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Home My WebLink AboutEAGLE PARK BLK 1 LT 14Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-79auof ON-SITE WASTEWATER INSPECTION REPO OCT l i 2018 -.. Permit Number: OSP181323 PID Number: 050-782-14 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: Kyle & Sheila Finch ABSORPTION FIELD - EXISTING ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 20539 Melody Lane, Eagle River, AK 99577 ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 4 JTotal GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot EAGLE PARK 1 14 Fill added above original grade Ft. Gravel length Ft. 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 FtZ -- -- Ft. Well 100+ -- NA NA NA TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity 1 1250 Gal. Surface Water 100'+ -- NA NA Material Steel Number of compartments 2 Lot Line 5'+ -- NA NA NA Foundation *61+ -- NA NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain NA -- NA NA Remarks *See attached letter. Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by Installer Whitters Enterprises PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Drainfield CO/MT 3034 Inspector ARCTERRA BENCH MARK (Assumed elevation) 100 ft Inspection 1s` 9/15/18 10/9/18 Location and description Lnd 3`d 4"' Garage Slab COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engin OF' AL \ Conditional Approval: Date j 1 i 4 T 11 tc>::xni nt. v1 S KE �1/ , Approved V Date 9`4041011 Ilk 11VSS logia\' Awl eer's Stamp inspection Keport_9-1-12.00c �It P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997 hftp://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section Waiver#: OSV211073 COSA#: Permit#:OSP181323 PID#: 050-782-14 Legal Description: Eagle Park Block 1 Lot 14 Engineer: ArcTerra Applicant: Kyle & Sheila Finch n�enr S 1)c p;irCm�nt Your request for a waiver of the required 10 feet horizontal separation from the septic tank to the building foundation and the required 5 feet separation to the deck supports has been approved. The approved separation distances are 6.0 feet and 3.5 ft, respectively. See engineer's waiver request for justifications. This waiver approval applies to the existing septic tank only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ■®sen®®®ea®■meeem■eses■m®m®amn■■asoma■■ease■eeeeeeessees■■neeeeeeeenneseaenees� Waiver is Granted: X Waiver is not Granted: Date: i LAb I LAcl 21 Approved by: LOU Name of Reviewer ■eneeeneeenevesseeeseseesenesennnneeeeseennennonneecnmssmeeenoneessesennsseaen� AINCE, Ji�JC� 0,225 paij 9�zv�z,azr 2ZC1;P f It 18,1 5 October 11, 2018 ARcTERRA CONSULTING, INC 212 E. 51" Ave, Anchorage, AK. 99503 Office (907) 868-3791, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Septic Tank Upgrade — Eagle Park B1, L14 Due to site constraints, the new 1250 -gallon tank was reinstalled in the same location as the previous tank. The silty sand and gravel insitu material provides good compaction and stability and there have be no known foundation issues for over 26 years with the tank being in