HomeMy WebLinkAboutLAKE RIDGE TERRACE BLK 5 LT 3ALake Ridge Terrace
Lot 3A
Block 5
#051-313-20
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
go
On-site Services Section 825 V Street Room 502
P.O. Box 198850 Anchorage, AK 99519-8850 Page of
www.d.andtorage.ak.us (907) 3434744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number. StJODD tpo PID Number.51— 13-20
—� - -- -.
L.),, A14
Wastewater System: ❑New EL Upgrade
Ad&
m / 9/G !✓JD��4`T/1 /{vc . Eo It /girt✓ti
ABSORPTION FIELD
p10Af: Hrrear a Bseoaro:
3
01)m T.Xh 1 (SWT..M Q Bad D M"nd O Gorr.
LEGAL DESCRIPTION
SIM ROW. Q
D•
Tow Do°°"°"'W "'°'d°
GPGIFl
Bbrk: 1pl:
3 A �°°„�':
,-
DroFt n pw swan Nam"qnr vada:
W
Gravel dapm erratn ppa:
To+.ur+p: Fbrpe:
0 s fl.
Fr added ab" atyrW Wade: 10
3 Fl.
lanpot:
1 %S n.
to
Well: New UP9m
Graver wroi:
s
Ft.
HrrDer Of trove: DrMnn be Lira:
Ft.
I FL
Cb elkata n (Private. A 9. CkTar Depot:
gated to:
Tar ar
eegm area:
SB (o
P"""*: 363�/
Draw.
res �xtC� (I a" Draw:
stmt wrw tevar:I FL
Fl
.I`0e.71i r-auc e,'M.
o
11103121060
nave:
Pump sr r:
caeawHepMAeo Gl&,W:
TANK
GPM
it.
fl.
SEPARATION DISTANCES
p septic p Holding S.T.EP. Q Other.
To
Fram
Septic
Tank
Absorptlon
Field
Uft
Station
Holding
Tank
Publicprlvar
SevmrLineA)e,%
ver.
(SE 7A V*_-
.
/2 SD Gr
Wei
/00'1-
lob I.-
/OD'F
Z4
LIFT STATION
'o"'_
o'"
//8D''•/
o` <
122 9-n Gr.
E/ODA/o
V n r:
In.
Pa^V orat,rlCo
2 Ij N ae,a, *:/O
g in.
y
/f/oD/+
rwaaMoel
306*tl
Elti erpomwisTperwrerd er
iAn t .lpan ied.
Alen sown
BENCH MARK
-�� LL
(vin/JTZ /h/C ej,41vC/
Lo iw,ciGewptm;
iF6 Lr1 sx leew aeo* GI,u/Q f✓/.✓1z,..
/pO FL
OF
Inspections performed by: AA/Eia 411 Dates: 1' /D 3/ D / * ' 9
....... ............... _ ... '..r.../
2m // 0 .................
'�. INN D
Department of It u7.n Services approva / CE -9118 a
Reviewed and approved by: L Date: -2.2 'DO 1 e
(xe. urvvr �-'.....
�FEssto��—
AS—BUILT SYSTEM DETAILS/SITE PLAN Permit# SW000460
LAKE RIDGE TERRACE, LOT 3A, BLOCK 5 PID# 051-313-20
& 2 A
SEPTIC
Awl OF A
.... Z44's ,
Tli*
PREPARED FOR:
LINDA FRANK
14916 WOODLAND AVE.
EAGLE RIVER, AK 99507
240-8585
69'
/.....•..............""—'..,,
KENNETH M. U or
CE -7116 *4
.........
SsIo'0' Ar
FIELD BOOKS
COMPUTM
@'SEWARD
D"w: y8c;
SEWARD
00'
KND THS00-1
DAM 11/7
M FLL.
am NW653
Am F`D0069.DWG
00069
3SEPTIC+
PIPES
K
RADIUS
lov
9.7
A -C=39.0'
7101.7
B -C=6.6
N
H
A -D=42.. I,
FINAL GRADE
B -D=11.1'
ja
JGAL
A -E=5 .01
B -E=31.5'
1250
S. P.
X'�
A -F=53.5
TANK
T
*r.'..'z;:V%.:"-'SEWER ROCK
B -F=66.6:
Awl OF A
.... Z44's ,
Tli*
PREPARED FOR:
LINDA FRANK
14916 WOODLAND AVE.
EAGLE RIVER, AK 99507
240-8585
69'
/.....•..............""—'..,,
KENNETH M. U or
CE -7116 *4
.........
SsIo'0' Ar
FIELD BOOKS
COMPUTM
@'SEWARD
D"w: y8c;
SEWARD
"CKM KMD
SEWAR D
DAM 11/7
M FLL.
am NW653
Am F`D0069.DWG
00069
SCALE, I* - 50'
SCALE- NTS cz895 a
Mill LLY ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-87361
E'
K�D ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
Kennn•n M. L
CE 7116
SOILS PERCOLATION TEST
Performed for. Linda Frank Date Performed: 10/10/W
Project. Lake Ridge Terrace Block 5, Lot 3A TEST HOLE# 00-2
Depth
(Feet) SEE ATTACHED SITE PLAN
1-
2-
3-
4-
5-
6-
7-
8-
9-
10-
11-
12-
13-
14-
15-
16-
17-
18-
19-
20-
Org- brown moist
GP -brown gravelly sand
GM- gray, silty, sandy gravel
B.O.H.
