HomeMy WebLinkAboutPREUSS #1 BLK 2 LT 6Preuss
Block 2
Lot 6
#050-572-03
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
Page of
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW020051
Name:
Horizon Ventures
Address:
PO Box 671368, Chugiak, AK 99567
Phone: Number of Bedrooms:
250.9729 4
LEGAL DESCRIPTION
Block: Lot: Subdivision:
2 6 PREUSS #1
Township: Range: Section;
PID Number: 050-572-03
Wastewater System: [] New [] Upgrade
Well: [] New [] Upgrade
Classification (Private, A, B, C): TotaI Depth: Cased to:
Private 342 Ft. 342
Driller: Date Drilled: Static Water Level:
Sullivan 812912002 298
Yield: GPM PumpSetat: Casing Helght AboveGround:
20 unknown rt. 3
SEPARATION DISTANCES [] Septic
T~. To Septic Absorption Lift Holding Public/Private Manufacturer:
Tank Field Station Tank Sewer Line Anchorage Tank
Material:
we, 100'+ 100'+ NA NA 25'+ Steel
surge Water 100'+ 100'+ NA NA
Lot Line 5'+ 3' NA NA //~ Size:
Gal,
rou.dabdn 5'+ 10'+ NA NA ,.mpo. fa.e~ et:
*n.
C.~,nDrain NA *50'+ NA NA PumpMake &Model
Remarks:
*none known- tank and field insulated
Lot. line waiver
ABSORPTION FIELD
[] DeepTrench [] ShallowTrench [] Bed [] Mound [] Other:
Soil Rating: Total Depth from original grade:
0.8 GPD/Ft~ 9.0 Pt.
Depth to pipe bdt[om from original grade: Gravel depth beneath pipe:
2,92- 3,03 Ft. 6.09 ' 5,97 rt.
Fill added above original grade: Gravel Length:
0-1.23+/- Ft. 73 rt.
Gravelwidth: 3 Ft. Number2of lines: Distance10+between lines:Ft.
Total absorption area: Pipe Material:
880 Et' D3034 & F810
Installer: Date Installed:
South Fork Const. 91312002
TANK
Location and Description:
Garage slab floor
[] Holding [] S,T.E.P.
LIFT STATION
Manufacturer:
[] Other:
Capacity:
1250 G~,.
Number of Compartments:
2
Pump Off level at: I High water alarm at:
I
in.
Electrical Inspections performed by:
BENCH MARK
100 rt.
Inspections performed by: KND Enflineerinq, Inc. Dates: 1st 9/3/2002
2nd 10/28/2002
Development Services Department Approval
Reviewed and approved by: d~/'/~/-//' ~r-~ Date: /~._-
Engineer s Stamp
AS-BUILT SYSTEM DETAILS/SITE PLAN Permit sw020051
PRUESS SUBD, BLOCK 2~ LOT 6 PID$ 050-572-03
10' Uti[ Esmt,
K Dx-) '",.. .-."/
VACANT
A-C= ll,O'
3-C= 39,0'
A-D= 18,0'
B-D= 42,0'
A-E= 83,0'
B-E= 25,0'
A-F= 52,0'
B-F= 50,0'
A-G= 37,0'
B-G= 14,0'
A-H: 61,0' SCALE,
B-H= 46,0'
% SCALD 1' = 50'
\ /
~ ~ ~ / ~.'~/ FINAL GRADE
~ II I1~11 II ...... % ~~ ~ v~
. q II . II ii . .~ I
= 1850 GAL
~a SEPTIC ~ ~8'0~
~ ~ TANK ~, ~ -
/ '=' ~'~' k~ .... T,~.c. ~ __
~~ FINAL GRADE
NTs ,, ~ ..... ~~ ,,
~ SEVER ROCK
~ TRENCH 8 ~ '
36,0'
PEEPAEE~
N~CHAEL PAEKEE
P,B. ~BX ~7~3~
CHUGZAK, AK, 99567
(907) E40-~585 SCALD NTS
FIELD BOOKS ~P~:
ENGINEERING
~NO~Y: SEWARD o~:
~"~ ~: KMD 20441 PT~MIGAN BLVD.
