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HomeMy WebLinkAboutEAGLE PARK BLK 2 LT 5E->OLL,u ( C-�OLC a +I (o c -Asa -31 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 2644720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Nam. w K S w r r e N r k r' DISTANCES WELL Tp FROM SEPTIC TANK ABSORPTION FIELD Addlasa ,p '�,D E -i tJO /c4✓GN Sr E•f Ic R..+, q Pnonets) Palrrat No. No. of Bedrooms e.7 it al'i s 9067Yit 1 -T WELL LOT LINE �� �-�• q ✓ LEdaLDEECat•I.ON Loteixt SCS � •hla Suoantion 4y K. i FOUNDATION s•2 & 2 2/ r Township. Range. Section 7- / Y aJ R Al w SG.c,a % A"UILT DIAGRAM (Snow location of well septic system, property driveway. water bodim. CC) ares. lourdation, TANKS SEPTIC, ❑ HOLDING manulacturw Capacity in gallons wishm No. of C mipanments 3 TYPE OF SYSTEM ❑ TRENCH ® BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom I,om tmgmte wools ;L FT Tow depth from spinal 91800 .Z,T FT Fal added above atgmal grade I FT Gravel depth beneath pipe 6 "FT Glove! length e?o FT G," w0h /S -FT Taal absapuon area SOFT Distance bnween ones Y•f FT Number of oras 3 Sal hung . t cAVISO FT Papa metalul X f ,701-f FFio Installer C,/po- 01 al -I Date Installed 7/1- WELLS IPL PRIVATE rte•• ❑ OTHER (IdenUfv) Clasafwauon (AB.C) Total DepthGeed FT to FT Installs, Date InsWPod. REMARKS: �i✓1 n �w 1�� ✓�G� a.��d. rr 1�2..r..0 �'•+� . • h G, k r r/i/1 rJ +✓f t./ 6 HS l+er Scale: /✓-T,f, inspections Performed by ,•;L.;`ENGINE�R'S aEAL `call r..��L -,,•.a•.;a +:' ":. i fi �' v �; ,;,t >r• z. �L, € ct : • Wuft F. C'terd .tea`'♦ 'p, :t� CEbl7� C•.✓ ` •• : .f� d -�. a 1�•- ti r+ 01W X;" 7o�.:, Date Chip- �a� f��?�J� � artil tlut IIn was Haloed accordin to ell Y p F Municipal and Stale guidelines In effect on Nis data /� Health Department Approv Date. 72.017(7/95) A Asphalt 100' Drive Ile New tank W/ lift Shed 1 1/4 W .j"M"0N1RNtNol ti g Irench µ 1R UPI 76' Exrsl'uNq 2' 22'15' � 1.' 0' <sz K IF No wells or sepllcs +200' Connection Detail 10' Utility Easer7ent k fl.wlbm //0 0 0 975. CR ' iN1 Top manhole Od 1 1/4' PVC / 100.0' assumed F. INN —•` eNanout I�`�dY� 97.3' Staaan H. LsocM.d Inlet 93.2' W M64 up Reducer Existing r Leach 11M 0 0 0 Gr .w ~• o' : •••'O :a• et.e' Bottom Septic System Asbuilt ��E .... ` l U A/' _ Block 2 �' ��• '•�`��� LEGAL: Eagle Park Subdv., Lot 5, Pry;: f. r OWNER: Bill Davidson ''* . lt'" 17 e':IV l CONTRACTOR: N ATH < ��— C'� .4 i x r..�.:... ...:... JOB #90-083 DATE: 11 /02/90SCALE 1" = 30' 0, T."�.:............. ........a `` Louis A. cure ra w% EAGLE RIVER ENGINEERING SERVICES �s CE -A736 �N P.O. Box 773294A EACLE f •. �� R, AK. 99577 (907) 94- 5 5195 FAX: (907) 694-8408 fji,\?0 ESSI "P ® Cd oo CN GarageO qP1 Z 2 O Z <5% Abandoned tank New tank W/ lift Shed 1 1/4 W .j"M"0N1RNtNol ti g Irench µ 1R UPI 76' Exrsl'uNq 2' 22'15' � 1.' 0' <sz K IF No wells or sepllcs +200' Connection Detail 10' Utility Easer7ent k fl.wlbm //0 0 0 975. CR ' iN1 Top manhole Od 1 1/4' PVC / 100.0' assumed F. INN —•` eNanout I�`�dY� 97.3' Staaan H. LsocM.d Inlet 93.2' W M64 up Reducer Existing r Leach 11M 0 0 0 Gr .w ~• o' : •••'O :a• et.e' Bottom Septic System Asbuilt ��E .... ` l U A/' _ Block 2 �' ��• '•�`��� LEGAL: Eagle Park Subdv., Lot 5, Pry;: f. r OWNER: Bill Davidson ''* . lt'" 17 e':IV l CONTRACTOR: N ATH < ��— C'� .4 i x r..�.:... ...:... JOB #90-083 DATE: 11 /02/90SCALE 1" = 30' 0, T."�.:............. ........a `` Louis A. cure ra w% EAGLE RIVER ENGINEERING SERVICES �s CE -A736 �N P.O. Box 773294A EACLE f •. �� R, AK. 99577 (907) 94- 5 5195 FAX: (907) 694-8408 fji,\?0 ESSI "P a� 6nfn �,udt'it.c` M U N I C I P A L I T Y 0 (= A N C H 0 R A 6 t Department of Health & Human Services 025 L Street, Anchorage, Alaska 99501 343-4720 O N- S I T E S E W E R P E R M I T Permit. Number: 900346 Upgrade I ���� 3110 Date Issued: 10/24/90 Engineer Designed Owner Name: MART. & JUDY SWIFCENSKI Day Phone: Owner Address: 20440 RAVEN STREET 696-2026 EAGLE RIVER, AP, 99577 Parcel Id: 050-702-31 Lot Legal: Subdivision: EAGLE PARE; Lot: 5 Plock: 2 Section: 17 Township: 14N Range: 1W Lot Size 46217 (sq.ft. or acres) May Bedrooms: This Permit: 1 Total Capacity: 3 SEPTIC TANK: Minimum total septic tank capacity: 1,000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) <. 