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HomeMy WebLinkAboutSKYLINE VIEW BLK 2 LT 12  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 MAI LING A.~,D R ES>~ LOCATION NO. OF BEDROOMS DISTANCE TO: I ~ /~ Abs°rpti]'~e~ ~ ~' Manufactur~r~.~~ Mate~/~ No, of co~ents ~ ~ Liq, capacity in gallons Inside length Width Liquid depth /~ IF HOMEMADE: ~ ~ DISTANCE TO: Well Dwellin9 PERMIT NO. O Z ~ Manufacturer Material Liquid capacity in 9alJons ~ Well'~. FounOatio/~ Neares2~lre PER~ L.~~Z ~ ~ No, of line~ Length~? ~,e Total ,¢~fxlin~, Tr.nck~ Distance inches Total ef~t~e ~ Top of tile'to finish grade ,, X ti" Materia~b~neath tile area ~ Length Width Depth ~ / i~ PERMIT' }NO. ~ ~ Type of crib Crib diameter Crib depth Total effective absorption area ~ Well Building foundation Nearest lot line ~ DISTANCE TO: ~ Class Depth Driller Distance to lot line PERMIT NO. ~ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER SOILTEST RATING / 72-013 ev. 3/78) Department Permit ~ q~\\[OI Applicant: MUNICIPALITY OF ANCHORAGE f Health and Environmenta? ~rotection 825 _ Street, Anchorage, AK. ~:9501 264-4720 * * * HANDWRITTEN PERMIT * * * N-E:E~AND/OR ON-SITE SEWER PERMIT C~(~ % t4¢ (~od Xai~ing Address: Location: Phone Number: ~>--- ~¥~5~ e Lot Size: .... Legal Description: Type of Soil Absorption System Is: .Trench: ~.. Drainfield: Seepage Be~: Holding Tank: Maximum Number of Bedrooms: ~ Soil Rating(sq.ft/br) /~ The Required Size of the Soil Absorption System Is:' DEPTH (~ _ .LENGTH ~-'?TGRAVEL DEPTH ~" ' WIDTH The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or 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 between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTIC(I-h3~D+NG) TANK SIZE = (©©i~) GALLONS * * 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 well will serve. * * * TWO(2) INSPECTIONS ARE REQUIRED * * 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 or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31~ 1 9 $ 2 * * * I certify that: (!) 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 in accordance with codes. (3) I understand that the on-site sewer system may require enlargement if the residence is remodeled to include more that 3 bedrooms. SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, Alaska 99501 264-4720 SOILS LOG- PERCOLATION TEST [] PERCOLATION TEST PERFORMEO FOR: /7 e / ~ ~ t · EGA' DESOR,.T,ON: _LC /-- 12 1 2 8 9 10 11 12 13 G~w DATE PERFORMED: 11--2~2 2 SLOP~ 14 15 16 17 18 19 2O WAS GROUND WATER ~/~ S ENCOUNTERED? f~.-) L 0 P E IF YES, AT WHAT DEPTH? SITE PLAN Gross Net Depth to Net Reading Date Time Time Water Drop PERCOLATION RATE (minutes/inch) TEST RUN BETWEEN FT AND FT COMMENTS PERFORM~UBY:~)~I~', /~¢ft'. . . CERT,F,EDBY:~_~ ~' y _L~¢ DATE:/~'-2'-SZ fi): 0 0 0 0 0 0 0 0 0 0 © o o o o o o © © © o © :? h F'ERHIT NO. DEPRRTMEN'r HEFILTH RND, ENV:[RONMENTRL. 40TECTION 825 "'L'" E, TREET., RNCHORRGE., RD:. 99501 2E, 4-4720 L.-~EZ L_ L F"EF"I"I ~. T ) RPF'L I CRNT LOCRT I ON LEGRL FF.:FINK GRUB 5886 H INDINGI.4R"r' 9~'504 NOT ',,,'~LIE:, HITHOIJT ~F'PF.:O',,,'ED SEPTIC S'SL=,T B2Li2 SK'SLINE VIEI.4 LOT SIZE 3:33-8626 9E.,9999 SQIJRRE:.' FEET HINIMUM DISTRNCE BETWEEN R HELL RND RN'¢ ON-SITE SEHRGE DISPOSAL S'¢STEM iS 2L00 FEET FOR R PRI',,,'RTE HELL OR ±50 TO 2R0 FEET FROM R PUBLIC HELL D, EPENE:,ING UF'ON THE TVPE OF PUBLIC ~4ELL. HINIMUI"I E.',ISTRNCE FROH R PRI',,,'RTE NELL TO R PRIVR'TE SEI.,.IER LINE ]:S 25 FEET RND TO Ft COMMUNIT'¢ SEI.4ER LINE IS 75 FEET. HELL LOGS RRE REL."g. JtRED RND ["ILIST BE RETURNED, TO TFIE DEPRRTHENT HITHIN 3:F~ D, RVS OF THE NELL COMPLETION. OTHEF.: RE~'~.LIIF.'.EMENTS MR'9 RF'PL'9. SPECIFICRTIONS RNE:, CONSTRUCTION g"IRGRRMS RF.'