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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 21CEagle River Valley Ranchettes Lot #050-223-05 Permit Number: Tax Code Number: Work Type: On-Site Wastewater Disposal System Permit OSP101157 05022305000 Septic MUNICIPALITY OF ANCHORAGE Development Services Department On-Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Upgrade Permit Effective Dates: August 24, 2010 to August 24, 2011 Design Engineer: ANDERSON ENGINEERING Subdivision: EAGLE RIVER VALLEY RANCHETTES Site Legal Address: EAGLE RIVER VALLEY RANCHETTES LT 21C G:0054 Owner/Address: KRONBACH JONATHAN M & JOHNA C 18929 WHIRLAWAY ROAD EAGLE RIVER AK 995778334 Site Mailing Address: 18929 WHIRLAWAY RD, Eagle River Lot Size in Sq Ft: 17955 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y SepticTank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Special Provisions: The disposal field is not entirely within the 30 foot radius of a percolation test and is not 6 feet above known impermeable soil. An additional test hole and percolation test shall be made to verify these two items. If the soil and/or percolation test requires a design change, construction shall stop until an approved change order is issued. The soils log and percolation test results shall be submitted with the inspection report. Date: ~//0~/10 . Parcel I.D. 050-22~-05 Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www. muni.org/onsite (907) 343-7904 ON-SITE SEWEPJVVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Property owner(s) Jonathan and Johna Kronbach Mailing address 18929 Whidaway Road Eagle River, AK Site address 18929 Whidaway Road Eagle River, AK Day phone .Zip Code 99577 Zip Code 99577 Legal description (Sub'd., Block & Lot) Lot 21C, Eagle River Valley Ranchettes Subdivision Legal description (Township, Range & Section) Lot Size 17,955 Sq. Ft. Number of Bedrooms Three (3) THIS APPLICATION IS FOR ([~ all that apply): Absorption Field [] Septic Tank [] Holding Tank [] Priw [] Private Well [] Water Storage [] THIS APPLICATION IS AN: Initial [] Upgrade [] Renewal [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: Date of Payment: , Receipt Number: (Rev. 11/05) Waiver Fees: Date of Payment: Receipt Number: ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) . August 13, 2010 Municipality of Anchorage Development Services Department On-Site Water and Wastewater Program 4700 Elmore Road Anchorage, AK 99519-6650 Subject: Lot 21C, Eagle River Valley Ranchettes Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 21C, Eagle River Valley Ranchettes Subdivision intends to construct a new garage on the lot. The garage will be placed over the existing septic tank and absorption system. We are therefore requesting a permit be issued for the relocation of the septic system to accommodate the three-bedroom home on the lot. The attached Site Plan and backup documentation identify the location and configuration of the existing and proposed septic system. The existing Septic Tank and absorption pit will be pumped, crushed, backfilled and properly compacted. The lot is currently served by the. Municipal water system and no conflicts exist between the proposed septic system and the systems on this or adjacent lots. Drainage arrows are shown indicating the current drainage patterns. The drainage patterns will be maintained after construction. The test holes recently placed on the lot indicated clean sand with some silt (GM/GP) at a depth of 9' below the