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Home My WebLink AboutKARIANNE HEIGHTS LT 1AKarianne Heights Lot 1 A #017-091-98 Municipality of Anchorage Page I of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519=6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SLS 1600 51 PID Number: ot'► - og t' - 63 Name: SLer PAr 13Wastewater System: New J4 Upgrade q Address: bA,7TLAC,COJrJ0, wA 23 696614fJGe'er ABSORPTION FIELD 20 IJ. E. -Pat. Phone:No. of Bedrooms: (BGO) 666 - g7703 W Deep Trench O Shallow Trench O god O Mound O Other LEGAL DESCRIPTION 3o11 R°""°: 0 6 Total Depth from original grade: PD F 0 fet[T Lot: Block: Subdivision: Depth to pipe bottom from original grads: Gravel depth beneath pipe IA049 NEmci 5 F. 5 Ft Township: Range: Section: _ Fill added above original grade: Ore el length: O. t 2 301) (-Ga FI WELL: New ❑ Upgrade Gravel width: 5 Numb"4 linos: OBuncs;12 RFs: a Ft Ft Class,llcatlon (Private, A,B.C): Total Depth: 9_8 300-1-0: Total absorption area: Pipe materiel: Pat I JA Ft. SO Ft Asrnn D-3054 Driller, aDrilled: Static Water Level' Installer. '7�W@EO EicAdAtu1 Date Installed: Ft. Yield:Pump Set at: Casing Height Above ground: TANK GPM Ft. Ft. SEPARATION DISTANCES 54 septic ❑Holding ❑S.T.E.P. To Septic Absorption Let Hold.ng ubllcvPdvole Manufacturer. Capacity In gallons: From Tank Field Station Tank Sow*,Llnu 11110Ae Fr TAaIL /000 Well- 1001+ loo' '� — Material: STE& L_ Number of Compartments: Z s°"°`°LIFT Water 6014 no — -' STATION Lot II i' "" Size in gallons: Manufacturer: Line 10 4- l0 �' Foundation30 s + L+S1+ ..Pump on- level at: 'Pump olPl High water alarm at: Curtain Id e L Pump Msk et Electrical inspection performed by: Drain �• h 04 Remarks: S00ertgrrar OErwji..v S4Arac 74,.Jr/ BENCH MARK d Ju,tyarra," A prrt-o �No wi��r o� Noano��> Location and Description: Tgly� � 1.4e Lo r r 1 w )Do -F" , geTTeM eP 0.04 Sia... BAGS OF' GARAGE . Assumed Elevation: 1 DO. 0 Ft Et s� 0.. S & S ENGINEERING Inspections performed by: 17 o.gdjyes: 1st """"'" �, .......... Eagle River, Alaska 97577 2nd 5 /it ....... ............... ROBERT a COWAN f4C f�+ts�if;.. cE•eeol ,� Department of Healt and Human Services app oval�C t'I rt.1 y:r. ': �'� •gin%yw^ Reviewed and approved by: Date Permit No. SW960051 Page 2 of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Description; LOT 1, KARIANNE HEIGHTS S/D 017-091-63 72-013 A (Rev. "I) MOA iS PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM ?ERMIT NUMBER:SW960051 DESIGN ENGINEER:S & S ENGINEERING DWNER NAME:LAIRD SCOTT 7WNER ADDRESS:14721 PRATOR ST ANCHORAGE, ALASKA 99516 PARCEL ID:01709163 LEGAL DESCRIPTION: KARIANNE HEIGHTS LT 1 LOT SIZE: 40525 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONSTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: (UPGRADE) PERMIT DATE ISSUED: 4/18/96 !%i._Y� EXPIRATION DATE: 4/18/97 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 DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: 2 DATE: /,b /or( S & S\ ROBERT C.COWAN, RE. Sin epinG ROBERTA.SHAFER.PE. April 16, 1996 CIVIL ENGINEERS (907)694.2979 FAX(907)694-1211 AP�ALSSTpRIry MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWERLWATER L"UTMI01.5 REFERENCE: Lot 1, Karianne Heights S/D Request you issue a permit to upgrade the septic system SEWWSPECrlaTIM ER serving the existing three bedroom house on the referenced sPi property. Also request a Conditional Health Authority Approval. Septic system to be upgraded by June 16, 1996, due to the high coat to install the system in frozen ground at this time. There are no health or environmental hazards ENOnEPORTERING $STUO:ES observed, such as surfacing effluent. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the attached site plan. WELLINSPECTI@, SFLOWTEST At the time of excavation no water was encountered and after seven day ground water monitoring, the monitoring tube was found to be dry. SITE PLANS Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring RW OES:GN wells, septic systems or drainage patterns by the installation of the proposed septic system. The proposed 1000 gallon septic tank is to be placed SIXTEST outside the well protective radius. Attached is a site plan which depicts the location of the proposed tank. If you require additional information, please contact us. PERCOLATM TEST Sincere Robert C. Cowan, P.E. STRUCTURALS RCC/gk MEOMICAL WSPECTICNS Enclosure ONSITE WASTEWATER DRPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RNER, ALASKA 99577 Z Z PRATaR A �. A n A ----- ----10 -ELEC. UTIL_ ESMT. o� I �s, < y NLZO I ~ jMF � �m o n�` EXISTING zo " i �HHN ctls 3 BDRM xD „ 'Po.ILn I� �Sb HOUSE r ii► i� I a I' Ito CCX o 1E I _ I �xm LLry� z 1 nX AF rnIn �L n M rn L e -Z rS -1 P �r G n q1? Z 1)02 is s3' c, , N n fs ni . (1 1,' . \. :. 1" := so, I SITE PLAN DESIGN n SCALE I Z r 228=1 kwV, A L 2 -I D Z 1ZmV�N*n Z-1 O+NVt -+ ON O H .1"(A 1 NO ti froOf� pAmo •I 0!5:1. 