HomeMy WebLinkAboutEAGLE RIVER HEIGHTS BLK 2 LT 15Eagle River
Heights
Block 2
Lot 15
#050-281-26
Municipality of Anchorage
On -Site Water and Wastewater Section - (907) 343-7904 Page of
ON -SITE WASTEWATER INSPECTION REPORT
Permit Number:.OSP241097 PID Number: 050-281-26
Dwelling: 2 Single Family (SF) n with ADU n Duplex (D) n Two Single Family Project: n New E Upgrade
Name
SCOTT & BONNIE DELAPP
ABSORPTION FIELD - EXISTING
n Deep Trench 1771 Wide Trench n Bed n Mound
Site Address
10119 WIDLWOOD STREE, EAGLE RIVER
El Other
Phone
Number of Bedrooms
Soil Rating
depth from original grade
1 3
GPD/SF
JTotal
Ft.
LEGAL DESCRIPTION
Depth to pipe invert from original grade
Ft.
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
EAGLE RIVER HEIGHTS 2 15
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' i
Septic Absorption Holding Sewer
Lift Station
Total absorption area
Number of trenches
Dist. between trenches
From Tank Field Tank Line
Ft2
Ft.
Well *83'+ 25'+
TANK [E Septic 0 S.T,E.P. El Holding El Other
Manufacturer
GREER
Capacity
1000 Gal.
Surface Water 100,+
Material
HDPE
Number of compartments
2
Lot Line 6'+ NA
Foundation 10'
LIFT STATION
Manufacturer
Capacity
Gal.
Remarks Deep burial tank. *MOA waiver.
Alarm location
Electrical installed by
PIPE MATERIAL House to tank 3.0,34 drainfield Tank to 3034
Installer JRs
�
Drainfield CO/MT 3034
Inspector FWCS
BENCH MARK (Assumed elevation) 100 ft
Inspectes:tion 1 " 6/6/24 2 6/10124
da
Location and description
3 d 4 th ITOP
OF MANHOLE
ON -SITE WATER AND WASTEWATER SECTION APPROVAL
kk
AG 1�
Conditional Approval: Date
AW
7H
. ......... .
Septic System
A
• Curtiss Huffman
roved -
Date /z, Z02-1
Z,, CE128991
6_111P
fi/ 10/24
Note: this approval does not include well permit requirements.
(Rev UbMlld)
26.2'
41
.
4
'
4.0'
20
.
9
'
26.2'
20
.
1
'
4.0'
42
.
2
'
STORY
3BR HOUSE
SINGLE
SHED
GAS MTR.
ELEC. MTR.
100' WELL
RADIUS
PAVERS
BRICK
PID:050-281-26 PERMIT:OSP241097
FIRST WATER CONSULTING
EAGLE RIVER HEIGHTS BLOCK 2, LOT 15
33'
LOT 14
BLOCK 2
LOT 46B
BLOCK 2
LOT 1"7
BLOCK 2
LOT 16
BLOCK 2
LOT 46A
BLOCK 2
ASPLS MORTGAGE LOCATION SURVEY NOTES:
NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE
RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS
MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS
MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE
CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES
NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT
A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN
THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR
OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY
EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED
FOR SERVICES IN PREPARATION OF THIS PRODUCT.
LEGEND
O RECORD DATA PER PLAT #P-588
EDGE OF ASPHALT
WOOD FENCE
® PADMOUNTED TRANSFORMER
0 UTILITY PEDESTAL
SEPTIC PIPE
MH SEPTIC TANK LID
WELL
DECK
0 CONCRETE
0' 20' 40'
SCALE: 1" = 20 FEET
(11"x17")
�_" F. A�gsl
j *'••49TTH ... *1
J ••Ryan G. Johnson;
r�+,•.No. 192159 ,•�
' . 6/ 10/202.4• - AW
AS -BUILT OF:
MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP241097
Work Type: Septic Upgrade
Tax Code Number: 05028126000
Site Legal Address: EAGLE RIVER HEIGHTS BILK 2 LT 15 G:0053
Site Mailing Address: 10119 WILDWOOD ST, Eagle River
Owner: DELAPP CHRISTOPHER SCOTT &
Design Engineer: FIRST WATER CONSULTING
This permit is for the construction of:
Effective Date
Expiration Date:
Lot Size in Sq Ft:
Total Bedrooms:
6/3/2024
6/3/2025
10824
❑ Disposal Field 21 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ 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
Special Provisions:
• Prior to construction locate the beginning of the field in order to ensure the required separation is met.
Received -By: � 5 e" we -"o e - Date:
Issued By: Date:
Municipality
®®
U-.p,n tmenr
P.O. Box 196650 0 4700 Elmore Road
Anchorage, Alaska 99519-6650 0 (907) 343-7904 0 Fax (907) 343-7997
http://www.muni.org/Onsite
Development icDivision
On -Site Water and Wastewater Program
* * * * VARIANCE/WAIVER REVIEW * * * *
Waiver#: WR050078 COSA#: Permit#:OSP241097
PID#: 050-281-26
Legal Description: Eagle River Heights Blk 2 Lt 15
Engineer: First Water Consulting
Your request for a waiver of the required 100 feet horizontal separation from the septic tank to the
private well has been approved. The approved separation distance is 83.0 feet. This is an
amendment of the 2005 waiver, valid for the proposed tank.
This waiver approval applies to the proposed 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.
Waiver is Granted: X Waiver is not Granted:
Date: Approved by: Y
Name of Revie
........................................................ ■ ................. ■ 1
**** VARHANCEMAIVER REVIEW ****
MUNICIPALITY OF
ri
Development Services Department
On -Site Water & Wastewater Section
Parcel I.D. 050-281-26
ANCHORAGE
ON-SITE SEPTIC/WELL PERMIT APPLICATION
Property owner(s) CHRISTOPHER & BONNIE DELAPP Day phone
Mailing address 10119 WILDWOOD STREET, EAGLE RIVER, AK 99577
Site address 10119 WILDWOOD STREET, EAGLE RIVER, AK 99577
Phone- 907-343-7904
Fax- 907-343-7997
Legal description (Sub'd., Block & Lot) EAGLE RIVER HEIGHTS BLOCK 2, LOT 15
Legal description (Township, Range & Section)
Lot Size 10,824 Sq. Ft. Number of Bedrooms
APPLICATION IS FOR:
APPLICATION IS AN:
TYPE OF DWELLING:
(N all that apply)
Absorption Field
❑
Initial F]
Single Family (SF) El
(w/wo ADU)
Septic Tank
R.
Upgrade RX
Duplex (D) FJ
Holding Tank
R
Renewal R
Multiple Dwellings ❑
Privy
❑
(SF and/or D)
Private Well
❑
Water Storage
❑
THIS APPLICATION INCLUDES
A WAIVER REQUEST FOR:
Distance:
I certify that the above information is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/ ush Fees: $7_Z "
Date of Payment: 057/20tz:4-
Receipt Number: 1102 -44 -
Permit No. 05 P 2 -4 -12:J7 --
Waiver Fees:
Date of Payment:
Receipt Number:
Waiver No.
