garage •
• / /
•
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\• \\ / /
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\ \` \\ �p•TQ., • _ / SFEHO0St°�N / 2ND STORY
�\1. \ FI / OVERHANG(TYPICAL) O tie
\ j9� rI�y1 �SyF ��.
2ND ST L� �. / / /j$g. ' <L, 6
nye{\ Co
\` DECK \ �,��, v . / BOLLARD(TYPICAL)/ / ,,,,
\ /
/ 1; _ - �9\
a
\ ���� DIRT DRIVE
/ \moi• �3i g`
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\R. IcsLL •
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4t0 ,PALE` • • •\ •
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LOT 2
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// 4*%/ \�° \� "
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�`� , , 4.5' LOT 2 N.
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HOUSE DETAIL
SCALE:1"=30' 4 17.6' BLOCK C 4.
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4.
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Legend: N<N4N
• \T n n "\
N.
LEy Electric Meter/Outside Power LT.1 Tel.Ped. LE Elec. Ped.
Xy Gas Meter a Deck -0- Fence r Sat.Dish 0 20 40 80
Th Si Sewer C/O(W) Water Well 0 Concrete mimiii=...... Feet
General Notes:
1.This document is created for the purpose of a single property transaction and is subject to Federal Copyright Law.
2.Excepting for gross negligence,the liability for this survey shall not exceed the cost of preparing this survey.
3.All measurements/setbacks are to the visual/apparent building footprint.
4.Dimensions to property lines are plus/minus OAR.
``�'\\\N"� l l%t t This survey complies with ASPLS Mortgage Location Standards.The survey represents visible improvements and
i Q F q t i I I conditions at the time of the survey.This document does not constitute a boundary survey and is subject to any
••. .qs III inaccuracies that a subsequent boundary survey may reveal.It is the responsibility of the Owner to determine
-'—.cP•' • // the existence of any easements,covenants,or restrictions which do not appear on the record plat.Under no
Lj 1 •'• -9 /� circumstances should this document be used for construction or for establishing a boundary or fence line.
*: 49-Iii" •* , As-Built Survey of:
. ---7..„.a.. .. Lot 1 Block D, Glacier View Heights
A • FREDERIC W. NER : f: I,Frederic Wagner,hereby certifythat this Mortgage Inspectionection Survey was performed by me,or
// . NO.L.5.•9946
/ ,
under my direct supervision on March 22nd,2018.
//`rr '. 4/03/2018
IIIf�A' EssloNAt ` ' Frontier Surveys, LLC FRONTIER*
t t t t„""`\��� 650 W.58th Ave.Suite E Anchorage,Alaska 99518 41 u v— ; y
907.460.1686-info@frontiersurveys.com i► :l
PROFESSIONAL SEAL www.frontiersurveys.com ::
Municipality of Anchorage A
Development Services Department r;..-.: x =;
46- Building Safety Division °
>A f E T Y
On-Site Water and Wastewater Program
4700 Elmore Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Water Well Advisory
Certificate of On-Site Systems Approval (COSA) # OSC 181134
During a recent COSA on-site inspection and test of the potable water
supply well on Block D, Lot 1 of Glacier View Heights subdivision, the
well's productivity was determined to be .7 gallons per minute. The
minimum well productivity required by this Department (AMC 15.55) for a
3-bedroom residence is .31 gallons per minute. Although the subject well
currently exceeds this minimum requirement, all parties concerned are
advised that the production capacity of the well may fluctuate. Restriction
of non-critical water uses such as washing cars and watering lawns and
gardens may be required.
This advisory must be attached to all copies of the subject Certificate of On-
Site Systems Approval.
9 r yr 44r yreiJ
Municipality of Anchorage
Development Services Department ;
Building Safety Division ;
Onsite Water and Wastewater Program • • • TT
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
Parcell.D. 05n-441-27 COSA# DUD g
Expiration Date: :7- % — o co
1. GENERAL INFORMATION
Location (site address) 22432 Glacier View nrive,Fa91P Riv .r AK 94577
Current Property owner(s) Gary Stafford Day phone 644-938q
Mailing address
Lending agency
Mailing address
Day phone
Real Estate Agent Am; Kolh Day phone 244-3355
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
4
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite 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 also Issues COSAs upon request to homeowners. Certificates of On -Site
Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
TYPE OF WASTEWATER DISPOSAL:
®
Individual On-site
❑
Individual Holding Tank
❑
❑
Community On-site
❑
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite 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 also Issues COSAs upon request to homeowners. Certificates of On -Site
Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, 1 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.
