400%
200%
100%
75%
50%
25%
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
EAGLE PARK BLK 3 LT 4
Eagle Park Lot 4 Block 3 #050-782-18 Municipality of Anchorage Pogo 1 of 3 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW990377 PID Number. 050-782-18 PAT TRIMBLE Wastewater System: ❑ New ■ Upgrade Addr 20627 RAVIN DR. EAGLE RIVER, AK 99577 NFPER/Lowmi ABSORPTION FIELD tuPPER/LowERi phone; (907) 694-9871 No. or bedrooms: 4 ■ pep Trench Cl shallow Trench O 13W0 gourd 0 Mar LEGAL DESCRIPTION >a "'�` 0.45 wohv. r, o Te,w +• moor X7.0 8.0 M1 Lot: elock: sebaYwoo: EAGLE PARK Did, le Pea WOOD hon alga+ Waft 0.84-1.84/1.6-2.1 arww e,eM bwwM rhea 6.2/5.9 R 4 3 rt Township: — Rage: — Section: — n added +•Y• - Pew 0.5-1.5 n e"wd Lwirll• 122' TOTAL (41'/81') Ft e,e,w w1Ma Me" of ns ch0woo cess.. ewc WELL: O New ❑ Upgrade 2.5 n 2 18.0 R Cl serwe" a vrkvbk ARC Talmo aad Ta n Tall e!•erPtlon aea o. 1464 SIM �• �� ASTM D -3034/F-810 X\5�l,NG R Draw: E o.l. Drees adeo welw L..R �RASMUSSON EXC. 1170"M2/99 — 10/15/99 """° "L At Cerny "ftM Awls aeaP! TANK Ort R R SEPARATION DISTANCES osptic 13Hoding ■S.T.E.P. Tom Tank �Fi ego" S NnN=g s...r u�w. LlweeWat ANCHORAGE TANK ppaly ti elan 1 1500 F,o,,, Well too'+ too'+ too'+ — 25'+ rw.k STEEL w.rawa.aro.ee.ea 2 Wol� too'+ 100'+ too'+ — — LIFT STATION Lions 5'+ •5' S'+ — — 1500 ANCHORAGE TANK/ORENCO PRODUCTS en Mel -t.t er.r dwrn at Foundation 5'+ 10'+ 5'+ — — 42" 42" 46" CurtainNONE Drain KNOW sero LW • seem /20 OSI 05 HHF ae.rLew eeeee I wnaer Lr RISING SUN ELECTRIC Remarks: *SEE LOT LINE WAIVER WRA990083. BENCH MARK ALL LINES WERE INSULATED PER EXCAVATOR. meccas and Deow" o TOP OF CONCRETE SLAB AT BOTTOM OF STEPS IN THE BACK OF THE HOUSE. 100.00 r. .. , [roeerre eeAL. �odo�Op . oQ OF op 1�7�0 Inspections performed by AWWC, INC. Dates: 1st 10/12/99 ...:... ... .... ...... * *J' 2nd 10/15/99 3rd 10/20/99 •..... D QO Je f A.ness.-....D a Department of Health and Human Services approval 0��a'e^, E .7993 Reviewed and approved by�A Date: —"� 0 ��De4v Professlon°oo �400000� ms 1/91) roe m PERMITNUMBER: A S � B U I LT DRAWING F050 ID NUMBER: SW9 SW99O377 050-782-18 \ 1 NEW 1500 CALLON-� S.T.E.P. TANK Mrl ST4�C Hou. OMf I � � I� I I I i r TH/ I i �O. �jyGJ` i I NEW DRAINFIEUDS ��3 Mf3 / If Oji rJ H%3 L_ ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD. SUITE 28. ANCHORAGE, AK. 99504 PHONE (907) 337-6179/FA%: (907) 338-3246 EAGLE PARK SUBIDVISION; LOT 4, BLOCK 3 TYPE OF WORK: AS -BUILT OF SEPTIC SYSTEM UPGRADE O, PAT TRIMBLE (907) 694-9871 11/2/99 I K.D.W./J.L.M. I 1 = 40' 2 OF 3 / A B C D E ST1 - - 19.5 19.5 30.2 ST2 - - 24.6 24.6 31.3 MH - - 27.0 27.0 31.9 MT1 11.8 27.2 - - - MT2 - 41.4 38.1 - - MT3 - 74.8 46.4 - - MT4 - 55.8 1 21.5 - - i I NEW DRAINFIEUDS ��3 Mf3 / If Oji rJ H%3 L_ ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD. SUITE 28. ANCHORAGE, AK. 99504 PHONE (907) 337-6179/FA%: (907) 338-3246 EAGLE PARK SUBIDVISION; LOT 4, BLOCK 3 TYPE OF WORK: AS -BUILT OF SEPTIC SYSTEM UPGRADE O, PAT TRIMBLE (907) 694-9871 11/2/99 I K.D.W./J.L.M. I 1 = 40' 2 OF 3 / PERMrrNUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SW9 SW99O377 050-782-18 100.1(AV0 CO2K am • ml (%KWNM oaaa arcs - as (mp m LRSTYI. (P2C •996 (9YLLONGm (S/4"m5m PK) • 98D OOITOM Q 92Na1 • 92.06 ///r FNL GRADE •97.95 / 5T2 M for Of I"- Af N.Ef • 94.95 fm am • 1o(xara /- orzm awe - Iml • MtzrCr PPC 0/4" revues PPC) • 10186 MM4q.E • 9995 r PI.ATION Af OIM.Ef • 94.96 f I I NEW 1500 GALLON I I AfU f-9 5S.U. M AT f-9; 9 ALASKA WATER AND WASTEWATER CONSULTANTS, INC. 6901 DEBARR ROAD. SUITE 2B. ANCHORAGE, AK. 99504 PHONE: (907) 337-6179/FA%: (907) 338-3246 AL DESCRIPTION: EAGLE PARK SUBIDVISION; LOT 4, BLOCK 3 IE OF WORK: AS—BUILT PROFILE OF SEPTIC SYSTEM UPGRADE SPARED FOR: PHONE NUMBER: PAT TRIMBLE (907) 694-9871 TE: DRAWN BY: SCALE: PAGE: 11/2/99 K.D.W.J.L.M. 1 = 40' 3 OF 3 A. (;7ess` 4 —7953 `t Municipality of .Anchorage Department of Health and Human Services 825 *V Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayer http•J/www.cl.anchorage.ak.us October 12, 1999 Jeff Gamess, PE Alaska Water & Wastewater Consultants, Inc. 6901 De Barr Road, Suite 2-B .Anchorage, Alaska 99504 Subject: Waiver Request for Lot 4 Block 3 Eagle Park Subdivision Waiver Request #WR990083 Parcel ID #050-781-18 SW990377 Dear Iblr. Gamess: Your- request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field 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 concerns or questions regarding this waiver, please call our office at 3434744. Sincerely, �. - 1 Daniel J. Roth Civil Engineer On -Site Water Quality Program RECEIVED NOV 16 1999 MU111ppalrty Ut Anchorage Uept. Health & Human Services MUNICIPALITY OF ANCHORAGE Department ofHeafth and Human Services On -Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-4744 P nm u -Lo b_xZ1- 10 -14/ 91 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT F✓ % 3 ' 3 a rte. Upgrade Date Issued: Oct 07, 1999 Expiration Date: Oct 06, 2000 Permit Number: SW990377 Parcel ID: 050-782-18 Legal Description: EAGLE PARK BLK 3 LT 4 Design Engineer. 0041 AK Water & Wastewater Consulta Site Address: 020627 RAVEN DR Owner Name: Pat Trimble Lot Size: 39901 SO. FT. Owner Address: 20627 RAVIN DRIVE Total Bedrooms: 4 Permit Bedrooms: 4 EAGLE RIVER. AK 99577-8742 This permit is for the construction of: 0 Disposal Field 0 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 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. LUjLgjj00SL- AU a i Lc koj-*' Received By: Issued By: Date: Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2B —Anchorage —Alaska 99504 (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers September 29, 1999 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade Design for Lot 4, Block 3, Eagle Park Subdivision To whom it may concern: The proposed 4 bedroom house will be served by a private well and septic system. Three test holes were excavated on the property. The proposed septic system will be designed around the 30 foot radii of test hole 42 and #3. Comments regarding the proposed design are summarized as follows: 1. SOILS: Attached are logs which shows the soil profile, and the percolation test results. In test holes #2 and #3, the soils below the organic layers are a SM/ML material to a depth of 14 feet (bottom of both test holes). No groundwater was encountered during the excavation of the test holes. A percolation test was performed in each test hole between the depth of 5.5 feet to 6.0 feet and had a rate of 32 minutes/inch and 48 minutes/inch. 2. TRENCH DESIGN: a. Percolation Rate: 32 & 48 minutes/inch b. Allowable Application Rate: 0.45 gallons/day/fit c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1334 ft2 f. Total Depth: 8 feet (maximum - at any point) g. Effective Depth: 6 feet h. Width: 2.5 feet i. Reduction Factor: N/A i. Length: 120 feet total length (one @ 80 feet & one @ 40 feet) j Effective absorption area = 144011 This will be a pressurized system. The distribution line is to be 1-1/4 inch Sch. 40 PVC with 1/4 inch diameter holes faced downward spaced 3.9 feet on center. 