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RIVER VIEW ESTATES BLK 6 LT 11
Onsite File r � s 1 �'s � 4 � rr► i #0O'mm0==792=mO9 1983 drainf reconnected because it encroaches in groundwater (refer to soils log for OSP191124). Municipality of Anchorage On-Site Water and Wastewater Section - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP191124 PID Number: 050-792-09 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name JEFFREY ERICKSON ABSORPTION FIELD -EXISTING ❑ Deep Trench ❑ Wide Trench ❑ Bed ® Mound Site Address 7444 WATERFALL DRIVE, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating depth from original grade 3 0.5 GPD/SF JTotal 0+ Ft. ABOVE GRADE LEGAL DESCRIPTION Depth to pipe invert from original grade 0.5+ Ft. ABOVE GRADE Gravel depth beneath pipe 0.5 Ft. Subdivision Block Lot RIVER VIEW ESTATES 6 11 Fill added above original grade VARIES 3.47 — 6.66 Ft. Gravel length 65 Ft. Township Range Section Gravel width 15 Ft. Beds: Number of Lines 3 Distance between lines 5 Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 975 Ft' Ft. Well 100'+ 100'+ 25'+ TANK ® Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer GREER Capacity 1000 Gal. Surface Water 100'+ 100'+ Material HDPE Number of compartments 2 Lot Line 101+ 10'+ NA Foundation 10'+ 10'+ LIFT STATION Manufacturer Capacity Gal. Remarks Existing septic syst. decommissioned per code. Deck supports 5'+ from tank. Mound topsoil / vegetated. Alarm location Electrical installed by PIPE MATERIAL House to tank 3034 d a afield Tank to 3034 Installer SOUTH FORK CONST. Drainfield 3034 CO/MT 3034 Inspector FWCS BENCH MARK (Assumed elevation) 100 ft Inspection 1S 10/20/19 10/21/19 Location and description 2�d da 3`d 10/22/19 4'h 10/27/19 & BOTTOM OF TRIM 10/6/2020 ON-SITE WATER AND WASTEWATER SECTION APPROVAL OF Conditional Approval: Date•,•'' TH " .' ` ' " "' ` ` " . ` Curtis Huffman �4�1 0 ��l •, •GE 128991 •.�\y�� Septic System Approved - Date FDPROFESSOP Note: this approval does not include well permit requirements. 12/10/2020 (Rev 05/02/18) 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.muhi.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP191124 Work Type: Septic Upgrade Tax Code Number: 05079209000 Site Legal Address: RIVER VIEW ESTATES BLK 6 LT 11 G:0357 Site Mailing Address: 7444 WATERFALL DR, Eagle River Owner: ERICKSON JEFFREY D A & Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 9/10/2019 9/9/2020 40401 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing �� t hili Sebe -�-� �r v t I� �e -? �'- ►o /III ► °� Received By: Date: Issued By:?11611 a Date: �6C 3 s k` P.O. Box 196650 ® 4700 Elmore Road Anchorage, Alaska 99519-6650 ® (907) 343-7904 ® Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Department On -Site Water and Wastewater Section V r t L)cparuucnt * * * * VARIANCE/WAIVER REVIEW * * * * Waiver#: OSV191081 COSA#: Permit#:OSP191124 PID#: 050-792-09 Legal Description: River View Estates Block 6 Lot 11 Engineer: Mike N. Anderson Applicant: Jeffrey & Allison Erickson Your request for a waiver of the requirement that the absorption field be installed parallel to the slope contours has been approved. See engineer's waiver request and slope profile drawing for justifications and installation requirements. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all code requirements be met or another approval from this department. ........................ a M a M M M ................. ■ .. \ t t .... \ ...... t t ...... a M a M M 1 Waiver is Granted: X Waiver is not Granted: Date: ���� I Approved by: _ ./Z, ( �c Name of Reviewer .............................................. 19 ........... t .... t. t ........ t x 1 **** VARIAN C E/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE *_bf Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 050-792-09 Property owner(s) JEFFREY & ALLISON ERICKSON Day phone 9072302604 Mailing address 7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577 Site address 7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) RIVER VIEW ESTATES B6, L11 Legal description (Township, Range & Section) Lot Size 40,401 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 ® Upgrade ® (w/wo ADU) Holding Tank El Renewal El Duplex (D) ❑ Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: SL p2 Distance: to A I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Brent Western - FWCs (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: Receipt Number: 6q 574% Permit No. 05P I R 117-4 Waiver Fees: 9 Q 5J Date of Payment: 9' t, 1 Receipt Number: 01101 Q G Waiver No. OSV 1910 81 GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client FormsTermit Application.doc Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 April 22, 2019 Municipalities of Anchorage Departments of Health and Human Services P.O. Box 196650 Anchorage, Alaska 99519-6650 Fax 249-7847 RE: SEPTIC UPGRADE PERMIT LEGAL: RIVER VIEW ESTATES BLOCK 6, LOT 11 To whom it may concern: The owner has requested a septic permit to upgrade the existing septic on the above referenced lot. A test hole was excavated and the results are attached for your review. It is proposed that an absorption mound be installed 1 above original grade. Water was measured in the test hole during excavation at 6 and 4.2 at monitoring. The slope at the proposed trench location is flat or slightly running down hill at 1-5% and there are no cut banks within 50 feet. The lot and area is served by private water and this system will not impact any of the neighboring properties due to the lot layout. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191124, Rebecca Carroll, 09/10/19 W4t Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345-3377 / Fax 345-1391 October 10, 2019 Municipalities of Anchorage On -Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: OSPI91124 — CHANGE ORDER TO GRAVITY -FED MOUND LEGAL: RIVER VIEW ESTATES BLOCK 6, LOT 11 Elevations would allow the mound to be served by a gravity -fed tank. Attached is a slight modification to the design without the STEP tank. The lot and area is served by private water and this system will not impact any of the neighboring properties due to the lot layout. Please contact Brent M. Western or me if you have any questions. Sincerely, 9 � k Michael N. Anderson, P.E. Support Services Brent M. Western 907-440-4601` ,< ;v rc ifs Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 / Fax 345 -1391 Support Services Brent M. Western 907-440-4601 August 22, 2019 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC UPGRADE PERMIT SLOPE WAIVER LEGAL: RIVER VIEW ESTATES BLOCK 6, LOT 11 Due to restraining lot conditions it is proposed that the mound will run perpendicular to the gentle slope and we are therefore requesting a waiver. The maximum excavation design depth will not be exceeded and additional MOA approved sand will be installed to maintain elevation and separation requirements to groundwater. No surface water has been observed in the drainage ditch along River Park Drive over the course of multiple site visits through the various seasons of the past year. Water was measured in the test hole during excavation at 6 and 4.2 at monitoring and at 6 in August 2019. The lot and area is served by private water and this system will not impact any of the neighboring properties due to the lot layout. Please contact Brent M. Western or me if you have any questions. Sincerely, Michael N. Anderson, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191124, Rebecca Carroll, 09/10/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191124, Rebecca Carroll, 09/10/19 Cot 1 DESIGN CRITERIA: DECOMMISSION EXISTING SEPTIC TANK & INSTALL NEW 1000 -GAL. HDPE TANK MAINTAIN 10'+ FROM FOUNDATI❑N, 5'+ TO FIELD & 100' TO WELLS WITH 4' OF COVER OR INSULAITON. EXCAVATE 1' & ADD 1-3'+ MOA APPROVED SAND FOR GROUND WATER SEPARATION & TO MAINTAIN ELEVATIONS (FIELD RUNS DOWN HILL SLIGHTLY). 