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Home My WebLink AboutGLENN VIEW ESTATES WEST PH 2 BLK 2 LT 3Glenn View Estates West Phase 2 Block 2 Lot 3 #051 - 793-24 'rte Municipality Anchorage of Development Services Department-44I-1y; Building Safety Division A On-Site Water and Wastewater Program, 4700 S. Bragaw St. �/ P.O. Box 196650 Anchorage, AK 99519-6650 Page www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SW800300 0100 St PID Number. 051-793-24 of Name. Arctic Devco. Inc. Wastewater System: 00 New ❑ Upgrade Address: PO Box 3489. Palmer. AK 99645 ABSORPTION FIELD Phone: Number of Bedroom: 4 O Deep Trends 151 Trench O Med 0 Mound O Otter. LEGAL DESCRIPTION So' Rating: 0.45 r,PDvrF Total Depth from original grade: 5.0 rt Mock: Lot Subdivision: Depth b bottom hon Gravel depth beneath pipe: 3.0+ Ft 2 3 Glenn View Estates West Ph.2 pips original grads: 2.0 Ft Township: Range: Section: Fi added above original grads: Gravel Length: Well: ❑ New ❑ Upgrade Gravel wdth: 5 Fl Numbecaws: 9 Distance between d s.: 10+ Ft Gnatcation (Privets. A a CI: Public Water Tota Depth: Ft. Cased to: Ft. Total absorption arse: 1414 Fr Pp Material: SCH40 & F810 Driller: Date pilled: Static Water L.vat: Ft. Installer Turner Const. Dale Installed: 4/30/01 Yield: iCPht I Pump Met at I FI. Casing Height Move Groaned: Ft TAN K SEPARATION DISTANCES .i Septic 0 Holding ■ S.T.E.P. 0 Other. To From Septic Tank Absorption Field LiftHolding Station Tank Public/Private Sewer Line •dactia•r Anchorage Tank capaaty. 1250 Gal. W" 200'+ 100'+ NA NA 25'+ M Steel Number °Compartments: 2 aud°o.w.ter 100'+ 100'+ NA NA LIFT STATION La Ln. 5'+ 10'+ NA NA °` cel Manufacturer: Foundetian 5'+ 10'+ NA NA 'Pump on* level at n 'Pump oft level at n Mph water alar" at H. Curtain Drain NA *501+ NA NA "•^° Make a ModelElectrical Inspections performed by Remarks: *none known BENCH MARK Location and D.rrlpaon: Bottom of siding Assumed Elevation: 100 Ft. Engineer's Stamp z0E OF Ace4%!! at Inspections performed by: KND Engineering Dates: t • 10 r r Ong 0 0 * 4:.u`�.».. • %V, ' . *II 2nd ,-' _ .One•1 . Development Services Department Approval a1 P P /� PP Reviewed and approved by: !(�. / Date: 6 -/ 3 -off- ��, Kenneth M. Cuffu I4s�., CE7116 4l4% R •.e...0 �E' Win% : $'e" - 111 AS -BUILT SYSTEM DETAILS/SITE PLAN Permit SW010088 GLENN VIEW ESTATES WEST S/D, LOT 3, BLOCK 2 PID#051-793-24 EXISTING 1250 GAL SEPTIC TANG 8 soy dr iff • RESERVE FIEL SCALE' 1' = 50' A -C=24.9' B -C=18.7' A -D=31.3' B -D=25.9' A -E=41.9' B -E=37.3' A -F=119.6' B -F=116.8' A -G=123,4' B -G=117.0' A -H=54.0' B -H=38.2' 1 FINAL GRADE 1250 GAL SEPTIC TANK = =R=R= SCALE' NTS or FINAL GRADE Wan PREPARED FOR' TURNER CONSTRUCTION PO BOX 3489 PALMER, AK 99645 (907) 745-8334 FIELD 8001(5 °°A°AR" I ANG SONOIE ADULT. ORE MG LANG AfJO 01023.DWG COMPUTER ORA CHECKER °Alt VBG KMD 6/10/02 °n:t NW1459 10B R't 01023 SCALE' NTS <es.6) a, 33' Road & Util Esnt END ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)898-8111/FAX (907)698-8111 March 7, 2002 Municipality of Anchorage George P. Wuerch. Mayor Turner Construction PO Box 3489 Palmer AK 99645-3489 Building Safety Division P.O. Box 196650 • 4700 S. Bragaw Street Anchorage, Alaska 99519.66.50 • (907) 343-8301 littp://www.chanchorage.alcus Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW010088 "Legal Description: Glenn View Estates West Phase 2 Block 2 Lot 3 Dear Turner Construction: An On -Site Water/Wastewater Permit, number SW010088, issued by this office for a single-family system, will expire on April 27, 2002. This permit was valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system was installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $100.