Loading...
HomeMy WebLinkAboutSEQUOIA ESTATES BLK 1 LT 14Onsite File IN states .......... .............. ... RN, AN Municipality of Anchorage`%U Community Development Department Page ✓1 f 3 , NOV On -Site Water & Wastewater Program 2 .9 20 1. - 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907)343-70d4 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP171275 PID Number: 017-152-14 ❑ New N Upgrade Name: VICTORIA RYAN ABSORPTION FIELD ■ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address: 6740 SEQUOIA CIRCLE *ANCHORAGE, AK 99516 ❑ Other Phone: No. of Bedrooms: Soil Rating: Total Depth from original grade: 345-8335 5 0.8 GPD/Sq.Ft 10 (MAX.) FL LEGAL DESCRIPTION Depth to pipe invert from original grade: Gravel depth beneath pipe: SEE DWG. Ft 7 FL Fill added above original grade: Gravel length: Subdivision: Block: Lot: SEQUOIA ESTATES 1 14 SEE DWG. 40 & 40 Ft FL Township: Range: Section: Gravel width: Beds Number of lines: Distance between lines: 2.5 FL - - Ft. SEPARATIONDISTANCESTotal absorption area: 1120+ Number of trenches: 2 Dist. between trenches: 14+ To Septic Absorption Lift Holding Public/Private From Tank Field Station Tank Sewer Lines SO, FL F, Well 100'+ 100'+ 100'+ 25'+ TANK ❑ Septic ■ S.T.E.P. ❑Holding ❑ Other Manufacturer: Capacity: Surface Water 100'+ 100'+ 100'+ ANCHORAGE TANK 2000 N/A Gal. Lot Line 5'+ 10'+ 5'+ - Material: Number of compartments: STEEL 2 LIFT STATION SECONDCOMPARTEMENTOF 2000 GALLON STEP TANK Foundation 5'+ 10'+ 5'+ Manufacturer: Capacity: Curtain DrainNONE KNOWN _4 1 ANCHORAGE TANK 666 Gal. Remarks: PER CONTRACTOR, OLD SEPTIC TANK WAS DECOMMISSIONED PER UPC 'Pump on. level at: 41" "Pump ore' level at: 37" Nigh water alarm at: 45" Pump Make & Model: Electrical Inspections performed by: PF200511 MUNICIPALITY OF ANCHORAGE PIPE MATERIAL 1785/ House to tank EXISTING/D3034 Tank to D3034 dralnfield Installer ARM SERVICES, LLC Drainfield D3034 CO/MT D3034 Inspector GEG, Ltd. BENCH MARK (Assumed elevation) 101.15 FL Inspection Location and Description: Dates: 1st 11/1/2017 2nd 11/2/2017 3rd 11/2/2017 4th 11/2/2017 1 BOTTOM OF TRIM @ SE HOUSE CORNER ENGINEER'S SEAL Community Development Department Approval `0F'�����. �:♦ Conditional approval: Date:AV . ■.... ...........� . ............ .........F...■ ♦ e reness : w % CE -7953 �� _AV Approved: wt!t ��, Date:1 a LICENSE 44 PROF ESS� #AECC884 Inspection Report _1-1-12.doc PERMIT NUMBER: RECORD DRAWING I N G PARCEL ID NUMBER: OSP171275 017-152-14 ST1 101.3 47.0 63.1 ST2 105.7 56.9 73.5 MH 106.6 59.2 76.1 MT1 111.2 82.2 100.1 C01 111.9 82.4 100.2 MT2 132.6 117.0 134.9 CO2 132.7 117.6 135.6 FS 113.4 82.5 100.3 MT3 127.2 89.7 106.5 CO3 127.7 89.7 106.5 MT4 146.5 120.9 138.5 C04 146.7 122.3 140.0 I I I SEQUOIA ESTATES; BLOCK 1, LOT 15 J I EXISTING FCOJ J NEW 2000 GALLON STEEL STEP TANK APPROXIMATE LOCATION OF NEW PRESSURE LINE CONNECTING TO EXISTING 4' DISTRIBUTION LINE (PER ROB CAMPBELL W/ ARM SERVICES, LLC). ---_ I I I 1 ST1 ST2 1.25' PVC CONVERTED TO 4" MH D3034 (PER CONTRACTOR, INSULATED WITH 2' BLUEBOARD) IN I I I I I I I _ _ J EXISTING DRAINFIELD T.H.#1 NEW DRAINFIELD: \\\v\RESERVE SITE I GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS --- 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE. AK 99507' PHONE (907) 337-6179' FAX (907) 338-3246' WEBSITE: w .gamessengineenng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: VICTORIA RYAN 345-8335 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: SEQUOIA ESTATES; BLOCK 1, LOT 14 L.K.B. TYPE OF WORK: DATE: � RECORD DRAWING 11/22/2017 PPO SEQUOIA ESTATES; BLOCK 1, LOT 13 %..... ......... ............. ....... ..Q.. r A. Garn ss : w mr #x. ' =i �se�PROFESS��� LICENSE 11a"`,�� #AECC884 i SOUTH & EAST LOT LINES, AND a ALL PERTINENT WELL RADII / FLAGGED BY STEVE CALLAHAN, 'a P.L.S. PRIOR TO CONSTRUCTION (RETAINED BY CONTRACTOR). LL O Q D e O > JU Q / / d DRIVEWAY 00O a waz Q�3 ee LU X O>F Qa o ar Z EXISTING 5 BEDROOM HOUSE I EXISTING FCOJ J NEW 2000 GALLON STEEL STEP TANK APPROXIMATE LOCATION OF NEW PRESSURE LINE CONNECTING TO EXISTING 4' DISTRIBUTION LINE (PER ROB CAMPBELL W/ ARM SERVICES, LLC). ---_ I I I 1 ST1 ST2 1.25' PVC CONVERTED TO 4" MH D3034 (PER CONTRACTOR, INSULATED WITH 2' BLUEBOARD) IN I I I I I I I _ _ J EXISTING DRAINFIELD T.H.#1 NEW DRAINFIELD: \\\v\RESERVE SITE I GARNESS ENGINEERING GROUP, Ltd CIVIL & ENVIRONMENTAL ENGINEERS --- 3701 E. TUDOR ROAD, SUITE 101 'ANCHORAGE. AK 99507' PHONE (907) 337-6179' FAX (907) 338-3246' WEBSITE: w .gamessengineenng.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: VICTORIA RYAN 345-8335 2 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: SEQUOIA ESTATES; BLOCK 1, LOT 14 L.K.B. TYPE OF WORK: DATE: � RECORD DRAWING 11/22/2017 PPO SEQUOIA ESTATES; BLOCK 1, LOT 13 %..... ......... ............. ....... ..Q.. r A. Garn ss : w mr #x. ' =i �se�PROFESS��� LICENSE 11a"`,�� #AECC884 i PERMIT NUMBER: RECORDOSP171275 DRAWING FINAL GRADE _ 95.63 - 95.90 TOP OF TANK ST1 ST2 MH AT INLET= 90.52 fl I m INVERT OF BUNG / I I NEW 2000 GALLON AT INLET= 89.90 J STEEL STEP TANK (RATED FOR 6 FEET BURIAL) SOUTH T.H.