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached design, The lot is generally flat in the backyard. The 80 foot long trench is to be installed at the base of a slight slope and the 40 foot long trench is to be placed at a slightly higher elevation; 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 me at 337-6179, or 244-9612. Thank you for your assistance. M.S. NOTE: Attached is a site plan drawing, a design drawing, three soil logs and a 4 page constniction specification letter which are all part of the design package for this septic system. LOT 5. BLOK I LOT EAGLE PARRKCS/D I EAGLE PARKCS/D I EAGLE ,P LKCS/D I EAGLE �PARKCS/D -----------------I"----------- ------ I. — ---------- ------I" — — — — — — — — — — — — — — — — — — — — — i LOT E BLOCK 1 EAGLE PARK S/D LOT 3 BLOCK 3 EAGLE PARK S/D PROPOSED SEPNC AREA (SEE DESIGN. PACE 2 OF 2) \\\ / TH/x EXISTING 1 1 SEPTIC / SYSTEM 1 TH/I I I I I / LOT 2, BLOCK 3 / EAGLE PARK S/D ISTING \ EDROOM 1 OUSE LOT 5A, BLOCK 3 EAGLE PARK S/D I Y i I \ LOT 3, BLOCK 2 \ \\ / \ EAGLE PARK S/D \\ S LOT 2A. BLOCK 2 \ / ON,SI° FAGLE PARK S/D / LOT TA BLOCK 2 EAGLE PARK S/D \..a£P 1 LOT 7, BLOCK 3 —_-------------- EAGLE PARK S/D ALASKA WATER AND WASTEWATER CONSULTANTS INC. 6901 DEBARR ROAD, SUITE 2B. ANCHORAGE. AK. 99504 .-- G • O Ijl) PHONE: (907) 337-6179/FA%: (907) 338-3248 EAGLE PARK SUBDIVISION; LOT 4, BLOCK 3 TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE A. PAT TRIMBLE (907) 694-9871 J.L.M. I 1= 100' I 1 OF 2 PROPOSED DRAINFIELD UPGRADE EXCAVATE ONE TRENCH THAT IS 80 FEET LONG AND ONE THAT IS 40 FEET LONG. BOTH TRENCHES ARE TO, BE 6 FEET DEEP (MAXIMUM DEPTH — AT ANY POINT) BY 2.5 FEET WIDE ADD / 6 FEET OF CLEM. WASHED SEWEROCK. THIS IS A PRESSURrZED THE LINES ARE TO BE 125 NCH SCH.440EMPVC WITH 1/4 INCH \ ` ETER HOLES SPACED 3.9 FEET ON CENTER.— i \ \ WANEFOR FYQU LINE �k CruY� THj , I CAT!;) \� 4 •g \ fklg Nf EXISTING SEPTIC TANK IS Hous0M TOBE,DONEDCOMPLETELY REPLACE E/ / 1500 GALLON S.T.E.P. TANK I� o I I '4y0 ' INSTALL DBL CO ( EXISTING CRIB TO BE I % 100' WELL RADIUS � ABANDONED LOCATION) IN PEISTING TR\v TO TH( I BEIXABANDONED�INHPLACE I 1 I tea. kn NOTE: WELLRADII THAT ARE CTON THE VICINITY HE 7TI0 FOOT PROPOSED DRAINFIELD AND ALSO THE NORTH LOT \ �oyf UNE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY CONSTRUCTION. ALASKA WATER AND WASTEWATER CONSULTANTS, INC. oo F 890PH0�(907 337 BR ROAD, R79/FAX: (9028. 7)338 3248504 Qov��.•OF... LEGAL DESCRIPTION: O EABLE PARK SUBIDVISION; LOT 4, BLOCK 3 ..;,9*�0 TYPE OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE Q ••• A. ess. O PREPARED FOR: PHONE NUMBER: Q e E-7953 PAT TRIMBLE (907) 694-9871 : ado DATE: DRAWN BY: SCALE: PAGE: 0 �s� � ••........•• � (•Qpm 9/29/99 J.L•M. 1 = 40' 2 OF 24��Op0009101% ALASKA WATER & WASTEWATER CONSULTANTS, INC. LEGAL DESCRIPTION: EAGLE PARK SUBDIVISION: LOT 4. BLOCK 3 PERFORMED FOR: PAT TRIMBLE DATE PERFORMED: 9/2/99 (feet =_EPTH = ORGANICSTEST HOLE #1 ML/LOAM 2 SOIL CLASSIFICATIONS GW ---y ORG 3 •ia :' t GP I ML GM CL 4 GC OL •�_� SW MH 5-1 *:!.7 SP CH SM /OH s ESC 7 DATE *SEEP O 12.5' 9/2/99 DRY 9/7/99 DRY 9/10/99 EXISTI SM/ML s I I THJ1 > I DENSER I 6- P� ED R91'E)y WITH g 1111 5-7/16' 9/16- 3 DEPTH 10 6- — 4 5:23 ;�I'lllll H.O.H. 1 DEPTH TO GROUNDWATER DATE *SEEP O 12.5' 9/2/99 DRY 9/7/99 DRY 9/10/99 EXISTI ............ .� Gamess; —7953 \F< .... d10*6 SITE PLAN READING EXISTING \ 4 BEDROOM \ \ HOUSE NET TIME (MINUTES) I WATER LEVEL I READING k 9/7/99 — PRESOAKED PERC CAVITY FOR 4+ HOURS EXISTI SSEEvnc SYSTEM I I THJ1 > I v I 6- P� ED R91'E)y SEFnC \ 30 5-7/16' DATE READING CLOCK TIME NET TIME (MINUTES) I WATER LEVEL I READING NET DROP (INCHES) 9/7/99 — PRESOAKED PERC CAVITY FOR 4+ HOURS 1 4:23 — 6- — 2 4:53 30 5-7/16' 9/16- 3 4:53 — 6- — 4 5:23 30 5-7/16' 9/16- 5 5:23 — 6- — 6 5:53 30 5-7/16' 9/16' 19� PERCOLATION RATE 53.3 (MINdINCH) PERC. HOLE DIA. 6 (INCHES) 20 TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. COMMENTS: 'NOTE: THIS IS BELIEVE TO BE EFFLEUNT FROM EXISTING TRENCH. PERFORMED BY ALASKA WATER do WASTEWATER. I. JEFFREY A. GARNESS. CERTIFY THAT THIS WAS PERFORMED1IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON Y ALASKA WATER & WASTEWATER CONSULTANTS, INC. LEGAL DESCRIPTION: EAGLE PARK SUBDIVISION; LOT 4, BLOCK 3 PERFORMED FOR: PAT TRIMBLE DATE PERFORMED: 9/22/99 D1et-'�-_ ORGANICS ITEST HOLE #2 1 SM/ML DENSER WITH DEPTH 9 10 11 12 16 17 18 DEPTH TO DATE GROUNDWATER DRY 9/22/99 DR'! 9 28 'I'► SITE PLAN I READING 1' - 100' I CLOCK TIME I WATER LEVEL READING GIN O. 9/22/99 — PRESOAKED PERC CAVITY FOR 4+ HOURS � I GP ulllllllML TH+2---- EXISTING \ TM13 7:44 ua�uiGM.iia.CL 6' SYSTEM -EXISTING TM ^, I 4 BEDROOM HOUSE 30 5-1/2' GC OL 3 8:15 — 6- uuwMH � S CH e 4 8:45 30 5-3/8- 5/8' 5 , — 6- — 6 9:16 SC SM/ML DENSER WITH DEPTH 9 10 11 12 16 17 18 DEPTH TO DATE GROUNDWATER DRY 9/22/99 DR'! 9 28 'I'► SITE PLAN I READING 1' - 100' I CLOCK TIME PRSEPPTIIC� I WATER LEVEL READING SYSTEM I 9/22/99 — PRESOAKED PERC CAVITY FOR 4+ HOURS � I TH+2---- EXISTING \ TM13 7:44 SEPTIC 6' SYSTEM -EXISTING TM ^, I 4 BEDROOM HOUSE 30 5-1/2' I I 3 8:15 — 6- DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 9/22/99 — PRESOAKED PERC CAVITY FOR 4+ HOURS 1 7:44 — 6' — 2 8:14 30 5-1/2' 1/2' 3 8:15 — 6- — 4 8:45 30 5-3/8- 5/8' 5 8:46 — 6- — 6 9:16 30 5-3/8' 5/8' 19—� I PERCOLATION RATE 48 (MINJINCH) PERC. HOLE DIA. 6 (INCHES) 20 I�—JI TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. COMMENTS: PERFORMED BY ALASKA WATER do WASTEWATER. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON ALASKA WATER & WASTEWATER CONSULTANTS, INC. PHONE (907) 337-8179 • FAX (907) 339-3246 SOIL LOG - PERCOLATION TEST LEGAL DESCRIPTION: EAGLE PARK SUBDIVISION; LOT 4. BLOCK 3 PERFORMED FOR: PAT TRIMBLE DATE PERFORMED: 9/22/99 Df„( u-"-_- ORGANICS TEST HOLE #3 1 2 SM/ML DENSER WITH DEPTH 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 9/22/99 ORS q zF SITE PLAN j READING I' - 100' I PROPOSED CLOCK TIME SSM •:dz o: GW ORG 3— � I _ GP TITWI ML EXISTING ----- SEPTIC 6' GM CL I 4 4 BEDROOM HOUSE I I 1-3/8' 3 GC OL — 5— 4 8:43 30 SW MH SP CH • •°•� 5 8:44 — 6' — 6 SM OH 6 5-1/16' 15/16' Sc SM/ML DENSER WITH DEPTH 11 12 13 14 15 16 17 18 DEPTH TO DATE GROUNDWATER DRY 9/22/99 ORS q zF SITE PLAN j READING I' - 100' I PROPOSED CLOCK TIME SSM WATER LEVEL I READING NET DROP (INCHES) 9/22/99 — PRESOAKED � I _ EXISTING ----- SEPTIC 6' SYSTEM I EXISTING TH/1�I I , 4 BEDROOM HOUSE I I 1-3/8' 3 8:13 — 6- DATE READING CLOCK TIME NET TIME I (MINUTES) WATER LEVEL I READING NET DROP (INCHES) 9/22/99 — PRESOAKED PERC CAVITY FOR 4+ HOURS 1 7:42 — 6' — 2 8:12 30 4-5/8' 1-3/8' 3 8:13 — 6- 4 8:43 30 5' 1' 5 8:44 — 6' — 6 9:14 30 5-1/16' 15/16' 19PERCOLATION RATE 32 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) Y0 TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. COMMENTS: PERFORMED BY ALASKA WATER do WASTEWATER. 1, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMiD IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON Municipality of Anchorage} Department of Health and Human Services 825'L' Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor http:/A w .ci.anchorage.ak.us October 12, 1999 Jeff Garness, PE Alaska Water & Wastewater Consultants, Inc. 6901 De Barr Road, Suite 2-B Anchorage, Alaska 99504 Subject: Waiver Request for Lot 4 Block 3 Eagle Park Subdivision Waiver Request #WR990083 Parcel ID #050-781-18 SW990377 Dear Mr. Gamess: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field 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 concerns or questions regarding this waiver, please call our office at 3434744. Sincerely, 1 P / r2 Daniel J. Roth Civil Engineer On -Site Water Quality Program I MUNICIPALITY OF ANCHORAGE Department of Health and Human Services on-site Services Section Waiver Review Worksheet WR# WR990083 PID# 050-781-18 HA# Permit # SW990377 Date Received: October 12, 1999 Legal Description: Lot 4 Block 3 Eagle Park Subdivision Engineer: Jeff Garness, PE Alaska Water & Wastewater Consultants, Inc. 6901 De Barr Road Suite 2-B Anchorage, Alaska 99504 Applicant: Pat Trimble Waiver Requested: Waiver of 5 feet from the east property line and the leachfield. 