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Home My WebLink AboutGRANITE VIEW #1 BLK 10 LT 6AGranite View #1 Block 10 Lots 6A #014-302-45 Municipality of Anchorage Department of Health and Human Services Building Safety Division On-Site Water and Wastewater Program, 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 9951"650 Pagel of 3 www.cLanchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number SWSW040478 PID Number 014-302-45 Name Eric Cort07 Wastewater System: []New ® Upgrade Addw,a 0-7 ABSORPTION FIELD PPOM. Nu of Bedrooms O Dep Trench 0 ShNow Trerrh 0 Bad 0 Maas O Dow LEGAL DESCRIPTION Sod Mn0 Total D" kom orgrW Weds Block Lol. Subaviaen: in 6A nraniffe View No. 1 DOME to pipe bots m kom rlg.W graft 4-6 F, Growl dope DrWlh ppe: 1-n Towmh,p'. RwW secam. FA added above ".at Vada', 1-2 F, FL GwalL an9th: AAIRR Well: ❑ New ❑ Upgrade C`a %O"' Nurroerwrea: Dmtr bat~I"ea ebaadralen (Pmala. A, B. C) Total Depee. Caved b: Total ablWO n rah', Pipe Make/: EXiSt'g F, R82 Fe 3034 PVC/17810 HDPE Draer Dee DOW StaW Wale, Lave,'. ktraher: Data aelNed: rela vvmlp sr n: aavto Hephl ADove Gmuld: GPM F FI TANK SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. ❑ Other. To Septic Absorption Lit Holding ublic Private Mar"Wa aal Capy From Tank Field Station Tank Sewer Line Anch Tank 1250" WN 101.2 104.9 �t� Mat" N~CfCe,npe,lmraa Steel 2 Sulaco Wale, 100+ 100+ LIFT STATION Lr uta 34 10 Sao:Mradac a Gal Fou Balm 60 64 'Pure On' eval at 'Pure olr Wel al: Ho watt alarm at NI F FI C Mean Dmn 100+ 100+ 7L\ P'"° "take a MoM E'ryl" ImpacOom WMW by Rem * Installed double cleanout near foundation. New tank BENCH MARK Is a deep burlel tank. Lnraen and Deampuart. Rear Door Stoop Assumed Eevaoon: 100.0 Ft Engineers Stamp ililli♦♦ 4♦ Inspections performed by: Pannone Eng. Svc Dates: 1"1111812004 r' o.H-�i♦#�� , 2nd11 /1812004 .....r .... .. .............."A.....0 Department of Health and Human Services approval •'', ':"' "' ' """""' ♦ � :Steven R. Ponnone.�i. •+♦� Reviewed and approved by: Date: 149•'�'\w� (R« 11/99) c, p'��Cull Z8 ♦♦441, % E551 � i as PERMIT NO:SW040478 RECORD DRAWING P.I.D. NO: 014.30245 WASTEWATER DISPOSAL SYSTEM Lot 6A, Block 10 Granite View No.1 S/D i XISTG \ \ \ EXIST`G SERTICSV9I I /CO A y7,6 WELL \ \ AREA S�16DIVISION 0 \ I PIPED WAT TI 68.9 61.6 \ I BI,SEWE O WELLS T2 69.3 69.3 I 1 D2 69.2 70.6 \ I OR SE ICS Dv� 72.4 80, EX ST'G 4 BR \ I I Will 100 FEET c1 i1 fio.7 C3 106. &1.9 HOUSE \ M3 M2 tos. Bo.B, EXI UPGRADE FIELD\ I Co Tz C3 \ \ WELL 44 LFx5'Wx1.0' nD' p 0. C2 54.7 88.8 \ • I I 111.3 \ M1 54.2 89.1 C III I I II UPGRADE FI ' — C4 58.3 87.5 \ ' \\ M3 58.0 88.0 \ qq 104.9 Ii ili 88LFx5'Wx . 'ED \ lsrtTANK /,% i �1/ IIII ONNECTT ID-__ \ \CRU4HE ILLED // i I• • I PDINTa IELD \ \ 1 01.2 i 1� 1 lvlqSTALLED DIVERTER 1/IALVE(DV) A D, , \I 10% / `] i ±i I I� T. MOOR% NOTES: I II B�� I 1) All work shall be performed in �- — _ / _ _ 2 0 i I accordance with AMC15.65. 11.4 2) Materials used shall be in / i \ ' 1 I accordance with those specified in / NEW 1,150g 1 I AMC15.65, Wastewater Disposal. 5E`PTIC TANK. \ EXIST'G SA 1 3) Maintainop sed wader in all lot \ TO BE RE E lines and proposed water lines. �XISTG I 4) Lots served by a private well. No SEPTIC I 1 wells within 100' of proposed system. CAUTI NI AREA I I DERGROUND ELECTRIC \ I L — — — — — — — — ELEPHONE IN THIS A 1 I rSUBDIVISION ON -SIGN: I I 1 PIPED WATER U GRADE FIELD I I 18 SEWER. NO P CW RATE:5.15 MPI I WELLS OR SEPTICS ••�■■, APPLICATION RATE: 18 FBR 0 1 ��.•�� OF ��• 0.8 GPD/SF I I 1 W/IN 100 FEET . �P..••••..........., R HOU i REO'D AREA: 752 SF I / 5'WIDEx1'EDx131LF,5'T.D. r. 49 —TH •�': �I REDUCTION FACTOR=0.87 �.....i...�...........h... 11: 882 SF TOTAL � --------.°•............••;• rr«rr�r�r u rvrc: PANNONE ENG. SVC, LLC Steven R. Pannone d Mr. Eric Cortez P. O. BOX 102954 C` 814 9r t�� 9105 Granite Place ANCHORAGE, ALASKA 99510 t. 271-4822 Anchorae,Ai(assls 227-3522 P, 272-8218 Fax ■■■■■"••••• DATE: 11-24-04 RECORD 0 PERMIT NO:SW040478 RECORD DRAWING DETAILS P.I.D. NO: 014-302-45 WASTEWATER ABSORPTION SYSTEM Lot 6A, Block 10 Granite View, No. 1 SID h h w id No NV313 38r11 NOBNOW n 0 WLL O N o� W 4 a e 5� x .o Z O � o Y z e U H r op W W K V/ 2 U) W J � LL LL r 39n11lO11NOW W O+ IW NV310 y1 N ax LL(L LL 4W Q, Q W 7 < o N = uO 00 m IMNY310 3lanoa ^ F ^ r IV IMNY310 V a yOWtJ w 3 Y IMNY313 � � � Lo 318r10� � O w i ►��OF ►1��♦♦ NOTES: •••••. 1) ALL WORK SHALL BE PERFORMED ♦♦ IN ACCORDANCE WITH, SHALL AND ALL MATERIALS ♦ CONFORM TO, AMC15.65. ; ...... Ste. R•Pannone PREPARED FOR: Pannone Eng Svc., LLC CE 8149 Mr. Eric Corte P. 0. BOX 102954 �X21 9105 Granite Place Anchorage, AK 99516 ANCHORAGE, ALASKA 99510 , ••••'•• �� FSSI.•• 271.4822 272-8218 , PHONE & FAX \r.%Iss DATE: 11-24-04 RECORD AVIT lr^ CI AI c I IW 30' Ol 0 0 0 0 o O O rA 73-224 GRANITE VIEW SUBD•, ADDN. NO. 1 LOT 6A, BLOCK 10 16,063 S.F. Q aa-oovu't MUMU' x--x--'x�- VENT TUEX x FUS TUBES x x 7.3' SHED • r UNDERGROUND 7.S' I 8.1' x 12.1' SHED YFl STORA GE TANK x MICE (AP) 24' 2.0' NX 4w .0' CA • SEPTIC SYSTEM DECK c 3.2•lNT .3.z•EXSING BUILDING IIIIII .O..i I •• JO.T o a. 'o\\\lklk OF •44 4s, • '•. !SCL• 49TH ktlery A. Gastaldi : o` Aff AlF LS -6091 �S$iQf%GA W-6�AIV a aa-Os-UU••t T 0U.UU- :4 1 11=30' AS -BU I LT I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO GASTALDI LAND SURVEYING ENCROACHMENTS EXIST EXCEPT AS INDICATED. JEFF A. GASTALDI. R.L.S. R IS THE RESPONSIBILITY OF THE OWNER TO 4726 WEST 88TH AVENUE DETERMINE THE EXISTENCE OF ANY EASEMENTS. ANCHORAGE. ALASKA 99502 COVENANTS OR RESTRICTIONS WHICH DO NOT PHONE 248-5454 APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA GRID DATE HEREON BE USED FOR CONSTRUCTION OR FOR 2334 11/23/2004 ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT. ALASKA F.B. JOB NO. 2000-01 GVS6A10 NOTE: NO CORNERS SET THIS DATE. MUNICIPALITY OF ANCHORAGE Development Services Department Onsite Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519.6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial /t -19-0y c) /1 euz 3 : on Date Issued: Nov 18, 2004 Expiration Date: Nov 18, 2005 Permit Number: SW040478 Parcel ID: 014-302-45 Legal Description: cGRANITE VIEW #1 BLK -10 LT -6A Design Engineer: 0062 Pannone Engineering Services Site Address: 009105 GRANITE PL Owner Name: ERIC CORTEZ Lot Size: 16050 SO. FT. Owner Address: 9105 GRANITE PLACE Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516 - This permit is for the construction of. ❑Q Disposal Field ❑,/ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3, The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By. Date: I Issued Byi't.i1" Date: r Jul Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.cl.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 014.302-45 Permit Number SW Property owner(s) Eric Cortez Day phone 271.4822 - Mailing address (1) 9105 Granite Place Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) ie Io CT) A,4111- VI U< , S/r> ?40, 1 Legal description (Section, Township & Range) Site Location is the same as address Lot Size 16,05018x1 Acr Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 123 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 1 certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit Fees: t4bo ' 110 Waiver Fees: Date of Payment: ri Date of Payment: Receipt Number: &O -mg a`Receipt Number: (Rev. 12/00) �'T— Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (907) 272-8218 (907) 272-8218 Fax November 14, 2004 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 6A, Block 10 Granite View, No. 1 S/D Septic System Upgrade Permit Request Ladies and Gentlemen: I am writing to request a permit to construct an upgraded septic system be issued for this property. The proposed systems will serve an existing four-bedroom house. The lot is 16,050 square feet (0.37 acres) in size. 1. Soils. See the attached soils log. Ground water was monitored through the seasonal high period of 2004. Ground water was measured in the monitor tube at a depth of nine (9) feet below ground surface. Bedrock was not encountered in the test hole. It is my opinion that the overall soils appearance of the soils, an application rate of 0.8 gallons/day/square feet should be used. This is consistent with the existing test hole excavated by Ted Moore in 1988. 