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Home My WebLink AboutT13N R1E SEC 10 S2S2SE4NW4SW4TISN RIE ction 10 NW4 SW4 #050- 982 -07 Municipality of Anchorage Department of Health and Human Services r Buildk~g Safety Division O~-~ite Water and Wastewater Pro,'am. 4700 Sout~ Bmgaw Street P.O. Box1966§0 A~chorage, AK 99519-6650 Page 1 of 3 www.ol.ancho~age.ak.lm (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Pe~it Number: sw~W91027.1 P~D Number: 950-~82-07 ""~: Wastewater System: [] New [] Upgrade M.~ Rr~n ~4;R Fanl~ River Rn~rl_ .q9;77 ABSORPTION FIELD ~9~-t098 4 LEGAL DESCRIPTION 1,2 ,~:'~ ~1 S2S2SE4NW4SW4 5 '13N '1 E 10 2-:~ w.,,: [].ew [] 5/5 ',2 ~. , 300 ~ F~I0 PVC , B.epk Construction 712812001 SEPARATION DISTANCES I~ septic [] Hokling [] $.T.E.P. [] O~. ~.ptic Absorpfio~ lift Holding ~lNlc~Prtv~e M,~ca~,c Tank F~d Station Tank Sew,~ Une Greet 1250~. w., 105.5 .110 75 steel 2 ' s.~...w.. 100+ t00+ ~ / LIFT STATION ~,~, 50 12.4 ,~,. 40 36.5 'n,~ ~',.,., =: .,.,~,.-..,,... c.~o~. 100+ 100+ ~'~"" ~"~ Existing septic tank verified and Inspected. Installed BENCH MARK water fight coupling on allconnecfions. Installed Garage Threshold double clean-outs before & after tank. 100.0 En~inee~'a Stamp · Insl~ions performed by:. Pannone En¢l. Svc Dates: 1'~/128/200t g ~ i' ~ ;'. 2"~071281200.1 ~--,~..-~-~--i~.----.-.?~ _ , Department of Health and Human Services approval ~.stev~n R. Ponnon,./~ MUNICIPALITY OF ANCHORAGE Developmenl Services Department On-Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jul 27, 2001 Expiration Date: Jul 27, 2002 Permit Number: SW010271 Legal Description:~T13N R1E SEC 10 S2S2SE4NW4SW4 Design Engineer: 0062 Pannone Engineering Services Owner Name: Ms. Bree Goldberg Owner Address: 2458 Eagle River Rd. Eagle River, AK 99577-0000 Parcel ID: 050-982-07 Site Address: Lot Size: 108900 SQ. FT. Total Bedrooms: 4 Permit Bedrooms: 4 This permit Is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage All construction must be In accordance with: 1. The attached approved design, 2. Ail requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, end heated to prevent freezing, Data:OI Date: O/ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWEPJVVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number Property owner(s) Ms Mailing address (1) 2458 Eaflle River Road Mailing address (2) Eaflle River, AK Legal description (Lot, Block & Sub'd.) Legal description (Section, Township & Range) Lot Size 44885~' Acresl~'~ THIS APPLICATION IS FOR: Sewer Only Sewer and Well Sewer Upgrade [] THIS PROPERTY CONTAINS: Hot Tub ~E] Swimming Pool Therapy Pool [] Day phone 696.1098 Zip Code 99577 S2S2SE4NW45'~J ~ Si0, T13N, R1E $,M. Number of Bedrooms 4 Well Only Water Storage Jacuzzi Water Softening Unit I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: Date of Payment: (R~. Waiver Fees: Date of Payment: Receipt Number: Pannone Engineering ~er~ces, LZ4D Consult/ng Engineer~ (907} 272-8218 P.O. Box 102954 Anchorage, Alaska, 99510 (907) 272-8218 Fax July 23, 2001 Municipality of Anchorage Development Services Department On-Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: S2S2SE4NW4SW4 Sl0, T13N, R1E S.M. Septic Upgrade Permit FAILED SYSTEM, Please RUSH Gentlemen: My firm was contacted to conduct a Health Authority Investigation for the above referenced property for a pending sale. I