HomeMy WebLinkAboutPRATOR BLK 2 E2Prator Block 2 Lot E2 #017-091-66 Municipality of Anchorage ' 47 Development Services Department ? jy Building Safety Division OrrSrte Water and Wastewater Program, 4700 Elmore Road P.O. Box 196650 Anchorage, AK 99507 Page/ of www.d.anchorage.sk us (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT Permit Number. 8090068 PID Number. 017.091.66 wm. Christina Frottatd Wastewater System: ❑ New ❑ Upgrade Aa 6931 Rabbit Creek Rd ABSORPTION FIELD P"ae Nw of s.aome 4 O DW Tn D Sh.11M Tn D Baa D Youa 0011W LEGAL DESCRIPTION aaiRa"T°I"DoMftmong iy' `2 u"East Half (E12) Ut r Prator GPdFP DpmbpvFbommbomoq. grFos FI. Gn dwm reFm pps TO•"PrP R"qs bFrsm FL FR.OMO.bow a"O'u V�aF FI or"L"pN Ft. Ft. Well: New ❑Upgrade GnvYe a" &A Of ow.abF ba.s. re. CbrM,utan (Pre.Y. A B. C) Tau DFM C.ra b private - no change Ft. T"xbra�Faan �. FI Pq M.wel Ft. Ft Fe ASTMD3034 DWom.a Boaaw"wb b w Dwro Fy A• Home Services 5.21-09 Yea O Psaa Co V WO Above Gr GPM F,. Fr TANK SEPARATION DISTANCES ❑ Septic ❑ Holding ❑ S.T.E.P. ❑ Other: To Sepbc 7Absorption Ufl Holding ubirjprwsft •u'xu r From Tank Field Station Tank Sawar um Anchorage Tank 1450 G" w+ 113 117 NA NA 106 ""'"" N,nio•r a steel 2 Bur.uwrar 100-. 1116 NA NA LIFT STATION W bxr 31 10 NA NA Gr S Foua"an 12 30 NA NA an ever 'Fvr Wa w Myh wwrrrma in b h C~ D. NA NA NA NA P"'V "w 8 roar EMC9c" impecoore prbmeo W RrnekF Tank was insulated with 2' blue board. Flow director Installed BENCH MARK larien.na D.Favban to distribute flow between trenches. Fill added over 1981 garage floor trench. Old septic tank was removed and buried on site. w.bo 89.45 Fr Inspections performed by: Cindy W. Ellis, P.E. Dates: i" 5'21'09 Englneefs Stamp 2"x5.22-09 r( V. •� OF. A.( r Development Services Department Approval J V ••' Q �a 49 THr Conditional Approval Date: ......••..... CE 105" .� ed and approved by: Date: -off pp � ssi�.�'� :...... (RRwvie ,•�}• ti.uq�J �F 1981 trench: 67 ft long, 5 ft sump MT1 1985 addition: 20 ft long, 5 ft effective N 89°57'03' W 258.12' tive Quanics Flow j Director (FD) I CO2 New 1250 gal steel septic tank I CO CO / I _ I ST2ST1 D O -- EXISTING EXISTING I MT2 4 BR HOUSE / O. H. DECK \ Old septic tank was pumped, / h °Epc DECK removed and buried on site. ASPHALT DRIVEWAY Surface water on this side of driveway. Measured at 100+ ft to drainfield. Iw I� I 15 WELL I b I I 1 Approximate location of old abandoned well. Capped with a steel plate. \ I \ I I I I � � I � _ I I I N 89057'30'W 192.99' Prator S/D, Block 2, East 1/2 Record Drawing of Septic Tank Changeout OF A p Christina Froiland qE........•••�q Parcel ID: 017-091-66 Watkins Engineering, Inc. 4Y C2 s 49 TH lNl Permit No. SW09-0068 0 ^.::...................... WELi�. o Cindy W. Ellis, RE P.O. Box 110443 CIN r W. ELus June 11, 2009 Anchorage, Alaska 99511-0443 �Oa 10577 Scale 1 inch - 40 ft Phone: (907) 360-3389; cwellisak@gmail.com A B DCO 14.0 29.0 STI 17.5 30.4 S72 25.0 34.4 COI 27.3 35.5 FD 27.8 36.0 CO2 28.7 36.9 CO3 30.6 36.4 Sump 93.0 93.0 MTI 63.0 50.5 Mr2 50.4 31.6 Iw I� I 15 WELL I b I I 1 Approximate location of old abandoned well. Capped with a steel plate. \ I \ I I I I � � I � _ I I I N 89057'30'W 192.99' Prator S/D, Block 2, East 1/2 Record Drawing of Septic Tank Changeout OF A p Christina Froiland qE........•••�q Parcel ID: 017-091-66 Watkins Engineering, Inc. 4Y C2 s 49 TH lNl Permit No. SW09-0068 0 ^.::...................... WELi�. o Cindy W. Ellis, RE P.O. Box 110443 CIN r W. ELus June 11, 2009 Anchorage, Alaska 99511-0443 �Oa 10577 Scale 1 inch - 40 ft Phone: (907) 360-3389; cwellisak@gmail.com SMFinal Grade= 95.47 DCO 92.41 7 BLUE BOARD INSULATION 91'77 1250 GALLON STEEL SEPTIC TANK N.T.S Flow Director (See j CO on Note) S2 CO _I each line To Existing Relative elevations based upon Trenches garage floor = 89.45 ft. NOTE: Do not attempt to snake through the Flow Director. AS -BUILT Prator Blk 2 FJ2 a��000000 o'(�..............OFA(S,a4 Record Drawing of Septic Upgrade � Q, ., . Christy Parcl ID:017-0 91-66 Watkins Engineering, Inc. 49?HW z �..... ........................ Permit No: SW090068 Cindy ��OGOG•. CI Y W..EL S Ellis, RE P.O. Box 110443 OC. E10577 June 11, P�r(9xNoScale Anchorage, 349-1851, Fa(907) 349-1934 D•`?�� Watkins Engineering, Inc P.0 Box 110443, Anchorage, AK 99511 (907)360-3389 cwellisak@nmall.com June 11, 2009 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Prator SID, Block 2, E/2 Summary of Work Performed To Whom It May Concern: A conditional COSA was issued on 1-27-09 for the subject property, with the requirement that additional cover be installed over the trench by 6-15-09. This work has been performed. The tank was recently changed out, and the inspection report and asbuilt drawings are attached. A Quanics Flow Director was installed after the tank to distribute flow to the trenches, in proportion to their absorption area. Cleanouts were installed to allow for cleaning the flow lines but not going through the Flow Director. An abandoned well was uncovered, as described in my letter dated May 20, 2009. The well has been capped with a steel plate. The well appeared to be plugged with sand. The approximate location is shown on the asbuilt drawing. The well has now been decommissioned as approved. If you need any further information, please call me at 360-3389 Sincerely, Cindy Ellis, P.E. President MUNICIPALITY OF ANCHORAGE Development Services Department On -Site Water 6 Wastewater Program 4700 South Bragaw Street P.O. Box 196650, Anchorage, AK 99519-6650 (907) 343-7904 ON-SITE WASTEWATER DISPOSAL SYSTEM PERMIT Upgrade Date Issued: May 21, 2009 Expiration Date: May 21, 2010 Permit Number: SWO90068 Parcel ID: 017-091-66 Legal Description: PRATOR BLK 2 E2 Design Engineer: 0844 WATKINS ENGINEERING Site Address: 006931 RABBIT CREEK RD Owner Name: CHRISTINA FROILAND Lot Size: 81600 SO. FT. Owner Address: 13134 STEPHENSON Total Bedrooms: 4 Permit Bedrooms: 4 ANCHORAGE. AK 99516 - This permit is for the construction of., ❑ Disposal Field Q 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 (1WC72 ) 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, seated, and heated to prevent freezing. Received By Issued By Date: S- V 'y ` Date: S % Municipality of Anchorage C Development Services Department Building Safety Division Onsite Water and Wastewater Program 4700 Elmore Road P.O. Box 196650 Anchorage, Alaska 99507 www.muni.org/onsite (907)343-7904 ON-SITE SEWERIWELL PERMIT APPLICATION FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-091-66 Property owner(s) Christina Froiland Day phone Mailing address 13134 Stephenson, Anchorage, AK Zip Code 99515 Site address 6931 Rabbit Creek Rd., Anchorage, AK Zip Code 99516 Legal description (Sub'd., Block & Lot) Prator SID. Block 2, E/2 Legal description (Township, Range & Section) Lot Size 