2. Trench Design. a. Percolation Rate: 5-15 Min Per Inch b. Application Rate: 0.8 gpdpsf (188 sf/br) c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Min. Absorption Area: 752 sf f. Total depth: 5 feet g. Effective Depth: 1 feet h. Width: 5 feet i. Reduction Factor: 0.87 j. Minimum Length: 130 feet k. Design Length: 132 feet 1. Effective Absorption Area: 660 sf m. Septic Tank Size: 1250 gallon Cont'd on page 2 Q\Work\Letters\6A-10 Granite View nol.001.doc Page 2 3. Surface Water: There is no surface water within 100 feet of the proposed system. 4. Topography: The average topography in the area of the proposed septic system is flat. The lot has an average topography of one to two percent. S. Future Upgrade Area: The existing septic tank was installed in 1971 and is 78 feet from the existing private well. The tank was installed in accordance with the regulations in affect at the time. The tank will be exposed and inspected for corrosion. If corrosion is discovered, a new septic tank will be installed outside the 100 -foot well radius. The existing crib and drain field will be left in placed and reused. A ball type diverter valve will be installed after the tank to control the flow between the two drain fields. I have shown the proposed location on the site plan. The proposed installation will not affect the future development of the surrounding or existing lots. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven R. Pannone, P.E. Civil Engineer Attachments: C:\WORK\LETTERS\6A-10 GRANITE VIEW NO1.00LDOC �.- P .:............. �''•49Tk. ""� ....: a.Steven F.•Fonni ,A. No.CE 8149 �ss�a PERMIT NO:SW04 DESIGN DRAWING P.I.D. NO: 014-30245 WASTEWATER DISPOSAL SYSTEM Lot 6A, Block 10 Granite View No.1 S/D � \ I i \ I r— -------- 3 ' ,,, --- 4 \\ 12 I I \�\ExlsrGSERTIC I I / EXIS G `\ AREA � I W L \ ) I / I I EXSTG48R �J \\ I I SUBDIVIS ON O t / HOUSE JH1 I & SEWER. NO E Y \ UPGRADE FIELD I W/IN 100 F T 1 \\ EXlS G 44 LFx5Wx1.0' ED 106.0 0.0 0.0 \ WE L PRIMARY / \ POST -TANK . i i' UPGRADE FI \ \ INE ROUTE I jII 88LFz5'Wx . 'ED _ _ _ _ \ Sj'G19 OSEPTI�TANK / I tli�il t ERIFY INGEGRITY & / % 10.p t't t I PRINTEBFFIXDID- NR CE OUTSIDE 100'iEXISTG ELL IUS AS SHON. I STALL FLWELL \\ ��— J ir.2��/Ii (PLITTER NOTES: t �1"/� ' EXIST 1) All work shall be performed in T. MOOR accordance with AMC15.65. —�-- .4 __ t ` 10.0 2) Materials used shall be in I _ _ 0 I accordance with those specified in PR POSED REPLACEMENT I I AMC75.65, Wastewater Disposal. — 126 SEPSIGTANK, IF 5'0 ALTE NATE POST -TANK 09 K, IS LEAKING. \\ LINE UTE. 3) Maintain IO'separation to all lot / EXISTG SA lines and proposed water lines. / CAUTIONI \ TO BE REU E l EXISTG I I 4) Lots served by a private well. No �&i1ND RGROUND ELECTRIC TEL PHONE IN THIS AREA SEPTIC wells within 100' of proposed system. VIREA IL---------- Exl rG t I SUBDIVISION ON LL I i j DESI N: PIPED WATER UPGR DE FIELD I I I & SEWER. NO PERC ZATE*5-1 MPI WELLS OR S CS •••�w��a, APPLI ATION RATE: 188 SF/BR 46 OF '41, 0.8 G D/SF / I I MIN 100 F T '6* ••"" 4 BR USE w ♦*P ... 1� / I I 4 �� REO' AREA: 752 SF / I I �� 5'WID x1'EDx131LF,5'T.D. / REDU TION FACTOR=0.87 / 1 ....' ..............i..... I r r"'�` i 882 S TOTAL � i-1 / � -910 .err+ acv rvrc. PANNONE ENG. SVC, LLC Steven R. Pannone Mr, Eric Corte CE 6149 9105 Granite Place P. O. BOX 102954 r"'21IIS •. �• ANCHORAGE, ALASKA 99510 ♦ Anchorage, AK 99516 t ES.. 271.4822 227-3522 P, 272-8218 Fax �0��,"�••• DATE: 11-14-04 1DESIGN PERMIT NO: SWO4 F z F5 o OF CO 49 TM i..I..-.- A =. Steven R. Pannone DESIGN DRAWING DETAILS WASTEWATER ABSORPTION SYSTEM Lot 6A, Block 10 Granite View, No. 1 S/D s s t�' pQ (WIZZ WF< �J 3 in0 NY310 W W 5 3en1 a011NOw Z LL Fp �W diEf LL: LL Z _0 H & a � 38n1 a011NOw 1nO NV313 P C O 3 lm 1f3,�oa 0 w IWNV313 �IWNVV33313 NOI vl ONlt33 NOTES: 1) ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH, AND ALL MATERIALS SHALL CONFORM T0, AMC15.65. EPARED FOR: Mr. Eric Cortez 9105 Granite Place Anchorage, AK 99516 271.4822 P.I.D. NO: 014302.45 W ..I LL ctfa Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 , PHONE & FAX ATE: 11-14-04 DESIGN 'r1T Tr1 Cr AI c W � e c a �o on r N OF CO 49 TM i..I..-.- A =. Steven R. Pannone DESIGN DRAWING DETAILS WASTEWATER ABSORPTION SYSTEM Lot 6A, Block 10 Granite View, No. 1 S/D s s t�' pQ (WIZZ WF< �J 3 in0 NY310 W W 5 3en1 a011NOw Z LL Fp �W diEf LL: LL Z _0 H & a � 38n1 a011NOw 1nO NV313 P C O 3 lm 1f3,�oa 0 w IWNV313 �IWNVV33313 NOI vl ONlt33 NOTES: 1) ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH, AND ALL MATERIALS SHALL CONFORM T0, AMC15.65. EPARED FOR: Mr. Eric Cortez 9105 Granite Place Anchorage, AK 99516 271.4822 P.I.D. NO: 014302.45 W ..I LL ctfa Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 , PHONE & FAX ATE: 11-14-04 DESIGN 'r1T Tr1 Cr AI c SOILS LOG - PERCOLATION TEST ��E PANNONE ENGINEERING SERVICES P.O. BOX 102954 �.....E..... . . .......1.....� ANCHORAGE, AK 99510 0 (907) 272-8218 0...... ................... ............. . Steven R. Pannone •�j� CE 8149 ��•FsY!//�..•• PERFORMED FOR: Mr. Eric Cortez DATE PERFORMED: 11/6/04 �1�, ��;.�� LEGAL DESCRIPTION:_. Lot 6A, Block 10 Granite View S/D TEST HOLE 1 SLOPE OR/ Organics ° ' S 2 FILL FILL H1 3 4 o 5 GM/ Silty GRAVEL to SM Sandy Silt TEST HO 1% 6 7- 1 I _ °I/9)1�,ExisrG TH 9 0% T. MOOR 10 11 _ \ 12 13 WAS GROUND WATER SLOPE 14 ENCOUNTERED? No 15 IF YES, AT WHAT TEST HOLE 16 DEPTfI? -a- 17 p_17 DEPTH TO WATER AFTER BOH MONITORING? -9 18 DATE: 11-13-2004 19 READING DATE CROSS NET DEPTH OF NET 20 PEROLATION RATE 14 (min/inch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 4.5 FT AND 5.5 FT COMMENTS: Test hole excavated by A+ Home Services Test Hole was presoaked before perc test PERFORMED BY: Steven R. Pannone P.E. I CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE DATE OF THIS TEST. ti TIME TIME WATER DROP 71-0-01 2:IS g• _ 2:55 JO 21? J 1? 2:55 _ E• 12S JO 21/C J 1? J:25 — 6" TSS JO 27? J1? MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES "��"" o .�.j Environmental Health Division o It 7 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name Pail e♦.clQ- DISTANCES TO FROM SEPTIC TANK ABSORPTION FIELD WELL Addrh. _ _ lie , phom(s)rmiI No. No of Bear m alY—`e2/t g OO a7 7 g WELL LOT LINE 1Y llGAL 0E6CRiPriOM Lot -o BIOCa ID Subd awn FOUNDATION �6 r Township. Range. Sectan /� N �3 J S C. AS -BUILT DIAGRAM Will by. water bodes, )Snow flattener; o1 well. oona , septic system. propeny lanes, falaon. etc 1 TANKS ❑ SEPTIC ❑ G MaGawitaier aCicy In gallons MaterW No. of Compartments TYPE OF SYSTEM 2 ❑ TRENCH ❑ BED W. DRAIN ❑ OTHER Depth to poll baton from ongmm grade 6,7 FT Tow depth lam alginw graois / gFT 7ztp o ;, OIf U i or %A50 Fill sowed acora orpnw grade FT FT Gravel depth beneath pips y FT Gnva length Z `f • S FT width S'—fell FT TOW absaphon areaO" /7/'* SO FT lane between tinea _V119 FT Number of larMs Sal iahng / J a SOFT Pipe material AST-+ JO;y 6-/0 Instaher Lex V7 C+/U tomes e7i Date Installed `� Z S� WELLS ❑PRIVATE ❑ OTHER (Identily) I v Claarlaohon tAB.CI TOW Depth FT FT o mstauer ate installed. REMARKS: T sl. � . ♦ J Lem ,(lfl ,e p dam' Grti� 01< L!.. 9..� Seem �� Bc*e: Inspections Performed by: ENGINEER'S SEAL L. a- r. aleLabF�t 4�cerUfylhis J P Sa kupedioe was performed actzrdinp to all Munldpsl and Swe guidelines in affect an this dalt ir Health Department Approval: " —' Date: 72.01 (7/85) HUNICIPALITY OF ANCHORAGE i. I. I' ' Dppartmunt of hkalth & Human Services_l�7t�5. a25 L Street, Anchuraqu, Alaska 99!01 '4' 1;3Q e O N- S I T E L1 E W E R F C P t 1 I T Ann S. �1-88 Pcrmi.t Numnur: 030027 Enlarge_menl_ Datk lasued: 04/12/03 Enginver Designed Owner N,,me: TOM HLNDFIEY (.iUTik'r Address: 1515 SEQUOIA RICHMOND, CA 94SO5 Day Phone: 415-234-9216 Pw r c p l Id: 014-302-49 Lot Legal: Subdivision:`7TTE-VIEEf 41' Lot: 6A�Dloek: 10 . Section: 9 'own sl-iip: 12fJ 'Range: 3W Lot Size 16000 (sq.ft. or acres) tt:•;: Dedrooms: This Permit: 1 Total Capacity: 4 SEPTIC TAN;::: Minimum total septic tank: capacity: 1,250 gallons. Each septic tank mist have at least 2 compartments. Depth to top of septic tank(s) '.. 