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HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 24AEagle River Valley Ranchettes Lot 24A #050-223-19 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:/1wmv. muni, org/onsite Permit Number: OSP191274 Work Type: SepticTank Upgrade Effective Date: Expiration Date: Tax Code Number: 05022319000 Site Legal Address: EAGLE RIVER VALLEY RANCHETTES LT 24A G:0054 Site Mailing Address: 18708 TWENTY GRAND RD, Eagle River Owner: PHILLIPS JOHN C & MEGHAN E Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: ❑ Disposal Field Q Septic Tank ❑ Holding Tank ❑ Privy �Zilt np tie . •�r Department 7111 [2019 7(10/2020 Lot Size in Sq Ft: 17955 Total Bedrooms: 3 ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing Received B} Issued By: Date: 71111lq Date: %% I —.ON J9A1eM bICi a() *ON }iwaad :aagwnN adlaoa�l �v :.IaqulnN adlaoa�l :luGwA8d 10 aleQ ),JL :luawAed 10 ale(] :saad JaAieM (3,0.S6et :saad gsnd/}ivaaad (lua6e paziaoglne ao aaunno Apadoid to ainleu *sapoQ ledioiunW algeolldde glinn aouepa000e ui si slgl legl �4lljao jaq:pnj 1 -108.1.100 sl uolleul.1o1ul anoge aul legl 4:pao I :aouel SI(] :No=i 1S3ntm N3AIVM / 33N`dWVA V S3anIONl N011V311ddV SIHl £ sulowpa8 jo aagwnN ad 'bS 556`L6 azlS lol (uolloaS'R a6ue,,j `dlgsunnol) uoladuosep le6a-1 b tb sA91113A aaAl�j ai6e3 001,g lool8 "p,gnS) uoladljosep leba-1 owes ssaippe a11s peo�j pueaO Aluann180Le 6 ssaippe 6ullleW auogd AeQ sdllllgd ugor (s)Jaunno AljadOJd �7 o g 61 -£ZZ -050 Q'I lao�ed QY-Y J C. Li N011V0F1ddV llM:Od �IDAMJ3MDS DAS-NO WeJ6oad JEWMalseM �R a81eM a11S-up L66L-£17£-106 :Xei uolslAlQ saolAuaS luawdolanaQ t,061 -£17£-L06 :auogd _ luawl.iedaQ luawdolanaQ AalunwwoQ 3E 10H0 V :J® A11 iVd101N1 1 d'11 T L yam} u 4 tj U rNnd3Q�D' ❑ 06eaoas Ja12M ❑ 1IaM alenud (Q ao/PUe is) ❑ AAud ❑ s6ulllam(] eldlalnn ❑ lennaua�j ❑ Wel6u!PIoH El (Q) xaldnQ X❑ apej6dn X❑ Nuei ol}daS (nad oM/M) X❑ (is) 4we,i al6uls ❑ 1131Pl ❑ Plald uolad.losgy (AIdde;eg3 Ile ®) :9NI113Ma =10 3dAl :NV SI N011V3I1ddV :N0=1 SI NOM 311ddV £ sulowpa8 jo aagwnN ad 'bS 556`L6 azlS lol (uolloaS'R a6ue,,j `dlgsunnol) uoladuosep le6a-1 b tb sA91113A aaAl�j ai6e3 001,g lool8 "p,gnS) uoladljosep leba-1 owes ssaippe a11s peo�j pueaO Aluann180Le 6 ssaippe 6ullleW auogd AeQ sdllllgd ugor (s)Jaunno AljadOJd �7 o g 61 -£ZZ -050 Q'I lao�ed QY-Y J C. Li N011V0F1ddV llM:Od �IDAMJ3MDS DAS-NO WeJ6oad JEWMalseM �R a81eM a11S-up L66L-£17£-106 :Xei uolslAlQ saolAuaS luawdolanaQ t,061 -£17£-L06 :auogd _ luawl.iedaQ luawdolanaQ AalunwwoQ 3E 10H0 V :J® A11 iVd101N1 1 d'11 T L yam} u 4 tj U rNnd3Q�D' Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191274, Deb Wockenfuss, 07/11/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191274, Deb Wockenfuss, 07/11/19 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP191274, Deb Wockenfuss, 07/11/19 Municipality of Anchorage Page of 3 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 Permit Number: Sw �/— ° G `43 PID Number: 056— Ze-3—/? Name: Wastewater System: ❑ New Xupgrade Address: ABSORPTION FIELD Phone: �7y_ yy y7 No. of Bedrooms: 3 ❑ Deep Trench X Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION Soil Rating: Total Depth from original grade: d � C� GPD/Sq. . Ft. ?� � Lot: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe 2 -/* 4141 A-.4 , '9,, S Ft. 3, S_ Ft. Township: Range: Section: Fill added above original grade: Gravel length: oe /yam / �✓ % 0 — -P- Ft. 1j1*0—e _ 01 _ -_ Ft. . WELL: ❑ New ❑ Upgrade Gravel `depth:W1 14 Numbe f linea 'Distance between n s: S Ft 7 Classification (Private, A,B, C): �, Total Depth: Cased To: Total absorption area: / Pipe material: --- - /T Ft. Ft. 75-0 SQ. Ft. L%Tr"�"� 703 `/ Driller: Date Drilled: Static Water Level: Installer: d Date in tailed: Ft. if 3✓G�,f V'r'' /J ird,% y �.S /� Yield: Pump Set at: Casing Height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES