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SUNNY SLOPES LT 63A
,Sunny ,Slo Lot 63A #050-152-44 Municipality of Anchorage On -Site Water and Wastewater Program - (907) 343-7904 Page of ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP181325 PID Number: 050-152-44 Dwelling: ® Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New ® Upgrade Name: ARROWHEAD PROPERTIES INC ABSORPTION FIELD - EXISTING ® Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 17031 MONTE ROAD, EAGLE RIVER ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 11 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade 3 Ft. Gravel depth beneath pipe 8 Ft. Subdivision Block Lot SUNNY SLOPES 63A Fill added above original grade Varies 1.4-1.54 Ft. Gravel length 37 Ft. Township Range Section Gravel width 2.5 Ft. Beds: Number of Lines -- Distance between lines -- Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 592 FtZ 1 -- Ft. Well -- 200'+ -- NA -_ TANK M Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer EXISTING Capacity Gal. Surface Water -- 100'+ -- NA Material Number of compartments Lot Line -- 10'+ -- NA NA Foundation -- 10'+ -- NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain I NA *50'+ NA NA Remarks *None known. Pump on level at in. Pump off level at in. High water alarm at in. Pump make and model Electrical Inspections performed by PIPE MATERIAL House to tank ; AS—BUILT SYSTEM DETAILS/SITE PLAN SUNNY SLOPES SUBDIVISI❑N LOT 63A Ivo �i w � i ia.ly ntl.� rx x_x_x_x_x_x_x x—x—x—x—x—x—: I AWWTS 4 -BR RESERVE 10' UTILJTY ESMT 4GPD/SF 10'Lx2'Wx8'ED - 11'OG U W o�� �� E I. PP` ew4 SCALEi 1' = 30' Q A -C=42.9' B -C=31.1' 0 A -D=74.5' _ B -D=53.8' 0 A -E=75,6' B-E=55.5'J EXISTIN 0 SEPTIC :r TANK LZ C Cog e 1h 5 cr�•cE / EX�S� Cpl 1250 SZ• GONGi�% PAVED D/W TH18-1 veoll LOT 63A NG �OV5E N89'59'00"El*\ 133.04' (132.88' REC) W r 0 FINAL GRADE Permit ❑SP181325 PID# 050-152-44 FILTER FABRIC, VARIES 76,50 � �eioiene 70,50 Ba SCALE: NTS �gcTER� In 11% a � � o x � x Z O ca ISG R11 NSCIL.TING e l FR AK. 99577 5�� SEWER ROCK U EL 37' uj ��. OFAl � \ PREPARED FOR: 3 1 ARROWHEAD PROPERTIES ° /r 23905 HOMESTEAD ROAD * 9TH CHUGIAK, AK 99567 N� v t KENNET M. FIELD BOOKS COMPUTED: N I 0 CE -7 18 W� / BOUNDARY: N A DRAWN: BMW 1 'rJ, ���W ® STAKING: NIA GRECICED: KMD a �1� ti ASBUIET: SLS DATE 10/15/1 P F'ESSIOt1�' t DWG. FILE: GRID: N W0152 `_� AGADFILE FILE JOB No.: 18173 1\I RQ`r,R'nA"P- r—x-� X �D \_x—x—x—x—x—x—x—x—x—x—x—J 0 M MONTE ROAD 0 ANCHORAGE RECORDING DISTRICT, ALASKA AS -BUILT OF: SUNNY SLOPES SUBDIVISION LOT 63A PLAT 81-201 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance should any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary lines. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. OCT 13, 2018 1"=20' 18-045 Aw+ BY: CHECKED BY GPoD NUMBT: B001C/PA JLS NW0152 180230 = FND ALUMINUM MONUMENT O = FND 5/8" REBAR i `S.�'• OF 49TH .............. •.�6HN L. SCHULLER - r LS -10408 /.3. -4•' ani/ �°fessionot �'�' t� ALD L ]v.D LJl C� 1831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax N tP!, y 0 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 / fratritz I),•hartnicnt On-Site Wastewater Disposal System Permit Permit Number: OSP181325 Effective Date: 9/19/2018 Work Type: Septic Upgrade Expiration Date: 9/19/2019 Tax Code Number: 05015244000 Site Legal Address: SUNNY SLOPES LT 63A G:0152 Site Mailing Address: 17031 MONTE RD, Eagle River Owner: ARROWHEAD PROPERTIES INC Lot Size in Sq Ft: 17448 Design Engineer: ARC TERRA CONSULTING INC Total Bedrooms: 4 This permit is for the construction of: 2 Disposal Field ❑ Septic Tank ❑ Holding Tank ❑ Privy 0 Private Well 0 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 1 /9 /g Received By: 1./.,/‘-t/Zz..,„ Date: Issued By: Date: VT,Os MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division ' Fax: 907-343-7997 On-Site Water& Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 050-152-44 ARROWHEAD PROPERTIES, INC. 907-229-7099 Property owner(s) Day phone Mailing address 23905 HOMESTEAD ROAD, CHUGIAK, AK 99567 Site address 17031 MONTE ROAD, EAGLE RIVER, AK 99577 Legal description (Sub'd., Block & Lot) 6ui 'j c5lapeS 24 OA Legal description (Township, Range & Section) Lot Size 17'448 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (®all that apply) Absorption Field Pr Initial LJ Single Family (SF) IxI (w/wo ADU) Septic Tank n Upgrade I>I Duplex (D) ❑ Holding Tank ❑ Renewal n Multiple Dwellings n Privy (l (SF and/or D) Private Well ❑ Water Storage n THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of;prbperty owner or authorized agent) Permit/Rush Fees: Jit Waiver Fees: Date of Payment: g 1(l 1l$ Date of Payment: Receipt Number: (355-1D Receipt Number: Permit No. OP1' 1325 Waiver No. Permit App_9-1-12.doc • thoRCTER4• ARC T ERRA `--� CONSULTING, INC 6�9� 51.171NG •, 212 E. 51st Ave,Anchorage,AK.99503 •"`°°°" Office(907)868-3791, Fax(907)868-3793 September 10, 2018 Municipality of Anchorage Development Services Department On-Site Water &Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Upgrade Sewer Permit- Sunny Slopes Lot 63A The absorption crib of the subject property is within 5' of the garage foundation and the owner has requested we proceed forward to obtain a septic permit to upgrade the septic system. The existing concrete tank inside the garage has been in use for decades with no known issues. The general slope of this lot is from southeast to northwest at a grade of approximately 15-20% over the septic area. On September 4, 2018 a testhole was performed to investigate soils and groundwater. The results of this test are attached for your review. The proposed upgrade will serve the existing 3- bedroom single-family residence. We propose to install a deep trench. Groundwater was not encountered at excavation or at monitoring. The property and adjacent lots are served by public water. There is no surface water within 100' of the proposed system and there are no known curtain drains within 50'. We do not expect there to be any adverse effect on adjacent lots by the development of this system. If you have any questions, please contact me at 868- 3791 / FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. ""/;" 1 Kenneth M. Du . Attachments: On-Site Sewer Application Wastewater Absorption System Details/Site Plan Soils Log/Percolation Test 20441 PTARMIGAN BLVD • EAGLE RIVER,AK 99577-8736 • PH(907)868-3791 • FAX(907)868-3793 WASTEWATER DISP❑SAL SYSTEM DETAILS/SITE PLAN SUNNY SLOPES SUBDIVISI❑N LOT 63A mag 68'04't 118.92' ( ••7Y00'F 119.10'REc) r '--A• i 470Wv '—s—e--s--_•AX OA.a__. •.1 �I GT 4W0/1F F�1 10l.7V.�'ID 1111AR 00 p /'\ Q A p NIX Y7 1!0 4.1,J6M,� fl O `� YA%I1'111011 00 CO 4.1,J111111111 f: moot. 1H10-01 .1i ti, /Tat V LOT 89A i tto0,1 p5 tr. A1.x.a �� r -Ng101T I 1 i \N6979'•• 133.04' (13288'NEC) I jo A MONTE ROAD— — _ _ L_ m FLAG PROPERTY LINES WATER LINE & EASEMENTS PRI❑R TO C❑NSTRUCTI❑N Scale: 1'= 50' DESIGN DETAILS PAGE 1 OF 2 4 BDRM X 150 GPD = 600 GPD 600 GPD/1.2 GPD PER SQ. FT. = 500 SQ. FT (500 / 2 x (8' EFFECTIVE DEPTH) = 32 FT. TRENCH USE 1 TRENCH - 32' (L) X 2' NO X 8' (ED) co Total depth of system Is 11' max from original grade. Total depth of gravel below distribution pipe is 8' . d NO PUBLIC WELLS WITHIN 200' OF o PROPOSED SYSTEM. NOTES: I NO PRIVATE WELLS WITHIN 200' OF m PROPOSED SYSTEM EXCEPT AS NOTED. 1, CONNECT TO EXISTING 1250-GAL CONCRETE SEPTIC TANK.. PROPOSED WELL EXCEPTHIN AS NOTED. 2. INSULATE TRENCH WITH 2' HD BURIAL FOAM IF < 3' OF FILL. MIN. 2' FILL WITH INSULATION, >3' COVER NO INSUL REQ. 15 3. CONTRACTOR WILL ENSURE MINIMUM 2% SLOPE INT❑ SEPTIC TANK. 4. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT o WELLS, SEPTICS EASEMENTS, PROPERTY LINES, ETC.., to >, 4110:1111166`Nli �� O• 7-<1.4.<1.6 t PREPARED FOR: CTE D co crARROWHEAD PROPERIES, INC, R� N �`� � 1-k 23905 HOMESTEAD ROAD oti �, alt j 4'e. E /*" . / 9TH 1\ * V CHUGIAK, AK 99567 ,44°.t' J� � / 907-229-7099 MI111 ) d3 / • , elf / FIELD BOOKS COMPUTED: ; '/`i�..",1' d / • im S X � ri w ` CE w� BOUNDARY:N/A DRAWN' BMW ''i I,�� _ r��:11 1 6,4 / �y�.•'�� STAXINC: N/A CHECKED' KMD r`a `�r�` . l �' �` ' ASeuiLr: SLS DATE 09/11/2018 •ti''�—�F'•• ����.�,' _ \\�,�// qi F'ESSIO D . FILE: CR NW0152 Qt,,.. �'p ��G,„ON E \`\ ACRD FILE: FILE .X Ma:18173 ���F`VSUiTING ,63y l AK 99577 WASTEWATER DISP❑SAL SYSTEM DETAILS SUNNY SLOPES SUBDIVISION LOT 63A (N '5700"E 119.10' REC) cfx x—x—x—x—x—x—x x—x—x—x—x—x—x—x—x—x— I 10' UTIL. ESM T. CAT III 4GPD/SF 4-BR RESERVE - 10'L x 2'W x 8'ED - 11'MAX OG OR REMOVE & REPL CE PROPOSED FIELD AS RESERVE. _ NNN a0 S \"`? N g`'4 1 CO iiIIL (0 a>nuuCD r.-I• SNWir, W CO \16 1 6.O' \ ""4- 0 sHED tO W INSTALL NEW . 0 < 10'+ 32'L X 2'W X 8'ED !n O I MAX 11' FROM OG z Si'o o \f"iii• TRENCH. TM18-01 N Z tet- I k o. z 0 \fp' z I 5.7' I DECOMMISSION EXISTING .•c , K &BINSTAL DOUBLOE FCO. LOT 63A �7 n��x D� \� ! FC° LL 2k E° CO AC*N°( Cmc Wpm 11.8' o °' tCO "o. 0C-61( 52'5 N , ik VAS 01A5 o GP"' w 1250 S-C• 3,6R N 0 CON Ln 21 0 33.7' 19.3' - cA 7.q 0 CONGRE� N 32O CHC 44• PUBLIC WATER m - SERVICE LINE 0 \ IN FRONT _ x YARD. ' O o PAVED \ o 00 �i 0/W # FLS 'R❑PRTY LINES WATER LINE & EASEMENTS PRI❑R TO C❑NSTRUCTI❑N Scale: 1'= 20' -.4411_ 46k\ PAGE 2 OF 2 t /��i �F "46 PREPARED FGR' CTE b /<Sy ,y ARROWHEAD PROPERIES, INC. �R R N r `�� 23905 HOMESTEAD ROAD r1' //,/1A��\\� �c. N //* �,9TH /N ,*, + 907-2CHUGI9 AK 99567 7,AVER\ 13 \ _ . . .�' . // / 907-229-7099 �� , m �. Dfi / FIELD BOOKS COMPUTED: c;i r"ig..""' 1 z ' , CE- 6 4�4 e(JNDARY:N/A DRAM' BMW 1 11111 1x22111' \ w STA11NG: CHECKED: `. Vigil/ `/ o'er, m ' q//7 /� ~4' ASBUILT: N/A DATE KMD s. _\� I// � pS, SLS 09/11/201E F E ssio�� DWG. FILE CRti: N W0152 9`(F CbA,S , c`9�; Z `__ ACRD FlLE JOB Na: ''F'4z4 (-TING •e.1jb FILE 18173 AK.99577` ." ,,,erERR,q ..