0.7 rr•• zn-x 1 Cm+1= C r,>m o m � O -p7 A! O Z x AZA < -i L'•' l7x OLA -C � '-'I' 1;u ZIn p{�+Ip OSA TJ M"1 oc� ° o Z=oo m rq z Mr" C7 ao II yo (n ;a M� y�^ Om =i ►�r W II O II Z 0Ko �r.,.ya m crI 00 N LA oom -.-9 uxi �90 p lZ~iI W►w•�-C ��"��ro� I n W,DO x <yc y E2 fir+ `rss' 1-3 ca cqk r OI A\ro Cys] o0o Z zA'�zaA =a m 1 • Iti ...I C) y �0j 01 s (A O -mt 7 N � 2 roN17..DA In wo m oyZ 1Ay Aro-1 2= p O Oof11 In ZZ Z OV) M Z V) Z Z PRATaR A �. A n A ----- ----10 -ELEC. UTIL_ ESMT. o� I �s, < y NLZO I ~ jMF � �m o n�` EXISTING zo " i �HHN ctls 3 BDRM xD „ 'Po.ILn I� �Sb HOUSE r ii► i� I a I' Ito CCX o 1E I _ I �xm LLry� z 1 nX AF rnIn �L n M rn L e -Z rS -1 P �r G n q1? Z 1)02 is s3' c, , N n fs ni . (1 1,' . \. :. v r g n I Z r D �O Z Z PRATaR A �. A n A ----- ----10 -ELEC. UTIL_ ESMT. o� I �s, < y NLZO I ~ jMF � �m o n�` EXISTING zo " i �HHN ctls 3 BDRM xD „ 'Po.ILn I� �Sb HOUSE r ii► i� I a I' Ito CCX o 1E I _ I �xm LLry� z 1 nX AF rnIn �L n M rn L e -Z rS -1 P �r G n q1? Z 1)02 is s3' c, , N n fs ni . (1 1,' . \. :. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: SCOTT f"Imt) DATE LEGAL DESCRIPTION: Lo-rKA0,1ANNG I+rS. Township, Range, Section: � ORUANICs 1 _ � '1'ILoZ@N 'SEAT 11 12 13 14 SNi - ottAN6E SILTt S4WD tAr/TRALF VgAvat- 6M - sm-1ye SANDya 6QPgEL a1 / C068.a5'Zv 0' 15 16-M %.O.H. Ifi7 17 18 18 20 COMMENTS WAS GROUND WATER ENCOUNTERED? N0 IF YES, AT WHAT DEPTH? Oepm to W71tf After nr 31av�yl Monilorin07—_Oale: 1i Reading Date Gross Time Net Time Depth to Wator Net Drop 's ar- SO aL -Psmt 8- 1-96 S%30 _.- p r, r „ Vast a g!u /- n PERCOLATION RATE Iminutesnnchl PERC HOLE DIAMETER to TEST RUN BETWEEN FT AND 7 FT PERFORMED 8Y: 17�9,,34pT-*04� ARiv�at,l'� pG�OP-Read No -'184_ t-1%.A_,� / (�,r e�� CERTIFY THAT TPIS TES WAS PERFORMED IN ACCOnDANCE Wt N1-*Al9%1'EIAAkIsX47JPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 3 /� ; 179 4+ 72-000 (nev. 4/85) ROBERTO. COWAN. P.E. ROBERTA. SHAFER, P.E. o ON-SITE WASTEWATER DISPOSAL SYSTEM CMLENGINEERS CONSTRUCTION PRACTICES (907)694.2979 FAX (907) 694-1211 and MATERIAL SPECIFICATIONS FIEALTHAZWHORNY APPROVALS REFERENCE: Lot 1, Karianne Heights S/D April 16, 1996 SEWERAWATER GENERAL: LWNECTENSIONS 1. The scope of this project includes the installation of a 1000 gallon septic tank and leachfield trench to serve the three bedroom residence located on the SEWER&WATER referenced property. The existing 1000 gal septic WSPECTIO.N tank is to be excavated, pumped, crushed, and abandoned in place. 2. Construction shall be in accordance with the approved EINICINEEnING STUDIES ANDRETORTS site plan and design drawings, Municipal permit with any special provisions or conditions, and all applicable State and Municipal Wastewater Disposal Regulations. WELLINSPECTION &FLOWTEST 3. The contractor shall be responsible for obtaining any necessary underground utility locates. 4. Unless specifically agreed otherwise, the property SITEPUIM owner shall be responsible for final grading areas subsequently depressed from soil settling. 5. Contractors installing wastewater disposal systems ROADDESIGN 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. SOLTEST SEPTIC TANK INSTALLATIONS PERCCUT10N 1. A septic tank is to be constructed by a certified TEST septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. 2. The septic tank shall be sufficiently bedded to STRUCTURAL& prevent settling or shifting of the tank. VECKANCAL INSPEcraNS 3. All standpipes on the septic tank shall extend a minimum of 12 inches above final grade. ONSITE WASTEWATER DISPOSALSYSTEM DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RIVER. ALASKA 90577 Page Two Lot 1, Karianne Heights SID April 16, 1996 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 TRENCH/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. Page Three Lot 1, Karianne Heights S/D April 16, 1996 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. MINIMUM MATERIAL SPECIFICATIONS: 1. Any septic tank proposed for installation must be constructed by a Municipally approved septic tank manufacturer. 2. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Tvpe 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, Fernco, 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. Page Four Lot 1, Karianne Heights SID April 16, 1996 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. 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. Page Five Lot 1, Karianne Heights S/D April 16, 1996 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 I( u+ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION \ i 825 L Street • Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT tME PH NE + �r c - -j\ Lq lY?