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HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 30ACDt6lo �Ltiu`cl� � =�: 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 hftp://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241381 Work Type: Septic Upgrade Effective Date: Expiration Date: Tax Code Number: 05022422000 Site Legal Address: EAGLE RIVER VALLEY RANCHETTES LT 30A G:0054 Site Mailing Address: 18850 WAR ADMIRAL RD, Eagle River Owner: HEMBACH JOEL B & DENISE Design Engineer: NORTH RIM ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy r Sr. Ueharr��rcnt 11 /21 /2024 11 /21 /2025 Lot Size in Sq Ft: 17955 Total Bedrooms: 4 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: The water line alignment is to be confirmed prior to field install to maintain separation from field to water line. Received By: S S "lam 7-0R- ll Issued By: Al �_ Date: l IlaI ZZO Z Date: MUNICIPALITY OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section ON -SITE SEPTICANELL PERMIT APPLICATION Parcel I.D. 05022422000 Property owner(s) HEMBACH JOEL Mailing address Site address same Day phone 350-0715 Legal description EAGLE RIVER VALLEY RANCHETTES LT 30A Number of Bedrooms 4 Engineering Firm NorthRim Engineering Building Permit Number Not Applicable RN APPLICATION IS FOR: APPLICATION IS AN: (Z all that apply) Absorption Field RX Initial R Septic Tank RX Upgrade RX Holding Tank R Renewal R Privy ❑ Well ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: F I F, C-D _/_� r- I )� Co Distance: 12, 5 Permit/Rush Fees: 9 Waiver Fees: (95 V 2 Date of Payment: l S Date of Payment: Permit No. (\),S P Ll Waiver No. Wddpality of Anchorage On -site Water and Wastewater �Ll_ T' M ENGINEERING SteveEng.com REVIEII W FOR CODE CONIPUANCE OSP241381, Cwtis Townsend, 11/21/, Eagle River Valley Ranchettes L30A SPECIFICATIONS & DESIGN GUIDELINES Wastewater System Sizing: This is an existing 4-bedroom, single family home. A new STEP tank/Trench is currently planned; existing tanks will be decommissioned per UPC. Neighbor lots are served by septic systems and public water; there are no conflicts. The topography slopes from south to north as depicted in drawing. A soil test reveals SM w/ Gravel, no groundwater encountered. An application rate of 0.8 GPD/FTZ will be used for the trench. Trench Length = 750 FTz/2 x 7' = 54' trench, 2.5' wide, 7' effective depth. 10' total depth. Water Line is shown in blue. Specification Requirements: All components and work must comply with the Municipality of Anchorage Specifications (AMC) & State of Alaska Drinking Water Regulations and Wastewater Regulations. • New 1500 Gallon STEP tank. MOA-Approved. • 5' minimum between the tank and trench. 10' minimum to property lines tank/trench. • 4' of cover and insulation is required for force main; 2" Minimum thickness for insulation. • Tank & solid pipe must be set on well compacted, stable soil. • 4 inch diameter cleanouts with airtight caps are required 1 ' to 4' from foundation wall, prior to any 90 degree bend in 4 inch line. • All cleanouts must extend to at least ground level. • In solid pipe runs, ASTM D-3034 may be used in lieu of cast iron. • Bed to be placed level, minimum of 4' to groundwater, 6' to bedrock. • Drain rock to be '/2" to 2 ''/z" screened. Drain rock to be distributed uniformly. • Force main to be 1.25" Schedule 40 PVC or equal. • Distribution pipe to be 1.25" Schedule 40 PVC w/ 1/8" orifice @ 24" on -center. • Silt barrier (filter fabric) to be installed above the drain rock. • Smeared bed must be raked or scarified before drain rock placement. • The finish grade must be mounded to promote drainage away from trench. • Insulation must be placed over any pipe installed under driveways or parking areas. • Approved pipe materials include cast iron, PVC ASTM D3034, PVC ASTM F789, ABS ASTM D2661, • Sewer Service Line is minimum 2% slope. • Septic Tank to be pumped every two years or when required. 