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Home My WebLink AboutGLENN VIEW ESTATES WEST PH 1 BLK 2 LT 13Glen View Est. West #1 Block 2 Lot 13 #051-793-17 Municipality of Anchorage, • ,� Development Services Department • + • I _ �•' ..' Budding Safety Division = ,* On-Sde Water & Wastewater Program, 4700 South Bragaw St. s . - ' ii P.O. Box 198850 Anchorage, AK 99519.8850 www.d.an chorage.ak.us (907) 343-7904 Pog. 1 of 3 On Wastewater Disposal System and/or Well Inspection Report -Site Permit Number. SW010099 Pio Number. 051-793-17 JOHN THOMSON Wastewater System: • New • Upgrade Address:43 SANTA MARIA DRIVE • EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 240-2020 4 O Deep Trench ■ Shallow Trench O Bed O Mound OOth.r LEGAL DESCRIPTION Sell Raw 0.6 worn.. n. Total °'°WanM W10'MUM rt. Lot: Block: 13 2 GLENN 1 WEST Depthto pipe b.tbm flan original grade: 6.05' MAXIMUM n Crowd depth b.delh Aid 3.9+ Ft. Township:_Range: S.etbn: — — Plodded above .Aired grade: 0 — 0.5 pt. Gravellaw 107'(1052' & 1055') Ft. WELL: ■New ■Upgrade Omni.ldtk 5 rt. Number w Ones: Number olet nee between Ilse. 15+ Po CleeeNballen Vete* A.114):TotalCasedTe rt. rt. Te1d 3034/ F-810 absorption wee: 1029 sae RD DrainwPR Vg1�C Date DAM* Stew waw is K n. Waller: Deb Installed 5/14-18/2001 CCC CONSTRUCTION rrld ,P11 Pump Set At n. Casing Night Above Creak pL TANK SEPARATION DISTANCES ■ Septic O Holding O S.T.E.P. O Other To From ontlk° Ablin:°" man NTo kg Sewertwin.. PREMIER PLASTIC Captielly In Ohm 1300 Well 200'+ 200'+ — — 25'+ Waled* Number el 2 Number Surface water 100'+ 100'+ — — — LIFT STATION Lot Un. 5'+ •5'+ — — — Ste 4o gekonte 1 Foundation 5'+ 10'+ — — — 'Pump en- lend et o l"°" water Wane .t Curtain Drain NONE KNOW Harp Wm aeoaled b.pedMrr ed toy: perlfern 1 --� �— Remarks: •LOT UNE WAIVER REQUESTED (SEE ATTACHED). BENCH MARK teedkn and D...IpUi TOP OF CMU FOUNDATION Ae.a.d wwatl.0 100.00 • • *• i 1... e . ' I �'� 1111111111•111 A II I • f ••.. ••........• \ of.esia� 4 IIS `\ Sii • ,. •.� •.• a s: 7953 � �= 1. - - Inspections performed by AWWC, INC. Dates: 1st 5/14/01 2nd 5/17-18/01 3ni 10/17/01 Department of Health and Human Servicesapproval Reviewed and approved b eli Date://" / _ D / pPro Y' (new. 12/00) PEIT NUMBER: A S- B U I SW010099 7 NUMBER LT DRAWING PARCEL 051- ID 793-17 ------- 15�UTIUTYEASEMENT _______------- ____-- — — — — — A B C _ 1 ST1 10.0 22.8 — . • ALTERNATE SITE. WILL ST2 11.9 25.1 — • REQUIRE INNOVATIVE • A . SEPTIC SYSTEM. DBL1 17.2 29.5 — . . DBL2 18.1 30.3 — • « •KENNETH M. DUFFUS, P.E. • FS 38.3 26.4 — SUBDIVISION TEST HOLE C01 39.6 49.5 — r r •• • MT1 38.6 48.3 — • . CO2 — 14.1 40.1 •. '- . MT2 — 16.5 42.6 CO3• 49.7 49.3 ,.' MT3 50.4 47.9 L1J NEW 1000 GALLON C04 — 35.2 50.5 SEPTIC TANK MT4 — 36.4 52.4 U NEW DBL1 CC 4 BEDROCIMHOUSE - DBL2 U LJ • • r• • I-/1 / i A 1 SPUTTER FLOW J 0 I / / / Ii I KEY BOX ir1 / / , // / I / r• / / NEW DRNNFIELDS / / WATER UNE L / (APPROX. LOC.) — WAIVER REQUESTED (SEE ATTACHED). I DATE: 10/24/2001 1 _-- 1 F ‘ _ '` :?s I 1 ' . ' ; •• 1'/ < r• I ' * I �' ' r ` � � DRAWN BY: ALASKA WATER & WASTEWATER J.L.M. SCALE: CONSULTANTS,INC. 6991 DERARR ROAD. IRATE 79 • ANCHORAGE, AK 99604 • PHONE(907)337-0179 • FAX (907)3364246 1 ~ = 40' PREPARED FOR: PHONE NUMBER: JOHN THOMSON (907) 240-2020 PAGE NUMBER: 2 OF 3 �A i� p ;•.• re • • �0F•• �'•'•• 1.