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)