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T15N R1W SEC 8 LT 83
T15N RIW ec. 8 Lot 83 #051-092-09 Municipality of Anchorage Development Services Department n Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. i P.O. Box 196650 Anchorage, AK 99519-6650 Page of www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number:-9W0t!02,63 PIDNumber: 05(-092-O`� Name: ' art �}- ( Wastewater System: ❑ New Upgrade Address: Po 30 67©� V ABSORPTION FIELD Phone: Number of Bedrooms: ❑Deep Trench 0 Shallow Trench 0 Bed ❑ Mound El Other Soil Rating Total Depth ft. original grade' LEGAL DESCRIPTION GPD/F Ft. Blo&��qq Lot: Subdivision: Depth to pipe bottom from original grace: Gravel dept{ th pipe. ELM `D� Ft. ll Ft. Township: / ..- Range: Section: Fill added above original grade: - el Length: 0 Ft. Well: ❑ New ❑ Upgra Gravel width: .<y Number of lines: Distance between lines: vP Ft. Ft Classification (Private, A, B. C): Total Depth: Cased to: Total absorption area: Pipe Material: Ft. FI. Ft= Driller: Date Drilled: Static Water Level: Installe[ Data Installed: FI. Yield: Pump Set at Casing Height Above Ground TANK GPM Ft. Ft SEPARATION DISTANCES MI Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Septic Absorption Lift Holding DublictPrivate M�a�nufacturer. capacity: From � Tank Field Station Tank Sewer Line '; 0614ore At"' 7-,q.tik- :::=Its Gat Material: Number of Compartments: I well too i -y u SIAL Z Surface Water 1004' LIFT STATION Size: Manufacture[ Lot Line 104 Gal. 'Pump on° level at mp 'PuofP level aC High water alarm at: Foundation 104- in. in. In. Pump Make 8 MWel Eleci ical Inspections performed by: Curtain Drain Remarks: BENCH MARK Location and Description: SEGT,nC_ TAntr_ C©Rr r-rc o F T EC/c Assumed Elevation: 100 Ft. En i tamp R.F....A. .qs A�,�`' 42 9 Inspections performed by: CHRIS t-Joct- Dates: tat 7/27/yy k' . 2nd 7/z7/oy Development Services Department Approval �'''; CBRISTOPHERP.WOOD (� 1 � � • CE-103117Date: •, Reviewed and approved by: t.J : (acv. Voo1 .•p•1�r�a6�/...•. Permit No. SW040263 Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: GOVERNMENT LOT 83, SEC. 8, T15N, R1W PID No.: 051-092-09 N90'00'00"W 329.90' SWING TIES 0 A 8 0 0 C 28.8' 50.8' 00 0 178.8' 146.9' f '000" 0 w o 0 0 N � O � ri rt OFP H' m A O J P N Q B W O N _ _ _ O_ 50' PATENT RCW RESERVE Aevx. oatw.�y; . N90'00'00"E 329.90' LEGEND O - FOUND ALUMINUM CAP 0 - SEWER CLEAN OUT - DRIVEWAY ® - TEST HOLE -6- - WELL • - MONITOR TUBE — — - EASEMENT SEPTIC TANK REPLACEMENT ONLY ELEVATIONS (NOT T❑ SCALE) ENGINEER'S SEAL 0000�pp NE CORNER REAR DECK o pF q�°ooa ASSUMED ELEV = 100.0' d5�. .!9 H 4.5' ...3.O � NEW 1.,000 CHRISTOPHER R. W000: 92,4" GAL TANK 92.2' p ` CE -10 87 �O J '. y� 88.0 88.0 44 oO4 ESSQ'agO o April 5, 2013 Deb Wockenfuss Civil Engineer, On -Site Services Municipality of Anchorage 4700 Elmore Road Anchorage AK 99507 Re: T15N R1W Sec. 8 Lot 83 Septic Tank Replacement Permit SW040263 Dear Ms. Wockenfuss, This letter is to transmit the inspection documentation prepared for the subject property for the septic tank replacement conducted on July 27, 2004. This work was conducted in accordance with the codes and regulations in affect at the time of installation. This report reflects the condition of the property, structure, and measured separation distances on the lot at the time of installation. It has been brought to my attention that the existing dwelling has been removed, and a new single family home constructed on the site of the proposed garage shown on page 2 of 2 in the inspection documentation. Separation distances and swing ties from the tank to the new structure are not known at this time. Please contact me at 242-2717 if you have any more questions. Sincerely, Ch istopher R. Wood, P.E. Magor.11ark Begich June 13, 2005 Yluilicipcedity of e P.O. Ik.c 19GGM • ,3nchnmge,.3h:ska MA19 6(ii) • Tclephune (!X)7) 343.&3B1 • I a., O ) 14:3-03"-21X1 47(X) Bragaw Swc(• .3nchumgc, Alaska !X)5(17 Jeremiah Clark P.O. Box 670863 Chugiak, AK 99567 ulm.nnwLurg Building Safety Division Subject: On -Site Water and/or Wastewater Permit. Permit Number: SW040263 Legal Description: T15N Ri W SECTION 8 Lot 83 Dear Mr. Clark: An On -Site Water/Wastewater Permit, number S W040263, issued by this office for a single-family system, will expire on July 13, 2005. The permit is valid for 365 calendar days. If this was a well permit and the well has been drilled, a well log must be sent to this office for documentation of the installation and to close the permit. If this permit was for a wastewater disposal system, an original as -built inspection report must be sent to this office for review, approval and documentation. This as -built inspection report must be signed by the licensed Professional Engineer who inspected the installation of the system. As -built inspection reports are required to be submitted within 30 days of the completion of the system. If no system %vas installed under this permit, and you are still planning to install a well or wastewater disposal system, a new permit must be obtained from this office. A new permit for a second year may be issued for a fee of $115.00 if the renewal application is received on or before the expiration date of the original permit. When applying for a new permit, the fees are: $460.00 for a wastewater permit and $175.00 for a well permit. If you have any questions, please call this office at 343-7904. Sincerely, Daniel J. Roth Program Manager On -Site Water and Wastewater Program Enc: Copy of permit Co112111unity, Security, Prosperity 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 