HomeMy WebLinkAboutEAGLEBROOK #2 BLK 2 LT 3AEagle Brook #2 Block 2 Lot 3A #017-121-62 ,nt s, Municipality of Anchorage I).•wn-nnrnt P.O. Box 196650 • 4700 Elmore Road Anchorage. Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997 http://www.muni.orq/Onsite Development Services Division On-Site Water and Wastewater Program **** VARIANCE/WAIVER REVIEW **** Waiver#: OSV171140 COSA#: Permit#: OSP171341 PID#: 017-121-62 Legal Description: Eaqlebrook#2 B2 L3A Engineer: Forge engineering Applicant: Robert Lester Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the excessive slope has been approved. The approved separation distance is 15.0 feet. This waiver approval applies to the existing absorption field only. Any future upgrade to the on- site wastewater disposal system will require all separation distances be met or another approval from this department. Waiver is Granted: X Waiver is not Granted: Date: /— /i Approved by: � [! Name of Re ' wer **** VARIANCE/WAIVER REVIEW **** MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax j343-7997 On-Site Water & Wastewater Program /co I ;/ /^) %ice 4II,- Ami ON-SITE SEWER/WELL PERMIT APPLICATIONN OCT Z1 Zit Parcel I.D. 017-121-62 ti Property owner(s) Robert Lester Day phonoz“ X32 . 6300 Andover Cir, Anchorage, AK 99518 Ji6 3 Mailing address g Site address 6300 Andover Cir Legal description (Sub'd., Block & Lot) Eaglebrook #2, Block 2 Lot 3A Legal description (Township, Range & Section) Lot Size 60,497 Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (�all that apply) Absorption Field x Initial i I Single Family (SF) x (w/wo ADU) Septic Tank ❑ Upgrade x Duplex (D) ❑ Holding Tank I I Renewal ❑ Multiple Dwellings ❑ Privy P1 (SF and/or D) Private Well Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: Vertical separation to groundwater Distance: 2' 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: CLPI Waiver Fees: a16' Date of Payment: 1 ( f t l i Date of Payment: `t1 i 1/ Receipt Number: OL-11(441ID Receipt Number: a I UQ t Permit No. Q.�j P 1 ✓`rt i Waiver No. 65V17//140 Permit App_9-1-12.doc 4/'m► GE ENGINEERING PO BOX 240773 ANCHORAGE,AK 99524 522-7773 677-7766(FAX) February 21, 2018 Municipality of Anchorage Development Services Dept- On-Site Water & Wastewater Program 4700 Elmore Rd Anchorage,AK 99507 Subject: Eaglebrook#2, Block 2 Lot 3A Septic system design and permit application Dear On-Site Services Engineer: The owner of the above lot has a 4-bedroom home on the property. We opened permit OSP 171341 for a new trench,after the existing trench filled with water. Due to the difficulty of adding in a lift station, however, we decided to design a curtain drain to intercept water runoff from uphill and lower the groundwater. However, during construction of the curtain drain, we found the previously permitted septic bed. After discussions with your office,we were able to re-activate the bed.We verified the dimensions, added in cleanouts and monitoring tubes,and connected it back to the existing Advantex tank with a flow splitter valve that will enable switching between the two systems. However, this previously-permitted field is not located with standard separation distances. We would like to request official waivers for these separations. First, the field is only about 15' away from the top of the steep slope on the property. This was never addressed during the original permitting and construction of the bed. In any case, there are several mitigating factors. One is that the steep slopes are naturally vegetated, with plants, brush, organics, and even trees. This vegetation will help slow and even filter effluent if any of it nears the surface of the slopes. Second, the system is an Advantex system, which prQvides significant treatment of the effluent. Finally, the slopes are entirely on property, with no structures or living space downslope. While there is an outfall from the storm drain along Rabbit Creek Rd, which empties into Elmore Creek,it is greater than 50' away from the bed.As this bed operated for years without causing any evident problems with contamination, there is no additional threat to health and safety in re-activating it with a new Advantex system. Second,this field is only 7.5' away from the other existing trench. Again, this was not addressed during the construction of the second trench.However,both fields are very shallow-the bed is 4.5' to the bottom,and the trench is 2.5'.The effective depths are only 0.5' for each.There is very little chance that the effluent will migrate 7' horizontally from one bed to the other,with only 2' vertical separation between the two. While this bed was discovered during the construction of the curtain drain, the soil was replaced and compacted, and the drain re-routed to be 10' away from the bed. Therefore, we are requesting waivers for the 15' separation of the bed to steep slopes, and the 7' separation between the two fields. Sincerely, Benjamin Schiller,PE co..49TH A' Benja ' Schiller : �'F'••. CE 12592 •l&r S fF•• 21asi�e•\*.: til\‘‘‘, ��4r EAGLEBROOK #2, BLOCK 2 LOT 3A PERMIT # OSP171341 PID # 067-041-32 \ ANDOVER CIRCLE SOME PORTIONS I COVERED WITH GEOTEXTILE FABRIC �� AND TOPSOIL J / SEPTIC ROCK ! f' LOT 3A 1,770,.-4,--!;-..;--...:-_, WELE` f 1°k / 4" CPEP 't.r•..::.:: . 42:4444- DRAIN PIPE f......-;1/..:•;•;. / 0 / _OT? :•:•:•:•.•:...:•:. ..•.• ..! .,• ._ / / I WELL> 100' FROM •'.: :.;l.!:r,:.:i. / Q •''f / ', PROPERTY LINE -�=�•-.•._ !-i 4.0 \I\ // 4-BDRMHOME • / , c.:ni.i.•r•.•:i` --- 1%( • / • • ` • • • • • .. © 1. CQ4 T! i :..c..:-...:. ..:-..:-.:i, FCO w- • — _• i CO2 :iF;i:r_V iia* i M}1 '•1 ^. MT1 2.0 i_{ EXISTING 1 500GAL ; F�� `\�� 1/° ti wi ADVANTEX TANK W/ \\•\ `� �\�\ Lill AX20 POD `�`� \. \�\ CURTAIN DRAIN DETAIL LOT 38 I w N \\‘\ \\ '\\ T3 NTS w `�i�•\' CO4 z EXISTING BED `E076o5 NEW CURTAIN DRAIN o (RECONNECTED) 10' FROM EXISTING TRENCH o -- 1 TOP OF STEEP SLOPE " 90 co OR' it (APPROX) G PS��\01 A B C C q/ FCO 3.6 35.0 N'I�K 44 'I 5o S` \S 2 M 1 MH2 6 2 42.6 SEMF'Vt C. - , ` 2C0 67.5 38.5 DV 67.8 39.4 CO1 47.4 47.4 ` MT1 69.2 69.2 _ — CO2 87.2 , 87.2 ----- MT2 83.3 41.6 - ME STREAM (APPROX) CO3 126.3 94.9 _ 10-&E S� INTERMITTANT CO4 127.3 94.6 C05 129.6 93.0 C06 131.1 92.0 C07 133.1 91.3 -71-.9.F. �„ \\ LEGEND �"� '9S k i NOTE: CO-CLEANOUT /Oa,. - 49,11 NO SURFACE WATER WITHIN 50'OF SEPTIC SYSTEM 2C0-DOUBLE CLEANOUT j*: I`k .•*I FCO FOUNDATION CLEANOUT • NO CONFLICTS WITH WELLS OR SEPTIC SYSTEMS ON ADJACENT DV DIVERTER VALVE B in Schiller % LOTS MH- MANHOLE Illi�F�•,. CE •12592 .•'���� 0 50 100 MT-MONITORING TUBE fillsF,?':..A.gip.•a���� MI FEET IIIII SV-SEPTIC VENT ll\\���`��6` 1"=50' TH -TEST HOLE EAGLEBROOK #2, BLOCK 2 LOT 3A PERMIT # OSP171341 PID # 067-041-32 30.0 — 50-65%SLOPES 800' , ---- z 795'i : w 790' EXISTING APPROVED BED . . .. . . u•; C _. . . . 7850' 50' 100' DISTANCE STEEP SLOPE PROFILE i 4'kP44.: J- '9'll / . NOTES: •'. Beni .in Schiller ' / 1. CONTOUR INFORMATION WAS TAKEN FROM MUNICIPAL WEBSITE, ALONG #1%.. CE •12592 •`./� WITH FIELD OBSERVATIONS, AND NOT SURVEYED. ACCURACY IS LIMITED BY iil%aRaFEss`=4� THE INFORMATION OBTAINED. \\�.� MUNICIPALITY OF ANCHORAGE ��•���\\,l DEVELOPMENT SERVICES DEPARTMENT ��p •'" .;gt91,�1i� 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 ..j0).•' ��c '9 lA *:49TH /\ it /� SOILS LOG AND PERCOLATION TEST . B in Schiller I: J,��'EG;%• CE 12592 •.•.4;,% LEGAL DESCRIPTION: 6300 ANDOVER CR g 's 072017 • ` tl fF�F"DPROFESSIO0°..—r PERFORMED FOR: BOB LESTER \\\Xx- _� DATE: 10-18-2017 PROJECT No.: PARCEL ID#: 090-041-47 TECHNICIAN: J. MI LLE TTE Professional Engineers Stamp: DEPTH TEST HOLE #1 (feet) 1 YY'�M y M SLOPE SITE PLAN 2 1 ;::..` SILTY GRAVEL .;:4;P:-. ..4.' W/ SOME SAND 3 h�Yj GRAVEL + CLAY rti:.; r1 TRACE AMOUNTS OF SAND 5 -;:::i4-i;-".-;-'4:`.?. , : , `.?c;` SEE SITE PLAN 7 HARD SILTY 8 ::P GRAVEL 9 • ;1i:,.:r 1 0 ,`,!'.'"'- 'a., BOH 10' WAS GROUND WATER ENCOUNTERED'' YES IF YES �i WHAT'DEPTH? 4.5 C S DEPTH OF WATER AFTER MONITORING: 3.5 11 DATE OF MONITORING: 10/26 12 GROSS TIME NET TIME DEPTH TO NET DROP 13 DATE READING (MINUTES) (MINUTES) WATER (INCHES) (INCHES) 14 10/26 TEST HOLE PRESOAKED PRIOR TO TESTING: 15 10/26 I 3:15 0 2 3:45 30 2 3/16 2 3/6 16 3 3:46 0 17 4 4:16 30 2 '/2 2Y2 18 5 4:17 0 19 6 4:47 30 2 Y2 2 /2 20 PERCOLATION RATE: 12 (MIN/INCH) PERC.HOLE DIA. 6 (INCHES) TEST RUN BETWEEN: 1.5 FT. and 2.5 FT. COMMENTS: Municipality of Anchorage Department of Health and Human Services U&S Building Safety Division On-Site Water and Wastewater Program. 4700 South Bragaw Street P.O. Box 196650 Anchorage. AK 99519-650 Page 1 of 3 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. SWSW020211 PID Number. 017-121-62 7azus Wastewater System: ❑ New ® Upgrade Adaue6300 : ABSORPTION FIELD Phore,� Nu aBeon anr. O Deep h.dr ®Sneib. rr.rh O Bed O Lwow O Ovur LEGAL DESCRIPTION awR.xq TOW DePthhon, ongiWafds Block Lot sldaVlelprl: 2 3A III DePat to pipe bcnan ham aip:w waft. cr.ral a.pn h.rreln pipe: To-*rW Range: sed o Ft FIN added ehon, omwrW wade: cr. w LwVft Well: El New ❑ Upgrade ca 1v° ",NNW d tinea: Dlalenu beaeen Wre: C4a&1i*Wlom dRri'..e. A B. C): Total DePth: cawto:ToW tlwpccm enact 200 Ripe M.ar1Y: Weer DNeww. SWC W.. L".h"Ielltr F6 --1AtQ=4 PVC Date In Wwd. + HOme Services 1 Y" d Rune s. rt tuna H694 Above cram 8113/2002 CePL Fr. FI TANK SEPARATION DISTANCES ❑septic ❑ Holding ®S.T.E.P. ❑Other. To Septic Absorption Lift Fran Tank Fiekf Station Holding btidPMate Tank save. Llne N.axaer•r Orenco/Asch Tank 0 c.rwen 107.4 111.2 110 95 FZ'12 """°t carpwn.ya: Fiber Glass 2 s-,—w.. 104.5 130 118 LIFT STATION La Lhu 85 '17.9 80 Sao: L'ary 250 car Orenco Fou . 27 47Tj36 'waP ar wr.er a 'Fury ea' N.N.', Niw1 wel..i.a K c.n.n a.n 100+ 100+00+ In R"'n L'-"a'''°d" ei.rklor „aPealona R.naa.ae,. R..Wu Advantex System with AX20 Pod. Drain field is BENCH MARK covered with 2" R.I. entire length. Back Porch `Back Porch Ass~E*v : 100.0 Ft Engineer's Stamp Inspections performed by: Pannone Eng. Svc Dates: 1"8/13/2002 mss' +;>r♦i♦ 2n008/1312002 ; QC).N �........ ............ 1 ..... Department of Health and Human Services ap rov 1 0 . .' • • ..................... Reviewed and approved by:Date: -.Z O-O • : �aSleven R. POnnOne/- • No. CE 8149 .' r. PERMIT N0 SW020211 AS -BUILT P.I.D. NO, 017-121-62 WASTEWATER DISPOSAL SYSTEM LOT 3A, BLOCK 2 EAGLE BROOK S/D #2 0 R �r�ve 1001 1 1 'il SET BACKK 1 i i 100' W 1 j 4 0 \ \ RADI ELLS 1 � I ' EXIST'G 3 .8 \\ \ 4BR HOUSE y \ I '1 NEIL ADVANTEX i i SEF71C SYSTEM W/ I I 10 .4 21 X2q POD P " I NEW DRLD j j I B j � \ 40LFx5'x0.5EFx0.5EFF TH FC 3.6 35,0 W 1 1 i I FC CI \ TI 27.2 42.6 0) i e L s l Cp tG ' Tl —_-�_= ✓1 LS 36.9 46.1 qI� I 04. I MT__C q\ CI 47.4 47.0 _A\ C2 69.2 66.2 C2 87.2 81.7 EI 24.7 49.5 EM1 44.6 64.9 I I Extsrc E \\\\ \\\ \ Q°1EM2 93.0 105.3 IN R ' i 1 ABANI NEDL PAT � M2 \\\\ CD SCV4 -3 I I ,L .,\Work\�W NG -2E GL ROPX.DWG \ ` •.�p�E........, gC q�� ;• �i . '' �......... ................5... ' r .... • r REPARED F❑R: PANN❑NE ENG. SVC, LLC i�Steven R. Ponnone� i ♦ . Hayes Willdoves P. ❑. BOX 102954 1�J� No. CE 8 49 �� 6300 Andover Circle ANCHORAGE, �j Q?�•''t•• Anchorage, AK 99516 ALASKA 99510 q��;.. e68-3362 227-3522 P, 272-8218 Fax I% ISL ••• DATEi 8-15-02 AS -BUILT crw. r. .._�... PERMIT NO: SWO20211 AS—BUILT DETAILS WASTEWATER ABSORPTION SYSTEM LOT 3A, BLOCK 2 EAGLE BROOK S NOTE] 1) ALLWORK WAS PERFORMED IN ACCORDANCE WITH AMC15.65. 2) MATERIALS USED SHALL BE IN ACCORDANCE WITH THOSE SPECIFIED IN AMC15.65, WASTEWATER DISPOSAL. 3) CONNECT POST TANK LINE TO START OF DRAIN FIELD. TYPICAL. 4) INSTALL DRIVEWAY AT LEAST 5 FT AWAY FROM DRAINFIELD. DO NOT INSTALL DRIVEWAY OVER DRAINFIELD. 5) MAINTAIN 10' SEPARATION TO ALL LOT LINES. d n a u c L — Y L O K 5c d� 4 Zr a g n m , Drawing G\Work\3A-2Eaglebrook2.DWG i •'' 49TM R. 0 m m Hayes Willlans 6300 Andover Drive Anchorage, AK 99516 868-3362 Hn 00 m Sam Mall 00 NV313 1(la Nv3V laa NV313 ifla NV313 lila NV313 Nallvawlaj P.I.D. NO, 017-121-62 w _J lam. E3 Qf CL Pannone Eng. Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 PHONE & FAX 4T - 8-15-02 OT TO SC AIF AS -BUILT 05/15/2002 11:88 FA3 9079880770 A* Home SerTlces, Inc. IM001 AUj.-10-2002 11190 AIM Eno. ELECTRIC 272 .1590 P.01 .r , . „ 4.(./ ,,..i... '313% R18ht7AX 6/14/2002 5s48 PAVE 1/1 RiahtFAX • tnspeegotl Rglpt MunlCIP&Uty Of Anchorage, tullding Safstr Division 4700 South Srspaw INSPEC12ON1VOSC! X43.000 IMMMOMSPAX (007)040-7777 MCI 34S-8221 Name ED'S ELECTRIC P4M t 024445 Add� 5300 ANDMR CIR Phone 272-4591 Level BK 1 IT JA Itipecdon Pon a/1S/2000 AM iubdfls" EWLEBRAOK it Conntata or Direotk" 6EP"C LlFrSTATION/CA L B4 TO MEET Inspection Fl dl Cbdl lcaI Rdnopectloe N NO NONCOMPLIANCE 06SEMO ❑ CDRRECRONS ESSEXUALAS EXPLMNEO BELOW ❑ WILL INE AT NEXT ArSPECrION E300 NOT OONCFAL L MTIL REBPSPEC ION CRON COMMtMT/1 (for Inspector use ") CLEc.ZI t-" L rtac t(N14' -FM' rM j e c ?/Z' /6 MUNICIPALITYOFANCHOR4GE yaTa f)*i-" Development Services Department On -Site Water 8 Wastewater Program,Z "�� t�P wl 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 05, 2002 Expiration Date: Jul 05, 2003 Permit Number: SW020211 Parcel ID: 017-121-62 Legal Description: EAGLEBROOK #2 BLK 2 LT 3A Design Engineer: 0062 Pannone Engineering Services Site Address: 006300 ANDOVER CIR Owner Name: William Hayes Lot Size: 60497 SQ. FT. Owner Address: 6300 Andover Dr. Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516 - This permit is for the construction of: ❑✓ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State 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. 5. The following special provisions. WHEN THE ASBUILT INSPECTION REPORT IS SUBMITTED TO THIS OFFICE FOR THE PROPOSED ADVANTEX SYSTEM, IT WILL NOT BE APPROVED UNTIL THE NEW PROPERTY OWNER HAS SIGNED A PROPERTY OWNER AGREEMENT TO MAINTAIN THE SYSTEM. Received By: Issued By: `��QQQ/QJLi�i� Date: -7h LCZ_ Date: S OZ 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.ci.enchorage.ak.us (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-121-62 Permit Number SW0 202 / / Property owners) Haves Williams Day phone 868.3362 Mailing address (1) 6300 ANdover Drive Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Lot 3A. Btock 2 Eagle Brook SID, No. 2 Legal description (Section, Township & Range) Lot Size ,7VW Acre q.Ft. G0, 49 i THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I 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) G Permit Fees: 0 Waiver Fees: Date of Payment: _C��/ Date of Payment: Receipt Number: 6 a I qQ � G: , Receipt Number. (Rev. 12/00) Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineers Anchorage, Alaska, 99510 (9071272-8218 (907) 272-8218 Fax July 1, 2002 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 3A, Block 2 Eagle Brook S/D , No. 2 Septic System Replacement Permit Request Gentlemen: My firm was contacted to a Health Authority Approval of the septic system serving this lot. The existing trench was inundated with liquid when I arrived. The system is in failure. A single test hole was excavated on June 12, 2002 on the lot. The soils report and a percolation test result is attached. Ground water was monitored for seven days. No bedrock was encountered in the test hole. Ground water was encountered in the test hole at a depth of eight feet and monitoring to a depth of seven feet on June 19, 2002. Seeps were noted at a depth of seven feet. This depth will be used for the design water table. An Advantex AX20 Septic System will be installed as the upgrade system. The lot is approximately 21,538 square feet in size. Lot 3A slopes to the south at approximately 1-2 percent in the area of the test holes, and then steepens to approximately 10 percent on the southern portion of the lot. A drainage ditch flows along the west property line. The 100' creek set back will be staked and maintained. The existing septic tank will be abandoned. The proposed installation will be located on the eastern portion of the lot. The lot is served by a private well. The proposed location is greater than 100 feet away from existing & neighboring wells and 25 feet from the water service lines. The surrounding wells are located greater than 200 feet from the proposed installation. The proposed installation will not affect the future development of the surrounding or existing lots. See the attached design. 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: Q\Work\Letters\3A-2 Eagle Brook.001.doc H\Steven R. PannonelC _rF8149 P PERMIT NOt SW02 DESIGN P.I.D. NO, 017-121-62 WASTEWATER DISP❑SAL SYSTEM LOT 3A, BLOCK 2 EAGLE BROOK S/D #2 ! I h I 0 � EXIST'G 3 4BR HOUSE—\ V. ,��Sleven R. Pannone !n No. CE 8149 .J'_� ; FAM ' EXIST'G IN FAI TO BE ABANP 'P',�LCD Sc AT AG C❑ A B t TI 14.5 43.6 T2 22.8 48.3 -. • An= Hayes Williams 6300 Andover Circle Anchorage, AK 99516 868-3362 Pi CREEK BACK _ 100' WELL t RADIUS 1 \t PROPOSED ADVANTEX EPT1C SYSTEM V/ \AX20 POD t \ t ROPOSED DRAINFIELD \ 40LFx5'xO.5EFF tt t t l \ t t \ \ t � \ t t t � \ t PANNONE ENG. SVC, LLC P. 0. BOX 102954 ANCHORAGE, ALASKA 99510 DESIGN PERMIT NO, DESIGN DETAILS WASTEWATER ABSORPTION SYSTEM LOT 3A, BLOCK 2 EAGLE BROOK S/D #2 NOTE, 1) ALLWORK SHALL BE PERFORMED IN ACCORDANCE WITH AMC15.65. 2) MATERIALS USED SHALL BE IN ACCORDANCE WITH THOSE SPECIFIED IN AMC15.65, WASTEWATER DISPOSAL. 3) CONNECT POST TANK LINE TO MID- POINT OF DRAIN FIELD. TYPICAL. 4) INSTALL DRIVEWAY AT LEAST 5 FT AWAY FROM DRAINFIELD. DO NOT INSTALL DRIVEWAY OVER DRAINFIELD. 5) MAINTAIN 10' SEPARATION TO ALL LOT LINES. m CL a V � � — Y L O a ?; 5 C Drawing C,\Work\3A-2Eaglebrook2.DWG 49LN en R. Pa CE 8149 Oa)id 0 Z 0 F— u U LLI N Hayes Williams 6300 Andover Drive Anchorage, AK 99516 868-3362 Hm LIM NV3X 3eni aaim 1110 NV31 ln0 NV3M !no NV3M 1110 NV3M IM NV= 1110 NV3M N0llVaNnOJ P.I.D. NO, 017-121-62 i J Pannone Eng, Svc., LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 DESIGN PERMIT NO, SV DESIGN DETAILS P.I.D. NO, 017-121-62 WASTEWATER ABS❑RPTI❑N SYSTEM LOT 3A, BLOCK 2 EAGLE BROOK S/D #2 INLET YM Am ntm UTI. INSTALL 4' RIGID INSULATION OVER TANK b DRAINFIELD. EXTEND R.I 2' BEYOND SIDE OF TANK. INSTALL R.I. AROUND AX -20 FILTER. ADVANTEX TANK DETAIL DESIGN CALCULATIONS Number of Bedrooms - 4 Total Bedrooms - 4 Design flow - 150 gal/br/day, Total flow - 600 g/day Drawing CAVork\3A-2Eaglebrook2.DVG • j IX, R. Pannone #1_!n'+._ No. CE 8149 s'�� cTer. TANK SIZE, 1500 gallon Advantex tank SOIL ABSORPTION SIZE, Advantex Sewer System AX20 Pod - Class III System Perc Rate= 15-30 min/inch Application Rate= 5 GPD/SF Size Required= 600 GPD/3 GPD/SF = 200 SF Use 5 -WIDE Trench, 0.5' effective 40 if Req'd Single Trench, 40 if. Hayes Williams 6300 Andover Drive Anchorage, AK 99516 868-3362 Hm PANNONE ENG. SVC. P. O. BOX 102954 ANCHORAGE, ALASKA 99510 DESIGN a=& Lw - 7MMODUAMOZ TMT PANNONE ENGINEERING SERVICES P.O. BOX 102954 ANCHORAGE, AK 99510 MM 772-8218 6%121oZ PERFORM® lOR: EIq'ea WiWsms DATE PERPORI ED: 43142 LEGAL DEBCRWnON: Lot SA, Block 2 Snide Brook 8/D. No. 2 TEaT HOIs 1 Oqpnlo- TOPMU 1 2 a 4 a 6 7 a OH/ Now armw w/m1 to am 0 0 �4 a� O.a.do./aam sat WAS GROUND WATER ENCOUNTERED? Yea IP YES. AT WHAT DEPTH? -8 DEPTH TO WATER AFM MONITORING? -7- DATE: 519-02 KeAC010 Dues G� 7aa lar eta colo VAT= Kar Dwr -13-02 1936 6' -- 1946 10 3 3/4' 1 1/4' 1946 — 6 3/8' -- M% 10 51/8' 11/4' 1956 -- 6 V4' -- 10-06 IO 5' 11/4' PEROLATION RATE 8 [colt/ltrhl PMC HOLE DIAhWMR 6 ltrbm TEST RIM MITEEN 5 FT and 6 FT COi0Mf1'S: Ted hole eaaavaaW by Owner. Ted Hole waa ymmosloed before Derc teat f MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street • Anchorage, Alaska 99501 Telephone 2644720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME 44 V1.0 tiP�/✓/F�' PHONE 399-537 EW ❑UPGRADE MAILING ADDRESS OGD Sall c,9 gy-oz LEGAL DESCRIPTION �i}6LE8QA7K 8GK Z Lel- 3,4 LOCATION • /tABB/T re fa .va.tt/ii�EZD Td /fNG#�v�i NO. OF BEDROOMS !L U Well a Absorption area ✓ DISTANCE TO: NUT /�V ) Dwelling 141 PERMIT NO. Y P 2 Wf ufturer 7VOT Material`— �e�Z 0.'L7. 5Z No. of compartments z Liq. capacityin gallons /2 S6 IF HOMEMADE: Inside len th 9 Width Liquid depth d Y JD$ DISTANCE TO: Well Dwelling PERMIT NO. _ ? FQ- Manufacturer Material Liquid capacity in gallons W = Well NOT /N DISTANCE TO: Foundation //Or Al Nearest lot line /G r PERMIT NO. �} 3O "s -Z � w Z 2 W t—o No. of lines Length of each ine�? J Total len th of nes. Trench width Q Distance between lines H Top of tile to finish grade 7 Inches Material beneath tile 6 inches Total effective absorption area ! e­_-,a , W Length Width Depth PERMIT NO. —.— — l7 a a W Type of crib Crib diameter Crib depth Total effective absorption area y DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. W DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS PYG SOIL TEST RATIN INSTALLER 11 %C REMARKS 1.993 Ae5Fc//T — =%fF v46b° 0,977 j �rPv�/r-� - .aaveavFo ar _/Omw ��EA/NEDy 3 zz B ¢ Sr N r .5 e e. r7DATE LEGAL Tly a/eq EAhLEB'Zgdc' 131-4 Z 407- 3,¢ 72-013 (Rev. 3/78) m i Mf�M I C I �^L I TY QF fit FCF��r?RGE DEPARTMENT HEALTH AND ENVIRONMENTAL t..9TECTION �� 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 W ELL E SEIJEFZ F=-EFZt•F I T PERMIT NO. ( 830252 ) APPLICANT DAVID GRENIER 6937 OLD SEWARD HIGHWAY 99502 349-6537 LOCATION LEGAL L 38 EAGLEBROOK S/D #2 LOT SIZE 888888 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAIFJFIELD MAXIMUM NUMBER OF BEDROOMS = 4 SOIL RATING (SQ FT/BP,)= 284 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: E>EPTH= 6 L-E:"OTH= GFZf=lVa:LL F7EPTH= 2 THE LENGTH DIMENSION IS THE LENGTH (IFJ FEET) OF THE TRENCH OR DP.AINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THE TFZEtJCH 141E> -r" I Sti 5. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IFJ FEET). F2EG�lJ I RELti SEPT I C _FnVJK S 12! EE: = 1c !SiD C3 F=l LLOit-F_�-; 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. Tl -JCI <2> nFZE FZEG[U I FZEF7 --- BACKFILLING OF ANY SYSTEM 14ITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTAFJCE 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 DISTAFJCE FROM A PRIVATE WELL TO A PRIVATE SEWER LIFJE IS 25 FEET AFJD TO A COMMUNITY SEIJER LIFJE IS 75 FEET. I -JELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PEFZf•1 I T EXP I FEES DECEMCER �'1.r 1'983 I CERTIFY THAT 1: I AM FAMILIAR IJITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I (JILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 4 BEDROOMS. SIGNED ISSUED K� i a�A `� SA 0` �" 6 Jho M 4. 0 r^ /10*�. ALASKA Ei iUIROflmMAL. COnTROL SRUICES, InC. Engineerinq 6 Enuironmenial Studies November 1, 1984 Department of Health and Environmental Protection 825 L Street/Fourth Floor Anchorage, Alaska 99502 Attention: Susan Oswalt Subject: Eaglebrook Subdivision - Block 2, Lot 3A Dear Susan: On April 13, 1983, this office performed a soils log, with percolation test, on the subject property. At that time no ground water was observed in the test hole. A water monitor pipe was installed prior to backfill of the test hole. The pipe was rechecked April 19, 1983 (six days later) and ground water was found to exist at --14:5 feet.-, During 1983, the ground water monitor procedure came into effect. In the 'Procedures, Soils and Percolation Testing' (received*by this office May 5, 1983), items 9, 17, and 18 address ground water monitoring, pipe installation, etc. However, the purpose of the monitoring was outlined for platting submittals. These regulations specified observed or suspected ground water at depths of 12 feet or less. Such is not the case with this particular soils test. No ground water was initially observed, but ground water was recorded at 14.5 feet M2 feet). When the ground water monitoring was being implemented by DHEP, this office anticipated the application to individual lots. Although the water monitoring was not performed according to Ways procedures (specifically — 7 days), at the time of the soils test it was performed in advance of the regulations. AECS *,IadoptW the application, as it was.a beneficial procedure to soils testing for t lot development. If this office can be of further assistance, please contact us at 561-5040. Approved By: Sincerely, Larry Montgomery CF' C_�� o 1200 West 33rd Auenue, Suite B • Anchorage, Alaska 99503 • (907) 561-5040 i1 Municipality of Anchorage POUCH 6-650 ANCHORAGE, ALASKA 99502-0650 (907) 264-4111 TONY KNOWLES. MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ,1 i1 September 5, 1984 Mr. David Grenier lc-' 6937 Old Seward Anchorage, Alaska 99502 Subject: Lot 3A Block 2 Eagle Brook Subdivision We have received your engineer's as -built of the recent sewer installation on the above lot. However, we cannot accept it until the following are accomplished: (1) Have your engineer perform a seven(7) day water monitoring test at a site within ten(10) feet of the bed. (2) After the water monitoring is done, bring the results to this office and apply for a well and sewer permit for 1984. The 1983 permit expired on December 31, 1983, and is not valid for this installation. The above items must be completed within ten(10) days. If you have any questions, please call this office at 264-4720. Sincerely, Susan Oswalt Engineering Tech III SO/ljw cc: Alaska Environmental Control Services, Inc. 1200 West 33 Avenue, Suite B 99503 Ay MUNICIPALITY OF ANCHORAGE. Departmeni""�f Health and Environment. Protection 825 ., Street, Anchorage, AK. 79501 264-4720i� Permit # * * * HANDWRITTEN PERMIT " WELL AND/OR ON-SITE SEWER PERMIT Applicant: IL Mailing Address: -/ q 3 % �fO J�u�i9r� Location: Phone Number: 3 y 9- �3 7 4+ Go r' 3 A Legal Description: QACJ Size: -- Type of Soil Absorption System Is: Trench: Drainfield: l/ Seepage Beds Holding Tank: Maximum Number of Bedrooms: Soil Rating(sq.ft/br) �f9 The Required Size of the Soil Absorption System Ise' DEPTH LENGTH .41t�.GRAVEL DEPTH oZ WIDTH S 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 gravel depth is the minimum depth of gravel between the outfall pipe and the bottom of the excavation(in feet). * * REQUIRED SEPTICiWO-TANK SIZE 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(2) INSPECTIONS ARE REQUIRED Backfilling of any system without final inspection.and approval by this departme will be subject to prosecution. Minimum distance between a well -and any on-site sewage disposal system is 100 fe 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 3 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 wil install hesystem in accordance with codes. (3) I u rs n t the on-site sewer system may require enlargement if th a is remodeled to include more thatn bedrooms. Signela: - ^ Issued by: Applicant Date: SWP/024(1/81) aaae" `�a�ttC.