HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 2AEngle River
Valley
Ranchettes
Lot 2A
#050-221-32
J
.. Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program, 4700 Bragaw St
P.O. Box 196650 Anchorage, AK 99519.6650 Pagel of 3
www.d.anchorage.ak.us (907) 343-7904
ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
Permit Number: SW060178 PID Number: 050.221.32
Name:
Craig Nagurint
Wastewater System: []New ® Upgrade
Add e '
n -O -War Eactle River- AK 99577
ABSORPTION FIELD
Phone: Number of Bedrooms:
694-9125
® Deep Trench O SMlow Trem;h O Bed O Mand D GIM:
LEGAL DESCRIPTION
SoWftbng
TOW Depth bonolg al Wade:
1.2 po,Fe
9 Ft.
&ork: Lo: Sued"Won:
Depth b Poe baton ham "net grade:
Gray depth beneath pipe -
2A Eagle River Valley Ranchette
4
5
Ft,
F,
Tomuttep: Range. secko n:
Fe added abp"e ongno grade-
Gravel Length:
0 Ft.
38 Ft.
Well: New Upgrade
G"'"M*M;
Nurbe,oflmee asumcebetweenluas:
3.0 Ft.
1 0 FI
ClasyMsbon (Pn"te. A B. C):
Total Dego:
cased to:
Tay obwrpoon areas:
Ape Mater"
AWWU
FI,
FI
380 Ft'
1 3034 PVC
Wise.
Data Dnaed:
sM6C Water Levy:
Mlaeer.
Dale Mtybd:
Ft.
DL Enterprise
7122/2006
.bld:Awry
Sy ":
Casing Hogs Above Ground:
GPM
FL
FI
TAN
K
SEPARATION DISTANCES
® Septic ❑ Holding ❑ S.T.E.P. ❑ Other.
To
Septic
Absorption
Lin
Holding
utnaprwie
Ma'"dDO1Mer•
apsoly:
From
Tank
Field
Station
Tank
Sewerune
Aneh Tank
1000".
Wen
200+
200+
200+
met":
Narver of C;Wm
ompen
Steel
2
surracewaler
100+
100+
LIFT STATION
La l.,ne
41.4
33.8
&ze:
Manulaauer:
�
Fandal,dn
8.4
22.4
'Pump Qn* WIM at:
INNM or levy at:
Ngn wales"armee
culam don
50+
50+
Pump Make S Moly
Eleannl lrnpealone Womned by:
Rem"b:
BENCH MARK
Lorauon and Desenpuon:
Garage Slab
Avuned Ele"abon:
100.0 FL
Engineer's Stamp
Inspections performed by: PANNONE ENG. SVC, LLC Dates: 1"712112006
2nd 7/2712006
��.���uss♦
•4/ ♦♦♦♦
Development Services Department Approval
...........:
: �•.•' �q♦♦I
II
Conditional Approval" Date:
: 4 q T" `,
.. .............. 0
/
.0
I ;Steven •P.. Pannone ar
l' ' •• ..( r
/q
Reviewed and approved b i `Lie �' pate: 0
0 No. CE 8149 .�
♦♦#D FS l �7a '40
Re" 0406
......410
PERMIT NO:SWD60178 RECORD DRAWING P.I.D. NO: 050.221-32
WASTEWATER DISPOSAL SYSTEM
LOT 2A EAGLE RIVER VALLEY RANCHETTE
ti
EXISTG
EXISTG
AREA DEVELOPED
SEPTIC
SE�C
NO WELLS W/ IN 100 FT
AREA
SE
OF PROPOSED UPGRADE
MAN-0-WAR ROAD
INSTALLED BARRIER TIES///���
a 282 /
ALONG SYSTEM
TO ON
8 - L
EXISTG
PREVENT DRIVING
EEXIS TYPICAL ENTIRE LENGTHNM2
—2 -
PROPOSED UPGRADE SAS
SEPTIC
AREA
IC
S8LF x S ED, 2'•3'W x 9TD
AREA ®224
PROPOSED1DD0g
M2 WA INSTALL FDN C.O.
PTICTANKwI
DOUBLE C.0.5 `L)EXISTG
RETAINING WA3B
41.4a
VUNDER
INSULA
E LINE
RIVEWAY
EXISTG SAS IN FAILURE
3BR HOUSE
ABANDONED IN PLACEC
PER CODE
\ABANOONEI2IN.
WATER SERVICE
EXISTG TANK
LINES TYPICAL
4 — —
— — — ------
PLACE PER CODE'
--•-----•-------
—---•--- --
—•---------•----
/
\ WATER MAIN
/
1
AREA DEV1ED
3D
L
2C
NO WELLS
IN 100 FT
OF PROPO
ED UPGRADE
NOTES: 3) Maintain 10'separation to all NO. BEDROOM: 3
��♦
OF
1) All work shall be performed In lot lines and proposed water PERC. RATE: 3.8 MPI
SOIL RATING: 1.2 gpd/SF
.��,� ♦♦
ectordancewithAMC15.65. lines. (125SFBR)
•
CAV 7CP••• ♦♦♦.
•••••':
2) Materials used shall be M 4) Lots served by Class A water AREA ROD: 375 SF
SAS: DEEP TRENCH, 5' ED
{� i• >} ♦
accordance with those specified In system. No wells within 200' of
SIZE: 38 LF x 3' W, 5' ED, 9' TD
49TM (� ♦
.......... .....�
AMC15.65,WastewaterDisposal. proposed system.
TOTAL AREA: 380 SF
�•.........
TANK SIZE, 1000(3
PREPARED FOR:
PANNONE ENG. SVC, LLC
♦ Steven R. Pannone t
�� ;
P. O. BOX 102954
�j�it); •,_ CE 814
1♦
Craig and Brenda Nagunst
19034 Man O War Rd.
ANCHORAGE, ALASKA 99510
•,.••'��
�y, ��
♦♦♦ �.,\� ��
♦,,,•
Eagle River, AK 99577
227-3522 P, 272-8218 Fax
DATE: 06.15-06
�� ��•
PLAN
SCALE: 1' 50'
PERMIT NO: DRAWING DETAILS P.I.D. NO: 051-063.74
WASTEWATER DISPOSAL SYSTEM
LOT 2A EAGLE RIVER VALLEY RANCHETTES
8
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rn w j
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•
;:PREPARED FOR: PANNONE ENG. SVC, LLC
Steven R.•Pannone ? w
•_
19024 MAN -O -WAR RD. P. O. BOX 102954
C 1q •� CRAIG AND BRENDA NAGUNST ANCHORAGE, ALASKA 99510
���"�,'•'Ei���, .•. '��
it DATE:
EAGLE RIVER, AK 99577 DATE. -35202 P, 2772-8218 Fax
/vt� SCALE: NTS IDETAILS
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
Upgrade
Date Issued: Jun 26, 2006
Expiration Date: Jun 26, 2007
Permit Number: SWO60178 Parcel ID: -050-221-32
Legal Description: EAGLE RIVER VALLEY RANCHETTES LT 2A
Design Engineer: 0062 PANNONE ENGINEERING SERVI( Site Address: 019034 MAN -O -WAR RD
Owner Name: CRAIG NAGUNST Lot Size: 17955 SO. FT.
Owner Address: 19034 MAN O' WAR DRIVE Total Bedrooms: 3 Permit Bedrooms: 3
EAGLE RIVER. AK 99577 -
This permit is for the construction of:
0 Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage
All construction must be in accordance with:
1. The attached approved design.
2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska
Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations ( 18AAC80 ).
3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling
(907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ).
4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather
must be either: A. Open and closed on the same day.
B. Covered, sealed, and heated to prevent freezing.
Received
Issued By( / Date: L 0
Municipality of Anchorage
Development Services Department
Building Safety Division
On -Site Water and Wastewater Program
4700 Bragaw Street
P.O. Box 196650
Anchorage, Alaska 99519-6650
www.muni.org/onsite
(907) 343-7904
ON-SITE SEWER/WELL PERMIT APPLICATION
FOR A SINGLE FAMILY DWELLING
Parcel I.D. f)S0-"� aI- 3�L
C2ArG.