4.0 feet requiros insulation over tank(s). FLRMIT EXPIRES DECEMBER 31, 1990. NO11FY DH1S OF INSPECTIONS Al 343-4744 OR 343-4601. TWO HOUR NOTICE 15 REQUIRED. INSTALL PER ENG'RS PLAN REVISED 10/23/90. I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back di<tances from any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 1 bedrooms. I also understand that the capacity of the total system is 3 bedrooms and any enlargrment will require an additional permit. Si ncd: DATE g Russo.) l 10- Z-! (For;r ) MAR(k & JUDY S�IWIRCENS"I / Issued Dy: ---------------- DA TE': -------------------------------- 15t t4+5Pee7raQ EAGLE RIVER ENGINEERING SERVICES Lou Butera, P.E. P.O. Dox 773294 Eagle River. Alaska 99577 Telephone (907) 694-5195 October 16, 1990 Mr. John Smith, P.E. Department of Health &Human Services 825 L Street Anchorage, Ak 99502 RE: Lot 5, Block 2 Eagle Park Subdv. SQ / Narrative () Dear Mr. Smith, We are requesting approval of the proposed wastewater system plans attached. As previously discussed with the owner, Bill Davidson, the existing system has been monitored and no water has been noted through the months of September and October at a depth four feet below the existing leach field. We have uncovered the existing tank and found it to be unsound, and we are replacing it with a new 1250 gallon lift station in order to meet grade to existing field. The owner desires to retair. the 2 -bedroom leaching capacity of the existing trench established by our adequacy test. Our design therefore calls for an upgrade with a 1 -bedroom additional capacity. The new bed location will not affect the neighbors' land use as the lot is large enough and the septic system is far enough away from lot lines to limit impact on future development. Affected wells, wastewater systems, structures, drainage paths, or patterns within 200 feet of our proposed system are on site plan and are unaffected. The ground surface Is essentially level in the bed area and surrounding area. There is a large enough area for a replacement system. The proposed system is actually a downgrade from previous 4 -bedroom capacity. The home is a 3 -bedroom home. if you have any questions or any further concerns please call me at 694-5195. Sincerely, Louis Butera, P.E. Attachment SPECIFICATIONS FOR CN -SITE SEPTIC SYSTEM LEGAL: LOT 5, CLCCII 2, raglo Park A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and/or site plan shall be a part of this specification. 3. All rroterials and workmanship shall meet the Anchorage Department of Health and State. Departm-nt Of Environmental Conservaticn requircrtrr_nts. 4. All soil tants are advisory to the design and are to be verified or modified in tho field by tlx: engineer. S. All excavations and deptlis are advisory and are to bo vorified in tho field by the contractor to meet Municipality of Anchorage, Department of EnvironrrK,ntal Conservation requirements. G. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to bo exactly in the area shown an the site plan, any deviation requires engineer approval. B. It is always recermncnded that a surveyor lccate the nearest lot line position and the location of any easements. S. SEPTIC TANK 1. The existing tank is to be pumped, crushed, and filled with compacted soil. 2. The new tank is to be located outside the 100 foot wall radius with a lift station. C. CED 1. The bed is to follow the natural land contour to maintain uniform total d$rh of the bed bottom. ( 2. The bottom of the bed shall be level, plus or minus 1.5". 3. The total depth of the bed excavation is not to exceed 2.5' at any point. 4. The new sew -or lino is to replace the existing sewer line that leads to the c,,isting f fold. 5. Tho bed gravel is to be covered with typar fabric material. G. .Moil or ccmbinatioa of soil and extruded beard insulation to a depth of 4' or equivalent is to be placed over tho lcachfield. 7. Tlx: arca over the Led is to be finish -graded to prevent ponding of surface water runoff. E. The septic tank and leachfield must riot be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet- to any ccmm�nitx�w�?3��� RECOMENDED LEACHFIELD DI h1ENSI0'IS e�Q. ��....... 4'. 