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HomeMy WebLinkAboutGRECIAN HILLS BLK 2 LT 11Grecian Hills Block 2 Lot I I #017-073-76 Inspection Report_ -1 12. oc Municipality of Anchorage Community Development Department Page 1 of 3 On-Site Water and Wastewater Program 4700 Elmore St. • P.O. Box 196650 Anchorage, AK 99519-6650 • http://www.muni.org/onsite • (907) 343-7904 ON-SITE WASTEWATER INSPECTION REPORT Permit Number: OSP121094 PID Number: 017-073-76 ❑ New ❑✓ Upgrade Name: David Roland & Judy Grecian ABSORPTION FIELD ❑ Deep Trench ❑ Shallow Trench ❑ Bed ❑ Mound Address 13431 Larisa Street ❑ Other Phone Number of Bedrooms Soil Rating Total depth from original grade 3 GPD/SF Ft. LEGAL DESCRIPTION Depth to pipe invert from original grade Ft. Gravel depth beneath pipe Ft. Subdivision Block Lot Grecian Hills 2 11 Fill added above original grade FL Gravel length Ft. Township Range Section Gravel width Ft Beds: Number of Lines Distance between lines I Ft. SEPARATION DISTANCES To Septic Absorption Holding Sewer Total absorption area Number of trenches Dist. between trenches From Tank Field Lift Station Tank Line FP I Ft. Well 108 N/A N/A 123.1 49 TANK ❑ Septic ❑ S.T.E.P.+❑ Holding ❑ Other Manufacturer Anchorage Tank Capacity I 2000Gal. Surface Water 100+ NIA NIA 100+ Material Steel Number of compartmen(.s 1 Lot Line 22 NIA NIA 30.9 NA Foundation 37 NIA NIA 51.0 LIFT STATION Manufacturer N/A Capacity Gal. Curtain Drain NIA NIA N/A N/A Pump on level at Pump off level at High water alarm at RemarksHolding tank installation only. in. in. in. _ Pump make and model Electrical Inspections performed by PIPE MATERIAL Housetotank PVC Tank to drainfield Installer A+ Home Services - Drainfield CO/MT PVC Inspector Steven R. Pannone BENCHMARK (Assumed elevation) 100ft Inspection 1" 06/07/12 Location anddescription 2nd House Corner 3w 4'" COMMUNITY DEVELOPMENT DEPARTMENT APPROVAL Engineer's Stamp �1l ..'SAIW Conditional Approval: Date" a ..,...e vOn f5ttnnorae ven f`t. CE 8149 � r l2®btZr Aw Approved d� 9Date Inspection Report_ -1 12. oc WELL (El WELL (E) n w W=Wi EXISTING SEPTIC AREA M M 1S EXISTING SEPTIC AREA EXISTING —SEPTIC AREA 1 1 10' UTILITY EASEMENT ~ w N AA WELL (E) [s WELL (E) t7H1 I o I / a I INSTALLED 2000g HOLDING TANK g BEHIND 1 I000g SEPTIC TANK (E) 1000g SEPTIC TANK (E) 44.9--{ INSTALLED IN 2REUS0D6 I I I �4KO/V pV _�___w� RECORD DRAWING I PLAN PANNONE ENG P.O. BOX 100217 ANCHORi PHONE (907) 272-8218 FAX A 13 ABD (E) / ABANDONED PER CODEV W 1 r - W- EXISTING SEPTIC AREA i f sss�i oC 272-8211 GRECIAN HILLS, BLOCK 2, LOT 11 DAVID ROLAND & JUDY GORESEN 13431 LARISA STREET ANCHORAGE, AK 99516 16/11/2012 Scale •if/ 1"=50' C}LgSll+ ven R. Pannone W- CE 8149rj A B FC 15.3 8.9 C1 28.0 21.0 T1 44.2 32.6 T2 49.3 34.6 DC 52.7 36.3 M1 66.7 45.4 C2 97.3 73.4 M2 96.8 1 72.9 M M 1S EXISTING SEPTIC AREA EXISTING —SEPTIC AREA 1 1 10' UTILITY EASEMENT ~ w N AA WELL (E) [s WELL (E) t7H1 I o I / a I INSTALLED 2000g HOLDING TANK g BEHIND 1 I000g SEPTIC TANK (E) 1000g SEPTIC TANK (E) 44.9--{ INSTALLED IN 2REUS0D6 I I I �4KO/V pV _�___w� RECORD DRAWING I PLAN PANNONE ENG P.O. BOX 100217 ANCHORi PHONE (907) 272-8218 FAX A 13 ABD (E) / ABANDONED PER CODEV W 1 r - W- EXISTING SEPTIC AREA i f sss�i oC 272-8211 GRECIAN HILLS, BLOCK 2, LOT 11 DAVID ROLAND & JUDY GORESEN 13431 LARISA STREET ANCHORAGE, AK 99516 16/11/2012 Scale •if/ 1"=50' C}LgSll+ ven R. Pannone W- CE 8149rj -073-76 PERMIT NO. OSP121094 Sheet A20FES90�'� 2 OF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION WAS INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WAS BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALLED NEW HOLDING TANK. DESIGN PARAMETERS HOLDING TANK NO. BEDROOM: 3 (450 gpd) TANK SIZE: 2000g USE: 2000g HOLDING TANK INLINE BEHIND 1000g SEPTIC TANK (E) FOR 3000g TOTAL HOLDING CAPACITY BUOYANCY CALCULATION WEIGHT CALCULATIONS t000g SEPTIC TANK (E) NEW 2000g HOLDING TANK BUOYANT FORCE = WEIGHT OF WATER DISPLACED ((PIx95.3)-2/4)x12)x62.4 PCF = 16,728 # UP COUNTER WEIGHT ASSUME WATER O SURFACE — ALL SOIL SATURATED ASSUME ANGLE OF REPOSE = 30' ASSUME BEDDING DOES NOT ADD TO FORCE DOWN ASSUME TANK HAS NO WEIGHT WEIGHT OF NATIVE SOIL (120 PCF — 62.4 PCF) = 57.6 PCF (5'x6.Ox17)x57.6 PCF = 29,376 DOWN TOTAL WEIGHT ON TANK = 29,376# DOWN, OK NOTES: PAMONE ENG SVC, LLC RECORD DRAWING - P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 GRECIAN HILLS, BLOCK 2, LOT 11 DAVID ROLAND & JUDY GORESEN 13431 LARISA STREET DESIGN DETAILS ANCHORAGE, AK 99516 LEGEND —W— WATER LINE/ WELL RADIUS — SS — NEW SEPTIC ABBREVIATIONS CU COPPER DIP DUCTILE IRON PIPE TH TEST HOLE FC FOUNDATION CLEAN OUT T# TANK CLEAN OUT NO. C# CLEAN OUT NO M# MONITOR TUBE NO. R.I. RIGID INSULATION DCO DOUBLE CLEAN OUT DV DIVERTER VALVE FS FLOW SPLITTER BFG BELOW FINISH GRADE OG ORIGINAL GRADE FG FINISH GRADE Date 6/11/2012 * (r NTS •••• •••• ••• P.I.D. NO X073-76 Steven •f2. • anno'i / PER NO ,9,n•. CE 8149nco�mnoe 3 O 3 On -Site Wastewater Disposal System Permit MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 Elmore Road, PO Box 196650 Anchorage, AK 99519-6650 Telephone: (907) 343-7904 Permit Number: OSP121094 Tax Code Number: 01707376000 Work Type: Septic Upgrade Permit Effective Dates: June 04, 2012 to June 04, 2013 Design Engineer: PANNONE ENGINEERING SERVICE Subdivision: GRECIAN HILLS Site Legal Address: GRECIAN HILLS BLK 2 LT 11 G:2940 Owner/Address: ROLAND DAVID A 50% & GORESEN JUDY 50% 13431 LARISA ST ANCHORAGE AK 995163845 Site Mailing Address: 13431 LARISA ST, Anchorage This permit is for the construction of: N Disposal Field N Septic Tank Y Holding Tank Lot Size in Sq Ft: 21590 Total Bedrooms: 3 N Privy N Private Well N Water Storage All construction must be in accordance with: 1. The attached approved design. 2. All requirements specified in Anchorage Municipal code Chapters 15.55 and 15.65 and the State of Alaska Wastewater Disposal Regulations (18AAC72) and Drinking Water Regulations (18AAC80). 3. The wastewater code requires inspections during the installation. The engineer must notify the Development Services Department at least 2 hours prior to each inspection. Provide notification by calling (907) 343-7904 (24 hours). 4. From October 15 to April 15, a subsurface soil absorption system under construction during freezing weather must either: A. Open and Close on the same day. B. Covered, sealed, and heated to prevent freezing. Received Issued By: ,JM6�i� " Date: /d MUNICIPALITY OF F ANCHORAGE Community Development Department Phone: 907-343-7904 Development Services Division Fax: 907-343-7997 On -Site Water & Wastewater Program Mayor Dan Sullivan ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. Q7-073 -Ira Property owner(s) Nyi o &ae.* t/lo l Tooy 6-ore6sDay phone Mailing address 131431 L.A21s-4 /}_t4or_A& = 4as1rs ,r Site address 1'31431 LAats4 srn621" Legal description (Sub'd., Block & Lot) 6-v9c'CIA1J W+Gc S t GMK 2I LeT I I Legal description (Township, Range & Section) Lot Size 21, 6870 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR: THIS APPLICATION IS AN: (® all that apply) Initial ❑ Absorption Field ❑ Septic Tank ❑ Upgrade Holding Tank Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ THIS APPLICATION INCLUDES A VARIANCE / WAIVER REQUEST FOR: 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. Permit/Rush Fees: o% �de)•' Waiver Fees: Date of Payment: 45%0(4/12 Date of Payment: Receipt Number: 681a)(7 Receipt Number: Permit No. 0SP1910a4 Waiver No. GABuilding\On Site\Forms\Client FormsTermitApp_010411.doc (Rev. 1/11) Pannone Engineering Services uc Steven R. Pannone, Principal Registered Professional Engineer E-mail: steveCwoaneneak.com May 22, 2012 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. 0. Box 196650 Anchorage, Alaska 99519 Subject: Grecian Hills, Block 2, Lot 11 Holding Tank Permit Request Ladies and Gentlemen: I am writing to request a permit to install a holding tank be issued for this property. The proposed holding tank will serve an existing three-bedroom house. Currently the lot is developed. The existing septic system is in failure. Due to the high ground water and the lack of receiving soils an on-site septic system is not practicable for this lot. The lot is served by a private well, that is located over 100' from this system. The surrounding developed lots are served by private wells that are located over 100' from this system. 1. Soils. A single test hole was excavated by Pannone Engineering Services in May of 2012, and the ground water monitored for seven days. Groundwater was monitored to a depth of 2.4 feet after the seven day monitoring period. Bedrock was not encountered in the test hole. It is my opinion, based on the results of the percolation tests and overall soils appearance; a holding tank will be necessary in this location. 2. Soil Absorption System Design. a. See Sheet 2 of the design package 3. Surface Water: There is no surface water within 100 feet of the proposed holding tank. The proposed drain field upgrade will maintain at least 100 feet from all surface water and drainage ditches. 4. Topography: The topography in the area generally slopes to the south at approximately 2% in the area of the proposed drain field. Mailing: P.0, Box 100217, Anchorage, AK 99510-0217 Physical: 615 East 82'd Ave, Cuite B6, Anchorage, AK 99503 Telephone: (907) 272-8218 FAX: (907) 272-8211 Page 2 of 2 S. Drawing Markings: The Drawings are marked "For MoA Review Only". When written notification that the review is complete and that there are no further comments is received from MoA On -Site Department, the note will be removed and 'Issued for Construction" drawings will be issued. The proposed installation will not affect the future development of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septic location. If you have any questions or concerns, please contact me at 272-8218. Sincerely, 49 TM Steven R. Par CE 8149 Steven R. Pannone, P.E. Owner/Civil Engineer Attachments -Soils Log -Septic System Design Mailing: P.O. Box 1.00217, Anchorage, AK 99510-0217 Physical: 625 East 82r"' Ave, Suite 66, Anchorage, AK 99503 Telephone: (907) 272-8218 FAX: (907) 272-8211 WELL (E� WELL (E) 3 3 p .o 1 C� 9/� 8 7 �W/ w M M M M 1S EXISTING SEPTIC AREA EXISTING SEPTIC AREA EXISTING —SEPTIC AREA -I L- 10' UTILITY EASEMENT t U N }W} 77 / F- N M WELL (E) is aREUSED ovai d'Z 20009 HOLDING TANK (P) INSTALL BEHIND 1000g SEPTIC TANK (E) /100 • 48 4ED IN 2DO6 I I WELL (E) / I 3 12 VDRAINFIELD (E) 13 l ABANDON PER CODE_ w -w- / I EXISTING SEPTIC AREA 1 I \<7, lAkON>q DRl�f l f NOTES: PAMONE ENG SVC, LLC FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 GRECIAN HILLS, BLOCK 2, LOT 11 DAVID ROLAND & JUDY GORESEN 13431 LARISA STREET PLAN ANCHORAGE, AK 99516 ... .. .. ...... P.I.D. NO -073-76 teven F2. Pannone�� PERMIT NO. I9,4/,<�.ry, ,CE 8149 OSP121094 +,i,, .......�� ~ She etOF 3 SPECIAL PROVISIONS TO SPECIFICATIONS 1. ALL CONSTRUCTION SHALL BE INSTALLED AS SPECIFIED IN THE MOST CURRENT EDITION OF THE MUNICIPALITY OF ANCHORAGE STANDARD SPECIFICATIONS (MASS) FOR COMPONENT PARTS AND MATERIALS USED IN CONSTRUCTION OF ON—SITE WASTEWATER DISPOSAL SYSTEMS. 2. ALL WORK SHALL BE IN ACCORDANCE WITH THE ATTACHED SPECIFICATIONS. 