#1 FINAL GRADE _ 96.05 - 96.32 MT CO ORIGINAL TH GHEST POINT GRADE 94.90 FILTER FABRIC 7.0' 7.0' PARCEL ID NUMBER: 017-152-14 TOP OF MH=96.69 - TOP OFTANK AT OUTLET = 90.63 FILTER FABRIC INVERT OF PIPE = 95.67 BOTTOM OF TRENCH = 88.67 BOTTOM OF TRENCH= 84.90 j Dq f 14'+ RELATIVE ELEVATION OF BOTTOM OF RELATIVE ELEVATION OF BOTTOM OF T.H. = 78.9 (T.H. DRY ON 11/1/2017) T.H. = 82.67 (T.H. DRY ON 11/1/2017) - MOA ONSITE EMPLOYEE TIM ECKLUND INSPECTED GARNESS BOTTOM OF SOUTH TRENCH ON 11/1/2017 AND .. -- BOTTOM OF NORTH TRENCH ON 11/2/2017. NORTH 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 -PHONE (907) 337-6179 -FAX (907) 338.3246' WEBSITE: www.garnessengineering.com FINAL GRADE = 99.28 - 99.71 PAGE NUMBER: T.H.#1 MT CO 345-8335 3 OF 3 ORIGINAL GRADE @ HIGHEST POINT = 98.67 — FILTER FABRIC INVERT OF PIPE = 95.67 BOTTOM OF TRENCH = 88.67 BOTTOM OF TRENCH= 84.90 j Dq f 14'+ RELATIVE ELEVATION OF BOTTOM OF RELATIVE ELEVATION OF BOTTOM OF T.H. = 78.9 (T.H. DRY ON 11/1/2017) T.H. = 82.67 (T.H. DRY ON 11/1/2017) - SEQUOIA ESTATES, BLOCK 1, LOT I L, K.B.j� AROFESS\ TYPE OF WORK: DATE: LICENSE IATA"`` RECORD DRAWING 11/22/2017 #AECC884 GARNESS ENGINEERING GROUP, Ltd .. -- = CIVIL & ENVIRONMENTAL ENGINEERS - 3701 E. TUDOR ROAD, SUITE 101 - ANCHORAGE, AK 99507 -PHONE (907) 337-6179 -FAX (907) 338.3246' WEBSITE: www.garnessengineering.com PREPARED FOR: PHONE NUMBER: PAGE NUMBER: ♦♦ VICTORIA RYAN 345-8335 3 OF 3 PROJECT/LEGAL DESCRIPTION: DRAWN BY: ♦� SEQUOIA ESTATES, BLOCK 1, LOT I L, K.B.j� AROFESS\ TYPE OF WORK: DATE: LICENSE IATA"`` RECORD DRAWING 11/22/2017 #AECC884 11/8/2017 Municipality of Anchorage License/AP#: Development Services Department O a! P.O. Box 196650 - 4700 Elmore Road Inspection #: Anchorage, Alaska 99519-6650 Type: Info and Help: (907) 343-8211 HCHOWt GE INSPECTIONS: Address: Voice: (907) 343-8300 Fax: (907) 249-7777 11/8/2017 Inspection Report License/AP#: RETROE171654 Parent AP#: Inspection #: 493791 Type: RETRO Status: Issued Address: 6740 SEQUOIA CIR Parcel: 01715214000 Inspector: E.Widman Project: Resp Party: Descr: HOOK UP SEPTIC LIFT STATION. INSTALLING UNDERGROUND Inspection Electrical (Electrical Inspection) Item: Evaluation: Approved Result Notes: Electrical final approved for septic wiring upgrade. Inspection Item Item Description Evaluation MUNICIPALITY OF ANCHORAGE 11 On-Site Water&Wastewater Program PO Box 196650 4700 Elmore Road Anchorage,Alaska 99519-6650 Phone:(907)343-7904 Fax:(907)343-7997 4�N http://www.muni.org/onsite 11511.1111-111 I>, hit f[Ilrllt On-Site Wastewater Disposal System Permit Permit Number: OSP171275 Effective Date: 10/2/2017 Work Type: Septic Upgrade Expiration Date: 10/2/2018 Tax Code Number: 01715214000 Site Legal Address: SEQUOIA ESTATES BLK 1 LT 14 G:2939 Site Mailing Address: 6740 SEQUOIA CIR, Anchorage Owner: RYAN WILFRED P JR &VICTORIA Lot Size in Sq Ft: 48490 Design Engineer: GARNESS ENGINEERING GROUP LTD Total Bedrooms: 5 This permit is for the construction of: IZI Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy 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 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing I Received By: � Date: 0/ 3 / 4 Issued By: 7edieCe4 Date: /U/0o/ 7 ,` Municipality of Anchorage '° s^,' ilii l '� Plf,C lit P.O. Box 196650 • 4700 Elmore Road Anchorage, Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http:/lwww.muni.org/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW ** Waiver#: OSV171110 COSA#: Permit#: OSP171275 PID#: 017-152-14 Legal Description: Sequoia Estates Block 1 Lot 14 Engineer: Garness Engineering Group Applicant: Vicki Ryan Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 10.0 feet. See engineer's profile drawing for justification. This waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. n Notarized letter(s) of nonobjection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. Waiver is Granted: X Waiver is not Granted: Date: /0/2/420/7 Approved by: ge-liCe44 et./z/teill Name of Reviewer **** VARIANCE/WAIVER REVIEW **** 10. ab-t) MUNICIPALITY OF ANCHORA el Community Development Department '� Phone: 907-343-7904 Development Services Fax: 907- 343-7997 On-Site Water & Wastewater Program Mayor Dan Sullivan On-Site Sewer/Well Permit Application For A Single Family Dwelling Parcel I.D. 017-152-14 Property owner(s) Vicki Ryan Day phone 345-8335 Mailing address 6740 Sequoia Circle*Anchorage, AK 99516 Site address 6740 Sequoia Circle*Anchorage,AK 99516 Legal description (Sub'd, Block& Lot) Sequoia Estates; Block 1, Lot 14 Legal description (Township, Section & Range) Lot Size Sq.Ft. Number of Bedrooms 5 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DEWELLING: (®all that apply) Initial ❑ Single Family (SF) Absorption Field ® (w/wo ADU) Septic Tank ® Upgrade Duplex(D) ❑ Renewal ❑ Holding Tank ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE/WAIVER REQUEST FOR: DRAINFIELD TO SLOPES GREATER THAN 25% Distance: 10 FEET I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal codes. GARNESS ENGINEERING GROUP, Ltd. (Signature of property owner or authorized agent) Permit/Rush Fees: /J-0 Waiver Fees:/� Date of Payment: 7/au f l- Date of Payment: 91aola Receipt Number: 00( 3C, Receipt Number: 061/236 Permit No. 06/00127‘ Waiver No. 061/-01//0 (Rev.01/11) ..i LI as All&ilillr Quanics GARNESS ENGINEERING GROUP, Ltd 4ctv'r"- T`" i": "tv" CIVIL&ENVIRONMENTAL ENGINEERS Deafer September 13, 2017 Municipality of Anchorage Development Service Department On-Site Water & Wastewater Program 4700 Elmore Road Anchorage, AK 99507 Ref: Proposed Septic System Upgrade for Sequoia Estates; Block 1, Lot 14 To whom it may concern: The existing 4 bedroom house is served by a private well and septic system. The drainfield (bed) serving the property (installed in 1988) is in a state of failure and needs to be upgraded. Per the request of the owner, we are designing a 5 bedroom septic system. We are proposing to install a new 2000 gallon STEP tank and dual deep trench type drainfields. One testhole was excavated on the property and the drainfields are designed around its 30 foot radius. Comments regarding the design as are as follows: 1. SOILS: See the attached GEG 2017 logs which show the soil classifications, groundwater monitoring, and the percolation test results. 2. DRAINFIELD DESIGN: See attached design drawing for drainfield specifications. 3. SURFACE WATERS: There are no surface water concerns. 4. TOPOGRAPHY: As can be seen on the attached topography drawing, the average topography around the proposed drainfield is 10-15%. However, there are slopes greater than 25% within 50 feet of the proposed drainfield. 5. WAIVER: The proposed drainfield is approximately 10 feet from slopes greater than 25%. However, the drop is approximately 4-7 feet in elevation change (higher towards the house). As can be seen on the attached elevation profile drawing (page 3 of 3), a projected 25% slope starting 2 feet above the top of rock does not "daylight" within 50 feet. We are unaware of any adverse impacts this installation or waivers would have on adjacent wells or septic sy tems. If you have any questions, please contact us at 337-6179. Thank you for your assistan -. .' . -rely Jeffr l • ,/•ar - '.E., M.S. Pre;rd It 3701 East Tudor Road, Suite 101 *Anchorage, Alaska 99507-1259 Phone: (907)337-6179*Fax: (907)338-3246*Website: www.garnessengineering.com r • N.......•)/ '.4•1. / / \ 1p .WEL 1 I RADIUS I I I 1 / SEQUOIA ESTATES: 1 / BLOCK 1,LOT 6 SEQUOIA ESTATES; \ BLOCK 2,LOT 7 \ \ / ,2\\ // /�----5'`m 72 \ \ / \ 4.1�� �� _ / / / \ \ /-'' / //' / // \\\\ T D, WALL RAp1L1g 1 GUNN1SON DRIVE / 1 / / 1111 1 �� 1 I IC ' ` lU5 101 �=RADIUS \\ J — 1 11 'WEGLaAD // -.44-4%41 ), SEQUOIA CIRCLE — ----- ‘ 1‘ / / ').?• U . oI / r;.� tI $' t"," /SEQUOIA ESTATES; \BLOCK1,LOT15 .'/ JvG / SEQUOIA ESTATES; / / BLOCK 1,LOT 13 / / / / / / / / L .1 / / 1 / / 1 \ , // // 1 1 V / / L 'I ji_— 5___ / / \\ MOA/ADEC HAS NO RECORDS OFA 1 WELL OR SEPTIC SYSTEM ON THIS N. 1 PROPERTY.GEG PERFORMED A \ I LIMITED SITE INVESTIGATION AND \ COULD NOT FIND A WELL; HOWEVER,1()0 WELL I AN ABOVE-GROUND WATER STORAGE \\ RABBITLOK 1,LOT 3 Rgp1US I BLOCK LOT 3 TANK(UPHILL FROM THE HOUSE) 1 / WITH AN ABOVE-GROUND WATER LINE 1 1 / TO THE STRUCTURE WAS OBSERVED. 10 I \ N IN SHORT,IT IS BELIEVED THAT THE W -L I \ // c/ HOME IS SERVED BY WATER RA 1 DELIVERY AND STORAGE. RABBIT CREEK; ' / SCALE \\�� �'�// BLOCK 1,LOTS RABBIT CREEF�� // AREA BLOCK 1.LOT 4 \ / i"=100' i * . GARNESS ENGINEERING GROUP, Ltd ( .. ' .` �'NCIVIL&ENVIRONMENTAL ENGINEERS A•imorni • 3701 E.TUDOR ROAD.SUITE 101'ANCHORAGE.AK 99507'PHONE(907)337.6179'FAX(907)338-3246'WEBSITE:www.gnesg,neenng , : r PREPARED FOR: PHONE NUMBER: PAGE NUMBER: - A. Garn- s• /�L_1 N VICKI RYAN 345-8335 1 OF 3 C o • • .• r E-795 PROJECT/LEGAL DESCRIPTION. DRAWN BY: .•41 (� I�I•.1) ; SEQUOIA ESTATES; BLOCK 1, LOT 14 L.K.B. ♦1 Dl��•''(•�,(1F 13,\0' .. TYPE OF WORK: DATE. '/M '"1 'S„ ��4 SEPTIC SYSTEM DESIGN UPGRADE 9/15/2017 AECC884 �� 1 r ' ' 111 �.