The URL can be used to link to this page

Home My WebLink AboutMEADOW BROOK BLK 2 LT 20Meadow Brook Block 2 Lot 2:0 #050- ! 91 - 67 Municipality of Anchorage ( · Development Services Department ~'-": ~= ' On-Site Water & Wastewater Program, 4700 South Bregaw SL p.o. Box 1 g6650 Anchorage0 AK 99519-8650 ~ ~ www.cL~rlchorage.ak, us (907) 3437904 Pege 1 of 5 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number:. SW010256 PID Number:. 050-191-67 Nome:GARY McCARTHY WaetewaterSystem: [] New · Upgrade 11152 PLACER CIRCLE * EAGLE RIVER, AK 99577 ABSORPTION FIELD No. of Bedmome: Ph°ne:(907) 694-4590 4 · Deep Trench ri Shellow Trench ri Bed rl Mound [] Other LEGAL DESCRIPTION 0.45 .~/~ ~ 10.05 - 11.55 . 20 2 MEADOW BROOK 2.93 - 4.24 ~ 7.12 - - - 0.78 - 2.0 r~ 98 WELL: n New [] Upgrade 2.5 r~ 1 - r~' ,~ r~ ~ 1596 s~.~ D 3054/ F-810 n. CCC CONSTRUCTION 7/30-8/2/2001 SEPARATION DISTANCES .~tie ~.~.. .s.T.~.. To Septic AblFo~en Uft HolNng ~.,/~'~'~ "PREMIER" PLASTIC 1300 Well 100'+ 100'+ -- -- 25'+ PLATO 2 s,,o. wot., ~oo'* ~00'* - - - LIFT STATION Fo..~o~o. s.+,o'. - - - ~'"-' ~* I"~ ~'~ ~ Remarks: ~ THE 4Z×:,~"T:::~' SEPTIC TANK WAS BENCH MARK ABANDONED PER U.P.C. BOTTOM OF' BACK DOOR THRESHOLD (CLOSE TO PO~ 'B') .~_=.-~ c-,,~-:-~_ _ 100.00 2nd 6/~/'too~ ..............i ......... 3r~ 6/7/200~ : ~: f,~ ,.~..~;;;.:..""; Department of Healt ndl~~n ,Sej~i_c?,s approval, / ~Ii;% '....'J ~... R~vlewed and approved by:. ~ Date./~~ '"'"~{~,,. ~ ° e e~o~,~',=,'~$~ ~ ~"~ ~"~ AS BUILT DRAWING SW010256 - 050-191-67 I I I [-- ~---- .... - L_ __ _/--/-0.-~-"~' ~ -- -/- ............ - ~.--'~ ru~ ~ co~ ~..~~ .... Z / / 0~, (Fo~--~v..~~' -._-_-:- _-_--_-:_:_____ ......... ~J.::..,2 :', [: 'A " '~ k "~'";J.'. ':-7' PLACER ~~_o. '\ 5 'x~'F CIRCLE ST2 14.6 47.0 ~ \ DBL2 18.8 50.3 \ ! \ FD 19.2 50.6 \ / [ \ C01 41 .7 70.5 ~ / \ c0266.~ 32.4 ~/- - - -- '-~ \ \ MT2 65 1 31 4 DRAWN BY; ........................ ALASI~ WATER & WASTE~VATER ~,~ .~.uM. ~,~..x.:¥~71.~ ....~,,~ co.s.,,^.,s,,,c. .~r-.r.rttrm,.., *~o~ ~ .o~o. ~ n · a~c.~aa~ ~x wso~ · ~ ~o?~7-~79 · .~x f~o'~z~6 1" = 50'~ ~[J[/J~' ' ......... PR[PARED FOR: PHONE NUMBER: PA,GE NUMBER: GARY McCARTHY (907) 694-4590 2 OF 3 ..- .,~, D[SCRIPTION: q~ e,. ~ ........ · ~,~,~ ..oo .o. AS-BUILT OF SEPTIC SYSTEM UPGRADE SW010236 ' 050-191-67 .FINAL GRADE TOP OF TANK AT--~ ~__1 /'--TOP OF TANK AT PLJ~'TIC 1300 GALLON INvu<~ OF BUNO SEPTIC TANK INVgRT OF BUNG AT AT INLET ". 96.5,3 OUTLET =- 96.25 J.LM. ALASICk WATER & WASTEWATER ~ !~:.:'4't:ff, ![ ":..'7.~I ,PREPARED FOR: PHONE HUMBER: PA,GE: NUMBER: MEADOW BROOK SUBDIVISION; LOT 20, BLOCK 2, PROFILE AS-BUILT OF SEPTIC SYSTEM UPGRADE ISOIL LO(; - PERCOLATION TESTI 1.~..¢~.~J/.~...~....l ........ ~ D~CRI~ON: U~W BROOK SUBD~SION; LOT ~0, BLOCK 2, PERFORMED FOR: - -: OR~ICS ~EST HOLE SH ~OH SC DEPTH TO DATE GRO~DWATER G~/S~ ~m 8/~/~oo~ w/ POCK~ OF ML 10 ~ 1 DATE RE'lNG CLOCK NET TIHE ~ATER LEVEL NET DROP TINE (HINGES) RE'lNG (INCHES) 12 8/3/2001 1 3:10 - 6" - 2 ~:40 ~0 MIN. 4 ,3/4' 1 1/4" 13 3 ~:40 - 6- -- 4 4:10 30 MIN. 5" 14 5 4:10 - 6- - 6 4:40 ~0 MIN. 5' 15 16 17 1 19}~ PERC~TION ~TE 30 .(HIN./INCH) PERC. H~ DIA. 6' .