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Home My WebLink AboutHERITAGE PARK BLK 2 LT 6H itage Pa k Block 2 Lot 6 #050- 2 ! ! -74 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 99519-8650 Page www.ci, anchorage.ak, us (907) 343-7904 ON-SiTE WASTEWATER DISPOSAL SYSTEM AND/OR WELL }NSPECTION REPORT Permit Number: ~[~1~~/~ PID Number: O~-(~"~ I 1'- '~Z~ N .... ~~ %~F WastewaterSystem: ~New ~Upgrade ,Address: ~ ~~ lO,go E g; eO/ g577- q/2 ABSORPTION FIELD Township: LEGAL DESCRIPTION Range: Section: Well: [] New [] Upgrade Classification (Pfivat~e, A, B, C); ~ Total Depth: Cesed to: Ddt[er: ~ S~.IJC Water Lintel: p Set at Ft.J~5 SEPARATION DISTANCES T~ To Septic Abso~tion Lift Holding PublidF~ate Depth to pipe l:ottom from ~-igina~ gra:le: Gravel dep~ be~a~ pi~: F~ded~gin~Je~Ft' Grav~Le~: ~ I Ft. TANK ~Septic [] Holding [] S.T,E.P. [] Other: Capacity: Tank Field Station Tank Sewer Une 7~; ~_~ h~""~ %~¢/ .u~r of Compartmems: Remarks; LccCJon and Desc~ptiotr BENCH MARK S ,. . 17034 Eagle River Loop Road, ~:~ ~ Development Se~ices Depa~ment~~Approvat Reviewed and approved by: ~ ~' ~~ Date: [i PERMIT NO. SW020449 PAGE 2 OF 3 DEPARTNIENT OF HE~[.THAND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVIS~ON P.~. ~ox 19~650 ~Anchor~~e~ A(~sk~ 99519-6650~Tete~ho~e: 343-4744 ON-S~TE WASTE~ATER D~SPOSAL SYSTE~ AND/OR WELL ~NSPECTION REPORT LEGAL LOT 6, BLOCK 2, HERITAGE PARK S/D P.I.D. NO, 050--211--74 LOT 5 SCALE: 1" = 30' PgRMIT NO. SW020449 ?AGg 5 OF .5 Municigc~(it oF Anchoro, ee DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVOCFS DIVISION · P,O. Box 196650 ®._Anchorage, Alaska 99519-6650 · TeLephone', 343-4744 ON-S~TE WASTEWATER D~SPOSAL SYSTEM AND/OR WELL ~NSPECT~ON REPORT LgOAL LOT 6, BLOCK 2, HERITAGE PARK S/D P.LD. NO. 050-211-74 S_T1 ST_2 /102.4' FINAL GRADE/ 2" GALLON SEPTIC TANK A B C FCO 1.3.5' - 27.0' C01=101.2' ST1 8.5' - 38.0' C02=97.8' ST2 8.0' - 4,3.5' -_- DBL1 8.5' - 46.0' DBL2 9.5' - 47.0' j DV 10.0' - 48.0' 2" INSULATION COl 10.0' ,.30.5' - FINAL ~,,~.,~(ff~~ NEAR THE ROAD ONLY C02 48.5' 51.0' - GRADE % MT1 32'5' 39,5' - i ~.., -. C01=94.9' MT1=87.7,~ C02=94.9' NO WATER FOUND 81.7' B.0.H. ANCHORAGE WATER & WASTEWATER UTILITY George P. l/Vuerch, Mayor Engineering Division 3000 Arctic Boulevard Anchorage, Alaska 99503-3898 http://www, awwu.ci.anchorage.ak, us November 22, 2002 Owned by the Municipality of Anchorage S & S Engineering 17034 North Eagle River Loop Suite 204 Eagle River, AK 99577 Re: Heritage Park, Block 2, Lot 6 (Grid NW55) Encroachment into Easement Dear Property Owner: The Anchorage Water & Wastewater Utility received your request on November 21, 2002, for a letter addressing AWWU's position regarding the leachfield that encroaches into the utility easement located on the north 10' of the referenced lot. A property asbuilt drawing was submitted with the request. An AWWU water main is located 5' north of the centerline within the Tradition Avenue right-of- way. The main is at least 35' north of the northern most point of the leachfield. AWWU sanitary sewer is not available to the referenced lot. AVWVU issues this letter with stipulations to allow the existing leachfield and by using it the property owners are agreeing to the following: 1. AWVVU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachment; 2. All applicable codes and regulations will be observed and maintained within the easement; 3. Property owner is required to know the location of property water key box and to keep a 3' minimum area around it free of encumbrances; 4. This letter will in no way preclude AVV~VU from full use and enjoyment of its rights within any portion of the easement; and, 5. Additional and extraordinary costs incurred during any future required construction, repair or reconstruction of AWVVU facilities due to or to accommodate the encroachment shall be paid by the property owner. Should you have any questions, please call me at 343-8009 or the AWVVU Planning Section at 564-2739. Sincerely, Hallie Stewart Engineering Technician G:\Engineedng\Planning\Planning\HMS\encroachrnents\easement-w-cond-Heritage Park.doc MTA OSP ENG 907 761 2646 M TA 11/22 '02 16:38 NO.888 01/01 By this document Matanuska Telephone Association, that it has no objection to tee encroacbrmmt of septic pipe and leach field within, th,e~131~"eF'I0' Utility Easement upon Lot 6, Block 2, Heritage Park Subdivision, Anchorage Record/m,g~tri~t; Anchorage, Alaska. Please be ad~s~ ~at MTA tl~ou~ ~e iss~n~ offs docm~ do~ not forfeit ~y of its ri~m to the use of ~e =ca ~te~ ~ ~e ex~cise of ~ese fi~ts MTA Mll, if n~ed, upgrade, mhn~i~ r~h ~Wor