61.600 Sq. Ft. THIS APPLICATION IS FOR (® all that apply): Absorption Field ❑ Septic Tank Q Holding Tank ❑ Privy ❑ Private Well ❑ Water Storage ❑ Number of Bedrooms 4 THIS APPLICATION IS AN: Initial ❑ Upgrade Renewal ❑ 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. (Signature of property Wa&, ' P.E authorized agent) Date of Payment: Receipt Number.1 Z 03'6 3 Receipt Number. (Rev. 11/05) Watkins Engineering, Inc. RO Box 110443, Anchorage, AK 99511 (907)360-3389 cwelllsak@gmall.com May 21, 2009 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Prator SID, Blk 2 E/2 6931 Rabbit Creek Rd, Anchorage Proposed Septic Tank Replacement To Whom It May Concern: Attached please find an application to install a new 1250 gallon steel septic tank at the referenced 4 bedroom house in Anchorage. The existing tank has failed, as observed during excavation for a repair. No work is proposed on the drainfield. There are no private wells within 100 ft of the septic system and there are no slope or surface water concerns. I do not believe that this work will have any adverse affect on any adjacent properties' water and wastewater needs. Thank you for consideration of this permit application. If you have any questions or need further information, please call me at 360-3389. Sincerely, w. Cindy W. Ellis, P.E. President Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)360-3389 cwellisak®gmail.com May 20, 2009 MOA Onsite Water and Wastewater Program Via fax 343-7997 Attn: Jeff Poet RE: Prator S/D, Block 2, E/2 / 6931 Rabbit Creek Road, Anchorage Parcel ID: 017-091-66 Dear Jeff, As we discussed on the phone, the subject property has an abandoned well which was recently uncovered about 2 ft from the existing well which is in service. There is no documentation on the abandoned well. It went unnoticed previously, because it was buried. It appears to be plugged with dirt at the surface. The well log for the well in service shows 20 ft of casing, into bedrock, with a total depth of 225 ft. It was drilled in 1981 by Penn Jersey Drilling Co. The recent water quality tests in 2006 and 2008 had no bacteria, no Arsenic, and nitrates at 1.85 and 2.86 mgA. discussed the situation of the abandoned well with Brian Wille of Aarow Pump and Well Services of Anchorage. He recommends that the abandoned well be decommissioned by leaving it above grade and welding a steel cap on. Cutting it off below grade may present a hazard. He did not recommend grouting the well, as it would probably damage the existing well, due to the close proximity. Therefore, we plan to decommission the abandoned well in this way. A repair job is also planned on the septic system, as we discussed on the phone. This will not need a permit, but I wish to document k. There are 2 trenches in the drainfield; one (1981 installation) has 670 ft2 of absorption area and the other (1985 addition) has 200 ftZ. The trenches were previously separated by a diverter valve, but it was removed and a 'Y" installed, as approved in 2006. During the septic adequacy test in October 2008, ft was noted that the smaller trench was surcharged. The larger trench was tested and passed. A repair is now planned to replace the Y with a Quanics flow director which can be adjusted from the surface to split the flow variably between the trenches. The flow can be adjusted preferentially to the trench with the larger absorption area. will notify you when the work on the well and the septic system has been completed. Please call me at 360-3389 if you have any questions. Sincerely, ell,,Il�'tdy�vo&.' Cindy Ellis, P.E. President NO PRIVATE WELLS WITHIN 100 FT OF THE SEPTIC SYSTEM NO PUBLIC WELLS ARE WITHIN 200 FT N 89°57'03"W 258.12' 1981 trench: 67 It long, 5 ft effective I co sump I Existing 1250 gal steel septic tank (1981) I U3 DiOI To be pumped, removed and buried on site. Existing "Y" to be replaced \ t DCO with Quanics Flow Director\ 0FCO — I rn 1985 addition: MT crawl space \ \ 20 ft long, 5 It effective MT / nNG O H. DECK c� I 4SRHOU 4 BR HOUSE ^� I New 1250 gal steel septic tank to O installed, with DCO before and after. r* DECK 0 In same location as old tank. a :o aL \� ASPHALT DRNEWAY I N I Lu 1 o I I I WELLI a o I Z 1 I I I \ I I / \ I I \ I 1 I \ / I I I N 89057'30"W 192.99' NOTE: Based upon an asbuilt survey by Shane Holt, LS -6914, dated July 25, 2006 and Engineering drawing by Stan Brust. 7/20/85 aooVV00 Prator S/D, Block 2 East 1/2 G OF At 4p Proposed Septic Tank Changeout Watkins Engineering, Inc. P� ' "'q45 Christina Froiland 49 TH' ; ' Parcel ID: 017-091-66 7 .................................. V Cindy W. Ellis, P.E. P.O. Box 110443 gyp:; `•. "'7 'EY.",os77 s .' v May 21, 2009 Anchorage, Alaska 99511-0443 4p0;,.;� Scale 1 inch - 40 ft Phone: (907) 360-3389; cwellisak@gmaii.com OO ...... CGU r 1 MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH & ENVIRONMENTAL PROTECTION 825 L Street . Anchorage, Alaska 99501 Telephone 264-4720 0*� ENVIRONMENTAL ENGINEERING DIVISION ONSITE SEWAGE DISPOSAL SYSTEM AND/OR WELL INSPECTION REPORT NAME/'l �1 �1 W M J A�•� PHONE ai �^ �9 EW ❑UPGRADE MAILING ADD LEGAL DESCRIPTION 4f;I-.rT LOCATION NO. OF BE D Y DISTANCE TO: Well Absorptio3n area Dwelling PERMIT NO. M F Manufacturer Mat eri FEG No, of compartments Liq. ca acity'nX ons IF HOMEMADE: Inside length Width Liquid depth 6 x JZ2 DIS E TO: Well Dwelling PERMIT N S _ < Manufacturer Material Liquid capacity in gallons 4 W = DISTANCE TO: Well'/ N � S,s/ Foundation , g, I y Neareit fo�r bne Yo PERMIT NO. FLL Z Z W Q No. of lines Length of each line Total length I lines Trenc=%v . J lmkos Distance bet lines H O Top of the to finish grade �OF Material beneath tileO I inches Total eft rvgab�ption area �(/� .7 O W O gth Width Depth I ERMIT NO. a F W4 Type of Crib diameter rib ticpth To flec[ive absorption area m DISTANCE TO: Well - Building f6Zrndation Nearest lot lin ' J J Class pDepth �V Driller Distance to lot line PERMIT NO. W 3 Buildingfoundation DISTANCE T0: Sewer line Septic tank p Absorption area(s) p OTHER PIPE MATERIALS If Lit I• I $OI L TEST RATING fir a INSTALLER 6U4H',1r ,mss 1 REMARKS LtJE1-NB 7- - 1I- �iP+(BSsTD /-a�AT/ B n/ E -D /01f nn S/ N i A� /J•p i.* a 5 r t�tltre_ Gd. .o r ROVED DATE LEGAL -013 (Rev. 3/781 § § Q � ("�N � -/ bq Pq o ! E \/ k E 1.1 zz |) ;0 td .m ; w / co 00 :[ ! � � k : : ���|_ !11) � Ln 1w | 4 Z Z :|\�� | a m ! ! � ; | 0 0 o c c o\ < o 0 o P o q [ O [ & o � � • § r r , A �«' O � ■ � � ■ � � § § � � � � -/ bq Pq o ! E \/ § d E 1.1 zz |) ;0 td .m ; w / co 00 :[ ! � � |© : ���|_ !11) � Ln 1w | 4 Z Z :|\�� | a m ! ! � ; | ! • ' k < q [ O [ & o � � • § r r , A �«' O �a :\ ; |e| MUM I C I F_ I Tyr' OF FItVGF-J"!FZnGE7- -iU 'DEPARTMENT l,. HEALTH AND ENVIRONMENTAL .. ,3TECT ION LJ�fr� 825 'L' STREET, ANCHORAGE, AK. 99501 J� 264-4720 L4E:L_ _ nr-JE+ Ot-a— I TE SEI.FER F EFZM T PERMIT NO. ( 810028 ) S. c APPLICANT 4JILLIAM J. HARSH SRA BOX 434-P. 345- LOCATION f4fT`/3 OA 19locka LEGAL =0160 PR OR LOT SIZE 60000 SQUARE FEET TYPE OF SOIL ABSORPTIO14 SYSTEM IS: TRENCH MAXIMUM HUMBER OF BEDROOMS = 3 SOIL RATING (SQ FT/BP.)