(INCHES) 2n~_ TEST R~ BET~EN 6.5 ~. ~D 7.0 COHHENTS: PERC-HO~ W~ PRE-SO~ED FOR 4+ HOURS. PERCO~ON ~ PERFORMED PERFORMED ~ ~ WATER ~ W~ATER I, JEF~ ~ ~N~S, CE~ T~T ~IS W~__,_,~ERFORMED IN ACCORD~CE W~ A~ ~A~ ~D MUNIClP~ GUIDEUN~ IN E~ ON ~IS DATE: MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTE-WATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 12, 2001 Expiration Date: Jul 12, 2002 Permit Number: SW010236 !'*Legal Description: MEADOW BROOK BLK 2 LT 20 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: Gary McCarthy Owner Address: 11132 PLACER ClR EAGLE RIVER, AK 99577-8225 Parcel ID: 050-191-87 Site Address: 011132 PLACER CIR Lot Size: 19029 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 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 caIIing (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 dosed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: t/~l.-~~---~ Date: ~'/ Municipality of Anchorage Development Se~ices Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us ¢O7) Parcel I.D. ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 050-191-67 Permit Number Property owner(s) Mailing address (1) Mailing address (2) ~^RY McCARTHY 11132 PLACER CIRCLE * EAGLE RIVER. AK Day phone 694-4590 Zip Code 99577 Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size ~ Acres/Sq. FL THIS APPLICATION IS FOR: Sewer Only ~] Sewer and Well Sewer Upgrade · MEADOW BROOK SUBDMSION: LOT 20. BLOCK H/^ Number of Bedrooms Well Only Water Storage THIS PROPERTY CONTAINS: Hot Tub Swimming Pool Therapy Pool Water Softening Unit 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 CONSULTANTSI INC. Permit Fees:,~. ~.~)J~. Date o~Payment: Receipt Numbec Waiver Fees; Date of Payment: Receipt Number:. CONSULTANTS, INC, June 18, 2001 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lot 20, Block 2, Meadow Brook Subdivision To whom it may concern: The existing 4 bedroom house is served by a public water system and septic system. The septic system consists of a 1000 gallon septic tank and a deep trench type drainfield. The existing drainfield will not pass an adequacy test and must be upgraded. A test hole was excavated east of the existing septic system in the area of the proposed septic upgrade. An additional confirmation test hole will be excavated on the east end of the proposed drainfield prior to any construction. The proposed septic system will be designed around the 30 foot radii of both of these test holes. We are proposing that a new 1250 gallon septic tank be installed and a deep trench type drainfield be installed. Comments regarding the proposed design are summarized as follows: 1. SOILS: See the attached log which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that due to the overall appearance of the soils, an application rate of 0.45 gallons/day/ft2 should be used. 2. TRENCII DESIGN: a. Percolation Rate: 60 minutes/inch b. Allowable Application Rate: 0.45 gallons/day/ft2 c. NumberofBedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1334 ft2 f. Total Depth: 1 i feet (max.) g. Effective Depth: 7 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 96 feet k. Effective absorption area = 1344 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. TOPOGRAPItY: The area for the proposed septic system is relatively flat. The trench is to be installed near the base ora 5 to 10 percent slope running from north to south; in short there are no slope concerns. I am 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, a soils log, and a 7page 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 ~. ~ _./_ TEDROW DRIVE ' I I I LOT 1. BLOCK 1, I I LOT 2. BLOCK 1. BIRCH HILLS TERRACE I I BIRCH HILLS TERRACE: WELL ON NOEqH I I WD_L ON NORTH HALF OF PROPERTY |1 Ii HN..F OF' PROPERTf LOT H~ L~BLO~ B~RCH I I I I I I I i FPROPOSED NEW SEP'RC SY~'T'EM I (SEE DESIGN PAC? 2 OD' 2) I I J I . ~: / // \ \ ¥:c¥ ~ HOUSE LOT 17. BLOCK 2 / ...... / ~ J~ ~~-~ i ~ / ~ ...... ~, ~ .