surface. The percolation rate was determined to be 9 minutes per inch. We have designed the new trench to be within the 30' radius of the test hole with an application rate of .8 gallons per day per square foot. We are proposing to place a 57' long by 5' wide absorption trench with a 4' effective depth. The total depth of the trench will be 14.5'. The test hole was placed to a depth of 19' and has remained dry since construction. No bedrock is known to exist in the subdivision or in the area of the new absorption trench. The test hole will be deepened prior to construction to verify the absence of bedrock. The test hole report will be submitted with the as built of the system. In addition, a second percolation test will be completed to verify the consistency of the soils in the area. The ground surface on the lot slopes to the southwest in the area of the absorption Lot 21C, Eagle River Valley Ranchettes August 13, 2010 Page Two trench at a grade of 7% to 9%. The trench will be placed parallel to the contours of the ground as much as possible and in conformance with design criteria, but may not be entirely parallel. The depth of the trench will insure the effective area remains in the design absorption layer. A minimum of 10' will be maintained between all components of the septic system and the existing water service. Relocation of the service may be necessary. If the system is constructed in accordance with our design the following statements apply: The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, Michael E. Anderson, P.E. Attachments TWENTY GRAND ROAD (~ ,, ~ 22A 22B i-~ 2lA 2lB 20A 22C 22I] 21I] 20C Septic Are~ ' ,~ , , WHIR~WAY ROAD r ..................... ..................... I /5 ~' , ] MAN O' WAR ROAD 4A 4B 3A 3B 2A NOTE: Municipal Water System. AREA MAP~~~'--"~ EAGLE RIVER VALLEY LOT 21C 17,955 S.F. RANCHETTES N 89'59'15"W 133.00' 10' Utility Easement o~/ 57' Long x 5' Wide-- .~o ~' x 4' Effective Depth /o~' ~ Abso~tion Trench C0(2)~ 1,250 Gall~ ~ ~/ ~ ~Septlc Tank ~ ~ ~ Proposed Four Bedroom Home I,, ~-~ ~ Proposed ~. e Pump, Crash and Bac~gl Existing Tank and ~sorption System. NOTE: Separation From Absorption Trench and Septic Tank to Water Service Line. WHIRLAWAY ROAD LEGEND SV - Septic Vent CO Clean Out MT - Monitor Tube TH - Test Hole SITE PLAN SCALE 1' = 30' I I I LOT 21C, EAGLE RIVER VALLEY RANCHETTES SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: Three Bedroom Home 5' Wide Trench System Perc. Rate: 9 Min./Inch 1,250 Gallon Septic Tank Application Rate: .8 GPD/SF 4' Drainfield Rock 3 Bedrooms X 150 GPD/.8 GPD/SF (Application Rate) = 562.5 SF Absorption Area 562.5 SF/5 LF (Width)*.5 (Red. Factor) - 56.25 LF Trench Length THEREFORE: Construct a 57' Long x 5' Wide x 4' Effective Depth Absorption Trench at the Location Shown. Flow Line Elevation in Trench to be 10.5' Below Original Ground Surface. Total Depth to be 14.5' Below Existing Ground. Provide 4' Cover Over Septic Tank and 3' Cover Over Absorption Trench. Maintain 10' Separation from Water Services in the Area. 10'0' Natural Backfill Geotextile Fabdc 4" Perforated PVC (Holes Down) , Drainfleld Rock NOTE: 5' WIDE TRENCH SECTION (NO SCALE) Grade Area Over Trench to Drain Away. ~?'"';" Mi i m ' ' ~ n mu 6 Separabon From Bedrock. ~....,,~.....;~';:.....,~.;.~,;~..:,...,'t Minimum 4' Separation From Groundwater. ~.,,,.