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HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 9agl Ceest Te A Lot 9 050- 303 -02 t CUs?. Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 OCT 1 ® Page �r� 3 ON-SITE WASTEWATER INSPECTION REPORT �pjII Permit Number: OSP111242 PID Number: 050-303-02 Dwelling: ❑E Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New Upgrade Name: Kenneth & Vicki Helm ABSORPTION FIELD t❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other Soil Rating Total depth from original grade 1.2 GPD/SF 14.1 Ft. Address 19232 Citation Road Eagle River, AK 99577 Phone Number of Bedrooms Five (5) LEGAL DESCRIPTION Depth to pipe invert from original grade 6.1 Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Eagle Crest #1 TR A g Fill added above original grade 0 Ft. Gravel length 9 Ft. Township Range Section Gravel width 3 Ft. Total absorption area 144 FtZ Beds: Number of Lines Number of trenches 1 Distance between lines Ft. Dist. between trenches Ft. SEPARATION To From DISTANCES Septic Absorption Holding Sewer Tank Field Lift Station Tank Line Well >100' >100' N/A N/A >25' TANK 9 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1,500 Gal. Surface Water >100' >100' N/A N/A Material Number of compartments Lot Line >5' >10' N/A N/A NA Steel Two LIFT STATION Foundation >10' >10' N/A N/A Manufacturer Capacity Curtain Drain None Noted Gal. RemarksExisting septic tank decommissioned Pump on level at in. Pump off level at in. High water alarm at in. per MOA Code. Additional 9' of trench added to accomodate 5 bedroom design. Pump make and model Electrical Inspections performed by Installer Stuart Gilbert Tankto PIPE MATERIAL House to tank D3034 dra nfield D3034 Drainfield D3034 CO/MT Inspector AH BENCHMARK (Assumed elevation) 100 ft Inspdat ectioes: 1st 9/9/11 2nd 9/10/11 3rd 4'h Location and description Door Jamb. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date At r%Q'� • •:qs,���} 49 TH .......... ......:..� '• Michael E. Anderson / �� �F� • 4381-E • ���� pp � Ez�lt�y_ A roved Date nsoection RPnnrt A-1-19 rine Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 Bragaw Street Anchorage, AK 99519-6655 - 343-7904 Permit No.: OSP111242 On -Site Wastewater Disposal System or Well Inspection Report migm Sl - Septic Vent C4 - Cleon Out Ml - Monitor Tube TH - Test Hole FS - Flow Splitter CITATION ROAD 89'59*00'E 132.00' (D Existing Well LOT 9 18,066 S.F. Five Bedroom Home PAM -,-WOODEN FENCE Garden $2 e THI 2C4 CID FS CO Shed ----- ------- ---- 04 OP OF SLOPE — — — — — — — Page 2 of 3 PID No. 050-303-02 \�WOODEN FENCE LOT 11A Existing septic tank decommissioned in accordance with MOA Code. 49th MICHAEL E. % No. CE -4381 N .............. 10* UnLffY EASEXENT A 1 8 S1 11.0, — 11.7' S2 20.5' 21.5* C4 29.1' 33.9' . 41- 49.4 Go Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Permit Number: ®SP111242 Final Grade 99.4 0 C04 Page 3 of 3 N • t • $M LO 9' (Trench Length) Test Hole completed for percolation test only. Groundwater study completed to verify lack of groundwater. Existing Septic Tank decommissioned in accordance with MOA Code. 92.7 . Z ................ oo 'V C�' , AV W EAGLE CREST NO. I 0 " 49th W TRACT A, tOT 9 .0 ....... .... I ...... .... .......... * ... .............................................. MICHAEL E. ANDERSON 4-, PROFILE AS -BUILT 0, No. CE -4381 I No Scale Ak 44h.- FESSIt Un -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP111242 Tax Code Number: 05030302000 Work Type: Septic Upgrade Permit Effective Dates: September 07, 2011 to September 06, 2012 Design Engineer: ANDERSON ENGINEERING Subdivision: EAGLE CREST #1 Site Legal Address: EAGLE CREST #1 TR A LT 9 G:0055 Owner/Address: HELM KENNETH R & VICKIE D 19232 CITATION RD EAGLE RIVER AK 995778416 Site Mailing Address: 19232 CITATION RD, Eagle River Lot Size in Sq Ft: Total Bedrooms: �l�lcnt 1.)("partment I- q— I/ C .5w_lr 2-1 18066 -A- 5 This permit is for the construction of: Y X Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. q�lR%ll C01 Chan9� to S b��reo,�s anol ex�and,'ny �,�ldl. Received By: 0 Z) Community Development Department Development Services Division On-Site Water & Wastewater Program -"~ MUNICIPALITY OF ANCHORAGE ~ Phone: 907-343-7904 Fax: 907-343-7997 Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 0~'0-_~..