= 210 THE REQUIRED SIZE EPTEJF THE SOIL ABSORPTIONS STEM IS: �I1 13•H= 1 L-rGTH= „-06� ? GRE Fri L ©EF'TH= THE LENGTH DIMENSION IS THE LENGTH (IFJ FEET) OF THE TRENCH OR DRAINFIELD. THE DEPTH OF A TRENCH OR PIT IS THE DISTAFJCE BETWEEN THE SURFACE OF THE GROUND AND THE BOTTOM OF THE EXCAVATION (IN 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 (IFJ FEET). FRE:QU I FZED> SEF T I C -FINK S 12!: a = 1E0CE) 0 GfiLLOMS 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. --- TWO <.2 > I " 3F EOT 101 " S FERE FZEIDU I FZEa BACKFILLING OF ANY SYSTEM WITHOUT FINAL INSPECTION AND APPROVAL BY THIS DEPARTMENT WILL BE SUBJECT TO PROSECUTION. MINIMUM DISTAFJCE BETWEEN A WELL AND ANY ON-SITE SEWAGE DISPOSAL SYSTEM IS 100 FEET FOR A PRIVATE 14ELL OR 150 TO 200 FEET FROM A PUBLIC 14ELL DEPENDING UPON THE TYPE OF PUBLIC WELL. MINIMUM DISTAFJCE FROM A PRIVATE WELL TO A PRIVATE SEWER. LINE IS 25 FEET AND TO A COMMUNITY SEWER LINE IS 75 FEET. WELL LOGS ARE REQUIRED AND MUST BE RETURNED TO THE DEPARTMENT WITHIN 30 DAYS OF THE WELL COMPLETION. OTHER. REQUIREMENTS MAY APPLY. SPECIFICATIONS AND CONSTRUCTION DIAGRAMS ARE AVAILABLE TO INSURE PROPER INSTALLATION. F EFZM I T EXP I RES OECEM@ER 3%1_r 15=+01 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 It? 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. lw S I GNED :-- - -�+-�JHA,�H -----------RPF IC WILLIA 3�J73��/ ISSUED BY_ �1�--DRTEV4.0 so��-s 7�sT vy ro 1� PERFORMED LEGAL DESCRIPTION MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 825 L. Street, Anchorage, Alaska 89501 2644720 SOILS LOG — PERCOLATION TEST a SLOPE O SOILS LOG Yds PERCOLATION TEST —DATE PERFORMED: .� 11 '-f - s 12 13 14- 15 PSE O� A� 16 17- �* is/t O. Tamot 18 %ee *6 1069-E 1 19 SITE PLAN ENCOUNTERED? L IF YES, AT WHAT E, P PAP SWENNOMMEN DEPTH? NEEMENEMEN1 Reading DEPTHV (F£ETT �f O KA r 1 C.. �L.� ( ar- M'V t-7 Net Time Depth to Water o —,Z -0,` MG w/fyerslcs, ,-2 3 (� :cc is 5 g:30 / 8 -i 0, 10 4=4 a SLOPE O SOILS LOG Yds PERCOLATION TEST —DATE PERFORMED: .� 11 '-f - s 12 13 14- 15 PSE O� A� 16 17- �* is/t O. Tamot 18 %ee *6 1069-E 1 19 SITE PLAN ENCOUNTERED? L IF YES, AT WHAT E, P PAP SWENNOMMEN DEPTH? NEEMENEMEN1 Reading Date Gross Time Net Time Depth to Water Net Drop :cc /6%; g:30 / 0, J . 20 -� I s II JI PERCOLATION RATE ;2,2 (minutes/inch) TEST RUN BETWEEN =� FT AND FT COMMENTS �i-- PERFORMED BY: t � CERTIFIED BY: I 72-008 (6/79) wCZ>Occ — LtcUp�S- _. C VI� c�U v d-- r ` 1. rr \ Municipality of Anchorage •° Development Services Department Building Safety Division On -Site Water 8 Wastewater Program 4700 Bragaw Street P.O. Box 196650 Anchorage, AK 99519-6650 www.muni.orglonsite (907)343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL FOR A SINGLE FAMILY DWELLING Parcel I.D. 017- o !g'' C &_ COSAff 043 0,,L/f 3 Q 4 1. GENERAL INFORMATION Expiration Date: _Z-7. (9 cl Complete legal description Location (site address) Current Property owner(s) Mailing address Lending agency Mailing address Real Estate Agent Mailing address PRATOR• BLOCK 2 EAST 1/2 6931 RABBIT CREEK RD ' ANCHORAGE. AK * 99516 FORECLOSURE Day phone Day phone NIEL THOMAS W/ COLDWELL BANKER FORTUNE Day phone 265-9106 3000 C ST #101 • ANCHORAGE AK + 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: Individual Well E Individual Water Storage ❑ Community Class Well ❑ Public Water System ❑ TYPE OF WASTEWATER DISPOSAL: Individual On-site 0 Individual Holding tank ❑ Community On-site ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) Issues Certificates of 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 samples. (Certificates may be reissued for a period of up to one year with valid water samples.) Certificates are valid for one year for properties served by Class A or B wells or a public water system. The Municipality of Anchorage is not responsible for errors or omissions in the professional engineer's work. 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 riles and from my investigation and inspection, the on-site water supply and/or wastewater disposal system is(are) in compliance with all applicable Municipal and State codes, ordinances, and regulations In effect at the time of installation. Name of Firm GARNESS ENGINEERING GROUP, Ltd. Phone 337-6179 Address 3701 E. TUDOR ROAD, SUITE 101 * ANCHORAGE, AK 99507 Engineer's Printed Name JEFFREY A. GARNESS, P.E. Date It 3 O g Engineer's Comments: In conducting this evaluation, GEG, LID. attempted to provide a thorough, conscientious engineering analysis of the system in accordance with ADEC and MOA DSD Guidelines & Regulations. The reported results described the performance of the system under the conditions encountered at the time of the lest, and separation distances measured to readily Identifiable features. The operational life of all wells and septic systems depend on the local soils condition, groundwater levels that may lluctuato during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of the system. Satisfactory lost results do not guarantee future performance of the system, nor do they guarantee that there are no hidden defects or encroachments. GEG, LTD. can therefore not provide any warranty or future estimate of how long the system will continue to meet the operational requirements of the ADEC or MOA DSD. The content of this report is for the sole benefit of the owner listed above. Any reliance upon or use of this report by any other person or party is not authorized, nor will it confer any legal right whatsoever. S. DSD SIGNATURE Approved for bedrooms. Disapproved. j� Conditional approval for =(_ bedrooms, with the flowing stipulations: -eV T/-ene,k 70 YJ Ci /VL 5 ( ef( fK d O k/ (p / U "I Attachments: COSA Checklist Arsenic Advisory Septic System Advisory Maintenance Agreements Well Flow Advisory Supplemental Engineer's Report Nitrate Advisory Other By: Original Certificate Date: 7— 9 (Rev. 11105) Municipality of Anchorage C --v Development Services Department Building Safety Division On -Site Water 8 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 CHECKLIST Legal Description: PRATOR; BLOCK 2, EAST 1/2 Parcel lD: O /%'09 I' (o 6 A. WELL DATA Well type PRNATE If A. B, or C provide PWSID# N/A Date completed 5/7/1981 Sanitary seal (Y/N) YES Total depth 225 ft. Cased to 16 (BEDROCK) ft. FROM WELL LOG Date of test 5/7/1981 Static water level 10 ft. Well production 5 — 9 -p.m -WATER SAMPLE RESULTS: Coliform 0 colonies/100 ml. Nitrate mg./L. Well Log (Y/N) YES Wires properly protected (YIN) YES Casing height (above ground) 12+ in. AT INSPECTION 10/16/2008 36 