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HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 1CEagle River Valley Ranchettes Lot 1C #050-221-02 „r Municipality of Anchorage; :. 01 Development Services Department' ” _ Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 Page I of www.d.anchorage.ak.us (907)343.7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number`:/_S i vl ��t�037 PID Number: ���% —0Co�I "U,� m Nae: I'Ci_e5 nn� J ((„� bCt Wastewater System: El New 94 Upgrade Add,ePhwe:s:q A 1 �i ja dQ �eE�� 527 p/'( )^ •tl4 -7J-'do t�7 ABSORPTION FIELD Phone: BeNoon6: 3�� N k� Pe TrarJr OSharowTrdWr OBed DMountl E3 Other. LEGAL DESCRIPTION son r 0.6 Tow Depthhurnon9inaigrade: `tI5- eloak: Lot: � Subdqwision: Ic GPDfe Depth to pipe Oodanfranpigind grade: 1 FI. Gravel depth beneath ppe: "/�' r�lld e' ✓a/C I NYKI'Gi Township: Range: section: r5 Ft. FpadoMabManynalgade: ✓ FI. 11r Fl. ��G��r//avv1elL ''�/ry. 7V'r 1 =Ql:' ' I FI. Well:G ❑New r-1 Upgrade ' pn a Numoeroflilev: Distance between lines: 3 �> Cta sifiCeYI (Private, A.BfC�—$ Total Depth: Cased to: i4� Tool lion area: /� J©�li FI. e Li Jl ILS - FL O Fe /,/ ��?Io Driller. Date Dd sta4c Water Lewd: FL Inlslaagw.. ,�[ � t'ii4fi�%l I'7i GlhJff'wr Date Insrmled: j� 6 ~ I ®-0 Yield: try Sel at - gHeightAbow Cxaurtl: TANK GPM FL FL SEPARATION DISTANCES oSeptic ❑ Holding p S.T.E.P. ❑ Other. To Septic Absorption Lift Holding Iic Private Capaoty. From Tank Station Tank Sewer Line �G, � well /Jiee�ld I/ dN/ ", l!V — —.�-- �� •CN— Material: - ACS Nurl-M-yer of Companmen4: P( surface Water's LIFT STATION Lot rte � ! l ze: nu rer. •Purport lewd aC •Parry High water alarm atFountlalion Curtain Drain L Qal Puny Make S Model Electrical Inspertons Perfarnvd by.� Remarks: _ S L aea f.IAS est BENCH MARK Lf e rid Abal7do L=tron dlp De=paon: !Y q .155 need ievakan: �vq. I �© Qr 9 Fl. ;.......... .. of s 13 11111110111111111111ING=/ 28Eagle LRoad, No. 404 u /�' Inspections performed by: ' 9 oaf Dates: 1 f•� y( • . ,,, ,,,;„,,�� 91. 2nd 6 ”" I Q ^a �� ?� It ROBERT G COWA.. ♦ Q Development Services Department Approval �la�sl, ce-ssot ,i Reviewed and approved by: Date: 3� �S�FP,„- �Rr, i_oo1 i PERMIT No. SW040037 PAGE 2 OF 3 Municipalit cf Archora e DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 *Anchor age, Alaska 99519-6650 • Telephone: 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT LEGAL LOT 1-C, EAGLE RIVER VALLEY RANCHETTES P.I.D. NO. 050-221-02 LOT --------------------------------------------- 213 LOT IA LOT I B ---------------------------------------------- 10' UTILITY EASEMENT — ---------- WATER WATER I KEYBOX ; NEW 15EPCATNK A EXISTING 4 BEDROOM FCO A HOUSE LOT 2D ST1. TBMB LOT 1D 5T2 DBL1 & DBL2 C01 02 { DECK MT1 CONC. IYI DV EXISTING CRIB MT4°'off S 03 THA MT2C04 'O N 50X8 SPIED MT3 Q C05 C06 0 TRENCHES z TReNC G < H CITATION ROAD SCALE: 1" = 40' - — - - - - - - - - - - - - - - - - - - - - -- ;�,�. ROBERT C. COWAN @ P c:-ssot 0'Ar LOT 3 LOT 2 �+t q'' ': '`p PERMIT No. SW040037 PAGE 3 OF 3 DEPARTMENT pHEALTH ANDhHUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Te'lephone 343-4744 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/O.R WELL INSPECTION REPORT LEGAL LOT 1-C, EAGLE RIVER VALLEY RANCHETTES. P.I.D. NO. 050-221-02 ST1 ST2 97.2 FINAL GRADE 2" INSULATION 94.1' NEW 1250 93.9' GALLON SEPTIC TANK FINAL CO1=98.2' GRADE CO2=99.1' CO3=97.3' C05=96.4' C04=99.2' C06=99.1' INSULATION INSULATION tNSULAT'ON O1=93.9'CO3=93.6'O2=93.7' C04=93.4' C05=93. SR C06=93.1' SR MT1=88.9' MT2=88.6' MT3=88.2' NO WATER FOUND 82.2' B.O.H. N. T. S. A B q g4�NOR 5' 65.0' CO3 26.5' 66.0' �4,r"••• '� `� v ��' J� 0' 74.0' C04 47.5' 33.0' 9 J 0 76.0' C05 39.5' 71 .0 `re 0' 76.0' C06 55.5' 43.5' ^ '"' "``"""' a `,... 9CO229.0' 0' 76.5 MT1 29.0' 38.5 d...... 0' 77.0' MT2 45.0' 34.0' 6 T ROBERT C. COWAN c y 'i 0' 72.0' MT3 55.5' 43.0' cif.` C:-8801 5' 58.5' MT4 29.5' 81 .0' i��w lF ' `' Ar 0' 39.0 RUG -12_2004 1404 S&S ENGINEERING 907 694 12ll P.02i02 x313,00 . i .`.a, Lrn3c �rnA. eks..Lenl�' tI i1 i ;s" k{ s f • "Rif i a tlN' 3 3•oc AS8UQT .. I herebY cerda that I h - sacme9ed fol delvibedP?ov Anchorage Recording'Pseeertct,. Masks, and that the _,�...'"