4.0 fent- requires insulation over tank(s). INVFALI_ rER ENGINEERS DEBIGN WIDE DRAIN: 5' X 30' X 0.5'. MAXIMUM DEFTH 9.0'. NOTIFY DHHS PRIOR TO 15T & 2ND INSPECTIONS. THIS PERMIT EXPIERS 12/31/08. 1 CFRT1FY IHAT: 1. f am familiar with Lhe+ requirements for on-site sewers and wells as sept (orlh by the Municipality of Anchorage (MOA) and the Stat_o of Alaska. 2. 1 will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 7. I will adhnrp to all MOA and State of Alaska requirements for the sot back: di=tenc_es from any Existing well, wastewater disposal system or public scwerage system on this or any ad.jaepnt or nearby lot. 4. 1 undr:rstand that this permit is valid for a maximum of 1 bedrooms. I also undQrstand that the capacity of the total system is 4 bedrooms and any enlarg.ment will require an additional permit. S i good: DATE: /-`°9`v---------------------- ---qI --is8 - (0wncrr ) -fam tiENDREYn Issued L'ye ---��'--`-',�-','-^' �--------- DAT[: _ Y IR SOILS LOG MUNICIPALITY OF ANCHORAGE IN • DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST PERFORMED FOR:NO�� / Tan rifnofr 82Wer4X DATE PERFORMED:_ &,-,/ /! /Y6g LEGAL DESCRIPTION:f-'f 6,+. QtC,C If to trrcTni Ee !/Icw -T /-p fiddn! OS�DEPTH /� SLOPE SITE PLAN SKrlesl 01'yR n.6f V I--t--t--El FS 2 -I I Fitt tn.Ft'rso.l t;tY /HL 3 r.+::4 owl'T ." Aroob' 4 6 I I SH SaAl Sa"A 9 S P t�Ily SaAA 10 11 US 12 13 Clwtn J. dr y nay '0 b "co't V6tnrabtf rowl £e"%—WAS GROUND WATER ENCOUNTERED? ,S 14 r/ !;I(r gfv�tr y Sante 15 \ 1s � :a()F.A• Ivolt 17e,LQ': �TFI 9* 18 .... ..'1 •!� J�Gh Reading Date Gross Time Net Time (AIts)Water Depth to Net Drop(rn) P•ftoak Y// Vzs es. 1/4 #/ 7:13 3:Y 23 s/ Iy/Y 3: rrri , . `..' 23 Ala r !6 # 2 :.SY 10 e r 'IVY 1 1:5r 23 vt 03 N:05' to 2r 'i 1 `� 1 19- THEODOZ£ F. MOORE - ` #1",% CE -3589 20 •`tea 4 rP OQ+ �OodPra;cssl¢nz�:� PERCOLATION RATE % (minutes/inch) rrf3 Gr/Gc( �Oreo�� TEST RUN BETWEEN FT AND 9'0 FT COMMENTS �f[ensh t_JI IC wide dna ris �,ri [aC Ss wrd 2K 30r 104. Cve 9.0• deAIA u/ 1.0 PF gMbfl-Serfroan o(rnq O/Lfi►.%u %vsn rl l Set a �soE a/N aoe PERFORMEOBY: F&YVC TfChrirca/ Senvify CERTIFIEOSY:5. Jr 9+t -n., DATE: r118/88 72-008 (6/79) i I U v S CL W� Flattop Techriical Services 14530 Echo Street Anchorage, AIasLa 99516 uao I I uRue wFLL I I I 1 ior(2 I -or HSE I 1 . 1 I ferric 1 ' go S ' cam's I � LOT(I I 1 GR�zE/-Dh wC--1-4 LOT 66 t r - - CLOCK to I (fur)1 � I ' Puhlcc w«fer- - rsoP 1 ' t.or6' 1 rl, SeefAr& S ffYcf C'acf .. • O dw I HSE p lam W 1 r� HSC LOT 7A � to WEaL i ; SErT7c I I L -or i (Atr-4 1 4lock J LUi &A ' OF AV go *X •. � T H^�+rojj •,Ti7:; . THEODORE F. MOORE 00,••. CE -3589 go Qf �hp�c:cssiora� �e Dos ctRaC- L.oT 6R� l3LoCbc (OJ GRhNITt' vfEu/ S/D APojrjoti1#•( - SFTS PLAN Sac 9 Tlx A' Raw SCAT• E : I" =SO ' NOTE; Tffcr FJ Hot Dare : y/B1g8 A SummeraD coA qac 1- CAMNJ ARO 9PPM0,K INA rG Flattop Technical Services --- ""- - -14530 Echo Street Anchorage, Alaska 59516 Erc1T'/Nb s5cwoB rlr I ! 4o(r Caro ! GrrmN6 C.o,O i New ' C•o, i OF Alq �4 joiap dA�Q, .• ; .,.,deepipe C-2'•.^ + * ; 49TH' l '� e THEODORE F. MOOR / NE�✓ORA/N F/EFO T CE .3589 • W� O n..,16 PI -AK VIC- w ExtrwbJ 'j III II . (•.RoaMo I , SK IGCNUAtsrr-leJ . , i�.0' Fll-TGR PAP a,C r g rsrr SEwea Rock Imo., torec e i,l• . �GSr. . •a.gd S f D E v/EW 575weir "P,: -R/ PC— t or 6f1.1 ,of-ock la, GRAN m (/IEw S/p — .4Dou # / SCAI,L- 1"r(0'hCr(t DW,Y er /' s.S' Vert 7'F!ry P Orr K/B/bB f TgttrcuC.o. �. n n.r. , n - co. n ExtrwbJ 'j III II . (•.RoaMo I , SK IGCNUAtsrr-leJ . , i�.0' Fll-TGR PAP a,C r g rsrr SEwea Rock Imo., torec e i,l• . �GSr. . •a.gd S f D E v/EW 575weir "P,: -R/ PC— t or 6f1.1 ,of-ock la, GRAN m (/IEw S/p — .4Dou # / SCAI,L- 1"r(0'hCr(t DW,Y er /' s.S' Vert 7'F!ry P Orr K/B/bB Flattop Technical Services 14530 Echo Street Anchorage, Alaska 99516 SEWER UPGRADE SPECIFICATIONS LOT 6A, BLOCK 10, GRANITE VIEW S/D, ADD'N #1 1. The sewer upgrade shall be done in accordance with the attached design, except where field modifications are necessitated by unanticipated soil conditions. 2. Construction materials and practices shall comply with M.O.A. Dep t. of Health and Human Services regulations. 3. The contractor shall be responsible for determining the exact location of buried utilities prior to digging. 4. The contractor shall avoid trespassing on Lot 7A without permission of the owner. S. The waste line shall be connected near the top of- the existing seepage pit by an approved method. 6. Upon completion of the drainfield installation, the contractor shall grade the entire disturbed area to smooth contours and spread a 4" layer 'of topsoil over it. The contractor shall then seed this area with an approved Alaska lawn seed, in accordance with the supplier's instructions. Municipality of Anchorage MEMORANDUM DATE: April 12, 1988 TO: File n FROM: D.N. Bolles, On-site Services a SUBJECT: Lot 6A Block 10 Granite View Subdivision #1 On April 8, 1988, Mr. Ted Moore, P.E., made application for a sewer permit on the subject property. The permit application listed the number of bedrooms as four. Records on file reflect an original three bedroom design and installation in 1971. A subsequent Health Authority Approval, in 1981, reflects an approval for four bedrooms. The current owner, Mr. Hendrey, purchased the house with the understanding the septic system was adequate for four bedrooms. As this department ignored the design capacity of the septic system, in approving the 1981 Health Authority Approval, we will at this time permit the upgrading of the existing septic system by one bedroom. The department hereby waives the reserved area requirement to allow an upgrade to four bedrooms. No further requirements will be waived. In addition, there may be no further expansion beyond the four bedrooms. DNB/ljw#6 GAA7 "Do -1 G""�TER ANCHORAGE AREA BORO. �H DEPARTMENT OF ENVIRONMENTAL QUALITY 3500 TUDOR ROAD ANCHORAGE, ALASKA 99507 2738686 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM MAILING \ NAME Si lAw"l/-T� ADDRESS 0/LS �k �'�� ' PHONE/f e LOCATION LEGAL DESCRIPTION !LG S %z. r!/!S n/.N10. r�ty.,"l /"n SEPTIC TANK: ; N NUMBER OFi 7 MATERIAL $'R/fL / COMPARTMENTS LIEUT DISTANCE FROM WELL LIQUID CAPACITY GALLONS. INSIDE LENGTH INSIDE WIDTH / SEEPAGE SYSTEM: SEEPAGE PIT: NUMBER OF PITS ' \OUTSIDE DIAMETER OR WIDTH 74 / • LENGTH ;;;SJ / , DEPTHy ' LINING MATERIALLY r r1 ys"rl+ j , DISTANCE FROM WELL ��/ , BUILDING FOUNDATION NEAREST LOT LINE �'7 / �' S TOTAL EFFECTIVE ABSORPTION AREA (WALL AREA) !7 l) SO. FT.- TILE DRAIN FIELD: TOTAL LENGTH DISTANCE FROM WELL . FOUNDATION . NEAREST LOT LINE . OF LINES , r NUMBER OF LINES DISTANCE BETWEEN 4 TRENCH WIDTH IN. TOTAL EFFECTIVE ABSORPTION ARE/ SO. FT. LENGTH OF EACH LINE I DEPTH: TOP OF TILE TO FINISH GRADE DEPTH OF FILTER MATERIAL BENEATH TILE IN. ABOVE TILE WELL: � I_j I�(�•r DISTANCE FROM IE - I WATER 6n(lur TYPE 1 1T�1 L DEPTH ,BUILDING FOUNDATION. SAMPLE NEAREST OTHER — NEAREST SEPTIC 77 SYS EM SEEPAGE IC' r , CESSPOOL , SOURCES— DIAGRAM LINE 1� .SEWER UNE—.TANK DIAGRAM OF SYSTEM DISTANCES: sill"T, a�P� Ir.c� nt> col Iii 4 JINC or CLL.bt w• ;'-Tri I.S L 'll Li: INtaR J. V llr.