HomeMy WebLinkAboutGLENN VIEW ESTATES WEST PH 1 BLK 2 LT 26Glenn View
Estates West
#1
Biock 2
Lot 26
#051 - 793 - 22
Municipality of Anchorage
On -Site Water and Wastewater Section • (907) 343-7904 Page 1 of 3
ON-SITE WASTEWATER INSPECTION REPORT
Permit Number: 051-793-22 PID Number: OSP221020
Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New W Upgrade
Name
DAVID & DAWN LASTER
ABSORPTION FIELD
❑ Deep Trench N Wide Trench ❑ Bed ❑ Mound
Site Address
22831 GREEN GARDEN DRIVE
❑ Other
Phone
Number of Bedrooms
Soil Rating
Total depth from original grade
4
0.6 GPD/SF
7 Ft.
LEGAL_ DESCRIPTION!
Depth to pipe invert from original grade
3.0 Ft.4
Gravel depth beneath pipe
Ft.
Subdivision Block Lot
GLENN VIEW ESTATES WEST PH1 2 26
Fill added above original grade
0.5 Ft.
Gravel length
2 @ 50 Ft.
Township Range Section
Gravel width
5 Ft.
Beds: Number of Lines
NA
Distance between lines
NA Ft.
SEPARATION DISTANCES
To
Septic
Absorption
Lift Station
Holding
Sewer
Total absorption area
Number of trenches
Dist. between trenches
From
Tank
Field
Tank
Line
1000 Ft2
2
9.9 Ft.
Well.
100'+
100'+
NA
II NA
25'+
TANaC Septic ElS.T.E.P. El Holding El Other
Manufacturer
GREER
Capacity
1250 Gal.
I
Surface Water
100'+
100'+
NA
NA
Material
Number of compartments
i
Lot Line
5'+
10'+
NA
NA
NA
HDPE
2
Foundation
10'+
10'+
NA
NA
LIFT STATION
Manufacturer
Capacity
Remarks
Gal.
Alarm location
Electrical installed by
Installer
PIPE MATERIAL House to tank 3034 Tank t03034
drainfield
Northern Excavation & Construction
Drainfield 3034 CO/MT3034
inspector PES
BENCH MARK (Assumed elevation)100.0 ft
Inspection ection 1s` 08/03/22 8/4, 8/5
Location and description
2�d
3rd 8/8,8/9 4"' 10/11/22
See Site Plan, Bottom of house trim
ON-SITE WATER AND WASTEWATER SECTION APPROVAL
Engineer's Stamp
Conditional Approval: Date
�� oF. At-
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ar co
TH `^
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Septic Systei
...
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Steven r• e
Pannone
-r,•. r'L nt i o, "W
Approved
%% Daty-
Ngte�this approval does not include well permit requirem nt
kr%uv vuluu sol/
JAN 18 2023
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MUNICIPALITY OF ANCHORAGE
On -Site Water & Wastewater Program
PO Box 196650 4700 Elmore Road
Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997
http://www.muni.org/onsite
On -Site Wastewater Disposal System Permit
Permit Number: OSP221020
Work Type: Septic Upgrade
Effective Date
Expiration Date
Tax Code Number: 05179322000
Site Legal Address: GLENN VIEW'ESTATES WEST PH 1 BLK 2 LT 26 G:1459
Site Mailing Address: 22831 GREEN GARDEN DR, Chugiak
Owner: LASTER DAVID W & DAWN M
Design Engineer: PANNONE ENGINEERING SERVICES
This permit is for the construction of:
Q Disposal Field 1Z Septic Tank ❑ Holding Tank ❑ Privy
��1»cnr
_S r
n
Department
2/11/2022
2/11/2023
Lot Size in Sq Ft: 40004
Total Bedrooms: 4
❑ Private Well ❑ Water Storage
All construction shall 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 wastewater code requires inspections during the installation. The engineer shall notify the Development
Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
shall be either:
a. Opened and Closed on the same day, or
b. Covered, sealed, and heated to prevent freezing
G� Pe rrA ani 2 r6-2 n
C�e�1ace
%n Lof1otll o�_ 7114A. A
f%J e G�yf� /O y�a rafibn .
Received By: - I D/ Date:
Issued By: �ri°�g ��f%z�'1 Date: �'q
MUNICIPALITY OF ANCHORAGE
Community Development Department
� Phone: 907-343-7904
Development Services Division Fax: 907-343-7997
On -Site Water & Wastewater Program
ON-SITE SEWER/WELL PERMIT APPLICATION
Parcel I.D. 051-793-22
Property owner(s) David and Dawn Laster
Mailing address 22831 Green Garden Dr, Chugiak, AK 99567
Site address 22831 Green Garden Dr, Chugiak, AK 99567
Day phone
Legal description (Sub'd., Block & Lot) Glenn View Estates West Ph1, B2 L26
Legal description (Township, Range & Section)
Lot Size 40,004 Sq. Ft. Number of Bedrooms 4
APPLICATION IS FOR:
APPLICATION IS AN: TYPE OF DWELLING:
(N all that apply)
Absorption Field ❑X
Initial Single Family (SF) ❑X
Septic Tank ❑X
Upgrade , rw (w/wo AD U)
Holding Tank ❑
Duplex (D) ❑
Renewal
Privy ❑
Multiple Dwellings ❑
(SF and/or D)
Private Well ❑
Water Storage ❑
THIS APPLICATION INCLUDES
A VARIANCE / WAIVER REQUEST FOR:
Distance:
I certify that the above information
is correct. I further certify that this is in accordance with
applicable Municipal Codes.
(Signature of property owner or authorized agent)
Permit/Rush Fees: $1 y Waiver Fees:
Date of Payment: 0 3 a d Date of Payment:
Receipt Number: 0 Lf '?%6 Receipt Number:
Permit No. _ P2 Z (Oz -o Waiver No.