3' OF COVER OR 2' W/ INSULAITON OVER ABSORPTION BED, Septic Design Prepared for JEFFREY & ALLISON ERICKSON RIVER VIEW ESTATES BLOCK 6, LOT 11 7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577 Michael N. Anderson, P.E. DATE: 10/10/2019 4661 Natrona Ave. DRAWN: FWCS Anchorage, Alaska 99516 (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 50' OF AL 49 THro* .MICHAEL N. ANDERSON. No. CE 9469 10/10/19 G`eAtf �'0 p�FESSIO��'y DESIGN CRITERIA: 3:1 SLOPE TYP 3 BDRM X 150 = 450 GPD MT CO CO SOILS = 450/0.5 = 900 SF 900 / 15 = 60' ORIGINAL GRADE (TH19-1)+0.5 (1) BED 1.0 ORG -1.0 0' AT GRADE 0.5' EFFECTIVE 4.2' GRND. WTR. 4/18/19 15.0' 15' WIDE GM/gp 60' LONG e• SEPTIC FIELD SECTION M / EXTENT OF MOUND O T MT � e i r7 CO � I VACANT 1 I N 1 O MAN FOLD TH19-1 AT MOUND N MIDF DINT STAKE 13.5._ PL & WELL RADIUS PRIOR TOcD I MT MT CONST. INSTALL NEW • CO 1000 -GAL HDPE i TANK• CO CO —TOPSOIL AND VEGATATE FILTER FABRIC MT 4' DISTB. PIPE 6' OF SEWER ROCK MOA APPROVED FILTER 1'+ OF SAND TO MAINTAIN ELEVATIONS / 4'+ TO GRND. WTR. LOT 11 BLOCK 6 GRAVEL D/W WELL Q Septic Design Prepared for®e\ JEFFREY & ALLISON ERICKSON �� OF.ALl 1111111�, RIVER VIEW ESTATES BLOCK 6, LOT 11 * . 4.9 TH� 7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577 Michael N. Anderson, P.E. DATE: 10/10/2019 MICHAEL N. ANDERSON No. CE 9469 4661 Natrona Ave.DRAwN: FwCS , � Af Anchorage, Alaska 99516 40"0 10/10/19 \ p�'OfiESSlONP�' w (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' \s_�� 0-1 v 0eCk DUE TO GRND. p� WTR. DECOMM. 2.01 EXIST. SYST. O PER CODE • Co � O / —TOPSOIL AND VEGATATE FILTER FABRIC MT 4' DISTB. PIPE 6' OF SEWER ROCK MOA APPROVED FILTER 1'+ OF SAND TO MAINTAIN ELEVATIONS / 4'+ TO GRND. WTR. LOT 11 BLOCK 6 GRAVEL D/W WELL Q Septic Design Prepared for®e\ JEFFREY & ALLISON ERICKSON �� OF.ALl 1111111�, RIVER VIEW ESTATES BLOCK 6, LOT 11 * . 4.9 TH� 7444 WATERFALL DRIVE, EAGLE RIVER, AK 99577 Michael N. Anderson, P.E. DATE: 10/10/2019 MICHAEL N. ANDERSON No. CE 9469 4661 Natrona Ave.DRAwN: FwCS , � Af Anchorage, Alaska 99516 40"0 10/10/19 \ p�'OfiESSlONP�' w (907)727 8864/FAX: (907)345 1391 SCALE: 1" = 30' \s_�� Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191124, Rebecca Carroll, 09/10/19 Michael N. Anderson, P.E. Civil/Structural Engineering and Construction 4661 Natrona Ave. Anchorage, Alaska 99516 Phone 345 -3377 Fax 345 -1391 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: RIVER VIEW EST. B6, L11 PERFORMED BY: FWCS / MNA - I MIKE N. ANDERSON CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 4/22/19 8/15/19 DEPTH FEET OG SOILS 1 ORG/OL 2 3 4 GM-gp 5 6 7 8 9 BOH 10 11 12 13 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 4/18/19 30 min 6 2 15/16 30 min 6 2 14/16 30 min 6 2 14/16 PERCOLATION RATE 11 (MIN / INCH) TEST RUN BEWTWEEN 2 & 3 FT PERC HOLE DIAMETER 6 PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16 TH. GROUND WATER ENCOUNTERED: YES IF YES, AT WHAT DEPTH: 6 DEPTH TO WATER AT MONITORING: 4.2 DATE: 4/18/19 TESTHOLE # 19-1 DATE PERFORMED: 4/10/2019 SEE SITE PLAN FOR SLOPE & LOCATION COMMENTS: GROUND WATER MONITORED: @ 5.3 5/7/2019 @ 6 7/31/2019 VERIFY GROUNDWATER MT AT TIME OF CONSTRUCTION PERFORMED FOR: JEFFREY ERICKSON Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191124, Rebecca Carroll, 09/10/19 MUNICIPALITY OF ANCHORAGE DEPAR1 MENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT PHONE MAILING ADDRESS ~ LEGAL DESCRIPTION [~NEW [] UPGRADE LOCATION ' Well ~ ! I Absorption area _O~ DISTANCE TO: I ~ ~ I Manufacturer ~ Liq. capacity in galloqs l nsde ength ~,,~ ]DISTANCE TO' lWell Dwelling ~Z I' / ~ ~ ~ Ma..~.r~r ~ I i Well ~ · ~ No. of lines _ Length of each I ne Total length of lines ~1 / I ~ ~, ,~ ~ Top of tile to finish grade ~ Material beneath tile ~ Length Width Depth ~ ~ I Type of crib Crib diameter Crib depth ~ I Well Buildin foundation -' ~ DISTANCE TO: g lClass Depth Driller ~ ~ DISTANCE TO: Building foundation Sewer line OTHER PIPE MATERIALS SOl L TEST RATING ~;:,~ INSTALLER Dwelling Material Wdtt IMaterial Nearest lot line T rencht~,c~ inch es inches NO. OF BEDROOMS PERMIT NO. ~/Or~,/P,,/r"2~¢~'¢/~. } .