The URL can be used to link to this page

Home My WebLink AboutT15N R1W SEC 31 SE4NW4SW4NW4SW4T15N, RlW, Section 31 SE1/4 NW1/4 SW1/4 NW1/4 SW1/4 #051-351-02 Municipality of Anchorage Development Services Department Building Safety Division OnSfte Water & Wastewater Program, 4700 South Bragaw St P.O. Box 196650 Anchorage, AK 995195650 www.d.anchorage.ak.us (907) 343-7904 Page 1 of 3 On -Site Wastewater Disposal System and/or Well Inspection Report Permit Number. SWO10060 PID Number. 051-351-02 Name: WALLY McPHERSON Wastewater System: ❑ New ■ Upgrade Address: 18515 ELDORA DRIVE " EAGLE RIVER, AK 99577 ABSORPTION FIELD Phone: No. of Bedrooms: (907) 696-2389 3 DDeep Trench 05hollow Trench Mod Cluound 0Other LEGAL DESCRIPTION sae"uw 1.2 Total Depth t0 12 GPD/sq. n. rt. Lot Block: Subdivision: SE 1/4, NW 1/4, SW 1/4, NW 1/4, SW 1/4. Depth to pipe baaam tram anginal q,odo: 5.96-7.96 Grovel depth emeath pipe: 4.04 R rt Townsh;p: 15N Range: 1 W Section: 31 so added aeongoal oroils: Grow Wgft 45 SEE DWG. rt rt WELL: ❑ New ❑ Upgrade- Gravel e1dN: 5 hin,eor of ons 1 Doreen bet.e.n rnn: – rt In. aawebolien Pd..* A&C: Total 0. Coed ix Total eeoerpDa, ono: 450 I Pipe e,olarfoC D 3034/ F-810 FL R so. rt DrDln.Data Driled. Sbtk: Motes I.arek Mlellw: SOLITHFORK CONST. Dab Mot W: 5/16-17/01 �X\Sj\N R Tal« `,n,p set At Caalnq t e pht Ara" rkau TANK cPY R R SEPARATION DISTANCES ■Septic 0Holding 0S.T.E.P. 0Other ToSeptic Absorption Lift HoldingNk/PrWab Nvedatrrr. ANCHORAGE TANK GovoalO' in �1p1� 1000 From Tank Feld Station Tank sew LY w Well too'+ too•+ — — 25'+ STEEL 2 Surface Water 100•+ loo'+ — — — LIFT STATION Lot line 5'+ 10'+ — — — Size In easarov Norah«� Foundation $'+ 10'+ — — — anp en law et at wqn eater alarm at Pierer teob aealrw b-po-tions pwftr-w W Curtain Drain NONE KNOW Remarks: EXISTING SEPTIC TANK WAS ABANDONED BENCH MARK PER UPC. ALL CONTAMINATED MATERIAL WAS Looalkn arts 0.eariptlory BOTTOM OF SIDING AT POINT "Ail EXCAVATED AND BURIED ON–SrrE. A..a,,.a a.•alwa 100.00 n [xoets M UAL Qo�40 o pF 0p 000 �� .sip Inspections performed by AWWC, INC. Dates: 1st 5/16/2001 *.. .* 9 2nd 5/17/2001 3rd 5/25/2001 �0 e e comess.....� Department of Health and Human Services approval C 7953 000 Date: o Reviewed and a : P �� ' approved b Y—L- tJsap ro/esslD�o\g°° OHO (ear. 12/00) o� 40p000a PERMITDER` - ASBUILT DRAWING PARCEL NUMBER: SW01000060 051-351-02 A B C STI 16.0 19.4 - ST2 22.1 11.9 - NEW 1000 GALLON DBL1 23.8 10.6 - SEPTIC TANK DBL2 24.7 9.8 - 001 37.9 16.0 - \ BL1 MT1 36.5 13.2 - BL2 CO2 - 37.9 71.6 MT2 - 35.2 74.7 \ �, o I s 11 ri ° : NEW DRAINFlELD v I ° ° I • \ ALTERNATE SITE. WIL LIL LOT EO WAAIVER. a \ ELDORA DRIVE_ DATE: 5/25/2001 QUO o F DRAWN BY: C.J.G. cyi /_ill _. .. __.. .._....... C/... ..... ••O ALASKA WATER & WASTEWATER map SCALE 1 = 30� CONSULTANTS, INC. 6901 OEBARR ROAD, SURE 29 • AK HORAGE. AK 99504 • "40W07)337-0179' EAR 907).736J746 O •••••• • A • •• •••••• Y� PREPARED FOR: PHONE NUMBER: PAGE NUMBER: WALLY McPHERSON (907) 696-2389 1 2 OF 3 QQ p ;� f p •' pQ+�Oe•., y A corneae.. E 953 .` LEGAL DESCRIPTION: SE 1/4, NW 1/4, SW 1/4, NW 1/4, SW 1/4: SECTION 31, T15N, R1W, �cA�oo 1p�cfees\9�a� TYPE OF WORK: AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE �040000� PERMITNUMBER: AS -BUILT DRAWING PIDNUMBER' SWO 051 SW010060 051-351-02 FINAL GRADE 99.84-99.88 TOP OF TANK AT- -,_T T 1 1 TOP OF TANK AT INLET - 97.01 1 1 �OURET _ 96.96 / I I NEW 1000 GALLON INVERT OF BUNG) SEPTIC TANK AT INLET - 96.43 ATED WITH 4+ INCHES LUE BOARD INSULATION PER CONTRACTOR `INVERT OF BUNG AT OUTLET - 96.21 91.88 (AVERAGE) ll_e^ � ` ' 5/25/2001 R .. ._. .._...ice/ .. Y ._.. T ^� _ i.. ne DRAWN BY: ALASKA «'ATER & WASTE NNIATKRsGA� J.L.M. CONSULTANTS, INC . 690 DEBARK ROAD. 9uNC TE 29 - ANCHORAGE. AK 9950. - PHONE 07)337-0179 - Fex 907 38-3246 N.T.S. PREPARED FOR: PHONE NUMBER: PAGE NUMBER: WALLY McPHERSON (907) 696-2389 3 OF 3 LEGAL DESCRIPTION: SE 1/4, NW 1/4, SW 1/4, NW 1/4, SW 1/4: SECTION 31, T15N, R1 TYPE OF WORK: PROFILE AS—BUILT DRAWING OF SEPTIC SYSTEM UPGRADE hh 60FL1894,' •• -7953 ;'`a� MUNICIPALITY OFANCHORAGE Development Services Department On -Site Water& Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ONSITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade s -IG -or CZ a//cl-L Date Issued: Apr 10, 2001 Expiration Date: Apr 10, 2002 Permit Number: SWO10060 Parcel ID: 051-351-02 Legal Description: TI 5N R1W SEC 31 SE4NW4SW4NW4SW4 Design Engineer: 0041 AK Water & Wastewater Consultant Site Address: 018515 ELDORA DR Owner Name: WALLY MACPHERSON Lot Size: 33825 SO. FT. Owner Address: 18515 ELDORA DRIVE Total Bedrooms: 3 Permit Bedrooms: 