� ...0 zn_v_ironmentaLProtection__ .. i • - SOILS LOG F MUNICIPALITY OF ANCHORAGE • v DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION 625 L Street, Anehw TEST ape, Alaska 89501 2644720 T SOILS LOG — PERCOLATION TEST. PERFORMED FOR: Tom L1 0 K%�5 - `^LEGAL DESCRIPTION: aF 1 IF[[TI (OL) 2 1 1 1 1 red OYOic. anSIIts J .$ 11 `^`4 5 CUM) .s Silh� sandy {ravel J Ian 0 Cob4o1 e 75 10 11 13 (SP) .. COMPL} 1a velly `Sand 15 (M L.) 1s brown 17 64 18 19 20 sLUre r DATE PERFORMED: - b-3 La+ 3n WASGROUNDWATER o ENCOUNTERED? 'V N 4.13-133 IF YES, AT WHAT ye5•y•19-$. DEPTH? 12"gel-chole "Lj r,. SITE Reading Date G ro:: Time Net Time Depth to Net Water Drop +H2O 4113183 110.38 0 .5o — 41 10 .49 .03 HZO IU'SD O z II.a 10 .4 1 .03 N=0 11:01 0 .SD — IUII 10 .4Y .02 i-Ftzo 11:12 O 11:22- 10 e 4 8 O2 +k20 h:21 O .51 — 0 11:32 10 .y$ �u .03 PERLOb CATION RATE• 11'�y T� 1p Iminute:/i cTl ' 0Z TEST RUN BETWEEN L4.5- FT AND _� FT ❑'/bedroorh I PERFORMED BY: CERTIFIED BY: ST83-d y 72-008 (6/79) DATE: J. t s7�� - -' MUNICIPALITY OF ANCHORAGE %•�(j�7� DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION C1'VQI 625 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST PERFORMED LEGAL 7 8 9 10 it 12 13 14 15 16 17 18 19 20 COMMENTS ML- some grWeA c -IM- sll-4y, lots of _ V to very nrolsl- c m- SM(A gdkie) bzccxr jGN'uyc-*cA WC Is�J\ SLOPE WASGROUNDWATER ENCOUNTERED? YES, AT WHAT I)FEPTH? 10 pI SOILS LOG PERCOLATION TEST DATEPERFORMED: f3'IZ'8 Reading Date Gross Time Net Time Depth to Water Net Drop tN2-0 F.00 -0- —2-.77- 1 208 3:10 Z.1cl e/ , + a 3 -- a. 27 1 2 f hCt tHzo -P Z•3 3 �33 jo fiN o a' 37 05 o 1 .2.3 =33= .OS PERCOLATION RATE v t. � •I(RlTutes/inch) t p EST RUN BETWEEN : F7 AND PERFORMED BY: _ c nle- rl �1 �7D' CERTIFIED BY: ''� t r t t "rOATE: �•�!'1.$� 72.006 (6/79) r �` I u n w to ro � C N AI V 1 i t rr a c' co i 6 i '• I ! T� co € 1 � �f•, • i f i ; i iT! �� i 1 j i i` (Y C 1 `-N Development Services Department _ = Phone: 907-343-7904 On -Site Water & Wastewater Section Fax: 907-343-7997 Parcel I. D. 017-121-62 Certificate of On -Site Systems Approval Expiration Date:_9 — 2-3 -2.®zl 1. GENERAL INFORMATION Complete legal description EAGLEBROOK #2 BLOCK 2, LOT 3A Location (site address) 6300 ANDOVER CIRCLE, ANCHORAGE, AK 99518 Current property owner(s) TRAVIS VLASOFF Day phone Mailing address Real estate agent 6300 ANDOVER CIRCLE, ANCHORAGE, AK 99518 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 Day phone 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Private Well ® Private Septic Water Storage ❑ Holding Tank ❑ Community Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ Waiver request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 5_t�0 Date of PaymentU Receipt Number 5 COSA # Q_e5i�2112°l5 Waiver Fee $ Date of Payment Receipt Number Waiver # 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, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is (are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. I acknowledge that On -Site staff may visit the site to verify the information submitted. Name of Firm FIRST WATER CONSULTING Phone 907-350-9566 Address 13030 SUES WAY, ANCHORAGE, AK 99516 Engineer's Printed Name CURTIS HUFFMAN, PE Date 5/27/2021 Comments: This investigation was completed in compliance with MOA guidelines, regulations, and best industry practices / methods. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes in land use, local soil characteristics, groundwater levels that may fluctuate during the year, quality of construction (workmanship & materials), the water usage of the family being served by the , system and maintenance. The operational life of all well and septic systems are subject to r+`or these various and dynamic characteristics and are outside the control of the evaluator of the P •- .&W well and septic system. Therefore, any estimate of how long a system will function satisfactory ��)j for current or future occupants or guarantee that no unseen encroachments, deficiencies or f discrepancies exist can be given by First Water Consulting & NES *' L ......* �� 6. DSD SIGNATURE Curtis Huffman System #1 Approved for bedrooms ��r �F��s CE 128991��� Y PP �� TFC •.5/27(21• System #2 Approved for bedrooms �t\' PROFESSI* Disapproved Conditional approval for bedrooms, with the following st ip��g% W (((((OF ((�i� ON-SITE VV TER AND m z; PROGF ANj �i­/ SERV�GFc�`?. 1111)t)))l�t,0) Original Certificate Date: Sp - 2-3 The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other Legal Description: EAGLEBROOK #2 BLOCK 2 LOT 3A Parcel ID: 017-121-62 If more than 1 septic system on lot: COSA Checklist # `of A. WELL DATA ® Well log is filed with Onsite (or attached) Date drilled 10/17/1984 Total depth 125 ft Cased to 125 ft ® Sanitary seal is functioning correctly ® Wires are properly protected Casing height (above ground) 18+ in. Date of flow test for COSA 5/26/2021 Static water level at beginning of test 11 ft. Well production at time of test 6.9 gpm Comments B. TANK DATA Age of tank(s) 19 years Tank type/material ADVANTEX / FIBERGLASS Measured operating fluid level in septic tank * ® Standpipes/foundation cleanout per record drawing Date of pumping D. ABSORPTION FIELD DATA Which system tested (date installed) 8/13/2002 ® ALL standpipes present per record drawing Total measured depth from grade 2_5 ft (max) Structure served by this system Water storage tank volume NA gallons Well disinfected for coliform test? ❑ Yes ® No ® Coliform bacteria is Negative Nitrate mg/L ® Nitrate less than MRL (ND) Arsenic ug/L ® Arsenic less than MRL (ND) Collected by S Date of Sample 5/24/2021 C. LIFT STATION ® Required maintenance completed Age of lift station _ years Lift station material Comments: *SEE AX MAINT. REPORT Adequacy test date 5/26/21 Results M Pass For 4 bedrooms Fluid depth prior to test 0.5 in Measured depth to pipe invert from grade 2.2 ft (min) Water added 620 gal ❑ N/A — pressurized field New depth 1 in ❑ Monitor tubes go to bottom of effective. If not, state depth into effective 0.3' OF THE 0.5' ED Elapsed time 1330 min ® Code -required soil cover over field W/ INSUL. Final fluid depth 0 in ❑ System presoaked Absorption rate 600 gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) N date of test) Gallons introduced gallons If yes, enter date Comments/Deficiencies: MAY CONSIDER SWITCHING VALVE TO ABSORPTION BED TO REST TRENCH. OWNER SAID THEY HAVE BEEN USING THE TRENCH SINCE THEY BOUGHT PROPERTY IN 2018- FW',.0 E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' ® Yes if No Community Sewer Manhole/Cleanout > 100' ® Yes if No ft ® Yes if No Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25' ® Yes if No Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No Neighboring Absorption Fields > 100' if No ft Animal Containment > 50' ® Yes if No ® Yes if No ft ft If septic tank is under driveway comment below Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft ® Yes if No From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' ® Yes if No Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: ® Yes Absorption Field > 5' ® Yes if No ft Private Wells > 100' ® Yes if No _ Water Main > 10' ® Yes if No ft Community Wells > 200' ® Yes if No _ Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) Building Foundation > 10' ® Yes if No ft If absorption field is under driveway comment below Property Line > 10' ® Yes if No _ ft Wells on Adjacent Lots: Water Main > 10' ® Yes if No ft Private Wells > 100' ® Yes if No —ft Water Service Line > 10' ® Yes if No ft Community Wells > 200' ® Yes if No Surface Water > 100' ® Yes if No ft F. ENGINEER'S COMMENTS G. ENGINEER'S CERTIFICATION 1 certify that / 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. Ave • Curtis Huffman ��¢ �``�'�••. CE 128991AMW �.+�' F�pROFESSOI .� ft ft ft ft ft ft ft ft MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND REPAIR AGREEMENT, herein the "AGREEMENT" made and Andre k entered into as of this Day of 4y � � � of 20, by and between An rem j)a��.0 lCr rY1 herein the "OWNER." and the Municipality of Anchora(ye, 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 a,,ree as follows: 1. Advanced Wastewater Treatment Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as AN ADVANTEX SYSTEM located at (legal description) EAGLEBROOK #2 BLOCK 2, LOT 3A ?. 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 rx U 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). Owner agrees that only maintenance and repair personnel approved by the Municipality vt 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 a�,rees that: any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval, 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 r 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 Mtuucipality 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 ofthe 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. 05/18/201.8) Page 2 of 3 OWNER: By��1(��'��ignature) rint name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) Date: :21-,21 The foregoing instrument was acknowledged before me this 02/ daMy of y 20) ; by r rl C( ►,-1 Gtr %� (% p �A() A • Co ! I-oo, L All ARY PUBLIC FOR ALASKA� Commission expires:y !'�' / I �Z MUNICIPALITY By: - (signature) :ES otary Public V SA t -,ANI BOA tate of AlaskaMy Coon G;tai;es March 12, 2:23 ' Date: (,-2-3 -?,/ (print name) Title: (rev. 05/18/2018) Page 3 of 3 393 821 >il tgoogol on 1 Ell 1 I Ell 1111goman N man *vanmeim 1 ield Maintenanim Annual{ Inspe ,,tion pt»party OWNT/Tratking # Travis Vlasoff llto Addrt 6300 Andover, And "A,srce ro t AX -'i 00127 Retrieve O&M info Daily flow Recirc ratio ,^ Timer settings: AnchorageTank 907.272-3543 x,„77 �G�1�' ,7 /t� � � �'+•� } 3,Z�� Perform Field Samp ing/Observations NTU (15 x NTUs) F i (6.8) DO (2-6) ) 8- .-%F —41 Odor of Sample Typical [ Mus y Z11 Earthy '1J.. Moldy Non -typical ;2�Su*4 le F1 Cabbage 0 Decay Oily film in PVu 1 J Yes ONO Foam in t mk ] Yes �No Check Coritrol Pant I Reclrc Amps Discharge Amps Audible and visual al tm^ OK Dial tone (telemetry I 'ly) ❑ Yrs Inspect/Clean Pearn I System Y lnspect Clean RiRer/Lid ......... ........... splice Box ........ .......... I t L Float Cords ................... Floats ....... . ... ............ fz Pump......... ....... .. V�i Biotube Etter .... ............ Blotube Pump Vauii ... • ....... Recirculating Splittf Valva• ...... Comments signature Measure Sludge/Scum Sludge Scum 1 st Compartment Curre Previous Current Pn3vious 2nd Compartment UfMQLx/ Previous Current Previous InSpectfClean AdvanTex Filter Odor: Normal ❑ Pungent Biornat: Normal EXCs�tslve BrldginglPonding; Non*/Mlnar ❑ Excessive Inspect/Clean Diischarge Pump System In Riser/Lid splice Box Float cords inspect/Service Other System Comisonentt Inspect Clean Lateral4fOrifiot+s Pod Bottom Intake Vent ��y ' inspect Clean Floats rJ�i yam' Pump ire Inspect Clean inspect Cle--ea,,,nJJJ Disinfection Equipment .Z �� Disi�rsal Laterals/Qrlfices observations Additional Services Rendered ,Cleaned textile sheets? n Replaced UV items? Replaced/Used other items? Parts Used. W = Warranty, B = Billable (/ appropriate: selection) txr w itorn Number Description Final/Safety lnspectlon RSV reinstalled ,%Lids bolted on Manifold reconnected; flush valves closed �p6ntrol panel reactivated Summary/Recommendations ;Z$ystem performing; no further action needed 0-fank needs pumping — ❑ Call for mwice ❑ ether? Fax completed form to 1-$66-384^7404 suBMITTAL • • G� eg, Municipality of Anc or M1`' ' oQ4. On-Site Water and Wastewater Program 1 Y ��= v1:4 a.iJ 0 i (907) 343-7904 ^a ;; r ' j w A F E T T 4;. M � " 'Z018 Certificate of On-Site Systems App $ alA. 0 Parcel I.D. 017-121-62 Expiration '. g _ ��� a 6 9 I- 1. GENERAL INFORMATION Complete legal description Eagle Brook #2 Block 2 Lot 3A Location (site address) 6300 Andover Circle Current Property owner(s) Robert Lester Day phone 907-632-1987 Mailing address 6300 Andover Circle, Anchorage, AK 99518 Real Estate Agent Day phone 2. TYPE OF DWELLING: O Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual Individual Water Storage ❑ Holding Tank ❑ Community Class Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: ^ S aid 62M5 CI oi/cr (,):(' ate: 7</( // J/ COSA to be released to the engineer,unless otherwise requested by the engineer. COSA Fee $ .6-a. Waiver Fee $ Date of Payment 3N--11? Date of Payment Receipt Number 68&abb Receipt Number COSA# O tC ! 8l 31,3 Waiver* 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, based on procedures outlined in the Certificate of On-Site Systems Approval Guidelines for this application, shows that the on-site-water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Forge Engineering Phone (907) 522-7773 Name of Firm9 9 Address PO Box 240773 Anchorage, AK 99524 Engineer's Printed Name Michael E. Anderson, PE Date 8/06/18 ' F C \k i�Q•� • O AIS-s 7371 A *.