•... v� .4,,�•'' . �� Prof•s�l• `,\ • i •A. • ess; e 7953 ' ` % ''� ``�� '••'• �c — � , LEGAL DESCRIPTION: GLENN VIEW ESTATES WEST S/D PHASE 1; LOT 13, BLOCK 2 TYPE OF WORK: AS -BUILT DRAWING OF SEPTIC SYSTEM PERMIT NUMBER: SW01 0099 AS -BUILT DRAWING TOP OF TANK A INLET - 96.34 FINAL GRADE - 99.57 TOP OF TANK AT OUTLET - 96.38 INVERT OF BUNG AT INLET - 95.31 NEW 1300 GALLON "PREMIER PLASTIC" SEPTIC TANK PARCEL ID NUMBER: 051-793-17 INSULATED PER EXCAVATOR INVERT OF BUNG AT OUTLET - 95.07 I:[d:��a�l>1•i1 lip FINAL GRADE - 99.12-99.97 ORIGINAL GRADE 99.75-100.75 E:1•11111:1111 FINAL GRADE - 99.79-100.62 ORIGINAL ORADE - 99.72-100.72 FILTER FABRIC FILTER FABRIC INVERT OF PIPE - 94.67 (AVG.) OF TRENCH - 90.72 (AVG.) 10' INVERT OF PIPE - 94.73 (AVG.) BOTTOM OF TRENCH - 90.75 (/AVO.) ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 OEBARR ROAD. SUIT! 26 • ANCHORAGE. AK 99501. • PHONE (907)5374179 • FAX (907)536-3246 PREPARED FOR: JOHN THOMSON LEGAL DESCRIPTION: GLENN VIEW ESTATES WEST SUBDIVISION PHASE 1; LOT 13, BLOCK 2, TYPE OF WORK: PROFILE AS -BUILT DRAWING OF SEPTIC SYSTEM PHONE NUMBER: (907) 240-2020 DATE: 10/24/2001 DRAWN BY: J.L.M. SCALE: N.T.S. PAGE NUMBER: 3 OF 3 r401 ,r%/ .s� O.�'� /.070cry A ASBUILT 4 X34 • a;� . • •C. . . • • • • ,%0'9# r //,g7, I HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: AND THAT NO E� EM NTS EXIST IDCCEAS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPBAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. • SEWARD Sr ASSOCIATES LAND SURVEYING 6940829 SCALE: DATE= GRIDS yam• Rei 9/`09 DRAWN $toF. A�,q . •..'� ••• • Duo Mark Seward LS•6918 •.' `41 1 ALASKA WATER & WASTEWATER October 24, 2001 CONSULTANTS, INC. Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Lot Line Waiver for Lot 13, Block 2, Glenn View Estates West Subdivision Phase #1 To whom it may concern: We request that your department issue a 5 foot lot line waiver from the east property line to the new drainfield. I am unaware of any adverse impacts this waiver would have on adjacent wells or septic syste s. If you have any questions, please contact us at 337-6179. Thank you for your assistanc Je Pres'd ess, P.E., M.S. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com Maidpolity d Anchorage Dw_iat &trim Dapertateat &AV Division On -Site Writ ad WisWNW Prop= 4700 Raw ewe P.O. Box 196690 Nohow, A[ 99319.6650 www.aLsno6onpslcus ('907) 913-9904 Waterer Rteview worksheet mit MMUS Pak UMW Hfra: NA= Penni* Data R.oivsd: 171271, Legal D.sonlption: d..■ V�isrr t1M■■tM �dc ! 1.at 1i Engineer: alligALOMIMiLL APPlicant Man Waiver RolusillitibillikILLOWINUILalki Criteria: Geology A. Water Table S. 8o1 Sorption C. Permeability D. Water Table OndNent E. Horizontal Separation Points: Total: ...............................................•s...■............■.......■..... Waiver Is Granted: VV lver is not &woe List Condition or Reasons for above: Data: //' I. O / my: `� div ewer .........■..................■,..:.....a.....................................0 Ren*: 1 Amount slim Dais Paid: jo Municipality of Anchorage Geor:.ge P. Wuerc.__~h, Mayo~r P.O. Box 196650 · 4700 S. Bragaw Strcct Anchorage, Alaska 99519-6650 · (907) 343-8301 httl)://~v.ci.anchoragc.ak.us I Department of Public Works AK Water & Wastewater Consultants, Inc. ATTN: Jeffrey Gamess, PE 6901 De Bart Road, Suite 2B Anchorage, AK 99504- October 31,2001 Subject: Waiver Request forGLENN VIEW ESTATES WEST PH 1 BLK Waiver # WR010092 Lot Line Request for Parcel ID 051-793-17 2LT 13 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater disposal system to the lot line has been approved. The approved separation distance is 5 feet. This waiver approval applies to the current on-site wastewater disposal system and lot line separation only. Any future upgrade to the on-site wastewater disposal system and lot line will require all separation distances to be met or another waiver approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely,~~f~._~ Jeff Poet Engineering Technician III On-Site Water Quality Program MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water it Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial ,,S•0/ IP 4//4 s-- ()I 0 n. t*/ I�,4 Date Issued: May 04, 2001 Expiration Date: May 04, 2002 Permit Number: SW010099 Parcel ID: 051-793-17 Legal Description: GLENN VIEW ESTATES WEST PH 1 BLK 2 LT 13 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: Owner Name: JOHN THOMSON Lot Size: 40001 SQ. FT. Owner Address: NHN POLLY CIRCLE Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER . AK 99577 - This permit is for the construction of: Disposal Field v' Septic Tank ! Holding Tank 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (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. Received By: Issued By: Date: 5 — 4 -0/ Date: S— S/ -o / Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-8850 www.d.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0 5- / ''' 793-17 Permit Number S W d l 0 0 9Q Property owner(s) JOHN THOMSON Day phone 240-2020 Mailing address (1) 17343 SANTA MARIA DRIVE * EAGLE RIVER. AK Mailing address (2) " A/HA/ POLL, CIRCL[ Zip Code 99577 Ph Legal description (Lot, Block & Sub'd.) LOT 13. BLOCK 2. GLENN VIEW ESTATES WEST4SUBDIVISION Legal description (Section, Township & Range) N/A Lot Size4 00/ {�40O Acres/ Number of Bedrooms 4 THIS APPLICATION NI FOR: Sewer Only II Well Only ❑ Sewer and Well 0 Water Storage 0 Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub 0 Jacuzzi ❑ Swimming Pool 0 Water Softening Unit 0 . Therapy Pool 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS. INC. Permit Fees: $3 RO . 00 Date of Payment: L -I — Z( -.O I Receipt Number. 35 LI 1 Waiver Fees: Date of Payment Receipt Number ALASKA WATER & WASTEWATER April 23, 2001 CONSULTANTS, INC. Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic System Design for Lot 13, Block 2, Glenn View Estates West Subdivision To whom it may concern: The proposed 4 bedroom house will be served by a public water system and a private septic system. A test hole was excavated in the area of the proposed septic system. The proposed septic system will be designed around the 30 foot radius of this test hole. We are proposing that a 1250 gallon septic tank and a 2 five foot wide drainfields be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 0.6 gallons/day/ft2 should be used. 2. TRENCH DESIGN: a. Percolation Rate: 17.1 minutes/inch b. Allowable Application Rate: 0.6 gallons/day/ft2 c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1000 ft2 f. Total Depth: 10 feet (maximum — at any point) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 100 feet total length ( 2 @ 50 feet long each) k Effective absorption area = 1000 ft 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The area for the proposed septic system is mostly flat; in short, there are no slope concerns. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. NOTE: Attached is a site plan drawing, a design drawing, two soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com LOT 24. BLOCK 2; GLENN VIEW ESTATES WEST LOT 23. BLOCK 2; GLENN VIEW ESTATES WEST LOT 22. BLOCK 2; GLENN VIEW ESTATES WEST LOT 21, BLOCK 2; GLENN NEW ESTATES WEST LOT 20. BLOCK 2; GLENN VIEW ESTATES WEST LOT 19, BLOCK 2; GLENN VIEW ESTATES WEST I— ZI W W NOTE: ALL PROPOERTIES SHOWN ARE SERVED BY A PUBUC WATER SYSTEM AND BY PRIVATE SEPTIC SYSTEMS. LOT 9, BLOCK 1; GLENN VIEW ESTATES WEST L aD B 5 ROSS VOYLES AVENUE ------------------------------- r ALTERNATE sift KENNETH M. DUFFUS, P.E. SUBDMSION TEST HOLE / PROPOSED / 4 BEDROOM HOUSE PROPOSED SEPTIC SYSTEM (SEE DESIGN. PAGE 2 OF 2) N0 LOT 14, BLOCK 2; GLENN VIEW ESTATES WEST coo LOT 15, BLOCK 2; GLENN VIEW ESTATES WEST ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBAAR ROAD. SUITE !t • ANCHORAGE, AK 99604 • PHONE (907)3374179 • FAX (907)3364246 PREPARED FOR JOHN THOMSON PHONE NUMBER: 240-2020 DATE: 4/23/2001 DRAWN BY: J.L.M. SCALE: 1" = 100' PAGE NUMBER: 1 OF 2 LEGAL DESCRIPTION: GLENN VIEW ESTATES WEST SUBDIVISION; LOT 13. BLOCK 2. TYPE OF WORK: SITE PLAN FOR PROPOSED SEPTIC SYSTEM ffr y Gamest,/ E 953 •n'�+r.