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HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 32A N 0 LL Li N Ll N LL CD � ,�'���\ \� O ti t t a) a) i OIt O Tt a,o a CL a) a) 0 -)ow O O m ® El TF-o�� a) m W me O ;10,1 .� Ern o�/ a)m m CLm v J �m _0 U jj m @ L CL L CP N N L E O m N W O JLLJ C,4 �B t II/ LLJ dl El•V N •V O • U N ElN C f) - Admw ~ ° o'Fo a) Q) w 11�law d m p -0 N � . � E -� ° ❑ ~ @ ° m > m Z ��\\N ter LL° O O o'a 00 L U o m m Z �; � ui W W a) N o a) O �W N❑ �, p m.5) 7 - E U �J O= o E I- Q �r� cfl's m �m Z � Z O pQ = N L-❑ Z o O o � O E co � LL N U LL Q a I- O a� � Z O m❑ H w � o Co W co @� � ' Z ED W d i— 2 Y w C) U)) LL J Q V N c s cn H fl a) c > c g U ® (� Z F- W W ui c (n W H Q -oLLJ J O C CL 3 W 0 0) a >� ° _F- ~ _�❑ LL _ `c° LL O d Q Z z O N ® @ ° 3 m - `° Y Z m 5 L X m 'a, N 1- m ° W V Z o co C. p p 5 p a ❑ w a-�w� U. 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QZWFa-0MV),E: N301-m � r � U V) Z Q (O�L.� CY)Z O 24.3' Q m QV)(7ZWULz< ZN� W Z in m�>>� ZZJ Y W OQ z U) 0 Q } W W >, N \ V < < c m w UCV Q CARPORT Xoz/ a O w l L �� a p J J�)f J J J 0U))0((na � J w �� � Y� o Q Q O N U a~ �W EU au)3 I� c Y Z a o �ZOQ Y � W O Q J C~ G a F�`� yzVF - [ifW CO \ Q W I I W 0 U U W� Iw � �/ LU Of �/'� CC VJ L C O � �\ a Via? o'- J Qz0w O � I o,\ Ld I I ��� �Z�J Q — U a � P m �JO)DQ W �c�w �� a v E ~ W ¢ (n N I �D �D o :-+ tD Oo d 0i ai I Q � CD m m n 00 m r, -r, 0 a � a' O � �� NN(U(UCU WOU 0 D � a SII \ UUf::�AW II II II II II II II II II WLL- LL. 0 OO r7 -r - �_ N I I Q I I I I I I I I 1 Pa Q m Q PU Q Pq Q Pa Oc O L LL Q Li 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: OSP241096 Work Type: Septic Upgrade Effective Date Expiration Date: Tax Code Number: 05022418000 Site Legal Address: EAGLE RIVER VALLEY RANCHETTES LT 32A G:0054 Site Mailing Address: 18710 WAR ADMIRAL RD, Eagle River Owner: MILLER GLENN G & ROBIN A Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Q Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy �„cnr �0 r' l�ehartment 5/21 /2024 5/21 /2025 Lot Size in Sq Ft: 13095 Total Bedrooms: 3 ❑ 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 Received By: 5 S ve'r-, To Issued By: _ tL r Date: Date: S Z 12 Y MV�UMC� u[R�,, U T Y OF ANCHORAGE Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON -SITE SEPTICA/VELL PERMIT APPLICATION Parcel I.D. 050-224-18 Property owner(s) ROBIN & GLENN MILLER Day phone _ Mailing address 18710 WAR ADMIRAL ROAD, EAGLE RIVER, AK 99577 Site address 18710 WAR ADMIRAL ROAD, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) EAGLE RIVER VALLEY RANCHETTES LOT 32A Legal description (Township, Range & Section) Lot Size 13,095 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) x❑ (w/wo ADU) Septic Tank ElUpgrade x❑ Duplex (D) ❑ Holding Tank ElRenewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permi ush Fees: Waiver Fees: Date of Payment: Q S117 24 Date of Payment: Receipt Number: �L`7_j SA -:Receipt Number: Permit No.-()(;RZ41(09 G Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\FormsUient Forms\Permit Application.doc 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! May 20, 2024 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: EAGLE RIVER VALLEY RANCHETTES LOT 32A The property owner has requested we obtain a permit to upgrade the existing septic system of the above referenced lot. This existing 3-bedroom crib with undocumented trench augmentation will be abandoned in place. A pump vault will be connected post the existing 1000-gallon concrete tank to the proposed one deep trench to serve the existing 3-bedroom house. This is a small site with very tight separation tolerances and must be staked prior to