The URL can be used to link to this page

Home My WebLink AboutAMANDA PLACE LT 3Amanda Place Lot 3 #015-501-33 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 2 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP131443 PID Number: 015-501-33 Dwelling: N Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New Q Upgrade Name: GREGORY GEITZ ABSORPTION FIELD ❑ Deep Trench ❑Shallow Trench E] Bed E] Mound Address 10680 BIRCH RD., ANCHORAGE, AK 99516 EJ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original gradeGravel Ft. depth beneath pipe Ft. Subdivision Block Lot AMANDA PLACE LOT 3 Fill added above original grade Ft. Gravel length Ft. Township Range Section Gravel width Ft. Beds: Number of Lines Distance between lines Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Tank Line Fe Ft. Well >100' ---NA NA >25, TANK N Septic ❑ S.T.E.P. ❑ Holding E]Other Manufacturer ANCHORAGE Capacity 1250 Gal. Surface Water >100' --- NA NA Material Number of compartments Lot Line >5' --- NA NANA STEEL 2 Foundation >5' — NA NA LIFT STATION Manufacturer Capacity Gal. Curtain Drain >50' --- NA NA Remarks EXISTING TANK ABANDONED Pump on level at in. Pump off level at in. High water alarm at in. PER UPC REQUIREMENTS Pump make and model 77 Electrical Inspections performed by PIPE MATERIAL Housetotank 3034 drainfield raankto 3034 Installer A+ HOME SERVICES Drainfield Co/MT Inspector LARS SPURKLAND BENCH MARK (Assumed elevation)100 It Inspeection 1� 11/22/13 11/25/13 Location and description ction 2M 3m 4m GARAGE SLAB COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date a�,�'o �A� 9��1r 49 PH LAi . SPURKLAND. Qz / 1' 1150�� A rovedDate pp_)4414,164 Inspection Repo"-1-12.doc a 25 AMANDA PL ACE SII I I SWIND'77ES' A B AMERIER 70WA S B£ I o I S.T. C LOT 3 O. C 34' 2&5' I <i S'T.•:C.O. D 37' V' C D8L,'0,0.. £ 36' 18.5' I � I D £ C A ABANDONED EXISTING J BORM : I SEPOC TANK PER MOA CODE REQUIREMENTS - I INSTALLED NEW 1250 GALLON STEEL S£POC .. CONNECT TO DRAIN FIELD LOT I LOT 2 I I I 0 25 50 75 100 125 150 SCALE., I' = 50 FT. NOTE THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. DOL CLEANL DIVERTER — I., INSULATION FOUNDATION CLEANOUT CONVECT TO 1250 GALLON SEPTIC TANK EXIST DRAR FIELD BENCH MARK GARAGE SLAB ASSUMED ELEVA170M 100 FEET SPURKLAND ENGINEERING AMANDA PLACE LOT 3 RECORD DRAWINGS 203 W 15TH. AVENUE ANCN. AK. 99501 JENIN£ BROWN DAM NOV. 25, 2013 (907) 279-3916 10680 BIRCH RD, ANCHORAGE AK 99516 SHEET. VI GRID. 2537 PERMIT # OSP 131443 PID # 015-501-33 AMANDAPLACEL30WG On -Site Wastewater Disposal System Permit 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 Permit Number: OSP131443 Tax Code Number: 01550133000 Work Type: Septic Permit Effective Dates: November 15, 2013 to November 15, 2014 Design Engineer: SPURKLAND ENGINEEI Subdivision: AMANDA PLACE Site Legal Address: AMANDA PLACE LT 3 G:2537 Owner/Address: GEITZ GREGORY & BROWN JENINE 10680 BIRCH ROAD ANCHORAGE AK 995166607 Site Mailing Address: 10680 BIRCH RD, Anchorage This permit is for the construction of: N Disposal Field Y Septic Tank N Holding Tank N Privy Lot Size in Sq Ft: 47854 Total Bedrooms: 4 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 Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcell.D. 015-501-33 Property owner(s) .IENINE BROWN Mailing address 182 STARFLOWER WAY, MERLIN OR 97532 Site address 10860 BIRCH RD ANCHORAGE AK 99516 Day phone Legal description (Sub'd., Block & Lot) AMANDA PLACE LOT 3 Legal description (Township, Range & Section) Lot Size Sq. Ft. Number of Bedrooms 4 APPLICATION IS FOR: APPLICATION IS AN: TYPE OF DWELLING: (® all that apply) Absorption Field ❑ Initial ❑ Single Family (SF) El (w/wo ADU) Septic Tank Q Upgrade Duplex (D) ElHolding Tank ❑ Renewal ElMultiple Dwellings ❑ Privy ❑ (SF and/pr D) Private Well ❑ r e ! n !j! ! Water Storage ❑ y l THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: NONE Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable M nicipal Codes. (Sign re of property owner or authorized agent) Permit/Rush Fees: 1t 30V Date of Payment: ,((105 Receipt Number: 05 -2596 -- Permit No. 05 P13(c/U, Permit App_M-12.doc Waiver Fees: Date of Payment: Receipt Number: Waiver No. AMANDA I xr l� I LOT 3 I - I ABANDON EXISTING 4 SEPTIC TANK PER MOA CODE REQUIREMENTS I PL ACC I , I . VURN DIVERIER TOWARDS BE01 I� p I�I I I I I I I I -F LOT 1 LOT 2 25 0 25 50 75 100 125 150 SCALE 1' = 50 FT. NOTE. THIS IS NOT A SURVEYED PLAT WELL & SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. AL1 LOCATIONS SHOWN ARE APPROXIMATE. DOUBLE CLEAN£'"- DIV£RT£R - 4 FEE COVER FUUNBATMV CLEANOUT CONNECT TO 1250 GALLON SEPTIC TANK EXIST BRAINFIELD .)VUKKLANU LN(YiNttKING I AMANDA PLACE LOT 3 SEPTIC SYSTEM 203 W 15TH. AVENUE ANCH. AK. 99501 JEN/NE BROWN DATE. NOV 14, 2013 907 279-3916 10660 BIRCH RD, ANCHORAGE AK 99516 SHEET.- VI GRID. 2537 PERMIT # ESP 131XXXX PID # 015-501-33 AMANDAPLACEL3.DVG w--2-1; Municipality of Anchorage Development Services Department , t "- Building Safety Division On -Site Water & Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.enchorage.ak.us (907) 343-7904 Page 1 or 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number: SW020306 PID Number: 015-501-33 Nome: BILL & KATIE MOORE Wastewater System: 0 New ■ Upgrade Address: 10680 BIRCH ROAD ANCH. AK, 99516 ABSORPTION FIELD Phone: No. of Bearooms: (907) 223-7805 4 ■Deep Trench 0Shallow Trench OBed OMound OOther LEGAL DESCRIPTION Soil Ro": 0.45 Tota Depth Nom orieihol grede: 10.39 MAX rL apo/stir n. Black: Lot: Subdivision: Depth to pW Whoh, Nora "irme eronr. Gomel depth bawolh p«: Dee - 3 AMANDA PLACE SEE DWG n. 7.03 \ 6.92 rownship: Range: Section: - - - ra added spore eri " words: crewel pnath: 96 (2 ® 48' EACH)n. SEE DWG n. WELL: [_INew 0 Upgrade Growl eWth: 2.5 NVmpH OI pre: 2 P.ta * atolut— I ue: 16+ n. rl Cbwl.cehorr (ample. Ae.c): Tota cooed To: Topp absorption orso: pied molerbl: D 3034/ F-810 n. 1344 so. n. sbtK Nate, LeW1 Mlpllw: MONTE ACHESON Dote imtow: 8/28/02 t D~\S\\N� pal. aMd: X n Ywld:"0 sal N: co" F"ht Above Ground: TANK 'pts rp. n. SEPARATION DISTANCES ■septic OHolding OS.T.E.P. OOther To Septic Absorption Lift Holddnq ubl:c/Privote Npavf«Iver: ANCHORAGE TANK Cop«ar in adhere: 1250 rrom Tank Field Station Tank saner Lyres Well 100'+ 100•+ - - 25'+ Nate, W: STEEL Number of aomporlmenle: 2 Surface Water too'+ 100'+ — — — LIFT STATION Lot Line 5'+ 10'+ — — — S.I. in "why Newt«Iwo: p p, level at: Mnp OII oL Nqh wale, al0/m OI: Foundation 5'+ 10'+ — — — pump Mate l: EN tri of Mepecbone performed or: Curtain Drain NO KNOWN BENCH MARK Remorks: L«el.on oq Dwcnptwn: ee WEST TRENCH \ EAST TRENCH TOP OF DECK NEAR POINT "A" see EXISTING SEPTIC TANK COMPLETELY ABANDONED PER UPC. A..emed E4.elipn: 100.00 n. ENGINEER'! SEAL 000cSo�pp OF ........ �Z o o Inspections performed by: AKWWC, INC. Dates: 1st 8/28/02 °........ H ............. 2nd 8/29/02 D 3rd 8/29/02 eff ey me O Development Services Department Approval 0'p. •CE 795 Reviewed and approved by: Dote: q .26-07-a` pO r0 ress� ho (Red. 12/01) 0000 PERMIT SW020306 AS -BUILT DRAWING WO206 OLD 13ED t:: \` .• oeL2.1 PROPOSED GARAGE Sft 30.