HomeMy WebLinkAboutBROADWATER HEIGHTS TR A LT 5ABroadwater
T act A
Lot §A
#050-131 -81
GRE.. fER ANCHORAGE AREA BOk..,UGH
0 Department of Environmental Quality
3330 C Street
-- Anchorage, Alaska 99503
INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM
NAM E'*AS0- OY� MAILING ADDRESS I i PHONE 74S
LOCATION L- s ! ^ P.,sc "'LGAIL DESCRI TION _ L 5 I r �-,JW ' Jlt
SEPTIC TANK:��} p1.C—e
DISTANCE
FROM WELL MANUFACTURER
MATERIAL
NUMBER OF
COMPARTMENTS
INSIDE LENGTH INSIDE WIDTH LIQUID DEPTH LIQUID CAPACITY GALLONS.
�
DRAIN FIELD: G-�� Pti� a I
� TOTAL LENGTH �
DISTANCE FROM WELL FOUNDATION NEAREST LOT LINE ---( O '� OF LINES
NUMBER OF LINES , DISTANCE BETWEEN LINES TRENCH WIDTH�(IN. TOTAL EFFECTIVE
ABSORPTION AREA SQ. FT. LENGTH OF EACH LINEI I
( DEPTH OF FILTER
DEPTH: TOP OF TILE TO FINISH GRADEMATERIAL BENEATH TILE IN. ABOVE TILE �' IN.
WELL:
TYPE�h���` CONSTRUCTION
DEPTH DISTANCE FROM:
BUILDING NEAREST NEAREST SEPTIC
FOUNDATION LOT LINE , SEWER LINE_ , TANK_
CESSPOOL , OTHER SOURCES
APPROVED DISAPPROVED REMARKS
DISTANCES:
INSTALLED BY:..
SEWER LINE DEPTH:
to '
PIPE MATERIAL: IQ
LOT SLOPE: I.
REMARKS:
Form EQ -032
SEEPAGE
SYSTEM_
DIAGRAM OF SYSTEM
� Irl LJ Ir -4 I r—: I F=F-I L—I -T""-e All F= ���" Cj Fe_ " 1-:3 F:--" m4
DEPARTMENT HEALTH AND ENVIRONMENTAL fOT
825 '`- STREET, HNCHORHGE, HK� 9�. J1 /y/
i----
AW -W, NOV
° y~- 279-2511
1- __ �-/
`~ ��� ����K����� F�����rl I U/� 0�
PERMIT NO. ( 77107
APPLICANT BOX 1144 694-2580
LOCATION SKYLINE DR
LEGAL L5 TRH BROADWATER HGTS LOT SIZE 22000 SQUARE FEET
TYPE OF SOIL HBSORBTI0N SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = ] SOIL RATING (SQ FT/BR)= 135
THE REQUIRED SIZE OF THE SOIL HB5ORPTIO YSTEM IS:
:IL;2 L_F_:r-4i:Ei-F"= :L.... E�o FEE F-*��= �
THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRHINFIELD.
THE DEPTH OF H 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).
�11 3: F-..' EO E> ca E" FF=" -IF 'f I::- -T- 1=1 01 FEZ "K_:"; 3: 2! F_-= �12�12', CE'd �F-4 I.- L.-
"I- hi c:l I C 02 > I P-4ES-3 F"U_ f --.- -T' I oil, PA to F4 FZ EF_ �FEE ED- �I Fii"EE E ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN H WELL AND ANY ON—SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR R PRIVATE WELL OR 200 FEET FOR H PUBLIC WELL
SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER
INSTALLATION.
1:���1-117' �" L_I U_- 1= f_—N P-" 10 r -A EF ��" F--" ���1-1 ����E.E.
I CERTIFY THAT
1: I HM 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 THE CODES.
]: I UNDERSTAND THAT THE ON—SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS -REMODELED TO INCLUDE MORE THAN ] BEDROOMS.
SIGNED� _
IE
ISSUED BY_ _
' 0 w �N��
�-~
L'ong�zueE�on gest Zai.