r~la~ buried or a~ tel~u~mhons facilities within ~e e~t. ~y repots ~at my be r~uk~ to ~e encro~t ~ a reset of utility consmcfion will be bom, by ~.e prop~y om~ of record. Tl~s docummt does n.ot authorize ~e p~ent of~y ~ifion~ encmac~ents Mthin the e~emmt em.. Tiffs document is. in n.o way. an am'cement to vacate any oortion of the utility easement and should not be interpreted as such. Issued for Matanuska Telephone Association, Inc. this 22nd day of November, 2002, by, 7~ Real Estate & Properties Supervisor THIS IS TO CERTIFY, that on this 22nd day of'November, 2002, before me the undersigned, a Notary Public in. and for the State of Alaska, duly commissioned and sworn as such, personally appeared Bonnie Bailey Imown to me and to me ]mown to be the individual named in and who executed the foregoing instrument and aclmowledged, to me that he signed and sealed the same as a voluntary act and deed for the uses and purposes therein mentioned. ~N~~TNESSW~.~ERE~F~havehereunt~s~tmyhandand~cia~sea/~);ayandyear~rstab~vewritten. .....,: '~Pbfin~f° '/~~~''~ ".'''.:''I:II''I!:':'~' :; .. ~ No lic r -/c~ ' Ma~anuska Telephone Association, Inc. P,O, Box 3550 - Palmer, Alaska 99~45-3550 1.$00.7~6.9510 · 907.761.2510 . Fax 907.761.2646 1 1-22-2002 F~OH HEA-ROW 9977~19,~2~ P. 2 STATEMENT OF NON-OBJECTION FOR ENCROACHMENT WITHIN UTILITY EASEMENT i i' Matanuska Electric Association, Inc. (MEA) has no objection with the location of a sep :ic system and stand pipe as shown on the attached as-built drawina within the utility ' ;: easement along the northeasterlv boundary of the following property; : Lot 6, Block 2, Heritage Park Subdivision, according to Plat No. 82-39, Ancho e Recording District, Alaska. Situated in Section 7, Township 14 North, Range 1 West, Seward Meridian This non-objection is granted with the full understanding and agreement by all parties having an interest in the above property that this septic system encroachment will in n way restrict or limit the current or future ability of MEA to fully enjoy the benefits of the easement for any and all utility purposes that it presently enjoys under the easement: This non-objection is further conditioned by the stipulation that MEA wili be held : harmiess from liability for any and all damages to the encroachment that may result from the existing and future use of said easement by MEA, its contractors, successo~ agents, licensees, or assigns. : Matanuska Electric Association, Inc. General I~lanager or his Repres~ntativ, ~r.u. 2.Z-; 2-O0 Date MEA ACKNOWLEDGMENT STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregotng agreeme~ged bel'or~ me this/...~_~ .~ay~_~. My cemmission expire~: MOV 22 2002 11:438M EMSTRR MRTURRL GAS 807 562 0053 p.1 FAX TO: Nov 22, 20O2 FROM: 11/2212002 SSS Eng, Tami Schlies 694-1211 Manny Lopez 264-3743, 562-OO53 fax ENSTAR Natural Gas Company ~.DlViSlON (~ SEMC0 ENER~'Y ngineenng OeRa~ ~1 E. In.national N~ P, O. B~ 190~B An~o~, N~ 9951~286 (90~ 2~7~ F~ (g0~ S&S'Engineering Tami Schlies 17034 North Eagle River Loop, Ste 204 Eagle River, Alaska 99577 Re; Letter of Non-objection Grid: NW55 To whom it may concern: ENSTAR Natural Gas Company has no objection to two Septic Vent and related encroachments, situated within a Ten feet (10 fi) utility easements situated along the North boundary of Lot 6, Block 2, Heritage Park Subdivision. Acceptance and use of this letter of non-objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: EN.STAR will be held harmless, now andforever for anydamages or injury to any person or property as a result of this encroachment. Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR. Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the property owner. A~I applicable safety code regulations will be observed and maintained. This letter of non-objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right, of-way. M. ENSTAR N u, St.~l Gas Col cc: FiFe ~0V-22-02 SAT 1:45 PM GC] CABLE FAX NO~ 9078688580 P. 2 November 22, 2002 Gene Yockey c/o S & S Engineering 17034 N. Eagte River Loop Eagle River, Alaska 99577 Dear Mr. Yockey, Subject to your agreement to indemnify the company as set forth below, GCI Cable Inc. of Alaska has no objection to the septic drainage system encroaching into the 10' utility easement on the north property line of Lot 6, Block 2, Heritage Park Subdivision. Known as 10630 Tradition Avenue, in city grid NW55. This letter of non-objection in no way precludes GCI Cable from full use and enjoyment of any rights it may have within any portion of the utility easement and or the right-of- way, includi~g unlimited access for