\ DESIGN CRITERIA: GEG,Ltd.HAS A 8 PAGE SPECIFICATION NUMBER OF BEDROOMS:5 LETTER THAT PERTAINS TO THIS DESIGN.TO NOTE:THE CONTRACTOR SHALL HAVE OBTAIN A COPY OF THE LETTER CONTACT GALLONS PER DAY(GPD):750 GEG.BY PROCEEDING FORWARD WITH THIS THE SOUTH&EAST LOT LINES,AND PERCOLATION RATE'S:9.6&12 MIN/INCH INSTALLATION,THE ENGINEER,WELL DRILLER, ALL WELL PERTINENT WELL RADII PROPOSED APPLICATION RATE:0.8 CONTRACTOR AND PROPERTY OWNER AGREE FLAGGED BY A REGISTERED LAND MINIMUM DRAINFIELD SO FT.:937.5 FT' THAT THEY HAVE READ THESE SURVEYOR PRIOR TO CONSTRUCTION. SPECIFICATIONS AND AGREE TO ACCEPT THE DRAINFIELD DESIGN: TERMS AND CONDITIONS OUTLINED. I \ \ MAXIMUM DEPTH:10 FEET . - - \ W , WIDTH:2.5 FEET 1•: \ LENGTH:80 FEET \3 / • 4 \ EFFECTIVE:7.0 FEET /- . ' .-! I ACTUAL SQ.FT.:1120 --� j'� ff' \ \ , , ALTERNATE SITE DESIGN CRITERIA: ''' r I �" �� 1 0- NUMBER OF BEDROOMS:5 - \)• GALLONS PER DAY(GPO):750 ,• , ��p PERCOLATION RATE'S:9.6&12 MIN/INCH \ PROPOSED APPLICATION RATE:'5 \ \ MINIMUM DRAINFIELD SQ.FT.:150 FT' CAT III ADVANCED TREATMENT EXISTING F6• EXISTING 5 SEQUOIA ESTATES; ALTERNATE DRAINFIELD DESIGN ' BEDROOM HOUSE\ 7 _BLOCK 1.LOT 13 MAXIMUM DEPTH 10 FEET \ WIDTH:2.5 FEET , \ \ LENGTH: 10 FEET \ EFFECTIVE:8 0 FEET p5°1° \\ 5/1“ \ACTUAL SQ.FT.: 160 FT2 � �\ �_5% \ ..ST1 1.25'PVC CONVERTED TO 4"03034 A �/ MH MINIMUM OF 10 FEET PRIOR TO THE ZABEL FLOW SPLITTER EXISTING STEEL SEPTIC /, TANK TO BE REMOVED AND PROPOSED DRAINFIELDS REPLACED WITH A NEW 2000 GALLON STEEL STEP TANK 1 SEQUOIA ESTATES; BLOCK I,LOT 15 yv. FS(ZABEL) 41( �� 1111PC4..:.7f --- M y1 C•` ,CS 4 M T. .#1 1 T TOPOGRAPHY INFORMATION 1 l IS 1( N IS APPROXIMATE AND TAKEN ` 1 WITH A CLINOMETER DURING 1 A GEG SITE VISIT ON 9/14/2017; 1 J I RESERVE SITE SCALE 01° ,y/ APPROXIMATE LOCATION 1"=40' / OF ABANDONED 1988 SEPTIC TANK PER MOA ASSUMED LOCATION OF 30'* RECORDS EXISTING BED;BED TO REMAIN 1 IN PLACE FOR FUTURE USE i • ..4.*r.,:\ -- w 144,147A Or 4. i;' .4 i" =.*�*i GARNESS ENGINEERING GROUP, LtdU = ...' s ' • CIVIL&ENVIRONMENTAL ENGINEERS * ' 0 376'E TL,DGR ROAD 5.:,-=ICA.ANCHORAGE AK 99507-PHONE(907)337-6179'FAX(907)338.3246•WEBSITE www garnessenglneenng xmtT`.l... PREPARED FOR: PHONE NUMBER: PAGE NUMBER: I -=mess :L l 1 VICKI RYAN 345-8335 2 OF 3 A� ,'•• CE-7q3 •'• � PROJECT/LEGAL DESCRIPTION: DRAWN BY: • ..'. Jd r SEQUOIA ESTATES; BLOCK 1, LOT 14 L.K.B. ♦ I ((''���, pRoFE TYPE OF WORK: DATE: LICENSE+'* S • DESIGN DRAWING 9/28/2017 #AECC884 J ri-' --\ SCALE 1 " = 10' EXISTING GRADE MT 25%PROJECTED SLOPE STARTING 2 C•' FEET ABOVE TOP OF ROCK(DOES NOT 10% "DAYLIGHT") � ` 34% 10 FOOT l -.iii. o 7 F . FE -. _„ ` 5-10% .16" -I.. f10 FOOT WAIVERS -�' REQUEST ---.. 2.5 FEET ,_ INFORMATION BASED UPON GEG FIELD MEASUREMENTS 4„woks ll at 4•4 GARNESS ENGINEERING GROUP, Ltd ffCIVIL&ENVIRONMENTALENGINEERS i 3101 E TJCOR ROAD.SHITE I01•ANCHORAGE.AK 09507'PHONE 1907,337 6179'FAA 19071 336-3746'WEBS,TE www panwssenynieenny:QM • •PREPARED FOR: PHONE NUMBER: PAGE NUMBER: r - r• A.Gar -ss c4• �ii VICKI RYAN _ (907) 830-8213 3 OF 3 ♦♦G��?I C -7953 LEGAL DESCRIPTION. DRAWN BY: ♦,� J(.. 4► SEQUOIA ESTATES; BLOCK 1, LOT 14 D.J.G. -* 0,q"�,�� ... 'P� •', cts\ PROFILE DRAWING FOR SLOPE WAIVER TYPE OF WORK: DAT 9/13/2017 E ,'�� aas ��• 1 Pr 11.,001iii s a t 4 •44-S .•.°F..... ,..... .\ GARNESS ENGINEERING GROUP, Ltd ;' : 4'IH • CIVIL& ENVIRONMENTAL ENGINEERS • • 37C,E.TUDOR ROAD SITTE,O,'ANCHORAGE.AK 99507'PHONE 1907!3376179'FAX(9071 336.3246'WEBSITE.WWII qa,-.. . - td •• ; 1._r SOIL LOG - PERCOLATION TEST jai C ,79 3 ass ws LEGAL DESCRIPTION: SEQUOIA ESTATES; BLOCK 1,LOT 14 _ �•.41^.%•. CI X43 1 'c � PERFORMED FOR: VICKI RYAN DATE: 5/17117 ♦�fQ ••FESS � �'ROFESS� 4 DEPTH'. �r� #AECC88.1 LICENSF1`1 ti\1��wl. _ (feet) r ORGANICS TEST HOLE #1 UPPER BENCH 1 ,------- l • SOIL CLASSIFICATIONS SITE PLAN 2 • Mat GW OR(, • ,M/ML NES GP I I~~ J ML 3 — r II;III!II GM /4/,,,): (;I 4 - I. :i& GC 1 01 e- • °oo°o o•. SW I MH SP CH 4S<</1;�111111: SM ' ,'/� OH 7�0 s 6 7:►`AH•1 SC C, 7 - DEPTH TO GROUNDWATER DAlF (fid AY cs‹, 8 — 8/17/17 DRY 9/12/17 DRY SCALE: 9 - 1"=100' 10 - - - _ >^•T� READING CLOCK NET TIME WATER LEVEL NET DROP TIME (MINUTES) READING (INCHES) 8/18/17 1 3:20 - 6" 12 - ' 2 3:50 30 3 1/4' 23/4' 13 — 3 3:50 6" _ - 4 4:20 30 31/2" 212 14 - 5 4:20 - 6' I I ■ 6 4:50 30 31/2" 21/2' 15 I r GM r , 16 I r B.O.H. 1% 10 1 PERCOLATION RATE 12 (MIN./INCH) PERC- HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 3 FT. AND 4 FT. A FOUR HOUR PRESOAK WAS PERFORMED: U YES El NO SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: ERIK WIDGER COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I,JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PEROR ED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 1/i€/i3 J rlob.31•11 I 1 II iii I -4\ GARNESS ENGINEERING GROUP, Ltd • - . . CIVIL&ENVIRONMENTAL ENGINEERS 0 0 • PO,E 7UDOR ROAO.SUITE IO I-ANCHORAGE.AK 99507•PHONE 1907)3376179•FAX(90 7)376 3246'WEBSITE www 9A•n"ss"n9 neenn9 cc^ ••"• M • �.ri SOIL LOG - PERCOLATION TEST �*.G, % C 79 rness-`\ = LEGAL DESCRIPTION: SEQUOIA ESTATES; BLOCK 1,LOT 14 �1`�,`4,, CI t 6 I ty. t� '� PERFORMED FOR: VICKI RYAN DATE: 8/17117 '�444..'� •"' • •�• .'1�P,.�� Pin,.