PERMIT Initial Date Issued: Jul 13, 2004 Expiration Date: Jul 13, 2005 Permit Number: SW040263 Parcel ID: 051-092-09 Legal Description: R15N R1W SEC 8 LT 83 a Design Engineer: 0848 Eagle River Engineering Services Site Address: 020455 CRABTREE ST Owner Name: JEREMIAH CLARK Lot Size: 108900 SO. FT. Owner Address: 20455 CRABTREE STREET Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567-0000 This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either. A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued �Date: r Date: 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.ek.us (907) 343-7904 ON-SITE SEWERMELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 119 7z - U2,-:0 - K9 2 Permit Number SW Property owners) 1B f? E M t A t -r C s. A e Day phone M address (1 address (2 Legal description (Lot, Block & Sub'd.) A' -j r B"3 Zip Code 9g5& 9 Legal description (Section, Township & Range) aFe a- 777/:5:7&Z J4 / A/ Lot Size_ jLg _q00 1 Ae[A.Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 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 Fa0ly Dwelling and,is in accordance with applicable Municipal Codes. of property owner or authorized agent) Permit Fees: IK6 10 Waiver Fees: _ Date of Payment: 7-9 -e)4 Date of Payment: n Receipt Number: / eceipt Number: (Rev. 12100) Eagle River Engineering ,Services Christopher R. Wood, P.E. 10421 VFW Road Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 6943297 fax July 7, 2004 Dan Roth Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: T15N Rl W Sec. 8 Lot 83 Narrative & Permit Application Dear Mr. Roth: The proposed septic tank replacement will have very limited impact on adjacent properties for the following reasons: 1. The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance, and wells +100'. 3. This permit is for replacement of the septic tank only. 4. Drainage will not be affected and is not a major consideration in our design. 5. Protective well radius will be maintained for all adjacent properties. The existing septic tank is to be moved to allow construction of a garage. This permit is for replacement of the septic tank only. Drainage will not be affected, and is not a consideration in our design. This work will not affect the reserve area on adjacent lots. If you have any questions please call our office at 694-5195. Sincerely, EAGLF, RIVRR ENGINEERING SERVICES Vheltophcr R. Wood, P.E. Principal t2003\04-045 SEmcNARRATIVE.DOC Eagle River Engineering Services Christopher R. Wood, P.E. 10421 VFW Rd. Suite 201 (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: T15N RIW Sea 8 Lot 83 July 7, 2004 A. GENERAL I. The septic plan is for a 3 bedroom single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi -family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. Any remaining open test hole excavations shall be filled and monitor tube removed. B. SEPTIC TANK I. The sewer piping from the house shall be 4" PVC 3034 laid at 2% grade maximum — 1% minimum and insulated with 2" of burial foam if shallower than 3 ft., with 2 R. minimum. 2. Septic Tank shall be a minimum of 1,000 gallon tank of MOA approved construction, insulated, or place with 4' of soil cover, min. Twenty-four (24) hours notice required for all inspections. \\Ercs\DOCS\WPDOCS\2004\04-045tankonly- spec.doc N90.00'00"W / NSTAU. \ NEW 1.000 �� •� / CLL TANK \ R+100.0' NSTAU. NEW \ EauND.noN /CLEANOUT I7 ■1 NOUSC I WEM 50' PATENT ROW RESERVE • . ArRi eWIr.,W„ ' r O F . Nn — FOUND ALUMINUM GIP ® — TEST HOLE • — MONITOR NDE o — SEWER CLEAN OUT — WELL EASEMENT DRIVEWAY 329.90' inn nn• NEW REMOVE OLD SEPnC OD TNIR e o ABANDON V ON STE N z 0 0 0 A O O SEPTIC SITE PLAN +oF�.�� T15N R1W SEC 8 LOT 83 d%�E eV' 4, OWNER: JEREMIAH CLARK, CONTRACTOR: JEREMIAH CLARK * ., JOB 04-045 DATE: 7/7/04 SCALE 1 It = 60' / CHRIS OPHER R. 'X- 00 EAGLE RIVER ENCINEERINC SERVICES P.O. Box 773294 A ',�,J� '. CE -10387 K. EAGLE RIVER, A 99577 (907) 694-5195 FAX.- (907) 694-3297 Municipality of Anchorage Page / of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: 'W e 3 oos--tPID Number: OS/- a Fa -a 9 Name'/- Wastewater System: ❑ New E Upgrade Address: ABSORPTION FIELD Phone: No. of Bed ms: O Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: O• `/r GPD/Sq. . Ft. Lot: C Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe O 2 %Grri a. Ft. 5 Ft. Township: Range: Section: Fill added above original grade: Gravel length: ASN %C'/ L✓ SEC Ft. /00 Ft. WELL: ❑ New El Upgrade Gravel depth: w,.l1Z Number of 17a: Distance b tween lines: ,Eir/,i iirr 3 FL * Ft. Classification (Private, A,B,C): Total Depth: Cased To: Total absorption area: Pipe material: �ri✓a}t `� Ft. Ft. Oe SO. Ft. /ffTm 3o3y /�F/U Driller. ^_ Date Drilled: Static Water Level: Installer: Date installed: Ft. eJ Yield: Pump Set at: Casing HeightAbove Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES lfSepticHolding ❑S.T.E.P. NFO To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines G/jk ER /UD8 W011 //r /ate I Material: Number of Compartments: e f/ao' t/ed' LIFT STATION' Water f-/od Lot Size in gallons. Manufacturer: Line t!o' o;i0 4o/ '# Foundation aS' t/ee D "Pump on" level at: "Pumpo at: High water alarm at: Curtain Pump Make & Model Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: Lt.✓co✓ere c.vcr i.�.�/tee ote� ar oa cC. Ta Q1` /eeci L�=!f at /✓>� ea—c— Assumed Elevation: %/er✓cli INrs./a Y-cer wX& l7Du� ,B.