~u;~: ~ ~2/~8/02 EAGLE R~R, AK 99577-8736
~ m~: 02057.DWG ~ N,.: 02057 (907)696-6111/~ (907)696-8111
01/01/1999 00:10 6882259 SULLIVAN PAGE 01/01
by
DOC ~0. dba
SULLIVAN WATER WELLS
RO, BOX 670272, CHUGIAK, ALASKA 99567 · TELEPHONE 688-27~
OWNER OF LAND:
ADDRESS:
LEGAL DESCRIPTION:
TAXtDENTIFICATION NUMBE~;O~O -
IS well I~ated at approv~ pe~it location? ~ ~ No
Method of Drilling: ~t~ ~ cable toot
O~i~g Type
Di~eter ~%
Liner Type: ~ b ~,
Casing Stlckup Above Ground:. ~ '
Static Wat~ Levet:
R~over Rate: ~ O gpm
Method of Tegti,g;
Well Intake Opening Type: ~end Q open hole
BORE HOLE DATA
DEPTH
0 ,2.
inches
feet
:.J Screened; Start_ __ feet Stopped I feet
gl Perforations Start~feet .S~t/c~Ced __ feet
Grout Type: /b,. VD ume ,~.~..~ ~'J ~ ~5'
Depth: from O feet, to d;~ O "'~ feet
9 '
Well Disinfected Upon Completion, '--~es ;3 No
Method of Disinfection:C~'it~-'~'~ 5'"~) F/~"'¢"~'
Comments:
Driller's Name
ATTENTION: It is the responsibility of the property owner to submit e, copy of the well tog to the proper authority. Municipality
of Anchorage: Department of Health & Human Services and/or Department of Environmental Conservation. MatSu Borough:
Department of Environmental Conservation.
X~D ENGINEERING, INC.
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
(907) 696-6111/FAX (907) 696-8111
December 23, 2002
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
P.O. Box 196650
Anchorage, AK 99519-6650
RE: SEWER PERMIT/LOT LINE WAIVER - Preuss #1, Block 2, Lot 6
Gentlemen:
During the as-built process we encountered that the system was constructed
within 10 feet of the property line. The system is still located within the testhole
radius and we do not expect there to be any adverse effect on adjacent lots by the
location of this system. We are therefore requesting a waiver to 3 feet to lot line
at this time.
If you have any questions, please contact me at 696-6111/FAX 696-8111.
Respectfully submitted,
KND Engineering, Inc.
Attachments:
As-built
Inspection Report
HAA w/waters
Well Log
\ C~5 EPTIC "'-- .... ..---
INSTALL DOUBLE
INSTALL FLOW ~ CLEANOUTS
SPLWrER-- J ,.,--PROPOSED 1250
_ ~ ....... 2_~-°__" sL~mc_LT*"_~ .........
1/~/ 10' UTILrlY EASEMENT .
/
ALTERNATE SITE ~
/ C Z-' Z--'- "-3 ~ -~ _ __ ..~_/.. /{~' PROPOSED ~'
.' ~ Xt .... -~--/J . ~'~ 4 BEDROOM
/ ~ ",,, / / c" HOUSE ~J
× .... ~~ .
J
¢:7--'---.~ c,,~----~-~--,~ 1 ~. J ~^~,'....
--._// /--lO.-~- / ~, ~ ~, ..~--.. /
~/,.z'E.~.-'-"-"'--..~l ._L__Z.\___ ~ ..~ / '~ ,"., -- ...., /
;.,..:. ,, /
/// / / / %,/
LO~ 5. BLOC~ 2. PRU~,~./D~ // / / : ;r.
~,~ '\~PROPOS~[~ O~N.E~.DS EX 'fie \ // / / :~' '":
BY 35 FEETY LONG EACH (70 FEET'--'/\ / , i .':' .
OL~%^~"A~'~R%~%Oo~K. \ / / ...:-:.:.
~.ST*u. TR~NO.ES ~'*~LU~L TO · ¢ I ';' ~': ~"
SLO,E ~O.~OURS. \ ~£ . .' ",.
~us
/ \
NOTE: THE CONTRACTOR SHALL HAVE THE WEST
PROPER3Y LINE AND THE PROPOSED 100 FOOT
WELL RAD US FLAGGED PR OR TO CONSTRUCT ON,
ALASKA WATER & WA~TEWATER
CONSULTANTS, INC. ~ .......
6901 DEBARR ROAD, SUITE 2B * ANCHORAGE, AK 9950& * PHONE (907)3~7-6179 * FAX (907)358-32&6
PREPARED FOR: PHONE NUMBER:
MASTERPIECE HOMES 884-12.34
~EGAL DESCRIPTION:
PRUESS SUBDIVISION; LOT 6, BLOCK 2,
'POPE OF WORK:
DATE:
5/21/2002
DRAWN BY:
J,L,M,
SCALE:
1" = 40'
PAGE NUMBER:
20F2
DESIGN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
AL&SKA WATER & ~TEWATER
~ ' . ~'~ ~ CONSULTANTS, IN~C~. *
ISOIL LO0 - PERCOLATION TESTI ....~... ......
