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Home My WebLink AboutEAGLE CREST #1 TR B LT 38Cees Te 38 050- 291 -12 Municipality of Anchorage On-Site Water and Wastewater Section ' (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191170 PID Number: 050-291-12 Dwelling: ❑ Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑ Upgrade Name Rebecca & Randy Pasley ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 19114 1st St. Eagle River, AK 99577 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 854-0059 3 Existing GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Eagle Crest #1 Tract B 38 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Ft2 Ft. Well >100' N/A N/A N/A >25' TANK 0 Septic S.T.E.P. ❑ Holding El Other Manufacturer Greer Capacity 1,250 Gal. Surface Water >100' N/A N/A N/A Material Number of compartments Lot Line >5' N/A N/A N/A NA Plastic 2 Foundation >10' N/A N/A NIA LIFT STATION Manufacturer Capacity Remarks Tank only permit. Greer 250 Gal. Alarm location Basement SE corner Electrical installed by Kunder Contracting & Consulting PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Wilco Contracting Drainfield CO/MTD3034 Inspector J. Williams BENCH MARK (Assumed elevation) 100 ft Inspection1st 9/26/19 Location and description ,a Bottom of siding. 3rtl 4th ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp Conditional Approval: Date ��P�°°'°"°°°°�;9r�� ffi f« 49th� �..aa n.e...sea..gsy..a. .a3..aa. ..`. ...... � « .aa....e.....I....... eeea acaanae°sa°mes�./ea �n h{ICHAEL .. ANDERSON . }'n S No. CE-4381 ��Fp'°•.°, Septic System C Approved Date 020 12/18/19°®«.«'�°fir 4i Note: this approval does not include well permit requirements. {RCv UD/VL/ 10) EAGLE CREST #1, TRACT B LOT 38 PERMIT # OSP191170 EXISTING WELL A B 2CO 36.2 45.8 MH1 37.8 47.4 MI -12 41.0 51.0 MT 40.4 52.8 GE ENGINEERING NEW 1,250 GAL STEP T PID # 050-291-12 1st STREET LOT 38 DECOMMISSIONED EXISTING / IN PLACE PER MOA TRENCH. CODE. ----------------------------------------------------- 10' UTILITY EASEMENT to] M,fl PLAN AS -BUILT 0 20 40 FEET 1"=20' LOT 37 LOT 48 LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE EAGLE CREST #1, TRACT B LOT 38 PERMIT # OSP191170 PID # 050-291-12 U! .YJ PROFILE AS -BUILT (NO SCALE) a 0 M FIRST STREET\ CHAIN-LINK FENCE — z C, Lot 39 0 � q A Pis L Lot 38 17,820 S.F. \ \OODEN FENCE - Lot 46 I I 89.58'00"E 132.00' I � RETAINING WALL I � e PORCH I 48.3' / 1 STORY RESIDENCE w/ DAYLIGHT BSMT. o � 20.0' 16.0' 0 0 12.3' DECK m 12.3' ai 6A'04.0' / ---FMTMjjll DECK IL8.2'.12.2' SHED w/ RAMP Lot 47 DECK Lot 37 10' UTILITY EASEMENTS I Lot 48 I I I PLOT PLAN —__ AS BUILT _X_ SCALE _1._= 30__ GRID _ NW 0054Project No. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lang & Associates, inc. (907) 522-6476 Phone 9000pppp (907) 522-4625 Fax oo Professional Land Surveyors kenOlangsurvey.com o �F.q,�901p�� jonothanOlangsurvey.com O� .• l) I hereby certify that I have surveyed the following described property: Q P DO LOT 38, TRACT B, EAGLE CREST #1 (PLAT No. 63-70) Q; 49TH*0� Anchorage Recording District, Alaska, and that the Improvements situated thereon are •' • • "" • • • •' KE • • • •'� within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed 0'p ; ... G premises and that there are no roadways, transmission lines or other visible �O �c o� easements on said property except as indicated hereon. a .. 202 Dated this the — SPF ' .LS -5.. yJQQ _'��___ Day of --_TN-+uec�- , Lova of Anchorage, Alaska �Q OQ •"••�..�Oo 404R0FfSSIONAL c� It is the responsibility of the owner to determine the existence of any easements, OpOOoo�� covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 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: OSP191170 Work Type: SepticTank Upgrade Tax Code Number: 05029112000 Site Legal Address: EAGLE CREST #1 TR B LT 38 G:0054 Site Mailing Address: 19114 FIRST ST, Eagle River Owner: PASLEY REBECCA C Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft Total Bedrooms: y.S' �3 I)C'1)11'CIl7C►1C 5/16/2019 5/15/2020 17820 ❑ Disposal Field 0 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 If" V1111,1411", Date: -.A 0 M W__ Al �" WN — WF Date: 3 MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-291-12 Property owner(s) Rebecca Pasley Mailing address 19114 1st Street Eagle River, AK 99577 Site address Same Day phone Legal description (Sub'd., Block & Lot) Eagle Crest #1, Tract B, Lot 38 Legal description (Township, Range & Section) Lot Size 17,820 Sq. Ft. Number of Bedrooms Three (3) APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X (w/wo ADU) Septic Tank NUpgrade RDuplex (D) ❑ Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: ;U6 110 Date of Payment: .2 16 1-7 Receipt Number: /� ®g1d(PI) Permit No. 6.S101g6r-'70 Permit App_:- ::'__C Waiver Fees: Date of Payment: Receipt Number: Waiver No. PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) May 6, 2019 MOA Development Services Dept, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Eagle Crest #1, Tract B, Lot 38 – 19114 First Street Septic System Design Dear On-Site Services Engineer: The 1,250 Gallon S.T.E.P. on the subject lot has failed and must be replaced. We are submitting this permit application for the construction of S.T.E.P. Tank to serve the three-bedroom home on the lot. The attached site plan identifies the location of the home and the existing well and septic system along with the proposed S.T.E.P. Tank. No conflicts exist between this proposed tank location and any other well or septic system on this lot or adjacent lots. Wells on this and adjacent lots are shown. The new tank location will be a minimum of 100’ from all wells and surface water, and more than 10’ from the house foundation and 5’ from any stair or deck supports. Please refer to the attached plan sheet for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Michael E. Anderson, PE 5/6/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191170, Rebecca Carroll, 05/16/19 4020 0 FEET 1"=20' NOTE: NO SLOPES >25% WITHIN 50' OR SURFACE WATER WITHIN 100' OF THE PROPOSED SEPTIC SYSTEM ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND MH EAGLE CREST #1, TRACT B LOT 38 5/15/19 SHED ASPHALT ASPHALT1st STREET 10' UTILITY EASEMENT SHED 3 BEDROOM HOME EXISTING 1,250 GALLON STEP TANK DECOMMISSION PER MOA CODE. NEW 1,250 GALLON STEP TANK w/20" MANWAY RISER TO FIRST COMPARTMENT. CONNECT TO EXISTING SERVICE LINES. EXISTING ABSORPTION TRENCH TO REMAIN IN SERVICE. SV MH Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191170, Rebecca Carroll, 05/16/19 0 LOT 39 O O L6 M LO NT 80 O O O Z LOT 46 1 st STREET — t — N89°58'00"W 132.00 Well ' t ',;; Yard light Asphalt : Wood ret. wall ..n deck 49. 