'i�•+R; 'o GJ TOTAL DCPTII - 2.5' GRAVEL DEPTH G" CED LENGTH 20' CEO WIDTIi = 15'a • .................... .............. ..: Soil Rating m 0.5 GPD/FT' �•�,, Ccdr•ccm Capanity - 3 total (1 bedroom upgrade to m,,isting syrstcm) # CLouie r. &,•,*� Septic Tank Size - 1250 gallon Ole, *** NOTE: CONNECTIONS TO EXISTIi4G AND NEW FIELD ARE TO CE AS PER DETAIL Didtii11 4Y *SIIptif *++ NOTE: Lirl- STATION REQUIRED. ANCHORAGE TANK PRE -APPROVED 1250 GALLON C .,X.. WIRED TO MOA CODE RY LICENSED ELECTRICIAN. SOILS LOG MUNICIPALITY OF ANCHORAGE (� \ DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 1 TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST 11 I PERFORMED FOR: .t7/// DATE PERFORMED: 8'helf 0 LEGAL DESCRIPTION: f S g /r %/yN /2/s✓ Sic /7 977-1SLOPE SITE PLAN r.r.7. 1 2 O 3 4- 5- 6- 7- 8- 9- 10- 12- 13- 56 7 89 10 12 13 17 14 �. c 15 iGn') u'�ir4 rC / 16- 6 Date Gross Time Net Time Depth to Water Net Drop S.AK �'/ Arr 17- 17 18- 18 3 /r/hi 3Y y is 12; /?:cc 3, .r.... �v �w 20 20 �l• WAS GROUND WATER ENCOUNTERED) IF YES, AT WHAT DEPTH) O Ar i/..r•..rrn E a•//f - /v/Ii9u Reading Date Gross Time Net Time Depth to Water Net Drop S.AK �'/ Arr 3 /r/hi 3Y y is 12; /?:cc 3, .r.... �v PERCOLATION RATE (minutes/Inch) TEST RUN BETWEEN FT AND y FT COMMENTSAli✓/r.•/r Ts/oF-.rrra<eEg PERFORMED BY: E11914 River Engineering Services CERTIFIED BY: / DATE: BOX 773294 Eagle River, AK 99571 72-00e (6/79) 694.5195 K SOILS LOG MUNICIPALITY OF ANCHORAGE PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST C*w 825 L Street, Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: C"// par"/r-"r DATE PERFORMED: e4'� SO LEGAL DESCRIPTION: �> i �.)'f 2 Er rte )+,/r 7-lVeV /_2 r&✓ Xe e./7 SLOPE SITE PLAN K 1t 3 v 4 .-1 50 6 r i . 11 O� 12 V 1 13 Tom,...;/ s o-s..✓.� Gr4✓L1 /,,,i,, a1r.•r.h✓ 4-)14et^rA 14 Date Gross Time is - Depth to Water Not Drop /, .r Y. 00 Vt t 17 p.�?„j`!t 16 ... ............ L lap; �3r��;,,,p. 20 COMMENTS WAS GROUNDWATER ENCOUNTERED? IF YES. AT WHAT DEPTH? H� � O P Ihr'+.Yrr rf E /r/ter.//tee.• Reading Date Gross Time Net Time Depth to Water Not Drop /, .r 3 sr..ryy,, PERCOLATION RATE /-2 (minutes/Inch) O.r TEST RUN BETWEEN FT AND FT Eagle Rwor Engineering Servlees ���— DATE: PERFORMED BY:— P. Ps 7797v. Pis 773:+nI _CERTIFIED BV: a Eag!a River, AK 99577 6945195 72008 (ans) EAGLE RIVER JOB ENGINEERING SERVICES SHEET NO. OF P. O. Box 773294 EAGLE RIVER, ALASKA 99577 CALCULATED BY DATE Phone 694.5195 CHECKED BY DATE NmO ASI Nina Ia.O+R Ya N�)1. EAGLE RIVER ENGINEERING SERVICES P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694.5195 aoB T.nt- 5 Elk 7 FAgle Park SHEET NO. 1' of 1 CALCULATED BY LAB DATE 10/22/90 CHECKED BY - j I +. IN R S ON E ITO REVIEW COMMENTS- Trench woiil not Ibelway to go due to soil perc rate at trench dipti! 60 iiin/inch i I I I - - Your' objectionis I � based on splitting of flows to 'each -'system.-------- I I I I ( �.I._..L.. .I._.I I1propose'an orifice type flow -splitter Ir tanklwith a ;separate pipe run to each field! The flow from pump -would -- - I be split 1/3 -412%3. Upon lateriupgrades, the flow can be j modified asily-to 100%-I eachbed. I - 0;GPMtobed II 2123 C.F. � se�c_ - split- .1 01GPM to trench ,I-- -�-- 0J0446 C.F./sec ' { Orifice .Equation i - I Q �= Cd IA 12gH- I-� t I I ) Bed T i I i �- 1... ( r !hch 1(Cd) i i I I I I.._, 2g (Cd) _ 0.02231C.F./sec I i I I n 1= j 0_0446,C.F./sec 5 A 010006';ft:_A I ...I-0�0023.ft= -)i I. I I. I 10.0141'; I l l i j 0.00 3 l- l I �* 1);0 0282141 1 I I I l j D 10.3385"; or 11/32" 1 1 (orifice I r 41'010199' 1 I- I D 1 0' 039' I I I_ AB" or 31/6411, 1 i I a ...1 ' �.... .. ; i ( ...!orifice F .. 1 j MUNICIPALITY OF ANCHORAGE {DEPT. OF HEALTH d+-�... .. , _.;... � I I ' :ENVIRONMENTAL PROTECTION 3 41990 RktIV.ED -- -- - I. I 1 4 RU Wl AT.At 4.Of KIH QpGf.