LEGAL DESCRIPTION: PRUESS SUBDM$1ON; LOT 6, BLOCK 2,
PERFORMED FOR: w/ .O.,S
DEPTH ......
(feet) ~EE~E~ORGANICS ITEST HOLE ~1~
"~?:.","', SOIL CLASSIFICATIONS
2 :.cT;..:,e.~
· .~?..., SOME SILT
.~,,,', GH
~:.:;'.~' % SW
5~ ~ '" SP
6--" :';' GM TO
· - GM/SM __ SC
' '"'.. (HARDPAN)
7-- ' ""' DEPTH TO
, ?:. GROUNDWATER
8~" """ 17.5
,
~__ . :.5 ~5.o
· :-5 ~.o
10--'""
11-" :'~' DATE READING CLOCK
12-- ' :':' 1/11/02 1 9:17
13-- ; ;,;, TO SM 3 9:47
4 10:17
· ~,~. 5 10:17
15-- ' :";" 6 10:47
· :,5
~7-- ' :-5
~8-- ' w/ SOME
' ~"' POCK~S OF
19-- ~.O.H. CL/ML
\ t I
;:'~'~"~: ORG I TEST HOLE LOCATIONS
M, ..... ...........................................
CL ..... z ............... ~ ............................
GL //
', //
~/~4/o2 ~GLE RIVER ROAD/ S~TE
~ xg / 1"=100'
NET TIME WATER LEVEL NET DROP
(MINUTES) READING (INCHES)
30 2 1/2" 3 1/2"
50 2 1/2" 3 1/2"
30 2 112" 3 112"
PERCOLATION RATE B.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES)
TEST RUN BETWEEN 8.0 FT. AND 8,5 FT.
20 A FOUR HOUR PRESOAK WAS PERFORMED: · YES [] NO
SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: CALEB GALL
COMMENTS:
PERFORMED BY A.W.W.C., INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS/WAS/PERFORMED
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE:
IN ACCORDANCE
~ OF ~
....
AI_~_S FA, WATER & WAS R ."' ,~, ,,_ '".X ~
~.~,~~,~~ CONSULTANTS, IN.C.. ,~ ..... ;~ ~,~ :~ .... : ....
8901 D~R R~, ~ 2B * ~0~ ~ 9g~ * ~N~ (907)~7-81~ F~ (~-~ ~ ~
-
LEGAL DESCRIPTION: PRUESSS SUBD~SION; LOT 6, BroCK 2, ~ ~]]'"
PERFORMED FOR: KE~Y w/ ~ERPIECE HOMES DATE: 1/10/2002 '~4_ ". ~ ..-' ~
(feet) ~ ORGANICS ITEST HOLE ~2J '~~
GP/SP w/
SOME SiLT
GM TO
GM/SM
SOIL CLASSIFICATIONS
GP
GM
GC
SW
SP
SM
SC
DEPTH TO
GROUNDWATER
18.0'
DRY
18.5'
\ I I
:~:"~: ORG I TEST HOLE LOCATIONS
...... I ARE APPROXIMATE.
ML
OL //
OH "/" -."- /
t/i ~/o% 'x ~GLE RIVER ROA~/,/ [SITE~"=~P~NIoo,
GM/SM
TO SM
DATE
1/11/2002
READING CLOCK NET TIME WATER LEVEL NET DROP
TIME (MINUTES) READING (INCHES)
1 9:16 - 6" -
2 9:46 50 O" 6"
3 9:46 - 6" -
4 10:16 30 1/2" 5 1/2"
5 10:16 - 6" -
6 10:4.6 ,30 1/2" 5 1/2"
GM/SM TO SM
w/ SOME PERCOLATION RATE 5.5 (hIIN,/INCH) PERC. HOLE DIA.
POCKETS OF
TEST RUN BETWEEN 8.0 FT. AND 8.5 FT.
20 CL/ML
A FOUR HOUR PRESOAK WAS PERFORMED: · YES
SOILS LOGGED BY: JOBY MAUS PERCOLATION TEST PERFORHED BY:
COMMENTS:
PERFORMED BY A.W.W.C., INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS ~PERFORMED
WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I/L-.~70'Z.