ft, 6.2 g.p.m. Other bacteria 0 colonies/100 ml. Arsenic: N D ug./L. Date of sample:10/16/2008 Collected by: GEG Ltd. B. SEPTIC/HOLDING TANK DATA Tank Type/Material SEPTIC/STEEL Date installed 5/14/1981 Tank size 1250 gal. Number of Compartments E Foundation cleanout (Y/N) YES Depression over tank (YIN) NO Cleanouts (Y/N) YES High water alarm (Y/N) N/A Date of pumping 10/16/2008 Pumper MCDONALDS PUMPING C. ABSORPTION FIELD DATA Date installed 5/1981 k 7/1985 Soil rating (g.p.d./ft'o /bd 210 System type TRENCH Length 67/20 ft. Width 3/4 ft. Gravel below pipe 5 ft. Total depth +6.5 ft. Eff. absorption area 870 ft' Monitoring tube YES Depression over field NO Date of adequacy test "10/16/2008 Results (Pass/Fail) PASS For 4 bedrooms Fluid depth in absorption field before test14 in. Water added 720 gal. New depth43 in. Elapsed Time: 250 min. Final fluid depth33 in. Absorption rate >= 600+ g,p,d, Any rejuvenation treatment (past 12 mo.) (YIN 8 type) NONE KNOWN If yes, give date ••TESTED 1981 TRENCH ONLY. 1985 TRENCH SURCHARGED ON 10/16/2008. D. LIFT STATION Date installed Size In gallons Manhole/Access (YIN) "Pump on" level at in. "Pump oft" leve High water alarm level at in. Cycles tested Meets alarm & circuit requirements? E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tank/lift station on lot 100'+ On adjacent lots 100'+ Absorption field on lot 100'+ On adjacent lots 100'+ Public sewer main N/A Public sewer manhole/cleanout N/A Sewer /septic service line 25'+ Holding tank N/A Animal containment areas 50'+ Manure/animal excrete storage areas 100'+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5'+ Property line 5'+ Absorption field 5'+ Water main N/A Water service line 10'+ Surface water 100'+ Wells on adjacent lots 100'+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10'+ Building foundation 10'+ Water main N/A Water service line 10'+ Surface water 100'+ Driveway, parking/vehicle storage 10'+ Curtain drain NONE KNOWN Wells on adjacent lots 100'+ F. COMMENTS G. ENGINEER'S CERTIFICATION I certify that I have determined through field inspections and review of Municipal records that the above systems are in conformance with MOA COSA guidelines in effect on this date. Engineer's Printed Name JEFFREY A. CARNESS Date %1110 oCJ COSA Fee S 'q?o Date of Payment Receipt Number__ S 3 (Rev. 11105) Waiver Fee $ Date of Payment Receipt Number 05/20/2009 10:17 3491934 WATKINS ENGR PAGE 01 Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)360-3389 cweliisak0amail.com May 20, 2009 MOA Onsite Water and Wastewater Program Via fax 343-7997 Attn: Jeff Poet RE: Prater SID, Block 2, E/216931 Rabbit Creek Road, Anchorage Parcel ID: 017-091-66 Dear Jeff, As we discussed on the phone, the subject property has an abandoned well which was recently uncovered about 2 ft from the existing well which is in service. There Is no documentation on the abandoned well. It went unnoticed previously, because it was buried. It appears to be Plugged with dirt at the surface. The well log for the well In service shows 20 ft of casing, into bedrock, with a total depth of 225 ft. It was drilled in 1981 by Penn Jersey Drilling Co. The recent water quality tests in 2006 and 2008 had no bacteria, no Arsenic, and nitrates at 1.85 and 2.86 mg1l. discussed the situation of the abandoned well with Brian Wille of Aarow Pump and Well Services of Anchorage. He recommends that the abandoned well be decommissioned by leaving k above grade and welding a steel cap on. Cutting h off below grade may present a hazard. He did not recommend grouting the well, as It would probably damage the existing well, due to the close proximity. Therefore, we plan to decommission the abandoned well In this way. A repair job is also planned on the septic system, as we discussed on the phone. This will not need a permit, but I wish to document It There are 2 trenches in the drainfield; one (1981 Installation) has 670 ftz of absorption area and the other (1985 addition) has 200 W. The trenches were previously separated by a diverter valve, but it was removed and a "Y" installed, as approved in 2006. During the septic adequacy test In October 2008, it was noted that the smaller trench was surcharged. The larger trench was tested and passed. A repair is now planned to replace the Y with a Quanics flow director which can be adjusted from the surface to split the flow variably between the trenches. The flow can be adjusted preferentially to the trench with the larger absorption area, will notify you when the work on the well and the septic system has been completed. Please call me at 360-3389 if you have any questions. Sincerely, 7�[� Cindy . Ellis, P.E. President GARNESS ENGINEERING GROUP, Ltd. 0=n03�r-- CONSULTANTS & GENERAL CONTRACTORS =» To Whom this May Concern: Regarding Prator B2 E2 (6931 Rabbit Creek Road), Gamess Engineering Group will be paid $2000 at closing for providing additional soil coverage over the drainfield, which will be done by June 15, 2009. Please contact us at 337-6179 if you have any further questions. Thank you! cry/ 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 FOR A SINGLE FAMILY DWELLING Parcel I.D. 017-091-66 1. GENERAL INFORMATION Complete legal description Prator SID. Block 2. East 1/2 COSA# f7(ob35� Expiration Date: l 0 — a (o - 0 IS Location (site address) 6931 Rabbit Creek Rd., Anchorage, AK 99516 Current Property owner(s) James & Christine Kemper Day phone Mailing address 6931 Rabbit Creek Rd., Anchorage, AK 99516 Lending agency Day phone Mailing address Real Estate Agent Dan Wolf / RE/Max Properties Day phone 257-0114 Mailing Address 110 W. 38th Ave., Anchorage, AK 99503 Unless otherwise requested, COSA will be held by DSD for pickup. 2. NUMBER OF BEDROOMS: 4 3. TYPE OF WATER SUPPLY: TYPE OF WASTEWATER DISPOSAL: Individual Well El Individual On-site Individual Water Storage ❑ Individual Holding Tank ❑ Community Class Well ❑ Community On-site ❑ Public Water System ❑ Public Sewer ❑ The Municipality of Anchorage Development Services Department (DSD) issues Certificates of 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 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 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 5. DSD SIGNATURE _Z�_ Approved for bedrooms. Disapproved. Conditional approval for bedrooms, with the following 7- Z4 -O& WY W. Ellis CE.Jun Attachments: COSA Checklist X Septic System Advisory Well Flow Advisory Nitrate Advisory Arsenic Advisory Maintenance Agreements Supplemental Engineer's Report Other By; " .14% / (/ ///� &<�t Original Certificate Date: 7- 67 — (a« 11/05) Municipality of Anchorage • Development Services Department Bullding Safety Division On-site Water & Wastewater Program 4700 Sragaw Street P.O. Box 198850 Anchorage, AK 99519-850 www.muni.org/onske (907) 343-7904 