3. SCOPE OF WORK: INSTALL NEW HOLDING TANK. 4. GROUNDWATER WAS MONITORED AT 3.5 FEET BELOW EXISTING GRADE AS EVIDENCED BY THE SOIL TEST HOLE. IF AN APPARENT WATER TABLE IS OBSERVED IN ANY OF THE EXCAVATIONS LESS THAN 3.5 FEET BELOW EXISTING GRADE NOTIFY THE ENGINEER IMMEDIATELY. C 100 Og NEW 2000g SEPTIC TANK (E) HOLDING TANK DESIGN PARAMETERS HOLDING TANK NO. BEDROOM: 3 (450 gpd) TANK SIZE: 2000g USE: i MT NE FILL ✓�� 5.0 20009 HOLDING TANK INLINE /�\j,AAj�.,�y/vAj/A� LEGEND BEHIND 1000g SEPTIC TANK (E) E - W WATERLINE/ FOR 3000g TOTAL HOLDING CAPACITY E 20009 WELL RADIUS SS — NEW SEPTIC s.o' i - BUOYANCY CALCULATION ABBREVIATIONS WEIGHT CALCULATIONS _ CU COPPER BUOYANT FORCE = WEIGHT OF WATER DISPLACED DIP DUCTILE IRON PIPE ((PIx95.3)-2/4)x12)x62.4 PCF = 16,728 # UP TH TEST HOLE FC FOUNDATION CLEAN OUT COUNTER WEIGHT T# TANK CLEAN OUT NO. ASSUME WATER ® SURFACE — ALL SOIL SATURATED C# CLEAN OUT NO. ASSUME ANGLE OF REPOSE = 30' M# MONITOR TUBE NO. ASSUME BEDDING DOES NOT ADD TO FORCE DOWN R.I. RIGID INSULATION ASSUME TANK HAS NO WEIGHT DCO DOUBLE CLEAN OUT WEIGHT OF NATIVE SOIL (120 PCF — 62.4 PCF) = 57.6 PCF DV DIVERTER VALVE (5'x6.Ox17)x57.6 PCF = 29,376 DOWN FS FLOW SPLITTER TOTAL WEIGHT ON TANK = 29,376# DOWN, OK. BGG BELOW FINISH GRADE OG ORIGINAL GRADE 7�7�+ �+7�� M' LLC FG FINISH GRADE NOTES: PANNONE ENG SVC, LLC .�"��QF A����l Date 012 FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 "' qS (( PHONE (907) 272-8218 FAX (907) 272-8211 /rg�Q �y'r Scale �*. .*�/ NTS P.I.D. NO GRECIAN HILLS, BLOCK 2, LOT 1117-073-76 CE 81449 DAVID ROLAND & JUDY GORESEN / leve9 PERMIT NO. 13431 LARISA STREET 9�c/ CE j OSP121094 () s .• ��i DESIGN DETAILS ANCHORAGE, AK 99516 (�t y�T.... Sheet 2 OF 3 s � a v z 'a o p F a O n n o 0 1 100 Og NEW 2000g SEPTIC TANK (E) HOLDING TANK DESIGN PARAMETERS HOLDING TANK NO. BEDROOM: 3 (450 gpd) TANK SIZE: 2000g USE: i MT NE FILL ✓�� 5.0 20009 HOLDING TANK INLINE /�\j,AAj�.,�y/vAj/A� LEGEND BEHIND 1000g SEPTIC TANK (E) E - W WATERLINE/ FOR 3000g TOTAL HOLDING CAPACITY E 20009 WELL RADIUS SS — NEW SEPTIC s.o' i - BUOYANCY CALCULATION ABBREVIATIONS WEIGHT CALCULATIONS _ CU COPPER BUOYANT FORCE = WEIGHT OF WATER DISPLACED DIP DUCTILE IRON PIPE ((PIx95.3)-2/4)x12)x62.4 PCF = 16,728 # UP TH TEST HOLE FC FOUNDATION CLEAN OUT COUNTER WEIGHT T# TANK CLEAN OUT NO. ASSUME WATER ® SURFACE — ALL SOIL SATURATED C# CLEAN OUT NO. ASSUME ANGLE OF REPOSE = 30' M# MONITOR TUBE NO. ASSUME BEDDING DOES NOT ADD TO FORCE DOWN R.I. RIGID INSULATION ASSUME TANK HAS NO WEIGHT DCO DOUBLE CLEAN OUT WEIGHT OF NATIVE SOIL (120 PCF — 62.4 PCF) = 57.6 PCF DV DIVERTER VALVE (5'x6.Ox17)x57.6 PCF = 29,376 DOWN FS FLOW SPLITTER TOTAL WEIGHT ON TANK = 29,376# DOWN, OK. BGG BELOW FINISH GRADE OG ORIGINAL GRADE 7�7�+ �+7�� M' LLC FG FINISH GRADE NOTES: PANNONE ENG SVC, LLC .�"��QF A����l Date 012 FOR CONSTRUCTION P.O. BOX 100217 ANCHORAGE, AK 99510 "' qS (( PHONE (907) 272-8218 FAX (907) 272-8211 /rg�Q �y'r Scale �*. .*�/ NTS P.I.D. NO GRECIAN HILLS, BLOCK 2, LOT 1117-073-76 CE 81449 DAVID ROLAND & JUDY GORESEN / leve9 PERMIT NO. 13431 LARISA STREET 9�c/ CE j OSP121094 () s .• ��i DESIGN DETAILS ANCHORAGE, AK 99516 (�t y�T.... Sheet 2 OF 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 16 TEST HOLE 1 OR ORGANICS SM/ SILT/CLAY WITH TRACES ML 5122112 = OFSAND 5115/12 — MU CL SILT/CLAY BOH DATE PERFORMED: 5114112 SOILS LOG - PERCOLATION TEST SLOPE ES EPTIC AREA s EPPIISTING SEPTIC AREA —I L-- 10' UTILITY EASEMENT � F_ Lu.) H (E) 11H1 I I0 I (E) / 3 x TH WAS GROUND WATER ENCOUNTERED? Y IF YES, AT WHAT DEPTH? -3.5-' DEPTH TO WATER AFTER MONITORING? -2.4'- DATE: 5122112 SLOPE TH x READING DATE CLOCK WATERTIME NET TIME LEVEL NET DROP READING 1 5114112 11:00 --- 3.75 -- 2 11:30 30 MIN 1.12 +2.63 3 P.I.D....NO 4 Steven•R. Pannowe � CE 8149 j PERMIT NO. 5 OSP121094 Sheet eOF 6 PEROLATION RATE >120 (minlinch) PERC HOLE DIAMETER 6 inches TEST RUN BETWEEN 3 FT AND 4 FT COMMENTS: Test hole excavated by A+ Home Services. PERFORMED BY: Steven R. Pannone, P.E. I CERTIFY THAT THIS TEST WITH ALL STATE AND MUNICIPAL GUIDLINES IN EFFECT ON THE D, FOR CONSTRUCTION PANNONE ENG SVC, LLC P.O. BOX 102954 ANCHORAGE, AK 99510 PHONE (907) 272-8218 FAX (907) 272-8211 HAMANN, LOT 13 MICHAEL & LAURA BOOKOUT 24760 EAGLE RIVER ROAD SOILS LOG EAGLE RIVER, AK 99577 PERFORMED IN ACCORDANCE THIS TEST. ,`(G O . ACgSIt� 50/31 /2012 Pate ��'�,•' .'�.9 �+ Scale P.I.D....NO -621-12 Steven•R. Pannowe � CE 8149 j PERMIT NO. s r ,�k1;\9?OFE`=�_ OSP121094 Sheet eOF 3 Municipality of Anchorage Development Services Department ` Building Safety Division On-Site Water and Wastewater Program, 4700 South Bragaw Street P.O. Boz 196650 Anchorage, AK 99519.6650 Page 1 of 2 www.el.anchorage.sk.us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit NumberSWSW06000 Co PID Number. 017-073-76 Noma Wastewater System: ❑New ® Upgrade �mrm —114311 99516 ABSORPTION FIELD Ph" Nu M Sodo D Dae) TWXh O Shan" TrenU, O Bed O MmW O O&w.. LEGAL DESCRIPTION SolP«ng Tote Dag1hpj"nod a"° BiwL" sem,„„", o.wn to Pa bdnam rran "q+w ITada Grarai aepn b.r".m as T--hp Range Swan Fa aided anew "pnY Qaie Cyan, Lwp,n. Well: ❑ New ❑ Upgrade DraMwMn CNasdyalpn (Pm«a, A B. Q Tote Ospm Gaasd ro TaW aa"pb"r arae PV, Mat«W 3034 PVC DNar Dee Draw StM4 W«« L" F? btansr Do* Maim Yom Pump set at. u Cng N•pnt Ab—G-W CC vF Ole • V Ir �O GPM F,. Ft TANK SEPARATION DISTANCES ® Septic ❑ Holding ❑ S.T.E.P. O Other. To From Septic Tank Absorption Field LMt Station Holding Tank ubM-Mrivate Sewert.lne �«n+« Anch Tank cwauiY 1000G. wea 108.6 M««'al Nu of Cane ,,,S Steel ' 2 B"r«.w«« 100+ , LIFT STATION LN UW 15 Sao M«wlacnaar .Da Fav4o. 39.8 Twvow wwr«' .. •Pune Or WM atNpn w««Y«m« Cwm Dram 50+ Pump Metra a MomENcb.ral ,- hapecb"•a Pwft ai by RarnrLa New Tank Only BENCH MARK Ldcauan and Daa"ptan. . Front Deck '_•' Asrunnd ENvauen 100.0 FL Engineer's Stamp Qf...;;V�C�1♦ �7:• ••L�r♦♦ Inspections performed by: PES. LLC Dates: 1'1/23/2006 ` •.. ; =a ♦i� 2n°01/2312006 «.....r. .. ... ......:s..... 0 Development Services Department approval . ,. ......•• •• ` Reviewed rn%Steven R. Flonrone; `tar ♦j and approved by: Date: x-07 }?.,, No. CE 814') l / ♦ c ©(� 4 • ♦♦ std2 ♦h q55ta9:•. PERMIT NO: SWO60006 RECORD DRAWING WASTEWATER DISPOSAL SYSTEM GRECIAN HILLS BLOCK 2 LOT 11 I EXISTG SEPTIC IAREA NOTES: 1)AII work shall be performed In accordance with AMC15.65. 2) Materials used shall be In accordance with those specified In AMC15.65. Wastewater Disposal, 3) Maintain to' separation to all lot Anes and water lines, unless noted otherwise. 4) Lots served by community water systems. No wells within 100' of proposed system. EXISTG SEPTIC AREA P.I.D. NO: 017-073.76 /F 1 / I I -/--J L------ — ----------•l\ -------1--) r-------- \` / I I EXISTG 3 11 r NEW I I I EXISTG HOUSE `11 1 SEPTI TANK I i WELL I I \ ) I EXISTG1 39.8° SEPTIC 7 K I �B�'t-CRUSHED I PLACE \ I \5% I I 108.6 n I 1 89.1 \ 23.1/ I I - a \ 5% 1rG 111.4 // 6. I ExISrG (` 13 DRAINFIELD 15% 1 r i/ I lts%' l I _ 1 / / E I � I /� f— I V% / �. 1. ' I CO A B �i (Q - r\;JI 1 TI 47.6 62.7 T2 52.9 66.9 Y 1 I DC 57.4 70.7 1 \ I , I DESIGN CALCULATIONS - I � NEW 1000 g SEPTIC -' BEDROOMS: 3 CONNECT MIN SIZETANKIDOOg NOTES: 1)AII work shall be performed In accordance with AMC15.65. 2) Materials used shall be In accordance with those specified In AMC15.65. Wastewater Disposal, 3) Maintain to' separation to all lot Anes and water lines, unless noted otherwise. 4) Lots served by community water systems. No wells within 100' of proposed system. EXISTG SEPTIC AREA P.I.D. NO: 017-073.76 /F 1 / I I -/--J L------ — ----------•l\ -------1--) r-------- \` / I I EXISTG 3 11 r NEW I I I EXISTG HOUSE `11 1 SEPTI TANK I i WELL I I \ ) I EXISTG1 39.8° SEPTIC 7 K I �B�'t-CRUSHED I PLACE \ I \5% I I 108.6 n I 1 89.1 \ 23.1/ I I - a \ 5% 1rG 111.4 // 6. I ExISrG (` 13 DRAINFIELD 15% 1 r i/ I lts%' l I _ 1 / / I i EXISrG sE111M — EXISTG SE6 AREA AREA / 1 1 / / I 1 / 1 1 �. 1. ' I CO A B �i 1 FC 26.8 8.9 - r\;JI 1 TI 47.6 62.7 T2 52.9 66.9 1 I DC 57.4 70.7 oe s DESIGN CALCULATIONS - TANK REPLACEMEONLY NT NEW 1000 g SEPTIC -' BEDROOMS: 3 CONNECT MIN SIZETANKIDOOg TANK TO EXISTG FIELD PREPARED FOR: PANNONE ENG. SVC, LLC DAVID ROLAND AND JUDY GORESEN P. O. BOX 102954 ANC AAGE ST ANCHORAGE, AK 99516 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax DATE: 02-07.06 1 PLAN SCALE: 1 "+50' MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water & Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Initial Date Issued: Jan 20, 2006 Expiration Date: Jan 20, 2007 Permit Number: SW060006 Parcel ID: 017-073-76 Legal Description: GRECIAN HILLS BLK 2 LT 11 Design Engineer: 0062 Pannone Engineering Services Site Address: Owner Name: DAVID ROLAND & JUDY GORESEN Lot Size: 21590 SQ. FT. Owner Address: 13431 LARISA ST Total Bedrooms: 3 Permit Bedrooms: 3 ANCHORAGE. AK 99516-3845 This permit is for the construction of: ❑ Disposal Field ❑d 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 Date: 0,670 t zt/ Issued By. -\ Municipality of Anchorage • -- Development Services Department Building Safety Division M,', vo. On -Site Water and Wastewater Program ` S• 8r• 4700 Bragaw Street P.O. Box 196650 Anchorage, Alaska 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017.073.76 Property owner(s) David Roland & Judy Goresen Day phone 868.2517 Mailing address13431 Larlsa Street, Zip Code 99516 Site address 13431 Larlsa Street Zip Code Legal description (Sub'd., Block & Lot) Lot 11, Block 2 Grecian Hills Legal description (Township, Range & Section) Lot Size � I 8501 Sq. Ft. Number of Bedrooms 3 THIS APPLICATION IS FOR (® all that apply): THIS APPLICATION IS AN: Absorption Field ❑ Initial ❑ Septic Tank ® Upgrade Holding Tank ❑ Renewal ❑ Privy ❑ Private Well ❑ Water Storage ❑ 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. Pannone Engineering Service, LLC Pannone Engineerinq Services. LLC - PO Box 102954 (Signature of property owner or authorized agent) Permit/Rush Fees: nlbb 'cb Waiver Fees: Date of Payment: Date of Payment: Receipt Number:Receipt Number: r (Rev. 11105) ff Pannone Engineering Services, LLC Consulting Engineers January 20, 2006 Municipality of Anchorage Development Services Department On -Site Water & Wastewater Program 4700 S. Bragaw Street P. O. Box 196650 Anchorage, Alaska 99519 Subject: Lot 11 Block 2 Grecian HillsS/D Septic Tank Replacement Permit Request Ladies and Gentlemen: P.O. Box 102954 ge, Alaska, 99510 )071272-8218 Fax I am writing to request that a permit to install a new septic tank be issued for this property. The system currently serves an existing three-bedroom house. The lot is currently developed and is served by a private water system. 1. Tank Replacement. The original 1000 -gallon septic tank was installed in 1981. During a recent repair it was noticed that the steel around the outlet nipple was corroded away. The remainder of the tank is also pitted and is in danger of collapsing.The replacement tank is proposed to be installed north of the existing tank. See the attached site plan. The existing drain field was inspected and found to be approximately 50% saturated. 2. Surface Water: There is no surface water within 100 feet of the proposed system. 3. Topography: The average topography in the area of the proposed septic system is approximately 5 percent to the west, but steepens to 15% west of the property line. The proposed installation will not affect the future developnent of the surrounding or existing lots. There are no wells or septic systems within 100 feet of the proposed septictank location. If you have any questions or concerns, please contact me at 2273522 or 272-8218. Sincerely, Steven R. Pannone, P.E. Civil Engineer Attachments: C:\Work\Letters\11-2 Grecian Hills.001.doc n T, even Y. Yunnon.