• 49 TH 1\ %Ic y 6. D D SIGNATURE O'x'1&� L &0.. System #1 Approved for Li bedrooms I. Michael E.Anderson 9�-f, 4381-E ••`� System #2 Approved for bedrooms lli ei,•.$-b-•i e.,v..:-- Disapproved Disapproved l‘,F/)PROFESStON�+ Conditional approval for bedrooms, with the following stipulations: Gin1,0.1 ` Ct, ,, J w UN-sir .C:4- 14147-CR � iT WAsrER AND ri--1 • PRoGRgM R ^,--_elc 1-317--------%--- (5-- Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 7. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet_E '- c If more than 1 septic system is on the lot: COSA Checklist# of Structure served by this system Certificate of On-Site Systems Approval Checklist Legal Description: Eagle Brook #2 Block 2 Lot 3A Parcel ID: 017-121-62 A. WELL DATA Well type Private If A, B, or C provide PWSID# Well Log (Y/N) Y Date completed 10/17/84 Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y Total depth 125 ftCased to 125 ft. Casing height (above ground) 24 in. FROM WELL LOG AT INSPECTION Date of test 10/17/84 8/02/18 Static water level 32 ft. 14.5 ft Well production 20 g.p.m. 7.6 m 9p . WATER SAMPLE RESULTS: Coliform Neg colonies/100 mL Nitrate ND mg/L Arsenic ND ug/L Date of sample: 7/26/18 Collected by: Forge Engineering B. SEPTIC/HOLDING TANK DATA Tank Type/Material Advantex/Fiber Glass Date installed 8/13/2002 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cleanout (Y/N) Y Depression over tank(Y/N) N High water alarm (Y/N) Y Date of pumping Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 8/13/2002 Soil ratingz z 4 GPD/SF 5'Wide Trench (g.p.d./ft or ft2/bdrm) System type Length 40 ft. Width 5 ft. Gravel below pipe 0.5 ft. Total depth 5 ft. Eff. absorption area 200 ft2 Monitoring tube Y Depression over field N Date of adequacy test 8/02/18 Results (Pass/Fail)) Pass For 4 bedrooms Fluid depth in absorption field before test 2.5 in. Water added 644 gal. New depth 2.5 in. Elapsed Time: 0 min. Final fluid depth 2.5 in. Absorption rate >= 600 g p d N Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed 8/13/2002 Size in gallons 1500 Manhole/Access (Y/N) Y "Pump on" level at Timer in. "Pump off' level at Timer in. High water alarm level at 46 in. Bottom of Tank A+ Home Services Y Datum Cycles tested Meets alarm&circuit requirements? E. SEPARATION DISTANCES WELL ON LOT TO: >100' On ad acent lots >100' Septic tank/lift station on lot J >100' On ad acent lots >100' Absorption field on lot J Public sewer main >75' Public sewer manhole/cleanout >100' Sewer/septic service line >25' Holding tank >75' Animal containment areas >50' Manure/animal excrete storage areas >100' SEPTIC/HOLDING TANK ON LOT TO: 0r >5 Absorption >5' Building foundation Property line field >10' >10' >100' Water main Water service line Surface water Wells on adjacent lots >100' ABSORPTION FIELD ON LOT TO: > ' Property line >10 Building foundation >10' Water main 10 Water Service line >10' >10' Surface water >100' Driveway, parking/vehicle storage None Noted >100' Curtain drain Wells on adjacent lots F. COMMENTS .�tt\\.Nv G. ENGINEER'S CERTIFICATION QF A� �k‘ I certify that I have determined through field inspections and ���Q.• •• `'� ••'��00 review of Municipal records that the above systems are in fl*:'49 TH /\ ..*& conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name Michael E. Anderson, PE ti14,-t-L-LEa,42-1 8/06/18 �j .�• Michael E.Anderson• Date (+�F��,F kkji) 4&1;E6 �� � �� 0 PRO. s.sio � - COSA brown sheet_10-10-12.doc MUNICIPALITY OF ANCHORAGE ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT THIS MAINTENANCE AND AND REPAIR AGREEMENT,herein the "AGREEMENT" made and entered into as of this O` Day of AIAloN"3T of 20 lb , by and between <014'5 L. J(.ASO1=F _, 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 Systems. The Municipality grants permission to the Owner to utilize and operate an Advanced Wastewater Treatment System(AWWTS), described as Advantex Advanced Treatment System located at(legal description) Eaglebrook#2 B2 L3A 2. Maintenance, Repairs and Alterations. (Owner is required to read, understand and initial each section) )V 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. ...IV 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). J1' 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. -.31Owner 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 or3 NIL it/ Owner acknowledges that the Municipality may request records of maintenance and repairs from the manufacturer's representative or maintenance provider. • it/ Owner acknowledges that the fine for failing to maintain and repair an AWWTS may he assessed in accordance with AMC 14.60.030. �7y Owner agrees to grant the Municipality reasonable access to test and inspect the AWWTS. The Municipality will give at least 24-hour notice. ti]V Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On-Site Systems Approval. 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. V 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: it\ib -� By: '` (signature) Date: bi /Ib V L ; I (print name) STATE OF ALASKA ) ) ss. THIRD JUDICIAL DISTRICT ) The foregoing instrument was acknowledged before me this 2eoday of 0.u9v,s4 , 201t, by Ram, J,. /gen \111111111111 //////y� NOTARY PUBLIC FOR ALASKA "`""�'�.sFt, My Commission expires: 04di8I2D22 .4.* g.t\PUBALIIC s4. MUNICIPALITY: By: (signature) Date: (print name) Title: (rev. 05/18/2018) Page 3 of 3 1 CRAP/11C SCALE: 1 Inch = 40 Feet 1 2 20 80 , �M® a , ', U, 1, 1 v W : - U) \ \ ..-- .--......„ , o C D ® q NO3°03 13 E '- 7 — ` 360.65 / 1n' DRt�INAGE EASEMEN I y i� �' [�[���Ilv�j��f- [-riEMEN ! HOUSE DETAIL • k-:-. )----A � �-- 91.16 ' \ •\ \ i cn co ,// 7 ' / // // 01\ / \ / -4.> '7fA / /\Z 7 P7 ; 1/,,' _ _ .___ � /, WELL i P / /6/.././1 / , / --,, ('xL:` o `-),, , A / X.1,7? \03 - cn o \ 1 r< — ONE STORYco =� 1 /��` N WOOD FRAME 1 0 /� \ 1 on' WELL RAUIL HOME a' /\\"---C) (..I1 �� \ • n 3.4 /8.4 ,2.2 4C) • SEPTIC • ''' '''''''.71--- 1.- _-- L / IA T V -P__, y 1y� , � PSEN 064 0 "g , F. 'JZ - 1 -- - , �Uo\N L 24.4 / OF ., 1 f \ N14'4° _ IA,'' . /, s�",1 \ \ 1 _. _ ...,_-\ CURVE CHART ' NO DELTA RADIUS LENGTH , fkc.49_401- ‘ Cl) 44'49'41" 192.46 150.58 --- - • l t ©e_:" F. BURNEITl4" it/ 1.9-5464 4 ,,� ssioxly Date Scale Legal Description 6/6/2018 1° = 40' - - I hereby certify that the property described hereon has been surveyed 13OBBYF. BURNETTby me, or at my direction, and that the improvements situated thereon Grid LOT 3A, BLOCK 2 are within the property lines and do not overlap or encroach on the 2941 Carriage Drive SW 3138 AS-BUILT EAGLEBROOK SUBDIVISION property lying adjacent thereto unless otherwise shown. That no Anchorage, Alaska 99507 improvements on the property lying adjacent thereto encroach on the (907) 350-5541 Drawn by Field Book PLAT # 82-413 premises in question and that there are no roadways, transmission BFB ASB2018 lines or other easements on said property except as shown. _kunicipality of Anchorage .. ' Development Services Department Building Safety Division On -She Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 www.cI.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. I %^ 12, / — �n 2 HAA# Q .4 Q (o -2— 1. GENERAL INFORMATION Expiration Date: C — % — a 5 - Complete legal description _EAGLE BROOK SUBDIVISION 12: LOT 3A. BLOCK 2. Individual On-site 0 Location (site address or directions) 6300 ANDOVER DRIVE • ANCHORAGE. AK 99516 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address TOM WILLIS do MERLE MADIGAN Day phone 727-6025 (AGENT) 6300 ANDOVER DRIVE • ANCHORAGE. AK 99516 Day phone BOB BAER w/ DYNAMIC PROPERTIES Day phone 3111 "Co STREET * ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 727-6025 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 4 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) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. 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 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 Health AuthorifyApproval 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 tiles 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, SURE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, GEG, Ltdattempted to provide a thorough, conscientious engineering analysts of the system In accordance with ADEC and MOA DSD Guidelines d 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 identifiable features. The operational life of all wells and septic systems depend on the tical 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 It confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Phone -337-6179 Date 3 !C OS I' EB Conditional approval for bedrooms, with the following stipulations: Co ess: E 3 •' `F`o el�o `V, NN , AN orrr- �� WATER AND R Attachments: ., PROGRAM � HAA Checklist '� Maintenance Agreements Septic System Advisory Supplemental Engineer's Report V&; 41 '4 rl Well Flow Advisory Other By: Original Certificate Date: (Ra. 12101) Municipality of Anc'ho`rage w ' Development Services bepartmeiif Building Safety Division OnSRe Water & Wastewater Program 4700 South Bragaw SL, „ P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ek.us (907)343-7904 Q¢newu� CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. O 17 — / 2- 1 - (,, 2 HAA# 0 4 r7 1. GENERAL INFORMATION Expiration Date: ri ? — 0,5� Complete legal description —EAGLE BROOK SUBDIVISION A2: LOT 3A. BLOCK 2. Location (site address or directions) 6300 ANDOVER DRIVE • ANCHORAGE. AK 99516 Current Property owner(s) TOM WILDS dr MERLE MADIGAN Day phone _727-6025 (AGENT) Mailing address 6300 ANDOVER DRIVE • ANCHORAGE. AK 99516 Lending agency Day phone Mailing address Real Estate Agent BOB BAER w/ DYNAMIC PROPERTIES Day phone 727-6025 Mailing address 3111 'C' STREET • ANCHORAGE, AK 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well 0 Individual On-site E Individual Water Storage ❑ Individual Holding tank ❑ Community Class Weil ❑ Community On-site ❑ Public Water System ❑ 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 4 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) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also Issues HAAs upon request to homeowners. 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 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 engineers work. 4. STATEMENT OF INSPECTION BY ENGINEER As certifiod by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation, based on procedures outlined In the Health Authority Approval Guidelines for this application, shows that the onsite 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 riles and from my investiga lion and inspection, the onsite 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 Address 3701 E. TUDOR ROAD, SUITE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS. P.E. Engineer's Comments: In conducting this evaluation, GEG, Ltd. allernpted 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 identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fuduate 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 it confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Date 337-6179 X Conditional approval for 4' bedrooms, with the following stipulations: At the time of title transfer the new property nvner shall sign the arrnrhed M^!, tenance agree ant which shall be returned to rhir afftno before ar iinnnnAltinnal annrnvnl in Jswwd Attachments: HAA Checklist Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By:t� '4&;� Cts �/� Original Certificate Date: (rs«. 1x101) r Municipality of Anchorage ' Development Services Department Building Safety Division On -Site water S Wastewater Program 4700 South Bragaw St. P.O. Box 198850 Anchorage. AK 995198650 www.d.anctwrage.ak.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: EAGLE BROOK S/D i2: IAT 3A, BLOCK 2. Parcel ID: 017-121-62 A. WELL DATA *TEST RESULTS FROM WATKINS ENGINEERING, INC. TESTED LESS THAN 2 YEARS AGO Well type PtIVATE If A. B, or C provide PWSID# N/A Date completed 10/9-17/84 Sanitary seal (Y/N) YES Total depth 127 ft. Cased to 125 ft. FROM WELL LOG Date of test 10/9-17/84 Static water level 32 ft. Well production 20+ g,p m, WATER SAMPLE RESULTS: Well Log (Y/N) YES Wires property protected (YM) YES Casing height (above ground) 12+ in. AT INSPECTION 010/28/2004 $28 ft. 010.7 g.p.m. Cdiforn colonle3/100 nd. Nitrate 0.10 mg1L. Other bacteria colonies/100 ml. Arsenic: N A 11 /19/2004 dr �_mgA.. Date of sample: 2 24 2005 Collected by: GEG. LtD. B. SEPTICfHOLDING TANK DATA TankTypelMaterial ADVANTDVFIBERGLASS Date installed 8/13/2002 Tank size 1500 gal. Number of Compartments 2 Cleanouts (Y/N) YES Foundation cleanout (Y/N) YES Depression over tank (YM) NO High water alarm (Y/N) YES Date of pumping 11/3/2004 Pumper McDONALD8 PUMPING C. ABSORPTION FIELD DATA Des Installed 01113A002 Sol rating (0� ftbdrm) 4.0 Length 'a fL Width 5 A. System type TRENCH Gravel below pipe 0.5 ft. Total depth 03 a7 ft. Eft. absorption area 200 ft' Monitoring tube YES Depression over field NO Date of adequacy teat 11 /3-4/2004 Results (Pass/Fall) PASS For 4 bedrooms Fluid depth in absorption field before teal . 