3 EAGLE RIVER , AK 99577 - This permit is for the construction of: Disposal Field M✓ 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: j QDate: q411 O � A Date: 4 Municipality of Anchorage Development Services DepartmentBuilding Safety Safety DMalon Onsite Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.d.anchorege.akus (907)343.7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-35 t –02 Permit Number SW OIOO 60 w ROJO0/6 Property owners) WALLY IVl'VPHFRS0N Day phone 696-2389 5JTEgocwssj /gS/S ELDogq DRIvE, EFbtE rvArRr Ak 99X77 Mailing address (1) c/o PRUDENTIALyiSTA * ATTENTION: RAE HALL Mailing address J :i D: RVER. AK 7Jp Code 99577 description • : • . • . I NVJZ4..SW_JZ4 Legal description (Section, Township & Range) SECTION 31, T15N. R1 W Lot Size 33.825 —ACM&4go THIS APPLICATION IS FOR: Number of Bedrooms 3 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 & WASTEWATER CONSULTANTS, INC. (Signature of property mmer or autheflemd agent) Permit Fees: 4320 • CDC Date of Payment q-9-01 Receipt Number. a 73�) Waiver Fees_ •9 / 5 - (:;o Date of Payment y" 9"6y Receipt Number. 19730 ALASKA WATER & WASTEWATER CONSULTANTS, INC. April 6, 2001 Municipality of Anchorage Development Service Department Building Safety Division On -Site Water & Wastewater Program P.O. Box 196650 Anchorage, Alaska 99519-6650 Ref: Proposed Septic Upgrade Design for SE'/., NW %., SW 1/4., NW %4, SW %r Section 31, TI 5N, RI W To whom it may concern: The existing 3 bedroom house is served by a private well and septic system. The septic system is undocumented; but it does to appear to be adequately sized for a 2 bedroom house. A test hole was excavated next to the existing septic system. We are proposing that a new 1000 gallon septic tank be installed in the same area where the existing septic tank is placed. We are also proposing that the existing drainfield be excavated and all contaminated material be removed; and a new five foot wide drainfield be installed in the same area as the existing drainfield. Comments regarding the proposed design are summarized as follows: SOILS: See the attached logs which shows the soil classifications, groundwater monitoring, and the percolation test results. It is our opinion that an application rate of 1.2 gallons/day/A2 should apply. TRENCH DESIGN: a. Percolation Rate: 5 minutes/inch b. Allowable Application Rate: 1.2 gallons/day/ft2 c. Number of Bedrooms: 3 d. Design Flow: 450 gallons per day e. Minimum Absorption Area: 375 112 f. Total Depth: 12 feet (maximum — at any point) g. Effective Depth: 4 feet h. Width: 5 feet i. Reduction Factor: 0.50 j. Minimum Length: 40 feet long (2 legs @ 20 feet long each) k Effective absorption area = 400 ft2 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179' Fax: (907) 338-3246' Website: akwwc.com SURFACE WATERS: There are no surface waters within 100 feet of the proposed upgrade. TOPOGRAPHY: The area for the proposed septic system is a 5+/- percent slope that run from approximately southeast to northwest; in short, there are no slope concerns. LOT LINE WAIVER: We request a 5 foot lot line waiver from the east property line to the proposed septic upgrade and alternate site. We are unaware of any adverse effects this waiver would have on the neighboring property. 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 assistance. '.E., M.S. NOTE. Attached is a site plan drawing, a design drawing, two soils log, and a 7 page construction specification letter which are all part of the design package for this septic system. 6901 Debarr Road, Suite 2B • Anchorage, AK 99504 Ph: (907) 337-6179' Fax: (907) 338-3246 • Website: akwwc.com LAT 1, BLOCK 1 FIRE LAKE HEIGHTS S/D NW 1/4) NW 1/4, SW 1/4, NW 1/4. SW 1/4. S CTION 3427 5N, R1W ALKER NO ENCROACHMENT CONCERNS 144. N 15N. NE 1/4 NW 1/!. SW 1/4. NW 1/4. SW 1%4, SE 31. Y15N. RTW (C0LIETT TRACT) NO ENCROACHMENT CONCERNS NO WELL ON LOT PER PROPERTY OWNER 1 1 1 T \ / SW 4. 11/4/SECTION ESW t. SY R1W (CARINS TRACT) I I I i 1 I I I I I iEXI 1 (-SEE 1 I I I I I 1 4/6/2001 DRAWN BY: ALASKA WATER & WASTEWATERSSE J•L.M• CONSULTANTS,INC. 1" = 100 6901 DESARR ROAD, SLATE 29 • ANCHORAGE. AK 99504 • PHONE 907 376179 • FAX 907)31"246 PREPARED FOR PHONE NUMBER: PACE NUMBER: WALLY McPHERSON 696-2389 1 OF 2 LEGAL DESCRIPTION: SE 1/4, NW 1/4, SW 1/4, NW 1/4, SW 1/4; SECTION 31, T15N, R1W TYPE OF WORK: SITE PLAN FOR SEPTIC SYSTEM UPGRADE LOT 4. BLOCK 1 FIRE LAKE S/D /2 LOT S. BLOCK 1 FIRE LAKE S/D 12 WELL 100'+ OF 2) LOT 8. FRE LAK BLOCK 12 WELL 100'+ SrTE LOT 7. BLOCK 1 ME WLE S/D 12 WELL 100'+ LOT B. BLOCK 1 FIRE LAKE S/D 12 GO 7953 NOTE: THE CONTRACTOR SHALL HAVE THE EAST PROPERTY LINE FLAGGED BY A REGISTERED LAND SURVEYOR PRIOR TO ANY I CONSTRUCTION. I EXISTING SEPTIC TANK TO BE I COMPLETELY ABANDONED AND REPLACED WITH A NEW 1000 GALLON SEPTIC TANK. INSTALL FOUNDATION CLEMNOUT — — \ \ DOUBLE CLEANOUTS I \ � I I EXITING \ \ > , I DRAINFIELD Q PRO ED DRAJNFIELD E. I ` • I EXCAVATE THE EXISTINGDRAINFl LD e \MATE CONTAMINATED .