HomeMy WebLinkAboutGLACIER VIEW HEIGHTS BLK D LT 7Onsite File
Glacier View
Heights
Block D
Lot 7
#050-491-21
b�,. VIN U U U A
lMunicipality of Anchorage MAR 3 2022
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 4
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: OSP211055 PID Number: 050-491-21
Dwelling: ❑® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑® Upgrade
Name
Barry Bruno
TION FIELD
ABMIDeP Trench ❑ Wide Trench ❑ Bed ❑ Mound
Site Address
22813 Myrtle
�.❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
3
1PD/SFJ
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original de
Gravel depth beneath pipe
Subdivision Block Lot
Glacier View Heights D 7
Ft.
Fill added above original grade
Ft.
Gra I length
Ft.
Township Range Section
Gravel width
Ft.
Beds: Number of Lines
Dista a between lines
Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between t ches
From
Tank
Field
Tank
Line
Ftz
F4.
Well
>100'
NA
NA
NA
TANK- o Septic ❑ S.T.E.P. ❑ Holding ❑ Other
Manufacturer
Capacity
Surface Water
>100'
NA
NA
NA
greer
1000 Gal.
Material
Number of compartments
Lot Line
>10'
NA
NA
NA
NA
plastic
2
Foundation
5'
NA
NA
NA
LI`" TATION
Manufacturer
Capacity
Remarks 2" INSULATION
Gal.
Alarm locationElects
tailed by
Installer
PIPE MATERIAL House to tank 3034 Tank to 3034
drainfield
Dean Construction
Drainfield Co/MT3034
Inspector Curtis Townsend
BENCH MARK (Assumed elevation) 100 ft
Inspdection 151 6/30/2021 2n 10/23/2021
Location and description
3'd 4th
bottom of siding point B
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date®k
Aqs����
AQ TH
�.....' 6 ............
Curtiel.:Townsend' �
Date .4.: .
Septic System
/
Approved Date
��A%,'• rvo.ce� ��
c3 1 �o2
Note: this approval does not include well permit requirements.
MOO
(Rev 05/02/18)
W
LOT 6 IS VACANT / v
LAND, NO WELL ORI \
SEP TIC
NEW 7000 GALLON
TANK IS 5' A WA Y FROM
FOUNDA TION
p �
i
EXISTING 777' x 48" x 9" TH A
EFFEC TI VE DEPTH TRENCH I M T o
B
WAIVER WR97006 7 SLOPE 22
n
D�0
LpL07-6
G4,gC,FR V
2ND STORY DECK EXTENDS
OUT OVER TANK. DECK IS
CANTILEVERED FROM HOUSE.
NO SUPPOR IS GO TO
GROUND LEVEL NEAR TANK.
TLE DR/VE
NEIGHBORING SEPTIC IS > 10'
FROM PROPERTY LINE
4\or8
SCOPE OF WORK \ --Ir SEWAGE OVERFLOWED
1. REMOVED EXISTING SEPTIC TANK. FROM SEPTIC TANK IT
2. PLACED NEW 1,000 GALLON PLASTIC SEPTIC TANK AND TIED INTO WOULD TRAVEL THIS
EXISTING ABSORPTION SYSTEM. THE TANK WAS PROVIDED WITH PATH. PATH IS > 160'.
MINIMUM 20" 0 MANWAY RISER SERVING THE FIRST COMPARTMENT.
PROVIDED FOUNDATION CLEANOUT AND DOUBLE CLEANOUT
DOWNSTREAM OF THE TANK. A
3. ALL CONSTRUCTION WAS IN ACCORDANCE WITH ALL REQUIREMENTS / f
SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND / I
15.65.
Tank Record Drawing Prepared for
Barry Bruno
22813 Myrtle Dr, Eagle River Alaska 99577
GLACIER VIEW HEIGHTS BLOCK D LOT 7
OSP211055
EKLUTNA ENGINEERING, LLC DATE: 2/5/20222
19162 MOUNTAIN ROAD DRAWN: CLT
CHUGIAK, ALASKA 99567 SCALE: 1" - 40'
(907) 406-1058
PID: 050-491-21 SHEET 2 OF 4
�® OF q °�
9TH
�� ...... ......................�
.®0
I
RTIS TOWNSEND.*
No. C% 1 904
���® ® \
Municipality of Anchorage
P.O. Box 196650 ® 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 e Fax (907) 343-7997
hftp://www.muni.org/Onsite
Development Services Department
On -Site Water and Wastewater Section
Waiver#: OSV221017 COSA#: Permit#:OSP211055
PID#: 050-491-21
Legal Description: Glacier View Heights Block D Lot 7
Engineer: Eklutna Engineering
Applicant: Barry Bruno
Your request for a waiver of the required 5.0 feet horizontal separation from the septic tank to
the absorption field has been approved. The approved separation distance is 3.0 feet. See
engineer's waiver request for justifications.
