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Home My WebLink AboutKIMPTON LT 6Ki'*rnpton Lot 6 #051-072-69 Municipality of Anchorage Development Services Department Building Safety Division = —•' j Onsite Water 8 Wastewater Program, 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SW020264 PID Number. 051-072-69 Nam" DICK AND ROZANN KIMPTON Wastewater System: ❑ New ■ Upgrade Y P9 Address: P.O. Box 670251 a CHUGIAK. AK 99567 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 688-3175 3 CID«p Trench ■Shallow Trench DOW OMound OOther LEGAL DESCRIPTION sd heW'9: 0.8 Tetd owth Bern enrewl Va : 8' MAX, spa/se. rt. rt. Block: Lot SubdMeion: aeev, to rbe boftwn hem 0191nd Weft Gram dwth bwwoth Nrw — 6 KIMPTON 4.03' MAX. rc 4 re Township: Range: Section: _ _ _ ro eafef ek. vge,d Weft Gard W9e': , 68 34,) SEE DWG. R (2 ® re WELL: ❑ New [3Upgrade Oanl eWUc 5 N,nler M iwt 2 Olotwra W6"n Ynt 15+ rt. R lAoeoMbMbn Ae.0 . Toh1 Ceeef Tw Told eboretlw ent 680 nW rrwtwlek D 3034/ F-810 Ft so. m D." t N Dew Doig d: stwo W~ LI . erhew: OWNER ode ewleeo* 8/7-12/2002 R rw* wry see Ab cw kv Neghe Atwq awn* TANK arm r< R SEPARATION DISTANCES ■septic 0Holding aS.T.LP. 0Other To Septic Tank Absorption Field Uft Station Wall Tonk /Prhvte s...r IAwe MwM1fe`b1 . ANCHORAGE TANK ceveeb lo tokm 1000 From Well 100'+ 100'+ — — 25'+ "-rwk STEEL Mw of <wrwwurwnw 2 Surface water 100'+ 100'+ — — — LIFT STATION Lot Line 5'+ 10'+ — — — Sim in o� Mererrw:b.r Foundation 5'+ 10'+ — — — M kwel et et *PwvNry N9k Behr aiwm et Yolw aec4led sevedlorw Mems M Curtain Drain NONE KNOW Remarks: THE EXISTING SEPTIC TANK WAS COMPLErELI BENCH MARK l.edbe erw owwrlpliwe ABANDONED. AN OLD CRIB WAS FOUND DURING THE THRESHOLD OF MAN DOOR FOR GARAGE INSTALLATION AND WAS ABANDONED COMPLETELY. THE EXISTING DRAINFIELD WAS ABANDONED IN PLACE] Er sue a 100.00 n ENGINEEIre SEAM 040 INC. Inspections performed by:AKWWC. Dates: 1st 8/7/2DO2 .... 2nd 8/9/2002 3rd 8/10-12/02 QO. ff 'Y* o4��dp°. Development Services Department Approval ovoaoG bnt w _/s eZ Reviewed and approvedy. Dater .•..7...... �D�O fessle o O�000� PERMITNUMBER: FNUMBER: AS -BUILT DRAWING SW020264 051-072-69 SW0 051-0 INSTALLED FLOW EXISITNG DR INFIELD ABANDONED IN PLACE SPUTTER (FS)—,,.AND USED AS A RESERVE SITE. IN ORDER IN CONNECT THE DRAINFIELD TO THE SYSTEM, A WELL WAIVER WILL NEED TO BE OBTAINED. DBL2 NEW DRAINFIEUXI 1 coDBL1 \ — —, \ \ \ sl1 I `\ / "1 NEW 1000 SEPTIC TANK K COV J CD 4B' FOUNN BYD_B' LACD CTB. \ FILLED WITH DIRT AND ABANDONED COMPLETELY / 3 \ am OOMOO •~•�;,;�'...•'Yv�` 1I EXISTING WELL � �• ,• � 100' WFL RADIUS _ • r}.. • \',7't�•i'•��•�.':' STI 48.9 43.2 \ \ J ST2 54,0 4 •, � ::.:•`7� DBLT 5631 1 •': .� DBL1 57.6 "'=!U••` FS 74.1 66.3 73.6 65.7 • t•:;1:, M 54.7 42.3 ` • �' 50.9 34.1 \�� : ':i;•' i� 72.8 54.0 I .•'-T' .'.-• 64.3 42.1 r •.C•� / GLACIER ROAD DATA .... 8/12/2002 00040 o F p ' , o SQ�Q p DRAWN BY: J.L.M. •'*Q� ALASKA WATER & WASTEWATER �: SCALE CONSULTANTS, INC. 1 = 40' """" " ' ' ' "'-------- "" ' Q� 6001 DFRARR ROAD. SURF 7R • ANCHORAGF, AK 00504 • PNONF (001)137fiR0 • FAX (W7WIR-57L6 �j �QQ PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DICK & ROZANN KIMPTON 688-3175 2 OF 3 tf A. Ca A'•,1 ss. Q y� ' .. 79 •' :O LECAL DESCRIPTION: LOT 6; KIMPTON SUBDIVISION 04pps� rofesSWIG\�'voG pOpl&lvml TYPE OF WORK: AS—BUILT OF SEPTIC SYSTEM UPGRADE SW020264 AS -BUILT DRAWING P05;-072 689 STt rFlL1AL GRADE ST2 1 - G-99.54 101 TOP OF TANK OTOP OF TANK 0 I I I I /-OUTLET . 95.31 INLET .97.31 � INLET 17 OUTLET INVERT OF BUNG NEW 1600 CALLON O INLET .94.77 STEEL SEEM TANK INVERT OF BUNG O OUTLET . 94.76 C01 CO2 WTI co FINAL GRADE LfT2 C04 FINAL GRADE 97.38♦ .97.68-97.91 ORIGINALADE 8.06 ORIGINAL GRADE - 97.17-97.67 IBUTIONERAGE)OF DISTRIBUTIDN UNE . 91.73 (AVERAGE) NOTE. NO BEDROCK OR . 90.06 (AVERAGE) IMPERMEABLE SONS 6 FEET BELOW TRENCH BOTTOM OF TRENCH BOTTOM ELEVATIONS. . 87.67 (AVERAGE) 87.061 RELATIVE 62.67* RELATIVE GROUNDWATER LEVEL GROUNDWATER LEVEL DATE.* 8/12/2002 DRAWN BY: ALASKA WATER & WASTEWATER ' *; ' CONSULTANTS, INC. SCALE. = 1 40• .. .. . . NGN 6001 OFRARR ROAD. SUITE TR • AORAGF. AK 00306 • FNONF (007037-6170 • FAX (007)316-1766 PREPARED FOR: PHONE NUMBER: PAGE NUMBER: DICK do ROZANN KIMPTON 688-3175 3 OF 3 QO A f e A mess C S3 LEGAL DESCRIPTION:Q G •. .•' LOT 6; KIMPTON SUBDIVISION `�O 4p°dp�o FReSioOa TYPE OF WORK: UPGRADE PROFILE AS—BUILT OF SEPTIC SYSTEM g�7�o� 7PM MUNICIPALITY OF ANCHORAGE Development Services Department fG� 77pm On -Site Water& Wastewater Program 666 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: Jul 31, 2002 Expiration Date: Jul 31, 2003 Permit Number: SW020264 Parcel ID: 051-072-69 Legal Description: KIMPTON LT 6 Design Engineer: 0041 AK Water & Wastewater Consultarr Site Address: 022241 GLACIER RD Owner Name: DICK & ROZANN KIMPTON Lot Size: 51817 SO. FT. Owner Address: 22241 GLACIER ROAD Total Bedrooms: 3 Permit Bedrooms: 3 CHUGIAK , AK 99567-0251 This permit is for the construction of. ❑ Disposal Field ❑✓ Septic Tank ❑ Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal Code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations ( 18AAC72 ) and Drinking Water Regulations ( 18AAC80 ). 