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Home My WebLink AboutTHOMAS L BOYLE BLK 1 LT 7AThomas L. Boyle Block i Lot 7A #015-282-05 Municipality of Anchorage On -Site Water and Wastewater Program • (907) 343-7904 Page 1 of 3 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP141380 PID Number: 015-282-05 Dwelling: M Single Family (SF) ❑ Duplex (D) ❑ Multiple (SF and/or D) Project: ❑ New N Upgrade Name: TIMOTHY MILLER ABSORPTION FIELD ❑ Deep Trench 0 Shallow Trench ❑ Bed ❑ Mound Address 11900 CANGE ST ANCHORAGE AK 99516 ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 4 1.2 GPD/SF 3.0 Ft. LEGAL DESCRIPTION Depth to pipe invert from original gradeGravel 1.0 Ft. depth beneath pipe 2.0 Ft. Subdivision Block Lot THOMAS L BOYLE 1 7A Fill added above original gradeGravel 1_2 Ft. length 70 Ft. Township Range Section Gravel width 5 Ft. Ft Number of Lines Distance between lines -- Ft. SEPARATION DISTANCES To Septic Absorption Lift Station Holding Sewer Total absorption area Number of trenches Dist. between trenches 1 From Tank Field Tank Line 603 Ft 1 NA Ft. Well >100' >100' NA NA >25' TANK ■ Septic ❑ S.T.E.P. ❑ Holding ❑ Other Manufacturer ANCHORAGE TANK Capacity 11250 Gal. Surface Water >100' >100' NA NA Material Number of compartments Lot Line >5' >10' NA NA STEEL 2 NA Foundation >5' >10' NA NA LIFT STATION Manufacturer Capacity Curtain Drain >50' >50' NA NA Gal. Remarks EXISTING 3 BEDROOM DRAINFIELD Pump on level at in. Pump off level at in. High water alarm at -- in. CONNECTED VIA DIVERTER VALVE. ONLY NEW 4 BDRM DRAINFIELD CAN BE TESTED FOR COSAs Pump make and model Electrical Inspections performed by Installer PIPE MATERIAL House to tank 3034 Tankto drainfield 3034 JR'S SEPTIC Drainfield 3034 CO/MT3034 Inspector LARS SPURKLAND BENCH MARK (Assumed elevation) 100 ft Inspection 1n 11/4/14 11/4/14 Location and description da2 3itl 11/4/14 4'" CORNER CONCRETE PATIO COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp Conditional Approval: Date i4 H �% iMp... ..... 0 E.SPURKLAND. w ,rtp1 11590 �F0.4U�A,) Aroved pp Date %a '��-/ Inspection Repoli 9-1-12A S '\ BOUT IN FRONT OF TANK LOT 7A -,D C Ilk q J H S.T. C.O. C 29.0' 39.5' S.T. C.O. D 37.0' 46.5' DBL. C.O. f 39.7' 49.0' DIVERTER F 40.7' 50.0' DF. C.O. G 535' 75.0' DF. M. r. H 56.5' 77.0' OF. M. r. I 81.0' 91.5' DF. C.O. J 82.0' 92.5' LOT 79 VACANT INSTALLED 4 -BEDROOM SPCC SYSTEM INSTALLED 1250 GALLON SEPTIC TANK INSTALLED DIVERTER TO EXISTING PIT TRENCH LENGTH 70 FEET TRENCH WIDTH 5 FEET MAX EXCAVATION DEPTH 3.0 FEET ROCK DEPTH 2 FEET 9" INCII/A77AN PRC TEST PERFORMED BEFORE CONSTRUCTION NOTE. SLOPES EXCEEDING 25% WERE NOT OBSERVED WININ 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPRON HELD LOCATION. NOTE • THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON -SHE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARf APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE, 1' = 50 FT. tw Q c4ia 2 U 03 W V 1 ANU tNGINttK/NG 203 I I THOMAS L. BOM BLK 1 LT 7A I I SEPTIC SYSTEM ASBU/LT ANCH. AK. 9 K. 9 AV£N!/E9501 TIM MILLER DATE, NCV 20 2014 (907) 279-3916 11900 CANGE AVE ANCHORAGE AK 99516 SHEET., 2/3 5970, SVP734 PERMIT If CSP141380 Pilo # 015-282-05 7HCMA9LBCYL£BIL7A.SC50-ASB.BVG I Vide Trench, TH EQ fffY IIY. Elft'=9AS' xw REY�fd' —wnw M a" azs• BIVERT£R VALVE NO SCALE BIV£RT£R VALVE TO £XISTMG SEEPAGE PIT Trench Elevation (TyP) C(eanouts IS�il onitors Barrier fl� 2' Insula tion q F \ \ r.Q fIEY.=87' I I 2 ft of Septic Rock C 1250 GALLON SEPTIC TANK CONCRETE PATIO 100 FEET DOUBLE CL£ANOUTS 1250 GALLON SEPTIC TANK SPURKLAND ENGINEERINGI I THOMAS L. BOYLE BW I LT 7A I I SEPTIC SYSTEM ASBUILT I 203 W ,STN. AVENUE ANCN. AK. 99501 TIM MILLER BATE! NOV 12 2014 (907) 279-3916 11900 CANGE BR ANCHURAGE AK 99516 SHEET! 3/3 GRID 2734 PERMIT # OSP 141380 PID #015-282-05 TMOM4SLBOYLEBIL7A.D3-ASBBV6 aSpurkland Engineering 203 W. 15th Ave. Ste. 202A Anchorage, AK 99501 TEST HOLE / PBC-NLY SOIL LOG AND PERCOLATION TEST DEPTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOIL DESCRIPTION DATE. LVJ,f 4 — WAS GROUNDWATER OBSERVED. _ IF YES, AT WHAT DEPTH. AFTER MONITORING PERIOD. DATE OBSERVED. PERCOLATION TEST.• NOTES.PRE-SOAKED FILL DATE I GROSS TIME NET TIME DISTANCE I DROP &150' 11114114 9.00 AM 0 m1n. &500 10 min. 6.000 2.500 &615 10 min. 6.313 8.625 10 min. 6.500 2.125 6.625 10 min. 6.563 2063 &625 10 m1n. 6.625 2000 10 min. 6.625 - 2000 PERCOLATION RATE. 5 minutes/ inch PERC HOLE DIAMETER. 6 inches TEST RUN BETWEEN 2 FT AND 3 _ FT SITE PLAN. PERFORMED BY.- Lars Spurkland. 1, Lars Spurkland P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERING THOMAS L. BOYLE BW I LT 7A SOIL LOG PERCOLATION TEST 203 W 15TH. AVENUE ANCH, AK. 9950111 TIM MILLER BATE, NOV 20 2014 (907) 279-3916 11900 CAN6E BR ANCHURAGE AK 99516 16RIB !1+ SWE734 PERMIT #141380 PID # 015-282-05 On -Site Wastewater Disposal System Permit Permit Number: OSP141380 Tax Code Number: 01528205000 MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Work Type: Septic Upgrade Permit Effective Dates: September 19, 2014 to September 19, 2015 Design Engineer: SPURKLAND ENGINEERING Subdivision: THOMAS L BOYLE Site Legal Address: THOMAS L BOYLE BLK 1 LT 7A G:2734 Owner/Address: MILLER TIMOTHY P 11900 CANGE STREET ANCHORAGE AK 995162029 Site Mailing Address: 11900 CANGE ST, Anchorage Lot Size in Sq Ft: 46200 Total Bedrooms: 4 This permit is for the construction of: Y Disposal Field Y Septic Tank N Holding Tank N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. 