This waiver approval applies to the existing septic tank only. Any future upgrade to the on-site
wastewater disposal system will require all separation distances be met or another approval from
this department.
■memmm.........mm.mm.m...m........mm.........m......mm.....m.amm..m.m..mm....m�
Waiver is Granted: X Waiver is not Granted:
Date: 3 i/—:)oa� Approved by: Aly�vl_a.
&,,�
Name of Reviewer
�k�c�c�►r �k�c3C
j Gj �cu ci 3115'2022
Eklutna Engineering, LLC
curtistownsend@gmail.com
February 5, 2021
Subject: Glacier View Heights Block D Lot 7
Septic Tank to Field Waiver Request
OSP211055
A permit was issued to replace the septic tank at this property. It was replaced in June 2021. The new
tank was able to maintain 5' separation from the foundation. The field was located and the new tank
was only able to maintain 3.3' from the existing upper trench.
The soils in this area are SM soils and they maintained a vertical wall when digging out the old tank in
order to place the new tank. The water depth in the field was only 7" as measured in June 2021. No
water escaped the trench and spilled into the excavated hole for the tank. No groundwater presented
itself when replacing the septic tank. For these reasons a waiver is requested to place the tank less than
S' away from the trench.
The proposed installation will not affect the future development of this or the surrounding lots.
Sincerely,
Curtis L. Townsend, P.E.
.. • r„rtes L.T9 �, z _'n..
VainI I
kU*��D PROFESS_.���®
1
2
3
4
5
6
7
8
9
9.7
SOILS LOG - PERCOLATION T ST
ORGANICS
l
i
DATE PERFORMED: 6/30/2021
..WAS GROUND WATER
ENCOUNTERED? YES
DEPTH 7'-.
DEPTH TO WATER AFTER
MONITORING? 7.2'
DATE: 8/2/2021
DEPTH TO WATER AFTER
MONITORING? 5.5'
DATE: 10/23/2021
T%
- 114
77
_ Y � DR/VE
NO.
DATE
CLOCK TIME
NET
TIME
(MIN)
WATER
LEVEL
READING
1
8/2/2021
19:10/19:40
30
6" -
0"
6"
2
8/2/2021
19:40/19:50
10 1
6" -
5 174"
3/4"
3
8/2/2021
19:50/20:00
10
6" -
5"
1"
4
8/2/2021
20:00/20:10
10
-
4 15/16"
_
1 1/1
5
8/2/2021
20:10/20: 20
10
_6"
6" -
4 7/8"
1 1/8"
6
8/2/2021
20:20/20:30
10
6" -
4 13/16"
1 3/16"
7
8/2/2021
20: 30/20: 40
10
6" -
4 11 /16"
1 5/16"
8
8/2/2021
20:40/20: 50
1 10
6" -
4 5/8"
1 3/8"
WATER READINGS ARE TO THE NEAREST 1/16 INCH.
PERCOLATION RATE: 7.3 MIN / INCH
PERC HOLE DIAMETER: 6"
TEST RUN BETWEEN 4 AND 5 FEET.
PERFORMED BY: CURTIS TOWNSEND. I, CURTIS TOWNSEND, CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 8/2/2021
Tank Record Drawing Prepared for
Barry Bruno
22813 Myrtle Dr, Eagle River Alaska 99577
GLACIER VIEW HEIGHTS BLOCK D LOT 7
OSP211055
EKLUTNA ENGINEERING, LLC DATE: 2/5/20222
19'162 MOUNTAIN ROAD DRAWN: CLT
CHUGIAK, ALASKA 99567 SCALE: 1" - 40'
(90 7) 406-1058
PID: 050-491-21 SHEET 4 OF 4
DF 44
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP211055
Work Type: SepticTank Upgrade
Tax Code Number: 05049121000
Site Legal Address: GLACIER VIEW HEIGHTS BLK D LT 7 G:0059
Site Mailing Address: 22813 MYRTLE DR, Eagle River.