~0._~-_0___;~,_ Property owner(s) Mailing address i9~. ~Z. Day phone Site address Legal description (Sub'd., Block & Lot) Legal description (Township, Range & Section) Lot Size ! ~, O~,~,Sq. Ft. Number of Bedrooms ~ CO~I THIS APPLICATION IS FOR: ([~ all that apply) Absorption Field Septic Tank Holding Tank Privy Private Well Water Storage THIS APPLICATION IS AN: Initial [] Upgrade ~' Renewal [] THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 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) ~ush Fees: ~ - -C~< ¢.e4~'~aiver Fees: Date of Payment: d~l (¢ i \\ Date of Payment: Receipt Number: ¢~to'-! ~ id Receipt Number: Permit No. ~-~,.~*~ , \'~ ~ i~. Waiver No. G:\Building\On Site\Forms\Client Forms\Permit App_010411 .doc (Rev. 1/11 ) Co x l ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) September 16, 2011 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 9, Block A, Eagle Crest Subdivision No. 1 Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The septic tank on Lot 9, Block 2, Eagle Crest Subdivision No. 1 is near failure and must be replaced. We are proposing to replace the tank with a new 1,500-gallon steel septic tank to serve the four-bedroom home on the lot which may be expanded to five bedrooms in the future. In addition the existing absorption trench must be expanded a minimum of 9' to meet the requirements for a five bedroom home. We are therefore requesting a permit be issued for the construction of a new septic tank and expansion of the absorption trench to serve the home. The attached Site Plan and backup documentation identify the location and configuration of the existing septic system and the location of the new tank. Also identified on the plans is the existing well on the lot. The existing tank on the lot will be properly disposed in accordance with Municipal Code. The drainage patterns on the property will be maintained after construction. The ground surface on the lot slopes to the southeast at a 3% grade in the area of the new tank and absorption trench extension. The tank will be placed in the same location as the existing tank at nearly the same elevation. The trench extension will be constructed from 12' to 20' below the surface and entirely in the soils identified suitable for the percolation zone. The ground slope will have no bearing on the orientation of the absorption trench. The existing absorption trench has been in service since 1978 and is in good condition with no evidence of groundwater intrusion. Test holes placed on all lots adjacent to this lot show no evidence of groundwater at any time of the year. We are confident groundwater does no encroach within 4' of the bottom of the trench. In addition the well log on this lot and the neighboring lot show no evidence of bedrock or any impermeable Lot 9, Block 2, Eagle Crest No. 1 September 16, 2011 Page 2 of 2 C O, l soil lense. All lenses have been identified as either gravel or sand. Additional test holes to prove the absence of groundwater and bedrock are unnecessary as sufficient verification currently exists. If the tank and trench extension are constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 522-6779 (FAX) September 19, 2011 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 9, Tract A, Eagle Crest Subdivision No. 1 Septic System Design and Permit Application Groundwater Absence Dear Onsite Services Engineer: The attached drawing provides detailed topographic information of the area surrounding Lot 9, Tract A, Eagle Crest Subdivision No. 1. The drawing shows the elevation of the surface at the absorption trench on Lot 9 at 712'. The bottom of the trench is 20' below the surface at this point or elevation 692'. Subsurface soils at this location are coarse sand and gravel and no groundwater was found in the test hole placed on the lot. The lot immediately to the west, Lot 10, has two test holes with the locations shown on the drawing. Test Hole No. 1 is at surface elevation 706' and Test Hole No. 2 is at elevation 692'. Both holes were completed to depths of 