HomeMy WebLinkAboutEAGLE CREST #1 TR A LT 42Eagl
Crest
Tr'oc ' A
Lot 42
#050-304-09
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage,ak.us (907) 343-7904
O
Page of
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW020440
Name:
David Bond
Address:
19532 2nd Street. Eagle River. AK 99577
Phone: Number of Bedrooms:
696-4661 4
LEGAL DESCRIPTION
Block: Lot: Subdivision:
Tract A 42 Eagle Crest #1
Township: Range: Section:
Well: [] New [] Up~
Classification (PrNata, A, S, C); Total Depth: Cased to:
Private ~. c~bdto: Ft.
Driller:
~ ~..,...~,~te Drilled: Static Water Level:
~ GPM PumpSetat: Ft. CasingHeightAb°~Gr°ubd:Ft.
PID Number: 050-304-09
Wastewater System: [] New [] Upgrade
ABSORPTION FIELD
[] DeepTrench [] ShallewTrench [] Bed [] Mound [] Other:
Soil Rating: Total Depth from original grade:
0.8 GPD~F~ 14.71 ~t.
Depth to pipe bottom from original grade: Gravel depth beneath pipe:
4.90 Ft. 9.81 Ft.
Fill added above original grade: Gravel Length:
0+/- rt. 42 rt.
Gravel width: 3 Ft. Numberlof lines: DistanceNAbetween lines:Ft.
Total absorption area: Pipe Material:
825 ~t~ D3034 & F810
Installer: Date Installed:
Guranteed Services 11/9/2002
SEPARATION DISTANCES [] Septic
T~_ TO Septic Absorption Lift Holding Public/Private Manufacturer:
From~
Tank Field Station Tank SewerLine Anchorage Tank
Material:
We,, 100'+ 100'+ NA NA 25'+ Steel
s,,aoa Watar 100'+ 100'+ NA NA
Lot Line 5'+ 10'+ NA NAA s~ze:
GaL
Po..datio. 5'+ 10'+ NA NA Pump on
in.
C.~,~.~,.~.NA *50'+ NA NA .urn.
Re~arks:
*none kRowR
Existing tank abanonded/removed .. New tank insulated
TANK
Location and Description:
Bottom of siding
[] Holding [] S.T.E.P.
LIFT STATION
Manufacturer:
[] Other:
Capacity:
1250 Ga,.
Number of Compartments:
2
Pump off level at: in. High water alarm at:
Electrical Inspections pen~ormed by:
BENCH MARK
100 rt.
Engineer s Stamp
Inspections pe~ormed by: KND Enqineerin~, Inc. Dates: 1st 11/9/2002
11/12/2002
Development Se~ices DepaAment Approval 3,4
Reviewed and approved by: ~ Date:
AS-BUILT SYSTEM DETAILS/SITE PLAN
EAGLE CREST #1 , LOT 42, TRACT A
Permit SW0204-40
PID# 050-504--09
K-~~D
I ,$
\ ~~-~ / /
B ";~'?,(' j
M~E~IS~N8 ZABEL
L:_~ ....................................
!
SCALE: 1" : 50'
A-C=7'
B-C--54.8'
A-D=16.1'
B-D--43.6'
A-E=29.6'
B-E=55.5'
A-F=25.7'
B-F=24.8'
~ JL. II..':%%l[, Illlll~l ~
'~ mi~12500 GA~ .......... ~.,.. ,..~ ....... J.~=',tL~
o~ SEP~~i..,.:,.:....-: .... -,..:':.-...,..:,,.~.,,,..%:..-.:;.'.'~95.0~t~ I
· ....... , .%.;:.-~.-..%':%, ..... -"': ~' %'-.'.':..~¢~:;"-::'.~~:..':.:':'..::.
· ~ TANK ,...- . ...... - ~.., ',, ..' ~' .~ -' - ....... · ........ ~., ....
· .: SEWER ROOK '*'.' ~'FI~.
4-2'
PREPARED FOR: SCALE: NTS
DAVID BOND
19532 2ND S'IREET
EA~LE RIVER, AK. 99577
(907)
FIELD BOOKS O0~PuTil~.
BOUNDARY: DRAWN: vg ~
S'r/441N~ 01.]£~1~: KMD
~U~L~ D~ 12-5-02
~ ~ ~: NWO055
^c~ ~L~ 02075.DWG ~o~ N~: 02075
~~) ENGINEERING
~04,il PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
~[:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~[
(907)696-611 t/FAX (907)696-8111
907 58~5S01
,~tK CT&E Environmental Services Inc.
CT&E Ref, g
Client Name
Project Name/#
Client Sample ID
Matrix
1028058001
KND Engineering
Ea~le Crest gl Tr A, L 42
Eagle Crest #1 Tr A, L 42
Drink~g Water
PW$ID 0
Sample Remarks:
All Dates/Times are Alaska Standard Time
Printed Date/Time 12/02/2002 11:31
Collected Date/Time 11/26/2002 14:30
Received Date~ime 11/26/2002 15:15
Technical Director · Stephell~Ede
Waters Department
Nitrate-N
Rezuhs
0.475
PQL
Units Method
AIIowabt~ Prep Analysis
Limit~ Date Date
0.200 mg/L EPA 300.0 (<=10) 11/26/02
Init
JS
Microblology Laboratory
Total Coliform 0
col/100mL SM18 9222B
(<---1)
11/26/02 K_Ap
Checked by
...- .
/vlUNICIPALITY OF ANCHORAGE
Development Se/vices Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650, Anchorage, AK 99519-6650
(907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT
Upgrade
Date Issued: Oct 29, 2002
Expiration Date: Oct 29, 2003
Permit Number; SW020440
Legal Description: EAGLE CREST #1 TR ALT 42
Design Engineer: 0024 Eagle River Engineering Services
Owner Name: Dave & Jennifer Bond
Owner Address: 1150 E 68th ST.
Anchorage, AK 99518-0000
Parcel ID: 050-304-09
Site Address: 019532 SECOND ST
Lot Size: 17820 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
This permit is for the construction of:
~ Disposal Field [] Septic Tank [] Holding Tank [] Privy
[] Private Well [] Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify 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, and heated to prevent freezing.
Received By:
Issued By:
Date: /O//2 O2.
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 South Bragaw St.
P.O. Box 19665~3 Anchorage, AK 99519--6650
www.cLanchorage, ak. us
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
O
Parcel I.D.
Permit Number SW O204d0
Property ,, ,r ~
c¢~ne, ~s,,
Mailing address (1)
Mailing address (2)
Legal description (Lot, Block & Sub'd.)
Legat description (Section, Township & Range)
Lot Size /7/~ ,A~.e,CSq. Ft.
Zip Code
Number of Bedrooms ~
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
(Signature of property owner or authorized agent)
Permit Fees:
Date of Payment:
Receipt Number:
(Rev,
Waiver Fees:
Date of Payment:
Receipt Number:
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
October 25, 2002
Jim Cross, P.E.
