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VALLEY VIEW TERRACE BLK 1 LT 1 REM
Onsite File �m Va-mb-Iley Vi'oew i errace Future COSAs will not be approved without the berm Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP201359 PID Number: 050-352-44 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name ORVILLE & MARY LAYTON ABSORPTION FIELD -EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 23231 EAGLE RIVER ROAD, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Fill added above original grade Ft. Gravel length Ft. VALLEY VIEW TERRACE 1 1 REM Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well 100'+ __ 25'x.. TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1250 Gal. Surface Water *100'+ -- Material HDPE Number of compartments 2 Lot Line 10'+ -- NA Foundation 10'+ __ LIFT STATION Manufacturer Capacity Gal. Remarks *80'+ berm w/ small swale installed to direct / maintain 100' separation to potential tank / field surface effluent to surface water. Alarm location Electrical installed by Tankto PIPE MATERIAL Housetotank 3034 3034 Installer DENALI EXCAVATION drainfeld Drainfield CO/MT 3034. Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 1s` 10/19/20 10/20/20 Location and description ection 2nd 3rd 4`n BOTTOM OF STEP ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF A Conditional Approval: Date tQ TH • 11j Curtis j Septic System A Approved � Huffman •:� r� F • •, r Date { ('—Z� CE 128991 ����'!'lF�•. 10/26/20�o•4P��i.�r 1�,F�PROFESSIONA -� Note: this approval does not include well permit requirements. (Nev uoiuln 6) PID: 050-352-44 PERMIT: OSP201359 6.3' x 16.8' BALCONY GRAVEL EDGE OF PAVEMENT �\ R®4o A—C=32.7' B—C=38.6' A—D=37.0' B—D=45.9' A—E=38.8' B—E=50.0' A—F=39.2' B—F=53.6' RETAINING WALL D N,100' E H WELL F RADIUS DCO MT ° CO Tom CHAIN—LINK FENCE NEW 1250—GAL HDPE TANK INSTALLED. , % Nh BERM MT �O h ^CJ' �APPROX. SPRING LOC Lot 2A SEPTIC SURFACE WATER DISAPPEARS UPHILL ABOVE MEA ACCESS ROAD \ SCALEi 1' = 40 SEPTIC SECTION VALLEY VIEW TERRACE BLOCK 1, LOT 1 REM SUPPORTSERVICES PREPARED FOR: ORVILLE & MARY LAYTON 23231 EAGLE RIVER ROAD ° EAGLE RIVER, AK 99577 FIRST WATER CONSULTING 13030 SUES WAY ANCHORAGE, AK 99516 907-350-9566 firstwaterAK©gmoil.com DATE: 11/3/2020 SURVEY: KGL DRAWN: FWCS SCALE: 1" = 40' SCALE, NTS * 9 TH 0 0 * rtis Huffmani CE 128991 11 /3/2020 PEss1010 AV W O Z 0� Z W — M jt= -QJ^ J'n W J J % to M JI - 11 0 O<O M ZlLM 00 J ZZM O W W Oin– mm O V 4 m W0♦- O � Q Q W U)�^ O W Z Z U O J — j F=OY Er 6 W Wn O O _j t– a. D:m Z W 2 W (n W z O 1= U W N \ l tD \ 0 \ J \ / a N O J r PLOT PLAN _ AS BUILT --XL SCALE 1" —=40' GRID SW 159 Protect No. 20-682/A1 11500 Daryl Avenue, Anchorage, Lang & Associates, inc. (907) 522-6476 Phone Alaska 99515-3049 rl• / jonathanOlongsurvey.com I hereby certify that I have surveyed the following described property SEE LEGAL DESCRIPTION o°O 49TH Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the propertyadjacent thereto, that improvements the lying no on property adjacent thereto encroach on the surveyed/f"`� premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. i ( i� •. KENN } LANG o G Dated this the '�"= Day of at Anchorage, Alaska �ppROFFSS10NAt �q It is the responsibility of the owner to determine the existence of any easements, �4 S1001 -Q covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 a N O J r PLOT PLAN _ AS BUILT --XL SCALE 1" —=40' GRID SW 159 Protect No. 20-682/A1 11500 Daryl Avenue, Anchorage, Lang & Associates, inc. (907) 522-6476 Phone Alaska 99515-3049 (907) 522-4625 fax Professional Land Surveyors , ken*langsurvey.com QOQa�pO o F A Opp jonathanOlongsurvey.com I hereby certify that I have surveyed the following described property SEE LEGAL DESCRIPTION o°O 49TH Anchorage Recording District, Alaska, and that the improvements situated thereon are within the property lines and do not encroach onto the propertyadjacent thereto, that improvements the lying no on property adjacent thereto encroach on the surveyed/f"`� premises and that there are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. i ( i� •. KENN } LANG o G Dated this the '�"= Day of at Anchorage, Alaska �ppROFFSS10NAt �q It is the responsibility of the owner to determine the existence of any easements, �4 S1001 -Q covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE Gen -Site Wator & Wastewater Program PO Box 196650 4700 Etmore Road Anchorage, Alaska 99519-6660 Phone: (907) 343.790= Fax (907 ) 343-7997 997 h ftp :Y,NnrAv. m u n i. o rpt llo n site On -Site Wastewater Disposal System Permit Permit Number: 051'201359 Work Type: 5epticTank Upgrade Effective Date: Expiration Date: Tax Code Number: 0503524,4000 Site Legal Address: VALLEY VIEW TERRACE BLK. 1 LT 1 REM G.0159 Site Mailing Address: 23231 EAGLE RIVER RD, Eagle River Owner: LAYTO N O RVI LLE 1V J & Design. Engineer: FIRST WATER CONSULTING This permit is for the construction of: 10 Disposal Field 0 Septic Tank ❑ Holding Tank. ❑ Privy ,ti'�r S nr Du pa vi'Ell c:nt 911212020 411212021 Lot Size in Sq Et: 47045 Total Bedrooms: 4 ❑ Private Well ❑ ~Nater Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage N-lunicipal code Chapters 15.55 and 15.55 and the State of A[aska tiNastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3, Toe wast()1A'at0r code requires inspections during the installation. The engineer shall notify the Development Services Department per AJOC 15,6 5. Provide notification by calling (9D7) 343-7904 (2417), 4. From October 15 to April 15, a subsurface soil absorption system under construction during Freezing weather shall be either: a. Opened and Classed on the same day, or b. Covered, sealed, and ]seated to prevent freezing Cc *I Yana 5"r,6ce "tier, a } erm evil] be- ct AeJ +0 A'%Yec.