6 (INCHES)
[--INO
CALEB GALL
IN ACCORDANCE
MUNICIPALITY OF ANCHORAGE
Development Services 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 / WATER SUPPLY PERMIT
Initial
Date Issued: Apr 08, 2002
Expiration Date: Apr 08, 2003
Permit Number: SW020051
Legal Description: PREUSS #1 BLK 2 LT 6
Design Engineer: 0041 AK Water & Wastewater Consultan'
Owner Name: Masterpiece Homes C/O Kelly Heistumar
Owner Address: PO Box 773471
Eagle River, AK 99577-
Parcel ID: 050-572-03
Site Address:
Lot Size: 24375 SQ. FT.
Total Bedrooms: 4 Permit Bedrooms: 4
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.
Received By:
Issued By:
Date:
Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 South Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Parcel I.D.
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
~ ~ '- ~-'7c~ -O_~ Permit Number
Property owner(s)
Mailing address (1)
Mailing address (2)
MASTERPIECE HOMES c/o KELLY HEISTUMAN
P.O. BOX 773471 EAGLE RIVER. AK
Day phone 884-1234
Zip Code 99577
Legal description (Lot, Block & Sub'd.) LOT 6. BLOCK 2: PRUESS SUBDIVISION
Legal description (Section, Township & Range)
Lot Size ~.Z-/:~-7 ~ Acres/Sq. Ft. 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
Single Family Dwelling and is in accordance with applicable Municipal codes.
ALASKA WATER & WASTEWATER CONSULTANTS, INC.
(Signaturc of property ownor or authorizc',d agcnt)
Permit Fees: '-~%-'-~O
Date of Payment:
Receipt Number:
Waiver Fees;
Date of Payment:
Receipt Number:
ALASI WATER & WASTEWATER
CONSULTANTS. INC.
March 21, 2002
Municipality of Anchorage
Development Services Department
On-Site Water & Wastewater Program
4700 South Bragaw Street
P.O. Box 196650
Anchorage, Ak 99519-6650
Ref: Proposed Well & Septic System for Lot 6, Block 2; Pmess Subdivision
To whom it may concern:
The proposed 4 bedroom house will be served by a private well and septic system. Two test
holes were excavated in the area for the proposed septic system. We are proposing that a 1250
gallon septic tank and a deep trench type drainfield be installed. Comments regarding the
proposed design are summarized as follows:
1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring,
and the percolation test results. It is our opinion that due to the overall appearance of the soils, an
application rate of 0.8 gallons/day/ft2 should be used.
2. TRENCH DESIGN:
a. Percolation Rate: 5.5 & 8.5 minutes/inch
b. Allowable Application Rate: 0.8 gallons/day/R2
c. Number of Bedrooms: 4
d. Design Flow: 600 gallons per day
e. Minimum Absorption Area: 750 ft2 1
f. Total Depth: "~Ffeet (max.) ~
g. Effective Depth: 6.0 feet
h. Width: 2.5 feet
i. Reduction Factor: N/A
j. Minimum Length: 70 feet total length (2 @ 35 feet long each)
k. Effective absorption area = 840 ft2
3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
?h: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average
topography of this property is a 5 to 15 percent running from approximately north to south; in
short, there are no slope concerns. The trenches are to be installed parallel to slope contours.
I am unaware of any adverse impacts this installation would have on adjacent wells or septic
systems. If you have any questions, please contact us at 337-6179. Thank you for your
assistance.
E, M.S.
NOTE: Attached is a site plan drawing, a design drawing, two soil logs, and a 7page
construction specification letter which are all part of the design package for this septic system.
6901 Debarr Road, Suite 2B * Anchorage, AK 99504
Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: akwwc.com
/ / \
/ / \
I I I
PRUESS SUBDMSION PRUESS SUBDMSION \ PRUESS SUBDIVISION
LOT 1,.3, BLOCK 2 LOT 12, BLOCK 2 \ LOT 11, BLOCK 2
t
I
I I
I
I
I
/
I
PRUESS SUBDIVISION
LOT 10, BLOCK 2
/
/
/
/
j.~ ¥/~LL RAD~US~
PRUESS SUBDIVISION
LOT 9, BLOCK 2
}~ .............. -~ ....................
Il ~ [~- ~ ~~~;~RUESS SUBDNISION
~. LOT 4, BLOCK 2 um , ~ u X / ./ ?Et X. .¢ )
PRUESS SUBDIVISION
LOT 8, BLOCK 2
EAGLE PARK SUBDMSION
LOT 5, BLOCK I
EAGLE PARK SUBDIVISION EAGLE PARK SUBDMSION EAGLE PARK SUBDIVISION EAGLE PARK SUBDIVISION
LOT 4, BLOCK I LOT 3, BLOCK 1 LOT 2, BLOCK 1 LOT 1, BLOCK I
DATE:
3/21/2002
DRAWN BY:
WATER & WASTEWATER J.L.M.