Manager, On-Site Services
Municipality of Anchorage
P.O. Box 196650
Anchorage, AK 99519
Re: Eagle Crest Addition#l, Lot 42 Tract A
Narrative & Permit Application
Dear Mr. Cross:
The proposed septic upgrade/well and septic system will have very limited impact on adjacent
properties for the following reasons:
1. The surrounding lots are developed with wells on the front lot and septics in the
back of the lot, allowing sufficient room for septic sites.
2. Immediate neighboring septic systems are all +30' distance.
3. Reserve space is adequate, due to absorption capacity of the soil and no water
table to 21' depth, allowing short trench type leachfields.
4. Drainage will not be affected and is not a major consideration in our design.
This installation of this upgrade septic system will not affect the development of adjacent lots. If
you have any questions please call our office at 694-5195.
Sincerely,
Louis Butera, P.E.
\2002\02-037 SEPTICNARRATIVE.DOC
Eagle River Engineering Services
Louis Butera, P.E.
P.O. Box 773294 (907) 694-5195 tel
Eagle River, AK 99577-3294 (907) 694-3297 fax
SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM UPGRADE
LEGAL: Eagle Crest Addition#I, Lot 42 Tract A
October 25, 2002
A. GENERAL
1. The septic system upgrade plan is for a 4 bedroom single family residence only.
2. The drawing and or site plan shall be a part of this specification.
3. All materials and workmanship shall meet the Anchorage Department of Health and State Department
of Environmental Conservation requirements.
4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer.
5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet
Municipality of Anchorage, Department of Environmental Conservation requirements.
6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any
adjacent multi-family wells.
7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer
approval.
8. Any remaining open test hole excavations shall be filled and monitor tube removed.
B. SEPTIC TANK
1. Existing septic tank/to be abandoned by pumping and removing from ground. A new septic tank is to
be placed in same location and the existing leachfield left online utilizing a Bull Run Diversion Valve.
C. TRENCH
1. The trench is to be located as shown on the site plan drawing, a storage shed will have to be relocated.
2. The bottom of the trench shall be level, plus or minus 1.5" and located at 15' below top of ground
surface measured at the water monitor tube.
3. The trench gravel is to be covered with typar fabric material.
4. A combination of 2' soil and 2" extruded board insulation to an equivalent soil depth of +3' is to be
placed over the leachfield.
5. The area over the trench is to be finish graded to prevent ponding of surface water runoff.
6. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any
Class "C" well, or 200 feet to any community well.
RECOMMENDED LEACHFIELD DIMENSIONS:
TOTAL DEPTH = 15' GRAVEL DEPTH = 10' under pipe, 2" over pipe
TRENCH LENGTH = 40' TRENCH WIDTH = +3'
SOIL RATING = 0.8 GPD/ft2 BEDROOM CAPACITY = 4 total
Twenty-four (24) hours notice required for all inspections.
DSERES BU2)OCS\2002\02-021 Trench- spec.doc
EAGLE RIVER
ENGINEERING SERVICES
P.O. Box 773294
Eagle River, Alaska 99577
(907) 694-5195
ERES Project No.: 02-037
Calculated By: LB
Date: 10/25/2002
Legal: Eagle Crest Addition#I, Lot 42 Tract A
Single Family 4 Bedroom Dwelling
TEST HOLE 1
Deep Trench Subsurface Wastewater Disposal Field
Water use at 150 gallons per bedroom = 600 gallons
Pemolation rate = 13 minutes per inch
Wastewater application rate = 0.8 gallons per day persquare foot
Required absorption area = 750 square feet
Trench width (W) = 3 feet
Graveldepth (D) = 10 feet
Required length = Required absorption area / 2 / D
Required length = 750 / 2
Required length = 38 feet
Total Excavation Depth = 15.0 feet
/ 10
02-037cal trench 4br.xls 12:16 PM10/25/2002
SECOND STREET
N89'59'00"E 131 ·70'
x~
2 STORY HOU%
L~ACH,~ELD
X 29.04'
X
UTIL EASEMENT
X-- X-- X~ X~
N89'59'O0"E 1,32.70'
EXISTING LEACHFIELD
NO SURFACE WATER
NO KNOWN CURTAIN DRAINS
X
[] - TEST HOLE
· , - MONITOR TUBE
o - SEWER CLEAN OUT
4- - WELL
.... EASEMENT
PROPOSED LEACH FIELD
.....m...- EXISTING LEACH FIELD
r,,:-,.:, ~ - DRIVEWAY
-- X FENCE LINE
SEPTIC UPGRADE SITE PLAN
LEGAL: LOT 42, TRACT A. 1ST ADDITION TO EAGLE CREST SUB.
OWNER: BOND
CONTRACTOR: GUARANTEED SERVICES
JOB#02-057 I DATE: 10/25/02[ SCALE 1" = 50'
EAGLE RIVER ENGINEERING SERVICES
A P.O. Box 773294
EAGLE RIVER, AK. 99577
(907) 694-5195 FAX: (907) 694.-3297
·
LOUIS A. BUTERA -' .~
'°. CE- 67.36 ." _~
Performed For.
Legal Description:
Municipality of Anchorage
Develepment Services Department
Building Safety Division
On-Site Water and Wastewater Program
470~ South Bragaw SL
P.O. Box 196650 Anchorage. AK 99519-6650
..: www~cL a nchora~e, ak. us
Soils Log - Percolation Test
J
Date F~rformed:
Township, Range, Section: T
site Plan
.
3. o'[O
0
10-
COMMENTS
Read~ng Date
~ " ID:If ~, 27
~ '~ lo:?~ 3o~;n ~,~ 0,21
PERCO~ON ~ ] ~ (m~) PERC HOLE
RUN B~EN ~ / ' ~ AND
Gross Time Net Time Depth to Water Net Drop
0.2"2
PERFORMED BY: ~:4 ~ te /~ Ve ¢' ~:n ~; h~eriJ~ [ ~ CERTIF-Y THAT THIS TEST WAS
PERFORMED IN ACCORDANCE WITH ALL ~TAT~ AND MUNICIPAL GUIDELINES 1N EFFECT ON THIS DATE. DATE:
(m,,~ MUNICIPALITY OF ANCHORAGE ['~1
DEPARTMENT 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
NAME
/
~-~3~--~0 r-'l UPGRADE
MAILING ADDRESS
LEGAL DESCRIPTION
Manuf~turer
[.iq. capacity in gallons IF HOMEIVI~DE: Inside length
Well Dwelhng
DISTANCE
Man_u J~e~r
Well Foundation
DISTANCE TO: 'f
No. of hnes Total length of
Top of tile to hnish grade tde
,
Length W~dth Depth
NO. OF BEDROOMS
M,~a~O ~:~ [ NO. ~.compartment$
gallons
PERMIT NO.
