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Home My WebLink AboutSEACLIFF BLK 2 LT 7Seacliff Lot 7 Block 2 #011-221-33 Municipality of Anchorage Page of DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On-Site Wastewater Disposal System and/or Well Inspection Report Permit Number: S W 92 0 y 21 PID Number: O /12 2 133 Name: Wastewater System: C3 New ❑ Upgrade 6,tir _ R a lsEs Address: 31NORE CREST R ABSORPTION FIELD Phone: No. of Vdrooms: O Deep TrenCh Shallow Trench O Bed O Mound O Other LEGAL DESCRIPTION? Soil Rating/ 2 Total Depth from original grade: 1181 t Lot: Block: Subdivision: Depth to pipe bottom ho2m ro1riginal grade: Gravel depth beneath pipe ,2 EAC F r.11, Ft 3.'Iq Ft, Township: Range: Section: Fill added above original grade: J Gravel length: C Ft. >4 Ft. WELL: O New ❑Upgrade ' Gravel eerak G. Number at linea: Distance beheeen lines: W/A rI/ Ft. Ft. Classification (Private, A,B,C): Total Depth: Cased To: Tot 1 abso hon area: Pipe material: COMM UNIT Ft. I Ft. 6O SCD SO Ft D- 03 Driller. Date Drilled: Static Water Leel: Installer. f/fl10r,E.t/ Date Installed, FL yield:Pump Set at: Casing height Above Ground: TANK GPM Ft. Ft. SEPARATION DISTANCES IP'taptic 0Holding OS.T.E.P. To Septic Ab orpllon Lih Holding PubiwPm,we Manufacturer. Capacity In gallons: From Tank FWd Station Tank Sawa, Lines �,QFf' c' 12 5'a W911 >500r >500, NSA �cl/A /500, Material: STEEG Number of Compartments: 2 Wai r >/00r >ioor P14 ,v/A >500, LIFT STATION Lot r r 7500 Size In gallons: Manufacturer. Line ,34,r 21 '4114N/A Foundation I N/A NA > Pump on" levet at: "Pump off' level al: High water alarm at: to 2Ol ,SOOr CurtainPump NSA NA Make 8 Model Electrical Inspections performed by: Drain 1ll0AlE / AREA Remarks: !.5' IAI/DTF! IS /»IA/. w/oTH BENCH MARK Location and Description: OF POCK IAI 7_A'FMCh4 DvE To Stout-iii rSj4,1)Lb 0 Al 4,4,01,44g: ti Permit No. S W 9 Z 0'I Z Page of Municipality of Anchorage DEPARTMENT OF HEALTH AND HUMAN SERVICES ENVIRONMENTAL SERVICES DIVISION P.O. Box 196650 • Anchorage, Alaska 99519-6650 • Telephone: 343-4744 On -Site Wastewater Disposal System and/or Well Inspection Report Legal Description: L 7 13L 2 SEA L L I F F PID No.: O 1179- IF � rj/IDRECRES D k'�VE 72-010 A (9/91) MOA 25 i '-I BDR/ \/ , 47 34 I / / 365 LR ,2 31 BY PJ",t[- DATE CLIENT /[ — SHEET _OF CHKD. BY DESCRIPTION L %J 5 Fri CLL;:- FF _ JOB NO. EN 1S (101781 1 . I 1 Ilk 41 40 F`j tMichael E. Anden°n J'••• 4761 I - N � o , �e /j • e av � � i I ! c EN 1S (101781 O Municioality of Ancnorago DEPARTMENT OF HEALTH d HUMAN SERVICES 825 -I: StreeL Ancnorage. Alaska 49502-0650 /� SOILS L/O^G — PERCOLATION TEST PERFORMED FOR: QV/C, /,- y (_t7 Y1'tiT OATI LEGAL DESCRIPnON: 1-7 B Z 5Ecu a lr U Townsnio. Rance. Section: at:rrN GRgp IFEETI POORLY 1 ADED SA+IOS 2 3 GG 4 PoorzLy G RAatra 5 G ¢AVCL5 (p9A) 6 W/50 m e_ 5,4"'D S 7 8 9 10 it 12 13 14 15 16 17 is 19 20 ECEIVtD TN3 SLOPE WAS GROUND WATER fit 1 g 1,993 ENCOUNTERED? 110 1ICIps��O, ;,,,�st%S0r I�sIF YES. ATWHAT L T�'� 0 DEPTH? R1 P E Dem to War (ra Mwmnnq? N_Q,. WG�4ae � 1� 9 ME Raaalnq I Dan I Grett I Nat Doom to Net Trrr Tun. W~ Oroo I 1 I I I I I I I I I I . I I I PERCOLATION RATE Imuotwuwj FERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS -T--ESTf{eLE -r6 (7O,VF1RM 5e r /< o,U k(or4h F to of 7'A0AIe04 G P Solis ARE Q n 6 is TE lu T 7-062,4/1007— 7'8tA/ N L ,Q rA PERFORMED BY: - W- Er,4 AD EIA/ I TIFYTHATyTHH TWASPEAFORMEDIN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS GATE GATE: 72-000 IR". 