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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 9A Municipality of Anchorage Page DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P,O. Box 196650 · Anchorage, Alaska 99519-6650 · Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Nam~ ~ ~. ~ ~V~l~ ~ ~astewaler System: D New ~Upgrade Total ~pth from originalgr e: LEGAL DESCRIPTION s°"""""~:O. ~.D~s~ ~, I~.~ I Lot: ~ ~~ L~x~ ~ ~ ~Bl~k: Su~ivision: ~p ~ to pi~ ~ffom Item ~ginM~grade- Fl Gravel depth ~neat~ pi~Ft Class*hcation (Private, A.B.C): ~L~L~ ~ Total~pth: Ft. Cas~ ~o; Ft. Total absOrptionarea:l ~ ) SQ~ FI. ~ial~[~~ SEPARATION DISTANCES optic a Holding a S.T.E.P. SuVaco LInoL°t ~ I0'+ __ ~ ~ $izelngatl°ns: IManufacturec~ Remarks: BENCH MARK Reviewed and approved by: ~ Date: /-~- ~ Municipality of Anchornge DEPAHTIAENT OF HEALTH AND HUMAN SEFIVIOE$ ENVIRONIAENTAL SEHVIOE$ DIVISION P.O. Box lOSB$0 · Anchornge, Alaska 09519-~850 · Telephone: 34:34744 On-Site Wastewater Disposal System and/or Well Inspection Fleport Legal Description:~:~l A PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 #L' STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW910378 DESIGN ENGINEER:S & S ENGINEERS OWNER NAME:MEYERS THOMAS E & CYNTHIA L OWNER ADDRESS:lB606 LITTLE CAPE CIR. EAGLE RIVER, AK 99577 DATE ISSUED:12/20/91 EXPIRATION DATE:12/20/92 PARCEL ID:05022118 LEGAL DESCRIPTION: EAGLE RIVER VALLEY RANCHETTES LOT 9A, SECT, T14N, R1W, SM LOT SIZE: 17955 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE FOLLOWING SPECIAL PROVISIONS. RECEIVED BY: ISSUED BY: SPECIAL PROVISIONS: DATE: DATE: ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 SEWER & WATER MAiN EXTENSIONS WELL INSPECTtON S FLOW TEST SITE IPt.ANS ROAD DESIGN SOIL TEST PERCOLATION TEST December 12, 1991 Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Eagle River Valley Ranchettes Subd.; Lot 9A Request you issue a permit to upgrade the septic system serving the referenced property. An adequacy test was performed on the existing system and the absorption capacity of the system was found to be inadequate. Two test holes were excavated and percolation tests performed in the area of the proposed upgrade and alternate site. The monitoring tubes within the holes have been checked and found to be dry. Attached is the proposed upgrade design with an alternate site depicted. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic upgrade. This property is serviced by Municipal Water. The water service line enters the home from Man-O-War Road. There are no wells within 200' of the proposed upgrade or the proposed alternate site. If you have any questions or require additional information for your review, please contact us. Sincerely, S~H(FER, P.E. RJS/lsu DESIGN 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 PERFORMED FOR.'~'~-/~ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street. Anchorage, Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST LEGAL OESCRIPTION~-~'~f~d"L-~'"_~"I"~ ~wnship. Range. Section~ I/~, ~.~ ~ ~ ' SLOPE ~ITE pLAN 1 WAS GROUND WATER ENCOUNTERED? 3 6- 7- 8- 9- I0- 11 IF YES. AT WHAT 13- 14- 15- 1'6- Reading Date Gross Net Depth to Net Time Time Water Drop ~ ~ ~:~o ~ ,.~ ~'1~" ~/~" PERCOLATION RATE '"~"~ (minutes/inch} PERC HOLE DIAMETER C O M M E N T S.~..~_.~T~ ~ ~{~ .~_..~ 'rEST RUN BETWEEN ~ FTAND ~ FT ~;='r:''--------__________:I:T~=~O'd "'' ~ ,~ERT,FY THAT THIS TEST WAS PERFORMED IN PERFORMED 72~ (R~. M.fl~c,psfil~ Of Anchorage ~.,?.~.*:,';,'G I DEPARTMENT OF H~LTH & HUMAN SERVICES '~'t~/~/ ~ I 825 "L" Street, Anchorage, Alaska 99502~50 9~~.~ I SOILS LOG -- PERCO~TION TEST . 2 3 4 5 6 7 8 9 10 11 12 13 14 15- 16 17, 18- 19- 20- WAS GROUND WATER ENCOUNTERED? , IF YES, AT WHAT DEPTH? pO E De~h ~o Wit~ ~ .I Reading Date Gross Net Depth to Net Time Time Water Drop I tT--l~-~l '~:/-~-~-~ ~ ~,'/A-" -~_ ,.., -~;(~' I~m,~ ~1~. ~/~,' ~ / ~2~ ~ ~'~ ~/~,, ~ ~ ~-~ / ~1~ ~1~." ~ ) ~ ..~ ~. ~ ~,' ~ / ~: PERCOLATION RATE ~ (m,nutes/, PERC HOLE DIAMETER ~,~ ri TEST RUN BETWEEN '~'~' FT AND n~ FT $ & S ENGINEERING ~'~L...