Type o! cfi epth
Nearest lot line
DISTANCE TO: Sewer line Septic tank
OTHER
PIPE MATERIALS
SOIL TEST RATING
PERMIT NO. ~tfO~(;;}~,'
Absorption area s
INSTALLER
REMARKS
APPHOVED
724)13 IRev. 3178)
DATE
LEGAL
PERMIT NO.
RPPLICR~iT
'LOCATION
LEGAL
RICHRRD'S CONSTRUCTION 705 MULDOON ROAD 99504
SECOND STREET
E 42 TRACT 8 EAGLE CREST #1 LOT SIZE
i7200 SQUARE FEET
TYPE OF SOIL ABSORPTION -~YSTEM IS: TRENt:H
MAXIMUM NUMBER OF BEDROOMS = 4
SOIL RATING (SQ FT/BR>= 210
THE REOUIRED SIZE OF THE SOIL ABSORPTION S¥STEH IS:
DEPTH= '1 0 LEI'-.IGTH= 70 GRFI'-.-"EL DEPTH=
THE LENGTH DIMENSION IS THE LENGTH (IN FEET> OF THE TRENCH OR DRRINFIELD.
THE DEPTH OF R 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 MINIMUm1 DEPTH OF GRRYEL BETWEEN THE OUTFRLL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET>.
REQLI I RED SEPT I ¢ Ti::I N J<. S I ZE= :1-'::'50 r3FILLOt-IS
PERPlIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS.DEPARTME,IT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY 8ND THE
NUMBER OF RESIDENCES THAT THE I~ELL WILL SERVE.
TI40 ( 2 > I I'-~SPEC:T IONS ARE REQL! I RED
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUfl DISTANCE BETWEEN 8 WELL AND BNY ON-SITE SEWAGE DISPOSAL SYSTEM IS
lO0 FEET FOR R PRIVATE ~ELL OR 150 TO 200 FEET FROM R PUBLIC WELL DEPENDING
UPON THE TYPE OF PUBLIC WELL.
MINIMUFt DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET
TO 8 COMMUNITY SEWER LINE IS 75 FEET.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN ~0 DR'CS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIRGRRMS ARE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T E."~:P I RES DEOEI"IBER
I CERTIFY THAT
l: I AM FRHILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND I,IELLS RS SET
FORTH BY THE ~IUNICIPALITY OF ANCHORAGE
2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES.
~: I UNDERSTAND THAT THE ON-SITE SE[.ER SYSTEM MAY RE~.UIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS.
S I ONED' ~.
i~PPLICt~NT RICHRRD'S CONSTRUCTION
ISSUED ............................... O TE_ iL: J .......
V4. 0
~p~llcant:
· ' 0 FRINICIPALI]T OF ANCHORAL~
oepart~0~n~ of Bealuh and EnvLronmentat Pro~ectio~
825 L' ~ree~, ~chora~a, A~. ~gSOt
264 -4720
~m/oza (l/S1)
~ppl Lcant
oat~
L~gal Deseripeion~ Lot ~tza~ -[-~, ~ .i
~ of So~l ~kion ~y;t~ is:
Trench; ~ Orain~Le~d: _ sewage ~ , aot4tn~
-?~::~e length d~neion is t~ length(ia feo~) o~ ~he ~rench oc dra[nfLel~.-
U~ ~tt~ of the excavaUton{iu feoU). ~ece i~ no so~ ~Idth
~e graves d~th ~ the ~ln~ ~epth of gravel ~tweeu the ouulall
~ ~tt~ o~ t~ ex~avatlon(iu ~eet).
De.it appLican5 ha~ the res~n~Lliky ~o in[o~ ~hL~ ~epar~n~ during
installation insp~%fons o~ any We~la adjacen~ tO thka pro. cry agd
of cesidence~ that_ ~. w.~ v~l ~erve, -
'~,itt ~ s~]~ to p~e~utton.
MLn~ ~i~ua~ between a well an4 any on-sl~e ~wage die.sat
'~OC a private well or iS0 to 200 ~ee% ~r~ a public well de~ndtng ~u ~hs tj
i...o'f'pubttc weft. Min~ d~tance ~ a-pcLva~a veil ko a privake
and ~ot ~ re~u~ to this dop~n% ~itht~ 30 daFe of the wail
available to insure pco~c tn6taLiatLo~. ' 't
(2) X wL%l install uts ~y~t~ ~n aucorda~e wl~h c~es.
(3) I understand that the o~-s[te ~ewe= gy;t~ may re~ enLacg~nk
t~ re0Lde~e i~ re~e%~ to i~Xu~e ~re.that 3 b~c~.
Applicant:'~~__~o
Location: ~ ~-
Legal Description: ~ gg- ~-R-~ ~
Type of Soil Absorption System Is:
Trench: / Drainfield:
Maximum Number of Bedrooms: ~
~"IUNICIPALITY OF 6NCHORAGE~'"~
Department',~ Health and Environmental .~rotection
825 L Street, Anchorage, AK.- 99501
264-4720
" * * * HANDWRITTEN PERMIT * * *
WELL AND~;~ ON-SITE SEWER PERMIT
Mailing Address:
Phone Number:
~j~ ~.J/~b~ Lot Size:
_ Seepage Bed~ Holding Tank:
Soil Rating(sq.ft/br)
The Required Size of the Soil Absorption System Is:'
DEPTH /0 LENGTH ~-?~ ~GRAVEL DEPTH ~ r
· WIDTH :
The length dimension is the lengthiin feet) of the trench or draiafield. 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 SEPTIC(HOLDING) TANK SIZE = I~)-~ 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 departm~n~
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 typ~
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 31,.1 9 8 i * * *
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.
(3} I understand that the on-site ~ewer system may requ~e enlargement if
the residence is remodeled to include more that 3 b~rooms.
Issued by:~ ~
Signe~:
Applicant
SWP/024
PERFORMED FOR:
LEGAL DESCRIPTION:
MUNICIPALITY OF ANCHORAGE '~
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTEC'rlON
825 L. Street, Anchorage, Alaska 99501 264-4720
SOILS LOG - PERCOLATION TEST
r-i SOILS LOG
PERCOLATION
TEST
1
.2
3
4
5
6
7
8
9-
10-
11
13-
14;
15-
16-
17-
18-
19-
20-
COMMENTS
WAS G.OU.D WATER /Jo
ENCOUNTERED?
E
IF YES. AT WHAT
DEPTH?
Gross Net Depth to Net
Reading Date Time Time Water Drop
· .~...v -' =/~'/,,w ~-:s-o? - z" . -
PERCOLATION RATE
TEST RUN BETWEEN
(minutes/inch}
&' FTAND & ,FT
PERFORMED BY:
72-008 (6/79)
( er?ifie Drilliug og
by
DOC Co. ~tl~&
SULLIVAN WATER WELLS
P.O. BOX272, CHUGIAK, ALASKA 99567 · TELEPHONE688-2759
OWNER OF LAND
ADDRF. SS '7 ~ ~
LEGAL DESCRIFI'ION L -'"~_ - , DRAW DOWN FT.