-"" FESS • LICENSE itk,�y��� DEPTH 7. #AECCBS4 (feet) ORGANICS TEST HOLE #1 LOWER BENCH 1 ��.. +- • SOIL CLASSIFICATIONS SITE PLAN 2 — Iv EMI GW "EEEE:: ORG • GM/ML UM GP ML 3 - • Iu;ur 1 GM I CL 4 — GC I OL Q�,P� • VZ/44,02 • °o:°o o-• SWMH • SP CH 5 \� I1HMCSM .' ,i rj OH (0° 6— ►af. 1! S C G� )k 7 — DEPTH GROUNDWATER DATEQ' N 8 — 8/17/17 DRY 9/12/17 DRY SCALE 9— Il MI i•=log 10 — - DATE READING CLOCK NET TIME WATER LEVEL NET DROP 11 — TIME (MINUTES) READING (INCHES) 12 — 8/18/17 1 3:21 - 6" 2 3:51 30 2 7/8' 3 1/8" 13 — 3 3:51 6" - 4 4:21 30 2 7/8" 3 1/8° 14 5 4:21 - 6" -■ • ■ • , 6 4:51 30 2 7/8" 3 1/8" 15 — • GM I ■ , I • 16 B.O.H. 17 — 18 — PERCOLATION RATE 9.6 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES; 19 — TEST RUN BETWEEN 5.5 FT. AND 6.5 FT. 20 ' A FOUR HOUR PRESOAK WAS PERFORMED: U YES ❑ NO SOILS LOGGED BY: DAVID GARNESS PERCOLATION TEST PERFORMED BY: ERIK WIDGER COMMENTS: PERCOLATION READINGS ARE WITHIN 1/16 OF INCH. PERFORMED BY GEG, Ltd. I,JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PERFORMEq IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: cr l ib ` MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Nam, C-'1 �_ - Capacity in gallons DISTANCES TO FROM SEPTIC TANK ABSORPTION FIELD WELL nddres—` Phone(5) Permit No.� No. of Bedrooms WELL fell ❑ TRENCH I BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from LOT LINE Total depth from original grade original grade FT LEGAL DESCRIPTION Lot Block Sydi-sion FT dv 5` FT _ Gravelel length 14 1 aG• - FOUNDATION ZC���` Total absorption area > I(�Ot Township, Range, Section . T1 ?_ M __E:�_ IA)_ ;— __ SZ -6 AS -BUILT DIAGRAM driveway, water bodies, (Show location of well, etc.) septic system, property lines, foundation, IInstaller I REMARKS: WELLS PRIVATE ❑ OTHER (Identlfv) C) Total Depth Cased to FT Date Installed: O C1/ 1 z+/ I %f ► uk_1'V-_ trj d \,10 Municipal and State guidelines in effect on this date: Health Department Approval: )I a to/00) LL W n...r,.902 JEN711AN"I ,901EPIN t:arly"rl 1 �1. Date n 1h 1W this inspnik was Wormod wording to all Date: ENGINEERS SEAL ro sir !° ' P, . ur f � , �- ar• 4 ' TANKS �I SEPTIC ❑ HOLDING Manufacturer Capacity in gallons Q C Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH I BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade FT 4,0 FT Fill added above original grade Gravel depth beneath pipe FT dv 5` FT _ Gravelel length Gravel width FT t FT Total absorption area Distance between lines f SQ FT 6 FT Number of lines Soil rating Pipe material SCS SQ FT. i Installer Date Installed'=`'% G,) /; ii_ 0-0-. IInstaller I REMARKS: WELLS PRIVATE ❑ OTHER (Identlfv) C) Total Depth Cased to FT Date Installed: O C1/ 1 z+/ I %f ► uk_1'V-_ trj d \,10 Municipal and State guidelines in effect on this date: Health Department Approval: )I a to/00) LL W n...r,.902 JEN711AN"I ,901EPIN t:arly"rl 1 �1. Date n 1h 1W this inspnik was Wormod wording to all Date: ENGINEERS SEAL ro sir !° ' P, . ur f � , �- ar• 4 ' MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division =ON—SITEAGE 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES TO SEPTIC ABSORPTION Address /S}+ }{ �% FROM TANK FIELD WELL WELL Phone(s) Permit No. No. of Beed+oms ( .n S-5-1, '3, ..7,-G 7(,,-- i -LOT y / (� /i f. (moi ' P LINE ( ' t T fff LEGAL DESCRIPTION Lot 14- Block f Sub wision t � @ P I1 FOUNDATION r% 1 0 0 > i 0('� � t 00 Township, Range, Section } a ; ?3 GL) e A ....i�l"� 7(" 1 fes+ 6d /i ['° 12,( AS-BUILT DIAGRAM (Show location of well, septic system, property Imes, foundation. „L driveway, water bodies, etc.) ANKS i (� i SEPTIC [I HOLDING Manu cturer . Capacity in gallons ' Material No. of Compartments TYPE OF SYSTEM ❑ TRENCH [1_X4BED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade original grade zs FT o FT , , Lli Fill added above original grade Gravel depth beneath pipe FT e FT ! _ Gravel lengthGravel width ` FT FT Total absorption area Distance between lines ` SO FT 62 FT Number of lines Sod rating Pipe material - ESQ FT .� :3' I , In If f Date Installed >' WELLS ❑ PRIVATE ❑ OTHER (Identifv) Classification (A,B,C) Total Depth Cased to FT FT (, itm­ '` Installer Date Installed Z REMARKS: t� c _ r 44 / e Scale: c i / pections Pe rmed/�-y ENGINEER'S SEAL D {-4 3' Date: CJ J i' / 7 ho was WHO ccordi�p to all raspectio C•l�l Municipal and Stale guidelines in elfect on this date� r� ru Health Department Approval: - Date: r ParceI Id: 017~152 --- 14 Lot Legal: Subdivision: SEQUOIA EST" Lot: 14 Block: 1 ow Section: 26 Tnship: 12N Range: 3W Lot Size 46000 (sq.