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HomeMy WebLinkAboutEAGLE RIVER VALLEY RANCHETTES LT 13C · Municipality of Anchorage Page ! of 2. 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: _~qP41Z?l PID Number: ,,'~o2Zzo~, Name: Wastewater System: ~ New D Upgrade Address: /~ ~.~.~ ~. ~,~. ABSORPTION FIELD Phone: LEGAL DESCRI PTI ON so, Rating: Total Depth from original grade: LOt: Block: Subdivision: Depth to pipe bottom from original grade: Gravel depth beneath pipe Township: [ Range: [ Section: Fill add~ above original grade: Gravel length: I WELL: ' New D Upgrade Gravelwidth: Numberof lines: ~D[stance~tw.nlin~: Classification (Private, A,~C): Total Oepth: Cased TO: Total absorption area: Pipe material: ~/~ Driller; ~ J / ~lled: StalicWater Level; Installer: Date installS: Yield~Pump Set at: Casing Height Above Ground: sEPARATION DIsTANcEs ~sep,c O Ho,ding O s.T.e.P. From Tank FIeld Station Tank SewerLines I ~OOA~ r~ Well ~ /~ ~00 / ~ ~ ~ Z~ Material: Number of Compa~ments: Surface Water ZOOt+ =o0% -- ~ ~ LIFT STATION Lot '+ 1~ Size in gallons: [ Manufacturer: Foundation ~' ]~1 ~ -- -- "Pump on" level at: ~f" level at: [ High water alarm at: Cu~ainDrain ~ ~ ~ I~ -- -- PumpM~ JElectricallnspectionspeHormedby: Remarks: O~O WE~ ~ ~ee~o~ BENCHMARK Location and Description: 4 ~ [ Assumed Elevation: Inspecbons pedormed by: wo~ ~ R!~~~: 1st ,q- ~- *~ ~ Department of Healt nd Huma~erv,ces approval ~ ~~,~p... '~7~ Reviewed and approved by: Date: [/ ~ ~~~' 72-013 (Rev. 9/91 ) MOA 25 Permit No. SW930271 Page 2 of 2 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: EAGLE RIVER VALLEY RANCHETTES, LOT 13C PID No.?5022206 f 95.2 ................... NE~ ~000 GAL SEPTIC ?ANK ..... j CO4 SCALE l* - 40' 72-013 A (2/91) MOA25 MT1 co~ ........... co4"~- 91. : 88; 88' · 81' NO WATER FOUND A B COl 7.5 38.2 C02 23 47.5 C03 36.5 541 C04 54 33~ C05 39.5 12.5 MT1 40 12.6 MT2 51.5 30.5 SEAL ENGI.N. EER'S SEAL ' 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 PERMIT PERMIT NUMBER:SW930271 DESIGN ENGINEER:S & S ENGINEERING OWNER NAME:BROWN BRENDA OWNER ADDRESS:lB847 MAN-O-WAR RD EAGLE RIVER, AK 99577 DATE ISSUED: 8/04/93 EXPIRATION DATE: 8/04/94 PARCEL ID:05022206 LEGAL DESCRIPTION: EAGLE RIVER VALLEY RANCHETTES LT 13C LOT SIZE: 17955 (SQ. FT.) NUMBER OF BEDROOMS: 3 THIS PERMIT: 3 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK 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 ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4329 OR 343-4681 AFTER BUSINESS HOURS 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED BY: DATE: ~- ~-~'~ DATE: ~r~ ROBERT SHAFER, P.E. ROGER SHAFER, P.E. July 30, 1993 CIVIL ENGINEERS (907) 694-2979 FAX 694-1211 HEALTH AUTHORII~ APPROVALS SEWER & WATER MAIN EXTENSIONS SEWER & WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL iNSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOILTEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ON srrE WASTE WATER DISPOSAL SYSTEM DESIGN Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES 825 L Street Anchorage, AK 99519-6650 REFERENCE: Eagle River Valley Ranchettes Subdivision, Lot 13C We request you issue a De~mlt to install a seDtic system to serve the DroDosed th_tee bedroom house on the referenced DroDerty. Two test holes were performed on the property. The approximate location of the test holes are located on the attached site plan. The monitoring tubes within the holes have been checked and found to be dry. This property has enough area for a future septic upgrade, which can be seen on the attached site plan. This property is served by a Cou~Lunity Water System. There are no protective well radii which encroach upon the property. We do not anticipate any adverse effects on neighboring properties by the installation of the proposed septic system. If you have any questions, or require additional information for you/.r~r~view, please contact us. {AS/LSU/lsu 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER. ALASKA 99577 l~£c"a~^C,t,~ Rt¥~r Vat,t,~¥ rANOHETT~ SUBDIVTSTON. LOT 1~-C ~" ~. ~. U~SH~. I°~' ..