� ILINGADDRESS -- L Y DISTANCE TO: �it Manufacturer N ~ Dlftance to lot r line Liy. c81laG 1Y in paln 1 d D i DISTANCE TO: gzla, Manufacturer S DISTANCE TO: of linos H ?I ¢ H iop of tilu to finish D Lengdl W U c. Wa Type of erlU W N DISTANCE T//T J J Class OTHER IF HOMEMADE: b_ It diameter .__.... ....-_ L: !t •. `,� filo Ln" Y A._, • JTY �! •a• u••aiarr�, �i •uv .•J'••oaraa•••yr �.v/itv!ra•r rr• i<t�r � 7/ E 0 NO. OF mllinp Q PEHMII depth Total elfective ling foundation Nearestlotlin f Dlftance to lot r line Septic tank aroa UPGRADE October 12, 1981 S & S Engineers 5610 Silverado - Suite A7 Anchorage, Alaska 99502 .I.. i :.' . . . . 2 '. '.11 ! ! -o I P" 1 i 17 - -f,:q Subject: On-site Sewer Inspections This department requests a more detailed report on the inspection reports. See example below. If there are a3 office at 264 Sincerely, Les N. Buchhol Senior Environ LNB/ljw t/V, R, C, efcociljdy r'- (MUNICIPALITY OF ANCHORAGE a w& DEPARTMENT OF HEALTH & ENVIRONMENTAL PIIOTF.CTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street AnclwraEq - Alaska 09501 Telephone 264.4720 - - ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME --- ----_ __ ✓-Lr-�.r1. _... __._ . _.. _...._. Z q -S - 65.17 ❑ UPGRADE fv1A1LIN GADDRESS - --••-• ---_.. -• _._._...___._. LEGAL DESCNIPTIONd__S"-"'"'-'-"--"_' _�••----�•�-------. -_— LOCATION NO. OF•BED3R00MS Wull Abxogrhun Oren Usnrlhn'1 PCHMII NO. U DISTANCE TO: p Q x __ Mmwlxlurcr s-'-" W Q MJtCnal- No. of Cdnl,Jrtnlenl3 1 I V In g011onSImult Ian to IF HOMEMADE: ) Witllh LigmJtlepth b s[ Buz DISTANCC TO: WCy Dwelling PEHIdI E NO. --...----_..._._ 0za--- _ ~ Matin rat L.qultl COI ,.n:ilY in µ�IlOnx j DISTANCE TO: Well ,, `` FOuntlabmt Numryt Int hmi PERM(l NO No. Hoes _ 2 W ~ ul Length of ewln line, TOlal Ienglll8f linty T7nnrh wnlN DislJnte howrvn lines -`."�__-__. a I- O Toil ul lite Iii linish gra0o�'•+_____ .�L, -_inches a'Q. MatenJl l�,u.lh lino ToCul eltecuw sogiiina area E 5 — neheS or LCrOPh Witllh Cllth D('Eli Mll ), mQHM1 Tvtlo OI Crlb Gih tliNnclCf Dnh •' ••.--N[ Oe ti olJellechO+JnO- ti DISTANCE TO: Well .. _- 6niltlinq IotoMalion Wiliest Ins line ---_— __.— J CIJ:a D01301 Dnller Uysonco tp lot Sinn PERMIT NO. W- .._ __._.�_. _� _• Sewer lion ---__—__ ..._... SCI)hC IaeE _ _ Absorption emalsl DISTANCE TO: ••___... _—_. ueiltlinq Inuurlatiorl OTHER I �I PII'F MATEli f, ----- ��•- --'-'— - SOILTEST HATING 8 - —t-- -�---- -- INSTALLf.R 1 C_ -'r $� Y- In- -.... ....i-...�_...1.__�_... .. _". ..._ .•..--___ __ . REMARKS � •I . '..�.'�' •r :-- rte. • <'• : _..._ �. •6S-1F.�..j' y� I (— (.'�Lr♦• ♦ •uN ♦ic •.� vin - - - ... _ _ - __ - - t�- - !'7 LEGAL AI'PR l GATE 04, F 46-1-1-461 FlF�� f• -r k.: I=u G F. DEPARTMENT HEALTH AND ENVIRONME4!NTAL .ROTECTION 825 'L' STREET, ANCHORAGE, AK. 99504, 264-4720 !•1EL_L_ I -'1r•! ur•J—_.I-FE-.- f3fot!E-=kms•: F'E=FTV11 T' PERMIT NO. f 011011 ) "PLICAN7 SCOTT LAIRD 8620 JADE ST. ?. )CATION 43-5547 EGAt_ LOT 1 KARIANNE S/D LOT SIZE 54400 SQUARE FEET &E OF SOIL ABSORPTION SYSTEM IS: TRENCH 3XIMUM NUMBER. OF BEDROOMS = 3 SOIL RATING CSQ FTIOR)" 85 1E REQUIRED SIZE OF TIME SOIL ABSORPTION SYSTEM IS: F.Er,lmZji'F-fr= r L3Fz`(-i%- E= L_ L�L'F 74 -1: -- THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT 15 THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIF! FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL. DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN! THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION {IN F•EETX :Ci'tilJi x F?F=4�+ �ICE� -F I C -r n- r,lK. I: ?f`= 2.10 CEO 17J f F IL_L_ C)I'A ERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE 4STAI_LATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE JMBER OF RESIDENCES THAT THE; WELL WILL SERVE. --- 104CA C .^' :1 I P4 to F" E7 CTI- I CtiVAi3 pfF?F IRE=- 0 L-1 R 1--.'_F_I1 TCKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION! AND APPROVAL BY THIS — EPARTMENT WILL BE SUBJECT TO PROSECUTION. ENIMUM DISTANCE BETWEEN A WELL AND ANY ON• -SITE SEWAGE DISPOSAL SYSTEM IS 30 FEET FOR A PRIVATE WELL OR 1.50 TO 200 FEET FROM A PUBLIC WELL DEPENDING °ON! THE TYPE OF PUBLIC WELL. ENIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND ) A COMMUNITY SEWER LINE IS 70 FEET. :L.L LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS - THE WELL COMPLETION. FHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE JAILABLE TO INSURE PROPER INSTALLATION. F I EE F I tI Z -F I^ }^. F" J F c f-= S F E C F'r�11[� � FZ � L AL nA ED n - CERTIFY THAT I AM FAMILIAR WITH THE RE=QUIREMENTS FOR ON-SITE SEWERS AND HELLS AS SET )RTH BY THE MUNICIPALITY OF ANCHORAGE. I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE ESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. D I GNED : - 6 ----------- - G APPLICANT SCOTT LAIRD SSUED E3Y4-4--zewiIz-C/-------------- ._- V4. 