48.0 'a O N 1 1/2 Story Frame ;. House a. 12.0 oa m N U) 20.0 0 0 16.0 O .6 deck O lain link fence deck LOT 38 Yard light she 8.0 0 N -------------- 10' Utility Easement N89058'00"W 132.00 LOT 47 EASEMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Fb 10-7, pg 71-72 BLS LC) 0 Septic vent T_ ;O LO Septic vents 00 O Septic tank 0 Septic vent Z O M LOT 37 LOT 48 8355M SCALE: V= 30' AS -BUILT NO CORNERS SET THIS DATE I hereby certify that I have performed a Mortgagee's inspection of the following described property: LOT 38, TRACT B, EAGLE CREST SUBDIVISION, FIRST ADDITION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 12th day of November 2010 FRED FRED WALATKA & ASSOCIATES BE(907-248-1666) Engineers and Surveyors Municipality of Anchorage Page of_ · ' DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O, Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: .~t4J C]~'~.~/~)/~ PID Number: ~,.5-~ o ~/-/~ "'~:~. ~ ~/~ Wastewater System: D New ~ Upgrade ~r'~yZ~ /~~ ~,/~ /W ABSORPTION FIELD P.one: ~/~)~ ~/~ J No. of~d~ms~ = Deep Trench ~Shal[owTrench =B~ =Mound ~Other LEGAL DESCRIPTION ~""=""=: Z~ GPo~q Fl, Total~pthfromoHglnalg~, Su~ivbion: j ~th ~ p~ ~flom Ir0m ~i~l gr~e: Gravel depth ~neatb pi~ ~, ~ Ft WELL: D New D Upgrade Gm~lwidth: ~ Ft / ~ Ft Yield:GPM IPump ~t at: ~ ~Ft.~' *~ o~... TANK SEPARATION DISTANCES = Septic a Holding ~S.T.E.P. From Tank F~d Slal~ Tank ~ Li~ ~ ~ ~ ' Su,=ce LIFT STATION Lot i t Size in gallons' Manufacturec , .A SENCH MARK I AS-BUILT SITE 1l, WASTEWATER DISPOSAL SYSTEM I LOT 38, TRACK B, EAGLE CREST SUBDIVISION P.I.D. 050-291-12 i FIRST STREET ;" B ~1 B-~- ~e.r i ~ FINISHED O~ADE ~' INSULAT[DN ~ SEWER ROCK ~' Bflll~ ~F D~&I~FI[~D 4.0' F~ ~IGI~ ~ BOTTOM OF TEST HOLE NBTES~ 2, HBLE SIZE : ~ 5. TBTAL NUMBER DF HBLES : 38 .¢ ~ 5. HOLES ORIENTED UP W/COVERS EXCEPT BEGINNING & END HOLES. ~~~ 6. ABANDONED EXISTING TANK IN PLACE. 7. INSTALLED NEV 1250 LIFT STAT]ON. BRAD LORENZEN EAGLE RIVER, AK, 99577 ~ss~o~ ~ 8720 ~VANNBE STREET (907)696-61Il/FAX(907)696-8111 ~~ INDIANAPOLIS, IN I DING BAT ELECTItlC P.O. BOX 446 EAGLERIVEI~ AK. 99577 6/Z7/96 DING BAT .ELECTRIC supplied power ~o the sewage lif~ pump control box and made all the electrical connection. Electrical work performed to M.O.A.,NEC and State codes.Work was performed at LOT 38 TRACK B 19114 First St. Eagleriver A.K. Al(. UC.103573 -!- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SiTE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW950406 DESIGN ENGINEER:KND ENGINEERING OWNER NAME:LORENZEN BRADLEY S & LISA A OWNER ADDRESS: DATE ISSUED:12/27/95 EXPIRATION DATE:12/27/96 PARCEL ID:05029112 LEGAL DESCRIPTION: 'EAGLE CREST TR BLT 38 LOT SIZE: 17820 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. [SPECIAL PROVISIONS: 1.) DP. AINFIELD DEPTH MUST NOT EXCEED 4 FT, BELOW ORIGINAL GRADE. 2.) INCLUDE HOLE SIZE, HOLE SPACING, AND ORIENTATATION OF DISTRIBUTION PIPE WITH RESPECT TO EACH END OF TRENCH WITH ASBUILT/INSPECTION REPORT. 3 .) A 2 INCH DIAMETER LATEKAL DISTRIBUTION PIPE IS ISSUED BY: SITE PLAN WASTEWATER DISPOSAL SYSTEM LBT 38, TRACK B, EAGLE CREST SUBDIVISIDN P.I.D. 050-2~1-12 FIRST STREET ? VACANT VACANT RECEIVED DEC 2 6 1995 Mumc:pality of Anchorage Oept. Health & Human Services PREPARED FOR~ BRAD LORENZEN 8720 IVANHOE STREET INDIANAPDLIS, IN (317)897-6818 KND ENGINEERING 20441 PTARHIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/F^X(907)696-8111 DESIGN DETAILS WASTEWATER DISPOSAL SYSTEM LnT 3@, TRACT B, EAGLE CREST SUBDIVISII]N P.I.D. 050-291-12 CONNECT TO 4' SOLID PROM EXISTING TANK I ~ BOTTOM OF DRAINFIELD 4.0 FROM ORIGINAL GRADE STAT[~I~ 48'+ 1. RESIDUAL HEA~ = 5' ~. H~LE ~IZE = 3/16' = 1.~0 OAL. PER HOLE ~ 30 P~I 3. 30 GALS {PU~P ~[~IVERY)/X.OO OALS./HOL[ = 30 4. 48 LF LATERAL/30 HOL~ = 1.51' ~PACING PER HOLE 5. ALL HOL[~ ~HALL HAVE CAPS INSTALLED PER MANUFACTURERS 6. PUMP U~[~ IN LIFT ~TATION - ~0 O~I 05 HHF-5 I BOTTOM OF TEST HOLE 11.0' WATER OBSERVED 9,5' 500 GAL DESIGN CRITERIA 1. 3 BEDROOMS X 150 GAL./DAY/DEDROOH = 450 GPO 2. SOILS RATING~ 1.2 NIN./INCH = 1.2 GPD/SF(?RENCH) 3. 450 GPO/L2 GPO PER SF = 375 SF 4. 375 SF /5' V × 0.64 = 48' L (USE 1TRENCHS 48 L) 5. NINIMUM DESIGN SIZE = 48' L x 5' V x 2.5' D Trench 6. 2° ND INSULATION REQUIRED OVER FIELD <3' OF COVER 7. CONTRACTOR TO PUMP TANK AS NEEDED. 8. CONTRACTOR TO VERIFY YELL SEPARATION DISTANCES TD SYSTEM PRIOR TD INSTALLATION FROM ALL ADJAC£NT VELLS. 9. ANY ASPHALT, CONCRETE OR APPERTANENC[S DAMAGED DR 10. Ih H DESTROYED BY THE CONTRACTOR DURING CONSTRUCTION SHALL DE REPLACED DY THE CONTRACTOR AT ND ADDITIONAL COST TO THE DVNER. CONTRACTOR TD VERIFY AND INSURE 2Z GRADE FROM EXISTING TANK. CONTRACTOR TD EXCAVATE TANK IN ORDER TO VERIFY INTEGRITY. PREPARED FOR: BRAD LORENZEN 8720 IVANHOE STREET INDIANAPOLIS, IN (317)897-6818 KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)696-6111/FAX(907)696-8111 December 5, 1995 Munidpality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 ATTN: James Cross, P.E. RECEIVED DEC 8" 19;~5 D~,iu,?:.c;pa!i;y o! Anchorage epl. Health & Human Services Subject: Lot 38, Tract B, Eagle Crest S/D - Sewer Upgrade DearMr. Cross: On December 1, the sewer upgrade permit application for the subject lot was returned to me with a list of 11 items for correction. A copy of the cover sheet is attached for your reference. I take exception to a number of the deficiences listed by the reviewer. Those are as follows: 1. Inadequate site plan: Our submittal does comply with regulations. The lots to the south and southeast are vacant, while the lot to the southwest is developed. This developed lot's well is greater than 100 feet from our proposed upgrade and will not impact the installation. Since the other lots were vacant land, I have shown nothing on them. 2. Labels missing: Our site plan is drawn to scale as required in code, and as such all radii shown are also to scale. There is no requirement for additional identification; there is actually no requirement for well radii at all, but they have been shown for convenience sake. The request for labeling on the proposed trench, tank, etc., is answered on page S2 of my submittal. Although it may be the practice of some firms to place all information on one sheet, I have found that by providing 2 sheets I can more dearly show the proposed system both for the reviewer and for the contractor. .. Subjec~ Lot 38, Track B, Eagle Crest Subdiv~s|on - Sewer Upgrade DecemberS, 1995 