~.~. I~'%/~/~ I~"'., o~ , DESIGN CRITERIA: ~ .~t~] DRAINFIELD: · 5 BDRM =450 GPO ' ~ 6: DEEP SOILS = 0.45 GPD/SO. ~. 5 WIDE 450/0.45 = 1000 SO. FT. REO'D ~.5' EFFECTIVE 108' LONG (TWO TRENCHES 0 54') LOT 13-D /PROP. I LOT 1 5-A I. I I CONIRACTOR IS REQUIRED TO OBIAIN UIILITY LOCATES PR(OR 10 ANY EXCAVAIION WORK. ALL PORTIONS OF SYSTEM WITH LESS THAN 3.5' OF COVER REQUIRE INSULATION. WATER LINE PROP. SEPII( 000 G~L TANK ----.. EX]ST. SEPTIC TANK '~" PROPOSED 3 BDRU HOUSE ~ DRIVE CO LOT 14-3 STRUCTURES, EASEMENTS, OR ENCROACHMENTS SHOWN ON THIS SITE PLAN ARE AS SHOWN ON AN AS-BUILT SURVEY DRAWN BY: fLEMING SURVEYING SERVICES IT IS THE RESPONSIBILTIY OF THE CONTRACTOR TO VERIFY EASEMENTS, REQUIRED SEPARATION DISTANCES, AND PROPERTY LINES PRIOR TO CONSTRUCTION. 71i. i. SITE __{ Di~FIELDS SYSTEM TO BE ABANDONED PROPERTY SERVED BY COMMUNITY WATER SYSTEU. NO WELLS WITHIN 200' OF SEPTIC SYSTEM. THE ENGINEER MAY VARY THE EXACT DIMENSIONS AND DESIGN PARAMETERS IN THE: FIELD, IF NECESSARY, TO MEET SITE CONDITIONS. ON-SITE WASTEWATER DISPOSAL SYSTEM CONSTRUCTION PRACTICES and MATERIAL SPECIFICATIONS REFERENCE: Eagle River Valley Ranchettes, Lot 13C The scope of this project includes the installation of a 1000 gallon septic tank and five foot wide drainfields to serve the proposed three bedroom residence for the referenced property. Construction shall be in accordance with the approved site plan and design drawings; Municipal permit with any special provisions or conditions; and all applicable State and Municipal Wastewater Disposal Regulations. The contractor shall be responsible for obtaining any necessary underground utility locates. Unless specifically agreed otherwise, the property owner shall be responsible for final grading areas subsequently depressed from soil settling. On all leachfield mound systems, the property owner shall be responsible for ensuring a satisfactory vegetation growth over the mounded area. Contractors installing wastewater disposal systems must be certified by the Municipal Health Department for system installations· Owners installing their own systems must also receive prior approval from the Municipal Health Department. SEPTIC TANK INSTALLATION: A septic tank is to be constructed by a certified septic tank manufacturer. Construction shall include two 4" cleanouts for pumping access. The septic tank shall be sufficiently bedded to prevent settling or shifting of the tank. Ail standpipes on the septic tank shall extend a minimum of 12 inches above final grade. 4. Septic tanks installed with less than 4 ft. of cover shall be insulated. Page Two Eagle River Valley Ranchettes, July 30, 1993 Lot 13C Se 6o A foundation cleanout shall be installed one to four feet from the building foundation. In the line between the tank and the leachfield there shall be two adjacent cleanouts (unless an effluent pumping system exists within the septic tank). These cleanouts shall be located on undisturbed soil not more than 10 ft. from the tank. The first cleanout, in line, shall be to clean toward the leachfield. The second cleanout shall be to clean toward the septic tank. Final grading over the septic tank shall be such that a positive slope exists away from the septic tank. ABSORPTION TRENCH/DRAINFIELD INSTALLATION: Excavate the proposed trench to the dimensions shown on the design. The bottom of the excavation shall be within 2 inches of level. If the sidewalls of the excavation become smeared, they