�``N �,, T i�.) OFAL.4 S;-.1%. ARC ERREA /�� i., 1 ! CONSULTING, INC +'.V % 1 212 E. 515`Ave,Anchorage,AK.99503 * 49 TH ',4.�0Q„ 4.4/Office(907)868-3791,Fax(907)868-3793 F• t7,1 ` KENNETH M. D Ar. / SOILS PERCOLATION TEST 1 7116 1cy 1 ' �/ ' Air Performed for: Arrowhead Properties, Inc. Date Performed: 9/4/2018A. \PRos to sP� Project: Sunny Slopes Lot 63A TEST HOLE# TH 18-1 Depth eet SEE ATTACHED SITE PLAN FOR HOLE LOCATION 1-" Org/OL Was Ground water encountered? NO What depth? NA 2 2. :. a tj Depth to water after monitoring? NO Date? 9/11/18 ,140; r;. > GM/gp w/boulders to 1'+ Reading Date Gross Net Depth of Net 5- _ ,,?,41 Time Time Water Drop 6- ': ,- . 1 9/5/18 1:00 - 6" - 7-$), 2 1:10 10 min 29/16" 37/16" 8-51 3 * 1:116" ,.4 t9-, ' 4 1:21 10 min 28/16" 38/16" 10- i'. 5 * 1:22 6" 4f` 11- ` :< 6 1:32 10 min 2 9/16" 3 7/16" 12- .�r c- 7 * 1:33 - 6" i',44, 13- 8 1:43 10 min 2 10/16" 3 6/16" 14 '.v` 9 * 1:44 - 6" - 15t:.,,T4" 10 1.54 10 min 2 10/16" 3 6/16" 16- :;,i '—'4 11 * 1:55 - 6" - B.O.H. 17- k 12 2:05 10 min 2 10/16" 3 6/16" 18- * Water Added HOLE PRE-SOAKED 19- PRIOR TO TEST Percolation Rate 3 (min/in) Perc Hole Diameter 6" 20- Test Run Between 5 feet and 6 feet I, Kenneth M. Duffus, certify that this test was performed in accordance with all State and Municipal guidelines in effect on this date. Wockenfuss, Deborah M. From: Noffsinger, Ross D. Sent: Monday, September 17, 2018 2:39 PM To: Carroll, Rebecca M.; Ecklund, Timothy J Cc: Wockenfuss, Deborah M. Subject: RE: Sunny Slopes Lot 63A Follow Up Flag: Follow up Flag Status: Flagged All, Given the tank may be structurally sound, I would not require it be replaced just because it is under the garage. Ross Noffsinger, PE Acting Building Official, Engineering Services Manager Development Services Department Municipality of Anchorage 343-8309 From:Carroll, Rebecca M. Sent: Friday, September 14, 2018 12:27 PM To: Noffsinger, Ross D. <ross.noffsinger@anchorageak.gov>; Ecklund,Timothy J <timothy.ecklund@anchorageak.gov> Cc: Wockenfuss, Deborah M. <deborah.wockenfuss@anchorageak.gov> Subject: Sunny Slopes Lot 63A Ross, I reviewed the attached permit on Friday afternoon. The permit is for a drainfield replacement only;they are hoping to be able to keep the existing 1966 concrete tank under the garage slab. Tim has been to the lot, so knows a little about it. Deb, the resubmittal may come in while I am out,so I am cc'ing you also. Please take a look and let me know your thoughts. Just so you know,we have approved COSAs from 2001, 1999, and 1981 all acknowledging the tank under the garage. Thank you, Becca Carroll Onsite Water and Wastewater Municipality of Anchorage 343-7908 1 N89'58'04"E 118.92' (N89'57'00"E 119.10' REC) 'x—x—x—x—x—x—x—x—x—x—x—x—x—x—x—x—x—x Ix—xi 5' UTILITY ESMT W I Lr d ' O _1I x NOI I (0 O x 4.1 (0 so 1 awl 0. 1 � ^ x O O _ k d'lri) N Z ° I LOT 63A o A= I x I 8.7' x I � ra k � I X-X , f X • w x '\° 431 it K ....,t; Kb.'�b X 2�9 REO CONC wpm CONC WPB ? x 11.8' No CO \NG o. 0C-C'‘ 5'2- 2,, o x W SPSPGE o O `'w GPR NG o• i O O N� Ix o O 2�° 33.7' I' z LO 19.3' '. w p 0 Tc C�CR�SE N 32 o. C NC 41W( I II I � I O o! PAVED v 00 p 0/w \ �P x z G�c' x I N89'59'00"E \ 133.04' (132.88' REC) I x ` D \-x—x—x—x—x—x—x—x—x—x—x—x-I b ro MONTE ROAD b r) ANCHORAGE RECORDING DISTRICT,ALASKA AS-BUILT OF: 0- =FND ALUMINUM MONUMENT SUNNY SLOPES SUBDIVISION O =FND 5/8"REBAR LOT 63A PLAT 81-201 _`"``` SURVEY CERTIFICATE:I,John L.Schuller,Have conducted a i�, OF A\�` "yQ LAND SUR,,, physical survey of this property as shown on this drawing and that the // ��..•• L<Q��I �4. ti0 S �f improvements situated hereon are within the property lines and no c� `) ' . 11 y4w 4,� enchroachments exist other than noted.Under no circumstance should ,f KI. 49TH i\ *I �7 0 0 any information on this drawing be used for construction of fences, !, / 0 t •a, L' structures,improvements,or for establishing boundary lines. 4 / r EXCLUSION NOTES:It is the owners responsibility to determine i4 l�/ fiROAD .- ' toHrr L. SCHULLER: °/ ¢ ' .'1 the existence of any easements,covenants,or restrictions which I,p. I �,� do not appear on the recorded subdivision plat. r•Co • LS-10408 . '�••,,.•�....,.. WORK ORDER NUMBER: OTE: SCALE E-MAL: 1 P Giro"' 1831 Talkeetna Street JULY 20, 2018 1"=20' 1\ap ''Zi,?x -.1�' ^a_/ Anchorage, Alaska 99508 18-045 ""BY:CHECKED BN ORID M BOCK PACE V/°fession°1 ��'�" (907) 227-1455 office JLS NW0152 180201 �‘\�.