-f jff Ni 3 . CE 8ta /}}." C?.,Cr.....W 50 PERMIT NO: SWO6 J DESIGN DRAWING WASTEWATER DISPOSAL SYSTEM LOT 11 BLOCK 2 GRECIAN HILLS AREA —I EXIST -13 iV ELL co co —+ E IISTG NOTES: 1) All work shall be performed in accordance with AMC15.65. 2) Materials used shall be in accordance with those specified in AMC15.65, Wastewater Disposal. 3) Maintain Illy separation to all lot lines and water lines, unless noted otherwise. 4) Lots served by community water systems. No wells within 100' of proposed system. L? M rEXISTG SEPTIC AREA P.I.D. NO: 017-073-76 i i I / —J L — — — — —— r- --��-- --- \\---- -- I—EXISTG3� R 1 � \ PROP SED 1000g, r \ 1 SEPTI TANK I A,A I _ __ EXISTG I! / \24.1 i NEW 1000g SEPTIC TANK ...... PREPARED FOR: .Pannone j191 a David Roland 8149 \ '' • Judy Goresen •;R,•pY� 13431 Ladsa Street Anchorage, AK 99516 SEPTIC TI / S% I \ I \ 5% L� _ _13 I1 EXISTG SEPTM G SEPTI f AREA / I 1 `Q 1 1 I I I I I I r_ EXISTG WELL I I I I I � 89.1 15% EXISTG AREA r 1 I 1 1 1 I I DESIGN CALCULATIONS: TANK REPLACEMENT ONLY BEDROOMS:3 CONNECT MIN SIZE TANK:1000g TO EXISTG FIELD PANNONE ENG. SVC, LLC P. O. BOX 102954 ANCHORAGE, ALASKA 99510 227-3522 P. 272-8218 Fax PLAN ; � fro. I I I I I �, u _ ` 3 � el 1 toll La{I 7,�rn _20 .. MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION ENVIRONMENTAL ENGINEERING DIVISION / 825 L Street - Anchorage, Alaska 99501 Telephone 264-0720 ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME /��� ^ ') 1- v PRUNE,1 NEW CLS 7 E_R�1r1� ���S�I .FiLG� r l���I�� ❑UPGRADE MAILING ADDRESS �3 E 4-� AVE N CIRP- 6i tZ LEGAL DESCRIPTION Lerr 11..2 6 c,! N-14ILLS LOCATION NO.OF BEDROOMS o f-x 3 ow DISTANCE TO: Well f Absorption area /Opt`N Dwelling 71/ PERMI NO. WZ Manufacturer �• K Majg j,,, / Na. of compartn nts W F R 577 C� iC Liq. capaaty in OOgallons IF HOMEMADE: Inside length Width Liquid depth d Y DISTANCE TO: We I Dwelling PERMIT NO. _Z4 I- Manufacturer Material Liquid capacity in gallons O w= DISTANCE TO: Well ���� p - tnpT /� Foundation % Nearest lot line PERMIT NO t O✓2 w- Z No. of IIp{�s Le tp� f each lire Total len th of lines %Ot7 Trench wi�tth Distance betwee lines f,zw oL r�Yf 5{7 3lo inches lo�' H Top the to finish Material beneath the of grade p �p Total effective abs Ptioe area 900 O inches Length Width Depth PERMIT NO. W t7 i1- to d Type of crib Crib diameter Crib depth Total effective absorption area W DISTANCE TO: Well Building foundation Nearest lot line J Class Depth Driller Distance to lot line PERMIT NO. J u' �+ DISTANCE TO: Building foundation Sewer line Septic tank Absorption area(s) OTHER PIPE MATERIALS SOIL TEST RATING 190 INSTALLER SCRACNLE EXe REMARKS relf SOF q% .,apt• ••:11 • APPROVED .•• • •. • .� LEGAL S vrkt0L p:� unE25 iii rz- /611 SK 2 GI E4-4N NlLLS 72-013 (Rev. 3/481 I is • •• • ... G y MLJt4 I Cl I r�'&L_ I TY OF nlr41=t ^RF 13E DEPARTMENT 04 HEALTH AND ENVIRONMENTAL PROTECTION 825 'L' STREET, ANCHORAGE, AK. 99501 264-4720 CDt4—'S I TE SEWER F"EFS t7I T PERMIT NO. C 810524 ) APPLICANT SCHACHLE EXC LOCATION GRECIAN HILLS LEGAL L11 62 GRECIAN HILLS TYPE OF SOIL ABSORPTION SYSTEM IS MAXIMUM NUMBER OF BEDROOMS = 3 633 E. Si AVE. Q/ 5. �:T 344-2. LOT SIZE 19200 SQUARE FEET TRENCH 1,��, 0- SOIL RATING (SQ FT/BR)= .&V �Jww SMA/ THE REQUIRED SIZE OF THE SOIL ABSORPTION ,RY TE is: L>EF"TH= 1IO LEt•70TH= oF;Zn r'EL C�EF"TH= 4 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 (IF! 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 CIN FEET). REr-�!U I RED> SEF"T I C TFIt-4t< 'S 12! EE = 1 E30C3 13FlL_L_01t4'_=; PERMIT APPLICANT HAS THE RESPONSIBILITY TO INFORM THIS DEPARTMENT DUPING THE INSTALLATION INSPECTIONS OF ANY WELLS ADJACENT TO THIS PROPERTY AND THE NUMBER OF RESIDENCES THAT THE WELL WILL SERVE. --- TWC] C 2 ] I t4SF'ECT I CDt453 FARE REGILI I REQ --- BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTANCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 150 TO 200 FEET FROM A PUBLIC WELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTANCE FROM A PRIVATE WELL TO A PRIVATE SEWER LINE IS 25 FEET AND TO A COMMUNITY SEWER. LINE IS 75 FEET. OTHER REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER, INSTALLATION. F3ERM I T EX1=> I RES E>ECFEE Irl EsaR 31r :.S�S1 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 IM ACCORDANCE WITH THE CODES. 3: 1 UNDERSTAND THAT THE ON-SITE SEWER SYSTEM MAY REQUIRE ENLARGEMENT IF THE RESIDENCE IS REMODELED TO INCLUDE MORE THAN 3 BEDROOMS. SIGNED ISSUED BY SCHACHLE EXC V4. 0 SOILS LOG MUNICIPALITY OF ANCHORAGE ❑ PERCOLATION DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 7E57 825 L Street, Anchorage, Alaska 99501 2644720 SOILS LOG — PERCOLATION TEST PERFORMED FOR: _;C4AC 14 LC FE -1 x DATE PERFORMED: -5 3O/ 1 LEGAL 19 ek:4 T►• 20-'......e e..: •�' 2225-E •' NE 25.1971 :i PERFORMED 72-008 (6/79) SLOPE SITE PLAN ■■■■■■■■■■ Reading e ORL&ANICS, RLAQ<. .. • . • S 1 b 15 2 1, Locss 3 - 16 -•• S;LCYr S«K GraLre( 4- Od -- ------ v - ° ` UH5 .�.� u v r • 6 7 /, V &t Lli SAND a. k A G2AV�L. 6TySP(/y1 r r OF A/ X% 8 w; W "Snneer 4 d 9 ° Or AeMtCiva nw.t./C I rot.W.co 10 J . r s v./6 w, &-t440-& 11 ( v1�0 _ _ _ Q_ - _ c _,� WAS GROUND WATER _ ENCOUNTERED? 1 12 v � IF YES, AT WHAT 13 j of DEPTH? 19 ek:4 T►• 20-'......e e..: •�' 2225-E •' NE 25.1971 :i PERFORMED 72-008 (6/79) SLOPE SITE PLAN ■■■■■■■■■■ Reading e Gross Time .. • . • S 1 b 15 •r 1, 16 ;.•y HcGZjKIaA SW 17 .�.� is OF A/ X% 19 ek:4 T►• 20-'......e e..: •�' 2225-E •' NE 25.1971 :i PERFORMED 72-008 (6/79) SLOPE SITE PLAN ■■■■■■■■■■ Reading Date Gross Time Net Time Depth to Water Net Drop PERCOLATION RATE (minutes/inch) �TEST N BETWEEN � FT AND FT Q�NOy►i%t alt W/ �vaLr)p � �Z< F ,,d,%,% efi 4 1410 CERTIFIED BY: 1 _ C - r ^ ❑ SOILS LOG MUNICIPALITY OF ANCHORAGE (/ \\ PERCOLATION dI • �,l DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION TEST 825 L. Street, Anchorage, Alaska 99501 2644720 SOILS LOG - PERCOLATION TEST ` n PERFORMED FOR: GLC -TE R�DDI & ISCMAKLE EXCDATE PERFORMED: AV61 I I Q6 I •I LEGAL DESCRIPTION: LOT it, BK P— CnQE�ii�[�i N LLS t SLOPE SITE PLAN Gil (FEET) 1 Net Drop 2- 3- 34566 4- G o 5- 6- o 7-- 8. VA- 9- so 10- 10 02 I z fro 14 11 it 2. 12- 2131415 O 13- 14- o 15- Z Gil r 16- r:4911y 1 ' Nq 2227-E''t•: JUI E 25, 13,1 .."': It 0 20 1 t rte; PERFORMED WAS GROUND WATER S ENCOUNTERED? L O P IF YES, AT WHAT E DEPTH? Reading Date Gross Time Net Time Depth to Water Net Drop •— G o 7 •• zo o VA- ' -1670 so 02 I z fro 14 140 2. /O O 2 3: o Z PERCOLATION RATE /5 (minutes/inch) TEST RUN BETWEE F:f ND FT NED BY: 72-009 (6/79( •�// Syren & Sons, Inc. 2330 East Tudor Rd. Anchorage, AK- 99507 /` 4040 "8" STREET ANCHORAGE, ALASKA 99503 (907) 278-1551 March 29, 1978 W.O.#A18404 Grid: Re: Lot 11 Block 2 - Grecian Hills Subdivision Gentlemen: At your request, we have made a visual examination of the soils in the vicinity of the proposed leach field system on the referenced project. Transmitted with this report are the following: Vicinity Map Figure 1 Test Pit Location Figure 2 Test Pit Log Table A Soil Analysis Table B At the time of our visual inspection, an "L" shaped trench had been excavated on the rear portion of this lot. The soils below the topsoil were very uniform in texture, being classified as a very silty sandy gravel. There was ta.ndi.ng water in the bottom of the trench at 8 feet below the around at the interface of the topsoil and the gravel at 2 feet below ground surface due to "spring runoff". A representative sample of the excavated soil was obtained and delivered to our laboratory for analysis. The gradation of this material is enclosed on sheet 13. A percolation test was not performed at this time due to below -freezing temperatures. However, based on our analysis, soils of this type will percolate very slowly and a conserva tive estimate of the soil rating would be 250 square fLct_ drama area requiteper cdroom. Syren & Sons, Inc. March 29, 1978 Page 2 We trust the foregoing is sufficient to your present needs. If there are any questions or if we can be of further service, please contact us. , Yours very truly, ALASKA TESTLAB ifyffv! iJ • �f /' � James D. Mack, CET Laboratory Supervisor JDM:mfm Attachments MA ViGINiTY MAP FIG• 1 tea. Drive 0 N89•93'34•W 640.70 D80 . n 30 87.20 87.20 87.20 67.20 67.20 d7.20 87.20 0 r.- d0 d A /0 00� 4�C 6 Op p0 . 5 •O O 0 n B 79 ¢ OoV _ - - O _ _ • N 0 0 - 0 0 ♦ o z oz ,10x30 Anchor Esmr, j Ics U(II.EsMr. _..8}.20-' _ --67.20- 76Y.20 9Frg 6- q.0----!._-- 02.00 - - e4 „ Q m bN j \ �♦ . N 582.21.31.E Z I W Q o 200.84 o � e m CY 30 m /¢ = /5 b .000 /C 1um� .0 N b O VL 64j.7 ' it /6 .. 44eno: ox3o v a 417.40 D 8 0 p 148 31 WONIA Circle 14.76 S� �8. 01.41 33.65 343. LA •2/ W � •y (04.33 Nl/a //7,89 1p4'3.0 `.5 j3 e00.48_E, m 0 6 8 o 9 c 0 = \. B m 7 } 104'33 3p.0p - 82. o - tl o ..rill o0 e 4c Z ? b I /04.04 _ O 104.53 + ♦ - 10046 583.11.49,E 10 •U1(1• Esmt� 0 61.0/ \ ♦/ _. 100.33 m a 4q•OU 1 ♦� v 100.33 N /¢ e I N o 0 2 >�It, 0 �1 I 1 10•VIIIIIY Esmr. P 40•' 121.61 100.00 100.00 100.00 100.00 100.00 100.00 100 1 N09°50 12'W 1310. f'/ Ufio on �1 .. - ----.. _.. - 509•37.03•W 1319.19011, 1. itFly vre 2 - - ♦111"\ lxl hl' 1 O ,D 1•. 2 O _ • O e . 1 � - ♦ A MI m ♦ 4 5 6 7 8 9 /O N tl 0 O � 0, \ 00 Z O d 1 87.81 ,.•87.8t 87.81 87.61 87.81 87.81 67.81 90.00 90.00 tea. Drive 0 N89•93'34•W 640.70 D80 . n 30 87.20 87.20 87.20 67.20 67.20 d7.20 87.20 0 r.- d0 d A /0 00� 4�C 6 Op p0 . 5 •O O 0 n B 79 ¢ OoV _ - - O _ _ • N 0 0 - 0 0 ♦ o z oz ,10x30 Anchor Esmr, j Ics U(II.EsMr. _..8}.20-' _ --67.20- 76Y.20 9Frg 6- q.0----!._-- 02.00 - - e4 „ Q m bN j \ �♦ . N 582.21.31.E Z I W Q o 200.84 o � e m CY 30 m /¢ = /5 b .000 /C 1um� .0 N b O VL 64j.7 ' it /6 .. 44eno: ox3o v a 417.40 D 8 0 p 148 31 WONIA Circle 14.76 S� �8. 01.41 33.65 343. LA •2/ W � •y (04.33 Nl/a //7,89 1p4'3.0 `.5 j3 e00.48_E, m 0 6 8 o 9 c 0 = \. B m 7 } 104'33 3p.0p - 82. o - tl o ..rill o0 e 4c Z ? b I /04.04 _ O 104.53 + ♦ - 10046 583.11.49,E 10 •U1(1• Esmt� 0 61.0/ \ ♦/ _. 100.33 m a 4q•OU 1 ♦� v 100.33 N /¢ e I N o 0 2 >�It, 0 �1 I 1 10•VIIIIIY Esmr. P 40•' 121.61 100.00 100.00 100.00 100.00 100.00 100.00 100 1 N09°50 12'W 1310. f'/ Ufio on �1 .. - ----.. _.. - 509•37.03•W 1319.19011, 1. itFly vre 2 - - ♦111"\ lxl hl' I I n n Date: 3-30-78 Logged By: Jim Mack Test Pit j 1 Table A WO 8A18404 Depth in Feet From To Soil Descrintion 0.0 2.0 Organic Topsoil. 2.0 10.0 F-1, tan Siltv Sandy Gravels, GM Bottom of Test Pit: 10 f.t Frost Line: -0- --------_ - 111 Free Water Level: Surface runoff accumulating in bottom of trench. Sample Depth 1 2'-8' Type of Sample G Dry Strength Group Unified Class. GM Remarks: 1. Type of Sample, G=Grab, SP = Standard Penetration, U = Undisturbed. 2. Dry Strength, N=None, L=Low, !4=:1edium, I1=High. 3. Group refers to similar material, this study only. 4. General Information, see Sheet 1. S. Frost and Textural Classification, see Sheet 2. 6. Unified Classification, see Sheet 3. TO ��! Th �r i!✓. SUBJECT'/,COT Z/ AT ev/r 4 oUy �frr 100 1311LI MATIM SIGNED DATE RRdillm • 4S 4[69 Rw NISO rUINN� SIGNED SEND ►ARTS 1 AND S WITH CARSON INTACT. i PART S WILL SE RETURNED WITH REPLY DETACH AND FILE FOR FOLLOW-UP DATE IUB :5U— '" t.