HOLE PRESOAKED
PRIOR TO TEST
FOR HOLE LOCATION
Was Ground water encountered? NO What depth? NA
Depth to water after monitoring? NO Date? 10/17/00
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
10/10/00
2:00
-
7"
-
2
2:30
30 min
49/16"
2 7/16"
3
•
2:31
-
7"
-
4
3:01
30 min
4 9/16"
2 7/16-
5
•
3:02
-
7"
-
6
332
30 min
49/16"
2 7/16"
M"-"�r
Added
Percolation Rate 12.31 (min/in) Perc Hole Diameter 6"_
Test Run Between 2.5 feet and 3.5 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
Rising Son Elecrrlc
Nov. 16, 2000
807 eee 6777 11/16/00 OS127P P.001
Rising Son Electricjnc.
P.O. Box 670687
Chugiak AK, 99567
(907) 622-6777 RECEIVED
NOV 17 2000
Oep uHeap lit of Anchorage
Human services
Re: Lift Station at 14916 Woodland Ave. Eagle River, AK 99577
To Whom It May Concern:
This letter is to certify that Rising Son Electric,Inc. Electrical Administrator
license number 1284, Contractor license number 27285 has successfully completed
the electrical connections in accordance with the N.E.C. for the lift station at the
above referenced property.
Should you have any questions, please do not hesitate to call me..
Thank you.
Sinc/�X
Kevin S. Hornbuckle
Administrator/Pres.
KSH/cmh
Permit Number: SW000460
MUNICIPALITY OFANCHORAGE
Department of Health and Human Services
On -Site Services Program
825 L Street, Room 502
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
CA'D---(:77cn-,
1013 P
ii /3 /ate C ia,3oPx
Date Issued: Oct 27, 2000
Expiration Date: Oct 27, 2001
Parcel ID: 051-313-20
Legal Description: LAKE RIDGE TERRACE BLK 5 LT 3A
Design Engineer: 0070 KND Engineering Site Address: 014916 WOODLAND AVE
Owner Name: Frank Lot Size: 32488 SQ. FT.
Owner Address: 14916 Woodland Ave. Total Bedrooms: 3 Permit Bedrooms: 3
Eagle River , AK 99577 -
This permit is for the construction of:
F✓ Disposal Field F✓ Septic Tank E] Holding Tank 0 Privy ❑ Private Well ❑ Water Storage
All construction must 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 engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
T: INTEGRITY OF EXISTING SEPTIC TA•NK SHALL BE VERIFIED AS GOOD PRIOR TO ITS REUSE.
GG ti G �-/tG A- s4 1 G('
Ia•s�"-lI1`i� w %1�'t s�a�r:... 7a—T•—•o �..p.
Received By:
Issued By:
Date:(, 4j
Date: v —orr-
J
KND ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11/FAX (907)696.8111
Oct 19, 2000
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: Sewer Upgrade — LakeRidge Terrace, Block 5, Lot 3a
Gentlemen:
The owner has requested that we obtain a permit to upgrade the referenced
property's septic field, which has been determined to be in failure. On Oct. 10, 2000
we dug one testhole for the proposed system. The results of the test are attached.
The general slope of this lot is from west to east at a grade of approximately 0 -1%.
We have designed our system utilizing the testhole we excavated for the existing 3 -
bedroom house. Although the other soil stratas were not percolated, the material
appears to be significantly the same as the percolated strata. The lot is served by an
individual well. We propose to install a 5' wide trench. Water was not
encountered during the excavation, however we found water at 9.5' during
monitoring.
There are no public or private wells within 200' of our proposed system location
except as noted. There is no surface water within 100' of the proposed system and
there are no known curtain drains within 50'. We do not expect there to be any
adverse effect on adjacent lots by the development of this system. If you have any
questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
IKl`1D Engineering
Kenneth M. Duffus, P.E.
attachments: On -Site Well and Sewer Application
Wastewater Absorption System Details/Site Plan
Soils Log/Percolation Test
WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLA
LAKE RIDGE TERRACE, LOT 3A, BLOCK 5
I I 6 \lA
1 o:e
K I *..........: ---- -----
----------
--
--------=-
5 i ------ --------
495491
17 UTA
2A
q
4A
1 f •: A
No PVILIC WELLS WITHIN ear Or
PROPOSE 0 SYSTEM
NO PRIVATE WELLS WITHIN IMV Or
PROPOSED SYSTEM EXCEPT AS NOTE&
NO SEPTIC SYSTEMS WITHIN CDD' d'
PROPOSED WELL EXCEPT AS NOTED
din OF Lam\
�........................9s
991
* '�
�' �' � tit"'
At
1
.....................
