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Home My WebLink AboutSEQUOIA ESTATES BLK 1 LT 1Sequoia Estates Block 1 Lot 1 #017-152-01 MUNICIPALITY OF ANCHORAGE DE ITMENT OF HEALTH AND HUMAN SER S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name [� �,� __ AM—��5 Address) --.SSL o I! L A-rP—WELL`\ mit No. o- of Bedro ms � �J. - ) o I zo DISTANCES Tp FRDm SEPTIC TANK ABSORPTION FIELD WELL "' li I- 1IPhones) ttt LOT LINE f fill �� LEGAL DESCRIPTION Lot Block Subdivision CL l TGL - FOUNDATION �.� j - - -� Township. Range, Section \•/LY/- AS -BUILT DIAGRAM dmroway, water bodies, IShow location of well, etc.) septic system. property lines, loundation, TANKS Lwf SEPTIC ❑ HOLDING Memt cttuleerr��/�;,� �L1�:d.L�1 fir. _� Capacity in gallons 7 ` Material No. of Compartments TYPE OF SYSTEM a {e y TRENCH L'd' BED r ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from original grade FT Total depth from original grade "r • � FT - - _ Fill added above ongmal grade FT Gravel depth beneath pipe ~Jf FT - I O o 3 )ply, 8 erg Gravel Gravel width z� FT _FT_ _ Totabsorption area I Distance between lines Fa a q14 SQ FT 6 FT Number of hoes Sod rating Pipe material 1!/n1 _�Sd SQ FT T Zj-3y PVC C Installer Datc Insm led WELLS ❑ PRIVATE ❑ OTHER (Iden fvl Classification( B.Q , Total Depth Cased to —� FTJ FT Installer Date Installed: REMARKS:,, �ll__IIy��_L�C_tr�(�. IJV�r •-t/J[_ Inspectionspeilorrid by Date. inspection was perlornled according to all -- 4e n °'., �.hn .. ten., noo ) V} r Q B Uce J a Coro t ''„ --I No. Cl �� J � 64pc c.Y loo _ `�� ':>`•� - certily that this Mol cipal and Slate g d lines in ellecl on this date: — I w Health Department Approval: _ f� __ Date: 72-013 (3/85) y-/ Kit�K�� DEPARTMENl JF HEALTH AND ENVIRONMENTA� �ROTECTION , ' , ` 825 L STREET� ANCHORAGE501 264~4720 �IF::;:, I'tt, 11 JI.. 11~ - PERMIT NO: 860120 DAlE ISSUED: 05/12/86 APPLlCANl: ACREAGE SYSTEMS, .11 HC AODRESS: b01 E. NORTHER LIGHTS SUITE 165 ANCHORAGE, AK 99503 CONTACT PHONE: 276^6552 LEGAL UESCRlP: SUBDIVISION:SEQUOIA EST" LOT: 1 BLOC�: 1 SECTION: 26 TOWNSHIP: 12N RANGE: 3W LOT SIZE: 320O0 (SQ.FT" OR ACRES) MAX BEDROOMS: 4 Listed below are the options available to you in designing your septic system. Choose the option that best �its your site" ..... ..... �� R. I'dil DEPTH TO PIPE 8OTTOM (FT") GRAVEL DEPTH (FT.> 5"0 0.5 2"0 lOTAL DEPTH (FT.) 7"0 4.5 6.0 GRAV22.0 5,0 GRAVEL LENGlH (FT.> 60.0 41"0 84,0 ** GRAVEL VOLUME (CU.YDS"> 30.6 33"5 38"9 TANK SIZE (GALS)1,250.0 ** 1,250"0 ** SOlL RATING (SQ,FT"/BR) 150 150 N. DEPlH TU PIPE BOTTOM < 3"5 FT. REQUIRES INSULATION ** DEPTH TO PIPE BOTTOM < 4"0 FTMAY REQUIRE A LIFT STATION ** GRAVEL LENGTHREQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ** TANK MUS| HAVE AT LEASl� TWO COMPARlMEN7IS, I certi�y that: 1" l am familiar with the requirements for on�site sewers and wells as set forth by the Municipality o[ Anchorage (MOA) and Lhe State of A).aska" 2^ l will install the system in accordance with all MOA codes and regulations` and in compliance with the design criteria o� Lhis permit. 3, I will adhere to all MOA na requirements �or the set back distances [rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot" 4. I understand that this permit is valid for a maximum oyf 4 bedrooms and any enlargement will require an additional permit^ lF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA 8UILDING CODESv [HEN i 1> AN ELECTRICAL PERMIT AND lNSPEClION MUST BE OBTAINED; (2} AS~BUILTEl, WILL NOl BE APPHUVED WI FHOUT AN ELECTRICAL INSPECTION REPORT; AND (3> THE ELECTR1CAL WORK MUST BE DONE BY A LICENSED ELECTRICIAN. DATE: SlGNED m^�� APPLICANT: ACREA(iE SYSTEMS, INC