servicing its t~cilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstmctkm of GCI's facilities to accommodate any or all of the encroachments sMll be paid by the property owner. By signing below, you agree to indemnify and hold GCI Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate yotur acceptance by signing and returning this letter to myself at the address below. Sincerely, OSP Desig~ Engineer Acceptance Date 5151 Fairbanks Street · Anchorage, Alaska 99503 · 907/868-5600 MUNICIPALITY OF ANCHORAGE Development Sen/ices 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: Nov 06, 2002 Expiration Date: Nov 06, 2003 Permit Number: SW020449 Legal Description: HERITAGE PARK BLK 2 LT 6 Design Engineer: 0003 S & S Engineering Owner Name: EUGENE YOCKEY Owner Address: 10630 TRADITION AVE EAGLE RIVER, AK 99577-8412 Parcel ID: 050-211-74 Site Address: 010630 TRADITION AVE Lot Size: 20000 SQ. FT. Total Bedrooms: 3 Permit Bedrooms: 3 This permit is for the construction of: ~ Disposal Field [] SepticTank ~ 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. 5: The following SPecial provisions. pERMANENT NON,MOVEABLE BARRIERS SHALL BE PLACED BE~EEN THE ABSORPTION TRENCH AND DRIVEWAYTO PROHIBIT VEHICLES FROM DRIVING OVERTHE ABSORPTION FIELD; Received By: ~Z ~-'~~ Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw 5treat P.O. Box [96650 Anchorage, AK 995[9-6650 www.ci.anchorage.ak.us (907) 343-7904 0 Znstalletion Requirements for Septic Tanks in the Municipality of Anchorage: 5teal - 5teal septic tanks shall be placed on undisturbed soil at the bottom of the excavation for the tank and backfilled with a granular material free of large rocks or boulders to a maximum depth as prescribed on the exterior of the septic tank. The tank may then be backfilled with z2-inch maximum layers of granular soil and trampled evenly following the placement of each layer. H.b.P.E.- Premier Plastic tanks shall be placed on compacted or undisturbed bedding of sand/gravel mixture or clean granular soil. Allow clearance around the tank to properly place and compact backfill around the lower half of the tank. All Premier Plastic tanks shall have a vertical length of 4 inch perforated drainpipe beside the tank extending to the bottom of the tank and up to grade to monitor the ground water table. The tank may then be backfilled with 12-inch maximum layers of granular soil and trampled evenly. Fiberglass Tank - Excavate at least twenty-four inches beyond all sides of the tank to allow room for proper compaction. Set tank level on a minimum 4 inch thick compacted sand or granular bed overlying a firm compacted and uniform base. Backfilling is a layering process that involves backfilling, compacting the backfill, and filling the tank with water to a level ~ust above the compacted backfill layer. Backfill should have a uniform gradation and be free of any deleterious materials such as stones that are more than 2 ~ in diameter. Typically ~ crushed rock or pea gravel is preferred. Each backfill layer should be uniform, no greater than 24 inches thick, and of nearly equal height around entire perimeter of the tank. Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/VVELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Permit Number Property owner(s) ~%x..¢..¢~..--.4~ ~/'O ~/.~'.-/ Day phone Mailing address (1) /0 ~ ~0 %~4~7¢o/ ~ v~ Mailing address (2) E~O-c~ ~/~ ~ Zip Code Legal description (Section, Township & Range) Lot Size ~0, 000 Acr~ Number of Bedrooms ~ THIS APPLICATION IS FOR: Sewer Only ~ Well Only Sewer and Well ~ Water Storage Sewer Upgrade ~ THIS PROPER~ CONTAINS: Hot Tub ~ Jacuzzi Swimming Pool ~ Water SoRening 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. 17034 Eagle River LOop Road No. 204 E~ll. River. Alaska 99577 (Signature of property owner or authorized agent) Permit tees: ER-, ,)wa ver tees: Date of Payment:II / (.¢ /o ':z... Date of Payment: Receipt Number: (Rev, 12/00) Receipt Number: November 5, 2002 ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211' HEALIH AUTHORITY ~PPROVALS SEWER&WATER MAIN EXlENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES A~3 REPORTS WELL INSPECTION & FLOW TEST StTE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 6, Block 2, Heritage Park Subdivision It is requested that you issue a permit to replace the septic tank and install a new trench to serve the existing three bedroom dwelling on the referenced property. A hole was excavated and a percolation test performed. The approximate location of the. test hole is located on the attached site plan. At the time of excavation 10/24/02 no water