3. The engineer must notify DSD at least 2 hours prior to each Inspection. Provide notification by calling (907) 343-7904 ( 24 hours ). ( Not required for a Water Supply Permit only ). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must be either: A. Open and closed on the same day. B. Covered, sealed, and heated to prevent freezing. Received By: Issued By: Date: I � U Z Date: 3/ Oz Municipality of Anchorage 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 lq&sy Parcell.D. 051-072-69 Permit Number Swo2a26¢ Mailing address (1) 22241 GLACIER ROAD :. Mailing address (2) Legal description (Lot, Block & Sub'd.) LOT 6: KIMPTON SUBDIyISION Legal description (Section, Township & Range) N/A Zip Code 99567 Lot Size :57/S17 Acres/Sq.Ft. Number of Bedrooms THIS APPLICATION IS FOR: 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 ❑ 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. n /�I r,L�Vi. Permit Fees:4400 -t �y- JrsC Date of Payment: n7-31-02- Receipt Number: 235.50 Waiver Fees: Date of Payment: Receipt Number: ALASKA WATER & WASTEWATER CONSULTANTS, INC. July 31, 2002 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic Upgrade Design for Lot 6; Kimpton Subdivision To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system consists of a 1000 gallon septic tank and a deep trench type drainfield. The drainfield is surcharged and the septic system must be upgraded for the sale of the house. A test hole was excavated east of the existing septic system. The new septic system will be designed around the 30 foot radius of this test hole. We are proposing that a new 1000 gallon septic tank and dual five foot wide drainfields 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. 2. TRENCH DESIGN: a. Percolation Rate: 5.5 minutes/inch b. Allowable Application Rate: 0.8 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 563 n2 f. Total Depth: 8.0 feet (maximum) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 60 feet total length (2 @ 30 feet long each) k Effective absorption area = 600 R2 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 6901 Debarr Road, Suite 2B' Anchorage, AK 99504 Ph: (907) 337-6179 0 Fax: (907) 338-3246 • Website: akwwc.com 3. SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. 4. TOPOGRAPHY: The area for the septic upgrade is a 5f percent slope running from approximately east to west; in short, there are no slope concerns. We are 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 nee;etnnrr .E., M.S. NOTE: Attached is a site plan drawing, a design drawing, a soil log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Dcbarr Road, Suite 2U • Anchorage, AK 99504 Ph: (907) 337-6179 • Fax: (907) 338-3246 • Website: akwwc.com i 1 LOT 2; KIMPTON S/D I ------------------ I I ----------------- I I I I I LOT 3; KIMPTON S/D I I j PROPOSED SEPTIC UPGRADE (SEE DESIGN, PACE 2 OF 25A LOT 2; KIMPTON S/D I _ KIMPTON CIRCLE________ 1 i I � / I LOT 4; KIMPTON 5/D -L ,��W�� oX oc'nON 1' ^�ROX'COCl110N' 1 / I SEPTIC Q SYSTEM EXISTING 1 �� 1 Y BEDROOM \ �� 'Q HOUSE \\ I 0I 1 \\ \\ I LOT 7; KIMPTON S/D EXISTING j LOT 5; KIMPTON S/D —� W 1 ei*.�..•. WELL T I Do 01 � � ; ♦ YC k � I �f �X LOG�'/pON I � / \ \\ ..:��Y:.�.0 � ►PPR I \ j \\ �, GLACIER ROAD LOT 22, SECTION 4, T15N, R1W SERVED BY A PRIVATE WELL & SEPTIC SYSTEM. NO ENCROACHMENT CONCERNS 7 LOT 21, SECTION 4, 715N, RiW SERVED BY A PRNATE WELL & SEPTIC SYSTEM. NO ENCROACHMENT CONCERNS u ALASKA NATER & WASTENVATKR SaLE J.L M. �, r CONSULTANTS, INC. „ F G' .. . 4 001 DFRAR9 ROAD. SU17F M • AN[NORAOF. AK 005" • FNONF (007)331-0179 • FAX (007)33A -37L6 1 O 100 y^ EPARED FOR PHONE NUMBER: PACE NUMBER: is DICK & ROZANN KIMPTON 688-3175 1 OF 2 eff GD es ;AL DESCRIPTION: �I;4 g,. E 7953 r LOT 6; KIMPTON SUBDIVISION 7E OF WORK: y��`�dpro/assio�°�-ate-' SITE PLAN FOR PROPOSED SEPTIC UPGRADE �`•'� • .....�-:-- INSTALL (EXTEND 5%± PROPOSED DRAINFIELD. D(CAVATE TWO TRENCHES THAT ARE B FEET DEEP MAXIMUM BY S FEET WIDE BY 30 FEET LONG EACH (60 FEET TOTAL LENGTH). ADD I FLET OF 5Rt EXISITNG DRAINFIELD TO BE ABANDONED IN PLACE AND TO BE USED AS A RESERVE SITE IN ORDER TO CONNECT THE GRAINFIELD TO THE SYSTEM, 5X} A WELL WAIVER WILL N® TO BE OBTAINED. INSTALL DOUBLE CLEANOUT 0 PROPOSED 1000 GALLON SEPTIC TANK 1 I 1 ICo Tr I MT? IFIL CO \ 1 j jNI T�� BEXISTING COMPLETEELLY ABANDONED. STIC TANK TO 10•; O / EXISTING / J BEDROOM HOUSE HA) ANI FU SUI COI \ �EXISTINC WELL 1 100' WFI I RADIUS I THE 100 FEET WELL RADIUS THE EAST PROPERTY LINE 3ED BY A REGISTERED LAND EYOR PRIOR TO pAr GLACIER ROAD DA 7/30/2002 00o F pp DRAWN BY: p i sa J.L.M. p�� .••'• • '5�� AI.ASN�'AI'I'sR & NVAS"I'I's«'A1'I:R SCALE: _ CONSULTANTS. INC. •••. ••. . •• .............. 6901 DDFRARR POGD SOYF M • GNCHMAGF. Art 9950 • P.O F (901)]5)-0119 • FAX (901)538-3T66 1 - 4D, O PREPARED FOR: PHONE NUMBER: DICK do ROZANN KIMPTON 688-3175 LEGAL DESCRIPTION: LOT 6, KIMPTON SUBDIVISION TYPE OF WORK: DESIGN OF PROSED SEPTIC UPGRADE 2 OF 2 A. Drn ss. 8G—795 r � e(04o ALASKA «'ATER &: WASTEWATER CONSULTANTS, INC. LEGAL DESCRIPTION: LOT 6; KIMPTON SUBDIVISION PERFORMED FOR: DICK & ROIANN KIMPTON DATE, 7/23/2002 DEPTH ____ ORGANICS (feet) =_-- TEST HOLE 1 I. R ANI 7- 8— SM e SM TO s SM/ML to- 11- 12- 13- 14- 15- 16- 17 - 18 --1 01112131415161718 DEPTH TO GROUNDWATER DATE 13' 7/23/2002 , MIXED WITH MI SOIL CLASSIFICATIONS - 3 BEDROOM HOUSE 17:23 Mu 1/2- �TMrT 3 17:23 - . • WELL 17:53 GW• . 