~. ~ ........ 6/18/2001 CONSULTANTS, INC. ' 'R~ r~ PHONE NUMBS: MEADOW BROOK SUBDIVISION; LOT 20, BLOCK 2, ..... SITE P~N FOR SEPTIC SYSTEM UPGRADE IN~'fALL FLOW I I DNCRTER I 1 ~ I ~ -~ I ~~CTOR Wm~ NEED TO ~SE ~E ~DE ~E C~W~PACE IN ORDER / ~~OR ~ RESPONSIB~ FOR ~E ~SI~ ~TER & ~STEWATER 'R~m FOR: PHONE NUMBER: GARY McCARTHY (907) 694-4590 MEADOW BROOK SUBDIVISION; LOT 20, BLOCK 2, DESIGN OF SEPTIC SYSTEM UPGRADE ALASKA VATER & VVASTEVVATER CONSULTANTS. INC ..... I$OIL LO[; - PERCOLATION TESTI . LEGAL DESCRIP~ON: U~OW BROOK SUBD~SION; LOT 20, BLOCK 2, PERFORMED FOR: ~[e~ ORG~ICS ITEST HOLE ff~l ~/sou[ m ~ I GH CL ........................................ GC OL ~~ --~ .... o, ~ SW MH SU/~L ' · SP CH 11 DATE RE. lNG CLOCK NET TIME WATER LEVEL NET DROP 5/24/2001 1 1:51 - 6' - 1~n~ GM/SM ~ 2:01 - 6' - 14~1 ~1[limit , UL 5 2:51 - 6- - 'l~[~ 6 3:01 30 MIN. 5 1/2' I/2' 15 16 17 1 199~ PERCO~TION ~TE 60 (MIN./INCH) PERC. HOLE DIA. 6' (INCHES) 2n~__ TEST R~ BETWEEN 7.5 FT. ~D. 8.0 COHHENTS: PERC-HOLE W~ PRE-SO~ED FOR 4+ HOURS PERFORMED BY A~ WATER & W~ATER I, JEF~ A. G~NESS, CE~ T~T THIS ~/PERFORMED IN ACCORD~CE W~ A~ ~A~ ~D MUNIClP~ GUIDEUNES IN EF~CT ON ~IS DA~: DATE MADE KEY BOX CASING. DELAYS. ~_TC~ GRE/ ,iR ANCHORAGE AREA BOR JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-51TE SEWAGE DISPOSAL SYSTEM PHONE ' SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH __ MANUFACTURER ~/~/' INSIDE WIDTH MATERIAL ~*~'/ NUMBER OF / COMPARTMENTS LIQUID DEPTH ____ _ LIQUID CAPACITY/~'~2~GALLONs. TILE DRAIN FIELD: NDATION NEAREST LOT LINE · NUMBER OF LINES / DISTANCE BETWEEN LINES TRENCH WIDTH,~g~ IN. ABSORPTION AREA ~.~_' __ SQ. FT. LENGTH OF EACH LINE / ¢¢ DEPTH OF FILTER DEPTH: TOTAL LENGTH OF LINES ~"'~ -~ TOTAL EFFECTIVE TOP OF TILE TO FINISH GRADE ~// MATERIAL BENEATH TILE_'-~-" IN. ABOVE TILE IN. WELt_: TYPE BUILDING FOUNDATION CESSPOOL APPROVED - _CONSTRUCTION DEPTH NEAREST NEAREST SEPTIC SEEPAGE LOT LINE -- SEWER LINE __ TANK__, SYSTEM OTHER SOURCES DISAPPROVED _REMARKS -- __ DISTANCE FROM: DISTANCES: - INSTALLED BY: SEWER LINE DEPTH: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM ~ ~ ~ ,, / APPROVED G.A.A.B. GRE/- ZR ANCHORAGE AREA BOF 'JGH OEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE:, ALASKA 99503 TELEPHONE 274-456 I SEWAGE DISPOSAL SYSTEM -- APPLICATION AND PERMIT INSTALLATION LOCATION ~ /?,~ ~ INSTALLATION OF: SEPTIC 'rANK SEEPAGE PIT ~ DRAIN FIELD SERVED ~/~(~/~q ~';'> ~ ~ ~ ~ SOIL TEST RESULTS , OTHER NOTEI THIS PERMIT IS NOT VALID WITHOUT SOIL 'rEST COMPLETION DATE ANTICIPATED 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. - OlAGR~OF SYSTEM ' ~ MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK --h'-, --;--'-~-1'-- I L.~ ; -Y ~ I '~'-I 1., SEPTIC TANK TO SEEPAGE PITWALL /:: / .... ~-* [ ~ -/ ' ' ' ~ : ]-'-:~ 1' '- ~ -':' '"' ' WATER MAIN TO SE P T,C TANK . SEEPAGE PIT ~ _ ~ :.