00 in. Water added "gal. New depth_' in. Elapsed Time:0• min. Final fluid depth" In. In. Absorption rate >■ 0*800+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yea, give date — •TESTED LESS THAN 2 YEhRS AGO. "SEE ATTACHED LETTER D. LIFT STATION Date installed 8/13/2002 Size in gallons 1500 Manhole/Access (YIN) YES "Pump on' level at MMERin. "Pump Or level stUMERn. High water alarm level at 48- tn. Datum BOTTOM OF TANK Cycles tested 3 Meets alar 8 circuit requirements?—Y-E—S E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAiR station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Sewer /septic service One 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTICAHOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A _ Water service line 10'+ Surface water 1001+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ 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 0. ENGINEER'S CERTIFICATION,`, ') f •'t�. I certily that I have determined through field inspections and ♦'. / '* review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effed on this (1ale. • •„•..... Engineer's Printed Name JEFFREY A. GARNESS CE -7953 Date /cf off' Nevatle ssl0r HAA Fee $ Date of Payment Receipt Number (Rov. t?At) Waiver Fee $ Date of Payment Receipt Number Municipality of Anchorage 0, •n, Development Services Department Building Safety Division ,g,* On -Site Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage. AK 99519.6650 www.ci.anchorage.ek.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. Z 1- 67- _ HAA# f -%/4 0YO 6 Z Expiration Date: Z12 T/O= 1. GENERAL INFORMATION Complete legal description EAGLE BROOK SUBDMSION 2 LOT 3A BLOCK 2 Location (site address or directions) 6300 ANDOVER DRIVE • ANCHORAGE AK 99516 _Current Property owner(s) TOM YAWS do MERLE MADIGAN Day phone 727-6025 (AGENT) - ----,---Mailing address_ 6300 ANDOVER DRIVE 'ANCHORAGE AK 99516 Day phone Lending agency Mailing address BOB BAER w/ DYNAMIC PROPERTIES Day phone 727-6025 Real Estate Agent 3111 'C' STREET • ANCHORAGE, AK 99503 Mailing address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System 4 The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given In paragraph 4 by an required Independent ed for the professional civil ransfer engineer registered in the State of Alaska. Certificates of Health Authority App 4 of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. 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 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. TYPE OF WASTEWATER DISPOSAL: 0 Individual On-site 11 Individual Holding tank O 11 Community On-site 11 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 4 by an required Independent ed for the professional civil ransfer engineer registered in the State of Alaska. Certificates of Health Authority App 4 of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. 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 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 eltixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority 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 ofAnchorage riles and from my investigation and inspection, the onsite 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, SURE 101 • ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E.Date II I f g Ay Engineer's 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 b 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 Identifiable features. The operational life of all wells and septic systems depend on the local sols 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 sofa benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. 5. DSD SIGNATURE ✓ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the Attachments: HAA Checklist Septic System Advisory Well Flow Advisory ttt\TYI0F/ diorft-SITE • •• ��� WATER AND ; fn PROGRAM Manitenance Agreements Supplemental Engineer's REPORT Other By: Original Certificate Date: VU (Ra.12MI) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water 6 Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage. AK 995196650 www.d.androrage.ak.us (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: EAGLE BROOK S/D #2: LOT 3A, BLOCK 2. Panel ID: 017-121-62 A. WELL DATA *TESL' RESULTS FROM WATKINS ENGINEERING. INC. Well type SATE If A, B. or C provide PWSID# N/A Date completed 10/9-17/84 Sanitaryseat (YM) YES Total depth 127 ft. Cased to 125 ft. FROM WELL LOG Date of test 10/9-17/84 Static water level 32 ft. Well production 20+ 9,p,m, WATER SAMPLE RESULTS: Coliform *11t^ colonies/100 mi. Nitrate 46LQmgJL. WOO Log (YM) YES Wines property Protected (YM) YES Casing height (above ground) 12+ in. AT INSPECTION 010/28/2004 026 ft. 010.7 9 -p.m - Other bacteria 1% colonies/loon-J. Arsenio N/A mgJL. Date of sample: 11/9/2004 Collected by: GEG. LtD. B. SEPTIC/HOLDING TANK DATA Tank Type/Material ADVAN T X/FIBERGLASS pate Inata6ed 8/13/2002 Tank size 15W gal. Number of Compartments 2 Cleanouts (YM) YES Foundation deanout (YM) YES Depression over tank (YM) NO High water alarm (YIN) YES Date of pumping 11/3/2004 Pumper McDONALDS PUMPING C. ABSORPTION FIELD DATA Date 4rstalied 1/13/2002 Moll rating 4.p.d ft%dnn) 4_0 System type TRENCH Length 40 fL Width 5 JIL Gravel below pipe 0.5 ft. Total depth t3 7 ft. Eff. absorption area 200 ft' Monitoring tube YES Depression over field NO Date of adequacy test_ 11/3-4/2004 Results (Pass/Fal) PASS For 4 bedrooms Fluid depth to absorption field before test_• in. Water added. _• gal. New depth_' In. Elapsed Time: _' min. FhW fluid depth_' In. Absorption rate >• •'600+ g.p.d. Any rejuvenation treatment (past 12 mo.) (YM 6 type) NONE KNOWN B yes, 9hre date 9'SEE ATTACHED LETTER D. LIFT STATION Date installed 8/13/2002 Size in gallons 1500 Manhole/Access (Y/N) YES 'Pump on' level at TIMERin. 'Pump off" level atrMERIn. High water alarm level at 46 Datum 801TOM OF TANK Cycles tested 3 Meets alarm 8 circuit requirernents9 YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAl t station on lot 100'+ Absorption field an lot 100'+ Public sewer main N/A On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout N/A Sewer Iseptlo service line 25'+ Holdingtank N/A SEPARATION DISTANCES FROM SEPTICIHOLDINO TANK ON LOT TO: Building foundation 5'+ Property line 5+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 1000+ Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 101+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 1001+ Driveway, parkinglvehide storage _OLS+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS 0. ENGINEER'S CERTIFICATION 1 certify that I have determined through field inspections and t ! y o 1 review of Munidpal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. ...... .. ............. is am Engineer's Printed Name JEFFREY A. GARNESS p '• 7853 Date it It 0'q� Pr too ,I dOn- .v MAA Fee $ `f 3o Waiver Fee S Date of Payment I j l ri5 k q Date of Payment Receipt Number Receipt Number (Rau. 17m01) 1gv NOV-10-2004 PED 05:26 PM. FROM: FAX: PAGE 2 SURVEY CERTFICATION -LOT PLAN ..I, .... ..I I.- w ,••... touND.DON As-DI>dT l .ww L •+.� I. rVv r . STRUCIURE AS -"T .ILA..ti l..w•w,Ml TO I ONLY TMOSC IIL11,10"u"T2 AMOK OROUND ANO VISDLE MILL DE VE SHOVM- FENCES. M6L3. SM710 CLEANOLIM SOCWALKS. DRIVEWAYS. NE ETC., ARE SHOWN N THEIR APPROKIMATC LOCATION. ONLY. SNOW NS MAY PRLMNT SOME IMPROVEMENTS PROM OCNO SEEN AND LOCATED. Robert E. Jofins, Jr. & Assoc.l Professional Land Surveyors 842 E 12 AVE. ANCHORACE ALASKA R11501 111 Pi 60'— Dau &RvL•yseOman e Priw a AUGUST 1S. 2002 ki LJ Y. '--- TrterTem T L: -)nni I-- 3138 1—— 22178 LOT 3-A , BLOCK 2, EAGLEBROOK SUBD ADDITION #2 L •il MOI �4O ; iso tr <ROI R1L.RI I 1 WELL ••: o 'al ,� 3• qE W 1 it u X 2 2 3p 8 Sf/Ti> I Jrlr�,ti ��• � hI `16P, N g n-0?4 9��M Esnr te, r � SCRfEAviNb � Zy t'3/'1r�f 2 $' y2 '7$* At UNDER NO CIRCUMSTANCES SHOULD AN AS -BUILT SC USED /pl CONSTRUCTION OR FOR ESiMUSKIN0 DOUNDARY OR PENCE LINES. THE SURVEYOR TAKES RESPONm&ULY FOR THE WMAL TRANSACTION ONLY AND ASSUMES FINANCIAL UA&LIT( ONLY FOR INC COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCAUNO. RDRODUC1gN MAY CAUSE ERRORS N SCALL Lar Dwt•cY SURVEY TYPE SYMBOLS PaIIA]Alldl At -WILT RNAL IMCFAK AS-wlLr • wr mm P'C� �� I A -WALT o FOUND REM �rp...�� PC ­w. PLOT PUN ...un w�-a+LT... A...Ier e,•w1w. Lam* StIR•RY ... 7oPorwAnn w �P wn�.M.wnu .un• w w•w� r MCC .::.::... CONCRETE ® ASSUMED M. �M--M--M• ROA PENCE yr 1 np_ SURVEY CERTFICATION -LOT PLAN ..I, .... ..I I.- w ,••... touND.DON As-DI>dT l .ww L •+.� I. rVv r . STRUCIURE AS -"T .ILA..ti l..w•w,Ml TO I ONLY TMOSC IIL11,10"u"T2 AMOK OROUND ANO VISDLE MILL DE VE SHOVM- FENCES. M6L3. SM710 CLEANOLIM SOCWALKS. DRIVEWAYS. NE ETC., ARE SHOWN N THEIR APPROKIMATC LOCATION. ONLY. SNOW NS MAY PRLMNT SOME IMPROVEMENTS PROM OCNO SEEN AND LOCATED. Robert E. Jofins, Jr. & Assoc.l Professional Land Surveyors 842 E 12 AVE. ANCHORACE ALASKA R11501 111 Pi 60'— Dau &RvL•yseOman e Priw a AUGUST 1S. 2002 ki LJ Y. '--- TrterTem T L: -)nni I-- 3138 1—— 22178 LOT 3-A , BLOCK 2, EAGLEBROOK SUBD ADDITION #2 GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS 8 GENERAL CONTRACTORS ----- November 8, 2004 Municipality of Anchorage Department of Development Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 Subject: Explanation of Septic System Adequacy Test for Lot 3A, Block 2; Eaglebrook S/D. To whom it may concern: The subject lot has a 4 -bedroom house on it, which is served by a private well and septic system. The septic system consists of an Advantex treatment system and •a drainfield that were both installed in August of 2002. The Advantex system consists of a 1500 -gallon fiberglass tank and an AX -20 pod. The drainfield is a 5 -foot wide trench that is 40 feet long with 0.5 feet of effective. Per the request of the property owner we performed an evaluation of the septic system following a determination by Cindy Ellis, P.E. that the septic system was failed. The results and analysis of her evaluation are attached with this report. After reviewing Ms. Ellis data and performing our own field evaluation we have concluded that the septic system is functional and meets the absorption requirements for a four (4) bedroom residence. The following is a summarization of our evaluation/findings: ►i►►ii#4##i##►i►i#►4#/##i####i4►4♦i4##i####i#►i#ii#t#►ii#ii#i►►i►ii####i4i4►ii NVatkins Engineering (Cindy Ellis, P.E.) Findings: Ms. Ellis performed a well flow test and a septic adequacy on October 28, 2004. As can be seen from her report (copy attached), upon initial inspection it was noted that there was 4.5 inches of liquid in the drainfield monitoring tube. She then proceeded to add 64 gallons of water to the field, over a period of 43 minutes, which caused the liquid level to rise 1.5 inches. It was noted that water rose to 6 inches in the drainfield and was present in the drainfield cleanouts. It was also noted that water was backing -up into the Advantex tank. Based upon this information she deemed the system to be failed. Ms. Ellis, then met with Anchorage Tank and Welding, Inc., and their service provider, A+ Home Services, to evaluate the system, at which time they dug shallow test holes with a post hole digger, it is assumed to monitor for groundwater. Supposedly, these borings (dug with a post hole digger) provided information that lead them to believe that groundwater is only 32 inches below the ground surface. There are several concerns that I have with this assessment, and they are summarized as follows: 3701 E. Tudor Road, Suite 101 # Anchorage, Alaska 99507 Ph: (907) 337-6179 # Fax: (907) 338-3246Website: gamessengineering.com 1. The existing drainfield is only 5 feet wide and 40 feet long. The pore space in the drainrock will hold approximately 42 gallons of water per inch of depth and the entire 6- inch effective depth will hold only about 250 gallons. Because of this, it is physically impossible for the drainfield to handle a surge load of 600 gallons and the water level remain below the invert of the drainpipe. With the system operating at a depth of 4.5 inches, as it was when Ms. Ellis arrived, it was theoretically capable of accepting only about 63 gallons of water (64 gallons was what Ms. Ellis introduced) before the liquid level reached the invert. This is to be expected. An Advantex drainfield is typically sized to accommodate flow intermittently dosed to it in small amounts. In this situation, water should have been introduced until the system was 100% full (at the top of the drainpipe and not the invert) and then allowed to recover below the invert. The system should have been filled again and allowed to recovery. This process should have been performed repeatedly until 600 gallons was absorbed in a 24-hour period. In short, Ms. Ellis's assessment that the drainfield was failed, because the introduction of 64 gallons of water caused it to rise 1.5 inches, and reach the lateral of the drainpipe, is unfounded. In short, she failed to take into consideration the very limited surge capacity of a small drainfield that is designed to be dosed intermittently. 