5-1/20 5 17:53 - 6' - uuwuML 18:23 30 1/2- 5-1/2" i u�m�nGMiiia.CL I 1'=100' GLACIER ROAD HNH • SWul"1�'IMH ' - %//a.CH ' • ru4��ty�si SC 7- 8— SM e SM TO s SM/ML to- 11- 12- 13- 14- 15- 16- 17 - 18 --1 01112131415161718 DEPTH TO GROUNDWATER DATE 13' 7/23/2002 13' 7/30/2002 SYSTEM EXISTING - 3 BEDROOM PROPOSED SEPTIC UPGRADE CLOCK TIME EXISTING WATER LEVEL READING SEPTIC 7/24/2002 1 SYSTEM EXISTING - 3 BEDROOM HOUSE 17:23 �\ 1/2- �TMrT 3 17:23 - EXISTING \ - WELL 17:53 1 1/2- 5-1/20 5 17:53 - 6' - 6 18:23 30 1/2- 5-1/2" SITE PLAN I 1'=100' GLACIER ROAD DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 7/24/2002 1 16:53 - 6- 2 17:23 30 1/2- 5-1/2* 3 17:23 - 6' - 4 17:53 30 1/2- 5-1/20 5 17:53 - 6' - 6 18:23 30 1/2- 5-1/2" 19� PERCOLATION RATE 5.5 (MIN./INCH) PERC. HOLE DIA. 6 (INCHES) TEST RUN BETWEEN 5.5 FT. AND 6.0 FT. 20 A FOUR HOUR PRESOAK WAS PERFORMED: N YES ❑ NO SOILS LOGGED BY: JODY MAUS PERCOLATION TEST PERFORMED BY: JODY MAUS COMMENTS: PERFORMED BY AKWWC, INC. I, JEFFREY A. GARNESS, CERTIFY THAT THIS WA PEIrORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: i i \ f MUNICIPALITY OF ANCHORAGE \ DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION . I ENVIRONMENTAL ENGINEERING DIVISION 825 L Street - Anchorage, Alaska 99501 Telephone 264-0720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME PHONE QQNEW rXC /I VA ZhAJ& /L1 - LBf3 as ❑UPGRADE MAILING ADDRESS PO LEGAL DESCRIPTION LO / LOCATION NO. OF BEDROOMS ci -2 3 DISTANCE TO: Well Absorption ar --I Dwelling PERMIT NO. 9 x _a; S e3 0 i 2 4 Manufacturer Material No. of compartments vWi Liq. capacity in gallons n h IF HOMEMADE: fj Y DISTANCE TO: Well Dwelling PERMIT NO. Jaz Manufacturer Material Liquid capacity in gallons W T DISTANCE TO: Well 4 f Foundation /S l Nearest lot Imes- PERMIT NOO.97' w Z No. of lines Length of each line Total len in of lines Trench width Distance between lines H ?7 zF Z 3 inches Q F- Top of the to finish grade 4 Material beneath the 6 Total effective absorption area 0 inches 2 Q Length Width Depth PERMIT NO. W a H Type of crib Crib diameter Crib depth Total effective absorption area DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J W DISTANCE T0: Building foundation Sewer line Septic tank Absorption areas) OTHER PIPE MATERIALS Ptt! , SOIL TEST RATING INSTALLER Ex 8,3-c)zzr— EXCAMIZA)l5— REMARKS W 7-0 75" FOk W ZAAIR O 11 r" V t 6 a s 10 h I oe ti APPROVIip DATE LEGAL.,•` nlhbEr W3 -la LCHO 72-113 tHev. 3/781 •` f t�t_it 1 I I!�iL I TV OF F=itA_t-�!Rt=tGE DEPARTMENT (jr- HEALTH AND ENVIRONMENTAL FPOTECTION 525 'L' STREET, ANCHORAGE, AK'. 99501 264-4720 WELL t=it -JE> Ot-,J-S=ITE "EWER F?ERt'1I T PERMIT NO. C 830971 ) APPLICANT EXCAVATING ENGINEERS P.O. BOX A-35 CHUGAIK AK 655-2259 LOCATION LEGAL LOT 6 KIMPTON SUB LOT SIZE 999999 SQUARE FEET TYPE OF SOIL ABSORPTION SYSTEM IS: TRENCH MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING (50 FT/BR)= 236 THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: GERTH= __. LEr4im-r = 7�1 GRn %.r•EL GEF TH= 15 THE LENGTH DIMENSION IS THE LENGTH CIN FEET) OF THE TRENCH OR DRAINFIELD.. THE DEPTH OF A TRENCH OR PIT IS THE DISTANCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION CIN FEET). THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH OF GRAVEL BETWEEN THE OUTFALL PIPE AND THE BOTTOM OF THE EXCAVATION (IF! FEET). REG!U I REG QEF T I u -rn" C SSI == 2E+E+C+ GFLLCttJS PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DURING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- -Ft4CI C � ] nRE Ra0U I REG --- SACKFILLING OF.ANY SYSTEM 14ITHOUT 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. HINIMUM DISTANCE FROM A PRIVATE I -JELL 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•ERI'i I T EXF• I RES} GECEt1E3ER 2:1r 1S�C: 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 I ISSUED NG dz per 14 ./, 630e� 3 V4. 0 PERFORMEDFOR: / ��s--� /�r L�� DATE PERFORMED: /v V LEGAL DESCRI 1 ^, 2- 0 SOILS LOG r + \ MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION 3- 3 TEST 825 L Street, Anchorage, Alaska 99501 2644720 4 4 SOILS LOG — PERCOLATION TEST 5 d PERFORMEDFOR: / ��s--� /�r L�� DATE PERFORMED: /v V LEGAL DESCRI 1 t• 2- Net Time Depth to Water Net Drop 3- 3 4 4 5 i• 6 o 8- 9 9 o 7 10 i2 1 121 14 ` 15 16 17 18 19 20 PERFORMED L 6 it it &"A 6-.q N / t ,q ' 262 OF Ruben A. 5h, fur • • �• PJFE5S1�" 72-008 (6/79) SLOPE WASGROUNDWATER PJ S ENCOUNTERED) O P IF YES, AT WHAT/� I E DEPTH? �J 9-/6 fP SITE PLAN Reading Date Gross Time Net Time Depth to Water Net Drop i2 PERCOLATION RATE TEST RUN BETWEEN FT AND --S� FT I0 Hecovered 3 1/4 B.C. on 2 1/2 . iron pipe 0.2 v above ground in good condition. 'Vi 7 n Ain. C-1 90000'00 20.00' . -.-. .. -.31.42 = - IVIIVIU' 20.00' 28.28' C-2 36°52'12 50.00 32.18' 16.67' 31.62' C-3 360 5212" 50.00 32.18' 16. 67' - 31.62' C-4 90000'00", 50.00 78.54 50.00 •.70.71' C-15 90000'00" 50 00' 78.54' 50.00' 70,71' C-6 3605212" 50.00: -: oarJJO 6uptaId0 I : sarly Cyd slVAOHddd 61 MS loAep s!yJ ei/se/y"a5eiagoud le paJeO }� : t.n•O - , 'j/0 pan•ey,ny .. .,�••.