Owner: BRUNO BARRY C
Design Engineer: EKLUTNA ENGINEERING, LLC"
This permit is for the construction of:
❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy
Effective Date:
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms
e_n,t 'S,
1� r•F
L}�partrnent
4113/2021
4/13/2022
29815
❑ Private Well ❑ 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 (2417).
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 B)
Issued By:
Date: V"(' 3120 ?
Date: / Z
3
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Parcel I.D. 050-491-21
Property owner(o)BRUNOBARRY C
Mailing address 22O13Myrtle Drive
Site address 22813 Myrtle [)[iv8 Eagle River /\K 99577
Legal description (5ub'd., Block &Lot) GLACIER VIEW HEIGHTS BLK D LT 7
Legal description [Tovvnahip` Range &Section)
Lot Size 29,815 Sq. Ft. Number of Bedrooms 3
Day phone
Eagle River AK 99577
APPLICATION |SFOR:
APPLICATION |SAN:
TYPE OFDWELLING:
(Zall that apply)
Absorption Field Fl
|niUo| El
Single
' ��-----�-�
E
Septic ��
' --
Upgrade �]
��
Duplex (D)
Holding Tank ||
--
R�nnvva| ��
' '
Multiple Dwellings
Privy | |
(SF and/or D\
——
PrivnteVVaU | |
Water Storage
THIS APPLICATION INCLUDES AVVA|\/ER REQUEST FOR:
[)iotenoe:______
I certify that the above information is correct. I further certify that
this is in accordance with
applicable Muni ' Codes.
70
(Signature of pr6perty owner or authorized agent)
Permit/Rush Fees: 1 $225, Waiver Fees:
Date of Payment: Date ofPayment:
Receipt Number: L/ Receipt Number:
�
Permit No. (lSp211055 Waiver No.
GAoovewpmnn G:muon\BmxmnoSafetyxOnSite Water and Was te=ateffnnnnVCl ientFonnsPonnitxpp oahnndoc
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211055, Deb Wockenfuss, 04/13/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211055, Deb Wockenfuss, 04/13/21
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP211055, Deb Wockenfuss, 04/13/21
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DATE:
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GRID'
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ASBUI LT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY,
4i1///'/'€-R /,,/'€k ,t/e-z,6ll.rl -rz'37 laf Z 2,1< 4
AND THAT NO ENCROACHMENTS EXIST'EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SI.'BD]-
VISION PLAT, UNDER NO CIRCUMSTANCES SI.I)IJLD
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND.
SEI.IARD & ASSOCIA'IES LAND SURVEYING 6 4 -08?-
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MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street- Anchorage, Alaska 99501 Telephone 264-4720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
PHONE ,~J []NEW
MAILING ADDRESS
LEGAL DESCRIPTION
NO, OF BEDROOMS
Absorption area
LOCATION
Well
I DISTANCE TO
~- Z I Manufacturer
~ Liq. capacity in gallons
i /~ ~ IF HOME.DE:
D,S ANC TO: Iw""
~ 'Manufacturer '
~ Well
~ Top of tile to finish grade~
~ Length Width
~ ~ I Type of crib Crib diameter
~ DIST~C~ TO:
~ ICla~S Depth
Dwelling ~ /
M at eria.~.~ ~.~.~ L
Width
PERMIT NO.
No. of compartments
Inside length Liquid depth
Dwelling PERMIT NO.
Liquid capacity in gallons
Foundation
..~2~
Total length of lines
11 7'
Material beneat'h tile
Material
Nearest ot ne
Trench width
,~ inches
inches
Depth
PERMIT NO.
Distance between lines
7'
Total effective absorption area
PERMIT NO.
Crib depth Total effective absorption area
Building foundation Nearest lot line
Driller Distance to lot line PERMIT NO.
Sewer line Septic tank Absorption area{s)
OTHER
PiPE MATERIALS
SOIL TEST RATING
INSTALLER
R~MAR~S
APPROVED DATE LEGAL
PERMIT NO.
r~lL~l'-~ I L--: I PIlL I T~r' CIF
DEPARTMENT OF HEALTH BND EN',,,'IRONMENTBL PROTECTION
825 "L" STREET., ~NC:HORBGE., BK. 9~501
264-472~
~]~N--S I TE
888114 )
SEL-IER I_IPGRRE)E F'EF-:r-1 I T
RPPL I CANT
LOCRT I I_-IN
LEGAL
NORTH STAR CONST
ER
PO B,':.';: 4t]:
LOT SIZE
6~8-2194
42560 SOURRE FEET
TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD
MRXIMUM NUMBER OF BEDROOMS
SO I L RRT I NG ( SQ FT,.."BR ) = '25E4
THE REQUIRED SIZE OF THE SOIL ABSORPTION ~,,c_z_,TEM IS:
[)EPTH= 5 LEN6T; I= --I -'1._.~ G R."].'-.-' EL' [':,EP TI ! == ---:"- .._, ~
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THE TREe, CH W ID, TI | IS 4. 0E~0 FEET..