••
\ES3IONNAV
—
gm
00,
DESIGN DETAILS
3 BDRM X 150 GPD - 450 GPD
450 GPD/.8 GPD PER SO. FT. (13.3 MIN/IN.)= 563 SO. FT
(563/5'(W)) X .58(RF) (3.0' GRAVEL) = 66 FT. TRENCH
USE 2 TRENCHES - to 43 (L) X 5' (W) X 3.0'CD)
- IE 23 (L) X 5' (W) X 3.0'(D)
Total depth of system is 4.0' From original grade.
Total depth of gravel below distribution pipe Is 3.0' .
NOTES:
1. USE EXISTING 1000 GAL. SEPTIC TANK.
2. INSULATE TRENCH WITH 2' HD BURIAL FOAM.
3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INTO SEPTIC TANK.
4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE
MIN. 3' COVER IF REQUIRED.
5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT
WELLS 5 SEPTICS.
PREPARED FOR:
LINDA FRANK
14916 WOODLAND AVE.
EAGLE RIVER, AK 99507
240-8585
FIELD BOOKS
°O1MO"X'° SEWAF
srAXrt SEWAF
SEWAF
DXa n..
ACAD PRE: nnnen
COMPUTED.
DRAW VBG
CHEOM KMD
DATE 10/13,
OD, NW652
J'a N.: 00069
Scale: 1'= 100'
PAGE 1 OF 2
ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
I
111
ISTING 3
'M HOUSE
WASTEWATER DISPOSAL SYSTEM DETAILS
LAKE RIDGE TERRACE, LOT 3A, BLOCK 5
O
TH#KN
US
FC
00-01
XIS,
-0 TANK
I
IjIK;01§4
AAW 'IF ......... AZ4,
F R 0 P 0 '
SYSTEM
O
- ----------------------
DRIVEWAYO�
r-7116
CE
.........................
SSIO0, Ar
STING SEPTIC SYST
co
NOTE: CAUTION
ELECTRIC
PROXIMITY
SYSTEM
PREPARED FOR:
LINDA FRANK
14916 WOODLAND AVE.
EAGLE RIVER, AK 99507
240-8585
FIELD BOOKS compvTm
eoj'*O�' SEWARD DRAW VqG
STA�m SEWARD 0"10= KMO
SEWARD OAa: 10/13
CRO NW65,'
'm F"00069.DWGj ""•' 00069
Scatel I'= 20'
PAGE 2 OF 2
MUN11W ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-87361
KINDENGINEERING 49
40
20441 PTARMIGAN BLVD. i*
EAGLE RIVER, AK 99577-8736 ee
Kenneth AL D
SOILS PERCOLATION TEST CE f� e_ CE 7116
Performed for: LINDA FRANK Date Performed: 10/10/00 -
Project•. Lake Ridge Terrace L3A B5 TEST HOLE # 00-01
Depth
11 -
12-
13-
14-
15-
16-
17-
18-
19-
20-
ORG- brown, moist
GM/GP - brown sandy gravel
GM/SP-gray sandy silt, some
gravel
B.O.H.
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Groundwater encountered? NO What depth? NA
Depth to water after monitoring? 9.5' Date? 10/17/00
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
1
10/10/0
0
11:45
-
7"
-
2
11:55
10 min
51/2"
11/2"
3
12:05
10min-
4-1/2"
1-
4
12:15
10 min
3-1/2"
1"
5
12:25
10min-
2-3/4"
3/4"
6
'
12:30
-
7"
-
7
12:40
10min-
5-1/2"
1-1/2"
8
12:50
10 min
4 1/2"
1"
9
1:00
10min-
3-3/4"
3/4"
10
1:10
10 min
3"
3/4"
11
1:20
10min-
2-1/4"
3/4-
12
•
Water
Added
Percolation Rate -13—L (min/in) Perc Hole Diameter 6"
Test Run Between 3 feet and 4 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
w OGREA. �RANCHORAGE AREA BOR`jGH
Department of Environmental Quality
3330 C Street
Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAME AL 'C{ \ MAILING ADDRESS lel" �+� (�! �/ �PHONE 3��� 7S-
LOCATION�ku« LEGAL DESCRIPTION
SEPTIC TANK:
DISTANCE NUMBER OF
FROM WELL MANUFACTURERMATERIAL COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY/Oc" GALLONS.
TILE DRAIN FIELD:
DISTANCES:
INSTALLED BY: hoi
SEWER LINE DEPTH:
PIPE MATERIAL: �) c
LOT SLOPE:
REMARKS:
I) I
DIAGRAM OF SYSTEM
c'C, L_v,
DATE 1APPROVED V.�
C.0,
G.A.A. B.