�cv OJi —yuvu MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH g ENVIRONMENTAL PROTECTION Ol, l 2 v 4,99,� RECEIVED NEMA 4X i I- PIPE NIP WE INTO RISER KEEP ABOVE I 1' CONDUIT 1' PVC MALE ADAP 1' PVC• CON Retrie, House — 45' to hse 1 127' to well .e- 440 I Connection Detail 1 1/4' PVC —� Reducer i 1 1/47 PVC From Lift Asphalt Drive 00 O M Well L 0 �JA Z <5% Abandon old tank 100' n� rn V <5% . New tank °w/ lift Y0 r 00 O M t i 0 135' to well — House 53' Shed --� 1 1/4" PVC TH1 76' Existin Trench TH2 12' 31.5' —� s -31 3• y� 4.5' .5' s L <5% 20`7 V No wells or septics +2100' 1 — — — — — — — — — — — -------- 10' ------- 10' Utility Easement o r^*'" PIN ✓ lee 147' to hse Station Gravel —mo00 0 o 000.9 G O O o p o O� o SEPTIC SITE _PLAN LEGAL: Eagle Park Sub_dv., Lot 5, Block 2 OWNER: Bill Davidson CONTRACTOR: N_/A _ _ JOB # 90-083 DATE: 10/1 6/90SCALE 1" = 30' EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-8408 102' to well MUNICIPALITY OF ANCHORAGE \I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 284-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME i DON IQ PHONE ❑ NEW E&VPGRADE MAILING ADDRESS , v v. cr( ✓r LEGAL DESCRIPTION K Eaq t,� LOCATION _ VF_ AtS1 NO. OF BEDROOMS Uy Well 44 o DISTANCE TO: Absorption area Dwelling PERMIT NO. wW2Q f Manufacturer - k`ST N Material No. of compartments N 4q. capac,ty in gallons IF HOMEMADE: Inside length Width Liquid depth 6 y JD2 DISTANCE TO: Well Dwelling PERMIT NO. _? f Manufacturer Material Liquid capacity in gallons O w= DISTANCE TO: Well 4-100 Foundation Nearest lot line PERMIT NO. W Z f? W No. of Imes /1 1 Length of each line Total length of lines/ / 6 Trench width' / T Inches Distance between lines H O Top of the to finish grade t S Material beneath the p 1.. inches Total effective absorption area ],r w c7 Length Width Depth PERMIT NO. a H L WUS Type of crib Crib diameter Crib depth Total effective absorption area 0 DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot linePERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS ';)LASTIc SOIL TEST RATING .QLS INSTALLER Z bid Q REMARKS �t Qx.Tr S ► � �./lfD h I KH APPROVED DATE(] LEGAL 72-013 (Rev. 3/78) MUiV I C3 5,� .4L I TY OE g-1"C"CJFR M T 1 1 DEPARTMEN F HEALTH AND ENVIRONNIENTA�ROTECTION t 825 'u' STREET, ANCHORAGE, AK. 9jS01 264-4720 PERMIT N0. ( 800140 )y—OI -[-E-= SEWER F�ERTil",O APPLICANT DON ZIMMERMA N eox 59C E.R. s / LOCATION LS B2 EAGLE PARK S/D LEGAL V-'B2'EAGL'E-PARK'S/61 LOT SIZE 40000 SQUARE FEET Type of soil absorption system is: DRAINFIELD A3 P Maximum number of bedrooms = 3 Soil rating (SO FT/BR)=� f 8( The required side of the soil absorption system is: S � F1 ` 3 `3i D 9_Ve' The length dimengion is the length (in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation (in feet). -t Vs c -t r- a ri a l -s w i d -t V% 1 s S _ <dOfl it Ee -t The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation (in feet). ©aa R P Requi rid S�l�ti c Tartil-k Si z �_ - Ga 1 1 ons Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. --- TWO CZ } INSPECTIOTVS r4RE RECDUIRFZM ---- Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. FP' *-- rm i. -t cz x }> i r- t� s C c t} � r- 3 1 1 'D8� p i 71" I certify that O (� `17 .3 /P K-�1: I am familiar with the requirements or on-sisewers and w 11 as set forth by the Municipality of Anchorage. 2: I will install the system in accordance with the codes. 3: I understand that the on-site sewer system may require enlargement if the residence is remodeled 1(u include more than 3 bedrooms. SIGNED: --------------- A�'PLICANT / DhJ ZIMMERM' --- - ` ISSUED BY ___ _ --�,-y-,-- 0 ---- -� -r DATE__a_ � _� S_ � _' J ,�/��Vq4 �O SOILS LOG s MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST Pouch &M, Anchorage, Alaska 99502 2762221 SOILS LOG — PERCOLATION TEST ASI NO. 00680 PERFORMEDFOR: D & L Construction (Don Zimmerman) DATE PERFORMED: 5/14/80 LEGAL DESCRIPTIONLot 5, Block 2, Eagle Park Subdivision r—� SLOPE SITE PLAN e? 5 'aQ•°e $ Gray - Brown '° ° Moist 6 O o °e°fin 7 000•p; e O 6 e C; poo? c qq0 9 0 �o�e 1O O Ou. 0 °o Organic Material 11 o°�p0 ao� 00 Net Drop 12-0. ov 00'y 1 MEN■N■MMI Sandy Silt _ ' 13- 3T.D. 11 T. D. 15 min 14- 0.05' Red Brown, sl. Moist 15- 10:25 • ....:' 1� OF 16- NE 2 " 10:40 r��Ttt y 0.25' 0.03' MMENNE o �o O/J 3-j g oa'o ° 0.29' 0.04' N� ®E■■� a Silty Sandy Gravel (DO ■alit: 4- 11 °��0'• *'0.' w/ocn. cobbles NNS`/MEN e�de D' � e? 5 'aQ•°e $ Gray - Brown '° ° Moist 6 O o °e°fin 7 000•p; e O 6 e C; poo? c qq0 9 0 �o�e 1O O Ou. 0 °o Gross Time 11 o°�p0 ao� 00 Net Drop 12-0. ov 00'y 9:55am MEN■N■MMI 0_0'!0p p _ ' 13- 3T.D. 11 T. D. 15 min 14- 0.05' N■EEM■ 15- 10:25 • ....:' 1� OF 16- NE �P�E• •A C_ " 10:40 r��Ttt y 0.25' 0.03' MMENNE 18 �O �Stephen D. Shrader • No. 4143•E 19 ft WAS GROUND WATER ENCOUNTERED? Yea IF YES, AT WHAT See DEPTH? Comments S L 0 P E NOME■■■■■ Date Gross Time Net