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Home My WebLink AboutCHUGACH PARK ESTATES BLK 1 LT 9Chugach Par'k Estates Block Lot 9 #051-481-46 ASBUILT SEWARD & ASSOCIATES LAND SURVEYING 694-082q I HEREBY CERTIFY THAT I HAVE SURVEYED THE SCALE: '&:Wv0% % FOLLOWING DESCRIBED PROPERTY: - - ' .4� OF AZe4 DATE: AND THAT NO FNCROACFIME6TS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THEfir- OWNER TO DETERMINE THE EXISTENCE OF ANY GRID: EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- Duane Mark Seward 1W VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB: LS — 918 q, 0 ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- z _01 4_ ARY LINES. DRAWN: Z"I'W5' Municipality of Anchorage Development Services Department Building Safety Division "= ~ On-Site Water & Wastewater Program, 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 2 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: OSP1 01 1 98 PID Number: 051 --481 --46 Nome: GRETA KIRKEVOLD Wastewater System: [] New · Upgrade Address: 24205 PLATSEK DR, CHUGIAK, AK, 99567 ABSORPTION FIELD No. of Bedrooms: Ph°ne:(,907)' ' 265--7259 5 i-lDeep Trench r-I Shallow Trench [] Bed I-IMound LEGALDESCRIPTION sol, Rating: Total Depth f .... GPD/Sq. Ft. J Ft. Block: Lot: Subdivision: Depth to pipe bottom from original grade: Gravel d~eneath pipe: 1 9 CHUGACH PARK ESTATES Ft. J Ft. Township: _ Range: _ Section: _ Fill added above~--°riginal grade: ~ Gravel length: , ~ ~,.../"' Ft. Dist .... Ft. Grovel width: Number of lines: between lines: WELL:[] New [] Upgrade~ Ft. Ft. Classi,icotion (Private. A.B.C): ~~ Cased TO:(BEBROCK)Ft ~ ...... Pipe material: ~ Ft. SQ. Ft. Driller: ~..~~ Date Drilled: Static Water Level: Installer:. Dote installed: Ft. DEAN CONSTRUCTION 9/28/2010 Pump Set At: Casing Height Above Ground: GP, Ft. Ft. TANK SEPARATION DISTANCES · Septic [] Holding [] S.T.E.P. [] Other* T~.__-'~........~To Septic Absorptioni Lift Holding Publlc/Prlvote Manufacturer: Capacity in gallons: Tank Field Station Tank Sewer Lines GREER TANK 1000 r,v,,, ---..~ Material: Number of compartments: We~ 100'+ - - - 25'+ STEEL 2 Surface Water 100'+ .... LIFT STATION Size in gallons: Manufacturer: Lot Line 5'+ .... Foundation 5'+ .... "Pump on" level at: ~at: High water alarm at: Curtain Drain ~- NONE KNOWN _- Pump~ Electrical Inspections performed by: I I Remarks: BENCH MARK Location and Description: OLD TANK WAS REMOVED AND DISCARDED OFF SITE. GARAGE SLAB, NORTH END As .... d Elevotlon: 100.00 Ft. ENGINEER'S SEAL Inspections performed by: OEO, Ltd. Dates: 1st 9/28/2010 3rd ~.[~~~ ~ Development Services Department Approval ' 4 Conditional approval: D~]te:. ~.~ ...... vo/~' ~..r~/ CE-,795~ .-" ~ ~~ ~ ,.. ...,,~ Reviewed and approved by: , ~//~/[~/~-~-~ f ~e: /- ~-~-~ / / '~%(~,~,o fess'~o%~=~ ,,.v. ,,o,, ,_¢ PERMIT NUMBER: AS BUILT-' DRAWING PARCELID NUMBER: OSP 1'01198 - 051 -481 -46 ST1 65.18 74.64 -/-/~- ~ ,(~ ~/x~,^ ,'-, / / ~ ~ ~u~ ~/ - ~EXISTING ~ ~' '1 ~ ~ ~ %~ DRAINFIELD / ~ '~ ~N~ 1000 GALLON TOP OF TANK '-~ AT INLET = 93.58 ~/ INVERT OF BUNG AT INLET = 92.97 --FINAL GRADE = 98.54-98.55 ST1 / ST2 -- OUTLET = 93.58 NEW 1000 GALLON % SEPTIC TANK INVERT OF BUNG AT OUTLET = 92.79 AS-BUILT DRAWING Of TANK UPGRADE 10/14/2010 (Rev. 01/05) Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP101198 05148146000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: September 23, 2010 to