lXSeptic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lift Holding Public/Private Manufacturer: Capacity in gallons: From Tank Field Station Tank Sewer Lines � 1iir�ff%� Well d'�� '��av� .J%.j -,14, 1--14 Material: Number of Compartments: Surface Water f/av tl��' �/d LIFT STATION �✓/q Lot Line rw�N/,� ! Size in gallons: Manufacturer: Foundation 61 "Pump on" level at: "Pump off' level at: High water alarm at: curtain Pump Make & Model Electrical Inspections performed by: Drain Remarks: BENCH MARK Location and Description: on/ W4 /K w4 O4, 7J�� Y�c. r Cr f 4 ra Assumed Elevation: ' /ov ENGINEER'S SEAL Inspections performed by: Dates: 1s 9/ 0 2nd &14J-91 M t:A w� Department of Health d man Seri s approval (, ..00 JQaQOLj00000n°�oI OOC °m OnCJ c4 "V ��'% Louis A. 6utera a LU F �°om C[-6736 ° Reviewed and approved by: Date:rop m°°eo maom�n�.����� 72-013 (1/91) MOA 25 permit No. !' 06 Y3 Page of Municipality of Anchorage 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 Legal Description: 0 t/I- oP��r �//lcs iP„�� PID No.: 6�n—Z23 if Permit No. 401 1/'3 Page of -_A - Municipality of Anchorage 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 I Pnsi np-.nrintinn. L0;" —Ly .4 �i✓eIy4 //e7 ���c�i PID No.: �%��Z3 72-013 A (2/91) MOA 25 PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE Z rJ� 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:SW910043 DATE ISSUED: 4/03/91 DESIGN ENGINEER:EAGLE RIVER ENGINEERING SERVICES EXPIRATION DATE: 4/03/92 OWNER NAME:WEAVER ROBERT C & OWNER ADDRESS:18708 TWENTY GRAND RD EAGLE RIVER, AK 99577 PARCEL ID:05022319 LEGAL DESCRIPTION: EAGLE RIVER VALLEY RANCHETTES LT 24A LOT SIZE: 17955 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 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. SPECIAL PROVISIONS: RECEIVED BY: ISSUED BY: DATE: DATE: Amsh RTY(w EUSAInee'Ans SeTWAMB Louis Butera, P.E. Registered Civil Engineer March 29, 1991 John Smith, P.E. Manager, On -Site Services Municipality of Anchorage P.O. Box 196650 Anchorage, AK 99519 Re: Lot 24A, Eagle River Valley Ranchettes Narrative Dear Mr. Smith, $N��R�N,yFN;ac ,- 9 191 �D The proposed septic upgrade will have very limited impact on adjacent properties for the following reasons: 1. There is a community well system in place so there are no well setbacks considerations allowing adequate room for upgrades on all lots. 2. Immediate neighboring septic systems are all +30' distance. 3. Reserve space is adequate, homes are existing with many upgraded already. 4. Drainage will not be effected and is not a major consideration in our design. If you have any questions please call our office at 694-5195. Sincerely, Louis Butera, P.E. P.O. Box 773294 • Eagle River, Alaska 99577 • Telephone (907) 694-5195 • Fax (907) 694-3297 EAGLE RIVr ENGINEERING S6410ES P. O. Box 773294 EAGLE RIVER, ALASKA 99577 Phone 694-5195 JOB `. f .1-1A %S/e Civ -e, ! /Cel A,4i SHEET NO. OF j CALCULATED BY y/e, DATE CHECKED BY DATE_ SCALE PRODM 201-1 � Inc, Croton. Mau 01171. 60,0' TWENTY GRAND ST, ® — TEST HOLE • — MONITOR TUBE o — SEWER CLEANOUT ¢ — WELL +Ht++Ha++ — LEACHFIELD NO KNOWN CURTAIN DRAINS ---- — EASEMENT SEPTIC SITE PLAN LEGAL: LOT 24A, EAGLE RIVER VALLEY RANCHETTES OWNER: WEAVER CONTRACTOR: N/A JOB 41 89-000 DATE: 03/29/91 SCALE 1" = 60' EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 I Q HSE HSE ZD DK EXIST TANK \ —ter service �I TANK IN \\ E ISTINGTIE \ PITH. �0'R � ✓ LEACHFIELD O 3' WIDE TYP. — — ,�y� NEIGH LE CH ° Io' UTIL ES-----,�.—_ � I----_ WATER MAIN NO NEIGHBOR SEPTIC SYSTEM +30' NO WELL ON LOT ® — TEST HOLE • — MONITOR TUBE o — SEWER CLEANOUT ¢ — WELL +Ht++Ha++ — LEACHFIELD NO KNOWN CURTAIN DRAINS ---- — EASEMENT SEPTIC SITE PLAN LEGAL: LOT 24A, EAGLE RIVER VALLEY RANCHETTES OWNER: WEAVER CONTRACTOR: N/A JOB 41 89-000 DATE: 03/29/91 SCALE 1" = 60' EAGLE RIVER ENGINEERING SERVICES P.O. Box 773294 EAGLE RIVER, AK. 99577 (907) 694-5195 FAX: (907) 694-3297 SPECIFICATIONS FOR ON-SITE SEPTIC SYSTEM LEGAL: LOT 24A, Eagle River Valley Ranchettes A. GENERAL 1. The septic plan is for a single family residence only. 2. The drawing and or site plan shall be a part of this specification. 