1. The entire subsurface disposal field and/or alternate is not within a 30 foot radius of a percolation test. The Engineer needs to do an additional percolation test prior to the construction of the septic field. Please submit stamped and signed results with the As -built Inspection Report. If the results require a design change, construction of the system will stop pending On -Site review and approval. AMC 15.65.060.B.3 2. If the existing 3 bedroom system is not decommissioned but a diverter valve is used, a note must be made on the Inspection Report stating that only the system designed for 4 bedrooms shall be tested for any future COSAs. 3. If, during construction, sewer rock from the existing seepage pit is found construction of the system will stop pending On -Site review and approval. Received Bv: � S 1 Issued By: MUNICIPALITY OF ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program ON-SITE SEWER/WELL PERMIT APPLICATION Parcel I.D. 015-282-05 Property owner(s) TIM MILLER Mailing address 11900 CANGE DR ANCHORAGE AK 99516 Site address SAME Legal description (Sub'd., Block & Lot) THOMAS L. BOYLE B1 L7A Legal description (Township, Range & Section) Lot Size APPLICATION IS FOR: (® all that apply) Absorption Field El Day phone Ft. Number of Bedrooms 4 APPLICATION IS AN: Initial Septic Tank 0 Upgrade Holding Tank ❑ Renewal Privy ❑ Private Well ❑ Water Storage ❑ TYPE OF DWELLING: ❑ Single Family (SF) ❑ (w/wo ADU) X Duplex (D) Multiple Dwellings AC C E P T S (SF and/or D) Per AMC 23.10.104.12.1 SFr' 8 ':Ula THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: Distance: I certify that the above information is correct. I further certify that this is in accordance with applicable Municipal Codes. property owner or authorized agent) Permit/Rush Fees: 56� — Waiver Fees: Date of Payment: 01191FA cj-� Date of Payment: Receipt Number: b Iyi IS Receipt Number: Permit No. DSPIy 13o Waiver No. Permit App_9-1-12.doc x❑ AL Spurkland Engineering Environmental Consulting and Design SEPTIC SYSTEM DESIGN THOMAS L BOYLE BLK 1 LT 7A Municipality of Anchorage September 4, 2014 Development Services Department On Site Water and Wastewater Program 4700 Elmore Road Anchorage, Alaska 99519 Subject: Septic System Installation Permit 11900 Cange St Anchorage AK 99516 Ladies and Gentlemen: I am writing to request a septic system installation permit for the above referenced property. The owner would like replace the existing system. The proposed system will serve a 4 -bedroom single-family residence. Soil logs, design calculations, a site plan, design drawings and construction specifications are enclosed for your review. Design Calcs: Groundwater observed at a depth of 8 feet below ground surface (9/4/14). Soil Rating. From Testhole 7/30/14 5 min/in = 1.2 gal per sq.ft/day No. of Bedrooms 4 Required Area per Bedroom: 150/ 1.2=125sq.ft. Total area required: 125 x 4 = 500 sgft System: We are proposing a new 1250 gallon septic tank followed by a wide trench absorption field. The absorption field will be 70 feet long and 5 feet wide and contain 2.0 feet (603 sq.ft. effective) of sewer rock. Soils: Test holes were excavated on July 3e, 2014. See the attached soil logs. Ground water monitoring will continue through construction of the septic system. Groundwater was observed at a depth of 8 feet below ground surface on Sept 4 2014. Surface Water: There are no surface waters within one hundred feet of the proposed septic system upgrade. 203 West Wh Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net Spurkland Engineering Environmental Consulting and Design Topography: The ground level slopes down towards the south at a 10-15% grade Waivers: None The installation of this septic system will not prevent wells and septic systems from being installed on the adjacent lots. The proposed septic system will not change the general slope of the area. Ponding and/or concentration of surface runoff will not result from this installation. If you have any questions or concerns, please contact me at 279-3916. Sincerely, �1�4 6V Lars Spurkland, P.E. Civil Engineer 203 West 15t4 Avenue Suite 203, Anchorage, AK 99501, Phone: (907) 279-3916 Fax: (866) 354-1597, Lspurkland@gci.net ® (;,tk!� i i LOT 5A LOT 6A 1 I II ® I I I I II II II LOT 58 LOT 68 I I T12N R3W SECT 21 ® I I I I W2SW4NW4SE4 I II II y� II PSS® � I II I II LOT 7A �I I LOT 8A I I I II II LOT 78 1 I I I I II LO BB I VACANT I I I I II II -- -- CLEOAVE -- lY NOR: THIS IS NOT A SURVEYED PLAT. WELL k SEPTIC LOCATIONS TAKEN FROM ON-SITE WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 50 0 50 100 150 200 250 300 SCALE- 1' = 100 FT. SPURKLAND ENGINEERING THOHAS L. BOnE BM 1 LT 7A I ISEPTIC SYSTEM DESIGN 203 V TH. AVENUE ANCit AK.K,99501 TIM MILLER BATE.