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HomeMy WebLinkAboutSIEFKER TR 2MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP241203 Work Type: Septic Upgrade Tax Code Number: 01528119000 Site Legal Address: SIEFKER TR 2 G:2735 Site Mailing Address: 12301 CANGE ST, Anchorage Owner: LEMMERMAN KARL C & JOANNE S Design Engineer: ANDERSON CONSTRUCTION & ENGINEERING This permit is for the construction of: Effective Date Expiration Date: Lot Size in Sq Ft: Total Bedrooms: 4/23/2025 4/23/2026 46200 0 Disposal Field 2 Septic Tank ❑ Holding Tank ❑ Privy ❑ 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 4 Received By: f � D, Date: i Issued By: Date: r006111 i NS 1SIm =m'e@iz Parcel I.D. 015-281-19 Property owner(s) LEMMERMAN Mailing address 12301 CANGE ST Site address SAME Day phone Legal description (Sub'd., Block & Lot) SIEFKER TR 2 Legal description (Township, Range & Section) Lot Size 46200 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (21 all that apply) Absorption Field Fx Initial F Single Family (SF) El (w/wo ADU) Septic Tank FX Upgrade FX Duplex (D) F Holding Tank F Renewal F Multiple Dwellings F Privy F1 (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. (Signature of property owner or authorized agent) Permit/Rush Fees: _0 _5q � Date of Payment: Receipt Number: 7 -7- Permit No. 0-SPZ(412-0---2;, Waiver Fees: Date of Payment: Receipt Number: Waiver No. GADevelopment Services\Building Safety\On Site Water and WastewaterTorms\Client Forms\Permit Application.doc March 20, 2025 Municipalities of Anchorage Development Services Dept. On-Site Water & Wastewater Section Anchorage, Alaska 99519 Phone 343-7904 Re: Septic Permit Legal: SIEFKER TR 2 To Whom it may concern: This is a request for a septic permit on the above referenced lot. A single test hole was excavated and found silty sand (SM) for the entire depth at ten feet. Water was not observed, during the excavation or after the 7-day monitoring period. The perc rate was 58 minutes per inch. Due to the lot size and soil types an Advantex system has been designed for the lot. The lot slopes at 1 to 2 percent towards the northwest. This design will be slightly mounded above the existing yard. The old system will be decommissioned per code. This new septic system will not impact any of the surrounding neighbors, see the site plan. Sincerely Michael N. Anderson, P.E. 4661 Natrona Anch, Ak 99516 Ph 727-8864 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241203, Curtis Townsend, 04/23/25 1"=100' PROPERTY LINE EXISTING 50' WELL RADIUS -C A N G E - PROPOSED NEW 4-BEDROOM SEPTIC SCALE: DJRDRAWN: DATE: SIEFKER TR 2 Anchorage, Alaska KARL LEMMERMAN 2/21/2025 NEW 4-BEDROOM ADVANTEX SEPTIC DESIGN CRITERIA: 0.5' EFFECTIVE 4 BDRM X 150 = 600 GPD SOILS = 600 GPD/1.0GPD/SF = 600 SF 600SF/15 = 40 LF OF BED 15.0' WIDE 40' LONG (1) BED +1.0' DEEP -10 (TH#1 ) -1.0 SM ORG FILTER FABRIC & 2" INSULATION 1.25"Ø PIPE W/ TOPSOIL & SEED NO WATER OC 2024 3 :1 +3.0 -2.0 15.0' HUFFMAN RD 24" MOA FILTER SAND 10' UTILITY EASEMENT +1.0 0.25"Ø @ 48"OC SEPTIC SEPTIC 12" DRAIN ROCK SEPTIC WEL L WE LLWELL WELL WELL WELL EXISTING FIELD Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241203, Curtis Townsend, 04/23/25 1"=50' PROPERTY LINE SCALE: DJRDRAWN: DATE: SIEFKER TR 2 Anchorage, Alaska KARL LEMMERMAN 2/21/2025 DRIVEWAY NEW ROUND 1500 GALLON ADVANTEX TANK W/ PUMP BASIN, 10' FROM THE FOUNDATION & 5' FROM FIELD/DECK TYP. BALLAST W/ 6 YDS OF CONCRETE IF WATER OBSERVED MT TH#1 FCO TCO EXISTING TANK AND FIELD TO BE DECOMM. MT WELL 10 ' UT I LI TY EA S E M E N T NICK L E E N ST WELL WELL WELL WELL MT MT SEPTI C SEPTIC 1 % S LO P E 1 % S L O P E Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241203, Curtis Townsend, 04/23/25 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP241203, Curtis Townsend, 04/23/25 OF.A CO 49 R `9 h'Ae�— s SHANE A. HOLT �� G LS-6914 ,\,°fessiona� �-Qo EAST 280.00 EAST 280.00 NOTE.• NO EASEMENTS APPEAR ON THE RECORD PLAT LEGEND SLOCKRET WALL ------------- SEWER SYSTEM PIPE THESURVEYDATA AND MEASUREMENTS HEREONAREPREPARED FOR THE OWNER OFRECORD AS OF THEDATE OF THIS SURVEY. ANY USEOF THIS DRAWING BY THIRD PARTIES IS PROHIBITED UNLESS WRITTEN PERMISSION IS PROVIDED. THE INFORMATION HEREON IS FOR THE USE OF LENDING INSTITUTIONS SPECIFICALLY TO SHOD/ ANY CONFLICTS BETNEEN EXISTING STRUCTURES AND PLATTED LOT LINES AND/OR EASEMENTS; AND IS NOT TO SE USED FOR POSITIONING ADDITIONAL STRUCTURES, IMPROVEMENTS, OR FENCELINES- EASEMENTS OF RECORD, OTHER THAN THOSE APPEARING ON THE RECORD PLAT , ARE NOT SHOYN HEREON ( UNLESS INDICATED) NOTE: FENCELINES THAT MAY APPEAR ON THIS PRAYING ARE NOT TO BE USED TO DETERMNE PROPERTY LINES OR POSITION ADDITIONAL IMPROVEMENTS. ANY PAVING SHONN HEREON MAY BE APPROXIMATE DUE TO EXCESSIVE SNON AND/OR ICE. 9 AS-BUILTSURVEY 1 " = 30' NO CORNERS SET THIS DATE I HEREBY CERTIFY THA T I HA VE PERFORMED A SURVEY OF THE FOLLOWING DESCRIBED