4851 I 1,k I I I I I I I INI I I 9orl I s I' I I I I I'�I•' I I I I IIIIIIIIII IIIIIIIIII ( I I I I •I I •I I IIIIIIIII Raaalnq I Dan I Grett I Nat Doom to Net Trrr Tun. W~ Oroo I 1 I I I I I I I I I I . I I I PERCOLATION RATE Imuotwuwj FERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS -T--ESTf{eLE -r6 (7O,VF1RM 5e r /< o,U k(or4h F to of 7'A0AIe04 G P Solis ARE Q n 6 is TE lu T 7-062,4/1007— 7'8tA/ N L ,Q rA PERFORMED BY: - W- Er,4 AD EIA/ I TIFYTHATyTHH TWASPEAFORMEDIN ACCORDANCE WITH ALL STATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS GATE GATE: 72-000 IR". 4851 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND HUMAN SERVICES P.O. BOX 196650, 825 "L" STREET, ROOM 502 ANCHORAGE, ALASKA 99519-6650 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT PERMIT NUMBER:SW920421 DESIGN ENGINEER:ANDERSON ENGINEERING OWNER NAME:QUIGLEY ENTERPRISES INC OWNER ADDRESS:9311 SHORECREST DR ANCHORAGE AK PARCEL ID:01122133 LEGAL DESCRIPTION: SEACLIFF BLK 2 LT LOT SIZE: 14783 (SQ. FT.) NUMBER OF BEDROOMS: 4 THIS PERMIT: 4 7 THIS PERMIT IS FOR THE CONTRUCTION OF: DISPOSAL FIELD /SEPTIC TANK SYSTEM ALL CONSTRUCTION MUST BE IN ACCORDANCE WITH: PAGE 1 OF 1 DATE ISSUED:12/16/92 EXPIRATION DATE:12/16/93 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 FOLLOWING SPECIAL PROVISIONS. SPECIAL PROVISIONS: ENGINEER MUST NOTIFY DHHS AT LEAST 2 INSPECTION. MAXIMUM DEPTH OF SYSTEM RECEIVED BY PRIOR TO EACH NOT EXCEED 7 FEET. DATE • / -?�7h 2 - ISSUED ISSUED BY: 30H Zs41iT4 DATE: 17-16- ha. ON SITE SYSTEM IMPACT L 7 Block 2 Seacliff Subd. Installation of an on-site wastewater system for this lot should have little, if any, impact on surrounding properties since: 1.The lots in this subdivision have very acceptable soils for natural percolation and are served by a community water system. 2. The lot has sufficient area for the wastewater drainfield system, and any future system that may be required. 3. Installation of the on-site system will not effect surface or sub -surface drainage in the general area due to the soils in the area. If you have any questions please contact me at 344-4551. Yours Truly, Michael E. Anderson, P.E. P�E.OF�.e�.QugZa r Michael E Anderson 4301.E _ N 0005'00" W< 100.00' vnwim unun .oz o � m- 0 `n 0 U: 14 y Q V Ct � W �• m m LL f m N 7 v '3 W J `� o g Q co m S N ��IY x ul Cp N . O 0 O J ?NV) •N • O 1- J H o m m U-3 .UO.6► N If] rn p�rn m J o o 0 N 10.0 N .00'82 O N lL N O oW et cty�- ' • •�.¢¢'•.M �. 000... O cd J- N W S 0005000" E> 100.00' qJ f 3AI80 1S3803HOHS DATE --nSZ_ CLIENT SHEET OF—� CHKD. BY DESCRIPTION ,Z�%F� _ JOB NO. I I 1 { I i I I 77- 1 I I r 1 T _ I 0 Municioaliry at Anchorage �j DEPARTMENT OF HEALTH S HUMAN SERVICES A �� 825'L7 Street AncrIcrage. Alaska 99502-0650 p SOILS LOG — PERCOLATION TEST PERFORMED FOR: AWr7—gc AI (0)(15T. DATE LEGAL DESCRIPTION:./ 7 1119 SE.4PL/FF Townsnio. Range. Section: 1 2 3 4 5 6 7 8 9 10 it 12 11 14 is Is 17 18 19 20 OR6A At I C 5 SW WELL GRADED SLI ND Wle;44v.eL. — 60 f1 TN/ SLOPE SITE C WAS GROUND WATER ENCOUNTER ED? S IFYES.ATWHAT L OEPTH7 0 P E U0111 It WSW ArM Mr.one91 �/o /d/4'tRQAte L2 `'` - Rani" I Dan I O/Of r•,» I No Tlm O.om to W~ I Nwt o/c /n•i •9z I I — I / •� I oz(,x I I I I I I UPERCOLATION RATE 9°2 Imvwtn/ o PERC HOLE DIAMETER TEST RUN BETWEEN FT AND FT COMMENTS ��lC P.PE .