2. Ms. Ellis determined that water was backing-up into the Advantex tank when there was only 6 inches of water in the drainfield. Based upon our field measurements (taken with a surveyors level), there is an elevation difference of 16.32 inches between the invert of the "stinger" in the Advantex tank and the bottom of the monitoring tube in the drainfield. In short, Ms. Ellis would have had to rise the water level another 10 inches before it could have backed-up into the Advantex tank. What she probably heard was water enter in the tank from the trickling filter pods after a recirculation cycle. In short, the drainfield was not backing-up into the Advantex tank. 3. Utilizing open holes, dug with a post-hole digger, can be an unreliable method of establishing groundwater levels. What would be expected is for water from the wet surrounding organic soils (often saturated from rainfall or snow melt) and surface runoff to pool in tight soils (GM/ML) encountered in the open hole, creating the impression that groundwater has been encountered. Based upon our calculations, the liquid level in the operational drainfield, on the day of Ms. Ellis test was 39.5 inches below post construction grade, and the water level she found in the post hole/s was 32 inches below grade. It is physically impossible for the water level in the drainfield to be lower in elevation that the surrounding "groundwater". During our site visit on 11/3/04 we were only able to find one of the post holes, and determined that the liquid level in the hole was 3 inches higher than the elevation of the first clean-out in the drainfield, which was completely dry. Steve Pannone, P.E, did the soil testing for the drainfield design. He monitored for groundwater on June 19, 2002 at 7 feet below grade (pre-construction). The design was limited to a depth of 32 inches below original grade. Also attached is with this report is past soils logs which show groundwater deeper than Pannone's 6/19/02 groundwater monitoring. The location of these test holes is noted on an attached drawing. Further information regarding the groundwater levels can be derived from Pannone's 10/3/99 septic test report in which he noted that the drainfield was 57 inches below grade and only had 3 inches of standing water in it. It is unknown whether the liquid was groundwater or septic tank effluent (it is reasonable to assume that it was septic tank effluent), but it does serve as confirmation that groundwater was at least 54 inches below grade at that time (close to seasonal high groundwater... mid- 3701 E. Tudor Road, Suite 101 * Anchorage, Alaska 99507 Ph: (907) 337-6179' Fax: (907) 338-3246 * Website: gamessengineering.com October). Short of installing legitimate groundwater monitoring tubes, it is reasonable to assume that the monitoring tubes installed by Steve Pannone, P.E. and Leroy Reid, P.E are more reliable indicators of groundwater that shallow open post holes. If your department deems additional groundwater monitoring to be necessary, please notify us so that we can proceed immediately. #itii4##44i#illi#f#liki#144i#kM#lift#k4#lift##cilli#4llik4#44k1i#4#li#f##ifkf# Garness Engineering Group, Ltd. Findings: On November 3, 2004, prior to our test, 4.5 inches of water was found in the monitoring tube. A total of 293 gallons was added to one of the cleanouts, which caused the liquid level to rise 5.5 inches, to a total depth of 10 inches. The system was then allowed to rest for 204 minutes, during which time the liquid level dropped 1.5 inches. An additional 256 gallons was introduced, which inadvertently caused the liquid level to rise to a total depth of 13 inches (surcharging the system by 3 inches). The water was then shut-off and the system was then allowed to absorb overnight. Upon arrival the next morning, the liquid level was found to be at 4.5 inches (the same level prior to starting the test). Based upon our calculation, the absorption rate was over 600 gallons per day. However, to confirm our findings, an additional 283 gallons was added to then system, which again caused the liquid level to rise 5.5 inches to a total depth of 10 inches. The system was checked 316 minutes later and the liquid level had dropped 3 inches, indicating an absorption rate of 0.49 gpm. The level in the drainfield was also checked the next day, 1251 minutes alter we stopped introducing water and the liquid depth in the drainfield was 3 inches, which was 1.5 inch lower than the starting point of the test. Based upon this data, we have determined the absorption rate to be greater than 600 gallons per day. It should be noted that cleanout #1 was found to have settled 0.21 feet and cleanout #2 had settled 0.05 feet from the elevations shown on the 2002 Steve Pannone, P.E. inspection report. In addition, we had the fiberglass Orenco tank pumped to confirm that it was not taking on groundwater. Based upon our readings, we did not find a rise or drop in the tank level in over a 3.5 hour period and only a 3.5 inch rise over night with normal usage on the system. Based upon these readings, we have concluded that the tank is currently not leaking. If you have any g4stions, please contact us at 337-6179. P.E., M.S. 3701 E. Tudor Road, Suite 101 i Anchorage, Alaska 99507 Ph: (907) 337-6179 i Fax: (907) 338-3246 # Website: gamessengineering.com NOV-01-2004 MON 02:08 FM FROM: FAX: PAGE 2 11/01/04 MON i2t18 FAX 8073401934 Watkins Bur Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 fax: 349-1934 November 1, 2004 Merle Madigan B. Tom Wills 6300 Andover Circle Anchorage, AK 99516 RE: Eaglebrook #2, Block 2, Lot 3A Well and Septle Adequacy Test Results Dear Merle and Tom, Thank you for calling me regarding the well and septic taste for your house. In preparation for the sale.. We ran a flow test on the well and attempted a septic adequacy test on October 26, 2004. The well flow was adequate for a 4 bedroom house, but the septic system will require an upgrade. Details of the tests and expected costs of a septic upgrade are provided below. Please oats me at 349-1851 If you have any questions. Well Test The well flow test was conducted on October 28, 2004. According to the well log, the well was drilled and completed on October 17, 1984 to a depth of 127 ft. The initial production rate was 20+ gallons per minute (gpm). During our test, the initial static fluid level was at 26 ft. It dropped to 47 ft over the course of the test. Total production from the well was 1147.6 gallons over 107 minutes, which yields a rate of 10.7 gpm. This exceeds the requirement of 0.42 gpm for a 4 bedroom house. The MOA code requirements for private wells were checked, and only one item needs attention. The conduit on the well pump wiring Is too short to fully protect the wires, and must be lengthened. Septic Adequacy Test The septic system consists of an AdvanTex wastewater treatment tank and a 5 ft wide, 40 ft long, 6 inch effective depth drainfieid, installed in August 2002 Initially, the water level In the drainfield was 4.5 Inches (out of 6 Inches). With the addition of 64 gallons of water, the drainfield was full, with water showing in the cleanouts, and a final water level in the monitoring tube of 6'. This Indicates that the drainfield has failed. Personnel from Anchorage Tank & Welding (distributor of the AdvanTex) and Aa Home Services (who maintains the AdvanTex system), were notified of the falure of the drainfield. They Immediately came on site, checked the equipment, and determined that K Is operating correctly. We then dug two email Kalea about 6 ft and 15 ft from the drainfield, and found high groundwater. The high groundwater is believed to be the cause of failure of the drainfield. In order to upgrade the septic system to operate properly, a new dralnfield will be required. The bottom of a drainfield Is required to be 4 ft from the seasonal high groundwater level, to prevent contamination of the groundwater. Water In the existing drainfleld Is currently at 32 Inchas (2.67 ft) below ground surface. Thus, to achieve a 4 ft separation, the drainfieid must be mounded above the current ground level. X002 NOV-01-2004 MON 02:09 FM FROM,: FAX: PAGE 3 11/01/04 HON 12:20 FAX 9073491934 Watkins Ener 8003 Watkin Engineering, Inc., November 1, 2001 Well d Sapdc Adogusey Test Racaft, Pogo 2 Attached are the test results. If you have any questions, please call me at 348-1851. Yours truly. (/%'t'ir(�{ Kia Cindy `I8d Ellis, P.E. President NOV-02-2004 TUE 12:01 Meter els PM DYNAMIC PROPERTIES FAX NO. 2835019077775681 P. 03 It/01/04 MON 12t20 FAX 9073491934 Watkins Liner 11:00 0005 Septic Adequacy Test Address: 6300 Andover Circle Legal Description: Eaglebrook #2, Block 2, Lot 3A Date of test: to eu'0+ Client: Merle Madigan Realtor Bob Baer Numbcrof BR 4 FC07 Fill: Time Meter els MT level inches 10:22 5250.7 51.00 10:31 5293.0 50.00 10:42 5301.7 50.00 11:00 5313.0 49.50 11:06 5315.0 49.50 Total fill: 64.3 Total rise in MT: 1 0:44 Gallonslinch: Bottom of MT (d 55.5" Water in Cos, running into tank. Shut oft test. SEG Ifej at6 SNoq) i✓ L� Ori tar+ NOV-02-2004 TUE 12:01 Meter PM DYNAMIC PROPERTIES FAX N0, 2835019077775681 P. 02 11/01/04 MON 12:20 FAX 0073491914 Bntkina Ungr Number of BR Q004 Watkins Engineering, Inc. (007)349-1851 Cindy W. Ellis, P.E. Test Performed by: lCindy Ellis WELL FLOW TEST Meter Address: 6300 Andover Circle Le al Description: Es lehrook #2, Block 2, r,ot 3A Date of test: 1028/2004 Client Merle Madigan Realtor Bob Baer Number of BR 4 Casing Helqht in. 12+ Wires in Conduit partal Well seal good Depression no Well loq available? yes 11:00 39,759.6 Time Meter Delta It Delta V 0, gpm Static ale hrmin gals 9pm ft 10:35 39,475.0 0 0 — 26 10:43 39,559.5 0:08 84.5 IT -6 33 11:00 39,759.6 0:17 200.4 11.8 37 11:11 39.672.3 0:11 112.4 10.2 40 11:24 40,011.2 0:13 138.9 10.7 47 12:72 40,622.6 0:58 611.4 10.5 Total Volume ate 1,147.6 Total Time, minutes 107 1:47 Avera a Rate, gpm 1 10.7 _K!even R Pannone, P. E. Consulting Engineer SEPTIC SYSTEM AND WELL ADEQUACY TEST Legal: Lot 3A, Block 2 Eagle Brook S/D No. 2 Owner: Mr. Brian Durrell Residence: 6300 Andover Circle, Anchorage, AK 99516 P.O. Box 102954 te. Alaska 99510 Septic System: Tank Size: 1250 gallons. Absorption System Type: Bed (from Municipal records) Absorption System Size: 60004.5 Absorption Area: Installation Date: 7/2/84 Soil Rating: 290 sf/br Date of Pumping: 9-99 By: A+ Home Services Date of Test: 10 -3- 49th $myon R. hnno"o Test Procedure: System was inspected visually and measured. The tank was found to have 4 feet of cover. Liquid dept s measured to be ] 0 es�hc drai field was found to have 36"+ of cover and a total depth of 46 57 nches'. There w s 2 to 3 inches of li measured in the field's monitor tubes (two monitor tubes were oo��nd.) Water was a a rate of 5.3 gallons per minute. Liquid depths were measured in the two moilt r tubes. The liquid level rose one inch in both monitor tubes with the induction of 624 gallons of water into bed. Water levels were measured for a 24-hour period. The liquid levels returned to the original levels re adding the water. Note: 1) A low spot was noted between the septic tank and the bed. This low are is a roximately 15 feet long. 2) A drainage ditch containing runoff was measured to be 91.1 feet from the se tic tank's clean out. I am informed that this ditch is a runoff ditch and is dry during periods of no rain. A well flow test was conducted in to be 12 feet below the top of the casing. minute (GPM). The static water level drop able to produce greater than 5.3 GPM. Wat No bacteria or nitrates were measured. The to be covered with soil. TEST RESULTS: This system meets Anchorage. n to testing the septic system. The static water level was found er was pumped from the well at a rate of 5.3 gallons per I to a depth of 26 feet from the top of the casing. This well is samples were taken to test the water for Bacteria and nitrates. ;sults are attached. Note: The wires at the base of the well need code and operational requirements of the Municipality of In conducting an adequacy test, I attempt t provide a thorough, conscientious engineering analysis of the system in accordance with the MOA Hcalt Authority Approval Guidelines. The reported results describe the performance of the system under the c nditions encountered at the time of the test, and separation distances measured to readily identifiabl features. The operational life of all wells and septic systems depend on the local soil condition, grou d water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fa' and satisfactory test results do not guarantee future performance of the system, nor do they guarantee tha there are no hidden defects or encroachments. We can therefore not give any estimate of how long the sys em will continue to meet the operational requirements of the 7 Municipality and State. &1„0 ; Z L,J�'S Lf.5 t �lUu1 �RoL'c Ong 10 /3/cf 9 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L Street, Anchwit", Alaska 89501 264.1720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: Tom UpII7_S 1 DATEyP�ERFORMED: I.3 LEGAL DESCRIPTION: 5 E3al e— [ rb O I { ' IFf T! (0L) III r2don3arlic�iltS ISI 11 -�4 6 ' (UM) .s Sil sandy level 1 an0 Gobb A 7 fih&q 9 X10 11 12- 13 2 . , (SP) ;4 Sond CML) 16.broLon 17 Sill' is - " 20 Ll COMMENTS H,C) nine SLOPE SITE WAS GROUND WATER S ENCOUNTERED? .