16' and indicated well graded sand and gravel with some silt. No groundwater was found in either hole at any time. The ground elevations at the bottom of the test holes was calculated at 690' and 676' respectively. A test hole was placed on Lot 11A at the location shown on the drawing. The ground elevation at the location is 672' with the bottom of the test hole at 658'. Soils encountered were coarse gravel with varying amounts of silt. Again, no groundwater was found at any time of the year. Soils in the area are consistently sand and gravel with small amounts of silt. No silt lenses or impermeable layers are mentioned in any of the test hole documentation. Similarly, no groundwater is noted. Typically groundwater is found at the interface of clean soil lenses and tighter siltier lenses. It is apparent based on test holes placed in the area that groundwater is not found above elevation 688' which is the elevation at 4' below the bottom of the absorption trench on Lot 9. In our opinion a test hole to verify Lot 9, Block 2, Eagle Crest No. 1 September 19, 2011 Page 2 of 2 the absence of groundwater at 4' below the bottom of the absorption trench on Lot 9 is unnecessary. We therefore request the requirement for the test hole be waived. Sincerely, Michael E. Anderson, P.E. Attachments '-CITATION ROAD AREA MAP SCALE 1" = 50' o ~-_~ '-FO o_. "' 0 < S O0'08'O0'E 136.81' ~ // / / ~ / o~ - / / ? / ? / ? 0 S 00'08'00'£ 136.91' m 3,0.00' EAGLE CREST SUBDIVISION NO. 1 TRACT A, LOT 9 Co~l DESIGN FACTORS: SYSTEM REQUIREMENTS: Five Bedroom Home Deep Absorption Trench Perc. Rate: 1 to 5 Min./Inch 1,500 Gallon Septic Tank Application Rate: 1.2 GPD/SF 8' Drainfield Rock Existing Trench: Satisfactory for Four Bedrooms (38' x 16 SF/LF = 608 SF) 1 Bedroom X 150 GPD/1.2 GPD/SF (Application Rate) = 125 SF Absorption Area 125 SF/16 SF/LF = 7.81 LF Trench Length THEREFORE: Construct a 9' Long x 3' Wide x 8' Effective Depth Absorption Trench at the End of the Existing Absorption Trench. Flow Line Elevation in Trench to Match Existing Flow Line. Total Depth to be nearly 20' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' of Cover Over Absorption Trench. Maintain 100' Separation from Wells in the Area. 11'6" Natural Backfill Geotextile Fabric 4" Perforated PVC (Holes Down) Drainfield Rock TYPICAL DEEP TRENCH SECTION ........ (NO SCALE ) . NOTE: Grade Area Over Trench to Drain Away. ,~' M n m m ' ' ~ u 6 Separation From Bedrock. ~.....~., ........................... :,.....~ Minimum 4' Separation From Groundwater. ~ ~~~]'~'~ . ~ . ~.~,,..I ............. Minimum 100 Separation From Wells in the Area ~: MICHAEL E ~'"'?'~'~ M~n~mum 100' Separation From Sugace Water or Streams. ~.~ ,o. c~-~ ~700 DEPTH (~et) 1 2 3 4 5 6 7 8 9 11 20¸- MUNICIPALITY OF' ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT BRAGAW STREET ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 9, TRACT A, EAGLE CREST SUB. NO. PERFORMED FOR: KENNETH HELM DATE: 9/IA?2011 PROJECT No.: PARCEL ID#: TECHNICIAN: S. g ILBERT TEST HOLE 1 OB/OG SLOPE SILTY GRAVEL SAND GM/SH FILL TO 8' FILL MATERIAL IDENTICAL TO IN SITU SOIL Professional Enginee~ Stamp: SITE PLAN SEE SITE PLAN WAS GROUND WATER ENCOUNTERED? NO IFYES~WHATDEPTH? ~ ] ~ DEPTH OF WATER AFTER MONITORING: NON~ 0 2 % DATE OF MONITORING: p E '- DEPTH TO DATE READING GROSS TIME NET TIME WATER NET DROP (MINUTES) (MINUTES) (INCHES) (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 9/14 1 9:28/9:38 l0 12"/16" 4.00" 2 9:39/9:49 10 12"/16" 4.00" 3 9:50/10:00 10 12"/16" 4.00" 4 10:01/10:11 10 12"/16" 4.00" 5 10:12/10:22 10 12"/16" 4.00" 6 10:23/10:33 10 12"/16" 4.00" BOH @ 15' PERCOLATION RATE: 2.5 (MIN/INCH) PERC. HOLE DIA. 6" .(INCHES) TEST RUN BETWEEN: 12 FT. and 13 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 6/10/2010 r(-~---~UNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264~4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Steve Leinber~er PHONE J337-6223 NAME MAILING ADDRESS 3350 Boniface Anchorage, AK LEGAL DESCRIPTION Lot 9 Block A Eagle Crest Subdivision LOCATION NO. OF BEDROOMS 4 IAbsorpuon area PERMIT NO. We, 105' . ' 780345 8.5'I 7'9" I Steel DISTANCE TO: No. of lines 1 Greet IF HOMEMADE: I Inside length J Width Well Dwelling we, 11R' Length of each ne Top of llte to finish rade 16'?" Total length of lines 52r Depth Length Material2 5 ! 