~, ~~ Minimum 10' Separation From Water Services in the Area. Minimum 100' Separation From Surface Water or Streams: ~'~'-, No Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Prcx:jram 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 www.ci.an chor_a.qe.ak.us (907) 343-7904 ~ Soils Log - percolation TeSt S~o )e Site Plan 11- 12- 13- '14- 15- 16- 17- 18- 1 20- WAS GROUND WATER ENCOUNTERED? IF YEs, AT WH~T DEPTH? Depth to Water After Monitoring? . .,/ Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE i (minutes/inch) PERC HOLE DIAMETER TESTRUNBETWEEN ~ FT AND ,~- !"~ '~ i ~- '' ~'~' FT PERFORMED BY: I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: Permit Number:, Norns: JOHNA KRONBACK ~dross: 16929 WHIRLAWA¥ ROAD · EA(;LE RIVER, AK 99577 Phone: No. of Bedrooms: (907) 696-7291 3 LEGAL DESCRIPTION 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 www.ci.anchorage.ak.us (907) 343-7904 On-Site Wastewater Disposal System and/or Well Inspection Report SW020404 PID Number:, 050--223--05 Wastewater System: [3 New Page 1 of 2 · Upgrade ABSORPTION FIELD rlOesp Trench rtShaliow Trench nBed nMoumJ nOth~ Bloc_k: L~t; Subdivision: 21C ~GLE RI~R VALL~ ~NCHL~ES Township: -- Range: -- Sedan: -- m ~ ~ ~ ~~~ ~, ~ ~1 ~1 ~ A SEPA~TION DISTANCES Zo s~c .ou;~.nk ~ ~CHO~CE TANK 1000 ~EEL AbsorpUon Uft rmld Station Well 200'+ - - - 25'+ Surface Water 100'+ .... L~t Une 5'+ .... Foundotlon 5'4- Curtain Drain NOiNE KNOW~I Remarks: EXISTING SEPTIC TANK COMPLETELY LIFT STATION BENCH MARK BOl'rOM OF HOUSE SIDING ON EAST.END ABANDONED PER UPC. Inspections performed by: AKWWC, INC. Dates: 1st 10/11/2002 Development Services Department Approval e,.,.R(~viewedl2~oi) and approved by:'"~ Date: I,/¥/~ PERMiT NUUSER: SW020404 AS-BUILT DRAWING pARCEL ID NUUBER: 050-225-05 FINAL GRAD[ - lOO.77 (Ave.) = / --~)OP OF TANI( AT U~.ET -- 94.~8 N~ 1000 GALLON ~ SEP~C T~K I~ O~ BUNG AT O~ = 93.~7 WHIRLAWAY ROAD CI. EANOUT BEDROOM HOUSE JDECK / / PROPOSED ADDmON A B FCO 27.0 8.3 C01 28.0 8.7 ST1 51.8 11.4 ST2 58.0 16.5 DBL1 40.4 19.0 DBL2 40.2 19.0 C02 59.0 22.8 · [XISllNG CRIB. EXACT PER[ME'~.R OF CRIB UNKNOWN. ALASKA WATER & WASTEWATER CONSULTANTS, INC. PR[PARED FOR: PHONE NUMBER: JOHNA KRONBACK (907) 696-7291 rrGAL DESCRIPTION: EAGLE RIVER VALLEY RANCHLHES SUBDIVISION: LOT 21C I~E OF WORK: AS-BUILT OF NEW SEPTIC TANK 10/18/2002 DRAWN BT: Z.T.G. 1" = 30' PAGE NUMBER: 20F2 MUNICIPALITy' OF ANCHORAGE Development Services Depa~ment On*Site Water & Wastewater Program 4700 Soufh Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Oct 10, 2002 Expiration Date: Oct 10, 2003 Permit Number: SW020404 Parcel ID: 050-223-05 Legal Description: EAGLE RIVER VALLEY RANCHETTES LT 21C Design Engineer: 0041 AKWater &Wastewater Consultan' Site Addrass: 018929 WHIRLAWAY RD Owner Name: Johna Kronbach Lot Size: 17955 SQ. FT. Owner Address: 18929 WHIRl-AWAY ROAD Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER, AK 99577-8334 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 end the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 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, end heated to prevent freezing. Received By: Issued By: 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 www.ci.anchorage.ak.us (907) 343-7904 Parcel I.D. 0N-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING 050-223-05 Permit Number Property owner(s) Mailing address (1) Mailing address (2) JOHNA KRONBACH 18929 WHIRLAWAY ROAD * EAGLE RIVER. AK Day phone 696-7291 Zip Code 99577 Legal description (Lot. Block & Sub'd.) EAGLE RIVER VALLE'Y RANCHETTES SUBDIVISION: LOT 21C, Legal description (Section, Township & Range) / 77 Lot Size N,,/A Number