*45*ST2 2{.DBL1 20. DBL2 20.64 58.98 FD 20.34 59.39 FS 69.5 138.39 C01 55.35 120.41 MTI 55.72 120.69 CO2 65.95 134.03 MT2 65.96 134.07 CO3 103.77 164.03 MT3 103.5 103.99 n110.93 C04 111.01 174.73 I T4 17{.63 NEW 1250 SEPTIC �� 3 BEDRpOM � FUSE SEWER UNE BETWEEN) HOUSE AND TANK INSULATED WITH 2 INCHES OF BLUE BOARD INSULATION PARCEL ID NUMBER 015-501-33 I I I I .• i �� ,'•:.� ;.:� NEW DNRI �� •.. .�.•'.••DRNEWAY :.I .1 _rte^ I 02' 4 FS • I •;• n ALTERNATE .. • SITE a INSULATED UNDER DRNEWAY LUE D INSULATIONWIT4 INCHES0(4BWID I 9/5/oz t� DRAWN BY: ALASKA WATER & WASTEWATER SCALE: B.S.G. CONSULTANTS, INC. 1 ^ = 40• 6001 DFRARR ROAD. SURF. ?R • ANCNORAGF. AK 00506 • P WF 1007037- 170 • FAX (007)538-5746 REPARED FOR PHONE NUMBER: PACE NUMBER: BILL AND KATIE MOORE 223-7805 2 OF 3 :GAL DESCRIPTKIN: AMANDA PLACE SUBDIVISION; LOT 3 fPE OF WORK: AS—BUILT OF SEPTIC SYSTEM UPGRADE 81 U w m PERMIT NUMBER: AS -BUILT DRAWING PARCEL ID NUMBER: SW020306 015-501-33 GRADE - 93.03 - 93.27 p TOP OF TANK AT INLET - 88.95 I I n TOP OF TANK AT OUTLET - 88.98 INVERT OF BUNG AT INET - 88.527 NEW 1250 GALLON SEPTIC TANK FINAL GRADE - 89.88 - ORIGINAL GRADE - 87.89 - 88.17-1 FINAL GRADE - 89.05 - RELATK ELEVATION OF TH - 71.17 - FABRIC OF PIPE - 85.88 OF TRENCH - 78.85 `INVERT OF BUNG AT OUTLET - 88.191 GRADE - 88.85 - 89.80 FABRIC OF PIPE - 88.33 I OF TRENCH - 79.41 1 NO GROUND H20ELATfVE ELEVATION OR BEDROCK OF TH - 72.8 �{ I NO GROUND H2O a.I OR BEDROCK DATE: 9/4/02 DRAWN BY: ALASKA «'ATER & WASTEWATER SCALE. B.S.G. CONSULTANTS, INC. 0001 DFRARR ROAD. SUITF. TR - ANDHORACE. Art 00504 - P F (007)3774170 - FAX (007)33RJ740 N.T.S.S PREPARED FOR: PHONE NUMBER: PAGE NUMBER: BILL AND KATIE MOORE (907) 223-7805 1 3 OF 3 LEGAL DESCRIPTION: AMANDA PLACE SUBDIVISION; LOT 3 TYPE OF WORK: PROFILE AS -BUILT DRAWING OF SEPTIC SYSTEM UPGRADE me 3; 95 Q to MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 8 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 9-2')- oz F", ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Aug 20, 2002 Expiration Date: Aug 20, 2003 Permit Number: SW020306 Parcel ID: 015-501-33 Legal Description: AMANDA PLACE LT 3 Design Engineer: 0041 AK Water & Wastewater ConsultarT Site Address: 010680 BIRCH RD Owner Name: Bill & katie Moore Lot Size: 47854 SQ. FT. Owner Address: 10680 BIRCH ROAD Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516-6607 This permit Is for the construction of. Z Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified In Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72 ) and Drinking Water Regulations (18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 (24 hours). ( Not required for a Water Supply Permit only). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date:1 ' G Date: Municipality of Anchorage o„a Development Services Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcell.D. 015-501-33 PennitNumber SWO20345C Property owner(s) BILL AND KATIE MOORE Day phone 223-7805 Mailing address (1) P.O. BOX 112256 * ANCHORAGE. AK Mailing address (2) Zip Code 99511 Legal description (Lot, Block & Sub'd.) LOT 3: AMANDA PLACE SUBDIVISION Legal description (Section, Township & Range) —N/A Lot Size Q -74S4-1 Acre THIS APPLICATION IS FOR: Number of Bedrooms 4 Sewer Only ❑ Well Only ❑ Sewer and Well ❑ Water Storage ❑ Sewer Upgrade N THIS PROPERTY CONTAINS: Hot Tub ❑ Jacuzzl ❑ Swimming Pool ❑ Water Softening Unit ❑ Therapy Pool ❑ I certify that the above information is correct. I further certify that this application is being made for a Single Family Dwelling and is In accordance with applicable Municipal codes. ALASKA WATER do WASTEWATER CONSULTANTS, INC. Permit Fees: Date of Payment: 9 6 Receipt Number. 1114 956 Waiver Fees* Date of Payment: Receipt Number. ouM ur Ilo ' TOM p1Ia11tIc + 4 1 OR WT ..,:.. • . $1114. UCT. M T,0l1 RAW 1 270B"' M YMCII1"Me lw 2"270 303 !t'T' �• ,I s • r r • • • P ♦ F � I � 11001 r • a., f 2 ttoa '•- G IDO AVE. loco 0w . 1 . Iroo Moo Dao � r I o t,•o �• .'• �•' IOaI • ISO e a .. OW , • • n ItCRCL AVC. . A - • !� am am Mq ,. •. M U01 •30 ow W" Iw OOM 10101 gt00 ,. A rrp. � tt•1 , ! ! w - tw low . • on" W w;,0101 an • C. 161 AVE - .. 1(•• Mso M00 ,•to Moo soot, .sow's ' 0101 0 ismISI p,.1 CALL. CARL eta•low Jul i ,:a ,fir n a. s .. • '�'� 1 - • art f i� � ' YY 0170 1a,11 1011 ',tom. 1 1. •i,, � a .1 w, I�, Y Ie 5::, ouM ur Ilo ' TOM p1Ia11tIc + 4 1 OR WT ..,:.. • . $1114. UCT. M T,0l1 RAW 1 270B"' M YMCII1"Me lw 2"270 303 !t'T' ALASKA WATER & WASTEWATER CONSULTANTS, INC. August 14, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Septic System Upgrade for Lot 3, Amanda Place Subdivision To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The existing septic system consists of a 1250 gallon septic tank and a bed type drainfield. The existing drainfield is completely surcharged and must be upgraded. Two test holes were excavated south/southeast of the existing septic system. Per the owners request, we are designing the septic system for a 4 bedroom residence. The septic system will be designed around the 30 foot radius of test hole #2. We are proposing that a new 1250 gallon septic tank and a deep trench type drainfield be installed. Comments regarding the design are summarized as follows: 1. SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. We propose to use an application rate of 0.45 gallons/day/ft2. 2. TRENCH DESIGN: a. Percolation Rate: 4 & 37 minutes/inch (TH#2 only) b. Proposed Application Rate: 0.45 gallons/day/fie c. Number of Bedrooms: 4 d. Design Flow: 600 gallons per day e. Minimum Absorption Area: 1333 ft2 f. Total Depth: 10.5 feet (max.) g. Effective Depth: 7 feet h. Width: 2.5 feet i. Reduction Factor: N/A j. Minimum Length: 96 feet total leyth (2 @ 48 feet long each) k. Effective absorption area = 1344 ft 6901 Dcbarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Websitc: akwwc.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: As can be seen on the attached topography site plan, the average topography in the area of the proposed drainfield is a 20% to 25% slope running from approximately south to north; In short, there are no slope concerns. I am unaware of any adverse impacts this installation would have on adjacent wells or septic systems. If you have any questions, please contact us at 337-6179. Thank you for your assistance. .E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a topography site plan, two soils logs, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 213 • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 " Websitc: akwwc.com LAT 4; BIRCH NORTH /EST.. i / I � / I I I I 1 � I 1 1 I__ ___ \\ i WEST TREE RO LOT 4: AMANDA PLACE 114D PROPOSED ADDITION _�T 1 EXISn,-., OED SEPTICR- PROPOSED SEPTIEC \\ (SEE DESIGN, PAGE 2 OF 2 ,y�y�r,�7 GARAGE ^__. _ �..Y�..,•+-�, I I I X,67 I I L"ti` I I I `gcrp! \ / THJ21 / \\\ _'i•/`'`," TERNATE If I I �� _ %•�. SITE T12N. R3W. SEC. 15. EXISTING �:;•.:• m' 1 I `"� LOT 31 3 BEDROOM I 1 I :•.p r HOUSE 602 / \ APPROX. / \ LOCATION I/ LOT 1: AMANDA PLACE S/D 1 j ,1l I ' / WELL ON SOUTH 1 I — fALF OF LAT I —��------- — -----J O'MALLEY ROAD DAM 4, 8/14/2002 r �7 DRAWN BY: ALASKA WATER & WASTEWATERJ.L.M. =GALE • 4 ��1%% CONSULTANTS, INC.