HomeMy WebLinkAboutEKLUND #1 BLK 3 LT 6Eklund #1
Lot 6
Block 3
#050-541-02
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & HUMAN SERVICES
On -Site Services Transmittal Sheet
TO; S
S F_ A,6. LEGAL; L G
The attached paperwork has been reviewed and is being returned
for the following reason(s):
z �
o l
J IncomCx-
plete; missing
6
v d
Q 3
Well log required.
e u Water sample unacceptable because
Other &6401 O% wo )?,,: e xl.,ughnov OP ORIGINAL � Gr!'GA'NDE
SYSTEMS TNF STEEP SLOPE NEAV TO 6E 3'hN9W / F097HER Ze
BOTH PIREGTIOAl f
Please supply the necessary information and re -submit your
request. Your cooperation is appreciated.
Reviewer PfilV Dates 5-99
LEAVE THIS FORM ATTACHED TO PAPERWORK
/203 -rev. 4/93
M
Discrepancy in legal description and/or owner name.
Discrepancy in number of bedrooms.
Signature and/or stamp missing on
Show measured distances to sewers/wells, curtain drains
and streams within 200 feet of proposed system.
ho
Replacement disposal site not shown and/or tested.
Calculation error in design.
Y3h
g
Show locations of all soils, percolation or water table
'
tests.
Proposed system too deep for soil test submitted.
J�
U
Topographic information missing or inadequate.
a
Narrative missing or inadequate.
u
Additional soil/perc test needed.
Sand filter requirements not satisfied.
1)
u
Water monitoring results missing or inadequate because
z �
o l
J IncomCx-
plete; missing
6
v d
Q 3
Well log required.
e u Water sample unacceptable because
Other &6401 O% wo )?,,: e xl.,ughnov OP ORIGINAL � Gr!'GA'NDE
SYSTEMS TNF STEEP SLOPE NEAV TO 6E 3'hN9W / F097HER Ze
BOTH PIREGTIOAl f
Please supply the necessary information and re -submit your
request. Your cooperation is appreciated.
Reviewer PfilV Dates 5-99
LEAVE THIS FORM ATTACHED TO PAPERWORK
/203 -rev. 4/93
M
Municipality of Anchorage Page of 7
DEPARTMENT OF HEALTH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Box 196650 • Anchorage, Alaska 99519-6650 9 Telephone: 343-4744
On-Site Wastewater Disposal System and/or Well Inspection Report
Permit Number: S 5�,EO� (00 PID Number:
Name:
/z-7/-:--` r��v/�o,U �
stem: 9 New v
Wastewater S 13 Upgrade
Address: LL,/t% o/d GL�� y Ugh ,euci-14egk5
ABSORPTION FIELD
Phone:
No. of Bedrooms: '
❑ Deep Trench ®Shallow Trench ❑Bed ❑Mound ❑Other
LEGAL DESCRIPTION
Soil Rating:
Total Depth from original grade:
O, GPD/Sq. Ft.
J�
Lot:/ Block: Subrivision:
Depth to pipe bottom from originalgrade:
Gravel depth beneath pipe
W .3 Fe4Ijagli F"l/
/' Ft.
Ft.
Township:
Range:
_
Section:
—
Fill added above original grade:
Gravel length:
S,% Ft.
JlJ Ft.
WELL: ®New El Upgrade
Gravel width: _ �
Numb, of lines:
Dislanm between lines:
Ft.
Ft.
Classification (Private, A,B,C):
Total Depth:
Cased To:
Total absorptio/n-area
Piipa mater al:
� /(k
J� /
l7 , Ft.
10 1 Ft.
.h L! � SO. Ft.
11.S f/�' 30,3 ,16
Driller:
Dale Drilled:
Static Water Level:
3.�
Installer: ,t�
EA Lc(rlOcrN/A/N CX
Date installed:
%f
bvt.L)V4t
%0��0�9'$
Ft.
Yield:
S
I Pump Set at:
i k 1
Casing Height Above Ground:
TANK
GPM
V FL
2 Ft.
SEPARATION
DISTANCES
55 Septic El Holding ❑S.T.E.P.
To
Septic
Absorption
Lift
Holding
Public/Private
Manufacturer:
Capacity in gallons:
From
Tank
Field
Station
Tank
Sewer LinesU
NChO /{ E '/ l
a O
Welh'
/Do f
Loo f
a5 +
Material:
S L"E
Number of Compartments:
Surfac
LIFT STATION
Water
/oo I
/00,)F-
Lot
Line
Q /
Size in gallons:
Manufacturer:
Foundation
/
"Pump on" level at:
p off" level at: 7
High water alarm at:
/0
�/y
Curtain//
,/
Pump M Model
Electrical Inspections performed by:
Drain
/Z/C
Ki/OCJF/
Remarks: 9 q oo G
BENCH MARK
Location and Description:
i /fin = i� o co��c��/c s•Lia�,
Assumed Elevation:
J00 Ft
L
V
4 ..if
�s9a���;
Ar
10
S 9 5 ENGINEERING
Loop Road, No.2R4"""x
e
17034 Eagle River
Inspections performed by: Dates: 1st � -d3-99
age Kiver, Alaska 9
2ngd.ROBERT
�c
c. COWANIY
Department of Health and Human Services approval
zI,,; ;
Reviewed and approved by: Date:
72-013 (Rev. 9/91) MOA 25
PERMIT NO. SW980260
PAGE 2 OF 3
Muricipalit of Archora e
DEPARTMENT OF HEATH AND HUMAN SERVICES
ENVIRONMENTAL SERVICES DIVISION
P.O. Bax 196650 • Anchorage, Alaska 99519-6650 • Tele hone: 343-4744
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
LEGAL LOT 6, BLOCK 3, EKLUND #1 - P.I.D. NO. 050-541-02
0
I
PERMIT NO. SW980260
PAGE -3 OF
Municipalit of Anchorage
DEPARTMENT OF HE4UH AND HUKAN 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 LOT 6, BLOCK 3, EKLUND
ST1 ST2
n X99.4' n
NEW
92.7' 1000 GAL
S. T.
FINAL GRADE
03
P.I.D. NO. 050-541-02
CO1
MT2 CO2MT1 C01 = 94.7'
CO2 = 96.3'
--FINAL GRADE
I,yy
MT2 = 85.6'
80.1'
WATER FOUND
79.6' B.O.H.
C01 = 89.9"
CO2 = 89.7'
N. T. S.
A
B
C
FCO
8.5'
27.5'
-
ST 1
31.0'
15.0'
-
ST2
37.0'
1 14.5'
-
DBL11
39.0
1 14.5'
-
DBL2
40.0'
15.0'
-
001
-
49.5
71.0
MT1
-
44.5
66.0
CO2
-
90.5
-10 �60
MT2
-
90.5
106.0
CO1
MT2 CO2MT1 C01 = 94.7'
CO2 = 96.3'
--FINAL GRADE
I,yy
MT2 = 85.6'
80.1'
WATER FOUND
79.6' B.O.H.
C01 = 89.9"
CO2 = 89.7'
N. T. S.
* • MUNICIPALITY OF ANCHORAGE q q
Department of Health and Human Services
On -Site Services Program y ��
825 L Street, Room 502 1 q
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-4744
ONSITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT
Initial
Date Issued: Jul 24, 1998
Expiration Date: Jul 24, 1999
Permit Number: SW980260 Parcel ID: 050-541-02
Legal Description: EKLUND #1 BLK 3 LT 6
Design Engineer: Alaska Water & Wastewater Services Site Address:
Owner Name: Lee Raymond / Lee Custom Homes Lot Size: 59408 SQ. FT.
Owner Address: 11517 Old Glenn Highway Total Bedrooms: 3 Permit Bedrooms: 3
Eagle River, AK 99577 -
This permit is for the construction of:
❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑✓ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling
(907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
5. The following special provisions.
This permit is fora Recirculating UpfloW Filter,System.,
1) A DHHS system maintenance agreement, DHHS disclosure statement shall be part of the As -Built Package for a
RUF;
2) A sampling contract shall be in place if this system is to operate during the DHHS testing period.
3) Any changes to the attached design dated 7/16/98 must be submitted to DHHS for approval.
4) An additional soils percolation test shall be performed according to EPA falling head percolation proceedures.