7fl! Ended "r/,~/ GALS. PER HR
DATE
S~r~ed
PERMIT NUMBER KIND OF CASING
DEPTII OF WELL ~,.Z/
STATIC LEVEL OF WATER FT. ~ -r O
KIND OF FORMATION:
From ~ Ft. lo ~,0 Ft. 0
From ~ Ft. to I ~ Ft.
. /
From / ~ Ft. to /~ Ft.
From ~ Ft. to~ ~ Ft.
~rom ~7 ~t. toK ~ ~t.
From ~ff Ft. to/7~ FL
From Ft. to Ft-
From ,.,~.~c, Ft. to ~'Ft. ~' ! C.~'xT ~,~0
From ~CFt.(o ~ Ft ~ ~T ~O ~
From ~Ft. to Ft ~ ~ ~ ~
From ~ Ft. to~Ft. C~ ~ ~/~
From ~- FLto~Ft. ~ ~ ~
From Ft. to Ft. t~ ) ~ ~
From__Fi. to Ft
From__Ft. to Ft.
From__Fi. to Ft.
From Ft. to Ft,
From__Ft. to Ft
From __Ft. to Ft. ·
From __Ft. to Ft.
From Ft. to Ft.
From__Ft. to Ft.
From__Ft. to ' Ft.
From Ft. to Ft
· From Ft. to Ft.
From__Ft. to Ft.
From--Ft. to Ft..
From__Ft. to Ft.
From F~. to Ft.
From__Ft. to Ft
MISCL. INFORMATION:
®Municipality of Anchorage
On -Site Water and Wastewater Program 2
(907) 343-7904 'V., F E T Y
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-304-09
1. GENERAL INFORMATION
Complete legal description Eagle Crest #1 Tract A Lot 42
Location (site address) 19532 Second Street
Expiration Date: (y
Current Property owner(s) Clifford M Fletcher JR Day phone
Mailing address
Real Estate Agent
19532 Second Street, Eagle River, AK
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
4. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
❑
Community Class _ Well
❑
Public Water System
❑
WaiverNariance request for:
Received by:
4
Day phone
TYPE OF WASTEWATER DISPOSAL:
Individual
Holding Tank
❑
Community
❑
Public Sewer
❑
COSA to be released to the engineer, unless otherwise requested by the engineer.
Date:
COSA Fee $ 566 Waiver Fee $ _
Date of Payment yj t I t gam Date of Payment
Receipt Number a L191 go Receipt Number
COSA # 65 c oo mica Waiver #
istance:
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date a L,(O/;zo
Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen �F AL\ \,
encroachments, deficiencies or discrepancies exist.
6. DSD SIGNATURE
System #1 Approved for bedrooms.
System #2 Approved for bedrooms.
0
Disapproved.
Ar Z `
"of
TH
KENNETH Ni /
1 , 7LIs
'ROPES s 10 API
\`�
Conditional approval for bedrooms, with the following stipulations:
The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineer's work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
r• r tr.' Z -.
Septic System Advisory Arsenic Adviso.,
l'y' .;
Well Flow Advisory
COSA blue sheet 10-10-12.doc
Other z.,
Legal Description:
COSA Checklist
Eagle Crest #1 Track A Lot 42
If more than 1 septic system on lot: COSA Checklist #
A. WELL DATA
❑ Well log is filed with Onsite (or attached)
Date drilled 7/81
Total depth 321 ft
Cased to 40+ ft
Sanitary seal is functioning correctly
Wires are properly protected
Casing height (above ground) 24 in.
Date of flow test for COSA 1/29/20
Static water level at beginning of test 287 ft.
Comments
!�i�sP►I:i7=�i-1
Age of tank(s) 18 years
Tank type/material Septic/Steel
Measured operating fluid level in septic tank 49"
Standpipes/foundation cleanout per record drawing
Date of pumping
D. ABSORPTION FIELD DATA
Which system tested (date installed) 11/9/02
ALL standpipes present per record drawing
Total measured depth from grade 14 ft (max)
Measured depth to pipe invert from grade 5 ft (min)
❑ N/A — pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Com ments/Deficiencies:
COSA Checklist yellow sheet
Parcel: ID: 050-304-09
of Structure served by this system 1
Well production at time of test 6.1+ gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes No
❑ Coliform bacteria is Negative
Nitrate 1.66 mg/L ❑ Nitrate less than MRL (ND)
Arsenic ug/L K Arsenic less than MRL (ND)
Collected by Arcterra Consulting
Date of Sample 1/29/20
C. LIFT STATION
❑ Required maintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 1/29/20
Results Q Pass For 4 bedrooms
Fluid depth prior to test 0 in
Water added 600 gal
New depth 7 in
Elapsed time 10 min
Final fluid depth 0 in
Absorption rate 600+ and
Any rejuvenation treatment (past 12 months)
If yes, enter date
E. SEPARATION DISTANCES
From Private Well on Lot to: (Please enter distances if less than required or if community well)
Septic Tank/Lift Station on Lot > 100'
® Yes
if No
Community Sewer Manhole/Cleanout > 100'
® Yes
if No
ft
0 Yes
if No ft
Neighboring Tank > 100' ® Yes
if No
ft
Private Sewer/Septic Line > 25'0 Yes
if No ft
Absorption Field on Lot > 100' ® Yes
if No
ft
Holding Tank > 100' ® Yes
if No ft
Neighboring Absorption Fields > 100'
if No
ft
Animal Containment > 50' ® Yes
if No ft
0 Yes
if No
ft
ft
If septic tank is under driveway comment below
Manure/Animal Excreta Storage > 100'
Community Sewer Main > 75' ®Yes
if No
ft
0 Yes
if No ft
From Septic/Holding Tank on Lot to: (Please enter distances if less than required)
Building Foundations > 10'
® Yes
if No
ft
Surface Water > 100'
0 Yes if No ft
Property Line > 5'
® Yes
if No
ft
Wells on Adjacent Lots:
Absorption Field > 5'
® Yes
if No
ft
Private Wells > 100'
Yes if No ft
Water Main > 10'
® Yes
if No
ft
Community Wells > 200'
0 Yes if No ft
Water Service Line > 10'
® Yes
if No
ft
If septic tank is under driveway comment below
From Absorption Field on Lot to: (Please enter distances if less than required)
Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below
Property Line > 10' ® Yes if No ft Wells on Adjacent Lots:
Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft
Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft
Surface Water > 100' ® Yes if No ft
F. ENGINEER'S COMMENTS
G. ENGINEER'S CERTIFICATION
I certify that 1 have determined through field inspections and review
of Municipal records that the above systems are in conformance with
MOA COSA guidelines in effect on this date.