-„ — ?,,,,;,, ,,,, ;,,,y`q 6901 DFDARR ROAD. SUITE 79 • ANCHORAGE. AK 095% • PHONF (001)537-009 • FAX (907)359-3746 1 — 100 d? PREPARED FOR PHONE NUMBER: PACE NUMBER: BILL AND KATIE MOORE 223-7805 1 OF 2C �. •, f A. Ga Ass.• rL�; LEGAL DESCRIPTION: 79 AMANDA PLACE SUBDIVISION; LOT 3 TYPE OF WORK. SITE PLAN FOR SEPTIC SYSTEM UPGRADE yuh�`'��v^��-'��1 EXISTING FIELD TO BE \ \\ USED AS DA RESERVE SrTE- NSTALL DOUBLE BE 0011PLE'IELY ABANDONED—�,\ H �• ''.•.� •'.' ..I PROPOSED 1250 ( '.•..:.. •. ,•'�A I SEPTIC TN PROPOSED GARAGE i 0 BED JU IOZ � I PROPOSED DRAINFIELDS. EXCAVATE TWO TRENCHES THAT ARE 10.5 FEET DEEP MAXIMUM BY 2.5 FEET WIDE BY 48 FEET LONG EACH96 FEET TOTAL LENGTH). ADD 7 FEET F CLEAN, WASHED SEWERI DRAINROCK. INSTALL BOTH TRENCHES PARALLEL TO ALL SLOPE CONTOURS. INSULATE UNDER ORNEWAY WITH 4 INCHES OF BLUE_ A •.• :. ••a Imo' I . •4' ' �� S_.�'�y STALL rDNNFLOW ERTER ,. � • >� INSTALL THE I. , ' ♦ Y[ THf2 1 ALTERNATE I SO • . wSITE 1,a ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6001 DFRARR ROAD. SIATF 7R • ANCHORAGE. AA 00506 • PHONE (007)337-0170 • EAR (007)33!-0766 REPARED FOR: PHONE NUMBER: BILL AND KATIE MOORE 223-7805 :GAL DESCRIPTION: AMANDA PLACE SUBDIVISION; LOT 3 fPE OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE 8/14/2002 AWN BY: J.L.M. ALL, 1"=40' 2OF2 b / / Q. i m 0 BED JU IOZ � I PROPOSED DRAINFIELDS. EXCAVATE TWO TRENCHES THAT ARE 10.5 FEET DEEP MAXIMUM BY 2.5 FEET WIDE BY 48 FEET LONG EACH96 FEET TOTAL LENGTH). ADD 7 FEET F CLEAN, WASHED SEWERI DRAINROCK. INSTALL BOTH TRENCHES PARALLEL TO ALL SLOPE CONTOURS. INSULATE UNDER ORNEWAY WITH 4 INCHES OF BLUE_ A •.• :. ••a Imo' I . •4' ' �� S_.�'�y STALL rDNNFLOW ERTER ,. � • >� INSTALL THE I. , ' ♦ Y[ THf2 1 ALTERNATE I SO • . wSITE 1,a ALASKA WATER & WASTEWATER CONSULTANTS, INC. 6001 DFRARR ROAD. SIATF 7R • ANCHORAGE. AA 00506 • PHONE (007)337-0170 • EAR (007)33!-0766 REPARED FOR: PHONE NUMBER: BILL AND KATIE MOORE 223-7805 :GAL DESCRIPTION: AMANDA PLACE SUBDIVISION; LOT 3 fPE OF WORK: DESIGN OF SEPTIC SYSTEM UPGRADE 8/14/2002 AWN BY: J.L.M. ALL, 1"=40' 2OF2 e J6 a _. Gom ss: • " d' 'rip b 0/�/ Q. m e J6 a _. Gom ss: • " d' 'rip -k 1 fe.. rv"0s * IRCH TH ST. OT WES TRE ROAD DA P CE LO ..IDD• w ON O i D: (STING R -BE ' �a �:• DR USE T12 R3W. EC. 15, 1 r SLOT W AMAN A PUCE LOT 2 OA PUCE LOT 1 0 MALLEY OAD DA 7/30 2 ALASKA NVATER & AVASTENVATER SCALE: _ CONSULTANTS.INC. 6001 DFRA99 AD, Sui F PR • AW 9ArF AK 90506 PHMF (907)33)-A17 • PAX (9#f),33R-0R6 1" — PR�E BRED FOR PHONE NUMB : PAGE NUMB R: - KATi B L MO RE 223-7805 1 F 1 LEGAL DESCRIPTION: AMANDA PLACE SU IVI ION; L 3 TYPE OF WORN: TOPOGRAP R WIN ALASKA WA ASTEWATER NC. LEGAL DESCRIPTION: AMANDA PLACE SUBDIVISION; LOT 3 PERFORMED FOR: BILL AND KATIE MOORE DATE: 8/2/2002 DE (feet '="= ORGANICS ST HOLE 1 1 2 3•. �. SP FINE •• • • RED SAND 4 �.. 5 •.:; ;. SP FINE •� •••• GREY SAND 6 7 8 9 10 11]III SM TO ML FINE SAND W/ COBBLES AT 12 BOTTOM 13 14 15 16 17 18 19 DEPTH TO GROUNDWATER DATE >E . - IIIIIIIII 9 1 Ilflll!11 =00 oKOM URN • 111111111 VZZZ. - 2 Illllilli P"' , • N1,12 3 1/8- DEPTH TO GROUNDWATER DATE DRY 8/2/2002 DRY 8/15/2002 4:00 - 6- - SEPTIC CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/6/2002 1 4:00 - 6- - 2 4:10 10 t �r 3 1/8- 3 4:10 V 6- :TH/z m 4:20 10 3 3/4- 2 1/4- 5 4:20 — 6- — 6 Yo 10 4-2- EXISTING THREE:;:.'.:•.; . . BEDROOM HOUSE SITE PLAN 8 4:40 10 1 --too• 1 3/40 DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/6/2002 1 4:00 - 6- - 2 4:10 10 2 7/8- 3 1/8- 3 4:10 — 6- — 4 4:20 10 3 3/4- 2 1/4- 5 4:20 — 6- — 6 4:30 10 4-2- 7 4:30 — 6- — 8 4:40 10 4 1/4- 1 3/40 9 4:40 — 6- — 10 4:50 10 4 1/8- 1 7 8- 11 4:50 — 6- — 12 5:00 10 4 1/8* 1 PERCOLATION RATE 16 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 2.5 FT. AND 3.5 FT. A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERFORMED BY AKWWC,INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: S 0 r oQoaoVpp�4 o OF op WATER LEVEL NET DROP 8/5/2002 1 3:22 ALASKA WATER & WASTEWATER 6• 0' 2 CONSULTANTS, INC. ........ ........ .......... 1/2' 3 3:52 - 6' 0' SOIL LOG - PERCOLATION TEST 4 •„•••, LEGAL DESCRIPTION: 5 3 4' AMANDA PUCE SUBDIVISION; LOT 3 0 P e f e A. G ess: p Q�� PERFORMED FOR: BILL AND KATIE MOORE DATE: 8/2/2002 '•. —7953DEM 6' 88t TEST HOLE 1 golp ��ofess\00 1 5 3/4' (PAGE 2 OF 2) CLASSIFICATIONS 2 SOIL ---- a o; GW---- ORG 3 GP ML GM CL 4 GC OL °• • o o SW MH 5 '• •'• S SP CH w SM ' : OH OF 2 6 ¢ SC 1 a PGE P SEE 7 z DEPTH TO DATE o GROUNDWATER 8 9 J O 10 ►— W l'-DATE READING 11 TIME (MINUTES) READING (INCHES) Of O 12 Z 13 O U 14 V) V) 15 S U 16 -JO VI 17 W W V) 18 PERCOLATION RATE 120 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 7.0 FT. AND 8.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERFORMED BY AKWWC. INC. I, JEFFREY A. GARNESS. CERTIFY THAT THIS WA P RFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: I. Oa - CLOCK O WATER LEVEL NET DROP 8/5/2002 1 CLOCK NET TIME WATER LEVEL NET DROP 8/5/2002 1 3:22 - 6• 0' 2 3:52 30 5 1 2' 1/2' 3 3:52 - 6' 0' 4 4:22 30 5 3 4' 1/4� 5 4:22 6' 0' 6 4:52 3p 5 3/4' 1/4' DEPTH TO GROUNDWATER DATE DRY B 2/2002 WATER LEVEL READING • e ALASKA s�'lta � p"'``•Or• .gsi4p WATER & WASTEWATER 5:00 — 6' CONSULTANTS, INC. O *y*OQ �.. .... v 2 5:10 10 0" .Tx/x SOIL LOG — PERCOLATION TEST O• ., .......... LEGAL DESCRIPTION: AMANDA PLACE SUBDIVISION; LOT 3 Q p e r A. G imess, O PERFORMED FOR: BILL AND KATIE MOORE DATE: 8/2/2002 -7 4 5:20 • .. .......... ....••' F fQc� ��O�000'oo�`� yyay (f et ORGANICS TEST HOLE 2 1 "r. (PAGE 1 OF 2) •, ,•• ; •«� �� SOIL CLASSIFICATIONS SRE PLAN 2 1 2• 7 3.•:: — ;•GP I ML 8 5:40 ISM CIL 3 1 2' '•�'� GC OL 4 •�•. 6' °..tee o SW MH '•• 5:50 SP AND •.: SP CH 5 .;: GM/SM OH 5:50 �. 6' SM X 6 • 6:00 SC 3 1 2' 2 1 2' 7 8 9 10- 11 SM TO ML w/ FINE SAND 12 AND COBBLES 13 14 15 m 16 17 e.O.u. is— PERCOLATION RATE 4 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 2.0 FT. AND 3.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS W RFORMED IN ACCORDANCE PERFORMED BY WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: 022 DEPTH TO GROUNDWATER DATE DRY B 2/2002 WATER LEVEL READING g-15-ama 8/5/2002 1 5:00 — IXI5111JC� sEPnc /�Q` , CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/5/2002 1 5:00 — 6' — v 2 5:10 10 0" .Tx/x m 3 5:10 — 6' — 4 5:20 10 2 3 4• 3 1 4• 5 "r. — 6' — IXlsnNc THREE 5:30 BEDROOM House SRE PLAN 2 1 2• 7 1' 100' — DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/5/2002 1 5:00 — 6' — 2 5:10 10 0" 6• 3 5:10 — 6' — 4 5:20 10 2 3 4• 3 1 4• 5 5:20 — 6' — 6 5:30 10 3 1 2• 2 1 2• 7 5:30 — 6• — 8 5:40 10 3 1 2' 2• 2 1/2- 9 9 5:40 6' — 10 5:50 10 3 1 2' 2' 2 1/2- 11 11 5:50 6' — 12 6:00 10 3 1 2' 2 1 2' DATE V)6 READING CLOCK TIME 0000 of °pp WATER LEVEL READING NET DROP (INCHES) 8/5/2002 1 3:27 ALASKA. WATER &: WASTEWATER *,,• 0' 2 CONSULTANTS. INC. 4 �4p� 7/B' (007P37-4170 AL' 00 3:57 — 6' 0' SOIL LOG - PERCOLATION TEST ... „ ................ 4:27 LEGAL DESCRIPTION: 5 3 16' AMANDA PLACE SUBDIVISION; LOT 3of A. Q P ass: PERFORMED FOR: BILL AND KATIE MOORE DATE; 8/2/2002 ` —7953 4Q� i '•., ,.