�i�� clrov e 2 5.99 4z, 6-(A),'& %(_POGV b� S 6 enc -C n�
ixj 36
Received By:Y I�Y�l (Q Date:
Issued By: ( 1� 6 /V/ &&AA Date: Tm - 1710
AT
Qtxrtifieb Prilling �vg
by
ooc co. dba
SULLIVAN WATER WELLS
P.O. BOX 670272, CHUOIAK, ALASKA 99667 • TELEPHONE 688-2769
OWNER OF LANDZFC-S QCSij ..J
ADDRESS Iii 51 + of ei cy ,;..trj i4jwiar rg
LEGAL DESCRIPTION k kitJrJO -It 1
PERMIT NUMBER_'IFOd 60Date of
TAX INDENTIFICATION NUMBER Q�10-
]swell located at approved permit location? ❑ Yes Q No
Method of Drilling: v rotary Q cable tool
Depth of well: f 0 I
Casing Type r- WallThickhess inches
Diameter 4l1 inches, depth -40 l feet
Liner Type: /113rJ12
Casing Stickup Above Ground:
Static Water Level (from ground level): 3d- feet
Pumping level:—feet after hrs. pumping qpm
Recover Rate:�_gpm
Method of Testing: 4/A
Well Intake Opening Type: 0,Weh End Q Open Hole
Q Screened, Start feet Stopped feet
Q Perforations Startj��eStopped feet
Grout Type: i�p t,`7i .vlr �yFtlolume ,?b. lBf
Depth: from feet, to r feet
Pump Intake Depth:
Pump Size p Brand Name
Well Disinfected Upon Completion? 4;-Wa Q No
Method of Disinfection: GrAi sr¢ rvJ y 5: D &J: Ll
Comments:
DATA
4c/4Jret16 ST/cK1ho
UtAeA UQ
,fiL i i �r?�q.3Ce e
l -la x'da,4rJ
Sr¢.�t� 6 �•4../E�. �� � T
fl<i '1 CaAY t (�.fe�Jt,
S
APR 1 1999
n u,,,cinality of Anchorage
Driller's Name agA
ATTENTION: It is the responsibility of the property owner to submit a copy of the well log to the proper authority. Municipality
of Anchorage: Department of Health 8, Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
T6'd bbbbbb4444446StZ 889 S7 -13M N31UM NMAI11r1S Wd T4:ZT nH1 66-SZ-aUW
® Municipality ®f Anchorage
Department of Health and Human Services
825 "L" Street
Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650
Mayor
http://www.ci.anchorage.ak.us
S & S Engineering
ATTN: Robert Cowan, PE
17034 Eagle River Loop Rd, #204
Eagle River, AK 99577-0000
February 18, 1999
Subject: Waiver Request for EKLUND #1 BLK 3 LT 6
Waiver # WR990006 Lot Line Request for Parcel ID 050-541-02
Dear Engineer:
Your request for a waiver of the required 10 feet horizontal separation of the on-site wastewater
disposal system to the lot line has been approved. The approved separation distance is 0 feet.
This waiver approval applies to the current on-site wastewater disposal system and lot line
separation only. Any future upgrade to the on-site wastewater disposal system and lot line will
require all separation distances to be met or another waiver approval from this department.
If there are any further concerns or questions regarding this waiver, please call our office at
343-4744.
Sincerely,
����c C
Donna C. Mears
Civil Engineer I
On -Site Water Quality Program
0(y)
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section Q v�
Waiver Review Worksheet
PID# HA# Permit #�(
Date Received:
tk
Legal Description: L (— nQj
Engineer: D oe ` �°rni c1 n Df r [ �� f s O • Y -\ C_
Applicant:
Waiver Requested: A ^` �A o Qr� 1 l )4nA 2AWif n 0 x�
e) 10' P
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: Waiver is NOT Granted:
List Conditions or Reasons for above:
Date: ./- - 16 9? 9 . By:
0
Rec #: Amount: $ 11�,(�� Date Paid:
RECEIVED
FEB 05 1999
MUNICIPALITY OF ANCHORAGE
ENVIRONMENTAL SERVICES DIVISION ROfiERrc.COWAn
CIVIL ENGINEERS
(907)694-2979
February 4, 1999 FAX(907)694-1211
HEALTHALRHORITY
APPROVALS
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
SEWER&WATER
Anchorage, AK. 99519
MAINBUENSIONS
REFERENCE: Lot 6, Block 3, Eklund #1 Subdivision
SEWER&WATER
This is to provide a design change for permit # SW980260 for the referenced
INSPECTION
property. A wafv✓L,2 To rxE w,arr pRoyaA>y +1 96a"""lj
4 0 /, i of �L Ad.PAC'4_7- P(3.OPk.': TY IJ /IRRK LA1N0 AYO T'l rL Wfl/U6.0
WfL- 114 , Na A'0q&Rr .EPu'tz-.cr$,
Two test hoes were excavate and percolation tests performed. The approximate
ENGINEERINGSTUDIES
location of the test holes are located on the attached site plan.
ANDREPORTS
At the time of excavation 6/4/98 water was not found. After seven days of ground
water monitoring the monitoring tubes measured water at 10.5' in test hole 41 and 9.5'
WELLINSPECTION
in text hole #2 (Test by Alaska Water and Wastewater Services).
&FLOWTEST
performed
We do not anticipate any adverse effects on neighboring wells, septic systems, reserve
areas, or drainage patterns by the installation of the proposed septic system. The
SITEPLANS
construction of this system will not prevent any future development on any of the
adjacent properties.
ROADDESIGN
There are no points of contamination within the proposed well radius that can be seen
on the attached site plan.
If you require additional information, please contact us.
SOILTEST
Sincerely,
PERCOLATION
PERCOLATION
J
// 7
TEST
(/yl
? /Z
l/yN'I////"(/Qj
l
Robert C. Cowan, P.E.
RCC/rdp
STRUCTURAL&
MECHANICAL
INSPECTIONS
Enclosure -
ONSITE
WASTEWATER
OISPOSALSYSTEM
DESIGN
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
P.E.
1"-= 50' I DESIGN I DETAIL
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HEALTH AUTHORITY
APPROVALS
SEWER& WATER
MAIN EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
ANDREPORTS
WELLINSPECTION
& FLOW TEST
SITEPLANS
ROAD DESIGN
SOILTEST
PERCOLATION
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSALSYSTEM
DESIGN
ROBERT C. COWAN,
ON-SITE WASTEWATER DISPOSAL SYSTEM OIVIL ENGINEERS
(907)694-2979
CONSTRUCTION PRACTICES FAX(907)694-1211
and
MATERIAL SPECIFICATIONS
REFERENCE: Lot 6, Block 3, Eklund #1 Subdivision
February 4, 1999
GENERAL:
1. The scope of this project includes installing a I a$ 0 gallon S.T.E.P. tank and leachfield
to serve the three bedroom residence.
2. Construction shall be in accordance with the approved site plan and design drawings,
Municipal permit with any special provisions or conditions, and all applicable State and
Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary underground utility
locates.
4. Unless specifically agreed otherwise, the property owner shall be responsible for final
grading areas subsequently depressed from soil settling.
5. Contractors installing wastewater disposal systems must be certified by the Municipal
Health Department for system installations. Owners installing their own systems must
also receive prior approval from the Municipal Health Department.
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction
shall include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank.
3. All standpipes on the septic tank shall extend a minimum of 12 inches above final
grade.
4. Septic tanks installed with less than 4 ft. of cover shall be insulated.
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
Page 2
Lot 6, Block 3, Eklund #1 S/D
February 4, 1999
5. A foundation cleanout shall be installed one to four feet from the building foundation.
In the line between the tank and the leachfield there shall be two adjacent cleanouts
(unless an effluent pumping system exists within the septic tank). These cleanouts shall
be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in
line, shall be to clean toward the leachfield. The second cleanout shall be to clean
toward the septic tank. Two flow dividers shall be installed sending 3/4 flow to longer
trench and remaining 1/4 flow to shorter trench.
6. Final grading over the septic tank shall be such that a positive slope exists away from
the septic tank.
ABSORPTION TRENCH/DRAINFIELD INSTALLATION:
1. Excavate the proposed trench to the dimensions shown on the design. The bottom of
the excavation shall be within 2 inches of level. If the sidewalls of the excavation
become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock)
placement.
2. Once the gravel is installed, the distribution pipe is to be installed level with the
perforations faced downward. Gravel is then to be placed over the distribution pipe to
provide a minimum of 2 inches of cover over the pipe.
3. A silt barrier must be installed between the final gravel layer and the native soil backfill.
Ensure the silt barrier covers the entire gravel surface before placing backfill.
