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Home My WebLink AboutMCKINLEY VIEW ESTATES BLK 2 LT 3McKinley View Estates Block 2 Lot 3 #051-792-07 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201036 PID Number: 051-792-07 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Site Address 22447 CENTURION DRIVE, CHUGIAK Phone Number of Bedrooms 3 LEGAL DESCRIPTION Subdivision Block Lot MCKINLEY VIEW ESTATES 2 3 Township Range Section BSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound ❑ Other Soil Rating Total depth from original grade GPD/SF Depth to pipe invert from original grade Gravel depth beneath pipe Ft. Fill added above original grade Gravel length Ft. width JBedNumber of Lines IDistance between lines Ft.l SEPARATION DISTANCES Ft' Ft. To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft' Ft. Well 200'+ __ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Surface Water 100'+ -- GREER 1000 Gal. Material Number of compartments Lot Line 5'+ __ IIIA HDPE 2 Foundation *g'+ __ LIFT STATION Manufacturer Capacity Remarks 8" insulation over tank. *Installed outside soil Gal. bearing prism. Alarm location Electrical installed by Installer ,IRs PIPE MATERIAL House to tank 3034 Drainfield Inspector FWCS BENCH MARK (Assumed elevation) Inspdeact sn 1" 10/16/20 2nd 10/17/20 Location and description 3`d 4'" BOTTOM OF SIDING ON-SITE WATER AND WASTEWATER SECTION APPROVAL �� o •"4� -49 TH . • • . • Curtis Huffman : ! �Fc�d' , CE 128991 lF • . 3/1 /2021• . • ��v ..r �FQ.....�ti �' ROFESS\ON Tank to 3034 drainfield CO/MT 3034 100 ft Conditional Approval: Date Septic System Approved - Date2D 21 Note: this approval does not include well permit requirements. v PID: 051-792-07 PERMIT: OSP201036 x I x I x LOT 2 BLK 2 Lx�x 0 rn O O Z I X X x �I LOT 3 o BLK 2 7.4 EXISTING • FIELD • DCO CO E D /� X Fco � LOT 4 s m BLK 2 N EX/ST/NG 3BR HOUSE o 20. 0 6.0' o N a¢ z OVERED v 16.0' ENTRY WOOD WALK 7.0' 0 v �n \ X 15' T&E ESMT CENTURION DRIVE S89 58'25"E A -C=32.3' B -C=10.8' A -D=34.6' B -D=15.5' A -E=36.3' B -E=18.5' TANK IS FOUNDA OUTSIDE BEARING PRISM APPROX. WATERLINE PAVED D/W 93.50' KEYBOX SCALE: 1" = 30 SEPTIC SECTION McKINLEY VIEW ESTATES BLOCK 2, LOT 3 PREPARED FOR: REBECCA BREEDING 22447 CENTURION DRIVE CHUGIAK, AK 99567 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK®gmail.com SCALE; NTS SUPPORTsSERVICES: F C. S lowOF A.L� � 1111�'CTH � 1� c� * g DATE: 3/1/2021 /` 1A rtis Huffman / SURVEY: JLS 1 04 CE 128991 w DRAWN: FWCS 1 3/1/2021 SCALE: 1" = 30' \ %PESS100 t Cn n N LOT 2 BLK 2 589'58'25'T 94.00' 589'58'25"E 93.50' - CENTURION DRIVE ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: McKINLEY VIEW ESTATES LOT 3 BLOCK 2 PLAT 82-225 SURVEY CERTIFICATE: I, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstancc should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of anv easements, covenants, or restrictions which do not appear on the recorded subdivision plat, WORK ORDER NUMBER: DAIS: SCAM, -LU-' JAN 11, 2021 1'=30' 21-012 DPAW By. aHEmrn BY MO "KR: eooK u JL5 NW1459 210114 (9 = FND 518" RE13AR F. Al!11AWyy T, 49 -.JOHN L. SCHULLER. a LS -10408 = �� c 0 co N r- d tD Z LOT 4 BLK 2 1831 Talkeetn.a Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax 3/13/20 EPL13AIS MUNICIPALITY OF ANCHORAGE Development Services Department = Phone: 907-343-7904 On -Site Water & Wastewater Section -� Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-792-07 Property owner(s) REBECCA BREEDING Day phone 9073013638 Mailing address