96 inches inches Width Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. 78036,5 Distance betv~en lines Total effective absorption area 832 S.F. PERMIT NO. Type of crib Crib diameler Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: .~lass Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorpt on area(s) OTHER PiPE MATERIALS Castiron & plastic perforated SOIL TEST RATING 150 S.F./SR. INSTALLER Curt Abbas REMARKS · 72.013 (Rev. 3/78) OWNER OF LAND ADDRESS A & L DRILLING COMPANY BOX 97, EAGLE RIVER, ALASKA 99577 · TELEPHONE 694.2588 ~ ,.. /ti/~ t~ i~ ~' DEPTil OF WELL LEGAL DESCRIPTION ff. ~'/ 7'~,,~cT /q DATE-Started .C//; ¢~7 r Ended PE~M~NUMBER 7f~f STATIC LEVEL OF WATER FT. GALS. PER tlR '~ O D KIND OF CASING 6 ~--L"'O O KIND OF FORMATION: From O FI. lo c~ Ft. From ~L FI. to ~/ Ft. From ~ ~ FI. lo '~ ~" Ft. From ~ ~ FI. to ~._~__Ft. From ~3'"'Ft. to 7.3 Ft. From 73 FI. to ~"~" FI. From ,~" FI. to Io ~ Ft. From /OI Ft. to/?O Ft. From !70 Ft. toc~l From ~10 FI. to From c~7~Ft, to ~'} Ft. From O~ I Ft. to "~/~-' Ft. From '~/~"Ft. to ,~c,t,~ Ft. From Ft. to Ft. From Ft. to__Ft. From Ft. to____Ft. From Ft. to Ft, From-- F~o,. ~¢~From~ From~ F~om From__ From__ From From From From From .Ft. to Ft. FI. to Ft. .Ft. to Ft. .Ft. to.__Ft, Ft. lo FI .Ft. to.__Ft. .Ft. to Ft. .Ft. to.__Ft. .FI. to Ft. .Ft. to.__.Ft. Ft. to Ft, Ft. to__Ft, FI. to Ft. Ft. to Ft. Ft. to Ft. __Ft. to Ft. Ft. to__.Ft MISCL. INFORMATION: DRILLER'S NAME Z~.,,~ ~--~'" · '- DEPRRTMENT ALTH RND EHVIRONMENTRL 825 'L' STREET, RNCHORRGE, AK. 99501' · ~' ' R64-47~0 P~RMIT NO. ( VOO~45 ) fiPPLICRNT LOCRTION LEGRL STEVE LEINOERG~R 4TH L 9 B R ERGLE CREST SUB ~50 DONIFfiCE LOT SIZE 17952 SQURRE FEET TYPE OF SOIL RBSORDTION SYSTEM ID: TRENCII M~IMUM NUMOER or BEDROOMS = 4 SOIL RATING (SO FT/DR)= TIlE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM IS: Dr"- PTI -I~= '1--'~-' Lr"I'~II~TI-I= ~:~ ~F(Ft%/EL DEPTI-I= ~ TH." LENGTII DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. TIlE DEPTH OF fi TREHCH OR PIT IS THE DISTRNCE BETWEEN THE 5URFRCE OF THE GROUND RND THE BOTTOM OF THE EXCflVflTION fin FEET). TII~RE I5 NO SET WIDTII FOR TRENCtlES. TII~ CRRVEL DEPTH IS TH~ MINIMUM DEPTtl OF GRRVEL BETWEEN TIlE OUTFRLL PIPE fiND TII~ DOTT~ OF THE D~CflVRTION (IN FEET). ~EI;iU I EEl) ~:EPT I C: TRNI( $ I ZE= '1250 I~iRLLO~'{5 PERMIT RPPLICRNT HRS THE RESPONSIDILIT',' TO INFORM TIII5 DEPI~,'~TMENT DURING TIlE INST~LLflTION INSPECTION5 or fiN',' WELLS flDJflCENT TO TIII5 PROPERT',' fiND TII~ ------ T~O (2-) -" ,"-'$PECT I OtIS RRE I~E~U I B~CI(FILLINO OF fiN',' S','STEM WITHOUT F~Nf]~. INSPECTION fiND fi,'sPRO'~'AL D',' TIII5 DFPi~RTMEHT WILL DE SUBJECT TO PP~OSECUTION. MINIMUM DISTnNCE BETWEEN ~ I~LL RND 13N%' ON-SITE 5EWnGE DISPOSI'IL SYSTEM I5 IO0 FEET FOR ~ PRIVATE t~r'LL; CR :tS0 TO P_00 FEET FROM R PUBLIC t~rLL DEPENDING UPON TIlE TYPE OF PUBLIC W~LL. WELL L. OC5 fiRE REQUIRED fIND MUST BE RETURNED TO THE DEPRRTMENT WITHIN 30 DFIVS OF TIlE t~ELL COMPLETION. OTII~'R REQUIREMENTS MPIY fiPPL','. SPECIFICflTION5 fIND CONSTRUCTION DIfiGRRMS lIRE flVP, ILROLE TO INSURE PROPER INSTftLLftTION. I CERT I F',' TI .~.~' I AM FAMILIAR WITII TIlE R."QUIREMEHTS FOR ON-SITE SEWERS fiND WELLS fi.f, SET FORTII B',' Tilt' MUNICIPRLITY OF RNCHORAOE. 2: I WILL IN~TI~LL THE SYSTEM IN RCCORDRNCE WITH THE CODES. ~: I UNDER5TRND THRT THE OH-SI~TE SEWER SYSTEM MRY REQUIRE ENLRRGEMEHT IF THE RESI~ELE~ ~E2E ~tlR" 4 DED~O0"S' 5 ...... Performed For Lena1 nescrtntton: This rorm Renorts Soils 2204 Cleveland AnChorage, Alaska 99503 Curt Abbas O~te Performed Lot 9 BIOCk, A Subdivision Eagle Crest LOft Ye~ 5-q-7R Subdivision Percolation Test Oevth Feet Sot1 Characteristics Slightly Silty Sandy Gravel 4-- (with occasional cobbles & boulders) B-- 10-- 12-- 14-- 16-- Bottom of Test Hole 20-- Was Ground Vater Encountered? No If Yes, At what De.th? Readtnq Date Gross Time Net Time De.th to H20 Net Dron Percolation Rate fltnute Prnposed lflsta-l'l~-f~: 'Seenaae Pit Drain Field Deoth of Inlet Depth To Bottom Of Pit Or Trench Cn~EgT$: I~Q Se. Ft. drainage are~ r~,,~r~a.p,~ ~ Test Performed Data Certified BY: CTt ~vtd Paul Date~ 5-9-78 .