4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the
locations shown on the design, and extend a minimum of 12 inches above final grade.
The portion of the monitoring tube extending through the gravel shall be perforated
from the bottom of the trench to the invert of the distribution pipe. This is equivalent to
the effective depth of the gravel as noted on the design.
5. Backfill over the final gravel layer must not be less than twenty-four (24) inches.
Insulation must be installed when the backfill depth is less than thirty-six (36) inches.
The finish grade over the trench must be mounded to prevent the formation of a
depression after settling.
Page 3
Lot 6, Block 3, Eklund #1 S/D
February 4, 1999
MINIMUM MATERIAL SPECIFICATIONS:
1. Any septic tank proposed for installation must be constructed by a Municipal approved
septic tank manufacturer.
2. The following pipe materials are approved for use in septic system installations in the
Municipality of Anchorage:
TvTc of Pike Perforated Solid
Cast Iron Yes Yes
ASTM D3034 (PVC) Yes Yes
ASTM F810 (HDPE) Yes No
ASTM D2662 (ABS) Yes Yes
Use of a type of pipe other than listed above must be approved by the inspecting
engineer.
3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical
Company Styrofoam HI or equal).
4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femeo,
or equal).
5. A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed
between the final leachfield gravel layer and the native soil backfill.
6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3%
passing the #200 sieve.
7. When sand is being used as a filter material, its gradation specifications must conform
to current M.O.A. or D.E.C. requirements, which ever requirement applies.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of
the wastewater disposal system. These inspections will occur as follows:
1. The first inspection must be conducted after the excavation of ditches, pits,
trenches, or beds and before the installation of any gravel. A septic tank may be
set in place, but may not be backfilled before this inspection.
Page 4
Lot 6, Block 3, Eklund #1 S/D
February 4, 1999
2. The second inspection must be conducted after the placement of the silt barrier,
gravel, distribution lines, standpipes, cleanouts, and insulation, but before the
placement of any other backfill.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting
engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a
pre -construction meeting will take place on-site. The inspecting engineer will not coordinate,
direct or control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these
specifications and plans and in accordance with the attached M.O.A. permit. There will be no
contractual arrangement existing between the contractor and S & S Engineering. S & S
Engineering shall be the owner's representative and will inspect the work as stated above to
document the contractors activities. Final acceptance of the contractors work rests with the
owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor
to carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
Alaska Water & Wastewater
7320 East Chester Heights Circle — Anchorage — Alaska 99504
Phone (907) 337-6179 — Fax (907) 338-3246
Consulting Engineers
July 16, 1998
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On -Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Ref: Well and Septic System for Lot 6 (& Lot 5), Block 3, Eklund Subdivision
RECIRCULATING UPFLOW FILTER (RUF) SYSTEM
To whom it may concern:
1. GENERAL: The proposed 3 bedroom home will be served by a private septic system and a
private well. The location of a cutbank (top of a natural bluff and the existing topography limit
the available area for a septic system. Also, the presence of groundwater limits the excavation
depth of a drainfield. Given these site constraints, we are proposing to install the Recirculating
Upflow Filter (RUF) system. Two test holes were excavated and the soils are summarized as
follows:
2. SOIL CONDITIONS: Attached are logs which shows the soil profile, and the percolation
test results. The soils below the organic layer are a SW/SM material to a depth of 3 feet in TH#1
and to 3.5 feet in TH#2. The soils below the SW/SM layer transitions to a SM/GM material to a
depth of 11 feet in both test holes, which is the bottom of the testholes (refusal). No groundwater
was encountered during the excavation of the test holes. After 28 days, the monitoring tubes in
the test holes were checked and water was found to be at 10.5 feet in TH#1 and at 9.5 feet in
TH#2. The percolation tests were performed between the depth of 4.5 feet to 5.0 feet in TH#1
and at 6.0 feet to 6.5 feet in TH#2. The percolation rate was 10 minute/inch in TH#1 and 30
minute/inch in TH#2.
3. DRAINFIELD: The intent is to install a Recirculating Upflow Filter (RUF) system that will
allow the use of a small drainfield in the area around a 30 foot radius of TH #2. The size of the
drainfield will be based upon the previously established criteria for the RUF systems, which
dictates that soils percolating between 1 & 30 minutes/inch have an allowable application rate of 4
gpd/ft2, and soils percolating between 30 & 60 minutes/inch have an allowable application rate of
2 gpd/ft2. Given the perk rate of 30 minutes/inch the 2 gpd/ft2 application rate would apply. We
are proposing to install a 4 foot deep by 5 foot wide drainfield that is 32 feet long and has an
4. ORENCO PACKAGE SYSTEM: The STEP tank with the trickling and upflow filter will
be manufactured by .Anchorage Tank &-Welding to meet the latest design criteria established by
Orenco Systems, Inc. The point of contact at Anchorage Tank is Lowell McNutt. As with their
standard STEP tank, it is equipped with a high water alarm per M.O.A requirements.
5. SURFACE WATER: There are no surface waters within 100 feet of the proposed septic
system.
6. TOPOGRAPHY: As can be seen on the design (page 2 of 5), the average slope near the
proposed septic area on this property is a 20-25% slope in a direction of approximately northeast
to southwest. There is a cutbank approximately 50 feet southwest of the test holes. We request
you grant a 35 foot separation distance waiver from the proposed drainlield to -the cutbank. The
proposed drainfield is to be installed parallel to the slope contour.
7. CLOSING: I am open to any suggestions from your department that would be an
improvement to the proposed system.. -1 am unaware of any negativeimpacts that thisinstallation
would impose on adjacent wells, or septic systems. If you have any questions, please call me a
337-6179.
Sincerely
J mes P. Williams, P.E.
m7
Engineer
i
4 �
f1+
CUTHANK ", TH#I
PGS
G�5"CPP��
Q
SITE JOHN W. BARBEE HOMESTEAD
PROPOSED SEPTIC SYSTEM (RUF)
(SEE DESIGN, PAGE 2 OF 5)
DRIVEWAY
NOTE:
NO WELLS OR SEPTICS WITHIN 100'+ OF
PROPOSED WELL AND SEPTIC SYSTEMS.
3
VOS �N`�`S
I°
EK
OF. A-
EKLUND SUBDIVISION; LOTS 5 AND 6, BLOCK 3, ; S
OF WORK:
SITE PLAN
LEE RAYMOND 694-8565
/16/98 F"", - J.L.M. I 1 = 100' 1 1 OF 5
C.E.
e
14ep Pro f eesio�
SITE
3 OF
10' URLOY EASEMENT
Tt ` p.
/GUTBANK
TH112 `
1 \
I \ /
\�N
n �
�T
0
\� G
PROPOSED DRAINFIELD
32' LONG BY 5' WIDE
4' DEEP (MAXIMUM) WITH
2' OF SEWER DRAINROCK.
INSTALL DRAINFIELD PARALLEL
TO SLOPE CONTOURS. / \
(SEE PAGE 5 OF 5)
lz 9
0
9 Oho
' � E
' NOTE: WELL LOCATION IS
/
SUBJECT TO M.O.A. APPROVAL.
ALASKA WATER & WASTEWATERI .•OF,A
Al. DESCRIPTION: tr : • A
EKLUND SUBDIVISION, LOTS 5 & 6, BLOCK 3 ••.••,... Y
E OF WORK: ..
DESIGN OF SEPTIC SYSTEM (R.U.F.)'JAMES F. WILL
PARED FOR: PHONE NUMBER: OQ a NO. 9608
LEE RAYMOND 694-8565 06 ;f C.E.
E DRAWN BY: SCALE: PAGE: 044eyp
7/16/98 J.L.M. 1 = 50' 2 OF 5 0®�Ooo�o
a
\
\
an
NU W
PROPOSED WELL
4U
I
ocrN
(SEE NOTE)
�\
mx
an
PROPOSED
UPFLOW FILTER
(SEE PAGE 4 OF 5)
\ INSTALL
SAMPLE PORT
1 \
I \ /
\�N
n �
�T
0
\� G
PROPOSED DRAINFIELD
32' LONG BY 5' WIDE
4' DEEP (MAXIMUM) WITH
2' OF SEWER DRAINROCK.
INSTALL DRAINFIELD PARALLEL
TO SLOPE CONTOURS. / \
(SEE PAGE 5 OF 5)
lz 9
0
9 Oho
' � E
' NOTE: WELL LOCATION IS
/
SUBJECT TO M.O.A. APPROVAL.