^••• ,,.,. POLLY CIRCLE PROPOIED WATER SERVICE UNE - ROSS VOYLES AVENUE (--SLOPE EASEMEW - - 13, UTIUTY EASEMENT LJ LJ ALTERNATE SITE K�NOMS O TESTP.E. TEST HOLEe-7 PROPOSED 1250 GALLON SEPTIC TANK • • KEr BOX -\030._ PROPOSED 4 BEDROOM HOUSE TH/1 ////A /� INSTALL FLOW '• 4 DIVERTER PROPOSED DRAINFIELDS. EXCVATE TWO TRENCHES NAT ARE 10 FEET DEEP MAXIMUM BY 5 FEET WIDE BY 50 LONG EACH (100 FEET TOTAL LENGTH ADD 4 FEET OF CLEAN, WASHED S DRAINROCK. INSTALL TRENCHES SO THEY ARE PARALLEL TO SLOPE CONTOURS. INSTALL DOUBLE CLEANOUTS ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6901 DEBARK ROAD. IRATE 21 • ANCHORAGE. AK 99604 • PHCS (907)337.6179 • FAX (907)336-3246 PREPARED FOR: PHONE NUMBER: JOHN THOMSON 240-2020 DATE: 4/23/2001 DRAWN BY: J.L.M. SCALE: 1" = 40' PAGE NUMBER: 2 OF 2 LEGAL DESCRIPTION: GLENN VIEW ESTATES WEST SUBDIVISION; LOT 13, BLOCK 2, TYPE OF WORK: DESIGN OF PROPOSED SEPTIC SYSTEM AKA WATER & WASTEWATER CONSULTANTS, INC. Mol NSW NON), SURE 21 • ANCHOMDE, AIC 11104 (0 PHONES (107)337-0171 • MX (607)331-3344 • wLllrtEs 01111,110A11111 LEGAL DESCRIPTION: PERFORMED FOR: 17- 7- 18- 18- 19- 19- 20 20 ISOIL LOG - PERCOLATION TESTI GLENN VIEW ESTATES WEST SUBDMSION; LOT 13, BLOCK 2, JOHN THOMSON DATE: 4/4/2001 ORGANICS LOAM/ML SM/ML W/ GM THROUGHOUT TEST HOLE #1 SOIL CLASSIFICATIONS 11:111!11 RAWY GW GP GM GC SW SP SM SC ORG ML CL OL MH CH OH DEPTH TO GROUNDWATER DATE DRY 4/4/01 DRY 4/25/01 4/4/01 1 3:54 KEN SUBDMSION • 44111' % e i e 111 • 0(4 ' '5Garnesa,: 3 r'`/– Pro f•9.10 off – \ ROSS VOYLES AVENUE READING - NET TIME (MINUTES) -� --- --------- ALTERNATE SITE SITE PLAN 1" = 100' 4/4/01 1 3:54 KEN SUBDMSION ETH M. DUFFUS, P.E. TEST HOLE U CC/ — 2 4:24 30 4" 2" 3 4:24 6" — — s POLLY P*- / PROPOSED/ OM 4 HOUSE r PROPOSED SEPTIC SYSTEM 4:54 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 4/4/01 1 3:54 6" — — 2 4:24 30 4" 2" 3 4:24 6" — — 4 4:54 30 4 1/4" 1 3/4" 5 4:54 6" — — 6 5:24 30 4 1/4" 1 3/4" PERCOLATION RATE TEST RUN BETWEEN 17.1 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES) 5.5 FT. AND 6.0 FT. COMMENTS: PERC–HOLE WAS PRE–SOAKED FOR 2+ HOURS PERFORMED BY ALASKA WATER & WASTEWATER I, JEFFREY A. GARNESS, CERTIFY THAT THISASPERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 4-(z C o1 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cLanchorage.ak.us (907) 343-7904 • CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA#ro/d4;-7% Parcel I.D. 051-793-17 1. GENERAL INFORMATION At5 Expiration Date: a - /- 0 Complete legal description GLENN VIEW ESTATES WEST S/D PHASE 1; LOT 13, BLOCK 2 Location (site address or directions) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address CORNER OF POLLY CIR. AND ROSS VOYLES AVE. * CHUGIAK, AK JOHN THOMSON 17343 SANTA MARIA Day phone 240-2020 DRIVE * EAGLE RIVER, AK 99577 Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 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 E E The Municipality of Anchorage Development Services Department (DSD) 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) for properties 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 sample results less than 30 days old. (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 Consultants, 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, t 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 ALASKA WATER & WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: in conducting this evaluation, AWWC, Inc. 