_'•«t <. OF�L improvements situated themon are within the pr*p%tY lines and do not overlap or enQmach oa the property � .• o•.a ao��a� .O "pt iyuig adjacent thereto, that no =PAWS 1eEtSOn'piclV" lying theteto oncroach On the In . ettY a scent premia" , •'' `4 e°� K,r_: •o �% Q quebtiOn aSld t1l2Pt theft dS'2 no i'OddW8y8r tt'81LSmiBSiOn h= or other vis 2 eeeeaaeats On eald pmpertp except .� .: as indicated hereon.. .. .. . Dated at tagurRivim. Alaska /`!�A� .�.r �:F i/ f '7 er i9.Li R0smr C. d0i11zg0w :'� SCALE, Registered Land Surveyor X �y '. t >< \•. !" =2 ROS 45% Eagle Rivw,,Aiesha Phone 694-25$3 .... TOTAL P.02 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT" Upgrade �ti oo Vk, Date Issued: Mar 25, 2004 Expiration Date: Mar 25, 2005 Permit Number: SW040037 Parcel ID: 050-221-02 Legal Description: EM9 RIC7ER\7RLCEY Rdl Cf "1 Design Engineer: 0003 S & S Engineering Site Address: 019109 CITATION RD Owner Name: Teresa Stumbaugh Lot Size: 17955 SQ. FT. Owner Address: 19109 Citation Road Total Bedrooms: 4 Permit Bedrooms: 4 Eagle River , AK 99577-8337 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 specked 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: Date: '3 —J6 &i V Issued By: Date: L Municipality of Anchorage • ae;3d '•�'`'r Development Services Department Building Safety Division On -Site Water and Wastewater Program $A ELY 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 ON -S -ITE SLWER,%1VELL-FERi`0IT APPLIC T!0:"; FOR A SINGLE FAMILY DWELLING Parcel I.D. (/ S C)—ZZI — c Permit Number SW Property owner(s)*' t A �1 LJI HVAU & I -f Day phone -9-6'2 — Sf3�7 Mailing address .`�N/fr//C '2D2— `gdx l D 5r 44 Mailing address ( Zip Code ` I/ f/ Legal description (Lot, Block & Sub'd.) V6Ire ngnchnerrC5 Legal description (Section, Township & Range) I� � 0CAov) C11�—� I( Lot Size 1-7 4155 Acre Sq.Ft. Number of Bedrooms / THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade tK 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. ��— S & S ENGINEERING 17034 Eagle River Loop Road No. 204 (Signature of property owner or authorized agent) Permit Fees: Date of Payment: Receipt Number: (Rev. 12100) .. .................... Waiver Fees: ZI oy Date of Payment: � �� C �­ Receipt Number: HEALTH AUTHORITY APPROVALS SEWER& WATER MAINEXTENSIONS SEWER& WATER INSPECTION ENGINEERINGSTUDIES AND REPORTS WELL INSPECTION & R.OW TEST SITE PIANS ROADDESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSALSYSTEM DESIGN S & S\ ROSERTC.COWAN, RE. pneekinG ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 March 12, 2004 FAX (907) 694-1211 MUNICIPALITY OF ANCHORAGE Development Services Department P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot I -C, Eagle River Valley Ranchettes Subdivision It is requested that you issue a permit to install a septic system upgrade to serve the existing four bedroom dwelling on the referenced property. A test hole was excavated and a percolation test performed. The approximate location of the test hole is located on the attached site plan. At the time of excavation 3/11/04, no water was found. After monitoring, ground water was not found. We do not anticipate any adverse effects on neighboring wells, septic systems, reserve areas or drainage patterns by the installation of the proposed septic system. The construction of this system will not prevent any future development on any of the adjacent properties. If you require additional information, please contact us. Sincerely, Robert C. CowanPj�EE.. RCC/bjj Enclosure 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 1" = 40' DESIGN SITE -PLAN aw L 03 x zoo O O z Ro aNz .. .... .0mm , o�m z� i. O mn ITl �.