TOTAL LENGTH
/
5-1
DISTANCE FROM WELL
I,) % FOUNDATION NEAREST LOT LINE
OF LINES
f
NUMBER OF LINES
DISTANCE BETWEEN LINES TRENCH
WIDTH36
IN. TOTAL EFFECTIVE
ABSORPTION AREA
SQ. FT. LENGTH OF EACH LINE
DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADE MATERIAL BENEATH TILE
IN. ABOVE TILE Wil.
WELL:
TYPE_
CONSTRUCTION
DEPTH
DISTANCE FROM:
BUILDING
NEAREST NEAREST SEPTIC
SEEPAGE
FOUNDATION
LOT LINE , SEWER LINE , TANK
, SYSTEM
CESSPOOL
, OTHER SOURCES
APPROVED
DISAPPROVED REMARKS
-
DISTANCES:
INSTALLED BY: hoi
SEWER LINE DEPTH:
PIPE MATERIAL: �) c
LOT SLOPE:
REMARKS:
I) I
DIAGRAM OF SYSTEM
c'C, L_v,
DATE 1APPROVED V.�
C.0,
G.A.A. B.
o"o���wJL A. R-1 L__ A ����imn. r-ii��
����
'~ `^ DEPHRTMENT,,l}F HEHLTH HND ENVIRONMENTHL/~�ROTECTION /-/'��+'
~` ` 825 � STREET, HNCHORHGE/ HK� /01 �o �
W�::fl Ir -J 9_;�::U»li][~N`
�
PERMIT NO. ( 77]54 )
HPPLICHNT 1407 WOLVERINE 99504 ]]]~7557
UNFIT ION SPRUCE ST
LEGHL LOT ]—H 131 RDG TERRHC LOT SIZE 41280 SQUHRE FEET
TYPE OF SOIL FAB SORBTION SYSTEM IS� TRENCH
MHXIMUM NUMBER
OF BEDROOMS - ] SOIL RHTING (SQ
140
THE REQUIRED
SIZE OF THE SOIL HBSORPTION SYSTEM IS�
U; IFF
jEi� P"f f7v _Y' [I �lf::�l Vii.:�: 4
THE LENGTH
DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR
DRHINFIELD
THE DEPTH
OF H TRENCH OR PIT IS THE DISTHNCE BETWEEN THE SURFHCE
OF THE
GROUND HND
THE BOTTOM OF THE EXCHVHTION (IN FEET).
THERE IS NO
SET WIDTH FOR TRENCHES.
THE GRHVEL
BEPTH IS THE MINIMUM DEPTH OF GRHVEL BETWEEN THE
OUTFHLL PIPE
HND THE BOTTOM
OF THE EXCHVHTICAA (IN FEET).
��
�- 11 " JE C_':: l- OR Wj W,
. . ...... P".4�
W W tin ;Z;:.'.:
-::,1 1, 1: Cs I WN AN k9l riiiiii-.: y ]F������
BHCKFILLING OF
HN' -r' SYSTEM WITHOUT FINAL. INSPECTION HND HPPROVHL
BY THIS
DEPHRTMENT WILL
BE SUBJECT TO PROSECUTION
MINIMUM DISTHNCE BETWEEN H WELL HND MY ON—SITE SEWHGE DISPOSHL
SYSTEM IS
100 FEET FOR
H PRIVHTE WELL OR 200 FEET FOR H PUBLIC WELL
SPECIFICATIONS HND CONSTRUCTION DIHGRHMS HRE HVHILABLE TO INSURE
lNSTHLLHTION.
PROPER
r.:-:::"�������
�F,-;!!
I CERTIFY THHT
1� I HM FHMILIHR
WITH THE REQUIREMENTS FOR 1311055ITE SEWERS HND WELLS HS SET
FORTH BY THE
MUNICIPHLITY OF HNCHORHGE
2I WILL INSTHLL THE SYSTEM IN HCCORDHNCE WITH THE CODES
]I UNDERSTHND
TH TE SEWER SYSTEM PI REQUIRE ENLHRGEMENT IF THE
RESIDENCE IS
REMOD [KU�� �4ORE THHN ] BEDROOMS
HPPLICHNT HLL~PECK
�
17
0 Et E GEO ECHNI CAL Et DEVEL 'PMENT CO.
Russell Oyster
694-2774
Soils Et Foundations
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
SOIL LOG
Ear/ Ellis
688-2280
Land Development
Performed for: Name:Tel. No. 3
Mailing Address: 1 ��tQ"C ��,; v'; �ti `� . ��� �,,L, , C(' 41
Legal Description:'
Depth (feet)
Soil Characteristics
0
'� '11.�
e' oi
2 ,
3 sxt
��H 1. c:c�l.� � \b<�' '�`A'f '7. �• `�El t�:r :;cc4.S � i �}e,\a � -=. i > /4?,2.
5
-t<- V 4-'�
c„ �`] ✓Vii',;
7
s Wl
t �
y
8
9,
10
11
j
�'a CLQ • `` \\ t1 � Z'.� \rA`1i,-� L%. �� � :�i��} 1. �-�
� C�i.��4/� ��i'....