° ro ITRE CH I ALTERNATE SITE I G .e RIAL EXCAVATE NEW • AT / THAT 112 FEET DEEP MAXIMUM ANY POINT B(5FEET 0 7DE BY I I �' FEET LONG 2LEGS AT 20 FEET LONG EACH). ADD 4 FEET OF CLEAN. / I WASHED SEWER DROU ROCK. ELDORA DRIVE_ DA4/6/2001 DRAWN BY: ALASKA WATER & WASTEWATERJ•L'M' SCALE' CONSULTANTS INC. 6001 DEBARK ROAD, SUYE T8 • ANCHORAGE. AK 99304 - PHONE 007).337170 •FAX 907)33!-3246 — /% PREPARED FOR: PHONE NUMBER: PAGE NUMBER: WALLY McPHERSON (907) 696-2389 1 2 OF 2 DO •• ••• .Y•L/J1 e f e A. mess- E-7953 LEGAL DESCRIPTION: SE 1/4, NW 1/4, SW1/4, NW 1/4, SW 1/4; SECTION 31, T15N, R1W, ��e 440OO��D��J ' •., ' o�a� TYPE OF WORK4redpro/essio('a% DESIGN OF SEPTIC SYSTEM UPGRADE Ia�ila�.� :�at:+laV IfDl�.�iti'�lcFyl . a � LEGAL. DESCRIPTION: SE 1/4, NW 1/4, SW 1/4, NW 1/4, SW 1/4; SECDON 31, T15N, R1W PERFORMED FOR: WALLY McPHERSON DATE: 3/29/2001 (fPTH eet) ORGANICS T 7- DATE ES HOLE 1 3/29/01 DRY 4/5/01 2:17 — 6- — 2 I 10 3-1/4' SOIL CLASSIFICATIONS 3 2:27 AND PROPOSED 9- 9 — SEPTIC 2:37 GIN ORG 3 \\ _:.� Z.7 GP ML 6. •`~ ° GM CL q d,. GC e o e SW OL MH 2:47 I 5 rte'= •• ' SP . .. CH ELDORA� RIVE — -t—�--- LAy SM OH ��Sda — SC — 10 3:07 10 4- 7- DATE DRY 3/29/01 DRY 4/5/01 2:17 — 6- — 2 I 10 3-1/4' EXISONG 3 2:27 AND PROPOSED 9- 9 — SEPTIC 2:37 10 SYSTEM 2-1/2' \\ 2:37 10— 6. — 6 2:47 10 3-3/4- 2-1/4- GP- GP- 6M 2:47 I 6- — 8 2:57 ELDORA� RIVE — -t—�--- LAy 2- 1 SITE ��Sda — 6- — 10 3:07 10 4- 2- 11 3:07 14 — 12 3:17 10 15- 5 2 - 16- 16 17 17 18 B.O.H. 19 20 DEPTH TO GROUNDWATER DATE DRY 3/29/01 DRY 4/5/01 2:17 — 6- — DATE READING SIPOLp NET TIME (MINUTES) WATER LEVEL READING 1TE 3/30/01 1 2:17 — 6- — 2 I 10 3-1/4' EXISONG 3 2:27 AND PROPOSED 6- — SEPTIC 2:37 10 SYSTEM 2-1/2' \\ 2:37 — 6. — 6 2:47 10 3-3/4- 2-1/4- 7 2:47 I 6- — 8 2:57 ELDORA� RIVE — -t—�--- 4- 2- 1 SITE f — 6- DATE READING CLOCK TIME NET TIME (MINUTES) WATER LEVEL READING NET DROP (INCHES) 3/30/01 1 2:17 — 6- — 2 2:27 10 3-1/4' 2-3/4- 3 2:27 — 6- — 4 2:37 10 3-1/2- 2-1/2' 5 2:37 — 6. — 6 2:47 10 3-3/4- 2-1/4- 7 2:47 — 6- — 8 2:57 10 4- 2- 9 2:57 — 6- — 10 3:07 10 4- 2- 11 3:07 — 6- — 12 3:17 10 4- 2 - PERCOLATION RATE 5 (MIN./INCH) PERC. HOLE DIA. 6- (INCHES) TEST RUN BETWEEN 7.0 FT. AND 7.5 FT, COMMENTS: PERC–HOLE WAS PRE–SOAKED FOR 4+ HOURS PERFORMED BY ALASKA WATER k WASTEWATER I, JEFFREY A. GARNESS, CERTIFYTHAT THIS 1A PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE: OI Municipality of Anchorage a� !� Department of Health and Human Services 825 "L" Street Rick Mystrom. P.O. Box 196650 Anchorage, Alaska 99519-6650 Mayor 343-4744 June 15, 1995 Wallace Stanley MacPherson 520-A West 58th Avenue Anchorage, Alaska 99518 1626 Subject: T15N R1W Section 31 SE} NW} SW} NWi SW} Permit #SW940175, PID #051-351-02 The subject permit, issued June 15, 1994 by this office for a single family well and/or on-site wastewater system, has expired as of June 15, 1995. A new permit must be obtained from this office for a well and/or on-site wastewater system NOT installed by the expiration date. If you have drilled the well, a well log must be sent to this office for documentation of the installation and to close the permit. If a licensed Professional Engineer has inspected the installation of the on-site wastewater system, the original as -built inspection report must be sent to this office for review, approval and documentation. All inspection reports must be submitted within 30 days of construction completion. When applying for a new permit, the fees are: $320.00 for an on-site wastewater permit; $120.00 for a well permit and $440.00 for a combined on-site wastewater and well permit. If you have any questions, please call this office at 343-4744. Si erely,, ames Cross,avo rogram Manager On-site Services enc: Copy of Permit PAGE 1 OF 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WELL SYSTEM PERMIT PERMIT NUMBER:SW940175 DATE ISSUED: 6/15/94 DESIGN ENGINEER:DUMMY COMPANY EXPIRATION DATE: 6/15/95 OWNER NAME:SLATER IRENE OWNER ADDRESS:P.O. BOX 770934 EAGLE RIVER, AK 99577 PARCEL ID:05135102 LEGAL DESCRIPTION: T15N R1W SEC 31 SE4NW4SW4NW4SW 4 LOT SIZE: 33825 (SQ. FT.) NUMBER OF BEDROOMS: 2 THIS PERMIT: 2 THIS PERMIT IS FOR THE CONTRUCTION OF: WELL SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: 1. THE ATTACHED APPROVED DESIGN. 