.E R',,,'RIL. RBLE TO INSURE PF.:BPER INSTRLLRTION. F" E: F..." h'l :]:: "-!- E::-::F' Z F-." E."-}'; [-;,E;t-Z:EI-'IE:EE F-.' Z-: :.t... :;L %::~L=:G:-:" I FORTH B'9 THE MIJN:CCIF'RLIT'9 OF' RNCHORRGE. 2: I HILL INSTRLL THE S'SSTEM IN RCCORDRNCE HITH ']'HE E:O[:,ES. ¢:~--' ' 2 ' ' /~F'P~Z CRNT F~.FINK GRUE, ,, ,, ,, ,.-.-, -, /~ :&:;)-7~~ 9~" ~,~,, [/-, ~- s'~ CERTIFV THRT I RI',1 FRMILIRR F.IITH THE REQUIREMENTS FOR ON-SITE SEI,IERS RND HELLS FIS SET Municipality of Anchorage REQUEST FOR VOUCHER CHECK FROM: Health & Human Services (DEPARTMENT) TO: MUNICIPAL CONTROLLER DATE: October 15, 1998 1. 82274 THIS SECTION FOR ACCOUNTS PAYABLE USE ONLY VOUCHER NO. PAYMENT DT. I V VENDOR NO. {EFERENCE NO. INVOICE DATE E ~ECK NO. HECK DATE REQUEST THAT A MUNICIPALITY OF ANCHORAGE CHECK BE ISSUED TO: ~REP Name S & S Engineering Address 17034 Eagle River Loop Road, Suite 204 Eagle River, Alaska 999577 2. THIS PAYMENTIS FOR THE FOLLOWING (SUBSTANTIATION ATTACHED): After review of the waiver request it has failed and we are refunding the waiver fee of $625.0t to the engineer. Other measures are being put in process to correct the situation. Rec #03992/4000 (8-6-98) 3. DISPOSITION OF CHECK: ; ,xx~X MAIL TO PAYEE 2 -- MAIL TO PAYEE WITH ATTACHMENT 3, -- NOTIFY PAYEE TO PiCK UP IN TREASURY (6) ~: Name: AUTHORIZED USE ONLY NOTIFY DEPARTMENT EMPLOYEE WHEN CHECK IS READY IN FINANCE Org. #: Phone #: __ 4. ACCOUN I t5 I U pi:: '~,m,~n~=~. ENTER~BUTiON ITEM .... NO. DESCRIPTION Org/CC ~ Task Opt --~W~ AMOUNT 1 ~eil t< a k~waive~ , 2 7 4:6 ~ 625.00 $ 625.00 ._ 5. TOTAL AMOUNT OF CHECK 6. SIGNATURES &,.~ .~ ~,¥,, ~ ,~ ;,, r,,.y.,,~f .~.~,,~..,~v,~,._%.- Employee ph on/e' N~O. Approving Authorily 7, INSTRUCTIONS a. To be used only when payment cannot be made by purchase order, travel expense report, travel authorization or petty cash. b. Musl be approved by department head unless approval authority is delegated in accordance with Policy and Procedure 24-7. c. Retain carbon copy for your file. 4:-,301 !Rev. H/94)' Municipality o! Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Services Division Telephone: 343-4744 ON-SITE SERVICES FEE DOCUMENTATION Date Paid:Z/~' /'~7~ Name of Payer: (Name on Check) S & S ENGINEERING 17034 Ea..,le River Loop Road No. 204 Eagle River, Alaska 99577 Permit Number: OS-- Receipt #: Mailing Address: (Off of check) , Check #: Legal Descriptioq(s)'~'-'~' '/'¢~ ~., ~"'~'?~'-~'~; '~. '~/~<¢:~;' '~-~/12 ~ f'J39gY Type of Payment: (Indicate Amount Paid)¢'.¢ '-Iealth Authority?~-O A.' ..~¢:'5, ~ /-('¢~' '- '-~ Excavator Permit: Sewer & Well Permit: Well Permit: Sewer Permit: Copy Request: 72-034 (Rev. 10/87) Engineer Permit: Pumper Permit: Well Driller Permit: Tank Manufacturer: (Waste Treatment) DISTRIBUTION: WHITE--MASTER FILE WAIVERS: .. Lot Line: , --~,~.~' __,~.-.,,- ,.. ;....~.- Well to Tank: Well to Field-- "~ Field to Sudace Water Tank to Sudace Water CANARY~PROGRAM FILE MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet. WR~ WR980044 PID# 051-192-15 HAtt HA980215 Permit Date Received: August 6, 1998 Legal Description: Lot 12 Block 2 Skyline View Subdivision Engineer: Robert C. Cowan, P.E., S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River, Alaska 99577 Applicant: Ed Bennet Waiver Requested: The private well on Lot 12 Block 2 to the property's septic tank of 90 feet; the well serving Lot 11 Block 2 to the referenced property's septi_c tank of 87 feet. Criteria: 1. Geology: Points: A. Water Table Bo Soil Sorption C. Permeability Do 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: ~0~ N~ ~r ~.0oF~C. Date: ~ame of Reviewer Rec ~: 03992/4000 Amount: $ 625.00 Date Paid: 8-6-98 rt4 '17.04/7R $ ElPiq'R'4'iT~'"v I X ~ =' -"-- x'= . 