~-~,,-~y.z.,~. ~,~,~n~ yI No, of compartments Liquid depth PERMIT NO. Liquid capacity in gallons PERMIT NO. //~'~'d W~i Distance between lines Total effective absorption area ¢80 PERMIT NO. REMARKS Total effective absorption area Nearest lot line Distance to lot line PERMIT NO. Septic tank Absorption area(s) Department 825 Permit Applicant: _ ,'[/~/~ / Location: Legal Description: Type of Soil Absorption System Is: Trench: [/Drainfield: Maximum Number of Bedrooms: __~ MUNICIPALITY 0F ANCHORAGE ' Health and Environmenta[ 'rotection ~ Street,264_4720Anchorage, AK. ~9501 * * * HANDWRITTEN PERMIT ~ * * WELL AND/aA4~ ON-SITE SEWER PERMIT ~> ~ ~ ' Mailing Address: Phone Number: Seepage Bed: Holding Tank: Soil Rating(sq.ft/br) ~L DEPTH The Required Size of the Soil Absorption System Is: / (/ LENGTH //J/ GRAVEL DEPTH ?' WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIO'(HSL-EvI~6-)-TANK SIZE = ./O~J GALLONS Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * * Backfilling of any system without final inspection and approval by this departmen' will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system.is 100 fee- for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 1 9 g 3 * * * I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will install the system in accordance with codes. sewer (3) I unde~tand that the on-site system may require enlargement if ~_the.r~si~er~ is remodeled to include more that 3~bedrooms. SWP/024(1/81) ./ , //> ~ , . . / ~,-/~- ~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, A~aska 99501 264-4720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST PERFORMED FOR: Lyons Construction, P.O. Box 1913, Eagle Rive~ATE PERFORMED: Alaska 99507 LEGAL DE$CRIPIION: Lot 11 Blk 6~ Riverview Estates Subdivision 1 2 3 ~-4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS 1-29-83 Sandy Red Loam w/some gravel, (Pt), 0-1.5 ft. 1.5 - 15.0 ft., NFS, brown Sandy Gravel, GW, Cobbles to 10", No Water Encountered SLOPE SITE PLAN · :WAS GROUND WATER S ,.?~,~;~;~ E N CO U NT E R E D ? NO ~ IF YES, ATWHAT DEPTH? Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT Test pit was dug with a Case Backhoe to a depth of 15.0 feet; the frost was present to a depth of 1.0 ft.;the ground cover consists of predominantly natural gr%sses and birch trees lip to 8" in~iam~e~r. ~) PERFORMED BY: Richard L. Boysen CERTIFIED BY~J~~~DATE:. 2-10-83 /' R~hard L'. Boys~¢ 72-008 (6/79) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 ~usH www.ci.anchorage.ak.us(907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR SINGLE FAMILY DWELLING Parcel I.D. 050-792-09 1. GENERAL INFORMATION Expiration Date: I - ~'~ - O ~ Complete legaldescription LOT 11, BLOCK 6; RIVERVIEW ESTATES SUBDIVISION Location (site address or directions) 7444 WATERFALL DRIVE * ANCHORAGE, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address CHUCK MAUER Day phone 862-7270 7444 WATERFALL 0RIVE EAGLE RIVER, AK Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OFWATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] Individual On-site [] Individual Water Storage [] Individual Holding tank [] Community Class Well [] Community On-site [] 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 pdvate or Class C well and may be reissued with new water samples. (Certificates may be reissued for a pedod 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 cf Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ to closing for the engineering sen/ices provided. 4. STATEMENT OF INSPECTION BY ENGINEER at, orp~or I As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(am) safe, functional and adequate forthe number of bedrooms and b/pe of structure indicated hemin. 