0 V SOILS LOG MUNICIPALITY OFANCHORAGE • �; DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 1"O PERCOLATION 825 L. Street, Anchorage, Alaska 89501 204-4720 TEST SOILS LOG - PERCOLATION TEST PERFORMED FOR: �� A L i� I t'�PI DATE PERFORMEO: •57: I LEGAL DESCRI f 1C 11 12 13 14 16 16 17 18 19 20 PERFORMED 72008 (6/79( V/V\ ML G AA ...�' f i• r WAS GROUND WATER ENCOUNTERED? iV p IF YES, AT WHAT DEPTH? PLAN nm Imolmom MMIN �MENNENMMM riN■iii�i� Reading Date Gress Net Depth to Net Time Time Water Drop 1-1�••3l .77' O 7' wSer. .Q d 77' SU�r� C'7 0 ' l 7' O..O � s r, ee 7' _ _ 0.. 1' it e n 0 t PER ATI N RATE " J . s/in0j) Z'-" TEST RUN BETWEEN FT AND <— I FT rj CERTIFIEDBY:_ /Pi ee(d DATE: I/"- /6-e ,py �'cl� i ann 1-{•e�l�•{s �I WELL LOG Date Drilled: /6— 3 - 87 Static Water Level 70 feet Draw Down feet Type Material Drilled: 0 feet to MUNICIPALITY OF ANCHORAGE DEPT. OF H::,LF;i d ENVIRONMENTAL rdC.TLCIION OR 2 2 1991 RECEIVED Gallons Per Minute " 8" Total Feet of Casing" 1 —35 > o roc,, -- _ ,C tooYY1 Pa17�N to /3S SGn t0 to �45� `rya ac�• Certificate of On -Site Systems Approval Parcel I.D. 017-091-98 1. GENERAL INFORMATION Complete legal description KARIANNE HEIGHTS LOT 1A Expiration Date: I V o d � q 11 'A' 0A �, I Location (site address) 14701 PRATOR STREET ANCHORAGE AK 99516 Current property owner(s) DANIEL & JUDITH MOOSE Day phone Mailing address Real estate agent 14701 PRATOR STREET ANCHORAGE AK 99516 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ 'Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. Date: COSA Fee $ 5 5 d Waiver Fee $ Date of Payment p a Date of Payment Receipt Number. / 0 9 % rJ Receipt Number COSA # 0 .S G 1 __� g Waiver # 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY ANCHORAGE AK 99516 Engineer's Printed Name CURTIS HUFFMAN PE Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. 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 in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. 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, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FtaC 5 . 6. DSD SIGNATURE System #1 Approved for 3 System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms Date 8/18/2021 bedrooms, with the following stipulations: OF �A*Z It,,, Q �G Or4- �- � RAND Z z a W PS.�'-y,, PT J�"9 TSE By: Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory _ Arsenic Advisory Well Flow Advisory Other ToA Gig- a;W. SarH X COSA Checklist Legal Description: KARIANNE HEIGHTS LOT 1A Parcel ID: 017-091-98 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 10/31/1981 Total depth 135 ft Cased to 135 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 12+ in. Date of flow test for COSA 8/10/2021 Static water level at beginning of test 80 ft. Well production at time of test 2.1 gpm Water storage tank volume NA gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date of Sample 8/10/2021 Comments __________________________________________________________________________________ B. TANK DATA Age of tank(s) 25 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 48” Standpipes/foundation cleanout per record drawing Date of pumping 8/10/21 C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 8/7/1981 ALL standpipes present per record drawing Total measured depth from grade *9.1 ft (max) Measured depth to pipe invert from grade *4.9 ft (min) N/A – pressurized field Monitor tubes go to bottom of effective. If not, state depth into effective **2.5’ of 5’ ED Code-required soil cover over field System presoaked (Required if vacant for greater than 30 days prior to date of test) Gallons introduced 2000 gallons Adequacy test date 8/17/21 Results Pass For 3 bedrooms Fluid depth prior to test 7 in Water added 500 gal New depth 23 in Elapsed time 1260 min Final fluid depth 3 in Absorption rate 450+ gpd Any rejuvenation treatment (past 12 months) N If yes, enter date Comments/Deficiencies: Tested 1996 field first = 300 GPD absorption rate & near / at capacity. *MEASURED DEPTH AT GRADE OF THE MT & TANK DCO INVERT. THE MT GRADE IS AT A HIGHER ELVATION THAN THE DCO INVERT. ELEVATIONS WERE TAKEN & SHOWED THE DCO INVERT TO BE 2.69' HIGHER THAN THE BOTTOM OF THE MT. ASSUME **2.5' ED TO ACCOUNT FOR RUN FROM DCO TO ORIGINAL FIELD. E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100’ Yes if No ft Neighboring Tank > 100’ Yes if No ft Absorption Field on Lot > 100’ Yes if No ft Neighboring Absorption Fields > 100’ Yes if No ft Community Sewer Main > 75’ Yes if No ft Community Sewer Manhole/Cleanout > 100’ Yes if No ft Private Sewer/Septic Line > 25’ Yes if No ft Holding Tank > 100’ Yes if No ft Animal Containment > 50’ Yes if No ft Manure/Animal Excreta Storage > 100’ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Property Line > 5’ Yes if No ft Absorption Field > 5’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10’ Yes if No ft Property Line > 10’ Yes if No ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No