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Home My WebLink AboutMOUNTAIN PARK ESTATES BLK 6 LT 7Mountain Park sta Block 6 Lot 7 #017-391-04 MUNICIPALITY OF ANCHORAGE On -Site Water & Wastewater Program PO Box 196650 4700 Elmore Road Anchorage, Alaska 99519-6650 Phone: (907) 343-7904 Fax: (907) 343-7997 http://www.muni.org/onsite On -Site Wastewater Disposal System Permit Permit Number: OSP201239 Work Type: SepticTank Upgrade Tax Code Number: 01739104000 Site Legal Address: MOUNTAIN PARK ESTATES BLK 6 LT 7 G:2838 Site Mailing Address: 5861 KALGIN DR, TOWER, Anchorage Owner: REYERS JELLE & LAURA J Design Engineer: PANNONE ENGINEERING SERVICES This permit is for the construction of: Effective Date: Expiration Date Lot Size in Sq Ft: Total Bedrooms: Department 7/16/2020 7/16/2021 22500 ❑ Disposal Field 0 Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction shall be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80) 3. The wastewater code requires inspections during the installation. The engineer shall notify the Development Services Department per AMC 15.65. Provide notification by calling (907) 343-7904 (24/7). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather shall be either: a. Opened and Closed on the same day, or b. Covered, sealed, and heated to prevent freezing I j Received By: 1 Issued By: Date: -7)6/, . Date:' `7 1 t0 ab� 3 UMCPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 017-391-04 Property owner(s) Jelle & Laura Reyers Mailing address 5861 Kalgin Dr Anchorage, AK 99516 Site address same Day phone Legal description (Sub'd., Block & Lot) Mountain Park Estates B6 L7 Legal description (Township, Range & Section) Lot Size 22,500 Sq. Ft. Number of Bedrooms 3 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) ❑X Septic Tank ❑X Upgrade ❑ X (w/wo ADU) Duplex (D) El Holding Tank ❑ Renewal ❑ Multiple Dwellings ❑ Privy ❑ (SF and/or D) Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. (Signature of property owner or authorized agent) Permit/Rush Fees:./.68,'7 COVIO J9 Waiver Fees: Date of Payment: W-0 f20 Date of Payment: Receipt Number: Oa (03 G Receipt Number: Permit No. 05P20123q Waiver No. Permit App_- - :' .. c- Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201239, Rebecca Carroll, 07/16/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201239, Rebecca Carroll, 07/16/20 Municipality of Anchorage On-site Water and Wastewater REVIEWED FOR CODE COMPLIANCE OSP201239, Rebecca Carroll, 07/16/20 GREA,ER ANCHORAGE AREA BOR .JGH Department of Environmental Quality 3330 C Street Anchorage, Alaska 99503 INSPECTION REPORT ON-SITE SEWAGE DISPOSAL SYSTEM LOCATION MAILING ADDRESS '~* LEGAL DESCRIPTION ~'7' ~ ~/~ ~1~{'~. ~'~'1 '~----~-~'"¢~"~' SEPTIC TANK: ~ ,-., /] l0° DISTANCE \) f'~l~¥ FROM WELL ~ MANUFACTURER INSIDE LENGTH INSIDE WIDTH , DIAM L'~TER MATERIAL ~) '~'- NUMBEROF COMPAR,~T.M ENTS ~ LIQUID DEPTH LIQUID CAPACIT~ALLONS, OR WIDTH LENGTH DEPTH LINING MATERIAL CRIB SIZE= DIAMETER__DEPTH DISTANCE FROM: WELL · (. TOTAL EFFECTIVE BUILDING FOUNDATION ~ , NEAREST LOT LINE ABSORPTION AREA (WALL AREA) WELL: F'~ TYPE V/~-~{0 CONSTRUCTION DEPTH. DISTANCE FROM: / BUILDING NEAREST NEAREST SEPTIC! FOUNDATION LOT LINE SEWER LINE TANK-, /, CESSPOOL OTHER SOURCES APPROVED DISTANCES: LOT SLOPE: · · t'lU~-i I C I PAL I TY OF Ar-ICHORAG;:. DEPARTMENT ~xHERLTH AND Er4VIRONMENTAL ~-~OTECTION 825 "~ 'STREET, ANCHORAGE, AK. 9.~ 1 ., ON--_'::IT;:' PERMIT ~10. ( 810364 ) APPLICA~IT LOCATION LEGAL JESS MONTOYR CRESTVIEW & KRLGIN L? B6 MT PK EST 264-4720 SRA BOX 377-Y '- ll IS'- kDzo{ b-IO{I LOT SIZE 21000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS SOIL RRTING (SO FT?BR)= 250 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: D;:.PTH= I 0 LE~IGTH= 75 GRFI~./EL D;:.PTH= 6 THE LENGTH DIMENSIO~/ 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 A~ID THE BOTTOM OF THE E×CAVATION (IN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE A~'~D THE BOTTOM OF THE E~CAVATION (IN FEET). REIZLI I RED SEPT I C TliNK S I ZE= 1000 GRLLOf~I$ PERMIT APPLICA~IT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTBLLA.TION INSPECTIOn'IS OF ANY WELLS ADJACENT TO THIS PROPERTY 8ND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. TI,lO ( 2 ) I f~ISPECT I Of~l$ lIRE REQU I RED BAC}-',FILLIllG OF ANY SYSTEM WITHOUT FINAL INSPECTION 8ND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTIO~I. MINIMUM DISTANCE BETWEEN A WELL ArID ANY OH-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM 8 PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL MINIMUM DISTANCE FROM 8 PRIVATE WELL TO 8 PRIVATE SEWER LINE IS 25 FEET fiND TO 8 COMMUNITY SEWER LINE IS 75 FEET. OTHER REOUIREMENTS M~Y APPLY. SPECIFICATIONS 8ND CONSTRUCTION DIBGR8MS ARE AVAILABLE TO INSURE PROPER INSTRLLBTIO~I. I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMEHTS FOR ON-SITE SEWERS AND WELLS 8S SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 2: I UNDERSTA~ID THAT THE ON-SITE SEWER SYSTEM M8Y REQUIRE ENLARGEMEHT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN ~ BEDROOMS. V4. 