must be raked or scratched (ruffed- up) before gravel (sewer rock) placement. Once the gravel is installed, the distribution pipe is to be installed level with the perforations faced downward. Gravel is then to be placed over the distribution pipe to provide a minimum of 2 inches of cover over the pipe. o A silt barrier must be installed between the final gravel layer and the native soil backfill. Ensure the silt barrier covers the entire gravel surface before placing backfill. Monitor tubes shall be of four (4) inch diameter and installed approximately in the locations shown on the design. The portion of the monitoring tube extending through the gravel shall be perforated from the bottom of the trench to the invert of the distribution pipe. This is equivalent to the effective depth of the gravel as noted on the design. Backfill over the final gravel layer must not be less than twenty-four (24) inches. Insulation must be installed when the backfill depth is less than thirty-six (36) inches. The finish grade over the trench must be mounded to prevent the formation of a depression after settling. Page Three Eagle River Valley Ranchettes, Lot 13C July 30, 1993 MINIMUM MATERIAL SPECIFICATIONS: Any septic tank .proposed for installation must be constructed by a Municipally approved septic tank manufacturer. The following pipe materials are approved for use in septic system installations in the Municipality of Anchorage: Type of Pipe Perforated Solid Cast Iron ASTM D3034 (PVC) ASTM F810 (HDPE) ASTM D2662 (ABS) Yes Yes Yes Yes Yes No Yes Yes Use of a type of pipe other than listed above must be approved by the inspecting engineer. Insulation shall be at least 2" thick extruded direct burial polystyrene (Dow Chemical Company Styrofoam HI or equal). Septic tank inlets and outlets shall be 'fitted with watertight couplings (Caulder, Fernco, or equal). A permeable nontoxic silt barrier (Typar 3401, Mirafi 140N, or equal) must be installed between the final leachfield gravel layer and the native soil backfill. e Ail leachfield gravel (sewer rock) shall be 0.5"-2.5" screened gravel with less than 3% passing the #200 sieve. When sand is being used as a filter material, it's gradation specifications must confo£m to AMC 15.65.060D. Page Four Eagle River Valley Ranchettes, Lot 13C July 30, 1993 INSPECTIONS: Typically there will be a minimum of three (3) insDections required during the installation of the wastewater disposal system. These inspections will occur as follows: The first insDection must be conducted after the excavation of ditches, pits, trenches, or beds and before the installation of any gravel. A septic tank may be set in place, but may not be backfilled before this inspection. The second inspection must be conducted after the placement of the silt barrier, gravel, distribution lines, standpipes, cleanouts, and insulation, but before the placement of any other backfill. The final inspection is to occur upon final grading of the property. Often there will be more than these 3 inspections required. Especially with the installation of multiple trenches, sand filters, pressurized distribution systems, etc. Thus, the insDecting engineer is to be contacted at least 24 hours prior to the start of construction. If necessary, a pre- construction meeting will take place on-site. ~ Municipality of Anchorage *,..'~,~' ~'~*"., t~) DEPARTMENT OF HEALTH & HUMAN SERVICES ~**.*~.......~,'~'" PERFORMED FOR: ~~ ~ DA~/,o~ LEGAL DESCRIPTION: ~C~ _',. ~7 /~ ~ Township, Range. Section: SLOPE SITE PLAN 2 4 5 6 WAS GROUND WATER 1 0 ENCOUNTERED7 s 11 .