{t, or acres) Max Bedrooms: This Permit: 4 Total Capacity: 4 SEP[lI-: [ANK: Minimum total septic tank capacity: 1;250 gallons" Each septic must have at least 2 compartments" Depth to top of septic tank(s) < 4.0 �eeL requires insulation over tank(s)" [ L�K|IFY THAT: �amiliar with the requirements {or on~site sewers and wells as set �orth by the Municipality of Anchorage (MOA) and the State of Alaska, 2. l will install the system in accordance with all MOA codes and regulations� and in compliance with the design criteria of this permit" 3. I will adhere to all MOA and State of Alaska requirements �or the set back distances from any existing we]wastewater disposal system or public sewrra�e sy�tem on this or any adjacent or nearby lot. 4" I uoderstand that this permit is valid for a maximum o[ 4 bedrooms" I also u//dersLand that the capacity of the tota1 system is 4 bedrooms and any erijaw, emerit. v0A.A. req ire an additional permit. Sigp DATE: -~---- (Owner} ALLl N ~.... ..... ...- MUNICIPALITY OF ANCHQRAGE Department of Health & Huaan Services 825 1. Street, Anchorage, Alaska 99501 343-4720 ON�SITE SEPTlC TANK PERMIT Permit Number: 880192 Upgrade Date�lssued: 09/16/88 Owner Name: ALLIANCE BANK / RYAN Day Phone: Owner Addr��s: 440 E. 36 AVE. 786-6329 ANCHORAGE, AK 99503 ParceI Id: 017~152 --- 14 Lot Legal: Subdivision: SEQUOIA EST" Lot: 14 Block: 1 ow Section: 26 Tnship: 12N Range: 3W Lot Size 46000 (sq.{t, or acres) Max Bedrooms: This Permit: 4 Total Capacity: 4 SEP[lI-: [ANK: Minimum total septic tank capacity: 1;250 gallons" Each septic must have at least 2 compartments" Depth to top of septic tank(s) < 4.0 �eeL requires insulation over tank(s)" [ L�K|IFY THAT: �amiliar with the requirements {or on~site sewers and wells as set �orth by the Municipality of Anchorage (MOA) and the State of Alaska, 2. l will install the system in accordance with all MOA codes and regulations� and in compliance with the design criteria of this permit" 3. I will adhere to all MOA and State of Alaska requirements �or the set back distances from any existing we]wastewater disposal system or public sewrra�e sy�tem on this or any adjacent or nearby lot. 4" I uoderstand that this permit is valid for a maximum o[ 4 bedrooms" I also u//dersLand that the capacity of the tota1 system is 4 bedrooms and any erijaw, emerit. v0A.A. req ire an additional permit. Sigp DATE: -~---- (Owner} ALLl N ~.... ..... ...- CORWIN & ASSOCIATES, INC. 1000 E. Dimond Blvd. Suite 205 ANCHORAGE, ALASKA 99515 (907) 522-1311 JOB I n I �C_k= I SEC�iCIC)fYa=irtTa SHEET NO. OF CALCULATED BY DATE CHECKED BY DATE_ P?OGO:TrAIwas irti. G,m V+Z 01111. SCALE 775 ......, O Dfi'.... _. _..... _....... . OK lG1�ltL .. �pJSE - .'fkNK. ?Vi f. 'AT: THaS i. �LdcgTroA) __...... _.......;. .:. :..... _,...... ....... ........._ ...___ SEE ASBVicr 0 woe-,aoarrrwxc_._ ,.._.. ......... __._.. C/o -. EXIST C/o , £Xl4T.__ '_P6 . ...... TA.vK P-ZMOVED- 4" Socio Pvc P?OGO:TrAIwas irti. G,m V+Z 01111. MUNICIPALITY OF ANCHORAGE DE' TMENT OF HEALTH AND HUMAN SER\ -S Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES SEPTIC ABSORPTION Address FROM TANK FIELD WELL Phone(s) I Permjitt Ngo. 1110.01 WELL Be rooms Z'7 to S I® S � " " z' r34 LEGAL DESCRIPTION LOT LINE Lot Block Subdivision 1 /6squola E2 ' FOUNDATION Notj rN Township, Range, Section It j •� / Z q i R S ` A / a n AS -BUILT w DIAGRAM (Show location of well, septic system, property lines, foundation. � 1� V, driveway, water bodies, etc.) TANKS 1 _.J I/A / I N1 G?"SEPTIC ❑ HOLDING Manufacturer Capacity in gallons urs j IZ50 Materiae No. of Compartments TYPE OF SYSTEM []TRENCH VBED ❑ W. DRAIN ❑ OTHER Depth to pipe bottom from Total depth from original grade /� original grade 3,S- FT #0 FT Fill added above original grade Gravel depth beneath pipe REMARKS: j DI irnS.l a V --r (r•• [) T\ C3 i -K Seale: ENGINEERS SEAL Inspecti ns Performed b r7�Cr r®� yuare 02)J f 1� 1 E 1 •�' Date: COO Incl Irks 00001 was peso N 301914 m all o) ' S 0'. ru ,. J. Corwine Q,Municipal and State guidelines in effect on this date: z! l �F; °°a o. CE -5283 � Health Department Approval: (.- Date: V I �% ' A FT © FT Gravel length 50 FT Gravel width FT Total absorption area ?CODistance -jliLSQ FT between lines � FT Number of lines Soil rating 160 SQ FT- Pipe material1-3 Installer �a I 54uts15 Data Installed Za �j WELLS %q A I h ❑ PRIVATE ❑ OTHER (Identifv) Classdicat�(AB,C) Total Depth FT Cased to FT Installer Date Installed REMARKS: j DI irnS.l a V --r (r•• [) T\ C3 i -K Seale: ENGINEERS SEAL Inspecti ns Performed b r7�Cr r®� yuare 02)J f 1� 1 E 1 •�' Date: COO Incl Irks 00001 was peso N 301914 m all o) ' S 0'. ru ,. J. Corwine Q,Municipal and State guidelines in effect on this date: z! l �F; °°a o. CE -5283 � Health Department Approval: (.