~ /:~K~ ' [ ], ' .... : . DRAIN FIELD D . , ~ ]. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF ', :, ~ ] I ~ ~ ', ~XCAVA~ON~...~N~OUND~S~UR..~SO~. : '~ .... ~-'[ ~ [ .... [ ..... ~ ..... ..... ;- --; - ~--: ...... ~--- ~-4- ~ -~-- .~-~ , -~- . ,--~ ~-4---~-.~ ~ .......... .-, ....... ~ h-: ~ ...... ~ ..... ~ . ~. ~ .... ...... : ... ~ --~ .... ~ --.: .... ~ ~% : - ' ~ ; ~ -'~ ........ ~ ....... ~ ~-"l ...... ~ ~ AR~A B~UGH ORD THE ABOVE THAT[ AM FAMILIAR WITH THE RE,~IREMENTS OF GREATER ANCHORAGE ~8 An 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT CONFORM TO BOROUGH REGULATIONS BEGARDING INST~LLATION. OSE Russell Oyster 694-2774 Soils Et Foundations GEOTECHNICAL 8 DEVELOPMENT Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 CO. Earl £11is 688-2280 Land Development SOIL L_O_G Perfomed for: Legal 0 Mailing Address: /~ ~-~ '? Description: /d 7- .2~ , ~ocLlCharacteristic) 5 6 7 8 lO Yes No~ If yes, what depth Seepage Pit__~. Drain Fie~d~ Ground Water Encountered: Proposed Installation: Cormnents: Perfof~ned by.' Municipality of Anchorage Development Services Department Building Safety Division on-site Water and Wastewater Prog..ram 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-~91-67 GENERAL INFORMATION .Complete legal description Location' (site address or directions') o oo Expiration Date: Lot 20; Block 2; Meadow Brook Subdivision 11132 Placer Cir. Current Property ownei:(s) Dawn ~ H/! L/-. · Mailing address 11132 Placer Cir. Eagle River, AK 99577 Day phone 694-1410 Lending agency Day phone Mailing address Real Estate Agent Day phone .Mailing Address ' :Unless otherwise requested, HAA will be held by DSD forpickup. 2..NUMBER OF BEDROOMS: :." ~ 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 [] The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for 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. (Certificates may be reissued for a period of up to one ye. ar 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. ' Municipality.of Anchorage DeVel~0'pi'nent services Department : i" I': ! BuidngSafetyDivision OmSite Water & Wastewater Program . i ' ! 4700 South Bragaw St. P.O. ~ox~96650 Anchorage, AK 99519-6650 '. i www.ci.anchorage.ak.us ~ , (907) 343-7904 HEA ;LTH}AUTHORITY APPROVAL CHECKLIST, ,% : ' [ [~/'¢~ 0 i( rcel ID: O ~'-O LegalDescription: ~-'OT ~,%Oi!81..ocK' ~ 1: A. WELL DATA ' ~ O:/SL al~.- i,.~ ,'~-~- ~/~_ Well type Date completed Total depth ft. Date of test , Static water level Well production WATER SAMPLE R~ Coliform 7~,~lonies/liO0 mI. Nitrate '. .mg./I. Ar~ mg./1, i i Date of sample: B. SEPTIC/HOLDING TANK DATA TankType/Material ~f~P~ ,~_ il 'rio ; : 1 Tank size I ~ OO gal. ,~ Number of Compartments ! . Foundation cleanout ON) (/~-)' :: Depression over tank (Y(Cb) ,~ Oate of pumping ~--/9/o'¥' ... Pumper C. ABSORPTION FIELD DATA ' Soil rating 'g~..d./f~or ft2/bdrm)0"'~t 5" Width ~ · '~ ft. Date installed ~j/,;~../O ! Length ¢J' ~ ft. Total depth j I ft, Date of adequacy test A, B, or C provide PWSID # Well Log (Y/N) anitary seal (Y/N) . pro~ Wires lOased to__ft. . ' Casing~ve ground) in. FRO!M WELL'LOG ~ECTION , , g.p.m. §.p.m, Other becteria Collected by: colonies/lO0 mi. Date installed Cleanouts j~N) High water alarm Eff. absorption area/3~{, .fit