__Lo L 1 Id • 13 -`ti3 IF YES. AT WHAT ye5.4•►9 •`d DEPTH?AU C 12" Uer>rh010—�r—_T— Reading Date Gross Time Not Time Depth to Water Net Drop + 4�13IB3 ID: 38 0 . So 1 10'.41 10 .41 U3 142.0 IO:SD O •$0 — z 11.Iw 10 .4 I U3 4.N20 11:01 0 — II:11 10 .4? .02 } M20 11:12 O . SD _ 11:22 10 .4Y O2 �N20 11:2-- O .51 — e It: 32 10 •y8 03 4H U 11:37 v .oy PERI LATION RATE II: •i l{ 4L 1� (minutes/inchl • O?_ TESTRUN BETWEEN 4.5' FT AND -5- FT PERFORMED BY:O-�ep a ��CERTIFIED BY: 5 1 0 aA I 72-00e (ens) 3lo�_ A -n �u DATE:>. 1 2 3 _--4 8 9 10 11 12 13 14 15 16 17 18 19 20 PERFORMED ML— SomR grdUPA c-Im- s>,N, tots of gruel IH zO very rv` 15 - alm- slit Greve', ►�e.car SNAAravta Lot, je j �Yc'�UQ� ml- I ������■tee■ Reading Date SOILS LOG Not Time MUNICIPALITY OF ANCHORAGE Not Drop t2.0tH2.0 DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TESTOLA7ION „ I 825 L. Street. Anehorega• Alaska 89501 :644720 LOG -,PERCOLATION TEST 3:10 T ryS�OIILS F R 71 .(9? PERFORMED FOR: ( ►� til f –DATE PER FORM EM 1 r7y� -15-.1 V� - �/�/11ynoc V & 9 2, 5 LEGAL DESCRIPTION: LEGAL ! J NOOK IlJl�i� —�– Wf SLOPE SITE PLAN 1 Y. T ' 3zj oL.- Or- p1-<, j—I I —j tN C) 1 2 3 _--4 8 9 10 11 12 13 14 15 16 17 18 19 20 PERFORMED ML— SomR grdUPA c-Im- s>,N, tots of gruel IH zO very rv` 15 - alm- slit Greve', ►�e.car SNAAravta Lot, je j �Yc'�UQ� ml- I ������■tee■ Reading Date Droit Time Not Time Depth to Water Not Drop t2.0tH2.0 2. F3 20.82 3:10 2.1 9 07 1 io 3zj Z;3 tN C) n 2.6ci ?.3Y j 3:910 .OS PERCOLATION RATE JEST RUN BETWEEN CERTIFIED t . � l.: • • :irtlmulaannc t1 •` F7 AN P7 1 ` n TATE:8 n .8? to Municipality hof Anchorage alp 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.cl.anchar2ge.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL, FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-121-62 1. GENERAL INFORMATION HAA #nZ �ynQ Expiration Date: / /- .2 O — 0 -2— Complete Complete legal description Lot 3A Block 2 Eaglebrook SID #2 Location (site address or directions) 6300 Andover Drive, Anchorage, AK 99516 Current Property owners) Haze Williams Day phone 868-3362 Mailing address Lending agency Day phone Mailing address Real Estate Agent Bob Baer/Totem Realty Day phone 272-0571 Mailing Address Unless otherwise requested, HAA will be held by DHHS Por pickup. HAA picked up by: 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL:- ISPOSAL:Individual IndividualWell ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ 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 wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. (Ray. MW 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 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 Engineers Comments: In conducting an adequacy test, I attenapt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions enceamtered at the time of the test, and sepamtion distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system_ These conditions arc outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there arc no hidden defects or encroachments. PPS can therefore not provide any warranty for future performance nor give any estimate of how long the system will continue to meet the operational requirements of the 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 it confer any legal right wfiatsocver. 6. DSD SIGNATURE VIGApproved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: HAA Checklist X Maintenance Agreements Septic System Advisory Supplemental Engineer's Report Well Flow Advisory Other nn /J d - By: �t� ✓ %J �. /''ic.� Original Certificate Date: I, - T C C -Z Expiration Date: Reissue (ns.. 11AM Municipality of Anchorage • Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 South Bragaw Street P.O. Box 190850 Anchorage, AK 99519-8850 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 3A Block 2 Eaalebrook #2 Parcel I.D.: 017-121-62 A. WELL DATA Well type P If A. B. or C provide PWSID # Date completed 10/17/1914 Sanitary seal v_ Total depth 121 ft Cased to 125 It FROM WELL LOG Date of test 10117/1914 Static water level 32 ft Well production 20 g.p.m WATER SAMPLE RESULTS: 19, Coliform _k_colonies/1 oo ml Nitrate JL mgfl Well Log Y Wires properly protected Y Casing height (above ground) 24 n. AT INSPECTION Date of sample: 1/13/2002 Collected by: — Laura Pannone B. SEPTIC/HOLDING TANK DATA 14 ft 1+ 9 -p.m Other bacteria -J�7`colonies/100 ml Tank Type/Material Orenco Fiberalass Date Installed $11312002 Tank size 1250 gal Number of Compartments 2 Cleanouts Y Foundation deanout Y Depression over tank M High water alarm I_ Date of pumping C. ABSORPTION FIELD DATA Pumper Date installed 1111312002 Soil rating (g.p.d.W or ft2/bdrm) 4 System type _Shallow Trench Length _49_ft Width -� It Gravel below pipe 0.5 ft Total depth I& ft Effective absorption area njY Monitoring tube Y Depression over field 1_ Date of adequacy test Akw Results (Pa1ss/Faiq -�j For 4 bedrooms .11 Fluid depth in absorption field before test L,In Water added_ gal. New depth_ In. Elapsed Time:.Q min Final fluid depth _ In Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) 1_ If yes, give date (Rev. I IND) D. LIFT STATION Date installed OL Size in gallons 2$O 'Pump on' level at ^iA�n'Pump off level at'�A *in Datum -CaP 00AAM 6(0 Cycles tested * C*rrt uo-Ls o N E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access k-? (as High water alarm level at 0-' in Meets alarm & circuit requirements? t T Septic tank/lift station on lot 107.4 On adjacent lots 100+ Absorption field on lot 111.2 On adjacent lots 100+ Public sewer main n/a Sewer /septic service line 80' Pudic sewer manhole/cleanout n/a Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 27 Property line Absorption field 13 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 17.8 Building foundation 47 Water main 100+ Water Service line 25+ Surface water 100+ Driveway, parking/vehide storage 15+ Curtain drain 100+ Welts on adjacent lots 100+ F. COMMENTS G. ENGINEER'S CERTIFICATION 1 car* that 1 have determined through Field inspections and review or Municipai records that the above systems are in con/ormance with MOA HAA guidelines in effect on this date. Engineer's Printed Name Steven R. Pannone, P.E. Date ��tc9102 HAA Fee $ ✓ t ' 50 Waiver Fee E Date of Payment Receipt Number (Rev. I IM) en R. Pcnni No. CE 8149 )ZG Date of Payment, t i, J v , Receipt Number @; 2 �o. t Al 7:r �• 22 UNDER NO CIRCUMSTANCES SHOULD AN AS-BULLT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES THE SURVEYOR TAKES RESPONSIBILITY FOR THE NITLLL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS N SCALE. LOT w1RVLT SURVEY TYPE SYMBOLS roulmm wKAS�AST • SET "AR DRAINAGE ASPHALT MAT mnlC.. A$ -"T O FOUND MAR �:.:: CONCRETE R ROT RAN ... A7-t1L7 ... UST LRKT ... 1000IMIT �""O'e' MVDO FENCE .s -BIL• .. No m•wols n ISri wrnwlvrAnrW .+_wn T Iln rrww•..rT ® ASSUMED ELEV. *--iI—N• METAL FENCE ® wom nrcK IT IS THE RESPONSIBIUTY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCCS, WELL; SEPTIC CLLANOUTS, SIO[WALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION �, a••O .� �/q�vG PLOTFUN '" •A0Y0 ■ • a R 192.4t.' Robert E. Johns, Jr. & Assoc. •Y .AO. ttlw ••�P,.•...................�i Professional Land Surveyors +••• •.w. ••IrYW M M M w• WELL , •. \ I� mss' �.•' :. •. 842 E 12 AVE. 01 •• ♦. � bbk RK Lot S.F. Roc. Plat no Na AV t Q 1 Y fia_ .Fe FOUNDATION AS-BULT •• I • � .�rw L Y•� J. mow, �1•/ M 1 r 11 to; 0 Z `w Sf/lK 3 I AUGUST 15, 2002 JY1r1em �@ ..... w...r w .....� ,,,�,,,,,,..,,, ..� : t ROGER r`■ oot• ala M 3 A V% P �1 •� �.,• 4121 S •SAV 1 2002 313 8 22 7 8 o . ,r I •••• •,••• lam♦ ♦ •�'. `j floe Y -VI Y+. / M •yygp•• ♦440"A M.�I,ny «.�••»'•: :�••— ....... e& LOT 3-A BLOCK 2, EAGLEBROOK SURD F•.Lbad •*���� , ADDITION # 2 i % SCKEENINfi � — , e: 23 2 �o. t Al 7:r �• 22 UNDER NO CIRCUMSTANCES SHOULD AN AS-BULLT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES THE SURVEYOR TAKES RESPONSIBILITY FOR THE NITLLL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE COST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS N SCALE. LOT w1RVLT SURVEY TYPE SYMBOLS roulmm wKAS�AST • SET "AR DRAINAGE ASPHALT MAT mnlC.. A$ -"T O FOUND MAR �:.:: CONCRETE R ROT RAN ... A7-t1L7 ... UST LRKT ... 1000IMIT �""O'e' MVDO FENCE .s -BIL• .. No m•wols n ISri wrnwlvrAnrW .+_wn T Iln rrww•..rT ® ASSUMED ELEV. *--iI—N• METAL FENCE ® wom nrcK IT IS THE RESPONSIBIUTY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROUND AND VISIBLE WILL BE CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCCS, WELL; SEPTIC CLLANOUTS, SIO[WALKS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN THEIR APPROXIMATE LOCATION, ONLY. SNOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM BEING SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL DISTANCES ARE RECORD UNLESS OTHERWISE NOTED. SURVEY CERTIFICATION Prepared by PLOTFUN .•„jk1Lt, .••�E%Ike# Robert E. Johns, Jr. & Assoc. ••�P,.•...................�i Professional Land Surveyors +••• •.w. ••IrYW M M M w• �.• .. 842 E 12 AVE. w w r N r M ... M w, •i+wy w• �V w 1wwr�.w bw •• ♦. ANCHORAGE, ALASKA 9G501 RK Lot S.F. Roc. Plat no Na AV t 111 — 601 FOUNDATION AS-BULT •• .�rw L Y•� J. mow, �1•/ M 1 r Date Sww �� DY 1LJ �r •• AUGUST 15, 2002 EJ ..... w...r w .....� ,,,�,,,,,,..,,, ..� : t ROGER r`■ oot• ala w'. 0 ...� .� .,• P �1 •� �.,• 4121 S •SAV 1 2002 313 8 22 7 8 FINAL wnKmTun ��T L YiwL .. rw, w M 1I ,r I •••• •,••• lam♦ ♦ •�'. `j floe Y -VI Y+. / M •yygp•• ♦440"A M.�I,ny «.�••»'•: :�••— ....... e& LOT 3-A BLOCK 2, EAGLEBROOK SURD F•.Lbad •*���� , ADDITION # 2 PERMIT N0, AS -BUILT P.I.D. N0, 017-121-62 WASTEWATER ABSORPTION SYSTEM LOT 3A, BLOCK 2 EAGLE BROOK S/D It WELL 1 , i I �l 8. 1 1 1 3 8 EXIST'G 1 l 4 BR H❑ SE 1 1 1 EXIST'G B 1250g SEPTIC TANK 1 1 1 1 1.1 EXIS' A T1 T2 ^ BED 1 � �s EXIST'G I CREEK MIS co A B �� 2 T1 14.5 43.6 T2 22.8 48.3 u Cl 24.7 49.5 M1 44.6 64.9 M2 93.0 105.3 .- .v/ 49TM oen R. Panni No. CE 8149 Mr. Brian Durrel Anchorage, AK 99516 (907) 258-3224 PANNONE ENG. SVC P. ❑. BOX 102954 ANCHORAGE, ALASKA 99510 AS—BUILT 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. # OIL— t 21— b'Z HAA # -1A (4915 10 4N k 1. GENERAL INFORMATION Complete legal description Lcb 24 ,_I3LOCV_ 42-AliLti Q2 qC,K Location (site address or directions) 63«7 A ntlJayy't "c rt2a L 13 Property ownerrv112," ra :.i: •,::, Mailing adiclress_%� Lending agency Mailing address Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS:.y 3. TYPE OF WATER SUPPLY. Day phone 4 4Sl6 Day phone Day phone Individual well _" Community well Public water NOTE: If community well system, provide written confirmation from State ADEC attest - Ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site k Holding tank - Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72-025 (P... J91) F�, wog n, 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 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 FirmpANmoNLX_ L3.N4a. SVC_ Phone Z 2-0371 Address 'T,OQ3oy- /o2 r5z/, Alvc#AV, 99S/4>_24S� Engineer's signature - �'�— Date St= eM— A-t� CJ16U_) 6?-NktAJ'C= ? .& R 0::'�( 4W I -A • .. 'P Shwn R. hnnaw ,N 6. DHHS SIGNATURE s��� /Of Approved for `t bedrooms. Fap��FEssto��� Disapproved. Conditional approval for bedrooms, with ttie following stipulations: Additional Comments By: Date CAUTION The Municipality of Arichorage 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. riasm...ev» 6. raym RECEIVED Municipality of Anchorage OCT 181999 DEPARTMENT OF HEALTH & HUMAN SERVICEIWicwAun Of Environmental Services Division DWOOPiMEMALSEWK 1 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: L, 3A , BZ cLA t. LgwaooV, ro& Z Parcel I.D.: 01*— /21 — (v 2 A. WELL DATA Well type`73 K wA-rrL If A, B, or C, attach ADEC letter. ADEC water system number Log present (YM) %? Date completed /o Ili/A 4 - Total depth / ZSr Cased to /ZS'' Casing height (above ground) Z ' Sanitary seal (YM) Data of test Static water level Well production FROM WELL LOO /o! rob 4 WATER SAMPLE RESULTS: 32' 2-0'r Wires property protected (Y/N) i AT INSPECTION /21 g:p.m. S'.3 9— p.m- Coliform o — Nitrate 0.5'00 t) Other bacteria — c-1 — Date of sample: /o/SI IF 9' Collected by: S 112 SPA AJAI0Nc1 B. SEPTICJHOLDINO TANK DATA Date installed 71 X104 Tank size 1-Z-90 Number of Compartments 'Z- Cleanouts (Y/N) `? Foundation cleanout (Y/N) Depression (Y/N) _ ✓ High water alarm (YM) Date of Pumping 7 t 4 C. ABSORPTION FIELD DATA Pumper A'fiblenrts syC-, Date installed Soil rating (g.p.dA? or ft°/bdrm) Z 4 O System type 'Ci 1:N) Length 6 d • Width. '30' Gravel thickness below pipe —6" � Total depth Effective absorption area 1,606 Monitoring Tube present (Y/N)_Depression over field (Y/N) Date of adequacy test /O 1314 9 Results (Pass/Fail) TA SS For `{ Fluid depth in absorption field before test (in.);. 