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 send by the system. These conditions am 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. AWWC, Inc. can therefore not provide any warranty or Mum 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 Wis report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE 1j,� ✓ Approved for T bedrooms. Disapproved. Conditional approval for Date 10/25101 bedrooms, with the fllowing stipulations: tutu({ttiltrr,-rrr 10-4 =' ON SITEGi: WATER AND : rn WASTEWATER PROGRAM , Attachments: HAA Checklist Septic System Advisory Well Flow Advisory By: (Rev. 12/00) �[ l PCraL Manitenance Agreements Supplemental Engineer's Reort Other Original Certificate Date' / / ' / - Q 'Legal Description: A. WELL DATA Well type Date completed Total depth Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.clanchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST GLENN VIEW ESTATES WEST.S/D PHASE 1; LOT 13, BLOCK 2 Parcel ID: PUBLIC WATER If A, B, or C provide PWSID# Well Sanitary seal Wires properly protected (Y/N) Cased to ft.' Casing height (above ground) In. • • Date of test Static water level ` % ft. Well production WATER SAMPLE RESULTS: Coliform - colonies/100 mi Nitrate - mg./L. • II Date of sample: FROM WELL LOG g.p.m. Collected by: j 44, B. SEPTICMOLDING TANK DATA p1 ` Tank Type/Material PREMIER PLASTIC Tank size , 1300 gal, t Number of Compartments 2 Cleanouts (Y/N) YES "'YES Depression over tank /N NO � High water alarm (Y/N) L 1 Foundation cleanout (Y/N) p � ) Date 'of pumping NEW C. ABSORPTION FIELD DATA .I{,' Date installed 5/14-18/01 i Soil rating 0.6 .d./ orftlbdrm) System type S—WIDE DRAINFlELDS Lengthu'107' TOTAL ft, Width ' 5 ft. Gravel ' below pipe 3.9+ ft. Total depth *8•4'-9.9. fl Eff. absorption area 1029 .ft2 Monitoring tube YES I' Depression over field NO NEW Results (Pass/Fail) - For 4 bedrooms Date" of adequacy test ( ) 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• Il j Any rejuvenation treatment (past 12 mo.) (Y/N & type) - 4i If yes, give date - AT INSPECTION ;,ij g.p.m.. Other bacteria - colonies/100,M1.'4 Date instil led • 5/14-18/2001 Pumper N/A 'BELOW FINAL GRADE) D. LIFT STATION Date installed Size in gallons Manhole/A "Pump on" level at in "Pump off' _ m High water alarm level at in Datu Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot Public sewer main S PUBLIC WATER On adjacent lots cent lots Public sewer manhole/deanout service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Water main 10'+ Wells on adjacent lots 200'+ Property line 51+ Water service line 10'+ Absorption field 5'+ Surface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: *SEE Property line *5'+ Building foundation _ 1 O'+ Water service line 1 O'+ Curtain drain NONE KNOWN F. COMMENTS G. ENGINEER'S CERTIFICATION LOT LINE WAIVER REQUEST Water main 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Wells on adjacent lots 200'+ I certify that I have determined through field inspections and review of Municipal records that the above systems am in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. GARNESS Date Io A5/OI ess; • O° •. C 7953 �'P�ofeesio too�tc DOOoa HAA Fee $ 3Cn. "tj Date of Payment IC 30 - 0 1 Receipt Number L (i.n - R (Rev. 12/00) Waiver Fee $ 11 h Date of Payment I% - Receipt Number 01 ' O h 3