`�` (907) 274-4992 fax �y67890 • • ti s c_ Municipality of Anchoral / On-Site Water and Wastewater Program kt � A a ZC!S .a (907) 343-7904 �6 �iisLI CERTIFICATE OF ON-SITE SYSTEMS A' • ', � 68 Lc' ' Parcel I.D. 050-152-44 Expiration Date: /19—g- / 1. GENERAL INFORMATION Complete legal description SUNNY SLOPES LOT 63A Location (site address) 17031 MONTE ROAD, EAGLE RIVER,AK 99577__ Current Property owner(s) ARROWHEAD PROPERTIES INC Day phone Mailing address 23905 HOMESTEAD ROAD,CHUGIAK,AK 99567 Real Estate Agent Day phone 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) Duplex I Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Individual'Water Storage ❑ Holding Tank n Community Class Well' ❑ Community n Public Water System ® Public Sewer I 1 Waiver/Variance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 0110 Waiver Fee $ Date of Payment c///!,//g Date of Payment Receipt Number a%,'23 Receipt Number COSA# 05C I' If/? Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 868-3791 Address 20441 PTARMIGANBLVD.,_BLVD.,EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date 4/10/2019 Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore. ArcTerra can not give any estimate of how long a system will function satisfactory for current or future +�. .\.1k occupants or can ArcTerra guarantee that no unseen 1 encroachments,deficiencies or discrepancies exist. AV �)l `, A '_- 1 4 *4. Tii�i /* 6. DSD SIGNATURE / — irm -W System #1 Approved for iii bedrooms. 4 ,r ,��,„' System #2 Approved for bedrooms. 1 ''o 7� V All' Y Pp \ Disapproved. \ .� Conditional approval for bedrooms, with the follow ltti Y �q,�s: C, t`41 urn, Z.'/ear' c e c ,``0,- .`yS,�'. --(--rAmk l Jl. .k '►'t ON'SLTE o CATER AND JWASTE yyAT PROG ER ))))) SERVI "N ))II)))))1111>>��`\ Bi. ---1-------t-7_,,,_ F-/ Original Certificate Date: -1,e ( Ci_ The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other T COSA blue sheet_10-10-12.doc COSA Checklist Legal Description: SUNNY SLOPES LOY 63A Parcel ID: 050-152-44 If more than 1 septic system on lot: COSA Checklist# of Structure served by this system 1 A. WELL DATA ❑Well log is filed with Onsite (or attached) Well production at time of test gpm Date drilled Water storage tank volume gallons Total depth ft Well disinfected for coliform test? ❑ Yes • No Cased to ft ❑ Coliform bacteria is Negative ❑ Sanitary seal is functioning correctly Nitrate mg/L ❑ Nitrate less than MRL (ND) ❑Wires are properly protected Arsenic ug/L ❑ Arsenic less than MRL (ND) Casing height(above ground) in. Collected by Date of flow test for COSA Date of Sample Static water level at beginning of test ft. Comments B. TANK DATA C. LIFT STATION Age of tank(s) 52 years ❑ Required maintenance completed Tank type/material Septic/Concrete Age of lift station years Measured operating fluid level in septic tank 1250 Lift station material II Standpipes/foundation cleanout per record drawing Comments: Date of pumping 10/8/2018 D. ABSORPTION FIELD DATA NEW Which system tested (date installed)10/8/18 Adequacy test date III ALL standpipes present per record drawing Results ❑Pass For bedrooms Total measured depth from grade 11 ft(max) Fluid depth prior to test in Measured depth to pipe invert from grade 3 ft(min) Water added gal ❑ N/A—pressurized field New depth in Monitor tubes go to bottom of effective. If not,state Elapsed time min depth into effective Final fluid depth in Code-required soil cover over field ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment(past 12 months) date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot> 100' Community Sewer Manhole/Cleanout> 100' ❑Yes if No ft a Yes if No ft Neighboring Tank> 100' ❑Yes if No ft Private Sewer/Septic Line>25'❑Yes if No ft Absorption Field on Lot> 100' ❑Yes if No ft Holding Tank > 100' ❑Yes if No ft Neighboring Absorption Fields > 100' Animal Containment>50' 0 Yes if No ft ❑Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ❑Yes if No ft ❑ Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) * In Garage Building Foundations> 10' ❑Yes if No ft Surface Water> 100' 0 Yes if No ft Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' 0 Yes if No ft Private Wells> 100' 0 Yes if No ft Water Main > 10' 0 Yes if No ft Community Wells>200' 0 Yes if No ft Water Service Line > 10' 0 Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' 0 Yes if No ft If absorption field is under driveway comment below Property Line > 10' 0 Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells> 100' 0 Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells>200' 0 Yes if No ft Surface Water> 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION ♦♦♦♦-F�OF�44%. t I certify that 1 have determined through field inspections and review !.:, , t V of Municipal records that the above systems are in conformance with ' 49 Iti • *�0, MOA COSA guidelines in effect on this date. • os nirs , • wAf,��iw. .w//. M ' KENN'41410r',i 'US ,u: ♦CT I'sCE e - rig 4.".<`4.:‘ / / 4,, `O COSA Checklist yellow sheet CERT F CATE OF HEAL:TH'AUTHORITY APP. ROVAI ....... " .FOR A,S NGI'E FAIt'lILY DWEEI,ING , ·, .....~. . . ~,- . ,- .... t . ? Complete !egal description SUNNY SLOPES 'S/D LOT,63A ' LO~tlon (site eddre~ or directions) ~. '47031 ~ ~ONIE.,SIREEi'; CurrentPmpe~yowner(s) '~JEA~I~IE BLOMBERG~' '- "':" * '"' phone! - Mailing a~Jdress . 