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Home My WebLink AboutFRONIUS FOREST LT 2Fronius Forest Lot 2 #017-074-04 Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http:/Avww.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121253 PID Number: 017-074-04 ❑ New 0 Upgrade Name: Christian and Suzanne Rawalt ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench []Bed ❑� Mound Address 7850 Cox Drive Anchorage, AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 5 G PD/SF +4.5 Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade I +1.7 Ft. Gravel depth beneath pipe •6 Ft. Subdivision Block Lot Fronius Forest 2 Fill added above original grade 4.5-5 Ft, Gravel length 1 60 Ft. Township Range Section Gravel width 15Ft. Beds: Number of Lines 3 Distance between lines 5.0 Ft, SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line 900 Ftp Ft. Well 86'** >100' N/A N/A >25' TANK ❑ Septic ❑ S.T.E.P. ❑ Holding El Other Manufacturer AnchorageTank/Orenco Capacity 1,50OGal. Surface water >100' >100' N/A N/A Material Steel Number of compartments Two Lot Line >51,4'* NIA N/A NA Foundation >5' >10' NIA N/A LIFT STATION Manufacturer Capacity Gal. Curtain Drain None Noted Pump on level at Pump off level at High water alarm at Remarks* See Lot Line Waiver. ** See Well Waiver. in. in. in. Electrical Work Completed by L&H Electric. Pump make and model Electrical Inspections performed by Municipality of Anchorage PIPE MATERIAL House to tank D3034 Tank to drainfield D3034 Installer Scott's Services Drainfield HDPE GO/MT D3034 Inspector MEA BENCH MARK (Assumed elevation) 100.Oft Inspeection 1'' 10/10/12 10/11!12 Location and description ction 2'" 3" 10/12/12 a" Back Deck. COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL PEp�.OF acgs�r Alp Conditional Approval: Date °� • .�7�, = *; i r1 „ , a 00,00 *00 ....• .................................. rA„-MICHAEL E. ANDERSON _ s: CE-4381 ApprovedDate /�/� f (1�?0r® ieoo Inspection Report _Y-1-12.doc Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT Permit Number: OSP121263 4700 Elmore Road Anchorage, AK. 99519-6655 - 343-7904 LOT i Vacant C5 1162H 11567 ,x0121\Ie'. Mr - Monitor Tube FCO - Foundation Clean Out 2CO - Double Clean Out FDV - Flow Diverter Valve TH - Teat Hole 00 - Clean Out COX DRIVE ..". A I B S1 j 68.5 71.9'42.'M1 CM4H 128.8' FRONIUSry�FgOREST � .5'I; d.. 167 C5 1162H 11567 ,x0121\Ie'. Mr - Monitor Tube FCO - Foundation Clean Out 2CO - Double Clean Out FDV - Flow Diverter Valve TH - Teat Hole 00 - Clean Out COX DRIVE ..". . / S 89'54'00"E 150.00' j n 10' Utility Easement ✓q ; FRONIUSry�FgOREST � ° 8LU d.. 2m ASPHALT 43,984 S.F. I I DRIVEWAY . I ° I Existing Well I ® 1 I I 1 1 'IN I 1 Threes doom N TBM - 100.0' DECK \ FO! I \ I \\ S 1 Tira Nmntwith web AX20 Fod _ \ MH PLAYHOUSE O I Exiating 4,OOo L in Gallon Hok9 ,'I Tank. -J 2' Insulation / 10 V 8 NC 20' Utility Easement Z11 - "P 'Q \ c�FF \ ♦ x'90 _ I OED 1 M1 I 1 IV W1,19Ttlo X led InnO 1 Abearytlm Bed � 5 vS / �v (��Ag 20 I Rd�o 1 O0 I I l 1 SITE PLAN SCALE V = 50' Page 2 of 3 PID NO.: 017-074-04 MICHAEL E. ANDERSON N0. CE -4381 Municipality of Anchorage DEVEOPMENT SERVICES DEPARTMENT 4700 South Bragaw Street Anchorage, AK. 99519-6655 - 343-7904 On -Site Wastewater Disposal System or Well Inspection Report Page 3 of 3 Permit Number. OSP121253 PID No. 017-074-04 3 1� 93.3--/ IcIp�II II n 98.4 W i UU o n nn Ax -20 1,500 Gallon Advantex Tank 91. Finished Grade a 96.6 69.1 No Groundwater 65.6 10/11/12 Bed PROFILE AS -BUILT Scale: NONE -93.3 92.7 3 �1 Grade i+ 4%9th yN/V..r/}/� Fl ?MICHAEL E. ANDERSON ;.4 r-//�}•, No, CE -4381 ' � �1 x.41.'•.. 7-17-13� Drain Field Rock \-92.7 coarse Sand with Gravel 69.1 No Groundwater 65.6 10/11/12 Bed PROFILE AS -BUILT Scale: NONE -93.3 92.7 3 �1 Grade i+ 4%9th yN/V..r/}/� Fl ?MICHAEL E. ANDERSON ;.4 r-//�}•, No, CE -4381 ' � �1 x.41.'•.. 7-17-13� O Ul O U7 N O Un N W O O cn O Ul N O N U1 W � O_ O cn z_ (14 r C 7 U) D m -Tl o cnDF-O —� C/) O a U) ---I m 41 m M U zcn�'—i N oc o K: C z C 0 u 0 OPLo z � N c_qy Line J OD O l SN; � : i =1w➢: IV i !s_a r �BiER: .�d`�♦41P O J N N W O CT O cn N O N Cl O_ 0 cn z v 0 C cyl u Cf) T1 0 Cf) D r O �C/-)0�7 Cn m ITN�I Nr UI C Property Une z � o Cn 0 O z ;N CP CP J CP O Sf 1 io a. z Cdr r 0♦® d "FeR :�® DEPTH (feet) 1 - 2 3 4 5 6- 7- 8- 9- 10- 11 12- 13- 14- 15- 16- 17- 18- 19- MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 2, FRONIUS FOREST PERFORMED FOR: CHRISTIAN RAWALT DATE: 5/12/2012 PROJECT No.: PARCEL ID#: TECHNICIAN: M. ANDERSON TEST HOLE A PT/OL SILT W/SAND POCKETS SOME GRAVEL ML/GM BOH @ 6' 5% WAS GROUND WATER ENCOUNTERED? No IF YES @WEI TDE DEPTH OF WATER AFTER MO DATE OF MO i �J? Lyl 49th AEL E. ANDERSON NO. CE -4381 SITE PLAN SEE SITE PLAN s, it III A PTH. NITORING: NONE NITORING: 5/20/2012 I 15% DATE READING GROSS TIME (MINUTES) NET TIME (MINUTES) DEPTH To WATER (INCHES) NET INCHDROP (ES) TEST HOLE PRESOAKED PRIOR TO TESTING: 5/12 1 10:46 1.75" 2 11:16 30 2.06" .31" 3 11:46 30 2.31" .25" 4 12:16 30 2.56" .2511 5 12:46 30 2.81" .25" 6 1:16 30 3.06" .25" PERCOLATION RATE: 120 (MIN/INCH) PERC. HOLE DIA. 8�� (INCHES) TEST RUN BETWEEN:: 2_5 FT. and 3_5 FT, COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 8/15/2012 MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 DEPTH (feet) 1- 2 4- 5- 6 - 7 - 8- 9- 10 - II 13 14 15 16 17 i8 19 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 2, FRONIUS FOREST PERFORMED FOR: CHRISTIAN RAWA T DATE: 1011112012 PROJECT No.: PARCEL ID#: TECHNICIAN: M. ANDERSON TEST HOLE B PT/OL SILT W/SAND POCKETS SOME GRAVEL ML/GM 5% WAS GROUND WATER ENCOUNTERED? No IF YES r@ WHAT DEPTH DEPTH OF WATER AFTER MO DATE OF MO 49th AEL E. ANDERSON No. CE -4381 SI I E PLAN SEE SITE PLAN NITORING: NEORING: E DATE READING GROSS TIMEFNETME WPTETD NET DROP (MINUTES) S) (INCHES) (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 10/11 1 5:04 0.3 8" 2 5:34 30 0.88" .50" 3 6:04 30 1.38" .50" 4 6:34 30 1.88" .50" 5 7:04 30 2.38" .50" 6 7:34 30 2.88" .50" PERCOLATION RATE: 60 (MIN/INCH) PERC. HOLE DIA. 8" (INCHES) TEST RUN BETWEEN: 2_5 FT. and 3_5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 3/1/2013 PERCOLATION RATE: 60 (MIN/INCH) PERC. HOLE DIA. 8" (INCHES) TEST RUN BETWEEN: 2_5 FT. and 3_5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 3/1/2013 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 622-7773 677-7766 FAX March 1. 2013 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 Subject: Lot 2, Fronius Forest Subdivision Separation Distance Waiver Absorption Bed to Lot Line Dear On Site Services Engineer: The southeast end of the absorption bed on Lot 2, Fronius Forest Subdivision was inadvertently constructed at 6' from the south property line. A waiver is therefore necessary to allow the absorption bed to remain at this location. This system has an Advantex Treatment System which has been proven to reduce the nitrate content of septic effluent and placing the new bed within 6' of the south lot line will not present conflicts to the area to the south which is the undeveloped right of way to Rabbit Creek Road. We therefore recommend a waiver be issued allowing the bed to be within 6' of the south lot line. Sincerely, Michael E. Anderson, P.E. 31q/1-3ff n �- ,� >2# N:% os P 1310 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 _ 677-7766 FAX March 1, 2013 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Fronius Forest Subdivision Advantex Treatment System to Well Encroachment Waiver Dear Onsite Services Engineer The 1,500 Gallon Advantex Treatment Tank and AX -20 Filter Pod serving the three bedroom home on Lot 2, Fronius Forest Subdivision was inadvertently placed 86' from the well on the lot. The well is located on the north side of the house and the contractor did not accurately locate the 100' protective radius in his determination to achieve gravity flow from the filter. A waiver is therefore required to allow the Advantex System to remain in its current location. Advantex Treatment Systems have been proven to reduce the nitrate content in the septic effluent prior to discharge into the surrounding environment. The tank is newly fabricated and installed meeting all production requirements for structural integrity and water tightness. No contamination of the well can be attributed to the current location of the system. Underlying soils on the lot are dense tight silt (ML) with extremely slow percolation rates. Impermeable layers of clay are present between the aquifer and the surface soil layers. In addition, bedrock is located between 67' and 119' below the surface. Well casing is extended to the bedrock layer. The well on the lot is 120' deep with casing to the bedrock layer at 67.5'. The pumping level of the well is 116' below the surface. We are confident based on the proven performance of the Advantex Septic system and the water quality from the well that contamination from the existing tank and filter pod is not likely. We therefore recommend that the waiver allowing the Advantex Treatment System to remain in its current location at 86' from the well be granted. Lot 2, Fronius Forest March 1, 2013 Page Two ADEC POINT ANALYSIS Bottom of System to Highest Water Table — 43' Soil Absorption Type — Clay/Bedrock Permeability — Silt or Sandy Clay Water Table Gradient - -5% Horizontal Separation — 86' TOTAL POINTS 5.10 Points 6.00 Points 2.00 Points 2.00 Points 2.40 Points 17.40 Almost sure to be free from any form of contamination from household sewage. Sincerely, C Michael E. Anderson, P.E. 49th MICHAEL E. ANDERSON .. NO. CE -4381 . Municipality of Anchorage NIP °` s P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907) 343-7904 • Fax (907) 343-7997epartmeut hftp:liwww.muni.org/Onsite Development Services Division On -Site Water and Wastewater Program **** VARIANCEIWAIVER REVIEW **** Waiver#: OSP131026 COSA#: Permit#:OSP121253 PID#: 017-074-04 Legal Description: Fronius Forest Lot 2 Engineer: Anderson Ennineerinsa Applicant: Chistian and Suzanne Rawalt Your request for a waiver of the required 100 feet horizontal separation from the absorption field to the private well has been approved. The approved separation distance is 86.0 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. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. ..............................................................................1 Waiver is Granted: X Waiver is not Granted: Date: Approved by!? - Na a o RReviewer ........................:...................................................... Rec#: 01439G Amount: $1,060.00 Date Paid: 3/4/2013 '�** VARIANCEMAIVER REVIEW **** On -Site Wastewater Disposal System Permit Permit Number: OSP121253 Tax Code Number: 01707404000 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Septic Upgrade Permit Effective Dates: September 19, 2012 to September 19, 2013 Design Engineer: ANDERSON ENGINEERING Subdivision: FRONIUS FOREST Site Legal Address: FRONIUS FOREST LT 2 G:2940 Owner/Address: RAWALT CHRISTIAN M & SUZANNE D 7850 COX DRIVE ANCHORAGE AK 995160000 Site Mailing Address: 7850 COX DR, Anchorage This permit is for the construction of: Lot Size in Sq Ft: 42301 Total Bedrooms: 3 Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N 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 wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By Municipality of Anchorage P.O. Box 196650 • 4700 Elmore Road Anchorage Alaska 99519-6650 • (907)343-7904 • Fax (907) 343-7997 http:/Iwww.muni.org/Onsit Development Services Division On -Site Water and Wastewater Program JAMn Mi epa, tment **** VARIANCE/WAIVER REVIEW **** Waiver#: OSP121262 COSA#: Permit#:OSP121253 PID#: 017-074-04 Legal Description: Fronius Forest, Lot 2 Engineer: Anderson Engineering Applicant: Christian and Suzanne Rawalt Your request for a waiver of the required 50 feet horizontal separation from the absorption field to the 25% or greater slope has been approved. The approved separation distance is 45.0 feet. This .waiver approval applies to the proposed absorption field only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. ❑ The affected adjacent property owner(s) have been given a 7 day notice regarding this waiver. ❑ Notarized letter(s) of non -objection have been received from the owner(s) of the affected adjacent property. ® Adjacent properties are not affected by this waiver. .................................... we ............. Room ............. man ........ Waiver is Granted: x Waiver is not Granted: Date: p aD Iol Approved by' e Name of Reviewer ............................................................... mom........... No Rec#: 08329G Amount: $200.00 Date Paid: 8/20/2012 **** VARIANCEIWAIVER REVIEW **** MUNICIPALITY Community Development Department a. Phone: 907-343-7904 Development Services Division Fax: 997-343-7997 On -Site Water & Wastewater Program Mayor Dari! Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-074-04 Property owner(s): Christian and Suzanne Rawalt Day phone: Mailing address: 7850 Cox Drive Anchorage, AK 99516 Site address: Same Legal description (Sub'd., Block & Lot): Fronius Forest, Lot 2 Legal description (Township, Range & Section) Lot Size: 42,301 Sq. Ft. Number of Bedrooms: Three (3) THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial ElAbsorption Field X Upgrade X Septic Tank X Holding Tank F-1Renewal F1 Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE /WAIVER REQUEST FOR: O'S -t -1 c S i.% r --r 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. re of property owner or authorized agent) Permit/Rush Fees: -WLIP—O- Date of Payment: g//&Zl of Receipt Number: Q1448 G Permit No. 0_S la Waiver Fees: 200.0 Date of Payment: 20 IZ Receipt Number: Q)2-96 Waiver No. bsf Imus C:\Usem\AndEng\Desktop\Mike\Fronius Forrest\Permit Application L 2.docC:\Users\AndEng\Desktop\Mike\Fronius ForrestTermit Application L 2.doc ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) August 15, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Fronius Forest Subdivision Septic System Design and Permit Application Impacts to Adjacent Properties Dear Onsite Services Engineer: The owner of Lot 2, Fronius Forest Subdivision would like to replace the holding tank on his lot with a septic system. A system was originally placed on the lot in 1985, but was only sized for 700 square feet. Percolation data at that time indicated absorption rates of less than 5 minutes per inch in the accepting soil. The absorption bed was reconstructed in 1989 with an absorption area of 1,440 square feet. Percolation data at that time indicated rates of 53 minutes per inch. The system was subsequently tested in 1993 and approved. This system remained in service until 2005 when a holding tank was placed on the lot. In our opinion based on the performance of the gravity flow bed on the lot for a period of 15 years a new Category III Nitrate Reducing System can be successfully placed. We are therefore requesting a permit be issued for a new septic system to serve the home. The existing holding tank will remain in place and be connected to the new system with a flow diverter valve. The new absorption bed will be placed at the southern boundary of the property. The property to the south is the Rabbit Creek Road right of way for a distance of over 100'. Drainage is away from the property. A steep slope exists in the right of way and all drainage from the bed will eventually migrate to the south and remain underground for a substantial distance. The test hole placed near the proposed bed revealed silt with some sand and gravel. The percolation rate in the materials encountered was 120 minutes per inch. No groundwater was found and none was noted on any of the other test holes placed on the lot. We are confident groundwater is not an issue on this lot due to the steep slope to the south. Our design provides for the bottom of the absorption trench to be at 1.5' above the ground surface. We are therefore proposing to place an Advantex Treatment System. The absorption beds will be 60' long x 15' wide for a total of 900 square feet of absorption area. The distribution line in the bed will be placed at 1.5' above the existing ground level. All peat and organic material will be removed beneath the bed to a minimum depth of 2.5'. This material will be replaced with coarse gravel and sand. A minimum of 2' of fill and 2" of insulation will be placed Lot 2, Fronius Forest August 15, 2012 Page Two above the bed and 4' over the septic tank to meet Municipal Code and prevent freezing. The side slopes of the mound will be at 4:1 and extensive landscaping and fill will be required to insure positive drainage away from the finished mound. The ground surface of the lot slopes from the northeast to the southwest at gradual slopes in the area of the bed. The slope increases to very steep progressing south from the lot line. The bed will be constructed parallel with the contours of the slope as much as possible in conformance with Municipal requirements. All components of the new septic system will be constructed a minimum of 100' from any surface water and 100' from the well proposed for this lot. No conflicts exist between the proposed well and septic system and those in the area. If the system is constructed in accordance with our design the following statements apply: 1. The system, if constructed as designed, will have no adverse impact on the wells in the area or those to be constructed in the future. 2. The system, if constructed as designed, will have no adverse impact on existing septic systems in the area or those to be constructed in the future. 3. The system, if constructed as designed, will have no adverse impact on reserve space, either surface or subsurface, on any lots located in the area. 4. The system, if constructed as designed, will have no adverse impact on drainage patterns in the area. The current drainage pattern will be maintained. Sincerely, -7 Michael E. Anderson, P.E. Attachments LOT 1 Vacant SCOPE OF WORK Place Flow Diverter Valve and Tie In Holding Tank. Place New Advantex Treatment Tank with AX -20 Filter Pod. Construct New 15' Wide x 60' Long Absorption Bed. Install 6' x 20' Long HDPE Sleeve Centered on the Sewer Service 42' Below Grade. LEGEND MT - Monitor Tube FCO - Foundation Clean Out 2CO - Double Clean out FDV - Flow Diowter Valve TH - Test Hole 00 - Clean Out FRONIUS FOREST SUBDIVISION LOT 2 43,984 S.F. T COX DRIVE ! ASPHALT -_ I DRIVEWAY.' I a I I 1 Evicting 4,000 Gallon Holding Tank. 6' HOPE] SHED I L H10 h� T&' 10' Utility Easement Three Bedoom Home Existing Well PLAYHOUSE 0 Trm ant --��I with MID Potl'------ Kr -J 20' Utility Easement L1_ l FENCED GARDEN yt� e' �ED I I I 1 IW Md. x 60' Lang 1 p. Absorption Bed \ / I I � I 1 \ I \ I SITE PLAN SCALE 1' = 50' 49t �:....:..:. MICHgEL E. ANDERSON ff NO. CE -4381 I\ \ V I I I I I I / I / i \ I i \ � N D I � M IM rn I \ I \ I SITE PLAN SCALE 1' = 50' 49t �:....:..:. MICHgEL E. ANDERSON ff NO. CE -4381 i \ I \ \ I \ I \ I SITE PLAN SCALE 1' = 50' 49t �:....:..:. MICHgEL E. ANDERSON ff NO. CE -4381 Ground LOT 2, FRONIUS FOREST SUBDIVISION DESIGN FACTORS: SYSTEM REQUIREMENTS: 3 Bedroom Home Raised Bed System Perc. Rate: 120 Min./Inch 4 Bedroom Advantex Treatment System Application Rate: .5 GPD/SF Raised Bed Absorption System 3 Bedrooms X 150 GPD/.5 GPD/SF = 900 SF Absorption Area 900 SF/15 SF (Width) = 60 LF Bed Length THEREFORE: Construct A Raised Bed 60' Long x 15' Wide as Shown Below. Place Distribution Piping at 1.5' Above Original Ground Surface. Remove Organics and ML to 2.5' Below Surface and Place Clean Sand & Gravel . Construct Bed At This Level.with 1' Drainfield Rock. Place 2" Insulation and 2' of Cover Over Bed or Mound Over Bed Minimum of 3'. Place 4' of Fill Over Tank. Mound Must Be Topsoiled and Revegetated to Prevent Erosion. Natural Backfill 2" Insulation & 2' Cover (Min.)� 1 O O \1" PVC Drainfield Rock 3/16" Holes @ 6 per Lateral 1' 2.5' Coarse Sand (See Specification) In Situ ML Soil 2.5' 5' 5' 2.5' TYPICAL BED SECTION (NO SCALE) NOTE: Grade Area Surrounding Bed to Drain Away. Minimum 6' Separation From Bedrock. Minimum 4' Separation From Groundwater. Minimum 100' Separation From Wells in the Area. Minimum 100' Separation From Surface Water or Streams. Minimum 10' Separation From Water Service Line. Existing DEPTH (feet) 1- 2 3 4 5 6 7- 8- 9- 10- 11 12- 13- MUNICIPALITY OF ANCHORAGE DEVELOPMENT SERVICES DEPARTMENT 4700 ELMORE ROAD ANCHORAGE, AK 99519-6650 SOILS LOG - PERCOLATION TEST LEGAL DESCRIPTION: LOT 2, FRONIUS FOREST PERFORMED FOR: CHRISTIAN RAWALT DATE: 5/12/2012 PROJECT No.: PARCEL ID#: TECHNICIAN: M. ANDERSON TEST HOLE A PT/OL SILT W/SAND POCKETS SOME GRAVEL ML/GM BOH @ 6' SLOPE 5% WAS GROUND WATER ENCOUNTERED? No IF YES @ WH DEPTH OF WATER AFTER MON DAL L OF MO .' 49th _ .�.'� E. ANDERSON CE -4381 SITE PLAN SFE SITZ PLAN i i AT DEPTH? MON' NONE NITORINU: 5/70/2012 O P E GROSS TIMEJ NET TIME DEPTH TO NET DROP DATE READING (MINUTES) (MINU(INCHES)Es) TES) WATER (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 5/12 1 10:46 1.75" 2 11:16 30 2.06" .31" 3 11:46 30 2.31" .25" 4 12:16 30 2.56" .25" 5 12:46 30 2.81" .251' 6 1:16 30 3.06" .25" PERCOLATION RATE: 120 (MIN/INCH) PERC. HOLE DIA. --8 (INCHES) TEST RUN BETWEEN: 2.5 FT. and 3.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. 'TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 8/15/2012 .' 49th _ .�.'� E. ANDERSON CE -4381 SITE PLAN SFE SITZ PLAN i i AT DEPTH? MON' NONE NITORINU: 5/70/2012 O P E GROSS TIMEJ NET TIME DEPTH TO NET DROP DATE READING (MINUTES) (MINU(INCHES)Es) TES) WATER (INCHES) TEST HOLE PRESOAKED PRIOR TO TESTING: 5/12 1 10:46 1.75" 2 11:16 30 2.06" .31" 3 11:46 30 2.31" .25" 4 12:16 30 2.56" .25" 5 12:46 30 2.81" .251' 6 1:16 30 3.06" .25" PERCOLATION RATE: 120 (MIN/INCH) PERC. HOLE DIA. --8 (INCHES) TEST RUN BETWEEN: 2.5 FT. and 3.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. 'TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 8/15/2012 PERCOLATION RATE: 120 (MIN/INCH) PERC. HOLE DIA. --8 (INCHES) TEST RUN BETWEEN: 2.5 FT. and 3.5 FT. COMMENTS: TEST HOLE PRE SOAKED PRIOR TO TEST. 'TEST PERFORMED BY ANDERSON ENGINEERING. I, MICHAEL E. ANDERSON CERTIFY THAT THIS WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPLE GUIDELINES IN EFFECT ON THIS DATE: 8/15/2012 ANDERSON ENGINEERING P.O. BOX 240773 ANCHORAGE, AK 99524 522-7773 677-7766 (FAX) August 18, 2012 Municipality of Anchorage Development Services Department On -Site Water and Wastewater Program 4700 South Bragaw Street Anchorage, AK 99519-6650 Subject: Lot 2, Fronius Forest Subdivision Absorption Trench to Slope Waiver Dear Onsite Services Engineer: Lot 2, Fronius Forest Subdivision is a small lot and has limited area for construction of a septic system due to a steep slope to the south. We have located an area with acceptable soils, but it is situated slightly more than- from a break in grade greater than 25%. We are therefore applying for a waiver allowing placement of the absorption bed at this location. Property to the south is the 150' right of way for Rabbit Creek Road and is heavily vegetated. The 4:1 slope when extended from ground level daylights more than 50' from the edge of the absorption bed. An Advantex Nitrate Reducing system is planned for the lot so we recommend the waiver be issued. (terSincerely, MEA Michael E. Anderson, P.E. p O. q 49th _•°v� i Y ... (^�... �•., MICHAEL ,E •,ANDERSON �i� •1!„•••. No. CE -4381 d• S�"i rw • s •( _ IF • � b1 � ° � • •�g U�iR i 4 IV 0 00 �n 0 Un Z — r Lo m W o cn :5 Q Ln N U) Z W W (n 0 F— 0 En 0 Q W _ W cn cn C o - -Ln M J Z cn 0 O CE Nl LL Ln N _ _ _ O N _ Lo O Lf) I O M Ln N O N Ln O Lf) 0 Lie OF 491tt se...l.w waw pN wa y.......... B !. wwwwn.uwp br , :MKHAEL E ANDERSON: CE -4381 I { vbt ♦ >Q x nn,�w • 2 x a'. ^,x 'y\ i i I 3 p {i •\„ III 3 x .., {( STJ ^aa b 'r �� •$ `b 4( b <v(�: \ r<'ix' "�e , ``fit. n ' ~(^ {� to ♦.\y \ (ry^ .FE ♦ .. I, Y�� b \ 1`♦ � � x' Z rr..f:`y �A t L ffg�� gg., p � )e '- ♦ , \41 r 4 \ x5. } }• anK.�S t 0.{1R ..I,vavA .L.CF..Y::I Lie OF 491tt se...l.w waw pN wa y.......... B !. wwwwn.uwp br , :MKHAEL E ANDERSON: CE -4381 I From:CEA, Inc. LAND SERVICES DEPT 9077624652 09/17/2012 15:39 #062 P.002/005 - — POKIE@FPCt°P.:i€&WAIS EEFre3e@E September 17, 2012 Christian M. and Suzanne D. Rawalt. 