3. All materials and workmanship shall meet the Anchorage Department of Health and State Department Of Environmental Conservation require- ments. 4. All soil tests are advisory to the design and are to be verified or modified in the field by the engineer. 5. All excavations and depths are advisory and are to be verified or modified in the field by the contractor to meet Municipality of Anchorage, Department of Environmental Conservation requirements. 6. The excavation is to be exactly in the area shown on the site plan, any deviation requires engineer approval. 7. It is always recommended that a surveyor locate the nearest lot line position and the location of any easements. B. DRAINFIELD 1. The drainfield is to follow the natural land contour to maintain uniform total depth of the trench bottom. 2. The bottom of the drainfield shall be level, plus or minus 1.511. 3. The total depth of the drainfield excavation is not to exceed 7' at any point. 4. The sewer line is to be connected into the existing effluent line to allow effluent overflow to the upgraded leachfield. 5. The drainfield gravel is to be covered with typar or fabric material. 6. Soil or combination of soil and extruded board insulation to a depth of 3' or equivalent is to be placed over the drainfield. 7. The area over the drainfield is to be finish graded to prevent ponding of surface water runoff. 8. The septic tank and leachfield must not be closer than 100' to any existing private well, 150' to any Class "C" well, or 200 feet to any community well. RECOMMENDED LEACHFIELD DIMENSIONS TOTAL DEPTH = 7' GRAVEL DEPTH = 3.5' DRAINFIELD LENGTH = 81' Total DRAINFIELD WIDTH = 5' Soil Rating = 0.6 GPD/Ft2 Bedroom Capacity = 3 Septic Tank Size = 1,000 gallon existing 9 SOILS LOG MUNICIPALITY OF ANCHORAGE ENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION DEPARTMENT TEST 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: !r ti X, DATE PERFORMED: LEGAL DESCRIPTION: y G �G�c /Pa SLOPE SITE PLAN 1 2 ' 3- 4- 5 45 C? 6 D l� 8- 9- (2 9 l/ 10- 12- 13 0 12 13 14 /verso i 1 15- 16- 17 516 19 20 COMMENTS WAS GROUND WATER ENCOUNTERED? IF YES, AT WHAT DEPTH? 0 Reading Date Gross Time Net Time Depth to Water Net Drop Som X 3/s/si //- PERCOLATION RATE —2-6 (minutes/inch) TEST RUN BETWEEN __ - FT AND S FT Eagle River Engineering Services PERFORMED BY: P 0 ROM 774293 CERTIFIED BY: DATE: Eagle River, AK 99577 G94r5195 72-008 (6/79) GR'~ TER ANCHORAGE AREA BOROL'"' "1 DI:,-AFITMENT OF ENVIRONMENTAL QUALII ~ 3500 TUDOR ROAD ANCHOI~AGE, ALASKA ~3507 27g-BG8G INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME ~ SEPTIC TANK: . MA~UNGADDRESS /~'' LEGAL DESCRIPTION K~. ~ .9,5' .'~ DISTANCE FROM WELL" ~ '~" '''~ '" ~' ;~ ¥ I~;L ~ LIQUID CAPACITY / GALLONS. SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER.OF PITS / LINING MATERIA~ NEAREST LOT LINE MATERIAL ~T/~c'"~" ;"~""'~i "* ? ""~COMPARTMENTsNUMBER OF / L~UID IN.SlOE LENGTH .... INSIDE WIDTH -- DEPTH__ TILE DRAIN FIELD: OUTSIDE DIAMETER OR WIDTH . LENGTH . DEPTH · DISTANCE FROM WELL "e .,, ~... ,., '--' '"~ ~' . BUILDING FOUNDATION. · TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) Z// ~ SQ. FT. DISTANCE FROM WELL . FOUNDATIO. N . NEAREST LOT LINE NUMBER OF LINES DISTANCE BETWEEN LINES .TRE~C~ WIDTH ABSORPTION AREA SQ. FT. LENGTH OF EACH LINE TOTAL .LENGTH . OF LINES ' IN. TOTAL EFFECTIVE '-' DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE .~ · ~ · DISTANCE FROM WATER WELL: TYPF' '"' ~''''-' ' '/' ':'- ~: DEPTH , BUILDING FOUNDATION. SAMPLE . NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE . SEWER LINE . TANK . SYSTEM . CESSPOOl . SOURCES DIAGRAM OF SYSTEM DISTANCES: TWENTY GRAND ROAD _ CA 0 WOODEN jI RETAINING NI .� GkAVEL WALL ••'1•••ci '••DRIVE•~• 28.2 • N u :.N 7 LOT 258 LOT 250 Legal Desviplion: 5" E EXISTING HOUSE x—X—X LOT 24A 10' UTILITY EASEMENT N 89'59'15" W 133.00' LOT 24C Lot 24A, Eagle River Valley Ranchettes T m LA Ln 0 O NOTE: THIS DRANING IS NOT TO DE MODIFIED FOR USE AS A PLOT Ordered SyMary 1Mlson I Legend: Septic Stondplpe © .:.'Conceta ;:; •' Water Well © 0vwhonglga Fence —X—X— LOT 24B LOT 24D SURVEY CERTIFICATION: LANTECH has conducted a physical survey of the propMy as shown on this he drawing and certifies and that cr Improvements situated lhwean are within the property Imes and Ino encroachments s.bt other than noted. EXCLUSIONARY NOTE: it N the owners' responsibility to dele"nlne the existence of any saee,nto. restrictions oright—of—woy LAND alCONSTRUCTION SURVEYORS -PLANNERS -ENGINEERS l ee whichdo not appear on the rded subdivision plot Under 440 West Benson Boulevard, Suite 200 Phone: 526-5291 no aircamslonces should any data hereon be used for conslruatIm. Anchorage. Alaska 99503 Fax: 561-6626 for establishing property lines. of far plat—PIM Purposes. plat: 63-129A JW. NW54 Date. Aug. 15, 2006 Drawn By. NRB work Orden. 2006 -L -187A Fb/Pg Ref: COL332 scde. V-20' ch«ked BY. APH Municipality of Anchorage Department of Health and Human Services Divimon of Environmental Services On-Site Services Section 825 "L" Street Room 502 P.O. Box 196650 Ancnorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 050-223-19 1. GENERAL INFORMATION Complete legal description Lot 24A, Ea~le HAA# /J",'~ ~) ~'.'~ ~' Expiration Date: River Valley Ranchettes Location (site address or directions) 18708 Twenty GrandRoad Current Property owner(s) William Peterson Mailing address 18708 Twenty Grand Road, Lending agency Day phone 6q6-838R Ea~le River,AK qq577 Day phone Mailing address Real Estate Agent Day phone Mailing Address Unless otherwise requested. HAA will be held by DHHS for pickup. HAA picked up by: ~-~'~'~'~ NUMBER OF BEDROOMS: 3 TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Public Water System .Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [] [] Individual Holding Tank [] [] Community On-site [] [] Public Sewer [] The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single tamily on-site wastewater disposal and/or water supply system. DHHS also issues HAAs upon request to home owners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72.025 {Rev 0~ '00;' =. 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 Health Authority Approval Guidehnes for the Health Authority Appr0val application show that tne on-s~te water supply and.'or wastewater disposal system is safe. functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on- site water supply and..or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulahons in effect at the time of installation. S & S ENGINEERING $7~34 Eagle Rive," Loop Roa~l Name of Firm Ea,g[~,_J~r.~Alaslc~ ??577 Address Engineer's Printed Name ~)C/~,~"[? DHHS SIGNATURE Approved for ,.~ bedrooms. Disapproved. Conditional approval for__ Phone d cf .~' ~ ~ ¢;~ ~ ~ Date (~ // 57 / c C ..-. '. ;; .......... '~, "..,'. '... ... ,%' .,,, bedrooms, with the following stipulations. Additional Comments Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Expiration Date: C~ {~ _ ,.~ O -O ~ '5-025 {Rev 01,130)' Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Reissue Date: Municipality of Anchorage 825 L Streot, Room 502 · Anchorago, Alaska 99501 Legal Description: A. WELL DATA Health Authority Approval Checklist Well type/~/~/.