`i rill. ` .. ` .. I ` .. ` .. DATE � I l - I � APPROVED'—! / ' ' ' 1 l � � -1 /// I T G.A.A2. j GREATL 'ANCHORAGE AREA BOROUGH io�sw^ IIEALTII DEPARTNIENT " o 327 Eagle St. Anchorage, Alaska 99501 279.2511 Case No. /9 6/ SEWAGE DISPOSAL SYSTEM - APPLICATION & PERMIT / /p/wY3:�- C NAME OF APPLICANT S/ AM try MAILING ADDRESS, g -' PHONk NO. ''N RESIDENCE ADDRESS f".r'F LOCATION OF INSTALLATION_��f LEGAL DESCRIPTION_- APPLICATION TO INSTALL: SEPTIC TANK 1-- , SEEPAGE PITy , DRAIN FIELD , OTHER QTO SERVE THE FOLLOWING FACILITY_'—✓(fG FINANCED THRs • � PERCOLA�DN 1 V THIS IST RI DISTANCES: 1._' C--/-00 LJ� x 1V fTTO BE INSTALLED BY S��G ANTICIPATED DATE OF COMPLETION BELOW TO BE FILLED OUT BY HEALTH DEPARTMENT i PERMIT TO INSTALL A St <{��✓ S `%r�1' AS DESCRIBED BELOW. SIZE OF UNIT TO BE SERVED SEPTIC TANK SIZE ZkL TYPE SEEPAGE AREA"' -,:�r,I- TYPEIc'4S DIAGRAM OF SYSTEM HEALTH AUTHORITY OR LICENSED DESIGNER I certify that I am familiar with the requirements of Greater Anchorage Area Borough Ordinance No. 2868 and that the above described system is in accordance with said code. DATE/�� APPLICANTS SIGNATURE✓�' +✓- . �+ CREATER ANCN" CA'T AKFA Lopr),U-ij HLnLT:i L l At i F:L:•T 377 EAGLE STRFET A::CHORP.^F, ALAE YA 93501 Perfcrmed For Harley King Legal Dcscrip lon: Lot ml ., 10. L This Fcrm Reports a: Soil �Lo^ X Depth Lot 6 any S. hal Feet `cil Char teristics Brown sandy silt (ML) 1 2 3 4 5 6 7 8 9 Gray gravelly sand (SW) Gray and tan silty fine sand (SM) USE ;l _Trate Performed 8/25/71 eisxon Granite view ercolauoa 'fes: of Lot 5 Location Skofrh Was Ground Hater Encountered? no `BOJ If Yes. At ',;.at repth r F,cading Uate Gress TiR.e Net Tire Depth -o"20 Net Drop ------- ll. nate : / 1i:nkl�-+-e Prcposed Instal — latt,...Seepage rit X Drain ;ield Dept}, 0: Inlet LepT :o bottom Of lit Or TrencT t.,• 152 square feet_of drains a area is requ re r pea room with the crib set from 1.0- ro 7.0 doth. Sufficient backfil for necessary cover. Test Performed By: R. E. arlisle Data Certified By: National Testing Services, Inc. Date: tm Municipality of Anchorage Development Services Department` Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road 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. 014-302-45 COSA# ( 0 „ _ I g 1()74 � � 1. GENERAL INFORMATION Expiration Date: CP " ,�') D - (,I - Complete legal description GRANITE VIEW #1 LOT 6A BLOCK 10 Location (site address) 9105 GRANITE PLACE * ANCHORAGE AK 99507 Current Propertyowner(s) GREGORY & ADELE LEE Day phone C/O AGENT Mailing address 9105 GRANITE PLACE * ANCHORAGE, AK 99507 Lending agency Day phone Mailing address Real Estate Agent 11 Mailing address JULIE. JEWEL W/DYNAMIC PROPERTIES Day phone 223-3211 3300 C STREET #115 * ANCHORAGE AK 99503 Unless otherwise iaquested, COSA will be held by DSD for pickup. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Water Storage Individual On-site Community Class Well ❑ Individual Holding tank Public Water System Community On-site F1 Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer Of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples- (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, 1 verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. f 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 GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date 3 /2 Engineer's Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in ADEC MOA o OF accordance with and DSD Guidelines & Regulations. The reported results described the of the � .. •......... performance . • �� system under the conditions encountered at the time of the test and separation distances oov�' .• measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, levels that may y Q :... Q groundwater �. ..:.... 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 the system. Satisfactory test Q results do not guarantee future performance of the system, nor do they guarantee that .. ... .. .... .J f A. mss: R '• there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the Q 9, 95 •'• 1 p �O sf'• 3 (Cff.2: ��'v the ADEC . 4pP^ey ' operational requirements of or MOA DSD. The content of this report is for QOM rof the sole benefit of the owner listed above. Any reliance upon or use of this report by any essloo� 4000° a other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ,.•••••.,• Approved for bedrooms. ``Gel •Q., " �,�: ON-SITE �FX WATER AND Disapproved. WASTEWATER Conditional approval for bedrooms, with the following stipulations �, PROGRAM - �d"JI11` Attachments: . COSA Checklist j/ Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: e Original Certificate Date: / (Rev. 11/05) 11 Municipality of Anchorage • �° Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99519.6650 www.cl.anchorage.ak.us (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: GRANITE VIEW #1 LOT 6A BLOCK 10 Parcel ID: 014-302-45 A. WELL DATA *WELL CAMERA'D BY ARROW PUMP & WELL SERVICES Well type PRIVATE If A, B, or C provide PWSID# N/A Well Log (YIN) NO Date completed 9/23/1971 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES Total depth *152 ft, Cased to *50+ -ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 3/7/2012 Static water level ft, 80 ft Well production m. 4.19 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate N'o mg./L. Other bacteria colonies/100 ml. Arsenic:/Va ug./L. Date of sample: 3/7/2012 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA **DBL C/O'S PRIOR TO TANK TankType/Matedal SEPTIC/STEEL Date installed 11/18/2004 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (Y/N) *YES Depression over tank (Y/N) NO High water alarm (YIN)_ N/A Date of pumping 5/16/2011 Pumper NORTHLAND PUMPING C. ABSORPTION FIELD DATA **BELOW EXISTING GRADE Date installed 11/18/2004 Soil rating .p.d. orft2/bdrm) 0_8 System type DUAL TRENCHES Length 44/88 ft. Width 5/5 ft. Gravel below pipe 1.o ft, Total depth *4.04 ft. Eff. absorption area 882 ftz Monitoring tube **YES Depression over field NO Date of adequacy test 3/7/2012 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test o in. Water added 1040gal. New depth ***6.5 in. Elapsed Time: 1109 min. Final fluid depth***0.25 in. Absorption rate >= 600+ g,p.d, Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date — TESTED 88' SEGMENT OF 2004 TRENCH. **MONITORING TUBE ONLY EXTENDS 6.5" INTO DRAINFIELD. WATER WAS FIRST NOTED IN THE MT AFTER INTRODUCING 300 GALLONS. ***AT INVERT OF DRAINPIPE. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. "Pump oft" level High -water level at Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES *103.58 FROM CENTER OF WELL TO CENTER OF ST1. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankilift station on lot *100.5 On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Sewer /septic service line 25'+ Animal containment areas 50'+ Public sewer manhole/cleanout N/A Holding tank Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *6'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parkingivehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS *WAIVER ON FILE WITH MOA G. ENGINEER'S CERTIFICATION I certify that l 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. Engineer's Printed Name JEFFREY A. GARNESS Date COSA Fee !2 LlR6•w Date of Payment 3 -4& _ j a Receipt Number 3 G (Rev. 1110) Waiver Fee Date of Receipt Number AAROW PUMP & WE[[ SERVICE, LLC P.O. Box 110496 ��_ Anchorage, AK 99511 �� NO. 9303 Office: (907) 346-9355 • Fax (9 07) 333-897 � III Eagle River: (907) 622-9335 ,ter' a .z CUSTOMER �it JOB SITE L /C�L< 1L J INVOICE DATE /2 WELL DEPTH �. SWL -77 CHLORINATED PUMP DEPTH SALES ON 1 'QUANTITY DESCRIPTION PRICE AMOUNT -7<- Q 7<-7-LABOR r 7"- LABOR HOURS RATE AMOUNT TOTAL MATERIAL TOTAL LABOR WORK ORDERED BY DATE COMP. TOTAL LABOR PAY THIS AMOUNT 1 �� Thank You SIGNATURE (I Hereby Acknowledge the Satisfactory Completion of the Above Described Work and agree that if above work is not paid for in 90 days I agree to allow Aarow Pump & Well Service, L.L.C. the right to remove unpaid for equipment and charge for labor already performed & labor to remove unpaid for equipment.) TERMS: ACCOUNTS PAYABLE AT 10TH OF MONTH FOLLOWING PURCHASE. SERVICE CHARGE AT RATE OF 1.5% PER MONTH WILL BE CHARGED ON OVERDUE ACCOUNTS. GARNESS ENGINEERING GROUP, Ltd _:;_„ CONSULTANTS & GENERAL CONTRACTORS: To Whom This May Concern: Due to the near record snowfall this year, it is impractical to expose all the septic system pipes at 9105 Granite Place (Granite View #1 B10 L6A). All the septic pipes were located in 2008 when we did the last well and septic testing. The homeowner has confirmed that nothing has changed and none of the pipes have been buried or broken. Based upon this testimony, we are requesting that the MOA waive the requirement to locate and expose all the septic system pipes for this COSA evaluation. Please contact us if you have any questions. 