inspected this system four years ago and informed the owners that the system needed to be verified and documented. This was not done in the intervening four years. My firm conducted the verification on July 22, 2001. We discovered the drain field consisted ora perforated horizontal tank with no sewer gravel around it. I infol'med the Owners this was not to MOA Code and a new septic system needed to be installed. The septic tank appeared to be fairly new (4-5 years old} and did not show signs of deterioration. A single test hole was excavated on July 22, 2001. The soils report and a percolation test result is attached. Ground water was monitored for seven days. No groundwater or bedrock was encountered in the test hole. The lot is approximately 2.5 acres in size. The lot slopes to the west at approximately 3 to S percent. The proposed installation will be located in the northern portion of the lot. The existing 500-gallon drain tank will be abandoned. The septic tank will be reused. The proposed location is greater than 100 feet away from the existing well serving this property and 25 feet from the water service lines. The surrounding wells are located greater than 100 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven R. Pannone, P.E. Attachments: PERMIT SVO DESIGN Pi . ~/ASTE~/ATER ABSORPTION SYSTEM NOTE. S~ S~ SE4 N~4 S~4 SIO, T13N, R1E S.M. IN ACCOR~CE V]TH AMC15~5. E) MATERIALS USE SHALL ~E IN A~RDA~E VITH ~SE ~ECIFIED IN ~5.G5, VAST ~VATER 3) ~NECT POST TA~ LINE TD POINT OF DRAIN F ~. TYPICA~ 4) ~I~AIN 10' St PARATION TO ALL L~ LINE~ 5) ~IST'O S~C FANK IS A TVD AREA UNDEVELDPE~ COMPARTMENT TAN) ~NST~E~ OK ND ~ELLS DR SEPTICS STEEL. APPEARS T, aE A GR~R DR ANCA ~ITHIN 200' T~ PRODUCT, EA~ C~ARTM~T HAS A VA~ TIO~ LID, PR~RLY G) INSTALL VAT~ TIG~ CD.LINGS ON ~ET, O~T ~LEAN-OUT C~N~T~Ng PROPOSE~ REPLACEMENT SYSTEM DF SEPTI~ TAN~ ~, TRENCHE~, 30 LF EA /5 ~IDE, 3 EFTV 500g DRAIN TANK TB BE ABANDONE~NOT~: ~ ~ ~ESERVE T~ENCH INTEGRITY Vi ~IE~~/-'~ EXIS~G 4 BR q ~ TANK TO BE 2EUSED ~ ~'~ ~~ ~ SEE NOTES 5 & 6.~// ~:~X ~ - ~ ~ ~XIST'G VELL ~ ~ ~m ~ z J'" AREA UNDEVELOPED ~ X NO YELLS ~R SEPTICS 4 BR ~USE-5~ SF 5-VIDE TREN~, 3' EFFT'V lO0 ~ RE~IRE~ ~,~n~J ~""6.el~J PREPARED FgRm PANNONE ENG. SVC,LLC '~ No. CE 81~9 ~ Ns. Bree ~tdberO P, 0. BOX 108954 (907) 696-109B 87E-BE1B Phone & F~x .ER.IT ,,,,',, ,:v01 DESIGN DETAILS NnTE, VA~TE~/ATER ABSnRPTIDN SYSTEM ALL~,/QRK SHALL ~E PERFBRNE]3 SE S2 SE4 N~/4 S~4 SIO, T13N, RIE S.M. IN AP-COR~ANCE VITH AM~15.6.5. E) MATERIALS USE'a SHALL ~E IN A~C~ANCE VZ~ THOSE SPE~IE~ IN A~15,65, VAST~ATER 9ISP~AL, 3) CD~ECT POST TANK ~NE T~ POINT OF ~RAIN FIEL~ TYPI~ 4) MAINTAIN 1~' ~EPARAT~N ~ ALL LOT ~NES. p.I.11, ND~ 050-962-07 PREPARED FBRI Ns. ~,"ee Go[dber'O 2458 Eoote Rlver Roe. el EGDte River, AK 99577 (907) 696-1098 W PANNDNE ENG, SVC,, LLC P. 0. BOX 102954 ANCHDRAGEo ALASKA 99510 E7E-B~IB PHDN£ & FAX ]]ATE~ 7-22-01 NDT TO SCALE ~ESIGN PERFORMED ~ D~ON PAN'NONE ENGINEERING SERVICES, LLC P.O. BOX 102954 ANCHORAGE, Ali 99510 (907) 272-8218 82.q28E4NW48W4 810~ T13N, RIE I,I WAS GROUND WA'IT.R ENCOUHTERI~? .,. No IF YR~, AT WHAT DRPTH TO WATER ~ MONITORING? l~Pk~D BY: 8teven R~ P~nnone, P.E. I CERTIFY THAT THIS TEBT WA~ PERFOR~tl~ IN ACCORDANCE W1TH ALL STATE AND MUNICIPAL GUIDI/NES IN EFFECT ON THE DATE OF THIS TEST. OWNER OF LAN .................. ~,:,,:,,..,~ '"~!:'~'-~"~'~=*;,~.