"One test is worth a thousand opinions"
5829 TUDOR ROAD. ANCHORAGE. ALASKA P0807 • TELE/HONE 333-8472
Performed For McCloud- Eagle River Date Performed 8-6-73
Legal Descri nti on : Lot_ _Subdivision( r�6d k;1; r4- & (eta
This Form Renorts Soils Loq yes Percolation Test
penth
Feet Soil Characteristics
2 Overburden
4 Silty Gravel - GM -225
8 __ Sandy Gravel- GW -85
10
12 '— Sligthly Silty Sand 180
14
Bottom of test pit
Was Ground Water Encountered? No.
If Yes, At what Depth?
Readinq
Date Gross Time Net Time Depth to H2O Net Dron'
r
Percolation Rate r1inute
Prorosed nstallation: Seenaae Pit Yes Drain Field
Deoth o In Depth To Bottom Of Pit Or Trench
rnMVENTS : 35 sq. t. drainage area requi_ z'ed n,er_badrnom
no be or water table a f t , below see -age- pi t
Test Performed By Jim Mack_ Luta Certified By. Const. Test Lab
Lao Manager Date: Z-6-73 _
WELTS
Record View For Key #: 463:L
Page I of 2
NOTE: PDF files require the Adobe Acrobat Reader for viewing:
Highlight red items in left column with your mouse to view definitions.
Well Log PDF Fde. 46M.pdf
Key
Owner
Property Description
LAS or ADL Number:
Region:
Date of Completion:
Depth (feet):
Meridian quadrant:
Township:
Range:
Section:
Secprts:
Map Number:
Well Log Status:
Driller:
Date of Entry:
Data Tags:
Remarks
Remarks (2):
Remarks (3):
Remarks (4):
4631
GOTH, GLENN
BROADWATER HTS LO5
22B
456
SB
14
112
DDAA
2-10
$
UNKNOWN
1/14/1992
http://info.dec.state.ak.us/welts/detail.asp?key=4631 11/13/02
Municipality of Anchorage
Development Services Department
Building Safety Division '
On -Site Water 8 Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcell.D. 0'so—I3I—sI HAAtt 65b4Drn
l
1. GENERAL INFORMATION Expiration Date: 12- -2 & — 0,5-
Complete
S
Complete legal description BROADWATER SUBDIVISION: LOT 5. TRACT A.
Location (site address or directions) 18336 JAMIE DRIVE • EAGLE RIVER, AK 99577
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
DON AND BARBARA BERNARD Dayphone 862-7526
18816 ROADS END CIRCLE • EAGLE RIVER, AK. 99577
Day phone
BARBARA CRITTENDEN w/ PRUDENTIAL Day phone 689-6464
16635 CENTERFIELD DRIVE • EAGLE RIVER, AK. 99577
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 3
3. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
0
Individual On-site
N
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 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.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, l verify 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(are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. /further verify that based on the
information obtained from the Municipality of Anchorage riles 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 GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SURE 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 fife 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 it confer any legal right whatsoever.
5. DSD SIGNATURE
Approved for 3 bedrooms.
Disapproved.
Phone 337-6179
Date
Conditional approval for bedrooms, with the following stipulations:
J •UN-bl I tG1'
WATER AND
WASTEWATER :
PROGRAM �
Attachments: �i�i��lO • •5�,,
HAA Checklist Maintenance Agreements J�ii �><1JTSE`t`
Septic System Advisory Supplemental Engineer's Report Ili
Well Flow Advisory Other
By: v`' * Original Certificate Date:
(R". 12101)
Municipality of Anchorage ,
Development Services Department
Building Safety Division `
OnStte Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 995196650
www.ci.andwrage.ak.us
(907) 3437904
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: BROADWATER S/D: LOT 5A, TRACT A: Parcel 1D: Q 50 31 - $
A. WELL DATA •DEEPENED 8/29/84 ? **SEE "WELL LOG" FROM DNR RECORDS.
•••CASED TO BEDROCK
Well type PRIVATE If A. B, or C provide PWSID# N/A Well Log (Y/N) "YES (?)