September 23, 2011 Design Engineer: GARNESS ENGINEERING GROUP LTD Subdivision: CHUGACH PARK ESTATES Site Legal Address: CHUGACH PARK ESTATES BLK 1 LT 9 G:1161 Owner/Address: KIRKEVOLD GRETA H 50% & KIRKEVOLD VIVIAN LIVING TRUST KIRKEVOLD PO BOX 671570 CHUGIAK AK 995671570 Site Mailing Address: 24205 PLATSEK DR, Chugiak Lot Size in Sq Ft: 54513 Total Bedrooms: 3 This permit is for the construction of: N Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. /IL Date: Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAHILY DWELLING 051-481-46 Parcel I.D. Property owner(s) GRETA KIRKEVOLD Day phone 242-9154 Mailing address 24205 PLATSEK DRIVE * CHUGIAK, AK * 99567 Site address 24205 PLATSEK DRIVE * CHUGIAK, AK Zip Code 99567 Legal description (Sub'd, Block & Lot) CHUGACH PARK ESTATES S/D; BLOCK 1, LOT 9 Legal description (Township, Section & Range) N/A Lot Size Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR ( [] all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] 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. GARNESS ENGINEERING GROUP, Ltd. Permit/Rush Fees: ~0 Date of Payment: Receipt Number: i¢)~,-~ '~ ~"~ (Rev. ~/05) Waiver Fees: Date of Payment: Receipt Number: GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS September 14, 2010 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650, Anchorage, Ak 99519-6650 (907) 343-7904 Ref: Proposed Septic Upgrade for Chugach Park Estates S/D; Block 1, Lot 9 To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system consists of a 1000 gallon H.D.P.E. septic tank and a trench type drainfield. The tank integrity appears to be compromised in that it will not hold water. We are proposing to remove the existing tank and install a 1000 gallon steel septic tank. We are unaware of any adverse impacts this installation would have on adjacent wells or septic systems. ~e;ehlave;;i ;:.:u?~ions, please contact us at 337-6179. Thank you for your assistance. t ~arn s,P ,MS NOTE: Attached is a site plan drawing, a design drawing, one soil log, which are all part of the design package for this septic system. (Contact G.E.G. Ltd. for 7page construction specification letter.) 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com CHUGACH PARK ESTATEJs; ~/~"~ ~\ / BLOCK 1, LOT 1 I CHUGACH PARK ESTATES' / \ \ \ CHUGACH PARK ESTATES; / I BLOCK 1 LOT 10 ' / \ \ \ BLOCK 1 LOT 11\ / ~ / I I EXISTING SEPTIC SYSTEM~ I '~ ~ ~ 100' WELL ~DIUS. I / CHUGACH PARK ESTATe,S:{ ~ ~ ~ ~--- ",~', /jO0' WELL RADIUS. CONSULTANTS&gENERAL CONTRACTORS ' ~'":' PREPARED FOR: IPHONE NUMBER: m PAGE NUMBER: ,~ GRETA KIRKEVOLD J 907-242-9154 , 1 Of 2 ~ ~Y CHUGACH PARK ESTATES S/D; BLOCK 1, LOT 9 A.J.G. ~' ~PE OF WORK: Date: X DESIGN Of PROPOSED SEPTIC UPGRADE 9/14/2010 (Rev. 01/05) SCOPE Of WORK t~/~vb /uu WLLL ~L~IU~ TO OBTAIN A COPY OF THE LETTER LIMITED TO FLAGGED BY A REGISTERED CONTACT GEG. BY PROCEEDING FORWARD REPLACEMENT OF LAND SURVEYOR PRIOR TO WITH THIS INSTALLATION, THE ENGINEER, SEPTIC TANK ONLY. ~O~q;TRIIC:TI(3NI WELL DRILLER, CONTRACTOR AND ............ PROPERTY OWNER AGREE THAT THEY CONDITIONS OUTLINED'/ \\ / % ~--EXISTING 1000 GALLON H.D.P.E. / ~ SEPTIC TANK, TO BE REPLACED ~ / \ WITH 1000 GALLON STEEL / GARNESS ENGINEERING GROUP, Ltd. LEGAL DESCRIPTION: D~WN BY: CHUGACH PARK ESTATES S/D; BLOCK 1, LOT 9 A.J.G. OF PROPOSED SEPTIC UPGRADE 9/14/2010 DESIGN (Rev. 01/05) Municipality of Anchorage .':' '" Development Services Department ."