co ISSU�D 8Y " �v ' / jqE �(1)oUP( ROHp NOTE! THE ACCURACY OF LOCATION OF EXISTING PROPERTY CORNERS, WELLS, AND SEPTIC SYSTEMS INDICATED IS NOT EXACT. DIMENSIONS INDICATED HAVE BEEN DETER— MINED BY USE OF CLOTH TAPE AND NOT BY SURVEYING TECHNIQUES. J c� e y u e J. Corwin °o No. CE -5233 o �. �� a 4ki I -CT Date IUAIzcH l2, /q8� -P-e,�eroecr bo r 9 b,b-i5pcs: j I LOTTID c� I n 41 f ?sEn J I l i IJ - rJ (LIV'✓ _ � 'h - . — yU-4--LL ZriCIUS 4ki I -CT Date IUAIzcH l2, /q8� �£NGINEERS €ALf u Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES i' T A 825 "L" Street, Anchorage, Alaska 99502-0650,"s p a j, Corwin ;r SOILS LOC - PERCOLATION TEST ':� j"^- p PERFORMED FOR: AcR6ar� DATE PERFORMED: LEGAL DESCRIPTION: L_eyr ` n ocjc_ Township, Range, Section: �E i'� )nlA j ,--e r P"�l SLOPE SITE PLAN 10 11 12 13 14 15 16 17 18 19 20 COMMENTS ffiffr Date i\ilttllSl\V■R - Depth to Water EMENNONS N1 ■ 011111OMENNIM NN111AMMENN1■ .NN■.■■■„■ ENEEMMMM °' IN IN 11 WH■■M1101 110;qRJUN FA mmmmm O IU M,n'3 MEN ONUMMIN WAS GROUND WATER ENCOUNTERED? Ipt{ S 1 IF YES, AT WHAT L _ DEPTH? P E Depth to Waler Ke Monitoring? Date: fflb Reading Date Gross Time Net Time Depth to Water Net Drop O IU M,n'3 t 4E _ to ZC) b 0 b n�� i 1157- 3i2 to PERCOLATION RATE �' �' 3 (Xhtes/inch) PlEORY IbLE DIAMETPR TEST RUN BETWEEN FT AND a!FT PERFORMED BY:"`CERTIFY THAT)/HIST ST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELIN S J IN EFF ON THIS DATE. DATE: j `,� 72-008 (Rev. 4/85) �p G B LOCATION OF WELL (Please complete either la, Ib or Ic.) la. Borough Subdivision Lot Block Ib. 1/4 qt rs. Ic. DISTANCE AND DIRECT71 N OMROAD�TIONS SirStreet Address and Area of Well Location WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysical Surveys Drilling Permit No,,, A.D.L. No. "s Section No. Township N o Range E Q Meridian SO %'WO 3. OWNER -7OF�WEEL/L::j��(j- Address: _ ` ' Feet Below 2. WELL LOG Surface Material Type r' S 1 i n t� f I J 2� Top Bottom 7 J ,rr' �Ir7 Uo-7 Z�(� OF 4. WELL P-TH: (final) I 5. DATE OF COMPLETION 6, C] Cable tool alRolary Q Driven Dug E.Auger ❑Jetted ❑Bored ❑Other: 7. USE:'R Domestic 0 Public Supply C] Industry ❑ Irrigation 0 Recharge Commerical El Test Well C] Other: 8. CASING: Ej Threaded ER Welded dial. l7 In. tq (1, ft. Depth Weight L` Ibs.� diam, fn. to -'' // ft. Depth Stickup 1151—ft. 9. FINISH OF WELL: f Type: Diameter:�s SIot/M sh Size: Length: Set between ft. and ft. Backfilling Gravel pack 10. STATIC WATER LEVEL:,2 / 9 ft. 45C, Above or Below land sur ace Date Equipment used: 1'44 ,�A,, _ I I . PUMPING LEVEL below land surface and YIELD 22� ft. after _�hrs, pumpingC2_0 9•P•m• ft. after hrs. pumping 9•P.m. 12.GROUTING Well Grouted: Yes a No Material: 0 Neat Cement Other: c 13, PUMP: (if available) HP Length of Drop Pipe ft. capacity 9 -p.m. m r O Subm. Jet Centrifical O Other 14. REMARKS: o 16. WATER WELL CONTRACTORS CERTIFICATION: 15. Water Temperature —o This well was dril d un�de y j�uris Ictio this report is true to the es of my knowledge and belief; 4V0e Re isle red Bus, -no v ams Contract License Number Address: A / d / Signed: Fl /LJ lY7 fL i�/� LY i /�� Date: , Ay(h o>r o.450e s e n t dtiva 02-WWR (II/BI) Copy Di ribution: WHITE-Slote DGGS, PINK -Driller, CANARY-Cuslomer F [] C 0 ' �� '� �� DEPARTMENT UF HEALTH AND ENVIRONMENTAL, PROlIHC, TION 825 L SlREE[, ANCHORAGE, AK 995O1 ~ oil ISO sit it:^UPH W I H H.. a.. U"FANH-P .0'0` � PERMIT NO: 860350 DATE ISSUED: 09/15/86 APFf. lCANT: ALPINE DRILLlNG ADDRESS: P.O^ 8UX 110496 ANCHORA82, AK 99511 CONTACT PHONE: 345-02O2 LEGAL DESCRlP: SUBDIVISlUN: SEQUUIA ESTATES LO7: 1 BLOCK: 1 EYE; [[ CA! : 26 1 OWNSH11 RANGE: 3W LOT SIZE: 32000 (SQ.FT. OR ACRES} I certi�y ihat: 1. I in amiliar with the requirementor on~site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State oIf 1)1as1.;:a. 2^ I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria o� this permit. 