4'+ '2 ~ /5' 1" = 40' SITE PLAN SCALE 0 0 0 0 ROBERT C. COWAN, RE. ROBERT A. SHAFER, RE. CIVIL ENGINEERS HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN E~TENS~ONS SEWER &WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE PlaNS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECFIANICAL INSPECTIONS ON SITE WASTEWATER DISPOSAL SYSTENt DESIGN August 04, 1998 Municipalib, of Auchorage Department of Health and Human Sen,ices P.O. Box 196650 Anchorage, AK 99519 REFERENCE: Lot 12 Block 2: Skyline View RECEIVED AUG 6 1998 Municipality of Anchorage Dept. Health & 14uman Services (907) 694-2979 FAX (907) 694-1211 Request you issue a Health Authorib' Approval on the referenced property and grant a waiver for thc horizontal separation distauce between thc septic tank and the well serving this property at 90 feet, and the well serving Lot 11 Block 2 and thc referenced property's septic tank at 87 feet. The mitigation factors invoh,ed which support the issuance of the waivers arc as follows: 1. Tile horizontal separation distance from thc wells to the septic tal& is 90 feet and 87 feet. 10 % and t3% of thc required separatiou distance is reqnested to be waived. 2. Tile samples taken from the well located on the referenced property indicated 8.82 mg/b of nitrate and 0 colonies per 100 nfl. of bacteria. The results froln the well on Lot It Block 2 are 0.909 mg/L of nitrate and 0 colonies per 100 mi. of bacteria. 3. The referenced lot is oil a 0% to 5% slope away from tile well heads towards the septic tank. The house is also located betwecu the wells and the septic tank. This wonld prevent any surfaciug effluent from reachiug the well heads. 4. Front the well log on the refereuced properb' wc can see that tile well depth is 90 feet. Tile static water level was reported to be 80 feet. The distance between the tank and the water table exceeds 70 feet. 5. Tile soils on the well log for the referenced lot indicate predominately sand and gravel layers betwceu the ground surface and the aquifer. Thc soils on the well log for Lot 11 Block 2 indicate a hardpan aud boulder layer from 27 feet to 165 feet, This confining layer wonld prevent any effluent from contaminating the aquifer. 6. The worst case hydranlic gradient is 0% (sec attached surroundiug well logs). 7. A septic tank is not uormally a contiuuons source or coutmnination and therefore wotdd not be expected to allow septic effluent to reach the wells. The granting of these two separatiou distance waivers would not have alt adverse impact oll the surrounding properties. If yon reqnire additioual ilffonnatiou, please contact tls. Sinccrely, Robert C. Cowan, P.E. RCC/jsf. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 o EAGLE RIVER, ALASKA 99577 .(~ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. # _~.~'¢'~\ - \(::~ ~ - \ ~ 1. GENERAL INFORMATION Complete legal description ' CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Lot 12, Block 2, Skyline/~/D Location (site'address or directions) 19361 Starflower, Chugiak, AK 99567 P'ioperty owner, Mailing address Eending agency Mailing address · wk. 276-4230 Ed Bennet Day phone BOX 671933, Chugiak, AK 99567 Alaska Home Mortgage Day phone 261-3407 Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 Public water NOTE: If community well system, provide written confirmi;~i'~O~ 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. 72-025 (Rev. 1/91) Front MOA #21 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 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 ENGINEERING 17034 Eagle River Loop Road No. 204 Address .__,. Engineer's signature Phone Date DHHS SIGNATURE Approved for Disapproved. Conditional approval for bed roo ms, .