-"- L IF YES, AT WHAT O 12 DEPTH? p E 13 ~.6. [~ , Moni~rino? Gross Net Depth to Net Reading Date Time Time Water Drop ~ ~ I~ 5~" 14- 15- 16- 17- 18- 19- 20- PERCOLATION RATE '~ (m~nutes/,nch) PERC HOLE DIAMETER 1~ #~ TEST RUN BETWEEN Z FT AND 3~'L~ ,~:3' FT cOMMENTS ~ ~d~ ~t~ ~l~l~O. ~~ ~o ~. _ S & S ENGINEERING ! . PERFORMED IN vERFORME~B~- - ~ ~ .... t ~ ~=A ~;- ~. I ~~ CERTIFY THAT THIS TEST WAS RDAN ~ ' ~' a .cco ~. ~ ~ ~[~ ~.~c,,.~ au,~m.E~c~ o. ~.,s ~.~. 72~8 (R~. 4/~) *" Or Municipality ol Anchorage .~- ,* ~ ,, w *~_ ' DEPARTMENT OF H~LTH & HUMAN SERVICES 825 "L" Strut, Anchorage, Alaska 99502~50 . , LEGAL DESCRIPTION: ~~* · ~o~ I~ Township, Range, Section: ' SLOPE SITE PLAN WAS GROUND WATER j~ ~., ENCOUNTERED? S IF YES. AT WHAT ...-. ~3 DEPTH? P E Monitoring? L." - ~ Date: . Gross Net Depth to Net Reading DateTime Time Water Drop fi/ I:0 ~,~. '-' ~ ' 5 6 7 8 9- 10 11 12 13 14 15- 16 17 18 19 2O PERCOLATION RATE (7~"~ (m,nutes/,nch) PERC HOLE DIAMETER TEST RUN BETWEEN -~ FT AND ~ · FT PERFORMED BI:7n~ ~t~ ~ive~ Loop Roa8 No ~' I .~~ CERTIFY ~HA~ ~HIS ~EST WAS PERFORMED IN -- - i ACCORDANCE~ ~L[ ~'ATE AND MUNICIPAL GUIDEUNE~T ON THIS DATE' DATE: 72~8 (Rev. EpIW145 MUNICIPALITY OF ANCHORAGE Development Services DepartmentPhone: 907-343-7904 On -Site Water & Wastewater Section —`� Fax: 907-343-7997 Certificate of On -Site Systems Approval Parcel I.D. 050-222-06 1. GENERAL INFORMATION Expiration Date: 3 , 1 -;20Z( Complete legal description EAGLE RIVER VALLEY RANCHETTES LOT 13C Location (site address) 18847 MAN 0 WAR, EAGLE RIVER, AK 99577 Current property owner(s) BRENDA BROWN Mailing address Real estate agent 18847 MAN 0 WAR, EAGLE RIVER, AK 99577 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) Day phone Day phone 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ❑ Private Septic Water Storage ❑ . Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ® Public Sewer ❑ Waiver request for: Distance: Received by: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 53-0 Date of Payment 311g1aoa0 Receipt Number n qoq�� (J COSA # SC1 2D1/O0- Date: 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. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 3/17/2020 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the system and maintenance. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, any estimate of how long a system will function satisfactory for current or future occupants or guarantee that no unseen encroachments, deficiencies or discrepancies exist can be given by First Water Consulting & FWCS DSD SIGNATURE System #1 Approved for -S bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms bedrooms, with the fo ."b:"*"ft *" ft\,� oF,4�,q�>r�� � 7H . ....•:* / • Curtis Huffman CE 128991 ,• i�`�/ iIP,F'�FD �/17/20g0.7 pROFESS0t` lVViiQF faA(r�r� ON-SITE_ ham- 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 Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Other 9— Legal Description: EAGLE RIVER VALLEY RANCHETTES LOT 13C Parcel ID: 050-222-06 If more than 1 septic system on lot: COSA Checklist # _of _ Structure served by this system _ A. Wew DATA - PUBLIC WATER �- ❑ Well log is filed -with Onsite (or attached) Well production at time of test Date drilled Water storage tank vol-ur'fi'e- gallons Total depth _ft Cased to _ft (INTO BEDROCK) ❑ Sanitary seal is functioning correctly ❑ Wires are properly protected Casing height (above ground) _ins Date of flow test for Static water leve,L-af beginning of test _ft. Com B. TANK DATA Age of tank(s) 27 years Tank type/material SEPTIC / STEEL Measured operating fluid level in septic tank 50.5" ® Standpipes/foundation cleanout per record drawing Date of pumping 3/17/20 D. ABSORPTION FIELD DATA Which system tested (date installed) 9/30/1993 ® ALL standpipes present per record drawing Total measured depth from grade 8 ft (max) Measured depth to pipe invert from grade 4_5 ft (min) ❑ N/A - pressurized field Well disinferte'd