THE GRRVEL DEPTH IS THE MINIMUM DEPTH OF GRRVEL BETWEEN THE OUTFRL. L PIPE
RND THE BOTTOM OF THE EXCRgRTION (IN FEET).
RE,_--~.LI I RED SFPT I ,~_- T,'],N~..'_ '-- I .--"='-
=- E~ '1 OOO ~]RLLOI'-.IS
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEF'RRTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER OF RESIDENCES THAT THE WELL WILL SERVE.
TI40 ( 2 ) INSPECT I ~]I'-,IS ARE REL--~-.I_I I F-:E [:,,
6R_.KFILLINLi OF AN'T' SYSTEM WITHOUT FINAL INSPECTION AND RPPRAVRL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION
MINIMUM DISTANCE BETWEEN B WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
i00 FEET FOR A PRIVATE WELL OR ±50 TO 200 FEET FROM A PUBLIC WELL DEF'ENDING
UPON THE TYPE OF PUBLIC WELL
MINIMUM DISTANCE FROM B PRIVATE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET AND
TO A COMMUNITY SEWER LINE IS 75 FEET.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS 8RE
R9RILABLE TO INSURE PROPER INSTALLATION
PEF~:f-II T EXPIRES DECEMBER ]<t.,
I CERTIFY THRT
i: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN RCCORDRNCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THRN 3 BEDROOMS.
SIGNED --L..~ ..~ _.~______
RPPLICRNT NORTH STAR C:ONST
Russell Oyster
694-2774
Performed fo r:
Legal Description:
Depth (feet)
0
2__
3__
4__
5__
6__
7__
8__
9__
10__
11__
12__
13__
14__
15__
16__
O & E ENG,,~IEERING & DEVELOi ,,/'lENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Earl EIII-
688-2280
Soil Characteristic.
PLOT PLAN
PERC. TEST
Ground Water Encountered: Yes / No If yes, what depth "~ /
Proposed Installation: Seepage Pit__ Drain Field
Comments: ---~'~//~-~ /-~_Z::/% ~ ",,~ /,~'~-'//~,~/./zP .g'
Performed by:
O & E ENG..,IEERING & DEVELO, .,/lENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Rulsell Oyster
694-2774 SOIL LOG
Performed for: Name:
Mailing Address: -~,
Legal Description: ~/d~z- '7, ,~4:~¢-,~ z~/ c~/-,~-/~-.~ ~/'/£ ~t/ .,Z//£/~/~,7~
Earl Ellis
688-2280
Tel. No. ~,' ~'¢Z -,.~
¢~'-77
Depth (feet)
0
6
7__
8__
9__
10__
11__
12__
13__
14__
15__
16__
Soil Characteristics
/
PlOT PLAN
PERC. TEST
Ground Water Encountered: Yes
Proposed Installation: Seepage Pit
Comments: _/_~,~ / ~t/
Performed by:
~ No If yes, what depth
Drain Field ~'~
Ga" .~TER ANCHORAGE AREA BORO' '~H
ARTMENT OF ENVIRONMENTAL QUAL
3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279-8686
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
................. ADDRESS~z/~ ~'/<'/~" (' /¢~$"X' __PHONE
LOCAIlON '~-~ /'~///'~s r'~',,~'~ ~"~//~c~-~-'~/~__,,~_/_~.,- .,'-'..'~EGAL DESCRIPTION ~ 7" ~_ /'~/,,/c,',~.)/ ~-.//~W,,4 lz/~:/,
SEPTIC TANK:
DISTANCE FROM WELLJLt''( ~-:
LIQUID CAPACITY__~'~ ~(' .... GA[tONS
NUMBER OE
MAIERIAL ~'~( t_ [ COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH
LIQUID
DEPTH __
SEEPAGE SYSTEM: SEEPAGE PIT:
/ ~ ,
NUMBER OF PIIS (~UTSID[ DIAMEIER OR Wq)llt I ~' lENGTH /'~ , DEPTH
LINING MA[ERIA[/~,~'/(-'~O'~J'X~'') _ DISTANCE FROM WElL Il'C,,', __. BUILDING FOUNDATON
NEAREST LOt LINE ~' ~ ~ ~ . 1OTAL EFFECTIVE ABSORP11ON AREA {WALL AREA~ > - ' SQ. FT.