3. I will adhere to all MOA and State oI Alaska requirements {or the set back distances �rom any existing well, wastewater disposa1 system or public sewerage system on this or a�y adjacent or nearby lot^ Inr. SIGNED DATE: e�^ ^�� _,^__~__- rd"FAACAWN MANAT DRIUANC) � ISSUED 1.3y DATE: Municipality of Anchorage e Development Services Department / Building Safety Division Onsite Water and Wastewater Program ,,, ; r " 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. COSA # Expiration Date: 1. GENERAL INFORMATION Complete legal description QW 01 Az i -STA -r S t— 1 6 1- Location(siteaddress) (0851 -Fr+'te(-ort& G+a-c-A-t Current Property owner(s) P.CCx_Aa 1 C YO-Ttil"r i2A KSEYDay phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address ("%G' lei n1 FC.or E- GIA rJ GN - A K. '1251b Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System OW -0 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite 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 Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-familyon-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite 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. Individual On-site ❑ Individual Holding Tank ❑ ❑ Community On-site ❑ ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Onsite 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 Onsite Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-familyon-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of Onsite 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 Onsite 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 Eagle River_ Engineering Services I v161YI YY 11U.I JUIIG GUI Address Feta River AK c)9577 Engineer's Printed Name f r- 12 .Jtilrn.f Phone L-9 4 - Siq S Date _3/2 15�/D 5. DSD SIGNATURE , CHRISTOPHERR.WOOD ` `�' CE10387 ; J� Approved for bedrooms.•''•,., . F Disapproved. �ossioiuio Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory . Other By: V Original Certificate Date: 8-H-07 (Rev. 11A5) Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water & 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 CHECKLIST Legal Description: SE Gt Lt OIs}— FST%t TS L 1 6 _I- Parcel ID: D / % - / -S.2 - O A. WELL DATA Well type "�iZwATC If A, B, or C provide PWSID # _ DatecompletedSio Sanitary seal ON) Total depth g2k ft. Cased to ;L0 q ft. FROM WELL LOG Date of test (o.J a S I %b Static water level a t `1 ft. Well production a o g.p.m. WATER SAMPLE RESULTS: Coliform _-(2—(2mL Nitrate mg/L Arsenic: (9 M94 Date of sampie:Z/-4/07 B. SEPTICIHOLDING TANK DATA TankType/Material S&r-n L I S-Te-EL— Tank size ,j;.S O gal. Number of Compartments Well Log ON) 11455 Wires properly protected (,PIN) Y05- Casing ESCasing height (above ground) tin. AT INSPECTION SIS ft. t S • 9— p.m- Other bacteria _colonies/100 mL Collected by. QW -4 z RAL.Z A R3As2—% Date installed / I L - ! 86 Cleanouts (YIN) Foundation cleanouON) .IF -5 Depression over tank (Y& 40 High water alarm (YO LJ 0 Date of pumping cI / 11 I C 6 Pumper A*t- +I QY0 t SE=r \) 1 c C S C. ABSORPTION FIELD DATA Date installed '5114 19 Soil rating (g.p.d-llf 0 ft /bdr (SO System type 6E -T> Length Sl; ft. Width J. 1_�ft. Gravel below pipe 0-5 ft. Total depth 4.45 ft. Eff. absorption area �ft2 Monitoring tube c -S Depression over field _bJD Date of adequacy test a 1 ? 