ft If absorption field is under driveway comment below Wells on Adjacent Lots: Private Wells > 100’ Yes if No ft Community Wells > 200’ Yes if No F. ENGINEER’S COMMENTS 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 COSA guidelines in effect on this date. 8/18/2021 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 907‐343‐7904 On‐Site Water and Wastewater Section Fax: 343‐7997 www.muni.org/onsite Mailing Address: P. O. Box 196650 * Anchorage, Alaska 99519‐6650 * www.muni.org Septic Tank Advisory Certificate of On‐Site Systems Approval # OSC211498 Subdivision: Karianne Heights Lot: 1A The septic tank for this property is 25 years old. The average life for a steel septic tank is 20 years. Typical replacement costs range from $7,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On‐Site Systems Approval. This is an example of what the metal of a 30 year old steel tank MAY look like. Municipality of Anchorage Development Services Department ° T44-4-% Building Safety Division •' On -Site Water & Wastewater Program ttt�(,`Oi 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. nig-MI-CIS HAA# 05btV j 1. GENERAL INFORMATION Expiration Dater [9 — 0 AC Complete legal description KARIANNE HEIGHTS SUBDIVISION: LOT to Location (site address or directions) 14701 PRATOR ST. • ANCHORAGE. AK 99516 Current Property owner(s) ROBERT do MARGARET RUSSELL Day phone 265-5723 Mailing address 14701 PRATOR ST. • ANCHORAGE AK 99516 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 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an Independent professional civil engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water 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 ofhow 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. S. DSD SIGNATURE �G Approved for _�3 bedrooms. Disapproved. Phone 337-6179 Date )I/ II /oS Conditional approval for bedrooms, with the following stipulations: tt W(Wiltt, ,tett: 1.1 OF q�j WNICUM LIQ ��• oRf1GRAM Attachments: JJ��J�(o• • ' • ••'too HAA Checklist l� Maintenance Agreements �iiq • • �� 111111 Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: Original Certificate Date: I I 16-0-5- (R". n-0S(R". 79M1( .. Municipality of Anchorage Development Services Department 7 Bulklhp Safety Division On.Ske Water 6 Wastewater Program • , ° 4700 South Brsgaw SL P.O. Box 196850 Anchorage, AK 995198850 www.d.androrege.akus (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: _ KARIIWNE HEIGHTS SUBDIVISION, LOT IA. pared ID: 0 17- d 4 (' ci$ A. WELL DATA Well IV" MATE If X 8, or C provide PWSID# N/A Date completed 10/31/1981 Sanitary Seel (y/N) YES Total depth 135 R. Cased to 135 R. FROM WELL L.00 Date of test 10/31/1981 Static water level 70 R. Well production 8 G.P.M. WATER SAMPLE RESULTS: Colitom colonies/100 ml. Nitrate o' I mgJL. Well Log (Y/N) Y Wires Property Protected (YM) YES Casing height (above ground) 17 k1. AT INSPECTION 10/5/2005 79 R, 1.24 9— p.m- Other bacteria -A—Lcolonies/100 ml. Arsenic: N/A mgJL. Date of sample: 10/5/2005 Collected by: GEG. LtD. B. SEPTIC/HOLDING TANK DATA Tank TYPe/Matedel STEEL Date installed 5/8/1996 Tank size 1000 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation deanlout (Y/N) YES Depression over tank (YM) NO High water alarm (Y/N) N/A Date of pumping 10/5/2005 pumper MCDONALDS PUMPING Date installed 6/0/199s Soo rating .p.d lt%dmn) .8 System We DEEP TRENCH Length 2030 ft. Width 5 R. Gravel below pipe 5 R. 10.5/ Total depth 10.1 R. Eft. absorption area 600 ft' Monitoring tube YES Depression over field NO Date of adequacy test 10/7/2005 4Results (Pass/Fal) PASS For 3 bedroom ms � Fluid depth h absorption Held before test 3 h. Water added 500 get. New depth �55�4 h. Elapsed Time: 189 min. Final fluid depMVL!25in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN 6 type) NONE KNOWN If yes, give date - D. uFT STATION Date installed Size in gallons 'Pump on' level at _Jn. E. SEPARATION DISTANCES High water alarm level at in. Cycles tested Meets alarm & circuit requirements?. SEPARATION DISTANCES FROM WE N LOT TO: Septic tanknift station on lot I toff On adjacent kits 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sower /septic service line Holding tank N/A SEPARATION DISTANCES FROM SEPTICIHOLDINO TANK ON LOT TO: Building foundation 5'+ Property line 10'+ Absorption field 50+ Water main N/A Water service One 10'+ Surface water 1001+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingNehide storage 50'+ Curtain Grain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 0. ENGINEER'S CERTIFICATION �.kx 1:.. 1 campy that I have determined through Held inspections and `cl !'� •* review of Munidpal records that the above systems ere in cmlbrmanca wHb MOA HAA guidelines in eNed on this date. Engineer's Printed Name JEFFREY A GARNESS Date till, Jox- HAA Fee S (AV Date of Payment \k- \,\-K Receipt Number (Rev. W"), Waiver Fee $ Date of Payment Receipt Number KARIANNE 2001-114 HEIGHTS LOT 1 A 65.333 S.F. S RQ°5R!