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EKLUTNA HGTS STEWART ADDN LT 10
Eklutna Heights Stewart Add Lot 10 #051-063-27 Municipality of Anchorage On-Site Water and Wastewater Section • (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP231136 PID Number: 051-063-27 Dwelling: ® Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ® Upgrade Name NICOLAS KAHLER ABSORPTION FIELD ❑ Deep Trench ® Wide Trench ❑ Bed ❑ Mound Site Address 21632 BEAR VIEW PLACE, CHUGIAK ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 2 GPD/SF 7 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 4 Ft. Subdivision Block Lot EKLUTNA HEIGHTS STEWART ADD 10 Fill added above original grade VARIES 0.22-0.41 Ft. Gravel length 30 Ft. Township Range Section Gravel width 5 Ft. Beds:, Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line 300 Fe 1 -- Ft. Well 50'+ 50'+ 25'+ TANK ® septic ❑ S.T.E.P. ❑ Holding ® Other ADVANTEX Manufacturer NEW GREER / EXISTING Capacity 1000 & 1000 EXISTING Gal. Surface Water 50'+ 50'+ GREER Material NEW HDPE & STEEL Number of compartments 1 & 2 Lot Line 5'+ 5'+ NA Foundation 10'+ 10'+ 11 , FT STATION — ADVANTEX SYSTEM Manufacturer ORENCO / ANCH TANK Capacity NEW 1000 TANK Gal. Remarks Remove & Replace existing septic field — added new HDPE tank and AX20 Pod. System was insulated — tanks & field. Previous Alarm location Electrical installed by existing 2015 undocumented septic tank. 1ST FLOOR DRS Owner has receipt for the Greer 2015 undocumented tank. Installer ,JRS PIPE MATERIAL House to tank 3034 Tank to 3034 drainfield Draintield 3034 CO/MT 3034 Inspector FWC BENCH MARK (Assumed elevation) 100 ft Inspection 15` 8/1/23 2nd 8/2/23 Location and description 3b 8/2/23 4"' 8/3/20223 TOP OF MH / RISER ON-SITE WATER AND WASTEWATER SECTION APPROVAL Conditional Approval: Date A' ' • . t�1, TH . ' • • • • • • • •� . • 0 Septic System A Curtis Huffman roved pp"0161 Date �� �s •.. CE 128991 •.. �����/ OPROSIO �������.`�� Note: this approv does not include well permit requirements. m _., ncinnie . PID:051-063-27PERMIT:OSP231136 FIRST WATER CONSULTING EKLUTNA HTS. STEWART ADD L10 13030 Sues Way - Anchorage, Alaska 99516 Tel. 907-350-9566 firstwaterAK@gmail.com SOILS LOG - PERCOLATION TEST LEGAL : EKLUTNA HTS. STEWART ADD L10 PERFORMED BY: FWC - I CURTIS HUFFMAN CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE & MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. DATE: 8/10/23 DEPTH FEET OG SOILS 1 2 ORG/OL-GW 3 4 GM – PERC ONLY 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Reading Date Gross Time Net Time Depth to Water Net Drop 8/1/23 30 min 6” 2 5/16” “ 6” 2 5/16” “ 6” 2 5/16” PERCOLATION RATE 13 (MIN / INCH) TEST RUN BEWTWEEN 3.5 & 4.5 FT PERC HOLE DIAMETER 6” PRE-SOAKED PRIOR TO TEST & ALL READINGS TO THE 1/16TH. GROUND WATER ENCOUNTERED: NA - NO IF YES, AT WHAT DEPTH: NA DEPTH TO WATER AT MONITORING: NA DATE: NO TESTHOLE # PERC DATE PERFORMED: 8/1/23 4-5 GPD/SF MAX CATIII APPLICATION RATE. PER VISUAL 1978 TH THE INSTALL USED 2 GPD/SF. HOWEVER, THE ACTUAL PERCOLATION SHOWS A MORE LIBEAL SOILS APPLICATION RATE COULD HAVE BEEN USED WITH A MUCH SMALLER SAS OF 150-120 SF & NOT THE 300 SF USED / INSTALLED. VERIFIED EXISTING 1978 MT FOR GROUNDWATER AT TIME OF CONSTRUCTION & IT WAS DRY. THIS SAME MT WAS DRY IN JUNE 2023 & IS SHOWN ON IR, ASB & DESIGN PERMITTED BY MOA. 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CD °(n (D " * O -O o 0 ;cn cD cD o a 0-°m > o �3.-o3 m (n a' D cn m to m = � � (D a-� x D no-3�o�a� ��UCD �D ° giv C7—CD�o�� Z • �-�- ::r CL D < D Cn — con CD �.� s " `< U)o O cn :O •c v CL o (D O C) CD cr O N N r+- + 5 (D tD o r `< � c a m — �� 3 CL �-5 CD i r O A 0%0 W 00 cy1 0 N 0 r O N00010'10"W 70' N00010'10"W 70' BEAR VIEW PLACE 85052 %i 0o 0 cil 0 m N 0 r O 00 (.n0 al N m _ @ ms s 0 m 0(D ou � D - 11 p Q OL Cn 63m o � -0 m Z o CD F 00 o z�� �0 Cin w = ' r-0 v o� (D O n U) U)-0 0 N Z m oQ o > CD m U M r- o -h Cn m .� �= o z � _ N D o n Cn D rnO CD ::�_ p GI° r ° `n o N00010'10"W 70' BEAR VIEW PLACE 85052 %i 0o 0 cil 0 m N 0 r O 00 (.n0 al N MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP231136 Work Type: Septic Upgrade Tax Code Number: 05106327000 Site Legal Address: EKLUTNA HGTS STEWART ADDN LT 10 G:1460 Site Mailing Address: 21632 BEAR VIEW PL, Chugiak Owner: KAHLER NICOLAS Design Engineer: FIRST WATER CONSULTING This permit is for the construction of: Effective Date: Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 6/29/2023 6/28/2024 8400 Q Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Special Provisions: A test hole is required prior to construction of the absorption field, in the location shown on the site plan, to confirm minimum separation to impermeable soil and seasonal high groundwater, as well as percolation rate. Construction may proceed at your own risk prior to 7 -day groundwater monitoring. If results require a design change, construction shall stop pending approval of a change order. Please submit results with the inspection report (or change order, if required). Received By: F C Issued By: �- Date: ■I Date: 2 7 fJJ 2 3 MUNICIPALITY OF ANCHORAGE Development Services Department p p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 ON-SITE SEPTIC/WELL PERMIT APPLICATION Parcel I.D. 051-063-27 Property owner(s) NICOLAS KAHLER Day phone Mailing address PO BOX 672393, CHUGIAK, AK 99567 Site address 21632 BEAR VIEW PLACE, CHUGIAK, AK 99567 Legal description (Sub'd., Block & Lot) EKLUTNA HEIGHTS STEWART ADD LOT 10 Legal description (Township, Range & Section) Lot Size 8,400 Sq. Ft. Number of Bedrooms r APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field 0 Initial ❑ Single Family (SF) Septic Tank MUpgrade x❑ (w/wo ADU) Holding Tank ElRenewal ElDuplex (D) E] Privy ❑ Multiple Dwellings ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: `r I'S 7' D i;,GGc `7 ` / �/� .N rr l L� Distance:_ f0 11 I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees: S S_ Waiver Fees: Date of Payment: 61$/23 Date of Payment: Receipt Number: 0/50 -5 Receipt Number: Permit No. 0 se 713, I 1,57 6 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc picot Municipality of Anchorage j P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program * * * * VARIANCE/WAIVER REVIEW * * * * Waiver-#: OSV231034 COSA#:OSP231136 PID#: 051-063-27 Legal Description: Elkutna Heights Stewart Addition LT 10 Engineer: Curtis Huffman Your request for a waiver of the required 22 feet horizontal separation between the proposed absorption field and the existing one has been approved. The approved separation distance is 10 feet. Your request for a waiver of the required 5 feet horizontal separation from the septic tank and the deck support is approved. The approved separation distance is 4'. This waiver approval applies to the proposed absorption field. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date. 2 Approved by: Name of Reviewer ............................................... ■ ............................. ■ 1 **** VARIANCE/WAIVER REVIEW **** 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! !! June 19, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: SEPTIC SYSTEM UPGRADE PERMIT LEGAL: EKLUTNA HEIGHTS STEWART ADD LOT 10 The property owner has requested we obtain a permit to upgrade the failed septic system of the above referenced lot. We propose to remove & replace the existing deep absorption field and install shallow trench and 1000-gallon tank in tandem with ab Advantex 20 Pod to serve the 4- bedroom residence. All biomat will be removed and MOA sand installed as shown on the design. The 4-bedroom reserve will be to remove and replace this proposed septic field. The design is based on the 1978 test hole and a confirming percolation test will be conducted prior to construction. There is an apparent testhole monitoring tube of 16 from grade as shown on the design and no groundwater was observed at test hole excavation in the MOA file and the monitoring tube was dry in June 2023. The slopes are flat at the proposed upgrade location. The lot and area are served by private water. The design will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231136, Curtis Townsend, 06/29/23 13030 Sues Way, Anchorage, AK 99516 907-350-9566 / firstwaterAK@gmail.com ! June 28, 2023 Municipalities of Anchorage On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 RE: EKLUTNA HEIGHTS STEWART ADD LOT 10 – WAIVERS Due to site constraints (field, foundation, well radii, deck, elevations,…), it appears based on data provided by the owner the previously existing septic tank was removed, properly decommissioned and the new undocumented tank installed to maintain functionality. However, it appears that the deck corner is approximately 4’ to the corner of the septic tank and we are therefore requesting a waiver of 4’ between the deck support and septic tank. Granting of this waiver is justified due to the fact that these corners are the closest point of these 2 objects with the majority being 5’+ away from each other, with the majority of the deck’s bearing load further away from the tank, there is adequate additional structural support, the deck does not go over the tank, and there have been no known issues previously and none are anticipated with the granting of this waiver. We are also requesting a waiver or approval of the separation of the decommissioned or removed portion of the existing septic field to the proposed Advantex field. All contaminated soils of approximately 10’ will be removed as safely as possible to the shed retaining wall and silt, or MOA sand installed to create a plug or barrier to potential effluent interaction if any. This is warranted due to the increased treatment and filtration of the Advantex system, the added fill material for separation and the fact this is towards the end of the field with most of the proposed field further away. It is also noted that we are using a conservative soil application rate of 2 GPD/SF vs the 4 GPD/SF MOA approved soils rate. This system will also be of great benefit to the small lots of this subdivision. Granting of these waivers or separations will not impact any of the neighboring properties. Please contact us if you have any questions. Sincerely, Curtis Huffman, P.E. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231136, Curtis Townsend, 06/29/23 FIRST WATER CONSULTING EKLUTNA HEIGHTS STEWART ADD LOT 10 DESIGN CALCS: NO WELLS WITHIN 100' OF PROPOSED SEPTIC SYSTEM. NO SLOPES >25% WITHIN 50' OF PROPOSED FIELD. REMOVE & REPLACE PROPOSED 4BR FIELD FOR RESERVE. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231136, Curtis Townsend, 06/29/23 FIRST WATER CONSULTING DESIGN DETAILS: EKLUTNA HEIGHTS STEWART ADD LOT 10 REMOVE ALL BIOMAT MATERIAL & REPLACE WITH MOA SAND AS NEEDED PER CODE. EXISTING TANK IS APPROX. 4' FROM DECK & NO KNOWN ISSUES. Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP231136, Curtis Townsend, 06/29/23 MUNICIPALITY OF ANCH ADVANCED WASTEWATER TREAD 'MAINTENANCE ANDAEPAIR A THIS MAINTENANCE."D REPAMAGREEMENT, herein -t entered 'into .as.of-this .-021-.Day of Zvoi.0 of 20. JvCC_ 14_*4tE_Q__ .hereftuthe<`OWNER," An6orage, herein the `MUNICIPALITY .", in .accordance with A (AMC) 15.165.365. In .consideration .of the mutual covenants Agreement ftgtee1as..f6llows: 1. Advanced %istewhteir Treatment Svst6ms. The. Owner- to utilize. and operate 4b Advariced Wastwwafer `I'' described as, AN AbvANTEX SYSTEM located. at'(1egal'desicription) SYSTEM "AGREEMENT." made. and by and between the Municipality. of Municipat.Code aired herein -the pait-tie's to this ipality grants p&itnission to the (AWWTS), EKLUTNA HEIGHTS STEVtART ADD LOT 10. 2. Waintehance,'Repairs and Alterations. (Owner is required td read,. understand and initial each sectii hi -t— Throughout the term of this Agre.er3qent, the Owner. shall with an AWWTS: sei v - lee and -inaiAtenanocprovider app] .manufacturer's representative. The AWWTS shall be m Fa M -.condition capableof performing as- designed and produ(. -accordarice with the equipment's approval for operation r into a service agreement. eement I by the- Municipality or. the: .fined in a satisfactory treated septic effluent in the Municipality. -It-shall bdAhb responsibility of the.0wrier during -the term of-thisAgteemdnt to -pay for all repair(s), maintenance,, adjustment(s), replacement costs, - ind inspection costs, This .includes an annual maintenance fee (typically $400, to $600). GWfi& agrei-,s.thtit'*Only,rhainteiialice. and4epaif-porsonn6l or the manufacturer's representative will inspect and repairs or permitted alterations Aojhe system. '0Wn "'eradlc0wlddg . than regular maintenance ofanK vs failure of the system, which could include sewage replacement, by the. Muni6pality. any necessary maintenance, reduces the potential j 9 -costly repairs- 6 Grainfield iid. r 05/1'8/2018) Page 1-6f . 3 'Owner acknowledges that tlie,-Muiiielpalitymay request repairs from the manufk-turer's representative of Owner acknowledges that ih& fine for failing to. maintain assessed in accordance with ANIC 14.60 -.036. - Owner agrees. to grant the Mubicipatity reasonable acces: A.WWTS'. The Municipality will give. at least 24-ho.r Owner ayees that.gAy-'sA16 or transfer of title of the prg Certificate of -On -Site Syst.ems.Approval. -Owner agrees that the AWWTS.installati6n And. by:tlie AWWTS ven.dofAn§taIler and.,approVed byflje: b guidelines for the.constniction,..j-naintenance and repair Owner agrees to -maintain-remote. monitoring of the. AW AW.WTS*ap'prpval. I Term. Thetenn,of this AjzreeiTient, shall begin on the da MuniCipalityAo operate the installed system, or upon -trar while the -AW. WTS. is operational -or until title is tr.ahsf6n 4.. 'Nonivaiver. The, failure - of -fie Municipality Ity at anytime of maifiten"alice.-and repair an AWWTS-'may: be.: ,4 test..and. insoect the will not occur without anew requirements as provided idipa1ity--itife thegbvettiffig- he,Owney's A)MT3. :as required.by the of approval byjhe of title., .and. shall continue enforce :q. provision of this Agreement shall in no" way co . nstit-Lite-a *waiver of theions, -nor in..ariy-way affect .pro the validity of the Agreementthe n or.any part or of the Municipality thereafter - to enforce every provision- hereof 5. AmeAdment. This Agr6dihe nt-sha 11 only b&amended by the. Owner and Municipality. Any Attempt to amend this twauthori'zcd'-reprpgentati.v.e-."Or -unauthorized means,shall 6. Tuiisdietj6n-.-- Chbice of Law. Anycivitlion arising. fi brought in the Superior Court for the Third: Judiciial'Distf Atichorage.'Thelaws of the State of Alaska sbalf govern. parties under this Agreement: 7. Severability. Any provisions of this Agreement decreed jurisdiction shall not.jimilidato the remaining proVisions, (rev. 05/18/2018.) uthorized-reptestritative§ of by ditlid, an void i this Agreement shall be of the State of Alaska at - rightsandobligations of the by*.,q court of coh1prftnt the ,,A-greement. Page' -2 -of 3 OWNER: By: (signAfuie) All C.'. (print name) STATE OF'ALASKA THIRD =ICIAL DISTRICT' The foregoing instrument , ' k I going was -ac now 2011. by J�j 4. 