3 f Resultg' a Fail) -F`i� For + bedrooms Fluid depth in absorption field before test _ZIn.2 Water added (o 10 gal. New depth in. 77- lCP"rAT I MT Z /0v 0,T I Elapsed Time: �-min. Final fluid depth �_ in. Absorption rate >= CIO(-) g.p.d. 10"MT I Any rejuvenation treatment (past 12 mo.) (Y/O type) t JO 0f % t_r 1 Ot J t l If yes, give date V1 In D. LIFT STATION Date installed Size in gallons Manhole/Access Y/ "Pump on" level at _ in. "Pump oft" Iev V _V e f igh water alarm level at in. Datum Cycles tested Meets alar & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot -t-- I L)o * On adjacent lots -1-100, Absorption field on lot t I oO ' Public sewer main +100' Sewer /septic service line + a 5' Animal containment areas +100 On adjacent lots -t 100 Public sewer manhole/cleanout t I (-�c)' Holding tank f -15 ' Manure/animal excrete storage areas t 100' SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation + C ' Property line *G ' Absorption field t< Water main t -I 0 ' Water service line + 10 ' Surface water -,,I �-C) ' Wells on adjacent lots + I o0 ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line t i o ' Building foundation YI Water main * 1(') ' Water Service line + to ' Surface water t 100Driveway, parking/vehicle storage 60 ' Curtain drain +150, Wells on adjacent lots t- I o 0 F. COMMENTS bZ fQ G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Q9WMPH RR.WOOD Engineer's Printed Name Ckr( S-}of2ker- LnJooci Date......... Fee $ q:30 Date of Payment 31 el Receipt Number 'I (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number Eagle River Engineering Services Christopher R. Wood, P.E. tog2t VFW Rd. Suite tot (907) 694-5195 tel Eagle River, AK 99577 (907) 694-3297 fax WELL & SEPTIC ADEQUACY TEST REPORT TEST DATE: 2/27/2007 LEGAL: Sequoia Estates Lot 1 Block I LOCATION: 6851 Pinecone circle RESIDENCE: Single Family, 4 Bedrooms WELL YIELD: +5.8 Gallons per Minute flow rate WATER SYSTEM: Private Well WATER SAMPLES: Arsenic: ug/I, Nitrates: mg/I, Bacteria colonies/100ml Taken by Engineer on: SEPTIC SYSTEM: From Municipal Records Tank: 1250 gallon Absorption System: 24' X 38' bed INSTALLATION DATE: 5/14/1986 INSTALLED ABSORPTION AREA 912 Square Feet ORIGINAL SOIL RATING: 150 sqf lbdrm, From Engineer's Design TEST PROCEDURE The leachfield was charged with water from the on-site well at an average rate of 5.8 GPM for a total of 600 gallons. The leachfield consists of a 24'X38' bed with 0.5' effective gravel. The septic tank and leachfield liquid levels were monitored referencing a measurement below the top of the standpipes. During the test, water was added through the after tank cleanout tube and the leachfield water level was monitored as water was added and then absorbed into the surrounding soil. The water level in the montitor tube at the far end (northeast comer) of the bed rose from 0" to 2". The water table in the second monitor tube appeared to remain constant at 10" during the test. The water in each monitor tube returned to its original level shortly after the tests completion. Due to the anomaly in the water table depth, the leachfield was jetted a videocammed. It appears that the southwest corner of the leachfield has settled approximately 10 inches since being installed in 1986. The settling is isolated to the southwest comer only, as evidenced on the videocam VHS tape, available for inspection here at our office. Elevations were taken of the water table surface in the settled monitor tube. The water surface elevation is at or slightly below the elevation of the bottom of the monitor tube in the northeast corner of the bed. \2003\06-905EQUoiAWSAT Nee 1 oft The water level in the septic tank did not rise during the addition of 600 gallons of water showing that the Icachficld had accepted the