•{R•ir ora ore SUBDIVISION n W O O Z 10' T. & E. & UT1L ESMT. I �I WI .J �I 1i I • WI • 43 SEPTIC SYSTEM SHED I • 1 I WPo E A. C. • 1 1 I yA.S• EXISTING 1 BUILDING (SEE DETAL) 1 I i wm i E I I I I 131.0• 1 I I I I I a " I I r� i I-10' X 30' ELEC. I I I UTTL ESMT. .00- GASTALDI LAND SURVEYING, LLC JEFF A. GASTALDI. R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE. ALASKA 99502 PHONE 248-5454 1 GRID 3039 11ATE 1/10/2005 I F.B. 00-15 I JOB N0. KHS1A a O FERNWOOD AVENUE BUILDING DETAIL SCALE: 1"-20' J big cm, I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. R IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE: NO CORNERS SET THIS DATE 1 11=40' OF 44 AV ■ Tt : 49LH ': * ♦ 0...... ..............■ ♦ . Jeffery A. G°sl°Idi : c ♦% : i ♦"g • LS-6091�� • r°je»lonol foo 'd6 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 Parcel l.D.# 017-0 el -G3 --:'HAA#-i1A 960111 1. 'GENERAL INFORMATION Complete legal description Lot 1; Kari6nna+Heiahts%i+(:+15 Location (site address or directions) 14701 Prator Street Mli�1 Anchorage, AK Property. owner Scott Laird Day phone Malling address:" 2342�s91clnuaget Drive Battlenround, WA gnrna Lending agency Day phone ,. r . 1 •x: i Malting address Agent =- "'earbsra Baud n/ ERA Professional Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. `' NUMBER OF BEDROOMS: "" ° 3 1( - '3. • TYPE OF WATER SUPPLY:..... -•.........:._..........:.............. ..... . Individual well •-• • )= Community well -- 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 ev 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 (Ftw. 1/91( F'Ont MOA 821 S. STATEMENT,OF INSPECTION BY ENGINEER'_ '. •: ""'s t. s. w..', " �i 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. If u rther verify that based on the informatlon obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-slte water supply and/or wastewater disposal system Is in compliance with all Municipal and State codes, ordinances, and regulations In effect on the data of this inspection.': Name of Firm S d S ENGINEERING Phone • G9 `f �9 7 `I eg a River Loop Road No. 204 _ Address Eagle River, Alaska 99577 Engineer's signature Date 6. DHHS. SIGNATURE :.:.?.,• .__ w . _.. --X— Approved for,.. ,.......... _... ...._..+tit,:_,•`=-``;.�,',�;:' . .bedrooms. Z� Disapproved. Conditional approval for Additional Comments Ely: , bedrooms, with the following stipulations: Date !F4 :., - 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 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. 72aa(M+.wl) Beet MOAe71 S& nG May 13, 1996 ROBERT C. COWAN. P.E. ROBERTA. SHAFER, P.E. CIVIL ENGINEERS (907)694.2979 FAX(907)694.1211 RECEIVED IEALTHALITHORTY APPROVALS MUNICIPALITY OF ANCHORAGE MAY 141996 Department of Health and Human Services P.O. Box 196650 Municipality of Anchorage Dept. Health & Human Services Anchorage, AK 99519 sEwERawATT:n MAMEXTENSIONS REFERENCE: Lot 1; Karianne Heights Subdivision iEWERSWATER A Conditional Health Authority Approval (HAA) was issued on 4/18/96 NSPECCON for the referenced property. All work required for the Conditional HAA has been completed. Please issue a full Health Authority Approval at this time. _NGINEERWG STLIDIES ANDIIEPonn If you require additional information, please contact us. sincerely, YELLINSPECTION LPLOVVTEST / •, /Z Robert C. Cowan, P.E. UTE PLANS RCC/gk IDADDP.SIGN XXTEST 'ERCOIATION EST RRUCTU AL& AECHANw'AL `RPECTIONS 7NSITE YASTEWATER ISP(SALSYSTEM KSIGN 17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER. ALASKA 99577 MUNICIPALITY OFANCHORAGE ' 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 Parcel l.D.q C17-onI —63 HAA q 'n\��11 • L � t \ 1. GENERAL INFORMATION Complete legal description Lot 1: Kaua7tr o Ifu.ght6 Location (site address or directions) 14701 pi taa Property owner Scott S Pat La Ad Day phone 345-2546 Mailing address 14701 Avalon Avenue, Anch04a : AK 99516 Lending agency Mailing address. Day phone Agent- Bowden/ ERABowdenlERA P`o��e3aLondt Real E4�tRea. Ea�teOay phone Address _33sa orn et...* .•,1T,.ti,,,., . .v Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well 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 Holding tank Community on-site Public sewer NOTE: It community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025(A".1/9n r,OM MOAI21 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. 5 d 5 ENGINEERING Name of Firm Loopa. g04_ Phone E cl y' q�/ Address Eagle Rlv'r, Afaska 99577„ Engineer's signature _74- 'f L. Qtw-- Date 3 3 1 q ( S10r1c- Sysrtm T 0 rt V)1L..A01.1) ),y TVA•E /6, /99 G AS A- GJe 0, /)on. or rN, f Al EAt raj 'u T/f".4 i, -y 4,0P.0•V'AL• p.�.. •i'. 