• A 1Aun cipality of Anchorage, MEMORANDUM DATE: TO: FROM:1� t-1��C2S SUBJECT:��SAQGQ[fvA` of PCLG^TGyNCl1 ON a o r(_1 RRCN \R'1 R F1T `..1M A- \0.ST 1 to 5 FEcnO N Wp,S ei.oFlQPRovr�p Au6 -m vxsuHL 1s aW!VmQc-r- .FRe+7ti `C'G—s � l��,\� � o'iQ Sit Rc.N wAS CON't't1CTC-Q � i1DU\S6D `CRE-rouCN- CAV60 17.1 'fltiK\N6 N\6F{i GCaa+,p v)�1Z(Z wri11'� cKtn,c�lN 1F '1F16�j WtLNT' 'io v�56 EX\sTllv6 TR+6NC!{ A NC�t! SO\LS `1Z.ST R6G�U�R��O Fob. t�fZLA Ck�o-m \000 GAL aekcR- �+�1 �VF ..k aN 'mP K\BHT S\ob � �ownlC �� 'T6A�) CovRcraR -tn (�k6cK �� N6\�wf3o�v6 w'q f � 1.�'i'►'�1' etvN6fz- of �/c11�1NFEr , 1, A1Ko m i A �Y I 1 mV,,---crto. 1 o r- �7oPb.x-o aB+ IVc-,m CWS`{ MCI roQAeL\VO u, 74w r, mar to MIJr,i I I �tL I TY Cot=FIt tCryc�Ft-RGEfYt .DEPARTMENT HEALTH AND ENVIRONMENTAL ']TECTION 3- op 'Q, 825 'L' STREET, ANCHORAGE, AK. 99501 � 279-2511 Wt=Lt_ F=l r.Ft7 tJPt I:TE SEWEF� PERMIT Ai3o PERMIT NO. ( 77695 ) APPLICANT GF_RRY COLLINGS LOCATION DEARMOUN LEGAL LT. 11 BK.2 GRECIAN HILLS TYPE OF SOIL ABSORBTION SYSTEM IS 5550 OLD SEWARD TRENCH LOT SIZE N- 21000 SQUARE FE4 MAXIMUM NUMBER OF BEDROOMS = 3 SOIL RATING %<SlFT/BR)= 150THE REQUIRED SIZE OF THE SOIL ABSORPTION SYSTEM IS: JOFT EFsTt� THE LENGTH DIMENSION IS THE LENGTH CIN FEET) E TREFJCH OR DELD. THE DEPTH OF A TREFJCH OR PIT IS THEDISTAJCE EN THE SURFACOF GROUND AND THE BOTTOM OF THE EXCAVATIOFJ C F. THERE IS NO SET WIDTH FOR TRENCHES. THE GRAVEL DEPTH IS THE MINIMUM DEPTH EL BETWEEN H UTFRLL P PE AND THE BOTTOM OF THE EXCAVATION (IF! FEET) REQI.J I REFI SEF1T I C TFC F< : ZE= 1�CJ = 93 F=l 1-4 JSa FBF=FCFCFFGE F=' T OP 2P+1 --- A PACKAGE PLANT MAY BE INSTALLED AT TH RMITTEE'S TION SUBJE'TT E FOLLrOWING CONDITIONS: 1) EITHER A CLASS I OR Il t' A i ED PLA � BE I NSTAR ED. � f 2j A CONTINUOUS MAINTENAN MEFJT IS RED. IF A� tlgINTEt� JCE AGREEMENT IS NOT KEPT U YOU MAY B EQUIRED LA'16 HE SOIL ABSORPTION SYSTEM AF! IO '0 MA 'E S CT TO PF • PT I --- i -WO [ 2 N —Ir I Q -J'S f=1RE RF=rDLJ REL? --- BACKFILLING OF ANY S -T WIl FINAL I SPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUB CT T ROSECUTIO . MINIMUM DISTANCE BETWEEtNa,NiELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE WELL OR 200 FEET FOR A PUBLIC WELL. 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=O FEE RM I T E?{F} I RES t>ECEM0FEE Fc <2r 1 S91?7 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. A .. ii SIGNED: I I NGS ISSUED BY _ __--- -_-- /_-------DATE-� `_"---1-- V3. 0 r June 29, 1970 Johnson, Christenson and Glass 1200 Airport heights Road Suite 500 Anchorage, Alaska 99504 Subject: Lot 11 Block 2 Grecian hills Subdivision The soil test conducted on the subject property by R & m Engineering indicates an acceptable absorption rate. The problem of development is the location of the test hole. An on-site sower system must be located one-hundred(100) feet from all walls. TSe—area of the soil test apparently encroaches on existing wells or prevents a well being drilled on the subject property due to neighboring sewers. An attempt to install an on-site sewer system in a different location resulted in unacceptable soil and ground water presence. If there are any further questions, please contact this office at 264-4720. Sincerely, Les 11. Buchholz, R.S. Senior Environmental Sppcialist MIM/l j h P&M CONSULTANTS. INC. E62E COROOVA B SOX Eon B ANCHORAGE, ALASKA 99962 B FN. 96!-2)96149 B TLx. 010 21140 SNOW.... O.ZIL0.10" AL...... KVRVKVORK March 25, 1977 Mitten Hanson 202 Bonnell Street Anchorage, Alaska 99501 R & M No. 751130 RE: Test Hole and Soil Lot Report for Sanitary System Lot 11, Block 2, Grecian Hills Subdivision, SW}, Section 25, T12N, R3W, S.M., Anchorage, Alaska Dear Ms. Hanson: We are submitting herewith the test boring results and our comments regarding soil conditions encountered at the subject site. This in- vesitgation was performed in accordance with your request of March 24, 1977, and those procedures outlined in a letter dated July 15, 1975, by Mr. Rolf Strickland of the Municipality of Anchorage, Department of Environmental Quality. A single test hole was bored within the subject site area for the purpose of defining general subsurface soil conditions for the proposed sanitary system. Drilling was accomplished with an auger type drilling rig and the test hole was extended to a total depth of 21LX.oet below ground surface. The final log prepared for the test hole has been included in Drawing A-01. Groundwater vias nnr fDgn n±azad in the test hole while drilling. A percolation test was performed from a depth indicated and reflects average infiltration from that depth to the bottom of the hole. We appreciate being given this opportunity to be of service to you. Should you have any questions with regard to the above, please do n hesitate to contact us. Very truly yours, R & M CONSULTANTS, INC.' E NxP Jeffery M. Ayres Staff Geologist _ 1 JWR/pe xc: Municipality of Anchorage ANCHORAGE FAIRBANKS JUNEAU VALOEZ WASILLA i i NOT TO SCALE Test Hole locations are approximate and have not been located by survey methods. TH-1 0.01 SILTY SAND W/SOME GRAVEL Occasional Cobbles -------2.0' GRAVELLY SAND W/SO"1E SILT -- -----^4.0' A SILTY SAND W/SOME GRAVEL — —11.01 Boulder at 14' GRAVELLY SAND W/SOME SILT Occasional Cobbles 20.0' TD Water Table Not Encountered This log represents subsurface soil conditions within Test Hole 1 on Lot 11, Block 2, Grecian Hills Subd. SA,Section 25, T1211, R311, S.M., Anchorage, Alaska o F. B. OWN' MA.M. o SANITARY SE'r1ER TEST HOLE CKO: JMA R&M CONSULTANTS, INC. MITTEN HANSON GRID DATE: 3-25-77 ..........«............ «....... «. AF1CFi0RAG£, ALASKA PROINO 751130 SCAT -E: 1"=3' DV.G.NO. A-01 PERCOLATION TEST MITTEN HANSON R & M N0. 751130 TH-1 March 25, 1977 INCHES 13.50 14.00 14.50 14.75 15.00 15.25 15.50 15.75 16.00 16.00 16.25 17.00 18.00 ' 18.50 19.00 20.50 21.00 22.25 DROP IN INCHES 0.00 0.50 0.50 0.25 0.25 0.25 0.25 0.25 0.25 0.00 0.25 0.75 1.00 0.50 0.50 1.50 0.50 1.25 8.75 INCHES TOTAL DROP 6.86 MINUTES PER INCH ELAPSED TIME TIME 3:00 0 3:01 1 3:02 2, 3:03 3 3:04 4 3:05 5 3:06 6 3:07 7 3:08 8 3:09 9 3:10 10 3:15 15 3:20 20 3:25 25 3:30 30 3:40 40 3:50 50 4:00 60 INCHES 13.50 14.00 14.50 14.75 15.00 15.25 15.50 15.75 16.00 16.00 16.25 17.00 18.00 ' 18.50 19.00 20.50 21.00 22.25 DROP IN INCHES 0.00 0.50 0.50 0.25 0.25 0.25 0.25 0.25 0.25 0.00 0.25 0.75 1.00 0.50 0.50 1.50 0.50 1.25 8.75 INCHES TOTAL DROP 6.86 MINUTES PER INCH SOILS CLASSIFICATION, CONSISTENCY AND SYMBOLS CLASSIFICATION: Identification and classification of the soil is accomplished in accordance with the Unified Soil Classification System. Normally, the grain size distribution determines classification of the soil. The soil is defined according to major and minor constituents with the minor elements serving as modifiers of the major elements. For cohesive soils, the clay becomes the principal noun with the other majdr soil constituents used as modifier; i.e, silty clay, when the clay particles are such that the clay dominates soil properties. Minor soil constituents may be added to the classification breakdown in accordance with the particle size proportion listed below; i.e, sandy silt w/some gravel, trace clay. no call - 0 - 3% trace - 3 - 12% some - 13 - 30°o SOIL CONSISTENCY - CRITERIA: Soil consistency as defined below and determined by normal field and laboratory methods applies only to non -frozen material. For these materials, the influence of such factors as soil structure, i.e. fissure systems, shrinkage cracks, slickensides, etc., must be taken into consideration in making any correlation with the consistency values listed below. In permafrost zones, the consistency and strength of frozen soils may vary significantly and unexplainably with ice content, thermal regime and soil type. Cohesionless Cohesive N*(blows/f t) Relative Density T- (tsf) Loose 0- 10 0 to 40 o Very Soft 0 - 0.25 Medium Dense 10 - 30 40 to 70;"o Soft 0.25- 0.5 Dense 30- 60 70 to W/O Stiff 0.5 -1.0 Very Dense - 60 90 to 1003'a Firm 1.0 - 2.0 *Standard Penetration "N": Blows per foot of Very Firm 2.0 -4.0 a 140 -pound hammer falling 30 inches on a hard -4.0 2 -inch OD split -spoon except where noted. DRILLING SYMBOLS WO: Wash Out WD: While Drilling WL: Water Level BCR: Before Casing Removal WCI: Wet Cave In ACR: After Casing Removal DCI: Dry Cave In AB: After Boring WS: While Sampling TD: Total Depth Note: Water levels indicated on the boring logs are the levels measured in the boring at the times indicated. In pervious unfrozen soils, the indicated elevations are considered to represent actual ground water conditions. In impervious and frozen soils, accurate determinations of ground water elevations cannot be obtained within a limited period of observation and other evidence on ground water elevations and conditions are required. DVJN' L.D.S. o o FE N/A CKD G.L.8. RSM CONSULTANTS, INC. GENERAL NOTES ' 'C N/A .........................,........ OATEN 3-1-72 ...%=CJ.NO GENERAL SCAL E: N/A D:':�. NC. 8-01 STANDARD SYMBOLS u[ ---I ORGANIC MATERIAL ® COBBLES B BOULDERS c^ j IGNEOUS ROCK SPOON ® CLAY va? CONGLOMERATE ® METAMORPHIC ROCK 1.4" ® SILT SPOON SANDSTONE ■ ICE, MASSIVE HAMMER SANG AUGER SAMPLE MUDSTONE® ICE -SILT PrA oao GRAVEL ® LIMESTONE ® ORGANIC SILT 2.5" SAMPLER TYPE SYMBOLS St .....1.4" SHELBY TUBE SPLIT SPOON WITH 47# HAMMER Ss ..... 1.4" SPLIT SPOON WITH 140,# HAMMER SI .....2.5" AUGER SAMPLE SPLIT SPOON WITH 140# HAMMER SA ..... 2.5" SPLIT SPOON WITH 340# HAMMER Ss ..... 2.0" SPLIT SPOON WITH 140# HAMMER St ..... L4" SPLIT SPOON WITH 340,4` HAMMER Sp ..... 2.5" SPLIT SPOON, PUSHED SANDY GRAVEL He ..... 1.4" SPLIT SPOON DRIVEN WITH AIR HAMMER HI ..... 2.5" SPLIT SPOON DRIVEN WITH AIR HAMMER SANDY SILT SILT GRADING TO SANDY SILT SANDY GRAVEL, SCATTERED COBBLES (ROCK FRAGMENTS) INTERLAYERED SAND B SANDY GRAVEL SILTY CLAY w/TR. SAND Ts .... SHELBY TUBE Tm.... MODIFIED SHELBY TUBE Pb .... PITCHER BARREL Cs .... CORE BARREL WITH SINGLE TUBE Cd .... CORE BARREL WITH DOUBLE TUBE Bs .... BULK SAMPLE A . . . . . AUGER SAMPLE G..... GRAB SAMPLE NOTE: SAMPLER TYPES ARE EITHER NOTED ABOVE THE BORING LOG OR ADJACENT TO IT AT THE RESPECTIVE SAMPLE DEPTH. L.D.S. TYPICAL BORING LOG BOR/NG NUMBER�T. H. 30-15 Elev. 274.6 r ELEVAT/ON /N FEET OAT£ ORILLEDy10-21-70 All Samples Ss�SAMPLER TYPE ORGANIC MATERIAL 0 Consid. Visible Ice 0-7 ICE+ML CKD G.L.B.EXPLANATION ICE -SILT SAMPLER TYPE` stimate 65% Visible Ice Ss 1 90,56.2% STRATA CHANGE WATER TABLE �� 7, 9* .{. :• SANDY SILT GRADATIONAL CHANGE APPROXIMATE STRATA CH41XE _ _ _ _ _� _ l2' o$ Little to No Visible Ice 13=30' Vs -—ICE, DESCR/PTIAY B CLASSIFICAAON Ss �Q 2 72,571%,BS•9pc1,28?Gp /CORPS OF ENGINEERS METHOD) o o pao°o SUN/f7ED OR FAA CLASSIFICATION � TEMPERATURE, °F � ao FROZEN GROUND 000° DRY DENS/TY WATER CLIV7ENT °. BLOWS/FOOT o s SAMPLE NUMBER ;d d° SANDY GRAVEL 26' Cd 3 95 SCHIST ✓—GENERALIZED SOIL OR ROCK DESCRIPTION SAMPLE LOCATION 30'—DRILL DEPTH * W.D.-WHILE DRILLING, A.B-AFTER BORING L.D.S. F.B. N/A DWN' CKD G.L.B.EXPLANATION R6M C0N8ULTANTB�, INC. ....