CERTIFICATE OF ON-SITE SYSTEMS APPROVAL CHECKLIST Legal Description: Prator SID. Block 2, East 1/2 Parcel ID: 017.091-66 A. WELL DATA Well type Pri If A, B, or C provide PWSID S Date completed 517/81 Sanitary seal (Y" V Total depth 225 R. Cased to 20 R. FROM WELL LOG Date of test 5/7/81 Static water level 10 R. Well production 5 9.p1m. WATER SAMPLE RESULTS: Colfform 2--colonies/100 mL Nitrate 1.85 ng/L Arsenic: <0=005 mg/l Date of sample: 8!29/08 B. SEPTICIIIIOLDING TANK DATA Wall Log (Y/N) Y Wires property protected (YM) Y Casing height (above ground) 12+ in. AT INSPECTION 6/29/08 30 R. 1.4 recovery test g.p.m. Other bacteria 0 colonies/100 mL Collected by: Rocky Trainor Tank Type/Matedal steel septic tank Date installed L48Y 1981 Tank size 1250 gal. Number of Compartments 2 Cleanouts (Y/N) Y Foundation cteanoyt (Y" inside Depression over tank (YIN) N_ High water alarm (YIN) NA Date of pumping e/29/06 Pumper Isaac's C. ABSORPTION FIELD DATA Date Installed 5/81 & 7185 Sollrating (g.p.dJfI? or fe1bdmmt) 210 System type deep trench Length 67 + 20 R. Width 3.4 R. Gravel below pipe 5.0 R. Total depth 10.0 R. Elf. absorption area R-0_1? Monitoring tube 3 Depression over Real N Date of adequacy test 711100 Results (Pass/Fam PASS For 4 bedrooms Fluid depth In absorption field before test o MT1 c 0 MT2 in. Water feu+ rA gal. New depth 37/60.25' in, Elapsed Time: 820184 min. Final fluid depth 24/ 45 in. Absorption rete >■ 600 g.p.d. Any rejuvenation treatment (past 12 mo.) (YM & type) None known If yes, give date D. UFT STATION Data instaUed NA Size in gallons Manhole/Access (YIN) 'Pump on" level at _ in. 'Pump ofr level at _ in. High water alarm level at Datum Cycles tested E. SEPARATION DISTANCES SEPARATION DISTANCES FROM WELL ON LOT TO: Septic tankAift station on lot 112• Absorption field on lot 114' Public sewer main 100+ Sewer /septic service line 60+ Animal containmentareas 100+ Meets alarm & circuit requirements? On adjacent lots 100+ On adjacent lots 100+ Public sewer manhole/cleanout 100+ Holding tank 100+ Manure/animal excrete storage areas 100+ SEPARATION DISTANCES FROM SEPTIC/HOLDING TANK ON LOT TO: Building foundation 5+ Property Una 15+ Absorption geld 5 Water main 100+ Water service line 50► Surface water 100+ Wells on adjacent lots 100+ SEPARATION DISTANCE FROM ABSORPTION FIELD ON LOT TO: Property line 10+ Building foundation 10+ Water main 100+ Water Service line 50+ Surface water 100+ Driveway, parking/vehide storage 20+ Curtain drain NA Wells on adjacent lots 100+ in. F. COMMENTS: "MT2 was at 60.25 at 30 min after flit. Initial reading was 88.6'. 20• length of trench Is separated from the 67 it length with a diverter valve. The 20' section was presoaked with 1258 gallons of water an June 29. The 6T trench A . f_ n , ee / G. ENGINEER'S CERTIFICATION 1 cer" that I have determined through flea inspection and review of Municipal records that the above systems are in confb►marwe with MOA COSA guidelines in effect on tlUs date. Engineer's Printed Name Cindy W Ellis c y W. Ellis Date 7' 29 0(p CE • =77 ' COSA Fee $ 4�3 Date of Payment 1/oq W� Receipt Number (Rev. 11105) Waiver Fee S Date of Payment Receipt Number LV ou .7/ Ju vv TAJL.tou ........... C�JsR - 49 TH� .10.Z.49 ... .......... f0o� AS -BUILT SURVEY SCALE: 1'-/0 "�. 0 'o •. SHANE A. HOLT �� • leo °s '• LS -69 4 I HEREBY CERTIFY THAT I HAVE PERFORMED A .' Op��l4po'0000 MORTGAGEES INSPECTION OF THE FOLLOWING DESCRIBED PROPERTY. BLOCK 2. PRATOR SUB.(PLAT 6840); EXCEPTING OFALASWOA oiMEATEDTNA SSKAAHIHIG WAYS A PROJECT NO.ORS45"51, ACCORDING TO PUT NO. 81-227; AND ALSO EXCEPTING THE REMAINDER OF BLOCK 2 LYING WEST OF ABOVE MENTIONED EXCEPTION. THE WORMATION HEREON IS FOR THE UBE OF LEMOW SISTIU OW SPECVIGLLY TO NIOW ANY CONFLICTS BETWEEN EXISTING 8TROCTURE8 AND PUTTED LOT LINES OR EABEMI:NTS AND RI NOT TO BE USED FOR POSITIOMIHO ADDInOML STRUCTURES OR FENCELINEB. EASEMENTS OF RECORD. OTHER THAN TOBE BNOVMN ON THE RECORDED PUT, ARE HOT SHOWN HEREON NOTE. ANY FENCELI ES SHOWN ARE LOCATED APPROKAATELY AND ME HOT TO W USED TO DETERMINE PROPERTY LREB OR LOCATE $TRACT WEB ANY PAVING &IDWN WY SE APPRO%RMTE DILE TO SHOW CONCYICN8. ANCHORAGE RECORDING DISTRICT, ALASKA AND THAT THE VISIBLE IMPROVEMENTS SITUATED THEREON ARE WITHIN THE PROPERTY LINES AND THAT NO VISIBLE ENCROACHMENTS EXIST OTHER THAN NOTED. BATED ATANCHORAGE. ALASKA THIS _25TH_ BAYOF _JULY 20D8_ HOLT LAND SURVEYW 70222, Ki 12521 TEL 0155510 Watkins Engineering, Inc. P.0 Box 110443, Anchorage, AK 99511 (907)349-1851 cwellis@gci.net July 24, 2006 Municipality of Anchorage Development Services Department Building Safety Division On -Site Water and Wastewater Program P.O. Box 196650 Anchorage, AK 99519-6650 RE: Prator S/D, Block 2, East 112 Septic System Test for COSA To Whom It May Concern: Attached is a COSA application for the referenced 4 bedroom house. The inspection report indicates that this system was initially installed in 1981 and modified in 1985 by adding a trench extension. In 1987, the trench extension was exposed and further documented by Tobben Spurkland, P.E. This letter will serve to further document the construction of the system and detail the septic test performed. The original trench is 67 ft long, located along the north property line, and has a sump at the end of it. On June 29, 2006, we measured the level of water in the trench above the lateral line, indicating that it is surcharged. The "trench extension" added in 1985 is 20 ft long, constructed in an V shaped configuration. There is a monitoring tube at the crook of the "l." and one at the end. There are no cleanouts in the trench extension. This trench is separated from the original trench with a diverter valve and had been out of use for many years. The owner indicated that they had previously used this trench without problems. On June 29, 2006, this trench was dry, as measured in both monitoring tubes. The trench extension was presoaked with 1258 gallons of water on June 29, 2006 by introducing 733 gallons of water from the well into the south monitoring tube, and 525 gallons of water into the north monitoring tube from a truck.. COSA Application for PratorBlk 3 E/2 Watkins Engineering, Inc.; July 24, 2006; page 2 On July 1, 2006, the trench extension was tested. Both MTs were initially dry, having absorbed all of the presoak water. A total of 240 gallons of water were introduced into the south monitoring tube (MT2), which caused a rise in the tube of 88.5 inches. Within 30 minutes, the level dropped to 60.25 inches, indicating that the initial level of 88.5" was abnormally high due to introducing water into the same tube as the measurement was from. Within another 64 minutes, the water level was at 45 inches, indicating absorption of greater than 600 gallons per day. Within 15 hours, the monitoring