2. ALL REQUIREMENTS SPECIFIED IN ANCHORAGE MUNICIPAL CODE CHAPTERS 15.55 AND 15.65 AND THE STATE OF ALASKA WASTEWATER DISPOSAL REGULATIONS (18AAC72) AND DRINKING WATER REGULATIONS (18AAC80). 3. THE ENGINEER MUST NOTIFY DHHS AT LEAST 2 HOURS PRIOR TO EACH INSPECTION. PROVIDE NOTIFICATION BY CALLING 343-4744 (24 HOURS) . 4. FROM OCTOBER 15 TO APRIL 15 A SUBSURFACE SOIL ABSORPTION SYSTEM UNDER CONSTRUCTION DURING FREEZING WEATHER MUST BE EITHER: A. OPENED AND CLOSED ON THE SAME DAY B. COVERED, SEALED AND HEATED TO PREVENT FREEZING 5. THE FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: RECEIVED ISSUED BY DATE:h DATE • (O �$I /'v) i r' t C Y W, �O n �Uw w u- im �1 Ox �i U LtJ r VIJ W3 I� 0 LL 0 V Y LU \J r V O M 2AIM TIIH 90N)l al n Q N O 0 W 3 Cn�ex#tftaed )rillin ?Ku DOC Co. dba SULLIVAN WATER WELLS P.O. BOX 670272, CHUGIAK, ALASKA 99587 • TELEPHONE 688.2759 OWNER OF LAND C44'F.<'ro3j DEPTH OF WELLy ADDRESSJJ _ 7 L(jt S l Sf A� 99S/� SLATIC LEVEL OF t�':�TER FT. - LEGAL DESCRIPTIONTI7A) �lcJ fcC�/ Sr`i�w4 Sw>R\ DOWNFT. From L4 Y Ft. From DATE. • Started Ended Ft. to GALS. PER HR From— rom From From Ft. to Ft. r r, PERMIT NUMBER From Ft. to KIND OF CASING From Ft.JoMUaicingtjty-O'-q 1 Dept. Health g Human Services From Ft. to Ft. From Ft. to t. KIND OF FORMATIpN: Ft. to Ft. From Ft. to Ft 1 �Ni' JC `S/T� �K J p From Ft. to' �� Ft. From Ft. to Ft. FromFt. toa /, y � Ft. �A^t b h� J < From Ft. to Ft. From Ft. to)S ---Ft. t : . S/C I_ r S -J,0 .3 t!:r4JtGFrom Ft. to Ft. From 6 C Ft. to LyD FL SA -u/) �id'�tJ�L wcT From —Ft. to Fl From I `/" Ft. to �1• � Ft. 1 '2'Mt�' 'j From Ft. to Ft From1 '18Ft. to LFt. R cA QJ CIC From Ft. to Ft. From_ Ft. to Ft. Froin Ft. to Ft. . From Ft. to Ft. From Ft. to Ft. ' From Ft. to Ft From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to Ft. From Ft. to From Ft. to Ft. From— rom From From Ft. to Ft. From Ft. to-"UL-1�995 From Ft. to Ft. From Ft.JoMUaicingtjty-O'-q Dept. Health g Human Services From Ft. to Ft. From Ft. to t. From Ft. to Ft. From Ft. to Ft MISCL. INFORMATION: /t C✓ff'��j. / '�- tJ 7'�3 / -/ v DRILLER'S NAME 1. Municipality of Anchorage .� Development Services Department i 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 Parcell.D. ()51—iii-n2 HAA# D60-573 Expiration Date: 1 1 -/.200( o 1. GENERAL INFORMATION ' / Complete legal description .T Ss4 • NW ; SW4 • NW4 • SW4 • 9 c - 31 • T1 SN • R1 w Location (site addressordire'ctions) 18515 Eldora Dr- Eagle River. AK 9AS77 Current Property own er(S);'Hathan Patry Mailing address.. • same Lending agency Mailing address Real Estate Agent Mailing Address Unless otherwise requested, HAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Ks Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ Day phone'696-7756 Day phone Day phone TYPE OF WASTEWATER DISPOSAL: Individual On-site 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 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 S S Enr.ineering Phone 694-2979 Address 17034 N. Eagle River Loop Ste. 204 Eagle River, AK 99577 Engineer's Printed Name Robert C. Cowan Date %o /-yk.i 5. DSD SIGNATURE xs�e& eoe�rccownriCE-8801Approved for bedrooms. iq... .... *� Disapproved. Conditional approval for bedrooms, with the following stipulations: OF AfdC'fi Additional Comments �9. Attachments: HAA Checklist X Septic System Advisory Well Flow Advisory Maintenance Agreements Supplemental Engineer's Report Other By: Au j. j) � a 0", Original Certificate Date:It?t-7 j< -� (Rw. 01,03) 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 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description:sctig �%�u I `7ft �4 t 014041I S� LS y 5£c.31 TTS�arce 11 D: 0�,I -OQ A. WELL DATA � Well type - Z1VAT157 If A. B, or C provide PWSID #= Well Logq ) ��E3 Date completed4111 154 y Sanitary seal (DN) `1155 Wires properly protected41% YT -S I Total depth `.�D ft. Cased to 2bZIft. Casing height (above ground) ( r in. FROM WELL LOG AT INSPECTION Date of test 6 195 q C11:30/O!5 Static water level 1`70 ft. r I'4Li, ft. Well production S^C) g.p.m. So Z g.p.m. WATER SAMPLE RESULTS: Coliform _colonies/100 ml. Nitrate ,z mg./I. Other bacteria b colonies/100 ml. Arsenic: = mg./I. Date of sample: x105 Collected by: SM -S B. SEPTIC/HOLDING TANK DATA Tank Type/Material rI C_ / [LE Date installed /� — S O I Tank size 1 Ddt� gal. Number of Compartments Cleanouts &4) Foundation cleanou ( ) _)L6 Depression over tank (Y� High water alarm ffgz� Date of pumping S Pumper d� M I-T><}i�t ?L) ri t . C. ABSORPTION FIELD DATA . Dale installed /E'Si7 N Soil rating.p.d./ft r ft2/bdrm) 1_Z System type �' N p-tcAcO I ✓2r,0Clf i r i Length N5 ft. Width 5 ft. Gravel below pipe f -i' ft. Total depth Q: ft. Eff. absorption area _qD_ft2 Monitoring tube �t'S Depression over field n?C� Date of adequacy test 9.