• .. uoajay un4011s s_yjed pue saje/y6noioyl 'sAeti+peoa sAa//e 'Aen�•/o stg6!� 'sluawasea ayJ ,aJ POP !l Jou Jnq '6u!pn/ou! �l L P1Cd uo a6ejoy3uy Je/d s'q1 uo PaJealpap Aliado�d /ear OLPsjo Aj d O!/gnd io/.. „/�I�SJ pyJ UO uti+oys eaje alpue sasn o!/gnd io/ sJdao3e Agajay a6eiOyouy /o At!Iedlo!unpy 041.L ayJ Aq paha/ taxeJ Atjadoid leap IM P NO/lt/D/030d03DND'1d3Xb' NOI1 D'0/3I1 t/30 XV -L •aooJms lano/6 411ooa 4g of o 41 sit q'(9YZ-6L i Id P a JuoW) d'1 •,,nJsipporwj•paRalsapuaoq.eowswoy 'noW •aooJmd lano/6 Moleq,l'0 dol ad,d u0/1 i/1Z Juaq uo'00 „4/1£ paginlsjp pa/anooaiJ cl-os�-; 61 /�n 71-014 (Rev. 2/78) MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION J ENVIRONMENTAL HEALTH CASE REVIEW WORK SHEET O PLATTING BOARD O PLANNING & ZONING CASE NUMBER NAME S-6090 Lots 1 - 7 Kimpton Subdivision DATE RECEIVED December 30, 1981 COMMENT TO PLANNING BY January 22, 1982 FOR MEETING OF CASE OF PUBLIC WATER WT AVAILABLE TO PETITION AREA ❑ PIC SEWER NEITAVAILABLE TO PETITION AREA REVIEWER'S COMMENTS: GIlse bf a I ld ct' ' V All i ( j Ly 71-014 (Rev. 2/78) n n 18 AIC 72.060 18 AAC 72.060. PLAN REVIEW. (a) No person may construct, alter, or 1 modify a sewerage system or treatment works or any part of one until detailed engineering reports, plans, and specifications are submitted to the department and approved by the department in writing. The department will, in its discretion, waive this requirement for sewage treatment and disposal on individual residential or recreational lots. (b) The engineering reports, plans and specifications shall be certified by a professional engineer registered in the State of Alaska in accordance with AS 08.48.221. (c) The department will, in its discretion, require that the.designs for sewerage systems and treatment works in remote areas have a history of successful operation in crnparable environmental situations. Sewerage systems or treatment works also must be designed to successfully operate under the conditions of seasonal frost or perennial frost encountered in the areas where the construction is proposed. (d) If any construction or other activity is intended which might render water of the state inaccessible or uninhabitable for spawning or propa-ation of salmon, or cause violations of the Water Quality Standards in c};.,pter 70 of this title, the required submission of plans shail contain the following information: (1) a detailed description of and timetable for the proposed construction or other activity; and (2) other information the department requires to fully assess the impact of the proposed activity upon the waters. (e) The department will, within 30 days of receipt of complete plans, approve plans sutrnitted under this section if the applicant demonstrates that the sewerage system or treatment works will meet the requirements of this chapter and chapter 70 of this title. (f) The department will, in its discretion, attach terms and conditions to approved plans necessary to insure compliance with the requirements of this chapter and chapter 70 of this title. (g) For the purpose of reviewing plans required to be sulinitted under this section, the department will use, where applicable, the design criteria contained in the following: (1) Sewage Treatment Plant Design, Manual of Practice Number 8, 1976, and Design and Construction of Sanitary and Storm Sewers, Manual of Practice Number 0—,1-970; Water Pollution Control Federation, 3900 Wisconsin Avenue, Washington, D.C., 20016. (2) Glossary - Water and Wastewater Control Engineering, Joint Editorial Board, American Public Health Association, American Society of Civil Engineers, American Water Fbrks Association and Water Pollution Control Federation, 1969; available from Water Pollution Control Federation, 3900 Wisconsin Avenue, Washington, D.C., 20016. • ` r^�, _ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION f .�jpi 825 L. Street, Anehur ge, Alaska 89501 2644720 TEST `- SO:LS LOG — PERCOLATION TEST PERFORMED FOR: 21c k/G, DATE PERFORMED:_. IV LLEGAL DESCRIPTION:_ x/t#-C-7 L oke F 4,y DEPTH p�'p 2,�ti r L SLOPE SITE PLAN RTM 14 15 16 17 ; 16 ' 19 20 6 /-aaS �n �f L 7 ZZ6 p 444/�� G.) a Cz q f e f llU0"'l (�N' VAS GROUND COUNTER E D TATER IF YES, AT WHAT %JM O / r� l� DEPTH? Robert A. Sh9iIdr T �•• No. 1457: �% `y •a• .• Qo r a pROffSS10NAl �*~4 Reading 41f� ime Time Not Depth Net Orop z;Zr F-- 2 ' /I ;is I /0 u /2 -y�8 /O /L PERCOLATION RATE / TES1 RUN BETWEEN FT AND FT COMMENTS f /J �C fi�lS-,Q�[—N✓—/AJ 4*76#7 P"FCRMEO BY: 1.S fiLC/aI CAC/�/ GG r CERTIFIEDGATE B f7 /� PERFORMED _ I LEGAL DESCR 1 ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION ❑ PERCOLATION TEST 826 L. Street. Anchorage, Alaska 99601 2644720 SOILS LOG— PERCOLATION ES� 3 / p fa � I L •r 4 b , 1 'y ;. 9 +� F Pr, 11 WAS GROUND WATER F. ENCOUNTERED] !; D IF YES, AT WHAT Y 13 DEPTH) i 14 16 to } e�p'( .••M...eejAS d+:. 17 16 Rebart A. Ske( 19 _ �� :, Ne, 1457.1 DATE PERFORMED:a MEowns mi"NIZE Elmo UNME■■■Mre won ■o■ eWee��e�s�: MNo ■��■■■■®■ e■ MERaffiazz"on P E " Reeding Date Gross Time Net Time Depth to Water Not Drop '3:': • '� S;'Vf �a ar 9 'i6 ��,F It all $6 4. 