0 ,~1 ~]~ ~ 1~ ~.]BIL]~ 10 ]~ 1H]~ ~1~ ~]~ 1~. 'THO ,,~]LL]N~ 0F f~5' $~1£H N31f*fOV~ F]k~c~ ]t~_~ECTJON ~g RF'F~/~IL B%' IH]S :i:)tLlt DI-C'.lFik~ BEldEN fl )ELL fl~ ~ UJ-E.]IE ~ D]~ S5S1[H )~. ,:FEET F~ ~ f~]~l[ ELL ~ ~ 1~ 1~ ~ ~]C: ~LL. , *'ERIq I T ENP ~ RE--c- DECEHE:EF: PEP. MIT ~10. APPLICAt'IT LOCATIOt-I LEGAL JAMES R. HENRY CRESTVIEW AND KALGIN l',lU I'-.I 'f C T P R L. T T'T' OF A I'-.I C I-'{ O R R l~i Ir: I1:1 825 ~',. rSTREET.. ANCHORAGE, AK. ~<... ml ~J~ II- I~-'O~Z~) I TE :E:;EIWER IJPGRADE PERI"1 I T _ i~E?Bi~'MT.''pflRKESTATES~ LOT SIZE 25000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER OF*BEDROOMS SOIL RATING THE REQUIRED SI~E OF THE SOIL ABSORPTION SYSTEM IS: DEPTH= ~ LEI'-.IGTH= ~' GRAVEl-. DEPTH= .,~' THE LENGTH DIMENSION I~ THE LENGTH (IN FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT I~ THE DISTANCE BETWEEH THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN FEETX THE GRAVEL DEPTH I$ THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFRLL PIPE A~tD THE BOTTOM OF THE EXCAVATION (IN FEET). REQL~IRED SEPTIC TA~( SI~E= ~ GALLON~ 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· ------ T&-IO ( :::' > I N--C:PECT I 0~$ ARE REI~U I RED BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTR~IOE BETWEEN 8 WELL AN{> ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS I00 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM R PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMi'IUt. IITY SEWER LINE IS ?5 FEET· OTHER REi~UIREMENTS MAY APPLY. SPECIFICATIONS AMD CONSTRUCTIOM DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. PERMIT EXpTRES DEC:E~IBER I CERTIFY THAT l: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. ~: I UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT If THE RESIDEt~CE IS REMODEL~I~. TO ~.ICLUDE MORE THAN ~ BEDROOMS. PERMIT HO. RPPLICRNT JRHES R. HENRY LOCnTION CRESTVIEW & KELGIN LEORL ~i~ "~ i~ .~. I~1:~ 'E~l'/ TYPE OF SOIL RBSORPTION SYSTEM IS; TRENCH MAXIMUM NUMBER OF ~EDROOMS = 3 V OILIRRDG THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM DEPTH= LOT SIZE 21000 SQUARE FEET (SQ FT?BR)= 173 LENGTH= :~.7-- GRRVEI DEPTH= THE LENGTH DIMENSION IS THE LENGTH (IN FEET) OF THE TRENCH OR DRRINFIELD, THE DEPTH OF R TRENCH OR PIT IS THE DISTRNCE BETWEEN THE SURFRCE OF THE GROUND RND THE BOTTOM OF THE EXCRVRTION THERE IS NO SET WIDTH FOR TRENCHES, THE GRRVEL DEPTH IS THE MINIMUM DEPT~ OF RND THE BOTTOM OF THE EXCRVRTION (IN I,. REQU I RED :~:EPT ! C TRN~ S PERMIT RPPLICRNT HRS THE INSTRLLRTION INSPECTIONS OF NUMBER OF RESIDENCES THRT THE OUTFRLL PIPE THIS DEPRRTME~q~ D~IN~THE TO THIS PROPERTY 8ND' THU BRCKFILLING OF RNY DEPRRTMENT WILL BE W] F ONS ARE REQUIRED INSPECTION AND RPPROVRL BY THIS MINIMUM DISTRNCE i00 FEET FOR R PRIVRTE UPON THE TYPE OF PUBLIC W MINIMUM DISTRNCE FROM R PR: ON-SITE SEWRGE DISPOSRL SYSTEM IS FEET FROM R PUBLIC WELL DEPENDING FEET. SPECIFICATIONS RND CONSTRUCTION DIRGRRMS RRE ', ON. TO R COMMUNITY SEWER~,~INE I- OTHER REQUIREMENTS M~\RPPLY. AVAILRBLE TO INSU~ PROPER I CERTIFY THRT i: I AM FRMILIRR WITH THE REQUIREMENTS FOR ON-SITE SEWERS...._ W~L~nS'" ~ 5ET FORTH BY THE MUNICIPRLIT~ OF RNCHORRGE, 2: I WILL INSTRLL THE ~Y~TEM IN RCCORDRNCE WITH THE CODES, 3: I U~ER~TRND THRT THE ON-~ITE SEWER SYSTEM RESIDENCE I~ REMODE~D TO INCLUDE MORE THAN ANCHOr.AGE AREa 'SEWAGE DISPOSAL SYSTEM m APPLICATION AND PERMIT INSTALLATION OF: SEPTIC TANK ~ SEEPAGE PiT DRAIN FIELD ~ ~ / /~-.~'/~" NO~ THIS PERMIT IS NOT VALID WITHOUT SOIL /"'-'-'/ ~, ~ -~-e~ <)/..c~J~," ~,. ~-.~c-~ ~/~,~. '" ~ ~ I ' - ',,, ! · sIGNED · DATE ~-_~;~_-~?-M~. 4S 472 smo P~TS ! ~ *~ ~ CAJ~ON INTA,Cr. DETACH AND FILE FOR FOLLOW-UP GREATER ANCHORAGE AREA BOROUGH SEWAGE DISPOSAL SYSTEM m APPLICATION ~ND PERMIT INSTALLATION LOCATION LEGAL DESCR'PTIO" ,L/~"~ FINANCED THROUGH COMPLETION DATE ANTICIPATED TO BE INSTALLED BY FINAL INSPECTION: 24 HOUR NOTICE REQUIRED. BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION BY THE DEPARTMENT OF ENVIRONMENTAL QUALITY AUTHORITY WILL BE SUBJECT TO PROSECUTION. SEPTIC TANK TO SEEPAGE PIT WALL ~:-'~ / SEPTIC TANK~ ~/ SEEPAGE PIT-- ~ [ DRAIN FIELD WELL TO S[~1C TANK /~ ~ / SEEPAGE PiT WATER HAiN TO SEPTIC TANK / ~ / SEEPAGE PIT SE~IC TANK. /~ GRAVEl. DACKir'ILL DIAGRAM OF '=YSTEM 28.68 AND THAT THE ABOVE -. ANCP. ORAG~ APdA BOROU,3H ', ' '-' Depar~nent of Environmental Quality ·" 3330 "C" Street · Anchorage, Alaska 99503 Performed for Mr, Ja~e~ Brow. Date performed April 26,1974 ~egal Description: Lot 7 Bloclc~.6 Mou_qt~tn Park E~taies~ ~utxtivision 'ibis form reports: Soils log x Percolation test Feet 1 ' 3- 12-. /l~"~ground water encountered? I / / / 14. /~LO If yes, at what depth? 