140L N-OTARY PUBLIC FOR MCoriiniigsioh expires-, Y. before we:fllis 7_ Date4l 2_-T.UUv'*1-3 MUNIO-PALITY: By: V _(signature) Date C -"S fi 0 1- —.51,-v sprint -name) Title ay of IMCIA C.. tHROUST NOWY Public Slate of Alaska -commissfon.'Expires Mai 26, 2025 542z,, -L V (L - Page 3 of 3 a I_81.111111 -owlNoo°|0`|0"W70'a++a) J>.i ,\ t\----ZcO \--+ ZCi)CO0 i € 8o E/ O#-, r©8¥:0<'fllI £§.Ill.I +aCJ1 •IIII.i a--0 tlrfi•t,,2§±jJIIIr-I-r 46.0 14.7=aa :iNN+Go nco.+ruC2-a€ TS Cli5-.= 12.5 D ho 8.2 .I'.',I.. i,*',,,,,,,``+•-.,,I:,.•+-..,-...,.,•..?.i.,,,.``,a.`.,i ®I a)- C1*a:! 143 --€t- --I19.3a Ia+i_ // = > iE.il: ia +.,a•..}.,.,, t+I IPC=-I+D.--cA) C> ®-,\- Noo°|0'10"W 70' BEAR VIEW PLACE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME AlUo2Kfi 141_i1-SXAA-1 1,5011-DER3 �/�/c• PHONE lo9S�-3��3 WNEW ❑UPGRADE MAILING ADDRESS �a ERS« A� 996 7 7 P. D _ K /S/, LEGAL DESCRIPTION ,[oT /O , �KCt/TNi9 /frs- �J<3o, , ✓TLruJR2T /goon/. LOCATION NO. OF BEDROOMS O DISTANCE TO: Well SZ Absorption area Dwelling 1:5 PERMIT NO. -%OO 34 -2- Y wZQ � Manufacturer ��L L MaterialEE� 5 No. of compartments rn Liq. capacity in gallons Ocqa IF HOMEMADE: Inside length Width Liquid depth O Y JaZ DISTANCE TO: Well Dwelling PERMIT NO. _ F Manufacturer Material Liquid capacity in gallons G Well Foundation Nearest lot line PERMIT NO. w= DISTANCE TO: E Z No. of lines Length of each line Total length of lines ' Trench width Distance betwee lines z w -¢ 6' 46 4 0 inches N Q F Top of tile to finish grade Material beneath tile Total effective absorption area �32- inches /0/2 :f5 e2 7% Length Width Depth PERMIT NO. w a F- Type of crib Crib diameter Crib depth Total effective absorption area CL LU wWell to Building foundation Nearest lot line DISTANCE TO: Class Depth Driller Distance to lot line PERMIT NO. W 3: DISTANCE TO: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS 4 .¢ " PYc /7,eAiN pi�E t I SOIL TEST RATING ado S&•FT//3.lo2. INSTALLER Q CU/L101GR4 /NC, K/�IZKg ,t(,9N I d00 REMARKS C. oA/ 4E.V T N T /S P Z ' Eco 77P5 r Ilk *: 491-N 9 t%s..•a....... ...... V • ••NO. 1745-E 0 J a •• Va �Qd! OFESS�oo�� APPROVE DATE LEGAL G�'!/7 7� LoT �D� G/x-07 /QTS, �EsJR�T /YAC 72-01'3 (Rev. 3178) it/or 1Efr� I Li I F::� I T'4• CJI— :r.C{ `L :�E �j �r DEPnRTMENT OF HEALTH AND EN'v'IROP4MCNTAL , ROTECTIC14 025 'L' STREET, ANCHORAGE, n1i,%. 99581 2G4-4720 WELL Rf.10 ori— I TE SEWER PEFM I T PERMIT NO. ( 750342 3 RPPLICRNT KU KA ALASKAN BUILD INC P. 0. BOX 214 E. R. 99577 694- =493 LJC1 1 T I LAN LCC ,!_ L1O E KLUTNn HTS STEWiIRT ADD LOT SIZE 3488 SQUARE FEET TYPE OF SOIL ABSORBTION SYSTEM I1: TRENCH Me^kj I MUM NUMBER OF BEDROOMS 3 SOIL RATING 'SQ FT/BR) = 200 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E>EF~Ti-l= i.R LE"C3-r"= iS3. iS (3fZn E:L_ E]EPTH= �3 THE LENGTH DIMENSION IS THE LENGTH LIN BEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THC DISTANCE BETWEEN THE SURFACE or THE GROUND AND THE BOTTOM OF THE EXCAVATION LIN FEET). TFIERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE At:D THE BOTTOM OF TIIE ESA 8TION LIN FEET). REQl1 I RCQ 1EF`T I C TR"K S Z E_ X00 GF�LL_Ori� PERMIT APPLICi9NT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTILLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMDER OF RESIDENCES THAT THE WELL WILL SERVE. - - -- T &.IE3 C 2! > I i`+iSPEGT I OP -i51 nRE t;ZE-_-Ca I I REE> --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DErART; iEINT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 108 FEET FOR A PRIVATE WELL; OR 158 TO 208 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 ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERM I T EXP I izE�_> L>ElGEMBEFZ 3�� 19?8 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 INSTRLL T SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND TH THE ON-SITE SEWER,,SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS RE LED rLLOE_MOW THAN 3 BEDROOMS. SIGNED:-- ---- -----� - �-�------ APPLI_INT =_-DATE-_ INC ISSUED CY - --- -------------- V3.2 0 £t E GECECHNI CAL & DEVELJPMENT CO. Box 90, Davis St., Eagle River, Alaska 99577 694-2774 or 688-2280 Russel Oyster Earl Ellis 694-2774 SOIL LOG 688-2280 Soils Et Foundations Land Development Performed for: Name: Tel. No. �`/ —`I J Mailing Address: ✓fid' �a� Legal Description: Death (feet) Soil Characteristics 0 1 X/- 2 1 3 u 5 �RgLaS tltio i��ae..o��s rn /O 6 i uLra, %� QST I G2�o"ci rro� �� 8 9 Ila To 10 Se.��v 11 12 13 14 � 15 16or�." Ground Water Encountered: Yes No ✓ If yes, what depth 75 ia' Proposed Installation: Seepage Pit Drain Field ✓ Comments: Performed by: iu s� �J sT�2 Date: '4 1,-7 /��� M -W DRILLING, INC. DRILLING LOG Well Owner Use of W Location (address of: Township, Range, Section, if known; or distance main road Size of casing - Depth of Hole feet Cased to feet Static water level ft. (above) (below) land surface. Finish of well (check one) open end Screen ( ) ; Perforated ( ), Describe screen or perforation - Well pumping test at gallons, per (hour) (minute) for ----L--hours with ft. of drawdown from static level. Date of completion WELL LOG Depth in feet from ground surface Give details of formations penetrated, size of material, color and hardness TO TO -`r r1"V.Ve.L TO TO TO TO TO;,10, TO O —TO- TO -TO- TO -TO Q6 TO . " ' 'r�=.�z�•ti.�ic�ct Gontrartor u.0 -az o's. 3:1-1 &. 973 2 —STATE MUNICIPALITY OF ANCHORAGE Development Services Department P p Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 051-063-27 Certificate of On -Site Systems Approval Expiration Date: 11/14/2023 Legal description EKLUTNA HGTS STEWART ADDN LT 10 Site address 21632 BEAR VIEW PL Current property owner(s) KAHLER NICOLAS XThe On-site system(s) is/are approved for 4 bedrooms Conditional approval for Comments or advisories: bedrooms, with the following stipulations: By Original Certificate Date: 8/14/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory X Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA ApprovWjune 2022 �a� � \<.� �� C "._...� i �■ dept l,.� s i Pit .� �—. Development Services Department On -Site Water & Wastewater Section 6'-D) us ANCHORAGE ! ,.tptj' Phone: 907-343-7904 Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 051-063-27 Complete legal description EKLUTNA HEIGHTS STEWART ADDITION LOT 10 Location (site address) 21632 BEAR VIEW PLACE CHUGIAK, AK 99567 Current property owner(s) NICOLAS KAHLER Day phone 2. ON-SITE SYSTEMS SIZED FOR 4 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ® Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel ® Plastic ❑ Concrete ❑ Fiberglass Age NEW - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ® AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $ ?_ e60 Date of Payment COSA # OSC 2 Z 17.72 Waiver Fee $ Date of Payment Waiver # COSA Applicatfon.doc COSA Checklist.docx COSA Checklist Legal Description: EKLUTNA HEIGHTS STEWART ADDN LOT 10 Parcel ID: 051-063-27 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system ____ A. WELL DATA Well log is filed with Onsite (or attached) Date drilled 6/14/1978 Total depth 240 ft Cased to 145 ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 15 in. Date of flow test for COSA 7/25/2023 Static water level at beginning of test 111 ft. Well production at time of test 0.71 gpm Water storage tank volume 260 gallons Well disinfected for coliform test? Yes No Coliform bacteria is Negative Nitrate 1.22 mg/L Nitrate less than MRL (ND) Arsenic ug/L Arsenic less than MRL (ND) Collected by Date 7/25/2023 Comments __________________________________________________________________________________ B. TANK DATA Measured operating fluid level in septic tank 50” & NA Date of pumping 8/1/23 – EXISTING ST Required maintenance completed, if AWWTS Comments: EXISTING TANK & NEW S.T. W/ AX POD C. LIFT STATION Required maintenance completed Age of lift station years Lift station material Comments: D. ABSORPTION FIELD DATA – NEW ADVANTEX FIELD INSTALLED 8/3/2023 Which system tested (date installed) NA – NEW ALL standpipes present per record drawing Total measured depth from grade 7.41 ft (max) Measured depth to pipe invert from grade 3.22 ft (min) N/A – pressurized field. Per record drawings, field is insulated. Monitor tubes (MT) go to bottom of effective. (ED) If not, state depth into effective Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) N If yes, enter date Adequacy test date NA Results Pass Fluid depth prior to test in Water added gal New fluid depth in Elapsed time min Final fluid depth in Absorption rate gpd FIELD STATUS – POST RECOVERY Effective depth (per record drawings) in Effective depth used in Effective depth (ED) remaining in Comments/Deficiencies: COSA Checklist.docx E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100’ Yes if No *50+ ft Neighboring Tank > 100’ Yes if No **95 ft Absorption Field on Lot > 100’ Yes if No *50+ 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 N/A – Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10’ Yes if No ft Tank to Property Line > 5’ Yes if No ft Field to Property Line > 10’ Yes if No *5’ ft Water Main > 10’ Yes if No ft Water Service Line > 10’ Yes if No ft Surface Water > 100’ Yes if No *50+ ft Wells on Adjacent Lots: Private Wells > 100’ Yes if No *50+ ft Community Wells > 200’ Yes if No ft If tank or field is under driveway comment below F. ENGINEER’S COMMENTS *MAY MEET CONVENTIONAL SEPARATIONS, BUT SYSTEM MEETS CATIII SEPARATION DISTANCE REQUIREMENTS. **PREVIOUS MOA WAIVER TO LOT 9 TANK. G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Engineer’s Printed Name CURTIS HUFFMAN, PE Date 8/10/23 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 or NO 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 & 8/10/23 www.muni.org/onsite Well Water Advisory Certificate of On -Site Systems Approval # OSC231279 Subdivision: Eklutna Heights Stewart Addn, Block: , Lot: 10 This well's productivity was determined to be .71 gallons per minute.'The minimum well productivity required under (AMC 15.55) for a 4 -bedroom residence is 0.41 gallons per minute or 150 gallons per day per bedroom. Although the subject well currently exceeds this minimum requirement, the production capacity can fluctuate and may be insufficient to meet your needs. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. MaiUng Address P O Box 196650 *Anchorage, Alaska 99519 6650 *www muni org MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this I (,o Day of ��b.Cf— of 202, �, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNI PALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) EKLUTNA HEIGHTS STEWART ADD LOT 10 dT maintenance Re airs and Alterations. ner is required to read, understand and initial each section) hroughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory ondition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Pagel of 3 i)6Owner acknowledges that the Municipality may request records of maintenance and epairs from the manufacturer's representative or maintenance provider. wrier acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. Yg wner agrees that the AWWTS installation and mainterance requirements as provided y the AWWTS vendor/installer and approved by the Municipality are the governing uidelines for the construction, maintenance and repair of the Owner's AWWTS. wner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OW By 1Vnvl i attire) t U3 C, I (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The foregoinginstrument was acknowledged before 20'1, byrGl.(71Sfif1v0 h NOTA�,V PUB IC FO ALASKA My Commission expires: 6(v/0 I/2C);;, Date: q — ) le- 2O2,3 me this day of Q r n MUNICIPALITY: By: (signature) (print name) (rev. 05/18/2018) ABIGAEL ROPKA Notary Public State of Alaska My Commission Expires Jun1, 2 226 Date: �% Z Title: Page 3 of 3 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street 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 ParcelI.D. 051-063-27 HAA# 175_0,55�o Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 10 Eklutna HetghtsTAdds Location (site address or directions) 21632 Bear View Place Current Property owner(s) Lloyd & Lavelia Loges Day phone Mailing address P.O. Box 771288, Eagle River 99577 Lending agency Day phone Mailing address Real Estate Agent Careen Muir Day phone 751-2683 Mailing Address Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 3 , 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 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) on properties served by a single family on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of Issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates 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. (Fw. I IM) 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, 1 verify that my Investigation based on procedures outlined in the Health Authority Approval Guidelines for 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 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 applicable Municipal and State codes, ordinances, and regulations In effect at the time of installation. Name of Firm Pannone Eng. Svc. Phone 272-8218 Address P.O. Box 102954, Anch, AK 99510 3 Engineer's Printed Name Steven R. Pannone, P.E. Date 7/2812005 Engineers Comments: In conducting an adequacy test, l attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DHHS Guidelines & 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 all wells and 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 defectt or encroachments. PPS can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DI IIIS. 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 parry is not authorized nor will it confer any legal right whatsoever. 5. DHHS SIGNATURE _z Approved for _3 bedrooms. Disapproved. Conditional approval for Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory X L_, CE 81 bedrooms, with the following stipulations: El ON-grra WATER AND •. ��m" tAldCTcurer.-.. PROT Maintenance Agreements Supplemental Engineer's Report X Other By: 114 / �. 22� Original Certificate Date: Our Expiration Date: Reissue Date: (Rev. 11/99) Municipality of Anchorage o= s4 Development Services Department Building Safety Division i On -Site Water and Wastewater Program =" "` 4700 South Bragew Street P.O. Box 196650 Anchorage, AK 99519.6650 www.d.anchomge.ak.us (907) 9437904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: rOT10EKLUTNAHEIGHTS 6rOWnRT AeI4 Parcell.D.:051-063,27 A. WELL DATA Well type PRNATE If A S. or C provide PWSID # Well Log Y!