COSA Checklist yellow sheet
4
•
V Eai`1 4
•` � Municipality of Anchorage 4,
i
On-Site Water and Wastewater Program S
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. 050-304-09 Expiration Date: 2.404/7
1. GENERAL INFORMATION
Complete legal description EAGLE CREST#1 TRACT A LOT 42
Location (site address) 19532 SECOND STREET, EAGLE RIVER, AK 99577
Current Property owner(s) DANIEL& MELISSA PETERSON _ Day phone
Mailing address 19532 SECOND STREET, EAGLE RIVER,AK 99577
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 4
4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:
Individual Well ® Individual
Individual Water Storage ❑ Holding Tank ❑
Community Class _Well ❑ Community ❑
Public Water.System ❑ Public Sewer ❑
WaiverNariance request for: Distance:
Received by: Date: /424
COSA to be released to the engineer;unless otherwiserequested by the engineer.
COSA Fee $ 52,6 Waiver Fee $
Date of Payment /06 /16 Date of Payment
Receipt Number 0247 l O Receipt Number
COSA# 0 SC.Vo I. Sh Waiver#
5. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation,
based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application,
shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate
for the number of bedrooms and type of structure indicated herein. I further verify that based on the information
obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water
supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes,
ordinances, and regulations in effect at the time of installation.
Name of Firm ARCTERRA CONSULTING,INC. Phone 868-3791
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS Date 11/15/16
Engineer's Comments:This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition
of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface
conditions that may not be observed from the surface, changes inland use, local soil characteristics,groundwater levels that may fluctuate
during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are
subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen etc) OE Az \
encroachments,deficiencies or discrepancies exist. r cSv t�q
Avr<S�
1 ; 49TH • /tet♦
6. DSD SIGNATURE
System #1 Approved for KENNETM. Pie's Ai
pp { bedrooms. H� 7 ,a ,
/
System #2 Approved for bedrooms. 1 Ei\t // Lo /Ltht p`i
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
ookkviltff trt
\IY OF 1y
0,e,•(/
U .�- ON-SITE
WATER AND m"
WAS(EWAIER o=
- PROGRAM_,�n_
o��VjSEF2V`rk53
By: 50717W /. G- Original Certificate Date: M
The Municipality KO*
Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only
upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality
of Anchorage is not responsible for errors or omissions in the professional engineers work.
7. ATTACHMENTS:
COSA Checklist X Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheer 1610.12.tloc
If more than 1 septic system is on the lot:
COSA Checklist# of_
Structure served by this system _
Certificate of On-Site Systems Approval Checklist
•
Legal Description: EAGLE CREST#1 TRACT A LOT 42 Parcel ID: 050-304-09
A. WELL DATA
Well type PRVT If A, B, or C provide PWSID#_ Well Log (Y/N) Y
Date completed 7/1981 Sanitary seal (Y/N)Y Wires properly protected (Y/N) Y
Total depth 321 ft. Cased to 40+ ft. Casing height (above ground) 12+ in.
FROM WELL LOG AT INSPECTION
Date of test 7/1981 11-4-2016
Static water level 290 ft. 282 ft.
Well production ' 12 g.p.m. 6.6 g.p.m.
WATER SAMPLE RESULTS:
Coliform NEG colonies/100 mL Nitrate 1.23 mg/L
Arsenic: ND ug/L Date of sample: 1114116 Collected by: ARCTERRA
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material SEPTIC/STEEL Date installed 11/09/2002
Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y
Foundation cleanout(Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y
Date of pumping 8/23/2016 Pumper JRs
C. ABSORPTION FIELD DATA
Date installed 11/09102 Soil rating Sr ft2/bdrm) 0.8 System type DEEP TRENCH
Length 42 ft. Width 3 ft. Gravel below pipe 9.81. ft.
• Total depth 14.25 ft. (Measured 11/4/16) Eff. absorption area 825 ft2 Monitoring tube Y• Depression over field N
Date of adequacy test 11-4-16 Results (Pass/Fail) PASS For 4 bedrooms
Fluid depth in absorption field before test 0 in. Water added 630 gal. New depth 7 in.
Elapsed Time '10 min. `` Final fluid depth 0 in. Absorption rate >= 600+g.p,d.
Any rejuvenation treatment (past 12 mo.) (Y/N &type) N If yes, give date
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off' level'at in. High water alarm level at in.
Datum Cycles tested Meets alarm &circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOT TO:
Septic tank/lift station on'lot 100'+ On adjacent lots 100'+
Absorption field on lot 100'+ On adjacent lots 100'+
Public sewer main 75'+ Public sewer manhole/cleanout 1001+
Sewer/septic service line 25'+ Holding tank 100'+
Animal containment areas 50'+ Manure/animal excrete storage areas 100'+
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 51+ Property line 5'+ Absorption field 5'+
Water main 10'+ Water service line 10'+ Surface water 100'+
Wells on adjacent lots 100'+
ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main 10'+
Water Service line 10'+ Surface water 1004 Driveway, parking/vehicle storage 10'+
Curtain drain 50'+(NONE KNOWN) Wells on adjacent lots 100'+
F. COMMENTS
G. ENGINEER'S CERTIFICATION, •
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in conformance
with MOA COSA guidelines.in effect on this date. i OF A44
Engineer's Printed Name KENNETH M.DUFFUS +
+ 4!•
Date 11115/16 * 9 TFI ,
� �!�►��L mow,
COSA canary sheet_2-6-15.doc • . •
- . ....
$ P KENNETH ir'FUS ,Q' AO
kd> y/ 20 6 I>ie
-\ v.,r,2 sstovr''
:Municipality
DeVelopment SerVices Department
,' :?~.-' - -~:Dmsite Watevand:WastewaterProgram,~
" .-- P.O:.Boxlg665'0 Anchorage,;AK~: 99519-6650.
,:. : ~:ci.anchorage.ak:us~ .,-, ......
(907) 343-7904
CERTIFICATE OF HEALTH AUTHORI AP ROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-304-09 ..
1. GENERAL INFORMATION
Expiration Date: ~/# l ~,.~
Complete legal description EAGLE CREST #1, TEACT A, LOT 42
Location (site address or directions) 19532 2"D STREET, EAGLE RIVER, AK 99577
Current Property owner(s) DAVID BOND
Mailing address
SAME AS ABOVE
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
Day phone ~9~:4661 ::~ ~
Day phon, e
Day phone
2. NUMBER OF BEDROOMS: 4 :. · : ·
3. TYPE OF WATER 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 private or Class C well
and may be reissued with new water sample results. (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.
my seal .affixed hereto and~as.Of the"vahUabon date shown below v~er~;th~t my
based, on procedures..outhned m thO" Health Amhonty Approval-Guldehnes~.for, th,s
apt~lic~tibn, shows that tho on-site water supply and/or Wastewator disposal system is(are) saf6/f~hctional
and'adequate for the number of bedroorns and type of:structure indicated herein.'l further'verify that
based on the information obtained from the Municipality of Anchorage ~'iles and from my investigation and
inspeCtion, the on-site water supply and/0i'?Wastewati~r disposal system is(are) 'n compliance with all
applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation.