7850 Cox Drive Anchorage, Alaska 99516 Subject: Encroachment Permit Request for Septic Pipe Lot 2, Fronius Forest Subdivision SWV4 of Section 25, TI 2N, R3W, S.M., Alaska EN12021, Grid 2940, Map Book 1203-25C Dear Mr. and Mrs. Rawalt: Chugach Electric Association, Inc. (Chugach) has completed review of your request for an Encroachment Permit for a septic pipe within an easement located within the South Twenty Feet (S 20') of the North One -hundred Eighty Feet (N 185') of Lot Two (2), Fronius Forest Subdivision on the above referenced property. Your request for the proposed septic pipe to cross the existing easement at a depth of 36" is not approved as shown on the Site Plan from Anderson Engineering. Chugach will issue an Encroachment Permit if one of two following options is installed: Option #1 The owner can pay to have a Chugach approved contractor install a 4" PVC conduit at a depth of 42" below grade extending 10' beyond either side of the septic pipe. OR Option #2 The owner can install a 6" smooth walled HDPE sleeve to accommodate the installation of a conduit, at a depth of 42" below grade extending 10' beyond either side of the septic pipe. Please call Gary Meadows, Manager of Distribution Construction, at 762-4618, or Krystal Pickering, Distribution Designer II at 762-7210 to receive details for the conduit or sleeve installation and to arrange for inspection of the sleeve or conduit installation. The sleeve or conduit must be inspected by Chugach while they are being installed. Upon field inspection and final approval by Chugach of the sleeve or conduit installation, Chugach will issue an Encroachment Permit for the septic pipe. All work within the easement area must be in compliance with the enclosed copy of Chugach's Electrical Facility Clearance Requirements. Also enclosed for your use and information is the 811 Alaska Dig Line utility locate call center card, and Chugach's What is an Easement? handout. Chugoch Electric .AS50dGNOn, Inc. 550; Fectrar S';;:.._ PC 6o:: )GtjC0095'9-o300 - M7j 563-7d 94 Fa.r(907.5620021 - 18001476?/94 - < ,, Chvr0C elecn:c.cc.i o rc6@chuyockale� ic,cean From:CEA. Inc. LAND SERVICES DEPT 9077624852 09/17/2012 15:39 #062 P.003/005 If you have any questions, please call me at 762-4646. Sincerely, dia Roberts Right -of -Way Agent II Enclosures From:CEA. Inc LAND SERVICES DEPT 9077624852 09/17/2012 15:39 #062 P.004/005 MOTMED SevUr ( PIPE 9-0MUM EASF-MFjj-r m August 23, 2012 Anderson Engineering P.O. Box 240773 Anchorage, AK 99524 Grid: SW2940 Re: Letter of Non -Objection To whom it may concern: ENSTAR Natural Gas Company A DIVISION OF SEMCO ENERGY Engineering Department Right of Way Section 401 E. International Airport Road P. O. Box 190288 Anchorage, Alaska 99519-0288 (907) 334-7753 FAX (907) 334-7798 ENSTAR Natural Gas Company has no objection to placing septic system piping across a Twenty Feet (20 -FT) wide utility easement situated on Lot 2, Fronius Forest Subdivision, Records of the Anchorage Recording District, Third Judicial District, State of Alaska. Acceptance and use of this letter of non -objection by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipulations: • Landowner/Contractor working near ENSTAR gas facilities shall contact the Alaska Digline, Inc., (907) 278-3121 or 811 for line locating two (2) business days prior to any related excavation. • ENSTAR will be held harmless, now and forever for any damages or injury to any person or property as a result of this encroachment. • Any ENSTAR facility damaged or destroyed, as a result of this encroachment will be repaired at no cost to ENSTAR. • Any costs incurred by ENSTAR for special construction necessitated by this encroachment will be borne by the land owner. • All applicable safety code regulations will be observed and maintained. • This letter of non -objection will in no way preclude ENSTAR from full use and enjoyment of its rights within any portion of its right-of-way. Sincerely, Thomas J. Arminski Manager, Right of Way & Permitting ENSTAR Natural Gas Company cc: File August 23, 2012 Christian M. and Suzanne D. Rawalt 7850 Cox Drive Anchorage, Alaska 99516 Dear Christian and Suzanne Rawalt: Subject to your agreement to indemnify the company as set forth below, GCI Communication Corp has no objection to the absorption trench distribution line encroaching into the utility easement of Lot 2, Fronius Forest, also known as 7850 Cox Drive, city grid 2940. This letter of non -objection in no way precludes GCI Communication Corp from frill use and enjoyment of any rights it may have within any portion of the utility easement and or the right -of way, including unlimited access for servicing its facilities. Also any additional and extraordinary costs incurred during any future required construction, repair or reconstruction of GCI's facilities to accommodate any or all of the encroachments shall be paid by the property owner. By signing below, you agree to indemnify and hold GCI Communication Corp harmless, now and forever, for any damage, costs, expense (including reasonable attorney's fees), liabilities and injury to any person or property occurring as a result of the encroachment. Please indicate your acceptance by signing and returning this letter to myself at the address below. Sincerely, Markus Kofoid OSP Design Engineer GCI Communication Corp 5151 Fairbanks St. Anchorage, AK 99503 907-868-6168 Office 907-868-8580 Fax �'d Acceptance Date d6b Z0 Zl £Z 6n - COM i's Ux I CAT ir3t I i :t=ill? :'RTA::IM[vk2[tiCz fS;'Y August 24, 2612 Christian & Suzanne Rawalt 7950 Cox Drive Anchorage, Alaska 99596 Alaska Comi nuriications has no objection to the absarption trench through the 2Y Utility Easamic if located along the southern boundary of Lot 2, of the Fronius Forest Subdivision, otherwise knk'snrn as 7850 Cox Drive as depicted or, the drawings submitted by Anderson Engineering . Acceptance, (your signature below), and use of this letter of non-objeetion by yourself, your heirs, your assigns, or your successors, will constitute agreement to the following stipatations: 1. Alaska Communications will be held harmless, now and forever, for any damages or Injury to any person or property as a result of this encroachment. 2. Any Alaska Communications Facility damaged or destroyed as a result of this encroachment wrist be repaired at no cost to Alaska Communications. 3. Any costs incurred by Alaska Communications for special construction necessitated by this encroachment will be borne by the property owner. 't. Alt applicable safety code regulations will be observed and maintained. 5_ This tetter of nonobjection will in no way preclude Alaska Comrnunicationa froin full use and enjoyment slits rights w min any portion of this easement 6. Alaska Communications Is under no obligation to restore any structure damaged as a result of Alaska Communications full use and enjoyment of its rights within any portion of easements or right -of. ways. ,^scerely,,� La S th, w rk Engineering Foreman ska Gddommunk;ations Outside Plant Engineering, MSI 600 Telephone Ave. Anchorage, AK 99503 ACCEPTANCE SIGNATURE: DATE: Grid RCUNC 2940 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program, 4700 S. Bragaw SL P.O. Box 196650 Anchorage, AK 99519.6650 Page of www.d.enchorage.ak.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number: SWO50314 PID Number: 017-074-04 Nona: Violet McConnell Wastewater System: []New El Upgrade Maras.: 7850 Cox Dr., Anchorage ABSORPTION FIELD Phttne' Number d Bedreemc 3 ❑ Deep Thatch ❑ sham T,.nd,❑Bae ❑MkwM ❑oth.r LEGAL DESCRIPTION Sad Rating: T0WDe0lhaem0dg1Wgnde: Blodt. - LCC 2 S,.EOhlalan: Fronius Forest GPDIFP Depth to pipe bdtomlxn hoegkw Pose: FI. Genal depth beneath pipe: Taenah9: Rene: Seulan: Fl. FE added bb" ,xlgkW Pelle: R. rxaval Length: Well: ❑New ❑Upgrade FI. G.n wk th: FI. N,enbar d a,aa: DMMnce ba,wean knee. Gess,Araukn (1iNets. A 6. ck ToW Depth: Geed b: FI. Tam ebsorpenn area: FI. 1," AIMerlel: FI. FI. pie Dnaar: Date Ornw: aMbc Waw Lawl: FL Wa .. G&H Excavating I Dais atalsled: Sept. 6, 2005 Yisk: Puny Sd al: Gene Naught Above G.ne: GPM Fl. FL TANK SEPARATION DISTANCES ❑Septic❑Holding ❑S.T.E.P. ❑Other. To Septic Absorption Lift Holding lublictPrivate NF. ,y: From Tank Field Station Tank Sawer Lim Anchorage Tank & Welding 4000 Gel. Was NA NA NA NA 92 steel "w,we, d Conep ethane: 1 swteoewaler NA NA NA 100+ LIFT STATION Let law NA NA NA 26 NA Ge, Foundation NA NA NA 24 'P,nv on• Ind at 'Pw w Qtr bvd at: Hugh welts elan" OL n. n In. cwtain t»n 1 NA NA NA NA Pwro Wks a Mosel Llee i "ep.,ln„a park'""° M Rarwke: Old septic tank and drainfield abandoned in place. BENCH MARK Lots n and De..rVw: back door threshhold Nveuan: 101.47 FL f 49TH ' 9 Rock Trainor Inspections performed by: Y Dates: 1u 9-6-05 _* _ 2 a 9-23-05 Development Services Department Approval :;1 Ci dy W. Ellis Reviewed and approved by: Date: ` ij (Rev. I7AID) "' CE•tosn Ra. � ...••• SSIOWLp f /A C. DRIVE / S 89-51'00"E 15000' 10' UTIL ESHT. \ --------------------i--� taken from a survey by Jeff Gastaldi, LS -6091; October 13, 2005 I I rzu I IulI I 1 I I � I� EXISTING 3 BR (louse 1 FE \ I I o A I DCCR s HT1 Installed 4000 galFoT — — ° HT2 holding tank with HT3 alarm I/ \ / I I I Previous septic system I abandoned in place. 20' UTIL ESNT. I I Property Line 35 ft south Property Line 166 ft south Fronius Forest Lot 2 Record Drawing of Septic Upgrade Violet McConnell Parcel ID: 017-074-04 Permit No. SW050314 Cindy W. Ellis, RE October 17, 2005 Scale 1 Inch - 30 ft AS -BUILT Watkins Engineering, Inc. P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 o / 0 I OF At 49 rHT�; CI Y W. ELLIS E .10577 A 13 FCO 8.8 67.1 HT1 26.9 76.6 Hn 34.2 81,7 LEI40.7 85.9 OF At 49 rHT�; CI Y W. ELLIS E .10577 FINAL GRADE DCO HT 95.20 - 95.91 IIT2 fiT3 o91.00 t:f 7 sti 90.30 4000 GALLON STEEL HOLDING TANK N.T.S. AS -BUILT Fronius Forest, Lot 2 0 �^ Record Drawing of Septic Upgrade OF• 1.4gG;+V Violet McConnell Parcel ID: 017-074-04 Watkins Engineering, Inc. o� �Q . 1t,•�S,��J `49TH77, Permit No. SW050314 °° p""" "......... ' c (/Idol IU.. O: CIND W. ELLIS ; C �p :; '•.• C . 10577 Cindy W. Ellis, RE P.O. Box 110443 October 17, 2005 Anchorage, Alaska 99511-0443 ��p"•. ''......•• No Scale Phone: (907) 349-1851, Fax: (907) 349-1934 MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Permit Number: SWO50314 Legal Description: FRONIUS FOREST LT 2 Design Engineer: 0844 Watkins Engineering, Inc Owner Name: VIOLET MCCONNEL Owner Address: 7850 COX DRIVE ANCHORAGE. AK 99516-3839 SIU Ips Date Issued: Aug 23, 2005 Expiration Date: Aug 23, 2006 Parcel ID: 017-074-04 Site Address: Lot Size: 0 SO. FT. Total Bedrooms: 42301 Permit Bedrooms: 3 This permit Is for the construction of: ❑ Disposal Field ❑ Septic Tank Q 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. l Received By: Date: Issued By' _�(t`� Date: 8 i 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.muni.org/onsite (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-074-04 Permit Number SW Property owner(s) Violet McConnell Day phone Mailing address (1) 7850 Cox Dr. Mailing address (2) Anchorage, AK Zip Code 99516 Legal description (Lot, Block & Sub'd.) Fronius Forest, Lot 2 Legal description (Section, Township & Range) Lot Size 42,301 Acr /S .Ft. THIS APPLICATION IS FOR: Number of Bedrooms 3 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade 0 THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzi ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ 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 P 1Vyq('V, P. E authorized agent) Permit Fees: 44 o.co Waiver Fees: Date of Payment: Receipt Number. -7d �M (Rev. 12100) Date of Payment: Receipt Number. Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 August 18, 2005 (907)349-1851 cwellis@gci.net Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Fronlus Forest, Lot 2 Septic System Upgrade: Holding Tank To Whom It May Concern: Attached please find the application and supporting documentation to install a 4000 gallon holding tank for the referenced 3 bedroom house. The existing septic system has failed and there is no suitable location for a soil absorption system on the lot. The initial septic system was installed in 1985, consisting of a 1000 gallon steel septic tank and a 14 ft x 50 ft bed drainfield with 2 ft effective depth. This drainfield failed in less than 3 years, and a new bed was installed in 1989, which was 30 ft x 48 ft, with 0.5 ft effective depth. This drainfield has failed an adequacy test, and it is proposed to install a holding tank to serve the house. On August 9 and August 15, 2005, we dug 3 test holes to attempt to find a suitable site for a replacement drainfield. The locations are noted on the attached site plan. All three test holes encountered peat and impermeable silt to a depth of 15 or 16 ft. The soil logs are attached. It is proposed to abandon the existing septic tank drainfield in place. A 4000 gallon tank is preferred over the 2000 gallon minimum size required for 3 bedrooms. am not aware of any adverse effect that this upgrade would have on any adjacent properties' water and wastewater treatment needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 349-1851. Yours truly, Cindy Ellis, P.E. President -----------7^- coxpiivE ---- Fronius Forest SID Lot 1 UNDEVELOPED Proposed 4000 gal holding tank Existing 1000 gal steel septic tank (1985) to be abandoned in place. 