Permit App_:- : :'—.,:c
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221020, Rebecca Carroll, 02/11/22
Municipality of Anchorage
On-site Water and Wastewater
REVIEWED FOR CODE COMPLIANCE
OSP221020, Rebecca Carroll, 02/11/22
orm
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Municipality of Anchorage
•�°.,.
�, :.„•,,
Development Services Department • '
•-"•
Building Safety Division ••,..•
� - On-Site Water and Wastewater Program, 4700 S. Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650 Page
www.ci.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW020013 PID Number: 051.793-22
of
Nan,e:Waa Homes
Wastewater System:
CI New ❑ Upgrade
Address:
22831 Green Garden Drive. Chugiak.AK 99567
ABSORPTION FIELD
Phone: Number of Bedrooms:
(
O Deep Trench Shallow Trench 0 Bed ❑ Mound t] Other:
LEGAL DESCRIPTION
Soil Rating:
1.2 GPM?
Total Depth from original grade:
7.0 FI.
Block: Lot: Subdivision:
2 26 Glenn View Estates West Phase 1
Depth to pipe bottom from original yade:
3.0 Ft.
Gravel depth beneath pipe:
4.0 Ft.
Township: Range: Section:
Fill added above original ;rade:
1.23 FI.
Gravel Length:
51 Ft.
Well: ■
New ■
Upgrad-
Gravel width:
5 Ft.
Number of lines:
1
Distance between lines:
NA Ft.
Classification (Private, A, B, C):
Total Depth:
Ft.
Cased to:
Ft.
Total absorption area:
510 FIS
_
Pipe Material:
D3034 & F810
Driller:.ate
f U^' `G
Dulled:
Static Water Levet:
Ft.
Installer.
Anch. Excay. & Concrete
Dale Installed:
6/12/2002
Veld:
GPM
Pump Set at:
F,.
Casing Height Above Ground:
Ft.
TANK
SEPARATION DISTANCES
El Septic 0 Holding • S.T.E.P. • Other:
To
From
Septic
Tank
Absorption
Field
Uft
Station
Holding
Tank
PubiicfPr vote
Sewer Line
Ma nufaquer:
Greer
Capacity:
1250 Gal.
Well
200'+
200'+
NA
NA
25'4.
Material:
Steel
Number of Compartments:
2
surface water
100'+
100'+
NA
NA
LIFT STATION
Lot Lina
5'+
10'+
NA
NA
Sae:
Gal.
Manufacture
Foundation
5'+
10'+
NA
NA
Pump on level at:
Pump off - _ .
in.
High water alarm at:
N.
Curtain Drain
NA
*50'+
NA
NA
Pump Make 6 • .
Electrical Inspections performed by:
Remarks:
'nnoneneknown S&S performed 1st inspection.
BENCH MARK
Location and Descaplon:
Bottom of siding
Assumed Lievalon.
100 Ft.
Engineer s Stampa
2'. 1.- OF'q�gs`tII
I*� :' •:"11-y
so*.•' ?L i� AOS
... a •aye •• / •
.�.�•
`'
4%-
Inspections performed by: KND Engineering. Inc. Dates: 15t 6/12/2002
2 6/28/2002
Development Services Department Approvalfrr SP/03'
Reviewed and approved by: '/ Date:
Kenner
t ..•+
G��
AS -BUILT SYSTEM DETAILS/SITE PLAN Perrilt SW020013
GLENN VIEW EST. WEST PHASE 1, BLOCK 2, LOT 26 PID#051-793-22
K
D
Lot 26
G1
E
COQ
MT
tr
>-
EXISTING 4
1 BDRM HOUSE
i
MT Caw
*99-
A-_ jJ
BM
EXISITNG 1250
GAL TANK
Lot 25
SCALE' 1' = 50'
Ir
A -C=13.8'
B -C=42.9'
A -D=22.4'
B -D=45.9'
A -E=41.2'
B -E=45.1'
A -F=47.2'
B -F=83.5'
d
8.9
FINAL GRA
11
TH
.9
CE -7116
.11,41
SS1O i'
51'
PREPARED FOR'
WALLACE HOMES
18306 PARK VW. TERRACE LOOP
EAGLE RIVER, AK 99577
696-8207
SCALE' NTS
C82.81J >,w
FIELD BOOKS
COMPUTER
80110AR1" LANG
DRAWN:
VBG
STAKWM.
CHECKED: KMD
ASBUILT:
GASTALDI
DATE
DWG F11
3120/03
Qi0' NW1459
'SAD' 02051.DWG
J°1114°4 02051
END ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
1:.
(9071696-6111/FAX (907)696-8111
FLT FA�
v�
-/>,•-'1250
GAL
SEPTIC
TANK
92. 92.8 -0'..--
t
wr
SEWER ROCK
(88,8 ,
94.40 094.10C88,8p
TH
.9
CE -7116
.11,41
SS1O i'
51'
PREPARED FOR'
WALLACE HOMES
18306 PARK VW. TERRACE LOOP
EAGLE RIVER, AK 99577
696-8207
SCALE' NTS
C82.81J >,w
FIELD BOOKS
COMPUTER
80110AR1" LANG
DRAWN:
VBG
STAKWM.
CHECKED: KMD
ASBUILT:
GASTALDI
DATE
DWG F11
3120/03
Qi0' NW1459
'SAD' 02051.DWG
J°1114°4 02051
END ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
1:.
(9071696-6111/FAX (907)696-8111
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
Renewal
Date Issued: Mar 20, 2003
Expiration Date: Mar 19, 2004
Permit Number: SW020013 Parcel ID: 051-793-22
Legal Description: GLENN VIEW ESTATES WEST PH 1 BLK 2 LT 26
Design Engineer: 0003 S & S Engineering
Owner Name: Wallace Homes
Owner Address: 22831 Green Garden Dr.
