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PREUSS #2 BLK 2 LT 13
Preuss #2 Block 2 Lot 13 #050-572-12 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3 ON -SITE WASTEWATER INSPECTION REPORT Permit Number: OSP221259 PID Number: 050-572-12 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New 0 Upgrade Name Erin and Jason Waidzulis ABSORPTION FIELD ❑ Deep Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 20530 David Ave, Eagle River AK 99577 ❑ Other Phone 612-751-3887 Number of Bedrooms 3 Rating Total depth from original grade GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe in from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Preuss #2 2 13 Fill added above original grade Gravel length Township Range Section F . Ft. Gravel width Beds: Number of Line Distance between lines SEPARATION DISTANCES To Septic Absorption Holding Sewer Lift Station Ft. Total absorption area Number of trenches Ft. Dist. betwe enches From Tank Field Tank Line Ftz Well >100' N/A N/A N/A >25 TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Infiltrator Capacity 1530 Gal. Surface Water >100' N/A N/A N/A Material Number of compartments Lot Line >5' N/A N/A N/A NA Plastic 2 Foundation > 10' N/A N/A N/A TATION Manufacturer Capacity Remarks 3.9' separation from new tank to field- Gal. See waiver request Alarm location Electric fled by Installer PIPE MATERIAL House to tank Tank to D3034 drainfield D3034 Precision General Contractors Drainfield D3034 CO/MTD3034 Inspector M. Jakubisin BENCH MARK (Assumed elevation) 100 ft Inspection 151 8/18/22 2na 8/18/22 Location and description 3rd 4m ON -SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp ofq�1�1 Conditional Approval: Date Aw .•r o*: 49TM • .•• Benja• •chiller e Septic System Approved Date 2 �2 Note: this approval does not include •:� �� ' CE 12592 • �`� ,� �sl' 12/29/23 .•'�,� `ll`F�pROFESSION�`�'��� well permit requirements. 'Deg.. nc /no 14 0\ PREUSS #2, BLOCK 2 LOT 13 PERMIT # OSP221259 PID # 050-572-12 LOT 4 DAVI D STREET ' - - _ ,90- i -7 ------------- 001 pV ?- EXISTING WELL w/ I �q, — — — 100' RADIUS 2C0 I 1530-GAL SEPTIC TANK w/ t EXISTING TRENCH TO 20" MANWAY/ %� © , REMAIN IN SERVICE �3-BDRM-HOME ` I � � / -BENCHMARK SHEDD LOT14 / EXISTING WELLw/ 10�Ius 2C01 9.0 23.1 SV1 12.4 23.9 MH1 17,5 19.0 SY..2- 21.4'•. 19- 2CO2 20.9 9.4 DV 19.8 __256 C01 "20.5 LOT 13 ' --770- I — k-= --_� ----- �'1 10' UTILITY EAS€MENT ---� ----- --- ` - - — — — -'�- _ � / .--'� - - .� I \ �' � `- aso- - - - -'SOT 5 •. LOT 3 I `� LOT 4 GE PLAN AS -BUILT 0 40 80 FEET 111=40' LEGEND CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT DV - DIVERTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE PREUSS #2, BLOCK 2 LOT 13 PERMIT # OSP221259 7 /Ul F CTE Lr1 ENGINE[ RING VV. PROFILE AS -BUILT (NO SCALE) PID # 050-572-12 ?II FOAM INSULATION DA VID S TREE Woo WOOD RAC C, I4W UA I OF AC�S�O C 49 TH* u N SHANE A. HOLT .' �� a pp P LS-6914 O� siona\ Lo ASBU/LTSURVEY 7" = 301 NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY LOT 13 BLOCK2 PREUSS SUB. UNIT2 ANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTION SPECIFICALLY TO SHOW ANY VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OP, EASEMENTS; AND IS THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS NOT TO BE USED FOR PO SI TIOtJING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FEN ELINES. EASEMENTS OF REC 0RD, OR ANY LEGAL ENTITY, OTHER THAN THOSE APPEARING ON THE RECORD PLAT EXIST OTHER THAN NOTED. ARE NOT SHOWN HEREON( UNLESS INDICATED) DATED AT ANCHORAGE,ALASKA THIS 24 TH DAY OF NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE AUGUST , 2022 PROPERTY LINES OR PO ITSON ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. HOL I LAND SURVEYING THE SURVEY DATA ON THIS DRAWING IS PREPARED FOR THE OWNER OFRECORD ONLY 9509 GROVER DYNE ANYCOPYING, OR UTILIZING THT DATA HEREONIS PROHIBITED UNDER COPYRIGHT LAW ANCHORAGE.AIC 9950-' 15518 226-69 224-43 PP3-86L5 3750GCINET Munk'pality of Anchorage z V l ur�,:rr,n,nr 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 Development Services Division On -Site Water and Wastewater Program VARIAMC/ xx Waiver#: OSV241002 COSA#: Permit#:OSP221259 P I D#: 050-572-12 Legal Description: PREUSS #2 BILK 2 LT 13 Engineer: Forge engineering Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 7.5 feet. Your request for a waiver of the required 5 feet horizontal separation from the tank to the absorption field has been approved. The approved separation distance is 3.9'. This waiver approval applies to the existing 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. ■■aaaaaaaaa0Masaaaoaaaa0aaaaaaaasaaaa0aaaaoaaaaaaaaaaaaoaaaaaaaaaaaaaa0aaaaaoaI Waiver is Granted: X Waiver is not Granted: pP b Date: Z, / Approved : 7 Y Name of Reviewer ■ a m o a a a a a a a a a a a a a a a a a a a a a a 6 a a a a a a a a a a a a a a a a a a a a 9 a a a 0 9 a a a a a a a a 6 a a a a a a a a a a a a a a a 9 1 i� E N G I N E E R I N G January 16, 2024 PO BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) FORGECIVIL.COM MOA Development Services, On -Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Preuss #2 B2 L13 - 20530 David Ave Waiver requests: Tank to Field and Field to Lot Line Dear On -Site Services Engineer: Part of the permit requirements for this new septic tank was to install pipes in order to accurately locate the existing trench. During installation, the near end of the trench was uncovered and a cleanout added. Only the top portion of the trench was exposed. However, the location of the trench meant that it was not possible with field conditions to maintain a 5' separation from the tank to the trench. In addition, the final survey revealed that the trench was within 10' of the northern property line. There is no feasible way to achieve 10' separation from the lot line for the existing trench. Fortunately, this does not affect the ROW in any way nor does it preclude maintenance from being done on this trench. In addition, while the contractor tried to keep as much separation as possible to the new tank location, they could not get 5' separation. During installation the sidewalls of the trench were not exposed and the sewer rock was not disturbed. There was no effluent noted entering the tank hole by either the contractor or Forge inspectors. As with the separation to the property line, this reduced separation does not cause maintenance problems, and the effluent reaching the tank via subsurface flow will not significantly inhibit treatment. We would like to request that waivers be issued for a 3.9' separation from the tank to the leach field, and a 7.5' separation from the field to the property line. Sincerely, tN Benjamin hiller, PE MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP221259 Work Type: SepticTank Upgrade Tax Code Number: 05057212000 Site Legal Address: PREUSS #2 BLK 2 LT 13 G:0056 Site Mailing Address: 20530 DAVID AVE, Eagle River Owner: WAIDZULIS JASON & ERIN Design Engineer: FORGE ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 1,ent 01 v DeI)artine nt 7/21/2022 7/21/2023 24375 Disposal Field Q Septic Tank Holding Tank Privy Private Well Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weathershallbeeither: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: 1. Locate the 1978 trench prior to installation to confirm that the 5' separation between the tank and field will be met. Install a cleanout or monitor tube so the field can be located in the future. 