7 II' `, lot 10 I I Ir Existing Bed (1989) to be abandoned in place. Fronius Forest S/D Lot 2 Proposed Septic Upgrade - Site Plan Violet McConnell Parcel ID 017-074-04 Cindy W. Ellis, P.E. August 18, 2005 Scale 1' - 100' istin House / Lu ffYniTk.T CO TAI 1985 Bed abandoned In place in 1989, `% ,'Holding Tan Watkins Engineering, Inc P.O. Box 110443 Anchorage, AK 99511-0443 Phone: (907) 349-1851 Fax: (907) 349-1934 tot 11 I / I lot 12 ' Septic Area pticArea o <<G..C!F,AC. �P eE?` 491H CIN W. ELLIS ; 10577 / m �`S�No�Se 38 FCO --\(0 TH3 0 Prposed 4000 gal Holding Tank. 4 fe deep w/ alarm sys Promus Fo UNDtyELOpEp t 1 / Existing 1000 gal steel septic tank to be abandoned in place. lot 10 \ � II Grecian Hilts S/D Block 2 r \xl, `\ lot 11 / Z / MT2 \ \ MT1 �\ MT4 TH1 \ MT3 I \ , TH2 I ' Existing 1989 bed 1985 bed \ to be abandoned abandoned In place. In place in 1989. Fronfus Forest Lot 2 0000��00 Proposed septic Upgrade o OF q� �Op Parcel ID No, 017-074-04 Watkins Engineering, Inc. vo�P�c�......'..... q%D Violet L McConnell Cindy W. Ellis, P.E. August 18, 2005 Scale 1 Inch - 40ft P.O. Box 110443 Anchorage, Alaska 99511-0443 Phone: (907) 349-1851, Fax: (907) 349-1934 Municipality of Anchorage Development Services Department Building Safety Division • +1 On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343.7904 Soils Log - Percolation Test Performed For. Violet McConnell Date Performed: 8/9/05 Legal Description: Fronlus Forest, Lot 2 Township Range Seldom TH Depth M 3.o 5- rYtL NryAd1 6- ctt p 7. �P si it w/ s_ graid 11 1 16- BoN 1 20 - WAS GROUND WATER Data ENCOUNTERED? NO Net Time Depth to Water 8 IF YES, AT WHAT DEPTH? — L Depth to Water Agar O Monitoring? — P E Date: 8/17/05 Reading - --- -- v ---tet Data Gross Time Net Time Depth to Water Net Drop 1 8/9/05 3:10 0 s 2 3:4030 6 0 3 4:10 30 6 0 4 4:40 30 6 0 DFCf`N ervui s MKHOLE UTAMETER e TEST RUN BETWEEN 7.5 FT AND 8 FT COMMENTS 2 hr presoak. "dkf na take water. PERFORMED BY: Rocky Trainor/Cindy Ellis I Ae 10 6& CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDE NES IN EFFECT ON THIS DATE. DATE: 8/18/05 Municipality of Anchorage r,,.• NQ17H i Development Services Department *.' 49 Building Safety Division • �t Ori -Site Water and Wastewater Program �. 4700 South Bragaw St. P.O. Boz 196650 Anchorage, AK 99519.6650Cin y W. Ellis : www.munf.org/onsite (907) 343.7904 CE -10S77 Solis Log - Percolation Test ssloNw-." Performed For. Violet McConnell Date Performed: 8/9/05 Legal Description: Fronius Forest. Lot 2 Township, Range, Section: TI+ 42— Depth 2Depth Na•t- 2.5 5- rAL/ FiWdldi 6- Ca P ("P acted 7- Silt - wily 6- b(Aud 1 14- -1— 15, O 17 - WAS GROUND WATER ENCOUNTERED? NO S IF YES. AT WHAT DEPTH? — L Depth to Water Aft, O Monitoring? — P E Date: 8117105 Reading Date Gross Time Net Time Depth to Water Net Drop 1 8/9/05 3:10 0 6 2 3:40 30 6 0 3 4:10 30 6 0 4 4:40 30 6 0 PFRCt11 AlnrW OATC arx, -----^-v ren.. na�t uwMtlER d TESTRUNBETWEEN 7.3 FT AND 6 FT COMMENTS LtpMwak. Soil did not take water. PERFORMED BY: Rocky Treinor/Cindy Ellis ( { PERFORMED IN ACCORDANCE WITH ALL STATE AND CERTIFY THAT THIS TEST WAS MUNICIPAL GUID INES IN EFFECT ON THIS DATE. DATE: 8/18/05 Municipality of Anchorage Development Services Department Building Safety Division +1 On -Site Water and Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.munl.org/onsite (907)343.7904 Soils Log - Percolation Test Performed For. Violet McConnell Date Perfort ed: 8/15/05 Legal Description: Fronius Forest. Lot 2 Township, Range, Section: I P}3 slope r �— Depth Date (Feet) Fi )) 1 !.O 2- Pea 8/15/05 3 3,o 4- itit L IF YES, AT WHAT DEPTH? — L 11- 5,0 Depth to Water After O i- 6 ►- mc. 12- 2:22 9- Date WAS GROUND WATER Net Time Depth to Water ENCOUNTERED? NO 10 8/15/05 a 0 6 IF YES, AT WHAT DEPTH? — L 11- Depth to Water After O 30 6 Monitoring? e 12- 2:22 30 6 Date: 13- 2:52 16 /(v,0 17- $0�� Reading Date Gross Time Net Time Depth to Water Net Drop 1 8/15/05 1:22 0 6 2 1:52 - 30 6 0 3 2:22 30 6 0 4 2:52 30 6 0 DFRCN annu Date --------"-— v-+•.,•�r rent HULL DIAMETER e TEST RUN BETWEEN 7.5 FT AND a FT COMMENTS 2 M presoak. Solt did not take water. PERFORMED BY: Rocky Trainor/Cindy Ellis I n A GC6J CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDE51' IN EFFECT ON THIS DATE. DATE: 8/18/05 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Name DISTANCES Adam D TO I SEPTIC I ABSORPTION Pnonepl PJIm,I No. No OI beOrooms al tgt..::> 3 LEGAL DESCRIPTION Lot bl«� .Spbni. Ipn Townsnlp. flange. Section l SEPTIC J—r,8(p ❑ HOLDING Ntanutactuter I Capacity m Dations I ms:aller } v tit N — 5:Ca 3-2,-6n WELLS ❑ OTHER (identify) Iola, Depth Caseo to FT Date lnstalleo REMARKS: FROM WELL LOT LINE FOUNDATION e1 I -i- llo N ISnuw ,«d:qr, of well. septic system, property lines. Iounoallon. etc I T WELL -001 MEN] INION■ 1 IMEN11 IN 'IN It"MM BEEN= IME1501 MEE= l��N��! �"f8 Inspections Per^tormetl by +��"N f[Ti�YAI1 �fI,,� Date- 0 / Gi��J S 8 5 ENGINEERI : at, 1 �. 1 X10}4 Eagle Alvesr I 00 Road No. 204 certify that this inspection was performed according to all P,/ • •-• ••a ,;,' e11,9ska 8q9577 aQ q Municipal in t(i1sh11t7'cuanlllisdate. ��3i� / C' abw7/y ,I, No. {f2RL,,, Health Department Approval: _" _ y "' —` Date. 7 (I ,9 `nl ��,�F-15 1�!;-h" 72-013 (3.85) No. of compartments TYPE OF SYSTEM ❑ TRENCH 1-10BED ❑ W. DRAIN ❑ OTHER Dep:n to pipe Dollom Iron)Total ceptn from ong,ral graUe ooglnal grace ":�-.15/ FTO L f In acceo aWve uuglnal graou Gtavd ca•ptn Denea;n pipe O FT OrS Wave, leng'I' Gravel wlom FT '}j0 Total absorption area I Distance between lines A-`IT"OSO FTI LIP Nurice, pl oni,, S .J rating Pipe material 7/ Gtr,-. ms:aller } v tit N — 5:Ca 3-2,-6n WELLS ❑ OTHER (identify) Iola, Depth Caseo to FT Date lnstalleo REMARKS: FROM WELL LOT LINE FOUNDATION e1 I -i- llo N ISnuw ,«d:qr, of well. septic system, property lines. Iounoallon. etc I T WELL -001 MEN] INION■ 1 IMEN11 IN 'IN It"MM BEEN= IME1501 MEE= l��N��! �"f8 Inspections Per^tormetl by +��"N f[Ti�YAI1 �fI,,� Date- 0 / Gi��J S 8 5 ENGINEERI : at, 1 �. 1 X10}4 Eagle Alvesr I 00 Road No. 204 certify that this inspection was performed according to all P,/ • •-• ••a ,;,' e11,9ska 8q9577 aQ q Municipal in t(i1sh11t7'cuanlllisdate. ��3i� / C' abw7/y ,I, No. {f2RL,,, Health Department Approval: _" _ y "' —` Date. 7 (I ,9 `nl ��,�F-15 1�!;-h" 72-013 (3.85) M U N I C I P A L I T Y O F A N C H O R A G E Department of Health u Human Services 825 L Street, Anchorage, Alaska 99501 343-4720 O N- S I T E S E W E R P E R M I T Lo99o40t1 Permit Number: 090017 Upgrade Date Issued: 02/16/89 Engineer Designed Owner Name: H. U. D. Day Phone: Owner Address: 640 WEST 36TH AVENUE #1 563-3333 ANCHORAGE, AK 99503 Parcel Id: 017-074-04 Lot Legal: Subdivision: FRONIUS FOREST SURD. Lot: 2 Block: - Section: 25 Township: 12N Range: 3W Lot Size 1.1A (sq.ft. or acres) Max Bedrooms: 'This Permit: 3 Total Capacity: 3 SEPTIC TANK: Minimum total septic tangy: capacity: 1.000 gallons. Each septic tank must have at least 2 compartments. Depth to top of septic tank(s) < 4.0 feet requires insulation over tank(s). INFORM ON-SITE PRIOR TO IST & 2ND INSPECTIONS BY ENGINEER, IF AFTER OFFICE HOURS, CALL 343-4681 AND LEAVE A MESSAGE. CONSTRUCT PER ENGINEERS ATTACHED APPROVED DESIGN. THIS PERM11 EXPIRES 12/31/89 AND VALID FOR A SINGLE FAMILY HOME. I CERTIFY THAT: 1. I am familiar with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system an this or any adjacent or nearby lot. 4. I understand that this permit is valid for a maximum of 3 bedrooms. I also understand t a the capacity of the total system is 3 bedrooms and any enlargeme9ewilf require an additional permit. Signed: DATE: Z — Z ------------------------ (Owner) I' Issued By: ------- DATE: ------ , ----- 2 -1� 9 Gox ♦ 3Vc gQ-. Y PX. -J s I-IZA kof N S �1 .r I ♦ 1� ♦ 3Vc gQ-. Y PX. -J s I-IZA kof N S �1 .r I • ._ Municipality of Anchorageif I r ••»•"•• •"••• ` DEPARTMENT OF HEALTH & HUMAN SERVICES 1•.At • • `ort R. N,�te' 4S; 825 "L" Street, Anchorage, Alaska 99502-0650 j a ry. 1457! • k SOILS LOG — PERCOLATION TEST %'•., i FC'1►t7FFS� PERFORMED FOR: _'0�Jrou Ey V vl ` I vw DATE PERFORMED: S LEGAL DESCRIPTION/G f720/U I t -t nJ Township, Range, Section: 0 6- 7- 8- 10- 11 7 810 11 12 j 13- 14- 15- 16- 17- 18- 19- 204 314151617181920 COMMENTS SLOPE Die- FALL g4 / X . 6 ilii (M o rs --) 3191 //10,e. WASGROUND WATER D2 1// ENCOUNTERED? A')0 /Y IF YES, AT WHAT DEPTH7 MonilMontt b Watt AJI er �o orinp? .1I ®=comm' ZWAMNWI,� ..�PERCOLATION RATE (minutevincft) PERC MOLE DIAMETER TEST RUN BETWEEN Z FT AND IF FT PERFORMED BY: 1034 Ra9N River loop Road No. 204 Eagle River, Alaska %1 CERTIFY THAT T S TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDE LI CT ON THIS DATE. DATE: 72-008 (Rev. 4/85) n MUNICIPALITY OF ANCHORAGE /r, •. , . DE ATMENT OF HEALTH AND HUMAN SER\ .ES Environmental Health Division 825 "L" Street, Anchorage, Alaska 99502, Telephone 264-4720 SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT �I' /ON-SITE Name//�//1. ' /�O/Q_05 Ale .` DISTANCES FROM TO SEPTIC TANK ABSORPTION FIELD WELL Address ST 38Zg U1, 4/� AVB• WELL 145 ' /7-5- z,sZ-43-5465 Prwnets) 7-45-5-4,96- I Permit No 8507/6- No OI bearODs 3 LOT LINE 161 ZOO �5 � LEGAL DESCRIPTION Lot Z bloc. -- SUbWwS�On ("Li$ ORESY FOUNDATION Townsmp. Range. Section Lp'z,74/ON .L �/ C, a J 5 AS -BUILT DIAGRAM ISnow localwn of well. septic system, property Imes, rounoauon. driveway. water booles. etc 1 TANKS / x SEPTIC ❑ HOLDING Manulacimer CG2EJI5le Lapa<ny m ganons / o 0 0 h Matena, $ SEL Noof companmems I Z TYPE OF SYSTEM 3 �0 ❑ TRENCH BED ❑ W. DRAIN ❑ OTHER Depth to p.pe Douum both original grade /D FT Total tlrpm Item original grace /7—", FT Im added atwve ungmal grade O FT Gravel depth beneath pipe 7/ Fi 4rava14•ng:n SD" FT Gravel wlmn � IT Total absorption area 7_00mSO FT I Distance between ones Fi lv.nr r a tines Z l rag Z 2Sso FT Pipe matenm •$ O IM DOC ms:a lv"Vo e.k o ate lnslaaeo – _ — 1 WELLS Cf I 1 1 .0 PRIVATE ❑ OTHER fldentifvl Ga>vlmaeun IA.b. LI SNCiIV i d w Total Depot 1 7-.O FT Lased to 67, � FT -. � •- Insnmel [itPMLE`Cl }Mo ~,Fj f WJLT MtfVa,� I1IIN Date mmailed. / REMARKS: . 1 1 Scale: Inspep ions eAor ed by. (s[ Daze. 1Z/2-1>1er ENGINEERS SEAL +0�'& 4W p, a O F OA�`� 3,e •a•�� 0 00 .............. ..... „ a. AyNE N ::DERSON l p O N •• CE -4488 ,f w••••a•••�Cee� _ _WftI��G f/Fi✓D�yPSO AI certify that Ibis inspection was performed according to all Municipal and State guidelines in effect on this dale: /O J! / vFlns,O —� Health Department Approval: "`� C•o�-, N• O"a�E�B Date. 72-013 (3,85) "��•4� January 10, 1986 n P.O. BOX 6650 ANCHORAGE. ALASKA 99502-0350 (907) 264-4111 OVA 'CR DEPARTMENT OF HEALTH & HUMAN SERVICES TO: Permit Applicant Subject: Permit 9 850715 Lot 2 Fronius Forest Subdivision A permit issued by this Department for an individual well and/or on-site sewer system has expired as of December 31, 1985. Permits are issued on a calendar year basis by authority of Municipal Ordinance. A new permit must be obtained from this Department for any well and/or on-site sewer system not installed by the expiration date. If you have drilled the well, a well log needs to be sent to this Department for documentation of the installation and to close the permit. If a private engineer inspected the installation of the on-site sewer system the original as -built inspection report(three part form) must be sent to this office for review and approval,and for documentation. If there are any further questions, please call this office at 264-4720. Sincerely, (S�utrcCt- Susan E. Oswalt Program Manager On-site Services SEO/ljw enc: Copy of Permit c MUt�F I C I F=•A1_ I TY OF= t=k 1\1 I= I[_1 C3 F -.c ink GIEE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L STREET, ANCHORAGE, A1: 99501 264-4720 ON—S I q- F_= SE WF=F-1 tc WF=LIt- F_- r=- :M I T PERMIT NO: 850715 DATE ISSUED: 11/12/85 APPLICANT: JOHN 0 RINDAL ADDRESS: 8040 HARTZELL RD. ANCHORAGE, A): 99507 CONTACT PHONE: 344-2511 LEGAL DESCRIP: ik &e1Qft fFFt iD}iUS' F0REST ""'L( T:' 2 SLIUCKs SECTION•"25 TOWNSHIP: 12N RANGE: 30 LOT SIZE: 4230;4((.FT. OR ACRES) MAX BEDROOMS: X 3V`1 Listed below are the ions available to you in designing your septic system. Choose the option that best fits your site. ��- - - - - - - - - - - - - - TFC- N- �- - - - - - W I•'� -�- - --- - - - -. - DEPTH TO PIPE BOTTOM (FT.) 9. 