- AUG 5 2014 (907) 279-3916 11900 CANGE BR ANCHORAGE AK 99516 SHEET, 1/3 DRIB: SV2734 PERMIT # BSP141XXX PIB # 015-282-05 NVRTHV179BSB2L3.SC100.BV6 All jv LOT 68 D£COMMISION EXISTING SEPTIC TANK PER MOA CODE REQUIREMENTS LOT 7A LOT 78 VACANT INSTALL 4 -BEDROOM SEPNC SYSTEM INSTALL NEW 1150 GALLON SEPTIC TANK INSTALL DIVERTER VALVE TO EXISTING PIT TRENCH LENGTH 70 FEET TRENCH WIDTH 5 FEET MAX EXCAVATION DEPTH 3.0 FEET ROCK DEPTH 1 FEET 2" INSULATION rnV D 9 r= Alru ) PRC TEST TO BE PERFORMED BEFORE CONSTRUCTION NOTE: SLOPES EXCEEDING 25% WERE NOT OBSERVED WITHIN 50 FEET DOWN GRADIENT OF THE PROPOSED ABSORPNON FIELD LOCATION. NOTE.• THIS IS NOT A SURVEYED PLAT. WELL & SEPTIC LOCATIONS TAKEN FROM ON -SIT£ WATER AND WASTE WATER DEPARTMENT DOCUMENTATION. ALL LOCATIONS SHOWN ARE APPROXIMATE. 25 0 25 50 75 100 125 150 SCALE, 1' = 50 FT. JYUKKLA/VU tNG!lVttKlNG Q s U 11 THOMAS L. BOYLE BLK 1 LT 7A I I SEPTIC SYSTEM DESIGN I 203 W ISSN. AVENUE DATE, AUG 5 2014 ANCH. AK. 99501 TIM MILLER (907) 279-3916 11900 CANE AVE 4NCHOR46E AK 99516 SHEET, 213 GRI, SW2734 PERMIT # 17SP141XXX P1D # 015-282-05PERMIT # # 015-282-05 TNOMASLB9YL£B1L7A.SC54DV6 I Wide French, To 5' Vide 70' Long 3' Max Depth Q?r� c SFA 2' Sewer Rock 2' Cover 9E' DOU&£ CL£ANOUTS 2' Insulation \ \ DIV£RT£R VALVE NO SCALE DIV£RTER VALVE TO EXISTING S£EPA6£ PIT Trench Elevation (TyP) /— Cleanouts Monitors Silt Barrier ?' Tncrslntinz\ Septic Rock n 1250 GALLON SEPTIC TANK DOUBLE CLEAA97UTS 1250 GALLON SEPTIC MW ISPURKLAND ENGINEERINGI I THOMAS L. BOYLE BLIP I LT 7A I I SEPTIC SYSTEM DESIGN 203 V 15TH. AVENUE TIM MILLER DATE+ SEPT 1 2014 ANCH AK. 99501 (907) 279-3916 11900 CANG£ DR ANCHORAGE AK 99516 SHE£h 3/3 GRED 2734 PERMIT # OSP 141XXX PID 0015-282-05 THOMASLB9YL£BIL7A.D3.DVG SpAland Engineering 203 W. 15th Ave. Ste. 202A Anchorage, AK99501 TEST HOLE I _L_ DEPTH 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 SOIL LOG AND PERCOLATION TEST SOIL DESCRIPTION DATE._Z,(,iQ/14 ORGANICS WAS GROUNDWATER OBSERVED: —'r, Yes IF YES, AT WHAT DEPTH: 8 AFTER MONITORING PERIOD. • 8T_ _ DATE OBSERVED: 9/¢/14 Sandy SIN (SM) PERCOLATION TEST: Sand Lense (Sw) Saturated with H2O Silt (ML) NOTES: FILL DATE I GROSS TIME NET TIME I DISTANCE DROP t 0.000 7 30 14 1:00 PM 0 min. 10.438 1:10 PM 10 m1n. 7.813 2.125 10.500 1:20 PM 10 min. 8.438 2.000 10.500 1:30 PM 10 m1n. 8.500 2.000 10.500 140 PM 10 m1n. 8500 2000 10.500 1:50 PM 10 min. 8500. 2000 200 PM 10 min. 8.500 2000 PERCOLATION RATE.• 5 minutes/ inch PERC HOLE DIAMETER. 6 inches TEST RUN BETWEEN 3 FT AND 4 FT SITE PLAN: PERFORMED BY.• Lars SPurkland. 1, Lars SPurkland P.E. CERTIFY THAT THIS TEST WAS PERFORMED IN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE. SPURKLAND ENGINEERING I I THOMAS L. BOYM BLK I LT 7AI 16RIB SOIL LOG PERCOLATION TEST 203 W K. 99501 TH. AVENUE ANCfR AK. TIM MILLER BAT£+ AUG 52014 (907) 279-3916 11900 CANGE DR ANCHDRAG£ AK 99516 8: SV2734 PERMIT # PID # 015-282-05 111'righl-Alaska Engineering Services a 6004 Glenkerry I/r. a Anchorage. AK 99501 November 1, 1994 W.O. 94025 Municipality of Anchorage Department of Health & Human Services On Site Services Division P.O. Box 196650 Anchorage, AK 99519-6650 Attn: Mr. Dan Roth Re: Seepage Pit Repair Lot 7A, Blk. 1, Boyle Subd. T12N, R3W, Sec. 21 Dear Mr. Roth, cats- aP,a-m5 6031AJeg uewnH q 411o0H'1doa 013ejo4auv ho AiijeoiojunW Mt z AON a3A13AN In accordance with our conversation concerning the repair of the above seepage pit, on October 17, at the DHHS offices, I am submitting the following three Record Drawings for addition to the file on this lot. was called to the lot on October 14, by Mr. Steve Cowper, renter of the three bedroom single family house on this lot. He had noted a hole in the rear yard, and had correctly identified it as a septic system problem. During my investigation, I noted a 2 ft. diameter hole into a log crib seepage pit of unknown dimensions. My subsequent conversation with you the following Monday, indicated that, as this was a simple repair, a formal design and review was not necessary. 1 ran a topo survey of the lot, and prepared the attached drawings, which I sent out for bids to four certified installers. Mr. Bob Dean of Dean Construction & Development was the low bidder. On November 1, Mr. Dean repaired the existing seepage pit as noted on the record drawings. The repairs were accomplished in compliance with all requirements of the current Wastewater Disposal Regulations, as amended. The excavation was opened and backfilled on the same day. Should you have any questions or require additional information, please feel free to contact me at the numbers listed. ----- -- - ---- -- — Sincerely, Wright -Alaska Engineering Services Robert W. Wright, P.E. - — 11/2/94--- ---- - Seepage_pit was repaired. No permit required per Dan Roth. Telephone 19071 338.6230 a Fax 19011 337.5182 CANGE ROAD 100=0- W 165.0' Dept. RECEIVED NOV 21994 cipality of Anchi earth & Human E J_ Wright—Ali CIVIL 94025 Cr A� ska Engineering Services • SEPTIC • DRAFTING 7) 338-8230 Fax: (907) 337-5182 terry Dr. a Anchorage. AK 99504 'LE 94025TOP I SCALE 10_ 300 UAIE 10/18/94 • n I o. a OD O N 9 1 FIGURE 1 Lot 7Ar Blk 1 Boyle Sub. Seepage Pit Repair RECEIVED NOV 21994 Pt Health Municipality Humaof n Services Gee � of E/ 85 �OecK 0 c° e mea` o, noraPPyy`5�oe�ov paExstin9 TonkCaE ciilty J-256 Gals- tAuni Existing Log Crib Seepage Pit. 10't X 10't Com, Excavate to expose extents of - existing log crib. Q �s2 1 PI6ce 2— 3' dfa. perforated Concret a Q' Aeptic Rings & L`dc in center of pit. \ a� as Extend existing Servi�C Line with coupler & solid PVC pipie—to-Rings. Backfill between Rings & crib with Sewer Rock to top of Rings & Lid.