Date completed *PRIOR TO 1977 Sanitary seal (YIN) YES Wires properly protected (Y/N) YES
Total depth 456 ft. Cased to "" 18 ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 8/29/2005
Static water level ft. 86 ft.
Well production g.p.m. 5.3 g.p.m.
WATER SAMPLE RESULTS:
Coliform _ colonies/100 ml. Nitrate 3.47mg./L. Other bacteria 0 colonies/100 ml.
41 r 2t
Arsenic: mg./L. Date of sample: Collected by: G.E.G. Ltd.
B. SEPTICIHOLDING TANK DATA • 1000 GALLONS PER 1977 SEPTIC PERMIT
Tank Type/Material UNKNOWN Date installed PRIOR 1977
Tank size • 1000 gal. Number of Compartments UNK Cleanouts (Y/N) YES
Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (YIN) N/A
Date of pumping 5/10/2005 Pumper JR's PUMPING
C. ABSORPTION FIELD DATA DATA IS FOR 1977 TRENCH ONLY
Date installed 7/11/77 Soil rating (g.p.d./ft'or® 135 System type TRENCH
Length 20 ft. Width 3 ft. Gravel below pipe 6 ft.
Total depth • 14 ft. Eff. absorption area "408 ft' Monitoring tube YES Depression over field NO
Date of adequacy test 8/29/2005 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 20 In. Water added 1264 gal. New depth 58 in.
Elapsed Time: 334 min. Final fluid depth 54 In. Absorption rate >= 450+ g,p.d,
Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date
**TOTAL AREA FOR CRIB AND TRENCH PER 1977 INSPECTION REPORT.
D. LIFT STATION
Date installed
"Pump on" level at _in.
E. SEPARATION DISTANCES
Size in gallons
High water alarm level at in.
Cycles tested Meets alarm & circuit requirements?
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tankAift station on lot 100'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer /septic service line 25'+
On adjacent lots 100'+
On adjacent lots 100'+
Public sewer manhole/cleanout N/A
Holding tank
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 10'+ 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
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections and 1 i'� '•.ye
review of Municipal records that the above systems are in "" (' P. " '.. "....'
conformance with MOA HAA guidelines in effect on this date. ...
w I
...............
Engineer's Printed Name JEFFREY A. GARNESS I/ CE -M3
Date f s1Qs •�/
nwp�ofegp��
HAA Fee $ 1-17,o
Date of Payment 04 --.I\ - U
Receipt Number %ZgDZ
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
'09-21-05;08:54 ;
SCS MY
1055742001
Collated Datefrmc
09/012005 16:30
Client Name
Garness Engineering Group,
Technical Director
Projeet Namd#
Broadwater Hts Tract A Lot
mC/L EPA 3532
B (o-10)
ClientSamplcTD
BroodwaterHtsTract ALot§
I=
Matrix
Drinking Water
• .
ao
Sample Remarks:
;907 561 5301 # 2/ 6
Alt Dates/Times are Alaska Standard Time
Printed Daterrime
09/202005 8:08
Collated Datefrmc
09/012005 16:30
Received Date/Time
09/02/2005 11:03
Technical Director
Stephen G Ede
Ma Gla by ZCP/MS
Arsenic 5.00 U
Lead 72.6
Microbiology Laboratory
Total Coliform 0
09/08/05 09/16/05 SCL
09/08/05 09/16/05 SCC
09/02/05 TLF
Allo ablo Prep
Analysis
Pummeter Results PQL
Units Method
Contu;na ID Limits Date
Date snit
Nitrate -N 3.47 0.100
mC/L EPA 3532
B (o-10)
09/02/05 AZS
Ma Gla by ZCP/MS
Arsenic 5.00 U
Lead 72.6
Microbiology Laboratory
Total Coliform 0
09/08/05 09/16/05 SCL
09/08/05 09/16/05 SCC
09/02/05 TLF
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-131-81
1. GENERAL INFORMATION
Expiration Date:
Complete legal description BROADWATER SUBDMSION; LOT 5~.TRACT A,
Location (site address or directions) 18336 JAMIE DRIVE * EAGLE RIVER, AK 99577
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
DOROTHEA CULBERT Day phone 694-4734
18926 INSPIRA~ON CIRCLE * ANCHORAGE, AK 99577
Day phone
Day phone
Unless otherwise requested, HAA will be held by DSD for pickup.