+rrs I Soo °O ENGINEER'S SEAL r� of At. J 4C6 p® •.....ao 009 Inspections performed by: Dates: 1st 2nd s 30 7 '`' Louis . A. Buten Department of Heal and Human Services approval ' - . CE.673s R Reviewed and approved by: Date;' p 72-013 (1/91) MOA 26 1 1 I `•vrt r U (W3 Permit No. Sw o3 oast Page 2 of 2 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: 343-4744 On—Site Wastewater Disposal System and/or Well Inspection Report Legal Description: GOVERNMENT LOT 83, SEC. 8, T15N, R1W PID No.: _6Si- s� -o 7 M c' S - NE CORNER REAR DECK O V ASSUr MEp EI.EV 500.' – TEST HOLE ELEVATIONS – MONITOR TUBE o (NOT TO SCALE) �- – WELL — ORIGINAL I o – DRIVEWAY GROUND O O 4xkcx3Znn.>>,� .. 4597' EXISTING WELL ABANDONED O "-W-' `�ti't v.gAL OR BVI DCK GVT 100,0' F D � su'_ a, j�=s TH2® sEvnc +w• A HOUSE 50' PATENT ROW RESERVE APPK OPoYEWAY r .. n NE CORNER REAR DECK O V ASSUr MEp EI.EV 500.' – TEST HOLE ELEVATIONS – MONITOR TUBE o (NOT TO SCALE) �- – WELL — ORIGINAL I o – DRIVEWAY GROUND O LEVEL AT m 4597' 2' FDA.TANK15/7' "-W-' OR BVI DCK GVT `l `4327' znn nn� SWING TIES A B C 37.4' 44S' 0 118.8' 148.9' TH3 OD J N ® U TH1 O N O IA LEGEND O – FOUND ALUMINUM CAP ® – TEST HOLE – MONITOR TUBE o – SEWER CLEAN OUT �- – WELL — – EASEMENT o – DRIVEWAY TH3 OD J N ® U TH1 O N O IA 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/WELL PERMIT APPLICATION FOR A.SINGLE FAMILY DWELLING Parcel I.D. U,S / — C/ �� -)- 61- Permit Number SW Properly owner(s) 64fe-r Lr, t Day phone Grp YsYj Mailing address (1) e� S d 7e, ;)-G 3 C.AM4x"ef /Vh y'sJ-<2 Mailing address Code Legal description (Lot, Block & Sub'd.) /� r 5�3 T/ Ss✓ P r C / SrC '� Legal description (Section, Township & Range) Lot Size 2,s- Acres/Sq*r%L Number of Bedrooms THIS APPLICATION IS FOR: 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade j 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. (Signature of propoij owner or authorized agent) Permit Fees: ) . Waiver Fees: Date of Payment: Receipt Number: 7-71A' (R_v. 12'CO) Date of Payment: Receipt Number. Eagle River Engineering Services Louis Butera, P.E. P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax February 24, 2003 Jim Cross, P.E. Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 83 T1 SN Rl W, SEC 8 Narrative & Permit Application Dear Mr. Cross: The proposed septic system upgrade will have very limited impact on adjacent properties for the following reasons: The surrounding lots are large, allowing sufficient room for septic sites. 2. Immediate neighboring septic systems are all +30' distance. 3. This permit is for inspection/replacement of the septic tank and leachfield system. 4. Drainage will not be affected and is not a major consideration in our design. This work will not affect the reserve area on adjacent lots. We have tested the leachfield and it does not pass the absorption rate for a 3 bedroom dwelling. Soil logging has shown the system to be located in the groundwater and soil percolation rate to be very slow. We have excavated additional holes at the base of the hill and designed a trench system here. The home is being sold and we are requesting that the HAA be issued as a conditional to allow construction of this replacement system when weather allows. The owner will provide 3 bids and will escrow 150% of the highest bid with the mortgage bank. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. \1997\03-003 xaR.DOC N90.00'00"W - TEST HOLE • 329.90' o - SEWER CLEAN OUT M61 h SEPIIO +100' - - — r - - - - PROPOSED LEACH FIELD - EXISTING LEACH FIELD o - DRIVEWAY aw,cE N sIaFE EXISTING WELL TO BE ABANDONED r TH20 TH3 pq. 5T2 10' OF HILL GJ O IA\ \\ c v CT O I I \� ror oT BwT>• INSPECT E STING TANK /� SEPTIC +lC IINSTALL FOUNDAWN\ IN / R=100.0' CLEAN OUT \ �9 I PITC +01%B / 1 ARAN ON HousE �ISTI 4G FIELD TH1 ------�----— — — — — — — :'r.:t:':a L---- — 50' PATENT ROW RESERVE NO SURFACE WATER NO KNOWN CURTAIN DRAINS WELL/SEPTIC LEGAL: BLM LOT 83, Tl 5N OWNER: GARY PERKINS CONTRACTOR: N/A JOB# 03-003WS DATE: 5/2 N90.00'00"E 329.90' SITE PLAN RM W, SEC. 8 IsTvnc +,ao ® - TEST HOLE • - MONITOR TUBE o - SEWER CLEAN OUT - WELL - - — - EASEMENT - - - - PROPOSED LEACH FIELD - EXISTING LEACH FIELD o - DRIVEWAY 03 1 SCALE 1 " = 60' EAGLE RIVER ENGINEERING P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX.- (907) :49TH SERVICES f/ c Loins A. euTERA CE -6736 694-329 Eagle River Engineering Service P.O. Box 773294 (907) 694-5195 tel Eagle River, AK 99577-3294 (907) 694-3297 fax FOR ON-SITE SEPTIC SYSTEM LEGAL: Lot 83, T15N Rl W Sec 8 February24, 2003 A. GENERAL 1. The well and septic plan are for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department of Environmental Conservation requirements. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. It is the responsibility of the owner to obtain all necessary permits or easements and to locate any adjacent multi- family wells. 7. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 8. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. 9. Any remaining open test hole excavations shall be filled and monitor pipes removed. 10. Esasting well by leachfield location is to be properly abandoned using MOA code methods tes=ax uP SEPTIC TANK and SEWER PIPING de,a���� _�3-nu w3l The sewer piping from the house shall be 4" PVC 3034, a foundation cleanout is to be installed within 4' of house foundation. 2. Existing septic tank is to be inspected by engineer with tank inlet and outlet uncovered for inspection. If a new I tank is required, septic tank shall be minimum of 1000 gallon tank of MOA approved construction, insulated or place with 4' of soil cover. SINEW a1IIy:1 1. The trench is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the open trench excavation shall be level, plus or minus 1.5" prior to placing gravel. 