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Home My WebLink AboutEAGLE RIVER VALLEY RANCHETTES LT 6B Munic!palityof Anchorage Page I of"-~-. 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 Na~ ~ ~ ~' Wastewater System: ~ New ~pgrade ~ I~(~ ~1~ ABSORPTION FIELD Phone: I NO. Of B~ms: ~DeepTrench D Shallow Trench ~ Bed ~ Mound ~ Other LEGAL DESCRIPTION S°'lRating: ~PD/Sq Fl. T°talDepthfr°m°Hgin~Tde: Lot: ~ Block:~ ~~Su~visi°n: ~ /)e~th to pi~ ~om from. odginat~.~gr~de:lFl. Gravel depth beneath pi~ ~Ft. Township: I Range: ~~~. Fill addedaboveoriginal~rade:,~ -- I Ft. Gravel length: ~'t. Number of lines: ~ Distance ~nli~s: WELL: D New D Upgrade Grav~:~ ~/ rt I ~ I ~- ~Classificati°n~(Private'~ ~A'B'C)'/i~ Total Depth: Ft. Cased To= FL Total absorption area:~Q Ft.~~PiPe materia~~ Drillen Date Drilled: Static Water Level: ,n~alle~ Yield: GPM~ Pump Set a~ Ft. [~ ~sing Height Above Gmund:Ft, TAN K SEPARATION DISTANCES ~eptic B Holding ~ S.T.E.P. From Tank F~ld $ation Tank Sewer Lines . J ~ Sudace Water f~ l~'~ ~ ~ ~ LIFT STATION Lot ~acturer: CudainDrain --¢~'~ ~0~1¢ Pump Make&.~,l ] Electrical, Inspections pedorm. b~ Remarks: BENCH MARK Location and Description: ENGI~AL Department of Hea d H~~ ices approval 't~?.,' ..~'~ Reviewed and approved Date: 72-013 (1/91) MOA 25 Permit No.'~ k"~q'~-~:::::~FI 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: _' L.-~,'I'" ~ PID No.: N 72-013 A {2/91) MOA 25 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 PAGE 1 OF ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW920071 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:ALASKA HOUSING FINANCE CORP OWNER ADDRESS:PO BOX 101020 ANCHORAGE, AK 99510 DATE ISSUED: 5/01/92 EXPIRATION DATE: 5/01/93 PARCEL ID:05022125 LEGAL DESCRIPTION: EAGLE RIVER VALLEY RANCHETTES LT 6B 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 (ISAACS0). 3. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ISSUED BY: DATE: April 27, 1992 ROBERT SHAFER, P.E. ROGER SHAFER, P.E. CIVIL ENGINEERS (907) 694-2979 FAX 694.1211 HEALTH AUTHORITY APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL & MECHANICAL INSPECTIONS ON SITE WASTE WATER DISPOSAL SYSTEM DEStGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, Alaska 99501 REFERENCE: Eagle River Valley Ranchettes, Lot 6B Request you issue a permit to upgrade the septic system serving the referenced property. The existing septic system which was serving a mobile home is to be abandoned. The upgrade will serve a three bedroom home therefore an alternate site has been depicted on the attached site plan. A test hole was excavated and a percolation test was performed in the area of the proposed upgrade. Attached is the proposed upgrade design. This property is served by a Community water system. There are no protective well radii which encroach upon the property. As can be seen from the site plan this lot is large enough for another future upgrade. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic upgrade. If you have any questions or require additional information for your review, please contact us. Sincerely, ROGER J. SHAF~R~ P~' RJS/lsu 17034 EAGLE RIVER LOOP, SUITE 204, EAGLE RIVER, ALASKA 99577 I"-- $0' SCALE SEPTIC UPGRADE la,. Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage. Alaska 99502-0650 SOILS LOG -- PERCOLATION TEST PER ORUEO POR; LEGAL DESCRIPTION: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16- 17- 18- 19- 20- DATE Township, Range, Section: '~-t ~,t~ L "1~1 ~, ~--~'~--' ~1' SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? S L IF YES, AT WHAT O DEPTH? p E Depth lo Water Alter_ / Date: .,i ~.,.., ~/~.~_.,,.. Gross Net Depth to Net Reading Date Time Time Water Drop m PERCOLATION RATE '~ (m,nutes/inch) PERC HOLE DIAMETER TEST RUN BETWEEN I~ FT AND ~ FT £ & £ ENC::;=EP. INC ...--- - PERFORMED BY: 17034 Eagle River Loop Road No. L20,I'~ / [...~ CERTIFY ;~HAT THIS TEBT WAS PERFORMED IN ACCORDANCE WITH A I IDELINES IN HIS DATE. DATE: 72-008 (Rev. 4/85) PERr. IIT N0. r-lUN 'r CZ: 'r r 3L 'r T~-' OF R I'-.I CH~' ';!'. R G E DEPARTMENT ~F HEALTH Ar. ID Er-IVZRONT{NTRL F,-,'OTECTION 825 'L'~ STREET, ANCHORAGE, AK. 99501 264-4720 01"4--S I TE SENER LIPGRADE PERI"1 I T ( 790461 ) AF'PLICArIT LOCATION LEGAL WILLIAM HENTROBLE SRB 196X E. R. MRr'I OF HAR L6B EAGLE RVR VALLEY RRHCHETTE LOT SIZE 694 9226 i7955 SQLIRRE FEET TYPE OF SOIL ABSORBTIOH SYSTEM IS: TRENCH I'IRXlI'IUI~ tIU/'IBER OF BEDRO0;'IS = ~ SOIL RATING <SQ FT?BR)= 228 THE REQUIRED SIZE OF THE SOIL ABSORPTIOr'I SYSTEr'I IS: DEPTH= ir3 LEI'-.I G Tt-! =..~-- "'8 '-- ISRR%'EI DEPTH= 6 THE LENGTH DII'IENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD. THE DEPTH OF R TRENCH OR PIT IS THE DISTANCE BETHEEN THE SURFACE OF THE GROUt.iD Ar.iD THE BOTTOr'I OF THE EXCAVATION (Itl FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE OUTFRLL PIPE AND THE BOTTOrl OF THE EXCAVATION (IN FEET). RFI~LI I RFD SEPT I C TRt4I( S I ZE= 1[-'~£-'~r3 GRLLOt-~S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORI'I THIS DEPRRTI'IENT DURING THE It-ISTALLRTION IrISPECTIONS OF ANY HELLS ADJACENT TO THIS PROPERTY RND THE NU['IBER OF RESIDENCES THAT THE I,IELL WILL SERVE. TI,IQ ( 2 ) I I'-,ISPECT I LnI'-.IS ARE REI_n~LI I RED E:RCI(FILLING OF RHY SYSTEI~ WITHOUT FINAL IHSPECTION Ar. ID APPROVAL BY THIS DEPARTMENT HILL BE SUBJECT TO PROSECUTIOr.I. MINI~'IUr,1 DISTRt. ICE BETWEEN A HELL At. ID ANY ON-SITE SEWAGE DISPOSAL SYSTEr,1 IS 100 FEET FOR A PRIVATE WELb OR i50 TO 20(9 FEET FROI,1 R PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC HELL. OTHER REQUIRE~IENTS MAY APPLY. SPECIFICATIONS A~lD COr. ISTRUCTION DIAGRRr~S ARE AVAILABLE TO INSURE PROPER INSTALLRTIOH. PERF.1 I T E:---': P I RES DECEI"IBER 3...-1.. -1 97'--n~ _. I CERTIFY THAT l: I RM FAMILIAR HITH THE REQUIREI~ENTS FOR ON-SITE SEWERS AND HELLS RS SET FORTH BY THE MUrIICIPRLITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAteD THAT THE ON-SITE SEHER SYSTEI~ MAY REQUIRE ENLRRGEMErtT IF THE RESIDENCE IS REMODELED TO ItICLUDE MORE THRr{ ~ BEDRO01~S. SIGHED: APPLICANT WILLIRr'I WENTROBLE ISSUED BY V1 2 PERrqIT NO. ( 8PPLICFINT /.4.)! LOCFIT I ON ,~ ~ ~1 ~Z..JC)..~- ' LEGAL ~'~ ,, TYPE OF SOIL RB$ORBTION SYSTEH IS: MAXIMUM NUMBER OF BEDROOMS = LOT'SIZE SOIL RFITING SQUFIRE fEE~ THE REQUIRED SIZE OF THE, SOIl FIBSORPT'ION SYSTEM IS: E>F'PTH= /0 L.Er-IOTH= ~' i-~F.'Fi'...'EL, DEP-J-H= THE LENGTH DIMENSION IS THE LENGTH (~N FEET) OF .THE TRENCH OR DRFIINFIEi'D. THE DEPTH OF FI TRENCH, OR PIT IS THE DISTFINCE L::ETWEEN THE SURFFI~E OF THE GROUND FIND THE BOTTOM~ OF THE E:Z, CFIVFITION (II'J FEET). ,' THERE IS NO"SET WIDTH, FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETHEEN THE IOUTFFILL PIPE AND THE BOTTOM OF THE, EXCFFIVFITION (IN FEET). , ' c> , PERMIT FIPPLICFINT HFIS THE. RESPONSIBILITY TO INFORI`I THIS DEPFIR]ZHENT DURING THE IHSTFILLFITION IN$PECTIONS~OF FINY WELLS ADJACENT TO THIS PROPERTY FIND THE HUrIBER OF RESIDENCES THFIT THE WELL WILL SERVE. TI..