� OVeY'�-1 owi"q`i� eI�na t way �ro� f{te _5"r%ace- IVAtrr. J 9m6/ Received By; Issued By: Date, 9/15/2020 Efate: MUNICIPALITY OF Development Services Department On -Site Water & Wastewater Section Parcel I.D. 050-352-44 ON-SITE SEPTIC/WELL PERMIT APPLICATION Property owner(s) ORVILLE & MARY LAYTON . Day phone Mailing address PO BOX 771411, EAGLE RIVER, AK 99577 Phone: 907-343-7904 Fax: 907-343-7997 Site address 23231 EAGLE RIVER ROAD, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) VALLEY VIEW TERRACE B1, LOT 1 REM Legal description (Township, Range & Section) Lot Size 47,045 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) (w/wo ADU) Septic Tank 0 Upgrade Q Duplex ❑ (D) Holding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees Date of Payment: 11 1 1 aojo Receipt Number: I l l U b5 Permit No. OS P2-0) 359 Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc 1� F'_Fsl C 0 N 3 U L T I NG A f S 1 a+ . I 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com gmail.com September 25, 2020 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: VALLEY VIEW TERRACE BLOCK 1, LOT 1 REM We have recently become aware of intermittent surface water along the eastern portion of the lot, which was not noted at time of inspection earlier this summer. The surface water appears and disappears in its course along the eastern lot line as shown on the attached design. No indication of the surface water is noted in the MOA records for this property and it appears to have had no adverse effects or interaction with the property's septic system since the original system was installed in 1969. To mitigate possible surface effluent transference, a berm will be installed to the extent possible as shown on the attached design. Given the limited area and topography to construct the berm, the possible surface effluent flow is calculated at approximately 100'+ from the existing field to surface water. The septic tank upgrade is being completed in preparation of a COSA. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, e9lo_� L ---%-- Curtis Huffman, P.E. F-1,151 Walbol W EN F, Ff ','R1N6 13030 Sues Way, Anchorage, AK 99516 907-350 -9566 / firstwaterAK@gmail.com August 29, 2020 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC TANK UPGRADE PERMIT LEGAL: VALLEY VIEW TERRACE BLOCK 1, LOT 1 REM PHYSICAL: 23231 EAGLE RIVER ROAD, EAGLE RIVER, AK 99577 The owner has requested that we obtain a septic permit to upgrade the existing aged 500-gallon steel septic tank on the above referenced lot. There is an existing 1000-gallon concrete tank that will remain as part of the system if deemed adequate. We propose to install a 1250-gallon HDPE tank outside any deck supports to serve the existing 4-bedroom residence. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201359, Deb Wockenfuss, 09/12/20 C C I DESIGN CRITERIA: DECOMMISSION EXISITING 500—GAL STEEL SEPTIC TANK & INSTALL NEW 1250—GAL HDPE GREER SEPTIC TANK. DECOMMISSION EXISTING 1000—GAL CONCERTE TANK IF DEEMED NECESSARY. MAINTAIN 10'+ FROM FOUNDATION, 100' TO WELLS, 5' TO FIELD & DECK SUPPORTS WITH 4' OF COVER OR INSULATION. INSTALL 80' BERM. INSTALL PER AMC 15.65, 15.55, & MASS ... TANK BEDDING, SEPARATIONS, MATERIALS, SEPTIC WELL 33 G o GRAVEL DEW 0 EXISTING 1000 -GAL CONCSTEELSTE SEPTIC TANKS` DECOMMISSION STEEL TANK & INSTALL NEW DFCO 1250 -GAL HDPE TANK. APPROX. INSTALL DFCO CO SPRING & DCOS. LOC ^� MH DCO Co 6 O DCO s SEPTIC FA CONSTRUCT 80'L BERM VW X 1'+H TO EDGE OF SURFACE MEA ACCESS WATER ROAD DISAPPEARS UPHILL ABOVE MEA ACCESS ROAD VALLEY VIEW TERRACE BLOCK 1, LOT 1 REM SUPPORT®SERVICES: PREPARED FOR: ORVILLE & MARY LAYTON 23231 EAGLE RIVER ROAD EAGLE RIVER, AK 99577 C FIRST WATER CONSULTING DATE: 9/28/2020 1SURVEY: RJ 1982 3030 SUES WAY DRAWN: FWCS ANCHORAGE, AK 99516 SCALE: 1" = 50' 907-350-9566 firstwaterAK@gmail.com NO WELLS W/IN 100' OF PROPOSED TANK OF AL.�,6 * Q TH * o rtis Huffman CE 128991 4`� 9/28/2020 MUNICIPALITY OF ANCHORAGE DEF TMENT OF HEALTH AND HUMAN SERV( 3 Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES TO FROM SEPTIC TANK ABSORPTION FIELD WELL Address �4fte Yel!