17031. MONTE',STREET, EAGLE RIVER ,99577 - - .. "' ' '" "' 'Dayp~one' '- ..... Lending a~ency, ' ' ' ' "' :' ' . Mailing address ' ' ' ' - · Real Estate Agent EVA LOKEN: ' ' "" ' : Day phone ' 689-6476 Mallingaddmss PRUDENTIAL V1STA REAL ESTATE .16635' CENTERFIELD DR. EAGLE RIVER, AK. 99577 Un/ess otherwise requested, HAA wi~/be he/d by DSD for p/ckup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well B Individual Water Storege Community Class Well J~ Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank Community On-site Public Sewer The Municipality of Anchorage Development Services D~partment (DSD) Issues Cer'dficates of Health Authority Approval (HAA) based only upon the representa'Jons given In paragraph 5 by an Independent professional cml engineer registered In the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. CerUficates 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 may be reissued for a period of up to one year with valid water samples.) Ceddficates are valid for one year for properties sawed 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. Note: Alaska Water and Wastewater Consultants, lnc. $hall be pald $7OO. OO at, or pdor , I to dosing for the engineering se~ces provided. 4. STATEMENT OF INSPECTION BY ENGINEER As cergfied by my seal affixed hereto and as Of the var~lation date shown below, I verify that my . Invesb'ga~on, based on procedures outlined Iq the Health Authori~yApproval Guidelines for this application; show~ that the on-si~ water supply and/or wastewater disposal system Is(are) safe, functk~al and adequate for the number of bedrooms and ~ of $1~'ucture indicated herein. I further verify that based on the Infon~ation obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewatar disposal system Is(are) In compliance with all applicable Munldpal. and State codes, ordinances, and regula~ons In effect at the time of installation. Name of Firm ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Address - 6901 DEBARR ROAD. SUITE 2B * ANCHORAGE, AK 99504- Engineer's Printed Name JEFFREY A. GARNESS. P.E. Phone 337-6179 Date ~ /~ ~/01' Engineer's Comments: In conducting ~his evalua~, AWWC, Inc. attempted to provide a ~hgreugh, consdentious engineering analysis of ghe system In accordance with ADEC and MOA DSD Guidelines & Regulars. The reported results ~ the pen'ormance of the system under the condi~ons encountered at the time of the test, and separate1' distances messumd to madi~ Identifiable features. The op~attonal ~fe of all v~lls and esp~c systems depend on the Iocal segs condit~n, groundwater levds that may I~uctuate durfng the year, and the water usage of the fami~, being served by the system. These condilluns are outside the control of the evaluator of the stem. Satisfactory test results do not guarantee fu~ra performance of the system, nor do they guarantee that there are no hidden defects or encroachments. AWWC,, Inc. can themforo not provide any v, ananty or fu~re estimate of how long the system wfll con~inue to meet the opera~nal requlremants of the A~EC or MOA DSD. The conte~t of this repoR Is for the r~le benellt of the owner listed above. Any reiiance ut~l or use of this report by ar~y dher person or party ls not authodzed, not will lt c~ter any legal right wha~:~wer. 5. DSD SIGNATURE ['"/ Approved for _~ bedrooms. Disapproved. Conditional approval for . .~. ON-SITE · O~ ~: WATER AND Attachmentsi - HAA Chec~Jist Septic System Advlso~ ' Well Fiow Advisory Manltenance Agreements Supplemental Engineer's Reort Other Original CeKIficate Date: '~ '- ,~"-- 0 / Municipality of Anchorage Development Services Department On.S~ Water & Westewater Pn~3ram 4700 South Btagaw ~t. P.O. Box 196650 Anchorage, AK 99519-6650 A. W ELLDATA HEALTH AUTHORITY APPROVAL CHECKLIST SUNNY SLOPES S/D LOT 63A ParcellD: 050-152-44 Welltype ~ ffA. B, orOpmvldePWSlD~ ~ ~ Total deplh to lt. Casing height (above ground) In. FROMWELLLOG ATINSPECTION 8teli¢ ..~ter level ~ .fL ~ g.p.m, g.p.m. WATER 8AMPLE RESULTS: B. 8EPTIC/HOLDING TANK DATA (LOCA~u~ IN GARAGE) Tank'~ji~Materlal UNKNOWN Tank$1ze 1250 gal, NumberofCompartmenteUNK Depression over tunk (Y/N) NO r-ounc~on ~ (Y~N) NO Dateofpumplng .., 2/21/01 ABSORPTION Fl~lfl DATA Length S ,. fL Date Inst~led 1966 High water mnn (Y/N) N/A Pumper JR'S PUMPING PBELOW fiNN. GRADEI 808 ra~ng ~tor ~) UNK System type CRIB Gravel below pipe 7.5 Wldth 8 fL Total depth 12.3 fL Eft. absofpt~l area UNK t~~ Monffodng tube YES Date of adequacy test 2/22/01 Resul~ (Pass/Fall) PASS Rutd depth In al=scxpllon field befom test 57 In. Wateradded 466gal. E]apsedTIme: 219 min. Flnalfiulddepth 62 In. Ab~ptJonrate>~ Any mJuvanal~on treatmant (past 12 mo.) (Y~ & type) NONE KNOWN Depression over field NO D. UFT 6TATION Date installed Size in gallons 'Pump on' level at In. 