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com 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 FOR A SINGLE FAMILY DWELLING pip Parcel I.D. 61q -30A -L19 - 0 L/S COSA# 9 NO 1. GENERAL INFORMATION Expiration Date: (R — -67'— 0g Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address GRANITE VIEW #1, LOT 6A, BLOCK 10 9105 GRANITE PLACE * ANCHORAGE, AK 99507 TONY LAb1PING Day phone 562-13 9105 GRANITE PLACE " ANCHORAGE, AK 99507 Day phone KEVIN ELFRINK w/GLOBE REAL ESTATE Day phone 727-2150 3300 C STREET #115 • ANCHORAGE, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site N Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates of On -Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage (les 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 GARNESS ENGINEERING GROUP, Ltd. Address 3701 E. TUDOR ROAD, SUITE 101 r, ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG, LtD. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines 8 Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily Identifiablo features. The operational life of all wells and septic systems depend on the local soils condition, 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 the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report Is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will R confer any legal right whatsoever. 5. DSD SIGNATURE Approved for q— bedrooms. Disapproved. Phone 337-6179 Date 3/Z/Og Conditional approval for bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Reort Other • PRDGKAM ' By: iLn Original Certificate Date: 3 0 S 4-,7111 tR". 111051 Municipality of Anchorage 1 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: GRANITE VIEW #1, LOT 6A, BLOCK 10 Parcel ID: A. WELL DATA *BASED UPON SURROUNDING WELL LOGS Well type PRNATE If A. B, or C provide PWSID# N/A Well Log (Y/N) NO Date completed 9/23/1971 Sanitary seal (Y/N) YES Wires properly protected (Y/N) YES Total depth 176 ft. Cased to •40+ ft. Casing height (above ground) 12+ in. FROM WELL LOG AT INSPECTION Date of test 2/22/2008 Static water level ft. 74 ft Well production .—g.p.m. 3.85 g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Nitrate _0_mg./L Other bacteria_0 colonies/100 ml. Arsenic: _2.0 ug./L. Date of sample: 2/25/2008 ; Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 11/18/2004 Tank size 1250 gal. Number of Compartments E Cleanouts (Y/N) YES Foundation cleanout (YIN) YES Depression over tank (Y/N)NO ' High water alarm (Y/N) N/A Date of pumping 2/22/2008 Pumper MCDONALD'S PUMPING C. ABSORPTION FIELD DATA *BELOW EXISTING GRAD Date installed 11/18/2004 Soil rating 6ii0orft'tbdrm) 0_8 System type TRENCH Length � ft. Width low pipe 1.0 ft. 44/88 5/5 ft. Gravel be Total depth **4-6 ft. Eff. absorption area 882 ft' Monitoring tube YES Depression over field NO Date of adequacy lest' 2/22/2008 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 4 In. Water added 693 gal. New depth 8 in. Elapsed Time: 1120 min. Final fluid depth E in. Absorption rate >= 600+ g,p.d, Any rejuvenation treatment (past 12 me.) (Y/N & type) NONE KNOWN If yes, give date *THE 44' SEGMENT WAS SURCHARGED. TESTED THE 88' TRENCH', SEGMENT. D. LIFT STATION Date installed Size in gallons Manhole/Access (Y/N "Pump on" level at in. 'Pump off level High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES •103.58 FROM CENTER OF WELL TO CENTER OF ST1 SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot *100.5 On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 1 Public sewer main N/A Sewer /septic service line 25'+ Public sewer manhole/cleanout N/A Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 50+ Property line 50+ Absorption field 5'+ Water main N/A Water service line 109+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line •8'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION a I certify that I have determined through field Inspections and p ,� review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this Q date. : J( Engineer's PrintedName JEFFREY A. CARNESS �Q��, Date 31E]LO6 COSA Fee $ Date of Payment Receipt Number (Rev. 11105) Waiver Fee $ J %� Date of Payment ? 6/z o iS Receipt Number 7 s�9� GARNESS ENGINEERING GROUP, Ltd. - CONSULTANTS & GENERAL CONTRACTORS i .,- - ^' March 3, 2008 Municipality of Anchorage Development Service Department On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650, Anchorage, Ak 99519-6650 (907)343-7904 Ref: Lot Line Waiver for Granite View #1 Subdivision; Lot 6A, Block 10 To whom it may concern: We request that your department issue a 6 -foot lot line waiver from the north property line to the existing drainfield. The existing drainfield on Lot 6A has a separation distance of approximately 6 feet and Lot 5 has a separation distance of a minimum of 10 feet per MOA records. In short there is at least 16 feet of separation between the two dminfields. The existing drainfield on Lot 6A has I foot of effective and the drainfield on Lot 5 has an effective depth of 5 feet. This requires a minimum separation distance of 10 feet between the two drainfields, which is exceeded. We are unaware of any adverse impacts this waiver would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. Jeffery �Ij mess, PIE., M.S. 3701 E. Tudor Road, Suite 101 • Anchorage, AK 99507-1259 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: www.gamessenginecring.com Municipality of Anchorage Development Services Department +r Building Safety Division On -Site Water and Wastewater Program ° 4700 Elmore Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Waiver Review Worksheet WR#: 080048 PID#:014-302.45 HAM 080048 Permit#: Date Received:l3 4108 Legal Description: Granite View #1 Block 10 lot 6A Engineer. Garness Engineering Group, Ltd. 3701 E. Tudor Road, Suite 10"nchorage Ak, 99507 Applicant: Tony tamping Waiver Requested: 6 feet separation distance absorption field to Property lino Criteria: Geology Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Total: ......•..•.e...................................................a...•.e.•...•ss@ Waiver is Granted: Waiver Is not Granted: List Conditions or Reasons for above: Date: 3�� d By: e of % viewer ......................e.• ... •essage@... . •... .. ..............•..