/CA Al, WELL 130 ' It q �? / Phone(s) 0' 9/' q Lt 7 Permit No. -G ?? No. of Bedrooms LOT LINE/ �% / "33 / ,J / LEGAL DESCRIPTION Lot / Block/ Subdivision (tri //C ���•/—!err4e"e FOUNDATION /7/ sU , Township, Range, Section F/ -5-/v 27oei G, /S AS -BUILT DIAGRAM (Show location of well, driveway, water bodies, etc) septic system, property lines, loundatmn, TANKS M SEPTIC ❑ HOLDING Manufacturer EX,6 f-/;.5 /ppoSµ( Greer S-,sO Capacity in gallons Material s to e / No. of Compartments a r TYPE OF SYSTEM ❑ TRENCH ❑ BED ®` W. DRAIN ❑ OTHER Depth to pipe bottom from original grade / FT Total depth from original grade 3 FT Fill added above original grade YZFT Gravel depth beneath pipe Q �a FT Sp / ° - Nd / x,s 00 ,mss lK �•� Gravel length 78 FT Gravel width - FT Total absorption area (�_Oa SO FT I Distance between lines N11y FT Number of lines Soil rating SOFT Pipe material Installer AS �ksse� Dale Installed 3 t/ 87 — 3 tY/y� WELLS 6y/ PRIVATE ❑ OTHER (Identifvl a,da Classification TA,B,C) Total Depth FT Cased to FT Installer Date Installed: REMARKS: /F_-cx ia" �/�✓ '6 / - ,p� T G//(iv. .%^/V Scale: Inspections Performed by Eagle River Entimering Services --1CRdER ifi� �^.OFf'4v°u+ oZs ow o° ee ° x 4v,e bDate ) EGD o°Fv9Y+y. AGimose asumo o - aoa.o.. ao Louis A. 2ulor v a Ro o° CE -6/35 � a� peoFesslo�;� %-Za4S"�`�`� w , ox /13294 Eaglo River, AK 99577 3�-z��87 G94-5195 /J /' na d�r✓5/7L r�0a/-.ov / cenily that this inspection was performed according to all1� Municipal and Stale guidelines in effect on this date: i P 9 Health Department Approval: -" 14 L Date: '3 -� % 72-013 (3/85) LOT SIU: 57100 (S00T 01 ACAES)– -- — – Al. L C ,.I.FY THAT �l I AM FAMILIAR WITH THS REadIk,:MaNTS FOR 01–SITE, SVw'. S AND '-.ELLS 4S SET ,xj UnCrRIC:AL WORK `r1UST do DONE. &Y A IC NSED E=LLTRICI: N. 1 31;1 ,-, 35 --------------- � 'I ls6un by !'�p� � �hn�d DA S: 3–/6–S� j36! in 61 wrote �RA��Fi��D 1 wllL TQaI 144 J"Z JflilA !N Al4QAVAA4_ W11A QL4_,`iUA LVUCJ -t"V tC i3Ud:;ti AND i1! CGAPnIANCE 'AIT: THE )ESIGN CmITc IA OF THIS PERMIT, �zzl=1–W41L AGBv,t`_- STATE F A_ S-K,S Lc 1J=KEP :tvT" -FJk` r,ie SIT - 1 DiSfANCZS FROM ANY 1XISTInG 'Y LLL. WAGIEWAT` s DiS UAL SYSTEM OR P'JSLIt I I IEW!nALL iYSUM Ll THIS UK ANY ADJAC,INT OR Nf RJY LOT. 01 I iA `i IF A LIFT. SUTI 'i IS iNSTALLED IN N P REs COVERED SY NOA 81ILDING iUDEU ,xj UnCrRIC:AL WORK `r1UST do DONE. &Y A IC NSED E=LLTRICI: N. 1 31;1 ,-, 35 --------------- � 'I ls6un by !'�p� � �hn�d DA S: 3–/6–S� j36! in 61 wrote �RA��Fi��D MUNICIPAWY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION MAP, 1 � 198Y [DECEIVED SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: valley view Terrace: Lot 1, Block 1 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multifamily wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. S. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. B. DRAINFIELD 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the bed bottom. 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The total depth of the trench excavation is not to exceed 4.5' at any point. 4. The new sewer line is to be installed so that the existing seepage pit is abandoned. It is reoommended that this be accomplished by teeing into the sewer line between the existing tank and pit. 5. The bed gravel is to be covered with typar fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 4' or equivalent is to be placed over the drainfield. 7. The area over the bed is to be finish graded to prevent ponding of surface water runoff. S. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 3.5' GRAVEL DEPTH = 2.5' BED LENGTH = 78' SED WIDTH = 5' Bedroom Capacity = 4 Septic Tank Size = 1500 (REQUIRES: 500 gallon tank upgrade.) SOILS LOG MUNICIPALITY OF ANCHORAGE 0 PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST an L A,.d.,V.• A1Wu 99501 2643720 SOILS LOG - PERCOLATION TEST DATE PERFORMED. '� �.J ?IS 7 PERFORMED FOR LEGAL DESCRIPTION `Ot U'�7I v$��e SLOPE SITE PLAN O (ETT 1 2 ` c •` 3 5 6 6 7 x. c 9 o. c 10 c• : o t.•. 12 13 SP Sa-✓d w/5 ... mac' Pon -/y G.acGec/ E,sa' al 14 15 16 r "b •b°u+-• csaaoacaus.o°oemtic°• 17 18 e i��•r C�'�G!Sb � � � °C L 19 �1J 1c''"° °•°. Cbl WAS GROUND WATER S ENCOUNTERED? yLS _ O 7 ti. tr I 8.59' P E IFYES,ATWHAT -p-j'p•Z c �J.O• DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop se' o.� Si ✓e �r✓4 /s.i FT- - COMMENTS %"u L �f /�/ ` � .Go Al x" Z91/'C �,r/ r t .%�i- 7'5. fi¢ /may /A: flea{ R J r f - / < (til / Ci✓% l� �� 7�Ii` /l -��`l hG�C if/L i+%i[e � .fn .� fiJ^�_.__ Eagle River Engineering Services/' DATE: PERFORMED BY: P`9 BX 772294 CERTIFIED BY: Bi 26 �.w.c.�— PERCOLATION RATE � `'e' (minutes/inch) - TEST RUN BETWEEN 3 FT AND FT- - COMMENTS %"u L �f /�/ ` � .Go Al x" Z91/'C �,r/ r t .%�i- 7'5. fi¢ /may /A: flea{ R J r f - / < (til / Ci✓% l� �� 7�Ii` /l -��`l hG�C if/L i+%i[e � .fn .� fiJ^�_.__ Eagle River Engineering Services/' DATE: PERFORMED BY: P`9 BX 772294 CERTIFIED BY: Eagle River, AK 99577 694-5195 79.nna re1791 Test N. GRAIN SIZE DISTRIDUTION TEST DATA Project Data Dat e : 3-10-61 Project No.: 1099--1i project: ENGINEERING SERVICES Location of Sample: LT. I DLK1 VALLEY VIEW TERRACE Sample Description: GRAVELLY SAND USCS Class: Sw Si° AASHTO Class: Liquid limit: - Plastic index: NP 7" it _ H Remarks line 1: DEPTH H 2. 