entire amount. This indicates the septic system will accept the required 150 gallons per day of effluent, per bedroom, which is the required absorption rate for MOA approval. The fact that the majority of the Icachficld bed is dry, and the system passed an absorption test leads ERES to believe that this septic system is functiotrug properly and protective of human health and the environment. WELL: The well was pumped into the first and second field cicanouts. Total drawdown from a static water level of 215 feet was 8 feet, after 30 minutes of pumping, at an average flow rate of 5.8 gallons per minute. The water level in the casing then stabilized during the remainder of the test. This indicates a well production rate in excess of 5.8 gallons per minute. This flow rate exceeds MOA's minimum requirements for private well wato production. TEST RESULTS The septic system absorption rate and well flow rate exceed the basic requirements of the Municipality of Anchorage for a 4 bedroom single family residence as of the day the system was tested. Arsenic, Nitrate, and Coliform levels are within the limits allowed by the Municipality CONDITIONS: Assessment of existing subsurface conditions by the inspecting engineer is limited to information obtained from the available monitoring tubes and Municipal record search. We do not guarantee the validity, accuracy or quality of subsurface tests and inspections performed by the original inspecting engineer or authority. This report is limited to absorption rate testing and surface separation measurements as currently required by the Municipality of Anchorage and does not verify the integrity of the piping for the water supply or water quality other than the bacterial and nitrate content. The operational life and the matter of compliance with State and Municipal codes, for all water and septic systems depends on the local soil conditions, groundwater levels that may not be observed from the surface without additional testing, water usage of the homes being served by the system, and the detail of required testing procedure. There is no guarantee that the well and septic system tested will meet the requirements for approval in the future. The test data and investigation of existing conditions is provided to our client for submittal to the Municipality Health Department for their review and approval. Any concerns with this test report should be discussed with the testing engineer. If it is requested we will submit the report directly to the Municipality. \2003\06.90sEQuouWSAT pave 2 ort 08-09-07;14:35 ; ;907 561 5301 # 2/ 4 SCS Rcr.# 1073681001 Clicat Name Eagle River Engineering Project Name1N Sequoia Estates Lot I Block I Client Simple ID Sequoia Estates Lot 1 Block 1 Matrix Drinking Water PWSM 0 Simple Remarks: All Datedilmes are Aladta Standard Time Printed Dstdilme 08109/2007 14:32 Collected Datc1Time 07/26/2007 11:30 Roedved Datelllme 0726/2007 12:13 Tcehoieal Dkeetor Stephen C. Ede AOowible Prep Analysis Pim Results Ml. Unite Medved Conuim,M Limiu Date Me tnit Matala by ICD/MS Amnic ND 11.00 sratara Department Total Nitrate itritc-N 326 0.100 ug/L EP200.8 C (<10) mg/L SM20450ONO3-F B (<(0) 08/01/07 08/08/07 TK 07/31107 JDS Microbiology Laboratory TOW COGfom 0 coV100mL SN20 9222E A !<I) 0726/07 SDP Feb 20 07 04i18P Regan Ramses 807-348-0877 P•1 f •OA,A A IYLL 00 A+ HOME SERVICES, INC;. 7501 E. 140th Avenue Anchorage, Alaska 99516 345-1890 CUSTOMER •Fe�Renrvnsey_. 6851 Pioc Cone Circle Block __ Lot — DATE DESCRIPTION TION Fuel Sareharry INVOICE# 3'09 easiestnit P=P from s%crr- -- pL,�tIIGP..-12.PiFw i� :1f'tLitt'S; 2•t`1'.'