TILE DRAIN FIELD:
DISTANCE FROM WELL _===,~NDAT~h~.-~ , NEARESi lOT LINE
NUMBER OF IINEB ~'~ DISTANCE BETWEEN lINES [NCH WIDTH
ABSORPlION AREA SC). FT. LENGIH OF EACEt LI
TOTAL LENGTH
OF LINES
__ IN. TOTAL EF.,~'ECTIVE
DEPTH: TOP OF TILE TO FINISH GRADE ...... DEPTH OF FILTER MATERIAl RFN£AIH TILE
DISIANCE FROM WATER
WELL: TYPE/'C,( ~',c , DEPTH ,BUtLDING FOUNDATION _ ....... SAMPLE
SLEPAG~ r
NEAREST SEPTIC --,,
LOT LINE ........ SEWER LINE ,TANK <,,('~'~h' , SYSIEM /(:(. _~"¢'~, CESSPOOL
DIAGRAM OF $~rSTEM
IN. ABOVE TILE
NEAREST
OTHER
, SOURCES
DISTANCES:
4)
/~7 ~/~ ~
~'~, , / ,7[- ~ 1
DATF ;"X
UQ
COT 7~ BL~ D GLACIER VIEW HTS.
by
DOC Co.
SULLIVAN WATER WELLS
P.O. BOX 272, CHUGIAK, ALASKA 99567 · TELEPHONE688-2759
OWNER OF LAND
ADDRESS
LEGAL DESCRIPTION
DATE - Started
PERMIT NUMBER
Ended
DEPTH OF WELL
STATIC LEVEL OF WATER FT.
DRAW DOWN FT.
GALS. PER HR
KIND OF CASING
KIND OF FORMATION:
From.__Ft. to Ft
From Ft. to , Ft.
From___Ft. to Ft.
From__Ft. to Ft
From.--Ft. to__Ft.
From__Ft. to .Ft.
From __Ft. to Ft.
From Ft. to Ft.
From__Ft. to Ft.
From__Ft. to Ft.
From__Ft. to Ft.
From__Ft. to.--Ft
From__Ft. to Ft.
From Ft. to.__Ft.
From Ft. to__Ft.
From__Ft. to. Ft.
From__Ft. to Ft,
From___Ft. to--Ft
From___Ft. to_ Ft.
From__Ft. to Ft.
From____ Ft. to _Ft.
From Ft. to__Ft
From__Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft,
From Ft. to Ft.
From Ft. to Ft._
From__Ft. to.__Ft
From__Ft. to Ft
From__FL to Ft
From__Ft. to Ft.
From. Ft. to__Ft.
From Ft. to Ft.
From Ft. to Ft.
MUNICIPALITY OF ANCHORAG~
DEPT. OF ~, ~ I &
I[N¥1RONM~, ,i,: i, i ~CTION
MISCL. INFORMATION:
1980
RECEi, VED
DRILLER'S NAME
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 I.D. # O~"O- ~,8/ -~.( "~
GENERAL INFORMATION
Complete legal description
Lot
7;
Block D;
Glacier View Heights
Location (site address or directions)
22813 Myrtle Drive
Eagle River, AK
.,Property:owner
'Mailing address
Lending agency
':Mailing address
Agent
Address
G~ne & Frances Nelson
22813 Myrtle Drive Eaqle
Day phone
River~ AK
Day phone
694-3699
694-3699
Day phone
Unless otherwise requested, HAA will be held for pickup.
NUMBER OF BEDROOMS: 3 ~
TYPE OF WATER SUPPLY:
Individual well xxx
Community welt
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
Public sewer
NOTE:
XXX
If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev 1/91) Front MOA #21
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation of this Health Authority Approval application shows that the on-site water supply
and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms
and type of structure indicated herein. I further verify that based on the information obtained from
the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is in compliance with all'Municipal and State codes,
ordinances, and regulations in effect on the date of this inspection.
Name of Firm . o
17034 Eagle River Loop Road No. 204
Address F..agie
Engineer's signature
Phone ~--J-ff 74/
Date ~) / 3 o/z¢/7
DHHS SIGNATURE
Approved for
Disapproved.
Conditional approval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
By: ' ~
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 DH HS 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.