'Pump . High water alarm level at_ in, E. SEPARATIONDISTANCE~ IPUBLIC WATERI SEPARATION DISTANCES FROM V~.LL ON LOT TO: Septic tanMIft ~tstlon on lot On adjacent lots Absofpl/on field on ~1 ~ Public sewer main ~ Public sewer manhole/cleanout HoMing lank SEPARATION DISTANCES FROM SEPTIC/HOlDING TANK ON LOT TO: Bu~ling founda~on IN GARAGE Propelly llne At~mpUonfleld UNKNOWN Water main 10'+ Water ~ewloe line, 10'+ Surface water. Wells on adjacent lots 100'+ 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line UNKNOWN Building foundatlon UNKNOWN Water main Water service line lO'+ Cudaln drain NONE KNOWN F. COMMENT8 Surface water 100'+ Wells on adjacent lots. lOO'+ 10'+ Odveway, parkJng~vehlcie st=rage 5' +/- G. ENGINEER'8 CERTIFICATION I cerUfy ghat I have detsmdned through field thspec~or~ end review of Munldpal recoils that the above systems are In coeitxmance with MOA HAA guldeflnes in effect on this date. F. Jlglneel'~ P~rttad.Namq U~KL:Y A. C, ARNESS HAA Fee $ Data of Puyment Receipt Number (R.v. ~2J00) Waiver Fee $ Date of Payment Receipt Number Parcel I.D. # 050-152-44 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICAIE OF HEALIH AUTHORIIY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Lot 63A, Sunny Slopes S/D Location (site address or directions) 17031 Monte Street Property owner Mailing address Lending agency Mailing address Gerald Johnson PO Box 22844, Juneau, AK 99802 Day phone Day phone. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Agent Lou Campbell/Associated Brokers Day phone Address 2509 Eide Street, Suite 4, Anchorage, AK 99503 Unless otherwise requested, HAA wi/l be held forpickup. 3 NOTE: 229-1828 Individual well Community well Public water x×× If community well system, provide written confirmation from State ADEC attest- lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank community on-site Public sewer If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status 'of system. NOTE: 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 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. $ & S ENGINEERING Name of Firm 17034 Eagle Rive[' Loop !~,", ~ :',~ . . ~ Phone Eagle River, Alaska 99577 Address , '~Engineer's signature '"~.-./~ /'¢------- Date DHHS SIGNATURE ¢/ Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following stipulations: Additional Comments By: 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 DH HS 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. Legal Description: ~ ~ ~lv~L)~ ~ Mumcipality of Anchorage /,~.1~1~ DEPARTMENT OF HEALTH & HUMAN SERVICES FFR Environmental Services Division ' P F ANCHO 825 L Street, Room 502 · Anchorage, Alaska 99501 * (90Z.~!~:~4© P,A~E ~N~/IRDix~ENTAL SERVICES DIVISION Health Authority Approval Checklist (; ~ ~J ~'u,~,/ ..c~-~p,,Z$ ParcelI.D.: 0~0 -15-; A. WELL DATA P~ c Well type Log present (Y/N) Total depth Sanitary seal (WN) Date of test Static water level Well production Dare'sample: B. SEPTIC/HOLDING TANK DATA Date installed IfA. B, or C, attach ADEC letter. ADEC water sys~ Date completed C~h~height (above ground) Cased to / Wires properly protected (Y/N) FROM WELL LOG/ AT INSPECTION g.p.m. Foundation cleanout (Y/~ ~J 0 Date of Pumping Nitrate Other bacteria Collected by: Tanksize /~ 5"'0 Number of Oompadments Depression (Y/N) Pumper ;T/L5 g.p.m. __ Cleanouts (~/N). ~'~J' High water alarm (Y/~ ,,,J o C. ABSORPTION FIELD DATA Date installed Length ~- Width Effective absorption area ~. 3~ o Soil rating (g.p.d./fForfF/bdrm) v J~ Systemtype C/~ ~ Z~ Gravel thickness below pipe ? %. Total depth /0 Monitoring Tube present (~/N) 'Y~'$ Depression over field (Y/~ __ Date of adequacy test ~///'7 / ~ ~ Results ~Fail) /9 ,~ s ,,( For ~ Fluid depth in absorption field before test (in.); ~ ~o Immediately after~'~ gal. water added (in.): Fluid depth ~ <~ (ins) Minutes later: )/ ~- 5" Absorption rate = ~ &~o '~ .g.p.d. Peroxide treatment (past 12 months) (Y/N) /v ~,~_ ~,,~0~,,~ If yes, give date -- bedrooms 72-026 (Rev. 3/96)* D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* E. SEPARATION DISTANCES Size in gallons ~Datum SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main S e w~.pti ~'sE'r~ i'~' c e line SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation ~'~ ~/~ ~'L Property line ) o -/- Absorption field Water main/service line On ad a~ot ~jacent lots Public sewer manhole/cleanout Lift station -r~ Wells on adjacent lots Surface wateddrainage /~o / SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line '" ~ o Building foundation .--v 3 Water main/service line Sudace water ) o o -1- Driveway, parking/vehicle storage area Cudain drain w 0 ~ ~ ~: ,-~ 0 ~ ~ Wells on adjacent lots F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and revi~ in conformance with MOA HAA guidelines in effect on this date. Signature '-~ ~ Engineer's Name I]~ ~c.