�.fJ �om (n O @ G �mVo b � mM y D� W n m n v CA CDC) CDDOM r n N Fz Ly Z� Ati o OW TJ p_y �; D r z =gym m 00=0 nr mo ooc� �V 00p e _0 Z f~rl m NW > O O 40 Z�Wo NNS n <rri A—n-Z cicrocc� M ou < O �� Zsn m a r - mom zOX O �] c 2 N Imo' O A ., ° 2 Ztnm n0 �O ti P W_W. o �y mm yF J m SAX OON Pl—��Jy N m r7 CA n o x O M> t" a AVM3nlao l3nVaJ �r, D<P im d �zC�o {-stn oamo �o>z TADA I y �zD�r O l L > = Z M FT9 (•Ld �� Z �'m0 mr M � D >>c D z 8< V I C0J 0 Y•y'IV Performed For: 2T r Legal Description: L I — Depth (Feet .o L a 6- 7- 8- 9- 10- I I - - 7- 8910-11- o 12- 13- 2- 13- 14- 15- 16- 17- 14-15-16- 17- 18- 19- 18- 19- COMMENTS COMMENTS 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.muni.org/onsfte (907) 343-7904 Soils Log - Percolation Test �ff WAS GROUND WATER ENCOUNTERED? s IF YES, AT WHAT DEPTH? " L Depth to Water After^ D Monitoring? _`_L E Dffie. -I`1- OF -a 9 ROBERT C. COWAN f �0." CE -8801 V, Date Performed: 5 1 1 1 N Reading Date Gross Time Net Time Depth to Water Net Drop �0 X70 0 470 ror<wWnury resit %V (mmutagna) PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT a PERFORMED BY: *11;' �iNb I n1C ra_4 N lr I F%j` j �., �IyyCERTIFY THAT THIS TEST AS PERFORMED IN ACCO DANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ONTHIS DATE DATE: .3 / q /O ............ ROBERTC. COWAN, P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694-2979 FAX(907)694-1211 ON-SITE WASTEWATER DISPOSAL SYSTEM HEAL' ;ALSSAHOP r CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS SEWERS WATER 1ANNEMNSIONS REFERENCE: Lot 1-C, Eagle River Valley Ranchettes Subdivision March 12, 2004 SEWERS WATER INSPECTION GENERAL: 1. The scope of this project includes the installation of a 1300 gallon HDPE septic tank and new trenches to serve the existing four bedroom residence E DI AND REPORTS located on the referenced property. 2. Construction shall be in accordance with the approved site plan and design drawings, Municipal permit with any special provisions or conditions, and all CTION WELL rOWTEST applicable State and Municipal Wastewater Disposal Regulations. 3. The contractor shall be responsible for obtaining any necessary underground utility locates. SITE PLANS 4. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. ROAD DESIGN 5. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations. Owners installing their SOILTEST own systems must also receive prior approval from the Municipal Health Department. PERCOLATION SEPTIC TANK INSTALLATION: TEST 1. A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. STRUCTURAL& MECHANICAL IRSPECTIONS 2. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577 Page 2 Lot 1-C, Eagle River Valley Ranehettes Subdivision March 12, 2004 All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. 6. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCEUDRAINFIELD INSTALLATION: 1. Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed -up) before gravel (sewer rock) placement. 2. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. 4. Monitor tubes shall be of four (4) inch diameter, installed approximately in the locations shown on the design, and extend a minimum of 12 inches above final grade. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. 5. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page 3 Lot 1-C, Eagle River Valley Ranchettes Subdivision March 12, 2004 MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipal approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pike Perforated Solid Cast Iron Yes Yes ASTM D3034 (PVC) Yes Yes ASTM F810 (HDPE) Yes No ASTM D2662 (ABS) Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. 3. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). 4. Septic tank inlets and outlets shall be fitted with watertight couplings (Caulder, Femco, or equal). 5. A permeable nontoxic silt barrier (Typar 3401, Mirafr 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. 6. All leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. 7. When sand is being used as a filter material, its gradation specifications must conform to current M.O.A. or D.E.C. requirements, which ever requirement applies. Page 4 Lot 1-C, Eagle River Valley Ranehettes Subdivision March 12, 2004 INSPECTIONS: Typically there will be a minimum of three (3) inspections required during the installation of the wastewater disposal system. These inspections will occur as follows: 1. The first inspection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. 2. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre - construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or control in any way the contractors activities. The owner shall contract with the contractor to perform the work outlined in these specifications and plans and in accordance with the attached M.O.A. permit. There will be no contractual arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be the owner's representative and will inspect the work as stated above to document the contractors activities. Final acceptance of the contractors work rests with the owner and the M.O.A. S & S Engineering shall have no liability to the owner or to others for acts or omissions of the contractor or any other persons performing work on this project or the failure of the contractor to carry out the work in accordance with these construction documents. S & S Engineering's inspecting engineer will not be responsible for the construction means, methods, techniques, sequence, procedures or the safety precautions incident to this project. CONTRACTOR/INSTALLER i A ,i[-uis mel snts) / MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 264.4720 -- ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑NEW Pt_9V0_;& UPGRADE MAILING ADDRESS y LEGAL DESCRIPTION G _" LOCATION NO. OF BEDROOMS Well Absorption area Dwelling PERMIT NO. o Y DISTANCE T0: aZ Manufacturer �C -/Ad Material No. of compartments Q W< x, S7 sn Liq. capacity in gallons IF HOMEMADE: Inside length Width Liquid depth Y DISTANCE TO: Well Dwelling PERMIT NO. J V 2 _ f`t„ Manufacturer - Material Liquid capacity in gallons O w= DISTANCE TO: Vye II (��L"/ 40J)Z Foundation Nearest lot lin jJ PE N .3 J 4.2 No. of lines / Length of a li Total len f Ilt1e7C_ Trenc w dtpe Distance b lines �?w (i Inches Top f finish M I Total Fes- tilt. to Jade A �� to / Z P nea rile // -- Sa effecti , absorption area o cs L Z cf jd�. inches Length Width Depth PERMIT NO. W aF Type of crib Cr' p5r /`� Crib depth Total effective absorption area ma LJ h Well DISTANCE TO: J Building foundation Nearest lot line J Class h 1G1/ t Driller Distance to lot tine PERMIT NO. J W 3 DISTANCE T0: Building foundati Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS ` `G v SOIL TEST RATING Z `O ✓2 '0Cn INSTALLER/� Z J'Y G ICS E -4N1 s SIG' c) p 5 REMARKS- -' • Ufa 1 �EOr Al�+sh or ., �7kt T .. .—. .. ir fr � W 7,10 i. APPROVE DATE LEGAL (6 S & S Engineering ,i[-uis mel snts) / rir� bra O & E ENGINEERING & DEVELOFAAENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russell Oyster Earl Ellis 694-2774 SOIL LO 686-2280 Performed for: Name: A4 (.!t 0 0 4cA Tel No. &?gj ►,�� /j /( Mailing Address: v-�'� 4 ����'�Lr rvEQ' *175�7 Legal Description:—� , �,OGtt� 4ryc�i�L '4u'y�y ^��`�'• Depth (feet) Soil Characteristics 0 2 3 ��rrAA 4 >6 Ajo a&rz w , T74 5 _7Z> 6- 7- 8 8 (l✓riv���'� Z307� 9 10 11 12 13 14 15 Gert ar- �..- 16 PLOT PLAN PERC.TEST I = 2 3C0 %BiQ I c' r ¢,. r e Pt.�, SID • o� If Ground Water Encountered: Yes No If yes, what depth N a ' •.tF, Proposed Installation: Seepage Pit_ Drain Field 'L Comments: Performed by: Date, GAAB-IID-2' / GREATEI_ ANCHORAGE AREA �'��ROUGH Case No. ZS 11EALT11 DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT CMR #1 Box 2135 NAME OF APPLICANTRonald Neils MAILING ADDRESS Elmendorf AFB PHONE NO. RESIDENCE ADDRESS LOCATION OF INSTALLATION Eagle River Valley Ranches Lot ne-C -teB Subdivision LEGAL DESCRIPTION 114� of the SW -.L of Sir 7 TI h N Range 1 W SN Al aske APPLICATION TO INSTALL: SEPTIC TANK X , SEEPAGE PIT X , DRAIN FIELD , OTHER TO SERVE THE FOLLOWING FACILITY Mobile Home FINANCED THROUGH TO BE INSTALLED BY Dan C. Bell PERCOLATION TEST RESULTS .1 ANTICIPATED DATE OF COMPLETION_ 15 June 69 BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT THIS IS TO SERVE AS /V6 NQ.1 -,PERMIT TO INSTALL A S,we ozAG P Sirs'1nM AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED .R I e -J t-00 M SEPTIC TANK SIZE le'i's TYPE SEEPAGE AREA a $ 2 U I TYPE L_7 - DISTANCES: All a,5 stiowAl t/ 4ft'-0',j_ ealth Authority I certify that I am familiar with the I above described system is in accordance with said code. DIAGRAM OF SYSTEM DATE APPLICANTS SIGNATURE Municipality of Anchorage Development Services Department Building Safety Division c On -Site Water and Wastewater Program S. Er. 4700 South Bragaw St. 