7 GRAVEL DEPTH (FT.) TOTAL DEPTH (FT.) 11 0 1b6 GRAVEL WIDTH (FT.) ' S � Q t GRAVEL LENGTH (FT.) ;.:� 4 n GRAVEU VOLUME (CU.YDS.) ,2. 7� i 7ANK; SIZE (GALS) 1, SO.0 ** BBDO 9i4L.5 �pf►�- SOIL RATING (SQ.FT./BR) 225 / , ** GRAVEL LENGTH i 75 FT. REQUIRES MULTIPLE RUNS (NOT EXCEEDING 75 FT. EACH) ++� TANK' MUST HAVE AT LEAST TWO COMPARTMENTS I certify that: 1.-I am familiar.with the requirements for on-site sewers and wells as set forth by the Municipality of Anchorage (MOA) and the State of Alaska. 2. I will install the system in accordance with all MOA codes and regulations, and in compliance with the design criteria of this permit. 3. I will adhere to all MOA and State of Alaska requirements for the set back distances from any existing well, wastewater disposal system or public sewerage system on this or *any adjacent or nearby lot. . 4. I understand that this permit is valid for a maximum of 4 bedrooms and .any enlargement will require an additional permit. IF A LIFT STATION IS INSTALLED IN AN AREA COVERED BY MOA BUILDING CODES, THEN (1) AN ELECTRICAL PERMIT AND INSPECTION MUST BE OBTAINED; (2) AS-DUILTS WILL NOT BE APPROVED WITHOUT AN ELECTRICAL INSPECTION REPORT; AND (3) THE ELECTRICAL WORK: rIUS BE DONE BY A LICENSED ELECTRICIAN. SIGNED Q '--- ` ------------ DATE: APPLICANT: J' J,0 iINDAL ISSUED BY. DATE: r y n It SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION TEST 825 L. Street. Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: t1r• John Rindall DATE PERFORMED: 11-2-85 LEGAL DESCRIPTION: Lot 2, Fronius Forest Subdivision, Anchorage, Alaska �1 SLOPE SITE PLAN 1 2- 3- 4- 5- 6- 7 34567 8 9 10 11 12 13- 14- 15- 16- 17- 18- 314151617 18 i' 19 PEAT (Pt) forest litter, dark brown, moist SANDY SILT (NQ light brown, moist, some gravel, "Till -Like" cobbles and boulders SILTY SANDY GRAVEL (GII) light brown, moist difficult drilling less silt than above, easier drilling t9 Allon WAMJ No. 4977•E 0000229 ON �Efifaux-giia!i� Reading Date Gross Time Net Time Depth to Water Net Drop 1 11 -05 -SE 0 0 10'0" - 2 " " 5 5 10'2" 2" 3 " " 101 5 1 10'4 1 2411 4 " " 20 1 10 10'8" 1 3 " 5 to " 25 1 5 110 10" 1 2" 20 l HF '•....».....% � CFESSI��4� PERCOLATION RATE 2.5 (minutes/inch) TEST RUN BETWEEN 104 FT AND 11_ FT COMMENTS Recommend System at 225 square feet per bedroom (adjusted d rata) and nrotPrt system from surface water infiltration PERFORMED BY: Allan W. Hurfitt, P.E. CERTIFIEDBY: Allan W. Nurfitt DATE: 11-7-85 ST85-015 Fall at SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION EX PERCOLATION 825 L Strait, Anchorage, Alaska 99501 254-4720 TEST SOILS LOG — PERCOLATION TEST PERFORMED FOR: Mr. John Rindall DATE PERFORMED: 11-1-85 LEGAL DESCRIPTION: Lot 2. Fronius Forest Subdivision. Anchorage, Alaska r—T SLOPE SITE PLAN 1 2- 3 4- 5- 6- 7- 10- 12- 13-, 5s7to1213 14- 15 ..r a8 17 18 7Y PEAT (Pt) forest litter, dark brown, moist SANDY SILT (I1L) light brown, moist, "Till -Like", some gravel cobbles and boulders SILTY SANDY GRAVEL (Gbi) light brown, moist difficult drilling less silt than above, easier drilling Ion W. mutt No. 4977•E 20 PERCOLATION RATE X41 4,4 (minutes/inch) TEST RUN BETWEEN 103 FT AND 11 FT COMMENTS Recommend system at 225 square feet per bedroom (adiusted rate) and protect system from surface water infiltration PERFORMEDBY: Allan W. Murfitt, P.E. CERTIFIEDBY:_ Allan W. Murfitt DATE: 11-7-85 ST85-015 MMME Date MMINE Net Time 11=1101 Net Drop E0ME 11-2-85 11MM0 0 ENMM - MR NOUN a. 10 MEMO 5 Doom 11" Hong 11" �00ESP 10 WAS GROUND WATER S 07 C)l 616 d 6 6 ENCOUNTERED? NO L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop 1 11-2-85 0 0 1018" - 2 " " 5 5 10191" 11" 3 11" 15 10 10'111" 2In LOCATION OF WELL (Please complete either la. Ib or Ic.) WATER WELL RECORD STATE OF ALASKA DEPARTMENT OF NATURAL RESOURES Division of Geological 8 Geophysical Surveys Drilling Permit No. A.D.L. No. la. Borough Subdivleten Lot Block te. 1/44th. Anch {'�� 2 _of_of—af— Section No. Towns hi N13 Range ED Meridian SO WO Ic DISTANCE AND DIRECTION FROM ROAD INTERSECTIONS S. OWNER OF WELL: :Iik01303 h:enegatos Address: 3828 „ 41st Ave. Street Address and Area of Well Location Anchcira€'ey AK 99503 2. WELL LOG FeatSolow Surface Material Type Top Bottom d, WELL DEPTH: (final) 120 ft. S. DATE OF COMPLETION 1 a: �,f 6. ocable tool Dflolary ❑Driven ❑Dug Auger ❑Jelled ❑ Bored (:3Other: +n•rl n 1 3 29❑ Rocks with blue clay 29 58 7. USE: O Domestic 0Public Supply 0Industry ❑Irri ellen ❑Mchar a D Commerical D Tool Well ❑other. 1,v c FR V,irdrnck 68 119 'Water p'ravel 119 120 e. CASING: c D r oded ® Welded clam. O In. to L r''/t. Depth Weight 17 Ibo./fl. dlom. In. to It. Depth Sllckup ft. 9. FINISH OF WELL: Type: Diomabr: — -'' - Slot/M1s)•i_dls;: 'wLenph: ' Set betwen It. and 11. Backfilling Gravel poet 10. STATIC WATER LEVEL: Gr) ft. DAbove or Q Below land surface Dots Equipment used: - C d'% II. PUMPING LEVEL below land outface and YIELD 1 16 it. atter1 . fire. pumping 2 g•p•m. ft. offer 'fire. pumping_g.p.m. 12.GROUTING Well Grouted: Dyes Q No Material: D Neat Cement D Other: IS. PUMP: (If available) HP Length of Drop Pipe 1 p5 ft. capacity Bullet. D Jet D Centrifieal O Other Id.REMARKS: � rN�lt Se7-AT 16. WATER WELL CONTRACTORS CERTIFICATION: IS. Water Temperature _^ OF D C This well was drilled under my Jurisdiction and this report Is true to the bast of my knowledge and belief; Sommerville yell Drillin- A13733 Regnlvod Business Name Contract License Number Add,a•� 11140�p1;x )r.i Vf Anc}'or/1F*F? /tri, 91)516 _ Signed:« M/ �t is.�`" Date: •--Authorized Representative , Form 02•WWR (11/61) Copy Distribution: WHITE -State DGGS, PINK -Driller, CANARY-Customsr Municipality of Anchorage On -Site Water & Wastewater Program (907)343-7904 IU=;f=� An 4 PR ZO tarp . ' CERTIFICATE OF ON—SITE SYSTEMS APPROVQ'"'=Nc;p�w� Parcel I.D. 017-074-04 Expiration Date: l f 1. GENERAL INFORMATION Complete legal description FRONIUS FOREST S/D; LOT 2 Location (site address) Current Property owner(s) Mailing address Real Estate Agent 2. TYPE OF DWELLING: 7850 COX DRIVE, ANCHORAGE, AK, 99516 CHRISTIAN & SUZIE RAWALT Day phone 7850 COX DRIVE ANCHORAGE AK, 99516 727-8097 REED MOORE GROUP Day phone 865-6433 ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 4. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System W aiverNeriance request for: 3 Received by!' �— Date: COSA to be released to the engineer;' unless otherwise requested by the engineer. COSA Fee $ 501 Date of Payment `- haX 11 (4 Receipt Number d3Q 4 t) COSA# 5C[Yl/S'2 Waiver Fee $ Date of Paymen Receipt Number Waiver # Distance: — TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 ❑ Individual Holding tank ❑ LJ Community On-site LJ ❑ Public Sewer ❑ Received by!' �— Date: COSA to be released to the engineer;' unless otherwise requested by the engineer. COSA Fee $ 501 Date of Payment `- haX 11 (4 Receipt Number d3Q 4 t) COSA# 5C[Yl/S'2 Waiver Fee $ Date of Paymen Receipt Number Waiver # Distance: — 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. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK, 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date Engineer's Comments: In conducting this evaluation, GEG, I.D. attempted to provide a thorough, conscientious engineering analysis or the system in accordance with ADEC and MOA oop�DO��O4 DSO Guidelines & Regulations. The reported results described the performance of the o system under the conditions encountered at the time of the test, and separation O, •��. distances measured to readily identifiable features The operational life of all wells and septic systems depend on the local soils condition, groundwaterlevels 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 `t results do not guarantee future performance of the system, nor do they guarantee that d there are no hidden defects or encroachments. GEG, LTD. can therefore not provide { 1 L any warranty or future estimate of how long the system will continue to meet the r1 ..... ..�1r.� operational requirements of the ADEC or MOA DSD. The content of this report is for Op J tfie A. G" rfl E55; the sole benefit of the owner listed above. Any reliance upon or use of this report by any V 9 Q otherperson or party is not authorized, nor will it confer any legal right whatsoever, 04 9l G i rr e, 6. DSD SIGNATURE ZSystem #1 Approved for bedrooms. System #2 Approved for Disapproved. Conditional approval for bedrooms. bedrooms, with the following r'r o f e s so,o< 0�04�0��0 \ <F AN�y rfr, ti ns: pN_S1�� P�vv Original Certificate Date, The Mdq p7pahty or Anchorage Develop, emt Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the represenatations 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. ATTCHMENTS: COSA Checklist Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other lRev 111nS 0 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: A. WELL DATA FRONIUS FOREST S/D; LOT 2 Parcel ID: 017-074-04 *WELL FLOW TEST PERFORMED BY AAROW PUMP AND WELL. SEE ATTACHED. Well type PRIVATE If A, B, or C provide PWSID# N/A Date completed 1/5/1986 Sanitary seal (Y/N) YES Total depth 120 ft. Cased to 67.5 ft. FROM WELL LOG Date of test 1/5/1986 Static water level 50 ft. Well Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 12+ in. AT INSPECTION *8/27/2013 *75 ft. Well production 2 g.p.m. *1.38. g.p.m. WATER SAMPLE RESULTS: Coliform __&_ colonies/100 ml. Nitrate (' 25 mg./L. Collected by: GEG, Ltd. Arsenic: WD ug./L. Date of sample: 4/8/2014 B. SEPTIC/HOLDING TANK DATA *ADVANTEX TREATMENT SYSTEM. Tank Type/Material *S.T.EP/STEEL Date installed 10/10-12/2012 Tank size 1500 gal. Number of Compartments 3 Cleanouts (Y/N) Foundation cleanout (Y/N) YES Depression over tank (Y/N) NO High water alarm (Y/N) YES Date of pumping S<< ,8+i- A?e d Pumper L ll ,l !G + o, ✓,2o1 C. ABSORPTION FIELD DATA Date installed 10/10-12/12 Soil rating ( .p.d./ft r ft2/bdrm) D_5 System type BED Length 60 ft. Width 15 ft. Gravel below pipe 0.6 ft. Total depth *3.6-3. ft. Eff. absorption area 900 ft2 Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fail) PASS For 3 bedrooms Fluid depth in absorption field before test in. Water added =gal. New depth in. Elapsed Time: = min. Final fluid depth = in. Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) NONE KNOWN If yes, give date NOTE: DRAINFIELD WAS INSULATED PER INSPECTION REPORT. 24" SOIL COVER SATISFIED. D. LIFT STATION *SEE A+ HOME SERVICES INSPECTION REPORT. Date installedl0/10-12/12 Size in gallons 1500 Manhole/Access (Y/N) YES "Pump on" level at TIMER in. "Pump ofP' level at TIMER in. High water alarm level at 46 in. Datum BOTTOM OF TANK Cycles tested * Meets alarm & circuit requirements? YES E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot *86 On adjacent lot; Absorption field on lot 100'+ On adjacent lots 100'+ 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line *4 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 *WAIVERS EXISTING #OSP131026 G. ENGINEER'S CERTIFICATION 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. Engineer's Printed INName JEFFREY A. GARNESS Date (Rev. 11105) l 1 PUMP 81 Wet[ SERviC£, LLC - RESIDENTIAL • COMMERCIAL' EMERGENCY • LICENSED - BONDED . INSURED JOHN NETHERTON P.O. BOX 110496 OFFICE: (907) 346-9355 ANCHORAGE. AK 99511 To whom this may concern, A well flow test was conducted at Fronlus Forest lot 2. Customer originally contacted AAROW PUMP AND WELL about some issues with the operation of the well. Having given them cost for the repairs I also spoke with them about a flow test as they were looking to sell the home on the near future. I did the flow test as a courtesy as the well would need to be flushed out after the repairs. The result from said test on 08/27/2013 yielded 1.38 g.p.m with a s.w.l of 75' and a total depth of 120'. If there are any questions please feel free to contact me via phone. 