ALASKA WATER & WASTEWATERI .•OF,A
Al. DESCRIPTION: tr : • A
EKLUND SUBDIVISION, LOTS 5 & 6, BLOCK 3 ••.••,... Y
E OF WORK: ..
DESIGN OF SEPTIC SYSTEM (R.U.F.)'JAMES F. WILL
PARED FOR: PHONE NUMBER: OQ a NO. 9608
LEE RAYMOND 694-8565 06 ;f C.E.
E DRAWN BY: SCALE: PAGE: 044eyp
7/16/98 J.L.M. 1 = 50' 2 OF 5 0®�Ooo�o
CL
7w FROM iiacrIING FLI R
n
II
OU11,�1'
PLAN VIEW
IWALASP ORENCASFLICi GOX
FReNGO CAP MMLIOI E Vi Inr rw)
owl
��'-'1=:1. - ..,, t:::::; ' �IIII'll�lllilll� •
�9°140Wt1i
6"0 <
NGLs & FEtdJCO
W-Af9v FROM 1%6 CAI.nING
LA9 COAZI9 WhH
46-465 C.O& tAR
N
PROFILE VIEW
KICK III Z!1?11�1 ml • -
AL DESCRIPTION:
EKLUND SUBDIVISION; LOT 5 & 6, BLOCK 3,
E OF WORK:
PLAN AND PROFILE OF RECIRCULATING SEPTIC TANK
PARED FOR: PHONE NUMBER:
LEE RAYMOND 694-8565
E: DRAWN BY: SCALE: PAGE:
7/16/98 J.L.M. N.T.S. 3 OF 5
RuMm
o OF
A�°Op
49
.......
�*
.......
JAME P.
WILLIAM$-'
NO. 9608
Om C.E. .aPG
•'
.
ll:e.. ....
•• cc°od
32'
--------------aMt-------------1�
co
L---------------
5
SCO
--------------J�
LW IEwfRoM1"wwfLT52
PLAN VIEW
M1 CO
PROFILE VIEW
0
LP�60W �11.1��
ALASKA WATER & WASTEWATER Qt..qCgsoo
AL DESCRIPTION: fie' • • •••�� O
EKLUND SUBDIVISION, LOT 5 & 6, BLOCK 3, �:' 4 H •9
E OF WORK:
DETAIL OF PLAN AND PROFILE OF DRAINFIELD • ••• •• ••• ......•••••
Q ,JAMES WILLIAMS,-'
:PARED FOR: PHONE NUMBER: O m NO. 9608
LEE RAYMOND 694-8565 Q°� C.E. �A
J'
7/16/98 1
J.L.M. N.T.S.
5OF5
rt-WiT
SOIL LOG — PERCOLATION TEST
LEGAL DESCRIPTION: EKLUND SUBDIVISION; LOTS 5 AND 6+ BLOCK 3,
PERFORMED FOR: LEE RAYMOND
DATE PERFORMED: 6/4/98
DEPTH= = TEST HOLE #1
(feet) ����- ORG
1
$" SW/SM
2 WELL GRADED SAND SOIL CLASSIFICATIONS
TO SILTY SAND WITH
LIGHT GRAVEL :;o; GW �- ORG
3 °:.. mr: GP ML
5
GM
GC
SW
DRY
CL
OL
MH
10.5'--
6
.I
SP
SIM
SC
.'
CH
OH
aZ -00.
SM/GM
6/5/98
SILTY SAND TO
7RIVEL
D
--2
10:44
30 MIN.
AMEED NSE)
(
e
- 3
10_45
9
-- sn"
I;I
10
11:15
30 MIN.
_3_
t 1
" B.O.H. - REFUSAL
15-
16-
17-
18-
19-
20
51617181920
COMMENTS:
DEPTH TO
GROUNDWATER
GM
GC
SW
DRY
CL
OL
MH
10.5'--
7/1/98
°o°oma
SP
SIM
SC
.'
CH
OH
aZ -00.
o
DEPTH TO
GROUNDWATER
DATE
DRY
6/4/98
10.5'--
7/1/98
RESOAK PE
IOD AT 4:00 P.
:JAMESP. WILLIAMS: ""�j
NO. 9608
r C.E.
SIITE POLO N JOHN W. BARBEE HOMESTERD ,
T y
as�
I
,
,
= PROPOSED HOUSE'
Qwy. LOCATION
� 3+
zCnD
s
U V,
F%
DATE READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
6/4/98
PERCOLATION RATE 10 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN 4.5 FT. AND 5.0 FT.
PERFOMED BY ALASKA WATER & WASTEWATER I,
THIS WAS PERFORMEDI PERFORMEDIN ACCORDANCE WITH ALL
DATE. DATE: M�
CERTIFY THAT
ES IN EFFECT ON THIS
IT
RESOAK PE
IOD AT 4:00 P.
. -
6/5/98
1
10:14-
--2
10:44
30 MIN.
3" _
3"
- 3
10_45
-- sn"
4
11:15
30 MIN.
_3_
3"
PERCOLATION RATE 10 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN 4.5 FT. AND 5.0 FT.
PERFOMED BY ALASKA WATER & WASTEWATER I,
THIS WAS PERFORMEDI PERFORMEDIN ACCORDANCE WITH ALL
DATE. DATE: M�
CERTIFY THAT
ES IN EFFECT ON THIS
SOIL LOG - PERCOLATION TEST
LEGAL DESCRIPTION: EKLUND SUBDIVISION; LOTS 5 AND 6, BLOCK 3,
PERFORMED FOR: LEE RAYMOND
DATE PERFORMED: 6/4/98
(feet ORG TEST HOLE #2
1
1
1
1
1
1
1
1
1
1
2
COMMENTS:
SOIL CLASSIFICATIONS
DEPTH TO
GROUNDWATER
GW,
GP
GM
GC
SW
SP
SM
SC
"'
ORG
ML
CL
MH
CH
OH
WATER LEVEL
READING
NET DROP
(INCHES)
6/4/98
BEGAN
RESOAK PE
TOL
A.
,'
o
DEPTH TO
GROUNDWATER
DATE
DRY_ -..-----7/1/98
6/_4/98
WATER LEVEL
READING
NET DROP
(INCHES)
6/4/98
BEGAN
RESOAK PE
' 49TH 37DOS
.... .. .
.JAMES P. WILLIAMS:
N0. 9608 r O
pos
i1:a�_ � • co�'vO
= 100' �1 JOHN
1
,
'M�a 1
3.
�S J�NySIO
DATE
READING
CLOCK
TIME
NET TIME
(MINUTES)
WATER LEVEL
READING
NET DROP
(INCHES)
6/4/98
BEGAN
RESOAK PE
IOD AT 4:00 P.
A.
6/5/98
1
10:13
2
10:43
30 MIN.
5"
1"
3
10:45
— ---
6"
--.
4
11:15
30 MIN.
- 6°
1"
PERCOLATION RATE 30 (MIN./INCH) PERC. HOLE DIA. 6" (INCHES)
TEST RUN BETWEEN 6.0 FT. AND 6.5 FT.
PERFOMED BY ALASKA WATER & WASTEWATER I,
THIS WAS PERFO MEpi/IN ACCORDANCE WITH ALL
SR
DATE. DATE: 11 I �
ml
_ CERTIFY THAT
EFFECT ON THIS
• Municipality of Anchorage
On -Site Water and Wastewater Program"
(907) 343-7904 rsk
5 A: E T Y
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-541-02
1. GENERAL INFORMATION
Complete legal description EKLUND #1 Block 3 Lot 6
Expiration Date: – 2— r 2 dZ Z
Location (site address) 4470 Lower Kogru Dr. Eagle River, AK
Current Property owner(s) Thomas Crockett & Nicole Jessica Day phone
Mailing address
. Real Eatate"Agent .
4470 Lower Kogru Dr. Eagle River, AK
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone _-
3N U M B ER --O F -BEDROOMS .