GADevelopment Services\Building Safety\On Site Water and WastewaterTorms\Client FormsTermit Application.doc
13030 Sues Way, Anchorage, AK 99516
907-350-9566 / FirstWaterAK@gmail.com
!
!!
May 18, 2024
Municipalities of Anchorage
On-Site Water & Wastewater Program
4700 Elmore Road
Anchorage, AK 99507
RE: SEPTIC TANK UPGRADE PERMIT & AMENDED WAIVER
LEGAL: EAGLE RIVER HEIGHTS BLOCK 2, LOT 15
The owner has requested that we obtain a septic permit to upgrade the existing aged steel septic tank on
the above referenced lot. Due to the small lot, future flexibility & current functionality - we propose to
install a 1000-gallon HDPE tank per the attached design to serve the existing 3 -bedroom residence. We
would recommend a 1500-gallon septic tank be installed for current functionality and future flexibility.
There is an existing waiver (WR#050078) of 86’ to the referenced well and the existing steel septic tank
that was granted per the MOA record documents along with the apparent incorrect survey from Robert C
Johnson in 1984. We subsequently had this lot resurveyed and found the existing tank to be a few feet
closer. We are therefore requesting that this waiver be amended accordingly to 83’ from the existing well
to the proposed HDPE septic tank.
Granting the continuation of this waiver is warranted per the rationale of the initial issuance, the improved
material of the HDPE tank compared to the existing steel tank, the well is on the opposite side of the
house with no chance of surface effluent reaching the well. There have been no known issues or
influence over the past few decades from the previous existing tank. The attached, recent nitrate levels are
in the mid-range of the acceptable levels with the well on the opposite side of the house.
No groundwater was noted in the MOA on-site file, but if groundwater is encountered during installation
an epoxy coated steel septic tank may be required. The lot and area are served by a mix of private &
public water and any encroaching wells, easements, … must be staked prior to construction. The design
will not impact any of the neighboring properties. Please contact us if you have any questions.
Sincerely,
Curtis Huffman, P.E.
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241097, Deb Wockenfuss, 06/03/24
26.2'
41
.4'
4.0'
20
.
9'
26.2'
20
.1'
4.0'
42
.
2'
STORY
3BR HOUSE
SINGLE
SHED
GAS MTR.
ELEC. MTR.
100' WELL
RADIUS
PAVERS
BRICK
100' WELL
RADII
APPROX.
FIRST WATER CONSULTING
NO PUBLIC WELLS
WITHIN 200' OR
PRIVATE WELLS
WITHIN 100' OF
PROPOSED
SEPTIC TANK
EAGLE RIVER HEIGHTS BLOCK 2, LOT 15
DESIGN DETAILS:
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP241097, Deb Wockenfuss, 06/03/24
33'
LOT 14
BLOCK 2
LOT 46B
BLOCK 2
LOT 1"7
BLOCK 2
ASPLS MORTGAGE LOCATION SURVEY NOTES:
NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE
RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS
MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS
MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE
CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES
NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT
A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN
THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR
OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY
EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED
FOR SERVICES IN PREPARATION OF THIS PRODUCT.
LEGEND
()
RECORD DATA PER PLAT #P -588
T EDGE OF ASPHALT
WOOD FENCE
®
PADMOUNTED TRANSFORMER
0
UTILITY PEDESTAL
O
SEPTIC PIPE
QQ
WELL
®
DECK
LOT 16 0
CONCRETE
BLOCK 2
LOT 46A
BLOCK 2
0' 20' 40'
SCALE: I"= 20 FEET
(11"x17")
F.Ak
��?• • Mil
*: 49TH '•* r
Ryan G. Johnson;- /
�'• No. 192159 ��
li�fF,f, p 51171202.4. -.*_N AW
XP
AS -BUILT OF:
'MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 2644720
ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME(� / /�r��\NEW
I� �'1M
9 y%��
LJ UPGRADE
MAILING ADDRE
•O • d S
LEGAL DESCRIPTION ['-i1�
• • '(� 1J
LOCATION
O
NO. OF B�pROOMS
S
OY
DISTANCE TO:
Well9i
`
Absorption area /
Dwelling
�Q
PERMIT NO
� O1is
`�'''
�
EQ
yF
Manufacturer ePi�.
Materigi,�
ill
No. of compartments
Lin. capacity in gallons
non6
IF HOMEMADE:
Inside length
Width
Liquid depth
DISTANCE TO:
Well
Dwelling
PERMIT NO.
_? t-
Manufacturer
Material
Liquid capacity in gallons
W =
DISTANCE TO:
Well /
O
Foundation /�
/6
Nearest lot line
PERMIT NO. rj
to/ 57
t, u. Z
F-a¢
2 f
Cinches
No. of lin Leny?h 5f each line/
/
Top of fila to finish grade 3 �
Total length ofAm p,� / Trench h
j$ inches
Material beneat file
Distance betwe S.
/g
Total ellectiv absorption area
oZ d
W
Length
Width
Depth
PERMIT NO.
C F
W E:
Type of crib
Crib diameter
Crib depth
Total effective absorption area
W
to
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
W
Class
Depth
Driller
Distance to lot line
PERMIT NO.
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
PIPE MAT RIALS
5?/n 3 vc
SOIL TEST RATING NO
INSTALLER
REMARKS
A B_ RI /
A c
lid
w
8
APPROVE DATE LEGAL
APPLICANT CLARENCE LAMAY C/O C,BA PO BOX 541 694 2767
LOCATION WILDWOOD ST
LEGAL L15 82 EAGLE P,IVP HTS LOT SIZE 10742 SQUARE FEET
TYPE OF SOIL ABSOP,BTION SYSTEM IS: TRENCH
MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING CSO FTtBR)= 140
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
CEF'TH= 'g LEt•dGTH= =-C- o+
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IPJ FEET).
F<:EC!U I F<:E[> SEPT I r TFit-JFC 1C--ICEIC, C3nL_LOt-4
,PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
'.NUMBER: OF PESIDENCES THAT THE WELL WILL SERVE.
--- TWL1 to 20 7 I tAcoF•ECT I EDTA c KFK E F'EC LJ I F:EL> ---
.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.
OTHER R:EQUIR:EMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER.. INSTALLATION.
PEF?t1 I T EXP I F'E-. 0ECTE IE.EK DIL, IL CA r Sa
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOP ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
'3: I UNDERSTAND THAT THE.OM-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED
APPLICANT CLARENCE LAMAY C/O C.BARR
ISSUED BY
V3. 2
t1�_�FJ I C I
PfHL I T4' OF Ffr4(-_"ON_FiGE
DEPARTMENT
OF HEALTH
AND ENVIRONMENTAL PROTECTION
Cl
825 'L'
STREET,
ANCHORAGE, AK. 99501
264-4720
20
Ot-4--•ITE
s-,EFJER PERMIT
PERMIT NO. C 790199 )
Jam/
APPLICANT CLARENCE LAMAY C/O C,BA PO BOX 541 694 2767
LOCATION WILDWOOD ST
LEGAL L15 82 EAGLE P,IVP HTS LOT SIZE 10742 SQUARE FEET
TYPE OF SOIL ABSOP,BTION SYSTEM IS: TRENCH
MAXIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING CSO FTtBR)= 140
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
CEF'TH= 'g LEt•dGTH= =-C- o+
THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IPJ FEET).