2. After cleanouts are installed in the 1978 field, property line waivers may be needed. Received By: Issued By: Date: Date: 7Z ( ZZ 3 �I � A UTY OF HCHOFFIZA CSE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-572-12 Property owner(s) Erin & ,Jason Waidzulis Day phone 612-751-3887 Mailing address 270 17th St NW Unit 2407, Atlanta, GA 30363 Site address 20530 David Ave Legal description (Sub'd., Block & Lot) PrUess#2, Block 2 Lot 13 Legal description (Township, Range & Section) Lot Size 24,375 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Septic Tank INUpgrade ❑X (w/wo ADU) Holding Tank ❑ RenewalDuplex (D) E]❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: �'�") 5 Waiver Fees: Date of Payment: '� 11 3I c Date of Payment: Receipt Number: O b 3 e i Receipt Number: Permit No. 0 S P-9 I? a 5 I Waiver No. Permit App_::- :-..:c July 11, 2022 MOA Development Services, On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage, AK 99507 Subject: Preuss #2 Block 2 Lot 13 – 20530 David Ave Septic system design Dear On-Site Services Engineer: The septic tank on the subject lot has reached the end of its life so we are submitting this application for its replacement. The owners requested a larger tank for more capacity, so a 1500-gallon tank is called out in this design. Additionally, the existing field from 2013 has reached a failure point and is no longer adequately absorbing liquid. While digging a test hole for a replacement system in June 2022, the existing trench from 1978 was located and found to be completely dry and appeared to be intact. Due to the lack of space available for a new septic trench, we are proposing tying into this trench with a diverter valve. The current orientation of the trench from 1978 is unknown and will be verified at construction. The attached site plan identifies the location of the home as well as the existing well, existing septic location and proposed tank site. Wells on this and adjacent lots are shown. The new septic tank will be a minimum of 100’ from all wells and surface water, and more than 5’ away from the septic trench. Please refer to the attached plan page for the septic design. If this design is followed, there will be no adverse impacts to adjacent properties. Sincerely, Benjamin Schiller, PE Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221259, Deb Wockenfuss, 07/21/22 // // // // // // // // Benjamin Schiller CE 12592R EGISTEREDPROFES S I O N ALENGINEER 1"=40' CO - CLEANOUT 2CO - DOUBLE CLEANOUT FCO - FOUNDATION CLEANOUT FS - FLOW SPLITTER VALVE MH - MANHOLE MT - MONITORING TUBE SV - SEPTIC VENT TH - TEST HOLE LEGEND PREUSS #2, BLOCK 2 LOT 13 FEET 0 40 80 NOTE: ALL WELLS ON SURROUNDING LOTS WITH IMPACTS TO THIS PROPERTY ARE SHOWN. NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS. Jul 20, 2022 DAVID STREET 3-BDRM HOME 7/11/2022 SHED 10' UTILITY EASEMENT 790 750 760 770 780 REMOVE EXISTING TANK & INSTALL A NEW 1500-GAL SEPTIC TANK w/ 20" MANWAY VERIFY 10 SEPARATION FROM FOUNDATION & 5' SEPARATION FROM FIELD EXISTING TRENCH TO REMAIN IN SERVICE TIE INTO EXISTING SYSTEM FROM 1978 w/ DIVERTER VALVE. CLEANOUTS NEEDED AT BOTH ENDS OF TRENCH & REPAIR EXISTING MONITOR TUBE EXACT ORIENTATION OF TRENCH UNKNOWN. END OF TRENCH WILL BE VERIFIED AT CONSTRUCTION 2CO 2CO EXISTING WELL w/ 100' RADIUS EXISTING WELL w/ 100' RADIUS Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP221259, Deb Wockenfuss, 07/21/22 Woo CHAI D% VID STREET 0 ti 0 0 0 A �'; O q �q%,4p �P14 . 49 TH SHANE A. HOLT .' P 144 LS -6914 a o ionsk vs o AS-BUILTSURVEY I" =301 NO CORNERS SET THIS DATE I HEREBY CERTIFY THAT I HAVE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY L 0T 13 BLOCK2 PREUSS NO 2 SUB THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOW ANY CONFLICTS BETWEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IANCHORAGE RECORDING DISTRICT, ALASKA, AND THAT THE S THE PROPERTY LINES AND NO VISIBLE ENCROACHMENTS NOT TO BE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FEN, ELI VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN NES. EASEMENTS OF RECORD,OR ANY LEGAL ENTITY, OTHER THAN THOSE APPEARING ON THE RECORD PLAT EXIST OTHER THAN NOTED. ARE NOT SHOWN HEREON( UNLESS INDICATED) DATED AT ANCHORAGE,ALASKA THIS 28 TH DAY OF NOTE: FENCELINES THAT MAY APPEAR ON THIS DRAWING ARE NOT TO BE USED TO DETERMNE JUNE , 2022 PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHOWN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNOW AND/OR ICE. THE SURVEYDATA ON THIS DRAWING IS PREPARED FOR THE OWNER OFRECORD ONLY ANYCOPYING, OR UTILIZING THE DATA HEREON IS PROHIBITED UNDER COPYRIGHT LAW 15518 F5224-43 HOL T LAND SURVEYING 9309 GRO VER DRIVE ANCHORAGEAK 99507 223-8615 All AInI&AV, a-:,« ,.. •A, c Inspection Repo _1-1-12.doc 01 Municipality of Anchorage w1amill I III r% Community Development Department Page. 1 of 3 On -Site Water and Wastewater Program JAN 2 2 2013 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121297 PID Number: 050-572-12 ❑ New ❑✓ Upgrade Name: Glenn & Julie Gibeault ABSORPTION FIELD [E Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 20530 David Avenue ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 0.6 GPD/SF 9.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3.5 Ft. Gravel depth beneath pipe 6.0Ft. Subdivision Block Lot Preuss #2 2 13 Fill added above original grade 0 Ft. Gravel length 65.4 Ft. Township Range Section Gravel width 3FL Beds: Number of Lines N/A Distance between lines N/A Ft. SEPARATION DISTANCES TO Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 780 Ftp 1 N/AFt. well 139 (E) 100.2 N/A NIA 132(E) TANK 0 Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer Capacity Existing 1000Gal. Surface water 100+ 100+ NIA N/A Material Number of compartments Lot Line 15 (E) 5.4 N/A NIA NA Foundation 7 (E) 7.2 N/A N/A LIFT STATION Manufacturer Capacity Curtain Drain NIA N/A NIA NIA Gal. Remarks Zr✓Qm Pump on level at Pump off level at High water alarm at �5^r' u� AW fit_ 'FItZO M �r t� !-l.� in. In. in. -..."L { / -r Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL Housetotank Tank to PVC* drainfield j JR's Septic Pumping %3C Drainfield PVCX CO/MT PV Inspector Steven R. Pannone B K 1 InspectionLocation dates: 1 10/10/12 2nd 10/10/12 and description 3'" /j 4m Garage F.F. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp �- Conditional Approval: Date _ oFA } V f Steven annome CE 8149 A AW Pproved Date ( o1S l3 �iH?0Ff5"ta�PAW �,.