907-230-1868 04/09/2014 L__ N \ / 3 LARISA STREET '.a •�,: vain.. '. <o �w oz N O 'w 0W 0a NLL pN pv w I J 0 O a PZ J I F0 O l N U Z I J'Ap N m xw N N Ir 0 ao - z M, v 0� �P 0 N II U L _� • m � N o0 04 to • 7 p N x �U J 0 L J 0 0 V) Q a � O� L 0 ti- i 0 aZ C 0> O J O q m_ o. Q 0 Y o0 04 to • O zV), 1 2 O m C COE Y a4 N 0 0 0 Y LL O m C COE N 0 0 OI O O rs m 0 a C 0> O O q m_ Q O. O t wm a ctc`o m° ao.m m v m m 2 C120 w 0 0 y 00 0 E 0 0 m m v ss- cEs ~ O 0, 00 oinwo6 ma I o•A3 0 0 J 0 0 0C4 l0.0 a o 'ic.o o 00 w c OXY O_ t 1-- ' V aQV C X CL ,F 0 0 0 0 w li m CL Q O 0 C O _ C t O L +-]'O TZO O.0 O m o 0 mI-ixaEc0 0 0 COL '0 mN 0 0> 0 0 m 9=: o E 0 s m m m N L Q i 0 d0 0 ADVANCED WASTEWATER TREATMENT SYSTEM MAINTENANCE AND REPAIR AGREEMENT BETWEEN MUNICIPALITY OF ANCHORAGE AND i--� . r -k' THIS MAINTENANCE AND REPAIR AGREEMENT made and entered into as of this (S Day of Aor; I of 20J.!j, by and between herein the "OWNER," and the Municipality of Anchorage, herein the "MUNICIPALITY." In consideration of the mutual covenants contained herein, the parties to this Maintenance and Repair Agreement agree as follows: 1. Advanced Wastewater Treatment Systems. Municipality grants permission to Owner to utilize and operate an Advanced Wastewater Treatment System (AWWTS), described as F—rc) IiIAs F--12re54- L Z located at (legal description). %ror�; A S s 4- L Z 2. Definitions. Alteration. Any change to the design or function of an AW WTS that includes the installation or removal of any parts, components or pieces not included in the original construction permit and design. Certificate of On -Site Systems Approval (COSA). An approval by the Municipality of existing water and wastewater disposal systems given at the time of property sale and title transfer in accordance with Anchorage Municipal Code (hereinafter, "AMC') 15.65. These approvals certify that the systems are adequate for the homes that they support and meet the codes that were in place at the time of system construction. Damage. Any man-made or natural change in a system that would inhibit the system from performing as designed. Maintenance and Repair. The scheduled and as needed replacement of existing parts, components and pieces of an AW WTS that were included in the original design which would allow the AW WTS to continue to perform as designed. Permit. An On -Site Wastewater Disposal Permit as requited by AMC 15.65 to construct and operate an AW WTS. 3. Tenn. The term of this Maintenance and Repair Agreement shall begin on the date of approval by the Municipality to operate the installed system or issuance of a COSA, and shall continue while the AW WTS is in use or is operational or until the property is sold or title is transferred by the owner and a new COSA is issued to the new owner or transferee of the property. 4. Alterations. Installation and Removal of Additional Equipment. Prior to performing any alterations to an AW WTS, the owner agrees to obtain an On-site Wastewater Disposal Permit from the Municipality in accordance with AMC 15.65. 5. Maintenance and Repairs. A. Throughout the term of this Maintenance and Repair Agreement, the Owner shall maintain their AW WTS in a satisfactory condition capable of producing treated septic effluent in accordance with the equipment's approval for operation in the Municipality. The owner shall enter into a service agreement with an AW WTS service and maintenance orovider approved by the municipality and the manufacturer of the A W WTS for the entire term of the AW WTS. In addition, it shall be the responsibility of the Owner during the term of this Maintenance and Repair Agreement, and any renewals thereof, at the owner's sole expense, to pay for any and all: (1) repair(s), (2) maintenance, (3) adjustment(s), (4) replacement costs, and (5) inspection costs. B. Owner agrees to comply with all applicable ordinance, laws, regulations, rules and orders for the AWWTS. C. Upon request by the Municipality, the owner agrees to provide the Municipality a written schedule of routine maintenance and repairs which have been performed on the system. When a record of maintenance is documented and maintained by the system vendor, the owner agrees to allow the Municipality access to this information. D. Owner acknowledges that the fine for failing to maintain and repair an A W WTS may be assessed in accordance with AMC 14.60 for improper discharge. E. Owner agrees that only maintenance and repair personnel approved by the Municipality will inspect and make any necessary maintenance, repairs or permitted alterations to the system. F. Owner agrees to grant the Municipality reasonable access to test and inspect the AW WTS upon 24 hours written notice. G. Owner agrees that any sale or transfer of title of the property will not occur without a new Certificate of On -Site Systems Approval. H. Owner agrees that the AW WTS installation and maintenance requirements as provided by the A W WTS vendor/installer and approved by the Municipality are the governing guidelines for the construction, maintenance and repair of the Owner's AW WTS. 6. Nonwaiver. The failure of either party at anytime to enforce a provision of this Maintenance and Repair Agreement shall in no way constitute a waiver of the provisions, nor in any way affect the validity of the Maintenance and Repair Agreement or any part hereof, or the right of such party thereafter to enforce each and every provision hereof. 7. Amendment. A. This Maintenance and Repair Agreement shall only be amended, modified or changed by a writing, executed by authorized representatives of the parties, with the same formality that this Maintenance and Repair Agreement was executed with, and such writing shall be attached to this Maintenance and Repair Agreement as an amendment. B. For the purposes of any amendment modification or change to the terms and conditions of this agreement, the only authorized representatives of the parties are: a. Owner: f Y-\ b. Municipality: Director, Community Development or designated authority C. Any attempt to amend, modify, or change this contract by either an unauthorized representative or unauthorized means shall be void. S. Jurisdiction: Choice of Law. Any civil action arising from this Maintenance and Repair 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 Maintenance and Repair Agreement. 9. Severability. Any provisions of this Maintenance and Repair Agreement decreed invalid by a court of competent jurisdiction shall not invalidate the remaining provisions of the Maintenance and Repair Agreement. OWNER: By: i !/ems `/� (signature) Date: /7, 5 (print name) STATE OF ALASKA ) ss. THIRD JUDICIAL DISTRICT ) The f of g i rgment w� asp$ knowledged before me this/i day of 20 , by — / / (611-� iJ i. f A- 7 1 7' , STA'L'E OF ALASKA A9 .., NOTARY PUBLIC ,„a' Julie Nolde My COMMISsion Expires: May 12, 2017 MUNICIPALITY: By: (signature) Date: (print name) Title: 6�-y 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.munl.org/onsite (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-074-04 1. GENERAL INFORMATION Complete legal description Fronius Forest Lot 2 Location (site address or directions) 7850 Cox Drive Current Property owners) Violet L McConnell Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 7850 Cox Drive Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water System HAA # Expiration Date: Day phone Day phone Day phone 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 requestto 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 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. TYPE OF WASTEWATER DISPOSAL: E Individual On-site 0 D Individual Holding tank El Community On-site Public Sewer The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 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 requestto 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 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 seat affixed hereto and as of the validation date shown hn es below this verify t ha Amyinvshows /that the based on procedures outlined in the Health Authority Approval on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms antype of structure indicated herein. I further verify that based on the information obtained from the d Municipality d 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 Watkins Engineering, Inc. Address P.O. Box 110443, Anchorage, AK 99511-0443 Engineer's Printed Name Cindy w. Ellis 5. DSD SIGNATURE Phone 349-1851 Date r_z Approved for bedrooms. 0 Disapproved. Conditional approval for bedrooms, with the following Idy W. Ellis CE.ros» Attachments: HAA Checklist X Maintenance Agreements — Supplemental Engineers Report Septic System Advisory Well Flow Advisory moi- Other Original Certificate Date: Ip/,St l /,a�— By: I r (Rev. 01N2) Municipality of Anchorage Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 995196650 www.muni.org/onstte (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Fronius Forest Lot 2 Parcel ID 017-07_ q-pq A WELL DATA Well type Pri If A. B. or C Provide PWSID # Well log (Y/N) Y=_ Date completed vM Sanitary seal (YIN) res Wires Total depth 12Dproperty protected (YM) JM� ft. Cased to 67'5 ft Casing height (above ground) 41 FROM WELL LOG in. Date of test Jan 5, 1988 AT INSPECTION A 4—� Static water level 50 ft 61 Well production 2 1.g.p.m. 0.77 WATER SAMPLE RESULTS: �— 9•p•m- Coliform —L--colonies/1t)0 ml. Nitrate 1.41 m9A• Other bacteria 0 colonies/100 ml. Arsenic: NA mgA. Date of sample: Sam Collected a' SEPTICIHOLDING TANK DATA Roekv Treirxx Tank TYpe/Materlal areal Holding Tank Date installed §t 6, 2005 Tank size 4000 gal. Number of Compartments Cleanotrts (YM) Yea Foundation cleanout (Y/N) ja3 Depression over tank (YM) NO High water alarm (YM) Yea Date of pumping N/A N`eW__ Pumper N/A C. ABSORPTION FIELD DATA Data installed NA Sop rating (g.p.d./ft2 or ft2/bdrm) Length tk Width ft. Total depth __ ft. Eff. absorption area tl? Monitoring tube Date of adequacy test Results (PaSs/FaG) Fluid depth in absorption Geld before test _ In. Elapsed Time: _ min. System type Gravel below pipe ft. — Depression over field Water added_ gal. Final fluid depth ,_ in. Any rejuvenation treatment (past 12 mo.) (YM & type) For _ bedrooms New depth_ in. Absorption rate >. g.p.d. If yes, give date D. LIFT STATION Date installed -pump on' level at _ in. Datum E. SEPARATION DISTANCES Size in gallons Manhole/Accsss (YIN) _--- -pump ofr level at _ in. High water alarm level at — in. Cycles tested Meets alarm & dMit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllifi station on lot N/ Absorption field on lot NA Public sewer main 100+ Sewer /septic service line 7�_ On adjacent lots 100'+ On adjacent lots ' W—+ Public sewer manhole/deanout 1W+ Holding tank 97 SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: pe line 2V Absorption field NA Building foundation 24 property Water main tar + Water service line 70 Surface water 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property lineN/A Building foundation Water main Surface water �— �dve Driveway. Panhide storage Water Service line Curtain drain Wells on adjacent lots F. COMMENTS 0 ...,.1am Wall Flow Test. Well equiped with G. ENGINEER'S CERTIFICATION I ceRiry that I have determined through field inspections ms are i nd review of Municipal records that the bpeye on this date. conformance with MOA HAA guidelines Engineer's Printed Name Cindy W Ellis Date Produced 504 gallons in 5 hrs. Waiver Fee $ _ HAA Fee E j0/fig 05, Date of Payment Date of Payment Receipt Number Receipt Number (Rev. IWOt) w idy W. Ellis CE. tasn 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.ci.anchorage.ak.us (907) 343-7904 Water Well Advisory Health Authority Approval # HA050550 During a recent Health Authority Approval on-site inspection and test of the potable water supply well on Lot 2 of Fronius Forset subdivision, the well's productivity was determined to be 0.77 gallons per minute. The minimum well productivity required by this Department (AMC 15.55) for a 3 -bedroom residence is 0.31 gallons per minute. Although the subject well currently exceeds this minimum requirement, all parties concerned are advised that the production capacity of the well may fluctuate. Restriction of non-critical water uses such as washing cars and watering lawns and gardens may be required. This advisory must be attached to all copies of the subject Health Authority Approval. 