~ ~'~:~''~ ri.~'- Building Safety Divi$1on On-Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box f96650 Anchorage, AK 99519-6650 Page I o1' 3 v,-,vw.d.enchorage.ak, us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: ~ (,~J OJ O ~,'~ ~" VID Number: /~)~,lJld ~'~tl"'~ WastewaterSystem: ~'New [] Upgrade ;~,t;~o5 PI4f~¢EDt,,/¢ [[,.~.;aJ::/~/~E7 -~'7~' ABSORPTION FIELD LEGAL DESCRIPTION ~..,w I. ~.v;¢! T'"''~*~*'';'~"'''~''''' '~ ~,,., Well: ~TDST~'(*.I--I New [] Upgrade :'~"""~ 5 ~. [ --'"" n SEPARATION DISTANCES ~se~ic ~tlolding DS.T.E.P. DOthec ,~..w.. I~ ~ ~ ,/ UFTSTA~ON V "~'~xl~ ~r~ ~ BENCH MARK . ~7o~ E..~. r~... t--, ,..d.,o.2~ ~. Inspections performed Dy: t.,:, =;,~i, A=,,k~ ~' Dates: 2 Develdpmept Serv~k~s Department Approval . PER~,IIT NO. SW010335 ~AGE 2 O~ 3 ...... IVlu Qi_c i P. 9_t i ~. y_o. P .A.n_c h.o.c a g?. DEPAI~/I~IbN/ Oh HbAL/H ANt) HUFIAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.B. Box 196650 mAmchoeage, A~laska 99519-665,0 · Te.t.%ohone:. 343-4744 ON-SITE WASTEWATER DISPOSAL ~YSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 9, BLOCK 1, CHUGACH PARK ESTATES P.I.D. NO. LOT 10 051-481-46 LOT 3 ~, DGL1 & DgL2- LOT 8 :O2 ROBERT C. COWAN CE-8801 P';'R.~IIT NO SW010335 PAgE ~ OF 5 Municip. o.[i'ty_o.F Anch.o.r"gg.e. DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,B. Box 196650 eAnchop~ge, Al~sk~ 995[9-6650 · Tetephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 9, BLOCK 1, CHUGACH PARK ESTATES P.I.D. NO. 051--481--46 ST1 ST2 .~ 98.9' ~ C;~N ~ FINAL SULATION 93'5'J ~ ~-- 93.0' CO1 C02 CO1 = 99.1' CO2 = 99.5' GRADE INSULATION CO1 = 92.9' = 92.9' A B FCO 18.5' 20.5' ST1 65.0' 74.5' ST2 68.5' 78.0' DBL1 75.0' 82.5' DBL2 74.0' 83.5' C01 77.0' 86.5' MT1 121.0' 129.0' C02 120.0' 129.0' MT1 = 89.9' NO WATER FOUND 83.9' B.O.H. I o~AwN bP~ I SHT. ,~k~ J /..o1'8 MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99510-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 23, 2001 Expiration Date: Aug 23, 2002 Permit Number: SW010335 ~Legal Description: CHUGACH PARK ESTATES BLK Design Engineer: 0070 KND Engineering Owner Name: DAVID CHRISTY Owner Address: 24205 PLATSEK DRIVE CHUGIAK, AK 99567-6378 1LT 9 Parcel ID: 051-481-46 Site Address: 024205 PLATSEK DR Lot Size: 54513 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: [] Disposal Field [] 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: Parcel I.D. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATIO'N FOR A SINGLE FAMILY DWELLING 051-481-46 Permit Number Property owner(s) Davld Christy Dayphone Mailing address (1)24205 Plastek Drive: Chuglak~ AK gg567 Mailing address (2). ~Jp Code Legal description (Lot, Block & Sub'd_) Chugech Perk Est.~ Bl: 19 Legal description (Section, Township & Range) Lot THIS APPLICATION IS FOR: NumberofBedrooms 3 Sewer Only [] Well Only [] Sewer and Well [] Water Storage [] Sewer Upgrade [] Ti-liS PROPERTY CONTAINS: Hot Tub [] Jacuzzi [] Swimming Pool [] Water Softening Unit [] Therapy Pool [] 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. (Signature of property owner or authorized agent) Permit Fees: ~ ~.?