Anchorage , AK 99999-9999
Site Address: 022831 GREEN GARDEN DR
Lot Size: 40004 SQ. FT.
Total Bedrooms: 5 Permit Bedrooms: 5
This permit is for the construction of:
❑✓ Disposal Field[]✓ Septic Tank ❑ Holding Tank 0 Privy 0 Private Well Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 (24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received By:
Issued By:
1
AA
Date: - /1 ,'O 3
Date: 3 (Zo,o"c
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. 7'73- ZZ
Permit Number SW 0700/3
Property owner(s) ln/A IOcE Day phone ZUZ ''Zaa
Mailing address (1) 2- Z. e3 / C 'tcenf 6A-rz cit. ./ %Jct .
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Loi Zf v 61- k Z , �j 1e"J Vle ,rs
Legal description (Section, Township & Range)
Lot Size 1-/0, oo y Acres/ Number of Bedrooms 5
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Well Only
Water Storage
Jacuzzi
Water Softening Unit
0
0
0
certify that the above information is correct. 1 further certify that this application is being made for a
Single Family Dwelling and is in accordance with applicable Municipal Codes.
biabey
/A-2414 A/ -140V1 -n
(Signature of property owner or authorized agent)
Permit Fees: Z%0• w Waiver Fees:
Date of Payment: -//41/1/3 Date of Payment:
Receipt Number: 3Z 6 .35th jU . Receipt Number:
(Rev. 12/00)
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
o
4414/4 ExcAvieraa
Zp,,1
Date Issued: Jan 29, 2002
Expiration Date: Jan 29, 2003
Permit Number: SW020013 Parcel ID: 051-793-22
r Legal Description: GLENN VIEW ESTATES WEST PH 1 BLK 2 LT 26
Site Address: 022831 GREEN GARDEN DR
Lot Size: 40004 SQ. FT.
Total Bedrooms:
Design Engineer: 0003 S & S Engineering
Owner Name: Wallace Homes
Owner Address: 22831 Green Garden Dr.
Anchorage , AK 99999-9999
Moto FP kv;c -' itrraco up.
fig, AK- 41577
This permit is for the construction of:
�✓ Disposal Field Septic Tank Holding Tank
5 Permit Bedrooms: 5
Privy 0 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.
6//2/o2 EA/4. REoeC, i 5'2F OF iti5sootPrIllite FlELQ f If 014 f9EOgoadif ro
JZOltr? /3FDKuOi;, 5 s A7T4CK6-0 REVI/SE0 Ds5/6-.V.
Received By: la/ L 4Date. / /? o /o
Issued By:
``'� Date: //2 9/0
•
Parcel I.D.
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
0551- 7q�-aa
Permit Number SW02.00/3
Property owner(s) W c4 I(Ace Pottle. Day phone a 41 a- s a w
Mailino_address (1) S/7F aaE3 I enl '-e-t^ (74._c1� PAA t%f
Mailing address (2) Zip Code
Legal description (Lot, Block & Sub'd.) Lot o26j !cc,t/J'lens View t:4es Lt(
Legal description (Section, Township & Range)
Lot Size go, 001/ Acre- Sq.Ft. Number of Bedrooms
THIS APPLICATION IS FOR:
Sewer Only
Sewer and Well
Sewer Upgrade
THIS PROPERTY CONTAINS:
Hot Tub
Swimming Pool
Therapy Pool
Well Only
❑ Water Storage
0
0
0
0
Jacuzzi
Water Softening Unit
0
0
0
0
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 ENGINEERING
-ires9/
17034 17034 Eaple River Loop Road No. 204
Eagle River. Alaska 99577
(Signature of property owner or authorized agent)
Permit Fees: �i OU . `� Waiver Fees:
Date of Payment: 1 /1 ( / O Date of Payment:
Receipt Number: 01 K S $SReceipt Number:
(Rev. 12/00)
0YES&s
izgiiieemitg
vie
HEALTH AIM IORITV
APPROVALS
SEWER 8, WATER
MAIN CITENSIOI!^,.
SEWER a WATER
INSPECTION
ENCRILERING STUDIES
AND REPORTS
WELL INSPECTION
8 FLOW TEST
511E PLANS
ROAD DEMI!
SOIL IEST
PERCOLATION
TEST
STRUCTURAL
MECHANICAL
INSPECTIONS
CO SIZE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ROBERT C. COWAN, P.E.
CIVIL ENGINEERS
(907) 694-2979
FAX (907) 694-1211
January 24, 2002 .
MUNICIPALITY OF ANCHORAGE
Development Services Department
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 26, Block 2, Glenn View Estates West #1
It is requested that you issue a permit to install a septic system to serve the proposed
five bedroom dwelling on the referenced property. "
A test hole was excavated and a percolation test was performed. The approximate location
of the test hole is located on the attached site plan. At the time of excavation 4/20/99 water
was not found. After ground water monitoring on 5/15/99 the test hole was found to be
dry.
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,
-2/%/2_
Robert C. Cowan, P.E.
RCC/bjj
Enclosure
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577
+tnginrrring
izm
17034 EAGLE RIVER LOOP ROAD
EAGLE RIVER, ALASKA 99577
PHONE/ (907)694-2979
FAX (907)694-1211
LEGAL.
LOT 26. BLOCK 25 GLENN VIEW EST. WEST # 1
JAAMN tLY
B.J.J.
��iCKEJ dr:
R.C.C.
6-1 1 -02
SALO
1 OF 1
DESIGN CRITERIA:
4 BDRM = 600 GPD
SOILS = 1.2 GPD/SQ.FT.
600/1.2 = 500 SQ.FT. REO'D.
DRAINFIELD CRITERIA:
7.0' DEEP
4.0' EFFECTIVE
5.0' WIDE
50' LONG
SEPTIC
AREA
LOT 1
CONTRACTOR IS REOUIREQ TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
WORK.