�iC>A✓_ED PERFORMEOBY: l) /7%FAD�FRI 1 Y AT THISTW/AS PERFORMEDIN ACCOAOANC£ WITH ALLSTATE AND MUNICIPAL GUIDELINES IN EFFECT ON THIS DATE OATS [ � L 72-008 IR". QA5) 09C Municioality of Anchorage DEPARTMENT OF HEALTH & HUMAN SERVICES 825'L' Street Ancnorage. Alaska 99502-0650 SOILS LOG — PERCOLATION TEST PERFORMED FOR: �/i/PTF_ I{/ C�iA��r DAT LEGAL DESCRIPTION: L % / Q .SFA c//« 7ownsniD. Range. Section: eEl .7.: 1r SLOPE 1 2 4 s 6 7 6 9 10 it 12 13 14 15 16 17 18 19 20 IC$ 5w W ELL GPADED SA t4 0 W/G)eAUE(. Tflz WAS GROUND WATER ENCOUNTER ED? _NCA S IPYES.ATWHAT L DEPTH? D P E Gm a waw LIM 71..enngl Arn NIATFv pyr�t�•/9.qx. .0 wu..a..., r..n.. I 1 OF Al, �E 9L "� Michael E. Anan.w: 69MED181'E Z ROFES SITE PLAN FAN Reading OanI Gro- ( N"Dam r,.... to W,,.. N"n.... Oroo I I I Z I // I ,n m' I /•• I s •� I .,n�� 1 a 1 1 I 1 I � PERCOLATION RATE �' Im.nuw,.rnl PERC HOLE DIAMETER In I TESTRUNSETWEEN FT AND FT COMMENTS/CI/F P,VF SOA�FG PERFORMED BY: _1tY /"'f�G1D /fI 1 ��'�'� �!!� THIS T T WAS PERFORMED N ACCORDANCE WITH ALLSTATE AND MUNICIPAL GUIOELINES IN EFFECT ON THIS GATE. OATS: &,9/0 9 72C0E IA". QSS1 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/onsfte (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcell.D. 011-221-33 1. GENERAL INFORMATION Complete legal description Seacliff S/D, BIk 2, Lot 7 COSA # DfsOD�ji; Expiration Date:— O z Location (site address) 9311 Shorecrest Dr., Anchorage, AK 99515 Current Property owner(s) Dan & Nortyn Easley Day phone -Mailing address Lending agency Mailing address Real Estate Agent Mailing Address 9311 Shorecrest Dr., Anchorage, AK 99515 Day phone Kevin Eltrink f Globe Realty Day phone 727-2150 3300 C Street, Suite 115, Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well ❑ Individual On-site Q Individual Water Storage ❑ Individual Holding Tank ❑ Community Class A Well Q Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of On -Site 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 engineers 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 and State codes, ordinances, and regulations in effect at the time of installation. Name of Firm Watkins Engineering, Inc. Phone 349-1851 Address P.O. Box 110443, Anchorage, AK 99511 Engineer's Printed Name Cindy W. Ellis Date 2114/06 0 5. DSD SIGNATURE ✓ Approved for bedrooms. i Disapproved. Conditional approval for bedrooms, with the following 1®y W. Ellis CE. loan Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By: - 04� 1-1, Original Certificate Date: 7 " 0 (o (R«. lift Municipality of Anchorage • Development Services Department Budding Safety Division On -We Water 6 Wastewater Program ' • "' 4700 Bragaw Street P.O. Banc 198050 Anchorage, AK 995198850 www.muni.org%onslte (907)543-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: SeacdH SID Bk 2 Lot 7 Parcel ID: 011-221-33 A. WELL DATA Wed type A If A, S, or C provide PWSID 0210485 Wad Log (Y/N) Date completed _ Sanitary seal (YIN) _ Wkes property protected (Y/N) Total depth R. Cased to R. Casing height (above ground) in. FROM WELL LOG AT INSPECTION Date of test Static water level Well production g.p.m. 9-p,m. WATER SAMPLE RESULTS: Col form colonies/100 mL Nitrate mg& Other bacteria colonkWI00 ml - Arsenic: _ mgtl Date of sample: _ Collected by: B. SEPTICIHOLDING TANK DATA Tank Type/Material Steel Septic Tank Date installed 1/30/93 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Yes Foundation cleanout (Y" Yes Depression over tank (Y/N) 110 High water alarm (YIN) WA Date of pumping 21M Pumper A* Home Services C. ABSORPTION FIELD DATA Date installed 1/30193 Sod rating (g.p.dil? or fe/bdmU 1.2 System type Shallow Trench Length 54 ft. Width 6.5 ft. Gravel below pipe 3.5 ft. Total depth 8.6 ft. Elf. absorption area 600 f? Monitoring tube -y— Depresslon over field No Date of adequacy test Feb 9. 