construction. The design is based on the recent test hole conducted on May 20, 2024. No groundwater was observed at test hole excavation or monitoring. The slopes are moderate at 3-8% at the proposed upgrade location. The lot and area are served by public water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241096, Curtis Townsend, 05/21/24 50.3' 24.3' 50.3' 24.3' 3BR HOUSE 2' CANTILEVER CA RP ORT SHED SHED GREEN HOUSE GRAVEL DRIVEWAY DECK E.MTR G.MTR PAV ERS FIRST WATER CONSULTING EAGLE RIVER VALLEY RANCHETTES L32A DESIGN CALCS: NO WELLS WITHIN 200' OF PROPOSED SEPTIC SYSTEM NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. AREA SERVED BY PUBLIC WATER AREA SERVED BY PUBLIC WATER Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241096, Curtis Townsend, 05/21/24 50.3' 24 . 3' 50.3' 24. 3' 3BR HOUSE 2' CANTILEVER CA R P O R T SHED SHED GREEN HOUSE GRAVEL DRIVEWAY DECK E.MTR G.MTR PA V E R S FIRST WATER CONSULTING DESIGN DETAILS: EAGLE RIVER VALLEY RANCHETTES L32A Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241096, Curtis Townsend, 05/21/24 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 FirstWaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: EAGLE RIVER VALLEY RANCHETTES LOT 32A PERFORMED BY: FWCS / FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 5/20/2024 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 5 6 7 8 GM/sm 9 10 11 12 13 14 15 16 17 BOH 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 5/15/24 30 min 6”1 13/16” 30 min 6”1 12/16” 30 min 6”1 13/16” PERCOLATION RATE 17 (MIN / INCH) TEST RUN BEWTWEEN 4 & 5 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: DRY DATE: 5/20/24 TESTHOLE # 24-1 DATE PERFORMED: 5/13/2024 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: GLENN & ROBIN MILLER 5/20/24 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241096, Curtis Townsend, 05/21/24 ee QGRE "' R ANCHORAGE AREA BOF ,JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 NAME /'~ '4~lP e,/~°~ LOCATION INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: DISTANCE FROM WELL MANUFACTURER ;/h* MATERIAL C~-~ ~ ~ NUMBER OF COMPARTMENTS / INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH IIQUID CAPACITY//O~ GALLONS. SEEPAGE PIT: NUMBER OF PITS LINING MATERIAL BUILDING FOUNDATION DIAMETER OR WIDTH CRIB SIZE: DIAMETER NEAREST LOT LINE ~ ~-f' LENGTH/(~, DEPTH DEPTH ~'~ DISTANCE FROM: WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~ ~"{- ADDITIONAL ABSORPTION WELL: TYPE CONSTRUCTION BUILDING NEAREST FOUNDATION LOT .LINE CESSPOOL OTHER SOURCES APPROVED DISAPPROVED NEAREST SEWER LINE REMARKS DEPTH DISTANCE FROM= SEPTIC SEEPAGE TANK SYSTEM DISTANCES: INSTALLED PIPE MATERIAL:/~/ LOT SLOPE: REMARKS: DIAGRAM OF SYSTEM Form NO. EO-031 G.A.A.B. GREaTeR ,ANCHORaGe AREa bOROUGH D=PARTM i.-NT OF. rNViRONM ENTAL QUALITY ' ~ ' r ~ ' ; PERMIT NO. OTHER NOT~ THIS PERMIT IS NOT VALID WITHOUT $OII. TE~T WATER MAIN TO SEPTIC TANK DRAIN FIELD GRAVEL BACKFIU. CONFORM TO BOROUGH REGULATIONS REGARDING INSTALLATION. BLOCK ADDRESS .LOT(S) £_ Kevbox As-Bul1t Date Work Performed Condition of Kevbox/Comments v r -- C) CD I--I-- �� C? 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O ' O 0 C •- "a > O L Q O L- 0 N 0 CLN 0 L a+ O c (n ' L) N F- N E 0t fn m o Q C u0i 0 L i m 0 t Q X 0 :2 0 Y O > U LL O C: Q U o a� C Q Z N w0 _a cu m U Q I- O 2 U Q F— F— Q 0 m tet- tl- o CF) t) G) c? c? titi oo rnrn a) c 00 C: CU O LL ' ^ X- 0 O 2 V Z LL U Q � � O U U a) Z � � N U M > L a) c 00 :V, a) LL ca 9 C cu a- 0 0 N c T ca IL 0 () co 0 WIN U) O U � � 0N _ U) C C-) a� O >a� C a) IL �' 0 co co Elc (� V .