'Reading Date Gross Time Net Time Depth to H2O Net Drop ~ercolation rate minute Proposed installation: Seepage Pi~ Y~'~'-'' Drain Field ' ~ D~th of I~let ,t . ~ . . Deot.h to bottom of pit, o)' tr'r~nch ' ~ .. . , Performed B~: ~,~ ,/Y~ ~,~ '- c~rtificd ~ ~.//~a~' ~~ 2833 E~st 72nd Avenue DAILY DRILLING LO~i · PENN JERSEY DRILLING CO. Anchorage, Alasklt 99502 ADDRESS .................................................................................. (.~%.1 ~..~. jif ~.k,~,~ ~7,~/'~ .................. STATIC LEiiEL OF WATER FT ....................................... WELL--SITE ............... ~;~q~-~7~'~-~6~.~]~.~/~"~.~5~`~AW DO%%N FT ....................................................................... ~... I)ATF~STARTED ........... .'~..-..~ .-..~.~ ................................................ ~... GALS. PER IIR ............................................................................. DATF~ENDED .............. ~..-...%-..~?.'. ......................................................................... KIND OF CASING ..................... ,5~r.J. ll~t~..l~..l~.o.d ................... KIND OF FORMATION: 0 -- -- 5 FTFrozen Dirt f, Gravel FROM .......................... ~x. TO ................................................................... FROM .......................... FT. TO .......................... FT .................. FROM ........... ~. ............ Fr. TOI~ ....................Fr.~o.cl~m..~irl:..~,...P, oulders FiIOM .......................... FT. TO .......................... Fr ................. , , ........~ ............................................................................. FROM .......................... FT. TO .......................... Fr ................. 123 190 Sir,. Boule'ers 8"-l' FRO.'tl ......................... Fr. TO .......................... }~r ........................ 5.L...: ......... FROM ......................... FT. YO .......................... FT ................. FROM..2~.7.. ...............FT. TO...32fi ................ ~ t' ic'2~y..cl ,%y ........... FgO.'*l..~g.'." ................ l"T. '1'0....3..'.9-..6.. ............... i~.!O..e,.1.:....~.all:l.,....OCavel & FROM ..3..~..6. ................ l?r. TO .......................... FT ........ !.!.,?..t.~[.r'. ................... FI~,O,M ......................... ff. 'FO .......................... ff ......................................... I:ROM .......................... f. TO .......................... Fr ......................................... FROM .......................... FT. TD .......................... FT ................. FROM ......................... FT. 'FO .......................... Fr........'. ........ FROM .......................... Ff. TO.......;. ................. Fr ................. FROM .......................... Fr. TO .......................... FT ................. FROM .......................... FT. TO .......................... FT ................. FROM .......................... FT. TO .......................... FT ......... .'...'... MISCL. INFORMATION: DRILLER'S NAM E...I.,,,5,, ~.,...&...Lai:~y... j ~., .............................. MUNICIPAMTY OF ANCHORAGE DEPARTMENT OF H~ALTH & ENVIRONMENTAL PRO~EJ~ ENVIRONMENTAL ENGINEERING DIVISION REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEWER FACILITU~ 1. PROPERTY OWNER ~ERTY RESIDENT (H diflere~; from ~bo~) ~ PHONE PHONE ~. LENDING INSTITUTION MAI LING ADORES 4~ REALTOR/AGENT ~. -- //~ ~ ~ I PHONE LEGAL DE~CRIf~'ION [] One [] Four c:~SlNGLE [] Two [] Five FAMILY [] MULTIPLE FAMILY ~ Three [] Six [] O~.her 7. WATER St,Jfff~.Y ~ INDIVIDUAL* 'ATTACH WELL LOG. Awell log is required for all walls drilled [] COMMUNITY since June 1975. For wells drilled prior to that date, give wall [] PUBLIC UTI LITY depth (attach log if available.) SEWAGE DISlN3~&L SY~I'EM INDIVIDUAL~ON-SITE** [] PUBLIC UTI LITY "If individual/on-site, give installation date~/~d~-/'7d'~ . If system is over two (2) years old an adequacy test is required by this Department. NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED, 72~)10(3/78) ., THIS SIDE FOR OFFICIAL USE ONLY DATE RECEIVED INSPECTION APPOINTMENTS TIME TIME TIME DATE DATE DATE ]NSPECTOR INSPECTOR INSPECTOR DIRECTIONS: 1. TYPE OF RESIDENCE NUMBER OP BEDROOM~ [] SINGLE FAMILY [] ONE [] THREE [] FIVE [] OTHER [] MULTIPLE FAMILY [] TWO i'"'l FOUR [] SIX 2. WATER SUPPLY PERMIT NUMBER I--I INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection VerifkKI LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM PERMIT NUMBER []INDIVIDUAL/ON -SITE DATE INSTALLED []PUBLIC UTILITY ~_ "~._~ Connection V~rified INSTALLER i'--ISeptic Tank or r--lHoldingTank Size: ~-~'~ IfTankishomemade ~OILSRATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL '~ ~ ~'li~'~' J Ne~e~t Lot Line 4. DISTANCESwELL TO: Seetic/Hold~ngTank J~be~mtio~ Area . JSewe, Line Absorption Area to neere~t Lot Line 5. COMMENTS oPPROVED FOR ~ ~EDROOMS NDITIONAL APPROVAL (letter must accompany, certificate) ,?PPROVEO .