of Bedrooms 3 THIS APPLICATION IS FOR: Sewer Only ~ Well Only Sewer and Well Water Storage Sewer Upgrade · THIS PROPERTY CONTAINS: Hot Tub ~ Jacuzzi Swimming Pool Water Softening Unit Therapy Pool [] I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal codes. ALASKA WATER & WASTEWATER CONSULTANTS. INC. (Signeturc of propcrty owncr or cuthorizcd egcnt) Date of Payment: ~O/I~/D~. Receipt Number. ~"~ 4~ q Waiver Fees: Date of Payment: Receipt Number. ALASIG WATER WASTEWAT ' CONSULTANTS, INC. October 9, 2002 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program 4700 South Bragraw Street P,O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic Tank Upgrade for Lot 21c, Eagle River Valley Ranchettes Subdivision To whom it may concern: The existing 3 bedroom house is currently served by community water and a private septic system. The existing septic has collapsed and needs to be upgraded. We are proposing that the existing 1000 gallon septic tank be replace with a new 1000 gallon septic tank. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. / /t~ncer¢ Y, ~ NOTE: Attached is a site plan drawing, a design drawing, 5 and a page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B * Anchorage, AK 99504 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com EAGLE RNER VALLEY RANCH~.H ~.~ EAGLE RM:R VALL_rY LOT EAGLE RM~R VALLL'Y RANCHET'ES S/D; LOT 29C, LOT 29D, EAGL~ RIV~ VALLEY RANCHETT~S S/D; LOT 28C. TWENTY GRAND ROAD IALL PROPERTIES SHOWN SERVED BYL__ PUBLIC WATER AND PRIVATE SEPTIC./ EACLE RNI~ VALLLrY RANCHt. ~ir..~ S/D; LOT 22A F..~CLE RNER VN.I..EY RA.NCHLrrl[~ LOT F..ACLE RN[R VALLEY RANCHt. ii r.~ S/D; LOT 21A, R.~C~E'rt~ LOT 218, EACLE RM:R VALLEY lU,qCNE'I'ES S/D; LOT RAJqCHcl I t.~, S/D; LOT 22C, F.A~LK RM:R VALL_ry RANC~t.H ~ S/D; LOT 22D, WHIRLAWAY ROAD EN;LE RN[~ VALLrY EAGLE R~ VALLEY R,~CHET/EE S/D; RANCHEr. S S/D; LOT 1,14, LOT l~B. RN, ICHETTES S/D; LOT 12F., (SEE DESIGN PA~E 2 OF' 2) EAGLE RN[R VALL_ry LOT 12D. EAGLE RN'[R VALLry LOT 1 lA. ALASIC6, WATER & WASTEWATER .... CONSULTANTS, INC. PREPARED FOR PHONE NUMBER: JOHNA KRONBACK 696-7291 EAGLE RIVER VALLEY RANCHe. liES SUBDIVISION; SITE PLAN FOR SEPTIC TANK UPGRADE 10/9/2002 C.J.G. SC. AL~ 1" = 100' 1 OF2 LOT 21C, 10' U11UTY EASMENT ~ / / APPROXIMATE LOCA'tlON OF WATER UN£~. / / / EXIs'nNG SEP11C TA~IK TO >- rouNoxnoN / ~ '",~ C~o~T---, PROPOSED 1000 i GALLON SEPTIC TA,NK~ \ EXISllNO CRIB TO REMAIN \ 114 USE. EXACT LOCAllON ~ OF PERIIdL-'~R OF CRIB .WH_IRL~.W^Y ROAD 10/9/2002 '=' ~)F' , Ell c,.o. ALAS ICa, WATco,suL,^,,s.& '6~.STEWATER,,c. ~ [~:'"4g.:.: P,'~J~ ~'..%~ ~', ...... ,'~,v ......... :... EAGLE R~VER VALLEY "ANCNETT£S SUmV~S~ON= LOT 2~C, ~.12"..L ...... ":~,~ TYPE OF WORK: DESIGN OF SEPTIC TANK UPGRADE GRE"-' ER ANCHORAGE AREA B0r' UGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME Associate Builders MAILING ADDRESS P.O. BOX 11, E.R.,AK PHONE694-2794 LOCATION Whtrlaway Street LEGAL DESCRIPTION Lot 21-C, Eaqle River Valley Ranchettl SEPTIC TANK: DISTANCE FROM WELL /t/-~/~'~'MAN NUMBER OF MATE R I A ~'~ ~'~ ~'/~-/'~ ~/) COMPARTMENTS INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH ~ I IQUID CAPACITY ~/~:~) GALLONS. SEEPAGE PIT,' NUMBER OF PITS LINING MATERIAL ~).~ BUILDING FOUNDATION~__/, DIAMETER -- OR WIDTH/~-~/~ LENGT~'~,/ DEPTH -- CRIB SIZE: DIAMETEF~,~DEPTH ~'~ DISTANCE FROM: TOTAL EFFECTIVE NEAREST LOT LINE~ / WELL ~f.L~ ~'~ . ABSORPTION AREA (WALL AREA) /~'Z/~ SQ. FT. ADDITIONAL ABSORPTION TYPE BUILDING FOUNDATION . CESSPO0/~ APPROVED CONSTRUCTION NEAREST NEAREST LUI LINE ~'"-.