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HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 30BEagle River Valley Ranchettes Lot 308. #050-224--2•3 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~ www. ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-224-25 1. GENERAL INFORMATION ©q Expiration Date: Complete legal description EAGLE Location (site address or directions) Current Prop(~rty owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address RIVER VALLEY RANCHETTES SUBDIVISIONI LOT 3OB, 18910 WAR ADMIRAL ROAD * EAGLE RIVER, AK. 99577 MICHAEL &: REBECA MORRIS Day phone' 694-5414 18910 WAR ADMIRAL ROAD * EAGLE RIVER, AK. Day phone. ROGER MORRIS w/ PRUDENTIAL VISTA Day phone 689-6464 16655 CENTERFIELD DRIVE * EAGLE RIVER, AK. 99577 e Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 5 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water: System TYPE OF WASTEWATER DIspOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer r-I The Municipality of Anchorage Development Services Depadment (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the'State of Alaska. Cedificates of Health Authority Approval are required for the transfer of title (except between spouses) for propedies served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for propedies served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Se sTATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance~with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address ;5701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. attempted '~o provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide . any warranty or future estimate of how long the system will conginue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever... DSD SIGNATURE ~ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the fllowing stip.ulations: ' : wASTEWATEg · Attachments: HAA CheCklist Septic System AdvisOry Well Flow Advisory Other (Rev, 12/01) Original Certificate Date: Municipality of Anchorage DeveloPm;nt serVices Department Building Safety Division ~On-Sit~ Water &'Wastewater Program ~4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~ww. ci.anchorage.ak.us (907) 343-7904 .L~g A. WEL HEALTH AUTHORITY APPROVAL CHECKLIST 3~escription: EAGLE RIVER VALLEY RANCHETTEs S/D;~LOT 30B Parcel ID: DATA PUBLIC WATER 050-224-23 · well.,,. ~,,~,type .- If A, B, or, C'provide, PWSID#, . , .. We I Log (WN) ~ate.oftest , ' ~ · ',! .... ~~ · - .: _, : . . . Static water level .' . ~ ,.~., !ft:~,. ,.- :, ''ff Well~3roduction ' , ' -,m : ' ~ATERSAMPLERES~ - , ':' :' ' : ~; , ," ~ ' · ' ,?lifbr~,', i~ comnies/100 mi. N~{r~te., : : mg./L. Other bacteria' ' colonies/100ml' ~' ' mg./L. : D~te of sample:, : Collected by: '- ',. B. SEPTIC/HOLDING TANK DATA' T~nk ~ype/Material CONCR~E :" 7/74 '~: 1~; · . . ~ .. . Date installed Tank~sJz~ 1000 al' ' N ' . 'g, , umber of.Compadments 1 Cleanouts (Y/N) . YES ~O~dation cleanout (Y/N) YES DepresSiOn over tank (Y/N) NO High water alarm ~/N) YES ,' ~ '  . ~ ; ~ '~ . . . //~ C, ABSORPTION FIELD DATA "' ~BELOW EXI~N6 ,'. I t, ~. 'rating ~r fl~/bdrm)..8 System type TRENCH Date Installed 7/7/1997 Soil Length 64 fl. Width 5 ~. Gravel below pipe 3.5 Total ~ :h '6.0-7.2~. Eft. absorption a~ea 593+ ~= ' Monitoring tube. YES Depression over field NO Da~e of equacytest 5/17/2004 ~" Results/Pass/Fail' PASS ,~., , - ' :~ t ] .~ . rot ~ ueorooms Fluid d~ ,:h in abso~tion field before test .;-0 in ~ ~ Water added 1233gai New depth 22 in ~:~11~: ' ': :,: ' ~ :. '" ' :" '" ~ ' ' Ela?s~ime: 285 mira : Final fluid depth' :0 'in. AbSorption Cate >= ' 450 g~p d · mo.) .0.. .oW. ," .e., .,.e .a,. - ~TESTED SOUTH TRENCH NORTH TRENCH DRY i ' D. LIFT STATION · Date installed 7/1/'1997 . ;'Pump on" level at 41" ,.in. Datum B.O.T. E. SEPARATION DISTANCES Size in gallons "Pump off" level at 'Cycles tested SEPARATION DISTANCES FROM WELL oNLOT TO: Septic tank/lift station On lot Absorption field on lot 'i~Curtain drain NONE KNOWN 500 Manhole/Access (Y/N) ., i, YES 41" in. ': ' ' High water alarm level at i~ ;= zl-7, .in. · 3 Meets'alarm & circuit requirements: PUBLIC SEWER"ii . i On adjacentlots ' :' · ' Public sewer main -~~ Public sewer'manhole/cleanout :: ,*'! :!i '~ i." ii. " Holding tank ' '~ ' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:.. ..