0 Insulation board to be extruded direct burial polystyrene (Dow Styrofoam HI/equal) Muricipality of Andwage Or -site Water and Wastewater a f. . ENGINEERING Date: 11/21/24 To: MOA On -Site Services SteveEng.com Steve Eng, PE, PH 907-694-7028 SteveEngPE@gmall.com Subject: EAGLE RIVER VALLEY RANCHETTES LT 30A Septic System Upgrade Waiver Between Old & New Trench Cutis Tommid, 11r21/, «,, E..q CE-(156 11/21/24 Number of Pages: 1 The owner desires to upgrade the septic system. The existing trench is close to failure. The best site for a new trench is as indicated in the Plan submittal. Due to the 7' effective depth, The required separation between old and new trench is twice the effective depth or 14' The actual separation for a small portion between the two trenches is 12.5' The general "rule of thumb" distance between absorption fields is 10' The general idea is not to destabilize the soil between the two fields, or allow for water transmission. The silty nature of this soil should preclude any water transmission between trenches. The stability of the soil should not be compromised; the existing trench has been in place many years and is very stable. The general slope is from south to north, which is mirrored by general drainage direction. The test hole was completely dry after monitoring. Effluent from the existing trench was not evident. The existing 11 ' deep trench trench meets vertical separation to groundwater; the 16' test hole had no observed groundwater and was monitored in the high water period. The new trench total depth is only 10', but requires the 14' separation due to the 7' effective depth. The old trench depth is 11 ', with an effective depth of 4', so a code -required separation from this old trench is only 10' So due to code, an 11' deep trench only requires a 10' separation, while this new 10' deep trench requires a 14' separation. A waiver should be justified in this case. Thanks -Steve Municipality of Anchorage � epirr,nonr �'. P.O. Box 196650 0 4700 Elmore Road Anchorage, Alaska 99519-6650 0 (907) 343-7904 a Fax (907) 343-7997 http://www.muni.org/Onsite Develol2ment Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: osv241061 COSA#: P I D#: 050-224-22 Permit#: OSP241381 Legal Description: EAGLE RIVER VALLEY RANCHETTES LT 30A Engineer: North Rim Enqineerinq Your request for a waiver of the required 1 / feet horizontal separation from the absorption field to the F ► r✓ /- a has been approved. The approved separation distance is 12.0 feet. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on -site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: �/ 2 �l 2 �Z C% Approved by: Name of 9eviewer .............................. ................................................ � **** VARIAN C EIWAIVE R REVIEW **** DESIGN NOTES: Widdpality of Anchorage On -site Water and Wastewater REVIEWED FOR CODE CONPUANCE OSP241381, Curtis Townsend, 11/21/.' 1. Total Depth of Trench is 10 2. Sewer Service Line minimum 2% slope. 3. Diverter Valve To Old Trench. 4. Decommission Old Septic Tanks Per UPC. 5. Inspect Sewer Service Line— Replace If Necessary. 6. Measure Required Separations Prior To Construction. 7. Subdivision Served By Public Water. NOR THRIM ENGINEERING Ste veEng. com PO Box 770724 River, Alaska 99577 907.694.7028 War Admiral Dt-/VewQy 4 BdrM SPLIT LEVEL RESIDENCE 20 CAN (LEVER C/eCk C. c. f en CE-41= 5% 1Slope '14-, 0 1 @ 10' U7IUTY ESIAT. LOT 30C Decommission 0[d Septic Tanks PER UPC & Replace w/ 1500 Gallon STEP Tank w/Diverter Valve 5% Slope LO 9 M r—�ri 0 EAGLE RIVER VALLEY RANCHETTES LOT 30A WASTEWATER UPGRADE SEPTIC UPGRADE 1' = 30' PLAN LAYOUT 11/14/P4 IP nP -'I D M -J ON U -P� W M t-, tj O (0 m ro 0 (D 4E W :0 -0 ro p m —i rl) n '-,+ j ID p (6 + :Eto m-0 (0 N o -3 n -3 m ro ro P -D C+ z 0-3 -3 zy 3- z N 3 C 11 DC: 30 (D ro 0 p 0 0 0 Ln C+ p n ro c4 :5 -1) 0 - -o p n ro o n p c -5 + n M o :5 --o n ro 3 p o ro Q- rrj n r -- -0 :5 ro < :3 6 6 = rl) (D :3 0 R) -3 Ln m All: -;�. (D W -3 -0 no�m �w ro m 0 A; 0 tA ro u ®r 3 TO 1 -0 ro C� k;,o i —1 -3 C+ X 0 Or :3 1 ru :3 '3 Ar 0 0 C-) cri Ln (D ZY -------- ro I ro w p n 0 (D C: C4 rD -3 :7 ro n o Ln C: - rD - Lt p :3 L—) C Ln ro n m Q- 0 4-1 Ln n :3 tzi C) C+ 90 m -u 0 M 0 < 7� 0 p < n ro '3 ro 0 rri M m FTI I> rD n < < R) m ro < tj ro n 3- c < _0 0 M 0 m ro CD • n