was found. After monitoring, ground water was not found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic tank. The installation of this septic tank will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. Cowan, P.E. RCC/bjj Enclosure STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASIEWATER DISPOSAL S~STEbl 17034 NORTH EAGLE RIVER LOOP ~ SUITE 204 · EAGLE RIVER, ALASKA 99577 Z Z 7034 £AGLE RWER LOOP ROAD EAGLE RIVER, ALASKA 99577 PHONE# (907)694-2979 FAX# (907)694-1211 DRAINFIELD 1 2.0' DEEP 7.0' EFFECTIVE 2.5' WIDE 41' LONG LOT 6, BLOCK 2, lqENITAGE PARK S/D $.J.J. I R.C.C. J ~-S-O: I ~ OF ~ -*~C/'' ~"'~'":::-&, ~uOl~i~ ~l~il~i~i~. ~ / ~ OBTAIN UTILITY LOCATES / ~P" -- A~ ~D~ ~ In' ~ PRIOR TO ANY EXCAVATION ' , ~ ~ ~ --450/0.8 = 56~ SO.FT. REQD.~ , ~CAS~, ~ / -EXISTING TRENCH'"- --. '--. ~ -DIVERTER VALVE -DOUBLE CLEANOUT PROPOSED 1000 GALLON HDPE SEPTIC TANK EXISTING SEPTIC TANK BE PUMPED, CRUSHED, AND ABANDONED LOT 5 NOTE: PROPERTIES SERVED AWWU PUBLIC NO WELLS WITHIN 20 NOTE: ALL PORTIONS F SYSTEM UNDER REQUIRE A MINIMUM 4" OF LOT 8A I Performed For; Legal Description; MUnicipality ot Allchol'age Developmen( services Deparliment BUildlng Safely Dlvtslon On-Site Water and Wasiewa{er Program 4700 Sou~h Bragaw St. P.O. Box ig6650 AnChorage, AK 99519-6650 www.cLanchora(~e.ak.us (907) 343-7904 Soils Log - Percolation Test Slope Site Plan Depth (Feet) ~/~__~/~.i / ~_/~.~ 8-.- :0 16- ~7-" 20- WAS GROUND WATER ~ENCOUNTERED? IF YES, AT WHAT DEPTH? Depth to Water AFter Monitoring? Reading Date Gross Time Net Time Depth to Water Net Drop / 0 0 ~" ...... o o - PERcoLATIoN RATE j,~, Imi~ules/inch) pERc HOLE DIAMETER ,~ TEST RUN BE~EEN ~ FT ANb ~ FT coMMENTS PERFORMED IN ACCORDANCE wiTH ALL STATE AND MURIcIpAL GUIDELINES IN EFFECT ON TNIS DATE. DATE: SEWER & WATER MAIN EXTEN~ION~ SEWER&WATER INSPECTtON WELL iNSPECTION & FLOW TEST StTE PLANS ROAD DESIGN SOIL TE$1 ROBERT C. COWAN, P.E. ROBERT A. SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Lot 6, Block 2, Heritage Park Subdivision November 5, 2002 GENERAL: The scope of this project includes the installation of a new 1000 gallon minimum septic tank, and installation of a new trench to serve the existing three bedroom residence located on the referenced property. Construction shall be in accordance with the approved site plan and deSign drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their own systems must also receive prior approval from the Municipal Health Department. P~RCOLATION TEST STRUCTURAL & MECHANICAL iNSPECTIONS SEPTIC TANK INSTALLATION: 1. A septic tank is to be constructed by a Certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting,of the tank. ON SITE W.~S'[EWATER D{SPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOoP ~ SUITE 204 ', EAGLE RIVER, ALASKA 99577 Page 2 Lot 6, Block 2, Heritage Park Subdivision November 5, 2002 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed-up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the fmal gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. o Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 6~ Block 2, Heritage Park Subdivision November 5, 2002 MINIMUM MATERIAL SPECIFICATIONS: I. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: T'cce of Pipe Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM FS10 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leach field gravel layer and the native soil backfill. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: Page 4 Lot 6, Block 2, Heritage Park Subdivision November 5, 2002 The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backftlled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. 3. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR / INSTALLER MUNICIPALITY OF ANCHORAGE 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 PHONE [] UPGRADE MAILING ADDRESS LEGAL DESCRIPTION LOCATION Well I DISTANCE TO: w ILiq. capacity in gallons DE ' [~0 F HOME~ : ~ ~ Di'STANCE TO: Well Manufacturer Q I ~ Well ~ IDISTANCE TO: I ~ ~'~ I No. of lines I Length of each line EENI / I ~ ~ I Top of tile to finish grade ' ~ I Length Width ~ ~ Crib diameter ~' I DISTANCE TO: ~ I~ss Depth '~ ] DISTANCE TO: Building foundation Absorption area d' Inside I e,~/~t~ Dwelling Foundation Total length of lines Material beneath tile Depth Dw~/~, Material W dth ~/~/~ inches inches NO. OF BEDROOMS PERMIT NO. No. of compartments Liquid depth PERMIT NO, Liquid capacity in gallons PERMIT NO. Distance between lines Total effective absorption area PERMIT NO. Material Nearest lot line Treq~hwidth Crib depth Total effective absorption area Building foundation