-. bedrooms, with the following stipulations: Additional Comments By: Date The Municipality of ;hora?.', Department of Health and Human Services (DHHS) issues Health Authority Approval Certificate,, ,ased 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 ~s ~ot responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Back MOA~21 Municipality of Anchorage AUG 0 G 1998 DEPARTMENT OF HEALTH & HUMAN SERV~C. cI,~ALrrY oF ANCHOP, AGI~ Environmental Services DiviSion ~!V~'ONMeN!'~',S~!VICES 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343,4744. Health Authority Approval Checklist Legal Description: ~. I'Z ~'7~- g ~fUtNP VIEPJ Parcel I.D.: A, WELL DATA Well type p~2. tV~'¢¢ Log present (~) q ~'5 Total depth f~O t Sanitaw seal ~/N) ~- ~ Date of test Date completed Cased to C~0~ IfA, B, or C, attach ADEC letter. ADEC water system number Casing height (above ground) Wires properly protected CN) Static water level FROM WELL LOG AT INSPECTION Well production ~, O g.p.m, j~, o g.p.m. WATER SAMPLE RESULTS: Coliform ~ Date of sample: '+]~/'?~ B, SEPTIC/HOLDING TANK DATA Nitrate ~, ~,2~,, Other bacteria Collected by: S~C) i Date installed Itl ~.[¢2. Foundation c!.e, an0ut(~N) Date of~p~m'l~ing ', ill q~ ABSORPTION FIELD DATA . Date installed '111.. ~ .i~?/?,7,~. Tanksize I~CI~ ~'~ Number of Compartments ;¢ Cleanouts(~N) .. d Depression (Y/~ /~ 0 High water alarm ('¢~) ~J ] ~ Pumper Soil rating (g.p.d./fF or~) I ~ 5' System type Length ~,oj / Width . .":J ~ ~ Gravel thickness below pipe Total depth .,' Effective absorption area ''~ ~-~'dc'f'~'Monitoring Tube present(~N) C( ¢5 Depression over field (Y{~ Date of adequacy test ~',/,/O!c~,~ Results OFail) P,¢t~..S For_ 7'/'/~-,~' bedrooms Fluid depth in absorption field before test (in.); J~/2~ Immediately after 4~'~'~gal. water added (in.): Fluid depth /~. (ins) Minutes later: (~ , Absorption rate = ,¢~'~ 4' g.p.d. Peroxide treatment (past 12 months) (Y/N) .~/0~6~' F, Ncw-,d if yes. give date -----' 72-026 (Rev. 3/96)* Date installed~'--~. Size in gallons Manhole/Access (Y/N). ~'"'""'~'~on" level at* High water alarm level at* Cycles tested E, SEPARATION DISTANCES SEPARATION DISTANCFS FROM WELL ON LOT, TO: Septic/holding tank on lot AbsorptiOn field on lot . · Public sewer main Sewer/septic service line "Pump off" level at* I¢: O-¢~-~:r¢~)n adjacent lots Ifl(.~~ '~ On adjacent lots tOO Public sewer manhole/cleanout ~ '/~ Lift station ~v// ,q SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: I Foundation ¢¢ ~ 5 ~ Property line Absorption field_ Water main/service line ~0' ~r Surface water/drainage 10~4' Wells on adjacent lots <~ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain Building foundation ~0 Water main/service line Driveway, parking/vehicle storage area ~ I Jr ~¢0~4~ Wells on adjacent lots ,/o o ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal recOrds in conformance w.~t~/OA HA~ guidel~es in effect on this date. Signature ' /~/'Z Engineer's Name /z'~v ~ ,,3 ~..¢ ~- ~.- ~o ~.-//-~' Date HAA Fee $ ~ Date of Payment f//.~ /¢~' Receipt Number ':~ ~ ~' ¢c,~ (,'4'//_',¢¢~__~2) Waiver Fee $ · 72-026 (Rev. 3/96)* JUL-15-1998 15:~8 CT&E ESI ANCHORAGE 9075615301 CT&IS ReL# Clleot N~.me project Name/# Client Sample ID Matrix Ordered By pWSID TOtUt Cotiform Nitrote'H 9B3561002 $ & S Bnginecring N/A L12 B2 Skyline View $/D Drinking Water Re~Utt~ 0 Client PO~ Printed Date/Tbne 07115198 14;42 Collected Date/Time 07109198 '11:17 Received Date/Time 07110198 11:05 Technical Director: Stephen C. Ede Ait~abte Prep Anew~is Dete Init .'