«�" OF GRID N/A DATE: FEB. 1972 PROJ.NO GENERAL SELECTED SYMBOLS SCALENONE DWG.NO. B-02 FILE NO.A 9091-3-1PP Environmental Health Division Health & Environmental Protection Municipality of Anchorage Pouch 6-650 Anchorage, AK 99501 Re: Our Clients: Jerry D. and Elsie Collings Lot 11, Block 2, Grecian Hills Subdivision Gentlemen: On June 26, 1978 I wrote to you asking for your verification that our clients would not be able to place a residence of any size on their property due to the soil conditions. As yet, I have not received a response to this letter. Would you kindly do so at your first convenience. A copy of my correspondence to you of June 26th and the accompanying attachment is enclosed for your reference. KAC/njk Encls. JOHNSON, CHRISTENSON & GLASS, INC. t4UNICIPALITY OF ANCHORAC: DEPT. OF HEALTH & E;NIRONMENTAL PROTE'T'G:d ccr 3 1978 DECEIVED LAW OFFICES B. GILJOHNSON JOIINSON. CIIRISTENSON & GLASS FAIRBANKS OFFICE KEITH A CHRISTENSON A PROFESSIONAL CORPORATION 751 OLD RICHAR05ON HWY. LEE S. GLASS SUITE 325 1200 AIRPORT HEIGHTS ROAD. SURE 500 FAIRBANKS. ALASKA 99701 ►AUL A. SARRM ANCHORAGE. ALASKA 99504 1907) 452.4497 RONALD E. CUMMINGS DENNIS M. MESTAS E. JOHN ATHENS. JR. (907)279.9422 KENAI OFFICE MICHAEL A SCHNEIDER [f October 25, 1978 P.O. BOK 1103 PATRICK E. MURPHY KENAI. ALASKA 99611 MARLIN D. SMITH (9071 283.7179 DANIEL T. SALUKI DALE L DOUPKA VALDF20FFICE STEPHEN R. PORTER CANDACE A. FRY P.O. BOK 1099 CARL A. LARSON VALDEL ALASKA 99696 WILLIAM F. REEVES 1907) 935-4859 FILE NO.A 9091-3-1PP Environmental Health Division Health & Environmental Protection Municipality of Anchorage Pouch 6-650 Anchorage, AK 99501 Re: Our Clients: Jerry D. and Elsie Collings Lot 11, Block 2, Grecian Hills Subdivision Gentlemen: On June 26, 1978 I wrote to you asking for your verification that our clients would not be able to place a residence of any size on their property due to the soil conditions. As yet, I have not received a response to this letter. Would you kindly do so at your first convenience. A copy of my correspondence to you of June 26th and the accompanying attachment is enclosed for your reference. KAC/njk Encls. JOHNSON, CHRISTENSON & GLASS, INC. t4UNICIPALITY OF ANCHORAC: DEPT. OF HEALTH & E;NIRONMENTAL PROTE'T'G:d ccr 3 1978 DECEIVED LAW OFFICES e. cILJOHNSON JOHNSON, CHRISTENSON & GLASS REITN A. CHRISTENSON A PROFESSIONAL CORPORATION LEE B. GLASS 1200 AIRPORT HEIGHTS ROAD. SUITE 500 PAUL A. BARRETT RONALD E. CUMMINGS ANCHORAGE. ALASKA 99504 DENNIS M. MESTAS E. JOHN ATHENS. JR. 49071 279-9422 MICHAEL J. ECHNEIDER PATRICK E. MURPHY MARLIN D. SMITH June 26, 1978 DANIEL T. SALURI DALE L DOLIFKA STEPHEN R. PORTER CANDACE A. FRY CARL A. LARSON WILLIAM P. REEVES Environmental Health. Division Health & Environmental Protection Municipality of Anchorage Pouch 6-650 Anchorage, Alaska 99501 Gentlemen: FAIRBANKS OFFICE 781 OLD RICHARDSON HWV. SURE 325 FAIRBANKS. ALASKA 99701 19071 452.4497 KENAI OFFICE P.O. Box 1105 KENAI. ALASKA 99811 19071 2113-7 17 8 VALDEZ OFFICE P.O. Box 1089 VALDEZ. ALASKA 99899 190711135.4959 FILE NO. A Re: Our Client - Jerry D. & Elsie Collings Lot 11, Block 2,'Grecian Hills Subdivision This office represents Mr. & Mrs. Jerry Collings, who have been denied approval for installation of a septic system on the above -captioned property. In view of the fact that this parcel was alleged to have undergone a perc test and to have "good" drainage before our clients' purchase of the lot, we would appreciate your forwarding any and all information which you may have regarding prior requests for approval. We would also like your opinion of the results of a test completed by R & M Consultants in March of last year, a copy of which is enclosed. Since approval was denied as mentioned above, I would like your verification that our clients may not place a residence of any size on this property due to the soil conditions, even with a holding tank. Your assistance in this matter will bsr,+gr�21f1 A,TH2 appreciated. Very truly yours, KAC:me Encicsure JOHNSON, CHRISTENSOI & GLASS „- L Y V 633 EAST 01ST AVENUE ANCHORAGE, ALASKA 99502 SUBSURFACE EXPLORATION Shift Report of Operations Date ' SOILS LOG CASING LOG · ~'- ~ [ Total Time Depth Materials and Remarks Length, Len~Dth ,.. -~ ,., . /... ?':..;. > >. ,, (. f Y} :? "v (' '/' , ~.:, ~ ,,. ~ .l .' '-; '" )' / "/ ' "" ' · ,' t./ .//, -,'. :~. /../.. ). / r: ] .. _ ::'. '. :~', .-~ ,,,',', / ..: ,',.; .' ..:-'m,( .;:.,?:~i~.~,/ /C) ,. ,'..( ,,,~,,.., · ,//,~. (:..b .... ~ ' ~,,,, ...... (.'~', /i ? ?9,'ILs ,, No. Depth Sample Description / Address City Project Static Level ~- ~ ~ ,Size ,.~} .~ GPM-YIELD Depth-Begin Shift Depth-End Shift Depth Drilled , , TIME DISTRIBUTION HOURS Drilling Pull Casing Pumping Standby Surging ,, LABOR EQUIPMENT Name Item I Size ~ Hours DrilI-R [g ~"~ Flatbed Compressor Generator ® Municipality of Anchorage On -Site Water and Wastewater Program (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL Parcel I.D. 017-073-76 1. GENERAL INFORMATION Expiration Date: � 3- 1-©2-0 Complete legal description GRECIAN HILLS BLK 2 LOT 11 Location (site address) 13431 LARISA ST ANCHORAGE Current Property owner(s) Secretary of HUD Day phone Mailing address Real Estate Agent 451 7th St SW, Washington DC 20410 Carmen Robles Day phone 907-570-6757 2. TYPE OF DWELLING: ® Single Family (w/wo ADU) ❑ Duplex ❑ Multiple Dwellings (Single Family and/or Duplex) 3. NUMBER OF BEDROOMS: 3 4. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ® Individual ❑ Individual Water Storage ❑ Holding Tank Community Class _Well ❑ Community ❑ Public Water System ❑ Public Sewer ❑ WaiverNariance request for: Distance: Received by: Date: COSA to be released to the engineer, unless otherwise requested by the engineer. COSA Fee $ 66-7D ^ Waiver Fee $ Date of Payment 11,- oQ (or A C,k Lj q Receipt Number 2455-1 b COSA # 6,5C t0� 15 -7 0 Date of Payment Receipt Number Waiver # 5. STATEMENT OF INSPECTION BY ENGINEER As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation, based on procedures outlined in the Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm ARCTERRA CONSULTING, INC. Phone 696-6111 Address 20441 PTARMIGAN BLVD., EAGLE RIVER, AK 99577 Engineer's Printed Name KENNETH M. DUFFUS Date Engineers Comments: This investigation was completed in compliance with ADEC and MOA regulations. The assessment of the condition of the well and septic applies only to the conditions as of the day tested. The flow and absorption rates may change due to subsurface conditions that may not be observed from the surface, changes inland use, local soil characteristics, groundwater levels that may fluctuate during the year and the water usage of the family being served by the system. The operational life of all well and septic systems are subject to these various and dynamic characteristics and are outside the control of the evaluator of the well and septic system. Therefore, ArcTerra can not give any estimate of how long a system will function satisfactory for current or future �+►�•\ occupants or can ArcTerra guarantee that no unseen ,r• „ OF encroachments, deficiencies or discrepancies exist. /��> 6. DSD SIGNATURE System #1 Approved for "'`' 1 bedrooms. � �, 7 ;� System #2 Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: WAT_ 'AND 0-rIn �Cn PRO('''AM Original Certificate Date: The Municipality of Anchorage Development Services Division (DSD) issues Certificates of On -Site Systems Approval (COSA) based only upon the representations given in paragraph 5 by an independent professional civil engineer registered in the State of Alaska. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 7. ATTACHMENTS: COSA Checklist X Septic System Advisory Well Flow Advisory COSA blue sheet 10-10-12.doc Nitrate Advisory Arsenic Advisory Other COSA Checklist Legal Description: Grecian Hills Blk 2 lot 11 Parcel ID: 017-073-76 If more than 1 septic system on lot: COSA Checklist # of Structure served by this system 1 A. WELL DATA ❑ Well log is filed with Onsite (or attached) Date drilled Total depth ft Cased to ft Sanitary seal is functioning correctly Wires are properly protected Casing height (above ground) 25 in. Date of flow test for COSA 11/8/19 Static water level at beginning of test 63 ft. Comments B. TANK DATA Age of tank(s) 12 years Tank type/material Septic/Steel 49" Measured operating fluid level in septic tank Standpipes/foundation cleanout per record drawing Date of pumping 11/21/19 Well production at time of test 1.47 gpm Water storage tank volume 150 gallons Well disinfected for coliform test? ❑ Yes E No Coliform bacteria is Negative Nitrate mg/L N Nitrate less than MRL (ND) Arsenic 20.4 ug/L ❑ Arsenic less than MRL (ND) Collected by ArcTerra Consulting Date of Sample 11/8/19 C. LIFT STATION ❑ Required maintenance completed Age of lift station years Lift station material Comments: 1000 gal septic tank prior to 2000 gallon holding tank D HOLDING TANK Which system tested (date installed) 6/07/12 11'.Adequacy test date 11/18/19 ALL standpipes present per record drawing Results Q Pass For 3 bedrooms Total measured depth from grade NA ft (max) Fluid depth prior to test 58 in Measured depth to pipe invert from grade ft (min) Water added gal ❑ NIA — pressurized field New depth in ❑ Monitor tubes go to bottom of effective. If not, state Elapsed time 1440 min depth into effective 1771Code-requiredsoil cover over field Final fluid depth 58 in ❑ System presoaked Absorption rate gpd (Required if vacant for greater than 30 days prior to Any rejuvenation treatment (past 12 months) date of test) If yes, enter date Gallons introduced �gg Tank filled on 11 /18/19, inspected on 11 /19 & 11 /20 with no Chang, Comments/Deficiencies:�lol�Ing p g 1114, J�9 COSA Checklist yellow sheet E. SEPARATION DISTANCES From Private Well on Lot to: (Please enter distances if less than required or if community well) Septic Tank/Lift Station on Lot > 100' Community Sewer Manhole/Cleanout > 100' ® Yes if No ft [0 Yes if No ft Neighboring Tank > 100' ® Yes if No ft Private Sewer/Septic Line > 25'21 Yes if No ft Absorption Field on Lot > 100' ® Yes if No ft Holding Tank > 100' ® Yes if No ft Neighboring Absorption Fields > 100' Animal Containment > 50' ® Yes if No ft ® Yes if No ft Manure/Animal Excreta Storage > 100' Community Sewer Main > 75' ® Yes if No ft 0 Yes if No ft From Septic/Holding Tank on Lot to: (Please enter distances if less than required) Building Foundations > 10' ® Yes if No ft Surface Water > 100' 0 Yes if No ft Property Line > 5' ® Yes if No ft Wells on Adjacent Lots: Absorption Field > 5' ® Yes if No ft Private Wells > 100' Yes if No ft Water Main > 10' ® Yes if No ft Community Wells > 200' 0 Yes if No ft Water Service Line > 10' ® Yes if No ft If septic tank is under driveway comment below From Absorption Field on Lot to: (Please enter distances if less than required) HOLDING TANK ONLY Building Foundation > 10' ❑ Yes if No NAft If absorption field is under driveway comment below NA Property Line > 10' ❑ Yes if No ft Wells on Adjacent Lots: Water Main > 10' F1 Yes Yes if No ft Private Wells > 100' ❑ Yes if No ft Water Service Line ?110, F-1YesYes if No ft Community Wells > 200' ❑ Yes if No ft NA Surface Water > 100' ❑ Yes \,OF I��4_ flr Z 1-y — �,,..