� O Ln 0 m E ° L cm E U H Y U U (D LU a >' CL C0 O Q W > m (2)E m V i ca E cn O ❑ d C. > W a) U) 0) •> � U o c Qz J ❑ ❑ a Q W a) _02 -,.e 40- LL Z v p > M a) ❑ Q N N J J ncn " a) c o Co aa)p _ 2 Ela) N >% ® N d >- j J O m o L- N >,a ? — d o d > m O p W > > o ®❑ U �_ m m 0 (n ❑ O=Q L Q ,� I ca Q O to OJ Q Z L C6 Q O U) R E O Qw W O J ❑ ❑ ❑ a cn ca d .. "+ vO- co LL } p ElZ U Q c E '- + o - p W 0❑ ® U O v N CL _0d _ - .2 � a) y = Q cn U cn cn U) -0 _j (D d C) N a � o ❑ W N W W F- a) U ca Z O a) Q Q Z (n Z O 3 L U t) CL W O O ~ a � c t F- U v W N C O NW W F- O ., �+ Z L E 0 a a n, a) cn L C9 IL U -01U O H F- cn Q Q >_ a M x >% Ir: N M d to to >� > W O m +.+ :V, a) LL ca 9 C cu a- 0 0 N c T ca IL 0 () co 0 WIN U) O COSA Checklist NEW FIELD.docx COSA Checklist Legal Description: EAGLE RIVER VALLEY RANCHETTES LOT 32A Parcel ID: 050-224-18 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA - PUBLIC &/OR CLASS “A” 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. Well production at time of test gpm Water storage tank volume NA 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 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 65” Date of pumping 4/10/2024 Required maintenance completed, if AWWTS Comments: C. LIFT STATION Required maintenance completed Age of lift station NEW years Lift station material PLASTIC Comments: 1000-gal 2 compartment. D. ABSORPTION FIELD DATA Which system tested (date installed) NA - NEW ALL standpipes present per record drawing Total measured depth from grade 11.5 ft (max) Measured depth to pipe invert from grade ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective (ED). If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date NEW FIELD Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – NEW FIELD – NOT TESTED Effective depth (per record drawings) 84 in (MOA 7’ ED) Effective depth used 0 in Effective depth remaining 84 in Comments/Deficiencies: Approximate total measured depths from existing grade. Existing septic field (crib/undoc trench) abandoned in place. No baffle in existing concrete septic tank so installed 1000-gal lift station tank. No foundation cleanout (FCO) apparent and servicing can occur from inside plumbing. COSA Checklist NEW FIELD.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) - NA Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No *5+ ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No * ft Water Service Line > 10’ Yes if No * ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *Per MOA record documents and time of installation of GAAB 1973 along with the attached AWWU docs. G. CERTIFICATION & STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 6/6/2024 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any or NO estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & 06/06/24 I / e01-- / PP / EEE--�/-EEEE�E ESEE - E - 1� GRAVEL ';`5 / / I DRIVEWAY War Admiral Rd (N 89'5715 E 97. E E 1 11 C0 O E- E- E E- E -+ E- E- E-+ E- E- E- E- E- E- E- / / I 26.7 50.3' \ / 2' CANTILEVER / > A SPLIT LEVEL RESIDENCE / Z � E.MTR G.MTR / O 50.3' / O O / LOT 33A C cco /�/ LOT 32Acli / / 30.8' w DECK • • — ------------------ --------- � ----- SHED TGREENOUSE 10' UTILITY ESMT E - E- E E- EE - T_-__ E- E E E- E- E E- E -(S 89'S9'1 5w E 97.25°)— E E— E— 10' UTILITY ESMT l -- — — — — — — —-------------------------------- LOT -------------------------------LOT 33C I LOT 32C ri LOT 32B E- E- E- E E E- E- E- ----------- LOT ---------LOT 32D ASPLS MORTGAGE LOCATION SURVEY NOTES: NO TITLE REPORT WAS PERFORMED FOR THIS SURVEY, EASEMENTS SHOWN PER THE RECORD PLAT. THERE MAY BE ADDITIONAL EASEMENTS NOT SHOWN HEREON. THIS MORTGAGE LOCATION SURVEY HAS BEEN PREPARED IN ACCORDANCE WITH ASPLS MORTGAGE LOCATION SURVEY STANDARDS. IT IS A REPRESENTATION