~ ~, "~.~,~.-.il [~*~\.~ ~, ~:. ~, ,. 't, 'P~rce ID.~: :;Comp ere lega des~r pt Location (site address .1,:, ~.~, ,,. T ,',~',~'~'~ .~e n~,~e'~ *'.' * ~at based on the Informat on obta ned from , the on-s te water ~ .... ?:'"~"' P one is-not [ '~" .'1 ~ '"~ Municipality. of An,cho.rage Depa~ment of.Health and Human Services HEALTH A UTHQR .1~.., .,~ .Q,V,~.~ C ,H .ECKLIST Legal Description: Z~,~. ~' .'7"~,,~ ~,,~ ~",,~z.~ d~'~Jl~Tcel I.D. A. Well Data Well type Leg present (Y/N) Total depth ../-~-- / Sanitary seal (Y/N) Date of test Static water level If A, B, or C, attach ADEC letter. ADEC water system number Date completed ~'~/-~Y'./~, /~'X~' Driller ,.dz, .Cased to .~-. ,' ~:',~. Casing height .~'~. ,,xJ. Wires propedy protected (Y/N) ~ AT INSPECTION FROM WELL LOG Well flow Pump level1 ..fz~ ~' · SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot / ~-.~"'~'~ Absorption field on lot Public sewer main Sewer service line g.p.m. : On adjacent lots / ~ ~ '"'~"r~ ; On adjacent lots Public sewer manhole/cleanout .Petroleum lank /"J,/~,~ WATER SAMPLE RESULTS: Coliform ~" Nitrate Date of sample: ,,~,~. ,,~. B. SEPTIC/HOLDING TANK DATA Other bacteria Collected by: Cleanouts (Y/N) / High water alarm (Y/N)~ , Date of pu~ping' '.~-~,..~1/ J Datelnstalled ../uz.y ,~..z/ ,q~ Tanksize /~.,5'"~ ~,,,~z.., Compartments Foundation cleanout (Y/N) ~- , Depr.ession (Y/N) . SEPARATION DISTANCES FROM 8EPTIO/HOLDING TANK TI~: - · ,. , ,, Well(s) on lot -/o r ~'/': To property line ..~'~ '~'-~ Surtace water/drainage 72-02~ (3~3)' Froot On adjacent lots / ~ "~"-'" .Foundation Absorption field. / ~ ,~'~z. Water main/service line CONTINUED ON BACK PAGE C. UFT STATION Date Installed Size in gallons Vent (Y/N) 'Pump on' level at High water alarm level Meets MOA electrical codes (Y/N) / ./~r SE TION TO: W~on lot On adjacent lots ' .Manufacturer Manhole/Access (Y/N) Sudace water. D. ABSORPTION FIELD DATA Length ~ n~ 'D~to of a~ te~ Watar ~ In ~n f~ ~fom test pemx~e ~at~m (~ 12 ~) ~) . Soil rating (GPD/FF) ' ~ ~/x..~ . Gravel thickness ~' ~'.,"~- .~',/~ .Cleanout~)resent (Y/N) '~'-//'~' ~ ~' Results (pass/fa~) /..~.--,, ~j System type '~'""~,~".~.-~ z ,~ Total depth rv DePression over field (Y/N) ~',~.r~ .for ~ Bedrooms Ntertest .~ o ~ ,.~J. ' .If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot / / ,~ .,~',,z On adjacent lots /~z)""'z"~ Property line To building foundation .~'.5"~-/-. To existing or abandoned system On lot On adjacent lots /~ ~ '"' ,~"/' Cutbank ,~,,~z Water main/service line Surface water A J/-'4 Cuilain drain D~eway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION I cern'fy that I have checked, vedfied, or conformed to alIMOA and HAA guidelines in effec~n3h'e'.dat~.~ this inspec~on. .~'~.' /~ I I (~, ~ ~.. ·... · ..,:.;~_'~_'~ V HAA Fee $ ~ ,' ~ ' ' ' Date of Payment ~//~c/~q~...- /?! Waiver Fee $ II Date Of Payment Receil:X Number Municipality of Anchorage Department of Health and Human Services 825 "L" Street Rick Mystrorn, P.O. BOX 196650 Anchorage, Alaska 99519-6650 Mayor August 31, 1995 Doug Kenley, P.E. HC 01 Box 6034 Palmer, Alaska 99645 Subject: Waiver Request for Lot 9 Tract A Eagle Crest Subdivision Waiver Request #WR950042, PID %050-303-02, HA950358 Dear Mr. Kenley: Your request for a waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 5 feet from the absorption field to the property line. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. ~ Sincerelw~ ,I ~ ! . \ / J.ame__s P. Williams ~/ Civil Engineer On-site Services ljm MUNICIPALITY OF ANCHORA~, Department of Health and Human Services WR# %,%0c~.a~Vqq~PID# 050-303-02 Date Received: August 30r 1995 On-site Services Section Waiver Review Worksheet HA# HA950358 Permit # Legal Description: Lot 9 Tract A Eagle Crest Subdivision Engineer: Doug Kenley, P.E. HC 01 Box 6034, Palmer, Alaska 99645 Applicant: Curtis Abbas Waiver Requested: Lot line waiver of 5 feet from the lot line to the absorption field 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: List Conditions or Reasons Waiver for above: is NOT Granted: Date: By: Name of Reviewer Rec #: #01256/2680 