2W6 Results (Pas3/Fa1Q Pass For A bedrooms Fluid depth in absorption field before test 10 in. Water adde0600 gal. New depth 12 In. Elapsed Time: 30 min. Final fluid depth 10 in. Absorption rate k 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (Y/N 6 type) No If yes, give date D. LIFT STATION Date Installed Size in gallons -Pump on' level at _ in. 'Pump ofr level at _ In. Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Manhole/Access (Y/N) High water alarm level at in. Meats alarm b circuit requirements? Septic tankllitt station on lot NA On adjacent lots Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots Public sewer manhole/cleanout Holding tank Animal containment areas Manure/animal extxate storage areas SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 10 Property line 38 Absorption held 5' Water main 704 Wells on adjacent lots 200'+ Water service One 35'+ Surface water 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 21' Building foundation 20' Water main 85'+ Water Service One 46+ Surface water 100'+ Driveway, peridnpNehide storage 56+ Curtain drain WA Wags on adjacent lots 200'+ F. COMMENTS: G. ENGINEER'S CERTIFICATION I ceMY that I have determined Mrough #Old krspgoons and review of Municipal records that Ste above systems are In contbrmance with MOA COSA guidelines in effect on this date. 0 r�111, POis Engineer's Printed Name Cindy W. Ellis �6•.r Date COSA Fee Date of Payment Receipt Number (Rev. I IM5) Waiver Fee $ Date of Payment Receipt Number .00,0M 3,.00,90.0 S —VHORECREST_—D11L7_E— c,`P: -0 004 v 5•• F•. Municipality of Anchorage Development Services Department • +1 Building Safety Division Onsite Water and Wastewater Program 4700 South Bragaw St. P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.org/onsite (907)343-7904 ON-SITE SEWER/WELL SUBMITTAL COMMENT SHEET To: Cindy Ellis Legal description: Seacliff Block 2 Lot 7 The attached paperwork has been reviewed and Is being returned for the following reasons: ❑ Original signature or stamp missing on ❑ Calculation error in design. _ ❑ Additional soils information needed. _ ❑ Water monitoring results inadequate. _ ❑ Discrepancy in information submitted. ❑ Topographic information missing or inadequate. ® Incomplete; missing All septic pipes identified on Inspection Report must be located in the field or installed. ❑ Incomplete; missing _ ❑ Additional adequacy test information needed. ❑ Water sample unacceptable. ❑ Measured/proposed distances/dimensions missing. ❑ Locations of all soils, percolation and water monitoring tests not shown. ❑ Proposed system too deep for soils information submitted. ❑ Well log required. ❑ Omission in narrative. ❑ Insufficient fill over tank or field._ ❑ Other. Name of reviewer: Jeff Date: 2/16/06 Please supply the necessary information and re -submit your request. LEAVE THIS FORM ATTACHED TO THE PAPERWORK 77.p p%w.1N1) FIOM MOA121 r 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 Anderson Erigineering Phone 522=7773 Address P.O. Box 240773 A�nlchorage, AK'.99524 :• Engineer's signature y ^ a��: c *l ' Dete` 2/1 /00 l- t 6 " DHHS SIGNATURE .. -� Approved for bedrooms. Disapproved, Conditional approval for bedrooms `with the following stipulations: I , - Additional Comments By: �/�., i ' 4111�. . O 6�l Date '2 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 orderto satisfycertain federal and state requirements. Employees of DHHS do not conduct inspections or. analyze data before a certificate is issued. The Municipality,of Anchorage,is not responsible for errors or omissions in the professional engineer's work. rtan )w.. w+) 8Wk Mew m _ RECEIVED Municipality of Anchorage FEB 01 DEPARTMENT