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(am) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GAENESS, P.E. Date 337-6179 Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results desctfbed 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 welts 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 sewed by the system. These conditions are outside the control of the evaluator oft he system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encreachments. AKWWC, Inc. can therefore not previde any warranty or future estimate of how long the system w~ll 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 it confer any legal right whatsoever. 5. DSD SIGNATURE Disapproved. ~ ' ~ %edmoms. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: Manitenance Agreements Supplemental Engineer's Reort Other ...... ..' ON-SITE WATER AND WASTEWATER . (Rev. 12~1) Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On. Site Water & Wastewster Program 4700 South Bragaw St. P.O. BOX 196650 Anchorage. AK 99519-6650 www.cLanchomge.alcus (90~ ~43-?~04 HEALTH ,UTHORITY APPROVAL CHECKLIST Legal Description: RNERVlEW ESTATES SUBOMSION; LOT 11; BLOCK 6; Parcel ID: WELL DATA Well type PRN~,~ Date completed 3/9/83 Totalclepth 140 ft. If A, B, or C provide PWSID# Sanitary seal (Y/N) YES Cased to INT0 BEDROCK 050-792-09 RD Well LQg (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ Date of test Static water level 5 Well production 1.5 WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic: N/A mg.lL. SEPTIC/HOLDING TANK DATA FROM WELL LOG g.p.m. Nitrate 1.00 mgJL. Date of sample: 7/15/02 Tank Type/Material STEEL Tanksize 1000 gal. Number of Compartments 2 Foundation ctearmut (Y/N) YES Depression over tank (Y/N) NO Date of pumping 7/I 7/02 Pumper *TO BOTTOM OF MONITORING TUBES. AT INSPECTION 7/15/02 2¢ lt. 2.0 g.p.m. Other bacteria Collected by: in. Date installed 0 colonies/100 nd. AKWWC, INC. Claanouts (Y/N) High water alarm (Y/N) JR'S PUMPING 5/6/63 N/A C. ABSORPTION FIELD DATA BOTH MONITORING TUBES ONLY EXTEND 63"-67" BELOW THE INVF. Aq'. Date installed s/s/~ Soil rating (g.p.d./lt~or(~ 65 Length 30 ff. Width 3 It. fl. Total depth *7.g.-e.2 ff. Eft. absorption area 480 fl= Monitoring tuba YES Depression over field NO Date of adequacy test 7/16/02 Results (PassJFeil) PASS For ,3 bedrooms Fluid depth in absorption field before test '44.5,/4,5.5in. Water added 915 gal. New depth *56.25/54.75 in. Elapsed Time: 240 min. Final fiuid depth '51,5/50 in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (Past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date - System type TRENCH Gravel below pipe O, LIFT STATION Date installed 'Pump on' level at Datum E. Size in gallons Manhole/Acc~,=- (Y/N) in. "Pump off' I~,,~1 et m. High water alarm level at in. Cycles tested Meets alarm & circuit requirements?. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Holding tank On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhola/cieanout N/A SEPARATION DISTANCES FROM BEPTIC_JHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 10'+ Water main N/A Water service line 10'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Abso~tlon field 5'+ Surface water 100'+ Property line 10'+ Building foundation 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and rm4ew of Municipal mcorcla that the above systems are in conformance with MOA HAA guidelines in effect on this date. Engineer's Printec) NaTe Date Water main N/A Driveway, parking/vehicte storage ~alver Fee $ Date of Payment ~0/I""Z / 0~,.~ Date of Payment (Rev. 12/Ol) 10'+ Sent By: RElieD( OF EAGLE R[VER, /NC.; 9076960214; 0ct-17-02 12:44P~; Page 111 ,7' SEWARD & ASSOCIATES LAND SURVEYING 694-082q I HEREBY CERTIFY .THAT I HAVE SURVEYED THE S~ALE'/,,.. ~/~., FOLLOWING DESCRIBED PROPERTY: AND ~AT NO EN~HME~S EXIST ~CE~ AS INDICA~. IT IS THE RES~SIBILI~ OF THE ~N~ ~ D~ERMI~ THE ~ISTENCE OF ANY E~TS~ ~NANTS~ OR RESTRICTIONS WHI~ ~ NOT ~EAR ~ THE RE~ ~I- VISION P~T. U~ NO CIRCUMSTANCES S~ F~ ~ DATA H~E~ BE US~ FOR CONS~U~ION ~ FENCE LIN~ OR FOR E~LISHING ~D- DRAWN~ ARY LINES. ~/~ Parcel I.D, # ['~L--% - ~0~. (~° 1. GENERAL INFORMATION Complete legal description MUNICIPALITY OF ANCHORA6 E DEPARTMENT OF HEALTH & HU ~AN SERVICES Division of Environmental Services On-Site Services Section _ P.O. Box 196650 Anchorage, Alaska 99519-6650 343-474~, CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR ASINGLE FAMILY DWELLING £ot 11~ Block 6F Riv~rview Estates Subdivision Location (site address or directions) Water fall Driu~ '2, Property owner J~odn~y and Be. cky Hanson Day phone ~94-~50[~ ~ ,~. Mailing address HC 85, Box 9415, Ea~l~ River, Alaska 99577 Lending agency Mailing address Day phone Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: ,~ .. 