- '"~¢~ CONSULTANTS, INC.~''~'~ SCALE
6901 OEBARE ROAD, SUITE ZB ' ANCHORAGE, AK 9950/* ' PHONE (907)537-6179 * FAX (907)$38-3Z&,6 = 1 O0 ~
PREPARED FOR PHONE NUMBER: PAGE NUMBER:
MASTERPIECE HOMES 884-12,:34 1 OF 2
LEGAL DESCRIPTION:
PRUESS SUBDIVISION; LOT 6, BLOCK 2
'[YPE OF WORK:
SITE PLAN FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM
ASBUILT
I HEREBY CERTIFY .THAT I HAVE SURVEYED THE
FOLLOWING DESCRIBED PROPERTY:
AND THAT NO ENCROACHMENTSEXlST EXCEPT AS
INDICATED. IT IS THE RESPONSIBILITY OF THE
OWNE~ TO DETERMINE THE EXISTENCE OF ANY
EASEMENTS, COVENANTS, OR RESTRICTIONS
WHICH DO NOT APPEAR ON THE RECORDED SUBDI-
VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD
ANY DATA HEREON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR ESTABLISHING BOUND- DRAWN=
ARY LINES.
DATE:
GRID:
SEWARD & ASSOCIATES LAND SURVEYING 694-0829
SCALE:
-;~-'..-" ';".:7,~:~
_- ~. ,, ,-.,- ..,~J.-~ -."r'
+)~.".,~.~_.....LS-~9~ ~' .,.-,,"
...... ..
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water and Wastewater Program
4700 Elmore Road
P.O. Box 196650 ;
Anchorage, AK 99507
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-572-03
GENERAL INFORMATION
Complete legal description
Location (site address)
Expiration Date:
Preuss #1 S/D, Block 2, Lot 6
20615 Eagle River Road, Eagle River, AK
Current Property owner(s) Peter and Amanda Harrison Day phone
Mailing address
Lending agency Day phone
Mailing address
Real Estate Agent Audrey Mason of Eagle River ReMax Day phone
Mailing Address 11525 Old Glenn Hwy., Eagle River, AK 99577
Un/ess otherwise requested, COSA will be held by DSD for pickup.
NUMBER OF BEDROOMS: 3
622-9094
622-3344
TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class ~ Well
Public Water system
TYPE OF WASTEWATER DISPOSAL:
[] Individual On-site []
[] Individual Holding Tank []
[] Community On-site []
[] Public Sewer []
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of On-Site Systems 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 COSAs upon request to homeowners. Certificates of On-Site Systems 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.
4. 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 Douglas T. Kenley, P.E. Phone (907) 746-1073
Address 9806 E. Northstar Circle, Palmer, AK 99645
Engineer's Printed Name Douglas T. Kenley Date I
Disapproved.
Conditional approval for bedrooms, with the following st~pul~ons:
Attachments: COSA Checklist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
(Rev. 11/05)
X
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Odginal Certificate Date: ./(~ - ~ -- ~/
Municipality of Anchorage
Development Services Department
Building Safety Division
On-Site Water & Wastewater Program
4700 Elmore Road
P.O. Box 196650
Anchorage, AK 99519-6650
www.munLorg/ons'rte
(907) 343-7904
CERTIFICATE OF ON'SITE SYSTEMS APPROVAL 'CHECKLIST
Parcel ID: 050-572-03
A. WELL DATA
Well type
Date completed e~2~o2
Total depth 342 ft.
Date of test
Static water level
Well production
WATER SAMPLE RESULTS:
Coliform 0 colonies/100 mL
IfA, B, or C provide PWSID # .. Well Log (Y/N) Y
Sanitary seal (Y/N),, ,,Y. , Wires prppedy protected (Y/N)
Cased to 342 ft. Casing height (above ground)
FROM WELL LOG AT INSPECTION
8/29/2002 918/11/9/26/11
-298 ft. 301.6 fL
~) g.p.m. 3.3 g.p.m.
Nitrate ND mg/L
Arsenic: NO ug/L date of sample: 9/8/11
B. SEPTI~ TANK DATA-
Tank size 1250
Foundation~,clearmut (~N) * Y
Date~.'.9/03~,. SoiLrating (g.p.d./ft20rff2/bdtm) 0.8'"
Length :,* '~ '~3 ft. W,:ith 3 fL
Total depth .9 ff. Eft. absorption area. 880 ft~ Monitoring tube Y
Date of adequacy test 9/8/11/9/26/11 . Results (Pass/Fail) Pass
Fluid depth in absorption field before test 4s~* in. Water-adde!d ~ gal~
Elapsed Time: ~"min. Final fluid depth ''~1 in.