PO BOX 672569, CHUGIAK, AK 99567 Site address 22447 CENTURION DRIVE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) MCKINLEY VIEW ESTATES BLOCK 2, LOT 3 Legal description (Township, Range & Section) Lot Size 20,042 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (M all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) 0 Septic Tank El Upgrade E (w/wo ADU) (D) ❑ Holding Tank ElRenewal ElDuplex Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. nature of property owner or authorized agent) Permit/Rush Fees: a95 Waiver Fees: Date of Payment: &JLj L;Z0 oto Receipt Number: (i5gs-W) Permit No. tnJSPP0103& Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350 -9566 / firstwaterAK@gmail.com March 3, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: McKINLEY VIEW ESTATES BLOCK 2, LOT 3 PHYSICAL: 22447 CENTURION DRIVE, CHUGIAK, AK 99567 The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on the above referenced lot. We propose to install a 1000-gallon HDPE tank outside any deck supports to serve the existing 3-bedroom residence. The lot and area are served by public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201036, Rebecca Carroll, 03/13/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201036, Rebecca Carroll, 03/13/20 NAME MUNICIPALITY OF ANCHORAGE DEPARTE/IENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENG~N~ER~NG 825 L Street ~ Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/O~ WEIJ, INSPECT,ON REPORT MAILING ADDR~-, LEGAL DESCRIPTION LOCATION ~ TAbsorption area I IF HOMEMAD ~ Dwelling Material ~"~ -- Width Foundation NO, OF BEDROOMS PERMIT NO. No. of compartments Liquid depth I Well Dwelling PERMIT NO. DISTANCE TO: Manufacturer Liquid capacity in gallons DISTANCE TO: ength of each line Materia) N-~Ta res'~To t line Tmnch widt h~2 ~C-,Oinches Total length of lines No. of lines PERMIT NO. Distance between lines I i Material beneath tile Total effective absorption area Top of tile to finish grade '. Length Width ~ PERMIT NO. Type of crib ;rib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line ] PERMIT NO. I Building foundation Sewer line Septic tank /Absorption ama(s) DISTANCE TO: OTHER PIPE MATERIALS REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) F'ERMIT NCI. :: .~ ....... F~F'F'L I: I:~N.T LOCFrT l ON L. EGFIL BILl.... GF'E '~E ,. ........ ENblNEERIN.-~ =,F..E, :L.9.6::-:: ............ L]:B2 H...I-,It',ILE'r ',,,'IEH ESTFITE:E; LOT :,I,::'.E ,:4,::~,.q,~q,:4. c.3 FIF.'E FEE']- '*FYPE 3F SOIL FIB:E;ORF'TION S'¢STEM IS: TRENCH MFI::.-'; l MUH NUMBEF: OF BE[:,ROOHS 2 :E;O t L F. -IT I N .~ FT,.."E:R ::, = ~.45 THE F..:EQU):RED :E;IZE OF THE .::,uIL RE'=,F~F.'PTInN S'.r'STEM e.. THE L. ENGTH DIMENSION IS THE LENGTH (IN FEET) OF 'THE TRENCH OR DRRINFIELD. THE DEPTH OF' FI TRENCH OR PZ'T IS ]'HE DISTRNCE 8ETHEEN THE SURFRCE OF THE GROUND FtND ']"PIE BOTTOM OF 'THE E::':,'CFI',/FITION (IN FEET). THERE Ir.'.';, NO SET HI[:'TH Fi'IR TRENCHES. THE GRR'v'EL DEPTH IS ]"HE HINIHUM DEPTH OF GRFI",,'EL 8ETHEEN THE OUTF'FILL PIPE FIND THE BOTTOM OF 'THE ENCR","RT:(ON (IN FEEl"). FERflIT HFFLI..MHI HRS THE F:'EC;F'-N':IBIL'rT'.? TO INFORM THIS DEF'RF.:T!"tENT DURING TNE IN:E;TRLLRTION INE;F'EC:TIONS OF FIN'¢ HELL. S FIDJRCENT TO THI:E; ...... ]""' ...... "' r~_rc.~,~ 'r FIN[:, THE NUMBEF.: OF RESIDENCES THFIT THE HELL HILL SER',,,'E. ............ -iF'I:L,4IC, ,::: ;':~1 '::, :if:. ~'-~ rE;F'lFffEC:-f" .l: C~ f..4L'.:; FIIF:t:: J;:: E ~:::~.Ljl 1: F-::E: [::, EFICKFILL'fNGi OF RN'¢ .=, '.