>i;'~'¢,;,=':~/,.>'~'~';'--z~'- · ' ~l~.~..~.. WELL SITE ................... . .~..l ~.~..~ ........... ~ .......... ~ ................................ ,:,.,,,~.,~.,.,,,.,,.=,:, ._,.~........-....~...d..=.:.?..-- "- .. o....-: .................... ' ~'rr_.--E'UOEO ..:=.~......_.~.:.L...~.._..J....-~---.-.-~.-..~ .............................. LOG OF DBu.~LING by A 6' L DRIL!X~G COMPANY ............................... MUNICIPALITY OF ANCHORAGE ...................... . ........... t[_N~. IRONMI~NfAL pRpfE01]O~ .-.. _ : .. .- .. .:. -.- :: . _.:- : .... Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. ci.anchorage.ak, us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-982-07 HAA# H~. Expiration Date: 1. GENERAL INFORMATION Complete legal description i,.S2S2SE4NW4SW4 S10, T'I3N, RIE S.M. Location (site address or directions) .. 2458 Ea.qle River Road Current Propertyowner(s) Bree Goldber.q Mailing address 2458 Eaqle River Road, 99577 Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 4 Dayphone 696.1098 Day phone Day phone TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System Well [] [] [] [] TYPE OF WASTEWATER DISPOSAL: Individual On-site [] Individual Holding tank [] Community On-site [] Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) 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. DHHS 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. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the Validation date shown below, I vedfy 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 Firm ,Pannone Enq. Svc. Phone 272-8218 Address ,P.O. Box 102954~ Anch~ AK 99510 Engineer's Pdnted Name Steven R. Pannone, P.E. Date 712912001 Eng. ine?s Comments: In conducting an adcqu~c,., tnsL I attempt to prm'id¢ a thorough, conscientious engineering anab~is of the ~'stem in accordance with MOA DHHS Guidelines & Regulations. The test, and separation aislance~ mansun:d to randilv identifiable features ' Thc operational hE of all wells and seplm systems &pend on thc local sod eondiuon, ground ss, a er eve s that may fluctuate durme the year and the ss ater usage of the family being sec'ed by the ~,stem. These eondiuons are outside th~ ~ontrol of the evaluator of this w.'stem. All systems eventually fail and safisfactow test results do not g~arantee future performance of the ~tem, nor do they guarantc~ that there are no h~dden defects or e~croachmems. PIeS can ~erefom not provsd¢ any. warran .w for tatum performance nor give any estimat~ of how long the system ss~ll eonfinuc to meet the opcrationa requirementsofthcADECor MOADHHS Thc conlent of thzs report ~s for the sole benefit of the owner listed above. Any rehance upon or use of this report by any 6. DHHS SIGNATURE "~'~*~ ~ Approved for /-IL- bedrooms. Disapproved. Conditional approval for - bedrooms, with the following stipulations: Additional Comments Attachments: By: Expiration Date: HAA Checklist Septic System Advisory We!l Flow Advisory / o o Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Reissue Date: '7-30-0/ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Westewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak, us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: $_~$_~_E4NW4SW4 SI0, TI3N, Parcel I.D.: 050-98~-~? A. WELL DATA Well type pRIVP, TE If A,'B, or C provide PWSID # Date completed `5120/1975 ..... Sanitary seal _.Y Totaldepth 167 ff -Casedto 167 ft - - FROM WELL LOG Well Log Y Wires properly protected Y ' Casing height (above ground) t8 in.. AT INSPECTION Date of test '*' : 5/2011975 Static water level 90 Well production 40 WATER SAMPLE RESULTS: ~ = Coliform , 0 colonies/100 mi Date of sample: 7123/200'1 ft gp.m Nitrate 1,62 , mg/I Collected by: $,R. PANNONE 7/~5/2001 99 ft `5.