\ RECORD ®Q86\WONG Place filter fabric over entire extent 82 99/9/94 of Sewer Rock, and backfill to finish grade with native soil. Wright—Alaska Engineering Services FIGURE 2 clvlL SEPTIC DRAFfINC Lot 7A Blk 1 Boyle Sub. Telephone. (907) 338-6230 Fax: (907) 337-5182 Y 6004 Glenkerry Dr. • Anchorage. AK 99504 Repair Detail w.o. 94025 COMP. FILE 94025SY5 ISCALE 1'_ 10' 1UAtE 10/18/94 O ` ^ W O; CS P C c 4a a JS U3 c as G' ::W v U c� 0 CL o a &U � 4:71c :rte oO a rn° 01rna 0: p +. 8 c SCIL w c p C LJ U i� O. v la. W v W W V) Iii v I I � a o 000 C o 0 9 oo ° CIL \ ° O0�a °g a • @S % \ 0 0 0 0 0 O O O /o O O O o O O O O O 00000 000 10 0 01 O O o O o O o O O o O O o 0 o O oO o o ° Odo ° °°\%/�\%� E LLJ0 LL W Ix Wright—Alaska Engineering Services FIGURE 3 CML SEPTIC DRAFTING Detail A Telephone: (907) 338-8230 Fax: (907) 337-5182 8004 Glenkerry Dr. • Anchom9e. AK 99504 Seepage Pit Section w.o. 94025 COMFaE 94025DET scALE V- 2• 77E 10/19/94 INSPECTION APPOINTMENTS DATE RECEIVED TIME TIME TIME q NUMBER OFsBEDROOMS DATE DATE DATE Two ❑ flve ❑ MULTIPLE FAMILY>79e—Three ❑ Six INSPECTOR INSPEC R INSPECTO�RJ� MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTIAIIIINNICIPALITY OF ANCHORAGE 825 L Street • Anchorage, Alaska 88501 DEPT. OF HEALTH & ENVIRONMENTAL P:.OTECTION 1 ENVIRONMENTAL SANITATION DIVISION \- Telephone 264.4720 MAY 1 4 1981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW1K f INDIVIDUAL/ON-SITE" DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROP TV Nf.(j PHONE f S MAILIN ADDRESS) A s %']5./ Ui 1114 n PROPERTY ESIDENT (It different from above) PHONE r 2.BUYER PHONE MAILING ADDRESS 3. LENDING INSTITUTION PHONE MAILING ADDRESS 4. REALTOR/AG tjT ` PHONE J MAILINGADDRESS G Q M 5. LEGAL DESCRIPTION STREET LOCATI N 6. TYPE OFRESIDENCE NUMBER OFsBEDROOMS pf_'�SINGLE FAMILY ❑ One ❑ Four ❑ Other Two ❑ flve ❑ MULTIPLE FAMILY>79e—Three ❑ Six 7. WATER SUPPLY INDIVIDUAL- 'ATTACH WELL LOG. Awell log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) 8. SEWAGE DISPOSAL SYSTEM INDIVIDUAL/ON-SITE" YEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLICUTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. ]DuIU (Rev. 6]]Y\l� S �y o V THIS SIDE FOR OFFICIAL USE ONLY - 1. TYPE OF RESIDENCE ❑ SINGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE ❑ THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY ❑ INDIVIDUAL ❑ COMMUNITY ❑ PUBLICUTILITY Connection Verified PERMIT NUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED 3. SEWAGE DISPOSAL SYSTEM ❑INDIVIDUAL/ON -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑Holding Tank Size: If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS PPROVEDFOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must acco ny certificate) Cl DISAPPROVED DATE 6_3-0 BY 72010 (So.. 6/79) ALASKA MINERAL C011Tf10L SCIS US, Inc. Enginecrinq 6 Enuironmental Studies MAY 19 1981 SUN REALTY/JUDY ROLLAND P.O. BOX 1201 EAGLE RIVER AK 99577 SELLER — SANDON SUBDIVISION—BOYLE SBDN BLOCK -1 LOT -7A THE TYPE OF ABSORPTION SYSTEM IS A PIT WITH AN UNKNOWN AREA. THE SYSTEM IS CAPABLE OF ACCEPTING 600 GALLONS OF WATER PER DAY. BASED UPON THE TEST DATA THE SYSTEM IS ACCEPTABLE FOR A 4 BEDROOM HOME. THE SEPTIC TANK WAS PUMPED ON MAY 20 1981 . THE SEPTIC TANK SIZE IS 1250 GALLONS. OF "• ' � MUNICIPALITY OF ANCHORAGE ,,, % DEPT. OF F..EALTH 8 "' op ENVIRONMENTAL P.OTcCTION CQa14b.�:�Wj . 2M4 MAY 2 6 1981 RECEIVED 1220 West 25th Auenue • Anchorage, Alaska 99503 0 (907) 276-1361 Mfinicipalfi4r ®fAnchorage -j" L� 825 "L" STREET U-) Lei (0-3-9/ ANCHORAGE, ALASKA 99501 prp�}�• (907) 264 4111 GEORGE K SULLIVAN, MAYOR DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 12c,;/ 5 ink May 19, 1981 Ltxz ''/0 (� 1 Bob Sanden 8 Judie Rowland Post Office Box 1201 Eagle River, Alaska 99577 Subject: Lot 7A Block 1 Boyle Subdivision Approval for the individual sewer and water facilities cannot be granted until the following items have been completed: (1) The water analysis report needs to be submitted to this office from the Chem Lab, 5633 B Street, for our review. 4_t(2) The septic tank pumped with the number of gallons on the receipt to verify it size. This will need / to be verified by a registered engineer. (3) An adequacy test needs to be performed on the existing leaching area. This test will determine if the system is adequate according to National Standards. A listing of private firms performing the test is enclosed. This report needs to be submitted to this office for our review. (4) The top of the well casing needs to be tightened so that it is water tight. (5) The depression around the well casing nerds to bo '0 ...