+ Inspection Repo _1-1-12.doc 01 �L\ W w—� W/ SEPTIC 1 AREA \ DAVID AVENUE VERIFIED RIGID INSULATION UNDER DRIVEWAY (E) J fi: V WELL (E) 10009 PLASTIC SEPTIC TANK (E) 3BR VERIFIED INTEGRITY HOUSE 1 (E) I VWELL (E) 10 I I '-1 w_ W/ j Cl DRAIN FIELD (E) (P) 5.4L—REMOVED EXISTING DRAIN FIELD = AND REPLACED W/ M1 65LF x 3'w x 6.0' E.D. x 9.5' T.D. I N, V TH-1992-1 (ROGER J SHAFER) 10' UTILITY ES MT AND WELL RADII WITHIN 20' OF THE PROPOSED SYSTEM WERE FLAGGED BY A LISCENSED SUR77��VEE7�YO77R��77�� .1 FLAGGED PL'1t\1\ONE ENG SVC, LLC RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 PREUSS #2, BLOCK 2, LOT 13 GLENN & JULIE GIBEAULT 20530 DAVID AVENUE PLAN EAGLE RIVER, AK 99577 WELL (E) 4— OF A(Aitl, 1Dute 10/29/12 *--'49TH 1"-50' d�V P.I.D NO .X 1050-572-12 CE 8149 OSP121297 Sheet 2 OF A B C1 19.5 43.9 E2 41.3 17.8 C3 42.4 22.4 C4 36.9 8.9 M 1 19.6 42.4 M2 36.0 11.8 �L\ W w—� W/ SEPTIC 1 AREA \ DAVID AVENUE VERIFIED RIGID INSULATION UNDER DRIVEWAY (E) J fi: V WELL (E) 10009 PLASTIC SEPTIC TANK (E) 3BR VERIFIED INTEGRITY HOUSE 1 (E) I VWELL (E) 10 I I '-1 w_ W/ j Cl DRAIN FIELD (E) (P) 5.4L—REMOVED EXISTING DRAIN FIELD = AND REPLACED W/ M1 65LF x 3'w x 6.0' E.D. x 9.5' T.D. I N, V TH-1992-1 (ROGER J SHAFER) 10' UTILITY ES MT AND WELL RADII WITHIN 20' OF THE PROPOSED SYSTEM WERE FLAGGED BY A LISCENSED SUR77��VEE7�YO77R��77�� .1 FLAGGED PL'1t\1\ONE ENG SVC, LLC RECORD DRAWING P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 PREUSS #2, BLOCK 2, LOT 13 GLENN & JULIE GIBEAULT 20530 DAVID AVENUE PLAN EAGLE RIVER, AK 99577 WELL (E) 4— OF A(Aitl, 1Dute 10/29/12 *--'49TH 1"-50' d�V P.I.D NO .X 1050-572-12 CE 8149 OSP121297 Sheet 2 OF SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK WAS IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALLED NEW SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS NOT ENCOUNTERED AS EVIDENCED BY THE SOIL TEST HOLE. AN APPARENT WATER TABLE WAS NOT OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15.5 FEET BELOW EXISTING GRADE. DRAIN FIELD / FOOTING SECTION z m F5 5 5 5 2 Qo 0 o wo 0 z 5 z jnj jI j31 0 o II II II �Jjjl jI RIGID INSUTADON m \UNDER DRNMAY (E) nn 1000g SEPTIC TANK (E) DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g (E) PERC RATE = 27 MPI SOIL RATING: 0.6 GPD/SF AREA ROD: 750 SF SYS. TYPE: DEEP TRENCH 6.0' E.D. MIN LENGTH: 62.5LF USED: 65LF X 3' WIDE, 6.0' E.D., 9.5' TO TOTAL AREA: 780 SF NOTES: DRAWING DESIGN DETAILS 89.7 PROFILE ER FABRIC 0 DRAIN PIPE NN ROCK 6"ABOVE PIPE INV TH-1 JGHT 95.7 0.5 IILT 6.0 GRAN ROCK 89.7 GIA 6.0 SECTION —83.] m z R FABRIC o s IN ROCK 6" ABOVE PIPE INV Om 0 GRAIN PIPE In In TRENCH SEE DESIGN LEGEND W WATERLINE/ WELL RADIUS — SS — NEW SEPTIC PANNONE ENG SVC, LLC P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE *: TH PREUSS #2, BLOCK 2, LOT 13 6 ...... GLENN & JULIE GIBEAULT r SteveCER$,P EAGLE ORIVER, DAKv99577 'r+�gpJzwA 10/29/12 ••'*r� P.I.D....NO __ 050-572-12 OSP121297 Sheet 3 OF Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@paneneak.com October 30, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Preuss #2, Block 2, Lot 13 -EvtttM Waiver Request FeAVAK''} i f N Ladies and Gentlemen: Due to the small area available for drain field construction, the new drain field was installed 7.2' from the house foundation. The location of the drain field is not likely to affect the integrity or function of the drain field or the house foundation. See section on sheet 3 of 3. Granting this waiver is not likely to affect the health and safety of this lot or the surrounding lots now or in the future. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Maxtor, Anchorage, AK 99501 Telephone: (907) 272-8218 PAX: (907) 272-8211 Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchoraoe, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://Www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program pleat y h L. s Department **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP13007 COSA#: Permit#:OSP121297 PID#: 050-572-12 Legal Description: Preuss #2. Block 2, Lot 13 Engineer: PES Applicant: Glenn & Julie Gibeault Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 5 feet. Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the house foundation has been approved. The approved separation distance is 7 feet. This waiver approval applies to the existing 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. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ............................................................................... Waiver is Granted: X Waiver is not Granted: Date: las 13 Approved by 4Name of Reviewer ............................................................................. Rec#: 02426G Amount: $200.00 Date Paid: 1/24/2013 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121297 Tax Code Number: 05057212000 Work Type: Septic Upgrade Permit Effective Dates: September 25, 2012 to September 25, 2013 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: PREUSS #2 Site Legal Address: PREUSS #2 BLK 2 LT 13 G:0056 Owner/Address: GIBEAULT GLENN G & JULIE B 20530 DAVID AVENUE EAGLE RIVER AK 995778753 Site Mailing Address: 20530 DAVID AVE, Eagle River Lot Size in Sq Ft: 24375 Total Bedrooms: 3 This permit is for the construction of: Y Disposal Field N Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: All portions of the drainfield shall be verified to be six (6) verticle feet minimum from bedrock. Received B) Issued By: MUNICIPALITY OF Community Development Department Development Services Division 6 On -Site Water & Wastewater Program Phone: 907-343-7904 Fax: 907-343-7997 ON-SITE SEWERIWELL PERMIT APPLICATION Parcel I.D. 050-572-12 Property owner(s) Glenn & Julie Gibeault Day phone Mailing address 20530 David Avenue, Eagle River, AK 99577 Site address 20530 David Avenue Legal description (Sub'd., Block & Lot) Preuss #2, Block 2, Lot 13 Legal description (Township, Range & Section) Lot Size 24,375 Sq. Ft. APPLICATION IS FOR: (® all that apply) Absorption Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 3 APPLICATION IS AN: TYPE OF DWELLING: Initial ❑ Single Family (SF) 0 (w/wo ADU) Upgrade 0 Duplex (D) E]Renewal El Multiple Dwellings ❑ (SF and/or D) THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or Permit/Rush Fees: S30 Date of Payment: I l a to C Receipt Number: l (t Permit No. Permit App_9-1-12.doc Waiver Fees: 000 — Date of Payment: jaqjrb Receipt Number: t`4- Aa-Ol7, Waiver No. 05 V0131o0 –7 Pannone Engineering Services «c Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com August 28, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 A,�� I*a 6 a z 1,3Subject: -Saa , B. . 3; L-ai=2 Septic System Permit Upgrade Request Ladies and Gentlemen: I am writing to request a permit to upgrade the septic system be issued for this property. The proposed systems will serve an existing three (3) bedroom house. Currently the lot is developed. The existing deep trench drain filed will be removed and replaced. The integrity of the existing 1000g septic tank will be verified. This lot is served by a private well that is located over 100 feet from this system. The surrounding lots are also served by private wells. There are no wells within 100 feet of this system. 1. Soils. A single test hole was excavated by Roger J. Schafer in April of 1992, and the ground water monitored for seven days. Groundwater was not encountered the test hole monitor tube after the seven day monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; an application rate of 0.6 gallons/day/square feet should be used for conventional wastewater system. 2. Soil Absorption System Design. a. See Sheet 2 of the design package 3. Surface Water: There is no surface water within 100 feet of the proposed septic tank and drain field. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography slopes approximately from northwest to southeast at approximately 4%- 5% in the area of the proposed drain field, an angle of approximately 45 degrees to the orientation of the drain field. PES will perform an additional test hole of necessary to verify separation to bedrock. There are no steep slopes in the area. Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and `Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design Mailing: P.O. Box 100217, Anchorage, AK 99510-0217 Physical: 332 East Manor Ave, Anchorage, AK 99501 Telephone: (907) 272-8218 FAX: (907) 272-8211 Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steve@panengak.com September 24, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Preuss #2, Block 2, Lot 13 Lot Line Waiver Request Ladies and Gentlemen: Due to surrounding well radii and the driveway location I am requesting a waiver for the minimum distance to a lot line to five feet from the drain field. The previous field to lot line distance was waved to five feet. Granting this waiver is not likely to affect the health and safety of this lot or the surrounding lots now or in the future. If you have any questions or concerns, please contact me at 272-8218. Sincerely, Steven R. Pannone, P.E. Owner/Civil Engineer Mailing: P.O. Bax 100217, Anchoiagc, ICK 99510-0217 Physical: 332 East Marcor, Anchorage, AK 99501, Telephone: (907) 272-8218 FAX: (907) 272-8211 IVI VWELL (E) W—� w/ SEPTIC J AREA \ DAVID AVENUE RIGID INSULATION UNDER DRIVEWAY 1000g PLASTIC SEPTIC TANK (E) VERIFY INTEGRITY HOUSE 1 4 (E) V WELL (E) 10 3 /M _ 10' WFI I RADII ESMT WITHIN 20' OF THE PROPOSED SYSTEM TO BE FLAGGED BY A LISCENSED SURVEYOR NOTES: PAMONE ENG SVC, LLC OF A4.,4 Date FOR CONSTRUCTION 9/24/12 P.O. BOX 100217 ANCHORAGE, AK 99510 r �p� SFtI� Scale PHONE (907) 272-8218 FAX (907) 272-8211 r. c,• �'•9 tt PREUSS #2, BLOCK 2, LOT 13 GLENN & E GIBEAULT ENUE EAGLE RIVER, AK 20530 UVERIDV99577 +t+) PLAN 1"=50' P.I.D. NO P050-572-12 1e PERMIT NO. 4% �OSPI21297 1 OF 2 /ts DRAIN FIELD (E) (P) REMOVE EXISTING DRAIN FIELD AND REPLACE W/ 65LF x 3'w x 6.0' E.D. x 9.5' T.D. M5. En H-1992-1�ROGER J SHAFER) .. _ 10' WFI I RADII ESMT WITHIN 20' OF THE PROPOSED SYSTEM TO BE FLAGGED BY A LISCENSED SURVEYOR NOTES: PAMONE ENG SVC, LLC OF A4.,4 Date FOR CONSTRUCTION 9/24/12 P.O. BOX 100217 ANCHORAGE, AK 99510 r �p� SFtI� Scale PHONE (907) 272-8218 FAX (907) 272-8211 r. c,• �'•9 tt PREUSS #2, BLOCK 2, LOT 13 GLENN & E GIBEAULT ENUE EAGLE RIVER, AK 20530 UVERIDV99577 +t+) PLAN 1"=50' P.I.D. NO P050-572-12 1e PERMIT NO. 4% �OSPI21297 1 OF 2 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL NEW SOIL ABSORPTION SYSTEM. 4. GROUNDWATER WAS NOT ENCOUNTERED AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 15.5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. ER FABRIC 0 DRAIN PIPE AN ROCK 6" ABOVE PIPE INV TH-1 1000g SEPTIC TANK (E) DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g (E) PERC RATE = 27 MPI SOIL RATING: 0.6 GPD/SF AREA ROD: 750 SF SYS. TYPE: DEEP TRENCH 6.0' E.D. MIN LENGTH: 62.5LF USE. 65LF X 3' WIDE, 6.0' E.D., 9.5' TO TOTAL AREA: 780 SF PROFILE 0 DRAIN PIPE TRENCH SEE DESIGN LEGEND —W— WATER LINE/ WELL RADIUS — SS — NEW SEPTIC 9010. •►7 CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. LIGHT T0.5 DOUBLE CLEAN OUT DV DIVERTER VALVE FS SILT BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE 6.0 TOPSOIL AND VEGETATE DRAIN ROCK GM o 6.0 SECTION � F o o wo z Z' j Sg �s G 0 S C FILTER FABRIC t qzq Z. n. ��DRAIN ROCK 6" ABOVE PIPE INV E I I I I I I I —RIGID INSULATION V E U 1000g SEPTIC TANK (E) DESIGN PARAMETERS PRIMARY/RESERVE SEPTIC SYSTEM NO. BEDROOM: 3 (450 gpd) TANK SIZE: 1000g (E) PERC RATE = 27 MPI SOIL RATING: 0.6 GPD/SF AREA ROD: 750 SF SYS. TYPE: DEEP TRENCH 6.0' E.D. MIN LENGTH: 62.5LF USE. 65LF X 3' WIDE, 6.0' E.D., 9.5' TO TOTAL AREA: 780 SF PROFILE 0 DRAIN PIPE TRENCH SEE DESIGN LEGEND —W— WATER LINE/ WELL RADIUS — SS — NEW SEPTIC 9010. •►7 CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO. M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE TS&V TOPSOIL AND VEGETATE NOTES:PANNONE ENG SVC LLC _-�aF A �y Date FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 .?''� • .'gcSt�) 9724712 PHONE (907) 272-8218 FAX (907) 272-8211*� TM l ScaNTS i`.'. r PREUSS #2, BLOCK 2, LOT 13 GLENN & JULIE GIBEAULT 20530 DAVID AVENUE DESIGN DETAILS EAGLE RIVER, AK 99577 050-572-12 DERMIT NO. OSPI21297 Sheet 2 OF Municipality of Anchorage Pageof-27, DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: -e�lj QPID Number: w�0S =I- 2- IZ. Name: A �� Wastewater System: ❑ New Upgrade Address:—�tP�1� �gs ABSORPTION FIELD Phone: No. of rooms: Deep Trench ❑ Shallow Trench ❑ Bed ❑ Moun ❑ Other LEGAL DESCRIPTION Soil Rating: �' � Total Depth from original gr e: GPD/SFt. .s' Lot: Block: Subdivision: Lir t--5 Z U -5-S Depth to pipe bottom from original grade: Gravel depth beneath pipe .S Ft. Ff. Township: Range: Section: Fill added above original grade: Gravel length: & Ft. Ft. WELL: ❑ New ❑ Upgrade • Graveldeptfr wrpT}I f �J Number of lines: Distance tweenlines: Ft. Ft. Classification (Private. A.B.C): Total Depth: Cased To: Total absorption area: Pipe material: T fe? IC7 ♦� Ft. Fl. ,, QQ tGYJSO. Ft. P�il __Pt5013+ PVe, Driller. Date Drilled: Static Water Level: Installer. Date Installed: Yield:Pump Set at: I Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES '¢Cseptic ❑Holding ❑S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: )000 From Tank Field Statlon Tank Sewer Lines wellI ' IQI uJ� Material: LA -GG Number of Compartments: Watere IGb'4- tcv'-t- -- — — LIFT STATION Lotl �' �/ —" �_ Size in gallons: Manufacturer. Line Foundation I I 0 r .i "Pump on" level at: p off' level at: High water alarm at: Curtain Pump Mak odel Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: Assumed Elevation: a A QQ—Ff ENGIgaFA&j AL ,o"[� OF �Q�i�/%s, o�1 4.0,0a..a.e'9 ����� ma y:A'u ~a•* r �/�� Inspections performed by:�4S IG10" 1s �2 N� 04 6 . wi as1' a i 2nd V, ROGER V, ROGER SHAFER t WA Department of Healthnd Hu=aervices approval �o��q;�.�.� Reviewed and approved by: Dates 72-019 (1/91) MOA 25 - Permit No. W ZOO Page —Z-_ of ..L Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description, r L LSLL e Z t ►G Z LIJT— I PID No.: H n� ANJS. -'5fV k4 _ T'r1 �j45T. IboollAt. �EPnG TA.wI IL. ISO I }ffll.t� �>ril 72-013 A (2/91) MOA 25 4 8z, N? WA V- -T a- " r'p tii u��s<=-txz1�• �. �Ifi�E 2YtTEe-1 lNtUtJ•r� $ G `:Gal X26 ! y �" Go2 IIS -- c� +1f721� _.. ROa R SHAFER•:1 P u, .• No. 215 .*W �a4�osv MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 z7m ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920063 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:BUNDY SCOTT R & MARY OWNER ADDRESS:20530 DAVID AVE EAGLE RIVER, AK 99577 PARCEL ID:05057212 LEGAL DESCRIPTION: PREUSS #2 BLK 2 LT 13 LOT SIZE: 24375 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 DATE ISSUED: 4/22/92 EXPIRATION DATE: 4/22/93 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY:� DATE: DATE • 9 d Municipality of Anchorage Department of Health and Human Services Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 April' 24, 1992 Roger A. Shafer, P. E. S & S Engineering 17034 Eagle River Loop Road Suite 204 .