� a wM wry?w�atiitwNbe�a �'ier11 F. ENGINEER'S COMMENTS Absorption field abandoned 6/7/12 when holding tank installed. G. ENGINEER'S CERTIFICATION I certify that 1 have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. COSA Checklist yellow sheet t I / I LOT_LOT 9 1 � ! >1 S 89'55'54"E • :.:� d�,:.e. ��.: Sx1167. • . SHED .5' ASP Ta 25.7 4, ONE STORY RESIDENCE SHED 16.2'x10.2' 1.1'x4.3' CANT. DECK 1.3'x6.1' CANT. WELL y o M 26.3' ,3' ATO 1.2'x10.1' CANT, 0.7'x11.6'1 O CANT. N 100' PROTECTIVE WELL RADIUS---___,/ N 82'21 51 200.84' LOT 12 I SEPTIC LOT 8 10' UTILITY I EASEMENT � I 10' UTILITY —1 EASEMENT, 112.9' LOT 11 21,590 S.F N PLOT PLAN AS BUILT X SCALE 1" = 30' GRID 2940 Project No. _ 12-086/A1 Lang & Associates, Inc. 41500 Daryl Avenue, Anchorage., Alaska 99515-30.49 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 fax _�aoo©oap kenCiongsurvey.com / jonothanCiongsurvey.com F A L©©� . I hereby certify that I have surveyed the following described property: Q ;••'• • : QS1 �� LOT 11, BLOCK 2, GRECIAN HILLS SUBDIVISION, PLAT (72-064) Anchorage Recording District, Alaska, and that the improvements situated thereon are g� •:� within the properly tines and do not encroach onto the property adjacent thereto, that 0 •"""'"•' ;"""""' no Improvements on the property lying adjacent thereto encroach on the surveyed .e�� ti! promises and that there are no roadways, transmission lines or other visible •' • • •• ' easements on said property except as indicated hereon. KENNETH G. LAN`s' � �, ): o LS -5202 Dated this the J$fh Day of ��, , 2or2 at Anchorage, Alaska VZl� A., µ,••�o��0� It is the responsibility of the owner to determine the existence of any easements, �gR�StoNAI.� covenants, or restrictions which do not appear on the recorded subdivision pint. d4�oow- DEVELOPMENT SERVICES DEPARTMENT On -Site water and wastewater Section www.muni.org/onsite 907-343-7904 ' Fax: 343-7997 Arsenic Advisory Certificate of On -Site Systems Approval # OSC191570 Subdivision: Grecian Hills, Block 2, Lot 11 A water sample revealed an arsenic concentration of 22.4 micrograms per liter (ug/L). The Environmental Protection Agency (EPA) has established a maximum contaminant level (MCL) of 10.0 ug/L for public drinking water systems. While private wells are not subject to this regulation, EPA standards are based on existing health information and can therefore be used to gauge the relative quality of water from private wells. information on arsenic is available from the On -Site Water and Wastewater Program website (www.muni.org/onsite) or at 343-7904. This advisory must be attached to all copies of the subject Certificate of On -Site Systems Approval. D] Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL s� FOR A SINGLE FAMILY DWELLING Parcel I.D. o17 -o73-76 COSA # DS C ( D I—x I'a Expiration Date: 9 1. GENERAL INFORMATION Complete legal description Grecian Hills, Blk 2. Lt si Location (site address) 1Z 431 Larisa St, Anchorage Ak gg516 Current Property owner(s) David A Roland & Judy Goresen Day phone Mailing address Lending agency Mailing address Real Estate Agent Mailing Address i3431 Larisa St, Anchorage Ak. gg53.6 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual Well Individual Water Storage Community Class Well Public Water -System 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 Onsite Systems Approval (COSA) based only upon the representations given in paragraph 4 by an independent professional civil engineer registered in the State of Alaska. Certificates of On -Site Systems 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 COSAs upon request to homeowners. Certificates of On -Site Systems 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 Certificate of On -Site Systems Approval Guidelines for this application, shows that the on-site water supply and/or wastewater disposal system is (are) safe, functional and adequate for the number of bedrooms and type of structure indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal afld State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Pannone Engineering Services, LLC Phone 272-8218 Address P.O. Box 3.0023.7 Anchorage AK gg510 Engineer's Printed Name Steven R. Pannone, P.E. Date 1206 t7� Engineers Comments: In conducting an adequacy test, I attempt to provide a thorough, conscientious engineering analysis of the system in accordance with MOA DSD Guidelines & Regulations. The reported results describe the performance of the system under the conditions encountered at the time of the test, and separation distances measured to readily identifiable features. .�„`qkjjwI The operational life of all wells and septic systems depend on the local soil condition, ground water ���W OF q(�l�� levels that may fluctuate during the year, and the water usage of the family being served by the system. 44 •P•,.•• •' •••....9,Q�1� These conditions are outside the control of the evaluator of this system. All systems eventually fail and i �?.••' �1� satisfactory test results do not guarantee future performance of the system, nor do they guarantee that i �`rr• 4 °:'t' 00! there are no hidden defects or encroachments. PES can therefore not provide any warranty for future w•••••n•••• ••• • - ••• •••• h••••• j performance nor give any estimate of how long the system will continue to meet the operational ..... ••• requirements of the MOA DSD. The content of this report is for the sole benefit of the owner listed Ste Steven R. Pannone e i above. Any reliance upon or use of this report by any other person or party is not authorized nor will it�1� s'•. N o. CE 8149 confer any legal right whatsoever. Q�•.. ••rim 5. DSD SIGNATURE ����:�.•� �� Approved for - bedrooms. Disapproved. Conditional approval for bedrooms, with the following stipulations: Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: C C n Original Certificate Date: (Rev.1,1obl Municipality of Anchorage ' Development Services Department Building Safety Division a On -Site Water & Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 wvvw.muni.org/onsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: _Grecian Hills. 13Ik2 Ltii Parcel ID: o27-o7a-76 A. WELL DATA Well type Private If A, B, or C provide PWSID # Date completed 8 3. 3. 82 Sanitary seal (Y/N) Y_ Total depth 3.?2 ft. Cased to iso ft. FROM WELL LOG Date of test 8/3.511982 Static water level 8o ft. Well production 8 g.p.m. WATER SAMPLE RESULTS: Coliform Negative colonies/100 mL Nitrate ND mg/L Arsenic: ND ug/I Date of sample: 3/29/2022 B. SEPTIC/HOLDING TANK DATA Well Log (Y/N) Y Wires properly protected (Y/N) Y Casing height (above ground) 3.2+ in. AT INSPECTION 3/29/203.2 72 ft. Collected by: GEG 9— p.m- 1 12-d e(v — Tank Type/Material Steel Date installed 6/7/203.2 — 40 i77>' t©wog �:�• y uE' Tank size 2000 gal. Number of Compartments i Cleanouts (YIN) Y Foundation cleanout (Y/N) Y Depression over tank (Y/N) N High water alarm (YIN) Y Date of pumping 6/7/2012 Pumper 2000 gal Steel Tank Installed C. ABSORPTION FIELD DATA Date installed Length ft. Total depth —ft. Eff. Soil rating (g.p.d./f? or ftZ/bdrm) Monitoring tube type Gravel below pipe ft. Depression over field Date of adequacy test ResVItsl(Pass/Fail) For _ bedrooms Fluid depth in rption field before test_ in. Water added_ gal. New depth in. Ela Time: _ min. Final fluid depth _ in. Absorption rate >= g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N & type) If yes, give date D. LIFT STATION Date installed "Pump on" level at in. Datum —4� E. SEPARATION DISTANCES Size in goo /— Cycles tested SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot aoo+ Absorption field on lot aoo+ Public sewer main 7;+ Sewer /septic service line ac+ Animal containment areas aoo+ Nfanhole/Access (Y/N) _ High water alarm level at Meets alarm & circuit requirements? On adjacent lots aoo+ On adjacent lots aoo+ Public sewer manhole/cleanout Holding tank loo+ Manure/animal excrete storage areas aoo+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation ;+ Property line o;± Absorption field s+ Water main ao+ Water service line ao+ Surface water aoo+ Wells on adjacent lots aoo+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line ao+ Building foundation ao+ Water main ao+ Water Service line ao+ Surface water aoo+ Driveway, parking/vehicle storage ao+ Curtain drain F. COMMENTS G. ENGINEER'S CERTIFICATION Wells on adjacent lots aoo+ JJ 1 certify that t have determined through field inspections and � a review of Municipal records that the above systems are in4 r—" conformance with MOA COSA guidelines in effect on this date. a ................ Engineer's Printed Name Steven R. Pannone. P.E. 11�—steven R. Panni No. CE 8149 Date ! 20 b(Z_ ♦i�gD•........� "a COSA Fee $ wtl 4) Waiver Fee $ _ Date of Payment la /Z `��r L Date of Payment Receipt Number X1(0/ Receipt Number (Rev. 11/05) N in. M z N n 4 rq LOT -1O-, SHED 8.6'x18.5' A'.Z��IIRESIDENCE •,. �. .a" ;BRA==T '1VEWA I I I .I LOT 9 S 89'55'54"E SHED 16.2'x10.2' 1.1'x4.3' \ CANT. DECK 1.3'x6.1'1 f CANT. a 26.3' LEANTO 1.21'x10.1' CAM. 0.7'x11.61 CANT. 100' PROTECTIVE / WELL RADIUS LOT 12 / I LOT 8 10' UTILITY F EASEMENT I \ I 10' UTILITY EASEMENT 112.9' LOT 11 21,590 S.F PLOT PLAN AS BUILT X SCALE 1' = 30' GRID 2940 Project No. 12-086/A1 Lang & Associates, Inc. 11500 Daryl Avenue, Anchorage, Alaska 99515-3049 (907) 522-6476 Phone Registered Land Surveyors (907) 522-4625 Fax a000O"p4kl ken®lan surve .cora o OF A �p 9 Y / lonathan®langsurvey.com � �spQ v I hereby certify that I have surveyed the following described props � LOT 11, BLOCK 2, GRECIAN HILLS SUBDIVISION, PLAT (72-064) O Anchorage Recording District, Alaska, and that the Improvements situated thereon are * 49TH*.. -Y* J within the roe lines and do not encroach onto the D property ►tY property adjacent thereto, that �• '�?"�"'"""""" no Improvements on the property lying adjacent thereto encroach on the surveyed �{, _ 0 premises and that there are no roadways, tronsmisslon lines or other visible O '. KENNETH G. LAN .. easements on said property except as Indicated hereon.;•' p� Dated this the th Da of LS -5202 �� Y I �, at Anchorage, Alaskadv� It Is the responsibility of the owner to determine the existence of any easements, covenants, or restrictions which do not appear on the recorded subdivision plat. MUNICIPALITY ANCHORAGE • DEPARTMENT OF HEALTH 8 HUMAN SERVICES Division of Environmental Services On -Site Services Section P.O. Box 196650 Anchorage, Alaska 99519-6650 343-4744 CERTIFICATE OF HEALTH AUTHORITY APPROVAL FOR A SINGLE FAMILY DWELLING Parcel l.D.# Ot 7 -073' -7C HAA# '�I 1. GENERAL INFORMATION Complete legal description Lot 11: Btock 2: Grecian Hlt is Location (site address or directions) 13431 I a 'Aa (Aho tl Anchorage. AK Property owner Gao.y 8 A Wiu..iame Day phone 260-9028 Mailing address F.O. Box 2185 Kenai, Ataska 99611 Lending agency City Mwttaaae/ wannen Gossett Day phone 263-0700 Mailing address Agent Vate24.e Whitmotal Co2dve-U Banken Day phone 562-2378 Address Unless otherwise requested, HAA will be held for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: Individual well Community well Public water 3 XXX NOTE: If community well system, provide written confirmation from State ADEC attest- ing to the legality and status of system. 4. TYPE OF WASTEWATER DISPOSAL: Individual on-site XXX Holding tank Community on-site Public sewer NOTE: If community wastewater system, provide written confirmation from State ADEC attesting to the legality and status of system. T2-=(R..1l91) Fant MOA#21 5. STATEMENT OF INSPECTION BY ENGINEER. As certified by my seal affixed hereto and as of the validation date shown below, I verify that my investigation of this Health Authority Approval application shows that the on-site water supply and/or wastewater disposal system is safe, functional and adequate for the number of bedrooms and type of structure Indicated herein. I further verify that based on the information obtained from the Municipality of Anchorage files and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is in compliance with all Municipal and State codes, ordinances, and regulations in effect on the date of this inspection. Name of Firm S 8 5 ENGINEERING 17034 Eagle ItIver Loop Radd Na. 204 — Phone —Celli e Iti''�r l Address Eagle River, Alaska 99577 Engineer's signature ✓�L- �a2-t� Date 1C. 4 ROB.Rr C. COWAN' or j" CE .8301 6. DHHS SIGNATURE t• `' `- - �I� Approved for W bedrooms. ,•'`�- •- Disapproved. Conditional approval for bedrooms, with the following stipulations: Additional Comments Si`a A?! � ��(!