-IO .C :~' ::, .I I'-.ISpEI_-:T.. 'r ,-,r-Is I-'il~-E ~-:E~.,U T BFICKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION FIND APPROVFIL BY THIS DEPFIRTItENT WILIJ. BE SUBJECT TO PROSECUTION. MINIMUM DISTFINCE BETWEEN'FI WELL AND FINY ON-SITE SEWAGE DISPOSAL. SYSTEM IS :lO0 FEET FOR FI PRIVATE WELL~ OR 150 TO 200 FEET FROM F1 PUBLIC HELL DEPENDING UPON THE TYPE OF' PUBLIC WELL. : HELL LOGS ARE REQUIRED FIND t'IUST BE RETURNED TO THE DEPFIRTHENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REGUIREMENTS MiRY APPLY. SPECIFICFITIONS AND CONSTRUCTION DIFIGRFIMS FIRE FIVFIILABLE TO INSURE PROPER INSTFILLFITION. PfRr~l I T EXP I F:ES DEC:ErlBFR ~:--. ::1_ .. I CERTIFY THFIT , :1.: I FIM FFIMILIFIR WITH .THE REQUIREMENTS FOR ON-SITE SEWERS FIr-ID HELLS AS SET FORTH BY THE MUNICIPFILITY OF ANCHORFIGE. 2: I WILL INSTFILL THE S','STEM IH FIOCORDFIrJCE WITH THE CODES., , MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Pouch 6-650, Anchorage, Alad(a 99602 276-222! SOILS LOG - PERCOLATION TEST r-i SOILS LOG PERCOLATION TEST LEGAL DESCRIPTION: 1 2 3- 4 5- 6 7 8 9 10 11 12 13 15- 16- 17- 18- 19- -of 275 300 SLOPE SITE PLAN WAS GROUND WATER ENCOUNTERED? ' IF YES, AT WHAT .DEPTH? Reading Date Gross Net Depth to Net Time Time Water Drop / //~(.. /:~o? ---,~z " ---- 20 ' ch~ -- PERCOLATION RATE & ~F (minutes/in 72-008 (7/76) GREATER ANCHORAGE AREA BOROtI~H HEALTH DEJ~ARTMJ~NT f ~' 327 EAGLE ST. ANCHORAGE, ALASKA 99501 2)'9-2511 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM SEPTIC TANK: MAILING ~ . ADDRESS~'~.~J~_~/'~/-*~' _/~,'~-- ~/~/'-~-~J~ PHONE LEGAL DESCRIPTION ,/~/-'-' DISTANCE FROM WELL LIQUID CAPACITY //'~:~ ~ ~ GALLONS. MATERIAL .~,, ~_,r._.~._' NUMBER OF ,COMPARTMENTS INSIDE LENGTH INSIDE WIDTH, DEPTH,__ SEEPAGE SYSTEM: NUMBER OF PITS LINING MATERIAL NEAREST LOT LINE SEEPAGE PIT: OUTSIDE DIAMETER - OR WIDTH /'.,,"~ / LENG;H , , DEPTH · DISTANCE FROM WELL ~"~"~,/~"..,'/~--~ ~ BUILDING FOUNDATION · TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) ~' ~' ~ SQ. FT. TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL FOUNDATION ,. NEAREST LOT LINE ~ ~ OF L~.~;~$ -- NUMBER OF LINES .~TANCE BETWEEN ~ ~ IN. TOTAL EFFECTIVE ABSORPTION AREA / ~__~~ OF EACH LINE~'''~ ' DEPTH: TOP F/TILE TO FINISH GRADE .DEPTH OF FILLER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: DISTANCE FROM . WATER TYPE ~'~ ~' ~~"~/-~'~:~/~--'~ DEPTH ,BUILDING FOUNDATION.~SAMPLE , NEAREST NEAREST SEPTIC SEEPAGE OTHER LOT LINE , SEWER LINE , TANK , SYSTEM , CESSPOOL , SOURCES DIAGRAM OF SYSTEM DISTANCES: APPROVED OAAB-HD-2 GREATEI'"~,NCHORAGE AREA '"-')ROUGH IIEALTil DEPARTMENT ~ ,~ 279-2511 327 Eagle St. Anchorage, Alaska 99501 Case N0.°2'~ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT NAME OF APPLICANT ! ~,~ .¢ ~r ., RESIDENCE ADDRESS LEGAL DESCRIPTION APPLICATION TO INSTALL: SEPTIC TANK TO SERVE THE FOLLOWING FACILITY FINANCED THROUGH PERCOLATION TEST RESULTS MAILING ADDRESS ~/, ¢~?.