Ivlonitoring tube '"/~J' '~ot~/3/<:> ~ Results~Fail) Fluid depth in absorption field before test i),*-7' in. Water added]¢'-~0 gal. Elapsed Time: ~¢/O min.. Final fluid depth ~ in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (YIN & type) System type -/-R ~.,o c ~/ Gravel below pipe '"7 - I ~ Depression over field '~ C For /'/ bedrooms New depth/ I;, in. (o o o g.p.d. If yes, give date ~ ft. LOT 1 LOT 2 S8g'57'10"£ 167.00' 10' UTILITY EASEMENT LOT 24 LOT 23 LOT 20 66.3 EXISTING HOUSE ~ 33.2 2.1 47.2 LOT 19 LOT 22 ~9'57'00"W 50.00' LOT 21 PLACER CIR. ' NOTE: SNOW & ICE MAY CONCEAL MINOR SURFACE FEATURES. ~.' .~-~J~:~[-~))~~ EXCLUSION NOTES: t s the owners' responsibility to determine o.o~.ro aY: I the existence of any easements, covenants, or restrictions C A R O L B U T L E R which do not appear on the recorded, s. ub.divislon .plot. N.O'[.£:r with RE/MAX PROPERTIES Under no clrcumstonces should any palp hereon oe usaa io [,.~ ............... ,,~,~.),~,,~J construction or for estobllshing property lines, )~'~jl~-~ ...... --, - "~"'" ~ SURVEY CERTIFICATION: LANTECH has conducted o LAND & CONSIRUCTION SURVEYORS-PLANNERS-ENGINEERS 440 ~A~:ST BENSON BLVD. # 103 (fox) 561-6626 ANCHORAGE. ALASKA 99503 (907) 562-5291 WORK ORDER NUMBER: DAli: SCALI:: PLkT NUM~:R: FEB. 14. 2002 1"=30' 75-57 2001-L-711B NWl 53 REF: 2001L711 physlcol survey of this property os shown on this drawing and that the improvements situated there- on ore within the property lines and no encroach- ments exist other than noted. AS--BUILT OF: LEGAL DESCRIPTION: LOT 20, BLOCK 2, THE MEADOW BROOK LEGEND: SET FND 5/e'RB W/CAP(~ 5/8' RD O 3.25' AL.IdON. '~ MONUMENT '(~ HUB & TACK FENCE- X X O~v[RHANG- WOOD DECKS- [ I CONCRETE- I -. _ '- '1 ASPHALT- I · 'J GRAVCL- SEPTIC STANDPIPES- WATER WELL- SUBDIVISION Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR .5, SINGLE FAHILY DWELLING Parcel I.D. 050-191-67 1. GENERAL INFORMATION o oo ff Expiration Date: '~ _ Z-//- 4) ~ Completelegaldescdption ¢ MEADOW BROOK SUBDIVISION; LOT 20, BLOCK 2, Location (site address or directions) 11132 PLACER CIRCLE * EAGLE RIVER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address GARY McCARTHY Day phone 694-4590 11132 PLACER CIRCLE * EAGLE RIVERt AK 99577 Day phone CAROL Bt.ql. ER w/ RE;MAX PROPERTiES Day phone 2600 CORDOVA STREET * ANCHORAGE, AK 99505 257-0116 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 II Public Sewer [] The Municipality of Anchorage Development Sen/ices Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for 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 pdvate or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or pdor to closing forths engineering services previded. e STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of Ihs validation date shown below, I verify that my · investigation, based on procedures outlined in the Health AuthodtyApproval 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 t/me of installation. ' Name of Firm ALASKA WATER & WASTE'WATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE. AK 99504 Engineer's Printed Name JEFFREY A. GARNESSo P.E. Date 337-6179 Engineer's 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 & Regutations. 