Engineer's Printed Name KENNETH M_ DIIFFIIIS Date 04/05/06
Engineers Comments: This Investigation was completed in compliance with ADEC and MOA regulations.
The assessment of the condition of the well and septic applies only to the conditions as of the day tested.
The flow and absorption rates may change due to subsurface conditions that may not be observed from
the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the
year and the water usage of the family being served by the system. The operational life of all well and
septic systems are subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
KND can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can KND guarantee that no unseen
encroachments, deficiencies or discrepancies exist.
5. DSD SIGNATURE
Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Attachments:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
• ON-SITE
WASTEWATER
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: - 4� ��• Original Certificate Date: % — 0 (o
(Pw I IAS)
I
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
[6.91 PIN Wel
A. WELL DATA
Well type PRIVATE If A, B, or C provide PWSID ff Well Log (Y/N) Y
Date completed 8/1966 & 3/29/1988 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y
Total depth 300 1360 ft. Cased to 107 / 107 ft.
FROM WELL LOG
Date of test 8/1996 A 3/1988
Static water level 145 / 180 ft.
Well production 0.42 / 2.0 g.p.m.
WATER SAMPLE RESULTS:
Casing height (above ground) 18+ in.
AT INSPECTION
6/8/05
129 / 158 ft.
0.32 / 0.32 g.p.m.
Coliform _Q_colonies/100mL Nitrate 0.462 mg/L Other bacteria _0 colonies/100 mL
Arsenic: 11D mg/I Date of sample: 3/24/06 & 4/3/06 Collected by' KND & AAROW
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 7/24/71 Tank size 1250 gal.
Number of Compartments.1 Cleanouts (YIN).Y Foundation cleanout (YIN) N Depression over tank (YIN) h
High water alarm (Y/N) ,)-Date of pumping 6/8/05 Pumper egg
C. ABSORPTION FIELD DATA
Date installed 7/24/71 Soil rating (g.p.d./flr or le/bdrm) $,S— System type Seep2ae Pit
Length _M ft. Width _U ft. Gravel below pipe _Lft. Total depth 10+ ft.
Eff. absorption area 336 ft' Monitoring tube Y Depression over field N
Date of adequacy test 6/8/05 Results (Pass/Fail) Pass For _4-- bedrooms
Fluid depth In absorption field before test 43.2 In. Water added– = gal. New depth 60 in.
Elapsed Time:JM min. Final fluid depth 46.8 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) __N_If yes, give date -----
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
'Pump on' level at_in. 'Pump off" level at n. High water alarm level at ---:in.
Datum Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot • 83' & 86'
Absorption field on lot • 83' & 86'
Public sewer main 751+
Sewer /septic service line 25'+
On adjacent lots 100'+
On adjacent lots _ 100'+
Public sewer manhole/cleanout _ 100'+
Holding tank 10 0'+
Animal containment areas _ 50'+ Manure/animal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 10 0'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation _ 10'+ Water main 10'+
Water Service line 10'+ Surface water 100'+ Driveway, parkinyvehide storage_
Curtain drain 50'+ Wells on adjacent lots 100'+
F. COMMENTS
* Waiver #WR88-013. Water system chlorinated by AAROW w/ catisfacto(y bacti/coli recamoi
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and i s ' ~6&11
review of Municipal records that the above systems are in * i 9I� %
conformance with MOA COSA guidelines in effect on this fs,r .e•t.p•�•rf••
date. -rk�—
Engineer's Printed Name _ KENNETH M. DUFFUS
707TITYrITWITI
COSA Fee $430.00
Date of Payment �lr/SIO�i
Receipt Number 7 g3
(Rev.1IM5)
Waiver Fee $
Date of Payment
Receipt Number
McKay Well Drilling
P.O. Box 557
Wasiila, Alaska 99687
Phone 376-5058
t)'- /'ke <,Y,J "— ' 'cr
Well Owner -
lb
Well Location
Date
Phone
Size Casing /^ Depth of Hole F, Cased to 107 . feet
Static Water Level Ia. Q feet Well Test Gal per Minute for 21 Hours
Date of Completion
WELL LOG
AUTHORIZATION TO DRILL
Ll Y
1 hereby authorize McKay Drilling to proceed with the above work. Payment shall be made in
the following manner: _
Rig up Minimum feet. @ per foot
Balance due upon completion.