-.,~-~ Date of Payment: Receipt Number: (Rev. Waiver Fees: Date of Payment: Receipt Number: ]~D ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 August 9, 2001 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Sewer Upgrade - Chugach Park Estates Block 1, Lot 9 Gentlemen: The owner has requested we proceed forward to obtain a septic permit to upgrade and replace the existing septic system and tank for the subject lot. The existing septic tank will be abandoned in place and in accordance with munidpal standards. On August 2nd, 2001 we dug one testhole for the proposed syst.e.m. The test hole that was performed for the subject lot, as indicated by the attached soils log, has sufficient sand in the soils to negate the need for an I.S.F. The general slope of this lot is flat. We have designed our system, utilizing the testhole we excavated for the 3-bedroom house. The lot is served by an individual well. We propose to install a 5' wide shallow trench. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. The. re is no sur.face wa.ter within 100' of the proposed system and there are no known curtain drains w~thin 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, ]If, d~ I]) Engineering attachments:. On-Site Well and Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test B 'me WELL K WASTEWATER DISPBSAL SYSTEM BETAILS/SITE CHUGACH PARK ESTATES S/D, LDT 9, BLE]CK 1 % D 10 1~ ' PLAN 17 ;/ELLS & SEPTICS. PREPARED FDR: DAVID CHRISTY 'E4205 PLAST£K DRIVC CHUGACH, AK. 99577 FIELD BOOKS ~ ru:: 01056.DWG o,,,c: I~/~/01 ~ NWl161 ,me ~: 01056 (9071896-GIII/FAX (907)696-8111 Sco(e: 1'= 100' PAGE 1 DF 2 ~/ASTE~/ATER I)ISPBSAL SYSTEM I)ETAILS CHUGACH PARK ESTATES S/D, LOT 9, BLOCK 1 ~'I-BANK D PRF1PF1SEI) REPLA 1000 GAL. SEPTI THt¢, CD FIELD ING SEEPAGE PIT q FAILURE E 1000 SLUPE--FLAT PREPARED FOR: DAVID :HR[STY 24205 DLAS?£K DR[VF CHUGACHo AK, cj9577 OI056.DWG ~ NW1161 01056 Sc~te= I'= 20' PAGE 2 DF 2 ]]~ ~I~ ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER. AK 99577-8736 {907)696-611 l/FAX {907)896-8111 · .. · 20441 PTARMIGAN BLVD. iEAGLE RIVER, AK 99577-8736 _ .. SOILS PERCOLATION TEST Performed fort David Chris .fy Date Performed~~..~'.,~-,,.~ Project: Chugach Park Estates Block 1, Lot 9 TEST HOLE # 2001-01 2- 3- 4- 5- 7- 8- 9- 10- 11- 12- 13- 15- 16- 17- 18- Depth (Feet) ORG - red/brown overburden w/organics reaching to 2.5' GPISP-brown/gray, sandy . gravel w/cobbles to 18' coarsesand & moisture increasing w! depth B.OJI. SEE ATrACHED SITE PLAN I FOR HOLE LOCATION I Was Ground water encountered? NO What depth? NA Depth to water after monitoring? NA Date? 08/09/01 Reading Date Gross Net Depth to Net Time Time Water Drop 1 8/2/01 1:00 8" 2 1:05 5 rain dry 8" 3 * 1:06 8" 4 1:11 5 min dry 8" 5 * 1:12 8" 6 1:17 5 min dry 8' 7 * 1:18 8" 8 1:23 5 rain dry 8" 9 * 1:24 8" 10 1:29 5 rain dry 8" 11 * 1:30 8" 12 1:35 5 mln dry 8" · Water Added HOLE PRESOAKED 20- PRIOR TO TEST Percolation Rate < I (min/in) Perc Hole Diameter . Test Run Between ~ feet and 6 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. GRE'-':R ANCHORAGE AREA Bor'-'IGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME LOCAt'ON PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MANUFACTURER m · NUMBER OF MATERIAL $¢f P/4 ~-~ ¢ ~ COMPARTMENTS INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY /0~ GALLONS. SEEPAGE PIT: NUMBER OF PITS / DIAMETER ~! OR WIDTH f~'! LENGTH /~'/', DEPTH LINING MATERIAL ~glC~ CRIB SIZE: DIAMETER DEPTH DISTANCE FROM: WELL BUILDING FOUNDATION77' TOTAL EFFECTIVE , NEAREST LOT LINE ~¢ ~ ABSORPTION AREA (WALL AREA) SQ. FT. ADDITIONAL ABSORPTION WELL: TYPE ""'~' I L t- E ~7/' BUILDING FOUNDATION __ C E55POO L APPROVED CONSTRUCTION NEAREST , LOT LINE , OTHER SOURCES DISAPPROVED NEAREST SEPTIC SEEPAGE SEWER LINE , TANK __, SYSTEM REMARKS DISTANCE FROM: DISTANCES: INSTALLED BY: , / PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM II1~'- ,~.