- Date: V I �% ' ^ PERMIT NO: DATE ISSUED: APPLICANT: ADDRESS: CONTACT PHONE: ������0���� �� ��������� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET� ANCHORAGEx AK 99501 264�4720 860218 07/07/86 ED SANDERSON 60 E" NORTHEF ANCHORAGEK 276-6552 LIGHTS SUITE 165 99503 LEGAL DESCRIP: SUBDIVISION: SEQUOIA ESTATES SECTION: 26 TOWNSHIP: 12N LOT SIZE: 46680 (SQ.FT^ OR ACRES) MAX BEDROOMS: 4 Listed below are the options available to you system. Choose the option that best fits your IF. H: 13 DEPTH TO PIPE BOTTOM (FT") 3,5 ** GRAVEL DEPTH (FT.) 0.5 TOTAL DEPTH GRAVEL WIDTH (FT^) 20"0 GRAVEL LENGTH (FT") 38,0 GRAVEL VOLUME (CU.YDS.) 28,2 TANK SIZE (GALS> 1;250,0 ** SOIL RATING (SQ.FT"/BR) 125 LOT: 14 RANGE: 3W in gning your site" ** DEPTH TO PIPE BOTTOM < 4"0 FT" MAY REQUIRE A LIFT STATION ** TANK MUST HAVE AT LEAST TWO COMPARTMENTS I certi�v that: BLOCK: 1 1. I am familiar with the reguirements for on~site sewers and wells as set frth bMunicipality Liv the MncipalitAr(M y o� nchoage OA) and the State o� Alas oka" 2^ I will install the system in accordance with all MOA codes and regulations� and in compliance with the designcriteria of this permit. 3. I will adhere to all MOA and State oAlaska requirements for 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 maximufn of 4 bedrooms and any enlargement will require an addi�Ji. onal permit. [F A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOI A BUILDING Cl 1: [HEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; <2) AS--BUILTS WILL NOT BE A 1 m ; ELECTRICAL WORK MUST BE DONL_BY A LICENSED ELECTRICIAN" SI8NED DATE: APPLICANT:��/ SANDERSON ISSUED BY �7DATE: �Z_��/� � Municipality of Anchorage o DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST 0°� b noua PERFORMED FOR: DATE PERFORMED: LEGAL DESCRIPTION: (% Q �yQ Township, Range, Section: �+ W� �, bloom. SLOPE SITE PL 1 e Ad& 2-0' gyp- bMVZr-\) Com -a9- 3- omrses 00 xtK i q rC.\rel 4 Vv +raC.2 l� 5- ISO 5q Ib�M 6- 8 8 GM 9 9 10WAS GROUND WATER �O ENCOUNTERED? 11-A P90 S • oo°• 5P IF YES, AT WHAT p °•• a DEPTH? P 12 E SND 13 Depth to Water A er Date: 13 Tom.& Monitoring? 14- 15- 16- 17 4151617 18 19 20 PERCOLATION RATE COMMENTS PERFORMED BY: ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELI 72-008 (Rev. QW) (minutes/inch) PERC HOLE DIAMETER CERTIFY THIS DATE. DATE: — PERFORMED IN Tl1a acuiracy ob 6ecx4on� '. "�4 6 # LAL QCLU 0 )4ELL I)Of Uad. bjm"OY15 'VJ,COU kav-c 6'een 11"i N 0 0 EXISTING Sffi"r"- 64 k' I '�'t ob Q104\ �6']R cv,)j ROI �AvkM�l 1�6\r\+ xs, 0 -TE-ST 5Equo/A "e"; 0 -LE 4�/ 0 � I V, � L 0 ru e J. Con, in CE -528L 0'.' 00 0 F E S saoI -PROPOSED lAouse -FE57- 140LIF �j LOCATION co -T Be p 0 f ED LCT I q III l:P_4 - TLI + Lot 1:5 f SEWER SYSTEM LOCATION PLAN 0 Lot Block. w: Subdl E ST AT E:5 Prepared repared for: -0.. �A LrAGE Y 5TE rA 5 0, WAG FA 0- F Dclte* WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological a Geophysicol Surveys Drilling Permit No. OCATION OF WELL (Please complete either la, Ib or Ic.) A.D.L. No. la. Borough Subdivis i a n Lot Block Ib. 1/4 gtrs. WO PS ! (—of_of —Of — Ic. DISTANCE AND DIRECTION OM ROAD INTERSECTIONS L " - Street Address and Area of Well Location ange E ❑ Meridian W❑ Sec7AddNress. EL �: 2. WELL LOG Feet Below Surface Material Type Top Bottom 4, WELL DEPTH: (final) -4 15 ft 5. DATE OF CO_VLETION , - �Z— G. ❑ Cable tool Rotary ❑ Driven ❑ Dug []Auger ❑ Jetted ❑ Bored ❑ Other: 7.USE:R71 Domestic ❑ Public Supply ❑ Industry Irrigation Recharge ❑ Commerical Test Well Other: 3� p/o ej SO B. CASING: ❑ Threaded &Welded diam.in. to4#!?j ft. Depth Weight1l bs./ ft. diam. in. to -:fl ft. Depth Stickup ft. L..0- -- 9. FINISH OF WELL: Typeu Diameter SIosh Slze: ----.y,Length: Set between ft. and - ft. Backfilling Grove[ peck _ -- / 10. STATIC WATER LEVEL: 4 (i f t• 7 +� Date Above or ❑ Below land surf ce Equipment used: . II I. PUMPING LEVEL below l/and surface and YIELD 42-2D-- ft. after ! hrs. pumping_ g•P•-m. ft. after hrs. Pumping 9 -P.M. _ PNG P�\t �\�P\- �� G\P \ 12.GROUTING Well Grouted: Yes F] No Material: ❑ Neat Cement ❑ Other: 13. PUMP: (if available) HP -� Length of Drop Pipe ft. capacity 9 -P.M. Subm. Jet Centrifical Other - ~ . - 14. REMARKS: 16. WATER WELL CONTRACTORS CERTIFICATION:15. Water Temperature —0. C]F ❑ C This well was drillq under -y j'r isdiction on this report is true to the bait of my knowledge and belief; /LA!/y//co`/aitraot License Number Address: Q" • o a t/ `1 i� "`�-- -7— Qp / `� U � lb Signed : r , � � ,�jt�� Date: AutAorIzecF Representative Form 02-WWR (11/81) Copy Distribution: WHITE - State OGGS, PINK - Driller, CANARY- Customer LEGAL D2SCRIP: SUBDIVISION: SEQUIOA �STATES LOT: 14 BLOCK: 1 SECTION: 26 I OWNSHIP: 1211 RANGE: 3W LOT SIZE: 48490 (SEA. FIT. OR ACRES) I certify that: 1, I am familiar with the on-site sewers and wells as set forth by ihe Municipality of Anchorage (MOA) and the State of Alaska` 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances [rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot, SIGNED DATE: _ _..... .... .... ........... APPLICANT: WPlNE TWILLING � ISSUED BY DATE: ������� � IM FO to No us 1 3 Ff lot EH.� RE.