9 TYPE OF WATER SUPPLY: ndividual well Community wel NOTE: NOTE: ,, Xx× Public water if community well system, provide written confirmation from State ADEC attest-. lng to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site x×x .- Holding tank ' Community on-Site ",-,~ Public sewer If community wastewater system, provide'written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) :font MOA #21 By: STATEMENT OF INSPECTION;BY ENGINEER As certified by my ~eal affixed heret~'and~ of the Validati°n'date shown below, I verify that m~' 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 further verify that based On the information obta ned from the Municipality of Anchorage files and from: my .inVes.ti_gation and inspection, the on-site water :r 1 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 I;~0;~4 E.gle River/J.~lSp RoscJ. N'O. ;204 Address Eagie River, Ala~a ~577 / ' Engineer,ssignature ' : ~~ Phone /~___.~S SIGNATURE Approved for ~--¢ bedrooms. DisaPprOved. Conditional approval fOr ' : bedrOoms, with the folloWing stiPUlations: Additional Comments .' , The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Appr0v~l,'Certificates based only upon the representations given in paragraph 5 above by an Independent '~'professional enginee¢ 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 [Rev. 1/91) Back MOA#21 Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITy APPROVAL CHECKLIST Legal Description:~,-,~ \\ ~-¢-~1~ ¢-t~¢,-¢~,.I tf¢~0 ~-r Parcel I.D. A. Well Data Well type Log present ~) Total depth Sanitary seal (~N) If A, B, or C, attach ADEC letter. ADEC water system number ~,~[ Date completed "~ ~°1 ~"~ Driller ~ oL.,.~ ~/~ Cased to ~k-~o ~6..¢;, ¢.~o~c- Casing height Wires properly protected (:~N) AT INSPECTION FROM WELL LOG Date of test Static water level Well flow \ Pump level1 ~\L~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot \ Absorption field on lot Public sewer main Sewer service line MUNICIPALITY OF ANCHORAGE ~NVIRONMENTAL SERVICES DIVISION g.p.m. '7.-,~' g.p[r~.,R '1 8 1994 RECEIVED ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform ~ Date of sample: _~//y/~ B. SEPTIC/HOLDING TANK DATA Date installed 5"'~ L~ ~ ~ Cleanouts ~1) ~/ High water alarm (Y~ Date of pumping Nitrate Collected by: Other bacteria E) $ & S ENGINEERING 178,34 ~,,~le Rlve{%oop ~ Eagle River, Alaska 99577 Tank size \ ~,.~ LO Compartments Foundation cleanout (Y/N) Depression (Y/~ t~k Alarm tested (Y/N) ~\b--'\ \\~ ~ ~ Pumper ~__~-~ ~..¢~..,..,..,..,..~,~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot \,~ o On adjacent lots To property line ~, c> Absorption field Surface water/drainage \ ~ ~ Foundation Water main/service line tO 72-026 (3P23)' Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) ~_----- Vent (Y/N) "Pump on" level at "Pu~t-~-'~ High water alarm level ~ Meets MOA electrical codes (Y/N) . ~ SEPARATION DIST~4GE-I::R~OM LiFT STATION TO: Weli~oon lot On adjacent lots Sudace water D. ABSORPTION FIELD DATA Date installed ~'.~ L. ~ Length '¢~' Width Total absorption area ~,~o '-~ Date of adequacy test ~ r \ 4 ~-~ ~f Water level in absorption field before test Peroxide treatment (past 12 months) Y~N) Soil rating (GPD/Ft2) ~,~*~/(¢ ¢-~ System type '¢-¢--¢~ Cr~ "~ Gravel thickness ~ Total depth Cleanout present ~N) ¢ Depressbn over field Result~fail) ~ for ~ /~ ) ~ After test /q ~ ) If yes, give date~ ~ ¢ %% SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation On adjacent lots Sudace water Curtain drain ~.