Property owner(s) Mayt 4agunst Day phone 529.9084
Mailing address19034 Man -O -War Drive, Eagle River Zip Code 99577
Site address 19034 Man-O—War drive Zip Code 99577
Legal description (Sub'd., Block & Lot) Lot 2A Eagle River Valley Ranchettes
Legal description (Township, Range & Section)
Lot Size 17,955 Sq. Ft.
THIS APPLICATION IS FOR (® all that apply):
Absorption Field ED
Septic Tank
❑
Holding Tank
❑
Privy
❑
Private Well
❑
Water Storage
❑
Number of Bedrooms
THIS APPLICATION IS AN:
Initial
❑
Upgrade
19
Renewal
❑
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.
Pannone Engineering Services, LLC
(Signature of property owner or authorized agent)
Permit/Rush Fees: / _ D Waiver Fees:
Date of Payment: I 1
q90 0 Date of Payment:
Receipt Number: V I 1 v Receipt Number:
(Rev. 11105)
Pannone Engineering Services, LLC P.O. Box 102954
Consulting Engineers Anchorage, Alaska, 99510
(907) 272-8218 (9071272-8211 Fax
June 16, 2006
Municipality of Anchorage
Development Services Department
On -Site Water & Wastewater Program
4700 S. Bragaw Street
P. O. Box 196650
Anchorage, Alaska 99519
Subject: Lot 2A Eagle River Valley Ranchettes
Septic System Upgrade Permit Request
Gentlemen:
I am writing to request a permit to construct an upgraded septic system be issued for
this property. The proposed systems will serve an existing three-bedroom house. This lot
and the surrounding lots are served by AWWU water system. The class A well is located
greater than 200 feet from the proposed system.
1. Soils. See the attached soils log. Ground water was monitored for seven days
through the end of May. Ground water was not encountered in the test holes nor found
in the monitor tube during the water -monitoring period. Bedrock was not encountered
in the test hole. A percolation test was performed. It is my opinion that the overall soils
appearance of the soils, an application rate of 1.2 gallons/day/square feet should be
used using a conventional treatment system.
2. Trench Design.
a.
Percolation Rate:
1-5 Min Per Inch
b.
Application Rate:
1.2 gpdpsf
c.
Number of Bedrooms:
3
d.
Design Flow:
450 gallons per day
e.
Min. Absorption Area:
375 sf
L
Total depth:
9 feet
g.
Effective Depth:
5 feet
h.
Width:
2-3 feet
i.
Reduction Factor:
0.0
j.
Minimum Length:
37.5 feet
k.
Design Length:
38 feet
1.
Effective Absorption Area:
380sf
m. Septic Tank Size:
1000 gallon.
Page 2 of 2
3. Surface Water: There is no surface water within 100 feet of the proposed system.
The proposed systems will maintain at least 100 feet from all surface water and drainage
ditches.
4. Topography: The average topography in the area of the proposed septic system is
approximately two percent. The west property line has a four -foot retaining wall running
the entire length. A section shows that the effluent will not day -light under this retaining
wall.
The proposed installation will not affect the future development of the surrounding or
existing lots. There are no wells or septic systems within 100 feet of the proposed septic
location. The existing septic tank will be abandoned in place per the code and a new
tank will be installed. The existing drain field will be abandoned in place under the
driveway.
If you have any questions or concerns, please contact me at 227-3522 or 272-8218.
Sincerely,
Steven R. P none, P.E.
Civil Engineer
Attachments:
C:\Work\Letters\2A Eagle River Vally Ranchettes.00Ldoe
PERMIT NO: DESIGN DRAWING
' WASTEWATER DISPOSAL SYSTEM
LOT 2A EAGLE RIVER VALLEY RANCHETTE
EXISTG
SEPTIC
AREA
INSTALL RAILROAD TIES
ALONG SYSTEM
TO PREVENT DRIVING ON
EXISTG TYPICAL ENTIRE LENGTH
SEPTIC
AREA (A)
EXISTG RETAINING WALL
EXISTG SAS IN FAILURE
ABANDONED IN PLACE
PER CODE
AREA DEVELOPED
NO WELLS W/ IN 1 D FT
OF PROPOSED UPGRADE
MAN -O -WAR ROAD
P.I.D. NO: 050-221-32
EXISTG
SEPTIC
AREA
2A
.-.I 27'4 EXISTG
_ 3D• I 2%
F2,4 SEPTIC
PROPOSED UPGRADE SAS AREA
38LF x 5' ED, 2'-3'W x 970
76.7
TH PROPOSED C.O.0OOg EPTIDOUBLE
TANK
I I Q INSTALL FDN C.O. DOUBLE C.O.'S
2B
`2M' 5'5 17D INSULA E LINE
—44.2-1 i j 3BR HOUSE
WATER SERVICE
LINES TYPICAL
--------------�--------------
_L.
--•-•---- --� '---•--- - ---------------------
�11"" WATER MAIN
3 D AREA D
NO WELLS LOPED IN 100 FT 2C
OF PROPO ED UPGRADE
NOTES: 3) Maintain 10' separation to all
1) All work shall be performed In lot lines and proposed water
..�P��•OF .
♦ 04
2) Materials used shall be In 4) Lots served by Class A water
CO ♦1 accordance with those specified In system. No wells within 200' of
49 TM _ •a 00 AMC/5.65, Wastewater Disposal. proposed system.
Steven R. Pannone
Floyd and Brenda Nagunst
19034 Man O War Rd.
Eagle River, AK 99577
NO. BEDROOM: 3
PERC. RATE: 3.8 MPI
SOIL RATING: 1.2 gpd/SF
(125 SF/BR)
AREA ROD: 375 SF
SAS: DEEP TRENCH. V ED
SIZE: 38 LF x 3'W. V ED, 9' TO
TOTAL AREA: 380 SF
PANNONE ENG. SVC, LLC
P. O. BOX 102954
ANCHORAGE, ALASKA 99510
227-3522 P. 272-8218 Fax
PLAN
M3W Lv
P•I•D.NO: 051-063.74
PERMIT NO:
DESIGN DRAWING DETAILS
WASTEWATER DISPOSAL SYSTEM
W
•'� �:- �'i
LOT 2A EAGLE RIVER VALLEY RANCHETTES
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FLOYD AND BRENDA NAGUNST
19024 MAN -O -WAR RD.
EAGLE RIVER, AK 99577
W W
Rca
Y
Lq x+3n
O
a��
,no x
NpLVOMfU3
PANNONE ENG. SVC, LLC
P. O. BOX 102954
ANCHORAGE, ALASKA 99510
2273522 P, 272.8218 Fax
DATE: 06-15-06 DETAILS
SOILS LOG - PERCOLATION TEST ♦ ��� O .. 4��•
5�P ,.A' �0�1
PANNONE ENGINEERING SERVICES - %C •.
P.O. BOX 102954 1ro
�...... .... .........1.....�
ANCHORAGE, AK 99510
(907) 272-8218,..........
1� Steven R. Pannone .i
♦�'•.
9
PERFORMED FOR: Floyd and Brenda Nagunst DATE PERFORMED: OS -23-06
•.1t b:
LEGAL DESCRIPTION: Lot 2A Eagle River Valley Ranchette
ItIkIku
TEST HOLE 1 SLOPE
OR Organic Topsoil
1 PoortjGrave Graded 2 A
GP Gravels 8 Cobbles
2 sane sifts
3
4 TH
s
Sand 6 Gravel TEST
6 GPI Little to No Fines HOLE
(sin)7
e
i
9
10 LL= _ _ •�
1, -- --
12 —ij 11 1
13 WAS GROUND WATER SLOPE
11 ENCOUNTERED? No
15 IF YES, AT WHAT TEST HOLE
BOH DEPTH?
16
DEPTH TO WATER AFTER
17 MONITORING? DN
DATE: 06.01.06
18 LEVEL
19
20
PEROLATION RATE 3.8 (minMch) PERC HOLE DIAMETER 6 inches
TEST RUN BETWEEN 4 FT AND 5 FT
COMMENTS: Test hole excavated by Flinestone Test Hole was presoaked before perc test.