•e.......... Rec#: 314108 Amount: $175.00 Date Paid: 314108 Municipality of Anchorage \ Al', r�-r / CU. As 1Ma"MI ;iNhmurr 1t4cul 011icc: (1X)7) 3;3-M411 • Fax: (!N)7) $;3$$(X) lit Ildhimmitntimrg Mayor Mark llggich Development Sertiices Department 3/5/2008 Gamess Engineering Group, Ltd. 3701 E. Tudor Road, Suite 101 Anchorage, Ak. 99507 Subject: Waiver Request for Granite View #1 Block 10 Lot 6A Waiver Request #WR080013 Parcel ID 4014-302-45 HAM 080048 Dear Engineer, mrnt Department Your request for a waiver of the required 10 feet horizontal separation from the absorption field to the property line has been approved. The approved separation distance is 6.0 feet. This waiver approval applies to the existing absorption field to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely Jeffrey .Poet Engineering Technician On -Site Water & Wastewater Program Community, Security, Prosperity Municipality of Anchorage • -� Development Services Department / Building Safety Division _ On -Site Water and Wastewater Program •• 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 414-302-45 HAA # D �{ 0 (d Expiration Date: 3 —Z— 0 5� 1. GENERAL INFORMATION Complete legal description _Lot 6A Block 10 Granite View Addn #1 Location (site address or directions) 9105 Granite Place Anchorage AK 99,507 Current Property owner(s) _Eric Cortez Day phone 271-4822 Mailing address 9105 Granite Place Anchorage AK 99507 Lending agency Day phone Mailing address Real Estate Agent _Janice Mitchell 0 Prudential Vista Day phone 273-7726 Mailing Address 3801 Centernolnte Drive. Anchorage. AK Unless otherwise requested, HAA will be held by DHHS for pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well .ED 19 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 19 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) on properties served by a single family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to home owners. Certificates of Health Authority 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 less than 30 days old. Certificates are valid for one year for properties served by Class A or B welts or a public water system. The Municipality of Anchorage is not responsible for errors or omissions In the professional engineer's work. (a... row) 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, l verify that my investigation based on procedures outlined in the Health Authority Approval Guidelines for 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 applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Eng. Svc. Phone 272-8218 Address P.O. Box 102954, Anch. AK 99510 Engineer's Printed Name Steven R. Pannone, P.E. Date !!1 zyfoti Engineers Comments: In conducting an adequacy lest, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. Ile reported results describe the performance of the system under the conditions encountered at the time of i the test, and separation distances measured to readily identifiable features. Ile operational life of all j wells and septic systems depend on the local soil condition, ground water levels that may fluctuate {r during the year, and the water usage of the family being served by the system. These conditions are the the All M "'Q outside control of evaluator of this system. systems eventually fail and satisfactory rest results do not guarantee future performance of the system, nor do they guarantee that there are no hiddc�,r defects or encroachments. PGS can therefore not provide any warranty for future performance nor give 0 any estimate of how long the system will continue to meet the operational requirements of the ADEC or ♦ 0 MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized nor will it confer any legal right #j whatsoever. 6. DSD SIGNATURE Approved for —Y--- bedrooms. Disapproved. OF 1� io ren R. Pannoneri No.CE 8149 . w Conditional approval for bedrooms, with the following stipulations: Additional Comments Attachments: HAA Checklist X Maintenance Agreements PROGRAM Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other By: �iY Original Certificate Date: �2 — 02— (9—q Expiration Date: Reissue Date: Municipality of Anchorage Development Services Department �• Building Safety Division " On -Site Water and Wastewater Program L i' 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: —LQUgIItQt 10 G-onittMgI6tAdd!3. No. Parcel I.D.: 14- 02-4$_ A. WELL DATA Well type P If A. B. or C provide PWSID # —. Well Log N Date completed 223/1971 Sanitary seal y Wires properly protected y Total depth 176 ft Cased to 4Q±_ft Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test 11/18/2004 Static water level ft 78 It Well production 9 -p.m 4.7 g.p.m WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml Nitrate A.100 m 9A Other bacteria Acolonies/100 ml Date of sample: 11/101004 Collected by: _Aautp partnQne Arsenic N/A m 9/I B. SEPTIC/HOLDING TANK DATA Tank Type/Material Angh_T@nkSi�l Date installed JMOL29v f Tank size 1250 gal Number of Compartments 2. Cleanouts y Foundation cleanout y Depression over tank N High water alarm NLA Date of pumping Pumper C. ABSORPTION FIELD DATA Date installed 11/18/2004 Soil rating (9.p.d./ff2 or ft2/bdrm Q@ System type _Sh_aIIqwMgnCh Length 44/oLft Width -0 ft Gravel belowPP i e .Zft Total depth ¢ Z- It Effective absorption area @gzft' Monitoringtube / Y Depression over field N_Date of adequacy test�W Results (Pass/Fail) _ . For 4 bedrooms Fluid depth in absorption field before test= in Water added gal. New depth __ In. Elapsed Time: _ min Final fluid depth 'In � Absorption rate >_ �,� Any rejuvenation treatment (past 12 mo.) (YIN & type) &1fi(,(�—� If yes, give date (Rev. 11/89) D. LIFT STATION Date installed _ "Pump on" level at Datum Size in Ions Manhole/Access in"Pump off' level a _ in High water alarm level at _ in Cycles ted Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 101.2 On adjacent lots 100+ Absorption field on lot 104.13 Public sewer main 100+ Sewer /septic service line 25+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation60 Property line 34 Absorption field 10.5 Water main 100+ Water service line 25+ Surface water 100+ Drainage 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10 Building foundation 64 Water main 100+ Water Service line 40+ Surface water 100+ Driveway, parking/vehicle storage 50+ Curtain drain None Observed Wells on adjacent lots 100+ F. COMMENTS a„ 11 Ii, -, ,e //Pd hef(f lelqf) G. ENGINEER'S CERTIFICATION certify that I have determined through field Inspections ' ` and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. :bAkgf.�"n u Mn��pfr �1 No. C 8149 Engineer's Printed Name Steven R. Pannone.P. Datell l2�ld�' talks a NAA Fee $µ (� Waiver Fee $ Date of Payment 4J - Z — co Date of Payment Receipt Number 6 11 ayReceipt Number (Rev. 11/99) 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. It D l N— 302 — !h5 1. GENERAL INFORMATION its _ Completelegaldescription - LoT- &A � P5tc lO. r^.t2Atg1TI: VI=1Z/ Location (site address or directions) Q(O E5 G PAN IT(_ FPL -ACS Property owner AC.tL 5c—a-0 A C-? S. Day phone c949 — U 3_5 Mailing address- 16 1_J' 1C`o �P LA.T 1110 M qQ 5 11, 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 V/ 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-=[R«.1191) ham MOA 121 � IT 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 l o66e-" Sp L, f- U-11mIX �• E Phone X_71'6916 Address Engineer's signature 6. DHHS SIGNATURE M V Approved for bedrooms. Disapproved. Conditional approval for Additional Comments ILITlc Date 3 t. it r lei . els 1•S- rte/ bedrooms, with the following stipulations: Date 3 — SI/_ O O 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 thei r 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. rMss(a".W) 9. POAm Municipality of Anchorage OW Department of Health and Human Services t< E C E I v E U Division of Environmental Services On -Site Services Section 825'L" Street Room 502 MAR 13 2000 P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us "IN'C 6'A11TY cr AN( HQyA :F (907) 343-4744 <r int SLwVur .,,;,_ HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LO i (,A 1?IE{ i2A N' TE VLE,e/ Parcel I.D.:Oty-307- A. WELL DATA Well type TZ,_ Date completed 97 If A, B, or C provide PWSID # N1� Sanitary seal 4— Wires properly protected Y Casing height (above ground) e2�C in. Well Log tvl Total depth > I D i, It Cased to > I o b it 176 / FROM WELL LOG Date of test Static water level It Well production 9 -p.m AT:INSPECTION �o-p 'e!J ft 5.%a g.p.m WATER SAMPLE RESULTS: Coliform 1colonies/100 ml Nitrate O,L tr(omgA Other bacteria colonies/100 ml Date of sample: 0 3��/I c.o Collected by: S. B. SEPTIC/HOLDING TANK DATA / Tank Type/Material S 'c, _ej-, Date installed 1'71 Tank size U150 gal Number of Compartments Cleanouts / Foundation cleanout N_ Depression over tank �_ High water alarm N Date of pumping 3%900 Pumper G1 as c `S C. ABSORPTION FIELD DATA Date installed falf'1189 Soil rating (94.dlit2orft2/bdrm) 115 System type_cr,b mel, Length 9 •; ft Width_ft Gravel below pipe o2, 3 ft Spy Total depth �_ft Effective absorption area l71 ft2 Monitoring tube Depression over field 1� Date of adequacy test 3�✓0 Results (Pass/Fail) For __YL bedrooms 41tr fe A17 Fluid depth in absorption field before test ri /.,tin Water added /O gal. New depths?