F<:EC!U I F<:E[> SEPT I r TFit-JFC 1C--ICEIC, C3nL_LOt-4
,PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
'.NUMBER: OF PESIDENCES THAT THE WELL WILL SERVE.
--- TWL1 to 20 7 I tAcoF•ECT I EDTA c KFK E F'EC LJ I F:EL> ---
.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.
OTHER R:EQUIR:EMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE
AVAILABLE TO INSURE PROPER.. INSTALLATION.
PEF?t1 I T EXP I F'E-. 0ECTE IE.EK DIL, IL CA r Sa
I CERTIFY THAT
1: I AM FAMILIAR WITH THE REQUIREMENTS FOP ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
'3: I UNDERSTAND THAT THE.OM-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED
APPLICANT CLARENCE LAMAY C/O C.BARR
ISSUED BY
V3. 2
Steven -A. Johnson
P. -O. Box 76
Chugiak, AK 99567
Phone: 907-688-3085
PERFORMED
SOILS LOG - PERCOLATION TEST
L
LEGAL DESCRIPTION: L04, 1S'
DEPTH r e.� - b
IFEETI rc,Ov1 SA.wd,l
Ie -
0 SOILS LOG
❑ PERCOLATION
TEST
-DATE PERFORMED:
1
r
Gn
01'rG.0 r, V." a., Si•/ 6A C a�
2
w se �� P� �1,b��z)►�at
3
— — — — — —
4
5�tiy �rDwh Sltiwd
So�c�
5
op
W�D'�Sil r1 C1 a0 50.
e
V40 Ist)
7
s
9
— —\ —
gr�� �•f41h .S(/uNCw �CWVUI vlo y� 0
to
lJ
..J I i1H4 S•tlf�
11
Iy\ I f { �� P\ WAS GROUND WATER S
JJ ENCOUNTERED? _ N c7 L
12-
O
ill 01" P
E
IF VES. AT WHAT
DEPTH?
13
14-
15-
16-
17-
is-
19-
20-
PERCOLATION
o 1516171819
---III♦.--II■--
20PERCOLATION RATE (mhwt"AnCh)
TEST RUN BETWEEN FT AND FT
COMM
PERFORMED BY: S.t f -' 6., A "a 0 �' KS M CERTIFIED
72 000 17/76)
(4%
FE
Uttf•:id CFOUON
DEPT.
by _
•' DOCCo.aea JUN Q 1519
SULLIVAN WATER WELLS RECEIVED
r P.O. BOK 272. CHUGIAK. ALASKA 99587 • TELEPHONE SU -2759
i
s
OWNER OF LAND LI•'i7. ,'7 I" Nri • moi, DEPTH OF WELL Z2
ADDRESS —r" " C/ t 4~ • f, STATIC LEVEL OF WATER FT. 70'
LEGAL DESCRIPTION Zt �T'-<' _7 r • C • SCJ RAW DOWNFT.
DATF.•Starled `r/e-,Ended if/�=s GALS. PER HR 7�r�
PERMIT NUMBER 2'% n I C C2 KIND OF CASvNG G + O 7
KIND OF FORMATION:
FromFt. toC�? Fl. /3.•<041iA)
From_FI.to_r.Ft.
From
From{¢_Ft. to—ii I—Ft.
FromFI. toLLQ_Ft. S' -a0 r� (ti'✓r L
From //O Ft.t01J1_Ft.
From4L2—Ft. to /2a Ft. �c'- �r) C <�r ✓ eG t
From Ft. to Ft. Z-0,4 ir:
From
Ft. to
Ft
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From Ft. to Ft.
From Ft. to Ft.
From Ft. to Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
Frons
Ft. to
Ft.
From
Ft. to
Ft
Fr0111
Ft. to
—re
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Fl.
From
Ft. to
Ft.
From
Ft. to
Ft.
From
Ft. to
Ft.
From Ft. to Ft. From Ft. to Ft
MISCL. INFORMATION:
DRILLER•SNAME _/L ,f
e--)
rlU1`4I r"' I P nL- I Tkr' ID F::-' FRf-J'-'"?F ,nC3C-
DEPAP;FMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
825 'L` STREET, ANCHORAGE, AK. 99501
264-4720
f.FELFL FaEFifl I T
PERMIT NO. C 790162 )
APPLICANT LAMAY CONST. CO. BOX 935 E. R.
LOCATION WILDOOD nn��
LEGAL L15 E2 E. R. HTS. S/DTF�R�'
694-9170
LOT SIZE 10807 SQUARE FEET
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.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE b1ELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAM'S ARE
AVAILABLE TO INSURE PROPER. INSTALLATION.
PERf•'1 I T EXP I FEES~ L7Er�EMF1ER �1r 1.� r �+
I CERTIFY THAT
1: I AM FAMILIAR, WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
fz
SIGNED:!
-- - ----------------------
APPL�I / LAMRY•QCONST. CO.
ISSUED EY_L� i_`_ ` ------DRTE_--:I/-/S ---
Q
V3. 2
Parcel I.D. 050-281-26
Certificate of On -Site Systems Approval
Expiration Date: / ` 2 -2,
Legal description EAGLE RIVER HEIGHTS BLK 2 LT 15
Site address 10119 WILDWOOD ST Eagle River AK
Current property owner(s) DELAPP
X The On -site system(s) is/are approved for 3 bedrooms
Conditional approval for
Comments or advisories:
bedrooms, with the following stipulations:
Original Certificate Date: //,Z- Z_ Y
This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject
system(s) is/are in substantial compliance with municipal code. The Municipality of
Anchorage, Development Services Department (DSD) issues COSAs based upon
representations provided by an independent professional engineer. The Municipality of
Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Well Flow Advisory
Absorption Field Advisory Nitrate Advisory X
Tank Age Advisory Arsenic Advisory
Other
COSA Approval June 2022
A
..........