~QL Unitg Meth~ kimit~ 0ate 07/50/95 ;nV ¢oL/~OOmL SU~§ 9222B 0.100 rog/C EPA 300.0 ~ max 0Y~0/98 07/10/~B RMV AND S ENGINEERING PAGE MUNICIPALITY OF ANCHORAGE Deps~ment of Public Works Street Maintenance Division _ (907) 343-B240 f~ (90?) NCROACHMKNT p RMIT APPLICATION Lot: ~ Bloc~ract: Section:_ Township; ~ . Rang~: ~ Location or address of~ncroadlment; , , , Type of encroachment: ~-~-~' '-¥ Drawings fhmished: As-built survey?: '~.~- Site plan?: ~ Other?: __ Submitted by:~ sign) The one hundred dollar ($100.00) fee is payable at the hme of s~gnmg/pickmg up the permit, OFFICE USE: Commentffrax ID #: Accepted by: _____--- Date: ~, Date: _._____-- Fe~ received by: ~ Approved/denied by: ...... DatO: ..... Reviewed by: Check no.: Reason d~nied: Date: Cash: 08/25/1998 09:58 90?6941211 S AND S ENGINEERING PAGE 03 ANCHORAGE WATER & WASTEWATER UTILITY luck ivly~lront, Mayor Engineering Division 3000 Arctic Boulevard Anchorage, Alaska 99503-3898 Fax Number (907) 562-0824 August 24, 1998 Owned by tile Municipality of Am.'hot~lge Ed Bennet P.O. Box 6719,33 Chu§iak, Alaska 99567 Re: Skyline View, Block 2, Lot 12 (Grid NW 1159) Dear Mr. Bennet: The Anchorage Water & Wastewater Utility received your written request on August 18, 1 998, for a letter of non-objection for the existing well and driveway which encroach into the Flower Circle right-of-way (ROW). The asbuilt drawing, dated July 29, 1998, submitted with the request, identifies the location of the existing encroachments. AWWU water and sanitary sewer facilities are not available to the referenced lot. AWWU issues this letter of non-objection with stipulations, and by using it the property owner is agreeing to the following: 1. AWWU will be held harmless, now and forever, for any damages or injury to any person as a result of the encroachments; 2, All applicable codes, and regulations will be observed and maintained within the ROW; ~ 3. This letter of non-objection will in no way preclude AWWU from full use and enjoyment of its rights within any portion of the ROW; and, 4. Additional and extraordinary costs incurred dodng any future construction and subsequent maintenance of AWWU facilities to accommodate the encroachments shall be paid by the property owner. Should you have any questions, please call Hallie Stewart at 564-2721. Sincerely, Planning Engineer \\adaln nt\WWH MM\Data\PLANNIN G\HM M\ENC\Benne~ I .doc Matan. u ka Electric Assocmt on, 1nc. P.O, Box 2929 Palmer, Alaska 99645-2929 Telaphone: (907) 745-3231 Fa,x: (907) 745-9328 August19,1995 TO WHOM IT MAY CONCERN: Subject: Lot 12, Block 2, Skyline View Subdivision Non-Objection for Well in Street ROW Matanuska Electric Association, Inc. (MEA) has no objection to the existence of the water well ~vithin the St~rflower Circle Right of Way, as depicted on the attached as~built drawing of Lot 12, Block 2, Skyline View Subdivision, prepared by William D. Fleming, RLS, dated July 29, 1998. Sincerely, Robert G. Ylvi~aker, SR/WA Right of Way Administrator 08/25/1~8 0~:58 ~875941211 S AND S ENGINEERING PAGE 85 AugustlS, 1998 Ed Bonnet P,O. Box 671933 19361St~flower Circle Chugiak, Alaska 99567 Dear Mr. Bonnet, Subject to your agreement to indemnify the company as set forth below, GCI Cable Inc. of Alaska has no objection to the well at 19361 Starflower Circle encroaching into the road right-of-way of Starflower Circle, Lot 12, Block 2, Skyline View Subdivision, city grid NWl 159. This letter of non-objection in no way precludes GC! Cable from full use aud enjoyment of any rights it may have within any portion of the right-of-way, including unlimited access for servicing its facilities. By signing below, you agree to indemnify and hold GCI Cable harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabil!.