Page2of3 3. Inspection of old septic tank: My submittal letter clearly states that the existing septic tank is fiberglass. As you are probably aware, the old Sunset Plastics septic tanks were manufactured using questionable loading calculations, and hence any breach to their integrity caused a collapse of the tank. That is to say, either the tank is whole and intact, or is not. H it is not, we will naturally replace it at 100 feet from the well. 4. Well to tank distance: It is apparent that the original waiver request was based on a measurement made from the deanout to the well, since no excavation was attempted. Since there is no information on file as to the exact size of this fiberglass tank, I used the dimensions of a 1250 steel tank to approximate the location of the tank with the deanout pipe located in the center. The cleanout pipe is exactly located by a licenced surveyor. Based on the above and research to date there is no method in which to assert that the separation distance is less than 95 feet short of excavating the tank. For the sake of clarity, I have sketched in a possible tank location. Information on pump size, description, and hole spacing, absorption field location: This is a standard application lift station with pump as supplied by Anchorage Tank. The specifications for this and other systems has already been supplied to your department including the pump, pump curves, pump sizes and pump capacities. The hole spacing for the system is already shown and is correct. The lateral diameter is dearly shown on Sheet S2 of the submitted plans. The only evidence of the existing absorption field is a single deanout. Using the approved inspection report, one would have to assume the approximate location of the system. There is no reasonable way in which to verify the exact location of the field. However, it is my opinion from field observations that the new system will be at least 10 feet from the old one. 6. Plan for existing system: The existing system is quite old and also quite full; pumping has been necessary during portions of the year to prevent backup. Considering the age of the system, it would be safe to presume that abandonment would be in order. In the absence of a dear statement by the engineer that the old field might be retained for later use, one could easily assume that such wasn't the case. Incidentally, I find no evidence in the currently adopted Uniform Plumbing Code which requires abandonment of a deep trench. However, we do plan to abandon in place. RECEIVED DEO 0 B 1995 t~tu,~ c pa ty o! Anchorage Dept. Health & Human Serv ces Subject: Lot 38, Track B, Eagle Crest Subdivision - Sewer Upgrade I:~emberb= 1995 ?a~e3of3 Precious time has been lost in our attempt to install this system before we ~e ~e~uded b~ we~e~. Z ~md ~e ~bove co~en~ bo~ ~ecess~ ~d ~ ~:t ~o~- re~ato~, and point out ~t ~ey have delayed ~e installation and si~ic~fly ~geased ~e overall cost for i~ com~ucfion. I am re~ng ~e pe~t app~cafion ~ all items noted on November 30 ad~essed. I do ~s under protest as outed in ~is letter. In order to avoid any additional delays and damages, I would appredate it ff you could e~edite ~e ~suance of ~e up~ade per~t for ~e above properS. Respectfully submitted, attachments: On-Site Services Transmittal Sheet Revised Site Plan dtd 12/4/95 Revised Design Details dtd 12/4/95 RECEIVED OEO 0 8 1995 ~,lunic~pality of Anchorage Dept. He,~ th & Human Services SITE PLAN WASTEWATER DISPOSAL SYSTEM LOT 38, TRACK B, EAGLE CREST SUBDIVISION P.I.D. 050-291-12 FIRST STREET ~///.,~ VACANT VACANT RECEIVED DEC 0 8 1935 Munimpality of Anchora~ PREPARED FOR: KND 20441 PTARHIGAN DLVD I~RAD LOR£NZEN EAGLE RIVER, AK, 99577 87E0 IVANHnE STREET (907)696-6111~FAX(907)696-8111 INDIANAPOLIS, IN (317)897-6818 DESIGN ASTE /ATER LOT 38, TRACT B, CONNECT TO 4" SDLII] FRON EXISTING TANK ~ ~ .--FINISHED ('iRABE P.I.D. 050-291-12 DETAILS DISPOSAL SYSTEH EAGLE CREST SUBDIVISION INSULATION.---.-._. ~FILT£R FABRIC SEWER ROCK BOTTOM OF TEST HOLE 11.0' VATER OBSERVED 9.5' 1. RESIDUAL HEAD - 5' 2. HOLE SIZE = 3/16' : 1.00 GAL. PER HOLE e 30 PSI 3. 30 GALS (PUHP DELIVERY)/LO0 GALS./HOLE - 30 HOLES 4. 48 LF LATERAL/30 HOLES - 1.5[' SPACING PER HOLE 5. ALL HOLES SHALL HAVE CAPS INSTALLED PER MANUFACTURERS SPECS. 6. PUHP USED IN LIFT STATION - 20 OS[ 05 HHF-5 500 GAL I M.T.i(j DESIGN CRITERIA 1. 3 BEDROOMS X 150 GAL./DAY/DEDRDOM - 450 GPD 2. SOILS RATING, 1.2 MIR/INCH = 1.2 GPD/SF(TRENCH) 3. 450 GPD/I.2 GPO PER SF - 375 SF 4. 375 SF /5' V x 0.64 = 48' k (USE I TRENCHS 48 L) 5. MININUN DESIGN SIZE = 48' L x 5' V x 2.5' D Trench 6. 2' HD INSULATION REQUIRED OVER FIELD <3' OF COVER 7. CONTRACTOR TO PUMP TANK AS NEEDED. 8, CONTRACTOR TO VERIFY YELL SEPARATION ~ISTANCES TO SYSTEM PRIOR TO INSTALLATION FROM ALL ADJACENT VELLS. 9. ANY ASPHAL~ CONCRETE OR APPERTANENCES DAMAGED OR H 10. 11. DESTROYED ~Y THE CONTRACTOR DURING CONSTRUCTION SHALL DE REPLACED DY THE CONTRACTOR AT NO ADDITIONAL COST TO THE O~NER. CONTRACTOR TO VERIFY AND INSURE 2Z GRADE FROM EXISTING TANK. CONTRACTOR TO EXCAVATE TANK IN ORDER TO VERIFY INTEGRITY. PREPARED FOR: DRAD LORENZEN 87~0 IVANHOE STREET INDIANAPOLIS. IN (317)897-6818 KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907)C96-6111/FAX(907)$96-8111 Mu.ic,pality of Anchorage Oept. Heelth& Human Services I~JNICIPAgl~ OF ANC, H jNVIi~ONM,~.NTAL SERVICI~S DIVISION D£C 0 8 1995 20441 PTARMIGAN BLVD. WR, 99S -S 6 r I V D December 5, 1995 Munidpality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 ATTN: James Cross, P.E. RECEIVED DEC 8 1995 D tvlun,;c;palily el Anchorage e~t. Health & Human Services Subject: Lot 38, Tract B, Eagle Crest S/D - Sewer Upgrade Dear Mr. Cross: On December 1, the sewer upgrade permit application for the subject lot was returned to me with a list of 11 items for correction. A copy of the cover sheet is attached for your reference. I take exception to a number of the deficiences listed by the reviewer. Those are as follows:_.,~, .