tube was dry. Water was also introduced into the north monitoring tube (MT1). A total of 421 gallons of water caused an increase of 37 inches. Within 40 minutes, at 8:00 pm, the water level had dropped by 2.25 inches. By the next morning, after 13.7 hrs (820 minutes), the monitoring tube had 24 inches of water in it, indicating absorption of approximately 260 gpd. Based upon the above reported data, I believe that the absorption rate of the trench extension is greater than the required 600 gpd for 4 bedrooms. If you need further information, please call me at 349-1851. Yours truly, Cindy W. Ellis, P.E. President MUNICIPALITY OF ANCHORAGE D -7 O �' DEPARTMENT OF HEALTH 6 HUMAN SERVICES (-7 OF ENVIRONMENTAL SERVICES CERTIFICATE OF f INSDIVISION FOR HEALTH AUTHORITY APPROVAL �I1S7 / OF ON-SITE SEWER AND WATER FACILITY 264-4744 ffA I Application Date "A It 1. GENERAL INFORMATION (MUST BE COMPLETED PRIOR TO SUBMITTAL) (a) Legal Desc'ry'tion (include lot, block, ubdivisi n, section, township, range) F1_ � u Q a e -r S� 3S. TIan1, Q3 tJi,/ Location (address or directions) (b) Property Owner b931 12abb; f Greg -Z )2W v _L:- or/r i0�N Telephone: Home 3 W - fDb?7 Business �G� v Mailing Address (c) Lending Institution Mailing Address (d) Real Estate Company and Agent ,, , I Address ,46 7 /Va� u r s r Telephone (e) Mail the HAA to the following address: or: Check here, if hold for pick up. List contact person and day phone number below. n ' 8.74-34i,. 2. TYPE OF RESIDENCE Single -Family V Number of Bedrooms 3. WATER SUPPLY Individual Well Community ❑ Public ❑ Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. SEWAGE DISPOSAL Onsite Public ❑ Community ❑ Holding Tank ❑ Note:t�communily well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. Page 1 of 2 77 WS fP.v SIM Fm01 S. ENGINEERING FIRM PROVIDING INSPECTIONS, TESTS, FILE SEARCH, DATA AND INFORMATION 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 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 ./� _Telleephone Address .Z Q Z w I S'44/-4 Date �u�llS C / At :.. . i • Eggineer's Seal 6. DHHS APPROVAL 71 Approved for �cYE��� _ bedrooms by Date Approved A Disapproved Terms of Conditional Approval Conditional CAUTION 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 doesthis as a courtesyto purchasers of homes and theirlending 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. Page 2 of 2 72.025 (Rw 0 861 axk n MUNICIPALITY OFA01415V/CLEITY OF ANCHORAGE (MOA) ,.WIRONMErml. StICA CTPIECAORIKLIST FEBRUA APPROVAL 1 HAA) NOV 0 9 1987 2644744 RECEIVED Legal Description: k p✓ s« s s . r)a. n11 e 3 A. WELL DATA Well Classificatidn 1G ES If A, B.D.E.C. Approved (Y/N) NSA Well Log Present (Y/N) __)6 Date Completed .S 7 Yield .45' pp4` Total Depth Cased to 010 Depth of Grouting Static Water Level Pump Set At • �a ' rr Casing Height Above Ground L8 Sanitary Seal on Casing (Y/N) Electrical Wiring in Conduit JY/N) % Depression Around Wellhead (Y/N) N Separation Distances from Well: To Septic/Holding Tank on Lot Z ; On Adjoining Lots N 0 N & To Nearest Edge of Absorption Field on Lot On Adjoining Lots_ NO NJ: Jo Nearest Public Sewer Llne —Li N L To Nearest Public Sewer Cleanout/Manhole N O C To Nearest Sewer Service Line on Lot Water Sample Collected by Date /0/s 7 e% Water Sample Test Results Comments B. SEPTIC/HOLDING TANK DATA Date Installed N WL Size 100450 No. of Compartments 740 J Standpipes (Y/N) or 140 Air -tight Caps (Y/N) _� Foundation Cleanout (Y/N) `` Depression over Tank (Y/N) ��1 w/ Date Last Pumped 0 LP '% Pumping/Maintenance Contract on File (Y/N) A ; for IA Holding Tank High -Water Alarm (Y/N) Nva Temporary Holding Tank Permit (Y/N) N�4 Separation Distances from Septic/Holding Tank: To Water -Supply Well Z To Building Foundation /0 To Property Line 3 D To Disposal Field As - To To Water Main/Service Line i /0 To Stream, Pond, Lake, or Major Drainage Page 1 of 2 77-0761Rw 6'661 hom C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 210 Type of System Design T e J=NCI'4 Date Installed � yl Length of Field 8 % Width of Field T I Depth of Field 7 Gravel Bed Thickness S Square Feet of Absorption Area 8 70 Standpipes Present (Y/N) / Depression over Field (Y/N) N f -Date of Last Adequacy Test IB A%!1 7 Results of Last Adequacy Test "POtr►S rU ✓ FO u ✓ $ try r✓�tl H.t S Separation Distance from Absorption Field: To Water -Supply Well To Property Line / To Building Foundation S a To Existing or Abandoned System on Lot N N : On Adjoining Lots N O NI To Water Main/Service Line > 10 To Cutbank (if present) N O N E To Stream/Pond/Lake/or Major Drainage Course 1 O 5 To Driveway, Parking Area, or Vehicle Storage Area 4 Comments Ave0a T A&!z it! D. LIFT STATION Date Installed Dimensions Size in Gallons Manhole/Access (Y/N) _ "Pump On" Level at "Pump Ofr' Level at _ High Water Alarm Level at Tested for Electrical'Codes (Y/N) comments •• Check Permitted Bedroom Rating Against HAA Request •• _ Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, or conformed to allIvt0A a/nd HAA guidelines in effect on the date of this inspection. Signed �� Date 11 gi l g7 Company MOA No. Receipt No. a ' 0.2 u iJ Uy Date of Payment I / —, Amount:3 Page 2 of 2 72-M6 111" 81N1, BMk Engineer's Seal 003 W 151h AVE "C" STE 203 1J Orr' In I�U� C:� �'�G"3Gs ►LG��`� �� 9 PoF. r 20ANCHORAGE. ALASKA 99501 CONSULTING ENGINEER TELEPHONE: (907) 2793916 S E P T I C S Y S T E M A D E Q U A C Y T E S T — — — — — — — — — — — — — — — — — — — LEGAL: E1/2, BLOCK 2, PRATOR ,OF.Atq t l; LOCATION: 6931 RABBIT CREEK ROAD OWNER: RESIDENCE: WELL: ERIK WITTEN SINGLE FAMILY, FOUR PRIVATE, ON SITE 00 �• 0 222 -E BEDROOM' 1L, E 25. 1911 SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: GREER STEEL, TWO COMP. 1250 GAL. ABSORPTION SYSTEM: TRENCH ABSORPTION AREA: 870 SQ. FT. SOIL RATING: 210 INSTALLATION DATE: 5.14.81 DATE OF PUMPING: OCTOBER 28, 1987. MARX ENTERPRISES DATE OF TEST: OCTOBER 27, 1987 TEST PROCEDURE: SYSTEM WAS INSPECTED AND MEASURED. TANK WAS FOUND WITH TWO FEET OF COVER AND 48 INCHES OF LIQUID. DRAIN FIELD CONSISTS OF TWO INDIVIDUAL TRENCHES WITH 4 INCH SUMPS. THE SUMP FOR THE 20 FOOT TRENCH WAS SIX FEET DEEP AND HAD A LIQUID DEPTH OF 25 INCHES. THE SUMP FOR THE 67 FOOT LONG TRENCH WAS ALSO SIX FEET DEEP AND CONTAINED 31.5 INCHES OF LIQUID. 300 GALLONS OF CLEAN WATER WERE ADDED TO THE 20 FOOT TRENCH. THIS CAUSED THE WATER LEVEL IN THAT SUMP TO RISE 19.75 INCHES. THE LEVELS IN THE TANK AND LONG TRENCH DID NOT CHANGE. THEN 200 GALLONS WERE ADDED TO THE LONG TRENCH. THE WATER LEVEL IN THIS TRENCH ROSE 8.75 INCHES. THE INFILTRATION RATE WAS MONITORED. IN 1.6 HOURS THE WATER LEVEL IN THE SHORT TRENCH DROPPED 4.5 INCHES, INDICATING AN INFILTRATION RATE OF 42 GALLONS PER HOUR. IN ONE HOUR THE WATER LEVEL IN THE LONG TRENCH DROPPED. 