� away from the well casing. Please notify this IlOLC. � Pt t 1(`t t1�1' it i desor�pancies have been correctedif t -here are any further questions, please call this office at 264-4720. Sincerely, �� nsac.ciatc Spcciali::,- Municipality of Anchorage .. .., Development Services Department Building Safety Division - ..... / OnlSite Water and Wastewater Program 4700 South Braga Street P.O. Box 196650 Anchorage, AK 99519-6650 www.ci.anchorage.sk.us (907) 343-7904 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING . HAA # n-L n7 CI f'1 Parcel I D." 015-282-05 Expiration Date: ..i4 i. ..GENERAL INFORMATION Complete legal description Lot 7A Block 1 Bo le SID Location (site address or directions) ` 11900 Can a Anchors Current Property owner(s) Bruce 8. Mary Lane Oay phone Mailing address 4702 Nord Hi hwa Chico CA 95973 8908' Day phone Lending agency Mailing address Real Estate Agent Jan PennInotogIDynamIc Prooertie Day phone 244-3099 Mailing Address 3111 C Street Anchors a AK 99503 Unless otherwise requested, HAA will be held by DHHS (orpickup. HAA picked up 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 [3Community On-site ❑ Public Water System ❑ Public Sewer ❑ CertifiThe Municipality of Anchorage')eveloprn^nt Services DepartroerA (DSD) I ti can independent t pates of Hofessi nal civil Approval (HAA) based only upcn the representations given in parograp by are re uired for the transfer of engineer registered in the State of Alaska. Certificates of Health Authority Approvalq title (except between spouses) 0:1.xoperties served by a single family on-site wastewater disposal and/or water on request to home owners: Certificates of Health Authority Approval supply system. DSD also issues HAAs up valid for 90 days from the date of Issue for properties served by a privale'or Class C well and may be reissued with new water sample results less than 30 days old. Certificates are valid for one year for properties served by Class A niUpality of Anchorage is not responsible for errors or omissions in,the or B weds bee public water system. The Mu professional engineer's work. 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation based on procedures outlined In the Health Authority Approval Guidelines for this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system Is safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the Information obtained from the Municipality of Anchorage files and from my Investigation and Inspection, the on- site water supply and/or wastewater disposal system is in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Eng. Svc.Phone 272-8218 Address P.O. Box 102954 Anch M99510 Engineer's Printed Name Steven R Pannone P.E. Date _� lZ1l Qz Engineers Comments In conducting an adequacy test, I attem t to provide a thorough, P P gh,conscientious\\\ 4 r engineering analysts of the system in accordance with MOA DSD Guidelines & Regulations. The \ ported iisults describe the performance o f the systemundeethe conditions encountered at the time of the test, and separation distances measured to readily identifiable features. The o wells and septic perational lire orall • Gj -- sep _ systems depend on the local soil condition, ground water levels that rtu fluctuate 1. during the year, and the water usage of the family being served b the 4 J 9TH' outside the control oCthe evaluator of this tem. call - Y system Theo w ditions are ' l ; do not g tarantce future° eventually fail and satisfacto test results 0 performance of the system nor do the id y f0i future that there are of hidden defects or encroachments: PES can the«Core not provide any wan-anty for future performance nor give any 0 ... .. ............. i estimate of how long the system will continue to meet the operational requirements of the ADEC or - �j-'Steven R Pannone orOusf�fth� reportbYSD Tile nanYothis ilip-ort is erpersonorrthesolebenefitoftheownttlistedabo4e:Myrchanceupon #/� No:CE 8149 'mo i party ,snot authonzednor will itconCcrany legalnght ,IQbzf �� Whatsoever 6 DSDGNATURE 4�4\ ESSI4w 71 Approved for 3 bedrooms.. . Disapproved ... Conditional approval for bedrooms, with the foil i>d f J, `��QP IV i WATER AND.: m= Additional Comments `" ! Attachments: cHAA Checklist X Maintenance Agreements -c System Advisory , Supplemental Engineer's Report Well Flow. Advisory . Other by. Original Certificate Dajej 1.13 Exptiaie', o3 Reissue Date: ' Municipality.of Anchorage. • Development Services Department Building Safety Division On -Site Water and Wastewater Program .. 