PERFORMED BY: Steven R. Pannone P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE
WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST.
CLOCK WATER
READING DATE TIME
NET THE
NET DROP
READING
1
OS -23-O6
O:s7
�
ssla
-
2
a:57
10 MIN
7
�`+b
3
9.57
�
/1N
-
1007
IO MIN
671a
7Ya
1
5
10:07
�—
I1N
-
6
10:17
10 MIN
07A1
IISIa
A-
�' ` MUNICIPALITY OF ANCHORAGE
\I DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
rr
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street . Anchorage, Alaska 99501 Telephone 2644720
ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
PHONE
❑ NEW
�-
L�J�'e-;.L-P4PGRADE
MAILING ADDRESS
8t. M a
LEGAL DESCRIPTION
LOCATION-
NO. OF BEDROO 3
i
Well I
Absorption area
Dwelling
PERMIT NO.
O
DISTANCE T0:
�...
a 2
W f
ManufacturerMaterial
.._i G
No, of compartments
Liq, apacity in gallons
IF HOMEMADE:
Inside length
Width
Liquid depth
�
t7
d2
DISTANCE TO:
Well
Dwelling
PERMIT NO.
_? FQ-
_
Manufacturer
Material
Liquid capacity in gallons
Well1
Foundai 7
Nearest lot lire
PEHMLT NO.
=
DISTANCE TO:
71. .}.
O N
Z
No. of lines
Length of ea h line
Total length of fines
Trench wi
%C=>
Distance betwery .s
W
1
7-
Z
Inches
f
Top of the to finish grade I
Material beneath tile/� II
Total effective absorsli�nn area
Y��
Is+inches
3��
Length
Width
Depth
PERMIT NO.
w
Q H
Type of crib
Crib diameter \
Crib depth
Total effective absorption area
d tT
W
i;
IJ
Well
�ilding foundation
Nearest lot line
DISTANCE TO:
J
Classenth
Driller
Distance to lot line
PERMIT NO.
J
W
i
I DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area(s)
OTHER
r
PIPE MATERIALS
Q L P•`J�0 3 FB tD
.
SOIL TEST RATING
INSTALLER
zx-C-.
REMARKS
j
2 o t3f1-.ire.
u
N
°t47 om
�-
—
9
�1
t
c� A. J a 4 �•••••'..
�'•—k0Td
F. u�� r •ted
4�•''
1
�1 �FESSIOyP�' �AW
APPROVED a C. El DATEZEGAL
SP,[Z '196
72-013 (Rev. 31781
I
' 0 U M I C I PAL_ I TY OF ANCF IC]FZAFSE
DEPARTMENT•OF HEALTH AND ENVIRONMENTAL PROTECTION
825 L STREET, ANCHORAGE, AK 99501
264-4720
oN—S I TE 13 FEE WF=Fes F-JF-EF;:M I TCCcpACQ4P�)
PERMIT NO: 850574
DATE ISSUED: 09/09/8f 5
APPLICANT: JACK COLWELL
ADDRESS: % S&S ENGINEERING
EAGLE RIVER, AY. 99577
CONTACT PHONE: 694-2979
LEGAL DESCRIP: SUBDIVISION: E.R. VALLEY RANCHETT LOT: 2A BLOCK: NA
SECTION: 7 TOWNSHIP: 14N. RANGE: 1W
LOT SIZE: 17689 (SG.FT. OR ACRES)
MAX BEDROOMS: 1
Listed below are the options available to you in designing your septic
system. Choose the option that best -fits your site.
** TANK MUST HAVE AT'LEAST TWO COMPARTMENTS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - -
I certify that:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3. I will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid for a maximum of 1 bedrooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IPJ AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL RK MUST BE ff
NE BY A LICENSED ELECTRICIAN.
SIGNED// ^ a - ---------
-----_- DATE: -- ---LQ- 6__
APPLICANT:JF)tGF; LWELL n
ISSUED BY U DATE: —1 --?L5
TFzENCH
131zI>
FIC A I N
DEPTH TO PIPE BOTTOM (FT.)
4.0
4.0
4.0
GRAVEL DEPTH (FT.)
8.0
0.5
3.5
TOTAL DEPTH (FT.)
12.0
4.5
7.5
GRAVEL WIDTH (FT.)
2.5
13.0
5.0
GRAVEL LENGTH (FT.)
15.0
25.0
25.0
GRAVEL VOLUME (CU.YDS.)
11.9
12.1
18.6
TANK SIZE (GALS) 1
19000.0 **
1,000.0
1,000.0 �*
SOIL RATING (SO.FT./BR)
225
1213
225
** TANK MUST HAVE AT'LEAST TWO COMPARTMENTS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - -
I certify that:
1. I am familiar with the requirements for on-site sewers and wells as set
forth by the Municipality of Anchorage (MOA) and the State of Alaska.
2. I will install the system in accordance with all MOA codes and regulations,
and in compliance with the design criteria of this permit.
3. I will adhere to all MOA and State of Alaska requirements for the set back
distances from any existing well, wastewater disposal system or public
sewerage system on this or any adjacent or nearby lot.
4. I understand that this permit is valid for a maximum of 1 bedrooms and
any enlargement will require an additional permit.
IF A LIFT STATION IS INSTALLED IPJ AN AREA COVERED BY MOA BUILDING CODES,
THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-BUILTS
WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE
ELECTRICAL RK MUST BE ff
NE BY A LICENSED ELECTRICIAN.
SIGNED// ^ a - ---------
-----_- DATE: -- ---LQ- 6__
APPLICANT:JF)tGF; LWELL n
ISSUED BY U DATE: —1 --?L5
* I
(�t
Municipality of Anchorage
DEPARTMENT OF HEALTH 6 HUMAN SERVICE
825 "L" Street, Anchorage, Alaska 99502-0650
SOILS LOG - PERCOLATION TEST
PERFORMED FOR:�jdG (
"K- L\l✓Lt-�nL �� T
LEGAL DESCRIPTION: ypt- F��G t IyVidv OWnshlp, Range, Section:
SLOPE SITE PLAN
F E 1 OR4�'tJ•t-. I—T-1--•fel
1
'(. 1 g.w
2 Z.
,O -
3 �o
4
e. 6
5-
61 6 '
t.
8-
lo-
ll
10 it
12-
13
2 13 {7 r
/ N
14�a -
15 ✓ J
16
17
18
19
20
COMMENTS
(aM w Zt3
PERFORMED BY: 1>_;
ACCORDANCE WITH ALL
72-008 (Rev. 4/85)
&XL lilcc-4%
MUNICIPAL
ENCOUN ERE WATER NJ
10
ENCOUNTERE07 1�1
IF YES, AT WHAT
DEPTH?
Depth to Water After
manitaringt Dric
I
Reading
Date Gross
Time
Net
Time
Depth to
Water
Net
Drop
I
-t,w¢s eta
4 z'
z
01 ^
�hSSM4 N
tIZ~
'1 h
%
1614-0 r
\ O ••
I B"
Q
•+
tSDA'
a
y`
n
to
t3 e•
z`
PERCOLATION RATE Z''� (minutes/inch) PERC HOLE DIAMETER
TEST RUN BETWEEN FT AND —I --FT
cG_�— CERTIFY TTHHAT HISXEST WAS PERFORMED IN
ON THIS DATE. DATE �/1/" ISr
MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION
ENVIRONMENTAL ENGINEERING DIVISION
825 L Street - Anchorage, Alaska 99501 Telephone 264-4720
- ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT
NAME
Jack Colwell
PHONE
273-5547
NEW
UPGRADE
MAILING ADDRESS
4231
Laurel Street, Apt. 205, Anchorage, Alaska 99504
LEGAL DESCRIPTION
LOCATION
NO. OF BEDROOMS
uY
DISTANCE TO:
Well
Absorption area
4 feet
Dwelling
12 feet
PERMIT NO.