~ ~ i/. ~ ! Ch..-,~_.(.. -7v~--- o0. £d unicipalit-Y . An'chor ge 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 204-4111 GEORGE M. SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION January 23, 1981 James Henry Star Route A Box 377Y Anchorage, Alaska 99507 Subject: Lot 7 Block 6 Mountain Park Estates Subdivision Approval for your individual sewer and water facilities cannot be granted until the following items have been completed: ( ) A well log submitted to this department for our review. ( ) The top of the well casing sealed with a sanitary seal so that it is water tight. ( ) The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. () ( ) The well casing extended twelve(12) inches above ground level. Exposed electrical wires to the well head are in violation of the Municipality of Anchorage codes and must be encased in conduit. ( ) The water facilities were not turned on at the time of the scheduled inspection. Please call this office for another appointment. The water analysis report needs to be delivered to this office from the Chem Lab, 5633 B Street, for our review. Expose the well for our inspection to deter~ine proper construction, also to insure minimum distance requirements are met between the well and sewer system. James Henry · January 23, Page Two 1981 The'septic tank pumped.with a receipt submitted to this department. The septic tank pumped with a receipt submitted to this department. The total number of gallons p~ped needs to be on the receipt and verified'by a registered engineer as to the actual numbe~ of g~llons pumped. This is to verify the size of the septic tank. ( ) ( ) ( ) Expose the septic tank manhole to verify its existance. Locate and expose the standpipe to the seepage pit for our inspection. This is to insure the minimum distance requirements are met between your well and sewer system. A four(4) inch cast iron cleanout needs to be installed to the septic tank and/or leaching area. An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this department for our review. The permit for the installation of an on-site sewer system. has expired as of December 31, 19 We have not received the as-builts of the installation in this office. If a private engineer inspected the system, please send us the report for our files and review. ( ) The application shows the number of the bedrooms exceeds the number the sewer system was originally designed for. An upgrade will be required. Prior to any upgrade, a permit needs to be issued from this department. Please notify this department for a reinspection when the noted descrepancies have been corrected. If there are any further questions, please call this department at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw SI'~/059 GREATER ANCHORAGE AREA BOROUGH Department of Enviro~nental Quality 3330 "C" Street, Anchorage, Alaska 99503 274-4561 Date Received March 8, Time of Inspection Date of Inspection REQUEST FOR APPROVAL OF INDIVIDUAL SEWER & )~LATER FACILITIES FOR 1976 1. Approval requested by: Mailing Address: Property Owner: Mailing Address: Jim Brown Box 4-207, Anchorage 3. Legal Description: 4. Location: ~ 5. Type of facility to be inspected ..~ 6. Well Data: Individual e Phone: Phone: 344-1320 A. Type~ C. Construction Sewage Disposal System: Lot 7 Block 6 Mountain Park Estates No. of bedroom~ I B. Depth D. Bacterial Analysis~-7~. On-site syst~ ~ B. Installer A. Installed C. Septic Tank: 1. Size D. Seepage Pit: 1. Absorption Area 2. Manufacturer 2. Material E. Disposal Field: Total length of lines Distances: A. Well to: Septic tank Nearest lot line B. Foundation to septic tank C. Absorption area to nearest lot line , Absorption area , Other contamination , Absorption area , Sewer Lines EQ-034 (1/74) Page 1 of two pages 2 of two'pa'ges t for Approval of Individual r I Water Facilities Description'. Lot 7 Block 6 Mountain Park Estates Coalnents a Approve~~~_ Disapproved Date 3-12-76 " A~al ~Valid for one year from date signed Greater Anch~age Area Borough, Department of Environmental Quality DIAGRAM OF SYSTEM Iii certify that the information contained in this request for approval to be a true a,,d a~curate representation of the subject sewer and water facilities and these facilities are operating satisfactorily. SIGNED Da te EQ-034 (1/74) Municipality of Anchorage Development Services Department Building Safety Division On-Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. o3.7-393.