Time Depth to Water Net Drop TEST RUN BETWEEN 4.0 FT AND 15-1— FT 5/14/8 9:55am MEN■N■MMI 0.13' -0- 0-" client 11 10:10 15 min 0.18' 0.05' N■EEM■ " 10:25 15 min 0.22' NE 624 Yl. Intl. " 10:40 ■ 0.25' 0.03' MMENNE 10:55 15 min 0.29' 0.04' N� ®E■■� ■alit: LJ . NNS`/MEN � UMEW E■N�■ Reading Date Gross Time Net Time Depth to Water Net Drop TEST RUN BETWEEN 4.0 FT AND 15-1— FT 5/14/8 9:55am -0- 0.13' -0- 0-" client 11 10:10 15 min 0.18' 0.05' " 10:25 15 min 0.22' 0.04' 624 Yl. Intl. " 10:40 15 min 0.25' 0.03' 10:55 15 min 0.29' 0.04' 5' 4' 3' 2' 1' 20 PERCOLATION RATE 35 PIIN/INCFI (minutes/inch) TEST RUN BETWEEN 4.0 FT AND 15-1— FT COMMENTS Standing water at 121; water seeps beginning at 81. Test pit excavated 5/13/80 by client PERFORMED BY: S. Shrader CERTIFIEDBY: S. Shrader DATE:5/15/80 Alaska Soils Investigation 624 Yl. Intl. Airport Rd. 72 008 17/76) Anchorage, AK 99502 • O & E ENG.NEERING & DEVELO./IENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster 694-2774 p /'''// SOILLOG , Performedfor. Name: Inf— WILL/'4/YJ `+✓Ayr�`�"' Tel.No.� Earl Ellis 688-2280 Mailing Address: z=a d Legal Description: L07— -5- 4 `0"z— Z Depth (feet) Soil Chwaeterlstics 0 1 ML- �r4S IpPSQl4_%.ars +v 2 a•>- 3 4 5��� 6 eoD 7 9- 10— 10— PLOT PLAN 11 — Q 12 — s��•OF •A(gS.-l. 1 -11:'r'% t• y PERC. TEST so 14-C;T11 00 14 —•• �P� row -25�+✓ +4�/� Russell L. 6ystor ¢O 4^ 15— s�. ;• No. 4286E •; ���i - 16 —OrTDM�1a*\PROFESS\'N� :mo o \��aa Ground Water Encountered: Yes—No— If yes, what depth Proposed Installation: Seepage Pit— Drain Field ✓/ Comments: Performed b fes/ t—� +0 6 �� �L1 �T�.0Date ZZ /P VO' O MUNICIPALITY ANCHORAGE ' DEPAof RTMENT HEALTH HUMAN SERVICES Division of Environmental ntal Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # 050-782-31 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING HAA # /./- q_ 1. GENERAL INFORMATION Complete legal description Eagle Park Lot 5, Block 2 T14N 131W Section 17 Location (site address or directions) 20440 Raven Drive, Eagle River 93cC7f'� Property owner Mark & Judy Swircenski Day phone 696-2826 Mailing address 20440 Raven Drive, Eagle River, AK 99577 Lending agency First Union Mortgage! Day phone (800) 359-9284 Mailing address 301 S. Tryon Street Charlotte NC 28288 Agent —_ N./A Day phone Address Unless otherwise requested, HAA will be held for pickup. 1 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well X Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site x 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. 72-025(A" 1,91) Front MOA 121 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation 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 furtherverify 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. Name of Firm Eagle River Engineering Services Phone 694-5195 Address Engineer's signature 6. DHHS SIGNATURE X Approved for -� bedrooms. Disapproved. Conditional approval for Additional Comments By: 99577 Date CE -6736 bedrooms, with the following stipulations: Date// 34 -92 - 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 purchasersof 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. 72msla«.1/911 8. ra m Municipality of Anchorage AUL Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 6164,E -PAAJK --LOfs-6L46�z- Parcel I.D. 50 - %82'3 T/yN X /W SECTicN / 7 A. WELL DATA Well type geLVA15 If A, B, or C, attach ADEC letter. ADjECwater sy em number HI A . `tai+ /99 Log present (YIN) NO Date completed i3 bra Driller pwk✓ Total depth f 7N4 Casedto f SiO� Casing height Sanitary seat (Y/N) yEs Wires properly protected (Y/N) yr, S FROM WELL LOG Date of test Static'water level Well flow g.p.m. Pump level SEPARATION DISTANCES FROM WELL TO: Septic/hokkAg tank on lot t/DO , ; On adjacent lots -J- /OO Absorption field on lot t /00 ; On adjacent lots i Public sewer main J141 ^ Public sewer manhole/cleanout Nla Sewer service line -Petroleum tank .� o H o,,, �a ✓t WATER SAMPLE RESULTS: Coliform Nitrate %y 9 -nq, y- Other bacteria Date of sample: Collected by: ENG/NEE.p B. SEPTIC/HeLi)MG TANK DATA Date Installed /990 Tank size /25o Compartments u*cfT &1S&457 Cleanouts (Y/N) YES Foundation cleanout (Y/N) Y,5 Depression (Y/N) Nc High water alarm (Y/N) r/IA Alarm tested (Y/N) N/A Date of pumping Pumper' f!Z rS SEPARATION DISTANCES FROM SEPTIC/HC60+NG TANK TO: Well(s) on lot -/.