Nearest lot line Driller Distance to lot line Septic tank PERMIT NO. Absorption area(s) Sewer line OTHER PIPE MATERIALS so~ u ~s~ REMARKS APPROVED DATE LEGAL 72-013 (Rev. 3/78) ANCHORAGE, ALASKA 99502-0650 O~' ' ~,' (907) 264-4111 Anchorage DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION September 28, 1983 Devcon Enterprises, Inc. 6411 Old Seward Highway Anchorage, AK 99502 Subject: Lot 6, Block 2, Heritage Park Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: The engineer's as-builts, which have been submitted to this office, are not within the parameters of the on-site installation permit issued by this department. The discrepancies will need to be corrected before this department cn accept the submitted engineer as-builts. Please notify this Department for a reinspection when the noted discrepancies have been corrected° If there are any further questions, please call this office at 264-4720° CW48/ej/E2 Sincerely, Cory Willis, R.S. Acting Sewer & Water Program Manager CC; Boyd Jo Brownfield Arctic North Engineer Services P. O. Box 104053 Anchorage, AK 99510 ¢~,4UNICIPAI. i~¢ ¥ OF ANCHORAGE ~'' ...................................... E~VIRONME~TAL E~GI~EERf~6 BtVlSIO~ 825 [. So. eot - Anchorage, ALaska 99501 Tslephon~ ~64-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT . '.' ~' .'. ~ LOCATION~ IF HOMEMADE: Well Well Length o~a~c~h~ linn Manufacturer DISTANCE TO: No. of lines Top of tile to finish grade Length Absorption area J Dwelling '~ ~ Material Inside length Width JOwe ng NC~OFBEDROOMS ' ' ' ' Liquid depth PERMIT NO. I Material Foundation Nearest lot line Total length of lines / Trench width 3,~ ~~_ ~ ~:) inches Material I)eneath tile PERMIT NO. No, of compertment~ Liquid capacity in gallons ~'C~ inches Width Depth PERMIT NO. Type of crib Crib diameter Crib depth Total effective absorption area Well Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO, DISTANCE TO: Building foundation Sewer line Septic tank Absorption a~ea(s PERMIT NO. Total effective absorption area OTHER PIPE MATERIALS SOIL TEST RATING e5 INSTALLER REMARKS i APPROVED :- 72-013 {Rev. 3/78) DATE ri~-~GAL PERMIT NO~ DEPFIRTMENT OF HEFILTH FIN[:, ENVIRONMENTFtL PROTEC:TION 825 "L'" STREET., FINCHORFIGE., FIK. 9D50± 264-4720 ) HPPLIE:RNT LOCRTION LEGBL DEVCON L6 B2 HERITRGE PRRK 54±± OLD SEWRRD HIGHWR9 LOT SIZE TSF'E OF SOIL RBSORPTION S9STEM IS: MRXIPIUM NUMBER OF SEDROOMS = ]: 99502 20000 SQLIFIRE FEET 85 THE REQUIRED, SiZE OF THE SOiL FIBSORPTION SYSTEM IS: C, EF"T'H= 12 L E P-4t,2~-[ H == 2:":2 ,3 F-: R "-..~ E L [>EF'-tFH= 4 THE LENGTH DIMENSION IS THE LENGTH ,.':IN FEET) OF THE TRENCH OR DRFIINFIELD. THE DEPTH OF FI TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFFICE OF THE GROUN[:, FIND THE E:O]'TOM OF 'THE E::.:;CFI',,,'FITIOI'..!. (IN FEET.'.',. THERE IS NO SE]'' NID, TH FOR TRENCHES. THE GRFI',,,'EL DEPTH IS THE MINIMUM DEPTH OF GRFI',,,'EL BETP.IEEN THE OUTFFILL PIPE RND THE BOTTOM OF THE E::<CFI',/FITION (IN FEET.':,. PERI'liT FIF'PLiCFINT HFlS 'THE RESPONSIBILIT"r' TO INFORM THIS .[:'EPFIRTMENT [:'URING THE INSTFILLFITION INSPECTIONS OF FIN"r' WELLS RDJFlCENT TO THIS PF:OPERT¥ FIND ]'HE NUMBER OF RESIDENCES Tt-'tFIT THE WELL WILL SER',,,'E. Tl.-41C~ ~::: :.2 .":. ][ t'-~.3P EC:'T Z t_-fi ~'-.~ :-~; F-~ F-: E F-:E~;.,L~ 1] BRCKFILLiNG OF FIN'¢ S"r'STEM WITHOUT FINFIL INSPECTION Ri'.,ID RPPROVFIL BM THIS DEPFIRTMENT WILL SE SUB..I'ECT TO PROSECUTION. MINIMUM DISTFINCE BETWEEN FI WELL RND RN'¢ ON-SITE SEWFIGE DtSPOSRL SYSTEM IS ±00 FEET FOR FI F'RIVFITE WELL OR ±50 TO 200 FEET FROM FI PUBLIC WELL DEPEN[:,iNG UPON THE T'¢PE OF F'LIBLIC WELL MINIMUM DiSTFINCE FROM FI PRIVFITE WELL TO FI PRIVFITE SEWER LINE IS 25 FEET FIND TO FI COMMUNITY SEWER LINE IS 75 FEET. OTHER REQUIREMENTS MFl¥ FIPPL'¢. SPECIFICFITIONS FIN[:, CONSTRUCTION D!FIGRFIMS FIRE FIVFIlLFIBLE TO INSURE PROPER INSTFILLFITION. I CERTIF'¢ THFIT 4: I FII"I FRMtLIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS FIND WELLS RS SET FORTH B'¢ THE MUNICIPFILIT"? OF RNCHORRGE. 2: I WILL INSTFILL THE S'?'STEM IN FIE:E:ORDFINCE WITH THE CODES. 3:: I UNDERSTRND THRT THE ON-SITE SEi.4ER S"r'STEM MRS: REQLIIRE ENLRRGEMENT iF THE RESIDENCE IS REMODELED TO INCLUDE MORE THFIN 3: BEDROOMS. RPPL I C:FINT [:,E ,,, CON '-- . ....... DBTE_ I _-,hUED B'¢ _ ..... V4. 