Development Services Department Phone: 907-343-7904
On -Site Water & Wastewater Section Fax: 907-343-7997
Certificate of On -Site Systems Approval Application
1. GENERAL INFORMATION
Parcel I.D. 050-281-26
Complete legal description EAGLE RIVER HEIGHTS BLOCK 2, LOT 15
Location (site address) 10119 WILDWOOD STREET, EAGLE RIVER, AK 99577
Current property owner(s) CHRISTOPHER & BONNIE DELAPP Day phone
2. ON -SITE SYSTEMS SIZED FOR 3 BEDROOMS
3. TYPE OF WATER SUPPLY: Z Private Well r-1 Private Well serving 2 dwelling units
El Private Well serving 3+ dwelling units F1 Community Well or Public
n Water Storage
4. TYPE OF WASTEWATER DISPOSAL: M Private Septic r_1 Private Septic serving 2 dwelling units
F1 Holding Tank F-1 Community Septic or Public Sewer
5. SEPTIC TANK: n Steel Z Plastic n Concrete n Fiberglass
Age NEW - See advisory if steel older than 20 years
6. ABSORPTION FIELD: R AWWTS R Bed Z Deep Trench M Wide Trench F-1 Seepage Pit
Waiver request for: Distance:
Expedited review requested: Z
By applying for this entitlement, this property is subject to inspection by municipal On -site staff
to verify the accuracy of the information provided.
COSA Fee $ Waiver Fee $
Date of Payment ?_x2 Date of Payment
COSA # s tII, i(3- 9
Waiver #
COSA Appliration.doc
COSA Checklist.docx
COSA Checklist
Legal Description: Eagle River Heights Block 2, Lot 15 Parcel ID: 050-281-26
If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____
A. WELL DATA
Well log is filed with Onsite (or attached)
Date drilled 5/10/1979 Total depth 121’ 9” ft
Cased to 40+ ft (Per MOA docs / Unknown)
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 18 in.
Date of flow test for COSA 5/14/2024
Static water level at beginning of test 63 ft.
Well production at time of test 3.9 gpm
Water storage tank volume NONE gallons
Well disinfected for coliform test? Yes No
Coliform bacteria is Negative
Nitrate 7.75 mg/L Nitrate less than MRL (ND)
Arsenic ug/L Arsenic less than MRL (ND)
Collected by Date 5/14/24
Comments __________________________________________________________________________________
B. TANK DATA
Measured operating fluid level in septic tank NA
Date of pumping NEW TANK
Required maintenance completed, if AWWTS
Comments:
C. LIFT STATION
Required maintenance completed
Age of lift station years
Lift station material
Comments:
D. ABSORPTION FIELD DATA
Which system tested (date installed) 6/15/1979
ALL standpipes present per record drawing
Total measured depth from existing grade 8.2 ft (max)
Measured depth to pipe invert from grade 3.9 ft (min)
N/A – pressurized field.
Per record drawings, field is insulated.
Monitor tubes (MT) go to bottom of effective. (ED)
If not, state depth into effective 4.6’
Presoaked required if
(Required if house vacant or field not used for more
than 30 days prior to date of test)
Gallons introduced gallons date
Any rejuvenation treatment (past 12 months) N
If yes, enter date
Adequacy test date 5/14/2024
Results Pass
Fluid depth prior to test 7 in
Water added 470 gal
New fluid depth 42 in
Elapsed time 1350min
Final fluid depth 1 in (& 17” missing per below)
Absorption rate 450 gpd
FIELD STATUS – POST RECOVERY
Effective depth (per record drawings) 72 in (MOA 6’ ED)
Effective depth used 18 in (Final Fluid Depth & Missing ED)
Effective depth (ED) remaining 54 in
Comments/Deficiencies: Approximate total measured depths from existing grade. ED per elevation measured shots &
appears approximate with 4.6’ ED with 1.4’ or 17” ED missing. No sump found at end of field & appears previous testing
occurred by driven monitoring tube at the first portion of trench.
COSA Checklist.docx
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well on lot)
Septic Tank/Lift Station on Lot > 100’
Yes if No *83 ft
Neighboring Tank > 100’ Yes if No ft
Absorption Field on Lot > 100’ Yes if No ft
Neighboring Absorption Fields > 100’
Yes if No ft
Community Sewer Main > 75’ Yes if No ft
Community Sewer Manhole/Cleanout > 100’
Yes if No ft
Private Sewer/Septic Line > 25’ Yes if No ft
Holding Tank > 100’ Yes if No ft
Animal Containment > 50’ Yes if No ft
Manure/Animal Excreta Storage > 100’
Yes if No ft
N/A – Served by Community Well (not on lot) or Public Water
From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required)
Building Foundations > 10’ Yes if No ft
Tank to Property Line > 5’ Yes if No ft
Field to Property Line > 10’ Yes if No **5 ft
Water Main > 10’ Yes if No ft
Water Service Line > 10’ Yes if No ft
Surface Water > 100’ Yes if No ft
Wells on Adjacent Lots:
Private Wells > 100’ Yes if No ft
Community Wells > 200’ Yes if No ft
If tank or field is under driveway comment below
F. ENGINEER’S COMMENTS
*MOA WAIVER #WR050078. **MOA WAIVER #WR050079.
G. CERTIFICATION & 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, based
on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water
supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation, unless noted otherwise.
Name of Firm FIRST WATER CONSULTING Phone 907-350-9566
Engineer’s Printed Name CURTIS HUFFMAN, PE Date 6/10/24
Comments: This investigation was completed in compliance with MOA guidelines, regulations,
and best industry practices / methods. The assessment of the condition of the well and septic
applies only to the conditions as of the day tested. The flow and absorption rates may change
due to subsurface conditions that may not be observed from the surface, changes in land use,
local soil characteristics, groundwater levels that may fluctuate during the year, quality of
construction (workmanship & materials), the water usage of the family being served by the
system and maintenance. The operational life of all well and septic systems are subject to
these various and dynamic characteristics and are outside the control of the evaluator of the
well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory
for current or future occupants or guarantee that no unseen encroachments, deficiencies or
discrepancies exist can be given by First Water Consulting &
6/10/24
MUNICIPALITY
IANCHORAGE
DEVELOPMENT SERVICES DEPARTMENT ''°�`` 907-343-7904
On -Site water and Wastewater SeetiOn E� Easy: 343-7997
vvw.muni.org/onsite
Nitrate Advisory
Certificate of On -Site Systems Approval # OSC241189
Subdivision: EAGLE RIVER HEIGHTS, Block: 2, Lot: 15
A water sample revealed a nitrate concentration of 7.75 milligrams per liter (mg/L).
The Environmental Protection Agency (EPA) has established a maximum
contaminant level (MCL) of 10.0 mg/L for public drinking water systems. While
private wells are not subject to this regulation, EPA standards are based on existing
health information and can therefore be used to gauge the relative quality of water
from private wells. Since nitrates are known to slowly increase, we recommend
you monitor the water quality. Please see the attached "Nitrate Fact Sheet" for
important information regarding nitrate.
This advisory must be attached to all copies of the subject Certificate of On -Site
Systems Approval.
Nitrate Fact Sheet
From Northern Testing Laboratories, Inc.
Nitrate is a negatively charged compound of nitrogen and oxygen, which is very soluble in water. Nitrate
is not readily filtered or otherwise removed in the soil and can pass rapidly into ground water wells.