=,T~M t4ZTHOLIT FZNFIL IN'...--.,PECT~ON FIND RPF'R.O'v'FIL 8'¢ TH~S DEPFtRTHENT HILL BE S_EJ'EE:T TO F'ROSECUTION. MINIMUM DISTFINCE BETHEEN R HEI._L FIND FIN"? ON-SITE SE!.qFIGE DISPOSFIL SVSTEM IS ±C1E:l FEET FOR FI PRIVRTE HELL OR ±50 TO 200 FEET FROM R PUBLIC: HEL.L [:,EPENDII",IG UF'ON THE T'¢PE OF PU[~:LIC HELL. HINiHUM DISTRNCE FROM FI PRI',/RTE HELL TO R PRIVRTE SEHER LINE IS .25 FEET FIND 'TO FI COMMUNIT'T' SEI4ER LIi',tE IS 75 FEET. HELL LOGS RRE REQUIRED RND HUST BE RETLtRNE[:, TO THE DEPFIRTMENT HITHIN ]1:0 DFB"S OF ]'HE HEL. L COMPLETION. OTHER REQUIREMENTS HFI'¢ RPPLV. "SPECIFICFFf'IONS FIND CONSTRUCTION DIFIGRFIM$ FIRE FI',,,'FIILRBLE TO INSURE PROPER INSTFILLR]"ION. F' E7 F~: ~'1 ][ T' E :=-C F' Z [:: E :5 [:, E C: E-E ~"I E: E E-:: :2S: :.11_ .. " "=~ "'-" FORTH BM THE MtJNICIPRLIT'¢ OF FINCHORFIGE. 2: i I,.IILL IN:STFILL. ]'HE SVSTEM IN FIC'COF.':DFfNCE HITH THE CODES. :2:: I LJNDERSTFIND THFIT THE Oi'.:I-..:::;ITE SEHER SYSTEM HFI'¢ REQUIRE ENLFtRGEMENT RESIDENCE IS REMODELED TO INCLUDE ~'iORE "FPIFIN ::: 8E[:,ROOMS. FIPPL '[¢I-]NT /D,T)LL. /{.~ROLi'.:sE' ~ / / CERTIF"¢ THFIT _ HE:LL'_", FIS S;ET t RM FFIMILIFIF.: I.,.IZTH THE F.'E:;)._IREI'"IENTS F'F.' :N-SITE SEHERS FIND I F THE '¢4. 0 O & E EN~_,NEERING & DEVELO,'MENT CO. Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Performed for: Name: -- #~L,~-~ ~L ?~ /~/,/~-Z_(~/~/~//=,~( 7'- Tel. N0. Mailing Address: ~(~ Legal Description: ~o'~ ~ ~ ~(:~ Depth (feet) 0 2 4__ 5__ 6__ 7__ 8__ 10__ 11__ 12__ 13 Soil Characteristics 14__ 15__ 16__ Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: No P/ If yes, what depth Drain Field PLOT PLAN PERC. TEST Performed by: Date: Municipality of Anchorage Development serVides Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.a nchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 051-792-07 1. GENERAL INFORMATION Expiration Date: Complete legal description McKINLEY VIEW ESTATES SUBDIVISION; LOT 3t BLOCK 2 Location (s[te address or directions) 22447 CENTURION DRIVE * CHUGIAKt AK 99~67 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DON BROWN Day phone P.O. BOX 672443 * CHUGIAKt AK 99567 '~ ; Day phone SHARON MIN$CH w/ REMAX E.R. Day phone 694-4200 EXT. 226 16600 CENTERF1ELD DRIVE * EAGLE RNER, AK 99577 Unless otherwise requested, HAA will be held by DSD fer pickup. 2. NUMBER OF BEDROOMS: 5 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class A Well --' Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for propedies served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note:Alaska Water and Wastewater Consultant$, Inc. shall be paid $ [~ ~'~'at, or prior to closing for the engineering services provided. 4. 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 heroin. 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUEE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEI-I-REY A. GARNESS, P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AWWC, Inc. attempted to provide a thorough, conscientious enginee#ng 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 ara outside the control of the evaluator of the system. SatisfactoG, test results do not guarantee futura performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AViA, VC, Inc. can therafora not provide any warranty or future estimate of how long the system will continue 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 peraon or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE t-'''/ Approved for bedrooms. Disapproved. Conditional approval for __ Attachments: bedrooms, with the ~owing stipulations: .. HAA Checklist Septic System Advisory Well Flow Advisory (Rev. I?.