3. The total depth of the trench excavation is not to exceed 8' at any point in relation to natural ground surface. 4. The 6' of effective depth sewer gravel and effluent pipe is to be covered with typar fabric material. 5. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the leachfield. 6. The area over the trench is to be finish graded to prevent ponding of surface water runoff. 7. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS: TOTAL DEPTH= 8' GRAVEL DEPTH = 6' under pipe, 2" over pipe TRENCH LENGTH= 84' TRENCH WIDTH = 3'. SOIL RATING = 0.45 GPD/fl BEDROOM CAPACITY= 3 SEPTIC TANK = 1000 minimum 5'n3 4 inspections required - Twenty-four (24) hours notice required for all inspections. \2003\03-003specs.doe EAGLE RIVER JOB 4' tN fe c d' ENGINEERING SERVICES SHEET NO. OF / P. O. Box 773294 EAGLE RIVER, ALASKA 99577 CALCULATED BV / o� �'c �g DATE Zl- �r-c Phone 694-5195 CHECKED BY GATE P0000 MW J�I., Gn W 01411. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage. Alaska 99502-0650 SOILS LOG = PERCOLATION TEST PERFORMED FOR: 1K.1 - DATE PERFORMED: 77 —/c' 3 TI.-/ / LEGAL DESCRIPTION: La t 3 Township, Range, Section: 7/S >✓ /6J js c..P DEPTH I SLOPE SITE PLAN (FEET) 1 S � rsy G... r • !/ 2 3- 4 4 13rsWry 6�-4.Ve-/ W�1S•.ra( s y,�y dam. sc /hOrS i- 7 8 E 4re� 12 Very 00.57t 13 1 14 15 16 17 18 19 WAS GROUND WATER Y�l, ENCOUNTERED? S - IF YES, AT WHAT L DEPTH? !°' O l� E Depth to Water After i Monitoring? Gey Bate: -2 /9 °2 Reading Date Gross Time Net Time Depth to Water Net Drop So Rh suers -o; l 3;06 S� 3 S•'Ht Yd 20{ I _ lul 5 PERCOLATION HATE -? Immutes,incnl PERC HOLE DIAMETER TEST RUN BETWEEN S FTANO ( FT COMMENTS PERFORMED BY: J CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE, DATE. 72-008 (Rev. 4.851 e Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L' Street, Anchorage, Alaska 99502-0650 SOILS LOG:-- PERCOLATION TEST PERFORMED FOR: PGr /ir,tif DATE LEGAL DESCRIPTION: � >'' �3 Township, Range, Section: -7-15-,j 2 ! w J -'_-C_00 SLOPE SITE PLAN (FEET) 1 900 g Vrl 2 3 4 5 G!rr — fi L 6- 7- 8- A 8 A t0 � I IWAS GROUND ENCOUNTERED?ATER NO 11 IF YES, AT WHAT DEPTH? 12 Depth to Water Atter g,1 v -c 3 13 Monitaring7 0'7 Bete 15 16 17 18 19 2 Reading Date Gross Time Net Depth to Time Water -Net Drop Sa r ;2 -DI -63 41, s/ic - 6 H 20{ I G uPERCOLATION RATE �_ lminu:es ulchl PERC HOLE DIAMETER TEST RUN BETWEEN 'd FT AND FT COMMENTS l% c eslc /_,)&Mere,16N,r . PERFORMED BY: G4s l.C'Iec..GrI �t^TiFV THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 72-008 (Rev. 4,85) "49L I PA »2.e » e Municipality of Anchorage "Q 0n0r w...».»uses •'. DEPARTMENT OF HEALTH & HUMAN SERVVCES t, q 825 " L" Street, Anchorage, Alaska 49502-0650 4 Louls A: Butera c> . CE -6736 . Ta SOILS LOG = PERCOLATION TEST var= `° ••u PERFORMED FOR: Per kr"�1 DATE PERFORMED: 7-H 3 LEGAL DESCRIPTION: /yf- JF-? / At 3 Township, Range, Section: 7-/S�j /2 ! w .r' --c .0 DePTrH I SLOPE SITE PLAN 1 � ��/� Toffs. i / — u�aA-r✓i c 2 Date Gross Time 3- Depth to WarerftI,;,. Net Drop „ A ALC a. a I/.3 loom 4- 46 m..-..� Lye �4c! ./o/% !n•r 61 6Zi//c Ssrre Fp a �c / /G.✓iu 7 b 11F E rr�rr�r�rrr�rr�rr�rrrr�rra Date Gross Time Net Time �„•� Depth to WarerftI,;,. Net Drop „ A ALC a. a I/.3 loom MEMO m..-..� 1(3- WAS GROUND WATER N '^ ENCOUNTERED?y O S 11 L IFYES.ATWHAT O 12 DEPTH? P E Depth13 Monitoring? to Water AfterD2Y 2 -D y -o? Mamlering7 O�Ie: 14- is- 16- 17- is- 19- 20- COMMENTS 4151617181920COMMENTS Reading Date Gross Time Net Time �„•� Depth to WarerftI,;,. Net Drop „ A ALC a. a I/.3 :30 : 6Zi//c 11F ;2 S �i 3: 4S:On y/6 7 It 7 %F? G PERCOLATION RATE 7-:L (mmu:e5,mcn1 PERC HOLE DIAMETER TEST RUN BETWEEN S- FT AND 6 FT PERFORMEDBY: E�.SLe.Cc ��+'-^3�^'«� '�C>ar�� CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE. 72-008 (Rev. 4.851 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND FlUMAN SERVICES Environmental Health Division 825 "L." Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL, INSPECTION REPORT Name Address Phone[s} Permit Ho. No Gl ms LEGAL DES CRIP3'IOI~ Township, Range, Section TANKS ~:~PTIC V) HOLDING No. ol Compadmenls TYPE OF SYSTFM ~TRENCH [] BED [] W. DRAIN [] OTHER "~ FT _~ FT ~1~' Total absorption aKea ~)S~ Distance between mines Installer Date Inslalled WELLS / ~.,PRIVATE [] OTHER (Identifv) Classificanon (A,B,C) Total DepthFT Cased to DISTANCES OE-/~- O?,~D~_ ~ TO SEPTIC ABSORPTION 10rtl "'"',---,~ TANK FIELD WELL ELL \ LOT LINE AS-BUICT DIAGRAM (~how location of ~oll, septic s?stem, prope~? )mnes, foundation, drwewa?, wa~er ENGINEER'S SEAL S & S ENGINEERING __ Cellily Ihal thio ino[)e~'[i~n was ued0rmed accnrding to all ' 17034 Eagle Rive. Loop Roe. ~[o. 204 /~//~/~ ~unicipal an~lli~pj~t~l~- / / __ Heallh DepaltmenlApproval: ~ ~-- .Date: /O--~r--'~ / 72-013 (3/85) Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PERFORMED FOR: LEGAl- DESCRIPTION: ~ ~'~ 1 2 3- 4- 6 7 8 9 10 11 12 13 14= 15- 16- 17 18 19 20 GATE PER FORIVlED:__~ Township, Range, Section: ~ I[~ .--~'~-t'~ SLOPE SITE PLAN WAS GROUND WATEF ENCOUNTERED? IF YES, AT WHAT DEPTH? Doplh to Walor Aller Monitoring? Dale: Reading Date Gross Net Depth to Net ~. Time Time Water Drop PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN ----~.--~AND __ FT t CERFIFYTHATTHSTESTW SPERFORMED N ACCORDANCE ~"~''~'~PAL GUI~~EC~ ON THIS DATE. DATE: /O.//Z~ ~ 72-008 (Rev, 4/85) ~ ~ / / ' !$:::'CIRI*I Ii) ,, I"i ,, I'-I ,, [:;Iii:R'I':I:F:Y tl.ff:~ i:' (::H ~ '1:. I'~ by ]t: v,~:i.:l] il'~ii'!,"i]l,]. 'l:lx..,~ any !il;:'t:;k; I; f'd .... .I , · f , II. , l[li.;; ii] k.l!il; I'l':il !U; I IZ C)iq'~.