<g Date completed 6M4M978 Sanitary seal YES Wires properly protected M Total depth _&D—ft Cased to _10_ft Casing height (above ground) _2_41n FROM WELL LOG AT INSPECTION Date of test 6/1411978 6130/2005 Static water level 187 ft 110 It Well production 1.0 9 -p.m OAS 9 -p.m WATER SAMPLE RESULTS: Coliform _ -—colonles/100 ml Nitrate 0 • mgA Other bacteria colonies1100 ml Date of sample: 712112003 Collected by: SRP Arsenic mgA B. SEPTICIHOLDING TANK DATA Tank TypelMaterlal STEEL Data installed 10/17/1978 Tank size 1000 gal Number of Compartments Z Cleanouts Y Foundation deanout Y Depression over tank 14 High water alarm NIA Date of pumping 413012005 Pumper JR'S PUMPING C. ABSORPTION FIELD DATA Date Installed JOMTR978 Solt rating (g.p.dJfe or fe/bdrn) &LO System type TRENCH Length .y_ft Width 40- ft Gravel below pipe 11• it Total depth 12 ft Effective absorption area =11r MonlO m tube Y Depression over held H_ Date of adequacy test 6MO12005 Results (Pass/Fae) PASS For I bedrooms Y3 " Fluid depth in absorption field before test 11 in Water edded9_0 gal. New depth]17.T in. Elapsed Time: 1440 min Final fluid depth 08 In Absorption rate >= 4S0 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) NO If yes, give date (Rev. 111W D. LIFT STATION Date installed Size In gallons NIA Manhole/Access "Pump on" level at _ In"Pump oft` level at Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAiR station on lot 82' WAIVR Absorption Held on lot 100.2 Public sewer main NIA In High water alarm level at _ in Meets alarm b circuit requirements? On adjacent lots 100+ On adjacent lots _ 100+ Public sewer manhola/deanout _NIA Sewer /septic service line 75 Holding tank 100+ SEPARATION DISTANCES FROM SEPTICIHOLDING TANK ON LOT TO: Building foundation 10+ Property line _L Absorption Held 14 Water main N/A Water service line 25+ Surface water 100+ Drainage 100+ Wells on adjacent lots 000+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 12 Building foundation 10+ Water main N/A Water Service line 90 Surface water 100+ Driveway, parkinghrehide storage 75 Curtain drain 50+ Wells on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through held inspections and c s review of Municipal records that the above systems are in e� conformance with MOA HAA guidelines in of ed on this date. Engineer's Printed Name Steven R. Pannone. P.E. Date 7,23-05 •+��jw �� HAA Fee S 41- C f 7-S 6z) Wash Date of Per, `� o Receipt Number (Rev. 11199) Walver Fee E Date of Payment Receipt Number Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907)343-7904 Water Well Advisory Health Authority Approval # 050356 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Block , Lot 10 of Eklutna Heights Stewart Addn. subdivision, the well's productivity was determined to be 0.45 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax July 23, 2005 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 10 Eklutna Heights S/D Septic System Test Health Authority Explanation Ladies and Gentlemen: I am writing to clarify a cloudy issue concerning this property. As you are aware, S&S Engineers conducted a Health Authority Investigation at this lot. They reported that the system failed and developed a design for a replacement system and submitted it to your department for approval. That project has been put on hold. My company was called to provide a second opinion to the adequacy of this system. I traveled to the property and conducted an adequacy test on the drain field. I found the liquid level in the drain field at a depth of 146.5 inches below the top of the monitor tube (corresponding to a depth of liquid in the field of 4.3 feet), with a total monitor tube depth of 174 inches. (Note, the records indicate that the monitor tube was only installed nine feet into an eleven -foot deep trench. My report added two feet to the depth of water to the measurements noted.) I added water from the well at a rate of 3.7 gallons per minute (the house has a 500 gallon holding tank and the well worked to replenish the water in the holding tank.) I placed 437 gallons into the field and measured the water level as it rose. The final reading showed the liquid level to be 105 inches below the top of the monitor tube (corresponding to a depth of 7.75 feet in the drain field.) I allowed the liquid to absorb into the field for a day. I monitored the liquid levels at 7:30 the next morning and at 4:00 pm that afternoon. The liquid levels returned to within six inches of the starting level (note: the house is occupied and in operation.) I have subsequently monitored the liquid levels as recently as July 22, 2005 at 11:30 am. The liquid level at that time was 12.1 feet below the top of the monitor tube (corresponding to a depth of water of 4.4 feet of liquid.) At no time during this test did the liquid levels rise in the clean -outs at the end of the field, in the tank and post tank. I looked for signs of rejuvenation treatment or pumping of the field and could not find any indication of such. I also asked the owners if they performed any and they indicated in the negative. Continued on Page 2 C:\Work\Letters\10 Eklutna Hts.doc Page 2 I attempted to discuss this issue with Mr. Yoshi of S&S Engineering. He told me he added water into the monitor tube from a pump truck and the liquid levels rose quickly in the monitor tube, flowing out of the monitor tube. When he added water into the clean out at the end of the field, water back -flowed into the tank. He would not discuss the test results further. I asked that Mr. Robert Cowan give me a call so that we could discuss these finding further. To date, I have not received a cal from Mr. Cowan. Based on my test results, this system is operating adequately. My opinion as to why the results from the previous test showed in failed is as follows: • The soil rating is very tight. The 1978 rating was 278 sf/bedroom. The current rating would be 333 sf/bedroom. • I added water over a two-hour period at a rate of 3.7 gallons per minute, which allowed the liquid to equalize in the system. Where adding water from a pump truck would not allow equalization, unless water was added very slowly (which most pumpers would not want to wait around for.) • The water took a full 24 hours to be absorbed. This is indicative of a system installed in very tight soils. Attempting to do a quicker test would not yield a positive result. • The system is approximately 40 to 50% used and operating in very tight soils. Therefore, I request you issue a Certificate of Health Authority for this three-bedroom house. If you have any questions or concerns, please contact me at 227-3522 or 272- 8218. Sincerely, teven R. Pannone, P.E. Civil Engineer Attachments: Q\WORK\LETTERS\10 EKLUTNA HTS.DOC 07-25-05 10:18AM FROM-CTAE ESI, SCS ENV SERVICES SGS Ref. #' 1054483001 Client Name: Pannone Engineering Project Name: 110 Ekiutna His Client Sample ID: 110 EMutna His Matrix: Drinking Water PWSID n1a 9075615301 T-536 P.01/01 F-303 SGS Environmental Services 200 W. Potter Drive Anchorage, AK 99516 Tet: (907) 562-2343 Fax: (907) 561-5301 An datestlimes are Alaska Standard Time Printed DateTme: 07/25!05 10:00 Collected Data/Time: 07/21/05 19:50 Received Dateffime: 07/22/05 8:00 Technical Director. Stephen Ede Sample Remarks: Allowable Prep Analysis Nitrate - 0.1 U 0.1 mg1L EPA 353.2 10.0 07/22/05 PW 07-24-05;1E;50 ; ;6D7 HI 5201 8 2/ 2 nn W. POTTER DFUVE - 4CHORAG AI./�6KA ml SG =Ii MR E ICES Tok 90 -M-2YLT SA QVS I Fas907t�arwn. Drinking Water Analysis Report for Total Coliform Bacteria i RIM MBTRUC110M DK REVE118E 110E WPM W-LEDTNO MMMJ , . � 1 M05�4�4�}}QQQpp8�ryry��nn3I„p'p�2r� MUST 6E COMPLETED BYWAMSUPPUiR . ' I�tlW1111�1A1II11Nll�l� C3 natxwATor.nmM a — — — — —IWIFAYNNNYII�MIIIUII�I�I�JjII�II11p�IN1IpI7g Jllll CI PIRATEWAM 81!1101 r Q Bene R.nar E3 BerN Yaalee pd 6�rC 11r/Y dYiWe� M -51"O LICL.Lrr!VA Ald Nt% &A16. .3 V I< SAMPLE CCLLECTIOm SAMPLE TYPE I�r jr�L��.w� rr Dew. J 0 Routine, ❑ Treated wsw Smogs, aw INS, Tw" : 2S t .,1 0 Repeat wvk . 13 Unt;e@w Water I.e dws War tolab no. t coe..rn N N D Spacial Perpoie n•og•. Tna.prl.a . tow M E3 Sema r odbdor Gdne TO BE COMPLETED SY LABORATORY 9amNe R�eNvin07 // �� n T� Det♦: 'D%�1Z/O5r ❑pmww«whana4 1 he: ZI RowAowbemell" UU Temp: 114 O u Hour Waver Phew N: De�M,d„� ferRa,a.too.eorr / fa%N Received by. eoenre c •.....M..............N.........w....... Nr..................a.N....... 6M .......... MM. g.M, ....... sees.