~..!::',~! :~ :~ ,', :. ,.' Building,foundation .. · 5'+ '. Propertyline 5'+ ..... i.Absorptionfield .'.;Il. :[5'-i-:..': i. !: Water main 10'+' Water service line .-10'+ Surface water. ~ 1'00'+. , i Wells on adjacent lots 200'+ i;. i ' :'..,. : :.'. , SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ~: ;~. i il ~; ~ p ' Pro erty line 2'+ Building foundation 10'+ Water main ~,10 :+ ,' : ! :'" Water service line 10% Surface water 100% Driveway parking/vehicle storage.' 15';t- Wells on adjacent lots 200'+ .: ":''';!'! ! i .' ;'i' ' ' Waiver Fee $ ~ Date of Payment Receipt Number .... F....COMMENTS · ..G.-'ENGiNEER's CERTIFICATION ., I certify that I have determined through field inspections and .... i' ~'eview of Municipal reCords that the above systems are in ,~ ~ ~ bonformance with MOA HAA guidelines in effect on this date· JEFFREY -A. GARNESS : ~Engineer's Prin)ed ~ame Date: ; ~/~/0~ .... HAA Fee $ :~ Date c~f Payment :Rece Number ~. '(Rev. 12/01) .-- ' ', i 05/26/04 ~D 17:07 FAX 6896499 VISTA REAL ESTATE ER OO2 WAR .... JMIRAL I..'.:':'"':'.." ::l /': :: ',.::'J I :c~^v~ '1 O RI~-q~'WA Y'..." ?. , S2.2' 17,8' ;'' ; .... ' "' L2' · 37' 2nd STORY CANT. X )l~ll:--~--3 SEPTIC VENTS ROAD CD Z SCALE 1" - ,30' Cl..lAiN UNK FENCE [~x~F WATER KEY BOX - -- F CHAIN 10'UTILITY EASEIdENT N 89'59'15" W 133,0' LINK FENCE O ~o..o ,,/~- R~B,~ ~ ~'.'"' - .Jg_ ... - ~. AS BUILT ~749T~ .~.~'~ ~. ~ { i hcrcby cerUfy tho~ I have performed a Mortgagee's ~ SET D~" X 30' REBAR ~'~e~e-- ~ ~' ~ ~ { .. LoT O-B ~ ..s[P.C.s~u un ST~o, ~ ~_ ~ W;~,~ ~C.~,.. ~ ~-- EAGLE RIVER VALLEY RANCHERS ~ s~pt~c s~u ~T ~ ~ % LS-7~37 ~ _,~ Anchorage Recording District. Alacka. and that the im- ~ ........ x~-~ provemcnts situatcd thereon ore within the property ~A~/E~%~ line and do not ov~rla~ or encroach on the property .. , lying ad,cent thereto, that no ~mprovements on prop- ¢rty lying adjacent thereto encroach on the premises in question and that there are no roadway, trons- NOTES mission lines or other visible easements on sold prep- I. SURly PERFORMED ~LY 7. lgg?. erty e~cept os indicated hereon, 2. EASEMENTS OF RECORD O~ER ~AN ~OSE ~0~ ON RECORDED PLAT No. 63-12gA. Doled at Anchorage. Alaska ~R[ ~OT SHO~ ~0~. of ,JULY 3. PARCEL CONTAINS 18,172 * SOUSE FEET. this_ 18th d~] . RE~S~RED PROFESSIO~AL LAND SUR~Y0~ 5. THIS D~UMENT IS FOR ~E EX~USI~ USE ~ THE CLIENT. THIS DbCUM[NT IS NOT TRYCK NYMAN NAYES, INC. IN~NDED ~ REPRESENTED TO BE SUITABLE FOR RE-U~ BY OTHERS. ANY RE-USE Surveyors/~ng[neers/Planners~endscape Architects BY OTHERS ~TH~T POS~SION OF ~E ORI~NAL FIELD NO~S ~LL ~[ AT ~IR S~ RISK AND ~T LIABILITY OR ~G~ EXPO~ TO ~ N~ HA~S. INC.. 911 W. 8th Ave. Anchorage, AK 99501-3497 (g07)279-0543 FAX: 276-7679 GRID. NW 54 FIELD BOOK No. 7992,0 M~ _i · ~ · ~ c pauty of Anchorage Marl¢ Begich, Mayor S cty Dix sion P.O. ~x 196650 · 4700 Bmgaw Strcct Anchomgc, Alaska 99519-6650 * (907) 3q3-~01, Fmx (907) 3q3-8200 h ttp://axxav, mun i.org 617/2004 Gamess Engineering Group, Ltd. 3701 E Tudor Road Anchorage, AK 99504 Subject: Waiver Request for Eagle River Valley Ranchettes Lot 30B Waiver Request #WR040035 Parcel ID #050-224-23 Dear Mr. Gamess: Your request for a waiver of the required 10 feet horizontal separation from the West Property Line to the Absorption Field has been approved. The approved separation distance is 2 feet. This waiver approval applies to the existing West Property Line to the Absorption Field separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Jeff Poet Engineering Technician On-Site Water & Wastewater Program Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 wxvw. ci.anchorage.ak.us (907) 343:7904 WR#: .040035 PID#:pS022423 Date Received: 6/712004 Waiver Review Worksheet HA#: Permit-//: Legal Description: Ea~le River Valley Ranchettes Lot 30R Engineer: .Garness En.qlneerinq Group, Ltd. .3701 E Tudor Road Applicant: .Michael & Rebecca Morris Waiver Requested:.2 foot Lot Line waiver from West Property Line to Absorption Field Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmlmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Waiver is Granted: ~ Waiver is not Granted: List Conditions or Reasons for above: ~ ~ of Reviewer Rec#: Amount: $,0.00 Date Paid: 6/7/2004