[ies and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to myself at the address below. Sincerely, Rebecca Colton Permit Coordinator Acceptance Date 5151 Fairbanks Streel · Anchorage, Alaska 99503 · 907 / 786-9260 Cable serytu"es provided by GCt Cable, Inc, ENSTAR Natural Gas Company A DiViS{ON OF SE^GULl. ENEROY 3000 Spen~,rd Road PO. Bo]~ 190288 Anchorage, Alaska 99519-0288 (907) 277-6551 August 18, 1998 Ed Bennet P,O Box 671933 · Chugiak, Alaska 99567 Dear Mr. Bermet: ENSTAR Natural Gas Company hm no objeetlon to the well that encroaches into Staxflower Circle ROW in front of Lot 12 Block 2 Skyline View Subdivision provided that the following conditions axe met: 1. "ENSTAR" will be held harmless, now and forever, for any damages or injury to any person or property as a result of this encroachment. 2. Any costs incunted by "ENSTAR" for special construction necessitated by this encroachment will borne by the property owner. 3. This letter of non-objection will in no way preclude "ENSTAR" from full use and enjoyment of its fights within any portior~ of the right-of-way. If you have any questions please call me at 264-3712, Very Truly Yours, ENSTAR Natural Gas Company Ken Gibson Engineer cc: File S AND S ENGINEERING PAGE 07 O EASIgMENT ENCROACILM2ENT DOCilENT By ~s do~t M~nus~ Telephone Association~ Inc. (~I~A). ;d~s ~at k h~ no objection to ~e encro~t of a well ~ ~e pla~ed ~nflway E~e~'~'t ~ S~ower Circle, Skyl~e vi~ Subd~ion ~ To.ship 15 No~h, ~e I W~ Scion 16, S.M, s~ ~ess: 19361 S~ower Circle. Please be advised that MTA through the issuance of this document does not fbrfeit any of its fights to the use of the area cited. In the exercise of these rights MTA will, if needed, upgrade, n.~aintain, repair, and/or replace buried or aerial telecommunications faciliti~ within the easement, Any repair~ that rrl~.y be required to the encroachment as a result of utility corts-truction will be borne by the property owner of record. ]%is document does not au-d'todze the placement of any additional encroachments within the easement area, ~ docu~ertt is. in no way. aa. ~ment2o ~acat¢ any. portion of the utiliw e..~Cm and inte~ Issued for Matanuska Telephone .4.~5o¢iat4on, l. ne, this 20th day of August, 1998 by, IbLl$ IS TO C¢,,RTIFY, t.~m[ on this 20th day of August, 1998 bet'om me the undersigned, a Nolao- Public in and for the State of Alaska, duly commi,ss[oned and sworn as suck, personally appeared BeeRy. Glenn known to me a,nd to me known to be the individual named in and who executed file ibregoing instrument and acknowledged to mc tlmt he signed and sealed the same es a voh.mtary act and deed for the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hmeunto set my hand a~d official seal the clay and year first above written. GRANTORS ADDRESS: Please Retur~ to: Mamna.~ka Tol~phone Association, Inc. Real Estat~ and Properties Section P: O. 15o~ 3550 Palmer, Alaska 9961~5 My corttmission expixes: GRANTEES ADDRESS: · Ed. B~nneR '- I936.I.'Sl:a.fflower Circle Ctru~k, Alaska 99567 J%'la'tanuska Telephone A~oclatJon. Inc. 1.800.7~.9~10 - g07,7~1.2510 , ~ax 907.781,26~ 08/25/1998 09:58 9~?G941211 S AND 5 ENGINEERING PAGE 08 STARFLOWER CIRCLE I0' UTILITT EASEMENT .... ..~ ~.. ?~.~/~,... ~ ~ -, ~ ~ -.