�►}3rd, Eagle River, Alaska 99577 Subject: Waiver Request for Lot 13 Block 2 Preuss Subdivision #2 Waiver Request #WR920018, PID #050-572-12, SW920063 Dear Mr. Shafer: Your request for waiver of the required 10 foot separation between a septic system and a lot line has been approved. The waived distance is 5 feet to the north property line. This approval applies to the existing septic system lot line separation only. Any future upgrade to the septic system will require all separations be met or another approval from this department. Sincerely, ZZ",A � Daniel N. Bolles On-site Services Concur: Aoh Sm/h,.E. Program Manager On-site Services MUNICIPALITY OF ANCHORAGE. Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# t,7ngQD1�, PID# 050-572-12 Date Received: April 13, 1992 HA# Permit #_SIJ9Z4043 Legal Description: Lot 13 Block 2 Preuss Subdivision #2 Engineer: Roger A. Shafer, P. E., S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River 99577 Applicant: Scott & Mary Bunde Waiver Requested: Lot line - 5 foot to north property line Criteria: 1. Geology: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: A1, A, & &Pell er SPon(' Points: Waiver is Granted: �I/p Waiver is NOT Granted: List Conditions or Reasons for above: JeJ -r Sa>C a%rT/ *rrrw+ Rec #: 23600/1596 Amount: $.70.00 Date Paid: LEGAL PREUSS SUBDIVISION UNIT NO. 2, BLOCK 2, LOT 13 DRAWN CKD. DATE SHT L. S ULSHER R.J.S. 4//0/92 /of/ / �✓„ REVISED 4/23/92 U /004. TO V A .�, DAVID AVENUE /i t< 4" INSULAnONREOD UND£RDR/VE 115.MIAL fader a.,.,a �i aS�� lOO' WELLPolus � A AW X WELL TRENCH "% DRIVE EXIST. SEP C TANK co DESIGN CRITERIA: /000 GAL i i EGRITY) DECK N� 3 BDRM = 450 GPD /D' SOILS = 0.6 6MIF72 3 BDRM HOUSE MVAC PROPOSED TRENCH 450 + 0.6 = 750 sq. ft. REO D /0' DE MIN. DEEP TRENCH.• 9.5' DEEP sHEO 6' EFFECTIVE 63' LONG NOTE.• AI/ portions of s stem r GROUND LEVEL"..DRIVE—,Z 4"INSUL. RIVE—, !4"INSUL. FILTER ` 4"SOLID 6' ASTM 1 D3034 PVC LOT j ess an 3.5' of cover require Insu/atioA I LOT 13 Il 100' WELL RADIUS EXIST. WELL / 10-unc. ESMr\ — 120'. TO SEPTIC 0F.44 %tl ~• % P.CGEM No. LOT 12 ' HSE L _ SEPTIC saolAja$ uswnH V 411eaH'3dap e5Vj0gouy to A1!IEdiolunvq 2661 ti Z lJdd GIAHA HEALTH AUTHORITY APPROVALS SEWER& WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES ANDREPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSALSYSTEM DESIGN April 10, 1992 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907)694.2979 FAX 694-1211 REFERENCE: Preuss Subdivision Unit #2, Block 2, Lot 13 Request you issue a permit to upgrade the septic system serving the referenced property. An adequacy test was performed on the existing system and the absorption capacity of the system was found to be inadequate. A test hole was excavated and a percolation test performed in the area of the proposed upgrade. Attached is the proposed upgrade design. Due to the limited amount of room on the property for a septic upgrade outside of protective well radii, we're requesting a 5 foot property line waiver to the North property line. The North property line is adjacent to David Avenue, therefore, this separation distance encroachment should not have an effect on adjacent properties. If you have any questions or require additional information for your review, please contact us. Sincerely, ROGER J.HAFER, P.E. RJS/lsu RECEIVECJ APR 131992 Municipality of Anchorp;.ie Dept. Health £A Human Se: v.ca;j 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 V W Q Kx QL LEGAL PREUSS S ;."9 11 / 1' ON DRAWN L. S ULSHER A �i ti `,r�R ai,,.. s^• l00' WELL PADIUS WELL E DESIGN CRITERIA: r 3 BDRM = 450 GPD SOILS = 0.6 WD/F72 450 0.6 = 750 sq. ft. REOD DEEP TRENCH.• 9.5* DEEP 6' EFFECTIVE 63' LONG IK RECEIVED APR 13 1912 Munic ;;�I �. • .0 Dept. Health c. Huajja '-jv •O� sic aurruw uu<ua VISION UNIT NO. 2, BLOCK 2, LOT 13 CKD. R JS DATE 4/10/92 \/0041 TO WE \1 DAVID AVENUE INSULATION REO n UNDER DRIVE 5' MIN. co ABANDO C N EXIST. l TRENCH "= DRIVE:' .P C TANK co ' N TX N C TYJ DECK Io• `� 49 lh YiY.N.N.N R061R A. SHAFER • a;4 No. 15too 0 ��� �� 89E•pHOFESS0�A+� WELL RADIUS I PROPOSED TRENCH 3 BDRM HOUSE M/AL /o• 'wDMIM EC —" SHED NOT&* All portions of system with less Man 3 5' of cover require insulation. I LOT 13 I 100' WELL RADIUS EXIST. WELL / lo' UTI. ESMT \ — 120'. TO SEPTIC T— LOT 12 F— / HSE L _ SEPTIC PERFC LEGAL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 11 PERCOLATION RATE r,, (m�nutesn�nc,,h)�PERC HOLE DIAMETER TEST RUN BETWEEN FT AND -frT COMMENTS��% PERFORMED BY: 17034 Eagle River LMP ROW Ale. -204- � CERTIFY THAT THIS TEST WAS PERFORMED IN Eagle River Alaska 9 ACCORDANCE WITH ALL STATE AND MUNICIPAL"GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-008 (Rev. 4/85) ( v' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION •'' ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME/ / �trlfl - -'� f /1l/!7 /� 1? "/V PHONEq %%/ o�4 � NEW ❑ UPGRADE MAILING ADDRS 7,5 ! % LEGAL �DESCRIPTION B/ /.1 srC/C- v UC-aS-.7 J A9 LOCATVtoot .� N0. OF BEDROOMS o Y DISTANCE TO: Well , L f� •7 Absorption area s Dwelling f PERMIT .0 .0% d 2Man � facturer (.A,-$r O/,43 n t nal ,� No. ofco tments CA Liq. capacity in gallons O—d'—t' IF HOMEMADE: Inside length Width Liquid depth d Y Ja DISTANCE TO: Well Dwelling PERMIT NO. Manufacturer Material Liquid capacity in gallons W= DISTANCE TO: Well /' ICQ 'f' Founda 'on f Neare lot line PERMIT NO. J LL Z I;, Z W No. of lines1 Length f each line Total le th of lines Trench width ♦aL inches Distance between lines 4 f¢.. p— Top of tile to f inisq qrade le Material beneath tile Total effect' e a o ion area W a Length Width Depth PERMIT NO. IL F W fJ Type of crib Crib diameter Crib depth Total effective absorption area rn LU DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. ?fro79n W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS y ` i a lztT 7`Z c SOILTEST RATING /. / v INSTALLER I REMARKS ! f el PROVED DATE LEGAL 72-0p3 (Rev. 3/78) +` r -i 1_1•r-4 I i=: 1: F=' F=i t_ i -i o— F F=1 r -.F F=: i=i 13 E DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 `L' STREET, ANCHORAGE, AK. rr `4155 g 264-4720 IL c. .511 d9k 7Pa w(7--,g9,-_7Lk tom. ,L pb 10: ObAM . 1 -1 E L t H r-.! C■ -rF—:- E t --J EE F= f-' F=- r•1 I T PERMIT 1-40. C 760790 ? APPLICANT DONALD G. 2IMMERMAN JR BWX 596 EAGLE RIVER 694 926^ LOCATION DA'vID ST LEGAL L13 B2 PRUESS S/C) LOT SIZE 21000 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH MR:; I MLIM NUMBER OF BEDROOMS = 3. SOIL RATING (SG! FTe'BP, )= 105 THE REQUIRED SIZE OF THE '=OIL ABSORPTION SYSTEM I S : /•��o,( �7 6 L , F= F=• T t -t = Jam- L E r-11:3 T"= 1,�-i v-3 F= F:=i ti:' E t_ r- E t•-` -t- THE T THE LENGTH DIMENSION IS THE LENGTH CI<J FEET) OF THE TRENCH OP DRAINFIELD. THE DEPTH OF A TRENCH OP.. PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE G*RO IND AND THE BOTTOM OF THE EXCAVATION (IN FEET?. THERE IS NO SET WIDTH FOP. TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL F'IF'E AND THE BOTTOM OF THE EXCAVATION CIN FEET). F=: 01_1 I F E C> - F= F= T" I 0 -r" l=1 rel FC —:= E = _T_ F= -11E,121 !3 F=l t_ t._ cp r •t PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEF'APTtlENT DURING THE 1fJSTALLATION INSPECTION'_=• OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUPIOEF. OF RESIDENCES THAT THE WELL WILL SERVE. — — — C :2 s- I ref IF='E-= I_ T I Cl r -•f _ F=1 r=: E t=: F. _- r-.! 11 3: f*:— BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM I. 100 FEET FOR R PRIVATE WELL; OR 150 TO 200 FEET FROM A PUBLIC WELL DEFENDING UPON THE TYPE OF PUBLIC WELL. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT LdITHIN 3G_1 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAM_ ARE H'v H I LABLE TO INSURE PROPER INSTALLATION. ,I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS A14D WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. . : 1 1•1 ILL I NSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I UNDERSTAND THAT THE Otd-SITE SEWER SYSTEM MAY REQUIRE EFJLARGEMENj--TLF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. pP� S I GNED : _ �.1-tittQ_-�-- - r4 Pa(� RF'PL I CANT D� �FJHLiY G. Z I t9t•1ERHAN .JP "�0 __GATE--- -��7Y V3 1__JEU E;r__ 14 SM CONSULTANTS. INC. ENGINEERS GEOLOGISTS PLANNERS SURVEYORS August 23, 1978 5024 CORDOVA E BOX 6041 ■ ANCHORAGE. ALASKA 99502 ■ PH. 90/219'0441 4 TL%. 09025760 Mr. Don Zimmerman, Jr. Box 596 Eagle River, Alaska 99577 R&M No. 851140 Subject: Soil Investigation for Sanitary Sewer System, Lot 13, Block 2, Pruess Subdivision, Eagle River, Alaska Dear Mr. Zimmerman: At your request of August 21, 1978, we conducted a subsurface soils investi- gation at the proposed location of the sanitary sewer system on the subject lot. The investigation complied with those procedures required by the Municipality of Anchorage Department of Health and Environmental Protection. This investigation, which was accomplished on August 22,'1978, consisted of a test hole excavated to a depth of 12 feet below the existing ground'surface. The test hole was sited according to your instructions and its location is shown in attached Drawing A-01. Excavation was accomplished with a backhoe. A sample was taken at the depths shown on the soils log in Drawing A-01. The sample will be held in storage at our lab for approximately six months. In addition, all material excavated was continuously monitored by an experienced engineering geologist. The topography at the excavation site is generally horizontal. At the time of the investigation the site had birch and cottonwood and had been partially stripped. The top of the test hole was located at original ground surface. The soils encountered in the excavation are shown in the test hole log in Drawing A-01. This log displays specific conditions encountered at the test location. However, subsurface conditions may vary in other parts of the lot without any apparent surficial evidence of the change. Groundwater and bedrock were not encountered.' At the time the hole was excavated seasonal frost was not present and permafrost was not encountered. Based on the visual classification of the soil and the requirements set forth by the Municipality of Anchorage, a percolation test was not necessary within the test hole on the subject lot. ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA August 23, 1978 Mr. Don Zimmerman, Jr. Page -2- We appreciated this opportunity to be of service to you. Please contact us if you have any questions concerning this letter or if we can be of addi- tional service. Very truly yours, R&M CONSULTANTS, INC.#,ZV �/� /:n t Z'W'M'� Lynne Kosikowski Gary Smith Staff Geologist Project Manager GS:LK/kky/12-E Mr. Don Zimmerman, Jr. Box 596 Eagle River, Alaska 99577 Subject: Soil Investigation for Sanitary Sewer System, Lot 13, Block 2, Preuss Subdivision, Eagle River, Alaska Dear Mr. Zimmerman: This letter is prepared as a supplement to our original soils report for the subject property dated August 22, 1978. Observations were made this date of a 12 -foot deep backhoe trench to deter- mine the expected groundwater conditions and verify the suitability of a septic system absorption field with a maximum depth of ten feet. Soil conditions in the trench are the same as shown in the original report. Based on the results of soil tests on several nearby lots, the type and uniformity of the exposed soils and the moisture content of the soils at 12 feet, we can conclude that any groundwater at the site would be expected at a depth greater than 14 feet. We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M ONSULTANTS INC. ) .4 Gary Smith Sen r Geologist GAS/djb/18A-U xc: Municipality of Anchorage, Dept. of Health and Environmental Protection ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA n F26M CONSULTANTS. INC. $026 CORDOVA ■ BOX 6097 ■ ANCHORAGE. ALASKA 99502 B PH. 907-279.0663 ■ TLX. 09025360 ENGINEERS GEOLOGISTS PLANNERS SURVEYORS September 27, 1978 R&M No. 851140 Mr. Don Zimmerman, Jr. Box 596 Eagle River, Alaska 99577 Subject: Soil Investigation for Sanitary Sewer System, Lot 13, Block 2, Preuss Subdivision, Eagle River, Alaska Dear Mr. Zimmerman: This letter is prepared as a supplement to our original soils report for the subject property dated August 22, 1978. Observations were made this date of a 12 -foot deep backhoe trench to deter- mine the expected groundwater conditions and verify the suitability of a septic system absorption field with a maximum depth of ten feet. Soil conditions in the trench are the same as shown in the original report. Based on the results of soil tests on several nearby lots, the type and uniformity of the exposed soils and the moisture content of the soils at 12 feet, we can conclude that any groundwater at the site would be expected at a depth greater than 14 feet. We appreciate this opportunity to be of service to you. Please contact us if you have any questions regarding this letter or if we can be of additional service to you. Very truly yours, R&M ONSULTANTS INC. ) .4 Gary Smith Sen r Geologist GAS/djb/18A-U xc: Municipality of Anchorage, Dept. of Health and Environmental Protection ANCHORAGE FAIRBANKS JUNEAU VALDEZ WASILLA ........__ _ ^� ��SE__FO'LD FOR�1 • IETV?Jt TO: Oivition of Geological and "'. ,.ieal Surveys STAPLE �, STATC,Of MAIM ")MI Porcupine Drive R�j/'tf k „7� Anchorage, Alaska 99531 D�PAII•-,;, �MENT OF NATURAL ALSOUKt3 • V A T C R V[ l l R E C O R D [i PJ:R•:��--'•1'•" ' trilling Company Nave Drilling gnomon r�g WD Drilling Permit Number 78015 t G ,t IOCF AY ICa OF VLII 0—PIER N0. � "• loro..gn Anch, :u4Jleisi,pn Preulsa Lot 13 loch 2 fraction 6 t Section No. Tows 0/5 tinge uv M+fit,aT t 1s. �-L E I v t U Distance and Dlreetleet erre Road Intersections Lot 13, Block 2 is' 10 ft from powerline SE corner Street Address and Area of Wall Location I OWNER OF WELL: Donald G. Zimmerman Addretal P.O. Boz 596 Eagle River, Ake 99577 1 WELL Lo; Material Tye• Ft. below surface Teo lotton Thickness of Stratum b WELL DEPTH: (completed) 248 ft. Surface Elevation Data of Completion . SDGL 0-45 45 S C3 Cable tool aRotary 1:1orlven 0Dug ❑Auger 0Jetted IDlor•d 11Dther3 GRVL J— ALVM ,711Cy 6767-89 22 6 USE: rBDomestle ❑ Public Supply p Industry 11Irrigation 13RechargeCommercial El Test Well Other: - slyjLL - GRVL CASING: [:] Threaded x0 Welded Haight: +E Above 0 lelow 6 In. to 24 8It. 0•ptn surface 2 it. --17—� In. to ft. Depth .eignt Ib,/ft. Drive Shoal IDyet No_ . Ln - 2:)11 hardpan 8219 AI'gC J rocks FINISH t FINISH OF WELL: Type, Open hole It Diameter: b Slot/Pe Sh Site length Set betwen ft. and ft. Fittings: 9 STATIC WATER LEVEL: 221 ft. 11 above ', below land surface Type of Measurement 10 PUMPING LEVEL below land surface 'ft. after 1 Ars. pumping 10 ft. after hrs. pumping 9, P.O. 11 WELL MCAD COMPLETION: In Approved Pit ® Fillets Adapter 12• Abo•e Creta 11 GROUTING: Well Grouted: Yes ISJ'— Material: Neat Cement Other: Ij SANITAAT: Nearest Source of Possible Contamination 1 7n F•et Direction Type W11 disinfected upon eomplation M Yes 11No 16 PJMPI (if available) MP ILL Length of Drop Pipe 244 ft. capacity 7 9•P.m. Type: }® Submersible 0 Other: C3 Jet C1 Reciprocating 19 REMARKS: Elevation, source of date, rater quality tells. etc. Low static level but good recovery 16 WATER WELL CONTRACTOR'S CERTIFICATION: This well w drilled under my Jurlsdlctlon end this report Is true to the bast of my knowledge and belief: Cotten -Magnuson Drilling 76-77-5385 r4gte0ared Auslnoss he" Contract License Musoor Addressl P.O* Boz 504 Eagle River, A. 99577 Signed: �LC.