~ ,"'~ /""~ A PERFORMED BY: , I / ' CERTIFY THAT THIS TEST WAS PERFORMED IN I/U.s4 t. agio K~Y~ L~p Road NO. ~ ~ [ ~ I ~ I ~ ACCORDANCE WIT~g~~ GUIDELINES IN EFFECT ON ~IS DATE. DAT~ 1~ ~ ~ ~ 72~ (R~. PERMIT NO. I'ILIt'.I T C Z~_F_'RL -r T'-r' ¢~F RI'~CHOI;;:RGE DEF.'ARTMENT} ~ ~ HEALTH AND EN'¢IRONMENTRL ~'OTECTION ~x-:. 825 ~ STREET, RNCHORAGE~ AK. 99~ 264-472~ Ot-~--5 I TE 5E~4ER PER~ I T RPPLICRNT. 5. ~: K. FOSTER 40 BOX 770~9£ E.R. 99577 ~94-~871 LOCATION ADD 500 GAL. TANK TO OUTFRLL OF i000 G~L ~ LEGAL LgR'~'R~"~E R. VALLEY RANCHETTES LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MRXIMUH NLIHE:ER OF BEDROOMS = 5 SOIL RATING (SO FT?BR)= 225 THE REO. UIRED SIZE OF THE SOIL ABSORPTION SYSTEH IS: E, EPTH= :LE-~ LEt~GTH= _'~-4 GRR%,'EL DEPTH= THE LENGTH DIMENSION IS YHE LENGTH (IN FEET)OF THE TRENCH OR DRRINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AHD 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 OUTFRLL PIPE AND THE BOTTOM OF THE EXCAVATION (IN FEET). REC-.'U I ~'ED SEPT I C TRt~K S I ZE= -15r--j£'~ !]RLLOI'-IS PERMIT RF'F'LICRNT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS RDJRCEHT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. . TI~O ( 2 > I t~SPECT I ON5 ARE RE~U I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION. AND APPROVAL BY THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETHEEN A HELL AND ANY ON-SITE SEHAGE DISPOSAL SYSTEM IS t00 FEET FOR A PRIVATE WELL OR 15~ TO 2~ FEET FROM R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL HINIMUM DISTANCE FROM A PRIVATE WELL TO.R PRIVATE'SEHER LINE IS 25 ~EET AND TO 8 COMMUNITY SEWER LINE I5 75 FEET, OTHER REQUIREMENTS MAY APPLY. SF'ECIFICRTIONS AND CONSTRUCTION DIRGRAHS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F'ER[1 I T EXP I RES DECEIIBER I CERTIFY THAT l: I AH FAItILIRR HITH THE REQUIREMENTS FOR'ON-SITE SEHERS AND WELLS RS SET FORTH BY THE ItUHICIPALITY OF ANCHORAGE. 2: I HILL INSTALL THE SYSTEM IN ACCORDANCE HITH THE CODES. · 3: I UNDERSTAND THAT THE ON-SITE SEHER SYSTEM MAY REQUIRE ENLRRGEMEHT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 5 BEDROOMS. APPLICANT S.. ~: K. FOSTER V4. ~ 825 "L_" STREET ANCI-iORAGE, ALASKA 99501 (907) 264 4111 January 4, 1982 Stephen Foster Box 691 Eagle River, AK 99577 Permit ~ 811103 Subject: Lot 9 A E.R. Valley Ranchettes A permit issued by this department for a well and/or sewer system has expired as of December 31, 1981. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, Sewer and Water Program Enclosure: Copy of Permit PERMIT NO. APPLICANT LOCATION LEGAL STEPHEN FOSTER BOX ~-~l -~577 E, R. MAN-OF-WAR RD. LOT 98 E.R. VALLEY .E~r~"t~ ~ ur~J ~i. LOT ~94-~871 21750 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MRXIblUM NUMBER OF BEDROOMS SOIL RATING THE REQUIRED SIZE OF THE SOIL RBSORPTION SYSTEM DEPTH= 10 LEf~GTH= 5~ GRR%~EL DEPTH= THE LENGTH DIMENSION IS THE LE~I~TH,.(,IN F, EET~..OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R 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 PEET>. PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL HILL SERVE. TI.~O ( 2 > I ~SPECT I 0~$ RRE REQU I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTIOM. MINIMUM DISTANCE BETWEEN R WELL AMD ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR R PRIVATE WELL OR 150 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC HELL. MINIMUM DISTANCE FROM R PRIVATE HELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY SEHER LINE IS 75 FEET. OTHER REQUIREMENTS MAY RPF'LY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE R',/AILABLE TO INSURE PROPER INSTALLATION. PEAr-11 T EXP I RES DECEr'~BER 3:L~ :1_98:1_ I CERTIFY THAT ~ I ~ l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND HELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTRMD THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. ....... w .... .... w. MunicipalitYof Anchorage 825 'L" STREET ANCHORAGE, ALASKA 99501 (9.07) 264-4111 (~EORGE M. SULLIVAN, &fA YOR DEPAR]'MENT OF HEALTH AND ENVIRONMENTAl. PROTECTION December 31~ 1980 Yates Construction Box 243 