~- On adjacent lots \ ~:~ ~ Property line t © To (~xisting or abandoned system on lot Cutbank ~'' ' ~ Water main/service line ~'~¢ Driveway, parking/vehicle storage area E. ENGINEER's CERTIFICATION Bedrooms I cerb'fy that/have c~r conformed toall MOA and HAA guidelines ineffe~!onthedat.~¢~'' this inspection. Date ¢/ ~//~/~ ~ ' H~ Fee $ ~00 ~ Waiver Fee $ Date of Payme~ ~ /~ '~ ~ Date of Payment Receipt Numar ~5-*¢, .7 7 ¢~;'/dC) Receipt Num~, 72-026 (3/93)' Back APPLIC NT FILLS OUT UPPER ONLY Property Owner .,/. ,./'/.... . ~. , . , t , , .~ Phone Address Zip Code Lending Institution Phone ;:., ., ,,,,'/'/ Address ;: ' ' ' ': ' / ,1.' , . . Zip Code Realty Co. & Agent Phone Address Zip Code Legal Description ' ', , Street Locatio~ ,! ~., , . Type of Residence £3 Single Family ~3 Multiple Family No. of Bedrooms '~ E~ Other Water Supply [~ Individual D Community [] Public Utility ATTACH WELL LOG. A well Icg is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach Icg if available). Sewer Disposal E3 Individual D Public Utility ~ 14olding Tank Year Individual Installed: /' ' When Connected to Public UtilitY/: NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Tirr~ -- Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: (~,~ APPROVED BEDROOMS_,~,'.~ ) DISAPPROVED ) CONDITIONAL APPROVAL' BY: ~~ 'CONDITIONS OF APPROVAL Soils Rating tWell To Absorption Area Well to Tank Well Log Received Septic Tank Size ~ack Lyons Construction Dear Mr. Lyons, EXCAVATION ROBERTA. SHAFER WORK CIVIL ENGINEER 694-2979 August 23, 1983 Reference: Lot 11: Block 6: Riverview Estate Subdivision A water sample was taken at the residence located on the referenced property on August 17, 1983. This sample was submitted to Chemical and Geological Laboratories of Alaska for analysis for totol coliform bacteria. The results of this test were satisfactory and a copy of the report has been submitted to the Municipality. If we .m~Y ~be of~further service, Sincere/,ly j / /?/ cc: Municipality of Anchorage Department of Health and Environmental Protection please do not hesitate to call. SRB 196X EAGLE RIVER, ALASKA Alaska Water '& Wastewater Services "Preserving the Last Frontier" Municipality ol Anchorage .i!ii ,., Dept. Health & Rod and Becky Hansen HC 85 P.O. Box 9413 "' Eagle River, Alaska 99577 ..,., ' Dear Rod and Becky: ' ' Attached are the results of the percolation tests. ' ~'s yc are aware only test holes 1 & 6 had soils "suitable'! on-site septic system. I have attached a copy of a desig~ which I believe to be the most viable system for you situation. Clearly, the munioipali, ty would have to approv, it, and issue a permit, before the upgrades could be:.;made Several of the system problems are .as follows: :. . .. a. The trenches will need to run paralleif;to th property line, rather than the slope contours.;, :This require the design of tiered trenches. ':" : . ~;:,.. b. The electric and telephone service lines;.will, ru directly underneath a portion of the septic system!;.;. c. A lift station will be required since it is possible to obtain, gravity flow. Furthermore, a pressu distribution system shouid be utiiized to obtain .7 flow throughout the trenches. The lift station_.. about $3500.00 to the system cost. . . "At this time, the existing trench system shoUld"b~'~ with hydrogen peroxide in an attempt to rejuvenat~ Regardless of whether the "peroxide" treatment works,:.it my recommendation that the old trench be saved when. the;! upgrades are made. By allowing 'the old trench to. dry for several years there is a good probability that' it naturally recover. Once recovered, the old and new should be operated alternately (via an alt~l every six months. """":' ''¥ .In the event that the municipality will recommended installation, your lot would be an candidate for a new type of system presently the municipality, called an "Intermi%tentJ (IFS). Currently, the municipality is installation of any additional IFS systems` performance has been evaluated throughout th~'s . Telephone - Fax 338-8246 · 8471 Brookridge Drive · Anchor~, , , If you have any further questions regarding the. p'ercol tests, or your septic system options, please contact me $,~7-7179. Yhank you for your business. Sincerel~ ' Jef/C~/y A?'