SOURCE: Nitrate is a major component of fertilizer and wastewater. Often the nitrate is in the form of
ammonia or protein first, which through contact with oxygen and certain bacteria, converts to the
oxidized form known as nitrate. Sources of nitrate from wastewater include urea, ammonia cleaners,
food solids, and bacterial cells. It may also result from the breakdown of organic matter buried in the soil.
TOXICITY: Nitrate is generally not toxic to adults or children over the age of two or three years, but is
associated with a potentially fatal infant disease called methemoglobinemia. In the digestive system of
young children, nitrate converts to nitrite, which can pass through the intestinal wall into the blood
stream. There it combines with the hemoglobin and interferes with the ability of the blood to carry
oxygen. For this reason, methemoglobinemia is referred to as "blue baby" disease. The EPA limits the
concentration of nitrate in public drinking water supplies to 10 mg/L. The standard has been lowered
from a previous level of 45 mg/L set by the US Public Health Service and the World Health Organization.
TREATMENT: due to its solubility in water and negative ionic charge, filtration and other common home
water treatment systems such as softening or iron filtration does not readily remove nitrate. The best
method for limiting nitrate in well water is source control. This can include avoiding overdosing of
fertilizer near the well and maintaining good separation distances between septic tank leach fields and
the well. A special anion exchange filter that contains a media with a strong affinity for negatively charged
ions in water, or by a reverse osmosis treatment system or distillation can remove nitrate.
TESTING: Nitrate analysis is usually done by one of the several "wet chemical" methods using a
spectrophotometer to read the final color endpoint. Specific ion electrodes also can be used to detect
the activity of nitrate in water. This laboratory uses several different wet chemical methods approved
under the public water supply laboratory certification program. They also have test kits available, which
the laboratory uses to perform an inexpensive "screening test", and with which the homeowner can
monitor the change in nitrate levels from their well. They recommend comparing the test kit results
against a certified analysis from the lab occasionally to verify the accuracy of the kit. We recommend
using a specially prepared bottle that has been rinsed in hydrochloric acid for collecting samples.
Mailing Address P. U Bbx'`196650 * An'chorage,`AMaska 99519-6650 * w.muni arg
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
,o•.i so,��ZOi a.�
� w
z w. err
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. Os -O — g -B/ HAA# 057)4�1�5
Expiration Date: 12 —.27 - 05
1. GENERAL INFORMATION
Complete legal description Lot 15, Block 2, Eagle River Heiphts S/D
Location (site address or'directions) 10119 Wildvnnt SfrnnT-r 81a River, AIE 09577
Current Propertyowner(s) Shirley tr Gary Knarn Day phone _688-3550
Mailing address `n f'ob5Cq Q.i1A tG�[11�L... A�j��
Lending agency Day phone
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well El
Individual Water Storage ❑
Community Class Well ❑
Public Water System ❑
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
a
Individual Holding tank
❑
Community On-site
❑
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 sample results. (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, I 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 Firm S & S Engineering Phone694-2979
Address 17034 Eavle River Ln Rd - EnP RRiver_ Ak %9577
Engineer's Printed Name Robert C. Cowan Date _`j /".X /v r-
5. DSD SIGNATURE
Approved for 3 bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
Note: The well for this property meets existing State and Alunicipal Codes. There are nitrates
present. It is suggested that periodic testing be performed to insure the wells continued suitability.
Current nitrate concentration is 9.36 mg/l. EPA maximum concentration is 10.0 mg/l. Afore
Information on nitrates Is available from the On -Site Services Program, at 343-7904.
Attachments:
HAA Checklist X
Septic System Advisory
Well Flow Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
By: (}-C _ Original Certificate Date: - z %'
(R,V 01003)
Municipality of Anchorage
,• Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907)343-7904
HEALTH AUTHORITY APPROVAL CHECKLI�T
Legal Description: 4#T �rJ �IAU[ :� 6q6 ;Zr:e_NrQfTS ParcelIb:OSy
A. WELL DATA
Well typeT'_QVhnt✓
Date completed 5/14f,
Total depth LZ7 ft.
If A, B, or C provide PWSID #
Sanitary seal ON) yt
Cased to oa 4 ft.
FROM WELL LOG
Date of test !31/ 0
Static water level 70' ft.
Well production 30 g.p.m.
WATER SAMPLE RESULTS: yy��
Coliform colonies/100 ml. Nitrat�"_1'_%_mg./l.
Arsenic: = mg.A. Date of sample:0406
B. SEPTIC/HOLDING TANK DATA
Well LoaN) �lrrs
Wires properly protected CYN) 1-/E
Casing height (above ground) I } -4 in.
AT INSPECTION
glo5
g.p.m.
Other bacteria 'Q colonies/100 ml.
Collected by: 54-S �>y6f�clErvel+u(
Tank Type/Material S _ FTIL / ,-r C15 -t,- Date installed / 5
Tank size 1006 gal. Number of Compartments Cleanouts JTN) �6 �
Foundation cleanoullf)N) %g Depression over tank (Y(® _&20 Hj
�igh water alarm (Y/®IV O
Date of pumping 9 $ 0 Pumper SFtPJI f Uir tZS
C. ABSORPTION FIELD DATA
Date installed 5&}ISoil rating (g.p.cldft2 o /bdrm / System type -7 P -15-t C(-4
Length y 3 1 ft.. Width ► 1 '� r ft. Gravel below pipe ft.
Total depth � ft ft. Eff. absorption area I o� Monitoring tube Depression over field V_�0
Date of adequacy test ( 0 s Result (Pas ail) �� For '5L bedrooms
Fluid depth in absorption field before tes-)Pk in. Water added gal. New depth in.
Elapsed Time: � min. Final fluid depth -n. Absorption rate >= 1460+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y49�9 type) N1 (.7 If yes, give date
D. LIFT STATION
Date installed Size in gallons
"Pump on' level at _ in. 'Pum a _ in.
Datum Cycles tested
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
High water alarm level at
Meets alarm 8 circuit requirements?
Septic tank/lift station on lot 91, On adjacent lots / 00 4-
i
Absorption field on lot Ion t -I On adjacent lots f OCD {-
Public sewer main N lR Public sewer manhole/cleanout N A
Sewer /septic service line 2S t Holding tank N Ik
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation
54
Property line
Absorption field 5 +
Water main
M {R-
Water service line 1 D L f-
Surface water (_00 t+
�f
Wells on adjacent Tots �_
in.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
t r
Property line S Building foundation /04- Water main
Water Service line /64 Surface water 10o t'F Driveway, parking/vehicle storage
( NbT VA1dt�
Curtain drain "&Ax- le. Wells on adjacent lots 100 -1- Cr�1vE��
F. COMMENTS
N
to c,�+sc� cStst+�k cip'i ,ems -Or
A�
G. ENGINEER'S CERTIFICATIONpt� -q
that I VNL et mined throe
1 ceR�fy that 1 have determined through field inspections and �
review of Municipal records that the above systems are in ! f�
conformance with MOA HAA guidelines in effect on this date.