•
-3 1 ROBERT C. COWAN i
`Z
�Ci t CE -8801 r; %•
(�t3 Crc.'ol:'� .:•
ti
»s9�
SURROUNDING PROPERTIES
SERVED BY COMMUNITY
WATER SYSTEM. NO WELLS
WITHIN 200' OF SEPTIC
SYSTEM.
AIA
Rn
CO,
PORTIONS OF SY'rEM
1 LESS THAN 35 OF
ER REQUIRE. INSCLATI
200' WELL RADIUS
r-,
PROPOSED
4 BEDROOM
HOUSE
1-2%
ice 11'
CO MT•
r1 25'
r
fA
T
N
P1
Z
MT
PROPOSED
DRIVEWAY
INSTALL FC
DOUBLE
CLEANOUT
CO
10 M N.
ALT.
cSEPTIC
AREA
LOT 25
4e'
\\ 0 \
`\ 5,0'''• \
o j6 O
'•1„a
PROPOSED !y`+LZP'O \\ VI n Z.
1
1300 GALLON '4ieNiOSF \ �,
HDPE SEPTIC TANK (i F , Z� , 1
I
KEYBOX \
FLATt
.f E..CwEER WAY VUM ruE
,JCI CAA 55.0.5 .w0 SCA
uu..EIExs .. A< '[.O. s
CESS.xr. 10 I..EY S.
1f II
fifik**
+_nginrrring
17034 EAGLE RIVER LOOP ROAD
EAGLE RIVER, ALASKA 99577
PHONE/ (907)694-2979
FAX/ (907)694-1211
LOT 26, BLOCK 2
GLENN VIEW EST. WEST #
UHew.4 tt
B.J.J.
„ncLK1U (i+:
R.C.C.
U.R
6-11-02
15..[11
1 OF 1
z
-J
-J
9-
(
w
H
w
z
to
w
0
a
J7
DESIGN CRITERIA:
4 BDRM = 600 GPD
SOILS = 1.2 GPD/SQ.FT.
600/1.2 = 500 SQ.FT. REQ'D.
DRAINFIELD CRITERIA:
7.0' DEEP
4.0' EFFECTIVE
5.0' WIDE
50' LONG
SEPTIC
AREA
LOT 1
CONTRACTOR IS REOU1RE-Q TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
WORK.
e n RO!ERT C. COWAN 1^ `i'1• CE • 8301 • �-
Vrt'. ~,•.•.I •.. •••' y JI
SURROUNDING PROPERTIES
SERVED BY COMMUNITY
WATER SYSTEM. NO WELLS
WITHIN 200' OF SEPTIC
SYSTEM.
ALI
NF
CO
PORTIONS OF' SYSTF.11
LESS THAN 0.5' OF
ER REQUIRE INS(ILATIC 9.
200' WELL RADIUS
2-3X
1-2%
DOUBLE CLEANOUT
10' MIN.
0
1-1
MT.
0
PROPOSED
4 BEDROOM
HOUSE
U
0
0
1• INSTALL FCI
0
13
- lI NCCO,
�ys\Tf\ \T
r7 24'
10' II MIN. 1
ALT.
SEPTIC
NA AREA
LOT 25
PROPOSED
1300 GALLON
HDPE SEPTIC TANK
FLATt
PROPOSED
DRIVE WAY
1
757
o
rn
,1
KEYBOX
i
v\
1 CT•CmCCR NAY V T.(
T 0.445INS MID OrSLM
(TC45 IN 1.E P710. N
CfSS.R.. TO YCCI 5111
01101.5
—.—,..
/*V. I
+Enginrrring
Z
17034 EAGLE RIVER LOOP ROAD
EAGLE RIVER. ALASKA 99577
PHONE/ (907)694-2979
FAX/ (907)694-1211
LOT 26. BLOCK 2
u,AWY LIT:
B.J.J.
;.ntCKcL tlf:
R.C.C.
GLENN VIEW EST. WEST a
�A L:
1-15-02
RE+OSED: 1 -24-02
S..LL3:
1 OF 1
SITE-PLAN
z
r
w
0
n
DESIGN CRITERIA:
5 BDRM = 750 GPD
SOILS = 1.2 GPD/SQ.FT.
750/1.2 = 625 SQ.FT. REQ'D.
DRAINFIELD CRITERIA:
7.0' DEEP
4.0' EFFECTIVE
5.0' WIDE
63' LONG
CONTRACTOR IS REOUTREO TO
OBTAIN UTILITY LOCATES
PRIOR TO ANY EXCAVATION
WORK.
SEPTIC
AREA
LOT 1
1
n RO3ERT
`C\ . CE
-• r
(10
C. COWAN 4Fta
-8801 1.4.?i
�d�ZZZ O�
SURROUNDING PROPERTIES
SERVED BY COMMUNITY
WATER SYSTEM. NO WELLS
WITHIN 200' OF SEPTIC
SYSTEM.
23x
1-2X
DOUBLE CLEANOUT
/o.
IC' Nth,' Sire,
Ix?o..�N
PROPOSED
5 BEDROOM
HOUSE
PROPOSED
DRIVEWAY
1
0
U
cc
0
0
o_
1
10'
INSTALL FC&N„
•
TH
56'
FLAT*
0
PROPOSED
1500 GALLON
SEPTIC TANK
I
1
S)3
Cn
IL
111
Z `L
0 \
z�1
O 11
I
`KEYBOX
/
AlIONS OF SY�TEM
WI 1 LESS THAN 55' OF
CO ER REQUIRE IVSUTATIC9,
200' WELL RADIUS
ALT
SEPTIC
C AREA
LOT 25
0'
A
(C MOWER HAY wM THE
E OK.ENS00..5 AND S.LN
UPS M THE HEW. r
CLSSbrv. 70 MEET 57
walroNs.