~ DATE ¢~'~/~ ~'-- APPROVE~/~"/x~--_ ~'~"l t~//G'A'A'B' GReaTEr AnChorage AREa Borough DEPARTMENT OF ENVIRONMENTAL QUALITY PERMIT NO. 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 SEWAGE DISPOSAL SYSTEM APPLICATIONAND PERMIT .A,L,nG ADD.ESS /Lt PHONE2 ' INSTALLATION LOCATION LEGAL DESCRIPTION [~ ¢;~-~'~ / INSTALLATION OF: SEPTIC TANK TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH COMPLETION DATE ANTICIPATED g~ SEEPAGF~ PIT DRAIN FIELD OTHER NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPtiC TANK SIZE TYPe MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK ~ fOUnDatiON TO SEEPAGE Pit ~ SEPTIC TANK TO SEEPAGE Pit WALL /~- SEPTIC TANK ., SEEPAGE PIT ?-(~'~ TO NEAREST LOT LINE, WELL TO SEPTIC TANK DRAIN FIELD ~CC~ / / / DIAGRAM OF SYSTEM DRAIN FIELD , DRAIN FIELD SEEPAGE P,T ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK DRAIN FIELD SEPTIC TANK, ., SEEPAGE PIT TO RIVER. LAKE. STREAM. SEEPAGE PIT , DRAIN FIELD CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH /~}ULATIONS REGARDING INSTALLATION. / /,~--~. ~ LI(;ENSED DESIGNER I Certify THAT i AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28.68 AND THAT THE ABOVE DESCRIB~) SYSTEM IS IN ACCORDANCE WITH SAID CODE. ~-~ ~; '~" FORM NO.,JEG-0! 6 Legal Description' This form reports' GREATER ANCtlOI<AGL AU, L/\ UORt)Ut,, Department of [nvironmenLal qual'~ ty 3330 "C" Street Anchorage, Alaska 99b03 ,";(}II,S 1,()(; - I~EI~.OI,ATION TEST Soils log_X~ Percolation Lest Depth Feet ~-~ 2 3j 4 - ~,,- II 5- 6- 7- 8- 10- 11,~- 12- 13- 14- Was ground water encountered? _ _ ~_~) ___ If yes, at wnaL depth? Reading Percolation rate minute. .-Proposed installa-~i-~-n" Seepage Pit ..... Urain Field Depth of Inlet .............. Depth to bottom of pi t or trenci, COMMENTS: Date Gross Time Net Time Depth to Water Net Uroy E(~- 040 (6/74) Date' Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St, P,O, Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage,ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING- Parcel I.D. O 5'"/ -- ~ ~' / - ~ ~. HAA #/¢;r, ,,.r Expiration Date: ~ / 1. GENERAL INFORMATION Complete legal description ~L9~ · BI' Chu~ach P~rk Estates ' Location (site address or directions) 24205 Platsek Dr, Current Property owner(s) David Christy Day phone Mailing address Lending agency Day phone Mailing address Real Estate Agent Mailing Address Sharon / Remax ER Dayphone 694-4200 16600 Centerfield Dr. suite 201 Eagle River~AK Unless otherwise requested, HAA will be held by DSD for pickup. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well 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 5 by an independent professional civil engineer registered in the State of AJaska. 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 e public water system. The Municipality of Anchcrage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the v~lidation date shown below, I verify that my investigation, based on procedures outlined in the Health Authorify Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(ara) 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 S & $ ENGINEERING 17034 E~gle Riv~ L~p Road No. 204 Address Engineers Printed Name 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for Phone G ~l' ~ -~-~/'7~ Date ~, ~>: CE -8801 bedrooms. 