-o4 1. GENERAL INFORMATION Complete legal description COSA # ~ \ \\ ~ k¢°~ Expiration Date: 3'~' / ~ '"" / ~ Mountain Park Estates, Block 6, Lot 7 Location (site address) 5$6~.Kalgin Drive Current Property owner(s) Mailing address Lending agency Mailing address Ralph Collin P.O. Box z:t27z4, Anchorage, AK 995z~ Day phone Day phone Real Estate Agent Mailing Address Day phone Unless otherwise requested, COSA will be held by DSD for pickup. 2, NUMBEROF~BEDROOMS: 3. - 3 TYPE Oi= WATER ~UPPLy: IndividUatWelt '. '%7 ...... [] Individual ,~/ater Storage [] Community Class __ Well [] Public Water System [] TYPE OF WASTEWATER DISPOSAL: Individual On-site Individual Holding Tank Community On-site Public Sewer r-~ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeowners. Certificates Of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water sample results. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of 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. Name of Firm Pannone Engineering Services, LLC Phone 272-82~8 Address P.O. Box zoo2~.7, Anchorage, AK 995zo Engineer's Printed Name Steven R. Pannone, P.E. Date Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of thc system in accordance with MOA DSD Guidelines & Regulations. 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 .~'~ 0[- ,4/ levels that may fluctuate during the year, and the water usage of the family being served by the system. ~?~x'~,~-x~..~,. .... ............ ~-~.,~9~_~ These conditions are outside the control of the evaluator of this system. All systems eventually fail and ~..~;'" .,_/~ ,..~7 ~% satisfacto~ test results do not guarantee futare performance of the system, nor do they guarantee that there are no hidden defects or encroachments. PES 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 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 ~-.. No. c[a149 confer any legal right whatsoever. ~i~ ......... " ~J ,-7,'_' ......... ~..,~.~-~.~' 5. DSD SIGNATURE ~ Approved for ._~ bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory X Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other Original Certificate Date: Municipality of Anchorage Development Services Department Building Safety Division On-Site Wate~ & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www. muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: A. WELL DATA Well type Private Date completed ~1F/.,976 Total depth 326 ft. Date of test Static water level Well production .,o WATER SAMPLE RESULTS: Coliform ... Neg colonies/100 mL Arsenic: ..ND ug/I B. SEPTIC/HOLDING TANK DATA Tank Type/Material Septic I Plastic Tank size .,2~io gal. Foundation cleanout (Y/N) Y Date of pumping C. ABSORPTION FIELD DATA Mountain Park Estates~ Block 6~ Lot 7 If A, B, or C provide PWSID # ~ Sanitary seal (Y/N) Y Cased to. 3.26 ft. ParcellD: o.,7-~9.,-o~ FROM WELL LOG '41g_ l.,q76 g.p.m. Nitrate ND mg/L Date of sample: .,',12',12o',', Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) .,8 AT INSPECTION 205 ff. · ,.8 g.p.m. Collected by: PES Date installed .,.,/.,2/.,q88 Number of Compartments ~_ Cleanouts (Y/N) Y Depression over tank (Y/N) N High water alarm (Y/N) N Pumper McDonald's Pumping Service Date installed ~..,I.,21.,988 Soil rating (g.p.d.i~ or ft2/bdrm) 250 sflbr Length ?~; ft. Width .3 Total depth .,~ ft. Eft. absorption area 900 ~ Date of adequacy test .,.,1',~12o.,1 Results (Pass/Fail) Fluid depth in absorption field before test o_ in. Elapsed Time: 250 min. Final fluid depth _o in. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N ft. Monitoring tube Y Pass System type Deep Trench Gravel below pipe 6 Depression over field N For 3 bedrooms Water added~5o gal. Absorption rate >= in. New deptho_ in. g.p.d. If yes, give date LIFT STATION Date installed Size in gallons "Pump on" level at~ in. "Pump off' level at~ Datum Cycles tested SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 85* Absorption field on lot zoo+ Public sewer main 75+ Sewer/septic service line 2=;+ Animal containment areas 5o+ in. Manhole/Access (Y/N) High water alarm level at · Meets alarm & circuit requirements? On adjacent lots ~oo+ On adjacent lots ~oo+ Public sewer manhoie/cleanout ~,oo+ Holding tank ~.oo+ Manure/animal excrete storage areas ~oo+ in. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Water main ~o+ Wells on adjacent lots ~oo+ Property line =o+ Water service line 25+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ~o+ Water Service line Curtain drain 50+ F. COMMENTS *WR#: OSPlo:[o44 lO+ Building foundation ~o+ Surface water ~oo+ Wells on adjacent lots ~oo+ Absorption field 5+ Surface water ~oo+ Water main 75+ Driveway, parking/vehicle storage ~o+ COSA Fee $ Date of Payment Receipt Number (Rev. 11105) **Well encroachment letter of non-objection attached. I cedi'fy that lhave 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. ~ ............. .Steven R P(3nnone~ Engineers Printed Name Steven R. Pannone, P.E. - ~a. ..... ~'~ /"/q~)' Waiver Fee $ / ~/~'"/1[ ~ Date of Payment ~) ~5,_~ ~ Receipt Number Feb .ma~y 1, 2010 MUNICIPALITY OF ANCHORAGE .','~'~" '. :~. Mayor Dan Sullivan Ralph Collin · 'Anchorage, AK 99511' RE:, Encroachment: Well, Fence and Shed in Utility Easement ' Mountain Park Estates, Block 6, Lot 7, Grid 2839, 5861 Kal~n Drive .'. The Right of Way Division has reviewed a request for a letter of non-objection to an existing well, wn-e~ : fence, and 8' x 16' shed, which encroaches into the 10' Utility Easement running north to south along'ihe .j.i...f.(i. east property line. :On the as-built survey dated December 17, 2009 (Fred Walatka ~':.Associat.es); '.,.:, submitted with the request, the petitioner has shown thc encroachm~ts. ;;;i.:i':';':? This letter .of non-objection is issued with stipulations, and by using it the petitioner is agreeing to the · "~ ', ;.~ :..% ;,i - ., . :;.:~-,.?~';:~;;.' :'. following: . . ..'..~, .y ,;,..?~.r.~:..~ . ~ :,?i'.'? "!': ..:',. "".."" ..... 1. Mumeipality of Anchorage (MOA) will be held harmless, now and forever, for any damages or''''','~''''' : . m jury to any person as a result of [he encroachments. ... .: 2. All applicable codes and regulations will be observed and maintained within the easement. '"" 3. This" letter of non-objection,, .-. will in no way preclude MOA fi'om full use and enjoyment of its .". "': rights within any'portion, oft_he easement. ".' 4.~ Additional and extraordinary costs incurred during may future required constructiOn,.'fep'air or .. reconstruction of MOA improvements to accommodate any or all of the encroachments shall be ..paid by the property owner. .: :..:.' 5;. Maintain letters of non-objection from the following utihties: " m Anchorage Water & Wastewater Utili.ty [5(] Chugach Electric A~ssociation, Inc. [] Matanuska Electric A~,sociation, Inc. [--] Municipal Light & Power ["1 Eyeeom (Girdwood Cable TV)' [E~ Alaska Communications Systems. ["] Matanuska Telephone Association [] Enstar Natural Gas Company [~ GCI Cable of Alaska [--I No letters required All letters of non-objection should be retained in your permanent fries. If you have any questions, please eallX~ at 343-8033. Sincerel~t,~ -%'*-. Jack L. Frost, Jr. Right df Way SuperVisor Con¢lAr Property Owner(s) . . :;!.: , SGS Ref.# 1115674001 Client Name Pannone Eng. Srv. Printed Date/Time 11/28/2011 15:00 Project Name/# Water Analysis Collected Date/Time 11/21/2011 8:30 Client Sample ID Mountain Park Est. B6 L7 Received Date/Time 11/21/2011 9:26 Matrix Drinking Water Technical Director Stephen C. Ede PWSID 0 Sample Remarks: Allowable Prep Analysis Parameter Results LOQ Units Method Container ID Limits Date Date Init Metals by ICP/MS Arsenic ND 5.00 ug/L EP200.8 C (<10) 11/21/11 11/23/11 NRB Waters De~ar tment Total Nitrate/Nitrite-N ND 0.100 mg/L SM20 4500NO3-F B (<10) 11/22/11 AYC Microbiology Laboratory E. Coli Total Coliform Negative 1 100mL SM20 9223B A 11/21/11 DLC Negative 1 100mL SM20 9223B A 11/21/11 DLC 2 of 4 : Municipality of Anchorage .' · .Development Services Department · ' Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 /' Anchorage, AK 99519-6650 www.muni.org/onsite ..... (907) 343-7 - CERTIFICATE OF ON-SITE SYSTEHS .b,15PRO~AL FOR A SINGLi:'F'AHILY DWELLING Parcel I.D. 017-391-04 1. GENERAL INFORMATION Expiration Date: Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address MOUNTAIN PARK ESTATES S/D; BLOCK 6, LOT 7 5861 KALGIN DRIVE * ANCHORAGE~ AK '~ 99516 RALPH COLLIN Day phone 244-1996 P.O. BOX 112714 * ANCHORAGE, AK * 99511 Day phone Day phone Unlessothe~e~quested, COSA w~behe~byDSD ~rp~kup. 2. NUMBEROFBEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well [] 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 On-Site Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On-Site Systems Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues COSAs upon request to homeownem. Certificates of On-Site Systems Approval are valid for 90 days from the date of issue for properties served by a pdvate or Class C well end may be reissued with new water samples. (Certificates may be reissued for a pedod 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 a~xed hereto and as of the validation