~'7 PHONE NO. LOCATION OF INSTALLATION SEEPAGE PIT ~ , DRAIN FIELD U , OTHER ANTICIPATE" BATE OF COMPLETION, ~ff '~, -~,- THIS IS TO SERVE AS /.,/.~'-~-~,,,~,.,, _/,~., , PERMIT TO INSTALL A ,~.~-"'~ ~. ~.~ s,,v,, DIAGRAM OF SYSTEM DI~ANCES: ~ ~. ~/ H~alth ~uthorit~ I certify that I am hmi~ar with the requkements of Greater Anchorage Area Borough Ordnance No. 28~~ . above des~ibed system is in accordance with ~id code. '" ~ Parcel I.D. # 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 1, GENERAL INFORMATION Complete legal description Lot 6B; Eagl~ River Vat~y Ranch~tt~s Location (site address or directions) Property owner Mailin~ address Lending agency Mailing address Agent Address 18730 Man O' War ¢~rr:o,.,~o~o Day phone Day phone Day phone $76-1900 e 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. TYPE OF WASTEWATER DISPOSAL: Individual on-site Holding tank Community on-site Public sewer X× NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 {Rev. 1/91) F~'ont MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is s~fe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Engineer's signature 6. DHHS SIGNATURE Approved for --~ Disapproved. Conditional approval for .~ & .~ ]::N~tNE~.IN~ Phone 17034 Eagle River Loop Road No. 204 ~-agle i<iver, Alast(a ~*'/5'// Date bedrooms. bedrooms, with the folloWing stipulations: Additional Comments Date .~'7--- The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragrapl~ 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 ...... HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: L~'JT",~; ~ IA '~--~.~P~cel I.D. Well type A. WELL DATA , If A, B, or C, attach ADEC letter. ADEC water sys;;em'number'''~~ '~--~ ~ ~ Log present (Y/N) Date completed Driller Total depth Cased to Sanitary seal (Y/N) casing heigh~ Wires properly protected (WN! Date of test Static water level Well flow ' Pump level SEPARATION DISTANCES FROM WELL TO: FROM WELL LOG g.p.m. AT INSPECTION Septic/holding tank on lot Absorption field on lot ~ ~''~- Public sewer main ' Sewer service line WATER SAMPLE RESULTS: Coliform Nitrate ; On adjacent lots ; On adjacent I°ts Public sewer manhole/cleanout POtroleum tank Date of sample: Collected by: Other bacteria B. SEPTIC/HOLDING TANK DATA ' ~-~/~",~'/q ~"'' Tank stze I~ Compartments Dateinstalled-~· y ,..,j.,,:i.,,.,Foundationcleanou~,N) ~ Depression(Y~) J'~ Cleanouts~l~l') ?: d/4 High water alarm ( · 'Alarm tested (Y/N) Date of Pumper ~ - SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: ,~/.A.,_,, ":'~'" I~' : ·: Onadjacentlots~:~:~~Foundation Well(s) on lot / Topropertyline tl~2~'Ll~' ' ' 'Absorption field ' '~--~"~ ........... Wat&rr~ain/s~rgicelin~ Surface water/drainage I~::)~ ~'['-- ' ' 72-026 (Rev. 7/91) Front CONTINUED ON BACK PAGE LIFT STATION Date installed ' Size in gallons Vent (y/N) : ' : Mandf~cturer 4 * ' : r ~ ~ ' '' ';Pump on"l evel at ':" ~ '" "Pump off" level at ~ Cycles tested High water alarm level Mee~ts MOA'electrical codes (Y/N) SEPARATION DISTANC~M LIFT STATION TO: - -Well on lot / ' ~ ' ' Surface water Soil ratingr ~'~ystem type "'J~'~ ~ Gravel thickness ~:~.z~ / Total dep.th ~ / On adjacent lots D. ABSORPTIOi~* FIELD'DATA Date installed ?', I; ? . /. Lengt.h_; ~ :" Width Total.absorPtion ar~ea' Cleanouts resen N) Depression Over Date of adequacy test Results (pass/fail)i I~J..