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RIVER VIEW ESTATES BLK 7 LT 6
P. ive View Lot 6 Block 7 #050-791-06 Municipality of Anchorage On -Site Water and Wastewater Section • (907) 343-790419, 43-7904P,apeof ON-SITE WASTEWATER INSPECTION REPORT 'n9� 'Y � ?J �'® Permit Number: OSP201403 PID Number: 050-791-06 Dwelling: 0 Single Family (SF) ❑ with ADU ❑ Duplex (D) ❑ Two Single Family Project: ❑ New ❑✓ Upgrade Name Jennifer Glanville A ORPTION FIELD :01D Trench ❑ Wide Trench ❑ Bed ❑ Mound Site Address 21053 River Park Dr. Other Phone Number of Bedrooms Soil RatingTotal depth from original grade 2 /8F Ft. LEGAL DESCRIPTION Depth to pipe invert from original a Gravel depth beneath pipe Ft. Subdivision Block Lot River View Est 7 6 Fill added above original grade Gr I length Ft. Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Dist a between lines Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between t hes From Tank Lift Station Field ( Tank I Line Ft= Well 100'+ If TANK 0 Septic ElS.T.E.P. ElHolding ElOther Manufacturer Capacity Surface Water 100'+ I Greer 1000 Gal. Material Plastic Number of compartments 2 Lot Line s'+ NA Foundation 10'+ tffqATION Manufacturer Capacity Gal. Remarks Alarm location Electri Iled by PIPE MATERIAL House to tank Tank to D3034 drainfield D3034 Installer Northern Excavation Drainfield CO/MT D3034 Inspector Arcterra Consulting BENCH MARK (Assumed elevation) 100 ft Inspection u dates: 11/2/20 2nd 11/2/20 Location and description Std 11/3/20 4t" Rear door frame top corner ON-SITE WATER AND WASTEWATER SECTION APPROVAL Engineer's Stamp +�,+rrrr���4 4111 Conditional Approval: Date �+++'1.. .... `�.... ♦*+, i•���;.•'` IF *1 C Nn lnu• .n*ry Septic System / ;KENNETH US � a► #��'•.• CE 7� Approved Date 1 J ,702 ����o,�f,�,.ry �•d• ,,�tir�'' Note: this approval does not include well permit requirements. (Rev 05/02/18) K I _ 6 ('Lu sr- W5 Or-; i4 Alf /�d 4v dA 5-e COU -4 � ri -740 rLex-f CO3f9 AS—BUILT SYSTEM DETAILS/SITE PLAN Permit ❑SP201403 RIVER VIEW EST BLK 7 LOT 6 PID# 050-791-06 DITCHLINE (APPR❑X, L❑CATI❑N) NEW 1000G SEPTIC TANK 1^1xmp 15'UtR A—C=39.3' B—C=13.3' A—D=39.0' B—D=14.2' ° AZ4 1 f 4 TH - �l 1 HE S" I Alf ' S5 O-tl 'w g�� 4R Ati%jN� i Est s Ld o C3 0 A �1000 GAL $ SEPTIC PREPARED F❑RI JENNIFER GLANVILLE 21053 RIVER PARK DR. EAGLE RIVER, AK FIELD BOOKS BOUNDARY: N/ A STAKING: IN /A ASBUILT: DWG. FILE ACAD FILE` FILE COMPUTED: DRAWN: KSD CHECKED: K M D DATE: 11/2 2( GRID: SWO357 JOB No' 20193 SCALE, 1' = 30' SCALE, NTS MUNICIPALITY OFANCHORAGE On-site water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage. Alaska 99519-6650 Phone (907) 343-7904. Fax: (907) 343-.7997 httpd/www.muni.org/onsite Permit Number: OSP201403 Work Type: SepticTank Upgrade Tax ~code Number; 05079106000 Site regal Address: RIVER VIEW ESTATES SLK 7 LT 6 G:0357 Site Mailing Address: 21035 RIVER PARK DR, Eagle River Owner: GLANVILLE JENNIFER L [Design Engineer: ARC TERRA CONSULTING INC This permit is for the construction of: 0 Disposal Field 21 Septic Tank L7 Holding Tank CI Privy Effective Date: 9/28/2020 Expiration Coates 8/28/2021 Lot Size in Sq Et: 40000 Total Bedrooms: 2 0 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 1565. 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 By Date:' f> Issued 8y: ', ;- . `=p'_ ' # w� Date: 4Ct�j'd��" 0 �C,t MUNICIPALITY OF ANCHORAGE fic. Development Services Department Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I.D. 050-791-06 Property owner(s) Mailing address _ Site address ON-SITE SEPTICIWELL PERMIT APPLICATION Jennifer Glanville 21053 River Park Dr. Eagle River, AK 21053 River Park Dr. Eagle River, AK Day phone Legal description (Sub'd., Block & Lot) River View Est Blk 7 Lot 6 Legal description (Township, Range & Section) Lot Size 40,000 Sq. Ft. Number of Bedrooms 2 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) Q (w/wo AD U) Septic Tank 0 Upgrade 0 Duplex (D) ❑ Holding Tank ElRenewal ElMultiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. Dea Duffus (Signature of property owner or authorized agent) Permit/Rush Fees: 160.7S7 COV IO Waiver Fees: _ Date of Payment: I a `i 1 ad a u Date of Payment: Receipt Number: Q rt g OG Receipt Number: Permit No. 0_GP ZQ 14 D3 Waiver No. GADevelopment Services\Building Safety\On Site Water and Wastewater\Forms\Client Forms\Permit Application.doc �FtJERR, �r �4�"SULTING •�,e 19 �K. M77' September 23, 2020 AizcTE1a1ZA CONSULTINC., INC 20441 Ptarmigan Bld, Eagle River, AK 99577 Office (907) 696-6111, Fax (907) 868-3793 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPI LANCE OSP201403, Rebecca Carroll, 09/28/20 Subject: Septic Tank Upgrade Permit — RIVER VIEW EST. BLK 7 LOT 6 The owner has requested we proceed forward to obtain a septic permit to upgrade the aged septic tank on the subject lot. The proposed upgrade will serve the existing 2 -bedroom house. The adjacent lots are developed and are served by private wells. There is no surface water within 100' of the proposed tank. The new tank will be outside any protective well radii. We do not expect there to be any adverse effect on adjacent lots by the development of this tank. If you have any questions, please contact me at 696-6111 /FAX 868-3793. Respectfully submitted, ArcTerra Consulting, Inc. oe-'Du P. E. Attachments: On -Site Sewer Application Wastewater Absorption System Details/Site Plan 20441 PTARMIGAN BLVD • EAGLE RIVER, AK 99577-8736 • PH (907) 868-3791 • FAX (907) 868-3793 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMF LIANCE WASTEWATER DISPOSAL SYSTEM DETAILS/SITE PL(AN14o3RebeccaCarroll,og/2812o RIVER VIEW EST BLK 7 LOT 6 PID# 050•--791-06 DITCHLINE (APPROX. L❑CATION) INSTALL NEW 1000G SEPTIC TANK EXISTING 100013 SEPTIC TANK 0 CCp ,�, �ipq N jeC -DING 15'UtR Esmt SCALES V = 30' 1. DECOMMISSION EXISTING SEPTIC TANK PER CODE. 2. INSTALL NEW 1000 GALLON TANK SYSTEM PER CODE. 3. TANK TO HAVE MIN. 20' MANWAY RISER. 