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY:
Individual
Individual Well
®
Holding Tank
❑
Individual Water Storage
❑
Community
❑
Community Class _ Well
❑
Public Sewer
❑
Public Water System
❑
WaiverNariance request for: Distance:
Received by:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ Sso
Date of Payment t 11-16110,0
Receipt Number 0 11 6 FJ e
COSA# 03C22I0
Date:
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111
Address 20441 PTARMIGAN BLVD., EAGLE RIVER AK 99577
Engineer's Printed Name KENNETH M. DUTFUS Date
Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of 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,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerrauarantee that no unseen
- ~- —
encroachments, deficiencies or discrepancies exist. - - - - _— �; ���. OF AL L\ 1
6. DSD SIGNATURE
System #1 Approved for bedrooms. ` r r��mEr 7 ab >o .'Us
System #2 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
'J
-- --- `� n-N-SITEy�T--
g WATER AND _ ^
Original Certificate Date
-zdzZ
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X
Septic System Advisory
Well Flow Advisory
COSA blue sheet_10-10-12 doc
Nitrate Advisory
Arsenic A Viso
Other a
A(5wiavy A4 e�;(
COSA Checklist
Legal Description: Eklund #1 Block 3 Lot 6 Parcel ID: 050-541-02
If more than 1 septic system on lot: COSA Checklist # of
A. WELL DATA
® Well log is filed with Onsite (or attached)
Date drilled 10/20/98
Total depth 102 ft
Cased to 101 ft
® Sanitary seal is functioning correctly
® Wires are properly protected
Casing height (above ground) 27 in.
Date of flow test for COSA 1/11/22
Static water level at beginning of test 30 ft.
Comments
B. TANK DATA
Age of tank(s) 23 years
Tank type/material Septic/Steel
Measured operating fluid level in septic tank 4911
® Standpipes/foundation cleanout per record drawing
Date of pumping_ 7/14/20*
*Winter conditions prevented pumping at time of COSA
*5" solids measured in tank
D. ABSORPTION FIELD DATA
Which system tested (date installed) 2/23/99
® ALL standpipes present per record drawing
Total measured depth from grade 14.3*ft (max)
Measured depth to pipe invert from grade 6.5* ft (min)
❑ N/A — pressurized field
® Monitor tubes go to bottom of effective. If not, state
depth into effective
® Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Structure served by this system
Well production at time of test 4.1 gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes No
® Coliform bacteria is Negative
Nitrate mg/L ® Nitrate less than MRL (ND)
Arsenic ug/L ® Arsenic less than MRL (ND)
Collected by Arctcrra Consulting
Date of Sample 1/11/22
IFT STATION
❑ Requi aintenance completed
Age of lift station years
Lift station material
Comments.-
D.
omments:
Adequacy test date 1/11/22
Results Q✓ Pass For 3 bedrooms
Fluid depth prior to test 35 in
Water added 450 gal
New depth 41 in
Elapsed time 1320 min
Final fluid depth 35 in
Absorption rate 450+ gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
*Measured depths from grade 1/11/22, elevations of the bottom of trench
and the bottom of pipe invert found a 4.04 separation of elevation.
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
Community Sewer Manhole/Cleanout > 100'
® Yes
if No
ft
0 Yes
if No ft
Neighboring Tank > 100'
® Yes
if No
ft
Private Sewer/Septic Line > 25' Yes
if No ft
Absorption Field on Lot > 100'
® Yes
if No
ft
Holding Tank > 100' ® Yes
if No ft
Neighboring Absorption Fields
> 100'
Animal Containment > 50' ® Yes
if No ft
® Yes
if No
ft
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75'
®Yes
if No
ft
0 Yes
if No ft
From Septic/Holding Tank on Lot to: (Please
enter distances if less than required)
Building Foundations > 10'
® Yes
if No
ft
Surface Water > 100' ® Yes
if No ft
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes
if No
ft
Private Wells > 100' Yes
if No ft
- Water Main >10'--
Yes
if No
ft
Community Wells > 200' Yes
if No ft
Water Service Line > 10'
® Yes
if No
ft
If septic tank is under driveway comment
below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation >.10' Yes if No ft If absorption field is under driveway comment below
Property Line -> 10' ❑ Yes if No 0" ft. Wells on Adjacent Lots:
Water -Main> 1-0'--_---—O--Y-es---- if No --------ft- -------------Private-Wells->-100'-----
Water Service Line > 10' ® Yes if No ft Community Wells > 200'
Surface Water > 100' ® Yes if No ft
F. ENGINEER'S COMMENTS
X Waiver #WR990006 issued 2/18/99
G. ENGINEER'S CERTIFICATION
l certify that l have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
_0 Yes ----ft---
® Yes if No ft
DEVELOPMENT SERVICES DEPARTMENT 0"d
On -Site Water and Wastewater Section
www.muni.org/onsite
Septic Tank Advisory
Certificate of On -Site Systems Approval #OSC 221014
Subdivision: Eklund#1 Block 3 lot 6
907-343-7904
Fax: 343-7997
Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for
this property is 23 years old. Typical replacement costs range from $9,000 to $12,000
This advisory must be attached to all copies of the subject Certificate of On -Site Systems
Approval.
This is an example of what the metal of a 20 -year-old steel tank MAY look like.
! rycy
Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519-6650 * www.muni.org
•
II -dcMunicipality of Anchorage :::-,;i::::: „C.\+ On-Site Water and Wastewater Program =' t
(907) 343-7904 ems!�*
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-541-02 Expiration Date: ,2-1-7 /9 _ ___
1.
1. GENERAL INFORMATION
Complete legal description EKLUND#1 83, L6
Location (site address) 4470 LOWER KOGRU DRIVE, EAGLE RIVER,AK 99577
Current Property owner(s) KATHRYN OHLE &JONATHAN BARTELS Day phone
Mailing address 4470 LOWER KOGRU DRIVE,EAGLE RIVER,AK 99577
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual El
Individual Water Storage ❑ Holding Tank ❑
Community Class_Well ❑ Community ❑
Public Water System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: Date: /00$
COSA to be released-tire,/ ir gineer, unless otherwise requested by the engineer.
COSA Fee $ 524.„ Waiver Fee $ _
Date of Payment L 112t ii? Date of Payment
Receipt Number OCI C DOb Receipt Number
COSA# 3S1 I7 t(&d 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 ARCTERRA CONSULTING,INC. Phone 868-3791
Address 20441 PTARMIGAN I3LVD.EAGLE RIVER,AK 99577.
Engineer's Printed Name KENNETH M. DUFFUS Date 11/12/18
Engineer's Comments:This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface,changes inland use,local soil characteristics,groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of 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,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future 111/4
occupants or can ArcTerra guarantee that no unseen - .-.. 1( f
.�+
encroachments,deficiencies or discrepancies exist.
-
1k1 ,1c. :1.:1 \
6. DSD SIGNATURE
y,; (-7
N nitt� 1t. • : r
System #1 Approved for bedrooms. + � 7i," �
System #2 Approved for bedrooms. a //- /
Disapproved. .k Nth,Nb.:4641.'
Conditional approval for bedrooms, with the following stipulations:
Jz ON-SITE ,
WATER AND rn
_�..__...._-rri._WASTEWATER o
PROGRAM G;
SE! ►SCG .
By: \ -��—�� Original Certificate Date: l
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work. •
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory, .
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other • v __'
COSA blue sheet 10-t0-12.doc
If more than 1 septic system is on the lot:
COSA Checklist# _of
Structure served by this system
Certificate of On-Site Systems Approval Checklist
Legal Description EKLUND#1 B3,_L6_ Parcel ID: 050-541-02
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID# Well Log (Y/N) Y
Date completed 10120/1998 Sanitary seal (Y/N)Y Wires properly protected (YIN) Y
Total depth 102 ft. Cased to 101 ft. Casing height (above ground) 36+ in.
FROM WELL LOG AT INSPECTION
Date of test 10/2011998 1118/2018
Static water level 32 ft. 32 ft.
Well production _ 5 g.p.m. 3.75 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate D.2/I mg/L
Arsenic: ND ug/L Date of sample: 11/812018 Collected by: ARCTERRA _
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC1 STEEL Date installed 2/2311999
Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) N
Date of pumping 11/912018 Pumper JRs
C. ABSORPTION FIELD DATA
Date installed 212311999 Soil rating (g.p.d./ft2 or ft2/bdrm)0.8 System type SHALLOW TRENCH
Length 56 ft. Width 5 ft. Gravel below pipe 4 ft.
Total depth 10.5 ft. Eff. absorption area 560 ft2 Monitoring tube Y Depression over field N
Date of adequacy test 111812018 _ Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 33_in. Water added 450 gal. New depth 38 in.
Elapsed Time: 1350 min. Final fluid depth 33 in. Absorption rate >= 450 g.p.d.