for coliform test? ❑ Yes ❑ No -Coli orm bacteria is Negative Nitrate _mg/L ❑ Nitrate less than MRL (ND) ArseroJiQ 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: See attached MOA tank advisory. Adequacy test date 3/17/2020 Results N Pass For 3 bedrooms Fluid depth prior to test 0 in Water added 880 gal New depth 13 In (First 200 gallons = 6" fluid level) ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective N MT nearest the house 1.2' into ED. S Trench MToes to bottom of 3.5' ED. Final fluid depth 6 In = (680 GPD absorption level @ test) ® Code -required soil cover over Meld ❑ System presoaked Absorption rate 450+ gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) If yes, enter date Gallons introduced gallons Comments/Deficiencies: Tested South trench. Last 450 gallons injected rose 2" and fell 2" w/in 50 minutes F E. SEPARATION DISTANCES Frditrl?rivvate Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Stati ire Lot > 100' Community Sewer Manhole/Cteanout > 100' �. es if No Neighboring Tank > 100' ® Yes if No Absorption Field on Lot > 100' ® Yes if No Neighboring Absorption Fields 00' ® Yes if No Com- murkfy Sewer Main > 75' ® Yes if No ft �_ ® Yes if No ft Pra ztc�-Se /erw Septic Line > 25' ® Yes if No d'ng Tank > 100' ® Yes if No Animal Containmenir->-50'® Yes if No ft Manure/Animal Excreta Storage _ 10 ft ® Yeo From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Water Service Line > 10' ® 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' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION l certify that 1 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. TH .. .. ....•:. .. .... ..t.M'.- Curtis Huffman ����'c�G,•.• CE 128991 •�t4�®� s�F,�••��Isi292e•���� FloPROFEWO� -I,- ft ft ft ft ft ft ft ft Septic 'Tank Advisory Certificate of On -Site Systems Approval #OSC201102 Subdivision: Eagle River Ranchetts Lot 13C 907-343-7904 Fax: 343-7997 Starting at 20 years of age the MOA issues Advisory's for steel septic tanks. The septic tank for this property is 27 years old. Typical replacement costs range from $8,000 to $11,000. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. This is an example of what the metal of a 20 year old steel tank MAY look like. Mailing Address P U Box 196650 *Anchorage, Alaska 99519 6650 *www muni org Lot 14B i Lot 13A I i ( Lof 13B — — — — — S 89'59'15"E 133.00' — — — — — — WOODEN FENCE 10' UTILITY EASEMENT 58.3' Z f.5'. CANT 26.3' � IVEWAY o Q DRVEL O Q� Lof 13C vi 6:0' o w "? 17,955 S.F. o vi Lot 14D 4.8 X6.0. � � o Lot 13D ECK M I W Qf 4.9'x4.7' DECK 0 38.2 32.3' O o o WOODEN FENCE --,7.9'x10.0' �/� GREENHOUSE SEPTIC PIPES N 89'59'15"W 133.00' o 0 09 NOTE: THE LOT IS SERVED BY A COMMUNITY WATER SYSTEM. PLOT PLAN ___ AS BUILT _X_ SCALE _1=_=40__ GRID _ NW 0054 Project No. 20-097fR1 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 Lana & Associates, inc. (907) 522-6476 Phone `' (907) 522-4625 Fax O F Professional Land Surveyors ken0longsurvey.com o Jonathan®longsurvey.com � Q• S �O 1 hereby certify that I have surveyed the following described property:'49_ LOT 13C, EAGLE RIVER VALLEY RANCHETTES SUBDIVISION (PLAT No. 72-96) 0 TH �* D� g g Alaska, and that the improvements situated thereon are """""""� Anchorage Recording District, .. within the property lines and do not encroach onto the property adjacent thereto, that no improvements on the property lying adjacent thereto encroach on the surveyed premises and that there are no roadways, transmission lines or other visible d C '. KENiET G. G o G easements on said property except as indicated hereon. ao s� �Q �,jp LS -5202. •'' SJR Dated this the �`� Day of ... �ibaGL.......... 