72-0'25 (Rev, 1/91) ~ack MOA ~21
Municipality of Anchorage
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division
825 L Street, Room 502 · Anchorage, Alaska 99501 · (90?) 343-4744
Health Authority Approval Checkliat
LegalDescription: ~ :~ .6~-~:x'..~ ~ ~.//~'~/~XT~ ParcelI.D.: ~.~(~ '~l ~..(
A. WELL DATA
Well type ~,',~?'~
Log present ~1)
If A, B, or C, attach ADEC letter. ADEC w~er system number
'~.~., ~,~- Date completed ~/,,~/~/ ~/~
Total depth ~ Cased to I~' ~ '
_ ~ / Casing height (able ground)
w, ra.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform ~
FROM WELL LOG AT INSPECTION
/. ,~ '~ g.p.m. ~, .~ g.p.m.
Nitrate {"~, / Other bacteria
Date of sample: ~/?/'~"7-
B, SEPTIC/HOLDING TANK DATA
Date installed 5][0 ~ Tank size
/ /
Foundation cleanout ~ ~
Date of Pumping~' ~/~//~
C. ABSORPTION FIELD DATA '-
Depression (Y~D XJ_O High water alarm (Y/N)
Pumper
Collected by: '~'-~?.,/vw.,t S & S ENGINEERING
I 17034 Eagle River Leap Road No. 204
Eagle River, Alaska 99577
Number of Compartments ,~ Cleanouts ~)~/~o)
Da~e i'nstalled 3///6/,~i . Soil rating (g.p.d./fff or fF/bdrm) ~.~OR'z/~- System type
/ /
Len~h' T~' //
i1~~ .Width ~//
. G~vel thickness below pipe ~ Total depth
E~iv, absorption area ~ ~ Z Monitoring Tube present ~)~ Depression over field
Date of adequacy test ~//~/?~ Result~Fail) ~5 For ~ bedrooms
Fluid depth in absorption field be~re test (in.); ~ Immediately affer~ gal. water added (in.):
Fluid depth ~. ~ (ins) Minutes later: ~ ~ Absorption rate = ~ g.p.d.
Peroxide treatment (past 12 months) ~/N) ~ ~/~ If yes, give date
72-026 (Rev. 3/96)*
~Size in gallons
(Y/N) ~el at* _
Manhole/Access
* Dat um~..,~
"Pump off" level at*
High water alarm level at*
Cycles tested
SEPARATION DISTANCES
F.
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding tank on lot
Absorption field on lot
Public sewer main
Sewer/septic service line
On adjacent lots
On adjacent lots
Public sewer manhole/cleanout /gY2
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
Foundation ,~ / ./. Property line ~..- t ~ Absorption field
Water main/service line /D t-~ Surface water/drainage I~ ~y' Wells on adjacent lots
Property line __
Surface water
Curtain drain
ENGINEER'S CERTIFICATION
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Building foundation t0 Water main/service line
5 ~'/ ~'~"~'~' 'q~x~'~"r~l~r~veway, parking/vehicle storage area
Wells on adjacent lots
I certify that I have determined thr~ field inspections and review of Municipal records
in conformance with Mx O~ H~ g,~uide~ct on this date.
Signature
Engineer's Name ~ltt~./~ (~. ("'~'.~
Date ~I / 7 o / q 7
HAA Fee $
Receipt Number
Waiver Fee $
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Munmipality ofAnchoragc
Department of Health and Human Services
825 "L" Street
PC Box 196650 Anchorage Alaska 99519%650
October 1 O, 1997
Robert C. Cowan, P.E.
S & S Engineering
17034 Eagle River Loop Road
Eagle River, Alaska 99577
Subject:
Request for Waiver for Lot 7 Block D Glacier View Heights Subdivision
Waiver Request # WR970061, PID # 050-491-21, HA970454
Dear Mr. Cowan:
Your request for a waiver(s) of the required 100 foot horizontal separation o f an on-site
wastewater disposal system to the surface water and to a property line has been approved.
The approved separation distance(s) are: the west end of the leachfield and the surface
water on the adjacent property of 57 feet, and the west property line and the end of the
leachfield of 5 feet.
This waiver approval applies to the existing on-site wastewater disposal system to surface
water separation only. Any future upgrade to the on-site wastewater disposal system will
require all separation distances be met or another approval form this department. Should
the operation of the subject wastewater disposal system cause any contamination or
degradation of the subject surface water, this waiver xvill become void.
If there are any further questions or concerns regarding this waiver, please call our office
at 343-4744.
