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Home My WebLink AboutEAGLE CREST #1 TR B LT 14Eagle Crest #1 Tract B Lot 14 #050-292-12 ~ ~ MUNICIPALITY 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 NAME . ~NEW MAILING ADDRESS L~a~ gallons IF HOME.DE: Inside length W~dth Liquid depth Total ~ DISTANCE TO: Building foundation Se~r line Septic tank Ab*orptio~ area(s} OTHER PIPE MATERIALS SOl L TEST RATING ~- tt REMARKS ~ .,, PERMIT 110. ( t,lLJl'-.I T C T Pi=iL T T"r' r3F' FINCHORF-IGE DEPARTMENT P,~- HEALTH AND ENVIRONMENTAL~OTECTION 825 / ~ STREET, ANCHORAGE, A~4. 9~ ~1 ~/~ ~ ~ ,/~ 264-4720 · or4--s I TE SEI4EF. PEEl-1T T 811109 ) APPLICANT RICHRRD LRRSEN P.O. LOCATION 2RD AND CRESTVIB4 LEGAL LOT 14 TR. B EAGLE CREST SUB BOX 541 E. R. LOT SIZE 694-~010 17500 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TREf-ICH MR,*4IMUM ~UMBER OF BEDROOMS SOIL RATING (SO FT/BR)= 150 THE REQUIRED SIZE OF THE SOIL RBSORPTIOr. I SYSTEM IS: DEPTH= ~t. 4 LEI'46TH= ~.~ ~---'-- 6RC~,-'E L DEPTH= 7 THE LENGTH DIMEi"ISIO~; IS THE LENGTH (II~l FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEf*~ THE SURFACE OF THE GROUND Ar.aD THE BOTTOM OF THE E×CAVATIOr-; (IN FEET). THERE IS NO SET I,IIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MIMIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE RND THE BOTTOM OF THE E×CAYATIOfl (IN FEET). REt2. LI I RED SEPT I C: TRI'4F~ S5 I >-'E= 1C400 6RLLOI'4S PERMIT APPLICANT HAS THE RESPONSIBILITY TO Ill, FORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF A~IY I,IELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE I,IELL ~IILL SERVE. TI,ID ( 2 ) I r-~SPEG:T I OlqS ARE REQL: I RED BACKFILLING OF ANY SYSTEM I.;ITHOUT FINAL INSPECTION AND RPPROVRL BY THIS [~,EPARTMENT I,;ILL BE SUBJECT TO PROSECUTION. MINIMUM DISTAf'~CE BETHEEN A ~IELL AND ANY O~'kSITE SEI4AGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE ;{LL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPB~DING UPON THE TYPE OF PUBLIC I,~ELL. MINIMUM DISTAMCE FROM A PRIVATE ~;ELL TO A PRIYRTE SEI4ER LINE IS 25 FEET TO A COMMUf'~ITY SEI,ER LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIOMS AND CONSTRUCTION DIAGRAMS ARE RYAILABLE TO I~SURE PROPER I~STALLATION. PEAr'! I T E×P I RES DEOEMBER _---bl , -I _¢4.8-1 I CERTIFY THAT 1: I AM FAMILIAR ~;ITH THE REOUIREMENTS FOR ON-SITE SEI4ERS A~8 I,IELLS AS SET FORTH BY THE MUNICIPALITY OF Bf-ICHORAGE. 2: I I,;ILL If~STALt. THE SYSTEM II~ ACCORDANCE I,~ITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEI,IER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE ~ P~MODELE~ TO INCLUDE MORE THAN ~ BEDROOMS. ¢IGflED ............. RPPLICR~'~T RICHARD LRR~EN 2 3 5 6 8 PERFORMED FOR: LEGAL DESCRIPTION: 10- 11 13- --14- 15,.- 16- 17 18 19 20 COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 925 L. Street, Anchorege. Alaska g9501 2644720 SOILS LOG -- PERCOLATION TEST ENCOUNTERED? ~ P AT WHAT EPTH? [] PERCOLATION TEST DATE FERFORM D= PERFORMED 72-008 (6/79) SITE PLAN eading Date Del)th to Net Gross Net Time Time Water . Drop PERCOLATION RATE ~ / / /IL~ /' /~ (minutes/inch} TEST RUN BETWEEN FT AND FT PERHIT NO. I'IUi~i C I F'AL I TY CmF R%4CHORRGE DEPARTHENT~iHERLTH AND ENVIRONI4ENTRLK~OTECTION 825 ~L STREET, ANCHORAGE, PK. 9~0i 264-4720 IWELL PERMIT 800259 ) APF'LICA~T LOCATION LEGAL RICHARD LARSON BOX i072 EAGLE RIVER CRESTVIEW ~R. B'LOT i4 EAGLE