12
13
14
15 --
16
Ground Water Encountered: Yes ® No If yes, what depth
Proposed Installation: Seepage Pit Drain Field
Comments: \� h A CI..,.`��rt� = �c72. �t �✓ 2-t:l+`h �.'`* \'VNwl�il
V
-we- ��tl i�, c,�4;.$ <a `s� 4,! i K: "� •41Z 1�r> G.
Performed by:Date:
-l._ °,r" CH F IF - 1 T'A a 9' .'") F, - D=H Ca IE --
DEPARTMENT HEALTH AtA) Et•d'•,'IRONMENTAI.... . RIOTECI-ION
825 -'L-' STREET, ANCHORAGE., AF::. 99501
279-2.511
:E+" 2.511
L -J E_- � _ L. F1 i°-"@ � n_ e h r°".9-- - I _. Y_ F:'. ^_" E=_ 04 E-__. F_' IF=" Imo. FP„ U'l if ." F
PERMIT NO. 77:11-2.
F'IPPLICANT EL -WOOD PEEK P. O BOX 574 CHU:;IAE: AK r.;;;;=, 2j,, -'l-0
LOCATION WOODLAND AVE
LEGAL L_:A B5 LAE :ER I DGE TERRACE SUBD LOT SIZE 22501.-.1 SQUARE FEET
TYPE OF SOIL_ HB:_•G: �RBT I ON SYSTEM IS: e TRENCH
MAXIMUM NUMBER OF BEDROOMS - �:=OIL RATING t:Si-� 1,'BL=:��--
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM I 77
.DIMENSION
IS �.sF'TI �E". 'FRENCH _ „O....�R �..D� R�A I NF^=I�
F1,E.1HCLENGTH _tai E a
THE' DEPTH OF H TRENCH OR PIT IS THE DISTA C _ BETW _'N Tl -IE C-.JRFACE OF THE
GROUND ANDTHE BOTTOM OF THE= EXCAVATION IV l'::.
THERE IS NO SET WIDTH FOR TRENCHEti7
THE; GRAVEL DEPTH I S THE M I td I Ml_Ih1 FEET). E ET'{,J Et+l 1 HE C11JT'F i iL..l_ F' 7: F'E:
AN THE BOTTOM OF THE: E:-:C:A','ACIO d IN FkE.T). �
F -" R=U u__ 1--. V4 C-3 E_ F=' 1_._" F:9 h--1 -I-
EITHER A CLASS I OF, II
A CONT I tai_UT US rNA I NTENANC:E
AGREEMENT IS NOT KEPT CU
ABSORPTION '_SYSTEM AND/OR
IF A CLASS I S'•r'STErl IS USE
IF' A CLASS ISYSTEM IS US
BACKFILLING OF At 4. SYSTEM WI
DEPARTMENT WILL- BE .SUBJEC:T T
� l
APPR:+, v C.:• PLANMAY BE INSTALLED.
IREEMEP;d IS REQUIRED. IF A MAIN TEP
-JAhlCE
_NT YOU t AY BE REQUIRED TO ENLARGE: THE ._OIL_
'JU MAY BE '-UB __CT To PROSECUT I i N.
THE LENGTH IS 4.5. 0 FEET.
'D THELENG-T'H IS 5:,. 0 FEET.
1. eD E".."{</f = F=e Fes- lam: 44._'V f:a LJ 1:
TH IS
't_ dSFCtaFF=Er
,ROSE UTION
MINIMUM DISTANCE B ._64E -E: l - WEL.L. NE) ANY Or -4 -SITE 'SE WACiE DISPOSAL :-�Y STE.M :E. S
a_E°i%� FEET FOR ti F'Rl''•r'FI _ L_L OR ��-0 FEET FOR A PUBLIC WELL.
L•.IEt_L U=n_;u• ARE F:E� tt-I I REC..: H .1C:r-t'11J C BE RETUE:taFC: TO THE C?E:F'HE'. T t'IF t,IT WITHIN _i C:q=pr -•
OF' THE WEl...L COMPLETION.
SPECIFICATIONS At' D CONSTRUCTION DIAGRAMS ARE AVAILABLE TO :1: i'•.I' Si. IRE PR(:'.�F'EF:
It•I_TALLATIC ON.
F.." ii-_ Ire='t H I "-r "°°"° F-1 I- I ESA F n: --n F_' Co P -J E=:: °-0 0-_ ' Fh !F.? IF - Pei .11 "= " II._9
I CERTIFY THAT
1: I' AN FAMILIAR WITH THE REQUIREMENTS FOR 1. -JN . 5 I T'F_. SEWERE; AND WE:.L_.L-.:= AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
1 WILL INSTALL THE SYSTEM IN AC:CORD-iNC L'aI11i THE ("ODES.
3: I UNDERSTAND THAT THE ON --'SITE SEWER SYSTEM MAY REQUIRE: ENL_ARGEMEEl' T IF THE:
RESIDENCE IS REMODELED TO INCLUDE MORE. THAN 4 BEDROOMS.
.
APPLICANT ELWOO... "EEK
" O Et E GEO -CHNI CAL & ®EV'EL :'I!>fiENT CO.