-j'/'~/ If A, B, or C, attach ADEC letter. ADEC water system Log present (Y/N) Date completed Total depth Cased to Casing hei~0~e ground) Sanitary seal (Y/N) Wlres~¢~ protected (Y/N) FROM WIELL LOG ///~A~ INSPECTION Date of test StaUc water level / . . Well production / g.p,m. : ' g.p.m. WATER SAMPLE RESULTS:/ DCOia::c?sample: / Nitrate Collected ~: Other bacteria C. ABSORPTION FIELD DATA Dateinstallad ~4~/(¢~, So,lrating(~or~/ixl/m) O~,& Length ~ ! Width ( / ~ ~ ,. · -) Gravel thickness below pipe ,-~ ~:~ Total depth Effective apeorpU0n area Fluid depth in al:~sorptldn field pefore test (in.); ~ Immediately affe~al, water added (in.): Peroxide treatment (pest 12 months) (Y/N)/////~]/~'~/~/ If yes, give date 72-026 (Rev. 3~36)* UFT STATION ~ Date installed / ~allons Manhole/Access(Y/N) fj / ~ level at' 'Pump off' level at* High water alarm level at* ,,~ *Datum Cycles tested ,,~ E. SEPARATION DISTANCES Septic/holding tank on lot ' Absorption field on lot Public sewer main SEPARATION DISTANCES FROM WELL ON LOT TO: ~"~f-~/~-' On adjacent lots _..~'"~Public sewer manhole/cleanout Sewer/septic service line Lift station F. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: Foundation 5-/ '/"- Property line ~' ~" Absorption field Water main/service line _~__..~' ~ Surface water/drainage /~'~ ~ Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line [ O /-~' Building foundation //~ /~ Water main/service line Surface water //~1-~ /'~ Curtain drain / Driveway. parking/vehicle storage area / ~) /'~' Wells on adjacent lots /*"/ /~ / ENGINEER'S CERTIFICATION I Ce, fly that I have determined thru field inspec~ons and review of Municipal recorcls_d~,J{~_~JJ~Ii~: ~t~.~s are Ennineer'sName ~i)~e,~, C_. Co~..,t~. L~"': ........ HAA Fee $ Date of Payment Receipt Number 72-026 (Rev. 3/96)* Waiver Fee $ Date of Payment Receipt Number Parcel I.D. # 1.  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 SEP 09 3997 RECEIVED GENERAL INFORMATION Complete legal description Location (site address or directions) Property owner Mailing address Lending agency Mailing address Agent~.~.~ C~;;.Pt'T~/ Address Day phone 69 Day phone Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: TYPE OF WATER SUPPLY: Individual well Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OFWASTEWATER DISPOSAL: Individual on-site 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. 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 a~d 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, Engineer's signature ordinances, and regulations in effect on the date of this inspection. Name of Firm Address DHHS SIGNATURE Approved for Disapproved. Conditional approval for bedrooms. Phone ~,~ '7 -~l 7~ Date ~/~/~"~" bedrooms, with the following stipulations: Additional Comments The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825 L Street, Room 502 · Anchorage, Alaska 99501 · (907) 343-4744 Health Authority Approval Checklist Well Log pmssnt !f,A, B, or C, attach ADEC letter. ADEC water Date completed Total depth Cased to ground) San~ary seal (Y/N) protected (Y/N) FROM AT INSPECTION Data of test Static water level Well produc'don g,p.m, g.p.m. Coliform Nitrate Collected by: B. SEPTIC/HOLDING TANK DATA Date installed lc=l-/~-- Tank size Foundation cleanout (Y/N) Data of Pumping C. ABSORPTION F1ELD DATA Fluid depth (ins) Minutes later:. Peroxide tmatmant Wast 12 months) (Y/N) 72-026 (Rev. 3/g6)' IO4:X::) Number of Compartments { Cleanouts (Y/N) X// Depression (Y/N) /~ O High water alam~ (Y/N) AJ ~r Pumper J,/~ ~ / Date installed z~-/c~t I Soil rating (g.p.d./fF o~.WA~.m)., ~ / Length <~, J -t- Width ~' Gravel thickness below pipe Effective abeorption ama "/~-'~ Monitoring Tube present (Y/N) %J/ Depression over field (Y/N) ~ D.tsofed,u ,., Fo. ~_~'~luid depth in abemption field before test (in.); Immedlatsly aftergal. water added (in.): Absorption rate = ~.~-"O -t- g.p.d. V"~'~*J If yes, give date /~/ 3.~/ Tofal depthS., D. ~Tln~ Date installed _ Size in gallons Manhole/Access (Y/N) 'Pump on" level -** - ";),Jmp off" level at* . High water alarm level at *Datum t"vvl~O~v..