W F m rl) Elm m m I r,o CA C/) n :y ro ro C) -a n -TI 0 c I n ro x c p 3- to D on -site REVI*D A M p :3 0 c C+ to -9--1 lity of Ndo-age iter and Wastewater R CODE COMPLIANCE Curtis Townsend, 11/2 ll,e MiNdpality of Anchorage OrMite water and Wastewater REVIEWED FOR CODE COMPLIANCE SOILS LOG — PERCOLATION TEST OSP241361, Curtis Townsend, 11/21/-, Date Perf ormed: 10/17/24 ENGINEERING Performed For: Owner Legal Description: L30A DEPTH (FEET) 1 - 2 3 4 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 Organic SM Silty Sand TA Location: See Attached Test Boring Location Map W/ Groundwater? No Depth Gravel Water Depth After Monitorina, None Date; 10/27/24 # Date Gross Time Net Time Depth Net Drop 1 10/27 0 -- 6# -- 2 10/27 10 10 min. 3# 3 3 10 -- 6.# -- 4 10/27 20 10 min, 4.5' 1.5' 5 10/27 20 -- 6# -- 6 10/27 30 10 min, 4,5' 1,5' 7 110/27 30 -- 6# -- 8 10/27 40 10 min, 4,5' 1.5' 9 10/27 40 -- 6' -- 10 10/27 50 10 min, 4.5' 1.5' 11 1 0/27 50 -- 6'v -- 12 110/27, 60 1 10 min, 4.5- 1.5' 21 Percolation Rate 7 min/in Perc Hole Diameter 6' Test Run Between 2' & 3' Comments: Measured To The Nearest 1/16 Performed By NorthRlm Eng. I CERTIFY THAT THIS TEST WAS Perf ormed in Accordance with All State/Municipal Guidelines in Eff ect ON THIS DATE. DATE: NOR THRIM ENGINEERING ;.EAGLE RIVER VALLEY 'TH SteveEng.com ism' RANCHETTES LOT 30A PO Box 770724 ............. Eagle River. Alaska 99577 TESTHOLE LOG 907 694. 7028 b GEOTECHNICAL 10/27/241 I BASIS OF BEARINGS: FNO. 518" REBAR I (N 89.57'15" E 133.00')R&M LOT 31B - E E - FND. 518" RE SOUTH 0.8%WEST 0.2' FROM REC. POSITION LO T 31 LOT 30C NORTH 0.2 %WEST 1.1 ' FROM REC. POSITION LOT 30 ASPLS MORTGAGE LOCATION SURVEY NOTES: NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. LEGEND O RECORD DATA PER PLAT #63-129A O FOUND 2.5" ALUM. CAP O FOUND 1/2" OR 5/8" REBAR, NO CAP APPX. EDGE OF GRAVEL DRIVEWAY FENCE — E E — OVERHEAD UTILITIES o P POWER POLE �"v WATER VALVE 0 UTILITY PEDESTAL SEPTIC PIPE ® TEST HOLE MONITORING TUBE DECK 0 CONCRETE OF 0' 20' 40' �i�Q� • ;gS`'�li� SCALE: V = 20 FEET % * ••49TH • • ••* WINTER SURVEYNOTE:+/-6INCHES OF I •.Ryan G. Johnson; SNOW ON -SITE AT TIME OF SURVEY. ONLY �f+'. •No. 192159 • •� VISIBLE IMPROVEMENTS SHOWN HEREON . �l•.11/12/20�4'S�� AS -BUILT OF: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON -SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME //�� �y PHONE ❑ NEW UPGRADE MAILINGRESS _ LEGAL DESCRIPTION 44-7 LOCATION NO. OF BEDROOMS DISTANCE TO: Well - Gi L / C' Absorption ajea ! Dwelling ` % PER T 7 v pW . a Q tactur X ,� / Materi No, of comtments Li aci n gallons IF HOMEMADE: Insid Ten th ems+.-.- - Width Liquid depth z Z DISTANCE TO: Well Dwelling PERMIT NO. r ha- Manufacturer " - Material Liquid capacity in gallons i w U DISTANCE TO: Well ;'iG2 /-.,/ �_ �` Fo�indatiq �/�F✓ Nearest lot fin PER IT N,O�✓ 1 `7`Y ` / S l" u ? LLJ No. of lines "7 en of e ch i ee,, ! Z,l'G Total Ie1�g lies C Tren wi th /r Distance between lines h --wg inches p Top of til finish grade Mate al beneath tile inches Total e ve absorp on ea cj 0 w Length Width Depth PERMIT NO. C� a H wa Type of crib Crib diameter Cr i d pth Total effective absorption area vwi DISTANCE TO: Well Building fou dation Nearest lot line w J w Class r Depth DLPF. Us il h OO '4v i-;Ft>,I_TFi 8 Distance to lot line PERMIT N0. W 0/ TANCE TO: Building fouFoiid�r✓,L l�w(i(]1CT;G�,^( Septic tank Absorption area(s) OTHER SE -1 'D, PIPE MATERIALS. L r SO] L TEST RATING INSS)•ALLER, 1"q REMARKS'" � 'y��� } jtm. F•�' -P �Pb°�-' i.-�r'��%f � f=..�"`6 irk G��'J �J '` � ,/(f...i 311 " u a v ' 6 ® ri �➢f _�aa mr �•di• p♦ Ma '0 tq^f Ft�bsrt A. 5fieiaar r4 � ice` CVO. 11457.5 , APPROVED rn DATE LEG a ° r z � EAGLE RIVER, AK 99577 PHONEg 694-2830 CRIP.- SUBDIVISION: E. R. VALLEY RANCHET LOT.