JKN..J ENGINEERING
20441 PTARMIGAN BLVD.
EAGLE RIVER, AK 99577-8736
Performed for:
Project:
Depth
14-
15-
16-
17-
18-
19-
SOILS PERCOLATION TEST
Konno t M. Duf . 4° ®� er : CE 7116 .; ti`'
e814 PROFESSl90'...,.
Arctic DevcoiTurner Construction Date Performed: 4/20/99
Lot 26, Block 2, Glenn View Estates West TESTHOLE# 99-2126
Org — soft, black, moist
SM — Soft, w/sandy silt
} Silt layers /sand layers
GP/SP — Med dense, gray gravel
W/sand sllghty silty, dry
B.O.H.
IIOLE PRESOAKED
20- PRIOR TO TESTING
SEE ATTACHED SITE PLAN
FOR HOLE LOCATION
Was Ground water encountered? NO
Depth to water after monitoring? DRY
What depth? N/A
Date? 05/15/99
Reading
Date
Gross
Time
Net
Tule
Depth to
Water
Net
Drop
1
4/21/99
3:00
-
8"
-
2
3:10
10 min
57/8"
21/8"
3
•
3:11
-
8"
-
4
321
10 min
5 3/16"
2 13/16"
5
•
322-
8"
-
6
3:32
10 min
5 3/16"
213/16"
7
•
3:33
-
8"
-
8
3:43
10 min
5 7/16"
2 9/16"
9
•
3:44
-
8"
-
10
354
10 min
5 7/16"
29/16"
11
•
3:55
-
• 8"
-
12
4:05
10 min
5 7/16"
29/16"
•
Water
Added
Percolation Rate 3.90 (min/in) Pere Hole Diameter 6"
Test Run Between 2.0 feet and 3.0 feet
I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in
effect on this date.
�� 4 ►�S & S •
C
F11�•1nCGRI11C� ROBERT C. COWAN, P.E.
� M CIVIL ENGINEERS
(907)694-29794-2979
FAX (907) 694-1211
HEALTH AUTHORITY
APPROVALS
SEWER & WATER
MAIN EXTENSIONS
SEWER&WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PIANS
ROAD DESIGN
SOIL TEST
PERCOUTION
TEST
STRUCTURAL 11
MECHANICAL
INSPECTIONS
CN SITE
WASTEWATER
C sPCGALSYSTEM
DESIGN
ON-SITE WASTEWATER DISPOSAL SYSTEM
CONSTRUCTION PRACTICES
and
MATERIAL SPECIFICATIONS
REFERENCE: Lot 26, Block 2, Glenn View Estates West #1
January 10, 2002
GENERAL:
1. The scope of this project includes the installation of a 1500 gallon septic tank
and a drainfield trench to serve the proposed five bedroom residence 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
applicable State and Municipal Wastewater Disposal Regulations.
3. The contractor shall be responsible for obtaining any necessary underground
utility locates.
4. Unless specifically agreed otherwise, the property owner shall be responsible
for final grading areas subsequently depressed from soil settling.
5. Contractors installing wastewater disposal systems must be certified by the
Municipal Health Department for system installations. Owners installing their
own systems must also receive prior approval from the Municipal Health
Department.
SEPTIC TANK INSTALLATION:
1. A septic tank is to be constructed by a certified septic tank manufacturer.
Construction shall include two 4" cleanouts for pumping access.
2. The septic tank shall be sufficiently bedded to prevent settling or shifting of
the tank.
17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER, ALASKA 99577
Page 2
Lot 26, Block 2, Glenn View Estates West #1
January 10, 2002
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.
5. 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 TRENCII/DRAINFIELD 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.
3. 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 26, Block 2, Glenn View Estates West #1
January 10, 2002
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 Pipe 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, Mirafi 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.
INSPECTIONS:
Typically there will be a minimum of three (3) inspections required during the installation of the
wastewater disposal system. These inspections will occur as follows:
.•
Page 4
Lot 26, Block 2, Glenn View Estates West #1
January 10, 2002
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.
3. The final inspection is to occur upon final grading of the property.
Often there will be more than these 3 inspections required. Especially with the installation of
multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the inspecting engineer
is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre -
construction meeting will take place on-site. The inspecting engineer will not coordinate, direct or
control in any way the contractors activities.
The owner shall contract with the contractor to perform the work outlined in these specifications
and plans and in accordance with the attached M.O.A. permit. There will be no contractual
arrangement existing between the contractor and S & S Engineering. S & S Engineering shall be
the owner's representative and will inspect the work as stated above to document the contractors
activities. Final acceptance of the contractors work rests with the owner and the M.O.A.
S & S Engineering shall have no liability to the owner or to others for acts or omissions of the
contractor or any other persons performing work on this project or the failure of the contractor to
carry out the work in accordance with these construction documents. S & S Engineering's
inspecting engineer will not be responsible for the construction means, methods, techniques,
sequence, procedures or the safety precautions incident to this project.
CONTRACTOR/INSTALLER
Municipality of Anchorage
Development Services Department
Building Safety Division •
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel1.D. 051-793-22
1.
GENERAL INFORMATION
conA# OSOIR7
Expiration Date: 6-/o -o
Complete legal description GLENN VIEW ESTATES WEST #1. BLOCK 2. LOT 26
Location (site address) 22831 GREEN GARDEN DRIVE. CHUGIAK, AK 99567
Current Property owner(s) GAIL & WILLARD SMITH Day phone
Mailing address FO 130X 670565. CHUGIAK. AK 99567
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, COSA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
4
TYPE OF WASTEWATER DISPOSAL:
❑ Individual On-site
O Individual Holding Tank
❑ Community On-site
Public Sewer
0
The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On -Site Systems
Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional
civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also Issues COSAs upon request to homeowners. Certificates of On -Site
Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer's work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for
this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe,
functional and adequate for the number of bedrooms and type of structure indicated herein. 1 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 ArcTerra Engineering & Surveying, Inc.