•' �dFO PTtj (feet) ap��0�00�0�000 30 5 3/16' 13/16' EST HOLE_ �2� 1 (PAGE 2 OF 2) SOIL CLASSIFICATIONS 2 GW- ORG ---- 3 ,.GP ML GMCL 4 GC OL ° •°. o SW MH 5 .60 0 ••• : SP CH OH Ll SM �� 0 E2 6 Sc GE N a P P SEE 7 Z DEPTH TO DATE O GROUNDWATER 8 0 9 10 11 0 O 12 Z 13 O 14 Il: 5 4:27 6• 0' 15 U 16 -j O N 17 w LJ N 18 PERCOLATION RATE 37 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) 19 TEST RUN BETWEEN 7.0 FT. AND 8.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: SUSAN OSWALT PERCOLATION TEST PERFORMED BY: ROB CAMPBELL COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WAS PE FORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: S DATE V)6 READING CLOCK TIME 0 2 WATER LEVEL READING NET DROP (INCHES) 8/5/2002 1 DATE V)6 READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 8/5/2002 1 3:27 — 6• 0' 2 3:57 30 5 1 8• 7/B' 3 3:57 — 6' 0' 4 4:27 30 5 3 16' 13/16' 4:57 30 5 3/16' 13/16' 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-4720 ON-SITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME .}. :S+ 1 J�wa_� PHONE 3315-868y XNEW ❑UPGRADE MAILING ADDRESS 6`/2.o w' I a G' LEGAL DESCRIPTION Leri- 3 Aman4q Sub LOCATION O a 4- Q. c h NO. OF BEDROOMS 3 O Y DISTANCE TO: � e�ll+ �C"� Absorpvoe area o OwellinS .. 2 PERMIT NO. 87 / D C ;:z y� Manufacturer G Material Steffi No. of co m rtments Ligq capacity in gallons s IF HOMEMADE: I Inside length Width Liquid depth _iD2 DISTANCE TO: Well Dwelling PERMIT NO. O Z < Manufacturer Material Liquid capacity in gallons 0 m= DISTANCE TO: Well ,�, • �� l Ln.C,tt CCe% Found,}(jpn -7 Nearest loth a PERMIT NO. W Z f W No. of lines Length of each line — Total length of mes �� Trench width '�nches Distance between lines 2 F¢- 4 Top of tilp to bnish grade i 'f" Material beneath vle Inches Total effective absorptio area 2.. W U Length Width I Depth PERMIT NO. d F- Wd Type of crib Crib diameter Crib depth Total effective absorption area w DISTANCE TO: Well Building foundation Nearest lot line J J Class Depth Driller Distance to lot line PERMIT NO. DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(:) OTHER PIPE MATERIALS SOIL TEST RATINGZ INSTALLER LT� RCS�XS.cLI<<irll!L� REMARKS 3S� 20� io Jve S 1717— APPROVED DATE LEGAL • � Z-zrp� �. 0..1.3 A maind 0. plctLe— 72-013 IRev. 3/78) f rll.FrJ I C I l =�L- I TY OF nr4CH F�FIGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION £25 'L' STREET, ANCHORAGE, AK. 99501 264-4720 WELL FAN40 CDrJ-SITE SEF4EFZ F}EFZPl I T PERMIT NO. ( £10654 ) APPLICANT TOM STEWART £420 WILLOWA CIR 333--£6£4 LOCATION OMALLEY & BIRCH P.D. LEGAL LOT 3 AMANDA PLACE SUB LOT SIZE 66000 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: DRAINFIELD MAXIMUM NUMBER. OF BEDROOMS = 2w'1?9 " y SOIL RATING CSO FTISR)= 120 _ /.01ft THE REQUIRED SIZE OF THE SOIL ABSO PT ON SYSTEM IS: %,rOdl F?EF�l-r"= 4 L_1=r4GTH= ' C3FiFF'ti- EL E>EF=`TH= 2 THE LENGTH DIMENSION IS THE LENGTH CIN FEET> OF THE TRENCH OR DP.AINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THE TFt ErJCH 14I OTH 1S t5. IDOL3 FEET. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION CIN FEET). /', cid FREGFJ I FZEP ANEF"T I C irmrw< S I LE= 16>005 C3FFL.LQr4S PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER. OF RESIDENCES THAT THE WELL WILL SERVE. --- TFnFQ <2> I r4SF='ECT I OrJS F1FtE F? E:lDU I F;?EFa --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F"EFZrl I T E}{F" I FSES F>E=CTK lE EoF= 2 1.r 15951 I CERTIFY THAT 1: I AM FAMILIAR WITH THE REQUIREMENTS FOR ON-SITE SEWERS AND WELLS AS SET FORTH BY THE MUNICIPALITY OF ANCHORAGE. 2: I WILL INSTALL THE SYSTEM IN ACCORDANCE WITH THE CODES. 3: I UNDERSTAND THAT THE ON-SITE SEWER. SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED APPLICANT TOM STEWART ISSUED V4. 0 � f MtJT3 14-1 I F� k=VL_ I T•le tai= i=]t•31=:"C)fR:Fi ✓ J D£fARimeir 13F W -i4-1`14 I'VID ENYIROWIENTHL PROTECTION f 825 'L' STREET. Al-i>)l3R9OE. M 3'33OL 264-4i 29 S•JE_i—L- tgr`ic> f3t•t—•= I -rE -sEE I (m F= ,o t-le:i;zrt r r PERT! I r FIQ. ( sinn$4 3 ANPLICIVtr TON STEI•IART 2429 HILL" CIR 333--!tEo4 J LLcArION OP"J-EY & 8IR:N RD. LEOFL LOT S mv)w PLscE sus LOT size +e*>cloo soliaRe reel ren op SOIL Ab~:oRPTton SY5TEn [St DR-AMFIE.i.O ! M IX I MUM NUMBED a-' SEDROOP45 3 SOIL $ZA T I M 159 F r/9R) = 129 i mE rtagVtR^c0 Stzc r3' TW- SOIL froSazpr10N vesrEn t5: E C}EI}T3-I�� ?i.rEt•3t3TN� 1_at�t=rYEL [?EF�TI-t� � ' f TW LE WH otME14SION IS THE LE 1riTH CIN F£Hr? OF• THF TR2EPOR DRAItiF10-0. TFC o PTH OF n Th'r= m OR Pir V; ME DISTRIM t muni THE '5lJRFri:X OF THE CROUtIO (Vp rdr- 8OTTOM OF THE EEctir IVATION <(N FERN). TI-tE Tf�ENCt-1 L] Z L~ TI i I is 3_ THE �3r imo- OL•PTH r; TI IF M IN IMUn ccr TN OF 0R aYEL es -:mm' ME oli TFNU. P IPE S 11110 THE 80 T rOM 13F THE aictwn r i on ! I N FEET). PERMIT fvn-ICt11ir ms tuvh -nrIon iwrEcr tAJM£F_R OF REitOuF::e% EIsT I+� 7'#=�T•31< '=_- Z LC_=� ��a �t'�L_L_rJtTTS"s THE PESi'OJY [ S IL I r. TO t tvoRN rm i 5 oF3'AR TMFli r D+JR rNc THE j [tit; R3F rlrfr 1.11-L; AOJrMSNr TO THIS PR IXERTY tit16 THE 1 THAT THE W M 14[U- SEdF- 1 .-•.--- TLIQ G � 7 I rV�Pt=t3<T Z �1ritr t�TrE 1=^E*}r LJ L f�EO --+ E;7.YFI! Linn RAF ANY S�tSTEIi WITNOIJr FIN11R_ I r5PE ION MID fl'PR 8V THIS J orpAR TI air t4 r L six tAJGJECT TO ivo secu r i on- i M i N I pm O I5 TNNr.'C-' £e nkzEN A WEU_ At* ANY ON 1i t TE Sry'; r36 O t spas M- 5- S r£N 1-3 I tOO FEET FAR 8 PRIVATE WELL W. 159 TO 200 FEET FROM A PUBLIC WELL OF PO.30IFIt3 1 UPON THE 7,171£ a= PL#3LIc WELL. [iINtM+Jn OLSTAI>' FROn A PRtUATE WELL To n PRtYATE SUIE.F. LItir- IS 25 FEET HNC I Tut N t-a*PJNtrl SaIEP LIUK t5 75 FEET. i UELL LCA S ARE REQUIRE -1' FOND P" -;T e7,_ RETtJnJEP To TFiE o£P13Rnjujr t4iniIN 30 offfs � ,x- rX mu- COMALErIOrt OTNEF R3RJ(RFJiENTS Fri1Y t3PPt.Y. SF'EC[FILYiTiOJiS (1110 0]4STf?Lk:T[ON olrl'AttS fiRl= 1 ftVA LROLE TO I rt-MJr.E PROPER I j r3 rALLA T I ON. (�•! =f2t�i I T >✓?:P' L f�f=3 i7E�= ET•iC�E1Z �1.r 1-_�t31 ' I CERTIFY THAT L: i AM FRIM IL I AR H I TH TW- REOU I REMOI TS FOR ON-SITE SSWESi i ANO PM -45 R'; SET i FR3'RTH Sy T}iF PPJNIC[PAR-IrY ttF mairocz "1F z: i N ILL tin TAU_ rim SYS TEM IN M: W RDMOE WITH TiiE C 3S':' l i 2: t U)kxEk5TAWTfblT TFiE ON - =ITE So -IFR $'.moi rem HRY REQUIRE ENWR f3u" r IF. ME I RES I LEry�E 1%,7 ))OELF D To VV—UPC MORC-- MIN 7 BEDROOMS. R lv Mm ---------- tGit�i�1RT t" { a. �• t DAT£_ V4. 6 ra MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 99501 264-4720 SOILS LOG — PERCOLATION TEST ❑ SOILS LOG PERCOLATION TEST PERFORMED FOR: LOT 3 Y1�; 11 l-lu R V�CL rc� DATE PERFORMED: (t, _ e6_1 LEGAL DESCRIPTION: LOT• J DEPTH SLOPE SITE PLAN (FEET) Dy.7 ,•,�� 1 2- 3- 3 21^ x1,4_ 9.� 4 6i ML . 7 8 9 10 11 12 13 14 15 16 17 18 19 . (y. 38)- � it grab= e e - ■■■■■■■■■. Reading Date Gross Time Net Time Depth to Water Net Drop t : .aa I It, 6 la Dr 44t 14 $-. X. 1 1 �p r d 11:6'3 I 0 1 V•Yi it?IE x.0 J 1 0,13 to 'Ory be 20 -� III PERCOLATION RATE �r � (minutes/inch) TEST RUN BETWEEN 'FT AND FT COMMENTS /90 PERFORMED BY: CERTIFIED BY: - - DATE: 72-008 (6/79( ! 