NUMBER OF BEDROOMS: , ,,~ 3
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
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 se~'ed 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 engineers
work.
Note:Alaska Water and Wastewater Consultants, Inc. shall be paid $ at, or prior I
to closing for the engineering services provided.
I
4. STATEMENT OF INSPECTION BY ENGINEER
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(are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further vedfy 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 ALASKA WATER & WASTE'WATER CONSULTANTS, INC. Phone ,337-6179
Address 6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 99504
Engineer's Printed Name JEFFREY A. (~ARNESS, P.E, Date
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 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 ara outside the contral 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. AKWWC, Inc. can therefore not provide
any warranty or future estimate of how long the system will conb~ue 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 ia not authorized, nor will it confer any legal right whatsoever.
5. DSD SIGNATURE
~ Approved for ~ bedrooms.
Disapproved.
Conditional approval for
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
bedrooms, with the fllowing stipulations:
- ' ·
Manitenance Agreements
Supplemental Engineers Reo~
Other
(Rev. 12~01)
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building ~afety Dlvlam
On-Site Water & Wsstewater Program
4700 ~ou~ Bragaw St.
P.O. Box 1 ~i650 Anchorage, A1(99519.6650
www.ct.anchorage.~k.us
(907)
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal DeSC~pfion: BROADWATER S/D; LOT SA, TRACT A;
*DEEPENED 8/29/B4 ?
WELL DATA
$$SEE ATrACHED "WELL LOG" FROM DNR RECORDS.
Well type I~IVAI'~ If A, B, or C provide PWSID# N/A
Date complated'PRlOR TO 1977 Santtmy seal (Y/N) YES
Totaldepth 456 ft. Casadto,,*s*18 ft.
Parcel ID: 050-131-81
Well Log (Y/N) *~'ES (?)
Wires properly protected (Y/N) YES
Casing height (above ground) 12+
ill.
FROM WELL LOG
Date of test /~'~'"'*fl
Static water level .
Well productJoll . g.p.m.
WATER SAMPLE RESULTS: ***CASED TO BEDROCK
ATINSPECTION
10/2/2002
83 ft.
6.2+ g.p,m.
C~lifo~m, 0 colonies/100 nd.
Arsenic: , N,/A mg./L.
Nitrate 2.41 mgJL. Other becterta 0 colonies/100 mi.
Date of sample: 10/3/2002 Collected by: AKWWC, INC.
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material UNKNOWN
Tank size '1000 gal. Number of Compartments UNK
(Y/N) YES Depression over tank (Y/N) NO
Date of pumping 9/9/2002 Pumper
*1000 gALLONS PER 1977 SEPTIC PERMIT
Date installed PRIOR 1977
Cleanouts (Y/N) YES
High water alarm (Y/N) N/A
McDONALDS PUMPING
ABSORPTION FIELD DATA
Date in.ailed 7/11 ,'~/7
Leng~ 20 ff.
I~B[t`o~ EX;SIll, lO ~R~D[I DATA IS FOR 1977 TRENCH ONLY
SOil rating (g.p.d./ft~orl~_ 135 System type TRENCH
Width 3 ft. Gravel below pipe 6 ft.
Total depth ~14 .ft. Eft. absorption area**408 fl= Monitoring tube YES
Date of adequacy test 10/2/2002 Results (Pass/Fail) PASS ·
Fluid depth in absorption field before test .22 in. Water added ~500gal. '
Elapsed Time: 220 min. Final fluid depth 64.5 b. Absoq~tion rate >=
Any rejuvenation treatment (Past 12 mot) (Y/N & type) NONE KNOWN
· ~'OTAL AREA FOR CRIB AND TRENCH PER 1977 INSPECTION REPORT.