date shown below, I vedfy 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD. SUrrE 101 * ANCHORAGE, AK 99507 ' Engineer's Pdnted Name JEFFREY A. GARNES$, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, LtD. affempted to provide a thorough, conscientious engineetfng analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported rosutis desctfbed the pedotmance of the system under the conditions encountered at the tiroe 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 Iluctuate 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 te~t 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 ~II 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 liste~f above. Any reliance upon or use of this report by any · otherpereonorparfyisnotauthodzed, norwillltconferenylegaldghtwhatcoever. 5. DSD SIGNATURE .J~_J Approved for 3 bedrooms. Disapproved. Conditional approval for __ bedrooms, with the fllowing stipulations: Attachments: COSA Checklist Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other "~'~-~ Odginal Certificate Date: 4'- 7-/° Municipality of Anchorage Development Services Department Building Safety Division On-Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage. AK 99519-6650 www.munl.orglonslte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEHS ,PPROVAL ;HECKLIST Legal Description: MOUNTAIN PARK ESTATES S/D; BLOCK 6~ LOT 7 ParcelID: 017-39-104 A. WELL DATA Bo "'BASED UPON SURROUNDING WELL LOGS- SEE ATTACHED Well type PE~VA~ IfA, B, or C provide PWSID# N/A Date con~pleted 3/5/1976 Sanitary seal (Y/N) YES YES YES Well Log (Y/N) Wires properly protected (Y/N) Totaldepth 326 ft. Cased to *40'4- ft. Casing height (above ground) 12+ .in. FROM WELL LOG AT INSPECTION Date of test 3/5/1976 12/16/2009 .ft. g.p.m. 264" ft. 1.89 g.p.m. Nitrate ,0.114 mg./L. Other bacieda O coloniesll00 mi. Date of sample: 5/7/2010 Collected by: CEG Ltd. Static water level NOT SPECIFIED Well production 10 WATER SAMPLE RESULTS: Coliform 0 colonies/100 mi. Arsenic:r <5.0 ugJL. SEPTIc/HoLDING TANK DATA Tank TyPe/Material SEPTIC/PLASTIC Tank sizel 1250 gal. Number of Compartments 1 Foundation cleanout (Y/N)*YES Depression over tank (Y/N) NO Date of pumping 1 O/14/2009 Pumper ABSORPTION FIELD DATA Dateinstatled lt/12/t988 Length 75 ft. "INSIDE HOUSE (ABS CLEANOUT). GEG VERIFIED VIA CAMERA THAT CLEANOUT GOES D RECTLY TO TANK. Date installed 11/12/1988 Cleanouts (Y/N) YES High water alarm (Y/N) N/A A+ HOME SERVICES ~'I~£~.OW J[XISTING GnADEI Soil rating (g,p.d./ft'oml~"~ 250 System type TRENCH Width UNKNOWN ~ft. Gravel below pipe 6 Total depth * 10.41 ft. Eft. absorption area 900 ft= Monitoring tube 'YES Date of adequacy test 12/16/2009 Results(Pass/Fail) PASS Fluid depth in absorption field before test 0 in. Water added 455 gal.. New depth Elapsed Time: O min. Final fluid depth O in. Absorption rate >= 450+ Any rejuyenation treatment (past 12 mo.) (YIN & type) NONE KNOWN If yes, give date Depression over field NO For 3 bedrooms 0 in. g.p.d. D. LIFT STATION Date Installed, Size in gallons Manhole/Access (Y/N) 'Pump on" level at ~el a'~-' ~ ~ Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot Absorption field on lot 100'+ Public sewer main N/A Sewer/septic service line 25'+ Animal containment areas 50'+ Meets alarm & circuit requirements? · 85'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout N/A Holding tank 100'+ Manure/animal excrete storage areas .In. SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field Water main N/A Water service line 10'+ Wells on adjacent lots **90'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Surface water 100'+ Water main N/A Driveway, parking/vehicle storage 10'+ Property line 10'+ BuiIding foundation. 10'+ Water service line 10'+ Surface water 100'+ Curtain drain NONE KNOWN Wellson adjacentlots. 100'+ I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Englneer's Printed Name JEFFREY A. GARNESS Date ~/ l ~ /,13 F. COMMENTS *WAIVER REQUESTED. SEE A'I'rACHED LL-TrER. **PER EXISTING WAIVER #WR86-036, Waiver Fee $ I Date of Payment Receipt Number COSA Fee $ ~0 Date of Payment~'//~// Receipt Number ~ '"7 (Rev. 11/05) Ill ; Munic----~-~a age,~~ p.o. Box 196650 4700 Elmore Road ~' Anchoraqe, Alaska 99519-6650 · (907) 343-7904 · Fax (907) 343-7997 htt p:llwww.m unl,org/Onsit o Development Services Department On-Site Water and Wastewater Pro.qram Department **** VARIANCE/WAIVER REVIEW **** WP& OSP101044 HA#: OSC101044 Permit~: PID#: 017-39t-04 Legal Description: Mountaln Park Estates, Block 6, Lot 7 Engineer: GEG Applicant: I~alph Colliq Your request for a waiver of the required I00 foot horizontal separation distance between the subject property's septic tank and private well has been approved. The approved separation distance is 80 feet. This waiver approval applies to the existing subject property's septic tank to private well 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. Waiver is Granted: X Waiver is not Grante(J: Date: ~/'~8/2010 Approved ~j.