~~Ji'y Of E. ~EPA~e:N DISTANCES . '"u°~/:) 0, Absorption field on lot X ~ On adjacent lots Public sewer main ~ Pu~'~'~bb r manhole/cleanout ~ne Uft ~on~'~ ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOTTO: FoundaUon ~:= I Property line ~O 14' Absorption field Water maie/senSce line .Surface water/drainege I C)O 1- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line I ~" t ( Surface water Curtain drain Building foundation ~ ~' · Water main/service line ~-t- D(weway. parking/vehicle storage ama TI~NCx'~J ~'J Wells on adjacent lots ~'00 Waiver Fee $ Date of Payment Receipt Number 724)26 (Rev. 3/96)* Alaska Water & Wastewater September 7, 1997 8471 Brookridge Drive ~ Anchorage ~ Alaska 99504 Phone (907) 33%6179 ~ Fax (907) fa'~ll~Ol'~ll'Al. $~V~CliS DIVI~IO~ Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: ItAA for Septic System on Lot 24A, Eagle River Ranchettes S/D. 18708 Twenty (;rand. To whom it may concern: The subject property has a 3 bedroom house on it which is served by community water, and a private septic system. My evaluation ofthe septic system is summarized as follows: SEPTIC SYSTEM ADEQUACY TEST (9/6/97): The drainfield is a shallow trench system, which consists ofthree, five foot wide, trenches that terraced (spill over design). Based upon the inspection report (4/91) it appears that each trench has an effective trench of 42 inches. The following data is from our field measurements: North Trench Middle Trench South Trench Length: 22 feet 35 feet 26 feet Total Length = 83feet Effective depth: 41 inches 33 inches 38 inches (bct~ed o/1 shots through pipes) Monitoring tubes are probably not at correct elevations. Liquid depth Below Invert t=0. I !.5 inches 0 inches 6 inches Percent full Assuming 42 inch effective depth. 72.6% 100% 85.4% Based upon these numbers, it appears that the system was approximately 88% full prior to the start ofthe test. In addition, it can be seen that the effluent is not spilling over from the noah · 7trench to the middle trench, but rather from the middle trench, to the north and south trenches. The inspection report (4/91) show the line from the septic tank entering the north trench. Regardless, the performance of the system should not be impaired, because it doesn't matter which trench fills first. Water was introduced into the monitoring tube of the first trench, at a rate of 6.09 gpm for 51 minutes, at which point the trench was full (41 inch reading) and began to spill over into the middle and south trenches. Since the middle trench was 100% full (at t -- 0), all ofthe water that spilled over from the north trench, immediately flowed to the south trench. An additional 245 gallons was introduced into the south trench, which caused the level to rise 6 inches, to a total depth of 38 inches. In short, after the introduction of 556 gallons, all of the trenches were filled to the drainpipe invert. Twenty-five hours later (9/7/97), the liquid level in the trenches was as follows: a. Noah Trench: 30.5 inches ( drop of 10.5 inches, absorbed 283 gallons) b. Middle Trench: 33 inches (no drop, no absorption) e. South Trench: 32 inches (drop of 6 inches, absorbed 245 gallons) Based upon this data, it appears that the system absorbed approximately 528 gallons in 25 hours, which corresponds to 506 gallons per day. In short, the septic system has an absorption capacity of greater than 450 gallons per day, as required for a 3 bedroom house, however, it must beafilled to 100% of its capaci(y in order to achieve this absorption rate. NOTE: The adequacy of a septic system is #~uenced by mtmerous factors, #tcluding, but not limited to, seasonal sttrface water #t. filtration, groundwater variations, septic system maintenance (frequency of septic tank pumping; usage of biological additives), condition