Name of Firm KND ENGINEERING. INC : ' Pho'h~ (907) 696-6111
Address 20441 Ptarmigan Blvd,. Eagle River-. AK 99577
Engineers-printed Name- Kenneth M; Duffus .................. Date -:A2/06/02 - .......
5. DSD SIGNATURE
Approved for 'z-/" '
DiSapprOVed.
Conditional apprOval for
bedrooms.
bedrooms, with the following stipulations:
Additional Comments
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
(Rev 01102)
X
Maintenance Agreements
Supplemental Engineer s Report
Other
Original Certificate Date:
· 'DEEP .TRENCH
~;: ~..N.eW ,dePth
:
f. y~ :ig Ve:'date.
· .':'"':': G~i~.i}':?,.:: .".' '.' .: '.' ·
.. ,.~'.~..;.~., ~:..-,.~,...~;~,..,.... · .
· "-?'" ~;.D~t~!~:iJ~:stalled NA'
F~m'p on ·leVel at '.". ':in.
Datum
SE'PABATI.ON'..D:IS'EA,.~CES' FROM' WELL .ON.LOT TO ...... . .......
...:?;,',:,.'...;,?:',,!;:;??~.'.,:;,,~::;,,,.~.,~:.. ... ~:~.. .... .:". ,.... ..... ..:~;.'::ii~:~::~..= ~;'::~'~',~.~..:.'~,'.';!~:~.~,,~.~-i.i '~.~?.~.;,
on adjacent lots;.. J'00'+
Septic taiik/lift'statio'n.on: lot ~'00'+
Absorption field~'0~ .i Ot' ':. ~ 0'0~+
· ~.. , .. i..~!' ','i~'". · '~ ~:~?~;'~.'.':'::'~.
Public sewe~, main :~ 7E'+"
. .~'"',.,'.?.':'":.~i~.:~.'..:~.:'.,, !:..- .......
Sewer/septic service".li,ne
..'!!': ./,?.::~.:.; .~;~ 'i:~ ;;;~'~ :~: .......... .:~'. --'= ..
,:F.~-" :~,~ ,,!:.~ ".:. r'.
· ..v~:, ~ ~ ?..-~_~,~ ' ,.¢:~';.:
in.
.........On' adjacent.lots I00~+
~.~ ,..r..~?:..?.,.~:..?..?,:i~.~.:. i~?~::....~!i ...: . .?..;..%~,~;. ?..~,..,: ..
P,U. bl C sewer manhole/cleanput,
Holding !~D..k,. ,100'~
SEPARATION :DISTAN,~i,E.:S,i,IF.R.~,M, SEPTIC/HOLDING TANK 'ON. LOT 3;Q:. : .
. -:.~.:.'...u"'.~:~ .'...~ '.; :: ' '"' '.: ,'-.:~ ,~1, ' ....
Absprption field $~+ . .
S~'~.~ce .water · 100'+
Building foundation $'+ Property line· 5'+
Water main 10'+ Water service line '10~+
Wells on adjacent lots 100'+
SEPARATION ·DISTANCE· FROM ABSORPTION FIELD :ON LOT TO:
Property line .10'+ Building foundation 10'+ Water main ~'0'+
..... · :.:. ..; ..'.~ ... ..:':.,~,~,. ! · .,- .~.~ : ?
Water Servce'line f0~+ Surface water ~00'+
.? . :.. -{....?..!.'? :, -..,.- ........ ~'::.'.._:.:~J' ..
Curtain drain 50', Wells on adjacent lots 100'+
F. COMMENTS
Driveway,· parking/vehicle storage· '25~+
~ ,.-,,.. .'~'
HAA Fee $375.00 "..-
'ReceiPt~Number ~'.~tO:.t:.:...,'~...:..
(Rov.42/01)~ ' ', ~-
:~Date .ofYP'a:y~e'ht- :. -.,.
.Reb'e[pt ~NUmber ......
Parcel I.D.
' DEPARTMENT OF HEALTH & HUMAN sERVicEs
Division of Environmental Serviceb
· on.~site serVices Section '
P.O. Box 196650 An(~horage. AJaska' 99519-6650
- ' 343-4744 · ~ MAY 1 2 1997
~ cERTIFICATE'oF HEALTH AUTHORITY -'
^pp.ov^ Fo. A S,NGL FAM,LY DWEL ,. RECEIVED
GENERAL iNFoRM~.TION '
Complet~ legal description Lo '~'-' :4-2.;"'
Location (site address or directions)
Property owner
Mailing a, ddress
Lending agency
MaiJing address
Day phone
./
Address
Unless otherwise requested, HAA will be held for pickup,
NUMBER OF BEDROOMS:
TYPE OF WATER SUPPLY:
Individual Well
Community well
Public water
e
lng to the legality and status of system.
'~'~"PE dF WASTEWATER DISPOSAL:
Individual on-site /
NOTE: If community well system, provide written confirmation from State ADEC attest-
iREcEi?ED: .,
Holding lank ":'' i ~ '~9~7 '
Community on-site' ~% .,. ~-, . .~'.
Munlc~l~ of Anchorage
Public sewer . Dept. Health & Human ~lces
N0~: ' I~ communit~ wastewa~er sy~t~m; provide ~/itt~n confirmation fro~'~';'~bEd '
attesting to the legality and status of system. · .
STATEMENT OF INSPECTION BY ENGINEER** *
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
InvestigatiOn '~f this' Health Authority Approvai application shows that the on-site water supply
arid/or wastewater dispoSal system is safe, functional and adequate for the number of bedrooms
and type ~f StnJcture nd[cated here n. I furth~rv~rifythat besed on the information obtained from
;t.h.e, M.u.m~pa!~.ty ,of Anch0~g~ files ~d fl:0m'my.investig'ati0n and inspection, the on-site water
supply and/or wastewater dispoSal system'is .I.n compliance with all Municipal and State codes,
ordinances, ~nd'r~gulMions in effect on the date of'this Ir~specfion
· Phone.
Date
Name of Firm
Address
6. DHHS SIGNATURE
-x/' Al~proved for 4
bedrooms.
DiSapproved.
Conditional approval for
bedrooms, with the following stipulations:
Additional Comments '
\~(.h,e MunlcilSality of Anchorage Department of Health and Human Serv ces (DHHS) Issues Health Authori
- "g'"'r' .~. ..-., _ ty
ppj oval. Cerbfi,.c~,,~..~, .b~,. ,se~,~ only upon the representations given In paragraph 5 above by an ndependent
pro,f _e~siq?. eng near reg stered n the State of A aska. The DH HS does th~s as a courtesy to purchasers of homes
and their lending InStitUtions In order to satisfy certain ~ed~ral and state requirements. Employees of DHHS do not
conduct Ir{~pact[~n~"~)~'ahalyze dMa before a 'C~rtificat~ is Iss[J~d, Tl~e Mu~iclpality'of Ahchorage Is not
responsible for errors or omissions in the professional engine~r's work.