780681
E Z
Manufacturer
Sunset Plastics
Material
Fiber lass
No. of compartments
2
a
Liq. capacity in gallons
1000
IF HOMEMADE:
Inside length
Width
Liquid depth
d ie
JVZ
DISTANCE TO:
Well
Dwelling
PERMIT NO.
_?
Manufacturer
Material
Liquid capacity in gallons
O
W =
DISTANCE TO:
Well
Foundation
Nearest lot line
PERMIT NO.
Z
Z W
No. of lines 1
Length of each line
Total length of lines
Trench width
inches
Distance between lines
Is F...
D
Top of tile to finish grade
5 fppt
Material beneath tile
7 feet inches
Total at fective absorption area
sq. feet
W
Length
Width
Depth
PERMIT NO.
l7
d L
W�
Type of crib
Crib diameter
Crib depth
Total effective absorption area
w
DISTANCE TO:
Well
Building foundation
Nearest lot line
J
J
Class
Depth
Driller
Distance to lot line
PERMIT NO.
W
�
DISTANCE TO:
Building foundation
Sewer line
Septic tank
Absorption area (s)
CI Cleanouts OTHER
�
PIPE MATERIALS
u Pprforatpd PVr AeTM n-3014
SOIL TEST RATING
150 feet 2/13r.
INSTALLER
C&J Excavating
REMARKS
Community Water System
Leadsfield Pipe ASTM D-3350
j1—
Ea
4"= Perf. Pipe
—7
JA
7' N
A 9
�.*L ..:.
No. 1783-E
STi���
LLiontAI
APPROVED DATE LEGAL
MOENING-GREY & ASSOCIATES, INC. 8-3-78
By: Alvin R. Zeman Y: E.
72-013 (Rev. 3178)
M1_1r4 I C I f' iL I TY Cl F= ntdCH��_:RGED �
DEPARTMENT Or HEALTH AND ENVIRONMENTAL PRUTECTI
825 'L' STREET, ANCHORAGE, AK. 94501
• 254-4720
WELL Rt•dC• ��t�t--ITE SEWER PEPt�i I T
PERMIT NO. ( 780581 )
APPLICANT JACK COLWELL 301 E. FIREWEED 243 5547
LOCATION MAN 0 WAP.
LEGAL L2A EAGLE RIVER P.ANCHETTES LOT SIZE 0 SQUARE FEET
TYPE OF SOIL ABSORBTION SYSTEM IS: TRENCH
MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING <SO FT/BR)= 150
THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS:
DEPTH= 1C LENGTH= 2: GF?FIti.-'EL_ C•EF"TH=
THE LENGTH DIMENSION IS THE LENGTH <IN FEET) OF THE TRENCH OP DPAINFIEL.D.
THE DEPTH OF A TRENCH OP. PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE
GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEET).
THERE IS NO SET WIDTH FOR TRENCHES.
THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BET14EEII THE OUTFALL PIPE
AND THE BOTTOM OF THE EXCAVATION (IN FEET).
PEGILT IREQ 'SEPTIC Tt=iNK S I 2'E= 1C+EaO GRLI_OtJ
PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE
INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE
NUMBER, OF RESIDENCES THAT THE I -JELL WILL SERVE.
--- TWO < 2 ] I NSF=EE CT I Ota5 F=lF?E PEnU I F!EC] ---
BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS
DEPARTMENT WILL BE SUBJECT TO PROSECUTION.
MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS
100 FEET FOR A PRIVATE WELL; OP.
150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL.
WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS
OF THE WELL COMPLETION.
OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS APE
AVAILABLE TO INSURE PROPER INSTALLATION.
PERM I T EXP I PEC OECEM E3 FEE F;-:* - 11 154 7::-:.*
I CERTIFY THAT
1: I AM FAMILIAR, WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET
FORTH BY THE MUNICIPALITY OF ANCHORAGE.
2: I WILL INSTALL THE SYSTEM IM ACCORDANCE WITH THE CODES.
3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE
RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS.
SIGNED
ISSUED
:X E -1------------------------
APPLIC13NT TACK COLWELL
--- - ---------DATE_�1
i
V3. 2
^ Id SOILS LOG
MUNICIPALITY OF ANCHORAGE r 1
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION O PERCOLATION
• TEST
�I
Pouch 6650, Anchwapa, Alaska 99602 2762221
SOILS LOG — PERCOLATION TEST
Jack Colwell yy5v3
PERFORMED FOR: y'301 E Fireweeoi i Anehon+�e PAA DATE PERFORMED: ;25 (JV IV 14778
LEGAL DESCRIPTION: of 2AF Fa,2le 1Q;ver Rcrnchetter5-,, IP 72rver AR 99577
SLOPE SITE PLAN
EP ORGANIC SANDY SIL7
F
1 �to�O SAND "'iso PIE &AAViL
,SONE SILT jrSH)
3-
4-
5 4 �fa
r
6 •: o.
s•.e a
7-
8
8 ^ •�•
•p j•a
9-
10-
11-
12
0 11 12 P. ['•'I
13-
14-
15
3 14 15
•• r
16 • e
17
18
19
20
GRAVELLY
SAAID
w/
TRACES
51LT
CSP)
Grimy ,
Sl;�tiiy /Yo;.r7'
App�ex,
JO%
Cobbles
.nat Qo�/.[nn
I
/Yet LoCotte.l by S•vrvey Jt1etj+e S
WAS GROUND WATER Alp— L
ENCOUNTERED? O
P
IF YES, AT WHAT E
DEPTH?
Reading
Date
Gross
Time
Net
Time
Depth to
Water
Net
Drop
PERCOLATION RATE (minutes/inch)
TEST RUN BETWEEN FT AND FT
COMMENTS Recommend I Sa 1 Abedroong
All�� MOENING-GREY & ASSOCII�Tq INC.
PERFORMED BY:% t CERTIFIED BV: A j.yg.a8
72 008 (7/76)
n
�� � llunicipahty of Anchorage
'Sir zj� �.
"�'"� Department of Health and Human Services�'rl
825 "L" Street
Rick hfysrrom,
Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650
907-343-4744
April 30, 1998
Robert C. Cowan, P.E.
S&S Engineering
17034 Eagle River Loop Road
Eagle River, AK 99577
Subject: Waiver Request for Eagle River Valley Ranchettes Lot 2A
Waiver Request #WR980014, PID #050 22132
Dear Mr. Cowan:
Your request for a waiver of the required 10 foot horizontal separation from the
on-site wastewater disposal system to a property line has been approved. The approved
separation distance is 8.0 feet.
This waiver approval applies to the existing on-site wastewater disposal system to
property line separation only. Any future upgrade to the on-site wastewater disposal
system will require all separation distances be met or another approval from this
department.
If there are any further concerns or questions regarding this waiver, please call our office
at 343-4744.
Sincerely, 2=c
14q
Civil Engineer
On -Site Water Quality Program
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
On-site Services Section
Waiver Review Worksheet
WR# WR980014 PID# 050-221-32
Date Received: April 23, 1998
HA#
Legal Description: Lot 2A Eagle River Valley RAnchettes
Engineer: Robert C. Cowan, P.E . S & S Engineering
Permit #
17034 Eagle River Loop Road Suite 204, Eagle River, Alaska 99577
Applicant: Barry E Meyer
Waiver Requested: Lot line waiver of 8 feet from the absorption area to the
west property line.
Criteria: 1. Geology: Points:
A. Water Table
B. Soil Sorption
C. Permeability
D. Water Table Gradient
E. Horizontal Separation
TOTAL:
2. Special Conditions:
3. Other:
Waiver is Granted: -� Waiver is NOT Granted:
List Conditions or Reasons for above:
Date: 14.30 Jf By:
r
Rec #: 03577/9301 Amount: $ 115.00 Date Paid: Anr11 23. 1998
HEALTHAUTHORITY
APPROVALS
SEWER& WATER
Mehl EXTENSIONS
SEWER & WATER
INSPECTION
ENGINEERING STUDIES
AND REPORTS
WELL INSPECTION
& FLOW TEST
SITE PLANS
I— -
SOILTEST
PERCOLATICN
TEST
STRUCTURAL&
MECHANICAL
INSPECTIONS
ONSITE
WASTEWATER
DISPOSAL SYSTEM
DESIGN
ROBERT C. COWAN, P.E.