4. MAINTAIN 101+ FROM FOUNDATION & 51+ EXISTING FIELD, 5. MAINTAIN 1001+ FROM PRIVATE WATER WELLS. NOTES NO WELLS ON ADJOINING LOTS ARE WITHIN 100' OF PROPOSED TANK PLACEMENT. NO SURFACE WATER NOTED WITHIN 100' OF PROPOSED TANK PLACEMENT. CONTRACTOR WILL ENSURE MINIMUM 2V SLOPE INTO SEPTIC TANK. CONTRACTOR WILL ENSURE ALL SEPARATIONS TO ADJACENT WELLS. Amor OF .AL � All �� • ' • .4S),. , / yf .-4 TH * � IY ,,,NNE M. S." 0 ' --7118 �� / 1........ .. 1 `__ PREPARED F❑RI JENNIFER GLANVILLE 21053 RIVER PARK DR. EAGLE RIVER, AK FIELD BOOKS COMPUTED: BOUNDARY: N A. DRAWN: KSD sra<clNo N/A OHEcicm: KMD ASBUILT: _ DAM 9Z20/ DWG, FILE: GRID: SW357 rACAD FIM, FILE aOe No' 20193 Municipality of Anchorage Page 1 of. 5 DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 Anchorage, Alaska 99519-6650 Telephone: .345-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SWO00147 PID Number: 050--791 --06 N"me:JOHN THOMSON Wastewater System: · New [] Upgrade Address: 17343 SANTA MARIA DR. EAGLE RIVER, AK 99577 ABSORPTION FIELD No. of Bedrooms: Ph°ne:(907) 240--2020 2 BDeep Trench IShallow Trench [3Bed rqMound E]Other LEGAL DESCRIPTION 1.2 oPD/s,~, rt. 2.44-4.47 rt. 6 7 RIVERVIEW ESTATES 0.44-2.47 r~ 2.0 - - - 0.5-2.0 r~ 42 WELL: · New [] Upgrade 5 F~ 1I -- F~. PRIVATE 100 r~ 81 F~ 300 SO. r~ ASTM D-3034/F-810 CCC CONSTRUCTION 7/6/2000 SULLIVAN WATER WELLS 6/12/00 47 YJ.ld: I Pump .Set Ab Ic'a'ing He'ghtAbove Gr°und= 1.5 O.M UNKNOWN .L 2 .L TANK SEPARATION DISTANCES · septic [] Holding [] S.T.E.P. To Septic Absorption Lift Holding PublJc/Privot~ Monufocturen Capacity in gollon~; Tank Sewer U.,, ANCHORAGE TANK 1000 From Tank Reid Station Well 100'+ 100'+ -- -- 25'+ STEEL 2 SumaC.water lOS'+ ~20'+ - - - LIFT STATION ~ Lot 5'+ *0' - - -j Line Drain NONE KNOWN I Remarks: *SEE SEWER EASEMENT BENCH MARK TOP OF CMU FOUNDATION 100.00 Inspections performed by: AWWO, INC. Dates: 1st 7/6/2000 ~!: .~ ~ ....... ..... ' 2nd 7/6/2000 lr t.'J/ ~ ..... :....t 3rd 9/19/2000 ~),-:0',/~e ~fr, L A. G~'rness,.. vOSj'..' , f;-7953 ..' Department of Health and Human Services approval ?~ .... . .. ~ Reviewed and approved by: ate: c}"~'¢C '~'-~r Cox 2=. PERMIT NUMBER: AS BUILT D~WING PARCEL ID NUMBER: SW000147 ' 050-791-06 / / A B C / FCC - 7.6 15.1 J / ST1 - 8.2 23.7 ~) / ST2 32.0 8.0 28.3 L DBL2 ,51.4 11.0 .52.5 ~ / C01 35.8 16.5 .58.2 ~ / MT1 54.4 55.2 I - NEW DRAINFIELD ~/ SURFACE WATER WX~ DIVERTED. DITCHLINE (APPROX LOCATION) ~ ~ ~ ~105 FE~ TO N~REST POINT. I SC SEPTIC ~L~ / ~ INGRESS/EGRESS A B C FCO - 7.6 15.1 ST1 - 8.2 23.7 ST2 52.0 8.0 28.5 DBL1 51.6 9.8 51.4 DBL2 51.4 11.0 32.5 C01 33.8 16.3 38.2 MT1 54.4 55.2 -- C02 56.8 54.8 - 9/19~2000 ~ ,'"IF/.!, 'x~.~b /'¢ DRAWN BY: CONSULTANTS, ............ SCrEw:, ¢ .. 77 ............ JOHN THOMSON (907) 240-2020 2 OF 5. /1 ¢ t Jefr; ¢ A~ness.;:'"Y~ LEGAL DESCRIPTION: /~/~/ ... ,C '--795.3 .." e~ RIVERVIEW ESTATES S/D; LOT B, BLOCK 7 ~%~.~%~. .......... ..~.~ AS-BUILT Of WELL LOCATION AND SEPTIC SYSTEM '~%~ SWO0014-7 ' 050-791-06 r'- ~lNtt. 6Z~ ~ 100,2+ ~/ ~s~w.~a& w~smv.~. ~.~.~. PREPPED FOR: PHONE: NUMBER: PAOE JOHN THOMSON (907) 240-2020 RWERV]EW ESTATES SUBD]V]S]ON~ LOT 6, BLOCK 7 ~?~_... ............ .~ ~PE Of WORK: ~rOfess~O PROFILE AS-BUILT OF SEPTIC SYSTEM ASBUILT I HEREBY CERTIFY THAT I HAVf SURVEY'ED THE FOLLOWING DESCRIBED PROPERTY= AND THAT NO ,F. NCROACHMENTS EXIST EXCEPT .AS iNDICATED. IT I$ THE; RESPONSIBILITY OF THE OWNEM TO DETERMINE THE EXISTENCE OF ANY I EASEMENTS, COVEhh~NTS, DE RESTRICTIONS WHICH DO NOT A~PEAR ON THE RECORDI~D SUBDI~ VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF' FENCE LINES, OR FOR ESTA~LISHING BOUND~ ARY LINES. ,SBWARD & ASSOCIATES LAND SURVB"fING SCALE: . GRID: DRAWN' 694-082 ~.~ OF ~<,~ ,-' ~.' ~ '.. &..~ ~ ~:-..,~ ~ ~ .'~ by. DO0 Co. dba' SULLIVAN'WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99507 · TELEPHONE 606-2769 OWNER OF LAND ~Oi~~j. ADDRESS LEGAL DESCRIPTION ~1 ,~ ~,( ¢ !~J ./~' ~" PERMIT NUMBER oo~l¢~ Date of Issue ~ T~ INDENTIFICATION NUMB~R~- 7ft - )~ weft lo.ted at appmwd pe~it location? ~ ~ No Method of Drilling: ' ~ta~ ~ cablo tool Depth ofwell: / DO Casing Type _,~/_.~Wall Thickness · '~/' ' inches de th Diameter ~. , P inches Liner Type: Casing Sti0kuP Above'Ground: ~3 feet Static Water Level (from ground level); ~ -;~ feet Pumping level: .feet after .hrs. pumping ~gpm Recover Rate; ~pm Method of Testing: Well Intake Opening Type;. ~ Open End I~l Open Hole [~.Screened; ' Sta~ . feet Stopped_ feet DePth: from.___ ~ feet, to _ feet feet Pump Intake Depth: PumpSl~. ~p Bind Name Well Disinfected Upon Compleiion? ~ ~ No MethOd of Disinfection: BORE HOLE DATA DEPTH ATTENTION: (t' is tl~a responsibility of the property owner'to submit a copy cf,the well log to the proper autliority..M'unicipel!ty of Anch6rage: Department of Health & Human Services end/or Department of Environmental Conse~ation. MatSh,,Borough:. Department of Envimnmenta. Conservation. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-Site Services Program 825 L Street, Room 502 P.O. Box 196650, Anchorage, AK 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM / WATER SUPPLY PERMIT Initial Date Issued: Jun 05, 2000 Expiration Date: Jun 05, 2001 Permit Number: SW000147 Legal Description: RIVER VIEW ESTATES BLK 7 LT 6 Design Engineer: 0041 AK Water & Wastewater Consultant Owner Name: John Thomson Owner Address: 17345 Santa Maria Dr. Total Bedrooms: 2 Eagle River, AK 99577- Parcel ID: 050-791-06 Site Address: Lot Size: 40000 SQ. FT. Permit Bedrooms: 2 This permit is for the construction of: [] Disposal Field [] Septic Tank [] Holding Tank [] Privy [] Private Well [] Water Storage 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 ef Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DHHS at least 2 hours prior to each inspection. Provide notification by calling (907) 343-4744 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: ALASICA WATER & WASTEWATER May 22, 2000 Municipality of Anchorage Department of Health & Human Services Division of Environmental Services On-Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Well and Septic Design for Lot 6, Block 7, Riverview Estates Subdivision To whom it may concern: The proposed 2 bedroom house will be served by a private well and septic system. Test holes were excavated on the property in the area of the proposed septic system. The proposed septic system for the primary site will be designed around the 30 foot radius of TH#1 and the alternate site will be designed around the 30 foot radius of TH#2 and will require a im~ovative bottomless intermittent sand filter (ISF) system. We are proposing that a i250 gallon S.T.E.P. tank and a five foot wide drainfield be installed. We are also proposing that the well be drilled in the southwest comer of the property. Comments regarding the proposed septic design are summarized as follows: 1. SOILS: Attached are logs which shows the soil classifications, groundwater monitoring, and the percolation test results. The soils below the organic layers are a GM/SM material with large cobbles/boulders to a depth of 12 feet in TH#1 and to a depth of 8.0 feet in TH#2 (bottom of test holes). Groundwater was encountered during the excavation of the test holes at 10 feet in TH#1 and at 6 feet in TH#2. The monitoring tubes were checked seven days later and found water to be at 11.5 feet in TH#1 and at 4 feet in TH#2. Also the monitoring tubes were checked again on 5/17/2000 and found water to be at 9.5 feet in TH#1 and at 4.9 feet in TH#2.. A percolation test for TH#1 was performed between the depth of 6.0 feet to 6.5 feet which had a percolation rate of <1 minute/inch. A percolation test for TH#2 was performed between the depth of 2.0 feet to 2.5 feet which also had a percolation rate of <1 minute/inch. It is our opinion that the insitu soils 2 should act as a sand filter and that a application rate of 1.0 gallons/day/ft should apply. 2. TRENCH DESIGN: a. Percolation Rate: <1 minutes/inch b. Allowable Application Rate: 1.0 gallons/day/ft2 c. Number of Bedrooms: 2 6901 DebmT Road, Suite 2B - Anchorage, AK 99504 ~ Pr: (907)337-6179 - Fax: (907)338-3246 d. Design Flow: 300 gallons per day e. Minimum Absorption Area: 300 122 f. Total Depth: 5.0 feet (maximum, at any point) g. Effective Depth: 2.0 feet h. Width: 5 feet i. Reduction Factor: 0.70 i. Minimum Length: 42 feet long j Effective absorption area = 300 I22 3. SURFACE WATERS: There is some slight depressions which have ponding water standing in them. All ponded areas within 100 feet of the proposed septic system will be filled in and/or graded to have positive drainage. There is also a surface water drainage ditch that run along the southwest property line and gradually flows in on the property. The I00 foot setback will be flagged prior to the installation. 4. TOPOGRAPHY: As can be seen on the attached topographical site plan, the trench is to be installed on the top of a knoll. There is a slope that exceeds 25 percent approximately 35 to 40 feet north of the proposed drainfield. The property is heavily vegetated. We request that a 35 feet waiver from the proposed drainfield to the slope that exceeds 25 percent. All precautions will be taken during construction to insure that all separation d/stances will be met. 5. LOT LINE WAIVER AND SEPTIC SYSTEM EASEMENT: The property owner owns both the reference property and the property directly east (Lot 7, Block 7, Riverview Est.). Attached is a copy of the ingress/egress easement for the proposed primary and alternate site for the septic system. We request that a 0 foot lot line waiver be granted. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Sincereli~ Presi em NOTE: Attached is a site plan drawing, a design drawing, a topographical site plan, two soils logs, and a 7page construction specification letter which are all part of the design package for this septic system. 6901 Debm~c Road, Suite 2B N Anchorage, AK 99504 N Ph: (907)337-6179 N Fax: (907)338-3246 Field verify the separation distance to all adjacent septic systems prior to placement of the well CHUGACH STATE PARK 5UJ~4E~ WA~--~I PROPOSED 2 BEDROOM HOUSE ! _o / I LOT 7, BLOCK 7, LoT 4. *OOK 7. ~9 ~ ~A~OM ~ ~ .*~ ~. ~CA~ LOT 8 BLOCK 7' / ~ ~ --~ ~ ~ R~ER~ EST, /' / I ~g. Lk N ~ALTERNA 'E SITE I .... J_~ N i (SEE DESIGN, PAGE 2 OF 3) ~1-- ~---- ~q ...... RIVER PARK DRIVE ~ ~, ~ ~LL / RIVER PARK DRIVE ...... ; ........... ~-'~'- ...... .... --:~-~-'' '~--I I,~ r~ ......................... I I I I I ~ I I I I I 5/22/2000 ~ C: ,}~" D~WN BY: ~. " I /I J.L.~. ,~%~... : CONSULTANTS, INC? 'REP~ED FOR PHONE NU"BER: PAGE NUMBER: JOHN THOMSON (907) 240-2020 1 OF · ~, ~o.,~,o.: ~U."~.J c,~.~ ..' ~' LOT 6, BLOCK 7, RIVERVIEW ESTATES SUBDIVISION ~PE OF WORK: SITE P~N FOR PROPOSED WELL LOCATION AND SEPTIC SYSTEM NOTE: THE CONTRACTOR SHALL HAVE THE 100 FOOT SETBACK TO SURFACE WATER FLAGGED BY A REGISTERED LAND SURVEYOR~- PRIOR TO CONSTRUCTION. ALSO, A MANDATORY PRE-CONSTRUCTION SITE VISIT BEPlVEEN THE CONTRACTOR AND THE ENGINEER WILL BE REQUIRED. / ~ / r-PROPOSED PRESSURIZED DRAINFJELO. / / ~ ! 