PROPERTY TRACT 2 SIEFKER SUB. ( PLAT P 286) A NCHORA GE RECORDING DISTRICT, ALASKA, AND THAT THE VISIBLE IMPROVEMENT S SITUATED THEREON ARE WITHIN THE PROPERTYLINES AND NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. DATEDATANCHORAGE,ALASKA THIS 13 TH DAYOF TUNE, 2024 6069 237-SO HOLT LAND SURVEYING 9309 GROVER DRIVE ANCHORAGE,AK 99507 223-8615 MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and entered into as of this .7, S Day of /" 1w" of 20 z$", by and between 6, r t C L e ""'� +� on a n , herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY", in accordance with Anchorage Municipal Code (AMC) 15.65.365. In consideration of the mutual covenants contained herein, the parties to this Agreement agree as follows: 1. Advanced Wastewater Treatment SVstems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as ,A-d V all � f" r located at (legal description) 2. Maintenance. Repairs and Alterations. (Owner is required to read, understand and initial each section) Throughout the term of this Agreement, the Owner shall enter into a service agreement with an AWWTS service and maintenance provider approved by the Municipality or the manufacturer's representative. The AWWTS shall be maintained in a satisfactory condition capable of performing as designed and producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. It shall be the responsibility of the Owner during the term of this Agreement to pay for all repair(s), maintenance, adjustment(s), replacement costs, and inspection costs. This includes an annual maintenance fee (typically $400 to $600). 1 Owner agrees that only maintenance and repair personnel approved by the Municipality or the manufacturer's representative will inspect and make any necessary maintenance, repairs or permitted alterations to the system. Owner acknowledges that regular maintenance of an AWWTS reduces the potential failure of the system, which could include sewage backup and costly repairs or drainfield replacement. (rev. 05/18/2018) Page 1 of 3 Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. Owner acknowledges that the fine for failing to maintain and repair an AWWTS may be assessed in accordance with AMC 14.60.030. Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. i� Owner agrees that the AWWTS installation and maintenance requirements as provided by the AWWTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AWWTS. Owner agrees to maintain remote monitoring of the AWWTS as required by the AWWTS approval. 3. Term. The term of this Agreement shall begin on the date of approval by the Municipality to operate the installed system, or upon transfer of title, and shall continue while the AWWTS is operational or until title is transferred. 4. Nonwaiver. The failure of the Municipality at any time to enforce a provision of this Agreement shall in no way constitute a waiver of the provisions, nor in any Way affect the validity of the Agreement or any part hereof, or the right of the Municipality thereafter to enforce every provision hereof. 5. Amendment. This Agreement shall only be amended by authorized representatives of the Owner and Municipality. Any attempt to amend this agreement by either an unauthorized representative or unauthorized means shall be void. 6. Jurisdiction: Choice of Law. Any civil action arising from this Agreement shall be brought in the Superior Court for the Third Judicial District of the State of Alaska at Anchorage. The laws of the State of Alaska shall govern the rights and obligations of the parties under this Agreement. 7. Severability. Any provisions of this Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Agreement. (rev. 05/18/2018) Page 2 of 3 OWNER: By: Q��"`^'''`.�,�gnature) Ka r t C , � c? r» m t'rx (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) Date: The foregoing instrument was acknowledged before me this o day of , 20 9-5 , by , \ mc5,mc Notary Public NOTARY PUBLKFO4 ALASKA RANDALE JAiCKSON My Commission e : {Y)o,5 aUa State ofAlpska My Commission Expires May 5, 2028 MUNICIPALIT By: (signature) C v ./ S TO V-'-5 i%v() (print name) Date: Title: C 1 V( C- L=-\-6,/,..t:.- (=- n (rev. 05/18/2018) Page 3 of 3 Municipality of Anchorage Page I of Z DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report � Permit Number: ,I.01 PID Number: t"715 —Ztfl —I�j Name: Cry L L - Mit✓ �►� Wastewater System: ❑ New AXI O U grade Address: !T, ABSORPTION FIELD 1-23o' cert. r►cu F1k . 