CML ENGINEERS
April 22, 1998 FAAX(907)694-1211
MUNICIPALITY OF ANCHORAGE
Department of Health and Human Services
P.O. Box 196650
Anchorage, AK 99519
REFERENCE: Lot 2A; Eagle River Valley Ranchettes
RECEIVED
APR 22 1998
MUNICIYALIIY OF 144::!1. c(;f
ENVIRONMENIAL StevI-25 L.Ivlwur.
Request you grant a waiver for the horizontal separation distance between the
existing leachfield and the werr property line at eight (8) feet. We do not
anticipate any adverse effect on the adjacent properties (asbuilt attached).
If you require additional information, please contact us.
Sincerely,
4f&— "
Robert C. Cowan, P.E.
RCC/gk
attachment
/Z.r.0 1P = $>//S.Oo
/ZrcrtP% #- 03.5-77 (938 f)
17034 NORTH EAGLE RIVER LOOP • SURE 204 • EAGLE RIVER, ALASKA 99577
A-22-1998 10: d9AM FROM CITY MORTGAGE 907 696 0701 V.2
15)
iYB�'S9%S'lY •iJ30 ..
�'' •'
;p ..i rs-: v
•• � rSY J(i
� P
xuu t_un I•nwue.ww N6'9 ^.S9 /S':'Y /�.RO
I HERESY CERTIFY THAT 1 HAVE SMVEYEO TME
$CALE`�
FOLLOWING OESCMCED PROPERTY&LorZ.fl
E'A,t;7(6.F1v,.r Y.VLLFY
AND THAT NO PO*ADKDM EXIST VICE" AS
ppTg: Y t G
INUCATM TT IS THE W-"% BIUTY OF THE
39
ONNEIt TO OM MM THE EIOSTENCE OF
.ANY
� APPEAR pq.
� N�vSv
ON T7iE REWRDED >!{
VISION PLAT. U11OEA NO gRC{pO)TANCEg i►gµD
Fp
ANY OATH HERIDN sr OSEO FOR eONSTAUCI9ON
9-6B
OF FENCE LINEf� OR FOR ESTAEI.tSWNO EOIRID-'
ARY L1NEi.
'OMS
rGE BV
• Municipality of Anchorage
On -Site Water and Wastewater Program
(907) 343-7904
CERTIFICATE OF ON-SITE SYSTEMS APPROVAL
Parcel I.D. _050-221-32 Expiration Date:._
1. GENERAL INFORMATION
Complete legal description Eagle River Valley Ranchettes
Location (site address) _19034 Man O' War Road, Eagle River, AK
Current Property owner(s) Andrew Plude Day phone
Mailing address 19034 Man O' War Road, Eagle River;. AK
Real Estate Agent Day phone
2. TYPE OF DWELLING:
® Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS:
3
TYPE OF WASTEWATER DISPOSAL:
4. TYPE OF WATER SUPPLY:
Individual
Individual Well
❑
Holding Tank
❑
Individual Water Storage
❑
Community
❑
Community Class Well
❑
Public Sewer
❑
Public Water System
WaiverNariance request for:
Distance:
Received by:
Date:
COSA to be released to the engineer, unless otherwise requested by the engineer.
COSA Fee $-550,
Waiver Fee $
Date of Payment '5 a?- 100�1
_ __
Date of Payment
Receipt Number 0 5 g o l G
_
Receipt Number
COSA# OSC � 11 a � 5
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.
Name of Firm ARCTERRA CONSULTING, INC.
Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577
Phone 696 -6111 -
Engineer's Printed Name KENNETH M. DUFFUS Date '6411,z. z
Engineer's 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 i
encroachments, deficiencies or discrepancies exist. /�i� �F Ai
/i Q T A �.
6. DSD SIGNATURE
System #1 Approved for
System #2 Approved for
Disapproved.
Conditional approval for
r KENN-
ETH M L�l r
bedrooms. ,
bedrooms.
X } �� t;ss tox��. -AD,.
bedrooms, with the following stipulations:
OWS G�
�J m�
V#TER AND
Q WAST=v'ATER o
pR0vt\A1vl
JJ �
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 engineers work.
7. ATTACHMENTS:
COSA Checklist X _ Nitrate Advisory
Septic System Advisory Arsenic Advisory
Well Flow Advisory Other
COSA blue sheet 10-10-12.doc
Legal Description: Eagle River Valley Ranchettes Lot 2A Parcel ID: 050-221-32
If more than 1 septic system on lot: COSA Checklist # of
L DATA
❑ Well 'led with Onsite (or attached)
Date drilled
Total depth ft
Cased to ft
❑ Sanitary seal is functioning correctly
❑ Wires are properly protected
Casing height (above ground) in.
Date of flow test for COSA
Static water level at beginning of test ft.
Comments
B. TANK DATA
Age of tank(s) 15 years
Tank type/material Septic/Steel
Measured operating fluid level in septic tank 49"
11 Standpipes/foundation cleanout per record drawing
Date of pumping 5/15/21
D. ABSORPTION FIELD DATA
Which system tested (date installed) 7/22/06
01 ALL standpipes present per record drawing
Total measured depth from grade 11 ft (max)
Measured depth to pipe invert from grade 6 ft (min)
❑ N/A — pressurized field
Monitor tubes go to bottom of effective. If not, state
depth into effective
IN Code -required soil cover over field
❑ System presoaked
(Required if vacant for greater than 30 days prior to
date of test)
Gallons introduced gallons
Comments/Deficiencies:
COSA Checklist yellow sheet
Structure served by this system
Well production at time of test gpm
Water storage tank volume gallons
Well disinfected for coliform test? ❑ Yes ❑ Nc
❑ Coliform bacteria is Negative
Nitrate mg/L ❑ Nitrate less than MRL (ND)
.. ug/L ❑ Arsenic less than MRL (ND)
Collected b
Date of Sample
IFT STATION
❑ Requl aintenance completed
Age of lift station years
Lift station material
Comments:
Adequacy test date 5/14/21
Results 7V Pass For 3 bedrooms
Fluid depth prior to test 15 in
Water added 450 gal
New depth 23.5 in
Elapsed time 30 min
Final fluid depth 15 in
Absorption rate 450+ gpd
Any rejuvenation treatment (past 12 months)
If yes, enter date
E. SEPARATION DISTANCES
vate Well on Lot to: (Please enter distances if less than required or if community well)
❑ Yes
Septic Tank/Lift S Lot > 100'
ft Wells on Adjacent Lots:
Community Sewer Manhole/Cleanout > 100'
Yes
es
if No ft
❑ Yes
if No ft
Neighboring Tank > 100' ❑ Yes
if No
Private Sewer/Septic Line > 25' ❑ Yes
if No ft
Absorption Field on Lot > 100' ❑ Yes
if No ft
Tank > 100' Yes
if No ft
Neighboring Absorption Fields > 100'
Animal Containme _ ❑ Yes
if No ft
❑ Yes
if No ft
Manure/Animal Excreta Storage > 1
Community Sewer Main > 75' ❑ Yes
if No ft
❑ 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 Surface Water > 100' ® Yes if No ft
Property Line > 5' ® Yes if No ft Wells on Adjacent Lots:
Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No ft
Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No ft
Water Service Line > 10' ® 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 If absorption field is under driveway comment below
Property Line > 10'
❑ Yes
if No 8*
ft Wells on Adjacent Lots:
Water Main > 10'
Yes
if No
ft Private Wells > 100' Yes if No
Water Service Line > 10'
® Yes
if No
ft Community Wells > 200' ® Yes if No
Surface Water > 100'
® Yes
if No
ft
F. ENGINEER'S COMMENTS
x Waiver#WR980014 granted 4/30/1998
G. ENGINEER'S CERTIFICATION
/ certify that / 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.