42 FEET LONO. ADD 2 FEET OF CLEAN · ! ~" WASHED SE~NER DRAINROCK. THE LINE ~ / :; / / ! WITH 1/4 INCH DIAMETER HOLES ~ / .~ ! ! ! SPACE EVERY 1.5 ON CENTER. i I (APPROXIMATE LOCATION) ~ .~ THIS WILL REQUIRE A SEE NOTES ~ 18' x 20' BOTrOMLESS / ~. PROPOSED / '~' ~- ~'"--~..~'~ -~ .~/7 '~ ---- c3 SEPTIC TANK c SEWER EASEMENT , c SEE ATFACH ED / .~7 X ,,Q,\ ~ INDRESS/EDRESS / ~ ~ 100 FEET Of THE PROPOSED / \ SEPTIC SYSTEM WHERE WATER .c / / IN AND/OR GRADEO TO HAVE i%PROPOS[O W~LL i !POSITIV[ DRAIHAGE. AIASEA WNI'ER & WASTEWNI'ER //// JOHN THOMSON ([907) 240-2020 2 OF 5 ~.;o~..J~ffr/e_ A. C'Emess..: LOT 6, BLOCK 7, RIV£RVIEW ESTATES SUBD~VI$10N TYPE OF WORK: DESIGN OF PROPOSED WELL LOCATON AND SEPTIC SYSTEM CHUGACH STATE PARK f LOT 7, BLOCK 7, RIVERVIEW EST. / ~ _ RIVEB PARK BRIVE , CONSULTANTS, INC.~ 1" = 50' . : ........... PREP~EO FOR: PHONE NUMBER: PAge NUMBER: .~ ....... JOHN THOMSON (907) 240-2020 ~PE OF WORK: TOPOGRAPHICAL SITE P~N FOR SEPTIC SYSTEM ALASKA WATER & WASTEWATER CONSULTANTS, INC. ~-~"~'~'~'~'~ PHONE (907) 337-6179 FAX (907) 339-3~46 P~o~o ~o~: 0OH~ THO~SO~ ~.~2,~C.~ ........ ~Ft~ ~ ORGANICS I TEST H O LE ~ 1 I 0~:,,......~. ....... ..~ u~.~ ~ ~ PROPOSED SITE PLAN 5~UI ~ GP IIIIIIII HL 2 BED~O0~ 4 ~ GC OL 5 ~M/~ J~g~]COBBLES/BOULDERS ~ S~ ~ OH ._ 1~1 GROUNDWATER .... ,~/' AX - ,'- - ll ~tgg~[~l I DATE RE&DfNR CLOCK NET TIME WATER LEVEL I NET DROP 1~ I ~ ----- ~ 5 ~ I ............ voWS ~ .... I I __ ____ ~ ~_? ~ __ _ q I __ 19] I PERCOLATION RATE <1 (NIN./INCH) PERC. HOLE DIA. 6 (INCHES 20 ~ TEST RUN BETWEEN 6.0 FT. AND 6.5 FT. COHHENTS: PERFORMED BY A~SKA WATER & WASTEWATER. I, JEFFR~ A. GARNESS, CERTI~ THAT THIS WAS PERFD~ED/IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: DEPTH TO GROUNDWATER DATE lo' 5/4/00 '-- 11.5'(~ '-~/11/00 9.5' 5/17/00 ALASKA WATER & WASTEWATER CONSULTANTS, INC. I SOIL LOG - PERCOLATION TESTI ~"'~/~ '"~"~ LEGAL DESCRIPTION: RIVERVI~ ESTATES; LOT 6, BLOCK 7, "":~ ~'"~: ~;"':-~ PERFORMED FOR: JOHN THOMSON DATE PERFORMED: 5/4/00 ..... ~ 24~~ ~ CHUGACH STATE PARK = m~l~ll~)l ~ ~ ~ . PROPOSED SITE PLAN 4 GC OL I~[~[I W/ ~RGE ~ I[~[[~ oROUNDWATER .... J~ ~ u ~ 0 O/~/UU LO~ ~ SEP~C 11 ~ I DATE READING CLOCK NET TIME I WATER LEVEL NET DROP I ~ TIME m (MINUTES) REA~]NG (INCHES) I I 11 6,, 1SI ~ PERCOLATION RATE <1 (MIN./INCH) PERC. HOLE DIA. '6 (INCHES) 20 ~ TEST RUN BETWEEN ~ FT. AND 2 5 FT. COMMENTS: PERC. HOLE WAS PRESOAKED ~+ HOURS PRIOR TO TESTING PERFORMED BY A~SKA WATER ~ WASTEWATER. l, JEFFR~ A. QARNESS, CERTI~ THAT THIS WAS PERFO~ME~ IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON DATE: DEPTH TO SROUNDWATER DATE 6' 5/4/00 4.' 5/1 '~/00 4.9' 5/17/00 REC DATE 06/05/2000 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES ANCHORAGE RECORDER'S OFFICE 550 W 7TH AVE SUITE 1200 A~NCHORAGE AK 99501-3564 (907) 269-8899 RECEIPT NUMBER 1431883 RECEIPT DESCRIPTION RECORDERS OFFICE FEE BANK CD/CHECK NUMBER: 1845 CASH AMOUi~T: $0.00 0000 RECEIPTED ~4OUiqT: $17.00 YEAR:2000 BEGINNING BOOK SERIAL NUMBER INFORMATION BEGINNING NUMBER : 26994 ENDING NUMBER : 26994 :3643 PAGE NUMBER :319 ENDING BOOK :3643 PAGE NUMBER :322 RECORDING FEES : COPY FEES : PLAT FEES : MANUALS : NON REFUNDABLE : OTHER FEES : COPY SEARCH FEES : MICROFICHE COPY FEES : $21.00 FILING FEES : CONFORMED COPY FEES : CERTIFICATION FEES : OVER SIX NAMES FEES : UNAPPROVED FORM FEES : PLAT COPY FEES : INFORMATION SEARCH FEES : $2.00 REMITTER: AK WATER&WASTEWATER CONSULTANT 6901 DEBARR RD STE 2B ANCH AK 99504 COMMENTS: EASEMENT RECEIPT - DO NOT PAY NOTE: ORIGINAL RECORDED DOCUMENTS WILL BE RETURNED FROM MICROFILMING IN 4-6 WEEKS. ECEIVED dUN 05 000 ~UNICIPAI, I] ¥ Oi~ 'VIRONMENTAL ~ff~/IG~$ Dl¥ls~ REC DATE 06/05/2000 STATE OF ALASKA DEPARTMENT OF NATURAL RESOURCES ANCHORAGE RECORDER'S OFFICE 550 W 7TH AVE SUITE 1200 ANCHORAGE AK 99501-3564 (907) 269-8899 RECEIPT NUMBER 1431889 RECEIPT DESCRIPTION RECORDERS OFFICE FEE BANK CD/CHECK NUMBER: CASH AMOUNT: $6.00 0000 RECEIPTED AMOUNT: $6.00 YEAR:2000 BEGINNING BOOK SERIAL NUMBER INFORMATION BEGINNING NUMBER : 26994 ENDING NUMBER : 26994 :3643 PAGE NUMBER :319 ENDING BOOK :3643 PAGE NUMBER :322 RECORDING FEES COPY FEES PLAT FEES MANUALS NON REFUNDABLE OTHER FEES COPY SEARCH FEES MICROFICHE COPY FEES $21.00 FILING FEES : CONFORMED COPY FEES : CERTIFICATION FEES : OVER.SIX NAMES FEES : UNAPPROVED FORM FEES : PLAT COPY FEES : INFORMATION SEARCH FEES : $2.00 REMITTER: AK WATER&WATEWATER NA NA COMMENTS: TO COMPLETE RECEIPT #1431883 RECEIPT - DO NOT PAY NOTE: ORIGINAL RECORDED DOCUMENTS WILL BE RETURNED FROM MICROFILMING IN 4-6 WEEKS. · ' Bf O361 3P 03 I 9 EASEMENT GRANT made this 2nd day of June, 2000, between Bruce A. Hinson of P.O. Box 141915, Anchorage, Alaska 99514, hereinafter referred to as the grantor, and Bruce A. Hinson, of P.O. Box 141915, Anchorage, Alaska 99515 hereinafter referred to as the grantee. WHEREAS, the grantor is in fee and simple title of the following described realty: Lot 7; Block 7; Riverview Estates Subdivision according to the official Plat # the Anchorage Recording District, Third Judicial District, State of Alaska, and, WHEREAS, the grantee are desirous of enjoying the use of a certain portion of the grantor's land for the sole purposes of ingress and egress to Grantees land for the purpose of installing and maintaining a private septic system, and, WHEREAS, the grantors have agreed, in consideration of $1.00 (one dollar and no cents) and other good and valuable consideration, the receipt