-: � DEPARTMENT UF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, AK 99501 264~4720 M 1"j --- Two X~V FEI-. &.1i 0 ...... 9 ....... PERMIT N[]: 860352 DATE ISSUED: 09/15/86 APPLICANT: ALPINE DRILLlNG ADDRESS: P.O. BOX 1104996 ANCHOPRAGE, AK 99511 CONTACT PHONE: 345-0202 LEGAL D2SCRIP: SUBDIVISION: SEQUIOA �STATES LOT: 14 BLOCK: 1 SECTION: 26 I OWNSHIP: 1211 RANGE: 3W LOT SIZE: 48490 (SEA. FIT. OR ACRES) I certify that: 1, I am familiar with the on-site sewers and wells as set forth by ihe Municipality of Anchorage (MOA) and the State of Alaska` 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances [rom any existing well, wastewater disposal system or public sewerage system on this or any adjacent or nearby lot, SIGNED DATE: _ _..... .... .... ........... APPLICANT: WPlNE TWILLING � ISSUED BY DATE: MUNICIPALITY OF ANCHORAGE ) DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION DIVISION OF ENVIRONMENTAL HEALTH CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL' OF ON-SITE SEWER AND WATER FACILITY 264-4720 Application Date 1. GENERAL INFORMATION (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) (b) Applicant Name1 =%� - r t �'^^ = Telephone: Home Business i Applicant Address (c) Applicant is (check one): Lending Institution ❑ ; Owner/builder; Buyer ❑ ; Other ❑ (explain); (d) Lending Institution Telephone Address (e) Real Estate Company and Agent Address Telephone (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family CC Multi -Family ❑ Other Number of Bedrooms z 3. WATER SUPPLY Individual Well 1� Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Cil' Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72-025 (11184) 5. ENGINEERING FIRM PROVIDII NSPECTIONS, TESTS, FILE SEARCH, D, AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Healtn Authority Approval 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. Name of Firm r��r .r �� + Telephone r r Address Date Engineer's Seal rreil ; �•', a Cc�_ n. i [!_ �V tY u�LsiL '!L'Y 6. DHEP APPROVAL Approved for� bedrooms by /� `? Date L� ! Approved X Disapproved Terms of Conditional Approval Conditional dhep CAUTION The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Page 2 of 2 72-025 (11/84) A. MUNIOALITY OF ANCHORAGE (MOA) HiMHORITY APPROVAL (HAA) P �St KLIST - FEBRUARY 1984 0 264-4744 �lbLQligal Description: /_ � � � L WELL DATA L Well Classification 2 �'r �' If A, B, C, D.E.C. Approved (Y/N) Al Well Log Present (Y/N) _ Date Completed -2/14962 Yield r Total Depthe-`'k'> Cased to L� Depth of Grouting Static Water Level —/� Pump Set At z1:5C Casing Height Above Ground 7�"- Sanitary Seal on Casing (Y/N) — Electrical Wiring in Conduit (Y/N) �� Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot �)C7 ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot /e>'_ ; On Adjoining Lots(w_il- pr To Nearest Public Sewer Line To Nearest Public Sewer Cleanout/Manhole ��Z/�—�To Nearest Sewer Service Line on Lot Date V'274i Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA 71 Date Installed 1 >1- �� g�� Sized % �= No. of Compartments Standpipes (Y/N) Air -tight Caps (Y/N) Foundation Cleanout (Y/N) Depression over Tank (Y/N) Date Last Pumped h����i1 - ✓`=� Pumping/Maintenance Contract on File (Y/N) 1Q11A ; for n7) ),A Holding Tank High -Water Alarm-(Y/N) r,J) A - Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well %t� 3i To Building Foundation �a r i To Property Line ` To Disposal Field — To Water Main/Service Line ?_ � )r -r To Stream, Pond, Lake, or Major Drainage Course A/ Comments ��✓ �s aiE� `i,S ��� (1 r ����+�r_ a" �� Page 1 of 2 72-026 (Rev- 8/861 Front C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Zy_CV _ r �0_ P1 Type of System Design _ )754=7 :) Date Installed )UL -1 P9- Length of Field Width of Field Fr Depth of Field r. : .2 „ J,Q'50(. ,7;N Gravel Bed Thickness �• f=i Square Feet of Absorption Area `���% Standpipes Present (Y/N) _fit Depression over Field (Y/N) /�1 Date of Last Adequacy Test Results of Last Adequacy Test Separation Distance from Absorption Field: �( To Water -Supply Well jC �� ci, To Property Line Al 6-i To Building Foundation Lot To Existing or Abandoned System on On Adjoining Lots �(YJt a - To Water Main/Service Line 7.rFj� To Cutbank (if present) To Stream/Pond/Lake/or Major Drainage Course �, /C )1 rr- To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at High Water Alarm Level at Tested for Electrical Codes (Y/N) Comments — Dimensions Manhole/Access (Y/N) "Pump Off" Level at Vent (Y/Na- ** Check Permitted Bedroom Rating Against HAA Request ** ng Cycles during Adequacy Test. Meets MOA I certify that I hae.che ed, e ifi ii, (conformed to all MOA and HAA guidelines in effect on the date of this inspection. Signed ��� / .7 Date Compan/M/OA No. Receipt No. 0% Date of Payment Z Amount: $ Page 2 of 2 72-026 (Rev 8/86) Back r i, Dnle R. /lerrell 20 pROFE5SI�NP�' Fr