Sincerely,
Daniel J. Roth
Civil Engineer
On-Site Services
MUNIciPALITY OF ANCHop, AO~
ENVIRONIviF. NTAL SERVIC~,$ DIVt$10N
SEP 3 0 1gDt
RECEIVED
HEALTH AUTHORITY
APPROVALS
SEWER&WATER
MAiN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUG]ES
A~D REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
ROAD DESIGN
SOIL TES~'
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL -~.
INSPECTIONS
WASTEWATER
C~SPOSALSYSTEM
DESIGN
September 30, 1997
CIVIL ENGINEERS
(g07) 694-2979
FAX (907) 694-121 '1
Municipality of Anchorage
DEPARTMENT OF HEALTH AND HUMAN SERVICES
825 L Street
P.O. Box 196650
Anchorage, Alaska 9951%6650
REFERENCE: Lot 7, Block D, Glacier View Heights Subdivision
Request you issue a Health Authority Approval on the referenced property and grant a
waiver for 57' horizontal separation distance between the west end of the leach field and the
surface water in the adjacent undeveloped property. Also request a waiver between tO~e west
property line and the west end of the 45 foot long trench at five feet. The property to the
west does not appear to be developable.
The mitigating factors involved which support the issuance of the waiver are a.s follows:
1. The topography in the area, as shown on the site plm~ is on a 25% slope.
Surfacing effluent from the leach field would take a path following this slope until reaching
the driveway. From this point, the driveway would direct the path of effluent to the street
and eventually join with the drainage ditch as indicated on the site plan. The slopes for both
the driveway and the street are also indicated on the site plan.
2. The overall length of the path the effluent would take to reach surface water is
115 linear feet.
3. The effluent would travel through a naturally vegetated area to reach the surface
water.
4. With gravelly material at the ground surface in the area (refer to attached
sm~ounding soils logs), effluent would tend to be absorbed in the ground and treated before
reaching ground or surface water.
We therefore recommend a waiver for the separation distance between the leach field and
the surface water on the adjacent property.
Sincerely,
Robeit C. Cowan, P.E.
HEALTH ALITHORIIY
APPROVALS
SEWER&WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORT8
WELL INSPECTION
& FLOWTEST
SITE PLANS
ROAD DESIGN
SOIL TEST
PERCOLATION
TEST
STRUCTURAL &
MECHANICAL
INSPECTK~IIs
ROBERT C. COWAN, RE.
ROBERT A. 8HAFER, RE.
CIVIL ENGINEERS
(907) 694-2979
WELL RECOVERY TEST DATA FAX(907)694-1211
CLIENT: [.~.~ t~,1~ ~'rZ~,~,,:~.~. ~'J~o~o~J
WELL LOCATION (legal):I LeT ~ ~,c ~ i (~L~¢,~ VI[~ ~
TEST DATE: q)l~ TESTED BY' ~
'~, ~ '/ .. ~/ '. .... ~-'~
WELL DEPTH: ;~,~ O~r~{ ~%~ WELL DRILLER: 5~)/,'~ ~,~- ~n<;
CASING DEPTH: ~O~ '~' F~'~ eA/b;~m. DATE DRILLED: 3/~¢~ ,, ~?/<~{~¢
TEST PROCEDURE: ~ ~ ~ ~F ~ ~//
MISC DATA:
1) Draw water down to pump.
2) Shut pump off 15-60 min.
-record time
-record meter reading
3) Turn pump on. Drawdown.
4) Shut pump off. -record time
-record meier reading
5) Calculate gal./min, recovery.
Casing Height:
Sanitary Seal?
Wires In Conduit?
Grading O.K.?
Pump Depth:
Samples Taken?
Date:
TEST DATA: START TIME: ,,~ ?r'~ STATIC WATER LEVEL: iQ"-{-'
TRIAL PUMP ~¢~5 GAL/MIN.
OFF il; 5
2 ON i~ ~ ~' ,0- ~ 3
OFF
OFF
3 ON
OFF
OFF
4 ON
OFF
OFF
8 ON
OFF
RESULTS_: WELL CURRENTLY PRODUCES: 0,~ ~,~/~/?q.
FLOW RATE NOT GUARANTEED--SUBSEQUENT ~ARIATIONS CAN OCCUR.
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP ,, SUITE 204 ', EAGLE RIVER, ALASKA 99577
1" = 50' SITE-PLAN
~ //~~
WAIVER REQUEST
/
/
/
/
/
694.27?4
Per'termed for:
Legal Description:__
~h (feet).