'WATER WELL RECORD STATE OF ALASKA - 4' • ) DEPARTMENT OF NATURAL�RESOURES ' Division of Geological a Geophysical Surveys Drilling Parwlf .Ne: LOCATION Of .WELL (Plseae complete either Is, to ar Ie.) - A.D.L. No. r ❑ ❑ elan' : :... Ig. Borough .SYbdlvltlee . Let, Block Ib. /44trc. Section No. Township he Ranee . E Merl la.lij J :' CJ _et_et_et_ ,, '..s❑ M'❑ Ic. DIl TA. N'C E�jr1NO DI �E�CTION F ROAD INTERSECTIONS 3. OWNER OF WELL:. v.Aedrau. Y. :. vj�u O.!„ ".," ' '.$treal.Addroos'dind Arte 91 Well legation .-. .. -, ... l > _`ri6 p .. - I. WIELL LOS - : ' ": -'- "Feet Below,.. • ' .1. .t. Df OMPLETION " WELL OC►TX: (Ileal S. LATE S+r /eu 'Me/trlel TYM � UP "�Bettow- --:- .. :; t.;Z- r+B...i�coelo'foel 'AQP F. .❑mats "10 Due QAYo.. Qdense Qsg.ed .• "'Qmheft ' % / 7. Uf [:`�] Donoetlt Public Supply 011141001 :•:.: 0 Irrigation .::Q Recharge 0 Commerical =.p T../ well JD other, - - 8.'CASmr, QTr�dps/.. We lead -' dide.�w, . in. _ to ft. Depth ; . Wight / les./n. elan. In. to - it: DaP1n ..-.: BflcYapet...�. •.. .. _. ,.: - p 'A. FINISX OF .WELL: . - .. TYPN DlawMar: _ .. .. ._ .. .. elot/ esh Site Leneln:' below"`- -.: ". ft. and - :.- -- -fl. 'Socklilling 'srovel pack ' - - - - 10. STATIC WATER LEVEL:O .. fl: - - - - r• []Aeova or Belo load urfaa Date Egulpmanl seed: ' LEVEL beige land surface and Y'IE^LD- sitar s A's.- pumping LLQ O.P.M. 1t. elbi Me: pumping-e.p.m. -Sf�I1. • - - - • ' 12,41ROUTING Well •Grouled: C] Yu & No -" 'Melorial MeWLtmanl !0 OIMr: ,.. 13. PUMP: (it available), -lip :,. Length N Crop p.m. '. Moa �.ft. eopeelg. ......- •�. .. ,. :"-,.--.. - :r '.r sued: '0 Jot '','D eeniilileal O Other' , IIREMARKS - ' -le. WATER WELL CONTRACTOR'S CERTIfICAT10N"_ ❑ F.:.. C: .. 15. Temperaare 4 rl _ Water ._e .Q This w I tie\ dr{ d;n • 1{F )Yrlsdlcllan d Ihls report -M Imo to IM est of my, i nae ledge and bellel, + , ;. r no-listerog swain* awn Contract .Lice nab Numbef ". 000, ...Adams.: �• S/'� '-a.w ��. ii r ��/'"`�-`�""."„ �-/ ., •.Adtheriled Re enlsllvo `r - Form 02-WWR (11/e1) -' Copy OlUributioa: 'WHITE -Stale DOGS. PINK-Drillsr� CANARY'euelomer - Parcel I. D. 015-501-33 Municipality of Anchorage On -Site Water and Wastewater Program (907)343-7904 Certificate of On -Site Systems Approval 1. GENERAL INFORMATION Complete legal description AMANDA PLACE LOT 3 Location (site address) Expiration Date: a/o? 10680 BIRCH RD., ANCHORAGE, AK 99516 Current Property owner(s) GREOGRY GEITZ Mailing address Real Estate Agent BETH SIMPSON 2. TYPE OF DWELLING: ® 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 WaiverNariance request for: NONE Received by: i_ Day phone 541-761-7387 Day phone 4 # TYPE OF WASTEWATER DISPOSAL: ® Individual ❑ Holding Tank ❑ ❑ Community ❑ ❑ Public Sewer ❑ COSA to be released to the drigineer, unless otherwise requested by the engineer. Date: i COSA Fee $ CRO J (I ^ �/, kS Waiver Fee $ Date of Payment t t la 1 r 3 Civ' Date of Payment Receipt Number bs-61 (e(o i; Receipt Number COSA# 5C431��'o Waiver# 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm SPURKLAND ENGINEERING Phone 279-3916 Address 203 W. 25TH AVE.,STE.202A, ANCHORAGE, AK 99501 Engineer's Printed Name LARS SPURKLAND 6. DSD SIGNATURE System #1 Approved for q bedrooms System #2 Approved for Disapproved Conditional approval for bedrooms Date 11/25/2013 bedrooms, with the following A'@, ;LLC, 1 I I_ % Ar _A� E ,, .`i'• stipuFckttk(r'ikff5 ate» Original Certificate Date: of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. ATTACHMENTS: COSA Checklist X Nitrate Advisory Septic System Advisory Arsenic Advisory Well Flow Advisory Other COSA blue sheet If more than 1 septic system is on the lot: COSA Checklist # 1 of 1 Structure served by this system 1 Certificate of On -Site Systems Approval Checklist Legal Description: AMANDA PLACE LOT 3 A. WELL DATA Well type PRIVATE Date completed 6/28/82 Total depth 113 ft Date of test Static water level Well production If A, B, or C provide PWSID # Sanitary seal (Y/N) Y Cased to >40 ft. FROM WELL LOG 6128/82 50 10 WATER SAMPLE RESULTS ft. 9.p -m. Coliform NEG colonies/100 mL Nitrate NEG mg/L Arsenic ND ug/L Date of sample: 10/31/13 B. SEPTICIHOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Tank size 1250 gal. Number of Compartments 2 Foundation cleanout (Y/N) Y Date of pumping NEW Depression over tank (Y/N) N Pumper - Parcel ID -015-501-33 Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 12+ in. AT INSPECTION 10/31/13 61 OCT ft. g.p.m. Collected by: ANSON MOXNESS Date installed 11/22/13 Cleanouts (Y/N) Y High water alarm (Y/N) N C. ABSORPTION FIELD DATA 7/22/82 & 120/333 BED/TRENCH Date installed nnnmg Soil rating (g.p.d./f:2 or ftz/bdrm) System type Length 35 s. 2X48 ft. Width 20 & 2.5 ft Gravel below pipe 0.5 & 7/6.9 ft Total depth 4 & 11. ft Eff. absorption area 700 && ft2 Monitoring tube Y Depression over field N Date of adequacy test 10/31/13' Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test 0 in. Water added 600'* gal. New depth 7 in. Elapsed Time: 20 min. Final fluid depth 5 in. Absorption rate >= 600 g p d Any rejuvenation treatment (past 12 mo.) (Y/N & type) NO If yes, give date - D. LIFT STATION Date installed "Pump on" level at Datum Size in gallons - in. "Pump off' level at E. SEPARATION DISTANCES WELL ON LOT TO: Cycles tested Septic tank/lift station on lot 100'+ Absorption field on lot 100'+ Public sewer main NA Sewer /septic service line 25'+ Animal containment areas 50+ Manhole/Access (YIN) in. High water alarm level at --- Meets alarm & circuit requirements? On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/cleanout NA Holding tank NA Manure/animal excrete storage areas 100'+ SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Water main NA Water service line 10'+ Wells on adjacent lots 100'+ ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water Service line 10+ Surface water 100+ Curtain drain 50'+ Wells on adjacent lots 100'+ F. COMMENTS * 1982 BED TESTED. ** SYSTEM PRE SOAKED 10/30/13 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 Name LARS SPURKLAND Date 11/25113 COSA brown sheet 10-10-12.doc Absorption field 5'+ Surface water 100'+ Water main NA Driveway, parking/vehicle storage10 ral ___________ BIRCH ---- R O A D ______ L Z'S9 L 31100Ib 1 ❑' UTILITY EASE ------------------- V,*X �,NG O- S l0 > a 4M a gQ a X8'19 GO co ❑. ;W N f] 4❑ I jW Z Qm W a I ❑� ❑Q Ja N / aim -- , 1 z I W T W a� tf ¢J �30 ow _ ^ 0 G Op�20 in i 1 y. W \F ¢ z� i~6, u a51Hz� Ln a II 0 � W I I 00 i?wa 1 1 LA I 1 I 64.2 1 1 1 � 1 1 1 � 1 1 V,*X �,NG O- S tbZ'S9 L M111 9bIZOoO N 10 In Ln > a 4M a gQ a X8'19 co ❑. ;W N f] 4❑ I jW Z Qm W a I ❑� ❑Q Ja 3 ill OTT V, aim T W a� tf ¢J �30 ow _ ^ � N G Op�20 Z fu¢ w ¢wo \F ¢ z� i~6, u a51Hz� �Z1 3 AbM3 b3S� � \'bHdSb i?wa tbZ'S9 L M111 9bIZOoO N 10 In Ln to sOc co ❑. ;W N f] 4❑ I jW Z Qm W a I ❑� ❑Q Ja 3 ill OTT V, tbZ'S9 L M111 9bIZOoO N 10 In Municipality of Anchorage \ 1 Development Services Department -> Building Safety Division On -Site Water and Wastewater Program - 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING HAA # n 50 UOG� Parcel I.D. 015-501-33 Expiration Date: 5- 1. GENERAL INFORMATION ot 3, Amanda Place Subdivision Complete legal description�� Location (site address or directions) Day phone v.i.