�5,��2�_ o.t. 9-9-78 Autnor ted A•presenatly Form Ol-KR Parcel I.D. 050-572-12 Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description Preuss #2, B2, L13 Location (site address) 20530 David Ave. Current Property owner(s) Glen & Julie Gibeault Mailing address Real Estate Agent 20530 David Ave. 2. TYPE OF DWELLING: 0 Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 Expiration Date: �/ — Day phone Day phone -, DEC 2n13 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well I] Individual 0 Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver/Variance request for: Received by. -- Date r 0 " COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 4Md } Waiver Fee $ Date of Payment i gl n I 1 � ( Date of Payment Receipt Number bi�l O� Receipt Number COSA# C)b -13!W 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. Name of Firm Pannone Engineering Services LLC Address P.O. Box 100217, Anchorage Alk. 99510 Engineer's Printed Name Steven R Pannone 6. DSD SIGNATURE l� System #1 Approved for bedrooms The System #2 Approved for bedrooms Disapproved Conditional approval for Phone (907)272-8218 Date 11/26/13 bedrooms, with the following stipulations: Original Certificate 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. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other - COSA blue sheet f , c If more than 1 septic system is on the lot: COSA Checklist # _L_of + Structure served by this system + Certificate of On -Site Systems Approval Checklist Legal Description: Preuss #2, Block 2, Lot 13 Parcel ID: 050-572-12 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 9/9/78 Sanitary seal (Y/N) Y Total depth 248 ft. Cased to 248 ft. FROM WELL LOG Date of test 9/9/78 Static water level 221 Well production 10 ft. g.p.m. Well Log (YIN) Y Wires properly protected (Y/N) Y Casing height (above ground) 36 in. AT INSPECTION 11/25/13 223 3.9+ ft. aM WATER SAMPLE RESULTS: is/d/1� Coliform /vel colonies/100 mL Nitrate �, S $ mg/L Arsenic A.) D ug/L Date of sample: I- ,/ Collected by: P F S B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic/Fiberglass 5/20/92 Date installed Tank size 1,000 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank (YIN) N High water alarm (Y/N) N Date of pumping � Pumper �T/2 s R" 11, g:` 5// -7/a -,t V C. ABSORPTION FIELD DATA Date installed Length 65 10/10/12 Soil rating (g.p.d./ft2 or ftZ/bdrm) 0_6 ft. Width 3 ft. Total depth 9.5 ft. Eff. absorption area 780 ff Monitoring tube Date of adequacy test New System type Deep Trench Gravel below pipe 6 ft. YDepression over field N Results (Pass/Fail) NeW For 3 bedrooms Fluid depth in absorption field before test New in. Water addedNeW gal. New depth New in. Elapsed Time: New min. Final fluid depth New in. Absorption rate , 450+ g,p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) No If yes, give date D. LIFT STATION Date installed "Pump on" level at Datum rol E. SEPARATION DISTANCES WELL ON LOT TO: Size in gallons _ "Pump off' level at Cycles tested _ Septic tank/lift station on lot 100+ Absorption field on lot 100+ Public sewer main 75+ Sewer /septic service line 25+ Animal containment areas 100+ SEPTIC/HOLDING TANK ON LOT TO: Manhole/Access (Y/N) _ in. High water alarm level at Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ Building foundation 5+ Property line 5+ Water main 10+ Water service line 10+ Wells on adjacent lots 100+ ABSORPTION FIELD ON LOT TO: Property line 5* Building foundation 7* Water Service line 10+ Surface water 100+ Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS * OSP 13007 G. ENGINEER'S CERTIFICATION I certify that t have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone Date 11/26/13 COSA brown sheet 10-10-12.doc Absorption field 5+ Surface water 100+ Water main 10+ Driveway, parking/vehicle storage 110+ ral DAVID AVE_ 0 M 0 M I hereby certify that an accurate survey of the following described property: PREUSS SUBDIVISION UNIT NO. 2 (70-42) LOT 13 BLOCK 2 was made on December 11 2013 and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Easements other than those shown on the record plat may not appear on this drawing. Anchorage Alaska, this 24th day of December 2013. 0' 10' 20' 40' PREPARED FOR: PANNONE ENGINEERING AS -BUILT ovn o is w JSP Ip/I6/30�] NW 58 411E NO. F.B.�301� 'LB NO. DWN. DATE GRID JSP 12/76/2013 NW 56 FILE N0. F.B. 2014 JOB N0. 135J 1357 PG. 7 PG. SIW 13109 KARABELNIKOFF SURVEYING reo„ m --x«. APPRAISAL ASSOCIATES QF ALASKA ea-sa.5;oa5sso9 Market GondlNons Addendum to the Appraisal Report roan@ �v173e9e. Tda powsed Wi wiaum'it (dPtoNde in. fe .oclilenl fKmadew.us wutam urderslaamngnl Un, Maki pr&*Mindro sIIk"I neIQY'borhn09;fill is ar )sod addendum faads a7@afte' is sid, an slismT Aare-onq O"Aw O"A"1. 200), P er -e&ass 53A Oavld Ave n Ee is Rf ar eare.AK ;- 4ode 99577 9arroaer 3asonf. 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'3 1 I eaz .. SiNya. Ae0niry- TOIpI:P4f�Aum P61e:M'Ihk.U51N s• "0 Mundce pf l101isid-au oieil�5pdpsl(JsRAN) P a1-12 Ra -� PA9 A-6,M�lIhS .fr@m-3 Monih'6 "bve i�f.`dQ - "'-- Mar6enadmpaieMe - 'Y&t3-. -1 MUM 1 3511000 1 338000: 11 j WPOOg 11XI51ase )4eitlriln 6immeda9llie BGove@ends mrd ArhbesSUb lmeamonlfreaubPetunOWldArpl«I. .APPRAISER Signal uro r ' kr'�ir/.1 _Nemo Wllilem3,arlck,$ Company Name Appraisal Associates of Alaska Company Address 760 E FirewoodLn_ _ Anchorage AK 9003 -state i.icense/Certltloetion No Slate AK Email: Addfass wmisnok@not.com SUPERVISORY APPRAISER .(ONLY IF REQUIRED) Signature Name Company Name Company Address -Stals LlcenselCeHificatien#- 61ete Email Address FLOORPLAN SKETCH Sun Room ao, 24.0' b WI clat. Bedroom 00 r - Sun Room I Clat. Bedroom E 8 10.01 E b are Sfq. �02 Garage - 6 Basement 20.0' AREA IONS SUMMARY Code Bea Nht$U. NaT.We RONT basement "6.5 064.5 on Garage 100.0 ------ AREA BREAKDOWN Breakdown Sebldala ------------- FLOORPLANSI<rTCH MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH 8t HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. # 1. GENERAL INFORMATION HAA# Complete legal description Lot 13: l3tock 2: Pneubs Subdiv.ce.ion'H Q Location (site address or directions) 20530 David Avenue Property owner Scott 8 Many Bundy Day phone • 696-7489 Mailing address 20530 David Avenue Eagte RiveA. A&ska 99577 Lending agency Day phone Mailing address Agent Audrey Macon RE/MAX OF EAGLE RIVER Day phone 694-4200. Address 16600 Centenj.i,etd D4i.ve Eag.Le Rim. Ataska 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 NOTE: If community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX 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. 