COSA Checklist yellow sheet
, s_ 49 DI
0
ft
Parcel I.D. 050-221-32
Municipality of Anchor
On -Site Water and Wastewater Progr 1
(907) 343-7904 L
Certificate of On -:Site Systems
1. GENERAL INFORMATION
Complete legal description
i
.a
OCT 7 2015'$
,ll s FE Y -de
Expiration Date: 9 —1?16
Eagle River Valley Ranchettes, Lot 2A
Location (site address) 19034 Man O' War Rd.
Current Property owner(s) Brenda & Floyd Nagunst Day phone
Mailing address
Real Estate Agent
19034 Man O' War Rd. Eagle River, AK 99577
2. TYPE OF DWELLING:
F Single Family (w/wo ADU)
❑ Duplex
❑ Multiple Dwellings (Single Family and/or Duplex)
3. NUMBER OF BEDROOMS: 3
Day phone
4. TYPE OF WATER SUPPLY:
TYPE OF WASTEWATER DISPOSAL:
Individual Well
❑
Individual
Q
Individual Water Storage
❑
Holding Tank
❑
Community Class Well
❑
Community
❑
Public Water System
0
Public Sewer
❑
WaiverNariance request for:.
COSA to be released to the engineer. unless otherwise requested by the engineer.
COSA Fee $ 524
Date of Payment 1c) ! I D
Receipt Number 0Z151 G
COSA# 0:�G(01g13
Waiver Fee $
Date of Payment
Receipt Number
Waiver #
5. STATEMENT OF INSPECTION BY ENGINEER
Y i_ m. It '
As certified by my seal affixed hereto and as of the validatign date shown below, I verify that my investigation, based on procedures outlined
in the Certificate of On -bite; Systes Approval _Guidelines for this application, shows that the on-site water supply and/or wastewater
disposal system is (are) safev furi'efol 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.
In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MoA COSA
guidelines and regulations. The reported results describe 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 allwellsand septic systems depend on the local soil
condition, ground water 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 this system. All systems eventually fail and satisfactory test results do not guarantee future
performance -of the system, nor do they guarantee that there are no hidden defects or encroachments. Therefore we cannot provide any warranty
for future performance, nor can we estimate remaining life of the system. The content of this report is for the sole benefit of the owner listed
above.
Name of Firm Pannone Engineering Services LLC
Address P.O. Box 100217, Anchorage Ak. 99510
Engineer's Printed Name Steven R Pannone
6. DSD SIGNATURE
System #1 Approved for 3
System #2 Approved for
Disapproved
Conditional approval for
bedrooms
bedrooms
Phone (907)272-8218
Date 9/26/2016
bedrooms, with the following stipulations:
y: 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
COSAblueshe LS .. c
If more their 1 septic system is on the lot: .
COSA Checklist# 1 of 1
d
Structure served by this system
Certificate of On�Site Systems Approval Checklist
Legal Description: Eagle. River Valley Ranchettes, Lot 2A Parcel ID: 050-221-32
A. WELL DATA
Well type PubliG If A, B, or C provide PWSID # AWWU Well tog (YIN)
Date completed Sanitary seal (YIN) _ Wires properly protected (YIN)
Total depth ft. Cased to ft. Casing `height (above ground) in.
FROM WELL LOG AT INSPECTION
Date of test
Static water level
Well production , g.p.m. g.p.m.
WATER SAMPLE RESULTS:
Coliform colonies/100 mL Nitrate mg/L
Arsenic ug/L Date of sample: Collected by:
B. SEPTIC/HOLDING TANK DATA
Tank Type/Material Septic/Steel Date installed 7/22/2006
Tank size 1,000 gal. Number of Compartments 2 Cleanouts (YIN) Y
Foundation cleanout (YIN) Y Depression over tank (YIN) N High water alarm (YIN) N
f i
Date of pumping O L.(a Pumper
C. ABSORPTION FIELD DATA
7/22/2006 z 1.2 GSD/SF Deep Trench
Date installed Soil rating (g.p.d:/ftz or ft /bdrm) System type
Length 38 ft. Width 3 ft. Gravel below pipe 5 ft.
Total depth 1� ft- ; Eff. absorption area 380 ftz Monitoring tube Y_ Depression over ,field N
c
Date of adequacytest 9(22/201.6 Results (Pass/Fail) PASS For 3 bedrooms
Fluid depth in absorption field before test 0/17* in. Water added 465 gal. New depth 6/17* in.
Elapsed Time: 1-20 min. Final fluid .depth. 0r'17 450+ in. Absorption rate >= g.p.d.
Any rejuvenation treatment (past 12 mo) (YIN & type) No If yes, give date
M
D. LIFT STATION
Date installed Size in gallons Manhole/Access (Y/N)
"Pump on" level at in. "Pump off" level at di. High water alarm level at in.
Datum Cycles tested Meets alarm & circuit requirements?
E. SEPARATION DISTANCES
WELL ON LOTTO:
Septic tank/lift station on lot On adjacentlots
Absorption field on lotOn adjacent lots
Public sewer main Public sewer.manholelcleanout
Sewer /septic service line Holding tank .
Animal containment areas Manure/animal excrete storage areas
SEPTIC/HOLDING TANK ON LOT TO:
Building foundation 5+ Property line 5+ Absorption field 5+
Water main 10+ Water service line 10+ Surface water 100+
Wells on adjacent lots 20Q+
ABSORPTION FIELD ON LOT TO:
Property line 8** Building-foundation10+ Water main >10+
Water Service liner 0+ Surface water 100+ Driveway, parking/vehicle storage 10+
Curtain drain 50+ Wells on adjacent lots 200+
F. COMMENTS
*South end of trench had; 17" of sludge: North end dry.
"*Waiver on File #WR980014 !.
veg :✓vy...E� yr/' C.'e4 k1i' p'.A--[.S Ae,, %eccl- Ci lt}. two V, .r
G. F-NO14ER'S CERTIFICATION
e•r
1 certify fhat f have detennined through field inspections and
review of Munlolpal;, Words that the above systems are in
eonfor.'nc- with iG1 A CON guidelines in effect on this date. +
Engineer's Printed Name
—SteVen Pannone
g' eVM 12. (lannane
9126/2016 -stag
Date
COSA canary sheet_2-6-15.doc - - -
J
MAN 0' WAR ROAD
—
RETAINING
S 8759'1 VE 133.00'
WALL
Lot 2A
17,955 s.f.
1
STORY RESIDENCE
.'
"" to
2.0'x4.8'
w/ DAYLIGHT BSMT.
Z'
rim
`
CANT
N
o
R
SEPTIC
gg
R
PIPES
24.0'
o
Lot 38
u
`
o 242
m
Lot 2B
r
"
7.7'02.1' DECK
W
Y�24.2
$ I
g
W
N
C
c
_
UPPER
x
o
LEVEL
J
WOODEN FENCE—/'575
zee' o
CANT
CHAIN—LINK
FENCE
DECK
12.0'x12.1' SHED
N
10' UTILITY EASEMENTS
Lot 3D I Lot 2C I Lot 2D
WOODEN FENCEi
RETAINING WALL
T I
I I
Lang & Associates, inc.
Professional Land Surveyors
NOTE: LOT IS SERVED BY A PUBLIC WATER SYSTEM
NW 0054 Project No.
Daryl Avenue, Anchorage, Alaska
522-6478 Phone
522-4625 Fox
I hereby certify that I have surveyed the following described properly:
LOT 2A, EAGLE RIVER VALLEY RANCHETTES (PLAT P -129A)
Anchorage Recording District, Alaska, and that the improvements situated thereon are
within the property lines and do not encroach onto the properly adjacent thereto, that
no Improvements on the property lying adjacent thereto encroach on the surveyed
promises and that there are no roadways, transmission lines or other visible
easements on said property except as Indicated hereon.
Dated this the 14, Day of o--'t'&sN , Z) , of Anchorage, Alaska
It 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.