~'i~frness, P.E. , M.S. OwrfeCfOonsul rant JAG/jag Hansen~.wps · .,. Municipality of Anchorage ,- DEPARI, MENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 L::.:~ - .... SO LS LOG -- PERCOLATION TEST .EGAL DESCRIPTION: ~.~_M'~. M'[~a~O ~t~"~'~r"'~ Township, Rango, Section: SLOPE WAS GROUND WATER ENCOUNTERED;' IF YES, AT WHAT / DEPTH? , 1'4j' A , , SITE PLAN k~Cb~B/N"~:WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: .. · :..~h: ;~.~¢,-': ~ }. V~:, ~, ' 72~8 Rev, Grosl Net Depth 1o Net Reading Date Time Time Water Drop Monitoring? . Datm b', Municipality of Anchorage D~PARTMENT OF HEALTH & HUMAN SERVICES 025'"L" Slreet, Anchorage, Alaska 99502-0650 · SOiLS LOG -- PERCOLATION TEST 10 11 12 13 DATE Township, Range, Section: ~/A-, SLOPE SITE PLAN CWAS GROUND WATER /IF YES, ATWHAT 14 15 16 17 18 19 20 · .. Gross Net Depth to g Date Time Time Water ..... / _ PERCOLATION RA?~ minutes/Inch PERC HO~E DIAMETER , TEST RUN BETWEEN I FT AND F~ .' PERFORMED BY: ~ ~ ~~S I '~ ~~ CSRT'iFY ACCOROANC~ WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON T~IS DATE. DATE; .... ... Munlclpality gl Anchorage DEPAR.TMENT OF HEALTH & HUMAN SERVICES 825 "L" S[reet, Anchorage, Alaska 99502-0650 ...SOILS LOG -- PERCOLATION TEST u~m- .l~ .~ B, V...:.~. LEGAL DESCRIPTION:. [2.v..l~...J~ ",[t~=,4,AJ ~ ~"~.~ Township, Range, Section: SLOPE 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH7 · ,. l,.~dT- O~plh lO Wal~r Alt~r ~, ~onllor]ng? ~ .... Dale: SITE PLAN O Gross Not Depth to Net Dete Time Time Water Drop PERCOLATION RATE . .. (minules/inch} PERC HOLE DIAMETER TEST RUN BETWEEN .~ FT AND FT PERPORMED SY: ~ ~ ~'-~'~ I ",.~\~--"~' _~'~2,'~ CERTIFY THAT THIS,TES'T WAS PERFORMED IN , ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 72-~8 (Rev. 4/85) ... Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 ,.. SOILS LOG -- PERCOLATION TEST LEGAL O ESCR I PTION:_~-Vq ~.J2. Township, Range, Section: t~/,Z~ 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SLOPE WASGROUNDWATER ENCOUNTERED? IF YES, AT WHAT OEPTH? SITE PLAN ' ' N) o "v' Oeplh Io Water Alter Monllerlno? , N/~ , Date: /,///,:1 PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ~ FTAND , FT Gross Net Depth to Net "'~lng Date Time Time Water Drop ~OMMENTS ~.~1 ~ PERFORMED BY: ~ ~ ,~J'-E.-,,,-4~:~S I *...\F------~' ~'~-.~,~ CERTIFY THaT T~IS TE~ WAS PERFORMED IN ACCO~DANOE WITH *LL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 1]//~/?~ ' 72-008 (Rev. 4/85) " Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES · 825 "L" Street, Anchorage, Alaska 99502-0650 ,,,SOILS LOG-- PERCOLATION TEST LEGAL DESCRIPTION: ~..~',J~-...~ ",J't"~,~J ~::,~"T",~ Township, Range, Section: SLOPE 10 WAS GROUND WATER /'~/~:~ ENCOUNTERED? 11 12 13 14 15 16 17 .18 19 2O DATE P. ER FORM ED:.~.~ SITE PLAN S L IF YES, AT WHAT '' ~oo~/- Ooplh Io Water ,filer . . Monitoring? ~/~A.- Date: ./~/~3, :~:.' Gros~ Nat Depth to Net : ' Date Time Time Water Oro~. :;..:~ PERCOLATION RA'rE ~ Iminules/inch) PERC HOLE DIAMETER T~ST RUN BETWEEN -- FT AND PERFORMED BY: ~ ~~ i~ ~5 CERTIFYTHATTHIS.TE~WA'~ ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE' DATE' 72-008 (Rev. 4/85) -,- Municipality of Anchorage DEPA~;I'MENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL DESCRIPTION: 1 DATE PERFORMED:~ ~//J/,~ Township, Range, Section: 4 5 6 7 ~ 8 9 10 2 3 11 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED;' N~:~ 14 15 20 IF YES, AT ~HAT DEPTH? /V O~plh Io Waler Afl,r Monitoring? ~ D~le., Reading Date Gross Net Depth to Nat Time Time Water Drop PERCOLATION RATE ~ (minutes/inch) PERC HOLE DIAMETER ~ // TEST RUN BETWEEN ~ FTAND ,~"°~--' FT PERFORMED BY: ~ ~ ~~S m ~ ~S CERTIFY THA~HIS~E~ WAS PERFORMED IN 72-~8 (Rev. 4/85}