In the event it Is necessary to insitute legal proceedings to collect any amounts due on this7c7on-
NJtract, 1 agree to pay an additional sum of fifteen percent (15%) of the original contract
Plus
attorney's fees, and cost for legal proceedings.
7...A
Data -
Name
A.J.4—
-
i
IV
!'tA
AS -BUILT
J • 1 hereby certify that I have surveyed the toUowing described
property, Lei' . ('+ $
s.G '46 i %t1 rV j'R i CU.'
ti. + Anchorage Recording Precinct,:Alaska,'and that the Improve
menta situated thereon are within the property lines and donut
,.••`'. + ? overlap or encroach on the property lying adjacent thereto, that
no improvements on property lying adjacent thereto encroach
4 • r•1t t !�^ • .'4 �� �• on the promises in question and.that there are no roadways:
L r� 1 transmission fines or other visible easements on said property
., except as Indicated hereon. ,
Dated at Eagle River, Alaska'
this��'.�•
day of T✓o_-1... .. 19.t�G�.
ROBERT C. JOHNSON .io a'.:r
i SCALE: Registered Land Surveyor No. 880 -LS
Box 77-0456, -Eagle River, Alaska 99577:
Phone (907) 694.2543
Municipality of Anchorage ,.. .
1 F,
1`�II; �4.v. Jiln.f0
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Water Well Well Adviso
Health Authority Approval # 060118
During a recent Health Authority Approval on-site inspection and test of the
potable water supply well on Block D, Lot 1 of Glacier View Heights
subdivision, the well's productivity was determined to be 0.64 gallons per
minute. The minimum well productivity required by this Department (AMC
15.55) for a 4 -bedroom residence is 0.41 gallons per minute. Although the
subject well currently exceeds this minimum requirement, all parties
concerned are advised that the production capacity of the well may fluctuate.
Restriction of non-critical water uses such as washing cars and watering
lawns and gardens may be required.
This advisory must be attached to all copies of the subject Health Authority
Approval.
I } 1V , $., %!
a tn
I MUNICIPALITY OF ANCHORAGE ,r
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date Z24 IS 6
1. GENERAL INFORMATION
(a) Legal Descfiption (include lot, block, subdivision, section, township, range)
Location (address or directions)
(b) Applicant Name Telephone: Home Business
Applicant Address
(c) Applicant is (check one): Lending Institution ❑ ; Owner/builder; Buyer ❑ ; Other ❑ (explain);
(d) Lending Institution Telephone C;) to !Z— Z (�' I?/
Address (Z_16<CZ`2z
(e) Real Estate Company and Agent
Address
Telephone
(f) +taif•the HAA to the following address:
2. TYPE OF RESIDENCE
Single -Family Multi -Family ❑ Other
Number of Bedrooms
3. WATER SUPPLY
Individual Well Community ❑ Public ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite Il Public ❑ Community ❑ Holding Tank ❑
Note: It community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025(11/84)
5. ENGINEERING FIRM PROVIDING .ASPECTIONS, TESTS, FILE SEARCH, DAI.. AND INFORMATION
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained
from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or
wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm S & S ENGINEERING Telephone
Address SR B 196X
Date EAGLE RIVER, AK 99577 ,uJJ 9 1986
DHEP APPROVAL (Y )
Approved for 14,0 Ka bedrooms ?d---
Date
Approved DisapproConditions
Terms of Conditional Approval
CAUTION
EOF4
lkbw A. Shaferr .
• Plp i�f7C i
�",i
.� ` i
'+
���_ ESS. ��►
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 (111e4)
MUNICIPALITY OF ANCHORAGE
DEPT. OF HEALTH &
MUNICIPALITY OF ANCHORAGE (MOA) ENVIRONMENTAL PROTECTION
HEALTH AUTHORITY APPROVAL (HAA) 1
CHECKLIST - FEBRUARY 1984
264-4720
Legal Descriptio/n: RECEIVED
A. WELL DATA
Well Classification 51 V If A, B, C, D.E.C. Approved (Y/N)
r'JL
Well Log Present lkl Date Completed 8-64 Yield OA 1Z
i
Total Depth 50ccio Cased to 167 Depth of Grouting '
Static Water Level /`%' Pump Set At
Casing Height Above Ground — 1Z Sanitary Seal on Casing0+4)
Electrical Wiring in Conduit&M
Separation Distances from Well.