5" 1 !v Phone:No. s - S &� 3a of Bedrooms: ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound ❑ Other LEGAL DESCRIPTION S Rating: al gr Total Depth from origin: GPD/S. Fl. Lar" Block: Subdivision: Depth to pipe b from original grade: Gravel depth be ipe LAgr -Z ' - r- KF_ F, Ft. Ft. Township: Range: Section: Fill added above original gra Grav ngth: r� Ft. WELL: New 13 Upgrade ' ��(I "� Gravel width: Ft. Nu of lines: Distance between lin es: Ft. C ssification (Private, A,B,C): Total Depth: Ca o: Total absorption a: Pipe material: P�1JA"CE Ft. SD. Ft. Driller: D 1 led: Static Water Level: Inst Date installed: Ft. L . Yield: ump Set at:Casin Above Ground: TANK GPM Ft. Ft, SEPARATION DISTANCES 54Septic ❑ Holding ❑ S.T.E.P. To Septic Absorption Lilt Holding Public/Private Manufacturer: '�k�.11C. Capacity in gallons: 200d From Tank Field Station Tank Sewer Lines AAL -A (:,,� Well-10� 1001 'p ZS i Material: STGL-L Number of Compartments: 'L SurfaceLIFT + STATION Water 1001 + 1001 LotSi allons: Manufacturer: Line Foundation"Pump on" level at: "Pump High water alarm at: curtain tJcr I 'N0. t ' Pump Make & Electrical Inspections performed by: Drain BENCH MARK Remarks: Location and Description: KrV1 = TcP oP (,J14De J SILL RrL —Go Assumed Elevation: ENGINEER'S SEA nv f 0, A Alaska Water ds Wastewater Inspections performed by: 7320 East Chester Hts. CAnchorage,{'aes: is `i f3 `16 {� 2nd %` ofi y A. Garnea 4w �'�" Department of Heal nd man S rvices approval f ; o, '+�`to by: Date: Reviewed and approved 72-013 (Rev. 9/91) MOA 25 PERMIT# SW980058 F a CD `c:) m F_ F_ FCO f NEW 2000 1 SEPTI %�. B EXISTING 4 BDRM HOUSE tj ITI C7 X P,LD,# 015-281-19 APPROXIMATE LOCATION AND DIMENSION OF 1972 CRIB @DTH#1 EXISTING SEPTIC TRENCH AS -BUILT DRAWING @TH#2 0 ATOFCD =31.0 BTOFCO =9.0 A TO STI = 83.0 B TO STI = 52.0 A TO ST2 = 975 11TOST2 =66.5 A TO DBLI = 99.5 B TO DBLI = 67.5 A TO DBL2 = 98.5 B TO DBL2 = 665 //—FINAL GRADE = 90,6 STI / ST2 NEW 2000 GALLON 9 2,5SEPTIC TANK 92,3 [PROFILE AS -BUILT DRAWING AS—BUILT DWG; TRACT 2, SIEFKER SUBDIVISION PREPARED FORT CARL LEMMERMAN PREPARED BY; ALASKA WATER & WASTEWATER DATE; 4/16/98 DRAWN BY; J,L.M, SCALE; V = 30' v tr r A. Garn I� C. 7953 oG 4 °re QG�v 4� d�'rofsssiono�Q �Aou — � � _� I � . � � vv� PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM (UPGRADE) PERMIT PERMIT NUMBER:SW980058 DATE ISSUED: 4/10/98 DESIGN ENGINEER:ALASKA WATER & WASTEWATER SERVICES EXPIRATION DATE: 4/10/99 OWNER NAME:LEMMERMAN KARL C & JOANNE S OWNER ADDRESS:12301 CANGE ST ANCHORAGE, ALASKA 99516 PARCEL ID:01528119 LEGAL DESCRIPTION: SIEFKER TR 2 LOT SIZE: 46200 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONSTRUCTION OF: SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 ( 24 HOURS ) . (NOT REQUIRED FOR WELL ONLY PERMIT) 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: THIS PERMIT IS FOR THE REPLACEMENT OF A COLAPSED SEPTIC TANK ONLY. IT IN NO WAY GIVES APPROVAL TO THE EXISTING ABSORPTION FIELD IN TERMS OF RECEIVING A HEALTH AUTHORITY APPROVAL AT A FUTURE DATE. RECEIVED BY: ISSUED BY: DATE: DATE: l ��' Alaska water & wastewater 7320 East Chester Heights Circle — Anchorage Alaska 99504 Phone (907) 337-6179 — Fax (907) 338-3246 Consulting Engineers April 7, 1998 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: Septic Tank Replacement at Siefker S/D, Tract 2 To whom it may concern: c 00b C C JC00 496U 0",... t 00 CE -7959 C� as 1. GENERAL: The existing 4 bedroom home is served by a private septic system and well. The septic tank is collapsed and must be replaced immediately. We performed several soils test on the lot with the intent of upgrading the septic system from a 2 bedroom system to a 4 bedroom system. We were unable to identify find suitable soils on the site (copy of logs attached) and recommended the installation of a holding tank or possibly an innovative septic system. The homeowner, Carl Lemmerman, and DHHS have mutually agreed to replace the septic tank only at this time. Should the septic tank be converted to a holding tank in the future, it will only be suitable for a 3 bedroom house. In addition, the tank would have to be capped at the outlet, and an alarm installed. If a four bedroom holding tank is required, an additional 500 gallon tank would have to be added in series with it. 2. SURFACE WATER: There are no surface waters within 100 feet of the proposed upgrade. I am unaware of any negative impacts that this installation would impose on adjacent wells, or septic systems. If you have any questions, please call me a 337-6179, or 244-9612. A.utr_,i� 6.1'2) NOTE, THE CONTRACTOR SHALL HAVE THE WELL RADIUS AND THE NORTH LOT LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO PLACING THE NEW SEPTIC TANK, THE CONTRACTOR SHALL ENSURE THAT GRAVITY FLOW CAN BE ATTAINED BE- TWEEN THE NEW SEPTIC TANK AND THE EXISTING TRENCH SYSTEM, IF NECESS- ARY THE CONTRACTOR SHALL REPLACE THE SEWER LINE FROM THE HOUSE TO THE NEW TANK WITH 4 INCH PVC (7)3034). THE SLOPE ON THE LINE SHALL BE NO LESS THAN 1/0 INCH PER FOOT. THE NEW SEPTIC TANK SHALL BE GREATER THAN 100 FEET FROM THE WELL AND 5 FEET FROM THE NORTH PROPERTY LINE. TRACT 3, SIEFKER S/D. GENERAL LOCAj'10N OF ELL ��TI1E EXISTING ED. TRACT 14, SIEFKER S/D, NEW 2000 GALLON SEPTIC 6 TANK WITH DOUBLE C/O �AFTEP, 'IHE TANK. �THifl 1 0"EYISTIVG SEP - EXISTING COLLAPSED SEPTIC TANK TO BE PUMPED AND FILLED WITH