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $400.00 for a wastewater permit and $150.00 for a well permit. If you have any questions, please call this office at 343-7904. Si jcly, J es Cross, PE Iv anager On -Site Water and Wastewater Program Enc: Copy of permit 1tCdV ID ENGINEERING, INC. 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907) 696-6111/FAX (907) 696-8111 April 19, 2002 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: SW010088 - Glenn View Estates West Phase 2, Block 2, Lot 3 Gentlemen: The on-site septic system of the above subject property has been installed as permitted. At present, we have not received the as -built survey from the property owner and we are unable to submit the inspection report. Once we have obtained the needed information from the property owner, we will submit the inspection report and all other required documents for your review and approval. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully, Y%N'D Engineering, Inc. Brent M. Western cc: file MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial � -30 --al e.-_12:00 Qt. 3:°GA 5-2-0/ Date Issued: Apr 27, 2001 Expiration Date: Apr 27, 2002 Permit Number: SW010088 Parcel ID: 051-793-24 Legal Description: GLENN VIEW ESTATES WEST PH 2 BLOCK 2 LOT 3 Design Engineer: 0070 KND Engineering Site Address: NHN PAULA SUE CIRCLE Owner Name: TURNER CONSTRUCTION Lot Size: 41243 SQ. FT. Owner Address: PO BOX 3489 Total Bedrooms: 4 Permit Bedrooms: 4 PALMER . AK 99645-3489 This permit is for the construction of: Q Disposal Field 7✓ Septic Tank O Holding Tank ❑ Privy ❑ Private Well O Water Storage 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 DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Date: J 0 7 0/ Issued By: ��,I / >' Date: 4 -27- 0/ 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 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I D o57 -7q3-24 Permit Number SW 010088 Property owner(s) Turner Construction Day phone 242-45.5.5 Mailing address (1) PO Box 3469, Palmer, AK MMaiiiiagaddress (2) PAULA ft(E CIRCLE Zip Code 99645-348f Legal description (Lot, Block & Sub'rl) I nt 3, Block 2, Glenn View Estates West Ph 2 Legal description (Section, Township & Range) Lot Size_r 243 Acres/Sq.Ft. Number of Bedrooms 4 THIS APPLICATION 15 FOR: Sewer Only 0 Well Only ❑ Sewer and Well ❑ Water Storage D Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool 0 Water Softening Unit ❑ Therapy Pool 0 I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: ?LC) Waiver Fees: Date of Payment: rf/6/'1 Date of Payment: Receipt Number: %v( Receipt Number: (Rev. 12!00) JKND ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 April 18, 2001 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Pb 2 Subject: New sewer permit — Glenn View Estates West Block 2, Lot 3 Gentlemen: The owner has requested we proceed forward to obtain a septic permit on the subject lot. On April 19, 1999 we dug one testhole for the proposed system. The results of the test are attached. The general slope of this lot is from north to south at a grade of approximately 2 - 5%. We have designed our system utilizing the testhole we excavated for the 3 -bedroom house, which is proposed for this lot. The lot will be served by public water. We propose to install a 5 wide shallow trench. Water was not encountered during the excavation or monitoring. There are no public or private wells within 200' of our proposed system location except as noted. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, IIaHD Engineering Kenneth M. Duffus, P. . Attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test 11�ID ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 (907)696-6111/FAX (907)696-8111 April 24, 2001 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: New sewer permit — Glenn View Estates West, Block 2, Lot 3 Gentlemen: The owner has notified us that a 4 -bedroom house is to be constructed on the subject property instead of the previously proposed 3 -bedroom. The attached redesign shows this change. An additional percolation test will be conducted during construction. All other design items are to remain the same as previously submitted, and we do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 696-6111/FAX 696-8111. Respectfully submitted, IKHD Engineering Brent M. Western Attachments: Wastewater Absorption System Details/Site Plan WELL & WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PLAN GLENN VIEW ESTATES WEST S/D, LOT 3, BLOCK 2 KND of 11 VACANT Lot 10 Lot 9 VACANT Lot 8 V HL.fiIN 1 Lot 1 Lot 2 VACANT ION (rr..I+•. ek wlv 144 VACANT Lot 4 NO PORK YELLS WITHIN KC OT PROPOSED SYSTEM NO PRIVATE WELLS WITHIN to, 6 PROPOSED SYSTEM EXCEPT AS NOTED. NO SEPTIC ST -STENS WITHIN KM or PROPOSED WELL EXCEPT AS NOTED. __`N1/4 °FAL46 ; KENNETH CE -7116 4.7 SSS10N1= \�\�' DESIG DETAILS 4 BDRM X 150 GPD = 600 GPD 600 GPD/.45 GPD PER SQ. FT. (32.0 MIN/IN.)= 1333.33 S0. FT (1334/5'(W)) X .58(RF) (3.0' GRAVEL) = 154.7 FT. TRENCH USE 2 TRENCHES - 78 (L) X 5' (W) X 3.01(0) Total depth of system Is 5.0' from original grade. Total depth of gravel below distribution pipe is 3.0' . NOTES: 1. USE 1250 GAL. SEPTIC TANK. INSULATE IF <4. OF COVER. 2. INSULATE TRENCH WITH r HD BURIAL FOAM. 3. CONTRACTOR WILL ENSURE MINIMUM 2X SLOPE INTO SEPTIC TANK. 4. ADDITIONAL FILL WILL BE ADDED OVER SYSTEM TO ACHIEVE MIN. 3' COVER IF REQUIRED. 5. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT YELLS 11. SEPTICS. M Lot 3 -5 d J s s PREPARED FOR: TURNER CONSTRUCTION PO BOX 3489 PALMER, AK 99645 (907) 745-8334 Scale: 1'= 100' PAGE 1 OF 2 PEW BOOKS COMPUIEO: DaAnANY: LANG DRAwr. vac STAXAIC LANG CMEaIEa KMD A59RT' LANG D.D. TIE: w'>E: 4/18/01 Is, AVD ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 uo NW1459 I"010023.DWG JOB "" 010023 (907)696-6111/FAX (907)696-6111 WASTEWATER DISPOSAL SYSTEM DETAILS GLENN VIEW ESTATES WEST VD, LOT 3, BLOCK 2 KND ❑POSED 1250 L SEPTIC TANK CO 0 FCO :D 4BDRM 7) J Ln N \\ ,.psi ................. OFALqs S 911 KEN M. DUF CE -7118 M TH#KNU -E/3 ROPO ! PRIMARY FIELDS SPLITTER elLO MT MT MT U 1/2://22:///2://// /:///2:d P'UP❑SED RESERVE F ELDS 1/1 ///// /////////' PREPARED FOR: TURNER CONSTRUCTION PO BOX 3489 PALMER, AK 99645 (907) 745-8334 Scale: 1'= 20' PAGE 2 OF 2 F1EU) BOOKS Caws °°"1O""^ LANG paAWt VBG iTM$C LANG DCO€ED: KMD "fIRT: LANG 4/18/01 END ENGINEERING 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 o.c rat: tact NW1459 010023.DWC a "" 010023 (907)696-6111/FAX (907)696-8111 JKNI]) ENGINEERING • 20441 PTARMIGAN BLVD. EAGLE RIVER, AK 99577-8736 Performed fon Project Depth 2- 3- 4- 5- 6- 7- 8- 9- 10- 11- 12- 13- 14- 15- 16- 17- 18- 19 - HOLE PRESOAKED 20- PRIOR TO TESTING SOILS PERCOLATION TEST •Kenne . Uufry W 5 // S• •• CE t11 �i A• OFESSION. Arctic Devco/I'urner Construction Date Performed: 4/19/99 Lot 3, Block 2, Glenn View Estates West TESTHOLE# 99-2/3 Org — soft, black, root mat SM — loose reddish brn light root mat Loose & soft on top Redish brn to grey bm SM/GM — Med dense, W/ gravel & silt, dry Silt increasing on bottom w/density. B.O.H. SEE ATTACHED SITE PLAN FOR HOLE LOCATION Was Ground water