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. 050-221-02 HAA# Q4CM� ol Expiration Date: % ' 49 S 1 daN`tkAL INFOlkMATION `complete legal description Lot 1—C; Eagle River Valley Ranchettes Lbcation(the'addressiordirections) _ 19109 Citation Rd. Eagle River AK 99577 A Current Proporty owrier(s) Teresa Stumbaugh Mailing addresrs'° same Lending agency Mailing address Real Estate Agent Mailing Address Day phone 952-3822 Day phone Day phone Unless otherwise requested, HAA will be held by DSD for pickup. � z .112,k // c /o y 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System 0 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 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 S & S Engineering Address 17034 N. Eagle River Loop Ste. 204 Eagle Phone 694-2979 River, AK 99577 Engineer's Printed Name Robert C. Cowan Date F //xw y S7i�"F ROBERT G S. DSD SIGNATURE CE - $$01Oi t/� Approved for _ bedrooms. +f rp�� •..,,,,„„,.••' Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By:()All,Original Certificate Date:' 0 1' (Rev. 01102) lvIuUICIPUuzy of Ancnorage g Development"Servic6si epanment r ° Building Safety Division, On;Sit Water & Viiasfeater Program s ��. i aficliorage ak us , "� g�•3"t.,j'�„�,�'y� .�^`S'Y'e�eV� ��"' c� tt4u�„^�s�`��a, ��'h ��,��'w�', ">,al�,&k�i` �;?.: a.�5�"+.iu53s"smsSxi�«"k � 4y1 � .� " WE f r s nsu4A+E77M Lcsr IC Parcel 10 c75C7 221 � �e {i�,w.�`�r � '.µ�'r}"��:a'''^r"�„%''�,.�."'&�ti'."1�`"•"�,v�"w+�s�""'�x'm'�?%?:a$ffi��m*y�"'"'aa�w�aw"' est ... .., a e"rlevel ft ft. uction ies/100 ml. Nitrate rrrg./I. Other bacferia 'co7oriies%1�0inI: mgJl. Date of sample: '— Collected by: e at ral"` ��PY�i;�,��� Date insta0ed rnn (C�-U� z O gal Num�er of;�'ompartments 2 � Cleanout n�c eanout j Depression over tank (No o High water alarm (Y&1 1\ Im ing-' _ Pumper 1-,)e4 Nek+t`y" �x�'`v+ , -IO Oy�Soil rating p d Ift r ft�/bdrm) tea (p System type / E7� 2�xx}j �q ft Width ft GjraV6I below pipe S � ft arTa�'�a�*�"+vk„«.d x N masa„`tYMxxH"+.rxF^fr.°�5.�?de&a'td��MkWY:wN`,r; ft Effabsorption area ICM ftZ Monitoring tube '4ps Depression over field 1� lequacy test Nr YsiKiy, Results (Pass/Fail) F s h m absorption field before test m. Wa — gal. New depth_ in. n. ime _ mm i depth _ in. ` absorption rate >_ g.p.'d. �ion;treatment (past 12 mo.) (Y/N &type) If yes, give date High water alarm level at Meets alarm & circuit requirements? .�'�O�nadjacent lots Public sewer manhole/cleanout ,e line Holding tank line Absorption fief Surface water -I- Building foundation Water main 10 + -4A Surface water 14- Driveway, parking/vehicle storage have d6i�r�tm'i'�n-'e�d"t�r-o'u�'g'�'h "field in'spectionsi and ,1nicipal records that the above systems are in e with MOA HAAguidelines in effect on this date. R'D' C." E,$841 f 'entad Name 4 r Waiver Fee $ nt Date ofP'a me ' i'a o, Receipt Number in. 72-= (Aw.1/91) Front MOA 121 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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,disposalq�stam in co lance with all Municipal and State codes, ordinances, and regulaUorl$,in effeci�i't15� is inspection. ..` astewater C* n Name of Firm Phone37=�/�� Address: A c A 9 ? :... Engineers signature _: Date:.../Z' l3 ys" A�alr VYater . Wastewater Consultan Inc.,V. Shall bePAID'$ %DO ���. • or prior to, c:forthe... _ _ -•- - - �. , En meeriu Services Provided. 9� 9. W C 23 6. DHHS SIGNATURE ... ,.. i :" q Approved for �� bedrooms. ;.�a'+�•�.� Disapproved. Additional Comments S By. i!�Lr?%r%c-0�• I LQiVyuJ Date CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given In paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesyto purchasersof homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate Is Issued. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work. 72-M (Rev. MI) Beck MOA 121 Municipality of Anchorage k� DEPARTMENT OF HEALTH & HUMAN SERV&tS141999 0Environmental Services Division w,GE 825 L Street, Room 502 • Anchorage, Alaska 99501 • N74346vV ,a sEV Health Authority Approval Check! Legal Description: EAGLE RIVER VALLEY RANCHETTES; LOT 1 C Parcel I.D.: 050-221-02 A. WELL DATA Well type PUBLIC If A, B, or C, attach ADEC letter. ADEC water system number Log present (YIN) Date completed Total depth o Casing height (above ground) S M) ___:Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. g.p.m. WATER SAMPLE RESULTS: Collform - Nitrate - Other bacteria Date of sample: B. SEPTICIHOLDING TANK DATA Collected by: Date installed 1987 Tank size 1250 Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression (Y/N) NO High water alarm (Y/N) NO Date of Pumping 12/9/99 Pumper C. ABSORPTION FIELD DATA JR PUMPING *SEE ATTACHED ADEQUACY TEST Date installed 6-9-60/10-22+60 Soil rating (g.p.d./ft' or ft'/bdrm) 230 System type CRIB/TRENCH Length 12'158' Width 12'/2.5' Gravel thickness below pipe 6'/7' Total depth 9'-11.5' Effective absorption area 1100 SQ.FT. Monitoring Tube present (YIN) YES Depression over field (YM) N0_ Date of adequacy test 12110/99 Results (Pass/Fail) PASS For _ a bedrooms Fluid depth in absorption field before test (in.); 0' ImVdiately afterf 050 gal. water added (in.): 6,q_s• Fluid depth 063.5' (ins) Minutes later: 2448- IfD Absorption rate . 600+ g.p.d. Peroxide treatment (past 12 months) (YIN) NONE KNOWN If yes, give date - 72-026 (Rev. 3/96)' D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level *Datum Size in at* "Pump off" level at* E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: PUBLIC Septic/holding tank on lot On adjacent I Absorption field on lot On adjacent lots Public sewer main Public sewer manhole/cleanout Sewe service line Lift station SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 56+ Property line 5'+ Absorption field 5'+ Water main/service line 10'+ Surface water/drainage 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10' Water main/service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage area 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 1000+ F. ENGINEER'S CERTIFICATIO 7 /,f I certify that ave eta//�r' hru eld inspeclions and review of Municipal recd, at ms are in conform nce w� hh� staid lines in effect on this date. �: ''J/ �_ Signature- *"• .. . Engineer's Nam ... . ...�.............. f e A mess; DateTi �Q e� -7953 Z,1 Nn co HAA Fee $ JL—t J-� Waiver Fee $ Date of Payment icl i/ q/. _f(? G Date of Payment Receipt Number Receipt Number 72-026 (Rev. 3/96)* MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D.# HAA# W1q\Q�\� 1. GENERAL INFORMATION Complete legal description Lot 1 C; Eag.Ze Raver; Va,E',Ze.y Ranchettea; Location (site address or directions) • 19109 Citation Road Property owner Ronald b E.t i.zabe th • N&U,6 Day phone Mailing address Ca.P Aorn•i.a Lending agency Day phone Mailing address Agent John dte.6on FORTUNE VROPERTIES.INC. Day phone 562-7653 Address 3000 A StAezt, SuLte. 101 Anchorage., Ata4ka 99503 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well Community well Xx Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 )Rev. 1/91) Front MOA N21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verity that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm _ r x s ENGtNEFR1Nn Phone 17034 Eagle River Loop Road No. 204 Address Eagle RiveF, Alaslca99577 Engineer's signature Date 2 �D� 6. HHS SIGNATURE Approved for Disapproved. By: Conditional approval for Additional Comments bedrooms. �• R BERJHAFEP.,RE ''- �'• ` 15 ••<� r �tr�i.