CREST ~ LOT SIZE 694-2466 22000 SQUARE FEET HINIHUH DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS t00 FEET FOR R PRIVATE WELL OR 5.50 TO 200 FEET FROI'! R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. HINIHUH DISTANCE FRON A PRIVATE WELL TO R PRIVATE'SEWER LINE IS 25 FEET AND TO R COI'iHUNITY SEWER LINE IS ?'5 FEET. WELL LOGS ARE REQUIRED AND HUST BE RETURNED TO THE DEPRRTHENT WITHIN :~0 DRYS OF THE WELL COHPLETION. OTHER REQUIREHENTS I'IR¥ APPLY. SPECIFICATIONS AND CONSTRUCTION DIRGRRHS ARE RVRILRE:LE TO INSURE PROPER INSTALLATION. PEE:I'I I T E×P I RE~ DECEI'iBER ~-t.. 'l 9E:0 I CERTIFY THAT ::L: I AH FAHILIRR WITH THE REQUIREHENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE HUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEH IN ACCORDANCE WITH THE CODES. S I ONE[,: _~~~~_/~_~_=. ...... APPLICFINT,/RZ~D ~RSON V4. 0 K Municipality of Anchorage ya Development Services Department i Building Safety Division • r On -Situ Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 050-292-12 HAA#_ dJ` o3(P=i! 1. GENERAL INFORMATION Expiration Date: 7 — 2 Ro Complete legal description EAGLE CREST SUBDMSION Al LOT 14 TRACT B Location (site address or directions) 19108 THIRD STREET • EAGLE RIVER AK. 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DON AND DIANNE BICKERS Day phone 696-8848 19108 THIRD STREET • EAGLE RIVER AK. 99577 Day phone JIIM .MOSLEY w/ PRUDENTIAL VISTA Day phone 16635 CENTERFIELD DRIVE • EAGLE RIVER. AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 350-6489 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site E 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 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 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. Name of Finn GARNESS ENGINEERING GROUP, Ltd. Address . 3701 E. TUDOR ROAD. SUITE 101 • ANCHORAGE, AK 99507 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: in conducting this evaluation, GEG, Ltd. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily idontifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is Por the sole benefit of the owner listed above. Any reliance upon or use ofthis report by any otherperson or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE . ✓ Approved for ? bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Phone 337-6179 Date 7ZS/O5 t A. G rness o. Jre G,rE� bedrooms, with the following stipulations: Maintenance Agreements",/,rzzLLL Supplemental Engineers Report Other By: d'`�l Original Certificate Date: 7— 2— g ' 5 eie• 12A11 Municipality of Anchorage • Development Services Department Building Safety Division On.Ske Water 6 Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 www.d.anchorsge.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: EAGLE CREST SUBDIVISION #1; LOT 14, TRACT B. Parcel ID: 050-292-12 A. WELL DATA Wen type Date completed Date of test Static water level Web production If A, B, or C provide PWSID# Cased to ft. FROM WELL LOG ft. — 9 -p.m - WATER SAMPLE RESULTS: Coliform colonies/100 ml. Nitrate mg./L. B. SEPTIC/HOLDING TANK DATA PUBLIC WATER Well Wires properly protected (YM) Casing height (above ground) in. AT INSPECTION ft. g.p.m. PUBLIC WATER Date of sample: Collected by: Tank Type/Material STEEL Data installed 10/16/1981 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A Date of pumping 7/8/2005 Pumper JR's