SOIL. LOCATION/DIMENSION OF 1972 CRIB SEPTIC TANK UPGRADE: TRACT 2, SIEFKER S/D PREPARED FORT CARL LEMMERMAN PREPARED BY1 ALASKA WATER & WASTEWATER DATE+ 4/7/98 DRAWN1 GARNESS SCALE1 1' = 100' TRACT 15, SIEFKER S/D QF.A f ey A. Go , q s; 4' �9 '• C 7953 ®^edF'Po f E33aVo�o\ ®k�OOoo�Q`\ Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR:Lyz44ME" 4ATE lE�SIO LEGAL DESCRIPTION: `���L �C �� T Z Township, Range, Section: 1 'B�''P� OIZG SL OPE Tu y� � � C�E PLAN PILL- 2 ' ' -1 OP(; 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 COMMENTS PERFORMED BY: ACCORDANCEV 72-008 (Rev. 4/85) 5101KImL- Mtr— DENl .e St LT. &01 H • WAS GROUND WATER No ENCOUNTERED? S IF YES, AT WHAT — L DEPTH? O P �,zy 13e, 'E Depth to Water AlterMonitoring? �Dale: �lG+ Reading Date Gross Time Net Time Depth mF Water Net Drop r _ Srl u 5111 1, !SSM 6GAAJM Ss�Ya I r . ldUu OU4- tr Ir PERCOLATION RATE (minutes/inch) PERC HOLE DIAMETER 3'a' 3,5 S,0-S,S. TEST RUN BETWEEN _ FT AND FT //lu—L —I U1ZuM4"t'' I 11X 12 CERTIFY THAT THIS TEST WAS PERFORMED IN ALLSTATE AND MUNICIPAL GUIDELIN IN EFFECT ON THIS DATE. DATE: 4a—o f %$ Aw Municipality of Anchorage ®' t DEPARTMENT OF HEALTH & HUMAN SERVICES 825 "L" Street, Anchorage, Alaska 99502-0650 SOILS LOG — PERCOLATION TEST Ir PERFORMED FOR:C/KL L t DATE PE LEGAL DESCRIPTION: _IEFE KS `r0, iRIX-1 Township, Range, Section: 'a6RTJ-i. OR& T11 a SLOPE 1 FILL. 2 ," 01 - OR GAw r s oaG.lr+i c Lo fiµ > ^� k 3�ll C 'SA't/ML -" Src.�(Y SA*.10 5 a 6 Ml. - &,L7 4ARD D166 N (r 7 W�SIDE-. MILL S)vtaA(LIN(r 9 10 WAS GROUND WATER ENCOUNTERED? NO 11 S IF YES, AT WHAT _. L O DEPTH? 12 P NL% ;?�- -`re,' ,WE 13 Depth to Water After Monitoring? Qom' we: 4' 3 6 14 15 16- 17 18 19- 20- COMMENTS 920COMMENTS 7 OF(E9TjrW%FR'S SEAL) ' JAMES P. WILLIAMS w un arnR • .a``'.' (�RQFFSSIONP� 3I 19I R8 SITE PLAN �� Yty/f{ Reading Date Gross Time Net Time Depth to Net Water Drop r �10�3s 'S0 M :Uo octal. r II J•J" 6,a ;� �j rr : 10 r a PERCOLATION RATE (minutes/iinncCh))LPERC HOLE DIAMETER 6 6 TEST RUN BETWEE0-'0 'S FT AND SS -6.) FT t PERFORMED 6Y: I r CERTIFYTHATTHISTEST WAS PERFORMED IN ACCORDANCE H ALLSTATE AND MUNICIPAL GUIDELIN J IN EFFECT ON THIS DATE. DATE: f O([8 72-008 (Rev. 4/85) MUNICIPALITY OF ANCHORAGE A��^ DEPARTMENT OF HEALTH & ENVIRONMENTAL. PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264.4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT — �_FE71NEVJ MAILING ADDRESS %//:�6/ lcJirtJ���,<�C7z �GlSCi3 LEGAL_ DESCRIPTION -- LOCATION NO. L OFBEDRO 08 ` � ao Well Absorption area Dwelling PERMIT NO. DISTANCE TO: v F­ Manufacturer Material No. of compartments Liq. capacity in gallons IF HOMEMADE: -Inside length Width Liquid depth J DISTANCE TO: Well Dwelling^� —�� PERMIT NO. 0-< < MatuTer � D -t i W u 2 Well T f-oundation r Nearest lot line - DISTANCE TO: �- r _�7 No. of lined Lei gth of each lil� Total leogt f Ines Trench PERMIT NO. _ _Zw widt1p a ���_ Distance b tween lines /L1 Q M q p Toy of the to finish trade -- - inches I J Material beneath the J inches - Total eff ctive ab orl tion area _ �T� q w Length Width Depth v� PERMIT NO. �4 F Lu uj Type of crib Crib diameter _ Crib depth Total effective absorption area rn m DISTANCE TO: Well Building foundation Nearest lot line ass Depth Driller Distance to lot Im-ei TO: Building foundation Sewer line Septic tank FPEFFMa7�ITWO.�LuISTANCE orption areas) OTHER - -- Q PIPE MATERIALS I t SOI L TEST R PING ` — INSTALLER _ 1 c- REMARKS (�_�- �% 0 T //gP-,r) I APPROVED DATE LEGAL LC� 79.[191 /[E .. 2nor--Vp / " -- v v owl 11 A sy y X TV I F:F::1 P7 uEPHRTMENT UF HERLTH HND ENYIRONMENTRL �ROT�� / ~ 825 'L' STREET, HNCHORFGE' is; 12 IVA 11H Fit A., N", 13 170��� PERMIT NO ( 810959 ) 'u} {J.^/l ^/ ' �' HPEW 1CPINT TIHGH TWIN HPTS ��20g /C) `�'�/ Q» / »5��dc�h�/ LOCRTI0M CHNGE ROHD ' 279^5890 LEGHL L 2 SIEFKER S/D ` '` LOT TYPE OF SOIL HBSORPTION SYSTEM IS� TRENCH MAX IMUM NUMBER OF BEDROOMSSOIL RHTING THE L FIBSORPTION SYSTEM IS: �K W R__ W 341 CH W 1-1 cy; TEO (it 101 too Kwo Q W 1-1 _ ' THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE T�ENCH OR DR�INFI�7� THE DEPTH OF H TRENCH OR PIT IS THE DIST8NCE BETWEEN THE SURFHCE OF T. GROUND HND THE BOTTOM OF THE EXCHVHTION (IN FEET) THERE IS NO SET WIDTH FOR TRENCHES_ —~(� THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRHVEL 8ETWEEN THE OUTFHLL PIPE HND THE BOTTOM OF THE EXCHVRTION (IN FEET) ^ \-�\~��� ��� ������� �����r� �hL.�~��� PERMIT HPPLICHNT Y TO INFORM THIS DEPHRTMENT DURING THE INSTALLATION OF HNY WELLS HDJHCENT TO THIS PROPERTY HND T}�E NUMBER OF RESIDENCES THHT THE WELL WILL SERYE. � �g "ACT 17 00 34 ���������1"�� ��� �� ������m BHCKFIL�ING OF R�Y SYSTEM NITHOUT FINHL INSPECTION FIND RPPRQVHL BY THIS DEPRRTO PROSECUTION MINIMUM DISTHNCE BETWEEN H WELL HND HNY ON~SIm SEWHG� DISPOSRL SYSTEM IS 100 FEET FOR H PRIYHTE NELL OR TC.I 200 FEET FRUM H PUBLIC WELL D�PENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTHNCE FROM H PRIVHTE WELL TO f" PRIYHTE KUR LINE IS 25 FEET HND TO R COMMUNITY SEWER LINE IS 75 FEET OTHER REQUIREMENTS MHY HPPLYSPECIFICRTIONS HND COHSTRUCTION DIHGRHMS HRE HVHILHBLE TO PROP�R INSTHLLHTION I CERTIFY THHT 1� I HM FHl"1ILI1`R WITH THE REQUIREMENTS FOR ON-SITE FORTH BY THE MURUCIPHLITY OF HNCHORHGE I HILL INSTH[L THE 5300EM IN WITH TH ]� � UNDE�STHND THHT THE C11'. SEWER SYSTEM M8 FRETSIDENCEE 115 REMODELED TO INCLUDE MO�E THHN SIGNED— ..... _..... �~�.