-];: SCALE Io--/o- ~? ROBERT A. SHAFER 0etober 6, 1989 CIVIL ENGINEER 694-2979 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD OESfGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS Mu~eipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Lot 83; Section 8; TI5N; RIW Request you renew the septic permit #870148 issued in June, 1987. We have made a si£e£~speetion on th~ date and ~oundthe groundwat~r: ~o~Ztoringitu~e to be!d~y,- A site inspection of the property and surroandZng lots show no change in reference to the wells or septic systems. The o~y change to th6 previous site plan wou~d be: There is no longer a proposed three bedroom house, however, the property owner now proposes to move a three bedroom trailer onto the lot. The trailer previously existing on the property no longer exists. Sincerely, ~0%B~/~A .~S H~F~ R ,~. E~-J~ RJS/ss ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 / un cipa tYo2 Anchorage P,O. BO. 96650 ANCHORAGE, ALASKA 99519-6650 (907) 343-4200 MA YOR DEPARTMENT OF HEALTH & HUMAN SERVICES January 12, 1988 Dennis Smith PO Box 770922 Eagle River, Alaska 99577 Subject: T15N R1W Section 8 Lot 83 Permit #870148, On-site Sewer Permit A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1987. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled 'the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system, the original as-built inspection report (three-part form) must be sent to this office for review and approval, and for documentation. Effective January 1, 1988, a new fee schedule is in effect. When re-applying for a new permit, the new fees are; $90.00 for an on-site sewer permit; $50.00 for a well permit; $140.00 for a combined sewer and well permit. If there are any further questions, please call this office at 343-4744. Sinc/~ly, ~ Program Manager On-site Services RWR/ljw enc: Copy of Permit U I ,, LiN x I~} ' IL,,IBI,'- I'1 '[ I::;'; :t 5N F;:ABt[.}!~: :: :1, W EAJ:iI. E:. I:(I VI~I,~,, Al< ??',5// PI-10 N E ~1t~6 ':~ '.~ .... 2 It / ? !il!Il It<SI itE]::'ll.l: ;IXl I:: t I I [tJl'll::;~ I ~]/~'II~];; I At{~I..I~: OtEI:' I H: ;I xf I::;' t I"i11%,, I:;'J:]!.;.~UI.I:R~:~D td::bl:~lRVl:: Al:ilEA: 6()()() SQ,,FI CAI 2, ,, 5 ,,~ SCALE __ ~O-lo .- ~? Municipality ot Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TES'r PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 13- 14- 15- 16- 17 18 19 20 Township, Range, Section: SLOPE SITE ~LAN IF YES, AT WHAT O. DEPTH? p E Depth to Waler After.,//! ~loniloriflg? _ /'7 l)ale: ~' '~--/~c~ i Reading Date Gross Net Depth to Net Time Time Water Drop PERCOLATION RATE /~ (minutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN '-~----~T AND -d _ PT COMMENTS //~'~ PERFORMED BY' 1'"'' "~ .... ~~ /~ERTIFY T ' -- · ~ ~,~a~ ~, ~ ~ HAT THIS TEST WAS 72-008 (Rev. 4/~5) / ' PERPORMED IN MUNICIPALITY OF ANCHORAGE (,L~5-p-f-v/ ~; DEPARTMENT OF HEAl_TI4 & ENVIRONMENTAL PROTECTION U.c~'',J~''r~J ~-~'-,Z~ / ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL S~STEM AND/OR WELL INSPECTION REPORT ~ P~ ~ ~'-~ ~ UPGRADE MAILING ADDRESS ~EGAL DESCRIPTION J WelJ J Absorption area / D elli ~ DISTANCE TO:~ ] / ~ I ~ O~O IF HOMEMADE: ' ~elli~ ~ '-- PERMITNO. Q ~ ~ DISTANCE TO: Well ~ Well -I Fund ' n ~ Z ~ No. of~ lines Lengthener e ~ ch line Total lenen~ _th of/lines Trench width Distance between lines '-- ~ ~ inches ~ ~ ~ Top of tile to finis~grade Materi~uune~th the Total effective absorption area ~ ~ DISTANCE TO: Well Building foundation Nearest lot line ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER ~IIP~ MATERIALS J ~ ~ ~ SOIL TEST RATING ~ ~NSTAELER _ ? ~ Russell I. Oyster * r~ / ~PPROV ~D DATE LEGAL ~o t/ /78) I [ I:l ]l .l.. I..O[:":l:=J'l~ ]: :: I...l:?l]!il::)[., 'fill.i: I,,~r~:l'.~ll]iirT'l.J E:, .! I"IEI'.,IS ]i Cff.,I :[:i:~, 'l'tffi: I...li:i:N(3'r'H ,;::IN 1='11::~71') OF I"JIE; "I'F,~:I::(I'qC:I.I Ci[~i: I~:,I:;]:FI):I',II:::':iE~L~I:). I'I.IE DEPTH OF I::'1 TF;~:E2.,ICI.I CiPi'. F'ZT ]:S THE: D~[S'I-FII'.,I(]:Ei: Ei~I:CI'I,~I~:[i:I'.,t l'l..IEi: ?!;I..IF;i:FI:::IC:I!i OF THE GI;?OI. II'.,tD FII'.,tE;, THE: t!~Crl"'f'Oi',l O1:= TlrlE!: 'I',L'IEF;;:I:!!: ]::ii; i",10 '-'~;IET I'.I]:PTH I':{.)F;~! 'l-I"ll~: (3~;?.l:l~v~fii:l... DEI:::'TH :I:S THE i"iii",1;[1'"11.11'"1 I::1i",t[) THE E!~OT'I"Cff"I OF THE: E:>:',CFI'v'FIT]:OI",I ... ]..:fi,ll=L': .... Fl-l_. January 5, 1978 Grover tIuff Star Route Box 120 Chuqiak, Alaska 99567 Subject: Lot 83 Section 8 T15N R1W Pemmit ~77686 A pe~nit issued by this department for well and/or sewer system has expired, erllllts are issued on a calendar year ba~....s, as stated on the permit, by authority of Municipal ordinance. If you have drilled the well, a well log should be sent to this department to document 'the installation date. If there are any further questions~ please contact this office at 264 4720. Sincerely, Health and Environmental Protection Sewer and Water Section WATER WELLS 665 W. Il?th A~,,enue Anchornge, Alaska 99502 HELL CONSTRUCIION LOG Well location: (odOr~SS & I,gal deSCrfptiO,l)_ ~'~ f? ~ Oepth of ~*ll~.~ft. Casing: deptl{~/ 7 ft. diam._~ ia. ~ell yield tested by (?~g, hailing, air) at '~ gal/mia, HOWARD TEAL 344.0,198 USGS no. DRILLER'S ~ATERIAL LOG ~eplh be Iow land Give, description of strata penetrated surface in loot (size of material, color, hardness of drillin8, and water contant) .... to. Well Owner ~¢ Well Location. l¢lcKay P,O. Box 557 Phone 376-5058 Phone._ Size Casing ~. Stetlc Water Level .... feet _./._._" Depth of HoD 0 ' , ' -. Cased to ///~' .feet Well Te~t.~...,.