~'~- ~-- ~' ~ ~,'4 ~,~ Date ~ / ~' ~ / '~ '~ CE-880! HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $. Date of Payment Receipt Number N BM, ~aska, Anchorage RecordinE Precinct, and that the improve- ~ents situated thereon ~re within the property lanes m~d do not 0ver~ap or encroach on the property lyLng odjecent thereto~ that ~o Dnprovements on property lying adjacent thereto encroach on ~he EOT in question, and that there are no ~oadwoys, transmiss%on tines~ or ether visible easements on s&td LOT except as Lndicoted bm. eon. Dated atF~agze" giver, Alaska this 12th. dayof oeptember,~' 1966. Re'~.i,~te~ Land' Sm'veyor No. 880..LS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alaska 99501 DEPT. OF HEALTH & ENVIRONMENTAL PROTECTION JbF; 1 5 1981 ENVIRONMENTAL ENGINEERING DIVISION Telephone 264-4720 REC IV£D REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all parts on page 1. Incomplet~ requests will not be processed. Please allow ten (10} days for processing. ,. PROPERTVOW.E, £XX PHONE ~AI LING ADDRESS. PROPERTY RESIDENT (If different from above) PHONE PHONE MAILING ADD~ 3. LENDING INSTITUTION ,.. AL qK /1'lo'Fo ,q [ 4. REALTOR/AGENT 5. LEGAL DESCRIPTION STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] One [] Four J~] SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY : [~] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL* * ATTACH WELL LOG. A well log is requ'ired for all wells drilled [] COMMUNITY "' since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTI LITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM [] INDIVIDUAL/ON-SITE** [] PUBLIC UTI LITY **If individual/on-site, give installation date If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS E~ SINGLE FAMILY [] ONE [~ THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [~ INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ~NDIVI DUAL/ON DATE INSTALLED E~PURLIC UTILITY Connection Verified iNSTALLER []Septic Ta~_k or []Holding Tank Size: / 3.--~O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPT~DN AR EA MATER~AL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS '~APPROVED FOR '~ BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) [] DISAPPROVED DATE BY (Title) LEGAL DESCRIPTION 72-010 (Rev, 3/78) DAVID A. SLENKAMP ROBERT A,$HAFER MECHANICAL ENGINEER 694-9055 June 24, 1981 CIVIL ENGINEER 694-2979 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL P;:O [ECTION Delores Varin Box 10, Monte Road Eagle River, Alaska 99577 dL, i'~ 3 0 1981 RECEIVED Dear Mrs. Varin, Reference: Lot 63; Sunny Slope Subdivision A sewer system adequacy test was performed on the system located on the referenced property at the request of Barbara Wagnitz, Totem Realty. The septic tank was pumped and verified to have a capacity of 1000 gallons. The seepage pit required some repair work to add a cleanout in the top of the crib. Once this was done the system was tested by charging the crib with 1000 gallons of water and after a period of 24 hours measurements taken indicated that all the water that had been added to the crib had percolated out. It can be concluded from this test that the waste water disposal system serving the three bedroom residence located on this property is currently functioning adequately. However, the system cannot be guaranteed against subsequent failure~. It should be noted that the septic tank is underneath the garage floor with the cleanout pipe extending through the garage floor. There is a:tigh% s~aled cap on the~ top of. the cleanout to the septic tank and as long as this cap remains in place the location of the septic tank is not considered to create a health hazard. If we may be of further service, Sinc~z~ly, ~, ,///: /> / ~ /,,.i ' '~ ./' / .~/::,&" 1: .///'.:, ....,' ~OBERT A. SHA~ER, P.E. ~AS/ss cc: Totem Realty ATTENTION: Barbara Wagnitz please do not hesitate to call. Alaska Mutual Bank Eagle River Branch Municipality of Anchorage Department of Health and Environmental Protection $R8 196X EAGLE RIVER, ALASKA ¢~NCHORAGE, At.//St<A 9950' / ~ , Delores Varin Berry Box 10 Monte Road Eagle River, Alaska 99577 Subject: Lot 63 Sunny Slopes Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. Effective June 1, 1981, the lab fee is $20.00. (2) Locate and expose the well for our inspection. If the property is being served by a community water supply, this will need to be verified. (3) Locate and expose the standpipe~ to the septic tank and the seepage area for our in~ection. This is to insure proper distance requirements are met between the well and the sewer system. Please notify this office for a rein~pection when the noted descrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Sincerely, James S. Roberts Environmental Specialist: JSR/ljw cc: Alaska Mutual Savings Bank Post Office Box 1068 99577 Barbara Wagnitz % Totem Realty REQUEST FOR APPROVAL OF INDIVIDUAL SEWAGE AND WATER FACILITIES (Fill out in Triplicate) 1. Name .of person requesting approval 2. Name of property owner Legal description Number of bedrooms in house three 5. Water Analysis: VIRGIL FLINT UNIT CONSTRUCTION, INC. LOT.63, gUNNY SLOPES $/D a. Bacterial b. Detergent 6. Well data: a. Type drilled b. Depth : lk9 feet c. Casing Size steel d. Distance from well to closest existing or proposed: 1. Sewer line 200 fe. et 2. .Septic tank 200 re. et 3. Seepage Area 200 f~et ~. Cesspool], 200 f~et 5. Property Linc 200 f~et 6. Other sources of possible contamination, i.e., creeks, lakes, houses, barn, drainage ditch, etc. 200 feet 7. Sewage disposal system. a. Age of system b. Septic tank capacity in ga]ions .... 