4700 South Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650. www.ci.anchorage.sk.us (907)343-7904 HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Lot 7A Block 1 Boyle S/D Parcel I.D.: 013-282-05 A. WELL DATA Well type P If A, B, or C provide PWSID # Date completed!!j�e Sanitary seal Y Total depth 16M ft Cased to _ieft FROM WELL LOG Date of test l9NJC'0awN Static water level ft Well production 9 -p.m Well Log N Wires properly protected Y Casing height (above ground) 2.4 in. AT INSPECTION 6/1412003 88 ft 2.17 9 -p.m WATER SAMPLE RESULTS: Coliform --Q_colonies/1DOml Nitrate mgn Other bacteria o colonies/100ml Date of sample: 611512003 Collected by: Laura Pannone B. SEPTICIHOLDING TANK DATA Tank Type/Material ST¢2L Date installed 511811981 Tank size /7 -S -D gal Number of Compartments a Cleanouts Y Foundation cleanout Y" Depression over tank N High water alarm N/A Date of pumping 6111/2003 Pumper A+ Home Services C. ABSORPTION FIELD DATA Date installed 511811981 Soil rating (g.p.d./ftZ or ftZ/bdrm) _ System type Pit Length ___Q_ft Width f O ft Gravel below pipe b ft Total depth 6.825 It Effective absorption area 7 Ko ftZ Monitoring tube.Y Depression over field N_ Date of adequacy test 611412003 Results (Pass/Fail) Pass For a bedrooms Fluid depth in absorption field before test 2.5 in Water added4N gal. New depth,J4 in. Elapsed Time: 1440 min Final fluid depth 2M in Absorption rate >= 450+ g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) N If yes, give date (Rev. 11/99) D. LIFT STATION Date installed "Pump on" level at _ WF Datum E. SEPARATION DISTANCES Manhole/Access In High water alarm level at _ in Meets alarm & circuit requirements? SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 85.7• On adjacent lots 100+ Absorption field on lot 100+ Public sewer main 100+ ' Sewer /septic service line 25+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank NIA SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 3' Property line 25+ Absorption field 30+ Water main 100+ Water service line 25+ Surface water None Observed Drainage 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: ' Property tine 10+ Building foundation _30+ Water main 100+ Water Service line 25+ Surface water 100+ Driveway, parking/vehicle storage 50+ Curtain drain None Observed Wells on adjacent lots 100+ F. COMMENTS - FCO i A *-............. ti G. ENGINEER'S CERTIFICATION • \..••.. I certify that I have determined through field Inspections and : �` i 49_T14 s.K' �.....i:... .............s... review of Municipal records that the above systems are in � conformance with MOA HAA guidelines in effect on this date. ...... .. .............. ♦♦ S % !even R Fcnnoncf Engineer's Printed Name Steven R. Pannone. P.E. ♦ No. CF 8149 ♦ �i Date �tQY ♦♦ 67t hl. .. �•• �e�i0a— SSSU moi•• HAA Fee $ 74 'v `2 Date of Payment Z S v Receipt Number (Rev. 11/99) Waiver Fee $ Date of Payment Receipt Number 06-23-03 03:56PV FRW-ME ENVIMENTAL SRV --._S.G r SCS ReLO 1033511001 Client Name Pannone Eng. Src. ProlectName/N LTA Bk 1 Boyle COent Sample 1D VA Bk 1 Boyle 111atria Drinking Water PWSID 0 9075615301 T-162 P.02/03 F-442 All DateVrimes are Alaska Standard Time Printed DatelTime 06,23!2003 15:34 Collected Date/rime 06/15/7003 14:15 Received DatvTlme 06/16/7003 11:54 TechalcatDlrtcmv, Step'e% C. Ede Sample Raterks7 Parameter RelalnAOaaeale Prtp Amlysls _ PQL Lhtie Me[1od Corpina l7 rim [`etr Du- Init Haters Department Narste•N 0369 0.100 V%!L EPA 300.0 B (<-10) 06116/03 3S Microbiology Laboratory Total Coliform 0 to:/IOOmL SMI69222B A (<+)) 06/16/03 KAP .e•ca num naal .. Lm.ml 6e - _ --- ". 5O, `a (..•.•ADNe oa•ew [ •ua.a i,wat M aAnw ene.al 5B N B9' S9' 0o"E 2 BO.Oo' I I 13 I ORFvEL : W I 2 t N• N�1l1 p HOurE s c O i 44 o mI o o co. p ? Q N89'59'00"E .280.00' e.e 76 SURVEY CERTFlCAnON .�%*V�&•.11j�4, Prepared by PLOT PLAN �.•�E OF, •. Robert E. Johns, Jr. & Assoc. I rr, w, Wr t r parr, r..r . �P,••••' •i e.w ti.r ...r ..—. •r wrl •(• Professional Land Surveyors M e—. r rr••r r r r w ..... N ANCHORAGE, ALASKA 086D1 ..•—. r•I.MYMMrF x J• �� ._ MY E 1i AVE. !: } �g T - Sca1K 111 50 t R•e. Let S.F. R• Hot Flo No. FOUNDATION AS—BMT /r..�.. .o .... / . er.n c AMa e. a.rY..•y •V I / / Oat* Se yea: Drew% b)c Cheasee b)c . r.ir~•r..:�r..•'... '�/• ERT HN•.•,IR .... JUKE 19 2003 FF.J ?ST,J a Date Oro .�r'..°.r.�'..r.r •�Q�•�•'+i•/,''•.......•eS�.� GridW.O. 121-S TUNE '19,2003 2734 23161 FINAL STRUCTURE Asx T l+a0•wrlplbn:irt ............ =.w..IW4 •'oleselonal V it .OT 7-A, BLOCK 1, THOMAS L. BOYLE SUBD. ❑ LOT mmmy SURVEY TYPE SYMBOLS ❑ roIm Rat As.&AT 13rINAL inlucnlll[ As-stxT • SET REBM � ;w DRAINAGE ASPHALT ❑ KOT KAN ... As-auLT ... LaT suMY ... TOFO=R 0 FOUND ROM p.yy WOOD FENCE rF17 CONCRETE Do-� ASSUMED EIEV. .M-%-1). METAL FENCE IL/10 WOW DECV PLOT PLANS -& LOT SURVEYS NOTE: IT IS THE REWCINSIBIUTY OF THE BUILDER OR OWNER, PRIOR TO ONLY THOSE IMPROVEMENTS ABOVE GROU AND VISIBLE WILL BE CONSTRUCTION. TO VERIFY PROPOSED BUILDING GRADE RELATIVE SHOWN. FENCES WELLS. SEPTIC CLEANOUTS�SOEWAUCS, DRIVEWAYS, TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE ETC., ARE SHOWN IN 7HE7R APPROIOMATE LOCATION. ONLY. SHOW THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS MAY PREVENT SOME IMPROVEMENTS FROM SONG SEEN AND LOCATED. WHICH DO NOT APPEAR ON THE RECORDED SUBDIVISION PLAT. ALL OISTAN UNDER NO CIRCUMSTANCES SHOULD AN AS—SUtLT BE USED FOR CONSTRUCTION OR FOR ESTABLISHING BOUNDARY Off{ FENCE LINES THE SURVEYOR TAKES