- 3 -SECTION: 7 TOWNSHIP: 14NI RANGE: 22500 (SQ.FT. OR AMES) Fy that: am familiar with the requiremen-1- " s for on---site sevi, -t1h n by the Muicipality of Anchorage (MOA) and thl sill install the 7,ys--iteal in accor 'dance with all MO' I in compliancc- with the de,=;ign criteria of this I qill adhere to ail MOA and State of Alaska requir� ftances from any existing well, wasteviater dispos-I ,late -,rage system on this or any adjacent or'nearby 1I STATION IS INSTALLED IN AN AREA COVERED BY MOA AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTi BE APPROVED WITHOUT AN ELECTRICAL _ I. NSPECTIONI REI `AL WORK MUST BE DONE BY A LICENSED 'LE CTLC A.T C.TAN. DATE: :Y DATE: SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: D TE PERFORMED: 0 Z� '3 LEGAL DESCRIPTION:0 . e XCIVC'47�--> 7 le', 7 SLOPE SITE PLAN 2 - 4P. -3 Jiq 5 6 - %sC&, Cli 7 - 8- t 9 12 13 14 15- 71, 16- 17 - A7.f 18- 191 1 6 0 Robert D. Bush e CE - 5333 20- AU COMMENTS r a �� PERFORMED BY: 72-008 (6/79) WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? S AA) L U P - E Reading Date Gross Time Net Time Depth to Water Net Drop 2- 0 '311 PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND -S— FT L- 7474e,- kl-In 20 CIAIAJ �-- 15'O ~ ����r'�� ������������� ���� ���� Y���� ^���� .� ,�v���x'������� ����/� ��vo /��oo Department of Environmental Quality 3330 CStrnot _ Anchorage, Alaska S95O3 INSPECTION REPORT ON -SITE SEWAGE DISPOSAL SYSTEM NAME f Ck LA. MAILING ADDRESS PHONE SEPTIC TANK: DISTANCE NUMBER OF FROM WELL -MANUFACTURER MATERIAL —COMPARTMENTS INSIDE LENGTH -INSIDE WIDTH ____-___uou/om=prH /m///n,8our/r" &-vo ,.'....- NUMBER OFPITS � . DIAMETER 6 OnW|DTH& LENGTH W DEPTH 131 LINING MATERIAL CRIB SIZE: DIAMETER hy EPT* /�^ DISTANCE FROM: WELL . �� � NEAREST TOTAL EFFECTIVE BUILDING FOUNDATION -o^�_. ABSORPTION AREA (WALL AREA) SQ. FT, ADDITIONAL ABSORPTION WELL: TYPE cOm5Tnucnom BUILDING NEAREST FOUmoAT0m_____. LOT umE_____' cE6SpoOL________'. OTHER SOURCES DEPTH DISTANCE FROM: NEAREST SEPTIC SEEPAGE . ssvvEnums_______. T*mK____-_. sYsTsm . APPROVED- DISAPPROVED _REMARKS DIAGRAM OFSYSTEM INSTALLED BY: PIPE MATERIAL: & 51' Ko LOT SLOPE: Form No. EQ-031 GREATER ANCHORAGE AREA BOROUGH DEPARTMENT OF ENVIRONMENTAL QUALITY 3330 "C" STREET ANCHORAGE, ALASKA 99503 TELEPHONE 274-4561 PERMIT No. SEWAGE DISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT 12) MAILING ADDRESS PHONE INSTALLATION LOCATION LEGAL DESCRIPTION INSTALLATION OF: SEPTIC TANK SEEPAGE PIT DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH SOIL TEST RESULTS COMPLETION DATE ANTICIPATED TO BE INSTALLED BY -,,, 1'16�- -'----' NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK SIZE A& 0 - TYPE - SEEPAGE AREA SIZE - TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK FOUNDATION TO SEEPAGE PIT -_-- r) — DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL -.../� SEPTIC TANK -.6- , SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK -ZLM . SEEPAGE PIT — /() � DRAIN FIELD I ALSO CONSIDER AREA WELLS WATER MAIN TO SEPTIC TANK SEEPAGE PIT DRAIN FIELD 1 ,4 el SEPTIC TANK,, SEEPAGE PIT DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM To BOROU�PREGULATIONS REGARDING INSTALLATION. IL- G.A.A.B. OR LICENSED DESIGNER DIAGRAM OF SYSTEM I CERTIFY THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO. 28-68 AND THAT THE ABOVE DESCRIBE SYSTEM IS IN ACCORDANCE WITH SAID CODE. 2 DATE 2-;7�v —APPLICANT'S SIGNATURE 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. ff 0.5'-0 - ~7~'-~.'Z.. 1. GENERAL INFORMATION Complete legal description CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent Day.phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ~ TYPE OF WATER SUPPLY: Individual well Community well ~- Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. Be STATEMENT OF INSPECTION BY ENGINEER · As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority App,'oval 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 inves.t~ation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regu~f'~ [l~eo~.~n the date of this inspection. 20210 Donalar St. Name of Firm Chugtak, Aluka ~s67 Phone Address Engineer's signature DHHS SIGNATURE J/~Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations.: Additional Comments By: Date The Municipality of Anchorage Department of Health and Human Servlces (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 purchaser= 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 error= or omissions in the professional engineer's work. Municipality of Anchorage ,~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST /.,~.