· $s SEE ATTACHED ~ DATA,
De .pmssion over field NO
For .._.~bedmoms
New ,~.O 67 in.
**~- g.p.d,
If yes, give date -
D. UFT STATION
Date installed
'Pump on' level at in.
Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
S~.e in gallons
"Pump oft' I~v~ at
Cycles tested
Septic tank/lift station on lot100'+
Absorption field on lot 100'+
Public sewer main N/A
Sewer leeptic sewice line 25'+
Manhole/Acf~; (Y/N)
High water alarm level at
Meets alarm & circuit requirements?.
On adjacem lots 100'+
On adjacent lots 100'+
Public sewer manhole/deanout
Holding tank N/A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+'
Water main N/A Water service line 1
Wells on adjacent lots 100'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+
Water service line 10'+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that I have determined through field inspections end
review of Municipal records that the above systems ere in
conformance with MOA I.IAA guidelines in effect on this date.
Engineer's Printe~l. N;~ma
Date
Absorption field 5'+
SuE'ace water 100'+
Date of Payment
Receipt Number
(R~v. 12/01)
JEFFREY ~ OARN~
Water main N/A
Driveway, partdng/vehide storage 10'+
Waiver Fee $
Date of Payment
Receipt Number
O~T-IO-OZ 04:42P~ FROM-CT&E ENVIRONI~NTAL
Zt~._ CT&EEnvimnmental Service, I~c.
90~5515301
T-IZ4 P.02/03 F-239
CT&E Ref.#
Client Name
Project Name~
Client Sample ID
Matrix
102666900l
AK Water & Waste~ter ConsultantS Inc.
Broadu,ater S/D LSA, Tract A
Broadwater ,~D LSA Trac~ A
l~ing Water
PWSLD 0
Sample Remarks:
All Date~/Time~ are Alaska Standard Time
l'rintrd DatdTIme 10/08/2002 15:24
Colle~t~ Date/Time 10/03/2002 8:53
Receivrd Dat~JTlme 10/03/2002 12:00
Technical Director St ephe~Ede
P~ulu PQL Uniu~ M~od
Allowable Prep Anal~is
l.im/ts Date Date Inil
N&~ers Depar ~men~
NitT~te-N
2.41
0.200 mg/L £PA 300.0
10/03/02 IS
M~crobiolog~ Laboratory
Total Coliform
col/100mL SMI8 9222B
(<=1) 10/03/02 KAP
ASBUILT S[~i'A,RD & ASSOCTATK.q ~ SURVEYING 69~-0820
I HEREBY CERTIFY -THA.r I HAVE SURVEYED THE
FOLLOWING DE~cRIB£D PROPERTY, ·
A~ 'mAT ,o Z,c~E~rrS ZXl~ zxc£~ ~s
~cA'r~. ~T Ps TH~ ~zs~o.~n,u~ or 'rH£ ,....-'.~?//~...?.._~,~.~ ...
OWNER ~ D~MI~ ~ ~S~ OF ~Y
VISI~ ~T. U~NO CIR~M~CES S~ F~ ~/'~ 't:~:.. LS-Sm18 .."z~i
~ ~ LIN~ OR ~R E~I~HING ~- DRA~
ARY LINES.
TnT~I P.
6� Eagle River ea 0
GREATER ANCHORAGE AREA BOROUGH
Department of Environmental Quality
3330 "C" Street, Anchorage, Alaska 99503 274-4561 J�p
etk
Date Received March 2, 1977
Time of Inspection
Date of Inspection
REQUEST FOR APPROVAL OF
INDIVIDUAL SEWER & WATER FACILITIES
FOR
�K•�
tauF c.�.c.