-~ /.,~,~- 1. Inadequate site plan: Our submittal does co~ly with regulations. The lots to the south and southeast are vacant, wMle the lot to the southwest is developed. This developed lot's well is greater than 100 fe~t.froTM our proposed upgrade and ~11 not impa~ ~e installa~on. Since ~e o~er lots were vacant land, I have sho~ no~ng on ~em. 2. Labels missing: O~ site plan is dra~ to scm~ as re~mrea m coae, aha as su~ all ~adii sho~ are also to scale. There is ~o r~quireme~t ~or additional identification; ~r~ is actuMly ~o requirement ~or w~ll radii at all, but they ~ava ~ee~ sho~ ~or convenience sake. The request for labeling on the proposed trench, tank, etc., is answered on page S2 of my submittal. Although it may be the practice of some firms to place all information on one sheet, I have found that by providing 2 sheets I can more clearly show the proposed system both for the reviewer and for the contractor. Subject: Lot 38, Track B, Eagle Crest Subdivision o Sewer Upgrade DecemberS',, 1995 Page2of3 Inspection of old septic tank: My submittal letter dearly states that the existing septic tank is fiberglass. As you are probably aware, the old Sunset Plastics septic tanks were manufactured using questionable loading calculations, and hence any breach to their integrity caused a collapse of the tank. That is to say, either the tank is whole and intact, or is not. If it is not, we will naturally replace it at 100 feet from the well. 4. Well to tank distance: It is apparent that the original waiver request was based on a measurement made from the cleanout to the well, since no excavation was attempted. Since there is no information on file as to the exact size of this fiberglass tank, I used the dimensions of a 1250 steel tank to approximate the location of the tank with the deanout pipe located in the center. The cleanout pipe is exactly located by a licenced surveyor. Based on the above and research to date there is no method in which to assert that the separation distance is less than 95 feet short of e~cavating the tank. For the sake of clarity, ! have sketched in a possible tank location. Information on pump size, description, and hole spacing, absorption field location: This is a standard application lift station with pump as supplied by Anchorage Tank. The specifications for this and other systems has already been supplied to your department including the pump, pump curves, pump sizes and pump capacities. The hole spacing for the system is already shown and is correct. The lateral diameter is clearly shown on Sheet S2 of the submitted plans. The only evidence of the existing absorption field is a single deanout. Using the approved inspection report, one would have to assume the approximate location of the system. There is no reasonable way in which to verify the exact location of the field. However, it is my opinion from field observations that the new system will be at least 10 feet from the old one. 6. Plan for existing system: The existing system is quite old and also quite full; pumping has been necessary during portions of the year to prevent backup. Considering the age of the system, it would be safe to presume that abandonment would be in order. In the absence of a clear statement by the engineer that the old field might be retained for later use, one could easily assume that such wasn't the case. Incidentally, I find no evidence in the currently adopted Uniform Plumbing Code which requires abandonment of a deep trench. However, we do plan to abandon in place. Subject: Lot 38, Tr~ck S, Ea$1e Crest Subdivision - Sewer Upg~cle Decemberb', 1995 Pa~e3of3 Precious time has been lost in our attempt to install this system before we are precluded by weather. I find the above comments both unnecessary and in part non- regulatory, and point out that they have delayed the installation and significantly increased the overall cost for its construction. I am returning the permit application with all items noted on November 30 addressed. I do this under protest as outlined in this letter. In order to avoid any additional delays and damages, I would appreciate it if you could expedite the issuance of the upgrade permit for the above property. Respectfully submitted, attachments: On-Site Services Transmittal Sheet Revised Site Plan dtd 12/4/95 Revised Design Details dtd 12/4/95 ~/ASTE~/ATER DISPOSAL SYSTEM T 38, TRACK B, EAGLE CREST SUBDIVISIBN P.I.D. 050-291-12 FIRST STREET 23 YELL AREA VACANT ~,, VACANT PREPARED FOR: ~RAD LBRENZEN 87~0 IVANHOE STREET INDIANAPOLIS, IN (317)897-6818 KND ENGINEERING 20441 PTARMIGAN BLVD EAGLE RIVER, AK, 99577 (907>696-6111/FAX(907)696-8111 November 17, 1995 Munidpality of Anchorage Dept. of Health & Human Services On-Site Services Section P. O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Lot 38, Track B, Eagle Crest Subdivision - Sewer upgrade Gentlemen: Following an adequacy test in which the existing system failed, we dug one testhole for the proposed upgrade. The result of that test is attached. The upgrade will be placed on the southeast portion of the lot. Due to the grade differential we will have to use a lift station in order to reach the field. As the existing septic tank is fiberglass we anticipate its continued use as it will maintain a gravity flow from the house to the lift station. Natural drainage is away from this site and will be maintained after construction. There is no surface water within 100' of the proposed installation. There are no curtain drains within 50' of the proposed installation. No wells exist within 100' of the proposed installation. Due to the onset of winter we are requesting an expedited permit in order to mitigate the depth of frost. If you have any questions about this application, please call me at 696-6111/FAX 696- 8111. Respectively submitted, Kenneth M. Du u~s, P. E. KND Engineering attachments: On-Site Well and Sewer Application Wastewater Absorption System Details Site Plan Soils Log/Percolation Test Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage. Alaska 99502-0650 SOILS LOG ~ PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: Zo~'-~ "~/P-.AcT~c~ ~AG/..E'~_.~_,,~)"l'ownship, Range, Section: SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? 6- 7- 8- 9- 10- 11 EkD./4. 12 13 14 15 16 17- 18- 19- 20- IF YES. AT WHAT DEPT.? q,5' ' I N g ,*7 rt. ~lonitoring? 7' ~ Dile: Reading Date Gross Net I~th to Net Time Time Water Drop 7 7 ~,~ / ~n ~ Y~" /" PERCOLATION RATE /'(? Im~nutes/mch) PERC HOLE DIAMETER ~' /' TEST RUN SETWEEN ~* FT AND ~ FT COMMENTS ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE; CERTIFY THAT THIS TEST WAS PERFORMED IN ! ! MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 050-291-12 1 Certificate of On -Site Systems Approval Expiration Date: 119 -1713 -WW GENERAL INFORMATION Complete legal description Eagle Crest ##1, TR B, Lot 38 Location (site address) 19114 1 st Street Eagle River, AK Current property owner(s) Rebecca Pasley Day phone 854-0059 Mailing address Real estate agent 19114 1 st Street, Eagle River, AK 99577 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well Fx_1 Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ J . 