20 I�ARCFESSII* C ��\��.q�Y� -PERCOLATION RATE v 1utn/inch) r^�p • TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: S S Engine"uIng CERTIFIED 8 DATEA 7:.000 (6rg) .S 60I0 FEB 0 3 1982 SOILS LOG MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION O PERCOLATION 825 L. StrNL Anehorw, Alaska 99501 2844720 - TEST '. SOILS LOG —PERCOLATION TEST AE 7 LEGA 1 2 3 4 6 8 g 7 F 10 V 12 13 14 15 18 17 18 19 20 TEST RUN BETWEEN FT AND FT COMMENTS PERFORMED BY: S & S En41DBeTing CERTIFIED 72406 (6/791 'S6040 FCB 03 1982. i u; PERFORMEDF LEGAL 2. 3- 4- 5 6_ 7 E_ 9— 124 13 , 14� 15 ' 16 17 18 14 20 ❑ SOILS LOG n MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION PERCOLATION / 825 L. Street, Anehws(p, Alaska 99501 2644720 TEST /SOILS LOG- PERCOLATION TEST .�" /✓ 7 •�D/ `�L� DATE PER FORMED:_/�✓ O �� s,Z-7 s-n-/vo ins- p/ate WAS ENCOUNTUNDERED? WATER I/�� S ENCOUNTERE07 7y UL P IF YES, AT WHAT E DEPrH7 Reading Date Gross Time Net Time Depth to Water Net Drop /0 7/t J PERCOLATION RATE PERFORMED BY; -5"% /C AJG/SII �CtGI /UL CERTIFIED '72408 (6/79) DATE: r2 (j Z- PERFORMED LEGAL - 13 14 16 18 17 18 19 't 40 ' rAd- ^' O SOILS LOG MUNICIPALITY OF ANCHOR#MCIPALITY OF ANI DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION l & PERCOLATION �y�Lpn ENTAL 7kOTECTION_.-TEST ..826 L. StrNt. Anchw.p., Ah.ka 98601 26446`JM ' SOILS LOG —PERCOLATION TESTQ—C 3.1 1981 e4 k I ✓cr ou '� lif`'e�siL y say 70ff-/- � � SaN,a Si r✓y ,6Z ry 6�.0411E L. AS GROUND WI r I C,_ JC}� e 4rill ENCOUNTERED? ��Ii- /O'e IF YES, AT WHAT ,///' l DEPTH? 20 '"T.-; . 2V OF .44'111 1146M A. 4.� �YCF-. E ®=mmm�ll mmmmm� PERCOLATION RATE A (minuadinch) TEST RUN BETWEEN FT AND FT PERFORMED BY: &.S EnginRQT�ntl CERTIFIED B DATE �j $ 040'F B 03 1982- '72-001 (6/71) - ` Municipality of Anchorage • -� Development Services Department Building Safety Division''-` On -Site Water and Wastewater Program , 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519.6650 www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. _051-072-69 HAA # 05 C;5—:y7 Expiration Date: 1. GENERAL INFORMATION Complete legal description Lot 6, Kimpton Subdivision Location (site address or directions) 22241 Glacier Road, Chugiak, Alaska Current Property owner(s) Jonathan & Rachel Hammond Day phone(907) 688-7602 Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 22241 Glacier Road, Chugiak, Alaska 99567 Day phone Vivian Coleman/ -Dynamic Prop.Day phone (9 07) 261-7653 3111 C Street, Anchorage, Alaska 99501 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well IN Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 11 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 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 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 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 Pinard Engineering Phone (907) 357-3647 Address PO Box 871347, Wasilla, Alaska 99687 Engineer's Printed Name Paul E. Pinard Date 10/10/05 n ��• � r ••�rfF , jj*0 AOT14 - �•;: _. ir .60� sssus••••••••o...• r. 5. DSD SIGNATURE i Pa . ul E. Pinard Approved for �� bedrooms. 9v Disapproved. �fl� •R�QFE°S'� Conditional approval for bedrooms, with the following stipuatibn, Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: _�l c a Q x � 1,4r�lA 0 c 2:2 Original Certificate Date: 16 (Ra 01102) Municipality of Anchorage ' Development Services Department Building Safety Division On -Site Water 8 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: Lot 6, Kimpton Subdivision ParcellD: 051-072-69 A. WELL DATA Well type Pr; vats If A, B, or C provide PWSID # Date completed Prior 83 Sanitary seal (YIN) _.Yes Total depth j55+ ft. Date of test Static water level Cased to 60+ n. FROM WELL LOG NA NA Well Log (YIN) No Wires properly protected (Y/N) YAA Casing height (above ground) 18+ in. AT INSPECTION 9/26/05 n. 89.0 tt. Well production NA g.p.m. WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate 0.97 mg./l. Arsenic: NA mg./l. Date of sample: 9L2-6/05 B. SEPTIC/HOLDING TANK DATA _4.7 g.p.m. Other bacteria _ 0 colonies/100 ml. Collected by: Pinard Engineering Tank Type/Material Steel Date installed _8/7 — 8/12/02 Tank size 1000 gal. Number of Compartments 2 Cleanouts (YIN) Yea Foundation cleanout (YIN) Yee Depression over tank (Y/N) No High water alarm (YIN) NA Date of pumping 10/25/04 Pumper JRs Pumping C. ABSORPTION FIELD DATA Date installed 8/7-12/02 Soil rating (g.p.d./ft' ori) 0.8 System type 5 Wide Drainfield Length 2 ® 34 ea ft. Width 5 ft. Gravel below pipe 6 ft. Total depth 7.3&ft. 2 Eff. absorption area 680 n2 Monitoring tube Yes Depression over field No Date of adequacy test 9/26/05 Results (Pass/Fail) Pass For 3 bedrooms Fluid depth in absorption field before test 54 in.0 Water added560 gal. New depth= i* Elapsed Time:l� Oi Ht _— Final fluid depth 71 &no Absorption rate >= 450 g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN 8 type) None Known If yes, give date D. LIFT STATION HA Date installed "Pump on" level at —in. Datum E. SEPARATION DISTANCES Size in gallons "Pump off" level at _ in. Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 1001+ Absorption field on lot 1001+ Public sewer main NA Manhole/Access (Y/N) High water alarm level at Meets alarm & circuit requirements? On adjacent lots 1001+ On adjacent lots 11001+ Public sewer manhole/cleanout AA Sewer /septic service line 251+ Holding tank SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5 r + Property line 5 1 + Water main NA Water service line _ 10'+ Wells on adjacent lots 1001+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: NA Absorption field 51+ Surface water 1001+ Property line 101+ Building foundation 101+ Water main NA Water Service Iine101+ Surface water 1001+ Driveway. parking/vehicle storage 251+ Curtain drain None Known Wells on adjacent lots 1001 + F. COMMENTS 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 HAA guidelines in effect on this date. Engineer's Printed Name Paul E. Pinard Date 10/10/05 HAA Fee $ 4�,D fb Date of Payment tl D / 12-105— Receipt Z105Receipt Number 7sa 53 (Rev. 12/01) Waiver Fee S Date of Payment Receipt Number in. PINARD ENGINEERING 0 Paul E. Pinard d Registered Engineer" & ID P.O. Box 871347, Wasiila, AK 99887 (907) 357-ENGR(3647) ONSITE DRINKING WATER AND SEWER SYSTEM ENGINEER'S EVALUATION PROPERTY DESCRIPTION: LOT 6, KIMPTON SUBDMSION This property is developed to serve a single-family residence with a total of 3 bedrooms. Owner's Name(s): Jonathan & Rachel Hammond Owner's Address: 22241 Glacier Road Chugiak, Alaska 99567 Buyer's Name(s): Terry & Samantha Holm Buyer's Address: ONSITE DRINKING WATER SYSTEM: This property Is served by a Public Water System approved by ADEC. XX Recent drinking water samples were tested at an ADEC certified laboratory and were found to meet current ADEC drinking water standards for coliform bacteria & nitrate. NOTES: A 4 hr flow test was conducfad, durino which the well produeed an aversas of 4.7 oom. ON-SITE WASTEWATER DISPOSAL SYSTEM: A new wastewater disposal system has been Installed. Based on periodic visual observations, it appears this system was constructed In general conformance with current 18 AAC 72 regulations and ADEC policies. This wastewater disposal system was Installed by an ADEC Certified Installer and approved by ADEC. XX The existing wastewater disposal system was tested in accordance with current ADEC policy and found to be operating satisfactorily. The readily Identifiable features of this system were observed and documented. XX jt appears this system meets 18 AAC 72 regulations, ADEC & MOA policies at the time it was Installed, documented and filed at the MOA. _This system meets the horizontal separation distance requirements of 18 AAC 72 regulations at the time it was Installed, however conformance with the vertical separation requirements of these regulations, to seasonal high groundwater and Impermeable layers, is unknown. Components are unknown and it Is undocumented with ADEC. NOTES: This report does not constitute a guarantee of any find, explicit or kryulred, as to the /-lure performance of this watersuppfy or wastewater disposal systemft does accuratey portray the conditions found on the date they were tested aneVor documented. *F49 TH DATE C C PAUL E PINAU CE -4793 LOCATION: Lot 6, Kimpton Subdivision APPLICANT: Jonathan & Rachel Hammond 22241 Glacier Road Chuglak, Alaska 99567 SEPTIC TANK TYPESIZE: Steetil000 Gallons, per MOA Records ABSORPTION SYSTEM: 5 Wide Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x ISO GAL/BR - 450 Gallons TEST DATA JOB NUMBER 05-356 DATE OF TEST. 912SMS FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time PINARD ENGINEERING o P.O. Box 871347 Septic Tank Wasilla, AK 99887 J '�b (907) 357-ENGR (3647) PM ADEQUACY TEST LOCATION: Lot 6, Kimpton Subdivision APPLICANT: Jonathan & Rachel Hammond 22241 Glacier Road Chuglak, Alaska 99567 SEPTIC TANK TYPESIZE: Steetil000 Gallons, per MOA Records ABSORPTION SYSTEM: 5 Wide Trench, per MOA Records DAILY FLOW: 3 BEDROOMS x ISO GAL/BR - 450 Gallons TEST DATA JOB NUMBER 05-356 DATE OF TEST. 912SMS FIELD STAFF: PJ Pinard NUMBER OF BEDROOMS: 3 SCUM: 0.0' SLUDGE: Minimal NEEDS TO BE PUMPED: Yes No XX CURRENTLY IN USE: Yes XX No Time Flow Rate Volume Cumulative Volume Septic Tank Septic Tank Soil Absorption System Comments PM (GPM) (GALS) (GALS) Liquid Level ' a Level Monitor Tube 1• a SAS Level Monitor Tube 2• A SAS Level 3:35 4.7 - - 4.0' 4.5' - 0.0' - Start Flow -Meter 243070 3:50 4.7 70 70 4.1' 0.1' 4.7' 0.2' 0.0' 0.0' 243140 4:05 4.7 70 140 4.1' 0.0' 5.3' 0.6' 0.0' 0.0' 243210 420 4.7 70 210 4.1' 0.0' 5.9' 0.6' 0.0' 0.0' 243280 4:35 4.7 70 280 4.1' 0.0' 6.0' 0.1' 0.0' 0.0' 243350 4:50 4.7 70 350 4.1' 0.0' 6.0' 0.0' 0.1' 0.1' 243420 5:05 4.7 70 420 4.1' 0.0' 6.0' 0.0' 0.P 0.0' 243490 520 4.7 70 490 4.1' 0.0' 6.0' 0.0' 02' 0.1' 243560 5:35 70 560 4.1' 0.0' 1 Stop Flow 243630 RECOVERY ®®®® .ALL M9 TEST: PASSED XXX FAILED COMMENTS: The SAS consists of 2 parallel "S Wide" Shallow Trenches with a 4'ED. Prior to beginning the test there was 4.6' of measurable liquid In one trench and none In the other. With the addition of 660 gallons to the system (more than the design dairy flow) the levels rose to 6.0' In the one that had measurable liquid and 0.3' In the other, Indicating that the one hsnch was lacking up and overflowing to the other. A recovery measurement an hour after stopping the flow, showed that the level had dropped to 6.9' in the "failed" trench and to 0.0' in the