• ••w1J or, bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in orderto satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-02$ (Rev.1191) Back MOA #21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: 1�r Parcel I.D Rh,Jc..l��c•c�s. A. WELL DATA Well type If A, B, or C, attach ADEC letter. ADEC water system number 1110e75— Log 1D87S Log present(Y/N) Total depth Sanitary seal (Y/N) Date of test Static water level Well flow Pump level Date completed Driller_ Cased to Casing height Wires properly protected (Y/N) _ FROM WELL LOG SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 7_00 9— p.m- AT INSPECTION _;O n adjacent lots Absorption field on lots ; On adjacent lots - Public sewer main Public sewer manhole/cleanout Public sewer service line Petroleum tank — WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Other bacteria z W � c� 00 . _. Z L m LLJ C".. > O g•p•mt Y u u '27 Date installed VAN—* �9 8'i Tank size 1-4-45a Compartments 2— Cleanouts &N) NI Foundation cleanout (??N) Depression (Y/&. High water alarm (Yo Alarm tested (Y/N) Date of pumping 5':7A --<l1 "W-) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: �r- Well(s) on lot ` On adjacent lots A,- Foundation 3 To property line ►oAbsorptionfield Sry Water main/service line lo�� Surface water/drainage Ion t r 72-026 (Rev. 3/91) From MOA 21 , . CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons — Vent(Y/N) —"Pump on" level at High water alarm level _ Meets MOA electrical codes SEPARAT on lot Manufacturer _ Manhole/Access (Y/N) p off' level at NA CE FROM LIFT STATION TO: On adiacent lots D. ABSORPTION FIELD DATA Cycles tested Surface water Date installed fO'L`t ID' 6 O Soil rating 2304AZ System type 42+16 r TP -6^/e-4 _.Length 1.1 "" '5e> —Width /2 '"3o Gravel thickness �' 7 Totaldepth-/o /o :_Total absorption area //00 Cleanouts present6)N)y :Depression over field (Y6 Date of adequacy test 7- /Z -9 Resultsp(J�3,a/fail) P,45S for A00r- (4) bedrooms Peroxide treatment (past 12 months) (YAC If yes, give date '`1% SEPARATION DISTANCE FROM ABSORPTION FIELD TO: r Well on lot .� On adjacent lots ��- Property line I A - To building foundation t� + t- To existing or abandoned system on lot On adjacent lots 3o t }- Cutbank a Id Water main/service line ►o� Surface water too Driveway, parking/vehicle storage area 15 Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in e Oto a.f this inspection. � S & S ENGINEERING yR'�• THS R~� ••�9:r��Q Signature t.E W. 204.. .. ... Eagle River, Alaska 99577 Engineer's Name `• •• • • • " A -Poo -.RO . GER MR Ft. 1%: Lu f Date / 1 — ! / ���C� • 18216 •: \��� HAA Fee $ Waiver Fee: $ Date of Payment 7� -9� nn 1 Date of Payment Receipt Number �� ��G/may / Receipt Number 72-026 (Rev. 3191) Back MOA 21 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street- Anchorage, Alaska 99501 Telephone 264.4720 = * ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE ❑may Ronald G. & Elizabeth Neils 694-2400 ❑MAKA&K MAILINGADDRESS X Replacemen 19109 Citation Street LEGAL DESCRIPTION Lot 1C Eagle River Valley Ranchettes Plat No. 63-1294 LOCATION O. OF BEDROOMS Eagle River, Alaska (Info. provided by Owne I Absorption area Dwelling 31 PERMIT NO. N/A DISTANCE TO: Community Water Not Known Y 2 <Anchorage W< Manufacturer Anchorage Tank Material Steel 12 GA) No. of compartments 2 LIQ ,n gallons IF HOMEMADE: Inside eepth Width Liquid depth 4' 1250y 51 Y DISTANCE TO: Well Dwelling PERMIT NO. . Z =Z <' Manufacturer Material Liquid capacity in gallons O Well Foundation Nearest lot line PERMIT NO. w= DISTANCE TO: J LL Z No. of lines Length of each line Total length of lines Trench width Distance between lines H Z W Inches H finish Material beneath tile Total effective absorption area Top of the to grade p inches Length Width Depth PERMIT NO. W nF Type of crib Crib diameter Crib depth Total effective absorption area Wa WWell Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. J W 3 Building foundation Sewer line Septic tank Absorption area(s) DISTANCE TO: OTHER ,r?Ve.4 PIPE MATERIALS L PVC SOIL TEST RATING t f N/A INSTALLER Jerry Townsend REMARKS Present tank replaced leaking 1000 GAL tank installed approximatly 17 years ,t - ago. Two new cleanouts installed. Tank installed in same location. House is on -a coltmlunfty„water system. l0'1 o Cal 11n< ........ e•..a,...f F - •O• ,-q •P.O9.4, ; cy P. "I...,_.. . , � J e. , *Oro, �. ........ APPROVED "y,Z-1UJJAL -0' DATE LEGAL 72-013 (Rev. 3/78) r! d I; L18\J �111iS WALTER J. HICKEL, GOVERNOR v DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE DISTRICT OFFICE 563-6775 3601 C STREET, SUITE 322 ANCHORAGE, ALASKA 99503 June 25, 1991 FOR: S & S Engineering Ray PWSID #210875 My review of the records on file in this office reveals that the Norfolk Utilities Subdivision Class A Public Water System, is in compliance with the provisions of 18 AAC 80.060, State of Alaska Drinking Water Regulations. Sincerely, 4, aJekA;5 Keven e e K.- KI w no Lead Engineer r.. :n I', If a: t a' • rC. I, • , .,a:.-• 1) y C. r P 5. LEGAL DESCRIPTION DATE RECEIVED 1 INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE I;a SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY INSPECTOR INSPECTOR INSPECTOR Pia �l ❑ INDIVIDUAL` `ATTACH WELL LOG. A well log is required for all wells drilled AIIN!CIPALITY CF ANCHOP.AGZ since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY MUNICIPALITY OF ANCHORAGE EP!'/I2Ot..d•E.a': '.-C'NON �ARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 [] S. SEWAGE DISPOSAL SYSTEM ® INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ENVIRONMENTAL SANITATION DIVISION Telephone 264.47 RECEIVED NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. t.RTYOWNER /Jcl�s PHONE ti A t- ING ADDR SS �� Lt l (veil s a>(3 -sI ►1 PROPERTY RESIDENT (lf different from above) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE f 4 p 77- f7S88 MAILING ADDRESS ` % / . 4. REALTOR/AGENT PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION OT /C TA STREET LOCATION C I TA Tie .0v 1/ 0-1 0 6. TYPE OF RESIDENCE NUMBER OF,BEDR OMS ❑ One ❑ Four ❑ Other I;a SINGLE FAMILY ❑ Two ❑ Five ❑ MULTIPLE FAMILY [9 Three ❑ Six 7. WATER SUPPLY ❑ INDIVIDUAL` `ATTACH WELL LOG. A well log is required for all wells drilled 34 COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM ® INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72-010 (Rev. 6/79) >6 72-010 (Rev. 6/79) THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE SINGLE FAMILY O MULTIPLE FAMILY NUMBER OF BEDROOMS ~ ❑ ONE THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON -SITE OPUBLICUTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER RSeptic Tank or ❑ Holding Tank Size: )000 If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Not Line earest L Absorption Area to nearest Lot Line 5. COMMENTS C'APPROVED FOR �_ BEDROOMS CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE 0 — BY 72-010 (Rev. 6/79) 7 1 i Ronald Neils P.O. Box 641. Ea cle River, Alneka 99577 Dear 11r. ,Neils, DAVID A. S LE N KAMP MECHANICAL ENGINEER 694.9055 September=21 1980 References:... -Lot 113; Eagle River Penehettes ROBERT A.SHAFER CIVIL ENGINEER 694.2979 In accordance with our discussion during a telephone convors^tion September 2, 1950, it c^n be safely assumed that the absorption area connected to the septic tank serving your three bedroom residence is not currently functioning adequately. It is n4 understanding that originally a 1000 gallon septic tank uas inatalled with e seepage pit. This system vne upgraded with a trench connected to the seepage pit, however, this too has begun to c^use problems Fad you are currently required to pump the system eW^ri three months. 1 The cesspool pumper in Ezrle River has verified that the septic tank is 1000 gallons. It can bo concluded that the septic tank is adequate for your new three bedroom home. However, until adequate tests can be performed it can only be assumed thst the absorption aroq will require upgrr,ding for full three bedroom capacity. Based upon soil lolls in the vicinity of your property, a cost estimite for upCradinC your system is enclosed. The cost estimate is based upon a Norse case" condition and may cost less once an actual soil percolation test is taken in the vicinity of the upgrndipg. Also, after nctunl soil tests have been taken, a permit for upgrading your system c^n be obtained from the Department of Health and Enviornmentol Protection, 825 L. Street, Anchorage. I£ we mny be of further sorvice, ple^se do not hesitate to call. Sincere ) -§j BERT A. SRAFERA , E. S/ss /cos tiunicipality of Anchorage Department of Health end Enviornmental Protection Amfee Mortgage ATTETTIONs Ydrilyn SRB196X EAGLE RIVER, ALASKA