OF THE CONDITIONS THAT WERE FOUND AT THE TIME OF THE SURVEY. THIS SURVEY DOES NOT CONSTITUTE A BOUNDARY SURVEY AND IS SUBJECT TO ANY INACCURACIES THAT A SUBSEQUENT BOUNDARY SURVEY MAY DISCLOSE. THE INFORMATION CONTAINED IN THIS DRAWING SHALL NOT BE USED TO ESTABLISH ANY FENCE, STRUCTURE, OR OTHER IMPROVEMENTS. UNLESS GROSS NEGLIGENCE IS DISCOVERED, THE LIABILITY EXTENT OF THE PREPARER SHALL BE LIMITED TO THE AMOUNT OF FEES COLLECTED FOR SERVICES IN PREPARATION OF THIS PRODUCT. LEGEND () RECORD DATA PER PLAT #63-129A EDGE OF ASPHALT — E — E — OVERHEAD UTILITIES FENCE 0 P POWER POLE @ SEPTIC PIPE �H SEPTIC TANK LID DECK/PORCH Ej CONCRETE 0' 20' 40' SCALE: V= 20 FEET (11"x17") *: 49TH • Ryan G. Johnson; / �'• No. 192159 •,6/10120z4.',:� i AW AS—BUILT OF: torn d7 0') r- r - It Zd- M C? ti ti CD C) O') 0') W Al Z O CV O N LL o Z o J Q w n Z i W C7 a- V- a� a) LL S. - (D m LL U) O Q CO O N 0 W W LCD CA j W O CL ❑ N CD CD U)i = J — z a W N LU Q LU J o LLI 2 m w O a m ❑ WW C7 w C: O .Q- L (1) _0 (V a� Ecu U Q o coo r- cn O -a c� o °� z J u, c O >, OCO a)m U MI Oa WJ N W Cl) W F- O > El a a /� w/ w W H LL O a H N vi a� a) LL S. - (D m LL U) O Q CO O N O -_ v� Vi Z: .0 m O d C. ® O •_ E N ❑ U U U) A U) O U) O E > E cn ❑ C. c� a- U C — ❑ ❑ L 0 U _ a) O � 0 U Y LL V O7 (2) Q) ❑ N = N _0O c o ® O U c m ❑ =� O J N LiQ. p L °- O n E ❑ ❑ a a� ❑ Q LU L z cn (D U) -0 _jO A W ❑ W N v a) Q 1 cap' z o LL Q a n a) A m �� CD a) Oui U LO a c s •C. a. %- LU m a) L- ~ m Q Q co�> c� ui co W m a� a) LL S. - (D m LL U) O Q CO O MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECT]ON DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ~((~. ~ ~ t~l. OF ON-SITE SEWER AND WATER FACILITY 264-4720 GENERALINFORMAT]ON (a) (b) (c) Application Date Legal Description (include Int. block, subdivision, section, township, range) Location (address or directions) Applicant Name ~¥~1",. )....t,-t ~_t~ Telephone: Home ~,~--t~..4.~ ~ Business Applicant Address ~' 'uO=~'~. I%.~v,.~<.4"~. ~.,j~... I'~ Applicant is (check one): Lending Institution []; Owner/builderl~l'; Buyer []; Other r't (explain); (d) Lending Institution Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: $ & $ ENGINEERING SR B 196X EA[zLE RIVER, AK 9¥57/ Telephone TYPE OF RESIDENCE Single-Family ~ Multi-Family [] Number of Bedrooms ~ Other WATER SUPPLY Individual WelID Community~ PublicA Note: If community well syste'm, must have written confirmation from the State Department of Environ mental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite~ Public[] Community[] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 5. 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 end 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 S & $ ENGINEERING SR B 196X Address EAGLE RIVER, AK 99b/~ Date Telephone DHEP APPROVAL Approved f6~ j'' f~ Approved ~ ~//2 '", Disapproved Terms of Conditiohal A~p}'~val bed roo ms by >t'., '.,~* Date Conditional CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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 (I 1/G4) FOLD Subject: To: Lot 32A; Eagle River Ranchettes 'OEO HEALTH AUTHORITY APPflOVA LS EXCAVATING / CIVIL ENGINEERING WORK ARRANGED/ADEQUACY TESTS/SOIL TESTS WATER & SEWER LINES S MAIN EXT* ON SITE INSPECTIONS RECEIVED OATEO. MESSA Ei I"°uTI" s'M"°L .un icipalityof ~cho~ag~ ~r~n~ of Health ~d H~ Se~ices FOLD Apparently the on-site inspection report dated August 31, 1973 was not available when we performed an adequacy test on this system in 1983. We based the capacity of the septic tank on results provided through the pumping operations and the MOA issued a Health Authority based upon this information and the fact that the