�~�_�.__^~~�.�~~~~�.�~�.~~~~_ HPPLICHNT JHCK L JONES � ISSUED BY�� `� ~~................. DHTE.��L�� SENERS AND WELLS HS SET ODES {EQUIRE ENLHRGE IF THE ����� ~��� �\ ��­�_..�-..` ` ` / '"UNICIPALITY OF ANCHORAGE Department Health and Environmenta_ rotection 825 L Street, Anchorage, AK. 99501 264-4720 /� / # HANDWRITTEN PERMIT # UP6'-Rfl1E 'Wtt ; ND;1zCrR ON-SITE SEWER PERMIT Applicant: JAc k. L..IovnCPs Mailing Address: a0q Location: �A_, ,q� P �� Phone Number: _2-1 Legal Description: lib T rJ S iUk(pc ) Lot Size: _} Type of Soil Absorption System Is: Trench: �_ Drainfield: Se_e�p�a e Bed: Holding Tank: Maximum Number of Bedrooms:? Soil Rating(sq.ft/br) t rti The Required Size of i ----,Soil Absorption System Is:/• DEPTH- q L4 LENGTH _ GRAVEL DEPTH= e- _ WIDTH ItJ% The length dimension is the length(in feet) of the trench or drainfield. The depth of a trench or pit is the distance between the surface of the ground and the bottom of the excavation(in feet). There is no set width for trenches. The grave]` depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation (in feet) . Z x/�ST//vG * * REQUIRED SEPT I C (-HGtD+NG) TANK SIZE _ Z d20 - GALLONS # Permit applicant has the responsibility to inform this department during the installation inspections of any wells adjacent to this property and the number of residences that the well will serve. TWO(Z) INSPECTIONS ARE REQUIRED # Backfilling of any system without final inspection and approval by this department will be subject to prosecution. Minimum distance between a well and any on-site sewage disposal system is 100 feet for a private well or 150 to 200 feet from a public well depending upon the type of public well. Minimum distance from a private well to a private sewer line is 25 feet and to a community sewer line is 75 feet. Well logs are required and must be returned to this department within 30 days of the well completion. Other requirements may apply. Specifications and construction diagrams are available to insure proper installation. * * * PERMIT EXPIRES DECEMBER 31, 1 9 3 1 I certify that: (1) I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage. (2) I will instal the syste� in accordance with codes. (3) I understand hat the onsite sewer system may require enlargement if the residence;iremodeled to include more that 3 bedrooms. i ,� Signed:..��, !���� Issued by:C(l0a C oz Ap 11cla"nt - Date: SWP/024(1/81) PENINSULA ENGINEERING September 3, 1981 Jack Jones Anchorage, Alaska Re: Adequacy Test of Seepage Pit Lot 2, Sti.efker Subdivision NHN Cange Street Dear Mr. Jones: As per your request, I have performed the adequacy test on the above lot in accordance with the recommended procedure for the municipality of Anchorage. The system consists of a septic tank with a seepage pit both having 4" C.I. standpipes above grade. There is an additional 4" C.O. approximately 6' from the house where the outfall line makes a 900 turn leading to the septic tank. The systems was found to have a significant amount of water in the tank, pit and cleanout prior to pumping. After pumping approximately 1000 gallons from the septic tank the test was begun by adding water at 6 gpm into the seepage pit. The pit was found to stabilize at a fixed depth with most water running, back into the septic tank.. The system was then left for 24 hours and approximately 18 gallons were absorbed. In the same 24 hour period the following day, 36 gallons were absorbed by the seepage pit. This is far below the required daily absorption rate of 350 gallons for even a 2 bedroom home. Consequently, based on the test data (attached), I can only conclude that the existing absorption system is not functioning adequately. If I can be of any further service, please call on me. Sincerely, (/ Wayne H2 derson, P.E. WH:sa 2820 "C" Street, Suite #3, Anchorage, Alaska 99503 276-4855 PIE NINStII_A L" NGINLA-HING AUL:(luACY 'I u:;1' ( 1 001 : Jack Jones I Ad.I I , •.:i ; ININ Cange Road I I.iniI: Lot 2, Stieflcer Subdivision Systom: Septic 'Tank and Seepage Pit -- - -- - - III.I` I-II-- - -- - III- I' III Ic 11 t _.ilU'li�.il 0 a I HA 1 f. I I 1 Hl(r, i III d I' l IC I ANI: WAVAGKILIT QljVj 10 `I'1i1, ( I j i0 min 29" 73'1 6 (,(, 9/2/81 1 Soptic Lai k level sLart(d rising after) 3 mi nut. s. min SLnrt t(,::L 5" 74" 6 I (I I i 0 min 36" 6 3 10 m i n 9" 741, 6 6i) 6 min 1) min 12" 73" 6 i 90 37" :t) min 12.5" 73" 6 1't. 1'. min 13' 73" 6 t c' 11) min 1 I min I h(1 min I 05 mill 1 min 0 min 