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: X Waiver is NOT Granted: List Conditions or Reasons for above: SEE EN 1A1LrEP'f AtTACgE/2 Date: /D-. By: )9AA1 Name of Reviewer Rec #: 05420/0305 Amount: $ 115.00 Date Paid: Oct 12. 1999 Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 2-11 — Anchorage — Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 October 11, 1999 Municipality of Anchorage Department of Health & Human Services Attn: Dan Roth P.O. Box 196650 Anchorage, Alaska 99519-6650 RECEIVED OCT 12 1999 Municipality of Alicnorage Dept. Health & Human Services WrL9 l 10083 Subject: Lot Line Waiver for Lot 4; Block 3; Eagle Park Subdivision Permit NSW990376 Dear Mr. Roth, Per our conversation 10/8/99, request you issue a property line waiver on the subject property for the separation distance between the leachfield and the east property line at five (5) feet. We do not anticipate any adverse effects by issuance of this waiver. If you have any JAG/gd please contact us at 337-6179, or 244-9612. M.S. RECEIVED OCT 12 1999 W,4.c.w4urr OF ANCFIORAGE y�TiL#L SERVICES DIVISION f , \ � MUNICIPALITY OF ANCHORAGE , 1 DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION • ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE �074 ❑NEW MR:LIPGRADE MAILINGADD ESS sC[i LEGAL DESCRIPTION it-tf LOCATION _ C� J NO. OF BEDROOMS O Well DISTANCE TO: Absor t nares Dwelling PERMIT NO. �v W < Manufacturer Q/ Material No, of compartments N~ Liq. capacity in gallon IF HOMEMADE: Inside length Width Liquid depth 13 v JV2 DISTANCE TO: Well Dwelling PERMIT NO. 0 FQ- Manufacturer Material Liquid capacity in gallons O W = DISTANCE TO: Well 't- Foundation -{-- Nearest lot lel PEHMIT NO. �'r 3 j ti= f 2 Wn No. of lines irl Lengfh of each line Total length of li s Trench wi th Inches Distance between lines H 0 Top of Tile to finish grade s 5 Material beneath tile (.Qpinche, Total effective abs ion ar a W tJ Len g Witt Depth PERMIT NO. Q� F W� Type of crib Cri iameter Crib depth Total effective absorption area WWell DISTANCE TO: Building foundation Nearest lot line J J Class.pth - Driller Distance to lot line PER MIT NO. W DISTANCE T& Building oundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS C�. SOI L TEST RATING � a-5 INSTALLEj� REM RK54/ AD C G L sC W lair —rw Il A OVED CSL P 6�(712 DATE LEGAL rasa tnev.+ial •Rv' GRr—OT `ANCHORAGE AREA BO'`U""i �111'Y/ Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 CC INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME I'll 4444'c -MAILING ADDRESS 6c+w E4,b Krim PHONE ^ n (r , LOCATION �4t/tAd VI`14t LEGAL DESCRIPTION y flryK 1 F45& Arl< SEPTICTANK: UCA(dyiet B DISTANCE/ NUMBER OF FROM WELL MANUFACTURER `ClI' MATERIAL L COMPARTMENTS-7— INSIDE OMPARTMENTS ZINSIDE LENGTH INSIDE WIDTH LIQUID DEPTH I IQUID CAPACITY "S.0 GALLONS. SEEPAGE PIT: IL NUMBER OF PITS ( DIAMETER yOR WIDTH_, LENGTH—, DEPTH LINING MATERIAL CRIB SIZE: DIAMETER-f—DEPTHIL DISTANCE FROM: WELL tt//,,�/ I TOTAL EFFECTIVE [' BUILDING FOUNDATION, NEAREST LOT LINE ABSORPTION AREA (WALL AREA) _ Y SQ. FT. ADDITIONAL ABSORPTION WELL: ' 11 Y1 1rf TYPE Kt1` CONSTRUCTION C` ('"16-^� DEPTH DISTANCE FROM: BUILDING r �li NEAREST ,. NEAREST SEPTIC SEEPAGE f20 FOUNDATION , LOT LINE SEWER LINE , TANK SYSTEM CESSPOOL , OTHER SOURCES APPROVED DISAPPROVED REMARKS DISTANC INSTALLED BY: PIPE MATERIAL: l LOT SLOPE: REMARKS: Form No. EQ -031 DIAGRAM OF SYSTEM �{cafe i � ly Ir Rte. tit DATE 0 ; APPROVED •- _ a r.1 I_K� j I r_- I FIL-1 T "r' i=� F F=i r-11 C. H C Z"tD E DEPFIRTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION • 825 'L' STREET. ANCHORAGE, AK. 99501 264-4720 C V4—=ITE •cEV4E7F? P'EFori I T PERMIT NO. ( 700835 ) APPLICANT JESS HOLLIDAY 'LOCATION RAVEN DR (EAGLE RIVER) LEGAL L4 03 EAGLE PARK S/D 2820 C ST SUITE 4 LOT SIZE 4=00=+ SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 4 SOIL EATING <SQ FT/BR)= 125 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E>EF•TF-F= 1Cy LErA 3TH= CROF GFQFA% EL E>E=F"TH= - THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION <IN FEET). . F2EG!IJ I F -_:EC• SEF T I r Tr-i"K S I =I-= - 3�� 4-� r3RLLCA" PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RE_=•IDENCES THAT THE WELL WILL SERVE. --- TIJCA C 20 ] I rel`= F•ECT I CA r4 In Fl F? E= FZEGICJ I F?E=E> --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL; OP. 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'EFOPI I T E: :F• I F= E5= L>ECEr•1E:EF = 1: 1S4 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWER.'_ AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDEtSTRID THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENC . IS .EMODELED TO INCLUCQ, MORE THAN 4 BEDROOMS. A 7 SIGNED LIC9NT" JESS HOLLICJiY ISSUED B4'--- �� -- !(Jr.(.�----- DATE -----— v 4 Co3' �2c, 'S' 3. 2 �i n '�-, GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274.4561 PERMIT NO. SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT �J / �<l NAME OF APPLICANT -LLIa T�T ��r/T �� %r � C � MAILING ADDRESS ��� PHONE INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK ,Z,42740' SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED TO BE INSTALLED BY NOTE, THIS PERMIT IS NOT VALID WITHOUT SOIL T7LST 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 rl SEEPAGE AREA FOUNDATION TO SEPTIC TANK I' FOUNDATION TO SEEPAGE PIT O DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT O DRAIN FIELD TO NEAREST LOT LINE. l/40 f WELL TO SEPTIC TANK ` VV / SEEPAGE PIT DRAIN FIELD ALSO CONSIDER AREA WELLS. WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD SEPTIC TANK, (�D SEEPAGE PIT 16Xf DRAIN FIELD TO RIVER, LAKE. STREAM. CAST IRON INTO AND OUT OF SEPTIC SOIL. 4 INCH DIAMETER FI OVAB LE CAPS. GRAVEL BACKFILL CONFORM TO BOROUGH Rf2ULATIONS REGARDING INSTALLATION. G.A.AA. OR LICENSED DESIGNER TYPE DIAGRAM OF SYSTEM 1 CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 26.55 AND THAT THE ABOVE DESCRIBED SYSTEM IS IN ACCORDANCE WITH SAID CODE. DATE t APPLICANT'S SIGNATURE�..L FORM NO. K"I4 d� R&M ENL ;T RING & GEOLOGIC^L CONSULTANTS 229 EAST 51st. AVE. — P.O. BOX 6087 — ANCHORAGE, ALASKA 99503 TELEPHONE 907-279-0483 TELEX 090-35419 Civil Engineers Geologists Land Surveyors JAMES W. ROONEY. P. E. RALPH R. MIGLIACCIO MALCOLM A. MENZIES, P.E., L.S. _.. EnDlnsrrin9 Geologist JAMES H. WELLMAN, P.E. li E C E I V ED SEP z7 1973 AM September 25, 1973ASIA R & M No. 36669 GREATER ANCHORAGE NTAL QUALITY DlPT. O! ENYIRONMlNTAL QUALITY Mr. Robert Fitzpatrick General Delivery Eagle River, AK Re: .Test Hole and Soil Log Report for Sanitary System, Lot 4, Block 3, Eagle Park Subdivision Dear Mr. Fitzpatrick: We are submitting herewith the test boring results and our comments regarding osil conditions encountered at the subject site. This investigation was performed in accordance with your request of September 21, 1973, and those procedures outlined in a letter dated September 13, 1971 by Mr. Rolf Strickland of the Greater Anchorage Area Borough Department of Environmental Quality. A single test hole was put down within the Lot 3 area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Excavation was accomplished with a tractor -mounted backhoe and the test hole was extended to a total depth of 14 feet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Ground water was not encountered in the test hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do not hesitate to contact us. Very truly yours, R & M ENGINEERING & GEOLOGICAL CONSULTANTS James W. Rooney JWR:ph xc: GAAB ANCHORAGE FAIRBANKS JUNEAU 5. LEGA} DES RIPTION DATE RECEIVED INSPECTION APPOINTM NTS Y CA - TIME V y • TIME m ^ � n Q/'� I Y 1.i LJ TIME D DATE DATE INSPECT R INSPECTOR - - INSPECTOR �- • �.