Box 90, Davis St., Eagle River, Alaska 99577
694-2774 or 688-2280
Russell Ovster
694-2.774
Soils & Foundations
SOIL LOG
-Far/ F_llis
688-2280
Land Development
Performed for: Name:\i el. No.
Mailing Address:b
Legal Aexcrintion: �q C't-
Depth Meet) Soil Characteristics
1 �r ..' :� r ►r v P�>O� v VJl (9t 3 L. J � � r11 C5 �tA Are—
2�
3
4
5
6
7
8
9-
10
-10 -_
12
13
14
15
16
Ground Water Encountered: Yes No If yes, what depth _
Proposed Installation: Seepage Pit- Drain Field
Comments:..�,�g
Performed by: �� aa/ a -� Date: -Z/6 nghs; %%
!� Municipality of Anchorage
p Y
On -Site Water & Wastewater Program -
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I. D. 051-313-20 Expiration Date:
1. GENERAL INFORMATION
Complete legal description
Location (site address)
Current Property owner(s)
Mailing address
Real Estate Agent
2. TYPE OF DWELLING:
KEVIN & CHANA HORNBUCKLE Day phone 622-6777
14916 WOODLAND AVENUE *EAGLE RIVER, AK 99567
Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY:
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Well
❑
Community On-site
❑
Public Water," stem
❑
Public Sewer
❑
„
>-!
COSA Fee $ d Waiver Fee $
Date of Payment _ _3125_/13 /� Date of Payment
Receipt Number_.. �73fa226 t Receipt Number
COSA # 13V J tP 0 Waiver #
5. 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,
Name of Firm GARNESS ENGINEERING GROUP, Ltd.
Address 3701 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 to 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 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 person or party is not authorized, nor will it confer any legal right whatsoever
6. DSD SIGNATURE
System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
Disapproved.
Phone
337-6179
Date
oo�opp
p* P49TH �pG
�....:... .... . . ...... �I
P '•.Je Garne
OQ E% 79 oQ
4` \,_rof essio%l
Conditional approval for bedrooms, with the following stipulations:
tOF AIV,,
`J ON-SITE 0
WATER AND
=o WASTEWATER o;
�r PROGRAM
The Municipality or Anchorage Develogemt Services Division (DSD) issues Certificates of On -Site Systems Approval OSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State c Alaska.
The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work.
I
7. ATTCHMENTS:
COSA Checklist Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
By: 02
(Rev. 71105)
Original Certificate Date: - r " / 2>
If more than I septic system is on the lot:
COSA Checklist # of_
Structure served by this system
Certificate of On -Site Systems Approval Checklist
Legal Description: LAKERIDGE TERRACE; BLOCK 5, LOT 3A
Parcel ID: 051-313-20
A. WELL DATA *PER GEG INSPECTION **ASSUMED BASED UPON SURROUNDING WELL LOGS. SEE ATTACHED.
Well type PRIVATE If A, B, or C provide PWSID# N/A
Date completed 1977' Sanitary seal (Y/N) YES
Total depth *1 16+ ft. Cased to **40'+ ft.
FROM WELL LOG
Date of test NO WELL LOG
Static water level ft.
Well production g.p.m.
Well Log (Y/N) YES
Wires properly protected (Y/N) YES
Casing height (above ground) 12+ in.
AT INSPECTION
1/25/13
111111111511
14 g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml. Nitrate' 1 I mg./L. Collected by: GEG. Ltd.
Arsenic: /�JQ ug./L. Date of sample:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material STEP/STEEL Date installed 10/31-11/03/00
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES
Date of pumping 10/1 1)7- Pumper �' �� 0 U M 1V�2,j
C. ABSORPTION FIELD DATA
Date installed 10/31-11/03/0o Soil rating (g.p.d./ft`or � 0.8 System type TRENCH
Length 68 ft. Width 5 ft. Gravel below pipe 3 ft.
Total depth *6.29 ft. Eff. absorption area 586 ft2 Monitoring tube YES Depression over field NO
Date of adequacy test **1/25/13 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 18.5 in. Water added 870 gal. New depth 29.5 in.
Elapsed Time: 130 min. Final fluid depth 28.5 in. Absorption rate >= 450+ g,p,d,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE If yes, give date
**2000 TRENCH TESTED ONLY
D. LIFT STATION
Date installed 10/31 —1 1 /03/00 Size in gallons 1250
"Pump on" level at 44 in. ,Pump off,, level at 42 in.
Datum BOTTOM OF TANK Cycles tested 3
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Manhole/Access (Y/N) YES
High water alarm level at 48 in.