~1) ~ . PROCP~,., . -. ...- Manitenance Agreements ~ Supplemental Engineeffs Reo~ ~/JJJ)JJJ)I)))lPl'- Other Original Certificate Date: ~""- ~7 - 0..,~-.. Municipality of Anchorage Development Services Department 8u#dlng Safety Division On-Site Water & Wsstewatar Program 4?00 Souffi Bmgaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage,ak.us (907) 343-7904 Legal Description: A. WELL OATA HEALTH AUTHORITY APPROVAL CHECKLIST McKINLEY VIEW ESTATES S/D; LOT 3, BLOCK 2 Parcel ID: 051-792-07 Well type A If A, B, or C provide PWSID~ 2~ T . Cased to .ft. Cas ng he ght (above ground) in. Date of test FROM WELL LOG Stati~ ft. JNel~production g.p.m. ATINSPECTION g.p.m. WATER SAMPLE RESULTS: Coliform colonies/100 mi. Nitrate Ar '' · Date of sample: B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Tank size 1000 gal. Number of Compartments 2 Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO Date of pumping 4/19/2002 Pumper G. ABSORPTION FIELD DATA ~ Date installed 11/1e/lee2 Soil rating (~r ff~/bdrm) 145 Length 37 ff. Width 2.5 fl. m~.~..~ J~ .colonies/100 mi. Collected by: Dateinstalled 11/15/1982 Claanouts(YIN) YES Hlgh wateralarm (Y/N) N/A JR's PUMPING Total depth lO. 1 .It. Eft. absorption area 481 It~ Monitoring tube YES Date of adequacy test 4/22/2002 Results (Pass/Fail) PASS Fluid depth in abso~flon field before test 0 in. Water added 926 gal. Elapsed T~me: 288 min. Final fluid depth 56 in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN System type TRENCH Gravel below pipe. 6.5 It. Depression over field NO For ,~ bedrooms New depth 66 in. 450+ g.p.d. If yes, give date - D. LIFT STATION Date installed Size in gallons Manholel~e.s~-~ "Pump on" level at in. "Pump o..~..J~. High water alarm level at .in. ~ Cycles tested Meets alarm & circuit requirements?. E. SEPARATIO. OISTA.CES *COMMUNITY WATER SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main On adjacent lots --.---- Public sewer manhole/deanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field. 5'+ Water main 10'+ Water sewice line 10'+ Surface water. 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *5' Building foundation. 10'+ Water sen/ice line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 200'+ · Water main 10'+ .Driveway, parking/vehicle storage 10'+ F. COMMENTS * WANER GRANTED WR1~970022 G. ENGINEER'S CERTIFICATION I certify that I have detenwined through field inspections and review of Municipal records that the above systems are in conformance wifh MOA HAA guidelines in effect on this date. DateEngineer's,~ 'Z. c9 Pdnted ,~'ne JEFFREY A. OARNESS HAA Fee $ 3,7',...,~ Date of Payment Re~ipt Number (~v. 1~01) Waiver Fee $ Date of Payment Receipt Number {~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section q ,3-0 P.O. Box 196650 Anchorage, Alaska 99519-6650 ;343-4744 ' ./ iV viz ' 0 3 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D.# ~\- --'~<~.~.' [~7~'-~ HAA# ~-~O~ t.%~\O~ 1. GENERAL INFORMATION Complete legal description Lot 3; Block 2; McKinley View Estates Location (site address or directions) 24447 Centurion Drive Chugiak, AK Property 0wn~r 2' Lero¥ & Donna Alderman TMaili'ng address :,'~P'-!O' Box 670045 Chuqiak, _ - ........ - .: . ::.;,~,,3; Lending agency -:Mailing address /-' ?' Agent Address Day phone AK 99567 Day phone., Day phone 688-3403 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Community well Public water XXX NOTE: TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community: on-site Public sewer If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. ·:, NOTE: If communitY Wastewater system, provide written confirmation from State ADEC attesting t° the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Sm 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 verifythat 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. $ & S ENGINEERING t~ ct ~f ~LCt '7 ~ Name of Firm ~rO~l-Sagl~R[-. er ! ~,,,- ~.:'-~.', ~'' Phone __ Address Eagle EiYer, Alaska 99577 I::)HHS SIGNATURE Approved for -~'~ Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health arm Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered m the State of Alaska. The DHHS does th~s 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 re~ponsible for errors or omissions ir' !he professional ~ 72-025(Rev. 1/91) Back MOAft~I Legal Description: A. WELL DATA Well type A Log present (Y/N) Total depth Sanitary seal (WN) Date of test Static water level Well production WATER S~ M ~~LTS: Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907)~3,-47,¥4) Health Authority Approval Checklist If A, B, or C, attach ADEC letter, ADEC water system number Date completed Cased to Casing he'ground) Wir~ly protected (Y/N) FROM WELL LOG~ AT INSPECTION g.p.m. Nitrate Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed \~- ~"/,~ Tank size Foundation cleanou:t~N) y Date of pumping ~,.~c C. ABSORPTION FIELD DATA Date installed ~ [ - ~ ~ Length ~,'~1 Width Effective absorption area ~ $ Date of adequacy test ~ Fluid depth in absorption field before test (in.); lo~ Number of Compartments Depression (Y/~j~ ,.-(' High water alarm (Y/N) '"//'~A Pumper ..7~ ~. Soil rating (g.p.d./fF or fF/bdrm) Gravel thickness below pipe Monitoring Tube present~j~l)1 Resul~Fail) ~.~'~ Immediately after~5~O gal. water added (in.): Depression over field For '~ ~,~/~ System type 'T'~¢~c-I-{ Total depth / o - bedrooms Fluid depth ~' I (ins) Minutes later: L~o Peroxide treatment (past 12 months) (~ ~l :,~_.~ Absorption rate = [z.~.~,,~ If yes, give date q '5"0+ .g.p.d. 72-026 (Rev. 3/96)* ' D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N) "Pump on" level at* High water alarm level at* ~,~ted *Datum E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELl_ ON LOT TO: Septic/holding tank on lot On adjacent lots Absorption field on lot Public sewer main ._Se~ic-ceT~i~e line On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~ ~ ~c Property line Water main/service line / o t 4'___Surface wateddrainage \ o ~ ~' Absorption field Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Surface water Curtain drain Building foundation Water main/service line Driveway, parking/vehicle storage area "~ o __ Wells on adjacent lots '2--o,:, ~ 4- ENGINEER'S CERTIFICATION :' ": ~rt~fyth~t~hav~determinedthrufie~dinspe~ti~ns~ndreview~fMuni~ip~r~r~a~~ms~re in conformance with Mo~¢ HAA guidelines in effect on this date. ~"~""~ Signature ..,-.._ - 7 ..... Date , -' ¢ ' ~ _, '~., . , HAA Fee $. Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ f//~; -- .. / __ Date of Payment ~,/~?-.~7/?' '~- Receipt Number ~/'~'-¢:~ '::?- d//~"~;) Rick Mystrom, Mayor M fic paH y of AnChorage Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 June 9, 1997 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 3 Block 2 Mc Kinley View Estates Subdivision Waiver Request #WR970022 , PID #051-792-07, HA970218 Dear Mr. Cowan: Your request for a waiver of the required i0 foot separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 5 feet from the leachfield to the east property li~e. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department. If there any further questions or concerns regarding this waiver, please call our office at 343-4744. Sincerely, D~niel J. Roth On-site Services ljw #7 Alderman WR# WR970022 PID~ 051-792-07 Date Received: June 3 1997 MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet HA# HA970218 Permit Legal Description: Lot 3 Block 2 Mc Kinley View Estates Subdivision Engineer: Robert C. Cowan, P.E.~ S & S Engineering 17034 Ea~le River Loop Road, Suite 204, Eagle River, Alaska Applicant: Leroy & Donna Alderman 99577 Waiver Requested: Lot line waiver of 5 feet from the leachfield to the east property line Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption Co Permeability Do Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: .~ Waiver is NOT Granted: List Conditions or Reasons for above: ~' ~x~ rlFir. ~ Z~/4~,~'' Date: Name of Reviewer Rec ~: 02752(9183) Amount: $ 115.00 Date Paid: 6-3-97 ROBERT C. COWAN, RE. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS May 30, 1997 (907) 694-2979 FAX (907) 694-1211 HEA~HAUTHORITY APPROVALS SEWER&WATER MAiN EXTENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 3; Block 2; McKinley View Estates 24447 Centurion Drive Request you issue a Health Authority Approval on the referenced property and grant a waiver for the horizontal separation distance between the leachfield and the4property line at five (5) feet. We do not anticipate any adverse effect on the adjacent property. If you require additional information, please contact us. Sincerely, F~obert C. Cowan, ?. E. RCC/gk 17034 NORTH EAGLE RIVER LOOP ° SUITE 204 · EAGLE RIVER, ALASKA 99577 S 89°58'25"E 93.50 (R) ~ 20' ELEC., TELE., 8, DRAIN. ESMT. I ~ USE '5' ELEC 8 8~°57'53"[ ~3.41' (M) ~ S 89°58'25"E 93.50 (R) ~__ CENTURION DRIVE ' ~-~ ~ m o ~o~z m ~ c ~.~' c ~oO=o '~ ~ '.. ~: ..~ MUNICIPALITY OF ANCHORAGE ~ ~ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FA..CILITY 264-4?20 Application Date November 19, 1987 GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 3; Block 2; McKinley View Estates Location (address or directions) Centurion Drive (b) Applicant Name Vet. Ad. in. Telephone: Home Business Applicant Address 2.~5 E. gth Anchorage, Alc.~ka 99501 (c) Applicant is (check one): Lending Institution []; Owner/builder [~; Buyer []; Other [] (explain); (d) Lending Institution IA House- Vet. Admin. Address Telephone (e) Real Estate Company and Agent Area-Coldwell Banker Address 4105 Tudor Center Drive Anchorage, Alaska Telephone 56 I- 2488 Bob Martin 99508 (f) the HAA to the following address: 17034 Eagle Ri,Yet Loop Road ~o. '204 Ordered by Bob Martin Eagle River, Alaska ~9577 TYPE OF RESIDENCE Single-Family~ Multi-Family[] Number of Bedrooms Other 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 ~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 (11,84) Page 1 of 2 ENGINEERING FIRM PROVIDINb ,~ISPECTIONS, TESTS, FILE SEARCH, DA, 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 Address S & $ ENGiNEERiNG Date 17034 Eagle Rid'er Lool~ Road No. ~0~ Eagle River, Alaska ~)527 Telephone DHEP APPROVAL Approved for ~"~--'~-? bedrooms by Approved ~/'X~ Disapproved Terms of Conditional Approval Conditional Date CAUTION 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 (11/84) WELL DATA ~k' ~': i:~:~I~''UI~II:'I~I~PALITY OF ANCHORAGE (MOA) !.!