12~0 c. Name of septic tank manufactu~$r .Allied Services 1. If "home made" show diagram on reverse side of this fomm. d. Disposal field or seepafe pit size and type 8xSx8 lo~ 1. Distance to property line 12!] to house foundation..~~ e. Percolation Test results 1 inch/ 50 seconds f. Percolation Test performed by ALASKA 8. Use the reverse side of this form to show diagram. Diagram should include the following information: p~oo~,rty lines;.well location, house location. septic tank location~ disposal area location~ location of percolation test~ and direction of ground slope./ copy survey attached ! 9. The information on this form ~s true and correct to the best of my knowledge. Signa'ture Df Applicant ''6ate Signed TO BE FILLED OUT BY HEALTH DEPARTr. IENT PERSONNEL above described sanitary facilities are hereby approved, subject to. the ~611owing condiiions: Conditions: The above descmihed sanitary facilities are disepproved for the following reasons: Approval is valid for one year following the da~e of approval. CPJ:cw FHA Form 2573 ~-~",~,/ '~,~/ Form Approved Rev. July 1958 · FEDERAL HOUSING ADMINISTRATION Budget Bureau No. 63-B296. HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM PART I.BTO BE COMPLETED BY FHA INSURING OFFICE MORTGAGEE SERIAL NO. Anchorage, Alaska Alaska Mutual Savings Bank MORTGAGOR OR SPONSOR PROPERTY ADDRESS Monte Road, Eagle River, Alaska. Virgil ~int, ~nit 0onstruc'bion, Inc. I Lot 6~. Mm~n.v Slopem SUBDIVISION NAME BLOCK NO. LOT NO. Sunny Slopes --- 63 TOTAL NUMBER: LIVING U NIJ'$ BEDROOMS BASEMENT BATHS ] New installation addltlanal bedrooms? (if Yes, how many~) WATER SUPPLY BY: ]Public system SYSTEM DESIGNED FOR {~--] Community system [] Individual NO. OF BDRMS. GARBAGE DISPOSAL iEWAGE DISPOSAL BY: Public system [] Community system ~] Individual 3 [] Yes [] No PART II.BTO BE COMPLETED BY HEALTH DEPARTMENT HEALTH DEPARTMENT INSPECTOR'S SKETCH It is the opinion of the [] State [] County [] Local Department of Health that this individual water-supply system [] is [] is not satisfactory as a domestic water supply for the subject property. It is the opinion of the [] State [] County tern with proper maintenance: r~Can be expected to function satisfactorily, and is not likely to create an insanitary condition [~ Local Department of Health that this individual sewage-disposal sys- J~J Cannot be expected to function satisfactorily DATE SIGNATURE TITLE .: /_ : c / ,. : .. , NOTE: The health/aut~orJty should complete"~he appropriate opinion statement above and a~x date, signature and title in the spaces provided. Use of the above grid for Health Department Inspector's sketch as well as use of the back of this form is at the option of the health authority. PART III.~FOR USE OF FHA OFFICE TO THE CHIEF UNDERWRITER: I have reviewed the foregoing and the pertinent FHA Compliance Inspection Report, and recommend that'the Individual water-supply system be considered [] Acceptable [] Not Acceptable Sewage disposal be considered [] Acceptable [] Not Acceptable. ] CHIEF ARCHITECT ] DEPUTY FOR CHIEF ARCHITECT DATE SIGNATURE HEALTH AUTHORITY APPROVAl. INDIVIDUAL WATER SUPPLY AND SEWAGE DISPOSAL SYSTEM FHA Form 2573 Rev. July 1958 CORTHI='LL · LEE ADAMS ~ ASSOCIATES CONSULTING ENGINEERS [Init Construction Box 128 Eagle River, Alaska WINCE Pro)ecl: P,-rcolauon I'est - Lot 63, Sunny Slopes Subdivision May 11, lC~66 Work Order No. 7048 Gentlemen: The test data for a percolation tes[ performed in a previously excavated hole on the subject lot are attached. Thc percolation rate was dele:mined to be 1" per less than ~wo minutes Vcr~ truly yours, ADA M S, CORTHELL, LEE, WINCE & AS ~OCU\IE, Frank W. Wince. P.E. FW%V:sc Enc. ~/~,i~,~~': .- .~. ,f- . LOCATION L. OT FHA NUMBER BLOCK CLIENT- //* '/ x'- ...... '"'"""""""~7)'"'/ /'"':~ SOiL CLASS - VISUAL - UNIFIED ~':~-.-~,/.,.~ -'g/~':'-L,,CAT ION SKETCN ,~ c:, J GRAVEL CLAY l~' v ORGANIC CONTENT PEAT READING ,ATURATE HOLE LOG JDAT['[ GROSS TIME 0 5-1,,-~J .-7; ,~ ~ I 5/:'?- '~' '~/ /::'/?,", 2 ~i F~ APP. TOPOG. NET. TIME 'F DEPTH TO NET DROP /.6 =- I~" 7 FROS'F '~ ~ WATER JTABLE $ I ?_RCOLAT~oN ?RATE r,~ - ~'~ ~ - -'