MUNICIPALITY OF ANCHORAG
• Department of Health A Human ServElces 1
DIVISION OF ENVIRONMENTAL SERVICES
343-4744
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF
ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING
Parcel I.D. # HAA If
1. GENERAL INFORMATION (Must be completed prior to submittal)
(a) Legal Description (include lot, block, subdivision, section, township, range)
Lot 2A. -Eagle R'v h VafLey v= pnttPA
Location (address or directions)
19 '
(b) Property owner FHf AIC #99- 199331-9C Telephone: (home) Business
Mailing Address
(c) Lending Institution
Mailing Address
Telephone
(d) Real Estate Company and Agent JACK DiHirr C01132AUst
Address 10928 Eagle Riven Road Eante Riv?A Ah 99577
Telephone
(e) Mail the HAA to the following address: (or check here [(if hold for pick up.)
List contact person and day phone number below:
S & S ENGINEERING
-T7034-Fa9Ie-R'"°s-L°°p'R '
Eagle River, Alaska 99577
2. TYPE OF RESIDENCE
Single -Family V Number of bedrooms _
3. WATER SUPPLY
Individual Well ❑ Community ❑ Public P(
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to th legality and status.
4. SEWAGE DISPOSAL
On-site\'M Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental
Conservation attesting to the legality and status.
72-02S Ot". 7/88) Page 1 of 2
5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION
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 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 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 In compliance with all Municipal and
State codes, ordinances, and regulations in effect on the date of this inspection.
Name of Firm
Telephone
S 3 S ENGINEERING
Address 77fl@d Fa.
o, 204
Date
Eagle River, Alaska 99577 ��
6. DHHS APPROVAL
Approved for J_ bedrooms byDate
Terms of.Conditional Approval
[: J::wi :.CAUTION. � ,n
The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval
cerificated 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. Employeesof DHHSdo notconduct inspections
oranalyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions
In the professional engineer's work.
73-075(R•k. 7/e5) Bwk Page 2 of 2
MUNICIPALITY OF ANCHORAGE (MOA)
Health Authority Approval (HAA)
• OF pr\GES� CHECKLIST - FEBRUARY 1984
343-4744 I
Legal Description: `�f ZA �t-Fi
��� ����,� �� ✓otius., �-,-cam
A. WELL D
( A
Well Clas ification f=c
Well Log Present (Y/N) Date Completed
Total Depth Cased to Depth of Grouting
Static Water Level
Casing Height Above Ground _
Electrical Wiring in Conduit (Y/N)
SEPARATION DISTANCES FROM WELL:
If A, B, C, D.E.C. Approved fON)
Yield
Pump Set At
Sanitary Seal on Casing (Y/N)'—
Depression Around Wellhead (Y/N)
To Septic/Holding Tank on Lot 14 ; On Adjoining Lots —
To Nearest Edge of Absorption Field on Lot 1–ckr"I (' ; On Adjoining Lots
To Nearest Public Sewer Line
To Nearest Sewer Service Line on Lot
To Nearest Public Sewer Cleanout/Manhole
Water Sample Collected by ; Date
Water Sample Test Results
Comments P•t,�•5 l0 .'� 21 0 �iS
B. SEPTIC/HOLDING TANK DATA -
Date Installed Size ( � No. of Compartments 2–
Standpipes UIN) `r Air -tight Caps FRN) y Foundation Cleanout (WN) ;L
Depression over Tank (Yo rJ Date Last Pumped
Pumping/Maintenance Contact on File (Y/N) N �► ;for
Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) A
SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:
To Water -Supply Well " I� To Building Foundation (2
To Property Line t o I To Disposal Field 'S
To Water Main/Service Line
To Stream, Pond, Lake or Major Drainage Course I k
Comments "T? -5 6e7SPAo., PJKP7r��i.
72-026(Rw.7/98)Fro l Page 1 of 2
C. ABSORPTION FIELD DATA
Soils Ratingin Absorption Strata 2�Type of System Design �r ►�
Date Installed -� 9 - \o - HS kIf'Fa R�XL Length of Field 15' t of. 4A . ZZ JYG¢fnr&
Width of Field -ua�� N OQ49?%Qd_ Depth of Field %12 c,124k A J?Cfev o
Gravel Bed Thickness "1 1 1p,?A6 A k% 69.1_ 0&
Square Feet of Absortion Area T9 8L1101-61- Statndpipes Presentp/N)
Depression over Field (Y/5) _
Results of Last Adequacy Test
SEPARATION DISTANCE FROM ABSORPTION FIELD:
Date of Last Adequacy Test � I --1- ®1
I 3
To Water -Supply Well ?tet k To Property Line I Lo
To Building Foundatioq ZZ� To Existing or Abandoned System on
Lot /% ; On Adjoining Lots '-"�I'4-
To Water Main/Service Line 0 14To Cutback (if present) N P
To Stream, Pond, Lake, or Major Drainage Course ( �,(_}.
To Driveway, Parking Area, or Vehicle Storage Area ?C)P 11 c*3 31�10:54, J2&a_T Ei )
Comments 4frt'ra P'Zt�So01- A Z 1LnL-A- To -qjpr1,lG.
D. LIFT STATION r /�
Date Installed I
Size in lions
"Pump On" Le
High Water Alarm Level a
Tested for
Meets MOA Electrical Codes (Y/N)
Comments
Dimensions
Manhole/Access (Y/N)
"Pump Off" Level at '
Vent(Y/N)
Pumping Cycles during Adequacy Test.
"Check Permitted Bedroom Rating Against HAA Request"
I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in
Inspection. ,
5 �AS�e NG
,
Signed wgAtenP Road Pie, 204 iA,
Companyva
99577 %
Date o
MOA No. `D� C� �•,.,.
Receipt No. ,! ` l -�
Date of Payment
Amount: $
72-M (R". TM) Back
Receipt No.
Waiver Fee: $ —
Date of Payment
Page 2 of 2
go. W7.2
of this
,
STEVE COWPER, GOVERNOR
�DEPT. OF ENVIRONMENTALiCONSERVATION
ANCHORAGE WESTERN DISTRICT OFFICE 563-6775
3601 C STREET, SUITE 322
ANCHORAGE, ALASKA 99503
March 2, 1990
S & S Engineering
17034 Eagle River Loop, Suite 204
Eagle River, Alaska 99577
PWSID: ¢210875
According to the records on file in this office, the Norfolk
Utilities Water System is in compliance with the State of Alaska
Drinking Water Regulations.
Sincerely,
Richard Sundit
Environmental Field Officer
RS:bas
+ ti (` MUNICIPALITY OF ANCHORAGE
DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION
DIVISION OF ENVIRONMENTAL HEALTH
CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL
OF ON-SITE SEWER AND WATER FACILITY
264-4720
Application Date.z8'� SSS'
1. GENERAL INFORMATION
(a) Legal Description (include lot, block, subdivision, section, township, range) �L
Location (address or directio )
114 WLez ,r —
(b) Applicant Name �A '��Telephone: Home c�' �3az Business
Applicant Address/
(c) Applicant is (check one): Lending Institution ❑ ; Ownerlbnif /T"; Buyer ❑ ; Other ❑ (explain);
(d) Lending Institution Telephone
Addressy—
(e) Real Estate Company and Agent //1/./�� - ✓ / [:'I•� /C.[d-c.-[��
Address
44y-
2. TYPE OF RESIDENCE
Single -Family Multi -Family ❑ Other
Number of Bedrooms
3. WATER SUPPLY
Individual Well ❑ Community's Public
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
4. SEWAGE DISPOSAL
Onsite Public ❑ Community ❑ Holding Tank ❑
Note: If community well system, must have written confirmation from the State Department of Environmental Conservation
attesting to the legality and status.
Page 1 of 2 72-025 111,84)
r / —1 • /.� •r• yam.
5. ENGINEERING FIRM PROVIDING, ...aPECTIONS. TESTS, FILE SEARCH, DAI.. AND INFORMATION
14
As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health
Authofity Approval 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 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 in compliance with all Municipal and State codes, ordinances, and regulations in effect on
the date of this inspection.