~...Gal per Minute MUflJOlpah[y ul ( y C~z ,~ ,~,:~' _ ....... I hereby authorize McKay Drilling to proceed with the above work. Payment shall be made in the following manner; Rig up Minimum Balance due upon completion. feet. @ .... per foot hi the event it is necessary to institute regal procceding~ to collect any a/13ounts due on this con- tract, I agree to pay an additional sum of Ten percent {10%) of the original contract price as oat-It" Fax Note 7671 ~°"" 77l O,~o-~_~_ Addres~ --- . tWcKay Well Dr[lllng P,O. Box 5§7 Wasilla, Alak~a 99687 Phone 376-5058 Well Lecation RECEIVED OCT 1 19% (Dept. Heal[h & Human Services Phone ~ Size Casing :-.__~/¢, ;' Depth of Hole--~0' Cased to.-~-~ 0.~----.feet Static Water Level ..... feet Well Tess,----Gal per Minute for~__,Hours WELL LOG .2 ..~Lt. ~JZ.HO..RIZATJON TO DRILL I hereby authorize McKay Drilling to proceed with the above work. Payment shall be made in the following manner: Rig up Minimum .... feet. @.,, Balance due upon completion, ~ per foot In the event it is neces~ry to institute legal proccedlng.~ to collect any amounts due on this CON- tract, I ~B,ree to pay an additional sum of Ten percent (10%) of the original contract priCe as attorney% fees, plus costs, for lo(Iai proceedings. Data. _ · - ..-~-- Addr. fl. ....... := P.O. BOX 4-1276 4649 BUSINESS PARK BLVD. ANCHORAGE, ALASKA 99509 TELEPHONE (~07) 279-4014 Ddnking Water Analysis Repod for Total Coliform Bac[eria TO BE COMPLETED BY WATER SUPPLIER PUB.C WATER SYSTEM: III I I I ] I.D. NO. Grove Huff Public Watsr System Name 3417 E. 65th Avenue Mailing Address _ Anc hora qej ....... A1 a~s_ka Clly State 99502 Zip Code Mo. Day Year SAMPLE TYPE: ~ Routine NEW WELL [] Check Sample (for routine sample with lab ref. no ) [] Special Purpose F~ Treated Water ~Untreated Water SAMPLE NO. LOCATION 1 [Lot 83 58 T15N R1W off 2 iBirchwood Loop Time Collected Collected By · 2~30~ G. Huff TO BE COMPLETED BY LABORATORY LABORATORY: CHEM &.GE0 LABS OF AK., INC. NAME 4649 BUSINESS PARK BLVD. ADDRESS ANCHORAGE, ALASKA CITY Date Received _._Jul~y 19, 1 978 Time Received 1 640 hours Analytical Method: 13 Fermentation Tube I~ Membrane Filter Lab Ref. No. Result* Analyst 82'99 J F~-]Col onies-Not ' Col~f/~o~rm ~-~ YoHkin I I II] READ INSTRUCTIONS BEFORE COLLFCTING SAMPLE Form No. 18.310 (3-78) 06-1220 (b) BACTERIOLOGICAL WATER ANALYSIS RECORD Rev, 1978 Date Collected ~U~V~__]~ . S( ...... New Wel 1 Date Received Jul~y 19,1978~1r~e RecoiYed.._4.:_40~p.rn, Lab. NO. Reported By [. Yonkin Date Jul Y20, 1978 I)EF'IaI:~!TI',IENT ~1'~:' I.-IERI_TH RND liEI'.4'v'I[4:ONIqlENT'RL F:'Fi:CfTECTION S2~5 / 55TREE'f', RNCFICII::;:F:I[~E., RK. 9" I~...11 [EF.'-_: IL IL.._ ¢:1P-411~:i:, nZm fi'-41 --- :5; ][: '"IF' I~£ :~; E: l.*l E: IF;;.". F:' EE: ~L" ih'Il ][ TB ~ P' ':: 7768'E; ::' L.C C FIT I "N I..EI]iRL I"lR::~:Ii"llJl'"t NtJliEER ElF EEl R..i'1_, = .. =,I_L[I_ RRTINI3 ,:,b,l.,.! F I, E,I: ...... .L,: ..... "I'HIE [~:E':I]:IL.I.[R[EI:::, ... ].,_.E CIF ']"HE-: ~;O:[I.. HE,..,L[,:.F THE I_ENIL~'I'H [::'IMEN:SION I$ THE: L[::N[~TH ,::Ii"',l FEET> ElF: 'THE TRENCH EIR I~'I--':F:IINFrZEL. I). THE DEF'TI-J O1':' FI 'T'REI"~C:H O1~'. PIT IS THE DIS'T'RNCE BETb. IEEN THE :E;Ltl;~!FF~C:E OF THE EiF.:EIUND RND THE BOTTOI"I ElF 1HE EXCFIVFFr]:ON <]:i'.,I FEET::,. -IHEk':E ]:Si; NO ~E'f' b. IiD'FH FOI4'. 'THE 6RRVIEL DEF'TH ILS; THE Pl.'[NINUPl DEF'TH OF E. if4rR',,,'EL BE"I'I4[ZEN THE OUTF'I~LL F'ZF'E RND THE BOTTOI',I OF THE E~.~£.'.'R'v'FITI[)N ,:;ZN FEET). F:I F'ISKi:I<I::I(iiE PLRNT I"IR'¢ 13E IN~iTFILLED RT 'file F'ERI~I]:TI'EE'"% OF'"I'II}N 5;I...IE:J'[~'.CT TO ll-.IE l-;'OIJ_.m3bl lNG COND I TI ONS: ::L. EITHER Fm CLR$S; ]: O~! ZI NSF RF'F'ROVED PLRNT i'4F1'¢ BE i'N:E;TRLI_EI::,. FI CONI'INIJOLIS I"IFIINTENRNmZ:E FIGREEPI[ENT IS tREg!U:[F. IEI.':,. IF F:I NRI~'.,I'TENFINCFZ R(~F.:EEP1ENT :[2.'; NOT I<EF'T CURRENT' YOU i"lR'¢ BE RE6!U:[RED "['O ENL. RRGE THE F:IE:SCII~PTICIN S'TISI'Ef'I RND,-"I3R '¢OU NR'¢ BE: SUE",JEE:'I' TIll PROSEC'UTIOI'.,I. ........... ' =""="":, .':4 ' " ' ' "" fl-II E, HL.k.I IL.L. IN= OF FINS' _,r_.,IE.N I.'4ITHOtJT FINRL, IN~FE..T1.J',I RN[:' RPPROVFIL. E,~ .... ':' I)EF'IqI:;.FTi"IENI' I.,.IILL. "'=' '~ " E,I... :,lJb..rE ... I TO '-'" '= F I~.....,E ..I.,J I .[ . [4. I"IlNII'IUM DISTRNC:E BETWEEN FI !.4ELI.. AND RNY I:]N..-E-;ITE 5;IEI.4RC. iE DISPOSIqI.. ~."r'S'l'El'q ils ::LIZIC;'i FE.E'3 F'OI4.' R F'RIVAI'E NELl.. OR 2CIE1 F'Fi:ET FOR R PUBLIC !.4ELI.. I_O1::!i$ RRE [~:Et:.!LIZRE~D FIN[) NUST E:tE F.'ETURNE[:, TO THE I:.':'E:PRI~:TI"iENT !.4II"H:[N ii'.E~ [:,Ft"r'S OF' THE 1.4ELL E:OP1PLE:I']:ON. CrTHER REQIJIREi"IENT5 I"IR"/ RF'PL"r'. SPECIFICR'F]:ONS; I::IN.F.." C:ONSTRUCT]:ON DIF:IGRFIf"IS FIRE FI',,,'RIL.RBLE TO INSt.I[~'.E PF..!CIPER IN:~'T'RI..LRTICfN. :[ CE.'I:;.:TtF'¢ THRT 1: ]: Ri"t I::'FII"I]:LIFIR 14ITH 'THE t~.IEg!U:[F..'Ei"IENTS FOR ON-5;ITE .c;."EI.,.IEI',;'.S RND b. IEI._L'.~ R!E; SET F:E~I:;~t']I-'I EW I'HIE i'qUNIE:IPFIL]:T'¢ (::Il:' RNCFIORRGE. 2: I I.,.IILL. ]'.I'4STRLJ_ THE 5¥5']'E1"1 IN IslCCO~'.I)RNCE I'.IITH THE E:ODE$. 3:: ;[ UN[.':'EI:~!STRND THRT THE E~N-'_=;.'ITE '.E;E!.,.!EI:~: 2;"r%TEi'q I"~Ff'r' I:;~IE[.'!IJII;~:E: Ef',ILRRCilEi'qlENT :I;F:' THE: 1:4!E'.E;;[I.i:,ENE:E :['5 R:Ei"IOI::,EI_E[:, TO INCL. U[;;'E hlORE THRN :J: E:EDF4:C,Z~FIS;. s .......... .................... c'/< OErEGEO~ ECHNICAL Er DEVEL PMENT CO. Box 90, Davis St,, Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LOG. 688-2280 Soils Ei' Foundations Land Development 'Performed for: Name: <~)g'~-,~-? /-/'~Y,,~2~ Tel. No. H~tl'lng Add~ess:, L'egal Descriptton:~/~/ ~, ~ ., '~/.~-/t/ / .~/ ~y ~epth (f~et) ~.o11 Char'acteristic~ ]'---- /3/-. 2 L~. 