Depression Around Wellhead.{ 00
To Septic/Holding Tank on Lot �U o On Adjoining Lots
To Nearest Edge of Absorption Field on Lt ��� On Adjoining Lots
/vo ' d
/OZ) / OL -
To Nearest Public Sewer Line _ ', To Nearest Public Sewer
Cleanout/Manhole To Nearest Sewer Service Line on Lot
Water Sample Collected by —;Date
Date
Water Sample Test Results S,4�T�SF,Rz►�ZJ�!� /
Comments 'Sk STS �-/� "AirWZ5Z X-T2oL,L_
Z91E PS JD 1 rewsr�c� I��,c�nf� VU -0.
VJAkJ A -r-" -rkis �M-�•
B. SEPTIC/HOLDING TANK DATA
Date Installed -77' 71 Size
Standpipes (�.l% m
Depression over Tank,('f(�1
/ L .5rO
No. of Compartments
Air -tight Caps®,(W
Pumping/Maintenance Contract on File (Y/N)
Holding Tank High -Water Alarm (Y/N)
Foundation Cleanout (�
ate Last Pumped
for
Temporary Holding Tank Permit (Y/N)
Separation Distances from Septic/Holding Tank:
To Water -Supply Well 0() e. To Building Foundation
To Property Line �a. t
To Water .Mei T/Seryice Line
Course
Comments
Page 1 of 2
72-026(11/84)
To Disposal Field
S /
f
i�
To Stream, Pond, Lake, or Major Drainage
C. ABSORPTION FIELD DATA
Soils Rating in Absorption Strata "�/�'� Type of System Design
Date Installed 7-7—j1-— 71 Length of Field �b
Width of Field 17-1 Depth of Field
Square Feet of Absorption Area
Depression over Field —
Results of Last Adequacy Test
Gravel Bed Thickness
33� ¢ Standpipes Present4p4KT
Separation Distance from Absorption Field.
To Water -Supply Well
To Building Foundation
Lot
i�
�'i
To Water Me+n/Service Line 36
To Stream/Pond/Lake/or-Major Drainage Course
To Driveway, Parking Area, or Vehicle Storage Area
Comments —
D. LIFT STATION
Date Installed .
Size in Gallons
Date of Last Adequacy Test
v re c 61k �/i3.c
r.4
To Property Line
To Existing or Abandoned System on
S—J
On Adjoining Lots r1
To Cutbank (if present)
.S'
Dimensions
Manhole/Access (Y/N)
"Pump On" Level at "Pu p Off Level at
High Water Alarm Level at rl�Vent (Y/N)
Tested for Pumping Cycles during Adequacy Test. Meets MOA
ow
Electrical Codes (Y/N)
Comments
" Check Permitted Bedroom Rating Against HAA Request "
I certify" SI s"OdEA ted, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
SignedSR B 196X Date JUL 9 1986
Compf#GLE RIVER, AK 99577 MOA No.
AiL
Date of Payment -7 - /6 - dec, S ht �• %
1 •'
�J too I . ea
u 1•»
Amnnt $ r'
SOW A_ SbeiK
ea. tas�� ?mgt
Page 2 of 2
72-026 (11,84)
!� MUNICIPALITY OF ANCHORAGE
DEPARTMENT F HEALTH AND ENVIRONMENTA. ?ROTECTION
825 L Street, AnchoracrP, Alaska 99501
- i
264-4720
Date Received:
#1: Time ��. �/� jjm #2: Time jn:_�f) ,ate #3: Time
Date JJ- J- �� (l i. os. Date Date
InsP / ), /l._� Insp /, DD�s. Insp
REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES
1. Lending Institution Request: United Bank Alaska
Mailing Address: 645 G Street 99501 Phone: 276-1911
2. Property Owner: John R./Leona M. Reid Phone:
Mailing Address: % Betty Fields, 688-9111
3. Legal Description: Lot 1 Block D Glacier View Subdivision
4: Single Family Residence: (c)
Multiple Family Residence: ( )
Number of Bedrooms: Four S-84
Number of Bedrooms:
5. Well System: Individual Well k ) Community/Public System ( )
Permit #
Construction
Depth of Well 3 Z)o r 1Well Log on File ( A) d
�'
Bacterial Analysis
6. Sewage Disposal System: On-site System (X) Public Utility ( )
Permit # Installed 1971 Installer
Septic Tank Size Manufacturer
Absorption Area
Soils Rate
7. Distances: Well to Septic Tank
to Sewer Line
to Nearest Lot Line
Nearest Lot line
Material
to Absorption Area q0' -o jvj
Absorption Area
zC)I-�'-
I C • ? MUNICIPALITY OF ANCHORAGE
ZUNI C I F'ALITY OF ANCHORAGF DEPT. OF HEALTH &
ENVIRONMENTAL PROTECTION
i'
Dehartmcnt oC lI��a1 Lh and 1;nvi-ronnu�nta_l. Prol c��tion
O 325 L Street, Anchorage, Alaska OCT 2 8 1977
264-4720 p
rLequest for Approval of Individual- Sewer_ and Water L'acRECEIVED
1. Property Owner:
Mai l_inq Address: Phone:
2 . Name of Buyer:
Mai -ling Address: / t/D.�.�'95_11 Phone:
3. Lending Institution:
Mailing Address: 6ys,�,,�a,l 49 / Phone: a7 -I9//---.-
1 - —
4. Realtor./Agent: ti ,.�� t
Mailing Address: fir'��.}`G_-- Phone: /y_j//// -
5. Legal Description:
Street. Location: &A1,41.