-15C.Lo 5 Results ail) For 3 bedrooms �1' u Fluid depth in absorption field before test" I in. Water added gal. New depth in. Elapsed Time: 14 min. Final fluid depth sV in. Absorption rate >= 14;,0+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y IW type) FSO If yes, give date D. LIFT STATION Date installed 'Pump on' level at _ in. Datum — E. SEPARATION DISTANCES Size in gallons 'Pump off" level at tested Manhole/Access (YIN) level at Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100 0+ On adjacent lots Absorption field on lot 100 I f Public sewer main tJ 14 t Sewer /septic service line (d 'r tC'o14- On adjacent lots 1 00'-t Public 0I- Public sewer manholetcleanout ke) A Holding tank OR SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: 1 t 1 Building foundation a i Property line 'S + Absorption field 5 -i- Water main N-�' fl Water service line 10 4 Surface water l OD 4 Wells on adjacent lots inO t - - SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line (O �-- Building foundation 10 r r Water main t�n ;l Water Service line 10 t-1— Surface water r Pa> �� Driveway, parking/vehicle storage 1C) Curtain drain t-'0K*--KXX")0 Hells on adjacent lots -f F. COMMENTS OF G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and i• review of Municipal records that the above systems are in . ,_ ,_ conformance with MOA HAA guidelines in effect on this date. y >� ROOM C. WwMi �7 CE 8801 EngineerC. Cd 's Printed Name Rd F� EA j ,✓�l.J ?� Date /O /.Y/-=— HAA .Y/-= HAA Fee $ •} 3 0. 00 Waiver Fee $ _ Date of Payment / ° / 'r/ o S Date of Payment Receipt Number d i K / Receipt Number (Rev. 12/01) in. 10-04-06;11:40 SGS SCSReLN 1055836001 Client Nome S & S Engineering Project Namem SE4NW4SW4NW4SW4 Client Sample TD Lot 5 Sec 31 T15N RI W Matrix Drinking Water PWSM 0 Sample Remarks. ;907 661 5301 # 2/ 4 An Datesaimes are Alaska Standard Time Printed DateMme 09/302005 16:32 Collated Date/time 09/072005 13:17 Received DatoMme 09/0712005 13:50 Technical Director Steohea C. Ede Allowable Prep Analysis Parameter Results PQL Units Method container Limits Date Dam 1411 Nitratc-N 3.24 0.100 mg/L EPA 353.2 B (4-10) 09/07/05 AZS microbiology Laboratory TOW COMM 0 eol/100mL SNUO9222B A (4-1) 09/07/05 TLF E'rr • �ro.r EL.OI'tf'� LLO/l�L� ��r�'rFic�r4v.z/ ASBUILT-NO CORNERS SET 'THIS DATE. I HEREBY CERTIFY -THAT I HAVE SURVEYED THE FOLLOWING DESCRIBED PROPERTY, tE/'y.vw�irwyyvwi�rw/y�^,J/TirN,pic�tr�l! AND THAT NO ENCROACHMENTS EXIST EXCEPT AS INDICATED. IT IS THE RESPONSIBILITY OF THE OWNER TO DETERMINE THE EXISTENCE OF ANY EASEMENTS, COVENANTS, OR RESTRICTIONS WHICH DO NOT APPEAR ON THE RECORDED SUBDI- VISION PLAT. UNDER NO CIRCUMSTANCES SHOULD ANY DATA HEREON BE USED FOR CONSTRUCTION OF FENCE LINES, OR FOR ESTABLISHING BOUND- ARY LINES. DATE+ %•* ... GRID: .vwyry i..iia ,'t A Dus.. A44A Ss..s.d FB: yB-9s/ +� ••, LS -6918 •`,a `s �. '14�sAxu1�5� DRAWN;:. °� • p A n w,.. •*•` Municipality of Anchorage ' Development Services Department . Building Safety Division .. .. Onsite Water & Wastewater Program 4700 South Bragaw SL P.O. Box 1%650 Anchorage, AK 995196650 www.d.anchorage.akus (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FORA SINGLE FAMILY DWELLING P�=_ tssv�.JU aF >an.A 0101 RG Parcel I.D. 051-351=02 HAA# tl R d /0 /3 2 1. GENERAL INFORMATION Expiration Date: — Complete legal description T15N, RiW, SECnON31, SE 1/4, NW 1/4, SW 1/4 NW 1/4 SW 1/4• Location (site addressor directions) 18515 ELDORA DRIVE * EAGLE RIVER AK 99577 Current Property owner(s) WALLY McPHERSON ' Day phone - 696-2389 Mailing address Lending agency i Mailing address Real Estate Agent Mailing address c/o RAE HALL w/ PRUDENTIAL VISTA Day phone RAE HALL w/ PRUDENTIAL VISTA Day phone 689-6464 16635 CENTERFIELD DRIVE • EAGLE RIVER, AK 99577 Unless otherwise requested, NAA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual On-site Individual Water Storage ❑ Individual Holding tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of Health Authority Approval (HAA) based only upon the representations given in paragraph 5 by an Independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) 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 data of Issue for properties served by a private or Class C well and may be reissued with new water sample results less than 30 days old. (Certificates 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 $600.00 