Amount: $ 115.00 Date Paid: 8-30-95 HUSTON.XLS Douglas T. Kenley Civil Engineer State of Alaska C.E. 8176 SEPTIC SYSTEM ADEQUACYTEST Legal Description Applicant Date of Test SYSTEM DATA Tank Volume Number of Bedrooms Absorption system Number of Bedrooms Absorption required (1.5 daily flow) TEST DATA rIME FLOW VOL. TANK LEVEL~¢~*/ TUBE LEVEL COMMENTS (gpm) (gals) System Passed Sysytem Failed Page HUSTON.XLS Douglas T. Kenley Civil Engineer State of Alaska C.E. 8t76 SEPTIC SYSTEM ADEQUACYTEST Legal Description Applicant Date of Test SYSTEM DATA Tank Volume Number of Bedrooms Absorption system Number of Bedmoms Absorption required (1.5 daily flow) TEST DATA TIME FLOW VOL. TANK LEVEL ~./ TUBE LEVEL COMMENTS (gpm) (gals) System Passed ~ Sysytem Faile~ Page I ~'~ · ~"' '"':' ' ' ' ' : ~,.~.~ I · '.;.~:"' .... · .". ..' . '... '"~. '~. · ..' .. · . · .' .. . . .' ,..,,T..,~,..' .. :. '":'J'"' ....... ..',;,.; ' " " " :,:;. ,:: ~ ,,.'.- . ~ . . '.,'"' .. . .~ . ~v.~-<,,.,.~... ,... ..'. · . . ., .. · · ~ · ..... · . ,. . ..- ?~"~....~_ ' . · : ~,~, ~:~.. . . · '. .: :~'*~'~' .. . .. ,.. .0 · . ~, ....... ... . .' :;. \.~., ..... .....-:- "· '--.' / ..... " .... ' ' ' /:' ' ' ' .,;" , .. ~,' · . .. . . · . .. /'...~ . · .... ..~:/. '. . ,.. 'I'. .... . . · .,...{ .,.,/.....,, .... / ........ ..-,~.'y .. , -, . · .. ,./.. ,~,,-.~, .... ~.,,>-,,,~.../ .. .,,,~;.,t../~,/. ,.. ; . , '., . . /'.w! ~ ' ~ J' "' .... ' ' ' ~ ~ /. " ' 't~ ' . · ~ . ' ' · .- .... ,..~,1~ ~k I".",.: · ~ .'\' ~'.=', " .'" -' ' : ' ' ·"' ," ':.' '.' ~,, ~t . " .' . '' . . '£' ' ' · ' , .... ' " ' "9 't . · .. ,,!; ... .. ]./ . . .. . . . ~',.i '. ./ '":".' ~ ..'.. '.',.' -,, · - "' ....,, ~; : ' , .... .;,~' . . .... · ~, . · . ~ ..... , .' .... · , · ~,f,t , .. . . ,. .'h~. . · · .. ,',,~, · '. /,~ ~ "· ' .,'>'..."'~ . ". ,.a~r'. . · .' ,. . '17.¢ : · . . .>"r~.~-/<.~. . .. .- · ' " ' :'" ' .~'*-['..t..,::. ": . :. · . .. "" ."'.'"..¢ :'; .... ".' '" '" I' ~'. ~' . ' . " ' ' : . ' '-' · ..'. .:..-,. ;.,.- '.....' . · '.'. '. . t~2.,o.o '. . , ~. ^.~.BU~LT.. · · .-~ '.' · .' ; · . ' .' ' · ' I hereby ce~tL~v that l have survey, ed the followS desc= '.,..": '" . : .. · · ' ' ' : . 'oroc~ertv:J-';~)'/" ~"', "r'~- ... . . ;.;.. ' .... .' .... . ... ". ' . · -:,,~-/.~ (~.,~- ,~ "" '"' '' : N ,<...,~..~,,,.,. vt · . · . · : .:. · ' Anchorage Rec6rding r~¢inct, Al~skl, i~c[ th.~t the. , ;.,.......' .... :' .,,:....... .. , · . · . mcnLs situated thereon 3re within the property IL, aes and ... _._.._=~. ~ . /.,- · .ovedapocenczoJ¢ho~theprol~e~y, lym~adjKemtheteto. · .; . , no improvements on propett7 lying ~djacemt theret~ en¢~ · : · ,,, - · O~ the premises in question and thU theTe are no to,Iv r ...... .'. tr3nsmis$ion lines or other visible easements on said prOl · . .. ·. . . · except as mcl~ated hereon. J .,t -. · ~; · . ,'. <, · DatedaJEageRvet, Alask~ , , ' "-I .~'~':..'.",' '. ". ':" '~.. . ...," i' , ' RO~EgTC. IOHNSON ~ fi: ~- "I .~-.:..~,. ': , - .~o~e(~6~2~ ?)J .~. .. ,, .', · . , .................. ., ........ MUNICIPALI FANCHORAGE : *- *~- ..... '-"~. ~ ....... ~ :. . i. DEPARTMENT 0F HEALTH & HUMAN SERVICES ..... : ................... " ": ' ' ' Division of Environmental Services ' ": ~ .... ' '";" ;:'' ........~-...---'-- ".:' '-~= ......... '" -"-=--::-::-On-Site Services Section :'.: -~-~;=:- -- ' ' ---;"::'-"~....- ......... GENERAL INFORMATION .Complete legal description . .... ' .... . ~ ,P.O. Box 196650 Anchorage;Alaska 99519-6650 ' : ..... "' ' · ,,.- .... ..,.. ' .::~..,',,~.",'-~' ,, !:::.~!'~343-,4744 ...... ,:.',:. ;:~.. ~ '~' · . ~.~ ,:~'.. '" '" ' ' CER'I:iFiCATE el~'HEALTH AUTHORITY" ' · APPROVAL FOR A SINGLE FAMILY DWELLING .... Parcel I.D. # (~J~('~- 9.,¢%_~.~,~). HAA# J~:2L/~¢::).~:~..~ ' Location (s'ite ~ddr~s~ (~; directions) 19250 C~,~c~o~ Ro~E ............ Property owner ' .,Cu.,t..C~ 1). Abb~ Day phone 694-$175 Mailing address *'~lg~$o'.c,L,tzz,f~on Road E~t,~.¢ I~ue,~r ~ 99577 - .: ......... - ~V ~o~gage . Lend,.~ ~.~ - Day ph6ne · Agent~ ' ~' Day phone ',-" Unless otherwise requested, HAA will be held for p~ckup. . '..; ,.%'~,.,. ..... '* . ' 2. NUMBER OF BEDROOMS: 4~ 'N ; t~?,.' 3. TYPE OFWATER SUPPLY: '- r'' ' : · Individual well ....... *. '.