-/00 On adjacent lots ,h /QA Foundation &0 � r i Topropertyline Absorptionfield -A 5 Waterrneirr/service line "7" yQ Surface water/drainage 72.026 (Rev. 7/91) From CONTINUED ON BACK PAGE o AT INSPECTION rn < m 00o 't 9-p-mr N N'o Z � '� ,r 7y © z Septic/hokkAg tank on lot t/DO , ; On adjacent lots -J- /OO Absorption field on lot t /00 ; On adjacent lots i Public sewer main J141 ^ Public sewer manhole/cleanout Nla Sewer service line -Petroleum tank .� o H o,,, �a ✓t WATER SAMPLE RESULTS: Coliform Nitrate %y 9 -nq, y- Other bacteria Date of sample: Collected by: ENG/NEE.p B. SEPTIC/HeLi)MG TANK DATA Date Installed /990 Tank size /25o Compartments u*cfT &1S&457 Cleanouts (Y/N) YES Foundation cleanout (Y/N) Y,5 Depression (Y/N) Nc High water alarm (Y/N) r/IA Alarm tested (Y/N) N/A Date of pumping Pumper' f!Z rS SEPARATION DISTANCES FROM SEPTIC/HC60+NG TANK TO: Well(s) on lot -/.-/00 On adjacent lots ,h /QA Foundation &0 � r i Topropertyline Absorptionfield -A 5 Waterrneirr/service line "7" yQ Surface water/drainage 72.026 (Rev. 7/91) From CONTINUED ON BACK PAGE C. LIFT STATION Date installed _ 09190 Manufacturer 4i4P-N. TiIN ` Size in gallons - /250 Manhole/Access (Y/N) _ YC C Vent (Y/N) y& S "Pump on" level at -Q/ 48011Cgg f' 'Pump of level at High water alarm level - 4 AS Cycles tested `y Meets MOA electrical codes (Y/N) YES SEPARATION DISTANCE FROMLIFTSTATION TO: Well on lot - Y00� On adjacent lots t /00 Surface water N/A D. ABSORPTION FIELD DATA/ii0�/Y80) Date installedZ9__ 9_ �� /980 Soil rating 0• WA F z Z30 System type -000 ZT,eeNC,4 Length I widtn.15�Z 7, Gravel thickness ' —,Total depth 5 // Total absorption area 30 9/2 Cleanouts present (YIN) S _Depression over field (Y/N) No Date of adequacy test /r / 9Z Results(pass/fail) P.+SS for bedrooms Peroxide treatment (past 12 months) (Y/N) - NIA If yes, give date N/A SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot {ADO On adjacent lots 7$'106 v Property line /0 � To building foundation To existing or abandoned system on lot / 2� On adjacent lots- f 30 Cutbank�VA Water ruaWserviceline t /0 Surface water NIA Driveway, parking/vehicle storage area f /� Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or contormed to all MOA and HAA guidelines in effect on the date of this inspection. r'e• Y -' • . �h Signature ' a _ 'r Engineer's Name -a,. r R ,• r'' Date //, 7 /sz °. HAA Fee $ / ! 2 • d Waiver Fee: $ Date of Payment - Z Date of Payment Receipt Number A1ZZ4y( Y"771 Receipt Number 72-M (A". 3/91) Swk MOA 21 NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE 2505►AIR6ANK$ STREET FAIRBANKS. ALASKA 99701 1907) 456-3116 • FAX 4563125 ANCHORAOF, ALASKA 90503 (907) 277637$ • FAX 274-9645 \Ly � Eagle River Engineering Report Dates 11/16/92 P.O. Box 773294 .Eaglo:Rivar AK 99577 Date Date Sampled: Arrive 11/11/92 d: 11/11/92 Time Sampled: 1035 Attns Louie Butera Collected Sys LB Reported Sys Susan C. Tifontal Microbiology supervisor * Definitions • S e Below Regulatory Min. H - Above Regulatory Max. Our Lab Ps A121408 E r Estimated Value Location/Projecti - H - Matrix Interference Your Sample IDI Eagle Park 5/2 D w Lost to Dilution Sample Matrix: Water MDL Method Detection Limit comments: - L�, Date Date Number Method Parameter Units Result * MDL Prepared Analyzed ----------------------------------------------------------------------------------------------- A121408 EPA 353.3 Nitrate -N . mg/1 4.9 0.5 11/13/92 Reported Sys Susan C. Tifontal Microbiology supervisor -- MUNICIPALITY OF ANCHOR AGE O Department of Health & Human Services _.. . DIVISION OF ENVIRONMENTAL SERVICES 343.4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF '• ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel l.D. # ��ii� ' SSS �' 1 HAA # 0(Z�c) 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 20440 Raven Drive Eaale River Ak (b) Property owner Mark Swircenski Telephone: (home) 696-2826 Business . •.. r.,r .LLQ (c) Lending Institution Mr- Rill nAvirISQU Telephone 149-9668 (d) Real Estate Company and Agent ^'A Address Telephone (e) Mail the HAA to the following address: (or check here ❑, if hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single-Family:Q Number of bedrooms _43_y_ 3. WATER SUPPLY �.. Individual Well f3: Community ❑ Public ❑ ' • Note: If community well system, must. have„written confirmation from the State Department of Environmental `Conservation attesting to th legalitynd astatus.'"' _i, 4. SEWAGE DISPOSAL ... _ _l �a _ :.;:•,_ , ..1Cr�... '. ,' .mil. N':.'