RESPONSIDIUTY FCR'THE INITIAL TRANSACTION ONLY AND ASSUMES FINANCIAL UABDJTY ONLY FOR THEDOST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCALING. REPRODUCTION MAY CAUSE ERRORS N SCALE I Anchorage Municipality of A ehorage All-AmeriAnchoho a City U�IF� Btlilditlg Stifelly Di-visioli 1 /' George 1. lt'uerch, I Mayor 2002 7/1/2003 Steve Pannone Pannone Engineering Services Subject: Waiver Request for Boyle Block 1 Lot 7A Waiver Request #WR030050 Parcel ID #015-282-05 HA030290 Dear Steve: Your request for a waiver of the required 100 feet horizontal separation from the septic tank to private well has been approved. The approved separation distance is 91.0 feet. This waiver approval applies to the existing septic tank to private well separation only. Any future upgrade to the on-site wastewater disposal system will require all separation distances be met or another approval from this department. If there are any further concerns or questions regarding this waiver, please call our office at 343-7904. Sincerely, J oodall C i Engineer r ite Water & Wastewater Program P.O. Dox IM650 • Anchorage, Alas1w SY).519-(i M • Telephone. ((x)7) 343.8:301 • Pur: (8x)7) 343-82(x) 470) Smith Bragaw Street • Anchorage, Alaska 99,507 h t t p: //e��c.ci.n nchoni);c.nlc.us Municipality of Anchorage \\ Development Services Department �1 Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 995191650 www.ci.anchoragc.ak.us (907)343-7904 Waiver Review Worksheet WR#: 030050 PID#:015-282-05 Date Received: 8130103 Legal Description: Boyle Block 1 Lot 7A Engineer. Pannone Engineering HAM 030290 Permit#: P.O. Box 102954 Anchorage, AK 99510 Applicant: Bruce & Mary Lane Waiver Requested: 91 Foot from the Septic Tank to the W911 Criteria: Geology A. Water Table B. Soil Sorption C. Permeability D. Water Table Gradient E. Horizontal Separation Points: S•9 7- 0-17 Z•17 /-6(1 (I. co Total: was .... seems .... seem ... ...................................... goes ... ...... ....$ Waiver Is Granted: _ 19 Waiver is not Granted: List Conditions or Reasons for above: StF 8777 e t1fln . Date: eT seem ......... as ...... seem .... sees ... Rec#: 37594 Amount: $8Q? .... seems .... .aaa..... aa.. ... as@ ... was@ Paid:_ 6/30/2003 Pannone Engineering Services, LLC P.O. Box 102954 Consulting Engineer Anchorage, AK 99510 (907) 272-8218, 227-3522 Cell (907) 272-8218 Fax MEMORANDUM TO: MOA On -Site Services FAX #. FROM: Steven R. Pannone DATE: 7/1/03 SUBJECT: Lot 7A Block 1 Boyle At the time of the well/septic system adequacy test on 6/14/03, no deficiencies were noted on the tank and integrity appears to be good. NORTHLAND PUMPING SERVICE, INC Your Professional Septic Pumping Service Company. 7501 E. 140th Avenue" - ANCHORAGE, ALASKA 99516 (907) 344.7146 FAX (907) 868-6770 TO • ' . Pamume iaTgincaur� P.O. Dox 102954 Anchorage, AIS 99510-2954 1 I Pump Septic at 11900 C.ar'z .�:1nLa1CC.tO.Q�(;8.i;,', i :� ti7 * w • `"'�°" No cs — tatil. ((x;ak.3 p(.[t to house at the SE eoru;r , t �' ' - �`P, 744W" T— "y -4 `-C�(C\� �,L�11.��(r C_ rf `\ �Y�-k'c�n+. O� �/�I•�t P 95.v; i /ofZ WAIVIQ 8rQUEST FOR Bvv/-E Blcj,� 1 /-v7-:7,j WA;VEk. R6gv6S7- Nv^"8ER lvt�o3OOS0 WAivf a- REpvEST Fon, f,/jELL To CIV-z-07- SEPTIC- N-z-OTSEPTIC_ TANk OF 17) fEfT ScP7TG TANS DA7A.-f- wEi-& DA7fl. /#57 Oi-1'Ac iJEGL /iN0 WWW APP OX;e"AfE/y S fee4 LOWExt, t�iAn/ il�E wEc.L. THE WFLL xxx N o o G noo ! )OW TEST SHowep TrfE STnrtc wAreq-cwEREO 3`i Fee'{ wtlfLE �H FIOWj-J( AT APp(2vy,- .Arel.f 2•Z ErPM. W/17EQSAw+p/eS Wc4E rrr 7-/ti4n/ DL)FiiMa 1�6, <%R Th/✓CST I✓cAT)ON AND :rNOicA7E THAT � \ 7t/19,-- is No QA c.7ta;/9 A .269 ^' 14 of N%iRr��Es PResrNr ua/1 Tn) ri4E WATrIj Rko" Th+%S WEZ,G.. 7-7-/,a SEpr%G 'TA.✓%` IN Ifs G VAPQ-- v'r I-Oe-AT-)OIV /s fiFPPVk.;rHAyE/y `71 Fes+ �OA- ytfe wFcl_ r rAw zoo W ATE Z T►�RL Faor l -IAA WELL. 7EST (08 -r -e-4) (�• (6Z5 -r! 71zern,cN DEpTN Fee -4 = X vs 1)-4 O/V ELI17 5 C4 s •1-O!L +��8) yf �{� \;�51.9-4- �o BS f/OX &. 00 roll HC27�Cd7RC S6PA,2ATJc,4 = 9/ f x ' -x = -(oy t 2 = 2.a�/ Z �N z 4 rj (AND 'TIJTAL /� • 3� GoNG� c'5;O/v 6QAAJ7- 4)4)VCR BS sW f J•/9 t •o} WATEri7, T"ARLE (7PAp:=NT' Tl,c oN-�oT wE(-c. T'11F 6"L'1VD SJJP£S iS kAc.7 of fncf+ 7'AC Jae- Sep'ric mEL.4--/-DwRap5 T IET/t^/k f/OX &. 00 roll HC27�Cd7RC S6PA,2ATJc,4 = 9/ f x ' -x = -(oy t 2 = 2.a�/ Z �N z 4 rj (AND 'TIJTAL /� • 3� GoNG� c'5;O/v 6QAAJ7- 4)4)VCR DATE: July 1, 2003 TO: File MUNICIPALITY OF ANCHORAGE Building Safety Division MEMORANDUM FROM: Joe Goodall Engineer II, On -Site Water Wastewater Program SUBJ: Boyle Block 1 Lot 7A Waiver (wr# 030050) was reviewed by Jim Cross and approved. - Pannone Engineering Services, LLC Consulting Engineers 10n71 979-R91 R May 27, 2002 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 7A Boyle S/D, Tank to Well Waiver Gentlemen: P.O. Box 102954 ige, Alaska, 99510 )071272-8218 Fax I am writing to request a separation distance waiver between the existing well and theexisting septic tank on the above referenced lot. The well on lot 7A was drilled some time in the late 197as or early 1980's. There is no well log for this lot. The surrounding