� SA7EA,1 /DU/Saw. The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineers work. 72-M OI".1m) 6a MOA,21 Municipality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES Environmental Services Division Ak 825 L Street, Room 502 a Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist Legal Description: Lor, it A'ec. a G94CI4N h'..L1 VO Parcell.D.: O'7-0-73 —7(. A. WELL DATA Well type PR i vAr E It A, B, or C, attach ADEC letter. ADEC water system number Log present &N) 'YES Date completed $ I / r / 8 Total depth 13 3 Cased to 130 Casing height (above ground) / F.4 - Sanitary 4 - Sanitary seal (®N) Date of test Static water level Well production Y,t S FROM WELL LOG g0 WATER SAMPLE RESULTS: Coliform 0 a g.p.m. Wires properly protected 60N) Y ( S AT INSPECTION Qua/ 96 7S ' a. Nitrate 0. / Other bacteria Q g.p.m. S & S ENGINEERING Data of sample: Cl/Icy / M to Collected by: B. S�IOLDINCi TANK DATA Eagle River, Alaska 99577 Data installed (a /81 Tank size /o a a FRS Number of Compartments '2 Cleanouts tV/N) Yt S Foundation cleanoul ON) Y E S Depression (YAR ^' 0 High water alarm (Y,g) ^' 0 Date iif Pumping' � 9 � } ? � 9 S Pumper /S4AC S C. ABSORPTION FIELD DATA Date.installed b �S/ Soil rating (g.p.d./ft2or� )90 System type 744w01 H Length 100 Wldttj, 3 Gravel thickness below pipe l+' Total depth 4 Effective absorption area • S 0 O Monitoring Tube present (ON)r4s Depression over field (Y/O � a .)L MT wr 4N• EC -•&do' L6'r 7R4NCN 6.....0 Awa. Ar d Cc Ar E�f of SC L.NC TAI—Cy .A4741,.417 Data of adequacy test 91 j o / 4 b Results ss Fail) Psi J f ' For 3 bedrooms' /9[, 41- Fluid depth In absorption field before test (in.);1 ° e s`°kE Immediately after± as gal. water added (in.): / 7 Fluid depth I r (ins) Minutes Tater. / r y Absorption rate = N S o t a.p.d. Permdde treatment (past 12 months) (Y/N) K^''"N If yes, give date ''JIL/tC4cHE.O I'1 ,Iy* Afrf�L .409fvG IMo 4eL ANJ Rcm-i'NEe 4r 72-026(Rev.3196)e rNE Rtsr eF 7N4( w4t,c-4 wAI Aev(w Of Qx C -PM '.t-- . 70wi3 Lt W4 47. 4 R4rf- D. LIFT STATION Date Installed Manhole/Access(Y/N) High water alarm level at' Cycles E. SEPARATION DISTANCES "Pump on" *Datum Size in gallons SEPARATION DISTANCES FROM WELL ON LOT TO: m tTe-p-tahoiding tank on lot 19 C ~ On adjacent lots Absorption field on lot / 00 '4 On adjacent lots Public sewer main Sewer /septic service line Al l' q rf o f "Pump off" level at' /00 �f ,Odd1 Public sewer manhole/cleanout N / A Lift station " 1,4 SEPARATION DISTANCES FRO EPTI OLDING TANK ON LOTTO: Foundation G 0 t t Property line 30 1 f Absorption field S' Water main/service line 9 0 -f Surface water/drainage J60 'I" Wells on adjacent lots / o SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line * Building foundation Co �'` Water main/service line -lfLor L..,E 1"/A v(A Rf Q..fl16D. Surface water /00 ' + Driveway, paridngNshicle storage area _ Curtain drain N e N E 1< "o w AJ Wells on adjacent lots F. ENGINEER'S CERTIFICATION I car* that 1 have determined thru Held inspections and review of Municipal records In conformance mdeH s in effect on this date. Signature Engineers Name /14,6447- C. Ce waoJ Date tib to /9 Rf.r•f4o lo/im 1q( CL /Oc �f "l_w/ArVt•, FH:u+ITC D> p ROBOT C. COWAN CE -8801 HAA Fee $ =fOD - Oy Waiver Fee E 1/5' OD Date of Payment ?A Date of Payment Receipt Number 2�74"1 ( 25-/8 Receipt Number 72-028 (Rev. 3/913)' MUNICIPALITY OF ANCHORAGE M E M 0 R A 11 D U M SEPTIC SYSTEM ADVISORY HEALTH AUTHORITY APPROVAL N0. % Prior to a recent adequacy test on the septic system for this lot, ;'IL 'M inches of standing water was observed in the absorption field. This indicates that approximately _% of the absorption area is inundated. Although this system passed the adequacy test, the remaining life expectancy may be limited. This advisory -us-- be attached to all copies of the subject Health Authority Approval. -nAE To-rAL cWABWED L8n7GTµ of 't -FF- f s--<po PT ON FIELD IS Ets-Pt, AND LS Cae-nposw OP once Stift: LONG T7Z&%OH ANO 0"E ;tgf4. (dna TRrcNGL{ . F TFt£ 664- LoN& Tkrt-z-K LS 10o% ZnluNogzco. THS o14,�4- Lem* MzEE W IS et% =n�unJDAZEO. 'CT&E Environmental Services Inc. Laborato~ Division ~~r~'.ar~e'.~'.~'j.~:~'.a.'~'.dras-.~:~'.~'~,.ar.~. .),*Water Analysis Report for Total Coliform Bacteria 200 w. ~o, er Or~.. Anohorage, AK 9951 8-1 605 _,'TBUCTION$ ON BEYERXE SIDE B£FO~ COLt..£CTING SAMPLE Tel: (907) 562.2343 Sen#Invoice Month Day Year SAMPLE TYPE: ~ Routine '~' U Repeat Sample (for routine saml~le with lab ref, nO, ) [] Special PurpOse L.,0 '7" $1 Treated Water Untreated Water t:ax: (907) 561-5301 TO BE COMPLETED BY LABORATORY Analysis shows this Water SAMPLE to be; ~ Satisfactory Unsatisfactory Sample over ~0 hour~ old, reSUltS may be unrOliable Sample too long in transit; sample should not be over 48 hours old at examination to indicate r*llable results. Please send new sample via sp¢,ial delivery mail. Time Recetved / Analysis Began Analytical Method: l~-Qvlembrane Filter C~ MMO-MUG Time Collected Collected By Com'men~: Number of colonles/l O0 mi. La' "No. Result* SAIVIPLE LOCATION BACT~OLOGIC~ WATER Jun BGB Date: Time: Client notified of unsatisfactory results: MMO-MUG Result: Total Cotifo~m Membrane Filter: Direct Course Verificatio0: LTB Fecal Coliform Confirmation Final Memb~'a ne ~lter R~ u~. yst Phoned Spoke with Titan: (~ Coloniel/1 O0 ml COLIFIRM Coliform/100 mi [] Fatted Faxed ~.~S Membar of the $135 Crony {Soci~ta Ganarale de Surveillance} CT&E Environmental Services Inc. Laboratory Division r~'~e,l~m~J~,~,~'~m~,J,~'~,s~',~e,~,~,~a~,/~,~/~ CT&E ReL# Client Name Project Name/// Client Sample ID Matrix Ordered By PWSID Sample Remarks: 964788003 S & S Bngineefiag N/A Lll El2 Greciatt Itills Drinking Water 200 W. Potter Drive Anchorage, AK 99518-1605 Tel: (907) 562-2343 Fox; (907) 561-6301 Client PO# Printed Date/Time 09/24/96 13:18 Collected Date/Time 09/19/96 17:00 Received Date/Time 09/19/96 1..5:45 Technical Director: Stephea~ C, .ede CoLiform Resutts P~.L Units Hethod O.lOOU 0.100 mg/L SH18 4500-NOSF 0 o cot/lOOmL $~1S 9Z~2B AtJowabte Prep Anatysin Limits Date Date Init 09123/96 09/19/96 ~J~ Member ct'the ~GlJ Group ($ociSt~ G6n~rsle de Surveillance) ENVIRONMENTAL FACILITIES IN ALASKA, CALIFOI~NIA, FLORIDA, ILLINOIS, MARYLAND. MICHIGAN. MISSOURI. NEW JERSI~¥, OHIO, WEST VIRGINIA Rick Mystrom, Mayor Department of Hea~th and Human Services 825 'L" Slreet P.O. Box 496650 Anchorage. Alaska 99519-6650 November 7, 1996 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 11 Block 2 Grecian Hills Subdivision Waiver Request #WR960052, PID #017-073-76, HA950415 Dear Mr. Cowan: Your request for a waiver of the required 10 foot horizontal separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 4 feet from the absorption field to the south property line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, ' i/J~ ~ -ames P. Williams ~/CiVil Engineer On-Site Services Program JPW/ljm:Williams ~,,,~MUNICIPALITY OF ANCHORAGE'--/' Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# ~q1960052 PID# 017-073-76 HA# HA950415 Permit Date Received: September 24, 1996 Legal Description: Lot 11 Block 2 Grecian Hills Subdivision Engineer: Robc~rt C. Cowan, P.E., S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle River', Alaska 99577 Applicant: Gary Williams Waiver Requested: Lot line waiver of 4 feet from the leachfield to the property line Criteria: Geology: Points A. Water Table __- B. SO~~' C. Permeabili~ ~ D. Wa~e Gradient ~~ E~orizontal Separation TOTAL: 2. Special Conditions: 3. Other: Waiver is Granted: ~_ Waiver is NOT Granted: List Conditions or Reasons for above: Date: '/~a~ne of Reviewer Rec ~: #02244/2518 Amount: $ 115.00 Date Paid: Sept 23~ 1996 Rick Mystrom. Mayor Departmen'L of ]-tea th and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Aiasl<a 99519-66~0 November 7, 1996 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 11 Block 2 Grecian Hills Subdivision Waiver Request #WR960052, PID #017-073-76, HA950415 Dear lVlr. Cowan: Your request for a waiver of the required 10 foot horizontal separation between an on-site wastewater disposal system and a lot line has been approved. The waived distance is 4 feet from the absorption field to the south property line. This approval applies to the existing on-site wastewater disposal system lot line separation only. Any future upgrade to the on-site wastewater disposal system will require all separations be met or another approval from this department If there are any further concerns or questions regarding this waiver, please call our office at 343-4744. Sincerely, / {j ~vmi. t~Pn~2~irams On-Site Services Program JPW/ljm:Williams "..~.. MUNICIPALITY OF ANCHORAGE .... ~ Department of Health and Human Services On-site Services Section Waiver Review Worksheet WR# tk'~%,~,~C> PID~ 017-073-76 Date Received: October 22, 1996 HA# HA960415 Permit Legal Description: Lot 11 Block 2 Grecian Hills Subdivision Engineer: Applicant: Robert C. Cowan, P.E., S & S Engineering 17034 Eagle River Loop Road, Suite 204, Eagle RiveC, Alaska Gary & Margaret Williams ~ 99577 Waiver Requested: Private well on Lot 13 Block 2 Grecian Hills to the existing septic system on Lot 11 Block 2 Grecian Hills ee waived); lot line ~ ge_tween the !.eachfield an~_south pr-o~-y lir~ 4 _feet+ Criteria: 1. Geology: Points: A. Water Table ~ B. Soil Sorption ~ C. Permeability ~ D. Water Table Gradient ~,~ E. Horizon'tal Separation ~,~ TOTAL: /~ 2. Special Conditions: 3. Other: Waiver is Granted: ~ Waiver is NOT Granted: List Conditions or Reasons for above: Date: Rec ~: 022/~ '~/25 !8 - Amount: ,2: Rick Mystrom, Mayor o£ knchoragc Department of Health and Human Services 825 "L" Street P.O. Box 196650 Anchorage, Alaska 99519-6650 November 7, 1996 Robert C. Cowan, P.E. S & S Engineering 17034 Eagle River Loop Road Suite 204 Eagle River, Alaska 99577 Subject: Waiver Request for Lot 11 Block 2 Grecian Hills Subdivision Waiver Request #WR960060, PID #017-073-76, HA950415 Dear Mr. Cowan: Your request for waiver(s) of the required 100 foot horizontal separation of an on-site wastewater disposal system to a private well has been approved. The approved separation distance(s) are the private well located on Lot 13 Block 2 Grecian Hills to the existing on- site wastewater disposal system on Lot 11 Block 2 Grecian Hills of 88 feet. This waiver approval applies to the existing on-site wastewater disposal system to the well separation only. Any future upgrade to either 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 343,4744. Sincerely,.,~/ j~] James P. Williams Civil Engineer On-Site Services Program JPW/ljm: wmslI HEALTH AUTHORITY APPROVALS SEWER&WATER MAIN ED(TENSIONS SEWER&WATER INSPECTION ENGINEERING STUDIES AND REPORTS WELL INSPECTION & FLOWTEST SITE pLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE WASTEWATER DISPOSAL SYSTEM DESIGN October lt, 1996 ROBERT C. COWAN, RE. ROBERTA. SHAFER, RE. r' L E t V E L/ CIVILENGINEERS (907) 694-2979 OCT 2?