~ ~ ~' TONY KNOWLES, GOVERNOR D~PT. OF ENVIRONMENTAl, CONSERVATION DIVISION OF ENVIRONMENTAL HEALTIt DRINKING WATER PROGRAM 555 CORDOVA STREET ANCHORAGE, AK 99501 http://www.state.ak.us/dec/hon~e/htm Phone: (907) 269-7519 Fax: (907) 269-7650 September 28, 1998 Robert C. Cowan, P.E. S&S Engineering 17034 N. Eagle P, iver Loop, #204 Eagle River, AK 995?7 Lot 12, Block 2, Skyline View S/D ADEC #9921-WW-260-360 Deal' MI'. Cowan: This is reference to your September 17, 1998 submittal regarding tbe above-referenced project. A brief examination reveals that the requested waiver deals with the separation distance between two private source wells and an on-lot wastewater disposal system serving a single-family home. On July 10, 19985, the Alaska Department of Environmental Conservation (ADEC) delegated the plan review and approval authority for single family on-site residential waste disposal systems to the Municipality of Anchorage. As noted above, the plan you submitted to ADEC is for a single-fmnily residential on-lot wastewater disposal system, and is, therefore, subject to the authority of the Municipality of Anchorage's Department ofllealth and Human Services (MOA, DHHS). Consequently, the plan you stlbmitted to this office falls under their jurisdicition. Please contact me if you have any questions. Respectfully, William R. Rieth, P.E. Enviromnental Engineer WRR/cf Cc: Jim Cross, P.E.; MOA/DHHS David Jobnson, P.E.; ADEC Keven Kleweno, P.E.; ADEC MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH &HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 Parcel I.D. CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING - ~ c'~-'A ' \ ~/~ HAA# ¥-,~ ~c~.'~E'~,~.'~(~. 1. GENERAL INFORMATION Complete legal description Lot 12; Block 2; Skyline View Subdivision Location (site address or directions) lq~6] ,qharf'low~r~ Eagle R~ver, Alaska Property owner Mailing address David Bush Day phone Lending agency Mailing address Agent Lola Pederson/DON MCKENZIE REAL ESTATE Address 13135 Old Glenn Highway, Eaqle River, Alaska Un/ess otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 'q TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: Day phone Day phone 694-9035 99577 If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. TYPE OF WASTEWATER DISPOSAL: individual on-site Holding tank Community on-site Public sewer NOTE: xxx If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rev. 1/91) Fronl MOA//21 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/orwastewaterdisposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein, lfurtherverifythat 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~t,~i~F. NC. INEERING 17034 Eagle River L~ooFrR'~a~°' 204 Add ress ~.agie Engineer's signature Phone DHHS SIGNATURE ×× Approved for ~J:Lr~_.~_.~L~) bedrooms. Date Disapproved. Conditional approval for bedrooms, with the following stipulations: AdditionalCo~ "Phc w¢,ll f(~'- t-h-l.q property meet'_s existing State and Municipal Codes. There are nitrates present. It is suggestGd t-hat a periodic tcsti~ bc pcrform~ %o insu~ well~ continued suitability. Nitrate concentration is 5.45 mg/1. EPA maximum co~'~ntrg~i~n i~ 1-~. j~t~/1. The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Cedificates 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. 724)25 (Rev. 1/91) Back MOA ~21 Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type ?,~.',,L/><'T'~ A, B. or C, attach ADEC letter. Logpresent~.~N) k,( Total depth Sanitary seal (~¢~'N) ADEC water system number Date completed \?- \c[~ __[~).~_ Driller ~-~'~ Cased to ~ O ~ --~ Casing height Wires properly protectedC(~N) Date of test Static water level Well flow Pump level FROM WELL LOG AT INSPECTION \ %l' ,4, ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank ~ SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot \ ~:~ ~ Absorption field on lot \ ~ ~ Public sewer main Sewer service line '~- ~' WATER SAMPLE RESULTS: Coliform C...) 6,~ u.. '/1o'¢ ~ J~ Nitrate Date of sample: '~ ~ ~ ' ~ .3 B. SEPTIC/HOLDING TANK DATA Date installed Cleanouts ~/N) High water alarm (Y~ Collected by: Date of pumping Tank size Other bacteria /~O .