absorption area percolated in excess of 600 gallons. In the face of the evidence available at this time we must assume the septic tank having a capacity of 1000 gallons and even though it may be larger it would require exposure which cannot be done this time of the year, therefore, we are requesting an approval for three bedrooms and the forms have been annotated accordingly. DATE OF REPLY SIGNATURE OF REPLIER TITLE OF REPLIER ROUTING SYMBOL RETAINED BY ADDRESSEE %o~UNIClPAUTY OF ANCHOgAGE HEALTH A~HORITY APPROVAL (H~) g~P 1 2~ CHECKLIST - FEBRUARY 1~ R _ Well Classification ~----/-"~'~.~ J~ If A, B, C, D.E.C. Approved~_~N) Well Log Present (Y/N) Date Completed YieId Total Depth Cased to Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot Z.c::,O" ~ To Nearest Edge of Absorption Field on Lot To Nearest Public Sewer Line CleanoutJManhole Water Sample Collected by Water Sample Test Results Comments Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ~/"/' ; On Adjoining Lots To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date SEPTIC/HOLDING TA KI~DATA Date Ins tailed ~{~..~.~ ) Standpipes ~/N) Depression over Tank Size ~ No. of Compartments Air-tight Caps ~I~/N) 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 Property Line Id ' '/" To Water Main/Service Line / Course Comments Foundation Cleanout (Y~ Date Last Pumped // -'>~ -/:f'~' ; for - Temporary Holding Tank Permit (Y/N) To Building Foundation 'To Disposal Field · To Stream, Pond, Lake, or Major Drainage Page 1 of 2 72-02§{11/84) ABSORPTION FIELD DATA ~' ~" Soils Rating in A. beorpt~E'E'Strata / j.~c_. ~./ Type of System Design (' ~-(~" Date lnstalle(~ 3&ir' .1::~". ~'.~/~'~'- Length of Field ~ Width O' Field.......... ~ ) ~/~ Depth of Field Square Feet of Absorption Area Depression over Field (Y/~) Results of Last Adequacy Test Separation Distance from Absorption Field: ..... .G~vel Bed Thickness "~/'C--.~ ~,~Z' Standpipes Present (~N) Date of Last Adequacy Test To Water-Supply Well ~"c:, To Building Foundation Z Lot To Water Main/Service Line ! To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area. or Vehicle Storage Area To Property Line lb /''l- To Existing or Abandoned System on ; On Adjoining Lots ~¢, I ,~. TO Cutbank (if present) D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Comments ** Check Permitted Bedroom Rating Against HAA Request ** , C e r t i f y~ t~, t.~ ~~'l~ie d, or conformed to all MOA and HAA guidelines in ellect on the date of this inspection. Page 2 of 2 DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA g9501 BILL SIIEFFIELD, COVERNOR Telephone: 274-2533 DATE: Noven%ber 25, 1986 PWS I.O.# 210875 To Whom it May Concern: According to records on file in this office the Norfolk Utilities/ E.R. Valley Ranche!4Jl~4)B System is in compliance with the State Drinking Water Regulations Sincerely, ~upervisor ~operty Owner Mailing Address Buyer APPLI("~NT FILLS OUT UPPER HAl-'~. ONLY .' Phone Address Realty ~. Log,, Type of Single Family ~' Multiple Family r-I Other Water Supply ri Individual I"1 Community ri Public Utility Sewer Disposal [~ Individual [~ Public Utility ri Holding Tank No. of Bedrooms.~ Zip Code Phone Phone ATTACH WELL LOG. A well log Is required for ell wells drlled since June 1975. For wel s dr ed pr or o that date. give well depth (attach log II available). Year Individual Installed: / ~' ~.. ~ When Cormecled to Public Utility: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Dale Date Date Inspector Inspector Inspector Inspector Field Notes: APPBOVED" OROOMS ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL' BY: *CONDITIONS OF APPROVAL Soils Rating J Date Sewer Installed7.