Chugiak, Alaska 99567 Permit ~ 800640 Subject: Lot 9A Eagle River Valley Ranchettes Subdivision A permit issued by this department for well and/or sewer system has expired as of this date. Permits are issued on a calendar year basis, as stated on the permit, by authority of Municipal Ordinance. If you have drilled the well, a well log should be sent to this department to document the installation date. If an engineer inspected the installation of the on-site sewer system, please have them send us the as-builts for our files. If there are any further questions, please call this office at 264-4720. Sincerely, // -- Senior Environmental ~F~cialist LNB/ljw enc: Copy of Permit SWP/057 : MUI'~ I C I?IRL I TY OF RhlCP~"~RAGE ' ', DEPARTMENT~,. ~HEALTH AND ENVIRONMENTAL . .OTECTION ', 825 ~L' STREET, ANCHORAGE, AK. 99501 264-4720 ON~ [ TE ~EtdE~ UP~E PE~ · T PERMIT NO. ( 800640 ) RPPLICBNT ~ C 2 ~ ' BOX LOCATION MAN-O-WAR .ROAD LEGAL ["SR ~E RIVE~'~'~'~;~ LOT SIZE 21750 SQUARE FEET TYPE OF SOI~ RB5ORPTIOt~ SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RATING (SQ FT?BR)= 212 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM DEPTH= ~-0 ler~Gth= 52 GRRVEL DEPTH= THE LENGTH DIMENSION IS THE LEtIGTH (IN FEET) Of THE TRENCH OR DRRINFIELD. 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 OUTFRLL PIPE AND THE BOTTOM Of THE EXCAVATION (Itl FEET). REQU 1- RED SEPT 1' C TRNK S 1' ze= :1_000 GRLLOr4S PERMIT APPLICANT HAS THE RESP~BILITY TO IN~I THIS DEPRRTM~,NT DURING THE INSTALLATION INSPECTI~.~S OF ~ELLS RDJRCE~ TD~THIS ~ROP~T~' AND THE ------ T~dO 5~g ~Ir~SPEOT~ON~ RR~EQUZRED ------ BRCKFILLIHG OF RNe~STEH HITHOUT FI~iRExIK~PECTIO~t,~t)D APPROVAL BY THIS DEPRRTMENT WILL BE SUBJECT TO PRo~Ec~TIOf~. ~ZNZMU, D~STRNCE ~ETWEZN~r~ZL~ lee FEET FOrt ~ PnZWTZ ~ ~{de TO ~ee Fi~ FR~/~ ~'~LZC .ELL ~EPEN~Z.~ UPON THE TYPE OF PU~UC ~ZK~-- M.~MUM ~ZSTRNCE FnOM R ~RTE TO R COMMUNITY SEIqER LI~E ~I~ 75 F~. OTHER REQUIREMENTS MAY RPPLY. S~CIFICRT~ONS RND CONSTRUCTION DIAGRAMS RRE AVAILABLE TO INSURE PROPER ItISTALLRTION. PERM I T EXP I RES DECEMBER 3:L~ :L-q80 I CERTIFY THAT l: 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 Itl ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO ItICLUDE MORE THAN 3 BEDROOMS. SIGNED: APPLICANT YRTES CONSTRUCTION ISSUED BY .............................. DRTE_ZA=,-$.Jzfir~___ V4. 0 r.llJ[-I I '~- I PRE T T'T' . I_--'1~- I=~[~CHIi'I~;:RI~I~'~ DEPARTME"T .. ~ . ' 264-4720 /~'// /- ~IELL Rf4D E~[-~--S I TE SE[4ER PER~I~ m NO. LEGAL ~. --. // . / ~ ~ LOT FEET TYPE 0F MAXIMUM NUMBER OF THE REQUIRED SIZE OF THE SOIL ~BSORPTION SYSTEM IS: DEPTH= /~). LEI~JGTH= S~ GRR'.~'EL DEPTH== ~ THE LENGTH DIMEN~I0,, I~ THE LENGTH (IN FEET> 0F THE TREt,CH OR DRRINFIELD. THE DEPTH OF R TRENCH O~ PIT I~ THE DISTANCE BETWEEN THE ~URFRCE OF THE GROUND AND THE BOTTOM OF THE' EXCAVATION (IN FEET). THERE I~ NO ~ET WIDTH FOR TRENCHE~. THE GRAVEL DEPTH I~ THE MINIM,JM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE AND THE BOTTO, OF THE EXCRVRTION (IN FEET>. TI40 (2) I 1'4¢PECT- _ I Of 4q_ I-~RE RE~_-~LI I RED BACKFILLING OF ANY SYSTEM HITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPRRTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN R HELL AND ANY 0N-SITE E. EHRGE DISP0$RL SYSTEM IS 400 FEET FOR A PRIVATE WELL OR 3.58 TO 200 FEET FROM R PUBLIC HELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO R PRIVATE SEWER LINE IS 25 FEET AND TO R COMMUNITY E. EWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST 8E RETURNED TO THE DEPRRTMEHT WITHIN ~0 DRYS OF THE I~ELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIRGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT EXPIRES DECEMBER I CERTIFY THAT l: I RM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS RS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL'THE SYSTEM IH RCCORDANCE WITH THE CODES. ~: I UHDERSTAND THAT THE ON-SITE SEHER SYSTEM MAY PEQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. .............. APPL I CRNT/~ PERFORMED FOR: LEGAL DESCRIPTION: 1 2 3- 6- 7- 8 9 .,10 11 12 13 14 15 16 17' 18- 19- 20- COMMENTS MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L, Street, Anchorage, AIl[kl 99501 2644720 SOILS LOG - PERCOLATION TEST SOILS LOG PERCOLATION TEST .'