of which by Grantor is hereby acknowledged, to grant to the Grantee as easement solely for said defined purposes and for no other, NOW, this grant witnesseth that in return for said specified consideration paid by the Grantee to the Grantor, the Grantor hereby grant unto the Grantee, his heirs and assigns, full and ~ee right and authority to install and thereafter maintain a private septic system upon a portion Of Grantors land as shown by the "septic system design and as-built" by Alaska Water and Wastewater Consultants, Inc. dated May 18, 2000. Aw c qq oc/ -' BKO36 3PO0320 This Grant of Easement is intended to be appurtenant to Grantee above-described land and touches, concerns and hms with said lands. This is not intended to be an exclusive easement: the Grantor herein expressly reserves unto themselves equal rights of ingress and egress and all other rights as tenants in the entirety of the described premises. Any dispute or disagreement arising under or in any way concerning this instrument shall be submitted for resolution to the process of binding arbitration in accordance with the Alaska statutes made and provided for said arbitration. The jurisdiction of the Arbitrator shall commence 60 days t~om the onset of the dispute and shall operate to toll all applicable Statutes of Limitation. 1N WITNESS WHEREOF the Grantor and Grantee have hereunto set his hand the day and year above written. BRUCE A. H1NSON- GRANTOR BRUCE A. HINSON- GRANTEE STATE OF ALASKA ) THIRD JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on this ~ day of June, 2000 before me the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn, personally appeared BRUCE HINSON to me known to be the person described in and who executed the above and foregoing instrument, and acknowledged to me that she signed and sealed the same freely and voluntarily for the uses and purposes therein mentioned· written WITNESS my hand and official~seal)he day and year in this certificate first above Notary~iblic in and for Alaska - .' ....n My commission expires O1'4,9 ..,. , 100 FOOT SETBACK TO SURFACE WATER F'LAGGED BY A REGISTERED [~ND SURVEYOR PRIOR TO CONSTRUCTION. ALSO. A UANOATORY SITE VISff BEIV/EEN THE CONTRACTOR NqO THE ENGINEER WILL BE REQUIRED. / / / / / B~O36~3PS0321 TOP OF' SLOPE _THAT EXCEEDS % --Pi OPOSED PRESSURIZED DRNNF1ELD. EXCAVATE A TRENCH THAT IS 5 FEET DEEP MAXIMUM BY 5 Fl:Er WIDE AND 42 FEET LONG. ADD 2 FEET OF CLEAN WASHED SEWER DRNNROCK. THE UNE SHALL SE 1-1/4 INCH ~CH, 40 PV~ WffH 1/4 INCH DIAMETER HOLES SPACE EVERY 1.3 ON CENTER. / / I I ,,% SURFACE WATER (APPROXtblATE LOCATION) SEE NOTES ALTERNATE SffE. THIS WILL REQUIRE A 18' x 20* BOTTOMLESS INTERMITrE~rr SAND mL~m (ISF) s~rea- I PROPOSEO r___.Z- 2 BEDROOM HOUSE / TH#1' I / / I I \ \ \ \ \ \ I I ~ SEE ATTACHED J ~ INORESS/EORESS 100 FEET OF THE PROPOSED j ~ ' x -' JSEPTIC SYSTEM WHERE WATERI J ~ ~-, .~ . ~--_ , I~t~Y POND MUST BE RLLED I I ~ i~-~._~._~,/ ~ ~._~v N A~D/OR OPTED TO NAV~ I I ~ ~ ~ Al ASKA WAFER & WASTEWATER .................. CONSUL,,TANTS, INC, ~ * 3R£PANED FOR: PHONE NUMBER: JOHN THOMSON (907) 240-2020 LEGAl' DESCRIP~ON: LOT 6, BLOCK 7, RIVERVIEW ESTATES SUBDIVISION IYPE OF WORN: DESIGN OF PROPOSED WELL LOCATON AND SEPTIC SYSTEM 5/22/2000 DRAWN BY: J.L.M, 1" = 50' PAGE NUMBER: 201r5 .BKO36~3PG03 22 02699L~ AL"CHORAGE RECORDII4G DISTRICT CC 2000JN -5 AH I0:59 ~1 , RESUESTED BY "' 08~01/.00 - i~ ~MT ~y: ~d. agka Water & Was~cewa~cer Consu; 907 838 3246; 'I'~-.]U 16:25 FAX 907 762 3149 JACK WHITE REAL ESTATE JUn.1 -00 ~002 Page 212 PROPERTY OWNER MAINTENANCE AGIZEEMENT ON-SITE WASTI~VATER DISPOSAL SYSTEM This agreement, da~ 200~ is made bco,vccu the M~i~p~ of Anchorage ~ent of He~ ~d H~ ~ (D~S) ~d ~e pto~ o~r(s) of Tiffs agreement is made for the purpose ofmaintai~ng an on-site wastewater disposal system on the subject property. The property owner(s) agree to the fo. llowing: Thc propercy owner(s) will have an annual insf~ctiou of the system performed by a registered professional engineer. This iuspection shall verify that a{l cffiUcnt and air pumps, timers, alarms are functioning as d~signed. Any dclicienci~ ~hall be corrcmed and the engMeer's stateirm, nt that the system is functioning as dc$ig-ed shall bc filed annually with the DHHS. Propcn-y Own (~tme (Notarize MUNICIPALITY OF 0 De_v_elopmen_t_ Services _Department ______.___ 1 On -Site Water & Wastewater Section _ Parcel I.D. 050-791-06 ANCHORAGE -------_-__-- ----_— Certificate of On -Site Systems Approval Expiration Date: Legal description RIVER VIEWESTATES BLK 7 LT 6 Site address 21035 RIVER PARK DR Eagle River AK Current property owner(s) GLANVILLE X The On-site system(s) is/are approved for 2 bedrooms Conditional approval for Comments or advisories: M ---Phone--- 907-343-7904__ Fax: 907-343-7997 bedrooms, with the following stipulations: Original Certificate Date: $/4/2023 This Certificate of On -Site Systems Approval (COSA) is intended to demonstrate the subject system(s) is/are in substantial compliance with municipal code. The Municipality of Anchorage, Development Services Department (DSD) issues COSAs based upon representations provided by an independent professional engineer. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Well Flow Advisory Absorption Field Advisory Nitrate Advisory Tank Age Advisory Arsenic Advisory Other COSA Approval_June 2022 MUNICIPALITY OF ANCHORAGE o Development Services De - - - - -- - - ---- - - p_artme_nt-- -- - _ — --- - -- --- ---.Phone:-90-7--343-7.9.0.4-... _ - On -Site Water _& Wastewater- Section Fax: 907-343-7997 Certificate of On -Site Systems Approval Application 1. GENERAL INFORMATION Parcel I.D. 050-791-06 Complete legal description River View Estates Block 7 Lot 6 Location (site address) 21035 River Park Dr. Current property owner(s) Jennifer Glanville Day phone 2. ON-SITE SYSTEMS SIZED FOR 2 BEDROOMS 3. TYPE OF WATER SUPPLY: ® Private Well ❑ Private Well serving 2 dwelling units ❑ Private Well serving 3+ dwelling units ❑ Community Well or Public ❑ Water Storage 4. TYPE OF WASTEWATER DISPOSAL: ® Private Septic ❑ Private Septic serving 2 dwelling units ❑ Holding Tank ❑ Community Septic or Public Sewer 5. SEPTIC TANK: ❑ Steel © Plastic ❑ Concrete ❑ Fiberglass Age 3 - See advisory if steel older than 20 years 6. ABSORPTION FIELD: ❑ AWWTS ❑ Bed ❑ Deep Trench ® Wide Trench ❑ Seepage Pit Waiver request for: Expedited review requested: ❑ Distance: By applying for this entitlement, this property is subject to inspection by municipal On-site staff to verify the accuracy of the information provided. COSA Fee $_ Waiver Fee $ Date of Payment Date of Payment COSA # 0 C 2 Waiver # COSA Application—June 2022 Legal Description: River View Estates Block 7 Lot 6 Parcel ID: 050-791-06 If more than 1 well and/or septic system on lot, provide separate checklist. Structure served by this system A. WELL DATA J❑ Well log is filed with Onsite (or attached) Well production at time of test 2.6 gpm Date drilled 6/5/2000 Total depth 102 ft Water storage tank volume NA gallons Cased to Sl ft Well disinfected for coliform test? ❑ Yes © No ✓❑ Sanitary seal is functioning correctly ❑✓ Coliform bacteria is Negative ✓❑ Wires are properly protected Nitrate mg/L Q Nitrate less than MRL (ND) Casing height (above ground) 37 in. Arsenic ug/L ❑✓ Arsenic less than MRL (ND) Date of flow test for COSA 7/6/23 Collected by Arcterra Consulting Static water level at beginning of test 31 ft. Date 7/6/23 Comments B. TANK DATA Measured operating fluid level in septic tank 49" Date of pumping 7/6/23 ❑ Required maintenance completed, if AWWTS Comments: D. ABSORPTION FIELD DATA Which system tested (date installed) 7/6/2000 R ALL standpipes present per record drawing Total measured depth from grade 4.25 ft (max) Measured depth to pipe invert from grade 2.25 ft (min) ❑ N/A — pressurized field. ❑✓ Per record drawings, field is insulated_ ❑✓ Monitor tubes go to bottom of effective. If not, state depth into effective ❑ Presoaked required if (Required if house vacant or field not used for more than 30 days prior to date of test) Gallons introduced gallons date Any rejuvenation treatment (past 12 months) If yes, enter date Comments/Deficiencies: COSA Checklist June 2022 STATION ❑ Require tenance completed Age of lift station s Lift station material Comments: Adequacy test date 7/6/23 Results ] Pass Fluid depth prior to test 0 in Water added 300 gal New fluid depth 0 in Elapsed time 10 min Final fluid depth 0 in Absorption rate 300+gpd FIELD STATUS — POST RECOVERY Effective depth (per record drawings) Effective depth used 0 in Effective depth remaining 24 in 24 in E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well on lot) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' 0 Yes if No ft 0 Yes if No ft Neighboring Tank > 100' ❑✓ Yes if No ft Private Sewer/Septic Line > 25' ✓❑ Yes if No ft Absorption Field on Lot > 100' ❑✓ Yes if No ft Holding Tank > 100'✓❑ Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' Q Yes if No ft ❑✓ Yes if No ft Community Sewer Main > 75' ✓❑Yes Manure/Animal Excreta Storage > 100' if No ft Q Yes if No ❑ N/A — Served by Community Well (not on lot) or Public Water From Septic/Holding Tank and Absorption Field(s) on Lot to: (Please enter distances if less than required) Building Foundations > 10' J❑ Yes if No ft Surface Water > 100' ❑✓ Yes if No _ Tank to Property Line > 5' 0 Yes if No ft Wells on Adjacent Lots: Field to Property Line > 10' ❑ Yes if No 0* ft Private Wells > 100'✓❑ Yes if No _ Water Main > 10' ❑✓ Yes if No ft Community Wells > 200' ❑✓ Yes if No _ Water Service Line > 10' 0 Yes if No ft If tank or field is under driveway comment below F. ENGINEER'S COMMENTS *See sewer easement in MOA files. ft ft ft ft G. CERTIFICATION & 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, indicates that the on-site water supply and/or wastewater disposal system appears to comply with applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation, unless noted otherwise. Name of Firm Arcterra Consulting Phone (907)-696-6111 Engineer's Printed Name Kenneth Duffus Date %? 17,l Engineer's Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future occupants or can ArcTerra guarantee that no unseen encroachments, deficiencies or discrepancies exist. COSA Checklist—June 2022 , 0AIM 2h, T N89958'50"E 160.00' N89058'50"E 160.00 RIVER PARK DRIVE wa WILDWATER ANCHORAGE RECORDING DISTRICT, ALASKA CIRCLE AS -BUILT OF: RIVER VIEW ESTATES SUBDIVISION LOT 6 BLOCK 7 PLAT 79-5 SURVEY CERTIFICATE: 1, John L. Schuller, Have conducted a physical survey of this property as shown on this drawing and that the improvements situated hereon are within the property lines and no enchroachments exist other than noted. Under no circumstance shoull any information on this drawing be used for construction of fences, structures, improvements, or for establishing boundary limes. EXCLUSION NOTES: It is the owners responsibility to determine the existence of any casements, covenants, or restrictions which do not appear on the recorded subdivision plat. WORK ORDER NUMBER: DATE:SCALE: E—MAIL- JUNE" 30, 2023 1 IV =40v schuller0ak.net 23-067 DRAWN BY. CHECKED BY: GRID NUMBER: BOOK AGE I JLS SWO357 230215 '58'50" 50.00' OPTIC ESMT 43 PG 2319-322 SEPTIC VEN T yp) 1 z '58'50" 50.00' S L A 0 -S, ti � 1.831 Talkeetna Street Anchorage, Alaska 99508 (907) 227-1455 office (907) 274-4992 fax Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650. Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. o,;o-79z-o6 1. GENERAL INFORMATION Complete legal description COSA # (~ ~.. ////~-~ Expiration Date: ,/./- / ~ -/// River View Estates, Block 7 Lot 6 Location (site address) 2~oR5 River Park Drive, Eagle River, AK 99577 Current Property owner(s) Inc Jenn & Raney Hardman Day phone 694-6235 Mailing address Lending agency Day phone Mailing address Real Estate Agent Raney Hardman/ReMax of Eagle River Day phone 694-4235 Mailing Address unless otherwis~ ;requested, COSA will be held by DSD for pickup. 2,':~ NUMBER OF BEDROOMS: 3. iTYP,E oF. WATERiSUPPLY: .Individu~al W~ll. Individual Water Storage Community Class ~ Public Water System Well TYPE OF WASTEWATER DISPOSAL: [] Individual On-site [~ [] Individual Holding Tank r-1 [] Community On-site r-~ [] Public Sewer r-1 The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On-Site Systems 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. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services, LLC Phone 272-82z8 Address P.O. Box ~.oo2z7, Anchorage, AK Engineer's Printed Name Steven R. Pannone, P.E. Date [ ( Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right whatsoever. 5. DSO SIGNATURE ~'~ Approved for ~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: ~ -/¢ "// o C.O.'S LOT 6 ~! LOT 8A ~= 10' UTIL ESMT. N89~ 58' 5~;~ 160.00' RIVER PARK DRIVE UNDER NO QRCUMS~C~'" SH~LD ~ AS-BUILT BE USED FOR C~S~UC~ OR FOR ES~ABUSHI~G 8OUND~Y OR FEN~ UN~S. ~E SUR~YOR T~ES RESPON~BILI~ FOR ~E INI~AL ~SAC~ ~LY ~D ASSUMES RNANQAL UABILI~ ~LY F~ ~E COST OF ~E SURLY.' US~O DIS~CES PREVAIL O~ SCAUNG. R~PR~UC~ON MAY CAU~ EREOES IN SCALE. ~ L0~ ~ SURLY TYPE ...... S~M'BOLS ~ F~HDA~ AS-SOILT * SET R~BAR ~ ~ DRAINA~ ~ A~HALT ~ RN~ S~C~RK ~-aUtLT O FOUND R~B~ C C C ~ F~ ~ C~CRE~ PLOT PLANS A LOT SUR~YS NOTE: IT IS ~E RESPONSIBILITY OF ~E BUILDER OR O~ER. PRIOR TO ONLY ~OSE IMPRO~MENTS ABO~ GROUND AND ~SIBLE ~LL BE CONSTRUC~ON, TO ~RIFY PROPOSED BUILDING GRADE RELA~ SHO~. FENCES, ~LLS, SEP~C CLEANOUTS, SIDEWALKS, DRI~WAYS, TO FINISHED GRADE AND U~UTY CONNEC~ONS AND TO DE~RMINE ~TC,, ARE SHO~ IN ~EIR APPROXIMATE LOCA~ON, ONLY. SNOW ~E EXIS~NCE OF ANY EASEMENTS, COrNeTS OR RESTRIC~ONS MAY PRE~NT SOME IMPRO~M~NTS FROM BEINO $~EN AND LOCA~O, ~ICH DO NOT APPEAR ON ~E R~COROED SUBDI~SION PLAT, ALL DISTANCES ARE RECORD UNLESS OTHER~SE NOTED. SURLY CER~FICA~ON ~~a, Prepored by Robert E. Johns, Jr. & Assoc. Sw L RN~ S~UC~RE AS-~ILT SGS Ref.# 1113425001 Client Name Pannone Eng. Srv. Printed Date/Time 08/04/2011 10:33 Project Name/# Riverview Est Bk 7 Lt 6 Collected Date/Time 07/27/2011 13:15 Client Sample ID Riverview Est Bk 7 Lt 6 Received Date/Time 07/27/2011 14:19 Matrix Drinking Water Technical Director Stei}hen C. Ede Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 07/27/11 07/29/11 NRB Waters Department Total Nitrate/Nitrite-N 0.131 0.100 mg/L SM20 4500NO3-F B (<10) 07/29/11 AYC Microbiology Laborator~r E. C01i Total Coliform Negative 1 100mL SM20 9223B A 07/27/11 DLC Negative 1 100mL SM20 9223B A 07/27/11 DLC JRs Pumping PO Box 773415 Eagle River, AK 99577 (907) 694.6454 ~.i.ll.lng. Information Pannone Engineering P0 .Box 100217 Anchorage, AK 99510-0217 (907) 272-8248 Office # laob stte_!n ,.or, mat. i'.o. Laura 21035 River Park Drive Eagle River, AK 99577 (907) 272-8218 Additional, Location Common[s: Diagram: 4th house on left - green home w/#'s by front door, nothing in front yard but one ,birch tree Pipes in back - will have dw cleared & path to tank (between shed & deck) Service Type Oty Septic Serv 1000K I Job Descriotion'. lO00g P.O. Number;, Tee'ms: Net 30 Salesrep: Dawn. Dawn MaD Book: Cross Streets; Waterfall Drive Service Agreement Number: 033930 Order Date: 25-Jul-2011 Service Date: 26-Jul-2011 Technician: Dan Tax %: 0 Job Type; Repeat bla~) Grid; 154- - Comments: Last Service '05/14/2007' tank levels ok back flushed I time clean out ok 1000g Gallons Planned; 1000 Price Each Tax? $220.00 No Gal. Actual;, Hose Length: 1 Double Tank: IX Pump System: [;/-J- ,_.__, Baffles Inlet; [] .__... Baffles Outlet: [] _..__ Extonslon Actual $220,00 NonTaxablo Total Taxable Total Tax Total Estimated Charges: $220.00 $0.00 $0.00 Grand Total $220.00 Actual Charges; Customer agrees to the terms and conditions shown. THiS IS A BINDING AGREEMENT, Signatyre an~l/ritle of Custome/ReP'resentatiVe Date / '"' / / . For your a~deO~ni~e accept; Dlcove~. VIM an~ Ma~ter C~r~ payment~ over the phone, AEor 30 Dey~ a~ be turned over to COLLECTIONS. $30-00 For NSF Che~ks Returned. 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 (907) 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILLY DWELLING 050-)/~791-06 1. GENERAL INFORMATION Completelegaldescription RIVERVIEW ESTATES SUBDIVISION: LOT 6. BLOCK 7 Location (site address or directions) RIVER PARK DRIVE EAGLE RIVER. AK 99577 Property owner Mailing address Lending agency Mailing address JOHN THOMSON 17343 SANTA MARIA DRIVE Day phone 240-2020 EAGLE RIVER. AK 99577 Day phone. Agent Address Day phone Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 2 3. TYPE OF WATER SUPPLY: Individual well xxx Community well Public water NOTE: If community well system, provide wdtten confirmation from State ADEC attest- lng to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding Tank Community on-site Public sewer NOTE: If community wastewater system, provide wrftten confirmation from State ADEC lng to the legality and status of system. 