5 /2, i5 Ground Water Encountered: Yes ......... No ....... If yes, what depth.___ Proposed Installation: Seepage Pit_~Dratn Fteld_~_ Performed by:~ Municipality of Anchorage 0 a - Development Services Dopartm�rit - � < Building Safety Division S On -Site Water and Wastewater Proaram _ 4700 South Bragaw St. Individual On-site. P.O. Box 196650 Anchorage, AK 99519-6650 Individual Water Storage www.ci.anchorage.ak.us r „ (907) 343-7904 '1 CER IIFICATEOFHEAL lfyfiCJ1ltUl{i'IYA'}-,1{UVAL Community On-site FOR A bINGLE FAMILY DWELLING Public Water System Parcel I.U. _ 7%S-/ - u 5-1 -oj_ HAA #-)Z00cZt Expiration Date: _ f _. _16 - 0 3 � LE - itALnNrtnfs_RM Airi3v Complete legal description w t F3 _T /S !� /e r w Sec Location (site address or directions) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing Address Unless othenaise requested, HAA will be held by DSD for pickuo. phone Wv0 _N 1 C, Day phone Day phone 1. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY:' TYPE OF WASTEWATER DISPOSAL: Individual Well 59 Individual On-site. lL Individual Water Storage ❑ Individual Holding tank Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer [] The Municipality of Anchorage Development Services Department (DSD) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Cartif-icates 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 OF a public waiver 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 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. Eagle River Engineering ,Services rnuna Box , - ani a ver, - Address G9v-Jysu Engineer's Printed Name L v.. , i esem, , - z - Date 6 - / e) - c) -? 5. DSD GNATURE ��• "•••::'•• Louis A. Butera 11 Approved for 3, bedrooms. �' sv,, �• CE -6736 Disapproved. Conditional approval for ___ bedrooms, with the following stipulations: M (Rev.T ON-SITE Additional Comments _ t °3'E4"MATER = - sPAN Attachments: NAA Checklist X Septic System Advisory . Well Flow Advisory WJ 1. Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: \� U Municipality of Anchorage • �` Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragew St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.ancharage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lp t &3 T /S_,y 2 i w A. WELL DATA Well type If A, B, or C provide PWSID # N/4 Date completed Sanitaryseal (YIN)__Z Total depth /44' ft. Cased to / // ft. Date of test Static water level FROM WELL LOG /`!7S S'o ft. Well production WATER SAMPLE RESULTS: Coliform 6 colonies/100 ml. g.p.m. Nitrate 00- mg./I. Arsenic: vI4 mg./I. Date of sample: .2 B. SEPTIC/HOLDING TANK DATA Tank Type/Material S ire/ Tank size 14✓o gal. Number of Compartments Foundation cleanout (Y/N) Depression over tank (Y/N) Al Date of pumping r'-Ik -03 Pumper C. ABSORPTION FIELD DATA Parcel OSV- 07Z-07 Well Log (Y/N) y Wires properly protected (Y/N) Y Casing height (above ground) -U4 in. AT INSPECTION a'- 3 -03 70 ft. 611? 45 9— p.m- Other bacteria _.&— colonies/100 ml. Collected by: F1e4,r, Date installed j5 7-' Cleanouts (Y/N) High water alarm (Y/N) "',4�7 Date installed 4-3-03 Soil rating (g.p.d.1ftz orft%&iq °— System type T p^ Length /0� ft. Width 3 ft. Gravel below pipe S ft. Total depth % ft. Eff. absorption area /W0 ft2 Monitoring tube Depression over field �✓ Date of adequacy test Results (Pass/Fail) For _3' bedrooms Fluid depth in absorption field before test — in. Water added= gal. New depth= n. Elapsed Timm min. Final fluid depth — in. Absorption rate >= Iry g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION j Date insta\1e "Pump ont n. Datum E. SEPARATION DISTANCES Size in gallons "Pump off' level at in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot //5 Absorption field on lot /a € Public sewer main /V/.,v- Manhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots ttav ' On adjacent lots a°eoo Public sewer manhole/cleanout �✓/�1 Sewer /septic service line S/1 Holding tank 7V 14 t fe,+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation a s- Property line tio' Absorption fiel Water main N /at Water service line t /d Surface water Wells on adjacent lots tfeli ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line )L Building foundation f /o ' Water main A✓ /H f/o ' f(ao" Water Service line f �^ ° Surface water rive ` Driveway, parking/vehicle storage Curtain drain A✓/f Wells on ad'a t I t t o00 I cen os F. COMMENTS G. ENGINEER'S CERTIFICATION in. I certify that / have determined through field inspections and r4919 review of Municipal records that the above systems are in ° °o$saaY°«° ,. °°«,,,;,•, conformance with MOA HAA guidelines in effect on this date. •°� °°°•»••••••°+•••°°:^ °• Engineer's Printed Name 7f --re, Louis A. Butera 6 R'c'�°i CE•6736 Date e; —t$ -42 z. HAA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number. (Rev. 12/01) wl-w-ll- �.1sr 3z9 9 ASBUILT ISEWARD 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY: SCALE` _ yo Gera sz a 7iss �i rrl AND THAT NO F�C OACHMENTS EXIST EXCEPT AS DATE. INDICATED. IT IS THE RESPONSIBILITY OF THE .9� OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- _ GRID: ivw 3s7 FB` ias aB VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONs'rRUCTION OF LINES, OR FOR ESTABLISHING BOUND- ARYDRAWN: LINES. yds ,TES LAND SURVEYING 69 .SOF A�°�� (n T Hl i.. lr�iV` 60 0..n. MRA S.w.r i\FuFu N M M 0 29 Municipality of Anchorage o s Development Services Department -a Building Safety Division _ On -Site Water and Wastewater Program ` 4700 South Bragaw St. S A E T T P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. DS'/ — c -cz HAA# u% _;C(:,` i Expiration Date: 