0 TRENCFI SOIL RFITING (SQ FTJBR)= MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG - PERCOLATION TEST PERCOLATION TEST PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 ~12, 13 14 15 3895-E 20 COMMENTS SLOr~' WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? D^TE.EREORMED: July SITE Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND -- FT PERFORMED BY: CERTIFIED BY: DATE: 72-008 (6/79) 6161 A Street (907) 563-1944 Anchorage, Alaska 99502 Municipality of Anchorage Department of Enviromental Protection Environmnental Engineering Division 825 L Street Anchorage, Alaska 99501 Dear Sir: Please find attached "On Site Sewage Disposal System And/Or Well Inspection Report." This report has been filed in error. The orginial report "TILE AND DRAINFIELD" item "Top of Tile to Finish Grade"-13- should be -8-. Sincerely, Boyd J Brownfield Municipality of Anchorage Development ServiceS Department Building Safety Division On-Site Water and Was~ewa{er Program z[.700 South Bragaw St. P.O, Box 196650 Anchorage, Ak: 99519-6650 www.ci.anchorage .ak.us (907) 34;~-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING O Parcel I.D. 050-211-74 1. GENERAL INFORMATION Expiration Date: Completelegaldescription Lot 6; Block 2; Heritage Park Subdivision 'Location (site address or directions) Current Property owner(s) Eugene Yockey Day phone 696-1525 Mailing address same Lending agency Day phone Mailing address Real Estate Agent Audrey Mason / Remax Day phone 694-4200 Mailing Address 16600 CentPrf'iP'ld Or. Stp ?0] Rag]c, River, AK 99577 Unlessolherwiserequested, H*AwillbeheldbyDSDforpickup. ~'~ ~ 2. NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class ~_ Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] Individual Holding tank Community On-site [] , i~.~/~> 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 5 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 famiiy on-site wastewater disposal ai~d/or water supply system. DSD also issues HAAs upon request to homeowners. Cedificates of Health Authority Approval are valid for 90 days from the date of issue for properties sob/ed by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates may be reissued for a period of up to one year with valid water samples.) Certifid"~tes 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 o¢ [he validation da(e shown below, I verify that my inves{iga{ion, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal Sy~terrl ts(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I fudher Verify fha{ based bn [he information obtained from the Municipality of Anchorage flies 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. NameofFirm S & S Enginering Phone 694-2979 Address 17034 1~. Ea~;le River Loop Ste. Engineer's Printed Name Robert C. Cowan DSD SIGNATURE ~ Approved for ~ Disapproved. Conditional approval for bedrooms. 204 Ea~le River, AK 99577 Date bedrooms, with the following stipulations: By: Additional Comments Attachments: HAA Checklist Septic SYstem Advisory Well Ftow Advisory Maintenance Agreements SLJpplemental Engineer's Report Other Original Certificate Date: I~i~i~j~:' .:~ i .":..'.".i: .' g~.St:'. ..~ ...' .... :':.. ae;ak, us 904. B; :Dat~'of~est-;.:., ,.:: - '. ':.",i:?:':~'.:i statfc. Ware' '"!" i.:~!~' .: !':i.?. ..... COliform.-, Tank¢ / ':':Date',o~.s~mPte::,':"'..,?'.,, -..'.'...Cot~ctedby: __ "For l ~{I. Log(Y/N) Wires:pmPerl~ pro~ec~ed (y/N) / .. ! irl. colonieSflO0 mi. · '..':.....':..,'.-:.':~'.'..?:,';..'{, '?':::!' ..".'. :.' .' ."':": .': ..: ' :. ':'.:'""':' ...... '" · ' '. ~..~i~%i~O~ ii~,{~.~..~'"'o ~::~tN:~"~.~' ":' ':- ':.."...'.' ' y '. f es, vedate , .. . .......... .:"' .~?:)~,, :: ."'... . Cvedat g.p.d. D. LIFT STATION ./ - -.. ..... Date. installed Size in gallons, ~,.... :...i ...... ManholetAccess (Y/N) "Pump' on" level at in. "Pump Off". level a't_ i .in....: ,.,High.water alarm level at Datum Cycles.tested "? "" .... , - Meets alarm & c rcuit requ rements? E. SEPARATION DISTANCES i.. }:: "'":' '"" ..On:adjacent:~ots -: Septic tan~liff station" on'lot -- '~ adJace lots:" Absorption field on lot O ". .. Public sewer main / i~; / ~". '" Sewer/septic service line / . Hoidi'ng.. tai3k".'.' ::~/ ' - SEPARATION DISTANCES FROM SEPTIC/H~ mANE..ON:LOT TO: - Building foundation ProPerty line -.~ ~-' ',~bs(Jr~ti~)n field ~'-/~" Water main / I~" ~"'~ Water service line '/O / ~'- ..... Surface water /'~g:) /,~" adjacent lots DISTANCE FROM ABSORPTION FIELD ON EOT TO: · ."- ~t-'- ~ Building foundation / Water main Wares'Sen/ice line /~:~ '~ Su'rface water /~.O', '/'/-~ '". Dri~/eway' parkir~g/veh cie storage ~)' Curtain drain ,/~/~-,~,d~J :WellS bn adjacent..'lots.':',,(]/~ COMMENTS . ' ' "'~ ~,." ........... ENGINEER'S' c~'RTIFICATION ' . ..... .~..-C~.~' ''~ ,-' ..:" ~.,,,:' .... ~ ~: - review ~f Municipa~ rec~rds~ c~r~ify~ th~t~ ~ h~ve det~rmin~d thr~ugh ~d:i/~specti~/~ andthat the~ ' above'si(stems.are .... in' :. '" ':":.~~.