72A)25 (Rev, 1/91 ) Front MOA #21 Computer Version -Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $935.00 at, _ I_or prior to, closing for the engineering services provided. - 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/er wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further vedfy that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system Es in compliance with a!,l MuniciBal~nd State codes, ordnances, and regu at OhS in affect °n the date of this inspection.~"~ /~,///~'~,/f Name of Firm ALASKA W~ATER~ &/V'CASTEAN/ATER CONSULTANTS, INC. Phone (907) 337-6179 I HI/,/ Y/ i Engineeis Signature ~__ ~¢~ ~___ ,,--. ---- Date In ~nducting this evaluation, A~O, I~ ~t~ ,o~de a thorough, conscientious engineering analysis of system in ac~rdance ~th ~EC and Mo~DR~s Guidelines & Regulations. The repoded results described the performance of the system under the ~nditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of afl wells and septic systems depend on the local soils ~ndition, ground water levels that may fluctuate during the yea6 and the water usage of the family being se~ed by the system. These ~nditions are outside the control of the evaluator of the system. Satisfacto~ test results do not guarantee future pedormance of the system, nor do they guarantee that there are no hidden defects or encroachments. A~C, Inc. ~n therefore not pro~de any warran~ for future estimate of how long the system ~11 continue to meet the operational requirements of the ADEC or MOA DHHS. The ~ntenl of this repod is for the sole benefit of the owner listed above. ~y reliance up~m or use of this repoR by any other person or pa~ is not authorized, nor will it confer any legal right whatsoever. 6. DHliS SIGNATURE b/ Approved for ~ bedrooms Disapproved Conditional approval for 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 Fending 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. 72-025 (Rev. 1/91) Back MOA #21 Computer Version Legal Description: A. WELL DATA Well Type PRIVATE Log present (Y/N). Total depth Sanitary seal (Y/N) RECEIVED Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division SEP 2 6 200 825 "L" Street, Rm 502 Anchorage, Alaska 99501 (907) 343-4744 MUNICIPALITY OF ANCHOI~A(~E .... ENVIRONMENTAL SEt, VICES DIVISION · Health Authority Approva L;necK ist RIVERVIEW ESTATES S/D; LOT 6, BLOCK 7 Parcel I.D.: 100' If A, B, or C, attach ADEC letter. ADEC water system number 24"+ YES 050-791-06 YES Date completed 6/12/2000 Cased to 81' Casing height (above ground) YES Wires properly protected (Y/N) FROM WELL LOG AT INSPECTION 6/12/2000 g.p.m. ~ g.p.m, Nitrate ° ~ mq/L Other bacteda Collected by: A.W.W.C., INC. Tank size. 1000 YES Depression (y/N) Pumper - Number of Compartments 2 Cleanouts (Y/N) YES NO High water alarm (Y/N) N/A *BELOW FINAL GRADE Soil rating ~or f12/bdrm) Width 5' Gravel thickness below pipe 300 SQ.FT. Monitoring Tube present (Y/N) YES Depression over field (Y/N) NEW Results (Pass/Fail) - For 2 1.2 System type TRENCH 2.0' Total depth '4.5'-5.0' Date of test Static water level 47' Well production 1.5 WATER SAMPLE REs,,~: Coliform Date of sample: 9/19/2000 B. SEPTIC/HOLDING TANK DATA Date installed 7/6/00 Foundation cleanout (Y/N) Date of Pumping NEW C. ABSORPTION FIELD DATA Date installed 7/6/00 Length 42' Effective absorption area Date of adequacy test Fluid depth in absorption field before test (in.); Fluid depth - (ins) Minutes dater: Peroxide treatment (past 12 months) (Y/N) 72-026 (Rev, 3196)* Computer Version - Immediately after - gal. water added (in.): __ - Absorption rate = - - If yes, give date - NO Bedrooms D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Size in gallons ~~ "Pump~mp off" level at* . E. SEPARA¥1ON DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic/holding tank on lot Absorption field on lot Public sewer main Sewer/septic service line 100'+ 100'+ N/A 25'+ On adjacent lots. 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Lift station N/A SEPARA'¥1ON DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Foundation 5'+ Property line 5'+ Water main/service line 10% Surface water/drainage. 100'+ Absorption field 5'4- .Wells on adjacent lots 100'+ SEPARATION DISTANCES FROM ABSORPTION FIELD ON LOT TO: Property line Surface water Curtain drain F. ENGINEER'S CERTIF I certify that I~'~ de of Municipal racer with MOA H~A Signature Engineer's Name Date *0' Building foundation 100'+ NONE KNOWN *SEE SEWER EASEMENT 10'+ Water main/service line 1 0'+ Driveway, parking/vehicle storage area 1 Wells on adjacent lots 100'+ mi, ffe~l ]~hr~ field inspections and review t ~he,/abov~ systems are in conformance ~t~ec~ on this date. JEFFREY A, GARNESS HAA Fee $_ ~'~00 · Date of Payment 72-026 (Rev, 3/98)* Computer Version Waiver Fee $ Date of Payment Receipt Number 09-25-00 17:50 FROM-CTE ENVIRONMENTAL 5615301 T-622 P.O1/02 F-209 CT&E Envir. onmental Services Inc. Laboratory Division 200 W. Potter Drive Anchorage, AK 99518 Tel: (907) 562-2343 Fax: (907) 561-5301 CT&E Ref. #: Client Name: Project Name: Client Sample ID: Matrix: 1005663001 AK Water & Wastewater Cons. Riverview Estates Lot 6 BIk 7 Hose Bib in Crawlspace Drinking Water PWSID n/a Client PO#: n/a Printed Date/Time: 09/25/00 17:45 Collected Date/Time: 09/19/00 14:25 Received Date/Time: 09/20100 12:50 Technical Director: Stephen Ede Released By:~ Sample Remarks: Allowable Prep Analysis Parameter Results PQL Units Method Limits Data Date Init TotaIColiform (MF) 0 col/lOOml SMO222B 09/20/d0 KAP Nitrate 0.5 U 0.5 mg/L EPA300 10.0 09/20/00 SCL