~.l~.J' .~---~?~"T".~'~ for Peroxide treatment (past 12 months) ( ~ ' ~ If yes, gK'e date 'SEPARATION DISTANCE FROM ABSORPTION FIELD TO: .: . -Welionlot- * ]'~/'~. " : ':' :: .... On adjacent lots"~-~:D~/'''r' ' Propertyline To building foundation i ~,1 To existing or abandoned system on lot On adjacent lots ~ "'~ Cutbank t,..tC>l~J..~__.. Water main/service line Surface water [ C:)(~:) ~ '{'- Driveway, parking/vehicle storage ar~a' 'Curtain drain /..~t~)'r,~ '[~.d~C:~i,c.~l~ .... bedrooms E. ENGINEER'S CERTIFICATION ........ :i.~ , . I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspe~ion. ,. . , ~ . ,,.,.,..~_'~'~._ ~: ~ ' ,',',. :.: , :': ... · S & S £N~iNEERiNO '" ~"~.~... ~ %~..~j,~. . ~nglneers Name ..... s-1--.~, ~aJ~J~eee ~ Date ~ ~ ~ O--~ '~ R~E~ J. flHAFER: ~ HAA Fee $ Date of Payment ~Z Receipt .umber 72-026 (Rev. 3/91) B~ck MOA 21 Waiver Fee:$ ; - '- ' Date of Payment Receipt Number DEPT. OF ENVIRONMENTAl, CONSERVATION ANCHORAGE DISTRICT OFFICE 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99503 WALTER J. HICKEL, GOVERNOR (907) 349-7755 April 24, 1992 FOR: S & S Engineering PWSID # 210875 My review of the records on file in this office reveals that the Norfolk Utilities (Eagle River Valley Ranchettes), Class "A" Public Water System, is in compliance with the routine coliform bacteria sampling requirements listed in Table C, and with the inorganic sampling requirements listed in Table B of 18 AAC 80.200. Sincerely, Byron Roys Project Engineer BR/cf 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date GENERAL INFORMATION Legal Description (include lot, block, subdivision, section, township, range) I Location [address or directions) (b) ."Applicant Name L.c>~z.,~.~,-~.> J~ I ~,.~a~_.- Telephone: Home Business .~- ~ . Applicant Address ~[; ~~ ~ ~~ ~~; ~.~ (c) ' Applicant is (check one): Lending Institution ~; Owner/builder ~; Buyer ~; Other ~ (explain); (d~~ Lending Institution ~ ~ ~~ ~ Telephone Address ~~ ~ "' (e) Real ~tate Company and Agent ~ ~ -- ~ ~. ~ i ~ ~ · : Address ~~ ~ Telephone J ~ ~ ~ ~ (f) ~ th~ HAA to the followin~ address: TYPE OF RESIDENCE Single-Family ~ .Multi-Family NumbEr of Bedrooms Other WATER SUPPLY Individual Well !-I Community I-t Public,~ Note: If community well system, must have writte.n confirmation from the State Department. of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL OnsiteJ~- Public [] Community[] Holding Tank [] Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 ors4) ENGINEERING FIRM PROVIDING ,NSPECTIONS, TESTS, FILE SEARCH, DA'I,~ AND INFORMATION *-' ~.. As certified by my seal affixed hereto and as of t.he validation date shown below, I verify that my investigation of this Health Authority Approval shows that the 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 Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date Telephone Approved fo~,'~--c--''~' bedrooms by Approved ~.