~"'! /"1 ", /?l//'/.I, //r ' SLOPE SITE PLAN / ..... ,/ /..-i ~.,/'/! t.',~: / /~ '"? }-- '/':" ,/~ /~VASGROUNDWATER ~,~ ~ /~ ~-:',/~E NCOUNTER ED -~ -~~I~ES, AT WHAT DEPTH? Reading Date Time Time Water Drop f Il:. r . .~ _ ,:.11.:,~ / ,_ // I 't.':;:', ,, i: "~' -- ,~,z.,.-.~ ,,,,,. ,,. ~: "~,/- ?z.' T PE.COLAT,O..ATE -~' ) .~m,nu,..,,..h, ~ t.':/ ~' TEST RUN BETWEEN , FTAND FT PERFORMED BY'.' 72-008 (6~79) / .'DATE: t.>' £~ -'"-- GrI~TER ANCHORAGE AREA BORO~IG.,~H HEALTH DEPARTMENT 327 EAGLE ST. ANCHORAGE. ALa, SKA 99501 279-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION .,,~/J~.'~,/' ~'~ / ./~"~'~"~ .'~'.I '~ '~' SEPTIC TANK: MAILINGADDRESS '~--')/~'./~""'~. '~--~' ~f"',_ PHONE ~._~__ LEGAL DESCRIPTION DISTANCE FROM WELl LIQUID CAPACITY .~/ ~ ~ 4:) GALLONS. NUMBER OF MATERIAL .~,~'~-'"' COMPARTMENTS /' LIQUID INSIDE LENGTH INSIDE WIDTH· /'~ DEPTH SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAl NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER '""""""~ OR WIDTH DISTANCE FROM WELL TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) , LENGTH /~' / DEPTH , BUILDING FOUNDATION _'~"'~ so. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL / . FdUNDATION .~.~lql~T LOT LINE ..~'~"'""~F LINES . DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: DISTANCE FROM WATER IYPE._,,~..~ DEPTH ,BUILDING FOUNDATION. SAMPLE__, NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES DISTANCES: DIAGRAM OF SYST/M · GREATEK' .,NCHORAGE AREA I -' ROUGH IIEALTll DEPARTMENT 327 Eagle St. Anchorage, Alaska 99501 279-2511 Case SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT RESIDENCE ADDRESS LOCATIQN OF INSTAL~TION ~. LEGAL eESCRIPTIO" APPLICATION TO INSTALL: SE~ICTANK ~ ,SEEPAGE PIT ~ ,DRAIN FI , OTHER TO SERVE THE FOLLOWIN6 FACILITY FINANCED THROUGH TO BE INSTALLED BY ~.~..~ _ PERCO~TION TEST RESULTS ANTICIPATED DATE OF COUPLETION BELOWTO BE FILLED OUT BY HEALTH DEPARTMENT ~ ~ ' THIS IS TO SERVE AS _"~-~'~_) ""~z~-~h ] , PERMIT TO INSTALL A -~'~"~', "k~"r~ ~'~-~'~.~ / AS DESCRIBED BELOW. SIZE OF UNITTO BESERVED ~ ~ '~ ..SE~IC TANK SIZE /~ O~ ~I~yPE ~ . SEEPAGE AREA TYPE ~ ~/~ ~ DIAGRAM OF SYSTEM C/ ~ DISTANCES: H~alth Authority I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No.~¥6~a~na~t the above described system is in accordance with said code. am~t~ x~c~aog aagx DATE APPLICANTS SIGNATURE , '~. t~_~? {7.~ / ..... MUNICIPALITY OF ANCHORAGE o, Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050 221 18 1. GENERAL INFORMATION Expiration Date: S— IL 26 Z Lj Complete legal description EAGLE RIVER VALLEY RANCHETTES LOT 9A Location (site address) 18412 MAN O WAR Current property owner(s) Milette Day phone Mailing address Real estate agent Day phone 2. TYPE OF DWELLING: 0 Single Family (w/ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic 0 Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System 3 Public Sewer ❑ Waiver request for: N O N E Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ Date of Payment Receipt Number 0 j a a 3 D COSA # 0JC, 2212 1 Waiver Fee $ Date of Payment Receipt Number 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 C&M ENGINEERING Phone 8545558 Address 20182 TULWAR Engineer's Printed Name CHARLES BALZARINI Date 5/6/22 6. DSD SIGNATURE System #1 Approved for _�_ bedrooms System #2 Approved for _ bedrooms Disapproved Conditional approval for OF A�gsll law 1 rJ CHARLES G BALZARINI FFG, • CE -13854 ••c�`�/� �il`F�PROFESSI�NP�' bedrooms, with the following stipulations: BY: Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA Checklist blue sheet Legal Description: EAGLE RIVER VALLEY RANCHETTES LOT 9A If more than 1 septic system on lot: COSA Checklist # 1 of 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) in. Date of flow test for COSA Static water level at beginning of test ft. Comments PROPERTY ON PUBLIC WATER B. TANK DATA Age of tank(s) 7 years Tank type/material STEEL SEPTIC