$** ... ...'a......... ➢aeterloloatcalWrerAmMiaRetort 8entnADEC , MMoarua PW RESULT* ANC RK .MIN AaegNe Room y�z2Ja� /7/�' Teed Ow m &W1Y..' ANVUPl MetlW: mbrom FRW MMo•mve (PAA) Reported L Coit eemto01vt ' SAME RLTER RGULT& Mwwd ❑ fmd Cauls f� mud 7Fyr� Cowd"moca6 • - v.lftebo t; No Co /% e •••••• { �Setlsfer2ory ,... ere. { ):7 Unsatbfeoiory w+.eweotwli�orouPo.tiww�oeocuMElmrt�RMs.00roe.dloat Fam TST7os� oae.re.a... ftct ee .a..a.w+. Pamsm-om l2m7A3 413 t� . 825.�9a.=,9"I a6 0 see gas nos�eri ����:�ssan x: NO. 850-5 t Fc9 2_4� 1 i AS -BUILT II hereby certify that I have surveyed the following described property: Lo /4:1 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at E4gle River, Alaska this S� day of t. �' C ` 1 ROBERT C. JOHNSON _< SCALE: Registered Land Surveyor No., 80 -LS Box 456, Eagle River, Alaska Phone 694-2543 7-Z6-o.6- fes. h °ol !/ C' �/ fig 0 wee cl e,c k 413 t� . 825.�9a.=,9"I a6 0 see gas nos�eri ����:�ssan x: NO. 850-5 t Fc9 2_4� 1 i AS -BUILT II hereby certify that I have surveyed the following described property: Lo /4:1 Anchorage Recording Precinct, Alaska, and that the improvements situated thereon are within the property lines and do not overlap or encroach on the property lying adjacent thereto, that no improvements on prop- erty lying adjacent thereto encroach on the premises in question and that there are no roadways, transmission lines or other visible easements on said property except as indicated hereon. Dated at E4gle River, Alaska this S� day of t. �' C ` 1 ROBERT C. JOHNSON _< SCALE: Registered Land Surveyor No., 80 -LS Box 456, Eagle River, Alaska Phone 694-2543 7-Z6-o.6- MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services in 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 I.D. # HAA # ";-A 1L)SL) -� 1. GENERAL INFORMATION Complete legal descriptionLot 10, Eklutna Heights, Stewart Addition S/D Location (site address or directions) 21632 Bear. view Place , Property owner Mryl &Louise Kidd Day phorW8-4224 Mailing address PO Box 670238, chugiak, AK 99567 Lending agency -Seattle Mortgage/Kathy Petty Day phone 562-5626 Mailing address 4300 B Street, Suite 206, Anchorage, AK 99503 Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual well XXX 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 XXX 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-M (Rev. 1,91) Front MOA 021 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater 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 S& S ENGINEERING Phone b a y- 9-7 9 17034 0.3916 ItIve- Loop Road No. 204 Address Eagle River, Alaska 99577 Engineer's signature 6. DHHS SIGNATURE Approved for TNRbedrooms. Disapproved. Conditional approval for Additional Comments By: Date -10 /a i I I g t��cE OF A_ CE -8801 bedrooms, with the following stipulations: Date ZU _1 Z - 9 k 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. 72-M (Rev. L91) Sack MOA W RECEIVED Municipality of Anchorage co 2 i m DEPARTMENT OF HEALTH & HUMAN SERVlGUcwjujjv c1f Environmental Services Division a" r L 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Cheddist Legal Description: T 1b enkW t7J A- �M . Panel I.D.: A. WELL DATA I Well type Pr„dAn-*- If A, B, or C, atter ADEC letter. ADEC water system number Log present N) J Date completed L - l q-7 8 ui- Total depth �'F.,l_ � Cased to l S Z Casing height (above ground) n - Sanitary seal &1N) V Wires properly protected JVN) FROM WELL LOG AT INSPECTION Date of test b'l�-7X io-1`iflY Static water level Well production lip g.p.m. 4,13 33 g.p m. WATER SAMPLE RESULTS: 0 Nitrate 0.739 Other bacteria O Date of sample: 14-1-9t 116 -lir -56- Collected W. S �'S f-,PJS e - B. SEFnCh10LDING TANK DATA Date installed 10 -11 -If Tank size I ori Number of Compartments 2 High Hwater alarm (Y/N) 'J , Cleanouts &N)�_ ' Foundation deanout ((Y64 � Depression (Y,� •� Data of piunping 9 '9 Y Pumper PJ W J L' C. ABSO(IPMN FIELD DATA Date igstaUod 1°' 1 1 Soil rating (g.p.d./lt2 or ft2/bdrm) 42143 � System type �/_ If �/ r Length �. L r WKM � Gravel thickness below piped 11 Total depti 1S Effective at►sb"on area %D / % Monitoring Tube present&NDepression over field (YAb Od Data of adequacy test �� �/ `i Y Results gjjii)FW9 OAS S For bedrooms Fluid depth in absorption field before best (in.); - 0 Immediately afte#�� gal'. water added (m.): s'O Fluid depth � (ins) Minutes later: ( 00 D Absorption rate = `I n' I a.p.d. Peraodde treatment (past 12 months) (Yo r AAL, t-030JA) If yes, ire date • MT .,u ry tz ' 96tf-cn ✓L 72-026 (Rev. 3196)' D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at" E. SEPARATION DISTANCES Size in gallons "Pump on" level at' 'Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot 1�rZ WAI u iifl On adjacent lots off" level at' \ lr Absorption field on lot 10-2-1 On adjacent lots i 0 w, Public sewer main �1� Public sewer manhole/cleanout Sewer /septic service line ZS Lift station d I k SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 1.0 1 Property line 1 Absorption field I �i Water main/service line lip t Surface water/drainage foo W Wells on adjacent lots 1 �D SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Yy Building foundation 1 a Ur Water main/service line to Surface water 1 ob j,- Driveway, parking/vehicle storage area Curtain drain k Wells on adjacent lots 0 o t F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of MunicipalrecAiatifie a ms are in conformance with MOA HAAuidelin s in effect on this date. Signature '7 — i •'. .:� ti ...�.. t Engineer's Name Co f.,4'a y ROBERT c 4 CE -880f Date ! O }o R t '+f ,f ; ; ' •-,..............'\��J �,e -ff� HAA Fee $ 3 157n 1 � Date of Payment 10/21 / Receipt Number _� /��d 2-7F1 ( 6-3 %dr/ 72-026 (Rev. 3/96)' Waiver Fee $ Date of Payment Receipt Number z ICI ` TY of AGcsoR Gz M£ M o£ 2= o O M TER as ; VISOR E=«=2E 2 Eo2I23 T�P 2P = NO. q / G 3 S ) Sari -= a re=s=t 2ealt.n tEo=:t7 Approval o= -rite --:Section and ter- cz e 2ota51e water s;1117 well on sot / o s:oct of jF¥& 0 TA11+ 2£/A/T s eisia:c=, t>e well's 21c3=ctistty was determined to be O 7 3 3 gallons ye= zis=te. The z:atm s :: 2roe=eticity required by t52: De-p_a_rtment (. c ::.:2 =_= a 3 bedroom- residence Is 0,31-2� Gallo=s A:tEo=9E tEe :abject vel: c===e=t17 ez=sees tail min reaui=emest, all parties concerned are =ae:sed that the _rode: -::s ==lacity of the well may fluctuate. RestriCtion of =c=-e=:t::a: water uses such as wass£si =a=s and watering law=s za2 §a»zeas mav Se required. 2x:: afs:z==r et 5e =ttac5e to =11 con4es c£ %xe sotject Sealt> 2=t3=ssty 7 -oval. p MUNICIPALITY OF ANCHORAGE • -� Department of Health & Human Services �i 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. # h -{--; '2� - Q_� HAA # F\ +1 �, ` 1 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) LOT 10: EKLUTNA HEIGHTS SUBDIVISION Location (address or directions) (b) Property owner ALASKA HOUSING FINANCE CO. Telephone : (home) Business 561-1900 Mailing Address 520 East 34th Avenue Anchorage A2a6Fza 99503 (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent JACK r[HIJE CWJPANIV 4MIo Lynda Ea t24 Address 10928 Eagte Riven Road, Eagle Riven, AK. 99577 Telephone 694-5500 (e) Mail the HAA to the following address: (or check here R( if hold for pick up.) List contact person and day phone number below: S & S ENGINEERING 17034 Eagle Rimer Loon Road Ne 40a Eagle River, Alaska 99577 2. TYPE OF RESIDENCE Single -Family 3. WATER SUPPLY Number of bedrooms Individual Well ®.Y Community ❑ Public ❑ 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 XX Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (Rev. 