5 0 Date of Payment Waiver Fee $ 020 Date of Payment Receipt Number 0 b$ d 3 b COSA # 0 SC 2-01319 Receipt Number Waiver # 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, based on procedures outlined in the Certificate of On -Site Systems 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm Forge Engineering Phone 907-522-7773 Address 1399 W. 34th Ave Suite 101, Anchorage AK 99503 Engineer's Printed Name Michael E. Anderson, P.E. Date 7/7/2020 OF tAVL, JU , ON' A O z �- PS�''�` I AT ii0MENT SER��`�,, Original Certificate Date: 7.23 " 4?c) 2C) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet OF ��P E • 0 AN ; 6. DSD SIGNATURE m j_,, j_Cal�T ® System #1 Approved for bedrooms MICHAEL E. ANDERSON p fLp System #2 Approved for No. CE -4381 ;' _; 17 bedrooms 7ni20. �4.�® Disapproved o°®�PROFES ®(:�\ ® 0 Conditional approval for bedrooms, with the following stipulations: OF tAVL, JU , ON' A O z �- PS�''�` I AT ii0MENT SER��`�,, Original Certificate Date: 7.23 " 4?c) 2C) The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: Eagle Crest #1, TR B, Lot 38 If more than 1 septic system on lot: COSA Checklist # of A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled 5/6/75 Total depth 213 ft Cased to 213 ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) < 12 in. Date of flow test for COSA 4/8/19 Static water level at beginning of test 194 ft. Comments B. TANK DATA Age of tank(s) <1 years Tank type/material S.T.E.P./Plastic Measured operating fluid level in septic tank New ❑ Standpipes/foundation cleanout per record drawing Date of pumping New Construction 9/26/19 D. ABSORPTION FIELD DATA 5' Wide Shallow Trench Which system tested (date installed) 6/12/96 ❑ ALL standpipes present per record drawing Total measured depth from grade 5.1 ft (max) Measured depth to pipe invert from grade 2.6 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Code -required soil cover over field ❑ System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced NA gallons Comments/Deficiencies: COSA Checklist yellow sheet Parcel ID: 050-291-12 Structure served by this system Well production at time of test 4.8 gpm Water storage tank volume None gallons Well disinfected for coliform test? ❑ Yes ❑ Nc ❑ Coliform bacteria is Negative Nitrate 1.32 mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by FORGE ENGINEERING Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station <1 years Lift station material Plastic Comments: New Construction 9/26/19 Adequacy test date 4/8/19 Results ❑✓ Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 744 gal New depth 0 in Elapsed time 0 min Final fluid depth 0 in Absorption rate >450 gpd Any rejuvenation treatment (past 12 months) If yes, enter date m E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Q Yes Community Sewer Manhole/Cleanout > 100' Q Yes if No ft 0 Yes if No ft Neighboring Tank > 100' F/7 Yes if No ft Private Sewer/Septic Line > 25' 0 Yes if No ft Absorption Field on Lot > 100' 0 Yes if No ft Holding Tank > 100' Yes if No ft Neighboring Absorption Fields > 100' M✓ Yes if No _ Water Main > 10' Animal Containment > 50' ✓1 Yes if No ft F/ Yes if No ft M Yes if No_ Water Service Line > 10' Yes if No Manure/Animal Excreta Storage > 100' -❑✓ If septic tank is under driveway Community Sewer Main > 75' 0✓ Yes if No ft Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' Q Yes if No ft Surface Water > 100' Yes if No. Property Line > 5' ❑✓ Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ❑✓ Yes if No ft Private Wells > 100' M✓ Yes if No _ Water Main > 10' ✓V Yes if No ft Community Wells > 200' M Yes if No_ Water Service Line > 10' Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' E✓ Yes if No ft If absorption field is under driveway comment below Property Line > 10'✓71 Yes if No ft Wells on Adjacent Lots: Water Main > 10' Yes if No ft Private Wells > 100' ❑✓ Yes if No Water Service Line > 10' Q Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' ✓� Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet ' �. .OF 44 ��ssassasasss / °°° ° `O•°'fid gyp° 49th sasasis •saes■ sesa ssssasa sass Rt� 0 0°°�tt 4g6°1C°stta°64°[Ct Ca6q®lia/°Ct9---- --- �`C`C�1�` m MICHAELE. ANDERSONAV . No. CE -4381 +° AVZIV 7/7/20Nil, el'OROF E SS • °� 4,C�� '!Fh °t°®sesnasssss°O°° �- ft ft ft ft ft Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. o5o-29~.-~-:z 1. GENERAL INFORMATION Complete legal description Eagle Crest #z Tract B, Lot 38 Expiration Date: Location (site address) ~gzz4 First St., Eagle River Current Property owner(s) Micalle Culver Day phone 727-848o Mailing address ~-~-73o Birch Knoll Loop, Anchorage, AK Lending agency Day phone Mailing address Real Estate Agent Micalle Culver Mailing Address t "¢' ."., . / . Unle'ss'Other~v~b'~: requested, COSA will be held by DSM for pickup. ,'2.' 'NUMBER OF BEbROOMS: Day phone 7~7-848o 3~ TYPE OF WATER SUPPLY: ,,Individual Well:. I'ndividual 'Water Storage Community Class ~ Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank E] [] Community On-site E~] [] Public Sewer r-I The Municipality of Anchorage Development Services Department (DSM) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems 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. DSM also issues COSAs upon request to homeowners. Certificates of On-Site Systems 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 Certificate of On-Site Systems 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 Pannone Engineering Services, LLC Phone 27:~-82~8 Address P.O. Box ~oo2~7, Anchorage, AK 99~;~o Engineer's Printed Name Steven R. Pannone, P.E. Date 81ql~-~- Engineers Comments: In conducting an adequacy test, ! attempt to pro¥ide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ¥'""'" Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Eagle Crest #~ Tract B, Lot ~8 Parcel ID: 050-2q~.-:!.2 Well type Private Date completed ~;1613.q7~ Total depth 2~3 ft. If A, B, or C provide PWSID # __ Sanitary seal (Y/N) Y Cased to :~z~ ft. Date of test Static water level ~.98 Well production ~o WATER SAMPLE RESULTS: Coliform ~colonies/100 mL Arsenic: ND ug/I SEPTIC/HOLDING TANK DATA Tank Type/Material S.T.E.P. / Steel Tank size ~2~;o gal. Foundation cleanout (Y/N) Y Date of pumping ~:,l~.~l:zo',o ABSORPTION FIELD DATA FROM WELL LOG ~;/6/~q75 g.p.m. Nitrate (~)~/(mg/L Date of sample: 81ql=oz= Number of Compartments _~ Depression over tank (Y/N) N Pumper JR's Pumping Well Log (Y/N)Y Wires properly protected (Y/N) Y Casing height (above ground) ~ AT INSPECTION ag~ ff. 6.9+ g.p.m. in. Other bacteria~.