-
6. Single Family Residence: (14,) Nu?Tlber of Bedrooms: A�
Multiple Family Residence: ( ) Number oL Bedrooms:
7. Water Supply: * Individual 1 ( ) Public/Community System ( )
If Individual Well, well clenth U
If Community System, nam:, of r;ystem
8. Sewage Disposal System: On iLe System (7Q Pub1i-c System ( )
If On-site System, date oL
*NOTE: A well log is required on ALL wells ciril.led since 6/15.
If on-site sewer system is over two (2) year:; 0lc3 , an adequacy
test is required by t -his department.
A fee of $25.00 must accompany each request beTore procer:sing
can be initiated.
3/77
Page Two
Department of Health and Environmental Protection
Request for Approval of Individual Sewer and Water Facilities
Legal Description: Lot 1 Block D Glacier View Subdivision
Comments:
Affadavit Attached: ( ) Letter Attached: ( )
Approved: Date: (�
Disapproved: Date:
t _ L4 Ilnv, / �
kht
p
De artment Worksheet: bt"; �v
G A� � � Q
til I
�S
Eagle River
pr.� GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
7 Street, Anchorage, Alaska 99503 274-4561
r, Date Received November 10, 1976
v� Time of Inspection C)C) ori
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
t�41
1. Approval requested by:
Mailing Address: Phone:
2. Property Owner: John & Lenora Reid Phone: 694-9163
Mailing Address: Star Route Box 192 Eagle River, 99577
3. Legal Description: Lot 1 and 2 Block D Glacier View HEIGHTS
4. Location: Mile 4.3 Eagle River Road, Cecelia Road off of Myrtle Drive
5. Type of facility to be inspected No. of bedrooms 4 ��SrzE O,k.
6. Well Data: Individual P'e,,'GP'i
A. Type B. Depth 300' [C3s
C. Construction D. Bacterial Analysis
7. Sewage Disposal System: On—site system
A. Installed B. Installer
C. Septic Tank: 1. Size 2. Manufacturer
D. Seepage Pit: 1. Absorption Area 2. Material
E. Disposal Field: Total length of lines
8. Distances:
A. Well to: Septic tank Absorption area /;; Sewer Lines ,
Nearest lot line Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74) Page 1 of two pages
o, MUNICIPALITY OF ANCHORAGE
it DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
2510 East Tudor Road, Anchorage, Alaska 99504 276-2221
— REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA FHA CONV
T \
2. Property Owner: tj (,-% eKj(' 'A L:�'t=i c�
Mailing Address: J1, l f' Day I
eo
3. Name of Buyer:
72-003(3/76)
Mailing Address:
Day Phone:
4.
Name of Lending Institution:
Mailing Address:
Phone:
5.
Name of Realtor or Agent:
,�OL Lt.
t
Mailing Address: /C)S
�^ f/ ��"
Phone:
6.
Legal Description:
Location:
7.
Type of Facility to be Inspected:
No. Bdrms.
8.
Water Supply
Type of Supply:
Public Utility
Individual
If Individual, number of dwellings presently served
If Individual, depth of well
9.
Sewage Disposal System
Type of System:
Public Utility
Individual (on-site)/' '
If Individual, date of installation
Y
/i , z1. i
72-003(3/76)
Page 2 of two pages - Re( t for Approval of Individual E r & Water Facilities
Legal Description Lot 1 and 2 Block D Glacier View Heights
1
Comments
Approved
Disapproved
Date / - 3 -72
Approval Valid for one year from date signK
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
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
EQ -034 (1/74)
Date