OF HEALTH & HUMAN SERVICESmrrAun of Environmental Services Division WINION&MAL SUV IC 825 L Street, Room 502 • Anchorage, Alaska 99501 • (907) 343-4744 Health Authority Approval Checklist LegWDescdption: Lot 7, Block 2, Seacliff Sub. Parce11,D,: 011-22-133 A. WELL DATA Well type Class A If A, B, or C, attach ADEC letter. ADEC water system number Log present (YM) Date completed Total depth Cased to Sanitary seal (Y/N) FROM WELL LOG Static water level Well production WATER SAMPLE RESULTS: Coliform Date of sample: S. SEPTICIHOLDING TANK DATA g.p.m. 210485 Casing height (above ground) Wires properly protected (Y/N) - Public Water System Nitrate AT INSPECTION Other bacteria Date installed 1/30/93 Tank sae 1,250 Number of Compartments 2 Cleanouts (Y/N) Y Foundation deanout (YIN) Y Depression (YM) N High water alarm (y" N Date of Pumping 3/99 Pumper Anch. Cesspool Pumping C. ABSORPTION FIELD DATA DatahsWl&d 1/30/93 Soil rating (g.p.dAForfttftrn) 1.2 Systemtype5' Wide Trench Length 5 4 ' Width 6.5' Gravel thickness below pipe 3.4 9 ' Total depth 7.8 6 ' Effective absorption area 600 SF Monitoring Tube present (YIN) Y Depression over field (Y/N) N Data of adequacy test 1 / 2 9 / 0 0 Results (Pasaffiall) Pass For Four bedrooms Fluid depth In absorption field before test pn.); 6 of immediately after 8 0 0yal. water added On.): 9 •� Fluid depth 6" (ins) Minutes later. 30 Absorption rate = > 6 0 0 a-p.d. Peroodde treatment (past 12 months) (YM) N If yes• give date N / A 72-026 (Rev. 3198)• D. LIFTSTATION - None on Lot Date installed Manhole/Access (Y/N) High water alarm level at* Cycles tested E. SEPARATION DISTANCES Size in gallons "Pump on" level at* 'Datum "Pump ofr level at' SEPARATION DISTANCES FROM WELL ON LOT TO: No Well on Lot - Public Water System Septiclholding tank on lot Absorption field on lot Public sewer main Sewer /septic service line On adjacent lots On adjacent lots Public sewer manhole/cleanout Lift station SEPARATION DISTANCES FROM SEPTICMOLDING TANK ON LOTTO: Foundation >51 Property line > 5' Absorption Heid > S' Water main/service One -L10!-Surface water/drainage > T n n ' Wells on adjacent lots > 2 n n ' SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOTTO: Property line >10' Building foundation > 10' Water maintservice line > i n' Surface water > t n n ' Driveway, parking/vehide storage area >10' Curtain drain None Nntod "nn - r.nr Wells on adjacent lots >2001 F. ENGINEER'S CERTIFICATION I cef* that I have determined Mm field inspections and review of Munk*W �� I in conformance with MOA HAA guidelines In effect on drls date. Signature Engineer's Name_Nichael Andereen, PzEmom +; E Date 2/1/00 A: "Y1i• V v HAA Fee S Date of Payment 1 7-� Receipt Number TlrJ 72.028 (Rev. 3/M)• Walver Fee $ Date of Payment Receipt Number '{ANDERSON ENGINEERING P.O''BOX.240773 ; N: ANCHORAGE,'AK 99524;:; 522 7773 " ';•'522 6779 (FAX) February 1, 2000 Ms. Signe Andersen 9211 Seacliff Drive Anchorage, AK 99515 Subject: Lot 7, Block 2, Seacliff Subdivision Septic System Inspection and Certification Certificate of Health Authority Approval . Dear Ms. Andersen: We recently completed an inspection. and testing of the septic system located on Lot 7, Block 2, Seacliff Subdivision. Prior to the inspection we reviewed the files concerning the, system *and determined it was constructed in January of 1993. Since that time the absorption trench cleanouts and monitor tube had been cut off and buried approximately 3" below ground. These items were located prior to the inspection and test and raised above ground. The elevation of the flow