-_~,4-., . Legal Description: ~--~,~..,r-,~,,e~ //,9~./a¥~ Pamel I.D.o.5"~ .- Z.2.,~ - z.z_. A. Well Data Well type ~ov~,~ Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC lette~. ADEC'water system' number '~$ s o Z/o,E, 7.~ Date completed Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level1 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main AT INSPECTION g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteda Date of sample: Collected by: B. SEPTIC/HOLDING '~ANK DATA · Date installed Cleanouts (Y/N) Y High water alarm (Y/N) Date of pumping Tank size ~--~:~ Compartments Foundation cleanout (Y/N) ~'-//~- Alarm tested (Y/N) ~ * ~//,,~ 7/~'~/'93 Pumper .~, ~'~'~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot To property line Surface water/drainage On adjacent lots Absorption field /'~o-r-- Foundation Water main/service line ~-~'-~' ~2.ms ~3)' Fret cONTINUED ON BACK PAGE C. UFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level Meets MOA electrical codes (Y/N) 'Pump on' level at Manufactumr Manhole/Access (Y/N) "Pump off' Level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Sudace water D. ABSORPTION FIELD DATA Date installed ~/1~/~¢ Length ~' ~'5'~ Total absorption area Date of adequacy test Water level in absorption field before test Peroxide treatment (past 12 months) (Y/N) Soil rating (GPD/FF) IcJo ''~ Width ,,2- Yz.- Gravel thickness "~C,,C> ~P Cleanout present (Y/N) ~ J ~./~'.'3, Results (pass/fail) ,//,' Y System type -~ Total depth 7 Depression over field (Y/N) for ~ Bedrooms After test ~ ~'~,-- · If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Surface water /~/'/~c--- On adjacent lots Property line / 7_ ~ To existing or abandoned system on lot ~ .-/,~ ~Z~ ~. Cuthank .~, ~'E,-- Water main/service line I o O-Y' Driveway, parking/vehicle storage area Z.-.~-Y'- Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on th~ l;t~te of this inspect/on. En_lneefs Name ~:,.- , -,-,-----~__ _ __.~ .., ~ HAAFee$ /~;;~3 '~'~) WaiverFee$ Date of Payment '~Z-'~ ~,.-~,~ Date of Payment Receipt Number ~ z/Z~ ~'~ ~ 4:~/~.~ .2 Receipt Number 72-(3~6 (3/93)' Back DEPT. OF I~N%rlRONMENTAL CONSEIIVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 ! WALTER J. HICKEL, GOVERNOR (907) 349-7755 July 21, 1993 Mr. Dick Dayton 20210 Donalar Chugiak, AK 99567 SUBJECT: Lot 30A (18850 War Admiral Road, Bonnie Way); Eagle River Valley Ranchettes; Norfolk Utilities Class "A" Public Water System, PWSID #210875 Dear Mr. Dayton: I have completed a review of this office's ill(is concerning the monitoring status of the above-referenced Class "A" Public Water System and found the following: The last satisfactory Total Coliform Bacteria Sample results was submitted to thls Department on June 11, 1993. This does meet the provisions of 18 AAC 80.200(a) of the State Drinking Water Regulations. The last Inorganic Chemical Contaminants sample results were submitted to this Department on February 19, 1993. This does meet the provisions of 18 AAC 80.200(a) State Drinking Water Regulations. The last Radioactive Contaminants Sample results were submitted to the Department on January 28, 1993. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. The last Organic Chemical Contaminants/Volatile Organic Chemicals (VOC) were submitted to this Department on February 19, 1993. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does cot imply that the above-referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Water Regulations. Unless otherwise noted, this letter is valid for 30 days and is for the specified legal description noted above only. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, Michael Lu Environmental Eng. Asst. II KkK/na D. R. DAYTON, P.E., R.L.S. ]~x~l~]~ Chugiak, Alaska 99567 20210 Donalar (907) ]~l~xx~l~ 696-2417 July 26, 1993 ADEQUACY TEST Legal Description: Lot 30A, Eagle River Valley Ranchettes Date of Test: July 20, 1993 Septic Tank: 1000 gallon, 1 Compartment, concrete tank 500 gallon, 1, compartment, steel tank Absorption System: 95' long x 2%' wide x 4' effective depth trench Soils Rating: 190 sq. ft. per bedroom Requirements: 4 BR - 600 gallons per day Test: Water was pumped into the absorption trench while measuring volume, time and liquid level rise. After pumping was stopped, the liquid level drop was measured at timed intervals. The results were plotted on a graph of time and gallons absorbed, and extrapolated to 24 hrs. Results: The absorption system is currently functioning adequately for a 4 bedroom home. STATE OF ALASKA DEPAR"rMEN'r OF ENVIRONMENTAL ¢ONSFRVA?ION APPROVAL OF ON-SITE RESIDENTIAL WATER AND SEWER SYSTEMS PROPERTY DESCRIPTION 18850 War Admiral Road (Bonnie Way) Eagle River Valley Ranchettes Norfolk Utilities PWSID no.210875 This approval does not constitute a guarantee of any kind, explicit or Implied, as to the performance of the water supply and wastewater disposal systems. WATER SUPPLY A recent water sample was tested and found to meet Department of Environmental Conservation drink- lng water standards for total coliform bacteria. Eng. Asst. II WASTEWATER DISPOSAl. The domestic wastewate~ern was: [] Inspected by the Departmen"h,o.f Environmental Conservation and~und to be In compliance with applicable requirements of 18 ~2; ~ [-I Inspected by a Professional Englnee~,,~ho certifies tha~,,~e system complies with applicable re. qulrements of 18 AAC 72; ~ / [] Installed by s Certlfl~o certifies3.h~the system complies with applicable requirements of 18 AAC 72; or / ~ [] tested by a Professional En~ certifies that thg",p, erformance of the system is satisfactory and Ihat Ihe system com~_mum separat~istances specified In 18 AAC 72. This approval Is vall~,~d' single family II multi-family unit ~total of . bedrooms. 040,1 (ney. 1~85lDISTRIBUTION: WHITE--BANK/LENDING INSTITUTION; CANARY--APPLICANT; PINK--DEPARTMENT DIVISION OF ENVIRO~IE,NTAL HEALTH DEPAI~2~ OF HEALTH ll~ E~VlR0,~fl~h'TAL PR0~ECTION A~PLICATION FOK HEALTH AUTHOKITY A~PROVAL CERTIFICATE General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or direction) (b) Applicants Name Telephone - Ho~e- Business Applicants Address g~eTo ~,~ ~o~c (c) Applicant is (check one) Leading Institution Buyer~--~; Other~-~(explain)i (d) Lending Institution Telephone Address (e) Real Estate Co. & Agent Address Telephone Mail the IIAA to the following address: 2. Type of Residence Single-Family.~. ~umber of Bedrooms 3. Water Supply Individual Well~ Hulti-Famlly Other (describe) Note: If community ~ell system, must have written confirmation from the State Department of Enviroumental Co~ervation attesting to the legaliLT and status. Sewage Disposal Note: If community well system~ must have written confirmation from the State Department of Enviroumental Conservation attesting to the legality and status. [Page 1 of 2] 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 show~ that the on-site water supply and/or wnstewater disposal system is safe, functional and adequate for the ~-mber of bedrooms and ~Tpe 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, amd regula- tions in effect on the date of this inspection. .ware of Firm Telephone ~'{~ I- %-0 ~(O CA~TION THE MUNICIPALII"f OF ANCHORAGE ~EPAI~TM~NT OF HF~LTH AND ENVLRO~/~ENTAL PROTECTION (DH~P) ISSUES ~.ALTH AUTEORII"f APPROVAL CERTIFICATES BASED SOLELY Ui:ON THE REI~R/~SENT- ATIONS GIVEN IN PARAG]1APH 5 ABOVE BY AN INDEPENDENT PROFESSIONAL ENGINEER IN ~u~ STATE OF ALASKA. ~ ~t~P DOES THIS AS A COURTESY TO PURCHASERS OF itC~V~S AND T~EIR LENDING INSTITUTIONS IN O~DEK TO SATISFY CERTAIN FEDERAL AND STA~E MENT$. EMPLOYEES OF D~EP DO NOT CONDUCT INSPECTIONS OR ANALI"ZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR OK C~4IS$IONS IN TH~ PROFESSIONAL ENGINEER'S WORK. (D~z~ SZAL) KK~/e3/D18 [Page 2 of 2] C~E(~LIST- ~k~dRIIARY 1984 Well Classificatio~ ¢¢~ ~ Total D~pth ~ Cased to Static ~ater fa~el ~ Casfn~ seight Abo~ Ground ~ Electrical Wi~in~ in (k~x~uit (Y/N) Sepa=ation Dis~anc~s f=~m Wellt To se~tic/Holdin~ Tank ~ Lot MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION APR $ lg85 If A, B, ~ C, D.E.C. ~d~) y.