!1 :.'7tC .. .y. - • . �• —_TOTAL REMARKS 71 Gallons _(,,,Septic Leach Area • • Holding Tank ---_'. ❑ PROBLEM AREA —CALL FOR MORE INFORMATION ❑ NEEDSTO BE DONE AGAIN IN 6 MONTHS ❑ Good Shape Al sludge buildup on bottom ❑ Jim cap missing or fi Cut standpipe to 1' above ground needs replacing AMOUNT i"' Standpipes ; . / ') Time I I Floatcr on top I I Needs Septictrine P82-375 SEQUOIA ESTATES SUBDIVISION LOT 1 BLOCK 1 32.000 S.F. 30' DEARMOUN ROAD o�0 S 89.56'30"E 152.81' • I I 1 1 I 1 SEPTIC VENTS . I n I °; I Ot Go 1 W I _j < to- ats rqv� I C a edi1 • Z EXISTING \ a 51.2' '�•� 30.6 i C B 4 j q4, I a I wt. DaN[ 1 I ® WELL I a I � I I ----------------.1 10' UT1L ESMT. I. s r1o•sa•nrn•c ate o,. O N PINECONE CIRCLE 111=30' -AS-BU I LT- 1 HEREBY CERTIFY THAT I HAVE SURVEYED THE GASTALDI LAND PROPERTY DEPICTED ABOVE AND THAT NO SURVEYING, LLC ENCROACHMENTS EXIST EXCEPT AS INDICATED. JEFF A CASTALDI, R.L S. IT IS THE RESPONSIBILITY OF THE OWNER TO 4726 WEST 88TH AVENUE DETERMINE THE EXISTENCE OF ANY EASEMENTS, ANCHORAGE, ALASKA 99502 LASYA COVENANTS OR RESTRICTIONS WHICH DO NOT PHONE 2 4 APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA CRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR 2939 1/27/98 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA F.S. JOB NO. 95-08 SES i I NOTE. NO CORNERS SET THIS DATE 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 Parcel I.D. # Of 7 / ;L \j HAA #'. Q92) LiAS9 1. GENERAL INFORMATION Complete legal description Lo T_ QzocK 1 S�quorq Esir4iES 6 r Prr/� Location. (site b' S`C0'Ve address or directions) - ::: ,CSNcFloRdar fl gSr(0 C Property owner -rNE Pi T E'g f `' `t) �`P0 J p "V - Day phone S 6 rr 7 0 — Mailing address 31,10 L4 ki- o Tr s 101440 WAY S✓, r6 ao i � 4q r_N_ 4- 'T9Sob' Lending agency Day phone 1. Mailing address ` Agent Day phone Address Unless otherwise requested, HAA will be held for pickup. Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (Rw. 1/91) Front MOA #21 5. 6. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. S& S ENGINEERING G g Y_ a 7 °i Name of Firm tznsa Eagle Rivar Loop Road No. 2114 Phone Eagle River, Alaska 99577 By. Address Engineer's signature DHHS SIGNATURE Approved for Disapproved. 47c/_ bedrooms. Conditional approval for Additional Comments Date /1/ 3 / 4 S— �'E OF a, KnW c Cow.ati CE -M1 n bedrooms, with the following stipulations: 1. WTIC: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-M (Fay. 1/81) Back MOA #21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division 825"L" Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: LO 7- 1 8 k ocrc Sk Q or 6- C5 �/ A. WELL DATA Well type P41vH r E Log present ((91N) Total depth Sanitary seal OY/N) Date of test Static water level Well production Yk S Parcel I.D.: O / 2 7 s- )- — 0 / If A, B, or C. attach ADEC letter. ADEC water system number Date completed WATER SAMPLE RESULTS i Cased to FROM WELL LOG 6/a -s-/9(7 aI ;) z ")-a Casing height (above ground) Wires properly protected ON) M AT INSPECTION (aa r^ tJ w g.p.m. g. p.nt. Coliform Nitrate I • ri a- Other bacteria cr Date of sample: 10 Collected by: S 8r S ENGINEERING X7034 Eagle illyor Loop Poi 1 Ho. h B. SEPTIC/IfOL-D NG TANK DATA Eagle River, Alaska 99577 Date installed S /1 W /il 6 Tank size I a S o Number of Compartments Cleanouts (i' N) Y6 J Foundation cleanout (�' N) YE -S Depression (Y/6 N e High water alarm (YQ ^ 0 Date of Pumping N/4 Pumper C. ABSORPTION FIELD DATA Date installed 8—/1'14C Soil rating (g.p.d./ft`' offtZ/bdrnt �� System type t� Length 3 Si J Width N r Gravel thickness below pipe d S Total depth G Effective absorption area 9 1 '- Monitoring Tube present(ON) yrt "y Depression over field (YQ ^� NcT` 7Lr� j_0 •- SYSi4,1 IV "r Q St0 e^"L`" 140Mj "r Cor•inLo r*, 0 Date of adequacy test Results (Pass/Fail) For bedroo Fluid depth in absorption field before test (in.)