other. As a "total" system, the SAS adequately absorbed the flow. Reviewed by: Paul Pinard Date: 11!30!05 1 v' .ALL M9 TEST: PASSED XXX FAILED COMMENTS: The SAS consists of 2 parallel "S Wide" Shallow Trenches with a 4'ED. Prior to beginning the test there was 4.6' of measurable liquid In one trench and none In the other. With the addition of 660 gallons to the system (more than the design dairy flow) the levels rose to 6.0' In the one that had measurable liquid and 0.3' In the other, Indicating that the one hsnch was lacking up and overflowing to the other. A recovery measurement an hour after stopping the flow, showed that the level had dropped to 6.9' in the "failed" trench and to 0.0' in the other. As a "total" system, the SAS adequately absorbed the flow. Reviewed by: Paul Pinard Date: 11!30!05 1 v' OCT -10-2005 MCN 06:49 AN J.HAMi!ON) JRs Pumping PO Box 773415 !?nolo River, AK 99577 (907)694-6454, Rachel & Jonathan Hammond 22241 Glacier Road Chuglak, AK 99567 FAX NO, 907 666 7602 P. 01 Number: 16247 Data: 20 -Oct -2004 P.O. Number: Job Description: 10000 Order Num 16247 Manifost Serviced 25 -Oct -2004 Rachel 22241 Glaclor Road Chuglak, AK 99567 Quantity ServlceTypo Amount )(2M* Tax Extenslon 1 septic Servlco Undor2K $76.00 No No $75.00 1 Comore $150.00 No No $150.00 P A I D Nu: 3 9 *:,j4 Taxable Amount Tax Rate Tax Description Subtotal NonTaxed: $225.00 $0.00 Subtotal Toxaote: $0.00 Subtotal Tex: $0.00 Payment Terms: Not 30 Less Payment: ($226.00) Please Pay: $0.00 Laslaory 023104 +cavy Lice to have comers • Itke b know whats pokq on for your addod convorlonce wo aocept Amoncon Express/ Olcova j�Vaa and Maxtor Card payntorlts over tho phora. A9e100ays 1.6% W7ibechar0ed or THEREWILLDEADEUVERY i?S.00For NBF.ChedsAa.wmed foam dotach horn end roturn tho bottom portion with your payment. Rachol i Jorothm Hammond 22241 Glacier Road kwdca No. Dab Amount ouo ChuOlok,AK 99561 16247 28 -Oct -2004 $0.00 IM JRs Pumping PO Box 773415 Eagle River, AK 99577 (907) 694-6454, PA I D NO r 3 0 -,314 LOCATION: Lot 6, Kimpton DRILLER: Unknown DATE WELL COMPLETED: Prior to 1983 WELL DEPTH: 155'+ STATIC WATER LEVEL (top of casing): 89.0' PINARD ENGINEERING P.O. Box 871347 Wasilla, AK 99687 (907) 357-ENGR (3647) WELL FLOW TEST JOB NUMBER: OS4156 DATE OF TEST: 9126105 FIELD STAFF: PJ Pinard Time Elapsed Time Minutes Static Water Level Flow Rate Cumulative Gallons Pumped Remarks 2:30 PM - 89.0' 4.7 - Start Test - Meter 242760 2:45 15 95.0' 4.7 70 242830 3:00 30 95.3' 4.7 140 242900 3:15 45 95.1' 4.7 210 242970 3:30 60 95.3' 4.7 280 243040 3:45 75 95.3' 4.7 350 243110 4:00 90 95.5' 4.7 420 243180 4:15 105 95.3' 4.7 490 243250 4:30 120 95.2' 4.7 560 243320 4:45 135 95.3' 4.7 630 243390 5:00 150 95.3' 4.7 700 243460 5:15 165 94.9' 4.7 770 243530 5:30 180 95.3' 4.7 840 243600 5:45 195 95.4' 4.7 910 243670 6:00 210 95.5' 4.7 980 243740 6:15 225 95.3' 4.7 1050 243810 6:30 240 95.3' - 1120 Stop Test 243880 RECOVERY No need for recovery measurements. All well protection features are adequate. Average Flow Rate: 4.7 ppm Comments: DURING THIS TEST, THIS WATER SUPPLY WELL WAS CAPABLE OF PRODUCING 4.7 GPM. THIS TEST DOES NOT CONSTITUTE A Reviewed by: Paul Pinard WARRANTY OR GUARANTEE THAT THE WATER SUPPLY SYSTEM WILL CONTINUE TO FUNCTION AND PRODUCE AT THIS RATE. Date: 9130105 rl-,p 30S ttct# 1056334001 Client Name Picard Engineering Protect Name/# L6 K:n ptonSD Outside Hose Bibb Client Somplo ID L6 KimptonSD Outside Hose Bibb Matrix Drinking Water PWSID 0 Sample Remarks: 907 SAI 5301 # 2/ 4 All DatcsMoncs are Alaska Standard Time Printed Datetrime 10/07,2005 8:05 CoWnted Daterrimc 09262005 12:35 Rocchad Datr/rtme 09262005 13:20 Technical Diroctor SteP6mC.Edo Microbiology Eabaratory TotalColironn 0 col/100mL S00092228 A (<-D 09/26/05 TLF Albwabk Pmp Analysis Panua+er Retatts PQL Units M"od Conn:nalD Limits DDto Dan Nit Nittato-N 0.970 0.100 mglL EPA 353.2 B (<-10) 092N05 A2SS Microbiology Eabaratory TotalColironn 0 col/100mL S00092228 A (<-D 09/26/05 TLF Municipality of Anchorage Development Services Department Building Safety Division On -Site Water 8 Wastewater Program ►//y�/ \L/ 4700 South Bragaw St. I A P.O. Box 196650 Anchorage, AK 99519-6650 V www.ci.anchorage.ak.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL�� FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-072-69 HAA# 44'U O ef'�'o 1. GENERAL INFORMATION Expiration Date: / / — / S' 0 2— Complete Complete legal description LOT 6: KIMPTON SUBDIVISION Location (site address or directions) 22241 GLACIER ROAD • CHUGIAK. AK Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address DICK AND ROZANN KIMPTON Day phone 688-3175 ❑ Public Water System ❑ P.O. BOX 670251 * CHUGIAK, AK 99567 Day phone DAVE SEWE w/ PARTNERS REAL ESTATE Day phone 694-4994 11940 BUSINESS BLVD, SURE 202 • EAGLE RIVER, AK 99577-7742 Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well 0 Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) for properties served by a single-family on-site wastewater disposal and/or water supply system. DSD also issues HAAs upon request to homeowners. Certificates of Health Authority Approval are valid for 90 days from the date of issue for properties served by a private or Class C well and may be reissued with new water samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. Note: Alaska Water and Wastewater Consultants, Inc. shall be paid 3 at, or prior 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 ofAnchorage riles 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 Finn ALASKA WATER tic WASTEWATER CONSULTANTS, INC. Phone Address 6901 DEBARR ROAD, SUITE 2B ' ANCHORAGE, AK 99504 Engineers Printed Name JEFFREY A. GARNESS, P.E. Engineers Comments: In conducting this evaluation, AKW WC, Inc. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & 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 defects or encroachments. AKW WC, 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 2 bedrooms. Disapproved. 337-6179 Date 01+10). Oa Conditional approval for bedrooms, with the fllowing stipulations: Attachments: HAA Checklist Manitenance Agreements Septic System Advisory Supplemental Engineers Reort Well Flow Advisory Other Original Certificate Date: (Rw. 11A1) i Municipality of Anchorage ; • Development Services Department I: Building Safety Division ` On -Sits Water b Wastewater Program j 4700 South Bragew St. P.O. Box 19665D Anchorage. AK 9951945= www.d.andarage.ak.us (907)343.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: i' LOT 6: KIMPTON SUBDIVISION Parcel ID: 051-072-69 A WELL DATA j' Web type PR AIE If A B. or C provide PWSID# N A Well Log (YM) NO Daft completed PRIOR 1983 Sanitary seal (Y/N) YES Wires properly protected (YIN) YES Total depth 155+ ft. Cased to 40+ ft. Casing height (above ground) 18+ in. r FROM WELL LOG AT INSPECTION Date of test 8/13/2002 l Static water level �G ft. 151 ft. Well production g.p.m. 6.8 g.p.m. ° WATER SAMPLE RESULTS: Coliform 0 colonles/100 ml. Nltrat4kjLmg.IL. Other bacteria 0 colonies/100 ml. Arsenic: N/A mgA. Date of sample: a/1 2 2002 Collected by: AWWC, INC. B. SEPTIC/HOLDING TANK DATA Tank Type/Material STEEL Date Installed 8/7-12/2002 Tank size 1000 gal. Number of Compartments 8 Cleanouts (Y/N) YES Foundation deanout (YIN) YES Depression over tank (YIN) NO High water alarm (YIN) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA Date installed 8n'-12/2 Soh rating 00�00r fold m) 0_8 System type 5—WIDE DRAINREM Length VU2 O 34' fL Wkfth 5 ft. Gravel below pipe 4 ft. Total depth '7.3—e.b ft. E8. absorption area 680 fe Monitoring tube YES Depression over field NO Date of adequacy test NEW Results (Pass/Fag) — 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 > — g.p.d. Any rejuvenation treatment (past 12 mo.) (YIN 6 type) NONE KNOWN 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 in. Cycles tested Meets alar 6 circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAtlt station on lot 100'+ Absorption field on lot 100'+ Public sewer main N/A Sewer /septic service line 250+ On adjacent lots t 00'+ On adjacent lots t 00'+ Public sewer manhoie/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 10'+ Surface water t 00'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property Una 10'+ Building foundation 10'+ Water main N/A Water service line 100+ Surface water 100'+ Driveway, parking/vehicle storage 25'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I cerlify that I have determined through field inspections and review of Munidpal records that the above systems are in conformance wAh MOA HAA guidednes in effect on this date. Engineers Printed N me JEFFREY A GARNESS Date QIIM�Olt� HAA Fee $375 'f" 150 �52504fWaiver Fee $ Date Receipt Number (Rev. 17/01) Date of Payment Receipt Number -7953 , ee• i4: 3 G -L -AC 1 E R ROAD ' O Roxr.0 Je..n rip, "i 00 .� r;d SB6b-b69-LOG H8 AS -BUILT 1 h that I h su ed the tolldescribed ertby %r4j• aVe Ivey OWmg t Ft rty. LaT 6 t.e Anchorage . mg Precinct, Alaska, aad that the improve - menta Situs hereon are within the property lines and do not overlap or encroach on the.proptrty lymg adjacent thereto, that no improvements on property lying adjacent thereto encroach on the pramiaes in question and -that there as no roadways, transmisana'lines or other visible easements on said property except as indicated hereon. Dated at We River, A It %ca thls r 2- a,y P(�4 r1y�4y�. 200 Z . SCALE: ♦.. •• ' I}e••�•-«—•*,.1 Land Surveyor No.'BBPi.S 1':. yp • . Box 77-04%, Eagle River, Aloka 97577 - • ' phone (M694W r euo%ITW .1108 •0 e9bt60 ZO 41 2nd • 1 ti a F �l��M�•. c.✓Jrr l • w n.vs••.. w .. rr r — � M } sac V, ir 3 G -L -AC 1 E R ROAD ' O Roxr.0 Je..n rip, "i 00 .� r;d SB6b-b69-LOG H8 AS -BUILT 1 h that I h su ed the tolldescribed ertby %r4j• aVe Ivey OWmg t Ft rty. LaT 6 t.e Anchorage . mg Precinct, Alaska, aad that the improve - menta Situs hereon are within the property lines and do not overlap or encroach on the.proptrty lymg adjacent thereto, that no improvements on property lying adjacent thereto encroach on the pramiaes in question and -that there as no roadways, transmisana'lines or other visible easements on said property except as indicated hereon. Dated at We River, A It %ca thls r 2- a,y P(�4 r1y�4y�. 200 Z . SCALE: ♦.. •• ' I}e••�•-«—•*,.1 Land Surveyor No.'BBPi.S 1':. yp • . Box 77-04%, Eagle River, Aloka 97577 - • ' phone (M694W r euo%ITW .1108 •0 e9bt60 ZO 41 2nd