encountered? NO Depth to water after monitoring? DRY What depth? N/A Date? 05/15/99 Reading Date Gross Time Net Tune Depth to Water Net Drop 1 4/21/99 10:17- 7" - 2 10:47 30 min 6" 1" 3 10:47 - 6^ - 4 11:17 30 min 5" 1" 5 11:17 - 5" - 6 11:47 30 min 41/16" 15/16" 7 8 9 10 11 12 • Water Added Percolation Rate 32.0 (min/in) Perc Hole Diameter 6" Test Rum Between 3.0 feet and 4.0 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Development Services Department On -Site Water & Wastewater Section Parcel I.D. 051-793-24 AHC HORQOC Certificate of On -Site Systems Approval Phone: 907-343-7904 Fax: 907-343-7997 [,RUSH! Expiration Date: -Zoz Z 1. GENERAL INFORMATION Complete legal description GLENN VIEW ESTATES WEST PHASE 2 BLOCK 2, LOT 3 Location (site address) 21303 PAULA SUE CIRCLE, CHUGIAK, AK 99567 Current property owner(s) MARKUS H. DOERRY Day phone Mailing address 21303 PAULA SUE CIRCLE, CHUGIAK, AK 99567 Real estate agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) r' ❑ Duplex ��' I ❑ Multiple Dwellings (Single Family and/or Duplex) -4/1 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 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 $ ��O �V 1 �� Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number u COSA # 0 S C J'0 .I t � � 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 FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 8/21/2020 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 - — OF �s`�li these various and dynamic characteristics and are outside the control of the evaluator of the • • well and septic system. Therefore, any estimate of how long a system will function satisfactory g�Q: • • • •:19 �� for current or future occupants or guarantee that no unseen encroachments, deficiencies or J discrepancies exist can be given by First Water Consulting& FW CS ' / * • 49 TH , , . ,•:* r •� 6. DSD SIGNATURE rr Curtis Huffman / System #1 Approved for bedrooms�F6�s•,. CE 128991 System #2 Approved for bedrooms ��\`PR`ESSO4 Disapproved Conditional approval for bedrooms, with the following stipulations: QA i g ON-SITE WASPIv, ATER ? PRbokAM Original Certificate Date: 5�—Zq -202CD 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. �A4 W ATQ:I ►Vi l :1 k1 `'I COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: GLENN VIEW ESTATES WEST PHASE 2 BLOCK 2 LOT 3 Parcel ID: 051-793-24 If more than 1 septic system on lot: COSA Checklist # _of A. WELL DATA — PUBLIC WATER ❑ Well log is filed with Onsite (or attached) Date drilled Total depth _ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) _in. Date of flow test for COSA Static water level at beginning of test _ft. Comments B. TANK DATA Age of tank(s) 19 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 51" ® Standpipes/foundation cleanout per record drawing Date of pumping 8/21/2020 D. ABSORPTION FIELD DATA Which system tested (date installed) 4/30/2001 ® ALL standpipes present per record drawing Total measured depth from grade 5.6 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 Structure served by this system _ Well production at time of test _gpm Water storage tank volume_ gallons Well disinfected for coliform test? ❑ Yes ❑ No ❑ Coliform bacteria is Negative Nitrate _mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by_ Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station _ years Lift station material Comments: Adequacy test date 8/21/2020 Results N Pass For 4 bedrooms Fluid depth prior to test 0 in Water added 600 gal New depth 5 in depth into effective Elapsed time 1220 min ® Code -required soil cover over field Final fluid depth 