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Engineer's Printed Name KENNETH M. DUFFUS
Phone 868-3792
Date 06/06/2008
Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations.
The assessment of the condition of the well and septic applies only to the conditions as of the day tested.
The flow and absorption rates may change due to subsurface conditions that may not be observed from
the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the
year and the water usage of the family being served by the system. The operational life of all well and
septic systems are subject to these various and dynamic characteristics and are outside the control of the
evaluator of the well and septic system. Therefore,
ArcTerra can not give any estimate of how long a
system will function satisfactory for current or future
occupants or can ArcTerra guarantee that no unseen
encroachments, deficiencies or discrepancies exist.
5. DSD SIGNATURE
1.7 Approved for bedrooms.
Disapproved.
Conditional approval for bedrooms, with the following stipulations:
"11:14 NM
i* 49 ►+ Arlo
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' r^ , Kenneth : jw� Jt CE .4a,.�tfaS..04).
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WATER AND t
Attachments:
COSA ChecIdist
Septic System Advisory
Well Flow Advisory
Nitrate Advisory
X
WASTEWATER
▪ 6. PROGRAM
e• s,
•�• • '
• .• \\
(• • ... •r_��
Arsenic Advisory
Maintenance Agreements
Supplemental Engineer's Report
Other
Original Certificate Date: ' (O — / 0 -" 05
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, AK 99519-6650
www.muni.org/onsite
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST
Legal Description* GLENN VIEW ESTATES WEST *1. BLOCK 2. LOT 26 Parcel ID: 051-793-22
A. WELL DATA
Well type rUBLIC If A, B, or C provide PWSID # _ Well Log (Y/N)
Date completed
Total depth _ft.
Sanitary seal (Y/N)
Cased to _ft.
FROM WELL LOG
Wires properly protected (Y/N)
Casing height (above ground) in.
AT INSPECTION
Date of test
Static water level ft. ft.
Well production g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100mL Nitrate mg/L Other bacteria colonies/100 mL
Arsenic: _fng/I Date of sample: 'Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material ,Septic/Steel Date installed 6/12/02 Tank size 1250 gal.
Number of Compartments 2 Cleanouts (YIN) .Foundation cleanout (Y/N) y Depression over tank (Y/N) g
High water alarm (Y/N) )._Date of pumping 6/5/08 Pumper Sanitary
C. ABSORPTION FIELD DATA'
Date installed 6/12/2002 Soil rating (g.p.d./ft2 or ffl2/bdrm) ],,Z_ System type Trench
Length Ilft. Width 3 ft. Gravel below pipe aft. Total depth 12 ft.
Eff. absorption area 510 ff Monitoring tube y Depression over field lY
Date of adequacy test 6/5/2008 Results (Pass/Fail) Pass For 4 bedrooms
Fluid depth in absorption field before test 33 6 in. Water added 900 gal. New depth _46,8 in.
Elapsed Time: 1410 min. Final fluid depth 32.4 in. Absorption rate >= 600+ g.p.d.
Any rejuvenation treatment (past 12 mo.) (YIN & type) LIf yes, give date
D. LIFT STATION
Date installed Size In gallons
Manhole/Access (Y/N)
"Pump on" level at_in. 'Pump off" level at_in. High water alarm level at_in.
Datum Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot On adjacent Tots
Absorption field on lot On adjacent lots
Public sewer main Public sewer manhole/cleanout
Sewer /septic service line Holding tank
Animal containment areas Manure/animal excrete storage areas
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+ Property line 5'+
Water main 10'+ Water service line 10'+
Absorption field 5'+
Surface water 1001+
Wells on adjacent Tots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation _ 10'+ Water main 10'+
Water Service line 10'+ Surface water 1001+
Curtain drain 50'+ (None Known)
F. COMMENTS
Absorption field oneratinz in ton half of effective depth.
G. ENGINEER'S CERTIFICATION
Driveway. parkingNehicle storage 10'+
Wells on adjacent lots 200'+
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA COSA guidelines in effect on this
date.
Engineer's Printed Name KENNETH M. DUFFUS
Date 06/06/2008
;4y' OF 9s` li
a co
*; 49 '4 pa
COSA Fee $430.00
Date of Payment 06/06/2008
Receipt Number /G1067
(Rev. 11/05)
Waiver Fee $
Date of Payment
Receipt Number
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-793-22
1. GENERAL INFORMATION
Complete legal description
HAA# O"-iO!7
Expiration Date: 5.- 1 a. - 0 .
GLENN VIEW ESTATES WEST #1 BLOCK 2,
LOT 26
Location (site address or directions)
Current Property owner(s)
Mailing address
Lending agency
Mailing address
Real Estate Agent
Mailing address
22831 GREEN GARDEN DRIVE
SHAWN CROUSE
P.O. BOX 672386
*CHUGIAK 99567
Day phone 688-0322
Day phone
Day phone
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS: 4
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
TYPE OF WASTEWATER DISPOSAL:
tndiviouat on-site
Individual Holding tank
Community On-site
Public Sewer
•
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil
engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer
of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or
water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority
Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may
be reissued with new water samples. (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 GARNESS ENGINEERING GROUP, Ltd.
Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507
Engineer's Printed Name JEFFREY A. GARNESS, P.E.
Engineer's Comments:
In conducting this evaluation, GEG, Ltd. attempted to provide a thorough,
conscientious engineering analysis of the system in accordance with ADEC and MOA
DSD Guidelines & Regulations. The reported results described the performance of the
system under the conditions encountered at the time of the test, and separation
,distances measured to readily identifiable features. The operational life of all wells and
septic systems depend on the local soils condition, groundwater levels that may
fluctuate during the year, and the water usage of the family being served by the system.