Measured operating fluid level in septic tank 50 ❑ Standpipes/foundation cleanout per record drawing Date of pumping 5/6/22 D. ABSORPTION FIELD DATA TRENCH Which system tested (date installed) 2007 ❑ ALL standpipes present per record drawing Total measured depth from grade 13.3 ft (max) Measured depth to pipe invert from grade 8.3 ft (min) ❑ N/A — pressurized field ❑ Monitor tubes go to bottom of effective. If not, state depth into effective Parcel ID: 050 221 18 Structure served by this system 1 Well production at time of test gpm Water storage tank volume gallons Well disinfected for coliform test? ❑ Yes ❑ N ❑ Coliform bacteria is Negative Nitrate mg/L ❑ Nitrate less than MRL (ND) Arsenic ug/L ❑ Arsenic less than MRL (ND) Collected by Date of Sample C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: Adequacy test date 5/13/22 Results ❑✓ Pass For 4 Fluid depth prior to test 122 Water added 18 gal New depth 12 in Elapsed time 1440 min bedrooms in Al Code -required soil cover over field Final fluid depth 12 in ❑ System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) NO date of test) If yes, enter date y NA Gallons introduced 2000 gallons Comments/Deficiencies: NONE 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' Yes if No Community Sewer Manhole/Cleanout > 100' Yes if No ft ❑ 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' Yes if No Animal Containment > 50' ❑ Yes if No ft ❑ Yes if No ft if No ft F. ENGINEER'S COMMENTS 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) Building Foundations > 10' 0 Yes if No ft Surface Water > 100' Yes if No ft Property Line > 5' Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' Yes if No ft Private Wells > 100' 0✓ Yes if No ft Water Main > 10' Q Yes if No ft Community Wells > 200' ✓/ Yes if No ft Water Service Line > 10' Q 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' El Yes if No ft If absorption field is under driveway comment below Property Line > 10' R Yes if No ft Wells on Adjacent Lots: Water Main > 10' 0 Yes if No ft Private Wells > 100' El Yes if No Water Service Line > 10' M Yes if No ft Community Wells > 200' Yes if No Surface Water > 100' 0 Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. 5/10/22 COSA Checklist yellow sheet . 49 TH ' HARLES G BALZARINI ��sT • , • CE -13854 • • _ .�� AW ROFESS,ON -®- ft If, Municipality of Anchorage Development Services Department Building Safety D~vision On-Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box www,ci.anchorage,ak,us ~USH 196650 Anchorage. AK 99519-6650 (. ERTIFICATE OF HEALTH ,UTHORITY APPROVAL FOR A SINGLE FAHILY DWELLING Parcel I.D. 050-221-18 1. GENERAL INFORMATION Expiration Date: J O - /~/o - cO ~ Complete legal description EAGLE R~VER VALLEY RANCHETS SUBDIVISION; LOT 9A Location (site address or directions) 18412 MAN O WAR ', EAGLE RIVER, AK 99577 Current Preperty owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DEERA STEPHENS Day phone 696-7586 18412 MAN O WAR * EAGLE R~ER, AK 99577 Day phone DAN FEERELL w/ PRUDENTIAL VISTA Dayphone 689-1808 16635 CENTERF1ELD DRNE * EAGLE RIVER. AK 99577 Unless otherwise requested, HAA will be held by DSD for pickup, 2. NUMBER OF BEDROOMS: 3 3. TYPE OFWATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding tank community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer ' of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER at, or pdor As certified by my seal affixed hereto and as of the validation date shown below, I vedfy that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedreoms and type of strocture indicated herein. I further vedfy 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 ALASKA WATER &: WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBAER ROAD. SUITE 2E3 * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GAENESS, P.E. Data 337-6179 Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reporled results described the performance of the system under the conditions encountered at the lime of the test. and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year. and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there ara no hidden defects or encroachments. AKWWC, Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE Approvod tot bedrooms. Disapproved. Conditional approval for Attachments: HAA Checklist Septic System Advisory Well Flow Advisory bedrooms, with the fllowing stipulations: Manitenance Agreements Supplemental Engineer's Reort Other 12)01) Original Certificate Date: /0 - /' ~.