lots have wells that were drilled approximately the same time. I have attached the copy of those well logs. I found that it is cased to over 40 feet, the static water level was 88 feet below ground level when I conducted a HAA investigation on June14, 2003, and the total depth is approximately 190 feet. The ground water in this area typically flows from the east to the west. The septic tank is located west of the well and approximately5 feet lower than the well. A well flow test showed the static water lowered34 feet while flowing at approximately 2.2 G.P.M. Water samples were taken during the HAA investigation and indicate thatthere is no bacteria andS-;qlmg/l of nitrates present in the water from this well. The septic tank in its current location is approximately 91 feet from the well. The soils on the adjacent lots were logged to be sandy gravel to a depth of 50 to 100 feet below ground, with gray clay underlying to a depth of approximately 170 feet. Water bearing sand and gravel were found under the clay layer to a depth of approximately 185 feet below ground level. The well logs are attached. As outlined under 18 AAC 80.020 and 18 AAC 72.021(a), I have calculated the following points: Distance from sewer system bottom to groundwater 5.5 Soil sorption below sewage system 3.5 Soil permeability below the system 1.0 Water table gradient 6.0 Horizontal separation 2_5 Total Points 18.5 16-25 Almost sure to be free from any form of contamination from household sewage. In my opinion, this waiver request meets the above criteria for approval and doesnot constitute risk to health I hope the above information will assist you in determining that the waiver should be granted. If you have any questions or concerns, please contact me at 227-3522 or 272-8218. Sincerely, Steven R. Pannone, P.E. Attachments: rnw...vlurea...ewn R,..a.lvuc,t.... ovecr M .II.Cp ■1MO1 [ kalr P[n40% M PLLOa t1UOf - . bB 5B I oo' wELL. N 89' S9' 00'•E rZE No Sep -me- 5 Ys i P-ntS wIr>✓ioo' of -M E -V -)E -LM-. J N 890 59' 0011 E .280.00, SURVEY CERTIFICATION TrIF.IICrATMIO Rr. Prepared by..� �D ,' - OF' I '..., Robert E. Johns, Jr. & Assoc. rVrYy M.N rU1. •.�� , I h 'WELL / - .- NIC 12 AVE. r..r.r ... r r / 4t ; t ..• / pii1. Mra err ,D.... T� M � S.F. S.F.Rec. � CaRB�SI •' In � I l GY ISrG / ZSag 32 a 89A PF..T ?MLN `. 1- +°� DUfdE I9 2003 7'd`2734 w'0' 23161 FINAL STRUCTURE As -war . 1 +' •••'•.... II L•9d D•PagUon: L Ar.• c ar. N.. r.r, M 1 ° wwr..r .+.mIr oft.r M r r r..� EXLJT/�YG .OT 7-A, BLOCK 1, THO-MAS L. BOYLE SUBD. ° I I � Ckls � '� it •�/Oas� ❑ FOUNDAIRIN AS -DUCT ° ❑ P111AL DIBUCRwC AD-FXT • SET REBAR �r= :W DRAINAGE Q ASPHALT t � Cs • n ° Cti IT IS THE RESPTION, TO BILITYOF THE BUILDER OR OWNER. PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE ONLY THOSE IMPROVEMENTS ABOVE OROUtp AND VISIBLE WILL BE o � SHOWN. FENCES. WELLS, SEPTIC ptANOUTS{ SIDEWALKS. DRIVEWAYS, ETC.. ARE SHOWN THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE *�- o° A' - DISTANCES co. THE SURVEYOR TAKES RESPONSIBILITY FOR'THE INIRAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE POST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCAIJN0. REPRODUCTION MAY CAUSE ERRCRS IN SCALE. I I � h V N 890 59' 0011 E .280.00, SURVEY CERTIFICATION TrIF.IICrATMIO Rr. Prepared by..� �D ,' - OF' I '..., Robert E. Johns, Jr. & Assoc. rVrYy M.N rU1. •.�� , I Professional Land Surveyors pYrN..w �w..�rw.rrrrr rw, / - .- NIC 12 AVE. r..r.r ... r r / 4t ; t ANCHORAGE. ALASKA pii1. Mra err ,D.... T� M S.F. S.F.Rec. -Roc. a JUNE 19 2003 PF..T ?MLN `. 1- +°� DUfdE I9 2003 7'd`2734 w'0' 23161 FINAL STRUCTURE As -war . 1 +' •••'•.... II L•9d D•PagUon: L Ar.• c ar. N.. r.r, M 1 ►•� Sot �� wwr..r .+.mIr oft.r M r r r..� ....••'• IIproF•PDloL'p°��• .OT 7-A, BLOCK 1, THO-MAS L. BOYLE SUBD. .+. hot ❑ LOT miray SURVEY TYPE ❑ FOUNDAIRIN AS -DUCT SYMBOLS ❑ P111AL DIBUCRwC AD-FXT • SET REBAR �r= :W DRAINAGE Q ASPHALT ❑ PLar PLAN ... AS -DUCT ... Mor auRKY ... TaPo4TAvxr O ►oUNO REBAR p...�.�, 00 SCE ..:• CONCRETE • n 00 ASSUMED ELEV. .w X—M. METAL FENCE VZ WOW DECK NOTE - PLOT PLANS k LOT SURVEYS IT IS THE RESPTION, TO BILITYOF THE BUILDER OR OWNER. PRIOR TO CONSTRUCTION, TO VERIFY PROPOSED BUILDING GRADE RELATIVE ONLY THOSE IMPROVEMENTS ABOVE OROUtp AND VISIBLE WILL BE TO FINISHED GRADE AND UTILITY CONNECTIONS AND TO DETERMINE SHOWN. FENCES. WELLS, SEPTIC ptANOUTS{ SIDEWALKS. DRIVEWAYS, ETC.. ARE SHOWN THE EXISTENCE OF ANY EASEMENTS, COVENANTS OR RESTRICTIONS WHICH DO NOT APPEAR ON THE IN THEIR APPROXIMATE LOCATION, ONLY. SNOW MAY PREVENT SOME IMPROVEMENTS FROM BOND SEEN AND LOCATED. RECORDED SUBDIVISION PLAT. A' - DISTANCES UNDER NO CIRCUMSTANCES SHOULD AN AS—SULT BE USED FOR CONSTRICTION OR FOR ESTABUSWNC BOUNDARY 04 FENCE ONES. THE SURVEYOR TAKES RESPONSIBILITY FOR'THE INIRAL TRANSACTION ONLY AND ASSUMES FINANCIAL LIABILITY ONLY FOR THE POST OF THE SURVEY. LISTED DISTANCES PREVAIL OVER SCAIJN0. REPRODUCTION MAY CAUSE ERRCRS IN SCALE. I R � \ ! ! « � a ■ � | � � ■ ! ■ ■ ! ■� § ■ ■ 2 $/\G ■ � � § E E E b t 0 § � ■ ! ■ ■ ! ■� § ■ ■ 2 B � $/\G !\ E E E b t 0 § B �