These conditions are outside the control of the evaluator of the system. Satisfactory test
results do not guarantee future performance of the system, nor do they guarantee that
there are no hidden defects or encroachments. GEG, Ltd. can therefore not provide
any warranty or future estimate of how long the system will continue to meet the
operational requirements of the ADEC or MOA DSD. The content of this report Is for
the sole benefit of the owner listed above. Any reliance upon or use of this report by any
other person or party is not authorized, nor will It confer any legal right whatsoever.
5: DSD SIGNATURE
Approved for • bedrooms.
Phone 337-6179 .
Date
D
ness:•
—7953 o`Q1
'mac°O
q�ed pre f e ssloilto
���OOood4
Disapproved.
Conditional approval for bedrooms, with the fllowing stipulations:
By:
(Rev. 12101)
Attachments:
HAA Checklist
• Septic System Advisory
Well Flow Advisory
Manitenance Agreements
Supplemental Engineer's Reort
Other
Original Certificate Date:
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water & Wastewater Program
4700 South'Bragaw St.
P.O. Box 196650 Anchorage, AK 99519-6650
www.ci.anchorage.ak.us
(907) 343-7904
Legal Description:
WELL DATA
Well type
Date completed
Total depth
HEALTH AUTHORITY APPROVAL CHECKLIST
GLENN VIEW ESTATES WEST #1 BLOCK 2, LOT 26 Parcel ID: 051-793-22
If A, B, or C provide PWSID# N/A
Sanitary seal (Y/N) Wires properly prote
Cased to ft. Casing h
}
FROM WELL LOG �NP� INSPECTION
Well Log (Y/N)
Date°of!test
Static water level
Well production
WATER SAMPLE RE - S:
Coliform
nic: mg./L:
l
SEPTIC/HOLDING TANK DATA
!r
Tank'Typ'e/Material STEEL
i'1 1
Tank size 1250 gal.
Foundation cleanout (YIN) YES
Dateoflpumping ' 5/4/04
C. ABSORPTION FIELD DATA
Date installed
Length i
I.
Total depth '8.2 ft.
Date of;adequacy test
II I
Fluid depth in absorption field before test
i
Elapsed Time:
colonies/100 ml.
Nitrate mg./L.
Date of sample:
Other bacteria colonies/100 mi.
Collected by:
Number of Compartments 2
Depression over tank (Y/N) NO
6/12/2002
Date installed "" 3
2/03-6///7/G'
Cleanouts (Y/N) YES
High water alarm (Y/N) N/A
Pumper JR's PUMPING
/'BELOW (FINAL GRADE
Soil rating p.d./ r ft2/bdrm) 1.2
Width 5 ft.
ft2
•
Results (Pass/Fail) PASS
Eff. absorption area
NEW
510
Monitoring tube
System type 5 -WIDE
Gravel below pipe 4.0 ft.
YES . Depression over field NO
F
me: i • depth I in.
a ion treatment (past 12 mo.) (Y/N & type)
min.
gal.
Absorption rate >=
NONE KNOWN If yes, give date
rooms
New depth in.
g.p.d.
D. LIFT STATION
Date installed Size in gallons Manhole/Ac
. 1
"Pump on" level at in. "Pump off' High water alarm level at i in.
1 irli
Datu Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES 1 , 1 !
1' I ,
1 . i
, .
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot On adjacent lots
acent lots ;
Absorption field on lot
Public sewer main
Sewer /s rvice line
Public sewer manhole/cleanout •Ilh'
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
• Building foundation 1 5'+
Water main 10'+
Property line 5'+ Absorption field
Hid I•J j j
1.• ;.;
1 m
15-E• • •
Water service line 10'+ • • Surface water .100'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+ Water main
Water service line 101+ Surface water 100'+
Curtain drain NONE KNOWN Wells on adjacent lots 200'+
F. COMMENTS
dill
Driveway, parking/vehicle storage 50'+
if 1
1,1
•
.1.
G. ENGINEER'S CERTIFICATION
certify that 1 have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
. _
Engineer's Printed ame
Date • 515--- 04 -
JEFFREY A. GARNESS
;.."='OF
.F'•C••••'•/
e re A. Gar
HAA Fee $ 4/202-
DaterOf Payment 56101A
ReCeipt Number 51(0c)cl
Waiver Fee $
Date of Payment
• Receipt Number
•
• I,: • • '
: I
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
CERTIFICATE OF HEALTH AUTHORITY APPROVAL
FOR A SINGLE FAMILY DWELLING
Parcel I.D. 051-793.22
HAA# Q3Q0g8
Expiration Date: 3 -.2- 4- Lf -
1. GENERAL INFORMATION
Complete legal description GLENN VIEW ESTATES WEST PHASE 1, BLOCK 2, LOT 26
Location (site address or directions) 22831 GREEN GARDEN DRIVE, CHUGIAK, AK 99567
Current Property owner(s) WALLACE HOMES Day phone 242-8200
Mailing address 18306 PARK VW. TERRACE LOOP. EAGLE RIVER. AK 99577
Lending agency Day phone
Mailing address
Real Estate Agent Day phone
Mailing Address
Unless otherwise requested, HAA will be held by DSD for pickup.
2. NUMBER OF BEDROOMS:
3. TYPE OF WATER SUPPLY:
Individual Well
Individual Water Storage
Community Class Well
Public Water System
4
TYPE OF WASTEWATER DISPOSAL:
Individual On-site
Individual Holding tank
Community On-site
Public Sewer
The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority
Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional
civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the
transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal
and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health
Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well
and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one
year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or
a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the
professional engineer s work.