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 Address — Date Telephone 06'9 -� S 8, S ENW4F .ERiNGENGINE Koad NO. 2.r4 17034 Eagle R►ver Loop Eagle River, 6. DHHS APPROVAL Approved for _ bedrooms by Approved Disapproved Terms of Conditional Approval u Yr(&a Date f— Z F 8 Conditional CAUTION 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. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 7/88( Back Page 2 of 2 O0.p.G1_\�r1 P�GSp\JAS MUNICIPALITY OF ANCHORAGE (MOA) oS����G • � Health Authority Approval (HAA) �J�\1 10\1�p� soz b�g�p' CHECKLIS343-4744UARY 1984 toSf�Q 2 ``�Q Legal Description: A. WELL D� 1 Well Classification 1 1J?\ V'r %JZ-!!] If A, B, C, D.E.C. Approved (Y/N)✓r, Well Log Present ON) Date Completed �c Yield Total Depth ` v Cased to ZK Depth of Grouting �- t '1 Static Water Level � % Pump Set At Ola Casing Height Above Ground 1 2- Sanitary Seal on CasingffYN) Electrical Wiring in ConduittWN) Depression Around Wellhead (Y ,IV SEPARATION DISTANCES FROM WELL: To Septic/Holding Tank on Lot�L ; On Adjoining Lots 1 c To Nearest Edge of Absorption Field on Lot Z ; On Adjoining Lots I C_;L.�, NA To Nearest Public Sewer Line � ATo Neafest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lomat j� �� + Water Sample Collected by �* � N"6a 1P19a!JtK ; Date 43 t?7 Water Sample Test Results ( i�r" ��� ��"/ - t-' 7� P� ! / 1' L..-+ Comments ` ` 3bny\`%1< B. SEPTIC/HOLDING TANK DATA Date Installed 10' f 1? Size / BVI? No. of Compartments Z StandpipesaY/N)yAir-ti-1 Air -tight Caps (M) Foundation Cleanout (YAW i - Depression over Tank (Y/W P9Date Last Pumped Pumping/Maintenance Contact on File (Y/N) ; for Holding Tank High -Water Alarm (Y/N)4:: Temporary Holding Tank Permit (Y/N) b SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well ISL To Building Foundation To Property Line [ U �{ To Disposal Field r To Water Main/Service Line / D f4 - To Stream, Pond, Lake or Major Drainage Course (Xj / Comments —C r r' 1/�iC�iJ T 25iA66 P,VC-V+L-(-) s- P✓r-r P /N �. 72-026 (Rev. 7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata ?- �- Type of System Design Date Installed Jo Length of Field Width of Field 4-DDepth of Field / Gravel Bed Thickness /1 Square Feet of Absortion Area / - Statndpipes PresentN) Depression over Field (Y/W orq Date of Last Adequacy Test Results of Last Adequacy Test�(S ^/ SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well /y�— To Property Line 7 - To To Building Foundatjo 3To Existing or Abandoned System on Lot /" ; On Adjoining Lots 3 / To Water Main/Service Line -------- 11 2 ra- To Cutback (if present) A To Stream, Pond, Lake, or Major Drainage Course C . To Driveway, Parking Area, or Vehicle Storage Area eb Comments D. LIFT STATION Date Installed �U Size in G Ions "Pump On" L at High Water Alarm Leve 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`ineffect inspection. I Signed S it S ENGINEERING 17034 Eagle River Loop Road No. 204 Company - 00077 ag�KI Date MOA No. Receipt No. 05 1434 � a w Receipt No. — Date of Payment 9 -�� Waiver Fee: $ — ao Amount: $ /O0 Date of Payment 72-026 (Rev. 7/88) Back Page 2 of 2 k Ite,of this irk 66ilk `f .............r. Z 0% Jg i MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES 'r Q CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 10; Eklutna Heights Subdivision Location (address or directions) 2. August 5, 1988 (b) Property Owner AHFC Telephone: Home Business Mailing Address #50645 (c) Lending Institution Telephone Mailing Address (d) Real Estate Company and Agent JACK WHITE COMPANY/Lynda Banner Address 10928 Eagle River Road Eagle River, Alaska 99577 Telephone 13y4-55UU (e) Mail the HAA to the followina address: or: Check here 19, if hold for pick up. List contact person and day phone number below. S & S ENGINEERING/694-2979 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 99577 TYPE OF RESIDENCE Single -Family Ek Number of Bedrooms _ 3 ordered by Lynda Banner 3. WATER SUPPLY Individual Well ® Community ❑ 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 E1 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. Pagel of 2 72-025 (Re, e'W Front 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 S & 5 C-.NGV'17H: ,NG Telephone Address 1703 , '.: :r Loop Road No. 2_,< Date 6. DHHS APPROVAL Approved for bedrooms by "� Date f —�/ - 8o Approved Disapproved Conditional Terms of Conditional Approval CAUTION The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a 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. Page 2 of 2 72-025 (Rev 8ie6) Back MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 MUNICIPALITY OF ANCHORAGE 264-4744 ENVIRONMENTAL SERVICES DIVISION I Legal Description: I� ( C�' AUG s 1988 6--y-L- -r r,/a 0 -f -A C -r 141S A. WELL DATA RECEIVED Well Classification J )I If A, B, C, D.E.C. Approved (Y/N) Well Log Present J N) Date Completed 1B Yield 1 �� U►'r'1 , Total Depth �� Cased to ) Z Depth of Grouting Static Water Level «O Pump Set At d Casing Height Above Ground , Sanitary Seal on Casing4[VN) Electrical Wiring in Conduit PN) S/ Depression Around Wellhead (Y45P ►J Separation Distances from Well: / To Septic/ ing Tank on Lot �2 On Adjoining Lots 4 - To To Nearest Edge of Absorption Field on t of 1 ��1 On Adjoining Lots < <� To Nearest Public Sewer Line fJ To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot ZS I 1 Water Sample Collected by 5 � I Date t/2 A - 88 Water Sample 't Test Resultss�b� Comments ( �L B. SEPTIC/HOLDING TANK DATA Date Installed 10 - 17 _7 B Size \ No. of Compartments —2— Standpipes Standpipes tel) _—/ Air -tight Caps SIN) Foundation Cleanout (YAtM r -J Depression over Tank (Y/V Date Last Pumped Pumping/Maintenance Contract on File (Y/N) ; for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) Q Separation Distances from Septic/Fr6itftng Tank: i To Water -Supply Well �L To Property Line \ t To Water Main/Service Line � o I{ Course II L�'>o I To Building Foundation To Disposal Field Comments ��S�� �J�►�I>x Page 1 of 2 72-026 (Rev 6,66) Front 1 \S To Stream, Pond, Lake, or Major Drainage C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 2'��r`r►� Type of System Design Date Installed i o — i-1 - -15 Length of Field `rLO i Width of Field 40 Depth of Field s i Gravel Bed Thickness j Square Feet of Absorption Area 012- 1,& Standpipes PresentON) — Depression over Field (Y&V N Date of Last Adequacy Test ('O Results of Last Adequacy Test Separation Distance from Absorption Field: r r To Water -Supply Well / 02 To Property Line ( Z To Building Foundation Lot To Water Main/Service Line 14- To f To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION I �V Dat tailed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments To Existing or Abandoned System on On Adjoining Lots f4 - To Cutbank (if present) A / on 4 - Dimensions Manhole/Access (Y/N) "Pump Off" Level at " Check Permitted Bedroom Rating Against HAA Request "' Vent(Y/N) Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed., �--mcnING Date Comp" EsgI* Rlvar Loop Road No. 2pq Eagie River, Alaska a MOA No. Receipt No. c�tv nom( Date of Payment D !0b D Amount:$ SSD-C)tj Lll(�.