of drain pipe attd pipe jo#sSs (which cast be damaged by seismic activity attd deteriorate with age), Ope of substances deposited itt septic system (cigarette butts, sanitary napMns, misc. objects), astd the amount of water being introduced on a contimtal hems. Cotz~equently, the results of this adequacy test are only valid for the specific day of the test. Furthermore, because of the limited stature of this investigation, it is pox~ible that there are hidden defects which may not hca'e been detected. No warrantee is made regarding the future performance of this septic system. SEPTIC TANK: The existing septic tank was installed in July of 1972 (approx. 25 years old). According to the MO.A records, it is 1000 gallons, has one compartment and is made of steel. Most tanks ofthis type have a structural life of approximately 20-25 years. No warrantee is made regarding the future life of the septic tank. If you have any questions, please contact me at 337-6179, 244-9612, or on my digital pager at 1-800481-1162. Thank you for your assistance l~/~,..~incerely,, ~ Jeffr arness P E M~o~4~¢~s't~xx PfinP~al ~ ~;"' c.c. r~. t .... ~ ~v-, &~, Roger Mo~s Parcel I.D, # 1. e 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 GENERAL INFORMATION Complete legal description Ea<~].e River Valley Rancbettes, Lot 24A Location (site address or directions) 18708 Twenty Grand Road, W~qle River. AK Property owner Robert & Weedy Weaver ' Day phone 694-4447 Mai~ingaddress 1RT~R q~;Pn~y Grmnd Rd., Eagle River. AK 99577 Lending agency Northland Mortgage Co. Day phone 694-7872 Mailing address 11421 Old Glenn Hwy., Eagle River, AK 99577 Agent E~bann n3~h~,. Day phone 694-4200 Address 16600 Center Field Dr., Ste 201, Eaqle River, AK 99577 Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: 3 ,-- TYPE OF WATER SUPPLY: Individual well Community well X Public water NOTE: 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: X If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 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. Phone 694-~19~ Name of Firm w~gl~ Address P.O. Box 773294, Eagle River, AK 99577 Engineer's signature bedrooms. DHHS SIGNATURE ~ Approved for Disap.~roved. Conditional approval for bedrooms, with the following stipulations: Additional Comments By: ,/L...~'//./'~ ,/~,~./~ Date '~_..~/ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Aut.hority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The D HHS 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 Descriptioni Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST A. WELL DATA Well type ~" Log present (Y/N) Total depth Sanitary seal (Y/N) If A, B, or C, attach ADEC letter. ADEC water system number Date completed Driller Cased to Casing height Wires properly protected (Y/N) Date 0ftest FROM WELL LOG AT INSPECTION Static water level Well flow g.p.m. g.p.m. Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot ; On adjacent lots Absorption field on lot Public sewer main Public sewer service line WATER SAMPLE RESULTS: Coliform Nitrate Date of sample: ; On adjacent lots · Public sewer manhole/cleanout Petroleum tank Other bacteria Collected by: B. SEPTIC/HOLDING TANK DATA Date installed /~' ?.3. ?,/g'//~* Tank size Cleanouts (Y/N) ~ Foundation cleanout (Y/N) High water alarm (Y/N) Date of pumping' ' ~/~'5''//'// Compartments Depression (Y/N) Alarm tested (Y/N) ' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) onlot ~ ~'/"'/ On adjacentlots ~'" ,~-~" Topropertyline ,~'~> / Absorptionfield / ? / Surface water/drainage Foundation Water main/service line '~-o'~ (~,.~) F~ MO^3~ CONTINUED ON BACK PAGE C.'IFTSTATION Date Installed Size in gallons vent (Y/N) "pump on" level at High water alarm level Meets MoA el(~c{rical codes (Y/N) Manufacturer Manhole/Access (Y/N) "Pump off" level at SEPARATION DISTANCE FROM LIFT STATION TO: Well on i°t On adjacent lots D. ABSORPTION FIELD DATA ,../ Date installed //~' ~'////'./'~,,'~? / Soil rating Length '~'/· Width b"- '/ Total absorption area ~'-'~ Depression over field (Y/N) /t./ Results (pass/fail) /~'.r for Peroxide treatment (past 12 months) (Y~.~ SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot To building foundation -~'~ · On adjacent lots ~' -~'~ ' Surface water E. ENGINEER'S CERTIFICATION Gravel thickness Cycles tested Surface water System type tN/ ttt -~' ~ ' Total depth Cleanouts present (WN) Y Date of adequacy test ~-" If yes, give date bedrooms On adjacent lots ~- .e~,,. Property line To existing or abandoned system on lot /.t / Cutbank /~//,e Water main/service line /~ · Driveway, parking/vehicle storage m:ea "/"/4~ · I certify that I have checked, verified, or conformed to all MOA and HAA guidelines In effect o~ [he date, of this inspection. Engineers Name Date Waiver Fee: $ Date of Payment Receipt Number Depar'~lent of Environmental Quality ~0,3330 "C" Street, Anchorage, Alaska 99503 274-456l ~ ~ ~ Date Received July 7, 1976 ~ y~ ~ Time of Inspection 3.30 ~.m. ~ ~/ INDIVIDUAL SEWER & WATER FACILITIES l. Approval requested by: United Bank Mailing Address: Phone: 278-9526 2. Property 0wner: Steve & Rebecca Dare Phone: 694-9440 Mailing Address: Box 8 Twenty Grand, Eagle River 99577 3. Legal Description: Lot 24A Eagle River Valley Ranchettes 4. Location: 3rd house on the right, Twenty Grand, house is yellow 5. Type of facility to be inspected Single Family 6. Well Data: Public Utility No. of bedrooms 3 A. Type B. Depth C. Construction D. Bacterial Analysis 7. Sewage Disposal System: On-site system A. Installed July, 1972 B. Installer C. Septic Tank: l. Size 2. Manufacturer D. Seepage Pit: 1. Absorption Area 2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank , Absorption area , Sewer Lines Nearest lot line , Other contamination B. Foundation to septic tank , Absorption area C. Absorption area to nearest lot line EQ-034 {1/74) Page 1 of two pages Pag~ 2 of two pages - Re,l.~.~t for Approval of Individual ~"~r.. & Water Facilities · ~ Legal Description Lot 24A Eagle River Valley ', Ranchettes Co~nents Approval ~Valid for one year from date signed Greater Anchorage Area Borough, Department of Environmental Quality DIAGRAm4 OF SYSTEM I certify that the information contained in this request for approval to be a true and accurate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Date EQ-034 (1/74) GREATER AD.V. IIO,qqG.q A!{~A BOROU6tl Department of Envtrontr, ental Quality 350~ Tudor Read, ~nchorage, Alaska 99507 '279-86~6 Date of /nsoection REQUEST FOR APPROVAL OF INDIVIDUAL SS?;ER & WATER FACILITIES FOR FIIA 1. A.)prov.~! Requested ~y: Pcople. l_'s. [:anl: an,! 'frust Address: Leg~1 Oescrfption:_~ot 24A £aole River Vallcv Location: · ,,a,el-B~ll U:ill~l,.~ Depth A. TvpeCo~z:unity "~ ' ~' '~ -~ C. Constructt,m Sew.3ge Dls~o~al .System: A. Installed..].Jul.y., 1972 D. Bacteria] Analysis' C.` Septic Tar,k: 1. D. Seepage Pik* 1. ~.. Disposal. Field: D~stances: A. Stzel .(90 cal. 2. SizeS' Dianc'~cr 2. Total Length of Lines Installer i.~3~i ] ton Manufacturer _Co~:un~ ty ,a~ur .... %'lell To: .septic ~ar, K . aosorp~;lon Area , Sewer Lines , ll~.orest. Lot Line . Other Contamination Po,jl~datiol~ to Sepf.~c Tank ]4' "~ Ab:~orotion Area Absorption Are~ to Uearest ~,,' T.ine ' In zvidu~l Sewer & %':oter Faci]itlcs Ih::lm=t .for. A;,prova! of ' 1'.39(: p~roved.__~.t,,~_,~.~ .]../?<'~%'4., D~s.3r. proved ' Dote n~qi.b~r ln,,1~72 ,3c:~::ep',~ 'S.I:l.air R.S. - - ' ' t ~ Approval Valid for One Yea'r Fz'o~ O~te. Stoned G~o~oT Anchosage A~ea Rorouqh, DeFa~tment of Env~o~ent~1 Qua lfty DIAGRA~ OF I · ]; certify, that the information contained in this request for approval to be a true ~nd accurate representat:~on of the s~lb~ect sewer anti wrater' £aciltties located ~' !)~,te