~ Disspprove~' Conditional '~," Terms of Conditionnl Approval CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval c~rtificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 ($1/84) A. WELL DATA MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264**4720 MUNICIPALITY OF ANQ-IORAGE DEPT. OF HEALTH & ENVIRON~ENTAL PROTECTION 0 Blg85' Well Classification. Well Log Present (Y/N) Total Depth Static Water Level Casing Height Above Ground Electrical Wiring in Conduit (Y/N) Separation Distances from Well: To Septic/J=lol4;lim3 Tank on Lot . ~t'Jt- To Nearest Edge of Absorption Field on Lot '~ ~ I! A, B, C, D.E.C. Approved~;Z~l) Date Coml~leted Yield Cased to ~/~ Depth of Grouting Pump Set .At Sanitary Seal on Casing (Y/N) Depression Around Wellhead (Y/N) ; On Adjoining Lots ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected by ; Date Water Sample Test Results Comments . L,- ~ B. SEPTIC~G TANK DATA Date Installed /'o-;Z,- ~'~ Standpipes~N) Air-tight Caps ~/N) Depression over Tank (Y~) Pumping/Maintenance Contract on File (Y/N) Holding Tank High-Water Alarm (Y/N) Separation Distances from Septic/i,4e~dh,~J-Tank: To Water-Supply Well ~ I.~ To Property Line ~ O ~ '-}" ' To Water Main/Service Lin~ ~ ~ t,.~ :' Course ~ Size ?~ No. of Compartments Foundation Cleanout (Y/~ Date Last Pumped ; for -- Temporary Holding Tank Permit (Y/N) To Building Foundation ~ To Disposal Field ~.~ t To Stream, Pond. Lake, or Major Drainage Comments Page I of 2 72-026(11/84~ C. ABSORPTION FIELD DATA Soils Rating in Abs.orption Strata Date lnstalled (~/r-'/~ ..-. :~/,'-'/~ Length of Field ' - i $ -- . Width of Field I~.. / "~'" Depth of Field / Gravel Bed Thickness Square Feet of Absorption Area "P'~'~ / ~-'3t'~C)'~ Standpipes Presenti~l) Depression over Field (Y~. -,' / Date of Last Adequacy Test , /~ -/- ~' Results of Last Adequacy Test Separation Distance from Absorption Field: To Water-Supply Well .?~.~....~ To Building Foundation I,~:~ ~'~ Lot To Water Main/Service Line To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area To Property Line To Existing or Abandoned System on ; On Adjoining Lots '~'~:) ~''~ Tp Cutbank (if present) Comments LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Dimensions Manhole/Access (Y/N) Pumping Cycles during Adequacy Test. Meets MOA Electrical Codes (Y/N) Comments ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ~ '~ Compag~ ;~ ~ Receipt No, ' Date of Payment Amount: $ ~ Page 2 of 2 72-026 (11/84) DEPT. OF ENVIRONMENTAL CONSERVATION ANCHORAGE/WESTERN DISTRICT OFFICE 437 "E" STREET, SUITE 303 ANCHORAGE, ALASKA 99501 BILL S~IEFFIELD, GOVERNOR Telephone: Addre~: 274-2533 According to records 9p.~ile in this office the ter System is in compliance with the St~e Drinking Water Regulations Sincerely, ,. ' ' MUNICIPALITY OF ANCHORAGE. ENVIRONMENTAl., P~,OTECTION DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ' 825 LStrlet-Ancho~'lge. Alask. 99501 'JUL, P. 6 1979 ENVIRONMENTALENOINEERINGDIVISION RECEIVED Telephone REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITIES DIRECTIONS: C~nplete all parts on page t. Incomplete reques~ will not be proeell~ed. R~ "11o~ ten (~tO) ~ for I~r~ing. 1. PROPERTY OWNER ~.~/~ PHONE MAI LING ADDRESS ~._~ PROPERTY RESIDENT (if different from abo~,~) PHONE 2. BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION ~ PHONE I MAILING ADDRESS 4. REALTOR/AGENT I PHONE I MAILING ADDRESS r STREET LOCATION 0 I E. TYPE OF RESIDENCE .. NUMBER OF BEDROOMS [] One [] Four ~ SINGLE FAMILY [~ Two [] Five [] MULTIPLE FAMILY [] Three [] Six [] Other 7. WATER SUPPLY [] INDIVIDUAL· COMMUNITY [] PUBLIC UTILITY · ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth (attach log if available.) SEWAGE DISK)SAL SYSTEM INDIVIDUAL/ON-SITE** [] PUBLIC UTILITY · *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. 