0 in ❑ System presoaked Absorption rate 600 gpd (Required if vacant -for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons FWS Comments/Deficiencies: Tested N trench. South trench had 8" of fluid. E. SEPARATION DISTANCES Fro`tii-P...riv� ateWell on Lot to: (Please enter distances if less than required or if community well) NA PUBLIC WATER ® Yes if No ft Surface Water > 100' ® Yes if No _ Septic Tank/Lift o -n -on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' '-5<1 Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes�fft Private Wells > 100' ® Yes if No Water Main > 10' Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft � r'r Iding Tank > 100' ® Yes if No ® Yes if No ft If septic tank is under driveway comment below Neighboring Absorption Fields > 100' Animal Contain gent? 50' ® Yes if No ® Yes if No ft �`` Manure/Animal Excreta Storage- ,-QO' Community Sewer Main > 75' ® Yes if No ft ® Yes siif-No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® 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' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® 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' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® 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 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. low •.�, TH r • Curtis Huffman CE 128991 .•�`�® le�* .8Z24/2928'��U�� pROFESSI��P .� 111 ft ft ft ft ft ft ft ft 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I D. 051-793-24 HAA # 0,5 D11: Expiration Date. 3- 30-0G 1. GENERAL INFORMATION Complete legal description Glenn View Estates West Phase 2, Block 2, I at 3 Location (site address or directions) 21303 Paula Sue Circle, Chugiak, AK 99567 Current Property owner(s) Robert Robb Day phone 6RR-2074 Mailing address P Rnx 77108% Eagle River, AK 49 577 Lending agency Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: _4._ 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 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 Health Authority Approval (HM) 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, 1 verify that my Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm KND FNGINFFRING, Inc Address 20441 Ptarmigan Blvd., Eagle River, AK 99577 Engineer's Printed Name Kenneth M. Duffus Date Phone (907) 696-6111 Engineers Comments: This Investigation was completed In compliance with ADEC and MOA regulations. 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 and the water usage of the family being served by the system. The operational life of ail 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, KND can not give any estimate of how long a system will function satisfactory for current or future occupants or can KND guarantee that no unseen encroachments, deficiencies or discrepancies exist. 3/?4/05 ..."1991; �.. igs..11 i io T •**. �� a. Kenneth !r�� •. CE7• • / 49F ��.• •• •"�b- 5. DSD SIGNATURE ✓ Approved for ' bedrooms. Disapproved. _ Conditional approval for bedrooms, with the following stipulations: tlllll(((O(�fff//�( i •# • ON Silt % A A149‘.. WAS PROGRAM Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date' 3 " 30 r 0S 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 CHECKLIST Legal Description' Glenn View Estates West Ph. 2. 62. L3 Parcel ID: 0 51-7 9 3-2 4 A. WELL DATA Well type Public 1f A, B, or C provide PWSID #_ Well Log (Y/N) Date completed Sanitary seal (Y/N) Wires properly protected (WN) Total depth ft. Cased to ft. Casing height (above ground) FROM WELL LOG AT INSPECTION Date of test Static water level ft. ft. Well production g.p.m g.p.m. WATER SAMPLE RESULTS: Coliform _colonies/100 mi. Nitrate _Ing./I. Other bacteria _ colonies/100 ml. Arsenic: mg.11. Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Materia] septic/steel (Anch. Tank) Date installed 4/30/01 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (WN) Y Depression over tank (Y/N)&High water alarm (Y/N) 11 Date of pumping 3/23/05 Pumper JR's C. ABSORPTION FIELD DATA Date installed 4/30/0$1 Soil rating (g.p.d./fl2 or ft2/bdrm) 0.45 System type Shallow Trench Length 164 ft. Width 5 11 Gravel below pipe 3.0 ft. Total depth 1 ft. Eff. absorption area 141419 Monitoring tube Y Depression over field N { Date of adequacy test 3/23/05 Results (Pass/Fail) Pass For bedrooms Fluid depth In absorption field before test 0/12 in. Water added 600/30Q gal. New depth 6/1 5.5 in. Elapsed Time: 1440 min. Final fluid depth 0.6/13.2 in. Absorption rate >= 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date D. LWT STATION Date installed NA "Pump on" level at in. Datum Size in gallons Manhole/Access (Y/N) 'Pump off" level at in.High water alarm level at in. Cycles tested Meets alarm It circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent Tots Absorption Held on lot On adjacent Tots Public sewer main Public sewer manhole/deanout Sewer /septic service line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main 10'+ Water service line 1 0 + Absorption Held 5 ' + Surface water 1 00'+ Wells on adjacent Tots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 1 0'+ Water main 1 0'+ Water Service line 10'+ Surface water 1 00'+ Curtain drain 50'+ F. COMMENTS Wells on adjacent lots 2 0 0' + G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems am in conformance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Kenneth M. Duffus Date 03/24/05 Driveway, parking/vehicle storage 1 0'+ HAA Fee $430.00 Date of Payment Receipt Number (Rev. 12/01) 32s -A2 d" toy3-2Q w+(n Waiver Fee $ Date of Payment Receipt Number 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 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING ,/ HAA # ,94-o-2 E -1 o Parcel I D. 051-793-24 r Expiration Date. 6 - ! 3 - o 3 1. GENERAL INFORMATION ( itlipleteJlegaf"description Glenn View West Block 9, Lot 3 t,T-ibcation (sem address oriiirections) la .... ........................2 Ctirrent•PtBpettrtaitiei(s) Arctic Devon, Inc. Day phone ‘.' "5' PO Box 348%Palmer AK 99645 :."Mailipg address�;� !.•.7+.,. ora' • Day phone LerJng•agency< Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: _4._ 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank 0 Community Class Well 0 Community On-site 0 Public Water System ® Public Sewer 0 The Municipality of Anchorage Development Services Department (DSDCIssues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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 Tess than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my Investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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 KND Engineering Phone 696-6111 Address 20441 Ptarmigan Blvd Eagle River, AK. 99577 Engineer's Printed Name Kenneth M. Duffus Date 6/3/02 4.aa......q.q.P ii 474 %t f4 N z`.\ . $ s I ii x, .... ._.-..� r. f .