~ J Well To ,~sorptlon Area Well to Tank EXCAVATION WORK April 29, 1983 ROBERT A. SHAFER ClVlLENGINEER 694-2979 Earl Chappell Century 21, Heritage Homes SRB 126 Eagle River Road Eagle River, Alaska 99577 Dear Mr. Chappell, Reference: Lot 32A: Eagle River Valley Ranchettes A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of 1250 gallons. The seepage pit was tested by charging the system with approximately 600 gallons of water and after a period of 24 hours all the water which had been added to the crib had percolated out. It can be concluded from this test that the waste water disposal system serving the four bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failures. If we may be of further service, please do not hesitate to contact cc: Municipality of Anchorage Department of Health and Environmental Protection SRB 198X EAGLE RIVER, ALASKA GREATER Ak~HORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received November 26, ]973 Time of Inspection 10:00 am Date of Inspection November 26, ]973 3. 4. Location: 5. Type of Facility to be Inspected: Number of Bedrooms: 2 (twO) 6. Well Data: A. Type Core, unitY Well C. Const~ction 7. Sewage Disposal System: A. Installed 1973 C. Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: 8. Distances: A. REQUEST FOR APPROVAL OF INDIVIDUAL S~ER & WATER FACILITIES FOR VA Ao~roval Requested By: RmtlPy'q R~alty Address: Faglm RivP~ Alaska Prooertv Owner: Legal Description: Lot 32A Ea§le River Valley Ranchettes Be Phone: 694-7115 Phone: Stnqle Family Dwellinq B. Depth D. Bacterial Analysis' B. Installer Hamt]ton Excavating Size 1000 ga] 2. Manufacturer Hamilton Size 16x16 2. ~ate~ial Concrete Rlnqs Total Length of Lines Well To: Septic Tank , Absorption Area , N~arest Lot Line , Other Con'tamtnatton Foundation to S.pttc Tank '¥ Absorption Area Absorption Area to Nearest Lot Line , Sewer Lines for Approval of ~"%,vidual Sewer & Water Facilitie"~ Ttvo 9. Comments= ~' Ap.,-,ro'~a] ';alld for One Year From Date Signed Greater Anchorage Area Borough, DeFartment of Environs. onto1 Quality D~ASP, A~ OF SYSTE~ certify that the information contained in this request for approval to be a true an~ accurate representation of the subject sewer and w~ter facilities located et: Stgne4 Date GREATER AkCHORAGE AREA BOROUGH Department of Environmental Quality 3500 Tudor Road, Anchorage, Alaska 99507 279-8686 Date Received //- ~ Time of Inspection Date of Inspection e Aoproval Requested By: Address= REQUEST FOR APPROVAL OF INDIVIDUAL SENER & WATER FACILITIES FOR Reeves & Coustneau 902 South Lane, Anchorage AK 99504 Prooertv ~ner: Legal Description: Location: SAME Lot 32A Eagle River Valley Ranchettes Type of Facility to be Inspected: Single Family Dwelling Number of Bedrooms: 2 -3 (two-three) Well Data: Conmunity Water A. Type C. Construction 7.' Sewage DisPosal System.' A. Installed , 1973 C. ,Septic Tank: 1. D. Seepage Pit: 1. E. Disposal Field: 8. Distances: A. B. Depth D. Bacterial Analysis' Be Phone~ Phone: B. Installer Hamilton ExcavattnQ Size 1000 gals2. Manufacturer- Hamilton Size 16xl6 2, ~aterial Concrete Rings Total Length of Lines Well To= Septic Tank · Uearest Lot Line , Other Co~tamination Foundation to Septic Tank "~ Absorption A~ea Absorption Area to Nearest Lot Line Absorption Area , Sewer Lines ReqJe~t fbr Approval of Individual Sewer & Water Facilities Pa;~Two 9. Comment$~ / / Ap.nroval Valid for One Year 'From Date Stqned L/Greater Anchorage Area Borough, Department of Enviro~.ental Quality D~AGRAM OF SYS'f'FJ,~. certify that the information contained in this request for approval to be a true an~ accurate representation of the sub.~ect sewer and water facilities located at~ Signed Date