72-010(3/78) THIS SIDE 'FOR OFFICIAL USE ONLY ~ . DATE RECEIVED I NSPECTI ON APPOINTMENTS TIME TIME TIME DATE DATE DATE INSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OF BEDROOIV~ [] 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 [] INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~ --~-'~ ~,~ Connection Verified INSTALLER []Septic Tank ~_r [] Holding Tank Size: f~-~) If Tank is homemade SOILS RATING give dimensions: TYPEOFTANK MANUFACTURER ~ TOTAL ABSORPTION AREA MATERIAL 4. DISTANCESwELL TO: Septic/Holding Tank IAbsorption Area JSewor Line I Neerest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS I~'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. SHAFER MECHANICAL ENGINEER CIVIL ENGINEER 694-9055 JVIUNICIPALITY OF ANCHOI~AG[ 694-2979 DEPT. OF H~ALTH & AtJgLtst 15, 1979 £NVIRONMENTAL F~OTECTION William Wentroble 100 Man of War Eagle River, Alaska 99577 AUG 1 6 979 RECEIVFD Dear Mr. and Mrs. Wentroble, Reference: Lot 6B; Eagle River Valley Ranchettes In our letter dated August 6, 1979 we informed you that your seepage System was inadequate and an upgrading of the system would be required. In order for the system to be upgraded, you requested that a soil test be preformed. This test was completed on August 11, 1979, and a permit to upgrade the system was obtained from the Municipality. (Copies enclosed.) Your excavator completed the upgrading in accordance with your permit and all work was inspected by us. A copy of the in- speeti°n report forwarded to the Municipality is also enclosed. We sincerely hope you are satisfied with the service provided and if we may be of further assistance please do not hesitate to call. Sincerely ,.~ 'A. ER, . .. encs: 4 ~ CF: Area Realty w/o encs ATTN: 'Sue' Gallion Department of Health and Enviornmental Protection w/o encs SRB 196X EAGLE RIVER, ALASKA DAVID A. SLENKAMP ROBERT A. SHAFER MECHANICAL ENGINEER 694-9055 AUgust 6, 1979 CIVIL ENGINEER 694-2979 William Wentroble 100 ~n of War Eagle River, Alaska 99577 Dear ~. Wentroble, Reference: Lot'6B; F~gle Rtv~ Ran~hettes" A~ sewer system adequacy test ms performed on August 2 and 3, 1979 per your request. The test ~us to verify the sdequacy of the sewer system (septic tank and seepage pit) serving a 2 bedroom mobile home on the referenced property. The septic tank was humped and verified to have a capacity es sho~n by municipal record bf I000 gallons. The seepage pit was full of water and approximately 800 gallons hsd to be removed. The system was recharged with approximately 850 gallons of fresh water. Measurements taken at the end of a 24 hour period showed ~hat the system had lost approxi- mately 114 gallons through percolationl This quantity is satisfactory for approximately 0.74 bedrooms. I regret to inform you that as a result of the above test it can be concluded ~hat the system is not adequate and will reouire upgrading with an absorption trench tied into the seepage pit that Mill be sufficient to carry approximately 1.25 bedrooms. If we can be of further assistance, please do not hesitate to call us. CF: Area Realty ATTN: Sue Galian Department of Health and Enviornmental Protection aRB 196X EAGLE RIVER, ALASKA