0
,
7~
.~1~'
11__
12,
i3_._
E GEO,':';CHNICAL ~ DEVEL'
Box 90, Davis SI., Eagle River, Alaska ~
694-2774 or ~88-2280
SOiL ,LO~,.
Hame: ~,'~T~'. ~,~,~ ,~,~,~ Tel,
':,.
Ground Water Encountered: Yes__ No If ye$~ whll; dlpth
Proposed Installation: Seepage Pit {)rain Field
*--~ ,
, ~ 6~ ' '-
, , , ., ~ ?..":
. . . - -.
phone~ 680-3085
Legal Description
14
16
Test Pit Location
AVERAGE ABSORPTION AREA REQUIRED F~ SOILS LOG ~
~0
Porcolation rate
' "' ' ~) ~ E GEOq:ECHNICAL ~' DEVELOPMEN3
~9~2774
Sc~3s b Foundations
3
4
10 ~r~.~
11__
Box ~0. Dr~ 5L, Eagle fll~, Ala~a B9677
~g4-2T/4 ~ ~
~. ~4; ~. :- ..... :~ ....
~[L L~ -~ '~ .'~. .... ~ .....
Z
Perfo~
for:
:
0
Ground I~ater Encountered: Ye$~ No
Proposed Znstallatlon: Seepage P~t
C~nts =
Perfomed by: i __ Olte:
DAT'E RECEIVED
INSPECTION APPOINTMENI~S .~) ~"}'~-~ ·
TIME TIME / ,~ n~,/~_~ TIME
DATE DATE ~ DATE
~NSPECTOR INSPECTOR INSPECTO~
DEPT. OF
MUN C PAL TY OF ANCHORAGE E' R , ,
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI~
825 L Street - Anchorage, Alaska 99501
1 9 I 80
ENVl RONMENTAL SANITATION DIVISION
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES
DIRECTIONS: Complete all parts on page 1. Incomplete reqaests will not be processed. Please allow ten (10) days for processing.
1. PROPERTY OWNER I PHONE
~AILIN~AD~RE~S '
PROPERTY RESIDENT (If different fro~above} PHONE
2, BUYER PHONE
MAILING ADD~ES~
3. LE~DI~GINSTITUTION ~ PHONE
M~LING ADDAESS
4. REALTOR/AGENT
MAI LING ADDRESS
5. LEGAL DESCRIPTION
STREET LOCATION
6, TYPE OF RESIDENCE
NUMBER OF~BEDROOMS
~l SINGLE FAMILY
[] MULTIPLE FAMILY
El One [] Four
[] Two [] Five
~] Three [] Six
[] Other
7, WATER SUPPLY
INDIVIDLJAL*
[] COMMUNITY
[] PUBLIC UTILITY
*ATTACH WELL LOG. A well log is required for all wells drilled
since June 1975. For wells drilled prior to that date, give well
depth (attach log if available.)
8. SEWAGE DISPOSAL SYSTEM
~ INDIVIDUAL/ON-SITE**
[] PUBLIC UTILITY
YEAR ON-SITE SYSTEM WAS INSTALLED.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
72-010 (Rev. 6/79) ~ ~-~
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE NUMBER OF BEDROOMS
[] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
PERMIT NUMBER
2. WATER SUPPLY
[] INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
3. SEWAGE DISPOSAL SYSTEIV] PERMIT NUMBER
[]INDIVIDUAL/ON -SITE DATE INSTALLED
[]PUBLIC UT' L'TY
Connection Verified iNSTALLER
[]Septic Tank or []Holding Tank ~"~..
Size: }/~O If Tank is homemade SOILS RATING -
give dimensions:
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL
4, DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line
WELL TO:
Absorption Area to nearest Lot Line
5, COMMENTS
[~3.--~APP ROV ED FOR Z BEDROOMS
[~] CONDITIONAL APPROVAL (letter must accompany certificate)
[] DISAPPROVED
DATE BY
I>FI'TE COHF'I.J:::I;I: hit OF'IEI'.,!IEi:;,: 7.'.5~;3 Ell;'
I::,Ft'I"E: 7 7 i"IF'LFI :[ NT :::!_FIE;El:):
'::r3HF'I~ R '[ hiT
".Pt~'Et'.Ef' I::, :[ ...,I ........
F.':EF ]:t'::L:
NI::I'I"IJRE: LE;Eb. IFI~3E
,/,
// i ,
.,(i 1/ . ;,' ,, ,,,.