�,i- /! rm m p) epi ( / MUNICIPALITY OF ANCHORAGE /jQ MUNICIPAUTY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & ENVIRONMENTAL KOTECTION 825 L Street • Anchorage, Alaska 99501 • ENVIRONMENTAL SANITATION DIVISION JUL 161980 Telephone 2644720 DD CC�' CC `, REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWERPiA01U 1VsE D DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTYOWNER PHONE 'OrIJ A. # 8. SEWAGE DISPOSAL SYSTEM MA IhI NGAkDDiR_ ESS\, 1 1WtY Off-\Y 1Jo ' Y. �c.la ciSL\S� PROPERTY RESIDENT (If different from above) �J,, PHONE i/aa l t G 2. BUYERPHONE MAILIQ c)o SS Qz eiQilSl aC �'\a 7� ^ -1 Sbo 3. LENDING INSTITUTION L PHONE ti %r1 MAILING ADDRESS 4. REALTOR/AGENT 4 PHONE 27 -04 4 1 MAILING ADDRESS k 0 6f�h n 5. LEGA} DES RIPTION Per o - STREET LOCATION C7 e 6. TYPE OF RESIDENCE NUMBER OFBEDROOMS ❑ One Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ❑ Three ❑ Six 7. WATER SUPPLY P INDIVIDUAL- *ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM _ INDIVIDUAL/ON-SITE" 7 7 YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rev. 6/79) 72010 I Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY ' 1. TYPE OF RESIDENCE ❑ SINGLEFAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ TWO ❑ THREE ❑ FIVE ❑ OTHER ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED U 1 INSTALLER SOILS RATING -T— ❑Septic Tank or ❑ Holding Tank Size: /'�i__D If Tank is homemade give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL T - 4. DISTANCES WELL T0: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - - 5. COMMENTS ❑ APPROVED FOR' BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) CCLDISAPPROVED DATE 8 -13 -IR a I BY 2c. �- 72010 I Rev. 6/79) 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION March 10, 1981 11arlod B. Choate t Wayne Campbell Century 21 401 East 36th Avenue Anchorage, Alaska 99503 Subject: Lot 4 Block 3 Eagle Park Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. (2) A well log submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Peoples Bank and Trust Pouch 7-007 99510 Municipality of Anchorage ro On -Site Water and Wastewater Program (907) 343-7904 5,A F E T Y Certificate of On -Site Systems Approval Parcel I.D. 050-782-18 1. GENERAL INFORMATION: Expiration Date: �-- /' 2-1 Complete legal description EAGLE PARK; BLOCK, 3, LOT 4 Location (site address) 20627 Raven Drive *Eagle River Current Property owner(s) Michael Sullivan Day phone Mailing address Real Estate Agent 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class_Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Distan Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Ste© Waiver Fee $ Date of Payment X01 Date of Payment Receipt Number 63S)156- Receipt Number COSA # � "�C 1 l n 3 Waiver # 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 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 (GEG) Phone: 907-337-6179 Address: 3701 East Tudor Road Suite 101- Anchorage, Alaska 99507 Engineer's Printed Name: Jeffrey A. Garness Date: In conducting this evaluation, GEG provided an engineering evaluation of the well and/or septic system in accordance with the guidelines and regulations established by the Municipality of Anchorage and 0000000 industry practices. The reported results describe the condition of the system/s on the date/s of the �� OF ;4 evaluation. Separation distances were measured to readily identifiable features. Hidden defects or p `�•.• %9 Q encroachments may exist that were not identified during the evaluation. The operational life of all wells and septic systems depend upon a variety of variables, including but not limited to, soil conditions,�LC� TH groundwater levels (that may Fluctuate during the year), quality of construction (materials and Q i i workmanship), and the water usage of the family utilizing the system/s. These conditions can vary, and s "' are outside the control of GEG. Satisfactory test results do not guarantee future performance of the Q / system/s; therefore, GEG makes no warranty (express or implied) regarding the future performance ofthe well or septic system. GEG makes no representation whether an alternative well or septic system �O •.J1 f r • A. Gorne s. ` can be installed on the property in the event either of the current systems fail to perform adequately in Q 9. CE -795 the future. The content of this report is for the sole benefit of the person/party that retained GEG to NQ sf f f°o perform the evaluation. Reliance upon the information provided in this report by any other person or D0 rPa �o party (including subsequent property purchasers) is not authorized, nor will it confer any legal right �� '0,ofessio�°oo whatsoever. 0000000 6. DSD SIGNATURE System #1 Approved for _LL bedrooms System #2 Approved for bedrooms Disapproved Conditional approval for bedrooms, vh #AECC884 `\�,Vv ylY 0FI i ON-SITE WATER AND with the foil g (W"loVSATER PROGRAM JJ J �\ IJ�,�JI�� SERA •„� \��, Original Certificate Date: 2 ' / — Z l The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory _ Arsenic Adviis� ry Other k ) .4,) i S C O 11-/ iv COSA Checklist Legal Description: EAGLE PARK; BLOCK, 3, LOT 4 Parcel ID: 050-782-18 If more than 1 septic system on lot: COSA Checklist # of . Structure served by this system _ A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled is.s(?) Total depth *103.5+ ft Cased to UNKNOWN ft FW Sanitary seal is functioning correctly X Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 1/8/21 Static water level at beginning of test 78.8 ft. Comments *PER GEG INSPECTION B. TANK DATA Age of tank(s) 22 years Tank type/material "`n`S'EEE� Measured operating fluid level in septic tank **48" ❑ Standpipes/foundation cleanout per record drawing Date of pumping 1/20/21 -, D. ABSORPTION FIELD DATA DUAL DEEP TRENCH Which system tested (date installed) 10/20/99 fi� ALL standpipes present per record drawing Total measured depth from grade 9.83 ft (max) Measured depth to pipe invert from grade ft (min) © N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Well production at time of test 3+ gpm Water storage tank volume N/A gallons Well disinfected for coliform test? ❑ Yes 01 -11 N Q Coliform bacteria is Negative Nitrate 6.69 'mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L © Arsenic less than MRL (ND) Collected by GEG, LTD. Date of Sample 1/7121 C. LIFT STATION.