~ -' 0 .~ Development Services Department Bu~tng Safety Olvtakxt On-SM Water & Wastewater Program 4700 Soulh Bragew SL P.O. Box 196650 Anchorage, AK 99519-6650 w~av.cLanchomge.ak.us (9O7) 343-79O4 Legal Oe$cdption: A. WELL DATA Co Well type Date completed Total depth HEALTH AUTHORITY APPROVAL CHECKLIST EAGLE RIVER VAI IF'y RANChLI~ S/D; LOT gA Parcel ID: Cased to __ FROM WELL LOG If A, B, or C provide PWSID# Sanitary seal (Y/N), Date of test Static water level Well production WATER SAMPLE RESULTS: Coliform __ colonies/100 mi. Ar~a4rli~:: SEPTIC/HOLDING TANK DATA Tank Typa/Mata~l Nitrate mg.a.. Date of trample: Tank size 1250 gal. Foundation cleanout (Y/N) YES Date of pumping 7/19/2002 ABSORPTION FIELD DATA Date installed ' '1/.!/1091 Length 6,1 ft. STEEL Number of Compartments 2 Depression over tank (Y/N) NO Pumper pI~ELOW EXISTING GRN)EI Soil rating ~or ft~clrm) 0.6 Width 3 ft. 050-221-18 PUBLIC WATER Well Log (Y/N) Wi.aa prSparly protected (y/N) Casing height (above ground) AT INSPECTION g.p,m. Other bact~.~i~ Collected by: in. oek:,, a~aJ I O0 n~. 1/3/1091 Elapsed Time: 307 min. Final fluid depth 91 in. Absorption rate >= Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE: KNOWN =*SYSTF..M SIZED FOR 4. BEDROOMS System type DEEP TRENCH Gravel below pipa 8.5 fl. Depression over field NO For **,1 bedrooms New depth 102 in. 600-1- g.p.d. If yes. give date - Totaldepth .13.75 ft. Eff. absorption area 1071 fi= Monltoring~be YES Date of adequacy test 9/24/2002 Results (Pass/Fail) PASS Fluid depth in absorption field before test 76 in. Water added 706 gal.. , Date installed Cleanoute (Y/N) YES High water alamt (Y/N) N/A JR'S PUMPING D. UFT STATION Ee Date installed Size ;n gallons Manhole/Ac~',-; (Y/N) "Pump on" level at in. "Pump off" lev,N st in. High water alarm level at in. Datum - Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Meets alarm & clmuit requirements?. PUBLIC WATER Septic tanWIIft station on lot Absorption field on lot On adjacent lots On adjacent lots Public sewer main Public sewer manhole/cleanout .Sew,,,/s~vUu sewice line Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main 10'+ Water service line 10'+ Sudace water ,5'+ 100'+ Wells on adjacent lots 200'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water sewice line 10'+ Sudace water 100'+ Curtain drain NONE KNOWN Wells on adjacent lots. 200'+ Water main 10'+ Driveway, paddng/vehicte storage 10'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspecifons and mt4ew of Municipal records that the aVove systems em in conformance with MOA HAA guidelines in effect on this dale. Engineer*s Printed Na~ne Date I~lld/D~ JEFFREY A. OARNESS Date of Payment ~ D / ! ~'I 0..~ Date of Payment Receipt Number O~) (~ R~I~ Numar (~. ~1) 10/14/02 t~0N 12:04 FAZ 6896499 VISTA ~U~:AL £STAT~ ER t~: ..'. · , .... ----.. ~ .~*. s~, . ~' · . · · .~.'. ".,.- .. ...~ · ~.~ · ': "-}· ..'X'," x..-,,.... · .. . · ' ~ / .,/"".: .'.:...; :; ................ ~ .... / ~ ~ ~/ ' ~1 ' · , .. ~. ~ r~'~ ] ' ... ..,, . . ~../ ..:. ,. .~ ~. ~ 'x ~~_ .' " : " ": ':' '* ' '/i11~"1 ~ ,., ..% . ... '."' '..'.' M . ~ *' . . ~ · . . ., .1 ~ .. ~ '" '} ' ' ' ~ i ~ ' ;" : . · , ___ ~.J: :. : ~. / ~ · t. .' I ! , .~, ~ ~." "~ ' ' I he.by c~ ~at I ~ve tu~yed the fo~g 'd~c~ed . :. . : ~:, ~ ~ , .,' ... ;.. . ... ~. ~.~ . ..~ .:: · .. OF A~ ~ , . , ~_~..., ~.~?.~ ~j ~ r~ ~ ~,, ~.~ ~,, t~ ~,~'. · ..~, ~ . ~ ~ ,~ ~ ove~p or en~ on the pm~ lying ad~ce~.t the~tO, that ~? : ~9~ ~' ~ ..~ ~ ' ~ ~p~n~ on. pm~ I~g adjacent t~to ~ ~e pm~ ~'~bon ah~ t~at ~em am ~ roadways, . ~ ~;-s-~t~"J ~ ~ ~~'or other v~W~ e~ments onlaid ' t~.~. .