'It ?~ .~.".- ........... ; ,,~....- · 1 ...-~ ~.;., 7....,o,,.'~_...~ bedrooms, with the following stipulations: Additional Comments >'/7]])1)1 ~ ) ) ) )~' Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Original Certificate Date: //¢/~')~-- Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bmgaw St. P.O. Box 196650 Anchorage, AK 99519-6650 w~v.ct.anchorage.ak.us (907) 343-7~04 HEALTH AUTHORITY APPROVAL CHECKLIST A. 1NELL DATA Well type, ~__~y/,4-~ If A, B, or C provide PWSID # ----' Date completed ~" Sanita~/seal (Y/N)/ FROM WELL LOG Date of test ,~/~ 0 / '~' ~'*"" Static water level / ~.} ft. Well production '-'~ g.p.m. " Well Log (Y/N) / w~ p~e~y prorated (Y/N) '/ Casing height (above ground) AT INSPECTION / ~¢-in. WATER SAMPLE RESULTS: Coliform .~(~o~ie~lO0 mL Date of sample: ~ Cleanouts (Y/N) . ! High water alarm (Y/N) / Tank Type/Material ~ Ta;~k size / ~0~ gal. Number of Compartments Foundation cleanout (Y/N) Y.i~ Depression over tank (Y/N) DateD, pumping '-- par - C, ABSORPTION FIELD DATA Date installed !1/~'//~1 Soilrating (g.p,dJft~or~/bdrm) Total depth. ~ ft. Eft. absorption ar~ ~'~0 ~ Monito~ tube Date o* ad~qua~' t~t A/~"'~ R~ult~ (P~'Fail) ~"'~ Fluid depth in abso'l~31~M-ba~t~.~, water added gal. Elapsed Time: min. Final fluid depth in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) System ~pe ~1/~";i~-,~--0,*1/~ Gravel below pipe. ~' ft. Depression over field '%/ For -~ bedrooms New depth in. g.p.d. D. UFT STATION Date inst~lled on" leve/ in. "Pump / Datum Size in gallons 'Pump off' level et Cycles tested ManhoteJAccess (Y/N) High water alarm level at Meets alarm & circuit requirements? in. E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tenk/li0..el~IT6n on lot Absorption field on lot ~/~ Public sewer main /,,./ S ej~wer~/sr/septic service line / ~ ~' / On adjacent lots On adjacent lots Public sewer manhole/cteanout Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ~-- I~. Water main .~_~~ Wells on adjacent lots ~/~ /,,t, I Water sewice line .//~ '~' Absorption field ~'~ /'~' Sudace water /03 SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: / Propertyline /~) ~- Building foundation /~ .F Watermain /~/ Water Ser¥ice line / (~ /'/' Surface water /~)(~) f,~ Driveway, parking/vehicJe storage Curtain drain/~ ~'.,~-.4/~/ Wells on adjacent lots F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are/n conformance with MOA HAA guidelines in effecf on this date. Engineer's Printed Name /~)0.~'~,~ (~- HAA Fee $ Date of Payment Receipt Number (Rev. 12/00) I ~-/.~ / /o i Waiver Fee $ Date of Payment Receipt Number A MUNICIPALITY OF ANCHORAGE 0~ / ~ DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHO'RITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date ~' './,~ ,~/'~.,/~ 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal ~)escription (include Jot, block, subdivision, section, township, range) Location (address or directions) (b) Property Owner ~-~-~-~ ("'~7~ Telephone: Home Mailing Address .