~-. · : / Community well . F~, ,.,'~, Public water · . NOTE: If community well syst. em, provide.written confirmation from State ADEC attest- lng. to the legality and status of system, v* '.' 4. TYPE OFWASTEWATER DjSP0~AL:* · ' · ~ ............. Ind v dua on-s te ..**--.= =*,:. ..... ..... = ~_,;~ ~ ........... , ..... .,.-, -* Unl · · ........ , ...... - .-~ iComm ty.onTsite ;~,~ ~...,., ......... , ........... Pub csewer ............... ~- .................. ~: .... .:, ~-:-:.. *= - - ~'*,.. (~ *~/-' .-NOTE: If commumt~ was~ewa~er system, provide wri~en confirmafion from State AD~C STATEMENT-OF INSPECTION BY ENGINEER As certified by; .my. seal affixed he. [~t0 and a~ of the Validation date shown below, I verify that my lnvestigatiori 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 file. s and from my Investigation and inspection, the on-site water supply ~nd/or wastewate~;.disp~.s.al system is in c/3.mpliance With ali.Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name Of Firm' ' ~ & 5 ENGiNEE~<iNG Phone Address 17034 Eagle River Loop Road No. 204 Eagle River~ Alaaka ~95~7 Engineer's signature :' Date _ ! .... -".'" .. ·'. . SHAFER '" C(~h~litional approval for "~' -"; : "'bedrooms, with the following stipulations: '".'Additional Comments By:. .... Date The Municipality of Anchorage Department of Health and Human Servicas (DHHS) Issues Health Authority ;~ .'_ ~ 2': Approval Certificates based only upon the representations given In parsgraph' 5 abo~ve by an Independent ? :-' ~ ~ ~ professional engineer registered in the State ~f Alaska. The DHHS does this as a courtesy to purchasers of homes ............'- ' and their lenc~ing institutions In order to satisfy Certain federal and state requirai~t~2 Employees of DHHS do not ~!'i i~;:, conduct InsPeCtions o/: ana yze data before a certificate is Issu~L.Tho Munlclpality'iof Anchorage is not Municipality of Anchorage ~i~' Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST "J:~,' ~,,~t.~- ParcelI.D. Legal Description: A. WELL DATA Well type '~1'~' If A, B, or C, attach ADEC letter. ADEC water system number Datecompleted ~'--'~t.-~6 Driller,, ~, Cased to '~ 7-.-'t t Casing height Wires properly protected {~N) Log present ~YN) ~ Total depth 'z,>'Z--~ ~ Sanitary seal ~N) Date of test Static water level Well flow Pump level- ' FROM WELL LOG ' ' SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot t C'~' [ Absorption field on lot ~ ~'~ g.p.m. ; On adjacent lots AT INSPECTION ; On adjacent lots Public sewer main Sewer serVice line WATER SAMPLE RESULTS: Date of sample: Public sewer manhole/cleanout Petroleum tank SEPTIC/HOLDING TANK DATA Date installed ~ ... '7.-~, ."]~ Collected by: Other bacteria S & S ENGINEERING E~le River, Aliska ~577 Tank size ~ ?.-5' Z) Compartments Cleanouts {~TN) High water alarm Date of pumping Foundation cleanout (Y/I~;J) ~ Depression (Y~]) /'-J ~,larm tested (Y/N) '~- Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) onlot J o~t On adjacent lots ~cx:> I,~ To propertyline ~t;' t~- ll~ ,~ ~ Surface water/drainage Absorption field Foundation Water main/serviceline- 72-026 (Rev. 7/91) Fm~t CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) Manufacturer Manh01~/Access (Y/N)' High water alarm level Meets MO.A ~lectri~ SE ANCE F.OM UH' T^T 0N 70: W'E~on lot "' ' On adjacent 10ts D. ABSORPTION FIELD DATA ' Date Ins'tailed '7 o Z.'~ -*~ ~ Cycles tested Length *~'"2'*'~'' * Width Total absorption area Depression over field (Y~:I~ Pe~o}dde treatment Ipast 'l~, months) Surface water ,' Soil rating ~ ~'°~'/(5~' . System type Gravel thickness ~ ~ I' ' Cleanouts present Date of adequacy test for ~,~-E.. l~oCJ , Ifyes, givedate Cutbank ' ~'/L Water main/service line Driveway, parking/vehicle storage ,area . SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ; Well on lot [.ti~ t On adiacent I~ts ~oo ~ ~' P~perty line building foundation ~, ¢,. '7- To e×isfing or abandoned ays!em on lot To On adjacent lots. "'~,c=, ~ ~'' Surface water Curtain drain E. ENGINEER'S CERTIFICATION Total depth Y bedrooms ~- el~ 4/. Waiver Fee: $ . Date of Payment Receipt Number HAA Fee $ ~'~ Date of Payment Receipt Number ~2~ (R~. ~1) ~k MOA · . "~ $&SENGINEERING _ ' .... ': Signature 170~4 Eaqle River Loop Road Ne. 204 · Eagle River, Alaska 99577 Engineer's Na,me I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION (a) Legal,Description (include lot, block, subdivision, section, to..