_r?_ in. Z Elapsed Time: 2 Yhri, min Final fluid depth Il. S in Absorption rate >= J600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date 72-026 iRev. 61.90)' D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons in "Pump off" level in — Cycles to E. SEPARATION DISTANCES Manhole/Access High water alarm level at in Meets alarm & circuit requirements. SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot g/ — On adjacent lots i / 0-0 Absorption field on lot 106:t On adjacent lots 1 1� Public sewer main / ov Sewer /septic service line > �;; 0 Public sewer manhole/cleanout > Holding tank ^IIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation oo Property line > /S- Absorption field 18 Water main 1�4�!>~ Water service line > o Surface water N o Drainage N �O Wells on adjacent lots SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line Zi - Water Service line i 5-0 Curtain drain T-110 F. COMMENTS Building foundation SO "F Surface water 1410 Water main 14Ar Driveway, parking/vehicle storage_ Wells on adjacent lots �°'O G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and INEE ' review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. t AMP . � Engineer's Printed Name I e 6!b,e K S'p J r l -„l0, u el Date AA. HAA Fee $ Date of Payment Is TJ0 . 03 /3-0o Receipt Number o,�sA7"l eT`�-3j 72-026 (Rev. 01100)' Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH b HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL ISS'- L 1,3 z OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date 714Dn / /I/9-01 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) 464kj/0 AJ 44 9 Location (address or direct/ions) ' cP Y�P_n diCL-, Tele 3y -9a/6 (b) • Property Owner %%` ^• ' ' phone: Home � Business Mailing Address (c); Lendinglnstitution%T"^te' Vt—c^d l li"r'^' Telephone Mailing Address ' n (d) Real Estate Company and Agent Address ='•" } ��+ e%m S_J/ S•�• Telephone A 7,4r.'76/ (e) Mail the HAA to the following address: or. Check here , if hold for pick up. List contact person and day phone number below. fiPG6 Ars // 10 e tc ✓� 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms �- 3. WATER SUPPLY Individual Well E� Community ❑ Public ❑ Note: If communitywell system, must havewritten confirmation from the State Departmentof Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite d 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 72-075 IFt" 61661 From 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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 42�Lr-3- - Telephone 191 -17 -VER Address / ZO r� W 3 S {� /Le S . �=e Q /�, /_ /� C C14 3-03 Date L3 41cy Qa-r+wc Ce>�.�+c„a�. s� l'i%raolec� �� `7�tii�a�roo.tis-. AV • � •�E O� AC � °o *mac.' •,•'�9 i s.. 4 �A ad 0 C. itdD, J2. . 1 DHHS APPROVAL Approved for A6= 1!�2. bedrooms by Approved — M Disapproved Conditional _ Terms of Conditional Approval Cil CAUTION SCE -2251 ,t_- \M`••• 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. Page 2 of 2 72-075 (R" a 861 eac. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH d HUMAN SERVICES DIVISION OF ENVIRONMENTAL SERVICES Pi�L�` 015 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY 264-4744 Application Date � 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Description (include lot, block, subdivision, section, township, range) ,40 7— 6A. atoel' "/0 &IFAAb7c ✓1SjJ TiZ.Al Z3.J See- �J Location (address or directions) (b) Property Owner /°'r h Mailing Address �S (c) Lending Institution Mailing Address_ (d) Real Estate Company and Agent Address Telephone (e) Mail the HAA to the following List contact.person and day I Telephone: ess: or. Check here number below. i 2. TYPE OF RESIDENCE Single -Family Number of Bedrooms - 3. WATER SUPPLY Individual Well Community ❑ Public ❑ hold for pick up. 0 - 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 ❑ Community ❑ Holding Tank ❑ Note: If communitywell system, must havewritten confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 72m5 iaw 8'861 Font 1-4,4 $/a 6,&W.,Td ✓/Cw 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA 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. l 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 Address 1 C) J Date f etlbr//c41_ - T 04,,rAk NPb&fo✓ slab 34FRAICA Of /?M b4-516AI /S -Al r1t1r. Telephone_ 5e0I JAI S3 REID, JR. O MS1 o / 6. DHHS APPROVAL Approved for bedrooms by Date Approved !/ Disapproved Conditional J Terms of Conditional ApprovalZ6Cy/:f COW/ �cleti Onq/ 9100' eo CAUTION 4/ slyr ✓wrt d0 /fJi 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. Page 2 of 2 72-025 01" 9'861 Back MUNIGPAUTY OF ArKil.W10PALITY OF ANCHORAGE (MOA) IWIRONMENTAL SERVICHEat1UTd1AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1964 APR 15 1988 264-4720 Legal Description: Lc7 GA &veg /o 644)rE VlaJ RECEIVED -TLA< zip -;rr 9 A. WELL DATA Well Classification /11r�E If A. B, C, D.E.C. Approved di (Y/N) -0 Well Log Present (YO.—Date Completed FAW 1975 Yield �° 4pyl Total Depth .4 /7(v Cased to l7G Depth of Grouting AJ A Static Water Level FL 92 / Pump Set At '�M Casing Height Above Ground / 6 Sanitary Seal on Casing 6N) Electrical Wiring in Conduit ON) Depression Around Wellhead (Y© Separation Distances from Well: � ' To Septic/Holding Tank on Lot (/I �� ; On Adjoining Lots To Nearest Edge of Absorption Field on Lot / 0 ; On Adjoining Lots To Nearest Public Sewer Line To Nearest Public Sewer / Zs t Cleanout/Manhole To Nearest Sewer Service Line//on Lot Water Sample Collected by Ayle- W'E// ; Date Water Sample Test Results nx T N/TAi1-rEs Comments A 110J ZR57' L(I—" Aj 77/, tywje A)b. An"4-ra . hyillo n J wffivt'r T sw2l'o"AF3 - n /0fntt M 57.iakir — 7.11PS ;r /Mpf /s i.! cc'r yf-S i4+JA aM /,Js�As<rd 8"-27 8e. rwse� eeevnM./ eIEACesr eDaE Fiei.D u�/rf/�+�/• 7"1/BL`i R!ltowhA�r ys : TANK DATA f3 %es fc+F �i/gY s�v.. P� Cv/•{rr.; l�c ..r .G.�rr . B. SEPTIC/HOLDING � f Date Installed Size No. of Compartments Standpipes) Air -tight Cap (Y ) Foundation Cleanout (Y© Depression over Tank (Y© Date Last Pumped "l -If 8 /SrfAe-i Pumping/Maintenance Contract on File (Y/N) of/A ; for ►� Holding Tank High -Water Alarm (Y/N) �= Temporary Holding Tank Permit (Y/N) 'J A Separation Distances from Septic/Holdin`q Tank: / To Water -Supply Well ® 46,1 To Building Foundation y� To Property Line /0 To Disposal Field To Water Main/Service Line �U f f To Stream, Pond, Lake, or Major Drainage Course /4y / Comments YkPH TWbPIPE So / , AW)e9h tJIACAI 1A1571flcLa. Page 1 of 2 72-026(11/84) 1-4.4 Bio 6,Z-k!/7i!' V/&7J C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata Type of System Design ' Date Installed � -y3-7I � Length of Field =`(� Width of Field Z3 Depth of Field Gravel Bed Thickness Square Feet of Absorption Area SGT Standpipes Presen (Y/ ) Depression over Field (Y�_ Results of Last Adequacy Test eklfi Date of Last Adequacy Test IFdiortrsr Fee 3 *%&/. Separation Distance from Absorption Field: To Water -Supply Well - To Building Foundation Lot To Property Line On Adjoining Lots I To Existing or Abandoned System on /e 1- - To Water Main/Service Lint To Cutbank (if present) Ai4r • To Stream/Pond/Lake/or Major Drainage Course /e0 -t- To Driveway, Parking Area, or Vehicle Storage Area - /O f" Comments ®11110 11'r I*H D. LIFT STATION nstalled 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) Cycles during Adequacy Test. Meets MOA Icertifythatl have h ed,velifi`d,rconformed toall MOA and HAA guidelines ineffect onthe date ofthis inspection. Signed ! Date �+++�1d C Company /SGS MOA NO. ff7 gE.OF• A(,9 4e. Receipt No. 9-71 0C* ' Date of Payment 4 '� F G Amount: $ � 6) . „ qal G S & d -147 �♦ F c REI 2$ 1 A. . -21 Page 2 of 2 ,��,��,•+ 72-026 n1,841 A `C, ALASKA CCIUIROII nTRL COnTROL SCRUICCS, IIIC. a