1 12e/03 1. GENERAL INFORMATION Complete legal description ; 7—, L/L / y✓ Sr Location (site address or directions) Current Property owner(s) Day phone X.jY -35i-i Mailing address Pt'r E 7 v �1- z 3 Chi,,r, Lending agency Day phone Mailing address Real Estate Agent% <� ,- `- r Day phone L- 5J - 7 Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the represerdaticns given in paragraph 5 by an independent professional civil encineer 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/cr 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 less than 30 days old. (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 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. age River Endinee ' d 4 Phone G F/ Name of Firm Address -- os 3294, Eagle River, AS 99577-3 Engineer's Printed Name �, o, f /, '4�-, _ Date -3 ENGINEERS ' TAMP'i j 5. DSD SIGNATURE Approved for bedrooms. Disapproved. XXX Conditional approval for 3 bedrooms, with the following stiptlations: -honey in the amountof1.5 times the high bidder of a minimum of 3 bids from approt-_ contractors shall be out in escrow to construct a new to permit number SW030052 attached. Money in escrow shall not be released until this office has given final approval. onstruction s all be completed no later thnn June 15, 2003. ` ' ''��' Additional Comments �b VI-bi t IP,/A T EF ; P , — �anr_onnn Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other t Ori Inal Certificate Date: 6y: 9 , J (Rev_1900) 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 Legal Description: A. WELL DATA HEALTH AUTHORITY APPROVAL CHECKLIST L783 T/SA/ /i'iw see �, Parcel ID: 0S/-p9s -o a, Well type If A, B, or C provide PWSID #/f - Date completed7 IV -7Y Sanitary seal (Y/N) Total depth !0 ft. Cased to // 7 ft. FROM WELL LOG Date of test 7-i y- 78 Static water level SD ft. Well Log (Y/N) Wires properly protected (Y/N) _ Casing height (above ground) 3 in. AT INSPECTION -3-a 7 70 ft. Well production a g.p.m. 36 9 -p.m. WATER SAMPLE RESULTS: Coliform D colonies/100 ml. Nitrate mg./I. Other bacteria O colonies/100 ml. Date of sample: a - 3 `c.3 Collected by: h gle i��s/NCP.,NJ B. SEPTIC/HOLDING TANK DATA Tank Type/Material S/ec/ Date installed Tank size /000 gal. Number of Compartments cX Foundation cleanout (Y/N)/J Depression over tank (Y/N) ^/ Date of pumping Pumper C. ABSORPTION FIELD DATA Cleanouts (Y/N) Y High water alarm (Y/N) 1'11/a Date installed /98Y Soil rating (gor ft2/bdrm) /90 System type _ %rr- �-4, Length 'e/2 ft. Width 3 ft. GravP' below pipe . 7 ft. Total depth to ft. Eff. absorption area OXY ftz Monitoring tube y Depression over field /✓ Date of adequacy test' F,,&42-3-63 Results (Pass/Fail) /Z,1 For 3 bedrooms Fluid depth in absorption field before test 1-9 Y in. Water added_ gal. New depth= in. Elapsed Time: — min. Final fluid depth - in. Absorption rate >= - '—g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date — D. LIFT STATION A --11A Date installed Size in gallons "Pump on" level at _ in. "Pump off' level at — in. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot tiv J Absorption field on lot ttot) r Public sewer main w/a- Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots teod' On adjacent lots tetl o Public sewer manhole/cleanout n Sewer /septic service line f- s ' Holding tank N Iq SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation f ml Property linef%v � Absorption field t �° Water main N 14 Water service line t S- Surface water Al 14 Wells on adjacent lots t/o0 / SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line /u / Building foundation `/O Water main ^ / Water Service line -,Lo � Surface water '/01 ' Curtain drain nv/.t- Wells on adjacent lots trey F. COMMENTS Driveway, parking/vehicle storage /° 11 G. ENGINEER'S CERTIFICATION Rir`t 6? P /ij ef; 1 certify that 1 have determined through field inspections and�d,•• review of Municipal records that the above systems are in 7 '•tib `o> conformance with MOA HAA guidelines in effect on this date.tR'S ` Engineer's Printed Name�.�5•• :................. Date 3-17–,o3 HAA Fee $ 3 1, Z5 --- Date s w Date of Payment ° Receipt Number 32co_ (Rev. 12/00) Waiver Fee $ Date of Payment Receipt Number Louis A. Butera CE -6736 in. MUNICIPALITY OF AN~-IORAGE MUNICIPALITY OF ANCHO ~ - ' DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC'rlOI~EPT- OF ~EAI.TH & 82E L Street- Anchorage, Alask~ 99501 , ENVIRONMENTAL PI?OI'~CTIOH ~ ENVIRONMENTAL ENGINEERING DIVISION OCT 2 ? Telephone 264-4720 [~[' ~ JEST FOR APPROVAL OF INDIVIDUAL WATFR AND SE~I~ ) DIRECTIONS= Complete ali parts on page 1. Incomplete requests will not be procassea. Please allow ten (10) davs for processing, PROPERTY OWNEI~ PHONE IVJAi~N G AO~.~ ESS ,~ ~R~PER'rY RESIDEN~ Hf ~fferent from above 2, BUYER PHONE PHONE MAILING ADDRESS 3. LENDING INSTITUTION JPHONE MAILING ADDRESS ~', REALTO R/j~G E N'r MAILING ADD~ PHONE ~', LEGAL DESCRIPTION" ST ~1~; :LOCA TI 0 N -- 6. TYPE OF RESIDENCE ~' NUMBER OF BEDROOMS [] One [] FOur [] SINGLE FAMILY [] Two [] =ive [] MULTIPLE FAMILY [] Tnree ~] Six ~', WATER SU~LY ~' INDIV DUAL~ ~ ATTACH WELL LOG. A well log is reqmred for all wells drilled Other [] COMMUNITY [] PUBLIC UTILITY SEWAGE DISPOSAL SY,~JTEM [] INDIVIDUAL/ON-SITE*~ [] PUBLIC UTI LITY since June 1975, For wells drilled [~rior to that date, give wel aepl:n (attach log if available.~ ~.~' ~J /.oL~ L /--5 . **If individual/on-site, give installation aata . If sys[em is over two (2) years ola an adequacy test is reoLlired by this Demlrtment. NOTE: THE INSFECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ~.o10(3/78)