J~JNICIPALmt OF
Municipality of Anchorage mVmO~AL
DEPARTMENT OF HEALTH & HUMAN SERVICES
Environmental Services Division MAY 12 3997
825 L Street,*Room 502 · Anchorage, Alaska 99501 · (907,). ~1G-4744
RECEIVED
Health Aut.horlty Approval Checklist
A. WELL DATA *
Parcel I.D.:
O~'0- 304'-oC~
Well type
Log present (Y/N)
Total depth ~ ~ I
Sanitary seal (Y/N)
If A, B, or C, attach ADEC letter. ADEC water system number
~/G~; Date completed '7/8
I
" Cased to 4.0 t.k
Casing heigM (above ground)
Wires properiy"protected (Y/N)
FROM WELL LOG
Date of test 7/6/
Stetic water I~al
Well production
WATERGolltorm "~'MPLE RESU~j~:
Date of sample:
B. SEPTIC/HOLDiNG TANK DATA
g.p.m.
Nitrate o '~"7 e"~
· Collected by:
Date installed 8/8! Yank size
AT INSPECTION
.q. 87/~_
Foundation cleanout (Y/N)
Date of Pumping
ABSORPTION RELD DATA
Date installed '
~ g.p.m.
Other bacteria
Number of Compartment~ __
o~"ff °"~'
~- Cleanouts (Y/N) ¥ ~
Depression (Y/N) hJ0 High water alarm (Y/N) ~
Pumper
Soil rating ~ or fff/bdrm)
System. type
Length ~,~ ' Width ~ Gravel thickness below pipe '7'~ Total depth I ~ /
Effecttve absorption area c/lO Monitoring Tube pmssnt (y/N) ~f Depression over field (Y/N)
D .of.d .w t Ras.,.(Pe. al,) For 4'
Ruid depth~ absorption field before test (In.); 7J ~/~ ~ Immediately after"]OOgal, wate;edded (in.): <:r~-.~'
Fluiddepth~. ~0 2k. (ins)Minutes later: :2..1'~' Abeorptionmte ~' ~00 a.p.d.
Peroxide treatment (past 12 months) (Y/N) ~oo,~G..- /~,~o~/ If yes, give date
72-026 (Rev. 3/96)' -~ '7. ~ FO~d'~ i~v'~,..~.4- ~ ~,~ o~ ~.'r
Date installed ~ Size in gallons _..,...-~
Manhole/Access (Y/N) ~~
High water alarm level at*
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic/holding ta~k on lot /1~'~4.
Absorption field on lot //~'/-~
Public sewer main ~J
~ewer/septic service line ~ I cO/
RECEIVED
On adjacent lots
Public sewer manhole/cleanout
Lift station
Municipality of Ancflora ·
Dept. Health & HJ~man 8e~v~se
On adjacent lots ~ I 0~:
!
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANKt ON LOTTO:
Foundation ~" ~ t+ Property line ~' IO Abso~tion field.
/ /'
Water main/service line ~ ~ O .Surface water/drainage '~'1OO Wells on adjacent lots
SEPARATION DISTANCE FROM ABSORPTION FIELD O~ LO, TTO:
Property hne /O/~' Building foundation ~'/.'f~'/' ~'/-+ Water maln/sewice line ~/O
· Surface water ~' I oD/ Driveway. parking/vehicle storage ama
Curlalndraln t,,-~o~_,- I~-,uou~J Wells on adjacent lots ~ IOO/
HAA Fee $.~_,=:~- ~)
Date of Payment ~
Receipt Number ~~"'"'-~
Waiver Fee $
'Date of Payment
Receipt Number
72-026 (Rev. 3/96)* ..
Alaska Water & Wastewater
May 12, 1997
8471 Brookridge Drive ~ Anchorage ~ Alaskn 99504
Phone (907) 337-6179 ~ Fax (907) 338-3246
Consulting Engineers
Municipality of Anchorage
Department of Health & Human Services
Division of Environmental Services
On-Site Services Section
P.O. Box 196650
Anchorage, Alaska 99519-6650
Subject: HAA for Private Well & Septic System. Lot 42, Tract A, First Add.,
Eagle Crest S/D.
To whom it may concern:
The subject lot has a 4 bedroom house on it which is served by a private well and septic system.
The results ofthe fldd investigation and adequacy tests are summarized as follows:
A. WELL: On the day ofmy inspection (5/9/97) the static level was 287 feet below the top of
the casing. Water was pumped from the well at a rate of 5 gpm for 140 minutes (700 gallons).
Throughout the pumping period, the level varied from 287 feet to 288 feet depending whether the
pump was running. In short, there was virtually no drawdown. Based upon this data it was
determined that the capacity of the well exceeds the Municipal requirements for a 4 bedroom
house (600 gallons per day). The well will produce greater than 720 gallons in four hours, as
required for FHA financing.
B: SEPTIC TANK: The existing septic tank was installed in August of 1981 (almost 16 years
old). According to the M.O.A records, it is 1250 gallons, has two compartments and is made of
steel. No warrantee is made regarding the future life ofthe tank.
C: SEPTIC SYSTEM INITIALLY TESTED BY S&S ENGINEERING: The drainfield was
initially tested by S&S Engineering and deemed to be in a failed condition. Attached is'a copy of
their test results. I reviewed the report and concur with their general method, but difigree with
the way in which they calculated the absorption rate. When determining the absorption rate, they
assumed the recovery time starts as soon as they begin introducing water into the system, 'rather
than starting the recovery period immediately after they stopped introducing the water (As per
Leroy Reid, P.E., report, 1982). Using the conventional approach, the absorption rate during
the first 80 minutes ofthe recovery period was .69 gallons per hour, which corresponds to 994
gallons/day. The absorption rate would have been even higher ifthe system was filled to the top
of the drainpipe.
D. SEPTIC SYSTEM ADEQUAC-~' TEST PERFORMED BY ALASKA WATER &
WASTEWATER: Per thc 1981 inspection report, the drainfield is a 3 foot wide trench, that is
65 feet long, and has an effective depth of 7 feet. I was able to verify that the bottom of thc
monitoring tube extends 91.125 inches below the drainpipe invert, and 95.125 inches below the
top of the drainpipe. I shot the invert elevations of the drainpipe, and the elevation of the
clean-out, near the beginning of the trench, and found there to be a difference of 10.2 inches.
Given this elevation difference, the trench can be filled to the top of the drainpipe without
hacking-up into the septic tank. Prior to starting the adequacy test there was 76.625 inches of
liquid in the sump. Water was added to the dean-out at a rate of 5 gpm for a total of 140 minutes
(700 gallons). The liquid level rose a total of 17.875 inches, to a depth of 94.5 inches (5/8"
below the top of the drainpipe). This equates to 39.2 gallons per inch. The recovery was
monitored for 215 minutes and the water level dropped a total of 4.25 inches, indicating an
absorption of 166 gallons. This corresponds to an absorption rate of .77 gallons/minute, or 1108
gallons/day. Based upon this data, the drainfield was deemed to be adequate for a 4 bedroom
house (600 gpd). It should be noted that the system had to be filled to 100% of its capacity in
order to achieve the required absorption rate. In short, it is approaching the end ofits useful life.