Name of Firm
Address
Date _
0Z
-r .3L8 SIVE6. ALASKA '3=
Telephone
DHEP APPROVAL
Approved for bedrooms by 'e, 4 4 0 10-1 -
Approved,—� Disapproved C096itional
Terms of Conditional Approval
CAUTION
a r� •• ,fir �`
r J.
•• J
G6M•A. 3hrfor ••�t
Na 1457-E
D n�JJ.«Jw•�•.• r4�i
Date
The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority
Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional
engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending
institutions in order to satisfy certain federal and state requirements. Employees of DHEP 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.
Page 2 of 2
72-025 (11,941
' MUNICIPALITY OF ANCHORAGE (MOA) MU DE T. O OF ti avCH- A
ct1
HEALTH AUTHORITY APPROVAL (HAA) IN RONMENTALEALT1184 &11pN
CHECKLIST- FEBRUARY 19
264-4720 -' r 11 W,
Legal escr ton: �� 2+� �i ft 06—
.A�y1
A. WELL DATA
Well Classification Al If A. B. C, D.E.C. ApprovedoVN)
Well Log Present (Y/N) Date Completed
Yield
Total Depth Cased to pth of Grouting
Static Water Level J I Pump Set At
Casing Height Above Ground Sanitary Seal on Casing (Y/N)
Electrical Wiring in Conduit (Y/N)
Separation Distances from Well:
Depression Around Wellhead (Y/N)
t
To Septic/Holding Tank on Lot %— I- ; On Adjoining Lots
r
To Nearest Edge of Absorption Field on Lot 2-109"j ; On Adjoining Lots —
To Nearest Public Sewer Line
Cleanout/Manhole
Water Sample Collected by
Watpr Samnlp Tact Ramdtc
— To Nearest Public Sewer
To Nearest Sewer Service Line on Lot
; Date
B. SEPTIC/AOLDfNeTANK DATA
Dateinstalled Size t F--Anba No. of Compartments
Standpipes JVN) Air -tight Caps t)N) Foundation Cleanout (Y4V
Depression over Tank (Y/6) Date Last Pumped q'3 -BS
Pumping/Maintenance Contract on File (Y/N) N 1,6 ; for
w1
Holding Tank High -Water Alarm (Y/N) N Temporary Holding Tank Permit (Y/N) A
Separation Distances from SepticAWokiipq-Tank:
To Water -Supply Well Z.�a t I- To Building Foundation 4917-,
i r
To Property Line Ib +_ To Disposal Field _ A -
To Water Main/Service Line —
Course F11
Comments
Page 1 of 2
72-026(11/64)
To Stream, Pond, Lake, or Major Drainage
C. ABSORPTION FIELD DATA
52nile Ratinn in Ahenmfinn CMata 1 S87w/3t.� Z OXTvna of Cvctwm nocinn 1 17.4Lti %A _.
Date Installed o2.• r.• — g378 • 9J;rm 2iQ meq' Length of Field i rbmm —
Width of Field ��~ Depth of Field ty r
Gravel Bed Thickness ri
Square Feet of Absorption Area n 8p Standpipes Present 1C7N)
Depression over Field (Y�M Date of Last Adequacy Test
Results of Last Adequacy Test Vf—.,eF�, , 1 pwi-,
Separation Distance from Absorption Field:
To Water -Supply Well 1 C. To Property Line l4=> t
To Building Foundation
Lot
On Adjoining Lots
To Water Main/Service Line Lo ky To Cutbank (if present)
To Stream/Pond/Lake/or Major Drainage Course
To Existing or Abandoned System on
36 t}
To Driveway, Parking Area, or Vehicle Storage Area
Comments
D. LIFT STATION
Date Installed
Dimensions
Size in Gallons Manhole/Access (Y/N)
"Pump On" Level at 'Pump Off' Level at
High Water Alarm Level at Vent(Y/N)
Tested for
Electrical Codes (Y/N)
Comments
" Check Permitted Bedroom Rating Against HAA Request ••
Pumping Cycles during Adequacy Test. Meets MOA
1 certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection.
Signed 8 S P EAfdiNEEti1Nl Date
spin 191
Comp+aAyMOA No. % UO -3 OF q t\
�.....- r tP r' fj •..j 1
Receipt No. :3S535C �_• ;�_'.v10.
Date of Payment 17• it --s5
Amount: $ i15-4�a_
R.b.rt A. Shefw
Na. 1457-E
Page 2 of 2
72-M01,54)
1
IDL
11111101,4jr-1PAUTyO
MUNICIPALITY OF ANCHORAGE DEPT.O j OF
��rr,n,� &
DEPARTMENT OF HEALTH i ENVIRONMENTAL PROTECIF"RONMENTAL PnOTECj
825 L Strom - Arehore, Ala4a 99501 bN
p
ENVIRONMENTAL ENGINEERING DIVISION JAN 81979
Telephone 284.4720 p
REQUEST FOR
APPROVAL OF INDIVIDUAL WATER AND SEWERCSC
DIRECTIONS: Complete all parts on page 1. I„aernplaw re4ass
uwill not be proceed. Flom allow ten (101 dws for processing.
1. PROPERTY OWNERPHONE
4
MAILING ADDRESS
PROPERTY RESIDENT (if different from above) r�
PHONE
2. BUYER
i
FHONF
MAILING ADBQRIIIP
S. LENDING INSTITUTION
tiZ orE
PHONE
�7y 6
MA LING ADDRESS
(
4. REALTOR//AGENT
DIf!
PHONE
MAILING ADDRESS
V
B. LEGAL DESCRIPTION I ION
tv ..A t1F et ut7c a�INcNt?T�S
STREET LOCATION
M N- o-
txm)e Xovp
8. TYPE OF RE ENCE
NUMBER
SINGLE FAMILY
❑ One ❑ Four ❑ Other
M�"� ❑ Five
❑ MULTIPLE FAMILY
tLJseThree ❑ Six
7. WATER SUPPLY
❑ JNDIVIDUAL-
*ATTACH WELL LOG. A well log is required for all wells drilled
3;r' COMMUNITY
since June 1975. For wells drilled prior to that date, give well
❑ PUBLIC UTILITY
depth (attach log if available.)
S. SEWAOE DI L SYSTEM
elf individual/on-site, installation date 7f
INDIVIDUAL/ON-SITE"
give -fr
❑ PUBLIC UTILITY
If system is over two (2) years old an adequacy test is required
by this Department.
NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED,
/[LIVW/rat
S
THIS SIDE FOR OFFICIAL USE ONLY
INSPECTION APPOINTMENTS
DATE RECEIVED
TIME
TIME
TIME
DATE
DATE
DATE
INSPECTOR �} ..
INSPECTOR
INSPECTOR
DIRECTIONS:
1. TYPE OF RESIDENCE
❑ SINGLE FAMILY
❑ MULTIPLE FAMILY
NUMBER OF BEDROOMS
❑ ONE ❑ THREE ❑ FIVE ❑ OTHER
❑ TWO ❑ FOUR ❑ SIX
2. WATER SUPPLY
❑ INDIVIDUAL
O COMMUNITY
•
❑ PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DEPTH OF WELL
DATE DRILLED -
LOG RECEIVED
3. SEWAGE DISPOSAL SYSTEM
❑INDIVIDUAL/ON SITE
❑PUBLIC UTILITY
Connection Verified
PERMIT NUMBER
DATE INSTALLED
INSTALLER
❑Septic Tank. or 01-folding Tank
Size: -)M(D— If Tank is homemade
give dimensions:
SOILS RATING
TYPE OF TANK
MANUFACTURER -
TOTAL ABSORPTION AREA
MATERhI\L /I
4. DISTANCES
WELL T0:
Septic Holdiinn``g11�+Tank
IAbsorption Area
Seer. Line
Barest Lot Line
Absorption Area to nearest Lot Line
5. COMMENTS
ZP"'APPROVEDFOR_ BEDROOMS
❑ CONDITIONAL APPROVAL (letter must accompany certificate)
❑ DISAPPROVED
DATE
.. /,i 1
BY Title
�.
LEGAL DESCRIPTION
72010 1Rev. 31781