-, Current Property owner(s)_ 6or, Mailing address Day phone Lending agency Mailing address Day phone Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 4 2. NUMBER OF BEDROOMS: TYPE OF WASTEWATER DISPOSAL: 3. TYPE OF WATER SUPPLY: � Individual On-site Individual Well ❑ Individual Holding tank ❑ Individual Water Storage Community On-site ❑ Community Class Well Q public Sewer ❑ Public Water System The Municipality of Anchorage Development Services Departmparagraph nt (DSD) issuesCertificates independent professional civil Approval (HAA) based only upon the representations given in ars raph 4 by P engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of Approval are title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or wa er supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority App year d be reissued p� ofyreerill anc newwateampleresuls. (Certificates for apeod of p toone wh aiwatersamples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on- site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality 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 S 6 S Engineering Phone 694-2979 Address 17034 Eagle River Lp. Rd. - Eagle River, Ak Engineer's Printed Name Robert C. Cowan 99577 Date /r A S— cosset c COWAN 5. DSD SIGNATURE C:-8801 DisappApprovroved. d for� bedrooms. �1`,0�±1W'* Conditional approval for bedrooms, with the following stipulations: Additional Comments �_: WATER AND j m: JAIA ^111 PROGRAM Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By:��,/ /� • Original Certificate Date: A - ;2- Z0Jr (Rw 01102) Municipality of Anchorage OR' O Development Services Department Building Safety Division ` On -Site Water & Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: /-o1 3 .9MA'Jo'l SID Parcel Ib:0IS'S0/-33 A. WELL DATA Well type PRNAM If A, B. or C provide PWSID # 4 Date completed lVl f 2 Sanitary seal Q/N) yLf Total depth J-11—ft. Cased to No -r ft. Dale of test Static water level Well production FROM WELL LOG b lie%� ' Co ft. /0 WATER SAMPLE RESULTS: Coliform _Acolonies/100 ml. Arsenic: mg.11. B. SEPTIC/HOLDING TANK DATA Nitrate 1• /DO 4mg./1. Date of sample: $�f�Or Tank Type/MaterieL S -P ' JC_ / S T 6 t£ L Tank size O gal. Number of Compartments a- Well Log ON) y I.1 Wires properly protected &N) Y43' Casing height (above ground) 1a4 in. AT INSPECTION y/s-A r G a ft. `1 i g.p.m.(LI..,rtd BY X*06 d, PwMBr.-C-). Other bacteria colonies/100 ml Collected l:§ 3 S ENGtNEMUNG 11034 Eapk+ RIm o. T.' Eagle River, Alaska 99571, Date installed `6 J',- b /a -1 Cleanouts 4) YE J Foundation cleanouta) Al Depression over lank (Y/1V High water alarm (Y(D olf o Date of pumping 11 / — Pumper 13 44 `J rf.e C. ABSORPTION FIELD DATA ��.: ;; Date installed Vla-s� -L .'Soil gating g.p.d./ rfe/bdrm) o_Hr System type Length aG H % aA. ft. Width a •3- ft. Gravel below pipe 7 ft. Total depth I I ft. Eff. absorption area L.!ttft2 Monitoring tube YO -1 Depression over field N O Date of adequacy test 05- Results Pa ail) P4J1 For � bedrooms Jr r, If " Fluid depth in absorption field before test I in. Water added(o� gal. New depth3 4 in. Elapsed Time:laO min. Final fluid deptha4y in. Absorption rate >= 60 0 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) r' ° °*- ''`' ' ° w If If yes, give date = D. LIFT STATION Date installed `Pump on' level at _ in. E. SEPARATION DISTANCES Size in gallons Manhole/AccessY( /N) 'Pump off _ In. High water alarm level at Cycles tested Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankllift station on lot job r"r Absorption field on lot/Ob Public sewer main N r Sewer /septic service line On adjacent lots On adjacent lots frit Public sewer manhole/cleanout AJ14 Holding tank /'/ !q SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation rt Property line s` f Absorption field 3' t Water main w �k _ Water service line Surface water /,DO „` Wells on adjacent lots / 0 0 'L SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: I Property line to + -Building foundation 10 '0'- Water main Water Service line Surface water / CO r Driveway, parking/vehicle storage Curtain drain I✓cNf k vu w.✓ Wells on adjacent lots )'DO 't P4 lA F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA HAA guidelines in effect on this date. R Engineer's Printed Name _ ,616,t C COJ0 fa Date %bt /0 S HAA Fee $ u W ' UD Date of Payment S11-41()5 Receipt Number " a5S4 �.. . (Rev. 12/01) Waiver Fee $ Date of Payment Receipt Number IM G COWAN CE -4801 E s w girr His 6 I f m �° 66 o 4 Y ththQaa •i1 R ` Y_� Y ` Cc' ESR o e • ^ = qq r I m am n n • sol � !+ N —1 �EFo N _O Wrco n . 4 O_ �m CD CD MID N To ,IJ M 0 A N N m O til Z -d LOLN99106 IN u uf. Yw a• 1 OU. 6, 0£ n r r r — — — — — — — — — — — — ------------ S ----------- 8 O.04'00•E 165.21 ------------------- Ovom Home_—_—_— E ewngie4S ue11e dZ4:L0 SO BZ Inf • 0 I f m . r o 4 p m • Cc' I I • ^ = r I m am n n • sol � �• 1w 1 ; R1 i l N �•i r m I"rsN•o,/�' 0,y ' 010, r — — — — — — — — — — — — ------------ S ----------- 8 O.04'00•E 165.21 ------------------- Ovom Home_—_—_— E ewngie4S ue11e dZ4:L0 SO BZ Inf 08-16-06;09:02 ; SGS SCS Ref.4 1054939001 Client Name S ds S Engineering Project Nome/! L3, Amanda Place SID Client Sample m L3, Amanda Place S/D MatrN Drinldng Water Samplc Remarks: ;907 661 6301 t 2/ 4 All Dates/Times are Alaska Standard Time PrintedDaitMme 08/122005 12:59 Collated Date/time 08/042005 10:30 Received Datefrime 081042005 10:59 TahnlcalDlreetor Stephen C. Ede Allowable Prep Analysis Patemeter Results PQL Ua'4s Method Container ID Limits Data Date Init Waters Department Nitrate -N 0.100 U 0.100 Mierobiology talaoratory Total Coliform 0 mg/L EPA 300.0 B ("10) MUMS 1EM coV100mL SM209222B A (o-1) 08/04/05 TLF Municipality of Anchorage • Development Services Department Building Safety Division -- On -Site Water & Wastewater Program coom' 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING /// , ��yq Parcell.D. 015-501-33 HAA# 1-14V21)Z / 1. GENERAL INFORMATION Complete Complete legal description AMANDA PLACE S/D: LOT 3: Location (site address or directions) 10680 BIRCH RD. Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address Expiration Date: /a - :7 % - co -2— BILL & KATIE MOORE Day phone 223-7085 P.O. BOX 112256 ANCH. AK, 99511 Day phone GLORIA HOFLICH W/ HOME CONNECTION Day phone 3000 'A' ST. SUITE 420. ANCH. AK. 99503 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 441-4663 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well Individual On-site 0 Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water cvctom Tho Mi mininnlity of Anrhmmno is not rocnnncihlo fnr orrnrc nr nmiccinnc in Iho nrnfoCGinnol Onninoor'C Note: Alaska Water and Wastewater Consultants, Inc. shall be paid $ 1,300.00 at, orprior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Health Authority Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is(are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality 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 ALASKA WATER do WASTEWATER CONSULTANTS, INC. Address 6901 DE13ARR ROAD, SUITE 28 • ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, AKWWC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines B Regulations. The reported results described the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory test results do not guarantee future performance of the system, nor do they guarantee that there are no hidden detects or encroachments. AKWWC. Inc. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party Is not authorized, nor will It confer any legal right whatsoever. 5. DSD SIGNATURE Approved for L-� bedrooms. Disapproved. Phone 337-6179 Date j tlLo.Y Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist L� Septic System Advisory Well Flow Advisory Manitenance Agreements Supplemental Engineer's Reort Other �c .y SWAT"— N-blfi E�—' , 9m= PRr r„J I EWA TER By: CJ �L`-�� Original Certificate Date: IRa.. 1=11 Municipality of Anchorage • Development Services Department Building Safety Division On-site water & Wastewater Program 4700 South Bragaw St. P.O, Box 196850 Anchorage. AK 995196650 www.el.anctrorege.sk.us (907]943.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: AMANDA PLACE S/D: LAT 3: Parcel ID: 015-501-33 A. WELL DATA wen type PRIME If A, B, or C provide PWSIDN N/A Date completed 6/28/82 Sanitary seal (YIN) YES Totai depth 113 ft. Cased to 113 R. FROM WELL LOG Data of test 6/28/82 Static water level ` 60 R. Well production 10 9— p.m- WATER SAMPLE RESULTS: Conform 0 colonies/100 ml. Nitrate 0.20 mgA.. Wen Log (YM) Y Wires properly protected (Y/N) YES Casing height (above ground) 12'+ in. AT INSPECTION 7/19/02 66 ft. 5.0 9— p.m- Other bacteria 0 colonlesl100 ml. Arsenic: N/A mgJL. Date of sample: 7/19/02 Collected by: AKWWC. INC. B. SEPTICIHOLDING TANK DATA Tank TypelMaterial STEEL Date installed 8/28/02 Tank size 1250 gal. Number of Compartments 2 Cleanouts (YIN) YES Foundation deanout (YM) YES Depression over tank (YIN) NO High water alarm (Y/N) N/A Date of pumping N/A Pumper NEW C. ABSORPTION FIELD DATA FeMMIMR73MW I" WEST TRENCH Data installed 8/28/02 Son rating tj.pd ft'fbdrn) 0.45 System typo TRENCH Length 96 (2 O 48' EACH) R. width 2.5 ft. Gravel below pipe '* 7.03 \ 6.92 ft. Total depth 17.0 M—A ft, Eft. absorption area 11344 fe Monitoring tube YES Depression over field NO Date of adequacy test N/A Results (Pass/Falq NEW For 4 bedrooms Fluid depth M absorption field before test N/A in. Water added N/A gal. New depth EZ—Ain. Elapsed Time: N A min. Final fluid depth &A— In. Absorption rete x N/A g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN & type) N/A If yes, give date D. LIFT STATION Date installed "Pump on" level at _in. E. SEPARATION DISTANCES Size in gallons High water alarm level at tr1. Cycles tested Meets alar 6 circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manhole/deanout N/A Holding tank N/A 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 101+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway. parking(vehide storage .10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION( I codify that I have determined through held Inspections and review of Municipal records that the above systems are in . • • • • . • • • . • • • • . • • conformance with MCA HAA guidelines in effect on this date. fr A 33.1 Engineer's Printed Name JEFFREY A. GARNESS E-79 Data 9 r LlL •"w •........• HAA Fees 5 - — Date of Payment 1 2L 2 0 Receipt Number 210 039 (R•v. 12101) Waiver Fee $ Date of Payment Receipt Number JUL-24-02 08:58AIA FROM -CUE ENVIRONIENTAL SRV LG CUE Environments! Services Inc. \fir rirrr�r�rr�rrr��r�r� CUE Refs 1024503001 Client Name AK Water & Wastewater Consultants Inc. Project Name/0 Amamda Place SID 1.3 Client Sample ID Amanda Place S/D U Matrix Drinking Water Ordered By PWSID 0 Sample Renuuks: 9075615301 T-125 P.01/03 F-276 All DatesR7mes are Alaska Standard Time Printed DateMme 07/23/2002 14:49 Collected DateMme 07/19/2002 16:45 Received DateMme 07/19/2002 17:00 Technical Director StephepoINEde Released By •n " Allowable Ptep Analysis Panmeter Results PQL Units Method Limin Date Date Init Waters Department Nitrate -N 0.200 U 0.200 018/1- EPA 300.0 (<10) 07/20/02 IDT microbiology Laboratory Total Coliform 0 coU100mL SM189222D (<1) 07/19/02 KAP MUNICIPALITY OF ANCHORAGE ZZ O DEPARTMENT OF HEALTH 1£ HUMAN SERVICES.Aga 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 l.D.# 01�SOI-33 HAA#- 14Ag5r)00q- 1. GENERAL INFORMATION Complete legal description Loi 2, A HANDA- 5�1� Location (site address or directions) -_ to t., Ro 31•ZLt+ �0 4 Property owner ?AUL. FP A1,4 4 e_ Day phone —3`{q — I q A!y Mailing address I G q Lending agency — ALAryA• 1•los4t= Horr6A69pay phone S& — 0 SS Mailing address Agent — Tel" Day phone Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: • Individual well Community well 3 t/ Public water NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site v Holding tank Community on-site Public sewer ' NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. r2¢s (F«, uvi) Fran MOA m 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my Investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system Is safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I furtherverifythat 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 I o b b e- ✓) rV_LdL Phone 274 - 3 9 1,6 Address Engineers signature S. DHHS SIGNATURE Approved for Disapproved. -17 bedrooms. Date 113195 ' Conditional approval for bedrooms,, with the following stipulations: !'1 Additional Comments Byf Date' ' ' Z- The Municipality of Anchorage Department of Health and Human Services (DHHS) Issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an Independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage Is not responsible for errors or omissions in the professional engineer's work.- T2 -W MW IM) 9. MOAM . - .. Municipality of Anchorage AOL Department of Health and Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: LCT -3 Ar.ncw^9q Parcel I.D. 015- bo 1 — 33 A. Well Data Well type R If A, B, or C, attach ADEC letter. ADEC water system number N�A Log present (Y/N) v Date completed � • 2 8• s2 Driller l Pi h e, Total depth Cased to . 113 Casing height �, t Sanitary seal (YM) / Wires properly protected (Y/N) y WATER SAMPLE RESULTS: Coliform 0 Nitrate N - Other bacteria Date of sample: I �� I Ci i Collected by: 75 B. SEPTIC/HOLDING TANK DATA Date installed %'022. 