1.75 INCH, INDICATING AN INFILTRATION RATE OF 40 GALLONS PER HOUR. TEST RESULT: THIS SYSTEM MEETS THE CODE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. The operational life of all septic systems depends on the local soil conditions, groundwater levels that may fluctuate during the year, and the water usage of the family being served by the system. These conditions are outside the control of the evaluator of this septic system. We can therefore not give any estimate of how long the system will continue to meet the operational requi- rements of the Municipality and State. 40 nr,�C� �P�'�G�3G3�Q�`�D9 PQF CONSULTING ENGINEER R E S I D E N T I A L W E L L — — — — — — — — — — — — — — — LEGAL: LOCATION: OWNER: TYPE OF WELL: E1/2, BLOCK 2, PRATOR 6931 RABBIT CREEK ROAD ERIC WITTEN n203 W 15th AVE "C" SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: 1907) 279-3916 I N S P E C T I O N SINGLE FAMILY WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: PUMP YIELD: DATE OF INSPECTION: r f 4901 J --A /... .. .. 0 �f..•. Ito. 2225-E: �f JUNE 25.197t 5 GALLONS PER MINUTE 5 GALLONS PER MINUTE OCTOBER 27, 1987 TEST PROCEDURE: WELL WAS PUMPED AT A CONSTANT RATE OF 5 GALLONS PER MINUTE WHILE THE DRAWDOWN WAS MONITORED WITH AN ACOUSTIC PROBE. AT THE BEGINNING OF THE TEST WATER LEVEL WAS FOUND AT 12 FEET BELOW TOP OF CASING. AT A PUMPING RATE OF 5 GALLONS PER MINUTE THE WELL PUMP CYCLED AND THE WATER LEVEL IN'THE WELL FLUCTUATED BETWEEN 26 AND 40 FEET. TOTAL WELL DEPTH IS 225 FEET. A TOTAL OF 500 GALLONS WERE WITHDRAWN IN A TIME PERIOD OF 90 MINUTES. TEST FOR COLIFORMS: WATER WAS TESTED FOR COLIFORM BACTERIA AND TOTAL NITRATES ON OCTOBER 28. E. COLLI 0, TOTAL NITRATES 1.7 TEST RESULT: THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY OF ANCHORAGE. THIS WELL WILL PRODUCE MORE THAN 3 GALLONS PER MINUTE FOR MORE THAN FOUR HOURS. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. n) gH CONSULTING ENGINEER MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND SOCIAL SERVICES DIVISION OF ENVIRONMENTAL HEALTH 825 L STREET ANCHORAGE ALASKA 99501 Subject: E1/2, Block 2, Prator Gentlemen; 203 W 15th AVE "C SUITE 203 ANCHORAGE, ALASKA 99501 TELEPHONE: (907) 279 3916 November 24, 1987 M I.WWALITY OF ANDK*AOa DEPT. OF HEALTH 6 ENVIRONMENTAL PROTECTION NOIR 2 41987 RECEIVED Per your verbal request we have excavated the far end of the second trench on subject property and verified that the trench was actually installed as depicted in the records at the Health Department. On November 11, 1987 we utilized a tire mounted backhoe and excavated adjacent to the standpipe identifying the end of the feet below this pipe. A test hole excavated within ten feet of the trench showed silty materials with cobbles and occasional boulders down to 11 feet, which was the bottom of the excavation. No free water was observed. A percolation test was run that indicated that the soil percolation rasp was hpftpT than 15min/inch. A monitor tube was installed. When checked on November 22, 1987, this tube was found free of water. It is hoped that this additional information will enable you to certify the septic system on this lot as being adequate for a four bedroom residence. Your Tob n Spurkland .E. cc Erik Witten n MUNICIPALITY OF ANCHORAGE DIVISION OF ENVIROMIENTAL HEALTH DEPARTMENT OF HEALTH AND ENVIRONMENTAL PROTECTION 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) (0931 '- aW4 Gr�e�h 12ea eQ (b) Applicants Name W, N 0. rt � Telephoney5 - home Business Applicants Address 1.,93/ 4,6bil Cr-e--r--k- (c)Applicant is (check one) Lending Institution ; Owner/builder Buyer [:::I ; Other M (explain); (d) Lending Institution Telephone Address (e) Real Estate Co. S Agent ' 6r -V- 04/41T'F 13AQS524, TA-jekg n - Address 31 0o C- S7'2E7 L-- T Telephone 5'6 3 SS oo (f) Mail the HAA to the following address: ELEN 111=NhE _ SO1� 2. Type of Residence Single -Family 5�1 Multi -Family r Number of Bedrooms 3. Water Supply Individual Well GK Community Q Other (describe) Public Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. 4. Sewage Disposal Onsite [5;�,J Public Community Holding Tank Note: If community well system, must have written confirmation from the State Department of Environmental Conservation attesting to the legality and status. [Page 1 of 21 W n 5. Engineering Firm Providing Inspections, Tests, File Search Data and Information 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 shows that the on-site water supply and/or wastewater disposal system is safe, fu-ictional 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 regula- tions in effect on the date of this inspection. Name of Firm IJ o•-(�t�Cc..� �ju cc �l .,c�' Telephone A76 39 /% Address Date e2 a / gB 0; t.[ A!. j ,(ENGINEER SEAL) lits" "fir. 6. DBEP Approval - Approved for hCG bedrooms By 1i� Date ��— 'L7~� Approved Disapproved C r iti nal Terms of Conditional Approval CAUTION THE MUNICIPALITY OF ANCHORAGE DEPARTMENT OF HEALTH AND E,7;IRON_%MhTAL PROTECTION (DUEP) ISSUES HEALTH AUTHORITY APPROVAL CERTIFICATES BASED SOLZ-LY UPON THE REPRESENT- ATIONS GIVEN IN PARAGRAPH 5 ABOVE BY AN INDEPENDENT PROFESSIO.'aL ENGINEER REGISTEk= IN THE STATE OF ALASKA. TUE DUEP DOES THIS AS A COURTESY TO PURCHASERS OF HSS AND THEIR LENDING INSTITUTIONS IN ORDER TO SATISFY CERTAIN FEDERAL AND STATE REQUIRE- MENTS. EMPLOYEES OF DEEP DO NOT CONDUCT INSPECTIONS OR ANALYZE DATA BEFORE A CERTIFICATE IS ISSUED. THE MUNICIPALITY OF ANCHORAGE IS NOT RESPONSIBLE FOR ERRORS OR 0:4ISSIONS IN THE PROFESSIONAL ENGINEER'S WORK. (DHEP SEAL) RR4/ej/D18 [Page 2 of 21 7-19-84 U4 OF ;9`91101111'0 ``N b0./ .. M apt�� F�1 MUNICIPALITY OF ANCHORAGE (MOA) HEALTH AUTHORITY APPROVAL (HAA) �� ZZ CHECKLIST -- FEBRUARY 1984 2644720 Legal Descri tion: 1 1Z. BK'2 �tkAT0R L S 5 T ti ti R 3 tel A. WELL DATA Well Classification RES It A. B, C, D.E.C. Approved (YIN) I/^ Well Log Present (YIN) Date Completed 45/7 18 1 Yields 9 p P" Total Depth _A25 Cased to Depth of Grouting N c N E Static Water Level (b Pump Set At 130TTO M u Casing Height Above Ground g Sanitary Seal on Casing (YIN) y Electrical Wiring in Conduit (YIN) Depression Around Wellhead (YIN) Separation Distances from Well: / To Septic/Wokkag Tank on Lot X99 ✓ ; On Adjoining Lots HC) C To Nearest Edge of Absorption Field on Lot �- On Adjoining Lots N b t4 To Nearest Public Sewer Line __K9s19- To Nearest Public Sewer Cleanout/Manhole HO H C To Nearest Sewer Service Line on Lot Water Sample Collected by TTA ;Date T `� Water Sample Test Results Comments if Jr"O%" Wim/ •j..a._rj 244wSP /41 4-7po" B. SEPTIC/HOLDING TANK DATA Date Installed _L47[R1—Size _1260 Nn of r..mmnartmente 1 W C7 Standpipes (YIN) MOW Air -tight Caps (YIN) y Foundation Cleanout (YIN) Depression over Tank (YIN) N Date Last Pumped -7/"As Pumping/Maintenance Contract on File (YIN) NIA ; for ki/A Holding Tank High -Water