> ~ ~d ~ Yield w~ Sanita=y Seal ~n Casin~ (Y/N) .. Se~=essi~ Arour~ Wellhead (Y/N)~a ~-? too ; C~ Adjoininq Lo~ ~?~' B. $~£~C/B)LDII~ [I%TA [Page 1 of 21 TO Building Fc~u~laticn~ To Disposal Field ~2/ ' TO Strewn, Pond, Lake, c~ Major Drainage Date 2-1S-84 C. A~)~%GN Finn ~ De~ssi~ ~ Field Separation Distano~ f=~m A~s0~gti~ Field: To Wate=-Su'~ply Well~?~[~o' To P=cDerty Line ~- /~' Si~e in Gallc~s~ "~-,~ on' ~e,~l at ~ ~i~h Water Alarm Level at Ele~i~ ~s(Y~) Dimensic~s m~nho~/ao~ss ~ O~f" [e~sl at Fun~ir~ ~es ~ent ** Che~k Pez~itted Bedroom Ratir~ AGainst F~A B~quest ** I certify that I have ~%e~ked, ~:ified, c= conrad to all ~ ~AA Guidsli~s in effect on the ~ate [Pa~ 2 of 2] Date 3-1~-~ ~- 2-15-84 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT DFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA g9501 BILL SHEFFIELD, COVERNOR Telephone: (90,7] Address: 274-2533 Pws ~.o.~ ,¢/~ 70-~ To Whom it May Concern: According to records on file in this office the ~/~,y~yo '-~v~..?/~l/~f~ ~-.)WO//r~-Fs ~oT,~.~Z)Water System is in compliance with the S~ate Drinking Water Regulations '~" -'<::':'= ~'IU[I I C I PAL ! TY OF ANCHORAG E ,.~,EAGLE RIVER AREA I~%~/ : 825 -L Street, Anchors--. Alask¢' 99501 '.~' ' ~' U~ ~' ~5~ 264-4720 ~ L~' ' Date Received: Dece~er 6, 1977 ~1: Time ~',~ ~2: Time ~q~-%~% {,,~ ~3: Time Date ~2-~1-~ ~ Date ~ ,~ - I ~1-~3 ~IL~ Date Insp . Insp Q%c=~. Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES 1. Lending Institution Request: Alaska Pacific B~nk Hailing Address: Post Office Box 420 99510 Phone: 276-3110 2. Property Owner: Eugene Bruder Phone: Mailing Address: % Kerry Maxwell, Marston Real Estate 272-2533/ 3. Legal Description: --Lot 30A Eaqle River Valley Ranchettes Subdivision Single Family Residence: (x) Number of Bedrooms: Three Multiple Family Residence: ( ) Number of Bedrooms: Well System: Permit ~ Construction Individual Well ( ) Co~..munity/Public System (x) Depth of Well Well Log on File Bacterial Analysis ( ) 6. Sewage Disposal System: On-site System (x) Public Utility ( ) Permit ~ Installed Iq~LI Installer __~,~a~l Septic Tank Size J,l~,~'"~ ~.~5____Manufacturer ~ Absorption Area ~' Soils Rate Material 7. Distances: Well to Septic Tank to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~) J~UNIOPAUT~ OF ANCI~O~AG2 DEPT. OF flEAiTH ~', MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL P~OT,~criON DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L Street, Anchorage, Alaska 99501 DFC ~977 279-2511, ext. 224, 225 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER and WATER FACILITIES RECEIVED 1. Type of Inspection: 2. Property Owner: Eugene Bruder VA FHA CONY Mailing Address: Name of Buyer: Mark H. Smoot, Jr. Mailing Address: P.O. Box 4-1379, Anc Name of Lending Institution: ALASKA PACIFIC BANK Mailing Address: P.O. Box 420, At<lC 99510 5. Name of Realtor or Agent: KeL'[~zy Maxwell Harston Mailing Address: 2804 W. Northern Lights Anchorage, AK 99503 6. Legal Description: Phone: iot 30A, Eagle River Valley Panchettes Day Phone: Day Phone~ .... Phone:._ ~2.6-3110 272-2533 Z76'2804 Location: 7. Type of Facility to be Inspected: B. Water Supply Type of Supply: Cu~u,c~tity Well Public Utility single family dwelling No. Bdrms. Individual If Individual, number of dwellings presently served If Individual, depth of well ~ewage Disposal System Type of System: Public Utility If Individual, date of installation Individual (on-site) U~ee (3) enclosure: CC check for $25.00 for ~nspection fee Pa~e Two. Department of Health and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 30A Eagle River Valley Ranchettes Subdivision Comments: Affadavit Attached: Disapproved: Letter Date: Date: Department Worksheet: August 12, 1977 ;~-mus Dundy Star Route i Box 50 War ~1~iral Road Eagle River, Alaska 99577 Subject: Lot 30A Eagle River Valley Ranchettes The on-site sewer system for the subject lot was originally designed, ~nstalled and approved for a three(3} bedro~ single family dwelling. If there arc any further questions, please contact this office at 279-2511, extension 224 or 225. Sincerely, .Les }~. Buchholz, .' Sanitarian I2m/lJh #1: Time ,,--.