this location. Deck supports are 3.5'+ away from the tank. We do not expect there to be any adverse effect on the foundation or deck by the location of this tank. If you have any questions, please contact me at 868-3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. Attachments: Inspection Report 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 A—C=12.8' B—C=37.9' A—D=20.8' B—D=32.0' AS—BUILT SYSTEM DETAILS/SITE PLAN Permit 11SP181323 EAGLE PARK BLOCK 1, LOT 14 PID# 050-782-14 S89'55'09"E 300.02' (S90'00'00"E 300.00' R) 10' UTILITY & ALLEY ESMT SHED rju4, Nati w O O 0 -3 W SCALE, 1' = 50' W ss Q�Q� gg N W W W WW W p u dnn n u uu u O Ir E A 1250—GAL SEPTIC TANK 9F,.4t; 96.29 FINAL GRADE VARIES I EXISTING FIELD T -4Z4,S,' �KYLE / " �241H* I / KE D S : / CE— 11. ,w• : ® 1� �O//L 'S • . � / e ""pzSSIO�® 120' q ZIP n ^ X td tl BOUNDARY: N A DRAWN: BMW STAKING: N A CHECK ED: KMD HSE DWG. FILE GRID: SWOO: O I e 0-3 x x—x—x—x—x—x DM« s� C? 69--v Qg72 0 Q 00 EY1S71NG k 4 -SR HOUSE W D M FCO b.5' NDECK a zea o TD Dose �� T � CO FF1D mUI NEW 1250 --GAL PAVED D SEPTIC TANK DM rju4, Nati w O O 0 -3 W SCALE, 1' = 50' W ss Q�Q� gg N W W W WW W p u dnn n u uu u O Ir E A 1250—GAL SEPTIC TANK 9F,.4t; 96.29 FINAL GRADE VARIES I EXISTING FIELD T -4Z4,S,' �KYLE / " �241H* I / KE D S : / CE— 11. ,w• : ® 1� �O//L 'S • . � / e ""pzSSIO�® PREPARED FOR: FINCH 20539 MEL❑DY LANE EAGLE RIVER, AK 99577 FIELD BOOKS COMPUTED: BOUNDARY: N A DRAWN: BMW STAKING: N A CHECK ED: KMD ASBUILT: SLS DATE 10/11 DWG. FILE GRID: SWOO: ACAD FILE: FILE JOB No.: 18187 w 41.0 3 N ov o`<C II N < p QQm �� (D C,< w'p�NCSo?A -A �I OOOj3 C7 N A Q'p -D-I oM- °osm °3y- C O 'N"' n O � O N � 7 N W p r C = 0 3 (n ID V'= C O QN ? ooa°_ Nc O' p N N O OQ O 7 N @ i O O O , ,viafDi�m`Ds° p N 7 N —5'-50-0- =r O O p 7 p 0 3 S 7 Q CD to p Aw 9\1 AW 3N SCHUL 4�,� c0 O CWS PRO ssr� 'o c Ow .� 00t - co r0 I 0 d .� max' a z cC°O Uat w p N m AW II II z Z 00 i S89'55'09"E t 300.02' (S90'00'00"E 300.00' R) 10' UTILITY & ALLEY ESMT x N _- 7.2' N SHED ' 7.2' x ru 18.5' 12.0' w X-�X GRN HSE jX 1 DECK Z OX_X_X_x_.X____ O O O O �O >M U) cn O M u, ED N m0 D Z, G7 N_ U1 W J ME 69.5' W 1--1 r' 0 • i0 �-3 • • ✓ti F- • m FP z ° �C') I I EXISTING N 00 o /< / HOUSE 46.5' N V DECK 'o 23.0' • A / •. 0-0 0 i ' 000, �Zti / 00 CAD / ✓V / SCHUL 4�,� c0 O CWS PRO ssr� c Ow N vo1-3 0 d h . a z cC°O Uat w p N m O to CD fy�D�j m m �ZZ II II z Z 00 i S89'55'09"E t 300.02' (S90'00'00"E 300.00' R) 10' UTILITY & ALLEY ESMT x N _- 7.2' N SHED ' 7.2' x ru 18.5' 12.0' w X-�X GRN HSE jX 1 DECK Z OX_X_X_x_.X____ O O O O �O >M U) cn O M u, ED N m0 D Z, G7 N_ U1 W J ME 69.5' W 1--1 r' 0 • i0 �-3 • • ✓ti F- • m FP z ° �C') I I EXISTING N 00 o /< / HOUSE 46.5' N V DECK 'o 23.0' • A / •. 0-0 0 i ' 000, �Zti / 00 CAD / ✓V / N,"°""'y MUNICIPALITY OF ANCHORAGE On-Site Water&Wastewater Program N° PO Box 196650 4700 Elmore Road %. Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 r. http://www.muni.orgionsite I)cp trtin nt �'YCH ORP'� On-Site Wastewater Disposal System Permit Permit Number: OSP181323 Effective Date: 9/12/2018 Work Type: SepticTank Upgrade Expiration Date: 9/12/2019 Tax Code Number: 05078214000 Site Legal Address: EAGLE PARK BLK 1 LT 14 G:0056 Site Mailing Address: 20539 MELODY LN, Eagle River Owner: FINCH KYLE S & SHEILA L Lot Size in Sq Ft: 37025 Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 4 This permit is for the construction of: ❑ Disposal Field 0 Septic Tank 0 Holding Tank 0 Privy 0 Private Well 0 Water Storage All construction shall 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 shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received By: Date: 3 /1 Issued By: Date: Jr? MUNICIPALITY OF ANCHORAGE Community Development Department CPhone: 907-343-7904 Development Services Division - Fax: 907-343-7997 On-Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-782-14 Property owner(s) KYLE & SHEILA FINCH Day phone 907-632-8394 Mailing address 20539 MELODY LANE, EAGLE RIVER, AK 99577 Site address 20539 MELODY LANE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) EAGLE PARK BLOCK 1 , LOT 14 Legal description (Township, Range & Section) Lot Size 37,025 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field Initial ❑ Single Family (SF) I] (w/wo ADU) Septic Tank > Upgrade > Duplex (D) Holding Tank H Renewal ❑ Multiple Dwellings Privy ❑ (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. n (Signature f property owner or authorized agent) P rmit/Rush Fees: (215 Waiver Fees: Date of Payment: 4L1c1(' Date of Payment: Receipt Number: 036/80 b Receipt Number: Permit No. 05Pl213,23 Waiver No. Permit App_9-1-12.doc Q,��cTtRRq �\ ARCTERRA a • = CONSUL'T`ING, INC 4. 212 E. 5151 Ave,Anchorage,AK.99503 . Office(907)868-3791,Fax(907)868-3793 `f 4 Y�sul71 NG• • •Alf..177 September 10, 2018 Municipality of Anchorage Development Services Department On-Site Water& Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Emergency Septic Tank Upgrade Permit—Eagle Park B1, L14 The owner has requested we proceed forward to obtain a septic permit to upgrade the failed septic tank. Per owner, he has dug up the post tank line to the tank and it is broken, rotted out and leaking and has requested an expedited permit. We propose to decommission the existing 1000-gallon & 500-gallon septic tanks per code and install a new 1250-gallon tank past the driveway to serve the existing 4-bedroom house. The adjacent lots are served by private water. There is no surface water within 100' of the proposed tank. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 868-3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. _ d , re Kenneth M. D • •� Attachments: On-Site Sewer Application 20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793 WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN EAGLE PARK BLOCK 1, LOT 14 4:tear r"' dOj ss.s• 4r4 aJ EXISTING i{-�31Z . • JT N HOUSE N - l::-:':' 46.6' . . . . . .f 52 23.0- Arr `.1R a jo. It� 16COW MISS/ a ADA . . . eXIs714L S.T_ s luSuc.4:::: /NS7�Lt_ NEw i2 So-c:j-t. r.i. Pert CvpE. 14/14•612,6Pe"- aEs�(tAJ N�"�bta0. Der41,,5 fi i 12; i,(1-5‘' 4 . W0 DESIGN DETAILS Scale: 