�J. > r•On-sited Public 13Community ❑ Holding Tank ❑ ' „' • = '-i z :.. Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. et n-M(R".?/W) Page 1 of 2 S. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION, As certified by myseal 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 the date of this inspection. Name ofFirmEagle Rimy- %••• •SJR •• m• r� Telephone 694-5191; Address -P.O. Box 773294, Eagle River, Ak 99577 Date //�.20/10 i. ,.. s . Z i 6. DHHS APPROVAL Approved for bedroomsby JOH-r SM m+ Date I&CI&O Approved. Disapproved Conditional Terms of Conditional Approval 'A The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval cerificated based only upon the representations given in paragraph 5 above byan 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 oranalyze data before a certificate Is Issued. The Municipality of Anchorage is not responsible for errors or omissions s In the professional engineer's work. ?ems (Rw. VU) Sad Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) ' ' • t Health Authority Approval (HAA) �510A CHECKLIST - FEBRUARY 1984 r� Se0N 343-4744 Elly F.,NMEt-1� Pt 1yr Legal Description: 40fr rI`a A h- �'w 2V``' O r/yn'/-'law 1ei/7. A. WELL DAT CCC1 V�. - Well Classifi ation Pr'o ✓a Ae If A, B, C, D.E.C. Approved (Y/N) N/A Well Log Present (Y/N) 'n" Date Completed X573 ��'^ /�'"" /Field S'� 6�'"• ���;ref/ Total Depth t7/' Cased to t yD' Depth of Grouting Static Water Level 6S' �"' �"� r` 'r Pump Set At r 7/' ' Casing Height Above Ground Y �' Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) f' Depression Around Wellhead (Y/N) ^/ SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot `/a,* ' ; On Adjoining Lots flet' To Nearest Edge of Absorption Field on Lot f&V' ; On Adjoining Lots Y/vo i To Nearest Public Sewer Line -'•'lh To Nearest Public Sewer Cleanout/Manhole ''//A To Nearest Sewer Service Line on Lot &3/ Water Sample Collected by E^ sw'« ; Date �1L5—�9v Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 199v Size /2 5-0 No. of Compartments �2 t s"`t Pas F at Standpipes (Y/N) % Air -tight Caps (Y/N) Y Foundation Cleanout (Y/N) Depression over Tank (Y/N) N Date Last Pumped ~4. Pumping/Maintenance Contact on File (Y/N) ~44 ;for ^' yA Holding Tank High -Water Alarm (Y/N) "vl-4 Temporary Holding Tank Permit (Y/N) �✓%ter SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well To Building Foundation To Property Line +/D To Water Main/Service Line. To Stream, Pond, Lake or Major Drainage Course Comments To Disposal Field ILE N 72-026(Aw. rwee) Fat Page 1 of 2 C. ABSORPTION FIELD DATA (,v '/° lot) Soils Rating in Absorption Strata Gr i jJOType of System Design / ",/ X, Date Installed /55°/ ipso Length of Field -- _-1`' "/ Width of Field /t/ .2 Depth of Field /// Gravel Bed Thickness /6 ' Square Feet of Absortion Area Sae j/2 Statndpipes Present (Y/N) % Depression over Field (Y/N) Iv Date of Last Adequacy Test 850 Results of Last Adequacy Test X5, t,, a- ,, l X✓ S &,e u , SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well */CZ7 To Property Line To Building Foundation To Existing or Abandoned System on Lot /1 / ; On Adjoining Lots -;4 3 o / To Water Main/Service Line Y io ' To Cutback (if present) N /.4 To Stream, Pond, Lake, or Major Drainage Course Iv To Driveway, Parking Area, or Vehicle Storage Area 124' ' Comments D. LIFT STATION JV Date Installed . 