~------/~ . -- ~ ~Jn~ated he, on. ' .' ' · · : "~ r,o.a~ :~'"~ ~ n~.l~ ~vo~ ~. · ' .. , ';"" * '.'.. ... .: ~o~6~3 "' "" ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING · HAA # ~ ~tc~ Parcel I.D. # 05022118 1. GENERAL INFORMATION Complete legal description Ea_ale Rive~' Yel].e_v Ranchettes.' Lot 9A Locati6n (site address Or directions) P~operty owner Thomas E. and Cynthia L. Meyers Day phone Mailin~ address .[8606 Little Ca_De Cir., Eagle River, AK 99577 LendJ6gagency " Day phone Mailing address' Agent Robert Wambolt REMAX Day phone 694-4200 Address 16600 Centerfield Drive, ~201, Eagle River, AK 99577 Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual well Community well Public water X NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer NOTE: x If commUnity wastewater system, prov!de written confirmation from State ADEC attesting to the legality and status of system. ** 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 Phone __ I/U;J4 Eagle KJYer Loop Road No. Address Eagle River, Alaska 99577 Engineer's signature Se DHHS SIGNATURE A'pproved for ~ ~-~'~ bedrooms. Disapproved, Conditional approval for bedrooms, with the following stipulations: Additional Comments By: /,,~L.~...~ (~z.c~,-.,~:~- 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 tn 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. , Municipality of Anchorage . . Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~ ~.~- Parcel I.D. A. WELL DATA Well type~T"~L~ ~f A, B, or C, attach ADEC letter. Log present (Y/N) Total depth Sanitary seal (Y/N) ADEC water system number Date completed · Driller Cased to Casing height Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION Date of test Static water 'level Well flow g.p.m. Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Pubiic sewer m~ln Sewer service line /o,~_.-.~,,/~/.,,.~/.d..._ ;On adjacent lots ~:~/ ';On adjacentlots Public sewer manhole/cleanout Petroleum tank MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISIOI,, R EI EI 99z 'Municipality of Anchorage Dept. Health & Human Services WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date Installed I:~' ~ -~"" Tank size I'~'~-'~ ~t~I~'' Compartments Cleanout~)N) Y F°undation cleanouON) "'~ ;:. ,"; '-: De~.e~sl0n (y~P)~ High water alarm (Y~ I~/.~'~ Alarm tested (Y/N)' Date of I~[~mping' "I,.-[~..1~ '~f,,~ ~ pumper ------' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot :"' I'~f~5~ Onadjacentlots To propertyline [ ~) ~-4-" ~ AbsorptiOn field Surface water/drainage I/~/~ ~ ~ ' .... ':' "''~ Foundation I ~ t..~_ Water ~ai'n/~ervlce line "~ 72-026 (Rev. 7/91) From . CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) High water alarm level M_eets MOA electrical co~es~f~ . SEPARATION DISTA/NCE FROM LIFT STATION TO: Well on lot ,." On adjacent lots "Pump on~t~ "Pump off,, level at ' Cycles tested -- · Surface water D. ABSORPTION FIELD DATA Soil rating Gravel thickness ~,~! Total depth C:l.eanouts present (~N) "~ ~ ' Date of adequacy test ('..I/~: ' for ~ Date installed Length , ~_...~1 Width Tgtal absorption area Depression oger field (Y.~ Peroxide treatm,e, nt Cpast SEPARATION DISTANCE FROM ABSORPTION FIEI~D TO: ' ' If yes, give date bedrooms ' ~ OnadjacenHots ~..L~'-.-F' '- 10%t.- Well on lot Property line T6 building foundation I~"~~ ''~'- To existing or abandon;d -~ystem on lot On adjacent lots ¢~ ~ Cutbank t.-~ O f',..t.~ Water main/service line Surface water [~"~ %{- Driveway, parking/vehicle storage ar~a ' ~ Curtain drain ~,J 4"2 ~"~ ~-- ' L'/'~ ~',.-~ ~1,'~ I t-- ~ E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in'effect .On the dat~of this i~Spection.'* ...... $ & S ENGINEERING ' ' . m,,',,ot;.,~, - 17034 Eagle R var Loea Road Ne Eng neees Name .......... ' Date / .----~o lc..- : . '.., . . . ~j.".~..*.. ' .,, ..'.