'
En ineers Printed Name !� C J4.4 ; C• 'd �Ar ' �-1 COWAN
Engineer's �� �� RosERT C
CE-8801
Date i /� A r
HAA Fee $ 3 O Waiver Fee $ i % �_
G -g- os
Date of PaymentlQ'Z2" 05� 9 " �' O Date of Payment <4--��. 7 q' 2 - or
Receipt Number Receipt Number Cn 10S %
(Rev. 12/01) �J `
p
/�:: f/ f s..e r� Y U f• a.a 'i -s. C s_ 3 u _ d s'
c.'
AS -BUILT
I hereby certify that I have curve •ed the following
descyibed orooertv:LL' Z
157 scc�12�T_I�( N�_Rzty fli 1
A:ichorage Recording Precinct, Alaska, and that the
Improvements situated thereon are within the property t
lines and do not overla-) or encroach on the property
lying adjn�ent thereto, that no improvements on prop-
erty lying adjacent thereto encroach on the, promisee in
gne,tion and that there are no roadways, tranernls;:on }
I. -os or cth,r visible easements on said property except j
as indic:,tod hereon.
Dat dTA Eyle River, Alaska
this __day of__Sr4i_
P.OBERT C. MIMSON W Ofj-
SCALE: r I'.•:—istered Land Surveyor No. 880 -LS .
450, Eagle River, Alaska
Phone 6:14.2543
August 23, 2005
S&S Engineering
R.E. 10119 Wildwood
ARCTIC PUMP & WELL INC.
Jim Sullivan
PO Box 770197
Eagle River, AK 99577
(907) 688-2510
On 8-23-05 We Performed A well survey at this property
66 static
104 pump set
121 deep
12 pittless
40+ casing
We also installed A MOA Well seal
Please feel free to contact us with any further questions.
Sincerely,
Jim Sullivan
September 2, 2005
ROBERT C. COWAN, P.E.
ROBERTA. SHAFER, P.E.
CML ENGINEERS
(907)694-2979
FAX (907) 6941211
1£ALTNAUTNDRTY
`
APPROVALS
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
SEWER&WATER
MAIN OMN$IONS
Anchorage, AK 99519-6650
REFERENCE: Lot 15; Block 2: Eagle River Heights Subdivision
SEWERSWATER
INSPECTION
Request you grant a waiver on the referenced property for the horizontal separation
distance between the 4T,#r,c and the well at 91 feet I Brrwr<.- rri� r�� cH i.iAd
T
ENCIREULAES
.4. ,4 7/Y<
ANDREPORTS
ORTs
We do not anticipate any adverse effect on the well. cz NI -o r H &ArAr- Pat 4 re S ,
If you require additional information, please contact us.
WELLNSPECRON
6 PLOW TEST
SITE PLANSRobert
/Sincerely, J
C. C. Cowan, P.E.
RCC/ts
ROAD DESIGN
WIL TEST
PERCOLATION
TEST
STRXTLIRAL S
MECKANICAL
NSPECNONS
ONSITE
WASTEWATER
DLSPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
O
)Mayor Mark Begich
Municipality of Anchorage
P0. Mm 1(1X674) • Anchorngc, Alaska! K519 6650 • Telephone (007043 -SMI • I m 1!X17) 34.3 -RAX)
47011 nmgaw Strecl • Anchomgc, Alaska 9!6507
imwn...nLorg
I3uilding Safety D vIslon
September 28, 2005
Robert Cowan, P.E.
S&S Engineering
17034 Eagle River Loop Road, Suite 204
Eagle River, AK 99577
Subject: Waiver Request for Eagle River Ileights Block 2 Lot 15
Waiver Request WR#: 050079
Parcel ID # 050-281-26
IIA050448
Dear Robert Cowan, P.E.:
Your request for a waiver of the required 10 feet horizontal separation from the
absorption field to the propertyline has been approved. The approved separation
distance is 5.0 feet.
This waiver approval applies to the existing absorption field to property line separation
only. Any future upgrade to the on-site wastewater disposal system will require all
separation distances be met or another approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
rocGoodall
Civil Engineer
On -Site Water & Wastewater Program
Community, Security, Prosperity
Municipality of Anchorage
e�� o
�' CO. Ilur 19(ifii0 • AncLnrngc, ALizlm 9!k51'.Ffif i(l • Tcicphonc (!N)7) 313'~at()I • 1'ax ((.) ) 3t34i2")
47(X) Ilntpw Stmet • Anchorage, Alaska 9.rA)7
xim munl.org
Mayor Mark I3cyich
Iluilding Safety Dhisiorl
September 27, 2005
Robert Cowan, P.E.
S&S Engineering
17034 Eagle River Loop Road, Suite 204
Eagle River, AK 99577
Subject: Waiver Request for Eagle River Heights Block 2 Lot 15
Waiver Request WR#: 050078
Parcel ID # 050-281-26
IIA050448
Dear Robert Cowan, P.E.:
Your request for a waiver of the required 100 feet horizontal separation from the
septic tank to the private well has been approved.. The approved separation distance is
86.0 feet.
This waiver approval applies to the existing septic tank to private well separation only.
Any future upgrade to the on-site wastewater disposal system will require all separation
distances be met or another approval from this department.
If there arc any further concerns or questions regarding this waiver, please call our office
at 343-7904.
Sincerely,
OorGd l
Civil Engineer
On -Site Water & Wastewater Program
Contnlunity, Security, Prosperity
Municipality of Anchorage
Development Services Department
1 Building Safety Division
On•Sitc Water and Wastewater Program
4700 Bragaw Strccl
P.O. Box 196650 Anchorage, AK 99519.6650
www.ci.anchoragc.ak.us
(907)343.7904
Waiver Review Worksheet
WR#:050078 PID#:050-281-26 HA/Permit# IIA050448
Date Received: September 27, 2005
Legal Description: Eagle River Heights Block 2 Lot 15
Engineer:
Robert Cowan, P.E.
S&S Engineering
17034 Eagle River Loop Road, Suite 204
Eagle River, AK 99577
Applicant: Gary Kosto
Waiver Requested: 66 FOOT WELL TO TANK HORIZONTAL SEPARATION DISTANCE
Criteria: Geology Points:
A. Water Table 7.06
B. Soil Sorption 2.50
C. Permeability 1.17
D. Water Table Gradient 2.90
E. Horizontal Separation 2.44
Total: _ _16.073',
...............•..........................................................
Waiver is Granted: X
List Conditions or Reasons for above:
Waiver is not Granted:
Date: 9/27/05 By: Joe Goodall
Name of Reviewer
Recti: Amount: $2 Date Paid: 912712005
State of Alaska:
Separation Distance Waiver Guidelines for S.C.R.O.
(State of Alaska Memorandum to District Office Engineers dated January 3,1985)
Waiver Request for: Eagle River Heights Block 2 Lot 15
Parcel I D#: 050-281-26
Waiver Request Number WR#: 050078
Waiver Requested: 86 FOOT WELL TO TANK HORIZONTAL SEPARATION DISTANCE
Engineer: Robert Cowan, P.E.