Enginccring 6 Enuironmcntal Studies 80045 04/04/88 TOM HENDREY SELLER -TOM HENDREY TOM HENDREY 1515 SEQUOIA AVENUE 1515 SEQUOIA AVENUE RICHMOND CALIFORNIA RICHMOND CALIFORNIA 94805 94805 LEGAL:GRA\ITE VIEW BLOCK 10 LOT 6A ADEQUACY TEST FOR SEWER SYSTEM ADEQUACY TEST DATE -03/28/88 THE TYPE OF ABSORPTION SYSTEM IS A CRIB WITH AN AREA OF 564 SQFT. THE SYSTEM IS CAPABLE OF ACCEPTING 540 GALLONS OF WATER PER DAY. THE SURGE CAPACITY OF THE SYSTEM IS 1700 GALLONS. BASED UPON THE TEST DATA THE SYSTEM IS NOT ACCEPTABLE FOR A HOME OF 4 BEDROOMS. SEPTIC TASK ADEQUACY THE EXISTING SEPTIC TANK VOLUME OF 1271 IS ADEQUATE FOR THIS 4 BEDROOM HOUSE. THE SEPTIC TANK/PACKAGE PLANT WAS PUMPED ON 03/02/88 . THIS REPORT DOES NOT VERIFY THE INTEGRITY OF THE PIPING FOR THE WATER SUPPLY OR WASTEWATER SYSTEM. ADDITIONAL COMMENTS : SYSTEM NEEDS TO BE ENLARGED BY ONE (1) BEDROOM IN ORDER FOR IT TO BE ADEQUATE FOR A FOUR (4) BEDROOM HOME. OF At'°oo � 4 ..... . .:... ut . PEIC, sa. CE 2251 �a = 1200 West 33rd Aucnuc. Suiic 6 • Anchorogt. Alaska 99503 9 (907) 5615040 ALASKA ENVIRONMENTAL CONTROL SERVICES, INC.; 1200 West 33rd Avenue, Suite 8 ANCHORAGE, ALASKA 99503 (907) 561-5040. Joe SHEET NO. OF CALCULAT EDBY CHECKED BY SCALE m DATE MLMICIPALITI' OF ANCHORAGE L 4 CHEMICAL & GEOLOGICAL LABORATORIES OINvdt6rKA;FRW1q . 5833 6 STREET ANCHORAGE, ALASKA 99518 TELEPHONE (907) 562��r � p �8S t FEDERAL TAX ID N 920040440 i1� v ►NALISIS REPORT ET SAMPLE for Work Order 1 6069 RECEIVED Data Report Printed: APR 18 88 1 08:55 Client Sample ID:L6A RIO GRANITE VIEW Client Nana : ►ECS PWSID :UA Client A«t : AEECSRP Collected HE 11 88 / 15:45 his. P.0.8 NONE RLC'D Received in 11 88 1 hts. Req 8 Preserved vith :4 deg. C Ordered By : I. WIEN Analysis Completed :APR 15 88 Laboratory Suparso EPREN IDE Released Ry :el Send Reports to: 1)AECS 2) .................................................................................................................................... Special Instruct: Chemlab Ref /: 9647 Lab Smpl ID: 1 Matrix: Nater Parameter Tested Result/Units Method ------------------------------' NITRATE -N ND(0.10) mg/1 EPI 353.2 Sample ROUTINE SAMPLE Remarks: SAMPLE COLLECTED II A. WIEN ►llovable Limits 10 .............................................................................................................. 1 Teats Performed See Special Instructions Aboys Uk-Unayallabls TD- None Detected " See Sample Remarks ►boys NA- Not Analyzed LT -Loss Than, CT -Greater Than CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. TELEPHONE (907) 562 2343 5633 B Street Anchorage, Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria ` TO BE COMPLETED BY WATER SUPPLIERII TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.0 71=AnI i shows this Water SAMPLE to be: V PRIVATE WATER SYSTEM / AeEC 5 /— 57-0 1L e Name Phone No. i Zry r./ i 5 " Mailing Address .. �/elj %x 99 03 City State SAMPLE DATE: , - / ` a - Mo. Day Year Zip code SAMPLE TYPE: Routine ❑ Check Sample (for routine sample with lab ref. no. 1 ❑ Treated Water ❑ Special Purpose Untreated Water SAMPLE Time Collected NO. LOCATION Collected 1 14 e.,, 8le 644,1112 V/.r •1 I /SSS �'T 21 3 I I 41 I 5 1 I i aaysss w Ly Satisfactory ❑ Unsatisfactory ❑ Sample too long in transit; sample should not be over 30 hours old at examination to indicate reliable results. Please send new sample via special delivery mail. Date Received Time Received 7 Analytical Method: Membrane Filter No. of colonies/100 mi. Lab Ref. No. Result' Analyst 12W—L BACTERIOLOGICAL WATER ANALYSIS RECORD IC�`�\� r . READ INSTRUCTIONS Membrane Filter. Direct Count Coilformll0oml BEFORE Verification: LTB BGS COLLECTING SAMPLE Final Membrane i sReported By t. i •— TNTC = Too Numberobs To Count: OB = Other Bacterial 4` I; Conform/100ml Date 1 W 12:&8 Time:l SOU a.m. p.m. PAR{ 1 OF 2 REMAINDER TO FOLLOW 5. LEQAL DESCRIPTI N _ DATE RECEIVED 1 INSPECTION APPOINTMENTS�� TIME NUMBER OF�BEDROOMS TIME TIME DATE ❑ Two ❑ Five DATE DATE 7. WATER SUPPLY (x3 INDIVIDUAL' ' ATTACH WELL LOG. A well log is required for all wells drilled INSPECTOR since June 1975. For wells drilled prior to that date, give well INSPECTOR INSPECTp,R S. SEWAGE DISPOSAL SYSTEM ® INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. d MUNICIPALITY OF ANCHORAGE MUNICIPALITY OF ANCHORAGE -\ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION DEPT. OF HEALTH & 1 825 LStreet- Anchorage, Alaska 89501 EM✓IRCNMENTAL K.OTECTION (� ENVIRONMENTAL SANITATION DIVISION MAY 2 2 1981 Telephone 2644720 DD CC �/-- C�'� ,, // CC REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWIRIE LJI'iAO DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROPERTY OWNE PHONE C C-1 MAILING ADDRE _ l �—Q PROPERTY RESIDENT If different from above) PHONE B VER PHONE S l So MAILING ADDRESS 27 I—erl C C 3. LENDING INSTITIATION PHONE MAIL N ADDR S LAuez — c ret 4. REALTOR/AGENT U PHONE - MAILING ADDRESS i � r , 5. LEQAL DESCRIPTI N L 1 STREET LOCATION 6. TYPE OF RESIDENCE NUMBER OF�BEDROOMS ❑ One K Four ❑ Other ❑ SINGLE FAMILY ❑ Two ❑ Five f2l, MULTIPLE FAMILY O Three ❑ Six 7. WATER SUPPLY (x3 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 ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM ® INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72010 (Rev. tU79) , O 1 S -E9 Lu ILP VAeiS u A THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER r ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON-SITE ❑PUBLICUTILITY Connection Verified PERMIT NUMBER DATEINSTALLED —� INSTALLER ❑SepticTankor ❑Holding Tank Size: J,).2 I If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL r G 4. DISTANCES WELLTO: Septic/Holding Tank Absorption Area /O C Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line - b. COMMENTS CK APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE BY 72010 (Rev. 6/79) 'A lunicipar-B-3 �sAnchorage May 28, 1981 325 "L" STREET ANCHORAGE, ALASKA 99501 (907) 26.1.4111 CECRC: ,V SULLIVAN, MAYOR" 0 E;'AH T M' NT Of HEALTH ANO ENVIR ON PA CNTAL MOTECTION IIarley/Florence King 9105 Granite Place Anchorage, Alaska 99507 Subject: Lot 6A Block 10 Granite View Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. Effective June 1, 1981 the lab fee is $20.00. (2) The well seal needs to be tightened and reinspected by this department. ( } An adequacy test needs to be performed on the existing leaching area... This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This test report needs to be submitted to this office for our review. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw cc: Rainier Mortgage 4797 Business Park Boulevard 99503 ERA Glacier Realty, Inc. 727 L Street 99501 �1 Harley King 9105 Granite Place Anchorage, Ak. 99507 Tobben Spurkland P.E. 8155 Cranberry St. Anchorage, Alaska 99502 Phone (907) 243-5302 June 1, 1981 SLIM AM(jTACY T T Legal: Lot 6A, Block 10, Granite View Location: 9105 Granite Place Owner: Harley King Residence: Two storey, three bedroom, finished Water. Onsite well Sewer: From Kanicipal Records: Tank: 11271 gal, steel, one compartment Absorption System: Log crib, 81x8'x6' Absorption irea: 564 sq. ft. Soil Rating: 152 Installation Date: September 1971 Date of Test: Pay 27-28-29-30, 1981 MUNICIPALITY OF ANCHORAGE DEPT. OF HEALTH & ENVIRONMENTAL F\;OTECTION ,iui4 1 1981 RECEIVED Test Procedure: System was inspected on flay 26th. Pit was dry, 28 inches of liquid in tank. On Kay 27th water was added to crib and the following readings taken: Water Volume (gal) 0 500 1,000 1,500 2,000 Play 28 May 29 Depth (inches) 0 16 30 37 49 42 42 On Play 30th additienal'water was added to the crib. 0 39 250 46 500 51Yz 1,000 62 Play 31 4234 "7obben Spurkland P.E. eo"' Test Result: The bottom 4 feet of the absorption field is plugged. The remaining two feet have an absorption rate in excess of 1,000 gal. per 24 hr. This is in excess of the minimium municipal requirement. 490�.F.::....:. ..[.. , �. 2225 E X. q"2 NE 25, 1971 ��hh, .. L E_'-G'L.