-. tniffe—cliately after_ gal. water added (in.): Fluid depth (itt� utes later: Absorption rate = g. p. d. Peroxide treatment (past 12 months) (YIN) If yes, give date Cr+ Crl D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm level at* Cycles test E. SEPARATION DISTANCES Size in gallons "Pump on" *Datum SEPARATION DISTANCES FROM WELL ON LOT TO: i Septic/lam tank on lot ; On adjacent lots Absorption field on lot On adjacent lots "Pump off” level at* Jo F Vublic sewer main / f Public sewer manhole/cleanout /00 Sewer /septic service line S- 0 / -/-- Lift station /✓ 14 SEPARATION DISTANCES FROM SEPTIC/H6L4 I TANK ON LOT TO: Building foundation S tom' Property line S / f Absorption field_ Water main/service line t U '� Surface water/drainage /00 -f- Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Building foundation / o - Water main/service line i Surface water ) o V /- Curtain drain h oh ✓c lcr�u w �✓ F. ENGINEER'S CERTIFICATION Driveway, parking/vehicle storage area i s loo Wells on adjacent lots 100 r * Property line /0 f I certify that I have determined thru field inspections and review ofAlfunicipal records that in conformance with I0,4 TIAfI guid lines in effect on this date. . 4 i� Signature Engineer's Name a 13 ¢ 2i C _ Cd w y, s '~ 1•' Date 5— HAA Fee $ 30() ` cfD Waiver Fee $ _ Date of Payment /� l - L`� Date of Payment Receipt Number / �� j Receipt Number Rev. 8/95 OSS: haa.wk.doc ...,..7,��„'",. ROBERT C. COWAN CE -8801 J are 6 .4AL CT&E Environmental Services Inc. CT&E Ref.ua 95.4864-3 Matrix WATER Client Sample ID L1 BLK1 SEQUOIA EST Client Name S & S ENGINEERING WORK Order 19308 Anal Ordered By R. COWAN Printed Date 11/01/95 @ 14:50 hrs. Project Name Collected Date 10/29/95 @ 14:00 hrs. Project,", Received Date 10/30/95 @ 09:30 hrs. PWSID UA Technical Director STEPHEN C. EDE Released By Sample Remarks: SAMPLE COLLECTED BY: BOB C. QC Allowable Ext. Anal Parameter Results Qual Units Method Limits Date Date Init -------------------------------------------------------------------------------------------------------------------- Nitrate-N 1.42 mg/L EPA 353.2 10. 10/30/95 CMR ' See Special Instructions Above UA s Unavailable ** See Sample Remarks Above NA - Not Analyzed U = Undetected, Reported value is the practical quantification limit. LT o Less Than D = Secondary dilution. GT = Greater Than MUNICIPALITY OE 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 Parcel I.D. # f ( w I _ 00 HAA # )tj :�1) \ C) L\Inn 1. GENERAL INFORMATION Complete legal description Location (site address or directions) �g i �i n i'"o V? Property ownerM �t) 'r I{L EO "A -ij =,OlA_ JJ Day phone Mailing address I O O �I om e.v e7� /� ^t•� (1a vMC e Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water Day phone Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. 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. 72-025 (Rev. 1/91) Front 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 safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I furtherverify 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 K/� t ni"'--,\� 6-k-, Phone D Address qlI AI Engineer's signature 6. DHHS SIGNATURE 0 _4L, Approved for Disapproved. Conditional approval for _ Additional Comments bedrooms. Date ( 0 J Z9 ~ SOF 4. x' P..Y.g1HY.ed .oN e...ua.... s •�a P��• Robert E. Kniefe� ) No. 4149 -E y a�8F0P9o., bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 72-025 (Rev. 1/91) Beck MOA #21 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Municipality of Anchorage Lr T7 1991 Department of Health & Human Services ` , HEALTH AUTHORITY APPROVAL CHECKLIST j� Legal Description: a��Ilt ,n;{n).1�� t. ` 0I `%„ Parcell.D. A. WELL DATA Well type orf V 1 f?F ,J Log present(Y/N) Total depth If A, B, or C, attach ADEC letter. ADEC water system number 'T I Date completed 6 � � Driller A l / — Cased to 2611 Casin hei ht Z5" U g Sanitary seal (Y/N) Y Wires properly protected (Y/N) V) /t4 Date of test FROM WELL LOG a- 7a d,(� Static water level :?