~..~ SEWER LINE OTHER SOURCES DISAPPROVED REMARKS DEPTH ~TANCE FROM: SEPTIC SEEFA'~ TANK __ SYSTEM INSTALLED BY: PIPE MATERIAL: LOT SLOPE: REMARKS: Form No. EQ-031 DIAGRAM OF SYSTEM GEm"TEE ANcHO~-~'-~-E£A' 'E~u~H · OEPARTMENT OF ENVIRONH[NTAI- QUALITY SEWAGE DISPOSAL SYSTEM -- APPLICATION ,~ND PERMIT ,..o,,,. NOTE, THIB II~RMIT Il NOT VALID WITHOUT ROIL. I'II~BT FINAL. INI~ECTION~ 34 HOUR HOTICE REQUIRED. RA,CKFILUNG OF ANY BY~II[M WITHOUT FINAl. INIPECTION IY THe' HEALTH DWPARTIdENY AUTHORITY Wll,.J. IBE EUBJECT TO PROSECUTION. SF. PTIC TXNK TO II[II:P,e, GI[ PIT W'),L~ /~-I-- TO NbR[~I' LOT LINE. O IIAV[I,. IACKIflLL DESCRIPTION AMOUNT BALANCE DUE 30 DAYS FROM DATE OF BILLING. 1½% INTEREST PER MONTH ON ACCOUNTS OVER 30 DAYS. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O, Box 196650 Anchorage, Alaska 99519-6650 ,343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING 1. GENERAL INFORMATION Complete legal description Location (site address or directions) ! ~929 OJh,~,~F~z~zy e Property owner Mailing address Lending agency Mailing address Alan ~ J~¢kie B~.l~ Ketc/~kan, Al~ ka S~zttle Mo~ag~ Corpora~on Day phone Day phone Agent .lohn PoEo~i.r~z~ HOI~E REALTV Day phone 563-5700 Address 5700 O~cZ S~,~.~d High~zF, Ancho~g~, A~z6~z 99503 Unless otherwise requested, HAA will be held for pickup. .. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual Well .... Co_.m_m_u_n_ity. W_ .... Public water $ ',,4 NOTE: If community well ,system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal a!fixed 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 further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm ' s & q ffNGINffF~ING 17034 Eagle RIv~ Loop Road Address Eagla River, Engineer's signature DHHS SIGNATURE ,/~ Approved for Die,proved. Conditk~nal approval for bedrooms. Phone bedrooms, with the following stipulations: :'";' .,,:. Additional Comments Date 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. Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~ A. WELL DATA Well type "[.*~, ~ ~,~o4,,(~ ~--~'J~-.~ Parcel I.D. If A, B, or C, attach ADEC letter· ADEC water system number Log present(Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) Date of te$i .... ~ Static water· level Well flow Pump level '· ' ' SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ~ ~ ~ Absorption field on lot ,?.,c~.~* ~' Public sewer main Publio sewb'r ~$ervico line WATER SAMPLE RESULTS: FROM WELL LOG Coliform Nitrate Date of sample: g.p.m. AT INSPECTION · .~ ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank Collected by: Other bacteria g.p.m. ¢~ ~ B. SEPTIC/HOLDING TANK DATA Date Installed ~'--- /" Cleanouts {~/N ) High water alarm (Y~ Date of pumpl'ng '~" Tank size /C~C~:) Compartments Foundation cleanout (Y~) DePres~i0n ~Y/~) ~ ' Alarm tested (~,/-N)' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot ~ o ~ '~' On adjacent lots To property line Absorption field ' Surface water/drainage ~ ~ ~' Foundation Water main/service line ~2.e2~ (~w. ~);~0~ ~o^ ~ CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Size in gallons Vent (WN) High water alarm level Meets '1~ 6A"eie(~~ W'~'~on lot On adiacent lots Manufacturer Manhole/Access (Y/N) "Pump on" level at".' . "'"' "' "~ ~ested Surface water D. ABSORPTION FIELD DATA Date Installed ~"'-/-' '73 ~..:: Length Width ! ~. * ..-:-Total abs~rpiion area '5~c) ~' t_t.. - · .': ~ ~._Dep~'ession (~er field (Y/~:~ ~ .