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 AuthofityApproval 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 mylnvestlgation 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 & WASTEWATER CONSULTANTS, INC. Phone 337-6179 Address 6901 DEBARR ROAD, SUITE 28 ° ANCHORAGE. AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date o Engineers Comments: In conducting this evaluation, Al=, Inc. attempted to protide a thorough, oo `.,... ...A conscientlous engineering analysts of the system In accordance with ADEC and MOA pO OQ DSD Guidelines & Regulations. The reported results described the performance of the systom under the conditions encountered at the time of the test and separation.., .. .. .. dis lances moasured to readily identifiable features. The operational life of all wells and p septic systems depend on the local soils condition, groundwater levels that may „ t G Fuctusto during the year, and the water usage of the family being served by the system. e re Gar ss: These conditions are outside the amtrvf of the evaluator of the system. Sat sfactory test OQ e C 7953 e results do not guarantee future performance of the system, nor do theyguarantee that there are no hidden defects or encroachments. AWWC, Inc. can therefore not provide Q °re Eos any warranty or tuture estimate of how long the system will continue to meat the X00°pro r r operational requirements of the ADEC or MOA DSD. The content of this report is for �� • F r the solo benorit of the owner listed above. Any reliance upon or use of this report by any \\�l\QQ�.� , .... A�C,�! other person or parry is not authorized, nor will N confer any legal right whatsoever. S. DSD SIGNATURE `J=� ON-SITE .WATERAND Approved for 3 bedrooms. _ WASTEWATER : Disapproved. = PROGRAM JOct•_•0. '• {/ Conditional approval for bedrooms, with the fllowing stipulationsJJ��iI �0 �i/�IENTSc`1� �l /l/1J1J)11)111111 Th /:-c C� 0 Pt A h/s1 F-CDn cion '7t/�na_/l %!�Aycr� /awes �1�c _ Attachments: HAA Checklist Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other By% (�� / /—' Original Certificate Date: ' (Rw.12W) Municipality of Anchorage • Development Services Department BUD** 88" Division On3ros WaatewaEx Program 4700 South Sregsw St P.O. Sax 196850 Anchorage, AK 995198650 www.d.andwrageAk.us (907)$43-790M1 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: SE 1/4, MR 1/4, SMr 1/4, MR 1/4, SIM 1/4: SMMM 31. T16N, R1M Parcel ID: 051-351-02 A. WELL DATA Wes type PRIVATE If A. S. or C provide PWSID# N/A Date completed 6/94 Sanitary seal (YM) YES Total depth –.12-01 Cased to 202 fL FROM WELL LOG Date of test 6/1994 Static water level 170 It. Well production 5.0 9— p.m- WATER SAMPLE RESULTS: Col form 0 colonies/100 ml. Nitrate 2.44 nVA- We9 Log (Y/N) YES Wires properly protected (Y/N) YES Casing height (above ground) 18+ in. AT INSPECTION 3/30/01 174 R 4.7 FOR 4 HOURS g,p,m. Other bacteria 0 colonies/100 ml. Date of sample: 4/3/01 Collected by: AWWC. INC. B. SEPTICIHOLDING TANK DATA •ESnMAIM. REOUESTM CONmMONhL HAA. TankType/Material STEEL Dateklaht9ed 5/16-17/2001 Tank size 1000 gal, Number of Compartments Cleerwuls (YIN) YES Foundation deanoult (YIN) YES Depression over tank (YIN) NO High water ohm (YIN) N/A Date of pumping NEW Pumper C. ABSORPTION FIELD DATA * F""" (.a.A" Date installed 5/16-17/01 Sog M0ng (�p.a]�i`ortt'/bdrm) 1_2 System type TRENCH Length 45 It, Wkflh 5 t Gravel below pipe 4.04 IL Total depfl'f I= 1_R Elf. absorption area 450 R' Monitoring tubeSS Depression over field NO Date of adequacy test NEW Results (Pass/Fa0) – For 3 bedrooms Fkdd depth In absorption Held before test= in. Water added=gal. New depth =in. Elapsed Time: = min. Final fluid depth = In. Absorption rate Any rejuvenation treatment (past 12 mo.) (Y/N 6 type) - 0 yes. give date - D. LIFT STATION Data installed 'Pump on' level at n. E. SEPARATION DISTANCES Slee in gallons High water alarm level at in. Cycles tasted Meets alarm 6 circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankniR station on lot 1009+ Absorption bold on lot 1001+ Public sewer main N/A On adjacent lots 100'+ On adjacent kms 100'+ Public sewer manhole/deanout N/A Sewer h►eptic service line 25'+ Holding tank N/A SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO. Building foundation 5'+ Property line 5'+ Absorption Held 5'+ Water main 10'+ Water service Nne 10'+ Surface water, 100'+ Wells on ad)acent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property One 10'+ Building foundatbn t 0'+ Water main 10'+ (N-! ) Water service One 10'+ Surface water 100'+ Driveway. paddng/vehlde storage 50'+ Curtain drain NONE KNOWN Wells on adjacent kits 100'+ F. COMMENTS 0. ENGINEER'S CERTIFICATION I cer* that l have determined tlaough Held InspeWons and : . Y* review ofMun/dpal records that Hie above systems are /n ..... . conformance wlfh MOA HAA guldethms M effect on fh/s date. A. Engineers me JEFFREY A. GARNESS —7933 Date •.......