1'= 30' FLAG ALL WELL RADII DECOMMISSION EXISTING SEPTIC TANKS & INSULATE SERVICE & LOT LINES PRIOR LINE TO NEW TANK LOCATION. TO CONSTRUCTION INSTALL NEW 1250-GALLON SEPTIC TANK 10' FROM FOUNDATION, 5' FROM FIELD & CONNECT TO EXISTING SYSTEM. NO PUBLIC \WELLS WITHIN 200' OF NOTES: PROPOSED SYSTEM. NO PRIVATE WELLS WITHIN 200' of 1. CONNECT TO SYSTEM AFTER POST TANK COs / DIVERTER. PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC SYSTEMS WITHIN 200' OF 2. INSULATE TANK WITH 2' HD BURIAL FOAM WHEN LESS THAN 4' PROPOSED WELL EXCEPT AS NOTED. COVER. ALL PROPERTIES SERVED BY PUBLIC WATER 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATI❑NS TO ADJACENT WELLS, SEPTICS, LOT LINES, FOUNDATIONS AND ALL OTHER SETBACKS. Air �� OF PAGE 1 OF 1 ,t(� " ' '�" 1 PREPARED FOR' T / i or KYLE FINCH RC 1 E:RR k 4 s i., 1\a: Ar * # 20539 MELODY LAND ati `, / EAGLE RIVER, AK 99577 r; ./A�► <I Cf 907-632-8394 /II II \ / KENN�� ./ FIELD BOOKS COMPUTED: 'M 5A (,11 ..11„' x ` iiCE— �,� / BOUNDARY: BOUNDARY DRAWN: BMW E �,i '�l r�!1��11 ti} STAKING: STAKING CHECKED: KMD O/ di 414, N' A58UILT: REJ MEI 09/10/2018 1 • \'� / illit/°E33IO�� DWG. FIE: 0RKY. SW0056 �e (`\"�//i \``:_ 4,.:8I/1 I-I NII •,1*1 Am FIE: FILE doe NOt 18187 AK,wen' ~. Municipality of Anchorage Page I of"~-- DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: ~[~_~)l ~4~:) PID Number: INa~_.~.l~tG., ~/ ~ ~ t~ Wastewater System: D New ~pgrade ~~ ~~ ~,, q~%~ ABSORPTION FIELD No. of S~ms: ~DeepTrench D Shallow Trench DBed ~Mound DOther LEGAL DESCRIPTION so,,,~,~: ~*~ Lot: ~ Bl~k: ~ ~~Su~ivisiOn: ~pt~ to ~i~ ~1~ ltom or~r~e: FtGravel depth ~neath pl~ FI. Township: JRange: J~t[on: Filladd~aboveoriginal rede: Ft Gmvel~ngth: WELL: D New ~ Upgrade ~ravel~;~t, SEPARATION DISTANCES ~s~pti~ ~ HoUi,g ~ S.T.E.P. Su~c~ LIFT STATION Water [~"+ ~ ~ ~ Drain Remarks:~~ ~t~ ~~ BENCH MARK L~ation and ~scHption: Insnections oedormed bv:17o~ E'gle RIver L~ R~&N°-~s: 1st ~~ r Reviewed and approved by: ~ Date: Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Munlclpsllty of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAl. SERVICES DIVISION P.O. Box 196850 · Anohor~ge, Alaske 99519-6650 · Telephone: 34,~-4744 On-Site Wastewater Disposal System and/or Well InBpectlon Report N '\ RECEIVED PAGE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 #L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT NUMBER:SW920180 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:AMIDON GENE & ELVA OWNER ADDRESS:20539 MELODY LN EAGLE RIVER,AK 99577 PERMIT DATE ISSUED: 7/13/92 EXPIRATION DATE: 7/13/93 PARCEL ID:05078214 LEGAL DESCRIPTION: EAGLE PARK BLK I LT 14 LOT SIZE: 37025 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM 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 (18AACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS UPGRADE SYSTEM MUST BE INSTALLED IN ACCORDANCE WITH THE APPROVED ENGINEER°S DESIGN DATED 7/1/92. THE EXISTING TRENCH MUST BE PROPERLY ABANDONED. RECEIVED BY: ISSUED BY: . - DATE: SEWER S WATER MAIN EXTENSIONS SEWER S WATER INSPECTION WELL INSPECTION & FLOW TEST ROAD DESIGN SOIt. TEST PERCOLATION TEST ON SITE WASTEWATER DtSPOSA~$YSTEM DESIGN ROBERT SHAFER, P.E. ROGER SHAFER, P.E. July 1, 1992 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Eagle Park Subdivision, Block 1, Lot 14 Request you issue a permit to upgrade the septic system serving the referenced property. An adequacy test was performed on the existing system and the absorption capacity of the existing trench was found to be inadequate. Two test holes were excavated and a percolation test performed in the area of the proposed upgrade. The ground water monitoring tubes within the holes have been checked and found to be dry. Attached is an upgrade design which shows the location of the proposed trehches and an alternate site. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic upgrade. If you have any questions or require additional information for your review, please contact us. Sincerely, RJS/LSU/lsu 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 LOT 13 sEpTIC LEGAL EAGLE PARK SUBDIVISION, BLOCK I, LOT 14 DRAWN L. $. UL$~/E/~ I CKD. R.L.S. I DATE 7///92 I SHT. I OF I LOT 5 /vAcANT~ /vACANT/~ LOT4 LOT 14 SEPTIC [VERIF) · ~ '~10' UTIZ. AND ALLEY ESMT- PROPOSED TRENCHE$~ 4 8DRM HOUSE ALT, 51TE~ NOTE: Topography Is Generally Flat. DESIGN CRITERIA: 4 BDRM = 600 GPD SOILS = 0.6 o.~/l~r~ 600 + 0.6 = I000 sq. fl. REO'D DEEP TRENCH: 9' DEEP 5.5' EFFECTIVE 91' LONG A/E SUPPLIES t$0208 DEPARTMENT OF HEALTH & HUMAN SERVICES 825 'L Street, Anchorage, Alaska 99502~650 LEGAL DESCRIPTION:""'~:~--'"~ [ : L~ I~1' 1 WAS GROUND WATER N~' ~ ENCOUNTERED? IF YES, AT WHAT DEPTH? 3 4 5 6 7- 8 9- 10 11 12 Township. Range, Section: SLOPE SITE PLAN E 13 14- 15 16- 17- 18 19 20 Monitoring? Gross Net Depth to Net Reading Date Time Time Water Drop ~ ~ I1:~ ~'/~' ¢~" 5 ~ /~:~ w-, ~ ~/~" I~' PERCOLA.,ONRATE re'"'. .ESTRUN.TWEEN (' FT^NO q'' FT COMMENTS~ PERFORMED BY: $ & S ENGINEER lNG I ~' CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Ro.8 No. 204 T ON TH~ DATE ~-- t--fl~ ACCORDANCE WI~f~g~ GUIDELINES IN EFFEC . DA3E: 72~ (Rev. 4/~) PERFORMED FOR: LEGAL DESCRIPTION:~2'~ ~ I , ~ 14~31-' 1 2 3 4 5 6- 7 8 9 10 11 12 13- 14- 15 16 17 18 19- 20. ,.'~..' ~,~.::'.,?, '..'.~ I Mun c pality of Anchorage ,-"" ~'.'."_-'./~'~.~f"~."' ~ J DEPARTMENT OF HEALTH & HUMAN SERVICES ' .~.~ ~ J 825 'L" Street, Anchorage, Alaska 99502~650 ~ ~ ROGER~j~A~R ~,~ J SO LS LOG-- PERCO T, ON TEST / COMMENTS Township. Range. Section: SLOPE SITE PLAN Lo.H. WASGROUNDWATER /~/O · ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? P E Monitoring? ~'~'"' / Gross Net Depth to Net Reading Date Time Time Water Drop .~- I I:l"~ ID ~;,..I ~-~'~/,4,-" ~/'~ ' ~ /z..;,~ " ,~'/~"I~/~' TEST RUN BETWEEN . - PERCOLATION RATE (minutes/tach) PERC HOLE DIAMETER ,~-~' FTAND & FT PERFORMED BY: S & S ENGINEERING ~ \ ~-'~/~ I-.-,I CERTIFY THAT THIS TEST WAS PERFORMED IN 17034 Eagle River Loop Road No. 204 V ACCORDA.CEW,T.U.~T~,V.~..~,~¢~h~.OEL,N£S~NEFFECTDNT~,S~ATE. DATE: ~l--~~ 72~ (Rev. 4/~) t t 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 PHON~ I~UPGRADE ~IAILING.