1
1. Approval requested by:
L�2c�,
Mailing Address: Post Office Box -7:21F Phone: 276-6300 x 572
2. Property Owner: Jim Ohmer Phone: 694-2580
Mailing Address: Box 1144 Eagle River 99577
3. Legal Description: Lot 5 Tract A Broadwater Heights
4. Location: NHN Skyline Drive
5. Type of facility to be inspected Single Family No. of bedrooms 3
6. Well Data:
A. Type
C. Construction
Individual
7. Sewage Disposal System: On—site system
B. Depth 90,
D. Bacterial Analysis
A. Installed B. Installer
C. Septic Tank: 1. Size
D. Seepage Pit: 1. Absorption Area _
E. Disposal Field: Total length of lines
8. Distances:
2. Manufacturer
2. Material
A. Well to: Septic tank , Absorption area , Sewer Lines ,
Nearest lot line , Other contamination
B. Foundation to septic tank , Absorption area
C. Absorption area to nearest lot line
EQ -034 (1/74) Page 1 of two pages
MUNICIPALITY OF ANCHORAGE
MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH &
DEPARTMENT OF ENVIRONMENTAL QUALITY ENVIRONMENTAL PROTECTION',
3330 "C" Street, Anchorage, Alaska 99503 — 274-4561
-1977 t977
REQUEST FOR APPROVAL OF RECEIVED.
INDIVIDUAL SEWER and WATER FACILITIES
1. Type of Inspection: CMRO VA FHA CONV X-
2. Property Owner: Jim Ohmer
Mailing Address: Box 1144 Eagle River, Ak. Day Phone 694-2580
3. Name of Buyer: Craig, Jeffery K. & Marlys E.
Mailing Address: 7100 Lake Otis Sp. 17 Anch. Day Phone ug=gng7
4. Name of Lending Institution: The First National Bank of Anchorage
Mailing Address: P. 0. Box 720 Anchoragp-, Ak Phone 276-6100 x57?
5. Name of Realtor or Agent: Bowden Co, - Joann Cgrri co
Mailing Address: 301 E. Fireweed Anrh - Phone 278-1541
6. Legal Description: Tract A, Lot 5 Broadwater Naighta FaglP Ri,rar
Location: NHN Skyline Dr.
7. Type of Facility to be inspected: Sale Family ReQidenee No. Bdrms. 3
8. Water Supply
Type of Supply: Public Utility
If Individual, number of dwellings presently served
If Individual, depth of well
9. Sewage Disposal System
Type of System: Public Utility
If Individual, date of installation
MUNICIPALITI OF ANCHORAGE
DEPT. O.` I I" :L1 i
ENVIRONMF.mAL Pk�A: CTION
EQ -037 (1/74)
MAP 2 - ;1917
RECEIVED
Individual 90' well
Individual (on-site) Se ti c
Mary Ann Dodge
2/25/77
Page 2 of two pages - Re ,st for Approval of Individual jer & Water Facilities
Legal Description Lot 5 Tract A Broadwater Heights
Comments
Approved7
(7, LAk Disapproved Date 7 _
Approval,Valid for one year from date signed
Greater Anchorage Area Borough, Department of Environmental Quality
DIAGRAM OF SYSTEM
accurate representation of the subject sewer and water facilities and these facilities
are operating satisfactorily.
SIGNED Date
EQ -034 (1/74)
March 18, 1977
Mr. Jim ohmer
Dox 1144
avle River, Alam 99577
Subject: Lot 5 Tract A Broadwater Heights Subdivision
Dear Mr. 4hr s
The ,percolation tett perfoused on yoi= sewer system for
the subJ sct praperty failed to meet the adequacy test.
rTherefor+e, before we can gimes an approval an upgrade will
be necessary.
We will issue a permit, after a soils teat has been sub-
mitted to this department.
If you Wish to close your loan, we will give an approval
if monies are escrowed to cover the cast of the upgrade.
This mast be confirmed with the lending agency.
It you have any further que;stions, please contact this
office at 279-2611* extension 224 or 225.
Sincerelye
W6bert C. Pratt, R.S.
San itar to
RCP/l jh
cc: Alaska Mutual savings bank � \3,
Pest Office Box 1120 \ �,
Anchorage, Alaska 99510 �1y