If you have any questions, please contact me at 337-6179, or on my digital pager at
1-800-481-116~ Thank you for your assistance.
/I
Jef~ Garness, P.E., M.S.
Princ!
C.C ILE/MAX Properties, Al Romaszewski
NOTE: The adequacy of a septic system is in. fluenced by numerous factors, inchtding, but not
limited to, sectional surface water #ifiltration, grouna~vater variations, septic" system
maintenance (frequency of septic tank pumping, u.~ge of biological additives), condition of
dra#t pipe and pipe joints (which can be damaged by seismic activity attd deteriorate w)th age,),
Ope of substances deposited hi septic system (cigarette butts, sanitary napl~ins, misc.'objects),
and tile amount of water being introduced on a cont#mal basis. Consequently, the results of this
adequacy test are only valid for the specific day of the test. Furthermore, b~cause.of the limited
nature of this #tvestigation, it is possible that there are hidden defects which may not have been
detected. No warrantee is made regarding the future performance of this well or.septic system
CLIENT: ~ ~Je'r ~---~L A ~oolL; ~ DATE:
ROBERT C. COWAN. RE.
ROBERTA. SHAFER. RE.
CML ENGINEERS
(907) 694*297g
FAX (907) 694-121 !
LEGAL DESCRIPTION:
# OF BEDROOMS:
TYPE OF ABSORPTION SYSTEM:
SEPTIC TANK/FIELD SEPERATION TO V/ELL= U ~ +/I Io t./.
SEPTIC TANK SIZE:
ABSORPTION FIELD DATA: Depression over field (Y~): SEPARATION DISTANCE FROM ABSORPTION FIELD TO:
Driveway, parklnglvehlcle storage area: Z~l'4· ,
Curtain drain: e,,I O~/~'
Foundation: ,.?.,o~ .+
SEPTIC DATA:
LIFT STATION:
Dale of pumping: I.~/~1~/fl-/
Foundation cleanout (~): ~
"PUMP ON" level at:
High water alarm level:
Depression (Y~ Ne
"PUMP OFF" level at:
METER GALLONS LIQUID LEVEL
TIME READING ADDED COMMENTS
(TOTAL) S.T. M.T. M.T.
~:25 ~ ~ 77" -H.~" ' '~
1':9~ 5=41o ~/~Ho ~ ~C" + fl" ~:"
II:o~ g~eo ~o/I0~ ~ ~8~ ~2" .
I:~0 G8.5° -%.~"
TESTED BY: ~UI /
THIS SYSTEM IS NOT GUARANTEED AGAINST SUBSEQUENT R~: i'
~1 */,, ~,~1'. 173034 NORTH EAGLE RN~R LOOP * SUITE 204 - ~AGLE RIVER, ALASKA 99577 ,
.../. ,.,,.,.
CT&E Environment8l
Services
Inc.
CT&E Rd'.//
Clie~ Name
Project ~*,~/#
Cll~ S~nple ID
Matrix
Ordered ~y
PW$1D
97193~001
142 Bk A ]Ea~lc Cr~sc $/D #1
1.42 Bk A
Dr~in~ W~tcr
C[~eslt PO#
Printed Date/rime 04/29/97 10:35
Collected Dale/rime 04/'23/97 15:30
Re~elved Date/Time 04/25197 08:25
Teclmlc~! Dive. or: Stephen C. Ede
S~mplc
CT~ Microbiolob~ Drinking Wa~r Program c~,ificatio~ statu-~ is provisional ~ of 4/8/97.
Tot&t Coliform O COl/100m4. $H18 9ZZZ~
Limits D4tff Oote Init
04/~/97 JSk
0¢/~/97 nA~
"'~"~ DATE ~ECEIVED
.,' INSPECTION APPOINTMENTS ~,~ ~
INSPECTOR INSPECTOR~
MUNICIPALI~ OF AN~O~GE
MUNICIPALITY OF ANCHORAGE DE~T. OF H:ALTH &
~;4F~ ENVIRONMENTAL SANITATION DIVISION
~ Telephone ~7~
~' SI'R.~trT LOC 0 ~ · '
[] MULTIPLE FAMILY
NUMBER OF~BEDROOMS
[] One {~ Four
I'--I Tw.0, ~ [] Five
[] Six
[] Other
7. WATER SUPPLY
~ INDIVIDUAL* * ATTACH WELL LOG. A well log is required for all wells drilled
[] COMMUNITY since June 1975. For wells drilled prior to that date, give well
r-I PUgLIC UTI LITY depth (attach log if available.)
8. SEWAGE DISI;~)~SAL SYSTEM
[~INDIVIDUAL/ON-SITE** /Y// YEAR ON-SITE SYSTEM WAS INSTALLED.
{~] PUgLIC UTILITY
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED.
THIS SIDE FOR OFFICIAL USE ONLY
1. TYPE OF RESIDENCE - NUMBER OF BEDROOMS
I-'1 SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER
[] MULTIPLE FAMILY [] TWO [] FOUR [] SIX
2. WATER SUPPLY PERMIT NUMBER
i--'l INDIVIDUAL DEPTH OF WELL
[] COMMUNITY
DATE DRILLED
[] PUBLIC UTILITY
Connection Verified LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER
[]INDIVIDUAL/ON *SITE DATE INSTALLED
[]PUBL,C UT, UTY
Connection Verified _ INSTALLER
[]Septic Tank or [] Holding Tank
Size:~ If Tank is homemade SOILS RATING
give dimensions: · -
TYPE OF TANK MANUFACTURER
TOTAL ABSORPTION AREA MATERIAL. I ~
4. DISTANCES WELL TO: Sepbc/R°ld'ng Tan k IAb$°mt'°n Area' ISewer Line INearest LOt Line
5. COMMENTS
EDROOMS~.f,,--
,~ APPROVED FOR (letter must accompany cer,[if[c.ate~)
[] CONDITIONAL APPROVAL
[] DISAPPROVED ./,,~
72-010 (Rev. 6/79)
Anchorage
825'L" STREET
ANCHORAGE, ALASKA 99501
(907) 264-4111
[)£PAII rMENT OF HEALTH AND ENVIRONM['t~TAL PIIOTECTION
September 10, 1981
Richards Construction
905 Muldoon Road #A-87
Anchorage, Alaska 99504
Subject: Lot 42 Tract A Eagle Crest Subdivision
Approval for the indivdiual sewer and water facilities
cannot be granted until the following items have been
completed:
(2)
The water analysis report needs to be submitted to
this office from the Chem Lab, 5633 B Street, for
our review.
A well log submitted to this office for'our files
and review.
If there are any further questions, please call this office
at 264-4720.
Sincerely,
James S. Roberts
Associate'Environmental Specialist
JSR/ljw
cc: Alaska Bank of Commerce
3230 C Street 99503