-,Results ~fail) /P,4-5 5 Peroxide treatment (past 12 months) (y~l Soil rating ~'~/~ ~/~;z.. A~,~l~Sys[em type G ravel thickness /-// Cleanouts present (:~rN) Date of adequacy test for ~. ~ ~ If yes, give date Total depth ¥ '7-/~- SEPARATION DISTANCE FROM ABSORPTION FIELD TO: '- Well on lot To building foundation On adjacent lots Surface water Curtain drain ' E. ENGINEER'S CERTIFICATION bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effec~_~-,~o.f this inspection. ,. . ~.': '. -~ o~ ~[..'~, - ,,~ .', .". · ..... ..~.,~, ~! - 17034 Eagle Rivet ~.eop I~oad Ne. 294 - ~ ~.o' ~,~'~' '-.'~' ! I. Sgnature ~egleRlver al~,k.~;77 ' ~ ~"~. . ,. . ~.~,.~.~.~:.~,~ Engineers Name ' ' '" = - ~,' ~'&~',~t~ 7- ::-' ~ ,. ..' ~ ~ HAA Fee $ /"~,-,~, ~ Bateof Payment ?'2~?/ Receipt Number -,~-~ ~/~; ("/~,~"~ 4// .) Waiver Fee: $ - Date of Payment Receipt Number 'Z2-02~ (Rev. 3~1) Beck MOA 21 DEPT. OF ENVIRONMENTAL CONSERVATION / / ANCHORAGE DISTRICT OFFICE 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 · June 25,1991 WALTER J. HICKEL, GOVERNOR 563-6775 FOR: S & S Engineering Ray PWSID #210875 My review of the records on file in this office reveals that the Norfolk Utilities Subdivision Class A Public Water System, is in compliance with the provisions of 18 AAC 80.060, State of Alaska Drinking Water Regulations. Sincerely, ~eve~'~n K.~ewe n~o~'t'~ Lead Engineer TIME '-' DAT RECEIVED INSPECTION APPOINTMENTS ~~ ~L~ ~_~x TIME TIME DATE INSPECTOR DATE DATE INSPECTOR INSPECTOR J~UNIClPALIIY O,; ANCJi MUNICIPALITY OF ANCHORAGE DEPT. OF H~ALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTI]D~JRONMENrAL FEOT~CTION 825 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL SANITATION DIVISION [.]OV ,; 1980 RECEIVED REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts o. page 1. Incomplete ~ClUe~ts will not be proce,.sed. Please allow ten (10) days for processing. 1. PROPERTY OWNER MAILING ADDRESS ~ PROPERTY RESIDENT Jif different from above) 2. BUYER MAILING ADDRESS · 3. LENDING INSTITUTION MAILING ADDRESS 4, REALTOR/AGENT MAILING ADDRESS J~*~P~HON E PHONE JPHONE JPHONE 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE ~ SINGLE FAMILY I--1 MULTIPLE FAMILY 7. WATER SUPPLY [] INDIVIDUAL' ~.~.~OM MUNITY [] PUBLIC UTILITY S. SEWAGE DISPOSAL SYSTEM ~ INDIVIDUAL/ON-SITE°* F"I PUBLIC UTILITY NUMBER OF~BEDROOMS [--] One [] Four [] Other [] Two [] Five ,~ Three [] Six ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 1. TYPE OF RESIDENCE THIS SIDE FOR OFFICIAL U~E ONLY NUMBER OF BEDROOMS I--I SINGLE FAMILY r-I MULTIPLE FAMILY ,I-'1 ONE [] THREE [] FIVE [] TWO [] FOUR [] SlX 2. WATER SUPPLY PERMIT NUMBER I--] INDIVIDUAL [] COMMUNITY [] PUBLIC UTI LITY Connection Verified DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM r--IINDIVIDUAL/ON -SITE [] PUBLIC UTI LITY Connection Verified []Septic Tank or [] Holding Tank Size: I give dimensions: TYPE OF TANK PERMIT NUMBER DATE INSTALLED INSTALLER Tank is homemade SOILS RATING TOTAL ABSORPTION AREA 4. DISTANCES WELLTO: Absorption Area to nearest Lot Line MANUFACTURER MATERIAL 5. COMMENTS [] OTHER Nearest Lot Line DATE [~APPROVED FOR ~. ~ [] CONDITIONAL APPROVAL (I [~--- DISAPPR OV ED BEDROOMS letter must accon~ificate) 72.010 (Rev. 6~79) DAVID A. SLENKAMP MECHANICAL ENGINEER 694-~55 December 13, 1980 ROSERT A. SHAFER A4UNICIP~ LI?Y DE?r, (?F ;'.' 694-2~179 ENVIRON;,..,~ ~ '.. ; ~CI'ION DEC 1 5 1980 Larry Luces P.Oo Box 261 Wa sills, Alaska 99687 RECEI. VED Dear ~. LUcas~ References Lot 210; Eagle River Valley P~nchettes A sewer system adequacy testwas performed on the system located on the referenced property per your request. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit was charged with 1000 gallons of water and after e per~od of 24 hours approximately ~68 gallons had percolated out of the crib. It c~n be concluded from this test that the sewage system is currently functioning adequately for the three bedroom residence located on this property. If we may be of further assistance, please do not hesitate to call. cc: Alaska State Bank ATT~TrloN: Carol Neilson Municipality of Anchorage Department of Health and Enviornmental Protection SRB 196X EAGLE RIVER, ALASKA £ alnicipality At chorage 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 264-4111 November 7, 1980 Larry K. Lucas 113 Whirlaway Eagle River, Alaska 99577 Subject: Lot 21C Eagle River Valley Ranchettes Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: (1) A four(4) inch cast iron cleanout needs to be installed to the septic tank and/or leaching area. (2) (3) The septic tank pumped with a receipt submitted to this department. An adequacy test be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for review. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Alaska Statebank 310 East Northern Lights Boulevard 99503 GREAT£R AtlOIORASE AREA BOROUGH 0epartment of Environmental Qualtty 3330 'C" Street, Anchorage, Alaska 99503 274-4561 Date Received September 7. 1973 Tl~e of Inspection Date of Inspection 5. T~s of Fecility to be Inspected, ~umber of Sedrooms, Thine (3) A. T~e C. Const~ct~ ~ 7. S~a~e Dtsoosal C. Septic Tsnk~ 1. Size B. Disposal Field~ ~. Distances: REQUP~T FOR APPROVAL II~TV~DUAL HER & WA~R PACZL~IES F~ ~nventtonal Aoproval Re~ested 8y~ ~1~'S Address~ B~ i~6 hgJe ~ver ~ ~577 ~ LeoaJ ~scflptton= ~t 21C, Eagle Rt~r Va11~ ~nchet~s Locet~on~ ~tla~ St~et, ~gle Rlver Stngle Fanfli~ ikelltnq Phone B. Depth D. Bacterial Analysis' 6. Installer Glacter Excavattpg 1000 6als2. Uanufacturer S~ack Steel Size 12x22x6 2. ~ater/a] Log Total ~.enqth of Lines I ;30p.m. September 10 Tot Septic Tank , Nearest Lot Line ~undstion to Septic Tank Absorption Ares · Other Contamination Absorption Ares ~sot~tion Area to Hesrsst Lot Line , Sewer Lines ;" ~equast for Approrel of ,ndividuel Sewer Page l~vo [/ Approval Valid for One Year From Dote Signed ~(;reater Anchorage Area Borough, Department of Envtrord~ente] quality ! certify that the information conteifled tn this request for approval to be · true end accurate representation of the sub, eot sower and water facilities located ets St~ned Date DEI~T. OF I~NVIIlONMENTAL CONSEIIN'ATION March 7, 1973. WILLUM A. ~GAN, SOUTHCENTRAL R[GIONAL OFFICE' MACKAY BLDG. 338 DENAL! ANCHORAGE 9950! Mr. Erlc E. Johnson P. O. Box II Eagle River, Alaska 99577 SUBJECT: Lot 21C, Eagle River Valley Ranchettes Dear Mr. Johnson: We have reviewed your sltuaticn in light of the Interpretdtlon of the 40,C00 Sq. Ft. -20,000 Sq. Ft. requirement ccntalned In Section 18 AAC 72.030 of the Department of Envircnmental Conservation Waste Water Fegulations. It is our flnding that slnce you had ownership of the lot on or before February 5, 1973 and that you Intend to construct a prlvate residence for your personal use, that this ~artlcular Section of the Waste.Water Regulations Is not applicable In your case. We would however advise you that of course all exlstlng I~orough Regulations are In effect and are appllcable In all cases except . where State requlrements are more stringent. Yours truly, cc: GAAB-DEQ