~,wnship, range~ Location (address or directions) Applicant Name/'''q~'~[~''' _/~'~'~ .. Telephone: Home /~ ~/'-..~,J ~g Business ~",~/- Z//,-,,~,~,5'''' (b) Applicant AddreSs / ~-~ ('?~'~ ,'~' ~"~,,,,, ,~,,~'~-'"~"" (c) Applicant is (check one): Lending Institution []; Owner/builder,~; Buyer I-I ;. Other I-I (explain); (e) Real Estate Company and Agent ? ~"'~/~,' ~ /~ Address Telephone (f) .Maff'the HAA to the following address: TYPE OF RESIDENCE Single-Family,~ Multi-Family [] Number of Bedrooms '~ Other 3. WATER SUPPLY ' Individual Well ~' Community [] Public [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality a.nd status. 4. SEWAGE DISPOSAL Onsite~(~ Public[] CommunityD Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. Page 1 of 2 12-025 (11/84) , 5. ENGINEERING FIRM PROVIDI'~'%INSPECTIONS, TESTS, FILE SEARCH, D'""~ AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my Investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on Telephone the date of this inspection. Name of Firm .c ~ S-ENGINEERING Address _~.D. ~ _~ 96X Date EAGLERll/ER,_AK 99577 JUN I 0 1986 Approved for ,'~,~-'-~/'z///)bedrooms by te Approved ~/~ Disapproved Conditional _ Terms of Conditional Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues H~alth Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) MUNICIPALITY OF ANCHORAGE (MO~,J ' ~,LTH & HEALTH AUTHORITY APPROVAL (HAA) F"NVIRO'~:NTAL F~OT£CTIoN CHECKLIST- FEBRUARY 1984 JUN 1 0 1~ 2644720 Legal Description: ct ~' t~' - ' . '~ ---'"~I.¥LL,/ WELL DATA Well Classification '~,, I~. If A, B, C, D.E.C. Approved (Y/N) Well Log Present~'/N) Date Completed ~"- '~ - ~, ~ Yield Total Depth :~Z.~ f %ased '~'Z.-~ ' -----"'- to Depth of Grouting Static Water Level .Z.e~~ t Pump Set At ~/~- Casing Height Above Ground '"~:>~' Sanitary Seal on Casing~/N) Electrical Wiring in Conduit~N) Depression Around Wellhead (Y,~ Separation Distances from Well: To Septic,qde~ Tank on Lot ! ~ ~ ~'~" ; On Adjoining Lots To Nearest Edge of Absorption Field on, Lot ~ t ~ On Adjoining Lots To Nearest Public Sewer Line , /i~. To Nearest Public Sewer CleanouVManhole R/~- To Nearest Sewer Service Line on Lot Water Sample Collected by ~ ~ ~ ~ ! ~;:~1,~ ; Date ~ '~'~ - Water Sample Test ~Results ~ ~'~ comments ~' ~,*/~t..4~ ~/t~=~:> -.'t'~.~.-"l" '~-~.t~,-~=~> ~ ,. B. SEPTIC/H~I~TANK _D.ATA Date Installed "J -Z~.- ~ ~ Size ~,.'~.~"Z~ No. of Compartments Standpipes~N) Air-tight Capa~N) Foundation Cleanout (Y~. Depression over Tank ('~ Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/t-~Tank: To Water-Supply Well J To Property Line J ¢::' ~"'~ To Water Main/Service Line t c> I.,,~. Course Date Last Pumped ;for Temporary Holding Tank Permit (Y/N) To Building Foundation ,71~ t~' To Disposal Field ~ · ~ To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 72-O26( 11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ -'Z--(~ -'~ B Width of Field [,=~:) rt Square Feet of Absorption Area ~::~ ~'~-- Depression over Field (Y~ Results of Last Adequacy Test Separation Distance from Absorption Field; To Water-Supply Well TO Building Foundation \1.~ ',z.... Lot To Water Main/Service Line t c> f4- To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments Type of System Design Length of Field ~... Depth of Field Gravel Bed Thickness '~' Standpipes Present~)N) Date of Last Adequacy Test To Property Line 'Z.~; To Existing or Abandoned System on ; On Adjoining Lots t,.~.utbank (if present) D. LIFT STATION Date Installed Size in Gallons /~/ "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions ' Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments Check Permitted Bedroom Rating Against HAA Request ** I certify that [h av.e.checJ(ed verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. ~ & ~ ENGINEJF.~ING - - Signed ~ 'J~'6X ua[e compan MOA No ,,~ .~,,~,,~,,~,,~,,~,,~ ~ ~ Receipt No. ..~ (:~0 ~ '~ ~"~ ' Date of Payment Amount: $ ~ ...,~-- ,~)~5 Page 2 of 2