• foo p�ofodo�d HAA Fee $ Waiver Fee $ Date of Payment Date of Payment Receipt Number Receipt Number Fft.12MM Municipality of Anchorage Development Services Department Building Safety Division Onsite Water & Wastewater Program 4700 South Bragaw SL P.O. Box 196650 Anchorage, AK 99519-6650 www.d.enchorage.sk.us (907)343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 051-351-02 HAA# HA010130 1. GENERAL INFORMATION Expiration Date: _% — / / — 01 Complete legal description T15N R1W SECTION31, SE 1/4, NW 1/4, SW 1/4, NW 1/4, SW 1/4: Public Water System ❑ Location (site address or directions) 18515 ELDORA DRIVE " EAGLE RNER, AK 99577 Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address WALLY McPHERSON Day phone 696-2389 c/o RAE HALL w/ PRUDENTIAL VISTA Day phone RAE HALL w/ PRUDENTIAL VISTA Day phone 689-6464 16635 CENTERFIELD DRIVE ' EAGLE RIVER, AK 99577 Unless otherwise requested, NAA will be held by DSD forplckup. 2. NUMBER OF BEDROOMS: 3 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 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 5 by an independent professional civil engineer registered in the State of Alaska. Certificates of Health Authority Approval are required for the transfer of title (except between spouses) 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 less than 30 days old. (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 $2590.00 at, orprior to closing for the engineering services provided. 4. STATEMENT OF INSPECTION BY ENGINEER As cartirted 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 AuthoriyApproval Guidelines for this application, shows that the on-sNe 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 suppyandlor 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 & WASTEWATER CONSULTANTS, INC. Address 6901 DEBARR ROAD, SUITE 28 * ANCHORAGE, AK 99504 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Engineer's Comments: In conducting this evaluation, Al=, Inc. attempted to provido a thorough, conscientious englneering anaysls of the system In accordance KM ADEC and MCA 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 ldentifiable features. The operat'onal life of 59 )vvlls and septic systems depend on the local soils condition, groundwe tor levels that may euctuato during the year, and the water usage of the family being sorwd by tho 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. AW1YC, Inc. can therefore not provide any warranty or Arturo astime to of how long the system will continuo to melt the operational requirements of the ADEC orhfOA DSD. The content of this report Is for tha sole benefit of the ownerbsted above. Any reliance upon or use of this report by any other person or party is not authorfzed, nor willIt confer any legal right whatsoever. 5. DSD SIGNATURE Approved for bedrooms. Disapproved. Phone 337-6179 Date /C)/ Conditional approval for 3 bedrooms, with the flowing stipulations: WASTEWATER �•,• PROGRAM of 3 bids by certified excavators to construct a new wastewater disposal system on the subject property persuant to permit number SWO10060 (attached) by no later an June 15, 2001. kloney in escrow shall not be re ease unci t s o ce as gi.,cn final . p, l Attachments: HAA Checklist XXXX Manitenance Agreements Septic System Advisory Supplemental Engineer's Reort Well Flow Advisory Other XXXX WAIufA LF.TrER tVRoloof6 AW_' 1 Original Certificate Date: April 11. 2001 (R.. 12w) Municipality of Anchorage • Development Services Department WaOnSIEe WaW Division aWaatervW PPropram a 4700 South Brepaw St. P.O. Box 196650 Anehorape, AK 995198050 www d ardff Maio (907)843.7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: sE 1/4, mw 1/4. aw 1/4. NW 1/4, aw 1/4: SMIM 31. n5H, R1w PareelID: 051-351-02 A. WELL DATA Well type PRvATE If A, B, or C pmMe PWSID# N/A Data completed 6/94 Sanitary seal (Y/N) vEs Total depth 220 R Cased to 202 tL FROM WELL LOG Date of teat 6/1994 Static water level 170 f. Well production 5.0 9 -p.m - WATER SAMPLE RESULTS: Well Lop (YIN) YES Wires properly protected (YIN) YES Casing height (above ground) 18+ in. AT INSPECTION 3/30/01 174 fL 4.7 FOR 4 HOURS g.p m, Cdiform 0 colonies/100 ml. Nitrate 2.44 mgr„ Other bacteria 0 Col0nlW100 ml. Data of sample: 4/3/01 Collected by: AWWC. INC. B. SEPTICfHOLDING TANK DATA sesv A7w. REOuES71N6 cowrotowL