~`~:~ .`~~~~r~.~.-i~"~~`~~"`;~`;~d:.~.~.~.;// ~/~h ~ ~ E conformance with MOA HAA guidelines in e~ect'on', this. daf'~.. .-. .." ' :: '~~ '~"~.,, ~, ,~a~=~' Engineer's Printed Name ~'0 ~'~,~,'~' ~- C'~4,~' ' ;tt,~?~3'~'f~:8'0:] :... '. Date Date. of Payment. Receipt Number (Rev. 12/01) Waivef.-Fee.$ Dateqf Payment Receipt Number HE,N.TH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS November 26, 2002 MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water and Wastewater Program PO Box 196650 Anchorage, AK 99519 REFERENCE: Lot 6; Block 2; Heritage Park Subdivision SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS Request you issue a Health Authority Approval on the referenced property and grant a waiver for the separation distance between the north property line along the Right of Way and the new leachfield at 5 feet. We do not anticipate any adverse effects to the referenced property or to adjacent properties. If you require additional information, please contact us. WELL iNSPECTION & FLOWTEST SITE pLANS Sincerely, Robert C. Cowan, P.E. RCC/ts/ ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS (907) 694-2979 FAX (907) 694-12'11 ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP ,, SUITE 204 · EAGLE RIVER, ALASKA 99577 George P. Wuerch, Mayor Anchorage Municipality of Anchorage Ali-America City 2002 11/27/2002 Robert Cowan S & S Engineering 17034 Eagle River Loop Ste. 204 Eagle River, Ak. 99577 Subject: Waiver Request for Heritage Park Block 2 Lot 6 Waiver Request #WR020091 Parcel ID #050-211-74 Dear Engineer: Your request for a waiver of the required 10 feet horizontal separation from the absorption field to property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, Jeffrey W. Poet Engineering Technician On-Site Water & Wastewater Program P.O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: (907) 343-8301 · Fax: (907) 343-8200 4700 South Bragaw Street · Anchorage, Alaska 99507 http://www.ci, anchorage.ak.us WR#: On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.¢L anchorage.ak.us (907) 343-7904 Waiver Review Worksheet HA#: 020598 Permit~: 020449 Legal Description'. Heritaae Park Block2 Lot6 Engineer: S&S Enaineerina 170a4 N. Eaale River Loop Ste. 204 Ea¢lle River, Ak. 99577 Applicant: Euaene Yockey Waiver ReqUested: 5" separation absomtion field to property line. Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. WaterTable Gradient E. Horizontal Separation Points: Total: List Conditions or Reasons for above: Date: ! [--.7.. 7~ .. 0 ~2- By: Ree~: 'H.26-02 Amount: $150 Date Paid:Il12712002 Date, ROBERT C; COWAN, RE. ROBERT A. SHAFER, RE. C VIL ENG NEERS (907) 694-2979 FAX (907) 694- i 2 ~ t SEWER&WATER MAIN EXTENSIONS SEWER &WATER INSPECTION Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street P.O. Box 196650 Anchorage, Alaska 99519-6650 ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE Pt. ANS ROAD DESIGN The septic inspections for the referenced propert~ w~re performed on ~0/~[~ and 10~;3[~L . Prior to submitting the On-site Wastewater Disposal System and/or Well Inspection Report we are waiting for the ~JBu~ J~y to be completed. If we may be of further service please contact us. Sincerely, Robert C, Cowan, P.E. TEST PERCOLATION TEST STRUCTURAL & MECHANICAL ~PECTION~ ON SITE WASTEWATER DESIGN 17034 NORTH EAGLE RIVER LOOP ' SUITE 204 · EAGLE RIVER, ALASKA 99577 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMI-i"~.I~)" :;~'! ~ (a) Legal Description (include lot, blp~k, subdivision, s~cti~, township,]ange) Location (address or direction~ ., . ~ / ~ - ~ Own~ ~ ~a~ Telephone' Home ~9~-~:2 Y Busin.ss - (c) Lending Institution /-, ' ~ ~ · · (e) Mail the HAA to the followin~ address: or: Gheck here ~ if hold for pick up. List contact person and day pho~ n~mber below. ¢ " ' ' " - - EaCe River, Alaska 995~ " 2. TYPE OF RESIDENCE Single-Family [~ Number of Bedrooms WATER SUPPLY Individual Well [] Community [] Public~ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. SEWAGE DISPOSAL Onsite I~ Public [] Community [] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 72-025 fRev 8/86~ Front Page I of 2 ENGINEERING FIRM PROVIDI~(~ INSPECTIONS, TESTS, FILE SEARCH, D~-f~A AND INFORMATION As ~ertified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewa~er 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 ENGINEERING Address 17034 Eagle Ri~er L~,op Road No. 204 Eagle l~iver, Alaska Date / Telephone 6. DHHSAPPROVAL i .