7...y. - Ito- ERT C. CO•N.AN • •) 6. DHHS SIGNATURE rl�'c y Ce•c�01 ;.' Approved for bedrooms. By: Disapproved. _X Conditional approval for bedrooms, with the following stipulations: MONEY 110 ED Pur )N Pledew r0 &'eoriettirej rNr Agoy frn?Ey CoND)rION PGRfuAmr i0 PFRH)r Numseg Stvg4oar/ NY .00 )area rue • ne ).f /996 MU,vfY ),V W)tow Split[ Nor OE get rarfy VAIM f/A.0 9PPRCygL NAf Oeew Additional Comments -61VEN 8Y rHU Orryr, 0000000 NUTIr Date d —19—q6 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 order to satisfy certain federal and state requirements. Em ployees 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. 72425IRw.w1) e.n MOA121 NUNICIPALI I Y Lir tiN..rr j k2t ENVIRONMENTAL SERVICES DIVISION Municipality of Anchorage AI'Ft 1996 DEPARTMENT OF HEALTH & HUMAN SERVICES l Environmental Services Division 825" V Street, Room 502 • Anchorage, Alaska 99501 • (907) 34AWT] VED 44 Health Authority Approval Checklist Legal Description: ).or / IcoAlANNE f/LT J Parcel I.D.: 01 7 — 0 0)/ — G -T A. WELL DATA Well type N OV 4 7 C. If A. B. or C. attach ADEC letter. ADEC water sysicat number Log present (0/N) YE._S Dale completed /0 13 / S / Total depth ) 3 S Cased to / 3 S" Casing height (above ground) 4 r v Sanitary seal(VN) YE J FROM WELL LOG Date of test /e / 3/ is / Static water level 70 1 Well production Is g.p.m. WATER SAMPLE RESULTS: Coliform o Nitrate 0'/ Wires properly protected (ON) YL S ATINSPECTION 3%s/4G g C/ e .2 • 7 g.p.in. Other bacteria O / S 8 S ENGINEERING Date of s uuplc: 3 1 #1 I % G Collected by: ,.._ j7934Xe((t"Ivac.L00pRo4d gp f— B. SEPfIClIIOLDINGTANK DATA Eagle River, Alaska 99377 Date installed Sc r7 /S/ Tank sivc /000 NumbcrofCotnpartmcnts :2 Clcnnouts®/N) Yt_t Foundation cleanout (YA& 00 Depression (YIS Ir 0 High water alarm (YAD) t,10 DnteorPumping 311 /1(1 Putnper AwcM'RAcL cftsisrr p.nP�rG�( C. -ABSORPTION FIELD DATA Date installed 01 IV Soil rating (g.p.dJll' or Eliim q S System type TAGc.H Length d- 01 Width Y Gravel thickness below pipe S Total depth 10 s 04,G)Effective absorption arca —a'10fl Monitoring Tube present((!�/N) Yt i' Depression over field (Y& N 0 Dalc oradeAnaey test 3/0 -AG Results (Pass/Fill) r-411- For 3 bedrooms Fluid depth in absorption field before test (in.); Fluid depth (ins.) M Immediately Absorption rate a _ g.p.d. (past 12 Irtonths) (YIN) If yes, give date SognntN ldpoo11 watuAm )o oleo g D3� �3n! eM oop'7lAceeq :SSO S6/8 'AZU LoG 7J/7//-/ 33qumN 1dpovd / )11atuAt;d)oo1L0 S o3J VVII y �a 4 OUIUN s,SrSufJu3 .... �a 3?9ati��I44xu.. v�oJ J v3 Po t ......... ». i amlenllg t PP; �J'•., , t� f� .0 ,a7np sly Lo /oaffa u� I�VI 1 V )/N ynit Pouvill-440o ill a.ro sA►uis.+7�In Nr/�iRAJaa IU /JJfUII%YJO AWfAaJ puU lUOJJJa[iCUJ p(aJ%uayl r3lffllGa)3J) aAU!/ I Jvl(J �flJaaJ f N0I1VOI3 IN30 S61133NIDN3 •3 � a•�d�U wit+teSNl IA/.[/i y1J x Dull XImdatd ..p 01 00 / slol lumurpt+, Ito sINM .�•+o v 7000 u. mL1m0 WIM oclLiols opnpA/`dul>lied '6Lmonpa f„ 0 o / . �31em D3LpnS -F/ 0.9 .SC Dill[ 33[A33s/inemSDleM trap no!lepun0j2u[pling :O.L,LO'I NO O'1313 NOLI.d110SSV W011d 30NVJSIO NOLLV11Vd3S jp. o o / slot 1U33L fpe UO 91I3M d 1,o/ o1Luluippolm o3L,pnS f S C om[ ootAl3s�ltrut 331LA1 i t S P. IOU aopdiosgV t o/ 3u![ (13odad d S 1 uo!lepnno[ 1u[p[tng ' :OL LO1N0 ANVLONIOIOH `:JS W011dS30NV.S10 NOLLVWVd3S • �'�, an/J InjoyU ++aM yo -Aoef g nq rr3*•VC17y 7U OLbl K N uottLis U!7 i g Du!I wimas opd3s/ iom3S b�N lnoue3lop[oquctu tomos olignd N lnttut JOWS 3llgnd i slot p133efpL u0 : P o to! uo p[3U uondlosgV pool 00% slot lttoorfpe u0 : £ b lot Ito IIuc11u!p[oq t ' '01.3 LCrl N0713M W0113 S33NVMCI N0LLV11Vd3S .It,. I3n3I Uo dmud,. suopLl u[ DzIS ,yo dulnd„ 930NV.LS1(I NOLLV11Vd3S '3 �p31s31 s31340 OU pA31 UIJUJ MM 111111 (N/A) ss333V/3lotptew p311elsu! OIL(] NOI.LV.LS.I.d1'l •a March 29, 1996 ROB ERT C. COWAN, P.E. ROBERT A. SHAFER, P.E. CIVILENGINEERS (907)694.2979 FAX(907)694.1211 "PPROVA nM0`"r �PRovAtis MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 Anchorage, AK. 99519 SEWER & WATER wuNExTENSIONS REFERENCE: Lot 1, Karianne Heights SID Request you issue a permit to upgrade the septic system SEWER&WATER serving the existing three bedroom house on the referenced INSPECTION property, A1IF0 N11,111-117'C.ONON 71ONAl Nf4�t•N RN/yNOA/Ty 010041v4&. d&,T7/L tyf)4.n T• 44L vPC.140EJ by .7 VNC /6//4 y6. T'HIA.E A4t. wO M94170 4A cN..•41r.