-~ cOlonies/100 mL Collected by: Steve Pannone Date installed 61~21~qq6 Cleanouts (Y/N) Y High water alarm (Y/N) Y Date installed 6/~2/[qq6 Soil rating (g.p.d./ft2 or ~/bdrm) ~.~ GPD/SF Length 49.5 ff. Width 5 Total depth ~.7 ff. Eft. absorption area :~86.7 fi2 Date of adequacy test ~z/2~/~o~o Results (Pass/Fail) ~ Fluid depth in absorption field before test _o in. Elapsed Time: z~o min. Final fluid depth _o in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N System type Shallow Trench ft. Gravel below pipe Monitoring tube Y Depression over field N Pass For 3 bedrooms Water added485 gal. New depth_~ in. Absorption rate >= 45o+ g.p.d. If yes, give date fto LIFT STATION Date installed 61~213.996 "Pump on" level at _~ in. Datum Bottom E. SEPARATION DISTANCES Size in gallons 250 "Pump off" level at ~ in. Cycles tested :1 Manhole/Access (Y/N) Y High water alarm level at/~/~ Meets alarm & circuit requirements? Y in. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 3.oo+ Absorption field on lot 3.oo+ Public sewer main Sewer/septic service line 25+ Animal containment areas 5o+ On adjacent lots 3.00+ On adjacent lots 3.00+ Public sewer manhole/cleanout 3.00+ Holding tank ~00+ Manure/animal excrete storage areas lOO+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 3.0+ Property line 3.0+ Water main 3.0+ Water service line ,25+ Wells on adjacent lots 3.00+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Absorption field Surface water Property line 3.o+ Water Service line Curtain drain 5o+ COMMENTS Building foundation 10+ Surface water 3.00+ Wells on adjacent lots 3.oo+ Water main 75+ Driveway, parking/vehicle storage 3.0+ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone, P.E. Date COSA Fee $ Date of Payment Receipt Number (Rev. 11/05) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 'Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.Di O50-291-12 GENERAL INFORMATION Complete legal description Eagle Crest #~.Tract B, Lot 38 Location (site address) x%~-6 First St., Eagle River COSA # (.~(~ Expiration Date: Current Property owner(s) Earl & Robin Conaway Mailing address Day phone Lending agency Mailing address Day phone Real Estate Agent Bethany Stamper ! Coldwell Banker MailingJ~ldres~ -. 'Utile'Ss other~;~$~,~gquested, OOSA will be held by DSD for piokup. TYPE OF ,WATER S~PPLY: Individual Well' ~ Individual ~ater Storage ~ Community Class Well ~ Public Water System Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners. Certificates of On-Site Systems 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 Certificate of On-Site Systems 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 Pannone Engineering Services, LLC Phone 272-82~8 Address P.O. Box ~-oo2:~7, Anchorage, AK 995~o Engineer's Printed Name Steven R. Pannone, P.E. Date Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational hfe of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the famil bein served b the s stem These conditions are outside the control of the evaluator of this system. ~11 sy~tgems eventYually ~;il an'd _~'*c~9~,,; satisfactory test results do not guarantee future performance of the system, nor do they guarantee that i there are no hidden defects or encroachments. PES can therefore not provide any warranty for future ,~,,,,.'~,~..~ ......... .~,,,,,~ performance nor give any estimate of how long the system will continue to meet the operational ~- requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it '~°~'¢~-.,. No. C[ confer any legal right whatsoever. ~" 5. DSD SIGNATURE Approved for .D bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: / ~ - ..~ ~2.-//O E)kate~ test · e,, g:p':m. Am." ND: ugtt- E .,lapsed Time:.~,~e,min~ Fi, r~l/, ,~: ~ deptE.,_o ,iff, Any rqUv~ ~,(;paek 12..~.) (¥~;&'bjpe)' N · For 3bedrooms ,~,n 'r~e >=- ~, g:~p~d. 'If yes~ g~ ~: D~ UFT'ST~TK)N Date, installed: "Pump on,level at .~ in. Datum E. F; Sizein :gallons 2Se "Pump: off" level at ~3. in. C~ tested, 3 Manhol~Accees (Y/NJ Y HighWater alan~ level: at 44 Meets alarm & circuit requirements? ,Y, . in. SEPARATION~:,;BtSTANC_~S,F~ WELL ON LOT TO: Septic ,tan~ffft stetion ea: ~ot Absorption field on ~let. Pablic sewer main 75+ Sewer Ise~ ~rvice a~e .=~+ Ard~mai oo~nt areas 5o. On adJaCent ~ On adjacent lots Public sewe~ ma~llole/cleanout Holding.tank .. ~oo+ Manure/ardma! excrete sterage~amas ~.oe+ SEPARATIO~D~STAN(:~S F~ SEPTIC/HOLDING TANK ON LOT TO: Bu, ildiag foUn ~ ~, ~n ~,0~. Properbj line Water*main 3~. Water serviceline ~+ Wel~son ad~ ~mce~t lots ~eo+ SEPARATION~iCE FRO~ABSORPTION FIELD ON LOTTo: Pm~ ;line Water Service:~e CUrta{n d~n Budding fo~dation ~o+ Su~ace water ~on adjacent.Jots .~o~+ Absorption field Surface water Water main. 75+ -Ddvewa¥.~:paridr~tvehicle s~rage ..,.~.o+ ~ i~spections and in EngiReer~s Primed Name stev~a.J~~,.p.E. Date Waiver 'Fee:.$ Date or'Payment Receipt Number R. Ponn No. CE 81~-9 1st STREET 8355M LOT 39 LOT 46 Keybox.~ N89°58'00"W 132.00 fYard light/wood ~ wall 48.0 ret. 0 0 ~;hain link fence LOT 38 ~ I 1/2 Story Frame House 20.0 o o 16.0 deck deck ~ II[lflml][][[ J~ 'CO o Septic vents ~)Sepflc tank Septic vent Yard light~'~' she~ 10' Utility Easement 132.00 N89°58'00,,W ~Septic vent LOT 47 LOT 37 SCALE: 1": 30' LOT 48 .... .:.. / ....,.~ -~r '1,~. No. 32~-S EASEMENTS OF RECORD, OTHER THAN ' THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. Fb 10-7. pg 71-72 BLS BE AS-BUILT NO CORNERS SET THIS DATE hereby certify that ~ have performed a Mortgagee's inspection of the following described property: LOT 38. TRACT B, EAGLE CREST SUBDIVISION, FIRST ADDITION Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the prope~'y lines and do not ovedap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and thai; there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at Anchorage, Alaska this 12th day of November ,2010 FRED WALATKA & ASSOCIATES Engineers and Surveyors (907-248-1666) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF. HEALTH & HUMAN SERVICES. -- Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage. Alaska 99519-6650 343-4744 Parcel I.D. # CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Day phone Day phone Address Day phone 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Unless otherwise requested, HAA will be held for pickup. NOTE: Individual well Community well Public water If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. - ................ 