51 TO 3.51 Remarks line 2: DEPTH 3.51 TO 4.5' T a *n Remarks line 3: Remarks line 4: Fig. No.: 1 Mechanical Analysis Data Initial Dry sample and `care= 1124.4 ..E.ar,c -- 299.0 Dry sample woight = 62b.4 Tare for cumulative weight retained= 299 Sieve Cumul. Wt. 1=err_E'nt retained finer 1 inches e�99.0 100.0 0.625 inches 404.8 87.2 # 4 586.7 64.9 as #k 10 731.5 47.6 #6 20 - 684.5 - 29. 1 #k 40 1001.0 15. 0 4# 100 1094.5 3.6 4# 200 1112.6 1.4 Fractional Components % + 3 in. = 0.0 "7. GRAVEL = 35.1 '/• SAND == 63.5 % FINES = 1.4 D60= 3.673 D30= 0.8400 D10= 0.29463 Cc == 0.6520 Cu = 12.4659 Test No/� GRAIN SIZE DISTRIBUTION TEST DATA Project Data Date: Project No.' Project,. Location of Sample: LT.1 DLK1 VALLEY VIEW TERRACE Sample Du5cription: GRAVELLY SAND USCS Class: SP AASHFO Class: Liquid limit: - Plastic index: NP Remarks line 1: Remarks line 2: Remarks line Remarks line 4: Fig. No.: 1 Mechanical Analysis Data Initial Dry sample and tare= 1288.5 Tare ... 301.1 Dry -sample weight = 967.4 Tare for cumulative weight retained= 301.1 Sieve Cumul. Wt. Percent / retained finer 1 inches 301.1 100.0 0.625 inches 344.2 95.6 30902/1 * 4 610.0 68.7 0 10 791.9 50-.3 4 20 570.3 32.2 4 40 1114.3 17.6 4 100 - 1235.B 0.3 #K 200 1265.1 2.4 Fractional Components + 3 in. = 0.0 l GRAVEL_ == 31.3 % SAND = 66.3 % FINES = 2.4 D60= 3.162 D30= 0.758E D10= 0.2454" Cc = 0.7413 Cu 12.8825 v- -rW GRAIN SIZE DISTRIBUTION TEST REPORT 100 A 90 80 70 Lu 50 L) CC LLI 40 30 krL 20 10 ffill id 1 .. 0iI 200 100 10.0 1.0 0. .01 .001 OPENING SIZE mm Y+30 X GRAVEL Y SAND V SILT x CL AY'Pr Q 0.0 35.1 1.4 0.0 31.3 66.3 2-4 uses X COLLOIDS LL PI -60 D30 Die Or Cu 11 I Classi+icat ion 01 Sp 1 NP 3.67 0.840 0.2946 0.65 12.5 Al SP NP 3.16 0.759 0.2455 0.74 12.9 MATERIAL DESCRIPTION MLJN1(�.lPAlllU O� '.NCMuXAG TYPE OF TEST �422-63(72) —ji-STM 0 GRAVELLY SAND DEPT. OF HEALTH & 3) ENVIRONMENTAL GRAVELLY SAND RONMENTAL PROTECTfON No.: 1099-B Remarks. FProJ*ct o4wet: ENGINEERING SERVICES DEPTH 2.57 TO 3.5' Location: LT. I BLK1 VALLEY VIEW TJk�EIVED DEPTH 3.5' TO 4.5' A Location: LTwl BLKI VALLEY VIEW TERRACE 1)7at*: 3-15-8? GRAIN SIZE DISTRIBUTION TEST REPORT RODNEY P. KIDNEY ASSOCIATES Plate No. 1 w �P(�.� � .....; sA�O�� Sa, e% TH v� b.u...........io. Louis. A. Sutera f eQ -CE-6736. c��00 .0 sem,.-�.- • .iXsepr.L pia... - - .w-:: /�•' is • �//:'�! - JI: •, , `,fir -, 1p�.rq:��rcc.,,•.I . ft.!�L. A. ' '•`.�t CCL:. t: I� �..� • mrnta situate -C nvt ocerbp or to, Oat no Lin eaid property ex pt as Indlcat¢d Larepa Da'tcd at Sagle-l..l%Tr, AlaskA , ;• < thin «' day oL� fl �jl ::'•_ 19 1 SCAL,g: Rrclstercd l.apd Suiycyor in= 2 A / _ nax -3- L le Rlvar. or . . GARB-HD.I G7`,TER ANCHORAGE AREA BOROV---,±i HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE, ALASKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME /"�•' T °°`"-C.sy%=s-..,%' MAILING ADDRESS /T iso I(1 ATll KI E - /moo( , IFGAL DESCRIPTION SEPTIC TANK: PHOS_ b;F �31y W I NUMBER OF DISTANCE FROM WELL (v MATERIAL 4_.DAI.. COMPARTMMENTS / r LIQU1f/ LIQUID CAPACITY �00 GALLONS. INSIDE LENGTH INSIDE WIDTH 4_1DEPTH G SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS / OUTSIDE DIAMETER OR WIDTH E. LENGTH & , DEPTH A , LINING MATERIAL �� '� . DISTANCE FROM WELL BUILDING FOUNDATION - NEAREST LOT OUNDATION ,NEARESTLOT LINE �%� TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) "''' SQ. FT. TILE DRAIN FIELD: DISTANCE FROM WELL '0 , FOUNDATION NEAREST LOT LINE_ NUMBER OF LINES DISTANCE BETWEEN LINES TRENCH WIDTH TOTAL LENGTH OF LINES— IN. TOTAL INES_ IN.TOTAL EFFECTIVE ABSORPTION AREA SQ. FT. LENG OF EACH LINE _ DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE: IN. ABOVE TILE WELL: e%c /��� D DISTANCE FROM WATER TYPE, , BUILDING FOUNDATION. SAMPLE , NEAREST NEAREST SEPTIC ,^� L SEEPAGE 1`- OTHER IOT IINF SEWER LINE ,TANK , SYSTEM j .r CESSPOOL , SOURCES_ DISTANCE m''r iO4v_4 DIAGRAM OF SYSTEM DATE 3tri APPROVED HEALTH AUTHORITY GAea,HW2 GREAT ANCHORAGE AREA �.�)ROUGH Case No. 6 HEALTH DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION A PERMIT NAME OF APPLICANT. RESIDENCE ADDRESS LEGAL DESCRIPTIO /'&4014A�ING ADDRESS-Ltib PHONE NO. LOCATION OF INSTAL APPLICATION TO INSTALL: SEPTIC TANK �', SEEPAGE PIT. TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH TO BE INSTALLED BY IE OTHER PERCOLATION TEST RESULTS A)k ANTICIPATED DATE OF COMPLVTION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE ASPERMIT TO INSTALL A AS DESCRIBED BELOW. SIZE OF UNIT TO SEPTIC TANK SIZE9423n TYPE DISTANCES:�J e�'�6(z -6 � ZJ211 C�,co Authority f SERVED l SEEPAGE AREA 47 TYPE DIAGRAM OF SYSTEM f I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 28 8 aWh the above described system is in accordance with said code. / DATE L� ��` � APPLICANTS SIGNATURE L�� Y OWNER OF LAND ADDRESS tIT w.atifirb 15rilting ifug by Doc co. aw SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99567 • TELEPHONE 688.2759 LEGAL DESCRIPTION DATE. - Started Ended PERMIT NUMBER DEPTH OF WELL .i STATIC LEVELOF WATER Fr. DRAW DOWN FT. GALS. PER HR KIND OF CASING KIND OF FORMATION: Ft. From Ft. to Ft. From F[. to—Ft. - Ft. to -Ft. From - Ft. to Ft. Ft. From From Ft. to Ft. '- -% - Frmn FL to Ft. From Ft. to Ft. �'t !'' From Ft. to Ft. From - - Ft. to--' Ft. From Ft. to Ft. From - Ft. to Ft. '' b '�'� From, Ft.to Ft. From Ft. to - Ft ''- _ From Ft. to Ft. From - `t Ft. to Ft. _ ''C _ From Ft. to Ft. From - Ft. to -i, Ft. 7�F(si,i��` "' From Ft. to Ft. From -: Ft. to ! j FL -�� =' - From Ft. , to Ft. From : ! ' Ft. to ' Ft. Froin - Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to -Ft. Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. MISCL. INFORMATION: From Ft. to Ft From Ft. to Ft From Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to FA( DRILLER'S NAME JUN 24 1998 Munlcipality of Anchorage Dept. Health & Human Services MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON—SITE WELL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW970114 DESIGN ENGINEER:DUMMY COMPANY OWNER NAME:OLIER ELTON S JR & OWNER ADDRESS:P.O. BOX 771855 EAGER RIVER, ALASKA 99577-1855 PARCEL ID:05035244 LEGAL DESCRIPTION: VALLEY VIEWTERRACEBLK 1 LT 1 REM LOT SIZE: 46984 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONSTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED: 6/02/97 EXPIRATION DATE: 6/02/98 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 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: Viv— i , y.,L� DATE: 6-2—-Z7 f ,///% / ISSUED BY: /%%grwn7/ c / DATE: "Z / 7 Y'. I 1 � deathbed proparyi 1 � I 1 � deathbed proparyi .i V = U W C� P fJ WU 7 V OF ANCHORAGE Development Services Department "tom Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval - Parcel I.D. 050-352-44 Expiration Date: -2--6, �zdU 1. GENERAL INFORMATION Complete legal description VALLEY VIEW TERRACE BLOCK 1, LOT 1 REM Location (site address) 23231 EAGLE RIVER ROAD, EAGLE RIVER, AK 99577 Current property owner(s) ORVILLE & MARY LAYTON Mailing address Real estate agent PO BOX 771411, EAGLE RIVER, AK 99577 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ --I /?-, 50 CO V 10 Date of Payment 1.0-2-3-20 Receipt Number 213 COSA # 0!5C2() 15S! \ Date: Waiver Fee $ Date of Payment Receipt Number 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 10/20/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory •' • • :1,9 ��� for current or future occupants or guarantee that no unseen encroachments, deficiencies or g�Q: J discrepancies exist can be given by First Water Consulting & FWN *' . TH .....•.* t✓r 6. DSD SIGNATUREr Curtis Huffman —� System #1 Approved for bedrooms +�F2, . CE 128991 �0/20/2Q2 System #2 Approved for bedrooms 111 PROFESSOO0e Disapproved Conditional approval for bedrooms, with the following `ip'LoM� ITyoF% F� rwq/y, -o 1 /r tom. Original Certificate Date: -Z021-0 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 X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other • Legal Description: VALLEY VIEW TERRACE BLOCK 1, LOT REM Parcel ID: 050-352-44 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 6/24/1998 Total depth 121 ft Cased toll 6 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 24+ in. Date of flow test for COSA 8/19/2020 Static water level at beginning of test 91 ft. Comments B. TANK DATA Age of tank(s) NEW 0 years Tank type/material SEPTIC / HDPE Measured operating fluid level in septic tank NEW ® Standpipes/foundation cleanout per record drawing Date of pumping NA - NEW D. ABSORPTION FIELD DATA Which system tested (date installed) 3/23/1987 ® ALL standpipes present per record drawing Total measured depth from grade 4.2 ft (max) Measured depth to pipe invert from grade 2.6 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 1.6' INTO THE 2.5' ED ® Code -required soil cover over field wi INSULATION PER IR ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced gallons Comments/Deficiencies:. Well production at time of test 5.8 gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by_ Fks Date of Sample 10/16/2020 C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 8/19/20 Results 0 Pass For 4 bedrooms Fluid depth prior to test 4 in Water added 610 gal New depth 10 in Elapsed time 1040 min Final fluid depth 2 in Absorption rate 600 gpd Any rejuvenation treatment (past 12 months) N If yes, enter date NES I 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' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' Water Service Line > 10' ® Yes Animal Containment > 50' ® Yes if No ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No _ Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From 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' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATIONlaw l I certify that l have determined through field inspections and review ,���,:•' • • • •�s¢-��� of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. : • . TM • , • •'. .... ....�: • • Curtis Huffman i �� �'c<G; •. CE 128991 .• i�`�® � �'srF9�1Qi26/2OZa���G�� ft ft ft ft ft ft ft ft Municipality of Anchorage Community Development Department On -Site Water & Wastewater Program 4700 Elmore St. m P.O. Box 196650 Em Anchorage, AK 99507-6650» www.muni.org/onsite m (907.) 