82-511 FRONIUS LOT 42,301 FOREST 2 S.F. COX DRIVE 0 to 10' UTIL ESMT. — — — — — — — — — — — — — — — — — — — — I I cdi I A.C. COVE I I WELL CONC. MALI( I1 3*31' "Do a PORCH 1�x.a I b wooD EXISTING BUILDING o 1 np WOOD 1 p i� 32.1' N 74.0• 1 W • DECK io I I • I = SEPTIC SYSTEM • I I I I -----------------------L- 111=30' 20' Ui1L ESMT. -----------------------1- �Mm S- GASTALDI LAND SURVEYING, LLC JE(T A. GASTALDI, R.L.S. 4726 WEST 88TH AVENUE ANCHORAGE, ALASKA 99502 PHONE 248-5454 GRID DATE 2940 10/13/2005 F.B. JOB NO. 05-13 1 FFLOT2 SEPTIC SYSTEM 'WAC2 I HEREBY CERTIFY THAT I HAVE SURVEYED THE PROPERTY DEPICTED ABOVE AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS. COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY OR FENCE LINES. ANCHORAGE RECORDING DISTRICT, ALASKA NOTE. NO CORNERS SET THIS DATE .•OF••.g4 s�� #� 1yL. L '•. 'f •� : • :.4901*....:....: t ...........'.` .......a Jeffery A. Goefoldl : o` a o. 41 of pie •.• LS -6091 AV e 'Oro f. �1Rtss*♦ • MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH b 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. # n 11 - n Lk - Qt-\ HAA fi Q(V\ 1. GENERAL INFORMATION Complete legal description Lot 2. Fronius Forest '� 7850 Cox Drive, -Anchors a AK 99516 Locatiorti (site address or directions) 8 • Propertyowne'r""Moral 'Bailey Day phone 344-4514 Mailing'; 7850 Cox Drive, Anchorage, AK 99516 addrress Lending agency Day phone Mailing address , Agent Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3 V 3. TYPE OF WATER SUPPLY: / Individual well X t/ Community well Public water Day phone NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site X 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.M(Rw.1/91) rwm MOAR21 . 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Aw ImIl II1laan 1 'molaq umogs algp uo!lep!!gn aql }o se pue olaJaq pax!}}e leas Aw Aq pa!1!uao SV a33NION3 AS N01103dSN1 dO LN31N3r'1V.LS S Municipality of Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: ta'L12• Fronius Forest Parcel I.D. A. WELL DATA Well type Private If A, B, or C, attach ADEC letter. ADEC water system number N/A Log present (Y/N) Y Totaldepth 120 ft. Date completed 1-5-86 Driller Sommerville Well Drilli to 67.5 ft Casingheight 2.5 ft above G.L. Sanitary seal (Y/N) Y Wires properly protected (Y/N) Y FROM WELL LOG AT INSPECTION Date of test 1-5-86 6-17-93 MUNIGPAUTY OF ANCHORAGE Static water level 50 ft 57 ft ENVIROjAMENTAL SERVICES DIVISION �rti 1993 Well flow 2 g.p.m. 3 2 5 9.p -m. Pump level 116 ft SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot 155 ft 116 ft RECEIVED ; On adjacent lots 100+ ft Absorption field on lot 165 ft ; On adjacent lots 100+ ft Public sewer main N/A Public sewer manhole/cleanout Sewer service line N/A Petroleum tank WATER SAMPLE RESULTS: Coliform 0 coliform/100 ml Nitrate 0.49 mg/l, Other bacteria Date of sample: 6-17-93 Collected by: Dhruba Neogi B. SEPTIC/HOLDING Date insta pW`03- 9 t -7 1 L Tank size 1000 gal Compartments 2 Clear�duts (Y>�1) Foundation cleanout (Y/N) Y Depression (Y/N) N 1 \yam - ' 1 Hig9*a{era)dFm (Y/N),N Alarm tested (Y/N) N Dat1 of pumping„ 6-7-93 . Pumper Roto -Rooter s`..... .,... + SEPMi 60N t l&ANCES FROM SEPTIC/HOLDING TANK TO: Well(s)Cn1o4..'155 ft `X Onadjacentlots 100+ ft Foundation 92 ft Ww,.l;pro. . To property line 10+ ft Absorptionfield 20 ft* Water main/service line N/A Surface water/drainage 100+ ft 72-026 (Rev. 7191) Front CONTINUED ON BACK PAGE C. LIFT STATION Date installed N/A Size in gallons Vent(Y/N) High water alarm levet Manufacturer Manhole/Access (Y/N) "Pump on" level at "Pump off" level at Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot N/A On adjacent lots D. ABSORPTION FIELD DATA Cycles tested Surface water Date Installed 3-2-89 Soil rating 318 so ft/BR System type Bed Length 48 ft Width 30 ft Graveithickness 0.5 ft Totaldepth 5 ft (Y/N) —Y Depression_over.field (Y/N) N W Date of adequacy test 6-21-93 �l `i 1/ j .I ) ` r`%Pass Results (pass/fait) for 3 bedrooms Peroxide treatment (past 12 months) (Y/N) N If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Wellonlot 165 ft Onadjacentlots 100+ ft Propertyline 16 ft To building foundation 120 ft To existing or abandoned system on lot _15 ft Onadjacentlots 30+ ft Cutbank N/A Water main/service line N/A Surface water 100+ ft Driveway, parking/vehicle storage area 100+ ft Curtain drain none observed E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. HAA Fee $ /7'0 Waiver Fee: $ Date of Payment - S— Date of Payment Receipt Number a�A3 9 �� Receipt Number 72-M (Rn. 9/91) axk MOA 21 ® Municipality of Anchorage Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 2, Fronius Forest Parcel I.D. A. Well Data Well type If A. B, or C, attach ADEC letter. ADEC water system number Log present (YM) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump levell SEPARATION DISTANCES FROM WELL TO: Septictholding tank on lot Absorption field on lot Wires properly protected (Y/N) AT INSPECTION 9 g.p.m. g.p.m. : On adjacent lots On adjacent lots Public sewer main Public sewer manhole/cleanout Sewer service line Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date Installed Tank size Compartments Cteanouts (Y/N) Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) tested (Y/N) Date of pumping Pumper SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot On adjacent lots Foundation To property line Absorption field Water main/service line Surface water/drainage rt -ate (3W)* Front CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Manufacturer Size In gallons Manhole/Access (YM) Vent (Y/t) 'Pune on" level at "Pump off" Levet at High water alarm level Cycles tested Meets MOA electrical codes (YM) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot On adjacent lots Surface water D. ABSORPTION FIELD DATA Date Installed Soil rating (GPD/Ft') System type Length Width Gravel thickness Total depth Total absorption area Cleanout present (Y/N) Depression over field (YM) Date of adequacy test Results (pass/fail) for Bedrooms Water level In absorption field before test 't;f9+ ? 'IA46� Aftertest No Change Peroxide treatment (past 12 months) (YM) If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD T0: Well on lot On adjacent lots To building foundation Property line To existing or abandoned system on lot On adjacent lots Cutbank Water main/service line Surface water Driveway, parking/vehicle storage area Curtain drain E. ENGINEER'S CERTIFICATION I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Date June 3U. 1993 HAA Fee $ Date of Payment Receipt Number 72.026 r -W)' Bwk Waiver Fee $ Date of Payment Receipt Number, „ . E 1' I INVOICE i 6TOYOCS000 96TSEWERAN DRAIN08 amu, �" 7aeu6Ces CLEANING SERVICE Deu ®C.:e v g"lg/ P.O. BOX 112688 PHONE345.2513 ANCHORAGE, ALASKA 99511.2688 p2r- ga( ley L Joh Address _. 4 TOTAL FOOTAGE CLEANED OR THAWED BLADESU_SED/ PROBABLE CAUSE OF STOPPAGE ds^^`��'�^ '� I LINE CLEANED I7 JOB NOT GUARANTEED FOR FOLLOWING REASON WORKACCEPIEDBY O MUNICIPALITY OF ANCHORAGE • -- Department of Health 8 Human Services DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel l.D.# n1 -1-D 1L1-t*4 HAA# 1�'n�r1�� 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2; Fnon.iva Fonea.t Subdivia<on Location (address or directions) Cox D7t.Lve (b)Propertyowner H-11-12- 0111-039950-203' Telephone: (home) business Mailing Address (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent bIETCALF REALTY ATTN: Ray bletcat,( Address Telephone 344-4514 (e) Mail the HAA to the following address: (or check hereU, if hold for pick up.) List contact person and day phone number below: S& 5 ENGINEERING tepid Fyyla River Loop Road No 204 Eagle pIvr, Alaska 99577. 2. TYPE OF RESIDENCE Single -Family 0 Number of bedrooms 3 3. WATER SUPPLY Individual Well 19x / Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site WC r Public ❑ Community ❑ Holding Tank ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legailty and status. 72-025 (A".7188) Page 1 of 2 5. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below. I verify that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address Date Telephone s & 5 ENGINEERING —t'd 4-Eagls-RtYer leo' Real at sn0.4 Eagle River, Alaska 99577 1C;,/9/ /_a ert A. Shifa• �`,'y-.� Na Itl7i . re ' w�aeyw�'- 6. DHHS APPROVAL Approved for bedrooms b v `' to Uy Approved Disapproved Conditional Terms of Conditional Approval The Municipality of Anchorage Departmentof Health and Human Services (DHHS) issues Health Authority Approval cerificated 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 oranalyzedata before a certificate is issued. The Municipalityof Anchorage is not responsible forerrors cromissions in the professional engineer's work. 72a25 (Rev. 7199) aac. Page 2 of 2 MUNICIPALITY OF ANCHORAGE (MOA) .. CIPALITY e , #VAtAborIty Approval (HAA) ,pt.IMENTAL •.�j!kgJ%WT-*FEBRUARY 1984 343-4744 JUN 11990 Legal Description: A. WELL DATA RECEIVED Well Classification I IJD ( J kQ V!n, If A, B, C. D.E.C. Approved (Y/N) Well Log PresentQY/N) Date Completed Yield `5.7 G?='l t/ r / r " (——�d6 1 Total Depth�Cased to ��_ Depth of Grouting ( i Static Water Level Pump Set At- u Casing Height Above Ground Sanitary Seal on CasingcMN) �1 Electrical Wiring in ConduitON) Depression Around Wellhead (Y4; SEPARATION DISTANCES FROM WELL: r To Septic/Holding Tank on Lot ; On Adjoining Lots�L•k- r To Nearest Edge of Absorption Field On Lot I lc�S ; On Adjoining Lots To Nearest Public Sewer Line r1, 1-4 To Nearest Public Sewer Cleanout/Manhole A To Nearest Sewer Service Line on ,Lot Water Sample Collected by 5 in-51 L.f�r (IS 7-trY :Date -' l g 190 Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed 1-5-481e Size )C'1� No. of Compartments 2-- StandpipeseYN) _Air -tight Caps (?/N) Foundation Cleanout /N) Depression over Tank (Y/M r�N ate Last Pumped Pumping/Maintenance Contact on File (Y/N1 �' :for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK: To Water -Supply Well (SSI To Building Foundation �' r To Property Line ) C> r To Disposal Field �� r To Water Main/Service Line br t To Stream, Pond,,Lake or Major Drainage Course 72-M (Aw.7/88) Front Page 1 of 2 C. ABSORPTION FIELD DATA Y ' Soils Rating in Absorption Strata a, Type of System Design Date Installed 3 — Z ' 0`) < Length of Field Q 8 Width of Field '-�� L Depth of field S _a r Square Feet of Absortion Area Dep-ression over Field (YJNP _ Results of Last Adequacy Test - Gravel Bed Thickness 7 A -A._497' SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well y l� a _ Statndpipes Present (%N) -y- Date Date of Last Adequacy Test To Property Line (So r To Building Foundation To Existing or Abandoned System on Lot (s t ; On Adjoining Lots To Water Main/Service Line To Cutback (if present) P To Stream, Pond, Lake, or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date 1? Size in "Pump On" Level at — High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent(Y/N) Pumping Cycles during Adequacy Test. certify that I have checked, verified, or conformed to all MOA"and HAA guidelines in effect on the date of this inspection. Signed Company S&SENGlNto""!L a Date — Zia River, Alaska 99577 MOANo.CtF 9o' CC)& Receipt No.,1/32, Igoe ' Date of Payment k ' f-01 0 Amount:$ r7o,(P Receipt No. Waiver Fee: $ Date of Payment 72-M (R..7/68) Back Page 2 of 2 CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. 5633 B STREET - ANCHORAGE, ALASKA 99518 - TELEPHONE (907)562-2343 FEDERAL TAX I.D. 1192-0040440 ANALYSIS REPORT 11 SAMPLE for Work Order 1 21833 Date Report Printed: MAI 22 90 8 11:13 Client Sample IDA2 IRONIUS FORREST S/D Client Name : S & S INCR PNSID :UA Client Acct : SNSINCP Collected NAY 18 90 4 14:00 hrs. P.O.t NONE RECEIVED Received NAI 18 90 4 15:15 his. _ Req I Preserved with :13 REQUIRED _ Ordered By : R. SHAPER Analysis Completed :NAY 21 90 Laboratory Supen3,p=,:SSEPBeN C. LDE Released by : jp(AJ4{./; /' h1, ' "Special IAT RESULTS UPON COMPLETION. Instruct: Chemlab Ref 1: 901432 Lab Smpl ID: 1 Matrix: MATER Parameter Tested NITRATE -N Semple ROUTINE SAMPLE. Remarks: SAMPLE COLLECTED lY RDI. Send Reports to: 1)S & S ENCR 2) Result units Method ----- -------------------------- 0.46 mg/1 EPA 353.2 Allowable Limits 10 .............................................................................................................. 