Any rejuvenation treatment(past 12 mo.) (YIN &type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons _ __ Manhole/Access(YIN)
"Pump on"level at _ _ in. "Pump off' level at in. High water alarm level at—_ in.
Datum _ Cycles tested _ Meets alarm&circuit requirements? ^ _
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+ On adjacent tots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+ _
Public sewer main 75'+ Public sewer manhole/cleanout__100'+________
Sewer/septic service fine 251+ Holding tank 100'+
Animal containment areas 501+ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ _ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 101+ Surface water _100'+
Wells on adjacent lots_1001+ __.
ABSORPTION FIELD ON LOT TO:
Property line •0' Building foundation_ 10'+ . Water main 10'+
Water Service line 10'+ _ - _ Surface water 100'+__—____ Driveway, parking/vehicle storage 10'+ _ _
Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 1001+
F. COMMENTS
"WR990006-LOT LINE WAIVER ISSUED BY MOA SEPTIC TANK FLUID LEVEL AT 51'__,_
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in conformance
with MOA COSA guidelines in effect on this date. OF A
l ,l
Engineer's Printed Name __.KENNETH M.DUFFUS '-f-,
Date 11112118__...-..__
COSA canary sheet 2-6-15.doc 4 s� KEN.ACV
'.FEsslor''�' -•►
���76f
1Y. 4 6
• � Municipality of Anchorage
On -Site Water and Wastewater Program a k z
(907)343-7904 �•
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-541-02
1. GENERAL INFORMATION
Complete legal description EKLUND #1 63, L6
Expiration Date:_
% - 2
Location (site address) 4470 LOWER KOGRU DRIVE EAGLE RIVER, AK 99577
Current Property owner(s) ROBERT & JODI COLLISON Day phone
Mailing address
Real Estate Agent
4470 LOWER KOGRU DRIVE, EAGLE RIVER, AK 99577
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
Day phone
3. NUMBER OF BEDROOMS:
3
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
®
Individual
Individual Water Storage
❑
Holding Tank
❑
Corns—Ilu 1it11Y, ClIC. ss rAieu
_M.
Community
ly
❑
Public Water System
❑
Public Sewer
❑
WaiverNariance request for: Distance:
Received by: Re2L,�GJec1&, , Date: Y -Z1—/$
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $ 50210
Date of Payment W451 -15 --
Receipt Number 01(w I qr
COSA#
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 4/14/1
'Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of 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,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen OF ALS
encroachments, deficiencies or discrepancies exist. / 4
6. DSD SIGNATURE
System #1 Approved for bedrooms. � �, 7 ,a_
System #2 Approved for bedrooms. + �P, o y `.l
Y�EES�Ia�`h�
Disapproved.\�
Conditional approval for bedrooms, with the following stipulations:
By: Original Certificate Date: 15 -
The nicil ity Aho age Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
cosh blue sheet_10-1 D-12.da
If more than 1 septic system is on the lot:
COSA Checklist # of _
Structure served by this system _
Certificate of On -Site Systems Approval Checklist
Legal Description: EKLUND #1133, L6 Parcel ID: 050.541.02
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID #
Date completed 10/20/1998 Sanitary seal (Y/N) Y
Total depth 102 ft. Cased to 101 ft.
FROM WELL LOG
Date of test 10/20/1998
Static water level 32 ft.
Well production 5 9 -
p.m -
WATER SAMPLE RESULTS:
Well Log (Y/N) Y
Wires properly protected (Y/N) Y
Casing height (above ground) 36+ in.
AT INSPECTION
416/2015
ft.
9 -
p.m -
Coliform NEG colonies/100 mL Nitrate 0.122 mg/L
Arsenic: ND ug/L Date of sample: 4/6/2015 Collected by: ARCTERRA
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC / STEEL
Tank size 1000 gal. Number of Compartments 2
Foundation cleanout (Y/N) Y Depression over tank (Y/N) N
Date of pumping 416/15 Pumper JRs
C. ABSORPTION FIELD DATA
Date installed 2123/1999
Cleanouts (Y/N) Y
High water alarm (Y/N) N
Date installed 2123/1999 Soil rating (g.p.d./ftz or fe/bdrm) 0.8_ System type SHALLOW TRENCH
Length 56 ft. Width 5 ft. Gravel below pipe 4 ft.
Total depth 10_7* ft. (Measured 4/6115) Eft. absorption area 560 fe Monitoring tube Y Depression over field N
Date of adequacy test 4/612015 Results (Pass/Fail) PASS For 3 bedroom's
Fluid depth in absorption field before test 32 in. Water added 470 gal New depth 39 in.
Elapsed Time: 1405 min. Final fluid depth 31 in, Absorption rate >= 450 g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date
D. LIFT STATION
Date installed
"Pump on" level at _ in.
Datum
Size in gallons
"Pump ofr level at _ in.
Cycles tested
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on lot 100'+
Absorption field on lot 1001+
Public sewer main 75'+
Sewer /septic service line 25'+
Animal containment areas 50'+
SEPTIC/HOLDING TANK ON LOT TO:
Manhole/Access (YIN)
High water alarm level at
Meets alarm & circuit requirements?
On adjacent lots 1004
On adjacent lots 100'+
Public sewer manhole/cleanout 100'+
Holding tank 100'+
Manure/animal excrete storage areas 100'+
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 1904
Wells on adjacent lots 1004
ABSORPTION FIELD ON LOT TO:
Property line *0' Building foundation 104 Water main 10'+
Water Service line 104 Surface water 1004 Driveway, parking/vehicle storage 104
Curtain drain 50'+(NON€ KNOWN) Wells on adjacent lots 100'+
F. COMMENTS
*WR990006 - LOT LINE WAIVER ISSUED BY MOA
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in conformance
with MOA COSA guidelines in effect on this date. �!� OF AL��'
Engineer's Printed Name KENNETH M. DUFFUS ��Fj? �r ,+
Date 4114115 * 49� 6'� `yam A
COSA canary sheet 2-6-15.doc [�
f t�KNETH M.
ii L �R�G
h'
r'Ps iolvAT' .I
in.
Municipality of Anchorage
Development Services Department .: ;i �`•:;
• Building Safety Division
�—' On -Site Water& Wastewater Program ,
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519.6650
www.muni.org/onsite l
(907)343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. _ 05(1 — 1 _01 COSA# VJ�
1. GENERAL INFORMATION Expiration Date: _ % —
Complete legal description EKLUND i11, BLOCK 3. LOT 6
Location (site address) 4470 LOWER KOGRU D E EAGLE RIVER AK
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
MARY SMIESHECK Day phone 644-7818
4470 LOWER KOGRU DRIVE EAGLE RIVER AK
Unless otherwise requested, COSA will be held by DSO for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Day phone
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual Well
Individual On-site
0
Individual Water Storage
❑
Individual Holding tank
❑
Community Class Welt
❑
Community On-site
❑
Public Water System
❑
Public Sewer
❑
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given In paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On -Site Systems Approvat are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site Systems
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water
samples.) Certificates are valid for one year for'properties served by Class A or B wells or a public water system.
The Municipality of Anchorage is not responsible for errors or omissions in thq professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below,. I yerify that my .
investigation, based ori 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 riles and from my investigation and inspection, the
ori -'site water supply and/or wastewater disposal system is(are) in compliance with all applicable Munidipal .
and State codes, ordinances, and regulations in effect at the time of installation... .
Name of Finn GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 " ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation,"GEG, LtD. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, LTD. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party Is not authorized, nor will if confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for _3 bedrooms.
Phone 337-6179
pate 1 1
Disapproved.
Conditional approval for bedrooms, with the fllowing stipulations:
Attachments: /
COSA Checklist r
Septic System Advisory
Well Flow Advisory
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Reort
Nitrate Advisory ^ Other
By: /lf 12J
i
(Rm 11/05)
o���t-Tr rr rtrrfrrr
SOY OF,gN�%,
G`Qp .,......,�yoe�
••ON-SITE
WATER AND ; m=
WASTEWATER
PROGRAM '
)n)
—08
Original Certificate Date:'
Municipality of Anchorage
• Development Services Department °
Building Safety Division:
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519.6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description: _ EKLUND #1, BLOCK 3 LOT 6 Parcel ID:_0 .SO Sr �� Oa,
A. WELL DATA
Well type PRNATE If A. B, or C provide PWSID# N/A Well Log (Y/N) YES
Date completed 10/20/1998 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES
Total depth 102 ft. Cased to 101 ft. Casing height (above ground) 18+ in,
FROM WELL LOG AT INSPECTION
Date of test 10/20/1998 1/8/2008
Static water level 32 ft. 30 ft_
Well production 5 g,p,m. 5.53
g.p.m.