~',~ ~ (C) Lending Institution ~ ~~ ~Telephone Mailing Address ~ (d) Real Estate Company and Agent Address Business Telephone (e) Mail the HAA to the followina address: or; Check here L~,if hold for pick up. List contact person and day phone number below. S & S ENGINEERING 17034 Eagle River Loop Road No. 204 Eaglu R;v=~, Alaska .... TYPE OF RESIDENCE Single-Family. J~ Number of Bedrooms 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. SEWAGE DISPOSAL Onsite/l~ 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. Page 1 of 2 72-025 (Rev 8/86~ Front ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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. $& $ ENGINEEEING Name of Firm ~ -,n.~x c..~. ,- :.~ I ,.-- ~, .. ~ ,~,- ,,,n.. Address Eagle River, Alaska 99577 Telephone Date DHHS APPROVAL Approved for -~ Approved )~ bedrooms by '~---Z~Date Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025/Rev 8/86, Back WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) ,c~O~J~"~'IIEALTH__,~__ AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 Legal Description: ~ Well Classification Welt Log Present (Y{~) Total Depth Z, ~ (~ Cased to Static Water Level ! Casing Height Above Ground Electrical Wiring in Conduit~N) Separation Distances from Well: To Septic/Holding Tank on Lot To Nearest Edge of Absorption Field on Lot Water Sample Collected by Water Sample Test Results Comments ~ /J"/O ~ If A, B, C, D.E.C. ap_pT~ed (Y/N) Date Completed ,A~..~s~-'[c-'~ ~'-/'?~'-- Yield Depth of Grouting Pump Set At L,,~ Sanitary Seal on Casing ~¢~q) Depression Around Wellhead (Y~ · On Adjoining Lots /I} / · On Adjoining Lots To Nearest Public Sewer Line ,k.¢/-~. To Nearest Public Sewer Cleanout/Manhole /~/;} To Nearest Sewer Service Line on Lot ~%~-~ tC ,~ t,,'t'/,d m--"c."~4 A-tt-' ;Date B. SEPTIC/HOLDING TANK DATA Date Installed Standpipes ~/N) Depression over Tank (Y/~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well q~ ! To Property Line l'ut/''/' To Water Main/Service Lipe /~ /4- Course Comments ~ /~.,, .~../ Size /¢..~.~O No. of Compartments / Air-tight Caps (~'N) Foundation Cleanout/(Y~ Date Last Pumped ~7/'/~ ~g//~ ~l,J/~ 'for Temporary Holding Tank Permit (Y/N) To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed Width of Field Square Feet of Absorption Area Depression over Field (Y{~ Results of Last Adequacy Test Separation Distance from Absorption Field: / To Water-Supply Well / ! / To Building Founda/~/~::~ Lot To Water Main/Service Line /6/-(' To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Type of System Design Length of Field ! Depth of Field / Gravel Bed Thickness ~/' Standpipes Present (~/N) Date of Last Adequacy Test To Property Line /'¢/'/ To Existing or Abandoned System on ; On Adjoining Lots ~.~c~ To Cutbank (if present) Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MO~, and H~A guidelines in effect on the date of this inspection. ~. S& SENGINEERING ~,gn~0- · Date Co~ River, Alaska 99577 MOA No. Receipt No. /O O / oO~'~- Date of Payment ~_~/~'~' Amount: $ % Page 2 of 2 72-026 (11/84) unicip tYof Anchorage P.O. ~X 196650 ANCHORAGE, ALASKA 99519-6650 (907) 264-4111 TONY KNOWLES, MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES May 5, 1987 Robert A. Shafer, P.E. S & S Engineering SRB 196X Eagle River, Alaska 99577 Subject: Waiver Request for Lot 9 Block 1 Chugach Park Estates Waiver Number WR87-030 Dear Mr. Shafer: Your waiver request for the above mentioned parcel has been approved. The required 100 foot separation from a residential well to a private septic tank has been waived to 90 feet. This waiver applies to the existing septic