~ ~t~.~./l/~r~'~ [ ~,~ Name of Reviewer' Rec#: 777315 Amount: ~1050 Date Paid: 5/14/2010 **** VARIANCE/WAIVER REVIEW **** 12/~1/2e09 18:21 9672432081 LOT 3 Cha}n link LOT 5 FRED W~J_~T~& ASS0 PAGE 01 8346G \ LOT 6 LOT 8 ° Se~c VentS LOT 7 SCALE: 1"= 40' E,~EMENTS OF RECORD, OTHER THAN THOSE SHOWN ON THE RECORDED PLAT ARE NOT SHOWN HEREON. FB 0~-8, PG 19 Vents R=30.00 L=41.10 BE NOTE: DRIVEWAY LOCATION I~ APPROXIMATE DUE TO SNOW AND ICE. AS-BUILT NO CORNERS SET THIS OATE I hereby ¢e~fy that I ~ve ped~ a M~g~'s ~MOU~N PARK ESTATE~ ~cho~ge Re~ P~ N~ a~ ~t I~d do nol ~eda~ or ~e~ ~ ~e p~ v~e e~ on ~.id pm~ ex~ as (907-248-1~) Engi~ and SGS Ref.# 1096636001 Client .Name Garncss Engineering Group, Ltd Project .Name/# MPE B6,L7 Client Sample ID MPE B6.L7 MaIdx Drinking Water Printed Dale/Time Collected Dare,Time Receh. ed Dale/Time Technical Director 01108/2010 11:46 12/16/2009 14:00 12/16/2009 14:30 $1eohen C. Ede Samr~lc Remarks: Met&ls by ICP/MS Arscnlc 5.00 U 5.00 ug/L EP200.$ C (<101 12/28/09 01/07/10 SCL Waters Dep&r ~nen t Total Nhmt¢/Nitril¢-N 1.59 0.100 mg/L SM204500NO3-F B (<101 12/21/09 RJT M~crobiolo~y Labor& tor~ Colony Count 0 Total Coliform 0 Fecal Coliform 0 col/100mL SM20 9222B A (<200) eol/100mL SM20 9222B A (<1} col/100mL SM20 9222B A (<l) 1~1~09 DLC 1~16/09 DLC 1~1~09 DLC SGS Ref.# Client ,Name Project Name/# Client Sample ID Matrix 1102031001 Gamess Eng~neerlng Group, Ltd MPE B6.L7 MPE B6,L7 Drinking Water Printed Date/Time Collected Date/Time Receh ed Date/Time Technical Director 05/13/2010 8:17 05/07/2010 11:30 05/07/2010 12:10 Stephen C. Ede Sample Remarks: AIIov.~ble Prep Analysis Met&ls b~ ICP/1,'~ Arsenic 5.00 U 5.00 ug/L EP200.8 C (<10) 05110/10 05111110 SCL Waters Department Total Nitrate/Nitrile-N 0.114 0.100 mg/L SM204500NO3-F B (<10) 05/07/10 AYC Microbiolocff,ff L~bor&tor.v E. Coil Negative I Total Coliform Negative I 100mL SM209223B A 05/07/10 DLC 100mi. SM209223B A 05/07/10 DLC iii 12/17/2083 11:38 35857/0 AFLL,~ A+ HOME SERVICES INC. PAGE 81 ~Nvo~c~: # 37496 CUSTOMER 7501E. 140thAvenue ^nchoragc, Alaska99516 345-1890 P.O. ~ 112714 Aachorage, AK 99~I1-2714 Block Lot DATE DESCRIPTION AMOUNT · .,' , ;- .:.; .... 2;~, ,,',.-, ~ , ,A C~'"'' ~ c~"' ' .'"> .'-. __ O~i '~ " __,Gallons ,Septic Leach Ama Holding Tank ~ Standpipes ~Time r-} PROBLEM AREA ~ CALL FOR MORE INFORMATION [~ NEEDS TO BE DONE AGAJN IN 6 MONTHS [] GoodShape [] Sludge bulldup on bottom E] Floater ontop I-I Jim cap missing or [] Cut standpipe to 1 ' above ground [] Needs Septictrine needs replacing GARNESS ENGINEERING GROUP, Ltd. CONSULTANTS & GENERAL CONTRACTORS January 11, 2010 Municipality of Anchorage Development Service Department Building Safety Division On-Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Waiver Request for Mountain Park Estates; Block 6, Lot 7 The existing 3 bedroom house is served by a private well and septic system. We request you grant a 80'+ separation distance waiver from the well on the subject property to the septic tank on the subject property; The following items are justification for this waiver: ,,The lot slopes away from the well in the area of the septic tank. If effluent were to daylight, it would not travel toward the well head. ,,The location of the septic system is in a very visible area so that if any effluent was to surface, it would be noticed and the problem corrected. · According to the attached well log, there is a layer of hard packed clay from 47' to 123' below the surface as well as other layers of hard packed clay. These layers would prevent subsurface contamination by the septic system. ~,A recent water sample indicated no bacteria present and nitrates were 1.59 mg/L. ,,The septic tank is a plastic septic tank and therefore presents less risk of corrosion and collapsing. Based upon the aforementioned facts, it appears that there is minimal risk associated with the 80 foot separation distance waiver. Ifyou have any questions, please contact us at 337-6179. Presi 3701 E. Tudor Road, Suite 101 * Anchorage, AK 99507-1259 Ph: (907) 337-6179 * Fax: (907) 338-3246 * Website: www.gamessengineering.com / FROM WELL TO / x / ~ /~-~ / / I GAa~ESS ENGINEEalNG .................. CON S ULTANTS & GENERAL CONTRACTORS . ,,,,~ ~.~,o,.~ ~.~,. ~,-~,-.-,-~-.~-~-i {, ~d ~E~D ~o~: IP.O,[ ~UaSE~: I ~*0[ ,U~S~: q {~ .// ............ ~"~j ~ f~. A ~ALP. COLUN I ~07-~-~9~0 I ~ or 1 ~ MOUNTAIN PARK ESTATES; BLOCK 6, LOT 7 A.J.G, '"~iE'F~. FOR REQUESTED WAIVER 12/22/2009