Any rejuvenaaon treatment (past 12 mo.)(Y/N & type) N
co,ecte~ by: F. Kenley
Date installed 9~03/2002
Number of Compartments 2 Cleanouts (Y/N) Y
Depression over tank (Y/N) N . High water alarm (Y/N) N/A
Pumper JRs Septic P ,~, 'ng
Y
in.
System type,, Trench
~be~i~' ~ fL
Depression,°Ver field N
For 4 bedrooms
--New depth~ in.
6OO g.p.d.
If yes, give date NA
D. LIFT STATION
.Date installed
"Pump on" level at
in.
E. SEPARATION DIST&NCES
Size in gallons Manhole/Access (Y/N),
"Pump off" level'at ~ .:< ' ~ __-er a arm level at
Cycles tested Meets alarm & circuit requirements?
Septic tank/lift station on lot
'Absorption field on lot
Public sewer main
SEPARATION DISTANCES FROM ~NELL ON LOT TO:
100+ ff.
100+ it.
25+ ff.
Animal containment areas 50+ fL
on edjacent ~om 100+ ft.
On adjacent lots 100+ ft.
Public sewer manhole/cleanout N/A
Holding tank N/A
Manure/animal excrete storage areas 100+ ff.
SEPARATI°N DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
s.mn~ fmm~ae. 5- ft. ~ .ne 5+fL ~r~ 5+ff.
Watermain 10+ it. - Water service line 10+ it. Surface~ater loo+..
Wetls on adjacent lots 100+ ft.
Property line 3+ fl.
Water Service line 10+ ff.
Curtain drain None known
Building foundation 10+ ft.
Surface water 100+ lt.
vvel~ on adjacent k~s t00+ ft.
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Water main 10+ f.
5+ff.
~nfo~an~ ~ ~A COSA ~i~.~ ~ ~ ~ da~. ~~~m~,~ ~ ,~
Engines P~n~ ~ ~~T. Kenley P.E. ~ ~', ~~T'~~
(Rev. ~10)
~-~ //,//~
ASBUlLT SEWARD & ASSOCIATES LAND SURVEYING 694-0829
I HEREBY CERTIFY .THAT I HAVE SURVEYED THE SCALE:
FOLLOWING DESCRIBED PROPERTY:
AND ~AT NO EN~OA~MENTSEXIST ~CE~ AS /~~ . .." ' ~ '.~. ~.'
WHICH DO NOT ~PEAR ON THE RE~D~ ~BDI-
*;
VISION PLAT. UNDER NO CIRCUMSTANCES
~Y DATA H~EON BE USED FOR CONSTRUCTION
OF FENCE LINES, OR FOR EST~LISHING ~ND- DRAWN=
ARY LINES.
SGS Ref.# 1114360001
Client Name Douglas Kenley P.E. Printed Date/Time 09/15/2011 16:14
Project Name/# Preuss 1 S-D, BK2, L~6 HoseBib Collected Date/Time 09/08/2011 17:00
Client Sample ID Preuss 1 S-D, BK2, LT6 HoseBib Received Date/Time 09/09/2011 12:58
Matrix Drinking Water Technical Director Stel~hen C. Ede
Saml~le Remarks:
Allowable Prep Analysis
Parameter Results LOQ Units Method Container ID Limits Date Date Init
Metals b~ ICP/MS
Arsenic
ND 5.00 ug/L EP200.8 C (<10) 09/13/11 09/15/11 NRB
Waters Department
Total Nitrate/Nitrite-N
ND 0.100 mg/L SM204500NO3-F B (<i0) 09/12/11 AYC
l~obiolog~r Laboratox~2-
Colony Count 0
Fecal Coliform 0
Total Coliform 0
col/100mL SM20 9222B A (<200)
col/100mL SM20 9222B A (<1)
col/100mL SM20 9222B A (<I)
09/09/11 CR
09/09/11 CR
09/09/11 CR
Douglas T. Kenley, P.E. 9806 E. Northstar Circle, Palmer, Alaska 99645 (907) 746-1073
September 30, 2011
Municipality of Anchorage
On-Site Services
4700 South Bragaw
Anchorage, Alaska
Re: Peter Harrison, Owner
Preuss #1 S/D, Block 2, Lot 6
20615 Eagle River Road
Eagle River, Alaska
COMMENTS TO TAN COSA CHECKLIST
There is a lot line waiver on file at the M.O.A.
Adequacy tests on this property were performed on two different dates. Both the well and septic
were tested on September 8, 201 land the septic only on September 26, 2011.