PUMPING C. ABSORPTION FIELD DATA Date installed 10/15/1981 Soil rating (g.p.dNor tt 150 System type TRENCH Length 33 ft. Width 2.5 ft. Gravel below pipe •'7 ft. Total depth 012.41 ft. Eff. absorption area 462 ft' Monitoring tube "YES Depression over field NO Date of adequacy test 7/21/2005 Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test'92 in. Water added 621 gal. New depth'•29in. Elapsed Time: 375 min. Final fluid depth '•3 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 6 type) NONE KNOWN If yes, give date – **MONITORING TUBE ONLY EXTENDS 4 FEET INTO SEWER ROCK. D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES size in gallons High water alarm level at in. Cycles tested Meets alar & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot Absorption field on lot On adjacent M PUBLIC WATER Public sewer main Public sewer manholaideanout ervice Ilne Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+/200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service line 10'+ Surface water 100'+ Driveway, parkinglvehide storage 5'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+/200'+ F. COMMENTS G. ENGINEER'S CERTIFICATION i cedffy that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Print Name JEFFREY A GARNESS Date HAA Fee $ y 20 Date of Payment -7- Receipt Number Q1i4i-l� IP�.1vo1> Waiver Fee $ Date of Payment Receipt Number k ASBUILT SEWARD & I HEREBY CERTIFY -THAT I HAVE SURVEYED THE SCAI.E:�szo ' FOLLOWING DESCRIBED PROPERTY= lih�lE�r�l!r//�F.✓��ri'� mor/l�rr'r. d '- DATEl AND THAT NO FNEROACHMENiS EXIST EXCEPT AS . INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY GRIDr EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD FB} ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. W Nt �.Q4tcl0FyA; � 93� °' o"sa. Mark S.w.rd ¢,•. LS -6918 Ar t�2y' ••• YOi ;�0.wk1l•r 07/22/2005 14:50 9073449821 JRS SEPTIC JRs Pumping PO Box 773415 Eagle Riva, AK 99577 (907) 694-6454, Blillnp Intormallon_ Donald Blckera Job Description: 12500 19108 Third Street P.O. Number. Eagle River, AK 99577 (907) 8984848 Job Slte Inli lon r^ Donald 19108 Third Street Eagle River, AK 99577 (907) 8984148 Service Type Septic Service 15K Additional Location Comments: Terms: Net 90 Salesrep: Nikde Map Book: —J Cross Sb'"ts: Job Comments: Tax Percent: 0 Crest View Lane City Price Each x 2 Men 1 50.00 No 2nd home on left - Ira are on Redwood pointed home. Go up Crest view Lane -tum left on 3rd SL Pipes are behind carport PAGE 02 Service Agreement Number: 011198 Order Date: 054u1-2005 Service Date; o8 -Jul -2005 12:00 am Technician: Tony IceoB-10.04 12509 and pumped tank Tax NO Job Type Repeat Map Grid: 99 Extension .. $0.00 Diagram: Gallons Planned: • .—_.--. ..—.. Taak Gallons Actual: • • 7 Actual 1250 YJ • Nose Length: 1.5 • r/O Double Tank: CarPrt v Pump System: Pip �1 Baffles Inlet ❑ Battles Outlet �1tird 6bleet — . • NonTaxeble Total Taxable Total Tax Total Grand Total Estimated Charges: $0.00 50.00 $0.00 50.00 Actual Charges: Customer agrees to the terms and conCitions printed on the back. THIS IS A BINDING AGREEMENT. Signature and Title of Customer Representative Date Accepted by JR5 Pumping Date Accepted For your added convenience we accept American Express, Dieover. Visa and Master Card payments over the phone. After 30 Days accounts will be turned over to collections. $25.00 For NSF Checks Relumed