% MR Required maintenance completed Age of lift station 22 years Lift station material STEEL Comments: Adequacy test date 1/8/21 Results Q Pass For 4 bedrooms Fluid depth prior to test 2 in Water added *780 gal New depth 5 in Elapsed time 30 min ❑S- Code -required soil cover over field Final fluid depth 2 in ❑ System presoaked Absorption rate 600+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NONE date of test) N/A Gallons introduced N/A gallons If yes, enter date Comments/Deficiencies: TESTED SOUTH TRENCH ONLY -NORTH TRENCH REMAINED DRY THROUGHOUT TEST -PRE -TANK CLEANOUT PRESENT (SEE ATTACHED PHOTO) COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' 0 Yes if No *0 Community Sewer Manhole/Cleanout > 100' ❑✓ Yes if No ft ❑✓ Yes if No Neighboring Tank > 100' F71 Yes if No ft Private Sewer/Septic Line > 25' F-/71 Yes if No Absorption Field on Lot > 100' 0✓ Yes if No ft Holding Tank > 100' 7 Yes if No Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' 0 Yes if No 7 Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75'✓0 Yes if No ft 0✓ Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' 0 Yes if No *0 ft Surface Water > 100' ❑✓ Yes if No _ Property Line > 5'✓0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0✓ Yes if No ft Private Wells > 100'✓0 Yes if No Water Main > 10' ✓0 Yes if No ft Community Wells > 200' 0✓ Yes if No Water Service Line > 10' 7 Yes *** if No ft If septic tank is under driveway comment below PFrom Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' Yes if No ** ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0✓ Yes if No ft Private Wells > 100' Yes if No Water Service Line > 10' F/ Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' 0 Yes if No ft I- b F. ENGINEER'S COMMENTS *THERE IS A DECK/AWNING SUPPORT ADJACENT TO TANK (SEE ATTACHED PHOTO). - **APPRnxIAAATFI Y 4' FROM SOUTH DRAINFIELD TO DECK POST ***ASSUMED ****WR#990083 �a�600 ��� G. ENGINEER'S CERTIFICATION n o Q ����s�4 I certify that I have determined through field inspections and review ( 7— of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. ........ ..t J ffr =y A. Garress, 9. c��'s z•r' COSA Checklist yellow sheet V �1�a Pr�o r esstao�o� #AECC884 ft ft ft ft ft ft ft ft ft ft M p N8® M CD• Q mi MUNICIPALITYOF ANCHORAGE Development Services Department On -Site Water & Wastewater Section Phone: 907-343-7904 Fax: 907-343-7997 Lift Station/Pump Vault Maintenance Lofj Owner - (i' L 7 i (1`01 Street Address:. Septic Tank -Sludge level 'inches 'Pumping: requiredes %no �{ Lift statim:—�� Pumping completed est no *Pump basket cleaned (es no -Control floats cleaned s no *Operation satisfactory e no AfaMIa��Stem; ,Effluent filter cleaned (Le no ,,Proper float settings co'�n-firmedes' no *Dedicated electrical alarm circuit es noj 'Audible and visual alarm inside dwellinges'_) no *Alarm system operation satisfactory ; not satisfacto ry Manhole`R *Ground water intrusion at riser to tank connection Yes nab *Ground water intrusion around pipe penetrations es (i o *Weep hole functional es no 'Manhole lid: Functional es no Insulated esl no Pro erl Sec Other p Y ured es no *All manufacturer required inspections and maintenance completed yes no Comments: --2-()- / i Qualified Maintenance Provider: Technician AL -41, hlli ; _h al, I/ Companv ZkOI/Ill Date of maintenance 1- 20 —21 Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC 211031 Subdivision: Eagle Park Block 3 Lot 4 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 22 years old. Typical replacement costs range from $8,000 to $11,000. Note there is a deck support directly adjacent to this septic tank. If the tank were to collapse it could impact the deck support. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. Mailing Address P O Box 196650 *Anchorage, Alaska�99519 6650 *www muni or Nitrate Advisory Certificate of On -Site Systems Approval # OSC211031 Subdivision: Eagle Park, Block: 3, Lot, 4 A water sample revealed a nitrate concentration of 6.69 milligrams per liter (mg/Q. The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. Since nitrates are known to slowly increase, we recommend you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for important information regarding nitrate. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. ,� Mailing Address PCO Box 196650'* Anchorage, Alaska 99519'6650 *www muni org � From Northern Testing Laboratories, Inc. Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells. SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners, food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil. TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization. TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home water treatment systems such as softening or iron filtration does not readily remove nitrate. The best method for limiting nitrate in well water is source control. This can include avoiding overdosing of fertilizer near the well and maintaining good separation distances between septic tank leach fields and the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate. TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect the activity of nitrate in water. This laboratory uses several different wet chemical methods approved under the public water supply laboratory certification program. They also have test kits available, which the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can monitor the change in nitrate levels from their well. They recommend comparing the test kit results against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples. MaiUngAddress P O Box 196650'* Anchorage, Alaska 99519 6650 *www muni org Ecklund, Timothy J From: Jeff Garness <Jeff@garnessengineering.com> Sent: Monday, February 1, 2021 12:51 PM To: Ecklund, Timothy J Subject: Eagle Park, B3, L4 - STEP tank to structural support Attachments: doc09406320210201124158.pdf [EXTERNAL EMAIL] Hello Tim. See the attached photo. Based upon this photo, it does not appear that the structural support is over the STEP tank. Please call or email if you have any questions. Jeffrey A. Garness, P. E., M.S. President Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Alaska 99507-1259 Phone: (907) 337-6179 Mobile: (907) 244- 9612 Website: www.garnessengineering.com Municipality of Anchorage • On-Site Water and Wastewater Program o., •-11Z. (907) 343-7904 oil 1l . CERTIFICATE OF ON—SITE SYSTEMS APPROVAL Parcel I.D. 050-782-18 Expiration Date: & Z2•--t O 1. GENERAL INFORMATION Complete legal description Eagle Park Block 3 Lot 4 Location (site address) 20627 Raven Dr Current Property owner(s) Morfin Day phone 865-6472 Mailing address Same Real Estate Agent Sabra Day phone 865-647200 56789 ti, 0 2. TYPE OF DWELLING: ^ £ i' ' '° . ® Single Family (w/wo ADU) a MAR ii zine ❑ a Duplex Q ❑ Multiple Dwellings (Single Family and/or Duplex) `a ti 68L9 'h 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual Individual Water Storage ❑ Holding Tank ❑ Community Class C Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Received by5r--- 4Date: .? Z /i ? � COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ G 2 Co Date: Date of Payment 61 Lcl 11R Date of Payment Receipt Number U.-MS b Receipt Number COSA# C5C-\ q" [ 0°1(4 Waiver# 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 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 NorthRim Engineering Phone 694-7028 Address PO Box 770724,Eagle River Engineer's Printed Name Steve Eng Date 3/18/2018 6. DSD SIGNATURE ` / System #1 Approved for bedrooms. voo, System #2 Approved for • _. E ;;-, y pp bedrooms. `�° `='�' Disapproved. . Conditional approval for bedrooms, with the following stipula'hons- :'`" \c0\-1TY OF/0/ ONSITEWA WASTErz) R AND m WATER cPROGRAM By: k—" ( `-�� Original Certificate Date: The Municipality of Anchorage Devlopment Services Division(DSD)Issues Certificates of On-Site Systems Approval(COSA)based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska.The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet 9-1-12.doc If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On Site Systems Approval Checklist Legal Description: , /ACL e P412/4 IS 3 L 4( Parcel ID:OSC-7,e- /P' A. WELL DATA P Well type If A, B, or C provide PWSID# Well Log (YIN) A/C Date completed /773 Sanitary seal (Y/N) y Wires properly protected (YIN) y A Total depth /a/ ft. Cased to "1"114 ft. Casing height(above ground) 211 in. 9r ii.0/1 46*T4 FROM WELL LOG AT INSPECTION Date of test. (.14./k.