4. TYPE OFWASTEWATER DISPOSAL: NOTE: .Z Individual on-site ."Holding tank Community on-site Public sewer If community wastewater system, provide Written confirmation from State ADEC attesting to the legality and status of system. Se STATEMENT OF INSPECTION BY ENGINEER AS certified by my seal affixed heretc~ an~'as ~)'~'the-vaiidation da~e shown belc~W/I-verif~ tl~at m~, 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 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 of Firm KND En,qineerin,q Phone ~'~/~ -/~/'/'// 2(~,41 Ptarmigan Blvd. Address Eaqle River, A~ Engineer's signature ~. /~,~--- Date ~'/~;?/~'/ DHHS SIGNATURE ~. Approved for ~-"~/~?~'.C~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage ~UG 1 Z 1996 _ OE.^RmENT OF & SE.V,CES RECEiVE W . Environmental Services Division 825"L' Street, Room 502 · Ancflomge, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist A. WEll. DATA Log pr'-~cnt (Y/N) ~/ Date complctecl ToUd dcptb ~,/.,~ / ' Cazd ~ ~'/$ Samta~., seal (Y/N) }/' If A. B. or C. n-ach ADEC lea. er. ADEC ~ter ~. stem number Cas~g hcigl~ (above gn:.md) Wim~ properly protected (Y/N) FROM WELL LOG AT INSPECTION WATER SAMPLE RESULTS: Coliform Date of ~mple: B. SEPTIC/HOLDING TANK DATA Nitrate Date i~-'------~ Tank size Nmnber of Compamnents -- Cleanouls (Y/N).__ Foundation clcanom (Y/N)~~:~~~ High water .i~rm (Y/N) Date of Pumping Pumper ~ ABSOR3~i'iON ~ DATA Dam installed ~ °/2 ° ~;~ Soil ralmg (g.p.d./fl: or ~) /. Z L~ ~' W~ ~' O~l ~ ~1~ pi~ Eff~ ~fion ~ ~~Mo~tofing ~ p~t(Y~ . s.,~-~ ~,~ ~ ~' over field (Y/N) /1/`/ Date of adequacy le~ ~ Results (Pass/Fail) For bedrooms Fluid dcpth in ab~o~)tion ficki before I~ (t-~---.~ {m~,q}~t~ly after gal. water addcd (in.): Fluid dcpth (ira.) Minutes later: ~= g.p.d. Peroxid~ tmatmcat (past 12 months) (Y/N) If yin, gix~ date ~ D. LIFF STATION High water alarm level al* ~'/fe/'' Cycles tested ~ "Pump on" level at* ,~/~,~" 'Pump off' levcl al* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: SepticJholdmg lank on lot ,4//~ : On adjacoul lots Absorption field on lot /~9 / -4- : On adjacent lots Pnblic sewer main /~9 ~- Public sewer manhole/cleanoul Sewer/septic s~rvi¢~ linc ~' ~ '~ Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT Building foundation Id '~ Pmp~r~, line /~ · '~ Absorption field /~2 '-,~ Water main/service line ~ ,' Surface water/drninnge/~g9 ·4. Wells on adjacem lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Braiding foundation t/d~ ¥' Wate~ mnlnls~fvi~ line ~.~ ' 4, Surfa~ water /49d ' + Curtain diain"i'/ ENGINEER'S CERTIFICATION Drip. pad ng/ ,ebicle storage area Wells on adja~.-nu lots /~**)~ *~ PIro{:]~y linc I certif, v that I have determined thrufield inspections and review, in conformance with MOA 1~4A guidelines in effect on this date. Signature Engineer's Name Date Date of Payment Receipt Number Re,.,. 8195 OSS: haa.wk.doc NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS. ALASKA 99701 (907) 456-3116 · FAX 456-3125 8005 SCHOON STREET ANCHORAGE. ALASKA 99518 (907) 349-1000 ,, FAX 349-1016 KND Engineering 20441 Ptarmigan Blvd. Eagle River, AK 99577 Report Dates 07/13/96 Date Arrived~ 07/11/96 Date Sampled{ 07/11/96 Time Sampled{ 1300 Collected By{ KND Attn{ Ken or Dee Our Lab #~ A145951 Location/Project{ Eagle Crest Subdivision Your Sample ID{ Lot 38 Block B Sample Matrix= Water Lab Number Method Parameter Units ** Definitions ** B = Present in Blank NA = Not AnaXyzed E - Estimated Value = Matrix Interference D = Lost to Dilution MDL = Method Detection Limit Date Date Result * MDL Prepared Analyzed A145551 EPA 353.3 Nitrate-N mg/L 0.33 0.10 07/12/96 Reported By~ Anthony J. Lange Chemistry Supervisor ~GRE? ~,ANCHORAGE AREA BOP Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM "AMEJ' ~' ~al[/ MAILING ADDRESS ,,~m t~lf VI'~{C -Dv;~-~. PHONE SEPTIC TANK: DISTANCE FROM WELL INSIDE LENGTH MA. UF^CTU.E.'<J" ' f MATER,ALF , j NUM.EROF COMPARTMENTS INSIDE WIDTH .LIQUID DEPTH I IQUID CAPACITY l'~ ~'O GALLONS. SEEPAGE I:~T:~-,,-*e~C*,l ' ~* ~ I D~'~''c,-~r-, NUMBER OF PITS I DIAM~ER ~1 O" WIDTH~ , L[N~T.~. LINING MATERIAL t~ CRIB SIZE: DIAMETER~DEPTH ~ DISTANCE FROM: BUILDING FOUNDATION ~* NEAREST LOT LINE JOt TOTAL EFFECTIVE WEL~ ABSORPTION AREA (WALL AREA) ADDITIONAL ABSORPTION BUILDING NEAREST NEAREST FOUNDATION LOT LINE SEWER LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED REMARKS DEPTH DISTANCE FROM: SEPTIC SEEPAGE TANK __ SYSTEM DISTANCES: INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM Fo~m NO, EQ-031 G'A'A~// O ~ E GEOTECHNICAL 8' DEVELOPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl EII/s 694-2774 688-2280 Soils ~ Foundations Land Development SOIL LOG Depth (feet) Sol] ~heracterf~Uc~ 0 .1 2 3 4 5 6 7 g 10 11 12 Ground Water Encountered: Yes Proposed Installation: Seepage Pit Comments: ~ ,~ Performed by: No / If yes, what depth Drain Field ~ FOSS DRILLING 1336 InEra Street Anchorage, Alaska 99~01 USE OF WELL OWNER LOCATION s~zE oF CA~N~°'DE~H OF ROL,,~.~,~. CA~DTO~ FEET OF DRAWDOWN. REMARKS DATE COMPLETED_~./~,~.L.~:~"' _PUMP TO BE SET AT tO___. tO tO tO__ tO tO__ to.____ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L B~lm - Andtm~e. Aim~ ~9501 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES /t A [. . p~~n (10~for procelllng. '-- C~' I PHONE ~ I PHONE I BUYER · PHONE iM~.I (.lNG AODRES~ LEN~D~O INSTITUTION. ., PHONE TY, T ~TREET LOCA'TION '~:} SINGLE FAMILY [] MULTIPLE FAMILY 7. WATE~UPPLY INDIVIDUAL* [] COMMUNITY [] PUBLIC UTILITY 8. ~EWAGE DISIN)~AL SYSTEM NUMBER OF BEDROOMS I--1 One [] Four [] Two [] Five [~) Three [] Six ~ INDIVIDUAL/ON-SITE'* [] PUBLIC UTILITY [] Other · ATTACH WELL LOG. A well log is required for all wells drilled since June 1B75. For wells drilled prior to that date, give well depth (attach log if available.) '*if individual/on-site, give imtallation dam/]~df .~4/-./~',~a If system is over two (2) years old an adequacy tm is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSINi 72-01013/78I CAN BE INITIATED, ~_. ,' THIS SIDE FOR OFFICIAL USE ONL ,.~~~. DATE RECEIVED INSPECTION APPOINTMENTS I TIME TIME TIME DATE DATE DATE INSPECTOR INSPECT 0 R INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOM~ [] SINGLE FAMILY i--I ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR I-'l SIX 2. WATER SUPPLY PERMIT NUMBER [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER [] INDIVIDUAL/ON -SITE DATE INSTALLED [] PUBLIC UTI LITY Z.// Connection Verified INSTALLER ~6'~'ptic Tank or []Holding Tank Size: ~,~:) IfTank ishomemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL A~SORPTION AREA MATERIAL 4. DISTANCES WELL T0: SePt jc/Hold~Ta n k ] Ab~orplion Area ?.~..~. ~:.