system only. Any upgrades done to the system may require another waiver approval from D.H.H.S. Sin__cerely, Daniel J. R Civil Engineer On-Site Services cc. Gus Andress, P.E. Water Quality/ On-Site Services Project Manager ROBERTA. SHAFER April 24, 1987 CIVIL ENGINEER 694-2979 HEALTH AUTHORITY 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 ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 ATTENTION: Steve Morris REFERENCE: Lot 9; Block 1; Chugach Park Estates Request you issue the attached Health Authority Approval and grant a waiver for the horizontal separation distance between the existing private well and the existing septic tank. Attached for your review is a copy of those documents necessary for the Health Authority Approval and in addition the following information is provided in support of the waiver request: A. A plot plan showing the relationship between the well and the existing on-site wastewater disposal system. B. A copy of a waiver review check sheet and computations for risk analysis. In accordance with the risk analysis sun~ary it is our opinion that the horizontal separation distances prescribed by 18AAC72.021 are not required in this case. If we may be of further service, please contact us. A. SHAFER, P.E. ~ss SRB 196X EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES WAIVER REVIEW WORKSHEET DATE RECEIVED: ~,/~ ~,/,9 .~ LEGAL: ~c~7 ~ ENGINEER: SRB 196X EAGLE RIVER, AK CRITERIA: 1) Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL~ 2) Special Conditions: 3) Other: WAIVER IS: granted, with conditions listed below: not granted for reasons listed below: DATE: BY: NAME $ & S ENGINEERING ~ 17034 Eagle River Loop Road No. 2~o,vlPUTATION SHEET Eagle RiVer, Alaska 99577 SUBJECT: DATE: SHEET BY CKD OF '-. LOG OF DRILLING by OWNER OF L/I~D ..... ..~.....~....C/.../...~).. ...... ~.....~.....~'../..~....?...( ............ ADDRESS - WELL SITE ................................................................................................. DATE----~TARTED ....... ~-.-.t- ~./-~-.~-.. ............~ ......................................... DATE--ENDED ........ ~.--/-/..?../?---~----' ....................... : ............................ L DRILL~G COMPANY STATIC LEVEL OF WATER FT .... J..?..?. ...................... · DRAW DOWN FT. GALS. PER HR ........... L.t~....-O....O.-. ........................................ KIND OF CASING ....~..~.. ..... .~....0. .................................. KIND OF FORMATION: TO .......................................................... ~ ................. FROM ....... .~.~... ........ FT. TO....~...~-. ............. FT...- --~'~..--?.- ................. FROM ..... ..~....~....~. ........ FT. FROM ....... ~ ......~. TO....~ ........... FT..XS~..~.~-~ ' FROM .......~..~.~- ...... ~. ~o. ...... ~.r .......... ~. To....~..( ............. ~..~e..~...~.~:~ F~O. ........................ ~. ~O. ..... .~..~ .......... ~. TO..J. Lt ............. ~.....C.~.~.6 ........ F~o. ...... !.!.~. ........ ~. TO...I~ .............. ~T.S4~.a~-.~-~d~ ~ ~o.....~..~ ........ ~. To.9.~.~ .......... ~.~a.:..~.l~e,~, FROM ........................ FT. FROM ........................ FT. FROM ...................... i.FT. TO ..... ..P....~..6.. ....... FT..i~n.~...~?" TO ........................ FI' ............................... TO ........................ FT ............................... MISCL. INFORMATION-'