~& $_fiNGINEERING 17034 Eagle River Loop Road No. Eagle River, Alaska 99577 Compartments Foundation cleanout ~)'N) ~_ Depression (Y/~ ~-~ /"/ Alarm tested (Y/N) /J/,~- SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot \ oo On adjacent lots To property line \ c:~ Absorption field Surface water/drainage \ c>"D Foundation Water main/service line 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) "Pump on" level at __~off'' level at High water alarm level ___ j.,~"~'~- Cycles tested ..... M eets MOA electrical code.s...(.Y--/N~__ ....T T^T, o. Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~'~ ' Width Total absorption area. '-'~ "~ Depression over field (Y/(~) Results ~fail) Peroxide treatment (past 12 months) Soil rating \~.~' ~/(;z.~ System type Gravel thickness ,~ t Total depth Cleanouts presentlY'N) Date of adequacy test for "~A,~.¢=¢_.. ~ .__ bedrooms A/'/~JD L,~ ~ If yes, give date '4'/,z~- To building foundation On adjacent lots ,~ Surface water \ Curtain drain SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~ oC>~ \E~b~ On adjacent lots Property line To existing or abandoned system on lot 3utbank ~\,~, Water main/service line Driveway, parking/vehicle storage area E. ENGINEER'S CERTIFICATION HAA Fee $ /'"~, Date of Payment Receipt Number I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect ~ ~te~¢,~¢, of this inspection. Signature 17034 Eagle River Loop R~ad No. Eagle River, Alaska ~95~'7 ~,~, ,~ .- ........... ~ .... Engineer's Name / ~v~¢/..,, .................. .. ~.~, ~¢~ .... Date ~-- //_ ~ / Waiver Fee: $ Date of Payment Receipt Number 72-026 (Rev. 3/91) Back MOA 21 CHEMICAL & GEOLOGICAL I BORATORY A DIVISION OF COMMERCIAL TESTING & ENGINEERING CO. 5633 B STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562-2343 FAX: (907) 561-5301 Chemlab Ref.$ :93.0965-1 Client Sample ID :LI2 B2 SKYLINE VIEW Matrix : WATER REPORT of ANALYSIS Client Name :S & S ENGINEERING Ordered By :RAY Project Name : Projects : PWSID :UA Collected :03/09/93 @ 13:00 hrs. Received :03/10/93 0 14:00 tms. WORK Order :63911 Report Completed :03/il/93 Sample Remarker ROUTINE SAMPLE COLLECTED BY: RAY. QC Allowable Extract Analysis Parameter Reeulte Qual. Units Method Limits Date Date Init NITRATE-N 5.45 m9/1 EPA 353,2/300.0 10 03/11/93 MCE · See Special Instructions Above UA = Unavailable '* See Sample Remarks Above NA - Not Analyzed U - Undetected, Reported value is the practical quantification limit. LT - Less Than D - Secondary dilution. GT = Greater Than Member o, HEALTH AUTHORITY APPROVALS SEWER & WAIER MAIN EXTENSIONS SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSI'E ~ ROBER] SHAFER, P E ROGER SHAFER. P.E WELL FLOW TEBT DATA CIVIL ENGINEERS (9071694 2979 FAX 694 LOCATION OF WELL (Legal Description), WELL DEPTH, TEST APPLIr/., '-NT FILLS OUT UPPER HA : ONLY Buyer Address ~-~ ~ ]'~ Zip Code Lending Inslitution Phone Address ~ ~) /;h Zip Code Realty Co. & Agent Phone Address ~] } '~ Zip Code Street Locati~ Type pf Resi~nce ~/Single Family ~ Multiple Family No. of Bedroo~. ~ Other ~ Individual A~ACH WELL LOG. A well Icg is required for all wells drilled since June 1975. ~ Community For wells drilled prior to that date, give well depth (attach Icg if available). U Public Utllily Se~e~Disposal ~ Individual Year IndivDual Installed: ~ Public Ulility When Connected to Public Utility: ~ Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH RE~EST BEFORE ~OCESSlNG CAN BE INITIATED. Time Time Time Time Da,e Date .ate Da,e~/~O.. ,~.L~. Insp~tor ~ns~tor Insp~tor Insp~ter Field Notes: ' , ~r~ .~ ~ MUN,CIPALITY OF ANCHORAGE RECEIVED ~ ) APPROVED B~D~O0~8 ~CONDITION8 OF APPROVAL ( ) DISAPPROVED ( ) C~NDITION~ APP~O~ ' Well To Absorption Area Well Log Received ~ Soils Rating D;t~ 7~l~ed Well [o Tank Seplic T~k Size ,~O~ 72,023 (3182)