- . Ker~u / •�•% 5. DSD SIGNATURE 0 a ,.... // Approved for bedrooms. ,�j sF CE �t1600 Disapproved. ,til; ROFES81gNto+ Conditional approval for bedrooms, with the following stipulations: Additional Comments `�1�1�NiY Ot ,e ON-SITE WATER AND • 1,1. WASTEWATER o • f'fiOGRr,ni �IjJ, nnllll�, Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory By: Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date- 6 - / 3 -Q Z. • Legal Description: A. WELL DATA Well type PUBLIC Date completed Total depth f1 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 CHECKLIST GLENN VIEW ESTATES WEST B2. L 3 parcel ID: 051-793-24 If A, B, or C provide PWSID # _ Sanitary seal (Y/N) Cased to ft. FROM WELL LOG Date of test Static water level ' ft. Well production 9 p.m WATER SAMPLE RESULTS: Well Log (WN) Wires property protected (Y/N) Casing height (above ground) AT INSPECTION ft. g p.m. Coliform colonies/100 mi. Nitrate mg./1. Other bacteria colonies/100m1 " Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Tank Type/Material Anch. Tank / Steel Date, installed .4/0/01 Tank size 1250 gal. Number of Comparbnents2 Cgapbuts aurtd8tign ct anout Depression over tank JHIgh water alarm of pumping ., Pumper C. ABSORPTION FIELD DATA,:‘ Dabli:lit$Iied_4130/02 SOP rating (g.p.d./fe or ft'/bdrm) 0.45System type SHALLOW TRENCH Length 62 -ft 2 " ft. Width 5 ft. Gravel below pipe 3.0 + It Total depth ¢.Q ft. Eft. absorption area 1414 ft' Monitoring tube L Depression over field N Date of adequacy test NEW SYST. Fluid depth in absorption field before test Elapsed Time: min. Results (Pass/Fail) Pass For A. bedrooms in. Water added gal. New depth in. Final fluid depth in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) Absorption rate >= If yes, give date g.p.d. D. LIFT STATION Date installed 'Pump on level at in. *Pump off' level at in. High water alarm level at Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot On adjacent lots Absorption field on lot On adjacent Tots Public sewer main Public sewer manhole/cleanout Sewer /septic service line Size in gallons Manhole/Access (WN) Meets alarm & circuit requirements? In. Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line A' + Water main 10'+ Water service line 1 0 ' + Absorption field 5 ' + Surface water 1 0 0 ' + Wells on adjacent Tots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 1 0'+ Building foundation 1 0'+ Water main 1 0'+ Water Service line 1 0'+ Surface water 1 0 0' + Driveway, parkinglvehide storage 2 5 ' + Curtain drain 50'+ Wells on adjacent lots 2 0 0' + F. COMMENTS G. ENGINEER'S CERTIFICATION I ceflfy that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA MAA guidelines in effect on this date. Engineer's Printed Name Kenneth M. Duffus Date 6/8/02 asti-.416•4%- # At4"h �48. 1t .� *1 a 04 '';41161111111111:71 / ..jr r• oeie 1,` HZZIZN�~ • HAA Fee $ 37C - Date of Payment (//0/01- Receipt (i/o L Receipt Number 02101S" (Rev. 12/00) se Waiver Fee $ Date of Payment Receipt Number 30.00' 15 TELECOM. 8 ELECT. EASEMENT 8 Lot 2 N 89.54'30.E 300.66' 49.9' N c 1, 0 31.4' 4.0' 2.4 24.9' 219.0' 15' DRAINAGE EASEMENTS 1 i N 88.38'37'W 281.21' Lot 4 1 faitaivelmot-.5 I stew_ PLOT PLAN _ ASBUILT t _ SCALE le ' 5°' GRID NW 1459 Project No L00-044 Lang& Associates, inc. 11500 Daryl Avenue, Anchorage, Alaska 99515 (907)522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax 1 hereby certify that 1 have surveyed the following described property: Lot 3, Mock 2, GLENN VIEW ESTATES WEST Anchorage Recording District, Alaska, and that the Improvements situated thereon are within the property Ones and do not encroach onto the property adjacent thereto, that no Improvements on the property Tying adjacent thereto encroach on the surveyed premises and that then are no roadways, transmission lines or other visible easements on said property except as Indicated hereon. Dated this the Z${tl Day of Alt, Ztri2.- at Anchorage, Alaska It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. a .KENNETH . 4' • LS -5202 0lik ss�C