line between the septic tank and the absorption trench was checked for any settlement. We did detect a minor settlement in the post tank cleanout which is causing some standing water.. The fall from the tank to the field is of sufficient grade though to prevent water from backing into the septic tank. The settlement of the cleanout does not appear to be a problem as it is deep enough to prevent freezing. The remainder of the system appears to be relatively level. A total of 820 gallons of water was injected into the monitor tube to check the . adequacy of. the absorption trench. Prior to the injection the water level was measured at 6". The inflow of water raised the elevation to 9". Approximately 30 minutes after the water flow was stopped the level had receded to the 6" level. The trench is therefore capable of absorbing at least 600 gallons of water per day, which is the Municipal requirement for a four bedroom home. According to your records the septic tank was pumped in March of 1999. No sludge was noted in the tank at the time of our test. Sincerely, Michael E. Anderson, P.E. MUNICIPALITY ANCHORAGE O DEPARTMENT HEALTH & HUMAN SERVICES of 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 I.D. # O 112 2 13 3 1. GENERAL INFORMATION HAA # %AQ 1 Sf'n_)C) Complete legal description LOT 7 <3L2 SE'ACGI%i Location (site address or directions) 8311 51IQRF_GRES7-D2. Property owner QUiALry ENT, Day phone Mailing address Lending agency Mailing address Agent 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 Day phone Day phone 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 t/ 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. 712-M (R". 1191( FwM MOA 621 S. 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 furtherverify 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 /I46c-7UQ J C-746.,A)CL7L4nlC Phone— Address hone Address Engineer's signature Z 6. SIGNATURE 7. Approved for bedrooms. Disapproved. Conditional approval for Additional Comments M "6C- AIL Date Z (1 ['1 3' Michael E. Anderwn . AIaI - E _ bedrooms, with the following stipulations: Date 4/ The Municipality of Anchorage Department of Health and Human Services (DHHS) issues Health Authority Approval Certificates based only upon the representations given in paragraph 5 above by an independent professional engineer registered in the State of Alaska. The DHHS does this as a courtesy to purchasers of homes and their lending institutions in order to satisfy certain federal and state requirements. Employees of DHHS do not conduct inspections or analyze data before a certificate is issued. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. non MW.1A11) Beck L40A N21 Municipality Anchorage Department of Health & Human Services HEALTH AUTHORITY APPROVAL CHECKLIST Legal Description: Z 7 BL Z 5F4CLiFF Parcel I.D. O //ZZ A. WELL DATA Well type A If A, B, or C, attach ADEC letter. ADEC water system number Log present(Y/N) Date completed Driller Total depth Cased to Casing height Sanitary seal (Y/N) Wires properly protected (Y/N) FROM WELL LOG Date of test Static water level Well flow Pump level SEPARATION DISTANCES FROM WELL TO: Septic/holding tank on lot Absorption field on lot Public sewer main Public sewer service line MUNICI?A'JTY CF AMCPORAGE AT INSPECTIQMI,CN ith'T/.L:ER`-ICES DMSION EBA 6 1993 crc g.p.m. REB IVED ; On adjacent lots ; On adjacent lots Public sewer manhole/cleanout Petroleum tank WATER SAMPLE RESULTS: Coliform Nitrate Other bacteria Date of sample: Collected by: B. SEPTIC/HOLDING TANK DATA Date installed i�3°A93 Tank size 1 s