ITA050448
Septic Tank Data
The septic tank has been in existence since 1979. See S&S
Engineerings letter dated September 21, 2005. The septic tank was
pumped and approximately 1000 gallons of contents were removed.
S&S Engineering does not believe the septic tank has been
compromised in any way. For purposes of calculating points
assumed the bottom of the tank to be at 10 feet below ground surface
as indicated as depth of septic system.
JAY -41I
The well log for the property shows there to be a hard pan between
35 and 100 feet, which should act as an impermeable layer and then
there is a soil strata combination of sand and gravel down to 122 feet
which should provide as a filtration layer according to S&S
Engineering. The water sample results showed 9.36 mg/l nitrates,
which meet moa standards, however are relatively high. S&S
Engineering took samples from 3 other weels in the area which
shows those wells have elevated nitrates as well. There S&S
Engineering believes the elevated nitrates are not coming from the 86
foot encroachment from tank to well.
State of Alaska:
Separation Distance Waiver Guidelines for S.C.R.O.
(State of Alaska Memorandum to District Office Engineers dated January 3, 1985)
Waiver Request for: Eagle River Heights Block 2 Lot 15 -
Parcel ID#: 050-281-26
Waiver Request Number WR#: 050078
Waiver Requested: 86 FOOT WELL TO TANK HORIZONTAL SEPARATION DISTANCE
Engineer: Robert Cowan, P.E.
IIA050448
Water Table
Depth of well: 122
Depth of septic system: 10
112,
Distance from the bottom Point
of the system to the highest I value
water table in feet
0 0
8
1
17
2
24
3
30
4
40
5
85
6
100
7
290
8
1000
9
10
' Straight line Interpolation is permitted between any two values
Soil Sorbtion
Soil Type I
Point Value
Clean Gravel
0
Fractured Rock
1
Course Clean Sand
1.5
Sand w/ Small Amt of Clay
2.5
Silt
3.5
Clay and Sand Equal 4.5
Clay 6
Points nm
7.06
Points ,em
2.50
I 12,6 +r 112 ,1.5 + x12 1.5 +x521.5LT
+ 1112,2.5 +I 112, 0 + x1021 0 + x10210
1.3 + 0.1 + 0.2 + 0.7
0.2 + 0 + 0 + 0
'Use the predominant soil type but values can be averaged for a mixture
Permeability
Soil Type
Point Value
Clay(vrill channel)
0
Silt and Sandy Clay
2
Clayey Sand
3
Fine Sand
1.5
Sandy Gravel
1
Fractured Rock
0.9
Course Sand (30 grit)
0.4
Clean Gravel
0
Points ,.o,
1.17
r 25 l 12] 3 +F 11 112 ,.4 +[ 112].4 +� 12 51 ,.4
+ [_7 12, 3 +r 112, 1 + 1012, 1 + r 112, 1
0.67 + 0.04 + 0.05 + 0.18
0.19 + 0.04 + 0.00 + 0.00
'Use the predominant soil type but values can be averaged for a mixture
Gradient
0
%Slope
Points Value
-60%
0
In Feet
-30%
0.3
0
-20%
0.7
50
-10%
1.2
-5%
2
0%
2.9 D-
5%
5%
4.5
10%
6
}
60%
7
slopes toward well
Oat
slopes away from well
•If the gradient is unknown, assume the worst case
Horizontal
Horizontal
Point
Separation
Value
In Feet
0
0
25
0.7
50
1
75
2
100
3
150
5
200
6
300
7
Points .o,
2.90
Points ..o,
2.44
*Linear Interpolation between two point value is acceptable. Horizontally means
straight line distance to the well not the contaminate travel distance to water table
which may be greater.
Conclusion: Grant Waiver Total Points: 16.073;
2
. . . . . . . . . . . . . . .
r
,
•' •
••� t7
411f
HEALTHAftHOR11Y
APPRONLS
ROBErrT C. COWAN. P.E.
ROBERTA. SHAFER, PE.
CMLElNGINEERS
September 21, 2005 FAX(90 (907)694-2979
FAX (907) 694-1211
iTY OF ANCHORAGE
Services Department
SEWER &WATER T.O. Box 196650
&WN VMNSIJIS nchomae. AK 99519
REFERENCE: Lot 15; Block 2; Eagle River Heights S/D
SEWER & WATER
.aPEcn0N Request you grant a formal waiver for the separation distance behreen the existing
private well and the septic tank on the referenced property at 86 feet. This separation
distance was noted on the permit and inspection report issued in 1979. Because of this
ENGHEERNGSTLOIEs approval, it is our understanding that the owner will not have to bear the additional expense of
"REPORTS the M.O.A. waiver fee. To assist you in your review of this waiver we have included well logs
and water samples from 3 other properties in the area.
WELL INSPECTION I The mitigating factors involved which support the issuance of this waiver are as follows:
&PLOWTEsr
1. The topography of the referenced property slopes away from the well towards the
septic tank and system. This would prevent any surfacing effluent from flowing
SITE PIAM
toward the well.
2.. Septic tanks are not generally considered a constant source of contamination and
would not normally contribute contaminants to the surrounding soil. We have no
ROAD DESIGN
reason to believe this septic tank has been compromised in any way, as Sanitary
Pumpers pumped the tank on August 8, 2005 and removed the full 1000 gallons.
3. The well log (attached) for the referenced property shows a hard pan layer between
SIXTEST
2 and 35 feet, and sand gravel mixes from 35 to 100 feet. The hardpan layer would
form an impermeable layer to any vertically migrating effluent, and the deeper sand
layer would act as a filtration layer. The static water level for the subject well was
T`EEST`TnON
measured at 65 feet on September 1, 2005.
4. Water samples on the referenced property were taken in August of 2005 and came
back satisfactory, showing 0 coliform or other bacteria and 9.36 nitrates.
sTRUCRRiAL&
.,SPEcn0NS
5. We understand the nitrate levels are high, however, water samples were taken from
three other properties nearby (well logs included) and nitrate levels for these
properties are also high at 4.34, 7.18, and 8.3 mg/L respectively (attached). The
nitrate levels for all these properties are unusually high, and therefore it is our belief
ONSrTE
WASTEWATER
OISPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RNER LOOP • SUITE 204 • EAGLE FMR ALASKA 99577
Page 2
9/21/05
LIS; 132; Eagle River Ileights S/D
that the high nitrates in the well serving the referenced property is not due to the
well to septic separation distance.
6. Many of the surrounding properties are served by community or public sewer
systems, further decreasing the chance of any contamination because of the shorter
separation distance. Public sewer is not available to this property.
7. The system did receive initial approval by the M.O.A. on 6/15/1979. Well
separations for septic tanks constructed in this time frame (1979) have been known
to be installed at less than the required 100 feet of horizontal separation. The
separation distance in this case is 86 feet.
We therefore recommend a waiver for the separation distance between the existing private well
and the existing septic tank to 86 feet.