2 2� at Anchorage, Alaska �4 oA 0 0 4Qo4FfSSIONAN- oy It is the responsibility of the owner to determine the existence of any easements, Oppp© covenants, or restrictions which do not appear on the recorded subdivision plat. AECC963 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On-Site Services Section P,O. Box 196650 Anchorage, Alaska 99519-6650 · 343-4744 Parcel I.D. tt CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING GENERAL INFORMATION Complete legal description Lot I$C i Ea,qle River Valley Ranch~te6 Location (site address or directions) Property owner Mailing address Lending agency Mailing address Brenda Brown 18847 Man-O-War Eagle Riv~r~ Day phone AK 99577 Day phone Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. NUMBER OF BEDROOMS: $ TYPE OF WATER SUPPLY: Individual well Community well ' Public water XXX 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: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72~ [Rev. 1/91) Fro~l MOA 121 Se 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 adeqt~ate 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 inves!i_gation 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 th~tion. of Firm // // Phone ~--/'- ~'~ ~'~ Name Address Engineers signature ~~ ~ } ::.~.~. .. Approved for .~ Disapproved. Conditional approval for DHHS SIGNATURE bedrooms. 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 c6nduct 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, Date Municipality of Anchorage ,~ Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ~-o 1' ~'~ /-- ~ ~., f-,~zc~,- Parcel I.D. A. Well Data Well type '1i~._~ ~. If A, B, or C, attach ADEC letter. ADEC water system number Log present (Y/N) Total depth Sanitary seal (Y/N) .Cased to Casing heightf~''''''~ ,Wires properly~ Date of test ' FROM WELL LOG.~,,,,,....~,..~ INSPECTION , ~" Static water level .Date completed Driller ..---" Well flow ~ PumpJeveT1 .... SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main g.p.m. ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Sewer service line WATER SAMPLE RESULTS: ~ Coliform ~ Nitrate Date ~ Collected by: Petroleum tank Other bacteria g.p.m, o B. SEPTIC/HOLDING TANK DATA Well(s) on lot To property line ~o Surface water/drainage Date installed lo - ~ -'~ ~ Tank size ~, c> c, c:) Compartments Cleanouts (~) ~ Foundation cleanout~N) ~f' Depressio~n (Y/~ High water alarm (Y/~ ~'t Alarm tested (Y/N), . "~'~ ~- Date of pumping · ,,~ ~ ~e-~ pumper ........ ~ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: On adjacent lots Foundation Absorption field Water main/service line 72-026 (3/93)- Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent (Y/N) .Manufacturer Manhole/Access (Y/N) 'Pump on' level at ~elat High water alarm level ~sted Meets MOA electrical codes (Y~'~'"~'"~ ~ll on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date installed Length ~ Width 5' ~ Total absorption area I .c)~ c~ ~' Cleanout present (~N) Date of adequacy test ~'/~- - ~,~,~, Results (pass/fail) Water level in absorption field before test ------- Peroxide treatment (past 12 months) (Y/~ ~ Soil rating (GPD/Ft2) c),,4-~ /T'~'"' System type ~ ,~' Total depth '7, 5''.~ Depression over field (y~) t-j for -"-- Bedrooms After test - ' If yes, give date Gravel thickness SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot ~ c To building foundation On adjacent lots Surface water On adjacent lots ~'//~ Property line t"z-~ To existing or abandoned system on lot Cutbank_ ~'~ Water main/service line t ~ Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, vedfied, or_confon-ned to all MOA and HAA guidelines in effec~ o? the, da. te of this inspection. Date .~ ( ]~ /~ ~ ~ 'Jj' ~..,, ...... ,,,.~ HAA Fee $ ~ ,. ~.~'~ Waiver Fee $ Date of Payment ~' 'Z..- ~ ~ ~/'~_~ Date of Payment Receipt Number ~5~'//~ ~ (_/Z~-~'~ '~) Receipt Number 72-026 (3/93)* Back