(.14./k. 3/71/4 F Static water level (/Ale— ft. 7 9 ft. Well production aite- g•p•m• 5 g.p.m. 2 i WATER SAMPLE RESULTS: Coliform d colonies/100 mL Nitrate 3, 3 mg/L Arsenic 11/11 ug/L Date of sample: 3 / 7/I P Collected by: /1//e-i•-"- 4.1 B. SEPTIC/HOLDING TANK DATA - Tank Type/Material S 7 /7S7E,L._ Date installed /o/ t y Tank size/Son gal. Number of Compartments 2. Cleanouts (YIN) Foundation cleanout (Y/N) Depression over tank (Y/N) /1/ High water alarm (Y/N) ( Y Date of pumping z Pumper Ef I C. ABSORPTION FIELD DATA eel, Date installed 70 00f Soil rating (g.p.d./ft2 or ft2/bdrm) • 41 S . System type 7 1e c G es Length 41// ( ft. Width 3 ft. Gravel below pipe ft. Total depth 1- 5 ft. Eff. absorption area(y1q ftMonitoring tube y Depression over field Ai Date of adequacy test 7/774P Results(Pass/Fail) / ( For zi bedrooms Fluid depth in absorption field before test 24/ in. Water added ‘GQ gal. New depth-30 in. Elapsed Time: 0 min. Final fluid depth Z zit in. Absorption rate >= O a 6 g.p.d. Any rejuvenation treatment(past 12 mo.) (Y/N &type) Y/11 g- If yes, give date D. LIFT STATION Date installed /0(2-0 4 Size inallons 2 S 9 Manhole/Access (YIN) �,/' "Pump on" level at 7C' in. "Pump off'level at 7S in. High water alarm level at / 7c in. Datum /O(9 Cycles tested Y T Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: Septic tank/lift station on lot D O On adjacent lots Q'Q' f Absorption field on lot /do `f On adjacent lots (�O 74- Public Public sewer main /Oi' r" Public sewer manhole/cleanout . /ea rl, Sewer/septic service line Holding tank / O a (f- Animal f_Animal containment areas SG' '74 Manure/animal excrete storage areas /00' f SEPTIC/HOLDING TANK ON LOT TO: r Building foundation / 0 Property line / 7— Absorption field °s '` i Water main /a Water service line ( r Surface water ('O'O '74 Wells on adjacent lots /o'd r" ABSORPTION FIELD ON LOT TO: Property line 3 Building foundation ! ,� Water main / ff Water Service line (d f Surface water /c/a " Driveway, parking/vehicle storage /e ('f- Curtain drain U•✓k- Wells on adjacent lots /Q O Cf.- F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that / have determined through field inspections and ..•••°°•°•°•.' ) review of Municipal records that the above systems are in �� 1., _ ,•"•.'s'sA conformance with MOA COSA guidelines in effect on this date. o'� "4 ei'nplhgE ;;: , Engineer's Printed Name ' ye / '•0 Date .3fi b' r I Steven W. Eng B 94-)<,‘;,...9051 COSA yellow sheet_2-6-15.doc 70� did IL - t G�. ...KIM+T.¢-✓lew.i . et,td vp�.��-r1 . � - r -o �• , AS -BUILT r I hereby certify,that'I`have surveyed the'following( described �roper4Y' �'�' A , ..:3,1 Anchorage Recording'. Precinct; -..Alaska,-;and -that the F � improvements situated thereon are within the property,, r Q �� lines and -.,do ndt overl8 or encroach omthe property, �.� �•...,•,�a S ng adjacent thereto, th81:1301M provements on prop., erty lying adjacent thereto encroach on Rhe premises in vf��•' alt' '^.S: �� question and. that there are no madwaya,'transnlaslon hoes or other vtatble eau Imerits on said property )except' as ndicated hereon. Dated, at Eagle River, Alaska' - fa A Ralmlt C. Ihla.�-i� • - daY of 0017 19 - �� "r . ' f ^ f • ' �° ROBIRT C. JOHNSON•.: Q,a Q 'r•j . - Registered Land Sia or NO. u SCALE I'='JbSo 460 a . 4"./ D !r. r'"�s.�1.*` .Phone 994-4b49Alver` oaks MUNICIPALITY OF ANCHORAGE Uevekiccn It : � . C.1+►Partn' rt Phone 404 On•Sste Water S Wastewater Section Fax S07-343-7997 Lr't StutimPump Maintenance Log "Wntlr .Je Cl'r1 'De, SAet Adkc..ss _ k-..z 7 eI-1.',-&3- r>ne Legal C. PIO _ Scptltu nk: Sfudge level df inches •�urnpirx9 required _ -Pt.Tp►n9 ;ornVe1ed Vis: L.IttAtidkan: — .- 7 -t -P4mib basket cieaned S nn -Effluent Slter dem ti_ t .nretroi elnata meoneci 0743, no -Vrape-r fios1 earit,rrgs cnrbfrvned -0Per.atiOn sa1r5!actcwy W44J3C AMDXLSZIaItmi y • relit Krta•d electrical' m l alarc.rCud`/ f ;We v iauaf alarm is dw r k._/ Q) •Alarm system operationx bltohOie-Bi r -Ground water irJUsio+n at riser to tank connection yes -Ground matter intrusion around pipe perworstitl r'tt -4 ' •11Vehri hole 1u r t onal (y n Manhole id. Functional -ye „Q tnsuta*ed ryes Property Secured Olaf •AT manufacturer required inspections and mai nienancue compteie ) no C Qmale12 t xr.t /' j/. .Jai �c ►�.... •7. . Q# ....d'I, x1".,.... . ....... ....._. . ntenaoce Prov Date of maintenan a 'r ;;omparry Sig naiture ' +�� D ate s Mailing Address= P. 0. Box 196650 ' Ancrior&pe.Alaska 99519.6694•yywer.rnueloro C142tiS,,� Municipality of Anchorage • -� Development Services Department`' Building Safety Division On -Site Water and Wastewater Program s r 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519.6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FORA SINGLE FAMILY DWELLING Parcell.D._ aJrb'7D-Ioonrt COSA# tlrt�gyq Expiration Date: �.1 /�� 1. GENERAL INFORMATION Complete legal descriptionw Location (site address) a.o(oa-4• P0ve.-c 3)ri✓-c, . Current Property owner(s) ,SGOVT� Day phone _(cad- LRP_ Mailing address aQ(,.1-1 KeLVev) br EqL-- R;Vt t, Ak. 9gs77-2774 t Lending agency Day phone Mailing address Real Estate Agent R L gate 0—li44- Day phone f0-1-744- Mailing Mailing Address Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage Cl Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 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. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the 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. Eagle River Engineering Services Name of Firm - 4nfin, WMAI o.r c,411e 0111 Phone (,`)+ 51 °I5 Address Eagle River, AK 99577 Engineer's Printed Name P 10ord D< S. DSDS)GNATURE (/ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Well Flow Advisory Nitrate Advisory By: (Rev. IL05) Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: )I 1 11110, Municipality of Anchorage Development Services Department Budding Safety Dmiion <} ea On -Shia Waie & Wasta"ter PrograRR+ 47W Bragaw street P.O. Box 196850 Anchorage, AK 99519.6850 www.muni.orplonsite (907)343.7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: AA ,44 ParcellD: 6T0 -79z -1e A. WELL DATA Well typM&Y-ah- ff A, B, or C provide PWSID # _ Well Log (YAM --6L— Data ALoDate completed JILS Sanitary seal &N) Wires properly protected OJN) 0 Total depth+ It7 I ft. Cased to�'f0 ft. (! Casing height (above ground) ;Z 4in. FROM WELL LOG AT INSPECTION Date of test u n�,....,v, q(C / a -7 - Static water level ft. ft. Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Coldorm --or—colonies/100 ml Nitrate 4 0 mg/L - Other bacteria colonies/10D m1 Arsenic: T M%4 Date of sample:H fo? Collected by. C#RPS Wcab B. surric/HOLDING TANK DATA Tank TypdMateriat 5 T. E . P 1 5tzc� Date installed /T/ao�49 Tank sae yoo Sol. Number of Compartments Cieanouts ffiN) f Ae2 Foundation cleanout ON) Depression over tank (YI p f � High water alarm &N) (� Date of pumping Pumper _ -T R ' 5 C. ABSORPTION FIELD DATA Date installed!