1 Tuts Performed See Special Instructions Above UA -Unavailable ND- None Detected " Su Sample Remarks Above MA. Not Analyzed LT -Lois Than, GT -Greater Than d.,.00aejb. i a �IeAsc �sti A01% FAY ASAP CHEMICAL & GEOLOGICAL LABORATORIES OF ALASKA, INC. = � TELEPHONE (907) 562.2343 r , .fJJ D o ..irool Anchorage. Alaska 99518 Drinking Water Analysis Report for Total Coliform Bacteria TO BE COMPLETED BY WATER SUPPLIER TO BE COMPLETED BY LABORATORY ❑ PUBLIC WATER SYSTEM I.D.N PRIVATE WATER SYSTEM Analysis shows this Water SAMPLE to be. Satisfactory ❑ Unsatisfactory Name Phone No. S 8 S ENGINEERING ❑ Sample too long in transit; sample shoulr. not be over 30 hours old at examination Mailing Address 17034 q o 11115ei oopoa I 204 Eagle River, Alark■ 99577 to Indicate reliable results. Please sent new sample via special delivery mail. City State 2,o code SAMPLE DATE: L F , ; ® m Dale Received �!53 — Mo. Day Year Time Received SAMPLE TYPE: Analytical Method: Membrane Filter Q� Routine G Check Sample (for routine sample with lab ref. no. ) ❑ Treated Water ❑ Special Purpose ❑ Untreated Water No. of colonies/100 ml. SAMPLE Time NO. LOCATION Collected Collected By Lab Ref. No. Result' Analyst -�- � 90.1932 2 m 3I 4I 5I BACTERIOLOGICAL WATER ANALYSIS RECORD READ INSTRUCTIONS Membrane Filter. Direct Count Collform/100mt BEFORE Verification: LTB BGS COLLECTING SAMPLE Final Membrane Filter Results O Collform/100mt Reported By Date ��— fc> ' Time: l s�0 a.m. n.m TNTC = Too Numberous To Count PART ONE OF TWO OB =Other Bacteria REMAINDER TO FOLLOW MUNICIPALITY OF ANCHORAGE Department of Health 8 Human Services • DIVISION OF ENVIRONMENTAL SERVICES 343-4744 CERTIFICATE OF INSPECTION FOR HEALTH AUTHORITY APPROVAL OF ON-SITE SEWER AND WATER FACILITY FOR SINGLE FAMILY DWELLING Parcel I.D. N L�\ -1 - [111l - jC, Ll HAA # .6 A Ra M 1 L- 1. 1. GENERAL INFORMATION (Must be completed prior to submittal) (a) Legal Description (include lot, block, subdivision, section, township, range) Lot 2 Fronius Forest Location (address or directions) Cox Drive (b) Property owner H.U.D. Telephone: (home) Business Mailing Address 605 West 4th, Anchorage, Ak. 99501 (c) Lending Institution Mailing Address Telephone (d) Real Estate Company and Agent Associated Brokers- Sandy Address s W. Anchorage, Telephone 563-3333 (e) Mail the HAA to the following address: (or check here ❑. If hold for pick up.) List contact person and day phone number below: 2. TYPE OF RESIDENCE Single -Family ❑ Number of bedrooms _3_ 3. WATER SUPPLY Individual Well XX Community ❑ Public ❑ \T, Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to th legality and status. 4. SEWAGE DISPOSAL On-site IR 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. 72-a2s(Rx. 786) Page 1 of 2 Z 10 Z e6ed %Ne (99/L'we) Smet '1liom s laaul6ua Ieuolssalad eyl ul suolsslwo to siono lol olglsuodsal lou sl s6ei043uV 10 Allledlolunyy all'ponssl sl eleog!V93 a alolaq elep ezAleus to suolloedsul lonpuoo lou op SHHO to saa (oldw3's)uawallnbal eleis pug lejapal uleliao Alsliss of ieplo ul suollnllisul 6ulpual llall pug sawoy 10 sjaseyolnd of Asallnoo a se slyl saop SHHO e41 T%seIV 10 GWIS ey1 ul p010lS1601 laaul6ua leuolssalold luepuedapul ue Aq anoge g ydej6ejed ul uenl6 suolleluesaidaj ell uodn 6luo paseq paleopuao lenoUddVAluoylnV yyeaH sanssl (SHHO) S901AJOS uewnH pug ylleaHlo)uaw>JedaO 96ejolouVloA1!ledlolunp4 all NOI111V0 IenolddV leuolilpuo0lo swlal leu0e1!pu00 penolddes10 panaddV eie0 Aq swoojpoq lol panolddV - IVAOHddV SHHO '9 $-1591 'C" Xi•5: V 1 Wgov eie0 i[s66 .3si IV'i*"l'dsi4i3 VOZ'ON peoll dooq isms *lava rt.'QZt- ssaippV ,JNI833NION3 S 15 auoydalel 6 weld 10 eweN 'uolloadsul slll to elep ali uo )oalle ul suogeln6ai pug 'saoueulpio 'sopoo elelS pug ledlolunpy Ile yl!m eouelldwoo ul sl walsAs Iesodslp lalemalsem to/pue Alddns lalem ells-uo syi 'uolioadsul pue uolie61isanul (w wo11 pue solll 96ejoyouV 10 Ailledlolunyy el) wojl paulelgo uoliewjolul all uo paseq leyl Al!laA JaLlIml I 'ulajal pa)eolpul sinioni)s 10 edAj pue swoolpoq 10 lagwnu ell lot elenbape pug Ieuollounl 'ales sl walsAs lesodslp ja)emalsem to/pue Alddns lalem ells-uo e41 leyl smogs IenaddV AllioylnV 1411e0H sly)1ouolie6lisanul(wlel)A1uaAI'molaqumoysalepuolleplleAayi1osepug olaialpax111eleas AwfgpaipliaosV NOIIVWHOdNI ONV V1VO'HOUM 3'11d'S1S31'SNO1103dSN1 JNIOIAOHd MIA E)NId33NION3 '9 MUNICIPALITY OF ANCHORAGE (MOA) • Health Authority Approval (HAA) E CHECKLIST - FEBRUARY 1984 MUNIGP�0ERVIC VISION 343-4744 rd 1:PtVtRONtJE t Legal Description: `moo r Z' � 31989. �(�o►-�,JS ,r A. WELLDAV-CEIVED I Well Classification ' I Cit v 1 O�D bn _ If A, B, C, D.E.C. Approved (Y/N) 0h Well Log Present#?N) _ Date Completed C "S – Yield '°S G Pt Total DepthA%2—Cased to IE� Depth of Grouting Static Water Level I, oer" Pump Set At -- JL tl Casing Height Above Ground V2 k Sanitary Seal on Casing (9q) Electrical Wiring in Conduit&/N) – y Depression Around Wellhead (YQ SEPARATION DISTANCES FROM WELL: ( I To Septic/Holding Tank on Lot 1ST ; On Adjoining Lots `•�� '� To Nearest Edge of Absorption FieIR Lot �s1 ; On Adjoining Lots I j' To Nearest Public Sewer Line P To Nearest Public Sewer Cleanout/Manhole 14 To Nearest Sewer Service Line on Lot 12--5 l -}" Water Sample Collected by Datey – 7_7 Water Sample Test Results�� z C Comments B. SEPTIC/HOLDING TANK DATA Date Installed I– Size 1 No. of Compartments StandpipesdVN) Air -tight Caps(ON) _Foundation Cleanout((DN) !4_ Depression over Tank (Y/O FJ Qa a Last Pumped Pumping/Maintenance Contact on File (Y/N) N ;for Holding Tank High -Water Alarm (Y/N) Temporary Holding Tank Permit (Y/N) tJ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK:, To Water -Supply Well SS To Building Foundation qZ ( To Property Line V ,h To Disposal Field 7� To Water Main/Service Line o (� To Stream, Pond, Lake or Major Drainage Course oo I.Ir Comments 72-M (Aft. Vfte Fwl Page 1 of 2 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata �� ¢— Type of System Design Date Installed Length of Field 4 I Width of Field 30) Depth of Field rJ Gravel Bed Thickness S " Square Feet of Absortion Area Statndpipes Present�5N) Depression over Field (Y/10 ►-N ) Date of Last Adequacy Test Results of Last Adequacy Test SEPARATION DISTANCE FROM ABSORPTION FIELD: To Water -Supply Well To Property Line `O ) To Building Foundation—To Existing or Abandoned System on Lot 1yj4- ; On Adjoining Lots 3a To Water Main/Service Line ��I F To Cutback (if present) To Stream, Pond, Lake, or Major Drainage Course k ochk— To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed . i, Size in",ns "Pump On" Levela at High Water Alarm Level at Tested for Meets MOA Electrical Codes (Y/N) Comments Dimensions Manhole/Access (Y/N) "Check Permitted Bedroom Rating Against HAA Request" "Pump Off" Level at Vent(Y/N) _ during Adequacy Test. I certify that I have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this Inspection. Signed8t; ENGINEERING 17034 E8916 xiver . Company cavieRiver, dJeaka99577 Date 3�- 37 of MOA No. e^ F Receipt No. (957-2 D ` 222 Date of Payment 3 " �' Amount: $ /70.00 72-M (A". 7/88) Beck Receipt No. Waiver Fee: $ Date of Payment Page 2 of 2 ?+"f y.i'!{a `�.•{�(>��ty\ •. rr.,a X51 ,!li'fa .:l ^f".t i`JTa f}rrti�.•:J. 't'tH.?:ily ,t .y � `.;) .M1 ,4 �� 1L iii ,.,r r�+i1',', i\'�, t.+ -..''a. x K :;r1 T�•'. ,"• - .:r.'.';t MUNICIPALITY OF ANCHORAGE �� ' h��V A� "fir l?ti •"`.:` \!:_. - .. :' . i. (DEPARTMENT OF, HEALTH AND ENVIRONMENTAL PROTECTION i . ;{DIVISION OF ENVIRONMENTAL HEALTH,,,, CERTIFICATE,OF_INSPECTION FOR HEALTH AUTHORITY APPROVAL' :.I 1 •OF ON-SITE SEWER AND WATER FACILITY '- I \ r . ,':.' n' • :, 264-4720 e. • �' . ! r, - Application Date % 11;';. GENERAL INFORMATION 5 t (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) sO r 7C Dr. ' (b) Applicant Name Telephone Home 1B_-6072—Ausmess ApplicantAddre« (c); Applicant is (check one): Lending Institution; Owner/builder ❑ ; Buyer ❑ ; Other ❑ (explain); (d)' Lending Institution qV Tele/phone 'Address,' (e) Real Estate Company and Agent Address .' Telephone (f) Mail the HAA to the following address: ' 7 8 0 lo,2� .f�,w .I it , fr 1, •, Vit' 'TYPE 2. OF RESIDENCE S ngle-Family\ Multi Family ❑; ;,"Other •`'i �' 3' ' , '+ �; � { Number of Bedrooms' � ' No Il L.. %•. ff.. a' \ \d� ate. • .�•J Al '+3 WATER SUPPLY ,"��;i r. + Wellmmunity ❑ 13.. •, ,. Individual ..'Public '•, .. h' r: )✓�:. c :,.f, .., +.. f'[J. - .. ., Vit,'.. t :' "Note If community well system must have written confirmation from the State Department of Environmental Conservation ' ` , '-'attesting to the legality and status ` s . e"- ^ 4{ SEWAGE DISPOSAL . Onsite. Public ❑ Community ❑ Holding Tank ❑ f' Note:llcommunitywellsystem` must have written confirmation from the State Department ofEnvironmental Conservation a 1 ft r attesting to the legality and status.,"*.'{{ r r 72-025 (1144) Pa 5. Q ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION As certified by my seal affixed hereto and as of the validation date shown below, I verity that my investigation of this Health Authority Approval shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and Inspection, the on-site water supply and/or wastewater disposal system is In compliance with all Municipal and State codes, ordinances, and regulations in effect on the da Name Addre Date DHEP APPROVAL Approved for 4;1 bedrooms by " '4 77?7'02" Date Approved ✓ Disaa> ved CO>4nal Terms of Conditional Approval CAUTION Engineer's Seal The Muncipality of Anchorage Department of Health and Environmental Protection (DHEP) issues Health Authority Approval certificates based solely upon the representations given in paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHEP does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHEP do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineels work. Page 2 of 2 )2-025(11181) MUNICIPALITY OF ANCHORAO2 DEPT. OF HEALTH d 1 ^ ENVIRONMENTAL PROTECTION MUNICIPALITY OF ANCHORAGE (MOtir FES Z 110 HEALTH AUTHORITY APPROVAL (HAA) CHECKLIST - FEBRUARY 1984 264-4720 ,�.EpC E IV ED Legal Description: �%�Z f-'J2�/�%(Il A"D12AN57T A. WELL DATA Well Classification - S/V�k;-CY" If A, B. C, D.E.C. Approved (Y/N) 4 Well Log Present (Y/N) Date Completed I iC 136 Yield Total Depth 1 4f42 Cased to 47-5 Depth of Grouting Static Water Level 16JE> 0' Pump Set At G a Casing Height Above Ground 7-1' Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit (Y/N) j Depression Around Wellhead (Y/N) Separation Distances from Well: , To Septic/Holding Tank on Lot l gs ;On Adjoining Lots 0 c f' To Nearest Edge of Absorption Field on Lot 2S ; On Adjoining Lots /0 f4 To Nearest Public Sewer Line AJV^J5 To Nearest Public Sewer Cleanout/Manhole Water Sample Collected by Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed I20 Size CQ No. of Compartments Standpipes (Y/N)_Z � Air -tight Caps (Y/N) _r Foundation Cleanout (Y/N) Y Depression over Tank (Y/N) Date Last Pumped A/yw Pumping/Maintenance Contract on File (Y/N) 04'//A ; for Holding Tank High -Water Alarm (Y/N) /-*'/ 4 Temporary Holding Tank Permit (Y/N) 4�41411 Separation Distances from Septic/Holding Tank: Q To Water -Supply Well �¢✓To Building Foundation To Property LineTo Disposal J ' p oral Field To Water Main/Service Line % '��G To Stream, Pond, Lake, or Major Drainage Course llDo or Comments Page 1 of 2 72-026(IIi84) C. ABSORPTION FIELD DATA , Soils Rating in Absorption Strata Z7...5- 'o, R2 Type of System Design Date Installed f gp 6- Length of Field SO Width of Field Depth of Field /a Gravel Bed Thickness Z Square Feet of Absorption Area •S• Standpipes Present (Y/N) Depression over Field (Y/N) Date of Last Adequacy Test /o�auj Results of Last Adequacy Test N l A Separation Distance from Absorption Field: To Water -Supply Well I -Z-W- / To Property Line ZO / To Building Foundation 1' To Existing or Abandoned System on Lot /✓— ; On Adjoining Lots 1 OC To Water Main/Service Line % O To Cutbank (if present) O To Stream/Pond/Lake/or Major Drainage Course To Driveway, Parking Area, or Vehicle Storage Area Comments D. LIFT STATION Date Installed Size in Gallons "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments Dimensions Manhole/Access (Y/N) 'Pump Off' Level at •• Check Permitted Bedroom Rating Against HAA Request •• Vent(Y/N) during Adequacy Test. Meets MOA Icertify that Ihave chec6 vedfie or conformed to all MOA and HAA guidelines in effect on the date of this inspection. Si- Ir &I Company MOA No -� Receipt No. 'A!:75 -MBP" _oess_ Date of Payment �-U-2530 ___amc, u r. &41 0 Amount: $ — 6 <001— sr •sy , Engineer's Seal ?: 49TH, Page 2 of 2 �� e. w =00 l 71 -OX (11,84) � A••.•„•N• • `' � S1k\i''0'