-,MUNICIPALITY Of ANCHORAG~.,~, DEPARTME 3F HEALTH AND ENVIRONMEN~PROTECTION 825 L Street, Anchorage, Alaska '99591~ i_ I_ · ~' 279-2511, ext. 224 or 225 Date ~eceived: May I8, 1977 ~2: Time #3: Time Date f~-~-~q ~n~ Date Date Insp %;~,~t.~, ~ Insp Insp REQUEST FOR APPROVAL OF INDIVIDUAL SEWER AND WATER FACILITIES Lending Institution Request: Coast Mortgage Company o~ ~,, Mailing Address: Post Office Box 1200 99510 Phone: 279-06~5 2. Property Owner: Armas M. Bundy Mailing Address: Star Route 1 Box 50 99577 Phone: 694-9552 3. Legal Description: Lot 30A Eagle River Val%ey Ranchettes Subdivision 4: Single Family Residence: (x) Number of Bedrooms: / ~ ~ Multiple Family Residence: ( ) Number of Bedroom~ Se Well System: Permit # Construction Individual Well ( ) Community/Public System (x) Bell Utilities Depth of Well Well Log on File Bacterial Analysis ( ) e e Sewage Disposal System: Permit # Septic Tank Size Absorption Area On-site System (x) Public Utility Installed /~ Manufacturer ~z~/~ ~/~' Soils Rate /~'~/~' Material Distances: Well to Septic Tank ~//~. to Absorption Area to Sewer Line Nearest Lot line Absorption Area to Nearest Lot Line ~ t"'~MUNICIPALITY 'OF ANCHORAG''''% ~ 'Department of Health and Environmental Protection [~.~j ' '' 825 L Street, Anchorage, Alaska 99501 ~,,~;~ 279-2511, ext. 224, 225 ~equest for Approval of Individual Sewer and Water Facilities e Property Owner: Mailing Address: ~ /~E /. ~m~ ~~~9, ~, ~.//]~Phone: Name of Buyer: Mailing Address: ~7~, /~r6/, ~_~' ~5-~ ~/~ ~,~m~, 4~d Phone: Lending Institution: ~ ,~ /~/~3~ ~ · Mailing Address: P~ ~ Realtor/Agent: ~6.~, ~/ Mailing Address: Legal Description: ~ ~ ~ ~ Street Location: /V//A/ ~/~/z Single Family Residence: Multiple Family Residence: Phone: Number of Bedrooms: ) Number of Bedrooms: J Water Supply: *Individual Well ( ) If Individual Well, well depth If Community System, name of system Sewage Disposal System: On-site System If On-site System, date of installation: Public/Community System Public System ( ) *NOTE: A well log is required on ALL wells drilled 3/77 since 6/75. ~NICIPALITY OF DEP'I'. O~ I-I".~A'..TH £NVlkOb','.':N~ AL P~OTECIiSN I:'IAY 1 8 lgZ/ RECEIVED Department of tIealth and Environmental Protection Request for Approval of Individual Sewer and Water Facilities Legal Description: Lot 30A Eagle River Valley Ranchettes Subdivision Affadavit Attached: ( ) Department Worksheet: Letter Attached: ( ) Date: Date: GREATER ANCHORAGE AREA BOROUGH Department of Environmental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received 8/27/74 Time of Inspection Date of Inspection 8/27/74 REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES FOR 1. Approval requested by: Mailing Address:Fnol~ R(w~ A~ 2. Property Owner: SA~ Mailing Address: VA Phone: Phone: 4. 5. 6. Be Legal Description: Lot 30A Eaqle River Valley Ranchettes Location: War Admiral Road Type of facility to be inspected Well Data: Comnunity A. Type C. Construction Sewage Disposal System: A. Installed 1974 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line Sinqle No. of bedrooms B. Depth D. Bacterial Analysi!~.~~. B. Installer Hamilton Excavating Size lOCK) gal 2. Manufacturer Hamiltnn Absorption Area 16ylRxl~ 2. Material C~nr~t~ Total length of lines , Absorption area , Other contamination R' , Absorption area Sewer Lines 30' EQ-034 (1/74) Page 1 of two pages P~ge 2 of two pages - Req.¢st for Approval of Individual S...er & Water Facilities Legal Description Comments Approved ~;~l ~'~. ~~ sa pproved Approval Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM I certify that the infomation contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) August 29, 1~74 Veterans ~t~ministratio~) 429 D. Street ~ci~orage AK g~501 SUDO£C?: Lot30^, Eagle ~iver Valley ~ar~c~uttes. ~ar Sir: Tae subject lot is not availaule to public sewer, and it is not econom- ically feasible to serve the lot with public sewer at UHs tt~e. The sewer system, if installed to local specifications, should provide adequate scwage disposal until suc~ time as public sewer t$ available. ~ subject lot is served wt~ co~unity water. Sincerely, Lynn Coad Sanitarian II sr