72-025(Rev.1/91) Front MOA#21 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 of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Phone Address 17034 Eagle River Loop Road No. 204 EagleRiver—,Alaska-99377-/ Engineer's signature Date �/'2�'e'1Z a Conditional approval for bedrooms, with the following stipulations: Additional Comments • The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (aer. 1/91) Back MOA a21 11 ,tet_,-•.,�• •�� AW ZFEaOZ - .b CA S%t' 6. DHHS SIGNATURE `��(►Z` Approved for bedrooms. Disapproved. a Conditional approval for bedrooms, with the following stipulations: Additional Comments • The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (aer. 1/91) Back MOA a21 11 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description,.Ia, Parcel I.D. ;7,17, A. WELL DATA Well typ If A, 13, or C, attach ADEC letter. ADEC water system number Log presen0/ N) —Datecompleted —Driller InQTQ�tJ - ED 47-1 L.4' L Total depth Cased toy sing height 12 Sanitary se I al I ON) Wires properly protected (Y FROM WELL LOG AT INSPECTION Date of test 9/9-3 Static water level 0 Well flow m9 -P.M. Z! D cD Pump level OV -061,L) ►J © ro 00 SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot On adjacent lots Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout tijo Sewer service line —Petroleum tank ©i Jt-_1 WATER SAMPLE RESULTS:. Coliform 6 Nitrate CL, Other bacteria Date of sample:l:Z=J4q-z' Collected by: S. SEPTIC/HOLDING TANK DATA Date installed Tank size 100eO 4-4"LL-Compartments Cleanouts ON) Foundation cleanout (Y/N) Depression (Y6 High water alarm (Y/N) Wilt Alarm tested (YiN) - t� IL Date of pumping L Pumper -rR SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot On adjacent lots Foundation Topropertylin6 -Absorption field :0152' '-'Water maiin/service line 4 - Surface water/drainage 4, 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed _ Size in gallons . -.-Vent (Y/N) High water alarm level Manufacturer "Pump on" level at ,l Meets MOA electrical codes (Y SEPARATION DIST) .Well on lot FROM LIFT STATION TO: D. ABSORPTION FIELD DATA On adjacent lots "Pump off" levet at — Cycles tested Surface water Date'installed ��20� X12 Soil rating ��" System typed—� :. ./ i Length ' Width Gravel thickness Total depth S Total absorption area Cleanouts presen (Y N) k Depression over field(0Date of adequacy test K Results (pass/fail) for bedrooms Peroxide treatment (past 12 months) (Y& If yes, give date SEPARATION DISTANCE FROM A`�BSSORPTION FIELD TO: / �. Well on lot ��) On adjacent lots Property line � To building foundation I To existing or abandoned system on lot On adjacent lots i2f� Cutbank I�.jO �� Water main/service line Surface water no' + Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have.checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. S & S ENGINEERING Z �Y�.•°••`"'•••.°'; 'r S Signature »034 Eagle River Loop Road No. 204 c34%• 'o� -� Eagle rver, a y , .:. r, Engineer's Name Date ch =, r�oa:_r J. 'HAFER 15 ��. at to HAA Fee $ L• Waiver Fee: $ Date of Payment 5� ZZ (2 \ Date of Payment Receipt Number, 3 ��) Receipt Number 72-028 (Rev. 3/91) Back MOA 21 e� --C), cl;�5 ANCHORAGE MUNICIPALITY OF ANCHORAGE OF DEPARTMENT OF HEALTH b ENVIRONMENTAL PROIWHIJWALITY 825 L Street - Anchorage, Alaska 99501 DEPT. OF 1' _ALTs i & (i - CCTION t )` • EWIRONMENTl.L : l^1 t�h/ ENVIRONMENTAL ENGINEERING DIVISION 5 i9 Telephone 264-4720 FEB 1 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SERGE. DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Plow allow ten (10) days for processing, 1. PROPERTY OWNER PHONE 1 Lq SINGLE FAMILY MAIAODAESS GG PROPERTY RESIDENT III different froln above) PHONE 2. BUYER PHORr— MAILING ADDRESS 3. LENDING INSTITUTION PHONE �j COMMUNITY since June 1975. For wells drilled prior to that date, give well MAILING ADDRESS k, --C), cl;�5 ANCHORAGE MUNICIPALITY OF ANCHORAGE OF DEPARTMENT OF HEALTH b ENVIRONMENTAL PROIWHIJWALITY 825 L Street - Anchorage, Alaska 99501 DEPT. OF 1' _ALTs i & (i - CCTION t )` • EWIRONMENTl.L : l^1 t�h/ ENVIRONMENTAL ENGINEERING DIVISION 5 i9 Telephone 264-4720 FEB 1 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SERGE. DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Plow allow ten (10) days for processing, 1. PROPERTY OWNER PHONE 1 Lq SINGLE FAMILY MAIAODAESS GG PROPERTY RESIDENT III different froln above) PHONE 2. BUYER PHORr— MAILING ADDRESS 3. LENDING INSTITUTION PHONE �j COMMUNITY since June 1975. For wells drilled prior to that date, give well MAILING ADDRESS k, 0. -- REALTORIA T —70NE At i. A M '� —C I '0L 4_ MAILING ADDRESS If system is over two (2) years old an adequacy test is required 5 LEGAL DESCRIPTION STREET OC ION 0- TYPE OF RESIDENCE NUMBER OF BEDROOMS Lq SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑ Two C3Five O MULTIPLE FAMILY Three O Six 7. WATER SUPPLY fJ INDIVIDUAL' ATTACH WELL LOG. A well log is required for all wells drilled �j COMMUNITY since June 1975. For wells drilled prior to that date, give well 13PUBLIC UTILITY depth (attach log if available.) 8- SEWAGE DISPOSAL SYSTEM 1;;? INDIVIDUAL/ON-SITE "*If individual/on-site, give installation date '7:2 If system is over two (2) years old an adequacy test is required O PUBLIC UTILITY by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. eel d .r THIS SIDE FOR OFFICIAL USE ONLY INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVE 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC,14TILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Sep is Tani or ❑ Holding Tank Size: 0 d If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELLTO: Septic Holding Tank pJv' lAbsorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS 6-�/APPROVEDFOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must acro Pa y certificate) 13 DISAPPROVED DATE l (� �j— BY (Title) RIC V LEGAL DESCRIPTION 72-010 (Rev. 3/78) BORING NUMBER Date Completed: =oW 1 s d 0S SOIL DESCRIPTION OQ U� W '" ~ n ORGANIC MATERIAL Dark Brown, Dry, Soft 1.01 p�. SANDY GRAVEL (GW) •'-:'e• Y Z' Brown, pry, Dense '-/: �'/ V . p. O4 6.01 GRAVELLY SAND (SW) Many Cobbles, Occasional Boulder Brownish -Gray, Dry to Slightly g Moi§t, Dense 110 0. A• !. 12.0' T.D. No Water Table Encountered. IS 20 - - e7 �n-n n LOCATION SKETCH No Scale 4' Lot 13 Ol T.H 0 ro > 30' 30' NOTE: DISTANCES SHOWN ARE APPROXIMATE AND HAVE NOT BEEN MEASURED BY SURVEYING METHODS. EXPLANATION 'UN (;ROUND ORGANIC MATERIALWArfR `FROZEN GROUND W.D.-WH/LEOR/LL/NG TYPICAL SOILS LOG 4.8 -AFTER BOR/NC Ss L4 �SPL/TSPOON W/TN/40LB. HAMMER St /.40 SPLIT SPOON WITH ,540 L8. HAMMER sh 25' SPL? SPOON WITH ,540 LB. HAMMER $P P.5' SAL Ir SPOON, PUSHED A AUGER SAMPLE Ts SHELBY T4/7E Tm MODIFIED SNFLBY TUBE as BULK SAMPLE SAMPLER TYPE SYMBOLS w+.o ORGANIC oe'e`� GRAVFL .w. MATER/AL e ® Cay ® COBBLES B BOULDERS ® S/LT ® BEDROCK SAND ® /C£, MASS/VE SOIL SYMBOLS DWN LMK [� o Lot 13, Block 2 CKo. ASM CONSULTANTS, INC. .wawow, o.o�oour. .4Awnu. .uwv.vo.■ Pruess Subdivision DATE. $-22-78 SCALE. NTS SOILS LOG Eagle River, AK a Little Visible Ice 0-10 V _.p.. A.B. '---/CE DESCR/PT/ON X �o0 �SAMPLE NUMBER Ss,72,57.1%,85.9pcf b u CORY O£NS/TY S .QA l LL �NT£N7 BLOM'S/FOOT SAMPLER TYPE W0.'WATER .TABLE BEDROCK eeCo, ..k �LAPPROX STRATA CHANGE Fe. 8. GRID. PROJ.ND $5114 DWG.Na A-0 1 , c d r pn 49'`x' �p • Ctu�� 0 CID, - lob"'4-b-k, {,