_ '199G FAX(907) 694-1211 D epL Health & Human Services MUNICIPALITY OF ANCHORAGE Department of Health and Human Services P.O. Box 196650 ~nchorage, Alaska 99519 REFERENCE: Lot 11, Block 2, Grecian Hills Subdivision Request you issue a waiver at 88 feet for the horizontal separation distance from the private well located on Lot 13, Block 2, Grecian Hills S/D to the existing septic system, for the single family residence, located on the referenced property (see attached site plan). Also, request you issue a waiver for the horizontal separation distance between the leachfield and the South property line at four feet. The well on Lot 13, Block 2.serves a single family residence. ~ater sample results from this well are attached. Phe existing septic system, located on the referenced property, was installed in August 1981. The well located on Lot 13, Block 2 was drilled in August 1983. Due to the~elng installed after the septic system, we understand the well to the leachfield waiver fee is not the responsibility of the owner of the referenced property. The mitigating factors involved which support the issuance of the waiver are as follows: 1. The elevation of the well is at a higher elevation than the existing septic system ground surface, the topography and the heavily vegetated lot would prevent surfacing effluent from reaching the well (see attached site plan with topography). 2. Well logs from neighboring wells show confining clay layers (see attached). This would provide filtering and isolation of septic effluent. 3. Water samples from the well on Lot 13, H I~.t ~ /1/~£ ,ec~'y/~¢fl&/~, $~CTr~,%,~ c~.~.r 0~ /~ It is our opinion the separation distance prescribed by AMC15.65.060 is not required in this case. 17034 NORTH EAGLE RIVER LOOP · SUITE 204 · EAGLE RIVER. ALASKA 99577 Page Two Lot 2, Block 5, Heritage Hills Subdivision October 10, 1996 If we may be of further service, please contact us. S i~nc ~e r ~e !Jr, Robert C. uowan, P.E. Attachments SITE PLAN 50' SCALE LARISA STI~EET CLIENT: HEALTH AUTHORITY APPROVALS SEWER & WATER MAiN EXTENSIONS SEWER&WATER INSPEO[ION ENGINEERING STUDIES ANDREPORTS W£LL INSPECTION & FLOW TEST SITE PLANS ROAD DESIGN SOIL TEST PERCOLATION TEST STRUCTURAL& MECHANICAL INSPECTIONS ONSITE W/'~TEWATER DISPO~AL SYSTEM DESIGN I\L~,FI V r'L/ ADEQUACY TEST FORM LEGAL DESCRIPTION: # OF BEDROOMS: TYPE OF ABSORPTION SYSTEM: OCT 311996 ROBERTC. COWAN, RE. D Municipah[y ~ROt~EI:~N..~jji~FER P.E. CIVIL ENGINEERS (907) 694-2979 F~(907) 694-1211 SEPTIC TANK/FIELD SEPERATION TO WELL: ~'/~,~,,,,-c-~/ SEPTIC TANK SIZE: / ABSORPTION FIELD DATA: Depression over field (Y/I~: /,~0 SEPARATION DISTANCE FROM ABSORPTION FIELD TO: , Driveway, parking/vehicle storage area: "~' I Foundation: SEPTIC DATA: Date of pumping: ~ / 3.~-/~ $~ Pumper: / Foundation cleanout (~/N): ¥~ ) Depression (Y/I~: LIFT STATION: "PUMP ON" level at: High water alarm I~wl. "PUMP OFF" level at: METER GALLONS LIQUID LEVEL TIME READING ADDED ~, r~¢ q/ p~/, COMMENTS (TOTAL) S.T. M.T. M.T. ~o.'- S'-cl 00~1/ ~/-/0 ~ G~', RESULTS: PASS/FAIL: EXPLANATION: TESTED BY: ~0~ ~. THIS SYSTEM IS NOT GUARANTEED AGAINST SUBSEQUENT FAILURE 17034 NORTH EAGLE RIVER LOOP SUITE204 · EAGLE RIVER. ALASKA99577 / //'~ /; / ! // ////// lr~o4~.~-- CC., /o ~/ t DA~..~ECEIVED * ' INSPECT ON'APPO NTMENTS TIME 'e TIME TIME DATE ,-~- INSPECTO~ MUNI ALITY OF ANCHORAGE DEPI. OF HEALTH & DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTEC~AONMEN[AL 825 LStreet-Anchorage, Alaska 99501 JUL 2 i981 ENVl RONMENTAL SANITATION DIVISION ~EOUEST FO~ APPROVAL OF I~DIVIDUAL ~ATE~ AND SE~E~ FAGILITIES DI~ECTIONg: Gomplete all/~ts on pa~e 1. In~omplet~ r~quests will,or b~ proo~ss~d. Plaase allo~ ten (10} days for processing. 1. PROPERTY OWNER ,, / /~ . ~ - ~ // m MAILING ADDRESS ~ - ' ,~ ~' ~/ PROPERTY RESIDE~r~i~e~nt from above) PHONE 2, BUYER PHONE MAILING ADDRESS ~3. LE~DI~GI~STITUTIO~ ~ PHONE I MAI LING ADDRESS 4. REALTOR/AGENT ~ PHONE I MAILING ADDRESS 5. LEGA~ DESCRIPTION/ STRE ~'?,LO.._CA.,T O 6, TYPE OF RESIDENCE NUMBER OF BEDROOMS ,~ [] One [] Four SINGLE FAMILY [] Two [] Five [] MULTIPLE FAMILY ~ Three [] Six [] Other 7. WATER SUPPLY  INDIVIDUAL~ t [] COMMUNITY [] PUBLIC UTILITY 8. SEWAGE DISPOSAL SYSTEM /~:~ I N DI VI DUAL/ON-SITE** [] PUBLIC UTILITY * ATTACH WELL LOG. A well log is required for all wells drilled since June 1975. For wells drilled prior to that date, give well depth/(attach log if available.) YEAR ON-SITE SYSTEM WAS INSTALLED. NOTE: THE INSPECTION FEE MUST ACCOMPANY E~CH REQUEST BEFORE PROCESSING CAN BE INITIATED. THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE NUMBER OF BEDROOMS [] SINGLE FAMILY [Z] ONE [] THREE [] FIVE ~Z] OTHER [] MULTIPLE FAMILY [] TWO [] FOUR [] SIX PERMIT NUMBER !2, WATER SUPPLY [] INDIVIDUAL DEPTH OF WELL [] COMMUNITY DATE DRILLED [] PUBLIC UTILITY Connection Verified LOG RECEIVED 3, SEWAGE DISPOSAL SYSTEM PERMIT NUMBER EZ]INDIVIDUAL/ON -SITE DATE INSTALLED [Z~ PUBLIC UTILITY Connection Verified INSTALLER []Septic Tank or []HoldingTank Size: If Tank is homemade SOILS RATING give dimensions: TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA MATERIAL · ~ A~sorption Sewer 4. DISTANCES Septic/Holding Tank Area Line Nearest Lot Line WELLTO: Absorption Area to nearest Lot Line 5. COMMENTS [] CONDITIONAL APPROVAL {letter must accompany certificatel [~] DISAPPROVED DATE BY~" r� .--'.-'.Municipality unic1pai1ty of Anchorage i� a-a•g! A0 825 "L" STREET ANCHORAGE, ALASKA 99501 (907) 2G4.41 11 GEORGE A1, SULIAVAN, MAYOR DFPARIME.NTOF Hf A LTH AND ENV IRONME NTA L PROTECTION August 27, 1981 Richard C. Hope 2315 Bast 72 Avenue Anchorage, Alaska 99507 Subject: Lot 11 Block 2 Grecian Hills 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. (2) The depression around the sewer system needs to be filled in with dirt. This will need to be reinspected by this office after completion. If there are any further questions, please call this office at 264-4720. Sincerely, Robert C. Pratt, R.S. Associate Specialist RCP/ljw r MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIRMU NTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PMTECTION APPLICATION FOR HEALTH AUTHORITY APPROVAL CERTIFICATE 1. General Information Application Date (a) Legal Description (include lot, block, subdivision, section, township, range) Location (address or directions) 1;s1.'?) Lnriset St ( b) Applicants Name I r � � �.. Telephone :34, 6071 Applicants Address 'SY?A Box 74eR An<L 9•S (.. (c) Applicant is (check ore) Lending Institution Owner/builder r Buyer F—j ; Other Q (explain); (d) Lending Institution A) P %) Telephone a7L• I t 32 Address Me- l l.,, l I C 1, i. 4 e^ - (e) Real Estate (e) Co. s Agent A) 0 Address Telephcne 2. Type of lbsidence Single -Family Multi -Family Q NL. -,b --r of Bedroans -3 3. Dilater Supply Individual Wall rZI Ca=nity other (describe) Public Note: If eamunity well system, rust have written confirmation from the State Department of Envirormental Conservation attesting to the legality and status. Is the well adequate for the nanber of bedroaas specified in this HAA (Y/N) Y 4. Sewage Disposal Onsite = Public Q Ocmninity Q Holding Tank Q Is the wastewater disposal system adequate for the number of bedroans (Y/N) Y (Page 1 of 21 2 -IS -84 S. Engineering Firm Providing Inspections, Tests, Data and Information I certify that I have checked, verified, or conformed to all MSA HAA Cuidelines in effect on the date of this inspection. 1 certify i{.•.1 I ke on relrv.'r J.V^ .f,✓ten �/r �n1 1:+ ,-rtl Gr )s Couto i S Date Name of Firm e r -n a Te lephcne 3 q q q 7 Address *7/? 7 0 S Signed by /1%, / `le, ii t• / hC Date i s IQ 4 (ENGINEER SEAL) 6.DHEP Approval Approved for 3 bedrooms By o7- At ') IML HAWT:IORN: : i/ C@-.43.) ;? j/ (0 4 -4'V -'-4r Approved lb Disapproved Q Conditional Q Terms of Conditional Approval Late G/ 4-1 f The Municipality of Anchorage Department of Health and Envirornental Protection does net guarantee the continued satisfactory performance of the water supply and/or the wastewater disposal system. This approval indicates that, as cf the validation date shown above, based on the data and information furnished by an engineer registered in the State of Alaska, the water supply and wastewater disposal system is safe and func- tional for the number of bedrooms and type of structure indicated. (DHEP SEAL) 7• Mail the HAA to the following address: KB2/d5/s [Page 2 of 21 2-15-64 n �a31113�321 . ties � t unr MUNICIPALITY of ANCHORAGE (MOA) AUTHORITY THORITY APPROVAL (HAA) Noiu31oad TdiNTM11 '8 Hl1tl3Hd)ollNd�' l�lNnW CHECKLIST —'FEBRUARY 1984 aoYdOFDNV o Legal Description: {_r7/0,0f/1J A. WELL ROTA Well Classification 414, e-_ If A, B, or Cl D.E.C. Approved(YM) ti�/i Well Log Present (YM) y/S Date Ca:pleted Yield� r Total Depth ZZ -- Cased to /-7o' Depth of Grouting elft ,V n/� Static Water level Sf/) 01 Pump Set At Casing Height Above Ground ? JI Sanitary Seal on Casing (YMYGS Electrical Wiring in Conduit (YM) VefS Depression Around wellhead (Y )7)C, Separation Distances from Well: To Septic/Holding Tank on Lot /DO'' ; on Adjoining Lots /moo To Nearest Edge of Absorption Field on Lot 7E % on Adjoining Lots To Nearest Public Sewer Line Z4 To Nearest Public Sewer Cleancut/Manhole To Nearest Sewer Service Line on Lot Water Sample Collected By 1//iiJ % Date Water Sample Test Results Caments 1 B. SEPTIC/HOLDING TANK DATA Date Installed /n - 0 / Sime )cq i- No. of Compartments z - Standpipes (YM) Air -tight Caps (YM)Vi- 5, Foundation Cleanout (YM) Ye- _!5 Depression over Tank (YM)V 0 Date Last Pimped 1- 2- 9c/ Pumping/Maintenance Contract on File (Y/N) ; for .4 hi Holding Tank High -Water Alarm (YM) Ir /a Temporary Holding Tank Permit (YM) 0,l,-1 Separation Distances from Septic/Holding Tank: To Water -Supply Well 160' ' To Building Foundation 7Z To Property Lira /c To Disposal Field /9 ` To hinter Main/Service Line 75" To Stream, Pond, Lake, or Major Drainage Course Cce, nts [Page 1 of 21 2-15-84 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata /9n���n�M Type of System Design 7�rni�r/ Date Installed / - $ / Length of Field /00 Width of Field 1&11 ca Depth of Field Gravel Bed Thickness 4 Square Feet of Absorption Area 9q� Standpipes Present (Y/N) V--5 Depression over Field (XM) //-o Date of Last Adequacy Test Results of Last Adequacy lest Separation Distance from Absorption Field: To Water -Supply Wall /OO ' ` To Property Line /D To Building Foundation 7S To Existing or Abandoned System on Lot /,/ /'P ; On Adjoining Lots / ''0' To Water Main/Servioe Line ✓S "- To Outbank(if present) ///,4 To stream/Pond/Lake/cr Major Drainage Course 1114 To Driveway, Parking Area, or Vehicle Storage Area 7S Camaents D. LIFT STATION AVA Date Installed Siwe in Gallons "Rmip On" Level at High Water Alarm level at Tested for Electrical Codes(Y/N) Can ments J Dimensions Manhole/Access (YM) "Pump Off" Level at Vent (YIN) Pumping Cycles during Adequacy Test. Meets MDA ** Check Permitted Bedroom Rating Against HAA Request ** I certify that I have checked, verified, or conformed to all MOA HAA Guidelines in effect M.., on the date of this inspection. Signed A,4fa it1 Date C , 44 a r,t,Q�`G,••••••,,•�iS'�9 Company k) Ila Li I,o y, • MOA No. <7- 0� 9 r sCt�:• Tit � ••,;�k��� o...... ....:...a KBl/d5/s 00.. Y :................ 0. NEIL HAWTHORH� U 00.0.x•. CE -436? -.6 er [Pace 2 of 21 2-15-84