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mi. Nitrate �'-M mg./L. Other bacteria _0 colonies/100 ml.
i.o.15
rsenic: _ug./L. Date of sample:12 20 2007 Collected by: GEG Ltd.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material
STEEL
Date installed
2/23/1999
Tank size 1000 gal,
Number of Compartments 3
Cieanouts (Y/N)
YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) N/A
Date of pumping 1/9/2008 Pumper JR'S
C. ABSORPTION FIELD DATA
Date installed 2/23/1999 Soil rating (g.p.d./ft'o 1 /bd 0_8 System type SHALLOW TRENCH
Length 56 ft, Width 5 ft. Gravel below pipe 4 ft.
"10.8
Total depth •9.2 ft.Eff. absorption area 560 ft' Monitoring tube YES Depression over field NO
Date of adequacy test 1/8/2008 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 22/14 in. Water added 720 gal. New depth3l 17 in.
Elapsed Time: 200 min. Final fluid depth 29/15 in, Absorption rate >= 450+
P g.p.d.
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date —
D. LIFT STATION
Date installed Size in gallons Manhole/Access
-Pump on" level at —in. "Pumpoff�a High water alarm level at.in.
n r ., Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
adjacent lots 100'+j
Septic tank/lift station on lot 100'+ On ad1
Absorption field on lot 100'+
Public sewer main N/A
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Sewer /septic service line 25'+ Holding tank N/A
Animal containment areas 50'+ Manurelanimal excrete storage areas 100'+
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+ Absorption field 5'+
Water main N/A Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line
'01
Building foundation
10'+
Water main N/A
Water service line
10'+
Surface water
100'+
Driveway, parking/vehicle storage 10'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
•WR990006
G. ENGINEER'S CERTIFICATION
I certify that 1 have determined through field inspections and p e'. v1
review of Municipal records that the above systems are in 0
conformance with MOA COSA guidelines in effect on this . • . ... .. ................
date.'•J r A. ness:
Engineer's Printed Name JEFFREY A. GARNESS OQ �, C –7 5310
Date ! ro ot3 0�00"�� of05$10o4�
COSA Fee 5 y R()- U O
Date of Payment�0
Receipt Number
(Rev. 11/05)
Waiver Fee S
Date of Payment
Receipt Number
q\
ASBUILT SS6ARD
1 HEREBY CERTIFY THAT I HAVE SURVEYED THESCAL�'r.
FOLLOWING DESCRIBED PROPERTY
AND THAT NO E cROACHMENTS EXIST EXCEPT AS � �
INDICATED. IT IS THE RESPONSIBILITY OF THE
GR
EASEMENTS, COVENANTSOWNER TO DETERMINE THE ORI STENCE RESTRICTIONS YI f�6ol
WHICH DO NOT APPEAR 61 THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SwXD FB'
ANY DATA HEREON BE USED FOR CONSTRUCTION 7xr�
OFFENCE LINE; OR FOR ESTABLISHING WUND-
ARY LINES. DRAWN+
.0_0f
a
e"
Municipality q,f A' c�h.v,o./x1arage
i Development Servitces Depaftmen4 ..P.
f ••� •• x
'BuifdingSafety Dmsion `� r,
On -Site Water & yaHstewatet,Program ;
. 4700 666thBragaw St.,
P.O. Box' 196650 Arichorage; AK; 9951,9 ,6650
www a anchorage ak us
'M
{(907) 393`7904
Yr �,P itl�i•r a tr , if,�t4 t " R'w
iL.
'. ` •f ,.' N \vis^. YC YCs3 y } f A ? ,
CERTIFICATE`OF^ HEALTH AUTHORITY �APPIOVAL
AOR
A'S NG LE--. FAM I ffY. DWELLING ;7.
c k
Parcel I.D. 050-541=02 +• ; HAA#'' O �'
1.. GENERAL INFORMATION ' t� Explration Date
:�
Complete legal description EKLUND SUBDIVISION #1';<. LOT*6, 'BLOCK 3
Location (site address or directions) 4470 LOWER KOGRU iDRIVE *:'' EAGLE .RIVER, `AK 99577
Current Property owners JAIMIE HILL 'Day phone 694 ;62•
69
Mailing address P.O. BOX 771542.* EAGLE RIVER,AK 99577
Lending agency :, Day phone
Mailing address
Real Estate Agent DAN FARRELL w/ PRUDENTIAL .VISTA Day phone 689..=1808.
Mailing address 16635, CENTERFIELD DRIVE-* EAGLE RIVER, AK 99577
Ur 11eSS otherwise requested, HAA vsdU be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Ind;vidual Well ® Individual On-site ■
Individual Water Storage ❑ Individual Holding tank ❑
Community Class Well ❑ Community On-site ❑ r
Public Water System ❑ Public Sewer ❑'
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties' served by a single-family on-site wastewater disposal and/or,
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid
water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water
system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's
work.
N
Note: Alaska Water and Wastewater, Consultants, Inc. shall be paid S j %5'='at, or prior 1
to closing for the engineering services provided.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my sea/ affixed hereto and as of the validation date shown bolow, t verify that my
investigation, based on procedures outlined in the hlealth Authority Approval Guidelines for this application,'
shows that the on -situ wotor supply and/or wastewator.disposal system? is(ore) safe, it nctional and a deruate
for the nurnbor of bedrooms and' ype of str!:cture indicated 17ercin. I fi,i it7or verify that bi sod on the
information obtained from the Municipality of.Anchorage files and f nm my investigation and inspection, tiro
on-site rater supply and/or wastewater disposal system is(are) in compliance with'all applicable Municipal
arid State codes, ordinances, and regulations in effect of the time of installation.
Nam=e of Firm ALASKA WATER & VIASTEWATER CONSULTANTS, INC_ -6179 337-61 79
Address 6901 DEB ARR ROAD, SUITE 2B *'ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 1243 0 0
Engineer's Comments: f
/n conductinri' !his Gvc ualic l AKWWC, It,.-. "t' : V lliv 1T. �h»�
i . e cClT1p cd t0 pro:lc, tl a :,..IC ! y �
r, rhcw7, J:lS CI1 y!lii'"ren ,ter ,..ys;s of thv systurT, in aCf,Or'dr:17CU :viil) ADLG , ,id ^.ti)/:
DSD G ! -+^lines & I trgidations. The roportod resuirs doscribcd 1110 perfo, rr.,'.nce of till: �> I
SJS!a.. Li17riC•r the CU17 !ill: rf CC7lAi:,. Y•Cl nt th;, t,lnU oldie [i.St, u.1.I S(GO(aEiUnt ldc:dihi,b- / O
�hsl..,xC9s n;i.5: sure i' r, e' +�.� .%i: the Uf
le ailre:i. iera!IU: ial fire of a!7
e!: R:3::i .'! ^. JJJ• f i i .': O�
st,.ptIC sys!crr7s depend Cr, t.1U local sails Condition, gioundLvatcr lovols that I'riay ,J/J .... .I . ...........
fillcluate during the year. and 111c::vecor usage of the fanifly bang sf.'r'ved by 1fi:' systran. 0
These COlidltiOl'iS vire oLltsida the control of the ov'i: uafor of tl',C �ysor7). Sa7iSfSctory tics . /. .. O
res:r;tti no net guar„rt G fu!;rro porlunran.-G. of tho system., nor do they guarantoo Urs; �' /Le fr r:. r n ss' -
ii!^ro are nu h di + n CfefeCiS o!' encroach!! oris. AKWVr C. If7C. can. thercfUn: riot pn1':::.,.f `� �•�� ` yQO
ally/ Lvar aWy fn fuzur estilT7ia;i Of li;iv: IClhg the Sj+SiC717 4'i,7.1V C0r7tlrillC f0 n7cet Elio'f!F_ 735
\000
opc. muni' rcgtarclr�ea'la L,i ii';c• A )rC or ,.SOr. DSD. The content of t/lis 1`0001'1 is for
the SU!e onof,-!. U,rl7ii (iv:170r!s,c.,.d above. Any reliance upon oruse c+ lls rdp:aby my �!ofeu+o`
o'
Litl{Gr I:•orsai orparty is I'i Cli is LR!iUCI%ed. 170! 1`+iii I! confer any I6gi!1 rlglli {vhatSG!: VL -F. '
5. DSD SIGNATURE
_-. ✓ Approved for _..._.�._. bedrooms.