The septic system has a 1,000 gallon tank that empties into two trenches. Trench #1 is 37 feet in
length and trench #2 is 36 feet in length, a total of 73 feet. The trenches are serviced by a flow
splitter valve. The bottoms of the trenches are at the same elevation. The flow favors going into
trench #1, which is to the north. Each trench was installed with two cleanouts and twomonitor
tubes.
At the beginning of the septic system adequacy test on September 8th, the two monitor tubes were
both at 49" in trench #1 and 9" and 0" in trench #2. After 622 gallons was introduced into the
leach field, the readings were 60-5/8" and 62" in trench #1 and 14-1/2" and 13" in trench #2. After
1405 minutes elapsed, the readings were 49-1/4" and 50-1/4" in trench #1 and 11" and 15-1/8" in
trench #2.
Even though there was still over 5' available in trench #2, On-Site Services requested that trench
#2 be re-tested with at least 300 gallons. This was done on the 26th of September. At the
beginning of the test, trench #2 had levels of 7-1/2" and 0'. After 630 gallons of water was put
directly into a clean-out in trench #2, the levels were 25-7~8" and 25-5~8". After 98 minutes
elapsed, the readings were 20-1/8" and 19-3/4". The leach field is capable of absorbing greater
than 600 gallons per day.
On the first test, the well produced 3.3 GPM over a four hour period; however, on the second test,
the well produced 3.5 GPM over a three-hour period, which is a better indicator of what the well
can do.
Douglas T. Kenley, P.E. #8176
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.cLanchorage.ak, us
,, (907) 343-7904
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 050-572-03
1.
GENERAL INFORMATION
Complete legal description
Location (site address or directions)
Expiration Date: "~ - ~ ~'-'° 0 -~
PREUSS gl BLOCK 2, LOT ~
NSA EAGLE RIVER ROAD, EAGLE RIVER, AK 99577
Current Property owner(s) HORIZON VENTURES
Mailing address PO BOX 671368, CHUGIAK, AK 99567
Lending agency
Mailing address
Real Estate Agent
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
NUMBER OF BEDROOMS: 4
Day phone 250-9729
Day phone
Day phone
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 []
[] 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.
4. 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 Health Authority Approval Guidelines. for this
apl~lJcation 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 KND ENGINEERING Phone (907) 696-6111
Address 20441 Ptarmigan Blvd., Eagle River, AK 99577
Engineer s Printed Name Kenneth M. Duffus Date 12/23/02
DSD SIGNATURE
/ Approved for ~ bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipu
Additional Comments
By:
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
Maintenance Agreements
Supplemental Engineer s Report
Other
Original Certificate Date:
{Rev. 01102)
LOT. '6
:.!gl'P,.m
D. ate,;installed
Pump on level at
Datum
in.
Size .in,gallon§ -';*: '*',ii':Manhole/Access (Y/N)
Pump off I~ei"~{,'''~'':?. ir~;l~ ~h Water. a arm eve at
Cycles tested'
E; SEPARATION'DISTANCES
SEPARATION DISTANCES FROM WELL ON LOTTO:
Septic' tank/lift station on lot 100'+
AbsorPti0nifi~i~'bn lot 1.00'+
Public sewer main 75'+
Sewer/septic service line 25~+
Meets alarm & circuit requirementS?
On .adjacent .lots 100'+
On adjacent lots t00~+
Public-sewer manhole/cleanout
Holding'tank 100'+
1'00.'+
SEPARATION DISTANCES.FROM SEPTIC/HOLDING .TANK:ON LOT TO:
Building foundation 5'+ Property line 5'+ AbSorption field $'+
Water main t0'+ Water service line '10'+ Surface water 100'+
Wells on adjacent lots 100'+
Property.. line 3' ' Building foundation 4'0'+
Water Service 'line 10'+ Surface'water 100'+ Driveway, p'arkingNehicle' storage 25'+
Curtain drain 50'+ Wells on adjacent lots '100'+
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 .HAA guidelines in effect on this date.
Engineer s Printed Name Kenneth M. Duffus
Date 12123102
HAA' Fee: $375:~'00
Date of Payment.