343-7904 Well Decommissioning Log pp Mon cc IYv P_o j 'f Block R Section Lot On-site Water &Wastewater Program certified contractor performing the well decommissinin ; Name: �v>C YJ���"t i<r (; Signature _ Company: U. Lr U3_.in Well decommissioning date: / Method of decommissioning: AMC 15:55.0601-1 a. ❑ b. EI C. Location: Use the space iaetft to provide a drawing of the property showing the following items; North Arrow Decommissioned --vo_ l.?.. • Other water wells on t ,=s property, •Two separate swing -tie Jfstances for each well shown in the drawing, Note: The swing -tie distances shall. be measured from either permanent structures of property corners. Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage. AK 99519-6650 www.ci.anchorage.a K us (907) 343-7904 CE=RTIFICATE OF HEALTH AU T HORETr APPROVAL FOR A SINGLE FAMILY DWELLING Parcel LD. ns _ ,A52-44 1. GENERAL INFORMATION HAA m_ 3 C) `1 Expiration Date: Complete legal description _LQt*l; Block 1; yai i Qy_Yj PWS D__$/D_ Location (site address or directions) 23231 Eagle River Rd. M Current Property c+krier(s) Deb McCay or Joe Argyle Day phone. 696-6886 Mailing address same Lending agency Mailing address Day phone Real Estate Agent Cathy Olmstead _ Dayphone 696.2209 Mailing Address 16600 CenterfieLd D£= Stec 201 Emile River] Ail 99577 Unless othentilse requested, NAA will be held by DSD for pickup. � -7 g %J 2. NUMBER OF BEDROOMS: -4 3. TYPE OF WATER SUPPLY:' Individual Well n Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: individual On-site XL Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The. Municipality of Anchorage Development Services Department (DSD) Issues.Certricates 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-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 Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Ncma cf 17irm S &. S_Engineering- rirorie 694-2979 Address 17034 N. Eagle River Loop Ste, 204 Engle River, AK 99577 / Engineer's Printed Name Robert C. Cogan Date ,6 / 3olo-3 5. DSD SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. OF ROBERT G COWAN i 1A.Z FEW bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By:/ Original Certificate Date: - 06 - (Rev.- (Rev. 01M) .........—.n...n..�.r..................... n.. rn............. .... n................ . .. Municipality of Anchorage *AIK Development Services DepartmentBuilding Safety DivisionOn-Site Water & Wastewater Program 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ICE: JCI o IlAk-t G'1 V1 t-04 �Csir/ -� " Parcel ID: ©SV - 3.SZ -44 A. WELL DATA SI Well type 6E If A, B, or C provide PWSID # r" Date completed 44/1 6 Sanitary seal (YIN)Total depthL� fLCased to Ae-fft. FROM WELL LOG Date of test 6041140_ Static water level 47" ft. Well production _ 2D g. P. m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Nitrate mpg..A.. Arsenic: 03W n -V A. Data of sample: (0/ 0103 B. SEPTICIHOLDING TA/NK DATA / T� Tank Type/Nlateriall-- Tank size II 7gat. Number of Compartments 2 Found�n leanout_�/N) -- L Depression over tank (Y/N) Date of pumping 0.3 Pumper S %z C. ABSORPTION FIELD DATA Date installed( . So11 rating (9.p.dJftz or /bd ) /Sa Length ft. Width ft. Well Log (Y/N) Wires property protected (Y/N) V Casing height (above ground) 0 �t in. AT INSPECTION ft. _ 5 g.p.m. Other bacteria 0 colonies/100 mi. Collected by: 5 fi 5 Cyv G /t ezxC, /A& - Date installedf9— Cleanouts (Y/N) High water alarm (Y/N) System type � "OV) T z- ae-o Gravel below pipe ;i6 5, ft. Total depth ft. Eff. absorption area ,(0Q2_f? Monitoring tube Y Date of adequacy test f73 Results (Pass/Fail) A055 Fluid depth in absorption field before test -§—in. Water addedgal. Depression over field A) For 4 bedrooms New depth1 3 in. Elapsed Time: ko min. Final fluid depth i in. Absorption rate >= _6A719 A. Any rejuvenation treatment (past 12 mo.) (Y/N & type) VOO*4 E K NOwA/ If yes, give date ___ D. LIFT STATION Date installed "Pump on" level at Datum N A' Size in gallons _ in. "Pump ofr levet at __ in. Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/leftSbKon on lot _ey ' + Absorption field on lot r + Public sewer main J r S§j&Oseptic service line _Z7 Manhole/Access (Y/N) High water alarm level at in. Meets alarm & circuit requirements? On adjacent lots /QQ I& On adjacent lots /C2n ' Public sewer manhole/cleanout �l7" Holding tank _ N SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: i, Building foundation t Property line .5 ' Absorption field Water main Al Z 4 Water service line Wells on adjacent lots / 0 4- Surface water 140 y" SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: r r Property line /O * _ Building foundation1 Q '_ Water main Af Zft Water Service line _ / O � Surface water _Jam_ it Driveway, parking►vewde storage / 0 'r Curtain drain IV4"i- k- "40 NAJWells on adjacent lots 100 ,T F. COMMENTS G. ENGINEER'S CERTIFICATION R %� ��........... �t I certify that 1 have determined through field Inspections and ✓ ;;:: r review of Municipal records that the above systems