/ 9 Well flow to , 9 - p.m - AT INSPECTION 8 ",1 -i/— Pump level .2 6 o, 1 `- l-jy� h� g.p.m. SEPARATION DISTANCES FROM WELL TO: I Septic/holding tank on lot j I S ; On adjacent lots S Absorption field on lot1' » ; On adjacent lots Public sewer main 1\j/N- Public sewer manhole/cleanout Sewer service line 0) Petroleum tank �\) \ w. e. 0, WATER SAMPLE SAMPLE RESULTS: Coliform Nitrate Date of sample: col I—amu -IC7 ( B. SEPTIC/HOLDING TANK DATA J Other bacteria Q — Collected by: )(0 c )" =CompartmentsDate installed Tank size t, r' Cleanouts (Y/N)t— Foundation cleanout (Y/N) Depression (Y/N) J�. High water alarm (Y/N) n I`� r A Alarm tested (Y/N) � f Date of pumping N / /�' Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: I A' Wel I(s) on lot �) On adjacent lots 2 �� Foundation ,v k U To property line Absorption field , 0 Water main/service line t / llA Surface water/drainage � Z l 6,(� G� lc�•n, 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION n // f1 / v 1 Date installed / Size in gallons Vent(Y/N) High water alarm level _ "Pump on" level at Meets MOA electrical codes (Y, Manufacturer Manhole/Access (Y/N) SEPARATION DIStiANCE FROM LIFT STATION TO: Well on D. ABSORPTION FIELD DATA Date installed On adjacent lots "Pump off" level at Cycles tested Surface water Soil rating I System type > Length Width 7 1i Gravel thickness t Total absorption area C -J J� f l Cleanouts present (Y/N) Depression over field (Y/N) N� Date of adequacy test Results (pass/fail) for Total depth Peroxide treatment (past 12 months) (Y/N) LkLese-C fang- If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: ) Well on lot Il � S On adjacent lots ?`o 0 Property line �, -29r 1�III I ZI To building foundation h ifTo existing or abandoned system on lot !'\l,�i I On adjacent lots / l 1�� Cutbank %i Water main/service line Surface water t I�! /ST Driveway, parking/vehicle storage area Curtain drain t ! A E. ENGINEER'S CERTIFICATION bedrooms I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signature 40 •^ 4 ! a p ,�/ I^ S H� � o � vi RY:f�'E �a}✓`� a '�T Engineers Name E ®„ Date 0/6 rg n ^ Robert E. Kniefel v A ®� ep No. 4149. F: e •��A.pp ..�V 66-9 ASS 80FL-3Si��'J� J ��, HAA Fee $ Waiver Fee: $ Date of Payment Date of Payment Receipt Number �.%a �' l �� Receipt Number 72-026 (Rev. 3/91) Back MOA 21 NORTHERN TESTING LABORATORIES, INC. 3330 INDUSTRIAL AVENUE FAIRBANKS, ALASKA 99701 (907) 456-3116 • FAX 456-3125 2505 FAIRBANKS STREET ANCHORAGE, ALASKA 99503 (907) 277-8378 • FAX 274-9645 Kniefel Engineering 8441 Miles Court Anchorage AK 99504 Attn: Robert Kniefel Our Lab #: Location/Project: Your Sample ID: Sample Matrix: Comments: A113564 6851 Pine Cone Water Report Date: 09/06/91 Date Arrived: 08/29/91 Date Sampled: 08/28/91 Time Sampled: Collected By: � '7-) j Flag Definitions U = Below Detection Limit DL Stated in Result B = Below Regulatory Min. H = Above Regulatory Max. E = Below Detection Limit Estimated Value Method Parameter Units Result Flag --------------------------------------------------------------------------- EPA 300.0 Nitrate -N mg/l 0.5 U Reported By: William E. Buchan Anchorage Operations Manager Date Analyzed 09/04/91