81 Tank size I PL 5n Compartments 2 Cleanouts (Y/N) _X —Foundation cleanout (Y/N) xDepression (Y/N) N High water alar (Y/N) Nl^ Alarm testedIA (Y/N) Np Date of pumping 1 iA S Pumper Ak r SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s) on lot 12 0 On adjacent lots >i C. LIFT STATION N/ a Date installed Manufacturer Size in gallons Manhole/Access (Y/N) Vent (Y/N) 'Pump on' levet at 'Pump off' Level at High water alarm level Cycles tested Meets MOA electrical codes (YM) SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Surface water Date installed ZAP- S I Soil rating (GPD/Ft2) /90 System type Length J� Width v'-17 Gravel thickness 1%Z Total depth 7 Total absorption area -70-0 Cleanout present (YM) Depression over field (Y/N) _t\1 Date of adequacy test 114% Results (pass/fail) for 1, Bedrooms Water level in absorption field before test } i (II After test Q r 1 Peroxide treatment (past 12 months) (Y/N) N If yes, give date I 1' 1201 r.64 wn ad. CN -CJ h SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Well on lot On adjacent lots » 1&-o Property line > r c To building foundation To existing or abandoned system on lot "/A On adjacent lots > r r„o Cutbank N o N E Water main/service line >2S Surface water N/o Driveway, parking/vehicle storage area >50 Curtain drain H E. ENGINEER'S CERTIFICATION I certify that I have checked, vented, or conformed to all MOA and HAA guidelines in effect on,the dale of this inspection. %, L,u�11 Signature T- �" s; '.fir• :��.' :�.. ,i Engineer's Name 1 ojObC S .1c Kcl% r� .r �p r Vi Date 1-a.�.t _ 3 l q Q d' •�; ce HAA Fee Date of Payment Receipt Number 72-026 (197)• Sack Waiver Fee $ Date of Payment Receipt Number MUNICIPALITY OF ANCHORAGE • DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.# ni4)--it) 1. GENERAL INFORMATION HAA # kA On 1 C1n.3!) Complete legal description cot 3; Amanda Place Subdivision Location (site address or directions) 10680 Birch [toad, Anchorage, Alaska Property owner Bettyrae Easley [ 06 n of Pi Day phone Mailing address Lending agency M PTHr.AMn MARTr AM Day phone 248-2025 Mailing address - Anchorage, Alaska ATTENTION: Donna Nail Agent Cindy Bouscruet/BCUSCUET REALTY Day phone 274-6084•: Address 3333 Denali, Suite 220, Anchorage, Alaska 99503 • Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 4 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 xxx Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. 72.025 )Rev. 1191) Front MOA ht 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm Address vcraFeztuc Phone 6?Y:-:9� rvo. ZOq Engineer's signature " " ;ver, Alaska 99577 Date 6. DHHS SIGNATURE In Approved for Disapproved. A&W bedrooms. Conditional approval for Additional Comments bedrooms, with the following stipulations: The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. rums (A— 1191) e�k MOA 821 Municipality of Anchorage N•��u:�s,ort Department of Health & Human Services Nv(a sty" (� HEALTH AUTHORITY APPROVAL CHECKLISY ,uN 1 Q I9g1 Legal Description:, AinAAJA IYAca S. Parcel I.D. - 13 RE A. WELL DATA Well type aSLAKIS_: if A. B. or C. attach ADEC letter. ADEC water system number Log present (Y/N) 4 Date completed (Q - Z B ' Driller u 6;01 Total depth Casedto Casing height ! 2 t f Sanitary seal (Y/N) Wires properly protected (Y/N) t j f FROM WELL LOG AT INSPECTION Date of test Static water level Well flow Pump level I y r to g.p.m. UK SEPARATION DISTANCES FROM WELL TO: 1 (o. g.p.m. uK Septic/holding tank on lot I f ; On adjacent lots /Do -f Absorption field on lot .1 I ; On adjacent lots J DO Public sewer main -7 S ' tPublic sewer manhole/cleanout 14 Public sewer service line 25,f Petroleum tank toDNG p ow^/ WATER SAMPLE RESULTS: r Coliforms �LLC:�nLit_ Nitrate 5 Gto✓y�►J%•� Other bacteria ' Date of sample: - Collectedby: S FyG�AICGP�ll15 B. SEPTIC/HOLDING TANK DATA Date installed - 2 Z - i3 ( Tank size Zt7 a A I Compartments 2 Cleanouts (Y/N) —Foundation cleanout (Y/N) Depression (Y/N) High water alarm (Y/N) Alarm tested (Y/N) A)/ A Date of pumping SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO: Well(s)onlot 120 "f On adjacent lots ( nc> / t Foundation 3Z � i t To property line In t Absorption Iield 10 Water main/service line Ir) { Surface water/drainage too f 'f 72-M(A..3191) FWt MOA 21 CONTINUED ON BACK PAGE C. LIFT STATION Date Installed Size In gallons Vent(Y/N) "Pump " level High water alarm level Meets MOA electrical codes (Y/N) SEPARATION DISTANCE FROM LIFT STATION Well on lot D. ABSORPTION FIELD DATA Manufacturer Manhole/Access (Y/N) "Pump off" level at . On adjacent lots Cycles tested Surface water Date Installed - Z Z - Soil rating ( 7_0 �Z81? System type �� d Length 3 5 Width Z 2t Gravel thickness—' / 2 1. Total depth Total absorption area 00 .d Cleanouts present (Y/N) u Depression over field (Y/N) /J Date of adequacy test Results (pass/fail) P.4 S 5 for 3 bedrooms Peroxide treatment (past iz months) (Y/N) N I If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: 7 I � Well on lot ('n o f On adjacent lots ( Q0 4 Property line Z 4 To building foundation S Z To existing or abandoned system on lot IJ JA r Onadjacentlots 3 o f CutbankWatermain/service line + "/ D r / Surface water ( inn >` Driveway, parking/vehicle storage area Curtain drain A> LA At, prawptred prior to' le—s 7-f A, E. ENGINEER'S CERTIFICATION I certify that/ have checked, verified, or conformed to all MOA and HAA guidelines in effect on the date of this inspection„ S & 5 ENGINEERING Signaturet�r3n Filo River Loop Road No 2� Eagle Rivar, Alaska 99577 Engineers Name Date 04 HAA Fee $ d v v Waiver Fee: $ Date of Payment Date of Payment Receipt Number Receipt Number 72-M (R". 3^91) Beck MOA 21 It _ 41A N\ / Time APPLIr`NT FILLS OUT UPPER HAI�`ONLY 1 • Time C dh n e Proterty: caner T. Stewart Construction Company Inc. 3h��-8684 V � Mailing Address•8420 Williva Circle Zip Code 99904 Date Date zj Buyer Address Zip Code Lending institution First National Bank of Anchorage Phone Address 201 W. 36th Ave. zip code 99503 276-6300 Realty Co. d Agent q ERA BOWDEN \'s Phone Address 2600 Seward Hiphyay zip Code 99502276-4663 Legal Description Lt 3 Blk - Amanda Place Sub. Street Location Birch St Near Omall see Attached ma Type of Residence - M Single Family Date Sewer Installed 0 Multiple Family No. of Bedrooms 0 Other Water Supply Mclividual I Well to Tank ATTACH WELL LOG. A wall log Is required for all wells drilled since June 1975. 0 Community For wells drilled prior to that date. give well depth (attach log If available). 0 Public Utility Sewer Disposal 2 Individual Year Individual Installed: 0 Public Utility When Connected to Public Utility: 0 Holding Tank NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. It _ 41A N\ / Time Time Time Time C dh n Date Date Date zj Date Inspector Inspector Inspector 0 Inspector Q>1 Field Notes: .� MUNICIPALITYANCHORAGE CFpT. C' I '.'!T.t P. ^ ��p ENVIR'�;C.:_f[•p•-;..u._TION V I i &U 2 21982 ( ) APPROVED BEDROOMS 'CONDITIONS OF APPROVAL ( 's ) DISAPPROVED. ( ) CONDITIONAL APPROVAL' [�'-/��3L Y"� — DATE /� 3 BY: � Soils Rating Date Sewer Installed Well To Absorption Area Well Log Received Septic Tank Size ( ZS -o Q` I I Well to Tank rxan OM November 290 1982 T. Stewart Construction Company, Inc. 8420 Williwa Circle Anchorage, AK 99504 Subject: Lot 3 Block - Amanda Place Sub. Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: ° The top of the well casing should be sealed so that it is water tight. ° The depression or pit around the well casing needs to be filled with impervious type soil so that it slopes away from the well casing. ° The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. Please notify this Department for a reinspection when the noted discrepancies have been corrected. If there are any further questions, please call this office at 264-4720. RP238/p/Ell Enclosure Sincerely, Robert C. Pratt Associate Environmental Specialist