Meets alarm & circuit requirements? YES
Septic tank/lift station on lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main N/A
Sewer /septic service line 25'+
Animal containment areas 50'+
Public sewer manhole/cleanout N/A
Holding tank N/A
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 N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line *1.8, Building foundation 10'+ Water main N/A
Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 1'
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
*WR#000102
G. ENGINEER'S CERTIFICATION
i certify that / have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name JEFFREY A. GARNESS
Date 7h Yk3
(Rev. 11105)
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ASBUILT
I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE:
FOLLOWING DESCRIBED PROPERTY:
DATE•
AND THAT NO ENCROACHMENTS GIST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY GRID:
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB`
ANY DATA HEREON BE USED FOR CONSTRUCTION S ��
OFFENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN:
ARY LINES. f,
•Q OF q °`gym
Duane Mark !;;ward '',y
Municipality of Anchorage
Department of Health and Human Services
Division of Environmental Services
On -Site Services Section 825 'L' Street Room 502
P.O. Box 196650 -Anchorage, AK 99519-6650
www.ci.anchorage.ak.us '
(907) 343 -4744. -
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D 051-313-20 HAA# fGftDC�lSB�
" Expiration Date:
1. GENERAL INFORMATION
Complete Iegai description Lake Ridge Terrace SID, Block S. Lot 3A
Location (site address or directions) 14916 Woodland Avenue, Eagle River, AK 99577
ti
Cdirent Property owner(s) - Llnda Frank " Day phone
Mailing address
Lendinga9 " Day phone
Mailing address -
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by.,
2.. NUMBER OF BEDROOMS:.
3.-: TWE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ®. .Individual On-site .
Individual Water Storage ❑ Individual Holding tank ❑
Community Class ' ' Well ❑ Community On-site ❑
Public Water System ❑ Public Sewer - - - ; : ❑
The'Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of
Health Authority Approval (HAA) based only upon the representations given' in paragraph .5 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) on properties served by a single family
on-site wastewater disposal and/or water supply system. DHHS also Issues HAAs upon request to home
owners. 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 sample results less'than 30 days old.
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
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 Health Authority Approval Guidelines for 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.
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 ail applicable Municipal and State codes, ordinances, and regulations in effect at the
time of installation.
Name of Firm KND Engineering Phone 696-6111
Address 20441 Ptarmigan Eagle River, AK 99577
Engineer's Printed Name Kenneth M. Duffus Date 11/16/2000
P(E OF.q�gs���
491-H r. Ls
ton ;4
�.
6. DHHS SIGNATURE
Approved for bedrooms. "POO
Disapproved.
Conditional approval for. bedrooms, with the following stipulations:
Additional Comments
'Attachments:
HAA Checklist X Maintenance Agreements
Septic System Advisory Supplemental Engineer's Report
Well Flow Advisory Other
By: r Original Certificate Date://'22 ^00 -
Expiration Date -,Z-422-00 Reissue Date:
RECEIVED
- Municipality of Anchorage
Department of Health and Human ServiceSNOV 17 2000
Division of Environmental Services
On -Site Services Section 825'1.' Street Room 5RINICIPALITYOFANCHORA
P.O. Box 196650 Anchorage, AK 99519-66
www.ci.enchorage.ak.us RONMENTAL SERVICES DIVISION
(907) 3434744
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: Lake Ridge Terrace. Block S. Lot 3A Parcel I.D.: 051-313-20
A. WELL DATA
Well type Rrivat If A. B, or C provide PWSID #
Date completed Sanitary seal y
Total depth ft Cased to 40,+ ft
FROM WELL LOG
Well Log N
Wires properly protected y
Casing height (above ground) 24 in.
AT INSPECTION
Date of test 9/29/2000
Static water level It 114 ft
Well production 9 -p.m 3.8 g.p.m
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 ml Nitrate 2.89 mg/1 Other bacteria 0 colonies/100 ml
Date of sample: 1011712000 Collected by: KND
B. SEPTICIHOLDING TANK DATA
Tank Type/Material Steel
Date Installed 10131100 Tank size 1250 gal Number of Compartments 2
Cleanouts y Foundation cleanout y Depression over tank tt High water alarmina
Date of pumping Pumper
C. ABSORPTION FIELD DATA
Date installed 11/03100 Soil rating (g.p.d./fe or felbdrm) 9.8 System type Trench
Length 68 ft Width 6 ft Gravel below pipe 3 ft
Total depth 5.72 ft Effective absorption area ¢$eft Monitoring lube y Depression over fieldrn
Date of adequacy test Results (Pass/Fall) 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.) (YIN & type) If yes, give date
(Rev. 11199)
D. LIFT STATION 1 � 1
Date installed 10/31100 Size in gallons 1250 Manhole/Access Yes
'Pump on' level at 44 in 'Pump off level at 42 In High water alarm level at 48 in
Datum Bottom of tank Cycles tested 3 Meets alarm & dreuit requirements? Yes
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot 100' On adjacent lots 100'+
Absorption field on lot 100'+
Public sewer main 76'+
Sewer /septic service line _ 25'+
On adjacent lots 1001+
Public sewer manhole/cleanout 100'+
Holding tank 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 10'+ Property line 101+ Absorption field 10'+
Water main 10'+ Water service line 101+ Surface water 100'+
Drainage 100'+ Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 1,8' Building foundation 101+ Water main 10'+
Water Service line 10'+ Surface water _100'+ Driveway, parkingNehide storage 1.8'
Curtain drain 100'+ Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION OF .4
1 certify that I have determined through field Inspections and* ��
PA
review of Municipal records that the above systems are In i..