�y LIIL�,Qd� 05, Page 2 of 2 72-020 (Rev 8,881 Bark ------------ ---- -- - --- - ---- - Municipality of Anchorage Department of Health and Human Services 16 Tom Fink, 825 "L" Street Mayor P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 August 19, 1988 Robert A. Shafer, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 10 Eklutna Heights Stewart Addition Subdivision Waiver Request #WR88-047, HAA #88-0327 PID #051-063-27 Dear Mr. Shafer: Your request for waiver of the required 100 foot separation of a septic system to a private well has been approved. The approved separation distance is 82 feet. This waiver approval applies to the existing septic system to well separation only. Any future upgrade to either will require all separation distances be met or another approval from this department. Sincerely, &qa-rt. �'/ �� - --&-V Daniel J. Roth Civil Engineer On-site Services DJR/ljw#6 MI INICIPAI ITY PF AN'-Hr)PAr-p ROBERT A. SHAFER A ENVIRONMENTAL SERVICES DIVISION CIVIL ENGINEER August 51 1988 694-2979 At HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DESIGN AUG 81988 RECEIVED Municipality of Anchorage Department of Health and Human Services 825 L Street Anchorage, Alaska 99501 Lot 10; Eklutna Heights Subdivision MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION AUG 8 1988 RECEIVED Request you issue the attached Health Authority Approval and grant a waiver for the horizontal separation distance between the private well and the septic tank located on the referenced property of 82 feet. The septic tank has been excavated and the existance of water tight couplings was verified. A risk analysis has been performed and it appears that no bacterialogical pollution is possible from this source. Attached for your review are the following documents: 1. A plot plan showing the relative distance between the well and septic system. 2. A risk analysis waiver review worksheet. 3. A well log for the referenced well. 4. Coliform and nitrate analysis of water taken from the well located on the referenced property. It is our opinion that the horizontal separation distance prescribed by 18AAC72.021 is not required in this case. If you r9quiT6k additional information, please contact us. ss A. SHAFER, P.E. 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 1 11 Zv SCALE -7o 0 �S 7a 4o STjZECT • • ••* #:.foe i Z m cn Q4 SCALE u W gy=t2�T ry laJ � D�Vt �� � Pte• �� � �J. c-o,-�s . �. So 1 � Sc��T or-� � s•o�,�s = C r-1 - LSP vJe�- �a r— fl�/SJ�r-� Nf 2'K lf� p4 mi vkr- 6— esc�T-T,c,a�- 1.,5- ?7-te7, n v al �U ►,•� 1�I 843 , f; t;' �t� 1 • :� 0.'2 --Io /1j �i�v i Time APPLIF-FiNT FILLS OUT UPPER HA'1i ONLY Property Owner - -- - Phone Mailing Address - - Zip Code Buyer Date Address- Zip Code Lending Institution Date Phone Address Zip Code Inspector Realty Co. & Agent Inspector Phone Address - Zip Code L , r la- Legal Description . Street Location` Type of Residence ( ?(APPROVED BEDROOMS ( /�) DISAPPROVED ( I CONDITISN/,5oL APPROVAL ' DATE ulw C2 Single Family fpalj�, Of E,�vjr iia �� Hca/t>tihora9e» 1714/ P"p = Multiple Family No. of Bedrooms - Other Soils Rating Water Supply Well To Absorption Area Well Log Received G Individual ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. r' Community For wells drilled prior to that date, give well depth (attach log if available). G Public Utility Sewer Disposal Individual Year Individual Installed: F-- Utility When Connected to Public Utility: - Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. Time Time Time Time Date Date Date Date Inspector Inspector Inspector Inspector Field Notes: L , r la- 44Y3I D ( ?(APPROVED BEDROOMS ( /�) DISAPPROVED ( I CONDITISN/,5oL APPROVAL ' DATE ulw 'CONDITIONS OF APPROVAL fpalj�, Of E,�vjr iia �� Hca/t>tihora9e» 1714/ P"p BY: Soils Rating Date Seewe Installed Well To Absorption Area Well Log Received Septic Tank Size f 0" V Well to Tank 72-0231382) lib _ 5. LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE Lot 10 Eklutna Heights MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH € ENVIRONMENTAL PROTECTIDEPT. OF HEALTH (iNVIRONMENTAL PRO(ECT 825 L Strrcet - Anchorage, Almkd 99501 Meet her at the Area office, Parkgate Building ENVIRONMENTAL ENGINEERING DIVISION OCT 2 5 1978 I6. Telephone 264-4720 f + SINGLEFAMILY RR FF�FF II MULTIPLE FAMILY REQUEST FOR APPROVAL OF INDIVIDUAL kNATER AND SEWEfiP/�tL4 D ' DIRECTIONS: Complete a,: parts or p3g= i. Incomplete requests wif' not be processed. Pease a.ler. -,en 00! days for processing. I since June 1975. For wells drilled prior to that date, give well j PUBLIC UTILITY depth 'attach log if available.) 1. PROPERTYOWNER PHONE "I' nd ,lduai on-site, give installation da,e 1978 Walter J. Kurka 1F sys,em Is over tv o (2) Years e'd an adequacy tes! is required I 694-3493 by *h's Department. MAILING ADDRESS Post Office Box 214 99577 -- ---- _ PROPERTY RESIDENT llf d. *er,--rb_ve` PHONE — I 2. BUYER PHONE I Larry White i . MAI_ING ADDRESS I 3. LENDING INSTITUTION PHONE Alaska Bank of Commerce 279-5641 MAILING ADDRESS 3230 C Street 99503 REALTOR/AGENT PHONE 14. Virginia Kohfield % Area Realtor 694-9555 vlAl''_ING ADDRESS Post Office Box 249 99577 5. LEGAL DESCRIPTION Lot 10 Eklutna Heights Subdivision S-REETLOCATION Meet her at the Area office, Parkgate Building TYPE OF RESIDENCE NU%IBER OF BEDROOMS I6. - One ._ Four _ Other__ f + SINGLEFAMILY —' Two '` Five MULTIPLE FAMILY XXX Three Six — 7. WATER SUPPLY ' XX INDIVIDUAL` ATTACH :YELL LOG. A well log is required for all wells do ed 1 COMMUNITY since June 1975. For wells drilled prior to that date, give well j PUBLIC UTILITY depth 'attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAUON-SITE" "I' nd ,lduai on-site, give installation da,e 1978 1F sys,em Is over tv o (2) Years e'd an adequacy tes! is required I PUBLIC UTILITY by *h's Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATE:. 72-0'0(3/78) .;_ rl'.G IRu�.3;73i THIS SIDE FOR OFFiC1AL USE ONLY D:,1 E REcDVED INSPECTION APPOINTMENTS - - i-- —_ _1-- TIME - --- -- I TI',tE - - ---- ----- I DATE tUATE--- -- I INSPECTOR INSPE(,TOR .- ---------L------ I i i 1, i YPE OF RESIDENCE - - _ _ NUMBER OF BEDROOMS_ :TINGLE FAMILY ONE THREE FIVE Ci OTHER MULTIPLE FAMILY I _i TWO :_: FOUR ._. SIX MATER SUPPLY PERMIT NUMBER f I:VDI VI DUAL DEPTH OF V,' -,LL - -OMMUNITY L--- --- — — - ------ ----- TE DRILLED i _ PUBLIC UTILITY Connection Verified — i LOG RECEIVED I. 3 r 5EINAGE DISPOSAL SYSTEM PERMIT NUMBER _._11-,01\/IDUAL ON -SITE-- — - - - - - DATEINSTALLED I` U"LIC UTILITY Cc mer*ion Verified INSTALLER -- , ptic Tank of _j Ho diny Tank f Tank is homemade SOILS RATING; -? K MANUFACTURER - ------ -- _---- --- (;, _ SORPTION AREA MATERIAL I-TANCES Septic/Holding Tank Athsorption Area ISewer LineNearest Lot Line :,%TELL TO: 1- I Ar:. i .p nearest Lot Lin,, - - --- -- -_--- -- -- __T737, -- - 5 I I COMMENTS ------------- -------- -- s r I�APPROVED FOR BEDROOMS i CONDITIONAL APPROVAL (letter must accompany certificate) DISAPPROVED ITtle1...------------- /BY -_ JFSIC RIPTION Yc2 - - -----------— .;_ rl'.G IRu�.3;73i R F A T ,TnR REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & WATER FACILITIES ado --/H a6 od -19 PRS 1. Type of Inspection: CMRO VA FHA CONV }� 2. Property_ Owner: %,i,' ',: /:'.� �:�,�' Phone Mailing Address -,.�_ i �� ���'%�- - 3. Name of Buyer: Day Phone_ -'%I - %I --4. Mailing Address: 4. Name of Lending Institution: 'e Phone'>-'"' Mailing Address: 5. Name of Realtor or Agent. 1�� Mailing Address. i ��/-� // e f `%'� Phone 6. Legal Description: n ,'; /--' /=X / //4' /'y' %//' Vic"<i may✓ z! ..�� Location:- 7. Type of Facility to be inspected: ;%ter / No. Bdrms. 8. Water Supply Type of Supply: Public Utility Individual X If Individual, number of dwellings presently served If Individual, depth of well 9. Sewage Disposal System Type of System: Public Utility Individual (on-site) If Individual, date of installation: 113 AREA, INC. REALTORS E] Anchorage C" St. Office REALTOR" 3300 C Street (9n7) 278-2525 East Anchorage E] Eagle River Eastgate Office Parkgate Office 5437 E. Northern Lights P.O. Box 249 (907) 278-2525 (907) 694-9555