374 Dimensions /> SD 54/ 4-47A T< -Ar Size in Gallons /.2 S -V Manhole/Access(Y/N) "Pump On" Level at 5// Y Ati�e a'oy-_-� "Pump Off" Level at 4 y3, High Water Alarm Level at ys Vent (Y/N) Tested for /"� .arm✓ Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) ey it X -.E 7'e". Comments "Check Permitted Bedroom Rating Against HAA Request" certify that I have checked, verified,'or conformed to all MOA and Inspection. Signed eapir. n vcr Engineering Services Company P- n RIX 7719QA Date Engle nlver, AK 99577 Ba+ k193 MOA No. J`o - .7-Y Receipt No. Date of Payment Amount: $ 72-M (Ray. TM) Back Receipt No. HAA guideline$. in-effeenon.the date of this Zle kA ny: as aa••• • fi rf a r'S Seal Waiver Fee: $ Date of Payment Page 2 of 2 Louis A. Polero CE -6736 NOV 09 'SO 15:35 HTL-ANCHORAGE 907 27a -9u45 P.1/2 NORTHERN TESTING LABORATORIES, INC. 2505 FAIRBANKS STRFFT 3390 INDUTMAL WAY Eagle River Engin-.rinq PO. Box 773294 Eagle River Ax 99577 Attns Louie Dutrra Our Lab 4: A106880 'Location/Project: RaglR Park your Sarple ID: Lot 5, Rlk 2 Sairpl" M„trix: Water CcrJwwnt 9: ANCHORAGE, ALASKA 99503 907.277-6378 • FAX 274-95a5 FAIRBANKS, ALASKA 99701 90745&3118 • FAX 1563125 Report Date: 11/09/90 Date Arrived: 11/05/90 Date Samplod: 10/05/90 Time Sanpl"d: 1530 Collected By: SR Flag Definitions U Below Detection Limit DL stated in Result D - Below Regulatory Min. H = Above Regulatory Pax. E - Below Detection Limit Edtimated Valuc Reported Sy: Fr$ncoks Rodiga Anchorage Operations Manager DatF Method ParametRr unites Result Flag Analyzed _------------------------------------------------------------------------_--------- -------- -------------- ------------------------------------------------------------- EPA 300.0 NitratR-N EPA mg/1 4.2 11/08/90 Reported Sy: Fr$ncoks Rodiga Anchorage Operations Manager 1 F ofd �. � LLI LMLO 1l_.�.uLf� LtIL2�,,• GREATER ANCHORAGE AREA BOROUGH �S Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Approval requested by Mailing Address: Property Owner Mailing Address: Date Received April 1, 1976 Time of Inspection :30/a.m. Date of Inspection 4-5K6 REQUEST FOR APPROVAL OF Fr d — nday INDIVIDUAL SEWER & WATER FACILITIES FOR Conv. Alaska Mutual Savings Bank — Teamsters Branch Post Office Box 8-9093 Duncan Mc Leod NHN Raven Street, Eagle River Phone: 274-5722 Phone: 694-9489 3. Legal Description: Lot 5 Block 2 Eagle Park Subdivision 4. Location: Nei Raven Street 5. 6. 17. Type of facility to be inspected Single Family Well Data: A. Type _ Individual C. Construction Sewage Disposal System: On—site system. No. of bedrooms 3 B. Depth 90 — 100' D. Bacterial Analysis y" Y' A. Installed Approx 3 yrs. ag®. Installer C. Septic Tank: 1. Size ^� 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. ateria E. Disposal Field: Total length of lines 8. Distances: A. Well to: Septic tank , Absorption area Sewer Lines _, Nearest lot line Other contamination B. Foundation to septic tank Absorption area C. Absorption area to nearest lot line EQ -034 (1/74) Page 1 of two pages ,Page -•2 of two pages - RE est for Approval of Individual r &Water Facilities Legal Description Lot 5 Block 2 Eagle Park Subdivision Comments Approved Disapproved Date -1 44&- Approval,Valid for one year`fromdate signed ` GreaterlAnchorage Area Borough Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED J. � EQ -034 (1/74) Date e • MUMCIPALITY OF ANCHOP.AGE MUNICIPALITY OF ANCHORAGE DEPT. OF HEO.LTH S DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ENVIRONMENTAL MOTECTION 2510 East Tudor Road, Anchorapa, Alaska 99504 276.2221 REQUEST FOR APPROVAL OF APR 1 1976 INDIVIDUAL SEWER and WATER FACILITIES RECEIVED E C E I 1/ h C D � 1. Type of Inspection: CMRO VA FHA CONV 2. Property Owner: Mailing Address: �f�f /v Day one: 72 q�W 3. Name of Buyer: Mailing Address: l " -e: 4. Name of Lending Institution� : / io9 "` l Mailing Address:—/ /Qj,' 5. Name of Realtor or Agent:'� Mailing Address: 6fS1/ '<W - r� ,Q/� 92.;L-05--71 6. Legal Description: /f// )�-1611 Location. X116 7. Type of Facility to be Inspected: QS -77 7 ' No. Bdrms. B. Water Supply Type of Supply: Public Utility Individual 1/ If Individual, number of dwellings presently served If Individual, depth of well 90 led / 8. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation P.nroA Ski" ©l d 72.003(3/76) •� w } � � ������ ��� 5- 3,3y ROBERT C. JOHNSON Registered Land Surveyor P. 0. Box 456 EAGLE RIVER. ALASKA 99577 / .71z,0l%3 bcYi VlS�o%t was r1iJcvsS-ted ,,• s lic •` .c e— Cl rJ // �7-¢- / /3 30 2 vsac� �3 �or�y d , C Teeter Anchorage Area $nroWj% PLANNING DEPARTMEn JUL 261973 694.2543 or 6949210 Ry rte/ ROBERT C. JOHNSON Registered Land Surveyor 7 P. 0. Box 456 EAGLE RIVER, ALASKA 99577 717- c /73 y..-/ , t ,./ � SvbcY,Vl�/oAl— t ..c .e- a r, e/ Sv r/ -o �, i2 d / /o �k / /� w.e rJz. vS •.cf Y o d a?�irrrn iec 41 1` -t'CeLCs k Ti.r_S 'w<'ieft �- G%! e 694.2543 or 694.9210