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 ali wells and septic systems depend on the loc. al 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 eva/uator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there ara no hidden defects or encroachments. A WWC, Inc. 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 dght whatsoever, , A.-b"mlYess..: ~ ~-7953 .' &~. 5. DSD SIGNATURE ~ Approved for LJF' bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the ~owing stipulations: ~-' W~,TI:I:7 ~klr3 · II1' '~ ; PROGRAM -' -' Manitenance Agreements ~4.'.~ Supplemental Engineer's Reort Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK g9519-6650 www.cLanchomge.ak.us HEALTH AUTHORITY APPROVAL CHECKLIST Legal Descflptten: MEADOW BROOK S/Dj LOT 20, BLOCK 2, Parcel ID: 050-191-67 WELL DATA PUBLIC WATER WeII type If A, B. ot C provide PVVSID~ ~ ~ Total de . Cased to It. Casing height (above ground) in. FROM WELL LOG AT INSPECTION ~l~m - ¢olonla$/~O0 mi. Nl~te - mgJL. Other I~{~e~ - ~a:flonl~/'lO0 mi. .~J~nio: - ~.. Date of sample: - Gollected I:~: - B. SEPTIC/HOLDING TANK DATA Tank Type/Material 'PREMIER pLAS11C'/P~C Date installed 7/30-8/2/2001 Tanksize 1500 gal. Number of Compertments 2 Claanouts(Y/N) YES Foundation deanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping NEW Pumper - C.~ ABSORPTION FIELD DATA Date installed 7/3o-8/2/2ool Soil rating ~ ft~/lxlrm) 0.45 System type DEEP TRENCH ~ng~ 98 .ft. Width 2.5 ft. Gravel below pipe 7.12 It. Totaldepth 12.! +/-It. Eff. absorptim~ area1396 fi= Monltoringtube YES Depression over flald NO Date of adequacy test NEW Results (Pass/Fall) - For 4 bedrooms Fluid depth in absorption field before test - in. Water added - gal. Now depth - in. Elapsed T~ne: - . min. Final fluid depth - in. Absorption rate >= - g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N/A If yes. give date - D. UFT STATION installed Size in gallons , Manh~~---~ Pump on' level at. in. 'Pump off' ~n. High water alarm level at in. Datu.._.__m Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Se~c tank/lift station on lot Absorption field on let Public sewer main Ona~acentlots PUBLIC WATER Holding lank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Properly line 5'+ AbeorpUon field 5'+ Water main 10'+ Water sewlce line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FRoM ABsoRPTION FIELD ON LOT TO: Building foundation 10'+ Surface water 100'+ Wells on adjacent lots. 100'+ Water main 10'+ Driveway, parking/vehicle storage Property line. 10'+ Water sewice line . 10'+ Curtain drain NONE KNOWN COMMENTS 25'+ G. ENGINEER'S CERTIFICATION I cerl/fy that I have determined through field inspections end review of Municipal records that the above ~ystems ere in conformance with MOA HAA guidelines in effect on this date. Engineer's Pr~nt~ Name Date t /a I/o Jt.rr~E'Y A. C, ARNESS Fee $ Date of Payment Receipt Number (Rev. 12~01) Waiver Fee $. Date of Payment Receipt Number. FEB-28-2002 ~U 11:26 ~ UttiTEC~/SL~A FAX It0. ~6t6626 P, 02 LOT 24 LOT ! LO/ 23 ~,7.2 LOT 19 LOT 22 9'57'00'W LOT 21 PLACER CIR. 2-14-02 1. ADO£O (.t) $£PTIC STANOPIP£S. NOT[' 2-21-02 (V,'PJ) SN0~ Z, ICE MAY C~CEAL LOT 20, BLOCK 2, THE MEADOW BROOK SUBDIVISION DATEt~.~'""v ~'~/~'-'¢--¢-,~.1 RECEIVED INSPECTION APPOINTMENTS TlivlE TIME TIME DATE DATE DATE 'INSPECTOR INSPECTOR i NSPECTOR,., ..