$ gp.m ' Other bacteria 0 colonies/10Oml B. SEPTIC/HOLDING TANK DATA Tenk Type/Material ~TEEL Date installed 71111996 * .Tank size '1;~50 gal Cleen0uts Y Foundation cleenout Y Date of lSum~in~ 6/1~12001 ' Pumper ,,IR C. ABSORPTION FIELD DATA Date installed 7/28/2001. , Soil rating (gp.d./ft2 or fl2/'odrm) 1.2 Length :~0/30 fl Width 5/,5 Depression over tank 14 Number of Compartments ~ ~ High water al,arm System type `5-WIDE Gravel below pipe 3/3 ft Total depth _8 ft Effective absoq)tion ama 300~ Monitoring tube Y Depression Over field N Date of adequacy test 7125/2001 Results (PassJFail) PASS For _4 bedrooms gp.d. Fluid depth in absorption field before test _0 in Water added Elapsed Time: min Final fluid depth in Any rejuvenation treatment (past 12 mo.) (YIN & type) gal. New depth Absorption rate >= If yes, give date (Rev, 11/99) D. LIFT STATION Date installed Size in gallons NIA Manhole/Access 'Pump on' level at in'Pump o~ level at Datum Cycles tested E. SEPARATION DISTANCES in High water alarm level at __ in M~ls alarm & circuit requim~nts? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot .. `105.$ Absorption field on lot 110 On adjacent lots 100+ On adjacent lots 100+ Public sewer main NIA Public se~r rnanholelcleanout NIA Sewer/septic service line 7~ Holding tank 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 40 Water main N/A Property line $0 Water service line 85' Abso,'ption field 6' Surface water 100+ Drainage, 100+ Wells on adjacent lots I~X)+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '12.4 Building foundation 36.5 Water main NIA Water Service line 80 Curtain drain '100+ Surface water 100+ Driveway, parking/vehicle storage 5 Wells on adjacent lots F. COMMENTS NEW DRAINFIELD INSTALLATION ON 7-28-01 G. ENGINEER'S CERTIFICATION I cerfify that I have determined through ~eld inspections and review of Mun~'pal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone. P-E. Date ?.~9-01 H~ Fee Date of Pa R ,pt.um er (Rev. 11~9) Waiver Fee $ Date of Payment Receipt Number APPLIC-'NT FILLS OUT UPPER HA[ ' ONLY Property Owner '~.tr~i~ ~..L/"'~.~ .) o"~i~,~'~Q.'d ~.. _L ~0'~.~ -j ~ Phone ~ ' / Buyer Address Zip Oode Phone Lending Institution Address Zip Code Phone Realty Co. & A~nt Address Zip Code Type of Resi~nce ~Single Family ~ Multiple Family NO. of Bedroo~ ~ Other Water Supply ~ Individual ATTACH WELL LOG, A w~l Icg is required for all wells drilled since June 1975, ~ Community For wells drilled prior to that date, give well depth (attach Icg if available). ~ Public Utility Sewer Disposal ,~ Individual Year Individual Installed:. ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Date Date Inspector Insp6ctor .ate c/l - :~ ) APPROVED BEDROOMS ) DISAPPROVED CONDZIONA APPROVAL' DATE 1955 ,,Municipality of Anchorage" "Dept. of Health & Environmeatal Protection" *CONDITIONS OF APPROVAL Well Log Received Septic Tank Size Soils Rating Date Sewer Installed Well To Absorption Area Well to Tank 72023 (3182)