SO Compartments 2 Cleanouts (Y/N) Foundation cleanout (Y/N) �4 Depression (Y/N) N High water alarm (Y/N) n/ fA Alarm tested (Y/N) 6/14 Date of pumping NEW C-Qms7J SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK TO:72,,,C Wells) on lot Nn NE Q N LOT On adjacent lots >/001 Foundation io To property line 36Absorption field S� Water main/serviceline 66 Surface water/drainage 72-M (P.LY,) F,Om MOA 21 - CONTINUED ON BACK PAGE C. LIFT STATION Date installed Size in gallons Vent(Y/N) High water alarm level "Pump on" level at Meets MOA electrical codes (Y/N) Manufacturer Manhole/Access (Y/N) "Pump off" level at Cycles tested SEPARATION DISTANCE FROM LIFT STATION TO: Well on lot D. ABSORPTION FIELD DATA On adjacent lots Surface water Date Installed / 0 3 Soil rating y Z System type T.PF,vC N Length' Width G• Gravel thickness 315 Total depth 16'(Fru. e,a,tot 1 Tota(i6sorption area 5�SF 6 0d Cleanouts present (Y/N) Y Depression over field (Y/N) AI Date of adequacy test NEW COA/ST Results (pass/fail) PASS for y bedrooms Peroxide treatment (past 12 months) (Y/N) &I If yes, give date SEPARATION DISTANCE FROM ABSORPTION FIELD TO: Welionlot MQUE: ou LoTzoo OnadJacentlots > r&a' Propertyline21� To building foundation Ojos O To existing or abandoned system on lot Nc u e e)u Le l' On adjacent lots //,01 Cutbank > /oo Water main/service line So' Surface water /0451 Driveway, parking/vehicle storage area q0 • Curtain drain -NONE (ro AREA E. ENGINEER'S CERTIFICATION I certify that I have checked, verilled, or conformed to all MOA and HAA guidelines in ee(lect IN" date of this Inspection. Signature � � � e`er = • r Engineer•sName .4-,,l oL"nf0tj � c�� 4 �...M1 .,.....�� / / `9rn ,k.idtoel E. Anerlao ; Date — Z /('i %3 Oi 0,.' A381 -E pz.0 HAA Fee $ 1—)( --. OO Waiver Fee: $ Date of Payment 2k— \ to -93 Date of Payment Receipt Number -- 214 N (O Z co 4(,o'- Receipt Number 72-M(A".191)BUk MOA 21 3 k or n L n SK8 WALTER J. H/CKEL, GOVERNOR DEPT. OF ENVIRONMFNTAI, CONSERVATION ANCHORAGE DISTRICT OFFICE (907) 349-7755 800 E. DIMOND BLVD., SUITE 3-470 ANCHORAGE, ALASKA 99515 February 5, 1993 Mr. Wayne McFadden SUBJECT: Seacliff Subdivision Class "A" Public Water System, PWSID 210485 Dear Mr. McFadden: have completed a review of this office's files concerning the monitoring status of the above -referenced Class "A" Public Water System and found the following: 1. The last satisfactory Total Coliform Bacteria Sample results was submitted to this Department on January 20, 1993. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 2. The last inorganic Chemical Contaminants Sample results were submitted to this Department on April 7, 1992. This does meet the provisions of 18 AAC 80.200(a), of the State Drinking Water Regulations. 3. The last Radioactive Contaminants Sample results were submitted to the Department on October 20, 1992. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. 4. The last Organic Chemical Contaminants/Volatile Organic Chemical (VOC) were submitted to this Department on May 27, 1992. Based on analysis of the previous VOC samples results have been satisfactory. This does meet the provisions of 18 AAC 80.200(a), State Drinking Water Regulations. Issuance of this letter does not imply that the above -referenced Class "A" Public Water System is in compliance with other provisions of the State Drinking Regulations. If you have any questions on the above information, please do not hesitate to contact this office at 349-7755. Sincerely, *,cuE.eX 1444 Michael Lu Environmental Eng. Asst. 11 Ky printed on recycled paper b Y C. D.