25" 71.5" 0 a I _ m II 27" 731 i0 min 29" 73'1 6 (,(, 9/2/81 mil, Soptic Lai k level sLart(d rising after) 3 mi nut. s. min i 0 min 36" 71„ 0 6 min 36'' 73" 6 36 9/3/8L I(l min 37" 73" b 60 Septic I -anl�l IoveL 5tarlcdl rising aff, r A minnC�s. OAAe"°' GR' TEFL ANCHORAGE AREA BOROI I Or_. ARTMENT OF ENVIRONMENTAL QOALI 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 279.8686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM NAME --MAILING 3 ADDRESS 4/r�si _�I' 'T /° PHONE'2—/' LOCATION ff<�i/✓�/�'�lG�%f' LEGAL DESCRIPTION e=G`T ���F�N�VG rGC', SEPTIC TANK: DISTANCE FROM WELL ��� �` _MATERIAL S/C� 5%� _ NUMBER OF _COMPARTMENTS LIQUID CAPACITY_ SEEPAGE SYSTEM: SEEPAGE PIT: LLONS. INSIDE LENGT INSIDE WIDTH NUMBER OF PITS ` _OUTSIDE DIAMETER ALL 0 WIDTH ✓� LINING MATERIAL—,DISTANCE FROM WELL NEAREST LOT LINE__Cff'_./'CX• S6 `�JfJJ" TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA)_ TILE DRAIN FIELD: /r/11., DISTANCE FROM WELL NUMBER OF LINES ABSORPTIOPQ AREA DEPTH: TOP OF TILE TO FINISH GRADE FOUN (STANCE BETWEEN LINES SQ. FT. LENGTH OF E E NEAREST LOT LINE TRENCH WIDTH EPTH OF FILTER MATERIAL BENEATH TILE Fes. LIQUID DEPTH_ LENGTH '6y_ , DEPTH 4 BUILDING FOUNDATION 4 SQ. FT. TOTAL LENGTH OF LINES -, TOTAL EFFECTIVE _IN. ABOVE TILE WELL: 'f�9°�?`- s' DISTANCE FROM WATER TYPE6�_ DEPTH j9e BUILDING FOUNDATION. 4 _SAMPLE NEAREST T LOT LINE .�tT '� EWERS INE SEPTISEEPAGE TANK- -'t' SYSTEM_ ✓--zo a=, CESSPOOL �-5 OTHER SOURCES DISTANCES: /.1.r/t/U/yl�y -slaw X7,y DIAGRAM OF SYSTEM OriG_ h a h kl�l. s r`. 1 y �l DATE APPROVED..��•� �r.��-a��.k A.A.B. �I je EA, ER ANCHORAGE AREA BOR, -)UGH DEPARTMENT OF ENVIRONMENTAL QUALITY PERMITNO. iiM I VVtG, 3500 TUDOR ROAD POUCH 6.650 ANCHORAGE, ALASKA 99502 TELEPHONE 2798686 SEWAGE jDISPOSAL SYSTEM - APPLICATION AND PERMIT NAME OF APPLICANT `0P/� / IAu-� Y1�l0,nn (I MAILING ADDRESS �J>< «S V' 't /i PHONE INSTALLATION LEGAL DESCRIPTION `-."t �" Q'-f'IL�.t ✓�"� INSTALLATION OF: SEPTIC TANK x SEEPAGEj�n PIT_ /` ,DRAIN FIELD OTHER TYPE AND SIZE OF FACILITY TO BE SERVED FINANCED THROUGH TO BE INSTALLED BY SOIL TEST RESULTS/jr���1 NOTE: THIS PERMIT IS NOT VALID WITHOUT SOIL TEST COMPLETION DATE ANTICIPATED ilk ITI 1 / fl/3L/12 CO6V6, / I'!�%-. FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE HEALTH DEPARTMENT AUTHORITY WILL `/yBy(.E/�' SUBJECT TO PROSECUTION. y' /�/. p / ✓ SEPTIC TANK SIZE /000 7ypE `" / --e' � SEEPAGE AREA SIZE �����/n I �'l TYPE MINIMUM DISTANCES, REQUIREMENTS FOUNDATION TO SEPTIC TANK s' FOUNDATION TO SEEPAGE PIT 243 DRAIN FIELD SEPTIC TANK TO SEEPAGE PIT WALL SEPTIC TANK SEEPAGE PIT DRAIN FIELD TO NEAREST LOT LINE. WELL TO SEPTIC TANK✓//1D1n/ SEEPAGE PIT [ �� / DRAIN FIELD /V G' / ALSO CONSIDER AREA WELLS. WATER MAIN TO SEP/IG TANK /D / SEEPAGE PIT DRAIN FIELD (J SEPTIC TANK, "� SEEPAGE PIT �DRAIN FIELD TO RIVER, LAKE, STREAM. CAST IRON INTO AND OUT OF SEPTIC TANK AND INTO CRIB CROSSING GAP OF EXCAVATION 5 FEET INTO UNDISTURBED SOIL. 4 INCH DIAMETER CAST IRON SIPHON PIPES ON SEPTIC TANK AND SEEPAGE PIT FITTED WITH AIRTIGHT REMOVABLE CAPS. GRAVEL BACKFILL CONFORM TO BORO GH EGULATIONS REGARDING INSTALLATION. HEALTH AUTHORITY OR / LICENSED DESIGNER I CERT Y THAT I AM FAMILIAR WITH THE REQUIREMENTS OF GREATER ANCHORAGE AREA BOROUGH ORDINANCE NO DES RIB D SYSTEM IS IN ACCORDANCE WITH SAID CODE. //'' / DAT ��LK / APPLICANT'S SIGNATURE 4f �7. DIAGRAM OF SYSTEM 28-68 AND THAT THE ABOVE TATER ANCHORAGE AREA BOROL. DEPARTMENT OF ENVIRONMENTAL QUALITY CASE # 3500 TUDOR ROAD ANCHORAGE, ALASKA 99502 Performed For ��tQew�AM Date Performed--���-7� Legal Description: Loi 21 Block —Subdivision This Form Renorts Soils Log_ Percolation Test --- Oen th est__ Oenth _ Feet Soil Characteristics 2 -- 3- n 5 - (�; r1 SQ. 5;; 6 — 7 — 9 10.— '5M- ML (7,(-7,) Was Ground Water Encountered? p, l:1 If Yes, At what Denth? — Reading Date Gross Time Net Time Depth to H2O Net Dron rerco i ati on rate P11 nute Proposed Installation: Seepage Pit Drain Field Deoth of Inlet _ Denth To Bottom Of Pit Or Trenc CnMMENTS: — — Test Performed B.y_ Data Certified By: Date: MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PRO i ¢ACTION 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) 7-1 Location (address or directions) (b) Applicant Name AAL Telephone: Home 3 45- 62'b® Business Applicant Address 01 C -A" LZ — (c) Applicant is (check one): Lending Institution El ; Owner/bui ders�k; Buyer ©; Other [l (explain); (d) Lending Institution _ _ Telephone _ Address i (e) Real Estate Company and Agent _&� g 1Aa" Ez Address &Q *7 Telephone (v (f) Mail the HAA to the following address: 2. TYPE OF RESIDENCE Single -Family X Multi -Family El Number of Bedrooms 14 Other 3. WATER SUPPLY Individual Well pf 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 Public 0 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 (11,84) 5. ENGINEERING FIRM PROVIDINI ISPECTIONS, TESTS, FILE SEARCH, DA, AND INFORMATION 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 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 Q���-� �;ptj r k 14 Telephone —509 ' X96_k Address ® I 1,& 0 E- A41 -- — Date el. R'.S --- 6. DHEP APPROVAL Approved for —PY `' bedrooms by Approved Disa 'r, 0i, �75io �r �; Stj •, I 2 2 2' ,,/Engineer's Seal 25, 1971 :9 Condition&! _.._. Terms of Conditional Approval • � �� ,�l.cc, Gt.