%Soil rating (g.p.d./fe or fe/bdnn) D-45 System type "rrp ru.L e -_ Length 4 I f ' ft. Width q ft. Gravel below pipe (0 ft. Total depf1j-,5 ft. Eff. absorption area 1,, t Monitoring tube LjLaz Depression over field Date of adequacy test 17 If. d-iE7 Results (a -f Fail) -AA.4 For _t bedrooms Fluid depth in absorption field before test^Fig- in. Water added gal. New depth�`/M In. Elapsed Time: Wptlin. Final fluid depth 2,(k in. Absorption rate >= L,00 g.p.d. Any rejuvenation treatment (past 12 mo.) (YM type) A jo✓lk fe-' M (Akj If yes, give date ✓1 /2 D. LIFT STATION Date installed d `.. Size in gallons ASO - 'Pump on' level at -41 in. 'Pump ofr level at 415 in. Manh*W&=pss ®'N) __f d— High water alarm level at i 0 in. Datum n0 o -t Rl1Jii Cycles tested 3 Meets alarm & circuit requirements?I E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAdt station on lot + IOU ' On adjacent lots + I >' Absorption field on lot a- 1 r!)' Public sewer main 411001 Sewer /septic service line A ,k"4'_ Animal containment areas t- I rx)' On adjacent lots + I nn ' Public sewer manhole/deanout + 1(`C)' Holding tank -t -is 1 Manurelanimal excrete storage areas + I CC)' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 4 5 ' Property line +4 ' Absorption field rf 5 Water main 410, Water service line tit), Surface water 4 1 aY ' Wells on adjacent lots 4 IM' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line S Building foundation + 10 Water main + Water Service line 4101 Surface water i 1 OC Driveway, parking/vehicle storage 'ZO Curtain drain + 5n' Wells on adjacent lots + 100' 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 in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name C ri�fr� B trt Date h I f k l 0� COSA Fee $ Y Date of Payment IV/5 %CIS Dp Receipt Number Ih21 "t a (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number M55 ►� MUNICIPALITY OF ANCHORAG(:� EAGLE RIVER AREA DEPARTME OF HEALTH AND ENV IRONMEN' r PROTECTION 625 L Street, Anchorage. Alaska 99501 2G4-4720 4#1: Time 1:30 p.m. #2: Time Date 12-7-77 Wednesday Date Date Received: December 5, 1977 #3: Time Date Insp Pratt Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATEP, FACILITIES 1. Lending Institution Request: Alaska Pacific Bank Mailing Address: 601 West 5th Avenue 99501 2. Property Owner: Mailing Address: 3. Charles Shelton % Lvnn Hulce, 276-5767 Phone: 276=3110 Phone: 405/347-5247 Legal Description: Lot 4 Block 3 Eagle Park Subdivision 4: Single Family Residence: (X) Multiple Family Residence: ( ) Number of Bedrooms: Four Number of Bedrooms: 5. Well System: Individual Well Wk Community/Public System ( ) Permit # Depth of Well Well Log on File ( ) Construction Bacterial Analysis 6. Sewage Disposal System: On-site System (X) Public Utility ( ) Permit # Installed 1974 Installe Q_ Septic Tank Size %oZ Sa Manufacturer Absorption Area Soils Rate // Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest I.ot line Absorption Area to Nearest Lot Line 41. MUNICIPAU TY OF ANCHORAGE ��� Department of Health and Environmental Protection 01 (e 825 L Street, Anchorage, Alaska 99501 II 264-4720 ` w� (. tequest for Approval of Individual Sewer and Water Facilities rr f�r 1. Property Owner: 1/'y ta�/_ j=:j2 �r Mailing Address: Phone://O ,_- �7 2. Name of Buyer: O firr? Mailing Address: ,��55 A//jU r4q, PhonIr mse: ��� `7J' N . e. c-f•f 3. Lending Institution: _F40f/ci 1��%k_ Mailing Address: ��n 1 G(/..S—�"Oq=V4c-_ Phone: 4. Realtor/Agent: 5 AN Mailing Address: v ; T- E 280 - Legal Description Street Location: Single Family Residence: Multiple Family Residence: 'J (� Number of Bedrooms: ( ) Number of Bedrooms: 7. Water Supply: *Individual Well j-+) Public/Community System ( ) If Individual Well, well depth (i �J�►�QW/�' If Community System, name of system 8. Sewage Disposal System: *'On-site System —Ev) Public System ( ) If On-site System, date of installation: �9 *NOTE: A well log is required on ALL wells drilled since 6/75. **If on-site sewer system is over two(2) years old, an adequacy test is required by this department. A fee of $25.00 must accompany each request before processing can be initiated. 3/77 rage Two Department of 11calth and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 4 Block 3 Eagle Park Subdivision Comments: Affadavit Attached: ( } Letter Attached: ( ) Approved: Date: Disapproved: �-41WDate: �y a Department Worksheet: Louer.gl LW,II yoY 1 00 Lo, h.r.J ..1.....5' AL 1' ..moo, .... ,;.., .....•_... w i a;: A-5 gca 1 LT Pub rCb� f .. .• .'�- ?;, ' iJ/J 'i} 1.'1; L� 1. r� r,t l'... Se1rve� o�. '. I..:i•�.. F. 1I Lai ' ,Jt± 1,1 �•''_..��„ C0. Il Parlor 5<I I•J sl�vi�1 O V'1 wag, `wl .lsl '•� •t, 'r ''-;""�, �'' cpC.yi� �. c• 7. :INtt' on 'l3 M«rc �,. :'I , f�«%i �h I 1 i:•r 1" lIk a" Iw �rov+niini� y1F..�ail :he re�� are wij�1.�, .. . • Sf�'. la r.p.r 4 Iin..S F 4o Ino ov erle l'> or GN <roncN en •G t,t •• i 1 � IIl tNG I. �.Il4G a.4� •}1•IOfL�o 0.N 11"R� 1"lo Iwl�re ,�� K.I••�S .. 1 i 11 1 ,yI 1 �Ya}w nN '��•,� lare/>f r�•J I1),NI n.el\AG f•,.� TN lra+e IC Ne rOa s.l� o.n {kt �•'�EZ l ) J 1 •u t. t'`. 11 -..,,i r;: rl...�:}.J L'�jrJ'•'!1ii PrG.«19. S.�.IN ..,ga 'l11 e.. f 'I•I•.a .;i�fr<'•1 Ar41..•NO.hiN 111y1 C Ca -5d:— w.6Nl •'♦' `PN,, S.s:�l ,pr. �aer'Fy exeP'�.i..ts:.ln.i�ct?••%moi GrGev, i M,n•r • ; fl:•,-. �a1�J 131lartll 11174 I� £arlt R,v.r 4L. .....I` >:. ..............ii I/ L, ICS N N G r •SO n 2 L'S ..,.. ..•... ,.d cl'c�� � ' •'x3. 1 ,'' •'i.' 1. 1 N0.3256 5'' !':'�.'i Pett I � �Crl - •/moi! v�� _ a�,Lo«:�.�-�'•"`� is rGt-L �cQeNk►tin �:: . • • •C is n GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received 12/10/73 Time of Inspection 2:00 p.m - Date of Inspection 12/10/73 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER to WATER FACILITIES FOR Conventional 1. Aoproval Requested By: Totem Realty Address: 516 E Fireweed Lane AKK Ancboraee AK 999ni Phone: 2. Prooertv Owner: Robert Fitzpatrick Phone: 3. Legal Description: Lot 4 Block 3 Eagle Park Subdivision 4. Location: Corner Melody & Raven Street Eagle River AK 5. Type of Facility to be Inspected: Single Family Number of Bedrooms: four (4) 6. Well Data: A. Tyne Drilled B. Depth C. Construction Standard D. Bacterial Analysis SATISFACTORY 7. Sewage Disposal System: A. Installed 1973 B. Installer Frontier Fxravating C. Septic Tank: 1. Size 1250 gal 2. Manufacturer Stark itPPl D. Seepage Pit: 1. Size 2. Material Ing E. Disposal Field: Total Length of Lines B. Distances: A. Well To: Septic Tank Absorption Area 128: Sewer Lines Nearest Lot Line Other Contamination B. Foundation to Septic Tank > Absorption Area C. Absorption Area to Nearest Lot Line -4f* • 4 GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received 12/20173 Time of Inspection Date of Inspection 12/21/73 REQUEST FOR APPROVAL OF INDIVIDUAL SENER b WATER FACILITIES FOR 1. Aoproval Requested By: Address: Fag1 River ver AK Phone: 2. Prooertv Owner:—A' Phone: 3. Legal Description: Int n, Rlock I, Fay302arkSubdivieion 4. Location: rnrnpr Mpinydanti Raven 5. Type of Facility to be InsoectedkinfLIp EAMIly Number of Bedrooms: Four (4) 6. Well Data: A. Tyne Drilled B. Depth C. Construction Standard D. Bacterial Analysis Satisfactory 7. Sewage Disposal System: A. Installed 1973 B. Installer Frontier Excavating C. Septic Tank: 1. Size 1250 oal!?. Manufacturer S a k etppl D. Seepage Pit: 1. Size 2. Material Ing E. Disposal Field: Total Length of Lines 8. Distances: A. Well To: Septic Tank_1Q0, . Absorption Area 1?0i Sewer Lines NJiarest Lot Line Other Contamination B. Foundation to Septic Tank > Absorption Area C. Absorption Area to Nearest Lot Line .. 