Alarm (YIN) KLA Temporary Holding Tank Permit (YIN) NSA Separation Distances from Septic/Holding Tank: To Water -Supply Well qP_ " To Building Foundation (� To Property Line 99 IF. To Disposal Field . To Water Main/Service Line !O To Stream, Pond, Lake. or Major Drainage Course N O Nt Comments Page 1 of 2 72-026111;841 C. ABSORPTION FIELD DATA Soils Rating in Absorption Strata 2t O Type of System Design —REn4y Date Installed -- 9//V /8/ Length of Field �/0 1,� ` f Width of Field � Depth of Field r Square Feet of Absorption Area Gravel Bed Thickness C Depression over Field (Y/N) C Results of Last Adequacy Test Standpipes Present(Y/N) 0 e of Last Adequacy Test -7/a X.8s Separation Distance from Absorption Field To Water -Supply Well To Properly Line ° + 0 To Building Foundation 23 To Existing or Abandoned System on Lot NONE ; On Adjoining Lots N O t41:- To LTo Water Main/Service Line To Cutbank (if present) NO NE To Stream/Pond/Lake/or Major Drainage Course N O t4E_ To Driveway, Parking Area, or Vehicle Storage Area Comments ST 'l,r /S 6!'./�.-e J'!l;7' /seri ferT• o / G v X D. LIFT STATION N O 6/2�*_ Date Installed Size in Gallons "Pump On" Level at — High Water Alarm Level at Tested for Electrical Codes (Y/N) _ Comments J. du« sioonss Whole/Access (Y/N) �. "Pump Off" Level at 7- - •' Check Permitted Bedroom Rating Against HAA Request •' Vent(Y/N) Pumping Cycles during Adequacy Test. Meets MOA I certify that I have checked, verified, 97onformedtoall M AandHAAguidelinesineffectonthedateofthisinspection. Signed cS Date 1 ?� Company MOA No. Receipt No. Z*e3 I OF Al Date of Payment �-?� $5 �SE ...... i Amount: $ AS iner;i'sl 1 * .; 4 17T_t Off N '2226-'c •! Page 2 of 2 �r '' 1 NE Z:,. 13,1 72-026 (11,84) �� �:...�• t ,.t-.� ` 40 Cha �(?uG�3G3dG,1GG`'llD� ANS. 2 ANCHORAGE, ALASKAT995203 01 CONSULTING ENGINEER TELEPHONE: (907) 279-3915 R E S I D E N T I A L W E L L I N S P E C T I O N LEGAL: LOCATION: OWNER: TYPE OF WELL: E 1/2, BLOCK 2, PRATOR 6931 RABBIT CREEK ROAD W. HARSH PRIVAT WELL LOG AVAILABLE: YES INSTALLATION REQUIREMENTS MET: YES WELL YIELD FROM WELL LOG: 5 GPM. PUMP YIELD: 6.5 GPM WITH 25 FEET OF DRAW DOWN DATE OF INSPECTION: JULY 22, 1985 TEST PROCEDURE: WELL WAS PUMPED AT A STEADY RATE TILL DRAW DOWN STABILIZED TEST FOR COLIFORMS: SAMPLE WAS COLLECTED ON JULY 19. TEST WAS NEGATIVE TEST RESULT: OF At.,, i r •�. .y 1 7 r *' 4S�+ n• o. 22 5-E THIS WELL MEETS THE REQUIREMENTS OF THE MUNICIPALITY. The Municipal requirement for well flow is 150 gallons of water per bedroom per 24 hours.This well surpasses this requirement. The assessment of the condition of this well applies only to the conditions as of this date. The flow rate of the well may change due to subsurface conditions that may not be observed from the surface, and changes in land use and other factors that may impact the conditions of the aquifer feeding the well. Tbm �' Cha WJG3G3dG: MD9 Poco CONSULTING ENGINEER 203 W. 1 Sth AVE ••C'• SUITE 203 ANCHORAGE. ALASKA 99601 TELEPHONE: (907) 2793916 S E P T I C S Y S T E M A D E Q U A C Y T E S T — — — — — — — — — — — — — — — — — — — — — — — — LEGAL: E1/2 , BLOCK 2, PRATOR LOCATION: 6931 RABBIT CREEK ROAD OWNER: W. HARSH RESIDENCE: SINGLE FAMILY. THREE BEDROOMS WATER SYSTEM: ON SITE PRIVATE WELL SEPTIC SYSTEM: FROM MUNICIPAL RECORDS: TANK: 1250 GAL. STEEL TANK. TWO COMPARTMENT. ABSORPTION SYSTEM:TRENCHES, TWO ABSORPTION AREA:870 SQ. FT. SOIL RATING: 210 INSTALLATION DATE: 5-14-1981 DATE OF PUMPING: JULY 20, 1985 DATE OF TEST: JULY 22, 1985 TEST PROCEDURE: WATER WAS ADDED TO THE TRENCH TEADY RATE OF 6.5 GPM UNTILL A TOTAL450 G LLONS HAD BEEN ADDED. WATER LEVELS THE ONOTOR TUBES WERE CHECKED. NO WATE SE WAS OBSERVED IN THE TUBE AT THE END OF .THE TRENCH. TEST RESULT: THIS SYSTEM MEETS THE REQUIREMENTS OF THE MUNICIPALITY The operational life of all septic l4 ••••• :.• systems depends on the local soil conditions, y��:'• 1..._ '•: groundwater levels that may fluctuate during *:tiro-) the year, and the water usage of the family �..' being served by the system. These conditions �• are outside the control of the evaluator of �: N�.2 this septic system. We can therefore not give %,* 1..;;t any estimate of how long the system will lid•;., continue to meet the operational requirements i; %: of the Municipality and State. (Y " eve C41/nI r'1 5. LEGAL DESCRIPTION DATE RECEIVED _ ' INSPECTION APPOINTMENTS _ TIME TIME TIME ,1 i1, 1 y o,� 6 — aS CIGrK 6. TYPE OF RESIDENCE Ck C. DATE DATE DATE ❑—/Two C3 Five ❑ MULTIPLE FAMILY LN Three ❑ Six 7. WATER SUPPLY ❑INDIVIDUAL' 'ATTACH INSPECTOR INSPECTOR INSPECTOR ❑ PUBLIC UTILITY depth (attach log if available.) 11 s1c MUNICIPALITY OF ANCHORAGE - -\ DEPARTMENT OF HEALTH& ENVIRONMENTAL PROTECTAONICIPALITY OF ANCHORAGE 625 L Street • Anchorage, Alaska 99501 DEPT. OF HEALTH S 1 ENVIRONMENTAL PROTECTION ENVIRONMENTAL SANITATION DIVISION Telephone 264.4720 OCT 14 1981 REQUEST FOR APPROVAL OF INDIVIDUAL WATER AND SEW CTjI , rD DIRECTIONS: Complete all parts on page 1. Incomplete requests will not be processed. Please allow ten (10) days for processing. 1. PROP E TYOWNER PHONE ,t Ks MAILING ADDRESS S o - a_ s PROPERTY RESIDENT (It different from above) PPHONE 2. BUYER N ¢t vv1 a ^ MAILING A DRESS 3. LENDING INSTITUTION PHONE e Li r C...) a / MAILING ADDRESS r'Irnncse c ti- a 'n 4. AiALZCR/AALNT' PHONE MAILING ADDRESS 5. LEGAL DESCRIPTION E. 0 -�- _ STREET LOCATION O % Y-ee ,1 i1, 1 y o,� 6 — aS CIGrK 6. TYPE OF RESIDENCE NUMBER UF4UEURUO0 SINGLE FAMILY ❑ One ❑ Four ❑ Other ❑—/Two C3 Five ❑ MULTIPLE FAMILY LN Three ❑ Six 7. WATER SUPPLY ❑INDIVIDUAL' 'ATTACH WELL LOG. A well log is required for all wells drilled ❑ COMMUNITY since June 1975. For wells drilled prior to that date, give well ❑ PUBLIC UTILITY depth (attach log if available.) S. SEWAGE DISPOSAL SYSTEM Lld' INDIVIDUAL/ON-SITE" klYEAR ON-SITE SYSTEM WAS INSTALLED. ❑ PUBLIC UTILITY NOTE: THE INSPECTION FEE MUST ACCOMPANY EACH REQUEST BEFORE PROCESSING CAN BE INITIATED. 72o10 (Rev. 6/79) 0,O 114. sie THIS SIDE FOR OFFICIAL USE ONLY 1. TYPE OF RESIDENCE ❑ srlVGLE FAMILY ❑ MULTIPLE FAMILY NUMBER OF BEDROOMS ❑ ONE Z( THREE ❑ FIVE ❑ OTHER ❑ TWO ❑ FOUR ❑ SIX 2. WATER SUPPLY LJ INDIVIDUAL ❑ COMMUNITY ❑ PUBLIC UTILITY Connection Verified PERMITNUMBER DEPTH OF WELL DATE DRILLED LOG RECEIVED ✓vim 3. SE/WAGE DISPOSAL SYSTEM Q161VIDUALION -SITE ❑PUBLIC UTILITY Connection Verified PERMIT NUMBER DATE INSTALLED INSTALLER ❑Septic Tank or ❑ Holding Tank Sizer If Tank is homemade give dimensions: SOILS RATING TYPE OF TANK MANUFACTURER TOTAL ABSORPTION AREA I D S MATERIAL 4. DISTANCES WELL TO: Septic/Holding Tank Absorption Area Sewer Line Nearest Lot Line Absorption Area to nearest Lot Line 5. COMMENTS APPROVED FOR BEDROOMS ❑ CONDITIONAL APPROVAL (letter must accompany certificate) ❑ DISAPPROVED DATE Z Z 61 72010 (Rev. 6/79)