are in ' conformance with MOA HAA guidelines in effect on this date. _ �J Q k�L7 ` d 14,--)p it ftlfllbwAN ,Q Engineer's Printed Name // '"�If CE -8801 Date fo (3 0 163 EA \ HAA Fee $ 3-7S - ° Date of Payment -1/, /03 Receipt Number O 3 7 $.6 �k— (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number r. N 1J u m a O_ o.S° hoc a- u F D tp rSm,S V C7 9 f0 C g T. \ rd _ hl _. m N N � N t i v cn . JJ _ (46 t ` � o• r. N 1J u m a O_ o.S° hoc a- u F D tp rSm,S V C7 9 f0 C g T. \ rd _ hl _. m N N � N Municipality of Anchorage �nr Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519.8850 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-352-44 HAA # / JA n1cN�1� Expiration Date: 11- 2 1— O 1 Complete legal description Lot 1. Block 1 Valley View Terrace Location (site address or directions) 23231 Eagle River Road, Eagle River, AK 99577 Current Property owner(s) Elton Olier Day phone 694-4249 Mailing address P.O. Box 771855, Eagle River, AK 99577-1855 Lending agency U.S. Inspect Day phone 703-293-1499 Mailing address 3650 Concorde Pkwv. Ste. 100, Chantilly, VA 20151-1129 Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:- ISPOSAL:Individual IndividualWell ® Individual On-site Individual Water Storage ❑ 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 Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. (Rev IM) 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Finn _Pannone Eng. Svc. Phone 272-8218 Address P.O. Box 102954, Anch, AK 99510 Engineer's Printed Name _Steven R. Pannone, P.E. Date Q"lulC-r Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation c istances measured to readily identifiable features. The operational fife of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 6. DSD SIGNATURE Approved for bedrooms. Disapproved. •r p da TH •• teven R. al 1 Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory By: Expiration Date: (Ray 11W) Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: iii - A J - O / Reissue Date: Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water and Wastewater Program s • % T T 4700 South Bragaw Street P.O. Box 198650 Anchorage, AK 99519-8650 www.ci.anchorage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 1. Block 1 Valley View Terrace Parcel I.D.: 050-352-44 A. WELL DATA Well type P Date completed 6/2411998 Total depth 121 ft If A, B, or C provide PWSID # Sanitary seal Y Cased to 116• ft FROM WELL LOG Date of test 6/24/1996 Static water level 92 It Well production 20 g.p.m WATER SAMPLE RESULTS: ` k� Coliform! colonies/100 ml , Nitrate • 500 mgA Well Log Y Wires property protected Y Casing height (above ground) 30 n. AT INSPECTION 8/9/2001 89 ft 8f 9 -p.m Other bacteria -'e- colonies/100 ml Date of sample: 6/9/2001 Collected by: Laura Pannone " _' B. SEPTICIHOLDINGTANK DATAIoov9gl �t1K ia1Si-m(LOA Cr) � p L-77 Tank Type/Material Concrc &Greer SiEhtT `� g� Date installed/3 23/1987 Tank size 1000 & 500 gal Number of Compartments 2 Cleanouts Y Foundation cleanout Y= Depression over tank N High water alarm jV Date of pumping 7/11/2001 Pumper Sanitary Pumpers C. ABSORPTION FIELD DATA Date installed 3/23/1937 Soil rating (g.p.d./ft2 or ft2/bdrm)1 50 System type Wide Trench Length 7Lft Width 5 It Gravel below pipe 2.8 ft Total depth § ft Effective absorption area0Mle Monitoring tube Y Depression over field N - Date of adequacy lest 618!2001 Results (Pass/Fail) Pass For 4 bedrooms Fluid depth in absorption field before test 2 In Water addedfoo gal. New depth2 in. Elapsed Time: 2 min Final fluid depth 2 in Absorption rate >= 600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) No If yes, give date (Rev. 1758) D. LIFT STATION Date installed _ Size in gallons 'Pump on' level at _ in'Pump otr level at Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Acoess in High water alarm level at _ in Meets alarm & circuit requirements? Septic tank/lift station on lot 128' On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 70'+ Public sewer manhole/deanout N/A Holding tank 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 28' Property line10'+ Absorption field 28'+ Water main N/A Water service line 56' Surface water 100'+ Drainage 100'+ Wells on adjacent lots 00'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water Service line 50'+ Surface water 100'+ Driveway, perking/vehicle storage 01+ . Curtain drain 100'+ Wells on adjacent lots 100'+ F. COMMENTS Ori %Irlal well 541(1 40V)CiC(3nal tcg+t-�Qnc+toy) CLS bocK-UpI-Lentf. M 1'1...:w t....�:lY.. m..... t.....J:...0 .... Gf•A�xTZT.Y\� G. ENGINEER'S CERTIFICATION �f,.• ♦j♦ t I cer* that 1 have determined through field Inspections and : = 49•. review of Municipal records that the above systems are in 0" s —0 conformance with MOA HAA guldeftnes in effect on this date. j♦ �•ySteve n R Ponnone a Engineers Printed Name Steven R. Pannone, P.E.♦♦ J ' No CE 8149 Date jf ♦� <�•''••.G'f G�+f v ; •• �: g3//�Ibl HAA Fee $-30(0 W Date of Payment g I Receipt Number c 4 (Rev. 11198) Waiver Fee $ Date of Payment Receipt Number I� �I - DATE RECEIVED INSPECTION APPOINTMENTS Block 1 East of Alaska Enterprises STREET LOCATION Blag. AREA sign on proper y TIME TIME Y - LtA.y (. TIME NUMBER OF,BEDROOMS 1t3C�-- CV-eCY ?b .cid DATE DATE DATE ® Three ❑ Six 7. WATER SUPPLY S--I--�ru.