HM Tank Type/Material UNKNOWN Date Installed •1980's Tank slaw «1000 gal. Number of Compartment 2 Cbm routs (YIN) YES Foundation deanout (YM) NO Depresslon over tank (YIN)NO High water alarm (YIN) N/A Data of pumping UNKNOWN Pumper — C. ABSORPTION FIELD DATA *M� ori WENCH�1. REOu�Es M ONTTIAND �NONALL ► RING AA Date installed '19WO Sol rating (g.PAA&r®)'100 System type , TRENCH Lwnpth 434 ft. Wktth '2.5 A. Gravel below pipe '3 fL Total depth a— t 1 R Elf. absorption area •204 fe Mq&Drkng tube YES Depression over fleki No Data of adequacy teat 3/30101 Resuns (Pasa/Fall) PASS For 2 bedrooms Fluid depth in absorption fleid before teat 6 In. Water added 351 gal. New depth 26 in. Elapsed Time: 110 min. Fines fluid depth 20 In. Absorption rate >a 300+ g.p d. Arry rejuvenation treatment (past 12 mo.) (YIN & type) NONE KNOWN N yea, give date — D. UFT STATION Date Inatelled 'Pump on' level at—in. E. SEPARATION DISTANCES Size in Gallons High water atarm level Cycles Meets ohm & circuit requirements? DISTANCES FROM WELL ON LOT TO: Septic WMiR station on lot 100'+ Absorption told on lot 100'+ Public sewer mein N/A Sewer /septic service One 25'+ On adjacent lots 100'+ On adjacent lots 100'+ Public sewer manholeldeanout N/A Holding tank N/A SEPARATION DISTANCES FROM SEPTIVHOLDING TANK ON LOT TO: Building foundation 5'+ Property One 5'+ Absorption ftold 5'+ Water main 10'+ Water service One t 0'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main 10'+ Water service One 10'+ Surface water 100'+ Driveway. parking/vehlde storage 50'+ Curtain drain NONE KNOWN Wells on adjacent Iota 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I cer* that I have determined though !leld fnVoWons and review of Munldpsl recants that the above systems are In conformance vdfh MOA HAA guMegnes in effect on this date. EnglneefsName JEFFREY A. GARNESS Date ney OI HAA Fee $ 302-20 Date of Payment q -01 Receipt Number 7 3 0 (Wv.12M) Walver Fee $ Date of Payment Receipt Number 01-05-01 17:36 FROM -CTE ENVIRONIENTAL ZIL tl,Mk 5615301 T-132 P.01/02 F-065 ME Environmental Services Inc. Laboratory Division 200 W. Potter Drive Anchorage, AK 9951 B Tel: (907) 562-2343 Fax: (907) 561-5301 PWSID n/a Sample Client PO#: 31 ME Ref. N: 1011624001 Client Name: AK Water 8 Waste ater Cons. Project Name: T15N, R1W, Sec 3 K SE4 Client Sample ID: "W4, SW4, NW4, SW4 Matrix: Drinking Water PWSID n/a Sample Client PO#: n/a Printed DateTme: 04105101 16:50 Collected Date/time: 04/03101 06:25 Received DateMme: 04/03101 15:25 Technical Director. Stephen Ede Released By: Allowable Prep Analysis Parameter Results POL Units Method urnits Date Date Init Total Coliform (MF) 0 coV100 ml SM9222B 04/03/01 KAP Nitrate 2.44 0.5 mg1L EPA 300 10.0 04103101 SLC 04/10/01 Municipality of Anchorage George P. Il'uerch, Mayor Department of Public Works Building Stlfety Didsion P.O. Box 196650 •471x1 S. Brngaw Street Anchornge, Alaska 99519-GG50 • (907) 343•&301 . hltp://%%i%i•.cl.nnchnrnge.nk.us Jeffrey A. Gamcss, PE Alaska Water & Wastewater Consultants, Inc. 6901 Debarr Road, Suite 213 Anchorage, Alaska 99504 Subject: Waiver Request for T15NR1WSec. 31SE1/4NW1/4SW1/4NW1/4SWI/4 Waiver Request #WR010016 Parcel ID #051-351-02 Permit #SW010060 & Health Authority Certificate #HA010138 Dear Mr. Gamess: Your request for a waiver of the required 10 feet horizontal separation from the on=site wastewater disposal system to property line has been approved. The approved separation distance is 5.0 feet. This waiver approval applies to the existing on-site wastewater disposal system to property line separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, �- /. 7grt/ Daniel J. Roth Civil Engineer On -Site Water & Wastewater Program MUNICIPALITY OF ANCHORAGE Department of Health & Human Services OnStte Services Waiver Review Worksheet WR#: WR010016 PID#: 051.351-02 HAM Permit#: SWO10060 Date Received: 419101 Legal Description: T15N R1 W SECTION 31 SE114 NW114 SW114 NW114 SWUM Engineer. JEFFREY A. GARNESS 6901 DEBARR ROAD, SUITE 2B, ANCHORAGE, ALASKA 99504 Applicant: WALLY MACPHERSON .......... Waiver Requested: 5 FEET FROM THE PROPOSED ABSORPTION FIELD TO THE EAST LOT LINE Criteria: 1. Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation 2. Special Conditions: 3. Other. Points: Total: .......... Waiver is Granted: is Waiver is not Granted: List conditions or Reasons for above: THE 10yolwl#d•. PROPER rr To 7NE EAsr hhr 14 l0 EAseAfewr TJEAr ARvHIe�rs THE USE ac 7NE /O �STR/p Of LAAet) POlf VEPrfC T/7tt1 Rfs"Lrra.b /.v/vo 1^1to9C7 Date: 4-10-01 By: //%9/l Name of Reviewer .......... Rec#: 2730 Amount: 115 Date Paid: 419101