We do not anticipate any adverse effects on the neighboring properties by the granting of this
waiver.
If you have -any 0uestions, please contact us at 694-2979.
Shafer, P.E.
09-20-05;15:15 ;
SG$-
SCSRcf.x
1055942001
Client Name
S & S Engineering
Project NamdA
Lot 46B Eagle River Heights
Client Sample 3D
Lot 46B Eagle River Heights
Matrix
Drinking Water
PLASM 0
Sample Remarks:
:907 661 6301 : 2/ 3
All DateLMmes are Alaska Standard Time
Printed DatcMmc 09/19/2005 8:16
Collected DatwTime 09/12/2005 15:50
Received DateMme 09/12/2005 16:26
Technical Director Stephen C. Ede
Allo -able
hep
Analysis
Psnmeter Result POL
Units Method
container ID Limits
Date
Date
Init
Nitrate•N 130 0.100
mg/L EPA 3533
A (c.10)
09/13/05
PLW
APPLIC'^VT FILLS OUT UPPER HAV-�DNLY
Property Owner/-
'aa/oma y.�D, ��2 y��i
Mailing Address C y Zip Code Sl jv%i
Buyer
Address Zip Code
Lending Institution / . .0 r /,J� �i , 1'7/Q
Phone
Address Zip Code
Date
,�
Realty Co. d Agents vf�--9,; t/J� P ,1171/ -- IV4-1r11 rl1 t ll jer—,P.."-<
hone
/ 1
17X J
Address fj�Q — `/ ✓E' Zip Code
nS
Legal Description/ z -a/
^
I
Street Location `� �.
Typeo i
_ _fFlesidence
M'Single Family
O Multiple Family No. of Bedrooms
❑ Other
Water Sply
P t
log for June 1975.
ndividual
J'ATTACH WILL LOG. A well Is required all wells drilled since
❑ Community
For wells drilled prior to that date, give well depth (attach log If available).
❑ Public Utility /
•,_.�NOV
Sewer Isposal G
9�/
Individual Year Individual Installed: —
❑ Public Utility ���When Connected to Public Utility:
❑ Holding Tank -
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
Time
Time
Time
Time T
Date
Date
Date
Date
nS
Inspector
Inspector
Inspector
Inspector
I r lt_1:_)L.IS
Field Notes:
i.A1!ff%ICIPALITY OF AN�IOXACZ
03 $2 a� (3n� OCC.CA .AN`•C/` fEPT. OF Hcl.LTl11
�ENVIrTO.:.tC'_N`TAL PROTECTION
•,_.�NOV
q�wd`^�
Y1c9�anl d Imo! aw.�.�_}'��
2 i
,z 7 ECi. Y_
!X) APPROVED BEDROOMS
'CONDITIONS OF APPROVW
( ) DISAPPROVED
( ) CONDITIONAL APPROV L'
i�— 2y
DATE
BY:
Solis Rating
Date Sewer Installed
Well To Absorption Area
Well Log Received
Well to Tank
Septic Tank SizeQ—�
December 5, 1583
Adolph and bertha Hall
P.O. box 107 Wildwood Dr.
Eagle River, AK 99577
Subject: Lot 15, block 2, Eagle River Heights, North Sub.
Approval for the individual sewer and water facilities cannot
be granted until the following items have been completed:
64 ° he septic tank pumped with a recoipt submitted to this
/department.
An adequacy test needs to bo performed on the existing
Teaching area. This test will determine if the system is
adequate according to National Standards. A listing of
private firms performing the test is enclosed. This report
needs to bg submitted to this office for our review..{� 1
5�v��� S ' ��l�j)L�1/1A'V�:d�1 CC+n► �82.
Please notify this �Department for Ta,aa reeei_}nspec ion when the
noted discrepancies have boon corrected. If there are any
further questions, please call this office at 264-4720.
Enclosure
CW1/a/Env3
Sincerely,
l l
Cory Willis
Acting Sewer 6 Water
Program Flanager
. n n
December 13, 1983
Municipality of Anchorage
Pouch 4450
Anchorage, Alaska) 199502
Subject: Lot 15, -Block 2
Eagle River Heights North Subdivision
ATTN: Cory Willis
This is to confirm the date, month, and year that this house was purchased.
The date was April 11, 1980. The house was new when purchased.
Sincerely(
Adolph Hall /
Bertha Hall
Notary Seal
NOTARY IN ANDIFd THE STATE OF ALASKA
1 e -i fi-?,S
MY COMMISSION EXPIRES
�r
MUNICIPALITY OF ANCHORAGE MUNICIPALEPT. Y C ^:Ch!OPAvC
- G6 T. C.
DEPARTMENT OF HEALTH O ENVIRONMENTAL PROTECTION —.7—N.. LNTAL ii.Ji LCTION
826 L Strom - Anchorage, Aledta 99601
•
SEP 12 1979
ENVIRONMENTAL ENGINEERING DIVISION
Telephone 2844720
RR CC V F
REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEVA FA�� �
DIRECTIONS: Complete all parts on page 1. Incomplete requeHe will not be proeaawd. Rao allow ten (101 days for processing.
1. PROPERTY,OWNLR
Lopiay
T31%5
OR,
MAILING ADDRESS
Zbx 935 RuJ&c "ae6
PROPERTY RESIDENT hf d.fferent from above)
PHONE
2. BUYER
PHONE
None
MAILING ADDRESS
3. LENDING INSTITUTION
PHONE
)D,eop&6
❑ PUBLIC UTILITY
MAILING h1QD9ESS, � ^ J_ .L
l�. J� /�10 J nc(Ldrea
4. REALTOR/AGENT
PHONE
MAILING ADDRESS
S. LEGAL DESCRIPTION
Lot 15442EA- 2 C9ARua¢ a
STREET LOCAT
d1 &&lOod St.
0. TYPE OF RESIDENCE
NUMBER F BEDROOMS
lit
❑ One ❑ Four ❑ Other
SINGLE FAMILY
❑ Two ❑ Five
❑ MULTIPLE FAMILY
GM Three ❑ Six
7. WATER SUPPLY
CEJ INDIVIDUAL'
' ATTACH WELL LOG. A well log is required for all wells drilled
❑ COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
E. SEWAGE DISPOSAL SYSTEM
l�-1
INDIVIDUAL/ON-SITE"
"If Individual/on-site, give installation date r
9
If system is over two (2) years old an adequacy test is required
PUBLIC UTILITY
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
rza r V141 /el
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
❑ SINGLEFAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑` FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
❑ COMMUNITY
❑ PUBLICUTILITY
. Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON -SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
❑Septic Tank or ❑ Holding Tank
Size: If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER
TOTAL ABSORPTION AREA
MATERIAL
4, DISTANCES
WELL T0:
Septic/Holding Tank
Absorption Area
Sewer Line
Warest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
&—APPROVED FOR �� BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE�//�
/1
BY Title
LEGAL DESCRIPTION a
72-010 1Rev. 3/78)