~ ..... ~ ..... Approved for /M~2e?e-(_-~/bedrooms by ~ · Approved ~' Disapproved ' Conditional Terms of Conditional Approval Date CAUTION The Municipality of Anchorage Department of Health and Human Services ~DHHS) issues Health Authority Approval certificates based only upon the representations given 'n paragraph 5 above by an independent professional eng~ neer 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. Page 2 of 2 72-025 (Rev 8/86) Back WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) MUNICIPALITY OF ANO'IOI~'~I~CKLIST - FEBRUARY 1984 DEPT. OF HEALTH & 264-4744 Legal Descrtiption: Well Classification Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) ENVIRONMENTAL PROTECTION NOV 9 1987 RECEIVED If A, B, C, D.E.C. Approved Date Completed Yield Cased to Depth of Grouting Pump Set At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot .¢~.¢,¢ ~ ~F ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot "'/./-,~c~ ~¢' ; On Adjoining Lots To Nearest Public Sewer Line Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments ~ O ~" To Nearest Public Sewer To Nearest Sewer Service Line on Lot ; Date B. SEPTIC/~ TANK DATA Date Installed Standpipes (~/N) Air-tight Caps ~/N) Depression over Tank (Y~ Pumping/Maintenance Contract on File (Y/N) ~ Holding Tank High-Water Alarm (Y/N) c~/'~' Separation Distances from Septic/Hotdi.g Tank: Size \ Oc:::~ No. of Compartments Foundation Cleanout ~)N) Date Last Pumped ; for Temporary Holding Tank Permit (Y/N) '/,~ To Water-Supply Well To Property Line To Water Main/Service Line Course Comments 1 T,Q Building Foundation t, ~ To Disposal Field .. To Stream, 'Pbnd; Lake; Or Major Drainage Page I of 2 72-026 CRev 8/861 Fronl C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata '~'=~ ~¢'/'f"~ Type of System Design Date Installed \,~/~ /1~'"~ Length of Field "~ 3..~. Width of Field ~ II/ Depth of Field Gravel Bed Thickness ~ ~ '~ Standpipe~ Present~/N) Date of Last Adequacy Test Square Feet of Absorption Area Depression over Field (y/~7.~ Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well To Building Foundation Lot To Water Main/Service Line ~. ~;~ I~_ To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments To Property Line To Existing or Abandoned System on ; On Adjoining Lots "~ / To Cutbank (if present) LIFT STATION "Pump On" Level at-~"~""---~_ High Water Alarm Level at ~ Tested for Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/N) ~~4~.mping Cycles during Adequacy Test. Meets MOA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all M CA and HAA guidelines in effect on the date of this inspection. Signed _$ & & ENGiNEE~iN6 Date CompanylT034 Eagle R~Yer Loop R~ad N~._ {l~4No. Eagle River, Alaska 99577 o~ Receipt No. /~ dg(~> / --0~) 7 Date of Payment //~ ~.-- ~¢~ Amount: $ //~2 ~ Engineer's Seal Page 2 of 2 72-026 IRev 8/861 Back ICIPALITY OF ANCHORAGE 'IRONMENTAL SERVICES DIVISION NOV 0 8 1987 RECEIVED ~N~HO~_~T~R~D~ST ~ CT OFFICE ..~,'-s~ '-~T T--~' T 3~01 C ~ REE . SUI E 1334 ANCHORAGE. ALASKA 99503 STEVE COWPER~ GOVERNOR Accor'din.~ to the re¢ord.s on ¢ile in this o~'¢ice, the _H_g.A__..S_H_I_~_ .... ~g~_~_£H---e]~i~2'~e---?~-K~)_.L~L_._L Water System is in compliance uith the ="' Stat.~':.'O.~-=A-T~s~'m':!'~)rinking bJater Regulations, - --~ Rona]d S, Klein · ' ' - '- '- -' ' Environmental Field O'?~icer AP'PLI(;, ;. IT FILLS OUT UPPER HAl. ...... ONLY ,, Phone Property Owner~ Devcon Enterprises, Inc. 6411 Old Se~a4d ]~ighway Mailing Address Anch~'~t~. A~ ~ ~m Zip Code qO ~9 561--1 ~R9 Buyer James O. and E. Tyler Latrd-Magee ~09 Sanford ~ircle Address E~ Rqver. Ala~ Zip Code 99577 Lending Institution First National Bank of Anchorage Phone 646 West Fourth Avenue ~ ~t{~ ~ zip Code 99501 276-6300 Address Anahora~l ~a ~ 8ea,t~ Co. & A~nt Tom & ~r0~z~nski/Century 21 Heritage ~omes & Invest~n~s 207 E. ~ern Lights Boulevard ~ ~ ~b~ ~ Address Anchorage, ~as~ zip ood~ 995~b. ]. ;~ ~ 263-2406 L~ea~ D~sorimio, ~t 6 Block 2 Heritage Park Eagle River, ~as~ ~ - ~ street Locati~ ~ Tradition Avenue T~pe of Resi~nce : ~ ' ~, ~ · ' - ~ Single ~amily ~ Multiple Family No. o~ Bedroo~ ~ ~ Other ~ ~ Water Suppl~ ~ Indiv:dual C~ ~ ~ C ~ ~ A~ACH WELL LOG1 A wall log is required for all wells drilled since June 1975- Community For wells drilled prior to that date, give well depth (attach log if available). ~ Public Utility Sewer Disposal 1983 ~ Individual Year Individual Installed: ~ Public Utility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector [ '{J,.~gZ~._ MUNICIPALITY OF ANCHORAGE , RECEIVED ( ~ APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( ) DISAPPROVED ( ) CONDITIONAL APPROVAL* DATE ~ '- ~ ~' ~ ~ Soils Rating Date ~wer Installed Well To Absorption Area Well Log Received ~ ~ w~, ~o T~.~ S~p~ T~ Siz~ 72-023 (3182)