~\,~ O AIt~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECT~ii~ICIPALITY ,OF ANCHORAGE 925 L Street- Anchorage, Alaska 99501 DEPT. OF Ir!/,U/ll & ENVIRONMElqT/\L t ;~OTECI'ION ENVIRONMENTAL ~ANITATION DIVISION ...... )OI Telephone 264-4720 ~ii:: F) ~, A REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWI~r-~I~I'~i ~D DIRECTIONS: Complete all parts on page 1, Incomplete requests will not be processed. Please allow ten I10) days for processing, 1. PROPERTY OWNER I PHONE MAILING ADDRESS PROPERTY RESIDENT (If different from above) PHONE 2. BUYER PHONE MAILING ADDRESS~ ~ ' ~ ~ ~', LENDING INSTITUTION ' ~" [ PHONE 4. REALTOR/AGENT ~~ ~ ~ J PHONE :5. LEGAL DESCRIPTION STR E ET LOCATI ON 6. TYPE OF RESIDENCE ~ SINGLE FAMILY [] MULTIPLE FAMILY NUMBER OF~BEDROOMS [] One [] Four E~ Two E~ Five ~-~Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* COMMUNITY [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) 8, SEWAGE DISPOSAL SYSTEM ~- INDIVIDUAL/ON-SITE** / ~ "~7.~ YEAR ON-SITE SYSTEM WAS INSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79)/. . THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS FIVE OTHER I~]? SINGLE FAMILY [] ONE ~ncE [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL ~/"COMM U N ITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER Connection Verified INSTALLER []Septic Tank or E~Holding Tank S ze . If Tank is homemade SOILS RATING give dimensions: TOTAL ABSORPTION AREA MATERIAL 4, DISTANCES Septic/Holding Tank IAbsorption Area Sewer Line I Nearest Lot Line WELL TO: I I Absorption Area to nearest Lot Line §, COMMENTS [~'~APPROVED FOR ~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY 72-010 (Rev, 6/79) EXCAVATION ROBERTA. SHAFER WORK CIVIL ENGINEER 694-2979 September 27,' J1981 Larry Langston 3022 l:].ace~:' Circ].e '[:ag.l.e River, Alaska 99577 Oear [,Ir. Langston, Reference: Lo~ 20: Block 2; Meadowbrook Subdivision A sewer system adequacy test was performed on the system located on -the referenced property, as you requested. The clean-out pipe on the sept:lc tank,wa:5 repaired and the septic 'tank was pumped and veri¢ied to have a capacity of 1000 gallons. The absorption trench was teste¢t by a continuous flow of 550 gallons over a 24 hour .period without any measurable rise in the water in the sump at the end of the trench ~ It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently funchionfng adequately. However, this system cannot be guaranteed against subsequent failure. If we may se of further service, please do not hesitate to call. cc: Refiax ;{ea lty ATT FR{TION: Judy I.amb Alaska F.'!utua] Eank f.'i] unesoha ] Eanch ,.,un.~ ~].paJ~. -I/ of} &nchorage :}epartmenL ,of Ileal. th and Environmental Pro'hectien SRB 196X EAGLE RIVER, ALASKA September 17, 1981 Larry/Anita Langston 3022 Placer Circle Eagle River, Alaska 99577 Subject: Lot 20 Block 2 Meadowbrook Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (]) The septic tank pumped with a receipt submitted to this offlce. (2) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private engineers performing the test is enclosed. This report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, James S. Roberts Associate Environmental Specialist JSn/ljw cc: Alaska Mutual Savings Bank ]_503 West 31 Avenue 99503 Judy Lamb % Re/Max Properties 2702 Gambell Street, Suite 201 99503