4. STATEMENT OF INSPECTION BY ENGINEER
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my
investigation, based on procedures outlined in the Health Authority Approval Guidelines for this
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 KND ENGINEERING, INC
Address 20441 Ptarmigan Blvd., Eagle River, AK 99577
Engineer s Printed Name Kenneth M. Duffus
Phone (907) 696-6111
Date 3/20/03
1e�1�aa3
.��GOF��ti1a
a,• ••a1
5. DSD SIGNATURE
Approved for 1-4- bedrooms. �.�F ••,,•
Disapproved. da,�CFC 1 ,�,
Conditional approval for bedrooms, with the following stipulations:
Additional Comments
,tttl(iii1111(��,
tklk
\..
iii' .-„,'i
ON-SITE -,'G
U/ATFR 4 N . r,1.
Attachments:
HAA Checklist
Septic System Advisory
Well Flow Advisory
X
WASTEWATER :
PROCF ,,
Maintenance Agreements
Supplemental Engineer s Report
Other
(Rev. 01/02)
Original Certificate Date: 3 — 2.14 - G 3
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
HEALTH AUTHORITY APPROVAL CHECKLIST
Legal Description: GLENN VIEW ESTATES WEST PHASE 1. BLOCK 2. LOT 26 Parcel ID: 051.793.22
A. WELL DATA
Well type Public If A, B, or C provide PWSID # _ Well Log (YM)
Date completed _ Sanitary seal (Y/N)_ Wires properly protected (YM)
Total depth `ft. Cased to ft. Casing height (above ground)
FROM WELL LOG AT INSPECTION
Date of test
Static water level ft. it.
Well production g.p.m g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mi. Nitrate _mgJl. Other bacteria _ colonies/100 ml.
Arsenic: mg./I. Date of sample: , Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Matertal septiclsteel (GREER) Date installed 6112102
Tank size 1250 gat Number of Compartments ;` Cleanouts (Y/N) y
Foundation cleanout (Y/N) Depression over tank (YM) High water alarm (YIN) N
Date of pumping dA • NEW TANK Pumper
C. ABSORPTION FIELD DATA
Date installed 6112/02 Soil rating (g.p.d./ft2 or ft2/bdrm)1.2 System type trench
Length 51 ft. Width 5 ft. Gravel below pipe A_ ft.
Total depth Z ft. Eff. absorption area 510 ft2 Monitoring tube y Depression over field N.
Date of adequacy test NA • NEW SYSTEM Results (Pass/Fail) Pass For 4_ bedrooms
Fluid depth in absorption field before test _ 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) N If yes, give date
D. LIFT STATION
Date installed NA
Pump on level at _ in.
Datum
E. SEPARATION DISTANCES
SEPARATION DISTANCES FROM WELL ON LOT TO:
Septic tank/lift station on lot
Absorption field on lot
Public sewer main
Sewer /septic service line
Size in gallons Manhole/Access (Y/N)
Pump off level at _ in.High water alarm level at in.
Cycles tested
Meets alarm & circuit requirements?
On adjacent Tots
On adjacent Tots
Public sewer manhole/cleanout
Holding tank
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5'+
Water main 10'+
Property line ,5 +
Water service line 10'+
Absorption field 5'+
Surface water 100'+
Wells on adjacent lots 200'+
SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO:
Property line 10'+ Building foundation 10'+
Water Service line 10'+ Surface water 100'+
Curtain drain 50'+
F. COMMENTS
Wells on adjacent lots 200'+
Water main 10'+
Driveway, parking/vehicle storage 25+
G. ENGINEER S CERTIFICATION
I certify that I have determined through field inspections and
review of Municipal records that the above systems are in
conformance with MOA HAA guidelines in effect on this date.
Engineer s Printed Name Kenneth M. Duffus
Date 3120/03
OF 44'41,1
~* f4 •
•N� _�_ MON
•N«••.•
so :its"rar
S• C E 706;00
•. ��
HAA Fee $375.00
Date of Payment P3/20/93
Receipt Number
(Rev. 12/01)
Waiver Fee $
Date of Payment
Receipt Number
2000-42
GLENN VIEW ESTATES WEST, PHASE NO. 1
LOT 26, BLOCK 2
40,004 S.F.
N 89°59'03"E 267.12'
N 00°08'58"W
N 89°51'02"E 298.60'
FINAL STRUCTURE AS -BUILT
N
20.5'
EXISTING
BUILDING
27.0'
25.0'
14.2
241.6'
N
GRAVEL DRIVE
as
ENTRY
AS -BUILT
GASTALDI LAND SURVEYING
JEFF A. GASTALDI, R.L.S.
4726 WEST 88TH AVENUE
ANCHORAGE, ALASKA 99502
PHONE 248-5454
GRID
NW1459
DATE
11/12/2002
F.B.
02-16
JOB NO.
GVEW262
I HEREBY CERTIFY THAT I HAVE SURVEYED THE
PROPERTY DEPICTED ABOVE AND THAT NO
ENCROACHMENTS EXIST EXCEPT AS INDICATED.
IT IS THE RESPONSIBIUTY OF THE OWNER TO
DETERMINE THE EXISTENCE OF ANY EASEMENTS,
COVENANTS OR RESTRICTIONS WHICH DO NOT
APPEAR ON THE RECORDED SUBDMSION PLAT.
UNDER NO CIRCUMSTANCES SHOULD) ANY DATA
HEREON BE USED FOR CONSTRUCTION OR FOR
ESTABUSHING BOUNDARY OR FENCE UNES.
ANCHORAGE RECORDING DISTRICT, ALASKA
NOTE: NO CORNERS SET THIS DATE.
.'�?F A�%s•O
♦ P4ir 1v:.
i, 49TH '. 7 0
...... •.....
Jeffery Gastaldl
. �•. LS -6091 • �� 1
. @dp •••.... ••.*0c15J`�
et.:°fessiona% �° 4
1