~ADDR. ESS LEGAL DESCRIPTION LOCATION,, Well /-~2.. ' Manufacturer ~,~_~.~. DISTANCE TO: DISTANCE TO: ,/.~-_. / Top of tlie to finish grade Width Type of crib Crib diameter DISTANCE TO: DISTANCE TO: Well Depth Building foundation Absorpuonarea I Dwelling S / Inside length J Width Dwelling Total le~h~f I/in es Material beneath rile Depth Crib depth Building foundation Sewer line IMaterial Nearest lot hne · Trench width I .~ inches inches PERMIT NO. Liquid depth PERMIT NO. Liquid capacity in gallons PERM~j~.~ Total effective'absorption area i PERMIT NO. Total effecti~ absorption area Nearest lot llne Septic tank OTHER SOIL TEST RATING 72-013 (Rev. 3~78) DATE LEGAL erfifieh rilling" ~' ....~lJ_hgl~l ALITY OF ANCHORAGE ~ ~N,VENT,~.L ;,',G','i CTION by A ~ L BglLLIN~ COMPANY JAN ~ ~g?g ,o~,,.~,,w,.,~,~,,~,,. ~,~.o,,~.,~. RECEIVED DEI~tl OF ~¥ELL /O c:~ OWNER OF LAND STATIC LEVEL OF WATER FT. ADDRESS LEGAL DESCRIPTION DRAW DOWN FT. D.,TE-S,,',.d PER,,R PERMIT NUMBER 7 KIND OF FORMATION: From (',) Ft. lo c~ Ft. O r..d~'4~ 4'a.~'~-~,*.a From -- Ft. to Fl. From ~ rt. lo ~f Ft. ~Z~/~ From rt. to_~Ft. r,om g~ mt. to ~0 ri- ~T r,o,,.~r,.,0 rt. From ~ mt. to ~ Ft. ~d~O ~< ~ From Ft. to Ft, From ~ Ft. to / 0 A Ft. ~4 ~ ~ ff~d~< From Ft. lo Ft. From Ft. to Ft. From ~Ft. From Ft. to Ft. From ~.Ft. lo Ft. From Ft. to~Ft, From~.FI. lo Fl. From Ft. to Ft. From.~.Ft. lo Ft._ From Ft. to Ft. From Ft. lo Ft From Ft. to Ft. '" -- - '- From ' ' ' ' Ft. to' 'mt From Ft. to Ft. From.~Ft. to Ft From Ft. to FL From Ft. to From ~.Ft. to Ft.~ From Ft. lo Ft. Fromm. Ft. to Ft. Fromm. Ft. to Ft. From Ft. to Ft.. From Ft. to Ft MISCL. INFORMATION: DRILLER'S NAME x 14ELL A I'-I D PERMIT NO. ( ?80505 ) ~PPLICANT LOCATION LEGAL · MUN I ¢ I~ '~L I TV OF AI'-IC:I-~ ~AGE ~-, DEPAR, TMENT OF HEALTH ANO ENYIRONMENTAL PROTECTION -- 825 'k' STREET, ANCHORAGE, AK. ~581 264-4720 Or~--S I TE SEWER BOX i20~ EAGLE RIVER .'&D PEAr'11~,~ . 694 Li4 Bi EAGLE PARK LOT SIZE 21500 SQUARE FEET 'YPE OF SOIL ABSORBTION SYSTEM IS: TRENCH mAXIMUM NUMBER OF BEDROOMS = ~' SOIL RATING (SQ FT/BR)= 225 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: DEPTH---- .'12 LENGTH= 49 GRAVEL DEPTH= ? THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET). THERE IS riO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE · AND THE BOTTOM OF THE EXCAVATION (IN FEET). REI~..U I RED SEPT I 6 TAI'4[( S I :~'E= 1000 6RLLOI'-IS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURIHG THE INSTALLATION INSPECTIOHS OF 8NY WELLS ADJACEHT TO THIS PROPERTY AND THE t.~UMBER OF RESIDENCES THAT THE WELL WILL ~ERVE. BACKFILLIt~G OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPhRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 18~ FEET FOR R PRIVATE WELb OR i5~ TO 2OQ FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~ DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AMD CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERI~ I T E×P I RES DECEMBER ~L~ J-975 I CERTIFY THAT l: I AM FAI~ILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. ~': I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAtID THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE EHLARGEMEMT IF THE RESIDENCE IS REMODELED TO INC~E MORE THAN ~ BEDROOMS. ............. ¥1 2 .'O ~- E GE~.ECHNICAL ~- DEVE~PMENT CO. -- Box 90. Davis St., Eagle River, A~aska 99577 6,94-2774 or 688.2280 694-2T/4 Soils ~' Foundations Ea.,f Ellis SOIL LO~ ~.z~o Land Developmen! Perfo'nned for: Hame: Hailing Address: '~.