~ 5. COMMENTS -- ~ APPRO~R "~ BEDROOMS r-'l CO .N~I~.I~L APP~-'OOVAL (letter must~eccompany certificate) [] DISAPPROVED DATE BY (~J~) LEGAL DESCRIPTION 72-010 (Rev. 3/78) ¢, MUNICIPAUTY OF ANCHORAGE 0 DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Prope~ Owner ~1~ ~A~ Telephone: Home Mailing Address (c) Lending Institution Telephone Mailing Address Business (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the followino address: or: Check here I~.if hold for pick up. List contact person and day phone number below. TYPE OF RESIDENCE Single-Family Number of Bedrooms WATER SUPPLY Individual Well~ Communit7 Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite'~ Public r-I Community [:] Holding Tank I'"l Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page I of 2 72-025 trey 8,8~1 F~'ont ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm 'J~":~ ,, t~'~ ~ ,Do/'i'~ Telephone Address '"Z/Z. ~. O ~' ~' ~,-"rH Date ~J i4 I ~'f ~ Approved for ~' bedrooms by _ _ ~ Date Approved ~ Disapproved Conditional Terms of Condit!onal ApproVal 1-21-80 CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72.025 rRev 8/86~ Back MUNICLP~.LITY OF ANCHORAGE (MOA) · ~ .kHan._ ,.'~.'c~l~rHOl~iTY APPROVAL (HAA) ~&5~C~?gt-~] ~"~...,,tC~.$ ~-')~'KLIST - FEBRUARY 19~ ~O~~ ~ 2~744 . ," ~ 9 :~ Legal Description: . ~ ~, ~ Well Classification ~ ~ ~ If A, B, C. D.E.C. Approve~ (Y/N) Well Log Present (Y/N) ~ Date Completed ' ~&/~E Yield ~ Total Depth ~t~1 Cased to ~l~J Depth of Grouting Static Water Level ~/ Pump Set At Casing Height Above Ground ~nita~ ~al on Casing (Y/N) Electrical Wiring in Conduit (Y/N) ' ~ Depression Around Wellhead (Y/N) ~peration Distances from Well: : To Septic/Holding Tank on Lot ~ ; On Adjoining Lo~ ~/~OI To Nearest Edge of Absorption Field on Lot ~ ~ -' ~; On Adjoining Lots ~ } To Nearest Public Sewer Line ~1~o ~ To Nearest Public ~wer CleanouVManhole ~ I ~ ~ To Nearest ~wer Se~ice Line on Lot ~O Water Sample Collected by ~ ~5 ; Date ~/~ 7 Water Sample Test Results ~mments ~ ~ ~ ~ ~ ~P~ ~ ~ ~F~ B. SEPTIC/HOLDINGTANK DATA Date Installed Standpipes (Y/N) '}/~'~ Air-tight Caps (Y/N) Depression over Tank (Y/N) ~Uo Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/Holding Tank: To Water-Supply Well ¢~:~ To Properly Line -f' ~O To Water Main/Service Line 4. '7"~ I Course -/' J 5'0 Size I'?..~O ~AL No. of Compartments Foundation Cleanout (Y/N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N). To Building Foundation To Disposal Field To Stream, Pond, Lake, or Major Drainage Comments Page I of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Date Installed ~ UtJ/~/~o ~tJ Width of Field Square Feet of Absorption Area Depression over Field (Y/N) Results of Last AcJequac~ Test /~,p~rl~/ Type of System Design Length of Field Depth of Field ~ Gravel Bed Thickness ~" Standpipes Present (Y/N) Date of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well" To Building Foundation Lot I'J/A TO Water Main/Service Line ~ O~ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Pa;king ,~.,;e~, or Vehicle Storage Area Comments To Property Line Jot To Existing or Abandoned System on ; On Adjoining Lots -t- IOO~ To Cutbank (if present) ,4- I~O~ " · -PloI Date Installed Size in Gallons. "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) 'comments ' ' ,Dimensiohs ' Manhole/Access (Y/N) "Pump Off" Level at . Vent (Y/N) Pumping Cycles during/~dequacy Test, Meets MOA °' Check Permitted Bedroom Rating Against HAA Request *° I certify that. J. have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed {,.~)..~/'},1~ Date J/ad'J~ J ~:~ ' Company "'~J~-~(~P ~ eo'~ MOA No. Receipt No. Date of Payment Amount: $ Page 2 of 2 . umc panryo¥ Anchorage P.O. B(~"%196650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 TONY KNOWLE$, MAYOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 19, 1988 Carey S. Meyer, P.E. Besse, Epps & Potts 2220 East 88th Avenue Anchorage, Alaska 99507 Subject: Waiver Request for Lot 3B Tract B Eagle Crest First Add Waiver Request Number WR88-004 Dear Mr. Meyer: Your request for waiver of the required separation distance between a septic tank/absorption trench to a private well has been approved. The required 100 foot separation from the two parts of the septic system has been waived to 95 feet and 99 feet respectively. Since the well water is supplied by a confined aquifer at 206 feet and is cased to this depth, the chances of surface water contaminating this water bearing aquifer are very small. This is in agreement with the A.D.E.C. waiver guidelines. This waiver approval applies to this existing well to septic system separation only. Any future upgrade to either will require all separation distances be met or another approval from this Department. Sincerely, Daniel J. Roth Civil Engineer On-Site Services cc: Gus Andress, P.E., Manager On-Site Services/Water Quality Programs BESSE, E ' PS & II January 18, 1989 Department of Health and Environmental Protection 825 "L" Street Anchorage, AK 99501 Re: Variance Request for Lot 5B, Tract B, Eagle Crest - First Addition Gentlemen, (D~J"~ This letter is to request a variance for well separation distances for the above-cited lot._Spec£fically,..the ~h9 lot ara less than 100 leer'from the ~eet and the ~earestport~ of the drainfield.is99.feet.-fro~ the well.' Both the well and the septic were installed in 1975. Research of the Health Department files produced a previous approval of both the well and the septic system at 21~ feet. The single family house is between the well and the disposal system. In my professional opinion, in this instance the lesser separation distances are Justifiable and reasonable. The well casing extends +1 foot above surrounding ground, and a sanitary seal is in place. Attached is an as-built plot plan reflecting the location of the house, well, and septic system for your review. Please grant this variance request and Health Authority Approval. Very truly yours, Carey S. Meyer, PE Attachments ENGINEERING, PLANNING, SURVEYING 9')')0 E. 88th Ave./Anchorage, Alaska 99507/Te/e/3hone 907.,3496451/344-1352 "Ploy/ding a qua/ih/personalized se/v/ce to those Dui/ding Alaska'~ future".. MUNICIPALITY ~NVI ,ON.,.ENT,IL RECEIVEO e,,, I BES.~E, E~P$ & POTT$ 2220 FAST 88 AV~2~U~ AN~,ORAT, E, AK 99507 (907) 349-6451 WAT~-R wwr.r. TEST [IhNIRONMENTAL $[£VICES DIVI.~ION 1988 l r lvf:n DR,~t GM.,T.,~qS , G ~ Zl · ~.$ AT,',~ I d METER 177' /~.'oo S.7 ~ /7/ leT' I /P:/O,., E7 57 2Z~ Iq7' i IO:~o f & ~ 370 /77' I t~:vo ~7 $7 ~77 F,~ 177' I ~t:/~ z,v 3~ &o~ / ],y,' I 11:17 ..... I I 24-'~:-r "-.=ac::':' _~/ ~00 +' Ga!Icns