4 • y Municipality of Anchorage Development Services Department Building Safety Division " On -Site Water and Wastewater Program s „ IE T Y 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 II FOR A SINGLE FAMILY DWELLING Parcel I.D. lV 0Z-- HAA #�� S Expiration Date: 1. ,G#WrzRAL INFORMATION romplet;e Legal description o ti J LoC 1!. 3 raU �� t�A cLc Location address or directions) 120(g-0-27- _Ra > >-P N' , . . ,Current'Property owners)^U.-A fin Day phone ::.-• 4 'Mai. id address2-7 �o�ve��r— F �lp_�`� 7 Lending agency Mailing address Real Estate Agent Mailing Address Day phone r�mk e A-► Day phone ,4 9 —q 48p C cnc� A_ Unless otherwise requested, HAA will be held by DSD for pickup. 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 sarnple results. (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. Municipality of Anchorage • Development'Services Department Building Safety, Division �: •' On -Site Water,& WagibWater Program.: 4700 South $ fagaw St. P.O. Box 196650 Ancho�ege, AK 99519-6650. �,'• www.ci.anchorage.ak.us;,1(' (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: `'l " Parcel I6:06y. Z --f A. WELL DATA Well typeUQ If A B or C provide PWSID # Well Log'(Y/N)e Date completed Sanitary seal (Y/N)'$ .Wires properly protected (Y/N)_ Total depth ,r =-ft. Cased toIl: ft. Casing height (above ground) -3:) n. I FROM WELL LOG :I , I AT INSPECTION. t.' f Date of test�� I Static water level ft. i'i -L q �• �° ft� f , Well production g.p•m. '',, t Z g P l10I WATER SAMPLE RESULTS: j S Coliform ,_colonies/100ml. Nitrate's Mg. 1. Other bacteria colonies/100 ml. Arsenic: I' mg./l: Date of sample:' z 24 p3 Collected by: " �FiOQriNt� 6' • jBMW- PB. SEPTIC/HOLDING TANK DATA, Tank Type%Material ,iF Date installedAl ': Tank gal gal.: Number of Compartlments Cleanouts (Y%N)ye=5 I Foundation cleanout Depression overjank (Y/N):" High water alarm (Y/N) Date bf,pumping-1S vZ 3 Pumper;Zr�T,• CM2 d C. ABSORPTION FIELD 'DATA'. " Date installed Soil rating ?(g.p.d:/ftZ or ftZ/bdrm)�$— Syste'n type s GAO 1� ' Length' ft. Width.5'{ ft. Gravel below pipe .z Total depth ?-8 ft. Eff. absorption are fft.: Monitoring tube Depression over field Date of adequacy test I Z o �` Results Pass/Fail For bedrooms I Fluid depth in absorption field before test in Water added gal _ .' New depth in. �o� Elapsed Time:o Final fluid depth 17' in. Absorption rate >_ ' g.p.d. { .a If'yes, give date rejuvenation treatment (Past 12 mo.) (Y/N .b { ) I t s ,o° #1N GI. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Mtn Division or Environmental Services ~� On-site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 (907) 3434744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING Parcel I.D. # 050-782-18 HAA # D O O ! f r6 1. GENERAL INFORMATION Complete legal description EAGI F PARK S IRDIVISION• LOT 4 LOCK 3 Location (site address or directions) 906" D VFN DRIVF EAGLE RIVER_ AK 99577 Property owner PAT TRIMAI F Day phone R94-9871 Mailing address 90627 RAVEN DRIVE FACIE RIVER AK 49577 Lending agency Day phone .address AddressAgent ROGFR MORRIS w/ PRUDFNTIAL VISTA Day phone 6R9-6464 u . QRIVF EAGLE RlVFR- AK 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site xxx Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC ing to the legality and status of system. 72-025 (Rev. 1/91) Front MOA #21 Computer Version Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $800.00 at, or prior to, closing for the engineering services provided. 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further 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 ' State codes, ordinances, and regulations In effect on the date of this inspection. Name of Firm Phone (907)337-6179 Engineer's Signature Date s/i0/� Co In conducting this evaluation, AWWC, In / atom d to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and M A H Guidelines & Regulations. The reported results described the performance of the system under the conditions a countered at the time of the test, and separation distances measured to readily identiflable features. The operational life of all wells and septic systems depend on the lop! soils condition, ground water levels that may /luctuate during the year, and the — - usage of the family being served by the system. These conditions are outside the control c 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 for future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DHHS. 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. DHHS SIGNATURE _Iff� Approved for bedrooms Disapproved — Conditional approval for bedrooms, with the following stipulations: Additional Comments 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 engineers work. 72-025 (Rev. 1/91) Back MAIM Computer Version S�.� t fl 2D00 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVIt1=P,,..I"! fr I," Environmental Services Division ENyRQNMu+;AL 5LAY4 825'L" Street, Rm 602 Anchorage, Alaska 99501 (907) 343-4744 Health Authority Approval Checklist Legal Description: EAGLE PARK SUBDIVISION: LOT 4. BLOCK 3 Parcel I.D.: 050-782-18 A. WELL DATA Won Type PRIVATE If A. B, or C. attach ADEC letter. ADEC water system number N/A Log present (Y/N) NO Data Completed APPROX. 1973 Total depth 126'+ Cased to 40'+ Casing height (above ground) 18"+ Sanitary seal (YIN) YES Wires properly protected (YM) YES FROM WELL LOG Date of test Static water level Well production 9•P•m• AT INSPECTION 9/15/00 4.5 g.p.m. WATER SAMPLE RESULTS: Colifom► ,Je Nitrate 3.5 ma/L Other bacteria �— Date of sample: 9/18/2000 Collected by: A.W.W.C., INC. B. SEPTICIHOLDING TANK DATA Data installed 10/12-15/99 Tank slze 1500 Number of Compartments 2 Cleanouts (YIN) YES Foundation cleanout (YIN) YES Depression (Y/N) NO High water alarm (YIN) YES Date of Pumping NEW Pumper C. ABSORPTION FIELD DATA PRESSURIZED Data installed 10/12-15/99 Soil rating .p.d fWWrm) 0.45 System type DEEP TRENCHES Length 0 4"R Q et' Width 2.5' Gravel thiclmess below pipe 5.9'-6.2' Totai depth 8.6'+ Effective absorption area 1464 SOFT. Monitoring Tube present (YIN) YES Depression over field (YM) NO Date of adequacy test NEW Results (PaSSIFati) – For 4 Bedrooms Fluid depth In absorption held before test (In.); – Immediately after – gal. water added (In.): – Fluid depth – (Ins) Minutes later. – Absorption rate = – Pero)dde treatment (past 12 months) (YIN) – If yes, give date – 72�= Fw• 3P Conqubr Version D. LIFT STATION Date installed 10/12-15/99 Size in gallons 1500 Manhole/Access (YIN) YES •Pump on' level at* 42" 'Pump aft' level aY 42" High water alarm level at' 46" —*Datum BOTTOM OF TANK Cycles tested NEW E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Sepfidholding tank on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main Public sewer manhole/deanout N/A Sewer/septic service line 25'+ LIR station N/A SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Foundation 5'+ Property Ane 5'+ Absorption field 5'+ Water malrdservloe Ane 10'+ Surface wateddralnage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: *SEE LOT LINE WAIVER #WR990083 Property line 'S'+ Building foundation 10'+ Water main/service line 10'+ Surface water 100'+ Driveway, parkinglvehide storage area 5'+ Curtain drain NONE KNOWN Wells on a F. ENGINEER'S I cerffly that / t Muni of Munidpal It with MOA HAd Engineer's Id inspecVons and review stems are In conformance this date. HAA Fee S a 96 177 Data of Payment % I /`T/" Receipt Number 1� Z 78 7e -0¢s P". suer cwpjw v noon Waiver Fee $ Date of Payment Receipt Number