Disapproved.
_--------- Cond:`.ional aapproval fair _ bodroorris. %vlth the f:lov'nq slip ul .!:ons:
1t ,11f(w((",
�0
ON-SITE ` G)'
WATER AND �
WASTEWATER e
°.e. FROGRAM
Attachments:
HAA Checklist Manitenance Agreements J1J�J���p_NT
Septic System Advisory Supplemental Engineer's Reort
Well Flow Advisory Other
By: Original Certificate Date: - t .�
(Rev. 12101)
V.
Date installed S¢e in gallons Manhole/Accu (Y/PJ)
"Pump on" level at in. "Pump. off" IPvel cit.., in` High water alarm :level at in.
G. ENGINEER'S CERTIFICATION'
�� e Tl -
I certify that ! have determined through field inspections and 4 r T'*PDQ
review of Municipal records that the above=systems are it
conformance with MOA HAA guidelines in effect on this date.
�..... .....
J ` ev
Engineer's Print 3 d N me JEFFREY, -A GARNESSy �L
°•�
Date 1.2o0a-.. F d\
�OO fLs `.
HAA Fee $ 375:. Waiver Fee $
Date'of'Pa menu
Y 'Date of Payment
29739
p Receipt;Numbei
Receipt Number '
(Rev..12101) .
ALASKA WATER & WASTEWATER
CCrNSULTANTS. INC.
January 8, 2003
Municipality of Anchorage
Development Service Department
Building Safety Division
On -Site Water & Wastewater Program
P.O. Box 196650
Anchorage, Alaska 99519-6650
Attn: Jeff Poet
Ref: Eklund Subdivision #1; Lot 6, Block 3
On the previous HAA done by S & S Engineering on 4/2/1999 a conditional HAA was issued.
There was a note saying that there was a depression over the tank and the side of the drainfield
and it is to be final graded in the spring. We tested the septic system and found that there was no
depression over the tank and field. We also talked to Kelly Heitstuman (formerly with Eagle
Mountain Excavating) who did the installation and he confirmed that the final work was
completed in the spring.
If you have any questions, please contact us at 337-6179. Thank you for your assistance.
M.S.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
DEC -30-02 MON 09:56 SEWARD & ASSOC LAND SURV 907 6940830 P.01
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1 HEREBY CERTIFY THAT I HAVE SURVEYED THE
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FOLLOWING DESCRIBED PROPERTY-
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AND THAT NO ENCROACHMENTS EEXCEPT AS
DATE,
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INDICATED. IT 1S THE RESPONSIBILITY OF THE
OWNER TO DETERMINE THE EXISTENCE OF ANY
GRID,
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EASEMENTS, COVENANTS, OR RESTRICTIONS
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WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
Dv,n, Mark, ,r
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
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ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINErh OR FOR ESTABLISHING BOUND-
DRAWN:
ARY LINES.
MUNICIPALITY ANCHORAGE
• '-' DEPARTMENT OF HEALTH &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. # 050-541-02 HAA #
1. GENERAL INFORMATION
Complete legal description
Lot 6, Block 3, Eklund #1
Location (site address or directions) NHN Lower Krogru Drive
Property owner Lee Custom Homes /Lee Raymond Day phon6694-8565
Mailing address 11517 Old Glenn Highway, Eagle River, AK 99577
Lending agency Premier Mortgage/Krista Jessen Day phone
Mailing address 3150 C Street, Suite 101, Anchorage, AK 99503
Agent
Address
Day phone
Unless otherwise requested, HAA will be held for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
Individual well XXX
Community well
Public water
563-7736
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:
ilWw
Individual on-site
Holding tank
Community on-site -
Public sewer
NOTE: If community wastewater system, provide written confirmation from State ADEC
attesting to the legality and status of system.
72-025 (Rev. V91) FroM MOA e21
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 S& S ENGINEERING 6q �^ a cf 7 0
Lcep Roed NB, 2g4 Phone /
Address Eagle River, Alaska 99577
Engineer's signature :3" 4 l
/)L42 LY310IV UV It r, sc,111 C --N,
f,L L j 0 9 aT•,L / S1 /9qq j,
Date '-7 A�`7
/}r�0 N/fin 7— TO I,.C4 F11,<j TC /3/c
H/i 14 Rl1i 0V /aS Y/z�i%.
I+ f ROBERT C. COWAN 0 ,@
CE - 8801
6. DHHS SIGNATURE
l'i e a n19'." '.yw
Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
The above repairs are to be made no later than June 15, 1999.
Money shall be placed in escrow for a minimum of $1000 or 1.5 times
the high bid from a minimum of 3 bids. The balance of the escrow
Authority Approval has been issued by this Department.
Additional Comments
111717,
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.
72-026jnay.1/911 Back MOA421
G
'LCENtu
Municipality of Anchorage APR 0 21999
DEPARTMENT OF HEALTH & HUMAN SERVICES(A
Environmental Services Division MUNICIPALITY OFANCH
ENVIRONMENTALSERVICES
825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744
Health Authority Approval Checklist
Legal Description: Lor C Q La Ck 3 Ek Lok/9 / Parcel I.D.:
A. WELL DATA
Well type 14 R i V4T C If A, B, or C, attach ADEC letter. ADEC water system number
Log present &N)
11
Total depth 9 D 1 Cased to
Date completed / o �d 0 9
Sanitary seal C9/N)
Date of test
re- S
FROM WELL LOG
/o/ao/0) $
Static water level 3 .
Well production
WATER SAMPLE RESULTS:
Coliform
Q
Nitrate
JOo
1
Casing height (above ground)
Wires properly protected 6)N)
0.63-7
AT INSPECTION
k3
Other bacteria 9
Date of sample: `1 / / Collected by: 5 & S ENGINEERING
17034 age Iver Loop Road No.
B. SEPTIC/HOLDING TANK DATA
Eagle River, Alaska 99577
Date installed ;�hd 3 `t % Tank size / o o O Number of Compartments a Cleanouts 01N) yk5
Foundation cleanout &N) Yfi- S Depression (YX
Date of Pumping N�A Pumper —
C. ABSORPTION FIELD DATA
Al O High water alarm (Y® /V O
. SN9s�o
Date installed �� a 3 `t `) Soil rating g.p.d./ft2 or ft2/bdrm) 0- g System type
Length S / Width S / Gravel thickness below pipe Total depth 70 '
Effective absorption area S l7 0 Fr Z'MonitoringTube present (9/N) Y" Depression over field (Y/I0 N o
Date of adequacy test Results (Pass/Fail) For 3 bedrooms
Fluid depth in absorption field before test (in.);rrP diately after_ gal. water added (in.):
Fluid depth (ins) Minu er: Absorption rate = _g -p-1
12 months) (YIN)
72-026 (Rev. 3/96)'
If yes, give date
D. LIFT STATION
Date installed
Manhole/Access (Y/N)
High water alarm level at*
E. SEPARATION DISTANCES
Size in gallons
"Pump on" level
*Datum
SEPARATION DISTANCES FROM WELL ON LOT TO:
i
Septic/holding tank on lot J o o f On adjacent lots
Absorption field on lot /00 On adjacent lots
Public sewer main N 14
i
Sewer /septic service line
"Pump off" level at*
Public sewer manhole/cleanout
Lift station
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO:
i
Foundation 10 Property line 6 3 Absorption
/
Water main/service line /0 ) Surface water/drainage % 00 Y Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO:
Property lineW R `i�l oou 6 Building foundation
Water main/service line
Surface water / 0 0 4- Driveway, parking/vehicle storage area
Curtain drain
,V0"J& llN0W ,✓
F. ENGINEER'S CERTIFICATION
Wells on adjacent lots / 0
I certify that / have determined thru field inspections and review of Municipal recorr�Df(ie-abo*sVpjn;
in conformance wi�th7 MOA�A ggJuideline in effect on this date. „ �i�r'
Signature L p tE
/t 0/1�v+, C, COw�s✓ i•."moi
Engineer's Name ROBERT c COWAN �e
Date
l/i�� 00o �i 'yy CE -8801'
t �lF,, ' . X,
.
Jc _... .-
v-41
HAA Fee $
// 7<
Date of Payment
Receipt Number
72-026 (Rev. 3/96)*
Waiver Fee $
Date of Payment
Receipt Number
are