Receipt Number ,~...~z~/~
(Rev. 12101)
:Waiver Feels
Date. of.' Payment:
Receipt':N:umber
George P. Wuerch,
Mayor
Anchorage
Municipality of Anchorage
Ali-America City
2002
12/26/2002
Ken Duffus
KND Engineering 20441 Ptarmigan Blvd. Eagle River, Ak. 99577
Subject:
Waiver Request for Preuss #1 Block 2 Lot 6
Waiver Request #WR000297
Parcel ID #050-572-03
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
3.0 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 Bragmv Street · Anchorage, Alaska 99507
http://,~vw.ci, anchorage.ak.us
WR#: 020097 PID#: 050-572-03
Date Received: 12-24-02
Legal Description:Preuss #1 Block 2 Lot 6
Engineer: Ken Duffus
2044~1 Ptarn~iGan Blvd, EaGle River, Ak, 99577
Applicant: Horizon Ventures PO Box 671366 ChuGiak, Ak. 99567
Waiver Requested: 3' separation absomtion field to r)ropertv line
Criteria: Geology
A. Water Table
B. Soil Sorption
C, Permeability
D. Water Table Gradient
E. Horizontal Separation
Total:
4700 Bragaw Street
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci, anchorage.ak, us
(907) 343-7904
Waiver Review Worksheet
HA#: 020639 Permit~: 020051
Points:
Waiver is not Gmnte~
List Conditions or Reasons for above:
Date: By: er
1111111111111111111 1111111111111111111
Rec~: 29516 Amount: $150 Date Paid: 12/26/2002
12-23-02 15:0G FROM-CT&E ENVIRON~NTAL SRV
.~t~ CT&E Environmental Services Inc.
9075615301
T-266 P.02/03 F-077
CT&E Ref.#
Client Name
Project Namef~
Client Sample ID
Matrix
PWS1D 0
Sample Remarks:
102§530001
KND Engineering
P~euss ~1 Ltl; B2
Prcuss #1 L6:B2
Drinkiag Water
~aramet~ Res~]t$
Niwate-N 0200 U
PQL
Umits Method
All Dates/Times are Alaska Standard Time
Printed Date/Time 12/23/2002 10:22
Collected Date/Time 12/19/2002 12:30
Received Dated'Dime 12/1912002 13:25
Technical Direc~or ~tephen
Allowable Prep Analysis
Limits Date Date [nit
0.200 mg/L EPA 300.0 (<:10) 12/19/02 PLW
Total Coliform I OB, No Coil
col/100mL SM18 9222B
(<=1'} 12119/02 KAP
12-23-02 15:00
FROM-CT&E ENVIRONMENTAL SRV
9075615301
CT&E Envkonmental Services Inc.
Laborato~/Division r ~w~',4,, ~
200 W, Petter Drive
Drinking Water Analysis Report for Total Coliform Bacteria
Anchora~, AK g9618-i605
· Tel: (907) 5~2-2343
IbEAD INSTRUCTIONS ON REVERSE SIDE BEFORE COLLECTING SAMPLE Fax: iS07) 561-5301
MUST BE COMPLETED BY WATER SU~PLLER
[] PUBLIC WATER SYSTRM I.D. # Il l I I ti
I~PRIVATE WATER SYSTEM
~ SendResutts 12 ~e,~ l, vo~
t3 Send Results
Send Invoice
SAMPLE DATE:
SAMPLE TYPE:
.~ Routine
[] Repeat Sample (for routine ~,ample
with lab ref. no.
)
12 Special Purpose
SAMPLE LOCATION
Month Day Year
12 Treated Water
f~tY Untreated Water
Time Collected
Collected By
TO BE COMPLETED BY LABORATORY
Analysis shows this Water SAMPLE to be:
Satisfactory
n Unsadsfactory
Sample over 30 houta old, results may
be unreliable
Sample tooJong in ~nsit; sample should
not be owr~ours old at examination
to indicate reli~le ~sults. Please send
new sable via special delivery mail,
Date Re~iv~ ~2 -~
Analytical Method: [~ Membrane Filter
13 MMO-MUG
10;:'1B530
SenttoA.D,E.C.
· 00 mi,
Result* Analyst
Anch Fbks Jun []
Foxed
Date: Time:
Client notified ofunsatisfaetory results:
Phoned Spoke with Faxecl
Date: Time:
Comments:
BACTERIOLOGICAL WATER ANALYSIS RECORD
MMO-MUG Result: Total Coliform
Membrane Filter: Direct Count
Verification: LTB
E. CoN
BGB COLIFIRM~
Fecal Coliform Confirmation
Final Me mb rues Filter Results ~~~- r ~n .~.~ C~00 al
OB ~ Other llacrerin
ENVIRONMENTAL FACILITIES iN ALASKA, CALIFORNIA. FLORIDA. ILLINOIS, MARYLAND, MICHIGAN, MISSOURI. NEW JERSEY, OHIO, WEST VIRGINIA
~1~ ~m~ Meml~er of the SGS Group (Sociel& G&n&ralo de Surveittance)