�y�� ps CAUTION Date 1-2 � `�-- 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 riot 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 (11/64) MUNICIPALITY OF ANCHORAGs- DEPT. OF HEALTH & FWIRONWANTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) uv O 5 ftJ CHECKLIST - FEBRUARY 1984 264-4720 tE I Y E D Legal Description: Lot a, t5 5 F�Grz– A. WELL DATA Well Classifications If A, B, C, D.E.C. Approved (Y/N) NSA Well Log Present (Y/N) I`I Date Completed UK"" Yield 3.g Total Depth S® Cased to SO Depth of Grouting NO ti � Static Water Lever Pump Set At 73.Z W o'er Casing Height Above Ground �� Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) l Depression Around Wellhead (Y/N) Separation Distances from Well: To Septic/Holding Tank on Lot On Adjoining Lots > )O To Nearest Edge of Absorption Field on Lot ) O}" ; On Adjoining Lots > Ip C> To Nearest Public Sewer Line N o>P- To Nearest Public Sewer Cleanout/Manhole NraM t=. To Nearest Sewer Service Line on Lot > 1 C3 Water Sample Collected by — 1. -`;� ; Date 1490 =3i q.S Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed a Size No. of Compartments Standpipes (Y/N) Air -tight Caps (Y/N) Foundation Cleanout (Y/N) Depression over Tank (Y/N) hl Date Last Pumped - .* Pumping/Maintenance Contract on File (Y/N) . ; for NIA Holding Tank High -Water Alarm (Y/N) Nh4 _ Temporary Holding Tank Permit (Y/N) Separation Distances from Septic/Holding Tank: To Water -Supply Well — 9 To Building Foundation X-5 To Property Line ?I To Disposal Field — ?ID To Water Main/Service Line. > 1G To Stream, Pond, Lake, or Major Drainage Course Comments Page 1 of 2 72-026(11/84) C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata �� !a —Type of System Design — 6 ✓�C-Lt C,4Date Installed __._ Length of Field Width of Field Depth of Field �i , Gravel Bed Thickness `Iq� Z T y '� Square Feet of Absorption Area Standpipes Present (Y/N) i LSE) Depression over Field (Y/N) —_ / Date of Last Adequacy Test Results of Last Adequacy Test � t` � % v(f F -r-- Separation Distance from Absorption Field: To Water -Supply Well 10 - To Property Line > 1 �� To Building Foundation I/ To Existing or Abandoned System on Lot f O f– On Adjoining Lots > 7� E) To Water Main/Service Line — . f J To Cutbank (if present) No N L=– To Stream/Pond/Lake/or Major Drainage Course N kJ N I,_ To Driveway, Parking Area, or Vehicle Storage Area > � o D. LIFT STATION N v t, 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 ** Check Permitted Bedroom Rating Against HAA Request ** Vent(Y/N) Pumping Cycles during Adequacy Test, Meets MOA I certify that I have checked, verifie , or conformed to all MOA and HAA guidelines in effect on the date of this inspection. SignedLLtiL e�rl Date C-'1 Company g O MOA No. C) Receipt No. Date of Payment Amount: $ Engineer's Seal �A• � � ... t • LGL.trJ�i�� " Page2of2 Nc 2 25-E: {ta�JUN:' 25, l9/1 etta` 72-026 (11/84) Tb R89A 8@�mumq V�1[�® CONSULTING ENGINEER 203 W. 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279-3916 MUNICIPALITY OF ANCHORAGE NOVEMBER 4, 1985 DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION Re: Request for Conditional Health Authority Approval Lot 2, Siefker, Karl Lemmerman :Madame; On behalf of our client, Heritage Homes Real Estate Agency, we request a conditional approval of the septic system serving lot 2 of Siefker Subdivision. This system was installed as a two bedroom system in 1981 and inspected by Municipal Inspectors at that time. Two bedrooms has since then been added to the residence, making it a four bedroom house. The existing tank is a two compartment Stack Steel tank. The leach field has an absorption rate of 44 gallons per hour. There is no immediate danger for the system to fail or cause a nuicance. The owner of the house intend to escrow funds to upgrade the system next spring. Yours Tobb n Spurklan(.E. MUNICIhALITY p. CHOiZAG INV) lWr' CT 11F � tj $' 61 NTAL PRpTRCTkON "V 0 5 W, RECEIVED W. 15th AVE "C" SUITE 203 P0Iv 20 ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER 11V TELEPHONE: (907) 279-3916 R E S I D E N T I A L W E L L LEGAL: LOCATION: OWNER: TYPE OF WELL: WELL LOG AVAILABLE: LOT 2, SIEFKER 12301 CANGE KARL LEMMERMAN I N S P E C T I O N - -- - - -' `gUNi�/p - FHS/� oFAT!/Ty OP A O SINGLE FAMILY `% NO INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: NOT AVAILABLE WELL YIELD FROM TEST: 3.5 GPM WITH MAXIMUM DRAWDOWN PUMP YIELD: 4 GALLONS PER MINUTE DATE OF INSPECTION: OCTOBER 29, 1985 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 4 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED. STATIC WATER LEVEL WAS FOUND TO BE 44 FEET BELOW TOP OF CASING. TOTAL WELL DEPTH WAS 70 FEET. WELL CASING IS 5 INCH OD. AFTER 20 MINUTES THE PUMPING WAS STOPPED AND THE RECHARGE MONITORED. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA ON OCTOBER 31, 1985. TEST WAS NEGATIVE. TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THE WELL HAS HOWEVER MINIMUM STORAGE AND THE YIELD IS NOT SUFFICIENT TO PROVIDE FOR LAWN WATERING OR ANY WATER USAGE REQUIRING MORE THAN 20 MINUTES OF STEADY WATER DELIVERY. The Municipal requirement for well flow is ° gallons , 150 of water � g per bedroom per 24 f+'•lr hours.This well surpasses this requirement. ��9•, i 2225 -E , The assessment of the condition of this JUN`:2S. 1911 well �<<�• : applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. 3 W. 15th "C" SUITE 203 ZOA CHOHONEEAIASK79-391 .....:�::ru,�r_ cniriNllFFVp IIIJJJ TELEPHONE: (907) 279-3916 S E P T I C LEGAL: LOCATION: OWNER: RESIDENCE: WATER SYSTEM: SEPTIC SYSTEM: 2 22 4 S Y S T E M LOT 2. SIEFKER 12301 CANGE KARL LEMMERMAN A D E Q U A C Y T E S T SINGLE FAMILY, FOUR BEDROOMS ON SITE WELL FROM MUNICIPAL RECORDS: TANK: STACK STEEL, 1000 GAL. ABSORPTION SYSTEM: ABSORPTION AREA: 644 SOIL RATING: 262 STEEL, TWO COMP. TRENCH SQ. FT. INSTALLATION DATE: TANK IN 1972, TRENCH IN 1981 DATE OF PUMPING: DATE OF TEST: OCTOBER 29, 1985 TEST PROCEDURE: 150 GALLONS OF WATER WAS ADDED TO THE TRENCH AND THE ABSORPTION RATE MEASURED. AN ABSORPTION RATE OF 44 GALLONS PER HOUR WAS OBSERVED. TEST RESULT: THIS SYSTEM WAS UPGRADED IN 1981. PRIOR TO THIS DATE DATE THE SYSTEM CONSISTED OF A SEPTIC TANK AND A LOG CRIB. AN ABSORPTION BED SUFFICIENT FOR A—TWO BEDROOM WAS INSTALLED IN 1981. THE LOG CRIB WAS ABANDONED. THE HOUSE IS NOW CONSIDERED A FOUR BEDROOM HOUSE. THIS SYSTEM MUST BE, ENLARGED TO MEET THE PRESENT CODE REQUIUREMENT. The operational life of all septic systems depends on the local soil conditions, groundwater 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 septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. 03 W. 15th AVE "C" SUITE 203 Vb e o �n It r j"MMLA D� mu 2 ANCHORAGE, ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 279-3916 UPGRADE REQUIREMENT LEGAL LOT 2, SIEFKER OWNER KARL LEMMERMAN AGENT HERITAGE HOMES, PETER JARRATT ENGINEER TOBBEN SPURKLAND WORK DESCRIPTION: FURNISH AND INSTALL ......... 500 GAL STEEL SEPTIC TANK FURNISH AND INSTALL TRENCH: LENGTH........ 92.0 FEET TOTAL DEPTH .. 7.5 FEET WIDTH..... ...3.0 FEET GRAVEL DEPTH ... 3.5 FEET TOTAL ADDITIONAL ABSORPTION AREA 644 SQ. FT. NOTE. THESE QUANTITIES ARE BASED ON A SOIL RATING OF 262 USED IN THE DESIGN OF UPGRADE IN 1981. `PHIS SOIL RATING WILL BE VERIFIED AT THE TIME WHEN THIS WORK IS PERFORMEND. ADJUSTMENTS OF QUANTITIES MAY BE DONE AT THAT TIME. Lk r r 10Mifl f aw — - _ -_ -- F_ + NSPECTION APPOINTMENTS D. RECEIVED.- - - TIME- TIME -. - TIME: - DATE - _ - DATE DATE ��-- INSPECTOR INSPECTOR INSPECTOR r MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE a OF HEALTH & ENVIRONMENTAL PROTE�P61\10 I i i & J DEPARTMENT / `��Y •S B25 L Street - Anchorage, Alaska 99501 ENVIRONMENTAL I TCCTIOf Q, ENVIRONMENTAL SANITATION DIVISION (AUG 18 v Telephone 264-4720 ll FF�jj REQUEST FOR APPROVAL OF INDIVIDUAL WATER ANDR"k- Ct 'ES DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing-. - - - - 1. PROPERTY OWNER PHONE - MAIG ADDRES - - - - PHONE PR OPE TY RESIDEN- Ilf different from above PHONE 2. -BUYER. - - - - - MAILING -ADDR 5- 3. LENDING INSTITUTION S.TL PHONE / MAILING ADDRESS S- - oe-. 0we aunniE 4. REALTOR/AGENT MAILING ADDRESS i 1 5, LEGALDESCRIPTION A4 STREET LOCATION !� - �r �� 6. TYPE OF RE IDENCE e NUM ER OF BEDRO ,,'hPgl OMS E-11One ❑ Four ❑ Other SINGLE FAMILY Two C7 Five ❑ MULTIPLE FAMILY — ❑ Three ❑_Six 7. INATER�S9PALY - L( INDIVIDUAL* " ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well 1L ❑ PUBLIC UTILITY o�'F� depth (attach log if available.) O 8. SEWAGE DISPOSAL SYSTEM C�T_ INDIV[ DUAL/ON-SITE** �fkO__ YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION I 72.010 (Rev. 6/79) THIS SIDE FOR OFVICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS SINGLE FAMILY ❑ ONE ❑ THREE ❑ FIVE _ ❑ OTHER ❑ MULTIPLE FAMILY ❑ TWO ❑ FOUR C7 SIX PERMIT NUMBER 2. WATER SUPPLY ❑ INDIVIDUAL DEPTH OF WELL ❑ COMMUNITY DATE DRILLED ❑ PUBLIC UTILITY LOG RECEIVED Connection Verified 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY DATE INSTALLED - Connection Verified - � INSTALLER - - - ^ ❑Septic Tank or ❑ Holding Tank Size:6100 If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER - TOTAL ABSORPTION AR EA MATERIAL 4. DISTANCES - _ Septic/Holding Tank- Absorption Area Sewer Line- Nearest Lot Line. WELL TO—.- O:Absorption AbsorptionArea to nearest Lot Line 5. COMMENTS ILL �. fCJ/APPROVED FOR 3 BEDROOMS a— CONDITIONAL APPROVAL (letter st accompany certificate) ❑ DISAPPROVED DATE 0r BY.