~\/[,~..)~!,/~,1/\~ ....... HEALTH AUTHORITY APPROVAL (HAA) ~ ~,~ CHECKLIST ~ FEBRUARY 1984 ,= . ,~ 26~-4744 Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot A If A, B, C, D.E.C. Approved (Y/N) Date Completed Yield Cased to Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~ ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/~G TANK DATA Date Installed Standpipes ~_.)N) y Air-tight CapsON) Depression over Tank (Y(~ b-~ Pumping/Maintenance Contract on File (Y/N.)\) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Hobtmg Tank: To Water-Supply Well "~_~.~c;> l--~r' /\ '~ \'¢¢ '~)'7~-Size _~ ~__~ No. of Compartments '2/ Foundation Cleanout (Y/N) ~Date Last Pumped ~\/'~,-~ ; for Temporary Holding Tank Permit (Y/N) To Property Line To Water Main/Service Line Course Comments To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72 026 fRev 8/86/ Front C. AB,~;ORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed _ I.\ Width of Field Length of Field Type of System Design Depth of Field Gravel Bed Thickness .... .L Square Feet of Absorption Area '~" ¢r;'~_~ ~/~ Standpipes Present.N) Depression over Field (Y/~-). Date of Last Adequacy Test __Il Results of Last Adequacy Test ~'~ _,~.~L.~,~-~:._~~,._/ ~ .-;z_.~ Separation Distance from Absorption Field: To INater-Supply Well ~ I.~__~ ....... To Property Line "Z'~r~ ~ To Existing or Abandoned System on 'Fo Building Foundation Lot ~t& ; On Adjoining Lots 'PP'LL~ f To ~Nater Main/Service Line \ ~ To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course ~. 4.)~:3> To Driveway, Parking Area, or Vehicle Storage Area ~:~[L) ~ Comments . _ _ Date Installed _ ___---~. Dimensions _ _ . Size in Gallons ~ Manhole/Access (Y/N) "Pump On" Level at ...... "Pump Off" Level at Water Alarm Level at ~Vent High (Y/N) Tesled for _ Pu~uring Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ~'- ** Check Permitted Bedroom Rating Against HAA Request ** certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Sigrl~o& S ENGINEERING Date . . /'~ CZ-d~ ¢ ~¢~ 17034 Eagle Ri,vet Loop Road No. 20~4OA No. -4:~ ---c_o~ ~ Corl~ ~V~, Alaska ~577 Receipt No. ~ ~ /-- O OO~ Amount: $ ~_~ ~ O Page 2 of 2 7%026tRey 8/861 Rack ANCHORAGE/WESTERN DISTRICT OFFICE 3601 "C" STREET, SUITE 133~ ANCHORAGE. ALASKA 99503 563-6775 DATE: PWSID #: J anu ar~_~ ~_~ 210697 To Whom It May Concern: According to the records on File in this office, the ~ICKINLEY VIEIV ESTATES SUBDIVISION Water System is in compliance with the State of Alaska Drinking Water Regulations. Sincerely, Ronald S. Klein Environmental Field Officer Time Time ,e Date Date Date Inspector Inspector Inspector /1,, Comments Conditional Approval 12~T Date Sewer Installed Permit No. (~ X C)~ ~ Septic Tank Size ( ~.. ~,~ ~/_ 1 ~ _%~ Holding Tank Size Soils Rating Well To Absorption A~ea Well Log Received Well to Tank ~ ) APPLICANT FILLS OUT LOWER HALF ONLY Buyer ~' Address Lending Institution / Legal Description t~~_.~¢~ -<¢"1 k~ ~'(~.~*,~ L~' (=~' , Street Location Type ~f Residence (1 Single Family L3 Multiple Family No. of Bedrooms ~". B Other Water Supply ~/Individual ATTACH WELL LOG. A well Icg is required for all wells drilled since June ~'Communi[y 1975. For wells drilled prior to that date, give well depth (attach Icg if ~ Public Utility~ .................................. ~va~il_¢~le.) ................ ~ Sewage Disposal }% ~ [a Individual Year Individual Installed: ......... ~ Public Utility When Connected to Public Utility: Ij Holdin( f'ank