( ' ,Ly LA4l: VOSSAv40Asv ON 41 9v,LC4c•w6 dorA. e` r. A test hole was excavated and percolation test performed. The approximate location of the test hole is located on the ENGINEERING STVDIES attached site plan. ANDREPORTS At the time of excavation no water was encountered and after seven day ground water monitoring, the monitoring tube was found to be dry. WELLWSPECTION & FLOW TEST Attached is the proposed upgrade design. We do not anticipate any adverse effects on neighboring ,ITEP,ANS wells, septic systems or drainage patterns by the installation of the proposed septic system. There are no protective well radii which encroach upon the ROADDESIGN proposed Septic system. If you require additional information, please contact us. SOIL TEST $1)a12'4, 'Robert C. Cowan, P.E. RCC/gk PERCOLATION TEST Enclosure STRUCTURAL& AECIVHICAL INSPECTIONS ONSITE WASTEWATER DSPOSALS`rSTEII DESIGN 17034 NORTH EAGLE RIVER LOOP • SUITE 204 • EAGLE RNER. ALASKA 99577 5D, SITE ?LA.?d I DESIGN x/1, �j„\� BOLE :EvOn-Z1mZ-�i O�mO I En N V1— "-3 LnO v ! I Rj :EvOn-Z1mZ-�i O�mO G^�" C'��t7YGA nln I� OSTM Z I rr H •-1 o ^i1 o c a tEm mtn .0.,=„Z a N f1,... 'rAxIn ' N-.r..IKmZ oon y n mz0 �• CC. v.a ��A S iA s m,`--, � w'.A.( K "o -V-o rm y �N rC,�7nA Z r o tom � o=z � O am ' 2am N G x *U (A n'A O o y m ;0;,j = n Z ZG ti A Z N I En N V1— "-3 LnO v ! I Rj 00 tti I� OSTM Z I C) C7 � i0 n O (A 4 A rl --q I� a N D I 1 I� I• y r o PRi.T0R A VE, 10'-ELEC. UTIL. ESWT. IN En N V1— "-3 LnO v E/) 00 tti 11 O II OSTM Z 00a CA C) C7 Wnfil O UO\ co n O (A 4 A rl --q � a N D I 1 M D y r o � N y m PRi.T0R A VE, 10'-ELEC. UTIL. ESWT. IN :7 LnO v E/) 00 I -1 11 O II 00a CA i Wnfil O UO\ co n O (A 4 A --q 4:q a N D I 1 M D N ti Atm f I �' 0 Z O /n�F. EXISTINC . �Zo ~ s•�� i'i 3 DDf:ld Tc1 HOUSE >V DECK o 5 L ASI O8A o� �i r- 0 N HE 0 M�o c f r, i �S 8Lzo n 0 I 1 Z N 5 L ASI O8A o� �i r- 0 N HE 0 , f /cw iLc1 uf.Cl W Loo I, K�,ecnh�Ne lli, fi. HIM`,I{L+, $ rtA a@fix i•':. :; r. i; �jFaux a5titi7 i -��—' � .�.-�' �Jl'A f•i� .:.% Jp".�:.: t::'tr.. p�7 P4. Wy f' �• I.XI51/N/r ; _$Z ';7.5' _5/U•S' .lii:l�r+' i•1.`+4. 73' f�.s _MT116r sh:F_.._. 6, S' i M` D c.; SI (y't I t f 7-A,4//c Atvp3 r, ;v gr,' r t?AM tx,4� tc, MUNICIPALITY OFANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES On-Slte Services Transmittal Sheet TO: r&6 awAN LEGAL: LT (1 KF}RIANNr S 6 S Ft4QFl#4r-r-i1Nfr The attached paperwork has been reviewed and is being returned for the following reason(s): Discrepancy in legal description and/or owner name. Discrepancy in number of bedrooms. Signature and/or stamp missing on Show measured distances to sewers/wells, curtain drains and streams within 200 feet of proposed system .-9s� N`a;HTo> Replacement disposal site not shown and/or tested. puposro ti -17&". Calculation error in design. Show locations of all soils, percolation or water table tests. Proposed system too deep for soil test submitted. Topographic information missing or inadequate. Narrative missing or inadequate. Additional soil/pert test needed. Sand filter requirements not satisfied. Water monitoring results missing or inadequate because _G1'iECL, F12ST C/. Ty TRnIK WAS TNI$ P'Qmpeo IZEcB�+T�)/(3•��96) Incomplete; missing Well log required. Water sample unacceptable becaus Y Other __SRSW P.o c FdZ SEPTIC.TAm Loc+71oNi Oi t`FIILAA J06' C>=?AaA-7(oni 1 s We SEPTiC TANK /^.. CUT) -r SMAT 42 UN O Ai CF+r=cr- C4e45-:,/' Please supply the necessary information and re -submit your request. YO r coopslation is appreciated. Reviewe Date 'i-12-96 LEAVE THIS FORM ATTACHED TO PAPERWORK /203 -rev. 9/93 r r C, •1 Time, • Time .1e Date Date Date �— .41 Inspector Inspector Inspector Comments Conditional Approval o.. Date Sewer Installed Permit No. Septic Tank Size Holding Tank Size Soils Rating Well To Absorption Area Well Log Received Wall to Tank APPLICANT FILLS OUT LOWER HALF ONLY Property owner K�/ N .0Melling Phone ,,, Address,/ f� /G�� v" �j4X d,'%% Buyer Address S Lending Institution. Phone Address r , Really Co. d Agent ' Phone Address _ Legal Description .SP i•�� I /I Street Location t v'� S ti Typo of Rosldenco 3 *Single Family ' 'CIMultiplo Family No. of Bodrooms 0 Other Water Supply - >C Individual -ATTACH WELL LOG. A wall log Is required for all wells drilled since Juno 0 Communityy 1875. For wells drilled prior to that date, give wall depth (attach log If 0 Public Utlilr available. Sowspa Disposal A Individual Year Individual Installed: 0 Public Utility When Connected to Public Utility* — 0 Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ;lnnunry A, 19n.1 :'tnhert I'. 7fiurlhn ^1� 11r, J.t.nn n Anrhorn•tn, n" ^ul,'tnr.t: in l: 1, rar.innne rle!inhtn Annrovn.l. for the individual raewer end wntnr tncilitter, cnnnni: he 'rrrult:r.•1 until thn f:010"09 iterss hnve hnnn connlntet: ° N +icl.l. l.ng nuhrlittctl to this of:f-lcn folr our files and review. ^!In :rntnr. rutnl.vtlin renor•t nnorlc, to hn zuhrli.tl:nA t:n i:hirl MEMO f:ron thn C.hnn Lnh, 5633 n nt:rnnt„ for Our review. ° "Mio atnnApipo to the ne"nr nystem Ilnerl cnno on them. nlen!lo notify t:hir. •la»flr.t:nnnt for n reinsnrlcztfoil whe!7 Che ng1:r 1 At3crnn,?nri.^7 IMVfI hnnn correcett?(1. U• there nre filly further nuentio'l^r pl.entlr. call. thin nff:ice nt 26n-A72n. Sincrrn.ly, Robert l;. rratt nnrlor.i to Cnvilronrtnntnl. 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