~ /2~ ~-,~.c-z.~.~' ~. Legal Description: ~ ,' ,-~/~-'~" / Depth (feet) $otl Characteristics 0 1 2 3 7 10 11 12 15 16 Ground Water Encountered: Proposed InstallattoR:.,' Seepage Pit Yes Ho If yes, whit depth Drain Field MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 ..... 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complet.e legal description Lot 14; Block I; E~,g~e Pa~.k S,,bd. lui6Zo~; Location (site address or directions) 20539 I.{~.,~oE~t I.a~ e e Property owner Mailing address Lending agency Mailing address G~ I Z Elw K. Am,/.do~ Day phone ~0~9 ~d~ [a~ Eag~ P~u~/~: A~ba 09577 No~J~.~nd~Io~.gage Eagle ~u~ Day phone 694-2150 694-787Z Agent 1?~ T{enm~ TAI~C,,FT P. O. Bo~ 774627 Address Ea9,~ I~u~,~. A~&~a 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS:. 4 TYPE OF WATER SUPPLY: Individual well XX Community well % Day phon. e 694-2388 Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. Se STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms ahd 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 the date of this inspection. 5 & S ENGINEERING 17034 Eaqle Rive~ Loep Road Eagle River, Alaska Name of Firm Address Engineer's signature DHHS SIGNATURE ~ Approve,d. for ~ bedrooms. Disapproved. Conditional approval for Phone Date "'7 -~"~ -'~;~'Z- bedrooms, with the following, st pulations: - ; Additional Comments Date The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Parcel I.D. A. WELLDATA . , . .... Well type~¢-t~ If A, B, or C, attach ADEC letter. ADEC water system 'number Logprese¢/~N) "~ Datecompleted Driller~ Totaldepth I~ Casedto I~-~ ¢¢-~ Casingheight Sanita~ se~) ~ Wires properly protecte~) FROM WELL LOG Date of test "~ I~--! I"~:~. I Static water level '~--~ Well flow ~ ~-,.1:~. ~ Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption ,field on lot Public sewer main Sewer service line I I ~ / ; On adjacent lots j...~..~) t ; On adja'cent lots 1''~ ~p r'~ ~'' Public Sewer manhole/cleanout ~/~ Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Nitrate Date of sample: Z. ~' ~"/~,.,'. Other bacteria Collected by: '~4'~ ~ ~.,i I~--- . SEPTIC/HOLDING TANK DATA Date installed '~rl~"~J~J"~- Tankslze t'~-~'--~L--/"/~l~ Compartments Cleanout~N) y Foundation cleanou~/N). ~/' ~"D~p{'ession(Y(~ Date of pumping I~-,..~ "'~t.-[~,~- Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: ,I Well (s) on lot I [ ~:~ On adjacent lots Foundation To property line Absorption field Surface water/drainage ~ F'~ ¢ '~'"~' I ~_~ .... Watermain/s'~rviceline - I~:)/_/r- 72.026 (Rev. 7~) Front · CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Size in gallons Vent (Y/N) 'i . ' ManUfa(Jturer · ' I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect ~,Jt~zd~te of this inspection "' '"S&SENGINEERING Signature 17034 Eagle River Loop Road No. 2~ ' ' Date ~'~ ~ . . ~:% No. 8~,5 .