2b /3" Immediately atter gal. water added (in.): 3 ` /4 r Fluid depth 2" 13' (ins) Minutes later. / yyo Absorption rate = & c a.p.d. Peroodde treatment (past 12 months) (Y/N) /V O If yes, give date 72-028 (Rev. 3198)' D. LIFT STATION Date installed Manhole/Access (Y/N) High water alarm E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Size in level at' 'Pump ofr level at' Septic/holding tank on lot /0S, On adjacent lots /001 Absorption Held on lot /19 t On adjacent lots foo t Public sewer main N A Public sewer manhole/cleanout N / A " Sewer /septic service tir line q � Lift station /o0 SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOT TO: Foundation /3� Property line Absorption field I `/ /VV/--ro'D¢A�•uAhLLbfrcYl• /- Water mainkervice line Surface water/drainage 1. 1 Wells on adjacent lots ebb SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line / O t Building foundation -3,91 / Water main/service line P S 1 Surface water e7m-4' Driveway, parking/vehide storage area PRO r Curtain drain / 00 t Wells on adjacent lots loo � F. ENGINEER'S CERTIFICATION I certify that I have determined thru field inspections and review of Municipal recdJf� are in conformance with MOA HAA guidelines in effect on this date. ,;� Signature.. ��— Ali& Engineer'sName S'r[zP� � A$OA'dal� t3. `t�7jr Date 4 4 HAA Fee 3 3 Waiver Fee $ Date of Payment /o I a I `n Receipt Number S3 q,3 A/ —`Z 72.028 (Rev. 3198)• Date of Payment Receipt Number x•8149 c,even R. Pannone, P.E. Consulting Engineer P.O. Box 102954 Anchorage, Alaska 99510 SEPTIC SYSTEM AND WELL, ADEQUACY TEST Legal: Lot 3A, Block 2 Eagle Brook S/D No. 2 ""n ' Owner. Mr. Brian Durrell Residence: 6300 Andover Circle, Anchorage, AK 99516 CE -8149 f : 4P/Olrz Septic System: Tank Size: 1250 gallons. Absorption System Type: Bed �EQF�csStoH*� (from Municipal records) Absorption System Size: 60000.5 Absorption Area: I800s.. Installation Date: 7/2/84 Soil Rating: 290 sf/br Date of Pumping: 9-99 By: A+ Home Services Date of Test: 10-3-99 Test Procedure: System was inspected visually and measured. The tank was found to have 4 feet of cover. Liquid depth %vas measured to be 10 Inches. The drain field %-,ms found to have 36"+ of cover and a total depth of 46 to 57 inches'. There was 2 to 3 inches of liquid measured in the field's monitor tubes (two monitor tubes were found.) Water was added at a rate of 5.3 gallons per minute. Liquid depths were measured in the two monitor tubes. The Iiquid level rose one inch in both monitor tubes with the induction of 624 gallons of water into the bed. Water levels were measured for a 24-hour period. The liquid levels returned to the original levels before adding the water. Note: 1) A low spot was noted between the septic tank and the bed. This low are is approximately 15 feet long. 2) A drainage ditch containing runoff was measured to be 91.1 feet from the septic tank's clean out. 1 am informed that this ditch is a runoff ditch and is dry during periods of no rain. A well flow test was conducted in conjunction to testing the septic system. The static water level was found to be 12 feet below the top of the casing. Water was pumped from the well at a rate of 5.3 gallons per minute (GPM). The static water level dropped to a depth of 26 feet from the top of the casing. This well is able to produce greater than 5.3 GPM. Water samples were taken to test the water for Bacteria and nitrates. No bacteria or nitrates were measured. The results are attached. Note: The wires at the base of the well need to be covered with soil. TEST RESULTS: This system meets the code and operational requirements of the Municipality of Anchorage. In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with the MOA Health Authority Approval Guidelines. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soil condition, ground water levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this system. All systems eventually fail and satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. We can therefore not give any estimate of how long the system will continue to meet the operational requirements of the Municipality and State. MUNICIPALITY OF ANCHORAGE Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# ymggnngn PID# m7_1?1_6? HA# uAggns?i Permit # Date Received: Legal Description: Lot 3A, Block 2, Eagle Brook Subdivision Engineer: Pannone Engineering Service Applicant: PO Box 102954, Anchorage, AK 99510 Brian Durrel Waiver Requested: A separation distance waiver from 100 feet to 85 feet between septic tank and a drainage course. Criteria: 1. Geology: Points: A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: X_ Waiver is NOT Granted: List Conditions or Reasons for above: SfE E,Vl,/.VEERS NZT#,rj4g 16TJEie Ort Arty io-31-ff. Date: By: DAA/ Name of Reviewer Rec # : 5367 Amount: $ #625.00 Date Paid: 11-4-99 ` Municipality of Anchorage Department of Health and Human Services 825 OV Street Rick Mystrom, P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor htlp://www.Cianchorage.ak.us November 9, 1999 Pannone Engineering Service PO Box 102954 Anchorage, AK 99510 Subject: Waiver Request for Eagle Brook Subdivision, Lot 3A, Block2 Waiver Request #WR990090 Parcel ID #017-121-62 HA990523 Dear Mr. Pannone: Your request for a waiver of the required 100 feet horizontal separation from the septic tank to surface water has been approved. The approved separation distance is 85.0 feet. This waiver approval applies to the existing septic tank to surface water 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 3434744. &dz'�e /�///�'Sincceerrely, Daniel J. Roth Civil Engineer On -Site Water Quality Program ` J, Steven R. Pannone, P.E. Consulting Engineer October 31, 1999 Municipality of Anchorage Dept. of Health & Human Services On -Site Services Section P. O. Box 196650 Anchorage, Alaska 99519 KECEIVEu NOV Oaf -1999 MUNICIPALITY OF ANCHORAGE ENVIRONMENTAL SERVICES DIVISION Subject: Lot 3A, Block 2 Eagle Brook SID, No. 2 Separation Waiver Request Ladies and Gentlemen: P.O. Box 102954 Anchorage, Alaska, 99510 (907)272-8218 F&x I am writing to request a separation distance waiver for the above referenced lot. During a recent Health Authority Investigation, it was discovered that the septic tank was located approximately 91 feet from a drainage course that was full of water at the time of the investigation (the distance was measured from the tanks first clean-out to the nearest edge of the water). Your investigation concluded that the drainage met the ADEC's definition of a surface water flow, since water was flowing in the drainage course after several days of no precipitation. I am requesting a separation distance waiver be granted from 100 feet to 85 feet. Based on the topography of the lot, any sewage that might escape from the septic tank will have to travel over 100 feet before it encounters the surface water. See the attached drawing showing the expected path of any potentially spilled sewage. The 91 feet was measured due west of the septic tank. The topography of the lot slopes to the southwest. Spilled sewage would have to flow over an embankment, through dense undergrowth and alders before it enters the surface water. The surface water flows in a southerly direction, until it is about due west of the septic tank. From there, the surface water turns west and continues southwest until it encounters the Rabbit Creek Road drainage system. Sewage that might be released from the septic tank would have to travel overland well over 100 feet before it encountered the surface water. 1 feel that granting a waiver to 85 feet will not endanger the water quality of the surface water. Please contact me at 272-8218 or 227-3522 if you have any questions about the proposed installation. Sincerely, Steven R. annone, P.E. 49kh Attachments: '0 Sown R. hnnpn� CE -8149 f C:XWORxV.[i7T7.RS\3A•21:AGIXIIIZOOK.00I.[xx %\�i_FC; 44!43 EcS;4ti,� &AS•o0 S'84'7 0821) Ilr<fl�y PERMIT NOt WAIVER REQUEST P.I.D. NOS 017-121-62 WASTEWATER ABSORPTION SYSTEM LOT 3A, BLOCK 2 EAGLE BROOK S/D 1 l�l1i CO A B WELL<38� T1 1 14.5 43.6 e. T2 22.8 48.3 C1 24. 49.5 M1 44.66 64.9 M2 93.0 105.3 l 1 ►l EXIST'G 11i 4 BR HOUSE l EXIST'G i ► B 12509 i SEPTIC TANK 11 ll 1.1 EXIST'G ABED T1 T2 ^ i EXIST'G C1 �\ CREEK 'M1" EXPECTED PATH OF --SPILLED SEWAGE i f V ork\DRAWING\3A-2EAGLE.DWG /Ci\ Mr. Brion Durrel 15831 Southpark loop Anchorage, AK 99516 (907) 258-3224 PANNONE ENG. SVC P. ❑. BOX 102954 ANCHORAGE, ALASKA 99510 272-8218 Phone & Fax WAIVER Or -7 n MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRONMENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONXENTAL PROTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE I. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) _4o r 3.9 ALIfAe m Cam i r n, Location (address or directions) (b) Applicants Name Applicants Address levee ne - .He®e— Bus nesf' yde - 3'& J 4 (c) Applicant is (check one) Lending Institution ; Owne /b der - Buyer = ; Other = (explain); (d) Lending Institution Tel hone Address (e) Real Estate Co. & Agent Address Telephone (f) Mail the HAA to thefollowing address: \ 2. Type of Residence v Single—Family 0 Multi—Family Other (describe) Number of Bedrooms �v 3. Water Supply Individual Well C4 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 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 21 / 4/)2.1q S LY 3A Iha4 *Q 434 '80-Z FAG 1.E _89CV Ae'1 5. Engineering Firm Providing Inspections, Tests. File Search_ n:,f-, ..A .-o_ -__. As, certified by my seal affixed hereto and as of the validation dateshown 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 regula- tions in effect on the date of this inspection. Name of Firm Addres Date__ (ENGINEER SEAL) 6. DHEP Approval Approved for bedrooms By�4 Approved _X— Disapproved 'l Terms of Conditional Approval CAUTION Condi .. Telephone_ fX 7y C. Reid, Jr. No. 2251.E THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION (DHEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLELY UPON THE REPRESENT— ATIONS 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 REQUIRE— MENTS- EMPLOYEES OF DHEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR OMISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 21 7-19-84 n^"NIOPAUTY OF AMDK*Apg DEPT. OF MMCIPALITY OF ANCHDRAGE (MOA) OW) A� PROTEC oN BLUM nvIiMM APPROML (HAAT MAR 1 198- CHECKLISr - FEBR19M 1984 A. FELL DATA Legal Description: RECEIIVD Well Classification Pkeiv*rw If A, B, or C, D.E.C. Aflproved(Y/N) Well Log Present ON) Date Complete dK'eo -�Yieldc?b4P«, Total Dapth± !a-' Cased to "�`i2ti' Depth of Q= -ting 4p.c Static Water Level 01-32' Pump Set At aw. Casing Height Above Ground f G Sanitary Seal on Casing] Electrical Wiring in Conduit Sanitary Depression Around Wellhead (Y/N) Separation Distances from Wells To septic/Holding Tank on Lot t On Adjoining Lots_TO Nearest Edge of Absorption Field on Lot f//E t On Adjoining Lots_ To Nearest Public Sewer Line Aol /'/t- To Nearest Public Sewer Cleancut/Manhole Th Nearest Sewer Service Line on Lot Water Sample Collected By r Date Water Sample Test Results 5916,w1/ Comments n.... .r *%_ B. SEPTIC/HDLDING MW DATA Date Installed L Size —_ / Z -5b No- of Ca%wtments Standpipesa ft Air -tight Caps_ Foundation C]eanout �_ Depression cosi Tank (Y Date Last PuzUed- Pumping/Maintenance Contract on File (y/N) for Holding Tank High -Water Alarm JIM) Temporary Holding Tank Permit (YM) Al Separation Distances from Septic/Holding Tank: To Water -Supply Wall 105 *f- To Building Foundation /y To arty Line - /0�k To Disposal Field /$ To Water Main/Servioe Line To Stream, Fond, Lake, or Major DrainageGooses +/DD , Comment [Page 1 of 21 Receipt in��CD Date Paid: . _ 18- 8r Amount: LlK-, a � 2-15-84 /.3.4 8.z '0-'04A6w� B�oDC C. ABSORP -1CN_ FIELD DATA Soils Rating in Absorption Strata A90.Type of System Design BBQ _-- Date Installed _L`( Length of Field 5'/" lS LA:3 — Width of Field Zai -,(t 14.&1)_ _ Depth of Field Y-5 � Gravel Bed Thickness d.S/ Square Feet of Absorption Area /ROD Standpipes Present (Y N) Depression over Field (YA Al _ Date of Last Adequacy 'est All -t Results of Last Adequacy Test Al ji{t•' Separation Distance from Absorption Field: To Water -Supply Wall ,a•//Sim To Property Line To Building Foundation _ �o"1S /4(- To Existing or Abandoned System on Lot A %1 t on Adjoining Lots 0.30 To Water Main/Servics Line 4-.t5/To (]rtbank(if resent) N/A To Stream/Pond/Lake/or Major Drainage Carse a-/00 i To Driveway, Parking Area, or Vehicle Storage Area D. LIFT STAI'ICN Date Installed Sias in Gallons •pump Cno level at High Water Alarm Level Tested for Electrical Dimensions /Access (Y/N) •Pump Off" Level at -- Vent (YM) Pumping Cycles during Adequacy T8st- Meets MDA *' Check Permitted Bedroom Rating Against HAA Request i certify that I have checked, verified, or conformed to all MDA HAA on the Signed KS1/d5/s (Page 2 of 21 n effect oy C. ftw, No. 2251-E - y " `i `RCFES�1'' ,��-y @suwa� 2-15-84