<C-~~' . HAA Fee $ Date of Payment ~ -- Lo-ct ~) Receipt N mber I Waiver Fee: $ Date of Payment Receipt Number · . DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPEClOR INSPECTOR I MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street - Anchorage, Alike 99501 ~ Tele~e REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: Complete all pa~s o, page 1. I~omplete ~u~ will not ~ pr~. Please allow ten (10) days for pr~sing. I. PROPERTY OWNER I PHONE MAILING ADDRESS ' , PROPERTY RESIDENT (If ~ifferent from a~) PHONE 2.BUYER t / PHONE MAILING ADDRESS / 3. LENOING INSTITUT~ ] PHONE MAILING ADDRESS 5. LEGAL DESCRIFTION 6. TYPE OF RESIDENCE ' BER OF~BEDROOMS ~NGLE FAMILY One ~ Four - ~ MULTIPLE FAMILY ~ Three ~ Six [] Other 7. WATER SUPPLY {~,,,JcNDIVI DUAL* * ATTACH WELL LOG. A well log is required for all wells drilled OMMUNITY since June 1975. For wells drilled prior to that date, give well [] PUBLIC UTILITY depth (attach log if available.) :?/YEAR ON-S,TE SYSTEM WAS',NSTALLED. [] PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY . 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY I-'l ONE I--) THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO I'-1 FOUR [] SIX PERMIT NUMBER 2. WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED r-I PUBLIC UTILITY Connection Verified LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER I']INDIVIDUAL/ON -SITE DATE INSTALLED I--1PUBLIC UTILITY & -' ~'~ 6 Connection Verified INSTALLER [--ISeptic, T~nk or 1"3Holding Tank Size:' ~;)O If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL Absorption Area to nearest Lot Line 5. COMMENTS r"l APPROVED FOR BEDROOMS [] CONDITIONAL APPROVAL (letter must accompany certificate) []~"" DISAPPROVED DATE BY 72-010 (Rev. 6/79) EXCAVATION ROBERT A.$HAFER WORK March 2, 1982 CIVIL ENGINEER 694-2979 Pat Welch Totem Realty P.O. Box 911 Eagle River, Alaska 99577 Dear Ms. Welch, Reference: Lot 9A: Eagle River Ranchettes Subdivision A sewer system adequacy test was performed on the system located on the referenced property as you requested. The septic tank was pumped and verified to have a capacity of ~000 gallons. The seepage pit was charged with approximately 600 gallons of water and after a period of 24 hours approximately 155 gallons of water had percolated out of the crib. It can be concluded from the above test that the septic tank is adequate for a three bedroom residence. However, I regret to inform you that the seepage pit ~ only adequate for approximately one bedroom and will have to be upgraded before it can be considered adequate for three bedrooms. If we may be of further assistance, please do not hesitate to call. Sin~, cc: Alaska Ban~ of Commerce Municipality of Anchorage Department of Health and Engironmental Protection SRB IgGx EAGLE RIVER. ALASKA Patricia J. ~olch Totem Realty P.O. Box 911 Eagle River, AK 99577 SubJeetz Lot 9A Eagle River Eetates Approval for the individual sewer and water facilities cannot be granted until ~e following items have been completed~ The adequacy te~t performed on your sewer system shows the system ie not functioning properly for a 3 bedroom single family dwelling. Therefore, before approval may be granted, an upgrade will be required. Prior to the upgrade, a soil test will be needed so that a permit pu%y be issued with specifications. Please notify this department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. Robert C. Pratt Associate Environmental Specialist RP47/p/E!l February 25, 1982 Steven and Karen Fomter P.O. Box 691 Eagle River, AK 99577 Subject: Lot 9A Eagle River Ranchetts Approval for the individual sewer and water facilities cannot be granted until the following itemm have been completedl · The septic tank pumped with a receipt submitted to this department. · A four (4) inch cast iron cleanout needs to be installed to the septic tank and/or leaching area. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standsrds. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. · The depression over the sewer system will need to be filled so that surface water drains away from the sewer system. Please notify this department for a reinspection ~en the noted discrepancies have been corrected. If there are any further questione, please call this office at 264-4720. Sincerely, '~ ~ / Robert C. Pratt Associate Environmental Speciali~t Enclosure r p3nlplm{