~ Surface water D. ABSORPTION FIELD DATA * - Len¢ Total absorption area ~ ~'~ Depression over field (~ ~ Results(pass/fail) ' ~ ~~, Peroxide treatmen~ (past..12 months) ( ~ ,If y. es, give date' SEPARATION DISTANCE FROM ABSORpTioN FIELD TO: , . Welloniot ['c"~l~ I On adjacentlots ~ ~::> ~:~ l-f"' Property line 'To build!ng foundation. J '~. , / · To existing or abandoned system on lot On adjacent lots '~ "~ Cutbank t~,-~_~ Water main/service line Surface water I~;::)~ %'{-- Curtain drain ~',~C)I'-~...[/'_j,..~-[.~l~ E. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area Gravel thickness "~1 ' Cleanou, ts present~) . Date of adequacy test for ~ Soil rating~:~. ~' ~/'~"~ '~. System type _'"'l~~ ~ . Total depth I J/- i ~ ' bedrooms HAA Fee $ //¢ Waiver Fee: $ Date of Payment ~--,2 '~-..q.2.._ Date of Payment Receipt Number ~.,.~ ,~ o~ .~, /r.~.?,/~.. ) Receipt Number / ~ ' 72-~26 (ne~. 3~1 ) ~k MOA 21 High water alarm level Meets MO^ e lect . Well o.~ ' - On adjacent 'lots Cycles tested Pump on" le~;el at / ' '" "."Pu'rnl~ off" leve~ at. MUN,C,PA',TYOFANC"O"AGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTE~ [. I · ENVIRONMENTAL ENGINEERING DIVISION REC IV D BEQUEST FO~ ~BOVAk OF ~ND~V~DUAL ~ATE~ ~D ~E~EB FA~UT~E~ BUYER ~ ; MA~ L[I~ ADDRESS PHONE PHONE LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AGENT PHONE MAILING ADDRESS E. LEGAL DESCRIPTION /) ..~ /- .9 STREET LOCATI~ ~ ,~ r ~ / e. TYPE OF R~ DEN~ ' / -- - NUMB ~ One ~ Four ~ Other~ ~INGLE FAMILY ~ Two ~ Five ~ MULTIPLE FAMILY ~Thr~ ~ Six 7. WATER SUI~LY [~;'/'INDIVIDUAL* I--I COMMUNITY [] PUBLIC UTILITY SEWAGE DISII~)SAL SYSTEM J~;i-'"IN DIVI DUAL/ON-SITE*° [] PUBLIC UTILITY * ATTACH WELL LOG, A well log is required for all wells drilled since June 1975. For wells drilled p]io~r to that date, give well de..th (att.¢ if.v.il. e.} **if individual/on-site, give installation date t'"7 ~ If system is over two (2) yeers old an adequacy (est is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72~)10(3/78) ' THIS SIDE FOR OFFICIAL USE ONLY ~ ~' DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME :)ATE DATE DATE INSPECTOR · INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEOROOM~ [] SINGLE FAMILY [] ONE [] THREE I--I FIVE [] OTHER r-I MULTIPLE FAMILY [] TWO [] FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified ~ LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER F-11NDIVIDUAL/ON -SITE DATE INSTALLED r-I PUB LIC UTI LITY JO -'~ J --'-~ ~ connection Verified INSTALLER I-'lSeptic Tank or [] Holding Tank "~. ~. WE) ~ ~ S Size: 100 ~) IfTankishomemade SOILS RATING give dimensions: -~. ~ ,~ TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AR EA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS ~ APPROVED FOR ~ BEDROOMS 1'1 CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED ~~ DATE BY JTitle) LEGAL DESCRIPTION 72-010 (Rev. 3/78)