� INSPECTOR INSPECT, �SCn. � INSPECTOR - since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY rte. - - MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTIONVIRONMENTAL P-OTECTION 825 L Street - Anchorage, Alaska 99501 MAY 4 1981 ENVIRONMENTAL SANITATION DIVISION Telephone 264-4720 _... ^ E C M V F D I REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FAC DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Pleaseallowten (10) days for processing. 1. PROPERTYOWNER PHONE Ralph L. Schuchman None MAILINGADDRESS P.O. Box 4025 Soldotna AK 99669 PROPERTY RESIDENT (If different from above) PHONE Vacant --- 2. BUYER PHONE Elton S. Olier, Jr. 892-6873 MAILINGADDRESS .. S.R. 2322, 1Vasilla, AK 99687 3. LENDING INSTITUTIONPHONE AK Bank of Commerce 694-2021 MAILING ADDRESS _ P.O. Box 1185 Eagle River AI: 99577 4. REALTOR/AGENT PHONE AREA, Inc. Realtors, Myrna Johnston 694-9555 MAILINGADDRESS - P.O. Box 249, Eagle River, AK 99577 5. LEGAL DESCRIPTION Cedar sided ome directiy Valley View Terrace Lot 1 Block 1 East of Alaska Enterprises STREET LOCATION Blag. AREA sign on proper y Mile 5':0 Eagle River Rd. 6. TYPE OF RESIDENCE NUMBER OF,BEDROOMS - ❑ One ❑ Four ❑ Other ID SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY ® Three ❑ Six 7. WATER SUPPLY ® 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.) 105 f t . S. SEWAGE DISPOSAL SYSTEM ® INDIVIDUAL/ON-SITE** 6-69 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) _ \^_)� Y A Rev.,, /ice THIS SIDE FOR OFFICIAL USE ONLY - 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ 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 El PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tanker ❑Holding Tank Size: j U If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absor ion Area Sewer Line 7 1 Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS [[],—APPROVED FOR _S BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE \ BY 72-010 (Rev. 6/79) " DATE RECEIVED INSPECTION APPOINTMENTS ow lle'le 1" TIME TIME TIME 6. TYPE OF R SIDENC NUMBER OF,BEDROOMS DATE DATE DATE ❑ Two ❑ Five m-1-17 Q0Three ❑ Six 7. WATER SUPPLY INSPECTOR INSPECTOR INSPECTO since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL PROTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 OCT 3 C 1979 • ENVIRONMENTAL SANITATION DIVISION RECEIVED 264-4720 - I YEAR ON-SITE SYSTEM WAS INSTALLED. REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. P PERTYOWNER PHONE Al, MAILING ESS See L� PROPERTY RESIDENT (If differe t from above) PHONE 2. BUYER PHONE MAILINGADDRESS 3. LENDING INSTITUTION MAI G ADDRESS 4. RE'ALTORkAGENT PHONE MAILING ADDRESS - 5. LEGAL DESCRIPTION 6 /G c ow lle'le 1" STREET LOCATION h 6. TYPE OF R SIDENC NUMBER OF,BEDROOMS ❑ One ❑ Four ❑ Other SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY Q0Three ❑ Six 7. WATER SUPPLY 0 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** I YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) 1 M1 Dv 10Z C�'/i F - THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ 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 (,l� INSTALLER ❑Septic Tank or ❑ Holding Tank Size: 00 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL t 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS UP --'APPROVED FOR _,. BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72-010 (Rev. 6/79) GREATER ANCHORAGE AREA BOROUGH �V\ �/ Department of Environmental Quality -aUjm,0' 3330 °C" Street, Anchorage, Alaska 99503 274-4561 Date Received 6-9-75 Time of Inspection Date of Inspection 6-9-75 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR Conventional 1. Approval requested by: Security Title Mailing Address: 711 H st. Anch Phone: 2. Property Owner: Robert Opalinski Phone: Mailing Address: 7340 Ticonderoga Place 99502 3. Legal Description: Lot 1, Block 1 Valley View Terrace 4. Location: Mile 5 Eagle River Road 5. Type of facility to be inspected No. of bedrooms 3 6. Well Data: A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: A. Installed 1969 B. Installer Gerhards Excavatinq C. Septic Tank: 1. Size 1000 gal 2. Manufacturer D. Seepage Pit: 1. Absorption Area 288 sq. ft2. Material Logs E. Disposal Field: Total length of lines 3: Distances: A. Well to: Septic tank 135' Absorption area 165' Sewer Lines_, Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line 50' Q-034 (1/74) Page 1 of two pages Page ;2 of two pages = Reggi' !or Approval"�of,Individual Seri Water Facilities iLegal Description t_ot 1, BI- oc1, "i Valley View Terrace Subdivision -I is onl.y for 'che sewer system. Comments ibis approval Approved u ' Disapproved Date 6-9-75 Approval,Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certifv that the information contained in this reouest for approval to be a true an( accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. (SIGNED Date I ILQ-034 (1/74)