•N••••NN.N•.I•
conformance with MOA HAA guidelines In effect on this date.
Engineer's Printed Name Kenna:h Al. D•1•• ui;
_ Kenneth DuNus I, c, 7116
Date 11/16100 ,f 0 9Fi,:'••......••'.; E���
HAA Fee Waiver Fee $
Date of Payment 7 Date of Payment 1////7 2r>
Receipt Number(5k: � �� Receipt Numberd'11'0a'V
(Rev.11/99) U) „ ` _ ,, 0
a
10-24-00 14:53 FROM -CTE ENV19`UTAL
ME Environmental Services Inc.
�a rirrrrrrirrrrrrrrr�
C &ERef#
Client Name
Project NamNN
Client Sample ID
Mattis
Ordered By
PWSID
Sample Remorks.
1006488001
KND Engineering
Lake Ridaee Terrace BS UA
Lake Ridge Terrace B5 13A
Drinking Water
0
5615301
l T-869 P.02/03 F-960
Client POA
Printed Datt/rlate
Collected Date rime
Receival DsteMme
Technical Director
Released BA 1fd/
10/24/1000 8:49
10/17/2000 12:30
10117/2000 14:20
Stephen Q Ede
"/ 064WA"
Parameter ltaults Allowable Prep Analysts
PQL Units Medaxl Limits pate Date Init
Waters Department
Nitrate•N
Microbiology Laboratory
Total Coliform
2.89
0
0.500 M91L EPA 300.0
col/100m1. SM189222B
10 max 10/17/00 SCL
10/17/00 KAP
George P. Wuerch,
Mayor
Municipa]W of Anchorage
Department of Health and Human Services
825 V Street
P.O. Box 196650 Anchorage, Alaska 99519-6650
h11p://www.c1.anchorage.ak.us
November 28, 2000
Ken Duffus
KND Engineering
20441 Ptarmigan Blvd.,
Eagle River, AK 99577
Subject: Waiver Request for Lake Ridge Terrace, Lot 3A, Block 5
Waiver Request #WR000102
Parcel ID #051-313-20
RA000588
Dear Mr. Duffus:
Your request for a waiver of the required 10 feet horizontal separation from the
on-site wastewater disposal system to property line has been approved. The approved
separation distance is 1.8 feet.
This waiver approval applies to the existing on-site wastewater disposal system to
property line 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 concems or questions regarding this waiver, please call our office
at 343-4744.
Sincerely,
&aZ
Im
Daniel J. Roth
Civil Engineer
On -Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Health & Human Services
Onsite Services
Waiver Review Worksheet
boa
WR#: WR00 PID#: 051313-20 HAM HA000588
Date Received: November 17, 2000
Legal Description: Lake Ridge Terrace, Lot 3A, Block 5
Engineer. KND Engineering
20441 Ptarmigan Blvd., Eagle River, AK 99577
Applicant: Linda Fronk
..........
Waiver Requested: 1.8 foot lot -line waiver
Criteria: 1. Geology
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
2. Special Conditions:
3. Other.
Points:
Total:
Permit#:
..........
Waiver is Granted: Y_ Waiver is not Granted:
List Conditions or Reasons for above: SEE ESV 6/N EER f � E j�BR o c dk rTi F�L�ty�rypy
D,4rind //- y-oa
Date: %%-22-00
Rec#: 06424 Amount: $115.00
By: j0AA1
..........
Name of Reviewer
Date Paid: 11117/00
KN L ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
11
(907) 696-6111/FAX (907) 696-8111
November 9, 2000
Municipality of Anchorage
Dept. of Health & Human Services
On -Site Services Section
P. O. Box 196650
Anchorage, Alaska 99519-6650
Subject: MODIFICATION OF SEWER UPGRADE & LOT LINE WAIVER
PERMIT SW000460 — LAKE RIDGE TERRACE BLOCK 5, LOT 3A
Gentlemen:
On October 27, 2000, you issued a permit for a sewer upgrade. In the field it was
discovered that the existing septic field was located partially in the proposed system
upgrade location. After consulting with DHHS, we have made the appropriate
modifications. Also, due to the elevation of the septic stub out from the
foundation, a 1250 gallon STEP tank was necessary. Verification of permeable soils
below 6' of system was performed during construction. All other items on the
previous request will remain the same.
Because of the necessary modifications that were previously mentioned, the system
was constructed within 10 feet of the property line (see attached as -built system
details/site plan). The system is still located within the test holes radii and we do
not expect there to be any adverse effect on adjacent lots by the location of this
system. We are therefore requesting a waiver to 1.8 feet to lot line at this time.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
EM Engineering
Kenneth M. Duffus, P.E.
Attachments: As -built
Inspection Report
HAA w/ waters
Soils Log/Percolation Test